In-hospital mortality and treatment patterns in acute myocardial infarction patients admitted during national cardiology meeting dates.

Science.gov (United States)

Mizuno, Seiko; Kunisawa, Susumu; Sasaki, Noriko; Fushimi, Kiyohide; Imanaka, Yuichi

2016-10-01

Many hospitals experience a reduction in the number of available physicians on days when national scientific meetings are conducted. This study investigates the relationship between in-hospital mortality in acute myocardial infarction (AMI) patients and admission during national cardiology meeting dates. Using an administrative database, we analyzed patients with AMI admitted to acute care hospitals in Japan from 2011 to 2013. There were 3 major national cardiology meetings held each year. A hierarchical logistic regression model was used to compare in-hospital mortality and treatment patterns between patients admitted on meeting dates and those admitted on identical days during the week before and after the meeting dates. We identified 6,332 eligible patients, with 1,985 patients admitted during 26 meeting days and 4,347 patients admitted during 52 non-meeting days. No significant differences between meeting and non-meeting dates were observed for in-hospital mortality (7.4% vs. 8.5%, respectively; p=0.151, unadjusted odds ratio: 0.861, 95% confidence interval: 0.704-1.054) and the proportion of percutaneous coronary intervention (PCI) performed on the day of admission (75.9% vs. 76.2%, respectively; p=0.824). We also found that some low-staffed hospitals did not treat AMI patients during meeting dates. Little or no "national meeting effect" was observed on in-hospital mortality in AMI patients, and PCI rates were similar for both meeting and non-meeting dates. Our findings also indicated that during meeting dates, AMI patients may have been consolidated to high-performance and sufficiently staffed hospitals. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Assessment of housing design decisions in informal housing ...

African Journals Online (AJOL)

The rapid urbanisation of cities in developing countries has witnessed a growth in the volume of housing construction in the urban areas. The demand for housing and the inability of government to meet this demand has encouraged the growth of informal housing. The concept of healthy buildings is of great importance, ...

Meeting the nutritional requirements of hospitalized patients: an interdisciplinary approach to hospital catering.

Science.gov (United States)

Iff, S; Leuenberger, M; Rösch, S; Knecht, G; Tanner, B; Stanga, Z

2008-12-01

The study served to assure the quality of our catering, to locate problems, and to define further optimization measures at the Bern University Hospital. The main objective was to investigate whether the macronutrient and energy content of the hospital food complies with the nutritional value calculated from recipes as well as with the recommendations issued by the German Nutrition Society (DGE). Prospective, randomized, single-center quality study. Complete standard meals were analyzed over seven consecutive days for each seasonal menu plan in one year. The quantitative and qualitative chemical content of a randomly chosen menu was determined by an external laboratory. Sixty meals were analyzed. The amount of food served and the ratio of macronutrients contained in the food satisfactorily reflected all recipes. Not surprisingly, the energy and carbohydrate content of our meals was lower than in the German recommendations, because the report of the DGE is based on the sum of meals, snacks and beverages consumed over the whole day and not only on the main meals, as we analyzed. Periodic quality control is essential in order to meet recommendations and patients' expectations in hospital catering. Members of the catering service should undergo regularly repeated skills training, and continuous efforts should be made to ensure portion size for all delivered meals. Food provision in the hospital setting needs to be tailored to meet the demands of the different patient groups, to optimize nutritional support, and to minimize food waste.

The design of social housing. Meeting the needs and user expectations

Directory of Open Access Journals (Sweden)

Alex Leandro Pérez-Pérez

2016-04-01

Full Text Available El diseño de la vivienda de interés social.La satisfacción de las necesidades y expectativas del usuarioResumenSe presenta un modelo de relaciones entre el diseño y la satisfacción de las necesidades y expectativas de los usuarios, mediante un enfoque temporal y espacial determinado. A partir de metodologías cualitativas de investigación se evaluó la calidad del diseño en dos ejemplos documentados y paradigmáticos en Latinoamérica, y seis casos en la evolución histórica de la vivienda social de Bogotá desde el año 2000. La evaluación de la vivienda para los sectores de bajos ingresos económicos se efectúa mediante un enfoque que involucra no solo la solución habitacional, sino la relación de esta con su entorno inmediato y con la ciudad; se ofrecen recomendaciones para mejorar la calidad del diseño, basadas en las ideas de una vivienda de interés social (VIS flexible, evolutiva y productiva, aportando a la discusión actual sobre la responsabilidad social del diseño urbano y arquitectónico que involucre la participación del usuario, de la mano de los retos impuestos por el Estado nacional en relación con los promotores inmobiliarios y la administración Distrital.Palabras clave: calidad de vida, diseño arquitectónico, hábitat popular, planificación urbana, política pública. The design of social housingMeeting the needs and user expectationsAbstractA pattern of relationships between design and meeting the needs and expectations of users through a certain temporal and spatial approach is presented. From qualitative research methodologies design quality is evaluated in two documented examples and evaluated in Latin America, and six cases in the historical development of social housing in Bogota since 2000. The assessment of housing for the low income population is effected by an approach that involves not only the housing solution, but the relationship between it and its immediate surroundings and the city

Perceptions of house officers working in hospitals of Lahore about joining the field of anaesthesiology as a career.

Science.gov (United States)

Anjum, Sohail; Mahboob, Usman

2016-10-01

To determine the perceptions of house officers working in hospitals about joining anaesthesiology as a career. This quantitative, descriptive questionnaire-based study was carried out from September 2014 to February 2015 in 26 teaching hospitals of Lahore, Pakistan, and comprised house officers. Those with at least three months of working experience in anaesthesiology were included. They were approached in their respective departments and a validated self-reporting questionnaire was delivered to them and received back by hand. SPSS 16 was used for data analysis. Of the 73 house officers approached, 53(72.6%) responded; 35(66%) men and 18(33%) women. Overall, 25(47.16%) respondents refused to join anaesthesiology as a career and 27(50.94%) included it in their first three career choices. Moreover, 25(47.16%) cited minimal interaction with patient as a reason for not taking anaesthesia as a career choice; 29(56.6%) of the respondents believed an anaesthetist had no or little role in surgery. Change in attitude about anaesthesiology as a specialty after having an anaesthesia rotation was mentioned by 26(49.05%) respondents. House officers had reservations about joining anaesthesiology as a career. The findings are suggestive of a positive effect of anaesthesiology house job on house officers attitude about the specialty.

Exploring the use of smartphones and tablets by medical House Officers in Korle-Bu Teaching Hospital.

Science.gov (United States)

Barnor-Ahiaku, Edem

2016-03-01

Smartphones and tablets are being used widely in the Western World creating benefits in healthcare. The Ministry of Health in Ghana has an e-Health strategy, with the aim of integrating such resources into healthcare. Whilst there are numerous mHealth projects going on in Ghana, there is little evidence of doctors using such devices in their practice. A qualitative study was undertaken in Korle-Bu Teaching Hospital. Random sampling was used to identify House Officers, who engaged in semi-structured interviews. Interviews were recorded, transcribed and analysed using thematic content analysis. Consent was gained from all participants and the University of Leeds granted ethical approval. The results demonstrate that current House Officers began using smartphones and tablets at various stages during medical school. Their use has increased since qualification. Although the overall use has increased, some staff remain resistant to the use of smartphones and tablets. In the future, the integration of smartphones and tablets into medical practice can be improved by integration with the medical curriculum and accepted practice. House Officers are routinely using smartphones and tablets to assist them in their daily practice. The use is informal and is peer led. Whilst they bring many benefits, there are issues, which need to be addressed. In Korle-Bu Teaching Hospital integrating smartphone and tablet use into practice is feasible and would prove beneficial.

75 FR 81096 - Federal Home Loan Bank Housing Goals

Science.gov (United States)

2010-12-27

...). Section 10C(e) requires the Director to annually report to Congress on the performance of the Banks in... benchmark levels to measure the Banks' housing goals performance. The Banks' performance under the housing... originated both by members and non-members. A Bank meets a housing goal if its annual performance meets or...

The Journey to Meet Emerging Community Benefit Requirements in a Rural Hospital: A Case Study

Science.gov (United States)

Sabin, Allison V; Levin, Pamela F

2015-10-22

The Affordable Care Act requires nonprofit hospitals to collaborate with public health agencies and community stakeholders to identify and address community health needs. As a rural organization, Wabash County (Indiana) Hospital pursued new approaches to achieve these revised requirements of the community benefit mandate. Using a case study approach, the authors provide a historical review of governmental relationships with nonprofit community hospitals, offer a case study application for implementing legislative mandates and community benefit requirements, share the insights they garnered on their journey to meet the mandates, and conclude that drawing upon the existing resources in the community and using current community assets in novel ways can help conserve time, and also financial, material, and human resources in meeting legislative mandates.

Does a new steam meal catering system meet patient requirements in hospital?

Science.gov (United States)

Hickson, M; Fearnley, L; Thomas, J; Evans, S

2007-10-01

It has been consistently observed that a significant proportion of hospital inpatients are malnourished and many actually develop malnutrition in hospital. The NHS provides over 300 million meals each year at a cost of pound 500 million, yet there is relatively little research evaluating how well different catering systems provide for the needs of hospital inpatients. The aim of the study was to: (i) evaluate whether a new steam meal catering system (Steamplicity) enables patients in theory to meet their energy requirements in hospital and (ii) compare energy and protein intake using Steamplicity with a traditional bulk cook-chill system. Patients not at nutritional risk had their food intake at one lunchtime assessed. Energy intake was compared with the patients' energy requirements and energy and protein intake were compared with previous data from a bulk system. Fifty-seven patients had a median daily energy requirement of 7648 kJ (1821 kcal) [inter-quartile range (IQR): 6854-9164 kJ]. Assuming 30% [2293 kJ (546 kcal)] should be supplied by the lunch meal the average intake of 1369 kJ (326 kcal) fell short by 40%. Patients served meals from Steamplicity ate less energy [1369 kJ versus 1562 kJ (326 kcal versus 372 kcal) P = 0.04] but similar protein (18 g versus 19 g P = 0.34) to the bulk system. The largest difference was the energy provided by the dessert since the bulk system served more hot high-calorie desserts. Patient intakes did not meet their estimated requirements. The patients in this study were eating well and not at nutritional risk, thus patients with a poor appetite will be even less likely to meet their nutritional requirements. Steamplicity meals result in a lower energy intake than meals from a bulk cook-chill system, but similar protein intakes.

24 CFR 107.40 - Compliance meeting.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Compliance meeting. 107.40 Section... NONDISCRIMINATION AND EQUAL OPPORTUNITY IN HOUSING UNDER EXECUTIVE ORDER 11063 § 107.40 Compliance meeting. (a... allegedly in violation (respondent) shall be sent a Notice of Compliance Meeting and requested to attend a...

24 CFR 245.120 - Meeting space.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Meeting space. 245.120 Section 245... PARTICIPATION IN MULTIFAMILY HOUSING PROJECTS Tenant Organizations § 245.120 Meeting space. (a) Owners of... of any community room or other available space appropriate for meetings that is part of the...

24 CFR 108.25 - Compliance meeting.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Compliance meeting. 108.25 Section... COMPLIANCE PROCEDURES FOR AFFIRMATIVE FAIR HOUSING MARKETING § 108.25 Compliance meeting. (a) Scheduling meeting. If an applicant fails to comply with requirements under § 108.15 or § 108.20 or it appears that...

Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization.

Science.gov (United States)

Rudoler, David; de Oliveira, Claire; Jacob, Binu; Hopkins, Melonie; Kurdyak, Paul

2018-01-01

The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for Addiction and Mental Health in Toronto. The intervention, called the High Support Housing Initiative, was implemented in 2013 through a collaboration between 15 agencies in the Toronto area. The perspective of this cost analysis was that of the Ontario Ministry of Health and Long-Term Care. We compared the cost of inpatient mental health care to high-support housing. Cost data were derived from a variety of sources, including health administrative data, expenditures reported by housing providers, and document analysis. The High Support Housing Initiative was cost saving relative to inpatient care. The average cost savings per diem were between $140 and $160. This amounts to an annual cost savings of approximately $51,000 to $58,000. When tested through sensitivity analysis, the intervention remained cost saving in most scenarios; however, the result was highly sensitive to health system costs for clients of the High Support Housing Initiative program. This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.

Housing consumption and urbanization

OpenAIRE

Lozano-Gracia, Nancy; Young, Cheryl

2014-01-01

Rapid urbanization in Sub-Saharan Africa places immense pressure on urban services to meet the needs of the burgeoning urban population. Although several country- or city-level reports offer insight into the housing challenges of specific places, little is known about regional patterns affecting housing markets. This lack of clear knowledge on the relative importance of the factors influen...

76 FR 40741 - Federal Housing Administration (FHA) Mortgage Insurance Premiums for Multifamily Housing Programs...

Science.gov (United States)

2011-07-11

... Administration (FHA) Mortgage Insurance Premiums for Multifamily Housing Programs, Health Care Facilities and... mortgage insurance premiums (MIPs) for FHA Multifamily Housing, Health Care Facilities, and Hospital... mortgage insurance regulation at 24 CFR 207.254 provides as follows: Notice of future premium changes will...

Deployment of an in-house designed training process in a quaternary care hospital.

Science.gov (United States)

Kumar, Ajit; Bhatia, Saurabh; Chiang, I-Jen

2013-01-01

Healthcare providers, such as doctors and nurses, have been famous for high resistance to change. A careful change management plan, particularly training process, is utmost necessary. A quaternary care hospital in India changed its system, from manual to Electronic Medical Record/Health Information System (EMR/HIS). The hospital management wanted to train its 4000 diverse end-users on the EMR/HIS in two months' time. This paper describes an in-house designed training process and its deployment in the given healthcare organizational settings. We designed a training process named DRIPDA. The training process was deployed to train 4000 end-users of EMR/HIS, in the quaternary care hospital. Various factors, such as methods and tools of training, constraints of trainees, trainers, and organization were considered while deploying the training process. The effectiveness of the DRIPDA was assessed using the Kirkpatrick model. End-users received training on the new system only in 25% of estimated time and 28% of the projected expense, without having any distraction in their usual workflow, or any productivity loss. We found that the DRIPDA training process could train all employees effectively and efficiently. A decent training process can help in managing the change, thereby reduce the training time and cost.

7 CFR 3560.626 - Affirmative Fair Housing Marketing Plan.

Science.gov (United States)

2010-01-01

... 7 Agriculture 15 2010-01-01 2010-01-01 false Affirmative Fair Housing Marketing Plan. 3560.626 Section 3560.626 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING... § 3560.626 Affirmative Fair Housing Marketing Plan. On-farm labor housing must meet the requirements of...

ENERGY EFFICIENT RENOVATION OF SOCIAL HOUSING

DEFF Research Database (Denmark)

Blyt, Henrik; Christiansen, Michael; Bech-Nielsen, Grith

-creating way. The project meets the challenges above by contributing with two findings: First we present methods on how to carry out value generating interdisciplinary collaboration between the housing sector parties, such as residents, housing administration, politicians, advisors, producers and contractors...... contributes to the strengthening of knowledge sharing within the housing sector, and the creation of a framework for long term investments and jobs....

Factors related to in-house agricultural animal caseloads in US veterinary teaching hospitals.

Science.gov (United States)

Tyler, Jeff W; Miller, Robert B; Constable, Peter D; Hostetler, Douglas E; Lakritz, Jeff; Hardin, David K; Angel, Kenneth L; Wolfe, Dwight F

2002-01-01

A retrospective observational study was conducted to determine whether agricultural animal caseloads at veterinary teaching hospitals declined between 1995 and 1998. Thereafter, the effect of organizational and demographic factors on 1998 in-house agricultural animal caseloads was examined. Caseload data were obtained from the American Association of Veterinary Medical Colleges. Demographic and organizational data were obtained by surveys, telephone interviews, and web-based resources. Complete data were available from 25 veterinary colleges, and data from these schools were used in subsequent analyses. In 1998, in-house food animal caseload decreased relative to 1995 in 17 schools and increased relative to 1995 in 8 schools. This trend was not significant (P = .053); however, the power of the test was limited (.50). Mean 1998 caseload was 886 +/- 504. Among schools with a discipline-based organizational structure, annual mean caseload was 464 +/- 220. Among schools with a species-based organizational structure, mean caseload was 1,167 +/- 463. The regression model that best predicted caseload was a forward-stepping model that included only organizational structure as an independent variable. No additional independent variable was significantly associated with caseload.

Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers.

Science.gov (United States)

Carder, Paula; Luhr, Gretchen; Kohon, Jacklyn

2016-01-01

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.

Friendly vertical housing: case of walk-up flat housing development in Yogyakarta

Science.gov (United States)

Fosterharoldas Swasto, Deva

2018-03-01

In Yogyakarta Province, the local government have developed walk-up flats housing for more than ten years since the mid of the 2000s. Yogyakarta City and Sleman Regency was pioneering the construction with some blocks of flats in several locations. However, after this period, there is limited evaluation about the effectiveness of the occupancy. One of the issues is related to the sustainable housing development. Concerning this situation, it is proposed to examine how the development of walk-up flats housing in Yogyakarta City and Sleman Regency can be evaluated based on specific housing indicator, as a part of sustainable housing development concept. This paper would like to explore the phenomenon on how ‘friendly’ the flats is. The researcher will qualitatively asses variables from the walk-up flat cases in Yogyakarta City and Sleman Regency. The results suggested that the physical quality of the vertical housing situation could be enhanced to meet residents’ satisfaction.

Hood River Passive House

Energy Technology Data Exchange (ETDEWEB)

Hales, David [BA-PIRC, Spokane, WA (United States)

2014-01-01

The Hood River Passive Project was developed by Root Design Build of Hood River Oregon using the Passive House Planning Package (PHPP) to meet all of the requirements for certification under the European Passive House standards. The Passive House design approach has been gaining momentum among residential designers for custom homes and BEopt modeling indicates that these designs may actually exceed the goal of the U.S. Department of Energy's (DOE) Building America program to "reduce home energy use by 30%-50% (compared to 2009 energy codes for new homes). This report documents the short term test results of the Shift House and compares the results of PHPP and BEopt modeling of the project. The design includes high R-Value assemblies, extremely tight construction, high performance doors and windows, solar thermal DHW, heat recovery ventilation, moveable external shutters and a high performance ductless mini-split heat pump. Cost analysis indicates that many of the measures implemented in this project did not meet the BA standard for cost neutrality. The ductless mini-split heat pump, lighting and advanced air leakage control were the most cost effective measures. The future challenge will be to value engineer the performance levels indicated here in modeling using production based practices at a significantly lower cost.

Hospital leadership perspectives on the contributions of Ronald McDonald Houses. Results from an international survey.

Science.gov (United States)

Lantz, Paula M; Rubin, Nicole; Mauery, D Richard

2015-01-01

The purpose of this paper is to describe an international survey of hospital executives and administrators' perspectives on the contributions of their affiliation with a Ronald McDonald House (RMH) as an example of accommodation in family-centered care to the hospital's mission, operations and patient experience. RMHs worldwide provided the names and e-mail addresses of the people holding key leadership positions in their main hospital partner, who in turn were invited to complete an internet-based survey (530 participants; response rate of 54.5 percent). Hospital leaders reported very positive opinions about the contributions of their RMHs affiliation to their ability to serve seriously ill children and their families. This included such important outcomes as increasing family integrity and family participation in care decisions; and decreasing psychosocial stress and hospital social work resource burdens associated with lodging, food, transportation and sibling support. Hospital chief executive offices (CEOs) and medical directors reported very strong and positive opinions regarding the value-added of their RMHs affiliation in many areas, including enhanced marketing of hospital specialty services and reduced length of stay. Survey response bias is a limitation, although the results are still useful in terms of identifying multiple ways in which RMHs are perceived as contributing to hospitals' operations and provision of family-centered care. Overall, the results suggest that, internationally, hospital leaders believe that RMHs play a key and valued role in their provision of family-centered care to seriously ill children and their families. Family accommodation is more than the simple provision of lodging and plays an integral role how hospitals approach family-centered care. This international study contributes to the general literature on the role of family accommodation in hospitals' provision of family-centered care and the specific and very sparse

The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first.

Science.gov (United States)

Kerman, Nick; Sylvestre, John; Aubry, Tim; Distasio, Jino

2018-03-20

Housing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in the patterns of service use over time among those who do or do not become stably housed and what effect, if any, Housing First has on these differing service use patterns. This study explored changes in the service use of people with mental illness who received Housing First compared to standard care, and how patterns of use differed among people who did and did not become stably housed. The study design was a multi-site randomized controlled trial of Housing First, a supported housing intervention. 2039 participants (Housing First: n = 1131; standard care: n = 908) were included in this study. Outcome variables include nine types of self-reported service use over 24 months. Linear mixed models examined what effects the intervention and housing stability had on service use. Participants who achieved housing stability, across the two groups, had decreased use of inpatient psychiatric hospitals and increased use of food banks. Within the Housing First group, unstably housed participants spent more time in prison over the study period. The Housing First and standard care groups both had decreased use of emergency departments and homeless shelters. The temporal service use changes that occurred as homeless people with mental illness became stably housed are similar for those receiving Housing First or standard care, with the exception of time in prison. Service use patterns, particularly with regard to psychiatric hospitalizations and time in prison, may signify persons who are at-risk of recurrent homelessness. Housing support teams should be alert to the impacts of stay-based services, such as hospitalizations and incarcerations, on housing stability and offer an increased level of support to tenants during critical periods, such as discharges. ISRCTN

Nunavut housing ventilation research 2003-2005

Energy Technology Data Exchange (ETDEWEB)

Fugler, D.

2005-11-15

Inuit children in Alaska and Nunavut have high rates of severe lower respiratory tract infections, with hospitalization rates of 300 per year for each 1000 infants. The aim of this research report was to summarize the findings of a pilot project measuring the indoor air quality (IAQ) in 20 Cape Dorset houses as well as a study measuring the ventilation rates of 100 house from 4 communities in Nunavut. The 20 house pilot study included a respiratory questionnaire; a detailed home inspection and data collection; a blower door airtightness test; 7 day measurements of nitrogen dioxide (NO{sub 2}), nicotine, carbon dioxide (CO{sub 2}), relative humidity and temperature; a natural air change rate testing using Brookhaven tracer gas technology; and settled floor dust and bed dust collection followed by biological analysis. The 100 house study recorded 3 to 5 days of house temperatures, relative humidity and CO{sub 2}. The Brookhaven tracer gas technique was used to establish house air change rate. A questionnaire was used to assess ventilation devices. A medical questionnaire was administered and an evaluation of hospitalization data was carried out. Results indicated that a large number of Nunavut houses were not adequately ventilated. In the 20 house study, a third of the houses showed air change rates that would be considered low by any ventilation standards, and that were very low when considering the high occupancy of the houses. In the hundred house study, almost all houses indicated a mean CO{sub 2} level over 1000 ppm, and peaks exceeded 2000 ppm in approximately half the houses. The concentrations were far higher than those seen in southern Canadian homes. It was concluded that the development and promotion of energy-efficient ventilation devices could help to resolve ventilation deficiencies in Nunavut. 2 figs.

Social Housing: wood prefabrication techniques

Directory of Open Access Journals (Sweden)

Tiziana Ferrante

2012-10-01

Full Text Available Student housing, a particular and quite significant part of social housing, and innovation in processing and production of industrial building components made of a material (wood not adequately inquired: two fields of research that have been explored for a long time allowing here to share and compare experiences gained thus far. By a selection of samples of wooden student housing in Europe we have documented the performances of this material and we have underlined, at the same time, through what happens abroad, the need of an organic national social housing plan that can meet an unsatisfied demand and boost the construction industry during this particular stage of economic crisis.

Meeting summary housing and registration information

Science.gov (United States)

The 1986 Ocean Sciences Meeting of the American Geophysical Union and the American Society of Limnology and Oceanography (ASLO) will be held January 13-17, 1986, in New Orleans, La., at the Fairmont Hotel. Co-sponsoring societies are the Acoustical Society of America (ASA), the American Meteorological Society (AMS), the Marine Technology Society (MTS), and the Institute of Electrical and Electronics Engineers, Oceanic Engineering Society (OES).Some of the most compelling problems in science and technology span two or more disciplines, and this is especially true of oceanography, which is an amalgamation of several sciences with technology. This meeting will cover topics that include physical and biological oceanography, atmospheric sciences, chemical and geological oceanography, underwater acoustics, and ocean technology.

How healthy and sustainable is the Dutch housing mix? Measuring and comparing the theoretical housing market balance of Dutch regional housing markets

Directory of Open Access Journals (Sweden)

Leonie B. Janssen-Jansen

2015-01-01

Full Text Available Housing and its distribution over groups of households dominates debates on urban socio-spatial justice. Amsterdam even received the label ‘Just City’ as the large stock of social housing in the core of the city is said to increase societal equity. Within the Netherlands, however, the Greater Amsterdam housing market is perceived to be the most dysfunctional. As the discussion is fed by highly political and ideological perspectives, it is difficult to assess at face value how balanced the housing mix of a housing market is and to what extent it meets the community’s needs. Consequently, it is difficult to inform politicians about strategies that contribute to a healthy and sustainable housing mix and address the lack of affordable housing which is high on urban policy agendas worldwide. In an attempt to go beyond ideological and political discussions, the aim of this interdisciplinary paper is to develop a metric to measure and compare the theoretical balance of housing markets across regions and across groups of households based on income. The metric will be applied to the case of the Netherlands. The findings of the theoretical model show that large-scale provisions for low-income households may not always result in an improved housing market balance.

State Skill Standards: Housing and Interior Design

Science.gov (United States)

Nevada Department of Education, 2008

2008-01-01

Meeting the Housing and Interior Design Standards will provide students with skills for personal family life and towards becoming a professional in the interior design field. The mission of Housing and Interior Design education is to prepare students for family life, work life, and careers in the fashion industry by creating opportunities to…

7 CFR 1948.78 - Growth management and housing planning projects.

Science.gov (United States)

2010-01-01

... 7 Agriculture 13 2010-01-01 2009-01-01 true Growth management and housing planning projects. 1948... Impacted Area Development Assistance Program § 1948.78 Growth management and housing planning projects. (a) Existing plans for growth management and housing may be used to meet the planning requirements of this...

75 FR 73116 - National Advisory Council Teleconference Meeting

Science.gov (United States)

2010-11-29

... teleconference meeting for the purpose of discussing and gathering feedback on the National Disaster Housing Task Force's Practitioners' Guide to Disaster Housing. DATES: Meeting Date: Thursday, December 16, 2010 from... the Web site. E-mail: [email protected] . Include Docket ID FEMA-2007-0008 in the subject line of the...

Work experiences, professional development and career prospects of New Zealand dental house surgeons.

Science.gov (United States)

Kim, Jenny J; Antoun, Joseph S

2010-12-01

New dental graduates compete for house surgeon positions every year, despite little being known about the work experience gained from such posts. The main objectives of this study were to identify the nature of house surgeons' work experiences, their continued professional development (CPD) opportunities and the impact of hospital experience on their future career pathways. A questionnaire was mailed to all 31 New Zealand dental house surgeons (response rate 100%). The majority of house surgeons (77.4%) found hospital work enjoyable, with nearly all (93.5%) perceiving themselves as better clinicians from their experience. Oral surgery, restorative dentistry, special needs dentistry and removable prosthodontics were the most commonly practised areas. The average weekly number of working hours was 42.3 hours for a normal week and 61.8 hours for an on-call week. Stress levels during on-call work were significantly higher than during day-to-day hospital work (p career, with nearly 13% wishing to return to a New Zealand hospital in the future. A dental house surgeon position remains an attractive choice and offers an enjoyable experience for young graduates. Hospitals provide ample CPD opportunities and appear to play an influential role in a house surgeon's career pathway.

Housing and Education Partnerships: A Case Study of Akron, Ohio

Science.gov (United States)

de Leon, Edwin; Saxena, Priya D.

2015-01-01

The housing and education sectors are being asked to do more with fewer resources. School districts often struggle to meet the needs of low-income students who deal with challenges outside of school and to connect them to resources that can strengthen their academic competencies. Public housing authorities and other assisted-housing providers…

Housing and Education Partnerships: A Case Study of Vancouver, Washington

Science.gov (United States)

Galvez, Martha; Simington, Jasmine

2015-01-01

The housing and education sectors are being asked to do more with fewer resources. School districts often struggle to meet the needs of low-income students who deal with challenges outside of school and to connect them to resources that can strengthen their academic competencies. Public housing authorities and other assisted-housing providers…

Bamboo may be the answer to Ethiopia's growing housing needs ...

International Development Research Centre (IDRC) Digital Library (Canada)

... assesses the potential of bamboo to meet East Africa's urgent housing needs. ... However, modernization, the decreasing availability of bamboo resources, ... the construction of tourist lodges and low-income urban housing which would be a ...

78 FR 15007 - Notice of Open House-Draft Environmental Impact Statement for Revised Water Control Manuals for...

Science.gov (United States)

2013-03-08

... DEPARTMENT OF DEFENSE Department of the Army; Corps of Engineers Notice of Open House--Draft... AGENCY: Department of the Army, U.S. Army Corps of Engineers, DoD. ACTION: Notice of Open House meetings... conduct open house style meetings and accept comments on the Draft Environmental Impact Statement (DEIS...

Using the private rented sector as a form of social housing

NARCIS (Netherlands)

Oxley, M.; Brown, T.; Haffner, M.; Hoekstra, J.; Lishman, R.

2011-01-01

The paper considers the role of the private rented sector in supplying housing that can be defined as social housing. It will do this by considering policy initiatives in Germany, France, the USA and England that use privately owned housing to meet social needs. The operation of these initiatives

Energy-efficient houses built according to the energy performance requirements introduced in Denmark in 2006

DEFF Research Database (Denmark)

Tommerup, Henrik M.; Rose, Jørgen; Svendsen, Svend

2007-01-01

In order to meet new tighter building energy requirements introduced in Denmark in 2006 and prepare the way for future buildings with even lower energy consumption, single-family houses were built with the purpose to demonstrate that it is possible to build typical single-family houses with an en......% of the required and almost the level of typical passive houses.......In order to meet new tighter building energy requirements introduced in Denmark in 2006 and prepare the way for future buildings with even lower energy consumption, single-family houses were built with the purpose to demonstrate that it is possible to build typical single-family houses...... with an energy consumption that meets the demands without problems concerning building technology or economy. The paper gives a brief presentation of the houses and the applied energy-saving measures. The paper also presents results from measurements of the overall energy use, indoor climate and air tightness...

Hidden Costs of Hospital Based Delivery from Two Tertiary Hospitals in Western Nepal.

Directory of Open Access Journals (Sweden)

Jeevan Acharya

Full Text Available Hospital based delivery has been an expensive experience for poor households because of hidden costs which are usually unaccounted in hospital costs. The main aim of this study was to estimate the hidden costs of hospital based delivery and determine the factors associated with the hidden costs.A hospital based cross-sectional study was conducted among 384 post-partum mothers with their husbands/house heads during the discharge time in Manipal Teaching Hospital and Western Regional Hospital, Pokhara, Nepal. A face to face interview with each respondent was conducted using a structured questionnaire. Hidden costs were calculated based on the price rate of the market during the time of the study.The total hidden costs for normal delivery and C-section delivery were 243.4 USD (US Dollar and 321.6 USD respectively. Of the total maternity care expenditures; higher mean expenditures were found for food & drinking (53.07%, clothes (9.8% and transport (7.3%. For postpartum women with their husband or house head, the total mean opportunity cost of "days of work loss" were 84.1 USD and 81.9 USD for normal delivery and C-section respectively. Factors such as literate mother (p = 0.007, employed house head (p = 0.011, monthly family income more than 25,000 NRs (Nepalese Rupees (p = 0.014, private hospital as a place of delivery (p = 0.0001, C-section as a mode of delivery (p = 0.0001, longer duration (>5days of stay in hospital (p = 0.0001, longer distance (>15km from house to hospital (p = 0.0001 and longer travel time (>240 minutes from house to hospital (p = 0.007 showed a significant association with the higher hidden costs (>25000 NRs.Experiences of hidden costs on hospital based delivery and opportunity costs of days of work loss were found high. Several socio-demographic factors, delivery related factors (place and mode of delivery, length of stay, distance from hospital and travel time were associated with hidden costs. Hidden costs can be a

Hidden Costs of Hospital Based Delivery from Two Tertiary Hospitals in Western Nepal.

Science.gov (United States)

Acharya, Jeevan; Kaehler, Nils; Marahatta, Sujan Babu; Mishra, Shiva Raj; Subedi, Sudarshan; Adhikari, Bipin

2016-01-01

Hospital based delivery has been an expensive experience for poor households because of hidden costs which are usually unaccounted in hospital costs. The main aim of this study was to estimate the hidden costs of hospital based delivery and determine the factors associated with the hidden costs. A hospital based cross-sectional study was conducted among 384 post-partum mothers with their husbands/house heads during the discharge time in Manipal Teaching Hospital and Western Regional Hospital, Pokhara, Nepal. A face to face interview with each respondent was conducted using a structured questionnaire. Hidden costs were calculated based on the price rate of the market during the time of the study. The total hidden costs for normal delivery and C-section delivery were 243.4 USD (US Dollar) and 321.6 USD respectively. Of the total maternity care expenditures; higher mean expenditures were found for food & drinking (53.07%), clothes (9.8%) and transport (7.3%). For postpartum women with their husband or house head, the total mean opportunity cost of "days of work loss" were 84.1 USD and 81.9 USD for normal delivery and C-section respectively. Factors such as literate mother (p = 0.007), employed house head (p = 0.011), monthly family income more than 25,000 NRs (Nepalese Rupees) (p = 0.014), private hospital as a place of delivery (p = 0.0001), C-section as a mode of delivery (p = 0.0001), longer duration (>5days) of stay in hospital (p = 0.0001), longer distance (>15km) from house to hospital (p = 0.0001) and longer travel time (>240 minutes) from house to hospital (p = 0.007) showed a significant association with the higher hidden costs (>25000 NRs). Experiences of hidden costs on hospital based delivery and opportunity costs of days of work loss were found high. Several socio-demographic factors, delivery related factors (place and mode of delivery, length of stay, distance from hospital and travel time) were associated with hidden costs. Hidden costs can be a

Some account of the origin and plan of an association formed for the establishment of a house of recovery or fever hospital in the city of Dublin

LENUS (Irish Health Repository)

1801-01-01

This particular year\\'s reports cover the initial meeting in October 1801, an appendix which considers the experience of fever hospital\\'s in Manchester and Waterford and finally medical testimony supporting the building of a fever hospital.\\r\

[Evaluation of the management of soft tissue sarcomas in Franche-Comté since the establishment of a multidisciplinary meeting at University Hospital. About 47 cases].

Science.gov (United States)

Haddad, J; Kalbacher, E; Piccard, M; Aubry, S; Chaigneau, L; Pauchot, J

2017-02-01

A multidisciplinary meeting (RCP) dedicated to the treatment of sarcoma was established in Franche-Comte in 2010. The goals of the study are: (a) To evaluate the treatment of sarcomas by confrontation with the existing literature; (b) To evaluate the influence of the multidisciplinary meeting on the management of sarcomas by hospitals at the regional level. This is a retrospective single center study from 2010 to 2015 on patients with sarcoma and peripheral soft tissue drawn from a Netsarc database (National Network of sarcomas) and communicating cancer record. A database Cleanweb especially dedicated is created. Forty-seven patients were included: ten sarcomas at the upper member 26 to the lower limbs, 11 on the trunk. Forty patients were operated on: ten out of the university hospital, 28 at the university hospital and two in a coordinating center. Ninety percent of patients treated at the university hospital were in accordance with the recommandations. None of the patients operated out of the university hospital benefited from medical care in accordance to the recommendations. There is an increase in the number of files sent by the hospitals out of the university hospital discussed in multidisciplinary meeting, before treatment. The creation of a dedicated multidisciplinary meeting sarcoma improves the medical management of these tumors and decreases inappropriate medical managements thanks to a better education of the regional physicians. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Housing and Education Partnerships: A Case Study of New Haven, Connecticut

Science.gov (United States)

Leopold, Josh; Simington, Jasmine

2015-01-01

The housing and education sectors are being asked to do more with fewer resources. School districts often struggle to meet the needs of low-income students who deal with challenges outside of school and to connect them to resources that can strengthen their academic competencies. Public housing authorities and other assisted-housing providers…

African refugee and immigrant health needs: report from a community-based house meeting project.

Science.gov (United States)

Boise, Linda; Tuepker, Anais; Gipson, Teresa; Vigmenon, Yves; Soule, Isabelle; Onadeko, Sade

2013-01-01

As in other communities in the United States, information is lacking about the health needs of Africans refugees and immigrants living in Portland, Oregon. In 2008, the African Partnership for Health coalition (APH) was formed to carry out research, advocacy and education to improve the health and well-being of Africans in Oregon. This was APH's initial project. The purposes of this study were to gather data about the perceived health needs and barriers to health care Africans encounter, and lay the foundation for a program of action to guide APH's future work. Community-based participatory research (CBPR) methods were used to collect data on how to improve the health of the African community in the Portland area and define an agenda for future projects. Popular education principles guided the engagement and training of African community members, who conducted nine house meetings with 56 Africans from 14 countries. The results were analyzed by African community members and researchers and prioritized at a community meeting. Three themes emerged: The stressfulness of life in America, the challenges of gaining access to health care, and the pervasive feelings of disrespect and lack of understanding of Africans' health needs, culture, and life experiences by health providers and staff members. Using CBPR methods, we identified and prioritized the needs of the African community. This information provides a framework for future work of the African Partnership for Health and other service and advocacy groups.

Surveillance for hospital-acquired infections on surgical wards in a Dutch university hospital

NARCIS (Netherlands)

Kamp-Hopmans, Titia E. M.; Blok, Hetty E. M.; Troelstra, Annet; Gigengack-Baars, Ada C. M.; Weersink, Annemarie J. L.; Vandenbroucke-Grauls, Christina M. J. E.; Verhoef, Jan; Mascini, Ellen M.

2003-01-01

OBJECTIVES: To determine incidence rates of hospital-acquired infections and to develop preventive measures to reduce the risk of hospital-acquired infections. METHODS: Prospective surveillance for hospital-acquired infections was performed during a 5-year period in the wards housing general and

[Ryazan hospital--80 years].

Science.gov (United States)

Klimov, A S; Gromov, M F

2012-02-01

In December 2011 marked 80 years of the founding of the Ryazan garrison hospital, originally housed in two buildings: "Redut housed"--a monument of architecture of the XVIII century and the former almshouses room "for the maimed in the war", was built in 1884 now Ryazan garrison hospital (from 2010--Branch No 6 FSI "in 1586 the district military hospital in the Western Military District", the Defense Ministry of Russia)--a multi-field medical preventive institution on the basis of which soldiers, military retirees, family members and military retirees from Ryazan, Moscow, Tambov regions are treated. Every year more than 7 thousand patients get treatment here. During the counterterrorism operations in Chechnya over 800 wounded were brought to the hospital from the battle area.

76 FR 24041 - Notice of Proposed Information Collection: Comment Request; HUD Housing Counseling Program-Agency...

Science.gov (United States)

2011-04-29

... a HUD-approved intermediary or multi-state organization, or be a state housing finance agency or affiliate or sub grantee of a state housing finance agency. Participation in the program entails meeting.... Additionally, this information helps HUD staff to assess whether participating organizations are meeting basic...

Multidisciplinary Cleft Palate Program at BC Children's Hospital: Are We Meeting the Standards of Care?

Science.gov (United States)

Dahiya, Anita; Courtemanche, Rebecca; Courtemanche, Douglas J

2018-05-01

To characterize current Cleft Palate Program (CPP) practices and evaluate the timeliness of appointments with respect to patient age and diagnosis based on American Cleft Palate-Craniofacial Association (ACPA) population guidelines and CPP patient-specific recommendations. A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics. The study was conducted using data from the CPP at BC Children's Hospital. A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age. Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations. Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time ( P meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations. Timely care for the cleft/craniofacial patient populations represents a challenge for the CPP. Although half of patients may meet the general ACPA guidelines, only 32% of patients are meeting the CPP patient-specific recommendations. To provide better patient care, future adjustments are needed, which may include improved resource allotment and program support.

75 FR 29947 - Federal Home Loan Bank Housing Goals

Science.gov (United States)

2010-05-28

... performance of the Banks in meeting the housing goals under section 10C. 12 U.S.C. 1430c(e). Sections 1331... would measure the Banks' single-family housing goals performance relative to the actual goals-qualifying... advantages of comparing the Bank's performance to actual market performance outweigh the disadvantages. A...

Few Aspects Regarding the Promotional Tools Used in the Marketing Activity of Publishing Houses

Directory of Open Access Journals (Sweden)

Silvia Muhcina

2016-01-01

Full Text Available As they operate in an increasingly turbulent environment, modern organizations have toorganize their activity in such a way that they meet the needs of their target audience as well, asquicker and as appropriate as possible, that they meet the consumers’ demand and that theyachieve a profitable and positively perceived existence. Alongside other categories of goods andservices suppliers, publishing houses are organizations that operate in an intensely competitivemarket. Through their specifics, publishing houses target specific categories of audience, not onlyinstitutions and enterprises (such as: public and private libraries, educational institutions, othertypes of cultural institutions etc., but also individuals. Consequently, publishing houses have todesign, target and promote their offer so that they meet the demand for this specific type of culturalconsumption in an appropriate manner. The purpose of this paper is to present the main techniquesand tools used by publishing houses to implement communicational marketing activities.

Energy Efficient Renovation of Social Housing

DEFF Research Database (Denmark)

Bech-Nielsen, Grith; Christiansen, Michael

In years to come the social housing sector (SH) must undergo renovation. The SH is out of step with modern requirements when it comes to plan arrangements, energy frame calcu-lation, flexible building services and social challenges. A way to solve such challenges in an environmentally, economically......, such as residents, housing administration, politicians, advi-sors, producers and contractors. Secondly we present follow up methods for developing an overall future energy renova-tion SH strategy. Our project contributes to the building sector by suggesting new methods for meeting challenges concerning energy......), (2) workshops and (3) seminars for qualifying (4) the definition of a common framework for (5) the development and (6) acceptance of the actual energy renovation strategy, which will then be transformed into action plans in the form of (7) ”common screening” of housing and housing areas as a basis...

Perceived reasons for loss of housing and continued homelessness among homeless persons with mental illness.

Science.gov (United States)

Mojtabai, Ramin

2005-02-01

The objective of this study was to examine the reasons for the most recent loss of housing and for continued homelessness as perceived by homeless persons with mental illness. A total of 2,974 currently homeless participants in the 1996 National Survey of Homeless Assistance Providers and Clients (NSHAPC) were asked about the reasons for their most recent loss of housing and continued homelessness. The responses of participants who had mental illness, defined both broadly and narrowly, were compared with responses of those who were not mentally ill. The broad definition of mental illness was based on a set of criteria proposed by NSHAPC investigators. The narrow definition included past psychiatric hospitalization in addition to the NSHAPC criteria. A total of 1,620 participants (56 percent) met the broad definition of mental illness, and 639 (22 percent) met the narrow definition; 1,345 participants (44 percent) did not meet any of these criteria and were categorized as not having a mental illness. Few differences in reasons for the most recent loss of housing were noted between the participants with and without mental illness. Both groups attributed their continued homelessness mostly to insufficient income, unemployment, and lack of suitable housing. Homeless persons with mental illness mostly report the same reasons for loss of housing and continued homelessness as those who do not have a mental illness. This finding supports the view that structural solutions, such as wider availability of low-cost housing and income support, would reduce the risk of homelessness among persons with mental illness, as among other vulnerable social groups.

