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Sample records for living facilities alfs

  1. Experts stress both wellness and amenity aspects of food and nutrition services in assisted living facilities for older adults

    Science.gov (United States)

    There has been no consensus on best practices in food and nutrition services in assisted living facilities (ALFs) for older adults. We documented experts’ views on optimal food and nutrition services emphases in ALFs, and factors affecting their views. One hundred thirty-five national experts speci...

  2. A multichannel deflection plates control system for the ALF facility at the APS

    International Nuclear Information System (INIS)

    Deriy, B.

    2006-01-01

    A deflection plates control system was developed as part of SPIRIT (Single Photon Ionization/Resonant Ionization to Threshold), a new secondary neutral mass spectrometry (SNMS) instrument that uses tunable vacuum ultraviolet light from the APS ALF (Argonne Linear Free-electron laser) facility for postionization. The system comprises a crate controller with PC104 embedded computer, 32 amplifiers, and two 1-kV power supplies. Thirty-two D/A converters are used to control voltages at the deflection plates within ± 400 V with 100-mV resolution. An algorithm for simultaneous sweeping of up to 16 XY areas with 10-(micro)s time resolution also has been implemented in the embedded computer. The purpose of the system is to supply potentials to various ion optical elements for electrostatic control of keV primary and secondary ion beams in this SNMS instrument. The control system is of particular value in supplying (1) bipolar potentials for steering ions, (2) multiple potentials for octupole lenses that shape the ion beams, and (3) ramped deflection potentials for rastering the primary ion beam. The system has been in use as part of the SPIRIT instrument at the ALF facility since 2002.

  3. Does Assisted Living Capacity Influence Case Mix at Nursing Homes?

    Science.gov (United States)

    Clement, Jan P; Khushalani, Jaya

    2015-01-01

    Assisted living facilities (ALFs) have grown over the past few decades. If they attract residents with lower care needs away from nursing homes (NHs), NHs may be left with higher case mix residents. We study the relationship between ALF bed market capacity and NH case mix in a state (Virginia) where ALF bed capacity stabilized after a period of growth. Similarly, NH capacity and use had been stable. While it is interesting to study markets in flux, for planning purposes, it is also important to examine what happens after periods of turbulence and adaptation. Our findings show some substitution of ALF for NH care, but the relationship is not linear with ALF market capacity. Communities need to consider the interplay of ALFs and NHs in planning for long-term care services and supports. Policies supporting ALFs may enable care needs to be met in a lower cost setting than the NH.

  4. Does Assisted Living Capacity Influence Case Mix at Nursing Homes?

    Directory of Open Access Journals (Sweden)

    Jan P. Clement PhD

    2015-05-01

    Full Text Available Assisted living facilities (ALFs have grown over the past few decades. If they attract residents with lower care needs away from nursing homes (NHs, NHs may be left with higher case mix residents. We study the relationship between ALF bed market capacity and NH case mix in a state (Virginia where ALF bed capacity stabilized after a period of growth. Similarly, NH capacity and use had been stable. While it is interesting to study markets in flux, for planning purposes, it is also important to examine what happens after periods of turbulence and adaptation. Our findings show some substitution of ALF for NH care, but the relationship is not linear with ALF market capacity. Communities need to consider the interplay of ALFs and NHs in planning for long-term care services and supports. Policies supporting ALFs may enable care needs to be met in a lower cost setting than the NH.

  5. Costs, Staffing, and Services of Assisted Living in the United States: A Literature Review.

    Science.gov (United States)

    Kisling-Rundgren, Amy; Paul, David P; Coustasse, Alberto

    2016-01-01

    Assisted-living facilities (ALFs), which provide a community for residents who require assistance throughout their day, are an important part of the long-term-care system in the United States. The costs of ALFs are paid either out of pocket, by Medicaid, or by long-term-care insurance. Monthly costs of ALFs have increased over the past 5 years on an average of 4.1%. The purpose of this research was to examine the future trends in ALFs in the United States to determine the impact of health care on costs. The methodology for this study was a literature review, and a total of 32 sources were referenced. Trends in monthly costs of ALFs have increased from 2004 to 2014. Within the past 5 years, there has been an increase on average of 4.1% in assisted-living costs. Medicaid is one payer for residents of ALFs, whereas another alternative is the use of long-term-care insurance. Unfortunately, Medicare does not pay for ALFs. Staffing concerns in ALFs are limited because of each state having different rules and regulations. Turnover and retention rates of nurses in ALFs are suggested to be high, whereas vacancy rate for nurses is suggested to be lower. The baby-boomer generation can be one contribution to the increase in costs. Over the years, there has been an increase in Alzheimer disease, which has had also an effect on cost in ALFs.

  6. Changes in malnutrition and quality of nutritional care among aged residents in all nursing homes and assisted living facilities in Helsinki 2003-2011.

    Science.gov (United States)

    Saarela, Riitta K T; Muurinen, Seija; Suominen, Merja H; Savikko, Niina N; Soini, Helena; Pitkälä, Kaisu H

    2017-09-01

    While nutritional problems have been recognized as common in institutional settings for several decades, less is known about how nutritional care and nutrition has changed in these settings over time. To describe and compare the nutritional problems and nutritional care of residents in all nursing homes (NH) in 2003 and 2011 and residents in all assisted living facilities (ALF) in 2007 and 2011, in Helsinki, Finland. We combined four cross-sectional datasets of (1) residents from all NHs in 2003 (N=1987), (2) residents from all ALFs in 2007 (N=1377), (3) residents from all NHs in 2011 (N=1576) and (4) residents from all ALFs in 2011 (N=1585). All participants at each time point were assessed using identical methods, including the Mini Nutritional Assessment (MNA). The mean age of both samples from 2011 was higher and a larger proportion suffered from dementia, compared to earlier collected samples. A larger proportion of the residents in 2011 were assessed either malnourished or at-risk for malnutrition, according to the MNA, than in 2003 (NH: 93.5% vs. 88.9%, pimprovement. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Navigating emotions and relationship dynamics: family life review as a clinical tool for older adults during a relocation transition into an assisted living facility.

    Science.gov (United States)

    O'Hora, Kendra A; Roberto, Karen A

    2018-01-16

    Relocation for the purpose of receiving care may be one of the more challenging transitions for older adults. The purpose of this study was to facilitate a family life review (FLR) session aimed at enhancing family relationships and assisting older adults in coping with the challenges associated with a relocation. Fourteen dyads comprised of older adults who relocated to an assisted living facility (ALF) and a chosen family member or friend participated in a FLR session and semi-structured follow up interview. Data were analyzed using the constant comparative method and triangulated with descriptive statistics. Emergent themes suggested participating in FLR influenced families by raising emotions, systemically thinking, and navigating the relocation. FLR facilitated positive connections, enhanced existing relationships, and promoted self-acceptance. Families indicated mutual storytelling was enjoyable and reminded them of the urgency to share their story. FLR allowed dyads to reflect and thus prompted a renewed perspective on some of the more challenging components of the relocation transition. Study findings provide insight into how families organize individual and interpersonal narratives and use these narratives during transitional times. FLR can aid families in making a smoother and fulfilling move to an ALF and other late life transitions.

  8. Characterization of a novel anti-lipopolysaccharide factor isoform (SpALF5) in mud crab, Scylla paramamosain.

    Science.gov (United States)

    Sun, Wanwei; Wan, Weisong; Zhu, Shuo; Wang, Shasha; Wang, Shuqi; Wen, Xiaobo; Zheng, Huaiping; Zhang, Yueling; Li, Shengkang

    2015-04-01

    Anti-lipopolysaccharide factors (ALFs), the potential antimicrobial peptides that bind and neutralize lipopolysaccharide (LPS), are common effectors of innate immunity in crustaceans. In this study, a novel isoform of ALFs (SpALF5) was isolated from the hemocytes of mud crab Scylla paramamosain. The full-length 975bp SpALF5 contains a 375bp open reading frame (ORF) encoding 125 amino acids. Although SpALF5 exhibits a low degree of nucleotide homology with other reported ALFs, it contains the conserved amino acid sequence with a signal peptide and a LPS-binding domain including two conservative cysteine residues. The genomic organization of SpALF5 consists of four exons and three introns, with each intron containing one or more tandem repeats. Unlike most of ALFs mainly distributed in crab hemocytes, SpALF5 transcript was predominantly observed in the brain, muscle and skin, while barely detected in the hemocytes in our study. In situ hybridization assay also showed that SpALF5 mRNA was localized in brain, muscle and skin tissues of mud crab. Further, SpALF5 transcript was significantly up-regulated after challenge with LPS, polyinosinic polycytidylic acid (PolyI:C) (with the except of that in brain), Vibrio parahemolyticus or white spot syndrome virus (WSSV). The recombinant SpALF5 protein showed a varying degree of binding activity towards bacteria and fungus. Moreover, in vitro, the recombinant SpALF5 revealed a strong antimicrobial activity against Gram-negative bacteria (V. parahemolyticus, Vibrio alginolyticus, Escherichia coli, Aeromonas hydrophila) and fungus (Sacchromyces cerevisiae), but could only inhibited the growth of some Gram-positive bacteria like Staphylococcus aureus. The results suggest that SpALF5 is a potent immune protector and plays an important role in immune defense against invading pathogens in S. paramamosain. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Airborne Low-Frequency Sonar (ALFS) Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The ALFS lab is dedicated to support acoustic data analysis and processing software support to the AN/AQS-22 dipping sonar system. It includes stand-alone Software...

  10. A Quality Improvement System to Manage Feeding Assistance Care in Assisted-Living.

    Science.gov (United States)

    Simmons, Sandra F; Coelho, Chris S; Sandler, Andrew; Schnelle, John F

    2018-03-01

    To describe a feasible quality improvement system to manage feeding assistance care processes in an assisted living facility (ALF) that provides dementia care and the use of these data to maintain the quality of daily care provision and prevent unintentional weight loss. Supervisory ALF staff used a standardized observational protocol to assess feeding assistance care quality during and between meals for 12 consecutive months for 53 residents receiving dementia care. Direct care staff received feedback about the quality of assistance and consistency of between-meal snack delivery for residents with low meal intake and/or weight loss. On average, 78.4% of the ALF residents consumed more than one-half of each served meal and/or received staff assistance during meals to promote consumption over the 12 months. An average of 79.7% of the residents were offered snacks between meals twice per day. The prevalence of unintentional weight loss averaged 1.3% across 12 months. A quality improvement system resulted in sustained levels of mealtime feeding assistance and between-meal snack delivery and a low prevalence of weight loss among ALF residents receiving dementia care. Given that many ALF residents receiving dementia care are likely to be at risk for low oral intake and unintentional weight loss, ALFs should implement a quality improvement system similar to that described in this project, despite the absence of regulations to do so. Copyright © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  11. Aging effect of AlF3 coatings for 193 nm lithography

    Science.gov (United States)

    Zhao, Jia; Wang, Lin; Zhang, Weili; Yi, Kui; Shao, Jianda

    2018-02-01

    As important part of components for 193 nm lithography, AlF3 coatings deposited by resistive heating method acquire advantages like lower optical loss and higher laser damage threshold, but they also possess some disadvantages like worse stability, which is what aging effect focuses on. AlF3 single-layer coatings were deposited; optical property, surface morphology and roughness, and composition were characterized in different periods. Owing to aging effect, refractive index and extinction coefficient increased; larger and larger roughness caused more and more scattering loss, which was in the same order with absorption at 193.4 nm and part of optical loss; from composition analysis, proportional substitution of AlF3 by alumina may account for changes in refractive index as well as absorption.

  12. Investigating walking environments in and around assisted living facilities: a facility visit study.

    Science.gov (United States)

    Lu, Zhipeng

    2010-01-01

    This study explores assisted living residents' walking behaviors, locations where residents prefer to walk, and walking environments in and around assisted living facilities. Regular walking is beneficial to older adults' physical and psychological health. Yet frail older residents in assisted living are usually too sedentary to achieve these benefits. The physical environment plays an important role in promoting physical activity. However, there is little research exploring this relationship in assisted living settings. The researcher visited 34 assisted living facilities in a major Texas city. Methods included walk-through observation with the Assisted Living Facility Walking Environment Checklist, and interviews with administrators by open- and close-ended questions. The data from 26 facilities were analyzed using descriptive statistics (for quantitative data) and content analysis (for qualitative data). The results indicate that (a) residents were walking both indoors and outdoors for exercise or other purposes (e.g., going to destinations); (b) assisted living facility planning and design details-such as neighborhood sidewalk conditions, facility site selection, availability of seating, walking path configuration (e.g., looped/nonlooped path), amount of shading along the path, presence of handrails, existence of signage, etc.-may influence residents' walking behaviors; and (c) current assisted living facilities need improvement in all aspects to make their environments more walkable for residents. Findings of the study provide recommendations for assisted living facilities to improve the walkability of environments and to create environmental interventions to promote regular walking among their residents. This study also implies several directions for future research.

  13. The Food and Nutrition Care Indicators (FANCI): Experts’ views on quality indicators for food and nutrition services in assisted living facilities for elders

    Science.gov (United States)

    This study assessed the views of 153 national experts in nutrition, health and aging services in ALFs, including gerontological nutrition (39%), food services (14%), aging and disability (22%), geriatric medicine (9%) and assisted living (16%) on the practices that serve as indicators of the quality...

  14. Elemental analysis of the Al-Fe intermetallic prepared by fast solidification; Analisis elemental del intermetalico Al-Fe preparado por solidificacion rapida

    Energy Technology Data Exchange (ETDEWEB)

    Sandoval J, R.A.; Lopez M, J.; Ramirez T, J.J.; Aspiazu F, J.; Villasenor S, P. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2003-07-01

    Applying the PIXE technique samples of the Al-Fe intermetallic prepared by fast solidification, obtained starting from Al recycled were analyzed. The concentrations of the found elements are given. (Author)

  15. Accelerated long-term forgetting (ALF) and transient epileptic amnesia (TEA): two cases of epilepsy-related memory disorder.

    Science.gov (United States)

    Kemp, Steven; Illman, Nathan A; Moulin, Chris J A; Baddeley, Alan D

    2012-07-01

    Temporal lobe epilepsy (TLE) has long been associated with memory impairment. Recently, two specific forms of memory complaint in this population have been identified: accelerated long-term forgetting (ALF) and transient epileptic amnesia (TEA). This paper presents neuropsychological data (standard neuropsychological tests and experimental measures) on two patients who presented in the epilepsy clinic with seemingly similar subjective reports of profound memory difficulties. This paper illustrates the differences between TEA and ALF. Our focus was on measuring long-term forgetting utilizing a novel visual and verbal test protocol, with responses elicited via verbal prompts over the telephone at intervals up to 30 days. Whereas patient SK had neuropsychological test evidence of problems with learning plus ALF at short and long intervals without clinical evidence of TEA, patient EB had clinically convincing TEA without neuropsychological test evidence of ALF. In particular, SK showed accelerated forgetting while EB did not. This detailed case work develops our understanding of ALF measurement and demonstrates that ALF and TEA can be dissociated. Copyright © 2012 Elsevier Inc. All rights reserved.

  16. End-of-Life Education and Discussions With Assisted Living Certified Nursing Assistants.

    Science.gov (United States)

    Mohlman, Wendy L; Dassel, Kara; Supiano, Katherine P; Caserta, Michael

    2018-06-01

    In previous work, the current researchers examined attitudes and experiences of certified nursing assistants (CNAs) providing end-of-life (EOL) care in an assisted living facility (ALF). Results showed that 70% of participating CNAs felt unprepared to provide EOL care, largely due to not having received prior EOL care education within their schools or workplaces. Therefore, the goal of the current study was to implement and evaluate EOL and postmortem education to ALF CNAs. A focus group of 14 CNAs within an ALF was provided EOL education pertaining to the physiological and psychological changes observed in patients nearing EOL and postmortem care. Immediately following training, CNAs participated in a 30-minute focus group in which they discussed their experiences and educational needs regarding EOL care. Responses were recorded, transcribed, and analyzed for common themes using descriptive qualitative inquiry. All participants reported that CNA programs need to place greater emphasis on teaching EOL care, and 80% desired continuing education on EOL care through their employers. There is a need for CNAs to receive EOL care education to understand the psychological and physical signs and symptoms associated with the dying process to provide best practices in postmortem care. [Journal of Gerontological Nursing, 44(6), 41-48.]. Copyright 2018, SLACK Incorporated.

  17. Tumor necrosis factor receptor-associated factor 6 (TRAF6) participates in anti-lipopolysaccharide factors (ALFs) gene expression in mud crab.

    Science.gov (United States)

    Sun, Wan-Wei; Zhang, Xin-Xu; Wan, Wei-Song; Wang, Shu-Qi; Wen, Xiao-Bo; Zheng, Huai-Ping; Zhang, Yue-Ling; Li, Sheng-Kang

    2017-02-01

    Tumor necrosis factor receptor-associated factor 6 (TRAF6) is a key cytoplasm signal adaptor that mediates signals activated by tumor necrosis factor receptor (TNFR) superfamily and the Interleukin-1 receptor/Toll-like receptor (IL-1/TLR) superfamily. The full-length 2492 bp TRAF6 (Sp-TRAF6) from Scylla paramamosain contains 1800 bp of open reading frame (ORF) encoding 598 amino acids, including an N-terminal RING-type zinc finger, two TRAF-type zinc fingers and a conserved C-terminal meprin and TRAF homology (MATH) domain. Multiple alignment analysis shows that the putative amino acid sequence of Sp-TRAf6 has highest identity of 88% with Pt-TRAF6 from Portunus trituberculatus, while the similarity of Sp-TRAF6 with other crustacean sequences was 54-55%. RT-PCR analysis indicated that Sp-TRAF6 transcripts were predominantly expressed in the hepatopancreas and stomach, whereas it was barely detected in the heart and hemocytes in our study. Moreover, Sp-TRAF6 transcripts were significantly up-regulated after Vibrio parahemolyticus and LPS challenges. RNA interference assay was carried out used by siRNA to investigate the genes expression patterns regulated by Sp-TRAF6. The qRT-PCR results showed that silencing Sp-TRAF6 gene could inhibit SpALF1, SpALF2, SpALF5 and SpALF6 expression in hemocytes, while inhibit SpALF1, SpALF3, SpALF4, SpALF5 and SpALF6 expression in hepatopancreas. Taken together, the acute-phase response to immune challenges and the inhibition of SpALFs gene expression indicate that Sp-TRAF6 plays an important role in host defense against pathogen invasions via regulation of ALF gene expression in S. paramamosain. Copyright © 2016. Published by Elsevier Ltd.

  18. Examining key factors and influential actors involved in the decision to relocate into assisted living: A sample funding proposal

    OpenAIRE

    Wilson, Ashleigh Leah Davidson

    2013-01-01

    This capstone project presents a conceptually grounded, methodologically appropriate and logistically feasible Canadian Institutes of Health Research (CIHR) funding proposal. By examining key factors and influential actors involved in the decision to relocate into an assisted living facility (ALF), the proposed study will provide insight into and a rich description of the decision making process as it unfolds. Presented in the format of a CIHR pilot study grant, the proposal details a qualita...

  19. Density and atomic volume in liquid Al-Fe and Al-Ni binary alloys

    Energy Technology Data Exchange (ETDEWEB)

    Plevachuk, Yu. [Ivan Franko National Univ., Lviv (Ukraine). Dept. of Metal Physics; Egry, I.; Brillo, J.; Holland-Moritz, D. [Deutsches Zentrum fuer Luft- und Raumfahrt, Koeln (Germany). Inst. fuer Raumsimulation; Kaban, I. [Chemnitz Univ. of Technolgy (Germany). Inst. of Physics

    2007-02-15

    The density of liquid Al-Fe and Al-Ni binary alloys have been determined over a wide temperature range by a noncontact technique combining electromagnetic levitation and optical dilatometry. The temperature and composition dependences of the density are analysed. A negative excess volume correlates with the negative enthalpy of mixing, compound forming ability and chemical short-range ordering in liquid Al-Fe and Al-Ni alloys. (orig.)

  20. Regulation of ALF promoter activity in Xenopus oocytes.

    Directory of Open Access Journals (Sweden)

    Dan Li

    Full Text Available BACKGROUND: In this report we evaluate the use of Xenopus laevis oocytes as a matched germ cell system for characterizing the organization and transcriptional activity of a germ cell-specific X. laevis promoter. PRINCIPAL FINDINGS: The promoter from the ALF transcription factor gene was cloned from X. laevis genomic DNA using a PCR-based genomic walking approach. The endogenous ALF gene was characterized by RACE and RT-PCR for transcription start site usage, and by sodium bisulfite sequencing to determine its methylation status in somatic and oocyte tissues. Homology between the X. laevis ALF promoter sequence and those from human, chimpanzee, macaque, mouse, rat, cow, pig, horse, dog, chicken and X. tropicalis was relatively low, making it difficult to use such comparisons to identify putative regulatory elements. However, microinjected promoter constructs were very active in oocytes and the minimal promoter could be narrowed by PCR-mediated deletion to a region as short as 63 base pairs. Additional experiments using a series of site-specific promoter mutants identified two cis-elements within the 63 base pair minimal promoter that were critical for activity. Both elements (A and B were specifically recognized by proteins present in crude oocyte extracts based on oligonucleotide competition assays. The activity of promoter constructs in oocytes and in transfected somatic Xenopus XLK-WG kidney epithelial cells was quite different, indicating that the two cell types are not functionally equivalent and are not interchangeable as assay systems. CONCLUSIONS: Overall the results provide the first detailed characterization of the organization of a germ cell-specific Xenopus promoter and demonstrate the feasibility of using immature frog oocytes as an assay system for dissecting the biochemistry of germ cell gene regulation.

  1. Electrostatic interactions for directed assembly of high performance nanostructured energetic materials of Al/Fe2O3/multi-walled carbon nanotube (MWCNT)

    International Nuclear Information System (INIS)

    Zhang, Tianfu; Ma, Zhuang; Li, Guoping; Wang, Zhen; Zhao, Benbo; Luo, Yunjun

    2016-01-01

    Electrostatic self-assembly in organic solvent without intensively oxidative or corrosive environments, was adopted to prepare Al/Fe 2 O 3 /MWCNT nanostructured energetic materials as an energy generating material. The negatively charged MWCNT was used as a glue-like agent to direct the self-assembly of the well dispersed positively charged Al (fuel) and Fe 2 O 3 (oxide) nanoparticles. This spontaneous assembly method without any surfactant chemistry or other chemical and biological moieties decreased the aggregation of the same nanoparticles largely, moreover, the poor interfacial contact between the Al (fuel) and Fe 2 O 3 (oxide) nanoparticles was improved significantly, which was the key characteristic of high performance nanostructured energetic materials. In addition, the assembly process was confirmed as Diffusion-Limited Aggregation. The assembled Al/Fe 2 O 3 /MWCNT nanostructured energetic materials showed excellent performance with heat release of 2400 J/g, peak pressure of 0.42 MPa and pressurization rate of 105.71 MPa/s, superior to that in the control group Al/Fe 2 O 3 nanostructured energetic materials prepared by sonication with heat release of 1326 J/g, peak pressure of 0.19 MPa and pressurization rate of 33.33 MPa/s. Therefore, the approach, which is facile, opens a promising route to the high performance nanostructured energetic materials. - Graphical abstract: The negatively charged MWCNT was used as a glue-like agent to direct the self-assembly of the well dispersed positively charged Al (fuel) and Fe 2 O 3 (oxide) nanoparticles. - Highlights: • A facile spontaneous electrostatic assembly strategy without surfactant was adopted. • The fuels and oxidizers assembled into densely packed nanostructured composites. • The assembled nanostructured energetic materials have excellent performance. • This high performance energetic material can be scaled up for practical application. • This strategy can be applied into other nanostructured

  2. Field effect of fixed negative charges on oxidized silicon induced by AlF3 layers with fluorine deficiency

    International Nuclear Information System (INIS)

    Koenig, D.; Zahn, D.R.T.; Ebest, G.

    2004-01-01

    We recently discovered that in an AlF 3 /SiO 2 /Si structure extrinsic electrons are trapped at fluorine (F) vacancies in AlF 3 at the interface with SiO 2 , generating a high sheet density of fixed negative charges. p- and n-Type Si substrates were oxidized using rapid thermal oxidation (RTO) or furnace oxidation (th); some samples were passivated in hydrogen (H 2 ). AlF 3 was deposited onto oxidized Si wafers by a modified PVD process, leading to a F deficiency (AlF x ). Samples were characterized by mercury probe (Hg) CV and microwave photo conduction decay (μW-PCD), determining charge and trap densities and effective carrier lifetime τ eff , respectively. An effective charge density of up to |Q eff = -6.9 x 10 12 cm -2 is reached due to electrons tunneling from Si into AlF 3 , occupying F vacancies. Lifetime scans of p-type float zone (FZ) Si samples with 1.5 nm RTO and 20 nm AlF 3 show an increase in effective minority carrier lifetime by a factor of 8.4 compared to samples with 1.5 nm RTO only. The fixed negative charge density increases with exposure time to sunlight or at simulated ageing by a 24 h anneal at 200 deg. C in air

  3. Naturalizing Alf Ross’s Legal Realism

    DEFF Research Database (Denmark)

    Holtermann, Jakob v. H.

    2014-01-01

    In this article I address a pertinent challenge to Scandinavian realism which follows from the widespread perception that the fundamental philosophical premises on which the movement relies, are no longer tenable. Focusing on Alf Ross’s version of Scandinavian realism which has often been...... at the centre of critical attention I argue that his theory can survive the fall of logical positivism through an exercise of philosophical reconstruction. More specifically I argue that it is possible to dismount Ross’s realist legal theory almost intact from its commitments to logical positivism and embed...

  4. Elemental analysis of the Al-Fe intermetallic prepared by fast solidification

    International Nuclear Information System (INIS)

    Sandoval J, R.A.; Lopez M, J.; Ramirez T, J.J.; Aspiazu F, J.; Villasenor S, P.

    2003-01-01

    Applying the PIXE technique samples of the Al-Fe intermetallic prepared by fast solidification, obtained starting from Al recycled were analyzed. The concentrations of the found elements are given. (Author)

  5. Testing the effectiveness of cognitive interventions in alleviating accelerated long term forgetting (ALF).

    Science.gov (United States)

    Ricci, Monica; Wong, Toh; Nikpour, Armin; Miller, Laurie A

    2017-10-23

    It is well established that when retrieval or other forms of testing follow shortly after the acquisition of new information, long-term memory is improved in healthy subjects (Roediger & Karpicke, 2006). It is not known whether such early interventions would alleviate ALF, a condition in which early retention is normal, but there is a steep decline over longer intervals. A different behavioral intervention (i.e., an interposed recall of a story after a longer delay) was found to prevent subsequent memory loss in a single case with ALF (Jansari, Davis, McGibbon, Firminger, & Kapur, 2010; McGibbon & Jansari, 2013), but this has yet to be replicated. In the present study, we sought to test the effectiveness of early rehearsal as well as a later interposed recall on long term memory. Three men with ALF and 10 matched, healthy males (mean age = 67 yr; mean education = 15 yr) were compared for story recall following 3 early intervention conditions. There were two early rehearsal conditions: Repeated-Recall (2 additional recalls were requested in the initial 30 min interval) and Repeated Recall With Discussion (2 additional recalls plus discussion occurred in the initial 30 min interval) as well as a Control condition, in which there was no additional rehearsal in the first 30 min. Memory for 6 stories (2 in each condition) was tested at 0 min, 30 min, 1 day, 1 week and 4 weeks. In addition, to evaluate the possible sustaining effect of an additional retrieval ("booster recall") between 1 wk and 4 wk delays, 1 story from each of the early intervention conditions was recalled at 2 weeks' delay. Consistent with the profile characteristic of ALF, nonparametric statistics revealed no group differences at 0 or 30 min recalls. For Control stories, the ALF group's recall was impaired by 24 h delay. For stories in either of the early rehearsal conditions, the patients showed better retention, performing within normal limits until the 4 week recall. The "booster

  6. Effect of AlF3 on the Density and Elastic Properties of Zinc Tellurite Glass Systems

    Science.gov (United States)

    Sidek, Haji Abdul Aziz; Rosmawati, Shaharuddin; Halimah, Mohamed Kamari; Matori, Khamirul Amin; Talib, Zainal Abidin

    2012-01-01

    This paper presents the results of the physical and elastic properties of the ternary zinc oxyfluoro tellurite glass system. Systematic series of glasses (AlF3)x(ZnO)y(TeO2)z with x = 0–19, y = 0–20 and z = 80, 85, 90 mol% were synthesized by the conventional rapid melt quenching technique. The composition dependence of the physical, mainly density and molar volume, and elastic properties is discussed in term of the AlF3 modifiers addition that are expected to produce quite substantial changes in their physical properties. The absence of any crystalline peaks in the X-ray diffraction (XRD) patterns of the present glass samples indicates the amorphous nature. The addition of AlF3 lowered the values of the densities in ternary oxyfluorotellurite glass systems. The longitudinal and transverse ultrasonic waves propagated in each glass sample were measured using a MBS8020 ultrasonic data acquisition system. All the velocity data were taken at 5 MHz frequency and room temperature. The longitudinal modulus (L), shear modulus (G), Young’s modulus (E), bulk modulus (K) and Poisson’s ratio (σ) are obtained from both velocities data and their respective density. Experimental data shows the density and elastic moduli of each AlF3-ZnO-TeO2 series are found strongly depend upon the glass composition. The addition of AlF3 modifiers into the zinc tellurite causes substantial changes in their density, molar volume as well as their elastic properties.

  7. Microstructure and Properties of Fe3Al-Fe3AlC x Composite Prepared by Reactive Liquid Processing

    Science.gov (United States)

    Verona, Maria Nalu; Setti, Dalmarino; Paredes, Ramón Sigifredo Cortés

    2018-04-01

    A Fe3Al-Fe3AlC x composite was prepared using reactive liquid processing (RLP) through controlled mixture of carbon steel and aluminum in the liquid state. The microstructure and phases of the composite were assessed using X-ray diffraction, scanning electron microscopy, energy-dispersive X-ray spectroscopy, optical microscopy, and differential scanning calorimetry. In addition, the density, hardness, microhardness, and elastic modulus were evaluated. The Fe3Al-Fe3AlC x composite consisted of 65 vol pct Fe3Al and 35 vol pct Fe3AlC x ( κ). The κ phase contained 10.62 at. pct C, resulting in the stoichiometry Fe3AlC0.475. The elastic modulus of the Fe3Al-Fe3AlC0.475 composite followed the rule of mixtures. The RLP technique was shown to be capable of producing Fe3Al-Fe3AlC0.475 with a microstructure and properties similar to those achieved using other processing techniques reported in the literature.

  8. Recruitment of Mobility Limited Older Adults Into a Facility-Led Exercise-Nutrition Study: The Effect of Social Involvement.

    Science.gov (United States)

    Corcoran, Michael P; Nelson, Miriam E; Sacheck, Jennifer M; Reid, Kieran F; Kirn, Dylan; Fielding, Roger A; Folta, Sara C

    2016-08-01

    Older adults are among the most challenging population groups to enroll into health-related research. This article describes two methods used by investigators to recruit mobility limited older adults residing at assisted living or senior housing (SH) facilities into a facility-led exercise-nutrition research study. Sedentary older adults were recruited from 42 different assisted living facilities (ALFs) or SH communities. Two different recruitment approaches were used: At 22 sites, investigators conducted heavily advertised informational sessions to recruit participants (Info only). At 20 locations, these sessions were preceded by attendance of a study team member at various activities offered by the facility over the preceding 2 weeks (activity attendance). Population reach, enrollment, personnel cost, and time required to recruit at least five participants at each facility was measured. Reasons for declining participation and withdrawal rate were also measured. Sixty percent more residents elected to be screened for eligibility when study personnel attended an activity offered by the facility. Activity attendance resulted in significantly less time, costs, and participant withdrawals compared with facilities with no activity attendance. Study team member attendance at activities offered by senior living facilities reduces cost and duration of recruitment and improves study retention. Interventions targeting this demographic are likely to benefit from deliberately building trust and familiarity among the resident population at senior living communities as part of the recruitment process. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  9. Living Donor Liver Transplantation for Acute Liver Failure : Comparing Guidelines on the Prediction of Liver Transplantation.

    Science.gov (United States)

    Yoshida, Kazuhiro; Umeda, Yuzo; Takaki, Akinobu; Nagasaka, Takeshi; Yoshida, Ryuichi; Nobuoka, Daisuke; Kuise, Takashi; Takagi, Kosei; Yasunaka, Tetsuya; Okada, Hiroyuki; Yagi, Takahito; Fujiwara, Toshiyoshi

    2017-10-01

    Determining the indications for and timing of liver transplantation (LT) for acute liver failure (ALF) is essential. The King's College Hospital (KCH) guidelines and Japanese guidelines are used to predict the need for LT and the outcomes in ALF. These guidelines' accuracy when applied to ALF in different regional and etiological backgrounds may differ. Here we compared the accuracy of new (2010) Japanese guidelines that use a simple scoring system with the 1996 Japanese guidelines and the KCH criteria for living donor liver transplantation (LDLT). We retrospectively analyzed 24 adult ALF patients (18 acute type, 6 sub-acute type) who underwent LDLT in 1998-2009 at our institution. We assessed the accuracies of the 3 guidelines' criteria for ALF. The overall 1-year survival rate was 87.5%. The new and previous Japanese guidelines were superior to the KCH criteria for accurately predicting LT for acute-type ALF (72% vs. 17%). The new Japanese guidelines could identify 13 acute-type ALF patients for LT, based on the timing of encephalopathy onset. Using the previous Japanese guidelines, although the same 13 acute-type ALF patients (72%) had indications for LT, only 4 patients were indicated at the 1st step, and it took an additional 5 days to decide the indication at the 2nd step in the other 9 cases. Our findings showed that the new Japanese guidelines can predict the indications for LT and provide a reliable alternative to the previous Japanese and KCH guidelines.

  10. Luminescent properties of Ln3+ doped tellurite glasses containing AlF3

    Science.gov (United States)

    Walas, Michalina; Pastwa, Agata; Lewandowski, Tomasz; Synak, Anna; Gryczyński, Ignacy; Sadowski, Wojciech; Kościelska, Barbara

    2016-09-01

    The low-phonon energy tellurite glasses TeO2-BaO-Bi2O3 and TeO2-BaO-Bi2O3-AlF3 triply doped with Eu3+, Tb3+, Tm3+ ions in two different molar ratios were synthesized using melt-quenching technique. Their structure and luminescence properties were widely investigated by X-ray Diffraction (XRD), Differential Scanning Calorimetry (DSC), Fourier Transform Infrared Spectroscopy (FTIR) and Photoluminescence Spectroscopy (PL). The luminescence spectra of Eu3+, Tb3+, Tm3+ co-doped glasses show apart of the bands corresponding to the 4f-4f transitions of lanthanide ions also band corresponding to glass matrix. AlF3 doping increases emission intensity, although to improve overall emission color further studies on molar composition of samples and the molar ratio of the components should be carried out.

  11. Use of health services by residents at a seniors-only living facility

    Directory of Open Access Journals (Sweden)

    Elen Ferraz Teston

    2013-10-01

    Full Text Available The objective of the study was to compare the use of medical and dental services by seniors residing at a seniors-only living facility and in the general community. It was a quantitative study, among 50 residents of the living facility and 173 in the general community. The data were collected between November 2011 and February 2012 through a questionnaire, and subjected to statistical analysis. Performance of clinical exams and satisfaction with health services was greater among seniors living in the general community; however, physical therapy treatment was more common among those living in the facility. The use of medical and dental services showed a statistically significant difference. The seniors in both groups need oral health monitoring and those living in the facility also require coverage by the Family Health Strategy. The presence of professionals with the right profile to adequately serve residents and the network of available services are determining factors for the success of this new housing policy.

  12. Ionothermal synthesis of β-NH4AlF4 and the determination by single crystal X-ray diffraction of its room temperature and low temperature phases

    International Nuclear Information System (INIS)

    Parnham, Emily R.; Slawin, Alex M.Z.; Morris, Russell E.

    2007-01-01

    β-NH 4 AlF 4 has been synthesised ionothermally using 1-ethyl-3-methylimidazolium hexafluorophosphate as solvent and template provider. β-NH 4 AlF 4 crystals were produced which were suitable for single crystal X-ray diffraction analysis. A phase transition occurs between room temperature (298 K) and low temperature (93 K) data collections. At 298 K the space group=I4/mcm (no. 140), α=11.642(5), c=12.661(5) A, Z=2 (10NH 4 AlF 4 ), wR(F 2 )=0.1278, R(F)=0.0453. At 93 K the space group=P4 2 /ncm (no. 138), α=11.616(3), c=12.677(3) A, Z=2 (10NH 4 AlF 4 ), wR(F 2 )=0.1387, R(F)=0.0443. The single crystal X-ray diffraction study of β-NH 4 AlF 4 shows the presence of two different polymorphs at low and room temperature, indicative of a phase transition. The [AlF 4/2 F 2 ] - layers are undisturbed except for a small tilting of the AlF 6 octahedra in the c-axis direction. -Ionothermal synthesis, the use of an ionic liquid as the solvent in materials preparation, has been used to prepare β-NH 4 AlF 4 , and structural characterisation indicates that there are two versions of the structure, a low temperature primitive phase at 93 K and a high temperature body-centered phase at 298 K

  13. Assisted Living Facilities, Locations of Assisted Living Facilities identifed visually and placed on the Medical Multi-Hazard Mitigation layer., Published in 2006, 1:1200 (1in=100ft) scale, Noble County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Assisted Living Facilities dataset current as of 2006. Locations of Assisted Living Facilities identifed visually and placed on the Medical Multi-Hazard Mitigation...

  14. An Innovative Approach for Decreasing Fall Trauma Admissions from Geriatric Living Facilities: Preliminary Investigation.

    Science.gov (United States)

    Evans, Tracy; Gross, Brian; Rittenhouse, Katelyn; Harnish, Carissa; Vellucci, Ashley; Bupp, Katherine; Horst, Michael; Miller, Jo Ann; Baier, Ron; Chandler, Roxanne; Rogers, Frederick B

    2015-12-01

    Geriatric living facilities have been associated with a high rate of falls. We sought to develop an innovative intervention approach targeting geriatric living facilities that would reduce geriatric fall admissions to our Level II trauma center. In 2011, a Trauma Prevention Taskforce visited 5 of 28 local geriatric living facilities to present a fall prevention protocol composed of three sections: fall education, risk factor identification, and fall prevention strategies. To determine the impact of the intervention, the trauma registry was queried for all geriatric fall admissions attributed to patients living at local geriatric living facilities. The fall admission rate (total fall admissions/total beds) of the pre-intervention period (2010-2011) was compared with that of the postintervention period (2012-2013) at the 5 intervention and 23 control facilities. A P value fall admissions attributed to local geriatric living facilities (intervention: 179 fall admissions; control: 308 fall admissions). The unadjusted fall rate decreased at intervention facilities from 8.9 fall admissions/bed pre-intervention to 8.1 fall admissions/bed postintervention, whereas fall admission rates increased at control sites from 5.9 to 7.7 fall admissions/bed during the same period [control/intervention odds ratio (OR), 95% confidence interval (CI) = 1.32, 1.05-1.67; period OR, 95%CI = 1.55, 1.18-2.04, P = 0.002; interaction of control/intervention group and period OR 95% CI = 0.68, 0.46-1.00, P = 0.047]. An aggressive intervention program targeting high-risk geriatric living facilities resulted in a statistically significant decrease in geriatric fall admissions to our Level II trauma center.

  15. Resident-to-resident relational aggression and subjective well-being in assisted living facilities

    NARCIS (Netherlands)

    Trompetter, H.R.; Trompetter, Hester; Scholte, Ron; Westerhof, Gerben Johan

    2011-01-01

    Purpose: Research in settings similar to assisted living facilities suggests that relational aggression, an indirect and mature form of aggression, might occur in assisted living facilities. This empirical study investigates the existence of relational aggression in a sample of residents and the

  16. Ho3+-doped AlF3-TeO2-based glass fibers for 2.1 µm laser applications

    Science.gov (United States)

    Wang, S. B.; Jia, Z. X.; Yao, C. F.; Ohishi, Y.; Qin, G. S.; Qin, W. P.

    2017-05-01

    Ho3+-doped AlF3-TeO2-based glass fibers based on AlF3-BaF2-CaF2-YF3-SrF2-MgF2-TeO2 glasses are fabricated by using a rod-in-tube method. The glass rod including a core and a thick cladding layer is prepared by using a suction method, where the thick cladding layer is used to protect the core from the effect of surface crystallization during the fiber drawing. By inserting the glass rod into a glass tube, the glass fibers with relatively low loss (~2.3 dB m-1 @ 1560 nm) are prepared. By using a 38 cm long Ho3+-doped AlF3-TeO2-based glass fiber as the gain medium and a 1965 nm fiber laser as the pump source, 2065 nm lasing is obtained for a threshold pump power of ~220 mW. With further increasing the pump power to ~325 mW, the unsaturated output power of the 2065 nm laser is about 82 mW and the corresponding slope efficiency is up to 68.8%. The effects of the gain fiber length on the lasing threshold, the slope efficiency, and the operating wavelength are also investigated. Our experimental results show that Ho3+-doped AlF3-TeO2-based glass fibers are promising gain media for 2.1 µm laser applications.

  17. Effect of AlF3 Production Waste on the Properties of Hardened Cement Paste

    Directory of Open Access Journals (Sweden)

    Danutė VAIČIUKYNIENĖ

    2012-06-01

    Full Text Available The possibility to use by-product SiO2·nH2O (often called AlF3 production waste in cement casting has been attracting the interest of researchers for many years, although high content of fluorine makes the use of amorphous SiO2 problematic. Finding the way of utilizing waste products is a very important research topic at the moment. In this study AlF3 production waste was investigated as the basic ingredient of a new pozzolanic material. The goal of this study is to investigate the possibilities of using AlF3 production waste, washed in ammonia solution, in cement stone specimens. Chemically treated silica gel additive was proved to reduce the amount of Ca(OH2 and CaCO3 in hardened cement paste samples. Experimental research has revealed that the density in hydrated samples reduces from 2220 kg/m3 to 2030 kg/m3 with the increase of silica gel content from 0 % to 35 %. The compressive strength of samples containing 10 % of silica gel additive increased by 8.04 % compared to the samples without the additive. SiO2 additive used at 10 % and 20 % increased the maximum hydration temperature. In this case, the additive modifies the hydration kinetics.DOI: http://dx.doi.org/10.5755/j01.ms.18.2.1925

  18. ALF: a strategy for identification of unauthorized GMOs in complex mixtures by a GW-NGS method and dedicated bioinformatics analysis.

    Science.gov (United States)

    Košir, Alexandra Bogožalec; Arulandhu, Alfred J; Voorhuijzen, Marleen M; Xiao, Hongmei; Hagelaar, Rico; Staats, Martijn; Costessi, Adalberto; Žel, Jana; Kok, Esther J; Dijk, Jeroen P van

    2017-10-26

    The majority of feed products in industrialised countries contains materials derived from genetically modified organisms (GMOs). In parallel, the number of reports of unauthorised GMOs (UGMOs) is gradually increasing. There is a lack of specific detection methods for UGMOs, due to the absence of detailed sequence information and reference materials. In this research, an adapted genome walking approach was developed, called ALF: Amplification of Linearly-enriched Fragments. Coupling of ALF to NGS aims for simultaneous detection and identification of all GMOs, including UGMOs, in one sample, in a single analysis. The ALF approach was assessed on a mixture made of DNA extracts from four reference materials, in an uneven distribution, mimicking a real life situation. The complete insert and genomic flanking regions were known for three of the included GMO events, while for MON15985 only partial sequence information was available. Combined with a known organisation of elements, this GMO served as a model for a UGMO. We successfully identified sequences matching with this organisation of elements serving as proof of principle for ALF as new UGMO detection strategy. Additionally, this study provides a first outline of an automated, web-based analysis pipeline for identification of UGMOs containing known GM elements.

  19. Comparative investigation on cation-cation (Al-Sn) and cation-anion (Al-F) co-doping in RF sputtered ZnO thin films: Mechanistic insight

    Energy Technology Data Exchange (ETDEWEB)

    Mallick, Arindam; Basak, Durga, E-mail: sspdb@iacs.res.in

    2017-07-15

    Highlights: • Comparative study on Al, Al-Sn and Al-F doped ZnO films has been carried out. • High transparent Al-F co-doped film shows three times enhanced carrier density. • Al-F co-doped film shows larger carrier relaxation time. • Al-Sn co-doped films shows carrier transport dominated by impurity scattering. • Al-F co-doped ZnO film can be applied as transparent electrode. - Abstract: Herein, we report a comparative mechanistic study on cation-cation (Al-Sn) and cation-anion (Al-F) co-doped nanocrystalline ZnO thin films grown on glass substrate by RF sputtering technique. Through detailed analyses of crystal structure, surface morphology, microstructure, UV-VIS-NIR transmission-reflection and electrical transport property, the inherent characteristics of the co-doped films were revealed and compared. All the nanocrystalline films retain the hexagonal wurtzite structure of ZnO and show transparency above 90% in the visible and NIR region. As opposed to expectation, Al-Sn (ATZO) co-doped film show no enhanced carrier concentration consistent with the probable formation of SnO{sub 2} clusters supported by the X-ray photoelectron spectroscopy study. Most interestingly, it has been found that Al-F (AFZO) co-doped film shows three times enhanced carrier concentration as compared to Al doped and Al-Sn co-doped films attaining a value of ∼9 × 10{sup 20} cm{sup −3} due to the respective cation and anion substitution. The carrier relaxation time increases in AFZO while it decreases significantly for ATZO film consistent with the concurrence of the impurity scattering in the latter.

  20. Factors That Influence Campus Dwelling University Students' Facility to Practice Healthy Living Guidelines.

    Science.gov (United States)

    Walsh, Audrey; Taylor, Claudette; Brennick, Debbie

    2017-01-01

    Background Young adult university students living on campus are at an increased risk of developing lifestyle habits that encourage unintentional weight gain. Purpose The purpose of this study was to identify the individual and contextual factors that influence campus dwelling university students' facility to practice healthy living guidelines that reduce their risk of unintentional weight gain. Lifestyle practices included nutrition, physical activity, and sleep. Methods For seven days, 48 campus dwelling students recorded their activities and reflected on how closely they were able to follow recommended healthy living guidelines. Recorded data were supplemented by follow-up focus groups. All data were analyzed using thematic analysis. Results Students described multiple factors and conditions that influenced their facility to practice healthy living guidelines for nutrition, activity, and sleep. Many students' lifestyle practices put them at an increased risk of unintentional weight gain. Conclusions The campus environment challenges student's facility to practice healthy living guidelines. Nurses can intervene to build individual student capacity and to advocate for environmental polices that increase students' facility to choose lifestyle practices that promote health, lessen their risk of unintentional weight gain, and reduce their risk of developing chronic illness.

  1. Suicide Risk in Nursing Homes and Assisted Living Facilities: 2003-2011.

    Science.gov (United States)

    Mezuk, Briana; Lohman, Matthew; Leslie, Marc; Powell, Virginia

    2015-07-01

    We investigated the epidemiology of suicide among adults aged 50 years and older in nursing homes and assisted living facilities and whether anticipating transitioning into long-term care (LTC) is a risk factor for suicide. Data come from the Virginia Violent Death Reporting System (2003-2011). We matched locations of suicides (n = 3453) against publicly available resource registries of nursing homes (n = 285) and assisted living facilities (n = 548). We examined individual and organizational correlates of suicide by logistic regression. We identified decedents anticipating entry into LTC through qualitative text analysis. Incidence of suicide was 14.16 per 100 000 in nursing homes and 15.66 in the community. Better performance on Nursing Home Compare quality metrics was associated with higher odds of suicide in nursing homes (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.21, 3.14). Larger facility size was associated with higher suicide risk in assisted living facilities (OR = 1.01; 95% CI = 1.00, 1.01). Text narratives identified 38 decedents anticipating transitioning into LTC and 16 whose loved one recently transitioned or resided in LTC. LTC may be an important point of engagement in suicide prevention.

  2. FP-LAPW study of structural, electronic, elastic, mechanical and thermal properties of AlFe intermetallic

    Energy Technology Data Exchange (ETDEWEB)

    Jain, Ekta, E-mail: jainekta05@gmail.com [Department of Physics, Government M. L. B. Girls P. G. Autonomous College, Bhopal-462002 (India); Pagare, Gitanjali, E-mail: gita-pagare@yahoo.co.in [Department of Physics, Sarojini Naidu Government Girls P. G. Autonomous College, Bhopal-462016 (India); Sanyal, S. P., E-mail: sps.physicsbu@gmail.com [Department of Physics, Barkatullah University, Bhopal-462026 (India)

    2016-05-06

    The structural, electronic, elastic, mechanical and thermal properties of AlFe intermetallic compound in B{sub 2}-type (CsCl) structure have been investigated using first-principles calculations. The exchange-correlation term was treated within generalized gradient approximation. Ground state properties i.e. lattice constants (a{sub 0}), bulk modulus (B) and first-order pressure derivative of bulk modulus (B’) are presented. The density of states are derived which show the metallic character of present compound. Our results for C{sub 11}, C{sub 12} and C{sub 44} agree well with previous theoretical data. Using Pugh’s criteria (B/G{sub H} < 1.75), brittle character of AlFe is satisfied. In addition shear modulus (G{sub H}), Young’s modulus (E), sound wave velocities and Debye temperature (θ{sub D}) have also been estimated.

  3. Resident-to-resident relational aggression and subjective well-being in assisted living facilities.

    Science.gov (United States)

    Trompetter, Hester; Scholte, Ron; Westerhof, Gerben

    2011-01-01

    Research in settings similar to assisted living facilities suggests that relational aggression, an indirect and mature form of aggression, might occur in assisted living facilities. This empirical study investigates the existence of relational aggression in a sample of residents and the relationship between relational aggression and resident's subjective well-being. 121 residents from six assisted living facilities completed questionnaires assessing personal experiences as victims of relational aggression and subjective well-being. Also nurses reported on victimization of relational aggression for every participant. Linear regression models were used to examine the association between both reports of relational aggression and subjective well-being. Relational aggression was shown to exist in assisted living facilities according to both residents (prevalence: 19%) and nurses (prevalence: 41%). Chi-square testing revealed no association between ratings by nurses and residents. Self-reports of victimization of relational aggression were related to depression, anxiety, satisfaction with life and social loneliness, but not to emotional loneliness. Nurse-reports of victimization of relational aggression were not related to subjective well-being. Self-reports of relational aggression seem to be better predictors of resident's well-being than nurse-reports of relational aggression. Awareness of these findings and the discrepancy between nurse-reports and self-reports are important for practice and for future research regarding social dynamics and living arrangements in elderly care settings.

  4. Suicide Risk in Nursing Homes and Assisted Living Facilities: 2003–2011

    Science.gov (United States)

    Lohman, Matthew; Leslie, Marc; Powell, Virginia

    2015-01-01

    Objectives. We investigated the epidemiology of suicide among adults aged 50 years and older in nursing homes and assisted living facilities and whether anticipating transitioning into long-term care (LTC) is a risk factor for suicide. Methods. Data come from the Virginia Violent Death Reporting System (2003–2011). We matched locations of suicides (n = 3453) against publicly available resource registries of nursing homes (n = 285) and assisted living facilities (n = 548). We examined individual and organizational correlates of suicide by logistic regression. We identified decedents anticipating entry into LTC through qualitative text analysis. Results. Incidence of suicide was 14.16 per 100 000 in nursing homes and 15.66 in the community. Better performance on Nursing Home Compare quality metrics was associated with higher odds of suicide in nursing homes (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.21, 3.14). Larger facility size was associated with higher suicide risk in assisted living facilities (OR = 1.01; 95% CI = 1.00, 1.01). Text narratives identified 38 decedents anticipating transitioning into LTC and 16 whose loved one recently transitioned or resided in LTC. Conclusions. LTC may be an important point of engagement in suicide prevention. PMID:25973805

  5. Experts stress both wellness and amenity aspects of food and nutrition services in assisted living facilities for older adults.

    Science.gov (United States)

    Chao, Shirley Y; Dwyer, Johanna T; Houser, Robert F; Jacques, Paul; Tennstedt, Sharon

    2008-10-01

    There has been no consensus on best practices in food and nutrition services in assisted living facilities for older adults. We documented experts' views on optimal food and nutrition services emphases in assisted living facilities, and factors affecting their views. One hundred thirty-five national experts specializing in health, aging, nutrition and assisted living facilities completed a survey consisting four scenarios (ie, home-style, restaurant/hotel, and health/medical, and a combination of these three) in six food and nutrition services areas: dining room environment, meal services, meal quality, nutrition services, employees' qualifications, and therapeutic nutrition services. Sixty-three percent of experts favored the combination scenario. Dietetics education and experts' beliefs that assisted living facilities should be health promotion and maintenance facilities were significant predictors of emphases, including wellness considerations. Experts' personal views exerted a powerful influence. Experts chose food and nutrition service quality indicators that emphasized a focus on both wellness and amenities as their ideal scenarios for optimal food and nutrition services in assisted living facilities.

  6. Path tortuosity in everyday movements of elderly persons increases fall prediction beyond knowledge of fall history, medication use, and standardized gait and balance assessments.

    Science.gov (United States)

    Kearns, William D; Fozard, James L; Becker, Marion; Jasiewicz, Jan M; Craighead, Jeffrey D; Holtsclaw, Lori; Dion, Charles

    2012-09-01

    We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. Prospective, observational study using telesurveillance technology. Two ALFs. The sample consisted of 69 older ALF residents (53 female) aged 76.9 (SD ± 11.9 years). Daytime movement in ALF common use areas was automatically tracked using a commercially available ultra-wideband radio real-time location sensor network with a spatial resolution of approximately 20 cm. Movement path variability (tortuosity) was gauged using fractal dimension (fractal D). A logistic regression was performed predicting movement related falls from fractal D, presence of a fall in the prior year, psychoactive medication use, and movement path length. Fallers and non-fallers were also compared on activities of daily living requiring supervision or assistance, performance on standardized static and dynamic balance, and stride velocity assessments gathered at the start of a 1-year fall observation period. Fall risk due to cognitive deficit was assessed by the Mini Mental Status Examination (MMSE), and by clinical dementia diagnoses from participant's activities of daily living health record. Logistic regression analysis revealed odds of falling increased 2.548 (P = .021) for every 0.1 increase in fractal D, and having a fall in the prior year increased odds of falling by 7.36 (P = .006). There was a trend for longer movement paths to reduce the odds of falling (OR .976 P = .08) but it was not significant. Number of psychoactive medications did not contribute significantly to fall prediction in the model. Fallers had more variable stride-to-stride velocities and required more activities of daily living assistance. High fractal D levels can be detected using commercially available telesurveillance technologies and offers a new tool for health services administrators seeking to reduce falls at their

  7. Validation of an integral conceptual model of frailty in older residents of assisted living facilities.

    Science.gov (United States)

    Gobbens, Robbert J J; Krans, Anita; van Assen, Marcel A L M

    2015-01-01

    The aim of this cross-sectional study was to examine the validity of an integral model of the associations between life-course determinants, disease(s), frailty, and adverse outcomes in older persons who are resident in assisted living facilities. Between June 2013 and May 2014 seven assisted living facilities were contacted. A total of 221 persons completed the questionnaire on life-course determinants, frailty (using the Tilburg Frailty Indicator), self-reported chronic diseases, and adverse outcomes disability, quality of life, health care utilization, and falls. Adverse outcomes were analyzed with sequential (logistic) regression analyses. The integral model is partially validated. Life-course determinants and disease(s) affected only physical frailty. All three frailty domains (physical, psychological, social) together affected disability, quality of life, visits to a general practitioner, and falls. Contrary to the model, disease(s) had no effect on adverse outcomes after controlling for frailty. Life-course determinants affected adverse outcomes, with unhealthy lifestyle having consistent negative effects, and women had more disability, scored lower on physical health, and received more personal and informal care after controlling for all other predictors. The integral model of frailty is less useful for predicting adverse outcomes of residents of assisted living facilities than for community-dwelling older persons, because these residents are much frailer and already have access to healthcare facilities. The present study showed that a multidimensional assessment of frailty, distinguishing three domains of frailty (physical, psychological, social), is beneficial with respect to predicting adverse outcomes in residents of assisted living facilities. Copyright © 2015. Published by Elsevier Ireland Ltd.

  8. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study.

    Science.gov (United States)

    Nourian, Manijeh; Shahbolaghi, Farahnaz Mohammadi; Tabrizi, Kian Nourozi; Rassouli, Maryam; Biglarrian, Akbar

    2016-01-01

    Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13-17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. The themes obtained in this study included "going through life's hardships," "aspiring for achievement," "self-protection," "self-reliance," and "spirituality." Our study indicates that the meaning of resilience coexists with self-reliance in adolescents' lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.

  9. Formation of metastable phases and nanocomposite structures in rapidly solidified Al-Fe alloys

    International Nuclear Information System (INIS)

    Nayak, S.S.; Chang, H.J.; Kim, D.H.; Pabi, S.K.; Murty, B.S.

    2011-01-01

    Highlights: → Structures of nanocomposites in rapidly solidified Al-Fe alloys were investigated. → Nanoquasicrystalline, amorphous and intermetallics phases coexist with α-Al. → Nanoquasicrystalline phase was observed for the first time in the dilute Al alloys. → Thermodynamic driving force plays dominant role in precipitation of Fe-rich phases. → High hardness (3.57 GPa) was observed for nanocomposite of Al-10Fe alloy. - Abstract: In the present work the structure and morphology of the phases of nanocomposites formed in rapidly solidified Al-Fe alloys were investigated in details using analytical transmission electron microscopy and X-ray diffraction. Nanoquasicrystalline phases, amorphous phase and intermetallics like Al 5 Fe 2 , Al 13 F 4 coexisted with α-Al in nanocomposites of the melt spun alloys. It was seen that the Fe supersaturation in α-Al diminished with the increase in Fe content and wheel speed indicating the dominant role of the thermodynamic driving force in the precipitation of Fe-rich phases. Nanoquasicrystalline phases were observed for the first time in the dilute Al alloys like Al-2.5Fe and Al-5Fe as confirmed by high resolution TEM. High hardness (3.57 GPa) was measured in nanocomposite of Al-10Fe alloy, which was attributed to synergistic effect of solid solution strengthening due to high solute content (9.17 at.% Fe), dispersion strengthening by high volume fraction of nanoquasicrystalline phase; and Hall-Petch strengthening from finer cell size (20-30 nm) of α-Al matrix.

  10. PHASE CONSTITUENTS AND MICROSTRUCTURE OF Ti3Al/Fe3Al + TiN/TiB2 COMPOSITE COATING ON TITANIUM ALLOY

    OpenAIRE

    JIANING LI; CHUANZHONG CHEN; CUIFANG ZHANG

    2011-01-01

    Laser cladding of the Fe3Al + B4C/TiN + Al2O3 pre-placed powders on the Ti-6Al-4V alloy can form the Ti3Al/Fe3Al + TiN/TiB2 composite coating, which improved the wear resistance of the Ti-6Al-4V alloy surface. In this study, the Ti3Al/Fe3Al + TiN/TiB2 composite coating has been researched by means of X-ray diffraction and scanning electron microscope. It was found that during the laser cladding process, Al2O3 can react with TiB2, leading to the formations of Ti3Al and B. This principle can be...

  11. Insomnia, Sleepiness, and Depression in Adolescents Living in Residential Care Facilities

    Science.gov (United States)

    Moreau, Vincent; Belanger, Lynda; Begin, Gilles; Morin, Charles M.

    2009-01-01

    The main objective of this study was to document sleep patterns and disturbances reported by youths temporarily living in residential care facilities. A secondary objective was to examine the relationships between sleep disturbances and mood and daytime sleepiness. A self-reported questionnaire on sleep patterns and habits assessing duration,…

  12. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study

    Science.gov (United States)

    Nourian, Manijeh; Nourozi Tabrizi, Kian; Rassouli, Maryam; Biglarrian, Akbar

    2016-01-01

    Background Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. Objectives This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. Materials and methods This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13–17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. Results The themes obtained in this study included “going through life's hardships,” “aspiring for achievement,” “self-protection,” “self-reliance,” and “spirituality.” Conclusion Our study indicates that the meaning of resilience coexists with self-reliance in adolescents’ lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience. PMID:26942909

  13. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study

    Directory of Open Access Journals (Sweden)

    Manijeh Nourian

    2016-03-01

    Full Text Available Background: Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. Objectives: This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. Materials and methods: This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13–17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. Results: The themes obtained in this study included “going through life's hardships,” “aspiring for achievement,” “self-protection,” “self-reliance,” and “spirituality.” Conclusion: Our study indicates that the meaning of resilience coexists with self-reliance in adolescents’ lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.

  14. Empirical as Criterion of law Effectiveness: between Alf Ros and Hebert Hart

    Directory of Open Access Journals (Sweden)

    Horácio Wanderlei Rodrigues

    2016-04-01

    Full Text Available Legal positivism positions the law in the formal validity. However, the law theory also focuses on other aspects of empirical to understand the legal phenomenon, we seek such elements in the works of Herbert Hart and Alf Ross. To Hart the rule of recognition’s content, that we can use to meet the validity of the right, should be measured empirically in each legal system and may also (but not necessarily incorporate moral elements. Differently, the realistic Ross theory is independent of the validity criterion and he argues that the effectiveness is verifiable by the effective application of the law by legal authorities.

  15. Conflict resolution styles: a comparison of assisted living and nursing home facilities.

    Science.gov (United States)

    Small, Jeff A; Montoro-Rodriguez, Julian

    2006-01-01

    In this exploratory study, the authors investigated how interpersonal conflict is resolved in assisted living and nursing home facilities. In particular, the authors examined whether conflict resolution styles differed between type of facility and between residents and staff in each type of facility. Four focus groups were conducted--two with residents and two with staff from each type of facility. The focus groups centered on discussing the occurrence of conflict and how each participant handled it. Discourse analysis was employed to identify participants' use of three styles of conflict resolution: controlling, solution-oriented, and non-confrontational. The results indicate that staff in each care context showed a preference for the solution-oriented approach. Residents in each setting reported equal use of the non-confrontational and solution-oriented styles. The findings suggest that preferred conflict resolution styles may vary more as a function of the role of each communicator than the context of the care setting.

  16. Functioning mechanism of AlF3 coating on the Li- and Mn-rich cathode materials

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Jianming; Gu, Meng; Xiao, Jie; Polzin, Bryant; Yan, Pengfei; Chen, Xilin; Wang, Chong M.; Zhang, Jiguang

    2014-11-25

    Li- and Mn-rich (LMR) material is a very promising cathode for lithium ion batteries because of their high theoretical energy density (~900 Wh kg-1) and low cost. However, their poor long-term cycling stability, voltage fade, and low rate capability are significant barriers hindered their practical applications. Surface coating, e.g. AlF3 coating, can significantly improve the capacity retention and enhance the rate capability. However, the fundamental mechanism of this improvement and the microstructural evolution related to the surface coating is still not well understood. Here, we report systematic studies of the microstructural changes of uncoated and AlF3-coated materials before and after cycling using aberration-corrected scanning/transmission electron microscopy and electron energy loss spectroscopy. The results reveal that surface coating can reduce the oxidation of electrolyte at high voltage, thus suppressing the accumulation of SEI layer on electrode particle surface. Surface coating also enhances structural stability of the surface region (especially the electrochemically transformed spinel-like phase), and protects the electrode from severe etching/corrosion by the acidic species in the electrolyte, therefore limiting the degradation of the material. Moreover, surface coating can alleviate the undesirable voltage fade by minimize layered-spinel phase transformation in the bulk region of the materials. These fundamental findings may also be widely applied to explain the functioning mechanism of other surface coatings used in a broad range of electrode materials.

  17. Hope, Laughter, and Humor in Residents and Staff at an Assisted Living Facility.

    Science.gov (United States)

    Westburg, Nancy G.

    2003-01-01

    Assesses and compares hope levels and laughter and humor experiences of 24 elderly residents and 21 staff at an assisted living facility. Residents and staff reported numerous benefits from humor and laughing, but differences arose between the two groups about the source and frequency of humor and laughter. Implications for mental health…

  18. An integrated model to measure service management and physical constraints' effect on food consumption in assisted-living facilities.

    Science.gov (United States)

    Huang, Hui-Chun; Shanklin, Carol W

    2008-05-01

    The United States is experiencing remarkable growth in the elderly population, which provides both opportunities and challenges for assisted-living facilities. The objective of this study was to explore how service management influences residents' actual food consumption in assisted-living facilities. Physical factors influencing residents' service evaluation and food consumption also were investigated. A total of 394 questionnaires were distributed to assisted-living residents in seven randomly selected facilities. The questionnaire was developed based on an in-depth literature review and pilot study. Residents' perceived quality evaluations, satisfaction, and physical constraints were measured. Residents' actual food consumption was measured using a plate waste technique. A total of 118 residents in five facilities completed both questionnaires and food consumption assessments. Descriptive, multivariate analyses and structural equation modeling techniques were employed. Service management, including food and service quality and customer satisfaction, was found to significantly influence residents' food consumption. Physical constraints associated with aging, including a decline in health status, chewing problems, sensory loss, and functional disability, also significantly influenced residents' food consumption. A significant relationship was found between physical constraints and customer satisfaction. Foodservice that provides good food and service quality increases customer satisfaction and affects residents' actual food consumption. Physical constraints also influence residents' food consumption directly, or indirectly through satisfaction. The findings suggest that food and nutrition professionals in assisted-living should consider the physical profiles of their residents to enhance residents' satisfaction and nutrient intake. Recommendations for exploring residents' perspectives are discussed.

  19. Phase Constituents and Microstructure of Ti3Al/Fe3Al + TiN/TiB2 Composite Coating on Titanium Alloy

    Science.gov (United States)

    Li, Jianing; Chen, Chuanzhong; Zhang, Cuifang

    Laser cladding of the Fe3Al + B4C/TiN + Al2O3 pre-placed powders on the Ti-6Al-4V alloy can form the Ti3Al/Fe3Al + TiN/TiB2 composite coating, which improved the wear resistance of the Ti-6Al-4V alloy surface. In this study, the Ti3Al/Fe3Al + TiN/TiB2 composite coating has been researched by means of X-ray diffraction and scanning electron microscope. It was found that during the laser cladding process, Al2O3 can react with TiB2, leading to the formations of Ti3Al and B. This principle can be used to improve the Fe3Al + B4C/TiN laser-cladded coating on the Ti-6Al-4V alloy. Furthermore, during the cladding process, C consumed the oxygen in Fe3Al + B4C /TiN + Al2O3 molten pool, which retarded the productions of the redundant metal oxides.

  20. Veto analysis for gravitational wave burst signals in TAMA300 data using an ALF filter

    International Nuclear Information System (INIS)

    Akutsu, T; Ando, M; Kanda, N; Tatsumi, D; Telada, S; Miyoki, S; Ohashi, M

    2006-01-01

    Data taken by interferometers for gravitational waves include noises caused by instabilities of the interferometers. Veto analyses to remove false events caused by detectors are then necessary to detect real gravitational waves or to obtain a lower upper limit. In this paper, a veto analysis with an environmental monitor channel was implemented. We calculate the trigger rate of TAMA300 data and demonstrate the veto analysis using an alternative linear fit (ALF) filter. A threshold for the environmental monitor channel signals is set to be at 1% of the false dismissal rate. The result shows a 1/10-1/1000 reduction of trigger event rates

  1. The low to intermediate activity and short living waste storage facility. For a controlled management of radioactive wastes

    International Nuclear Information System (INIS)

    2006-01-01

    Sited at about 50 km of Troyes (France), the Aube facility started in 1992 and has taken over the Manche facility for the surface storage of low to intermediate and short living radioactive wastes. The Aube facility (named CSFMA) is the answer to the safe management of these wastes at the industrial scale and for 50 years onward. This brochure presents the facility specifications, the wastes stored at the center, the surface storage concept, the processing and conditioning of waste packages, and the environmental monitoring performed in the vicinity of the site. (J.S.)

  2. Position paper: Live load design criteria for Project W-236A Multi-Function Waste Tank Facility

    International Nuclear Information System (INIS)

    Giller, R.A.

