Analysis of Low-Temperature Utilization of Geothermal Resources

Energy Technology Data Exchange (ETDEWEB)

Anderson, Brian

2015-06-30

Full realization of the potential of what might be considered “low-grade” geothermal resources will require that we examine many more uses for the heat than traditional electricity generation. To demonstrate that geothermal energy truly has the potential to be a national energy source we will be designing, assessing, and evaluating innovative uses for geothermal-produced water such as hybrid biomass-geothermal cogeneration of electricity and district heating and efficiency improvements to the use of cellulosic biomass in addition to utilization of geothermal in district heating for community redevelopment projects. The objectives of this project were: 1) to perform a techno-economic analysis of the integration and utilization potential of low-temperature geothermal sources. Innovative uses of low-enthalpy geothermal water were designed and examined for their ability to offset fossil fuels and decrease CO2 emissions. 2) To perform process optimizations and economic analyses of processes that can utilize low-temperature geothermal fluids. These processes included electricity generation using biomass and district heating systems. 3) To scale up and generalize the results of three case study locations to develop a regionalized model of the utilization of low-temperature geothermal resources. A national-level, GIS-based, low-temperature geothermal resource supply model was developed and used to develop a series of national supply curves. We performed an in-depth analysis of the low-temperature geothermal resources that dominate the eastern half of the United States. The final products of this study include 17 publications, an updated version of the cost estimation software GEOPHIRES, and direct-use supply curves for low-temperature utilization of geothermal resources. The supply curves for direct use geothermal include utilization from known hydrothermal, undiscovered hydrothermal, and near-hydrothermal EGS resources and presented these results at the Stanford

Resourceful utilization technology for natural gas

International Nuclear Information System (INIS)

Matsumura, Y.

1994-01-01

This paper is a description of new applications that will contribute in increasing the demand for natural gas. First, technical issues to turn natural gas into a more resourceful fuel (efficient transportation and storage, integrated utilization of energies, uses as non-fuel), and also pitch-based high performance carbon materials and utilization techniques in the field of energy (isotropic carbon fiber, activated carbon fiber, spherical carbon micro-beads, high modulus carbon fiber). (TEC)

Dynamic Coupling Analysis of Urbanization and Water Resource Utilization Systems in China

Directory of Open Access Journals (Sweden)

Hailiang Ma

2016-11-01

Full Text Available While urbanization brings economic and social benefits, it also causes water pollution and other environmental ecological problems. This paper provides a theoretical framework to quantitatively analyze the dynamic relationship between water resource utilization and the process of urbanization. Using data from Jiangsu province, we first construct indices to evaluate urbanization and water resource utilization. We then adopt an entropy model to examine the correlation between urbanization and water resource utilization. In addition, we introduce a dynamic coupling model to analyze and predict the coupling degree between urbanization and water resource utilization. Our analyses show that pairing with rising urbanization during 2002–2014, the overall index of water resource utilization in Jiangsu province has experienced a “decline -rise-decline” trend. Specifically, after the index of water resource utilization reached its lowest point in 2004, it gradually began to rise. Water resource utilization reached its highest value in 2010. The coupling degree between urbanization and water resource utilization was relatively low in 2002 and 2003 varying between −90° and 0°. It has been rising since then. Out-of-sample forecasts indicate that the coupling degree will reach its highest value of 74.799° in 2016, then will start to gradually decline. Jiangsu province was chosen as our studied area because it is one of the selected pilot provinces for China’s economic reform and social development. The analysis of the relationship between provincial water resource utilization and urbanization is essential to the understanding of the dynamic relationship between these two systems. It also serves as an important input for developing national policies for sustainable urbanization and water resource management.

Covariates of depression and high utilizers of healthcare: Impact on resource use and costs.

Science.gov (United States)

Robinson, Rebecca L; Grabner, Michael; Palli, Swetha Rao; Faries, Douglas; Stephenson, Judith J

2016-06-01

To characterize healthcare costs, resource use, and treatment patterns of survey respondents with a history of depression who are high utilizers (HUds) of healthcare and to identify factors associated with high utilization. Adults with two or more depression diagnoses identified from the HealthCore Integrated Research Database were invited to participate in the CODE study, which links survey data with 12-month retrospective claims data. Patient surveys provided data on demographics, general health, and symptoms and/or comorbidities associated with depression. Similar clinical conditions also were identified from the medical claims. Factors associated with high utilization were identified using logistic regression models. Of 3132 survey respondents, 1921 were included, 193 of whom were HUds (defined as those who incurred the top 10% of total all-cause costs in the preceding 12months). Mean total annual healthcare costs were eightfold greater for HUds than for non-HUds ($US56,145 vs. $US6,954; pcosts/resource use. HUds were prescribed twice as many medications (total mean: 16.86 vs. 8.32; psychotropic mean: 4.11 vs. 2.61; both pcosts in patients with depression. Copyright © 2016 Eli Lilly and Company. Published by Elsevier Inc. All rights reserved.

Utilization of Spent Resources in Support of Eco-Economic Decoupling in Central Java

Directory of Open Access Journals (Sweden)

Nuril Fikri Aulia

2015-09-01

Full Text Available Implementation of the development is often cause adverse environmental impacts. Adverse effects are environmental degradation and decreasing availability of resources. To overcome this, it is necessary that the development can still continue, the environment is not damaged, and the availability of resources is maintained. One effort is through eco - economic decoupling activities with the use of spent resources. The aim of study to determine the potential of spent resources in Central Java, knows the problems in the utilization of spent resources in Central Java, and to determine the impact of the utilization of spent resources in Central Java by a qualitative descriptive method. The results show that in the study have the potential of eco-economic decoupling indicated by the availability of spent resources and had done utilization of spent resources. However, this potential has not been optimally developed, because there are still some problems in its utilization. Problems in the use of spent resources are the lack of knowledge about eco-economic decoupling and spent resources among stakeholder, there is no specific policy on eco - economic decoupling, the lack of Local Government 's role in the utilization of spent resource, and the lack of synergy programs and activities in supporting the utilization of spent resources. Utilization of spent resources have positive impact to reduce pressure on the environment and natural resources, create a new job, and increase incomes for society.

Resource and utilization of Estonian hydropower

International Nuclear Information System (INIS)

Raesaar, P.

2005-01-01

An overview of the Estonian hydropower resources and their utilization at present as well as prospective for the future are presented in this paper. A short overview of advantages of small hydropower stations and related issues is given. Some technological aspects are treated briefly. (authors)

Colonoscopy resource availability and colonoscopy utilization in Ontario, Canada

Directory of Open Access Journals (Sweden)

Colleen Webber

2017-04-01

The availability of colonoscopy resources improved in Ontario between 2007 and 2013. However, the geographic variation in resource availability and findings that higher colonoscopy resource availability is associated with higher colonoscopy utilization suggest that certain areas of the province may be under-resourced. These areas may be appropriate targets for efforts to improve colonoscopy capacity in Ontario.

[Application of synthetic biology to sustainable utilization of Chinese materia medica resources].

Science.gov (United States)

Huang, Lu-Qi; Gao, Wei; Zhou, Yong-Jin

2014-01-01

Bioactive natural products are the material bases of Chinese materia medica resources. With successful applications of synthetic biology strategies to the researches and productions of taxol, artemisinin and tanshinone, etc, the potential ability of synthetic biology in the sustainable utilization of Chinese materia medica resources has been attracted by many researchers. This paper reviews the development of synthetic biology, the opportunities of sustainable utilization of Chinese materia medica resources, and the progress of synthetic biology applied to the researches of bioactive natural products. Furthermore, this paper also analyzes how to apply synthetic biology to sustainable utilization of Chinese materia medica resources and what the crucial factors are. Production of bioactive natural products with synthetic biology strategies will become a significant approach for the sustainable utilization of Chinese materia medica resources.

[Home health resource utilization measures using a case-mix adjustor model].

Science.gov (United States)

You, Sun-Ju; Chang, Hyun-Sook

2005-08-01

The purpose of this study was to measure home health resource utilization using a Case-Mix Adjustor Model developed in the U.S. The subjects of this study were 484 patients who had received home health care more than 4 visits during a 60-day episode at 31 home health care institutions. Data on the 484 patients had to be merged onto a 60-day payment segment. Based on the results, the researcher classified home health resource groups (HHRG). The subjects were classified into 34 HHRGs in Korea. Home health resource utilization according to clinical severity was in order of Minimum (C0) service utilization moderate), and the lowest 97,000 won in group C2F3S1, so the former was 5.82 times higher than the latter. Resource utilization in home health care has become an issue of concern due to rising costs for home health care. The results suggest the need for more analytical attention on the utilization and expenditures for home care using a Case-Mix Adjustor Model.

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.

On utilization bounds for a periodic resource under rate monotonic scheduling

NARCIS (Netherlands)

Renssen, van A.M.; Geuns, S.J.; Hausmans, J.P.H.M.; Poncin, W.; Bril, R.J.

2009-01-01

This paper revisits utilization bounds for a periodic resource under the rate monotonic (RM) scheduling algorithm. We show that the existing utilization bound, as presented in [8, 9], is optimistic. We subsequently show that by viewing the unavailability of the periodic resource as a deferrable

Using Forecasting to Predict Long-Term Resource Utilization for Web Services

Science.gov (United States)

Yoas, Daniel W.

2013-01-01

Researchers have spent years understanding resource utilization to improve scheduling, load balancing, and system management through short-term prediction of resource utilization. Early research focused primarily on single operating systems; later, interest shifted to distributed systems and, finally, into web services. In each case researchers…

Geothermal resource utilization: paper and cane sugar industries. Final report

Energy Technology Data Exchange (ETDEWEB)

Hornburg, C.D.; Morin, O.J.

1975-03-01

This study was made as a specific contribution to an overall report by the United States in the area of industrial utilization of geothermal resources. This is part of an overall study in non-electrical uses of geothermal resources for a sub-committee of the North Atlantic Treaty Organization. This study was restricted to the geopressured zone along the Northern Gulf of Mexico Coast. Also, it was limited to utilizing the thermal energy of this ''geoenergy'' resource for process use in the Pulp and Paper Industry and Cane Sugar Industry. For the selected industries and resource area, this report sets forth energy requirements; identifies specific plant and sites; includes diagrams of main processes used; describes process and equipment modifications required; describes energy recovery systems; sets forth waste disposal schemes and problems; and establishes the economics involved. The scope of work included considerable data collection, analysis and documentation. Detailed technical work was done concerning existing processes and modifications to effectively utilize geothermal energy. A brief survey was made of other industries to determine which of these has a high potential for utilizing geothermal energy.

Current NASA Plans for Mars In Situ Resource Utilization

Science.gov (United States)

Sanders, Gerald

2018-01-01

The presentation is to provide relevant information to the NASA funded Center for the Utilization of Biological Engineering in Space (CUBES) Institute. The presentation cover the following: 1) What is In Situ Resource Utilization (ISRU), 2) What are the resources of interest at the Moon and Mars, 3) ISRU-related mission requirements and ISRU economics, 4) Challenges and Risk for ISRU, 5) Concept of Operation for Mars ISRU Systems, 6) Current State of the Art (SOA) in ISRU, and 7) Current ISRU development and mission status.

Assessment of Global Wind Energy Resource Utilization Potential

Science.gov (United States)

Ma, M.; He, B.; Guan, Y.; Zhang, H.; Song, S.

2017-09-01

Development of wind energy resource (WER) is a key to deal with climate change and energy structure adjustment. A crucial issue is to obtain the distribution and variability of WER, and mine the suitable location to exploit it. In this paper, a multicriteria evaluation (MCE) model is constructed by integrating resource richness and stability, utilization value and trend of resource, natural environment with weights. The global resource richness is assessed through wind power density (WPD) and multi-level wind speed. The utilizable value of resource is assessed by the frequency of effective wind. The resource stability is assessed by the coefficient of variation of WPD and the frequency of prevailing wind direction. Regression slope of long time series WPD is used to assess the trend of WER. All of the resource evaluation indicators are derived from the atmospheric reanalysis data ERA-Interim with spatial resolution 0.125°. The natural environment factors mainly refer to slope and land-use suitability, which are derived from multi-resolution terrain elevation data 2010 (GMTED 2010) and GlobalCover2009. Besides, the global WER utilization potential map is produced, which shows most high potential regions are located in north of Africa. Additionally, by verifying that 22.22 % and 48.8 9% operational wind farms fall on medium-high and high potential regions respectively, the result can provide a basis for the macroscopic siting of wind farm.

Adaptive Resource Utilization Prediction System for Infrastructure as a Service Cloud

Directory of Open Access Journals (Sweden)

Qazi Zia Ullah

2017-01-01

Full Text Available Infrastructure as a Service (IaaS cloud provides resources as a service from a pool of compute, network, and storage resources. Cloud providers can manage their resource usage by knowing future usage demand from the current and past usage patterns of resources. Resource usage prediction is of great importance for dynamic scaling of cloud resources to achieve efficiency in terms of cost and energy consumption while keeping quality of service. The purpose of this paper is to present a real-time resource usage prediction system. The system takes real-time utilization of resources and feeds utilization values into several buffers based on the type of resources and time span size. Buffers are read by R language based statistical system. These buffers’ data are checked to determine whether their data follows Gaussian distribution or not. In case of following Gaussian distribution, Autoregressive Integrated Moving Average (ARIMA is applied; otherwise Autoregressive Neural Network (AR-NN is applied. In ARIMA process, a model is selected based on minimum Akaike Information Criterion (AIC values. Similarly, in AR-NN process, a network with the lowest Network Information Criterion (NIC value is selected. We have evaluated our system with real traces of CPU utilization of an IaaS cloud of one hundred and twenty servers.

Consideration of environmental externality costs in electric utility resource selections and regulation

International Nuclear Information System (INIS)

Ottinger, R.L.

1990-01-01

A surprising number of state electric utility regulatory commissions (half) have started to require consideration of environmental externality costs in utility planning and resource selection. The principal rationale for doing so is that electric utility operations impose very real and large damages to human health and the environment which are not taken into account by traditional utility least cost planning, resource selection procedures, or by government pollution regulation. These failures effectively value the residual environmental costs to society of utility operations at zero. The likely future prospect for more stringent governmental pollution regulation renders imprudent the selection of resources without taking environmental externality costs into consideration. Most regulatory commissions requiring environmental externality consideration have left it to the utilities to compute the societal costs, although a few have either set those costs themselves or used a proxy adder to polluting resource costs (or bonus for non-polluting resources). These commissions have used control or pollution mitigation costs, rather than societal damage costs, in their regulatory computations. This paper recommends that damage costs be used where adequate studies exist to permit quantification, discusses the methodologies for their measurement, and describes the means that have been and might be used for their incorporation

Productivity loss and resource utilization, and associated indirect and direct costs in individuals providing care for adults with schizophrenia in the EU5

Directory of Open Access Journals (Sweden)

Gupta S

2015-11-01

Full Text Available Shaloo Gupta,1 Gina Isherwood,2 Kevin Jones,3 Kristel Van Impe4 1Kantar Health, Princeton, NJ, USA; 2Kantar Health, Epsom, Surrey, UK; 3European Federation of Associations of Families of People with Mental Illness, Diestsevest, Leuven, Belgium; 4Janssen-Cilag GmbH, Neuss, Germany Objective: This study aimed to understand the impact of providing care for adults with schizophrenia on productivity, resource utilization, and costs in the EU5 (France, Germany, Italy, Spain, and UK. Methods: Data from the 2010, 2011, and 2013 EU5 National Health and Wellness Survey, an online questionnaire of a nationwide sample of adults, were analyzed. Schizophrenia caregivers (n=398 were matched to noncaregivers (n=158,989 and other caregivers (n=14,341 via propensity scores. Outcome measures included health care utilization, Work Productivity and Activity Impairment questionnaire-based scores, and associated direct and indirect costs (estimated from the literature. Significant differences between schizophrenia caregivers vs noncaregivers and other caregivers (eg, cancer and Alzheimer's disease were examined. Results: After matching, schizophrenia caregivers reported greater activity impairment (38.4% vs 26.1%, provider visits (8.0 vs 5.7, emergency room visits (0.9 vs 0.2, hospitalizations (0.8 vs 0.1, and direct costs (€2,258 vs €617 than noncaregivers, all P<0.001. Employed schizophrenia caregivers reported greater absenteeism, presenteeism, overall work impairment (35.0% vs 20.7%, and indirect costs (€6,667 vs €3,795 than noncaregivers, all P<0.001. Schizophrenia caregivers (vs other caregivers reported greater activity impairment (38.4% vs 32.3% and provider visits (8.0 vs 6.6, P<0.05. A greater proportion of schizophrenia caregivers (vs other caregivers reported at least one emergency room visit (26.1% vs 20.2% and hospitalization (20.4% vs 14.3%, P<0.05. Employed schizophrenia caregivers incurred greater indirect costs than other caregivers (€6

Associations between hours worked, symptoms and health resource utilization among full-time male Japanese workers.

Science.gov (United States)

Sato, Keiko; Yamazaki, Shin; Hayashino, Yasuaki; Takegami, Misa; Tokuda, Yasuharu; Takahashi, Osamu; Shimbo, Takuro; Hinohara, Shigeaki; Fukui, Tsuguya; Fukuhara, Shunichi

2011-01-01

To investigate the association between hours worked, symptoms experienced, and health resource utilization. Data were collected from a nationally representative sample of households in Japan. We studied full-time male workers aged 18-65 yr who worked 100 h or more per month. First, we examined the association between hours worked and symptoms experienced. Second, we examined the association between hours worked and the type of health resource utilized, such as physician visits, over-the-counter (OTC) medication use, dietary supplement use, and complementary and alternative medicine (CAM) provider visits. We used a multivariable negative binominal model in each analysis. Of the 762 male workers, 598 reported experiencing symptoms at least once a month. We categorized participants based on the number of hours worked per month (h/mo): 100-200 h/mo, 201-250 h/mo, and over 250 h/mo. Compared with those working 201-250 h/mo, those working 100-200 h/mo had more frequent physician visits (rate ratio:1.67, 95% CI: 1.17 to 2.38) and those working over 250 h/mo had significantly lower rates of CAM provider visits and tended to use dietary supplements for symptoms. Participants who worked 201-250 h/mo used OTC medication most frequently. No significant association was observed between the number of hours worked and number of symptoms experienced. The more hours worked by full-time male workers, the more likely they were to use health resources that had a lower time requirement. Greater attention should be paid to patterns of health resource utilization among workers and their consequent influence on long-term health status.

Optimal Energy Management for a Smart Grid using Resource-Aware Utility Maximization

Science.gov (United States)

Abegaz, Brook W.; Mahajan, Satish M.; Negeri, Ebisa O.

2016-06-01

Heterogeneous energy prosumers are aggregated to form a smart grid based energy community managed by a central controller which could maximize their collective energy resource utilization. Using the central controller and distributed energy management systems, various mechanisms that harness the power profile of the energy community are developed for optimal, multi-objective energy management. The proposed mechanisms include resource-aware, multi-variable energy utility maximization objectives, namely: (1) maximizing the net green energy utilization, (2) maximizing the prosumers' level of comfortable, high quality power usage, and (3) maximizing the economic dispatch of energy storage units that minimize the net energy cost of the energy community. Moreover, an optimal energy management solution that combines the three objectives has been implemented by developing novel techniques of optimally flexible (un)certainty projection and appliance based pricing decomposition in an IBM ILOG CPLEX studio. A real-world, per-minute data from an energy community consisting of forty prosumers in Amsterdam, Netherlands is used. Results show that each of the proposed mechanisms yields significant increases in the aggregate energy resource utilization and welfare of prosumers as compared to traditional peak-power reduction methods. Furthermore, the multi-objective, resource-aware utility maximization approach leads to an optimal energy equilibrium and provides a sustainable energy management solution as verified by the Lagrangian method. The proposed resource-aware mechanisms could directly benefit emerging energy communities in the world to attain their energy resource utilization targets.

Planetary Volatiles Extractor for In Situ Resource Utilization, Phase II

Data.gov (United States)

National Aeronautics and Space Administration — In Situ Resource Utilization (ISRU) or ?living off the land relies on exploiting local resources and in turn reducing burden of transporting supplies. NASA has...

Ruminant production systems in developing countries: Resource utilization

International Nuclear Information System (INIS)

Devendra, C.

1989-01-01

Ruminant production systems are discussed with specific reference to the resource utilization required to support them. Particular focus is placed on the main production resources (animals and feeds) and their underutilization. The ruminant animals include buffaloes, cattle, goats, sheep and camels. With the exception of cattle and sheep, their numbers in developing countries account for between 94 and 100% of total world population. Their biological attributes, including inherent characteristics, feeding behaviour and metabolism, are summarized. The extent and availability of feed resources are considered; resources include permanent pastures, crop residues, agroindustrial by-products and non-conventional feeds. The prevailing ruminant production systems are classified into three main categories: extensive systems, systems incorporating arable cropping (roadside, communal and arable grazing systems; tethering and cut-and-carry feeding), and systems integrated with tree cropping. Their genesis and endurance with patterns of crop production and farming systems are discussed. Integrated systems, involving animals and tree crops, are potentially important. Prevailing ruminant production systems are unlikely to change in the foreseeable future, unless there are major shifts in resource use and the proposed new systems are demonstrably superior. Factors likely to influence future ruminant production systems are market requirements, available feed resources and growth in human populations. Two associated strategies for improvement are proposed: increased priority to buffaloes, goats, sheep and camels, consistent with their potential contribution to meat, milk and fibre supplies and draught power; and more complete utilization of the available feed ingredients and increased feed supplies

Utilization of Community Institutional and Organizational Resources ...

African Journals Online (AJOL)

The study investigated the influence of the utilization of community institutional and community organizational resources on the implementation of adult basic literacy and functional literacy programmes in Cross River State. Two hypotheses were formulated and tested. The survey research design was adopted for the study.

User Utility Oriented Queuing Model for Resource Allocation in Cloud Environment

Directory of Open Access Journals (Sweden)

Zhe Zhang

2015-01-01

Full Text Available Resource allocation is one of the most important research topics in servers. In the cloud environment, there are massive hardware resources of different kinds, and many kinds of services are usually run on virtual machines of the cloud server. In addition, cloud environment is commercialized, and economical factor should also be considered. In order to deal with commercialization and virtualization of cloud environment, we proposed a user utility oriented queuing model for task scheduling. Firstly, we modeled task scheduling in cloud environment as an M/M/1 queuing system. Secondly, we classified the utility into time utility and cost utility and built a linear programming model to maximize total utility for both of them. Finally, we proposed a utility oriented algorithm to maximize the total utility. Massive experiments validate the effectiveness of our proposed model.

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.

A Technical Mode for Sharing and Utilizing Open Educational Resources in Chinese Universities

Directory of Open Access Journals (Sweden)

Juan Yang

2011-09-01

Full Text Available Open educational resources just supply potentials to help equalize the access to worldwide knowledge and education, but themselves alone do not cause effective learning or education. How to make effective use of the resources is still a big challenge. In this study, a technical mode is proposed to collect the open educational resources from different sources on the Internet into a campus-network-based resource management system. The system facilitates free and easy access to the resources for instructors and students in universities and integrates the resources into learning and teaching. The technical issues regarding the design the resource management system are examined, including the structure and functions of the system, metadata standard compatibility and scalability, metadata file format, and resource utilization assessment. Furthermore, the resource collecting, storage and utilization modes are also discussed so as to lay a technical basis for extensive and efficient sharing and utilization of the OER in Chinese universities.

Thorium resources and energy utilization (14)

International Nuclear Information System (INIS)

Unesaki, Hironobu

2014-01-01

After the accident at the Fukushima Daiichi Nuclear Power Station of Tokyo Electric Power Company, thorium reactor has been attracting attention from the viewpoint of safety. Regarding thorium as the resources for nuclear energy, this paper explains its estimated reserves in the whole world and each country, its features such as the situation of utilization, and the reason why it attracts attention now. The following three items are taken up here as the typical issues among the latest topics on thorium: (1) utilization of thorium as a tension easing measure against environmental effects involved in nuclear energy utilization, (2) thorium-based reactor as the next generation type reactor with improved safety, and (3) thorium utilization as the improvement policy of nuclear proliferation resistance. The outline, validity, and problems of these items are explained. Thorium reactor has been adopted as a research theme since the 1950s up to now mainly in the U.S. However, it is not enough in the aspect of technological development and also insufficient in the verification of reliability based on technological demonstration, compared with uranium-fueled light-water reactor. This paper explains these situations, and discusses the points for thorium utilization and future prospects. (A.O.)

Utilization of saline water and land: Reclaiming lost resources

International Nuclear Information System (INIS)

Naqvi, Mujtaba

2001-01-01

There is an abundance of saline water on the globe. Large tracts of land are arid and/or salt-affected, and a large number of plant species are known to be salt-tolerant. It would seem obvious that salt tolerant plants (halophytes) have a role in utilizing the two wasted resources, saline water and wastelands. We will briefly describe how these resources can be fruitfully utilized and how the IAEA has helped several countries to demonstrate the possibility of cultivating salt tolerant plant species on arid saline wastelands for economic and environmental benefit. After some brief introductory remarks we will discuss the results of the project

Space Resource Utilization and Extending Human Presence Across the Solar System

Science.gov (United States)

Curreri, Peter A.

2005-01-01

The Presidents Vision for Exploration is not a single mission, but an open ended journey that seeks to answer "How can we live on other worlds?" Using space resources is the only known approach for affordable, sustained, flexible, and self sufficient, human occupation beyond Earth orbit. Earth is a large planet. A simple analysis using the rocket equation shows that if Earth were a bit larger, chemical propulsion as a mechanism to access space would become impractical. Thus, even with the most efficient chemical rocket launch capability, the cost of lifting massive payloads into space will remain very steep (currently about $l00k/lb to the Moon and greater than $500k/lb to Mars). Space resource utilization should begin with an aggressive broad based demonstration program as afforded by the precursor missions implementation of the President's Vision of Exploration. Ion engine upper stages, for example, were studied for over 30 years, but only implemented in design after the Deep Space 1 in space demonstration. These demonstrations should include: extraction of elements from lunar regolith, and Martian soil and atmosphere, demonstration of power break even and growth from lunar or Mars moons derived photovoltaics, oxygen extraction for life support and propellant, and metals and alloys for in space repair and the production of habits and radiation shielding. Space resource utilization yields operational dividends through the subsequent programs including: propellant from lunar oxygen which could cut transportation costs from Earth in half, mega watts per year of power grown from lunar photovoltaics at decreasing cost per kW, decreased cost for human Mars missions by a factor of 10 by using propellant derived from Mars atmosphere for return, and in space manufacturing and food production with space resources yielding safe sustained and eventually self sufficient human presence in space. After the demonstration and implementation, the space resource utilization

Improving ATLAS computing resource utilization with HammerCloud

CERN Document Server

Schovancova, Jaroslava; The ATLAS collaboration

2018-01-01

HammerCloud is a framework to commission, test, and benchmark ATLAS computing resources and components of various distributed systems with realistic full-chain experiment workflows. HammerCloud contributes to ATLAS Distributed Computing (ADC) Operations and automation efforts, providing the automated resource exclusion and recovery tools, that help re-focus operational manpower to areas which have yet to be automated, and improve utilization of available computing resources. We present recent evolution of the auto-exclusion/recovery tools: faster inclusion of new resources in testing machinery, machine learning algorithms for anomaly detection, categorized resources as master vs. slave for the purpose of blacklisting, and a tool for auto-exclusion/recovery of resources triggered by Event Service job failures that is being extended to other workflows besides the Event Service. We describe how HammerCloud helped commissioning various concepts and components of distributed systems: simplified configuration of qu...

A LINEAR PROGRAMMING METHOD TO ENHANCE RESOURCE UTILIZATION CASE OF ETHIOPIAN APPAREL SECTOR

Directory of Open Access Journals (Sweden)

Gezahegn Tesfaye

2016-06-01

Full Text Available The Ethiopian industrial development strategy is characterized by export-led and labor intensive industrialization. The country is emerging as the most important investment destination in its apparel sector. Thought this sector is expected to generate more income from the export market, its export earnings remain trivial mainly due to the inefficient organizational resource utilization. One of the competent techniques that help companies to efficiently improve the use of their resources to increase their profit is linear programming. In apparel manufacturing firms, efficient use of materials such as fabrics and sewing threads and processing time at different stages of production as well as minimization of labor and materials cost are necessary to enhance their profitability. Cutting, sewing, and finishing operations deserve more attention for apparel process optimization. However, the issue of proper resource allocation remains an unsolved problem within the Ethiopian apparel industry. The aim of this research is to devise efficient resource utilization mechanism for Ethiopian apparel sector to improve their resource utilization and profitability, taking one of the garment factories engaged in the export market as a case study. Five types of products the company is currently producing, the amount of resources employed to produce each unit of the products, and the value of profit per unit from the sale of each products have been collected from the case company. The monthly availability of resources utilized and the monthly production volume of the five products have also been collected from the company. The data gathered was mathematically modeled using a linear programming technique, and solved using MS-Excel solver. The findings of the study depicts that all of the organizational resources are severely underutilized. This research proved that the resource utilization of the case company can be improved from 46.41% of the current resource

18 CFR 2.78 - Utilization and conservation of natural resources-natural gas.

Science.gov (United States)

2010-04-01

... conservation of natural resources-natural gas. 2.78 Section 2.78 Conservation of Power and Water Resources... INTERPRETATIONS Statements of General Policy and Interpretations Under the Natural Gas Act § 2.78 Utilization and conservation of natural resources—natural gas. (a)(1) The national interests in the development and utilization...

Wind as a utility-grade supply resource: A planning framework for the Pacific Northwest

International Nuclear Information System (INIS)

Johnson, M.S.; Litchfield, J.

1993-12-01

Many areas throughout the United States possess favorable wind resources that, as yet, remain undeveloped. This paper provides valuable information on the type of information developers can provide, utility interpretation of the information in regard to electric energy and capacity attributes, and wind resource characteristics of interest to utilities. The paper also reviews key utility planning contexts within which prospective wind resources may be evaluated

Agricultural management legacy affects microbial energetics, resource utilization and active bacterial community membership during 13C-glucose consumption

Science.gov (United States)

Helgason, B. L.; Levy-Booth, D.; Arcand, M. M.

2017-12-01

Over the long-term, differences in soil management can result in fundamental changes in biogeochemical cycling. The Alternative Cropping Systems (ACS) Study at Scott, SK, Canada (est. 1994) compares organic (ORG) vs. conventionally (CON) managed crop rotations in a loamy Typic Borall. Nitrogen (N) and phosphorus (P) deficiency in the ORG systems have limited crop growth and thus plant carbon (C) inputs for over two decades, ultimately resulting in a C deficiency which has further altered biogeochemical cycling. We conducted a short-term microcosm experiment using 13C-glucose stable isotope probing (SIP) of DNA to test whether ORG soils have greater microbial C use efficiency due to long term resource limitation. Glucose-utilizing populations were dominated by Proteobacteria and Actinobacteria, with differing species-level identities and physiological capacities between CON and ORG systems. Of the 13C-utilizing taxa, relative abundance of Proteobacteria was greater in CON while Actinobacteria (and notably Firmicutes) were more dominant in ORG soils. Using isothermal calorimetry, we measured a thermodynamic efficiency (ηeff) of 0.68, which was not significantly different between soils indicating that the metabolic cost of glucose utilization was similar in CON and ORG soils. In spite of this, differential abundance analysis of 13C-labelled OTUs revealed that ORG soils had distinct active bacterial populations that were positively correlated with ηeff, ηsoil (glucose energy retained in soil) and primed soil organic matter (pSOM). In contrast, differentially abundant OTUs in the CON soils were negatively correlated with measures of thermodynamic efficiency but positively correlated with glucose-derived heat and CO2 production as well as NO3- and PO4- availability. ORG bacterial communities may co-metabolize other resources (N and P) from SOM to meet their metabolic requirements during glucose utilization, while the active bacteria in the CON soils could access these

LiDAR utility for natural resource managers

Science.gov (United States)

Andrew Thomas Hudak; Jeffrey Scott Evans; Alistair Mattthew Stuart. Smith

2009-01-01

Applications of LiDAR remote sensing are exploding, while moving from the research to the operational realm. Increasingly, natural resource managers are recognizing the tremendous utility of LiDAR-derived information to make improved decisions. This review provides a cross-section of studies, many recent, that demonstrate the relevance of LiDAR across a suite of...

A Utility-Based Downlink Radio Resource Allocation for Multiservice Cellular DS-CDMA Networks

Directory of Open Access Journals (Sweden)

Mahdi Shabany

2007-03-01

Full Text Available A novel framework is proposed to model downlink resource allocation problem in multiservice direct-sequence code division multiple-access (DS-CDMA cellular networks. This framework is based on a defined utility function, which leads to utilizing the network resources in a more efficient way. This utility function quantifies the degree of utilization of resources. As a matter of fact, using the defined utility function, users' channel fluctuations and their delay constraints along with the load conditions of all BSs are all taken into consideration. Unlike previous works, we solve the problem with the general objective of maximizing the total network utility instead of maximizing the achieved utility of each base station (BS. It is shown that this problem is equivalent to finding the optimum BS assignment throughout the network, which is mapped to a multidimensional multiple-choice knapsack problem (MMKP. Since MMKP is NP-hard, a polynomial-time suboptimal algorithm is then proposed to develop an efficient base-station assignment. Simulation results indicate a significant performance improvement in terms of achieved utility and packet drop ratio.

Society of Thoracic Surgeons Risk Score Predicts Hospital Charges and Resource Utilization After Aortic Valve Replacement

Science.gov (United States)

Arnaoutakis, George J.; George, Timothy J.; Alejo, Diane E.; Merlo, Christian A.; Baumgartner, William A.; Cameron, Duke E.; Shah, Ashish S.

2011-01-01

Context The impact of Society of Thoracic Surgeons (STS) predicted mortality risk score on resource utilization after aortic valve replacement (AVR) has not been previously studied. Objective We hypothesize that increasing STS risk scores in patients having AVR are associated with greater hospital charges. Design, Setting, and Patients Clinical and financial data for patients undergoing AVR at a tertiary care, university hospital over a ten-year period (1/2000–12/2009) were retrospectively reviewed. The current STS formula (v2.61) for in-hospital mortality was used for all patients. After stratification into risk quartiles (Q), index admission hospital charges were compared across risk strata with Rank-Sum tests. Linear regression and Spearman’s coefficient assessed correlation and goodness of fit. Multivariable analysis assessed relative contributions of individual variables on overall charges. Main Outcome Measures Inflation-adjusted index hospitalization total charges Results 553 patients had AVR during the study period. Average predicted mortality was 2.9% (±3.4) and actual mortality was 3.4% for AVR. Median charges were greater in the upper Q of AVR patients [Q1–3,$39,949 (IQR32,708–51,323) vs Q4,$62,301 (IQR45,952–97,103), p=<0.01]. On univariate linear regression, there was a positive correlation between STS risk score and log-transformed charges (coefficient: 0.06, 95%CI 0.05–0.07, p<0.01). Spearman’s correlation R-value was 0.51. This positive correlation persisted in risk-adjusted multivariable linear regression. Each 1% increase in STS risk score was associated with an added $3,000 in hospital charges. Conclusions This study showed increasing STS risk score predicts greater charges after AVR. As competing therapies such as percutaneous valve replacement emerge to treat high risk patients, these results serve as a benchmark to compare resource utilization. PMID:21497834

Awareness and utilization of open access resources in Asom Bur ...

African Journals Online (AJOL)

This study examined the extent of awareness and utilization of open access resources in University of Mkar library (Asom Bur Learning Resource Centre). One hundred (100) undergraduate students out of a total of about One thousand and fifty (1,050) were randomly selected. Descriptive survey design was employed and ...

Resource utilization during software development

Science.gov (United States)

Zelkowitz, Marvin V.

1988-01-01

This paper discusses resource utilization over the life cycle of software development and discusses the role that the current 'waterfall' model plays in the actual software life cycle. Software production in the NASA environment was analyzed to measure these differences. The data from 13 different projects were collected by the Software Engineering Laboratory at NASA Goddard Space Flight Center and analyzed for similarities and differences. The results indicate that the waterfall model is not very realistic in practice, and that as technology introduces further perturbations to this model with concepts like executable specifications, rapid prototyping, and wide-spectrum languages, we need to modify our model of this process.

Managing carbon regulatory risk in utility resource planning: Current practices in the Western United States

International Nuclear Information System (INIS)

Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

2008-01-01

Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. As such, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by 15 electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without federal climate regulation in the US, the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of US electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations

Space Resource Utilization: Technologies and Potential Synergism with Terrestrial Mining

Science.gov (United States)

Sanders, Gerald B.

2015-01-01

Space Resources and Their Uses: The idea of using resources in space to support human exploration and settlement or for economic development and profit beyond the surface of Earth has been proposed and discussed for decades. Work on developing a method to extract oxygen from lunar regolith started even before humans set foot on the Moon for the first time. The use of space resources, commonly referred to as In Situ Resource Utilization (ISRU), involves the processes and operations to harness and utilize resources in space (both natural and discarded) to create products for subsequent use. Potential space resources include water, solar wind implanted volatiles (hydrogen, helium, carbon, nitrogen, etc.), vast quantities of metals and minerals in extraterrestrial soils, atmospheric constituents, unlimited solar energy, regions of permanent light and darkness, the vacuum and zero-gravity of space itself, trash and waste from human crew activities, and discarded hardware that has completed its primary purpose. ISRU covers a wide variety of concepts, technical disciplines, technologies, and processes. When considering all aspects of ISRU, there are 5 main areas that are relevant to human space exploration and the commercialization of space: 1. Resource Characterization and Mapping, 2. In Situ Consumables Production, 3. Civil Engineering and Construction, 4. In Situ Energy Production and Storage, and 5. In Situ Manufacturing.

Quality of Life, Depression, and Healthcare Resource Utilization among Adults with Type 2 Diabetes Mellitus and Concomitant Hypertension and Obesity: A Prospective Survey

Directory of Open Access Journals (Sweden)

Andrew J. Green

2012-01-01

Full Text Available Background. This study compared quality of life, depression, and healthcare resource utilization among adults with type 2 diabetes mellitus (T2DM and comorbid hypertension (HTN and obesity with those of adults reporting T2DM alone. Methods. Respondents to the US SHIELD survey self-reported their height, weight, comorbid conditions, hospitalizations, and outpatient visits and completed the Short Form-12 (SF-12 and Patient Health Questionnaire (PHQ-9. Respondents reporting T2DM and HTN and obesity (body mass index, BMI, ≥30 kg/m2 were compared with a T2DM-alone group. Results. Respondents with T2DM, HTN, and obesity (n=1292 had significantly lower SF-12 Physical and Mental Component Summary scores (37.3 and 50.9, resp. than T2DM-alone respondents (n=349 (45.8 and 53.5, resp., P<0.0001. Mean PHQ-9 scores were significantly higher among T2DM respondents with comorbid HTN and obesity (5.0 versus 2.5, P<0.0001, indicating greater depression burden. Respondents with T2DM, HTN, and obesity had significantly more resource utilization with respect to physician visits and emergency room visits but not hospitalizations than respondents with T2DM alone (P=0.03. Conclusions. SHIELD respondents with comorbid conditions of T2DM, HTN, and obesity reported greater healthcare resource utilization, more depression symptoms, and lower quality of life than the T2DM-alone group.

Risk Decision Making Model for Reservoir Floodwater resources Utilization

Science.gov (United States)

Huang, X.

2017-12-01

Floodwater resources utilization(FRU) can alleviate the shortage of water resources, but there are risks. In order to safely and efficiently utilize the floodwater resources, it is necessary to study the risk of reservoir FRU. In this paper, the risk rate of exceeding the design flood water level and the risk rate of exceeding safety discharge are estimated. Based on the principle of the minimum risk and the maximum benefit of FRU, a multi-objective risk decision making model for FRU is constructed. Probability theory and mathematical statistics method is selected to calculate the risk rate; C-D production function method and emergy analysis method is selected to calculate the risk benefit; the risk loss is related to flood inundation area and unit area loss; the multi-objective decision making problem of the model is solved by the constraint method. Taking the Shilianghe reservoir in Jiangsu Province as an example, the optimal equilibrium solution of FRU of the Shilianghe reservoir is found by using the risk decision making model, and the validity and applicability of the model are verified.

Early severe morbidity and resource utilization in South African adults on antiretroviral therapy

Directory of Open Access Journals (Sweden)

Meintjes Graeme A

2009-12-01

Full Text Available Abstract Background High rates of mortality and morbidity have been described in sub-Saharan African patients within the first few months of starting highly active antiretroviral therapy (HAART. There is limited data on the causes of early morbidity on HAART and the associated resource utilization. Methods A cross-sectional study was conducted of medical admissions at a secondary-level hospital in Cape Town, South Africa. Patients on HAART were identified from a register and HIV-infected patients not on HAART were matched by gender, month of admission, and age group to correspond with the first admission of each case. Primary reasons for admission were determined by chart review. Direct health care costs were determined from the provider's perspective. Results There were 53 in the HAART group with 70 admissions and 53 in the no-HAART group with 60 admissions. The median duration of HAART was 1 month (interquartile range 1-3 months. Median baseline CD4 count in the HAART group was 57 × 106 cells/L (IQR 15-115. The primary reasons for admission in the HAART group were more likely to be due to adverse drug reactions and less likely to be due to AIDS events than the no-HAART group (34% versus 7%; p Conclusions Causes of early morbidity are different and more complex in HIV-infected patients on HAART. This results in greater resource utilization of diagnostic and therapeutic services.

Decision making for multiple utilization of water resources in New Zealand

Science.gov (United States)

Memon, Pyar Ali

1989-09-01

The Clutha is the largest river in New Zealand. The last two decades have witnessed major conflicts centered on the utilization of the water resources of the upper Clutha river. These conflicts have by no means been finally resolved. The focus of this article is on institutional arrangements for water resource management on the Clutha, with particular reference to the decision-making processes that have culminated in the building of the high dam. It critically evaluates recent experiences and comments on future prospects for resolving resource use conflicts rationally through planning for multiple utilization in a climate of market led policies of the present government. The study demonstrates the inevitable conflicts that can arise within a public bureaucracy that combines dual responsibilities for policy making and operational functions. Hitherto, central government has been able to manipulate the water resource allocation process to its advantage because of a lack of clear separation between its two roles as a policy maker and developer. The conflicts that have manifested themselves during the last two decades over the Clutha should be seen as part of a wider public debate during the last two decades concerning resource utilization in New Zealand. The Clutha controversy was preceded by comparable concerns over the rising of the level of Lake Manapouri during the 1960s and has been followed by the debate over the “think big” resource development projects during the 1980s. The election of the fourth Labour government in 1983 has heralded a political and economic policy shift in New Zealand towards minimizing the role of public intervention in resource allocation and major structural reforms in the relative roles of central and regional government in resource management. The significance of these changes pose important implications for the future management of the Clutha.

Iceland's Central Highlands: Nature conservation, ecotourism, and energy resource utilization

Science.gov (United States)

Bjorn Gunnarsson; Maria-Victoria Gunnarsson

2002-01-01

Iceland’s natural resources include an abundance of geothermal energy and hydropower, of which only 10 to 15 percent is currently being utilized. These are clean, renewable sources of energy. The cost to convert these resources to electricity is relatively low, making them attractive and highly marketable for industrial development, particularly for heavy industry....

Optimizing Resource Utilization in Grid Batch Systems

International Nuclear Information System (INIS)

Gellrich, Andreas

2012-01-01

On Grid sites, the requirements of the computing tasks (jobs) to computing, storage, and network resources differ widely. For instance Monte Carlo production jobs are almost purely CPU-bound, whereas physics analysis jobs demand high data rates. In order to optimize the utilization of the compute node resources, jobs must be distributed intelligently over the nodes. Although the job resource requirements cannot be deduced directly, jobs are mapped to POSIX UID/GID according to the VO, VOMS group and role information contained in the VOMS proxy. The UID/GID then allows to distinguish jobs, if users are using VOMS proxies as planned by the VO management, e.g. ‘role=production’ for Monte Carlo jobs. It is possible to setup and configure batch systems (queuing system and scheduler) at Grid sites based on these considerations although scaling limits were observed with the scheduler MAUI. In tests these limitations could be overcome with a home-made scheduler.

Municipal Solid Waste Resources

Energy Technology Data Exchange (ETDEWEB)

None

2016-06-01

Municipal solid waste (MSW) is a source of biomass material that can be utilized for bioenergy production with minimal additional inputs. MSW resources include mixed commercial and residential garbage such as yard trimmings, paper and paperboard, plastics, rubber, leather, textiles, and food wastes. Waste resources such as landfill gas, mill residues, and waste grease are already being utilized for cost-effective renewable energy generation. MSW for bioenergy also represents an opportunity to divert greater volumes of residential and commercial waste from landfills.

Reservoirs operation and water resources utilization coordination in Hongshuihe basin

Science.gov (United States)

Li, Chonghao; Chi, Kaige; Pang, Bo; Tang, Hongbin

2018-06-01

In the recent decade, the demand for water resources has been increasing with the economic development. The reservoirs of cascade hydropower stations in Hongshuihe basin, which are constructed with a main purpose of power generation, are facing more integrated water resources utilization problem. The conflict between power generation of cascade reservoirs and flood control, shipping, environmental protection and water supply has become increasingly prominent. This paper introduces the general situation and integrated water demand of cascade reservoirs in Hongshuihe basin, and it analyses the impact of various types of integrated water demand on power generation and supply. It establishes mathematic models, constrained by various types of integrated water demand, to guide the operation and water resources utilization management of cascade reservoirs in Hongshuihe basin. Integrated water coordination mechanism of Hongshuihe basin is also introduced. It provides a technical and management guide and demonstration for cascade reservoirs operation and integrated water management at home and abroad.

Availability and Utilization of Information Resources and Service by ...

African Journals Online (AJOL)

The paper recommends improvement in library budgetary allocation, more community sensitization on library services, urgent completion of the library complex at the main campus and commissioning of the e-library project. Key Words: Availability, utilization, information, resources, sources, academic, staff, university.

Temporal Changes in Prescription of Neuropharmacologic Drugs and Utilization of Resources Related to Neurologic Morbidity in Mechanically Ventilated Children With Bronchiolitis.

Science.gov (United States)

Shein, Steven L; Slain, Katherine; Wilson-Costello, Deanne; McKee, Bryan; Rotta, Alexandre T

2017-12-01

Critically ill children with bronchiolitis may require neuropharmacologic medications and support for neuro-functional sequelae, but current practices are not well described. We aimed to describe recent trends in neuropharmacology and utilization of neuro-rehabilitation resources in mechanically ventilated children with bronchiolitis. Analysis of the multicenter Pediatric Health Information System database. Forty-seven U.S. children's hospitals. PICU patients less than 2 years old with bronchiolitis undergoing mechanical ventilation between 2006 and 2015. None. Annual rates of utilization of neuropharmacologic medications (sedatives, analgesics, etc) and of neuro-rehabilitation services (physical therapy, neurologic consultation, etc) over the 10-year study period were compared. Neuropharmacologic medications prescribed on greater than or equal to 2 days were extracted. Utilization of MRI of the brain, neurologic consultation, swallow evaluation, occupational therapy, and physical therapy was also extracted. Among 12,508 subjects, the median age was 2.8 months, ~50% had comorbid conditions, and the median duration of mechanical ventilation was 7 days. The percentage of children prescribed greater than or equal to five drugs/drug classes increased over the study period from 36.5% to 55.8% (p use of greater than or equal to one service (36.3% in 2006 to 59.6% in 2015; p use of greater than or equal to two services (20.8% to 34.8%; p use of vasoactive medications and mortality did not. Prescription of neuropharmacologic agents increased over time using metrics of both overall drug burden and specific drug usage. Concurrently, the utilization of services that evaluate and/or treat neurologic morbidity was common and also increased over time.

Balancing Cost and Risk: The Treatment of Renewable Energy in Western Utility Resource Plans

Energy Technology Data Exchange (ETDEWEB)

Bolinger, Mark; Wiser, Ryan

2005-08-10

Markets for renewable energy have historically been motivated primarily by policy efforts, but a less widely recognized driver is poised to also play a major role in the coming years: utility integrated resource planning (IRP). Resource planning has re-emerged in recent years as an important tool for utilities and regulators, particularly in regions where retail competition has failed to take root. In the western United States, the most recent resource plans contemplate a significant amount of renewable energy additions. These planned additions--primarily coming from wind power--are motivated by the improved economics of wind power, a growing acceptance of wind by electric utilities, and an increasing recognition of the inherent risks (e.g., natural gas price risk, environmental compliance risk) in fossil-based generation portfolios. This report examines how twelve western utilities treat renewable energy in their recent resource plans. In aggregate, these utilities supply approximately half of all electricity demand in the western United States. Our purpose is twofold: (1) to highlight the growing importance of utility IRP as a current and future driver of renewable energy, and (2) to identify methodological/modeling issues, and suggest possible improvements to methods used to evaluate renewable energy as a resource option. Here we summarize the key findings of the report, beginning with a discussion of the planned renewable energy additions called for by the twelve utilities, an overview of how these plans incorporated renewables into candidate portfolios, and a review of the specific technology cost and performance assumptions they made, primarily for wind power. We then turn to the utilities' analysis of natural gas price and environmental compliance risks, and examine how the utilities traded off portfolio cost and risk in selecting a preferred portfolio.

Balancing Cost and Risk: The Treatment of Renewable Energy inWestern Utility Resource Plans

Energy Technology Data Exchange (ETDEWEB)

Wiser, Ryan; Bolinger, Mark

2005-09-01

Markets for renewable electricity have grown significantly in recent years, motivated in part by federal tax incentives and in part by state renewables portfolio standards and renewable energy funds. State renewables portfolio standards, for example, motivated approximately 45% of the 4,300 MW of wind power installed in the U.S. from 2001 through 2004, while renewable energy funds supported an additional 15% of these installations. Despite the importance of these state policies, a less widely recognized driver for renewable energy market growth is poised to also play an important role in the coming years: utility integrated resource planning (IRP). Formal resource planning processes have re-emerged in recent years as an important tool for utilities and regulators, particularly in regions where retail competition has failed to take root. In the western United States, recent resource plans contemplate a significant amount of renewable energy additions. These planned additions - primarily coming from wind power - are motivated by the improved economics of wind power, a growing acceptance of wind by electric utilities, and an increasing recognition of the inherent risks (e.g., natural gas price risk, environmental compliance risk) in fossil-based generation portfolios. The treatment of renewable energy in utility resource plans is not uniform, however. Assumptions about the direct and indirect costs of renewable resources, as well as resource availability, differ, as do approaches to incorporating such resources into the candidate portfolios that are analyzed in utility IRPs. The treatment of natural gas price risk, as well as the risk of future environmental regulations, also varies substantially. How utilities balance expected portfolio cost versus risk in selecting a preferred portfolio also differs. Each of these variables may have a substantial effect on the degree to which renewable energy contributes to the preferred portfolio of each utility IRP. This article

A study on the utilization of serial resources in selected tertiary ...

African Journals Online (AJOL)

A study on the utilization of serial resources in selected tertiary institutions in Ogun State. ... Lagos Journal of Library and Information Science ... Serial resources are publications either in printed form or electronic format issued in successive parts usually having numerical or chronological designations and intended to be ...

Global health resource utilization associated with pacemaker complications.

Science.gov (United States)

Waweru, Catherine; Steenrod, Anna; Wolff, Claudia; Eggington, Simon; Wright, David Jay; Wyrwich, Kathleen W

2017-07-01

To estimate health resource utilization (HRU) associated with the management of pacemaker complications in various healthcare systems. Electrophysiologists (EPs) from four geographical regions (Western Europe, Australia, Japan, and North America) were invited to participate. Survey questions focused on HRU in the management of three chronic pacemaker complications (i.e. pacemaker infections requiring extraction, lead fractures/insulation breaches requiring replacement, and upper extremity deep venous thrombosis [DVT]). Panelists completed a maximum of two web-based surveys (iterative rounds). Mean, median values, and interquartile ranges were calculated and used to establish consensus. Overall, 32 and 29 panelists participated in the first and second rounds of the Delphi panel, respectively. Consensus was reached on treatment and HRU associated with a typical pacemaker implantation and complications. HRU was similar across regions, except for Japan, where panelists reported the longest duration of hospital stay in all scenarios. Infections were the most resource-intensive complications and were characterized by intravenous antibiotics days of 9.6?13.5 days and 21.3?29.2 days for pocket and lead infections respectively; laboratory and diagnostic tests, and system extraction and replacement procedures. DVT, on the other hand, was the least resource intensive complication. The results of the panel represent the views of the respondents who participated and may not be generalizable outside of this panel. The surveys were limited in scope and, therefore, did not include questions on management of acute complications (e.g. hematoma, pneumothorax). The Delphi technique provided a reliable and efficient approach to estimating resource utilization associated with chronic pacemaker complications. Estimates from the Delphi panel can be used to generate costs of pacemaker complications in various regions.

Addressing professional resource challenges facing modern utilities with technological solutions

Energy Technology Data Exchange (ETDEWEB)

Goldie, T. [Hydro One Networks Inc., Toronto, ON (Canada); Hodder, S. [GE Digital Energy, Toronto, ON (Canada)

2008-07-01

The challenges facing electric utilities regarding a shortage of highly qualified labour to maintain, refurbish and expand electrical infrastructure can be attributed to a wave of retirements in skilled employees, a shortage of entry-level workers and a rapidly increasing workload caused by investment in electricity infrastructure. Two solutions were presented for finding and sustaining an adequate personnel base. The first involved developing local talent, both entry-level and mid-career staff to ensure that work continuity and workplace safety are maintained. The second involved the implementation of technological solutions to help optimize the use of existing and future labour resources. This paper presented the human resource programs developed by Hydro One, the largest electrical transmission and distribution utility in the province of Ontario. Their initiatives include raising the profile of the utility work environment through strategic partnerships with educational institutions and developing in house offerings to supplement existing academic programs. This paper also presented a technical solution to address the resources challenges specifically associated with power system protection and control. The solution targets professional and skilled trades involved in the design, installation and maintenance of automated substations and protection and control systems. It is based on the premise that resource optimization can be achieved by reducing inconsistent design and construction practices and replacing these designs with highly standardized materials with digital communications using IEC 61850. This new technology should attract young professionals to the power engineering field while still maintaining a high comfort level with the established professional workforce. 5 refs., 4 figs.

Resource utilization after introduction of a standardized clinical assessment and management plan.

Science.gov (United States)

Friedman, Kevin G; Rathod, Rahul H; Farias, Michael; Graham, Dionne; Powell, Andrew J; Fulton, David R; Newburger, Jane W; Colan, Steven D; Jenkins, Kathy J; Lock, James E

2010-01-01

A Standardized Clinical Assessment and Management Plan (SCAMP) is a novel quality improvement initiative that standardizes the assessment and management of all patients who carry a predefined diagnosis. Based on periodic review of systemically collected data the SCAMP is designed to be modified to improve its own algorithm. One of the objectives of a SCAMP is to identify and reduce resource utilization and patient care costs. We retrospectively reviewed resource utilization in the first 93 arterial switch operation (ASO) SCAMP patients and 186 age-matched control ASO patients. We compared diagnostic and laboratory testing obtained at the initial SCAMP clinic visit and control patient visits. To evaluate the effect of the SCAMP over time, the number of clinic visits per patient year and echocardiograms per patient year in historical control ASO patients were compared to the projected rates for ASO SCAMP participants. Cardiac magnetic resonance imaging (MRI), stress echocardiogram, and lipid profile utilization were higher in the initial SCAMP clinic visit group than in age-matched control patients. Total echocardiogram and lung scan usage were similar. Chest X-ray and exercise stress testing were obtained less in SCAMP patients. ASO SCAMP patients are projected to have 0.5 clinic visits and 0.5 echocardiograms per year. Historical control patients had more clinic visits (1.2 vs. 0.5 visits/patient year, P<.01) and a higher echocardiogram rate (0.92 vs. 0.5 echocardiograms/patient year, P<.01) Implementation of a SCAMP may initially lead to increased resource utilization, but over time resource utilization is projected to decrease.

Greater utilization of wood residue fuels through improved financial planning

International Nuclear Information System (INIS)

Billings, C.D.; Ziemke, M.C.; Stanford, R.