A model for the future. Certified nurse-midwives replace residents and house staff in hospitals.

Science.gov (United States)

Ament, L A; Hanson, L

1998-01-01

In one model of the future, certified nurse-midwives (CNMs) replace most obstetric residents and house staff in hospitals. This model offers numerous benefits, such as cost containment and quality outcomes. Furthermore, its application could open opportunities for educating CNMs and residents in a truly collaborative model in an educational setting and begin to balance the ratio of physicians to CNMs in the care of low-risk populations. This model was used with some success in the late 1980s to early 1990s at an inner-city Midwestern medical center. By definition, CNMs are educated in the two disciplines of nursing and midwifery and possess evidence of certification according to the requirements of the American College of Nurse Midwives (ACNM, 1978). Nurse-midwifery practice is the independent management of care of normal newborns and women, antepartally, intrapartally, postpartally, and/or gynecologically. Certified Nurse Midwifery practice occurs within a health care system that provides for medical consultation, collaborative management, and referral (ACNM, 1978). Physician and CNM roles differ. Certified nurse-midwives focus on supporting the process of normal birth, whereas physicians focus more on the management of complications. There are data that suggest that CNM outcomes are equivalent to those of physicians (American Nurses Association, 1992; Thompson, 1986; Wilson, 1989); that CNM costs are less than those of physicians (Bell & Mills, 1989; Cherry & Foster, 1982; Gravely & Littlefield, 1992; Rooks, 1986); and that the cost of educating CNMs is much less than the cost of educating physicians (Safriet, 1992). Within an environment of health care reform and cost containment, CNMs can replace residents and house staff in hospitals in the care of low-risk clients and work in consultation with physicians for the care of high-risk clients. This article compares medical education and nurse-midwifery education, reviews nurse-midwifery outcome data, and discusses

Carrot supplementation does not affect house cricket performance (Acheta domesticus)

NARCIS (Netherlands)

Veenenbos, M.E.; Oonincx, D.G.A.B.

2017-01-01

The demand for house crickets as a source of food or feed is increasing. Meeting this demand will require efficient production systems. House crickets are often fed a combination of dry feed and fresh plant material. Supplying fresh plant material could improve growth and development, but also

Constructing passive houses

Energy Technology Data Exchange (ETDEWEB)

Oehler, S. [Oehler Faigle Archkom Solar Architektur, Bretten (Germany)

2005-07-01

Everybody can learn to build energy-efficient. It needs theoretical and practical experience. 1997 we built the first freestanding Passive House in Europe, the Passive House Oehler. There had been a lot of questions, starting with the insecurity, whether the calculation program of the Passive House Institute, the PHPP, is working properly in our case. Nobody knew at that time because nobody tried it out before. It took us a lot of time to find out and every detail of the construction hat to be invented to meet the very high demand of thermal quality. All the following houses needed less time and had fewer open questions, adding one piece of experience with every building. 2002 we realised the biggest Passive House, the office building Energon Ulm with 420 working spaces. In the meantime we have learned a lot like how to produce prefabricated timber elements for the facades, providing good insulation, air tightness and avoiding serious thermal bridges. We have proofed, that any kind of building type can be a Passive House. And with increasing experience the freedom of design and construction is growing. Even the economical efficiency increased. The Energon Ulm is providing a much better indoor climate than any other office building and was build 10 % cheaper than an average German office building. At present the Passive House Standard is the most efficient solution for the user to live in the desired comfort zone between 20 C and 25 C. This zone of individual feeling-well can be described with the term ''operative temperature''. This term is defined by factors like air temperature, radiation temperature of warm and cold surfaces, air speed and humidity. The result of all these factors has to be within 18 C to 25 C without accepting one of the factors getting extreme.

To be an affordable healthy house, case study Medan

Science.gov (United States)

Silitonga, Shanty

2018-03-01

House has a paramount meaning in human life. Provision of adequate housing will be able to improve the quality of life. Provision of an affordable house is a major step to fulfilling the needs of houses in the big city. Medan has built a lot of affordable houses, and mostly it takes place in the suburbs. Although the affordable house is for low-income people, it must be worthy of its physical condition, affordable in the budget and healthy for its users. House often saw only as physical alone, the provision of a house only to achieve solely in quantity regardless its quality. This study aims to examine the condition of affordable houses in the suburbs of Medan. The research method used qualitative descriptive, using indicator according to affordable healthy house standard according to the regulation in Indonesia and other related theories. This study took place in Medan by taking three areas in the suburbs of Medan. The results show that most affordable houses in the suburbs of Medan are unhealthy. There are several design recommendations for the houses to meet the affordable healthy house category; the most important is the addition of ventilation and window holes.

Advanced house air-barrier systems

Energy Technology Data Exchange (ETDEWEB)

Lee, R.K. [Natural Resources Canada, Ottawa, ON (Canada)

1996-08-01

Air barrier systems used in modern Canadian airtight homes were discussed. The Advanced Houses Program sets its airtightness requirements at 1.5 air changes per hour at 50 Pascals pressure difference (ACH{sub 5}0). In recent tests of 10 houses, it was suggested that a better airtightness level was attainable with average airtightness of about 1.0 ACH{sub 5}0. Six of the homes tested did not use the traditional polyethylene approach. Two of the houses used the airtight drywall approach, one used a foam system, and three used exterior air barriers. The advantages and disadvantages of each system was described, including cost effectiveness, cost reduction, performance and installation advantages. The confusion between an air barrier and a vapour diffusion retarder was explained. Exterior air barriers showed the greatest potential for meeting airtightness requirements at reasonable cost. 5 refs., 3 tabs.

Upgrade energy building standards and develop rating system for existing low-income housing

International Nuclear Information System (INIS)

Muller, D.; Norville, C.

1993-07-01

The city of Memphis Division of Housing and Community Development (HCD) receives grant funding each year from the U.S. Department of Housing and Urban Development (HUD) to provide local housing assistance to low-income residents. Through the years, HCD has found that many of the program recipients have had difficulty in managing their households, particularly in meeting monthly financial obligations. One of the major operating costs to low-income households is the utility bill. Furthermore, HCD's experience has revealed that many low-income residents are simply unaware of ways to reduce their utility bill. Most of the HCD funds are distributed to low-income persons as grants or no/low interest loans for the construction or rehabilitation of single-family dwellings. With these funds, HCD builds 80 to 100 new houses and renovates about 500 homes each year. Houses constructed or renovated by HCD must meet HUD's minimum energy efficiency standards. While these minimum standards are more than adequate to meet local building codes, they are not as aggressive as the energy efficiency standards being promoted by the national utility organizations and the home building industry. Memphis Light, Gas and Water (MLGW), a city-owned utility, has developed an award-winning program named Comfort Plus which promotes energy efficiency open-quote in new residential construction. Under Comfort Plus, MLGW models house plans on computer for a fee and recommends cost-effective alterations which improve the energy efficiency of the house. If the builder agrees to include these recommendations, MLGW will certify the house and guarantee a maximum annual heating/cooling bill for two years. While the Comfort Plus program has received recognition in the new construction market, it does not address the existing housing stock

Upgrade energy building standards and develop rating system for existing low-income housing

Energy Technology Data Exchange (ETDEWEB)

Muller, D.; Norville, C. [Memphis and Shelby County Div. of Planning and Development, TN (United States)

1993-07-01

The city of Memphis Division of Housing and Community Development (HCD) receives grant funding each year from the U.S. Department of Housing and Urban Development (HUD) to provide local housing assistance to low-income residents. Through the years, HCD has found that many of the program recipients have had difficulty in managing their households, particularly in meeting monthly financial obligations. One of the major operating costs to low-income households is the utility bill. Furthermore, HCD`s experience has revealed that many low-income residents are simply unaware of ways to reduce their utility bill. Most of the HCD funds are distributed to low-income persons as grants or no/low interest loans for the construction or rehabilitation of single-family dwellings. With these funds, HCD builds 80 to 100 new houses and renovates about 500 homes each year. Houses constructed or renovated by HCD must meet HUD`s minimum energy efficiency standards. While these minimum standards are more than adequate to meet local building codes, they are not as aggressive as the energy efficiency standards being promoted by the national utility organizations and the home building industry. Memphis Light, Gas and Water (MLGW), a city-owned utility, has developed an award-winning program named Comfort Plus which promotes energy efficiency{open_quote} in new residential construction. Under Comfort Plus, MLGW models house plans on computer for a fee and recommends cost-effective alterations which improve the energy efficiency of the house. If the builder agrees to include these recommendations, MLGW will certify the house and guarantee a maximum annual heating/cooling bill for two years. While the Comfort Plus program has received recognition in the new construction market, it does not address the existing housing stock.

A Case Study of Gender Neutral Policies in University Housing

Science.gov (United States)

Chave, Josh

2014-01-01

Gender neutral housing is an innovative new policy being developed in colleges around the country. One reason to create these policies is an attempt to meet the unique needs and challenges of lesbian, gay, bisexual, and transgender students. As the number of gender neutral housing policies in the United States continues to rise, research has been…

Women's housing conditions in Bangladesh.

Science.gov (United States)

Shefali, M K

1996-01-01

This news article describes women's housing conditions, housing policy, and pilot programs to house poor women in Bangladesh. Although Bangladesh has a constitution that reinforces the equal status of women, in practice, men dominate and patrilineal customs determine inheritance and property rights. Religious affiliation also determines land tenure and inheritance. Muslim women can inherit 12.5% of their husband's property if there are children. 25% is inherited if wives are without children. Hindu women without sons can inherit their husband's property, but not parental property. Many families refuse to release property to women without a fight. Women, regardless of ownership of land, rarely control or use their land. The custom of requiring men to maintain wives during the marriage, and daughters until marriage, creates obstacles to women's decision making about property. Without collateral and other security women are unable to secure bank loans. Many women are also constrained by the requirement of male consent or guarantees for bank transactions. Banks do not have a gender responsive criteria for selecting loan recipients. The government does not provide sufficient housing to satisfy the growing housing needs due to population growth. Some housing is available from slum landlords. A National Housing Policy was formulated in 1993. Priority would be given to the housing needs of low income women in urban areas and women-headed households with income below the poverty line. The policy does not address the underlying factors that prevent equal access to housing for women. The government prepared a Human Settlement and Urban Development proposal for the Habitat II conference. The plan did not address gender issues. Special efforts are being made by nongovernmental groups to meet the housing needs of professional women and for some disadvantaged women.

CT scanning in stroke patients: meeting the challenge in the remote and rural district general hospital.

Science.gov (United States)

Todd, A W; Anderson, E M

2009-05-01

National audit data allow crude comparison between centres and indicate that most Scottish hospitals fail to meet current guidelines for CT scanning of the brain in stroke patients. This study identifies some of the reasons for delay in performing CT scans in a largely rural population. This audit study assesses the delays from onset of symptoms, time of admission and request received to CT scan in stroke patients for three different in-patient groups as well as those managed in the community. The reasons for delay in CT scanning varied between different patient groups but for one group of in-patients, changes in booking procedure and introduction of a second CT scanner increased the proportion scanned within 48 hours of request from 65% to 96%. Further developments including the introduction of Saturday and Sunday routine CT scanning, radiologist reporting from home and additional CT scanners placed in remote hospitals may be expected to improve these figures further. Target times of three hours from onset of symptoms to scan to allow thrombolysis may however be impossible to meet for all stroke patients in rural areas.

Retrofitting of existing housing stock

DEFF Research Database (Denmark)

Unterrainer, Walter

2015-01-01

The paper is a case study in retrofitting an urban quarter with social housing of the 1950´s and 1960´s - a model project in Amberg/Germany. It documents and discusses applied ´acupuncture´ and innovative strategies on very different scales as well as on different layers, in order to meet the goa...

Developing Housing and Education Partnerships: Lessons from the Field. Research Report

Science.gov (United States)

Gallagher, Megan

2015-01-01

Schools and youth-serving organizations often struggle to better meet the needs of low-income students and to connect them to resources that can stabilize their lives and strengthen their academic competencies. Assisted-housing providers, including housing authorities, are in a unique position to support educators, low-income students, and their…

Asthma morbidity in adult Chicago public housing residents.

Science.gov (United States)

Lambertino, Anissa; Turyk, Mary E; Curtis, Luke; Persky, Victoria W

2009-03-01

Residents of public housing can experience socioeconomic disadvantages, inadequate access to health care, and particularly substandard indoor air quality due to inadequate building maintenance. This study investigates demographic, medical management, severity, and household factors associated with asthma-related emergency department visits and hospitalizations. A total of 103 adult participants with asthma from four Chicago housing developments completed surveys and underwent household inspections. Using stepwise multivariate logistic regression, we identified independent predictors of asthma-related emergency department visits: asthma controller medication use, not keeping an asthma-related doctor's appointment, and frequent nocturnal wheeze episodes. Using stepwise multivariate logistic regression, we identified independent predictors of asthma-related hospitalizations: peeling paint, plaster, or wallpaper, environmental tobacco smoke, written action plan for an asthma-related doctor or emergency department visit, and frequent nocturnal wheeze episodes. In multivariate models, factors related to clinical severity and asthma management were related to both emergency department visits and hospitalizations while household conditions were related only to hospitalizations. Interventions to address both asthma management and household environmental triggers may be needed to reduce asthma morbidity in low-income populations.

Social housing solutions for Rome

Directory of Open Access Journals (Sweden)

Eliana Cangelli

2012-10-01

Full Text Available Research today should focus on building a fairer and more sustainable longterm development model, compared to the present situation, capable of effectively meeting the political, economic, market and social demands. Social housing encompasses all these elements and is currently in a phase of applied experimentation. For some time now universities have been usefully contributing to furthering the issue of social housing and the time is now ripe to apply the results produced by the large number of researches in this field. The aim of the paper is to provide an overview of the design process and the environmental features of the Master Plan relating to a significant Social Housing project in the area of Collina Muratella, in Rome, within the framework of a research project commissioned to the DATA Department of La Sapienza University of Rome by the construction firm Lamaro Appalti Unipersonale spa.

24 CFR 242.57 - Maintenance of hospital facility.

Science.gov (United States)

2010-04-01

... HOUSING AND URBAN DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER AUTHORITIES MORTGAGE INSURANCE FOR HOSPITALS Regulatory Agreement, Accounting and Reporting, and Financial...

Carbon Footprint of Housing in the Leeds City Region - A Best Practice Scenario Analysis

Energy Technology Data Exchange (ETDEWEB)

Barrett, John; Dawkins, Elena (Stockholm Environment Inst. (Sweden))|(Univ. of York, Heslington, York YO10 5DD (United Kingdom))

2008-06-15

The Stockholm Environment Institute (SEI) was commissioned by the Environment Agency to carry out a carbon footprint analysis of the housing sector, using the Leeds City Region (LCR) as an example. The aim was to determine our ability to meet the 80 per cent by 2050 challenge of energy efficiency in the housing sector. The study relates specifically to LCR but its findings will help any planning and development teams make the right decisions and gain the resources necessary to meet carbon budgets at regional and local levels. With a growing population and an additional 263,000 housing units to be built within LCR by 2026, the housing sector would need to reduce its expected total carbon dioxide emissions by 38 million tonnes between 2010 and 2026 to be on track for 80 per cent savings in 2050. The report outlines the most detailed analysis to date of the required measures to deliver a growth-based regional housing strategy, alongside reducing carbon emissions. If the city region's new and existing housing is to attain the levels of energy efficiency necessary to deliver these carbon savings, big changes will be required in the way we build, maintain and run our homes over the next 20 years. There are pockets of good practice already in the region and the study shows that by combining innovative measures on construction standards, improvements to existing housing, low and zero carbon technologies and changing behaviour of householders, LCR can achieve the necessary savings to meet its carbon budget

Occupant Experiences and Satisfaction with New Low-Energy Houses

DEFF Research Database (Denmark)

Knudsen, Henrik Nellemose; Thomsen, Kirsten Engelund; Mørck, Ove

2013-01-01

-energy houses that meet the future lower energy requirements of the planned Danish Building Regulations 2015. The purpose was to study experiences and satisfaction among occupants living in new low-energy houses. It included i.a. overall satisfaction, perceived indoor climate and experiences and satisfaction...... be addressed in order to make low-energy houses attractive to ordinary people. Occupants experienced among other things noise from the technical installations and that it was too hot in summer and too cold in winter, that there were a series of problems with the technical installations and that their use...

LEADING EFFECTIVE MEETINGS IN A HOSPITALITY ORGANIZATION

Directory of Open Access Journals (Sweden)

Slobodan Ivanovic

2010-06-01

Full Text Available Today’s business environment demands of the individual manager to lead effective meetings. This is a skill which has to be studied and to be used and constantly optimized in order to keep the team focused on the goals that were set. Meetings keep track of a teams and the organizations goals that are being met or not being met. The specific focus of a certain meeting depends on what on what is to be achieved, whether that be setting goals or keeping evidence of what is being done, and to do this one needs the proper information tolead it correctly and efficiently.

Consumer participation in housing: reflecting on consumer preferences.

Science.gov (United States)

Browne, Graeme; Hemsley, Martin

2010-12-01

Historically, people living with mental illness have had limited chance to participate in mental health services other than as patients. Following on from a recent review focusing on consumer participation in mental health services, this paper looks at consumer participation in housing. Housing is a critical element in recovery from mental illness. Without suitable housing, people have little chance of maintaining other resources in their lives, such as supportive social relationships and meaningful activities. Consumer participation is not a common topic in the recent literature, despite the significant public policy push to promote it. The importance of appropriate housing to the recovery of people living with mental illness cannot be underestimated. Even well-meaning and well-resourced housing initiatives can fall short of meeting consumers' recovery goals when they do not incorporate the expressed needs of consumers. These expressed needs include keeping units small in size and employing drop-in support models.

THE COMPARISON BETWEEN THE THERMAL PERFORMANCE OF A CONTEMPORARY HOUSE AND TRADITIONAL HOUSE IN THE DENSE DHAKA CITY IN BANGLADESH

Directory of Open Access Journals (Sweden)

RASHID Rumana

2013-07-01

Full Text Available Bangladesh Traditional houses (B.T.H which are located in warm humid tropical climate represent a unique phenomenon with device capable to meet the comfort demand through environmental well adapted design.  Recently the traditional house and the contemporary design house (C.D.H for Bangladesh are examined by comparing the thermal performance within the same outdoor condition and the climatic region at the dense Dhaka city.  This comparison is based on field measurements of thermal performance of the traditional house and the contemporary design house within the same summer period. Quantitative method is used to measure the thermal performance. The field survey was conducted using two set of thermal data loggers were installed in both selected houses to record the air temperature and relative humidity of the outdoor and indoor spaces.  Data collection was carried out for the hot and wet month of summer period in June.  The research result concluded that the traditional houses of Bangladesh provided useful indicators of appropriate architectural design response to climate, particularly in the context of purely passive environmental control. However it is required to adapt a critical approach towards the modern contemporary architectural design strategy of deriving lesson from traditional houses to extend the period of indoor thermal environment inside the contemporary houses.

12 CFR 960.3 - Standby letters of credit on behalf of housing associates.

Science.gov (United States)

2010-01-01

... associates with asset/liability management; or (4) To provide housing associates with liquidity or other... associates. 960.3 Section 960.3 Banks and Banking FEDERAL HOUSING FINANCE BOARD FEDERAL HOME LOAN BANK ASSETS... facilitating residential or commercial mortgage lending that benefits individuals or families meeting the...

Determination of antibiotics in sewage from hospitals, nursery and slaughter house, wastewater treatment plant and source water in Chongqing region of Three Gorge Reservoir in China

Energy Technology Data Exchange (ETDEWEB)

Xiaosong, Chang [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Meyer, Michael T [United States Geological Survey, 4821 Quail Crest Place, Lawrence, Kansas 66049 (United States); Xiaoyun, Liu [Center for Disease Prevention and Control, Lanzhou Military Region, Lanzhou 730020 (China); Qing, Zhao; Hao, Chen; Jian, Chen; Zhiqun, Qiu; Lan, Yang [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Jia, Cao [Department of Military Toxicology, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Shu Weiqun, E-mail: xm0630@sina.co [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China)

2010-05-15

Sewage samples from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water samples of Chongqing region of Three Gorge Reservoir were analyzed for macrolide, lincosamide, trimethoprim, fluorouinolone, sulfonamide and tetracycline antibiotics by online solid-phase extraction and liquid chromatography-tandem mass spectrometry. Results showed that the concentration of ofloxacin (OFX) in hospital was the highest among all water environments ranged from 1.660 mug/L to 4.240 mug/L and norfloxacin (NOR, 0.136-1.620 mug/L), ciproflaxacin (CIP, ranged from 0.011 mug/L to 0.136 mug/L), trimethoprim (TMP, 0.061-0.174 mug/L) were commonly detected. Removal range of antibiotics in the wastewater treatment plant was 18-100% and the removal ratio of tylosin, oxytetracycline and tetracycline were 100%. Relatively higher removal efficiencies were observed for tylosin (TYL), oxytetracycline (OXY) and tetracycline (TET)(100%), while lower removal efficiencies were observed for Trimethoprim (TMP, 1%), Epi-iso-chlorotetracycline (EICIC, 18%) and Erythromycin-H{sub 2}O (ERY-H{sub 2}O, 24%). Antibiotics were removed more efficiently in primary treatment compared with those in secondary treatment. - This study give the first insight into the concentration of antibiotics in receiving waters from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water of Chongqing region of Three Gorge Reservoir

Determination of antibiotics in sewage from hospitals, nursery and slaughter house, wastewater treatment plant and source water in Chongqing region of Three Gorge Reservoir in China

International Nuclear Information System (INIS)

Chang Xiaosong; Meyer, Michael T.; Liu Xiaoyun; Zhao Qing; Chen Hao; Chen Jian; Qiu Zhiqun; Yang Lan; Cao Jia; Shu Weiqun

2010-01-01

Sewage samples from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water samples of Chongqing region of Three Gorge Reservoir were analyzed for macrolide, lincosamide, trimethoprim, fluorouinolone, sulfonamide and tetracycline antibiotics by online solid-phase extraction and liquid chromatography-tandem mass spectrometry. Results showed that the concentration of ofloxacin (OFX) in hospital was the highest among all water environments ranged from 1.660 μg/L to 4.240 μg/L and norfloxacin (NOR, 0.136-1.620 μg/L), ciproflaxacin (CIP, ranged from 0.011 μg/L to 0.136 μg/L), trimethoprim (TMP, 0.061-0.174 μg/L) were commonly detected. Removal range of antibiotics in the wastewater treatment plant was 18-100% and the removal ratio of tylosin, oxytetracycline and tetracycline were 100%. Relatively higher removal efficiencies were observed for tylosin (TYL), oxytetracycline (OXY) and tetracycline (TET)(100%), while lower removal efficiencies were observed for Trimethoprim (TMP, 1%), Epi-iso-chlorotetracycline (EICIC, 18%) and Erythromycin-H 2 O (ERY-H 2 O, 24%). Antibiotics were removed more efficiently in primary treatment compared with those in secondary treatment. - This study give the first insight into the concentration of antibiotics in receiving waters from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water of Chongqing region of Three Gorge Reservoir

Ventilation in low energy housing retrofits

NARCIS (Netherlands)

Mlecnik, E.

2008-01-01

According to the definition, passive houses in Europe meet a target energy demand for heating of less than 15 kWh per square meter and per year. This low level for the heating demand is based on heating by a small post-heater in the hygienic ventilation system at 52 °C maximum, while the ventilation

ANNUAL BALI INTERNATIONAL COMBINED CLINICAL MEETING

Directory of Open Access Journals (Sweden)

John Svigos

2015-08-01

Full Text Available Background: This valuable collaboration between Adelaide and Bali was first convened by Prof. I G. Surya, the late Prof. Made Kornia and Associate Prof. John Svigos in May 2011 at Sanglah General Hospital, Bali-Indonesia. This is a three day clinical meeting consisting of a daily Plenary Session for formal presentations running along with a Concurrent Session predominantly for “hands on” and interactive teaching. The meeting has a multidisciplinary focus which is in tune with contemporary Maternal Fetal Medicine practice and consists of obstetricians, midwives, neonatologists and obstetric anaesthetists from both cities sharing their respective experiences. From an initial modest meeting with 80 registrants this has now grown to over 300 registrants in 2015. A fourth day was trialed in 2014 in which a Field Day was incorporated into the program and enabled the overseas participants to gain some first hand experience in the workings of an orphanage (Anak Anak Bali Kids, a midwife obstetric unit (Bumi Sehat and a level two hospital (Sanjiwani Hospital, Gianyar. Further Field Days are anticipated at future meetings. The Visiting Faculty from Australia are predominantly from the Women’s and Children’s Hospital with input from The Lyell McEwin Hospital both in Adelaide, The Royal North Shore Hospital and the Royal Prince Alfred Hospital in Sydney and the King Edward Memorial Hospital in Perth. The broader strategic aspects of the collaboration have seen the rotation of three MFM Trainees from the Trigonum (Denpasar, Surabaya and Malang through Adelaide for two months in 2011 and 2012 as part of their MFM training. Unfortunately AusAID funding has not been forthcoming for further rotations to occur but in 2016 a multidisciplinary group from Sanglah General Hospital will be making a one week visit to the Women’s and Children’s Hospital as a forerunner to further visits. Meantime the collaborations with the Dr. Soetomo Hospital, Surabaya and

  Transformation of the industrial harbor areas to housing areas

DEFF Research Database (Denmark)

Rehder, Meike

2009-01-01

Research question: How to read the universal (understood as the common and the social) and the individual (understood as the specific, private and intimate) in the meeting between urban and housing space? Questions in the project: How do the exterior spaces in these new harbour areas come to being......? What influences are at play in the development of them? What influences the approval and the functioning of these housing areas?...

Use of artificial intelligence to analyze clinical database reduces workload on surgical house staff.

Science.gov (United States)

Grossi, E A; Steinberg, B M; LeBoutillier, M; Coppa, G F; Roses, D F

1994-08-01

The current quantity and diversity of hospital clinical, laboratory, and pharmacy records have resulted in a glut of information, which can be overwhelming to house staff. This study was performed to measure the impact of artificial intelligence analysis of such data on the junior surgical house staff's workload, time for direct patient care, and quality of life. A personal computer was interfaced with the hospital computerized patient data system. Artificial intelligence algorithms were applied to retrieve and condense laboratory values, microbiology reports, and medication orders. Unusual laboratory tests were reported without artificial intelligence filtering. A survey of 23 junior house staff showed a requirement for a total of 30.75 man-hours per day, an average of 184.5 minutes per service twice a day for five surgical services each with an average of 40.7 patients, to manually produce a report in contrast to a total of 3.4 man-hours, an average of 20.5 minutes on the same basis (88.9% reduction, p medical practice has created an explosion of information, which is a burden for surgical house staff. Artificial intelligence preprocessing of the hospital database information focuses attention, eliminates superfluous data, and significantly reduces surgical house staff clerical work, allowing more time for education, research, and patient care.

Health Outcomes of Obtaining Housing Among Older Homeless Adults

Science.gov (United States)

Miao, Yinghui; Mitchell, Susan L.; Bharel, Monica; Patel, Mitkumar; Ard, Kevin L.; Grande, Laura J.; Blazey-Martin, Deborah; Floru, Daniella; Steinman, Michael A.

2015-01-01

Objectives. We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults. Methods. We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 measures of geriatric conditions at baseline and 12 months. Using multivariable regression models, we evaluated the association between obtaining housing and our outcomes of interest. Results. At 12-month follow-up, 41% of participants had obtained housing. Compared with participants who remained homeless, those with housing had fewer depressive symptoms. Other measures of health status did not differ by housing status. Participants who obtained housing had a lower rate of acute care use, with an adjusted annualized rate of acute care visits of 2.5 per year among participants who obtained housing and 5.3 per year among participants who remained homeless. Conclusions. Older homeless adults who obtained housing experienced improved depressive symptoms and reduced acute care utilization compared with those who remained homeless. PMID:25973822

The housing development process: green homes in Malaysia

Directory of Open Access Journals (Sweden)

Fazdliel Aswad Ibrahim

2012-12-01

Full Text Available Green building has been adopted and became an accepted norm in the developed countries like USA, UK, Canada and Australia. Despite the good efforts shown by the developed countries on how to build green building, the developing and less developed countries inclusive Malaysia seem lag behind in this aspect. The issue of sustainable approach in building industry in Malaysia is still new and there are a little of housing projects are meeting the criteria of green buildings. The housing developers are exposed to the risk of uncertainty demand from the house buyers if they are interested to develop green homes. This paper discuss the development of concept and design of green homes by using product development process model in the manufacturing and building industry in order to assist the housing developers to reduce the risk associated with this new product such this green homes.

Energy Efficient Industrialized Housing Research Program, Center for Housing Innovation, University of Oregon and the Florida Solar Energy Center

Energy Technology Data Exchange (ETDEWEB)

Brown, G.Z.

1990-01-01

This research program addresses the need to increase the energy efficiency of industrialized housing. Two research centers have responsibility for the program: the Center for Housing Innovation at the University of Oregon and the Florida Solar Energy Center, a research institute of the University of Central Florida. The two organizations provide complementary architectural, systems engineering, and industrial engineering capabilities. In 1989 we worked on these tasks: (1) the formation of a steering committee, (2) the development of a multiyear research plan, (3) analysis of the US industrialized housing industry, (4) assessment of foreign technology, (5) assessment of industrial applications, (6) analysis of computerized design and evaluation tools, and (7) assessment of energy performance of baseline and advanced industrialized housing concepts. The current research program, under the guidance of a steering committee composed of industry and government representatives, focuses on three interdependent concerns -- (1) energy, (2) industrial process, and (3) housing design. Building homes in a factory offers the opportunity to increase energy efficiency through the use of new materials and processes, and to increase the value of these homes by improving the quality of their construction. Housing design strives to ensure that these technically advanced homes are marketable and will meet the needs of the people who will live in them.

Demonstration Platform for near-zero energy buildings - small houses; Demonstrationsplattform foer naeranollenergibyggnader - smaahus

Energy Technology Data Exchange (ETDEWEB)

Ruud, Svein; Fahlen, Per; Axell, Monica; Kovacs, Peter; Ylmen, Peter; Staahl, Fredrik

2011-07-01

On behalf of the Swedish Energy Agency, SP has investigated and recommended how one could form a platform for demonstration of single family houses as nearly zero energy houses. SP suggests that TMF, the national trade and employers' association of the wood processing and furniture industry in Sweden, should administrate this platform. The reason being that members of TMF produce almost 80% of all single family houses in Sweden. TMF also has the capacity to launch a demonstration platform in a reasonable short time. SP has also compiled a set on technical criteria regarding properties related to energy use that should be met by demonstration projects within the platform. One presumption has been that a house that meets the criteria in the south of Sweden also should meet the criteria in the north of Sweden. The reason being to promote an industrialized and cost effective building process. Another ambition has been not to disfavor smaller single family houses. The main criteria are on very energy efficient building envelopes and very efficient building services systems. The criteria are therefore more detailed than the current Swedish building regulations

Analysis on factors affecting consumers decision on purchasing simple-type houses

Science.gov (United States)

Rumintang, A.; Sholichin, I.

2018-01-01

In line with the increase of the population and the need of comfortable houses, as affected by modernization era, the house demand is getting higher. Hence, conducting a research on consumers need and want in buying a house should be seriously attempted to succeed marketing activity. Using an analysis consumers’ behavior, the researcher will know few affecting factors related to consumers’ satisfaction in buying a house. Among other, the factors in question include: house price, house condition, facilities, location and accessability. The sample of this research was drawn from the residents of Graha Asri Housing, Taman Bulang Permai, and Sukodono Permai. Based on the analysis and discussion, some conclusions are made as follow: the factors and variables affecting the consumers’ decision on each choice of house is different and also the same variables on three sources of data include housing atmosphere, cleaning service, ease of access to shopping center, health clinics or hospitals, tourism spot, schools, and the bus station.

Collaborating with a social housing provider supports a large cohort study of the health effects of housing conditions.

Science.gov (United States)

Baker, Michael G; Zhang, Jane; Blakely, Tony; Crane, Julian; Saville-Smith, Kay; Howden-Chapman, Philippa

2016-02-16

Despite the importance of adequate, un-crowded housing as a prerequisite for good health, few large cohort studies have explored the health effects of housing conditions. The Social Housing Outcomes Worth (SHOW) Study was established to assess the relationship between housing conditions and health, particularly between household crowding and infectious diseases. This paper reports on the methods and feasibility of using a large administrative housing database for epidemiological research and the characteristics of the social housing population. This prospective open cohort study was established in 2003 in collaboration with Housing New Zealand Corporation which provides housing for approximately 5% of the population. The Study measures health outcomes using linked anonymised hospitalisation and mortality records provided by the New Zealand Ministry of Health. It was possible to match the majority (96%) of applicant and tenant household members with their National Health Index (NHI) number allowing linkage to anonymised coded data on their hospitalisations and mortality. By December 2011, the study population consisted of 11,196 applicants and 196,612 tenants. Half were less than 21 years of age. About two-thirds identified as Māori or Pacific ethnicity. Household incomes were low. Of tenant households, 44% containing one or more smokers compared with 33% for New Zealand as a whole. Exposure to household crowding, as measured by a deficit of one or more bedrooms, was common for applicants (52%) and tenants (38%) compared with New Zealanders as whole (10%). This project has shown that an administrative housing database can be used to form a large cohort population and successfully link cohort members to their health records in a way that meets confidentiality and ethical requirements. This study also confirms that social housing tenants are a highly deprived population with relatively low incomes and high levels of exposure to household crowding and environmental

Housing flexibility problem: Review of recent limitations and solutions

Directory of Open Access Journals (Sweden)

Sabine Ritter De Paris

2018-03-01

Full Text Available The economic, technological, and cultural transformations of our present society influence various scales of our daily lives. In housing, these transformations include changes in the family nucleus and the activities performed in living spaces. Housing flexibility seeks to meet the multiple needs of users by changing their living spaces and functions. This study aims to explore housing flexibility through a review of relevant literature, discussion of valuable findings, and presentation of a contemporary panorama of the theme. Notions of flexibility are integrated to reinterpret the contemporary sense of dwelling. However, the lack of a well-defined concept of flexibility hinders the integration of methods and theories on the subject.

76 FR 66311 - Notice of ACHP Quarterly Business Meeting

Science.gov (United States)

2011-10-26

... Advisory Council on Historic Preservation (ACHP) will meet Thursday, November 10, 2011. The meeting will be... Administrator of the General Services Administration; the Chairman of the National Trust for Historic... Trust for Historic Preservation's ``Preservation 10X'' and the ACHP D. White House American Latino...

Bacterial Contamination of Adult House Flies (Musca domestica) and Sensitivity of these Bacteria to Various Antibiotics, Captured from Hamadan City, Iran.

Science.gov (United States)

Nazari, Mansour; Mehrabi, Tahereh; Hosseini, Seyed Mostafa; Alikhani, Mohammad Yousef

2017-04-01

House flies ( Musca domestica ) have been known as a mechanical vector in spreading infectious diseases such as cholera, shigellosis, salmonellosis and skin infections. To investigate the bacterial contaminations of house flies and determine the resistance of these bacteria against various antibiotics. An analytical descriptive cross- sectional study was conducted. The study was performed from July to September 2015 in Hamadan University of Medical Sciences, Hamadan, Iran. A total number of 300 house flies were collected from four places, 75 flies from each place, including two educational hospitals belonging to Hamadan University of Medical Sciences, a fruit and vegetables center, and a livestock slaughter. The body surface of house flies was washed using the physiological sterile serum and the obtained solution was centrifuged at 2000 rpm for five minutes. The identification of bacteria was carried out using the phenotypic methods. The resistance of bacteria against various antibiotics was determined using the disk diffusion approach. Data were analysed by the employment of SPSS software package version 20.0. A total number of 394 bacterial strains were isolated from 275 house flies. The most prevalent type of bacteria was Bacillus spp which was detected in 31.1% of house flies. Moreover, Staphylococcus s pp. (22.9%), Escherichia coli (11.6%) were other prevalent species, whereas, Enterococcus s pp. was the least prevalent type of bacteria in the collected house flies. In terms of resistance to antibiotics, it was identified that bacteria extracted from house flies which were collected from hospital environments were more resistant to antibiotics compared with the resistance of bacteria extracted from house flies which were collected from non hospital environments. The maximum bacterial isolation was found in houseflies from hospital No.1 environment from around the accumulation of garbage. It is a well-known fact that house flies are a source of bacterial

ACCU MEETING

CERN Multimedia

Chris Onions (Secretary)

2001-01-01

DRAFT Agenda for the meeting to be held on Wednesday 5 December 2001 At 9:15 a.m. in room 60-6-002 1. Chairman's remarks 2. Adoption of the agenda 3. Minutes of the previous meeting 4. Matters arising 5. News from the CERN Management 6. Housing 7. Restaurant Surveillance Committee 8. Users' Office news 9. Election of ACCU chairman 10. Any Other Business 11. Dates for meetings in 2002 12. Agenda for the next meeting Anyone wishing to raise any points under item 10 is invited to send them to the Chairman in writing or by e-mail to Christopher.Onions@cern.ch ACCU is the forum for discussion between the CERN Management and the representatives of CERN Users to review the practical means taken by CERN for the work of Users of the Laboratory. The User Representatives to ACCU are (CERN internal telephone numbers in brackets): Austria  W. Adam  (71661) Belgium  G. Wilquet  (74664) Bulgaria  R. Tzenov  (77958) Czech Republic  P. Závada&am...

ACCU MEETING

CERN Multimedia

Chris Onions (Secretary)

2001-01-01

DRAFT Agenda for the meeting to be held on Wednesday 5 December 2001 At 9:15 a.m. in room 60-6-002 1. Chairman's remarks 2. Adoption of the agenda 3. Minutes of the previous meeting 4. Matters arising 5. News from the CERN Management 6. Housing 7. Restaurant Surveillance Committee 8. Users' Office news 9. Election of ACCU chairman 10. Any Other Business 11. Dates for meetings in 2002 12. Agenda for the next meetingAnyone wishing to raise any points under item 10 is invited to send them to the Chairman in writing or by e-mail to Christopher.Onions@cern.ch ACCU is the forum for discussion between the CERN Management and the representatives of CERN Users to review the practical means taken by CERN for the work of Users of the Laboratory. The User Representatives to ACCU are (CERN internal telephone numbers in brackets): Austria W. Adam (71661) Belgium G. Wilquet (74664) Bulgaria R. Tzenov (77958) Czech Republic P. Závada (75877) Denmark A. Waananen (75941) Finland A. Kiiskinen (79387) Fr...

Popular housing finance: how the fgts funds are being used

Directory of Open Access Journals (Sweden)

Matheus Fernando Moro

2016-08-01

Full Text Available In order to meet the housing shortage, was created popular housing programs for low-income families. In Brazil, these programs differs from the rest of the world, since here the programs are directed to the acquisition of real estate, unlike the rest of the world where the focus is lower rents for low-income families. In the context, this type of program has also been used as a tool against economic crises. Based on these aspects, this article aims to identify how the FGTS funds are being used regarding the housing finance. To perform this analysis was studied the targeting of FGTS funds for social housing in Brazil, thus demonstrating, a convincing growth in this modality and also an exchange preferably after the year 2009, of used real estates to new ones.

Impact of housing on the survival of persons with AIDS

Directory of Open Access Journals (Sweden)

Vittinghoff Eric

2009-07-01

Full Text Available Abstract Background Homeless persons with HIV/AIDS have greater morbidity and mortality, more hospitalizations, less use of antiretroviral therapy, and worse medication adherence than HIV-infected persons who are stably housed. We examined the effect of homelessness on the mortality of persons with AIDS and measured the effect of supportive housing on AIDS survival. Methods The San Francisco AIDS registry was used to identify homeless and housed persons who were diagnosed with AIDS between 1996 and 2006. The registry was computer-matched with a housing database of homeless persons who received housing after their AIDS diagnosis. The Kaplan-Meier product limit method was used to compare survival between persons who were homeless at AIDS diagnosis and those who were housed. Proportional hazards models were used to estimate the independent effects of homelessness and supportive housing on survival after AIDS diagnosis. Results Of the 6,558 AIDS cases, 9.8% were homeless at diagnosis. Sixty-seven percent of the persons who were homeless survived five years compared with 81% of those who were housed (p Conclusion Supportive housing ameliorates the negative effect of homelessness on survival with AIDS.

Growing community : rooftop gardens for affordable housing

Energy Technology Data Exchange (ETDEWEB)

Weeks, K.N. [California Univ., Berkeley, CA (United States)

2007-07-01

This paper reviewed the processes used in recently designed affordable housing roof garden projects in California, Montana and Georgia. Gardens create a sense of community through shared space and social interactions. As such, roof gardens can give residents of affordable housing the opportunity to experience the community-fostering benefits of gardening, with the added advantages of potentially lower energy bills and wastewater fees. The factors that should be considered in planning, design, construction and maintenance of roof gardens for affordable housing were also outlined. As places of refuge, gardens help people relax and promote healing, which is particularly important for physical, emotional, social and economic well-being. For the many residents of affordable housing who earn less than 50 per cent of the area median income, gardens offer a venue for establishing relationships with neighbours, many of whom they might otherwise never meet. They also offer a means to improved nutrition and food security, education and positive recreation for youth, and better aesthetic surroundings. While motivations for choosing green roofs varied widely across the projects, affordability was linked to 3 main areas, namely saving costs in design, construction and operations; getting the roof to generate funding; and, improving the quality of life in affordable housing. 17 refs., 12 figs.

Salang Hospital: Lack of Water and Power Severely Limits Hospital Services, and Major Construction Deficiencies Raise Safety Concerns

Science.gov (United States)

2014-01-01

hospital needed to provide scrubable surfaces in high-risk sterile areas like the surgery room to facilitate disinfection . To correct these...of a well house, and establishment of a process to ensure that hospital water lines were disinfected . However, we found that the water well was not...Special Inspector General for Afghanistan Reconstruction SIGAR 14-31 Inspection Report SALANG HOSPITAL : LACK OF

Heath Effects Sequence of Meet Halfa Radiological Accident After Twelve Years

International Nuclear Information System (INIS)

Shabon, M.H.