    1995-01-01

    The purpose of this paper is to discuss the live loads applied to the underground storage tanks of the Multi Function Waste Tank Facility, and to provide the basis for Project W-236A live load criteria. Project 236A provides encompasses building a Weather Enclosure over the two underground storage tanks at the 200-West area. According to the Material Handling Study, the Groves AT 1100 crane used within the Weather Enclosure will have a gross vehicle weight of 66.5 tons. Therefore, a 100-ton concentrated live load is being used for the planning of the construction of the Weather Enclosure

  3. Hope and connection: the experience of family caregivers of persons with dementia living in a long term care facility

    Science.gov (United States)

    2013-01-01

    Background Hope is a psychosocial resource that is essential for the psychological, spiritual, and physical well-being of family members caring for persons with dementia. A significant positive relationship has been found between hope and well-being in family caregivers of persons with dementia living in the community. However, the hope experience of family caregivers of persons living with dementia in long-term care (LTC) facilities has not been explored. The purpose of this study was to explore the hope experience of family caregivers of persons with dementia living in a LTC facility. Methods Twenty-three open-ended face to face interviews were conducted with 13 family caregivers of residents with dementia in a LTC facility. Family was broadly defined to include relatives and friends. Seven of these participants also reflected on their hope in diaries over a two week period. Interview transcripts and journal texts were analyzed using Thorne’s interpretive description approach. Results The over-arching theme was “hope and connection”. Participants lost hope and felt despair when they perceived they were unable to connect with their family member in the LTC facility. They regained their hope when a connection could be made. Several sub-themes were identified including: accepting where we are, living life in the moment, believing in something, standing together, and balancing dual worlds. Conclusions Hope was important and essential for family caregivers of persons with dementia residing in a LTC facility. The overarching theme of “hope and connection” underscores the importance of maintaining relationships and connection between family members and the person in LTC. Given the paucity of hope research conducted within this population, the study findings provide a foundation for future research. PMID:24138640

  4. Validation of an integral conceptual model of frailty in older residents of assisted living facilities

    NARCIS (Netherlands)

    Gobbens, R.J.J.; Krans, A.; van Assen, M.A.L.M.

    2015-01-01

    Objective The aim of this cross-sectional study was to examine the validity of an integral model of the associations between life-course determinants, disease(s), frailty, and adverse outcomes in older persons who are resident in assisted living facilities. Methods Between June 2013 and May 2014

  5. Validation of an integral conceptual model of frailty in older residents of assisted living facilities

    NARCIS (Netherlands)

    Gobbens, Robbert J J; Krans, Anita; van Assen, Marcel A L M

    2015-01-01

    Objective: The aim of this cross-sectional study was to examine the validity of an integral model of the associations between life-course determinants, disease(s), frailty, and adverse outcomes in older persons who are resident in assisted living facilities. Methods: Between June 2013 and May 2014

  6. Cross-sectional relationship between physical fitness components and functional performance in older persons living in long-term care facilities

    Directory of Open Access Journals (Sweden)

    van Mechelen Willem

    2006-02-01

    Full Text Available Abstract Background The age-related deterioration of physiological capacities such as muscle strength and balance is associated with increased dependence. Understanding the contribution of physical fitness components to functional performance facilitates the development of adequate exercise interventions aiming at preservation of function and independence of older people. The aim of the study was to investigate the relationship between physical fitness components and functional performance in older people living in long-term care facilities. Methods Design cross-sectional study Subjects 226 persons living in long-term care facilities (mean age: 81.6 ± 5.6. Outcome measures Physical fitness and functional performance were measured by performance-based tests. Results Knee and elbow extension strength were significantly higher in men (difference = 44.5 and 50.0 N, respectively, whereas women were more flexible (difference sit & reach test = 7.2 cm. Functional performance was not significantly different between the genders. In men, motor coordination (eye-hand coordination and measures of strength were the main contributors to functional performance, whereas in women flexibility (sit and reach test and motor coordination (tandem stance and eye-hand coordination played a major role. Conclusion The results of this study show that besides muscle strength, fitness components such as coordination and flexibility are associated with functional performance of older people living in long-term care facilities. This suggests that men and women living in long-term care facilities, differ considerably concerning the fitness factors contributing to functional performance. Women and men may, therefore, need exercise programs emphasizing different fitness aspects in order to improve functional performance.

  7. A Study of Scenic Spot Living Facility Recommendation Based on Collaborative Filtering

    Directory of Open Access Journals (Sweden)

    Luo Wenbiao

    2015-01-01

    Full Text Available For the collection of massive complex information, the collaborative filtering system can work as a highly efficient information screening tool. It can recommend reasonable information reserve with multi angles according to the living service facility information of the scenic spots. The collaborative filtering system can collect information and forecast rating results based on users’ preference. According to different recommendation goals, the collaborative filtering system can recommend results for user feedback and give feedback of the recommendation results in various forms.

  8. Disability, residential environment and social participation: factors influencing daily mobility of persons living in residential care facilities in two regions of France.

    Science.gov (United States)

    Rapegno, Noémie; Ravaud, Jean-François

    2017-09-29

    Despite the context of individualization of public policies and promotion of independent living, residential care facilities (RCFs) (called "établissements medico-sociaux" in France) still represent the main system used by disabled people. Through a study of their daily mobility, this article proposes a geographical approach to the examination of factors influencing the social participation of disabled persons with motor impairments who live in residential care facilities. The data were collected in three stages from several sources. We first carried out 24 semi-directive interviews among supervisory staff in all the institutions in two regions of France (Greater Paris and Upper Normandy) to better understand the nature of services offered by medico-social facilities. We next did field work in greater detail in 10 of these institutions. We selected residents by random sampling. These first stages then allowed us to study the mobility of residents and record their perceptions. We conducted participant observation and interviews with 81 disabled residents within the 10 RCF. Data analysis enabled consideration not only of the role of the residential environment in people's daily mobility, but the role of the institutions as well. We identified three typical profiles of mobility practices depending on the facilities: "the islanders", living in isolated facilities far from public transportation, or in so-called "difficult" neighborhoods; people who alternate individual and group mobility in a more or less large area; and "the navigators" who have high mobility over a very large area, often living in facilities located in urban areas. The study also enabled an analysis of the obstacles and facilitators inside and outside the residential facilities. These place restrictions on social participation by disabled adults. However, possibilities for individual negotiation may enable bypassing some obstacles. The three ideal-type profiles of mobility analyzed constitute

  9. Elevated electrochemical performance of (NH4)3AlF6-coated 0.5Li2MnO3·0.5LiNi1/3Co1/3Mn1/3O2 cathode material via a novel wet coating method

    International Nuclear Information System (INIS)

    Xu, Guofeng; Li, Jianling; Xue, Qingrui; Dai, Yu; Zhou, Hongwei; Wang, Xindong; Kang, Feiyu

    2014-01-01

    A novel wet method of (NH 4 ) 3 AlF 6 coating was explored to enhance the electrochemical performance of Mn-based solid-solution cathode material 0.5Li 2 MnO 3 ·0.5LiNi 1/3 Co 1/3 Mn 1/3 O 2 . The X-ray powder diffraction patterns show that the coating material is pure-phase (NH 4 ) 3 AlF 6 and both pristine and coated samples can be indexed to hexagonal α-NaFeO 2 layered structure with space group of R-3 m. The field-emission scanning electron microscope images and the energy dispersive X-ray spectroscopy show that (NH 4 ) 3 AlF 6 is successfully coated on the surface of active particle. The (NH 4 ) 3 AlF 6 coated electrodes exhibit improved electrochemical performance, for instance, the initial charge-discharge efficiency was promoted by 5% (NH 4 ) 3 AlF 6 coating, the 1 wt.% and 3 wt.% coated electrodes deliver elevated cycling ability which is ascribed to the lower resistance between electrode and electrolyte as indicated by AC impedance measurement at different cycles. In addition, the coated-electrodes also give enhanced rate capability particularly for 1 wt.% NAF-coated electrode performing surprising capacity of 143.4 mAh g −1 at 5 C higher than that of 109.4 mAh g −1 for pristine electrode. Furthermore, the 1 wt.% NAF-coated electrode also shows improved cycle and rate performance at 55°C

  10. Alf Prøysens fortellinger om teskjekjerringa som en ”uferdig estetikk”

    Directory of Open Access Journals (Sweden)

    Skaret, Anne

    2014-12-01

    Full Text Available Alf Prøysen’s Mrs Pepperpot stories compose a large and manifold material covering a plethora of editions, media, languages, and illustrations. Focusing on how Prøysen presented the stories in Norway in an interplay between various media and editions from the midst of the 1950s, this article discusses Prøysen’s work in light of Peter Lunenfeld’s notion of “unfinished business”. Originally developed to grapple with computer technology in the era of digital culture, the notion of the “unfinished” also seems as an appropriate perspective on Prøysen’s artistic strategy when developing and presenting his Mrs Pepperpot. The article argues that Prøysen’s constant reworkings of the stories for new media and editions may have played an important part in developing the Mrs Pepperpot stories as they allowed Prøysen to explore and experiment with his little old lady through sound, text, and illustration.

  11. Production of exotic, short lived carbon isotopes in ISOL-type facilities

    CERN Document Server

    Franberg, Hanna; Köster, Ulli; Ammann, Markus

    2008-01-01

    The beam intensities of short-lived carbon isotopes at Isotope Separation On-Line (ISOL) facilities have been limited in the past for technical reasons. The production of radioactive ion beams of carbon isotopes is currently of high interest for fundamental nuclear physics research. To produce radioactive ions a target station consisting of a target in a container connected to an ion source via a transfer line is commonly used. The target is heated to vaporize the product for transport. Carbon in elementary form is a very reactive element and react strongly with hot metal surfaces. Due to the strong chemisorption interaction, in the target and ion source unit, the atoms undergo significant retention on their way from the target to the ion source. Due to this the short lived isotopes decays and are lost leading to low ion yields. A first approach to tackle these limitations consists of incorporating the carbon atoms into less reactive molecules and to use materials for the target housing and the transfer line ...

  12. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Directory of Open Access Journals (Sweden)

    Conradsson M

    2013-11-01

    Full Text Available Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56% of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS and Geriatric Depression Scale (GDS-15 scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31, BBS and PGCMS 0.045 (P=0.14, Barthel ADL Index and GDS-15 0.123 (P=0.06, and Barthel ADL Index and PGCMS -0.013 (P=0.86. There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care

  13. Synthesis and characterization of pillared bentonite with Al, AL/Fe and impregnated with Pd; Sintese e caracterizacao de bentonitas pilarizadas com Al, AL/Fe e impregnadas com Pd

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Marcus Vinicius Costa; Pizarro, Alejandro Herrero; Molina, Carmen Belen, E-mail: marcus.ufpa@yahoo.com.br [Universidade Federal do Para (UFPA), Belem, PA (Brazil). Instituto de Tecnologia. Faculdade de Engenharia Quimica; Seccion de Ingenieria Quimica, Facultad de Ciencias, Universidad Autonoma de Madri (Spain)

    2017-10-01

    In this work, a north american bentonite was pillared with Al and Al/Fe, creating the Al-PILC and Al-Fe-PILC, respectively. Then the Pd was impregnated in the materials, generating Pd-Al-PILC and Pd-Al-Fe-PILC, respectively. The samples were characterized by X-ray diffraction, differential thermal analysis and thermogravimetric and N{sub 2} adsorption at 77 K to determine the specific surface area by BET method (Brunauer - Emmett - Teller). There was an increase in the basal spacing of bentonite from 12.4Å in the original sample to 17.81Å in the Al-Fe-PILC, 17.20Å in Pd-Al-PILC and 17.05Å in the Pd-Al-Fe-PILC. The specific surface area increased from 19.05m{sup 2}/g in the original sample to 173.49m{sup 2}/g in Al-Fe-PILC, 101.31m{sup 2}/g to Pd-Al-PILC and 92m{sup 2}/g in Pd-Al-Fe-PILC. The pillaring process was successful and the synthesized materials have great potential for use as catalysts. (author)

  14. AFM study of the effects of laser surface remelting on the morphology of Al-Fe aerospace alloys

    Energy Technology Data Exchange (ETDEWEB)

    Pariona, Moises Meza, E-mail: mmpariona@uepg.br [Graduate Program in Engineering and Materials Science, State University of Ponta Grossa (UEPG), Ponta Grossa 84010-919, PR (Brazil); Teleginski, Viviane; Santos, Kelly dos; Leandro Ribeiro dos Santos, Everton; Aparecida de Oliveira Camargo de Lima, Angela [Graduate Program in Engineering and Materials Science, State University of Ponta Grossa (UEPG), Ponta Grossa 84010-919, PR (Brazil); Riva, Rudimar [Department of Aerospace Science and Technology, Institute for Advanced Studies (IEAv), Sao Jose dos Campos 12227-000, SP (Brazil)

    2012-12-15

    Laser beam welding has recently been incorporated into the fabrication process of aircraft and automobile structures. Surface roughness is an important parameter of product quality that strongly affects the performance of mechanical parts, as well as production costs. This parameter influences the mechanical properties such as fatigue behavior, corrosion resistance, creep life, etc., and other functional characteristics such as friction, wear, light reflection, heat transmission, lubrification, electrical conductivity, etc. The effects of laser surface remelting (LSR) on the morphology of Al-Fe aerospace alloys were examined before and after surface treatments, using optical microscopy (OM), scanning electron microscopy (SEM), low-angle X-ray diffraction (LA-XRD), atomic force microscopy (AFM), microhardness measurements (Vickers hardness), and cyclic voltammetry. This analysis was performed on both laser-treated and untreated sanded surfaces, revealing significant differences. The LA-XRD analysis revealed the presence of alumina, simple metals and metastable intermetallic phases, which considerably improved the microhardness of laser-remelted surfaces. The morphology produced by laser surface remelting enhanced the microstructure of the Al-Fe alloys by reducing their roughness and increasing their hardness. The treated surfaces showed passivity and stability characteristics in the electrolytic medium employed in this study. - Highlights: Black-Right-Pointing-Pointer The samples laser-treated and untreated showed significant differences. Black-Right-Pointing-Pointer The La-XRD revealed the presence of alumina in Al-1.5 wt.% Fe. Black-Right-Pointing-Pointer The laser-treated reducing the roughness and increasing the hardness. Black-Right-Pointing-Pointer The laser-treated surfaces showed characteristic passive in the electrolytic medium. Black-Right-Pointing-Pointer The laser-treated is a promising technique for applications technological.

  15. Formation mechanism for the nanoscale amorphous interface in pulse-welded Al/Fe bimetallic systems

    International Nuclear Information System (INIS)

    Li, Jingjing; Yu, Qian; Zhang, Zijiao; Xu, Wei; Sun, Xin

    2016-01-01

    Pulse or impact welding traditionally has been referred to as “solid-state” welding. By integrating advanced interface characterizations and diffusion calculations, we report that the nanoscale amorphous interface in the pulse-welded Al/Fe bimetallic system is formed by rapid heating and melting of a thin Al layer at the interface, diffusion of iron atoms in the liquid aluminum, and subsequent rapid quenching with diffused iron atoms in solution. This finding challenges the commonly held belief regarding the solid-state nature of the impact-based welding process for dissimilar metals. Elongated ultra-fine grains with high dislocation density and ultra-fine equiaxed grains also are observed in the weld interface vicinity on the steel and aluminum sides, respectively, which further confirms that melting and the subsequent recrystallization occurred on the aluminum side of the interface.

  16. Formation mechanism for the nanoscale amorphous interface in pulse-welded Al/Fe bimetallic systems

    Energy Technology Data Exchange (ETDEWEB)

    Li, Jingjing [Department of Mechanical Engineering, The University of Hawaii at Manoa, Honolulu, Hawaii 96822 (United States); Yu, Qian; Zhang, Zijiao [Department of Materials Science and Engineering, Center for Electron Microscope, Zhejiang University, Hangzhou 310027 (China); Xu, Wei; Sun, Xin, E-mail: xin.sun@pnnl.gov [Pacific Northwest National Laboratory, Richland, Washington 99354 (United States)

    2016-05-16

    Pulse or impact welding traditionally has been referred to as “solid-state” welding. By integrating advanced interface characterizations and diffusion calculations, we report that the nanoscale amorphous interface in the pulse-welded Al/Fe bimetallic system is formed by rapid heating and melting of a thin Al layer at the interface, diffusion of iron atoms in the liquid aluminum, and subsequent rapid quenching with diffused iron atoms in solution. This finding challenges the commonly held belief regarding the solid-state nature of the impact-based welding process for dissimilar metals. Elongated ultra-fine grains with high dislocation density and ultra-fine equiaxed grains also are observed in the weld interface vicinity on the steel and aluminum sides, respectively, which further confirms that melting and the subsequent recrystallization occurred on the aluminum side of the interface.

  17. Radiation protection of workers from uranium mines and of the public living nearby uranium mining and milling facilities

    International Nuclear Information System (INIS)

    Kiselev, Mikhail; Romanov, Vladimir; Shandala, Nataliya; Gneusheva, Galina; Titov, Alex; Novikova, Natalia; Smith, Graham

    2008-01-01

    As part of the program of nuclear power development, the Russia Federation plans to increase uranium production and to improve supply from existing uranium mining and milling facilities. Moreover, development of new uranium ore deposits is also envisaged. A corollary of these developments is the placing of a high priority on environmental and human health protection Special attention should be paid to assurance of health protection both of workers and of the public living nearby such facilities. This paper reviews the status and development of understanding of facilities in the Russian Federation from a regulatory perspective. (author)

  18. Study of Microstructure of the Al-Fe Alloys After Hot Rolling Deformation

    Science.gov (United States)

    Jabłońska, Magdalena Barbara; Rodak, Kinga; Bednarczyk, Iwona

    The aim of the paper is a microstructure analysis of alloys from the Al-Fe system after hot rolling tests, conducted by using a scanning transmission electron microscopy STEM and scanning electron microscope equipped with EBSD detector. Hot rolling was carried out at Technical University of Ostrava, Faculty of Metallurgy and Material Engineering, Institute of Modelling and Control of Forming Processes. The samples were heated to a temperature of 1200°C. The EBSD and STEM techniques have been applied in order to determine the influence of chemical composition and deformation parameters on structural changes. The microstructure analysis has included parameters such us: grain/sub-grain size, area fraction of grains/subgrains, misorientation angles, grains/subgrains shape aspect ratio and dislocations structure. The research structure techniques in scanning-transmission electron microscopy revealed numerous FeAl28 alloy phase separations of secondary nucleating sites favoured energetically, which are the boundary of grains/subgrains and dislocations. These changes in the structure of the test results have been confirmed by EBSD, which revealed the presence of grains/subgrains misorientation angle boundaries above 15°.

  19. Phase composition and microhardness of rapidly quenched Al-Fe alloys after high pressure torsion deformation

    Energy Technology Data Exchange (ETDEWEB)

    Tcherdyntsev, V.V.; Kaloshkin, S.D.; Gunderov, D.V.; Afonina, E.A.; Brodova, I.G.; Stolyarov, V.V.; Baldokhin, Yu.V.; Shelekhov, E.V.; Tomilin, I.A

    2004-07-15

    Aluminium-based Al-Fe alloys with Fe content of 2, 8, and 10 wt.% were prepared by rapid quenching (RQ) from the melt at a rate of 10{sup 6} K/s. Structure of the alloys was examined by X-ray diffraction (XRD) and Moessbauer spectroscopy. Phase transformations of RQ alloys by high pressure torsion (HPT) were studied. Dependences of phase composition on the intensity of HPT were investigated. Microhardness measurements of HPT alloys show a considerable structural heterogeneity of specimens, the dependence of microhardness on the radius of the pills was found out. Phase composition and microhardness during the heating were investigated. At the initial step of heating (120-150 deg. C), an increase in microhardness was observed, whereas further heating leads to a decrease in the microhardness.

  20. Influence of the environment and phototoxicity of the live cell imaging system at IMP microbeam facility

    Science.gov (United States)

    Liu, Wenjing; Du, Guanghua; Guo, Jinlong; Wu, Ruqun; Wei, Junzhe; Chen, Hao; Li, Yaning; Zhao, Jing; Li, Xiaoyue

    2017-08-01

    To investigate the spatiotemporal dynamics of DNA damage and repair after the ion irradiation, an online live cell imaging system has been established based on the microbeam facility at Institute of Modern Physics (IMP). The system could provide a sterile and physiological environment by making use of heating plate and live cell imaging solution. The phototoxicity was investigated through the evaluation of DNA repair protein XRCC1 foci formed in HT1080-RFP cells during the imaging exposure. The intensity of the foci induced by phototoxicity was much lower compared with that of the foci induced by heavy ion hits. The results showed that although spontaneous foci were formed due to RFP exposure during live cell imaging, they had little impact on the analysis of the recruitment kinetics of XRCC1 in the foci induced by the ion irradiation.

  1. Future Estimation of Convenience Living Facilities Withdrawal due to Population Decline all Over Japan from 2010 TO 2040 - Focus on Supermarkets, Convenience Stores and Drugstores

    Science.gov (United States)

    Nishimoto, Yuka; Akiyama, Yuki; Shibasaki, Ryosuke

    2016-06-01

    Population explosion is considered to be one of the most crucial problems in the world. However, in Japan, the opposite problem: population decline has become serious now. Japanese population is estimated to decrease by twenty millions in 2040. This negative situation will cause to increase areas where many residents cannot make a daily living all over Japan because many convenience living facilities such as supermarkets, convenience stores and drugstores will be difficult to maintain their market area population due to future population decline. In our research, we used point data of convenience living facilities developed by address geocoding of digital telephone directory and point data of future population projection developed by distribution of Japanese official population projection data proportionally among the building volume of digital residential map, which can monitor building volumes all over Japan. In conclusion, we estimated that various convenience living facilities in Japan will shrink and close by population decline in near future. In particular, it is cleared that approximately 14.7% of supermarkets will be possible to withdraw all over Japan by 2040. In addition, it is cleared that over 40% of supermarkets in some countryside prefectures will be possible to withdraw by 2040. Thus, we estimated future distributions of convenience living facilities that cannot maintain their market area population due to future population decline. Moreover, we estimated the number of people that they will become inconvenience in buying fresh foods.

  2. FUTURE ESTIMATION OF CONVENIENCE LIVING FACILITIES WITHDRAWAL DUE TO POPULATION DECLINE ALL OVER JAPAN FROM 2010 TO 2040 - FOCUS ON SUPERMARKETS, CONVENIENCE STORES AND DRUGSTORES

    Directory of Open Access Journals (Sweden)

    Y. Nishimoto

    2016-06-01

    Full Text Available Population explosion is considered to be one of the most crucial problems in the world. However, in Japan, the opposite problem: population decline has become serious now. Japanese population is estimated to decrease by twenty millions in 2040. This negative situation will cause to increase areas where many residents cannot make a daily living all over Japan because many convenience living facilities such as supermarkets, convenience stores and drugstores will be difficult to maintain their market area population due to future population decline. In our research, we used point data of convenience living facilities developed by address geocoding of digital telephone directory and point data of future population projection developed by distribution of Japanese official population projection data proportionally among the building volume of digital residential map, which can monitor building volumes all over Japan. In conclusion, we estimated that various convenience living facilities in Japan will shrink and close by population decline in near future. In particular, it is cleared that approximately 14.7% of supermarkets will be possible to withdraw all over Japan by 2040. In addition, it is cleared that over 40% of supermarkets in some countryside prefectures will be possible to withdraw by 2040. Thus, we estimated future distributions of convenience living facilities that cannot maintain their market area population due to future population decline. Moreover, we estimated the number of people that they will become inconvenience in buying fresh foods.

  3. La transformación transatlántica de la Monja Alférez .

    Directory of Open Access Journals (Sweden)

    Chloe Rutter- Jensen

    2007-12-01

    Full Text Available Catalina de Erauso's story, La historia de la monja alférez escrita por ella misma / Catalina de Erauso recounts her adventures as a man, her later confession of being a woman and virgin, her pension from the king, and even the Pope's legitimization of her dressing as a man. The author examines this text in terms of its contribution and resistance to the construction of gender in Spain and the Spanish American colonies in the early 17th century. The transatlantic voyages open a space in which the figure of Catalina de Erauso transits from one gender category to another. With an emphasis on the prefix 'trans', reading the text through the lens of the 'transsexual' narrative creates new borders and limits, and accentuates the text as a site of struggle over gender identity. The 'transsexual' narrative can help us see the text not only as a site of transition and combination of social categories, but also for interrupting the binary structure of sex and gender that appears so natural today.

  4. Rotational Excitation of Aluminium Monofluoride (AlF) by He Atom at Low Temperature

    International Nuclear Information System (INIS)

    Owono Owono, L.C.; Gotoum, N.; Nkem, C.; Hammami, K.; Jaidane, N.

    2010-05-01

    We report on the calculation of collision induced rotational excitation cross sections and rate coefficients of AlF by He atom at low temperature. These quantities were obtained by first computing the interaction potential energy surface (PES) of the AlF(X 1 Σ + )-He( 1 S) van der Waals complex at the ab initio Coupled Cluster with Single and Double and perturbative Triple excitations [CCSD(T)] level of theory. The aug-cc-pVQZ guassian basis, to which was added a set of bond functions, was used for that purpose. The calculations account for basis set superposition errors (BSSE). The interaction potential presents a minimum of ∼24 cm -1 below the AlF-He dissociation limit. The PES was fitted on a basis of Legendre polynomial functions to allow for the calculation of cross sections in the close-coupling (CC) approach. By averaging these cross sections over a Maxwell-Boltzmann velocity distribution, rate coefficients were inferred at low temperatures (T ≤ 300 K). From our computations, a propensity towards ΔJ = 1 transitions is observed. (author)

  5. Assisted Living Facilities, This file contains the name, address, contact and some licensing information for the Assisted Living Facilites for the State of Maryland., Published in 2010, Smaller than 1:100000 scale, Maryland Department of Health and Mental Hygiene.

    Data.gov (United States)

    NSGIC State | GIS Inventory — Assisted Living Facilities dataset current as of 2010. This file contains the name, address, contact and some licensing information for the Assisted Living Facilites...

  6. Variation in Hospice Services by Location of Care: Nursing Home Versus Assisted Living Facility Versus Home.

    Science.gov (United States)

    Unroe, Kathleen T; Bernard, Brittany; Stump, Timothy E; Tu, Wanzhu; Callahan, Christopher M

    2017-07-01

    To describe differences in hospice services for patients living at home, in nursing homes or in assisted living facilities, including the overall number and duration of visits by different hospice care providers across varying lengths of stay. Retrospective cohort study using hospice patient electronic medical record data. Large, national hospice provider. Data from 32,605 hospice patients who received routine hospice care from 2009 to 2014 were analyzed. Descriptive statistics were calculated for utilization measures for each type of provider and by location of care. Frequency and duration of service contacts were standardized to a 1 week period and pairwise comparisons were used to detect differences in care provided between the three settings. Minimal differences were found in overall intensity of service contacts across settings, however, the mix of services were different for patients living at home versus nursing home versus assisted living facility. Overall, more nurse care was provided at the beginning and end of the hospice episode; intensity of aide care services was higher in the middle portion of the hospice episode. Nearly 43% of the sample had hospice stays less than 2 weeks and up to 20% had stays greater than 6 months. There are significant differences between characteristics of hospice patients in different settings, as well as the mix of services they receive. Medicare hospice payment methodology was revised starting in 2016. While the new payment structure is in greater alignment with the U shape distribution of services, it will be important to evaluate the impact of the new payment methodology on length of stay and mix of services by different providers across settings of care. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  7. Living labs design and assessment of sustainable living

    CERN Document Server

    Guerra-Santin, Olivia; Lockton, Dan

    2017-01-01

    This book presents the results of a multi-annual project with sustainable Living Labs in the United Kingdom, Sweden, Germany and the Netherlands. Living Labs – as initiated by the authors – have proved to be very promising research, design, co-creation and communication facilities for the development and implementation of sustainable innovations in the home. The book provides an inspiring introduction to both the methodology and business modelling for the Living Lab facilities. Understanding daily living at home is key to designing products and services that support households in their transition to more sustainable lifestyles. This book not only explores new ways of gaining insights into daily practices, but also discusses developing and testing design methods to create sustainable solutions for households. These new methods and tools are needed because those available are either ineffective or cause rebound-effects. Intended for researchers and designers with an interest in the transition to sustainable...

  8. Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

    Science.gov (United States)

    Padala, Kalpana P.; Padala, Prasad R.; Malloy, Timothy R.; Geske, Jenenne A.; Dubbert, Patricia M.; Dennis, Richard A.; Garner, Kimberly K.; Bopp, Melinda M.; Burke, William J.; Sullivan, Dennis H.

    2012-01-01

    Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer's dementia (AD). Methods. A prospective randomized (1 : 1) pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS), Tinetti Test (TT) and Timed Up and Go (TUG) over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P = 0.003), and TT (P = 0.013). The walking group showed a trend towards improvement on BBS (P = 0.06) and TUG (P = 0.07) and significant improvement in TT (P = 0.06). Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study. PMID:22745909

  9. Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Kalpana P. Padala

    2012-01-01

    Full Text Available Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD. Methods. A prospective randomized (1 : 1 pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS, Tinetti Test (TT and Timed Up and Go (TUG over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003, and TT (P=0.013. The walking group showed a trend towards improvement on BBS (P=0.06 and TUG (P=0.07 and significant improvement in TT (P=0.006. Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

  10. Can Better Outdoor Environments Lead to Cost Benefits in Assisted Living Facilities Through Increased Word-of-Mouth Referrals?

    Science.gov (United States)

    Rodiek, Susan; Boggess, May M; Lee, Chanam; Booth, Geoffrey J; Morris, Alisan

    2013-01-01

    This study explores how better outdoor environments may produce cost benefits for assisted living providers by raising occupancy levels through increased resident satisfaction and word-of-mouth referrals. Older adults who spend even minimal time outdoors may reap substantial health benefits. However, many existing outdoor areas in assisted living facilities are reportedly underutilized, in part because of design issues. Providers may be more willing to improve outdoor areas if they produce cost benefits for provider organizations. This study used data from a recent assisted living survey to assess the relationship between satisfaction with outdoor spaces, time spent outdoors, and resulting improvements in mood. A financial analysis was developed to estimate potential benefits from improved outdoor areas attributable to increased occupancy and decreased marketing costs associated with increased word-of-mouth referrals. Increasing resident satisfaction with outdoor areas (from approximately 29% to 96%) results in residents spending more time outdoors (increase of 1½ hours per week per resident) and improved psychological well-being (12% increase in feeling better). This greater overall satisfaction leads to 8% more residents willing to refer potential residents to their community. Because word-of-mouth referrals by current residents are a major factor in resident recruitment, improving outdoors areas leads to an estimated 4% increase in new residents, resulting in over $170,000 of increased revenue per year for a community of 100 residents. Improved outdoor space can provide substantial cost benefits for assisted living providers. Increasing resident well-being and satisfaction, and thereby generating additional word-of-mouth referrals, can result in higher occupancy levels. Outdoor environments, assisted living, cost benefits, resident satisfaction, occupancy levels, seniors, rental income, word-of-mouth referralPreferred Citation: Rodiek, S., Boggess, M. M., Lee

  11. Assisted Living Facilities - MDC_NursingHome

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Label (point) feature class of Miami-Dade County Nursing Homes Facilities. As of May 2004 the Office of Emergency Management (OEM) will provide updates for Nursing...

  12. A guitarra Trio inspirada em Johnny Alf e João Donato : uma abordagem do estilo de interpretação de Johnny Alf e João Donato ao piano, direcionada a performance da guitarra em contexto instrumental trio (guitarra, contra-baixo e bateria/percussão)

    OpenAIRE

    Alexis da Silveira Bittencourt

    2006-01-01

    Resumo: Este trabalho parte da tese de que o estilo interpretativo ao piano, em contexto instrumental Trio (piano, contra-baixo e seção rítmica), de Johnny Alf e João Donato, constitui uma espécie de elo norteador à interpretação da música popular brasileira a partir da segunda metade do século passado, com raízes no samba e forte influência jazzista. Tem, portanto, o objetivo de definir esse elo e demonstrar como esse pode ser uma valiosa referência ao guitarrista, servindo de fonte para est...

  13. Analysis of seasonal strain measurements in asphalt materials under accelerated pavement testing and comparing field performance and laboratory measured binder tension properties : technical summary report.

    Science.gov (United States)

    2009-06-01

    Since 1996, the Louisiana Department of Transportation and Development (LADOTD) has : utilized the Louisiana Transportation and Research Centers (LTRCs) Accelerated Loading : Facility (ALF) at the Pavement Research Facility to determine the eff...

  14. Notes from the field: deaths from acute hepatitis B virus infection associated with assisted blood glucose monitoring in an assisted-living facility--North Carolina, August-October 2010.

    Science.gov (United States)

    2011-02-18

    Sharing of blood glucose monitoring equipment in assisted-living facilities has resulted in at least 16 outbreaks of hepatitis B virus (HBV) infection in the United States since 2004. On October 12, 2010, the North Carolina Division of Public Health (NCDPH) and the Wayne County Health Department were notified by a local hospital of four residents of a single assisted-living facility with suspected acute HBV infection. NCDPH requested HBV testing of all persons who had resided in the facility during January 1-October 13, 2010, and defined an outbreak-associated case as either 1) positive hepatitis B surface antigen and core immunoglobulin M (IgM) results or 2) clinical evidence of acute hepatitis (jaundice or serum aminotransferase levels twice the upper limit of normal) with onset ≥6 weeks after admission to the facility. Records were reviewed for potential health-care-associated exposures and HBV-related risk factors. Infection control practices were assessed through observations and interviews with facility staff.

  15. Contrabando na fronteira meridional do Brasil – por fora e por dentro da Alfândega (1845-1889.

    Directory of Open Access Journals (Sweden)

    Mariana Flores da Cunha Thompson Flores

    2015-06-01

    Full Text Available O presente artigo aborda as práticas de contrabando empreendidas através da fronteira sul do Brasil nos municípios de Alegrete, Uruguaiana, Santana do Livramento e Quaraí, entre os anos de 1845 e 1889. Através de Processos Crimes de Apreensão de Contrabando e de Autos de Responsabilidade, foi possível apontar os diferentes contextos dessa prática, as mercadorias e os caminhos do comércio ilícito, bem como, seus agentes e estratégias. Nesse sentido, constatou-se que a Alfândega, localizada em Uruguaiana, cumpria papel fundamental no desempenho do contrabando através de práticas corruptas sedimentadas no procedimento de funcionários e inspetores ao longo de anos.

  16. Aleurone flour increases red-cell folate and lowers plasma homocyst(e)ine substantially in man.

    Science.gov (United States)

    Fenech, Michael; Noakes, Manny; Clifton, Peter; Topping, David

    2005-03-01

    Aleurone flour (ALF) is a rich source of natural folate (>500 microg/100 g wet weight). Our objective was to establish whether intake of ALF in man can significantly improve folate status and reduce plasma homocyst(e)ine. We performed a randomised, controlled intervention, of 16 weeks duration, in free-living healthy individuals (mean age 46-52 years). Participants were assigned to one of three groups: ALF, 175 g bread made with ALF and placebo tablet each day; PCS, 175 g bread made with pericarp seed coat (PCS) flour and placebo tablet each day (low-folate control); or FA, 175 g bread made with PCS flour and tablet containing 640 microg folic acid each day (high-folate control). The daily folate intake contributed by the bread and tablet was 233 microg in the PCS group, 615 microg in the ALF group and 819 microg in the FA group. The number of participants completing all phases of the PCS, ALF and FA interventions was twenty-five, twenty-five and eighteen, respectively. Plasma and red-cell folate increased significantly (Pine decreased significantly (Pine in the ALF group decreased from 9.1 (8.2, 10.0) micromol/l at baseline to 6.8 (6.2, 7.5) micromol/l after 16 weeks. In conclusion, moderate dietary intake of ALF can increase red-cell folate and decrease plasma homocyst(e)ine substantially.

  17. Al/Fe isomorphic substitution versus Fe{sub 2}O{sub 3} clusters formation in Fe-doped aluminosilicate nanotubes (imogolite)

    Energy Technology Data Exchange (ETDEWEB)

    Shafia, Ehsan [Politecnico di Torino, Department of Applied Science and Technology and INSTM Unit of Torino-Politecnico (Italy); Esposito, Serena [Università degli Studi di Cassino e del Lazio Meridionale, Department of Civil and Mechanical Engineering (Italy); Manzoli, Maela; Chiesa, Mario [Università di Torino, Dipartimento di Chimica and Centro Interdipartimentale NIS (Italy); Tiberto, Paola [Electromagnetism, I.N.Ri.M. (Italy); Barrera, Gabriele [Università di Torino, Dipartimento di Chimica and Centro Interdipartimentale NIS (Italy); Menard, Gabriel [Harvard University, Department of Chemistry and Chemical Biology (United States); Allia, Paolo, E-mail: paolo.allia@polito.it [Politecnico di Torino, Department of Applied Science and Technology and INSTM Unit of Torino-Politecnico (Italy); Freyria, Francesca S. [Massachusetts Institute of Technology, Department of Chemistry (United States); Garrone, Edoardo; Bonelli, Barbara, E-mail: barbara.bonelli@polito.it [Politecnico di Torino, Department of Applied Science and Technology and INSTM Unit of Torino-Politecnico (Italy)

    2015-08-15

    Textural, magnetic and spectroscopic properties are reported of Fe-doped aluminosilicate nanotubes (NTs) of the imogolite type, IMO, with nominal composition (OH){sub 3}Al{sub 2−x}Fe{sub x}O{sub 3}SiOH (x = 0, 0.025, 0.050). Samples were obtained by either direct synthesis (Fe-0.025-IMO, Fe-0.050-IMO) or post-synthesis loading (Fe-L-IMO). The Fe content was either 1.4 wt% (both Fe-0.050-IMO and Fe-L-IMO) or 0.7 wt% (Fe-0.025-IMO). Textural properties were characterized by High-Resolution Transmission Electron Microscopy, X-ray diffraction and N{sub 2} adsorption/desorption isotherms at 77 K. The presence of different iron species was studied by magnetic moment measurements and three spectroscopies: Mössbauer, UV–Vis and electron paramagnetic resonance, respectively. Fe{sup 3+}/Al{sup 3+} isomorphic substitution (IS) at octahedral sites at the external surface of NTs is the main process occurring by direct synthesis at low Fe loadings, giving rise to the formation of isolated high-spin Fe{sup 3+} sites. Higher loadings give rise, besides IS, to the formation of Fe{sub 2}O{sub 3} clusters. IS occurs up to a limit of Al/Fe atomic ratio of ca. 60 (corresponding to x = 0.032). A fraction of the magnetism related to NCs is pinned by the surface anisotropy; also, clusters are magnetically interacting with each other. Post-synthesis loading leads to a system rather close to that obtained by direct synthesis, involving both IS and cluster formations. Slightly larger clusters than with direct synthesis samples, however, are formed. The occurrence of IS indicates a facile cleavage/sealing of Al–O–Al bonds: this opens the possibility to exchange Al{sup 3+} ions in pre-formed IMO NTs, a much simpler procedure compared with direct synthesis.

  18. Phenol hydroxylation on Al-Fe modified-bentonite: Effect of Fe loading, temperature and reaction time

    Science.gov (United States)

    Widi, R. K.; Budhyantoro, A.; Christianto, A.

    2017-11-01

    The present work reflects the study of the phenol hydroxylation reactions to synthesize hydroquinone and catechol on Al-Fe modified-bentonite. This study started with synthesizes the catalyst material based on the modified bentonite. Natural bentonite from Pacitan, Indonesia was intercalated with Cetyl-TetramethylammoniumBromida (CTMA-Br) followed by pillarization using Alumina. The pillared bentonite was then impregnated with Fe solution (0.01 M, 0.05 M, and 0.1 M). The solid material obtained was calcined at 723 K for 4 hours. All the materials were characterized using BET N2 adsorption. Their catalytic activity and selectivity were studied for phenol hydroxylation using H2O2 (30%). The reaction conditions of this reaction were as follows: ratio of phenol/H2O2 = 1:1 (molar ratio), concentration of phenol = 1 M and ratio of catalyst/phenol was 1:10. Reaction temperatures were varied at 333, 343 and 353 K. The reaction time was also varied at 3, 4 and 5 hours. The result shows that the materials have potential catalyst activity.

  19. Comparisons of social interaction and activities of daily living between long-term care facility and community-dwelling stroke patients.

    Science.gov (United States)

    Yoon, Jeong-Ae; Park, Se-Gwan; Roh, Hyo-Lyun

    2015-10-01

    [Purpose] This study was conducted to compare the correlation between social interaction and activities of daily living (ADL) between community-dwelling and long-term care facility stroke patients. [Subjects and Methods] The Subjects were 65 chronic stroke patients (32 facility-residing, 33 community-dwelling). The Evaluation Social Interaction (ESI) tool was used to evaluate social interaction and the Assessment of Motor and Process Skills (AMPS) measure was used to evaluate ADL. [Results] Both social interaction and ADL were higher in community-dwelling than facility-residing stroke patients. There was a correlation between ESI and ADL for both motor and process skills among facility-residing patients, while only ADL process skills and ESI correlated among community-dwelling patients. In a partial correlation analysis using ADL motor and process skills as control variables, only process skills correlated with ESI. [Conclusion] For rehabilitation of stroke patients, an extended treatment process that combines ADL and social activities is likely to be required. Furthermore, treatment programs and institutional systems that can improve social interaction and promote health maintenance for community-dwelling and facility-residing chronic stroke patients are needed throughout the rehabilitation process.

  20. Activities of daily living and oral hygiene status of older Korean patients in a long-term care facility.

    Science.gov (United States)

    Seo, H-Y; Jeon, J-E; Chung, W-G; Kim, N-H

    2017-05-01

    This study investigated the relationship between oral hygiene conditions, activities of daily living (ADL) and cognitive ability in older Korean patients in long-term care facilities. Ninety older persons (65+) were randomly sampled from a possible 112 residents in a single facility. They participated in a 2-month-long survey. The Korean Modified Barthel Index was used to measure the ADL, and cognitive ability was measured using the Mini-Mental State Examination, Korean version. Oral hygiene status was measured using the Simplified Oral Hygiene Index and the Tongue Coating Index (TCI). Older participants with complete dependence manifested significantly poorer oral hygiene (P oral hygiene (P oral hygiene on tooth surfaces, while participants with partial dependence had poor tongue hygiene. In addition, dentulous older participants had poorer tongue hygiene than edentulous ones. This indicates the need to assess tooth status and provide oral care services via ADL in long-term care facilities. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Vínculos entre teatro y cine en La señorita Julia. De August Strindberg a Alf Sjöberg y Liv Ullmann

    OpenAIRE

    Daniela Oulego

    2016-01-01

    El propósito del presente artículo es abordar comparativamente el texto dramático La señorita Julia, escrito por el dramaturgo August Strindberg, con las versiones fílmicas dirigidas por los cineastas Alf Sjöberg y Liv Ullmann. Si bien la obra responde al naturalismo, consideramos que Strindberg debatió con el carácter determinista de la herencia. En este sentido, elementos de la mitología cristiana, como el festejo de la Noche de San Juan, y la presencia de lo dionisíaco formarán parte del a...

  2. Diffusion and the dynamics of displacive phase transitions in cryolite (Na3AlF6) and chiolite (Na5Al3F14): Multi-nuclear NMR studies

    Science.gov (United States)

    Spearing, Dane R.; Stebbins, Jonathan F.; Farnan, Ian

    1994-10-01

    Cryolite is a mixed-cation perovskite (Na2(NaAl)F6) which undergoes a monoclinic to orthorhombic displacive phase transition at ˜550° C. Chiolite (Na5Al3F14) is associated with cryolite in natural deposits, and consists of sheets of corner sharing [AlF6] octahedra interlayered with edge-sharing [NaF6] octahedra. Multi-nuclear NMR line shape and relaxation time (T1) studies were performed on cryolite and chiolite in order to gain a better understanding of the atomic motions associated with the phase transition in cryolite, and Na diffusion in cryolite and chiolite. 27Al, 23Na, and 19F static NMR spectra and T1's in cryolite suggest that oscillatory motions of the [AlF6] octahedra among four micro-twin and anti-phase domains in α-cryolite begin at least 150° C below the transition temperature and persist above it. Variable temperature 23Na MAS NMR further indicates diffusional exchange at a rate of at least 13 kHz between the Na sites by the time the transition temperature is reached. 27Al and 23Na T1's show the same behavior with increasing temperature, indicating the same relaxation mechanisms are responsible for both. The first order nature of the cryolite transition is apparent as a jump in the 23Na and 27Al T1's. Above the transition temperature, the T1's decrease slightly indicating that the motions responsible for the drop in T1, are still present above the transition, further supporting the dynamic nature of the high temperature phase of cryolite. Chiolite 23Na static spectra decrease in linewidth with increasing temperature, indicating increased Na diffusion, which is interpreted as occurring within the [NaF6] sheets in the chiolite structure, but not between the two different Na sites. 27Al and 23Na T1's show similar behavior as in cryolite, but there is no discontinuity due to a phase transition. 19F T1's are constant from room temperature to 150° C indicating no oscillatory motion of the [AlF6] octahedra in chiolite.

  3. Surface disposal of low-level and medium-level short-lived waste. How safe is the disposal facility in Dessel in the long term?

    International Nuclear Information System (INIS)

    2014-01-01

    A disposal facility for the disposal of low-level and medium-level short-lived waste is planned to be built on a site located in the community of Dessel (Belgium). The facility will consist of 34 modules, corresponding to a storage volume capacity of approximately 70,000 m3. The disposal concept includes waste containers that are encapsulated in a concrete box which is filled with mortar. Approximately 900 of these blocks, or monoliths, fit inside each module. The article discusses the Research and Development programme that has been conducted at the Belgian Nuclear Research Center SCK-CEN in conjunction with the development of this facility. Main emphasis is on the models that have been developed for predicting the long-term containment of the disposal facility.

  4. Presence of Legionella and Free-Living Amoebae in Composts and Bioaerosols from Composting Facilities

    Science.gov (United States)

    Conza, Lisa; Pagani, Simona Casati; Gaia, Valeria

    2013-01-01

    Several species of Legionella cause Legionnaires’ disease (LD). Infection may occur through inhalation of Legionella or amoebal vesicles. The reservoirs of Legionella are water, soil, potting soil and compost. Some species of free-living amoebae (FLA) that are naturally present in water and soil were described as hosts for Legionella. This study aimed to understand whether or not the composting facilities could be sources of community-acquired Legionella infections after development of bioaerosols containing Legionella or FLA. We looked for the presence of Legionella (by co-culture) and FLA (by culture) in composts and bioaerosols collected at four composting facilities located in southern Switzerland. We investigated the association between the presence of Legionella and compost and air parameters and presence of FLA. Legionella spp. (including L. pneumophila) were detected in 69.3% (61/88) of the composts and FLA (mainly Acanthamoeba, Vermamoeba, Naegleria and Stenamoeba) in 92.0% (81/88). L. pneumophila and L. bozemanii were most frequently isolated. FLA as potential host for Legionella spp. were isolated from 40.9% (36/88) of the composts in all facilities. In Legionella-positive samples the temperature of compost was significantly lower (P = 0.012) than in Legionella-negative samples. Of 47 bioaerosol samples, 19.1% (9/47) were positive for FLA and 10.6% (5/47) for L. pneumophila. Composts (62.8%) were positive for Legionella and FLA contemporaneously, but both microorganisms were never detected simultaneously in bioaerosols. Compost can release bioaerosol containing FLA or Legionella and could represent a source of infection of community-acquired Legionella infections for workers and nearby residents. PMID:23844174

  5. Presence of Legionella and free-living Amoebae in composts and bioaerosols from composting facilities.

    Directory of Open Access Journals (Sweden)

    Lisa Conza

    Full Text Available Several species of Legionella cause Legionnaires' disease (LD. Infection may occur through inhalation of Legionella or amoebal vesicles. The reservoirs of Legionella are water, soil, potting soil and compost. Some species of free-living amoebae (FLA that are naturally present in water and soil were described as hosts for Legionella. This study aimed to understand whether or not the composting facilities could be sources of community-acquired Legionella infections after development of bioaerosols containing Legionella or FLA. We looked for the presence of Legionella (by co-culture and FLA (by culture in composts and bioaerosols collected at four composting facilities located in southern Switzerland. We investigated the association between the presence of Legionella and compost and air parameters and presence of FLA. Legionella spp. (including L. pneumophila were detected in 69.3% (61/88 of the composts and FLA (mainly Acanthamoeba, Vermamoeba, Naegleria and Stenamoeba in 92.0% (81/88. L. pneumophila and L. bozemanii were most frequently isolated. FLA as potential host for Legionella spp. were isolated from 40.9% (36/88 of the composts in all facilities. In Legionella-positive samples the temperature of compost was significantly lower (P = 0.012 than in Legionella-negative samples. Of 47 bioaerosol samples, 19.1% (9/47 were positive for FLA and 10.6% (5/47 for L. pneumophila. Composts (62.8% were positive for Legionella and FLA contemporaneously, but both microorganisms were never detected simultaneously in bioaerosols. Compost can release bioaerosol containing FLA or Legionella and could represent a source of infection of community-acquired Legionella infections for workers and nearby residents.

  6. The hierarchy of the activities of daily living in the Katz index in residents of skilled nursing facilities.

    Science.gov (United States)

    Gerrard, Paul

    2013-01-01

    Nursing facility patients are a population that has not been well studied with regard to functional status and independence previously. As such, the manner in which activities of daily living (ADL) relate to one another is not well understood in this population. An understanding of ADL difficulty ordering has helped to devise systems of functional independence grading in other populations, which have value in understanding patients' global levels of independence and providing expectations regarding changes in function. This study seeks to examine the hierarchy of ADL in the nursing facility population. Data were analyzed from the 2004 National Nursing Home Survey, a cross-sectional data set of 13 507 skilled nursing facility subjects with functional independence items. The ADL difficulty hierarchy was determined using Rasch analysis. Item fit values for the Rasch model using Mean-Square infit statistics were also determined. The robustness of the hierarchy was tested for each ADL. Two grading systems were devised from the results of the item difficulty ordering. One was based on the most difficult item that he or she could perform, and the other assigned a grade based on the least difficult item that a subject could not perform. A total of 13 113 patients were included in this analysis, the majority of whom were female and white. They had an average age of 81 years. An ordered hierarchy of ADL was found with eating being the easiest and bathing the most difficult. All items in the Katz index fit the Rasch model adequately well. The majority of patients able to perform any particular ADL were also able to perform all easier ADL. Cohen's κ for the 2 grading systems was 0.73. This study is the first to show the expected hierarchy of difficulty of the 6 activities of daily proposed in the Katz index in the nursing facility population. The hierarchy found in this population matches the original hierarchy found in older adults in the community and acute care settings

  7. Vínculos entre teatro y cine en La señorita Julia : De August Strindberg a Alf Sjöberg y Liv Ullmann

    OpenAIRE

    Oulego, Daniela

    2016-01-01

    El propósito del presente artículo es abordar comparativamente el texto dramático La señorita Julia, escrito por el dramaturgo August Strindberg, con las versiones fílmicas dirigidas por los cineastas Alf Sjöberg y Liv Ullmann. Si bien la obra responde al naturalismo, consideramos que Strindberg debatió con el carácter determinista de la herencia. En este sentido, elementos de la mitología cristiana, como el festejo de la Noche de San Juan, y la presencia de lo dionisíaco formarán parte del a...

  8. Assisted Living

    Science.gov (United States)

    ... a resident's needs depends as much on the philosophy and services of the assisted living facility as it does on the quality of care. The Administration on Aging, a part of the U.S. Department of Health and Human Services (HHS), offers these suggestions to help you ...

  9. 9 CFR 3.40 - Terminal facilities.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Terminal facilities. 3.40 Section 3.40... Pigs and Hamsters Transportation Standards § 3.40 Terminal facilities. No person subject to the Animal... animal holding areas of a terminal facility where shipments of live guinea pigs or hamsters are...

  10. 9 CFR 3.65 - Terminal facilities.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Terminal facilities. 3.65 Section 3.65... Transportation Standards § 3.65 Terminal facilities. No person subject to the Animal Welfare regulations shall commingle shipments of live rabbits with inanimate cargo. All animal holding areas of a terminal facility...

  11. Energy Systems Integration Facility (ESIF) Facility Stewardship Plan: Revision 2.1

    Energy Technology Data Exchange (ETDEWEB)

    Torres, Juan [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Anderson, Art [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2018-01-02

    The U.S. Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), has established the Energy Systems Integration Facility (ESIF) on the campus of the National Renewable Energy Laboratory (NREL) and has designated it as a DOE user facility. This 182,500-ft2 research facility provides state-of-the-art laboratory and support infrastructure to optimize the design and performance of electrical, thermal, fuel, and information technologies and systems at scale. This Facility Stewardship Plan provides DOE and other decision makers with information about the existing and expected capabilities of the ESIF and the expected performance metrics to be applied to ESIF operations. This plan is a living document that will be updated and refined throughout the lifetime of the facility.

  12. [Home care and place of death for elderly people living in the remote islands of Japan. An examination on the presence of inpatient facilities].

    Science.gov (United States)

    Horikoshi, Naoko; Kuwahara, Yuki; Taguchi, Atsuko; Nagata, Tomoko; Murashima, Sachiyo

    2013-07-01

    The purpose of this study was to clarify the actual status of end-of-life care for elderly people living in the remote islands of Japan, and whether the presence of inpatient facilities was related to the place of death, so as to obtain suggestions for constructing a system of end-of-life care. The survey targeted caregivers (85 people) who cared for elderly people (aged 65 and over), who had been legally certified for long-term care, and who had died between April 2009 and July 2011 in five islands of Japan. Islands were selected from a list of remote islands specified in the Remote Islands Development Act and related laws. Using a mixed method embedded design, we conducted semi-structured interviews using a questionnaire that assessed the place and cause of the elderly patient's death, age at death, gender, and whether the patient or family members had requested that the patient be allowed to die at home. The proportion of elderly people who died at home in the group living on remote islands with no inpatient facilities was 39.0% (16 of 41 people), compared with 18.2% (8 of 44 people) living on islands with inpatient facilities. The difference was significant (P=0.029). Among the 24 elderly people who died at home, 6 died of cancer. Terminally ill cancer patients were released to die at home under three conditions: the caregivers could provide sufficient care, the visiting physician was present, and pain control was provided. It was also possible for elderly cancer patients to receive end-of-life care in remote islands that did not have inpatient facilities. In addition, among the elderly people who died at home in the remote islands, home care had been recommended by medical staff. It is important for professionals coordinating home care to understand the characteristics of diseases, perform early assessment of caregiver situations, and collaborate with medical staff.

  13. [Interventions based on exercise and physical environment for preventing falls in cognitively impaired older people living in long-term care facilities: A systematic review and meta-analysis].

    Science.gov (United States)

    González-Román, Loreto; Bagur-Calafat, Caritat; Urrútia-Cuchí, Gerard; Garrido-Pedrosa, Jèssica

    2016-01-01

    This systematic review aims to report the effectiveness of interventions based on exercise and/or physical environment for reducing falls in cognitively impaired older adults living in long-term care facilities. In July 2014, a literature search was conducted using main databases and specialised sources. Randomised controlled trials assessing the effectiveness of fall prevention interventions, which used exercise or physical environment among elderly people with cognitive impairment living in long-term care facilities, were selected. Two independent reviewers checked the eligibility of the studies, and evaluated their methodological quality. If it was adequate, data were gathered. Fourteen studies with 3,539 participants using exercise and/or physical environment by a single or combined approach were included. The data gathered from studies that used both interventions showed a significant reduction in fall rate. Further research is needed to demonstrate the effectiveness of those interventions for preventing falls in the elderly with cognitive impairment living in long-term care establishments. Copyright © 2015 SEGG. Published by Elsevier Espana. All rights reserved.

  14. An avirulent chimeric Pestivirus with altered cell tropism protects pigs against lethal infection with classical swine fever virus

    International Nuclear Information System (INIS)

    Reimann, Ilona; Depner, Klaus; Trapp, Sascha; Beer, Martin

    2004-01-01

    A chimeric Pestivirus was constructed using an infectious cDNA clone of bovine viral diarrhea virus (BVDV) [J. Virol. 70 (1996) 8606]. After deletion of the envelope protein E2-encoding region, the respective sequence of classical swine fever virus (CSFV) strain Alfort 187 was inserted in-frame resulting in plasmid pA/CP7 E 2alf. After transfection of in vitro-transcribed CP7 E 2alf RNA, autonomous replication of chimeric RNA in bovine and porcine cell cultures was observed. Efficient growth of chimeric CP7 E 2alf virus, however, could only be demonstrated on porcine cells, and in contrast to the parental BVDV strain CP7, CP7 E 2alf only inefficiently infected and propagated in bovine cells. The virulence, immunogenicity, and 'marker vaccine' properties of the generated chimeric CP7 E 2alf virus were determined in an animal experiment using 27 pigs. After intramuscular inoculation of 1 x 10 7 TCID 50 , CP7 E 2alf proved to be completely avirulent, and neither viremia nor virus transmission to contact animals was observed; however, CSFV-specific neutralizing antibodies were detected from day 11 after inoculation. In addition, sera from all animals reacted positive in an E2-specific CSFV-antibody ELISA, but were negative for CSFV-E RNS -specific antibodies as determined with a CSFV marker ELISA. After challenge infection with highly virulent CSFV strain Eystrup, pigs immunized with CP7 E 2alf were fully protected against clinical signs of CSFV infection, viremia, and shedding of challenge virus, and almost all animals scored positive in a CSFV marker ELISA. From our results, we conclude that chimeric CP7 E 2alf may not only serve as a tool for a better understanding of Pestivirus attachment, entry, and assembly, but also represents an innocuous and efficacious modified live CSFV 'marker vaccine'

  15. Modification of Colombian clays with pillars mixed Al-Fe and their evaluation in the catalytic oxidation of phenol in diluted watery solution; Modificacion de arcillas colombianas con pilares mixtos Al-Fe y su evaluacion en la oxidacion catalitica de Fenol en solucion acuosa diluida

    Energy Technology Data Exchange (ETDEWEB)

    Galeano, Luis A; Moreno G, Sonia

    2002-07-01

    The environmental legislation has become in the last time particularly restrictive with the bio-recalcitrant pollutants manage in the wastewaters. The pillared clays show great versatility to adjust at demands of the environmental reactions. Present study show that is achieve the modification of starting Colombian clays with precursor solutions of Al-Fe mixed pillars, and is found an excellent performance of them in the catalytic oxidation of aqueous solutions with middle contents of Total Organic Carbon TOC (36 mg C/L). The materials prepared in this way reached quantitative conversion of phenol, as model pollutant, in 2 hours of reaction at 20 Celsius degrade and atmospheric pressure; in 4 hours of reaction, the removal reached 62% of TOC in the solution yielding light carboxylic acids as main byproducts, although that CO{sub 2}. The materials are stable under strongly oxidation media of reaction, and the iron leached in the effluent is close to 0,2 mg/L for the material of better catalytic performance.

  16. Functioning Mechanism of AlF 3 Coating on the Li- and Mn-Rich Cathode Materials

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Jianming; Gu, Meng; Xiao, Jie; Polzin, Bryant J.; Yan, Pengfei; Chen, Xilin; Wang, Chongmin; Zhang, Ji-Guang

    2014-11-25

    We report systematic studies of the microstructural changes of uncoated and AlF3-coated Li-rich Mn-rich (LMR) cathode materials (Li1.2Ni0.15Co0.10Mn0.55O2) before and after cycling using a combination of aberration-corrected scanning/transmission electron microscopy (S/TEM) and electron energy loss spectroscopy (EELS). TEM coupled with EELS provides detailed information about the crystallographic and electronic structure changes that occur after cycling, thus revealing the fundamental improvement mechanism of surface coating. The results demonstrate that the surface coating reduces oxidation of the electrolyte at high voltage, suppressing the accumulation of a thick solid electrolyte interface (SEI) layer on electrode particle surface. Surface coating significantly enhances the stability of the surface structure and protects the electrode from severe etching/corrosion by the acidic species in the electrolyte, reducing the formation of etched surfaces and corrosion pits. Moreover, surface coating alleviates the undesirable voltage fade by mitigating layered to spinel-like phase transformation in the bulk region of the material. These fundamental findings may also be widely applied to explain the functioning mechanisms of other surface coatings used in a broad range of electrode materials.

  17. A novel facility for 3D micro-irradiation of living cells in a controlled environment by MeV ions.

    Science.gov (United States)

    Mäckel, V; Meissl, W; Ikeda, T; Clever, M; Meissl, E; Kobayashi, T; Kojima, T M; Imamoto, N; Ogiwara, K; Yamazaki, Y

    2014-01-01

    We present a novel facility for micro-irradiation of living targets with ions from a 1.7 MV tandem accelerator. We show results using 1 MeV protons and 2 MeV He(2+). In contrast to common micro-irradiation facilities, which use electromagnetic or electrostatic focusing and specially designed vacuum windows, we employ a tapered glass capillary with a thin end window, made from polystyrene with a thickness of 1-2 μm, for ion focusing and extraction. The capillary is connected to a beamline tilted vertically by 45°, which allows for easy immersion of the extracted ions into liquid environment within a standard cell culture dish. An inverted microscope is used for simultaneously observing the samples as well as the capillary tip, while a stage-top incubator provides an appropriate environment for the samples. Furthermore, our setup allows to target volumes in cells within a μm(3) resolution, while monitoring the target in real time during and after irradiation.

  18. SHiP: a new facility for searching for long-lived neutral particles and studying the tau neutrino properties

    CERN Document Server

    AUTHOR|(SzGeCERN)658186

    2016-01-01

    SHiP (Search for Hidden Particles) is a new general purpose fixed target facility, proposed at the CERN SPS accelerator. In its initial phase, the 400 GeV proton beam will be dumped on a heavy target, integrating $2\\times 10^{20}$ protons on target in 5 years. A dedicated detector located downstream of the target, based on a long vacuum tank and a spectrometer and particle identification detectors, will allow probing a variety of models with light long-lived neutral and very weakly interacting particles and masses below 10 GeV. The main focus will be the physics of the so-called Hidden Portals, i.e. search for Dark Photons, Light scalars and pseudo-scalars, and Heavy Neutrinos. The sensitivity to Heavy Neutrinos will allow for the first time to probe, in the mass range between the kaon and the charm meson mass, a coupling range for which the baryon asymmetry of the Universe could be explained. Direct detection of light and long-lived SUSY particles, such as RPV neutralinos and pseudo-Dirac gauginos could als...

  19. Efficacy of chimeric Pestivirus vaccine candidates against classical swine fever: protection and DIVA characteristics.

    Science.gov (United States)

    Eblé, P L; Geurts, Y; Quak, S; Moonen-Leusen, H W; Blome, S; Hofmann, M A; Koenen, F; Beer, M; Loeffen, W L A

    2013-03-23

    Currently no live DIVA (Differentiating Infected from Vaccinated Animals) vaccines against classical swine fever (CSF) are available. The aim of this study was to investigate whether chimeric pestivirus vaccine candidates (CP7_E2alf, Flc11 and Flc9) are able to protect pigs against clinical signs, and to reduce virus shedding and virus transmission, after a challenge with CSF virus (CSFV), 7 or 14 days after a single intramuscular vaccination. In these vaccine candidates, either the E2 or the E(rns) encoding genome region of a bovine viral diarrhoea virus strain were combined with a cDNA copy of CSFV or vice versa. Furthermore, currently available serological DIVA tests were evaluated. The vaccine candidates were compared to the C-strain. All vaccine candidates protected against clinical signs. No transmission to contact pigs was detected in the groups vaccinated with C-strain, CP7_E2alf and Flc11. Limited transmission occurred in the groups vaccinated with Flc9. All vaccine candidates would be suitable to stop on-going transmission of CSFV. For Flc11, no reliable differentiation was possible with the current E(rns)-based DIVA test. For CP7_E2alf, the distribution of the inhibition percentages was such that up to 5% false positive results may be obtained in a large vaccinated population. For Flc9 vaccinated pigs, the E2 ELISA performed very well, with an expected 0.04% false positive results in a large vaccinated population. Both CP7_E2alf and Flc9 are promising candidates to be used as live attenuated marker vaccines against CSF, with protection the best feature of CP7_E2alf, and the DIVA principle the best feature of Flc9. Copyright © 2012 Elsevier B.V. All rights reserved.

  20. The waste disposal facility in the Aube District

    International Nuclear Information System (INIS)

    Torres, Patrice

    2013-06-01

    The waste disposal facility in the Aube district is the second surface waste disposal facility built in France. It is located in the Aube district, and has been operated by Andra since 1992. With a footprint of 95 hectares, it is licensed for the disposal of 1 million cubic meters of low- and intermediate-level, short-lived waste packages. The CSA is located a few kilometers away another Andra facility, currently in operation for very-low-level waste, and collection and storage of non-nuclear power waste (the Cires). Contents: Andra in the Aube district, an exemplary industrial operator - The waste disposal facility in the Aube district (CSA); Low- and intermediate-level, short-lived radioactive waste (LILW-SL); The LILW-SL circuit; Protecting present and future generations

  1. Pleniglacial sedimentation process reconstruction on laminated lacustrine sediments from lava-dammed Paleolake Alf, West Eifel Volcanic Field (Germany)

    Science.gov (United States)

    Eichhorn, Luise; Pirrung, Michael; Zolitschka, Bernd; Büchel, Georg

    2017-09-01

    Differentiating between regularly seasonal, irregular and event-based clastic sedimentation is difficult if sedimentation structures resemble and dating methods are imprecise. In this study - clastic light and dark laminae from lava-dammed Paleolake Alf in the Late Pleistocene in the Quaternary West Eifel Volcanic Field are analyzed to clarify how they formed and if they are of annual origin and comparable to assumed periglacial varves from neighboring Lake Holzmaar. Therefore, a multiproxy approach is applied combining sediment thin section analysis which focuses on composition and structure with 14C dates. The results are compared to recently-formed annually-laminated clastic sediments of, e.g., the High Canadian Arctic. Observed sedimentation structures reveal sediment delivery by over- and interflows and deposition from suspension forming two characteristic microfacies: Type I graded laminae and Type II laminae with graded sublayers. Additionally, erosional bases and event deposits indicate episodic underflows. Thus, lamination is potentially seasonal but is significantly veiled by extreme runoff causing erosion and resuspension processes or a mixed water body preventing sediment delivery into the lake basin. However, sedimentation processes between watershed and lake could be reconstructed by comparing recent and paleosediment structures.

  2. Seniors' experiences of living in special housing accommodation

    Science.gov (United States)

    Hellberg, Ingela; Augustsson, Veronica; Hellström Muhli, Ulla

    2011-01-01

    This article presents a hermeneutic phenomenological analysis of interview material in which 12 seniors living in Special Housing Accommodation (SHA) facilities reflect on the experience of living in such facilities. Of particular interest in the analysis is living in a SHA as a phenomenon. The finding shows that the phenomenon of lived experience in a SHA seems to be a state of ambiguity regarding one's existence, which is made up of several constituents (elements of meaning). The analysis contributes to the understanding of how the phenomenon of SHA living is coming into existence as a need, due to an individual's failing health; however, the SHA is not considered to be a true home. Accordingly, this has consequences to the subject position for the seniors in that they have to navigate between existing and not existing. The seniors learn to cope with living in the SHA by lowering their expectations of life and existence while the SHA provides the prerequisites for their existence. An implication for promoting care is to support the seniors to enable a full existence of life within SHA living. PMID:21412446

  3. Modificación de arcillas colombianas con pilares mixtos de Al-Fe y su evaluación en la oxidación catalítica de fenol en solución acuosa diluida

    OpenAIRE

    Luis Galeano; Sonia Moreno

    2010-01-01

    La legislación ambiental es particularmente restrictiva respecto a la disposición de contaminantes biorrefractarios presentes en aguas residuales. Las arcillas pilarizadas tienen gran versatilidad para ajustarse a reacciones de interés ambiental, entre otras. En el presente estudio se logran modificar arcillas de origen colombiano con soluciones de pilares mixtos Al-Fe, las cuales muestran un excelente desempeño en la oxidación catalítica de soluciones acuosas con contenidos medios de carb...

  4. Decommissioning Strategies Selection for Facilities Using Radioactive Material

    International Nuclear Information System (INIS)

    Husen Zamroni; Jaka Rachmadetin

    2008-01-01

    The facilities using radioactive material that have been stopped operation will require some form of the decommissioning for public and environment safety. The approaches are identified by three decommissioning strategies: immediate dismantling, deferred dismantling and entombment. If a facility undergoes immediate dismantling, most radio nuclides will have no such sufficient time to decay and therefore this strategy may not provide reduction in the worker exposure. A facility that undergoes deferred dismantling may advantage from the radioactive decay of residual radio nuclides during the long term storage period and entombment could be a viable option for other nuclear facilities containing only short lived or limited concentrations of long lived radionuclides. Mostly, only two types of the decommissioning used to be done in the world, immediate and deferred dismantling. (author)

  5. Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report.