1991-01-01

Recent events have focused attention on the promotion of greater utilization of biomass fuel. Considerations include the need to reduce increases in global warming and also to improve ground level air quality by limiting the use of fossil fuels. However, despite all these important environmentally related considerations, economics remains the most important factor in the decision process used to determine the feasibility of using available renewable fuels instead of more convenient fossil fuels. In many areas of the Southeast, this decision process involves choosing between wood residue fuels such as bark, sawdust and shavings and presently plentiful natural gas. The primary candidate users of wood residue fuels are industries that use large amounts of heat and electric power and are located near centers of activity in the forest products industry such as sawmills, veneer mills and furniture factories. Given that such facilities both produce wood residues and need large amounts of heat and electricity, it is understandable that these firms are often major users of wood-fired furnaces and boilers. The authors have observed that poor or incomplete financial planning by the subject firms is a major barrier to economic utilization of inexpensive and widely available renewable fuels. In this paper, the authors suggest that wider usage of improved financial planning could double the present modest annual incidence of new commercial wood-fueled installation

Association of obesity with healthcare resource utilization and costs in a commercial population.

Science.gov (United States)

Kamble, Pravin S; Hayden, Jennifer; Collins, Jenna; Harvey, Raymond A; Suehs, Brandon; Renda, Andrew; Hammer, Mette; Huang, Joanna; Bouchard, Jonathan

2018-05-10

To examine the association of obesity with healthcare resource utilization (HRU) and costs among commercially insured individuals. This retrospective observational cohort study used administrative claims from 1 January 2007 to 1 December 2013. The ICD-9-CM status codes (V85 hierarchy) from 2008 to 2012 classified body mass index (BMI) into the World Health Organizations' BMI categories. The date of first observed BMI code was defined as the index date and continuous eligibility for one year pre- and post- index date was ensured. Post-index claims determined individuals' HRU and costs. Sampling weights developed using the entropy balance method and National Health and Nutrition Examination Survey data ensured representation of the US adult commercially insured population. Baseline characteristics were described across BMI classes and associations between BMI categories, and outcomes were examined using multivariable regression. The cohort included 9651 individuals with BMI V85 codes. After weighting, the BMI distribution was: normal (31.1%), overweight (33.4%), obese class I (22.0%), obese class II (8.1%) and obese class III (5.4%). Increasing BMI was associated with greater prevalence of cardiometabolic conditions, including hypertension, type 2 diabetes and metabolic syndrome. The use of antihypertensives, antihyperlipidemics, antidiabetics, analgesics and antidepressants rose with increasing BMI. Greater BMI level was associated with increased inpatient, emergency department and outpatient utilization, and higher total healthcare, medical and pharmacy costs. Increasing BMI was associated with higher prevalence of cardiometabolic conditions and higher HRU and costs. There is an urgent need to address the epidemic of obesity and its clinical and economic impacts.

Maize Genetic Resources Collections – Utilizing a Treasure Trove

Science.gov (United States)

The maize genetic resource collection managed by the USDA-ARS's National Plant Germplasm System is heavily utilized by researchers and educators. A collection of landraces, inbred lines from public and private sector sources, synthetics and key populations, it serves both as a living snapshot of th...

Multiple Intimate Partner Violence Experiences: Knowledge, Access, Utilization and Barriers to Utilization of Resources by Women of the African Diaspora.

Science.gov (United States)

Sabri, Bushra; Huerta, Julia; Alexander, Kamila A; St Vil, Noelle M; Campbell, Jacquelyn C; Callwood, Gloria B

2015-11-01

This study examined knowledge, access, utilization, and barriers to use of resources among Black women exposed to multiple types of intimate partner violence in Baltimore, Maryland and the U.S. Virgin Islands (USVI). We analyzed quantitative survey data collected by 163 women recruited from primary care, prenatal or family planning clinics in Baltimore and the USVI. In addition we analyzed qualitative data from in-depth interviews with 11 women. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using thematic analysis. A substantial proportion of Black women with multiple types of violence experiences lacked knowledge of, did not have access to, and did not use resources. Barriers to resource use were identified at the individual, relationship, and community levels. There is need for programs to develop awareness, promote access and utilization of resources, and eliminate barriers to resource use among abused Black women.

Wellhead to wire utilization of remote gas resources

International Nuclear Information System (INIS)

Harris, R.A.; Hines, T.L.

1998-01-01

Utilization of remote gas resources in developing countries continues to offer challenges and opportunities to producers and contractors. The Aguaytia Gas and Power Project is an example where perseverance and creativity resulted in successful utilization of natural gas resources in the Ucayali Region of Central Peru, a country which previously had no natural gas infrastructure. The resource for the project was first discovered by Mobil in 1961, and remained undeveloped for over thirty years due to lack of infrastructure and markets. Maple Gas won a competitively bid contract to develop the Aguaytia gas reserves in March of 1993. The challenges facing Maple Gas were to develop downstream markets for the gas, execute contracts with Perupetro S.A. and other Peruvian government entities, raise financing for the project, and solicit and execute engineering procurement and construction (EPC) contracts for the execution of the project. The key to development of the downstream markets was the decision to generate electric power and transmit the power over the Andes to the main electrical grid along the coast of Peru. Supplemental revenue could be generated by gas sales to a small regional power plant and extraction of LPG and natural gasoline for consumption in the Peruvian market. Three separate lump sum contracts were awarded to Asea Brown Boveri (ABB) companies for the gas project, power project and transmission project. Each project presented its unique challenges, but the commonalities were the accelerated schedule, high rainfall in a prolonged wet season and severe logistics due to lack of infrastructure in the remote region. This presentation focuses on how the gas plant contractor, ABB Randall, working in harmony with the developer, Maple Gas, tackled the challenges to monetize a remote gas resource

NEO Targets for Biological In Situ Resource Utilization

Science.gov (United States)

Grace, J. M.; Ernst, S. M.; Navarrete, J. U.; Gentry, D.

2014-12-01

We are investigating a mission architecture concept for low-cost pre-processing of materials on long synodic period asteroids using bioengineered microbes delivered by small spacecraft. Space exploration opportunities, particularly those requiring a human presence, are sharply constrained by the high cost of launching resources such as fuel, construction materials, oxygen, water, and foodstuffs. Near-Earth asteroids (NEAs) have been proposed for supporting a human space presence. However, the combination of high initial investment requirements, delayed potential return, and uncertainty in resource payoff currently prevents their effective utilization.Biomining is the process in which microorganisms perform useful material reduction, sequestration or separation. It is commonly used in terrestrial copper extraction. Compared to physical and chemical methods of extraction it is slow, but very low cost, thus rendering economical even very poor ores. These advantages are potentially extensible to asteroid in situ resource utilization (ISRU).One of the first limiting factors for the use of biology in these environments is temperature. A survey of NEA data was conducted to identify those NEAs whose projected interior temperatures remained within both potential (-5 - 100 ºC) and preferred (15 - 45 ºC) ranges for the minimum projected time per synodic period without exceeding 100 ºC at any point. Approximately 2800 of the 11000 NEAs (25%) are predicted to remain within the potential range for at least 90 days, and 120 (1%) in the preferred range.A second major factor is water availability and stability. We have evaluated a design for a small-spacecraft-based injector which forces low-temperature fluid into the NEA interior, creating potentially habitable microniches. The fluid contains microbes genetically engineered to accelerate the degradation rates of a desired fraction of the native resources, allowing for more efficient material extraction upon a subsequent

Utilization of digitized information resources by academic staff of ...

African Journals Online (AJOL)

This paper reported on the utilization of the digitized information resources amongst the academic staff of Waziri Umaru federal polytechnic Birnin Kebbi and Federal College of Education Technical Gusau. The paper gave an overview of digitization and its initiatives in academic libraries in Nigeria. The paper tried to ...

In-Situ Resource Utilization for Space Exploration: Resource Processing, Mission-Enabling Technologies, and Lessons for Sustainability on Earth and Beyond

Science.gov (United States)

Hepp, A. F.; Palaszewski, B. A.; Landis, G. A.; Jaworske, D. A.; Colozza, A. J.; Kulis, M. J.; Heller, R. S.

2015-01-01

As humanity begins to reach out into the solar system, it has become apparent that supporting a human or robotic presence in transit andor on station requires significant expendable resources including consumables (to support people), fuel, and convenient reliable power. Transporting all necessary expendables is inefficient, inconvenient, costly, and, in the final analysis, a complicating factor for mission planners and a significant source of potential failure modes. Over the past twenty-five years, beginning with the Space Exploration Initiative, researchers at the NASA Glenn Research Center (GRC), academic collaborators, and industrial partners have analyzed, researched, and developed successful solutions for the challenges posed by surviving and even thriving in the resource limited environment(s) presented by near-Earth space and non-terrestrial surface operations. In this retrospective paper, we highlight the efforts of the co-authors in resource simulation and utilization, materials processing and consumable(s) production, power systems and analysis, fuel storage and handling, propulsion systems, and mission operations. As we move forward in our quest to explore space using a resource-optimized approach, it is worthwhile to consider lessons learned relative to efficient utilization of the (comparatively) abundant natural resources and improving the sustainability (and environment) for life on Earth. We reconsider Lunar (and briefly Martian) resource utilization for potential colonization, and discuss next steps moving away from Earth.

Electric utility resource expansion planning using environmental externalities

International Nuclear Information System (INIS)

Mitchell, D.

1992-01-01

This paper describes the recent experience of San Diego Gas ampersand Electric Company using environmental externalities in the expansion planning of its electrical system. This is the first time that this method of planning has been used in the electric utility industry in California. The paper reviews the conceptual development of the monetary values for environmental externalities and shows how the application of these values modifies the resource selection process. This paper should be of interest to professionals involved in policy issues relating to the use of environmental externalities as a means to improve the environment. The experience gained through this analyses should also benefit electric utility personnel involved in planning, and regulators interested in planning

Ethnic Resources Utilization of Korean Immigrant Entrepreneurs in the Chicago Minority Area.

Science.gov (United States)

Kim, Kwang Chung; Hurh, Won Moo

1985-01-01

Korean entrepreneurs rely heavily on their ethnic resources for both business formation and operation. While such resource utilization facilitates immigrants' business entry and gives them competitive advantage in the general marketplace, the same mechanism poses the problems of entra-ethnic business competition and precarious position as a…

Resource allocation on computational grids using a utility model and the knapsack problem

CERN Document Server

Van der ster, Daniel C; Parra-Hernandez, Rafael; Sobie, Randall J

2009-01-01

This work introduces a utility model (UM) for resource allocation on computational grids and formulates the allocation problem as a variant of the 0–1 multichoice multidimensional knapsack problem. The notion of task-option utility is introduced, and it is used to effect allocation policies. We present a variety of allocation policies, which are expressed as functions of metrics that are both intrinsic and external to the task and resources. An external user-defined credit-value metric is shown to allow users to intervene in the allocation of urgent or low priority tasks. The strategies are evaluated in simulation against random workloads as well as those drawn from real systems. We measure the sensitivity of the UM-derived schedules to variations in the allocation policies and their corresponding utility functions. The UM allocation strategy is shown to optimally allocate resources congruent with the chosen policies.

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

Advanced Water Purification System for In Situ Resource Utilization

Science.gov (United States)

Anthony, Stephen M.; Jolley, Scott T.; Captain, James G.

2013-01-01

One of NASA's goals is to enable longterm human presence in space, without the need for continuous replenishment of consumables from Earth. In situ resource utilization (ISRU) is the use of extraterrestrial resources to support activities such as human life-support, material fabrication and repair, and radiation shielding. Potential sources of ISRU resources include lunar and Martian regolith, and Martian atmosphere. Water and byproducts (including hydrochloric and hydrofluoric acids) can be produced from lunar regolith via a high-temperature hydrogen reduction reaction and passing the produced gas through a condenser. center dot Due to the high solubility of HCI and HF in water, these byproducts are expected to be present in the product stream (up to 20,000 ppm) and must be removed (less than 10 ppm) prior to water consumption or electrolysis.

An Efficient Heat Exchanger for In Situ Resource Utilization, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — In situ resource utilization (ISRU) is essential for several of NASA's future flagship missions. Currently envisioned ISRU plants include production of oxygen from...

Plant genotypic diversity reduces the rate of consumer resource utilization.

Science.gov (United States)

McArt, Scott H; Thaler, Jennifer S

2013-07-07

While plant species diversity can reduce herbivore densities and herbivory, little is known regarding how plant genotypic diversity alters resource utilization by herbivores. Here, we show that an invasive folivore--the Japanese beetle (Popillia japonica)--increases 28 per cent in abundance, but consumes 24 per cent less foliage in genotypic polycultures compared with monocultures of the common evening primrose (Oenothera biennis). We found strong complementarity for reduced herbivore damage among plant genotypes growing in polycultures and a weak dominance effect of particularly resistant genotypes. Sequential feeding by P. japonica on different genotypes from polycultures resulted in reduced consumption compared with feeding on different plants of the same genotype from monocultures. Thus, diet mixing among plant genotypes reduced herbivore consumption efficiency. Despite positive complementarity driving an increase in fruit production in polycultures, we observed a trade-off between complementarity for increased plant productivity and resistance to herbivory, suggesting costs in the complementary use of resources by plant genotypes may manifest across trophic levels. These results elucidate mechanisms for how plant genotypic diversity simultaneously alters resource utilization by both producers and consumers, and show that population genotypic diversity can increase the resistance of a native plant to an invasive herbivore.

Youth Physical Activity Resources Use and Activity Measured by Accelerometry

Science.gov (United States)

Maslow, Andréa L.; Colabianchi, Natalie

2014-01-01

Objectives To examine whether utilization of physical activity resources (eg, parks) was associated with daily physical activity measured by accelerometry. Methods 111 adolescents completed a travel diary with concurrent accelerometry. The main exposure was self-reported utilization of a physical activity resource (none/1+ resources). The main outcomes were total minutes spent in daily 1) moderate-vigorous physical activity and 2) vigorous physical activity. Results Utilizing a physical activity resource was significantly associated with total minutes in moderate-vigorous physical activity. African-Americans and males had significantly greater moderate-vigorous physical activity. Conclusions Results from this study support the development and use of physical activity resources. PMID:21204684

Treatment patterns, health state, and health care resource utilization of patients with radioactive iodine refractory differentiated thyroid cancer

International Nuclear Information System (INIS)

Gianoukakis, Andrew G; Flores, Natalia M; Pelletier, Corey L; Forsythe, Anna; Wolfe, Gregory R; Taylor, Matthew H

2016-01-01

Patients with differentiated thyroid cancer (DTC) often respond well to treatment but some become refractory to radioactive iodine (RAI) treatment, and treatment options are limited. Despite the humanistic and economic burden RAI refractory disease imposes on patients, published research concerning treatment patterns and health care resource utilization is sparse. Data were collected from an online retrospective chart review study in the US and five European Union (EU) countries (France, Germany, Italy, Spain, and UK) with physicians recruited from an online panel. Physicians (N=211) provided demographics, disease history, treatment information, and health care resource utilization for one to four of their patients with radioactive iodine refractory differentiated thyroid cancer (RR-DTC). The majority of the patients with RR-DTC (N=623) were female (56%), and their mean age was 58.2 years. In this sample, 63.2% had papillary thyroid cancer and 57.0% were in Stage IV when deemed RAI refractory. Patients with RR-DTC experienced regional recurrence in the thyroid bed/central neck area (25.3%) and had distant metastatic disease (53.6%). At the time data were collected, 50.7% were receiving systemic treatment. Of those, 78.5% were on first-line treatment and 62.7% were receiving multikinase inhibitors. Regional differences for prescribed treatments were observed; the US was more likely to have patients receiving multikinase inhibitors (79.2%) compared with UK (41.2%) and Italy (17.1%). Additional details regarding treatment patterns and resource utilization are discussed. The current study aimed to obtain a greater understanding of RR-DTC treatment globally. These results can assist in the development and implementation of treatment guidelines and ultimately enhance the care of patients with RR-DTC

Implementation of the program for conservation and sustainable utilization of forest genetic resources in Republic of Serbia

Directory of Open Access Journals (Sweden)

Šijačić-Nikolić Mirjana

2017-01-01

Full Text Available Program for conservation and sustainable utilization of forest genetic resources has been defined for 2016-2025 period and it is a base for concrete activities in this field. This Program could be divided into several parts that deal with: the legal framework for the conservation and sustainable utilization of forest genetic resources; status of forest genetic resources in Serbia; previous activities on the conservation of forest genetic resources; and objectives, priorities and measures of conservation. The Program should have an impact on the development of the forestry sector through the following activities: conservation and sustainable utilization of the available gene pool; improving forest management in accordance with conservation principles; improving the production of reproductive material of forest trees; make the public awareness of the need for conservation and sustainable utilization of forest genetic resources; fulfillment of international obligations related to this field and the possibility of joining FAO activities related to forest genetic resources - development of the national report as a part of the publication The State of the World's Forest Genetic Resources. Implementation of the Program will depend upon raising the awareness on the importance, conservation and sustainable utilization of forest genetic resources, as a precondition for the forests survival; it will depend of funds that will be allocated for this purpose and enthusiasm of people who deal with these issues.

Predictors of resource utilization in transsphenoidal surgery for Cushing disease.

Science.gov (United States)

Little, Andrew S; Chapple, Kristina

2013-08-01

The short-term cost associated with subspecialized surgical care is an increasingly important metric and economic concern. This study sought to determine factors associated with hospital charges in patients undergoing transsphenoidal surgery for Cushing disease in an effort to identify the drivers of resource utilization. The authors analyzed the Nationwide Inpatient Sample (NIS) hospital discharge database from 2007 to 2009 to determine factors that influenced hospital charges in patients who had undergone transsphenoidal surgery for Cushing disease. The NIS discharge database approximates a 20% sample of all inpatient admissions to nonfederal US hospitals. A multistep regression model was developed that adjusted for patient demographics, acuity measures, comorbidities, hospital characteristics, and complications. In 116 hospitals, 454 transsphenoidal operations were performed. The mean hospital charge was $48,272 ± $32,060. A multivariate regression model suggested that the primary driver of resource utilization was length of stay (LOS), followed by surgeon volume, hospital characteristics, and postoperative complications. A 1% increase in LOS increased hospital charges by 0.60%. Patient charges were 13% lower when performed by high-volume surgeons compared with low-volume surgeons and 22% lower in large hospitals compared with small hospitals. Hospital charges were 12% lower in cases with no postoperative neurological complications. The proposed model accounted for 46% of hospital charge variance. This analysis of hospital charges in transsphenoidal surgery for Cushing disease suggested that LOS, hospital characteristics, surgeon volume, and postoperative complications are important predictors of resource utilization. These findings may suggest opportunities for improvement.

Networking Micro-Processors for Effective Computer Utilization in Nursing

OpenAIRE

Mangaroo, Jewellean; Smith, Bob; Glasser, Jay; Littell, Arthur; Saba, Virginia

1982-01-01

Networking as a social entity has important implications for maximizing computer resources for improved utilization in nursing. This paper describes the one process of networking of complementary resources at three institutions. Prairie View A&M University, Texas A&M University and the University of Texas School of Public Health, which has effected greater utilization of computers at the college. The results achieved in this project should have implications for nurses, users, and consumers in...

The utilization of natural resources under the conditions of intersectoral intergration

OpenAIRE

Dankevych, Ye.; Данкевич, Є. М.

2013-01-01

The paper studies and analyses the present-day state of the utilization of natural resources by agricultural commodity producers. Some changes of the natural components under the conditions of the increased anthropological load on landscape have been revealed. The author investigates the basic production factors which essentially influence the agrolandscape. It has been established that the increase in the technical level stipulates the human interference with natural complexes, land resource...

Why environmental and resource economists should care about non-expected utility models

Energy Technology Data Exchange (ETDEWEB)

Shaw, W. Douglass; Woodward, Richard T. [Department of Agricultural Economics, Texas A and M University (United States)

2008-01-15

Experimental and theoretical analysis has shown that the conventional expected utility (EU) and subjective expected utility (SEU) models, which are linear in probabilities, have serious limitations in certain situations. We argue here that these limitations are often highly relevant to the work that environmental and natural resource economists do. We discuss some of the experimental evidence and alternatives to the SEU. We consider the theory used, the problems studied, and the methods employed by resource economists. Finally, we highlight some recent work that has begun to use some of the alternatives to the EU and SEU frameworks and discuss areas where much future work is needed. (author)

Human resources management in the water utilities of Hermosillo and Mexicali

OpenAIRE

Edmundo Loera Burnes; Alejandro Salazar Adams

2017-01-01

This paper studies how the Human Resources Management Systems (HRMS) influence the performance of water utilities in Mexico. The differentiated performance of the water utilities of the cities of Hermosillo and Mexicali were compared to their HRMS characteristics through the analysis of four categories: 1) Hiring policies, 2) Development and training, 3) Salaries, benefits and incentives, and 4) Sanct...

Utilization characteristics and importance of woody biomass resources on the rural-urban fringe in botswana.

Science.gov (United States)

Nkambwe, Musisi; Sekhwela, Mogodisheng B M

2006-02-01

This article examines the utilization characteristics and importance of woody biomass resources in the rural-urban fringe zones of Botswana. In the literature for Africa, attention has been given to the availability and utilization of biomass in either urban or rural environments, but the rural-urban fringe has been neglected. Within southern Africa, this neglect is not justified; the rural-urban fringe, not getting the full benefits available in urban environments in Botswana, has developed problems in woody biomass availability and utilization that require close attention. In this article, socioeconomic data on the importance of woody biomass in the Batlokwa Tribal Territory, on the rural-urban fringe of Gaborone, Botswana, were collected together with ecologic data that reveal the utilization characteristics and potential for regrowth of woody biomass. The analysis of these results show that local woody biomass is very important in the daily lives of communities in the rural-urban fringe zones and that there is a high level of harvesting. However, there is no effort in planning land use in the tribal territory to either conserve this resource or provide alternatives to its utilization. The future of woody biomass resources in Botswana's rural-urban fringe is uncertain. The investigators recommend that a comprehensive policy for the development of the rural-urban fringe consider the importance of this resource. The neglect of this resource will have far-reaching implications on the livelihoods of residents as well as the environment in this zone.

Expanding Geothermal Resource Utilization through Directed Research, Education, and Public Outreach

Energy Technology Data Exchange (ETDEWEB)

Calvin, Wendy [Univ. of Nevada, Reno, NV (United States)

2015-06-29

The Great Basin Center for Geothermal Energy (GBCGE or the Center) was established at the University of Nevada, Reno (UNR) in May 2000 to promote research and utilization of geothermal resources. The Center received funding through this grant to promote increased geothermal development in the Great Basin, with most of the funding used for peerreviewed research. Funding to the Center and work under the contract were initiated in March 2002, with supplemental funding in subsequent years. The Center monitored the research projects that were competitively awarded in a series of proposal calls between 2002 and 2007. Peer-reviewed research promoted identification and utilization of geothermal resources in Nevada. Projects used geology, geochemistry, geophysics, remote sensing, and the synthesis of multi-disciplinary information to produce new models of geothermal systems in the Western U.S. and worldwide. Funds were also used to support graduate student research and training. Part of the grant was used to support public outreach activities, including webpages, online maps and data resources, and informational workshops for stakeholders.

Music Genre as a Predictor of Resource Utilization at Outdoor Music Concerts.

Science.gov (United States)

Westrol, Michael S; Koneru, Susmith; McIntyre, Norah; Caruso, Andrew T; Arshad, Faizan H; Merlin, Mark A

2017-06-01

The aim of this study was to examine the various modern music genres and their effect on the utilization of medical resources with analysis and adjustment for potential confounders. A retrospective review of patient logs from an open-air, contemporary amphitheater over a period of 10 years was performed. Variables recorded by the medical personnel for each concert included the attendance, description of the weather, and a patient log in which nature and outcome were recorded. The primary outcomes were associations of genres with the medical usage rate (MUR). Secondary outcomes investigated were the association of confounders and the influences on the level of care provided, the transport rate, and the nature of medical complaint. A total of 2,399,864 concert attendees, of which 4,546 patients presented to venue Emergency Medical Services (EMS) during 403 concerts with an average of 11.4 patients (annual range 7.1-17.4) each concert. Of potential confounders, only the heat index ≥90°F (32.2°C) and whether the event was a festival were significant (P=.027 and .001, respectively). After adjustment, the genres with significantly increased MUR in decreasing order were: alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music (Pmusic (P=.033). Alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music concerts had higher levels of medical resource utilization. High heat indices and music festivals also increase the MUR. This information can assist event planners with preparation and resource utilization. Future research should focus on prospective validation of the regression equation. Westrol MS , Koneru S , McIntyre N , Caruso AT , Arshad FH , Merlin MA . Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289-296.

Analysis of Utilization of Fecal Resources in Large-scale Livestock and Poultry Breeding in China

Directory of Open Access Journals (Sweden)

XUAN Meng

2018-02-01

Full Text Available The purpose of this paper is to develop a systematic investigation for the serious problems of livestock and poultry breeding in China and the technical demand of promoting the utilization of manure. Based on the status quo of large-scale livestock and poultry farming in typical areas in China, the work had been done beared on statistics and analysis of the modes and proportions of utilization of manure resources. Such a statistical method had been applied to the country -identified large -scale farm, which the total amount of pollutants reduction was in accordance with the "12th Five-Year Plan" standards. The results showed that there were some differences in the modes of resource utilization due to livestock and poultry manure at different scales and types:(1 Hogs, dairy cattle and beef cattle in total accounted for more than 75% of the agricultural manure storage;(2 Laying hens and broiler chickens accounted for about 65% of the total production of the organic manure produced by fecal production. It is demonstrated that the major modes of resource utilization of dung and urine were related to the natural characteristics, agricultural production methods, farming scale and economic development level in the area. It was concluded that the unreasonable planning, lacking of cleansing during breeding, false selection of manure utilizing modes were the major problems in China忆s large-scale livestock and poultry fecal resources utilization.

Water Electrolysis for In-Situ Resource Utilization (ISRU)

Science.gov (United States)

Lee, Kristopher A.

2016-01-01

Sending humans to Mars for any significant amount of time will require capabilities and technologies that enable Earth independence. To move towards this independence, the resources found on Mars must be utilized to produce the items needed to sustain humans away from Earth. To accomplish this task, NASA is studying In Situ Resource Utilization (ISRU) systems and techniques to make use of the atmospheric carbon dioxide and the water found on Mars. Among other things, these substances can be harvested and processed to make oxygen and methane. Oxygen is essential, not only for sustaining the lives of the crew on Mars, but also as the oxidizer for an oxygen-methane propulsion system that could be utilized on a Mars ascent vehicle. Given the presence of water on Mars, the electrolysis of water is a common technique to produce the desired oxygen. Towards this goal, NASA designed and developed a Proton Exchange Membrane (PEM) water electrolysis system, which was originally slated to produce oxygen for propulsion and fuel cell use in the Mars Atmosphere and Regolith COllector/PrOcessor for Lander Operations (MARCO POLO) project. As part of the Human Exploration Spacecraft Testbed for Integration and Advancement (HESTIA) project, this same electrolysis system, originally targeted at enabling in situ propulsion and power, operated in a life-support scenario. During HESTIA testing at Johnson Space Center, the electrolysis system supplied oxygen to a chamber simulating a habitat housing four crewmembers. Inside the chamber, oxygen was removed from the atmosphere to simulate consumption by the crew, and the electrolysis system's oxygen was added to replenish it. The electrolysis system operated nominally throughout the duration of the HESTIA test campaign, and the oxygen levels in the life support chamber were maintained at the desired levels.

West Texas geothermal resource assessment. Part II. Preliminary utilization assessment of the Trans-Pecos geothermal resource. Final report

Energy Technology Data Exchange (ETDEWEB)

Gilliland, M.W.; Fenner, L.B.

1980-01-01

The utilization potential of geothermal resources in Trans-Pecos, Texas was assessed. The potential for both direct use and electric power generation were examined. As with the resource assessment work, the focus was on the Hueco Tanks area in northeastern El Paso County and the Presidio Bolson area in Presidio County. Suitable users of the Hueco Tanks and Presidio Bolson resource areas were identified by matching postulated temperature characteristics of the geothermal resource to the need characteristics of existing users in each resource area. The amount of geothermal energy required and the amount of fossil fuel that geothermal energy would replace were calculated for each of the users identified as suitable. Current data indicate that temperatures in the Hueco Tanks resource area are not high enough for electric power generation, but in at least part of the Presidio Bolson resource area, they may be high enough for electric power generation.

Forest resources and utilization in Canada to the year 2000

Energy Technology Data Exchange (ETDEWEB)

Manning, G H; Grinnell, H R

1971-01-01

This report presents estimates of the relation between the demand for Canada's forest products and the supply of timber available to meet this demand. The future of the Canadian forest products economy is forecast at 5-year intervals from 1975 to 2000, and the demand for individual products and product groups, both domestic and export, is shown. These estimates are then used to derive estimates of roundwood demand for the projection periods. The report then describes the timber resource of Canada, quantitatively and qualitatively, and discusses the factors that influence the growth and mortality of this resource. Factors which might change, and therefore affect the utilization of this forest resource, are also discussed. It is concluded that at the national level of data aggregation, no physical shortage of wood fiber is indicated, although on the bases of region, species, and timber quality, imbalances can exist. One important limiting factor to the supply situation is the inaccessibility of much of Canada's timber. Accessibility is increasing, and utilization is improving through harvesting technology, but the major opportunity for improvement seems to lie in the area of manufacturing technology. If the large hardwood surplus already within allocated forest areas were used in manufacturing, a considerable part of the projected demand could be met without opening up new forest areas. With respect to forest development, serious problems have been observed stemming from inadequate resource data and planning. These problems will have to be remedied if economic supplies are to be available in the future. 37 refs., 16 figs., 54 tabs.

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...

Greater healthcare utilization and costs among Black persons compared to White persons with aphasia in the North Carolina stroke belt.

Science.gov (United States)

Ellis, Charles; Hardy, Rose Y; Lindrooth, Richard C

2017-05-15

To examine racial differences in healthcare utilization and costs for persons with aphasia (PWA) being treated in acute care hospitals in North Carolina (NC). NC Healthcare Cost and Utilization Project State Inpatient Database (HCUP-SID) data from 2011-2012 were analyzed to examine healthcare utilization and costs of care for stroke patients with aphasia. Analyses emphasized length of stay, charges and cost of general hospital services. Generalized linear models (GLM) were constructed to determine the impact of demographic characteristics, stroke/illness severity, and observed hospital characteristics on utilization and costs. Hospital fixed effects were included to yield within-hospital estimates of disparities. GLM models demonstrated that Blacks with aphasia experienced 1.9days longer lengths of stay compared to Whites with aphasia after controlling for demographic characteristics, 1.4days controlling for stroke/illness severity, 1.2days controlling for observed hospital characteristics, and ~1 extra day controlling for unobserved hospital characteristics. Similarly, Blacks accrued ~$2047 greater total costs compared to Whites after controlling for demographic characteristics, $1659 controlling for stroke/illness severity, $1338 controlling for observed hospital characteristics, and ~$1311 greater total costs after controlling for unobserved hospital characteristics. In the acute hospital setting, Blacks with aphasia utilize greater hospital services during longer hospitalizations and at substantially higher costs in the state of NC. A substantial portion of the adjusted difference was related to the hospital treating the patient. However, even after controlling for the hospital, the differences remained clinically and statistically significant. Copyright © 2017 Elsevier B.V. All rights reserved.

The development and utilization of biomass energy resources in China

International Nuclear Information System (INIS)

Lin Dai

1995-01-01

Biomass energy resources are abundant in China and have reached 730 million tonnes of coal equivalent, representing about 70% of the energy consumed by households. China has attached great importance to the development and utilization of its biomass energy resources and has implemented programmes for biogas unit manufacture, more efficient stoves, fuelwood development and thermal gasification to meet new demands for energy as the economy grows. The conclusion is that the increased use of low-carbon and non-carbon energy sources instead of fossil fuels is an important option for energy and environment strategy and has bright prospects in China. (author)

Miniature Gas Chromatograph Mass Spectrometer for In-Situ Resource Utilization, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — In situ resource utilization (ISRU) is essential for several of NASA's future flagship missions. Currently envisioned ISRU plants include production of oxygen from...

Dynamic Evaluation of Water Quality Improvement Based on Effective Utilization of Stockbreeding Biomass Resource

Directory of Open Access Journals (Sweden)

Jingjing Yan

2014-11-01

Full Text Available The stockbreeding industry is growing rapidly in rural regions of China, carrying a high risk to the water environment due to the emission of huge amounts of pollutants in terms of COD, T-N and T-P to rivers. On the other hand, as a typical biomass resource, stockbreeding waste can be used as a clean energy source by biomass utilization technologies. In this paper, we constructed a dynamic linear optimization model to simulate the synthetic water environment management policies which includes both the water environment system and social-economic situational changes over 10 years. Based on the simulation, the model can precisely estimate trends of water quality, production of stockbreeding biomass energy and economic development under certain restrictions of the water environment. We examined seven towns of Shunyi district of Beijing as the target area to analyse synthetic water environment management policies by computer simulation based on the effective utilization of stockbreeding biomass resources to improve water quality and realize sustainable development. The purpose of our research is to establish an effective utilization method of biomass resources incorporating water environment preservation, resource reutilization and economic development, and finally realize the sustainable development of the society.

Safety and resource utilization of anterior cervical discectomy and fusion.

Science.gov (United States)

Feng, Yu-Tung; Hwang, Shiuh-Lin; Lin, Chih-Lung; Lee, I-Chen; Lee, King-Teh

2012-09-01

Degenerative cervical spondylosis (DCS) is part of the aging process and is the most common reason for degenerative changes with the spinal column. Anterior cervical discectomy and fusion (ACDF) is a major option for operative management of DCS in our institution. This retrospective study investigated the frequency of postoperative complications and resource utilization in 145 patients who underwent ACDF procedures from January 2009 to December 2011. Patients with degenerative changes that involved cervical intervertebral levels C1-C2, spinal injury of traumatic origin, spinal tumors, or previous cervical fusion were excluded. Patients were then further classified into two groups: (1) level 1 or 2 disease (Group M) and (2) level 3 or 4 disease (Group S). Measures of mortality, complications after surgery as well as immediate reoperation for any reason were evaluated. Operation time, length of hospital stay, and hospitalization cost were defined as resource utilization. Ninety seven patients met the inclusion criteria and were further reviewed to characterize the sample better. There were no hematomas, airway complications or deaths, except in one patient who developed postoperative hemorrhage that required immediate surgical intervention, and resolved without any neurological deficit or casualty. Resource utilization indicated that the average operation time for Group S was significantly higher than for Group M (4.31±1.25 vs. 2.88±0.90 hours, p<0.0001). There were no significant differences in length of hospital stay and hospitalization cost between the two groups (p=0.265 and p=0.649). Our results indicate that neurosurgical intervention is safe for patients with DSC. Postoperative complication rates associated with these procedures are low. When surgery is considered appropriate for patients with multilevel diseases, these data suggest that ACDF is a safe surgical option. Copyright © 2012. Published by Elsevier B.V.

Safety and resource utilization of anterior cervical discectomy and fusion

Directory of Open Access Journals (Sweden)

Yu-Tung Feng

2012-09-01

Full Text Available Degenerative cervical spondylosis (DCS is part of the aging process and is the most common reason for degenerative changes with the spinal column. Anterior cervical discectomy and fusion (ACDF is a major option for operative management of DCS in our institution. This retrospective study investigated the frequency of postoperative complications and resource utilization in 145 patients who underwent ACDF procedures from January 2009 to December 2011. Patients with degenerative changes that involved cervical intervertebral levels C1–C2, spinal injury of traumatic origin, spinal tumors, or previous cervical fusion were excluded. Patients were then further classified into two groups: (1 level 1 or 2 disease (Group M and (2 level 3 or 4 disease (Group S. Measures of mortality, complications after surgery as well as immediate reoperation for any reason were evaluated. Operation time, length of hospital stay, and hospitalization cost were defined as resource utilization. Ninety seven patients met the inclusion criteria and were further reviewed to characterize the sample better. There were no hematomas, airway complications or deaths, except in one patient who developed postoperative hemorrhage that required immediate surgical intervention, and resolved without any neurological deficit or casualty. Resource utilization indicated that the average operation time for Group S was significantly higher than for Group M (4.31±1.25 vs. 2.88±0.90 hours, p<0.0001. There were no significant differences in length of hospital stay and hospitalization cost between the two groups (p=0.265 and p=0.649. Our results indicate that neurosurgical intervention is safe for patients with DSC. Postoperative complication rates associated with these procedures are low. When surgery is considered appropriate for patients with multilevel diseases, these data suggest that ACDF is a safe surgical option.

Human resource development for nuclear generation - from the perspective of a utility company

Science.gov (United States)

Kahar, Wan Shakirah Wan Abdul; Mostafa, Nor Azlan; Salim, Mohd Faiz

2017-01-01

Malaysia is currently in the planning phase of its nuclear power program, with the first unit targeted to be operational in 2030. Training of nuclear power plant (NPP) staffs are usually long and rigorous due to the complexity and safety aspects of nuclear power. As the sole electricity utility in the country, it is therefore essential that Tenaga Nasional Berhad (TNB) prepares early in developing its human resource and nuclear expertise as a potential NPP owner-operator. A utility also has to be prudent in managing its work force efficiently and effectively, while ensuring that adequate preparations are being made to acquire the necessary nuclear knowledge with sufficient training lead time. There are several approaches to training that can be taken by a utility company with no experience in nuclear power. These include conducting feasibility studies and benchmarking exercises, preparing long term human resource development, increasing the exposure on nuclear power technology to both the top management and general staff, and employing the assistance of relevant agencies locally and abroad. This paper discusses the activities done and steps taken by TNB in its human resource development for Malaysia's nuclear power program.

Quantitative appraisal and potential analysis for primary biomass resources for energy utilization in China

Energy Technology Data Exchange (ETDEWEB)

Yanli, Yang; Peidong, Zhang; Yonghong, Zheng; Lisheng, Wang [Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of science, Qingdao 266101 (China); Wenlong, Zhang; Yongsheng, Tian [Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of science, Qingdao 266101 (China); Graduate University of Chinese Academy of Sciences, Beijing 100049 (China)

2010-12-15

As the largest agricultural country, China has abundant biomass resources, but the distribution is scattered and difficult to collect. It is essential to estimate the biomass resource and its potential for bioenergy utilization in China. In this study, the amount of main biomass resources for possible energy use and their energy utilization potential in China are analyzed based on statistical data. The results showed that the biomass resource for possible energy use amounted to 8.87 x 10{sup 8} tce in 2007 of which the crops straw is 1.42 x 10{sup 8} tce, the forest biomass is 2.85 x 10{sup 8} tce, the poultry and livestock manure is 4.40 x 10{sup 7} tce, the municipal solid waste is 1.35 x 10{sup 6} tce, and the organic waste water is 6.46 x 10{sup 6} tce. Through the information by thematic map, it is indicated that, except arctic-alpine areas and deserts, the biomass resource for possible energy use was presented a relatively average distribution in China, but large gap was existed in different regions in the concentration of biomass resources, with the characteristics of East dense and West sparse. It is indicated that the energy transformation efficiency of biomass compressing and shaping, biomass anaerobic fermentation and biomass gasification for heating have higher conversion efficiency. If all of the biomass resources for possible energy use are utilized by these three forms respectively, 7.66 x 10{sup 12} t of biomass briquettes fuel, 1.98 x 10{sup 12} m{sup 3} of low calorific value gas and 3.84 x 10{sup 11} m{sup 3} of biogas could be produced, 3.65 x 10{sup 8} t to 4.90 x 10{sup 8} t of coal consumption could be substituted, and 6.12 x 10{sup 8} t to 7.53 x 10{sup 8} t of CO{sub 2} emissions could be reduced. With the enormous energy utilization potential of biomass resources and the prominent benefit of energy saving and emission reduction, it proves an effective way to adjust the energy consumption structure, to alleviate the energy crisis, to ensure

Impact of solifenacin on resource utilization, work productivity and health utility in overactive bladder patients switching from tolterodine ER.

Science.gov (United States)

Zinner, Norman; Noe, Les; Rasouliyan, Lawrence; Marshall, Thomas; Seifeldin, Raafat

2008-06-01

Assess changes in resource utilization, work and activity impairment, and health utility among OAB patients continuing to have urgency symptoms with tolterodine ER 4 mg and willing to try solifenacin 5/10 mg. This was an open-label, non-comparative, flexible-dosing, multicenter, 12-week study assessing the efficacy and safety of solifenacin 5/10 mg/day. Patients receiving tolterodine ER 4 mg/day for >/=4 weeks but continuing to experience residual urgency symptoms (>/=3 urgency episodes/24 h) were enrolled into the study. After a 14-day washout, patients began treatment with solifenacin 5 mg/day with dosing adjustments allowed at Weeks 4 and 8. Outcomes were assessed using the Work Productivity and Activity Impairment Questionnaire - Specific Health Problem (WPAI-SHP), Health Utilities Index (HUI), and a resource utilization questionnaire administered at Pre-Washout and Week 12. Patients (n=440) reported significantly fewer physician office visits (pwork time missed (p=0.0017), less impairment while working (pwork impairment (pwork productivity, activity participation, and reduced medical care use in OAB patients who continued to have urgency symptoms with tolterodine ER 4 mg/day and wished to switch to solifenacin 5/10 mg. This was an open-label, non-comparative study; therefore, further research is needed to confirm these results.

The impact of age and gender on resource utilization and profitability in ED patients seen and released.

Science.gov (United States)

Henneman, Philip L; Nathanson, Brian H; Ribeiro, Kara; Balasubramanian, Hari

2014-10-01

To determine how age and gender impact resource utilization and profitability in patients seen and released from an Emergency Department (ED). Billing data for patients seen and released from an Emergency Department (ED) with >100,000 annual visits between 2003 and 2009 were collected. Resource utilization was measured by length of stay (placement in ED bed to leaving the bed) and direct clinical costs (e.g., ED nursing salary and benefits, pharmacy and supply costs, etc.) estimated using relative value unit cost accounting. The primary outcome of profitability was defined as contribution margin per hour. A patient's contribution margin by insurance type (excluding self-pay) was determined by subtracting direct clinical costs from facility contractual revenue. Results are expressed as medians and US dollars. In 523 882 outpatient ED encounters, as patients' aged, length of stay and direct clinical cost increased while the contribution margin and contribution margin by hour decreased. Women of childbearing age (15-44) had higher median length of stay (2.1 hours), direct clinical cost ($149), and contribution margin per hour ($103/hour) than men of same age (1.7, $131, $85/hour, respectively). Resource utilization and profitability by gender were similar in children and adults over 45. Resource utilization increased and profitability decreased with increasing age in patients seen and released from an ED. The care of women of childbearing age resulted in higher resource utilization and higher profitability than men of the same age. No differences in resource utilization or profitability by gender were observed in children and adults over 45. Copyright © 2014 Elsevier Inc. All rights reserved.

The development and utilization of biomass energy resources in China

Energy Technology Data Exchange (ETDEWEB)

Dai, Lin [Energy Research Institute of the State Planning Commission, Beijing (China)

1995-12-01

Biomass energy resources are abundant in China and have reached 730 million tonnes of coal equivalent, representing about 70% of the energy consumed by households. China has attached great importance to the development and utilization of its biomass energy resources and has implemented programmes for biogas unit manufacture, more efficient stoves, fuelwood development and thermal gasification to meet new demands for energy as the economy grows. The conclusion is that the increased use of low-carbon and non-carbon energy sources instead of fossil fuels is an important option for energy and environment strategy and has bright prospects in China. (author) 4 refs, 2 figs, 4 tabs

Estimation of resource savings due to fly ash utilization in road construction

Energy Technology Data Exchange (ETDEWEB)

Kumar, Subodh; Patil, C.B. [Centre for Energy Studies, Indian Institute of Technology, New Delhi 110016 (India)

2006-08-15

A methodology for estimation of natural resource savings due to fly ash utilization in road construction in India is presented. Analytical expressions for the savings of various resources namely soil, stone aggregate, stone chips, sand and cement in the embankment, granular sub-base (GSB), water bound macadam (WBM) and pavement quality concrete (PQC) layers of fly ash based road formation with flexible and rigid pavements of a given geometry have been developed. The quantity of fly ash utilized in these layers of different pavements has also been quantified. In the present study, the maximum amount of resource savings is found in GSB followed by WBM and other layers of pavement. The soil quantity saved increases asymptotically with the rise in the embankment height. The results of financial analysis based on Indian fly ash based road construction cost data indicate that the savings in construction cost decrease with the lead and the investment on this alternative is found to be financially attractive only for a lead less than 60 and 90km for flexible and rigid pavements, respectively. (author)

A strategy for investment in space resource utilization

Science.gov (United States)

Mendell, Wendell W.

1992-01-01

Considerations governing a strategy for investment in the utilization of space resources are discussed. It is suggested on the basis of an examination of current trends in terms of historical processes which operate on new frontiers that the limited markets and unfamiliar technologies associated with space commercialization today may change dramatically in 20 years when lunar resources are accessible. It is argued that the uncertainty of such projections discourages investment at a useful scale unless a strategy for technology development can be implemented which provides tangible and marketable benefits in the intermediate term. At present, technologies can be identified which will be required (and therefore valuable) at the time of lunar settlement, and whose development can be planned to yield marketable intermediate products on earth. It is concluded that the formation of precompetitive collaborative research consortia in the industrial sector could reduce technical and economic risk in the early stages and could promote a favorable political environment for the future growth of space activities.

Resource utilization for observation-status stays at children's hospitals.

Science.gov (United States)

Fieldston, Evan S; Shah, Samir S; Hall, Matthew; Hain, Paul D; Alpern, Elizabeth R; Del Beccaro, Mark A; Harding, John; Macy, Michelle L

2013-06-01

Observation status, in contrast to inpatient status, is a billing designation for hospital payment. Observation-status stays are presumed to be shorter and less resource-intensive, but utilization for pediatric observation-status stays has not been studied. The goal of this study was to describe resource utilization characteristics for patients in observation and inpatient status in a national cohort of hospitalized children in the Pediatric Health Information System. This study was a retrospective cohort from 2010 of observation- and inpatient-status stays of ≤2 days; all children were admitted from the emergency department. Costs were analyzed and described. Comparison between costs adjusting for age, severity, and length of stay were conducted by using random-effect mixed models to account for clustering of patients within hospitals. Observation status was assigned to 67 230 (33.3%) discharges, but its use varied across hospitals (2%-45%). Observation-status stays had total median costs of $2559, including room costs and $678 excluding room costs. Twenty-five diagnoses accounted for 74% of stays in observation status, 4 of which were used for detailed analyses: asthma (n = 6352), viral gastroenteritis (n = 4043), bronchiolitis (n = 3537), and seizure (n = 3289). On average, after risk adjustment, observation-status stays cost $260 less than inpatient-status stays for these select 4 diagnoses. Large overlaps in costs were demonstrated for both types of stay. Variability in use of observation status with large overlap in costs and potential lower reimbursement compared with inpatient status calls into question the utility of segmenting patients according to billing status and highlights a financial risk for institutions with a high volume of pediatric patients in observation status.

Use of Hawaii Analog Sites for Lunar Science and In-Situ Resource Utilization

Science.gov (United States)

Sanders, G. B.; Larson, W. E.; Picard, M.; Hamilton, J. C.

2011-01-01

In-Situ Resource Utilization (ISRU) and lunar science share similar objectives with respect to analyzing and characterizing the physical, mineral, and volatile materials and resources at sites of robotic and human exploration. To help mature and stress instruments, technologies, and hardware and to evaluate operations and procedures, space agencies have utilized demonstrations at analog sites on Earth before use in future missions. The US National Aeronautics and Space Administration (NASA), the Canadian Space Agency (CSA), and the German Space Agency (DLR) have utilized an analog site on the slope of Mauna Kea on the Big Island of Hawaii to test ISRU and lunar science hardware and operations in two previously held analog field tests. NASA and CSA are currently planning on a 3rd analog field test to be held in June, 2012 in Hawaii that will expand upon the successes from the previous two field tests.

Lunar Polar In Situ Resource Utilization (ISRU) as a Stepping Stone for Human Exploration

Science.gov (United States)

Sanders, Gerald B.

2013-01-01

A major emphasis of NASA is to extend and expand human exploration across the solar system. While specific destinations are still being discussed as to what comes first, it is imperative that NASA create new technologies and approaches that make space exploration affordable and sustainable. Critical to achieving affordable and sustainable exploration beyond low Earth orbit (LEO) are the development of technologies and approaches for advanced robotics, power, propulsion, habitats, life support, and especially, space resource utilization systems. Space resources and how to use them, often called In-Situ Resource Utilization (ISRU), can have a tremendous beneficial impact on robotic and human exploration of the Moon, Mars, Phobos, and Near Earth Objects (NEOs), while at the same time helping to solve terrestrial challenges and enabling commercial space activities. The search for lunar resources, demonstration of extraterrestrial mining, and the utilization of resource-derived products, especially from polar volatiles, can be a stepping stone for subsequent human exploration missions to other destinations of interest due to the proximity of the Moon, complimentary environments and resources, and the demonstration of critical technologies, processes, and operations. ISRU and the Moon: There are four main areas of development interest with respect to finding, obtaining, extracting, and using space resources: Prospecting for resources, Production of mission critical consumables like propellants and life support gases, Civil engineering and construction, and Energy production, storage, and transfer. The search for potential resources and the production of mission critical consumables are the primary focus of current NASA technology and system development activities since they provide the greatest initial reduction in mission mass, cost, and risk. Because of the proximity of the Moon, understanding lunar resources and developing, demonstrating, and implementing lunar ISRU

Utilization of bio-resources by low energy electron beam

International Nuclear Information System (INIS)

Kume, Tamikazu

2003-01-01

Utilization of bio-resources by radiation has been investigated for recycling the natural resources and reducing the environmental pollution. Polysaccharides such as chitosan and sodium alginate were easily degraded by irradiation and induced various kinds of biological activities, i.g. anti-microbial activity, promotion of plant growth, suppression of heavy metal stress, phytoalexins induction. Radiation degraded chitosan was effective to enhance the growth of plants in tissue culture. It was demonstrated that the liquid sample irradiation system using low energy EB was effective for the preparation of degraded polysaccharides. Methylcellulose (MC) can be crosslinked under certain radiation condition as same as carboxymethylcellulose (CMC) and produced the biodegradable hydrogel for medical and agricultural use. Treatment of soybean seeds by low energy EB enhanced the growth and the number of rhizobia on the root. (author)

Enhancement of existing geothermal resource utilization by cascading to intensive aquaculture

Energy Technology Data Exchange (ETDEWEB)

Zachritz, W.H., II; Polka, R.; Schoenmackers

1996-04-01

A demonstration high rate aquaculture production system utilizing a cascaded geothermal resource was designed, constructed and operated to fulfill the objectives of this project. Analysis of the energy and water balances for the system indicated that the addition of an Aquaculture Facility expanded the use of the existing resource. This expanded use in no way affected the up- stream processes. Analysis of the system`s energy and water requirements indicated that the present resource was under-utilized and could be expanded. Energy requirements appeared more limiting than water use, but the existing system could be expanded to a culture volume of 72,000 gal. This system would have a potential production capacity of 93,600 lb/yr with a potential market value of $280,00/yr. Based on the results of this study, the heat remaining in the geothermal fluid from one square foot of operating greenhouse is sufficient to support six gallons of culture water for a high density aquaculture facility. Thus, the over 1.5M ft{sup 2} of existing greenhouse space in New Mexico, has the potential to create an aquaculture industry of nearly 9M gal. This translates to an annual production potential of 11.7M lb with a market value of $35.lM.

Dressing-related trauma: clinical sequelae and resource utilization in a UK setting

Directory of Open Access Journals (Sweden)

Charlesworth B

2014-04-01

Full Text Available Bruce Charlesworth,1 Claire Pilling,1 Paul Chadwick,2 Martyn Butcher31Adelphi Values, Macclesfield, 2Salford Royal Foundation Trust, Salford, 3Northern Devon Healthcare Trust, Devon, UKBackground: Dressings are the mainstay of wound care management; however, adherence of the dressing to the wound or periwound skin is common and can lead to dressing-related pain and trauma. Dressing-related trauma is recognized as a clinical and economic burden to patients and health care providers. This study was conducted to garner expert opinion on clinical sequelae and resource use associated with dressing-related trauma in a UK setting.Methods: This was an exploratory study with two phases: qualitative pilot interviews with six wound care specialists to explore dressing-related trauma concepts, sequelae, and resource utilization; and online quantitative research with 30 wound care specialists to validate and quantify the concepts, sequelae, and resource utilization explored in the first phase of the study. Data were collected on mean health care professional time, material costs, pharmaceutical costs, and inpatient management per sequela occurrence until resolution. Data were analyzed to give total costs per sequela and concept occurrence.Results: The results demonstrate that dressing-related trauma is a clinically relevant concept. The main types of dressing-related trauma concepts included skin reactions, adherence to the wound, skin stripping, maceration, drying, and plugging of the wound. These were the foundation for a number of clinical sequelae, including wound enlargement, increased exudate, bleeding, infection, pain, itching/excoriation, edema, dermatitis, inflammation, and anxiety. Mean total costs range from £56 to £175 for the complete onward management of each occurrence of the six main concepts.Conclusion: These results provide insight into the hidden costs of dressing-related trauma in a UK setting. This research successfully conceptualized

Evaluating healthcare resource utilization and outcomes for surgical hip dislocation and hip arthroscopy for femoroacetabular impingement.

Science.gov (United States)

de Sa, Darren; Horner, Nolan S; MacDonald, Austin; Simunovic, Nicole; Slobogean, Gerard; Philippon, Marc J; Belzile, Etienne L; Karlsson, Jon; Ayeni, Olufemi R

2016-12-01

Surgical hip dislocation (SHD) and hip arthroscopy are surgical methods used to correct deformity associated with femoroacetabular impingement (FAI). Though both of these approaches appear to benefit patients, no studies exist comparing healthcare resource utilization of the two surgical approaches. This systematic review examines the literature and the records of two surgeons to evaluate the resource utilization associated with treating symptomatic FAI via these two methods. EMBASE, MEDLINE and PubMed were searched for relevant articles. The articles were systematically screened, and data was abstracted in duplicate. To further supplement resource utilization data, a retrospective chart review of two surgeon's patient data (one using SHD and another using an arthroscopic approach) was completed. Experts in pharmacy, physiotherapy, radiology, anaesthesia, physiatry and the local hospital finance department were also consulted. There were 52 studies included with a total of 460 patients (535 hips) and 3886 patients (4147 hips) who underwent SHD and arthroscopic surgery for FAI, respectively. Regardless of approach, most patients treated for symptomatic FAI improved across various outcomes measures with low complication rates. Surgical time across all approaches was similar, averaging 118 ± 2 min. On a per patient basis, hip arthroscopy ($10,976) uses approximately 41 % of the resources of SHD ($24,379). There were no significant differences in outcomes for FAI treated with SHD or arthroscopy. However, with regard to healthcare resource utilization based on the OHIP healthcare system, hip arthroscopy uses substantially less resources than SHD within the first post-operative year. Systematic Review of Level IV Studies, Level IV.

Resource utilization and costs during the initial years of lung cancer screening with computed tomography in Canada.

Science.gov (United States)

Cressman, Sonya; Lam, Stephen; Tammemagi, Martin C; Evans, William K; Leighl, Natasha B; Regier, Dean A; Bolbocean, Corneliu; Shepherd, Frances A; Tsao, Ming-Sound; Manos, Daria; Liu, Geoffrey; Atkar-Khattra, Sukhinder; Cromwell, Ian; Johnston, Michael R; Mayo, John R; McWilliams, Annette; Couture, Christian; English, John C; Goffin, John; Hwang, David M; Puksa, Serge; Roberts, Heidi; Tremblay, Alain; MacEachern, Paul; Burrowes, Paul; Bhatia, Rick; Finley, Richard J; Goss, Glenwood D; Nicholas, Garth; Seely, Jean M; Sekhon, Harmanjatinder S; Yee, John; Amjadi, Kayvan; Cutz, Jean-Claude; Ionescu, Diana N; Yasufuku, Kazuhiro; Martel, Simon; Soghrati, Kamyar; Sin, Don D; Tan, Wan C; Urbanski, Stefan; Xu, Zhaolin; Peacock, Stuart J

2014-10-01

It is estimated that millions of North Americans would qualify for lung cancer screening and that billions of dollars of national health expenditures would be required to support population-based computed tomography lung cancer screening programs. The decision to implement such programs should be informed by data on resource utilization and costs. Resource utilization data were collected prospectively from 2059 participants in the Pan-Canadian Early Detection of Lung Cancer Study using low-dose computed tomography (LDCT). Participants who had 2% or greater lung cancer risk over 3 years using a risk prediction tool were recruited from seven major cities across Canada. A cost analysis was conducted from the Canadian public payer's perspective for resources that were used for the screening and treatment of lung cancer in the initial years of the study. The average per-person cost for screening individuals with LDCT was $453 (95% confidence interval [CI], $400-$505) for the initial 18-months of screening following a baseline scan. The screening costs were highly dependent on the detected lung nodule size, presence of cancer, screening intervention, and the screening center. The mean per-person cost of treating lung cancer with curative surgery was $33,344 (95% CI, $31,553-$34,935) over 2 years. This was lower than the cost of treating advanced-stage lung cancer with chemotherapy, radiotherapy, or supportive care alone, ($47,792; 95% CI, $43,254-$52,200; p = 0.061). In the Pan-Canadian study, the average cost to screen individuals with a high risk for developing lung cancer using LDCT and the average initial cost of curative intent treatment were lower than the average per-person cost of treating advanced stage lung cancer which infrequently results in a cure.