2013-01-01

The accident of Meet-Halfa developed consequent upon the loss of an industrial gamma radiography source. The source was found by a farmer resident of Meet-Halfa who took it to his house occupied by his family. The sequence of events developed over a period of seven weeks from the time the source was found on May 5, 2000, till the day of its retrieval from the house by the national authorities on June 26. The protracted exposure patterns of the family members during the period of source possession are not precisely known, however these exposures resulted in two fatalities, clinical forms of bone marrow depression, and several skin burns of different severities. The recent sequences of the accident is as follows:-The three survived siblings married and get good children. That mean there is no hereditary stochastic effects. The sister died at 2007 with 72 years old with senility and no specific disease. The youngest daughter amputate the left thumb and index fingers at 2001. The elder son amputate the terminal phalanx of the right thumb at 2009. The youngest daughter amputate the right index finger at 2009. The elder son graft the burn at the lower right quadrant of the abdomen for more than 20 times (3 of them were in the Mansheat Al-Bakry Millitary Hospital), but there is residual of burn untill now. Sever abdominal hernia in the elder son due to necroses in the right quadrant abdominal muscles. Grafting for these muscles occur but failed.

Impact of socio-economic status in meeting the needs of people with mental illness; human rights perspective.

Science.gov (United States)

Vijayalakshmi, Poreddi; Ramachandra; Reddemma, Konduru; Math, Suresh Bada

2014-04-01

The present descriptive study investigated the impact of socio-economic status in meeting the human rights needs among randomly selected recovered psychiatric patients (n = 100) at a tertiary care center. Data was collected through face to face interview, using structured Needs Assessment Questionnaire. The findings revealed that the participants from below poverty line were deprived of physical needs such as 'electricity facilities' (χ (2) = 6.821, p physical appearance (χ (2) = 8.337, p employment, disability pension, free housing, free treatment and free transportation service for people with mental illness to attend hospital or rehabilitation centres.

House of healing, house of disrespect: a Kantian perspective on disrespectful behaviour among hospital workers.

Science.gov (United States)

Bernstein, Mark; Fundner, Rita

2002-01-01

Respect toward patients is one of the most fundamental and central tenets guiding both modern bioethical practice and the everyday behaviour of all healthcare professionals. However, similar courtesy and respect is often breached in day-to-day interactions between hospital workers. Many examples are relatively minor, while egregious examples such as gender discrimination and physical abuse do occur. The more egregious transgressions may be handled by formal processes, even legal proceedings. However, the innumerable smaller examples of disrespectful behaviour are ubiquitous and insidious in their erosion of a productive collaborative approach to patient care and other aspects of functioning within the institution. The authors briefly summarize some of the pertinent literature on this subject and analyze the problem of disrespect in the hospital with special focus on the issue as seen from the perspective of the moral philosophy of Immanuel Kant. Some simple recommendations for improving disrespectful behaviour amongst hospital workers are offered.

Collaborating with a social housing provider supports a large cohort study of the health effects of housing conditions

Directory of Open Access Journals (Sweden)

Michael G. Baker

2016-02-01

Full Text Available Abstract Background Despite the importance of adequate, un-crowded housing as a prerequisite for good health, few large cohort studies have explored the health effects of housing conditions. The Social Housing Outcomes Worth (SHOW Study was established to assess the relationship between housing conditions and health, particularly between household crowding and infectious diseases. This paper reports on the methods and feasibility of using a large administrative housing database for epidemiological research and the characteristics of the social housing population. Methods This prospective open cohort study was established in 2003 in collaboration with Housing New Zealand Corporation which provides housing for approximately 5 % of the population. The Study measures health outcomes using linked anonymised hospitalisation and mortality records provided by the New Zealand Ministry of Health. Results It was possible to match the majority (96 % of applicant and tenant household members with their National Health Index (NHI number allowing linkage to anonymised coded data on their hospitalisations and mortality. By December 2011, the study population consisted of 11,196 applicants and 196,612 tenants. Half were less than 21 years of age. About two-thirds identified as Māori or Pacific ethnicity. Household incomes were low. Of tenant households, 44 % containing one or more smokers compared with 33 % for New Zealand as a whole. Exposure to household crowding, as measured by a deficit of one or more bedrooms, was common for applicants (52 % and tenants (38 % compared with New Zealanders as whole (10 %. Conclusions This project has shown that an administrative housing database can be used to form a large cohort population and successfully link cohort members to their health records in a way that meets confidentiality and ethical requirements. This study also confirms that social housing tenants are a highly deprived population with relatively low

Social Determinants of Health: Housing and Income.

Science.gov (United States)

Forchuk, Cheryl; Dickins, Kevin; Corring, Deborah J

2016-01-01

Social determinants of health such as housing and income have a large impact on mental health. Community-based initiatives have worked to address access to housing, prevent homelessness and assist people who are homeless with mental health problems. There have been several large research projects to tease out multiple subgroups such as youth and veterans and other individuals experiencing long-term homelessness. The issue of poverty has been addressed by exploring issues related to employment. The use of social enterprises is a promising practice to address issues around poverty, social inclusion and employment. Similarly, the community has worked to move hospital-based employment programs to the community.

The influence of family accommodation on pediatric hospital experience in Canada.

Science.gov (United States)

Franck, Linda S; Ferguson, Deron; Fryda, Sarah; Rubin, Nicole

2017-08-15

The goals of our study were to describe the types of family accommodation for parents of hospitalized children and to examine their influence on the pediatric hospital experience. This multi-site cohort survey included 10 hospitals in Ontario Province, Canada. Participants were parents of inpatient children (n = 1240). Main outcome measures included ratings of three parent-reported measures of hospital experience: overall hospital experience; willingness to recommend the hospital to family or friends; and how much the accommodation type helped parent stay involved in their child's hospital care. Parents most often stayed in the child's room (74.7%), their own home (12.3%), hotel (4.0%) or a Ronald McDonald House (3.0%). Accommodation varied based on hospital, parent and child factors. Length of stay and the child's health status were significant predictors for overall hospital experience and recommending the hospital to family or friends, but accommodation type was not. Families who stayed at a Ronald McDonald House reported greater involvement in their child's care compared with other accommodation types (odds ratio: 1.54-20.73 for contrasted accommodation types). Use of different overnight accommodations for families of hospitalized pediatric patients in Canada is similar to a previous report of U.S. family hospital accommodations. In contrast to the previous U.S. findings, Canadian hospital experience scores were lower and accommodation type was not a significant predictor of overall hospital experience or willingness to recommend the hospital. In Canada, as in the U.S., families who stayed at a Ronald McDonald House reported that this accommodation type significantly improved their ability to be involved in their child's care.

Are P values and statistical assessments in poster abstracts presented at annual meetings of Taiwan Society of Anesthesiologists relative to the characteristics of hospitals?

Science.gov (United States)

Lee, Fu-Jung; Wu, Chih-Cheng; Peng, Shih-Yen; Fan, Kuo-Tung

2007-09-01

Many anesthesiologists in medical centers (MC) or in anesthesiologist-training hospitals (ATH) are accustomed to present their research data in the form of poster abstracts at the annual meetings of Taiwan Society of Anesthesiologists (TSA) to represent their academic gainings in a designated period of time. However, an orphaned P value without mentioning the related specified statistical test has frequently been found in these articles. The difference in presentation of statistical test after P value between MC/ATH and non-MC/non-ATH in recent three TSA consecutive annual meetings was explored in this article. We collected the proceedings handbooks of TSA annual meetings in a period spanning 3 yrs (2003 to 2005) and analyzed the hospital characteristic of first institute-byliner in the poster abstract. Data were analyzed with Fisher's exact test and statistical significance was assumed if P poster abstracts with byliners of 20 hospitals. Only 2 of the 20 hospitals were accredited as non-ATH and 4 as non-MC. There were 64 (63%) abstracts without specified statistical test after P value and no significant difference was found among each category. (P = 0.47 in ATH vs. non-ATH and P = 0.07 in MC vs. non-MC). The basic concept of P value with specified statistical test was not applicable comprehensively in poster abstracts of the annual conferences. Based on our wishful intention, we suggest that the anesthesia administrators and senior anesthesiologists at ATH or MC, and the members of the committee responsible for running academic affairs in TSA, should pay attention to this prodigy and work together to improve our basic statistics in poster presentation.

[Impact of the crisis on the relationship between housing and health. Policies for good practice to reduce inequalities in health related to housing conditions].

Science.gov (United States)

Novoa, Ana M; Bosch, Jordi; Díaz, Fernando; Malmusi, Davide; Darnell, Mercè; Trilla, Carme

2014-06-01

Housing conditions can impact on physical and mental health through 4 interrelated dimensions: 1) the home (the emotional housing conditions), 2) the physical housing conditions, and 3) the physical environment, and 4) the social (community) environment of the neighborhood where the house is located. In Spain, the use of the construction market as an engine for economic growth and the promotion of private property as the main type of housing tenure has led to the use of housing as a speculative good instead of its being considered a first-necessity good. While Spain is the Organisation for Economic Co-operation and Development (OECD) country with the largest housing stock per inhabitant, this stock is highly underutilized, thus excluding the most deprived sector of the population from access to housing. The impact of the current economic crisis on housing has mainly been due to a reduction in household income, which has increased the number of families or persons struggling to cover their housing costs or being evicted. Evidence indicates that this type of problem has a negative impact on health, especially on mental health, but financial problems also make it difficult to meet other basic needs such as eating. There are several instruments to reduce the impact of the economic crisis, such as debt financing or deed of assignment in payment. In the long-term, the creation of a social housing stock should be promoted, as well as rental assistance mechanisms. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

NexusHaus: Solar Decathlon House

Energy Technology Data Exchange (ETDEWEB)

Garrison, Michael Lynn [University of Texas at Austin

2017-04-04

The University of Texas at Austin and The Technical University of Munich 2015 Solar Decathlon house is called Nexushaus because it combines UT Austin and TUM students in an affordable modular residential green building in the context of Austin, Texas, based on shape forming principles found in nature that demonstrates transformative technologies in Zero Net Energy, Zero Net Water and Carbon Neutrality. To meet the needs of the competition, a portable modular design has been developed with an assembly that enables ease of installation and both quantitative and qualitative performance in the design. The prefabricated house sits lightly on the land and forms the superstructure for photovoltaic technologies, rainwater collection, aquaculture and permaculture gardening and indoor/outdoor living. The ultimate goal of Nexushaus is to serve as a potential prototype for a next-generation modular home that could be reproduced in mass in an assembly plant in Austin.

Hospital board structure: changing form and changing issues.

Science.gov (United States)

Tregoning, S

2000-01-01

Economic and social pressures are compelling many hospitals to consider their current board structure in an effort to position their hospital to meet changing demands. A national profile of the structures of hospital boards has been compiled from a questionnaire completed by hospital board representatives from both government and non-government sectors. Results show that hospital board structures are a hybrid of both philanthropic and corporate models. New structures may be required to meet future challenges. In developing new structures, consideration should be given to identifying the skills and processes required to undertake board business.

Efficient Solutions for Existing Homes Case Study: Demonstration House of Cold-Climate Solutions for Affordable Housing

Energy Technology Data Exchange (ETDEWEB)

T. Schirber, C. Ojczyk, and R. Jacobson

2016-05-01

Single family homes in urban areas that are available for renovation by nonprofit developers are often in rough shape (1MM to 2MM nationally). Budgeting has historically focused on improving homes to meet basic housing standards. A rising interest in the long-term impact of homeownership has introduced the need to balance basic needs with home performance. This demonstration project aims to help nonprofit affordable housing developers become familiar with three Building America performance measures, the installation processes, and impacts and benefits of each. A story and a half home in North Minneapolis, MN was presented by Urban Homeworks our local nonprofit partner. The team helped them install three researched upgrade measures: exterior roof insulation or 'overcoat,' exterior foundation insulation, or 'excavationless', and a combined space and water heating HVAC system or 'combi.'

Impact of housing on the survival of persons with AIDS.

Science.gov (United States)

Schwarcz, Sandra K; Hsu, Ling C; Vittinghoff, Eric; Vu, Annie; Bamberger, Joshua D; Katz, Mitchell H

2009-07-07

Homeless persons with HIV/AIDS have greater morbidity and mortality, more hospitalizations, less use of antiretroviral therapy, and worse medication adherence than HIV-infected persons who are stably housed. We examined the effect of homelessness on the mortality of persons with AIDS and measured the effect of supportive housing on AIDS survival. The San Francisco AIDS registry was used to identify homeless and housed persons who were diagnosed with AIDS between 1996 and 2006. The registry was computer-matched with a housing database of homeless persons who received housing after their AIDS diagnosis. The Kaplan-Meier product limit method was used to compare survival between persons who were homeless at AIDS diagnosis and those who were housed. Proportional hazards models were used to estimate the independent effects of homelessness and supportive housing on survival after AIDS diagnosis. Of the 6,558 AIDS cases, 9.8% were homeless at diagnosis. Sixty-seven percent of the persons who were homeless survived five years compared with 81% of those who were housed (p Homelessness increased the risk of death (adjusted relative hazard [RH] 1.20; 95% confidence limits [CL] 1.03, 1.41). Homeless persons with AIDS who obtained supportive housing had a lower risk of death than those who did not (adjusted RH 0.20; 95% CL 0.05, 0.81). Supportive housing ameliorates the negative effect of homelessness on survival with AIDS.

Computer-Aided Surgical Simulation in Head and Neck Reconstruction: A Cost Comparison among Traditional, In-House, and Commercial Options.

Science.gov (United States)

Li, Sean S; Copeland-Halperin, Libby R; Kaminsky, Alexander J; Li, Jihui; Lodhi, Fahad K; Miraliakbari, Reza

2018-06-01

 Computer-aided surgical simulation (CASS) has redefined surgery, improved precision and reduced the reliance on intraoperative trial-and-error manipulations. CASS is provided by third-party services; however, it may be cost-effective for some hospitals to develop in-house programs. This study provides the first cost analysis comparison among traditional (no CASS), commercial CASS, and in-house CASS for head and neck reconstruction.  The costs of three-dimensional (3D) pre-operative planning for mandibular and maxillary reconstructions were obtained from an in-house CASS program at our large tertiary care hospital in Northern Virginia, as well as a commercial provider (Synthes, Paoli, PA). A cost comparison was performed among these modalities and extrapolated in-house CASS costs were derived. The calculations were based on estimated CASS use with cost structures similar to our institution and sunk costs were amortized over 10 years.  Average operating room time was estimated at 10 hours, with an average of 2 hours saved with CASS. The hourly cost to the hospital for the operating room (including anesthesia and other ancillary costs) was estimated at $4,614/hour. Per case, traditional cases were $46,140, commercial CASS cases were $40,951, and in-house CASS cases were $38,212. Annual in-house CASS costs were $39,590.  CASS reduced operating room time, likely due to improved efficiency and accuracy. Our data demonstrate that hospitals with similar cost structure as ours, performing greater than 27 cases of 3D head and neck reconstructions per year can see a financial benefit from developing an in-house CASS program. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Exploring the use of smartphones and tablets by medical House ...

African Journals Online (AJOL)

Method: A qualitative study was undertaken in Korle-Bu Teaching Hospital. ... was used to identify House Officers, who engaged in semi-structured interviews. ... Consent was gained from all participants and the University of Leeds granted ...

Re-design, re-use and recycle of temporary houses

Energy Technology Data Exchange (ETDEWEB)

Arslan, Hakan [Department of Construction, Faculty of Technical Education, University of Abant Izzet Baysal, Duzce 81100 (Turkey)

2007-01-15

Disasters are recurring to global problems, which results in homelessness. The affected region had economical, environmental and social problems as well. In relief and reconstruction phases, the need for integrated management appeared in order to use the national sources actively and productively. Especially housing implementations had an important role for future development of the affected region. For accelerating the reconstruction of the region and forming a sustainable community, which maintains itself socially, environmentally and economically over time; energy usage for construction should be kept to a minimum. Past research in Turkey shows that the cost of temporary houses (to be used as the short term shelter) had a ratio of 10-15% of the total expenses of whole construction activity. For saving money and protecting the environment and conserving scarce resources, the affected region must consider the option of temporary houses to meet their short and long-term need during the reconstruction process. After the end of usage, temporary houses should be able to be re-used for the same or new function. This study is a test of re-design and re-use of a temporary housing site; by using recycled materials, minimum energy and voluntary participation so that this site can finally become a permanent housing site. (author)

What housing features should inform the development of housing solutions for adults with neurological disability?: A systematic review of the literature.

Science.gov (United States)

Wright, Courtney J; Zeeman, Heidi; Kendall, Elizabeth; Whitty, Jennifer A

2017-07-01

Despite the recent emphasis in Australian political, academic, and legislative narratives to more actively promote real housing choice for people with high healthcare and support needs, there is a lack of understanding regarding the specific housing features that might constitute better housing solutions for this population. Inclusive housing provision in Australia rightly emphasises safety and accessibility issues but often fails to incorporate factors related to broader psychosocial elements of housing such as dwelling location, neighbourhood quality, and overall design. While the importance of these broader elements appears obvious, it is not yet clear what specific housing features relate to these elements and how they might contribute to housing solutions for people with high healthcare and support needs. For individuals with complex neurological conditions such as brain injury or cerebral palsy, who require maximum support on a daily basis yet want to live independently and away from a primary care hospital or health facility, a more detailed understanding of the housing features that might influence design and development is needed. Thus, in order to clarify the broader factors related to housing solutions for this population, a systematic review was conducted to identify and synthesise the current research evidence (post-2003) and guide future housing design and development opportunities. From the included studies (n=26), 198 unique housing features were identified. From the 198 features, 142 related to housing design (i.e., internal or external characteristics of the dwelling and its land), 12 related to the dwelling's location (i.e., its proximity to available resources), and 54 related to the nature of the surrounding neighbourhood (i.e., the physical, social, and economic conditions of the area). The findings of this review contribute significantly to the literature by reporting a broader scope of relevant housing features for people with neurological

A Comparative Study of Entrance in Traditional and Contemporary Houses of Iran

Directory of Open Access Journals (Sweden)

Ramin Dehbandi

2017-12-01

Full Text Available In contemporary houses in Iran, because of changes in the methods of designing and building houses, importance of entrance reduced to such level that now in contemporary houses entrance is just a door. Entrance correlates indoor safe space of house and outdoors. It`s importance lays in controlling entry, exit, territory and hierarchy. Since house owners were satisfied with traditional form of entrance, it is a good idea to learn from them in designing new entrances. The purpose of this research is to find a way for designing appropriate entrances for Iranian contemporary houses. To do this at first 40 traditional houses and 40 contemporary houses in Isfahan and Kashan were selected. These two cities are from margin of desert and the origin of traditional houses of Iran. Analysis showed that blockage of visual and phonic relation, creating a space between outdoor public space and indoor private space, creating access patterns to internal spaces and traits that separate in and out were the most significant properties of traditional entrances. All these traits are ignored in contemporary entrances. Suggestions made for design include creating public meeting space in yard and creating a separate entrance space for each house in apartments.

76 FR 20698 - Notice of Proposed Information Collection for Public Comment; Public Housing Agency (PHA) 5-Year...

Science.gov (United States)

2011-04-13

... comprehensive guide to PHA policies, programs, operations, and strategies for meeting local housing needs and... low, very low-income, and extremely low-income families and its strategy for addressing those needs.... Members of the Affected Public: Local, Regional and State Body Corporate Politic Public Housing Agencies...

75 FR 4100 - Affirmative Fair Housing, Marketing (AFHM) Plan-Multifamily Housing, Affirmative Fair Housing...

Science.gov (United States)

2010-01-26

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5376-N-01] Affirmative Fair Housing, Marketing (AFHM) Plan-Multifamily Housing, Affirmative Fair Housing Marketing (AFHM) Plan-Single Family Housing and Affirmative Fair Housing Marketing (AFHM) Plan- Cooperatives/Condominiums AGENCY: Office of...

Impact of a Supportive Housing Program on Housing Stability and Sexually Transmitted Infections Among Young Adults in New York City Who Were Aging Out of Foster Care.

Science.gov (United States)

Lim, Sungwoo; Singh, Tejinder P; Gwynn, R Charon

2017-08-01

Former foster youth are at increased risk of housing instability and sexually transmitted infections (STIs) during the transitional period following foster care. We measured housing stability using sequence analysis and assessed whether a supportive housing program in New York, New York, was effective in improving housing stability and reducing STIs among former foster youth. Matched administrative records identified 895 former foster youth who were eligible for the housing program during 2007-2010. The main outcomes included housing stability (as determined from episodes of homelessness, incarceration, hospitalization, and residence in supportive housing) and diagnosed STI case rates per 1,000 person-years during the 2 years after baseline. Marginal structural models were used to assess impacts of the program on these outcomes. Three housing stability patterns (unstable housing, stable housing, and rare institutional dwelling patterns) were identified. The housing program was positively associated with a pattern of stable housing (odds ratio = 4.4, 95% confidence interval: 2.9, 6.8), and negatively associated with diagnosed STI rates (relative risk = 0.3, 95% confidence interval: 0.2, 0.7). These positive impacts on housing stability and STIs highlight the importance of the supportive housing program for youths aging out of foster care and the need for such programs to continue. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Assessment of anxiety and depression in hospitalized cardiac ...

African Journals Online (AJOL)

Results: The anxiety and depression level in hospitalized cardiac patient's was 79.5% ... Conclusion: Depression symptoms are more common among hospitalized patients than in those .... married (95.2 %), house wife (42.8 %), .... Number of reasons accounts the association of ... because Presence of mental stress among.

Optimization of sodium bicarbonate injection for acid scrubbing in hospital waste incineration plant

International Nuclear Information System (INIS)

Rozainee, M.; Salleh, M.; Mutahharah, M.M.; Anwar Johari

2010-01-01

Optimization of sodium bicarbonate (NaHCO 3 ) injection for acid hydrochloric (HCl) scrubbing was conducted on a hospital waste incineration plant. The plant employs a rotary kiln system having burning capacity of 350 kg/h hospital waste (average calorific value of 17.4 MJ/kg) and is operated on a 24 hr/ day basis. Currently, NaHCO 3 injection rate is 25 kg/h as recommended by manufacturer to meet the Department of Environment (DOE) standard emission limit of 200 mg/Nm 3 HCl. Testing of HCl emission at various injection rates of 25, 20, 15 and 10 kg/ h results in HCl final concentration in the range of 0.58-7.13, 5.63-7.74, 0.07-2.99 and 3-28 mg/Nm 3 respectively. The results showed that NaHCO 3 injection rate as low as 10 kg/ h could still meet the HCl stipulated emission limit. Economic comparison between 25 and 10 kg/ h injection rates showed that total saving on NaHCO 3 and disposal of fly ash was RM 22,000 per month (equivalent to saving RM 260,000 per year) when using 10 kg/ h injection rate. It was concluded from the study that optimum injection rate would not only save cost and reduce wastage but also reduce bag house loading rate and prolong the life span of filter bags. (author)

Antibiogram of clinical isolates from a hospital in Nigeria

African Journals Online (AJOL)

STORAGESEVER

2008-12-17

Dec 17, 2008 ... The hospital environment is uniquely suited to the spread of infections as it houses both susceptible patients and patients with difficult-to-treat ... In the present study, swab/air samples were collected from patients, hospital ...

ACCU MEETING

CERN Multimedia

Chris Onions/EP (Secretary)

2001-01-01

DRAFT Agenda for the meeting to be held on Wednesday 6 June 2001 At 9:15 a.m. in room 60-6-002 Chairman's remarks Adoption of the agenda News from the CERN Management Minutes of the previous meeting Matters arising EP Space management Cars Housing EDH from the User's point of view VRVS Users' Office News Any Other Business Agenda for the next meeting Anyone wishing to raise any points under item 12 is invited to send them to the Secretary in writing via the CERN Users' Office or by e-mail to Christopher.Onions@cern.ch ACCU is the forum for discussion between the CERN Management and the representatives of CERN Users to review the practical means taken by CERN for the work of Users of the Laboratory. The User Representatives to ACCU are (CERN internal telephone numbers in brackets): Austria W. Adam (71661) Belgium G. Wilquet (74664) Bulgaria R. Tzenov (77958) Czech Republic P. Závada (75877) Denmark A. Waananen (75941) Finland A. Kiiskinen (79387) France M. Déj...

Hospital emergency on-call coverage: is there a doctor in the house?

Science.gov (United States)

O'Malley, Ann S; Draper, Debra A; Felland, Laurie E

2007-11-01

The nation's community hospitals face increasing problems obtaining emergency on-call coverage from specialist physicians, according to findings from the Center for Studying Health System Change's (HSC) 2007 site visits to 12 nationally representative metropolitan communities. The diminished willingness of specialist physicians to provide on-call coverage is occurring as hospital emergency departments confront an ever-increasing demand for services. Factors influencing physician reluctance to provide on-call coverage include decreased dependence on hospital admitting privileges as more services shift to non-hospital settings; payment for emergency care, especially for uninsured patients; and medical liability concerns. Hospital strategies to secure on-call coverage include enforcing hospital medical staff bylaws that require physicians to take call, contracting with physicians to provide coverage, paying physicians stipends, and employing physicians. Nonetheless, many hospitals continue to struggle with inadequate on-call coverage, which threatens patients' timely access to high-quality emergency care and may raise health care costs.

SOME SLAUGHTER-HOUSE RATES OF HORSES

Directory of Open Access Journals (Sweden)

Vlasta Mandić

2000-06-01

Full Text Available Nowdays horses are raised and used almost only for sport and recreation and, of course, for meat production. With the possibility of buying fresh horse meat and products based on horse meat, new eating habits have been acquired. The number of horses in the Republic of Croatia has been decreasing continually, which can result in import rather than in export of horse meat, unless a proper and a good breeding plan for horse meat production is made soon. In existing small private slaughter-houses, together with other animals, horses are slaughtered but in a very small number (just to meet the needs of the market. As those horses are of different genetic bases, (mostly cold blooded and cross-bred as well as of different age, sex and physical shape, the slaughter-house yield greatly varies. Due to some injuries, blindenss or lameness horses are killed coercively as to gain minimal profit. In distinction from other animals where the percentage of carcass yield is very high, sloughter-house yield of horse carcass is not high due to a small number of killed animals

75 FR 1754 - Gulf of Mexico Fishery Management Council; Public Meetings

Science.gov (United States)

2010-01-13

... meetings will be held February 1 - 4, 2010. ADDRESSES: The meetings will be held at the Battle House, 26 N....m. - The Council will review and discuss reports from the Sustainable Fisheries/Ecosystem Committee... Access Privilege Program Advisory Panel. 10 a.m. - 12 p.m. - The Sustainable Fisheries/Ecosystem...

ETHICS OF SMART HOUSE WELFARE TECHNOLOGY FOR OLDER ADULTS: A SYSTEMATIC LITERATURE REVIEW.

Science.gov (United States)

Sánchez, Veralia Gabriela; Taylor, Ingrid; Bing-Jonsson, Pia Cecilie

2017-01-01

The University College of Southeast Norway has an on-going project to develop a smart house welfare system to allow older adults and people with disabilities to remain in their homes for as long as they wish in safe, dignified, living conditions. This article reviews reported ethical challenges to implementing smart houses for older adults. A systematic literature review identified twenty-four articles in English, French, Spanish, and Norwegian, which were analyzed and synthesized using Hofmann's question list to investigate the reported ethical challenges. Smart houses offer a promising way to improve access to home care for older adults and people with disabilities. However, important ethical challenges arise when implementing smart houses, including cost-effectiveness, privacy, autonomy, informed consent, dignity, safety, and trust. The identified ethical challenges are important to consider when developing smart house systems. Due to the limitations of smart house technology, designers and users should be mindful that smart houses can achieve a safer and more dignified life-style but cannot solve all the challenges related to ageing, disabilities, and disease. At some point, smart houses can no longer help persons as they develop needs that smart houses cannot meet.

Reengineering knowledge for e-tourism and hospitality curricula

Directory of Open Access Journals (Sweden)

Jing Fu

2016-12-01

Full Text Available E-tourism and hospitality represents the development of tourism and hospitality to integrate ICT tools and has significantly changed the industry over the last decade. In order to meet the new needs, knowledge service suppliers (i.e. the university must meet the requirements and social developments of the tourism industry. The quality of e-tourism and hospitality curriculum depends largely on the education quality and its subsequent implementation. The research reveals that higher education is not currently meeting the needs of the industry, especially in the Greater Mekong Sub-region countries. This article focuses on two major problems, which represent a disparity between the knowledge needs of the tourism and hospitality industry and the knowledge provided by curricula in higher education. The authors leverage a knowledge engineering perspective so as to bridge the gap between knowledge demand and supply as related to e-tourism and hospitality curriculum design.

Autonomous houses. Autonomous house

Energy Technology Data Exchange (ETDEWEB)

Tanaka, S. (Tokai University, Tokyo (Japan). Faculty of Engineering)

1991-09-30

Self-sufficiency type houses are outlined. On condition that people gain a certain amount of income in relation with the society, they self-suffice under the given environment, allowing themselves to accept a minimum of industrial products with small environmental load. Ordinary supply from outside of fossil energy and materials which depend on it is minimized. Types are classified into three: energy, energy materials and perfect self-sufficiency. A study project for environment symbiotic houses is progressing which is planned by the Ministry of Construction and Institute of Building Energy Conservation and is invested by a private company. Its target is making a house for halving an environmental load by CO{sub 2}, for the purpose of creating the environment symbiotic house which is nice to and in harmony with the global environment and human beings. As a part of the studies on energy-saving and resource conservation on houses, introduced is a plan of an autonomous house at Izu-Atagawa. The passive method and high thermal-insulation are used for air conditioning, and hot spring water for hot water supply. Electric power is generated by hydroelectric power generation using mountain streams and by solar cells. Staple food is purchased, while subsidiary food is sufficed. 17 refs., 4 figs., 1 tab.

Sustainable architecture and the Passive House concept: achievements and failures on energy matters

OpenAIRE

Van Moeseke, Geoffrey; PLEA2011 Conference

2011-01-01

The Passive House approach meets increasing success and will continue to spread in coming years. But conceptual thinking about sustainable architecture also goes forward. This paper intends to confront the Passive House approach with 5 principles of sustainability. These principles are based on de Myttenaere’s attempt to give a holistic definition of sustainable architecture. Although sustainability is a very large concern, only energy related matters are examined. This paper concludes on rec...

The Impact of Religious Culture on Organization of Houses

Directory of Open Access Journals (Sweden)

Gholam Hossein Memarian

2010-06-01

Full Text Available Culture is the principal element in forming houses and it also plays an important role in social sustainability. In this way, it will become so important to survey in vernacular culture in order to recognize behavioral patterns of divers religions and nations. Nevertheless, the impressive factors of culture in a human made environment such as the one in city of Kerman, which has diversity in cultures and residential districts belong to Muslims, Zoroastrians, and Jewish people, have been ignored partly. So, planners have been faced with problems in codifying and organizing guidelines for designing and renovation approaches in these districts. In this paper, the matter of privacy and hospitality in Islamic culture and impacts of that on the formation of houses will be discussed through the sacred text of Quran by using the combining research method, logical reasoning and ethnography. Furthermore, it refers to the Torah and Avesta and demonstrates that the first impressive layer on the architecture of Kerman houses initiates from Islamic culture, as a predominant one there, in some principals such as privacy, neighborhood rights, and hospitality. Moreover, it shows that the second impressive layer initiates from Zoroastrian and Jewish religious beliefs and traditions formed the architecture of their houses. Therefore, their trends for security, life, needs and regarding religious rites should be considered in the future guidelines in renovation of these residential districts. Meanwhile, further studies could search for approaches & methods of converting the theoretical results of this paper into the guidelines & design principles.

Houses Based on Wood as an Ecological and Sustainable Housing Alternative—Case Study

Directory of Open Access Journals (Sweden)

Jozef Švajlenka

2018-05-01

Full Text Available Sustainability of cities is currently a much-debated topic. The trend in Central Europe we witness nowadays is that people are going back from the impersonal and restrictive conditions of tower blocks to the more natural and relaxed conditions of family houses. New approaches to urbanization in the context of the sustainability of cities can be characterized by their use of innovative technologies and energetically efficient and ecologically acceptable construction materials. Companies have substantially responded to this trend, meeting the demand by offering a wide range of solutions. Alongside the traditional and long-established construction materials (brick, concrete, including wood, companies are introducing modern, innovative, and viable construction alternatives. Modern methods of construction (MMC, to which modern houses based on wood belong, promote the idea and application of environmentally and energetically efficient constructions. Just as the construction process itself significantly contributes to the depletion of natural resources, the production of construction materials contributes to significant environmental pollution and greenhouse emissions (particularly CO2. Sustainability assessments of construction projects increasingly involve the use of methodologies which assess sustainability criteria throughout a product’s Life-cycle. For our analysis of suburban housing clusters designed to serve as family houses, we chose an actual family house construction completed using a modern construction system based on wood. For the sake of comparing the modern construction method, we created an alternative model of a construction based on a traditional masonry construction system. The main objective of this contribution is to analyze selected variants of constructions in terms of environmental and economic sustainability characteristics, as part of a broader assessment of permanent sustainability, by applying the life-cycle assessment

Reengineering knowledge for e-tourism and hospitality curricula

OpenAIRE

Fu, Jing; Kapiki, Soultana Tania

2016-01-01

E-tourism and hospitality represents the development of tourism and hospitality to integrate ICT tools and has significantly changed the industry over the last decade. In order to meet the new needs, knowledge service suppliers (i.e. the university) must meet the requirements and social developments of the tourism industry. The quality of e-tourism and hospitality curriculum depends largely on the education quality and its subsequent implementation. The research reveals that higher education ...

Housing, income support and mental health: Points of disconnection

Directory of Open Access Journals (Sweden)

Csiernik Rick

2007-12-01

Full Text Available Abstract There exists a disconnection between evolving policies in the policy arenas of mental health, housing, and income support in Canada. One of the complexities associated with analysing the intersection of these policies is that federal, provincial, and municipal level policies are involved. Canada is one of the few developed countries without a national mental health policy and because of the federal policy reforms of the 1970s, the provincial governments now oversee the process of deinstitutionalization from the hospital to the community level. During this same period the availability of affordable housing has decreased as responsibility for social housing has been transfered from the federal government to the provincial and/or municipal levels of government. Canada also stands alone in terms of being a developed nation without national housing policy instead what is considered "affordable" housing is partially dependant upon individuals' personal economic resources. As well, over the past decade rates of income supports have also been reduced. Psychiatric survivors have long been identified as being at risk for homelessness, with the disconnection existing between housing, income and mental health policies and the lack of a national policy in any of these policies areas further contributing to this risk.

White House Conference on Global Climate Change

Energy Technology Data Exchange (ETDEWEB)

1993-11-01

President Clinton has directed the White House office on Environmental Policy to coordinate an interagency process to develop a plan to fulfill the commitment he made in his Earth Day address on April 21, 1993. This plan will become the cornerstone of the Climate Change Plan that will be completed shortly after the Rio Accord enters into force. The Office on Environmental Policy established the Interagency Climate Change Mitigation Group to draw on the expertise of federal agencies including the National Economic Council; the Council of Economic Advisors; the Office of Science and Technology Policy; the Office of Management and Budget; the National Security Council; the Domestic Policy Council; the Environmental Protection Agency; and the Departments of Energy, Transportation, Agriculture, Interior, Treasury, Commerce, and State. Working groups have been established to examine six key policy areas: energy demand, energy supply, joint implementation, methane and other gases, sinks, and transportation. The purpose of the White House Conference on Global Climate Change was to ``tap the real-world experiences`` of diverse participants and seek ideas and information for meeting the President`s goals. During the opening session, senior administration officials defined the challenge ahead and encouraged open and frank conversation about the best possible ways to meet it.

A questionnaire survey of senior house officers/registrars response ...

African Journals Online (AJOL)

A questionnaire survey of senior house officers/registrars response to their training at University College Hospital, Ibadan. ... A regular conduct of auditing of training programmes is recommended. Keywords: Questionnaire ... spécialistes. Nous proposons l'organisation régulière de la verification de programme de formation.

Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada.

Science.gov (United States)

Zhang, Linda; Norena, Monica; Gadermann, Anne; Hubley, Anita; Russell, Lara; Aubry, Tim; To, Matthew J; Farrell, Susan; Hwang, Stephen; Palepu, Anita

2018-03-01

Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless or vulnerably housed individuals, using longitudinal data from the Health and Housing in Transition Study. In 2009, 1190 homeless or vulnerably housed adults were recruited in Ottawa, Toronto, and Vancouver, Canada. Participants completed baseline interviews and four annual follow-up interviews, providing data on sociodemographics, housing history, mental health diagnoses, problematic drug use with the Drug Abuse Screening Test (DAST-10), problematic alcohol use with the Alcohol Use Disorders Identification Test (AUDIT), chronic health conditions, and utilization of the following health care services: emergency department (ED), hospitalization, and primary care. Concurrent disorders were defined as the participant having ever received a mental health diagnosis at baseline and having problematic substance use (i.e., DAST-10 ≥ 6 and/or AUDIT ≥ 20) at any time during the study period. Three generalized mixed effects logistic regression models were used to examine the independent association of having concurrent disorders and reporting ED use, hospitalization, or primary care visits in the past 12 months. Among our sample of adults who were homeless or vulnerably housed, 22.6% (n = 261) reported having concurrent disorders at baseline. Individuals with concurrent disorders had significantly higher odds of ED use (adjusted odds ratio [AOR] = 1.71; 95% confidence interval [CI], 1.4-2.11), hospitalization (AOR = 1.45; 95% CI, 1.16-1.81), and primary care visits (AOR = 1.34; 95% CI, 1.05-1.71) in the past 12 months over the four-year follow-up period, after adjusting for potential confounders. Concurrent disorders were associated with

Innova House - Ottawa`s advanced house

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-01-31

A pilot program was developed to provide the housing industry with a means to field test innovative technologies, products and building systems, and to evaluate their overall performance. Under Canada`s Advanced House Program, ten demonstration houses were designed, built and monitored. Ottawa`s Innova House, was one of the ten houses built for this program. The innovative energy saving features of the house included (1) air distribution with small diameter ducts and an electronically commutated motor, a 2.6 kW grid-connected photovoltaic system, (3) an energy recovery ventilator (ERV) with free-cooling mode, (4) a 94 per cent efficient integrated gas heating and hot water system, (5) airtight drywall construction, (6) CFC-free exterior insulation, (7) a natural-gas-engine heat pump for air conditioning, (8) a prototype sealed combustion gas range and clothes dryer, and (9) a manifold plumbing system to conserve water. It was designed to consume one half of the energy consumed in an R-2000 home and one third of the energy of a conventional house. Several of the mechanical elements did not perform at expected levels, (lower than expected efficiencies from the heating and cooling systems and a malfunctioning ERV), nevertheless, overall performance of the house was still very close to the targets. The construction and operation of the house was described. tabs., figs.

Expert Meeting Report: Retrofit Implementation - A Neighborhood at a Time

Energy Technology Data Exchange (ETDEWEB)

Griffiths, Dianne [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States)

2012-04-01

This report provides information about a Building America expert meeting hosted by research team Consortium for Advanced Residential Buildings (CARB) on October 25, 2011, in New York City. The meeting discussed several community residential retrofit projects underway across the United States, and included representatives from utilities, energy program implementation firms, affordable housing agencies, and the financing industry.

Expert Meeting Report: Retrofit Implementation - A Neighborhood at a Time

Energy Technology Data Exchange (ETDEWEB)

Griffiths, D.

2012-04-01

This report provides information about a Building America expert meeting hosted by research team Consortium for Advanced Residential Buildings on October 25, 2011, in New York City. The meeting discussed several community residential retrofit projects underway across the United States, and included representatives from utilities, energy program implementation firms, affordable housing agencies, and the financing industry.

Meeting the Housing and Care Needs of Older Homeless Adults: A Permanent Supportive Housing Program Targeting Homeless Elders

OpenAIRE

Brown, Rebecca T.; Thomas, M. Lori; Cutler, Deborah F.; Hinderlie, Mark

2013-01-01

The homeless population is aging faster than the general population in the United States. As this vulnerable population continues to age, addressing complex care and housing needs will become increasingly important. This article reviews the often-overlooked issue of homelessness among older adults, including their poor health status and unique care needs, the factors that contribute to homelessness in this population, and the costs of homelessness to the U.S. health care system. Permanent sup...

Classification of low energy houses in Danish Building Regulations

DEFF Research Database (Denmark)

Rose, Jørgen; Svendsen, Svend

2005-01-01

The new Danish Building Regulations (Building Regulations, 2005) introduces the total energy consumption, i.e. energy use for heating, ventilation, cooling and domestic hot water, for buildings as a measure for the energy efficiency of new buildings, i.e. moving away from the former U-value demands....... In addition to the minimum requirements for new buildings, the new Building Regulations also specify requirements for characterizing a building as either low energy building class 1 or low energy building class 2. This paper describes a type-house that is presently being built in Denmark. The type......-house easily meets the requirements for being categorized as a low energy building class 1, and the paper investigates how much U-values can be increased if the type-house were to fulfil the requirements for a low energy building class 2 or a building that just fulfils the minimum demands....

TECHNIQUES FOR RECONSTRUCTION OF THE PRESERVED HOUSING STOCK

Directory of Open Access Journals (Sweden)

Kustikova Yuliya Olegovna

2017-10-01

Full Text Available Nowadays in Russian cities a significant part of the housing stock in areas of existing buildings has a high level of physical and moral deterioration, indicators of infrastructure elements do not meet the current and future requirements. Reconstruction of residential buildings is one of the important directions in solving the housing problem. This will allow us to not only extend the life cycle but also significantly improve the quality of housing, eliminate a communal settlement, provide the houses with modern engineering equipment, improve architectural expressiveness of buildings and increase their energy efficiency. For buildings of different construction periods an individual approach is required in the development of methods and technologies of reconstruction. At the same time, the process should take place not in a separate building but in a group of buildings, neighborhood or district. This makes it possible to undertake a comprehensive assessment of the urban development situation and make the most rational decisions to meet modern conditions, and provide logical connection between various architectural trends. At the same time, there are possibilities for compaction and decompaction of buildings, the rational use of inter-district, underground space and communication systems. Moscow region is a large region, which occupies an area of 46 thousand square kilometers. The region includes more than 38 municipalities (municipal districts, urban and rural settlements. The region’s population is more than 7 million people. Moscow oblast has a central location in the Russian Federation and a close relationship with the capital. This relationship with Moscow is manifested through common social, scientific, industrial, transport links, environmental protection problems, labor resources. In 2016 the total area of the housing stock in Moscow region was about 220 million sq. m. The total area of dilapidated and emergency housing stock is just

Housing aspiration in an informal urban settlement: A case study

Directory of Open Access Journals (Sweden)

Akunnaya P. OPOKO

2015-11-01

Full Text Available Housing aspiration is an important aspect of housing market analysis. However, there is a paucity of empirical research on housing aspiration among residents in informal settlements in developing countries. This study therefore investigated housing aspiration among the residents of Ayobo, Lagos, Nigeria. A cross-sectional survey of 1,151 households in Ayobo was conducted using a structured questionnaire as the data-collection instrument. The data were analysed using descriptive statistical and categorical regression analyses. The results show that a majority of the respondents were low-income earners living in rented and rooming-house types of accommodation. Around 73% of them expressed an intention to move to another residence, and 56% of this category of respondents intend to move into self-contained flats. The reasons for the planned relocation include poor condition of their present dwellings, changes in tenure status and household size, and the desire for exclusive use of facilities in their homes. In addition to these reasons, the waste-disposal method, sharing facilities, employment, and age and marital status of the residents emerged as the strongest predictors of housing aspiration among the respondents in the survey. This implies that, in order to meet the housing preferences and aspirations of residents in informal urban settlements in Nigeria, housing developers need to give adequate attention to the marital, age, employment and tenure status of the residents and place emphasis on developing affordable single-family houses and block of flats, as well as strategies for improving access to basic social amenities and services.