    Science.gov (United States)

    de Souto Barreto, Philipe; Morley, John E; Chodzko-Zajko, Wojtek; H Pitkala, Kaisu; Weening-Djiksterhuis, Elizabeth; Rodriguez-Mañas, Leocadio; Barbagallo, Mario; Rosendahl, Erik; Sinclair, Alan; Landi, Francesco; Izquierdo, Mikel; Vellas, Bruno; Rolland, Yves

    2016-05-01

    A taskforce, under the auspices of The International Association of Gerontology and Geriatrics-Global Aging Research Network (IAGG-GARN) and the IAGG European Region Clinical Section, composed of experts from the fields of exercise science and geriatrics, met in Toulouse, in December 2015, with the aim of establishing recommendations of physical activity and exercise for older adults living in long-term care facilities (LTCFs). Due to the high heterogeneity in terms of functional ability and cognitive function that characterizes older adults living in LTCFs, taskforce members established 2 sets of recommendations: recommendations for reducing sedentary behaviors for all LTCF residents and recommendations for defining specific, evidence-based guidelines for exercise training for subgroups of LTCF residents. To promote a successful implementation of recommendations, taskforce experts highlighted the importance of promoting residents' motivation and pleasure, the key factors that can be increased when taking into account residents' desires, preferences, beliefs, and attitudes toward physical activity and exercise. The importance of organizational factors related to LTCFs and health care systems were recognized by the experts. In conclusion, this taskforce report proposes standards for the elaboration of strategies to increase physical activity as well as to prescribe exercise programs for older adults living in LTCFs. This report should be used as a guide for professionals working in LTCF settings. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  6. The effect of garden designs on mood and heart output in older adults residing in an assisted living facility.

    Science.gov (United States)

    Goto, Seiko; Park, Bum-Jin; Tsunetsugu, Yuko; Herrup, Karl; Miyazaki, Yoshifumi

    2013-01-01

    The objective of this study is to trace short-term changes in mood and heart function in elderly individuals in response to exposure to different landscaped spaces. Nineteen elderly but cognitively intact residents of an assisted living facility participated in the study. They were exposed to three landscaped spaces: a Japanese style garden, an herb garden, and a simple landscaped area planted with a single tree. To assess the effect of different landscaped spaces on older adults, individuals were monitored for mood and cardiac function in response to short exposures to spaces. Mood state was assessed using Profile of Mood States (POMS) before and after viewing the spaces. Cardiac output was assessed using a portable electrocardiograph monitor before and during the viewing. We found that the structured gardens evoked greater responses in all outcome measures. Scores on the POMS improved after observation of the two organized gardens compared to responses to the simple landscaped space with a single tree. During the observation period, heart rate was significantly lower in the Japanese garden than in the other environments, and sympathetic function was significantly lower as well. We conclude that exposure to organized gardens can affect both the mood and cardiac physiology of elderly individuals. Our data further suggest that these effects can differ depending on the types of landscape to which an individual is exposed. Elderly, Japanese garden, herb garden, heart rate, mood, healing environmentPreferred Citation: Goto, S., Park, B-J., Tsunetsugu, Y., Herrup, K., & Miyazaki, Y. (2013). The effect of garden designs on mood and heart output in older adults residing in an assisted living facility. Health Environments Research & Design Journal 6(2), pp 27-42.

  7. Facility-based delivery and maternal and early neonatal mortality in ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    One of the most important ways to address some of the key factors ... services, facility-based delivery, facility delivery, institutional delivery ..... Percent of women reporting delivering in a health facility. Quintile* ranking of facility- based delivery. Maternal. Mortality. Ration. (MMR) per. 1000 Live. Births. African. MMR quintile*.

  8. Supporting aging in place & assisted living through home care.

    Science.gov (United States)

    Gorshe, N

    2000-06-01

    This article defines assisted living, discusses the pros and cons of limited regulation, scope of service, Aging-in-Place partnerships, and how home care agencies can work with assisted-living facilities to provide care. It also examines a study on assisted living in six states that is funded by the Robert Wood Johnson Foundation.

  9. Modification of Colombian clays with pillars mixed Al-Fe and their evaluation in the catalytic oxidation of phenol in diluted watery solution

    International Nuclear Information System (INIS)

    Galeano, Luis A; Moreno G, Sonia

    2002-01-01

    The environmental legislation has become in the last time particularly restrictive with the bio-recalcitrant pollutants manage in the wastewaters. The pillared clays show great versatility to adjust at demands of the environmental reactions. Present study show that is achieve the modification of starting Colombian clays with precursor solutions of Al-Fe mixed pillars, and is found an excellent performance of them in the catalytic oxidation of aqueous solutions with middle contents of Total Organic Carbon TOC (36 mg C/L). The materials prepared in this way reached quantitative conversion of phenol, as model pollutant, in 2 hours of reaction at 20 Celsius degrade and atmospheric pressure; in 4 hours of reaction, the removal reached 62% of TOC in the solution yielding light carboxylic acids as main byproducts, although that CO 2 . The materials are stable under strongly oxidation media of reaction, and the iron leached in the effluent is close to 0,2 mg/L for the material of better catalytic performance

  10. Radonclose - the system of Soviet designed regional waste management facilities

    International Nuclear Information System (INIS)

    Horak, W.C.; Reisman, A.; Purvis, E.E. III.

    1997-01-01

    The Soviet Union established a system of specialized regional facilities to dispose of radioactive waste generated by sources other than the nuclear fuel cycle. The system had 16 facilities in Russia, 5 in Ukraine, one in each of the other CIS states, and one in each of the Baltic Republics. These facilities are still being used. The major generators of radioactive waste they process these are research and industrial organizations, medical and agricultural institution and other activities not related to nuclear power. Waste handled by these facilities is mainly beta- and gamma-emitting nuclides with half lives of less than 30 years. The long-lived and alpha-emitting isotopic content is insignificant. Most of the radwaste has low and medium radioactivity levels. The facilities also handle spent radiation sources, which are highly radioactive and contain 95-98 percent of the activity of all the radwaste buried at these facilities

  11. Assisted Living Facilities - CARE_LONG_TERM_FACILITIES_ISDH_IN: Residential Care Facilities, Nursing Homes, and Hospices in Indiana in 2007 (Indiana State Department of Health, Point Shapefile)

    Data.gov (United States)

    NSGIC State | GIS Inventory — CARE_LONG_TERM_FACILITIES_ISDH_IN is a point shapefile showing the locations of 86 residential care facilities, 525 long-term care facilities (nursing homes), and 81...

  12. Is the closest facility the one actually used? An assessment of travel time estimation based on mammography facilities.

    Science.gov (United States)

    Alford-Teaster, Jennifer; Lange, Jane M; Hubbard, Rebecca A; Lee, Christoph I; Haas, Jennifer S; Shi, Xun; Carlos, Heather A; Henderson, Louise; Hill, Deirdre; Tosteson, Anna N A; Onega, Tracy

    2016-02-18

    Characterizing geographic access depends on a broad range of methods available to researchers and the healthcare context to which the method is applied. Globally, travel time is one frequently used measure of geographic access with known limitations associated with data availability. Specifically, due to lack of available utilization data, many travel time studies assume that patients use the closest facility. To examine this assumption, an example using mammography screening data, which is considered a geographically abundant health care service in the United States, is explored. This work makes an important methodological contribution to measuring access--which is a critical component of health care planning and equity almost everywhere. We analyzed one mammogram from each of 646,553 women participating in the US based Breast Cancer Surveillance Consortium for years 2005-2012. We geocoded each record to street level address data in order to calculate travel time to the closest and to the actually used mammography facility. Travel time between the closest and the actual facility used was explored by woman-level and facility characteristics. Only 35% of women in the study population used their closest facility, but nearly three-quarters of women not using their closest facility used a facility within 5 min of the closest facility. Individuals that by-passed the closest facility tended to live in an urban core, within higher income neighborhoods, or in areas where the average travel times to work was longer. Those living in small towns or isolated rural areas had longer closer and actual median drive times. Since the majority of US women accessed a facility within a few minutes of their closest facility this suggests that distance to the closest facility may serve as an adequate proxy for utilization studies of geographically abundant services like mammography in areas where the transportation networks are well established.

  13. Implementação de um sistema de gestão ambiental nos serviços de água e saneamento da Câmara Municipal de Alfândega da Fé

    OpenAIRE

    Araújo, Ana Sofia da Silva

    2017-01-01

    A implementação de um SGA pressupõe o desenvolvimento de um conjunto de atividades ambientais e ferramentas de gestão que ajudam a organização a definir, implementar, manter e melhorar estratégias proactivas. Na Câmara Municipal de Alfândega da Fé, existem processos que já estão certificados pela NP ISO 14001, nomeadamente: “Licenças Administrativas”, “Urbanismo”, “Ambiente”, “Proteção Civil e Florestas”, “Ação Social, Educação e Desporto”, “Cultura e Turismo”, “Biblioteca M...

  14. Estimativa do potencial de degradação do solo antes e depois de um grande incêndio florestal numa bacia elementar de Alfândega da Fé

    OpenAIRE

    Costa, Rui; Figueiredo, Tomás de; Fonseca, Felícia

    2016-01-01

    Os grandes incêndios florestais expõem o solo, em extensas áreas e por largo tempo, à degradação por erosão hídrica. O local de estudo, uma pequena bacia elementar em Alfândega da Fé, NE Portugal, apresenta ainda marcas do grande incêndio de Picões (Julho de 2013), que afetou cerca de 14000 ha. Este trabalho propos-se, através da avaliação das caraterísticas biofísicas e morfológicas da bacia e aplicando o modelo de erosão USLE (Equação Universal de Perda de Solo), estimar o risco potencial d...

  15. Patterns of emergency ambulance use, 2009-13: a comparison of older people living in Residential Aged Care Facilities and the Community.

    Science.gov (United States)

    Dwyer, R; Gabbe, B; Tran, T D; Smith, K; Lowthian, J A

    2018-04-24

    to examine demand for emergency ambulances by older people. retrospective cohort study using secondary analysis of routinely collected clinical and administrative data from Ambulance Victoria, and population data from the Australian Bureau of Statistics and the Australian Institute of Health and Welfare. Victoria, Australia. people aged 65 years and over, living in Residential Aged Care Facilities (RACF) and the community, attended by emergency ambulance paramedics, 2009-13. rates of emergency ambulance attendance. older people living in RACF experienced high rates of emergency ambulance attendance, up to four times those for age- and sex-matched people living in the community. Rates remained constant during the study period equating to a consistent, 1.45% average annual increase in absolute demand. Rates peak among the 80-84-year group where the number of attendances equates to greater than one for every RACF-dwelling person each year. Increased demand was associated with winter months, increasing age and being male. these data provide strong evidence of high rates of emergency ambulance use by people aged 65 years and over living in RACF. These results demonstrate a clear relationship between increased rate of ambulance use among this vulnerable group of older Australians and residence, sex, age and season. Overall, absolute demand continues to increase each year adding to strain on health resources. Additional research is needed to elucidate individual characteristics, illness and health system contributors to ambulance use to inform strategies to appropriately reduce demand.

  16. Commercial facilities in future cities and urban redevelopment

    Energy Technology Data Exchange (ETDEWEB)

    1988-07-01

    The future trends of commercial facilities were clarified by interviewing the people concerned in the commercial facilities with large floor area and relatively large energy consumption per unit area such as office building, hospital, hotel, department store, restaurant, educational facilities, sports facilities and urban redevelopment. Since an intelligent building will basically employ the office automation, it is estimated that most of the commercial buildings constructed for the future redevelopment will be intelligent buildings. Hospitals will require the system maintaining the quality of life of individual patient. It is expected that high quality hotels focusing on a touch of high class will be constructed. Department stores will aim at the daily living industry. Future restaurants will need a definite concept. Universities will have to increase new sections according to new students and change in social conditions. It is expected that high quality businesses districts and living quarters in business-centered cities will be planned for urban redevelopment. (4 figs. 3 tabs.)

  17. Licence applications for low and intermediate level waste predisposal facilities: A manual for operators

    International Nuclear Information System (INIS)

    2009-07-01

    This publication covers all predisposal waste management facilities and practices for receipt, pretreatment (sorting, segregation, characterization), treatment, conditioning, internal relocation and storage of low and intermediate level radioactive waste, including disused sealed radioactive sources. The publication contains an Annex presenting the example of a safety assessment for a small radioactive waste storage facility. Facilities dealing with both short lived and long lived low and intermediate level waste generated from nuclear applications and from operation of small nuclear research reactors are included in the scope. Processing and storage facilities for high activity disused sealed sources and sealed sources containing long lived radionuclides are also covered. The publication does not cover facilities processing or storing radioactive waste from nuclear power plants or any other industrial scale nuclear fuel cycle facilities. Disposal facilities are excluded from the scope of this publication. Authorization process can be implemented in several stages, which may start at the site planning and the feasibility study stage and will continue through preliminary design, final design, commissioning, operation and decommissioning stages. This publication covers primarily the authorization needed to take the facility into operation

  18. Effect of alkaline metal cations on the ionic structure of cryolite melts: Ab-initio NpT MD study

    Science.gov (United States)

    Bučko, Tomáš; Šimko, František

    2018-02-01

    Ab initio molecular dynamics simulations in an NpT ensemble have been performed to study the role of alkaline metal cations (Me = Li, Na, K, Rb) on the structure and vibrational properties of melts of Me-cryolites (Me3AlF6) at T = 1300 K. In all melts examined in this work, the species AlF52 - has been found to be formed at the highest abundance [from 58% (Li) to 70% (Na)] among the Al-containing anionic clusters. The concentration of clusters AlF4- increases with the size of cations while that of anions AlF63 - follows the opposite trend and it becomes negligible in the melts of the K- and Rb-cryolites. The computed percentage of the Al atoms participating in the formation of dimers Al2Fm6 -m bridged via common F atoms is significant only in the case of Li- and Na-cryolites (16% and 10%, respectively) and the formation of even larger aggregates is found to be unlikely in all four melts. The percentage of the F atoms that are not bound to Al is ˜20% in all four melts and the ions formed by Me+ and F- are found to be only short-lived. Vibrational analysis has been performed using the velocity autocorrelation functions computed for the Cartesian and selected internal coordinates describing Raman-active symmetric stretching vibrations of different AlFn species. The results of vibrational analysis allowed us to identify trends in the variation of positions and shapes of peaks corresponding to the anionic fragments AlF4-, AlF52 -, and AlF63 - with the size of cations, and these trends are found to be consistent with those deduced from the available Raman spectroscopy experiments. Our findings represent a new insight into the properties of cryolite melts, which will be useful for the interpretation of experimental data.

  19. Storage of long lived solid waste

    International Nuclear Information System (INIS)

    Ozarde, P.D.; Agarwal, K.; Gupta, R.K.; Gandhi, K.G.

    2009-01-01

    Long lived solid waste, generated during the fuel cycle mainly includes high level vitrified waste product, high level cladding hulls and low and intermediate level alpha wastes. These wastes require storage in specially designed engineered facilities before final disposal into deep geological repository. Since high-level vitrified waste contain heat generating radionuclides, the facility for their storage is designed for continuous cooling. High level cladding hulls undergo volume reduction by compaction and will be subsequently stored. (author)

  20. Daily tritium intakes by people living near a heavy-water research reactor facility: dosimetric significance

    International Nuclear Information System (INIS)

    Trivedi, A.; Cornett, R.J.; Galeriu, D.; Workman, W.; Brown, R.M.

    1997-02-01

    We have estimated the relative daily intakes of tritiated water (HTO) and organically bound tritium (OBT), and have measured HTO-in-urine, in an adult population residing in the town of Deep River, Ontario, near a heavy-water research reactor facility at Chalk River. The daily intake of elevated levels of atmospheric tritium has been estimated from its concentration in environmental and biological samples, and various food items from a local tritium-monitoring program. Where the available data were inadequate, we used estimates generated by an environmental tritium-transfer model. From these data and estimates, we calculated a total daily tritium intake of about 55 Bq. Of this amount, 2.5 Bq is obtained from OBT-in-diet. Inhalation of HTO-in-air (15 Bq d -1 ) and HTO-in-drinking water (15 Bq d -1 ) accounts for more than half of the HTO intake. Skin absorption of HTO from air and bathing or swimming (for 30 min d -1 ) accounts for another 9 Bq d -1 and 0.1 Bq d -1 , respectively. The remaining intake of HTO is from food as tissue-free water tritium. The International Commission on Radiological Protection's recommended two-compartment metabolic model for tritium predicts an equilibrium body burden of about 900 Bq from HTO (818 Bq) and OBT (83 Bq) in the body, which corresponds to an annual tritium dose of 0.41 μSv. The model-predicted urinary excretion of HTO (∼18 Bq L -1 ) agrees well with measured HTO-in-urine (range, 10-32 Bq L -1 ). The OBT dose contribution to the total tritium dose is about 16%. We conclude that for the people living near the Chalk River research reactor facility, the bulk of the tritium dose is due to HTO intake. (author)

  1. Optimising mobility through the sit-to-stand activity for older people living in residential care facilities: A qualitative interview study of healthcare aide experiences.

    Science.gov (United States)

    Kagwa, Sharon A; Boström, Anne-Marie; Ickert, Carla; Slaughter, Susan E

    2018-03-01

    To explore the experience of HCAs encouraging residents living in residential care to complete the sit-to-stand activity and to identify the strategies HCAs used to integrate the activity into their daily work routines. Decreased mobility in advanced ageing is further reduced when entering a residential care facility. Interventions such as the sit-to-stand activity have been shown to have a positive effect on the mobility of older people. There is evidence to suggest that healthcare aides are able to support residents to complete the sit-to-stand activity as part of their daily work routines; however, little is known about how healthcare aides actually do this with residents living in residential care. A qualitative interview study included seven purposively sampled HCAs working in residential care facilities. Semistructured interviews were analysed using inductive qualitative content analysis. The HCAs' experience with the sit-to-stand activity was represented by the following four categories: Resident participation, Feeling misunderstood and disrespected, Time and workload, and Management involvement. HCAs identified three strategies to help them support residents to complete the sit-to-stand activity: Motivating residents, Completing activity in a group and Using time management skills. HCAs reported some encouragement from managers and cooperation from residents to complete the sit-to-stand activity with residents; however, they also felt constrained by time limitations and workload demands and they felt misunderstood and disrespected. HCAs were able to identify several strategies that helped them to integrate the sit-to-stand activity into their daily routines. This study highlights the challenges and supportive factors of implementing the sit-to-stand activity into the daily work routine of HCAs. The study also identifies the strategic role of nurse managers when implementing interventions in residential care facilities. © 2017 John Wiley & Sons Ltd.

  2. Fuel Handling Facility Description Document

    International Nuclear Information System (INIS)

    M.A. LaFountain

    2005-01-01

    The purpose of the facility description document (FDD) is to establish the requirements and their bases that drive the design of the Fuel Handling Facility (FHF) to allow the design effort to proceed to license application. This FDD is a living document that will be revised at strategic points as the design matures. It identifies the requirements and describes the facility design as it currently exists, with emphasis on design attributes provided to meet the requirements. This FDD was developed as an engineering tool for design control. Accordingly, the primary audience and users are design engineers. It leads the design process with regard to the flow down of upper tier requirements onto the facility. Knowledge of these requirements is essential to performing the design process. It trails the design with regard to the description of the facility. This description is a reflection of the results of the design process to date

  3. Communication Can Save Lives PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    This 60 second public service announcement (PSA) is based on the August 2015 CDC Vital Signs report. Antibiotic-resistant germs cause at least 23,000 deaths each year. Learn how public health authorities and health care facilities can work together to save lives.

  4. Well-being, the Decision making process in residential care facilities and accommodation in Denmark

    DEFF Research Database (Denmark)

    Knudstrup, Mary-Ann; Harder, Henrik

    process. 3. Alternatives to "the living environments”. In general a discussion about “the living environments” as the only and right solution for organising the residential care facilities and accommodation in Denmark is recommended. Maybe there should be a possibility given to create more private...... for assisted living residential care facilities and accommodation for senior citizens selected from different parts of Denmark. The case study will provide important knowledge on municipal activities in the area of residential care facilities, as well as discuss the different actors’ roles in the decision......-based knowledge is needed: There is a need for research-based knowledge manuals among the actors involved in the planning and project design process which describe systematically the importance of working with the different aspects on well-being in residential care facilities and accommodation in Denmark. 2. More...

  5. Establishing the NeuroRecovery Network Community Fitness and Wellness facilities: multi-site fitness facilities provide activity-based interventions and assessments for evidence-based functional gains in neurologic disorders.

    Science.gov (United States)

    Tolle, Heather; Rapacz, Andrew; Weintraub, Barry; Shogren, Carrie; Harkema, Susan J; Gibson, Jeremy L

    2017-08-17

    Physical fitness is a necessity for those living with a spinal cord injury, yet access to fitness facilities, equipment, and specially trained fitness experts are limited. This article introduces the concept of a network of fitness facilities specially geared towards individuals with spinal cord injury and other neurological disorders. The Community Fitness and Wellness branch of the NeuroRecovery Network was created to provide a continuum of care after traditional rehabilitation for individuals living with a spinal cord injury and other neurological disorders. Community Fitness and Wellness facilities translate activity-based interventions performed during rehabilitation into a community setting as well as provide other fitness and wellness opportunities. Community Fitness and Wellness facilities are staffed by professionals with training on the specialized needs of individuals living with spinal cord injury or other neurological disorders. Standardized assessments evaluate functional, health, and quality of life gains at regular intervals. A national database gathers information on standardized interventions and assessment outcomes providing a mechanism for evaluation of interventions performed in the community setting. The establishment of Community Fitness and Wellness facilities allows for the quick translation and evaluation of novel, effective approaches from research to individuals in the community. Implications for Rehabilitation Fitness needs of individuals with spinal cord injury living in the community necessitate the use of special equipment and trained staff. Community Fitness and Wellness Programs offer specially trained staff and adaptive equipment providing a continuity of care for those with spinal cord injuries and other neurological disorders.

  6. Access to comprehensive emergency obstetric and newborn care facilities in three rural districts of Sindh province, Pakistan.

    Science.gov (United States)

    Ansari, Muhammad Shahid; Manzoor, Rabia; Siddiqui, Nasim; Ahmed, Ahsan Maqbool

    2015-11-25

    Pakistan's maternal and child health indicators remain unacceptably high, with a maternal mortality ratio of 276 per 100,000 live births and a neonatal mortality rate of 55 per 1,000 live births. Provision of basic and comprehensive emergency obstetric and newborn care is mandated by the government; however, coverage, access, and utilisation levels remain unsatisfactory, with the situation in Sindh province being amongst the worst in the country. This study attempted to assess access to comprehensive emergency obstetric and newborn care (C-EmONC) facilities and barriers hampering access in Sindh. One public sector hospital in each of three districts in Sindh province providing C-EmONC services were selected for a facility exit survey. A cross-sectional household survey and focus group discussions were conducted in the catchment population of these hospitals. Overall, 82% and 96% of those who utilised a public or private C-EmONC facility, respectively, incurred out-of-pocket expenditure. As expected, those living more than 5 km from the facility reported higher mean expenditure than those living within 5 km of the facility. More than half of the respondents (55%) among public sector users and the majority (71%) of private sector users could not afford travel costs. More than one third (35%) of public sector users and about two thirds (64%) of private sector users who could not afford travel costs took loans. The proportion of respondents who took loans was higher among those living more than 5 km of the health facility compared to those living within a 5 km distance. The majority of respondents (70%) in the community survey chose to go to a private sector C-EmONC facility. In addition to poverty, in terms of sociocultural access, religious and ethnic discrimination and the poor attitude of facility staff were amongst the most important barriers to accessing a C-EmONC facility. C-EmONC facilities in both the public and private sectors may simply not be accessible and

  7. Basic study on neutron activation analysis measuring short-lived nuclides (half-lives 0.7 to 100 s) using JRR-3M NAA facility

    International Nuclear Information System (INIS)

    Yonezawa, Chushiro; Ichimura, Shigeju; Matsue, Hideaki; Kurosawa, Tatsuya

    1998-11-01

    Analytical basis for neutron activation analysis (NAA) measuring nuclides of second order half-life produced by (n, γ) reaction has been studied using a neutron activation analysis facility of JRR-3M. Basic experimental conditions such as high count rate gamma-ray measurement, effects of irradiation capsule material and stability of neutron flux were examined. The analytical sensitivities and detection limits for 20 elements of which activated radionuclides have half-lives from 0.7 to 100 s were obtained. Scandium, Hf, Dy and In were elements having the highest analytical sensitivity, with detection limits down to 4.2 to 14 ng. Fluorine, of which determination by other methods is difficult, can be detected in more than 530 ng. Determination of ppm levels of F in silicon nitride powder using a single and cyclic activation methods were performed. Accuracy and precision for F determination were verified by analyzing reference materials of Opal Glass (NIST SRM91) and Oyster Tissue (NIST SRM1566a). The relationship between the detection limit of F and Al contents was also clarified. Analytical applications of high sensitive elements such as Se, Sc, Hf, In and Dy in various materials, including reference materials, were also examined and the accuracy, precision and detection limits of the present method were evaluated. (author)

  8. The low to intermediate activity and short living waste storage facility. For a controlled management of radioactive wastes; Le centre de stockage des dechets de faible et moyenne activite a vie courte. Pour une gestion controlee des dechets radioactifs

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    Sited at about 50 km of Troyes (France), the Aube facility started in 1992 and has taken over the Manche facility for the surface storage of low to intermediate and short living radioactive wastes. The Aube facility (named CSFMA) is the answer to the safe management of these wastes at the industrial scale and for 50 years onward. This brochure presents the facility specifications, the wastes stored at the center, the surface storage concept, the processing and conditioning of waste packages, and the environmental monitoring performed in the vicinity of the site. (J.S.)

  9. CDC Vital Signs-Communication Can Save Lives

    Centers for Disease Control (CDC) Podcasts

    This podcast is based on the August 2015 CDC Vital Signs report. Antibiotic-resistant germs cause at least 23,000 deaths each year. Learn how public health authorities and health care facilities can work together to save lives.

  10. Distance to Radiation Facility and Treatment Choice in Early-Stage Breast Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Acharya, Sahaja; Hsieh, Samantha; Michalski, Jeff M. [Department of Radiation Oncology, Washington University School of Medicine-St. Louis, St. Louis, Missouri (United States); Shinohara, Eric T. [Department of Radiation Oncology, Vanderbilt University School of Medicine, Nashville, Tennessee (United States); Perkins, Stephanie M., E-mail: sperkins@radonc.wustl.edu [Department of Radiation Oncology, Washington University School of Medicine-St. Louis, St. Louis, Missouri (United States)

    2016-03-15

    Purpose: Breast-conserving therapy (BCT) is a recommended alternative to mastectomy (MT) for early-stage breast cancer. Limited access to radiation therapy (RT) may result in higher rates of MT. We assessed the association between distance to the nearest RT facility and the use of MT, in a modern cohort of women. Methods and Materials: Women with stage 0-II breast cancer eligible for BCT diagnosed from 2004 to 2010 were identified from the Florida Cancer Data System (FCDS). Distances from patient census tracts to the nearest RT facility census tract were calculated. Multivariate logistic regression was used to identify explanatory variables that influenced MT use. Results: Of the 27,489 eligible women, 32.1% (n=8841) underwent MT, and 67.8% (n=18,648) underwent BCS. Thirty-two percent of patients lived in a census tract that was >5 miles from an RT facility. MT use increased with increasing distance to RT facility (31.1% at ≤5 miles, 33.8% at >5 to <15 miles, 34.9% at 15 to <40 miles, and 51% at ≥40 miles, P<.001). The likelihood was that MT was independently associated with increasing distance to RT facility on multivariate analysis (P<.001). Compared to patients living <5 miles away from an RT facility, patients living 15 to <40 miles away were 1.2 times more likely to be treated with MT (odds ratio [OR]: 1.19, 95% confidence interval [CI]: 1.05-1.35, P<.01), and those living ≥40 miles away were more than twice as likely to be treated with MT (OR: 2.17, 95% CI: 1.48-3.17, P<.001). However, in patients younger than 50 years (n=5179), MT use was not associated with distance to RT facility (P=.235). Conclusions: MT use in a modern cohort of women is independently associated with distance to RT facility. However, for young patients, distance to RT is not a significant explanatory variable for MT use.

  11. Production of medical short-lived radionuclides in Canada

    International Nuclear Information System (INIS)

    Wiebe, L.I.

    1985-01-01

    The production of radionuclides for medical and biomedical research in Canada has been reviewed with respect to the national geographic and demographic characteristics which influence their use. The types of facilities available for the production of short-lived radionuclides have been summarized, and a tabulation of the radionuclides that are produced has been presented. In broad terms production facilities can be classified as belonging to one of two groups, nuclear reactor or charged-particle accelerators. The charged-particle accelerators produce the more neutron-deficient and (because of the resultant decay properties) the more useful radionuclides for medical application. The nuclear reactor facilities for radionuclide production range in size and capacity from the high-flux research reactors of AECL to the six SLOWPOKE reactors, five of which are located on university campuses across the country. The McMaster University reactor is used to produce curie quantities of fluorine-18 weekly. Millicurie amounts of a large number of radionuclides, most of which have half-lives ranging from 2 to 50 hr, are produced in the low-flux reactors, in support of basic medical research

  12. miRNA signatures can predict acute liver failure in hepatitis E infected pregnant females

    Directory of Open Access Journals (Sweden)

    Nirupma Trehanpati

    2017-04-01

    Full Text Available Background: Acute viral hepatitis E (AVH-E can often result in acute liver failure (ALF during pregnancy. microRNAs serve as mediators in drug induced liver failure. We investigated their role as a biomarker in predicting ALF due to HEV (ALF-E. Methods: We performed next generation sequencing and subsequent validation studies in PBMCs of pregnant (P self limiting AVH-E, ALF due to HEV (ALF-E and compared with AVH-E in non-pregnant (NP females and healthy controls. Findings: Eleven microRNAs were significantly expressed in response to HEV infection; importantly, miR- 431, 654, 1468 and 4435, were distinctly expressed in pregnant self-limiting AVH-E and healthy females (p = 0.0005, but not in ALF-E. Sixteen exclusive microRNAs differentiated ALF-E from self limiting AVH-E in pregnant females. miR-450b which affects cellular proliferation and metabolic processes through RNF20 and SECB was predominanlty upregulated and correlated with poor outcome (ROC 0.958, p = 0.001. Interpretation: Our results reveal that a specific microRNA profile can predict fatality in ALF-E in pregnancy. These microRNAs could be exploited as prognostic biomarkers and help in the development of new therapeutic interventions. Keywords: Health sciences, Virology

  13. Acoustic levitation for high temperature containerless processing in space

    Science.gov (United States)

    Rey, C. A.; Sisler, R.; Merkley, D. R.; Danley, T. J.

    1990-01-01

    New facilities for high-temperature containerless processing in space are described, including the acoustic levitation furnace (ALF), the high-temperature acoustic levitator (HAL), and the high-pressure acoustic levitator (HPAL). In the current ALF development, the maximum temperature capabilities of the levitation furnaces are 1750 C, and in the HAL development with a cold wall furnace they will exceed 2000-2500 C. The HPAL demonstrated feasibility of precursor space flight experiments on the ground in a 1 g pressurized-gas environment. Testing of lower density materials up to 1300 C has also been accomplished. It is suggested that advances in acoustic levitation techniques will result in the production of new materials such as ceramics, alloys, and optical and electronic materials.

  14. Safety assessment of outdoor live fire range

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1989-05-01

    The following Safety Assessment (SA) pertains to the outdoor live fire range facility (LFR). The purpose of this facility is to supplement the indoor LFR. In particular it provides capacity for exercises that would be inappropriate on the indoor range. This SA examines the risks that are attendant to the training on the outdoor LFR. The outdoor LFR used by EG&G Mound is privately owned. It is identified as the Miami Valley Shooting Grounds. Mondays are leased for the exclusive use of EG&G Mound.

  15. Two distinct subtypes of hepatitis B virus-related acute liver failure are separable by quantitative serum immunoglobulin M anti-hepatitis B core antibody and hepatitis B virus DNA levels

    DEFF Research Database (Denmark)

    Dao, Doan Y; Hynan, Linda S; Yuan, He-Jun

    2012-01-01

    Hepatitis B virus (HBV)-related acute liver failure (HBV-ALF) may occur after acute HBV infection (AHBV-ALF) or during an exacerbation of chronic HBV infection (CHBV-ALF). Clinical differentiation of the two is often difficult if a previous history of HBV is not available. Quantitative measurements...... of immunoglobulin M (IgM) anti-hepatitis B core antibody (anti-HBc) titers and of HBV viral loads (VLs) might allow the separation of AHBV-ALF from CHBV-ALF. Of 1,602 patients with ALF, 60 met clinical criteria for AHBV-ALF and 27 for CHBV-ALF. Sera were available on 47 and 23 patients, respectively. A quantitative...... immunoassay was used to determine IgM anti-HBc levels, and real-time polymerase chain reaction (rtPCR) was used to determine HBV VLs. AHBV-ALFs had much higher IgM anti-HBc titers than CHBV-ALFs (signal-to-noise [S/N] ratio median: 88.5; range, 0-1,120 versus 1.3, 0-750; P

  16. Symptom Clusters in People Living with HIV Attending Five Palliative Care Facilities in Two Sub-Saharan African Countries: A Hierarchical Cluster Analysis.

    Science.gov (United States)

    Moens, Katrien; Siegert, Richard J; Taylor, Steve; Namisango, Eve; Harding, Richard

    2015-01-01

    Symptom research across conditions has historically focused on single symptoms, and the burden of multiple symptoms and their interactions has been relatively neglected especially in people living with HIV. Symptom cluster studies are required to set priorities in treatment planning, and to lessen the total symptom burden. This study aimed to identify and compare symptom clusters among people living with HIV attending five palliative care facilities in two sub-Saharan African countries. Data from cross-sectional self-report of seven-day symptom prevalence on the 32-item Memorial Symptom Assessment Scale-Short Form were used. A hierarchical cluster analysis was conducted using Ward's method applying squared Euclidean Distance as the similarity measure to determine the clusters. Contingency tables, X2 tests and ANOVA were used to compare the clusters by patient specific characteristics and distress scores. Among the sample (N=217) the mean age was 36.5 (SD 9.0), 73.2% were female, and 49.1% were on antiretroviral therapy (ART). The cluster analysis produced five symptom clusters identified as: 1) dermatological; 2) generalised anxiety and elimination; 3) social and image; 4) persistently present; and 5) a gastrointestinal-related symptom cluster. The patients in the first three symptom clusters reported the highest physical and psychological distress scores. Patient characteristics varied significantly across the five clusters by functional status (worst functional physical status in cluster one, ppeople living with HIV with longitudinally collected symptom data to test cluster stability and identify common symptom trajectories is recommended.

  17. 77 FR 14312 - Airworthiness Directives; Honeywell International, Inc. Turbofan Engines

    Science.gov (United States)

    2012-03-09

    ... International, Inc. Turbofan Engines AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of... Honeywell International, Inc. ALF502L-2C; ALF502R-3; ALF502R-3A; ALF502R-5; LF507-1F; and LF507-1H turbofan...; ALF502R-3A; ALF502R-5; LF507-1F; and LF507-1H turbofan engines, installed on airplanes of U.S. registry...

  18. 77 FR 32009 - Airworthiness Directives; Honeywell International, Inc. Turbofan Engines

    Science.gov (United States)

    2012-05-31

    ... Airworthiness Directives; Honeywell International, Inc. Turbofan Engines AGENCY: Federal Aviation Administration... Honeywell International, Inc. ALF502L-2C; ALF502R-3; ALF502R-3A; ALF502R-5; LF507-1F; and LF507-1H turbofan...; ALF502R-3A; ALF502R-5; LF507-1F; and LF507- 1H turbofan engines, installed on airplanes of U.S. registry...

  19. Liposomes containing monophosphoryl lipid A and QS-21 serve as an effective adjuvant for soluble circumsporozoite protein malaria vaccine FMP013.

    Science.gov (United States)

    Genito, Christopher J; Beck, Zoltan; Phares, Timothy W; Kalle, Fanta; Limbach, Keith J; Stefaniak, Maureen E; Patterson, Noelle B; Bergmann-Leitner, Elke S; Waters, Norman C; Matyas, Gary R; Alving, Carl R; Dutta, Sheetij

    2017-07-05

    Malaria caused by Plasmodium falciparum continues to threaten millions of people living in the tropical parts of the world. A vaccine that confers sterile and life-long protection remains elusive despite more than 30years of effort and resources invested in solving this problem. Antibodies to a malaria vaccine candidate circumsporozoite protein (CSP) can block invasion and can protect humans against malaria. We have manufactured the Falciparum Malaria Protein-013 (FMP013) vaccine based on the nearly full-length P. falciparum CSP 3D7 strain sequence. We report here immunogenicity and challenge data on FMP013 antigen in C57BL/6 mice formulated with two novel adjuvants of the Army Liposome Formulation (ALF) series and a commercially available adjuvant Montanide ISA 720 (Montanide) as a control. ALF is a liposomal adjuvant containing a synthetic monophosphoryl lipid A (3D-PHAD®). In our study, FMP013 was adjuvanted with ALF alone, ALF containing aluminum hydroxide (ALFA) or ALF containing QS-21 (ALFQ). Adjuvants ALF and ALFA induced similar antibody titers and protection against transgenic parasite challenge that were comparable to Montanide. ALFQ was superior to the other three adjuvants as it induced higher antibody titers with improved boosting after the third immunization, higher serum IgG2c titers, and enhanced protection. FMP013+ALFQ also augmented the numbers of splenic germinal center-derived activated B-cells and antibody secreting cells compared to Montanide. Further, FMP013+ALFQ induced antigen-specific IFN-γ ELISPOT activity, CD4 + T-cells and a T H 1-biased cytokine profile. These results demonstrate that soluble CSP can induce a potent and sterile protective immune response when formulated with the QS-21 containing adjuvant ALFQ. Comparative mouse immunogenicity data presented here were used as the progression criteria for an ongoing non-human primate study and a regulatory toxicology study in preparation for a controlled human malaria infection (CHMI

  20. Molecular and functional analyses of novel anti-lipopolysaccharide factors in giant river prawn (Macrobrachium rosenbergii, De Man) and their expression responses under pathogen and temperature exposure.

    Science.gov (United States)

    Srisapoome, Prapansak; Klongklaew, Nawanith; Areechon, Nontawith; Wongpanya, Ratree

    2018-06-15

    Anti-lipopolysaccharide factor (ALF) is an immune-related protein that is crucially involved in immune defense mechanisms against invading pathogens in crustaceans. In the current study, three different ALFs of giant river prawn (Mr-ALF3, Mr-ALF8 and Mr-ALF9) were discovered. Based on sequence analysis, Mr-ALF3 and Mr-ALF9 were identified as new members of ALFs in crustaceans (groups F and G, respectively). Structurally, each newly identified Mr-ALF contained three α-helices packed against a four-stranded β-sheet bearing the LPS-binding motif, which usually binds to the cell wall components of bacteria. Tissue expression analysis using quantitative real-time RT-PCR (qRT-PCR) demonstrated that Mr-ALF3 was expressed in most tissues, and the highest expression was in the heart and hemocytes. The Mr-ALF8 gene was highly expressed in the heart, hemocytes, midgut, hepatopacreas and hindgut, respectively, while the Mr-ALF9 gene was modestly expressed in the heart and hemocytes, respectively. The transcriptional responses of the Mr-ALFs to Aeromonas hydrophila and hot/cold temperatures were investigated by qRT-PCR in the gills, hepatopancreas and hemocytes. We found that all Mr-ALFs were clearly suppressed in all tested tissues when the experimental prawns were exposed to extreme temperatures (25 and 35 °C). Moreover, the expression levels of these genes were significantly induced in all examined tissues by 2 different concentrations of A. hydrophila (1 × 10 6 and 1 × 10 9  CFU/ml), particularly 12 and 96 h after the injection. Finally, binding activity analysis of LPS-motif peptides of each Mr-ALF revealed that the LPS peptide of Mr-ALF3 exhibited the strongest adhesion to two pathogenic Gram-negative bacteria, A. hydrophila and Vibrio harveyi, and the non-pathogenic Gram-positive Bacillus megaterium. The results also showed that the Mr-ALF8 and Mr-ALF9 peptides had mild antimicrobial effects against similar tested bacteria. Based on information

  1. Children of Incarcerated Parents: Cumulative Risk and Children's Living Arrangements. JCPR Working Paper.

    Science.gov (United States)

    Johnson, Elizabeth Inez; Waldfogel, Jane

    This paper examines risk factors that exist in the lives of incarcerated parents and their children, focusing on the living arrangements of the children. It uses data from the 1997 Survey of Inmates in State and Federal Correctional Facilities to address three issues: risk factors present in the lives of incarcerated parents and their children,…

  2. From the streets to assisted living: perceptions of a vulnerable population.

    Science.gov (United States)

    Decker, Susan; Cary, Patricia; Krautscheid, Lorretta

    2006-06-01

    The rapid growth of assisted-living facilities is paralleled by the necessity to understand the needs of the people living in them. A hallmark challenge for individuals who are poor and disabled, and often marginalized from mainstream society, is maintaining integrity and being a whole person, rather than a sum of broken parts. A key to maintaining this integrity is the ability to find stable housing and support systems. The inner-city assisted-living facility in this study is unique in that all of its residents are funded by Medicaid. The residents have complex needs related to histories of homelessness, mental illness, drug and/or alcohol addiction, and chronic illness. The purpose of this study was to explore the needs of this vulnerable population as they adapt to a new home and a new concept of assisted, yet independent, living. Structured interviews with key informants and oral survey questionnaires with residents provided quantitative and qualitative data about physical and mental health status, social support, perception of control, psychological wellbeing, and life satisfaction. This study provided valuable insights into the challenges inherent in providing a high quality of life in assisted living for a vulnerable population with diverse needs.

  3. Nursing delegation and medication administration in assisted living.

    Science.gov (United States)

    Mitty, Ethel; Resnick, Barbara; Allen, Josh; Bakerjian, Debra; Hertz, Judith; Gardner, Wendi; Rapp, Mary Pat; Reinhard, Susan; Young, Heather; Mezey, Mathy

    2010-01-01

    Assisted living (AL) residences are residential long-term care settings that provide housing, 24-hour oversight, personal care services, health-related services, or a combination of these on an as-needed basis. Most residents require some assistance with activities of daily living and instrumental activities of daily living, such as medication management. A resident plan of care (ie, service agreement) is developed to address the health and psychosocial needs of the resident. The amount and type of care provided, and the individual who provides that care, vary on the basis of state regulations and what services are provided within the facility. Some states require that an RN hold a leadership position to oversee medication management and other aspects of care within the facility. A licensed practical nurse/licensed vocational nurse can supervise the day-to-day direct care within the facility. The majority of direct care in AL settings is provided by direct care workers (DCWs), including certified nursing assistants or unlicensed providers. The scope of practice of a DCW varies by state and the legal structure within that state. In some states, the DCW is exempt from the nurse practice act, and in some states, the DCW may practice within a specific scope such as being a medication aide. In most states, however, the DCW scope of practice is conscribed, in part, by the delegation of responsibilities (such as medication administration) by a supervising RN. The issue of RN delegation has become the subject of ongoing discussion for AL residents, facilities, and regulators and for the nursing profession. The purpose of this article is to review delegation in AL and to provide recommendations for future practice and research in this area.

  4. Separation efficiency of the MASHA facility for short-lived mercury isotopes

    Science.gov (United States)

    Rodin, A. M.; Belozerov, A. V.; Chernysheva, E. V.; Dmitriev, S. N.; Gulyaev, A. V.; Gulyaeva, A. V.; Itkis, M. G.; Kliman, J.; Kondratiev, N. A.; Krupa, L.; Novoselov, A. S.; Oganessian, Yu. Ts.; Podshibyakin, A. V.; Salamatin, V. S.; Siváček, I.; Stepantsov, S. V.; Vanin, D. V.; Vedeneev, V. Yu.; Yukhimchuk, S. A.; Granja, C.; Pospisil, S.

    2014-06-01

    The mass-separator MASHA built to identify Super Heavy Elements by their mass-to-charge ratios is described. The results of the off- and on-line measurements of its separation efficiency are presented. In the former case four calibrated leaks of noble gases were used. In the latter the efficiency was measured via 284 MeV Ar beam and with using the hot catcher. The ECR ion source was used in both cases. The -radioactive isotopes of mercury produced in the complete fusion reaction Ar+SmHg+xn were detected at the mass-separator focal plane. The half-lives and the separation efficiency for the short-lived mercury isotopes were measured. Potentialities of the MEDIPIX detector system have been demonstrated for future use at the mass-separator MASHA.

  5. Interpretation of optimisation in the context of a disposal facility for long-lived radioactive waste

    International Nuclear Information System (INIS)

    1999-01-01

    project P3-033 contained in the following output: R and D Technical Report P259 - Interpretation of Optimisation in the Context of a disposal Facility for Long-Lived Radioactive Waste. (author)

  6. Plasma Facing Components Generic Facilities Review Panel (PFC-GFRP): Final report

    International Nuclear Information System (INIS)

    McGrath, R.; Allen, S.; Hill, D.; Brooks, J.; Mattas, R.; Davis, J.; Lipschultz, B.; Ulrickson, M.

    1993-10-01

    The Plasma Facing Components (PFC) Facilities Review Panel was chartered by the US Department of Energy, Office of Fusion Energy, ITER (International Thermonuclear Experimental Reactor) and Technology Division, to outline the program plan and identify the supporting test facilities that lead to reliable, long-lived plasma facing components for ITER. This report summarizes the panel's findings and identifies the necessary and sufficient set of test facilities required for ITER PFC development

  7. Cost Effectiveness of Falls and Injury Prevention Strategies for Older Adults Living in Residential Aged Care Facilities.

    Science.gov (United States)

    Church, Jody L; Haas, Marion R; Goodall, Stephen

    2015-12-01

    To evaluate the cost effectiveness of interventions designed to prevent falls and fall-related injuries among older people living in residential aged care facilities (RACFs) from an Australian health care perspective. A decision analytic Markov model was developed that stratified individuals according to their risk of falling and accounted for the risk of injury following a fall. The effectiveness of the interventions was derived from two Cochrane reviews of randomized controlled trials for falls/fall-related injury prevention in RACFs. Interventions were considered effective if they reduced the risk of falling or reduced the risk of injury following a fall. The interventions that were modelled included vitamin D supplementation, annual medication review, multifactorial intervention (a combination of risk assessment, medication review, vision assessment and exercise) and hip protectors. The cost effectiveness was calculated as the incremental cost relative to the incremental benefit, in which the benefit was estimated using quality-adjusted life-years (QALYs). Uncertainty was explored using univariate and probabilistic sensitivity analysis. Vitamin D supplementation and medication review both dominated 'no intervention', as these interventions were both more effective and cost saving (because of healthcare costs avoided). Hip protectors are dominated (less effective and more costly) by vitamin D and medication review. The incremental cost-effectiveness ratio (ICER) for medication review relative to vitamin D supplementation is AU$2442 per QALY gained, and the ICER for multifactorial intervention relative to medication review is AU$1,112,500 per QALY gained. The model is most sensitive to the fear of falling and the cost of the interventions. The model suggests that vitamin D supplementation and medication review are cost-effective interventions that reduce falls, provide health benefits and reduce health care costs in older adults living in RACFs.

  8. The industrial facility for Grouping, Storage and Disposal

    International Nuclear Information System (INIS)

    Torres, Patrice

    2013-07-01

    The industrial facility for grouping, storage and disposal (called Cires in French), in the Aube district, is run by Andra. The facility is licensed to dispose of very-low-level waste, to collect non-nuclear-power radioactive waste and to provide storage for some of the waste for which a final management solution has not yet been found. The Cires facility is located a few kilometers from the Aube disposal facility (CSA), another of Andra's waste disposal facilities, currently dealing with low- and intermediate-level, short-lived waste. Contents: Andra in the Aube district, an exemplary industrial operator - The industrial facility for grouping, storage and disposal (Cires); Disposal of very-low-level waste (VLLW); The journey taken by VLL waste; Grouping of non-nuclear-power waste; Storage of non-nuclear-power waste; The journey taken by non-nuclear-power waste; Protecting present and future generations

  9. The effects of small-scale, homelike facilities for older people with dementia on residents, family caregivers and staff: design of a longitudinal, quasi-experimental study.

    Science.gov (United States)

    Verbeek, Hilde; van Rossum, Erik; Zwakhalen, Sandra M G; Ambergen, Ton; Kempen, Gertrudis I J M; Hamers, Jan P H

    2009-01-20

    Small-scale and homelike facilities for older people with dementia are rising in current dementia care. In these facilities, a small number of residents live together and form a household with staff. Normal, daily life and social participation are emphasized. It is expected that these facilities improve residents' quality of life. Moreover, it may have a positive influence on staff's job satisfaction and families involvement and satisfaction with care. However, effects of these small-scale and homelike facilities have hardly been investigated. Since the number of people with dementia increases, and institutional long-term care is more and more organized in small-scale and homelike facilities, more research into effects is necessary. This paper presents the design of a study investigating effects of small-scale living facilities in the Netherlands on residents, family caregivers and nursing staff. A longitudinal, quasi-experimental study is carried out, in which 2 dementia care settings are compared: small-scale living facilities and regular psychogeriatric wards in traditional nursing homes. Data is collected from residents, their family caregivers and nursing staff at baseline and after 6 and 12 months of follow-up. Approximately 2 weeks prior to baseline measurement, residents are screened on cognition and activities of daily living (ADL). Based on this screening profile, residents in psychogeriatric wards are matched to residents living in small-scale living facilities. The primary outcome measure for residents is quality of life. In addition, neuropsychiatric symptoms, depressive symptoms and social engagement are assessed. Involvement with care, perceived burden and satisfaction with care provision are primary outcome variables for family caregivers. The primary outcomes for nursing staff are job satisfaction and motivation. Furthermore, job characteristics social support, autonomy and workload are measured. A process evaluation is performed to investigate to

  10. Jumping combined exercise programs reduce fall risk and improve balance and life quality of elderly people who live in a long-term care facility.

    Science.gov (United States)

    Cakar, E; Dincer, U; Kiralp, M Z; Cakar, D B; Durmus, O; Kilac, H; Soydan, F C; Sevinc, S; Alper, C

    2010-03-01

    The objective of this study was to determine whether regular combined exercise program, which consists strength, stretching and aerobic exercises and additional jumping training, improve balance, fall risk, quality of life and depression status of older people living in a residential care. A total of 168 residents who live in a long term care facility were screened. The trial began with 78 eligible participants and they were randomly grouped as combined exercises program (COM) group that includes stretching, strength and aerobic exercises, and COM plus jumping (COMpJ) group. 66 of the participants finished the trial. The groups were convened three times a week for six weeks. Each group had a warm-up, effective training and a cooling down periods. The total exercising time was no longer than 45 minutes in each group. Berg balance test and Biodex Balance System for the assessment of the dynamic balance and fall risk, short form 36 (SF 36) for the health related quality of life and Geriatric Depression Scale (GDS) for evaluation of the depression status were used. The balance improvement and fall risk reduction were observed in both of the groups at the end of the trial; however, the improvements were statistically better in jumping combined group. Also health related quality of life improved in both groups. Regular group exercise in a long term care facility have several beneficial effects on the elderly residents in regard to balance improvement, fall risk reduction and quality of life. The addition of jumping to strength, stretching and aerobic exercises provides important contributions to balance improvement and fall risk reduction.

  11. Factors related to the decision-making for moving the older adults into long-term care facilities in Taiwan.

    Science.gov (United States)

    Hsieh, Yen-Ping; Huang, Ying-Chia; Lan, Shou-Jen; Ho, Ching-Sung

    2017-09-01

    To investigate the relationships between demographic characteristics of the elderly, type of long-term care (LTC) facilities, and the reasons for moving into LTC facilities. Research participants included people aged over 65 years, living in LTC facilities. A total of 1280 questionnaires were distributed to 111 LTC facilities in Taiwan; 480 questionnaires were retrieved, and 232 were included in the valid sample. The study used a non-linear canonical correlation analysis, which assesses the relationships among similar sets of categorical variables. The results showed that the older adults in quadrant I were characterized by being involved in the decision-making regarding the choice of LTC facilities and received economic support from their children. The older adults in quadrant II mainly lived in LTC facilities to receive medical care, whereas those in quadrant III typically included individuals with low income, who did not choose to live in LTC facilities. Furthermore, those in quadrant IV had positive cognitions associated with LTC facilities. We believe that the results of the present study will facilitate policy-making in the field of LTC, provide reference to the practitioners and the older adults, and identify the types of decisions older adults make when moving into LTC facilities, thus assisting older adults to improve their strategies regarding staying in LTC facilities. Geriatr Gerontol Int 2017; 17: 1319-1327. © 2016 Japan Geriatrics Society.

  12. Liver transplantation for Wilson disease.

    Science.gov (United States)

    Catana, Andreea M; Medici, Valentina

    2012-01-27

    The aim of this paper is to review the current status of liver transplantation (LT) for Wilson disease (WD), focusing on indications and controversies, especially in patients with neuropsychiatric disease, and on identification of acute liver failure (ALF) cases related to WD. LT remains the treatment of choice for patients with ALF, as initial presentation of WD or when anti-copper agents are stopped, and for patients with chronic liver disease progressed to cirrhosis, unresponsive to chelating medications or not timely treated with copper chelating agents. The indication for LT in WD remains highly debated in patients with progressive neurological deterioration and failure to improve with appropriate medical treatment. In case of Wilsonian ALF, early identification is key as mortality is 100% without emergency LT. As many of the copper metabolism parameters are believed to be less reliable in ALF, simple biochemical tests have been proposed for diagnosis of acute WD with good sensitivity and specificity. LT corrects copper metabolism and complications resulting from WD with excellent 1 and 5 year survival. Living related liver transplantation represents an alternative to deceased donor LT with excellent long-term survival, without disease recurrence. Future options may include hepatocyte transplantation and gene therapy. Although both of these have shown promising results in animal models of WD, prospective human studies are much needed to demonstrate their long-term beneficial effects and their potential to replace the need for medical therapy and LT in patients with WD.

  13. Marital status and living condition as predictors of mortality and readmissions among African Americans with heart failure.

    Science.gov (United States)

    Lu, Marvin Louis Roy; Davila, Carlos D; Shah, Mahek; Wheeler, David S; Ziccardi, Mary Rodriguez; Banerji, Sourin; Figueredo, Vincent M

    2016-11-01

    Socioeconomic factors, including social support, may partially explain why African Americans (AA) have the highest prevalence of heart failure and with worse outcomes compared to other races. AA are more likely to be hospitalized and readmitted for heart failure and have higher mortality. The purpose of this study is to determine whether the social factors of marital status and living condition affect readmission rates and all-cause mortality following hospitalization for acute decompensated heart failure (ADHF) in AA patients. Medical records from 611 AA admitted to Einstein Medical Center Philadelphia from January, 2011 to February, 2013 for ADHF were reviewed. Patient demographics including living condition (nursing home residents, living with family or living alone) and marital status (married or non-married -including single, divorced, separated and widowed) were correlated with all-cause mortality and readmission rates. In this cohort (53% male, mean age 65±15, mean ejection fraction 32±16%) 25% (n=152) of subjects were unmarried. Unmarried patients had significantly higher 30-day readmission rates (16% vs. 6% p=0.0002) and higher 1-year mortality (17% vs. 11% p=0.047) compared with married patients. Fifty percent (n=303) of subjects were living with family members, while 40% (n=242) and 11% (n=66) were living alone or in a nursing facility, respectively. Patients living with family members had significantly lower 30-day readmission rates when compared with those living alone or in a nursing facility (7% vs 21% vs. 18% p=vs 32% for nursing facility patients and 17% for those living alone (p=0.0007). After controlling for traditional risk factors (age, gender, body mass index, peak troponin I, left ventricular ejection fraction, B-type natriuretic peptide, hypertension, diabetes mellitus, hyperlipidemia, and coronary artery disease), being married was an indpendent predictor of 1-year mortality (OR 0.50 p=0.019) and living alone for 30-day readmission (OR 2

  14. Project No. 4 - Waste incineration facility

    International Nuclear Information System (INIS)

    2000-01-01

    There are currently 12000 m 3 of combustible waste stored at the Ignalina NPP site. It is estimated that by 2005 the volume will have increase to 15000 m 3 (filters, personnel protection, clothing and plastics). As a part of the preparation for the closure of the Ignalina NPP an incineration facility will be required to process combustible wastes to reduce the overall volume of short-lived radioactive wastes stored at the Ignalina NPP site, thus reducing the overall risk to the environment. Project activities includes the design, construction and commissioning of the proposed facility, including all licensing documentation

  15. 2005 dossier: clay. Tome: architecture and management of the geologic disposal facility

    International Nuclear Information System (INIS)

    2005-01-01

    This document makes a status of the researches carried out by the French national agency of radioactive wastes (ANDRA) about the design of a geologic disposal facility for high-level and long-lived radioactive wastes in argilite formations. Content: 1 - approach of the study: goal, main steps of the design study, iterative approach, content; 2 - general description: high-level and long-lived radioactive wastes, purposes of a reversible disposal, geologic context of the Meuse/Haute-Marne site - the Callovo-Oxfordian formation, design principles of the disposal facility architecture, role of the different disposal components; 3 - high-level and long-lived wastes: production scenarios, description of primary containers, inventory model, hypotheses about receipt fluxes of primary containers; 4- disposal containers: B-type waste containers, C-type waste containers, spent fuel disposal containers; 5 - disposal modules: B-type waste disposal modules, C-type waste disposal modules, spent-fuel disposal modules; 6 - overall underground architecture: main safety questions, overall design, dimensioning factors, construction logic and overall exploitation of the facility, dimensioning of galleries, underground architecture adaptation to different scenarios; 7 - boreholes and galleries: general needs, design principles retained, boreholes description, galleries description, building up of boreholes and galleries, durability of facilities, backfilling and sealing up of boreholes and galleries; 8 - surface facilities: general organization, nuclear area, industrial and administrative area, tailings area; 9 - nuclear exploitation means of the facility: receipt of primary containers and preparation of disposal containers, transfer of disposal containers from the surface to the disposal alveoles, setting up of containers inside alveoles; 10 - reversible management of the disposal: step by step disposal process, mastery of disposal behaviour and action capacity, observation and

  16. Prospects for high-power radioactive beam facilities worldwide

    CERN Document Server

    Nolen, Jerry A

    2003-01-01

    Advances in accelerators, targets, ion sources, and experimental instrumentation are making possible ever more powerful facilities for basic and applied research with short-lived radioactive isotopes. There are several current generation facilities, based on a variety of technologies, operating worldwide. These include, for example, those based on the in-flight method such as the recently upgraded National Superconducting Cyclotron Laboratory at Michigan State University, the facility at RIKEN in Japan, GANIL in Caen, France, and GSI in Darmstadt, Germany. Present facilities based on the Isotope-Separator On-Line method include, for example, the ISOLDE laboratory at CERN, HRIBF at Oak Ridge, and the new high-power facility ISAC at TRIUMF in Vancouver. Next-generation facilities include the Radioactive-Ion Factory upgrade of RIKEN to higher energy and intensity and the upgrade of ISAC to a higher energy secondary beam; both of these projects are in progress. A new project, LINAG, to upgrade the capabilities at...

  17. Accelerated long-term forgetting in focal epilepsies with special consideration given to patients with diagnosed and suspected limbic encephalitis.

    Science.gov (United States)

    Helmstaedter, Christoph; Winter, Babette; Melzer, Nico; Lohmann, Hubertus; Witt, Juri-Alexander

    2018-01-31

    Accelerated long-term forgetting (ALF) is a phenomenon found in late onset epilepsy and in transient epileptic amnesia (TEA). Here we evaluated ALF in patients with focal epilepsies and limbic encephalitis (LE) in particular. ALF was assessed in 36 patients with focal epilepsy and 154 healthy subjects using an extended version of the Verbal Learning and Memory Test (VLMT), with free recall after 30 min and again after one week. From these patients, 89% had temporal lobe epilepsy; 42% left-lateralized; 39% right; 19% bilateral; 17% were diagnosed with hippocampal sclerosis; 64% displayed features indicating LE; 52% with amygdala pathology, and 61% were antibody positive. ALF was defined as either having unimpaired free recall after 30 min and impaired recall after a week (A) or as a loss in recall exceeding the absolute (B) and percentage loss (C) in the interval of the 30 min and one week recall seen in controls by more than one standard deviation. Repeated measures analysis revealed an association between LE and ALF. Depending on its definition (A, B, or C), ALF was evident in 31%, 42%, or 67% of the patients. Poor verbal memory and ALF (C) were prominent in left-lateralized epilepsies. ALF (A) appeared more frequently in auto-antibody negative patients with LE, ALF (B) less frequently with hippocampal sclerosis. Seizures during the interval did not explain ALF. Depending on its definition, ALF is seen in patients with normal or impaired memory at ½ h. ALF seems related to LE but might as well be the first sign of memory impairment in patients with milder epilepsies and not yet definite structural temporal lobe pathology. Longitudinal assessment would be essential for discerning when ALF becomes evident, whether conditions exist in which ALF precedes short-term forgetting, and whether ALF responds to treatment. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. History of health studies around nuclear facilities: a methodologival consideration

    International Nuclear Information System (INIS)

    Tokuhata, G.K.; Smith, M.W.

    1981-01-01

    A brief historical review was made of low-level radiation studies for general populations living around nuclear facilities. In addition, technical and methodological problems were identified and discussed which often arise in all epidemiological studies designed to determine the possible health effects of low-level radiation released from nuclear facilities. Need for extremely large populations for prospective cancer studies was discussed, but accompanying ascertainment difficulties were also emphasized. More epidemiological studies are needed to provide adequate assessment of the potential health hazards of nuclear facilities

  19. Modular Extended-Stay HyperGravity Facility Design Concept: An Artificial-Gravity Space-Settlement Ground Analogue

    Science.gov (United States)

    Dorais, Gregory A.

    2015-01-01

    This document defines the design concept for a ground-based, extended-stay hypergravity facility as a precursor for space-based artificial-gravity facilities that extend the permanent presence of both human and non-human life beyond Earth in artificial-gravity settlements. Since the Earth's current human population is stressing the environment and the resources off-Earth are relatively unlimited, by as soon as 2040 more than one thousand people could be living in Earthorbiting artificial-gravity habitats. Eventually, the majority of humanity may live in artificialgravity habitats throughout this solar system as well as others, but little is known about the longterm (multi-generational) effects of artificial-gravity habitats on people, animals, and plants. In order to extend life permanently beyond Earth, it would be useful to create an orbiting space facility that generates 1g as well as other gravity levels to rigorously address the numerous challenges of such an endeavor. Before doing so, developing a ground-based artificial-gravity facility is a reasonable next step. Just as the International Space Station is a microgravity research facility, at a small fraction of the cost and risk a ground-based artificial-gravity facility can begin to address a wide-variety of the artificial-gravity life-science questions and engineering challenges requiring long-term research to enable people, animals, and plants to live off-Earth indefinitely.

  20. Scaling laws between population and facility densities.

    Science.gov (United States)

    Um, Jaegon; Son, Seung-Woo; Lee, Sung-Ik; Jeong, Hawoong; Kim, Beom Jun

    2009-08-25

    When a new facility like a grocery store, a school, or a fire station is planned, its location should ideally be determined by the necessities of people who live nearby. Empirically, it has been found that there exists a positive correlation between facility and population densities. In the present work, we investigate the ideal relation between the population and the facility densities within the framework of an economic mechanism governing microdynamics. In previous studies based on the global optimization of facility positions in minimizing the overall travel distance between people and facilities, it was shown that the density of facility D and that of population rho should follow a simple power law D approximately rho(2/3). In our empirical analysis, on the other hand, the power-law exponent alpha in D approximately rho(alpha) is not a fixed value but spreads in a broad range depending on facility types. To explain this discrepancy in alpha, we propose a model based on economic mechanisms that mimic the competitive balance between the profit of the facilities and the social opportunity cost for populations. Through our simple, microscopically driven model, we show that commercial facilities driven by the profit of the facilities have alpha = 1, whereas public facilities driven by the social opportunity cost have alpha = 2/3. We simulate this model to find the optimal positions of facilities on a real U.S. map and show that the results are consistent with the empirical data.

  1. Enhancing resiliency for elderly populations : Shelter-in-place planning and training at facilities serving elderly populations through the Rhode Island Senior Resiliency Project.

    Science.gov (United States)

    Smith, Richard; Mozzer, Michael; Albanese, Joseph; Paturas, James; Gold, Julia

    2017-06-01

    Elderly populations are disproportionately affected by disasters. In part, this is true because for many older adults, special assistance is needed to mitigate the consequences of disasters on their health and wellbeing. In addition, many older adults may reside in diverse living complexes such as long-term care facilities, assisted living facilities and independent-living senior housing complexes. Planning for each type of facility is different and the unique features of these facilities must be considered to develop readiness to deal with disasters. Based on this, the Rhode Island Department of Health established the Senior Resiliency Project to bolster the level of resiliency for the types of living facilities housing older adults. The project involves performing onsite assessments of energy resources, developing site-specific sheltering-inplace and energy resiliency plans, and educating and training facility employees and residents on these plans and steps they can take to be better prepared. Based on the feasibility of conducting these activities within a variety of facilities housing older adults, the project is segmented into three phases. This paper describes survey findings, outcomes of interventions, challenges and recommendations for bridging gaps observed in phases 1 and 2 of the project.

  2. Feasibility of short-lived radionuclide production at Fermilab

    International Nuclear Information System (INIS)

    Ten Haken, R.K.; Awschalom, M.; Rosenberg, I.

    1985-01-01

    The requirements for establishing a short-lived radionuclide production program at Fermilab are explored. Such a program would utilize beam from the linac portion of the injector much like the present Neutron Therapy Facility. It should be possible to use approximately 10 to 20 μA of 66-MeV protons for iodine-123 production. Several additional magnets would need to be acquired and a shielded target facility would need to be constructed. However, the feasibility of establishing such a program hinges upon its harmonious operation with the high energy physics program

  3. Clean Air Markets - Where You Live (National and State Maps)

    Data.gov (United States)

    U.S. Environmental Protection Agency — Where You Live accesses facility and unit attribute data as well as emissions data using a series of interactive national and state maps. This module allows the user...

  4. Accelerated Long-Term Forgetting Is Not Epilepsy Specific: Evidence from Childhood Traumatic Brain Injury.

    Science.gov (United States)

    Lah, Suncica; Black, Carly; Gascoigne, Michael B; Gott, Chloe; Epps, Adrienne; Parry, Louise

    2017-09-01

    Accelerated long-term forgetting (ALF) is characterized by adequate recall after short, but not long delays. ALF is not detected by standardized neuropsychological memory tests. Currently, the prevailing conceptualization of ALF is of a temporal lobe seizure-related phenomenon. Nevertheless, Mayes and colleagues (2003) proposed that ALF may occur when any of the components of the brain network involved in long-term memory formation, or their interaction, is disrupted. This disruption does not have to be caused by temporal lobe seizures for ALF to occur. Here, we investigate this possibility in a group of school-age children who have sustained traumatic brain injury (TBI) (n = 28), as TBI typically disrupts the brain network that is important for long-term memory formation and recall. Healthy control children (n = 62) also participated. Contrary to the dominant conceptualization of ALF being a seizure-related phenomenon, children with TBI showed ALF. Sustaining a severe TBI and diffuse subcortical damage was related to ALF. Individually, 8 of the 13 children with severe TBI presented with ALF. ALF would remain undetected on standardized testing in six of these eight children. One child had the opposite pattern of dissociation, an impaired score on standardized testing, but an average long-term memory score. This is the first study, to our knowledge, to show ALF in patients with TBI, which has remained undiagnosed and untreated in this patient population. Our study also challenges the dominant hypothesis of ALF being a temporal lobe seizure-related phenomenon, and raises a possibility that short-term and long-term memory systems may be independent.