Optimal Computing Resource Management Based on Utility Maximization in Mobile Crowdsourcing

Directory of Open Access Journals (Sweden)

Haoyu Meng

2017-01-01

Full Text Available Mobile crowdsourcing, as an emerging service paradigm, enables the computing resource requestor (CRR to outsource computation tasks to each computing resource provider (CRP. Considering the importance of pricing as an essential incentive to coordinate the real-time interaction among the CRR and CRPs, in this paper, we propose an optimal real-time pricing strategy for computing resource management in mobile crowdsourcing. Firstly, we analytically model the CRR and CRPs behaviors in form of carefully selected utility and cost functions, based on concepts from microeconomics. Secondly, we propose a distributed algorithm through the exchange of control messages, which contain the information of computing resource demand/supply and real-time prices. We show that there exist real-time prices that can align individual optimality with systematic optimality. Finally, we also take account of the interaction among CRPs and formulate the computing resource management as a game with Nash equilibrium achievable via best response. Simulation results demonstrate that the proposed distributed algorithm can potentially benefit both the CRR and CRPs. The coordinator in mobile crowdsourcing can thus use the optimal real-time pricing strategy to manage computing resources towards the benefit of the overall system.

The Contribution of Wildlife to Sustainable Natural Resource Utilization in Namibia: A Review

Directory of Open Access Journals (Sweden)

Diana L. van Schalkwyk

2010-11-01

Full Text Available Namibia is the driest country in sub-Saharan Africa, but well known for its richness in species and sustainable natural resource utilization. The Namibian farming sector consists mainly of extensive farming systems. Cattle production contributes 54% of the livestock sector’s production output, followed by sheep and goats (25%, hides and skins (9%, and other forms of agricultural production (12%. Namibia’s freehold farmers have obtained ownership rights over land and livestock since the early 1900s; commercial rights over wildlife and plants were given to freehold farmers in 1967 and to communal farmers in 1996. Natural resource-based production systems then overtook agricultural production systems and exceeded it by a factor of at least two. The shift from practicing conservation to sustainable utilization of natural resources contributed to the rapid growth of wildlife utilization. The wildlife industry in Namibia is currently the only animal production system that is expanding. There are in total at least two million head of different wildlife species. The broader impact of the utilization of wildlife on the economy is estimated to be around N$ 1.3 billion. Tourism, live sales and trophy hunting, cannot sustain further growth. Wildlife farming could offer better opportunities for ensuring long-term sustainability. As the game meat trade in Namibia is not formalized, harvesting wildlife to satisfy the demand for game meat in export markets is still in its infancy. Sustainable harvesting of wildlife for meat production, however, has the potential to increase earnings to the beneficiaries in the wildlife sector.

The Resource Utilization of Women Who Use Violence in Intimate Relationships

Science.gov (United States)

Swan, Suzanne C.; Sullivan, Tami P.

2009-01-01

Studies have found high rates of help seeking among domestic violence victims. However, little research has investigated the help-seeking patterns of women who use violence (many of whom are also abused). Understanding the resources utilized by women who are violent toward their partners may aid in designing interventions that will reduce the…

Method of configuring a cell of a wireless communication system for improved resource utilization

NARCIS (Netherlands)

2013-01-01

At least one base station of a wireless network adjusts its access area so as to drive at least one measure of utilization of a resource or resources of that cell toward, but not to exceed, a specified maximum level. The adjustment is dynamic in that it responds in real time to traffic fluctuations.

Solar System Exploration Augmented by In-Situ Resource Utilization: Mercury and Saturn Propulsion Investigations

Science.gov (United States)

Palaszewski, Bryan

2016-01-01

Human and robotic missions to Mercury and Saturn are presented and analyzed with a range of propulsion options. Historical studies of space exploration, in-situ resource utilization (ISRU), and industrialization all point to the vastness of natural resources in the solar system. Advanced propulsion benefitted from these resources in many ways. While advanced propulsion systems were proposed in these historical studies, further investigation of nuclear options using high power nuclear thermal and nuclear pulse propulsion as well as advanced chemical propulsion can significantly enhance these scenarios. Updated analyses based on these historical visions will be presented. Nuclear thermal propulsion and ISRU enhanced chemical propulsion landers are assessed for Mercury missions. At Saturn, nuclear pulse propulsion with alternate propellant feed systems and Titan exploration with chemical propulsion options are discussed. In-situ resource utilization was found to be critical in making Mercury missions more amenable for human visits. At Saturn, refueling using local atmospheric mining was found to be difficult to impractical, while refueling the Saturn missions from Uranus was more practical and less complex.

Mexico Wind Resource Assessment Project

Energy Technology Data Exchange (ETDEWEB)

Schwartz, M.N.; Elliott, D.L.

1995-05-01

A preliminary wind energy resource assessment of Mexico that produced wind resource maps for both utility-scale and rural applications was undertaken as part of the Mexico-U.S. Renewable Energy Cooperation Program. This activity has provided valuable information needed to facilitate the commercialization of small wind turbines and windfarms in Mexico and to lay the groundwork for subsequent wind resource activities. A surface meteorological data set of hourly data in digital form was utilized to prepare a more detailed and accurate wind resource assessment of Mexico than otherwise would have been possible. Software was developed to perform the first ever detailed analysis of the wind characteristics data for over 150 stations in Mexico. The hourly data set was augmented with information from weather balloons (upper-air data), ship wind data from coastal areas, and summarized wind data from sources in Mexico. The various data were carefully evaluated for their usefulness in preparing the wind resource assessment. The preliminary assessment has identified many areas of good-to-excellent wind resource potential and shows that the wind resource in Mexico is considerably greater than shown in previous surveys.

Microvascular reconstruction and tracheotomy are significant determinants of resource utilization in head and neck surgery.

Science.gov (United States)

Cohen, J; Stock, M; Chan, B; Meininger, M; Wax, M; Andersen, P; Everts, E

2000-08-01

Successful "critical pathway" design and implementation are dependent on appropriate patient stratification according to those factors that are primary determinants of resource utilization. To test the validity of our previously reported critical pathway design and to determine whether tracheotomy and microvascular reconstruction (MR) are primary determinants of resource utilization. Cost-effectiveness analysis. Tertiary referral academic institution. Retrospective analysis of data from 133 head and neck surgery cases in which the treatment regimen was based on critical pathways over a 26-month period. Length of stay and total patient charges were used as indices of resource utilization. One-way analysis of variance and t tests were used for statistical analysis of significance. Ninety patients (67.7%) underwent MR; 43 (32. 3%) did not. Seventy-five patients (56.4%) underwent tracheotomy; 58 (43.6%) did not. Four patient groups were constructed in decreasing order of complexity as follows: group 1, patients who underwent both tracheotomy and MR (n = 58); group 2, patients who underwent MR alone (n = 32); group 3, patients who underwent tracheotomy alone (n = 17); and group 4, patients who did not undergo either procedure (n = 26). Both tracheotomy and MR were found to be independent determinants of resource utilization and were additive when both were present. The length of stay varied from 8.4 days (in patients who underwent both procedures) to 6.7 days (in patients who did not undergo either procedure), with intermediate values in cases in which only 1 procedure was performed. The total charges varied in a similar manner from a high of $33,371 to a low of $19,994. Subanalysis with respect to intensive care unit, ward, and operating room charges showed a similar stratification. Tracheotomy and MR are both significant determinants of charges and length of stay in head and neck surgery cases and must be considered in the design of strategies to promote efficient

Resource utilization and outcomes of intoxicated drivers.

Science.gov (United States)

Cherry, Robert A; Nichols, Pamela A; Snavely, Theresa M; Camera, Lindsay J; Mauger, David T

2010-08-05

The high risk behavior of intoxicated drivers, impaired reaction time, lack of seat belt use, and increased incidence of head injury raises questions of whether pre-hospital use of alcohol leads to a higher injury severity score and worse clinical outcomes. We therefore compared intoxicated and non-intoxicated drivers of motor vehicle crashes with respect to outcome measurements and also describe the resources utilized to achieve those outcomes at our Level 1 trauma center. Retrospective descriptive study (Jan 2002-June 2007) of our trauma registry and financial database comparing intoxicated drivers with blood alcohol levels (BAC) > 80 mg/dl (ETOH > 80) with drivers who had a BAC of 0 mg/dl (ETOH = 0). Drivers without a BAC drawn or who had levels ranging from 1 mg/dL to 80 mg/dL were excluded. Data was collected on demographic information (age, gender, injury severity score or ISS), outcome variables (mortality, complications, ICU and hospital LOS, ventilator days) and resource utilization (ED LOS, insurance, charges, costs, payments). p 80; stratified chi square. Out of 1732 drivers, the combined study group (n = 987) of 623 ETOH = 0 and 364 ETOH > 80 had a mean age of 38.8 +/- 17.9, ISS of 18.0 +/- 12.1, and 69.8%% male. There was no difference in ISS (p = 0.67) or complications (p = 0.38). There was a trend towards decreased mortality (p = 0.06). The ETOH = 0 group had more patients with a prolonged ICU LOS (>/= 5 days), ventilator days (>/= 8 days), and hospital LOS (> 14 days) when compared to the ETOH > 80 group (p 80 group tended to be self pay (4.9% vs. 0.7%, p pay, less likely to have charges > $50K, and less likely to pay >/= 90% of the charges. Further research using multivariable analysis is needed to determine if these apparent outcomes differences are driven by acute intoxication, and the tendency for endotracheal intubation and ICU admission, rather than injury severity.

The utilization of oncology web-based resources in Spanish-speaking Internet users.

Science.gov (United States)

Simone, Charles B; Hampshire, Margaret K; Vachani, Carolyn; Metz, James M

2012-12-01

There currently are few web-based resources written in Spanish providing oncology-specific information. This study examines utilization of Spanish-language oncology web-based resources and evaluates oncology-related Internet browsing practices of Spanish-speaking patients. OncoLink (http://www.oncolink.org) is the oldest and among the largest Internet-based cancer information resources. In September 2005, OncoLink pioneered OncoLink en español (OEE) (http://es.oncolink.org), a Spanish translation of OncoLink. Internet utilization data on these sites for 2006 to 2007 were compared. Visits to OncoLink rose from 4,440,843 in 2006 to 5,125,952 in 2007. OEE had 204,578 unique visitors and 240,442 visits in 2006, and 351,228 visitors and 412,153 visits in 2007. Although there was no time predilection for viewing OncoLink, less relative browsing on OEE was conducted during weekends and early morning hours. Although OncoLink readers searched for information on the most common cancers in the United States, OEE readers most often search for gastric, vaginal, osteosarcoma, leukemia, penile, cervical, and testicular malignancies. Average visit duration on OEE was shorter, and fewer readers surveyed OEE more than 15 minutes (4.5% vs. 14.9%, P users of web-based oncology resources are increasingly using the Internet to supplement their cancer knowledge. Limited available resources written in Spanish contribute to disparities in information access and disease outcomes. Spanish-speaking oncology readers differ from English-speaking readers in day and time of Internet browsing, visit duration, Internet search patterns, and types of cancers searched. By acknowledging these differences, content of web-based oncology resources can be developed to best target the needs of Spanish-speaking viewers.

Measures for increased nutrition and utilization of non-conventional food resources during disasters in Africa.

Science.gov (United States)

Nur, I M

1999-01-01

The basic causes of the poor performance of the food and agricultural sector in the different parts of Africa are external, internal, and natural. The general recession in the Continent limits the capacity of the respective countries to import food to supplement inadequate domestic production and supplies. There are a number of nutritious food resources, both cultivated and gathered in the different ecological zones of Africa, whose production and consumption can be increased to ensure adequate food security and a nutritious diet, especially during disasters. These food resources could include: cereals, legumes, fruits, vegetables, fish, and insects. These food resources already are available over wide geographical areas in Africa and are utilized or utilized to a limited extent. Therefore, strategies to increase food supply, eradicate hunger and malnutrition, and keep people alive in times of disasters should have as a priority, the cultivation and consumption of non-conventional food resources in the respective communities and countries.

The Impact of Relaxation and Hypnosis on Medical Resources Utilization in Pediatric Asthma

National Research Council Canada - National Science Library

Barber, Nancy

2003-01-01

.... The estimated economic impact of asthma in the United States exceeds $6.2 billion. Behavioral interventions have been shown to improve the management of pediatric asthma, as well as reduce the utilization of medical resources...

Safety and resource utilization of anterior cervical discectomy and fusion

OpenAIRE

Yu-Tung Feng; Shiuh-Lin Hwang; Chih-Lung Lin; I-Chen Lee; King-Teh Lee

2012-01-01

Degenerative cervical spondylosis (DCS) is part of the aging process and is the most common reason for degenerative changes with the spinal column. Anterior cervical discectomy and fusion (ACDF) is a major option for operative management of DCS in our institution. This retrospective study investigated the frequency of postoperative complications and resource utilization in 145 patients who underwent ACDF procedures from January 2009 to December 2011. Patients with degenerative changes that in...

Pain, health related quality of life and healthcare resource utilization in Spain.

Science.gov (United States)

Langley, Paul; Pérez Hernández, Concepción; Margarit Ferri, César; Ruiz Hidalgo, Domingo; Lubián López, Manuel

2011-01-01

The aim of this paper is to consider the relationship between the experience of pain, health related quality of life (HRQoL) and healthcare resource utilization in Spain. The analysis contrasts the contribution of pain severity and frequency of pain reported against respondents reporting no pain in the previous month. Data are from the 2010 National Health and Wellness Survey (NHWS) for Spain. Single equation generalized linear regression models are used to evaluate the association of pain with the physical and mental component scores of the SF-12 questionnaire as well as health utilities generated from the SF-6D. In addition, the role of pain is assessed in its association with self-reported healthcare provider visits, emergency room visits and hospitalizations in the previous 6 months. The results indicate that the experience of pain, notably severe and frequent pain, is substantial and is significantly associated with the SF-12 physical component scores, health utilities and all aspects of healthcare resource utilization, which far outweighs the role of demographic and socioeconomic variables, health risk factors (in particular body mass index) and the presence of comorbidities. In the case of severe daily pain, the marginal contribution of the SF-12 physical component score is a deficit of -17.86 compared to those reporting no pain (population average score 46.49), while persons who are morbidly obese report a deficit of only -6.63 compared to those who are normal weight. The corresponding association with health utilities is equally dramatic with a severe daily pain deficit of -0.186 compared to those reporting no pain (average population utility 0.71). The impact of pain on healthcare resource utilization is marked. Severe daily pain increases traditional provider visits by 208.8%, emergency room visits by 373.0% and hospitalizations by 348.5%. As an internet-based survey there is the possibility of bias towards those with internet access, although telephone

Concepts of Operations for Asteroid Rendezvous Missions Focused on Resources Utilization

Science.gov (United States)

Mueller, Robert P.; Sibille, Laurent; Sanders, Gerald B.; Jones, Christopher A.

2014-01-01

Several asteroids are the targets of international robotic space missions currently manifested or in the planning stage. This global interest reflects a need to study these celestial bodies for the scientific information they provide about our solar system, and to better understand how to mitigate the collision threats some of them pose to Earth. Another important objective of these missions is providing assessments of the potential resources that asteroids could provide to future space architectures. In this paper, we examine a series of possible mission operations focused on advancing both our knowledge of the types of asteroids suited for different forms of resource extraction, and the capabilities required to extract those resources for mission enhancing and enabling uses such as radiation protection, propulsion, life support, shelter and manufacturing. An evolutionary development and demonstration approach is recommended within the framework of a larger campaign that prepares for the first landings of humans on Mars. As is the case for terrestrial mining, the development and demonstration approach progresses from resource prospecting (understanding the resource, and mapping the 'ore body'), mining/extraction feasibility and product assessment, pilot operations, to full in-situ resource utilization (ISRU). Opportunities to gather specific knowledge for ISRU via resource prospecting during science missions to asteroids are also examined to maximize the pace of development of needed ISRU capabilities and technologies for deep space missions.

Health Care Resource Utilization for Outpatient Cardiovascular Disease and Diabetes Care Delivery Among Advanced Practice Providers and Physician Providers in Primary Care.

Science.gov (United States)

Virani, Salim S; Akeroyd, Julia M; Ramsey, David J; Deswal, Anita; Nasir, Khurram; Rajan, Suja S; Ballantyne, Christie M; Petersen, Laura A

2017-10-10

Although effectiveness of diabetes or cardiovascular disease (CVD) care delivery between physicians and advanced practice providers (APPs) has been shown to be comparable, health care resource utilization between these 2 provider types in primary care is unknown. This study compared health care resource utilization between patients with diabetes or CVD receiving care from APPs or physicians. Diabetes (n = 1,022,588) or CVD (n = 1,187,035) patients with a primary care visit between October 2013 and September 2014 in 130 Veterans Affairs facilities were identified. Using hierarchical regression adjusting for covariates including patient illness burden, the authors compared number of primary or specialty care visits and number of lipid panels and hemoglobinA1c (HbA1c) tests among diabetes patients, and number of primary or specialty care visits and number of lipid panels and cardiac stress tests among CVD patients receiving care from physicians and APPs. Physicians had significantly larger patient panels compared with APPs. In adjusted analyses, diabetes patients receiving care from APPs received fewer primary and specialty care visits and a greater number of lipid panels and HbA1c tests compared with patients receiving care from physicians. CVD patients receiving care from APPs received more frequent lipid testing and fewer primary and specialty care visits compared with those receiving care from physicians, with no differences in the number of stress tests. Most of these differences, although statistically significant, were numerically small. Health care resource utilization among diabetes or CVD patients receiving care from APPs or physicians appears comparable, although physicians work with larger patient panels.

Resource utilization in children with tuberous sclerosis complex and associated seizures: a retrospective chart review study.

Science.gov (United States)

Lennert, Barb; Farrelly, Eileen; Sacco, Patricia; Pira, Geraldine; Frost, Michael

2013-04-01

Seizures are a hallmark manifestation of tuberous sclerosis complex, yet data characterizing resource utilization are lacking. This retrospective chart review was performed to assess the economic burden of tuberous sclerosis complex with neurologic manifestations. Demographic and resource utilization data were collected for 95 patients for up to 5 years after tuberous sclerosis complex diagnosis. Mean age at diagnosis was 3.1 years, with complex partial and infantile spasms as the most common seizure types. In the first 5 years post-diagnosis, 83.2% required hospitalization, 30.5% underwent surgery, and the majority of patients (90.5%) underwent ≥3 testing procedures. In 79 patients with a full 5 years of data, hospitalizations, intensive care unit stays, diagnostic testing, and rehabilitation services decreased over the 5-year period. Resource utilization is cost-intensive in children with tuberous sclerosis complex and associated seizures during the first few years following diagnosis. Improving seizure control and reducing health care costs in this population remain unmet needs.

An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion

Directory of Open Access Journals (Sweden)

Hanvoravongchai Piya

2012-12-01

Full Text Available Abstract Background There is increasing perception that countries cannot work in isolation to militate against the threat of pandemic influenza. In the Greater Mekong Subregion (GMS of Asia, high socio-economic diversity and fertile conditions for the emergence and spread of infectious diseases underscore the importance of transnational cooperation. Investigation of healthcare resource distribution and inequalities can help determine the need for, and inform decisions regarding, resource sharing and mobilisation. Methods We collected data on healthcare resources deemed important for responding to pandemic influenza through surveys of hospitals and district health offices across four countries of the GMS (Cambodia, Lao PDR, Thailand, Vietnam. Focusing on four key resource types (oseltamivir, hospital beds, ventilators, and health workers, we mapped and analysed resource distributions at province level to identify relative shortages, mismatches, and clustering of resources. We analysed inequalities in resource distribution using the Gini coefficient and Theil index. Results Three quarters of the Cambodian population and two thirds of the Laotian population live in relatively underserved provinces (those with resource densities in the lowest quintile across the region in relation to health workers, ventilators, and hospital beds. More than a quarter of the Thai population is relatively underserved for health workers and oseltamivir. Approximately one fifth of the Vietnamese population is underserved for beds and ventilators. All Cambodian provinces are underserved for at least one resource. In Lao PDR, 11 percent of the population is underserved by all four resource items. Of the four resources, ventilators and oseltamivir were most unequally distributed. Cambodia generally showed higher levels of inequalities in resource distribution compared to other countries. Decomposition of the Theil index suggests that inequalities result principally from

Geology in coal resource utilization

International Nuclear Information System (INIS)

Peters, D.C.

1991-01-01

The 37 papers in this book were compiled with an overriding theme in mind: to provide the coal industry with a comprehensive source of information on how geology and geologic concepts can be applied to the many facets of coal resource location, extraction, and utilization. The chapters have been arranged to address the major coal geology subfields of Exploration and Reserve Definition, Reserve Estimation, Coalbed Methane, Underground Coal Gasification, Mining, Coal Quality Concerns, and Environmental Impacts, with papers distributed on the basis of their primary emphasis. To help guide one through the collection, the author has included prefaces at the beginning of each chapter. They are intended as a brief lead-in to the subject of the chapter and an acknowledgement of the papers' connections to the subject and contributions to the chapter. In addition, a brief cross-reference section has been included in each preface to help one find papers of interest in other chapters. The subfields of coal geology are intimately intertwined, and investigations in one area may impact problems in another area. Some subfields tend to blur at their edges, such as with reserve definition and reserve estimation. Papers have been processed separately for inclusion on the data base

Geographic information system in marine biology: Way for sustainable utilization of living resources

Digital Repository Service at National Institute of Oceanography (India)

Chavan, V.S.; Sreepada, R.A.

Sustainable utilization of aquatic living resources needs accurate assessment. This stress the need for use of Geographic Information System (GIS). In the recent past interest has been generated for use of GIS in various areas of biological...

Electrostatic Beneficiation of Lunar Regolith: Applications in In-Situ Resource Utilization

Science.gov (United States)

Trigwell, Steve; Captain, James; Weis, Kyle; Quinn, Jacqueline

2011-01-01

Upon returning to the moon, or further a field such as Mars, presents enormous challenges in sustaining life for extended periods of time far beyond the few days the astronauts experienced on the moon during the Apollo missions. A stay on Mars is envisioned to last several months, and it would be cost prohibitive to take all the requirements for such a stay from earth. Therefore, future exploration missions will be required to be self-sufficient and utilize the resources available at the mission site to sustain human occupation. Such an exercise is currently the focus of intense research at NASA under the In-situ Resource Utilization (ISRU) program. As well as oxygen and water necessary for human life, resources for providing building materials for habitats, radiation protection, and landing/launch pads are required. All these materials can be provided by the regolith present on the surface as it contains sufficient minerals and metals oxides to meet the requirements. However, before processing, it would be cost effective if the regolith could be enriched in the mineral(s) of interest. This can be achieved by electrostatic beneficiation in which tribocharged mineral particles are separated out and the feedstock enriched or depleted as required. The results of electrostatic beneficiation of lunar simulants and actual Apollo regolith, in lunar high vacuum are reported in which various degrees of efficient particle separation and mineral enrichment up to a few hundred percent were achieved.

Resource utilization in surgery after the revision of surgical fee schedule in Japan.

Science.gov (United States)

Nakata, Yoshinori; Yoshimura, Tatsuya; Watanabe, Yuichi; Otake, Hiroshi; Oiso, Giichiro; Sawa, Tomohiro

2015-01-01

The purpose of this paper is to examine whether the current surgical reimbursement system in Japan reflects resource utilization after the revision of fee schedule in 2014. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30, 2014. The authors defined the decision-making unit as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of medical doctors who assisted surgery, and the time of operation from skin incision to closure. An output was defined as the surgical fee. The authors calculated surgeons' efficiency scores using data envelopment analysis. The efficiency scores of each surgical specialty were significantly different (p=0.000). This result demonstrates that the Japanese surgical reimbursement scales still fail to reflect resource utilization despite the revision of surgical fee schedule.

Utilization of wind energy in greater Hanover

International Nuclear Information System (INIS)

Sahling, U.

1993-01-01

Since the beginning of the Eighties, the association of communities of Greater Hanover has dealt intensively with energy and ecopolitical questions in the scope of regional planning. Renewable energy sources play a dominant role in this context. This brochure is the third contribution to the subject ''Energy policy and environmental protection''. Experts as well as possibly interested parties are addressed especially. For all 8 contributions contained, separate entries have been recorded in this database. (BWI) [de

Environmental impact of coal utilization (from raw material to waste resources): Proceedings

International Nuclear Information System (INIS)

Sahu, K.C.

1991-10-01

The proceedings contains 27 papers presented at the conference on environmental impact of coal utilization from raw material to waste resources which was held at the Indian Institute of Technology, Bombay, during 14-15 January 1991. The conference was held as a follow-up of the research project to study the impact of coal utilization. The project was undertaken jointly by the Indian Institute of Technology, Bombay and the University of Western Ontario, Canada. The project was funded by the International Development Research Centre, Ottawa (Canada). The principle themes of the conference were : occurrence of trace elements in coal, fate of trace elements during combustion of coal, characterisation of fly ash and its properties and utilization, and environmental impact of ash disposal. (M.G.B.)

Waste resources utilization program. Progress report, period ending 30 June 1975

International Nuclear Information System (INIS)

1975-08-01

Initial progress on the Waste Resources Utilization Program, a joint effort sponsored by ERDA and EPA under the terms of Interagency Agreement E(29-2)-3536/EPA-IAG-D5-0675 is reported. This program has as its objective the use of 134 Cs/ 137 Cs (a potential nuclear reactor ''waste resource'') as a gamma radiation source, coupled with modest heating, to treat sewage sludge (another ''waste resource'') to rid it of pathogenic organisms so that it may be safely used as a fertilizer or a feed supplement for ruminant animals. The potential exists for using at least 50 percent of the by-product cesium from future reactor fuel-rod reprocessing in this one application alone. Activities dealing with research on many aspects of the problem such as pathogen reduction, physical and chemical effects, cost benefit analysis, safety and security, and systems engineering are reported. (U.S.)

Resource potential of bamboo, challenges and future directions towards sustainable management and utilization in Ethiopia

Directory of Open Access Journals (Sweden)

Getachew Desalegn

2014-08-01

Full Text Available Aim of study: Bamboo, the fastest growing and high yielding perennial plant of the world has more than 1500 species and 1500 versatile socio-economic uses and ecological services. Ethiopia has two indigenous bamboo species namely Yushania alpina and Oxytenantheria abyssinica, covering about one million ha with a wide distribution. The objective of this paper is to highlight the potential of bamboo resources, challenges including biodeterioration damage, opportunities and future research directions towards its sustainable management and rational utilization.Area of study: Bamboo resources of EthiopiaMaterial and Methods: Reconnaissance survey was done to some parts of the bamboo growing potential areas in Ethiopia besides the literature review. Main results: The bamboo resource, despite its socio-economic and environmental benefits, currently, in most areas has been under high pressure due to land use changes, bamboo mass- flowering, poor processing with low value addition, and damage by biodeteriorating agents (termites, beetles and fungi. The preservative tests on Ethiopian bamboos revealed low natural durability and highlighted the paramount importance of appropriate protection measures such as Tanalith and vehicles used motor oil to increase durability, service life and rational utilization of bamboo-based products and structures as potential alternative construction and furniture material.Research highlights: Therefore, integrated research and development interventions involving different propagation and managements techniques, harvesting season, processing, value addition including proper seasoning and preservation technologies and marketing are recommended to fill the information and technological gaps on sustainable management and rational utilization of this fast growing and multipurpose bamboo resources in Ethiopia.Key words: Bamboo; challenges; management; socio-economic and environmental significance; utilization.

Optimal utilization of energy resources

Energy Technology Data Exchange (ETDEWEB)

Hudson, E. A.

1977-10-15

General principles that should guide the extraction of New Zealand's energy resources are presented. These principles are based on the objective of promoting the general economic and social benefit obtained from the use of the extracted fuel. For a single resource, the central question to be answered is, simply, what quantity of energy should be extracted in each year of the resource's lifetime. For the energy system as a whole the additional question must be answered of what mix of fuels should be used in any year. The analysis of optimal management of a single energy resource is specifically discussed. The general principles for optimal resource extraction are derived, and then applied to the examination of the characteristics of the optimal time paths of energy quantity and price; to the appraisal of the efficiency, in resource management, of various market structures; to the evaluation of various energy pricing policies; and to the examination of circumstances in which market organization is inefficient and the guidelines for corrective government policy in such cases.

Optimal utilization of energy resources

Energy Technology Data Exchange (ETDEWEB)

Hudson, E.A.

1977-10-15

General principles that should guide the extraction of New Zealand's energy resources are presented. These principles are based on the objective of promoting the general economic and social benefit obtained from the use of the extracted fuel. For a single resource, the central question to be answered is, simply, what quantity of energy should be extracted in each year of the resource's lifetime. For the energy system as a whole the additional question must be answered of what mix of fuels should be used in any year. The analysis of optimal management of a single energy resource is specifically discussed. The general principles for optimal resource extraction are derived, and then applied to the examination of the characteristics of the optimal time paths of energy quantity and price; to the appraisal of the efficiency, in resource management, of various market structures; to the evaluation of various energy pricing policies; and to the examination of circumstances in which market organization is inefficient and the guidelines for corrective government policy in such cases.

Sustainable and resource-conserving utilization of global land areas and biomass; Globale Landflaechen und Biomasse nachhaltig und ressourcenschonend nutzen

Energy Technology Data Exchange (ETDEWEB)

Jering, Almut; Klatt, Anne; Seven, Jan; Ehlers, Knut; Guenther, Jens; Ostermeier, Andreas; Moench, Lars

2012-10-15

The contribution under consideration reports on the state of the art of biomass based land use as well as on existing and future global development trends. An ecologically compatible and socially equitable utilization of resources as well as priorities in the production and utilization of biomass are described in order to achieve their goals. Approaches to action, measures and policy recommendations are presented with respect to the development of a globally sustainable, resource-conserving utilization of land.

International Comparison of Water Resources Utilization Efficiency in the Silk Road Economic Belt

Science.gov (United States)

Yan, Long; Ma, Jing; Deng, Wei; Wang, Yong

2018-03-01

In order to get knowledge of the standard of water utilization of the Silk Road Economic Belt from international point of view, the paper analyzes the annual variation of water resources utilization in the Silk Road Economic Belt, and compares with other typical countries. The study shows that Water resources utilization efficiency has been greatly improved in recent 20 years and the water consumption per USD 10000 of GDP has been declined 87.97%. the improvement of industrial water consumption efficiency is the key driving factors for substantial decrease in water consumption.The comparison of water utilization and human development shows that the higher HDI the country is, the more efficient water utilization the country has. water consumption per USD 10000 of GDP in country with HDI>0.9 is 194m³, being 8.5% of that in country with HDI from 0.5 to 0.6. On the premise of maintaining the stable economic and social development of the Silk Road Economic Belt, the realization of the control target of total water consumption must depend on the strict control over the disorderly expansion of irrigated area, the change in the mode of economic growth, the implementation of the development strategy for new industrialization and urbanization, vigorous development of the processing industry with low water consumption as well as the high-tech and high value-added industry. Only in this way, the control target of total water consumption can be realized in the process of completing the industrialization task.

A Delphi study assessing the utility of quality improvement tools and resources in Australian primary care.

Science.gov (United States)

Upham, Susan J; Janamian, Tina; Crossland, Lisa; Jackson, Claire L

2016-04-18

To determine the relevance and utility of online tools and resources to support organisational performance development in primary care and to complement the Primary Care Practice Improvement Tool (PC-PIT). A purposively recruited Expert Advisory Panel of 12 end users used a modified Delphi technique to evaluate 53 tools and resources identified through a previously conducted systematic review. The panel comprised six practice managers and six general practitioners who had participated in the PC-PIT pilot study in 2013-2014. Tools and resources were reviewed in three rounds using a standard pre-tested assessment form. Recommendations, scores and reasons for recommending or rejecting each tool or resource were analysed to determine the final suite of tools and resources. The evaluation was conducted from November 2014 to August 2015. Recommended tools and resources scored highly (mean score, 16/20) in Rounds 1 and 2 of review (n = 25). These tools and resources were perceived to be easily used, useful to the practice and supportive of the PC-PIT. Rejected resources scored considerably lower (mean score, 5/20) and were noted to have limitations such as having no value to the practice and poor utility (n = 6). A final review (Round 3) of 28 resources resulted in a suite of 21 to support the elements of the PC-PIT. This suite of tools and resources offers one approach to supporting the quality improvement initiatives currently in development in primary care reform.

Energy Resource Planning. Optimal utilization of energy resources

International Nuclear Information System (INIS)

Miclescu, T.; Domschke, W.; Bazacliu, G.; Dumbrava, V.

1996-01-01

For a thermal power plants system, the primary energy resources cost constitutes a significant percentage of the total system operational cost. Therefore a small percentage saving in primary energy resource allocation cost for a long term, often turns out to be a significant monetary value. In recent years, with a rapidly changing fuel supply situation, including the impact of energy policies changing, this area has become extremely sensitive. Natural gas availability has been restricted in many areas, coal production and transportation cost have risen while productivity has decreased, oil imports have increased and refinery capacity failed to meet demand. The paper presents a mathematical model and a practical procedure to solve the primary energy resource allocation. The objectives is to minimise the total energy cost over the planning period subject to constraints with regards to primary energy resource, transportation and energy consumption. Various aspects of the proposed approach are discussed, and its application to a power system is illustrated.(author) 2 figs., 1 tab., 3 refs

Understanding utility regulation : a participants' guide to the British Columbia Utilities Commission

International Nuclear Information System (INIS)

1996-10-01

Information regarding British Columbia's regulated energy industries is presented with particular emphasis on the regulatory functions of the British Columbia Utilities Commission (BCUC). The objective of providing the information is to make the regulatory process as transparent as possible and to make it easy for ratepayers to effectively and economically participate in the regulation of energy utilities. The issue of why electricity and natural gas utilities are regulated is addressed, but the greater part of the report is devoted to describing opportunities for public participation at the BCUC, explaining how to get involved in the Commission's proceedings and the nature of the hearings used by the Commission. An introduction to rate making is also presented, along with an overview of other institutions involved in energy regulation. Appendices contain the text of the Utilities Commission Act (App. A), the Negotiated Settlement Process Policy, Procedures and Guidelines (App. B), Participant Funding and Cost Awards (App. C), and the Integrated Resource Planning Guide (App. D). tabs., figs., 4 appendices

Daily Migraine Prevention and Its Influence on Resource Utilization in the Military Health System

Science.gov (United States)

2006-08-01

Connection Between Prevention and Resource Use .....................17 Synthesis of Literature Review...Utilization ..................................26 Treatment Evaluation with Observational Designs .........................31 Synthesis of Conceptual...amitriptyline atenolol cyproheptadine methysergide carbamazepine divalproex fluoxetine bupropion clomipramine propranolol gabapentin diltiazem

The development of landscape-scale ecological units and their application to the greater Huachuca Mountains fire planning process

Science.gov (United States)

Larry E. Laing; David Gori; James T. Jones

2005-01-01

The multi-partner Greater Huachuca Mountains fire planning effort involves over 500,000 acres of public and private lands. This large area supports distinct landscapes that have evolved with fire. Utilizing GIS as a tool, the United States Forest Service (USFS), General Ecosystem Survey (GES), and Natural Resources Conservation Service (NRCS) State Soil Geographic...

Smart City: Utilization of IT resources to encounter natural disaster

Science.gov (United States)

Hartama, D.; Mawengkang, Herman; Zarlis, M.; Sembiring, R. W.

2017-09-01

This study proposes a framework for the utilization of IT resources in the face of natural disasters with the concept of Smart City in urban areas, which often face the earthquake, particularly in the city of North Sumatra and Aceh. Smart City is a city that integrates social development, capital, civic participation, and transportation with the use of information technology to support the preservation of natural resources and improved quality of life. Changes in the climate and environment have an impact on the occurrence of natural disasters, which tend to increase in recent decades, thus providing socio-economic impacts for the community. This study suggests a new approach that combines the Geographic Information System (GIS) and Mobile IT-based Android in the form of Geospatial information to encounter disaster. Resources and IT Infrastructure in implementing the Smart Mobility with Mobile service can make urban areas as a Smart City. This study describes the urban growth using the Smart City concept and considers how a GIS and Mobile Systems can increase Disaster Management, which consists of Preparedness, mitigation, response, and recovery for recovery from natural disasters.

In-Situ Resource Utilization for further exploration of the Moon

Science.gov (United States)

Thakore, B.; Pohajsky, S.

In-Situ Resource Utilization ISRU is the concept of living off the land Initially proposed in the mid 20th Century many experts have suggested that ISRU is an important enabler for the expansion of humanity beyond the confines of limited resources on Earth However even today ISRU remains a relatively underdeveloped and under--demonstrated in current exploration roadmaps This paper summarizes the proposals of an interdisciplinary study carried out by 27 students from 17 different countries at the International Space University The study reviewed the past and present ISRU techniques and related robotic technologies in the context of complementing the Moon and Mars exploration scenarios of the major space faring countries The economic viability and benefits of ISRU are examined together with the regulatory ethical and cultural aspects of space resource utilisation The renewed opportunities for moon exploration have rekindled interest in ISRU as an enabling technology It is important to assess both the tangible and intangible benefits of this technology in order to evaluate the technical and economic feasibility of adopting it in support of human exploration of the Moon Mars and beyond

Application of Resource Utilization in Dementia (RUD) instrument in a global setting.

Science.gov (United States)

Wimo, Anders; Gustavsson, Anders; Jönsson, Linus; Winblad, Bengt; Hsu, Ming-Ann; Gannon, Brenda

2013-07-01

The Resource Utilization in Dementia (RUD) questionnaire is the most widely used instrument for resource use data collection in dementia, enabling comparison of costs of care across countries with differing health care provisions. Recent feedback from payers questioned its face validity given that health care provisions have changed since the initial development of the RUD in 1998. The aim of this study was to update the RUD to improve its face validity in Alzheimer's disease (AD) clinical research and its utility for health care resource allocation. An extensive PubMed review was conducted of current relevant resource items in AD in 15 countries. The findings were complemented by interviews with local care providers and experts in dementia care and health economics. Their proposed revisions were discussed with five leading dementia experts in North and South America, northern and southern Europe, and Asia. A new version of the RUD was developed based on their recommendations. RUD users identified a need for more information relevant to coverage decisions. Proposed revisions included changes to existing questions (e.g., to capture more accurately the number and type of health care visits) and the addition of new questions (e.g., on informal caregiver hours and the primary caregiver's hours of sleep). Several minor changes were made to the RUD instrument to improve the accuracy and precision of the data while maintaining comparability with the original version and reflecting current medical practice. The RUD Complete Version 4.0 is now available for use in future AD clinical trials. Copyright © 2013 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

Evaluation model of wind energy resources and utilization efficiency of wind farm

Science.gov (United States)

Ma, Jie

2018-04-01

Due to the large amount of abandoned winds in wind farms, the establishment of a wind farm evaluation model is particularly important for the future development of wind farms In this essay, consider the wind farm's wind energy situation, Wind Energy Resource Model (WERM) and Wind Energy Utilization Efficiency Model(WEUEM) are established to conduct a comprehensive assessment of the wind farm. Wind Energy Resource Model (WERM) contains average wind speed, average wind power density and turbulence intensity, which assessed wind energy resources together. Based on our model, combined with the actual measurement data of a wind farm, calculate the indicators using the model, and the results are in line with the actual situation. We can plan the future development of the wind farm based on this result. Thus, the proposed establishment approach of wind farm assessment model has application value.

Workplace productivity, employment issues, and resource utilization in patients with bipolar I disorder.

Science.gov (United States)

McMorris, Barbara J; Downs, Kristen E; Panish, Jessica M; Dirani, Riad

2010-03-01

To collect workplace productivity and healthcare utilization data from subjects with bipolar I disorder and compare the results with those from normative subjects. A cross sectional survey was administered to patients and recruiting physicians. Data collected included employment status, Endicott Workplace Productivity Scale (EWPS) results, healthcare resource utilization, and quality-of-life. In comparison with normative subjects, bipolar I subjects reported lower levels of work productivity (measured by the EWPS). Bipolar I subjects also reported more frequent outpatient visits and more prescribed pharmaceuticals. Bipolar I subjects were more likely to miss work, have worked reduced hours due to medical or mental health issues, receive disability payments, been involved in a crime, be uninsured or covered by Medicare, or have been fired or laid off. The study groups were age- and gender-matched to reduce the impact of selection bias associated with a non-randomized study design. Other potential limitations affecting the results of the study include recall bias and possibly an impact of different data collection methods (e.g. Internet versus telephone). Bipolar I disorder is associated with a negative effect on work productivity and resource utilization and is an appropriate disease management target for employers and healthcare decision makers.

An outlook of Malaysian energy, oil palm industry and its utilization of wastes as useful resources

International Nuclear Information System (INIS)

Sulaiman, F.; Abdullah, N.; Gerhauser, H.; Shariff, A.

2011-01-01

Malaysia has an abundance of energy resources, both renewable and non-renewable. The largest non-renewable energy resource found in Malaysia is oil, and second, is natural gas, primarily liquefied natural gas. The production and consumption of oil, gas and coal in Malaysia are given in this paper. The energy demand and supply by source are also shown in relation to the country's fuel diversification policy. In order to reduce the overall dependence on a single source of energy, efforts were undertaken to encourage the utilization of renewable resources. Forest residue and oil palm biomass are found to be potentially of highest energy value and considered as the main renewable energy option for Malaysia. Palm oil and related products represent the second largest export of Malaysia. The total oil palm planted area in Malaysia has increased significantly in recent years. This paper gives a detailed representation of oil palm planted and produced together with its yield from the year 1976 onwards. The large amounts of available forest and palm oil residues resulting from the harvest can be utilized for energy generation and other by-products in a manner that also addresses environmental concerns related to current waste disposal methods. -- Highlights: →Palm oil and related products represent the second largest export of Malaysia. →Malaysia has an abundance of energy resources, both renewable and non-renewable. →Forest and oil palm residues are the main renewable energy option for Malaysia. →Efforts were undertaken to encourage the utilization of renewable resources.

Information security becoming a priority for utilities

Energy Technology Data Exchange (ETDEWEB)

Nicolaides, S. [Numerex, Atlanta, GA (United States)

2009-10-15

As part of North America's national critical infrastructure, utilities are finding themselves at the forefront of a security issue. In October 2007, a leading security service provider reported a 90 per cent increase in the number of hackers attempting to attack its utility clients in just one year. Utilities are vulnerable to cyber attacks that could disrupt power production and the transmission system. This article discussed the need for intelligent technologies in securely enabling resource management and operational efficiency of the utilities market. It discussed the unique security challenges that utilities face at a time of greater regulatory activity, heightened environmental concerns, tighter data security requirements and an increasing need for remote monitoring and control. A new tool has emerged for cyber security in the form of an international standard that may offer a strong guideline to work toward 11 security domains. These include security policy; organization of information security; asset management; human resources security; physical and environmental security; communications and operations management; access control; information systems acquisition; development and maintenance; information security incident management; business continuity management; and compliance. 2 figs.

Effects of adjusting cropping systems on utilization efficiency of climatic resources in Northeast China under future climate scenarios

Science.gov (United States)

Guo, Jianping; Zhao, Junfang; Xu, Yanhong; Chu, Zheng; Mu, Jia; Zhao, Qian

Quantitatively evaluating the effects of adjusting cropping systems on the utilization efficiency of climatic resources under climate change is an important task for assessing food security in China. To understand these effects, we used daily climate variables obtained from the regional climate model RegCM3 from 1981 to 2100 under the A1B scenario and crop observations from 53 agro-meteorological experimental stations from 1981 to 2010 in Northeast China. Three one-grade zones of cropping systems were divided by heat, water, topography and crop-type, including the semi-arid areas of the northeast and northwest (III), the one crop area of warm-cool plants in semi-humid plain or hilly regions of the northeast (IV), and the two crop area in irrigated farmland in the Huanghuaihai Plain (VI). An agro-ecological zone model was used to calculate climatic potential productivities. The effects of adjusting cropping systems on climate resource utilization in Northeast China under the A1B scenario were assessed. The results indicated that from 1981 to 2100 in the III, IV and VI areas, the planting boundaries of different cropping systems in Northeast China obviously shifted toward the north and the east based on comprehensively considering the heat and precipitation resources. However, due to high temperature stress, the climatic potential productivity of spring maize was reduced in the future. Therefore, adjusting the cropping system is an effective way to improve the climatic potential productivity and climate resource utilization. Replacing the one crop in one year model (spring maize) by the two crops in one year model (winter wheat and summer maize) significantly increased the total climatic potential productivity and average utilization efficiencies. During the periods of 2011-2040, 2041-2070 and 2071-2100, the average total climatic potential productivities of winter wheat and summer maize increased by 9.36%, 11.88% and 12.13% compared to that of spring maize

Blood transfusion is associated with infection and increased resource utilization in combat casualties.

Science.gov (United States)

Dunne, James R; Riddle, Mark S; Danko, Janine; Hayden, Rich; Petersen, Kyle

2006-07-01

Combat casualty care has made significant advances in recent years, including administration of blood products in far-forward locations. However, recent studies have shown blood transfusion to be a significant risk factor for infection and increased resource utilization in critically injured patients. We therefore sought to investigate the incidence of blood transfusion and its association with infection and resource utilization in combat casualties. Prospective data were collected and retrospectively reviewed on 210 critically injured patients admitted to the USNS Comfort over a 7-week period during the 2003 assault phase of Operation Iraqi Freedom. Patients were stratified by age, gender, and injury severity score (ISS). Multivariate regression analyses were used to assess blood transfusion and hematocrit (HCT) as independent risk factors for infection and intensive care unit (ICU) admission controlling for age, gender, and ISS. The study cohort had a mean age of 30 +/- 2 years, a mean ISS of 14 +/- 3, 84 per cent were male, and 88 per cent sustained penetrating trauma. Blood transfusion was required in 44 per cent (n = 93) of the study cohort. Transfused patients had a higher ISS (18 +/- 4 vs. 10 +/- 3, P transfused. Patients receiving blood transfusion had an increased infection rate (69% vs. 18%, P transfused and nontransfused patients. Multivariate binomial regression analysis identified blood transfusion and HCT as independent risk factors for infection (P blood transfusion as an independent risk factor for ICU admission (P blood transfusion. Blood transfusion is an independent risk factor for infection and increased resource utilization. Therefore, consideration should be given to the use of alternative blood substitutes and recombinant human erythropoietin in the treatment and management of combat casualties.

Research on the coordination framework for water resources utilization on the interests of mutual compensation in Lancang-Mekong River

Science.gov (United States)

Wang, Y.; Fang, D., VI; Xu, J.; Dong, Q.

2017-12-01

The Lancang-Mekong River is an important international river, cascaded hydropower stations development in which attracts the attention of downstream countries. In this paper, we proposed a coordination framework for water resources utilization on the interests of mutual compensation to relieve the conflict of upstream and downstream countries. Firstly, analyze the benefits and risks caused by the cascaded hydropower stations development and the evolution process of water resources use conflict between upstream and downstream countries. Secondly, evaluate the benefits and risks of flood control, water supply, navigation and power generation based on the energy theory of cascaded hydropower stations development in Lancang-Mekong River. Thirdly, multi-agent cooperation motivation and cooperation conditions between upstream and downstream countries in Lancang-Mekong River is given. Finally, the coordination framework for water resources utilization on the interests of mutual compensation in Lancang-Mekong River is presented. This coordination framework for water resources utilization can increase comprehensive benefits in Lancang-Mekong River.

Resource Utilization by Native and Invasive Earthworms and Their Effects on Soil Carbon and Nitrogen Dynamics in Puerto Rican Soils

Directory of Open Access Journals (Sweden)

Ching-Yu Huang

2016-11-01

Full Text Available Resource utilization by earthworms affects soil C and N dynamics and further colonization of invasive earthworms. By applying 13C-labeled Tabebuia heterophylla leaves and 15N-labeled Andropogon glomeratus grass, we investigated resource utilization by three earthworm species (invasive endogeic Pontoscolex corethrurus, native anecic Estherella sp, and native endogeic Onychochaeta borincana and their effects on soil C and N dynamics in Puerto Rican soils in a 22-day laboratory experiment. Changes of 13C/C and 15N/N in soils, earthworms, and microbial populations were analyzed to evaluate resource utilization by earthworms and their influences on C and N dynamics. Estherella spp. utilized the 13C-labeled litter; however, its utilization on the 13C-labeled litter reduced when cultivated with P. corethrurus and O. borincana. Both P. corethrurus and O. borincana utilized the 13C-labeled litter and 15C-labeled grass roots and root exudates. Pontoscolex corethrurus facilitated soil respiration by stimulating 13C-labeled microbial activity; however, this effect was suppressed possibly due to the changes in the microbial activities or community when coexisting with O. borincana. Increased soil N mineralization by individual Estherella spp. and O. borincana was reduced in the mixed-species treatments. The rapid population growth of P. corethrurus may increase competition pressure on food resources on the local earthworm community. The relevance of resource availability to the population growth of P. corethrurus and its significance as an invasive species is a topic in need of future research.

UTILIZATION OF SECONDARY COMBUSTIBLE POWER RESOURCES FOR PRODUCTION OF MUNICIPAL AND HOUSEHOLD FUEL

Directory of Open Access Journals (Sweden)

N. I. Berezovsky

2005-01-01

Full Text Available The paper shows an advantage to utilize secondary power resources (lignin, wastes of fine coal with its dressing, sawdust in mixture with local types of fuel (peat in order to fulfill power supply purpose, namely: obtaining hot water in boilers of small capacity and obtaining household fuel.

Study benefit value of utilization water resources for energy and sustainable environment

Science.gov (United States)

Juniah, Restu; Sastradinata, Marwan

2017-11-01

Referring to the concept of sustainable development, the environment is said to be sustainable if the fulfillment of three pillars of development that is economic, social and ecological or the environment itself. The environment can sustained in the principle of ecology or basic principles of environmental science, when the three environmental components, namely the natural environment, the artificial environment (the built environment) and the social environment can be aligned for sustainability. The natural environment in this study is the water resources, the artificial environment is micro hydroelectric power generation (MHPG), and the social environment is the community living around the MHPG. The existence of MHPG is intended for the sustainability of special electrical energy for areas not yet reached by electricity derived from the state electricity company (SEC). The utilization of MHPG Singalaga in South Ogan Komering Ulu (OKUS) district is not only intended for economic, ecological, and social sustainability in Southern OKU district especially those who live in Singalaga Village, Kisam Tinggi District. This paper discusses the economic, ecological and social benefits of water resources utilization in Southern OKU District for MHPG Singalaga. The direct economic benefits that arise for people living around MHPG Singalaga is the cost incurred by the community for the use of electricity is less than if the community uses electricity coming from outside the MHPG. The cost to society in the form of dues amounting to IDR 15,000 a month / household. Social benefits with the absorption of manpower to manage the MHPG is chairman, secretary and 3 members, while the ecological benefits of water resources and sustainable energy as well as the community while maintaining the natural vegetation that is located around the MHPG for the continuity of water resources.

Low self-esteem elicits greater mobilization of attentional resources toward emotional stimuli.

Science.gov (United States)

Li, Haijiang; Yang, Juan

2013-08-26

Previous findings are generally consistent with the notion that individuals with low self-esteem tends to easily orient their attention on negative stimuli. The main objective of the present study was to further investigate the time course of attention deployment to positive (happy) and negative (angry) facial expressions in visual probe task using event-related potentials (ERP) technology in 15 high versus 15 low self-esteem participants while they viewed pairs of faces (e.g., happy face paired with neutral face or angry face paired with neutral face) shown for 500 ms and followed by a probe. Behavioral results showed that individuals with low self-esteem simply had faster manual reaction times on the entire task. ERP results showed that individuals with low self-esteem, but not high self-esteem, displayed increased P1 and N1 activity to both happy and angry facial expression. These findings suggest that emotional stimuli (angry faces and happy faces) elicited greater mobilization of attentional resources in individuals with low self-esteem. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Assessment of Outreach by a Regional Burn Center: Could Referral Criteria Revision Help with Utilization of Resources?

Science.gov (United States)

Carter, Nicholas H; Leonard, Clint; Rae, Lisa

2018-02-20

The objectives of this study were to identify trends in preburn center care, assess needs for outreach and education efforts, and evaluate resource utilization with regard to referral criteria. We hypothesized that many transferred patients were discharged home after brief hospitalizations and without need for operation. Retrospective chart review was performed for all adult and pediatric transfers to our regional burn center from July 2012 to July 2014. Details of initial management including TBSA estimation, fluid resuscitation, and intubation status were recorded. Mode of transport, burn center length of stay, need for operation, and in-hospital mortality were analyzed. In two years, our burn center received 1004 referrals from other hospitals including 713 inpatient transfers. Within this group, 621 were included in the study. Among transferred patients, 476 (77%) had burns less than 10% TBSA, 69 (11%) had burns between 10-20% TBSA, and 76 (12%) had burns greater than 20% TBSA. Referring providers did not document TBSA for 261 (42%) of patients. Among patients with less than 10% TBSA burns, 196 (41%) received fluid boluses. Among patients with TBSA < 10%, 196 (41%) were sent home from the emergency department or discharged within 24 hours, and an additional 144 (30%) were discharged within 48 hours. Overall, 187 (30%) patients required an operation. In-hospital mortality rates were 1.5% for patients who arrived by ground transport, 14.9% for rotor wing transport, and 18.2% for fixed wing transport. Future education efforts should emphasize the importance of calculating TBSA to guide need for fluid resuscitation and restricting fluid boluses to patients that are hypotensive. Clarifying the American Burn Association burn center referral criteria to distinguish between immediate transfer vs outpatient referral may improve patient care and resource utilization.

Results from utility wind resource assessment programs in Nebraska, Colorado, and Arizona

Energy Technology Data Exchange (ETDEWEB)

Drapeau, C.L. [Global Energy Concepts, Inc., Bothell, WA (United States)

1997-12-31

Global Energy Concepts (GEC) has been retained by utilities in Colorado, Nebraska, and Arizona to site, install, and operate 21 wind monitoring stations as part of the Utility Wind Resource Assessment Program (U*WRAP). Preliminary results indicate wind speed averages at 40 meters (132 ft) of 6.5 - 7.4 m/s (14.5-16.5 mph) in Nebraska and 7.6 - 8.9 m/s (17.0-19.9 mph) in Colorado. The Arizona stations are not yet operational. This paper presents the history and current status of the 21 monitoring stations as well as preliminary data results. Information on wind speeds, wind direction, turbulence intensity, wind shear, frequency distribution, and data recovery rates are provided.

Resource utilization in home health care: results of a prospective study.

Science.gov (United States)

Trisolini, M G; Thomas, C P; Cashman, S B; Payne, S M

1994-01-01

Resource utilization in home health care has become an issue of concern due to rising costs and recent initiatives to develop prospective payment systems for home health care. A number of issues remain unresolved for the development of prospective reimbursement in this sector, including the types of variables to be included as payment variables and appropriate measures of resource use. This study supplements previous work on home health case-mix by analyzing the factors affecting one aspect of resource use for skilled nursing visits--visit length--and explores the usefulness of several specially collected variables which are not routinely available in administrative records. A data collection instrument was developed with a focus group of skilled nurses, identifying a range of variables hypothesized to affect visit length. Five categories of variables were studied using multiple regression analysis: provider-related; patient's socio-economic status; patient's clinical status; patient's support services; and visit-specific. The final regression model identifies 9 variables which significantly affect visit time. Five of the 9 are visit-specific variables, a significant finding since these are not routinely collected. Case-mix systems which include visit time as a measure of resource use will need to investigate visit-specific variables, as this study indicates they could have the largest influence on visit time. Two other types of resources used in home health care, supplies and security drivers, were also investigated in less detail.

Promoting Early Brain and Child Development: Perceived Barriers and the Utilization of Resources to Address Them.