The Birth of Hospital, Asclepius cult and Early Christianity.

Science.gov (United States)

Yeo, In-Sok

2017-04-01

History of hospital is one of main fields of researches in medical history. Besides writing a history of an individual hospital, considerable efforts have been made to trace the origin of hospital. Those who quest for the origin of hospital are faced with an inevitable problem of defining hospital. As the different definition can lead to a different outcome, it is important to make a clear definition. In this article, the hospital was defined as an institution in which patients are housed and given medical treatments. According to the definition, the Great Basilius is regarded to have created the first hospital in 369 CE. The creation of hospital is considered to be closely related with Christian philantrophy. However, the question is raised against this explanation. As the religious philantrophy does not exclusively belong to the Christianity alone, more comprehensive and persuasive theory should be proposed to explain why the first hospital was created in the Christian World, not in the Buddhistic or other religious world. Furthermore, in spite of sharing the same Christian background, why the first hospital appeared in Byzantine Empire, not in Western Roman Empire, also should be explained. My argument is that Asclepius cult and the favorable attitude toward medicine in Greek world are responsible to the appearance of the first hospital in Byzantine Empire. The evangelic work of Jesus was heavily depended on healing activities. The healing activities of Jesus and his disciples were rivalled by Asclepius cult which had been widely spread and practiced in the Hellenistic world. The temples of Asclepius served as a model for hospital, for the temples were the institution exclusively reserved for the patients. The exclusive housing of patients alone in the temples of Asclepius is clearly contrasted with the other early forms of hospitals in which not only patients but also the poor, foreigners and pilgrims were housed altogether. Toward the healing god Asclepius

Housing markets and housing policies in India

OpenAIRE

Tiwari, Piyush; Rao, Jyoti

2016-01-01

Issues of housing in India are synonymous with ignorance of housing in active government involvement at the policy and program formulation levels. They are also due to the problems that unplanned urbanization, income disparity, poverty, illiteracy, and unemployment brought. These issues extenuated the housing problem, causing a housing shortage of 51 million in 2011. Though India has a long history of establishing policies, programs, and institutions to cater to housing, without allocating ad...

Quality of life in boarding houses and hostels: a residents' perspective.

Science.gov (United States)

Horan, M E; Muller, J J; Winocur, S; Barling, N

2001-08-01

In the last forty years deinstitutionalization has transferred the care of people with a serious mental illness from the psychiatric hospitals to community based facilities. More recently it has been questioned whether these new facilities offer the anticipated benefits of quality of life. This study examines the Quality of Life (QOL) of people diagnosed with schizophrenia living in two different accommodation facilities, hostels and boarding houses. QOL is examined from the resident's perspective. Lehman's (1988b) QOL Interview was used to measure objective, subjective, and global QOL of 60 participants in three hostels and two boarding house clusters. Hostel and boarding house data were compared and results showed that residents preferred boarding house accommodation. Overall, residents of both accommodation facilities reported satisfaction with QOL, and indicated that they regard them as asylum or sanctuary from the outside world.

24 CFR 982.608 - Congregate housing: Voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Housing Types Congregate Housing § 982.608 Congregate housing: Voucher housing assistance payment. (a... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Congregate housing: Voucher housing assistance payment. 982.608 Section 982.608 Housing and Urban Development Regulations Relating to Housing and...

Exploring Missions: The 1992 ALA Midwinter Meeting.

Science.gov (United States)

Wilson Library Bulletin, 1992

1992-01-01

Presents highlights of the 1992 American Library Association Midwinter Meeting, including actions of the Executive Board, subgroups of the Association of College and Research Libraries, Intellectual Freedom Committee, Committee on Accreditation, and Video Round Table and discussion of White House conference followup, patron behavior policies, the…

75 FR 16575 - Open Meeting of the President's Economic Recovery Advisory Board (the PERAB)

Science.gov (United States)

2010-04-01

... meeting will be open to the public via live Webcast at http://www.whitehouse.gov/live . DATES: The meeting... will be posted on the White House Web site ( http://www.whitehouse.gov ) without change, including any...:30 p.m. Eastern Time. The meeting will be broadcast on the Internet via live Webcast at http://www...

In California, not-for-profit hospitals spent more operating expenses on charity care than for-profit hospitals spent.

Science.gov (United States)

Valdovinos, Erica; Le, Sidney; Hsia, Renee Y

2015-08-01

In exchange for sizable tax exemptions, not-for-profit hospitals must engage in activities that meet the Internal Revenue Service's community benefit standard. The provision of charity care-free care to those unable to pay-can help meet that standard. Bad debt, the other form of uncompensated care, cannot be used to meet the standard, although Medicaid shortfalls can. However, the ACA lacks guidelines for providing charity care, and federal law sets no minimum requirements for community benefit activities. Using data from California, we examined whether the levels of charity and uncompensated care provided differed across general acute care hospitals by profit status and other characteristics during 2011-13. The mean proportion of total operating expenses spent on charity care differed significantly between not-for-profit (1.9 percent) and for-profit hospitals (1.4 percent), in contrast to the mean proportion spent on uncompensated care. Both types of spending varied widely across hospitals. Policy makers should consider measures that remove disincentives to meeting the persistent considerable need for charity care-for example, increasing supports to offset rising Medicaid shortfalls resulting from program expansion-and facilitate the tracking of ACA impacts on the distribution of charity care and uncompensated care delivery. Project HOPE—The People-to-People Health Foundation, Inc.

Retrofitting of existing housing stock

DEFF Research Database (Denmark)

Unterrainer, Walter

2015-01-01

The paper is a case study in retrofitting an urban quarter with social housing of the 1950´s and 1960´s - a model project in Amberg/Germany. It documents and discusses applied ´acupuncture´ and innovative strategies on very different scales as well as on different layers, in order to meet the goal...... of a sustainable retrofitting project in a holistic sense: This included cultural, social, environmental and economic sustainability. The first phase of the project is built and the process included a high level of user participation. The project is an example of integral design from competition level...

Housing and Health: The relationship between housing conditions ...

African Journals Online (AJOL)

okanlawon

2011-10-22

Oct 22, 2011 ... Housing and Health: The relationship between housing ... The authors in chapter one, deal extensively with historical context of housing and health chronologically ... Housing and Health: Time Again for Public Health Action.

The understanding of art students toward characteristic of Negeri Sembilan Minangkabau Traditional House

Directory of Open Access Journals (Sweden)

Taharuddin Nurul Shima

2016-01-01

Full Text Available In Negeri Sembilan, they are still practicing Minangkabau culture and custom. Element of uniqueness in Negeri. Sembilan has been shown on its architectural where the houses have dramatic curved roof structures with multitier. The art and architecture features a unique regional style. This house fills with cultural values, customs and reflects the people’s understanding about designing art and architecture that is in harmony with nature. The house serves as a residence, a hall for family meetings, and for ceremonial activities. This research, studies the understanding of art students towards the characteristic that are found in the Negeri Sembilan Minangkabau Traditional House (NSMTH in Negeri Sembilan, Malaysia. The objectives are to identify the element of characteristic that shows the identity of Negeri Sembilan Minangkabau Traditional House and to determine the level of understanding on characteristic of a Minangkabau house by art students. Scope of this research is on understanding of Faculty Art & Design student that has syllabus on Malay art. The research methodology that been use in this research is quantitative where surveys are made among the art students

FOUNDING OF THE DISTRICT HOSPITAL IN NIS

Directory of Open Access Journals (Sweden)

Misa Zivic

2007-01-01

Full Text Available After the liberation of Nis from the Turks which took place on January 11th, 1878, there were two military hospitals: one was next to The Skull Tower and the other on the road to Leskovac and there was Islahana the civil institution which was not the forerunner of the district hospital in Nis. At first, they founded the military hospital in Nis in 1878 and then they founded The District Hospital on July 17th in 1881. The first director of the District hospital was Anton Zajicek. He is also the first graduated medical doctor in Nis. The District Hospital was situated on the left bank of the Nisava river in a private house.

Housing Subsidies and Homelessness: A Simple Idea

Directory of Open Access Journals (Sweden)

Brendan O’Flaherty

2012-01-01

Full Text Available Reducing homelessness is an indisputable social good, and housing subsidies offer one way to do so. However, subsidies come in many different varieties and are intricately bound up with economic and social policies. This paper, written by one of North America’s leading urban economists, cuts through the tangle and argues that the simplest approach is the best. The ideal way to deter people from harmful acts is to reward them for abstaining. Thus, to combat homelessness, governments should offer housing allowances to people for every night they are not homeless. This optimal homelessness-reducing home allowance (OHRHA is open to adjustment to suit individual circumstances and the effects of homelessness on different demographics. It is meant to reduce homelessness by aligning individual and societal incentives, forcing people to bear the consequences or realize the benefits that their actions impose on others. The author explores methods for financing OHRHA, examines means for tailoring it to meet the diverse needs of the homeless and discusses the policy’s effect on urban housing markets, all while comparing and contrasting the proposal to existing homelessness-reduction measures in Alberta, Canada and the US.

City of Ljubljana: Its housing, population and housing conditions

Directory of Open Access Journals (Sweden)

Maša Filipovič

2007-01-01

Full Text Available The article gives an overview of key aspect of housing in Municipality of Ljubljana. The characteristics of households, of housing and their relation influence the housing situation in the city. Characteristic of housing refer mainly to quality of the dwellings, affordability and correspondence to the wishes of the inhabitants. The second important dimensions are households and their characteristics. In Europe and Slovenia increase in number of household can be observed, which in turn are becoming smaller. The housing policy has a role in establishing a balance between households and housing, i.e. ensuring that housing corresponds to the needs of individual households and to their number. For achieving this, knowledge and appropriate data are of vital importance. In the article we present the results of the Housing survey 2005. We observe housing conditions in a comparative perspective (Ljubljana in comparison to Maribor, Slovenia and selected European cities and according to three dimensions: housing fund, households and housing conditions.

Energy house - dream house

Energy Technology Data Exchange (ETDEWEB)

1981-07-01

An energy house a prefabricated house with an extensive minimization of heat losses, is air-conditioned by means of a combined heating system consisting of hot water cycle and recirculating heating. The energy system is trivalent: wind power, solar energy with heat pumps and normal oil heating.

An Investigation Into Design Criteria for Affordable Housing Supply

Directory of Open Access Journals (Sweden)

Olanrewaju Abdul Lateef

2017-01-01

Full Text Available Affordable housing provision constitutes a very large scheme in any countries due to income distribution and national development. The supply of housing depends on many activities and processes. The purpose of the houses is to meet the requirement of the householders therefore design criteria must address the users’ requirements. The establishment of the design criteria constitutes an important activity at the initial phase of the housing development. The design criteria are prepared by the design team in collaboration with many stakeholders especially the householders. Housinsg design criteria are the requirements that must be considered prior to construction of the housing. Lack of adequate information on the design criteria would lead to poor householders’ satisfactions, increase in maintenance cost, abandonments and completed but not occupy housing. In Malaysia, many of these consequences are prevalent. However, while information on the house owners’ requirements is inconclusive, this current research set out to investigate the design criteria of affordable housing. The increase in the affordable housing gap in Malaysia can be reduced if the designers have a comprehensive understanding of users’ requirements and the design criteria. Through a cross sectional survey questionnaire, comprising 25 criteria, 7 criteria were found to be extremely critical. The Kaiser-Meyer-Olkin measure of sampling adequacy indicated that the strength of the relationships among variables was strong (KMO =0.716. Bartlett’s test of sphericity, which tests the overall significance of all the correlations within the correlation matrix, was significant χ2 (325 = 1825.075, p<0.001, indicating the data were drawn from the same population and that the criteria were related.Sustainability considerations are now being considered by the providers of affordable housing. Deductively, the results lead to the conclusion that a major factor responsible for the poor

Occupational exposure to sharp injuries among medical and dental house officers in Nigeria

Directory of Open Access Journals (Sweden)

Nosayaba Osazuwa-Peters

2013-04-01

Full Text Available Objective: Sharp injuries constitute important occupational exposure in hospital environment, and perhaps the newly graduated medical and dental students, known as House Officers, in the first twelve months of their practice, are the most vulnerable of all health workers. This study was designed to examine the nature and prevalence of occupational injuries among medical and dental house officers and factors associated with reporting these injuries. Materials and Methods: A self-administered questionnaire was used to obtain information on demography, types of exposure, and barriers to official reporting of occupational injuries. One hundred and forty-four medical and dental house officers in 3 government owned hospitals in Edo State, Nigeria participated in the study, between April and May, 2010. Descriptive and multivariable analyses were performed. Results: The overall response rate was 96%. Out of all participants, 69.4% were male; 82.6% were medical house officers. Prevalence of percutaneous injury was 56.9%; where needlestick injury constituted one-third of all injuries. Mean frequency of injury was 1.86±2.24, with medicals having more injuries (p = 0.043. The ward was the most common location for the injury and 14.8% of exposures occurred as a result of lapse in concentration. At least 77.0% did not formally report their injury and perceived low injury risk was the most common reason given (51.67%. Conclusion: This study shows that a substantial number of House Officers are exposed to occupational injuries and that the majority of them does not formally report these. Safer work environment may be achieved by implementing adequate educational programs tailored specifically to house officers, and policies encouraging exposure reporting should be developed.

Zero carbon home: Britain’s house of the future (?

Directory of Open Access Journals (Sweden)

Fell Antony

2016-01-01

Full Text Available One of the key issues that determine the wellbeing of young people in Britain is their prospect of living and raising a family in a house of their own. In an ideal scenario, a young professional couple should be able to purchase a comfortable and affordable home as they need it, but in the recent years, the affordability of new homes for young people has become a problem as house prices rose. Moreover, the British government is committed to reducing Britain’s carbon emissions [1] , and for future home owners this means that new houses must meet strict criteria ensuring that they are equipped with energy saving features that make them eco friendly. Britian’s ideal ecohouse of the future is a very high energy efficiency rating home, a zero carbon home. However, these requirements increase the building cost of new homes, which in turn can raise the house prices even further. This article surveys new energy saving solutions which are being implemented in British homes and evaluates their effectiveness and cost. Using desk top research as the method for this enquiry the authors attempt to sketch the image of the (possible house of the future – a type of dwelling that new home buyers should be buying in years to come – if they can afford it.

Unleashing the Potentials of Housing Sector in Nigeria as Perceived by Users

Directory of Open Access Journals (Sweden)

Taiwo David Olugbenga

2017-10-01

Full Text Available Housing is a basic need and a human right. The role that housing plays in the social and economic development of a country cannot be underestimated. Interventions in housing by government are widely acknowledged as one of the ways by which the social aspect of the life of the citizenry can be impacted especially through mass housing otherwise called social housing. This paper aims to examine the various potentials in the housing sector in order to enhance the delivery of more housing to Nigerians. A survey research approach was used in the study. Descriptive analysis was employed to explain the potentials in the housing sector. Housing deficit in Nigeria currently stands at about 17 million units. Efforts to meet and rectify the deficit will need a concerted effort of individuals and government. It requires unleashing the potentials in the housing sector to stimulate growth in the economy, thereby diversifying the economy from the mono to a multi sector economy. Interventions of governments at all levels as well as the involvement of informal sector in the housing sector will have a multiplier effect. It will generate multiple employment opportunities which will in turn stimulate the economy through the circulation of money in the system. The paper noted that interventions in housing sector will stimulate industries in the production of local building materials. Additionally, ailing companies will be revitalized, thereby improving the standard of living of the citizens. The paper concludes that strengthening and repositioning of agencies such as the Federal Mortgage Bank of Nigeria, Real Estate Developers Association of Nigeria, Nigeria Mortgage Refinance Company, will accelerate the release of the potentials in the housing sector and thereby enhance the delivery of affordable houses for Nigerians.

Financing to meet community needs: a guide for small hospitals.

Science.gov (United States)

Wilson, Bill

2009-03-01

To succeed in the current financial markets, small hospitals need flexible project and financing plans. Many small local banks today can offer small hospitals financing solutions on par with what was previously offered only by the country's strongest investment-grade rated banks. Federal assistance through programs such as HUD's Section 242 mortgage insurance program is also a viable option for small hospitals.

78 FR 8329 - Federal Housing Administration (FHA): Hospital Mortgage Insurance Program-Refinancing Hospital Loans

Science.gov (United States)

2013-02-05

... available through other sources, and to eliminate from eligibility hospitals with poor financial performance... terminology, based on experience to date, to facilitate understanding how the Section 242 program works. C... divide other. Additionally, revises certain threshold factors that make an initial determination of a...

Radiology integration in a multi-hospital system.

Science.gov (United States)

Welch, D

1999-01-01

In 1989, Salt Lake City's Intermountain Health Care (IHC) began a process to reduce costs and streamline processes. Divided into four geographic regions, IHC consists of 24 hospitals and 100 clinics, a 400-member practitioner-physician group, and a staff of 23,000. IHC determined that three Salt Lake Valley hospitals, part of its Urban Central Region, must become one entity with shared management and a reduced staff to cover operations at all three hospitals. Management of the three radiology departments were charged with creating an integration process for the three hospitals. Two directors were selected to manage radiology and meet the outlined goals. Difficulty arose when one director needed to make changes in a facility managed by the other. The directors found that structuring by modality allowed them to plan for all three facilities, standardize equipment purchases and create integrated rather than departmental programs. As consolidation was taking place in top management, employees worried what the resulting changes meant for their jobs. Many were unfamiliar with the concepts of team structure and continuous quality improvement. Various courses and meetings were held to educate staff members and bring them up to new standards. Most successful were the meetings that allowed staff from different facilities to come together and share ideas. Although travel was an issue, these meetings quickly helped move the integration processes forward as peer relationships were developed. Employees were recruited for cross-training and new staff worked wherever needed. As they began to share data, the three hospitals identified best-practice and internal benchmarks. IHC is now ready to hire a single director to manage the radiology departments at the three Salt Lake Valley hospitals.

World`s first fuel cell in a single-family home - The VNG natural gas house: Low-emission energy meets all household needs

Energy Technology Data Exchange (ETDEWEB)

Anon.

1999-03-01

VNG - Verbundnetz Gas Aktiengesellschaft of Leipzig, Germany, has pioneered the development of a decentral home energy system combining very high efficiencies with extremely low emissions. The company has installed the world`s first fuel cell total energy system using natural gas as an energy source to generate both heat and power in a single-family home. It replaces the gas-fired mini power station operated as part of the VNG natural gas house project which was instrumental in the rapid advancement of small-scale co-generation technology. The objective of VNG and its project partners is to collect reliable data for advancing fuel cell technology development, allowing appliance manufacturers to design a competitive system for introduction on the market within a few years. Discerning consumers will then be able to opt for an innovative, highly efficient system to meet all their household energy needs. (orig.)

2017 Midwest Zebrafish Meeting Report.

Science.gov (United States)

Sandquist, Elizabeth; Petersen, Sarah C; Smith, Cody J

2017-12-01

The 2017 Midwest Zebrafish meeting was held from June 16 to 18 at the University of Cincinnati, sponsored by the Cincinnati Children's Hospital Divisions of Developmental Biology, Molecular Cardiovascular Biology, and Gastroenterology, Hepatology, and Nutrition. The meeting, organized by Saulius Sumanas, Joshua Waxman, and Chunyue Yin, hosted >130 attendees from 16 different states. Scientific sessions were focused on morphogenesis, neural development, novel technologies, and disease models, with Steve Ekker, Stephen Potter, and Lila Solnica-Krezel presenting keynote talks. In this article, we highlight the results and emerging themes from the meeting.

The nutritional value of food service meals ordered by hospitalized children.

Science.gov (United States)

Huang, Jeannie S; Chun, Stanford; Cheung, Christopher; Poon, Linda; Terrones, Laura

2016-10-01

US hospitals routinely provide food to hospitalized children. The nutritional content of provided foods has not been evaluated. We performed our study to examine meal orders of hospitalized youth and determine whether the nutritional contents of ordered meals meet dietary guidelines. We performed a cross-sectional evaluation among hospitalized youth ≥1 y receiving all nutritional intake by mouth and not on a clear liquid diet. Meal orders from hospitalized youth were analyzed for nutritional content. Daily calories, fiber, protein, fat content, and sugar-sweetened beverages ordered were determined and compared with published dietary recommendations. Distribution analyses and odds ratios for meeting v. not meeting dietary recommendations were calculated for select factors and adjusted for hospital length of stay. 969 meal orders from 247 patients [13 (1, 26) [median (min, max)] years, 50% male, 47% Hispanic] at a tertiary care pediatric hospital were reviewed. Forty-four percent of daily meals exceeded caloric recommendations, 9% met fiber recommendations, 36% met fat recommendations, all met protein requirements, and 53% included sugar-sweetened beverages. Overweight/obese boys <13 y hospitalized ≤7 d were more likely to place meal orders exceeding daily caloric recommendations while Hispanic overweight/obese youth hospitalized ≤7 d were more likely to order sugar-sweetened beverages than inpatient counterparts. Pediatric hospital meal orders commonly do not meet dietary guidelines. Hospitals should encourage youth and families to order within nutritional guidelines to prevent additional health risk. Copyright © 2016 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

7 CFR 1944.664 - Housing preservation and replacement housing assistance.

Science.gov (United States)

2010-01-01

... 7 Agriculture 13 2010-01-01 2009-01-01 true Housing preservation and replacement housing...) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE (CONTINUED) PROGRAM REGULATIONS (CONTINUED) HOUSING Housing...

A model for the design and evaluation of energy efficient northern housing

Energy Technology Data Exchange (ETDEWEB)

Semple, B. [Canada Mortgage and Housing Corp., Ottawa, ON (Canada); Dragnea, M. [Nunavut Housing Corp., Iqaluit, NU (Canada)

2007-07-01

The Nunavut Housing Corporation (NHC) is responsible for improving the housing and living conditions in communities throughout Nunavut. In response to the current housing shortage, NHC recently initiated a joint project with Canada Mortgage and Housing (CMHC) to develop a sustainable solution to housing in the Arctic. The result was a new energy efficient row house design called the NHC 5-Plex which has become a model for a culturally responsible housing design that meets the needs of Inuit families. This paper presented the design and development process undertaken for this project. It also described how the integration of new construction materials and products designed for cold climates, strategic project management, and cooperation between the NHC and CMHC were used to address the goals of energy efficiency and affordability for Arctic housing. Energy conservation calculations were presented along with the comparative and cost analysis used for the project. The energy modelling of the building performance was undertaken through a technical and design review of windows and insulating materials for energy efficiency, flame ratings, combustibility, sound transmission and water permeability. The heating and ventilation strategies were also evaluated in an effort to address issues of indoor air quality. It was concluded that in order to address the challenge of rising energy costs, the R value in the NHC 5-plex should be increased and the energy savings should be monitored. 3 refs., 6 figs.

Strategic management process in hospitals.

Science.gov (United States)

Zovko, V

2001-01-01

Strategic management is concerned with strategic choices and strategic implementation; it provides the means by which organizations meet their objectives. In the case of hospitals it helps executives and all employees to understand the real purpose and long term goals of the hospital. Also, it helps the hospital find its place in the health care service provision chain, and enables the hospital to coordinate its activities with other organizations in the health care system. Strategic management is a tool, rather than a solution, that helps executives to identify root causes of major problems in the hospital.

Understanding Housing Delays and Relocations Within the Housing First Model.

Science.gov (United States)

Zerger, Suzanne; Pridham, Katherine Francombe; Jeyaratnam, Jeyagobi; Hwang, Stephen W; O'Campo, Patricia; Kohli, Jaipreet; Stergiopoulos, Vicky

2016-01-01

This study explores factors contributing to delays and relocations during the implementation of the Housing First model in Toronto, Ontario. While interruptions in housing tenure are expected en route to recovery and housing stability, consumer and service provider views on finding and keeping housing remain largely unknown. In-person interviews and focus groups were conducted with 48 study participants, including 23 case managers or housing workers and 25 consumers. The following three factors contributed to housing delays and transfers: (1) the effectiveness of communication and collaboration among consumers and service providers, (2) consumer-driven preferences and ambivalence, and (3) provider prioritization of consumer choice over immediate housing access. Two strategies--targeted communications and consumer engagement in housing searches--supported the housing process. Several factors affect the timing and stability of housing. Communication between and among providers and consumers, and a shared understanding of consumer choice, can further support choice and recovery.

Attitudes and education of pediatric house staff concerning breast-feeding.

Science.gov (United States)

Freed, G L; Jones, T M; Fraley, J K

1992-05-01

Pediatricians are expected to offer information and advice on breast-feeding to expectant and lactating mothers, but the educational experience for pediatric residents may not adequately prepare them for this responsibility. To examine knowledge and confidence regarding breast-feeding gained by pediatric house staff during their residency, a survey was administered to pediatric residents in a large, hospital-based training program. Of 108 program residents, 87 (81%) participated. Forty-one percent of the respondents were postgraduate level I (PL-I), 29% were PL-II, and 30% were PL-III. There was no evidence that PL-III residents were more competent or comfortable with routine breast-feeding counseling or intervention than their PL-I counterparts. Residents who had breast-fed, those with spouses who had breast-fed, and those with children of their own had the greatest knowledge and confidence base in several areas, such as their ability to teach breast-feeding techniques and to treat cracked nipples. They were also more familiar with different types of breastpumps. There were no significant differences among those who were or were not breast-fed as a child nor among men versus women. Residency programs must provide comprehensive education on breast-feeding to prepare future pediatricians to meet the needs of patients and their parents.

Housing management and maintenance practise of Dutch housing associations

NARCIS (Netherlands)

Straub, A.

This paper summarises the state-of-the-art in housing management and maintenance practise of Dutch housing associations based on a survey conducted among almost all housing associations. We address the question what the current developments are in housing management and maintenance practice in the

The performance of Hospital Corporation of America and Healthtrust hospitals after leveraged buyouts.

Science.gov (United States)

Clement, J P; McCue, M J

1996-07-01

The authors examine performance changes after two leveraged buyouts (LBOs) in the hospital industry, one an employee stock ownership plan (ESOP) and the other a managed buyout (MBO). The findings show that hospitals owned by HCA, the MBO firm, and Health Trust, the ESOP firm, did not increase revenues, decrease operating expenses, or improve profitability after the LBOs, relative to other hospitals in their local markets. Nor were the numbers or salaries of employees at these facilities decreased. Although performance incentives associated with LBOs did not change performance at the hospital level, incentives to meet debt payments did result in corporate changes. More specifically, the LBOs led to corporate downsizing through the sale of hospitals and subsidiaries.

24 CFR 92.252 - Qualification as affordable housing: Rental housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Qualification as affordable housing: Rental housing. 92.252 Section 92.252 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development HOME INVESTMENT PARTNERSHIPS PROGRAM Project Requirements § 92.252...

24 CFR 8.28 - Housing certificate and housing voucher programs.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Housing certificate and housing voucher programs. 8.28 Section 8.28 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development NONDISCRIMINATION BASED ON HANDICAP IN FEDERALLY ASSISTED PROGRAMS AND...

75 FR 22635 - President's Council of Advisors on Science and Technology; Meeting

Science.gov (United States)

2010-04-29

... President, The White House; Dr. Harold E. Varmus, President, Memorial Sloan-Kettering Cancer Center; and Dr. Eric S. Lander, President and Director, Broad Institute of MIT and Harvard. Meeting Accomodations...

Fifth pathway in New Jersey. House officer preparatory course for US foreign medical graduates.

Science.gov (United States)

McGrough, W E

1975-06-09

The Fifth Channel in New Jersey is a Fifth Pathway program for US foreign medical graduates. In its third year, 83 percent of its 81 graduates are house officers at 18 US medical school-affiliated hospitals. Performance as house officers is characterized as competitive with peers, including US graduates. Positive attitudes toward work load, fellow workers, and patients compared with those of fellow house staff are noted. Quality of performance as house officers correlates most strongly with the change in mean scores of two batteries of clinical National Board examinations taken during the Fifth Pathway and less strongly with mean scores of single batteries of National Boards, Intelligence quotient, Educational Council for Foreign Medical Graduates (ECFMG) examination, ang age. Recommendations concerning the implementing of similar programs in other states are presented.

IEA SHC Task 37: advanced housing renovation - Final report; IEA SHC Task 37: advanced housing renovation - Schlussbericht

Energy Technology Data Exchange (ETDEWEB)

Hastings, R.

2010-01-15

This final report for the Swiss Federal Office of Energy (SFOE) reports on work done within the framework of the International Energy Agency's Solar Heating and Cooling program. The project addressed the energy consumption of residential buildings and their renovation. The report discusses the goals set for the project and reports on five projects that were initiated. These include the refurbishment of apartment buildings to meet the 'Passive House' standard, air-tightness, potential for the use of solar energy, solar facades and the renovation of historic listed buildings. Conclusions resulting from these projects are presented and discussed.

Building America Case Study: Demonstration House of Cold-Climate Solutions for Affordable Housing, Minneapolis, Minnesota

Energy Technology Data Exchange (ETDEWEB)

2016-05-01

Single family homes in urban areas that are available for renovation by nonprofit developers are often in rough shape (1MM to 2MM nationally). Budgeting has historically focused on improving homes to meet basic housing standards. A rising interest in the long-term impact of homeownership has introduced the need to balance basic needs with home performance. This demonstration project aims to help nonprofit affordable housing developers become familiar with three Building America performance measures, the installation processes, and impacts and benefits of each. A story and a half home in North Minneapolis, MN was presented by Urban Homeworks our local nonprofit partner. The team helped them install three researched upgrade measures: exterior roof insulation or 'overcoat,' exterior foundation insulation, or 'excavationless', and a combined space and water heating HVAC system or 'combi'. To maximize efficiency of application and to address budget issues, the Team worked with Urban Homeworks to identify ways to use volunteers and construction training programs to install the measures. An open invitation to visit the job site was extended to other nonprofit developers and industry partners to encourage dialog about the systems during live installation.

NorthernSTAR 1-1/2-Story Demonstration House of Cold Climate Solutions for Affordable Housing

Energy Technology Data Exchange (ETDEWEB)

Schirber, T. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Ojczyk, C. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Jacobson, R. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership

2016-03-01

Single family homes in urban areas that are available for renovation by nonprofit developers are often in rough shape (1MM to 2MM nationally). Budgeting has historically focused on improving homes to meet basic housing standards. A rising interest in the long-term impact of homeownership has introduced the need to balance basic needs with home performance. This demonstration project aims to help nonprofit affordable housing developers become familiar with three Building America performance measures, the installation processes, and impacts and benefits of each. A story and a half home in North Minneapolis, MN was presented by Urban Homeworks our local nonprofit partner. The team helped them install three researched upgrade measures: exterior roof insulation or 'overcoat,' exterior foundation insulation, or 'excavationless', and a combined space and water heating HVAC system or 'combi'. To maximize efficiency of application and to address budget issues, the Team worked with Urban Homeworks to identify ways to use volunteers and construction training programs to install the measures. An open invitation to visit the job site was extended to other nonprofit developers and industry partners to encourage dialog about the systems during live installation.

Suburban Housing Development and Off-Grid Electric Power Supply Assessment for North-Central Nigeria

Directory of Open Access Journals (Sweden)

Ibikunle Olalekan Ogundari

2017-01-01

Full Text Available Energy infrastructures in North-Central Nigeria are inadequate and grid electricity is unable to meet suburban housing electricity demand. The alternative power-supply options proposed by government for the region require appropriation analysis for selection. Four public housing estates in suburban Abuja are selected for electricity demand analysis under conventional and energy-efficient lighting scenarios; then techno-economic parameters of two off-grid electric power supply systems (PV and Diesel-powered generation to meet these electricity demands are evaluated. An energy techno-economic assessment methodology is used. The study determines the energy-efficient lighting system is appropriate with 40% energy savings relative to the Conventional Lighting Systems. The diesel generator alternative power-supply option has Life Cycle Costs almost 4 times those of the PV option. The study established the PV-energy-efficient lighting system as the most feasible off-grid electric power supply alternative for implementation.

Removal Efficiency of Microbial Contaminants from Hospital Wastewaters

KAUST Repository

Timraz, Kenda

2016-02-01

This study aims to evaluate the removal efficiency of microbial contaminants from two hospitals on-site Wastewater Treatment Plants (WWTPs) in Saudi Arabia. Hospital wastewaters often go untreated in Saudi Arabia as in many devolving countries, where no specific regulations are imposed regarding hospital wastewater treatment. The current guidelines are placed to ensure a safe treated wastewater quality, however, they do not regulate for pathogenic bacteria and emerging contaminants. Results from this study have detected pathogenic bacterial genera and antibiotic resistant bacteria in the sampled hospitals wastewater. And although the treatment process of one of the hospitals was able to meet current quality guidelines, the other hospital treatment process failed to meet these guidelines and disgorge of its wastewater might be cause for concern. In order to estimate the risk to the public health and the impact of discharging the treated effluent to the public sewage, a comprehensive investigation is needed that will facilitate and guide suggestions for more detailed guidelines and monitoring.

Active design in affordable housing: A public health nudge

Directory of Open Access Journals (Sweden)

Elizabeth Garland

2018-06-01

Full Text Available This pilot study investigates the impact of active design (AD strategies on physical activity (PA among adults living in two Leadership in Energy and Environmental Design (LEED certified affordable housing developments in the South Bronx, New York. One building incorporates LEED Innovation in Design (ID Credit: Design for Health through Increased Physical Activity. Tenants in an affordable housing building (AH incorporating active design strategies completed PA self-assessments at their lease signing and one year later in 2015. Trained research assistants obtained body measurements. Residents of neighboring non-AD affordable housing (MCV served as a comparison. Thirty four adults were recruited from AH and 29 from MCV, retention was 56% (n = 19 and 52% (n = 15 respectively at one year. The two groups' body mass index (BMI and high-risk waist-to-hip ratio (WHR were not statistically significantly different when analyzed as continuous variables, although BMI category had a greater decline at AH than at MCV (p = 0.054. There was a 31.5% increase in AH participants meeting MPA requirements and a statistically significant improvement in females (p = 0.031; while there was no change in the MCV participants overall or when stratified by gender. AH participants were significantly more likely to have reported increased stair use and less likely to have reported no change or decreased stair use than participants from MCV participants (p = 0.033. Housing has a role in individual health outcomes and behavior change, broad adoption of active design strategies in affordable housing is warranted to improve physical activity measures. Keywords: Active design, Physical activity, Built environment, Affordable housing

24 CFR 982.617 - Shared housing: Rent and voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Special Housing Types Shared Housing § 982.617 Shared housing: Rent and voucher housing assistance payment... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Shared housing: Rent and voucher housing assistance payment. 982.617 Section 982.617 Housing and Urban Development Regulations Relating to...

Assisted Housing - Public Housing Authorities - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — Public Housing was established to provide decent and safe rental housing for eligible low-income families, the elderly, and persons with disabilities. Public housing...

Applying Bim to Built Heritage with Complex Shapes: the Ice House of Filarete's Ospedale Maggiore in Milan, Italy

Science.gov (United States)

Oreni, D.; Karimi, G.; Barazzetti, L.

2017-08-01

This paper presents the development of a BIM model for a stratified historic structure characterized by a complex geometry: Filarete's Ospedale Maggiore ice house, one of the few remaining historic ice houses in Milan (Fig. 1). Filarete, a well-known Renaissance architect and theorist, planned the hospital in the 15th century, but the ice house was built two centuries later with a double-storey irregular octagonal brick structure, half under and half above ground, that enclosed another circular structure called the ice room. The purpose of the double-walled structure was to store ice in the middle and store and preserve perishable food and medicine at the outer side of the ice room. During World War II, major portions of the hospital and the above-ground section of the ice house was bombed and heavily damaged. Later, in 1962, the hospital was restored and rehabilitated into a university, with the plan to conceal the ice house's remaining structure in the courtyard, which ultimately was excavated and incorporated into a new library for the university. A team of engineers, architects, and students from Politecnico di Milano and Carleton University conducted two heritage recording surveys in 2015 and 2016 to fully document the existing condition of the ice house, resulting in an inclusive laser scanner and photogrammetric point cloud dataset. The point cloud data was consolidated and imported into two leading parametric modelling software, Autodesk Revitand Graphisoft ArchiCAD©, with the goal to develop two BIMs in parallel in order to study and compare the software BIM workflow, parametric capabilities, attributes to capture the complex geometry with high accuracy, and the duration for parametric modelling. The comparison study of the two software revealed their workflow limitations, leading to integration of the BIM generative process with other pure modelling software such as Rhinoceros©. The integrative BIM process led to the production of a comprehensive BIM

76 FR 7629 - Open Meeting of the President's Council on Jobs and Competitiveness (PCJC)

Science.gov (United States)

2011-02-10

... open to the public via live webcast at http://www.whitehouse.gov/live . DATES: The meeting will be held... posted on the White House website ( http://www.whitehouse.gov ) without change, including any business or... the internet via live webcast at http://www.whitehouse.gov/live . The purpose of this meeting is to...

Laboratory rhesus macaque social housing and social changes: Implications for research.

Science.gov (United States)

Hannibal, Darcy L; Bliss-Moreau, Eliza; Vandeleest, Jessica; McCowan, Brenda; Capitanio, John

2017-01-01

Macaque species, specifically rhesus (Macaca mulatta), are the most common nonhuman primates (NHPs) used in biomedical research due to their suitability as a model of high priority diseases (e.g., HIV, obesity, cognitive aging), cost effective breeding and housing compared to most other NHPs, and close evolutionary relationship to humans. With this close evolutionary relationship, however, is a shared adaptation for a socially stimulating environment, without which both their welfare and suitability as a research model are compromised. While outdoor social group housing provides the best approximation of a social environment that matches the macaque behavioral biology in the wild, this is not always possible at all facilities, where animals may be housed indoors in small groups, in pairs, or alone. Further, animals may experience many housing changes in their lifetime depending on project needs, changes in social status, management needs, or health concerns. Here, we review the evidence for the physiological and health effects of social housing changes and the potential impacts on research outcomes for studies using macaques, particularly rhesus. We situate our review in the context of increasing regulatory pressure for research facilities to both house NHPs socially and mitigate trauma from social aggression. To meet these regulatory requirements and further refine the macaque model for research, significant advances must be made in our understanding and management of rhesus macaque social housing, particularly pair-housing since it is the most common social housing configuration for macaques while on research projects. Because most NHPs are adapted for sociality, a social context is likely important for improving repeatability, reproducibility, and external validity of primate biomedical research. Am. J. Primatol. 79:e22528, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Housing culture

DEFF Research Database (Denmark)

Roesdahl, Else; Scholkmann, Barbara

2007-01-01

On houses and their furniture and fittings, and on the study of this - with a comparison of rural, urban, monastic and aristocratic housing, and a special section on heating technologies.......On houses and their furniture and fittings, and on the study of this - with a comparison of rural, urban, monastic and aristocratic housing, and a special section on heating technologies....

Building America Industrialized Housing Partnership (BAIHP)

Energy Technology Data Exchange (ETDEWEB)

McIlvaine, Janet; Chandra, Subrato; Barkaszi, Stephen; Beal, David; Chasar, David; Colon, Carlos; Fonorow, Ken; Gordon, Andrew; Hoak, David; Hutchinson, Stephanie; Lubliner, Mike; Martin, Eric; McCluney, Ross; McGinley, Mark; McSorley, Mike; Moyer, Neil; Mullens, Mike; Parker, Danny; Sherwin, John; Vieira, Rob; Wichers, Susan

2006-06-30

This final report summarizes the work conducted by the Building America Industrialized Housing Partnership (www.baihp.org) for the period 9/1/99-6/30/06. BAIHP is led by the Florida Solar Energy Center of the University of Central Florida and focuses on factory built housing. In partnership with over 50 factory and site builders, work was performed in two main areas--research and technical assistance. In the research area--through site visits in over 75 problem homes, we discovered the prime causes of moisture problems in some manufactured homes and our industry partners adopted our solutions to nearly eliminate this vexing problem. Through testing conducted in over two dozen housing factories of six factory builders we documented the value of leak free duct design and construction which was embraced by our industry partners and implemented in all the thousands of homes they built. Through laboratory test facilities and measurements in real homes we documented the merits of 'cool roof' technologies and developed an innovative night sky radiative cooling concept currently being tested. We patented an energy efficient condenser fan design, documented energy efficient home retrofit strategies after hurricane damage, developed improved specifications for federal procurement for future temporary housing, compared the Building America benchmark to HERS Index and IECC 2006, developed a toolkit for improving the accuracy and speed of benchmark calculations, monitored the field performance of over a dozen prototype homes and initiated research on the effectiveness of occupancy feedback in reducing household energy use. In the technical assistance area we provided systems engineering analysis, conducted training, testing and commissioning that have resulted in over 128,000 factory built and over 5,000 site built homes which are saving their owners over $17,000,000 annually in energy bills. These include homes built by Palm Harbor Homes, Fleetwood, Southern Energy

24 CFR 982.606 - Congregate housing: Who may reside in congregate housing.

Science.gov (United States)

2010-04-01

... Special Housing Types Congregate Housing § 982.606 Congregate housing: Who may reside in congregate housing. (a) An elderly person or a person with disabilities may reside in a congregate housing unit. (b... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Congregate housing: Who may reside...

A strategy to encourage housing associations to invest in energy conservation

International Nuclear Information System (INIS)

Egmond, C.; Jonkers, R.; Kok, G.

2005-01-01

To meet the Dutch Government goal of reducing CO 2 emission, target groups must intensify their efforts to conserve energy. Novem, in commission of the Dutch Ministry of Environmental Affairs, developed a strategy to effectively change the behaviour of target groups. This paper answers the questions: what are the influencing determinants of energy-relevant behaviour of housing associations; and which policy instruments are most suitable for an intervention strategy? From a survey of housing associations we determined the factors making up the determinants of behaviour. The four main types of policy instruments-judicial, economical and communicative instruments and physical provisions-were analysed for their active ingredients. An intervention strategy was then based on matching the factors making up the target-group determinants and the active ingredients of the policy instruments. The factors: attitude, feedback of peer organizations and feedback from authorities strongly influence the energy-relevant behaviour of housing associations and the most effective policy instruments have a facilitating and encouraging character and include covenants with local authorities. We conclude that this method forms a solid basis for formulating an intervention strategy to change the behaviour of housing associations

Radiation protection in hospital radiopharmacy

International Nuclear Information System (INIS)

Kini, K.S.; Gaur, P.K.