  5. A fall prevention guideline for older adults living in long-term care facilities.

    Science.gov (United States)

    Jung, D; Shin, S; Kim, H

    2014-12-01

    Falls are among the most frequent critical health problems for older adults over 65 years of age and often result in consequential injuries. This study developed a guideline covering risk factors and interventions for falls in order to prevent them from occurring in long-term care facilities. This study was grounded in the methodological approach of the Scottish Intercollegiate Guideline Network for establishing evidence-based guidelines: (1) establishment of the target population and scope of the guideline, (2) systematic literature review and critical analysis, (3) determination of the recommendation grade, (4) development of a draft nursing intervention guideline and algorithm, (5) expert evaluation of the draft nursing intervention guideline, and (6) confirmation of the final intervention guideline and completion of the algorithm. The resulting evidence-based fall prevention guideline consists of a three-step factor assessment and a three-step intervention approach. The resulting guideline was based on the literature and clinical experts. Further research is required to test the guideline's feasibility in across long term care facilities. This guideline can be used by nurses to screen patients who are at a high risk of falling to provide patient interventions to help prevent falls. Considering the high rate of falls at long-term care facilities and the absence of evidence-based guidelines to prevent them, additional studies on falls at long-term care facilities are necessary. Meanwhile, given prior research that indicates the importance of human resources in the application of such guidelines, continuous investigations are needed as to whether the research outcomes are actually conveyed to nurses. © 2014 International Council of Nurses.

  6. Suicide risk in long-term care facilities: a systematic review.

    Science.gov (United States)

    Mezuk, Briana; Rock, Andrew; Lohman, Matthew C; Choi, Moon

    2014-12-01

    Suicide risk is highest in later life; however, little is known about the risk of suicide among older adults in long-term care facilities (e.g., nursing homes and assisted living facilities). The goal of this paper is to review and synthesize the descriptive and analytic epidemiology of suicide in long-term care settings over the past 25 years. Four databases (PubMed, CINAHL Plus, Web of Knowledge, and EBSCOHost Academic Search Complete) were searched for empirical studies of suicide risk in nursing homes, assisted living, and other residential facilities from 1985 to 2013. Of the 4073 unique research articles identified, 37 were selected for inclusion in this review. Of the included reports, 21 were cross-sectional, 8 cohort, 3 qualitative, and 5 intervention studies. Most studies indicate that suicidal thoughts (active and passive) are common among residents (prevalence in the past month: 5-33%), although completed suicide is rare. Correlates of suicidal thoughts among long-term care residents include depression, social isolation, loneliness, and functional decline. Most studies examined only individual-level correlates of suicide, although there is suggestive evidence that organizational characteristics (e.g., bed size and staffing) may also be relevant. Existing research on suicide risk in long-term care facilities is limited but suggests that this is an important issue for clinicians and medical directors to be aware of and address. Research is needed on suicide risk in assisted living and other non-nursing home residential settings, as well as the potential role of organizational characteristics on emotional well-being for residents. Copyright © 2014 John Wiley & Sons, Ltd.

  7. The physical environment influences neuropsychiatric symptoms and other outcomes in assisted living residents.

    Science.gov (United States)

    Bicket, Mark C; Samus, Quincy M; McNabney, Mathew; Onyike, Chiadi U; Mayer, Lawrence S; Brandt, Jason; Rabins, Peter; Lyketsos, Constantine; Rosenblatt, Adam

    2010-10-01

    Although the number of elderly residents living in assisted living (AL) facilities is rising, few studies have examined the AL physical environment and its impact on resident well-being. We sought to quantify the relationship of AL physical environment with resident outcomes including neuropsychiatric symptoms (NPS), quality of life (QOL), and fall risk, and to compare the effects for demented and non-demented residents. Prospective cohort study of a stratified random sample of 326 AL residents living in 21 AL facilities. Measures included the Therapeutic Environmental Screening Scale for Nursing Homes and Residential Care (TESS-NH/RC) to rate facilities and in-person assessment of residents for diagnosis (and assessment of treatment) of dementia, ratings on standardized clinical, cognitive, and QOL measures. Regression models compared environmental measures with outcomes. TESS-NH/RC is modified into a scale for rating the AL physical environment AL-EQS. The AL Environmental Quality Score (AL-EQS) was strongly negatively associated with Neuropsychiatric Inventory (NPI) total score (p environment of AL facilities likely affects NPS and QOL in AL residents, and the effect may be stronger for residents without dementia than for residents with dementia. Environmental manipulations that increase resident privacy, as well as implementing call buttons and telephones, may improve resident well-being. Copyright © 2010 John Wiley & Sons, Ltd.

  8. Proximity to Sports Facilities and Sports Participation for Adolescents in Germany

    Science.gov (United States)

    Reimers, Anne K.; Wagner, Matthias; Alvanides, Seraphim; Steinmayr, Andreas; Reiner, Miriam; Schmidt, Steffen; Woll, Alexander

    2014-01-01

    Objectives To assess the relationship between proximity to specific sports facilities and participation in the corresponding sports activities for adolescents in Germany. Methods A sample of 1,768 adolescents aged 11–17 years old and living in 161 German communities was examined. Distances to the nearest sports facilities were calculated as an indicator of proximity to sports facilities using Geographic Information Systems (GIS). Participation in specific leisure-time sports activities in sports clubs was assessed using a self-report questionnaire and individual-level socio-demographic variables were derived from a parent questionnaire. Community-level socio-demographics as covariates were selected from the INKAR database, in particular from indicators and maps on land development. Logistic regression analyses were conducted to examine associations between proximity to the nearest sports facilities and participation in the corresponding sports activities. Results The logisitic regression analyses showed that girls residing longer distances from the nearest gym were less likely to engage in indoor sports activities; a significant interaction between distances to gyms and level of urbanization was identified. Decomposition of the interaction term showed that for adolescent girls living in rural areas participation in indoor sports activities was positively associated with gym proximity. Proximity to tennis courts and indoor pools was not associated with participation in tennis or water sports, respectively. Conclusions Improved proximity to gyms is likely to be more important for female adolescents living in rural areas. PMID:24675689

  9. Proximity to sports facilities and sports participation for adolescents in Germany.

    Directory of Open Access Journals (Sweden)

    Anne K Reimers

    Full Text Available To assess the relationship between proximity to specific sports facilities and participation in the corresponding sports activities for adolescents in Germany.A sample of 1,768 adolescents aged 11-17 years old and living in 161 German communities was examined. Distances to the nearest sports facilities were calculated as an indicator of proximity to sports facilities using Geographic Information Systems (GIS. Participation in specific leisure-time sports activities in sports clubs was assessed using a self-report questionnaire and individual-level socio-demographic variables were derived from a parent questionnaire. Community-level socio-demographics as covariates were selected from the INKAR database, in particular from indicators and maps on land development. Logistic regression analyses were conducted to examine associations between proximity to the nearest sports facilities and participation in the corresponding sports activities.The logistic regression analyses showed that girls residing longer distances from the nearest gym were less likely to engage in indoor sports activities; a significant interaction between distances to gyms and level of urbanization was identified. Decomposition of the interaction term showed that for adolescent girls living in rural areas participation in indoor sports activities was positively associated with gym proximity. Proximity to tennis courts and indoor pools was not associated with participation in tennis or water sports, respectively.Improved proximity to gyms is likely to be more important for female adolescents living in rural areas.

  10. Communication Can Save Lives PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2015-08-04

    This 60 second public service announcement (PSA) is based on the August 2015 CDC Vital Signs report. Antibiotic-resistant germs cause at least 23,000 deaths each year. Learn how public health authorities and health care facilities can work together to save lives.  Created: 8/4/2015 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 8/4/2015.

  11. Occupational and Public Exposure During Normal Operation of Radioactive Waste Disposal Facilities

    Directory of Open Access Journals (Sweden)

    M. V. Vedernikova

    2017-01-01

    Full Text Available This paper focuses on occupational and public exposure during operation of disposal facilities receiving liquid and solid radioactive waste of various classes and provides a comparative analysis of the relevant doses: actual and calculated at the design stage. Occupational and public exposure study presented in this paper covers normal operations of a radioactive waste disposal facility receiving waste. Results: Analysis of individual and collective occupational doses was performed based on data collected during operation of near-surface disposal facilities for short-lived intermediate-, lowand very low-level waste in France, as well as nearsurface disposal facilities for long-lived waste in Russia. Further analysis of occupational and public doses calculated at the design stage was completed covering a near-surface disposal facility in Belgium and deep disposal facilities in the United Kingdom and the Nizhne-Kansk rock massive (Russia. The results show that engineering and technical solutions enable almost complete elimination of internal occupational exposure, whereas external exposure doses would fall within the range of values typical for a basic nuclear facility. Conclusion: radioactive waste disposal facilities being developed, constructed and operated meet the safety requirements effective in the Russian Federation and consistent with relevant international recommendations. It has been found that individual occupational exposure doses commensurate with those received by personnel of similar facilities abroad. Furthermore, according to the forecasts, mean individual doses for personnel during radioactive waste disposal would be an order of magnitude lower than the dose limit of 20 mSv/year. As for the public exposure, during normal operation, potential impact is virtually impossible by delaminating boundaries of a nuclear facility sanitary protection zone inside which the disposal facility is located and can be solely attributed to the use

  12. HMGB1 and Extracellular Histones Significantly Contribute to Systemic Inflammation and Multiple Organ Failure in Acute Liver Failure

    Directory of Open Access Journals (Sweden)

    Runkuan Yang

    2017-01-01

    Full Text Available Acute liver failure (ALF is the culmination of severe liver cell injury from a variety of causes. ALF occurs when the extent of hepatocyte death exceeds the hepatic regenerative capacity. ALF has a high mortality that is associated with multiple organ failure (MOF and sepsis; however, the underlying mechanisms are still not clear. Emerging evidence shows that ALF patients/animals have high concentrations of circulating HMGB1, which can contribute to multiple organ injuries and mediate gut bacterial translocation (BT. BT triggers/induces systemic inflammatory responses syndrome (SIRS, which can lead to MOF in ALF. Blockade of HMGB1 significantly decreases BT and improves hepatocyte regeneration in experimental acute fatal liver injury. Therefore, HMGB1 seems to be an important factor that links BT and systemic inflammation in ALF. ALF patients/animals also have high levels of circulating histones, which might be the major mediators of systemic inflammation in patients with ALF. Extracellular histones kill endothelial cells and elicit immunostimulatory effect to induce multiple organ injuries. Neutralization of histones can attenuate acute liver, lung, and brain injuries. In conclusion, HMGB1 and histones play a significant role in inducing systemic inflammation and MOF in ALF.

  13. HMGB1 and Extracellular Histones Significantly Contribute to Systemic Inflammation and Multiple Organ Failure in Acute Liver Failure.

    Science.gov (United States)

    Yang, Runkuan; Zou, Xiaoping; Tenhunen, Jyrki; Tønnessen, Tor Inge

    2017-01-01

    Acute liver failure (ALF) is the culmination of severe liver cell injury from a variety of causes. ALF occurs when the extent of hepatocyte death exceeds the hepatic regenerative capacity. ALF has a high mortality that is associated with multiple organ failure (MOF) and sepsis; however, the underlying mechanisms are still not clear. Emerging evidence shows that ALF patients/animals have high concentrations of circulating HMGB1, which can contribute to multiple organ injuries and mediate gut bacterial translocation (BT). BT triggers/induces systemic inflammatory responses syndrome (SIRS), which can lead to MOF in ALF. Blockade of HMGB1 significantly decreases BT and improves hepatocyte regeneration in experimental acute fatal liver injury. Therefore, HMGB1 seems to be an important factor that links BT and systemic inflammation in ALF. ALF patients/animals also have high levels of circulating histones, which might be the major mediators of systemic inflammation in patients with ALF. Extracellular histones kill endothelial cells and elicit immunostimulatory effect to induce multiple organ injuries. Neutralization of histones can attenuate acute liver, lung, and brain injuries. In conclusion, HMGB1 and histones play a significant role in inducing systemic inflammation and MOF in ALF.

  14. Live cell imaging at the Munich ion microbeam SNAKE - a status report.

    Science.gov (United States)

    Drexler, Guido A; Siebenwirth, Christian; Drexler, Sophie E; Girst, Stefanie; Greubel, Christoph; Dollinger, Günther; Friedl, Anna A

    2015-02-18

    Ion microbeams are important tools in radiobiological research. Still, the worldwide number of ion microbeam facilities where biological experiments can be performed is limited. Even fewer facilities combine ion microirradiation with live-cell imaging to allow microscopic observation of cellular response reactions starting very fast after irradiation and continuing for many hours. At SNAKE, the ion microbeam facility at the Munich 14 MV tandem accelerator, a large variety of biological experiments are performed on a regular basis. Here, recent developments and ongoing research projects at the ion microbeam SNAKE are presented with specific emphasis on live-cell imaging experiments. An overview of the technical details of the setup is given, including examples of suitable biological samples. By ion beam focusing to submicrometer beam spot size and single ion detection it is possible to target subcellular structures with defined numbers of ions. Focusing of high numbers of ions to single spots allows studying the influence of high local damage density on recruitment of damage response proteins.

  15. Population-based geographic access to parent and satellite National Cancer Institute Cancer Center Facilities.

    Science.gov (United States)

    Onega, Tracy; Alford-Teaster, Jennifer; Wang, Fahui

    2017-09-01

    Satellite facilities of National Cancer Institute (NCI) cancer centers have expanded their regional footprints. This study characterized geographic access to parent and satellite NCI cancer center facilities nationally overall and by sociodemographics. Parent and satellite NCI cancer center facilities, which were geocoded in ArcGIS, were ascertained. Travel times from every census tract in the continental United States and Hawaii to the nearest parent and satellite facilities were calculated. Census-based population attributes were used to characterize measures of geographic access for sociodemographic groups. From the 62 NCI cancer centers providing clinical care in 2014, 76 unique parent locations and 211 satellite locations were mapped. The overall proportion of the population within 60 minutes of a facility was 22% for parent facilities and 32.7% for satellite facilities. When satellites were included for potential access, the proportion of some racial groups for which a satellite was the closest NCI cancer center facility increased notably (Native Americans, 22.6% with parent facilities and 39.7% with satellite facilities; whites, 34.8% with parent facilities and 50.3% with satellite facilities; and Asians, 40.0% with parent facilities and 54.0% with satellite facilities), with less marked increases for Hispanic and black populations. Rural populations of all categories had dramatically low proportions living within 60 minutes of an NCI cancer center facility of any type (1.0%-6.6%). Approximately 14% of the population (n = 43,033,310) lived more than 180 minutes from a parent or satellite facility, and most of these individuals were Native Americans and/or rural residents (37% of Native Americans and 41.7% of isolated rural residents). Racial/ethnic and rural populations showed markedly improved geographic access to NCI cancer center care when satellite facilities were included. Cancer 2017;123:3305-11. © 2017 American Cancer Society. © 2017 American

  16. Development of a Medical Cyclotron Production Facility

    Science.gov (United States)

    Allen, Danny R.

    2003-08-01

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply. We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes.

  17. Development of a Medical Cyclotron Production Facility

    International Nuclear Information System (INIS)

    Allen, Danny R.

    2003-01-01

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply. We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes

  18. Motivational Determinants of Exergame Participation for Older People in Assisted Living Facilities: Mixed-Methods Study.

    Science.gov (United States)

    Meekes, Wytske; Stanmore, Emma Kate

    2017-07-06

    Exergames (exercise-based videogames) for delivering strength and balance exercise for older people are growing in popularity with the emergence of new Kinect-based technologies; however, little is known about the factors affecting their uptake and usage by older people. The aim of this study was to determine the factors that may influence the motivation of older people to use exergames to improve their physical function and reduce fall risk. Mixed methods were employed in which 14 semistructured interviews were conducted with older people (n=12, aged 59-91 years) from 2 assisted living facilities in the North West of the United Kingdom. The older people participated in a 6-week trial of exergames along with one manager and one physiotherapist; 81 h of observation and Technology Acceptance Model questionnaires were conducted. The findings suggest that the participants were intrinsically motivated to participate in the exergames because of the enjoyment experienced when playing the exergames and perceived improvements in their physical and mental health and social confidence. The social interaction provided in this study was an important extrinsic motivator that increased the intrinsic motivation to adhere to the exergame program. The findings of this study suggest that exergames may be a promising tool for delivering falls prevention exercises and increasing adherence to exercise in older people. Understanding the motivation of older people to use exergames may assist in the process of implementation. ©Wytske Meekes, Emma Kate Stanmore. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 06.07.2017.

  19. CDC Vital Signs-Communication Can Save Lives

    Centers for Disease Control (CDC) Podcasts

    2015-08-04

    This podcast is based on the August 2015 CDC Vital Signs report. Antibiotic-resistant germs cause at least 23,000 deaths each year. Learn how public health authorities and health care facilities can work together to save lives.  Created: 8/4/2015 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 8/4/2015.

  20. Earthquake research for the safer siting of critical facilities

    Energy Technology Data Exchange (ETDEWEB)

    Cluff, J.L. (ed.)

    1980-01-01

    The task of providing the necessities for living, such as adequate electrical power, water, and fuel, is becoming more complicated with time. Some of the facilities that provide these necessities would present potential hazards to the population if serious damage were to occur to them during earthquakes. Other facilities must remain operable immediately after an earthquake to provide life-support services to people who have been affected. The purpose of this report is to recommend research that will improve the information available to those who must decide where to site these critical facilities, and thereby mitigate the effects of the earthquake hazard. The term critical facility is used in this report to describe facilities that could seriously affect the public well-being through loss of life, large financial loss, or degradation of the environment if they were to fail. The term critical facility also is used to refer to facilities that, although they pose a limited hazard to the public, are considered critical because they must continue to function in the event of a disaster so that they can provide vital services.

  1. Thermo-aeraulics of high level waste storage facilities

    International Nuclear Information System (INIS)

    Lagrave, Herve; Gaillard, Jean-Philippe; Laurent, Franck; Ranc, Guillaume; Duret, Bernard

    2006-01-01

    This paper discusses the research undertaken in response to axis 3 of the 1991 radioactive waste management act, and possible solutions concerning the processes under consideration for conditioning and long-term interim storage of long-lived radioactive waste. The notion of 'long-term' is evaluated with respect to the usual operating lifetime of a basic nuclear installation, about 50 years. In this context, 'long-term' is defined on a secular time scale: the lifetime of the facility could be as long as 300 years. The waste package taken into account is characterized notably by its high thermal power release. Studies were carried out in dedicated facilities for vitrified waste and for spent UOX and MOX fuel. The latter are not considered as wastes, owing to the value of the reusable material they contain. Three primary objectives have guided the design of these long-term interim storage facilities: - ensure radionuclide containment at all times; - permit retrieval of the containers at any time; - minimize surveillance; - maintenance costs. The CEA has also investigated surface and subsurface facilities. It was decided to work on generic sites with a reasonable set of parameters values that should be applicable at most sites in France. All the studies and demonstrations to date lead to the conclusion that long-term interim storage is technically feasible. The paper addresses the following items: - Long-term interim storage concepts for high-level waste; - Design principles and options for the interim storage facilities; - General architecture; - Research topics, Storage facility ventilation, Dimensioning of the facility; - Thermo-aeraulics of a surface interim storage facility; - VALIDA surface loop, VALIDA single container test campaign, Continuation of the VALIDA program; - Thermo-aeraulics of a network of subsurface interim storage galleries; - SIGAL subsurface loop; - PROMETHEE subsurface loop; - Temperature behaviour of the concrete structures; - GALATEE

  2. Thermo-aeraulics of high level waste storage facilities

    Energy Technology Data Exchange (ETDEWEB)

    Lagrave, Herve; Gaillard, Jean-Philippe; Laurent, Franck; Ranc, Guillaume [CEA/Valrho, B.P. 17171, F-30207 Bagnols-sur-Ceze (France); Duret, Bernard [CEA Grenoble, 17 rue des Martyrs, 38054 Grenoble cedex 9 (France)

    2006-07-01

    This paper discusses the research undertaken in response to axis 3 of the 1991 radioactive waste management act, and possible solutions concerning the processes under consideration for conditioning and long-term interim storage of long-lived radioactive waste. The notion of 'long-term' is evaluated with respect to the usual operating lifetime of a basic nuclear installation, about 50 years. In this context, 'long-term' is defined on a secular time scale: the lifetime of the facility could be as long as 300 years. The waste package taken into account is characterized notably by its high thermal power release. Studies were carried out in dedicated facilities for vitrified waste and for spent UOX and MOX fuel. The latter are not considered as wastes, owing to the value of the reusable material they contain. Three primary objectives have guided the design of these long-term interim storage facilities: - ensure radionuclide containment at all times; - permit retrieval of the containers at any time; - minimize surveillance; - maintenance costs. The CEA has also investigated surface and subsurface facilities. It was decided to work on generic sites with a reasonable set of parameters values that should be applicable at most sites in France. All the studies and demonstrations to date lead to the conclusion that long-term interim storage is technically feasible. The paper addresses the following items: - Long-term interim storage concepts for high-level waste; - Design principles and options for the interim storage facilities; - General architecture; - Research topics, Storage facility ventilation, Dimensioning of the facility; - Thermo-aeraulics of a surface interim storage facility; - VALIDA surface loop, VALIDA single container test campaign, Continuation of the VALIDA program; - Thermo-aeraulics of a network of subsurface interim storage galleries; - SIGAL subsurface loop; - PROMETHEE subsurface loop; - Temperature behaviour of the concrete

  3. Decommissioning of a Radioactive Facility Used for Biomolecule Labeling and Biological Effects

    International Nuclear Information System (INIS)

    Yagüe, L.; Navarro, N.; Álvarez, A.; Quiñones, J.

    2015-01-01

    This paper presents the measurement methodology designed for the final status survey of an old radioactive facility, used as radiolabeling lab. Its declassification as radioactive facility required the radiological characterization of all walls, structures and materials at the facility in order to reuse its outbuilding for conventional use. To demonstrate compliance with the declassification criteria, the design of the final status survey was performed applying MARSSIM(1) (Multi-Agency Radiation Survey and Site Investigation Manual) methodology and using different measurement techniques depending on the radioactive isotopes in the inventory of the facility, their half-lives and emission characteristics.

  4. A new facility for rapid neutron activation analysis

    International Nuclear Information System (INIS)

    Zeisler, R.; Makarewicz, M.; Grass, F.; Casta, J.

    1996-01-01

    Many research groups have undertaken efforts on the utilization of short-lived nuclides in a broad spectrum of neutron activation analysis (NAA) applications. The advantages of these approaches are obvious because the information on the sample can be extracted more rapidly. In addition to its other advantages, NAA can become extremely competitive in price and analysis time. Nevertheless, NAA with short-lived nuclides has not gained broad popularity, perhaps because of some difficulties in accuracy and the availability of suitable irradiation facilities. This report discusses the ASTRA reactor for neutron activation analysis capabilities

  5. Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia?

    Science.gov (United States)

    Shiferaw, Solomon; Spigt, Mark; Seme, Assefa; Amogne, Ayanaw; Skrøvseth, Stein; Desta, Selamawit; Radloff, Scott; Tsui, Amy; GeertJan, Dinant

    2017-01-01

    There is limited evidence of the linkage between contraceptive use, the range of methods available and level of contraceptive stocks at health facilities and distance to facility in developing countries. The present analysis aims at examining the influence of contraceptive method availability and distance to the nearby facilities on modern contraceptive utilization among married women in rural areas in Ethiopia using geo-referenced data. We used data from the first round of surveys of the Performance Monitoring & Accountability 2020 project in Ethiopia (PMA2020/Ethiopia-2014). The survey was conducted in a sample of 200 enumeration areas (EAs) where for each EA, 35 households and up to 3 public or private health service delivery points (SDPs) were selected. The main outcome variable was individual use of a contraceptive method for married women in rural Ethiopia. Correlates of interest include distance to nearby health facilities, range of contraceptives available in facilities, household wealth index, and the woman's educational status, age, and parity and whether she recently visited a health facility. This analysis primarily focuses on stock provision at public SDPs. Overall complete information was collected from 1763 married rural women ages 15-49 years and 198 SDPs in rural areas (97.1% public). Most rural women (93.9%) live within 5 kilometers of their nearest health post while a much lower proportion (52.2%) live within the same distance to the nearest health centers and hospital (0.8%), respectively. The main sources of modern contraceptive methods for married rural women were health posts (48.8%) and health centers (39.0%). The mean number of the types of contraceptive methods offered by hospitals, health centers and health posts was 6.2, 5.4 and 3.7 respectively. Modern contraceptive use (mCPR) among rural married women was 27.3% (95% CI: 25.3, 29.5). The percentage of rural married women who use modern contraceptives decreased as distance from the

  6. Decommissioning nuclear facilities

    International Nuclear Information System (INIS)

    Buck, S.

    1996-01-01

    Nuclear facilities present a number of problems at the end of their working lives. They require dismantling and removal but public and environmental protection remain a priority. The principles and strategies are outlined. Experience of decommissioning in France and the U.K. had touched every major stage of the fuel cycle by the early 1990's. Decommissioning projects attempt to restrict waste production and proliferation as waste treatment and disposal are costly. It is concluded that technical means exist to deal with present civil plant and costs are now predictable. Strategies for decommissioning and future financial provisions are important. (UK)

  7. Additive Manufacturing of Catalytically Active Living Materials.

    Science.gov (United States)

    Saha, Abhijit; Johnston, Trevor G; Shafranek, Ryan T; Goodman, Cassandra J; Zalatan, Jesse G; Storti, Duane W; Ganter, Mark A; Nelson, Alshakim

    2018-04-25

    Living materials, which are composites of living cells residing in a polymeric matrix, are designed to utilize the innate functionalities of the cells to address a broad range of applications such as fermentation and biosensing. Herein, we demonstrate the additive manufacturing of catalytically active living materials (AMCALM) for continuous fermentation. A multi-stimuli-responsive yeast-laden hydrogel ink, based on F127-dimethacrylate, was developed and printed using a direct-write 3D printer. The reversible stimuli-responsive behaviors of the polymer hydrogel inks to temperature and pressure are critical, as they enabled the facile incorporation of yeast cells and subsequent fabrication of 3D lattice constructs. Subsequent photo-cross-linking of the printed polymer hydrogel afforded a robust elastic material. These yeast-laden living materials were metabolically active in the fermentation of glucose into ethanol for 2 weeks in a continuous batch process without significant reduction in efficiency (∼90% yield of ethanol). This cell immobilization platform may potentially be applicable toward other genetically modified yeast strains to produce other high-value chemicals in a continuous biofermentation process.

  8. Future Facility: FAIR at GSI

    International Nuclear Information System (INIS)

    Rosner, Guenther

    2007-01-01

    The Facility for Antiproton and Ion Research, FAIR, is a new particle accelerator facility to be built at the GSI site in Germany. The research at FAIR will cover a wide range of topics in nuclear and hadron physics, high density plasma and atomic physics, and applications in condensed matter physics and biology. A 1.1 km circumference double ring of rapidly cycling 100 and 300 Tm synchrotrons, will be FAIR's central accelerator system. It will be used to produce, inter alia, high intensity secondary beams of antiprotons and short-lived radioactive nuclei. A subsequent suite of cooler and storage rings will deliver heavy ion and antiproton beams of unprecedented quality. Large experiments are presently being designed by the NUSTAR, PANDA, PAX, CBM, SPARC, FLAIR, HEDgeHOB and BIOMAT collaborations

  9. Integrated Payment And Delivery Models Offer Opportunities And Challenges For Residential Care Facilities.

    Science.gov (United States)

    Grabowski, David C; Caudry, Daryl J; Dean, Katie M; Stevenson, David G

    2015-10-01

    Under health care reform, new financing and delivery models are being piloted to integrate health and long-term care services for older adults. Programs using these models generally have not included residential care facilities. Instead, most of them have focused on long-term care recipients in the community or the nursing home. Our analyses indicate that individuals living in residential care facilities have similarly high rates of chronic illness and Medicare utilization when compared with matched individuals in the community and nursing home, and rates of functional dependency that fall between those of their counterparts in the other two settings. These results suggest that the residential care facility population could benefit greatly from models that coordinated health and long-term care services. However, few providers have invested in the infrastructure needed to support integrated delivery models. Challenges to greater care integration include the private-pay basis for residential care facility services, which precludes shared savings from reduced Medicare costs, and residents' preference for living in a home-like, noninstitutional environment. Project HOPE—The People-to-People Health Foundation, Inc.

  10. 76 FR 73489 - Airworthiness Directives; Honeywell International Inc. Turbofan Engines

    Science.gov (United States)

    2011-11-29

    ... Airworthiness Directives; Honeywell International Inc. Turbofan Engines AGENCY: Federal Aviation Administration...-1F, and LF507-IH turbofan engines. This AD requires removing from service certain second stage high... International Inc. ALF502L-2C, ALF502R-3, ALF502R-3A, ALF502R-5, LF507-1F, and LF507-IH turbofan engines, with...

  11. Living near a nuclear power station

    International Nuclear Information System (INIS)

    Marcan, P.; Slovak, K.

    2007-01-01

    The need to expand nuclear power and its advantages are discussed publicly nearly each week. According to politicians and the nuclear lobby investing tens of billions Sk at Mochovce will bring Slovakia the often cited 'independence and energy self-sufficiency'. It will also mean profit for Slovenske elektrarne and the company's shareholders - the state and Italian company, Enel. In addition to the lively discussion on the pros and cons of nuclear energy, TREND was also interested in the living conditions around the concrete and strictly guarded, potentially dangerous plants and in the opinion of the people most affected by Mochovce and Jaslovske Bohunice on expansion of the existing and the building of new nuclear power plants. The construction of nuclear powers stations in these regions was not only about new jobs. The state 'prescribed' iodine pills and did not allow any construction in the region and, in the case of Mochovce, ordered the complete demolition of a village. The only thing that remained from Mochovce village was the church. 'And when it was found that the power plant would not reach it, it was even given a new roof. Former inhabitants, especially the older ones that had problems accepting the evacuation, used to visit it often,' explained Jan Foldy, the head of the local municipality in Kalna nad Hronom. After many years, life in the neighbouring villages is not bad. Their budgets are overflowing and so they can afford to spoil their inhabitants with free cable TV and high standard sport facilities, which should partly compensate for the fact that the people are living so close to a nuclear facility. (authors)

  12. Alf Ross

    DEFF Research Database (Denmark)

    Ryberg, Jesper

    En (overvejende) ny generation af akademikere møder og prøver Ross' tanker om emner som retfærdighed, demokrati, statsforfatningsret, ytringsfrihed, straf, erkendelsesteori, etik, logik, fri vilje og sygdom.......En (overvejende) ny generation af akademikere møder og prøver Ross' tanker om emner som retfærdighed, demokrati, statsforfatningsret, ytringsfrihed, straf, erkendelsesteori, etik, logik, fri vilje og sygdom....

  13. The upgrading of the cyclic neutron activation analysis facility at the Dalat research reactor

    International Nuclear Information System (INIS)

    Van Doanh Ho; Manh Dung Ho; Quang Thien Tran; Dong Vu Cao; Thanh Viet Ha

    2018-01-01

    The cyclic neutron activation analysis (CNAA) facility based on a pneumatic transfer system for short irradiation and rapid counting has recently been upgraded at the Dalat research reactor. The original facility was only designed for single irradiation. Therefore, this work has aimed to upgrade both hardware and software for the cyclic irradiation. In this paper, the upgrading of the facility for CNAA was described. Irradiation time of the facility were calibrated, thereby reducing irradiation time to seconds with precision. The accuracy and sensitivity of CNAA based-on the upgraded facility were assessed by determination of some short-lived nuclides. (author)

  14. The Role of Physical Therapists in Living Environment Maintenance of the Home-bound Elderly Disabled.

    Science.gov (United States)

    Takemasa, Seiichi; Abe, Yoko; Nagao, Toru; Murakami, Masahito; Koeda, Hideki; Naruse, Susumu; Gotou, Makoto; Uesugi, Masayuki; Inoue, Yuri; Nanba, Yoshihumi

    2013-07-01

    [Purpose] This study explored the roles of physical therapists (PTs) in living environment maintenance, which is essential for living securely and stably at home, and examines how physical therapists can fulfill these roles more efficiently and effectively. [Subjects and Methods] A questionnaire on living environment maintenance was given to PTs working at randomly selected hospitals, health care facilities for the elderly requiring long-term care, home-visit nursing stations, and other such facilities and directly providing physical therapy to the home-bound elderly disabled. The subjects of the study were 77 PTs who returned valid responses. [Results] For awareness of systems for living environment maintenance, PTs were more aware of the system based on the Long-Term Care (LTC) Insurance Act than the system based on the Act on Welfare for the Home-Bound Elderly Disabled. PTs who have worked at two or more types of medical, welfare, and intermediate institutions were more aware of such systems than PTs who have worked at only one type. For PTs handling living environment maintenance for the home-bound elderly disabled, approximately 80% of respondents answered that they have handled some living environment maintenance, and PTs with longer clinical experience have handled more living environment maintenance cases. [Conclusion] The results demonstrated that PTs understand their living environment maintenance work well and handle the work. The results, however, also suggested that educational and operational improvements are urgently required for PTs handling living environment maintenance essential for the lives of the home-bound elderly disabled.

  15. Designing a model to minimize inequities in hemodialysis facilities distribution

    Directory of Open Access Journals (Sweden)

    Teresa M. Salgado

    2011-11-01

    Full Text Available Portugal has an uneven, city-centered bias in the distribution of hemodialysis centers found to contribute to health care inequities. A model has been developed with the aim of minimizing access inequity through the identification of the best possible localization of new hemodialysis facilities. The model was designed under the assumption that individuals from different geographic areas, ceteris paribus, present the same likelihood of requiring hemodialysis in the future. Distances to reach the closest hemodialysis facility were calculated for every municipality lacking one. Regions were scored by aggregating weights of the “individual burden”, defined as the burden for an individual living in a region lacking a hemodialysis center to reach one as often as needed, and the “population burden”, defined as the burden for the total population living in such a region. The model revealed that the average travelling distance for inhabitants in municipalities without a hemodialysis center is 32 km and that 145,551 inhabitants (1.5% live more than 60 min away from a hemodialysis center, while 1,393,770 (13.8% live 30-60 min away. Multivariate analysis showed that the current localization of hemodialysis facilities is associated with major urban areas. The model developed recommends 12 locations for establishing hemodialysis centers that would result in drastically reduced travel for 34 other municipalities, leaving only six (34,800 people with over 60 min of travel. The application of this model should facilitate the planning of future hemodialysis services as it takes into consideration the potential impact of travel time for individuals in need of dialysis, as well as the logistic arrangements required to transport all patients with end-stage renal disease. The model is applicable in any country and health care planners can opt to weigh these two elements differently in the model according to their priorities.

  16. Measuring forgetting: a critical review of accelerated long-term forgetting studies.

    Science.gov (United States)

    Elliott, Gemma; Isaac, Claire L; Muhlert, Nils

    2014-05-01

    Accelerated long-term forgetting (ALF) refers to abnormal forgetting over hours to weeks despite normal acquisition or initial consolidation. Since standardised assessments of memory typically only test at delays of up to 40-minutes, ALF may go undetected in clinical practice. The memory difficulties associated with ALF can however cause considerable distress to patients. It is important therefore that clinicians are aware that ALF may represent a distinct phenomenon that will require additional and careful assessment to aid patients' understanding of the condition and assist in developing strategies to address its effects. At the same time, ALF may also provide insight into long-term memory processes. Studies of ALF in patients with epilepsy have so far demonstrated mixed results, which may reflect differences in methodology. This review explores the methodological issues that can affect forgetting, such as the effects of age, general cognitive function, test sensitivity and initial learning. It then evaluates the extent to which existing studies have considered these key issues. We outline the points to consider when designing ALF studies that can be used to help improve their validity. These issues can also help to explain some of the mixed findings in studies of ALF and inform the design of standardised tests for assessing ALF in clinical practice. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Integrated Facilities and Infrastructure Plan.

    Energy Technology Data Exchange (ETDEWEB)

    Reisz Westlund, Jennifer Jill

    2017-03-01

    Our facilities and infrastructure are a key element of our capability-based science and engineering foundation. The focus of the Integrated Facilities and Infrastructure Plan is the development and implementation of a comprehensive plan to sustain the capabilities necessary to meet national research, design, and fabrication needs for Sandia National Laboratories’ (Sandia’s) comprehensive national security missions both now and into the future. A number of Sandia’s facilities have reached the end of their useful lives and many others are not suitable for today’s mission needs. Due to the continued aging and surge in utilization of Sandia’s facilities, deferred maintenance has continued to increase. As part of our planning focus, Sandia is committed to halting the growth of deferred maintenance across its sites through demolition, replacement, and dedicated funding to reduce the backlog of maintenance needs. Sandia will become more agile in adapting existing space and changing how space is utilized in response to the changing requirements. This Integrated Facilities & Infrastructure (F&I) Plan supports the Sandia Strategic Plan’s strategic objectives, specifically Strategic Objective 2: Strengthen our Laboratories’ foundation to maximize mission impact, and Strategic Objective 3: Advance an exceptional work environment that enables and inspires our people in service to our nation. The Integrated F&I Plan is developed through a planning process model to understand the F&I needs, analyze solution options, plan the actions and funding, and then execute projects.

  18. Acute liver failure

    DEFF Research Database (Denmark)

    Larsen, Fin Stolze; Bjerring, Peter Nissen

    2011-01-01

    Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these.......Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these....

  19. ISOL science at the Holifield Radioactive Ion Beam Facility

    Energy Technology Data Exchange (ETDEWEB)

    Beene, James R [ORNL; Bardayan, Daniel W [ORNL; Galindo-Uribarri, Alfredo {nmn} [ORNL; Gross, Carl J [ORNL; Jones, K. L. [University of Tennessee, Knoxville (UTK); Liang, J Felix [ORNL; Nazarewicz, Witold [ORNL; Stracener, Daniel W [ORNL; Tatum, B Alan [ORNL; Varner Jr, Robert L [ORNL

    2011-01-01

    The Holi eld Radioactive Ion Beam Facility, located in Oak Ridge, Tennessee, is operated as a National User Facility for the U.S. Department of Energy, producing high quality ISOL beams of short-lived, radioactive nuclei for studies of exotic nuclei, astrophysics research, and various societal applications. The primary driver, the Oak Ridge Isochronous Cyclotron, produces rare isotopes by bombarding highly refractory targets with light ions. The radioactive isotopes are ionized, formed into a beam, mass selected, injected into the 25-MV Tandem, accelerated, and used in experiments. This article reviews HRIBF and its science.

  20. Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia?

    Directory of Open Access Journals (Sweden)

    Solomon Shiferaw

    Full Text Available There is limited evidence of the linkage between contraceptive use, the range of methods available and level of contraceptive stocks at health facilities and distance to facility in developing countries. The present analysis aims at examining the influence of contraceptive method availability and distance to the nearby facilities on modern contraceptive utilization among married women in rural areas in Ethiopia using geo-referenced data.We used data from the first round of surveys of the Performance Monitoring & Accountability 2020 project in Ethiopia (PMA2020/Ethiopia-2014. The survey was conducted in a sample of 200 enumeration areas (EAs where for each EA, 35 households and up to 3 public or private health service delivery points (SDPs were selected. The main outcome variable was individual use of a contraceptive method for married women in rural Ethiopia. Correlates of interest include distance to nearby health facilities, range of contraceptives available in facilities, household wealth index, and the woman's educational status, age, and parity and whether she recently visited a health facility. This analysis primarily focuses on stock provision at public SDPs.Overall complete information was collected from 1763 married rural women ages 15-49 years and 198 SDPs in rural areas (97.1% public. Most rural women (93.9% live within 5 kilometers of their nearest health post while a much lower proportion (52.2% live within the same distance to the nearest health centers and hospital (0.8%, respectively. The main sources of modern contraceptive methods for married rural women were health posts (48.8% and health centers (39.0%. The mean number of the types of contraceptive methods offered by hospitals, health centers and health posts was 6.2, 5.4 and 3.7 respectively. Modern contraceptive use (mCPR among rural married women was 27.3% (95% CI: 25.3, 29.5. The percentage of rural married women who use modern contraceptives decreased as distance from

  1. Ensuring the safety of nuclear facilities located in large cities

    International Nuclear Information System (INIS)

    Ryazantsev, E.P.; Kolyadin, V.I.; Bylkin, B.K.; Zverkov, Yu.A.

    2002-01-01

    The problems of ensuring the safety of nuclear facilities and other facilities representing a radiation hazard (hereinafter referred to as 'nuclear facilities') which are located in large cities are considered in the light of the experience with the 'Kurchatov Institute' Russian Research Centre. The accumulation of substantial quantities of spent nuclear fuel and radwaste at the Centre was an inevitable consequence of the military and civilian nuclear research programmes which started there in 1943. A comprehensive programme has been developed for reducing the impact of ionizing radiation on the Centre's personnel, the population living near the Centre and the local environment. The authors describe the basic elements of a programme for decommissioning reactor facilities and eliminating spent fuel and radwaste storage sites and also describe how the programme is progressing. (author)

  2. The ISAC facility at TRIUMF

    International Nuclear Information System (INIS)

    Dilling, J.

    2005-01-01

    ISAC at TRIUMF, Vancouver is one of the prime radioactive beam facilities worldwide. The isotopes are produced via the isol method and are extracted to typically 30-60 keV beams and subsequently mass selected. The beam can be further accelerated to 1.8 meV/u and with the completion of ISAC II (2005/6) up to 6.5 meV/u. One of the primary motivations at ISAC are nuclear astrophysics experiments. In addition to cross-section determination, Q-values are key parameters. The latter ones are accessible via mass measurements. The TITAN system at ISAC will allow to carry out such measurements with the very high precision (δm/m ≤ x 10 -8 ) on short-lived isotopes (T 1/2 ∼ 10 ms). An introduction to TITAN, together with an overview of the ISAC facility will be given. (author)

  3. A rapid assessment of the availability and use of obstetric care in Nigerian healthcare facilities.

    Directory of Open Access Journals (Sweden)

    Daniel O Erim

    Full Text Available BACKGROUND: As part of efforts to reduce maternal deaths in Nigeria, pregnant women are being encouraged to give birth in healthcare facilities. However, little is known about whether or not available healthcare facilities can cope with an increasing demand for obstetric care. We thus carried out this survey as a rapid and tactical assessment of facility quality. We visited 121 healthcare facilities, and used the opportunity to interview over 700 women seeking care at these facilities. FINDINGS: Most of the primary healthcare facilities we visited were unable to provide all basic Emergency Obstetric Care (bEmOC services. In general, they lack clinical staff needed to dispense maternal and neonatal care services, ambulances and uninterrupted electricity supply whenever there were obstetric emergencies. Secondary healthcare facilities fared better, but, like their primary counterparts, lack neonatal care infrastructure. Among patients, most lived within 30 minutes of the visited facilities and still reported some difficulty getting there. Of those who had had two or more childbirths, the conditional probability of a delivery occurring in a healthcare facility was 0.91 if the previous delivery occurred in a healthcare facility, and 0.24 if it occurred at home. The crude risk of an adverse neonatal outcome did not significantly vary by delivery site or birth attendant, and the occurrence of such an outcome during an in-facility delivery may influence the mother to have her next delivery outside. Such an outcome during a home delivery may not prompt a subsequent in-facility delivery. CONCLUSIONS: In conclusion, reducing maternal deaths in Nigeria will require attention to both increasing the number of facilities with high-quality EmOC capability and also assuring Nigerian women have access to these facilities regardless of where they live.

  4. Prevalence and predictors of giving birth in health facilities in Bugesera District, Rwanda

    Directory of Open Access Journals (Sweden)

    Joharifard Shahrzad

    2012-12-01

    Full Text Available Abstract Background The proportion of births attended by skilled health personnel is one of two indicators used to measure progress towards Millennium Development Goal 5, which aims for a 75% reduction in global maternal mortality ratios by 2015. Rwanda has one of the highest maternal mortality ratios in the world, estimated between 249–584 maternal deaths per 100,000 live births. The objectives of this study were to quantify secular trends in health facility delivery and to identify factors that affect the uptake of intrapartum healthcare services among women living in rural villages in Bugesera District, Eastern Province, Rwanda. Methods Using census data and probability proportional to size cluster sampling methodology, 30 villages were selected for community-based, cross-sectional surveys of women aged 18–50 who had given birth in the previous three years. Complete obstetric histories and detailed demographic data were elicited from respondents using iPad technology. Geospatial coordinates were used to calculate the path distances between each village and its designated health center and district hospital. Bivariate and multivariate logistic regressions were used to identify factors associated with delivery in health facilities. Results Analysis of 3106 lifetime deliveries from 859 respondents shows a sharp increase in the percentage of health facility deliveries in recent years. Delivering a penultimate baby at a health facility (OR = 4.681 [3.204 - 6.839], possessing health insurance (OR = 3.812 [1.795 - 8.097], managing household finances (OR = 1.897 [1.046 - 3.439], attending more antenatal care visits (OR = 1.567 [1.163 - 2.112], delivering more recently (OR = 1.438 [1.120 - 1.847] annually, and living closer to a health center (OR = 0.909 [0.846 - 0.976] per km were independently associated with facility delivery. Conclusions The strongest correlates of facility-based delivery in Bugesera District include previous delivery at a

  5. Reproductive decisions of couples living with HIV in Malawi: What ...

    African Journals Online (AJOL)

    policies and guidelines on HIV, AIDS and sexual and reproductive health in Malawi for ... reflect the social cultural experiences of couples living with HIV. In addition, there is ... then, treatment is available free of charge in the public hospital facilities. ... started implementing an integrated antiretroviral / PMTCT programme ...

  6. design innovations towards enhancing the quality of living in multi ...

    African Journals Online (AJOL)

    Prince Acheampong

    1Department of Architecture, Faculty of Architecture and Building Technology. 2Institute of ... The compound house is one of the most versatile housing designs that most low-income households presently enjoy in ... Since the compound housing principle is more towards communal living and the sharing of facilities, these.

  7. Sociospatial distribution of access to facilities for moderate and vigorous intensity physical activity in Scotland by different modes of transport

    Directory of Open Access Journals (Sweden)

    Lamb Karen E

    2012-07-01

    Full Text Available Abstract Background People living in neighbourhoods of lower socioeconomic status have been shown to have higher rates of obesity and a lower likelihood of meeting physical activity recommendations than their more affluent counterparts. This study examines the sociospatial distribution of access to facilities for moderate or vigorous intensity physical activity in Scotland and whether such access differs by the mode of transport available and by Urban Rural Classification. Methods A database of all fixed physical activity facilities was obtained from the national agency for sport in Scotland. Facilities were categorised into light, moderate and vigorous intensity activity groupings before being mapped. Transport networks were created to assess the number of each type of facility accessible from the population weighted centroid of each small area in Scotland on foot, by bicycle, by car and by bus. Multilevel modelling was used to investigate the distribution of the number of accessible facilities by small area deprivation within urban, small town and rural areas separately, adjusting for population size and local authority. Results Prior to adjustment for Urban Rural Classification and local authority, the median number of accessible facilities for moderate or vigorous intensity activity increased with increasing deprivation from the most affluent or second most affluent quintile to the most deprived for all modes of transport. However, after adjustment, the modelling results suggest that those in more affluent areas have significantly higher access to moderate and vigorous intensity facilities by car than those living in more deprived areas. Conclusions The sociospatial distributions of access to facilities for both moderate intensity and vigorous intensity physical activity were similar. However, the results suggest that those living in the most affluent neighbourhoods have poorer access to facilities of either type that can be reached on foot

  8. Higher Thyroid-Stimulating Hormone, Triiodothyronine and Thyroxine Values Are Associated with Better Outcome in Acute Liver Failure.

    Science.gov (United States)

    Anastasiou, Olympia; Sydor, Svenja; Sowa, Jan-Peter; Manka, Paul; Katsounas, Antonios; Syn, Wing-Kin; Führer, Dagmar; Gieseler, Robert K; Bechmann, Lars P; Gerken, Guido; Moeller, Lars C; Canbay, Ali

    2015-01-01

    Changes in thyroid hormone levels, mostly as non-thyroidal illness syndrome (NTIS), have been described in many diseases. However, the relationship between acute liver failure (ALF) and thyroid hormone levels has not yet been clarified. The present study evaluates potential correlations of select thyroid functional parameters with ALF. 84 consecutively recruited ALF patients were grouped according to the outcome of ALF (spontaneous recovery: SR; transplantation or death: NSR). TSH, free thyroxine (fT4), free triiodothyronine (fT3), T4, and T3 were determined. More than 50% of patients with ALF presented with abnormal thyroid parameters. These patients had greater risk for an adverse outcome than euthyroid patients. SR patients had significantly higher TSH, T4, and T3 concentrations than NSR patients. Albumin concentrations were significantly higher in SR than in NSR. In vitro T3 treatment was not able to rescue primary human hepatocytes from acetaminophen induced changes in mRNA expression. In patients with ALF, TSH and total thyroid hormone levels differed significantly between SR patients and NSR patients. This might be related to diminished liver-derived transport proteins, such as albumin, in more severe forms of ALF. Thyroid parameters may serve as additional indicators of ALF severity.

  9. Live Aircraft Encounter Visualization at FutureFlight Central

    Science.gov (United States)

    Murphy, James R.; Chinn, Fay; Monheim, Spencer; Otto, Neil; Kato, Kenji; Archdeacon, John

    2018-01-01

    Researchers at the National Aeronautics and Space Administration (NASA) have developed an aircraft data streaming capability that can be used to visualize live aircraft in near real-time. During a joint Federal Aviation Administration (FAA)/NASA Airborne Collision Avoidance System flight series, test sorties between unmanned aircraft and manned intruder aircraft were shown in real-time at NASA Ames' FutureFlight Central tower facility as a virtual representation of the encounter. This capability leveraged existing live surveillance, video, and audio data streams distributed through a Live, Virtual, Constructive test environment, then depicted the encounter from the point of view of any aircraft in the system showing the proximity of the other aircraft. For the demonstration, position report data were sent to the ground from on-board sensors on the unmanned aircraft. The point of view can be change dynamically, allowing encounters from all angles to be observed. Visualizing the encounters in real-time provides a safe and effective method for observation of live flight testing and a strong alternative to travel to the remote test range.

  10. Dispersion of long-lived radionuclides from uranium mining, milling and fuel fabrication facilities

    International Nuclear Information System (INIS)

    Pettersson, H.B.L.

    1990-11-01

    The principal aim of the study was to gain further insight into the environmental dispersion of long-lived U series radionuclides from selected part of the nuclear fuel cycle and to assess the resulting exposure of members of the public. The specific objectives of this study were: 1. To determine the levels of natural radioactivity in the vicinity of two U deposits in Sweden and to establish whether U prospecting had generated significant radiological impact on man. 2. To investigate the spatial distributions of long-lived U series radionuclides caused by the dispersion of dust from the Ranger open-pit U mine in Australia. 3. To study the uptakes of long-lived U and T series radionuclides by the waterlily in order to facilitate assessment of natural exposures to the public and predictions of exposures arising from consumption of the plant due to any subsequent discharges of water from the Ranger U mine. 4. To investigate the spatial distributions of U isotopes in environmental air as a result of the release of radionuclides from the ABB-ATOM nuclear fuel factory at Vaesteraas in Sweden. In these investigations special emphasis was given to - activity ratio techniques suitable for distinguishing between natural and operation-related concentrations and for facilitating determination of the source of radionuclide uptake in the waterlily, and - the use of passive air samplers such as 'sticky vinyl' and bioindicators in investigating the aerial dispersion of radionuclides. (author)

  11. Endothelial-astrocytic interactions in acute liver failure.

    Science.gov (United States)

    Jayakumar, A R; Norenberg, M D

    2013-06-01

    Brain edema and the subsequent increase in intracranial pressure are major neurological complications of acute liver failure (ALF), and swelling of astrocytes (cytotoxic brain edema) is the most prominent neuropathological abnormality in ALF. Recent studies, however, have suggested the co-existence of cytotoxic and vasogenic mechanisms in the brain edema associated with ALF. This review 1) summarizes the nature of the brain edema in humans and experimental animals with ALF; 2) reviews in vitro studies supporting the presence of cytotoxic brain edema (cell swelling in cultured astrocytes); and 3) documents the role of brain endothelial cells in the development of astrocyte swelling/brain edema in ALF.

  12. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... Find a Physician Support Groups Brochures Clinical Trials Organ Donation Palliative Care Related Links Videos Webinars About ALF ... ALF in your Area Medications Drug Discount Card Organ Donation FOR CAREGIVERS ALF in your Area Medications Drug ...

  13. Radioactive wastes. Safety of storage facilities

    International Nuclear Information System (INIS)

    Devillers, Ch.

    2001-01-01

    A radioactive waste storage facility is designed in a way that ensures the isolation of wastes with respect to the biosphere. This function comprises the damping of the gamma and neutron radiations from the wastes, and the confinement of the radionuclides content of the wastes. The safety approach is based on two time scales: the safety of the insulation system during the main phase of radioactive decay, and the assessment of the radiological risks following this phase. The safety of a surface storage facility is based on a three-barrier concept (container, storage structures, site). The confidence in the safety of the facility is based on the quality assurance of the barriers and on their surveillance and maintenance. The safety of a deep repository will be based on the site quality, on the design and construction of structures and on the quality of the safety demonstration. This article deals with the safety approach and principles of storage facilities: 1 - recall of the different types of storage facilities; 2 - different phases of the life of a storage facility and regulatory steps; 3 - safety and radiation protection goals (time scales, radiation protection goals); 4 - safety approach and principles of storage facilities: safety of the isolation system (confinement system, safety analysis, scenarios, radiological consequences, safety principles), assessment of the radiation risks after the main phase of decay; 5 - safety of surface storage facilities: safety analysis of the confinement system of the Aube plant (barriers, scenarios, modeling, efficiency), evaluation of radiological risks after the main phase of decay; experience feedback of the Manche plant; variants of surface storage facilities in France and abroad (very low activity wastes, mine wastes, short living wastes with low and average activity); 6 - safety of deep geological disposal facilities: legal framework of the French research; international context; safety analysis of the confinement system

  14. Preliminary Results From a Heavily Instrumented Engine Ice Crystal Icing Test in a Ground Based Altitude Test Facility

    Science.gov (United States)

    Flegel, Ashlie B.; Oliver, Michael J.

    2016-01-01

    Preliminary results from the heavily instrumented ALF502R-5 engine test conducted in the NASA Glenn Research Center Propulsion Systems Laboratory are discussed. The effects of ice crystal icing on a full scale engine is examined and documented. This same model engine, serial number LF01, was used during the inaugural icing test in the Propulsion Systems Laboratory facility. The uncommanded reduction of thrust (rollback) events experienced by this engine in flight were simulated in the facility. Limited instrumentation was used to detect icing on the LF01 engine. Metal temperatures on the exit guide vanes and outer shroud and the load measurement were the only indicators of ice formation. The current study features a similar engine, serial number LF11, which is instrumented to characterize the cloud entering the engine, detect/characterize ice accretion, and visualize the ice accretion in the region of interest. Data were acquired at key LF01 test points and additional points that explored: icing threshold regions, low altitude, high altitude, spinner heat effects, and the influence of varying the facility and engine parameters. For each condition of interest, data were obtained from some selected variations of ice particle median volumetric diameter, total water content, fan speed, and ambient temperature. For several cases the NASA in-house engine icing risk assessment code was used to find conditions that would lead to a rollback event. This study further helped NASA develop necessary icing diagnostic instrumentation, expand the capabilities of the Propulsion Systems Laboratory, and generate a dataset that will be used to develop and validate in-house icing prediction and risk mitigation computational tools. The ice accretion on the outer shroud region was acquired by internal video cameras. The heavily instrumented engine showed good repeatability of icing responses when compared to the key LF01 test points and during day-to-day operation. Other noticeable

  15. How to help depressed older people living in residential care: a multifaceted shared-care intervention for late-life depression.

    Science.gov (United States)

    Llewellyn-Jones, R H; Baikie, K A; Castell, S; Andrews, C L; Baikie, A; Pond, C D; Willcock, S M; Snowdon, J; Tennant, C C

    2001-12-01

    To describe a population-based, multifaceted shared-care intervention for late-life depression in residential care as a new model of geriatric practice, to outline its development and implementation, and to describe the lessons learned during the implementation process. A large continuing-care retirement community in Sydney, Australia, providing three levels of care (independent living units, assisted-living complexes, and nursing homes). The intervention was implemented for the entire non-nursing home population (residents in independent and assisted living: N = 1,466) of the facility and their health care providers. Of the 1,036 residents whowere eligible and agreed to be interviewed, 281 (27.1%) were classified as depressed according to the Geriatric Depression Scale. INTERVENTION DESCRIPTION: The intervention included: (a) multidisciplinary collaboration between primary care physicians, facility health care providers, and the local psychogeriatric service; (b) training for primary care physicians and other facility health care providers about detecting and managing depression; and (c) depression-related health education/promotion programs for residents. The intervention was widely accepted by residents and their health care providers, and was sustained and enhanced by the facility after the completion of the study. It is possible to implement and sustain a multifaceted shared-care intervention for late-life depression in a residential care facility where local psychogeriatric services are scarce, staff-to-resident ratios are low, and the needs of depressed residents are substantial.

  16. The relationship between physical activity, and physical performance and psycho-cognitive functioning in older adults living in residential aged care facilities.

    Science.gov (United States)

    Bootsman, Natalia J M; Skinner, Tina L; Lal, Ravin; Glindemann, Delma; Lagasca, Carmela; Peeters, G M E E Geeske

    2018-02-01

    Insight into modifiable factors related to falls risk in older adults living in residential aged care facilities (RACFs) is necessary to tailor preventive strategies for this high-risk population. Associations between physical activity (PA), physical performance and psycho-cognitive functioning have been understudied in aged care residents. This study investigated associations between PA, and both physical performance and psycho-cognitive functioning in older adults living in RACFs. Cross-sectional study. Forty-four residents aged 85±8years were recruited from four RACFs located in Southeast Queensland. PA was assessed as the average time spent walking in hours/day using activPAL3™. Physical performance tests included balance, gait speed, dual-task ability, reaction time, coordination, grip strength, and leg strength and power. Psycho-cognitive questionnaires included quality of life, balance confidence, fear of falling and cognitive functioning. Associations between PA and each outcome measure were analysed using linear or ordinal regression models. The average time spent walking was 0.5±0.4h/day. Higher levels of PA were significantly associated with better balance (compared with low PA, medium: B=1.6; high: B=1.3) and dual-task ability (OR=7.9 per 0.5h/day increase). No statistically significant associations were found between PA and the other physical and psycho-cognitive measures. More physically active residents scored higher on balance and dual-task ability, which are key predictors of falls risk. This suggests that physical activity programs targeting balance and dual-task ability could help prevent falls in aged care residents. Copyright © 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  17. Residential care : Dutch and Italian residents of residential care facilities compared

    NARCIS (Netherlands)

    de Heer-Wunderink, Charlotte; Caro-Nienhuis, Annemarie D.; Sytema, Sjoerd; Wiersma, Durk

    2008-01-01

    Aims - Characteristics of patients living in residential care facilities and the availability of mental hospital- and residential beds in Italy and The Netherlands were compared to assess whether differences in the process of deinstitutionalisation have influenced the composition of their

  18. Investigating attitudes to hydrogen refuelling facilities and the social cost to local residents

    International Nuclear Information System (INIS)

    O'Garra, Tanya; Mourato, Susana; Pearson, Peter

    2008-01-01

    Vehicles fuelled by hydrogen (H 2 ) have attracted increasing attention because of their potentially enhanced environmental profiles. Their penetration into the vehicle stock will be influenced by the spread of refuelling facilities. This study investigates local attitudes towards the proposed installation of H 2 storage facilities at existing refuelling stations throughout London. Using multinomial logit analysis, we identify the determinants of attitudes. Results suggest that residents living very close to a proposed H 2 facility are less likely to be opposed than residents living 200-500 m away. Opposition appears to be determined by a lack of trust in safety regulations, non-environmental attitudes, and concerns about the existing local refuelling station. The social cost to local residents of a local H 2 storage facility was estimated using a method developed by Atkinson et al. [2004. 'Amenity' or 'eyesore'? Negative willingness to pay for options to replace electricity transmission towers. Applied Economics Letters 11(4), 203-208], which elicits the amount of time respondents are willing to commit to oppose a new facility development. Using the leisure rate of time, the social cost is estimated at just under Pounds 14 per local opposed resident. Add to this the WTP to support opposition efforts by a local group, and the value comes to just under Pounds 25 per opposed resident

  19. Use of nucleoside (tide) analogues in patients with hepatitis B-related acute liver failure

    DEFF Research Database (Denmark)

    Dao, Doan Y; Seremba, Emmanuel; Ajmera, Veeral

    2012-01-01

    The efficacy of nucleoside(tide) analogues (NA) in the treatment of acute liver failure due to hepatitis B virus (HBV-ALF) remains controversial. We determined retrospectively the impact of NAs in a large cohort of patients with HBV-ALF.......The efficacy of nucleoside(tide) analogues (NA) in the treatment of acute liver failure due to hepatitis B virus (HBV-ALF) remains controversial. We determined retrospectively the impact of NAs in a large cohort of patients with HBV-ALF....

  20. Revealed access to haemodialysis facilities in northeastern Iran: Factors that matter in rural and urban areas.

    Science.gov (United States)

    Kiani, Behzad; Bagheri, Nasser; Tara, Ahmad; Hoseini, Benyamin; Tabesh, Hamed; Tara, Mahmood

    2017-11-07

    Poor access to haemodialysis facilities is associated with high mortality and morbidity rates. This study investigated factors affecting revealed access to the haemodialysis facilities considering patients living in rural and urban areas without any haemodialysis facility (Group A) and those living urban areas with haemodialysis facilities (Group B). This study is based on selfreported Actual Access Time (AAT) to referred haemodialysis facilities and other information regarding travel to haemodialysis facilities from patients. All significant variables on univariate analysis were entered into a univariate general linear model in order to identify factors associated with AAT. Both spatial (driving time and distance) and non-spatial factors (sex, income level, caregivers, transportation mode, education level, ethnicity and personal vehicle ownership) influenced the revealed access identified in Group A. The non-spatial factors for Group B patients were the same as for Group A, but no spatial factor was identified in Group B. It was found that accessibility is strongly underestimated when driving time is chosen as accessibility measure to haemodialysis facilities. Analysis of revealed access determinants provides policymakers with an appropriate decision base for making appropriate decisions and finding solutions to decrease the access time for patients under haemodialysis therapy. Driving time alone is not a good proxy for measuring access to haemodialysis facilities as there are many other potential obstacles, such as women's special travel problems, poor other transportation possibilities, ethnicity disparities, low education levels, low caregiver status and low-income.

  1. Etiologies and Outcomes of Acute Liver Failure in a Spanish Community

    Directory of Open Access Journals (Sweden)

    Emilio Fábrega

    2013-01-01

    Full Text Available Previous retrospective study (1992 to 2000 performed in Spain showed that drug toxicity, viral hepatitis, and indeterminate etiology were the most prevalent causes of acute liver failure (ALF. In the last decade, there is no information about ALF in our country. For these reasons we analyze retrospectively, in a ten-year period (2000 to 2010, the presumed causes, clinical characteristics, course, and outcome of ALF in a Spanish community. Causes of ALF were indeterminate in 4 patients (24%, acute hepatitis B infection in 4 patients (24%, drug or toxic reactions in 4 patients (24%, including one case of acetaminophen overdose, followed by miscellaneous causes. The overall short-term survival (6 weeks after admission was 65%. Liver transplantation was performed in 11 patients with a survival of 82%. Despite fulfilling criteria, 2 patients were not transplanted because of contraindications; they both died. In summary, acute hepatitis B and indeterminate cause are still being the most frequent causes of ALF in our region, and patients with ALF have an excellent chance of survival after emergency liver transplantation. Acetaminophen overdose still represents a very rare cause of ALF in our community.

  2. Laser resonance ionization for ultra-trace analysis on long-lived ...

    Indian Academy of Sciences (India)

    for producing pure beams of short-lived isotopes at on-line facilities. .... mental design is to develop a compact table-top RIS experiment which allows for. 1058 ... partial beams which are merged by dichroic mirrors and polarization beam splitter ... A quasi-cw 35 W CO2 laser is used for efficient non-resonant ionization of.

  3. Operation manual for the INEL on-line mass-separator facility

    International Nuclear Information System (INIS)

    Anderl, R.A.

    1984-06-01

    This report is an operation manual for an on-line mass-separator facility which is located in Building 661 at the Test Reactor Area of the Idaho National Engineering Laboratory. The facility provides mass-separated sources of short-lived fission-product radionuclides whose decay properties can be studied using a variety of nuclear spectroscopic techniques. This facility is unique in that it utilizes the gas-jet technique to transport fission products from a 252 Cf source located in a hot cell to the ion source of the mass separator. This document includes the following: (a) a detailed description of the facility, (b) identification of equipment hazards and safety controls, (c) detailed operating procedures for startup, continuous operation and shutdown, (d) operating procedures for the californium hot cell, and (e) an operator's manual for the automated moving tape collector/data acquisition system. 7 references, 16 figures, 8 tables

  4. Recruitment of mobility limited older adults into a facility-led exercise-nutrition study: the effect of social involvement

    Science.gov (United States)

    Purpose of the Study: Older adults are among the most challenging population groups to enroll into health-related research. This article describes two methods used by investigators to recruit mobility limited older adults residing at assisted living or senior housing (SH) facilities into a facility-...

  5. Radiological performance assessment for the E-Area Vaults Disposal Facility

    Energy Technology Data Exchange (ETDEWEB)

    Cook, J.R.; Hunt, P.D. [Westinghouse Savannah River Co., Aiken, SC (United States)

    1994-04-15

    The E-Area Vaults (EAVs) located on a 200 acre site immediately north of the current LLW burial site at Savannah River Site will provide a new disposal and storage site for solid, low-level, non-hazardous radioactive waste. The EAV Disposal Facility will contain several large concrete vaults divided into cells. Three types of structures will house four designated waste types. The Intermediate Level Non-Tritium Vaults will receive waste radiating greater than 200 mR/h at 5 cm from the outer disposal container. The Intermediate Level Tritium Vaults will receive waste with at least 10 Ci of tritium per package. These two vaults share a similar design, are adjacent, share waste handling equipment, and will be closed as one facility. The second type of structure is the Low Activity Waste Vaults which will receive waste radiating less than 200 mR/h at 5 cm from the outer disposal container and containing less than 10 Ci of tritium per package. The third facility, the Long Lived Waste Storage Building, provides covered, long term storage for waste containing long lived isotopes. Two additional types of disposal are proposed: (1) trench disposal of suspect soil, (2) naval reactor component disposal. To evaluate the long-term performance of the EAVs, site-specific conceptual models were developed to consider: (1) exposure pathways and scenarios of potential importance; (2) potential releases from the facility to the environment; (3) effects of degradation of engineered features; (4) transport in the environment; (5) potential doses received from radionuclides of interest in each vault type.

  6. Radiological performance assessment for the E-Area Vaults Disposal Facility

    International Nuclear Information System (INIS)

    Cook, J.R.; Hunt, P.D.

    1994-01-01

    The E-Area Vaults (EAVs) located on a 200 acre site immediately north of the current LLW burial site at Savannah River Site will provide a new disposal and storage site for solid, low-level, non-hazardous radioactive waste. The EAV Disposal Facility will contain several large concrete vaults divided into cells. Three types of structures will house four designated waste types. The Intermediate Level Non-Tritium Vaults will receive waste radiating greater than 200 mR/h at 5 cm from the outer disposal container. The Intermediate Level Tritium Vaults will receive waste with at least 10 Ci of tritium per package. These two vaults share a similar design, are adjacent, share waste handling equipment, and will be closed as one facility. The second type of structure is the Low Activity Waste Vaults which will receive waste radiating less than 200 mR/h at 5 cm from the outer disposal container and containing less than 10 Ci of tritium per package. The third facility, the Long Lived Waste Storage Building, provides covered, long term storage for waste containing long lived isotopes. Two additional types of disposal are proposed: (1) trench disposal of suspect soil, (2) naval reactor component disposal. To evaluate the long-term performance of the EAVs, site-specific conceptual models were developed to consider: (1) exposure pathways and scenarios of potential importance; (2) potential releases from the facility to the environment; (3) effects of degradation of engineered features; (4) transport in the environment; (5) potential doses received from radionuclides of interest in each vault type

  7. The Habitation Lab: Using a Design Approach to Foster Innovation for Sustainable Living

    Directory of Open Access Journals (Sweden)

    Paula Femenías

    2013-11-01

    Full Text Available This article describes a first step towards a strategy for using living labs as a means to foster innovation and develop new concepts of sustainable living from an architectural point of view. The overall aim is to enable truly sustainable living through radically reduced energy and resource use thus addressing both environmental and social aspects of sustainability. Earlier research has shown that contemporary housing developments, including those with a sustainable profile, do not profoundly question modern lifestyles and consumption, which is a necessity to overcome limitations of a technological focus on environmental efficiency in construction. Thus, we see an opportunity for the discipline of architecture to engage in current investments in living lab facilities in order to push innovation in the field of sustainable housing. We introduce the concept of a "Habitation Lab", which will provide an arena for radical and high-risk design experimentation between users, building-sector actors, and academia, and we describe a case study of a planned Habitation Lab within a living lab facility where traditional solutions for daily living and habitation are questioned and new architectural innovations are explored and evaluated. The idea of using experimental activities in the field of housing is not new, and we argue that new investments should build on earlier experiences to avoid perpetuating misconceptions and repeating past failures. Furthermore, to ensure the dissemination and uptake of results, the design of the Habitation Lab should consider the innovation and learning trajectories of the building sector. We propose a transdisciplinary setting to provide a neutral arena for value creation and to increase the distribution of experiences.