Science.gov (United States)

Garner, Andrew S; Storfer-Isser, Amy; Szilagyi, Moira; Stein, Ruth E K; Green, Cori M; Kerker, Bonnie D; O'Connor, Karen G; Hoagwood, Kimberly E; McCue Horwitz, Sarah

Efforts to promote early brain and child development (EBCD) include initiatives to support healthy parent-child relationships, tools to identify family social-emotional risk factors, and referrals to community programs to address family risk factors. We sought to examine if pediatricians perceive barriers to implementing these activities, and if they utilize resources to address those barriers. Data were analyzed from 304 nontrainee pediatricians who practice general pediatrics and completed a 2013 American Academy of Pediatrics Periodic Survey. Sample weights were used to decrease nonresponse bias. Bivariate comparisons and multivariable regression analyses were conducted. At least half of the pediatricians agreed that barriers to promoting EBCD include: a lack of tools to promote healthy parent-child relationships, a lack of tools to assess the family environment for social-emotional risk factors, and a lack of local resources to address family risks. Endorsing a lack of tools to assess the family environment as a barrier was associated with using fewer screening tools and community resources. Endorsing a lack of local resources as a barrier was associated with using fewer community resources and fewer initiatives to promote parent-child relationships. Interest in pediatric mental health was associated with using more initiatives to promote healthy parent-child relationships, screening tools, and community resources. Although the majority of pediatricians perceive barriers to promoting EBCD, few are routinely using available resources to address these barriers. Addressing pediatricians' perceived barriers and encouraging interest in pediatric mental health may increase resource utilization and enhance efforts to promote EBCD. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Estimating the Value of Improved Distributed Photovoltaic Adoption Forecasts for Utility Resource Planning

Energy Technology Data Exchange (ETDEWEB)

Gagnon, Pieter [National Renewable Energy Lab. (NREL), Golden, CO (United States); Barbose, Galen L. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Stoll, Brady [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ehlen, Ali [National Renewable Energy Lab. (NREL), Golden, CO (United States); Zuboy, Jarret [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mills, Andrew D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2018-05-15

Misforecasting the adoption of customer-owned distributed photovoltaics (DPV) can have operational and financial implications for utilities; forecasting capabilities can be improved, but generally at a cost. This paper informs this decision-space by using a suite of models to explore the capacity expansion and operation of the Western Interconnection over a 15-year period across a wide range of DPV growth rates and misforecast severities. The system costs under a misforecast are compared against the costs under a perfect forecast, to quantify the costs of misforecasting. Using a simplified probabilistic method applied to these modeling results, an analyst can make a first-order estimate of the financial benefit of improving a utility’s forecasting capabilities, and thus be better informed about whether to make such an investment. For example, under our base assumptions, a utility with 10 TWh per year of retail electric sales who initially estimates that DPV growth could range from 2% to 7.5% of total generation over the next 15 years could expect total present-value savings of approximately $4 million if they could reduce the severity of misforecasting to within ±25%. Utility resource planners can compare those savings against the costs needed to achieve that level of precision, to guide their decision on whether to make an investment in tools or resources.

Preface: Terrestrial Fieldwork to Support in situ Resource Utilization (ISRU) and Robotic Resource Prospecting for Future Activities in Space

Science.gov (United States)

Sanders, Gerald B.

2015-05-01

Finding, extracting, and using resources at the site of robotic and human exploration activities holds the promise of enabling sustainable and affordable exploration of the Moon, Mars, and asteroids, and eventually allow humans to expand their economy and habitation beyond the surface of the Earth. Commonly referred to as in situ Resource Utilization (ISRU), mineral and volatile resources found in space can be converted into oxygen, water, metals, fuels, and manufacturing and construction materials (such as plastics and concrete) for transportation, power, life support, habitation construction, and part/logistics manufacturing applications. For every kilogram of payload landed on the surface of the Moon or Mars, 7.5-11 kg of payload (mostly propellant) needs to be launched into low Earth orbit. Therefore, besides promising long-term self-sufficiency and infrastructure growth, ISRU can provide significant reductions in launch costs and the number of launches required. Key to being able to use space resources is knowing where they are located, how much is there, and how the resources are distributed. While ISRU holds great promise, it has also never been demonstrated in an actual space mission. Therefore, operations and hardware associated with each ISRU prospecting, excavation, transportation, and processing step must be examined, tested, and finally integrated to enable the end goal of using space resources in future human space missions.

Industrial Consortium for the Utilization of the Geopressured-Geothermal Resource. Volume 2

Energy Technology Data Exchange (ETDEWEB)

Negus-deWys, J. (ed.)

1990-03-01

The Geopressured-Geothermal Program, now in its fifteenth year, is entering the transition period to commercial use. The industry cost-shared proposals to the consortium, represented in the presentations included in these proceedings, attest to the interest developing in the industrial community in utilizing the geopressured-geothermal resource. Sixty-five participants attended these sessions, two-thirds of whom represented industry. The areas represented by cost-shared proposals include (1) thermal enhanced oil recovery, (2) direct process use of thermal energy, e.g., aquaculture and agriculture, (3) conversion of thermal energy to electricity, (4) environment related technologies, e.g., use of supercritical processes, and (5) operational proposals, e.g., a field manual for scale inhibitors. It is hoped that from this array of potential use projects, some will persist and be successful in proving the viability of using the geopressured-geothermal resource. Such industrial use of an alternative and relatively clean energy resource will benefit our nation and its people.

Progress report Waste Resources Utilization Program period ending March 31, 1976

International Nuclear Information System (INIS)

1976-06-01

This report describes the work on the Waste Resources Utilization Program for the quarter ending March 31, 1976. The purpose of this program is to develop technologies to utilize a 137 Cs γ source to modify sewage sludge for safe application as a fertilizer or an animal feed supplement. Results are reported from studies in microbiology, virology, and physical-chemical studies. Determinations were made of inactivation rates for Salmonella species, coliforms, and fecal strep in sewage sludge when radiation and thermoradiation were applied while bubbling oxygen through the sludge. Virology studies were continued investigating virucidal characteristics of anaerobically digested sludge. Another area of study was the dewatering of sewage sludge to reduce the drying time of the sewage sludge in the drying beds. A centrifuge was also installed to dewater treated sludge to approximately 30 percent solids

High School Administrative Staffing in Washington State: Principal Perspectives on Resource Needs and Utilization

Science.gov (United States)

Steach, John C.

2011-01-01

This mixed methods study explored how high school principals prioritize their work and utilize available human resources to adjust to inadequate administrative staffing. Analysis of staffing levels across the state of Washington and specifically inside two eastern Washington districts framed interview questions for central office administration…

Sustainable Utilization of Traditional Chinese Medicine Resources: Systematic Evaluation on Different Production Modes

Directory of Open Access Journals (Sweden)

Xiwen Li

2015-01-01

Full Text Available The usage amount of medicinal plant rapidly increased along with the development of traditional Chinese medicine industry. The higher market demand and the shortage of wild herbal resources enforce us to carry out large-scale introduction and cultivation. Herbal cultivation can ease current contradiction between medicinal resources supply and demand while they bring new problems such as pesticide residues and plant disease and pests. Researchers have recently placed high hopes on the application of natural fostering, a new method incorporated herbal production and diversity protecting practically, which can solve the problems brought by artificial cultivation. However no modes can solve all problems existing in current herbal production. This study evaluated different production modes including cultivation, natural fostering, and wild collection to guide the traditional Chinese medicine production for sustainable utilization of herbal resources.

Effectiveness of trauma team on medical resource utilization and quality of care for patients with major trauma.

Science.gov (United States)

Wang, Chih-Jung; Yen, Shu-Ting; Huang, Shih-Fang; Hsu, Su-Chen; Ying, Jeremy C; Shan, Yan-Shen

2017-07-24

Trauma is one of the leading causes of death in Taiwan, and its medical expenditure escalated drastically. This study aimed to explore the effectiveness of trauma team, which was established in September 2010, on medical resource utilization and quality of care among major trauma patients. This was a retrospective study, using trauma registry data bank and inpatient medical service charge databases. Study subjects were major trauma patients admitted to a medical center in Tainan during 2009 and 2013, and was divided into case group (from January, 2011 to August, 2013) and comparison group (from January, 2009 to August, 2010). Significant reductions in several items of medical resource utilization were identified after the establishment of trauma team. In the sub-group of patients who survived to discharge, examination, radiology and operation charges declined significantly. The radiation and examination charges reduced significantly in the subcategories of ISS = 16 ~ 24 and ISS > 24 respectively. However, no significant effectiveness on quality of care was identified. The establishment of trauma team is effective in containing medical resource utilization. In order to verify the effectiveness on quality of care, extended time frame and extra study subjects are needed.

A composite efficiency metrics for evaluation of resource and energy utilization

International Nuclear Information System (INIS)

Yang, Siyu; Yang, Qingchun; Qian, Yu

2013-01-01

Polygeneration systems are commonly found in chemical and energy industry. These systems often involve chemical conversions and energy conversions. Studies of these systems are interdisciplinary, mainly involving fields of chemical engineering, energy engineering, environmental science, and economics. Each of these fields has developed an isolated index system different from the others. Analyses of polygeneration systems are therefore very likely to provide bias results with only the indexes from one field. This paper is motivated from this problem to develop a new composite efficiency metrics for polygeneration systems. This new metrics is based on the second law of thermodynamics, exergy theory. We introduce exergy cost for waste treatment as the energy penalty into conventional exergy efficiency. Using this new metrics could avoid the situation of spending too much energy for increasing production or paying production capacity for saving energy consumption. The composite metrics is studied on a simplified co-production process, syngas to methanol and electricity. The advantage of the new efficiency metrics is manifested by comparison with carbon element efficiency, energy efficiency, and exergy efficiency. Results show that the new metrics could give more rational analysis than the other indexes. - Highlights: • The composite efficiency metric gives the balanced evaluation of resource utilization and energy utilization. • This efficiency uses the exergy for waste treatment as the energy penalty. • This efficiency is applied on a simplified co-production process. • Results show that the composite metrics is better than energy efficiencies and resource efficiencies

Solar System Exploration Augmented by In-Situ Resource Utilization: Human Planetary Base Issues for Mercury and Saturn

Science.gov (United States)

Palaszewski, Bryan A.

2017-01-01

Human and robotic missions to Mercury and Saturn are presented and analyzed with a range of propulsion options. Historical studies of space exploration, planetary spacecraft, and astronomy, in-situ resource utilization (ISRU), and industrialization all point to the vastness of natural resources in the solar system. Advanced propulsion benefitted from these resources in many ways. While advanced propulsion systems were proposed in these historical studies, further investigation of nuclear options using high power nuclear thermal and nuclear pulse propulsion as well as advanced chemical propulsion can significantly enhance these scenarios. Updated analyses based on these historical visions are presented. Nuclear thermal propulsion and ISRU enhanced chemical propulsion landers are assessed for Mercury missions. At Saturn, nuclear pulse propulsion with alternate propellant feed systems and Saturn moon exploration with chemical propulsion and nuclear electric propulsion options are discussed. Issues with using in-situ resource utilization on Mercury missions are discussed. At Saturn, the best locations for exploration and the use of the moons Titan and Enceladus as central locations for Saturn moon exploration is assessed.

Electrical equipment distributors assuming greater role as suppliers to electric utilities

International Nuclear Information System (INIS)

Anon.

1990-01-01

A survey was conducted of Canada's largest distributors of electrical equipment to the utility market. Summaries are presented of the views of the major respondents concerning market trends and future challenges. Distributors have emerged as a supply source to utilities over the past two decades. Before then, electric utilities did virtually all their business directly with the manufacturers and rarely with distributors. One reason for this situation was that direct dealing with manufacturers was perceived by the utilites as providing better access to technical advice. Distributors have grown significantly since then and many have their own expert technical staff and provide full support for their products. Various advantages for utilities in dealing with distributors are noted: ability to supply most needs relatively rapidly from stock, simplification of ordering, improved inventory management, and savings in brokerage and other costs associated with imported equipment

A Methodology for the Assessment of Unconventional (Continuous) Resources with an Application to the Greater Natural Buttes Gas Field, Utah

International Nuclear Information System (INIS)

Olea, Ricardo A.; Cook, Troy A.; Coleman, James L.

2010-01-01

The Greater Natural Buttes tight natural gas field is an unconventional (continuous) accumulation in the Uinta Basin, Utah, that began production in the early 1950s from the Upper Cretaceous Mesaverde Group. Three years later, production was extended to the Eocene Wasatch Formation. With the exclusion of 1100 non-productive ('dry') wells, we estimate that the final recovery from the 2500 producing wells existing in 2007 will be about 1.7 trillion standard cubic feet (TSCF) (48.2 billion cubic meters (BCM)). The use of estimated ultimate recovery (EUR) per well is common in assessments of unconventional resources, and it is one of the main sources of information to forecast undiscovered resources. Each calculated recovery value has an associated drainage area that generally varies from well to well and that can be mathematically subdivided into elemental subareas of constant size and shape called cells. Recovery per 5-acre cells at Greater Natural Buttes shows spatial correlation; hence, statistical approaches that ignore this correlation when inferring EUR values for untested cells do not take full advantage of all the information contained in the data. More critically, resulting models do not match the style of spatial EUR fluctuations observed in nature. This study takes a new approach by applying spatial statistics to model geographical variation of cell EUR taking into account spatial correlation and the influence of fractures. We applied sequential indicator simulation to model non-productive cells, while spatial mapping of cell EUR was obtained by applying sequential Gaussian simulation to provide multiple versions of reality (realizations) having equal chances of being the correct model. For each realization, summation of EUR in cells not drained by the existing wells allowed preparation of a stochastic prediction of undiscovered resources, which range between 2.6 and 3.4 TSCF (73.6 and 96.3 BCM) with a mean of 2.9 TSCF (82.1 BCM) for Greater Natural Buttes

Environmental impacts of biomass energy resource production and utilization

Energy Technology Data Exchange (ETDEWEB)

Easterly, J L; Dunn, S M [DynCorp, Alexandria, VA (United States)

1995-12-01

The purpose of this paper is to provide a broad overview of the environmental impacts associated with the production, conversion and utilization of biomass energy resources and compare them with the impacts of conventional fuels. The use of sustainable biomass resources can play an important role in helping developing nations meet their rapidly growing energy needs, while providing significant environmental advantages over the use of fossil fuels. Two of the most important environmental benefits biomass energy offers are reduced net emissions of greenhouse gases, particularly CO{sub 2}, and reduced emissions of SO{sub 2}, the primary contributor to acid rain. The paper also addresses the environmental impacts of supplying a range of specific biomass resources, including forest-based resources, numerous types of biomass residues and energy crops. Some of the benefits offered by the various biomass supplies include support for improved forest management, improved waste management, reduced air emissions (by eliminating the need for open-field burning of residues) and reduced soil erosion (for example, where perennial energy crops are planted on degraded or deforested land). The environmental impacts of a range of biomass conversion technologies are also addressed, including those from the thermochemical processing of biomass (including direct combustion in residential wood stoves and industrial-scale boilers, gasification and pyrolysis); biochemical processing (anaerobic digestion and fermentation); and chemical processing (extraction of organic oils). In addition to reducing CO{sub 2} and SO{sub 2}, other environmental benefits of biomass conversion technologies include the distinctly lower toxicity of the ash compared to coal ash, reduced odours and pathogens from manure, reduced vehicle emissions of CO{sub 2}, with the use of ethanol fuel blends, and reduced particulate and hydrocarbon emissions where biodiesel is used as a substitute for diesel fuel. In general

Environmental impacts of biomass energy resource production and utilization

International Nuclear Information System (INIS)

Easterly, J.L.; Dunn, S.M.

1995-01-01

The purpose of this paper is to provide a broad overview of the environmental impacts associated with the production, conversion and utilization of biomass energy resources and compare them with the impacts of conventional fuels. The use of sustainable biomass resources can play an important role in helping developing nations meet their rapidly growing energy needs, while providing significant environmental advantages over the use of fossil fuels. Two of the most important environmental benefits biomass energy offers are reduced net emissions of greenhouse gases, particularly CO 2 , and reduced emissions of SO 2 , the primary contributor to acid rain. The paper also addresses the environmental impacts of supplying a range of specific biomass resources, including forest-based resources, numerous types of biomass residues and energy crops. Some of the benefits offered by the various biomass supplies include support for improved forest management, improved waste management, reduced air emissions (by eliminating the need for open-field burning of residues) and reduced soil erosion (for example, where perennial energy crops are planted on degraded or deforested land). The environmental impacts of a range of biomass conversion technologies are also addressed, including those from the thermochemical processing of biomass (including direct combustion in residential wood stoves and industrial-scale boilers, gasification and pyrolysis); biochemical processing (anaerobic digestion and fermentation); and chemical processing (extraction of organic oils). In addition to reducing CO 2 and SO 2 , other environmental benefits of biomass conversion technologies include the distinctly lower toxicity of the ash compared to coal ash, reduced odours and pathogens from manure, reduced vehicle emissions of CO 2 , with the use of ethanol fuel blends, and reduced particulate and hydrocarbon emissions where biodiesel is used as a substitute for diesel fuel. In general, the key elements for

Utilization of bio-resources through nuclear technology

International Nuclear Information System (INIS)

Tamikazu Kume

2002-01-01

Nuclear technology such as gamma-ray, eb and ion beams is widely use for the utilization of bio-resources. Irradiation using gamma ray from 60 Co and electron beam is commercially used for the sterilization and modification of materials. Polysaccharides such as chitosan, sodium alginate, carrageenan, cellulose, pectin were easily degraded by irradiation and induced various kinds of biological activities, i.e. anti-bacterial activity, elicitor activity, plant growth promotion, suppression of environmental stress on plants. Some carbohydrate derivatives, carboxymethylcellulose (CMC), carboxymethyl-starch and carboxymethyl-chitin/chitosan, can be crosslinked under certain radiation condition and produced the biodegradable hydrogel for medical and agricultural uses. Ion beams have also been applied for mutation breeding for medical and agricultural use. Ion beams have also been applied for mutation breeding and the production of positron-emitting isotopes such as 11 C, 13 N, etc. It was succeeded to induce several kinds of flower-color and flower-form mutants in chrysanthemum and carnation by ion beams that have never produced by gamma-ray. The positron emitting tracer imaging system (PETIS) has been developed to obtain a dynamic image of plant transport in situ. (Author)

CO2 Mineralization and Utilization using Steel Slag for Establishing a Waste-to-Resource Supply Chain.

Science.gov (United States)

Pan, Shu-Yuan; Chung, Tai-Chun; Ho, Chang-Ching; Hou, Chin-Jen; Chen, Yi-Hung; Chiang, Pen-Chi

2017-12-08

Both steelmaking via an electric arc furnace and manufacturing of portland cement are energy-intensive and resource-exploiting processes, with great amounts of carbon dioxide (CO 2 ) emission and alkaline solid waste generation. In fact, most CO 2 capture and storage technologies are currently too expensive to be widely applied in industries. Moreover, proper stabilization prior to utilization of electric arc furnace slag are still challenging due to its high alkalinity, heavy metal leaching potentials and volume instability. Here we deploy an integrated approach to mineralizing flue gas CO 2 using electric arc furnace slag while utilizing the reacted product as supplementary cementitious materials to establish a waste-to-resource supply chain toward a circular economy. We found that the flue gas CO 2 was rapidly mineralized into calcite precipitates using electric arc furnace slag. The carbonated slag can be successfully utilized as green construction materials in blended cement mortar. By this modulus, the global CO 2 reduction potential using iron and steel slags was estimated to be ~138 million tons per year.

Resource utilization and costs associated with the diagnostic evaluation of nonrefluxing primary hydronephrosis in infants.

Science.gov (United States)

Akhavan, Ardavan; Shnorhavorian, Margarett; Garrison, Louis P; Merguerian, Paul A

2014-09-01

Long-term evaluation of postnatal nonrefluxing primary hydronephrosis presents a dilemma for urologists since most cases resolve without surgery. We report longitudinal resource utilization and costs associated with diagnostic evaluation of infants with isolated primary nonrefluxing hydronephrosis to determine the costs associated with diagnosing a surgical case, and we assess the implications using a cost-consequences analysis. A retrospective chart review was used to capture resource utilization for all patients younger than 6 months with hydronephrosis evaluated at our institution during a 5-year period. Infants with confounding urological diagnoses were excluded. Payer and societal perspectives were used. Costs were estimated from resource utilization, including radiographic imaging and clinical encounter types. Data were collected from first clinic visit until surgery or resolution or 3 years, whichever was shortest. Of 165 included patients surgical rates for hydronephrosis were 0% for grade I, 5% for grade II, 21% for grade III and 74% for grade IV. Median respective costs of identifying a single surgical case per increasing hydronephrosis grade 0 to IV were infinite, $37,600, $11,741 and $2,124 (p hydronephrosis is significantly more productive in terms of identifying patients requiring surgery vs evaluation of patients with lower grade disease. In patients with grades I and II hydronephrosis a more abbreviated diagnostic strategy than the current standard of care may be warranted. For the population in this analysis we project that a less intensive approach could save about 24% of costs. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Predictors of outpatient resource utilization following ventral and incisional hernia repair.

Science.gov (United States)

Wade, Alex; Plymale, Margaret A; Davenport, Daniel L; Johnson, Sara E; Madabhushi, Vashisht V; Mastoroudis, Erica; Tancula, Charlie; Roth, John Scott

2018-04-01

Little is known about the predictors of increased ambulatory costs following open ventral and incisional hernia repair (VIHR); however, postoperative complications would be expected to be associated with an increased burden on outpatient resources. The purpose of this study is to evaluate the impact of perioperative factors on outpatient resource utilization following VIHR. With IRB approval, the surgery scheduling system was queried to identify all cases of VIHR done at our institution over 3 years. Cases with other procedures done at time of VIHR were excluded. National Surgical Quality Improvement Program clinical data, physician billing data which included market and payor across cases, and medical record review data were combined and evaluated in order to quantify care and predictors of usage during the 6 months postoperatively. Data were analyzed for 308 patients. Median patient age was 52 years (SD = 13.3), and over half were female. The number of outpatient visits to the surgical office varied from 0 to 18 [median = 2; interquartile range (IQR) = 1-3]. CDC Wound Class >1 was associated with increase of mean 1.4 visits (IQR: 0.5-2.3); p = 0.003. Component separation, longer duration of operation, and increased mesh size were also predictive of increased number of office visits (p < 0.01). Postoperative infected seroma/seroma requiring drainage added a mean 2.3 visits (IQR: 1.3-3.3), (p < 0.001); and deep wound infection added a mean 3.9 visits (IQR: 1.9-5.9) (p < 0.001). Postoperative complications confer a significant burden for patients and to the outpatient surgical office. In an era in which improved quality and cost-efficiency has become imperative, measures to decrease risk of postoperative complications particularly for more complex VIHR would be expected to decrease resource utilization and increase value of care.

Animation company "Fast Forwards" production with HP Utility Data Center; film built using Adaptive Enterprise framework enabled by shared, virtual resource

CERN Multimedia

2003-01-01

Hewlett Packard have produced a commercial-quality animated film using an experimental rendering service from HP Labs and running on an HP Utility Data Center (UDC). The project demonstrates how computing resources can be managed virtually and illustrates the value of utility computing, in which an end-user taps into a large pool of virtual resources, but pays only for what is used (1 page).

DSM and electric utility competitiveness: An Illinois perspective

Energy Technology Data Exchange (ETDEWEB)

Jackson, P.W.

1994-12-31

A predominant theme in the current electric utility industry literature is that competitive forces have emerged and may become more prominent. The wholesale bulk power market is alreadly competitive, as non-utility energy service providers already have had a significant impact on that market; this trend was accelerated by the Energy Policy Act of 1992. Although competition at the retail level is much less pervasive, electric utility customers increasingly have greater choice in selecting energy services. These choices may include, depending on the customer, the ability to self-generate, switch fuels, move to a new location, or rely more heavily on demand-side management as a means of controlling electric energy use. This paper explores the subject of how demand-side management (DSM) programs, which are often developed by a utility to satisfy resource requirements as a part of its least-cost planning process, can affect the utility`s ability to compete in the energy services marketplace. In this context, the term `DSM` is used in this paper to refer to those demand-side services and programs which provide resources to the utility`s system. Depending on one`s perspective, DSM programs (so defined) can be viewed either as an enhancement to the competitive position of a utility by enabling it to provide its customers with a broader menu of energy services, simultaneously satisfying the objectives of the utility as well as those of the customers, or as a detractor to a utility`s ability to compete. In the latter case, the concern is with respect to the potential for adverse rate impacts on customers who are not participants in DSM programs. The paper consists of an identification of the pros and cons of DSM as a competitive strategy, the tradeoff which can occur between the cost impacts and rate impacts of DSM, and an examination of alternative strategies for maximizing the utilization of DSM both as a resource and as a competitive strategy.

On efficiency of fire simulation realization: parallelization with greater number of computational meshes

Science.gov (United States)

Valasek, Lukas; Glasa, Jan

2017-12-01

Current fire simulation systems are capable to utilize advantages of high-performance computer (HPC) platforms available and to model fires efficiently in parallel. In this paper, efficiency of a corridor fire simulation on a HPC computer cluster is discussed. The parallel MPI version of Fire Dynamics Simulator is used for testing efficiency of selected strategies of allocation of computational resources of the cluster using a greater number of computational cores. Simulation results indicate that if the number of cores used is not equal to a multiple of the total number of cluster node cores there are allocation strategies which provide more efficient calculations.

Frontier In-Situ Resource Utilization for Enabling Sustained Human Presence on Mars

Science.gov (United States)

Moses, Robert W.; Bushnell, Dennis M.

2016-01-01

The currently known resources on Mars are massive, including extensive quantities of water and carbon dioxide and therefore carbon, hydrogen and oxygen for life support, fuels and plastics and much else. The regolith is replete with all manner of minerals. In Situ Resource Utilization (ISRU) applicable frontier technologies include robotics, machine intelligence, nanotechnology, synthetic biology, 3-D printing/additive manufacturing and autonomy. These technologies combined with the vast natural resources should enable serious, pre- and post-human arrival ISRU to greatly increase reliability and safety and reduce cost for human colonization of Mars. Various system-level transportation concepts employing Mars produced fuel would enable Mars resources to evolve into a primary center of trade for the inner solar system for eventually nearly everything required for space faring and colonization. Mars resources and their exploitation via extensive ISRU are the key to a viable, safe and affordable, human presence beyond Earth. The purpose of this paper is four-fold: 1) to highlight the latest discoveries of water, minerals, and other materials on Mars that reshape our thinking about the value and capabilities of Mars ISRU; 2) to summarize the previous literature on Mars ISRU processes, equipment, and approaches; 3) to point to frontier ISRU technologies and approaches that can lead to safe and affordable human missions to Mars; and 4) to suggest an implementation strategy whereby the ISRU elements are phased into the mission campaign over time to enable a sustainable and increasing human presence on Mars.

Outcomes and Resource Utilization of Endoscopic Mass-Closure Technique for Laryngeal Clefts.

Science.gov (United States)

Balakrishnan, Karthik; Cheng, Esther; de Alarcon, Alessandro; Sidell, Douglas R; Hart, Catherine K; Rutter, Michael J

2015-07-01

To compare resource utilization and clinical outcomes between endoscopic mass-closure and open techniques for laryngeal cleft repair. Case series with chart review. Tertiary academic children's hospital. Pediatric patients undergoing repair for Benjamin-Inglis type 1-3 laryngeal clefts over a 15-year period. All 20 patients undergoing endoscopic repair were included. Eight control patients undergoing open repair were selected using matching by age and cleft type. Demographic, clinical, and resource utilization data were collected. Twenty-eight patients were included (20 endoscopic, 8 open). Mean age, rates of tracheostomy and vocal fold immobility, and distribution of cleft types were not different between the 2 groups (all P > .2). Mean operative time (P = .004) and duration of hospital stay (P group. All repairs were intact in both groups at final postoperative endoscopy. Rates of persistent laryngeal penetration or aspiration on swallow study were not different between groups (P = 1.000), although results were available for only 11 patients. Endoscopic laryngeal cleft repair using a mass-closure technique provides a durable result while requiring significantly shorter operative times and hospital stays than open repair and avoiding the potential morbidity of laryngofissure. However, open repair may allow the simultaneous performance of other airway reconstructive procedures and may be a useful salvage technique when endoscopic repair fails. Postoperative swallowing results require further study. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

Market study for direct utilization of geothermal resources by selected sectors of economy

Energy Technology Data Exchange (ETDEWEB)

1980-08-01

A comprehensive analysis is presented of industrial markets potential for direct use of geothermal energy by a total of six industry sectors: food and kindred products; tobacco manufactures; textile mill products; lumber and wood products (except furniture); chemicals and allied products; and leather and leather products. A brief statement is presented regarding sectors of the economy and major manufacturing processes which can readily utilize direct geothermal energy. Previous studies on plant location determinants are summarized and appropriate empirical data provided on plant locations. Location determinants and potential for direct use of geothermal resources are presented. The data was gathered through interviews with 30 senior executives in the six sectors of economy selected for study. Probable locations of plants in geothermal resource areas and recommendations for geothermal resource marketing are presented. Appendix A presents factors which impact on industry location decisions. Appendix B presents industry executives interviewed during the course of this study. (MHR)

Resource planning for gas utilities: Using a model to analyze pivotal issues

Energy Technology Data Exchange (ETDEWEB)

Busch, J.F.; Comnes, G.A.

1995-11-01

With the advent of wellhead price decontrols that began in the late 1970s and the development of open access pipelines in the 1980s and 90s, gas local distribution companies (LDCs) now have increased responsibility for their gas supplies and face an increasingly complex array of supply and capacity choices. Heretofore this responsibility had been share with the interstate pipelines that provide bundled firm gas supplies. Moreover, gas supply an deliverability (capacity) options have multiplied as the pipeline network becomes increasing interconnected and as new storage projects are developed. There is now a fully-functioning financial market for commodity price hedging instruments and, on interstate Pipelines, secondary market (called capacity release) now exists. As a result of these changes in the natural gas industry, interest in resource planning and computer modeling tools for LDCs is increasing. Although in some ways the planning time horizon has become shorter for the gas LDC, the responsibility conferred to the LDC and complexity of the planning problem has increased. We examine current gas resource planning issues in the wake of the Federal Energy Regulatory Commission`s (FERC) Order 636. Our goal is twofold: (1) to illustrate the types of resource planning methods and models used in the industry and (2) to illustrate some of the key tradeoffs among types of resources, reliability, and system costs. To assist us, we utilize a commercially-available dispatch and resource planning model and examine four types of resource planning problems: the evaluation of new storage resources, the evaluation of buyback contracts, the computation of avoided costs, and the optimal tradeoff between reliability and system costs. To make the illustration of methods meaningful yet tractable, we developed a prototype LDC and used it for the majority of our analysis.

The In-Situ Resource Utilization Project Under the New Exploration Enterprise

Science.gov (United States)

Larson, William E.; Sanders, Gerald B.

2010-01-01

The In Situ Resource Utilization Project under the Exploration Technology Development Program has been investing in technologies to produce Oxygen from the regolith of the moon for the last few years. Much of this work was demonstrated in a lunar analog field demonstration in February of 2010. This paper will provide an overview of the key technologies demonstrated at the field demonstration will be discussed a long with the changes expected in the ISRU project as a result of the new vision for Space Exploration proposed by the President and enacted by the Congress in the NASA Authorization Act of2010.

A CASE STUDY OF CHINA ́S WIND POWER RESOURCES

Directory of Open Access Journals (Sweden)

Xue Yanping

2013-11-01

Full Text Available At present, China is the largest energy producer and the second largest energy consumer in the world. With the increasing pressure to cut GHS emissions and to improve energy efficiency, China is now changing its traditional energy mix, mainly through consuming more renewable energy instead of fossil energy. This change has resulted in a policy adjustment which in turn boosts the utilization of the wind power resources. However, the development of the wind power resources in China is confronted with some significant challenges, such as greater installed electricity capacity than the electricity generation, greater electricity generation than the electricity transmission capacity and greater inland wind power generation than the offshore wind power generation. Therefore, the further development of China’s wind power electricity in the coming years depends largely on the ways these challenges will be addressed.

Evaluation of health resource utilization efficiency in community health centers of Jiangsu Province, China.

Science.gov (United States)

Xu, Xinglong; Zhou, Lulin; Antwi, Henry Asante; Chen, Xi

2018-02-20

While the demand for health services keep escalating at the grass roots or rural areas of China, a substantial portion of healthcare resources remain stagnant in the more developed cities and this has entrenched health inequity in many parts of China. At its conception, China's Deepen Medical Reform started in 2012 was intended to flush out possible disparities and promote a more equitable and efficient distribution of healthcare resources. Nearly half a decade of this reform, there are uncertainties as to whether the attainment of the objectives of the reform is in sight. Using a hybrid of panel data analysis and an augmented data envelopment analysis (DEA), we model human resources, material, finance to determine their technical and scale efficiency to comprehensively evaluate the transverse and longitudinal allocation efficiency of community health resources in Jiangsu Province. We observed that the Deepen Medical Reform in China has led to an increase concern to ensure efficient allocation of community health resources by health policy makers in the province. This has led to greater efficiency in health resource allocation in Jiangsu in general but serious regional or municipal disparities still exist. Using the DEA model, we note that the output from the Community Health Centers does not commensurate with the substantial resources (human resources, materials, and financial) invested in them. We further observe that the case is worst in less-developed Northern parts of Jiangsu Province. The government of Jiangsu Province could improve the efficiency of health resource allocation by improving the community health service system, rationalizing the allocation of health personnel, optimizing the allocation of material resources, and enhancing the level of health of financial resource allocation.

Solar System Exploration Augmented by In-Situ Resource Utilization: Human Mercury and Saturn Exploration

Science.gov (United States)

Palaszewski, Bryan

2015-01-01

Human and robotic missions to Mercury and Saturn are presented and analyzed. Unique elements of the local planetary environments are discussed and included in the analyses and assessments. Using historical studies of space exploration, in-situ resource utilization (ISRU), and industrialization all point to the vastness of natural resources in the solar system. Advanced propulsion benefitted from these resources in many way. While advanced propulsion systems were proposed in these historical studies, further investigation of nuclear options using high power nuclear thermal and nuclear pulse propulsion as well as advanced chemical propulsion can significantly enhance these scenarios. Updated analyses based on these historical visions will be presented. Nuclear thermal propulsion and ISRU enhanced chemical propulsion landers are assessed for Mercury missions. At Saturn, nuclear pulse propulsion with alternate propellant feed systems and Titan exploration with chemical propulsion options are discussed.

The analysis of the nuclear information resources on the internet

International Nuclear Information System (INIS)

Zhang Guoqing; Tu Jinchi; Yao Ruiquan

2014-01-01

Information resources have become increasingly prominent role in social and economic development, which has become the focus of international competition in the new open environment such as political, economic, cultural and military. The level of management, development and utilization of network information resources has become an important symbol for the measure of the level of development and degree of informatization of a country or an enterprise. But the exploitation of information resources has greater complexity compared with that of natural resources. Facing of the mass and the uneven quality of the network information, we must sort out the resources through a broader perspective and make a structured framework for the development of network information resources. This article analysed the statistical data of the published content, publishing style, renewal period, data type and so on. It also analysed and evaluated the different types and content of the nuclear information resources on the Internet by its number and characters. Furthermore, it provides a basis for developing and utilizing of nuclear information resources on the Internet of foreign related organizations and sifting the targeted, high qualitied, guaranteed and valued nuclear information resources. It can make the organization and management of the nuclear information resources on the Internet more effective. (authors)

Regional energy resource development and energy security under CO2 emission constraint in the greater Mekong sub-region countries (GMS)

International Nuclear Information System (INIS)

Watcharejyothin, Mayurachat; Shrestha, Ram M.

2009-01-01

The paper evaluates effects of energy resource development within the Greater Mekong Sub-region (GMS) on energy supply mix, energy system cost, energy security and environment during 2000-2035. A MARKAL-based integrated energy system model of the five GMS countries was developed to examine benefits of regional energy resource development for meeting the energy demand of these countries. The study found that an unrestricted energy resource development and trade within the region would reduce the total-regional energy systems cost by 18% and would abate the total CO 2 emission by 5% as compared to the base case. All the five countries except Myanmar would benefit from the expansion of regional energy resource integration in terms of lower energy systems costs and better environmental qualities. An imposition of CO 2 emission reduction constraint by 5% on each of the study countries from that of the corresponding emissions under the unrestricted energy resource development in the GMS is found to improve energy security, reduce energy import and fossil fuels dependences and increase volume of power trade within the region. The total energy system cost under the joint CO 2 emission reduction strategy would be less costly than that under the individual emission targets set for each country.

Pulmonary rehabilitation in COPD – available resources and utilization in Swedish primary and secondary care

Directory of Open Access Journals (Sweden)

Sundh J

2017-06-01

Full Text Available Josefin Sundh,1 Helena Lindgren,2 Mikael Hasselgren,2 Scott Montgomery,3–5 Christer Janson,6 Björn Ställberg,7 Karin Lisspers7 1Department of Respiratory Medicine, School of Medical Sciences, 2Medical Programme, School of Medical Sciences, 3Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, 4Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; 5Department of Epidemiology and Public Health, University College, London, UK; 6Department of Medical Sciences, Respiratory, Allergy and Sleep Research, 7Department of Public Health and Caring Science, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden Introduction: Pulmonary rehabilitation is effective in all stages of COPD. The availability and utilization of pulmonary rehabilitation resources, and the characteristics of COPD patients receiving rehabilitation, were investigated in primary and secondary care in central Sweden. Materials and methods: Data on available pulmonary rehabilitation resources were collected using questionnaires, to 14 hospitals and 54 primary health care centers, and information on utilization of different rehabilitation professionals was obtained from questionnaires completed by 1,329 COPD patients from the same centers. Multivariable logistic regression examined associations with having received rehabilitation in the previous year. Results: In primary care, nurse-based asthma/COPD clinics were common (87%, with additional separate access to other rehabilitation professionals. In secondary care, rehabilitation was more often offered as part of a multidisciplinary teamwork (71%. In total, 36% of the patients met an asthma/COPD nurse in the previous year. Utilization was lower in primary than in secondary care for physiotherapists (7% vs 16%, occupational therapists (3% vs 10%, nutritionists (5% vs 13%, and counselors (1% vs 4%. A higher COPD Assessment Test score

Water footprints as an indicator for the equitable utilization of shared water resources. (Case study: Egypt and Ethiopia shared water resources in Nile Basin)

Science.gov (United States)

Sallam, Osama M.

2014-12-01

The question of "equity." is a vague and relative term in any event, criteria for equity are particularly difficult to determine in water conflicts, where international water law is ambiguous and often contradictory, and no mechanism exists to enforce principles which are agreed-upon. The aim of this study is using the water footprints as a concept to be an indicator or a measuring tool for the Equitable Utilization of shared water resources. Herein Egypt and Ethiopia water resources conflicts in Nile River Basin were selected as a case study. To achieve this study; water footprints, international virtual water flows and water footprint of national consumption of Egypt and Ethiopia has been analyzed. In this study, some indictors of equitable utilization has been gained for example; Egypt water footprint per capita is 1385 CM/yr/cap while in Ethiopia is 1167 CM/yr/cap, Egypt water footprint related to the national consumption is 95.15 BCM/yr, while in Ethiopia is 77.63 BCM/yr, and the external water footprints of Egypt is 28.5%, while in Ethiopia is 2.3% of the national consumption water footprint. The most important conclusion of this study is; natural, social, environmental and economical aspects should be taken into account when considering the water footprints as an effective measurable tool to assess the equable utilization of shared water resources, moreover the water footprints should be calculated using a real data and there is a necessity to establishing a global water footprints benchmarks for commodities as a reference.

Is increased energy utilization linked to greater cultural complexity? Energy utilization by Australian Aboriginals and traditional swidden agriculturalists

Energy Technology Data Exchange (ETDEWEB)

Reijnders, L. [Expertisecentrum Duurzame Ontwikkeling en Instituut voor Biodiversiteit en Ecosysteem Dynamica ECDO/IBED, University of Amsterdam, Amsterdam (Netherlands)

2006-09-15

Theories have been proposed that link increases in energy utilization to increases in cultural complexity. Indeed, available estimates of per capita non-food energy utilization by hunter - gatherers and by people practising swidden agriculture in wooded areas, focusing on fuel wood use, are roughly 1 - 2 orders of magnitude lower than for industrial societies. The latter are in the range of 0.8 - 3.4 x 10{sup 5} MJ year{sup -1}. However, apart from the use of fuel wood, the former estimates have not included work performed by burning vegetation. Here quantitative estimates are given of recent energy utilization linked to burning biomass by Australian Aboriginals and people practising traditional swidden agriculture. Per capita energy utilization linked to biomass burning by Australian Aboriginals is estimated at 1.6 x 10{sup 6} to 4.0 x 10{sup 7} MJ year{sup -1}. Estimated per capita energy utilization associated with burning biomass in traditional swidden agriculture in the tropical rainforests of Kalimantan and Venezuela, the dry forest of north-eastern Brazil and the miombo woodland of Zambia is in the range of 1.0 x 10{sup 5} to 6.3 x 10{sup 5} MJ year{sup -1}. The values for non-food energy utilization reported here are at variance with theories that link increases in energy utilization to increases in cultural complexity.

Bamboo resources, utilization and ex-situ conservation in Xishuangbanna, South-eastern China

Institute of Scientific and Technical Information of China (English)

YANG Qing; DUAN Zhu-biao; WANG Zheng-liang; HE Kai-hong; SUN Qi-xiang; PENG Zhen-hua

2008-01-01

This paper describes the geographical distribution, utilization, cultural value and ex-situ conservation of bamboo resources in Xishuangbanna, Yunan Province, China. Sixty species of bamboo in 19 genera are recorded in Xishuangbanna. The area of natural bamboo forest is 14319 ha, accounting for 5.92% of whole area of Xishuangbanna. The abundant resource of bamboo plays an important role in the economics and culture of national minorities in Xishuangbanna. Xishuangbanna Tropic Botanic Garden, Chinese Academy of Sciences (CAS), started to introduce bamboo species in 1961 and established the ex-situ conservation reserve (8 ha) of bamboo in 1981. Up to now, 211 species in 27 genera collected from tropic and sub-tropic of China and South-east Asia have been planted in the bamboo reserve, of which 11 species have bloomed and seeded, and their seeds were cultivated in Xishuangbanna Tropical Botanic Gardens, CAS, China.

Conversion of Blue Water into Green Water for Improving Utilization Ratio of Water Resources in Degraded Karst Areas

Directory of Open Access Journals (Sweden)

Ke Chen

2016-12-01

Full Text Available Vegetation deterioration and soil loss are the main causes of more precipitation leakages and surface water shortages in degraded karst areas. In order to improve the utilization of water resources in such regions, water storage engineering has been considered; however, site selection and cost associated with the special karstic geological structure have made this difficult. According to the principle of the Soil Plant Atmosphere Continuum, increasing both vegetation cover and soil thickness would change water cycle process, resulting in a transformation from leaked blue water (liquid form into green water (gas or saturated water form for terrestrial plant ecosystems, thereby improving the utilization of water resources. Using the Soil Vegetation Atmosphere Transfer model and the geographical distributed approach, this study simulated the conversion from leaked blue water (leakage into green water in the environs of Guiyang, a typical degraded karst area. The primary results were as follows: (1 Green water in the area accounted for <50% of precipitation, well below the world average of 65%; (2 Vegetation growth played an important role in converting leakage into green water; however, once it increased to 56%, its contribution to reducing leakage decreased sharply; (3 Increasing soil thickness by 20 cm converted the leakage considerably. The order of leakage reduction under different precipitation scenarios was dry year > normal year > rainy year. Thus, increased soil thickness was shown effective in improving the utilization ratio of water resources and in raising the amount of plant ecological water use; (4 The transformation of blue water into green water, which avoids constructions of hydraulic engineering, could provide an alternative solution for the improvement of the utilization of water resources in degraded karst area. Although there are inevitable uncertainties in simulation process, it has important significance for overcoming similar

Assessing the Utility of Temporally Dynamic Terrain Indices in Alaskan Moose Resource Selection

Science.gov (United States)

Jennewein, J. S.; Hebblewhite, M.; Meddens, A. J.; Gilbert, S.; Vierling, L. A.; Boelman, N.; Eitel, J.

2017-12-01

The accelerated warming in arctic and boreal regions impacts ecosystem structure and plant species distribution, which have secondary effects on wildlife. In summer months, moose (Alces alces) are especially vulnerable to changes in the availability and quality of forage and foliage cover due to their thermoregulatory needs and high energetic demands post calving. Resource selection functions (RSFs) have been used with great success to model such tradeoffs in habitat selection. Recently, RSFs have expanded to include more dynamic representations of habitat selection through the use of time-varying covariates such as dynamic habitat indices. However, to date few studies have investigated dynamic terrain indices, which incorporate long-term, highly-dynamic meteorological data (e.g., albedo, air temperature) and their utility in modeling habitat selection. The purpose of this study is to compare two dynamic terrain indices (i.e., solar insolation and topographic wetness) to their static counterparts in Alaskan moose resource selection over a ten-year period (2008-2017). Additionally, the utility of a dynamic wind-shelter index is assessed. Three moose datasets (n=130 total), spanning a north-to-south gradient in Alaska, are analyzed independently to assess location-specific resource selection. The newly-released, high-resolution Arctic Digital Elevation Model (5m2) is used as the terrain input into both dynamic and static indices. Dynamic indices are programmed with meteorological data from the North American Regional Analysis (NARR) and NASA's Goddard Earth Sciences Data and Information Services Center (GES-DISC) databases. Static wetness and solar insolation indices are estimated using only topographic parameters (e.g., slope, aspect). Preliminary results from pilot analyses suggest that dynamic terrain indices may provide novel insights into resource selection of moose that could not be gained when using static counterparts. Future applications of such dynamic

Geothermal energy in deep aquifers : A global assessment of the resource base for direct heat utilization

NARCIS (Netherlands)

Limberger, J.|info:eu-repo/dai/nl/371572037; Boxem, T.; Pluymaekers, Maarten; Bruhn, David; Manzella, Adelle; Calcagno, Philippe; Beekman, F.|info:eu-repo/dai/nl/123556856; Cloetingh, S.|info:eu-repo/dai/nl/069161836; van Wees, J.-D.

In this paper we present results of a global resource assessment for geothermal energy within deep aquifers for direct heat utilization. Greenhouse heating, spatial heating, and spatial cooling are considered in this assessment. We derive subsurface temperatures from geophysical data and apply a

Geothermal energy in deep aquifers: A global assessment of the resource base for direct heat utilization

NARCIS (Netherlands)

Limberger, J.; Boxem, T.; Pluymaekers, M.; Bruhn, D.; Manzella, A.; Calcagno, P.; Beekman, F.; Cloetingh, S.; Wees, J.D. van

2018-01-01

In this paper we present results of a global resource assessment for geothermal energy within deep aquifers for direct heat utilization. Greenhouse heating, spatial heating, and spatial cooling are considered in this assessment. We derive subsurface temperatures from geophysical data and apply a

Resource utilization implications of treatment were able to be assessed from appropriately reported clinical trial data

NARCIS (Netherlands)

Poole-Wilson, Philip A.; Kirwan, Bridget-Anne; Voko, Zoltan; de Brouwer, Sophie; Dunselman, Peter H. J. M.; van Dalen, Frederik J.; Lubsen, Jacobus

Background and Objective: Published clinical trial data rarely allow assessment of the health care resource utilization implications of treatment. We give an example of how these can be assessed given appropriate tabulation of data. Methods: Data from a trial comparing long-acting nifedipine

DSM and electric utility competitiveness: An Illinois perspective

International Nuclear Information System (INIS)

Jackson, P.W.

1994-01-01

A predominant theme in the current electric utility industry literature is that competitive forces have emerged and may become more prominent. The wholesale bulk power market is alreadly competitive, as non-utility energy service providers already have had a significant impact on that market; this trend was accelerated by the Energy Policy Act of 1992. Although competition at the retail level is much less pervasive, electric utility customers increasingly have greater choice in selecting energy services. These choices may include, depending on the customer, the ability to self-generate, switch fuels, move to a new location, or rely more heavily on demand-side management as a means of controlling electric energy use. This paper explores the subject of how demand-side management (DSM) programs, which are often developed by a utility to satisfy resource requirements as a part of its least-cost planning process, can affect the utility's ability to compete in the energy services marketplace. In this context, the term 'DSM' is used in this paper to refer to those demand-side services and programs which provide resources to the utility's system. Depending on one's perspective, DSM programs (so defined) can be viewed either as an enhancement to the competitive position of a utility by enabling it to provide its customers with a broader menu of energy services, simultaneously satisfying the objectives of the utility as well as those of the customers, or as a detractor to a utility's ability to compete. In the latter case, the concern is with respect to the potential for adverse rate impacts on customers who are not participants in DSM programs. The paper consists of an identification of the pros and cons of DSM as a competitive strategy, the tradeoff which can occur between the cost impacts and rate impacts of DSM, and an examination of alternative strategies for maximizing the utilization of DSM both as a resource and as a competitive strategy

Greater-than-Class C low-level waste characterization. Appendix G: Evaluation of potential for greater-than-Class C classification of irradiated hardware generated by utility-operated reactors

International Nuclear Information System (INIS)

Cline, J.E.

1991-08-01

This study compiles and evaluates data from many sources to expand a base of data from which to estimate the activity concentrations and volumes of greater-than-Class C low-level waste that the Department of Energy will receive from the commercial power industry. Sources of these data include measurements of irradiated hardware made by or for the utilities that was classified for disposal in commercial burial sites, measurements of neutron flux in the appropriate regions of the reactor pressure vessel, analyses of elemental constituents of the particular structural material used for the components, and the activation analysis calculations done for hardware. Evaluations include results and assumptions in the activation analyses. Sections of this report and the appendices present interpretation of data and the classification definitions and requirements

Space Resource Utilization: Near-Term Missions and Long-Term Plans for Human Exploration

Science.gov (United States)

Sanders, Gerald B.

2015-01-01

A primary goal of all major space faring nations is to explore space: from the Earth with telescopes, with robotic probes and space telescopes, and with humans. For the US National Aeronautics and Space Administration (NASA), this pursuit is captured in three important strategic goals: 1. Ascertain the content, origin, and evolution of the solar system and the potential for life elsewhere, 2. Extend and sustain human activities across the solar system (especially the surface of Mars), and 3. Create innovative new space technologies for exploration, science, and economic future. While specific missions and destinations are still being discussed as to what comes first, it is imperative for NASA that it foster the development and implementation of new technologies and approaches that make space exploration affordable and sustainable. Critical to achieving affordable and sustainable human exploration beyond low Earth orbit (LEO) is the development of technologies and systems to identify, extract, and use resources in space instead of bringing everything from Earth. To reduce the development and implementation costs for space resource utilization, often called In Situ Resource Utilization (ISRU), it is imperative to work with terrestrial mining companies to spin-in/spin-off technologies and capabilities, and space mining companies to expand our economy beyond Earth orbit. In the last two years, NASA has focused on developing and implementing a sustainable human space exploration program with the ultimate goal of exploring the surface of Mars with humans. The plan involves developing technology and capability building blocks critical for sustained exploration starting with the Space Launch System (SLS) and Orion crew spacecraft and utilizing the International Space Station as a springboard into the solar system. The evolvable plan develops and expands human exploration in phases starting with missions that are reliant on Earth, to performing ever more challenging and

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 1: Thematic papers

International Nuclear Information System (INIS)

1995-12-01

The present publication consists of papers, each with a separate abstract, from fourteen countries giving broad perspectives on the development and utilisation of biomass energy resources. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues

Geothermal energy in deep aquifers : A global assessment of the resource base for direct heat utilization

NARCIS (Netherlands)

Limberger, Jon; Boxem, Thijs; Pluymaekers, Maarten; Bruhn, D.F.; Manzella, Adele; Calcagno, Philippe; Beekman, Fred; Cloetingh, S.A.P.L.; van Wees, Jan Diederik

2018-01-01

In this paper we present results of a global resource assessment for geothermal energy within deep aquifers for direct heat utilization. Greenhouse heating, spatial heating, and spatial cooling are considered in this assessment. We derive subsurface temperatures from geophysical data and apply a

Abstracts of the Seminar on Modern State of Water Resources of Tajikistan - Problems and Perspectives of Rational Utilization

International Nuclear Information System (INIS)

2003-01-01

This publication contains the abstracts of papers presented at the Seminar on Modern State of Water Resources of Tajikistan - Problems and Perspectives of Rational Utilization, held in Dushanbe in 2003

Factors Influencing Health Service Utilization Among Asian Immigrant Nail Salon Workers in the Greater New York City Area.

Science.gov (United States)

Seo, Jin Young; Chao, Ying-Yu; Yeung, Ka Man; Strauss, Shiela M

2018-06-23

Most nail salon workers in the greater New York City area are Asian immigrant women. They are exposed daily to potentially toxic chemicals and hazards in their workplace, making them more vulnerable for possible health problems. The study's primary purpose was to identify factors influencing past year healthcare utilization among Asian immigrant women working in nail salons. A cross-sectional study was conducted based on a modification of Andersen's behavioral model of healthcare utilization in which 148 Korean and Chinese immigrant women currently working in nail salons were surveyed. The questionnaire included: (1) individual health determinants, (2) health service utilization in the past year, and (3) work environment, work-related health concerns, and work-related health problems. Descriptive statistics and multivariate logistic regression models assessed factors related to past year healthcare utilization. Women who had health insurance (p < .01), a usual source of care (p < .01), low educational attainment (p < .05), and more work-related health symptoms (p < .05) were more likely to visit a primary care provider. Women who had health insurance (p < .01), a usual source of care (p < .05), and low educational attainment (p < .05), were also more likely to visit a woman's health provider. Korean (rather than Chinese) women (p < .05) and women who perceived themselves to be in fair/poor health (p < .05) were more likely to see a traditional provider of Eastern medicine. Asian immigrant women who work in nail salons have workplace health and safety concerns. They generally use Western rather than traditional medicine, with different factors related to these two types of medicine.

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 1: Thematic papers

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-12-01

The present publication consists of papers, each with a separate abstract, from fourteen countries giving broad perspectives on the development and utilisation of biomass energy resources. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues Refs, figs, tabs

Health Resource Utilization in Patients with Advanced Non-Small Cell Lung Cancer Receiving Chemotherapy in China.

Science.gov (United States)

Shi, Jing; Zhu, Jun

2016-01-01

Chemotherapy is the preferred treatment regimen for advanced lung cancer patients. This study investigated the health resources utilized by and medical expenses of patients with non-small cell lung cancer (NSCLC) as well as the influence of various chemotherapy regimens on the final medical costs in China. The aim of this study was to provide physicians with a reference to use as the basis for their choice of treatment. Data were collected from the Shanghai Chest Hospital's medical charts and billing database. The collected patient information included the baseline characteristics, medical history, chemotherapy regimens, and medical costs, which were used to estimate the health resources utilized by patients and the cost of treatment. This study included 328 patients, and the average total medical cost was $US14,165. This cost included drugs, which accounted for as much as 78.91% of the total cost, and chemotherapy drugs, which accounted for 51.58% of total drug expenses. The most frequently utilized chemotherapy drug was carboplatin, and the most expensive chemotherapy drug was erlotinib. In drug combinations, gemcitabine was utilized most frequently, the combination of gemcitabine and paclitaxel was the most expensive, and cisplatin was the least expensive drug. Epidermal growth factor receptor-positive patients were treated with targeted drug therapy (icotinib, erlotinib, and gefitinib). The use of recombinant human endostatin was often combined with a vinorelbine plus cisplatin regimen. Traditional Chinese medicines were the most frequently utilized non-chemotherapy drugs, and these drugs were also the most expensive. The final cost significantly depended on the specific chemotherapy regimen; thus, the rationale and cost of the chemotherapy regimen and adjuvant chemotherapy should be considered in patients with advanced NSCLC.

Direct utilization of geothermal resources field experiments at Monroe, Utah. Final report, July 14, 1978-July 13, 1981

Energy Technology Data Exchange (ETDEWEB)

Blair, C.K.; Owen, L.B. (eds.)