1997-01-01

Short-lived radiopharmaceuticals, such as 99m Tc labelled compounds, are prepared in the in-house pharmacy of the hospital. In addition, preparation of smaller doses for administration from the bulk material of the finished product received from the manufacturers, also involves considerable work for the radiopharmacist in the hospital. Hence they should be well informed about the radiation hazards and should be aware of the protective measures to be taken while handling radioactive materials for keeping the radiation levels in the laboratory and their personnel doses well within the specified limits. 3 refs., 5 tabs

Mass Housing and Changings in Housing Demand, Case of Diyarbakir, Turkey

OpenAIRE

M. Oguz Sinemillioglu; Can Tuncay Akın; Havva Özyılmaz

2005-01-01

The aim of this study is to analyze changings in housing demand, especially in term of house size in Diyarbakır case, in Turkey. Though Housing in Turkey is in a free market system, there is a Mass Housing Administration (TOKÃ ) has been doing mass houses for, relatively, middle class income people. Diyarbakır, one of the cities that TOKÃ has done two thousand houses, has taken too much migration, so that the demand in housing form and structure has different alterations. This process should ...

In-house coordination project for organ and tissue procurement: social responsibility and promising results.

Science.gov (United States)

Silva, Vanessa Silva E; Moura, Luciana Carvalho; Martins, Luciana Ribeiro; Santos, Roberta Cristina Cardoso Dos; Schirmer, Janine; Roza, Bartira de Aguiar

2016-01-01

to report the results of evaluation regarding changes in the number of potential donor referrals, actual donors, and conversion rates after the implementation of an in-house organ and tissue donation for transplantation coordination project. epidemiological study, both retrospective and transversal, was performed with organ donation data from the Secretariat of Health for the State and the in-house organ donation coordination project of a beneficent hospital. The data was compared using nonparametric statistical Mann-Whitney test, and the Student's t-test, considering a significance level of 5% (p <0.05). there were statistically significant differences (p < 0.05), before and after the implementation of the project on the number of potential donor notification/month (3.05 - 4.7 ), number of actual donor/month (0.78 to 1.60) and rate of conversion ( 24.7 to 34.8 %). The hospitals 1, 2, 7 and 8 had significant results in potential donor, actual donor or conversion rate. the presence of an in-house coordinator is promising and beneficial, the specialist is important to change the indicators of efficiency, which consequently reduces the waiting lists for organ transplants.

CDBG Housing Activity

Data.gov (United States)

Department of Housing and Urban Development — CDBG activity related to housing, including multifamily rehab, housing services, code enforcement, operation and repair of foreclosed property and public housing...

Designing Sustainable Urban Social Housing in the United Arab Emirates

Directory of Open Access Journals (Sweden)

Khaled Galal Ahmed

2017-08-01

Full Text Available The United Arab Emirates is experiencing a challenging turn towards sustainable social housing. Conventional neighborhood planning and design principles are being replaced by those leading to more sustainable urban forms. To trace this challenging move, the research has investigated the degree of consideration of sustainable urban design principles in two social housing neighborhoods in Al Ain City in Abu Dhabi Emirate, UAE. The first represents a conventional urban form based on the neighborhood theory; the other represents the new sustainable design. The ultimate aim is to define the obstacles hindering the full achievement of a sustainable urban form in this housing type. To undertake research investigations, a matrix of the design principles of sustainable urban forms has been initiated in order to facilitate the assessment of the urban forms of the two selected urban communities. Some qualitatively measurable design elements have been defined for each of these principles. The results of the analysis of the shift from ‘conventional’ to ‘sustainable’ case studies have revealed some aspects that would prevent the attainment of fully sustainable urban forms in newly designed social housing neighborhoods. Finally, the research concludes by recommending some fundamental actions to help meet these challenges in future design.

Active design in affordable housing: A public health nudge.

Science.gov (United States)

Garland, Elizabeth; Garland, Victoria; Peters, Dominique; Doucette, John; Thanik, Erin; Rajupet, Sritha; Sanchez, Sadie H

2018-06-01

This pilot study investigates the impact of active design (AD) strategies on physical activity (PA) among adults living in two Leadership in Energy and Environmental Design (LEED) certified affordable housing developments in the South Bronx, New York. One building incorporates LEED Innovation in Design (ID) Credit: Design for Health through Increased Physical Activity. Tenants in an affordable housing building (AH) incorporating active design strategies completed PA self-assessments at their lease signing and one year later in 2015. Trained research assistants obtained body measurements. Residents of neighboring non-AD affordable housing (MCV) served as a comparison. Thirty four adults were recruited from AH and 29 from MCV, retention was 56% (n = 19) and 52% (n = 15) respectively at one year. The two groups' body mass index (BMI) and high-risk waist-to-hip ratio (WHR) were not statistically significantly different when analyzed as continuous variables, although BMI category had a greater decline at AH than at MCV (p = 0.054). There was a 31.5% increase in AH participants meeting MPA requirements and a statistically significant improvement in females (p = 0.031); while there was no change in the MCV participants overall or when stratified by gender. AH participants were significantly more likely to have reported increased stair use and less likely to have reported no change or decreased stair use than participants from MCV participants (p = 0.033). Housing has a role in individual health outcomes and behavior change, broad adoption of active design strategies in affordable housing is warranted to improve physical activity measures.

Downstream and upstream extension of the House of Quality

DEFF Research Database (Denmark)

Holmen, Elsebeth; Kristensen, Preben Sander

. The transformation processes and characteristics constituting this fan were based on the knowledge possessed by the company before entering into development interaction with suppliers. If it is these characteristics which are used to express the demands of the company in the subsequent interaction process, much......Executive summary 1. During 1993-94 the authors followed a product development process in a Danish butter cookie company. The process was structured according to the Quality Function Deployment technique House of Quality. Originally, the intention was to study the prototyping process that we...... a discussion in a diabetics end-user focus group. During a series of meetings, the production manager and the sales manager transformed attributes int characteristics and constructed Houses of Quality for a sugar-free cookie. 2. Downstream on its way to the end-user, the product passes through a chain of users...

In-house recruiters: on the inside looking out.

Science.gov (United States)

Vavala, D

1995-09-01

Few smaller hospitals or managed care companies have in-house physician recruiting departments. Their low hiring volume simply doesn't support such an operation. But most health systems and large managed care organizations say they literally couldn't afford to be without an internal system for the recruitment of physician executives and other health care professionals. They also claim they can find a better candidate faster than their counterparts on the outside. A number of them explain why.

77 FR 1127 - Open Meeting of the President's Council on Jobs and Competitiveness (PCJC)

Science.gov (United States)

2012-01-09

... live webcast at http:[sol][sol]www.whitehouse.gov/live. DATES: The meeting will be held on January 17..., DC 20220. In general, all statements will be posted on the White House Web site (http:[sol][sol]www... 2 p.m. Eastern Time. The meeting will be broadcast on the internet via live webcast at http:[sol...

Situation-Based Housing

DEFF Research Database (Denmark)

Duelund Mortensen, Peder

2011-01-01

Presentation of urban housing research on flexible housing types in the Copenhagen Region: Theoretical background, methodology, analyse of spatial organization, interviews and results. Cases: Pærehaven in Ølby, Køge and M-house in Ørestad, Copenhagen......Presentation of urban housing research on flexible housing types in the Copenhagen Region: Theoretical background, methodology, analyse of spatial organization, interviews and results. Cases: Pærehaven in Ølby, Køge and M-house in Ørestad, Copenhagen...

24 CFR 8.25 - Public housing and multi-family Indian housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Public housing and multi-family Indian housing. 8.25 Section 8.25 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development NONDISCRIMINATION BASED ON HANDICAP IN FEDERALLY ASSISTED PROGRAMS AND...

Sustained housing-type social buffering following social housing in male rats.

Science.gov (United States)

Kiyokawa, Yasushi; Ishida, Aya; Takeuchi, Yukari; Mori, Yuji

2016-05-01

In social animals, recovery from the adverse effects of distressing stimuli is promoted by subsequent cohousing with a conspecific animal(s). This phenomenon has been termed housing-type social buffering. We previously found that social housing induced housing-type social buffering in fear-conditioned male rats. This buffering took the form of attenuated conditioned hyperthermia in response to an auditory conditioned stimulus (CS). Here, we assessed whether this social buffering is sustained even if the subject is housed alone after a period of social housing. When fear-conditioned subjects were housed alone during a 48-h period between conditioning and re-exposure to the auditory CS, they exhibited conditioned hyperthermia in response to the CS. However, conditioned hyperthermia was not observed when the 12-h period of social housing began 24 and 36h after conditioning during the 48-h period. This was not the case when the 12-h period of social housing began 0 and 12h after the conditioning. These results suggest that housing-type social buffering is sustained for 12h after the 12-h period of social housing. We next considered whether increasing the duration of social housing would extend the period of social buffering. We observed social buffering of conditioned hyperthermia 24 and 48, but not 96h after a 24-h period of social housing. These results suggest that social buffering was extended when the duration of social housing was increased. Taken together, our findings indicate that housing-type social buffering is sustained after a period of social housing. Copyright © 2016 Elsevier Inc. All rights reserved.

Active house concept versus passive House

NARCIS (Netherlands)

Zeiler, W.; Boxem, G.; Vehler, R.; Verhoeven, M.; Fremouw, M.

2009-01-01

The passive house concept is the present trend in energy efficient sustainable dwellings. Within the passive house concept every effort is made to minimize the energy use. Substantial savings can be achieved by passive energy systems, especially natural ventilation, summer shading and winter solar

Health Care Delivery Meets Hospitality: A Pilot Study in Radiology.

Science.gov (United States)

Steele, Joseph Rodgers; Jones, A Kyle; Clarke, Ryan K; Shoemaker, Stowe

2015-06-01

The patient experience has moved to the forefront of health care-delivery research. The University of Texas MD Anderson Cancer Center Department of Diagnostic Radiology began collaborating in 2011 with the University of Houston Conrad N. Hilton College of Hotel and Restaurant Management, and in 2013 with the University of Nevada, Las Vegas, William F. Harrah College of Hotel Administration, to explore the application of service science to improving the patient experience. A collaborative pilot study was undertaken by these 3 institutions to identify and rank the specific needs and expectations of patients undergoing imaging procedures in the MD Anderson Department of Diagnostic Radiology. We first conducted interviews with patients, providers, and staff to identify factors perceived to affect the patient experience. Next, to confirm these factors and determine their relative importance, we surveyed more than 6,000 patients by e-mail. All factors considered important in the interviews were confirmed as important in the surveys. The surveys showed that the most important factors were acknowledgment of the patient's concerns, being treated with respect, and being treated like a person, not a "number"; these factors were more important than privacy, short waiting times, being able to meet with a radiologist, and being approached by a staff member versus having one's name called out in the waiting room. Our work shows that it is possible to identify and rank factors affecting patient satisfaction using techniques employed by the hospitality industry. Such factors can be used to measure and improve the patient experience. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

An optimization algorithm for simulation-based planning of low-income housing projects

Directory of Open Access Journals (Sweden)

Mohamed M. Marzouk

2010-10-01

Full Text Available Construction of low-income housing projects is a replicated process and is associated with uncertainties that arise from the unavailability of resources. Government agencies and/or contractors have to select a construction system that meets low-income housing projects constraints including project conditions, technical, financial and time constraints. This research presents a framework, using computer simulation, which aids government authorities and contractors in the planning of low-income housing projects. The proposed framework estimates the time and cost required for the construction of low-income housing using pre-cast hollow core with hollow blocks bearing walls. Five main components constitute the proposed framework: a network builder module, a construction alternative selection module, a simulation module, an optimization module and a reporting module. An optimization module utilizing a genetic algorithm enables the defining of different options and ranges of parameters associated with low-income housing projects that influence the duration and total cost of the pre-cast hollow core with hollow blocks bearing walls method. A computer prototype, named LIHouse_Sim, was developed in MS Visual Basic 6.0 as proof of concept for the proposed framework. A numerical example is presented to demonstrate the use of the developed framework and to illustrate its essential features.

Evaluation of Mass Housing at the Pre-Design Stage

Directory of Open Access Journals (Sweden)

Kozan UZUNOĞLU

2014-09-01

Full Text Available Throughout history, housing has been a central problem in the lives of human beings. Housing, which includes shelter for family and functional volumes that meet social needs, used to be built specifically for the family. The concept of “Mass Housing” entered the field of architecture as a result of the industrial revolution, when lavish Renaissance housing gradually turned into housing for workers. Today, the demand for housing cannot keep up with fast-growing populations. Besides the quantitative problems of housing production, there is the ever- growing problem of quality, the solution to which lies with designer architects. On this issue of quality, Post Occupation Evaluation (POE studies, conducted to provide data for upcoming designs, and certificate evaluations like LEED and BREEAM, aimed at measuring energy performance effectiveness of new buildings, mostly involve measurements of usage of the building envelope, environmental relations, facilities and usage of natural resources. None prioritize the form and function issues of spatial usage in architectural designs. This study proposes a method that enables spatial and functional measurement and assessment at the project stage. The suggested spatial performance measurement–assessment system has three stages. In the first stage, the standards and usage criteria to be used as reference in the assessment are defined. The second stage suggests using the SAR analysis approach, and the third stage is about conducting “Spatial Performance Assessment”. Here, the common denominator of “User System” and “Building System”, which shares characteristic design criteria “Form, Function,Construction” is established and by this way, testing and assessing the subject of study becomes possible. With these assessments, by providing digitalization of spatial performance with proportional values, it is believed that a database for the provision of statistical information may be established.

Satisfaction with housing and housing support for people with psychiatric disabilities.

Science.gov (United States)

Brolin, Rosita; Rask, Mikael; Syrén, Susanne; Baigi, Amir; Brunt, David Arthur

2015-01-01

The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction.

Observing Privacy, Modesty and Hospitality in the Home Domain: Three Case Studies of Muslim Homes in Brisbane, Australia

Directory of Open Access Journals (Sweden)

Zulkeplee Othman

2014-12-01

Full Text Available A home embodies a sensorial space that is layered with personal memories and traces of history. The success of a home in providing a strong sense of place depends on various factors such as geographical location, climatic conditions, and occupants’ world-views and perceptions. This paper explores Muslims’ perceptions of privacy, modesty and hospitality within their homes through their lived experiences. This case study focuses on three Muslim families living in Australian designed homes within the same suburb of Brisbane, Australia. The study provides prefatory insight into the ways in which these families perform their daily activities and entertain their guests without jeopardizing their privacy needs. The study examines the significance of modesty in the design of Muslim homes as a means by which family members are able to achieve optimum privacy while simultaneously extending hospitality to guests inside and outside their homes. The findings of this study provide opportunities too, for expanding research into culturally adaptable housing systems to help meet the changing needs of Australian multicultural society.

Dose reduction in diagnostic radiology. Proceedings of the Hospital Physicists' Association meeting on 8th December 1983 at Birbeck College, London

International Nuclear Information System (INIS)

Brennen, S.E.; Putney, R.G.

1984-01-01

Nine chapters review the Proceedings of the Hospital Physicists' Association Meeting held in London in 1983 on 'Dose Reduction in Diagnostic Radiology'. Among the topics discussed were the balance between dose reduction and image quality, various procedures and techniques for keeping the dose to the patient to a minimum including the use of K-edge filtration and rare-earth intensifying screens, equipment for assessing the area exposure product in patients and the balance between radiation risk and benefit from radiographic examinations. All nine chapters are indexed separately. (U.K.)

How effective is high-support community-based step-down housing for women in secure mental health care? A quasi-experimental pilot study.

Science.gov (United States)

Barr, W; Brown, A; Quinn, B; McFarlane, J; McCabe, R; Whittington, R

2013-02-01

In the past decade UK government policy has been to develop alternative care for women detained in secure psychiatric hospital. This study evaluated the relative benefits of community-based step-down housing. Comparisons were made between female patients in community step-down housing and a control group in secure hospital who were on the waiting list for the houses. For each woman in the sample, a range of assessments was conducted on three separate occasions over a 12-month period. We noted a gradual improvement over time in women in both settings. However, by the final assessment psychological well-being and security needs were significantly better in the community group (P community housing for women in secure psychiatric care. This initiative may provide greater personal freedom and enhanced relational security for the women concerned while also facilitating improvements in their psychological well-being, with no increased risk to the women themselves or to the wider community. © 2012 Blackwell Publishing.

Development of a Measure of Housing and Housing Services.

Science.gov (United States)

Clark, Colleen; Young, M Scott; Teague, Gregory; Rynearson-Moody, Sarah

2016-01-01

The Housing Program Measure (HPM) was designed to document critical elements of a range of housing program types and associated services. Qualitative methods, including literature review and open-ended interviews, were used to determine pertinent HPM domains and to develop the pool of items. The measure was pre-tested, and reliability and validity analyses were applied to revise and strengthen the measure. The resulting measure furthers homelessness research by providing a tool that can be used to define housing and housing services interventions across diverse projects and disciplines, to facilitate program management by matching housing resources to the needs of homeless individuals, and to support model development by measuring progress to goals.

The factors to assess the quality of management of housing and communal services

Directory of Open Access Journals (Sweden)

Agapitova Elena

2017-01-01

Full Text Available The article reveals the author’s ideas for improving the quality of management of housing and communal services of a large city. The authors address the issue of expediting the provision of services. The article defined the most important rules and consistency of decision-making by managers, providing services to residents of apartment buildings. One of the major challenges is to meet all the needs of residents. The solution to this problem breaks down into two components: the first is the definition itself needs, the second is the determination of ways to meet them. Management involves the implementation of a system of interconnected plans aimed at achieving a common goal. In the market environment of the Russian Federation on management processes overlap with requirements of government regulation, a complex representation which is not available in open sources. A lot of internal regulations contradict each other. Thus, actualizarea scientific problem of allocating the factors of assessing the quality of management of enterprises of housing and communal services that should be considered when developing a unified concept of public administration.

Air pollution and doctors' house calls for respiratory diseases in the Greater Paris area (2000-3).

Science.gov (United States)

Chardon, Benoit; Lefranc, Agnès; Granados, Denis; Grémy, Isabelle

2007-05-01

This study describes the short-term relationships between the daily levels of PM10, PM2.5, NO2 and the number of doctors' house calls for asthma, upper respiratory diseases (URD) and lower respiratory diseases (LRD) in Greater Paris for the years 2000-3. Doctors' house calls are a relevant health indicator for the study of short-term health effects of air pollution. Indeed, it is potentially more sensitive than indicators such as general hospital admissions due to the severity of diseases motivating the call. In this study, time-series analysis was used. The daily numbers of doctor's house calls were adjusted for time trends, seasonal factors, day of the week, influenza, weather and pollen. Up to 15 days of lag between exposure and health effects was considered using distributed lag models. A total of about 1,760,000 doctors' house calls for all causes occurred during the study period, among which 8027 were for asthma, 52,928 for LRD and 74,845 for URD. No significant increase in risk was found between air pollution and doctors' house calls for asthma. No significant association was found between NO2 and doctors' house calls. An increase of 10 microg/m3 in the mean levels of PM10 and PM2.5 encountered during the 3 previous days was associated with an increase of 3% (0.8% and 5.3%) and 5.9% (2.9% and 9.0%) in the number of doctor's house calls for URD and LRD, respectively. Considering up to 15 days between exposure and health outcomes, effects persist until 4 days after exposure and then decrease progressively. No morbidity displacement was observed. This study shows a significant heath effect of ambient particles (PM2.5 and PM10). When compared to the RRs obtained for mortality or hospital admissions in the same area, the values of the RRs obtained in this study confirm the higher sensibility of doctor's house calls for respiratory diseases as a health indicator.

Dr. House: Patología dual en el médico

Directory of Open Access Journals (Sweden)

Mariano A. BELLINA

2016-09-01

Full Text Available Dr. House es una serie dramática estadounidense cuyo personaje central es el Dr. Gregory House, médi? co que dirige una unidad de diagnóstico (con otros tres doctores en el Hospital Universitario Princeton? Plainsboro, en Nueva Jersey. Dr. House utiliza un proceso lógico especial como base para llegar al diagnóstico. La Unidad que dirige el Dr. House trata pacientes que han sido evaluados previamente por otros doctores sin haber alcanzado un diagnóstico. Los diagnósticos oscilan desde algunos muy comunes a enfermedades raras. House no respeta las reglas y procedimientos comunes en la Medicina tradicional, tiene conflictos interpersonales graves (así como falta de empatía y no muestra interés por otras prácticas clínicas que no sean las suyas. Sufre un dolor crónico intenso en la pierna derecha por el que comienza a prescribirse Vicodin® (hidrocodona, al que acaba haciéndose dependiente. Nuestra hipótesis es que House es un caso típico de patología dual, PD (coexistencia de trastorno por uso de sustancias y otra enfermedad mental, en concreto: de dependencia de opiáceos y trastorno mixto de personalidad (comparte rasgos del trastorno de la personalidad antisocial y narcisista. La PD no es infrecuente en médicos dada la demora en pedir ayuda y la fácil accesibilidad a algunas sustancias.

Looking afield: debt collection tips hospitals can borrow from banks.

Science.gov (United States)

Klein, Larry; Shelton, Greg

2015-09-01

When developing strategies for collecting on patient debt, hospitals can benefit from following the example of the banking industry: Banks take a "do-it-yourself" approach, working delinquent accounts in-house for as long as practical. They embrace technology to give in-house debt collectors optimal opportunity to connect with customers to work out terms for resolving debt. They strategically leverage outside collections agencies based on the makeup of their debt portfolio.

76 FR 51998 - Announcement of Funding Awards for the Service Coordinators in Multifamily Housing Fiscal Year 2009

Science.gov (United States)

2011-08-19

... Recipient: Catholic Charities of St. Paul and Minneapolis Property Name: Mary Hall SRO Occupancy Program...: $148,599 Recipient: Tri-Vision Housing Corporation Property Name: Wisteria Way Address: 204-8 Hospital...

Usage of unscheduled hospital care by homeless individuals in Dublin, Ireland: a cross-sectional study.

Science.gov (United States)

Ní Cheallaigh, Clíona; Cullivan, Sarah; Sears, Jess; Lawlee, Ann Marie; Browne, Joe; Kieran, Jennifer; Segurado, Ricardo; O'Carroll, Austin; O'Reilly, Fiona; Creagh, Donnacha; Bergin, Colm; Kenny, Rose Anne; Byrne, Declan

2017-12-01

Homeless people lack a secure, stable place to live and experience higher rates of serious illness than the housed population. Studies, mainly from the USA, have reported increased use of unscheduled healthcare by homeless individuals.We sought to compare the use of unscheduled emergency department (ED) and inpatient care between housed and homeless hospital patients in a high-income European setting in Dublin, Ireland. A large university teaching hospital serving the south inner city in Dublin, Ireland. Patient data are collected on an electronic patient record within the hospital. We carried out an observational cross-sectional study using data on all ED visits (n=47 174) and all unscheduled admissions under the general medical take (n=7031) in 2015. The address field of the hospital's electronic patient record was used to identify patients living in emergency accommodation or rough sleeping (hereafter referred to as homeless). Data on demographic details, length of stay and diagnoses were extracted. In comparison with housed individuals in the hospital catchment area, homeless individuals had higher rates of ED attendance (0.16 attendances per person/annum vs 3.0 attendances per person/annum, respectively) and inpatient bed days (0.3 vs 4.4 bed days/person/annum). The rate of leaving ED before assessment was higher in homeless individuals (40% of ED attendances vs 15% of ED attendances in housed individuals). The mean age of homeless medical inpatients was 44.19 years (95% CI 42.98 to 45.40), whereas that of housed patients was 61.20 years (95% CI 60.72 to 61.68). Homeless patients were more likely to terminate an inpatient admission against medical advice (15% of admissions vs 2% of admissions in homeless individuals). Homeless patients represent a significant proportion of ED attendees and medical inpatients. In contrast to housed patients, the bulk of usage of unscheduled care by homeless people occurs in individuals aged 25-65 years. © Article author

Sydney Opera House Rise

DEFF Research Database (Denmark)

2013-01-01

Sydney Opera House Exhibition (2013) A CITA research and exhibition project, for Sydney Opera House exhibition "Danish Design at the House".......Sydney Opera House Exhibition (2013) A CITA research and exhibition project, for Sydney Opera House exhibition "Danish Design at the House"....

Economic analysis of passive houses and low-energy houses compared with standard houses

International Nuclear Information System (INIS)

Audenaert, A.; Cleyn, S.H. de; Vankerckhove, B.

2008-01-01

As the energy demand used for space heating accounts for 78% of EU15 household delivered energy consumption, significant reductions in energy demand can be achieved by promoting low-energy buildings. Our study investigates three building types: the standard house, the low-energy house and the passive house. As more far-reaching measures concerning energy savings usually lead to higher investments, the aim of our study is to perform an economic analysis in order to determine the economic viability of the three building types

78 FR 45903 - Native American Housing Assistance and Self-Determination Act of 1996: Negotiated Rulemaking...

Science.gov (United States)

2013-07-30

... Hyatt Hotel, 1750 Welton Street, Denver, Colorado 80202. FOR FURTHER INFORMATION CONTACT: Rodger J. Boyd... Lee Foster, Legal Counsel, Yakama Nation Housing Authority, Toppenish, Washington. Carol Gore... approximately 5 p.m. The meetings will take place at the Grand Hyatt Hotel, 1750 Welton Street, Denver, Colorado...

Changes in HIV-related hospitalizations during the HAART era in an inner-city hospital.

Science.gov (United States)

Pulvirenti, Joseph; Muppidi, Uma; Glowacki, Robert; Cristofano, Michael; Baker, Laurie

2007-08-01

We evaluated admissions of HIV-positive persons to an inner-city hospital from 2000 to 2005. There was a decline in the number of substance abusers, homeless persons, injection drug abusers, and African Americans, and there was an increase in patients older than 50 years. There were no significant changes in CD4 counts or in utilization of highly active antiretroviral therapy,m but there were more admissions of persons with HIV RNA levels less than 1000 copies/mL, internal medicine problems, cancers, and skin infections. Changes in the demographics of this patient population may reflect external factors (eg, gentrification of low-income housing areas, opening of a new hospital). Lower viral loads suggest better response in those on a highly active antiretroviral regimen, and changes in diagnoses leading to hospitalization may reflect the aging of the HIV population.

Assisted Housing - Public Housing Developments - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — The general location of an entire Public Housing Development. A distinct address is chosen to represent the general location of an entire Public Housing Development,...

Hospital pharmacy services in teaching hospitals in Nepal: Challenges and the way forward

Directory of Open Access Journals (Sweden)

P Ravi Shankar

2016-01-01

Full Text Available In Nepal, a developing country in South Asia, hospital pharmacies in teaching hospitals faces a number of challenges. Design and location of the pharmacy is inadequate, the pharmacy is often rented out to private parties, there may be a lack of separation of outpatient and inpatient pharmacy services, medicines are not selected based on objective criteria, too many brands are stocked, pharmaceutical care services are not provided, and pharmaceutical promotion is not regulated within the hospital premises. Furthermore, there is often a lack of pharmacy management software to help dispensing, continuing pharmacy education is not provided, medicines are not compounded or packaged in house, there are problems with medicines availability and medicine quality, and drug utilization studies are not linked with initiatives to promote the rational use of medicines. In this article, the authors examine these challenges and put forward possible solutions.

Department of Defense In-House RDT&E Activities. FY2000 Management Analysis Report

Science.gov (United States)

2000-01-01

meet all 1998 OSHA safety codes. Current capabilities housed within this laboratory facility include Nanotechnology (Quantum Dots), IR Technology (QWIPs...Some unique programs involve (a) bioengineering technology and nanotechnology that are breaking new ground to provide the technology for new advanced...development, test and evaluation of seawater desalination equipment and expeditionary water treatment devices for production of potable water

The impact of housing policies and housing markets on ethnic spatial segregation

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Andersson, Roger; Wessel, Terje

2015-01-01

This paper examines how ethnic segregation is connected to an ethnic division of the housing market and a spatial separation of different housing tenures in four Nordic cities. Explanations for the differences across the cities are found by comparing housing markets and housing policies....... The housing markets are in all four cities ethnically segmented with high concentrations of immigrants in some forms of tenures (especially social/public housing) and low concentrations in others. We further discuss the reasons for the observed pattern. The paper shows that the spatial distribution...... housing, while co-operative housing is crucial in the fourth. It is also shown that a policy of neighbourhood tenure mix in one of the cities has resulted in a relatively low degree of segregation in spite of high concentrations of immigrants in social/public housing....

Cross-National User Priorities for Housing Provision and Accessibility — Findings from the European innovAge Project

Directory of Open Access Journals (Sweden)

Maria Haak

2015-03-01

Full Text Available To develop an innovative information and communication technology (ICT tool intended to help older people in their search for optimal housing solutions, a first step in the development process is to gain knowledge from the intended users. Thus the aim of this study was to deepen the knowledge about needs and expectations about housing options as expressed and prioritized by older people, people ageing with disabilities and professionals. A participatory design focus was adopted; 26 people with a range of functional limitations representing the user perspective and 15 professionals with a variety of backgrounds, participated in research circles that were conducted in four European countries. An additional 20 experts were invited as guests to the different research circle meetings. Three themes illustrating cross-national user priorities for housing provision and accessibility were identified: “Information barrier: accessible housing”, “Information barrier: housing adaptation benefits”, and “Cost barrier: housing adaptations”. In conclusion, early user involvement and identification of cross-national differences in priorities and housing options will strengthen the development of a user-friendly ICT tool that can empower older people and people with disabilities to be more active consumers regarding housing provision.

Understanding of Danish passive houses based on pilot project Comfort Houses

Energy Technology Data Exchange (ETDEWEB)

Brunsgaard, C.

2010-12-15

The aim of the research is to investigate the notion of passive houses in Denmark. When this PhD thesis was initiated, the Danish building industry has just started to become interested in the passive house concept, but the knowledge was very limited. To be able to speed up the process of constructing Danish passive houses or other low energy concepts Saint-Gobain Isover Scandinavia took the initiative to the pilot project of the Comfort Houses, ten single-family houses constructed as passive houses, and wanted to share the knowledge with the building industry and other interested. This PhD thesis was a part of the strategy. If the concept of passive houses should be successfully promoted and achieve a significant sale in Denmark, it is believed that it is necessary to do a holistic approach. Besides energy savings and new structural solutions more qualitative aspects like architecture, everyday life and the future ways of living needs to be integrated in the future understanding of passive houses. This Ph.D. thesis therefore studies the following research question: What can the experience from the Comfort Houses enlighten about the future production and use of Danish passive houses? This understanding is achieved through studies of different study fields to be able to create a more holistic understanding of the concept both covering qualitative and quantitative analysis. The main focus will be on the study fields Design Process, Architecture and Everyday Life and the Indoor environment, which will answer the following sub-research questions: 1) How has the consortiums behind the Comfort Houses approached the design process according to teamwork, method and tools? And what barriers and possibilities lie within the approaches? 2) How do the occupants of the Comfort Houses experience the passive house architecture and the technical service systems? And has their everyday life changed by moving into a passive house? If so, how? 3) To what extent do the Comfort Houses

Family Open House

Science.gov (United States)

Search Family Open House Join us for an afternoon of science fun. The Fermilab Family Open House is a party for children of all ages to learn about the world of physics. The Open House is supported by Open House? Check out our YouTube video to learn more! Explore physics concepts with hands-on

Radon house doctor

International Nuclear Information System (INIS)

Nitschke, I.A.; Brennan, T.; Wadach, J.B.; O'Neil, R.

1986-01-01

The term house doctor may be generalized to include persons skilled in the use of instruments and procedures necessary to identify, diagnose, and correct indoor air quality problems as well as energy, infiltration, and structural problems in houses. A radon house doctor would then be a specialist in radon house problems. Valuable experience in the skills necessary to be developed by radon house doctors has recently been gained in an extensive radon monitoring and mitigation program in upstate New York sponsored by Niagara Mohawk Power Corporation and the New York State Energy Research and Development Authority. These skills, to be described in detail in this paper, include: (i) the use of appropriate instruments, (ii) the evaluation of the symptoms of a radon-sick house, (iii) the diagnostic procedures required to characterize radon sources in houses, (iv) the prescription procedures needed to specify treatment of the problem, (v) the supervision of the implementation of the treatment program, (vi) the check-up procedures required to insure the house cured of radon problems. 31 references, 3 tables

78 FR 59366 - Multifamily, Healthcare Facilities, and Hospital Mortgage Insurance Premiums for Fiscal Year (FY...

Science.gov (United States)

2013-09-26

... Facilities, and Hospital Mortgage Insurance Premiums for Fiscal Year (FY) 2014 AGENCY: Office of the... with HUD regulations, this Notice announces the mortgage insurance premiums (MIPs) for Federal Housing Administration (FHA) Multifamily, Healthcare Facilities, and Hospital mortgage insurance programs that have...

THE HOUSING SITUATION OF THE RURAL POPULATION IN THE SUSTAINABLE CONSUMPTION

Directory of Open Access Journals (Sweden)

Alicja Stolarska

2015-09-01

Full Text Available  The basic research material comprised empirical data on household budgets conducted by CSO (The Central Statistical Offi ce. The analysed housing conditions of 15 742 rural households in 2012 in Poland. Attention is paid to some households in poor housing situation. Diversity of housing situation and factors affecting this state of affairs is presented. We observe not only the diversity of household wealth, but there are also disparities in housing situation. Disturbing and contrary to the principles of sustainable development and sustainable consumption is the fact that there are signifi cant differences in the size (10–900 m2 and quality of fl ats. Some have more than one house, others are not able to meet their basic needs. Until 13% fl ats of rural households had leaky roofs, damp walls or rotting windows and fl oors. Nearly 1.3% of them also was too tight and located in an area with a low level of infrastructure. It was associated with poor revenue situation, but also the type of the main source of income, family situation and who was the owner of the apartment. Approx. 1.4% of the fl ats had no running water, and almost 18% were heated using heating furnaces, which are not only a nuisance in operation, but also emit carbon dioxide harmful to the environment. Some rural households (5% had credit, but they have better fi nancial situation than others.

[Multidisciplinary health houses and regional development: a necessarily shared dyanamics.].

Science.gov (United States)

Autès, Michel; Dufay, Marie-Guite

2009-03-29

Many regional authorities (Conseils Régionaux) have taken up the issue of health houses by underlining their competence in dealing with regional development issues. This initiative is part of a broader process designed to ensure the continuity of healthcare at the different levels of provision as well as equal, universal access according to the specific needs of patients, from prevention to the most specialized forms of medical treatment. Health houses are one of the chief access points in this process, and are situated at the cross-roads of health and healthcare. The territorial health project must provide the fondations of the new health house model. According to the Health Committee of the Association of French Regions (Commission Santé de l'Association des Régions de France), there are three prerequisites: 1. a multidisciplinary offer of access to front-line healthcare services; 2. public healthcare activities: prevention, promotion of health...; 3. a network mode of organization with the local and regional hospital system to ensure optimum healthcare provision for patients. Yet a number of obstacles need to be overcome, particularly the risk of concentrating healthcare provision within a single center, thus depriving the surrounding area, but also the ill-adapted current framework of remuneration for independent medical practitioners. The purpose of regional authorities (i.e. Conseils Régionaux) is not to ensure the expansion of health houses, but rather to enable innovation by accompanying the different actors involved within the sector. Heeding the specific requirements of the local area and its needs, as well as the will of elected representatives and healthcare professionals, their aim is to develop a policy of exemplarity with all the actors involved in the sector and to uphold their legitimacy as agents of regional development. The ?Hospital, patients, health and territories' law (loi "Hôpital, patients, santé et territoires") may yet throw the

Housing First or no housing? Housing and homelessness at the end of alcohol and drug treatment.

Science.gov (United States)

Dyb, Evelyn

2016-10-01

The rate of alcohol and drug dependency is high among homeless persons in Norway as well as in other Western societies. National homeless surveys also show a certain correlation between discharge from institutions and homelessness. However, the rate of homelessness versus the rate with fixed abode at the end of specialised alcohol and drug treatment has not been examined using quantitative methods. A cross-sectional survey was conducted in alcohol and drug treatment units in the national health services and private clinics. The survey investigates the housing outcome at the end of treatment compared to the situation at the start of treatment using an individual questionnaire for patients ending treatment in a specific time window. Housing outcome is measured by the odds ratio of having a fixed abode at the end of treatment in relation to main intoxicating substance, type of treatment (in- and outpatient), completing versus cutting short the treatment, housing situation at the start of treatment, socioeconomic capital, mental health problems, individual plan, medical assisted treatment, and a set of background variables. The housing versus homeless situation hardly changes during the treatment period. In both a bivariate analysis and a simple multivariate model, principal intoxicating substance is the strongest predictor of having a fixed abode both before and after treatment. However, a more sophisticated analysis indicates that socioeconomic resources and social capital play along with the preferred intoxicating substance as predictors of having permanent housing. After more than a decade of a housing-led national homeless policy, and wide embracement of Housing First approaches in the European Union, homeless persons entering specialised alcohol and drug treatment are likely to return to the streets and hostels at the end of treatment. Access to housing after treatment is very limited for those lacking resources to solve their housing problem without assistance

In Middle Europe, heating of an industrial building only with solar energy. First solar house industrial building with passive house standard in this size; In Mitteleuropa ein Industriegebaeude nur mit der Sonne heizen. Erstes Sonnenhaus Industriegebaeude mit Passivhaus-Standard in dieser Groesse

Energy Technology Data Exchange (ETDEWEB)

Huemer, Herbert [Xolar Renewable Energy Group HQ, Eberstalzell (Austria)

2010-07-01

Since 2008, Xolar Renewable Energy Group (Eberstalzell, Austria) combines the companies Sunmaster and Xolar in the most modern solar house in Europe with passive house standard. The contribution under consideration reports on the development of an industrial building which is heated entirely by solar energy and meets the standards of passive houses. All working places in the building should be sunny and free of draught. It does not use electrically powered heat pumps or refrigerators. All energy values calculated by simulation were achieved or partly exceeded. The savings in annual operating costs compared to conventional construction in factory buildings is approximately 192,000 Euro per year.

Hospital customer service in a changing healthcare world: does it matter?

Science.gov (United States)

Howard, J

1999-01-01

The healthcare industry is undergoing a rapid transformation to meet the ever-increasing needs and demands of the patient population. Employers and health plans such as HMOs are demanding better service and higher quality care, and hospitals are trying to tackle reimbursement cutbacks, streamline services, and serve a diverse population. Hospitals have begun to realize that to overcome these obstacles and meet the needs of the health care plans and consumers, they must focus on the demands of the customer. Customer service initiatives increase patient satisfaction and loyalty and overall hospital quality, and many hospitals have found that consumer demands can be met through initiating and maintaining a customer service program. This article describes how the administrator can create, implement, and manage customer service initiatives within the hospital.

Air pollution and doctors' house calls for respiratory diseases in the Greater Paris area (2000–3)

Science.gov (United States)

Chardon, Benoit; Lefranc, Agnès; Granados, Denis; Grémy, Isabelle

2007-01-01

This study describes the short‐term relationships between the daily levels of PM10, PM2.5, NO2 and the number of doctors' house calls for asthma, upper respiratory diseases (URD) and lower respiratory diseases (LRD) in Greater Paris for the years 2000–3. Doctors' house calls are a relevant health indicator for the study of short‐term health effects of air pollution. Indeed, it is potentially more sensitive than indicators such as general hospital admissions due to the severity of diseases motivating the call. In this study, time‐series analysis was used. The daily numbers of doctor's house calls were adjusted for time trends, seasonal factors, day of the week, influenza, weather and pollen. Up to 15 days of lag between exposure and health effects was considered using distributed lag models. A total of about 1 760 000 doctors' house calls for all causes occurred during the study period, among which 8027 were for asthma, 52 928 for LRD and 74 845 for URD. No significant increase in risk was found between air pollution and doctors' house calls for asthma. No significant association was found between NO2 and doctors' house calls. An increase of 10 μg/m3 in the mean levels of PM10 and PM2.5 encountered during the 3 previous days was associated with an increase of 3% (0.8% and 5.3%) and 5.9% (2.9% and 9.0%) in the number of doctor's house calls for URD and LRD, respectively. Considering up to 15 days between exposure and health outcomes, effects persist until 4 days after exposure and then decrease progressively. No morbidity displacement was observed. This study shows a significant heath effect of ambient particles (PM2.5 and PM10). When compared to the RRs obtained for mortality or hospital admissions in the same area, the values of the RRs obtained in this study confirm the higher sensibility of doctor's house calls for respiratory diseases as a health indicator. PMID:17182644

House Price, House Quality and Economic Growth

NARCIS (Netherlands)

De Vries, P.; Boelhouwer, P.J.

2010-01-01

The literature on housing markets suggest that periods of economic growth are characterised by a demand for better housing quality and increasing prices. The basic principles of the theory are that the short-run price fluctuations occur due to market imperfection, while over the long term, causality

76 FR 30950 - Council on Graduate Medical Education; Notice of Meeting

Science.gov (United States)

2011-05-27

... Council on Graduate Medical Education (COGME) was authorized by Congress in 1986 to provide an ongoing...), the Senate Committee on Health, Education, Labor and Pensions, and the House of Representatives Committee on Energy and Commerce. The topic of discussion for this meeting is graduate medical education...

Livable Housing Design: The voluntary provision of inclusive housing in Australia

Directory of Open Access Journals (Sweden)

Margaret Louise Ward

2014-06-01

Full Text Available This paper reports on a study of the voluntary provision of inclusive housing. The impetus for the study is the Livable Housing Design initiative, an agreement among Australian housing industry and community leaders in 2010 to a national guideline and voluntary strategy with a target to provide minimum access features in all new housing by 2020. Situated in and around Brisbane, Australia, the study problematises the assumption that the housing industry will respond voluntarily; an assumption which this study concludes is unfounded. The Livable Housing Design initiative asks individual agents to consider the needs of people beyond the initial contract, to proceed with objective reasoning and to do the right thing voluntarily. Instead, the study found that interviewees focused on their immediate contractual obligations, were reluctant to change established practices and saw little reason to do more than was legally required of them. This paper argues that the highly-competitive and risk-averse nature of the industry works against a voluntary approach for inclusive housing and, if the 2020 target of the Livable Housing Design.

"Conical Hut": A Basic Form of House Types in Timor Island

Science.gov (United States)

Chen, Y. R.; Lim, Y. L.; Wang, M. H.; Chen, C. Y.