  8. Assisted-living elderly and the mealtime experience.

    Science.gov (United States)

    Mahadevan, M; Hartwell, H J; Feldman, C H; Ruzsilla, J A; Raines, E R

    2014-04-01

    Although there is increasing evidence of barriers to nutritional health among elderly assisted-living residents, there has not been the same emphasis when examining the ways in which these individuals experience their mealtimes, as well as the factors that they perceive as contributing to their overall sense of health and well-being. Mealtimes may be disregarded as being particularly unimportant or hurried and overlooked, especially for those residents who may be lonely and have feelings of isolation, ultimately leading to a reduced food intake and poor nutrition. A convenience sample of 38 men and women, aged ≥65 years, were selected from four assisted-living facilities in and around Montclair, NJ, USA, to participate in focus group discussions. Data were analysed using content analysis procedures. Participants described their experiences of mealtimes, and the factors contributing to an overall sense of well-being during these occasions. The ability to make healthy food choices, socialise, interact with staff, friends and family members, and enjoy a tasty meal in a warm and inviting dining environment, may provide a dignity that is unmatched by other services. The findings of the present study highlight the importance of maintaining the health of elderly assisted-living residents through strategies that enhance their mealtime experiences. Listening to the food voice of elderly through research such as that carried out in the present study will help policy makers develop a plan that will effectively deal with systemic barriers prevalent in these facilities, and incorporate strategies to motivate and encourage their residents to increase their food intake and improve their health and well-being. © 2013 The Authors Journal of Human Nutrition and Dietetics © 2013 The British Dietetic Association Ltd.

  9. Live cell imaging at the Munich ion microbeam SNAKE – a status report

    International Nuclear Information System (INIS)

    Drexler, Guido A; Siebenwirth, Christian; Drexler, Sophie E; Girst, Stefanie; Greubel, Christoph; Dollinger, Günther; Friedl, Anna A

    2015-01-01

    Ion microbeams are important tools in radiobiological research. Still, the worldwide number of ion microbeam facilities where biological experiments can be performed is limited. Even fewer facilities combine ion microirradiation with live-cell imaging to allow microscopic observation of cellular response reactions starting very fast after irradiation and continuing for many hours. At SNAKE, the ion microbeam facility at the Munich 14 MV tandem accelerator, a large variety of biological experiments are performed on a regular basis. Here, recent developments and ongoing research projects at the ion microbeam SNAKE are presented with specific emphasis on live-cell imaging experiments. An overview of the technical details of the setup is given, including examples of suitable biological samples. By ion beam focusing to submicrometer beam spot size and single ion detection it is possible to target subcellular structures with defined numbers of ions. Focusing of high numbers of ions to single spots allows studying the influence of high local damage density on recruitment of damage response proteins. The online version of this article (doi:10.1186/s13014-015-0350-7) contains supplementary material, which is available to authorized users

  10. Phase I clinical trial with the AMC-bioartificial liver

    NARCIS (Netherlands)

    van de Kerkhove, M. P.; Di Florio, E.; Scuderi, V.; Mancini, A.; Belli, A.; Bracco, A.; Dauri, M.; Tisone, G.; Di Nicuolo, G.; Amoroso, P.; Spadari, A.; Lombardi, G.; Hoekstra, R.; Calise, F.; Chamuleau, R. A. F. M.

    2002-01-01

    Recently a bio-artificial liver (BAL) system has been developed at the Academic Medical Center (AMC) of Amsterdam to bridge patients with acute liver failure (ALF) to orthotopic liver transplantation (OLT). After successful testing of the AMC-BAL in rodents and pigs with ALF, a phase I study in ALF

  11. Outcome of acute liver failure in the elderly

    DEFF Research Database (Denmark)

    Schiødt, Frank V; Chung, Raymond T; Schilsky, Michael L

    2009-01-01

    Older age is considered a poor prognostic factor in acute liver failure (ALF) and may still be considered a relative contraindication for liver transplantation for ALF. We aimed to evaluate the impact of older age, defined as age > or = 60 years, on outcomes in patients with ALF. One thousand one...

  12. Protective role of hypoxia-inducible factor-1α-dependent CD39 and CD73 in fulminant acute liver failure

    Energy Technology Data Exchange (ETDEWEB)

    Tak, Eunyoung [Asan Institute for Life Sciences and Asan-Minnesota Institute for Innovating Transplantation, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Jung, Dong-Hwan; Kim, Seok-Hwan; Park, Gil-Chun [Division of Liver Transplantation and Hepatobiliary Surgery, Asan-Minnesota Institute for Innovating Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Jun, Dae Young; Lee, Jooyoung [Asan Institute for Life Sciences and Asan-Minnesota Institute for Innovating Transplantation, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Jung, Bo-hyun [Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan (Korea, Republic of); Kirchner, Varvara A. [Division of Transplantation, Department of Surgery and Asan-Minnesota Institute for Innovating Transplantation, University of Minnesota, Minneapolis, MN (United States); Hwang, Shin [Division of Liver Transplantation and Hepatobiliary Surgery, Asan-Minnesota Institute for Innovating Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Song, Gi-Won, E-mail: drsong71@amc.seoul.kr [Division of Liver Transplantation and Hepatobiliary Surgery, Asan-Minnesota Institute for Innovating Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Lee, Sung-Gyu [Division of Liver Transplantation and Hepatobiliary Surgery, Asan-Minnesota Institute for Innovating Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2017-01-01

    Acute liver failure (ALF) is a severe life-threatening disease which usually arises in patients with-irreversible liver illnesses. Although human ectonucleotide triphosphate diphosphohydrolase-1, E-NTPDase1 (CD39) and ecto-5′-nucleotidase, Ecto5′NTase (CD73) are known to protect tissues from ALF, the expression and function of CD39 and CD73 during ALF are currently not fully investigated. We tested whether CD39 and CD73 are upregulated by hypoxia inducible factor (HIF)-1α, and improve ischemic tolerance to ALF. To test our hypothesis, liver biopsies were obtained and we found that CD39 and CD73 mRNA and proteins from human specimens were dramatically elevated in ALF. We investigated that induction of CD39 and CD73 in ALF-related with wild type mice. In contrast, deletion of cd39 and cd73 mice has severe ALF. In this study, we concluded that CD39 and CD73 are molecular targets for the development of drugs for ALF patients care. - Highlights: • HIF-1a is stabilized during acute liver failure • Upregulation of CD39 and CD73 following acute liver failure • CD39 and CD73 are transcriptionally induced by HIF-1a • Deletion of Cd39 and CD73 aggravates murine acute liver failure • DMOG treatment induces HIF-1a stabilization, CD39 and CD73 during acute liver failure in WT mice.

  13. Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan.

    Science.gov (United States)

    Nishino, Tatsuya

    2017-12-01

    As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly's care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan's Ministry of Health, Labor and Welfare for 2025. In 2014, approximately 90% of all the people who were certified as requiring support and long-term care and those receiving preventive long-term care or long-term care services, were 75 years or older. The target increases in the number of established facilities by 2025 (for the 75-years-or-older population) were calculated to be 3.3% for nursing homes; 2.71% for long-term-care health facilities; 1.7% for group living facilities; and, 1.84% for community-based multi-care facilities. It was revealed that the establishment targets for 2025 also increase over current projections with the expected increase of the absolute number of users of group living facilities and community-based multi-care facilities. On the other hand, the establishment target for nursing homes remains almost the same as the current projection, whereas that for long-term-care health facilities decreases. These changes of facility ratios reveal that the Japanese social care system is shifting to realize 'Ageing in Place'. When considering households' tendencies, the target ratios for established facilities are expected to be applied to the other countries in Asia.

  14. Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan

    Science.gov (United States)

    Nishino, Tatsuya

    2017-01-01

    As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly’s care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan’s Ministry of Health, Labor and Welfare for 2025. In 2014, approximately 90% of all the people who were certified as requiring support and long-term care and those receiving preventive long-term care or long-term care services, were 75 years or older. The target increases in the number of established facilities by 2025 (for the 75-years-or-older population) were calculated to be 3.3% for nursing homes; 2.71% for long-term-care health facilities; 1.7% for group living facilities; and, 1.84% for community-based multi-care facilities. It was revealed that the establishment targets for 2025 also increase over current projections with the expected increase of the absolute number of users of group living facilities and community-based multi-care facilities. On the other hand, the establishment target for nursing homes remains almost the same as the current projection, whereas that for long-term-care health facilities decreases. These changes of facility ratios reveal that the Japanese social care system is shifting to realize ‘Ageing in Place’. When considering households’ tendencies, the target ratios for established facilities are expected to be applied to the other countries in Asia. PMID:29194405

  15. 38 CFR 17.63 - Approval of community residential care facilities.

    Science.gov (United States)

    2010-07-01

    ... patients in the event of fire or other emergency. Incorporation by reference of these materials was..., exclusive of closet space, at least 100 square feet for a single-resident room, or 80 square feet for each... independent living situation. (i) Records. (1) The facility must maintain records on each resident in a secure...

  16. Industrial complex for solid radwaste management (ICSRM) at Chernobyl nuclear power plant pre-commissioning of the facilities

    Energy Technology Data Exchange (ETDEWEB)

    Pietsch, Thomas [NUKEM Technologies GmbH, Alzenau (Germany); NUKEM Technologies GmbH, Slavutich (Ukraine)

    2009-07-01

    NUKEM was awarded to build the industrial complex for solid radwaste management (ICSRM) at the NPP Chernobyl. ICSRM consists of four facilities: SLWS (solid low waste storage), solid waste retrieval facility, solid waste processing plant, repository for the disposal of short-lived waste. The contribution describes the approach for testing and pre-commissioning the following systems: sorting, compaction, incineration, transport systems, monitoring, tracking and retrieval. Start-up of the facilities is planned for 2009.

  17. Industrial complex for solid radwaste management (ICSRM) at Chernobyl nuclear power plant pre-commissioning of the facilities

    International Nuclear Information System (INIS)

    Pietsch, Thomas

    2009-01-01

    NUKEM was awarded to build the industrial complex for solid radwaste management (ICSRM) at the NPP Chernobyl. ICSRM consists of four facilities: SLWS (solid low waste storage), solid waste retrieval facility, solid waste processing plant, repository for the disposal of short-lived waste. The contribution describes the approach for testing and pre-commissioning the following systems: sorting, compaction, incineration, transport systems, monitoring, tracking and retrieval. Start-up of the facilities is planned for 2009.

  18. Work/Life Boundary Management in an Integrative Environment: A Study of Residence Life Professionals who Live at Their Place of Work

    Science.gov (United States)

    Rankin, Pressley Robinson, IV

    2013-01-01

    How individuals manage work/life boundaries when they live at the place they work, as opposed to working from home, is a gap in both work/life literature and in higher education literature. An obvious example from higher education is the resident life professional that lives in the residential facility that she or he oversees. Living in a…

  19. Live Fire Range Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    None

    1993-08-01

    The Central Training Academy (CTA) is a DOE Headquarters Organization located in Albuquerque, New Mexico, with the mission to effectively and efficiently educate and train personnel involved in the protection of vital national security interests of DOE. The CTA Live Fire Range (LFR), where most of the firearms and tactical training occurs, is a complex separate from the main campus. The purpose of the proposed action is to expand the LFR to allow more options of implementing required training. The Department of Energy has prepared this Environmental Assessment (EA) for the proposed construction and operation of an expanded Live Fire Range Facility at the Central Training Academy in Albuquerque, New Mexico. Based on the analysis in the EA, DOE has determined that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act (NEPA) of 1969. Therefore, the preparation of an environmental impact statement is not required and DOE is issuing this Finding of No Significant Impact (FONSI).

  20. The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste.

    Science.gov (United States)

    Wild, Kayli; Barclay, Lesley; Kelly, Paul; Martins, Nelson

    2012-02-01

    To examine the impact of maternity waiting homes on the use of facility-based birthing services for women in two remote districts of Timor-Leste. A before-and-after study design was used to compare the number of facility-based births in women who lived at different distances (0-5, 6-25, 26-50 and > 50 km) from the health centre before and after implementation of maternity waiting homes. Routine data were collected from health centre records at the end of 2007; they included 249 births in Same, Manufahi district, and 1986 births in Lospalos, Lautem district. Population data were used to estimate the percentage of women in each distance category who were accessing facility-based care. Most facility-based births in Same (80%) and Lospalos (62%) were among women who lived within 5 km of the health centre. There was no significant increase in the number of facility-based births among women in more remote areas following implementation of the maternity waiting homes. The percentage of births in the population that occurred in a health facility was low for both Manufahi district (9%) and Lautem district (17%), and use decreased markedly as distance between a woman's residence and the health facilities increased. The maternity waiting homes in Timor-Leste did not improve access to facility-based delivery for women in remote areas. The methods for distance analysis presented in this paper provide a framework that could be used by other countries seeking to evaluate maternity waiting homes.

  1. Metabolic hormones, apolipoproteins, adipokines, and cytokines in the alveolar lining fluid of healthy adults: compartmentalization and physiological correlates.

    Directory of Open Access Journals (Sweden)

    Carlos O Mendivil

    Full Text Available Our current understanding of hormone regulation in lung parenchyma is quite limited. We aimed to quantify a diverse array of biologically relevant protein mediators in alveolar lining fluid (ALF, compared to serum concentrations, and explore factors associated with protein compartmentalization on either side of the air-blood barrier.Participants were 24 healthy adult non-smoker volunteers without respiratory symptoms or significant medical conditions, with normal lung exams and office spirometry. Cell-free bronchoalveolar lavage fluid and serum were analyzed for 24 proteins (including enteric and metabolic hormones, apolipoproteins, adipokines, and cytokines using a highly sensitive multiplex ELISA. Measurements were normalized to ALF concentrations. The ALF:serum concentration ratios were examined in relation to measures of protein size, hydrophobicity, charge, and to participant clinical and spirometric values.ALF measurements from 24 individuals detected 19 proteins, including adiponectin, adipsin, apoA-I, apoA-II, apoB, apoC-II, apoC-III, apoE, C-reactive protein, ghrelin, glucose-dependent insulinotropic peptide (GIP, glucagon-like peptide-1 (GLP-1, glucagon, insulin, leptin, monocyte chemoattractant protein-1, plasminogen activator inhibitor-1, resistin, and visfatin. C-peptide and serpin E1 were not detected in ALF for any individual, and IL-6, IL-10, and TNF-alpha were not detected in either ALF or serum for any individual. In general, ALF levels were similar or lower in concentration for most proteins compared to serum. However, ghrelin, resistin, insulin, visfatin and GLP-1 had ALF concentrations significantly higher compared to serum. Importantly, elevated ALF:serum ratios of ghrelin, visfatin and resistin correlated with protein net charge and isoelectric point, but not with molecular weight or hydrophobicity.Biologically relevant enteric and metabolic hormones, apolipoproteins, adipokines, and cytokines can be detected in the ALF of

  2. Determinants of facility delivery after implementation of safer mother programme in Nepal: a prospective cohort study.

    Science.gov (United States)

    Karkee, Rajendra; Binns, Colin W; Lee, Andy H

    2013-10-20

    There are several barriers for pregnant women to deliver in a health care facility. This prospective cohort study investigated factors affecting facility delivery and reasons for unplanned place of delivery after implementation of the safer mother programme in Nepal. Baseline interviews using a validated questionnaire were conducted on a sample of 700 pregnant women representative of the Kaski district in central Nepal. Follow-up interviews of the cohort were then conducted within 45 days postpartum. Stepwise logistic regression analysis was performed to determine factors associated with the facility delivery outcome. Of the 644 pregnant women whose delivery location had been identified, 547 (85%) gave birth in a health care facility. Women were more likely to deliver in a health facility if they were educated especially with higher secondary or above qualification (adjusted odds ratio (OR) 12.39, 95% confidence interval (CI) 5.09 to 30.17), attended 4 or more antenatal care visits (OR 2.15, 95% CI 1.25 to 3.69), and lived within 30 minutes to the facility (OR 11.61, 95% CI 5.77 to 24.04). For the 97 women who delivered at home, 72 (74.2%) were unplanned, mainly due to quick precipitation of labour making it impossible to reach a health facility. It appeared that facility delivery occurs more frequent among educated women and those who live nearby, even though maternity services are now freely available in Nepal. Because of the difficult terrain and transportation problem in rural areas, interventions that make maternity service physically accessible during antenatal period are needed to increase the utilisation of health facility for child birth.

  3. Vínculos entre teatro y cine en La señorita Julia. De August Strindberg a Alf Sjöberg y Liv Ullmann

    Directory of Open Access Journals (Sweden)

    Daniela Oulego

    2016-03-01

    Full Text Available El propósito del presente artículo es abordar comparativamente el texto dramático La señorita Julia, escrito por el dramaturgo August Strindberg, con las versiones fílmicas dirigidas por los cineastas Alf Sjöberg y Liv Ullmann. Si bien la obra responde al naturalismo, consideramos que Strindberg debatió con el carácter determinista de la herencia. En este sentido, elementos de la mitología cristiana, como el festejo de la Noche de San Juan, y la presencia de lo dionisíaco formarán parte del análisis. Asimismo, las divisiones jerárquicas ancestrales entre los sexos, por un lado, y amos y esclavos, por otro, serán vinculadas con la religión desde una mirada crítica del cristianismo. En su película Sjöberg se distanció de Strindberg acentuando en el factor determinista al indagar en la prehistoria de los personajes mediante el recurso técnico del flashback y apelando a metáforas audiovisuales en consonancia con el cine sueco experimental de su tiempo. Del mismo modo, Liv Ullmann, continuó examinando la influencia del determinismo y profundizó la construcción de los personajes desde la animalización planteada por Sjöberg. Por último, las referencias metateatrales del texto original retomadas en esta transposición permitirán enriquecer el estudio interdisciplinario entre teatro y cine.

  4. Integrated Payment and Delivery Models Offer Opportunities and Challenges for Residential Care Facilities

    OpenAIRE

    Grabowski, David C.; Caudry, Daryl J.; Dean, Katie M.; Stevenson, David G.

    2015-01-01

    Under health care reform, a series of new financing and delivery models are being piloted to integrate health and long-term care services for older adults. To date, these programs have not encompassed residential care facilities, with most programs focusing on long-term care recipients in the community or the nursing home. Our analyses indicate that individuals living in residential care facilities have similarly high rates of chronic illness and Medicare utilization when compared with simila...

  5. Biomedical neutron research at the Californium User Facility for neutron science

    International Nuclear Information System (INIS)

    Martin, R.C.; Byrne, T.E.; Miller, L.F.

    1997-01-01

    The Californium User Facility for Neutron Science has been established at Oak Ridge National Laboratory (ORNL). The Californium User Facility (CUF) is a part of the larger Californium Facility, which fabricates and stores compact 252 Cf neutron sources for worldwide distribution. The CUF can provide a cost-effective option for research with 252 Cf sources. Three projects at the CUF that demonstrate the versatility of 252 Cf for biological and biomedical neutron-based research are described: future establishment of a 252 Cf-based neutron activation analysis system, ongoing work to produce miniature high-intensity, remotely afterloaded 252 Cf sources for tumor therapy, and a recent experiment that irradiated living human lung cancer cells impregnated with experimental boron compounds to test their effectiveness for boron neutron capture therapy

  6. Environmental monitoring of nuclear facilities

    International Nuclear Information System (INIS)

    Papadopoulos, D.; Winter, M.

    1982-01-01

    Environmental monitoring adds to the control of emissions of radioactive substances from nuclear facilities. The radioactive substances released with the exhaust air and the liquid effluent result in impact levels in the immediate vicinity, which must be ascertained by measurement. Impact control serves for the quantitative assessment of man-made radioactivity in different media of relevant pathways and for the direct assessment of the radiation exposure of the public living in the vicinity. In this way, the radiation exposure of the environment, which can be calculated if the emission data and the meteorological diffusion parameters are known, is controlled directly. (orig./RW)

  7. Current status of JAERI Tokai hot cell facilities

    International Nuclear Information System (INIS)

    Itami, Hiroharu; Morozumi, Minoru; Yamahara, Takeshi

    1992-01-01

    JAERI has 4 hot cell facilities in order to examine high radioactive materials. Three of them, the Research Hot Laboratory, the Reactor Fuel Examination Facility and the Waste Safety Testing Facility are located in the JAERI Tokai site, and the rest is the JMTR Hot Laboratory in the Oarai site. The Research Hot Laboratory (RHL) was constructed for post-irradiation examination (PIE), especially nuclear related basic research experiment, such as metallurgical, chemical and mechanical examination on fuels and materials irradiated in research and test reactors. This facility has 10 large dimension concrete and 38 lead cells. At present the RHL is used for various kinds of examinations of high radioactive samples such as fuels of research and test reactors, power reactors and high temperature testing reactor (HTTR), and structural materials. The Reactor Fuel Examination Facility (RFEF) was designed and constructed for carrying out PIE of irradiated full-size fuel assemblies of light water reactors (LWRs). This facility has a storage pool, 8 concrete and 5 lead cells. They are currently used for safety evaluation on high burnup and advanced lWR fuels as part of the national program. The Waste Safety Testing Facility (WASTEF) was designed and constructed for safety research on long-term storage and disposal of high level radioactive wastes, generated by fuel reprocessing. The WASTEF has 5 concrete cells and 1 lead cell. Examinations on the behavior of various long-lived fission products in a glass form and in a canister and, releasing behavior of them out of a canister are carrying out under the condition at storage. (author)

  8. Liver regeneration signature in hepatitis B virus (HBV-associated acute liver failure identified by gene expression profiling.

    Directory of Open Access Journals (Sweden)

    Oriel Nissim

    Full Text Available The liver has inherent regenerative capacity via mitotic division of mature hepatocytes or, when the hepatic loss is massive or hepatocyte proliferation is impaired, through activation of hepatic stem/progenitor cells (HSPC. The dramatic clinical course of acute liver failure (ALF has posed major limitations to investigating the molecular mechanisms of liver regeneration and the role of HSPC in this setting. We investigated the molecular mechanisms of liver regeneration in 4 patients who underwent liver transplantation for hepatitis B virus (HBV-associated ALF.Gene expression profiling of 17 liver specimens from the 4 ALF cases and individual specimens from 10 liver donors documented a distinct gene signature for ALF. However, unsupervised multidimensional scaling and hierarchical clustering identified two clusters of ALF that segregated according to histopathological severity massive hepatic necrosis (MHN; 2 patients and submassive hepatic necrosis (SHN; 2 patients. We found that ALF is characterized by a strong HSPC gene signature, along with ductular reaction, both of which are more prominent in MHN. Interestingly, no evidence of further lineage differentiation was seen in MHN, whereas in SHN we detected cells with hepatocyte-like morphology. Strikingly, ALF was associated with a strong tumorigenesis gene signature. MHN had the greatest upregulation of stem cell genes (EpCAM, CK19, CK7, whereas the most up-regulated genes in SHN were related to cellular growth and proliferation. The extent of liver necrosis correlated with an overriding fibrogenesis gene signature, reflecting the wound-healing process.Our data provide evidence for a distinct gene signature in HBV-associated ALF whose intensity is directly correlated with the histopathological severity. HSPC activation and fibrogenesis positively correlated with the extent of liver necrosis. Moreover, we detected a tumorigenesis gene signature in ALF, emphasizing the close relationship between

  9. Procalcitonin Identifies Cell Injury, Not Bacterial Infection, in Acute Liver Failure.

    Directory of Open Access Journals (Sweden)

    Jody A Rule

    Full Text Available Because acute liver failure (ALF patients share many clinical features with severe sepsis and septic shock, identifying bacterial infection clinically in ALF patients is challenging. Procalcitonin (PCT has proven to be a useful marker in detecting bacterial infection. We sought to determine whether PCT discriminated between presence and absence of infection in patients with ALF.Retrospective analysis of data and samples of 115 ALF patients from the United States Acute Liver Failure Study Group randomly selected from 1863 patients were classified for disease severity and ALF etiology. Twenty uninfected chronic liver disease (CLD subjects served as controls.Procalcitonin concentrations in most samples were elevated, with median values for all ALF groups near or above a 2.0 ng/mL cut-off that generally indicates severe sepsis. While PCT concentrations increased somewhat with apparent liver injury severity, there were no differences in PCT levels between the pre-defined severity groups-non-SIRS and SIRS groups with no documented infections and Severe Sepsis and Septic Shock groups with documented infections, (p = 0.169. PCT values from CLD patients differed from all ALF groups (median CLD PCT value 0.104 ng/mL, (p ≤0.001. Subjects with acetaminophen (APAP toxicity, many without evidence of infection, demonstrated median PCT >2.0 ng/mL, regardless of SIRS features, while some culture positive subjects had PCT values <2.0 ng/mL.While PCT appears to be a robust assay for detecting bacterial infection in the general population, there was poor discrimination between ALF patients with or without bacterial infection presumably because of the massive inflammation observed. Severe hepatocyte necrosis with inflammation results in elevated PCT levels, rendering this biomarker unreliable in the ALF setting.

  10. The internationalisation of research facilities

    International Nuclear Information System (INIS)

    Sabine, T.M.

    1999-01-01

    Full text: During the past twenty five years arrangements have been made for sharing the use of major national research facilities amongst the world community of neutron users. The administrative requirements are simple. Scientists are invited to apply for measurement time. The scientific merit of the application is assessed by a committee appointed by the host organisation. If the application is considered to have sufficient merit time is allocated. The only costs to the user are transport and living expenses. These arrangements have advantages for users and for hosts. The user can apply for time on the most suitable instrument. The host in the user country is freed from the responsibility of supplying all instruments. It can specialise in those instruments in which it has particular expertise. The host retains, through its committee, complete control over the use of instruments. The amount of time allocated to international users is dependent on the national demand. The result is efficient use of national facilities. An equally important result is the interaction between members of the international scientific community. Australian scientists routinely use overseas facilities however Australia has refused to join the international group. There is international resentment to this attitude. We have, for example powder diffraction facilities which others wish to use. We have no small-angle scattering facilities and must do our experiments at international centres. I will argue that we should join the international community now. The capacity of the replacement reactor will be far greater than the internal Australian requirements. We will become the natural host for users from countries in the Asian region. To enable us to make a smooth transition to this stage we should immediately advertise an international program for HIFAR

  11. Childhood leukaemia around Canadian nuclear facilities. Phase 2

    International Nuclear Information System (INIS)

    Clarke, E.A.; McLaughlin, J.; Anderson, T.W.

    1991-06-01

    Prompted by findings of increased occurrence of childhood leukaemia in the vicinity of some nuclear facilities in the United Kingdom, this study aimed to investigate whether the frequency of leukaemia among children born to mothers living near nuclear facilities in Ontario differed from the provincial average. The Ontario Cancer Registry was used to identify 1894 children aged 0 to 14 years who died from leukaemia between 1950 and 1987, and 1814 children who were diagnosed with leukaemia between 1964 and 1986. Residence at birth and death was obtained from birth and death certificates. Analyses were performed separately for nuclear research and development facilities; uranium mining, milling and refining facilities; and, nuclear generating stations; and for areas within the same county as the facility and 'nearby' - within a 25-km radius of the facility. Risk estimates were calculated as the ratio of the observed (O) number of events over the expected (E) number. In the vicinity of nuclear research and development facilities the rate of leukaemia was less than expected and within the bound of chance variation. In the areas around the uranium mining, milling and refining facilities and nuclear power plants leukaemia occurred slightly more frequently than expected, but due to small frequencies these differences may have arisen due to chance. Large differences between observed and expected rates were not detected around any of the Ontario facilities. This study was large enough to detect excess risks of the magnitude reported in the United Kingdom, but it was not large enough to discriminate between the observed relative risks and a chance finding. Levels of leukaemia detected near nuclear generating stations indicate the need for further investigation. (20 tabs., 15 figs., 32 refs.)

  12. Living in an older adult community: a pharmacy student's experience.

    Science.gov (United States)

    Anastasia, Emily; Estus, Erica

    2013-12-01

    Interacting with older adults is a daily practice for pharmacists. It is important to understand how medications affect their wellbeing, but there are many other factors that affect quality of life. To truly understand some of the challenges facing older adults, Emily Anastasia, a sixth-year pharmacy student at the University of Rhode Island, moved into South Bay Retirement Living, a senior living community, for an eight-day immersion experience as a special project within one of her advanced pharmacy practice experience rotations. During her stay, she did not attend classes nor leave the facility unless on the South Bay bus with the other assisted living residents. She lived with a 92-year-old roommate, developed close friendships with many of the residents, and kept a detailed journal of her experience. The purpose of this reflection is to share her experience and recognize lifestyle as well as social and physical environment as factors in understanding the aging process. Immersing a pharmacy student within an assisted living community provides a unique opportunity to observe and appreciate characteristics of older adults that cannot be learned within a classroom setting.

  13. Long-Lived Digital Data Collections Enabling Research and Education in the 21st Century

    Science.gov (United States)

    2005-09-01

    Collections: Enabling Research and Education in the 21st Century40 LoNG-LiVED DiGiTAL DATA CoLLECTioNS AND LARGE FACiLiTiES Workshop participants drew...Long-Lived Digital Data Collections: Enabling Research and Education in the 21st Century NSB-05-40 Report Documentation Page Form...COVERED - 4. TITLE AND SUBTITLE Long-Lived Digital Data Collections Enabling Research and Education in the 21st Century 5a. CONTRACT NUMBER 5b

  14. The concept of the double-purpose electro-nuclear facility

    Energy Technology Data Exchange (ETDEWEB)

    Bergelson, B.P.; Balyuk, S.A. [Institute of theoretical and experimental physics, Moscow (Russian Federation)

    1995-10-01

    The parameters have been determined on a conceptual level of the electro-nuclear facility intended for electric power generation and minor actinide transmutation. Electro-nuclear facilities (ENFs) have been developed without apparent success for many years. The main difficulties are associated with high accelerator cost and absence of their own clearly defined place for ENFs in the nuclear-power complex. In recent years, however, the situation has changed in many aspects in connection with the rise in safety requirements for nuclear power industry and because of the necessity to decrease the equilibrium level of the long-lived radiotoxicity in particular. In the authors opinion double-purpose ENFs designed for power generation and tansmutation of minor actinides are promising. The results of conceptual investigations for such a facility being operated on liquid fuel in the condition of a uranium-plutonium fuel cycle are given here.

  15. Aluminum Doped MCM-41 Nanoparticles as Platforms for the Dual Encapsulation of a CO-Releasing Molecule and Cisplatin.

    Science.gov (United States)

    Carmona, Francisco J; Jiménez-Amezcua, Ignacio; Rojas, Sara; Romão, Carlos C; Navarro, Jorge A R; Maldonado, Carmen R; Barea, Elisa

    2017-09-05

    Mesoporous silica Al-MCM-41 nanoparticles have been used, for the first time, as vehicles for the single and dual encapsulation of the cationic CO-releasing molecule (CORM) [Mn(1,4,7-triazacyclononane)(CO) 3 ] + (ALF472 + ) and the well-known antineoplastic drug, cis-[PtCl 2 (NH 3 ) 2 ] (cisplatin). Thus, two new hybrid materials, namely, ALF472@Al-MCM-41 and ALF472-cisplatin@Al-MCM-41, have been isolated and fully characterized. The results reveal that the presence of CORM molecules enhances cisplatin loading 3-fold, yielding a cargo of 0.45 mmol g -1 of ALF472 + and 0.12 mmol g -1 of the platinum complex for ALF472-cisplatin@Al-MCM-41. It is worth noting that ALF472@Al-MCM-41 shows a good dispersion in phosphate buffered saline solution, while the dual hybrid material slightly aggregates in this simulated physiological medium (hydrodynamic size: 112 ± 23 and 336 ± 50 nm, respectively). In addition, both hybrid materials (ALF472@Al-MCM-41 and ALF472-cisplatin@Al-MCM-41) behave as photoactive CO-releasing materials, delivering 0.25 and 0.11 equiv of CO, respectively, after 24 h and exhibiting a more controlled CO delivery than that of the free CORM. Finally, metal leaching studies have confirmed the good retention capacity of Al-MCM-41 toward the potentially toxic manganese fragments (86% of retention after 72 h) as well as the low release of cisplatin (ca. 7% after 72 h).

  16. Live Imaging of Shoot Meristems on an Inverted Confocal Microscope Using an Objective Lens Inverter Attachment

    Science.gov (United States)

    Nimchuk, Zachary L.; Perdue, Tony D.

    2017-01-01

    Live imaging of above ground meristems can lead to new insights in plant development not possible from static imaging of fixed tissue. The use of an upright confocal microscope offers several technical and biological advantages for live imaging floral or shoot meristems. However, many departments and core facilities possess only inverted confocal microscopes and lack the funding for an additional upright confocal microscope. Here we show that imaging of living apical meristems can be performed on existing inverted confocal microscopes with the use of an affordable and detachable InverterScope accessory. PMID:28579995

  17. Live Imaging of Shoot Meristems on an Inverted Confocal Microscope Using an Objective Lens Inverter Attachment.

    Science.gov (United States)

    Nimchuk, Zachary L; Perdue, Tony D

    2017-01-01

    Live imaging of above ground meristems can lead to new insights in plant development not possible from static imaging of fixed tissue. The use of an upright confocal microscope offers several technical and biological advantages for live imaging floral or shoot meristems. However, many departments and core facilities possess only inverted confocal microscopes and lack the funding for an additional upright confocal microscope. Here we show that imaging of living apical meristems can be performed on existing inverted confocal microscopes with the use of an affordable and detachable InverterScope accessory.

  18. Reactor cold neutron source facility, the first in Japan

    International Nuclear Information System (INIS)

    Utsuro, Masahiko; Maeda, Yutaka; Kawai, Takeshi; Tashiro, Tameyoshi; Sakakibara, Shoji; Katada, Minoru.

    1986-01-01

    In the Research Reactor Institute, Kyoto University, the first cold neutron source facility for the reactor in Japan was installed, and various tests are carried out outside the reactor. Nippon Sanso K.K. had manufactured it. After the prescribed tests outside the reactor, this facility will be installed soon in the reactor, and its outline is described on this occasion. Cold neutrons are those having very small energy by being cooled to about-250 deg C. Since the wavelength of the material waves of cold neutrons is long, and their energy is small, they are very advantageous as an experimental means for clarifying the structure of living body molecules and polymers, the atom configuration in alloys, and atomic and molecular movements by neutron scattering and neutron diffraction. The basic principle of the cold neutron source facility is to irradiate thermal neutrons on a cold moderator kept around 20 K, and to moderate and cool the neutrons by nuclear scattering to convert to cold neutrons. The preparatory research on cold neutrons and hydrogen liquefaction, the basic design to put the cold neutron source facility in the graphite moderator facility, the safety countermeasures, the manufacture and quality control, the operation outside the reactor and the performance are reported. The cold neutron source facility comprises a cold moderator tank and other main parts, a deuterium gas tank, a helium refrigerator and instrumentation. (Kako, I.)

  19. Advances in the treatment of acute liver failure

    Directory of Open Access Journals (Sweden)

    LUO Ling

    2018-02-01

    Full Text Available Acute liver failure (ALF is a rare life-threatening disease with rapid progression and a low survival rate and affects the function of multiple organ systems. Early identification of cause and protection of vital organs are critical for patients' survival. With the development in artificial liver, stem cell transplantation, and liver transplantation in recent years, the outcome of ALF has been greatly improved. This article elaborates on the treatment of ALF from the aspects of the etiology of ALF and major organ systems involved and introduces the latest advances in artificial liver and stem cell transplantation.

  20. Brain expression of the water channels Aquaporin-1 and -4 in mice with acute liver injury, hyperammonemia and brain edema

    DEFF Research Database (Denmark)

    Eefsen, Martin; Jelnes, Peter; Schmidt, Lars E

    2010-01-01

    Cerebral edema is a feared complication to acute liver failure (ALF), but the pathogenesis is still poorly understood. The water channels Aquaporin-1 (Aqp1) and -4 (Aqp4) has been associated with brain edema formation in several neuropathological conditions, indicating a possible role of Aqp1 and....../or Aqp4 in ALF mediated brain edema. We induced acute liver injury and hyperammonemia in mice, to evaluate brain edema formation and the parallel expression of Aqp1 and Aqp4 in ALF. Liver injury and hyperammonemia were induced by +D-galactosamine (GLN) plus lipopolysaccharide (LPS) intraperitoneally......(6266) (p edema in mice with ALF....

  1. Studsvik thermal neutron facility

    International Nuclear Information System (INIS)

    Pettersson, O.A.; Larsson, B.; Grusell, E.; Svensson, P.

    1992-01-01

    The Studsvik thermal neutron facility at the R2-0 reactor originally designed for neutron capture radiography has been modified to permit irradiation of living cells and animals. A hole was drilled in the concrete shielding to provide a cylindrical channel with diameter of 25.3 cm. A shielding water tank serves as an entry holder for cells and animals. The advantage of this modification is that cells and animals can be irradiated at a constant thermal neutron fluence rate of approximately 10 9 n cm -2 s -1 (at 100 kW) without stopping and restarting the reactor. Topographic analysis of boron done by neutron capture autoradiography (NCR) can be irradiated under the same conditions as previously

  2. Predictors of fertility desire among people living with HIV attending anti-retroviral clinic in a tertiary health facility in Sokoto, Northern Nigeria

    Directory of Open Access Journals (Sweden)

    A U Kaoje

    2015-01-01

    Full Text Available Introduction: The pressure on couples and particularly women to have children is strong in developing countries where a childless woman is considered a social pariah. This study aimed to determine the predictors of fertility desire among people living with HIV. Materials and Methods : This is a descriptive cross-sectional study conducted among 400 HIV-positive clients receiving follow-up care at anti-retroviral (ART clinic in a tertiary health facility in Sokoto. A list of clients that came to the clinic was compiled and served as sampling frame. A two stage sampling method was used to select study respondents from the sampling frame. Interviewer- administered closed-ended questionnaire was used to collect the required data from the respondents. Ethical approval was granted for the conduct of the study and informed consent was obtained from the respondents. Descriptive, bivariate and multivariate analyses were carried out. Results : Majority (56.2% of the respondents were females. The overall mean age was 34.5 ± 0.4 years (male 38.4 ± 0.5 years, and (females, 31.4 ± 0.4 years. A large proportion of the respondents (67.7% reported desire to have children in future. Using logistic regression analysis, younger age (adjusted odd ratio [aOR] = 2.0, P = 0.023, marital status (aOR = 1.9, P < 0.001 and number of living children (aOR = 0.7, P < 0.001 were the key factors influencing respondents desire for children. Conclusion : Many HIV-positive clients in the clinic reported desire to have children. It is recommended that full reproductive health services be provided in the clinic to help them achieve their reproductive goal without risk to their partners and new born.

  3. Bidirectional and Multi-User Telerehabilitation System: Clinical Effect on Balance, Functional Activity, and Satisfaction in Patients with Chronic Stroke Living in Long-Term Care Facilities

    Directory of Open Access Journals (Sweden)

    Kwan-Hwa Lin

    2014-07-01

    Full Text Available Background: The application of internet technology for telerehabilitation in patients with stroke has developed rapidly. Objective: The current study aimed to evaluate the effect of a bidirectional and multi-user telerehabilitation system on balance and satisfaction in patients with chronic stroke living in long-term care facilities (LTCFs. Method: This pilot study used a multi-site, blocked randomization design. Twenty-four participants from three LTCFs were recruited, and the participants were randomly assigned into the telerehabilitation (Tele and conventional therapy (Conv groups within each LTCF. Tele group received telerehabilitation but the Conv group received conventional therapy with two persons in each group for three sessions per week and for four weeks. The outcome measures included Berg Balance Scale (BBS, Barthel Index (BI, and the telerehabilitation satisfaction of the participants. Setting: A telerehabilitation system included “therapist end” in a laboratory, and the “client end” in LTCFs. The conventional therapy was conducted in LTCFs. Results: Training programs conducted for both the Tele and Conv groups showed significant effects within groups on the participant BBS as well as the total and self-care scores of BI. No significant difference between groups could be demonstrated. The satisfaction of participants between the Tele and the Conv groups also did not show significant difference. Conclusions: This pilot study indicated that the multi-user telerehabilitation program is feasible for improving the balance and functional activity similar to conventional therapy in patients with chronic stroke living in LTCFs.

  4. Longitudinal study of accelerated long-term forgetting in children with genetic generalized epilepsy: Evidence of ongoing deficits.

    Science.gov (United States)

    Grayson-Collins, Jasmin; Gascoigne, Michael B; Barton, Belinda; Webster, Richard; Gill, Deepak; Lah, Suncica

    2017-09-15

    Accelerated long-term forgetting (ALF) is a recently described memory disorder characterised by adequate recall after short, but not long delays. Currently, the prevailing conceptualisation of ALF is of a seizure related phenomenon. The main aim of this study was to assess whether ALF subsides as epilepsy severity and seizures abate in children with genetic generalized epilepsy (GGE). Eighteen children with GGE were compared over time to 29 healthy controls on a range of cognitive measures. The primary outcome was a modified version of the California Verbal Learning Test for Children with a long delay (seven day) recall component. At approximately two years follow up, ALF was apparent, although epilepsy severity subsided and seizures resolved in many children. This result contrasts with the dominant conceptualisation of ALF being a seizure related phenomenon. Moreover, at follow-up, worse recall at the long delay was related to greater epilepsy severity at baseline and earlier age of seizure onset, but not to being seizure free at follow-up. While at follow-up worse recall at the long delay related to the worse baseline recall at the long delay, this recall did not relate to scores obtained on standardised memory tests at baseline. Our study suggests that ALF may not be seizure related and identifies factors associated with risk of ALF in children with GGE. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Beyond utilitarianism: a method for analyzing competing ethical principles in a decision analysis of liver transplantation.

    Science.gov (United States)

    Volk, Michael L; Lok, Anna S F; Ubel, Peter A; Vijan, Sandeep

    2008-01-01

    The utilitarian foundation of decision analysis limits its usefulness for many social policy decisions. In this study, the authors examine a method to incorporate competing ethical principles in a decision analysis of liver transplantation for a patient with acute liver failure (ALF). A Markov model was constructed to compare the benefit of transplantation for a patient with ALF versus the harm caused to other patients on the waiting list and to determine the lowest acceptable 5-y posttransplant survival for the ALF patient. The weighting of the ALF patient and other patients was then adjusted using a multiattribute variable incorporating utilitarianism, urgency, and other principles such as fair chances. In the base-case analysis, the strategy of transplanting the ALF patient resulted in a 0.8% increase in the risk of death and a utility loss of 7.8 quality-adjusted days of life for each of the other patients on the waiting list. These harms cumulatively outweighed the benefit of transplantation for an ALF patient having a posttransplant survival of less than 48% at 5 y. However, the threshold for an acceptable posttransplant survival for the ALF patient ranged from 25% to 56% at 5 y, depending on the ethical principles involved. The results of the decision analysis vary depending on the ethical perspective. This study demonstrates how competing ethical principles can be numerically incorporated in a decision analysis.

  6. Review of short-lived radionuclide activities in the United States

    International Nuclear Information System (INIS)

    Sodd, V.J.

    1985-01-01

    A review is given of the accelerator-produced short-lived radionuclides which are used in radiopharmaceuticals available commercially in the US and of the accelerator facilities devoted primarily to their production. Reactions for the efficient production of 67 Ga, 81 Rb → /sup 81m/Kr, 111 In, 201 Tl, and 123 I are given. Methods for the production of higher purity 123 I are suggested

  7. Report of ICRP Task Group 80: 'radiological protection in geological disposal of long-lived solid radioactive waste'.

    Science.gov (United States)

    Weiss, W

    2012-01-01

    The report of International Commission on Radiological Protection (ICRP) Task Group 80 entitled 'Radiological protection in geological disposal of long-lived solid radioactive waste' updates and consolidates previous ICRP recommendations related to solid waste disposal (ICRP Publications 46, 77, and 81). The recommendations given in this report apply specifically to geological disposal of long-lived solid radioactive waste. The report explains how the 2007 system of radiological protection, described in ICRP Publication 103, can be applied in the context of the geological disposal of long-lived solid radioactive waste. The report is written as a self-standing document. It describes the different stages in the lifetime of a geological disposal facility, and addresses the application of relevant radiological protection principles for each stage depending on the various exposure situations that can be encountered. In particular, the crucial factor that influences application of the protection system over the different phases in the lifetime of a disposal facility is the level of oversight that is present. The level of oversight affects the capability to reduce or avoid exposures. Three main time frames have to be considered for the purpose of radiological protection: time of direct oversight when the disposal facility is being implemented and active oversight is taking place; time of indirect oversight when the disposal facility is sealed and indirect oversight is being exercised to provide additional assurance on behalf of the population; and time of no oversight when oversight is no longer exercised because memory is lost. Copyright © 2012. Published by Elsevier Ltd.

  8. Public health concerns associated with care of free-living birds.

    Science.gov (United States)

    Whittington, Julia K

    2011-09-01

    Free-living birds are not only susceptible to certain infectious diseases; wild bird populations serve as reservoirs of several important diseases of public health concern. Bacterial and viral diseases endemic in populations of free-living birds such as tuberculosis, avian influenza, arboviral infections, and enteropathogens have been classified as emerging or reemerging. Providing care to wild avian patients increases the opportunity for direct contact with infected birds and the possibility of transmission of infectious disease to human handlers. Awareness of disease potential is critical to disease monitoring of wild populations and will allow for the implementation of precautionary measures when working with wild avian species. Biosecurity measures designed to minimize risk must be evaluated by individual facilities.

  9. Research facility access & science education

    Energy Technology Data Exchange (ETDEWEB)

    Rosen, S.P. [Univ. of Texas, Arlington, TX (United States); Teplitz, V.L. [Southern Methodist Univ., Dallas, TX (United States). Physics Dept.

    1994-10-01

    As Congress voted to terminate the Superconducting Super Collider (SSC) Laboratory in October of 1993, the Department of Energy was encouraged to maximize the benefits to the nation of approximately $2 billion which had already been expended to date on its evolution. Having been recruited to Texas from other intellectually challenging enclaves around the world, many regional scientists, especially physicists, of course, also began to look for viable ways to preserve some of the potentially short-lived gains made by Texas higher education in anticipation of {open_quotes}the SSC era.{close_quotes} In fact, by November, 1993, approximately 150 physicists and engineers from thirteen Texas universities and the SSC itself, had gathered on the SMU campus to discuss possible re-uses of the SSC assets. Participants at that meeting drew up a petition addressed to the state and federal governments requesting the creation of a joint Texas Facility for Science Education and Research. The idea was to create a facility, open to universities and industry alike, which would preserve the research and development infrastructure and continue the educational mission of the SSC.

  10. Biomedical neutron research at the Californium User Facility for Neutron Science

    International Nuclear Information System (INIS)

    Martin, R.C.; Byrne, T.E.; Miller, L.F.

    1998-01-01

    The Californium User Facility for Neutron Science has been established at Oak Ridge National Laboratory (ORNL). The Californium User Facility (CUF) is a part of the larger Californium Facility, which fabricates and stores compact 252 Cf neutron sources for worldwide distribution. The CUF can provide a cost-effective option for research with 252 Cf sources. Three projects at the CUF that demonstrate the versatility of 252 Cf for biological and biomedical neutron-based research are described: future establishment of a 252 Cf-based neutron activation analysis system, ongoing work to produce miniature high-intensity, remotely afterloaded 252 Cf sources for tumor therapy, and a recent experiment that irradiated living human lung cancer cells impregnated with experimental boron compounds to test their effectiveness for boron neutron capture therapy. (author)

  11. On the ionic equilibrium between complexes in molten fluoroaluminates

    International Nuclear Information System (INIS)

    Akdeniz, Z.; Tankeshwar, K.; Tosi, M.P.

    1991-02-01

    We discuss theoretically (i) the effect of the alkali cation species on the ionic equilibrium between (AlF 6 ) 3- and (AlF 4 ) - complexes in molten alkali fluoroaluminates, and (ii) the possible presence of (AlF 5 ) 2 - complexes in molten cryolite, in relation to very recent Raman scattering experiments by Gilbert and Materne. (author). 7 refs, 2 tabs

  12. from Eriocheir sinensis with antimicrobial activity

    African Journals Online (AJOL)

    The cDNA of a new Eriocheir sinensis ALF (designated as EsALF-3) was obtained based on EST analysis. The full-length cDNA was of 956 bp, consisting of an open reading frame (ORF) of 369 bp encoding a polypeptide of 123 amino acids. In the deduced amino acid sequence of EsALF-3, there were two highly ...

  13. Proceedings of the Advanced Hadron Facility accelerator design workshop

    International Nuclear Information System (INIS)

    Thiessen, H.A.

    1989-01-01

    The International Workshop on Hadron Facility Technology was held February 22-27, 1988, at the Study Center at Los Alamos National Laboratory. The program included papers on facility plans, beam dynamics, and accelerator hardware. The parallel sessions were particularly lively with discussions of all facets of kaon factory design. The workshop provided an opportunity for communication among the staff involved in hadron facility planning from all the study groups presently active. The recommendations of the workshop include: the need to use h=1 RF in the compressor ring; the need to minimize foil hits in painting schemes for all rings; the need to consider single Coulomb scattering in injection beam los calculations; the need to study the effect of field inhomogeneity in the magnets on slow extraction for the 2.2 Tesla main ring of AHF; and agreement in principle with the design proposed for a joint Los Alamos/TRIUMF prototype main ring RF cavity

  14. Dalhousie SLOWPOKE-2 reactor: A nuclear analytical chemistry facility

    International Nuclear Information System (INIS)

    Chatt, A.; Holzbecher, J.

    1990-01-01

    SLOWPOKE is an acronym for Safe Low POwer Kritical Experiment. The SOWPOKE-2 is a compact, inherently safe, swimming-pool-type reactor designed by the Atomic Energy of Canada Limited for neutron activation analysis (NAA) and isotope production. The Dalhousie University SLOWPOKE-2 reactor (DUSR) has been operating since 1976; a large beryllium reflector was added in 1986 to extend its lifetime by another 8 to 10 yr. The DUSR is generally operated at half-power with a maximum thermal flux of 1.1 x 10 12 n/cm 2 ·s in the inner pneumatic sites and that of 5.4 x 10 11 n/cm 2 ·s in the outer sites. Despite this comparatively low flux, SLOWPOKE-2 reactors have many beneficial features that are continuously being exploited at the DUSR facility for developing nuclear analytical methods for fundamental as well as applied studies. Although NAA is a well-established analytical technique, much of the activation analysis being performed in most facilities has been limited to methods using fairly long-lived nuclides. The approach at the DUSR facility has been to utilize the highly homogeneous, stable, and reproducible neutron flux to develop NAA methods based on short-lived nuclides. SLOWPOKE reactors have a fairly high epithermal neutron flux, which is being advantageously used for determining several trace elements in complex matrices. Radiochemical NAA (RNAA) methods using coprecipitation, distillation, and ion-exchange separations have been used for the determination of very low levels of several elements in biological materials

  15. Indoor air in long term care facilities and spread of infectious diseases

    NARCIS (Netherlands)

    te Kulve, M.; Loomans, M.G.L.C.; Huisman, E.; Kort, H.S.M.

    2014-01-01

    Not much is known about the favourable indoor air conditions in long term care facilities (ltcf’s), where older adults suffering from dementia live. Due to the decrease in cognition function, it is hard to evaluate comfort and health in this group. Nevertheless, infectious diseases are a persistent

  16. Living with the animals: animal or robotic companions for the elderly in smart homes?

    Science.gov (United States)

    Preuß, Dirk; Legal, Friederike

    2017-06-01

    Although the use of pet robots in senior living facilities and day-care centres, particularly for individuals suffering from dementia, has been intensively researched, the question of introducing pet robots into domestic settings has been relatively neglected. Ambient assisted living (AAL) offers many interface opportunities for integrating motorised companions. There are diverse medical reasons, as well as arguments from animal ethics, that support the use of pet robots in contrast to living with live animals. However, as this paper makes clear, we should not lose sight of the option of living with animals at home for as long as possible and in conformity with the welfare of the animal assisted by AAL technology. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  17. A 14 MeV neutron irradiation facility with an automated fast cyclic pneumatic

    International Nuclear Information System (INIS)

    Montgomery, M.T.; Yoho, M.D.; Biegalski, S.R.; Landsberger, S.; Welch, L.

    2016-01-01

    This work details the design criteria, construction, controls, and optimization of the 14 MeV neutron irradiation facility at the University of Texas, built with the motivation of performing neutron activation analysis on samples with short half-lives. The facility couples a D-T neutron generator with a pneumatic transfer system capable of transit of approximately one second between source and detector, while the cyclic automated nature allows for many irradiation/count trials with any number of samples, translating to significantly improved counting statistics. (author)

  18. Synthesis and performances of Li-Rich@AlF3@Graphene as cathode of lithium ion battery

    International Nuclear Information System (INIS)

    Chen, Dongrui; Tu, Wenqiang; Chen, Min; Hong, Pengbo; Zhong, Xiaoxin; Zhu, Yunmin; Yu, Qipeng; Li, Weishan

    2016-01-01

    Highlights: • Li-Rich@AlF 3 @Graphene was developed as cathode of lithium ion battery. • Coating of 2 nm AlF 3 does not cause capacity loss but is beneficial to rate capability. • Concurrent AlF 3 coating and graphene wrapping significantly improve Li-Rich performance. - Abstract: A novel composite of layered lithium-rich oxide with AlF 3 and graphene, Li-Rich@AlF 3 @Graphene, is synthesized as high performance cathode of lithium ion battery in terms of rate capability and cyclic stability. Physical characterizations from X-ray diffraction, scanning electron microscope and transmission electron microscope, demonstrate that the layered lithium-rich oxide in Li-Rich@AlF 3 @Graphene is composed of uniform nanoparticles of 100 nm, which are coated with a layer of 2 nm AlF 3 and wrapped with graphene sheets. Charge/discharge tests indicate that the naked lithium-rich oxide exhibits poor cyclic stability and rate capability as cathode of lithium ion battery, which can be improved to some extent by the only contribution of AlF 3 but significantly by the concurrent contribution of AlF 3 and graphene.

  19. Liver failure in total artificial heart therapy.

    Science.gov (United States)

    Dimitriou, Alexandros Merkourios; Dapunt, Otto; Knez, Igor; Wasler, Andrae; Oberwalder, Peter; Koerfer, Reiner; Tenderich, Gero; Spiliopoulos, Sotirios

    2016-07-01

    Congestive hepatopathy (CH) and acute liver failure (ALF) are common among biventricular heart failure patients. We sought to evaluate the impact of total artificial heart (TAH) therapy on hepatic function and associated clinical outcomes. A total of 31 patients received a Syncardia Total Artificial Heart. Preoperatively 17 patients exhibited normal liver function or mild hepatic derangements that were clinically insignificant and did not qualify as acute or chronic liver failure, 5 patients exhibited ALF and 9 various hepatic derangements owing to CH. Liver associated mortality and postoperative course of liver values were prospectively documented and retrospectively analyzed. Liver associated mortality in normal liver function, ALF and CH cases was 0%, 20% (P=0.03) and 44.4% (P=0.0008) respectively. 1/17 (5.8%) patients with a normal liver function developed an ALF, 4/5 (80%) patients with an ALF experienced a markedly improvement of hepatic function and 6/9 (66.6%) patients with CH a significant deterioration. TAH therapy results in recovery of hepatic function in ALF cases. Patients with CH prior to surgery form a high risk group with increased liver associated mortality.

  20. Resistive effects on helicity-wave current drive generated by Alfven waves in tokamak plasmas

    International Nuclear Information System (INIS)

    Bruma, C.; Cuperman, S.; Komoshvili, K.

    1997-01-01

    This work is concerned with the investigation of non-ideal (resistive) MHD effects on the excitation of Alfven waves by externally launched fast-mode waves, in simulated tokamak plasmas; both continuum range, CR ({ω Alf (r)} min Alf (r)} max ) and discrete range, DR, where global Alfven eigenmodes, GAEs (ω Alf (r)} min ) exist, are considered. (Here, ω Alf (r) ≡ ω Alf [n(r), B 0 (r)] is an eigenfrequency of the shear Alfven wave). For this, a cylindrical current carrying plasma surrounded by a helical sheet-current antenna and situated inside a perfectly conducting shell is used. Toroidicity effects are simulated by adopting for the axial equilibrium magnetic field component a suitable radial profile; shear and finite relative poloidal magnetic field are properly accounted for. A dielectric tensor appropriate to the physical conditions considered in this paper is derived and presented. (author)

  1. Development of the IFJ single ion hit facility for cells irradiation

    International Nuclear Information System (INIS)

    Veselov, O.; Polak, W.; Ugenskiene, R.; Hajduk, R.; Lebed, K.; Lekki, J.; Horwacik, T.; Dutkiewicz, E.M.; Maranda, S.; Pieprzyca, T.; Sarnecki, C.; Stachura, Z.; Szklarz, Z.; Styczen, J.

    2005-12-01

    In recent years a single ion hit facility (SIHF) has been constructed at the IFJ ion microprobe. The setup is used for the precise irradiations of living cells by a controlled number of ions. The facility allows investigations in various aspects of biomedical research, such as adaptive response, bystander effect, inverse dose-rate effect, low-dose hypersensitivity, etc. Those investigations have two very important requirements: (i) cells must be examined in their natural state and environment, i.e. without previously being killed, and preferentially, neither fixed nor stained, and (ii) a possibility of automatic irradiation of large number of cells with a computer recognition of their positions must be provided. This work presents some of the crucial features of the off-line and on-line optical systems, including self-developed software responsible for the automatic cell recognition. We also show several tests carried out to determine the efficiency of the whole setup and some segments. In conclusion, the results of our first irradiation measurements performed with living cells are demonstrated. (author)

  2. Accelerated long-term forgetting in temporal lobe epilepsy: evidence of improvement after left temporal pole lobectomy.

    Science.gov (United States)

    Gallassi, Roberto; Sambati, Luisa; Poda, Roberto; Stanzani Maserati, Michelangelo; Oppi, Federico; Giulioni, Marco; Tinuper, Paolo

    2011-12-01

    Accelerated long term forgetting (ALF) is a characteristic cognitive aspect in patients affected by temporal lobe epilepsy that is probably due to an impairment of memory consolidation and retrieval caused by epileptic activity in hippocampal and parahippocampal regions. We describe a case of a patient with TLE who showed improvement in ALF and in remote memory impairment after an anterior left temporal pole lobectomy including the uncus and amygdala. Our findings confirm that impairment of hippocampal functioning leads to pathological ALF, whereas restoration of hippocampal functioning brings ALF to a level comparable to that of controls. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Application of ion beams for elucidation of functions in living bodies

    International Nuclear Information System (INIS)

    Fujimura, Takashi; Ishihara, Noriyuki; Omichi, Hideki; Tamura, Mamoru; Omasa, Kenji; Sasaki, Yasuhito.

    1992-01-01

    The Japan Atomic Energy Research Institute (JAERI) is planning a research project, 'Application of Ion Beams for Elucidation of Functions in Living Bodies'. This project is characterized by the non-invasive or non-destructive measurement for living plants, animals and microorganisms and divided into two fields. The first field is the utilization of positron emitters prepared with cyclotron. The development of a new method which combines PET with other methods like near infrared region spectroscopy or magnetic resonance spectroscopy is urgently desired. Positron emitters can be also applied to elucidate the functions of plants. The second field is in situ and non-invasive optical measurement of living bodies or cells irradiated with ion beams. Active species produced by irradiation could induce physiological and biochemical reactions in living bodies or cells. To actualize this project, a group of non-invasive measuring equipments for the first field will be set in a new building next to ion irradiation facilities (TIARA, Takasaki Ion Accelerators for Advanced Radiation Application). For the second field, in situ and non-invasive optical measurement of living bodies or cells with be carried out in TIARA. (J.P.N.)

  4. Cognitive interventions in patients with dementia living in long-term care facilities: Systematic review and meta-analysis.

    Science.gov (United States)

    Folkerts, Ann-Kristin; Roheger, Mandy; Franklin, Jeremy; Middelstädt, Jennifer; Kalbe, Elke

    2017-11-01

    Previous reviews and meta-analyses demonstrated effects of cognitive interventions in dementia, but none specifically considered residents with dementia in long-term care (LTC) facilities. To analyse the efficacy of cognitive interventions in institutionalised individuals with dementia. After identifying 27 articles, a systematic review was performed. A meta-analysis was calculated for 15 studies of the randomized controlled trials regarding effects on relevant outcomes. Fixed-effects meta-analyses were conducted using standardized mean differences (SMD) of changes from baseline pooled using the inverse variance method. When comparing cognitive interventions to passive control groups, the meta-analysis revealed significant moderate effects on global cognition (SMD=0.47, 95% CI 0.27-0.67), autobiographical memory (0.67, 0.02-1.31), and behavioral and psychological symptoms in dementia (BPSD; 0.71, 0.06-1.36). Significant small effects were detected for quality of life (QoL; 0.37, 0.05-0.70). Moderate effects on activities of daily living (0.28; -0.02 to 0.58) failed to reach significance; no effects were found on depression (0.22; -0.08 to 0.51). Significant moderate effects of global cognition (0.55; 0.22-0.89) and depression (0.64; 0.21-1.07) were also found for cognitive interventions contrasting active control groups. No harmful events related to the participation in the interventions were observed. Cognitive interventions are safe and effective for residents with dementia in LTC. However, while it seems clear that cognitive benefits can specifially be assigned to these forms of intervention, further research is necessary to clarify whether the effects on BPSD and QoL reflect unspecific changes due to additional attention. Furthermore, future studies will have to determine which intervention type yields the largest benefits. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Bullying in Senior Living Facilities: Perspectives of Long-Term Care Staff.

    Science.gov (United States)

    Andresen, Felicia J; Buchanan, Jeffrey A

    2017-07-01

    Resident-to-resident bullying has attracted attention in the media, but little empirical literature exists related to the topic of senior bullying. The aim of the current study was to better understand resident-to-resident bullying from the perspective of staff who work with older adults. Forty-five long-term care staff members were interviewed regarding their observations of bullying. Results indicate that most staff members have observed bullying. Verbal bullying was the most observed type of bullying, but social bullying was also prevalent. Victims and perpetrators were reported to commonly have cognitive and physical disabilities. More than one half of participants had not received formal training and only 21% reported their facility had a formal policy to address bullying. The implications of these results support the need for detailed policies and training programs for staff to effectively intervene when bullying occurs. [Journal of Gerontological Nursing, 43(7), 34-41.]. Copyright 2017, SLACK Incorporated.

  6. The rare isotope accelerator (RIA) facility project

    International Nuclear Information System (INIS)

    Christoph Leemann

    2000-01-01

    The envisioned Rare-Isotope Accelerator (RIA) facility would add substantially to research opportunities for nuclear physics and astrophysics by combining increased intensities with a greatly expanded variety of high-quality rare-isotope beams. A flexible superconducting driver linac would provide 100 kW, 400 MeV/nucleon beams of any stable isotope from hydrogen to uranium onto production targets. Combinations of projectile fragmentation, target fragmentation, fission, and spallation would produce the needed broad assortment of short-lived secondary beams. This paper describes the project's background, purpose, and status, the envisioned facility, and the key subsystem, the driver linac. RIA's scientific purposes are to advance current theoretical models, reveal new manifestations of nuclear behavior, and probe the limits of nuclear existence [3]. Figures 1 and 2 show, respectively, examples of RIA research opportunities and the yields projected for pursuing them. Figure 3 outlines a conceptual approach for delivering the needed beams

  7. Clean room installations in a radiopharmaceutical facility

    International Nuclear Information System (INIS)

    2000-01-01

    The standards of radiopharmaceuticals on the facility, working environment and preparation control strategy are yet to be generated. In general, radiopharmaceuticals have short half-lives and emit gamma radiation. Due to its unique characteristics, its preparation has to be made in the fume hood and hot cell to avoid radiation exposure to workers. Considering radiation protection, the working environment has to be maintained under negative pressure so that dispersion of radiopharmaceuticals should be avoided. On the contrary, a positively pressurized working environment gives clean atmosphere and prevents contamination with harmful microorganisms during preparation. Hence, it is required to harmonize for mentioned contradictory conditions in preparation of radiopharmaceuticals for the safety of workers and its quality assurance as well. Therefore, it is reasonable that good manufacturing practice for radiopharmaceutical production facility should be constituted according to the standards for production of biological agents accompanied with a radiation shielding

  8. Health facility management and access: a qualitative analysis of challenges to seeking healthcare for children under five in Uganda.

    Science.gov (United States)

    Allen, Elizabeth Palchik; Muhwezi, Wilson Winstons; Henriksson, Dorcus Kiwanuka; Mbonye, Anthony Kabanza

    2017-09-01

    While several studies have documented the various barriers that caretakers of children under five routinely confront when seeking healthcare in Uganda, few have sought to capture the ways in which caretakers themselves prioritize their own barriers to seeking services. To that end, we asked focus groups of caretakers to list their five greatest challenges to seeking care on behalf of children under five. Using qualitative content analysis, we grouped responses according to four categories: (1) geographical access barriers; (2) facility supplies, staffing, and infrastructural barriers; (3) facility management and administration barriers (e.g. health worker professionalism, absenteeism and customer care); and (4) household barriers related to financial circumstances, domestic conflicts with male partners and a stated lack of knowledge about health-related issues. Among all focus groups, caretakers mentioned supplies, staffing and infrastructure barriers most often and facility management and administration barriers the least. Caretakers living furthest from public facilities (8-10 km) more commonly mentioned geographical barriers to care and barriers related to financial and other personal circumstances. Caretakers who lived closest to health facilities mentioned facility management and administration barriers twice as often as those who lived further away. While targeting managerial barriers is vitally important-and increasingly popular among national planners and donors-it should be done while recognizing that alleviating such barriers may have a more muted effect on caretakers who are geographically harder to reach - and by extension, those whose children have an increased risk of mortality. In light of calls for greater equity in child survival programming - and given the limited resource envelopes that policymakers often have at their disposal - attention to the barriers considered most vital among caretakers in different settings should be weighed. © The

  9. "Maintaining connections but wanting more": the continuity of familial relationships among assisted-living residents.

    Science.gov (United States)

    Tompkins, Catherine J; Ihara, Emily S; Cusick, Alison; Park, Nan Sook

    2012-01-01

    Social support is a key component of well-being for older adults, particularly for those who have moved from independent living to assisted living involving a transformation of roles, relationships, and responsibilities. Twenty-nine assisted-living facility residents were interviewed to understand the perceived continuity of relationships with family and friends. An inductive approach to thematic analysis revealed 1 main theme and 3 subthemes. The main theme that emerged was: maintaining connections but wanting more. Residents appreciated maintaining connections with family and friends, but often expressed feelings of discontentment with the continuity of former relationships. The subthemes included: appreciating family and friends, waiting for more, and losing control. Implications for research and practice are discussed.

  10. Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-County, Kenya.