1982-12-01

The City of Monroe, Utah undertook a project to demonstrate the economic and technical viability of utilizing a low temperature geothermal resource to provide space and hot water heating to commercial, municipal, and domestic users within the community. During the course of the project, resource development and assessment, including drilling of a production well, was successfully completed. Upon completion of the field development and assessment phase of the program and of a preliminary design of the district heating system, it was determined that the project as proposed was not economically viable. This was due to: (1) a significant increase in estimated capital equipment costs resulting from the general inflation in construction costs, the large area/low population density in Monroe, and a more remote fluid disposal well site than planned, could not balance increased construction costs, (2) a lower temperature resource than predicted, and (3) due to predicted higher pumping and operating costs. After a thorough investigation of alternatives for utilizing the resource, further project activities were cancelled because the project was no longer economical and an alternative application for the resource could not be found within the constraints of the project. The City of Monroe, Utah is still seeking a beneficial use for the 600 gpm, 164/sup 0/F geothermal well. A summary of project activities included.

Regional energy resource development and energy security under CO{sub 2} emission constraint in the greater Mekong sub-region countries (GMS)

Energy Technology Data Exchange (ETDEWEB)

Watcharejyothin, Mayurachat; Shrestha, Ram M. [School of Environment, Resources and Development, Asian Institute of Technology (Thailand)

2009-11-15

The paper evaluates effects of energy resource development within the Greater Mekong Sub-region (GMS) on energy supply mix, energy system cost, energy security and environment during 2000-2035. A MARKAL-based integrated energy system model of the five GMS countries was developed to examine benefits of regional energy resource development for meeting the energy demand of these countries. The study found that an unrestricted energy resource development and trade within the region would reduce the total-regional energy systems cost by 18% and would abate the total CO{sub 2} emission by 5% as compared to the base case. All the five countries except Myanmar would benefit from the expansion of regional energy resource integration in terms of lower energy systems costs and better environmental qualities. An imposition of CO{sub 2} emission reduction constraint by 5% on each of the study countries from that of the corresponding emissions under the unrestricted energy resource development in the GMS is found to improve energy security, reduce energy import and fossil fuels dependences and increase volume of power trade within the region. The total energy system cost under the joint CO{sub 2} emission reduction strategy would be less costly than that under the individual emission targets set for each country. (author)

Direct utilization of geothermal energy: a layman's guide. Geothermal Resources Council special report No. 8

Energy Technology Data Exchange (ETDEWEB)

Anderson, D.N.; Lund, J.W. (eds.)

1979-01-01

The following subjects are covered: nature and distribution of geothermal energy; exploration, confirmation, and evaluation of the resource; reservoir development and management; utilization; economics of direct-use development; financing direct-use projects; and legal, institutional, and environmental aspects. (MHR)

A Multicase Study: Exploring Human Resource Information System Implementation and Utilization in Multinational Corporations in Kenya

Science.gov (United States)

Nzyoka Yongo, Cyd W.

2016-01-01

Implementation and utilization of human resource information system (HRIS) though a very desirable prospect for many organizations, still remains a daunting task for many. This has been daunting because of prohibitive costs, security risks, top management resistance, employee attitudes, and so forth. Trends globally show that, organizations that…

Trend analysis of hospital resource utilization for prolonged mechanical ventilation patients in Taiwan: a population-based study.

Science.gov (United States)

Hung, Tien-Chiung; Lai, Yung-Fa; Tseng, Ching-Wan; Hong, Yong-Han; Shi, Hon-Yi

2013-04-01

The aging Taiwan population is expected to require vast medical resources, including prolonged mechanical ventilation (PMV). This study determined the trends in hospital resource utilization and associated factors in PMV patients in Taiwan. All patients who had received mechanical ventilation for > 21 days (International Classification of Diseases, 9th Revision, Clinical Modification codes 518.81-518.89) during 2004-2007 were recruited to the study. Administrative claims data obtained from the Bureau of National Health Insurance of Taiwan were analyzed. The study analyzed 65,181 patients who had received PMV during 2004-2007. The number of PMVs per 100,000 persons was 94.30 in 2004, and it gradually decreased to 89.38 in 2007, which was a change rate of -5.22%. During the study period, stay significantly decreased, from 35.12 days to 31.61 days, whereas hospital treatment costs significantly increased, from $7,933.17 to $8,257.52 (P providers and patients should recognize that attributes of both the patient and the hospital may affect hospital resource utilization. Additionally, these analytical results should be applicable to similar populations in other countries.

Cognitive status is a determinant of health resource utilization among individuals with a history of falls: a 12-month prospective cohort study.

Science.gov (United States)

Davis, J C; Dian, L; Khan, K M; Bryan, S; Marra, C A; Hsu, C L; Jacova, P; Chiu, B K; Liu-Ambrose, T

2016-03-01

Falls are a costly public health problem worldwide. The literature is devoid of prospective data that identifies factors among fallers that significantly drive health care resource utilization. We found that cognitive function--specifically, executive functions--and cognitive status are significant determinants of health resource utilization among older fallers. Although falls are costly, there are no prospective data examining factors among fallers that drive health care resource utilization. We identified key determinants of health resource utilization (HRU) at 6 and 12 months among older adults with a history of falls. Specifically, with the increasing recognition that cognitive impairment is associated with increased falls risk, we investigated cognition as a potential driver of health resource utilization. This 12-month prospective cohort study at the Vancouver Falls Prevention Clinic (n = 319) included participants with a history of at least one fall in the previous 12 months. Based on their cognitive status, participants were divided into two groups: (1) no mild cognitive impairment (MCI) and (2) MCI. We constructed two linear regression models with HRU at 6 and 12 months as the dependent variables for each model, respectively. Predictors relating to mobility, global cognition, executive functions, and cognitive status (MCI versus no MCI) were examined. Age, sex, comorbidities, depression status, and activities of daily living were included regardless of statistical significance. Global cognition, comorbidities, working memory, and cognitive status (MCI versus no MCI ascertained using the Montreal Cognitive Assessment (MoCA)) were significant determinants of total HRU at 6 months. The number of medical comorbidities and global cognition were significant determinants of total HRU at 12 months. MCI status was a determinant of HRU at 6 months among older adults with a history of falls. As such, efforts to minimize health care resource use related to falls

Designing for multiple global user populations: increasing resource allocation efficiency for greater sustainability.

Science.gov (United States)

Nadadur, G; Parkinson, M B

2012-01-01

This paper proposes a method to identify opportunities for increasing the efficiency of raw material allocation decisions for products that are simultaneously targeted at multiple user populations around the world. The values of 24 body measures at certain key percentiles were used to estimate the best-fitting anthropometric distributions for female and male adults in nine national populations, which were selected to represent the diverse target markets multinational companies must design for. These distributions were then used to synthesize body measure data for combined populations with a 1:1 female:male ratio. An anthropometric range metric (ARM) was proposed for assessing the variation of these body measures across the populations. At any percentile, ARM values were calculated as the percentage difference between the highest and lowest anthropometric values across the considered user populations. Based on their magnitudes, plots of ARM values computed between the 1st and 99 th percentiles for each body measure were grouped into low, medium, and high categories. This classification of body measures was proposed as a means of selecting the most suitable strategies for designing raw material-efficient products. The findings in this study and the contributions of subsequent work along these lines are expected to help achieve greater efficiencies in resource allocation in global product development.

High Resource Utilization Does Not Affect Mortality in Acute Respiratory Failure Patients Managed With Tracheostomy

Science.gov (United States)

Freeman, Bradley D; Stwalley, Dustin; Lambert, Dennis; Edler, Joshua; Morris, Peter E; Medvedev, Sofia; Hohmann, Samuel F; Kymes, Steven M

2015-01-01

BACKGROUND Tracheostomy practice in patients with acute respiratory failure (ARF) varies greatly among institutions. This variability has the potential to be reflected in the resources expended providing care. In various healthcare environments, increased resource expenditure has been associated with a favorable effect on outcome. OBJECTIVE To examine the association between institutional resource expenditure and mortality in ARF patients managed with tracheostomy. METHODS We developed analytic models employing the University Health Systems Consortium (Oakbrook, Illinois) database. Administrative coding data were used to identify patients with the principal diagnosis of ARF, procedures, complications, post-discharge destination, and survival. Mean resource intensity of participating academic medical centers was determined using risk-adjusted estimates of costs. Mortality risk was determined using a multivariable approach that incorporated patient-level demographic and clinical variables and institution-level resource intensity. RESULTS We analyzed data from 44,124 ARF subjects, 4,776 (10.8%) of whom underwent tracheostomy. Compared to low-resource-intensity settings, treatment in high-resource-intensity academic medical centers was associated with increased risk of mortality (odds ratio 1.11, 95% CI 1.05–1.76), including those managed with tracheostomy (odds ratio high-resource-intensity academic medical center with tracheostomy 1.10, 95% CI 1.04 –1.17). We examined the relationship between complication development and outcome. While neither the profile nor number of complications accumulated differed comparing treatment environments (P > .05 for both), mortality for tracheostomy patients experiencing complications was greater in high-resource-intensity (95/313, 30.3%) versus low-resource-intensity (552/2,587, 21.3%) academic medical centers (P tracheostomy. PMID:23650434

Resource management in utility and cloud computing

CERN Document Server

Zhao, Han

2013-01-01

This SpringerBrief reviews the existing market-oriented strategies for economically managing resource allocation in distributed systems. It describes three new schemes that address cost-efficiency, user incentives, and allocation fairness with regard to different scheduling contexts. The first scheme, taking the Amazon EC2? market as a case of study, investigates the optimal resource rental planning models based on linear integer programming and stochastic optimization techniques. This model is useful to explore the interaction between the cloud infrastructure provider and the cloud resource c

Service guidelines based on Resource Utilization Groups Version III for Home Care provide decision-making support for case managers.

Science.gov (United States)

Collister, Barbara; Stein, Glenda; Katz, Deborah; DeBruyn, Joan; Andrusiw, Linda; Cloutier, Sheila

2012-01-01

Increasing costs and budget reductions combined with increasing demand from our growing, aging population support the need to ensure that the scarce resources allocated to home care clients match client needs. This article details how Integrated Home Care for the Calgary Zone of Alberta Health Services considered ethical and economic principles and used data from the Resident Assessment Instrument for Home Care (RAI-HC) and case mix indices from the Resource Utilization Groups Version III for Home Care (RUG-III/HC) to formulate service guidelines. These explicit service guidelines formalize and support individual resource allocation decisions made by case managers and provide a consistent and transparent method of allocating limited resources.

Controllable and affordable utility-scale electricity from intermittent wind resources and compressed air energy storage (CAES)

International Nuclear Information System (INIS)

Cavallo, Alfred

2007-01-01

World wind energy resources are substantial, and in many areas, such as the US and northern Europe, could in theory supply all of the electricity demand. However, the remote or challenging location (i.e. offshore) and especially the intermittent character of the wind resources present formidable barriers to utilization on the scale required by a modern industrial economy. All of these technical challenges can be overcome. Long distance transmission is well understood, while offshore wind technology is being developed rapidly. Intermittent wind power can be transformed to a controllable power source with hybrid wind/compressed air energy storage (CAES) systems. The cost of electricity from such hybrid systems (including transmission) is affordable, and comparable to what users in some modern industrial economies already pay for electricity. This approach to intermittent energy integration has many advantages compared to the current strategy of forcing utilities to cope with supply uncertainty and transmission costs. Above all, it places intermittent wind on an equal technical footing with every other generation technology, including nuclear power, its most important long-term competitor

Down the slippery slop: Utility incorporation of environmental externalities

International Nuclear Information System (INIS)

Vandenberg, A.J.; Tempchin, R.S.; Mitnick, S.A.; Harron, A.L.

1993-01-01

Advocates of incorporating environmental externalities in electric utility decision-making have concentrated on new electric generating resources, with some success. Such public utility commission actions compel utilities to consider, explicitly, the cost of sulfur dioxide, carbon dioxide, nitrogen oxides and other emission of power-plants when comparing the economics of new generating resources with those of other resource options (e.g., demand-side management and gas-fired non-utility generator projects). This paper summarizes a study which estimated costs of incorporating externalities in utility system operations. We also present an analysis of the Tellus work in this area, and contrast Tellus' methodology, assumptions and results with our own. Estimates of the cost of incorporating externalities in system operations is rather large, in terms of the increased fuel and purchased power cost that ratepayers would have to bear. For the eight cases we examined, the incorporation of externalities caused fuel and purchased power cost to be 9.3 to 69.5 percent higher, relative to what it would have been under traditional generating unit commitment and dispatch. Furthermore, we believe that these estimates of fuel and purchased power cost increases are conservative. In particular, because our analyses focused on utility system operations in 1995, the key assumption about the fuel cost differential (i.e., coal versus natural gas) probably underestimates the differential in later years, significantly, when virtually all forecasters foresee faster cost escalation rates for gas. In general, the higher the fuel cost differential, the faster cost escalation rates for gas. In general, the higher the fuel cost differential, the greater the cost of an externality policy. Unless the record is set straight soon, the idea that incorporating externalities is virtually costless will further spread in the regulatory community and among government policy-makers

Multi-purpose utilization of hydrothermal resources within the City of El Centro. Final report

Energy Technology Data Exchange (ETDEWEB)

Sherwood, P.B.; Province, S.G.; Yamasaki, R.N.; Newman, K.L.

1979-04-01

The engineering and economic feasibility of utilizing geothermal heat from the Heber KGRA for space heating/cooling and water heating for domestic and industrial process applications within the City of El Centro was investigated. The analysis proceeds through an engineering survey of present conventional energy utilization within the City to identify and evaluate those end uses which could potentially utilize geothermal heat as a substitute for fossil fuel or electrically produced heating and cooling. A general engineering and economic evaluation of heat and cold delivery alternatives followed including evaluations of geothermal fluid transmission options, alternative refrigeration techniques, heat and cold transmission media options, probable systems interfaces, materials evaluations, projected conventional energy costs, life cycle costs for existing conventional systems, projected pricing requirements for privately and municipally developed geothermal resources, the relative distribution costs of heat delivery options, and estimated residential and commercial retrofit costs. A cost-effective plan for large-scale utilization of geothermal energy in El Centro for district heating/cooling and industrial applications was developed from this evaluation and preliminary conclusions drawn. Institutional barriers and environmental impacts associated with geothermal development in the City were also evaluated. Potentially adverse impacts were identified along with mitigating measures that should either completely eliminate or reduce these adverse effects to levels of insignificance.

Influence of Internet Accessibility and Demographic factors on utilization of Web-based Health Information Resources by Resident Doctors in Nigeria.

Science.gov (United States)

Ajuwon, G A; Popoola, S O

2014-09-01

The internet is a huge library with avalanche of information resources including healthcare information. There are numerous studies on use of electronic resources by healthcare providers including medical practitioners however, there is a dearth of information on the patterns of use of web-based health information resource by resident doctors in Nigeria. This study therefore investigates the influence of internet accessibility and demographic factors on utilization of web-based health information resources by resident doctors in tertiary healthcare institutions in Nigeria. Descriptive survey design was adopted for this study. The population of study consisted of medical doctors undergoing residency training in 13 tertiary healthcare institutions in South-West Nigeria. The tertiary healthcare institutions were Federal Medical Centres, University Teaching Hospitals and Specialist Hospitals (Neuropsychiatric and Orthopaedic). A pre-tested, self-administered questionnaire was used for data collection. The Statistical Package for the Social Sciences (SPSS) was used for data analysis. Data were analyzed using descriptive statistics, Pearson Product Moment correlation and multiple regression analysis. The mean age of the respondents was 34 years and males were in the majority (69.0%). A total of 96.1% respondents had access to the Internet. E-mail (X̄=5.40, SD=0.91), Google (X̄=5.26, SD=1.38), Yahoo (X̄=5.15, SD=4.44) were used weekly by the respondents. Preparation for Seminar/Grand Round presentation (X̄=8.4, SD=1.92), research (X̄=7.8, SD=2.70) and communication (X̄=7.6, SD=2.60) were ranked high as purposes for use of web-based information resources. There is a strong, positive and significant relationship between internet accessibility and utilization of web-based health information resources (r=0.628, pdesignation (B=-0.343) educational qualification (B=2.411) significantly influence utilization of web-based health information resources of the respondents. A

Interactions to the fifth trophic level: secondary and tertiary parasitoid wasps show extraordinary efficiency in utilizing host resources

NARCIS (Netherlands)

Harvey, J.A.; Wagenaar, R.; Bezemer, T.M.

2009-01-01

1. Parasitoid wasps are highly efficient organisms at utilizing and assimilating limited resources from their hosts. This study explores interactions over three trophic levels, from the third (primary parasitoid) to the fourth (secondary parasitoid) and terminating in the fifth (tertiary

Distribution, utilization structure and potential of biomass resources in rural China: With special references of crop residues

Energy Technology Data Exchange (ETDEWEB)

Liu, H [Laboratory of Quantitative Vegetation Ecology, Institute of Botany, Chinese Academy of Sciences, 20 Nanxincun, Xiangshan, Beijing 100093 (China); Graduate University of Chinese Academy of Sciences, Beijing 100049 (China); Jiang, G M [Laboratory of Quantitative Vegetation Ecology, Institute of Botany, Chinese Academy of Sciences, 20 Nanxincun, Xiangshan, Beijing 100093 (China); Agronomy Department, Shandong Agricultural University, Tai' an 271018, Shandong Province (China); Zhuang, H Y [National Bio-Energy CO., LTD, No. 26B, Financial Street, Xicheng District, Beijing 100032 (China); Shandong Academy of Sciences, No. 19, Keyuan Road, Ji' nan 250014, Shandong Province (China); Wang, K J [Agronomy Department, Shandong Agricultural University, Tai' an 271018, Shandong Province (China)

2008-06-15

As the largest developing country in the world, China is urgently in short of energy and natural resources. However, biological resources such as crop residues are burnt in the field, which cause serious environmental pollution. Still it is not clear how much storage and potential of these huge crop residues are in China. This paper firstly reported the distribution, utilization structure and potential of crop biomass and provided the tangible information of crop residues in rural China through careful collecting and recalculating data. From 1995 to 2005, China produces some 630 million tons of crop residues per year, 50% of which comes from east and central south of China. The amount of crop residues is 1.3 times of the total yield of crops, 2 times of the total fodder of grassland, which covers 41% of China's territory. Crop residues of corn, wheat and rice amounted to 239, 137 and 116 million tons, respectively, accounting for nearly 80% of the total crop residues. Unfortunately, the utilizing structure is seriously improper for such abundant biomass resources. Although 23% of the crop residues are used for forage, 4% for industry materials and 0.5% for biogas, the large parts are used with lower efficiency or wasted, with 37% being directly combusted by farmers, 15% lost during collection and the rest 20.5% discarded or directly burnt in the field. Reasonable adjustment of the utilizing pattern and popularization of the recycling agriculture are essential out-ways for residues, with the development of the forage industry being the breakthrough point. We suggested that utilizing the abandoned 20.5% of the total residues for forage and combining agriculture and stock raising can greatly improve the farm system and cut down fertilizer pollution. Through the development of forage industries, the use efficiency of crop residues could be largely enhanced. Commercializing and popularizing technologies of biomass gasification and liquefaction might be substitute

Linguistic confusion in economics: utility, causality, product differentiation, and the supply of natural resources.

Science.gov (United States)

Simon, J L

1982-01-01

Lack of careful attention to the language used in the discussion of economic concepts has resulted in considerable confusion and error. 2 frequent sources of confusion include tautology and the absence of operational definitions of concepts. This paper outlines a more effective scientific practice through reference to 2 economic examples: 1) the concept of utility, where it is demonstrated that choice of an operational definition of the concept facilitates interpersonal comparisons; and 2) causality, where a multidimensional operational definition is needed to discriminate among the various meanings of the term in theoretical, empirical, and policy contexts. The paper further discusses the example of natural resource scarcity, where application of the term "finite" reveals that there is no empirical evidence of physical limits to growth in the use of resources. A more appropriate measure of scarcity is the economic concept of price.

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.

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 2: Country case studies

International Nuclear Information System (INIS)

1995-12-01

The present publication presents the results of three UNIDO-sponsored case studies, each with a separate abstract, concerned with perspectives of development and utilisation of biomass energy resources in Brazil, Philippines and Romania. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues

Efficient Resource Utilization in Shared-Everything Environments

NARCIS (Netherlands)

S. Manegold (Stefan); J.K. Obermaier

1998-01-01

textabstractEfficient resource usage is a key to achieve better performance in parallel database systems. Up to now, most research has focussed on balancing the load on several resources of the same type, i.e. balancing either CPU load or I/O load. In this paper, we present floating probe, a

Review of problems associated with the utilization of available thorium resources

International Nuclear Information System (INIS)

O'Hara, F.A.; Gray, R.A.

1975-01-01

Portions of the U. S. Thorium Stockpile are in danger of literally ''going to waste.'' These raw materials, with their high concentrations of thorium, are valuable resources which can be utilized to fuel thermal converter reactors. A portion of this stockpile was transferred to Mound Laboratory in the early 1950's. In 1972, the material was determined to be excess to all present and foreseeable future national requirements. Disposal by burial was recommended by the AEC. Following a detailed study of the potential usefulness of the material and the costs associated with land burial, the AEC agreed to offer the material on surplus sale. Risks and benefits associated with retention of the thorium stockpile are described. Nuclear Materials Managers are uniquely situated to exercise influence and direct the future course of remaining thorium reserves

Incremental healthcare resource utilization and costs in US patients with Cushing's disease compared with diabetes mellitus and population controls.

Science.gov (United States)

Broder, Michael S; Neary, Maureen P; Chang, Eunice; Ludlam, William H

2015-12-01

Resource utilization and costs in Cushing's disease (CD) patients have not been studied extensively. We compared CD patients with diabetes mellitus (DM) patients and population-based controls to characterize differences in utilization and costs. Using 2008-2012 MarketScan® database, we identified three patient groups: (1) CD patients; (2) DM patients; and (3) population-based control patients without CD. DM and control patients were matched to CD patients by age, gender, region, and review year in a 2:1 ratio. Outcomes included annual healthcare resource utilization and costs. There were 1852 CD patients, 3704 DM patients and 3704 controls. Mean age was 42.9 years; 78.2 % were female. CD patients were hospitalized more frequently (19.3 %) than DM patients (11.0 %, p < .001) or controls (5.6 %, p < .001). CD patients visited the ED more frequently (25.4 %) than DM patients (21.1 %, p < .001) or controls (14.3 %, p < .001). CD patients had more office visits than DM patients (19.1 vs. 10.7, p < .001) or controls (7.1, p < .001). CD patients on average filled more prescriptions than DM patients (51.7 vs. 42.7, p < .001) or controls (20.5, p < .001). Mean total healthcare costs for CD patients were $26,269 versus $12,282 for DM patients (p < .001) and $5869 for controls (p < .001). CD patients had significantly higher annual rates of healthcare resource utilization compared to matched DM patients and population controls without CD. CD patient costs were double DM costs and quadruple control costs. This study puts into context the additional burdens of CD over DM, a common, chronic endocrine condition affecting multiple organ systems, and population controls.

Efficient resource utilization in shared-everything environments

NARCIS (Netherlands)

S. Manegold (Stefan); J.K. Obermaier

1997-01-01

textabstractEfficient resource usage is a key to achieve better performance in parallel database systems. Up to now, most research has focussed on balancing the load on several resources of the same type, i.e. balancing either CPU load or I/O load. In this paper, we present emph{floating probe, a

Utility-Marketing Partnerships: An Effective Strategy for Marketing Green Power?

Energy Technology Data Exchange (ETDEWEB)

Bird, L. A.; Brown, E. S.

2006-04-01

This paper explores whether partnerships between utilities and independent marketers are an effective strategy for marketing green power. We present case studies of voluntary and mandatory partnerships covering green power program design and implementation in both regulated and restructured electricity markets. We also include perspectives (based on interviews) from utilities, marketers, and regulators involved in developing and implementing these partnerships. From these case studies and interviews, we describe lessons learned about developing effective partnerships, including such issues as respective roles in marketing and administration, product branding, and contract and incentive structures. Based on experience to date, strategic partnerships between utilities and marketers can be an effective approach to marketing green power. Partnerships leverage the sales and resource procurement experience of marketers and the utility?s reputation and access to customers. Further, partnerships can create greater incentives for success because marketers have a vested financial interest in maximizing customer participation and green power sales.

Local wisdom of Ngata Toro community in utilizing forest resources as a learning source of biology

Science.gov (United States)

Yuliana, Sriyati, Siti; Sanjaya, Yayan

2017-08-01

Indonesian society is a pluralistic society with different cultures and local potencies that exist in each region. Some of local community still adherethe tradition from generation to generation in managing natural resources wisely. The application of the values of local wisdom is necessary to teach back to student to be more respect the culture and local potentials in the region. There are many ways developing student character by exploring local wisdom and implementing them as a learning resources. This study aims at revealing the values of local wisdom Ngata Toro indigenous people of Central Sulawesi Province in managing forest as a source of learning biology. This research was conducted by in-depth interviews, participant non-observation, documentation studies, and field notes. The data were analyzed with triangulation techniques by using a qualitative interaction analysis that is data collection, data reduction, and data display. Ngata Toro local community manage forest by dividing the forest into several zones, those arewana ngkiki, wana, pangale, pahawa pongko, oma, and balingkea accompanied by rules in the management of result-based forest conservation and sustainable utilization. By identifying the purpose of zonation and regulation of the forest, such values as the value of environmental conservation, balance value, sustainable value, and the value of mutual cooperation. These values are implemented as a biological learning resource which derived from the competences standard of analyze the utilization and conservation of the environment.

Utilities must leverage existing resources and upgrade technology to avoid future blackouts

International Nuclear Information System (INIS)

Masiello, R.

2004-01-01

The blackout of August 14, 2003 is used as the incentive to examine transmission grid reliability, expose its deficiencies in terms of technology, standards and processes used to manage reliability, and to make recommendations for leveraging existing resources and upgrading both the technology and procedures to avoid similar breakdowns in the future. It is recommended that in the area of monitoring transmission grid reliability utilities should borrow a page from the Enterprise Risk Management Practices of the financial industry by adopting a system which looks beyond the first 'credible' contingency (the current system) and examine many more 'incredible' contingencies, and underlying events that can trigger multiple contingencies, and plan for them in their operations. Utility companies are also urged to upgrade their energy management systems (EMS) technology to be able to deal with the kinds of severely depressed voltages and overloaded circuits that many grids experience today. Investment in new capabilities in control rooms, more and better communications will be essential. EMS algorithms and models must be upgraded to operate under a broader spectrum of grid conditions and to simulate the once-in-a-lifetime outage scenarios that most operators believe could never strike their utility. Expert opinion strongly suggests that as part of this process of upgrading, contingency analysis should shift from the 'N-1' model of the present to a stochastic model that considers a wider range of possible events in a probabilistic framework

Utilities must leverage existing resources and upgrade technology to avoid future blackouts

Energy Technology Data Exchange (ETDEWEB)

Masiello, R. [KEMA Inc. Burlington, MA (United States)

2004-06-01

The blackout of August 14, 2003 is used as the incentive to examine transmission grid reliability, expose its deficiencies in terms of technology, standards and processes used to manage reliability, and to make recommendations for leveraging existing resources and upgrading both the technology and procedures to avoid similar breakdowns in the future. It is recommended that in the area of monitoring transmission grid reliability utilities should borrow a page from the Enterprise Risk Management Practices of the financial industry by adopting a system which looks beyond the first 'credible' contingency (the current system) and examine many more 'incredible' contingencies, and underlying events that can trigger multiple contingencies, and plan for them in their operations. Utility companies are also urged to upgrade their energy management systems (EMS) technology to be able to deal with the kinds of severely depressed voltages and overloaded circuits that many grids experience today. Investment in new capabilities in control rooms, more and better communications will be essential. EMS algorithms and models must be upgraded to operate under a broader spectrum of grid conditions and to simulate the once-in-a-lifetime outage scenarios that most operators believe could never strike their utility. Expert opinion strongly suggests that as part of this process of upgrading, contingency analysis should shift from the 'N-1' model of the present to a stochastic model that considers a wider range of possible events in a probabilistic framework.

Minimal support technology and in situ resource utilization for risk management of planetary spaceflight missions

Science.gov (United States)

Murphy, K. L.; Rygalov, V. Ye.; Johnson, S. B.

2009-04-01

All artificial systems and components in space degrade at higher rates than on Earth, depending in part on environmental conditions, design approach, assembly technologies, and the materials used. This degradation involves not only the hardware and software systems but the humans that interact with those systems. All technological functions and systems can be expressed through functional dependence: [Function]˜[ERU]∗[RUIS]∗[ISR]/[DR];where [ERU]efficiency (rate) of environmental resource utilization[RUIS]resource utilization infrastructure[ISR]in situ resources[DR]degradation rateThe limited resources of spaceflight and open space for autonomous missions require a high reliability (maximum possible, approaching 100%) for system functioning and operation, and must minimize the rate of any system degradation. To date, only a continuous human presence with a system in the spaceflight environment can absolutely mitigate those degradations. This mitigation is based on environmental amelioration for both the technology systems, as repair of data and spare parts, and the humans, as exercise and psychological support. Such maintenance now requires huge infrastructures, including research and development complexes and management agencies, which currently cannot move beyond the Earth. When considering what is required to move manned spaceflight from near Earth stations to remote locations such as Mars, what are the minimal technologies and infrastructures necessary for autonomous restoration of a degrading system in space? In all of the known system factors of a mission to Mars that reduce the mass load, increase the reliability, and reduce the mission’s overall risk, the current common denominator is the use of undeveloped or untested technologies. None of the technologies required to significantly reduce the risk for critical systems are currently available at acceptable readiness levels. Long term interplanetary missions require that space programs produce a craft

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

Should the Red Dragon arise? Assessing China's options vis-à-vis the enactment of a domestic space resources utilization law

Science.gov (United States)

Hao, L.; Tronchetti, F.

2017-05-01

The past couple of years have witnesses one of the most exciting, yet controversial, developments in the field of space law, namely the adoption of domestic laws authorizing the (private) appropriation and utilization of outer space resources. Even though the technology to effectively mine resources in outer space is still under development countries like the United States and Luxembourg have taken this legislative step as a mean to promote the growth of a domestic private space mining sector. The enactment of national space resources utilization laws has generated extensive interest both within academic circles and official fora, such as the United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS). In this context, several countries have expressed their opinion about these initiatives, by often criticizing their legality vis-a-vis international space law. Despite this remarkable level of interest there is a country that throughout this process has maintained a low profile, namely China. Indeed, China has neither reacted to the US and Luxembourgish moves nor has officially commented on the lawfulness of domestic space mining laws. This conduct is particularly relevant not only in the light of the growing importance of the Chinese space program but also if one considers that China is the country most involved in the exploration and study of celestial bodies and their resources, particularly the Moon. For this reasons it would have been legitimate to expect China to have a more engaged behavior. However, China has acted otherwise. It seems thus worth evaluating whether China should maintain this 'wait and see' approach or should instead switch towards a more assertive position, both internationally and domestically, especially one which includes the adoption of a space resources utilization act.

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 2: Country case studies

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-12-01

The present publication presents the results of three UNIDO-sponsored case studies, each with a separate abstract, concerned with perspectives of development and utilisation of biomass energy resources in Brazil, Philippines and Romania. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues Refs, figs, tabs

Innovative practice model to optimize resource utilization and improve access to care for high-risk and BRCA+ patients.

Science.gov (United States)

Head, Linden; Nessim, Carolyn; Usher Boyd, Kirsty

2017-02-01

Bilateral prophylactic mastectomy (BPM) has demonstrated breast cancer risk reduction in high-risk/ BRCA + patients. However, priority of active cancers coupled with inefficient use of operating room (OR) resources presents challenges in offering BPM in a timely manner. To address these challenges, a rapid access prophylactic mastectomy and immediate reconstruction (RAPMIR) program was innovated. The purpose of this study was to evaluate RAPMIR with regards to access to care and efficiency. We retrospectively reviewed the cases of all high-risk/ BRCA + patients having had BPM between September 2012 and August 2014. Patients were divided into 2 groups: those managed through the traditional model and those managed through the RAPMIR model. RAPMIR leverages 2 concurrently running ORs with surgical oncology and plastic surgery moving between rooms to complete 3 combined BPMs with immediate reconstruction in addition to 1-2 independent cases each operative day. RAPMIR eligibility criteria included high-risk/ BRCA + status; BPM with immediate, implant-based reconstruction; and day surgery candidacy. Wait times, case volumes and patient throughput were measured and compared. There were 16 traditional patients and 13 RAPMIR patients. Mean wait time (days from referral to surgery) for RAPMIR was significantly shorter than for the traditional model (165.4 v. 309.2 d, p = 0.027). Daily patient throughput (4.3 v. 2.8), plastic surgery case volume (3.7 v. 1.6) and surgical oncology case volume (3.0 v. 2.2) were significantly greater in the RAPMIR model than the traditional model ( p = 0.003, p < 0.001 and p = 0.015, respectively). A multidisciplinary model with optimized scheduling has the potential to improve access to care and optimize resource utilization.

Externalities in utility resource selection: A means to formally recognize the envionmental benefits of wind farms

International Nuclear Information System (INIS)

Birner, S.

1992-01-01

Wind can only make its full contribution to the minimization of the total cost of energy services if it is valued for all the costs that it avoids, including avoided environmental costs. Means of incorporating environmental costs, or externalities, into utility planning decisions are described. Externalities are defined as uncompensated costs or benefits of an action borne by a party other than the one causing the costs. A simple example of the use of externalities in utility resource selection is presented, comparing costs of a coal-fired power plant and a wind farm. Externalities of wind farms are analyzed and found to be very low. An examination of some aspects of legislation in the USA and Canada shows a trend for utility commissions and other regulatory bodies to determine that including externalitites lies within their mandate. By formally recognizing and accounting for the environmental benefits of wind farms, it is seen that externalities can have a significant effect on utility demand for wind energy. A review of USA state actions regarding externalities is appended. 10 refs

Geothermal energy resources of the USSR and their utilization

Energy Technology Data Exchange (ETDEWEB)

Groebner, W

1961-01-01

In the Soviet Union, the areas with the highest geothermal gradient are found in the region of Kamchatka, in the Kuriles, and in western Turkmenia. Test drilling in Kamchatka has produced hot water at a temperature of 200/sup 0/C from a depth of 100-300 m. If a pressure of 300-400 kPa is maintained, the wells can bring the fluids to the surface as a two-phase mixture of steam and hot water. In 1961, plans were being made for the construction of a 12 MW power plant and several greenhouses. Other heat sources were being developed to heat the city of Petropavlovsk. In the northern Cauacasus, hot water is encountered only at depths greater than about 2.5 km, but the quantity available is sufficient to provide the heating needs of several major cities. In the Republic of Daghestan, test drilling has revealed hot water sources which are pressurized to 1.6 MPa, and which produce at a rate of 100 m/sup 3//h. Enormous geothermal energy resources are located in artesian reservoirs beneath western Siberia, over an extent of 3 million km/sup 2/.

Quality of life, activity impairment, and healthcare resource utilization associated with atrial fibrillation in the US National Health and Wellness Survey.

Directory of Open Access Journals (Sweden)

Amir Goren

Full Text Available OBJECTIVES: This study builds upon current studies of atrial fibrillation (AF and health outcomes by examining more comprehensively the humanistic burden of illness (quality of life, activity impairment, and healthcare resource utilization among adult patients with AF, using a large, nationally representative sample and matched controls. METHODS: Data were analyzed from the Internet-based 2009 US National Health and Wellness Survey. Outcomes were Mental and Physical Component Summary (MCS and PCS and health utility scores from the SF-12, activity impairment, hospitalizations, and healthcare provider and emergency room (ER visits. Patients with self-reported diagnosis of AF were matched randomly on age and gender with an equal number of respondents without AF. Generalized linear models examined outcomes as a function of AF vs. non-AF status, controlling for CHADS2 score, comorbidity counts, demographics, and clinical variables. Exploratory structural equation modeling assessed the above in an integrated model of humanistic burden. RESULTS: Mean age of AF patients (1,296 from a total sample of 75,000 was 64.9 years and 65.1% were male. Adjusting for covariates, compared with non-AF patients, AF patients had lower MCS, PCS, and utility scores, greater activity impairment (rate ratio = 1.26, more traditional provider visits (rate ratio = 1.43, and increased odds of ER visits (OR = 2.53 and hospitalizations (OR = 2.71. Exploratory structural equation modeling analyses revealed that persons with AF experienced a significantly higher overall humanistic burden. CONCLUSIONS: This study highlights and clarifies the substantial burden of AF and its implications for preparing efficacious AF management plans to address the imminent rise in prevalence.

Dynamic Gene-Resource Landscape Management of Norway Spruce: Combining Utilization and Conservation

Directory of Open Access Journals (Sweden)

Milan Lstibůrek

2017-10-01

Full Text Available Traditional gene-resource management programs for forest trees are long-term endeavors requiring sustained organizational commitment covering extensive landscapes. While successful in maintaining adaptation, genetic diversity and capturing traditional growth attributes gains, these programs are dependent on rigid methods requiring elaborate mating schemes, thus making them slow in coping with climate change challenges. Here, we review the significance of Norway spruce in the boreal region and its current management practices. Next, we discuss opportunities offered by novel technologies and, with the use of computer simulations, we propose and evaluate a dynamic landscape gene-resource management in Norway. Our suggested long-term management approach capitalizes on: (1 existing afforestation activities, natural crosses, and DNA-based pedigree assembly to create structured pedigree for evaluation, thus traditional laborious control crosses are avoided and (2 landscape level genetic evaluation, rather than localized traditional progeny trials, allowing for screening of adapted individuals across multiple environmental gradients under changing climate. These advantages lead to greater genetic response to selection in adaptive traits without the traditional breeding and testing scheme, facilitating conservation of genetic resources within the breeding population of the most important forest tree species in Norway. The use of in situ selection from proven material exposed to realistic conditions over vast territories has not been conducted in forestry before. Our proposed approach is in contrast to worldwide current programs, where genetic evaluation is constrained by the range of environments where testing is conducted, which may be insufficient to capture the broad environmental variation necessary to tackle adaptation under changing climate.

The Availability and Utilization of School Library Resources in Some Selected Secondary Schools (High School) in Rivers State

Science.gov (United States)

Owate, C. N.; Iroha, Okpa

2013-01-01

This study investigates the availability and utilization of school library resources by Secondary School (High School) Students. Eight Selected Secondary Schools in Rivers State, Nigeria were chosen based on their performance in external examinations and geographic locations. In carrying out the research, questionnaires were administered to both…

Health-service utilization by pregnant women in the greater Mafikeng- Mmabatho district

Directory of Open Access Journals (Sweden)

C.F. Pretorius

2004-09-01

Full Text Available Since the implementation of free maternity services in South Africa from 1994, more maternity services were provided (SA, 1994: 73. These services are however inaccessible to many pregnant women in the rural areas, leading to sub-optimal antenatal health service utilization. Another problem that emerged, is deterioration in antenatal health service rendering throughout the country, as well as a lack of guidelines for the mobilization of pregnant women in order to promote optimal antenatal health service utilization (ANHSU in the North West Province. The mentioned problems were the reasons for undertaking this research.

Simulation of emergency response operations for a static chemical spill within a building using an opportunistic resource utilization network

NARCIS (Netherlands)

Lilien, L.T.; Elbes, M.W.; Ben Othmane, L.; Salih, R.M.

2013-01-01

We investigate supporting emergency response operations with opportunistic resource utilization networks ("oppnets"), based on a network paradigm for inviting and integrating diverse devices and systems available in the environment. We simulate chemical spill on a single floor of a building and

Comparison of health care resource utilization and costs among patients with GERD on once-daily or twice-daily proton pump inhibitor therapy

Directory of Open Access Journals (Sweden)

Mody R

2013-04-01

comorbid conditions and greater health care utilization and overall costs compared with patients using once-daily PPI therapy. Keywords: gastroesophageal reflux disease, proton pump inhibitors, health care resource utilization, database analysis

POST-SOVIET PERIOD CHANGES IN RESOURCE UTILIZATION AND THEIR IMPACT ON POPULATION DYNAMICS IN CHUKOTKA AUTONOMOUS OKRUG (RUSSIA

Directory of Open Access Journals (Sweden)

T. Litvinenko

2017-01-01

Full Text Available This study examines changes that have occurred in the resource utilization sector and the impact of these changes on population dynamics in the Chukotka Autonomous Okrug (Russia during the post-Soviet period. This paper discuss topics of population-dynamics-related differences that have emerged in the region and impacts of these differences on the use of natural resources and the ethnic composition of the population. Through this study, it was shown that changes have tended to be small in local areas where indigenous peoples who have engaged in traditional natural resource use for a large proportion of the population, while changes have been relatively large in areas where the proportion of non-indigenous people is high and the mining industry has developed.

A survey on resource and service utilization pattern for patients with smear-positive pulmonary tuberculosis in Azadshahr district; 2013-2015

Directory of Open Access Journals (Sweden)

Ehsan Zarei

2017-09-01

Conclusion: Our findings showed that the utilization pattern of resources and services in patients with tuberculosis was approximately consistent with protocols developed by World Health Organization (WHO and Ministry of Health of Iran often.

improvisation and utilization of resources in the teaching

African Journals Online (AJOL)

resources are inevitable in enhancing the teaching and learning of science and mathematics generally ... poor performance and low achievement in science and mathematics. Therefore these ..... Learning Resources for Primary science.

Equitably sharing benefits from the utilization of natural genetic resources: the Brazilian interpretation of the Convention of Biological Diversity

NARCIS (Netherlands)

Pena-Neira, S.; Dieperink, C.; Addink, G.H.

2002-01-01

The utilization of natural genetic resources could yield great benefits. The Convention on Biological Diversity introduced a number of rules concerning the sharing of these benefits. However, the interpretation and application (legal implementation) of these rules is a matter of discussion among

Impact of on-site cardiac catheterization on resource utilization and fatal and non-fatal outcomes after acute myocardial infarction

Directory of Open Access Journals (Sweden)

Richard Hugues

2006-11-01

Full Text Available Abstract Background Patterns of care for acute myocardial infarction (AMI strongly depend on the availability of on-site cardiac catheterization facilities. Although the management found at hospitals without on-site catheterization does not lead to increased mortality, little it known about its impact on resource utilization and non-fatal outcomes. Methods We identified all patients (n = 35,289 admitted with a first AMI in the province of Quebec between January 1, 1996 and March 31, 1999 using population-based administrative databases. Medical resource utilization and non-fatal and fatal outcomes were compared among patients admitted to hospitals with and without on-site cardiac catheterization facilities. Results Cardiac catheterization and PCI were more frequently performed among patients admitted to hospitals with catheterization facilities. However, non-invasive procedures were not used more frequently at hospitals without catheterization facilities. To the contrary, echocardiography [odds ratio (OR, 2.04; 95% confidence interval (CI, 1.93–2.16] and multi-gated acquisition imaging (OR, 1.24; 95% CI, 1.17–1.32 were used more frequently at hospitals with catheterization, and exercise treadmill testing (OR, 1.02; 95% CI, 0.91–1.15 and Sestamibi/Thallium imaging (OR, 0.93; 95% CI, 0.88–0.98 were used similarly at hospitals with and without catheterization. Use of anti-ischemic medications and frequency of emergency room and physician visits, were similar at both types of institutions. Readmission rates for AMI-related cardiac complications and mortality were also similar [adjusted hazard ratio, recurrent AMI: 1.02, 95% CI, 0.89–1.16; congestive heart failure: 1.02; 95% CI, 0.90–1.15; unstable angina: 0.93; 95% CI, 0.85–1.02; mortality: 0.99; 95% CI, 0.93–1.05]. Conclusion Although on-site availability of cardiac catheterization facilities is associated with greater use of invasive cardiac procedures, non-availability of

Biotechnology for Conservation and Utilization of Agricultural Plant Genetic Resources in Nepal

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Bal Krishna Joshi

2017-05-01

Full Text Available Agricultural biodiversity is the basis of human life and food security. Nepal with 577 cultivated species possesses huge diversity at varietal as well as landrace levels. In most agricultural crops the rapid genetic erosion due to several reasons is a common phenomenon. Thus, considering the importance of agricultural biodiversity declared by Convention on Biological Diversity for sustainable food production, National Agriculture Genetic Resources Center (NAGRC has been established for conservation and sustainable utilization of agricultural biodiversity. This paper thus delineates the application of biotechnological tools adopted by NAGRC for effective and efficient conservation and use of agricultural plant genetic resources (APGRs. Among the adopted technologies, tissue bank using shoot tip culture of vegetatively propagating and recalcitrant crops eg potato, sugarcane, banana, sweet potato, etc are in function. Under the molecular marker technology, currently random amplified polymorphic DNA (RAPD and simple sequence repeat (SSR markers have been used for developing DNA profiles, identifying duplicates in the collections, assessing genetic diversity and screening accessions against economic traits. DNA bank has also been created for storing DNA of indigenous crops and these DNA can be accessed for research and study. Genotypic database has been developed for chayote, finger millet, wheat and maize for identification and selection of the accessions.

Advanced Water Purification System for In Situ Resource Utilization Project

Science.gov (United States)

Anthony, Stephen M.

2014-01-01

A main goal in the field of In Situ Resource Utilization is to develop technologies that produce oxygen from regolith to provide consumables to an extratrrestrial outpost. The processes developed reduce metal oxides in the regolith to produce water, which is then electrolyzed to produce oxygen. Hydrochloric and hydrofluoric acids are byproducts of the reduction processes, which must be removed to meet electrolysis purity standards. We previously characterized Nation, a highly water selective polymeric proton-exchange membrane, as a filtrtion material to recover pure water from the contaminated solution. While the membranes successfully removed both acid contaminants, the removal efficiency of and water flow rate through the membranes were not sufficient to produce large volumes of electrolysis-grade water. In the present study, we investigated electrodialysis as a potential acid removable technique. Our studies have show a rapid and significant reduction in chloride and fluoride concentrations in the feed solution, while generating a relatively small volume of concentrated waste water. Electrodialysis has shown significant promise as the primary separation technique in ISRU water purification processes.

The increase of the efficiency for comprehensive utilization of the fuel and energetic resources (The use coal enterprises of Kazakhstan as example)

International Nuclear Information System (INIS)

Satova, R.K.

1999-01-01

In Kazakhstan during the period of transition to the market economy in the condition of reduction of coal production and increasing expenditures in coal branch, the problem of of the rational utilization of coal resources becomes the most vital issue. In the thesis theoretical and methodological aspects of socio-economic efficiency of utilization of the fuel and energetic resources are investigated. Different fields of usage of coal and coal wastes are studied, economic evaluation of mechanic and thermo-chemical methods of producing coal in process of bringing resources saving technologies; the national efficiency of using products in the quantity of technological raw and energetic fuel is brought out; the influence refining for the widening of the raw-base of industry, promoting the economic results of production and the lowering environmental pollution. It was estimated that the extracted coal of the region includes 1020 thousand tonne of aluminium oxide and 996 thousand tonne of sulphur; in the course of extracting and coal processing 3650 thousand tonne of firm wastes appeared; during the extracting of Ehkibastuz coal - 90970 thousand tonne, and the Karaganda coal - 40040 thousand tonne.The coal components and wastes mentioned above should be considered not only as source of environment pollution but also as potential resource for the production of industrial goods according to their qualitative characteristics and the availability of technical ideas of the processing. The implementation of the mentioned pre-sup-positions in the conditions of the forming market economy will allow to use the organic part of coal more competently, to involve the other useful components of coal in the sphere of production consumption, to utilize gaseous and firm wastes and to gain of the basis the expansion of resource base of same branches of industry and the reduction of environment pollution. It will be also accompanied by the needs in capital investments for the industrial

Pedagogical Utilization and Assessment of the Statistic Online Computational Resource in Introductory Probability and Statistics Courses.

Science.gov (United States)

Dinov, Ivo D; Sanchez, Juana; Christou, Nicolas

2008-01-01

Technology-based instruction represents a new recent pedagogical paradigm that is rooted in the realization that new generations are much more comfortable with, and excited about, new technologies. The rapid technological advancement over the past decade has fueled an enormous demand for the integration of modern networking, informational and computational tools with classical pedagogical instruments. Consequently, teaching with technology typically involves utilizing a variety of IT and multimedia resources for online learning, course management, electronic course materials, and novel tools of communication, engagement, experimental, critical thinking and assessment.The NSF-funded Statistics Online Computational Resource (SOCR) provides a number of interactive tools for enhancing instruction in various undergraduate and graduate courses in probability and statistics. These resources include online instructional materials, statistical calculators, interactive graphical user interfaces, computational and simulation applets, tools for data analysis and visualization. The tools provided as part of SOCR include conceptual simulations and statistical computing interfaces, which are designed to bridge between the introductory and the more advanced computational and applied probability and statistics courses. In this manuscript, we describe our designs for utilizing SOCR technology in instruction in a recent study. In addition, present the results of the effectiveness of using SOCR tools at two different course intensity levels on three outcome measures: exam scores, student satisfaction and choice of technology to complete assignments. Learning styles assessment was completed at baseline. We have used three very different designs for three different undergraduate classes. Each course included a treatment group, using the SOCR resources, and a control group, using classical instruction techniques. Our findings include marginal effects of the SOCR treatment per individual

Metabolic Syndrome is Associated with Increased Postoperative Morbidity and Hospital Resource Utilization in Patients Undergoing Elective Pancreatectomy.

Science.gov (United States)

Tee, May C; Ubl, Daniel S; Habermann, Elizabeth B; Nagorney, David M; Kendrick, Michael L; Sarr, Michael G; Truty, Mark J; Que, Florencia G; Reid-Lombardo, Kmarie; Smoot, Rory L; Farnell, Michael B

2016-01-01

In patients undergoing elective partial pancreatectomy, our aim was to evaluate the effect of metabolic syndrome (MS) on postoperative mortality, morbidity, and utilization of hospital resources. Our hypothesis was that MS is associated with worse surgical outcomes after pancreatectomy. Fifteen thousand eight hundred thirty-one patients undergoing elective pancreatectomy from 2005 to 2012 were identified in the Participant User File of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Univariable and multivariable analyses were performed examining the association of MS (defined as body mass index ≥30 kg/m(2), hypertension requiring medications, and diabetes requiring medications and/or insulin) and risk of 30-day mortality, morbidity, and utilization of hospital resources (risk of blood transfusion in the first 72 h after pancreatectomy and prolonged hospital stay, defined as ≥13 days, which was the 75th percentile of this cohort). Multivariable logistic regression models controlled for age, sex, race, pancreatectomy type (distal versus proximal), smoking status, alcohol consumption, functional status, dyspnea, cardiovascular disease, hematocrit, INR, serum albumin, bilirubin, and creatinine. Stratified analyses were conducted by type of pancreatectomy and indication for pancreatectomy (benign versus malignant). On univariate analysis, 1070 (6.8%) patients had MS. MS was associated with increased postoperative morbidity, major morbidity, surgical site infection, septic shock, cardiac event, respiratory failure, pulmonary embolism, blood transfusion, and prolonged duration of hospital stay (P pancreatectomy (P = 0.465). When stratified by distal versus proximal pancreatectomy and benign versus malignant disease, the effect of MS on outcomes appears to be modified by type of pancreatectomy and indication with poorer outcomes observed for distal pancreatectomies and benign indications for resection. MS is an under

Aortic anatomic severity grade correlates with resource utilization.

Science.gov (United States)

Rasheed, Khurram; Cullen, John P; Seaman, Matthew J; Messing, Susan; Ellis, Jennifer L; Glocker, Roan J; Doyle, Adam J; Stoner, Michael C

2016-03-01

total cost and need for adjunctive procedures during EVAR. Preoperative assessment with ASG scores can delineate patients at greater risk for increased resource use. Patient comorbid factors are associated with anatomic complexity defined according to ASG. A critical examination of the relationship between anatomic complexity and finances is required within the context of aggressive endovascular treatment strategies and shifts toward value-based reimbursement. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Costs and health care resource utilization among chronic obstructive pulmonary disease patients with newly acquired pneumonia

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Lin J

2014-07-01

Full Text Available Junji Lin,1 Yunfeng Li,2 Haijun Tian,2 Michael J Goodman,1 Susan Gabriel,2 Tara Nazareth,2 Stuart J Turner,2,3 Stephen Arcona,2 Kristijan H Kahler21Department of Pharmacotherapy, University of Utah, Salt Lake City, UT, USA; 2Health Economics and Outcomes Research, Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 3Ernest Mario School of Pharmacy, Rutgers University, New Brunswick, NJ, USA Background: Patients with chronic obstructive pulmonary disease (COPD are at increased risk for lung infections and other pathologies (eg, pneumonia; however, few studies have evaluated the impact of pneumonia on health care resource utilization and costs in this population. The purpose of this study was to estimate health care resource utilization and costs among COPD patients with newly acquired pneumonia compared to those without pneumonia. Methods: A retrospective claims analysis using Truven MarketScan® Commercial and Medicare databases was conducted. COPD patients with and without newly acquired pneumonia diagnosed between January 1, 2004 and September 30, 2011 were identified. Propensity score matching was used to create a 1:1 matched cohort. Patient demographics, comorbidities (measured by Charlson Comorbidity Index, and medication use were evaluated before and after matching. Health care resource utilization (ie, hospitalizations, emergency room [ER] and outpatient visits, and associated health care costs were assessed during the 12-month follow-up. Logistic regression was conducted to evaluate the risk of hospitalization and ER visits, and gamma regression models and two-part models compared health care costs between groups after matching. Results: In the baseline cohort (N=467,578, patients with newly acquired pneumonia were older (mean age: 70 versus [vs] 63 years and had higher Charlson Comorbidity Index scores (3.3 vs 2.6 than patients without pneumonia. After propensity score matching, the pneumonia cohort was nine times more likely

Natural Gas Resources of the Greater Green River and Wind River Basins of Wyoming (Assessing the Technology Needs of Sub-economic Resources, Phase I: Greater Green River and Wind river Basins, Fall 2002)

Energy Technology Data Exchange (ETDEWEB)

Boswell, Ray; Douds, Ashley; Pratt, Skip; Rose, Kelly; Pancake, Jim; Bruner, Kathy (EG& G Services); Kuuskraa, Vello; Billingsley, Randy (Advanced Resources International)

2003-02-28

In 2000, NETL conducted a review of the adequacy of the resource characterization databases used in its Gas Systems Analysis Model (GSAM). This review indicated that the most striking deficiency in GSAM’s databases was the poor representation of the vast resource believed to exist in low-permeability sandstone accumulations in western U.S. basins. The model’s databases, which are built primarily around the United States Geological Survey (USGS) 1995 National Assessment (for undiscovered resources), reflected an estimate of the original-gas-inplace (OGIP) only in accumulations designated “technically-recoverable” by the USGS –roughly 3% to 4% of the total estimated OGIP of the region. As these vast remaining resources are a prime target of NETL programs, NETL immediately launched an effort to upgrade its resource characterizations. Upon review of existing data, NETL concluded that no existing data were appropriate sources for its modeling needs, and a decision was made to conduct new, detailed log-based, gas-in-place assessments.

Radiology services for children in HIV- and TB-endemic regions: scope for greater collaboration between radiologists and clinicians caring for children

International Nuclear Information System (INIS)

Dramowski, Angela; Morsheimer, Megan M.; Schaaf, H.S.; Rabie, Helena; Sorour, Gillian; Cotton, Mark F.; Frigati, Lisa

2009-01-01

There is limited literature documenting the interaction between radiologists and clinicians caring for children, especially in regions where HIV and tuberculosis (TB) are endemic. The dual burden of these diseases in resource-limited settings creates unique challenges for radiographic interpretation and utilization. This review aims to heighten awareness of issues confronting radiologists and clinicians caring for children and to encourage greater collaboration between these two disciplines in HIV- and TB-endemic regions. The Child-Friendly Healthcare Initiative is discussed, emphasizing opportunities to promote child friendliness in radiology services. (orig.)

Slack resources and quality of primary care.

Science.gov (United States)

Mohr, David C; Young, Gary J

2012-03-01

Research generally shows that greater resource utilization fails to translate into higher-quality healthcare. Organizational slack is defined as extra organizational resources needed to meet demand. Divergent views exist on organizational slack in healthcare. Some investigators view slack negatively because it is wasteful, inefficient, and costly, whereas others view slack positively because it allows flexibility in work practices, expanding available services, and protecting against environmental changes. We tested a curvilinear relationship between organizational slack and care quality. The study setting was primary care clinics (n=568) in the Veterans Health Administration. We examined organizational slack using the patient panel size per clinic capacity ratio and support staff per provider ratio staffing guidelines developed by the Veterans Health Administration. Patient-level measures were influenza vaccinations, continuity of care, and overall quality of care ratings. We obtained 2 independent patient samples with approximately 28,000 and 62,000 observations for the analysis. We used multilevel modeling and examined the linear and quadratic terms for both organizational slack measures. We found a significant curvilinear effect for panel size per clinic capacity for influenza vaccinations and overall quality of care. We also found support staff per provider exhibited a curvilinear effect for continuity of care and influenza vaccinations. Greater available resources led to better care, but at a certain point, additional resources provided minimal quality gains. Our findings highlight the importance of primary care clinic managers monitoring staffing levels. Healthcare systems managing a balanced provider workload and staff-mix may realize better patient care delivery and cost management.