2015-08-01

Timor Island situates in the southeast end of Southeast Asia. The island accommodates many ethnic groups, which produce many diverse house types. As visiting East Timor in 2012 and Timor Island in 2014, we found the "Pair- House Type" widely spread over Timor Island. Uma Lulik (holy house), accommodating the ancestry soul, fireplace and elder's bed, and Uma Tidor (house for sleep), containing living, sleeping and working space, compose the pair-house. The research team visited 14 ethnic groups and their houses, some of which were measured and drawn into 3D models as back to Taiwan. Uma Tidors of each ethnic group are quite similar with rectangular volume and hip roof, however, one of the fourteen ethnic groups can build cylinder houses for Uma Tidor. Uma Luliks of different ethnic groups are diversified and special. One group of the Uma Luliks shows a rectangular or square volume sheltered by a hip roof. The other group of Uma Luliks presents a non-specific volume under a conical roof, that we called the "conical hut". Seven ethnic groups, Atoni, Weimua, Makassae, Mambai, Bunaq, Kemak and Bekais, have built "conical huts" for the use of Uma Lulik. People of the seven ethnic groups can construct a reasonable structural system to support the conical roof, and take good advantage of the space under the conical roof to meet their sacred needs and everyday life. "Conical Hut" may be regarded as the basic form of the house types adopted by the seven ethnic groups. It contains the basic spatial limits and the formal properties that the construction systems have to follow. Based on the concise rules of the basic form, people of each ethnic group use their talents, skills and building materials to generate variations of "conical hut", which are different in house scale, spatial layout, construction system and form. The "conical huts" contain the consistency that all the huts come from the basic form, meanwhile, they also present the diversification that each conical hut has

"Conical Hut": A Basic Form of House Types in Timor Island

Directory of Open Access Journals (Sweden)

Y. R. Chen

2015-08-01

Full Text Available Timor Island situates in the southeast end of Southeast Asia. The island accommodates many ethnic groups, which produce many diverse house types. As visiting East Timor in 2012 and Timor Island in 2014, we found the “Pair- House Type” widely spread over Timor Island. Uma Lulik (holy house, accommodating the ancestry soul, fireplace and elder’s bed, and Uma Tidor (house for sleep, containing living, sleeping and working space, compose the pair-house. The research team visited 14 ethnic groups and their houses, some of which were measured and drawn into 3D models as back to Taiwan. Uma Tidors of each ethnic group are quite similar with rectangular volume and hip roof, however, one of the fourteen ethnic groups can build cylinder houses for Uma Tidor. Uma Luliks of different ethnic groups are diversified and special. One group of the Uma Luliks shows a rectangular or square volume sheltered by a hip roof. The other group of Uma Luliks presents a non-specific volume under a conical roof, that we called the “conical hut”. Seven ethnic groups, Atoni, Weimua, Makassae, Mambai, Bunaq, Kemak and Bekais, have built “conical huts” for the use of Uma Lulik. People of the seven ethnic groups can construct a reasonable structural system to support the conical roof, and take good advantage of the space under the conical roof to meet their sacred needs and everyday life. “Conical Hut” may be regarded as the basic form of the house types adopted by the seven ethnic groups. It contains the basic spatial limits and the formal properties that the construction systems have to follow. Based on the concise rules of the basic form, people of each ethnic group use their talents, skills and building materials to generate variations of “conical hut”, which are different in house scale, spatial layout, construction system and form. The “conical huts” contain the consistency that all the huts come from the basic form, meanwhile, they also present

Tech House

Science.gov (United States)

1978-01-01

The members of the Swain family- Dr. Charles "Bill" Swain, wife Elaine, daughter Carol, 17, son "Chuck", 12, and dog Susie have an interesting assignment. They are active participants in an important NASA research program involving the application of space-age technology to home construction. b' Transplanted Floridians, the Swains now reside in NASA's Tech House, loatedat Langley Research Center, Hampton, Virginia. Their job is to use and help evaluate the variety of advanced technology systems in Tech House. A contemporary three-bedroom home, Tech House incorporates NASA technology, the latest commercial building techniques and other innovations, all designed to reduce energy and water consumption and to provide new levels of comfort, convenience, security and fire safety. Tech House equipment performed well in initial tests, but a house is not a home until it has people. That's where the Swains come in. NASA wants to see how the various systems work under actual living conditions, to confirm the effectiveness of the innovations or to determine necessary modifications for improvement. The Swains are occupying the house for a year, during which NASA engineers are computer monitoring the equipment and assembling a record of day-to-day performance. . Tech House is a laboratory rather than a mass production prototype, but its many benefits may influence home design and construction. In a period of sharply rising utility costs, widespread adoption of Tech House features could provide large-scale savings to homeowners and potentially enormous national benefit in resources conservation. Most innovations are aerospace spinoffs: Some of the equipment is now commercially available; other systems are expected to be in production within a few years. Around 1980, a Tech House-type of home could be built for $45-50,000 (1 976 dollars). It is estimated that the homeowner would save well over $20,000 (again 1976 dollars) in utility costs over the average mortgage span of 20 years.

The Special Importance of Housing Policy for the Housing Situation of Ethnic Minorities

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Magnusson Turner, Lena; Søholt, Susanne

The purpose of this article is to uncover, whether housing policy has a special importance for immigrants, compared with the whole population, by comparing housing policies and immigrants’ housing outcomes in four Nordic countries: Denmark, Finland, Norway and Sweden. There are substantial...... population varies much. These differences can only to some extent be explained by income inequalities on the housing markets in the countries, inequalities that affect immigrants. Other important explanations of why immigrants perform worse on the housing market is the shortage of rental housing (Norway......’ housing options are strict needs test for social/public housing (Finland)....

The Special Importance of Housing Policy for the Housing Situation of Ethnic Minorities

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Turner, Lena Magnusson; Søholt, Susanne

2013-01-01

The purpose of this article is to uncover, whether housing policy has a special importance for immigrants, compared with the whole population, by comparing housing policies and immigrants’ housing outcomes in four Nordic countries: Denmark, Finland, Norway and Sweden. There are substantial...... population varies much. These differences can only to some extent be explained by income inequalities on the housing markets in the countries, inequalities that affect immigrants. Other important explanations of why immigrants perform worse on the housing market is the shortage of rental housing (Norway......’ housing options are strict needs test for social/public housing (Finland)....

Optimizing the Internal Medicine Clinic at Evans Army Community Hospital

National Research Council Canada - National Science Library

Bonilla, Jose

2003-01-01

...) 2002, the Internal Medicine (IM) clinic at Evans Army Community Hospital, Fort Carson, Colorado, failed to meet access to care standards for routine appointments, and was only marginally successful in meeting standards for urgent appointments...

Exploring the Housing Needs of Older People in Standard and Sheltered Social Housing.

Science.gov (United States)

Fox, Siobhan; Kenny, Lorna; Day, Mary Rose; O'Connell, Cathal; Finnerty, Joe; Timmons, Suzanne

2017-01-01

Objective: Our home can have a major impact on our physical and mental health; this is particularly true for older people who may spend more time at home. Older people in social (i.e., public) housing are particularly vulnerable. Housing options for older people in social housing include standard design dwellings or specially designed "sheltered housing." The most suitable housing model should be identified, with older people consulted in this process. Method: Survey of older people (aged ≥60) living in standard or sheltered social housing. Data were analyzed using descriptive and inferential statistics in SPSS Version 22. Results: Overall, 380 surveys were returned (response rate = 47.2%). All older people had similar housing needs. Those in sheltered housing were more satisfied with the physical home design and reported more positive outcomes. Older people in standard housing were less likely to have necessary adaptations to facilitate aging-in-place. Discussion: Older people in standard housing reported more disability/illnesses, are worried about the future, and felt less safe at home. However, few wanted to move, and very few viewed sheltered housing as an alternative, suggesting limited knowledge about their housing options. Future social housing designs should be flexible, that is, adaptable to the needs of the tenants over time.

Determination of antibiotics in sewage from hospitals, nursery and slaughter house, wastewater treatment plant and source water in Chongqing region of Three Gorge Reservoir in China

Science.gov (United States)

Chang, Xiaotian; Meyer, M.T.; Liu, Xiuying; Zhao, Q.; Hao, Chen; Chen, J.-a.; Qiu, Z.; Yang, L.; Cao, J.; Shu, W.

2010-01-01

Sewage samples from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water samples of Chongqing region of Three Gorge Reservoir were analyzed for macrolide, lincosamide, trimethoprim, fluorouinolone, sulfonamide and tetracycline antibiotics by online solid-phase extraction and liquid chromatography-tandem mass spectrometry. Results showed that the concentration of ofloxacin (OFX) in hospital was the highest among all water environments ranged from 1.660????g/L to 4.240????g/L and norfloxacin (NOR, 0.136-1.620????g/L), ciproflaxacin (CIP, ranged from 0.011????g/L to 0.136????g/L), trimethoprim (TMP, 0.061-0.174????g/L) were commonly detected. Removal range of antibiotics in the wastewater treatment plant was 18-100% and the removal ratio of tylosin, oxytetracycline and tetracycline were 100%. Relatively higher removal efficiencies were observed for tylosin (TYL), oxytetracycline (OXY) and tetracycline (TET)(100%), while lower removal efficiencies were observed for Trimethoprim (TMP, 1%), Epi-iso-chlorotetracycline (EICIC, 18%) and Erythromycin-H2O (ERY-H2O, 24%). Antibiotics were removed more efficiently in primary treatment compared with those in secondary treatment. ?? 2009 Elsevier Ltd. All rights reserved.

Using a structured morbidity and mortality meeting to understand the contribution of human error to adverse surgical events in a South African regional hospital.

Science.gov (United States)

Clarke, Damian L; Furlong, Heidi; Laing, Grant L; Aldous, Colleen; Thomson, Sandie Rutherford

2013-10-22

Several authors have suggested that the traditional surgical morbidity and mortality meeting be developed as a tool to identify surgical errors and turn them into learning opportunities for staff. We report our experience with these meetings. A structured template was developed for each morbidity and mortality meeting. We used a grid to analyse mortality and classify the death as: (i) death expected/death unexpected; and (ii) death unpreventable/death preventable. Individual cases were then analysed using a combination of error taxonomies. During the period June - December 2011, a total of 400 acute admissions (195 trauma and 205 non-trauma) were managed at Edendale Hospital, Pietermaritzburg, South Africa. During this period, 20 morbidity and mortality meetings were held, at which 30 patients were discussed. There were 10 deaths, of which 5 were unexpected and potentially avoidable. A total of 43 errors were recognised, all in the domain of the acute admissions ward. There were 33 assessment failures, 5 logistical failures, 5 resuscitation failures, 16 errors of execution and 27 errors of planning. Seven patients experienced a number of errors, of whom 5 died. Error theory successfully dissected out the contribution of error to adverse events in our institution. Translating this insight into effective strategies to reduce the incidence of error remains a challenge. Using the examples of error identified at the meetings as educational cases may help with initiatives that directly target human error in trauma care.

Housing for ageing LGBTQ people in Sweden: a descriptive study of needs, preferences, and concerns.

Science.gov (United States)

Kottorp, A; Johansson, K; Aase, P; Rosenberg, L

2016-09-01

With an increasing number of ageing people who identify themselves as lesbian, gay, bisexual, transgender, or queer (LGBTQ), there is a risk that traditional housing for older people fails to meet the needs of these people. The aim of this study was to describe LGBTQ people's needs, preferences, and concerns according to ageing and housing. Based on a survey (n = 487), and six focus-group discussions (n = 30), with LGBTQ persons, quantitative and qualitative approaches were used to analyse the findings. When comparing the ranking of preferences (in terms of activity options, environmental features, and staff competence) in a senior housing setting between the LGBTQ people (n = 200) and heterosexual matched controls (n = 198), only minor differences were detected. The findings from the focus groups included: (1) a dilemma between segregation and openness, (2) the importance of safety associated with ageing together with persons with similar experiences, and (3) networks of persons at different ages connected through close friendship supported participation in activities in LGBTQ-profiled senior housing. The findings provide knowledge to improve awareness of sexual orientation when it comes to needs and preferences in relation to ageing and housing in a Swedish context.

75 FR 33838 - NASA Advisory Council; Ad-Hoc Task Force on Planetary Defense; Meeting

Science.gov (United States)

2010-06-15

...: Notice of Meeting. SUMMARY: In accordance with the Federal Advisory Committee Act, Public Law 92-463, as...: Millennium Harvest House, 1345 28th Street, Boulder, Colorado 80302 (room will be posted in hotel lobby). FOR...

An Investigation of Energy Storage Possibilities in Single Family Houses for Smart Grid Purposes

DEFF Research Database (Denmark)

Andersen, Palle; Pedersen, Tom S.; Nielsen, Kirsten M.

2014-01-01

In Denmark it will be a challenge in near future to balance the electrical grid due to a large increase in the renewable energy production mainly from wind turbines. Smart grid solutions which exploit all storage capacities are essential to meet this challenge. In this work single family houses...... with heat pumps and floor heating are investigated for storage capability. The aim is to shift energy consumption a few hours in time to mitigate the effect of fluctuating production from wind and other renewable energy sources on the grid. Based on measurements in six inhabited houses for approximately...... a year prediction models are analysed. The main topic of this work is to investigate how behaviour of inhabitants affect the quality of predictions. Unfortunately the output of the models for single inhabited single family houses seems to give large standard deviations of the predictions, and aggregated...

Essays on Housing Markets

DEFF Research Database (Denmark)

Bäckman, Claes

In Denmark and in many countries around the world, housing markets are of considerable importance for households and policy-makers alike. As the boom and bust in the US and Danish housing market so aptly demonstrated, disruptions in the housing market potentially have wide-ranging consequences...... for individual households and for the aggregate economy. Housing is important because we all have to live somewhere, but also because it serves as a considerable source of both wealth and debt. As such, housing market policy can not only create vast benefits for many, but can also have substantial negative...... impacts for all, and should therefore be a topic of major interest for economists and policy makers alike. This Ph.D. thesis, entitled “Essays on Housing Markets”, analyzes the Danish housing market during the 2000s, with a focus on how policy changes affected house prices and how changes in house prices...

The bishops and housing.

Science.gov (United States)

Shellabarger, Thomas

2005-01-01

According to Catholic social teaching, housing is not a commodity but a human right. To ensure that all people--especially low-income elderly and other vulnerable populations--have access to affordable housing, the church has established a variety of programs, services, and advocacy efforts. Much of this work is based on key concepts: preserving existing housing stock, creating new programs to provide more options for the underserved, empowering residents and communities to deal with housing issues, establishing partnerships to make organizations' efforts more successful, making housing affordable, and ending discrimination in housing. Although church ministries, community groups, the private sector, and other players must work together to find solutions to the housing crisis, federal leadership is essential. Especially with the housing affordability gap growing and the U.S. population aging, the federal government must provide the resources, leadership, and direction for effective housing solutions.

Radon in houses

International Nuclear Information System (INIS)

Toohey, R.E.; Essling, M.A.; Markun, F.

1985-01-01

The purpose of this study is to determine the concentrations of 222 Rn and its short-lived daughter products in the air of single-family houses in the midwestern US. During the past year, more than 200 houses were added to the study, resulting in a total of more than 400 houses. So far, results are available for 270 of these houses, equally divided between the Chicago area and Bloomsburg, Pennsylvania. 6 refs

[Historical notes on Infectious Diseases Hospital Francisco Javier Muñiz in Buenos Aires, Argentina].

Science.gov (United States)

Laval, Enrique

2012-08-01

The Infectious Diseases Hospital Francisco Javier Muñiz, Buenos Aires, Argentina, is the oldest in Latin America. It is over 100 years old and has a history worthy of pride. It became known as "Hospital of the pests" and was preceded by the old House of Insulation, which served as a quarantine station during epidemics of cholera, yellow fever and smallpox. The new House of Insulation, built in the neighborhood of Parque Patricios ("Barracks Hospital"), was renamed in 1904 in memory of Francisco Javier Muñiz, a former military doctor, naturalist and paleontologist. Its technical name is "Porteño Care Centre and National Reference Regional Infectious-Contagious Disease". It receives numerous national and foreign undergraduate and postgraduate students in its Departments of Infectious Diseases and Respiratory Diseases.

Housing preferences of young adults in Indonesia: housing attributes and consequences

Science.gov (United States)

Farasa, N.; Kusuma, H. E.

2018-03-01

Nowadays, the housing demand of young adults in Indonesia is important issues for the sustainable development of the market. Facing differences of life phases, such as marriage, leaving home after graduation, and new job positioning, young adults become the main segment facing constant housing choice decisions in the housing market. In their particular phase of life, young adults have distinct preferences for housing attributes which bring a great influence on their lives in the future. Data was gathered from a survey questionnaire that was answered by 180 young adults in Indonesia, ranging from age 22-33 years. The findings suggest that the green area and view, location, simplicity, home design, and accessibility are the significant parts as housing attributes for young adults’ housing preferences in Indonesia. The effect of these attributes has many consequences such as security, personalization, mood/ambiance, maintenance, interaction, image, flexibility, environmental, economy, durability, convenience, comfort, and circulation. The biggest group of young adults who prefer comfort as their wanted consequences tend to have high preferences on housing attributes of the green area and view, and simplicity.

State of the Irish housing stock—Modelling the heat losses of Ireland's existing detached rural housing stock and estimating the benefit of thermal retrofit measures on this stock

International Nuclear Information System (INIS)

Ahern, Ciara; Griffiths, Philip; O'Flaherty, Micheál

2013-01-01

Ireland's housing stock has been identified as being amongst the least energy efficient in Northern Europe. Consequently, atmospheric emissions are greater than necessary. Government funded schemes have been introduced to incentivise the uptake of thermal retrofit measures in the domestic Irish market. A study of Ireland's housing highlights the dominance of detached houses (43%), 72% of which are rurally located and are predominantly heated with fuel oil. This paper investigates the economic and carbon case for thermal retrofit measures to the existing detached, oil centrally heated, rural housing stock. The study found the case for energy efficiency measures to be categorical and supports the Irish Government's focus on energy efficiency policy measures. Thermal retrofit measures in the detached housing stock have the potential to realise an averaged 65% theoretical reduction in heating costs and CO 2 emissions for houses constructed prior to 1979 (coinciding with the introduction of building regulations) and around 26% for newer homes, thus offering a significant contribution (44%) to Ireland's residential carbon abatement projections and hence in meeting the EU's directives on energy and carbon. The greatest savings (36%) of Ireland's carbon abatement projections result from improving the energy efficiency of the pre 1979 stock. - Highlights: ► Model constructs base geometry of detached rural Irish dwellings by age band. ► Model quantifies savings to this stock via The National Insulation Scheme. ► Results offer significant contribution to Ireland's carbon abatement projections. ► Greatest savings result from retrofitting the pre 1979 stock. ► Government needs to introduce PAYS scheme or similar to engage public at large

Housing of Hobson's Choice

DEFF Research Database (Denmark)

Vestergaard, Hedvig

2010-01-01

This paper looks at policies implemented to improve troubled housing estates during more than two decades. Based on evaluations of implemented programmes and case studies the paper provides a basis for discussing a number of questions: • Why do we have troubled housing estates? • What...... is the definition of troubled housing estates? • Who lives on troubled housing estates? • Who owns and manages the troubled housing estates? • What have been the reasons behind improvement programmes for troubled housing estates? • What kind of improvement programmes have been implemented and with what kind...... of results? • Have improvement programmes changed the position of the estates on the local housing markets? • What are the changes in policies and results? • What are the perspectives for policy initiatives in the field of troubled housing estates?...

Housing provision in the Kathmandu Valley: Public agency and private sector initiation

Directory of Open Access Journals (Sweden)

Bijaya K. Shrestha

2010-01-01

Full Text Available The haphazard growth of settlements in the Kathmandu Valley is the result of rapid urbanisation, growing poverty, the high cost of land and construction, and dependence on the traditional practice of owner-built housing. This growth has resulted in huge housing deficits and poor home conditions. The government’s implementation of the site and services programme as well as land-pooling projects in the 1970s and 1980s benefitted local landowners, but private-sector developments in the 1990s and 2000s were only accessible to upper-middle and high-income groups. This has forced the urban poor and economically disadvantaged groups to live in slum and squatter developments. Planned development organisation has been weak in terms of physical layout, the creation of socialisation opportunities and a sense of community, and in achieving a desirable population density. The existing legal and institutional framework is inadequate and ineffective for addressing these issues. To fill the gap between the efforts of the public and private sectors and meet the high demands for housing in the valley, clear-cut policies and planning are required. This must be done in order to link housing supply with demand and to ensure the participation of various public and private-sector agencies in land-development and housing projects that will incorporate the urban poor. Local municipalities should also be equipped for managing local resources, coordinating the agencies involved and monitoring development.

The mission of the well-managed community hospital.

Science.gov (United States)

Griffith, J R

1988-07-01

The well-managed community hospital as an organization is in dynamic equilibrium with its geographic community and with other communities providing finance, physicians, nurses, other professionals and resources necessary to meet local health care needs. The hospital is "well-managed" when it develops an equilibrium that permits all of its various constituencies to be satisfied. Growth in market share results from good management. The hospital's ability to attract and satisfy the needs of health care professionals while simultaneously meeting the needs of patients and their families at competitive prices allows it to flourish. Its financial success allows it to reward its medical staff and employees in ways that attract the best of each work group. A central problem in achieving good management is communication. Hospitals must communicate their goals convincingly to a large number of doctors and employees. "The Well-Managed Community Hospital," winner of the James A. Hamilton Hospital Administration Book Award, argues that a well-structured mission statement is the essential first step in the communications process. According to the book, final responsibility for the mission statement lies with the governing board and is one of five non-delegable functions of the board. The nature of the mission setting function as described in the book follows.

Organizing for the Collaborative Hospital

DEFF Research Database (Denmark)

Prætorius, Thim; Hasle, Peter; Nielsen, Anders Paarup

2016-01-01

To meet demands for high quality and efficient care, hospitals increasingly organize horizontally around standardized processes (like lean and care pathways) and/or set-up formal structural arrangements such as using performance boards, having daily huddles or assigning specific roles. This trend...

A vision of long-term care. To care for tomorrow's elderly, hospitals must plan now, not react later.

Science.gov (United States)

Kodner, D L

1989-12-01

In the next two decades, rapid, fundamental changes will take place in the way we finance, organize, and provide long-term care services. Because the elderly make up such a large portion of the patient population, America's hospitals should be concerned--and involved. There are six keys to the future of long-term care: a sharp increase in elderly population, a new generation of elderly, restrained government role, intergenerational strains, growing corporate concern, and the rise of "gerotechnology." These trends and countertrends will result in a new look in the long-term care landscape. By the year 2010, changes will include a true public-private financing system, provider reimbursement on the basis of capitation and prospective payment, coordinated access to services, dominant alternative delivery systems, a different breed of nursing homes, fewer staffing problems, patient-centered care, a new importance in housing, and an emphasis on prevention. For hospitals, this future vision of long-term care means that significant opportunities will open up to meet the needs of the elderly-at-risk and to achieve a competitive position in the burgeoning elderly care industry.

San Jerónimo 473, a house on the Revolution in the history

Directory of Open Access Journals (Sweden)

María Esther Mora-Abad

2016-12-01

Full Text Available San Jerónimo 473, a house in the history of the Revolution, aims to elaborate on the actions taken in the house while he served as the headquarters of the Movement July 26; is achieved interpret the experiences of the main leaders of armed insurrection, say: Frank Pais, Armando Hart, Haydee Santamaría, among others. In this homelike space and with the consent and coat of the Espín family Guillois, starting from 1952 several actions of denial to the overthrow were planned, preparations for the actions of November 30 of 1956. It is converted later of this action in general barracks of the Movement, they develop meetings and several work of organization of the insurrection. 

The charity and the care: the origin and the evolution of hospitals.

Science.gov (United States)

Riva, Michele Augusto; Cesana, Giancarlo

2013-01-01

The hospital is considered as one of the founding elements of modern medicine. Such an institution, originally born to be a center for housing the sick and the poor, has provided with a place to improve the medical knowledge and to educate new generations of nurses and physicians. This paper wants to remind the meaning and the development of the hospital institution in the western world. The first part of this work analyzed the evolution of hospital, using a classical historiographical approach. In the second part, the history of the "Ospedale Maggiore" in Milan was used as a paradigm to describe the evolution of hospital from the Renaissance to nowadays through a "microhistorical approach". The origins of the public hospital are evidenced in early Christian age, when the Christian message led people to assist the sick and the poor and to establish centers for such interventions, initially in the house of the bishop, then in monasteries and, finally, in autonomous buildings (the hospitals). These institutions were economically supported by the donations of wealthy philanthropists. Since the nineteenth century the hospitals have changed their organization and functions, but have continued to associate the charity and the care. Christian charity and the lay culture originated from it may be rightly credited not only as the founding element of ancient hospitals, but also as the virtue which has made possible for the development of medicine, as we know it. Copyright © 2012 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

Outsourcing versus in-house maintenance of medical devices: a longitudinal, empirical study.

Science.gov (United States)

Miguel-Cruz, Antonio; Rios-Rincón, Adriana; Haugan, Gregory L

2014-03-01

To determine what factors have a significant influence on the performance of medical device maintenance outsourcing, and to determine how the performance of external governance structures differs depending on whether a hospital is private or public. This was a longitudinal study of 590 maintenance transactions at 20 hospitals in Bogotá, Colombia, involving 764 medical devices and 72 maintenance service providers. Maintenance performance data (i.e., turn-around time in hours; TAT) for the service providers (either in-house or outsourced) were primarily collected over a 20-month period, from December 2009-August 2011, by means of a monitoring procedure; then, a hazards model was run. The availability of specific repair parts, in-stock, in the city in which the medical devices were located, had a positive impact on the performance of both internal and external governance structures. Online service also had a positive impact on both, with a stronger positive impact on the performance of internal governance than on that of external governance. For transactions governed by external structures, better performance was seen in private hospitals than in public ones. In public health institutions, internal governance showed better performance than external governance. Both internal and external governance structures showed better performance in private healthcare institutions than in public ones. In public health institutions, internal governance shows better performance than external governance; this suggests that healthcare managers should reconsider the trend to eliminate in-house maintenance service staff in public healthcare institutions.

Nordic Housing Enabler

DEFF Research Database (Denmark)

Helle, Tina; Brandt, Åse

Development and reliability testing of the Nordic Housing Enabler – an instrument for accessibility assessment of the physical housing. Tina Helle & Åse Brandt University of Lund, Health Sciences, Faculty of Medicine (SE) and University College Northern Jutland, Occupational Therapy department (DK......). Danish Centre for Assistive Technology. Abstract. For decades, accessibility to the physical housing environment for people with functional limitations has been of interest politically, professionally and for the users. Guidelines and norms on accessible housing design have gradually been developed......, however, the built environment shows serious deficits when it comes to accessibility. This study addresses development of a content valid cross-Nordic version of the Housing Enabler and investigation of inter-rater reliability, when used in occupational therapy practice. The instrument was translated from...

Customer Need ́s Satisfaction in the Housing Sector: the Case of the Toluca Valley

Directory of Open Access Journals (Sweden)

Delgado-Hernández David Joaquín

2013-10-01

Full Text Available Currently, the construction sector faces great challenges, as the recent economic contraction has directly impacted this industry, and only companies that can offer quality products and services will survive in today’s highly competitive markets. In particular, the housing sector has to find ways to meet the needs of its customers due to the number of firms competing in this arena. There are some studies that quantify the demand for housing as well as those that reveal the number of homes sold per year in a region. However, investigations in Mexico to establish the level of cus- tomer satisfaction with their homes are still scarce. Thus, the main objective of this research is to determine the level of customer satisfaction in the Toluca Valley ́s housing sector (a region located 60 km west of Mexico City, in low income projects developed by Mexican construction companies. Having applied a questionnaire to users from seventy eight houses within eight different projects, some issues were identified that builders could improve, and take into account during the design stage of new housing developments. Among the main ones are: insulation, wall and ceil- ing materials, space distribution, and house ́s size. In contrast, residents are rela- tively satisfied with: the ease of cleaning, the aesthetics of the projects and the proximity to schools and supermarkets.

20 CFR 654.407 - Housing.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Housing. 654.407 Section 654.407 Employees... EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.407 Housing. (a) Housing... occupants against the elements. (b) Housing shall have flooring constructed of rigid materials, smooth...

Bringing gay and lesbian activism to the White House: Midge Costanza and the National Gay Task Force Meeting.

Science.gov (United States)

Mattingly, Doreen J; Boyd, Ashley

2013-01-01

In March 1977, President Carter's Assistant Margaret "Midge" Costanza made history by meeting with representatives from the National Gay Task Force (NGTF) to hear their grievances about discriminatory federal policies. The effects of the meeting were many, including changes in policies of the Bureau of Prisons and the Public Health Service. It also initiated policy discussions that would continue for decades and contributed to the incorporation of gay rights within the Democratic Party. Midge Costanza was fundamental to the process. It was her decision to hold the meeting and to advocate on behalf of the NGTF, and she bore many of the meeting's political costs. In this article we make use of Costanza's own papers and multiple interviews with her to closely analyze Costanza's role in the historic meeting. In addition to adding detail to its politics and policy impacts of the meeting, we also look at her complex motivations for holding such a controversial meeting. Costanza maintained until her death in 2010 that she was motivated by her feminism and overall commitment to social justice, rather than her own identity or experiences.

The role of outsourcing in the project house - mining house relationship

OpenAIRE

2008-01-01

M.Phil. The relationship between the Mining House / Owner and Project House can be spectacularly successful for both partners (and has resulted in the emergence of a few successful new project houses and plant operation companies all over the world), but can also be disastrous for both parties, if managed incorrectly. The main requirement for a successful relationship between a Mining- and Project House is that there must be something in it for both parties. This is not only measured in cu...

Use of Nutrition Standards to Improve Nutritional Quality of Hospital Patient Meals: Findings from New York City's Healthy Hospital Food Initiative.

Science.gov (United States)

Moran, Alyssa; Lederer, Ashley; Johnson Curtis, Christine

2015-11-01

Most hospital patient meals are considered regular-diet meals; these meals are not required to meet comprehensive nutrition standards for a healthy diet. Although programs exist to improve nutrition in hospital food, the focus is on retail settings such as vending machines and cafeterias vs patient meals. New York City's Healthy Hospital Food Initiative (HHFI) provides nutrition standards for regular-diet meals that hospitals can adopt, in addition to retail standards. This study was undertaken to describe regular-diet patient menus before and after implementation of the HHFI nutrition standards. The study involved pre- and post- menu change analyses of hospitals participating in the HHFI between 2010 and 2014. Eight New York City hospitals, selected based on voluntary participation in the HHFI, were included in the analyses. Nutritional content of regular-diet menus were compared with the HHFI nutrition standards. Nutrient analysis and exact Wilcoxon signed-rank tests were used for the analysis of the data. At baseline, no regular-diet menu met all HHFI standards, and most exceeded the daily limits for percentage of calories from fat (n=5), percentage of calories from saturated fat (n=5), and milligrams of sodium (n=6), and they did not meet the minimum grams of fiber (n=7). Hospitals met all key nutrient standards after implementation, increasing fiber (25%, Pfood service operations, indicating feasibility of this framework in a range of hospital settings. Copyright © 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

75 FR 27797 - Notice of Meeting

Science.gov (United States)

2010-05-18

... State Law Requiring Mandatory Influenza Vaccination of Hospital Employees, FOA IP10-003; and Improving... Gateway Hotel Atlanta Airport, 1900 Sullivan Road, Atlanta, Georgia 30337, Telephone: (770) 979-1100... Services Office, CDC, pursuant to Public Law 92-463. Matters To Be Discussed: The meeting will include the...

75 FR 48741 - Open Meeting of the President's Economic Recovery Advisory Board

Science.gov (United States)

2010-08-11

... meeting will be open to the public via live audio stream at http://www.whitehouse.gov/live . DATES: The... site at http://www.whitehouse.gov/administration/eop/perab/comment ; or Paper Statements Send paper... White House Web site ( http://www.whitehouse.gov ) without change, including any business or personal...

Ventilation Behavior and Household Characteristics in NewCalifornia Houses

Energy Technology Data Exchange (ETDEWEB)

Price, Phillip N.; Sherman, Max H.

2006-02-01

A survey was conducted to determine occupant use of windows and mechanical ventilation devices; barriers that inhibit their use; satisfaction with indoor air quality (IAQ); and the relationship between these factors. A questionnaire was mailed to a stratified random sample of 4,972 single-family detached homes built in 2003, and 1,448 responses were received. A convenience sample of 230 houses known to have mechanical ventilation systems resulted in another 67 completed interviews. Some results are: (1) Many houses are under-ventilated: depending on season, only 10-50% of houses meet the standard recommendation of 0.35 air changes per hour. (2) Local exhaust fans are under-utilized. For instance, about 30% of households rarely or never use their bathroom fan. (3) More than 95% of households report that indoor air quality is ''very'' or ''somewhat'' acceptable, although about 1/3 of households also report dustiness, dry air, or stagnant or humid air. (4) Except households where people cook several hours per week, there is no evidence that households with significant indoor pollutant sources get more ventilation. (5) Except households containing asthmatics, there is no evidence that health issues motivate ventilation behavior. (6) Security and energy saving are the two main reasons people close windows or keep them closed.

Potential implementation of light steel housing system for affordable housing project in Malaysia

Science.gov (United States)

Saikah, M.; Kasim, N.; Zainal, R.; Sarpin, N.; Rahim, M. H. I. A.

2017-11-01

An unparalleled number between housing demand and housing supply in Malaysia has increased the housing prices, which gives consequences to the homeownership issue. One way to reduce the housing price is by faster increase the number of affordable housing, but the construction sector faces difficulties in delivering as expected number by using conventional and current industrialised building system (IBS) due to the issue related high project cost, time and labour. Therefore, light steel housing (LSH) system as one of another type of IBS method can be utilised in housing construction project. This method can replace the conventional method that was currently used in the construction of affordable housing project. The objectives of this study are to identify the potential of LSH and influencing factors of system implementation. This is an initial stage to review the previous study related to LSH implementation in developed and developing countries. The previous study will be analysed regarding advantages and disadvantages of LSH and factors that influence the implementation of the system. Based on the literature review it is expected to define the potential and influencing factors of the LSH system. The findings are meaningful in framing and enhance construction housing method of an affordable housing project in Malaysia.

Assisted Housing - Housing Choice Vouchers by Tract - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — The U.S. Department of Housing and Urban Development’s (HUD) Housing Choice Voucher Program (HCVP) is the federal government's major program for assisting very...

APPLYING BIM TO BUILT HERITAGE WITH COMPLEX SHAPES: THE ICE HOUSE OF FILARETE’S OSPEDALE MAGGIORE IN MILAN, ITALY

Directory of Open Access Journals (Sweden)

D. Oreni

2017-08-01

Full Text Available This paper presents the development of a BIM model for a stratified historic structure characterized by a complex geometry: Filarete’s Ospedale Maggiore ice house, one of the few remaining historic ice houses in Milan (Fig. 1. Filarete, a well-known Renaissance architect and theorist, planned the hospital in the 15th century, but the ice house was built two centuries later with a double-storey irregular octagonal brick structure, half under and half above ground, that enclosed another circular structure called the ice room. The purpose of the double-walled structure was to store ice in the middle and store and preserve perishable food and medicine at the outer side of the ice room. During World War II, major portions of the hospital and the above-ground section of the ice house was bombed and heavily damaged. Later, in 1962, the hospital was restored and rehabilitated into a university, with the plan to conceal the ice house’s remaining structure in the courtyard, which ultimately was excavated and incorporated into a new library for the university. A team of engineers, architects, and students from Politecnico di Milano and Carleton University conducted two heritage recording surveys in 2015 and 2016 to fully document the existing condition of the ice house, resulting in an inclusive laser scanner and photogrammetric point cloud dataset. The point cloud data was consolidated and imported into two leading parametric modelling software, Autodesk Revit© and Graphisoft ArchiCAD©, with the goal to develop two BIMs in parallel in order to study and compare the software BIM workflow, parametric capabilities, attributes to capture the complex geometry with high accuracy, and the duration for parametric modelling. The comparison study of the two software revealed their workflow limitations, leading to integration of the BIM generative process with other pure modelling software such as Rhinoceros©. The integrative BIM process led to the production

[Profitability of a day hospital: analysis of activity, cost and effectiveness].

Science.gov (United States)

Hernando Ortiz, Lili; Hinojosa Mena-Bernal, Carmen; González Sarmiento, Enrique; González Guilabert, Isabel; Arana Ruiz, Jorge; Muñoz Moreno, M Fe

2012-01-01

Day hospitals are an alternative to conventional hospital care. We analyzed the functioning and profitability of the day hospital of Hospital Clínico de Valladolid, Spain, in 2009. Profitability is expressed as the provision of identical health coverage at a lower cost than that generated by conventional hospital care and with adequate quality indicators. We performed a retrospective, observational and descriptive study of the information obtained on each patient attended in the day hospital from January 1 to December 31, 2009. We studied four quality indicators: cancellation of meetings, the rate of transfusion reactions, the out-patient rate and the satisfaction index. The estimated savings for each process was calculated as the difference in the average cost of hospitalization minus the average cost of the process in the day hospital. The most frequent diseases were systemic and connective tissue diseases, accounting for 25.4% of the processes treated; of these, 17.1% corresponded to rheumatoid arthritis. Patient satisfaction was 93%. Meetings cancellations and the rate of transfusion reactions were 0%. The out-patient rate was 26%. Day hospital costs were 8.6% of conventional hospital costs, with savings of 78,390.69 euros. The day hospital is cost effective due to savings compared with conventional hospitalization and has a satisfactory quality index. Copyright © 2011 SESPAS. Published by Elsevier España, S.L. All rights reserved.

Spatial Analysis on Future Housing Markets: Economic Development and Housing Implications

Directory of Open Access Journals (Sweden)

Xin Liu

2014-01-01

Full Text Available A coupled projection method combining formal modelling and other statistical techniques was developed to delineate the relationship between economic and social drivers for net new housing allocations. Using the example of employment growth in Tyne and Wear, UK, until 2016, the empirical analysis yields housing projections at the macro- and microspatial levels (e.g., region to subregion to elected ward levels. The results have important implications for the strategic planning of locations for housing and employment, demonstrating both intuitively and quantitatively how local economic developments affect housing demand.

Social Housing Provision in Copenhagen

DEFF Research Database (Denmark)

Tsenkova, Sasha; Vestergaard, Hedvig

-profit housing providers, and a wide range of fiscal and regulatory instruments enhancing the competitive performance of the social housing sector. The research analyses recent housing policy measures and their impact on new social housing provision in Copenhagen. The emphasis is on the mix of housing policy......The paper provides an overview of trends and processes of change affecting new social housing provision in Denmark with a focus on Copenhagen. The local responses are reviewed within the context of changes to the unitary national housing system that functions with a robust range of private and non...... instruments implemented in three major policy domains-fiscal, financial and regulatory-to promote the production of new social housing. The system of new social housing provision is examined as a dynamic process of interaction between public and private institutions defining housing policy outcomes...

Sound insulation performance in Danish multi-storey housing 1850-2009 and upgrade possibilities to meet current regulations

DEFF Research Database (Denmark)

Rasmussen, Birgit; Hoffmeyer, Dan

2013-01-01

to improve sound insulation in multi-storey housing. The paper quantifies dwellings built in different periods of 1850-2009 and summarizes key characteristics of building types and constructions as well as related sound insulation performance, some being far from fulfilling the limits in the latest Danish...... regulations. Sound insulation data from selected building types are presented, and improvement potential and feasibility based on benefits and drawbacks of different solutions are discussed. To include practical experience in development of solutions, several housing associations have been contacted, but even...... when carrying out major refurbishment work, focus is on energy issues, building maintenance and visual qualities, and sound insulation improvement almost never considered. Thus, it is clearly a challenge to change the mind-set of involved parties to apply a more holistic approach and include sound...

75 FR 26683 - Hospital and Outpatient Care for Veterans Released From Incarceration to Transitional Housing

Science.gov (United States)

2010-05-12

... difficulty obtaining similar treatment during a transitional period. In particular, if mental health issues... housing upon release from incarceration in a prison or jail. The proposed rule would permit VA to work with these veterans while they are in these programs with the goal of continuing to work with them...

Revisiting the Housing-Health Relationship for HIV-Positive Persons: Qualitative Evidence From the Lower Manya Krobo District, Ghana.

Science.gov (United States)

Teye-Kau, Mabel; Tenkorang, Eric Y; Adjei, Paul B

2018-03-01

The relationship between housing and HIV infection is complex. On one hand, poor housing arrangements may affect the health of persons living with HIV/AIDS (PLWHAs). On the other hand, PLWHAs may be more likely to live in substandard homes because of their health. We used qualitative in-depth individual interviews of 38 PLWHAs attending voluntary counseling services at two government hospitals in the Lower Manya Krobo District (LMKD) in the Eastern region of Ghana to examine their housing and health outcomes. Results show that the majority of PLWHAs lived in homes that lacked basic amenities, were overcrowded, had structural deficiencies, and were noisy and dirty. They suffered from poor housing conditions mainly because of their HIV serostatus, as this affected their ability to finance adequate homes, while HIV-related stigmatization led to eviction from either family homes or rented facilities.

Radon in Syrian houses

International Nuclear Information System (INIS)

Othman, I.; Hushari, M.; Raja, G.; Alsawaf, A.

1996-01-01

A nationwide investigation of radon levels in Syrian houses was carried out during the period 1991-1993. Passive radon diffusion dosemeters using polycarbonate detectors were distributed in houses all over Syria. Detectors were subjected to electrochemical etching to reveal latent tracks of alpha particles. The mean radon concentration in Syrian houses was found to be 45 Bq m -3 with some values several times higher. This investigation indicated that there were a few houses in Syria that require remedial action. Most houses that have high levels of radon were found in the southern area, especially in the Damascus governorate. The study also indicated that radon concentrations were higher in old houses built from mud with no tiling. (author)

Do housing regimes matter? : Assessing the concept of housing regimes through configurations of housing outcomes

NARCIS (Netherlands)

Dewilde, C.L.

2017-01-01

Based on a conceptualisation of de-commodification as the right to decent and affordable housing, we assessed to what extent this right is realised for low-to-moderate-income owners and renters across Western European housing regimes in 1995 and 2012. If differences in the social production of

USULAN PERBAIKAN PROSES BISNIS DENGAN KONSEP BUSINESS PROCESS REENGINEERING (STUDI KASUS : PERMATA GUEST HOUSE

Directory of Open Access Journals (Sweden)

Bhaswara Adhitya Wardhana

2013-04-01

inadequate, resulting in the emergence of many complaints of stakeholders, that is, from the customer , and the internal employees. Key Performance Indicator (KPI used in the study of Permata Guest House is KPI derived from the Critical Success Factor (CSF. Performance measurements conducted on the basis of performance indicators which has been determined in preliminary observations along with the size and achievable targets for each indicator. From the initial observations obtained difference indicator morale and loyalty by 20%, amounting to 16.67% hospitality complaint, complaints, appearance and attitude at 16.67%, the occupancy rate of 30% marketing sales and service satisfaction by 77.78%. Based on the analysis of performance measurement and business process has obtained the factors that cause the performance of the business process does not meet the target, one of the settlement is to be able to improve performance by redesigning business processes using the Business Process Reengineering (BPR. From the results of the review of BPR needs  rethinking, redesign, and reto the business performance models. The results of the business process reengineering business processes such as standardization proposals, drafting mission and vision of the company, designing organizational structure and job description, and the preparation of Standard Operating Procedure Keywords: critical success factor, key performance indicators, business process reengineering

Calves Use an Automated Brush and a Hanging Rope When Pair-Housed

Directory of Open Access Journals (Sweden)

Gosia Zobel

2017-11-01

Full Text Available Calf housing often only meets the basic needs of calves, but there is a growing interest in providing enrichments. This study described the behaviour of calves when they were given the opportunity to interact with two commonly available enrichment items. Female and male calves (approximately 11 days old were pair-housed in 8 identical pens fitted with an automated brush and a hanging rope. Frequency and duration of behaviours were recorded on 3 separate days (from 12:00 until 08:00 the following day. Calves spent equal time using the brush and rope (27.1 min/day, but there was less variation in the use of the brush as opposed to the rope (coefficient of variation, CV: 23 vs. 78%, respectively. Calves had more frequent (94 bouts, CV: 24% and shorter (17.8 s/bout, CV: 24% brush use bouts compared to fewer (38 bouts, CV: 43% and longer (38.3 s/bout, CV: 53% rope use bouts. There was a diurnal pattern of use for both items. Frequency of play was similar to rope use, but total time playing was 8% of rope and brush use. Variability among calves suggested that individual preference existed; however, the social dynamics of the pair-housed environment were not measured and therefore could have influenced brush and rope use. Multiple enrichment items should be considered when designing improvements to calf housing.