    Science.gov (United States)

    Karanja, Sarah; Gichuki, Richard; Igunza, Patrick; Muhula, Samuel; Ofware, Peter; Lesiamon, Josephine; Leshore, Lepantas; Kyomuhangi-Igbodipe, Lenny Bazira; Nyagero, Josephat; Binkin, Nancy; Ojakaa, David

    2018-01-03

    In response to poor maternal, newborn, and child health indicators in Magadi sub-county, the "Boma" model was launched to promote health facility delivery by establishing community health units and training community health volunteers (CHVs) and traditional birth attendants (TBAs) as safe motherhood promoters. As a result, health facility delivery increased from 14% to 24%, still considerably below the national average (61%). We therefore conducted this study to determine factors influencing health facility delivery and describe barriers and motivators to the same. A mixed methods cross-sectional study involving a survey with 200 women who had delivered in the last 24 months, 3 focus group discussions with health providers, chiefs and CHVs and 26 in-depth interviews with mothers, key decision influencers and TBAs. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) using logistic regression were calculated to identify predictive factors for health facility delivery. Thematic analysis was done to describe barriers and motivators to the same. Of the women interviewed, 39% delivered at the health facility. Factors positively associated with health facility deliveries included belonging to the highest wealth quintiles [aOR 4.9 (95%CI 1.5-16.5)], currently not married [aOR 2.4 (95%CI 1.1-5.4)] and living near the health facility [aOR 2.2 (95%CI 1.1 = 4.4)]. High parity [aOR 0.7 (95%CI 0.5-0.9)] was negatively associated with health facility delivery. Barriers to health facility delivery included women not being final decision makers on place of birth, lack of a birth plan, gender of health provider, unfamiliar birthing position, disrespect and/or abuse, distance, attitude of health providers and lack of essential drugs and supplies. Motivators included proximity to health facility, mother's health condition, integration of TBAs into the health system, and health education/advice received. Belonging to the highest wealth quintile, currently not married and

  11. The n_TOF facility: Neutron beams for challenging future measurements at CERN

    Science.gov (United States)

    Chiaveri, E.; Aberle, O.; Andrzejewski, J.; Audouin, L.; Bacak, M.; Balibrea, J.; Barbagallo, M.; Bečvář, F.; Berthoumieux, E.; Billowes, J.; Bosnar, D.; Brown, A.; Caamaño, M.; Calviño, F.; Calviani, M.; Cano-Ott, D.; Cardella, R.; Casanovas, A.; Cerutti, F.; Chen, Y. H.; Colonna, N.; Cortés, G.; Cortés-Giraldo, M. A.; Cosentino, L.; Damone, L. A.; Diakaki, M.; Domingo-Pardo, C.; Dressler, R.; Dupont, E.; Durán, I.; Fernández-Domínguez, B.; Ferrari, A.; Ferreira, P.; Finocchiaro, P.; Göbel, K.; García, A. R.; Gawlik, A.; Gilardoni, S.; Glodariu, T.; Gonçalves, I. F.; González, E.; Griesmayer, E.; Guerrero, C.; Gunsing, F.; Harada, H.; Heinitz, S.; Heyse, J.; Jenkins, D. G.; Jericha, E.; Käppeler, F.; Kadi, Y.; Kalamara, A.; Kavrigin, P.; Kimura, A.; Kivel, N.; Kokkoris, M.; Krtička, M.; Kurtulgil, D.; Leal-Cidoncha, E.; Lederer, C.; Leeb, H.; Lerendegui-Marco, J.; Meo, S. Lo; Lonsdale, S. J.; Macina, D.; Marganiec, J.; Martínez, T.; Masi, A.; Massimi, C.; Mastinu, P.; Mastromarco, M.; Maugeri, E. A.; Mazzone, A.; Mendoza, E.; Mengoni, A.; Milazzo, P. M.; Mingrone, F.; Musumarra, A.; Negret, A.; Nolte, R.; Oprea, A.; Patronis, N.; Pavlik, A.; Perkowski, J.; Porras, I.; Praena, J.; Quesada, J. M.; Radeck, D.; Rauscher, T.; Reifarth, R.; Rubbia, C.; Ryan, J. A.; Sabaté-Gilarte, M.; Saxena, A.; Schillebeeckx, P.; Schumann, D.; Smith, A. G.; Sosnin, N. V.; Stamatopoulos, A.; Tagliente, G.; Tain, J. L.; Tarifeño-Saldivia, A.; Tassan-Got, L.; Tsinganis, A.; Valenta, S.; Vannini, G.; Variale, V.; Vaz, P.; Ventura, A.; Vlachoudis, V.; Vlastou, R.; Wallner, A.; Warren, S.; Woods, P. J.; Wright, T.; Žugec, P.

    2017-09-01

    The CERN n_TOF neutron beam facility is characterized by a very high instantaneous neutron flux, excellent TOF resolution at the 185 m long flight path (EAR-1), low intrinsic background and coverage of a wide range of neutron energies, from thermal to a few GeV. These characteristics provide a unique possibility to perform high-accuracy measurements of neutron-induced reaction cross-sections and angular distributions of interest for fundamental and applied Nuclear Physics. Since 2001, the n_TOF Collaboration has collected a wealth of high quality nuclear data relevant for nuclear astrophysics, nuclear reactor technology, nuclear medicine, etc. The overall efficiency of the experimental program and the range of possible measurements has been expanded with the construction of a second experimental area (EAR-2), located 20 m on the vertical of the n_TOF spallation target. This upgrade, which benefits from a neutron flux 30 times higher than in EAR-1, provides a substantial extension in measurement capabilities, opening the possibility to collect data on neutron cross-section of isotopes with short half-lives or available in very small amounts. This contribution will outline the main characteristics of the n_TOF facility, with special emphasis on the new experimental area. In particular, we will discuss the innovative features of the EAR-2 neutron beam that make possible to perform very challenging measurements on short-lived radioisotopes or sub-mg samples, out of reach up to now at other neutron facilities around the world. Finally, the future perspectives of the facility will be presented.

  12. The influence of housing characteristics on rural migrants’ living condition in Beijing Fengtai District

    Directory of Open Access Journals (Sweden)

    Liu Wen Tao

    2015-08-01

    Full Text Available The study analyzes the influence of housing characteristics on rural migrants’ living condition in Beijing Fengtai District, China. The researcher will identify rural migrants in Beijing, examine their housing characteristics (housing crowding, housing privacy and housing facility and the influence on their living condition. Also, some suggestions are given to improve their housing characteristics and living condition. The government should revise the migrant housing policy and hukou management. Also, the rural migrants should try to increase their education level and social skills. For the occupation, the local government should give the rural migrants more job opportunity. These issues are analyzed in relation to local government attitudes toward the rural migrants. The analysis is based on data collected from two types of interviews: rural migrants and management interviews which examine the rural migrants’ housing and managerial aspects of this research, respectively. It is also supported by the utilization of secondary data. The findings of the study indicate that the rural migrants’ housing characteristics (housing crowding, housing privacy and housing facility highly influence their living condition in Beijing Fengtai District. Therefore, the local government should give some assistance to this group people in the big cities. This paper reports on the findings of a study to seek acknowledged definitions of the terms Project and Project Management. The study was based on a conventional review and analysis of the definitions from a series of texts.

  13. A systematic approach to assessing indoor air quality of long term care facilities

    NARCIS (Netherlands)

    te Kulve, M.; Loomans, M.G.L.C.; Huisman, E.R.C.M.; Kort, H.S.M.

    2018-01-01

    Not much is known about the favourable indoor air quality in long term care facilities (LTCFs), where older adults suffering from dementia live. Older adults, especially those who suffer from dementia, are more sensible to the indoor environment. However, no special requirements for the indoor air

  14. "That Is So Common Everyday . . . Everywhere You Go": Sexual Harassment of Workers in Assisted Living.

    Science.gov (United States)

    Burgess, Elisabeth O; Barmon, Christina; Moorhead, James R; Perkins, Molly M; Bender, Alexis A

    2018-04-01

    In assisted living (AL) facilities, workers are intimately involved in the lives of residents. Existing research on AL demonstrates the imbalance of this environment, which is a personal home for the residents and a workplace for staff. Using observational and interview data collected from six AL facilities, this grounded theory project analyzes how AL staff define, understand, and negotiate sexual comments, joking, and physical touch. We developed a conceptual model to describe how such harassment was perceived, experienced by AL workers, and how they responded. Sexualized behavior or harassment was experienced by workers of every status. We found that words and actions were contextualized based on resident and worker characteristics and the behavior. Staff members refused to engage residents, redirected them, or reframed the words and gestures to get the job done. Reporting the incidents was less common. We conclude by discussing implications for policy and research.

  15. 'Living PRA' concept for plant risk: Reliability and availability tracking

    International Nuclear Information System (INIS)

    Sancaktar, S.; Sharp, D.R.

    1985-01-01

    The 'Living PRA' (Probabilistic Risk Assessment) is based on placing a PRA plant model on an interactive computer. This model consists of fault tree analyses for plant systems, event tree analyses for abnormal events and site specific consequence analysis for public and/or financial risks, for a nuclear power plant. A living PRA allows updates and sensitivity analyses by the plant owner throughout the lifetime of a plant. Recently, event and fault trees from two major PRAs were placed in a computerized format. The BYRON PRA study and the Living PRA and Economic Risk examples for Indian Point Unit-3 enabled analysts to gain experience and insight into the problems of plant operation. The above concept is well established for the Nuclear Power Plant evaluation. It has been also used for evaluation of processing facilities. In these studies, systems modeling was carried out by using the GRAFTER system for automated fault tree construction. Presently both the tools and the experience exists to set up useful and viable living PRA models for nuclear and chemical processing plants to enhance risk management by the plant owners through in-house use of micro computer based models

  16. Challenges of ICRP 60 for uranium refining and conversion facilities

    International Nuclear Information System (INIS)

    Takala, J.M.

    1998-01-01

    Cameco Corporation operates high-grade uranium mines in northern Saskatchewan and uranium refining and conversion facilities in Ontario. The dose limits for these and all other nuclear facilities in Canada are 50 mSv per year and 4 WLM per year, which are applied separately. However, the upcoming incorporation of the recommendations in ICRP 60 into the Canadian regulations will result in several important changes. In addition to a more restrictive dose limit, the new regulations will require that all radiation exposures be combined into a single index of exposure. Meeting the new lower dose limits of 50 mSv per year and 100 mSv per 5 years will not be a major problem at Cameco facilities. However, the incorporation of long-lived radioactive dust exposures into the dose calculation will be a major challenge. This will cause the most difficulty at the uranium refining and conversion facilities where much of the process involves handling a variety of uranium compounds in the form of a dry powder. At the uranium conversion facilities the control of exposure to airborne uranium is achieved through a combination of lung counting, urinalysis, and fixed area monitors. To progress from a system of exposure control to dose estimation to individual workers will require some major changes. (author)

  17. 1976 Hanford americium-exposure incident: decontamination and treatment facility

    International Nuclear Information System (INIS)

    Berry, J.R.; McMurray, B.J.; Jech, J.J.; Breitenstein, B.D.; Quigley, E.J.

    1982-01-01

    An injured worker, contaminated with over 6 mCi of americium-241, required special treatment and housing for 4 months. This paper is a description of the design and management of the facility in which most of the treatment and housing occurred. The problems associated with contamination control, waste handling, supplies, and radiological concerns during the two-stage transfer of the patient from a controlled situation to his normal living environment are discussed in detail

  18. The importance of public sector health facility-level data for monitoring changes in maternal mortality risks among communities: the case of pakistan.

    Science.gov (United States)

    Jain, Anrudh K; Sathar, Zeba; Salim, Momina; Shah, Zakir Hussain

    2013-09-01

    This paper illustrates the importance of monitoring health facility-level information to monitor changes in maternal mortality risks. The annual facility-level maternal mortality ratios (MMRs), complications to live births ratios and case fatality ratios (CFRs) were computed from data recorded during 2007 and 2009 in 31 upgraded public sector health facilities across Pakistan. The facility-level MMR declined by about 18%; both the number of Caesarean sections and the episodes of complications as a percentage of live births increased; and CFR based on Caesarean sections and episodes of complications declined by 29% and 37%, respectively. The observed increases in the proportion of women with complications among those who come to these facilities point to a reduction in the delay in reaching facilities (first and second delays; Thaddeus & Maine, 1994); the decrease in CFRs points to improvements in treating obstetric complications and a reduction in the delay in receiving treatment once at facilities (the third delay). These findings point to a decline in maternal mortality risks among communities served by these facilities. A system of woman-level data collection instituted at health facilities with comprehensive emergency obstetric care is essential to monitor changes in the effects of any reduction in the three delays and any improvement in quality of care or the effectiveness of treating pregnancy-related complications among women reaching these facilities. Such a system of information gathering at these health facilities would also help policymakers and programme mangers to measure and improve the effectiveness of safe-motherhood initiatives and to monitor progress being made toward achieving the fifth Millennium Development Goal.

  19. Emission Facilities - Erosion & Sediment Control Facilities

    Data.gov (United States)

    NSGIC Education | GIS Inventory — An Erosion and Sediment Control Facility is a DEP primary facility type related to the Water Pollution Control program. The following sub-facility types related to...

  20. Comparison of a Commonwealth-initiated regional radiation oncology facility in Toowoomba with a Queensland Health facility

    International Nuclear Information System (INIS)

    Poulsen, M.; Ramsay, R.; Gogna, K.; Middleton, M.; Martin, J.; Khoo, E.; Wong, W.; McQuitty, S.; Walpole, E.; Fairweather, R.

    2010-01-01

    The aim was to compare a private Commonwealth-initiated regional radiation oncology facility in Toowoomba with a Queensland Health facility (QHF) in Brisbane. The comparison concentrated on staffing, case mix and operational budgets, but was not able to look at changes in access to services. Data were collected from the two facilities from January 2008 to June 2008 inclusive. A number of factors were compared, including case mix, staffing levels, delay times for treatment, research, training and treatment costs. The case mix between the two areas was similar with curative treatments making up just over half the work load in both centres and two-thirds the work being made up of cancers of breast and prostate. Staffing levels were leaner in Toowoomba, especially in the areas of nursing, administration and trial coordinators. Research activity was slightly higher in Toowoomba. The average medicare cost per treatment course was similar in both centres ($5000 per course). Total costs of an average treatment including patient, State and Commonwealth costs, showed a 30% difference in costing favouring Toowoomba. This regional radiation oncology centre has provided state-of-the-art cancer care that is close to home for patients living in the Darling Downs region. Both public and private patients have been treated with modest costs to the patient and significant savings to QH. The case mix is similar to the QHF, and there has been significant activity in clinical research. A paperless working environment is one factor that has allowed staffing levels to be reduced. Ongoing support from Governments are required if private facilities are to participate in important ongoing staff training.

  1. Quantitative multivoxel {sup 1}H MR spectroscopy of the brain in children with acute liver failure

    Energy Technology Data Exchange (ETDEWEB)

    Sijens, Paul E.; Alkefaji, Heyder; Meiners, Linda C.; Oudkerk, Matthijs [University Medical Center Groningen and University of Groningen, Department of Radiology, Beatrix Children' s Hospital, Groningen (Netherlands); Lunsing, Roelineke J. [University Medical Center Groningen and University of Groningen, Department of Child Neurology, Beatrix Children' s Hospital, Groningen (Netherlands); Spronsen, Francjan J. van; Verkade, Henkjan J. [University Medical Center Groningen and University of Groningen, Department of Pediatrics, Beatrix Children' s Hospital, Groningen (Netherlands)

    2008-11-15

    Acute liver failure (ALF)-related encephalopathy was previously characterized by MR spectroscopy of single voxels containing both grey and white matter brain tissue. Quantitative multivoxel MRS was used here to compare grey and white matter brain tissue concentrations of glutamate/glutamine (Glx) and lactate in ALF and associate the results with other liver function parameters. Five pediatric patients with ALF-related encephalopathy and five controls, examined after successful liver transplantation, were examined by brain MRI/MRS. ALF patients had higher Glx and lactate concentrations in brain white matter than controls (Glx + 125%: P < 0.01; lactate + 33%, P < 0.05) and higher Glx in grey matter (Glx + 125%: P < 0.01). Within the group of ALF patients positive correlations were found between grey or white matter lactate concentration and serum ammonia (P < 0.05), and negative correlations between grey or white matter Glx and venous pH (P < 0.001). This is the first study presenting evidence of high Glx levels in both white and grey matter brain tissue in ALF-related encephalopathy. The elevations in CNS Glx and lactate concentrations appear to relate to hepatic detoxification (ammonia, venous pH), rather than to liver parenchymal integrity (aspartate aminotransferase, alanine aminotransferase) or biliary cholestasis (bilirubin, {gamma}-glutamyl transpeptidase, alkaline phosphatase). (orig.)

  2. Quantitative multivoxel 1H MR spectroscopy of the brain in children with acute liver failure

    International Nuclear Information System (INIS)

    Sijens, Paul E.; Alkefaji, Heyder; Meiners, Linda C.; Oudkerk, Matthijs; Lunsing, Roelineke J.; Spronsen, Francjan J. van; Verkade, Henkjan J.

    2008-01-01

    Acute liver failure (ALF)-related encephalopathy was previously characterized by MR spectroscopy of single voxels containing both grey and white matter brain tissue. Quantitative multivoxel MRS was used here to compare grey and white matter brain tissue concentrations of glutamate/glutamine (Glx) and lactate in ALF and associate the results with other liver function parameters. Five pediatric patients with ALF-related encephalopathy and five controls, examined after successful liver transplantation, were examined by brain MRI/MRS. ALF patients had higher Glx and lactate concentrations in brain white matter than controls (Glx + 125%: P < 0.01; lactate + 33%, P < 0.05) and higher Glx in grey matter (Glx + 125%: P < 0.01). Within the group of ALF patients positive correlations were found between grey or white matter lactate concentration and serum ammonia (P < 0.05), and negative correlations between grey or white matter Glx and venous pH (P < 0.001). This is the first study presenting evidence of high Glx levels in both white and grey matter brain tissue in ALF-related encephalopathy. The elevations in CNS Glx and lactate concentrations appear to relate to hepatic detoxification (ammonia, venous pH), rather than to liver parenchymal integrity (aspartate aminotransferase, alanine aminotransferase) or biliary cholestasis (bilirubin, γ-glutamyl transpeptidase, alkaline phosphatase). (orig.)

  3. Safety issues in construction of facilities for long-term storage of radioactive waste at vector site

    Energy Technology Data Exchange (ETDEWEB)

    Tokarevskyi, O.; Alekseeva, Z.; Kondratiev, S. [State Scientific and Technical Center for Nuclear and Radiation Safety, Kyiv (Ukraine); Rybalka, N. [State Nuclear Regulatory Inspectorate of Ukraine, Kyiv (Ukraine)

    2013-07-01

    In Ukraine, it is planned to create a number of near-surface facilities for disposal of short-lived RW and long-term (up to 100 years) storage of long-lived RW at the Vector site in the Chernobyl exclusion zone. The expected streams of long-lived RW are analyzed in the paper. According to the analysis of RW streams, in particular, issues are considered on development of RW acceptance criteria, admissible radiological impacts during preparation of RW for long-term storage, reliability of barriers (RW packages, modules and structures, etc.) during long-term storage of RW. (orig.)

  4. The technological safety in facilities that manage radioactive sources

    International Nuclear Information System (INIS)

    Lizcano, D.

    2014-10-01

    The sealed radioactive sources are used inside a wide range of applications in the medicine, industry and investigation around the world. These sources can contain a great radionuclides variety, exhibiting a wide spectrum of activities and radiological half lives. This way, we can find pattern sources of radionuclides as Americium-241, Plutonium-238, Plutonium-239, Thorium-228 and Thorium-230, etc., with some activity of kBq in research laboratories, Iridium-192 and Cesium-137 sources used in brachytherapy with GBq activities, until sources with P Bq activities in industrial irradiators of Cobalt-60 and Cesium-137. This document approach the physical safety that entities like the IAEA recommends for the facilities that contain sealed sources, especially the measures that are taking in the Instituto Nacional de Investigaciones Nucleares (ININ) and others government facilities. (Author)

  5. The regulatory process for the decommissioning of nuclear facilities

    International Nuclear Information System (INIS)

    1990-01-01

    The objective of this publication is to provide general guidance to Member States for regulating the decommissioning of nuclear facilities within the established nuclear regulatory framework. The Guide should also be useful to those responsible for, or interested in, the decommissioning of nuclear facilities. The Guide describes in general terms the process to be used in regulating decommissioning and the considerations to be applied in the development of decommissioning regulations and guides. It also delineates the responsibilities of the regulatory body and the licensee in decommissioning. The provisions of this Guide are intended to apply to all facilities within the nuclear fuel cycle and larger industrial installations using long lived radionuclides. For smaller installations, however, less extensive planning and less complex regulatory control systems should be acceptable. The Guide deals primarily with decommissioning after planned shutdown. Most provisions, however, are also applicable to decommissioning after an abnormal event, once cleanup operations have been terminated. The decommissioning planning in this case must take account of the abnormal event. 28 refs, 1 fig

  6. Long-lived radioactive waste, the French management policy

    International Nuclear Information System (INIS)

    Barber, P.

    1994-01-01

    An overwhelming majority of both chambers of the French Parliament voted in favor of Public Law 91-1381 on December 30, 1991, which outlines the research program to be conducted for disposal of long-lived waste. The program focuses on three main research objectives: reduction of waste volumes and toxicity (advanced partitioning and transmutation); assessment of the waste isolation properties of deep geologic formations; and development of solidification processes and storage techniques for long-term interim storage in near-surface facilities. Annual reports on this research will be reviewed by a national commission and submitted to Parliament. Within 15 years, the government will prepare a comprehensive report and may enact new legislation authorizing the creation of a repository. The Waste Act also establishes the conditions for siting underground geologic research laboratories; site selection, public information and monitoring procedures; and economic incentives related to these facilities, which represent major financial investments that will benefit communities in the involved regions

  7. Long-lived radioactive waste, the French management policy

    International Nuclear Information System (INIS)

    Barber, P.

    1994-01-01

    An overwhelming majority of both chambers of the French Parliament voted in favor of Public Law 91-1381 on December 30, 1991, the Waste Act which outlines the research program to be conducted for disposal of long-lived waste. The program focuses on three main research objectives, which are briefly discussed in this presentation: reduction of waste volume and toxicity (advanced partitioning and transmutation); assessment of the waste isolation properties of deep geologic formations; and development of solidification processes and storage techniques for long-term interim storage in near surface facilities. Annual reports on this research will be reviewed by a national commission and submitted to Parliament. Within 15 years, the government will prepare a comprehensive report and may enact new legislation authorizing the creation of a repository. The Waste Act also establishes the conditions for underground geologic research laboratories; site selection, public information and monitoring procedures; and economic incentives related to these facilities, which represent major financial investments that will benefit communities in the involved regions

  8. Circulating histones are major mediators of systemic inflammation and cellular injury in patients with acute liver failure.

    Science.gov (United States)

    Wen, Zongmei; Lei, Zhen; Yao, Lu; Jiang, Ping; Gu, Tao; Ren, Feng; Liu, Yan; Gou, Chunyan; Li, Xiuhui; Wen, Tao

    2016-09-29

    Acute liver failure (ALF) is a life-threatening systemic disorder. Here we investigated the impact of circulating histones, recently identified inflammatory mediators, on systemic inflammation and liver injury in murine models and patients with ALF. We analyzed histone levels in blood samples from 62 patients with ALF, 60 patients with chronic liver disease, and 30 healthy volunteers. We incubated patients' sera with human L02 hepatocytes and monocytic U937 cells to assess cellular damage and cytokine production. d-galactosamine plus lipopolysaccharide (GalN/LPS), concanavalin A (ConA), and acetaminophen (APAP) were given to C57BL/6N mice to induce liver injury, respectively, and the pathogenic role of circulating histones was studied. Besides, the protective effect of nonanticoagulant heparin, which can bind histones, was evaluated with in vivo and ex vivo investigations. We observed that circulating histones were significantly increased in patients with ALF, and correlated with disease severity and mortality. Significant systemic inflammation was also pronounced in ALF patients, which were associated with histone levels. ALF patients' sera induced significant L02 cell death and stimulated U937 cells to produce cytokines, which were abrogated by nonanticoagulant heparin. Furthermore, circulating histones were all released remarkably in GalN/LPS, ConA, and APAP-treated mice, and associated with high levels of inflammatory cytokines. Heparin reduced systemic inflammation and liver damage in mice, suggesting that it could interfere with histone-associated liver injury. Collectively, these findings demonstrate that circulating histones are critical mediators of systemic inflammation and cellular damage in ALF, which may be potentially translatable for clinical use.

  9. Effluent Containment System for space thermal nuclear propulsion ground test facilities

    International Nuclear Information System (INIS)

    1995-08-01

    This report presents the research and development study work performed for the Space Reactor Power System Division of the U.S. Department of Energy on an innovative ECS that would be used during ground testing of a space nuclear thermal rocket engine. A significant portion of the ground test facilities for a space nuclear thermal propulsion engine are the effluent treatment and containment systems. The proposed ECS configuration developed recycles all engine coolant media and does not impact the environment by venting radioactive material. All coolant media, hydrogen and water, are collected, treated for removal of radioactive particulates, and recycled for use in subsequent tests until the end of the facility life. Radioactive materials removed by the treatment systems are recovered, stored for decay of short-lived isotopes, or packaged for disposal as waste. At the end of the useful life, the facility will be decontaminated and dismantled for disposal

  10. The Lived Environment Life Quality Model for institutionalized people with dementia.

    Science.gov (United States)

    Wood, Wendy; Lampe, Jenna L; Logan, Christina A; Metcalfe, Amy R; Hoesly, Beth E

    2017-02-01

    There is a need for a conceptual practice model that explicates ecological complexities involved in using occupation to optimize the quality of life of institutionalized people with dementia. This study aimed to prepare the Lived Environment Life Quality Model, a dementia-specific conceptual practice model of occupational therapy in institutional facilities, for publication and application to practice. Interviews and focus groups with six expert occupational therapists were subjected to qualitative content analysis to confirm, disconfirm, and further develop the model. The model's lived-environment domain as the focus of assessment and intervention was extensively confirmed, and its quality-of-life domain as the focus of intervention goals and outcomes was both confirmed and further developed. As confirmed in this study, the Lived Environment Life Quality Model is a client-centred, ecologically valid, and occupation-focused guide to optimizing quality of life of institutionalized adults with dementia in present moments and progressively over time.

  11. AMS. A powerful tool for probing nucleosynthesis via long-lived radionuclides

    International Nuclear Information System (INIS)

    Wallner, A.; Golser, R.; Kutschera, W.; Priller, A.; Steier, P.; Kaeppeler, F.

    2005-01-01

    The potential of accelerator mass spectrometry (AMS) will be demonstrated on typical radionuclides of interest with half-lives between some years and up to hundred million years. The Vienna Environmental Research Accelerator (VERA) represents a state-of-the-art AMS facility which provides the ability for quantifying nuclides over the whole mass range. At VERA, AMS is used for quantifying long-lived radionuclides within a wide range of applications - from archaeology to astrophysics. Lack of information on cross section data exists for a list of nuclides pointed out by nuclear data requests. The potential of AMS as a powerful tool for probing nucleosynthesis will be demonstrated by means of some prime examples. Recent developments in the technique of AMS will be highlighted and some applications of AMS in astrophysics will be discussed. In addition, an overview on detection limits, measurement precision as well as the recent measurement program at VERA for quantifying such long-lived radionuclides will be presented. (author)

  12. Accelerator mass spectrometry and associated facilities at Inter-University Accelerator Centre, New Delhi, India

    International Nuclear Information System (INIS)

    Kumar, Pankaj; Bohra, Archna; Ojha, S.; Gargari, S.; Joshi, R.; Roonwal, G.S.; Chopra, S.; Pattanaik, J.K.; Balakrishnan, S.

    2011-01-01

    Accelerator Mass Spectrometry (AMS) facility at Inter-University Accelerator Centre (IUAC) is developed by upgrading its existing 15UD Pelletron accelerator. Since last two decades Pelletron is mainly used for nuclear physics, materials science, atomic physics, radiation biology and accelerator mass spectrometry is recent development. In addition, a chemistry laboratory in clean room for the chemical processing of samples for AMS studies has also been established. At present the AMS facility is used for 10 Be, 26 Al measurements and soon other long lived radio-isotopes will also be used

  13. Privacy and senior willingness to adopt smart home information technology in residential care facilities.

    Science.gov (United States)

    Courtney, K L

    2008-01-01

    With large predicted increases of the older adult (65 years and older) population, researchers have been exploring the use of smart home information technologies (IT) in residential care (RC) facilities to enhance resident quality of life and safety. Older adults' perceptions of privacy can inhibit their acceptance and subsequent adoption of smart home IT. This qualitative study, guided by principles of grounded theory research, investigated the relationship between privacy, living environment and willingness of older adults living in residential care facilities to adopt smart home IT through focus groups and individual interviews. The findings from this study indicate that privacy can be a barrier for older adults' adoption of smart home IT; however their own perception of their need for the technology may override their privacy concerns. Privacy concerns, as a barrier to technology adoption, can be influenced by both individual-level and community-level factors. Further exploration of the factors influencing older adults' perceptions of smart home IT need is necessary.

  14. Transport of radioselenium oxyanions by diffusion in unsaturated soils

    Energy Technology Data Exchange (ETDEWEB)

    Aldaba, David; Rigol, Anna; Vidal, Miquel [Barcelona Univ. (Spain). Dept. de Quimica Analitica; Garcia-Gutierrez, Miguel [CIEMAT, Dept. de Medioambiente, Madrid (Spain); Abrao, Taufik [State University of Londrina (UEL) (Brazil). Dept. of Electrical Engineering (DEEL)

    2015-07-01

    There is a lack of data on the diffusion of long-lived radionuclides in soils, especially of those originated from the leaching of radioactive waste in waste disposal facilities. Here, the simultaneous diffusion of two radioselenium species, which were postulated to be radioselenite and radioselenate, was examined for the first time in four soils at laboratory level by applying the planar-source method. The Gaussian-shaped experimental diffusion profile was deconvoluted into two Gaussian functions, and then the apparent diffusion coefficients (D{sub a}) were quantified for each species. Radioselenate D{sub a} values ranged from 1.4 x 10{sup -11} to 1.5 x 10{sup -10} m{sup 2}s{sup -1}, while those of radioselenite were two orders of magnitude lower (from 5.2 x 10{sup -13} to 2.7 x 10{sup -12} m{sup 2}s{sup -1}) for all samples and conditions tested. The radioselenite distribution coefficient values derived from D{sub a} correlated to soil properties, such as pH and Al/Fe mineral content, and thus were consistent with the factors controlling the sorption of selenium species in soils.

  15. Study of 2219 aluminum alloy using direct current A-TIG welding

    Science.gov (United States)

    Li, Hui; Zou, Jiasheng

    2017-07-01

    Direct current A-TIG (DCEN A-TIG) welding using special active agent had eliminated the pores and the oxidation of 2219 high-strength aluminum alloy in welding. Addition of AlF3-25% LiF active agent to DCEN A-TIG welding and arc morphology showed a trailing phenomenon. However, the change in arc morphology was not remarkable when AlF3-75% LiF active agent was added. Addition of AlF3-75% LiF active agent can refine the grain size of DCEN A-TIG joint. The mechanical properties of the weld were optimal at 10% AlF3-75% LiF active agent. Compared with AC TIG and AC A-TIG welding, DCEN A-TIG welding yielded better results for 2219 Al alloy.

  16. Unique life sciences research facilities at NASA Ames Research Center

    Science.gov (United States)

    Mulenburg, G. M.; Vasques, M.; Caldwell, W. F.; Tucker, J.

    1994-01-01

    The Life Science Division at NASA's Ames Research Center has a suite of specialized facilities that enable scientists to study the effects of gravity on living systems. This paper describes some of these facilities and their use in research. Seven centrifuges, each with its own unique abilities, allow testing of a variety of parameters on test subjects ranging from single cells through hardware to humans. The Vestibular Research Facility allows the study of both centrifugation and linear acceleration on animals and humans. The Biocomputation Center uses computers for 3D reconstruction of physiological systems, and interactive research tools for virtual reality modeling. Psycophysiological, cardiovascular, exercise physiology, and biomechanical studies are conducted in the 12 bed Human Research Facility and samples are analyzed in the certified Central Clinical Laboratory and other laboratories at Ames. Human bedrest, water immersion and lower body negative pressure equipment are also available to study physiological changes associated with weightlessness. These and other weightlessness models are used in specialized laboratories for the study of basic physiological mechanisms, metabolism and cell biology. Visual-motor performance, perception, and adaptation are studied using ground-based models as well as short term weightlessness experiments (parabolic flights). The unique combination of Life Science research facilities, laboratories, and equipment at Ames Research Center are described in detail in relation to their research contributions.

  17. Resistive effects on helicity-wave current drive generated by Alfven waves in tokamak plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Bruma, C.; Cuperman, S.; Komoshvili, K. [Tel Aviv Univ. (Israel). Faculty of Exact Sciences

    1997-05-01

    This work is concerned with the investigation of non-ideal (resistive) MHD effects on the excitation of Alfven waves by externally launched fast-mode waves, in simulated tokamak plasmas; both continuum range, CR ({l_brace}{omega}{sub Alf}(r){r_brace}{sub min} < {omega} < {l_brace}{omega}{sub Alf}(r){r_brace}{sub max}) and discrete range, DR, where global Alfven eigenmodes, GAEs ({omega} < {l_brace}{sub Alf}(r){r_brace}{sub min}) exist, are considered. (Here, {omega}{sub Alf}(r) {identical_to} {omega}{sub Alf}[n(r), B{sub 0}(r)] is an eigenfrequency of the shear Alfven wave). For this, a cylindrical current carrying plasma surrounded by a helical sheet-current antenna and situated inside a perfectly conducting shell is used. Toroidicity effects are simulated by adopting for the axial equilibrium magnetic field component a suitable radial profile; shear and finite relative poloidal magnetic field are properly accounted for. A dielectric tensor appropriate to the physical conditions considered in this paper is derived and presented. (author).

  18. Switch evaluation test system for the National Ignition Facility

    International Nuclear Information System (INIS)

    Savage, M.E.; Simpson, W.W.; Reynolds, F.D.

    1997-01-01

    Flashlamp pumped lasers use pulsed power switches to commute energy stored in capacitor banks to the flashlamps. The particular application in which the authors are interested is the National Ignition Facility (NIF), being designed by Lawrence Livermore National Laboratory, Los Alamos National Laboratory, and Sandia National Laboratories (SNL). To lower the total cost of these switches, SNL has a research program to evaluate large closing switches. The target value of the energy switched by a single device is 1.6 MJ, from a 6 mF, 24kV capacitor bank. The peak current is 500 kA. The lifetime of the NIF facility is 24,000 shots. There is no switch today proven at these parameters. Several short-lived switches (100's of shots) exist that can handle the voltage and current, but would require maintenance during the facility life. Other type devices, notably ignitrons, have published lifetimes in excess of 20,000 shots, but at lower currents and shorter pulse widths. The goal of the experiments at SNL is to test switches with the full NIF wave shape, and at the correct voltage. The SNL facility can provide over 500 kA at 24 kV charge voltage. the facility has 6.4 mF total capacitance, arranged in 25 sub-modules. the modular design makes the facility more flexible (for possible testing at lower current) and safer. For pulse shaping (the NIF wave shape is critically damped) there is an inductor and resistor for each of the 25 modules. Rather than one large inductor and resistor, this lowers the current in the pulse shaping components, and raises their value to those more easily attained with lumped inductors and resistors. The authors show the design of the facility, and show results from testing conducted thus far. They also show details of the testing plan for high current switches

  19. Type I Glycogen Storage Disease

    Science.gov (United States)

    ... the most common form of glycogen storage disease, accounting for 25% of all cases. It is an ... Links Videos Webinars About ALF OVERVIEW Programs About Liver Disease Ask the Experts People ALF ...

  20. Effect of live music therapy for patients undergoing magnetic resonance imaging.

    Science.gov (United States)

    Walworth, Darcy D

    2010-01-01

    The purpose of the current study was to identify the effects of live music therapy interventions compared with preferred recorded music for patients undergoing MRI scans. To date, there has not been a published study involving the use of live music therapy during MRI scans. The current study investigated the differences between teenage through adult patients receiving live music therapy intervention during outpatient MRI scans versus the standard protocol of care listening to recorded music (N = 88). Subjects ranged in age from 15 to 93 years old. Results indicated subjects who received the live music therapy protocol reported significantly better perception of the MRI procedure (p music therapy protocol had fewer scans repeated due to movement. Of the repeated images, 26% occurred in the live music group and 73% occurred in the recorded music group. Subjects receiving live music therapy also requested less breaks from the scan. Two percent of the live music subjects requested a break and 17.6% of the control patients requested breaks. When comparing the same type of scan between groups, subjects receiving the live music protocol required less time to complete the scans. For lumbar scans without contrast (N = 14, n = 7, n = 7), live music subjects spent an average of 4.63 less min per scan for a total of 32 less min for 7 subjects. For brain scans (N = 8, n = 4, n = 4), live music subjects spent an average of 5.8 less min per scan for a total of 23 less min for 4 subjects. Results of the current study supports the use of live music therapy intervention for teenage and adult patients undergoing MRI scans to reduce patient anxiety and improve patient perception of the scan experience. Additionally, live music therapy has the potential to shorten the length of time required for patients to complete MRI scans due to decreased patient movements and fewer breaks requested during the scans. The cost savings impact of reduced procedure time can positively impact the

  1. Development of an integrated facility for processing transuranium solid wastes at the Savannah River Plant

    International Nuclear Information System (INIS)

    Boersma, M.D.; Hootman, H.E.; Permar, P.H.

    1978-01-01

    An integrated facility is being designed for processing solid wastes contaminated with long-lived alpha emitting (TRU) nuclides; this waste has been stored retrievably at the Savannah River Plant since 1965. The stored waste, having a volume of 10 4 m 3 and containing 3x10 5 Ci of transuranics, consists of both mixed combustible trash and failed and obsolete equipment primarily from transuranic production and associated laboratory operations. The facility for processing solid transuranic waste will consist of five processing modules: 1) unpackaging, sorting, and assaying; 2) treatment of combustibles by controlled air incineration; 3) size reduction of noncombustibles by plasma-arc cutting followed by decontamination by electropolishing; 4) fixation of the processed waste in cement; and 5) packaging for shipment to a federal repository. The facility is projected for construction in the mid-1980's. Pilot facilities, sized to manage currently generated wastes, will also demonstrate the key process steps of incineration of combustibles and size reduction/decontamination of noncombustibles; these facilities are projected for 1980-81. Development programs leading to these extensive new facilities are described

  2. Development of an integrated facility for processing TRU solid wastes at the Savannah River Plant

    International Nuclear Information System (INIS)

    Boersma, M.D.; Hootman, H.E.; Permar, P.H.

    1977-01-01

    An integrated facility is being designed for processing solid wastes contaminated with long-lived alpha emitting (TRU) nuclides; this waste has been stored retrievably at the Savannah River Plant since 1965. The stored waste, having a volume of 10 4 m 3 and containing 3 x 10 5 Ci of transuranics, consists of both mixed combustible trash and failed and obsolete equipment primarily from transuranic production and associated laboratory operations. The facility for processing solid transuranic waste will consist of five processing modules: (1) unpackaging, sorting, and assaying; (2) treatment of combustibles by controlled air incineration; (3) size reduction of noncombustibles by plasma-arc cutting followed by decontamination by electropolishing; (4) fixation of the processed waste in cement; and (5) packaging for shipment to a federal repository. The facility is projected for construction in the mid-1980's. Pilot facilities, sized to manage currently generated wastes, will also demonstrate the key process steps of incineration of combustibles and size reduction/decontamination of noncombustibles; these facilities are projected for 1980-81. Development programs leading to these extensive new facilities are described

  3. They receive antenatal care in health facilities, yet do not deliver there: predictors of health facility delivery by women in rural Ghana.

    Science.gov (United States)

    Boah, Michael; Mahama, Abraham B; Ayamga, Emmanuel A

    2018-05-03

    Research has shown that use of antenatal services by pregnant women and delivery in health facilities with skilled birth attendants contribute to better delivery outcomes. However, a gap exists in Ghana between the use of antenatal care provided by health facilities and delivery in health facilities with skilled birth attendants by pregnant women. This study sought to identify the predictors of health facility delivery by women in a rural district in Ghana. This was a cross-sectional study conducted in June 2016. Women who delivered in the past 6 months preceding the study were interviewed. Data on socio-demographic characteristics, use of antenatal care, place of delivery and reasons for home delivery were collected from study participants. Chi-square test and multiple logistic regression analysis were used to assess an association between women's socio-demographic and obstetric characteristics and place of delivery at 95% confidence interval. The study found that 98.8% of women received antenatal care services at least once during their recent pregnancy, and 67.9% attended antenatal care at least four times before delivery. However, 61.9% of the women delivered in a health facility with a skilled attendant. The frequently mentioned reason for home delivery was "unaware of onset of labour and delivery". The odds for delivery at a health facility were reduced among women with four living children [(AOR = 0.07, CI = 0.15-0.36, p = 0.001)], with no exposure to delivery care information [(AOR = 0.06, CI = 0.01-0.34, p = 0.002), who started their first ANC visit from the second trimester of pregnancy[(AOR = 0.003, CI = 0.01-0.15, p facilities although visits to antenatal care sessions were high, an indication that there was the need to intensify health education on early initiation of antenatal care, signs of labour and delivery, and importance of health facility delivery.

  4. Does health facility service environment matter for the receipt of essential newborn care? Linking health facility and household survey data in Malawi.

    Science.gov (United States)

    Carvajal-Aguirre, Liliana; Mehra, Vrinda; Amouzou, Agbessi; Khan, Shane M; Vaz, Lara; Guenther, Tanya; Kalino, Maggie; Zaka, Nabila

    2017-12-01

    Health facility service environment is an important factor for newborns survival and well-being in general and in particular in high mortality settings such as Malawi where despite high coverage of essential interventions, neonatal mortality remains high. The aim of this study is to assess whether the quality of the health service environment at birth is associated with quality of care received by the newborn. We used data from the Malawi Millennium Development Goals Endline household survey conducted as part of MICS survey program and Service Provision Assessment Survey carried out in 2014. The analysis is based on 6218 facility births that occurred during the past 2 years. Descriptive statistics, bivariate and multivariate random effect models are used to assess the association of health facility service readiness score for normal deliveries and newborn care with newborns receiving appropriate newborn care, defined for this analysis as receiving 5 out of 6 recommended interventions during the first 2 days after birth. Newborns in districts with top facility service readiness score have 1.5 higher odds of receiving appropriate newborn care (adjusted odds ratio (aOR) = 1.52, 95% confidence interval CI = 1.19-1.95, P  = 0.001), as compared to newborns in districts with a lower facility score after adjusting for potential confounders. Newborns in the Northern region were two times more likely to receive 5 newborn care interventions as compared to newborns in the Southern region (aOR = 2.06, 95% CI = 1.50-2.83, P  < 0.001). Living in urban or rural areas did not have an impact on receiving appropriate newborn care. There is need to increase the level of service readiness across all facilities, so that all newborns irrespective of the health facility, district or region of delivery are able to receive all recommended essential interventions. Investments in health systems in Malawi should concentrate on increasing training and availability of

  5. Operation of Temporary Radioactive waste stoprage facility

    Energy Technology Data Exchange (ETDEWEB)

    Kinseem, A A; Abulfaraj, W H; Sohsah, M A; Kamal, S M; Mamoon, A M [Nuclear Engineering Department, Faculty of Engineering, King Abdelazizi University jeddah-21413, Saudi Arabia (Saudi Arabia)

    1997-12-31

    Radionuclides of various half lives have been in use for several years years at different Departments of king Abdulaziz university, the university hospital, and research center. The use of unsealed radionuclides in many laboratories, resulted in considerable amounts of solid and liquid radwaste, mainly radiopharmaceuticals. To avoid accumulation of radwastes in working areas, a temporary radioactive waste storage facility was built. Segregation of radwastes according to type was carried out, followed by collection into appropriate containers and transfer to the storage facility. Average radiation dose rate inside the store was maintained at about 75 {mu} h{sup -1} through use of appropriate shielding. The dose rates at points one meter outside the store walls were maintained at about 15-20 {mu}Sv h{sup -1}. Utilization of radioisotopes during the period of 1991-1995 resulted in a volume of about 1.8 m{sup 3} of solid radwaste and about 200 L of liquid radwaste. Records of the store inventory are maintained in a computer database, listing dates, types, activities and packaging data pertinent to the radwastes delivered to the store. Quality assurance procedures are implemented during the different stages of the radwaste collection, transportation, and storage. Construction and operation of the storage facility comply with radiation safety requirements for the workers handling the radwastes, the public and the environment. The capacity of the storage facility is such that it will accommodate storage of generated radwastes of long half life up to year 2016. Permanent disposal of such radwastes may be indicated afterwards. 2 figs., 3 tabs.

  6. The Holifield Radioactive Ion Beam Facility at the Oak Ridge National Laboratory: Present status and future plans

    International Nuclear Information System (INIS)

    Alton, G.D.; Beene, J.R.

    1998-01-01

    The Holifield Radioactive Ion Beam Facility (HRIBF) is a first generation national user facility for nuclear physics and nuclear astrophysics research with radioactive ion beams (RIBs). The reconfiguration, construction, and equipment commissioning phases have been completed and the beam development program is in progress. In this article, descriptions of the facility and newly implemented experimental equipment for use in the nuclear and astrophysics programs will be given and an outline of the initial experimental program will be presented. Special target ion source related problems, endemic to the production of specific short lived RIBs will be discussed. In addition, plans, which involve either a 200 MeV or a 1 GeV proton linac driver for a second generation ISOL facility, will be presented

  7. Effects of Al content and annealing on the phases formation, lattice parameters, and magnetization of A lxF e2B2 (x =1.0 ,1.1 ,1.2 ) alloys

    Science.gov (United States)

    Levin, E. M.; Jensen, B. A.; Barua, R.; Lejeune, B.; Howard, A.; McCallum, R. W.; Kramer, M. J.; Lewis, L. H.

    2018-03-01

    AlF e2B2 is a ferromagnet with the Curie temperature around 300 K and has the potential to be an outstanding rare-earth free candidate for magnetocaloric applications. However, samples prepared from the melt contain additional phases which affect the functional response of the AlF e2B2 phase. We report on the effects of Al content in samples with the initial (nominal) composition of A lxF e2B2 , where x =1.0 , 1.1, and 1.2 prepared by arc-melting followed by suction casting and annealing. The as-cast A lxF e2B2 alloys contain AlF e2B2 as well as additional phases, including the primary solidifying FeB and A l13F e4 compounds, which are ferromagnetic and paramagnetic, respectively, at 300 K. The presence of these phases makes it difficult to extract the intrinsic magnetic properties of AlF e2B2 phase. Annealing of A lxF e2B2 alloys at 1040 °C for 3 days allows for reaction of the FeB with A l13F e4 to form the AlF e2B2 phase, significantly reduces the amount of additional phases, and results in nearly pure AlF e2B2 phase as confirmed with XRD, magnetization, scanning electron microscopy, and electronic transport. The values of the magnetization, effective magnetic moment per Fe atom, specific heat capacity, electrical resistivity, and Seebeck coefficient for the AlF e2B2 compound have been established.

  8. Comment on “High-temperature soft magnetic properties of antiperovskite nitrides ZnNFe3 and AlNFe3” by Yankun Fu, Shuai Lin, and Bosen Wang, J. Magn. Magn. Mater. 378 (2015) 54–58

    International Nuclear Information System (INIS)

    Scholz, T.; Leineweber, A.; Dronskowski, R.

    2016-01-01

    The authors of the aforementioned manuscript have recently claimed the synthesis of the ternary nitrides ZnNFe 3 (=ZnFe 3 N) and AlNFe 3 (=AlFe 3 N), ordered substituted variants of the binary phase γ‘-Fe 4 N [1]. While soft ferromagnets of such kind are presently attracting lots of attention, their history dates back for more than half a century. In particular, Al-substituted γ‘-Fe 4 N has already been mentioned in 1961 [2], and the existence of AlFe 3 N has also been claimed in 2009 [3] from a two-step ammonolysis reaction combining a high-temperature sintering step and a low-temperature nitriding reaction [4]. Nonetheless, one of us had to withdraw the latter claim after finding out, by means of scanning-electron microscopy and elemental mapping, that all samples of “AlFe 3 N” consisted of an intimate solid mixture of γ‘-Fe 4 N and amorphous Al 2 O 3 [5]. From what follows, we have strong reasons to believe that the authors of Ref. [1] overlooked our findings [5] and also did not synthesize ZnFe 3 N and AlFe 3 N. - Highlights: • The synthesis of ZnFe 3 N and AlFe 3 N is questioned. • The diffraction data of ZnFe 3 N and AlFe 3 N resemble those of Fe 4 N. • The magnetic data of ZnFe 3 N and AlFe 3 N are compatible with those of Fe 4 N. • There is no physical evidence for the existence of ZnFe 3 N and AlFe 3 N.

  9. Quality of care and quality of life of people with dementia living at green care farms: a cross-sectional study.

    Science.gov (United States)

    de Boer, Bram; Hamers, Jan P H; Zwakhalen, Sandra M G; Tan, Frans E S; Verbeek, Hilde

    2017-07-19

    Many countries are introducing smaller, more home-like care facilities that represent a radically new approach to nursing home care for people with dementia. The green care farm is a new type of nursing home developed in the Netherlands. The goal of this study was to compare quality of care, quality of life and related outcomes in green care farms, regular small-scale living facilities and traditional nursing homes for people with dementia. A cross-sectional design was used. Three types of nursing homes were included: (1) green care farms; (2) regular small-scale living facilities; (3) traditional nursing homes. All participating nursing homes were non-profit, collectively funded nursing homes in the south of the Netherlands. One hundred and fifteen residents with a formal diagnosis of dementia were included in the study. Data on quality of care was gathered and consisted of outcome indicators (e.g. falling incidents, pressure ulcers), structure indicators (e.g. hours per resident per day), and process indicators (e.g. presence, accessibility and content of protocols on care delivery). Furthermore, questionnaires on cognition, dependence in activities of daily living, quality of life, social engagement, neuropsychiatric symptoms, agitation, and depression were used. Data showed that quality of care was comparable across settings. No large differences were found on clinical outcome measures, hours per resident per day, or process indicators. Higher quality of life scores were reported for residents of green care farms in comparison with residents of traditional nursing homes. They scored significantly higher on the Quality of Life - Alzheimer's disease Scale (p quality of life. In addition, residents of green care farms scored higher on three quality of life domains of the Qualidem: positive affect, social relations and having something to do (p  0.7). No differences with regular small-scale living facilities were found. Green care farms seem to be a valuable

  10. Altered Function and Expression of ABC Transporters at the Blood–Brain Barrier and Increased Brain Distribution of Phenobarbital in Acute Liver Failure Mice

    Directory of Open Access Journals (Sweden)

    Li Liu

    2018-03-01

    Full Text Available This study investigated alterations in the function and expression of P-glycoprotein (P-GP, breast cancer resistance protein (BCRP, and multidrug resistance-associated protein 2 (MRP2 at the blood–brain barrier (BBB of acute liver failure (ALF mice and its clinical significance. ALF mice were developed using intraperitoneal injection of thioacetamide. P-GP, BCRP, and MRP2 functions were determined by measuring the ratios of brain-to-plasma concentration of rhodamine 123, prazosin, and dinitrophenyl-S-glutathione, respectively. The mRNA and proteins expression levels of P-GP, BCRP, and MRP2 were evaluated with quantitative real-time PCR and western blot, respectively. MDCK-MDR1 and HCMEC/D3 cells were used to document the effects of the abnormally altered components in serum of ALF mice on the function and expression of P-GP. The clinical significance of alteration in P-GP function and expression was investigated by determining the distribution of the P-GP substrate phenobarbital (60 mg/kg, intravenous administration in the brain and loss of righting reflex (LORR induced by the drug (100 mg/kg. The results showed that ALF significantly downregulated the function and expression of both P-GP and BCRP, but increased the function and expression of MRP2 in the brain of mice. Cell study showed that increased chenodeoxycholic acid may be a reason behind the downregulated P-GP function and expression. Compared with control mice, ALF mice showed a significantly higher brain concentration of phenobarbital and higher brain-to-plasma concentration ratios. In accordance, ALF mice showed a significantly larger duration of LORR and shorter latency time of LORR by phenobarbital, inferring the enhanced pharmacological effect of phenobarbital on the central nervous system (CNS. In conclusion, the function and expression of P-GP and BCRP decreased, while the function and expression of MRP2 increased in the brain of ALF mice. The attenuated function and expression

  11. Ross og demokratiet

    DEFF Research Database (Denmark)

    Svensson, Palle

    2006-01-01

    En kritisk analyse af Alf Ross' teori om demokrati på grundlag af Roberty A. Dahl's begrebsapparat.......En kritisk analyse af Alf Ross' teori om demokrati på grundlag af Roberty A. Dahl's begrebsapparat....

  12. The national plan of radioactive materials and wastes management. ASN's notice about the choice of the sites to be investigated in view of the setting up of a disposal facility for low activity/long living wastes

    International Nuclear Information System (INIS)

    2009-07-01

    This short presentation, given by the national safety authority (ASN) at the meeting of July 1, 2009 of the high committee for the nuclear safety transparency and information (HCTISN), presents, first, the second French national plan of radioactive materials and wastes management (PNGMDR) with its main priorities, and then, the choice of the sites to survey in view of the setting up of a disposal facility for low level/long living wastes. The ASN expresses its opinion about the criteria retained by the ANDRA (the national agency of radioactive waste management) to select the most suitable sites. (J.S.)

  13. The Context of Religious and Spiritual Care at the End of Life in Long-term Care Facilities.

    Science.gov (United States)

    Hamilton, V Lee; Daaleman, Timothy P; Williams, Christianna S; Zimmerman, Sheryl

    2009-01-01

    Despite the increasing numbers of Americans who die in nursing homes (NHs) and residential care/assisted living (RC/AL) facilities, and the importance of religious and spiritual needs as one approaches death, little is known about how these needs are met for dying individuals in long-term care (LTC) institutional settings. This study compared receipt of religious and spiritual help in four types of LTC settings: NHs, smaller (facilities, traditional RC/AL facilities, and new-model RC/AL facilities. Data were also available for religious affiliation of the facilities, size, and provision of religious and hospice services. Controlling for such factors, the importance of religion/spirituality to the decedent was the strongest predictor of the decedent's receipt of spiritual help. In addition, new-model RC/AL facilities were significantly more likely to provide help for religious and spiritual needs of decedent residents than other RC/AL types, but did not differ significantly from NHs.

  14. LXtoo: an integrated live Linux distribution for the bioinformatics community.

    Science.gov (United States)

    Yu, Guangchuang; Wang, Li-Gen; Meng, Xiao-Hua; He, Qing-Yu

    2012-07-19

    Recent advances in high-throughput technologies dramatically increase biological data generation. However, many research groups lack computing facilities and specialists. This is an obstacle that remains to be addressed. Here, we present a Linux distribution, LXtoo, to provide a flexible computing platform for bioinformatics analysis. Unlike most of the existing live Linux distributions for bioinformatics limiting their usage to sequence analysis and protein structure prediction, LXtoo incorporates a comprehensive collection of bioinformatics software, including data mining tools for microarray and proteomics, protein-protein interaction analysis, and computationally complex tasks like molecular dynamics. Moreover, most of the programs have been configured and optimized for high performance computing. LXtoo aims to provide well-supported computing environment tailored for bioinformatics research, reducing duplication of efforts in building computing infrastructure. LXtoo is distributed as a Live DVD and freely available at http://bioinformatics.jnu.edu.cn/LXtoo.

  15. Accessibility to the Public Facilities: A Mean to Achieve Civil Rights of the People with Disabilities in Iran

    OpenAIRE

    Roya Ghasemzadeh; Mohammad Kamali; Ali Chabok; Masoud Fallahi Khoshknab; Manuchehr Shirani

    2008-01-01

    Objectives: Civil rights may cover different aspects of citizens’ lives. All the members of the society should have equal access to the public facilities and public transportation system. Barriers and obstacles in society may limit the accessibility of these facilities to the disabled people. Methods: This article contains a part of the results in a phenomenological study of the Disability Rights. The purpose of this phenomenological study was to describe experiences of disability r...

  16. Integrated Disposal Facility FY2011 Glass Testing Summary Report

    International Nuclear Information System (INIS)

    Pierce, Eric M.; Bacon, Diana H.; Kerisit, Sebastien N.; Windisch, Charles F.; Cantrell, Kirk J.; Valenta, Michelle M.; Burton, Sarah D.; Westsik, Joseph H.

    2011-01-01

    Pacific Northwest National Laboratory was contracted by Washington River Protection Solutions, LLC to provide the technical basis for estimating radionuclide release from the engineered portion of the disposal facility (e.g., source term). Vitrifying the low-activity waste at Hanford is expected to generate over 1.6 x 10 5 m 3 of glass (Certa and Wells 2010). The volume of immobilized low-activity waste (ILAW) at Hanford is the largest in the DOE complex and is one of the largest inventories (approximately 8.9 x 10 14 Bq total activity) of long-lived radionuclides, principally 99 Tc (t 1/2 = 2.1 x 10 5 ), planned for disposal in a low-level waste (LLW) facility. Before the ILAW can be disposed, DOE must conduct a performance assessment (PA) for the Integrated Disposal Facility (IDF) that describes the long-term impacts of the disposal facility on public health and environmental resources. As part of the ILAW glass testing program PNNL is implementing a strategy, consisting of experimentation and modeling, in order to provide the technical basis for estimating radionuclide release from the glass waste form in support of future IDF PAs. The purpose of this report is to summarize the progress made in fiscal year (FY) 2011 toward implementing the strategy with the goal of developing an understanding of the long-term corrosion behavior of low-activity waste glasses.

  17. Facility effluent monitoring plan determinations for the 400 Area facilities

    International Nuclear Information System (INIS)

    Nickels, J.M.

    1991-09-01

    This Facility Effluent Monitoring Plan determination resulted from an evaluation conducted for the Westinghouse Hanford Company 400 Area facilities on the Hanford Site. The Facility Effluent Monitoring Plan determinations have been prepared in accordance with A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans. Two major Westinghouse Hanford Company facilities in the 400 Area were evaluated: the Fast Flux Test Facility and the Fuels Manufacturing and examination Facility. The determinations were prepared by Westinghouse Hanford Company. Of these two facilities, only the Fast Flux Test Facility will require a Facility Effluent Monitoring Plan. 7 refs., 5 figs., 4 tabs

  18. Reconstruction of exposures to the public from a cobalt-60 irradiator facility

    International Nuclear Information System (INIS)

    Chapman, T.E.; Scherpelz, R.I.

    1992-01-01

    A study was performed for the US Department of Energy (DOE) to assess the radiation exposure received by the public from the operation of a cobalt-60 irradiator facility. Located south of Davis, California, at the former Laboratory for Energy-Related Health Research, the facility was an indoor-outdoor gamma irradiator operated for the DOE by the University of California, Davis. From 1970 to 1985, outdoor radiation exposure experiments conducted at the facility resulted in environmental radiation doses of 80 to 120 mSv per year along the facility's perimeter fence. Comprehensive environmental monitoring was not performed in the adjacent, uncontrolled areas and personnel who occupied these areas were not routinely monitored for radiation exposure. Because of incomplete environmental monitoring data, computer modeling was required to reconstruct the environmental dose rates present when the facility was in operation. Personnel occupancy times for the adjacent areas were determined from population statistics, historical records, and personal interviews. The potential dose equivalents calculated for the individuals who lived or worked in neighboring areas ranged from 0.02 to 3.6 mSv per year. These exposures, some of which exceed the current DOE standard of 1 mSv/y, were less than the DOE regulatory limit of 5 mSv/y for exposure to the public that was in effect when the facility was in operation

  19. PLUTONIUM LOADING CAPACITY OF REILLEX HPQ ANION EXCHANGE COLUMN - AFS-2 PLUTONIUM FLOWSHEET FOR MOX

    Energy Technology Data Exchange (ETDEWEB)

    Kyser, E.; King, W.; O' Rourke, P.

    2012-07-26

    Radioactive plutonium (Pu) anion exchange column experiments using scaled HB-Line designs were performed to investigate the dependence of column loading performance on the feed composition in the H-Canyon dissolution process for plutonium oxide (PuO{sub 2}) product shipped to the Mixed Oxide (MOX) Fuel Fabrication Facility (MFFF). These loading experiments show that a representative feed solution containing {approx}5 g Pu/L can be loaded onto Reillex{trademark} HPQ resin from solutions containing 8 M total nitrate and 0.1 M KF provided that the F is complexed with Al to an [Al]/[F] molar ratio range of 1.5-2.0. Lower concentrations of total nitrate and [Al]/[F] molar ratios may still have acceptable performance but were not tested in this study. Loading and washing Pu losses should be relatively low (<1%) for resin loading of up to 60 g Pu/L. Loading above 60 g Pu/L resin is possible, but Pu wash losses will increase such that 10-20% of the additional Pu fed may not be retained by the resin as the resin loading approaches 80 g Pu/L resin.

  20. The development and characterization of advanced broadband mirror coatings for the far-UV

    Science.gov (United States)

    Egan, Arika; Fleming, Brian T.; Wiley, James; Quijada, Manuel; Del Hoyo, Javier; Hennessy, John; Hicks, Brian; France, Kevin; Kruczek, Nicholas; Erickson, Nicholas

    2017-08-01

    We present a progress report on the development of new broadband mirror coatings that demonstrate > 80% reflectivities from 1020-5000Å. Four different coating recipes are presented as candidates for future far-ultraviolet (FUV) sensitive broadband observatories. Three samples were first coated with aluminum (Al) and lithium fluoride (LiF) at the NASA Goddard Space Flight Center (GSFC) using a new high-temperature physical vapor deposition (PVD) process. Two of these samples then had an ultrathin (10-20 Å) protective coat of either magnesium fluoride (MgF2) or aluminum fluoride (AlF3) applied using atomic later deposition (ALD) at the NASA Jet Propulsion Laboratory (JPL). A fourth sample was coated with Al and a similar high temperature PVD coating of AlF3. Polarized reflectivities into the FUV for each sample were obtained through collaboration with the Synchrotron Ultraviolet Radiation Facility at the National Institute of Standards and Technology. We present a procedure for using these reflectivities as a baseline for calculating the optical constants of each coating recipe. Given these results, we describe plans for improving our measurement methodology and techniques to develop and characterize these coating recipes for future FUV missions.

  1. Physicians' Knowledge of and Attitudes Toward Use of Opioids in Long-Term Care Facilities.

    Science.gov (United States)

    Griffioen, Charlotte; Willems, Eva G; Kouwenhoven, Sanne M; Caljouw, Monique A A; Achterberg, Wilco P

    2017-06-01

    Insufficient pain management in vulnerable older persons living in long-term care facilities is common, and opiophobia might contribute to this. As opiophobia and its related factors have not been investigated in long-term care, this study evaluates the degree of knowledge of opioids among elderly-care physicians (ECPs) and ECP trainees, as well as their attitudes and other factors possibly influencing the clinical use of opioids in these facilities. A questionnaire was designed and distributed among ECPs and ECP trainees by email, regional symposia, and all three university training faculties for elderly-care medicine in the Netherlands. Respondents were 324 ECPs and 111 ECP trainees. Fear of addiction did not influence the prescription of opioids. Main barriers to the clinical use of opioids were patients' reluctance to take opioids (83.3%); unknown degree of pain (79.2%); and pain of unknown origin (51.4%). ECPs' average knowledge scores were sufficient: those who felt that their knowledge of opioids was poor scored lower than those who felt that their knowledge was good. Factors identified in this study may help provide better pain management for vulnerable older persons living in a long-term care facility. Also, more patient information on the pros and cons of opioid use is needed, as well as appropriate tools for better clinical assessment of pain in a long-term care population. © 2016 World Institute of Pain.

  2. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... Story Health and Wellness Liver Disease Diets Medications Drug Discount Card The Progression of Liver Disease Diagnosing ... disease. FOR PATIENTS ALF in your Area Medications Drug Discount Card Organ Donation FOR CAREGIVERS ALF in ...

  3. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... a Physician Support Groups Brochures Clinical Trials Organ Donation Palliative Care Related Links Videos Webinars About ALF ... in your Area Medications Drug Discount Card Organ Donation FOR CAREGIVERS ALF in your Area Medications Drug ...

  4. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... People ALF Near You Events ALF Blogs Financial Information Policies Advocacy Patient Advisory Council Media Center Careers ... and abdomen (ascites) or hepatic encephalopathy. For more information about cirrhosis of the liver and symptoms, call ...

  5. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... OVERVIEW Programs About Liver Disease Ask the Experts People ALF Near You Events ALF Blogs Financial Information ... that causes temporary worsening of brain function in people with advanced liver disease. When your liver is ...

  6. Relationship between self-esteem and living conditions among stroke survivors at home.

    Science.gov (United States)

    Shida, Junko; Sugawara, Kyoko; Goto, Junko; Sekito, Yoshiko

    2014-10-01

    To clarify the relationship between self-esteem of stroke survivors at home and their living conditions. Study participants were stroke survivors who lived at home and commuted to one of two medical facilities in the Tohoku region of Japan. Stroke survivors were recruited for the present study when they came to the hospital for a routine visit. The researcher or research assistant explained the study objective and methods to the stroke survivor, and the questionnaire survey was conducted. Survey contents included the Japanese version of the Rosenberg Self-Esteem Scale (RSE) and questions designed to assess living conditions. A total of 65 participants with complete RSE data were included in the analysis. The mean (standard deviation) age of participants was 70.9 years (± 11.1), with a mean RSE score of 32.12 (± 8.32). Only a minor decrease in participant self-esteem was observed, even after having experienced a stroke. Factors associated with self-esteem, including "independent bathing" (standardized partial regression coefficient, β = 0.405, P self-esteem in stroke survivors living at home. © 2013 The Authors. Japan Journal of Nursing Science © 2013 Japan Academy of Nursing Science.

  7. Self-caring of women with osteoarthritis living at different levels of independence.

    Science.gov (United States)

    Baird, Carol L; Schmeiser, Donna; Yehle, Karen T

    2003-08-01

    Successful management of chronic conditions such as osteoarthritis (OA) may improve health and quality of life and foster independence. Health professionals need to understand what women do to manage their OA by self-caring in order to support the improvement of health in older adults. A descriptive study of difficulties of living with and self-caring of OA was conducted. Sixty women over 65 years old who lived in homes in the community, in assisted living (AL) apartments, and in long-term care (LTC) facilities participated in interviews. Data were the reports of symptoms and self-caring behaviors. Descriptive, Kendall tau-b and tau-c, and chi-square analyses revealed that there were similarities and differences among the women. All of the women used a variety of self-caring techniques. Differences included that community-residing women reported more often that they had pain, moved too slowly, and had sleep disturbances. Community-residing women reported more negative emotions, while reporting significantly more often that they used a wide range of positive coping methods. By anticipating severe physical and functional problems of living with OA and difficulties in self-caring, health care providers may help women maintain an independent lifestyle.

  8. Inflammatory cascades driven by tumor necrosis factor-alpha play a major role in the progression of acute liver failure and its neurological complications.

    Directory of Open Access Journals (Sweden)

    Anne Chastre

    Full Text Available Acute liver failure (ALF due to ischemic or toxic liver injury is a clinical condition that results from massive loss of hepatocytes and may lead to hepatic encephalopathy (HE, a serious neuropsychiatric complication. Although increased expression of tumor necrosis factor-alpha (TNF-α in liver, plasma and brain has been observed, conflicting results exist concerning its roles in drug-induced liver injury and on the progression of HE. The present study aimed to investigate the therapeutic value of etanercept, a TNF-α neutralizing molecule, on the progression of liver injury and HE in mice with ALF resulting from azoxymethane (AOM hepatotoxicity.Mice were administered saline or etanercept (10 mg/kg; i.p. 30 minutes prior to, or up to 6 h after AOM. Etanercept-treated ALF mice were sacrificed in parallel with vehicle-treated comatose ALF mice and controls. AOM induced severe hepatic necrosis, leading to HE, and etanercept administered prior or up to 3 h after AOM significantly delayed the onset of coma stages of HE. Etanercept pretreatment attenuated AOM-induced liver injury, as assessed by histological examination, plasma ammonia and transaminase levels, and by hepatic glutathione content. Peripheral inflammation was significantly reduced by etanercept as shown by decreased plasma IL-6 (4.1-fold; p<0.001 and CD40L levels (3.7-fold; p<0.001 compared to saline-treated ALF mice. Etanercept also decreased IL-6 levels in brain (1.2-fold; p<0.05, attenuated microglial activation (assessed by OX-42 immunoreactivity, and increased brain glutathione concentrations.These results indicate that systemic sequestration of TNF-α attenuates both peripheral and cerebral inflammation leading to delayed progression of liver disease and HE in mice with ALF due to toxic liver injury. These results suggest that etanercept may provide a novel therapeutic approach for the management of ALF patients awaiting liver transplantation.