Utilization of mining and mineral wastes

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Ho; Hong, Seung Woong; Choi, Young Yoon; Kim, Byung Gyu; Park, Je Shin [Korea Institute of Geology Mining and Materials, Taejon (Korea)

1998-12-01

Up to now, it is estimated that more than 50 million tons of mineral wastes have been generated mining industries and deposited on the land in Korea. Much of cultivated land and hilly areas have been occupied by this wastes, which cause pollution of the environment. Utilization of the mineral wastes is preferable to stabilization because full use would both eliminate the waste and broaden the mineral resource base. Therefore, the development of utilization techniques of mineral wastes is very important not only for improving the environment but also for resource conservation. In countries with high population and poor natural resources like Korea, the utilization of these wastes is essential to decrease the environmental problem and the secure the resources and the study on this field play a important part. Therefore, the objective of this study is to develop the utilization techniques of the mineral wastes. In first year's research, the contents and scope of this study are 1) Present condition and Field Survey on the mineral wastes with respect of their utilization, 2) Reviews of Current effects and research to utilize mineral wastes, 3) Characterization of mineral wastes and environmental test, 4) Evaluation and study on the utilization. (author). 67 refs., 25 tabs., 54 figs.

Utilization of mining and mineral wastes

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Ho; Hong, Seung Woong; Choi, Young Yoon; Kim, Byung Gyu; Park, Je Shin [Korea Institute of Geology Mining and Materials, Taejon (Korea)

1998-12-01

Up to now, it is estimated that more than 50 million tons of mineral wastes have been generated mining industries and deposited on the land in Korea. Much of cultivated land and hilly areas have been occupied by this wastes, which cause pollution of the environment. Utilization of the mineral wastes is preferable to stabilization because full use would both eliminate the waste and broaden the mineral resource base. Therefore, the development of utilization techniques of mineral wastes is very important not only for improving the environment but also for resource conservation. In countries with high population and poor natural resources like Korea, the utilization of these wastes is essential to decrease the environmental problem and the secure the resources and the study on this field play a important part. Therefore, the objective of this study is to develop the utilization techniques of the mineral wastes. In first year's research, the contents and scope of this study are 1) Present condition and Field Survey on the mineral wastes with respect of their utilization, 2) Reviews of Current effects and research to utilize mineral wastes, 3) Characterization of mineral wastes and environmental test, 4) Evaluation and study on the utilization. (author). 67 refs., 25 tabs., 54 figs.

Probing Language Teacher Accountability in Utilizing Self-developed Language Teaching Resources

Directory of Open Access Journals (Sweden)

Marjan Vosoughi

2018-03-01

Full Text Available This study was aimed at recognizing constraints on the way of some Iranian language teachers' utilization of self-developed, localized, English language teaching resources. To this aim, three sets of teacher variables on pedagogical and personal accounts were examined including Language teachers' experience (novice/experienced, their educational level (BA/MA/PhD and their gender. Data were collected in two phases. In the first phase, through stratified sampling, some eighty-three volunteering, English language teachers (Male and Female, who were indulged in the Iranian Ministry of Education (MoE, university settings (public and private and language institutes were randomly selected.  Teachers’ responses to a validated researcher-made questionnaire on language teacher curriculum autonomy revealed an overall significant Multiple R with F (3, 80 =.88, (0.04 but each individual above-cited predictors could not significantly predict teacher curriculum autonomy score. In the second phase for triangulation aims, three above-cited teacher variables were mapped over the insights gained through written interview sessions with some fourteen English language teachers.  Language teachers' self-reported 'challenges' and 'opportunities' for using self-developed language teaching resources for class use were content analyzed. It became evident that teaching experience was mystified in some respects in terms of its influence over interviewed teachers since diverse intentions on the part of the language teachers in this research might have deterred them not to use their full potential over using their own materials in class. Possible reasons for this situation have been fully discussed in the end.

Independent Planning System and Public Administration in Metropolitan Development: Agglomeration Strategies of Greater Chaoshan in Southern China

Directory of Open Access Journals (Sweden)

Tian Guang

2017-04-01

Full Text Available This paper examines independent planning system as a means of public administration in regional economic development. It proposes a new strategy based on the theories of public administrative resources, to agglomerate and unify the cities of Shantou, Jieyang, and Chaozhou into a new administrative entity as a metropolis with the status of independent planning and the preferred policies of a Special Economic Region to lead regional development. The optimal allocation of public administrative resources has played a key role in the fundamental economic development in China in recent years. The new administrative system of large cities (metropolises with independent planning has become an innovative format to utilize the renewable soft resources of administration, which in fact is a new attempt to reform the economic system by the Chinese government. The greater Chaoshan area needs to be agglomerated and unified to further develop the regional economy with the implementation of independent planning system. The current research conducted from a practical and political point of view is of significant value to the overall planning and strategic layout of the economic and social development of the whole eastern Guangdong region.

Utility-Marketer Partnerships. An Effective Strategy for Marketing Green Power?

Energy Technology Data Exchange (ETDEWEB)

Bird, L. A. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brown, E. S. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

2006-04-01

This paper explores whether partnerships between utilities and independent marketers are an effective strategy for marketing green power. We present case studies of voluntary and mandatory partnerships covering green power program design and implementation in both regulated and restructured electricity markets. We also include perspectives (based on interviews) from utilities, marketers, and regulators involved in developing and implementing these partnerships. From these case studies and interviews, we describe lessons learned about developing effective partnerships, including such issues as respective roles in marketing and administration, product branding, and contract and incentive structures. Based on experience to date, strategic partnerships between utilities and marketers can be an effective approach to marketing green power. Partnerships leverage the sales and resource procurement experience of marketers and the utility’s reputation and access to customers. Further, partnerships can create greater incentives for success because marketers have a vested financial interest in maximizing customer participation and green power sales.

Performance-based ratemaking for electric utilities: Review of plans and analysis of economic and resource-planning issues. Volume 1

Energy Technology Data Exchange (ETDEWEB)

Comnes, G.A.; Stoft, S.; Greene, N. [Lawrence Berkeley Lab., CA (United States). Energy and Environment Div.; Hill, L.J. [Lawrence Berkeley Lab., CA (United States). Energy and Environment Div.]|[Oak Ridge National Lab., TN (United States). Energy Div.

1995-11-01

Performance-Based Ratemaking (PBR) is a form of utility regulation that strengthens the financial incentives to lower rates, lower costs, or improve nonprice performance relative traditional regulation, which the authors call cost-of-service, rate-of-return (COS/ROR) regulation. Although the electric utility industry has considerable experience with incentive mechanisms that target specific areas of performance, implementation of mechanisms that cover a comprehensive set of utility costs or services is relatively rare. In recent years, interest in PBR has increased as a result of growing dissatisfaction with COS/ROR and as a result of economic and technological trends that are leading to more competition in certain segments of the electricity industry. In addition, incentive regulation has been used with some success in other public utility industries, most notably telecommunications in the US and telecommunications, energy, and water in the United Kingdom. In this report, the authors analyze comprehensive PBR mechanisms for electric utilities in four ways: (1) they describe different types of PBR mechanisms, (2) they review a sample of actual PBR plans, (3) they consider the interaction of PBR and utility-funded energy efficiency programs, and (4) they examine how PBR interacts with electric utility resource planning and industry restructuring. The report should be of interest to technical staff of utilities and regulatory commissions that are actively considering or designing PBR mechanisms. 16 figs., 17 tabs.

Comparison of direct and indirect methods of estimating health state utilities for resource allocation: review and empirical analysis.

Science.gov (United States)

Arnold, David; Girling, Alan; Stevens, Andrew; Lilford, Richard

2009-07-22

Utilities (values representing preferences) for healthcare priority setting are typically obtained indirectly by asking patients to fill in a quality of life questionnaire and then converting the results to a utility using population values. We compared such utilities with those obtained directly from patients or the public. Review of studies providing both a direct and indirect utility estimate. Papers reporting comparisons of utilities obtained directly (standard gamble or time tradeoff) or indirectly (European quality of life 5D [EQ-5D], short form 6D [SF-6D], or health utilities index [HUI]) from the same patient. PubMed and Tufts database of utilities. Sign test for paired comparisons between direct and indirect utilities; least squares regression to describe average relations between the different methods. Mean utility scores (or median if means unavailable) for each method, and differences in mean (median) scores between direct and indirect methods. We found 32 studies yielding 83 instances where direct and indirect methods could be compared for health states experienced by adults. The direct methods used were standard gamble in 57 cases and time trade off in 60(34 used both); the indirect methods were EQ-5D (67 cases), SF-6D (13), HUI-2 (5), and HUI-3 (37). Mean utility values were 0.81 (standard gamble) and 0.77 (time tradeoff) for the direct methods; for the indirect methods: 0.59(EQ-5D), 0.63 (SF-6D), 0.75 (HUI-2) and 0.68 (HUI-3). Direct methods of estimating utilities tend to result in higher health ratings than the more widely used indirect methods, and the difference can be substantial.Use of indirect methods could have important implications for decisions about resource allocation: for example, non-lifesaving treatments are relatively more favoured in comparison with lifesaving interventions than when using direct methods.

Variables Associated With Inpatient and Outpatient Resource Utilization Among Medicare Beneficiaries With Nonalcoholic Fatty Liver Disease With or Without Cirrhosis.

Science.gov (United States)

Sayiner, Mehmet; Otgonsuren, Munkhzul; Cable, Rebecca; Younossi, Issah; Afendy, Mariam; Golabi, Pegah; Henry, Linda; Younossi, Zobair M

2017-03-01

Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease worldwide with tremendous clinical burden. The economic burden of NAFLD is not well studied. To assess the economic burden of NAFLD. Medicare beneficiaries (January 1, 2010 to December 31, 2010) with NAFLD diagnosis by International Classification of Diseases, Ninth Revision codes in the absence of other liver diseases were selected. Inpatient and outpatient resource utilization parameters were total charges and total provider payments. NAFLD patients with compensated cirrhosis (CC) were compared with decompensated cirrhosis (DC). A total of 976 inpatients and 4742 outpatients with NAFLD were included-87% were white, 36% male, 30% had cardiovascular disease (CVD) or metabolic syndrome conditions, and 12% had cirrhosis. For inpatients, median total hospital charge was $36,289. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($61,151 vs. $33,863 and $18,804 vs. $10,146, P<0.001). Compared with CC, NAFLD patients with DC had higher charges and payments (P<0.02). For outpatients, median total charge was $9,011. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($12,049 vs. $8,830 and $2,586 vs. $1,734, P<0.001). Compared with CC, DC patients had higher total charges ($15,187 vs. $10,379, P=0.04). In multivariate analysis, variables associated with increased inpatient resource utilization were inpatient mortality, DC, and CVD; for outpatients, having CVD, obesity, and hypertension (all P<0.001). NAFLD is associated with significant economic burden to Medicare. Presence of cirrhosis and CVD are associated with increased resource utilization.

Increased healthcare service utilizations for patients with dementia: a population-based study.

Directory of Open Access Journals (Sweden)

Shiu-Dong Chung

Full Text Available BACKGROUND: The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. METHODS: This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. RESULTS: As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001 and significantly higher outpatient costs (US$124 vs. US$16, p<0.001 than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001 and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001 than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001 and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001 than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001. CONCLUSIONS: We concluded that subjects who had received a clinical dementia diagnosis had

Health care resource utilization before and after perampanel initiation among patients with epilepsy in the United States.

Science.gov (United States)

Faught, Edward; Laliberté, François; Wang, Zhixiao; Barghout, Victoria; Haider, Batool; Lejeune, Dominique; Germain, Guillaume; Choi, Jiyoon; Wagh, Aneesha; Duh, Mei Sheng

2017-10-01

The purpose of this study was to evaluate changes in health care resource utilization following the initiation of perampanel for the treatment of epilepsy in the United States. Health care claims from Symphony Health's Integrated Dataverse database between December 2012 and November 2015 were analyzed. Patients newly initiated on perampanel, having ≥1 epilepsy (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] code 345.xx, ICD-10-CM code G40.xxx) or nonfebrile convulsion (ICD-9-CM code 780.39, ICD-10-CM code R56.9) diagnosis, and having ≥6 months of baseline and observation periods were included. Patients <12 years old at perampanel initiation were excluded. Of the 2,508 perampanel patients included in the study, the mean [median] (±standard deviation [SD]) age was 35.8 [34] (±16.0) years and 56.2% were female. The mean [median] (±SD) observation duration was 459.8 [462] (±146.3) days in the postperampanel period. The postperampanel period was associated with significantly lower rates of all health care resource utilization outcomes than the pre-period. For the post- versus pre-period, perampanel users had 42.3 versus 53.8 overall hospitalizations per 100 person-years (rate ratio [RR] = 0.80, p < 0.001) and 1,240.2 versus 1,343.8 outpatient visits per 100 person-years (RR = 0.91, p < 0.001). Epilepsy-related hospitalizations and outpatient visits were 25.2 versus 33.6 per 100 person-years (RR = 0.76, p < 0.001) and 327.0 versus 389.0 per 100 person-years (RR = 0.84, p < 0.001), respectively. Additionally, a significantly lower rate of status epilepticus in the post-period (1.8 events per 100 person-years) was observed compared to the pre-period (4.4 events per 100 person-years; RR = 0.43, p < 0.001). The monthly time trend of hospitalizations showed an increasing trend leading up to the initiation of perampanel, after which the hospitalizations decreased steadily. Use of perampanel for the treatment of epilepsy was

What can we learn from resource pulses?

Science.gov (United States)

Yang, Louie H; Bastow, Justin L; Spence, Kenneth O; Wright, Amber N

2008-03-01

An increasing number of studies in a wide range of natural systems have investigated how pulses of resource availability influence ecological processes at individual, population, and community levels. Taken together, these studies suggest that some common processes may underlie pulsed resource dynamics in a wide diversity of systems. Developing a common framework of terms and concepts for the study of resource pulses may facilitate greater synthesis among these apparently disparate systems. Here, we propose a general definition of the resource pulse concept, outline some common patterns in the causes and consequences of resource pulses, and suggest a few key questions for future investigations. We define resource pulses as episodes of increased resource availability in space and time that combine low frequency (rarity), large magnitude (intensity), and short duration (brevity), and emphasize the importance of considering resource pulses at spatial and temporal scales relevant to specific resource-onsumer interactions. Although resource pulses are uncommon events for consumers in specific systems, our review of the existing literature suggests that pulsed resource dynamics are actually widespread phenomena in nature. Resource pulses often result from climatic and environmental factors, processes of spatiotemporal accumulation and release, outbreak population dynamics, or a combination of these factors. These events can affect life history traits and behavior at the level of individual consumers, numerical responses at the population level, and indirect effects at the community level. Consumers show strategies for utilizing ephemeral resources opportunistically, reducing resource variability by averaging over larger spatial scales, and tolerating extended interpulse periods of reduced resource availability. Resource pulses can also create persistent effects in communities through several mechanisms. We suggest that the study of resource pulses provides opportunities

State Electricity Regulatory Policy and Distributed Resources: Distributed Resources and Electric System Reliability

Energy Technology Data Exchange (ETDEWEB)

Cowart, R.; Harrington, C.; Moskovitz, D.; Shirley, W.; Weston, F.; Sedano, R.

2002-10-01

Designing and implementing credit-based pilot programs for distributed resources distribution is a low-cost, low-risk opportunity to find out how these resources can help defer or avoid costly electric power system (utility grid) distribution upgrades. This report describes implementation options for deaveraged distribution credits and distributed resource development zones. Developing workable programs implementing these policies can dramatically increase the deployment of distributed resources in ways that benefit distributed resource vendors, users, and distribution utilities. This report is one in the State Electricity Regulatory Policy and Distributed Resources series developed under contract to NREL (see Annual Technical Status Report of the Regulatory Assistance Project: September 2000-September 2001, NREL/SR-560-32733). Other titles in this series are: (1) Accommodating Distributed Resources in Wholesale Markets, NREL/SR-560-32497; (2) Distributed Resources and Electric System Re liability, NREL/SR-560-32498; (3) Distribution System Cost Methodologies for Distributed Generation, NREL/SR-560-32500; (4) Distribution System Cost Methodologies for Distributed Generation Appendices, NREL/SR-560-32501.

Utilization of Electronic Information Resources by Undergraduate Students of University of Ibadan: A Case Study of Social Sciences and Education

Science.gov (United States)

Owolabi, Sola; Idowu, Oluwafemi A.; Okocha, Foluke; Ogundare, Atinuke Omotayo

2016-01-01

The study evaluated utilization of electronic information resources by undergraduates in the Faculties of Education and the Social Sciences in University of Ibadan. The study adopted a descriptive survey design with a study population of 1872 undergraduates in the Faculties of Education and the Social Sciences in University of Ibadan, from which a…

1993 Pacific Northwest Loads and Resources Study.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1993-12-01

The Loads and Resources Study is presented in three documents: (1) this summary of Federal system and Pacific Northwest region loads and resources; (2) a technical appendix detailing forecasted Pacific Northwest economic trends and loads, and (3) a technical appendix detailing the loads and resources for each major Pacific Northwest generating utility. In this loads and resources study, resource availability is compared with a range of forecasted electricity consumption. The forecasted future electricity demands -- firm loads -- are subtracted from the projected capability of existing and {open_quotes}contracted for{close_quotes} resources to determine whether Bonneville Power Administration (BPA) and the region will be surplus or deficit. If resources are greater than loads in any particular year or month, there is a surplus of energy and/or capacity, which BPA can sell to increase revenues. Conversely, if firm loads exceed available resources, there is a deficit of energy and/or capacity, and additional conservation, contract purchases, or generating resources will be needed to meet load growth. The Pacific Northwest Loads and Resources Study analyzes the Pacific Northwest`s projected loads and available generating resources in two parts: (1) the loads and resources of the Federal system, for which BPA is the marketing agency; and (2) the larger Pacific Northwest regional power system, which includes loads and resource in addition to the Federal system. The loads and resources analysis in this study simulates the operation of the power system under the Pacific Northwest Coordination Agreement (PNCA) produced by the Pacific Northwest Coordinating Group. This study presents the Federal system and regional analyses for five load forecasts: high, medium-high, medium, medium-low, and low. This analysis projects the yearly average energy consumption and resource availability for Operating Years (OY) 1994--95 through 2003--04.

Hospital admission planning to optimize major resources utilization under uncertainty

NARCIS (Netherlands)

Dellaert, N.P.; Jeunet, J.

2010-01-01

Admission policies for elective inpatient services mainly result in the management of a single resource: the operating theatre as it is commonly considered as the most critical and expensive resource in a hospital. However, other bottleneck resources may lead to surgery cancellations, such as bed

Public enterprises in natural resource industries: an economic analysis

International Nuclear Information System (INIS)

Fulton, M.E.

1985-01-01

Public enterprises are playing an ever increasing role in natural resource industries. This research analyzes the reason for this involvement, i.e., what have been the objectives of public firms, the objectives of other firms; and the reasons behind exploration in natural resource industries. An answer to the first question was obtained by estimating the objective function of a publicly owned uranium company operating in Saskatchewan, Canada. It was assumed the company solved a linear quadratic optimal control problem. The conclusion was that over the period 1974-1984 the company preferred to trade off profits for higher employment, larger reserve holdings, and greater output. The objectives of the other firms in the Saskatchewan uranium industry were also investigated. It was found that producers integrated with utilities can expect to make a much greater rate of return on exploration that nonintegrated producers, since the former group stands to gain both from the reduction in costs and the reduction in price resulting from exploration. The suggests that overinvestment in the Saskatchewan uranium industry may be a problem. The final item investigated is the normative question of what the objective of a public firm operating alongside a private firm in an oligopolistic industry should be in order that resources in the industry are used efficiently; the answer to this question depends upon the structure of the industry

Citizen Advisory Council use in the electric utility industry

International Nuclear Information System (INIS)

McElfresh, R.W.

1991-01-01

Many electric utility companies have come to realize the Importance of seeking public input before launching corporate resources into major construction projects. One way to organize this input is to establish a Citizen Advisory Council (CAC). This paper describes the purpose of such a group, its advantages and limitations, and how it might be organized. This paper also describes the results of a survey of CAC use for facility siting purposes. Fifty large utility companies were contacted, eleven of which use CACs for siting purposes. Six of these were questioned in greater detail as to their success in using CACs on specific projects. All companies were positive about the use of CACs for public participation because the groups were able to bring valuable information to light and company credibility was enhanced. Most importantly, the responding companies believed they were able to save time in the siting and licensing process

Implications of Model Structure and Detail for Utility Planning: Scenario Case Studies Using the Resource Planning Model

Energy Technology Data Exchange (ETDEWEB)

Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Barrows, Clayton [National Renewable Energy Lab. (NREL), Golden, CO (United States); Lopez, Anthony [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hale, Elaine [National Renewable Energy Lab. (NREL), Golden, CO (United States); Dyson, Mark [National Renewable Energy Lab. (NREL), Golden, CO (United States); Eurek, Kelly [National Renewable Energy Lab. (NREL), Golden, CO (United States)

2015-04-01

In this report, we analyze the impacts of model configuration and detail in capacity expansion models, computational tools used by utility planners looking to find the least cost option for planning the system and by researchers or policy makers attempting to understand the effects of various policy implementations. The present analysis focuses on the importance of model configurations — particularly those related to capacity credit, dispatch modeling, and transmission modeling — to the construction of scenario futures. Our analysis is primarily directed toward advanced tools used for utility planning and is focused on those impacts that are most relevant to decisions with respect to future renewable capacity deployment. To serve this purpose, we develop and employ the NREL Resource Planning Model to conduct a case study analysis that explores 12 separate capacity expansion scenarios of the Western Interconnection through 2030.

Predictors of high healthcare resource utilization and liver disease progression among patients with chronic hepatitis C.

Science.gov (United States)

LaMori, Joyce; Tandon, Neeta; Laliberté, François; Germain, Guillaume; Pilon, Dominic; Lefebvre, Patrick; Prabhakar, Avinash

2016-01-01

Since hepatitis C virus therapy is typically prioritized for patients with more advanced disease, predicting which patients will progress could help direct scarce resources to those likely to benefit most. This study aims to identify demographics and clinical characteristics associated with high healthcare resource utilization (HRU) and liver disease progression among CHC patients. Using health insurance claims (January 2001-March 2013), adult patients with ≥2 CHC claims (ICD-9-CM: 070.44 or 070.54), and ≥6 months of continuous insurance coverage before and ≥36 months after the first CHC diagnosis were included. Patients with human immunodeficiency virus were excluded. Generalized estimating equations were used to identify the demographic and clinical characteristics of being in the 20% of patients with the highest HRU. Factors predicting liver disease progression were also identified. In the study population (n = 4898), liver disease severity and both CHC- and non-CHC-related comorbidities and conditions were strong predictors of high healthcare costs, with odds ratios (ORs; 95% confidence interval [CI]) for ≥2 CHC-related and ≥2 non-CHC-related comorbidities/conditions of 2.78 (2.48-3.12) and 2.19 (1.76-2.72), respectively. CHC- and non-CHC-related comorbidities and conditions were also strong predictors of liver disease progression with ORs (95% CI) for ≥2 CHC-related and ≥2 non-CHC-related comorbidities and conditions of 2.18 (1.83-2.60) and 1.50 (1.14-1.97), respectively. Potential inaccuracies in claims data, information or classification bias, and findings based on a privately insured population. This study suggests that CHC patients with high healthcare resource utilization have a high level of comorbidity at baseline and also that non-CHC comorbidities and conditions are strong predictors of high HRU. Non-cirrhotic CHC patients with one or more comorbidities are at high risk of progressing to cirrhosis or end-stage liver disease.

Impact of ranolazine on clinical outcomes and healthcare resource utilization in patients with refractory angina pectoris.

Science.gov (United States)

Ling, Hua; Packard, Kathleen A; Burns, Tammy L; Hilleman, Daniel E

2013-12-01

Ranolazine is a novel antianginal medication approved for the treatment of chronic angina. There are only limited data concerning the efficacy of ranolazine in reducing healthcare resource utilization in patients with refractory angina pectoris. The primary objective of this analysis was to evaluate the efficacy and safety of ranolazine in refractory angina pectoris. In addition, the impact of ranolazine on healthcare resource utilization was assessed. Consecutive patients with refractory angina pectoris treated with ranolazine at two cardiology practices in the state of Nebraska were included in this analysis. The Canadian Cardiovascular Society (CCS) angina class and frequency and type of healthcare resource consumption were determined during the 12 months prior to and the 12 months after initiation of ranolazine. A total of 150 pts (64 % men) with a mean age of 66 ± 12 years were included in this analysis. All patients had previously undergone coronary revascularization. Nitrates, β-adrenoceptor antagonists (β-blockers), and calcium antagonists (calcium channel blockers) were being used in 83, 97, and 75 % of patients, respectively. During ranolazine treatment, a significant improvement in CCS angina class was observed, with 23 patients improving by one class and no patient experiencing a deterioration in functional class (p = 0.025). A total of 53 side effects occurred in 28 (19 %) patients receiving ranolazine. Of those patients with side effects, four required dose reduction and seven required drug discontinuation. The frequency of clinic visits and emergency room visits was lower during ranolazine treatment, but the differences in frequency were not significant. The number of patients hospitalized and the number of hospitalizations were significantly lower during ranolazine therapy than in the pre-ranolazine study period (p = 0.002). Ranolazine improved the CCS angina class and reduced hospitalizations over a 12-month follow-up period in a group

The potential wind power resource in Australia: a new perspective.

Science.gov (United States)

Hallgren, Willow; Gunturu, Udaya Bhaskar; Schlosser, Adam

2014-01-01

Australia's wind resource is considered to be very good, and the utilization of this renewable energy resource is increasing rapidly: wind power installed capacity increased by 35% from 2006 to 2011 and is predicted to account for over 12% of Australia's electricity generation in 2030. Due to this growth in the utilization of the wind resource and the increasing importance of wind power in Australia's energy mix, this study sets out to analyze and interpret the nature of Australia's wind resources using robust metrics of the abundance, variability and intermittency of wind power density, and analyzes the variation of these characteristics with current and potential wind turbine hub heights. We also assess the extent to which wind intermittency, on hourly or greater timescales, can potentially be mitigated by the aggregation of geographically dispersed wind farms, and in so doing, lessen the severe impact on wind power economic viability of long lulls in wind and power generated. Our results suggest that over much of Australia, areas that have high wind intermittency coincide with large expanses in which the aggregation of turbine output does not mitigate variability. These areas are also geographically remote, some are disconnected from the east coast's electricity grid and large population centers, which are factors that could decrease the potential economic viability of wind farms in these locations. However, on the eastern seaboard, even though the wind resource is weaker, it is less variable, much closer to large population centers, and there exists more potential to mitigate it's intermittency through aggregation. This study forms a necessary precursor to the analysis of the impact of large-scale circulations and oscillations on the wind resource at the mesoscale.

Age Differences in Information Use While Making Decisions: Resource Limitations or Processing Differences?

Science.gov (United States)

Jacobs-Lawson, Joy M; Schumacher, Mitzi M; Wackerbarth, Sarah B

2016-09-20

Recent research on the decision-making abilities of older adults has shown that they use less information than young adults. One explanation ascribes this age difference to reductions in cognitive abilities with age. The article includes three experimental studies that focused on determining the conditions in which older and young adults would display dissimilar information processing characteristics. Findings from Studies 1 and 2 demonstrated that older adults are not necessarily at greater disadvantage than young adults in decision contexts that demand more information processing resources. Findings from Study 3 indicated that older adults when faced with decisions that require greater processing are likely to use a strategy that reduces the amount of information needed, whereas younger adults rely on strategies that utilize more resources. Combined the findings indicate that older adults change their decision-making strategies based on the context and information provided. Furthermore, support is provided for processing difference. © The Author(s) 2016.

The burden of selected cancers in the US: health behaviors and health care resource utilization

Directory of Open Access Journals (Sweden)

Iadeluca L

2017-11-01

.Conclusion: Understanding the resource utilization implications, health, and well-being of cancer survivors can inform approaches to interventions for improving long-term care. Keywords: cancer survivor, epidemiology, survivorship, function, health care resource utilization, costs

Short- and longer-term health-care resource utilization and costs associated with acute ischemic stroke

Directory of Open Access Journals (Sweden)

Johnson BH

2016-02-01

Full Text Available Barbara H Johnson,1 Machaon M Bonafede,1 Crystal Watson2 1Outcomes Research, Truven Health Analytics, Cambridge, MA, USA; 2Health Economics and Outcomes Research, Biogen, Cambridge, MA, USA Objectives: The mean lifetime cost of ischemic stroke is approximately $140,048 in the United States, placing stroke among the top 10 most costly conditions among Medicare beneficiaries. The objective of this study was to describe the health-care resource utilization and costs in the year following hospitalization for acute ischemic stroke (AIS.Methods: This retrospective claims analysis quantifies utilization and costs following inpatient admission for AIS among the commercially insured and Medicare beneficiaries in the Truven Health databases. Patients who were 18 years or older and continuously enrolled for 12 months before and after an AIS event occurring (index between January 2009 and December 2012 were identified. Patients with AIS in the year preindex were excluded. Demographic and clinical characteristics were evaluated at admission and in the preindex, respectively. Direct costs, readmissions, and inpatient length of stay (LOS were described in the year postindex.Results: The eligible populations comprised 20,314 commercially insured patients and 31,037 Medicare beneficiaries. Average all-cause costs were $61,354 and $44,929 (commercial and Medicare, respectively in the first year after the AIS. Approximately 50%–55% of total 12-month costs were incurred between day 31 and day 365 following the incident AIS. One quarter (24.6% of commercially insured patients and 38.8% of Medicare beneficiaries were readmitted within 30 days with 16.6% and 71.7% (commercial and Medicare, respectively of those having a principal diagnosis of AIS. The average AIS-related readmission length of stay was nearly three times that of the initial hospitalization for both commercially insured patients (3.8 vs 10.8 days and Medicare beneficiaries (4.0 vs 10.8 days

Resource use and costs associated with opioid-induced constipation following total hip or total knee replacement surgery

Directory of Open Access Journals (Sweden)

Wittbrodt ET

2018-05-01

Full Text Available Eric T Wittbrodt,1 Tong J Gan,2 Catherine Datto,1 Charles McLeskey,1 Meenal Sinha3 1US Medical Affairs, AstraZeneca, Wilmington, DE, USA; 2Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY, USA; 3Premier Applied Sciences, Premier, Inc., Charlotte, NC, USA Purpose: Constipation is a well-known complication of surgery that can be exacerbated by opioid analgesics. This study evaluated resource utilization and costs associated with opioid-induced constipation (OIC. Patients and methods: This retrospective, observational, and propensity-matched cohort study utilized the Premier Healthcare Database. The study included adults ≥18 years of age undergoing total hip or total knee replacement as inpatients who received an opioid analgesic and were discharged between January 1, 2012, and June 30, 2015. Diagnosis codes identified patients with OIC who were then matched 1:1 to patients without OIC. Generalized linear and logistic regression models were used to compare inpatient resource utilization, total hospital costs, inpatient mortality, and 30-day all-cause readmissions and emergency department visits. Results: Of 788,448 eligible patients, 40,891 (5.2% had OIC. Covariates were well balanced between matched patients with and without OIC (n=40,890 each. In adjusted analyses, patients with OIC had longer hospital lengths of stay (3.6 versus 3.3 days; p<0.001, higher total hospital costs (US$17,479 versus US$16,265; p<0.001, greater risk of intensive care unit admission (odds ratio [OR]=1.12, 95% CI: 1.01–1.24, and increased likelihood of 30-day hospital readmissions (OR=1.16, 95% CI: 1.11–1.22 and emergency department visits (OR=1.38, 95% CI: 1.07–1.79 than patients without OIC. No statistically significant difference was found with inpatient mortality (OR=0.89, 95% CI: 0.59–1.35. Conclusion: OIC was associated with greater resource utilization and hospital costs for patients undergoing primarily elective total hip or total knee

Scenario-based water resources planning for utilities in the Lake Victoria region

Science.gov (United States)

Mehta, Vishal K.; Aslam, Omar; Dale, Larry; Miller, Norman; Purkey, David R.

Urban areas in the Lake Victoria (LV) region are experiencing the highest growth rates in Africa. As efforts to meet increasing demand accelerate, integrated water resources management (IWRM) tools provide opportunities for utilities and other stakeholders to develop a planning framework comprehensive enough to include short term (e.g. landuse change), as well as longer term (e.g. climate change) scenarios. This paper presents IWRM models built using the Water Evaluation And Planning (WEAP) decision support system, for three towns in the LV region - Bukoba (Tanzania), Masaka (Uganda), and Kisii (Kenya). Each model was calibrated under current system performance based on site visits, utility reporting and interviews. Projected water supply, demand, revenues and costs were then evaluated against a combination of climate, demographic and infrastructure scenarios up to 2050. Our results show that water supply in all three towns is currently infrastructure limited; achieving existing design capacity could meet most projected demand until 2020s in Masaka beyond which new supply and conservation strategies would be needed. In Bukoba, reducing leakages would provide little performance improvement in the short-term, but doubling capacity would meet all demands until 2050. In Kisii, major infrastructure investment is urgently needed. In Masaka, streamflow simulations show that wetland sources could satisfy all demand until 2050, but at the cost of almost no water downstream of the intake. These models demonstrate the value of IWRM tools for developing water management plans that integrate hydroclimatology-driven supply to demand projections on a single platform.

Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis.

Science.gov (United States)

Green, Jamie A; Mor, Maria K; Shields, Anne Marie; Sevick, Mary Ann; Arnold, Robert M; Palevsky, Paul M; Fine, Michael J; Weisbord, Steven D

2013-07-01

Although limited health literacy is common in hemodialysis patients, its effects on clinical outcomes are not well understood. Observational study. 260 maintenance hemodialysis patients enrolled in a randomized clinical trial of symptom management strategies from January 2009 through April 2011. Limited health literacy. Dialysis adherence (missed and abbreviated treatments) and health resource utilization (emergency department visits and end-stage renal disease [ESRD]-related hospitalizations). We assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM) and used negative binomial regression to analyze the independent associations of limited health literacy with dialysis adherence and health resource utilization over 12-24 months. 41 of 260 (16%) patients showed limited health literacy (REALM score, ≤60). There were 1,152 missed treatments, 5,127 abbreviated treatments, 552 emergency department visits, and 463 ESRD-related hospitalizations. Limited health literacy was associated independently with an increased incidence of missed dialysis treatments (missed, 0.6% vs 0.3%; adjusted incidence rate ratio [IRR], 2.14; 95% CI, 1.10-4.17), emergency department visits (annual visits, 1.7 vs 1.0; adjusted IRR, 1.37; 95% CI, 1.01-1.86), and hospitalizations related to ESRD (annual hospitalizations, 0.9 vs 0.5; adjusted IRR, 1.55; 95% CI, 1.03-2.34). Generalizability and potential for residual confounding. Patients receiving maintenance hemodialysis who have limited health literacy are more likely to miss dialysis treatments, use emergency care, and be hospitalized related to their kidney disease. These findings have important clinical practice and cost implications. Copyright © 2013 National Kidney Foundation, Inc. All rights reserved.

Influence of Temperature on Intra- and Interspecific Resource Utilization within a Community of Lepidopteran Maize Stemborers.

Science.gov (United States)

Ntiri, Eric Siaw; Calatayud, Paul-Andre; Van Den Berg, Johnnie; Schulthess, Fritz; Le Ru, Bruno Pierre

2016-01-01

Competition or facilitation characterises intra- and interspecific interactions within communities of species that utilize the same resources. Temperature is an important factor influencing those interactions and eventual outcomes. The noctuid stemborers, Busseola fusca and Sesamia calamistis and the crambid Chilo partellus attack maize in sub-Saharan Africa. They often occur as a community of interacting species in the same field and plant at all elevations. The influence of temperature on the intra- and interspecific interactions among larvae of these species, was studied using potted maize plants exposed to varying temperatures in a greenhouse and artificial stems kept at different constant temperatures (15°C, 20°C, 25°C and 30°C) in an incubator. The experiments involved single- and multi-species infestation treatments. Survival and relative growth rates of each species were assessed. Both intra- and interspecific competitions were observed among all three species. Interspecific competition was stronger between the noctuids and the crambid than between the two noctuids. Temperature affected both survival and relative growth rates of the three species. Particularly at high temperatures, C. partellus was superior in interspecific interactions shown by higher larval survival and relative growth rates. In contrast, low temperatures favoured survival of B. fusca and S. calamistis but affected the relative growth rates of all three species. Survival and relative growth rates of B. fusca and S. calamistis in interspecific interactions did not differ significantly across temperatures. Temperature increase caused by future climate change is likely to confer an advantage on C. partellus over the noctuids in the utilization of resources (crops).

Utility Energy Services Contracts: Enabling Documents

Energy Technology Data Exchange (ETDEWEB)

None

2009-05-01

Utility Energy Services Contracts: Enabling Documents provides materials that clarify the authority for Federal agencies to enter into utility energy services contracts (UESCs), as well as sample documents and resources to ease utility partnership contracting.

Resource Management for Real-Time Adaptive Agents

Science.gov (United States)

Welch, Lonnie; Chelberg, David; Pfarr, Barbara; Fleeman, David; Parrott, David; Tan, Zhen-Yu; Jain, Shikha; Drews, Frank; Bruggeman, Carl; Shuler, Chris

2003-01-01

Increased autonomy and automation in onboard flight systems offer numerous potential benefits, including cost reduction and greater flexibility. The existence of generic mechanisms for automation is critical for handling unanticipated science events and anomalies where limitations in traditional control software with fixed, predetermined algorithms can mean loss of science data and missed opportunities for observing important terrestrial events. We have developed such a mechanism by adding a Hierarchical Agent-based ReaLTime technology (HART) extension to our Dynamic Resource Management (DRM) middleware. Traditional DRM provides mechanisms to monitor the realtime performance of distributed applications and to move applications among processors to improve real-time performance. In the HART project we have designed and implemented a performance adaptation mechanism to improve reaktime performance. To use this mechanism, applications are developed that can run at various levels of quality. The DRM can choose a setting for the quality level of an application dynamically at run-time in order to manage satellite resource usage more effectively. A groundbased prototype of a satellite system that captures and processes images has also been developed as part of this project to be used as a benchmark for evaluating the resource management framework A significant enhancement of this generic mission-independent framework allows scientists to specify the utility, or "scientific benefit," of science observations under various conditions like cloud cover and compression method. The resource manager then uses these benefit tables to determine in redtime how to set the quality levels for applications to maximize overall system utility as defined by the scientists running the mission. We also show how maintenance functions llke health and safety data can be integrated into the utility framework. Once thls framework has been certified for missions and successfully flight tested it

Greater Sage-Grouse Habitat Use and Population Demographics at the Simpson Ridge Wind Resource Area, Carbon County, Wyoming

Energy Technology Data Exchange (ETDEWEB)

Gregory D. Johnson; Chad W. LeBeau; Ryan Nielsen; Troy Rintz; Jamey Eddy; Matt Holloran

2012-03-27

This study was conducted to obtain baseline data on use of the proposed Simpson Ridge Wind Resource Area (SRWRA) in Carbon County, Wyoming by greater sage-grouse. The first two study years were designed to determine pre-construction seasonally selected habitats and population-level vital rates (productivity and survival). The presence of an existing wind energy facility in the project area, the PacifiCorp Seven Mile Hill (SMH) project, allowed us to obtain some information on initial sage-grouse response to wind turbines the first two years following construction. To our knowledge these are the first quantitative data on sage-grouse response to an existing wind energy development. This report presents results of the first two study years (April 1, 2009 through March 30, 2011). This study was selected for continued funding by the National Wind Coordinating Collaborative Sage-Grouse Collaborative (NWCC-SGC) and has been ongoing since March 30, 2011. Future reports summarizing results of this research will be distributed through the NWCC-SGC. To investigate population trends through time, we determined the distribution and numbers of males using leks throughout the study area, which included a 4-mile radius buffer around the SRWRA. Over the 2-year study, 116 female greater sage-grouse were captured by spotlighting and use of hoop nets on roosts surrounding leks during the breeding period. Radio marked birds were located anywhere from twice a week to once a month, depending on season. All radio-locations were classified to season. We developed predictor variables used to predict success of fitness parameters and relative probability of habitat selection within the SRWRA and SMH study areas. Anthropogenic features included paved highways, overhead transmission lines, wind turbines and turbine access roads. Environmental variables included vegetation and topography features. Home ranges were estimated using a kernel density estimator. We developed resource selection

Protocol to Exploit Waiting Resources for UASNs

Directory of Open Access Journals (Sweden)

Li-Ling Hung

2016-03-01

Full Text Available The transmission speed of acoustic waves in water is much slower than that of radio waves in terrestrial wireless sensor networks. Thus, the propagation delay in underwater acoustic sensor networks (UASN is much greater. Longer propagation delay leads to complicated communication and collision problems. To solve collision problems, some studies have proposed waiting mechanisms; however, long waiting mechanisms result in low bandwidth utilization. To improve throughput, this study proposes a slotted medium access control protocol to enhance bandwidth utilization in UASNs. The proposed mechanism increases communication by exploiting temporal and spatial resources that are typically idle in order to protect communication against interference. By reducing wait time, network performance and energy consumption can be improved. A performance evaluation demonstrates that when the data packets are large or sensor deployment is dense, the energy consumption of proposed protocol is less than that of existing protocols as well as the throughput is higher than that of existing protocols.

Greater trochanteric fracture with occult intertrochanteric extension.

Science.gov (United States)

Reiter, Michael; O'Brien, Seth D; Bui-Mansfield, Liem T; Alderete, Joseph

2013-10-01

Proximal femoral fractures are frequently encountered in the emergency department (ED). Prompt diagnosis is paramount as delay will exacerbate the already poor outcomes associated with these injuries. In cases where radiography is negative but clinical suspicion remains high, magnetic resonance imaging (MRI) is the study of choice as it has the capability to depict fractures which are occult on other imaging modalities. Awareness of a particular subset of proximal femoral fractures, namely greater trochanteric fractures, is vital for both radiologists and clinicians since it has been well documented that they invariably have an intertrochanteric component which may require surgical management. The detection of intertrochanteric or cervical extension of greater trochanteric fractures has been described utilizing MRI but is underestimated with both computed tomography (CT) and bone scan. Therefore, if MRI is unavailable or contraindicated, the diagnosis of an isolated greater trochanteric fracture should be met with caution. The importance of avoiding this potential pitfall is demonstrated in the following case of an elderly woman with hip pain and CT demonstrating an isolated greater trochanteric fracture who subsequently returned to the ED with a displaced intertrochanteric fracture.

Improved laboratory resource utilization and patient care with the use of rapid on-site evaluation for endobronchial ultrasound fine-needle aspiration biopsy.

Science.gov (United States)

Collins, Brian T; Chen, Alexander C; Wang, Jeff F; Bernadt, Cory T; Sanati, Souzan

2013-10-01

Endobronchial ultrasound guided (EBUS) fine-needle aspiration (FNA) biopsy has become widely used to evaluate patients with thoracic abnormalities. Rapid on-site evaluation (ROSE) can provide the bronchoscopist with immediate evaluation findings during the procedure. This study examines EBUS FNA biopsy procedures with and without ROSE, and investigates the impact of ROSE service on the EBUS procedure and laboratory resource utilization. The cytopathology database at Washington University Medical Center, St. Louis, Missouri, was searched for EBUS FNA biopsy cases before and after introduction of ROSE service, and a matched cohort was collected. Reports were reviewed and pertinent data was collected, such as sites biopsied, ROSE performance, slide smears, cell blocks, and diagnostic categories. Statistical analysis of the results was performed. A matched case-controlled EBUS FNA cohort of 340 patients (680 total) for each category of non-ROSE and ROSE service were identified. There was a 33% reduction in the number of sites biopsied with ROSE. A total of 68% of patients with ROSE had just one biopsy site compared to only 36% of non-ROSE patients. There was a 30% decrease in total slides (mean, 5.27 slides) after the introduction of ROSE. All of these improvements were statistically significant. EBUS FNA biopsy ROSE service benefits patients by contributing to significantly fewer biopsies and improved utilization of health care resources. ROSE service results in substantially fewer total slides, which has a significant impact on the cytopathology laboratory work effort. The use of ROSE for EBUS FNA biopsy provides significant improvements in patient care and laboratory resource utilization. © 2013 American Cancer Society.

Clinical characteristics, healthcare costs, and resource utilization in hepatitis C vary by genotype.

Science.gov (United States)

Goolsby Hunter, Alyssa; Rosenblatt, Lisa; Patel, Chad; Blauer-Peterson, Cori; Anduze-Faris, Beatrice

2017-05-01

In the United States, approximately 3 million people are infected with hepatitis C virus (HCV). Genotypes of HCV variably affect disease progression and treatment response. However, the relationships between HCV genotypes and liver disease progression, healthcare resource utilization, and healthcare costs have not been fully explored. In this retrospective study of patients with chronic hepatitis C (CHC), healthcare claims from a large US health plan were used to collect data on patient demographic and clinical characteristics. Main outcome measures include healthcare resource utilization (HCRU) and healthcare costs. Linked laboratory data provided genotype and select measures to determine liver disease severity. The sample (mean age 50.6 years, 63.5% male) included 10,331 patients, of whom 79.1% had genotype (GT)1, 12.8% had GT2, and 8.1% had GT3. Descriptive analyses demonstrated variation by HCV genotype in liver and non-liver related comorbidities, liver disease severity, and healthcare costs. The highest percentage of patients with liver-related comorbidities and advanced liver disease was found among those with GT3. Meanwhile, patients with GT2 had lower HCRU and the lowest costs, and patients with GT1 had the highest total all-cause costs. These differences may reflect differing rates of non-liver-related comorbidities and all-cause care. Multivariable analyses showed that genotype was a significant predictor of costs and liver disease severity: compared with patients having GT1, those with GT3 were significantly more likely to have advanced liver disease. Patients with GT2 were significantly less likely to have advanced disease and more likely to have lower all-cause costs. Results may not be generalizable to patients outside the represented commercial insurance plans, and analysis of a prevalent population may underestimate HCRU and costs relative to a sample of treated patients. These results suggest that liver disease progression varies by genotype and

Computer Simulation and Digital Resources for Plastic Surgery Psychomotor Education.

Science.gov (United States)

Diaz-Siso, J Rodrigo; Plana, Natalie M; Stranix, John T; Cutting, Court B; McCarthy, Joseph G; Flores, Roberto L

2016-10-01

Contemporary plastic surgery residents are increasingly challenged to learn a greater number of complex surgical techniques within a limited period. Surgical simulation and digital education resources have the potential to address some limitations of the traditional training model, and have been shown to accelerate knowledge and skills acquisition. Although animal, cadaver, and bench models are widely used for skills and procedure-specific training, digital simulation has not been fully embraced within plastic surgery. Digital educational resources may play a future role in a multistage strategy for skills and procedures training. The authors present two virtual surgical simulators addressing procedural cognition for cleft repair and craniofacial surgery. Furthermore, the authors describe how partnerships among surgical educators, industry, and philanthropy can be a successful strategy for the development and maintenance of digital simulators and educational resources relevant to plastic surgery training. It is our responsibility as surgical educators not only to create these resources, but to demonstrate their utility for enhanced trainee knowledge and technical skills development. Currently available digital resources should be evaluated in partnership with plastic surgery educational societies to guide trainees and practitioners toward effective digital content.

Favorable Cardiovascular Risk Profile Is Associated With Lower Healthcare Costs and Resource Utilization: The 2012 Medical Expenditure Panel Survey.

Science.gov (United States)

Valero-Elizondo, Javier; Salami, Joseph A; Ogunmoroti, Oluseye; Osondu, Chukwuemeka U; Aneni, Ehimen C; Malik, Rehan; Spatz, Erica S; Rana, Jamal S; Virani, Salim S; Blankstein, Ron; Blaha, Michael J; Veledar, Emir; Nasir, Khurram

2016-03-01

The American Heart Association's 2020 Strategic Goals emphasize the value of optimizing risk factor status to reduce the burden of morbidity and mortality. In this study, we aimed to quantify the overall and marginal impact of favorable cardiovascular risk factor (CRF) profile on healthcare expenditure and resource utilization in the United States among those with and without cardiovascular disease (CVD). The study population was derived from the 2012 Medical Expenditure Panel Survey (MEPS). Direct and indirect costs were calculated for all-cause healthcare resource utilization. Variables of interest included CVD diagnoses (coronary artery disease, stroke, peripheral artery disease, dysrhythmias, or heart failure), ascertained by International Classification of Diseases, Ninth Edition, Clinical Modification codes, and CRF profile (hypertension, diabetes mellitus, hypercholesterolemia, smoking, physical activity, and obesity). Two-part econometric models were used to study expenditure data. The final study sample consisted of 15 651 MEPS participants (58.5±12 years, 54% female). Overall, 5921 (37.8%) had optimal, 7002 (44.7%) had average, and 2728 (17.4%) had poor CRF profile, translating to 54.2, 64.1, and 24.9 million adults in United States, respectively. Significantly lower health expenditures were noted with favorable CRF profile across CVD status. Among study participants with established CVD, overall healthcare expenditures with optimal and average CRF profile were $5946 and $3731 less compared with those with poor CRF profile. The respective differences were $4031 and $2560 in those without CVD. Favorable CRF profile is associated with significantly lower medical expenditure and healthcare utilization among individuals with and without established CVD. © 2016 American Heart Association, Inc.

The Greater Sekhukhune-CAPABILITY outreach project.

Science.gov (United States)

Gregersen, Nerine; Lampret, Julie; Lane, Tony; Christianson, Arnold

2013-07-01

The Greater Sekhukhune-CAPABILITY Outreach Project was undertaken in a rural district in Limpopo, South Africa, as part of the European Union-funded CAPABILITY programme to investigate approaches for capacity building for the translation of genetic knowledge into care and prevention of congenital disorders. Based on previous experience of a clinical genetic outreach programme in Limpopo, it aimed to initiate a district clinical genetic service in Greater Sekhukhune to gain knowledge and experience to assist in the implementation and development of medical genetic services in South Africa. Implementing the service in Greater Sekhukhune was impeded by a developing staff shortage in the province and pressure on the health service from the existing HIV/AIDS and TB epidemics. This situation underscores the need for health needs assessment for developing services for the care and prevention of congenital disorders in middle- and low-income countries. However, these impediments stimulated the pioneering of innovate ways to offer medical genetic services in these circumstances, including tele-teaching of nurses and doctors, using cellular phones to enhance clinical care and adapting and assessing the clinical utility of a laboratory test, QF-PCR, for use in the local circumstances.

Life Cycle Water Consumption and Water Resource Assessment for Utility-Scale Geothermal Systems: An In-Depth Analysis of Historical and Forthcoming EGS Projects

Energy Technology Data Exchange (ETDEWEB)

Clark, Corrie E. [Argonne National Lab. (ANL), Argonne, IL (United States); Harto, Christopher B. [Argonne National Lab. (ANL), Argonne, IL (United States); Schroeder, Jenna N. [Argonne National Lab. (ANL), Argonne, IL (United States); Martino, Louis E. [Argonne National Lab. (ANL), Argonne, IL (United States); Horner, Robert M. [Argonne National Lab. (ANL), Argonne, IL (United States)

2013-08-01

and is much warmer than normal groundwater sources, for their cooling water needs; thus, while there is considerable geofluid loss at 2.7 gal/kWh, fresh water consumption during operations is similar to that of aircooled binary systems. Chapter 5 presents the assessment of water demand for future growth in deployment of utility-scale geothermal power generation. The approach combines the life cycle analysis of geothermal water consumption with a geothermal supply curve according to resource type, levelized cost of electricity (LCOE), and potential growth scenarios. A total of 17 growth scenarios were evaluated. In general, the scenarios that assumed lower costs for EGSs as a result of learning and technological improvements resulted in greater geothermal potential, but also significantly greater water demand due to the higher water consumption by EGSs. It was shown, however, that this effect could be largely mitigated if nonpotable water sources were used for belowground operational water demands. The geographical areas that showed the highest water demand for most growth scenarios were southern and northern California, as well as most of Nevada. In addition to water demand by geothermal power production, Chapter 5 includes data on water availability for geothermal development areas. A qualitative analysis is included that identifies some of the basins where the limited availability of water is most likely to affect the development of geothermal resources. The data indicate that water availability is fairly limited, especially under drought conditions, in most of the areas with significant near- and medium-term geothermal potential. Southern California was found to have the greatest potential for water-related challenges with its combination of high geothermal potential and limited water availability. The results of this work are summarized in Chapter 6. Overall, this work highlights the importance of utilizing dry cooling systems for binary and EGS systems and

National conference on integrated resource planning: Proceedings

Energy Technology Data Exchange (ETDEWEB)

1991-12-31

Until recently, state regulators have focused most of their attention on the development of least-cost or integrated resource planning (IRP) processes for electric utilities. A number of commissions are beginning to scrutinize the planning processes of local gas distribution companies (LDCs) because of the increased control that LDCs have over their purchased gas costs (as well as the associated risks) and because of questions surrounding the role and potential of gas end-use efficiency options. Traditionally, resource planning (LDCs) has concentrated on options for purchasing and storing gas. Integrated resource planning involves the creation of a process in which supply-side and demand-side options are integrated to create a resource mix that reliably satisfies customers` short-term and long-term energy service needs at the lowest cost. As applied to gas utilities, an integrated resource plan seeks to balance cost and reliability, and should not be interpreted simply as the search for lowest commodity costs. The National Association of Regulatory Utility Commissioners` (NARUC) Energy Conservation committee asked Lawrence Berkeley Laboratory (LBL) to survey state PUCs to determine the extent to which they have undertaken least cost planning for gas utilities. The survey included the following topics: status of state PUC least-cost planning regulations and practices for gas utilities; type and scope of natural gas DSM programs in effect, including fuel substitution; economic tests and analysis methods used to evaluate DSM programs; relationship between prudency reviews of gas utility purchasing practices and integrated resource planning; key regulatory issued facing gas utilities during the next five years.

National conference on integrated resource planning: Proceedings

Energy Technology Data Exchange (ETDEWEB)

1991-01-01

Until recently, state regulators have focused most of their attention on the development of least-cost or integrated resource planning (IRP) processes for electric utilities. A number of commissions are beginning to scrutinize the planning processes of local gas distribution companies (LDCs) because of the increased control that LDCs have over their purchased gas costs (as well as the associated risks) and because of questions surrounding the role and potential of gas end-use efficiency options. Traditionally, resource planning (LDCs) has concentrated on options for purchasing and storing gas. Integrated resource planning involves the creation of a process in which supply-side and demand-side options are integrated to create a resource mix that reliably satisfies customers' short-term and long-term energy service needs at the lowest cost. As applied to gas utilities, an integrated resource plan seeks to balance cost and reliability, and should not be interpreted simply as the search for lowest commodity costs. The National Association of Regulatory Utility Commissioners' (NARUC) Energy Conservation committee asked Lawrence Berkeley Laboratory (LBL) to survey state PUCs to determine the extent to which they have undertaken least cost planning for gas utilities. The survey included the following topics: status of state PUC least-cost planning regulations and practices for gas utilities; type and scope of natural gas DSM programs in effect, including fuel substitution; economic tests and analysis methods used to evaluate DSM programs; relationship between prudency reviews of gas utility purchasing practices and integrated resource planning; key regulatory issued facing gas utilities during the next five years.

Utilization of the Family and Medical Leave Act in Radiology Practices According to the 2016 ACR Commission on Human Resources Workforce Survey.