38 CFR 18.445 - Housing.

Science.gov (United States)

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Housing. 18.445 Section....445 Housing. (a) Housing provided by a recipient. A recipient that provides housing to its nonhandicapped students shall provide comparable, convenient, and accessible housing to qualified handicapped...

Labour Mobility and Housing: The Impact of Housing Tenure and Housing Affordability on Labour Migration in the Czech Republic

Czech Academy of Sciences Publication Activity Database

Lux, Martin; Sunega, Petr

2012-01-01

Roč. 49, č. 3 (2012), s. 489-504 ISSN 0042-0980 R&D Projects: GA ČR GA403/09/1915 Institutional research plan: CEZ:AV0Z70280505 Keywords : housing * housing policy * housing tenure Subject RIV: AO - Sociology, Demography Impact factor: 1.493, year: 2012 http://usj.sagepub.com/content/early/2011/05/20/0042098011405693

“... And Gladly Teach”: The American Hospital Association's Experience in Conducting Institutes on Hospital Librarianship

Science.gov (United States)

Yast, Helen

1964-01-01

As part of its overall educational program, the American Hospital Association has since 1959 conducted three institutes on hospital librarianship to meet the demand for more competent librarians in medical, nursing school, and patients' libraries. The purpose of such institutes is to teach the basic elements of library science to untrained personnel in hospital libraries. Discussed are steps in initiating an institute; factors determining length, date, and place; financing; publicity; choice and responsibility of local advisory committee; program content; qualifications of instructors; characteristics of registrants; materials for distribution; evaluations. Details of the most recent institute are outlined. A summary of problems still facing this type of educational program and suggestions for future improvements conclude the paper. PMID:14119309

Improving health, safety and energy efficiency in New Zealand through measuring and applying basic housing standards.

Science.gov (United States)

Gillespie-Bennett, Julie; Keall, Michael; Howden-Chapman, Philippa; Baker, Michael G

2013-08-02

Substandard housing is a problem in New Zealand. Historically there has been little recognition of the important aspects of housing quality that affect people's health and safety. In this viewpoint article we outline the importance of assessing these factors as an essential step to improving the health and safety of New Zealanders and household energy efficiency. A practical risk assessment tool adapted to New Zealand conditions, the Healthy Housing Index (HHI), measures the physical characteristics of houses that affect the health and safety of the occupants. This instrument is also the only tool that has been validated against health and safety outcomes and reported in the international peer-reviewed literature. The HHI provides a framework on which a housing warrant of fitness (WOF) can be based. The HHI inspection takes about one hour to conduct and is performed by a trained building inspector. To maximise the effectiveness of this housing quality assessment we envisage the output having two parts. The first would be a pass/fail WOF assessment showing whether or not the house meets basic health, safety and energy efficiency standards. The second component would rate each main assessment area (health, safety and energy efficiency), potentially on a five-point scale. This WOF system would establish a good minimum standard for rental accommodation as well encouraging improved housing performance over time. In this article we argue that the HHI is an important, validated, housing assessment tool that will improve housing quality, leading to better health of the occupants, reduced home injuries, and greater energy efficiency. If required, this tool could be extended to also cover resilience to natural hazards, broader aspects of sustainability, and the suitability of the dwelling for occupants with particular needs.

Are We Meeting The Calorie Needs Of Hospitalized Children ...

African Journals Online (AJOL)

For the past four decades, nutrition has assumed its pride of place on the list of advances in surgery and general patient care. We prospectively reviewed the effect of hospitalisation on the nutritional status of 28 children admitted for various surgical and medical conditions at the Lagos University Teaching Hospital.

34 CFR 104.45 - Housing.

Science.gov (United States)

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Housing. 104.45 Section 104.45 Education Regulations of... Postsecondary Education § 104.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall provide comparable, convenient, and accessible housing to...

45 CFR 605.45 - Housing.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false Housing. 605.45 Section 605.45 Public Welfare... § 605.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall provide comparable, convenient, and accessible housing to handicapped students at...

Information Systems Evaluation: A Study in Hospital Organizations

Directory of Open Access Journals (Sweden)

Laís Coelho Ayala

2012-06-01

Full Text Available Given increasing demand for timely and accurate information to support decision making, hospitals, a particularly complex type of service organization, have increasingly resorted to a wide range of tools such as the Clinical Information Systems (CIS. However, research has shown that such systems do not always meet hospital managers’ needs, and assessment processes are necessary both before and after CIS implementation. Aiming to identify whether the CIS do meet hospital managers’ information needs and do fit in the specificities of such organizations, this paper reports on the assessment of four CIS based on the perspective of their users in four hospitals in the Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil. The data was collected by means of semi-structured interviews and non-obtrusive observation. On the one hand, the result shows that the four organizations have difficulties in using their systems, such as accessibility problems, inadequate training and system underutilization. On the other hand, they also benefit from such systems, as they make processes faster and enable information control. One can say that the results from this research contribute to a better understanding of evaluating information systems in hospitals. Managers of such organizations can benefit from these results when seeking to evaluate and improve their information systens.

Situation based housing

DEFF Research Database (Denmark)

Duelund Mortensen, Peder; Welling, Helen; Wiell Nordberg, Lene

2007-01-01

of the average family's lifestyle. These dwellings were ground-breaking when they were built, but today are clearly a product of their time. The reaction to functionalism and the postwar mass production gave rise to flexible dwelling with countless possibilities for room division. The housing of this period has...... characteristics which in the long run have proven to be unfortunate both in terms in terms of durability and architectural quality. Today there is a focus on the development of more open and functionally non-determined housing. A number of new housing schemes in and around Copenhagen reveal a variety...... of approaches to these goals. This working paper reviews not only a selection of new housing types, but also dwellings from the past, which each contain an aspect of changeability. Our study is based on information from users in the selected housing schemes, gathered from questionnaires, information about...

75 FR 5706 - Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public Comment...

Science.gov (United States)

2010-02-04

... 2502-AI45 Federal Housing Administration: Insurance for Manufactured Housing: Reopening of Public.... ACTION: Proposed rule; reopening of public comment period. SUMMARY: On September 15, 2008, HUD published a proposed rule entitled ``Federal Housing Administration: Insurance for Manufactured Housing.'' The...

24 CFR 3.405 - Housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Housing. 3.405 Section 3.405 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 3.405 Housing. (a) Generally...

The architects house

DEFF Research Database (Denmark)

Welling, Helen

2007-01-01

The architects house is an article on Edward Heiberg's own house built in 1924. Edward Heiberg was a strong advocate of functionalism, and of the notion that hitherto individualistic and emotional architecture should be replaced by an objective function-based architecture with dwellings...... for everyone. In 1924 he designed a house for himself and his family: one of the first examples of functionalism in Denmark....

Health impact assessments in hospital community benefit: A multiple case study of the use of HIAs at Children’s Hospital Colorado

Directory of Open Access Journals (Sweden)

Gregory Jackson Tung

2017-09-01

Full Text Available Objective:  To explore the use of Health Impact Assessments (HIAs within non-profit hospital community benefit activities. Methods:  We constructed case studies of three HIAs that were conducted in collaboration with Children’s Hospital Colorado as part of the hospital’s community benefit portfolio. These HIAs were part of a pilot that was funded by the Health Impact Project, a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts. Results:  HIAs provided Children’s Hospital Colorado with a transparent and systematic process for generating evidence-based recommendations with community and stakeholder feedback within the hospital’s community benefit activities. HIAs were used to generate recommendations to inform community benefit planning activities and to generate public policy recommendations to enhance child health. The case studies highlighted several issues that need to be addressed in order to further advance the use of HIA within hospital community benefit activities including: use of HIA on explicit health issues, hospital capacity for HIA, potentially broadening the scope of HIA recommendations, and the use of HIA to generate recommendations from broad priority areas. Conclusion: HIAs can help meet the need for established, evidence-based, and stakeholder responsive tools and processes to be used within non-profit hospital community benefit activities. In meeting this need, the non-profit hospital community benefit area can potentially serve as a major institutional home for the practice of HIA. There is a need for additional research and practice innovation to further explore and refine the use of HIA within non-profit hospital community benefit activities.

TARP Monthly Housing Scorecard

Data.gov (United States)

Department of the Treasury — Treasury and the U.S. Department of Housing and Urban Development (HUD) jointly produce a Monthly Housing Scorecard on the health of the nation’s housing market. The...

Assisted Housing - Public Housing Buildings - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — The approximate physical location of each individual Public Housing Building. If the building has more than one entrance or street address, the address of the...

26 CFR 1.501(e)-1 - Cooperative hospital service organizations.

Science.gov (United States)

2010-04-01

... operates laundry services for its patron-hospitals. This cooperative organization does not meet the requirements of this paragraph because it performs laundry services not specified in this paragraph. (d) Patron... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Cooperative hospital service organizations. 1.501...

Inadequate housing in Ghana

Directory of Open Access Journals (Sweden)

Franklin Obeng-Odoom

2011-01-01

Full Text Available Two themes are evident in housing research in Ghana. One involves the study of how to increase the number of dwellings to correct the overall housing deficit, and the other focuses on how to improve housing for slum dwellers. Between these two extremes, there is relatively little research on why the existing buildings are poorly maintained. This paper is based on a review of existing studies on inadequate housing. It synthesises the evidence on the possible reasons for this neglect, makes a case for better maintenance and analyses possible ways of reversing the problem of inadequate housing.

Final Report Independent Verification Survey of the High Flux Beam Reactor, Building 802 Fan House Brookhaven National Laboratory Upton, New York

Energy Technology Data Exchange (ETDEWEB)

Harpeneau, Evan M. [Oak Ridge Institute for Science and Education, Oak Ridge, TN (United States). Independent Environmental Assessment and Verification Program

2011-06-24

On May 9, 2011, ORISE conducted verification survey activities including scans, sampling, and the collection of smears of the remaining soils and off-gas pipe associated with the 802 Fan House within the HFBR (High Flux Beam Reactor) Complex at BNL. ORISE is of the opinion, based on independent scan and sample results obtained during verification activities at the HFBR 802 Fan House, that the FSS (final status survey) unit meets the applicable site cleanup objectives established for as left radiological conditions.

Student Housing a Resilient Housing Rental Market: Case of Federal Polytechnic Neighbourhood Bauchi, Nigeria

Directory of Open Access Journals (Sweden)

Zubairu Abubakar Ghani

2018-03-01

Full Text Available In the last three decades globally higher institutions (HIs have been experiencing an unprecedented upsurge in student population and student enrolment in His generally outstrip the HIs student housing. In many countries of the world like Nigeria, HIs are obviously incapacitated in accommodating the growing student population which compelled numerous students to overflow into their HIs’ neighbourhood seeking for alternative housing accommodation in the private housing rental market. Indeed the scenario of HIs student's housing shortfalls and increasing students housing demand evolved the interest of many people in a student housing rental market. This is because it has been uncovered that business in student housing rental is lucrative and guaranteeing business that ensured profit for a long term. This paper, therefore, explores the nature and landscape of student housing rental in Nigeria where the business is immature then drawn the conclusion.

Flair Homes Project report no. 5. Airtightness performance of twenty detached houses over a two-year period

Energy Technology Data Exchange (ETDEWEB)

Proskiw, G.; Beckman, J.

1989-01-01

Airtightness tests were performed on 20 new houses over a 2-year period in Winnipeg. The houses were constructed with a variety of air/vapor barrier systems and 3 different types of main walls. Polyethylene was used as the air/vapor barrier in 6 of the houses while the remaining 14 used the airtight drywall approach (ADA). The houses had similar floor plans and were constructed by the same builder. Both the polyethylene and ADA systems were found to be capable of meeting the airtightness requirements of the R-2000 standard with the tightest structures being double wall houses. No significant or permanent change in airtightness was observed for any of the houses over the monitoring period. Application of stucco as an exterior finish was found to improve airtightness of the ADA houses, but not of the double wall houses with polyethylene vapor barriers. Consistent sources of air leakage in the ADA houses were found to be the electrical outlets on exterior walls. Window leakage was also noted in many houses and the frequency of this leakage increased over the monitoring period. A significant leakage source was found to be an integrated mechanical system, which ducted in large volumes of outdoor air. It was also concluded there is a need to re-examine the design pressure requirements for residential air barrier systems. Specifically, this should investigate how transient wind-induced pressure loads are resisted by air barrier systems and whether some portion of the load is taken by other envelope components. An air leakage detection system was proposed consisting of a simple non-instrumented blower, which would be suitable for use by builders to aid in the construction of low leakage houses. 17 refs., 10 figs., 8 tabs.

The development of an in-house dispensary in a college health center.

Science.gov (United States)

Nicoteri, Jo Ann L

2016-04-01

A small college health center discovered that students perceived obtaining prescribed medication was a barrier to adherence to short-term antibiotic therapy. To address this specific barrier, an in-house dispensary was developed and modified over the past several years to meet the needs of students. Partnering with a local pharmacy has made the process of obtaining prescriptions easier for the students. Data were extracted from the electronic health records at Student Health Services for the academic year 2014-2015. A total of 910 prescriptions were filled in-house during that time, compared to 102 prescriptions written for purchase elsewhere. Students are utilizing the in-house dispensary more often than taking a prescription to a pharmacy and generally regard the service as convenient. Despite challenges in changing drug prices and other factors that influence medication adherence, dispensing a small number of drugs in the clinic has been feasible and well received. Nurse practitioners must be aware of specific perceived barriers for their practice population and develop interventions to overcome them. The evaluation of such interventions is imperative for modifications and sustainability. ©2016 American Association of Nurse Practitioners.

Assisted Housing - Multifamily Properties - Assisted

Data.gov (United States)

Department of Housing and Urban Development — HUD's Multifamily Housing property portfolio consist primarily of rental housing properties with five or more dwelling units such as apartments or town houses, but...

Encuentros entre servicios de cirugía de hospitales centenarios en búsqueda de la historia y la tradición científica Meetings among the surgery services of centennial hospitals in search of history and scientific tradition

Directory of Open Access Journals (Sweden)

Orestes Noel Mederos Curbelo

2012-03-01

Full Text Available Los encuentros se realizan de forma anual. El primero se hizo en el Hospital Universitario "Manuel Fajardo", y cuenta en su organización con un colectivo de dirección, que tiene como prioridad la confraternización de los cirujanos y el rescate de la tradición y la historia de la especialidad, para mantener la tradición entre los hospitales y servicios de cirugía centenarios, así como recordar acontecimientos y figuras históricas en la búsqueda de la historia y la tradición científica. El propósito de estos encuentros es homenajear a los profesores con resultados científicos en la docencia médica, motivar el desarrollo de profesionales jóvenes y el reconocimiento a las personalidades históricas fallecidas. Se han efectuado cinco encuentros, entre los que se incluyen cuatro (de conocimientos entre residentes. Se han realizado reconocimientos a veinticuatro profesores, y se dedicaron los cuatro últimos encuentros de conocimientos a distinguidos profesores fallecidos, en los últimos años. Están integrados cinco hospitales: "Comandante Manuel Fajardo", "General Calixto García", "Dr. Salvador Allende", "Dr. Miguel Enríquez" y "10 de Octubre". Los encuentros entre servicios de cirugía de hospitales centenarios han constituido una fuente de búsqueda de la historia y de reconocimiento al esfuerzo de nuestros profesores.The meetings have an annual base. The first one was in the "Manuel Fajardo" University Hospital and in its organization they have a management group prior whose priority is the brotherhood among the surgeons and the rescue of tradition and history of the specialty, to maintain the tradition among the hospitals and the centennial surgery services, as well as to remember events and historical personalities in the search of the history and the scientific tradition.The purpose of these meetings is to pay tribute to the professors with scientific results in the medical teaching, to motivate the development of young

24 CFR 1715.27 - Fair housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Fair housing. 1715.27 Section 1715.27 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER, DEPARTMENT OF HOUSING AND URBAN...

Outsourcing versus in-house maintenance of medical devices: a longitudinal, empirical study

Directory of Open Access Journals (Sweden)

Antonio Miguel-Cruz

2014-03-01

Full Text Available OBJECTIVE: To determine what factors have a significant influence on the performance of medical device maintenance outsourcing, and to determine how the performance of external governance structures differs depending on whether a hospital is private or public. METHODS: This was a longitudinal study of 590 maintenance transactions at 20 hospitals in Bogotá, Colombia, involving 764 medical devices and 72 maintenance service providers. Maintenance performance data (i.e., turn-around time in hours; TAT for the service providers (either in-house or outsourced were primarily collected over a 20-month period, from December 2009-August 2011, by means of a monitoring procedure; then, a hazards model was run. RESULTS: The availability of specific repair parts, in-stock, in the city in which the medical devices were located, had a positive impact on the performance of both internal and external governance structures. Online service also had a positive impact on both, with a stronger positive impact on the performance of internal governance than on that of external governance. For transactions governed by external structures, better performance was seen in private hospitals than in public ones. In public health institutions, internal governance showed better performance than external governance. Both internal and external governance structures showed better performance in private healthcare institutions than in public ones. CONCLUSIONS: In public health institutions, internal governance shows better performance than external governance; this suggests that healthcare managers should reconsider the trend to eliminate in-house maintenance service staff in public healthcare institutions.

American Housing Survey (AHS)

Data.gov (United States)

Department of Housing and Urban Development — The AHS is the largest, regular national housing sample survey in the United States. The U.S. Census Bureau conducts the AHS to obtain up-to-date housing statistics...

United States housing, 2012

Science.gov (United States)

Delton Alderman

2013-01-01

Provides current and historical information on housing market in the United States. Information includes trends for housing permits and starts, housing completions for single and multifamily units, and sales and construction. This report will be updated annually.

"House Arrest" or "Developmental Arrest"? A Study of Youth Under House Arrest.

Science.gov (United States)

Chamiel, Elad; Walsh, Sophie D

2018-06-01

Studies have examined the potential benefits and risks of alternative forms of detention, such as house arrest, for adults but, despite its growing use, little research has examined the implications of house arrest for juveniles. The current research examined the experience of 14 adolescents under house arrest. Six main themes were identified in the narratives of the participants: the experience of detention, daily schedule and utilization of time, emotions and self-reflection, relationships with peers, relation to parents and supervisor(s), and contact with professionals. Findings emphasized the potential developmental dangers of house arrest at the critical stage of adolescence. Yet, analysis also showed that the period of house arrest has the potential to be a period of positive changes, and can be used for successful rehabilitation.

Assisted Housing - Low Income Housing Tax Credit Properties - National Geospatial Data Asset (NGDA)

Data.gov (United States)

Department of Housing and Urban Development — The Low-Income Housing Tax Credit (LIHTC) is the primary Federal program for creating affordable housing in the United States. The LIHTC database, created by HUD and...

A Painted House In Ankara: Dedebayrak House

Directory of Open Access Journals (Sweden)

Muzaffer Karaaslan

2016-06-01

Full Text Available The conservative family lifestyle in the Ottoman State affected the ways that houses were planned and decorated. Different decorative programs emerged with major differences in each period. New techniques and styles began to be seen in the 18th century thanks to the influence of the West. This article will focus on the decoration of Dedebayrak House in Ankara. Decoration in the architecture found within the boundaries of Ankara consist mostly of geometrical or floral decorations and various inscriptions. The Dedebayrak House not only has these kind of decorations, but also it has these decorations in its architectural descriptions, so it makes this house the only one to have survived in Ankara. Moreover, this building is especially important as the décor included work belonging to Nakkaş Mustafa. However, these decorative features do not remain today. The situation in Turkey is such that architecture is not conserved, which leads to many historically important buildings vanishing. Neither local authorities, nor the owner of these buildings look after these buildings properly, leading their specific historical features to be lost. This situation both damages the urban fabric and harms the historical heritage of the city. Therefore, decorative features in the building will be analysed both on their own and compared to other buildings in Ankara in order to create an overall picture.

Is Housing a Health Insult?

Science.gov (United States)

Baker, Emma; Beer, Andrew; Lester, Laurence; Pevalin, David; Whitehead, Christine; Bentley, Rebecca

2017-05-26

In seeking to understand the relationship between housing and health, research attention is often focussed on separate components of people's whole housing 'bundles'. We propose in this paper that such conceptual and methodological abstraction of elements of the housing and health relationship limits our ability to understand the scale of the accumulated effect of housing on health and thereby contributes to the under-recognition of adequate housing as a social policy tool and powerful health intervention. In this paper, we propose and describe an index to capture the means by which housing bundles influence health. We conceptualise the index as reflecting accumulated housing 'insults to health'-an Index of Housing Insults (IHI). We apply the index to a sample of 1000 low-income households in Australia. The analysis shows a graded association between housing insults and health on all outcome measures. Further, after controlling for possible confounders, the IHI is shown to provide additional predictive power to the explanation of levels of mental health, general health and clinical depression beyond more traditional proxy measures. Overall, this paper reinforces the need to look not just at separate housing components but to embrace a broader understanding of the relationship between housing and health.

Adventure of Architecture Example of Housing and Housing Areas

Directory of Open Access Journals (Sweden)

Ali Asasoğlu

2013-08-01

Full Text Available Housing and the concept of space associated with this requirement are among the initial attitudes towards the human reign over the nature. The dawn of the structured environment found life with this approach within the nature. Both, housing and the housing design process overlap with the historical development of modern man, and is covered within the concept of architecture today. The contribution made by culture within this period is yet another undeniable fact. While the interaction between architecture and culture are moving forward thereby leaving traces in every era throughout the history, the culture of housing and housing design exhibits a parallel attitude which is a subsidiary, yet a highly title with a close human relationship. Culture and architecture are two closely interacting aspects which are drawing the borders of each other from time to time, hinting at quality and quantity, and evaluating such. Quite naturally, the structure which is in a deep relationship with mankind is in an exchange with all physical, social and economic qualities of the human. These qualities are fundamental determinants of the concept of culture as a human trait. The process of architecture which is usually defined as a sequence of eras that involve social movements, impulses and trends, sometimes kept moving ahead in the pursuit of individual leadership and styles. The concerns regarding the solution of space problems, setting up /designing venues and arranging the environment in line with the requirements brought up increasingly complex issues and stacks of solutions which follow such problems. It is this dynamic structure which forms the basis of the architectural problem to date. Starting with the housing and residential concepts, this study brings a critical view on the application samples and methods of the relationship between architecture and culture in terms of our country in particular while putting emphasis on the architectural venture of the

Radiation doses from paediatric x-ray examinations in some hospitals in Khartoum Area

International Nuclear Information System (INIS)

Elshiekh, E.H.A.

2007-10-01

The aim of study was to evaluate the entrance surface doses (ESDs) and the effective dose (ED) to patients undergoing some common diagnostic x-ray examinations in large paediatric public hospitals in Khartoum State. ESD per examination was estimated from x-ray tube parameters in three hospitals comprising three units and sample of 449 radiographs. The entrance surface dose (ESD) and the effective dose (ED) were evaluated for chest, skull, abdomen, lumbar spine, and pelvis in antero-posterior (AP), postero-anterior (PA) and lateral (LAT) projections. For each examination, four age groups 0-1, 1-5, 5-10 and 10-15 years were studied. The DoseCal software was used to calculate these doses. In comparison between Sudanese hospitals with NRPB reference levels, all hospitals showed lower doses than reference levels except for the case of chest in A. Gasim and Khartoum hospitals. Wide variations for the chest examination have been detected. These variation were evident, in Sudan, from previous work. ESDs at Omdurman Hospital meet the reference levels for all years range. ESDs at Omdurman hospital were found to be 41μGy and 62 μGy for range 0-1 year, and 1-5 years, respectively, ESDs at A. Gasim Hospital was found found to be 65 μGy and 100 μGy for range 0-1 year, and 1-5 years, respectively. These values are above NRPB reference levels but lower than CEC1996 reference levels, and meet NRPB reference dose levels in range 5-10 years. In Khartoum Hospital the results present higher ESD than NRPB and CEC reference levels. The high ESDs reflect that ALARA principle is not being applied in chest examinations in Sudan. From comparison between results in this work with previous performed for chest cases in these Sudanese Hospitals at 2004, the ESDs in A. Gasim Hospital were above the previous result but meet the reference levels only range 5-10 years. Omdurman Hospital result but meet the reference levels for all years ranges and are lower than 2002 results. Khartoum Hospital

[Hospitality as an expression of nursing care].

Science.gov (United States)

Barra, Daniela Couto Carvalho; Waterkemper, Roberta; Kempfer, Silvana Silveira; Carraro, Telma Elisa; Radünz, Vera

2010-01-01

Qualitative research whose purpose was to reflect and argue about the relationship between hospitality, care and nursing according to experiences of PhD students. The research was developed from theoretic and practical meeting carried through by disciplines "the care in Nursing and Health" of PhD nursing Program at Santa Catarina Federal University. Its chosen theoretical frame of Hospitality perspective while nursing care. Data were collected applying a semi-structured questionnaire at ten doctoral students. The analysis of the data was carried through under the perspective of the content analysis according to Bardin. Hospitality it is imperative for the individuals adaptation in the hospital context or any area where it is looking for health care.

Performance analysis on natural energy autonomous house, HARBEMAN house; Shizen energy jiritsu house (HARBEMAN house) no simulation ni kansuru kenkyu

Energy Technology Data Exchange (ETDEWEB)

Fujino, T; Saito, T [Tohoku University, Sendai (Japan)

1997-11-25

Outlined herein are a procedure developed to simulate performance of an energy-autonomous (independent) solar house referred to as HARBEMAN HOUSE (HH) built in 1996 in City of Sendai, comparison between the simulated and observed results, and characteristics of the solar house. The house is equipped with a solar collector and sky radiator, both installed on the roof, the former facing south to collect solar energy and generate hot water whereas the latter facing north to radiate heat and generate cool water. Both are connected to an underground heat-insulated tank having a capacity of 31m{sup 3}, which stores hot or cool water to keep their conditions for extended periods. The solar system operates in heat- or cool-storage mode. In the heat-storage mode, quantity of heat stored increases, although at a slow rate, as tank capacity increases. In the cool-storage mode, on the other hand, quantity of cool stored increases in proportion to tank capacity. This is because solar energy is collected throughout the year whereas cooling by radiation is concentrated in early spring. Loss rate of heat stored increases as tank capacity increases, and the opposite trend is observed with cool stored. 12 refs., 7 figs., 2 tabs.

77 FR 37886 - Notice of Public Meetings for the Barry M. Goldwater Range, Arizona

Science.gov (United States)

2012-06-25

... and BMGR East, respectively. Both meetings will be an open house format with presentation boards and... cultural resources of the BMGR, and for sustainable use by the public of such resources to the extent... conservation and rehabilitation of natural resources on military installations; (b) the sustainable...

In-Migration and Housing Choice in Ho Chi Minh City: Toward Sustainable Housing Development in Vietnam

Directory of Open Access Journals (Sweden)

Ducksu Seo

2017-09-01

Full Text Available Since the initiation of Vietnam’s Doi Moi policy in 1986, the rate of urbanization has rapidly increased with a great influx of immigrants from rural areas. With such migration becoming a large acceleration factor for urban growth, the shortage of housing has become a critical problem in the cities. The Vietnamese government encouraged self-built housing and public–private partnerships to produce different types of housing stock. There are few available academic studies about housing choice in Vietnam to help understand movement dynamics and to foster sustainable housing development. The purpose of this study is to analyze housing choice and moving determinants in Ho Chi Minh City, and thereby establish recommendations for sustainable housing development in Vietnam. For an empirical study, a citizen questionnaire survey was conducted in HCMC and an in-depth analysis was carried out. The results indicate that the row house type for single-family housing is strongly preferred, but a preference for apartments is also observed for future planning. The factors influencing housing choice and movement are family income, housing ownership, housing typology, and commuting environment. These phenomena suggest that the government should prudently consider affordable housing development in many districts. The results of this study will help to establish policies for sustainable housing development in Ho Chi Minh City, Vietnam.

Housing Programs for Homeless Individuals With Mental Illness: Effects on Housing and Mental Health Outcomes.

Science.gov (United States)

Benston, Elizabeth A

2015-08-01

This systematic review analyzed the best available research in the United States on permanent supportive housing programs for homeless individuals with mental illness and the effect of these programs on housing status and mental health. It updates older and broader reviews that included weaker studies or those that did not analyze permanent housing as an input and housing and mental health as primary outcomes. The literature search (1980-2013) yielded 14 studies (randomized controlled trials and quasi-experimental studies). The studies found that a majority of participants placed in experimental housing programs with case management support remained in housing for at least one year or experienced more days housed than homeless relative to a comparison group. Although this finding is in line with previous literature reviews on permanent supportive housing, this analysis found limitations in each of the 14 reviewed studies, such as attrition, selection and response bias, imprecise definitions and implementation of housing programs, and a lack of appropriate controls. Only three of the reviewed studies reported using a housing fidelity assessment tool to test whether the housing intervention was faithful to theoretical standards, and conceptions and implementation of housing varied widely across studies, threatening internal and external validity. Pitfalls in the best available studies on permanent supportive housing programs in the United States limit the ability of research to inform the policy goal of ending chronic homelessness and demonstrate a need for further experimental research upon which to make funding and policy decisions, especially in light of prioritized federal funds.

Optimization and Management of Naval Hospital Bremerton's Military-Medicare Population by Market Analysis of the Naval Hospital Bremerton Empanelled Population

National Research Council Canada - National Science Library

Coefield, Ocie

2001-01-01

The purpose of this research project was to determine whether Naval Hospital Bremerton could meet the service demands for the care of the over 65 military-Medicare eligible population within the catchment area...

Scottish Passive House: Insights into Environmental Conditions in Monitored Passive Houses

Directory of Open Access Journals (Sweden)

Janice Foster

2016-04-01

Full Text Available Climate change and sustainability legislation in recent years has led to significant changes in construction approaches in the UK housing sector. This has resulted in the adoption of new building typologies, including the German Passivhaus (Passive House standard. This standard aims to improve occupant comfort and energy efficiency, potentially changing the ways in which homes operate and how occupants interact with them. With increasing construction of low energy dwellings, there is an emerging gap in knowledge in relation to occupant health and wellbeing, thermal comfort, and indoor air quality (IAQ. Using data collected from a two year Building Performance Evaluation (BPE study funded by Innovate UK, the environmental data (temperature, relative humidity and carbon dioxide concentrations from five Certified Passive House homes in Scotland was compared. The results demonstrate problems with overheating with peak temperatures exceeding 30 °C. Imbalanced mechanical ventilation with heat recovery (MVHR systems were identified in 80% of the dwellings and inadequate IAQ was found due to poor ventilation. Only one of the Passive Houses studied exhibited thermal conditions and IAQ which were, on the whole within Passive House parameters. This paper outlines the insights and the main issues of Scottish Passive House in the broader context of sustainability.

Developing marketing strategies for university teaching hospitals.

Science.gov (United States)

Fink, D J

1980-07-01

University teaching hospitals face increasing competition from community hospitals, expanding regulation of health care, a rising tide of consumerism, and in many cases a declining urban population base. These problems, which may threaten the teaching hospital's ability to continue tertiary care, teaching, and research functions, may be solved with the aid of new marketing strategies. In developing its marketing strategy, a hospital must assess its strengths and weaknesses, specify its goals in measurable terms, implement tactics to achieve these goals, and evaluate its marketing program. The strategies should be directed toward achieving better relationships with institutions, practitioners, and surrounding communities and increasing patient, visitor, and employee satisfaction. A wide variety of programs can be used to reach these goals and to help teaching hospitals meet the competitive challenges of this decade.

Clay Houses

Science.gov (United States)

Pedro, Cathy

2011-01-01

In this article, the author describes a project designed for fourth-graders that involves making clay relief sculptures of houses. Knowing the clay houses will become a family heirloom makes this lesson even more worth the time. It takes three classes to plan and form the clay, and another two to underglaze and glaze the final products.

Sustainable Housing Design

DEFF Research Database (Denmark)

Lauring, Gert Michael

2016-01-01

Sustainable Housing Design. Integrating technical and housing quality aspects of sustainable architecture in civil engineering education. Summary An integrated design approach to sustainable architecture is outlined that combines concerns for zero energy building, good indoor climate and adequate...... phases. The outcome shows that integrated design further solutions where sustainable urban forms of settlement can be highly energy efficient while also attractive from a user perspective. Key words: Sustainable architecture, integrated design, zero-energy-housing, dense urban living. 1. Introduction...... When designing sustainable housing, energy optimization and satisfactory indoor climates are central issues that need to be incorporated from early design phases if to reach a coherent design. It might also be argued that the energy consumption of contemporary buildings only plays a rela-tively minor...

A new "P" for hospital marketing?

Science.gov (United States)

Hill, R C

1988-01-01

The rather abrupt introduction of payors to hospitals and vice versa that started a few years ago has now settled down into a learning situation. To be price competitive in the health insurance marketplace, the payor must obtain full contractual performance in price, administrative and utilization review areas. Hospitals need the patients that payors can refer, but there is only a minimal understanding of how the health insurance industry operates both internally and in the marketplace. By selecting payors and soliciting those selected, hospitals have an excellent chance to accomplish their patient and revenue goals while payors have the opportunity to determine the effectiveness of their various programs to help meet their goals. By making a little effort, hospitals can accomplish a lot by adding this new "P" to their marketing mix.

Smart Solar Housing Renovation

NARCIS (Netherlands)

Ham, M.; Bruijn, de D.M.P.; Vos, S.J.H.; Weijers, K.A.M.; Straver, M.C.W.; Scartezzini, J.L.

2009-01-01

After World War II, the demand for houses in the Netherlands was enormous. Large housing construction programs were established in the fifties, sixties and seventies. Nowadays, these houses are facing some societal, economic and technological problems. On the other hand, many of the occupants are

24 CFR 982.352 - Eligible housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Eligible housing. 982.352 Section 982.352 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT...

24 CFR 1007.20 - Eligible housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Eligible housing. 1007.20 Section 1007.20 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT...

24 CFR 982.619 - Cooperative housing.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Cooperative housing. 982.619 Section 982.619 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING AND URBAN...

Solar Living House Final Technical Report

Energy Technology Data Exchange (ETDEWEB)

Walters, Bradley [Univ. of Florida, Gainesville, FL (United States)

2017-03-09

The Solar Living House is a high-performance solar-powered dwelling designed by a team of faculty and students from the University of Florida, in collaboration with Santa Fe College, the National University of Singapore, and Alachua Habitat for Humanity. The project was designed in accordance with the Solar Decathlon 2015, a research, design, education, and outreach program developed by the U.S. Department of Energy (DOE). The Solar Living House is fundamentally a house for living, centered on people and the activities of daily life while quietly introducing advanced design, construction, and engineering technologies. The 993 square-foot two-bedroom one-bath home was designed to embrace and frame an exterior courtyard space. This courtyard acts as an extension of the interior living spaces, maximizing the spatial potentials of a modest building footprint and introducing natural light into the primary living spaces of the house. Research Outcomes: The Solar Living House advances work on high-performance buildings through three principal technological innovations: wet/dry modular construction, a building automation system, and solar dehumidification systems. Wet / Dry Modular Construction: The house is designed as a series of five modules, including one that is designated as the “wet core.” The wet core consolidates the mechanical systems and bathroom into a single module to reduce plumbing runs, efficiency losses, and on-site construction time. The other four modules are designed to eliminate interior load bearing walls to allow for maximum flexibility in the reconfiguring of the space over time. The modules are designed to meet the structural challenges of both Florida’s hurricanes and California’s earthquakes. Building Automation System: The house is equipped with an integrated building automation system, allowing the houses environmental systems, lights, security systems, and smoke detectors to be programmed, monitored, and controlled through any mobile

Environmental Health Disparities in Housing

Science.gov (United States)

2011-01-01

The physical infrastructure and housing make human interaction possible and provide shelter. How well that infrastructure performs and which groups it serves have important implications for social equity and health. Populations in inadequate housing are more likely to have environmental diseases and injuries. Substantial disparities in housing have remained largely unchanged. Approximately 2.6 million (7.5%) non-Hispanic Blacks and 5.9 million Whites (2.8%) live in substandard housing. Segregation, lack of housing mobility, and homelessness are all associated with adverse health outcomes. Yet the experience with childhood lead poisoning in the United States has shown that housing-related disparities can be reduced. Effective interventions should be implemented to reduce environmental health disparities related to housing. PMID:21551378

Housing Inventory Count

Data.gov (United States)

Department of Housing and Urban Development — This report displays the data communities reported to HUD about the nature of their dedicated homeless inventory, referred to as their Housing Inventory Count (HIC)....

24 CFR 983.52 - Housing type.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Housing type. 983.52 Section 983.52 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT PROJECT-BASED...

Meeting report--Getting Into and Out of Mitosis.

Science.gov (United States)

Mchedlishvili, Nunu; Jonak, Katarzyna; Saurin, Adrian T

2015-11-15

The Company of Biologists Workshop 'Getting Into and Out of Mitosis' was held 10-13 May 2015 at Wiston House in West Sussex, UK. The workshop brought together researchers from wide-ranging disciplines and provided a forum to discuss their latest work on the control of cell division from mitotic entry to exit. This report highlights the main topics and summarises the discussion around the key themes and questions that emerged from the meeting. © 2015. Published by The Company of Biologists Ltd.

Dutch house price fundamentals

NARCIS (Netherlands)

Haffner, M.E.A.; de Vries, P.

2009-01-01

This paper discusses house price developments in the Netherlands, specifically focussing on the question whether current house prices in the Dutch owner-occupied market are likely to decrease. We analyse three aspects of the question based on a literature review: (1) whether there is a house price

Multidisciplinary team meetings and their impact on workflow in radiology and pathology departments

Directory of Open Access Journals (Sweden)

O'Briain D Sean

2007-06-01

Full Text Available Abstract Background The development of multidisciplinary team meetings (MDTMs for radiology and pathology is a burgeoning area that increasingly impacts on work processes in both of these departments. The aim of this study was to examine work processes and quantify the time demands on radiologists and pathologists associated with MDTM practices at a large teaching hospital. The observations reported in this paper reflect a general trend affecting hospitals and our conclusions will have relevance for others implementing clinical practice guidelines. Methods For one month, all work related to clinical meetings between pathology and radiology with clinical staff was documented and later analysed. Results The number of meetings to which pathology and radiology contribute at a large university teaching hospital, ranges from two to eight per day, excluding grand rounds, and amounts to approximately 50 meetings per month for each department. For one month, over 300 h were spent by pathologists and radiologists on 81 meetings, where almost 1000 patients were discussed. For each meeting hour, there were, on average, 2.4 pathology hours and 2 radiology hours spent in preparation. Two to three meetings per week are conducted over a teleconferencing link. Average meeting time is 1 h. Preparation time per meeting ranges from 0.3 to 6 h for pathology, and 0.5 to 4 for radiology. The review process in preparation for meetings improves internal quality standards. Materials produced externally (for example imaging can amount to almost 50% of the material to be reviewed on a single patient. The number of meetings per month has increased by 50% over the past two years. Further increase is expected in both the numbers and duration of meetings when scheduling issues are resolved. A changing trend in the management of referred patients with the development of MDTMs and the introduction of teleconferencing was noted. Conclusion Difficulties are being experienced by

The Nordic Housing Enabler

DEFF Research Database (Denmark)

Helle, T.; Nygren, C.; Slaug, B.

2014-01-01

This study addresses development of a content-valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients, and their home environments. The instrument was transla......This study addresses development of a content-valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients, and their home environments. The instrument...... was translated from the original Swedish version of the Housing Enabler, and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Finland, and Iceland. This iterative process involved occupational therapists, architects, building engineers, and professional translators......, resulting in the Nordic Housing Enabler. For reliability testing, the sampling strategy and data collection procedures used were the same in all countries. Twenty voluntary occupational therapists, pair-wise but independently of each other, collected data from 106 cases by means of the Nordic Housing...

24 CFR 81.22 - Housing plans.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Housing plans. 81.22 Section 81.22 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development THE... LOAN MORTGAGE CORPORATION (FREDDIE MAC) Housing Goals § 81.22 Housing plans. (a) If the Secretary...

Perceptions about the coordination and functioning of general group meetings at a psychiatric day hospital Percepciones sobre coordinación y funcionamiento de reuniones del equipo general de un hospital día psiquiátrico Percepções sobre coordenação e funcionamento de reuniões de equipe geral de um hospital-dia psiquiátrico

Directory of Open Access Journals (Sweden)

Edson Arthur Scherer

2007-02-01

Full Text Available This study aimed to examine the activity of coordinating general team meetings at a psychiatric day hospital, its functioning and the feelings these meetings aroused in the researchers. The method adopted to carry out this research was the observation and registration of two observers' perceptions. Twenty-one meetings were studied. The findings and discussion indicate that it would be ideal to diagnose the coordinator's performance, the organizational dynamics and structure, and then manage the malfunction. In that sense, the intervention of an institutional supervisor is suggested. The researchers' feelings were similar to their perceptions about the proceeding of the meeting and about the coordination.La finalidad de este estudio fue investigar la actividad de coordinación de reuniones del equipo general de un hospital-día psiquiátrico, su funcionamiento y los sentimientos que tales reuniones movilizaron en los investigadores. Esta investigación fue realizada mediante la observación y el registro de las percepciones de dos observadores. Fueron estudiadas 21 reuniones. Delante de los hallazgos y la discusión presentada, percibimos que sería ideal hacer un diagnostico del funcionamiento del coordinador, de la dinámica y estructura organizacional y proceder a una gerencia de su mal funcionamiento. En este sentido es sugerida la intervención de un supervisor institucional. Los sentimientos movilizados en los investigadores fueron semejantes a sus percepciones respecto a seguimiento de las reuniones y de la coordinación.O objetivo deste estudo foi investigar a condução da coordenação de reuniões de equipe geral de um hospital-dia psiquiátrico, o seu funcionamento e os sentimentos que tais reuniões mobilizaram nos pesquisadores. O método adotado para a execução desta pesquisa foi o da observação e registro das percepções de dois observadores. Foram estudadas 21 reuniões. Considerando os achados e a discussão apresentada

Understanding of Danish Passive Houses based on Pilot Project Comfort Houses

DEFF Research Database (Denmark)

Brunsgaard, Camilla

are necessary to support the integrated design process like: actors in the design teams have to adapt expectations and agree about the aim and they have to establish an interest in each other’s field of specialisations. Finally, it has to be possible to implement the different expertises in the project from...... the architecture, how their everyday life is in the house and how they experience the indoor environment. And the occupants’ experiences were compared with measured data of the indoor environment, which evaluate both the performance of the house compared to the expected, but also the occupants’ behaviour...... on when optimising the work with passive houses in Denmark. The findings will hopefully support a more holistic approach to future development of passive and low energy houses....