  9. Measurements of airborne short-lived radioactivity concentration in a PET facility at a national University hospital

    International Nuclear Information System (INIS)

    Saito, Tadashi

    2006-01-01

    National universities in Japan became under regulation of Industrial Safety and Health Law since 2004FY. One of the legal obligations is working environment measurements such as airborne radioactivity concentration in the rooms where employees handle unsealed radiation sources. Both in 2004FY and in 2005FY, measurements of airborne radioactivity concentration were carried out by two different agencies. The most prominent difference among them is the measurement for short-lived PET nuclides. In 2004FY, one agency measured the radioactivity with a Ge spectrometer at its own laboratory, whereas, in 2005FY, the other agency brought a NaI scintillation counter for gross gamma counting to the Hospital. It can be shown that detection limits for short-lived PET nuclides are in principle almost the same in both methods. It is also found that, in the actual case, gamma spectrometry with a Ge spectrometer is superior in judgement of detection of the radioactivity. (author)

  10. Brain Aquaporin-4 in Experimental Acute Liver Failure

    Science.gov (United States)

    Rama Rao, Kakulavarapu V.; Jayakumar, Arumugam R.; Tong, Xiaoying; Curtis, Kevin M.; Norenberg, Michael D.

    2016-01-01

    Intracranial hypertension due to brain edema and associated astrocyte swelling is a potentially lethal complication of acute liver failure (ALF). Mechanisms of edema formation are not well understood but elevated levels of blood and brain ammonia and its byproduct glutamine have been implicated in this process. We examined mRNA and protein expression of the water channel protein aquaporin-4 (AQP4) in cerebral cortex in a rat model of ALF induced by the hepatotoxin thioacetamide. Rats with ALF showed increased AQP4 protein in the plasma membrane (PM). Total tissue levels of AQP4 protein and mRNA levels were not altered indicating that increased AQP4 is not transcriptionally mediated but is likely due to a conformational change in the protein, i.e. a more stable anchoring of AQP4 to the PM and/or interference with its degradation. By immunohistochemistry there was an increase in AQP4 immunoreactivity in the PM of perivascular astrocytes in ALF. Rats with ALF showed increased levels of α-syntrophin, a protein involved in the anchoring of AQP4 to perivascular astrocytic end-feet. Increased AQP4 and α-syntrophin levels were inhibited by L-histidine, an inhibitor of glutamine transport into mitochondria, suggesting a role for glutamine in the increase of PM levels of AQP4. These results indicate that increased AQP4 PM levels in perivascular astrocytic end-feet are likely critical to the development of brain edema in ALF. PMID:20720509

  11. Overexpression of c-Met in bone marrow mesenchymal stem cells improves their effectiveness in homing and repair of acute liver failure.

    Science.gov (United States)

    Wang, Kun; Li, Yuwen; Zhu, Tiantian; Zhang, Yongting; Li, Wenting; Lin, Wenyu; Li, Jun; Zhu, Chuanlong

    2017-07-05

    Transplantation of bone marrow-derived mesenchymal stem cells (BMSCs) has emerged as a novel therapy for acute liver failure (ALF). However, the homing efficiency of BMSCs to the injured liver sites appears to be poor. In this study, we aimed to determine if overexpression of c-Met in BMSCs could promote the homing ability of BMSCs to rat livers affected by ALF. Overexpression of c-Met in BMSCs (c-Met-BMSCs) was attained by transfection of naive BMSCs with the lenti-c-Met-GFP. The impact of transplanted c-Met-BMSCs on both homing and repair of ALF was evaluated and compared with lenti-GFP empty vector transfected BMSCs (control BMSCs). After cells were transfected with the lenti-c-Met-GFP vector, the BMSCs displayed very high expression of c-Met protein as demonstrated by Western blot. In addition, in vitro transwell migration assays showed that the migration ability of c-Met-BMSCs was significantly increased in comparison with that of control BMSCs (P liver; this was accompanied by elevated survival rates and liver function in the ALF rats. Parallel pathological examination further confirmed that transplantation of c-Met-BMSCs ameliorated liver injury with reduced hepatic activity index (HAI) scores, and that the effects of c-Met-BMSCs were more profound than those of control BMSCs. Overexpression of c-Met promotes the homing of BMSCs to injured hepatic sites in a rat model of ALF, thereby improving the efficacy of BMSC therapy for ALF repair.

  12. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities.

    Science.gov (United States)

    Beer, Christopher; Horner, Barbara; Almeida, Osvaldo P; Scherer, Samuel; Lautenschlager, Nicola T; Bretland, Nick; Flett, Penelope; Schaper, Frank; Flicker, Leon

    2009-08-12

    Residential care is important for older adults, particularly for those with advanced dementia and their families. Education interventions that achieve sustainable improvement in the care of older adults are critical to quality care. There are few systematic data available regarding the educational needs of Residential Care Facility (RCF) staff and General Practitioners (GPs) relating to dementia, or the sustainability of educational interventions. We sought to determine participation in dementia education, perceived levels of current knowledge regarding dementia, perceived unmet educational needs, current barriers, facilitators and preferences for dementia education. A mixed methods study design was utilised. A survey was distributed to a convenience sample of general practitioners, and staff in 223 consecutive residential care facilities in Perth, Western Australia. Responses were received from 102 RCF staff working in 10 facilities (out of 33 facilities who agreed to distribute the survey) and 202 GPs (19% of metropolitan GPs). Quantitative survey data were summarised descriptively and chi squared statistics were used to analyse the distribution of categorical variables. Qualitative data were collected from general practitioners, staff in residential care facilities and family carers of people with dementia utilizing individual interviews, surveys and focus groups. Qualitative data were analysed thematically. Among RCF staff and GPs attending RCF, participation in dementia education was high, and knowledge levels generally perceived as good. The individual experiences and needs of people with dementia and their families were emphasised. Participants identified the need for a person centred philosophy to underpin educational interventions. Limited time was a frequently mentioned barrier, especially in relation to attending dementia care education. Perceived educational needs relating to behaviours of concern, communication, knowledge regarding dementia, aspects of

  13. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities

    Directory of Open Access Journals (Sweden)

    Scherer Samuel

    2009-08-01

    Full Text Available Abstract Background Residential care is important for older adults, particularly for those with advanced dementia and their families. Education interventions that achieve sustainable improvement in the care of older adults are critical to quality care. There are few systematic data available regarding the educational needs of Residential Care Facility (RCF staff and General Practitioners (GPs relating to dementia, or the sustainability of educational interventions. We sought to determine participation in dementia education, perceived levels of current knowledge regarding dementia, perceived unmet educational needs, current barriers, facilitators and preferences for dementia education. Methods A mixed methods study design was utilised. A survey was distributed to a convenience sample of general practitioners, and staff in 223 consecutive residential care facilities in Perth, Western Australia. Responses were received from 102 RCF staff working in 10 facilities (out of 33 facilities who agreed to distribute the survey and 202 GPs (19% of metropolitan GPs. Quantitative survey data were summarised descriptively and chi squared statistics were used to analyse the distribution of categorical variables. Qualitative data were collected from general practitioners, staff in residential care facilities and family carers of people with dementia utilizing individual interviews, surveys and focus groups. Qualitative data were analysed thematically. Results Among RCF staff and GPs attending RCF, participation in dementia education was high, and knowledge levels generally perceived as good. The individual experiences and needs of people with dementia and their families were emphasised. Participants identified the need for a person centred philosophy to underpin educational interventions. Limited time was a frequently mentioned barrier, especially in relation to attending dementia care education. Perceived educational needs relating to behaviours of concern

  14. Childhood leukemia around nuclear facilities

    International Nuclear Information System (INIS)

    Hatch, M.

    1992-01-01

    Epidemiologic studies on health effects of living near nuclear facilities have been rare and, indeed, radiobiological models would not predict any detectable increase in cancer risk to the general public from very low levels of radioactivity emitted by nuclear installations. Thus recent evidence suggesting an excess of childhood leukemias in the vicinity of certain nuclear sites in the United Kingdom has generated considerable controversy. To help resolve the uncertainty and enhance interpretability of results, future epidemiologic studies will need to be designed with great care (and within realistic cost limits). This commentary suggests three areas for methodologic consideration: 1. definition and modelling of radiation exposure; 2. selection of cancer sites and sensitive subgroups, and 3. use of incidence of mortality data. Specific suggestions for further epidemiologic research are offered as well. (author). 8 refs

  15. Setting up a safe deep repository for long-lived HLW and ILW in Russia: Current state of the works

    International Nuclear Information System (INIS)

    Polyakov, Yu.D.; Porsov, A.Yu.; Beigul, V.P.; Palenov, M.V.

    2014-01-01

    The concept of RW disposal in Russia in accordance with the Federal Law 'On Radioactive Waste Management and Amendments to Specific Legal Acts of the Russian Federation' No. 190-FL dated 11 July 2011, is oriented at the ultimate disposal of waste, without an intent for their subsequent retrieval. The law 190-FL has it as follows: - A radioactive waste repository is a radioactive waste storage facility intended for disposal of the radioactive wastes without an intent for their subsequent retrieval. - Disposal of solid long-lived high-level waste and solid long-lived intermediate-level waste is carried out in deep repositories for radioactive waste. - Import into the Russian Federation of radioactive waste for the purpose of its storage, processing and disposal, except for spent sealed sources of ionising radiation originating from the Russian Federation, is prohibited. For safe final disposal of long-lived HLW and ILW, it is planned to construct a deep repository for radioactive waste (DRRW) in a low-pervious monolith rock massif in the Krasnoyarsk region in the production territory of the Mining and Chemical Combine (FSUE 'Gorno-khimicheskiy kombinat'). According to the IAEA recommendations and in line with the international experience in feasibility studies for setting up of HLW and SNF underground disposal facilities, the first mandatory step is the construction of an underground research laboratory. An underground laboratory serves the following purposes: - itemised research into the characteristics of enclosing rock mass, with verification of massive material suitability for safe disposal of long-lived HLW and ILW; - research into and verification of the isolating properties of an engineering barrier system; - development of engineering solutions and transportation and process flow schemes for construction and running of a future RW ultimate isolation facility. (authors)

  16. Use of in-patient hospital beds by people living in residential care.

    Science.gov (United States)

    Finucane, P; Wundke, R; Whitehead, C; Williamson, L; Baggoley, C

    2000-01-01

    There is concern that people living in residential care in Australia make significant and often inappropriate use of acute in-patient hospital services. To date, no factual information has been collected in Australia and its absence may allow myths and negative stereotypes to proliferate. To determine how and why people living in residential care in Australia use in-patient hospital beds. To determine the outcome of hospitalisation and functional status at 3 months following discharge. Prospective study of 184 consecutive admissions to hospital following Emergency Department (ED) attendance involving people aged over 65 years and living in residential care in southern Adelaide, South Australia. Information was obtained from the facilities' transfer letters, and where these were inadequate or absent, telephone interviews were held with residential care staff. 153 people accounted for the 184 admissions. They had a mean age of 84 years and 69% were female. 61% came from hostels and 35% from nursing homes. They had a wide range of clinical problems and twice as many were admitted to medical than to surgical units. Their mean length of hospital stay was 7.9 days, 2.3 days higher than for non-same-day patients and was higher for hostel than for nursing home residents. All but two admissions were considered unavoidable though the provision of specialised care within residential care could have prevented a further 19 (10%) admissions. 96% of admissions resulted in survival to leave hospital and in 74%, people returned directly to their place of origin. At 3 months follow-up, a further 20% of the group had died while 5% were in hospital. In all, 14% of the original group were in a different long-term care facility while 56% were living at their former residence. People living in residential care are often hospitalised because of acute illness. In the vast majority of cases hospitalisation is both appropriate and unavoidable. Most did not require prolonged hospitalisation

  17. Screening for Wilson disease in acute liver failure: a comparison of currently available diagnostic tests

    DEFF Research Database (Denmark)

    Korman, J.D.; Volenberg, I.; Balko, J.

    2008-01-01

    a diagnostic sensitivity of 21% and specificity of 84% while, by nephelometry, a sensitivity of 56% and specificity of 63%. Serum copper levels exceeded 200 microg/dL in all ALF-WD patients measured (13/16), but were also elevated in non-WD ALF. An alkaline phosphatase (AP) to total bilirubin (TB) ratio ... and specificity of 100%. CONCLUSION: Conventional WD testing utilizing serum ceruloplasmin and/or serum copper levels are less sensitive and specific in identifying patients with ALF-WD than other available tests. More readily available laboratory tests including alkaline phosphatase, bilirubin and serum...

  18. Sampling and measurement of long-lived radionuclides in environmental samples

    International Nuclear Information System (INIS)

    Brauer, F.P.; Goles, R.W.; Kaye, J.H.; Rieck, H.G. Jr.

    1977-01-01

    The volatile and semivolatile long-lived man-made radionuclides 3 H, 14 C, 79 Se, 85 Kr, 99 Tc, 129 I, 135 Cs, and 137 Cs are of concern in operation of nuclear facilities because they are difficult and expensive to contain and once emitted to the environment they become permanent ecological constituents with both local and global distributions. Species-selective sampling and analytical methods (radiochemical, neutron activation, and mass spectrometric) have been developed for many of these nuclides with sensitivities well below those required for radiation protection. These sampling and analytical methods have been applied to the measurement of current environmental levels of some of the more ecologically important radionuclides. The detection and tracing of long-lived radionuclides is being conducted in order to establish base-line values and to study environmental behavior. This paper describes detection and measurement techniques and summarizes current measurement results

  19. NIMBY, CLAMP, and the location of new nuclear-related facilities: U.S. national and 11 site-specific surveys.

    Science.gov (United States)

    Greenberg, Michael R

    2009-09-01

    Public and political opposition have made finding locations for new nuclear power plants, waste management, and nuclear research and development facilities a challenge for the U.S. government and the nuclear industry. U.S. government-owned properties that already have nuclear-related activities and commercial nuclear power generating stations are logical locations. Several studies and utility applications to the Nuclear Regulatory Commission suggest that concentrating locations at major plants (CLAMP) has become an implicit siting policy. We surveyed 2,101 people who lived within 50 miles of 11 existing major nuclear sites and 600 who lived elsewhere in the United States. Thirty-four percent favored CLAMP for new nuclear power plants, 52% for waste management facilities, and 50% for new nuclear laboratories. College educated, relatively affluent male whites were the strongest CLAMP supporters. They disproportionately trusted those responsible for the facilities and were not worried about existing nuclear facilities or other local environmental issues. Notably, they were concerned about continuing coal use. Not surprisingly, CLAMP proponents tended to be familiar with their existing local nuclear site. In short, likely CLAMP sites have a large and politically powerful core group to support a CLAMP policy. The challenge to proponents of nuclear technologies will be to sustain this support and expand the base among those who clearly are less connected and receptive to new nearby sites.

  20. Who benefits from removing user fees for facility-based delivery services? Evidence on socioeconomic differences from Ghana, Senegal and Sierra Leone.

    Science.gov (United States)

    McKinnon, Britt; Harper, Sam; Kaufman, Jay S

    2015-06-01

    Coverage of skilled delivery care has been increasing across most low-income countries; however, it remains far from universal and is very unequally distributed according to socioeconomic position. In an effort to increase coverage of skilled delivery care and reduce socioeconomic inequalities, governments of several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies and few studies have examined effects on socioeconomic inequalities. This study investigates the impact of recent delivery fee exemption policies in Ghana, Senegal, and Sierra Leone on socioeconomic differences in the use of facility-based delivery services. Using Demographic and Health Survey data from nine sub-Saharan African countries, we evaluated the user fee policy changes using a difference-in-differences approach that accounts for underlying common secular trends and time invariant differences among countries, and allows for differential effects of the policy by socioeconomic position. Removing user fees was consistent with meaningful increases in facility deliveries across all categories of household wealth and maternal education. We found little evidence of differential effects of removing user fees across quartiles of household wealth, with increases of 5.4 facility deliveries per hundred live births (95% CI: 2.1, 8.8) among women in the poorest quartile and 6.8 per hundred live births (95% CI: 4.0, 9.7) for women in the richest quartile. However, our results suggest that educated women benefited more from removing user fees compared to women with no education. For women with at least some secondary education, the estimated effect was 8.6 facility deliveries per hundred live births (95% CI: 5.4, 11.9), but only 4.6 per hundred live births (95% CI: 2.2, 7.0) for women with no education (heterogeneity p-value = 0.04). Thus, while removing fees at the point

  1. X-ray microbeam stand-alone facility for cultured cells irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Bożek, Sebastian, E-mail: sebastian.bozek@yahoo.com [Jagiellonian University Medical College, Department of Pharmaceutical Biophysics, Krakow (Poland); Bielecki, Jakub; Wiecheć, Anna; Lekki, Janusz; Stachura, Zbigniew; Pogoda, Katarzyna; Lipiec, Ewelina; Tkocz, Konrad; Kwiatek, Wojciech M. [Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 Krakow (Poland)

    2017-03-01

    Highlights: • An X-ray microbeam line for irradiation of living cultured cells was constructed. • A step by step explanation of working principles with engineering details, procedures and calculations is presented. • A model of beam and cell interaction is presented. • A method of uniform irradiation of living cells with an exact dose per a cell is presented. • Results of preliminary experiments are presented. - Abstract: The article describes an X-ray microbeam standalone facility dedicated for irradiation of living cultured cells. The article can serve as an advice for such facilities construction, as it begins from engineering details, through mathematical modeling and experimental procedures, ending up with preliminary experimental results and conclusions. The presented system consists of an open type X-ray tube with microfocusing down to about 2 μm, an X-ray focusing system with optical elements arranged in the nested Kirckpatrick-Baez (or Montel) geometry, a sample stand and an optical microscope with a scientific digital CCD camera. For the beam visualisation an X-ray sensitive CCD camera and a spectral detector are used, as well as a scintillator screen combined with the microscope. A method of precise one by one irradiation of previously chosen cells is presented, as well as a fast method of uniform irradiation of a chosen sample area. Mathematical models of beam and cell with calculations of kerma and dose are presented. The experiments on dose-effect relationship, kinetics of DNA double strand breaks repair, as well as micronuclei observation were performed on PC-3 (Prostate Cancer) cultured cells. The cells were seeded and irradiated on Mylar foil, which covered a hole drilled in the Petri dish. DNA lesions were visualised with γ-H2AX marker combined with Alexa Fluor 488 fluorescent dye.

  2. The LLNL AMS facility

    International Nuclear Information System (INIS)

    Roberts, M.L.; Bench, G.S.; Brown, T.A.

    1996-05-01

    The AMS facility at Lawrence Livermore National Laboratory (LLNL) routinely measures the isotopes 3 H, 7 Be, 10 Be, 14 C, 26 Al, 36 Cl, 41 Ca, 59,63 Ni, and 129 I. During the past two years, over 30,000 research samples have been measured. Of these samples, approximately 30% were for 14 C bioscience tracer studies, 45% were 14 C samples for archaeology and the geosciences, and the other isotopes constitute the remaining 25%. During the past two years at LLNL, a significant amount of work has gone into the development of the Projectile X-ray AMS (PXAMS) technique. PXAMS uses induced characteristic x-rays to discriminate against competing atomic isobars. PXAMS has been most fully developed for 63 Ni but shows promise for the measurement of several other long lived isotopes. During the past year LLNL has also conducted an 129 I interlaboratory comparison exercise. Recent hardware changes at the LLNL AMS facility include the installation and testing of a new thermal emission ion source, a new multianode gas ionization detector for general AMS use, re-alignment of the vacuum tank of the first of the two magnets that make up the high energy spectrometer, and a new cryo-vacuum system for the AMS ion source. In addition, they have begun design studies and carried out tests for a new high-resolution injector and a new beamline for heavy element AMS

  3. Dance Facilities.

    Science.gov (United States)

    Ashton, Dudley, Ed.; Irey, Charlotte, Ed.

    This booklet represents an effort to assist teachers and administrators in the professional planning of dance facilities and equipment. Three chapters present the history of dance facilities, provide recommended dance facilities and equipment, and offer some adaptations of dance facilities and equipment, for elementary, secondary and college level…

  4. Two years of operating experience with the Seattle clinical neutron therapy facility

    International Nuclear Information System (INIS)

    Risler, R.; Brossard, S.; Eenmaa, J.; Kalet, I.; Wootton, P.

    1987-01-01

    After five years of planning, equipment acquisition, facility construction and beam testing the Seattle Clinical Neutron Therapy facility became operational in October 1984. In the past two years nearly 300 people have been treated in clinical trials. During this time 82 % of the planned treatment sessions were performed on schedule, 3 % had to be rescheduled for patient related reasons and 15 % because of equipment problems. The facility is at present running on a 5 days/week schedule: Three ten-hour treatment days, one maintenance day and one research day (radiobiology, therapy related physics). Short runs for short lived isotopes are done between patient treatments. The isocentric gantry, capable of 360 rotation is equipped with a variable collimator with 40 independent leaves. This collimation system allows the use of complex field shapes without the necessity of handling radioactive components like collimator inserts or blocks. It has turned out to be a very essential part for the efficient operation of the facility. Major causes for equipment downtime were associated with the control system, the beryllium target system, RF and magnet systems and the treatment gantry. (author)

  5. Systematic analysis method for radioactive wastes generated from nuclear research facilities

    International Nuclear Information System (INIS)

    Kameo, Yutaka; Ishimori, Ken-ichiro; Haraga, Tomoko; Shimada, Asako; Katayama, Atsushi; Nakashima, Mikio; Takahashi, Kuniaki

    2011-01-01

    Analytical methods have been developed for the simple and rapid determination of radioactive nuclides, which are selected as important nuclides for the safety assessment of the disposal of wastes generated from research facilities. We advanced the development of a high-efficiency nondestructive measurement technique for γ-ray-emitting nuclides, simple and rapid methods for the pretreatment of hard-to-dissolve samples and subsequent radiochemical separation, and rapid determination methods for long-lived nuclides. In order to establish a system to analyze the important nuclides in various kinds of sample, actual radioactive wastes such as concentrated liquid waste, activated concrete, and metal pipes were analyzed by the present method. The results showed that the present method was well suited for a rapid and simple determination of low-level radioactive wastes generated from research facilities. (author)

  6. Facilities inventory protection for nuclear facilities

    International Nuclear Information System (INIS)

    Schmitt, F.J.

    1989-01-01

    The fact that shut-down applications have been filed for nuclear power plants, suggests to have a scrutinizing look at the scopes of assessment and decision available to administrations and courts for the protection of facilities inventories relative to legal and constitutional requirements. The paper outlines the legal bases which need to be observed if purposeful calculation is to be ensured. Based on the different actual conditions and legal consequences, the author distinguishes between 1) the legal situation of facilities licenced already and 2) the legal situation of facilities under planning during the licencing stage. As indicated by the contents and restrictions of the pertinent provisions of the Atomic Energy Act and by the corresponding compensatory regulation, the object of the protection of facilities inventor in the legal position of the facility owner within the purview of the Atomic Energy Act, and the licensing proper. Art. 17 of the Atomic Energy Act indicates the legislators intent that, once issued, the licence will be the pivotal point for regulations aiming at protection and intervention. (orig./HSCH) [de

  7. Challenges experienced by parents living with a child with attention deficit hyperactivity disorder.

    Science.gov (United States)

    Mofokeng, Meisie; van der Wath, Anna E

    2017-09-01

    The aim of this South African study was to explore parents' experiences of living with a child with attention deficit hyperactivity disorder (ADHD). A qualitative research design was followed. Purposive sampling was used to select ten parents living with children diagnosed with ADHD receiving outpatient treatment at a psychiatric facility. Data, collected through unstructured individual interviews, were analysed using open coding. Measures to ensure trustworthiness and ethical research practices were applied. Five themes emerged: burden of care; emotional effects; social effects; impact of the educational challenges, and attempts to cope with the burden of care. Parents living with a child with ADHD experience stress as they struggle to cope with the child's symptoms amidst the stigmatising attitudes from family and community members. Parents experience burdensome emotions and impaired social and occupational functioning. Health care practitioners need to take note of the challenges inherent to parenting a child with ADHD in order to provide multi-disciplinary interventions aimed at empowering and supporting parents.

  8. Adolescent Mothers in a Transitional Living Facility: An Exploratory Study of Support Networks and Attachment Patterns

    Science.gov (United States)

    Schwartz, Ann E.; McRoy, Ruth G.; Downs, A. Chris

    2004-01-01

    Most of the research literature on attachment and adolescent transitions has addressed youth in family settings. This article explores these issues with a sample of 25 pregnant and parenting teens living in a transitional shelter. Using case records and interview data as well as results of standardized measures of depression, self-esteem, child…

  9. Modificación de arcillas colombianas con pilares mixtos de Al-Fe y su evaluación en la oxidación catalítica de fenol en solución acuosa diluida

    Directory of Open Access Journals (Sweden)

    Luis Galeano

    2010-11-01

    Full Text Available La legislación ambiental es particularmente restrictiva respecto a la disposición de contaminantes biorrefractarios presentes en aguas residuales. Las arcillas pilarizadas tienen gran versatilidad para ajustarse a reacciones de interés ambiental, entre otras. En el presente estudio se logran modificar arcillas de origen colombiano con soluciones de pilares mixtos Al-Fe, las cuales muestran un excelente desempeño en la oxidación catalítica de soluciones acuosas con contenidos medios de carbono orgánico total COT (36 mg C/L. Con los materiales sintetizados se alcanza una conversión total de fenol, molécula contaminante modelo, en 2 horas de reacción a 20°C y presión atmosférica; en 4 horas de reacción, se alcanza la remoción de hasta el 62% de COT de la solución obteniéndose, principalmente, ácidos carboxílicos ligeros como subproductos, además de CO. Los materiales son estables al medio fuertemente oxidante de la reacción, y el Fe lixiviado en la solución se encuentra en un valor cercano a 0,2 mg/L para el material de mejor desempeño catalítico.

  10. Biosecurity and bird movement practices in upland game bird facilities in the United States.

    Science.gov (United States)

    Slota, Katharine E; Hill, Ashley E; Keefe, Thomas J; Bowen, Richard A; Pabilonia, Kristy L

    2011-06-01

    Since 1996, the emergence of Asian-origin highly pathogenic avian influenza subtype H5N1 has spurred great concern for the global poultry industry. In the United States, there is concern over the potential of a foreign avian disease incursion into the country. Noncommercial poultry operations, such as upland game bird facilities in the United States, may serve as a potential source of avian disease introduction to other bird populations including the commercial poultry industry, backyard flocks, or wildlife. In order to evaluate how to prevent disease transmission from these facilities to other populations, we examined biosecurity practices and bird movement within the upland game bird industry in the United States. Persons that held a current permit to keep, breed, or release upland game birds were surveyed for information on biosecurity practices, flock and release environments, and bird movement parameters. Biosecurity practices vary greatly among permit holders. Many facilities allow for interaction between wild birds and pen-reared birds, and there is regular long-distance movement of live adult birds among facilities. Results suggest that upland game bird facilities should be targeted for biosecurity education and disease surveillance efforts.

  11. Questionnaire survey report about the criticality accident at a nuclear fuel processing facility

    International Nuclear Information System (INIS)

    2000-01-01

    The Radiation Protection Section of the Japanese Society of Radiological Technology conducted a questionnaire survey on the criticality accident at the nuclear fuel processing facility in Tokai village on September 30, 1999 in order to identify factors related to the accident and consider countermeasures to deal with such accidents. The questionnaire was distributed to 347 members (122 facilities) of the Japanese Society of Radiological Technology who were working or living in Ibaraki Prefecture, and replies were obtained from 104 members (75 facilities). Questions to elicit the opinions of individuals were as following: method of obtaining information about the accident, knowledge about radiation, opinions about the accident, and requests directed to the Society. Questions regarding facilities concerned the following: communication after the accident, requests for dispatch to the accident site, and possession of radiometry devices. In regard to acquisition of information, 91 of the 104 members (87.5%) answered 'television or radios' followed by newspapers. Forty-five of 101 members were questioned about radiation exposure and radiation effects by the public. There were many opinions that accurate news should be provided rapidly, by the mass media. Many members (75%) felt that they lacked knowledge about radiation, reconfirming the importance of education and instruction concerning radiation. Dispatch was requested of 36 of the 75 facilities (48%), and 44 of 83 facilities (53%) owned radiometry instruments. (K.H.)

  12. Financial compensation for municipalities hosting interim or final disposal facilities for radioactive waste

    International Nuclear Information System (INIS)

    Barboza, Alex; Vicente, Roberto

    2005-01-01

    Brazilian Law No. 10308 issued November 20, 2001, establishes in its 34th article that 'those municipalities hosting interim or final disposal facilities for radioactive waste are eligible to receive a monthly payment as compensation'. The values of due payments depend on parameters such as volume of wastes and activity and half-lives of the radionuclides. The method to calculating those values was established by the National Commission on Nuclear Energy, the Brazilian regulatory authority, by Resolution No. 10, issued in the August 18, 2003. In this paper we report the application of that method to a low- and intermediate-level radioactive waste interim storage facility at the Nuclear Energy Research Institute. (author)

  13. Defense Waste Processing Facility staged operations: environmental information document

    International Nuclear Information System (INIS)

    1981-11-01

    Environmental information is presented relating to a staged version of the proposed Defense Waste Processing Facility (DWPF) at the Savannah River Plant. The information is intended to provide the basis for an Environmental Impact Statement. In either the integral or the staged design, the DWPF will convert the high-level waste currently stored in tanks into: a leach-resistant form containing about 99.9% of all the radioactivity, and a residual, slightly contaminated salt, which is disposed of as saltcrete. In the first stage of the staged version, the insoluble sludge portion of the waste and the long lived radionuclides contained therein will be vitrified. The waste glass will be sealed in canisters and stored onsite until shipped to a Federal repository. In the second stage, the supernate portion of the waste will be decontaminated by ion exchange. The recovered radionuclides will be transferred to the Stage 1 facility, and mixed with the sludge feed before vitrification. The residual, slightly contaminated salt solution will be mixed with Portland cement to form a concrete product (saltcrete) which will be buried onsite in an engineered landfill. This document describes the conceptual facilities and processes for producing glass waste and decontaminated salt. The environmental effects of facility construction, normal operations, and accidents are then presented. Descriptions of site and environs, alternative sites and waste disposal options, and environmental consultations and permits are given in the base Environmental Information Document

  14. Integrated Disposal Facility FY2011 Glass Testing Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    Pierce, Eric M.; Bacon, Diana H.; Kerisit, Sebastien N.; Windisch, Charles F.; Cantrell, Kirk J.; Valenta, Michelle M.; Burton, Sarah D.; Westsik, Joseph H.

    2011-09-29

    Pacific Northwest National Laboratory was contracted by Washington River Protection Solutions, LLC to provide the technical basis for estimating radionuclide release from the engineered portion of the disposal facility (e.g., source term). Vitrifying the low-activity waste at Hanford is expected to generate over 1.6 x 10{sup 5} m{sup 3} of glass (Certa and Wells 2010). The volume of immobilized low-activity waste (ILAW) at Hanford is the largest in the DOE complex and is one of the largest inventories (approximately 8.9 x 10{sup 14} Bq total activity) of long-lived radionuclides, principally {sup 99}Tc (t{sub 1/2} = 2.1 x 10{sup 5}), planned for disposal in a low-level waste (LLW) facility. Before the ILAW can be disposed, DOE must conduct a performance assessment (PA) for the Integrated Disposal Facility (IDF) that describes the long-term impacts of the disposal facility on public health and environmental resources. As part of the ILAW glass testing program PNNL is implementing a strategy, consisting of experimentation and modeling, in order to provide the technical basis for estimating radionuclide release from the glass waste form in support of future IDF PAs. The purpose of this report is to summarize the progress made in fiscal year (FY) 2011 toward implementing the strategy with the goal of developing an understanding of the long-term corrosion behavior of low-activity waste glasses.

  15. Radiation monitoring system in medical facilities

    International Nuclear Information System (INIS)

    Matsuno, Kiyoshi

    1981-01-01

    (1) RI selective liquid effluent monitor is, in many cases, used at medical facilities to obtain data for density of radioactivity of six radionuclides. In comparison with the conventional gross measuring systems, over-evaluation is less, and the monitor is more practical. (2) Preventive monitor for loss of radium needle is a system which prevents missing of radium needle at a flush-toilet in radium treatment wards, and this monitor is capable of sensing a drop-off of radium needle of 0.5 mCi (minimum). (3) Short-lived positron gas measuring device belongs to a BABY CYCLOTRON installed in a hospital, and this device is used to measure density of radioactivity, radioactive impurity and chemical impurity of produced radioactive gas. (author)

  16. Living Technology

    DEFF Research Database (Denmark)

    2010-01-01

    This book is aimed at anyone who is interested in learning more about living technology, whether coming from business, the government, policy centers, academia, or anywhere else. Its purpose is to help people to learn what living technology is, what it might develop into, and how it might impact...... our lives. The phrase 'living technology' was coined to refer to technology that is alive as well as technology that is useful because it shares the fundamental properties of living systems. In particular, the invention of this phrase was called for to describe the trend of our technology becoming...... increasingly life-like or literally alive. Still, the phrase has different interpretations depending on how one views what life is. This book presents nineteen perspectives on living technology. Taken together, the interviews convey the collective wisdom on living technology's power and promise, as well as its...

  17. Epidemiological studies of leukaemia in children and young adults around nuclear facilities: a critical review

    International Nuclear Information System (INIS)

    2008-01-01

    An epidemiological study published in late 2007 described an increased risk of leukaemia in children under 5 living within 5 kilometres of German nuclear power plants. A great deal of research has been carried out on this subject since the early 1980's. The aim of this report was to provide a synthesis and critical analysis of results related to the risk of leukaemia in children and young adults aged under 25 living close to nuclear facilities. The report is structured in three sections: - a reminder of the main characteristics of childhood leukaemia and a description of the methods used to conduct epidemiological studies; - the most exhaustive review possible of epidemiological studies published in the international literature describing the frequency of leukaemia close to nuclear facilities in different countries around the world. A critical analysis is made of the published results. Some results from studies not focused on nuclear facilities are also presented. The methodological limitations associated with descriptive studies are explained and discussed; - the last section discusses the possible causes of childhood leukaemia and the main hypotheses explored to explain certain clusters of cases observed locally close to some nuclear sites. Appendices at the end of the document provide additional explanations of the concepts and methods used in epidemiology and statistics, and of the classification of malignant hemopathies. (authors)

  18. Circulating mannan-binding lectin, M-, L-, H-ficolin and collectin-liver-1 levels in patients with acute liver failure

    DEFF Research Database (Denmark)

    Laursen, Tea Lund; Sandahl, Thomas D; Støy, Sidsel

    2015-01-01

    BACKGROUND & AIMS: The complement system is activated in liver diseases including acute liver failure (ALF); however, the role of the lectin pathway of complement has scarcely been investigated in ALF. The pathway is initiated by soluble pattern recognition molecules: mannan-binding lectin (MBL),...

  19. Hepatic Encephalopathy

    Medline Plus

    Full Text Available ... Experts People ALF Near You Events ALF Blogs Financial Information Policies Advocacy Patient Advisory Council Media Center Careers How You Can Help OVERVIEW Donate Now Join an Event Volunteer Your Time The Legacy Society Make Gifts of Stock Donate ...

  20. The Physics Perspectives at the Future Accelerator Facility FAIR

    CERN Document Server

    Stroth, J

    2004-01-01

    The physics perspective of the approved future international accelerator Facility for Anti-proton and Ion Research (FAIR) near Darmstadt, Germany will be outlined. The physics programme will comprise many body aspects of matter ranging from macroscopic system like highly correlated plasmas down to the properties of baryons and nuclear matter at high baryon densities. Through fragmentation of intense ion beams investigations with beams of short-lived radioactive nuclei far from stability will be possible. The addressed physics questions concern nuclear structure at the drip-lines, areas of astrophysics and nucleo-synthesis in supernovae and other stellar processes, as well as tests of fundamental symmetry. The structure of baryons and their limits of their existence is the interest of the two large experimental set-ups PANDA and CBM. Finally QED will be studied in extremely strong field effects and also the interaction of ions with matter. The future facility will feature a double-ring synchrotron SIS100/300 a...

  1. Versatile data acquisition system and the ISOL facility TRISTAN

    International Nuclear Information System (INIS)

    Gill, R.L.; Stelts, M.L.; Chrien, R.E.; Manzella, V.; Liou, H.I.; Shostak, S.

    1980-01-01

    The on-line mass separator, TRISTAN, is located at Brookhaven's High Flux Beam Reactor. A Nielsen-type ion source, which can contain up to 8g. of 235 U in an external beam with a flux of approx. 2 x 10 9 n/cm 2 /sec is used to generate short-lived fission products. A Users Group has been formed to coordinate research between University groups and BNL. Developments planned for TRISTAN include FEBIAD, surface ionization and negative-surface ionization-type ion sources, and a He-jet system as well as construction of new experimental facilities. An off-line separator, ISTU, is available for the development program. A versatile, modular data acquisition system to service experiments on TRISTAN and other nuclear research facilities at the HFBR using Camac interfacing is described. Standard, commercially-available electronic instruments and computer programs, such as FORTRAN and system routines, are used throughout. Simple interfaces have been built to adapt non-Camac equipment to Camac input registers

  2. Comparison of a traditional and non-traditional residential care facility for persons living with dementia and the impact of the environment on occupational engagement.

    Science.gov (United States)

    Richards, Kieva; D'Cruz, Rachel; Harman, Suzanne; Stagnitti, Karen

    2015-12-01

    Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Australia, and their influence on residents' occupational engagement. The Residential Environment Impact Survey (REIS) was used and consists of: a walk-through of the facility; activity observation; interviews with residents and employees. Thirteen residents were observed and four employees interviewed. Resident interviews did not occur given the population diagnosis of moderate to severe dementia. Descriptive data from the walk-through and activity observation were analysed for potential opportunities of occupational engagement. Interviews were thematically analysed to discern perception of occupational engagement of residents within their facility. Both facilities provided opportunities for occupational engagement. However, the non-traditional facility provided additional opportunities through employee interactions and features of the physical environment. Interviews revealed six themes: Comfortable environment; roles and responsibilities; getting to know the resident; more stimulation can elicit increased engagement; the home-like experience and environmental layout. These themes coupled with the features of the environment provided insight into the complexity of occupational engagement within this population. This study emphasises the influence of the physical and social environment on occupational engagement opportunities. A non-traditional dementia facility maximises these opportunities and can support development of best-practice guidelines within this population. © 2015 Occupational Therapy Australia.

  3. Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis

    NARCIS (Netherlands)

    Killaspy, Helen; Cardoso, Graca; White, Sarah; Wright, Christine; Caldas de Almeida, Jose Miguel; Turton, Penny; Taylor, Tatiana L.; Schuetzwohl, Matthias; Schuster, Mirjam; Cervilla, Jorge A.; Brangier, Paulette; Raboch, Jiri; Kalisova, Lucie; Onchev, Georgi; Alexiev, Spiridon; Mezzina, Roberto; Ridente, Pina; Wiersma, Durk; Visser, Ellen; Kiejna, Andrzej; Adamowski, Tomasz; Ploumpidis, Dimitris; Gonidakis, Fragiskos; King, Michael

    2016-01-01

    Background: The Quality Indicator for Rehabilitative Care (QuIRC) is an international, standardised quality tool for the evaluation of mental health facilities that provide longer term care. Completed by the service manager, it comprises 145 items that assess seven domains of care: living

  4. Determining perception-based impacts of noxious facilities on wage rates and property values

    Energy Technology Data Exchange (ETDEWEB)

    Nieves, L.A.; Clark, D.E.

    1992-02-01

    This document, written for the US Department of Energy, discusses current information and the need for future research on estimating the impacts on wages and property values that could result from people's perceptions of the risks associated with noxious facilities. Psychometric studies indicate that the US population is averse to living near noxious facilities, nuclear-related facilities in particular. Contingent valuation and hedonic studies find that the net economic impacts of proximity to noxious facilities are generally negative and often substantial. Most of these studies are limited in scope, and none estimate the impacts derived from public perceptions of such facilities. This study examines the mechanisms by which negative public perceptions result in economic impacts reflected in wages and property values. On the basis of these mechanisms, it develops a predictive model of perception-based impacts and identifies the data and methods needed to implement it. The key to predicting perception-based impacts lies in combining psychometric and hedonic methods. The reliability of psychometric measures as indicators of aversive stimuli that precipitate economic impacts can be empirically tested. To test the robustness of the findings, alternative estimation methods an be employed in the hedonic analysis. Contingent valuation methods can confirm the results.

  5. Determining perception-based impacts of noxious facilities on wage rates and property values

    Energy Technology Data Exchange (ETDEWEB)

    Nieves, L.A.; Clark, D.E.

    1992-02-01

    This document, written for the US Department of Energy, discusses current information and the need for future research on estimating the impacts on wages and property values that could result from people`s perceptions of the risks associated with noxious facilities. Psychometric studies indicate that the US population is averse to living near noxious facilities, nuclear-related facilities in particular. Contingent valuation and hedonic studies find that the net economic impacts of proximity to noxious facilities are generally negative and often substantial. Most of these studies are limited in scope, and none estimate the impacts derived from public perceptions of such facilities. This study examines the mechanisms by which negative public perceptions result in economic impacts reflected in wages and property values. On the basis of these mechanisms, it develops a predictive model of perception-based impacts and identifies the data and methods needed to implement it. The key to predicting perception-based impacts lies in combining psychometric and hedonic methods. The reliability of psychometric measures as indicators of aversive stimuli that precipitate economic impacts can be empirically tested. To test the robustness of the findings, alternative estimation methods an be employed in the hedonic analysis. Contingent valuation methods can confirm the results.

  6. Investigating Public Facility Characteristics from a Spatial Interaction Perspective: A Case Study of Beijing Hospitals Using Taxi Data

    Directory of Open Access Journals (Sweden)

    Xiaoqing Kong

    2017-02-01

    Full Text Available Services provided by public facilities are essential to people’s lives and are closely associated with human mobility. Traditionally, public facility access characteristics, such as accessibility, equity issues and service areas, are investigated mainly based on static data (census data, travel surveys and particular records, such as medical records. Currently, the advent of big data offers an unprecedented opportunity to obtain large-scale human mobility data, which can be used to study the characteristics of public facilities from the spatial interaction perspective. Intuitively, spatial interaction characteristics and service areas of different types and sizes of public facilities are different, but how different remains an open question, so we, in turn, examine this question. Based on spatial interaction, we classify public facilities and explore the differences in facilities. In the research, based on spatial interaction extracted from taxi data, we introduce an unsupervised classification method to classify 78 hospitals in 6 districts of Beijing, and the results better reflect the type of hospital. The findings are of great significance for optimizing the spatial configuration of medical facilities or other types of public facilities, allocating public resources reasonably and relieving traffic pressure.

  7. A national medical cyclotron facility: report to the Minister of Health by the Medical Cyclotron Committee

    International Nuclear Information System (INIS)

    1985-01-01

    Research and training in nuclear medicine in Australia are both limited by the lack of a medical cyclotron facility. The Committee recommends the establishment of a national medical cyclotron to provide a supply of short-lived radioisotopes for research in relevant fields of medicine, and for diagnostic use in nuclear medicine

  8. Facility effluent monitoring plan determinations for the 200 Area facilities

    International Nuclear Information System (INIS)

    Nickels, J.M.

    1991-11-01

    The following facility effluent monitoring plan determinations document the evaluations conducted for the Westinghouse Hanford Company 200 Area facilities (chemical processing, waste management, 222-S Laboratory, and laundry) on the Hanford Site in south central Washington State. These evaluations determined the need for facility effluent monitoring plans for the 200 Area facilities. The facility effluent monitoring plan determinations have been prepared in accordance with A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438 (WHC 1991). The Plutonium/Uranium Extraction Plant and UO 3 facility effluent monitoring plan determinations were prepared by Los Alamos Technical Associates, Richland, Washington. The Plutonium Finishing Plant, Transuranic Waste Storage and Assay Facility, T Plant, Tank Farms, Low Level Burial Grounds, and 222-S Laboratory determinations were prepared by Science Applications International Corporation of Richland, Washington. The B Plant Facility Effluent Monitoring Plan Determination was prepared by ERCE Environmental Services of Richland, Washington

  9. Approach to Clinical Syndrome of Jaundice and Encephalopathy in Tropics

    Science.gov (United States)

    Anand, Anil C.; Garg, Hitendra K.

    2015-01-01

    A large number of patients present with jaundice and encephalopathy in tropical country like India and acute liver failure is the usual cause. Clinical presentation like ALF is also a complication of many tropical infections, and these conditions may mimic ALF but may have subtle differences from ALF. Moreover, what hepatologists see as acute liver failure in tropics is different from what is commonly described in Western Textbooks. Paracetamol overdose, which is possibly the commonest cause of ALF in UK and USA, is hardly ever seen in India. Most common etiology here is viral hepatitis (hepatitis E > hepatitis B> hepatitis A). Apart from ALF, one may also come across subacute hepatic failure (SAHF) as well as acute-on-chronic liver failure (ACLF) due to viral hepatitis. Interestingly, a host of other conditions can mimic ALF because clinical presentation in these conditions can be dominated by jaundice and encephalopathy. Malarial hepatopathy is possibly the best-known condition out of these and is not an uncommon manifestation of severe malaria. A similar presentation can also be seen in other common infections in tropics such as dengue fever, typhoid fever, leptospirosis, scrub typhus, amoebic liver abscesses, tuberculosis and other bacterial and fungal infections with or without human immunodeficiency virus (HIV) related disease. In many of these conditions, liver failure may not be underlying pathophysiology. Some pregnancy related liver diseases could also present with jaundice and encephalopathy. This review summarizes the commonly seen presentations in tropical country like India, where jaundice and encephalopathy dominate the clinical picture. PMID:26041951

  10. Lipopolysaccharide precipitates hepatic encephalopathy and increases blood-brain barrier permeability in mice with acute liver failure.

    Science.gov (United States)

    Chastre, Anne; Bélanger, Mireille; Nguyen, Bich N; Butterworth, Roger F

    2014-03-01

    Acute liver failure (ALF) is frequently complicated by infection leading to precipitation of central nervous system complications such as hepatic encephalopathy (HE) and increased mortality. There is evidence to suggest that when infection occurs in ALF patients, the resulting pro-inflammatory mechanisms may be amplified that could, in turn, have a major impact on blood-brain barrier (BBB) function. The aim of this study was to investigate the role of endotoxemia on the progression of encephalopathy in relation to BBB permeability during ALF. Adult male C57-BL6 mice with ALF resulting from azoxymethane-induced toxic liver injury were administered trace amounts of the endotoxin component lipopolysaccharide (LPS). Effects on the magnitude of the systemic inflammatory response, liver pathology and BBB integrity were measured as a function of progression of HE, defined as time to loss of corneal reflex (coma). Lipopolysaccharide caused additional two- to seven-fold (P liver pathology and associated increases of circulating transaminases as well as increased hyperammonaemia consistent with a further loss of viable hepatocytes. LPS treatment of ALF mice led to a rapid precipitation of hepatic coma and the BBB became permeable to the 25-kDa protein immunoglobulin G (IgG). This extravasation of IgG was accompanied by ignificant up-regulation of matrix metalloproteinase-9 (MMP-9), an endopeptidase known to modulate opening of the BBB in a wide range of neurological disorders. These findings represent the first direct evidence of inflammation-related BBB permeability changes in ALF. © 2013 John Wiley & Sons A/S. Publishing by John Wiley & Sons Ltd.

  11. Aquaporin-4 deletion in mice reduces encephalopathy and brain edema in experimental acute liver failure.

    Science.gov (United States)

    Rama Rao, Kakulavarapu V; Verkman, A S; Curtis, Kevin M; Norenberg, Michael D

    2014-03-01

    Brain edema and associated astrocyte swelling leading to increased intracranial pressure are hallmarks of acute liver failure (ALF). Elevated blood and brain levels of ammonia have been implicated in the development of brain edema in ALF. Cultured astrocytes treated with ammonia have been shown to undergo cell swelling and such swelling was associated with an increase in the plasma membrane expression of aquaporin-4 (AQP4) protein. Further, silencing the AQP4 gene in cultured astrocytes was shown to prevent the ammonia-induced cell swelling. Here, we examined the evolution of brain edema in AQP4-null mice and their wild type counterparts (WT-mice) in different models of ALF induced by thioacetamide (TAA) or acetaminophen (APAP). Induction of ALF with TAA or APAP significantly increased brain water content in WT mice (by 1.6% ± 0.3 and 2.3 ± 0.4%, respectively). AQP4 protein was significantly increased in brain plasma membranes of WT mice with ALF induced by either TAA or APAP. In contrast to WT-mice, brain water content did not increase in AQP4-null mice. Additionally, AQP4-null mice treated with either TAA or APAP showed a remarkably lesser degree of neurological deficits as compared to WT mice; the latter displayed an inability to maintain proper gait, and demonstrated a markedly reduced exploratory behavior, with the mice remaining in one corner of the cage with its head tilted downwards. These results support a central role of AQP4 in the brain edema associated with ALF. Published by Elsevier Inc.

  12. Swedish spent fuel management systems, facilities and operating experiences

    International Nuclear Information System (INIS)

    Vogt, J.

    1998-01-01

    About 50% of the electricity in Sweden is generated by means of nuclear power from 12 LWR reactors located at four sites and with a total capacity of 10,000 MW. The four utilities have jointly created SKB, the Swedish Nuclear Fuel and Waste Management Company, which has been given the mandate to manage the spent fuel and radioactive waste from its origin at the reactors to the final disposal. SKB has developed a system for the safe handling of all kinds of radioactive waste from the Swedish nuclear power plants. The keystones now in operation of this system are a transport system, a central interim storage facility for spent nuclear fuel (CLAB), a final repository for short-lived, low and intermediate level waste (SFR). The remaining, system components being planned are an encapsulation plant for spent nuclear fuel and a deep repository for encapsulated spent fuel and other long-lived radioactive wastes. (author)

  13. Facilities & Leadership

    Data.gov (United States)

    Department of Veterans Affairs — The facilities web service provides VA facility information. The VA facilities locator is a feature that is available across the enterprise, on any webpage, for the...

  14. Facility model for the Los Alamos Plutonium Facility

    International Nuclear Information System (INIS)

    Coulter, C.A.; Thomas, K.E.; Sohn, C.L.; Yarbro, T.F.; Hench, K.W.

    1986-01-01

    The Los Alamos Plutonium Facility contains more than sixty unit processes and handles a large variety of nuclear materials, including many forms of plutonium-bearing scrap. The management of the Plutonium Facility is supporting the development of a computer model of the facility as a means of effectively integrating the large amount of information required for material control, process planning, and facility development. The model is designed to provide a flexible, easily maintainable facility description that allows the faciltiy to be represented at any desired level of detail within a single modeling framework, and to do this using a model program and data files that can be read and understood by a technically qualified person without modeling experience. These characteristics were achieved by structuring the model so that all facility data is contained in data files, formulating the model in a simulation language that provides a flexible set of data structures and permits a near-English-language syntax, and using a description for unit processes that can represent either a true unit process or a major subsection of the facility. Use of the model is illustrated by applying it to two configurations of a fictitious nuclear material processing line

  15. A cluster-randomised trial of staff education to improve the quality of life of people with dementia living in residential care: the DIRECT study.

    Directory of Open Access Journals (Sweden)

    Christopher Beer

    Full Text Available BACKGROUND: The Dementia In Residential care: EduCation intervention Trial (DIRECT was conducted to determine if delivery of education designed to meet the perceived need of GPs and care staff improves the quality of life of participants with dementia living in residential care. METHODOLOGY/PRINCIPAL FINDINGS: This cluster-randomised controlled trial was conducted in 39 residential aged care facilities in the metropolitan area of Perth, Western Australia. 351 care facility residents aged 65 years and older with Mini-Mental State Examination ≤ 24, their GPs and facility staff participated. Flexible education designed to meet the perceived needs of learners was delivered to GPs and care facility staff in intervention groups. The primary outcome of the study was self-rated quality of life of participants with dementia, measured using the QOL-Alzheimer's Disease Scale (QOL-AD at 4 weeks and 6 months after the conclusion of the intervention. Analysis accounted for the effect of clustering by using multi-level regression analysis. Education of GPs or care facility staff did not affect the primary outcome at either 4 weeks or 6 months. In a post hoc analysis excluding facilities in which fewer than 50% of staff attended an education session, self-rated QOL-AD scores were 6.14 points (adjusted 95%CI 1.14, 11.15 higher at four-week follow-up among residents in facilities randomly assigned to the education intervention. CONCLUSION: The education intervention directed at care facilities or GPs did not improve the quality of life ratings of participants with dementia as a group. This may be explained by the poor adherence to the intervention programme, as participants with dementia living in facilities where staff participated at least minimally seemed to benefit. TRIAL REGISTRATION: ANZCTR.org.au ACTRN12607000417482.

  16. A cluster-randomised trial of staff education to improve the quality of life of people with dementia living in residential care: the DIRECT study.

    Science.gov (United States)

    Beer, Christopher; Horner, Barbara; Flicker, Leon; Scherer, Samuel; Lautenschlager, Nicola T; Bretland, Nick; Flett, Penelope; Schaper, Frank; Almeida, Osvaldo P

    2011-01-01

    The Dementia In Residential care: EduCation intervention Trial (DIRECT) was conducted to determine if delivery of education designed to meet the perceived need of GPs and care staff improves the quality of life of participants with dementia living in residential care. This cluster-randomised controlled trial was conducted in 39 residential aged care facilities in the metropolitan area of Perth, Western Australia. 351 care facility residents aged 65 years and older with Mini-Mental State Examination ≤ 24, their GPs and facility staff participated. Flexible education designed to meet the perceived needs of learners was delivered to GPs and care facility staff in intervention groups. The primary outcome of the study was self-rated quality of life of participants with dementia, measured using the QOL-Alzheimer's Disease Scale (QOL-AD) at 4 weeks and 6 months after the conclusion of the intervention. Analysis accounted for the effect of clustering by using multi-level regression analysis. Education of GPs or care facility staff did not affect the primary outcome at either 4 weeks or 6 months. In a post hoc analysis excluding facilities in which fewer than 50% of staff attended an education session, self-rated QOL-AD scores were 6.14 points (adjusted 95%CI 1.14, 11.15) higher at four-week follow-up among residents in facilities randomly assigned to the education intervention. The education intervention directed at care facilities or GPs did not improve the quality of life ratings of participants with dementia as a group. This may be explained by the poor adherence to the intervention programme, as participants with dementia living in facilities where staff participated at least minimally seemed to benefit. ANZCTR.org.au ACTRN12607000417482.

  17. News from the ESO Science Archive Facility

    Science.gov (United States)

    Dobrzycki, A.; Arnaboldi, M.; Bierwirth, T.; Boelter, M.; Da Rocha, C.; Delmotte, N.; Forchì, V.; Fourniol, N.; klein Gebbinck, M.; Lange, U.; Mascetti, L.; Micol, A.; Moins, C.; Munte, C.; Pluciennik, C.; Retzlaff, J.; Romaniello, M.; Rosse, N.; Sequeiros, I. V.; Vuong, M.-H.; Zampieri, S.

    2015-09-01

    ESO Science Archive Facility (SAF) - one of the world's biggest astronomical archives - combines two roles: operational (ingest, tallying, safekeeping and distribution to observers of raw data taken with ESO telescopes and processed data generated both internally and externally) and scientific (publication and delivery of all flavours of data to external users). This paper presents the “State of the SAF.” SAF, as a living entity, is constantly implementing new services and upgrading the existing ones. We present recent and future developments related to the Archive's Request Handler and metadata handling as well as performance and usage statistics and trends. We also discuss the current and future datasets on offer at SAF.

  18. Splenic CD11clowCD45RBhigh dendritic cells derived from endotoxin-tolerant mice attenuate experimental acute liver failure

    Science.gov (United States)

    Zhang, Sai-Nan; Yang, Nai-Bin; Ni, Shun-Lan; Dong, Jin-Zhong; Shi, Chun-Wei; Li, Shan-Shan; Zhang, Sheng-Guo; Tang, Xin-Yue; Lu, Ming-Qin

    2016-01-01

    Endotoxin tolerance (ET) is suggested to attenuate the severity of acute liver failure (ALF) in mice, possibly through both innate and adaptive immunity. However, the involvement of regulatory dendritic cells (DCregs) in ET has not been fully elucidated. In this study, their effect on ALF in mice was investigated. Splenic DCregs from ET-exposed mice (ET-DCregs) showed lower expression levels of CD40, CD80, and MHC-II markers and stronger inhibition of allogenic T cells and regulation of IL-10 and IL-12 secretion than splenic DCregs from normal mice (nDCregs). Moreover, the mRNA and protein levels of TNF-α and P65 in splenic ET-DCregs were significantly lower than those in the splenic nDCregs. The survival rate was significantly increased and liver injury was mitigated in mice with ALF treated with splenic ET-DCregs. In addition, A20 expression was decreased in the liver of ALF mice, but elevated after infusion of splenic nDCregs and ET-DCregs, and a much higher elevation was observed after infusing the latter cells. The functionality of splenic DCregs was altered after ET exposure, contributing to protection of the livers against D-GalN/LPS-induced ALF. PMID:27625297

  19. The pneumatic carrier facility in Dhruva reactor: commissioning, characterization and utilization

    International Nuclear Information System (INIS)

    Reddy, A.V.R.; Newton Nathaniel, T.; Nair, A.G.C.; Acharya, R.; Lahiri, D.K.; Kulkarni, U.S.; Sengupta, C.; Duraisamy, S.; Shukla, D.K.; Chakrabarty, K.; Ghosh, R.; Mondal, S.K.; Gujar, H.G.

    2007-11-01

    The 100 MWt power Dhruva research reactor, BARC is provided with pneumatic carrier facility (PCF) to carry out R and D work using short-lived (seconds to minutes) radioisotopes in the fields like neutron activation analysis (NAA) and nuclear fission. The samples are kept inside a high density polypropylene capsule (rabbit), which is pneumatically sent to the irradiation position in the core and retrieved after a preset time of irradiation. After the irradiation, radioactivity assay is carried out using high resolution gamma ray spectrometry with HPGe detector coupled to PC based MCA. The availability of high neutron flux (∼ 5 x 10 13 cm -2 s -1 at 50 MWt power) and shorter retrieval time (∼5 seconds) make it possible to measure short-lived isotopes with enhanced sensitivity. This report describes the salient features of this facility, characterization of the neutron spectrum at this irradiation position and its utilization. The PCF is being extensively utilized for analytical applications using NAA as well as nuclear fission studies. A brief description of analysis of some samples of geological, environmental and biological origin, nuclear materials as well as reference materials is included in this report. Protocol and check list for carrying out PCF irradiations and gamma spectrometric assay are also given at the end of the report. (author)

  20. Prevalence of behavior problems in three-year-old children living near Three Mile Island: a comparative analysis.

    Science.gov (United States)

    Cornely, P; Bromet, E

    1986-07-01

    The Behavior Screening Questionnaire (BSQ) was used to determine whether 2 1/2-3 1/2 yr old children living near the TMI nuclear reactor were more disturbed than children living near another nuclear plant or near a fossil-fuel facility in Pennsylvania when assessed 2 1/2 yr later. The prevalence of behavior problems was 11%. Differences among the sites in overall rates and individual symptoms were small. Perceptions of environmental stress among the TMI sample of mothers were unrelated to BSQ scores, whereas in the comparison sites, where unemployment was rising, economic concerns were meaningfully related to the BSQ.

  1. The health of the poor: women living in informal settlements.

    Science.gov (United States)

    Fink, G; Arku, R; Montana, L

    2012-06-01

    A large share of the urban population in developing countries lives in informal settlements or "slums" today. This study investigates the association between slum residence and health among adult Ghanaian women residing in the Accra Metropolitan Area. Health data collected as part of the Women's Health Study of Accra round II (WHSA-II) was combined with data from the Household and Welfare Study of Accra (HAWS) to compare the health of female slum dwellers to the health of female non-slum dwellers living in the Accra Metropolitan Area. Group means were calculated and multivariate linear regression models were estimated to compare eight domains of health as measured by the short-form 36 (SF-36) questionnaire. Women living in informal settlements were found to display consistently better health. Conditional on all observable characteristics, women living in informal settlements scored higher on all self-reported health outcomes than women living in non-slum areas. The differences appear largest for general health as well as for the physical role functioning domains, and appear smallest for the social role functioning and bodily pain domains. The results presented suggest that slum residence does not have a negative effect on self-reported health among women in Accra. Three factors may contribute to the generally positive association between slum residence and observed outcomes: i) self-selection of individuals with strong health into informal settlements and an accordingly small impact of environmental factors on health ii) self-selection of more driven and ambitious individuals into slum neighborhoods who may have a generally more positive view of their health and iii) the geographic placement of slum neighborhoods in central neighborhoods with relatively easy access to health facilities.

  2. Assisted Living

    Science.gov (United States)

    ... it, too. Back to top What is the Cost for Assisted Living? Although assisted living costs less than nursing home ... Primarily, older persons or their families pay the cost of assisted living. Some health and long-term care insurance policies ...

  3. [Needs and self-reported quality of life of people with severe mental illness in sheltered housing facilities].

    Science.gov (United States)

    Wartmann, Lukas; Hartmann-Riemer, Matthias; Dinevski, Natascha; Siemerkus, Jakob; Fröbel, Rahel; Seifritz, Erich; Jäger, Matthias

    2018-05-28

    This paper investigates the subjective needs of psychiatric patients in relation to the housing conditions with an additional focus on inclusion and participation. Furthermore, it examines differences in clinical and socio-demographic parameters, self-measured quality of life, stage of recovery. In this quantitative cross-sectional study, we compared 50 patients in a psychiatric acute ward setting, who were looking for a residence in a sheltered housing facility with 50 patients in a sheltered housing facility using structured interviews. Patients living in a sheltered housing facility reported less unmet needs. However, no differences regarding inclusion and participation were found. More unmet needs were associated with poorer quality of life, and less social inclusion in both groups. Patients in sheltered housing facilities report less unmet needs. Nevertheless, more efforts are needed to regarding inclusion of these patients. A "supported inclusion"-approach should be considered.

  4. Hepatoprotective Effect of Opuntia robusta and Opuntia streptacantha Fruits against Acetaminophen-Induced Acute Liver Damage

    NARCIS (Netherlands)

    Gonzalez Ponce, Herson Antonio; Consolacion Martinez-Saldana, Maria; Rosa Rincon-Sanchez, Ana; Teresa Sumaya-Martinez, Maria; Buist-Homan, Manon; Faber, Klaas Nico; Moshage, Han; Jaramillo-Juarez, Fernando

    2016-01-01

    Acetaminophen (APAP)-induced acute liver failure (ALF) is a serious health problem in developed countries. N-acetyl-L-cysteine (NAC), the current therapy for APAP-induced ALF, is not always effective, and liver transplantation is often needed. Opuntia spp. fruits are an important source of nutrients

  5. Animal facilities

    International Nuclear Information System (INIS)

    Fritz, T.E.; Angerman, J.M.; Keenan, W.G.; Linsley, J.G.; Poole, C.M.; Sallese, A.; Simkins, R.C.; Tolle, D.

    1981-01-01

    The animal facilities in the Division are described. They consist of kennels, animal rooms, service areas, and technical areas (examining rooms, operating rooms, pathology labs, x-ray rooms, and 60 Co exposure facilities). The computer support facility is also described. The advent of the Conversational Monitor System at Argonne has launched a new effort to set up conversational computing and graphics software for users. The existing LS-11 data acquisition systems have been further enhanced and expanded. The divisional radiation facilities include a number of gamma, neutron, and x-ray radiation sources with accompanying areas for related equipment. There are five 60 Co irradiation facilities; a research reactor, Janus, is a source for fission-spectrum neutrons; two other neutron sources in the Chicago area are also available to the staff for cell biology studies. The electron microscope facilities are also described

  6. Theatre of Rural Empowerment: The Example of Living Earth Nigeria Foundation's Community Theatre Initiative in Cross River State, Nigeria

    Science.gov (United States)

    Betiang, Liwhu

    2010-01-01

    About 60% of Nigerians live in rural areas with poor access roads and health facilities, near-absent communication media, unemployment, alienation and disempowerment by the political leadership. This scenario has excluded the rural Nigerian from meaningful participation in development action. A bottom-up participatory approach to…

  7. Facilities Performance Indicators Report 2013-14: Tracking Your Facilities Vital Signs

    Science.gov (United States)

    APPA: Association of Higher Education Facilities Officers, 2015

    2015-01-01

    This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA: Association of Higher Education Facilities Officers (APPA's) Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance…

  8. Complexes in polyvalent metal - Alkali halide melts

    International Nuclear Information System (INIS)

    Akdeniz, Z.; Tosi, M.P.

    1991-03-01

    Experimental evidence is available in the literature on the local coordination of divalent and trivalent metal ions by halogens in some 140 liquid mixtures of their halides with alkali halides. After brief reference to classification criteria for main types of local coordination, we focus on statistical mechanical models that we are developing for Al-alkali halide mixtures. Specifically, we discuss theoretically the equilibrium between (AlF 6 ) 3- and (AlF 4 ) - complexes in mixtures of AlF 3 and NaF as a function of composition in the NaF-rich region, the effect of the alkali counterion on this equilibrium, the possible role of (AlF 5 ) 2- as an intermediate species in molten cryolite, and the origin of the different complexing behaviours of Al-alkali fluorides and chlorides. We also present a theoretical scenario for processes of structure breaking and electron localization in molten cryolite under addition of sodium metal. (author). 26 refs, 2 tabs

  9. Stratification of living organisms in ballast tanks: how do organism concentrations vary as ballast water is discharged?

    Science.gov (United States)

    First, Matthew R; Robbins-Wamsley, Stephanie H; Riley, Scott C; Moser, Cameron S; Smith, George E; Tamburri, Mario N; Drake, Lisa A

    2013-05-07

    Vertical migrations of living organisms and settling of particle-attached organisms lead to uneven distributions of biota at different depths in the water column. In ballast tanks, heterogeneity could lead to different population estimates depending on the portion of the discharge sampled. For example, concentrations of organisms exceeding a discharge standard may not be detected if sampling occurs during periods of the discharge when concentrations are low. To determine the degree of stratification, water from ballast tanks was sampled at two experimental facilities as the tanks were drained after water was held for 1 or 5 days. Living organisms ≥50 μm were counted in discrete segments of the drain (e.g., the first 20 min of the drain operation, the second 20 min interval, etc.), thus representing different strata in the tank. In 1 and 5 day trials at both facilities, concentrations of organisms varied among drain segments, and the patterns of stratification varied among replicate trials. From numerical simulations, the optimal sampling strategy for stratified tanks is to collect multiple time-integrated samples spaced relatively evenly throughout the discharge event.

  10. Communication grounding facility

    International Nuclear Information System (INIS)

    Lee, Gye Seong

    1998-06-01

    It is about communication grounding facility, which is made up twelve chapters. It includes general grounding with purpose, materials thermal insulating material, construction of grounding, super strength grounding method, grounding facility with grounding way and building of insulating, switched grounding with No. 1A and LCR, grounding facility of transmission line, wireless facility grounding, grounding facility in wireless base station, grounding of power facility, grounding low-tenton interior power wire, communication facility of railroad, install of arrester in apartment and house, install of arrester on introduction and earth conductivity and measurement with introduction and grounding resistance.

  11. Facility effluent monitoring plan for the 327 Facility

    International Nuclear Information System (INIS)

    1994-11-01

    The 327 Facility [Post-Irradiation Testing Laboratory] provides office and laboratory space for Pacific Northwest Laboratory (PNL) scientific and engineering staff conducting multidisciplinary research in the areas of post-irradiated fuels and structural materials. The facility is designed to accommodate the use of radioactive and hazardous materials in the conduct of these activities. This report summarizes the airborne emissions and liquid effluents and the results of the Facility Effluent Monitoring Plan (FEMP) determination for the facility. The complete monitoring plan includes characterization of effluent streams, monitoring/sampling design criteria, a description of the monitoring systems and sample analysis, and quality assurance requirements

  12. Therapeutic effects of the traditional medicinal plant Ipomoea stolonifera for the treatment of liver diseases

    NARCIS (Netherlands)

    Bai, Xueting

    2016-01-01

    Liver diseases are categorized into acute liver failure (ALF) and chronic liver failure (CLF). Massive cell death is a hallmark of ALF and leads to a dramatic loss of liver function. Therefore, specific interventions targeted to prevent or attenuate this massive cell death may be very effective in

  13. Facility effluent monitoring plan for the 325 Facility

    International Nuclear Information System (INIS)

    1998-01-01

    The Applied Chemistry Laboratory (325 Facility) houses radiochemistry research, radioanalytical service, radiochemical process development, and hazardous and mixed hazardous waste treatment activities. The laboratories and specialized facilities enable work ranging from that with nonradioactive materials to work with picogram to kilogram quantities of fissionable materials and up to megacurie quantities of other radionuclides. The special facilities include two shielded hot-cell areas that provide for process development or analytical chemistry work with highly radioactive materials, and a waste treatment facility for processing hazardous, mixed, low-level, and transuranic wastes generated by Pacific Northwest Laboratory. Radioactive material storage and usage occur throughout the facility and include a large number of isotopes. This material is in several forms, including solid, liquid, particulate, and gas. Some of these materials are also heated during testing which can produce vapors. The research activities have been assigned to the following activity designations: High-Level Hot Cell, Hazardous Waste Treatment Unit, Waste Form Development, Special Testing Projects, Chemical Process Development, Analytical Hot Cell, and Analytical Chemistry. The following summarizes the airborne and liquid effluents and the results of the Facility Effluent Monitoring Plan (FEMP) determination for the facility. The complete monitoring plan includes characterization of effluent streams, monitoring/sampling design criteria, a description of the monitoring systems and sample analysis, and quality assurance requirements

  14. Multilevel examination of facility characteristics, social integration, and health for older adults living in nursing homes.