Science.gov (United States)

Arleo, Elizabeth Kagan; Parikh, Jay R; Wolfman, Darcy; Gridley, Daniel; Bender, Claire; Bluth, Edward

2016-12-01

To assess gender utilization of the Family and Medical Leave Act (FMLA) in radiology practices across the United States. The Practice of Radiology Environment Database was utilized to identify U.S. practice leaders, who were asked to complete an electronic survey developed by the ACR Human Resources (HR) Commission. In 2016, new survey questions asked about number of radiologists in each practice who took FMLA, the reasons why, the average number of weeks taken, and how such absences were covered. Thirty-two percent (579/1815) of practice group leaders responded to the survey and of these, 73% (432/579) answered FMLA questions, with 15% of those (64/432) answering affirmatively that a radiologist in their practice had taken FMLA leave. Reasons for this in 2015 included to care for a newborn/adopted child (49%), because of a personal serious health condition (42%), to care for an immediate family member (8%), or for active military duty (1%). Women took a greater number of weeks of FMLA leave than men for all reasons (care of newborn/adopted child: 10.7 versus 4.7; personal serious health condition: 10.3 versus 8.0; care of immediate family member: 9.7 versus 8.7) except for military duty (24 weeks taken, all by men). At least 69% of leave time was paid, irrespective of reason for leave or gender of person taking it. Most practices (82%) made no workforce changes to cover FMLA leave. Both genders of radiologists needed absences from work for FMLA-sanctioned reasons. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Missions to Near-Earth Asteroids: Implications for Exploration, Science, Resource Utilization, and Planetary Defense

Science.gov (United States)

Abell, P. A.; Sanders, G. B.; Mazanek, D. D.; Barbee, B. W.; Mink, R. G.; Landis, R. R.; Adamo, D. R.; Johnson, L. N.; Yeomans, D. K.; Reeves, D. M.; Drake, B. G.; Friedensen, V. P.

2012-12-01

Introduction: In 2009 the Augustine Commission identified near-Earth asteroids (NEAs) as high profile destinations for human exploration missions beyond the Earth-Moon system as part of the Flexible Path. More recently the U.S. presidential administration directed NASA to include NEAs as destinations for future human exploration with the goal of sending astronauts to a NEA in the mid to late 2020s. This directive became part of the official National Space Policy of the United States of America as of June 28, 2010. NEA Space-Based Survey and Robotic Precursor Missions: The most suitable targets for human missions are NEAs in Earth-like orbits with long synodic periods. However, these mission candidates are often not observable from Earth until the timeframe of their most favorable human mission opportunities, which does not provide an appropriate amount of time for mission development. A space-based survey telescope could more efficiently find these targets in a timely, affordable manner. Such a system is not only able to discover new objects, but also track and characterize objects of interest for human space flight consideration. Those objects with characteristic signatures representative of volatile-rich or metallic materials will be considered as top candidates for further investigation due to their potential for resource utilization and scientific discovery. Once suitable candidates have been identified, precursor spacecraft are required to perform basic reconnaissance of a few NEAs under consideration for the human-led mission. Robotic spacecraft will assess targets for potential hazards that may pose a risk to the deep space transportation vehicle, its deployable assets, and the crew. Additionally, the information obtained about the NEA's basic physical characteristics will be crucial for planning operational activities, designing in-depth scientific/engineering investigations, and identifying sites on the NEA for sample collection. Human Exploration

Healthcare Resource Utilization and Costs Associated with Ketosis Events in Pediatric and Adult Patients with Type 1 Diabetes Mellitus in the UK.

Science.gov (United States)

Thalange, Nandu; Aldhouse, Natalie Valerie Jane; Kitchen, Helen; Howard, Daniel; Tutkunkardas, Deniz; Håkan-Bloch, Jonas

2017-10-01

Ketosis is a metabolic state associated with insulin deficiency. Untreated, it develops into diabetic ketoacidosis, a significant contributor to mortality and morbidity in people with type 1 diabetes mellitus (T1DM). Little is understood about how patients utilize healthcare resources during ketosis events. This study aimed to identify and quantify healthcare resource utilization and provide estimates of associated costs of ketosis events in T1DM, treated unaided or with healthcare professional (HCP) assistance in the UK. Qualitative interviews with adult patients, pediatric carers, and HCPs identified resources used by patients/carers during ketosis events. An online quantitative survey was then used to quantify patients/carers resource use during their/their child's most recent ketosis event, and HCPs estimated patient resource uptake to corroborate the findings. Associated costs estimated from UK data sources were applied to the survey results to calculate the cost of ketosis events in adults and children. Quantitative survey responses from 93 adults, 76 carers, and 52 HCPs were analyzed. Patients and carers monitored ketosis during and following the event with ketone strips and additional glucose strips, and administered treatment comprising insulin and pump set changes where appropriate. Additionally, patients/carers accessed phone services and many received follow-up medical appointments. In total, 70% (n = 65) of adult and 66% (n = 50) of pediatric ketosis events were managed at home, for which resource use costs per event were £23.87 and £38.00 respectively. Remaining events were treated in NHS facilities costing £217.57 per adult and £352.92 per child. Weighted averages identified that ketosis events cost £81.98 per adult and £142.97 per child. Indirect costs from work productivity loss increase these figures to £225.11 per adult and £256.88 per child. Healthcare resource use for ketosis events is high in adults and children with T1DM and

Preliminary assessments of the occurrence and effects of utilization of sand and aggregate resources of the Louisiana inner shelf

Science.gov (United States)

Suter, J.R.; Mossa, J.; Penland, S.

1989-01-01

Louisiana is experiencing the most critical coastal erosion and land loss problem in the United States. Shoreline erosion rates exceed 6 m/yr in more than 80% of the Louisiana coastal zone and can be up to 50 m/yr in areas impacted by hurricanes. The barrier islands have decreased in area by some 40% since 1880. Land loss from coastal marshlands and ridgelands from both natural and human-induced processes is estimated to exceed 100 km2/yr. In response, a two-phase plan has been established, calling for barrier-island restoration and beach nourishment, both requiring large amounts of sand. The plan will be cost-effective only if sand can be found offshore in sufficient quantities close to project sites. To locate such deposits, the Louisiana Geological Survey is conducting an inventory of nearshore sand resources on the Louisiana continental shelf. Exploration for offshore sand deposits is conducted in two phases, with high-resolution seismic reflection profiling to locate potential sand bodies followed by vibracoring to confirm seismic intepretations and obtain samples for textural characterization. As part of the initial stages of the program, reconnaissance high-resolution seismic investigations of three areas of the continental shelf representing different stages in the evolutionary sequence of barrier shorelines were carried out. The Timbalier Islands, flanking barriers of the eroding Caminada-Moreau headland, contain potential sand resources associated with buried tidal and distributary channels. The Chandeleur Islands, a barrier-island arc, have potential offshore sands in the form of truncated spit and tidal inlet deposits, submerged beach ridges, and distributary channels. Trinity Shoal, an inner shelf shoal, is an offshore feature containing up to 2 ?? 109 m3 of material, most of which is probably fine sand. These reconnaissance surveys have demonstrated the occurrence of sand resources on the Louisiana continental shelf. Utilization of such deposits for

Influence of Temperature on Intra- and Interspecific Resource Utilization within a Community of Lepidopteran Maize Stemborers.

Directory of Open Access Journals (Sweden)

Eric Siaw Ntiri

Full Text Available Competition or facilitation characterises intra- and interspecific interactions within communities of species that utilize the same resources. Temperature is an important factor influencing those interactions and eventual outcomes. The noctuid stemborers, Busseola fusca and Sesamia calamistis and the crambid Chilo partellus attack maize in sub-Saharan Africa. They often occur as a community of interacting species in the same field and plant at all elevations. The influence of temperature on the intra- and interspecific interactions among larvae of these species, was studied using potted maize plants exposed to varying temperatures in a greenhouse and artificial stems kept at different constant temperatures (15°C, 20°C, 25°C and 30°C in an incubator. The experiments involved single- and multi-species infestation treatments. Survival and relative growth rates of each species were assessed. Both intra- and interspecific competitions were observed among all three species. Interspecific competition was stronger between the noctuids and the crambid than between the two noctuids. Temperature affected both survival and relative growth rates of the three species. Particularly at high temperatures, C. partellus was superior in interspecific interactions shown by higher larval survival and relative growth rates. In contrast, low temperatures favoured survival of B. fusca and S. calamistis but affected the relative growth rates of all three species. Survival and relative growth rates of B. fusca and S. calamistis in interspecific interactions did not differ significantly across temperatures. Temperature increase caused by future climate change is likely to confer an advantage on C. partellus over the noctuids in the utilization of resources (crops.

The Potential Wind Power Resource in Australia: A New Perspective

Science.gov (United States)

Hallgren, Willow; Gunturu, Udaya Bhaskar; Schlosser, Adam

2014-01-01

Australia’s wind resource is considered to be very good, and the utilization of this renewable energy resource is increasing rapidly: wind power installed capacity increased by 35% from 2006 to 2011 and is predicted to account for over 12% of Australia’s electricity generation in 2030. Due to this growth in the utilization of the wind resource and the increasing importance of wind power in Australia’s energy mix, this study sets out to analyze and interpret the nature of Australia’s wind resources using robust metrics of the abundance, variability and intermittency of wind power density, and analyzes the variation of these characteristics with current and potential wind turbine hub heights. We also assess the extent to which wind intermittency, on hourly or greater timescales, can potentially be mitigated by the aggregation of geographically dispersed wind farms, and in so doing, lessen the severe impact on wind power economic viability of long lulls in wind and power generated. Our results suggest that over much of Australia, areas that have high wind intermittency coincide with large expanses in which the aggregation of turbine output does not mitigate variability. These areas are also geographically remote, some are disconnected from the east coast’s electricity grid and large population centers, which are factors that could decrease the potential economic viability of wind farms in these locations. However, on the eastern seaboard, even though the wind resource is weaker, it is less variable, much closer to large population centers, and there exists more potential to mitigate it’s intermittency through aggregation. This study forms a necessary precursor to the analysis of the impact of large-scale circulations and oscillations on the wind resource at the mesoscale. PMID:24988222

The potential wind power resource in Australia: a new perspective.

Directory of Open Access Journals (Sweden)

Willow Hallgren

Full Text Available Australia's wind resource is considered to be very good, and the utilization of this renewable energy resource is increasing rapidly: wind power installed capacity increased by 35% from 2006 to 2011 and is predicted to account for over 12% of Australia's electricity generation in 2030. Due to this growth in the utilization of the wind resource and the increasing importance of wind power in Australia's energy mix, this study sets out to analyze and interpret the nature of Australia's wind resources using robust metrics of the abundance, variability and intermittency of wind power density, and analyzes the variation of these characteristics with current and potential wind turbine hub heights. We also assess the extent to which wind intermittency, on hourly or greater timescales, can potentially be mitigated by the aggregation of geographically dispersed wind farms, and in so doing, lessen the severe impact on wind power economic viability of long lulls in wind and power generated. Our results suggest that over much of Australia, areas that have high wind intermittency coincide with large expanses in which the aggregation of turbine output does not mitigate variability. These areas are also geographically remote, some are disconnected from the east coast's electricity grid and large population centers, which are factors that could decrease the potential economic viability of wind farms in these locations. However, on the eastern seaboard, even though the wind resource is weaker, it is less variable, much closer to large population centers, and there exists more potential to mitigate it's intermittency through aggregation. This study forms a necessary precursor to the analysis of the impact of large-scale circulations and oscillations on the wind resource at the mesoscale.

Hospital admission planning to optimize major resources utilization under uncertainty

OpenAIRE

Dellaert, N.P.; Jeunet, J.

2010-01-01

Admission policies for elective inpatient services mainly result in the management of a single resource: the operating theatre as it is commonly considered as the most critical and expensive resource in a hospital. However, other bottleneck resources may lead to surgery cancellations, such as bed capacity and nursing staff in Intensive Care (IC) units and bed occupancy in wards or medium care (MC) services. Our incentive is therefore to determine a master schedule of a given number of patient...

Developing an Actuarial Track Utilizing Existing Resources

Science.gov (United States)

Rodgers, Kathy V.; Sarol, Yalçin

2014-01-01

Students earning a degree in mathematics often seek information on how to apply their mathematical knowledge. One option is to follow a curriculum with an actuarial emphasis designed to prepare students as an applied mathematician in the actuarial field. By developing only two new courses and utilizing existing courses for Validation by…

Some Methods for Calculating Competition Coefficients from Resource-Utilization Spectra.

Science.gov (United States)

Schoener, Thomas W

When relative frequencies of resource kinds in the diet are known, the competition coefficient giving the effect of competitor j on i may be computed as \\documentclass{aastex} \\usepackage{amsbsy} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{bm} \\usepackage{mathrsfs} \\usepackage{pifont} \\usepackage{stmaryrd} \\usepackage{textcomp} \\usepackage{portland,xspace} \\usepackage{amsmath,amsxtra} \\usepackage{wasysym} \\pagestyle{empty} \\DeclareMathSizes{10}{9}{7}{6} \\begin{document}$$\\alpha_{ij}=\\left(\\frac{T_{j}}{T_{i}}\\right)\\left[\\frac{{\\sum\\limits_{k=1}^{m}}(d_{ik}/f_{k})\\:(d_{jk}/f_{k})\\:b_{ik}}{\\sum\\limits_{k=1}^{m}(d_{ik}/f_{k})^{2}\\:b_{ik}}\\right],$$\\end{document} where T j /T i = the ratio of the number of items consumed by an individual of competitor j to that consumed by an individual of competitor i, measured over an interval of time that includes all regular fluctuations in consumption for both species; d ik = the frequency of resource k in the diet of competitor i (and similarly for d jk ); f k = the standing frequency of resource k in the environment; b ik = the net calories gained by an individual of competitor i from an item of resource k, or more approximately the calories contained in an item of resource k, or still more approximately the weight or volume of an item of resource k; and the summations are taken over all resources eaten by at least one of the competing species. The coefficient follows from MacArthur's (1968) consumer-resource system when the ratio of the carrying capacity to intrinsic rate of increase is constant for all resources. When relative frequencies of time spent foraging in habitat kinds are known, the competition coefficient may be computed as \\documentclass{aastex} \\usepackage{amsbsy} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{bm} \\usepackage{mathrsfs} \\usepackage{pifont} \\usepackage{stmaryrd} \\usepackage{textcomp} \\usepackage{portland,xspace} \\usepackage

Utilization of water resources in Pelagonija region to meet the needs of REK 'Bitola'

International Nuclear Information System (INIS)

Madzharoski, Atanas; Cvetkovska, Bisera

2001-01-01

In this report a complex use of the water resources for water supplying of one the biggest industrial objects in Republic of Macedonia - the thermal power plants at REK-Bitola is shown. Water, beside the coal represents a basic raw material in the technological process for electric power production at the TPP. Three systems are built for water supplying with raw water, that are composed in one part and there is a possibility for them to be enlarged. The way of use and distribution of waters from the systems in accordance with the needs of the company is shown, taking care for rational and economical use of the water. An enlargement is performed on the systems with what safety in water supply is greater the functionality of the systems is better, and with that a rationality and economical effects are obtained. (Original)

Sociodemographics, Comorbidities, Healthcare Utilization and Work Productivity in Japanese Patients with Adult ADHD.

Directory of Open Access Journals (Sweden)

Eiji Kirino

Full Text Available This study compared the sociodemographic characteristics, comorbidities, healthcare resource utilization, and work productivity among Japanese adults who reported being diagnosed with attention-deficit/hyperactivity disorder (ADHD to those of a non-ADHD control population.Data for this study were captured from an online survey of adults in Japan conducted by Kantar Health using consumer panels. A total of 84 survey participants reported they had received a diagnosis of ADHD from a physician. Survey responses pertaining to functional status and resource utilization from this ADHD group were compared to those from a non-ADHD control group of 100 participants. Comparisons between the ADHD and non-ADHD groups were made using chi-square tests for categorical variables and t-tests for continuous variables.Participants in the ADHD group were on average slightly younger with a higher proportion of males. ADHD respondents reported significantly more comorbid depression, sleep difficulties, headaches, and anxiety than non-ADHD controls. Over the previous 6 months, the ADHD group made more visits to healthcare providers and the emergency room, and had more hospitalizations than non-ADHD controls. The ADHD group also rated their overall health status lower than the non-ADHD control group. Respondents with ADHD reported a significantly higher degree of health-related work impairment compared to non-ADHD, with greater absenteeism and decreased work productivity. The ADHD group indicated their symptoms negatively impacted relationships, self-esteem, and regular daily activities.Japanese adults with ADHD face a substantial burden of illness, including lower overall health status, increased number of comorbidities, greater healthcare utilization, and significant health-related occupational impairment compared to those without ADHD. Additional research is needed to develop a better understanding of both the consequences and treatment approaches for Japanese

Research advances on thereasonable water resources allocation in irrigation district

DEFF Research Database (Denmark)

Xuebin, Qi; Zhongdong, Huang; Dongmei, Qiao

2015-01-01

The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area. The prog......The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area...... mechanism of water resources is not perfect, the model for optimal water resources allocation is not practical, and the basic conditions for optimal allocation of water resources is relatively weak. In order to solve those problems in water resources allocation practice, six important as?pects must...... in irrigation districts, studying the water resources control technology in irrigation districts by hydrology ecological system, studying the technologies of real?time risk dispatching and intelligent management in irrigation districts, and finally studying the technology of cou?pling optimal allocation...

Costing for long-term care: the development of Scottish health service resource utilization groups as a casemix instrument.

Science.gov (United States)

Urquhart, J; Kennie, D C; Murdoch, P S; Smith, R G; Lennox, I

1999-03-01

to create a casemix measure with a limited number of categories which discriminate in terms of resource use and will assist in the development of a currency for contracting for the provision of health care. nursing staff completed a questionnaire providing clinical data and also gave estimates of relative patient resource use; ward-based costs were collected from appropriate unit managers. National Health Service continuing-care wards in 50 Scottish hospitals. 2783 long-stay patients aged 65 years and over. inter-rater reliability was assessed using 1402 patients; percentage agreement between raters for individual variables varied from 68% for feeding to 97% for clinically complex treatments. Nursing costs gave 62% agreement given categories of high, medium and low. The Scottish health service resource utilization groups (SHRUG) measure was developed using 606 cases, and 67% consistency was achieved for the five categories. The relative weights for the SHRUG categories ranged from 0.56 to 1.41. The five categories explain 35% of variance in costs. the five SHRUG casemix categories show good discrimination in terms of costs. The SHRUG measure compares favourably with diagnosis-related groups in the acute sector and with other casemix instruments for long-term care previously piloted in the UK. SHRUG is a useful measurement instrument in assessing the resource needs of elderly people in long-term care.

Growth patterns reflect response to antiretroviral therapy in HIV-positive infants: potential utility in resource-poor settings.

Science.gov (United States)

Benjamin, D K; Miller, W C; Ryder, R W; Weber, D J; Walter, E; McKinney, R E

2004-01-01

Laboratory monitoring of HIV-infected children is the current standard of care in the United States to guide the appropriate use of antiretroviral therapy (ART). Although ART is becoming a reality in some developing countries, laboratory monitoring of ART is costly, necessitating creative approaches to monitoring. As an initial step to guide monitoring of HIV progression in low resource settings, we assessed the utility of the physical examination to predict clinical progression of HIV. We conducted a retrospective cohort study of HIV-infected children using data from Pediatric AIDS Clinical Trials Group Protocol 300. We developed a clinical predictive model, and compared the utility of the clinical model to the change in HIV RNA viral load as diagnostic tests of ART failure. The clinical model incorporated treatment regimen, age, and height velocity: a three-level clinical predictive model provided likelihood ratios of 0.3, 3.9, and 14. For decline in RNA the likelihood ratios were 0.2 (> 1 log decline), 1.4, and 3.5 (> log increase). We developed a simple clinical predictive model that was able to predict clinical progression of HIV after initiation of new ART. The clinical model performed similarly to using changes in HIV RNA viral load. These data should be validated internationally and prospectively, because the test subjects were from a resource rich environment and growth patterns in undernourished children may be impacted differently by HIV and its treatment. The model was most pertinent to children 36 months of age or younger, and was conducted in children receiving monotherapy and dual therapy.

Inter-utility trade review

International Nuclear Information System (INIS)

Warnes, E.M.; Vaahedi, E.

1991-01-01

The National Energy Board was requested by the Minister of Energy, Mines and Resources to identify possible measures to improve cooperation among Canadian electrical utilities and to enhance access for buyers and sellers of electricity to available transmission capacity through intervening systems for wheeling purposes. To identify measures to improve cooperation, a questionnaire was sent to electric utilities and other interested parties on the present extent and future possibilities for inter-utility cooperation. The questionnaire and its results are presented. It was found that there already exists a significant amount of inter-utility cooperation in Canada. Such cooperation generally involves interchanges of economy energy, non-economic capacity and energy, coordinated operation, resource sharing, maintenance scheduling, emergency supports, etc. There is a very limited degree of integrated generation expansion planning. Typically, these agreements are carried out under interconnection agreements negotiated on a bi-lateral basis. The highest current degree of cooperation exists under the auspices of the Alberta interconnected power system pool. Wheeling is limited and generally restricted to cases where the sender and receiver are the same entity or where power is wheeled to a utility purchasing it from the wheeler's system. 2 figs., 3 tabs

Vegetable Genetic Resources in China

Directory of Open Access Journals (Sweden)

Haiping WANG

2018-03-01

Full Text Available China is recognized as an important region for plant biodiversity based on its vast and historical collection of vegetable germplasm. The aim of this review is to describe the exploration status of vegetable genetic resources in China, including their collection, preservation, evaluation, and utilization. China has established a number of national-level vegetable genetic resources preservation units, including the National Mid-term Genebank for Vegetable Germplasm Resources, the National Germplasm Repository for Vegetatively-Propagated Vegetables, and the National Germplasm Repository for Aquatic Vegetables. In 2015, at least 36 000 accessions were collected and preserved in these units. In the past decade, 44 descriptors and data standards for different species have been published, and most accessions have been evaluated for screening the germplasms for specific important traits such as morphological characteristics, disease resistance, pest resistance, and stress tolerance. Moreover, the genetic diversity and evolution of some vegetable germplasms have been evaluated at the molecular level. Recently, more than 1 000 accessions were distributed to researchers and breeders each year by various means for vegetable research and production. However, additional wild-relative and abroad germplasms from other regions need to be collected and preserved in the units to expand genetic diversity. Furthermore, there is a need to utilize advanced techniques to better understand the background and genetic diversity of a wide range of vegetable genetic resources. This review will provide agricultural scientists’ insights into the genetic diversity in China and provide information on the distribution and potential utilization of these valuable genetic resources. Keywords: vegetable, genetic resource, preservation, evaluation, utilization

NASA In-Situ Resource Utilization (ISRU) Technology and Development Project Overview

Science.gov (United States)

Sanders, Gerald B.; Lason, William E.; Sacksteder, Kurt R.; Mclemore, Carole; Johnson, Kenneth

2008-01-01

Since the Vision for Space Exploration (VSE) was released in 2004, NASA, in conjunction with international space agencies, industry, and academia, has continued to define and refine plans for sustained and affordable robotic and human exploration of the Moon and beyond. With the goal of establishing a lunar Outpost on the Moon to extend human presence, pursue scientific activities, use the Moon to prepare for future human missions to Mars, and expand Earth s economic sphere, a change in how space exploration is performed is required. One area that opens up the possibility for the first time of breaking our reliance on Earth supplied consumables and learn to live off the land is In-Situ Resource Utilization (ISRU). ISRU, which involves the extraction and processing of space resources into useful products, can have a substantial impact on mission and architecture concepts. In particular, the ability to make propellants, life support consumables, and fuel cell reagents can significantly reduce the cost, mass, and risk of sustained human activities beyond Earth. However, ISRU is an unproven capability for human lunar exploration and can not be put in the critical path of lunar Outpost success until it has been proven. Therefore, ISRU development and deployment needs to take incremental steps toward the desired end state. To ensure ISRU capabilities are available for pre-Outpost and Outpost deployment by 2020, and mission and architecture planners are confident that ISRU can meet initial and long term mission requirements, the ISRU Project is developing technologies and systems in three critical areas: (1) Regolith Excavation, Handling and Material Transportation; (2) Oxygen Extraction from Regolith; and (3) Volatile Extraction and Resource Prospecting, and in four development stages: (I) Demonstrate feasibility; (II) Evolve system w/ improved technologies; (III) Develop one or more systems to TRL 6 before start of flight development; and (IV) Flight development for

Gender Discrimination in the Allocation of Migrant Household Resources.

Science.gov (United States)

Antman, Francisca M

2015-07-01

This paper considers the relationship between international migration and gender discrimination through the lens of decision-making power over intrahousehold resource allocation. The endogeneity of migration is addressed with a difference-in-differences style identification strategy and a model with household fixed effects. The results suggest that while a migrant household head is away, a greater share of resources is spent on girls relative to boys and his spouse commands greater decision-making power. Once the head returns home, however, a greater share of resources goes to boys and there is suggestive evidence of greater authority for the head of household.

Gender Discrimination in the Allocation of Migrant Household Resources*

Science.gov (United States)

Antman, Francisca M.

2016-01-01

This paper considers the relationship between international migration and gender discrimination through the lens of decision-making power over intrahousehold resource allocation. The endogeneity of migration is addressed with a difference-in-differences style identification strategy and a model with household fixed effects. The results suggest that while a migrant household head is away, a greater share of resources is spent on girls relative to boys and his spouse commands greater decision-making power. Once the head returns home, however, a greater share of resources goes to boys and there is suggestive evidence of greater authority for the head of household. PMID:27546986

Community perceptions and factors influencing utilization of health services in Uganda

Directory of Open Access Journals (Sweden)

Galea Sandro

2009-07-01

Full Text Available Abstract Background Healthcare utilization has particular relevance as a public health and development issue. Unlike material and human capital, there is little empirical evidence on the utility of social resources in overcoming barriers to healthcare utilization in a developing country context. We sought to assess the relevance of social resources in overcoming barriers to healthcare utilization. Study Objective To explore community perceptions among three different wealth categories on factors influencing healthcare utilization in Eastern Uganda. Methods We used a qualitative study design using Focus Group Discussions (FGD to conduct the study. Community meetings were initially held to identify FGD participants in the different wealth categories, ('least poor', 'medium' and 'poorest' using poverty ranking based on ownership of assets and income sources. Nine FGDs from three homogenous wealth categories were conducted. Data from the FGDs was analyzed using content analysis revealing common barriers as well as facilitating factors for healthcare service utilization by wealth categories. The Health Access Livelihood Framework was used to examine and interpret the findings. Results Barriers to healthcare utilization exist for all the wealth categories along three different axes including: the health seeking process; health services delivery; and the ownership of livelihood assets. Income source, transport ownership, and health literacy were reported as centrally useful in overcoming some barriers to healthcare utilization for the 'least poor' and 'poor' wealth categories. The 'poorest' wealth category was keen to utilize free public health services. Conversely, there are perceptions that public health facilities were perceived to offer low quality care with chronic gaps such as shortages of essential supplies. In addition to individual material resources and the availability of free public healthcare services, social resources are perceived as

The Flexible Solar Utility. Preparing for Solar's Impacts to Utility Planning and Operations

Energy Technology Data Exchange (ETDEWEB)

Sterling, John [Solar Electric Power Association (SEPA), Washington, DC (United States); Davidovich, Ted [Solar Electric Power Association (SEPA), Washington, DC (United States); Cory, Karlynn [National Renewable Energy Lab. (NREL), Golden, CO (United States); Aznar, Alexandra [National Renewable Energy Lab. (NREL), Golden, CO (United States); McLaren, Joyce [National Renewable Energy Lab. (NREL), Golden, CO (United States)

2015-09-01

This paper seeks to provide a flexible utility roadmap for identifying the steps that need to be taken to place the utility in the best position for addressing solar in the future. Solar growth and the emergence of new technologies will change the electric utility of tomorrow. Although not every utility, region, or market will change in the same way or magnitude, developing a path forward will be needed to reach the Electric System of the Future in the coming decades. In this report, a series of potential future states are identified that could result in drastically different energy mixes and profiles: 1) Business as Usual, 2) Low Carbon, Centralized Generation, 3) Rapid Distributed Energy Resource Growth, 4) Interactivity of Both the Grid and Demand, and 5) Grid or Load Defection. Complicating this process are a series of emerging disruptions; decisions or events that will cause the electric sector to change. Understanding and preparing for these items is critical for the transformation to any of the future states to be successful. Predicting which future state will predominate 15 years from now is not possible; however, utilities still will need to look ahead and try to anticipate how factors will impact their planning, operations, and business models. In order to dig into the potential transformations facing the utility industry, the authors conducted a series of utility interviews, held a working session at a major industry solar conference, and conducted a quantitative survey. To focus conversations, the authors leveraged the Rapid Distributed Energy Resource (DER) Growth future to draw out how utilities would have to adapt from current processes and procedures in order to manage and thrive in that new environment. Distributed solar was investigated specifically, and could serve as a proxy resource for all distributed generation (DG). It can also provide the foundation for all DERs.

Transporter engineering in biomass utilization by yeast.

Science.gov (United States)

Hara, Kiyotaka Y; Kobayashi, Jyumpei; Yamada, Ryosuke; Sasaki, Daisuke; Kuriya, Yuki; Hirono-Hara, Yoko; Ishii, Jun; Araki, Michihiro; Kondo, Akihiko

2017-11-01

Biomass resources are attractive carbon sources for bioproduction because of their sustainability. Many studies have been performed using biomass resources to produce sugars as carbon sources for cell factories. Expression of biomass hydrolyzing enzymes in cell factories is an important approach for constructing biomass-utilizing bioprocesses because external addition of these enzymes is expensive. In particular, yeasts have been extensively engineered to be cell factories that directly utilize biomass because of their manageable responses to many genetic engineering tools, such as gene expression, deletion and editing. Biomass utilizing bioprocesses have also been developed using these genetic engineering tools to construct metabolic pathways. However, sugar input and product output from these cells are critical factors for improving bioproduction along with biomass utilization and metabolic pathways. Transporters are key components for efficient input and output activities. In this review, we focus on transporter engineering in yeast to enhance bioproduction from biomass resources. © FEMS 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Seaweed resources

Digital Repository Service at National Institute of Oceanography (India)

Deshmukhe, G.V.; Dhargalkar, V.K.; Untawale, A.G.

The chapter summarizes our present knowledge of the seaweed resources of the Indian Ocean region with regard to the phytogeographical distribution, composition, biomass, utilization, cultivation, conservation and management. The voluminous data...

Dual-pressure vaporization Kalina cycle for cascade reclaiming heat resource for power generation

International Nuclear Information System (INIS)

Guo, Zhanwei; Zhang, Zhi; Chen, Yaping; Wu, Jiafeng; Dong, Cong

2015-01-01

Graphical abstract: Schematic of the dual-pressure evaporation Kalina cycle. - Highlights: • Dual-pressure vaporization Kalina cycle for high-grade heat resource is investigated. • It is designed with 2nd evaporation branch for cascade utilization of heat resource. • Work and basic concentrations, dew point temperature of evaporation are optimized. • Power recovery efficiency of proposed cycle is 17% higher than that of Kalina cycle. • Dual-p vaporization Kalina cycle fits reclaiming heat resource higher than 350 °C. - Abstract: To further improve the cycle efficiency with the heat transfer curves between higher than 350 °C heat resource and the evaporating working medium of the Kalina cycle and to reduce the exhaust temperature of heat resource, the dual-pressure vaporization Kalina cycle for cascade utilization of high-to-mid grade heat resource is proposed. The optimization was conducted for parameters in this modified Kalina cycle such as concentrations of work solution and basic solution, evaporation dew point temperature. Under the conditions of inlet temperatures of heat resource and cooling water of respectively 400 °C and 25 °C and the constraints of proper heat transfer pinch point temperature differences, the maximum evaporation pressure not exceeds 20 MPa, the vapour quality at the turbine outlet is greater than 0.85 and the exhaust temperature of heat resource is not lower than 90 °C, the optimum parameters are obtained that the work and basic concentrations are 0.45 and 0.272 respectively, the dew point temperature of evaporation is 300 °C, and the corresponding power recovery efficiency of the dual-pressure vaporization Kalina cycle reaches 27%, which is 17% higher than that of the Kalina cycle with optimum parameters.

Primer on gas integrated resource planning

Energy Technology Data Exchange (ETDEWEB)

Goldman, C.; Comnes, G.A.; Busch, J.; Wiel, S. [Lawrence Berkeley Lab., CA (United States)

1993-12-01

This report discusses the following topics: gas resource planning: need for IRP; gas integrated resource planning: methods and models; supply and capacity planning for gas utilities; methods for estimating gas avoided costs; economic analysis of gas utility DSM programs: benefit-cost tests; gas DSM technologies and programs; end-use fuel substitution; and financial aspects of gas demand-side management programs.

The Future of Electricity Resource Planning

Energy Technology Data Exchange (ETDEWEB)

Kahrl, Fredrich [Energy and Environmental Economics, Inc., San Francisco, CA (United States); Mills, Andrew [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Lavin, Luke [Energy and Environmental Economics, Inc., San Francisco, CA (United States); Ryan, Nancy [Energy and Environmental Economics, Inc., San Francisco, CA (United States); Olsen, Arne [Energy and Environmental Economics, Inc., San Francisco, CA (United States); Schwartz, Lisa [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2016-09-14

Electricity resource planning is the process of identifying longer-term investments to meet electricity reliability requirements and public policy goals at a reasonable cost. Resource planning processes provide a forum for regulators, electric utilities, and electricity industry stakeholders to evaluate the economic, environmental, and social benefits and costs of different investment options. By facilitating a discussion on future goals, challenges and strategies, resource planning processes often play an important role in shaping utility business decisions. Resource planning emerged more than three decades ago in an era of transition, where declining electricity demand and rising costs spurred fundamental changes in electricity industry regulation and structure. Despite significant changes in the industry, resource planning continues to play an important role in supporting investment decision making. Over the next two decades, the electricity industry will again undergo a period of transition, driven by technological change, shifting customer preferences and public policy goals. This transition will bring about a gradual paradigm shift in resource planning, requiring changes in scope, approaches and methods. Even as it changes, resource planning will continue to be a central feature of the electricity industry. Its functions — ensuring the reliability of high voltage (“bulk”) power systems, enabling oversight of regulated utilities and facilitating low-cost compliance with public policy goals — are likely to grow in importance as the electricity industry enters a new period of technological, economic and regulatory change. This report examines the future of electricity resource planning in the context of a changing electricity industry. The report examines emerging issues and evolving practices in five key areas that will shape the future of resource planning: (1) central-scale generation, (2) distributed generation, (3) demand-side resources, (4

[Comparison of potential yield and resource utilization efficiency of main food crops in three provinces of Northeast China under climate change].

Science.gov (United States)

Wang, Xiao-yu; Yang, Xiao-guang; Sun, Shuang; Xie, Wen-juan

2015-10-01

Based on the daily data of 65 meteorological stations from 1961 to 2010 and the crop phenology data in the potential cultivation zones of thermophilic and chimonophilous crops in Northeast China, the crop potential yields were calculated through step-by-step correction method. The spatio-temporal distribution of the crop potential yields at different levels was analyzed. And then we quantified the limitations of temperature and precipitation on the crop potential yields and compared the differences in the climatic resource utilization efficiency. The results showed that the thermal potential yields of six crops (including maize, rice, spring wheat, sorghum, millet and soybean) during the period 1961-2010 deceased from west to east. The climatic potential yields of the five crops (spring wheat not included) were higher in the south than in the north. The potential yield loss rate due to temperature limitations of the six crops presented a spatial distribution pattern and was higher in the east than in the west. Among the six main crops, the yield potential loss rate due to temperature limitation of the soybean was the highest (51%), and those of the other crops fluctuated within the range of 33%-41%. The potential yield loss rate due to water limitation had an obvious regional difference, and was high in Songnen Plain and Changbai Mountains. The potential yield loss rate of spring wheat was the highest (50%), and those of the other four rainfed crops fluctuated within the range of 8%-10%. The solar energy utilization efficiency of the six main crops ranged from 0.9% to 2.7%, in the order of maize> sorghum>rice>millet>spring wheat>soybean. The precipitation utilization efficiency of the maize, sorghum, spring wheat, millet and soybean under rainfed conditions ranged from 8 to 35 kg . hm-2 . mm-1, in the order of maize>sorghum>spring wheat>millet>soybean. In those areas with lower efficiency of solar energy utilization and precipitation utilization, such as Changbai

CRISIS UNDER THE RADAR: ILLICIT AMPHETAMINE USE IS REACHING EPIDEMIC PROPORTIONS AND CONTRIBUTING TO RESOURCE OVER-UTILIZATION AT A LEVEL 1 TRAUMA CENTER.

Science.gov (United States)

Gemma, Vincent A; Chapple, Kristina A; Goslar, Pamela W; Israr, Sharjeel; Petersen, Scott R; Weinberg, Jordan A

2018-05-21

Trauma centers reported illicit amphetamine use in approximately 10% of trauma admissions in the previous decade. From experience at a trauma center located in a southwestern metropolis, our perception is that illicit amphetamine use is on the rise, and that these patients utilize in-hospital resources beyond what would be expected for their injuries. The purpose of this study was to document the incidence of illicit amphetamine use among our trauma patients and to evaluate its impact on resource utilization. We conducted a retrospective cohort study using 7 consecutive years of data (starting July 2010) from our institution's trauma registry. Toxicology screenings were used to categorize patients into one of three groups: illicit amphetamine, other drugs, or drug free. Adjusted linear and logistic regression models were used to predict hospital cost, length of stay, ICU admission and ventilation between drug groups. Models were conducted with combined injury severity (ISS) and then repeated for ISS <9, ISS 9-15 and ISS 16 and above. 8,589 patients were categorized into the following three toxicology groups: 1255 (14.6%) illicit amphetamine, 2214 (25.8%) other drugs, and 5120 (59.6%) drug free. Illicit amphetamine use increased threefold over the course of the study (from 7.85% to 25.0% of annual trauma admissions). Adjusted linear models demonstrated that illicit amphetamine among patients with ISS<9 was associated with 4.6% increase in hospital cost (P=.019) and 7.4% increase in LOS (P=.043). Logistic models revealed significantly increased odds of ventilation across all ISS groups and increased odds of ICU admission when all ISS groups were combined (P=.001) and within the ISS<9 group (P=.002). Hospital resource utilization of amphetamine patients with minor injuries is significant. Trauma centers with similar epidemic growth in proportion of amphetamine patients face a potentially significant resource strain relative to other centers. Prognostic and

Air quality analysis and related risk assessment for the Bonneville Power Administration's Resource Program

International Nuclear Information System (INIS)

Glantz, C.S.; Burk, K.W.; Driver, C.J.; Liljegren, J.C.; Neitzel, D.A.; Schwartz, M.N.; Dana, M.T.; Laws, G.L.; Mahoney, L.A.; Rhoads, K.

1992-04-01

The Bonneville Power Administration (BPA) is considering 12 different alternatives for acquiring energy resources over the next 20 years. Each of the alternatives utilizes a full range of energy resources (e.g., coal, cogeneration, conservation, and nuclear); however, individual alternatives place greater emphases on different types of power-producing resources and employ different timetables for implementing these resources. The environmental impacts that would result from the implementation of each alternative and the economic valuations of these impacts, will be an important consideration in the alternative selection process. In this report we discuss the methods used to estimate environmental impacts from the resource alternatives. We focus on pollutant emissions rates, ground-level air concentrations of basic criteria pollutants, the acidity of rain, particulate deposition, ozone concentrations, visibility attenuation, global warming, human health effects, agricultural and forest impacts, and wildlife impacts. For this study, pollutant emission rates are computed by processing BPA data on power production and associated pollutant emissions. The assessment of human health effects from ozone indicated little variation between the resource alternatives. Impacts on plants, crops, and wildlife populations from power plant emissions are projected to be minimal for all resource alternatives

Medical resource utilization and costs associated with autosomal dominant polycystic kidney disease in the USA: a retrospective matched cohort analysis of private insurer data

Directory of Open Access Journals (Sweden)

Knight T

2015-02-01

Full Text Available Tyler Knight,1 Caroline Schaefer,1 Holly Krasa,2 Dorothee Oberdhan,2 Arlene Chapman,3 Ronald D Perrone4 1Covance Market Access Services Inc., Gaithersburg, MD, 2Otsuka Pharmaceutical Development and Commercialization, Inc., Rockville, MD, 3Emory University, Atlanta, GA, 4Tufts Medical Center and Tufts University School of Medicine, Boston, MA, USA Background: Autosomal dominant polycystic kidney disease (ADPKD results in kidney cyst development and enlargement, resulting in chronic kidney disease (CKD leading to renal failure. This study sought to determine if ADPKD patients in the early stages of CKD contribute to a sizable economic burden for the US health care system. Methods: This was a retrospective, matched cohort study, reviewing medical resource utilization (MRU and costs for adults in a US private-payer claims database with a diagnosis code of ADPKD (ICD-9-CM 753.13. ADPKD patients were matched by age grouping (0–17, 18–34, 35–44, 45–54, 55–64, and 65+ years and sex to controls to understand the burden of ADPKD. Descriptive statistics on 6-month MRU and costs were assessed by CKD stages, dialysis use, or previous renal transplant. Results: The analysis included ADPKD patients in CKD stages 1–5 (n=316 to n=860, dialysis (n=586, and post-transplant (n=615. Mean ages did not differ across CKD stages (range 43–56 years. Men were the majority in the later stages but the minority in the early stages. The proportion of patients with at least one hospitalization increased with CKD stage, (12% to >40% CKD stage 2 to stage 5, dialysis or post-transplant. The majority had at least one hospital outpatient visit and at least one pharmacy claim. Total 6-month per-patient costs were greater among ADPKD patients than in age-matched and sex-matched healthy non-ADPKD controls (P<0.001 for all comparisons. Conclusion: ADPKD patients with normal kidney function are associated with a significant economic burden to the health care system

Development of technologies for utilizing geothermal energy

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-01

In verifying the effectiveness of the deep geothermal resource exploration technology, development is being carried out on a fracture-type reservoir exploration method. The seismic exploration method investigates detailed structures of underground fracture systems by using seismic waves generated on the ground surface. Verification experiments for fiscal 1994 were carried out by selecting the Kakkonda area in which small fracture networks form reservoir beds. Geothermal resources in deep sections (deeper than 2000 m with temperatures higher than 350{degree}C) are promising in terms of amount of the resources, but anticipated with difficulty in exploration and impediments in drilling. To avoid these risks, studies are being progressed on the availability of resources in deep sections, their utilization possibility, and technologies of effective exploration and drilling. This paper summarizes the results of deep resource investigations during fiscal 1994. It also describes such technological development as hot water utilizing power generation. Development is performed on a binary cycle power generation plant which pumps and utilizes hot water of 150 to 200{degree}C by using a downhole pump. The paper also reports development on element technologies for hot rock power generation systems. It also dwells on development of safe and effective drilling and production technologies for deep geothermal resources.

Accessing And Utilizing Hinagoa Resources On The Internet By The ...

African Journals Online (AJOL)

This paper presents simple descriptive steps required in accessing full -text articles from the HINAGOA resources on the Internet. The primary aim is to enable NIFOR scientists search and obtain desired information from the HINAGOA resources much more precis ely and efficiently. The three portals that make up HINAGOA, ...

Enhanced recovery pathways optimize health outcomes and resource utilization: A meta-analysis of randomized controlled trials in colorectal surgery

DEFF Research Database (Denmark)

Adamina, Michel; Kehlet, Henrik; Tomlinson, George A

2011-01-01

in costs that threatens the stability of health care systems. Enhanced recovery pathways (ERP) have been proposed as a means to reduce morbidity and improve effectiveness of care. We have reviewed the evidence supporting the implementation of ERP in clinical practice. Methods Medline, Embase...... of health care processes. Thus, while accelerating recovery and safely reducing hospital stay, ERPs optimize utilization of health care resources. ERPs can and should be routinely used in care after colorectal and other major gastrointestinal procedures....

Resource Guide to Effective Utility Management and Lean

Science.gov (United States)

Water and wastewater utilities are critical to the environmental, economic, and social well being of our nation’s communities, as they work to ensure that the public continues to enjoy the benefits of clean and safe water.

Beyond Widgets -- Systems Incentive Programs for Utilities

Energy Technology Data Exchange (ETDEWEB)

Regnier, Cindy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Mathew, Paul [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Robinson, Alastair [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Schwartz, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Walter, Travis [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2017-08-15

Utility incentive programs remain one of the most significant means of deploying commercialized, but underutilized building technologies to scale. However, these programs have been largely limited to component-based products (e.g., lamps, RTUs). While some utilities do provide ‘custom’ incentive programs with whole building and system level technical assistance, these programs require deeper levels of analysis, resulting in higher program costs. This results in custom programs being restricted to utilities with greater resources, and are typically applied mainly to large or energy-intensive facilities, leaving much of the market without cost effective access and incentives for these solutions. In addition, with increasingly stringent energy codes, cost effective component-based solutions that achieve significant savings are dwindling. Building systems (e.g., integrated façade, HVAC and/or lighting solutions) can deliver higher savings that translate into large sector-wide savings if deployed at the scale of these programs. However, systems application poses a number of challenges – baseline energy use must be defined and measured; the metrics for energy and performance must be defined and tested against; in addition, system savings must be validated under well understood conditions. This paper presents a sample of findings of a project to develop validated utility incentive program packages for three specific integrated building systems, in collaboration with Xcel Energy (CO, MN), ComEd, and a consortium of California Public Owned Utilities (CA POUs) (Northern California Power Agency(NCPA) and the Southern California Public Power Authority(SCPPA)). Furthermore, these program packages consist of system specifications, system performance, M&V protocols, streamlined assessment methods, market assessment and implementation guidance.

Using consensus building to improve utility regulation

International Nuclear Information System (INIS)

Raab, J.

1994-01-01

The utility industry and its regulatory environment are at a crossroads. Utilities, intervenors and even public utility commissions are no longer able to initiate and sustain changes unilaterally. Traditional approaches to regulation are often contentious and costly, producing results that are not perceived as legitimate or practical. Consensus building and alternative dispute resolution have the potential to help utilities, intervenors and regulators resolve a host of regulatory issues. This book traces the decline of consensus in utility regulation and delineates current controversies. It presents the theory and practice of alternative dispute resolution in utility regulation and offers a framework for evaluating the successes and failures of attempts to employ these processes. Four regulatory cases are analyzed in detail: the Pilgrim nuclear power plant outage settlement, the use of DSM collaboratives, the New Jersey resource bidding policy and the formation of integrated resource management rules in Massachusetts

June, 2015 Utilization of Reference Resources and Services

African Journals Online (AJOL)

Department of Library and Information Science, MAUTECH, Yola ... reference resources and services mostly for their course work and research works. ... business settings; reference services provided ..... Table 5: Strategies to be adopted to overcome the problems of provision and .... American Library Association, p.782.

Research and utilization of renewable energy resources in Bangladesh

International Nuclear Information System (INIS)

Kaiser, M.S.; Aditya, S.K.; Mazumder, R.K.

2005-01-01

Bangladesh is an energy deficit and low-economy country with high population density. Per-capita energy consumption is one of the lowest in the world. The only dependable indigenous gas, which is the major primary energy source in the country, is used mainly for the production of electricity and fertilizer. If it is burnt at an annual 10% growth rate of consumption, may not last more than 15-20 years. Around 30% of the people of the country have connections to the national grid line. In the villages, where 80% of the population live, the situation is worse. Even if it is possible to take the electric grid line to all villages of the country, which will be an extremely difficult and expensive work to do, the majority of the village houses will not be able to have electric connections due to poverty. No nuclear power station exists in the country and the possibility of setting up any in the near future is limited due to non-availability of funds. Hydroelectric resources are also low because of the flat terrain of the country. The fuel import bill also occupies a significant portion of the total amount of export earnings. Conventional resources in Bangladesh are utterly inadequate for supplying the energy needs to bring in a significant improvement in our economy. On the other hand when our gas reserves will be exhausted it will be difficult for us even to maintain the energy supply for the development of our country unless we find alternate sources of energy. Solar energy availability in Bangladesh is high around 5KWH/day per meter square or 2.6 10/sup 11/ MWH/year on the total surface area of the country. This is equivalent to the output of about 30GW capacity utility plant for 100 years assuming 10% efficiency of the solar devices. Large-scale production of electricity from new, renewable energy sources is a great challenge. Wind power is difficult to exploit economically in regions with wind speeds bellow 5 m/s yearly average. Solar thermal power plants come

Evaluation of Water Resources Carrying Capacity in Shandong Province Based on Fuzzy Comprehensive Evaluation

Directory of Open Access Journals (Sweden)

Zhao Qiang

2018-01-01

Full Text Available Water resources carrying capacity is the maximum available water resources supporting by the social and economic development. Based on investigating and statisticing on the current situation of water resources in Shandong Province, this paper selects 13 factors including per capita water resources, water resources utilization, water supply modulus, rainfall, per capita GDP, population density, per capita water consumption, water consumption per million yuan, The water consumption of industrial output value, the agricultural output value of farmland, the irrigation rate of cultivated land, the water consumption rate of ecological environment and the forest coverage rate were used as the evaluation factors. Then,the fuzzy comprehensive evaluation model was used to analyze the water resources carrying capacity Force status evaluation. The results showed : The comprehensive evaluation results of water resources in Shandong Province were lower than 0.6 in 2001-2009 and higher than 0.6 in 2010-2015, which indicating that the water resources carrying capacity of Shandong Province has been improved.; In addition, most of the years a value of less than 0.6, individual years below 0.4, the interannual changes are relatively large, from that we can see the level of water resources is generally weak, the greater the interannual changes in Shandong Province.

Natural resources assessment and their utilization: analyses from a Himalayan state.

Science.gov (United States)

Uniyal, Sanjay Kr; Singh, Rakesh D

2012-08-01

The present paper quantifies and reviews the natural resource use in the Himalayan state of Himachal Pradesh (HP). Twenty-five percent of the geographical area of HP is under forests and harbour ca. 3,400 plant species. The available bioresources not only support the livelihood of nearly 6 million people but also fulfill the forage requirement of 5.2 million livestock. Thus, dependence on bioresources is manifold. Based on field surveys to different localities of HP and analyses of published information, two types of resource use patterns have been identified. One, the direct use of forest resources which is represented by extraction of timber, fuelwood and fodder; and the second represents indirect resource use from the forest that is represented by activities related to agriculture, tourism and industry. Amongst the direct resource use, annual timber requirement of the local people works out to be 310,063 m(3). On the other hand, annual fuelwood and fodder requirement of local people is to the tune of 3,646,348.8 and 10,294,116.5 tons, respectively. Extraction of fodder therefore appears to be one of the main reasons for forest degradation in HP as opposed to timber and fuelwood extraction. However, compared to direct resource use, indirect resource use and pressures have far more pronounced effect on the forests. Of the indirect pressures, shifts in agriculture patterns and increased tourism seem to be the most prominent.

China’s Water Utilization Efficiency: An Analysis with Environmental Considerations

Directory of Open Access Journals (Sweden)

Hailiang Ma

2016-05-01

Full Text Available This paper estimates China’s water utilization efficiency using the directional distance function to take into account the environmental degradation affecting the economy. We further analyze the spatial correlation and the factors influencing the utilization efficiency using spatial panel data models. The results show that water utilization efficiency in China differs between provinces and regions. For example, water utilization efficiency in the eastern coastal provinces is significantly higher than that of inland provinces. The pattern of spatial auto-correlation Moran’s I index presents significant spatial auto-correlation and evident cluster tendencies in China’s inter-provincial water utilization. Factors that contribute to water utilization efficiency include economic development, technological progress, and economic openness. Negative factors affecting water utilization efficiency arise from industrial structure, government interference, and water resources endowment. In addition, the price of water resources is insignificant. The improvement of water utilization efficiency is essential to sustainable economic development. To raise the utilization efficiency of water resources, China should focus on transforming its industrial restructure, advancing technological development, enhancing economic openness, and encouraging entrepreneurial innovations. Moreover, establishing a mechanism to encourage water conservation and reduce wastewater pollution will further increase water utilization efficiency.

Sharing network resources

CERN Document Server

Parekh, Abhay

2014-01-01

Resource Allocation lies at the heart of network control. In the early days of the Internet the scarcest resource was bandwidth, but as the network has evolved to become an essential utility in the lives of billions, the nature of the resource allocation problem has changed. This book attempts to describe the facets of resource allocation that are most relevant to modern networks. It is targeted at graduate students and researchers who have an introductory background in networking and who desire to internalize core concepts before designing new protocols and applications. We start from the fun

Implementing a Universal Well-Being Assessment to Mitigate Barriers to Resident Utilization of Mental Health Resources.

Science.gov (United States)

Sofka, Sarah; Grey, Carl; Lerfald, Nathan; Davisson, Laura; Howsare, Janie

2018-02-01

Physician utilization of well-being resources remains low despite efforts to promote use of these resources. We implemented a well-being assessment for internal medicine residents to improve access and use of mental health services. We scheduled all postgraduate year 1 (PGY-1) and PGY-2 residents at West Virginia University for the assessment at our faculty and staff assistance program (FSAP). While the assessment was intended to be universal (all residents), we allowed residents to "opt out." The assessment visit consisted of an evaluation by a licensed therapist, who assisted residents with a wellness plan. Anonymous surveys were distributed to all residents, and means were compared by Student's t test. Thirty-eight of 41 PGY-1 and PGY-2 residents (93%) attended the scheduled appointments. Forty-two of 58 residents (72%, including PGY-3s) completed the survey. Of 42 respondents, 28 (67%) attended the assessment sessions, and 14 (33%) did not. Residents who attended the sessions gave mean ratings of 7.8 for convenience (1, not convenient, to 9, very convenient), and 7.9 for feeling embarrassed if colleagues knew they attended (1, very embarrassed, to 9, not embarrassed). Residents who attended the assessment sessions reported they were more likely to use FSAP services in the future, compared with those who did not attend ( P  barriers to using counseling resources. The majority of residents who participated had a positive view of the program and indicated they would return to FSAP if they felt they needed counseling.

Holistic Analysis of the Urban Water Systems in Greater Cincinnati Region

Science.gov (United States)

Urban water and wastewater systems with two utilities in Greater Cincinnati region were evaluated as a case study to elucidates a bigger picture of a typical centralized urban water system. Two different integrated assessment metrics were used to analyze the same system. LCA an...

Application and utility of a low-cost unmanned aerial system to manage and conserve aquatic resources in four Texas rivers

Science.gov (United States)

Birdsong, Timothy W.; Bean, Megan; Grabowski, Timothy B.; Hardy, Thomas B.; Heard, Thomas; Holdstock, Derrick; Kollaus, Kristy; Magnelia, Stephan J.; Tolman, Kristina

2015-01-01

Low-cost unmanned aerial systems (UAS) have recently gained increasing attention in natural resources management due to their versatility and demonstrated utility in collection of high-resolution, temporally-specific geospatial data. This study applied low-cost UAS to support the geospatial data needs of aquatic resources management projects in four Texas rivers. Specifically, a UAS was used to (1) map invasive salt cedar (multiple species in the genus Tamarix) that have degraded instream habitat conditions in the Pease River, (2) map instream meso-habitats and structural habitat features (e.g., boulders, woody debris) in the South Llano River as a baseline prior to watershed-scale habitat improvements, (3) map enduring pools in the Blanco River during drought conditions to guide smallmouth bass removal efforts, and (4) quantify river use by anglers in the Guadalupe River. These four case studies represent an initial step toward assessing the full range of UAS applications in aquatic resources management, including their ability to offer potential cost savings, time efficiencies, and higher quality data over traditional survey methods.

Predictors of Adolescent Health Care Utilization

Science.gov (United States)

Vingilis, Evelyn; Wade, Terrance; Seeley, Jane

2007-01-01

This study, using Andersen's health care utilization model, examined how predisposing characteristics, enabling resources, need, personal health practices, and psychological factors influence health care utilization using a nationally representative, longitudinal sample of Canadian adolescents. Second, this study examined whether this process…

Retrospective analysis of drug utilization, health care resource use, and costs associated with IFN therapy for adjuvant treatment of malignant melanoma

Directory of Open Access Journals (Sweden)

Zhang Y

2015-07-01

Full Text Available ≥Ying Zhang,1 Trong Kim Le,1 James W Shaw,2 Srividya Kotapati31Center for Observational Research and Data Sciences, Worldwide Health Economics and Outcomes Research, Bristol-Myers Squibb Research and Development, Hopewell, NJ, USA; 2Worldwide Health Economics and Outcomes Research, Bristol-Myers Squibb Research and Development, Princeton, NJ, USA; 3Worldwide Health Economics and Outcomes Research, Bristol-Myers Squibb Research and Development, Wallingford Center, CT, USABackground: This study examines real-world drug utilization patterns, health care resource use, and costs among patients receiving adjuvant treatment with IFN versus patients receiving no treatment ("observation" for malignant melanoma following surgery.Methods: A retrospective cohort study was conducted using administrative claims from Truven Health Analytics (MarketScan® to identify all adjuvant melanoma patients (aged ≥18 years diagnosed between June 2007 and June 2011 who had a lymph node dissection (ie, index surgery and were treated with IFN or subsequently observed. Health care resource use and costs of services were converted to 2012 US dollars and were evaluated and compared using multivariable regression.Results: Of 1,999 eligible subjects with melanoma surgery claims, 179 (9.0% were treated with IFN and 1,820 (91.0% were observed. The median duration (days and number of doses of IFN therapy were 73 and 36, respectively. Among IFN-treated patients, only 10.6% completed ≥80% of maintenance therapy. The total average cost for patients treated with IFN was US$60,755±$3,972 (n=179; significantly higher than for patients undergoing observation ($31,641±$2,471; P<0.0001. Similar trends were observed when evaluating total cost components, including melanoma-related and non-melanoma–related medical costs. Among the melanoma-related medical costs, outpatient services, including office visits and laboratory testing, represented between 33% and 53% of total costs and

Mass and energy-capital conservation equations to study the price evolution of non-renewable energy resources. Part II-Extension to resources sold to the market

International Nuclear Information System (INIS)

Gori, F.