    Science.gov (United States)

    Leedahl, Skye N; Chapin, Rosemary K; Little, Todd D

    2015-01-01

    Testing a model based on past research and theory, this study assessed relationships between facility characteristics (i.e., culture change efforts, social workers) and residents' social networks and social support across nursing homes; and examined relationships between multiple aspects of social integration (i.e., social networks, social capital, social engagement, social support) and mental and functional health for older adults in nursing homes. Data were collected at nursing homes using a planned missing data design with random sampling techniques. Data collection occurred at the individual-level through in-person structured interviews with older adult nursing home residents (N = 140) and at the facility-level (N = 30) with nursing home staff. The best fitting multilevel structural equation model indicated that the culture change subscale for relationships significantly predicted differences in residents' social networks. Additionally, social networks had a positive indirect relationship with mental and functional health among residents primarily via social engagement. Social capital had a positive direct relationship with both health outcomes. To predict better social integration and mental and functional health outcomes for nursing homes residents, study findings support prioritizing that close relationships exist among staff, residents, and the community as well as increased resident social engagement and social trust. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Experimental investigations of the accelerator-driven transmutation technologies at the subcritical facility ''Yalina''

    International Nuclear Information System (INIS)

    Chigrinov, S.E.; Kiyavitskaya, H.I.; Serafimovich, I.G.; Rakhno, I.L.; Rutkovskaia, Ch.K.; Fokov, Y.; Khilmanovich, A.M.; Marstinkevich, B.A.; Bournos, V.V.; Korneev, S.V.; Mazanik, S.E.; Kulikovskaya, A.V.; Korbut, T.P.; Voropaj, N.K.; Zhouk, I.V.; Kievec, M.K.

    2002-01-01

    The investigations on accelerator-driven transmutation technologies (ADTT) focus on the reduction of the amount of long-lived wastes and the physics of a subcritical system driven with an external neutron source. This paper presents the experimental facility 'Yalina' which was designed and created at the Radiation Physics and Chemistry Problems Institute of the National Academy of Sciences of Belarus in the framework of the ISTC project no. B-070 to study the peculiarities of ADTT in thermal spectrum. A detailed description of the assembly, neutron generator and a preliminary analysis of some calculated and experimental data (multiplication factor, neutron flux density distribution in the assembly, transmutation rates of some long-lived fission products and minor actinides) are presented. (authors)

  16. Living in supportive housing for people with serious mental illness: a paradoxical everyday life.

    Science.gov (United States)

    Bengtsson-Tops, Anita; Ericsson, Ulf; Ehliasson, Kent

    2014-10-01

    Since the closure of large psychiatric institutions, various types of community-based supportive housing for people with serious mental illness (SMI) have been developed. There is currently limited knowledge about users' experiences of living in supportive housing. The aim of the present study was to describe user experiences of living in supportive housing for people with SMI. Twenty-nine people living in such facilities participated in open, qualitative interviews. Data were subjected to latent content analysis. Three main themes emerged from this analysis: (i) having a nest, which included the subthemes of a place to rest and having someone to attach to; (ii) being part of a group, with the subthemes of being brought together and a community spirit; and (iii) leading an oppressive life, including the subthemes of questioning one's identity, sense of inequality, and a life of gloom. It could be concluded that user experiences of living in supportive housing are complex and paradoxical. In order to provide supportive housing, staff need to recognize and work within social group processes, and perform continual and structural evaluations of users' social and emotional needs. © 2014 Australian College of Mental Health Nurses Inc.

  17. Air Quality Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research FacilityFacilities with operating permits for Title V of the Federal Clean Air Act, as well as facilities required to submit an air emissions inventory, and other facilities...

  18. Facilities Performance Indicators Report, 2004-05. Facilities Core Data Survey

    Science.gov (United States)

    Glazner, Steve, Ed.

    2006-01-01

    The purpose of "Facilities Performance Indicators" is to provide a representative set of statistics about facilities in educational institutions. The second iteration of the web-based Facilities Core Data Survey was posted and available to facilities professionals at more than 3,000 institutions in the Fall of 2005. The website offered a printed…

  19. High-risk facilities. Emergency management in nuclear, chemical and hazardous waste facilities

    International Nuclear Information System (INIS)

    Kloepfer, Michael

    2012-01-01

    The book on emergency management in high-risk facilities covers the following topics: Change in the nuclear policy, risk management of high-risk facilities as a constitutional problem - emergency management in nuclear facilities, operational mechanisms of risk control in nuclear facilities, regulatory surveillance responsibilities for nuclear facilities, operational mechanism of the risk control in chemical plants, regulatory surveillance responsibilities for chemical facilities, operational mechanisms of the risk control in hazardous waste facilities, regulatory surveillance responsibilities for hazardous waste facilities, civil law consequences in case of accidents in high-risk facilities, criminal prosecution in case of accidents in high-risk facilities, safety margins as site risk for emission protection facilities, national emergency management - strategic emergency management structures, warning and self-protection of the public in case of CBRN hazards including aspects of the psych-social emergency management.

  20. Implementation of personalized music listening for assisted living residents with dementia.

    Science.gov (United States)

    Murphy, Kelly; Liu, Winston W; Goltz, Daniel; Fixsen, Emma; Kirchner, Stephen; Hu, Janice; White, Heidi

    2018-05-03

    Personalized music listening (PML) has been touted as a safe and inexpensive means of improving the quality of life, mood, and behavior of persons with dementia. A PML program was implemented in an assisted living facility and evaluated across the five dimensions of the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance. The first 17 residents invited to participate were enrolled and followed over eight months. Effectiveness was evident in staff-reported mood improvement in 62% of encounters. Adoption was evident in qualitative feedback collected from medication technicians. Implementation was facilitated by low costs, engagement of external volunteers, highlighting outcomes that are relevant to staff, and attention to playlists over time. Maintenance required continued engagement of volunteers, ongoing fundraising, attention to facility staff engagement, and iterative adjustments to the program framework as staffing changes occurred. PML was found to be a meaningful intervention that is possible at a reasonable cost. Copyright © 2018 Elsevier Inc. All rights reserved.

  1. Nuclear facilities

    International Nuclear Information System (INIS)

    Anon.

    2000-01-01

    Here is given the decree (2000-1065) of the 25. of October 2000 reporting the publication of the convention between the Government of the French Republic and the CERN concerning the safety of the LHC (Large Hadron Collider) and the SPS (Proton Supersynchrotron) facilities, signed in Geneva on July 11, 2000. By this convention, the CERN undertakes to ensure the safety of the LHC and SPS facilities and those of the operations of the LEP decommissioning. The French legislation and regulations on basic nuclear facilities (concerning more particularly the protection against ionizing radiations, the protection of the environment and the safety of facilities) and those which could be decided later on apply to the LHC, SPS and auxiliary facilities. (O.M.)

  2. Facility effluent monitoring plan for 242-A Evaporator facility

    International Nuclear Information System (INIS)

    Crummel, G.M.; Gustavson, R.D.

    1993-03-01

    A facility effluent monitoring plan is required by the US Department of Energy in DOE Order 5400.1* for any operations that involve hazardous materials and radioactive substances that could affect employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation showed the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified in A Guide for Preparing Hanford Site Facility effluent Monitoring Plans, WHC-EP-0438-1**. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements

  3. Education to promote verbal communication by caregivers in geriatric care facilities.

    Science.gov (United States)

    Fukaya, Yasuko; Koyama, Sachiyo; Kimura, Yusuke; Kitamura, Takanori

    2009-12-01

    Our previous study divided the verbal communication between caregivers and elderly residents at geriatric care facilities into Type I communication (to elicit activities of daily living) and Type II communication (conversation that occurs in normal social life) and found that Type II communication promotes utterances by elderly residents. This study conducted an education intervention to promote Type II talking by caregivers and evaluated the results. At three geriatric care facilities, 243 caregivers who might care for 36 elderly residents experienced training involving lectures and group discussion to understand the importance of Type II talking and how to apply it to their daily work. A statistical comparison was applied to the changes in Type II talking duration from before the intervention, 1 week after the intervention, and 3 months after the intervention to evaluate the effect of the educational intervention. At two facilities, the Type II talking duration increased significantly from before the educational intervention to 1 week after the intervention and remained higher after 3 months. However, the educational intervention's effect was not clear at one facility. There was no significant difference in the elderly persons' total utterance duration, but it increased from before the intervention to 1 week after the intervention. After the educational intervention, the amount of Type II talking by the caregivers increased significantly 1 week after the intervention for two facilities, but although the amount of Type II talking was higher at 3 months than before the intervention, it was not as high as 1 week after the intervention.

  4. North Slope, Alaska ESI: FACILITY (Facility Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains data for oil field facilities for the North Slope of Alaska. Vector points in this data set represent oil field facility locations. This data...

  5. PcToll2 positively regulates the expression of antimicrobial peptides by promoting PcATF4 translocation into the nucleus.

    Science.gov (United States)

    Lan, Jiang-Feng; Zhao, Li-Juan; Wei, Shun; Wang, Yuan; Lin, Li; Li, Xin-Cang

    2016-11-01

    Drosophila Toll and mammalian Toll-like receptors (TLRs) are a family of evolutionarily conserved immune receptors that play a crucial role in the first-line defense against intruded pathogens. Activating transcription factor 4 (ATF4), a member of the ATF/CREB transcription factor family, is an important factor that participates in TLR signaling and other physiological processes. However, in crustaceans, whether ATF4 homologs were involved in TLR signaling remains unclear. In the current study, we identified a Toll homolog PcToll2 and a novel ATF4 homolog PcATF4 from Procambarus clarkii, and analyzed the likely regulatory activity of PcATF4 in PcToll2 signaling. The complete cDNA sequence of PcToll2 was 4175 bp long containing an open reading frame of 2820 bp encoding a 939-amino acid protein, and the cDNA sequence of PcATF4 was 2027 bp long with an open reading frame of 1296 bp encoding a 431-amino acid protein. PcToll2 and human TLR4 shared the high identity and they were grouped into a cluster. Furthermore, PcToll2 had a close relationship with other shrimp TLRs that possessed potential antibacterial activity. PcToll2 was highly expressed in the hemocytes, heart and gills, while PcATF4 mainly distributed in gills. Upon challenge with Vibrio parahemolyticus, PcToll2 and PcATF4 together with the antimicrobial peptides of ALF1 and ALF2 were significantly up-regulated in the hemocytes, and the PcATF4 was translocated into the nucleus. After PcToll2 silencing and challenge with Vibrio, the translocation of PcATF4 into the nucleus was inhibited and the expression of ALF1 and ALF2 was reduced, but the expression of PcDorsal and PcSTAT was not affected. Furthermore, after PcATF4 knockdown and challenge with or without Vibrio, the expression of ALF1 and ALF2 was also decreased while the expression of PcToll2 was upregulated. These results suggested that PcToll2 might regulate the expression of ALF1 and ALF2 by promoting the import of PcATF4, instead of the routine

  6. A method for studying the development pattern of urban commercial service facilities based on customer reviews from social media

    Science.gov (United States)

    Wang, Y. D.; Jiang, B. T.; Ye, X. Y.

    2016-06-01

    Urbanization is one of the most important human social activities in the 21st century (Chaolin et al., 2012). With an increasing number of people visiting cities, the provision of adequate urban service facilities, including public and commercial service facilities, in locations where people live has become an important guarantee of the success of urbanization. Exploring the commercial service facilities in a specific area of a city can help us understand the progress and trends of urban renewal in the area, provide a quantitative basis for evaluating the rationality of planning implementation, and facilitate an analysis of the effects of different factors on the regional development of a city (Schor et al. 2003). In this paper, we proposed a data processing and analysis method for studying the distribution and development pattern of urban commercial facilities based on customer reviews. In addition, based on road network constraints, we explored the patterns contained in customer reviews data, including patterns for the spatial distribution and spatial-temporal evolution of facilities as well as the number of facilities and degree of satisfaction.

  7. A method for studying the development pattern of urban commercial service facilities based on customer reviews from social media

    Directory of Open Access Journals (Sweden)

    Y. D. Wang

    2016-06-01

    Full Text Available Urbanization is one of the most important human social activities in the 21st century (Chaolin et al., 2012. With an increasing number of people visiting cities, the provision of adequate urban service facilities, including public and commercial service facilities, in locations where people live has become an important guarantee of the success of urbanization. Exploring the commercial service facilities in a specific area of a city can help us understand the progress and trends of urban renewal in the area, provide a quantitative basis for evaluating the rationality of planning implementation, and facilitate an analysis of the effects of different factors on the regional development of a city (Schor et al. 2003. In this paper, we proposed a data processing and analysis method for studying the distribution and development pattern of urban commercial facilities based on customer reviews. In addition, based on road network constraints, we explored the patterns contained in customer reviews data, including patterns for the spatial distribution and spatial-temporal evolution of facilities as well as the number of facilities and degree of satisfaction.

  8. Impact of fat source and dietary fibers on feed intake, plasma metabolites, litter gain and the yield and composition of milk in sows

    DEFF Research Database (Denmark)

    Larsen, Uffe Krogh; Bruun, Thomas S; Poulsen, Jesper

    2017-01-01

    replace cereals in lactation diets. Thus, a standard lactation diet low in dietary fiber, and two high-fiber diets based on sugar beet pulp (SBP) or alfalfa meal (ALF) were formulated. The SBP diet was high in soluble non-starch polysaccharides (NSP), whereas ALF being high in insoluble NSP. Each diet...

  9. On Law and Justice

    DEFF Research Database (Denmark)

    Alf, Ross

    Alf Ross' omstridte hovedværk i ny engelsk oversættelse. Redigeret og med introduktion af Jakob v. H. Holtermann, oversat af Uta Bindreiter......Alf Ross' omstridte hovedværk i ny engelsk oversættelse. Redigeret og med introduktion af Jakob v. H. Holtermann, oversat af Uta Bindreiter...

  10. Keeping Up the Live: Recorded Television as Live Experience

    NARCIS (Netherlands)

    van Es, Karin; Keilbach, Judith

    2018-01-01

    textabstractIncreasingly new media platforms are making claims to liveness. Looking back in television history we also find programmes that were recorded, but kept up the claims of being live. This raises the question as to what accounts for the attraction of the live? Focusing on Ein Platz für

  11. 26 CFR 1.142(a)(5)-1 - Exempt facility bonds: Sewage facilities.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Exempt facility bonds: Sewage facilities. 1.142... Bonds § 1.142(a)(5)-1 Exempt facility bonds: Sewage facilities. (a) In general. Under section 103(a), a... in section 142(a) is a sewage facility. This section defines the term sewage facility for purposes of...

  12. Policies to deal with reactionary factors in the location of nuclear power facilities

    International Nuclear Information System (INIS)

    Lee, Yong Soo

    2000-01-01

    Energy is very important for daily life. But the prevailing fossil fuels are almost running out and moore over, the global warming caused by fossil fuel threatens all lives on the earth. Yet in reality, there are almost no choices to take the place fossil fuels beside nuclear energy. Nuclear energy is the only practical new energy resource that can be produced in Korea, which possesses nearly no energy resources and imports 98% do its energy supplies annually. Fortunately the rate of self-reliance of Korean nuclear technology is up to 95%, which is almost at top level in the world. However, many people think that nuclear energy is dangerous and uneconomical, thus social tension and dispute often a rises regarding nuclear energy, To minimize these discords, those in charge of the facility should provide an acceptable strategy to the publics, especially concerning the location of the facility. The strategy should include the followings: (1) The publics should participate in the planning stage of the nuclear facility, not only symbolically but also practically, and all information should be opened to publics so that cost-effectiveness and safety of the facility can be evaluated. (2) For the people who lose their land, home and work, an appropriate compensation should be considered from the planning stage. (3) The person in charge of the facility has to show that people in neighborhood of the facility enjoy better life than before and should help people to recognize it. (4) Continuous campaign enhancing public understanding of the need and safety for nuclear facility must be implemented. (5) South Korea's nuclear facilities could be set up in North Korea as the relationships between two Koreas improve. (author)

  13. Speciation analysis of aluminium in plant parts of Betula pendula and in soil.

    Science.gov (United States)

    Zioła-Frankowska, Anetta; Frankowski, Marcin

    2018-03-01

    The research presents the first results of aluminium speciation analysis in aqueous extracts of individual plant parts of Betula pendula and soil samples, using High Performance Ion Chromatography with Diode Array Detection (HPIC-DAD). The applied method allowed us to carry out a full speciation analysis of aluminium in the form of predominant aluminium-fluoride complexes: AlF (x=2,3,4) (3-x) (first analytical signal), AlF 2+ (second analytical signal) and Al 3+ (third analytical signal) in samples of lateral roots, tap roots, twigs, stem, leaf and soil collected under roots of B. pendula. Concentrations of aluminium and its complexes were determined for two types of environment characterised by different degree of human impact: contaminated site of the Chemical Plant in Luboń and protected area of the Wielkopolski National Park. For all the analysed samples of B. pendula and soil, AlF (x=2,3,4) (3-x) had the largest contribution, followed by Al 3+ and AlF 2+ . Significant differences in concentration and contribution of Al-F complexes and Al 3+ form, depending on the place of sampling (different anthropogenic pressure) and plant part of B. pendula were observed. Based on the obtained results, it was found that transport of aluminium is "blocked" by lateral roots, and is closely related to Al content of soil. Copyright © 2017. Published by Elsevier B.V.

  14. Facility transition instruction

    International Nuclear Information System (INIS)

    Morton, M.R.

    1997-01-01

    The Bechtel Hanford, Inc. facility transition instruction was initiated in response to the need for a common, streamlined process for facility transitions and to capture the knowledge and experience that has accumulated over the last few years. The instruction serves as an educational resource and defines the process for transitioning facilities to long-term surveillance and maintenance (S and M). Generally, these facilities do not have identified operations missions and must be transitioned from operational status to a safe and stable configuration for long-term S and M. The instruction can be applied to a wide range of facilities--from process canyon complexes like the Plutonium Uranium Extraction Facility or B Plant, to stand-alone, lower hazard facilities like the 242B/BL facility. The facility transition process is implemented (under the direction of the US Department of Energy, Richland Operations Office [RL] Assistant Manager-Environmental) by Bechtel Hanford, Inc. management, with input and interaction with the appropriate RL division and Hanford site contractors as noted in the instruction. The application of the steps identified herein and the early participation of all organizations involved are expected to provide a cost-effective, safe, and smooth transition from operational status to deactivation and S and M for a wide range of Hanford Site facilities

  15. SHiP: a new facility with a dedicated detector to search for new long-lived neutral particles

    CERN Document Server

    AUTHOR|(SzGeCERN)711794

    2015-01-01

    SHIP is a new fixed target experiment whose Technical Proposal has been recently submitted to the CERN SPS Committee. In its initial phase, the 400 GeV proton beam extracted from the SPS will be dumped on a heavy target with the aim of integrating 2 × 1020 pot in 5 years. A dedicated detector, based on a long empty decay volume followed by a spectrometer and particle identi- fication detectors, will allow probing a variety of models with light long-lived exotic particles and masses below O(10) GeV/c2. The main focus will be the physics of the so-called Hidden Portals, i.e. search for Dark Photons, light scalars and pseudo-scalars, and Heavy Neutrinos. The sensitivity to Heavy Neutrinos will allow for the first time to probe, in the mass range between the kaon and the D meson mass, a coupling range for which Baryogenesis and active neutrino masses could also be explained. Direct detection of light and long-lived SUSY particles, such as RPV neutralinos and pseudo-Dirac gauginos could also be performed in an un...

  16. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, M.A., E-mail: majg@csn.es [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain); Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M. [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain)

    2011-11-15

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad{sub d}atos/especiales/epidemiologico/epidemiological{sub s}tudy.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10{sup -5} mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: > Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. > Dose to public is dominated by liquid effluent pathways for the power stations. > Dose to public is dominated by Rn inhalation for milling and mining facilities. > Average annual doses to public in influence areas are negligible (10 {mu}Sv/y or less). > Doses from facilities average 3.5 x 10{sup -2} {mu}Sv/y per person onto whole Spanish population.

  17. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    International Nuclear Information System (INIS)

    Jimenez, M.A.; Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M.

    2011-01-01

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad_datos/especiales/epidemiologico/epidemiological_study.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10 -5 mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: → Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. → Dose to public is dominated by liquid effluent pathways for the power stations. → Dose to public is dominated by Rn inhalation for milling and mining facilities. → Average annual doses to public in influence areas are negligible (10 μSv/y or less). → Doses from facilities average 3.5 x 10 -2 μSv/y per person onto whole Spanish population.

  18. The effects of the final disposal facility for spent nuclear fuel on regional economy; Kaeytetyn ydinpolttoaineen loppusijoituslaitoksen aluetaloudelliset vaikutukset

    Energy Technology Data Exchange (ETDEWEB)

    Laakso, S. [Seppo Laakso Urban Research (Finland)

    1999-03-01

    The study deals with the economic effects of the final disposal facility for spent nuclear fuel on the alternative location municipalities - Eurajoki, Kuhmo, Loviisa and Aeaenekoski - and their neighbouring areas (in Finland). The economic influence of the facility on industrials, employment, population, property markets, community structure and local public economics are analysed applying the approach of regional economics. The evaluation of the facility`s effects on employment is based on the input-output analysis. Both the direct and indirect effects of the construction and the functioning of the facility are taken into account in the analysis. According to the results the total increase in employment caused by the construction of the facility is about 350 persons annually, at national level. Some 150 persons of this are estimated to live in the wider region and 100-150 persons in the facility`s influence area consisting of the location municipality and neighbouring municipalities. This amount is reached at the top stage of construction (around the year 2018). At the production stage - after the year 2020 - the facility`s effects on employment will be concentrated significantly more on the location municipality and the rest of the influence area than on the rest of the country, compared with the construction stage. The estimated employment growth in the production stage is approximately 160 persons at national level of which 100-120 persons live in the candidate municipality and in the rest of the influence area. There is a direct link between local employment and population development. The growth of jobs attracts immigrants affecting the development of both the number and the structure of population. The facility`s effects on population development in the alternative location municipalities are analysed using comparative population forecasts based on demographic population projection methods. According to the results the job growth caused by the facility will

  19. A Cluster-Randomised Trial of Staff Education to Improve the Quality of Life of People with Dementia Living in Residential Care: The DIRECT Study

    OpenAIRE

    Beer, Christopher; Horner, Barbara; Flicker, Leon; Scherer, Samuel; Lautenschlager, Nicola T.; Bretland, Nick; Flett, Penelope; Schaper, Frank; Almeida, Osvaldo P.

    2011-01-01

    BACKGROUND: The Dementia In Residential care: EduCation intervention Trial (DIRECT) was conducted to determine if delivery of education designed to meet the perceived need of GPs and care staff improves the quality of life of participants with dementia living in residential care. METHODOLOGY/PRINCIPAL FINDINGS: This cluster-randomised controlled trial was conducted in 39 residential aged care facilities in the metropolitan area of Perth, Western Australia. 351 care facility residents aged 65 ...

  20. Facilities Performance Indicators Report 2012-13: Tracking Your Facilities Vital Signs

    Science.gov (United States)

    APPA: Association of Higher Education Facilities Officers, 2014

    2014-01-01

    This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance Indicators Report" is designed for survey…

  1. Guide to research facilities

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    This Guide provides information on facilities at US Department of Energy (DOE) and other government laboratories that focus on research and development of energy efficiency and renewable energy technologies. These laboratories have opened these facilities to outside users within the scientific community to encourage cooperation between the laboratories and the private sector. The Guide features two types of facilities: designated user facilities and other research facilities. Designated user facilities are one-of-a-kind DOE facilities that are staffed by personnel with unparalleled expertise and that contain sophisticated equipment. Other research facilities are facilities at DOE and other government laboratories that provide sophisticated equipment, testing areas, or processes that may not be available at private facilities. Each facility listing includes the name and phone number of someone you can call for more information.

  2. Staff's reactions towards partnered sexual expressions involving people with dementia living in long-term care facilities.

    Science.gov (United States)

    Villar, Feliciano; Celdrán, Montserrat; Serrat, Rodrigo; Fabà, Josep; Martínez, Teresa

    2018-05-01

    To explore staff responses, in terms of common practices, towards partnered sexual relationships in long-term care facilities where one or both people involved have dementia. It also tries to determine personal and institutional factors influencing these responses. Although some studies, mostly qualitative, have focused on reactions to residents' sexual expressions so far the issue has not been assessed in a study using large and diverse samples. Cross-sectional quantitative study using vignette technique. Participants were 2,295 staff members at 152 Spanish long-term care facilities. Data were collected during 2016. A vignette describing sexual situations involving people with dementia was presented to participants. After the vignette, participants had to answer the question: "What do you think most of your colleagues would do in this situation?" with nine possible responses. Results showed that relationships involving persons with dementia were perceived as potentially problematic by staff. In both conditions, discussing the case with a colleague or supervisor was the most frequently chosen reaction. More restrictive reactions were mentioned when only one person with dementia was involved in the relationship. Factors such as participants" age and years of experience, professional post and commitment to person-centred care practices were related with the frequency of common restriction practices. Results highlight the importance of providing staff with clear guidelines regarding the management of specific sexual situations to avoid stereotyped restrictive reactions. © 2017 John Wiley & Sons Ltd.

  3. Aberration-free FTIR spectroscopic imaging of live cells in microfluidic devices.

    Science.gov (United States)

    Chan, K L Andrew; Kazarian, Sergei G

    2013-07-21

    The label-free, non-destructive chemical analysis offered by FTIR spectroscopic imaging is a very attractive and potentially powerful tool for studies of live biological cells. FTIR imaging of live cells is a challenging task, due to the fact that cells are cultured in an aqueous environment. While the synchrotron facility has proven to be a valuable tool for FTIR microspectroscopic studies of single live cells, we have demonstrated that high quality infrared spectra of single live cells using an ordinary Globar source can also be obtained by adding a pair of lenses to a common transmission liquid cell. The lenses, when placed on the transmission cell window, form pseudo hemispheres which removes the refraction of light and hence improve the imaging and spectral quality of the obtained data. This study demonstrates that infrared spectra of single live cells can be obtained without the focus shifting effect at different wavenumbers, caused by the chromatic aberration. Spectra of the single cells have confirmed that the measured spectral region remains in focus across the whole range, while spectra of the single cells measured without the lenses have shown some erroneous features as a result of the shift of focus. It has also been demonstrated that the addition of lenses can be applied to the imaging of cells in microfabricated devices. We have shown that it was not possible to obtain a focused image of an isolated cell in a droplet of DPBS in oil unless the lenses are applied. The use of the approach described herein allows for well focused images of single cells in DPBS droplets to be obtained.

  4. Experimental Fuels Facility Re-categorization Based on Facility Segmentation

    Energy Technology Data Exchange (ETDEWEB)

    Reiss, Troy P.; Andrus, Jason

    2016-07-01

    The Experimental Fuels Facility (EFF) (MFC-794) at the Materials and Fuels Complex (MFC) located on the Idaho National Laboratory (INL) Site was originally constructed to provide controlled-access, indoor storage for radiological contaminated equipment. Use of the facility was expanded to provide a controlled environment for repairing contaminated equipment and characterizing, repackaging, and treating waste. The EFF facility is also used for research and development services, including fuel fabrication. EFF was originally categorized as a LTHC-3 radiological facility based on facility operations and facility radiological inventories. Newly planned program activities identified the need to receive quantities of fissionable materials in excess of the single parameter subcritical limit in ANSI/ANS-8.1, “Nuclear Criticality Safety in Operations with Fissionable Materials Outside Reactors” (identified as “criticality list” quantities in DOE-STD-1027-92, “Hazard Categorization and Accident Analysis Techniques for Compliance with DOE Order 5480.23, Nuclear Safety Analysis Reports,” Attachment 1, Table A.1). Since the proposed inventory of fissionable materials inside EFF may be greater than the single parameter sub-critical limit of 700 g of U-235 equivalent, the initial re-categorization is Hazard Category (HC) 2 based upon a potential criticality hazard. This paper details the facility hazard categorization performed for the EFF. The categorization was necessary to determine (a) the need for further safety analysis in accordance with LWP-10802, “INL Facility Categorization,” and (b) compliance with 10 Code of Federal Regulations (CFR) 830, Subpart B, “Safety Basis Requirements.” Based on the segmentation argument presented in this paper, the final hazard categorization for the facility is LTHC-3. Department of Energy Idaho (DOE-ID) approval of the final hazard categorization determined by this hazard assessment document (HAD) was required per the

  5. Decommissioning of small medical, industrial and research facilities

    International Nuclear Information System (INIS)

    2003-01-01

    Most of the technical literature on decommissioning addresses the regulatory, organizational, technical and other aspects for large facilities such as nuclear power plants, reprocessing plants and relatively large prototype, research and test reactors. There are, however, a much larger number of licensed users of radioactive material in the fields of medicine, research and industry. Most of these nuclear facilities are smaller in size and complexity and may present a lower radiological risk during their decommissioning. Such facilities are located at research establishments, biological and medical laboratories, universities, medical centres, and industrial and manufacturing premises. They are often operated by users who have not been trained or are unfamiliar with the decommissioning, waste management and associated safety aspects of these types of facility at the end of their operating lives. Also, for many small users of radioactive material such as radiation sources, nuclear applications are a small part of the overall business or process and, although the operating safety requirements may be adhered to, concern or responsibility may not go much beyond this. There is concern that even the minimum requirements of decommissioning may be disregarded, resulting in avoidable delays, risks and safety implications (e.g. a loss of radioactive material and a loss of all records). Incidents have occurred in which persons have been injured or put at risk. It is recognized that the strategies and specific requirements for small facilities may be much less onerous than for large ones such as nuclear power plants or fuel processing facilities, but many of the same principles apply. There has been considerable attention given to nuclear facilities and many IAEA publications are complementary to this report. This report, however, attempts to give specific guidance for small facilities. 'Small' in this report does not necessarily mean small in size but generally modest in terms

  6. Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

    International Nuclear Information System (INIS)

    Coenenberg, J.G.

    1997-01-01

    The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, 'operating' treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

  7. Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

    Energy Technology Data Exchange (ETDEWEB)

    Coenenberg, J.G.

    1997-08-15

    The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, `operating` treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

  8. A Facility to Search for Hidden Particles (SHiP) at the CERN SPS

    CERN Document Server

    Anelli, M.; Arduini, G.; Back, J.J.; Bagulya, A.; Baldini, W.; Baranov, A.; Barker, G.J.; Barsuk, S.; Battistin, M.; Bauche, J.; Bay, A.; Bayliss, V.; Bellagamba, L.; Bencivenni, G.; Bertani, M.; Bezshyyko, O.; Bick, D.; Bingefors, N.; Blondel, A.; Bogomilov, M.; Boyarsky, A.; Bonacorsi, D.; Bondarenko, D.; Bonivento, W.; Borburgh, J.; Bradshaw, T.; Brenner, R.; Breton, D.; Brook, N.; Bruschi, M.; Buonaura, A.; Buontempo, S.; Cadeddu, S.; Calcaterra, A.; Calviani, M.; Campanelli, M.; Capoccia, C.; Cecchetti, A.; Chatterjee, A.; Chauveau, J.; Chepurnov, A.; Chernyavskiy, M.; Ciambrone, P.; Cicalo, C.; Conti, G.; Cornelis, K.; Courthold, M.; Dallavalle, M.G.; D'Ambrosio, N.; De Lellis, G.; De Serio, M.; Dedenko, L.; Di Crescenzo, A.; Di Marco, N.; Dib, C.; Dietrich, J.; Dijkstra, H.; Domenici, D.; Donskov, S.; Druzhkin, D.; Ebert, J.; Egede, U.; Egorov, A.; Egorychev, V.; Alaoui, M. A. El; Enik, T.; Etenko, A.; Fabbri, F.; Fabbri, L.; Fedorova, G.; Felici, G.; Ferro-Luzzi, M.; Fini, R.A.; Franke, M.; Fraser, M.; Galati, G.; Giacobbe, B.; Goddard, B.; Golinka-Bezshyyko, L.; Golubkov, D.; Golutvin, A.; Gorbunov, D.; Graverini, E.; Grenard, J-L; Guler, A.M.; Hagner, C.; Hakobyan, H.; Helo, J.C.; van Herwijnen, E.; Horvath, D.; Iacovacci, M.; Iaselli, G.; Jacobsson, R.; Kadenko, I.; Kamiscioglu, M.; Kamiscioglu, C.; Khaustov, G.; Khotjansev, A.; Kilminster, B.; Kim, V.; Kitagawa, N.; Kodama, K.; Kolesnikov, A.; Kolev, D.; Komatsu, M.; Konovalova, N.; Koretskiy, S.; Korolko, I.; Korzenev, A.; Kovalenko, S.; Kudenko, Y.; Kuznetsova, E.; Lacker, H.; Lai, A.; Lanfranchi, G.; Lauria, A.; Lebbolo, H.; Levy, J. -M.; Lista, L.; Loverre, P.; Lukiashin, A.; Lyubovitskij, V.E.; Malinin, A.; Manfredi, M.; Perillo-Marcone, A.; Marrone, A.; Matev, R.; Messomo, E.N.; Mermod, P.; Mikado, S.; Mikhaylov, Yu.; Miller, J.; Milstead, D.; Mineev, O.; Mingazheva, R.; Mitselmakher, G.; Miyanishi, M.; Monacelli, P.; Montanari, A.; Montesi, M.C.; Morello, G.; Morishima, K.; Movtchan, S.; Murzin, V.; Naganawa, N.; Naka, T.; Nakamura, M.; Nakano, T.; Nurakhov, N.; Obinyakov, B.; Ocalan, K.; Ogawa, S.; Oreshkin, V.; Orlov, A.; Osborne, J.; Pacholek, P.; Panman, J.; Paoloni, A.; Paparella, L.; Pastore, A.; Patel, M.; Petridis, K.; Petrushin, M.; Poli-Lener, M.; Polukhina, N.; Polyakov, V.; Prokudin, M.; Puddu, G.; Pupilli, F.; Rademakers, F.; Rakai, A.; Rawlings, T.; Redi, F.; Ricciardi, S.; Rinaldesi, R.; Roganova, T.; Rogozhnikov, A.; Rokujo, H.; Romaniouk, A.; Rosa, G.; Rostovtseva, I.; Rovelli, T.; Ruchayskiy, O.; Ruf, T.; Saitta, G.; Samoylenko, V.; Samsonov, V.; Ull, A. Sanz; Saputi, A.; Sato, O.; Schmidt-Parzefall, W.; Serra, N.; Sgobba, S.; Shaposhnikov, M.; Shatalov, P.; Shaykhiev, A.; Shchutska, L.; Shevchenko, V.; Shibuya, H.; Shitov, Y.; Silverstein, S.; Simone, S.; Skorokhvatov, M.; Smirnov, S.; Solodko, E.; Sosnovtsev, V.; Spighi, R.; Spinetti, M.; Starkov, N.; Storaci, B.; Strabel, C.; Strolin, P.; Takahashi, S.; Teterin, P.; Tioukov, V.; Tommasini, D.; Treille, D.; Tsenov, R.; Tshchedrina, T.; Ustyuzhanin, A.; Vannucci, F.; Venturi, V.; Villa, M.; Vincke, Heinz; Vincke, Helmut; Vladymyrov, M.; Xella, S.; Yalvac, M.; Yershov, N.; Yilmaz, D.; Yilmazer, A.U.; Vankova-Kirilova, G.; Zaitsev, Y.; Zoccoli, A.; CERN. Geneva. SPS and PS Experiments Committee; SPSC

    2015-01-01

    A new general purpose fixed target facility is proposed at the CERN SPS accelerator which is aimed at exploring the domain of hidden particles and make measurements with tau neutrinos. Hidden particles are predicted by a large number of models beyond the Standard Model. The high intensity of the SPS 400~GeV beam allows probing a wide variety of models containing light long-lived exotic particles with masses below ${\\cal O}$(10)~GeV/c$^2$, including very weakly interacting low-energy SUSY states. The experimental programme of the proposed facility is capable of being extended in the future, e.g. to include direct searches for Dark Matter and Lepton Flavour Violation. The facility will be serviced by a new dedicated beam line branched off the splitter section on the North Area. It is followed by a new target station and a magnetic shield to suppress beam induced background. The proposed orientation of the beam line and the underground complex allows reserving more than 100~m of space beyond the experiment...

  9. The association of neuropsychiatric symptoms and environment with quality of life in assisted living residents with dementia.

    Science.gov (United States)

    Samus, Quincy M; Rosenblatt, Adam; Steele, Cynthia; Baker, Alva; Harper, Michael; Brandt, Jason; Mayer, Lawrence; Rabins, Peter V; Lyketsos, Constantine G

    2005-10-01

    We conducted this study to determine whether neuropsychiatric symptoms and environmental characteristics are associated with quality of life in assisted living residents with dementia. We used a cross-sectional study of 134 residents from 22 facilities and employed the Alzheimer's Disease-Related Quality of Life Scale and the Neuropsychiatric Inventory. A scale was developed to capture the homelike climate of each facility. Linear regression analyses were used to estimate the relationship of neuropsychiatric symptoms and homelike climate with quality of life, controlling for sociodemographics, cognition, functional dependence, and physical health. Exploratory analyses and graphical techniques were employed to test for environmental-level moderating effects. Agitation, depression, apathy, and irritability were significant predictors of quality of life, explaining 29% of the variance. Neither facility size nor homelike environment was significantly associated with quality of life in univariate analyses. Size of facility moderated the relationship between agitation and quality of life. Neuropsychiatric symptoms impair quality of life in residents with dementia. Further research should investigate the role of other environmental aspects.

  10. Once a week not enough, twice a week not feasible? A randomised controlled exercise trial in long-term care facilities

    NARCIS (Netherlands)

    Chin A Paw, M.J.M.; M.N. Poppel, van; Twisk, J.W.; van Mechelen, W.

    2006-01-01

    Objective: To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations. Methods: Subjects (N = 224) were randomised to 6 months of twice weekly (1) resistance

  11. Facility effluent monitoring plan for 242-A evaporator facility

    International Nuclear Information System (INIS)

    Crummel, G.M.; Gustavson, R.D.

    1995-02-01

    A facility effluent monitoring plan is required by the U.S. Department of Energy in DOE Order 5400.1 for any operations that involve hazardous materials and radioactive substances that could affect employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation showed the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified in A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438-1. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements. This facility effluent monitoring plan shall ensure long-range integrity of the effluent monitoring systems by requiring an update whenever a new process or operation introduces new hazardous materials or significant radioactive materials. This document must be reviewed annually even if there are no operational changes, and it must be updated, as a minimum, every three years

  12. EPA Facility Registry Service (FRS): Facility Interests Dataset

    Data.gov (United States)

    U.S. Environmental Protection Agency — This web feature service consists of location and facility identification information from EPA's Facility Registry Service (FRS) for all sites that are available in...

  13. Resident transitions to assisted living: a role for social workers.

    Science.gov (United States)

    Fields, Noelle LeCrone; Koenig, Terry; Dabelko-Schoeny, Holly

    2012-08-01

    This study explored key aspects of resident transitions to assisted living (AL), including the frequency and importance of preadmission resident education and the potential role of social workers in this setting. To examine the factors that may help or hinder resident transitions to AL, a written survey was administered to a statewide, geographically representative purposive sample of Medicaid Assisted Living Waiver providers (N = 28). Findings suggest a positive relationship between the availability of a social worker and the frequency and importance of resident preadmission education in several areas. Results also suggest a gap between what AL providers believe is important for resident transitions and what is actually happening in their facilities. Social workers may play a significant role in providing preadmission education and are well positioned to address the unmet psychosocial needs of residents and family members during the transition to AL. Future studies should specifically examine the contributing role of social workers during the period of adjustment to AL and the effect of social work services on the well-being of AL residents and families in AL settings.

  14. Validation of Code ASTEC with LIVE-L1 Experimental Results

    International Nuclear Information System (INIS)

    Bachrata, Andrea

    2008-01-01

    The severe accidents with core melting are considered at the design stage of project at Generation 3+ of Nuclear Power Plants (NPP). Moreover, there is an effort to apply the severe accident management to the operated NPP. The one of main goals of severe accidents mitigation is corium localization and stabilization. The two strategies that fulfil this requirement are: the in-vessel retention (e.g. AP-600, AP- 1000) and the ex-vessel retention (e.g. EPR). To study the scenario of in-vessel retention, a large experimental program and the integrated codes have been developed. The LIVE-L1 experimental facility studied the formation of melt pools and the melt accumulation in the lower head using different cooling conditions. Nowadays, a new European computer code ASTEC is being developed jointly in France and Germany. One of the important steps in ASTEC development in the area of in-vessel retention of corium is its validation with LIVE-L1 experimental results. Details of the experiment are reported. Results of the ASTEC (module DIVA) application to the analysis of the test are presented. (author)

  15. Health risks for the population living in the vicinity of an Integrated Waste Management Facility: Screening environmental pollutants

    International Nuclear Information System (INIS)

    Domingo, José L.; Rovira, Joaquim; Vilavert, Lolita; Nadal, Martí; Figueras, María J.; Schuhmacher, Marta

    2015-01-01

    We performed a screening investigation to assess the human health risks of the Integrated Waste Management Facility (IWMF: mechanical–biological treatment (MBT) plant plus municipal solid waste incinerator (MSWI); Ecoparc-3) of Barcelona (Spain). Air concentrations of pollutants potentially released by the MBT plant (VOCs and bioaerosols) and the MSWI (trace elements, PCDD/Fs and PCBs) were determined. Trace elements, PCDD/Fs and PCBs were also analyzed in soil samples. The concentrations of trace elements and bioaerosols were similar to those previously reported in other areas of similar characteristics, while formaldehyde was the predominant VOC. Interestingly, PCDD/F concentrations in soil and air were the highest ever reported near a MSWI in Catalonia, being maximum concentrations 10.8 ng WHO-TEQ/kg and 41.3 fg WHO-TEQ/m 3 , respectively. In addition, there has not been any reduction in soils, even after the closure of a power plant located adjacently. Human health risks of PCDD/F exposure in the closest urban nucleus located downwind the MSWI are up to 10-times higher than those nearby other MSWIs in Catalonia. Although results must be considered as very preliminary, they are a serious warning for local authorities. We strongly recommend to conduct additional studies to confirm these findings and, if necessary, to implement measures to urgently mitigate the impact of the MSWI on the surrounding environment. We must also state the tremendous importance of an individual evaluation of MSWIs, rather than generalizing their environmental and health risks. - Highlights: • Health risks of an Integrated Waste Management Facility in Catalonia are assessed. • PCDD/F exposure near this facility is up to 10-times higher than that near others. • Environmental monitoring of incineration plants should be performed case-by-case. • Since results are very preliminary, confirmatory studies should be conducted

  16. Health risks for the population living in the vicinity of an Integrated Waste Management Facility: Screening environmental pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Domingo, José L., E-mail: joseluis.domingo@urv.cat [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Rovira, Joaquim [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain); Vilavert, Lolita; Nadal, Martí [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Figueras, María J. [Microbiology Unit, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Schuhmacher, Marta [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain)

    2015-06-15

    We performed a screening investigation to assess the human health risks of the Integrated Waste Management Facility (IWMF: mechanical–biological treatment (MBT) plant plus municipal solid waste incinerator (MSWI); Ecoparc-3) of Barcelona (Spain). Air concentrations of pollutants potentially released by the MBT plant (VOCs and bioaerosols) and the MSWI (trace elements, PCDD/Fs and PCBs) were determined. Trace elements, PCDD/Fs and PCBs were also analyzed in soil samples. The concentrations of trace elements and bioaerosols were similar to those previously reported in other areas of similar characteristics, while formaldehyde was the predominant VOC. Interestingly, PCDD/F concentrations in soil and air were the highest ever reported near a MSWI in Catalonia, being maximum concentrations 10.8 ng WHO-TEQ/kg and 41.3 fg WHO-TEQ/m{sup 3}, respectively. In addition, there has not been any reduction in soils, even after the closure of a power plant located adjacently. Human health risks of PCDD/F exposure in the closest urban nucleus located downwind the MSWI are up to 10-times higher than those nearby other MSWIs in Catalonia. Although results must be considered as very preliminary, they are a serious warning for local authorities. We strongly recommend to conduct additional studies to confirm these findings and, if necessary, to implement measures to urgently mitigate the impact of the MSWI on the surrounding environment. We must also state the tremendous importance of an individual evaluation of MSWIs, rather than generalizing their environmental and health risks. - Highlights: • Health risks of an Integrated Waste Management Facility in Catalonia are assessed. • PCDD/F exposure near this facility is up to 10-times higher than that near others. • Environmental monitoring of incineration plants should be performed case-by-case. • Since results are very preliminary, confirmatory studies should be conducted.

  17. Mycobacterium tuberculosis Cell Wall Fragments Released upon Bacterial Contact with the Human Lung Mucosa Alter the Neutrophil Response to Infection.

    Science.gov (United States)

    Scordo, Julia M; Arcos, Jesús; Kelley, Holden V; Diangelo, Lauren; Sasindran, Smitha J; Youngmin, Ellie; Wewers, Mark D; Wang, Shu-Hua; Balada-Llasat, Joan-Miquel; Torrelles, Jordi B

    2017-01-01

    In 2016, the World Health Organization reported that one person dies of tuberculosis (TB) every 21 s. A host environment that Mycobacterium tuberculosis ( M.tb ) finds during its route of infection is the lung mucosa bathing the alveolar space located in the deepest regions of the lungs. We published that human lung mucosa, or alveolar lining fluid (ALF), contains an array of hydrolytic enzymes that can significantly alter the M.tb surface during infection by cleaving off parts of its cell wall. This interaction results in two different outcomes: modifications on the M.tb cell wall surface and release of M.tb cell wall fragments into the environment. Typically, one of the first host immune cells at the site of M.tb infection is the neutrophil. Neutrophils can mount an extracellular and intracellular innate immune response to M.tb during infection. We hypothesized that exposure of neutrophils to ALF-induced M.tb released cell wall fragments would prime neutrophils to control M.tb infection better. Our results show that ALF fragments activate neutrophils leading to an increased production of inflammatory cytokines and oxidative radicals. However, neutrophil exposure to these fragments reduces production of chemoattractants (i.e., interleukin-8), and degranulation, with the subsequent reduction of myeloperoxidase release, and does not induce cytotoxicity. Unexpectedly, these ALF fragment-derived modulations in neutrophil activity do not further, either positively or negatively, contribute to the intracellular control of M.tb growth during infection. However, secreted products from neutrophils primed with ALF fragments are capable of regulating the activity of resting macrophages. These results indicate that ALF-induced M.tb fragments could further contribute to the control of M.tb growth and local killing by resident neutrophils by switching on the total oxidative response and limiting migration of neutrophils to the infection site.

  18. Eldecalcitol improves mechanical strength of cortical bones by stimulating the periosteal bone formation in the senescence-accelerated SAM/P6 mice - a comparison with alfacalcidol.

    Science.gov (United States)

    Shiraishi, Ayako; Sakai, Sadaoki; Saito, Hitoshi; Takahashi, Fumiaki

    2014-10-01

    Eldecalcitol (ELD), a 2β-hydroxypropyloxy derivative of 1α,25(OH)2D3, is a potent inhibitor of bone resorption that has demonstrated a greater effect at reducing the risk of fracture in osteoporotic patients than alfacalcidol (ALF). In the present study, we used the senescence-accelerated mouse strain P6 (SAM/P6), which has low bone mass caused by osteoblast dysfunction, to evaluate the effect of ELD on cortical bone in comparison with ALF. Four-month-old SAM/P6 mice were given either ELD (0.025 or 0.05μg/kg) or ALF (0.2 or 0.4μg/kg) by oral gavage 5 times/week for 6 weeks. Both ELD and ALF increased serum calcium (Ca) in a dose-dependent manner. Serum Ca levels in the ELD 0.05μg/kg group were comparable to those of the ALF 0.2μg/kg group. ELD 0.05μg/kg significantly improved the bone biomechanical properties of the femur compared with the vehicle control group (pBone histomorphometry revealed that in the femoral endocortical surface, the suppression of bone resorption parameters (N.Oc/BS) and bone formation parameters (MS/BS) by ELD (0.05μg/kg) was greater than that by ALF (0.2μg/kg). In contrast, in the femoral periosteal surface, ELD 0.05μg/kg significantly increased bone formation parameters (BFR/BS, MS/BS) compared with the vehicle control group (pbone not only by inhibiting endocortical bone resorption but also by stimulating the periosteal bone formation in SAM/P6 mice. This article is part of a Special Issue entitled '16th Vitamin D Workshop'. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Vi er ved at indføre en ny slags systemkontrol

    DEFF Research Database (Denmark)

    Booss-Bavnbek, Bernhelm

    2016-01-01

    Om forholdet mellem det formale og det sociale. Sindelagskontrol i 1970ernes Vesttyskland og dagens Danmark. Diskussionen mellem Alf Ross og Hal Koch. En tysk matematikers syn.......Om forholdet mellem det formale og det sociale. Sindelagskontrol i 1970ernes Vesttyskland og dagens Danmark. Diskussionen mellem Alf Ross og Hal Koch. En tysk matematikers syn....

  20. Reducing Medical Students' Stigmatization of People with Chronic Mental Illness: A Field Intervention at the "Living Museum" State Hospital Art Studio

    Science.gov (United States)

    Cutler, Janis L.; Harding, Kelli J.; Hutner, Lucy A.; Cortland, Clarissa; Graham, Mark J.

    2012-01-01

    Objective: The authors designed an intervention to reduce beginning medical students' stigmatization of people with chronic mental illness (CMI). Methods: Pre-clinical medical students visited a state psychiatric facility's "Living Museum," a combination patient art studio/display space, as the intervention. During the visit, students interacted…

  1. Serologic response of roosters to gradient dosage levels of a commercially available live F strain-derived Mycoplasma gallisepticum vaccine over time

    Science.gov (United States)

    Spray application is a commonly used time- and labor-efficient means to deliver live Mycoplasma gallisepticum (MG) vaccine to laying hens in commercial production facilities. The dosage of vaccine received by spray vaccinated birds can vary due to variation in the spray plume and vaccine suspension...

  2. Development of a locally sustainable functional food for people living with HIV in Sub-Saharan Africa: Laboratory testing and sensory evaluation

    NARCIS (Netherlands)

    A. van Tienen; Y. Hullegie; R.B.S. Hummelen (Ruben); J. Hemsworth (Jaimie); J. Changalucha (John); G. Reid (Gregor)

    2011-01-01

    textabstractThe use of Lactobacillus rhamnosus GR-1 and micronutrients has been associated with a preserved immune function among people living with HIV. However, use of these products in the developing world remains limited due to the lack of facilities for production. We describe the development

  3. Effect of distance to radiation treatment facility on use of radiation therapy after mastectomy in elderly women

    International Nuclear Information System (INIS)

    Punglia, Rinaa S.; Weeks, Jane C.; Neville, Bridget A.; Earle, Craig C.

    2006-01-01

    Purpose: We sought to study the effect of distance to the nearest radiation treatment facility on the use of postmastectomy radiation therapy (PMRT) in elderly women. Methods and Materials: Using data from the linked Surveillance, Epidemiology, and End Results-Medicare (SEER-Medicare) database, we analyzed 19,787 women with Stage I or II breast cancer who received mastectomy as definitive surgery during 1991 to 1999. Multivariable logistic regression was used to investigate the association of distance with receipt of PMRT after adjusting for clinical and sociodemographic factors. Results: Overall 2,075 patients (10.5%) treated with mastectomy received PMRT. In addition to cancer and patient characteristics, in our primary analysis, increasing distance to the nearest radiation treatment facility was independently associated with a decreased likelihood of receiving PMRT (OR 0.996 per additional mile, p = 0.01). Secondary analyses revealed that the decline in PMRT use appeared at distances of more than 25 miles and was statistically significant for those patients living more than 75 miles from the nearest radiation facility (odds of receiving PMRT of 0.58 [95% CI 0.34-0.99] vs. living within 25 miles of such a facility). The effect of distance on PMRT appeared to be more pronounced with increasing patient age (>75 years). Variation in the effect of distance on radiation use between regions of the country and nodal status was also identified. Conclusions: Oncologists must be cognizant of the potential barrier to quality care that is posed by travel distance, especially for elderly patients; and policy makers should consider this fact in resource allocation decisions about radiation treatment centers

  4. Hepatitis A among refugees, asylum seekers and migrants living in hosting facilities, Greece, April to December 2016

    Science.gov (United States)

    Mellou, Kassiani; Chrisostomou, Anthi; Sideroglou, Theologia; Georgakopoulou, Theano; Kyritsi, Maria; Hadjichristodoulou, Christos; Tsiodras, Sotirios

    2017-01-01

    An increased number of hepatitis A cases among refugees, asylum seekers and migrants residing in hosting facilities in Greece were recorded between April and December 2016. In total, 177 laboratory-confirmed symptomatic cases were reported; of these, 149 (84%) occurred in hosting camps mostly among Syrian children under 15 years. All cases reported symptom onset after their entry into the country. Public health interventions focused on hygiene measures and vaccination. PMID:28181904

  5. Alpha-fetoprotein as a prognostic marker in acute liver failure: a pilot study.

    Science.gov (United States)

    Varshney, Anshul; Gupta, Rohit; Verma, Sanjiv K; Ahmad, Sohaib

    2017-07-01

    Prognostic markers of acute liver failure (ALF) are based on clinical, laboratory or radiological parameters. Most of the biochemical markers are based on hepatic degeneration. We studied the impact of serial serum alpha-fetoprotein (AFP) levels, a marker of liver regeneration, on the outcome of the patients with ALF. AFP levels were estimated on days 1 and 3 of hospitalisation of 32 patients with ALF and the ratio (AFP day3/day1) was calculated. All subjects were categorised as group A (expired) or group B (survived). The AFP ratio was 0.84  +  0.15 in group A (n = 20) versus 1.55  +  0.70 in group B (n = 10); P < 0.001. However, the absolute initial AFP values were not associated with the outcome, favourable or unfavourable. We conclude that AFP levels change dynamically during ALF and have the potential to be used as a predictor of outcome in isolation or in combination with well-established prognostic markers.

  6. Steroid use in acute liver failure

    DEFF Research Database (Denmark)

    Karkhanis, Jamuna; Verna, Elizabeth C; Chang, Matthew S

    2014-01-01

    UNLABELLED: Drug-induced and indeterminate acute liver failure (ALF) might be due to an autoimmune-like hepatitis that is responsive to corticosteroid therapy. The aim of this study was to evaluate whether corticosteroids improve survival in fulminant autoimmune hepatitis, drug-induced, or indete......UNLABELLED: Drug-induced and indeterminate acute liver failure (ALF) might be due to an autoimmune-like hepatitis that is responsive to corticosteroid therapy. The aim of this study was to evaluate whether corticosteroids improve survival in fulminant autoimmune hepatitis, drug......-induced, or indeterminate ALF, and whether this benefit varies according to the severity of illness. We conducted a retrospective analysis of autoimmune, indeterminate, and drug-induced ALF patients in the Acute Liver Failure Study Group from 1998-2007. The primary endpoints were overall and spontaneous survival (SS......% versus 66%, P = 0.41), nor with improved survival in any diagnosis category. Steroid use was associated with diminished survival in certain subgroups of patients, including those with the highest quartile of the Model for Endstage Liver Disease (MELD) (>40, survival 30% versus 57%, P = 0...

  7. Effect of Al Hot-Dipping on High-Temperature Corrosion of Carbon Steel in N2/0.1% H2S Gas

    Directory of Open Access Journals (Sweden)

    Muhammad Ali Abro

    2016-02-01

    Full Text Available High-temperature corrosion of carbon steel in N2/0.1% H2S mixed gas at 600–800 °C for 50–100 h was studied after hot-dipping in the aluminum molten bath. Hot-dipping resulted in the formation of the Al topcoat and the Al-Fe alloy layer firmly adhered on the substrate. The Al-Fe alloy layer consisted primarily of a wide, tongue-like Al5Fe2 layer and narrow Al3Fe layer. When corroded at 800 °C for 100 h, the Al topcoat partially oxidized to the protective but non-adherent α-Al2O3 layer, and the interdiffusion converted the Al-Fe alloy layer to an (Al13Fe4, AlFe3-mixed layer. The interdiffusion also lowered the microhardness of the hot-dipped steel. The α-Al2O3 layer formed on the hot-dipped steel protected the carbon steel against corrosion. Without the Al hot-dipping, the carbon steel failed by forming a thick, fragile, and non-protective FeS scale.

  8. Ionic interactions in alkali-aluminium tetrafluoride clusters

    International Nuclear Information System (INIS)

    Akdeniz, Z.; Cicek, Z.; Karaman, A.; Pastore, G.; Tosi, M.P.

    1999-08-01

    Complex anion structures ((AlF 4 ) - , (AlF 5 ) 2- and (AlF 6 ) 3- ) coexist in liquid mixtures of aluminium trifluoride and alkali fluorides in composition-dependent relative concentrations and are known to interact with the alkali counterions. We present a comparative study of the static and vibrational structures of MAlF 4 molecules (with M = any alkali), with the aim of developing and testing a refined model of the ionic interactions for applications to the Al-M fluoride mixtures. We find that, whereas an edge-bridged coordination is strongly favoured for Li in LiAIF 4 , edge-bridging and face-bridging of the alkali ion become energetically equivalent as one moves from Na to the heavier alkalis. This result is sensitive to the inclusion of alkali polarizability and may be interpreted as implying (for M = K, Rb or Cs) almost free relative rotations of the M + and (AlF 4 ) - partners at temperatures of relevance to experiment. The consistency of such a viewpoint with electron diffraction data on vapours and with Raman spectra on melts is discussed. (author)

  9. Liveness redux: on media and their claim to be live.

    Science.gov (United States)

    van Es, Karin

    2017-11-01

    Increasingly media are asserting themselves as live. In television, this has been an important strategy and recently it has been employed by new media platforms such as Facebook, Periscope and Snapchat. This commentary explains the revival of live media by exploring the meaning and operations of the concept and argues the continued relevance of the concept for the study of social media. Traditionally, there have been three main approaches to the live in academic writing (i.e. liveness as ontology, as phenomenology and as rhetoric): each has its particular shortcoming. This paper proposes that it is more productive to understand the live as a construction that assists to secure media a central role in everyday life.

  10. Social capital, outpatient care utilization and choice between different levels of health facilities in rural and urban areas of Bhutan.

    Science.gov (United States)

    Herberholz, Chantal; Phuntsho, Sonam

    2018-06-18

    This study examines the factors that explain outpatient care utilization and the choice between different levels of health facilities in Bhutan, focusing on individual social capital, given Bhutan's geography of remote and sparsely populated areas. The more isolated the living, the more important individual social capital may become. Standard factors proposed by the Andersen model of healthcare utilization serve as control variables. Data for 2526 households from the 2012 Bhutan Living Standards Survey, which contains a social capital module covering structural, cognitive and output dimensions of social capital, are used. The results from the logistic regression analysis show that individual social capital is positively related with the probability of seeking treatment when ill or injured. Informal social contacts and perceived help and support are most important in rural areas, whereas specific trust matters in urban areas. The explanatory power of the model using a subset of the data for urban areas only, however, is very low as most predisposing and enabling factors are insignificant, which is not surprising though in view of better access to health facilities in urban areas and the fact that healthcare is provided free of charge in Bhutan. Multinomial regression results further show that structural and output dimensions of social capital influence the likelihood of seeking care at secondary or tertiary care facilities relative to primary care facilities. Moreover, economic status and place of residence are significantly associated with healthcare utilization and choice of health facility. The findings with respect to social capital suggest that strategizing and organizing social capital may help improve healthcare utilization in Bhutan. Copyright © 2018 Elsevier Ltd. All rights reserved.

  11. Development plan. High activity-long living wastes project. Abstract

    International Nuclear Information System (INIS)

    2007-01-01

    This brochure presents the actions that the ANDRA (the French national agency of radioactive wastes) has to implement in the framework of the project of high activity-long living (HALL) radioactive wastes (HAVL project) conformably to the requirements of the program defined in the law from June 28, 2006 (law no 2006-739). This law precises the three, complementary, research paths to explore for the management of this type of wastes: separation and transmutation of long-living radioactive elements, reversible disposal in deep geologic underground, and long duration storage. The ANDRA's action concerns the geologic disposal aspect. The following points are presented: the HALL wastes and their containers, the reversible disposal procedure, the HAVL project: financing of researches, storage concepts, development plan of the project (dynamics, information and dialogue approach, input data, main steps, schedule); the nine programs of the HAVL project (laboratory experiments and demonstration tests, surface survey, scientific program, simulation program, surface engineering studies and technological tests, information and communication program, program of environment and facilities surface observation and monitoring, waste packages management, monitoring and transport program, disposal program); the five transverse technical and scientific activities (safety, reversibility, cost, health and occupational safety, impact study). (J.S.)

  12. Living with endometriosis

    Science.gov (United States)

    Pelvic pain - living with endometriosis; Endometrial implant - living with endometriosis; Endometrioma - living with endometriosis ... counter pain relievers can reduce the pain of endometriosis. These include: Ibuprofen (Advil) Naproxen (Aleve) Acetaminophen (Tylenol) ...

  13. Development of a collinear laser spectrometer facility at VECC: First test result

    Science.gov (United States)

    Ali, Md Sabir; Ray, Ayan; Raja, Waseem; Bandyopadhyay, Arup; Naik, Vaishali; Polley, Asish; Chakrabarti, Alok

    2018-04-01

    We report here the development of collinear laser spectroscopy (CLS) system at VECC for the study of hyperfine spectrum and isotopic shift of stable and unstable isotopes. The facility is first of its kind in the country allowing measurement of hyperfine splitting of atomic levels using atomic beams. The CLS system is installed downstream of the focal plane of the existing isotope separator online (ISOL) facility at VECC and is recently commissioned by successfully resolving the fluorescence spectrum of the hyperfine levels in ^{85,87}Rb. The atomic beams of Rb were produced by charge exchange of 8 keV Rb ion beam which were produced, extracted and transported to the charge exchange cell using the ion sources, extractor and the beam-line magnets of the ISOL facility. The laser propagating opposite to the ion / atom beam direction was allowed to interact with the atom beam and fluorescence spectrum was recorded. The experimental set-up and the experiment conducted are reported in detail. The measures needed to be carried out for improving the sensitivity to a level necessary for studying short-lived exotic nuclei have also been discussed.

  14. Enhancing Assisted Living Technology with Extended Visual Memory

    Directory of Open Access Journals (Sweden)

    Joo-Hwee Lim

    2011-05-01

    Full Text Available Human vision and memory are powerful cognitive faculties by which we understand the world. However, they are imperfect and further, subject to deterioration with age. We propose a cognitive-inspired computational model, Extended Visual Memory (EVM, within the Computer-Aided Vision (CAV framework, to assist human in vision-related tasks. We exploit wearable sensors such as cameras, GPS and ambient computing facilities to complement a user's vision and memory functions by answering four types of queries central to visual activities, namely, Retrieval, Understanding, Navigation and Search. Learning of EVM relies on both frequency-based and attention-driven mechanisms to store view-based visual fragments (VF, which are abstracted into high-level visual schemas (VS, both in the visual long-term memory. During inference, the visual short-term memory plays a key role in visual similarity computation between input (or its schematic representation and VF, exemplified from VS when necessary. We present an assisted living scenario, termed EViMAL (Extended Visual Memory for Assisted Living, targeted at mild dementia patients to provide novel functions such as hazard-warning, visual reminder, object look-up and event review. We envisage EVM having the potential benefits in alleviating memory loss, improving recall precision and enhancing memory capacity through external support.

  15. Modeling Accessibility of Screening and Treatment Facilities for Older Adults using Transportation Networks.

    Science.gov (United States)

    Zhang, Qiuyi; Northridge, Mary E; Jin, Zhu; Metcalf, Sara S

    2018-04-01

    Increased lifespans and population growth have resulted in an older U.S. society that must reckon with the complex oral health needs that arise as adults age. Understanding accessibility to screening and treatment facilities for older adults is necessary in order to provide them with preventive and restorative services. This study uses an agent-based model to examine the accessibility of screening and treatment facilities via transportation networks for older adults living in the neighborhoods of northern Manhattan, New York City. Older adults are simulated as socioeconomically distinct agents who move along a GIS-based transportation network using transportation modes that mediate their access to screening and treatment facilities. This simulation model includes four types of mobile agents as a simplifying assumption: walk, by car, by bus, or by van (i.e., a form of transportation assistance for older adults). These mobile agents follow particular routes: older adults who travel by car, bus, and van follow street roads, whereas pedestrians follow walkways. The model enables the user to focus on one neighborhood at a time for analysis. The spatial dimension of an older adult's accessibility to screening and treatment facilities is simulated through the travel costs (indicated by travel time or distance) incurred in the GIS-based model environment, where lower travel costs to screening and treatment facilities imply better access. This model provides a framework for representing health-seeking behavior that is contextualized by a transportation network in a GIS environment.

  16. Biochemistry Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Biochemistry Facility provides expert services and consultation in biochemical enzyme assays and protein purification. The facility currently features 1) Liquid...

  17. Facility effluent monitoring plan for the plutonium-uranium extraction facility

    International Nuclear Information System (INIS)

    Nickels, J.M.; Geiger, J.L.

    1992-11-01

    A facility effluent monitoring plan is required by the US Department of Energy in DOE Order 5400.1 for any operations that involve hazardous materials and radioactive substances that could impact employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation requires the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified. in. A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements

  18. Jupiter Laser Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Jupiter Laser Facility is an institutional user facility in the Physical and Life Sciences Directorate at LLNL. The facility is designed to provide a high degree...

  19. Quality Improvement in Skilled Nursing Facilities for Residents With Alzheimer's Disease.

    Science.gov (United States)

    Farlow, Martin R; Borson, Soo; Connor, Stephen R; Grossberg, George T; Mittelman, Mary S

    2016-03-01

    This report describes a quality improvement continuing medical education activity designed to enhance the recognition and treatment of residents with Alzheimer's disease (AD) or other dementias in skilled-nursing facilities (SNFs). Charts were compared in 6 areas prior to and following (stages A and C) a live, faculty-led workshop (stage B). Four SNFs completed stages A (n = 67 residents) and B, and 3 SNFs completed stage C (n = 52 residents). All charts came from residents with AD or a diagnosis of dementia or dementia-like symptoms. The SNFs had >95% baseline performance in both the frequency of cognitive assessments and documented medication reviews. The percentage of residents who received a quality-of-life assessment and those who had a mental health care plan in place represent areas for improvement. As part of this activity, a toolkit was developed to help guide facilities and clinicians in instituting care improvements for residents with AD/dementia. © The Author(s) 2015.

  20. Finding a place to connect: A qualitative study exploring the influences of the physical and social environments on spouses' opportunities to maintain relationships when visiting a partner with dementia living in long-term care.

    Science.gov (United States)

    Førsund, Linn Hege; Ytrehus, Siri

    2016-06-17

    The purpose of this qualitative study was to explore how physical and social environments influence spouses' opportunities to maintain relationships when visiting a partner with dementia living in long-term care. Interviews with 15 spouses whose partners lived in long-term care facilities for persons with dementia, observations of physical environments and participant observations were conducted. The results showed how finding a place for spouses to connect in the long-term care facility was important in maintaining relationships. Access to individual rooms was an important feature that enabled connections throughout the phases of dementia, whereas common areas appeared more difficult to use because small spaces limited private interactions. Health personnel were important in sustaining spouses' abilities to maintain their relationships in long-term care facilities for persons with dementia. © The Author(s) 2016.