2006-01-01

The time evolution of the price of resources sold to the market and of the price difference, between sold and extracted resources, is investigated in case of no accumulation of the resources; i.e. when the resources are extracted and sold to the market at the same mass flow rate. The price evolution of sold resources varies with time according to the relation between the price increase factor, PIF, of sold and extracted resources. The price evolutions of sold resources and price difference are investigated according to the relation between extraction rate and interest rate of extracted and sold resources. The price of sold resources and the price difference increase with time if the PIF of sold resources is greater than the PIF of extracted resources and the initial price is greater than the critical price of sold resources, which depends on the initial price of extracted resources and the interest rate of non-extracted and extracted resources. The price of sold resources and the price difference decrease with time if the PIF of sold resources is greater than the PIF of extracted resources and the initial price is smaller than the critical price of sold resources. The other cases are discussed extensively in the paper. (author)

Roundwood markets and utilization in West Virginia and Ohio

Science.gov (United States)

Shawn T. Grushecky; Jan Wiedenbeck; Ben. Spong

2011-01-01

West Virginia and Ohio have similar forest resources and extensive forest-based economies. Roundwood is harvested throughout this central Appalachian region and supports a diverse primary and secondary forest products sector. The objective of this research was to investigate the utilization of the forest resource harvested in West Virginia and Ohio. Utilization and...

Space and Planetary Resources

Science.gov (United States)

Abbud-Madrid, Angel

2018-02-01

The space and multitude of celestial bodies surrounding Earth hold a vast wealth of resources for a variety of space and terrestrial applications. The unlimited solar energy, vacuum, and low gravity in space, as well as the minerals, metals, water, atmospheric gases, and volatile elements on the Moon, asteroids, comets, and the inner and outer planets of the Solar System and their moons, constitute potential valuable resources for robotic and human space missions and for future use in our own planet. In the short term, these resources could be transformed into useful materials at the site where they are found to extend mission duration and to reduce the costly dependence from materials sent from Earth. Making propellants and human consumables from local resources can significantly reduce mission mass and cost, enabling longer stays and fueling transportation systems for use within and beyond the planetary surface. Use of finely grained soils and rocks can serve for habitat construction, radiation protection, solar cell fabrication, and food growth. The same material could also be used to develop repair and replacement capabilities using advanced manufacturing technologies. Following similar mining practices utilized for centuries on Earth, identifying, extracting, and utilizing extraterrestrial resources will enable further space exploration, while increasing commercial activities beyond our planet. In the long term, planetary resources and solar energy could also be brought to Earth if obtaining these resources locally prove to be no longer economically or environmentally acceptable. Throughout human history, resources have been the driving force for the exploration and settling of our planet. Similarly, extraterrestrial resources will make space the next destination in the quest for further exploration and expansion of our species. However, just like on Earth, not all challenges are scientific and technological. As private companies start working toward

Electrostatic Precipitation of Dust in the Martian Atmosphere: Implications for the Utilization of Resources During Future Manned Exploration Missions

Science.gov (United States)

Calle, Carlos I.; Clements, Judson S.; Thompson, Samuel M.; Cox, Nathan D.; Hogue, Michael D.; Johansen, Michael R.; Williams, Blakeley S.

2011-01-01

Future human missions to Mars will require the utilization of local resources for oxygen, fuel. and water. The In Situ Resource Utilization (ISRU) project is an active research endeavor at NASA to develop technologies that can enable cost effective ways to live off the land. The extraction of oxygen from the Martian atmosphere. composed primarily of carbon dioxide, is one of the most important goals of the Mars ISRU project. The main obstacle is the relatively large amount of dust present in the Martian atmosphere. This dust must be efficiently removed from atmospheric gas intakes for ISRU processing chambers. A common technique to achieve this removal on earth is by electrostatic precipitation, where large electrostatic fields are established in a localized region to precipitate and collect previously charged dust particles. This technique is difficult to adapt to the Martian environment, with an atmospheric pressure of about one-hundredth of the terrestrial atmosphere. At these low pressures. the corona discharges required to implant an electrostatic charge to the particles to be collected is extremely difficult to sustain and the corona easily becomes biopolar. which is unsuitable for particle charging. In this paper, we report on our successful efforts to establish a stable corona under Martian simulated conditions. We also present results on dust collecting efficiencies with an electrostatic precipitator prototype that could be effectively used on a future mission to the red planet

Sustainability of common pool resources

OpenAIRE

Timilsina, Raja Rajendra; Kotani, Koji; Kamijo, Yoshio

2017-01-01

Sustainability has become a key issue in managing natural resources together with growing concerns for capitalism, environmental and resource problems. We hypothesize that the ongoing modernization of competitive societies, which we refer to as "capitalism," affects human nature for utilizing common pool resources, thus compromising sustainability. To test this hypothesis, we design and implement a set of dynamic common pool resource games and experiments in the following two types of Nepales...

``Living off the land'': resource efficiency of wetland wastewater treatment

Science.gov (United States)

Nelson, M.; Odum, H. T.; Brown, M. T.; Alling, A.

Bioregenerative life support technologies for space application are advantageous if they can be constructed using locally available materials, and rely on renewable energy resources, lessening the need for launch and resupply of materials. These same characteristics are desirable in the global Earth environment because such technologies are more affordable by developing countries, and are more sustainable long-term since they utilize less non-renewable, imported resources. Subsurface flow wetlands (wastewater gardens™) were developed and evaluated for wastewater recycling along the coast of Yucatan. Emergy evaluations, a measure of the environmental and human economic resource utilization, showed that compared to conventional sewage treatment, wetland wastewater treatment systems use far less imported and purchased materials. Wetland systems are also less energy-dependent, lessening dependence on electrical infrastructure, and require simpler maintenance since the system largely relies on the ecological action of microbes and plants for their efficacy. Detailed emergy evaluations showed that wetland systems use only about 15% the purchased emergy of conventional sewage systems, and that renewable resources contribute 60% of total emergy used (excluding the sewage itself) compared to less than 1% use of renewable resources in the high-tech systems. Applied on a larger scale for development in third world countries, wetland systems would require 1/5 the electrical energy of conventional sewage treatment (package plants), and save 2/3 of total capital and operating expenses over a 20-year timeframe. In addition, there are numerous secondary benefits from wetland systems including fiber/fodder/food from the wetland plants, creation of ecosystems of high biodiversity with animal habitat value, and aesthestic/landscape enhancement of the community. Wetland wastewater treatment is an exemplar of ecological engineering in that it creates an interface ecosystem to handle

Human Resource Development and New Technology in the Automobile Industry: A Case Study of Ford Motor Company's Dearborn Engine Plant. The Development and Utilization of Human Resources in the Context of Technological Change and Industrial Restructuring.

Science.gov (United States)

Chen, Kan; And Others

This report centers around a plant-level study of the development and utilization of human resources in the context of technological change and industrial restructuring in the crankshaft production area of Ford Motor Company's Dearborn Engine Plant (DEP). The introductory chapter describes how the study was conducted, provides an introduction to…

A widely adaptable habitat construction system utilizing space resources

Science.gov (United States)

Wykes, Harry B.

1993-01-01

This study suggests that the cost of providing accommodations for various manned activities in space may be reduced by the extensive use of resources that are commonly found throughout the solar system. Several concepts are proposed for converting these resources into simple products with many uses. Concrete is already being considered as a possible moonbase material. Manufacturing equipment should be as small and simple as possible, which leads to the idea of molding it into miniature modules that can be produced and assembled in large numbers to create any conceivable shape. Automated equipment could build up complex structures by laying down layer after layer in a process resembling stereolithography. These tiny concrete blocks handle compression loads and provide a barrier to harmful radiation. They are joined by a web of tension members that could be made of wire or fiber-reinforced plastic. The finished structure becomes air-tight with the addition of a flexible liner. Wire can be made from the iron modules found in lunar soil. In addition to its structural role, a relatively simple apparatus can bend and weld it into countless products like chairs and shelving that would otherwise need to be supplied from Earth. Wire woven into a loose blanket could be an effective micrometeoroid shield, tiny wire compression beams could be assembled into larger beams which in turn form larger beams to create very large space-frame structures. A technology developed with lunar materials could be applied to the moons of Mars or the asteroids. To illustrate its usefulness several designs for free-flying habitats are presented. They begin with a minimal self-contained living unit called the Cubicle. It may be multiplied into clusters called Condos. These are shown in a rotating tether configuration that provides a substitute for gravity. The miniature block proposal is compared with an alternate design based on larger triangular components and a tetrahedral geometry. The

Healthcare resource utilization, costs of care, and treatment of mycosis fungoides cutaneous T-cell lymphoma patterns in a large managed care population: a retrospective US claims-based analysis.

Science.gov (United States)

Tsang, Yuen; Gu, Tao; Sharma, Gaurav; Raspa, Susan; Drake, Bill; Tan, Hiangkiat

2018-05-07

To evaluate health care utilization, treatment patterns and costs among patients with mycosis fungoides-cutaneous T-cell lymphoma (MF-CTCL). This retrospective cohort study queried the HealthCore Integrated Research Database to identify patients ≥18 years with ≥2 diagnoses of MF-CTCL (ICD-9-CM code 202.1x, 202.2x) between 07 January 2006 and 07 January 2013. Index date was defined as first MF-CTCL diagnosis. Patients were continuously enrolled ≥6 months before and ≥12 months after index date. Severe MF-CTCL was identified via systemic therapy use postindex. Generalized linear model (GLM) was used to estimate the relationship between MF-CTCL severity and healthcare costs controlling for selected factors. A total of 1981 MF-CTCL patients were evaluated: 493 (24.9%) severe and 1488 (75.1%) with mild to moderate disease. GLM analysis indicated severe MF-CTCL patients incurred higher all-cause healthcare total costs compared to patients with mild-to-moderate MF-CTCL (coefficient estimate: 4.19, p < .0001). About 51% of patients did not receive any MF-CTCL-specific treatment within 60 days after MF-CTCL diagnosis. MF-CTCL severity was associated with greater healthcare resource utilization and costs. These findings suggest that about half of MF-CTCL patients do not receive MF-CTCL-specific treatment within 60 days following initial diagnosis. Future studies are needed to understand reasons for delayed treatment initiation.

The impact of export performance resources of companies belonging to clusters: a study in the French winery industry

Directory of Open Access Journals (Sweden)

Aurora Carneiro Zen

2014-12-01

Full Text Available The purpose of this paper was to analyze the impact of resources on export performance of clustered companies. We argue that the insertion in clusters provides access to resources that influence the internationalization process of firms. We conducted a survey in the French wine industry, the main consumer market in volume and second largest producer of wine in the world. The population of the study includes exporting French wineries, located in clusters. The sample consists of 130 French wine exporters, located in different wine clusters. In short, the results indicated that access to cluster’s resources has a positive impact on the process of internationalization and export performance of companies. One managerial implication of the research is the importance of commercial resources. The firms with higher export performance attributed greater importance to their commercial resources. Further studies may measure the utilization of resources in the internationalization strategy, and compare the importance and the use of resources in accordance with the level of export performance of companies.

Efficient Resource Scheduling by Exploiting Relay Cache for Cellular Networks

Directory of Open Access Journals (Sweden)

Chun He

2015-01-01

Full Text Available In relay-enhanced cellular systems, throughput of User Equipment (UE is constrained by the bottleneck of the two-hop link, backhaul link (or the first hop link, and access link (the second hop link. To maximize the throughput, resource allocation should be coordinated between these two hops. A common resource scheduling algorithm, Adaptive Distributed Proportional Fair, only ensures that the throughput of the first hop is greater than or equal to that of the second hop. But it cannot guarantee a good balance of the throughput and fairness between the two hops. In this paper, we propose a Two-Hop Balanced Distributed Scheduling (TBS algorithm by exploiting relay cache for non-real-time data traffic. The evolved Node Basestation (eNB adaptively adjusts the number of Resource Blocks (RBs allocated to the backhaul link and direct links based on the cache information of relays. Each relay allocates RBs for relay UEs based on the size of the relay UE’s Transport Block. We also design a relay UE’s ACK feedback mechanism to update the data at relay cache. Simulation results show that the proposed TBS can effectively improve resource utilization and achieve a good trade-off between system throughput and fairness by balancing the throughput of backhaul and access link.

Effects of utility demand-side management programs on uncertainty

International Nuclear Information System (INIS)

Hirst, E.

1994-01-01

Electric utilities face a variety of uncertainties that complicate their long-term resource planning. These uncertainties include future economic and load growths, fuel prices, environmental and economic regulations, performance of existing power plants, cost and availability of purchased power, and the costs and performance of new demand and supply resources. As utilities increasingly turn to demand-side management (DSM) programs to provide resources, it becomes more important to analyze the interactions between these programs and the uncertainties facing utilities. This paper uses a dynamic planning model to quantify the uncertainty effects of supply-only vs DSM + supply resource portfolios. The analysis considers four sets of uncertainties: economic growth, fuel prices, the costs to build new power plants, and the costs to operate DSM programs. The two types of portfolios are tested against these four sets of uncertainties for the period 1990 to 2010. Sensitivity, scenario, and worst-case analysis methods are used. The sensitivity analyses show that the DSM + supply resource portfolio is less sensitive to unanticipated changes in economic growth, fuel prices, and power-plant construction costs than is the supply-only portfolio. The supply-only resource mix is better only with respect to uncertainties about the costs of DSM programs. The base-case analysis shows that including DSM programs in the utility's resource portfolio reduces the net present value of revenue requirements (NPV-RR) by 490 million dollars. The scenario-analysis results show an additional 30 million dollars (6%) in benefits associated with reduction in these uncertainties. In the worst-case analysis, the DSM + supply portfolio again reduces the cost penalty associated with guessing wrong for both cases, when the utility plans for high needs and learns it has low needs and vice versa. 20 refs

Geothermal Energy: Resource and Utilization. A Teaching Module.

Science.gov (United States)

Nguyen, Van Thanh

The search for new energy resources as alternatives to fossil fuels have generated new interest in the heat of the earth itself. New geothermal areas with a variety of characteristics are being explored, as are new ways of extracting work from naturally heated steam and hot water. Some of this effort is discussed in this three-part module. Five…

Utilization of unbound aggregates for road construction

OpenAIRE

Fladvad, Marit

2017-01-01

Crushed rock aggregate is a non-renewable resource of great interest in road construction and other branches of the construction industry. To prevent resource scarcity, utilization of aggregates should be considered carefully. © 2016 Norsk Bergforening

Strategic Utility of the Russian Spetsnaz

Science.gov (United States)

2016-12-01

sapping Czechoslovakia of resources that could have helped the reformers in the country.102 Albania, Yugoslavia, and Warsaw Pact’s Romania...to the outcome remain unknown. However, there were sufficient human resources inside, or insiders, ready to act and facilitate the invasion when...and resources at hand. In theory, the strategic utility of special forces is mostly based on the strategy, task distribution, and capability of the

Evaluation of Resource Utilization and Treatment Patterns in Patients with Actinic Keratosis in the United States.

Science.gov (United States)

Asche, Carl V; Zografos, Panagiotis; Norlin, Jenny M; Urbanek, Bill; Mamay, Carl; Makin, Charles; Erntoft, Sandra; Chen, Chi-Chang; Hines, Dionne M; Mark Siegel, Daniel

2016-01-01

To compare health care resource utilization and treatment patterns between patients with actinic keratosis (AK) treated with ingenol mebutate gel (IngMeb) and those treated with other field-directed AK therapies. A retrospective, propensity-score-matched, cohort study compared refill/repeat and adding-on/switching patterns and outpatient visits and prescriptions (health care resource utilization) over 6 months in patients receiving IngMeb versus those receiving imiquimod, 5-fluorouracil, diclofenac sodium, and methyl aminolevulinate or aminolevulinic acid photodynamic therapy (MAL/ALA-PDT). The final sample analyzed included four matched treatment cohort pairs (IngMeb and comparator; n = 790-971 per treatment arm). Refill rates were similar except for imiquimod (15% vs. 9% for imiquimod and IngMeb, respectively; P < 0.05). MAL/ALA-PDT treatment repetition rates were higher than IngMeb refill rates (20% vs. 10%; P < 0.05). Topical agent add-on/switch rates were comparable. PDT had higher switch rates than did IngMeb (5% vs. 2%; P < 0.05). The IngMeb cohort had a significantly lower proportion of patients with at least one AK-related outpatient visit during the 6-month follow-up than did any other cohort: versus imiquimod (50% vs. 66%; P < 0.0001), versus 5-fluorouracil (50% vs. 69%; P < 0.0001), versus diclofenac sodium (51% vs. 56%; P = 0.034), and versus MAL/ALA-PDT (50% vs. 100%; P < 0.0001). There were significantly fewer AK-related prescriptions among patients receiving IngMeb than among patients in other cohorts. Results based on the first 6 months after treatment initiation suggested that most field-directed AK therapies had clinically comparable treatment patterns except imiquimod, which was associated with higher refill rates, and PDT, which was associated with significantly more frequent treatment sessions and higher switching rates. IngMeb was also associated with significantly fewer outpatient visits than were other field-directed therapies. Copyright �

Forest Resources

Energy Technology Data Exchange (ETDEWEB)

None

2016-06-01

Forest biomass is an abundant biomass feedstock that complements the conventional forest use of wood for paper and wood materials. It may be utilized for bioenergy production, such as heat and electricity, as well as for biofuels and a variety of bioproducts, such as industrial chemicals, textiles, and other renewable materials. The resources within the 2016 Billion-Ton Report include primary forest resources, which are taken directly from timberland-only forests, removed from the land, and taken to the roadside.

Performance-Based Regulation In A High Distributed Energy Resources Future

Energy Technology Data Exchange (ETDEWEB)

Newton Lowry, Mark [Pacific Economics Group Research LLC, Madison, WI (United States); Woolf, Tim [Synapse Energy Economics, Cambridge, MA (United States); Schwartz, Lisa C. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2018-03-07

Performance-based regulation (PBR) of utilities has emerged as an important ratemaking option in the last 25 years. It has been implemented in numerous jurisdictions across the United States and is common in many other advanced industrialized countries. PBR’s appeal lies chiefly in its ability to strengthen utility performance incentives relative to traditional cost-of-service regulation (COSR). Some forms of PBR can streamline regulation and provide utilities with greater operating flexibility. Ideally, the benefits of better performance are shared by the utility and its customers. The shortcomings of traditional COSR in providing electric utilities with incentives that are aligned with certain regulatory goals are becoming increasingly clear. In particular, COSR can provide strong incentives to increase electricity sales and utility rate base. Further, some parties express concern that traditional COSR does not provide utilities with appropriate financial incentives to address evolving industry challenges such as changing customer demands for electricity services, increased levels of distributed energy resources (DERs), and growing pressure to mitigate carbon dioxide emissions. In addition, attention to potential new regulatory models to support the “utility of the future” has renewed interest in PBR. This report describes key elements of PBR and explains some of the advantages and disadvantages of various PBR options. We present pertinent issues from the perspectives of utilities and customers. In practice, these different perspectives are not diametrically opposed. Nonetheless, this framework is useful for illustrating how various aspects of PBR may be viewed by those key groups. Regulators have a unique perspective, in that they must balance consumer, utility, and other interests with the goal of achieving a result that is in the overall public interest.

Generation, capture, and utilization of industrial carbon dioxide.

Science.gov (United States)

Hunt, Andrew J; Sin, Emily H K; Marriott, Ray; Clark, James H

2010-03-22

efficiency and lower per capita consumption, and replacing fossil energy sources with sources such as wind, wave, and solar, respectively). "Low carbon" is of inherently less value to the chemical and plastics industries at least in terms of raw materials although a version of (2), the use of biomass, does apply, especially if we use carbon sources that are renewable on a human timescale. There is however, another renewable, natural source of carbon that is widely available and for which greater utilization would help restore material balance and the natural cycle for carbon in terms of resource and waste. CO(2), perhaps the most widely discussed and feared chemical in modern society, is as fundamental to our survival as water, and like water we need to better understand the human as well as natural production and consumption of CO(2) so that we can attempt to get these into a sustainable balance. Current utilization of this valuable resource by the chemical industry is only 90 megatonne per year, compared to the 26.3 gigatonne CO(2) generated annually by combustion of fossil fuels for energy generation, as such significant opportunities exist for increased utilization of CO(2) generated from industrial processes. It is also essential that renewable energy is used if CO(2) is to be utilized as a C1 building block.

Key Technology Research on the Efficient Exploitation and Comprehensive Utilization of Resources in the Deep Jinchuan Nickel Deposit

Directory of Open Access Journals (Sweden)

Zhiqiang Yang

2017-08-01

Full Text Available To understand the resource features and geology in the deep Jinchuan nickel deposit, difficult geological conditions were systematically analyzed, including high stress, fragmentized ore rock, prevalent deformation, difficult tunnel support, complicated rock mechanics, and low mining recovery. An integrated technology package was built for safe, efficient, and continuous mining in a deep, massive, and complex nickel and cobalt mine. This was done by the invention of a large-area continuous mining method with honeycomb drives; the establishment of ground control theory and a technology package for high-stress and fragmented ore rock; and the development of a new type of backfilling cement material, along with a deep backfilling technology that comprises the pipeline transport of high-density slurry with coarse aggregates. In this way, good solutions to existing problems were found to permit the efficient exploitation and comprehensive utilization of the resources in the deep Jinchuan nickel mine. In addition, a technological demonstration in an underground mine was performed using the cemented undercut-and-fill mining method for stressful, fragmented, and rheological rock.

Renewable Resources: a national catalog of model projects. Volume 4. Western Solar Utilization Network Region

Energy Technology Data Exchange (ETDEWEB)

None

1980-07-01

This compilation of diverse conservation and renewable energy projects across the United States was prepared through the enthusiastic participation of solar and alternate energy groups from every state and region. Compiled and edited by the Center for Renewable Resources, these projects reflect many levels of innovation and technical expertise. In many cases, a critique analysis is presented of how projects performed and of the institutional conditions associated with their success or failure. Some 2000 projects are included in this compilation; most have worked, some have not. Information about all is presented to aid learning from these experiences. The four volumes in this set are arranged in state sections by geographic region, coinciding with the four Regional Solar Energy Centers. The table of contents is organized by project category so that maximum cross-referencing may be obtained. This volume includes information on the Western Solar Utilization Network Region. (WHK)

Understanding the economic burden of heart failure in China: impact on disease management and resource utilization.

Science.gov (United States)

Huang, Jun; Yin, Hongjun; Zhang, Milun; Ni, Qian; Xuan, Jianwei

2017-05-01

This study has two objectives: (1) to examine healthcare resource utilization in heart failure (HF) patients; and (2) to examine the treatment costs associated with HF in China. The data used in this study was from the 2014 national insurance database sponsored by the China Health Insurance Research Association (CHIRA), that covers national urban employees and residents. ICD-10 codes and keywords indicating heart failure diagnoses were used to identify patients with heart failure. Drug utilization, hospital visits, re-admission, and treatment costs in different service categories were examined. A total of 7,847 patients were included in this analysis, of which 1,157 patients had a 1-year complete follow-up period. In total, 48.16% of patients received the combination treatment of angiotensin-converting-enzyme inhibitor (ACEI)/angiotensin II receptor blockers (ARB) and beta-blockers (BB); and 22.87% of patients received the combination treatment of ACEI/ARB, beta-blockers and Mineralocorticoid receptor antagonists (MRAs). The annual treatment cost per patient with HF diagnosis was RMB 28,974, of which 66% was for inpatient care. The cost on HF medications accounted for 8.2% of annual cost. Treatment cost was much higher in provincial-level municipalities than that of prefecture-level and other cities. Hospitalization is a major driver of HF treatment cost. Compared to the requirements in international treatment guidelines, HF standard of care medication treatment was under-utilized among HF patients in China. The high re-admission rate among Chinese patients indicates that the management of HF needs to be improved. The percentage of GDP spent on treating HF patients was much lower than that in the developed countries.

Seasonal Habitat Use by Greater Sage-Grouse (Centrocercus urophasianus) on a Landscape with Low Density Oil and Gas Development.

Science.gov (United States)

Rice, Mindy B; Rossi, Liza G; Apa, Anthony D

2016-01-01

Fragmentation of the sagebrush (Artemisia spp.) ecosystem has led to concern about a variety of sagebrush obligates including the greater sage-grouse (Centrocercus urophasianus). Given the increase of energy development within greater sage-grouse habitats, mapping seasonal habitats in pre-development populations is critical. The North Park population in Colorado is one of the largest and most stable in the state and provides a unique case study for investigating resource selection at a relatively low level of energy development compared to other populations both within and outside the state. We used locations from 117 radio-marked female greater sage-grouse in North Park, Colorado to develop seasonal resource selection models. We then added energy development variables to the base models at both a landscape and local scale to determine if energy variables improved the fit of the seasonal models. The base models for breeding and winter resource selection predicted greater use in large expanses of sagebrush whereas the base summer model predicted greater use along the edge of riparian areas. Energy development variables did not improve the winter or the summer models at either scale of analysis, but distance to oil/gas roads slightly improved model fit at both scales in the breeding season, albeit in opposite ways. At the landscape scale, greater sage-grouse were closer to oil/gas roads whereas they were further from oil/gas roads at the local scale during the breeding season. Although we found limited effects from low level energy development in the breeding season, the scale of analysis can influence the interpretation of effects. The lack of strong effects from energy development may be indicative that energy development at current levels are not impacting greater sage-grouse in North Park. Our baseline seasonal resource selection maps can be used for conservation to help identify ways of minimizing the effects of energy development.

Can individual and social patterns of resource use buffer animal populations against resource decline?

Directory of Open Access Journals (Sweden)

Sam C Banks

Full Text Available Species in many ecosystems are facing declines of key resources. If we are to understand and predict the effects of resource loss on natural populations, we need to understand whether and how the way animals use resources changes under resource decline. We investigated how the abundance of arboreal marsupials varies in response to a critical resource, hollow-bearing trees. Principally, we asked what mechanisms mediate the relationship between resources and abundance? Do animals use a greater or smaller proportion of the remaining resource, and is there a change in cooperative resource use (den sharing, as the availability of hollow trees declines? Analyses of data from 160 sites surveyed from 1997 to 2007 showed that hollow tree availability was positively associated with abundance of the mountain brushtail possum, the agile antechinus and the greater glider. The abundance of Leadbeater's possum was primarily influenced by forest age. Notably, the relationship between abundance and hollow tree availability was significantly less than 1:1 for all species. This was due primarily to a significant increase by all species in the proportional use of hollow-bearing trees where the abundance of this resource was low. The resource-sharing response was weaker and inconsistent among species. Two species, the mountain brushtail possum and the agile antechinus, showed significant but contrasting relationships between the number of animals per occupied tree and hollow tree abundance. The discrepancies between the species can be explained partly by differences in several aspects of the species' biology, including body size, types of hollows used and social behaviour as it relates to hollow use. Our results show that individual and social aspects of resource use are not always static in response to resource availability and support the need to account for dynamic resource use patterns in predictive models of animal distribution and abundance.

Greater sage-grouse as an umbrella species for sagebrush-associated vertebrates.

Science.gov (United States)

Mary M. Rowland; Michael J. Wisdom; Lowell Suring; Cara W. Meinke

2006-01-01

Widespread degradation of the sagebrush ecosystem in the western United States, including the invasion of cheatgrass, has prompted resource managers to consider a variety of approaches to restore and conserve habitats for sagebrush-associated species. One such approach involves the use of greater sage-grouse, a species of prominent conservation interest, as an umbrella...

An audit of imaging test utilization for the management of lymphoma in an oncology hospital: implications for resource planning?

Science.gov (United States)

Schwartz, A; Gospodarowicz, M K; Khalili, K; Pintilie, M; Goddard, S; Keller, A; Tsang, R W

2006-02-01

The purpose of this study was to assist with resource planning by examining the pattern of physician utilization of imaging procedures for lymphoma patients in a dedicated oncology hospital. The proportion of imaging tests ordered for routine follow up with no specific clinical indication was quantified, with specific attention to CT scans. A 3-month audit was performed. The reasons for ordering all imaging procedures (X-rays, CT scans, ultrasound, nuclear scan and MRI) were determined through a retrospective chart review. 411 lymphoma patients had 686 assessments (sets of imaging tests) and 981 procedures (individual imaging tests). Most procedures were CT scans (52%) and chest radiographs (30%). The most common reasons for ordering imaging were assessing response (23%), and investigating new symptoms (19%). Routine follow up constituted 21% of the assessments (142/686), and of these, 82% were chest radiographs (116/142), while 24% (34/142) were CT scans. With analysis restricted to CT scans (296 assessments in 248 patients), the most common reason for ordering CT scans were response evaluation (40%), and suspicion of recurrence and/or new symptom (23%). Follow-up CT scans done with no clinical indication comprised 8% (25/296) of all CT assessments. Staging CT scans were under-represented at 6% of all assessments. Imaging with CT scans for follow up of asymptomatic patients is infrequent. However, scans done for staging new lymphoma patients were unexpectedly low in frequency, due to scans done elsewhere prior to referral. This analysis uncovered utilization patterns, helped resource planning and provided data to reduce unnecessary imaging procedures.

Resource utilization of symbiotic high-temperature gas-cooled reactor systems

International Nuclear Information System (INIS)

Borgonovi, G.M.; Brogli, R.H.

1978-01-01

The cumulative uranium requirements of different symbiotic combinations of high-temperature gas-cooled reactor (HTGR) prebreeders have been calculated assuming an open-end nuclear economy. The results obtained indicate that the combination of prebreeders and near-breeders does not save resources over a self-generated recycle case of comparable conversion ratio, and that it may take between 40 and 50 yr before the symbiotic system containing breeders starts saving resources over an HTGR with self-generated recycle and a conversion ratio of 0.83

A method of short range system analysis for nuclear utilities

International Nuclear Information System (INIS)

Eng, R.; Mason, E.A.; Benedict, M.

1976-01-01

An optimization procedure has been formulated and tested that is capable of solving for the optimal generation schedule of several nuclear power reactors in an electric power utility system, under short-range, resource-limited, conditions. The optimization procedure utilizes a new concept called the Opportunity Cost of Nuclear Power (OCNP) to optimally assign the resource-limited nuclear energy to the different weeks and hours in the short-range planning horizon. OCNP is defined as the cost of displaced energy when optimally distributed nuclear energy is marginally increased. Under resource-limited conditions, the short-range 'value' of nuclear power to a utility system is not its actual generation cost, but the cost of the next best alternative supply of energy, the OCNP. OCNP is a function of a week's system reserve capacity, the system's economic loading order, the customer demand function, and the nature of the available utility system generating units. The optimized OCNP value of the short-range planning period represents the utility's short-range energy replacement cost incurred when selling nuclear energy to a neighbouring utility. (author)

State Electricity Regulatory Policy and Distributed Resources: Distributed Resource Distribution Credit Pilot Programs--Revealing the Value to Consumers and Vendors

Energy Technology Data Exchange (ETDEWEB)

Moskovitz, D.; Harrington, C.; Shirley, W.; Cowart, R.; Sedano, R.; Weston, F.

2002-10-01

Designing and implementing credit-based pilot programs for distributed resources distribution is a low-cost, low-risk opportunity to find out how these resources can help defer or avoid costly electric power system (utility grid) distribution upgrades. This report describes implementation options for deaveraged distribution credits and distributed resource development zones. Developing workable programs implementing these policies can dramatically increase the deployment of distributed resources in ways that benefit distributed resource vendors, users, and distribution utilities. This report is one in the State Electricity Regulatory Policy and Distributed Resources series developed under contract to NREL (see Annual Technical Status Report of the Regulatory Assistance Project: September 2000-September 2001, NREL/SR-560-32733). Other titles in this series are: (1) Accommodating Distributed Resources in Wholesale Markets, NREL/SR-560-32497; (2) Distributed Resources and Electric System Re liability, NREL/SR-560-32498; (3) Distribution System Cost Methodologies for Distributed Generation, NREL/SR-560-32500; (4) Distribution System Cost Methodologies for Distributed Generation Appendices, NREL/SR-560-32501.

Impact on healthcare resource utilization of multiple sclerosis in Spain.

Science.gov (United States)

Sicras-Mainar, Antoni; Ruíz-Beato, Elena; Navarro-Artieda, Ruth; Maurino, Jorge

2017-12-29

Multiple sclerosis (MS) is a chronic disease with a high socioeconomic impact. The aim of this study was to assess healthcare resources utilization and costs in a sample of patients with MS. A retrospective, cohort study was conducted using electronic medical records from 19 primary care centres in Asturias and Catalonia, Spain. Adult patients diagnosed with MS were distributed into two groups according to the Expanded Disability Status Scale (EDSS) score: 0-3.5 (no-moderate disability) and 4-9.5 (severe disability). Healthcare (direct cost) and non-healthcare costs (work productivity losses) were analysed. An analysis of covariance (ANCOVA) was used for correction, p < 0.05. A multiple regression model was performed to obtain the variables associated with costs. A total of 222 patients were analyzed; mean (SD) age: 45.5 (12.5) years, 64.4% female, and 62.2% presented a diagnosis of relapsing-remitting MS. Median EDSS score was 2.5, with 68.5% of the patients with no to moderate disability. The mean annual cost per MS patient was €25,103. For no-moderate and severe disability, the ANCOVA-adjusted mean annual cost was €23,157 and €29,242, respectively (p = 0.013). Direct costs and MS disease-modifying therapy accounted for 39.4% and 31.7% of the total costs, respectively. The total costs were associated with number of relapses (β = 0.135, p = 0.001), time since diagnosis (β = 0.281, p = 0.023), and age (β = 0.198, p = 0.037). Multiple sclerosis imposes a substantial economic burden on the Spanish National Health System, patients and society as a whole. Costs significantly correlated with disease progression.

Integrated resource planning-concepts and principles

Energy Technology Data Exchange (ETDEWEB)

Atkinson, S.

1994-12-31

The concepts and principles of integrated resource planning (IRP) are outlined. The following topics are discussed: utility opportunities and methodologies, application considerations, ambitious energy-efficient programs, the future of IRP, three methods to study resource alternatives, the load adjustment method, simultaneous optimization, static analysis, utility profile data, load forecasts and shapes, load data, conversion, variable costs, external analysis, internal analysis, DSM objectives, supply-side prescreening, DSM screening analysis, DSM evaluation, the IRP process, risk analysis, collaborative planning process, and load shape objectives.

Surveillance and analysis of nuclear R and D manpower for efficient utilization of KAERI's nuclear R and D resources

International Nuclear Information System (INIS)

Kim, Hyun Jun; Yang, M. H.; Song, K. D.; Chung, W. S.; Yun, S. W.; Won, B. C.; Yoon, H. M.

1999-11-01

This study aimed at securing row data on KAERI's manpower resources, which be useful to establish the short and long term R and D policy of KAERI. To coincide with the objectives, this study covered following scopes; (1) identification of status and issues of manpower in science and technology fields, (2) identification of status and issues of KAERI's manpower management policy, (3) gathering row data on KAERI's manpower through surveillance and analysis, and analyzing staff's perception on KAERI's manpower utilization policy, (4) suggestion of short and long term policy direction of manpower management of KAERI. (author)

[Effects of fish on field resource utilization and rice growth in rice-fish coculture].

Science.gov (United States)

Zhang, Jian; Hu, Liang Liang; Ren, Wei Zheng; Guo, Liang; Wu, Min Fang; Tang, Jian Jun; Chen, Xin

2017-01-01

Rice field can provide habitat for fish and other aquatic animals. Rice-fish coculture can increase rice yield and simultaneously reduce the use of chemicals through reducing rice pest occurrence and nutrient complementary use. However, how fish uses food sources (e.g. phytoplankton, weeds, duckweed, macro-algal and snail) from rice field, and whether the nutrients releasing from those food sources due to fish transforming can improve rice growth are still unknown. Here, we conducted two field experiments to address these questions. One was to investigate the pattern of fish activity in the field using the method of video recording. The other was to examine the utilization of field resources by fish using stable isotope technology. Rice growth and rice yield were also exa-mined. Results showed that fish tended to be more active and significantly expanded the activity range in the rice-fish coculture compared to fish monoculture (fish not living together with rice plants). The contributions of 3 potential aquatic organisms (duckweed, phytoplankton and snail) to fish dietary were 22.7%, 34.8% and 30.0% respectively under rice-fish coculture without feed. Under the treatment with feed, however, the contributions of these 3 aquatic organisms to the fish die-tary were 8.9%, 5.9% and 1.6% respectively. The feed contribution was 71.0%. Rice-fish coculture significantly increased the nitrogen concentration in rice leaves, prolonged tillering stage by 10-12 days and increased rice spike rate and yield. The results suggested that raising fish in paddy field may transform the nutrients contained in field resources to bioavailable for rice plants through fish feeding activity, which can improve rice growth and rice yield.

Virtualized cloud data center networks issues in resource management

CERN Document Server

Tsai, Linjiun

2016-01-01

This book discusses the characteristics of virtualized cloud networking, identifies the requirements of cloud network management, and illustrates the challenges in deploying virtual clusters in multi-tenant cloud data centers. The book also introduces network partitioning techniques to provide contention-free allocation, topology-invariant reallocation, and highly efficient resource utilization, based on the Fat-tree network structure. Managing cloud data center resources without considering resource contentions among different cloud services and dynamic resource demands adversely affects the performance of cloud services and reduces the resource utilization of cloud data centers. These challenges are mainly due to strict cluster topology requirements, resource contentions between uncooperative cloud services, and spatial/temporal data center resource fragmentation. Cloud data center network resource allocation/reallocation which cope well with such challenges will allow cloud services to be provisioned with ...

Contemporary trends of the epidemiology, clinical characteristics, and resource utilization of necrotizing fasciitis in Texas: a population-based cohort study.

Science.gov (United States)

Oud, Lavi; Watkins, Phillip

2015-01-01

Introduction. There are limited population-level reports on the contemporary trends of the epidemiology, clinical features, resource utilization, and outcomes of necrotizing fasciitis (NF). Methods. We conducted a cohort study of Texas inpatient population, identifying hospitalizations with a diagnosis of NF during the years 2001-2010. The incidence, clinical features, resource utilization, and outcomes of NF hospitalizations were examined. Results. There were 12,172 NF hospitalizations during study period, with ICU admission in 50.3%. The incidence of NF rose 2.7%/year (P = 0.0001). Key changes between 2001-2002 and 2009-2010 included rising incidence of NF (5.9 versus 7.6 per 100,000 [P < 0.0001]), chronic comorbidities (69.4% versus 76.7% [P < 0.0001]), and development of ≥1 organ failure (28.5% versus 51.7% [P < 0.0001]). Inflation-adjusted hospital charges rose 37% (P < 0.0001). Hospital mortality (9.3%) remained unchanged during study period. Discharges to long-term care facilities rose from 12.2 to 30% (P < 0.0001). Conclusions. The present cohort of NF is the largest reported to date. There has been increasing incidence, chronic illness, and severity of illness of NF over the past decade, with half of NF hospitalizations admitted to ICU. Hospital mortality remained unchanged, while need for long-term care rose nearly 2.5-fold among survivors, suggesting increasing residual morbidity. The sources of the observed findings require further study.

Contemporary Trends of the Epidemiology, Clinical Characteristics, and Resource Utilization of Necrotizing Fasciitis in Texas: A Population-Based Cohort Study

Directory of Open Access Journals (Sweden)

Lavi Oud

2015-01-01

Full Text Available Introduction. There are limited population-level reports on the contemporary trends of the epidemiology, clinical features, resource utilization, and outcomes of necrotizing fasciitis (NF. Methods. We conducted a cohort study of Texas inpatient population, identifying hospitalizations with a diagnosis of NF during the years 2001–2010. The incidence, clinical features, resource utilization, and outcomes of NF hospitalizations were examined. Results. There were 12,172 NF hospitalizations during study period, with ICU admission in 50.3%. The incidence of NF rose 2.7%/year (P=0.0001. Key changes between 2001-2002 and 2009-2010 included rising incidence of NF (5.9 versus 7.6 per 100,000 [P<0.0001], chronic comorbidities (69.4% versus 76.7% [P<0.0001], and development of ≥1 organ failure (28.5% versus 51.7% [P<0.0001]. Inflation-adjusted hospital charges rose 37% (P<0.0001. Hospital mortality (9.3% remained unchanged during study period. Discharges to long-term care facilities rose from 12.2 to 30% (P<0.0001. Conclusions. The present cohort of NF is the largest reported to date. There has been increasing incidence, chronic illness, and severity of illness of NF over the past decade, with half of NF hospitalizations admitted to ICU. Hospital mortality remained unchanged, while need for long-term care rose nearly 2.5-fold among survivors, suggesting increasing residual morbidity. The sources of the observed findings require further study.

Accounting utility for determining individual usage of production level software systems

Science.gov (United States)

Garber, S. C.

1984-01-01

An accounting package was developed which determines the computer resources utilized by a user during the execution of a particular program and updates a file containing accumulated resource totals. The accounting package is divided into two separate programs. The first program determines the total amount of computer resources utilized by a user during the execution of a particular program. The second program uses these totals to update a file containing accumulated totals of computer resources utilized by a user for a particular program. This package is useful to those persons who have several other users continually accessing and running programs from their accounts. The package provides the ability to determine which users are accessing and running specified programs along with their total level of usage.

Air quality analysis and related risk assessment for the Bonneville Power Administration's Resource Program Environmental Impact Statement

Energy Technology Data Exchange (ETDEWEB)

Glantz, C S; Burk, K W; Driver, C J; Liljegren, J C; Neitzel, D A; Schwartz, M N; Dana, M T; Laws, G L; Mahoney, L A; Rhoads, K

1992-04-01

The Bonneville Power Administration (BPA) is considering 12 different alternatives for acquiring energy resources over the next 20 years. Each of the alternatives utilizes a full range of energy resources (e.g., coal, cogeneration, conservation, and nuclear); however, individual alternatives place greater emphases on different types of power-producing resources and employ different timetables for implementing these resources. The environmental impacts that would result from the implementation of each alternative and the economic valuations of these impacts, will be an important consideration in the alternative selection process. In this report we discuss the methods used to estimate environmental impacts from the resource alternatives. We focus on pollutant emissions rates, ground-level air concentrations of basic criteria pollutants, the acidity of rain, particulate deposition, ozone concentrations, visibility attenuation, global warming, human health effects, agricultural and forest impacts, and wildlife impacts. For this study, pollutant emission rates are computed by processing BPA data on power production and associated pollutant emissions. The assessment of human health effects from ozone indicated little variation between the resource alternatives. Impacts on plants, crops, and wildlife populations from power plant emissions are projected to be minimal for all resource alternatives.

Relaxation Response and Resiliency Training and Its Effect on Healthcare Resource Utilization.

Directory of Open Access Journals (Sweden)

James E Stahl

Full Text Available Poor psychological and physical resilience in response to stress drives a great deal of health care utilization. Mind-body interventions can reduce stress and build resiliency. The rationale for this study is therefore to estimate the effect of mind-body interventions on healthcare utilization.Estimate the effect of mind body training, specifically, the Relaxation Response Resiliency Program (3RP on healthcare utilization.Retrospective controlled cohort observational study.Major US Academic Health Network.All patients receiving 3RP at the MGH Benson-Henry Institute from 1/12/2006 to 7/1/2014 (n = 4452, controls (n = 13149 followed for a median of 4.2 years (.85-8.4 yrs.Utilization as measured by billable encounters/year (be/yr stratified by encounter type: clinical, imaging, laboratory and procedural, by class of chief complaint: e.g., Cardiovascular, and by site of care delivery, e.g., Emergency Department. Subgroup analysis by propensity score matched pre-intervention utilization rate.At one year, total utilization for the intervention group decreased by 43% [53.5 to 30.5 be/yr] (p <0.0001. Clinical encounters decreased by 41.9% [40 to 23.2 be/yr], imaging by 50.3% [11.5 to 5.7 be/yr], lab encounters by 43.5% [9.8 to 5.6], and procedures by 21.4% [2.2 to 1.7 be/yr], all p < 0.01. The intervention group's Emergency department (ED visits decreased from 3.6 to 1.7/year (p<0.0001 and Hospital and Urgent care visits converged with the controls. Subgroup analysis (identically matched initial utilization rates-Intervention group: high utilizing controls showed the intervention group significantly reduced utilization relative to the control group by: 18.3% across all functional categories, 24.7% across all site categories and 25.3% across all clinical categories.Mind body interventions such as 3RP have the potential to substantially reduce healthcare utilization at relatively low cost and thus can serve as key components in any population health and

Assessment of resource availability and sustainability for ...

African Journals Online (AJOL)

The availability of resources and their suitability for subsistence and small-scale commercial fishers in South Africa were assessed and appropriate options for the management of resources recommended. Assessment of current resource utilization and recommendations for future subsistence and/or small-scale commercial ...

Market-based autonomous resource and application management in private clouds

KAUST Repository

Costache, Stefania; Kortas, Samuel; Morin, Christine; Parlavantzas, Nikos

2016-01-01

High Performance Computing (HPC) clouds need to be efficiently shared between selfish tenants having applications with different resource requirements and Service Level Objectives (SLOs). The main difficulty relies on providing concurrent resource access to such tenants while maximizing the resource utilization. To overcome this challenge, we propose Merkat, a market-based SLO-driven cloud platform. Merkat relies on a market-based model specifically designed for on-demand fine-grain resource allocation to maximize resource utilization and it uses a combination of currency distribution and dynamic resource pricing to ensure proper resource distribution among tenants. To meet the tenant’s SLO, Merkat uses autonomous controllers, which apply adaptation policies that: (i) dynamically tune the application’s provisioned CPU and memory per virtual machine in contention periods, or (ii) dynamically change the number of virtual machines. Our evaluation with simulation and on the Grid’5000 testbed shows that Merkat provides flexible support for different application types and SLOs and good tenant satisfaction compared to existing centralized systems, while the infrastructure resource utilization is improved.

Market-based autonomous resource and application management in private clouds

KAUST Repository

Costache, Stefania

2016-10-12

High Performance Computing (HPC) clouds need to be efficiently shared between selfish tenants having applications with different resource requirements and Service Level Objectives (SLOs). The main difficulty relies on providing concurrent resource access to such tenants while maximizing the resource utilization. To overcome this challenge, we propose Merkat, a market-based SLO-driven cloud platform. Merkat relies on a market-based model specifically designed for on-demand fine-grain resource allocation to maximize resource utilization and it uses a combination of currency distribution and dynamic resource pricing to ensure proper resource distribution among tenants. To meet the tenant’s SLO, Merkat uses autonomous controllers, which apply adaptation policies that: (i) dynamically tune the application’s provisioned CPU and memory per virtual machine in contention periods, or (ii) dynamically change the number of virtual machines. Our evaluation with simulation and on the Grid’5000 testbed shows that Merkat provides flexible support for different application types and SLOs and good tenant satisfaction compared to existing centralized systems, while the infrastructure resource utilization is improved.

Community household income and resource utilization for common inpatient pediatric conditions.

Science.gov (United States)

Fieldston, Evan S; Zaniletti, Isabella; Hall, Matthew; Colvin, Jeffrey D; Gottlieb, Laura; Macy, Michelle L; Alpern, Elizabeth R; Morse, Rustin B; Hain, Paul D; Sills, Marion R; Frank, Gary; Shah, Samir S

2013-12-01

Child health is influenced by biomedical and socioeconomic factors. Few studies have explored the relationship between community-level income and inpatient resource utilization for children. Our objective was to analyze inpatient costs for children hospitalized with common conditions in relation to zip code-based median annual household income (HHI). Retrospective national cohort from 32 freestanding children's hospitals for asthma, diabetes, bronchiolitis and respiratory syncytial virus, pneumonia, and kidney and urinary tract infections. Standardized cost of care for individual hospitalizations and across hospitalizations for the same patient and condition were modeled by using mixed-effects methods, adjusting for severity of illness, age, gender, and race. Main exposure was median annual HHI. Posthoc tests compared adjusted standardized costs for patients from the lowest and highest income groups. From 116,636 hospitalizations, 4 of 5 conditions had differences at the hospitalization and at the patient level, with lowest-income groups having higher costs. The individual hospitalization level cost differences ranged from $187 (4.1%) to $404 (6.4%). Patient-level cost differences ranged from $310 to $1087 or 6.5% to 15% higher for the lowest-income patients. Higher costs were typically not for laboratory, imaging, or pharmacy costs. In total, patients from lowest income zip codes had $8.4 million more in hospitalization-level costs and $13.6 million more in patient-level costs. Lower community-level HHI is associated with higher inpatient costs of care for 4 of 5 common pediatric conditions. These findings highlight the need to consider socioeconomic status in health care system design, delivery, and reimbursement calculations.

Energy resources

CERN Document Server

Simon, Andrew L

1975-01-01

Energy Resources mainly focuses on energy, including its definition, historical perspective, sources, utilization, and conservation. This text first explains what energy is and what its uses are. This book then explains coal, oil, and natural gas, which are some of the common energy sources used by various industries. Other energy sources such as wind, solar, geothermal, water, and nuclear energy sources are also tackled. This text also looks into fusion energy and techniques of energy conversion. This book concludes by explaining the energy allocation and utilization crisis. This publ

Natural resources utilization by the Aweer in Boni-lungi and Dodori ...

African Journals Online (AJOL)

A study was conducted to record the utilization of Boni-Lungi and Dodori National Reserves by the Aweer community. Results indicate the procuring of a wide gamut of provisional, regulatory, cultural and supportive services from these reserves by the community ranging from wood forest products utilized in construction to ...

Assessment of Peruvian biofuel resources and alternatives

Energy Technology Data Exchange (ETDEWEB)

Harper, J.P.; Smith, W.; Mariani, E.

1979-08-01

Comprehensive assessment of the biofuel potential of Peru is based on: determination of current biofuel utilization practices, evauation of Peruvian biomass productivity, identification of Peruvian agricultural and forestry resources, assessment of resource development and management concerns, identification of market considerations, description of biofuel technological options, and identification of regional biofuel technology applications. Discussion of current biofuel utilization centers on a qualitative description of the main conversion approaches currently being practiced in Peru. Biomass productivity evaluations consider the terrain and soil, and climatic conditions found in Peru. The potential energy from Peruvian agricultural and forestry resources is described quantitatively. Potental regional production of agricultural residues and forest resources that could supply energy are identified. Assessment of resource development and management concerns focuses on harvesting, reforestation, training, and environmental consequences of utilization of forest resources. Market factors assessed include: importation, internal market development, external market development, energy policy and pricing, and transportation. Nine biofuel technology options for Peru are identified: (1) small-to-medium-scale gasification, (2) a wood waste inventory, (3) stationary and mobile charcoal production systems, (4) wood distillation, (5) forest resource development and management, (6) electrical cogeneration, (7) anaerobic digestion technology, (8) development of ethanol production capabilities, and (9) agricultural strategies for fuel production. Applications of these biofuel options are identified for each of the three major regions - nine applications for the Costa Region, eight for the Sierra Region, and ten for the Selva Region.

An interactive computer approach to performing resource analysis for a multi-resource/multi-project problem. [Spacelab inventory procurement planning

Science.gov (United States)

Schlagheck, R. A.

1977-01-01

New planning techniques and supporting computer tools are needed for the optimization of resources and costs for space transportation and payload systems. Heavy emphasis on cost effective utilization of resources has caused NASA program planners to look at the impact of various independent variables that affect procurement buying. A description is presented of a category of resource planning which deals with Spacelab inventory procurement analysis. Spacelab is a joint payload project between NASA and the European Space Agency and will be flown aboard the Space Shuttle starting in 1980. In order to respond rapidly to the various procurement planning exercises, a system was built that could perform resource analysis in a quick and efficient manner. This system is known as the Interactive Resource Utilization Program (IRUP). Attention is given to aspects of problem definition, an IRUP system description, questions of data base entry, the approach used for project scheduling, and problems of resource allocation.

Research status of geothermal resources in China

Science.gov (United States)

Zhang, Lincheng; Li, Guang

2017-08-01

As the representative of the new green energy, geothermal resources are characterized by large reserve, wide distribution, cleanness and environmental protection, good stability, high utilization factor and other advantages. According to the characteristics of exploitation and utilization, they can be divided into high-temperature, medium-temperature and low-temperature geothermal resources. The abundant and widely distributed geothermal resources in China have a broad prospect for development. The medium and low temperature geothermal resources are broadly distributed in the continental crustal uplift and subsidence areas inside the plate, represented by the geothermal belt on the southeast coast, while the high temperature geothermal resources concentrate on Southern Tibet-Western Sichuan-Western Yunnan Geothermal Belt and Taiwan Geothermal Belt. Currently, the geothermal resources in China are mainly used for bathing, recuperation, heating and power generation. It is a country that directly makes maximum use of geothermal energy in the world. However, China’s geothermal power generation, including installed generating capacity and power generation capacity, are far behind those of Western European countries and the USA. Studies on exploitation and development of geothermal resources are still weak.

Health care resource utilization and medical costs of spinal cord injury with neuropathic pain in a commercially insured population in the United States.

Science.gov (United States)

Margolis, Jay M; Juneau, Paul; Sadosky, Alesia; Cappelleri, Joseph C; Bryce, Thomas N; Nieshoff, Edward C

2014-12-01

To evaluate health care resource use, costs, and cost drivers among patients with neuropathic pain (NeP) after spinal cord injury (SCI) in a commercially insured population. Retrospective longitudinal cohort study comparing SCI patients with and without NeP. Truven Health MarketScan commercial claims database from 2005 through 2012. Commercially insured SCI patients with NeP (n=3524) propensity score matched to SCI patients without NeP (n=3524). Not applicable. Health care resource utilization and expenditures for the 12 months after NeP onset (index event; identified through International Classification of Diseases, 9th Revision, Clinical Modification diagnosis 338.0x or use of NeP-specific antiepileptic drugs or NeP-specific antidepressants) in patients with SCI compared with matched patients without NeP. Utilization over 12 months postindex among patients with SCI-associated NeP was higher than among SCI-only patients for inpatient admissions (27.4% vs 22.1%), emergency department visits (36.7% vs 26.4%), and office visits per patient (mean ± SD: 13.0±9.5 vs 9.5±8.3); all P values were patient with SCI-associated NeP during the 12-month postindex period. Patients with evidence of NeP secondary to SCI have significantly higher health care utilization and total costs compared with SCI patients without evidence of NeP. Factors contributing to NeP in patients with SCI need to be clinically assessed to determine the optimal approach for treating these individuals. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Reserves in western basins: Part 1, Greater Green River basin

Energy Technology Data Exchange (ETDEWEB)

1993-10-01

This study characterizes an extremely large gas resource located in low permeability, overpressured sandstone reservoirs located below 8,000 feet drill depth in the Greater Green River basin, Wyoming. Total in place resource is estimated at 1,968 Tcf. Via application of geologic, engineering and economic criteria, the portion of this resource potentially recoverable as reserves is estimated. Those volumes estimated include probable, possible and potential categories and total 33 Tcf as a mean estimate of recoverable gas for all plays considered in the basin. Five plays (formations) were included in this study and each was separately analyzed in terms of its overpressured, tight gas resource, established productive characteristics and future reserves potential based on a constant $2/Mcf wellhead gas price scenario. A scheme has been developed to break the overall resource estimate down into components that can be considered as differing technical and economic challenges that must be overcome in order to exploit such resources: in other words, to convert those resources to economically recoverable reserves. Total recoverable reserves estimates of 33 Tcf do not include the existing production from overpressured tight reservoirs in the basin. These have estimated ultimate recovery of approximately 1.6 Tcf, or a per well average recovery of 2.3 Bcf. Due to the fact that considerable pay thicknesses can be present, wells can be economic despite limited drainage areas. It is typical for significant bypassed gas to be present at inter-well locations because drainage areas are commonly less than regulatory well spacing requirements.