45 CFR 1170.45 - Housing.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false Housing. 1170.45 Section 1170.45 Public Welfare... ACTIVITIES Postsecondary Education § 1170.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall provide comparable, convenient, and accessible...

22 CFR 142.45 - Housing.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Housing. 142.45 Section 142.45 Foreign... ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Postsecondary Education § 142.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall provide...

Housing and family: an introduction

NARCIS (Netherlands)

Mulder, C.H.; Lauster, N.T.

2010-01-01

This paper introduces the Housing Studies special issue 'Housing and Family'. The issue consists of a collection of papers in which a number of connections between housing and family issues are highlighted. Three themes are addressed: the influence of the family of origin on housing characteristics

22 CFR 217.45 - Housing.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Housing. 217.45 Section 217.45 Foreign... ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Postsecondary Education § 217.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall provide...

Housing Retention in Single-Site Housing First for Chronically Homeless Individuals With Severe Alcohol Problems

Science.gov (United States)

Malone, Daniel K.; Clifasefi, Seema L.

2013-01-01

Objectives. We studied housing retention and its predictors in the single-site Housing First model. Methods. Participants (n = 111) were chronically homeless people with severe alcohol problems who lived in a single-site Housing First program and participated in a larger nonrandomized controlled trial (2005–2008) conducted in Seattle, Washington. At baseline, participants responded to self-report questionnaires assessing demographic, illness burden, alcohol and other drug use, and psychiatric variables. Housing status was recorded over 2 years. Results. Participants were interested in housing, although a sizable minority did not believe they would be able to maintain abstinence-based housing. Only 23% of participants returned to homelessness during the 2-year follow-up. Commonly cited risk factors—alcohol and other drug use, illness burden, psychiatric symptoms, and homelessness history—did not predict resumed homelessness. Active drinkers were more likely to stay in this housing project than nondrinkers. Conclusions. We found that single-site Housing First programming fills a gap in housing options for chronically homeless people with severe alcohol problems. PMID:24148063

Social housing for workers – A new housing model for Ho Chi Minh City, Vietnam

Science.gov (United States)

Ngo, L. M.

2018-04-01

Urbanization in Ho Chi Minh City (HCMC), Vietnam is rapidly increasing. Therefore, social housing for workers who work at industrial park and processing areas, is indispensable. There are difficulties and conflicts which still remain in developing the social housing for those people in HCMC. For example, the demand of social housing is high, however employers and/or business owners did not fully pay their attentions on social houses to support the workers. On another hand, even if they built the houses, these one seem not to be sufficient for the demands and/or unable to be competed to the rental housing market from private landlords. Building a social housing model for those workers is a vital importance, this aims to improve the quality of life for the workers; for examples, healthcare, personal safety, social relationships, emotional well-being, quality of living environment, etc. In this research, we study the investment, management, and operation of the social housing for workers in HCMC. This also seeks a new housing model which will adapt the criteria towards the sustainable economic development of HCMC.

12 CFR 1282.22 - Housing plans.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Housing plans. 1282.22 Section 1282.22 Banks and Banking FEDERAL HOUSING FINANCE AGENCY HOUSING GOALS AND MISSION ENTERPRISE HOUSING GOALS AND MISSION Housing Goals § 1282.22 Housing plans. (a) If the Director determines, under § 1282.21, that an...

Physician, heal thyself: the paradox of anxiety amongst house officers and work in a teaching hospital.

Science.gov (United States)

Tan, Susan Mooi Koon; Jong, Sze Chin; Chan, Lai Fong; Jamaludin, Nurul Akmal; Phang, Cheng Kar; Jamaluddin, Nur Shahirah; Shah, Shamsul Azhar

2013-04-01

Anxiety among house officers may impair functioning and health care delivery. This study aimed to determine the association between anxiety among house officers at Universiti Kebangsaan Malaysia Medical Center, sociodemographic and work-related factors. A cross-sectional study using the self-rated and validated Malay Depressive Anxiety and Stress Scale 21, the General Stressor Questionnaire and a sociodemographic questionnaire. Of the 89 house officers, 60.7% were anxious. Multivariate logistic analysis showed work-related challenges, performance pressure (odds ratio [OR] = 9.000, 95% confidence interval [CI] = 1.812-44.705), poor relationship with supervisors (OR = 5.212, 95% CI = 2.033-3.365), poor relationship with colleagues (OR = 4.642, 95% CI = 1.816-11.866), bureaucratic constraints (OR = 3.810, 95% CI = 1.541-9.415) and poor job prospects (OR = 3.745, 95% CI = 1.505-9.321) strongly associated with anxiety. Family-related stressors were less significant (OR = 1.800, 95% CI = 0.760-4.266) unless they were work related (work-family conflicts [OR = 8.253, 95% CI = 2.652-25.684]). Almost two-thirds of this cohort reported work-related anxiety symptoms. Administrators need to address these mental health needs early. The subsequent improvement in communication skills, conflict resolution and anxiety reduction will result in short- and long-term benefits towards the young doctors's mental health. The cascading impact on these individuals, thus empowered, will be good work-life balance, improved patient care and safety, a satisfying medical career whilst contributing maximally to the country's health care. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

Medium-Density Mixed Housing: sustainable design and construction of South African social housing

CSIR Research Space (South Africa)

Osman, A

2010-09-01

Full Text Available Medium-Density Mixed Housing (MDMH), of which social housing (SH) is one component, is perceived to have the capacity to contribute to the transformation of fragmented South African cities more than the massive roll-out of government subsidised ‘one-house...

House Restaurant at The Cliff House Sample Tasting Dinner Menu 2017

OpenAIRE

House Restaurant at the Cliff House

2017-01-01

Our award winning, Michelin star restaurant at The Cliff House Hotel, Ireland, brings foodies from all over the world to this seaside village in West Waterford. Both our main House Restaurant as well as our easy, unpretentious bar food honour the great Irish produce of Waterford, Cork and the Irish Sea. House Restaurant operates for dinner Wednesday - Saturday inclusive in Winter and Tuesday - Saturday inclusive in Summer, opening Sunday nights on bank holiday weekends. Bar Restaurant is o...

The Nordic Housing Enabler

DEFF Research Database (Denmark)

Helle, Tina; Slaug, Bjørn; Brandt, Åse

2010-01-01

This study addresses development of a content valid cross-Nordic version of the Housing Enabler and investigation of its inter-rater reliability when used in occupational therapy rating situations, involving occupational therapists, clients and their home environments. The instrument was translated...... from the original Swedish version of the Housing Enabler, and adapted according to accessibility norms and guidelines for housing design in Sweden, Denmark, Finland and Iceland. This iterative process involved occupational therapists, architects, building engineers and professional translators......, resulting in the Nordic Housing Enabler. For reliability testing, the sampling strategy and data collection procedures used were the same in all countries. Twenty voluntary occupational therapists, pair-wise but independently from each other, collected data from 106 cases by means of the Nordic Housing...

45 CFR 84.45 - Housing.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Housing. 84.45 Section 84.45 Public Welfare... PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Postsecondary Education § 84.45 Housing. (a) Housing provided by the recipient. A recipient that provides housing to its nonhandicapped students shall...

Reducing hours of work of preregistration house officers: report on a shift system.

Science.gov (United States)

Nasmyth, D G; Pickersgill, A; Hogarth, M

1991-01-12

To determine the advantages and disadvantages of a shift system of working compared with the conventional on call system for preregistration house officers. A shift system of working was employed in the unit from 1 August 1989 to 31 July 1990. During attachments of three or six months four house officers rotated at intervals of one month among three daytime shifts and one night shift (Mondays to Fridays only). Weekends (48 hours) were worked on a one in three rota by the doctors working a day shift. The views of the house officers working this shift system were sought in writing and by direct interview. Professorial surgical unit, Royal Liverpool Hospital. The 14 house officers who were attached to the unit for three or six months during their preregistration year. The shift system was preferred to conventional on call without exception. The incidence of chronic tiredness was reduced and formal hand-over between shifts resulted in more informed decision making by doctors while on call. During annual leave it was sometimes necessary to revert to the conventional one in three on call system to ensure that daytime work was completed. Other disadvantages were the long weekend shift and an inequitable distribution of the night shift. The house officers recommended extending the shifts to weekends and working the night shift one week in four. A shift system of working was effective in reducing chronic tiredness among house officers, who found it preferable to conventional on call arrangements. Shift working is feasible only if the daytime duties of the doctor working at night can be completed by the other doctors on the rota.

Unofficial policy: access to housing, housing information and social services among homeless drug users in Hartford, Connecticut

Directory of Open Access Journals (Sweden)

Corbett A Michelle

2007-03-01

Full Text Available Abstract Background Much research has shown that the homeless have higher rates of substance abuse problems than housed populations and that substance abuse increases individuals' vulnerability to homelessness. However, the effects of housing policies on drug users' access to housing have been understudied to date. This paper will look at the "unofficial" housing policies that affect drug users' access to housing. Methods Qualitative interviews were conducted with 65 active users of heroin and cocaine at baseline, 3 and 6 months. Participants were purposively sampled to reflect a variety of housing statuses including homeless on the streets, in shelters, "doubled-up" with family or friends, or permanently housed in subsidized, unsubsidized or supportive housing. Key informant interviews and two focus group interviews were conducted with 15 housing caseworkers. Data were analyzed to explore the processes by which drug users receive information about different housing subsidies and welfare benefits, and their experiences in applying for these. Results A number of unofficial policy mechanisms limit drug users' access to housing, information and services, including limited outreach to non-shelter using homeless regarding housing programs, service provider priorities, and service provider discretion in processing applications and providing services. Conclusion Unofficial policy, i.e. the mechanisms used by caseworkers to ration scarce housing resources, is as important as official housing policies in limiting drug users' access to housing. Drug users' descriptions of their experiences working with caseworkers to obtain permanent, affordable housing, provide insights as to how access to supportive and subsidized housing can be improved for this population.

25 CFR 170.128 - Are housing access roads and housing streets eligible for IRR Program funding?

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Are housing access roads and housing streets eligible for... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Irr Housing Access Roads § 170.128 Are housing access roads and housing streets eligible for IRR...

[Origins of institutional Pediatrics: Maternity and Childhood Hospital of Mexico City in the nineteenth century].

Science.gov (United States)

Baeza Bacab, Manuel Antonio

In June of 1866, the empress Carlota founded the Maternity House in the Department of Secret Births at the Hospice of the Poor. Upon the reinstatement of a republican government, Dr. Ramon Pacheco was appointed director of the Maternity House. Shortly after, in February of 1868, Dr. Luis Fernandez Gallardo established a pavilion for sick children in the Hospital of San Andres. After realizing this pavilion didn't have the adequate conditions to operate properly, and in the need of a children's hospital in Mexico City, Dr. Pacheco merged both institutions in April 2, 1869 -with the help of Ms. Luciana Arrazola- and founded the Maternity and Childhood Hospital, the first institution for the care of ill children in the independent Mexico. Ever since it was founded, Dr. Eduardo Liceaga was in charge of the children's health. Later, with the help of the presidents Juarez, Lerdo de Tejada and Díaz, he was able to consolidate the hospital in academic and health services aspects. This noble institution closed its doors on February 5, 1905, upon its incorporation to the General Hospital of Mexico, after 36 years of working for the welfare of Mexican children. Copyright © 2017 Hospital Infantil de México Federico Gómez. Publicado por Masson Doyma México S.A. All rights reserved.

Hospital distribution in a metropolitan city: assessment by a geographical information system grid modelling approach

Directory of Open Access Journals (Sweden)

Kwang-Soo Lee

2014-05-01

Full Text Available Grid models were used to assess urban hospital distribution in Seoul, the capital of South Korea. A geographical information system (GIS based analytical model was developed and applied to assess the situation in a metropolitan area with a population exceeding 10 million. Secondary data for this analysis were obtained from multiple sources: the Korean Statistical Information Service, the Korean Hospital Association and the Statistical Geographical Information System. A grid of cells measuring 1 × 1 km was superimposed on the city map and a set of variables related to population, economy, mobility and housing were identified and measured for each cell. Socio-demographic variables were included to reflect the characteristics of each area. Analytical models were then developed using GIS software with the number of hospitals as the dependent variable. Applying multiple linear regression and geographically weighted regression models, three factors (highway and major arterial road areas; number of subway entrances; and row house areas were statistically significant in explaining the variance of hospital distribution for each cell. The overall results show that GIS is a useful tool for analysing and understanding location strategies. This approach appears a useful source of information for decision-makers concerned with the distribution of hospitals and other health care centres in a city.

Supported housing for people with severe mental disorders.

Science.gov (United States)

Chilvers, R; Macdonald, G M; Hayes, A A

2006-10-18

There has been a significant reduction in the number of people with severe mental illness who spend extended periods in long-stay hospitals. District health authorities, local authorities, housing associations and voluntary organisations are jointly expected to provide support for people with severe mental disorder/s. This 'support' may well involve some kind of special housing. To determine the effects of supported housing schemes compared with outreach support schemes or 'standard care' for people with severe mental disorder/s living in the community. For the 2006 update we searched the Cochrane Schizophrenia Group Trials Register (April 2006) and the Cochrane Central Register of Controlled Trials (CENTRAL, 2006 Issue 2). We included all relevant randomised, or quasi-randomised, trials dealing with people with 'severe mental disorder/s' allocated to supported housing, compared with outreach support schemes or standard care. We focused on outcomes of service utilisation, mental state, satisfaction with care, social functioning, quality of life and economic data. We reliably selected studies, quality rated them and undertook data extraction. For dichotomous data, we would have estimated relative risks (RR), with the 95% confidence intervals (CI). Where possible, we would have calculated the number needed to treat statistic (NNT). We would have carried out analysis by intention-to-treat and would have summated normal continuous data using the weighted mean difference (WMD). We would have presented scale data for only those tools that had attained pre-specified levels of quality and undertaken tests for heterogeneity and publication bias. Although 139 citations were acquired from the searches, no study met the inclusion criteria. Dedicated schemes whereby people with severe mental illness are located within one site or building with assistance from professional workers have potential for great benefit as they provide a 'safe haven' for people in need of stability and

A Novel Low-Cost Approach to Estimate the Incidence of Japanese Encephalitis in the Catchment Area of Three Hospitals in Bangladesh

Science.gov (United States)

Paul, Repon C.; Rahman, Mahmudur; Gurley, Emily S.; Hossain, M. Jahangir; Diorditsa, Serguei; Hasan, ASM Mainul; Banu, Sultana S.; Alamgir, ASM; Rahman, Muhammad Aziz; Sandhu, Hardeep; Fischer, Marc; Luby, Stephen P.

2011-01-01

Acute meningoencephalitis syndrome surveillance was initiated in three medical college hospitals in Bangladesh in October 2007 to identify Japanese encephalitis (JE) cases. We estimated the population-based incidence of JE in the three hospitals' catchment areas by adjusting the hospital-based crude incidence of JE by the proportion of catchment area meningoencephalitis cases who were admitted to surveillance hospitals. Instead of a traditional house-to-house survey, which is expensive for a disease with low frequency, we attempted a novel approach to identify meningoencephalitis cases in the hospital catchment area through social networks among the community residents. The estimated JE incidence was 2.7/100,000 population in Rajshahi (95% confidence interval [CI] = 1.8–4.9), 1.4 in Khulna (95% CI = 0.9–4.1), and 0.6 in Chittagong (95% CI = 0.4–0.9). Bangladesh should consider a pilot project to introduce JE vaccine in high-incidence areas. PMID:21813862

6 CFR 17.405 - Housing.

Science.gov (United States)

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Housing. 17.405 Section 17.405 Domestic Security... Education Programs or Activities Prohibited § 17.405 Housing. (a) General. A recipient shall not, on the... different services or benefits related to housing, except as provided in this section (including housing...

49 CFR 25.405 - Housing.

Science.gov (United States)

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Housing. 25.405 Section 25.405 Transportation... Activities Prohibited § 25.405 Housing. (a) Generally. A recipient shall not, on the basis of sex, apply... benefits related to housing, except as provided in this section (including housing provided only to married...

22 CFR 229.405 - Housing.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Housing. 229.405 Section 229.405 Foreign... Programs or Activities Prohibited § 229.405 Housing. (a) Generally. A recipient shall not, on the basis of... services or benefits related to housing, except as provided in this section (including housing provided...

Sustainable Housing in the Urban Context: International Sustainable Development Indicator Sets and Housing

Science.gov (United States)

Winston, Nessa; Pareja Eastaway, Montserrat

2008-01-01

Housing, an essential aspect of quality of life, is also significant for sustainable development (SD). All of the major international statements on SD refer to housing or settlement strategies. However, indicator sets derived from these statements often fail to include good indicators of sustainable housing. This article outlines the…

Housing And Mounting Structure

Science.gov (United States)

Anderson, Gene R.; Armendariz, Marcelino G.; Baca, Johnny R.F.; Bryan, Robert P.; Carson, Richard F.; Duckett, III, Edwin B.; McCormick, Frederick B.; Miller, Gregory V.; Peterson, David W.; Smith, Terrance T.

2005-03-08

This invention relates to an optical transmitter, receiver or transceiver module, and more particularly, to an apparatus for connecting a first optical connector to a second optical connector. The apparatus comprises: (1) a housing having at least a first end and at least a second end, the first end of the housing capable of receiving the first optical connector, and the second end of the housing capable of receiving the second optical connector; (2) a longitudinal cavity extending from the first end of the housing to the second end of the housing; and (3) an electromagnetic shield comprising at least a portion of the housing. This invention also relates to an apparatus for housing a flexible printed circuit board, and this apparatus comprises: (1) a mounting structure having at least a first surface and a second surface; (2) alignment ridges along the first and second surfaces of the mounting structure, the alignment ridges functioning to align and secure a flexible printed circuit board that is wrapped around and attached to the first and second surfaces of the mounting structure; and (3) a series of heat sink ridges adapted to the mounting structure, the heat sink ridges functioning to dissipate heat that is generated from the flexible printed circuit board.

22 CFR 146.405 - Housing.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Housing. 146.405 Section 146.405 Foreign... Activities Prohibited § 146.405 Housing. (a) Generally. A recipient shall not, on the basis of sex, apply... benefits related to housing, except as provided in this section (including housing provided only to married...

10 CFR 1042.405 - Housing.

Science.gov (United States)

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Housing. 1042.405 Section 1042.405 Energy DEPARTMENT OF... Activities Prohibited § 1042.405 Housing. (a) Generally. A recipient shall not, on the basis of sex, apply... benefits related to housing, except as provided in this section (including housing provided only to married...

28 CFR 54.405 - Housing.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Housing. 54.405 Section 54.405 Judicial... Activities Prohibited § 54.405 Housing. (a) Generally. A recipient shall not, on the basis of sex, apply... benefits related to housing, except as provided in this section (including housing provided only to married...

44 CFR 19.405 - Housing.

Science.gov (United States)

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Housing. 19.405 Section 19... Prohibited § 19.405 Housing. (a) Generally. A recipient shall not, on the basis of sex, apply different rules... related to housing, except as provided in this section (including housing provided only to married...

Energy efficiency learning and practice in housing for youths

Energy Technology Data Exchange (ETDEWEB)

Glad, Wiktoria; Thoresson, Josefin (Dept. of Thematic Studies, Linkoeping Univ., Linkoeping (Sweden)), E-mail: wiktoria.glad@liu.se

2012-01-15

This paper explores the energy efficiency learning and practices of youths aged 18-25 years. The studied youths are involved in a project, initiated by a municipally owned housing company, to educate residents and change everyday behaviour, making it more sustainable and energy efficient. This project, which forms our case study, covers socio-technical features such as energy systems and the individual metering and billing of heating, electricity, and hot and cold water. How did the youths perceive and use the systems? Have their attitudes and behaviours concerning energy-related practices changed during the project? The results indicate that a combination of technology (e.g. metering and visualized energy use) and social activities (e.g. educational activities and meeting neighbours and housing company staff) changed some practices involving what was perceived as energy wasting behaviour (e.g. using stand-by modes and taking long hot showers), while other practices (e.g. travelling and heating) were harder to change due to socio-technical barriers. The youths displayed knowledge gaps in relation to the energy system and their basic understanding of energy (the difference between heating and electricity)

Low energy housing in Ticino - The 'Vitali-Velti' house

Energy Technology Data Exchange (ETDEWEB)

Pahud, D.; Generelli, M. [SUPSI-DCT/LEEE-UREC, Trevano-Canobbio (Switzerland); Velti, A; Vitali, B. [architetto, Monte Carasso (Switzerland)

2003-02-15

This final report for the Swiss Federal Office of Energy (SFOE) takes a look at work done concerning low energy consumption housing in southern Switzerland. Thanks to large windows in the south-east facade and a well insulated building envelope, the passive solar gains are quoted as providing significant contributions to heating. The remaining heating requirements are covered by a closed fireplace and an electric radiator. Heat is distributed by free convection inside the house, A double-flux ventilation system with heat recovery ensures air renewal (3 volumes per day). Each house has a solar hot water system with electric auxiliary energy supply. Space heating requirements are discussed and compared with the standard values as defined in Swiss energy standards and the conventional auxiliary space heating energy required for the houses is noted.

Passive House Solutions

Energy Technology Data Exchange (ETDEWEB)

Strom, I.; Joosten, L.; Boonstra, C. [DHV Sustainability Consultants, Eindhoiven (Netherlands)

2006-05-15

PEP stands for 'Promotion of European Passive Houses' and is a consortium of European partners, supported by the European Commission, Directorate General for Energy and Transport. In this working paper an overview is given of Passive House solutions. An inventory has been made of Passive House solutions for new build residences applied in each country. Based on this, the most common basic solutions have been identified and described in further detail, including the extent to which solutions are applied in common and best practice and expected barriers for the implementation in each country. An inventory per country is included in the appendix. The analysis of Passive House solutions in partner countries shows high priority with regard to the performance of the thermal envelope, such as high insulation of walls, roofs, floors and windows/ doors, thermal bridge-free construction and air tightness. Due to the required air tightness, special attention must be paid to indoor air quality through proper ventilation. Finally, efficient ((semi-)solar) heating systems for combined space and DHW heating still require a significant amount of attention in most partner countries. Other basic Passive House solutions show a smaller discrepancy with common practice and fewer barriers have been encountered in partner countries. In the next section, the general barriers in partner countries have been inventoried. For each type of barrier a suggested approach has been given. Most frequently encountered barriers in partner countries are: limited know-how; limited contractor skills; and acceptation of Passive Houses in the market. Based on the suggested approaches to overcoming barriers, this means that a great deal of attention must be paid to providing practical information and solutions to building professionals, providing practical training to installers and contractors and communication about the Passive House concept to the market.

7 CFR 1944.659 - Replacement housing.

Science.gov (United States)

2010-01-01

... 7 Agriculture 13 2010-01-01 2009-01-01 true Replacement housing. 1944.659 Section 1944.659 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS...) PROGRAM REGULATIONS (CONTINUED) HOUSING Housing Preservation Grants § 1944.659 Replacement housing...

Housing Systems and Ethnic Spatial Segregation

DEFF Research Database (Denmark)

Andersen, Hans Skifter; Andersson, Roger; Wessel, Terje

Residential spatial segregation is related to housing markets and housing policies. In this paper, ethnic segregation is compared across four Nordic capitals and explanations for the differences are examined by comparing the housing markets and housing policies of the countries. The housing markets...

House of Generations

DEFF Research Database (Denmark)

Geert Jensen, Birgitte

2017-01-01

only the benefits of living close to the family. The Aarhus Municipality project "House of Generations" is a vision for creating a framework for relationships across all generations, for meaningful encounters and for rewarding neighbourliness. Three of Aarhus Municipality's magistrate departments...... participate in the project: Health and Care, Children and Youth, and Social Conditions and Employment. A public housing association that provides student dorms also participates in the project. The physical framework will be a building with a total area of approx. 25,000 m², located at Pier 4, at Aarhus......' harbour areas. The building will be a multi-generational house comprising a mixture of flexible public housing units for students, the elderly and residents who require care (elderly disabled people and people with acquired brain injuries). The building will be connected with common areas located in close...

State Housing Revival

DEFF Research Database (Denmark)

Donovan, Elizabeth

2015-01-01

Government funded housing for people in need is a challenge many countries face around the world. This research investigates how to sustainably regenerate post-war suburban state housing in New Zealand, in particular, the suburb of Glen Innes in Auckland. Reviving the community and regenerating...... the buildings is essential for improving the overall quality of the neighbourhoods both socially and physically. Achieving this in a holistic sustainable manner illustrates that there are alternatives to demolition and new builds, as the answer to the current housing shortage problems. New Zealand is confronted...... with the dilemma of what to do with existing government-funded housing which are no longer socially or physically suitable for the current demographic. New Zealand has a large cultural diversity with many new immigrants from the Pacific Islands and Asia. There is a need for culturally flexible and inclusive...

House owners’ experience and satisfaction with Danish low-energy houses

DEFF Research Database (Denmark)

Knudsen, Henrik Nellemose; Kragh, Jesper

2015-01-01

The purpose of this study was to identify experience and satisfaction with new Danish detached low-energy single-family houses. A questionnaire survey was carried out in the autumn of 2013 among owners of newly built energy class 2015 houses. It included i.a. questions on their overall satisfacti...

Antimicrobial stewardship activities: a survey of Queensland hospitals.

Science.gov (United States)

Avent, Minyon L; Hall, Lisa; Davis, Louise; Allen, Michelle; Roberts, Jason A; Unwin, Sean; McIntosh, Kylie A; Thursky, Karin; Buising, Kirsty; Paterson, David L

2014-11-01

In 2011, the Australian Commission on Safety and Quality in Health Care (ACSQHC) recommended that all hospitals in Australia must have an Antimicrobial Stewardship (AMS) program by 2013. Nevertheless, little is known about current AMS activities. This study aimed to determine the AMS activities currently undertaken, and to identify gaps, barriers to implementation and opportunities for improvement in Queensland hospitals. The AMS activities of 26 facilities from 15 hospital and health services in Queensland were surveyed during June 2012 to address strategies for effective AMS: implementing clinical guidelines, formulary restriction, reviewing antimicrobial prescribing, auditing antimicrobial use and selective reporting of susceptibility results. The response rate was 62%. Nineteen percent had an AMS team (a dedicated multidisciplinary team consisting of a medically trained staff member and a pharmacist). All facilities had access to an electronic version of Therapeutic Guidelines: Antibiotic, with a further 50% developing local guidelines for antimicrobials. One-third of facilities had additional restrictions. Eighty-eight percent had advice for restricted antimicrobials from in-house infectious disease physicians or clinical microbiologists. Antimicrobials were monitored with feedback given to prescribers at point of care by 76% of facilities. Deficiencies reported as barriers to establishing AMS programs included: pharmacy resources, financial support by hospital management, and training and education in antimicrobial use. Several areas for improvement were identified: reviewing antimicrobial prescribing with feedback to the prescriber, auditing, and training and education in antimicrobial use. There also appears to be a lack of resources to support AMS programs in some facilities. WHAT IS KNOWN ABOUT THE TOPIC?: The ACSQHC has recommended that all hospitals implement an AMS program by 2013 as a requirement of Standard 3 (Preventing and Controlling Healthcare

Housing Stakeholder Preferences for the "Soft" Features of Sustainable and Healthy Housing Design in the UK.

Science.gov (United States)

Prochorskaite, Agne; Couch, Chris; Malys, Naglis; Maliene, Vida

2016-01-07

It is widely recognised that the quantity and sustainability of new homes in the UK need to increase. However, it is important that sustainable housing is regarded holistically, and not merely in environmental terms, and incorporates elements that enhance the quality of life, health and well-being of its users. This paper focuses on the "soft" features of sustainable housing, that is, the non-technological components of sustainable housing and neighbourhood design that can impact occupants' health and well-being. Aims of the study are to ascertain the relative level of importance that key housing stakeholders attach to these features and to investigate whether the opinions of housing users and housing providers are aligned with regards to their importance. An online survey was carried out to gauge the level of importance that the key stakeholders, such as housing users, local authorities, housing associations, and developers (n = 235), attach to these features. Results revealed that while suitable indoor space was the feature regarded as most important by all stakeholders, there were also a number of disparities in opinion between housing users and housing providers (and among the different types of providers). This implies a scope for initiatives to achieve a better alignment between housing users and providers.

Change in neurocognition by housing type and substance abuse among formerly homeless seriously mentally ill persons.

Science.gov (United States)

Caplan, Brina; Schutt, Russell K; Turner, Winston M; Goldfinger, Stephen M; Seidman, Larry J

2006-03-01

To test the effect of living in group housing rather than independent apartments on executive functioning, verbal memory and sustained attention among formerly homeless persons with serious mental illness and to determine whether substance abuse modifies this effect. In metropolitan Boston, 112 persons in Department of Mental Health shelters were randomly assigned to group homes ("Evolving Consumer Households", with project facilitator, group meetings, resident decision-making) or independent apartments. All were case managed. A neuropsychological test battery was administered at baseline, at 18 months (Time 2), with an 81% follow-up rate, and at 48 months (Time 3), with a 59% follow-up rate. Hierarchical Linear Modeling was applied to executive functioning--assessed with the Wisconsin Card Sorting Test (Perseverations)-Logical Memory story recall, and an auditory Continuous Performance Test (CPT) for sustained attention. Subject characteristics were controlled. When moved to group homes, subjects without a lifetime substance abuse history improved on Perseverations, while those who moved to independent apartments deteriorated on Perseverations. Across the two housing conditions, subjects showed no change in Perseverations, but improved on Logical Memory story recall and the CPT. Type of housing placement can influence cognitive functioning; notably, socially isolating housing is associated with weakened executive functioning. Substance abuse significantly diminishes environmental effects. These are important factors to consider in housing placement and subsequent treatment.

Social Housing in Denmark

DEFF Research Database (Denmark)

Vestergaard, Hedvig; Scanlon, Kath J

2014-01-01

Social housing is a cornerstone in the Danish welfare society and is accessible for all households. By law, social housing must be rented at cost rents, which are based on historical costs; rents do not respond to market forces. Social housing aims to provide good standard, secure and affordable...... as social initiatives in the existing stock....

The impact of medical tourism on Thai private hospital management: informing hospital policy.

Science.gov (United States)

James, Paul T J

2012-01-01

The purpose of this paper is to help consolidate and understand management perceptions and experiences of a targeted group (n=7) of Vice-Presidents of international Private Thai hospitals in Bangkok regarding medical tourism impacts. The method adopted uses a small-scale qualitative inquiry. Examines the on-going development and service management factors which contribute to the establishment and strengthening of relationships between international patients and hospital medical services provision. Develops a qualitative model that attempts to conceptualize the findings from a diverse range of management views into a framework of main (8) - Hospital Management; Hospital Processes; Hospital Technology; Quality Related; Communications; Personnel; Financial; and Patients; and consequent sub-themes (22). Outcomes from small-scale qualitative inquiries cannot by design be taken outside of its topical arena. This inevitably indicates that more research of this kind needs to be carried out to understand this field more effectively. The evidence suggests that Private Thai hospital management have established views about what constitutes the impact of medical tourism on hospital policies and practices when hospital staff interact with international patients. As the private health service sector in Thailand continues to grow, future research is needed to help hospitals provide appropriate service patterns and appropriate medical products/services that meet international patient needs and aspirations. Highlights the increasing importance of the international consumer in Thailand's health industry. This study provides insights of private health service providers in Bangkok by helping to understand more effectively health service quality environments, subsequent service provision, and the integrated development and impacts of new medical technology.

The First "Comfort Houses" in Denmark

DEFF Research Database (Denmark)

Brunsgaard, Camilla; Knudstrup, Mary-Ann; Heiselberg, Per

2009-01-01

The "Comfort Houses" is the most ambitious building project in passive houses in Denmark until today. Eight single family houses are built and designed by seven different consortiums. Besides fulfilling the German passive house standard the goal was to build the houses according to Danish tradition...

From Council Housing to Social Housing. The successes and misfortunes of Social Housing policies in Italy

Directory of Open Access Journals (Sweden)

Ferdinando Terranova

2011-04-01

Full Text Available The issues dealt with are three: the need for medium – and large – scale territorial planning; the quality of housing; the solutions to guarantee secure flows of financing to launch programmes of public residential housing (ERP. A premise of any ERP programme is the planning and construction of a fast rail network to guarantee mass mobility. Once this premise has been satisfied, it is possible to identify agricultural areas to be expropriated for ERP interventions. This programme is characterised by operating above the municipal level, and it requires a structure that has the administrative powers of an agency. As regards the quality of housing, the following equation has to be dispensed with: public residential housing = ugly building characterised by alienation and anomy. Planners from this century have been called on to rise the challenge. To be certain of obtaining finance for ERP programmes, the old road of contributions at source from workers should be pursued as well as the establishment of a single fund that gathers together all the financing foreseen by laws made over the years and not spent, set aside for ERP.

Subsidized Housing, Public Housing, and Adolescent Violence and Substance Use

Science.gov (United States)

Leech, Tamara G. J.

2012-01-01

This study examines the separate relationships of public housing residence and subsidized housing residence to adolescent health risk behavior. Data include 2,530 adolescents aged 14 to 19 who were children of the National the Longitudinal Study of Youth. The author used stratified propensity methods to compare the behaviors of each…

20 CFR 654.404 - Housing site.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Housing site. 654.404 Section 654.404... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.404 Housing site. (a) Housing sites shall be well drained and free from depressions in which water may stagnate...

[Clinical research outside of teaching hospitals: Current situation in north-eastern France].

Science.gov (United States)

Goetz, C; Dupoux, A; Déloy, L; Hertz, C; Jeanmaire, T; Parneix, N

2015-04-01

Most clinical research in France takes place in teaching hospitals. There are, however, many advantages to developing it in other hospitals: access to innovative treatments, improvement in healthcare quality, attractiveness of hospitals, increased trial inclusion rates and reduced selection bias. The objectives of our study were to report on the current situation of clinical research outside teaching hospitals. A three-stage survey was conducted between January 2012 and May 2013 in non-teaching hospitals of north-eastern France. First, questionnaires were sent to administrative and medical boards of all hospitals with more than 100 beds, then to head doctors of every department in hospitals with more than 300 beds and finally meetings were organized with members of 20 selected hospitals. The administrative and medical boards of 85 hospitals participated in the first stage of the survey; half of these hospitals were engaged in clinical research activities and for 10 the internal structuring was cross-disciplinary. Answers from 178 departments were obtained during the second stage; 47% reported a clinical research activity. Meetings with research teams in 20 hospitals allowed us to identify difficulties concerning research funding, transversal organization and sponsoring. Clinical research existed in more than half of the respondent non-teaching hospitals. Obstacles to its development can be grouped in three categories: 1) internal structuring of clinical research, 2) access to information and knowledge of how clinical research functions and to interlocutors outside the hospital and 3) access to skills necessary to sponsor clinical research. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

78 FR 21396 - Notice of a Federal Advisory Committee Meeting: Manufactured Housing Consensus Committee...

Science.gov (United States)

2013-04-10

... 20410, telephone 202-708-6423 (this is not a toll-free number). Persons who have difficulty hearing or... manner that guarantees a fair opportunity for the expression and consideration of various positions and... possible within the time constraints of the meeting agenda. Advance registration is strongly encouraged...

Dolce Vita meetings with gas professionals: second meeting; les rendez-vous Dolce Vita avec la filiere: deuxieme rencontre

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-07-01

Cegibat, the information-recommendation agency of Gaz de France for building engineering professionals, has organized this second conference about the Dolce Vita products and services offer, created by Gaz de France for the residential sector with the aim to promote the use of natural gas for a better comfort and lower energy consumptions. This second meeting makes a first status of the implementation of the Dolce Vita offer: qualitative and quantitative status, communication and marketing tools, two testimonies in individual houses, two testimonies in social buildings, two testimonies of private property developers, synthesis and perspectives. (J.S.)

Multiple pump housing

Science.gov (United States)

Donoho, II, Michael R.; Elliott; Christopher M.

2010-03-23

A fluid delivery system includes a first pump having a first drive assembly, a second pump having a second drive assembly, and a pump housing. At least a portion of each of the first and second pumps are located in the housing.

Hospital infection prevention and control issues relevant to extensive floods.

Science.gov (United States)

Apisarnthanarak, Anucha; Mundy, Linda M; Khawcharoenporn, Thana; Glen Mayhall, C

2013-02-01

The devastating clinical and economic implications of floods exemplify the need for effective global infection prevention and control (IPC) strategies for natural disasters. Reopening of hospitals after excessive flooding requires a balance between meeting the medical needs of the surrounding communities and restoration of a safe hospital environment. Postflood hospital preparedness plans are a key issue for infection control epidemiologists, healthcare providers, patients, and hospital administrators. We provide recent IPC experiences related to reopening of a hospital after extensive black-water floods necessitated hospital closures in Thailand and the United States. These experiences provide a foundation for the future design, execution, and analysis of black-water flood preparedness plans by IPC stakeholders.

Affordable housing as a niche product: The case of the Danish “SocialHousing Plus”

DEFF Research Database (Denmark)

Jensen, Jesper Ole; Stensgaard, Anne Gro

Establishing affordable housing is a growing demand in many larger cities there is however a number of challenges related to establishing affordable housing, as well as many different approaches. This paper presents a case-study of an affordable housing concept in the Danish social housing sector......, the “SocialHousing Plus” (“AlmenBolig+”) which is based on lowering production costs as well as operation costs including residential self-management, large-scale production of pre-fab housing units, low-energy solutions and other innovative approaches. The concept was developed in 2007, and has so far...... resulted in the production of more than 1.500 dwellings. The paper will discuss the results of the concept, and the various challenges related to it. Based on the theory of Technological Transition (Geels, 2002) it will discuss the options and limitations of providing affordable housing through developing...

Social and health outcomes following upgrades to a national housing standard: a multilevel analysis of a five-wave repeated cross-sectional survey.

Science.gov (United States)

Poortinga, Wouter; Jones, Nikki; Lannon, Simon; Jenkins, Huw

2017-12-02

While existing research indicates that housing improvements are associated with health improvements, less is known about the wider social and health benefits of meeting national housing standards, as well as those of their specific constituent measures. This study evaluates the impacts of a managed housing upgrade programme through a repeated cross-sectional survey design. A five-wave repeated cross-sectional survey was conducted over a seven-year period from 2009 to 2016 (n = 2075; n = 2219; n = 2015; n = 1991; and n = 1709, respectively). The study followed a managed upgrade programme designed to meet a national social housing standard over an extended period. The data were analysed from a multilevel perspective to take account of the time-dependent nature of the observations and differences in socio-demographic composition. The installation of the majority of individual housing measures (new windows and doors; boilers; kitchens; bathrooms; electrics; loft insulation; and cavity/external wall insulation) were associated with improvements in several social (housing suitability, satisfaction, and quality; thermal comfort and household finances) and health (mental, respiratory and general health) outcomes; and analyses showed relationships between the number of measures installed and the total amount invested on the one hand and the social and health outcomes on the other. There were however a few exceptions. Most notably, the installation of cavity wall insulation was associated with poorer health outcomes, and did not lead to better social outcomes. Also, no association was found between the number of measures installed and respiratory health. The study suggests that substantial housing investments through a managed upgrade programme may result in better social and health outcomes, and that the size of the improvements are proportionate to the number of measures installed and amount invested. However, there may be risks associated with specific

Food insufficiency, housing and health-related quality of life: results from the Positive Spaces, Healthy Places study.

Science.gov (United States)

Choi, Stephanie K Y; Fielden, Sarah; Globerman, Jason; Koornstra, J J Jay; Hambly, Keith; Walker, Glen; Sobota, Michael; O'Brien-Teengs, Doe; Watson, James; Bekele, Tsegaye; Greene, Saara; Tucker, Ruthann; Hwang, Stephen W; Rourke, Sean B; Healthy Places Team, The Positive Spaces

2015-01-01

Studies of people living with HIV who are homeless or unstably housed show a high prevalence of food insufficiency (>50%) and associated poor health outcomes; however, most evidence is in the form of cross-sectional studies. To better understand this issue, we conducted a longitudinal study to examine the impact of food insufficiency and housing instability on overall physical and mental health-related quality of life (HRQoL) among people living with HIV in Ontario. Six hundred and two adults living with HIV were enrolled in the Positive Spaces, Healthy Places study and followed from 2006 to 2009. Interviewer-administered questionnaires were used, and generalized linear mixed-effects models constructed to examine longitudinal associations between food insufficiency, housing instability and physical and mental HRQoL. At baseline, 57% of participants were classified as food insufficient. After adjusting for potential confounders, longitudinal analyses revealed a significant, negative association between food insufficiency and physical and mental HRQoL outcomes, respectively [effect size (ES) with 95% confidence interval (CI): (ES = -2.1, CI = -3.9,-0.3); (ES = -3.5, CI = -6.1,-1.5)]. Furthermore, difficulties meeting housing costs were shown to have additional negative impacts on mental HRQoL. Food insufficiency is highly prevalent among people living with HIV in Ontario, particularly for those with unstable housing. This vulnerable group of individuals is in urgent need of changes to current housing programmes, services and policies, as well as careful consideration of their unmet nutritional needs.

Malaysian Affordability Housing Policies Revisited

Directory of Open Access Journals (Sweden)

Samad Diwa

2016-01-01

Full Text Available Housing has always been a significant aspiration of family expression and distinctly priciest investment by household. It plays a momentous role in the country’s economy and so central to the societal well-being that is emplaced in the United Nation Universal declaration of Human rights. Yet in developed and developing world alike, cities struggle to provide decent housing for lower and middle income population. The provision of affordable housing is a major policy concern around the world with Malaysia being no exception; rising income hardly keep pace with price hike of housing unit and housing interventions has majorly concentrated on demand side leading to a non-responsive supply sector. Therefore, this paper highlights affordable housing issues pertaining Malaysia. It formulates Malaysian Map of affordability and conducts an evaluation of global housing schemes to better identify policy priorities for Malaysia. It’s significant to harmonize supply and demand side factors in the housing market to ensure that housing supply fits the needs of citizens based on the location, price and target group. In case of Malaysia supply oriented initiative are of urgency in short and medium run. This must be supported by long term demand side schemes in parallel. Convergence of these two factors is essential for a balanced equilibrium and obtaining affordability.

76 FR 9809 - Notice of a Federal Advisory Committee Meeting Manufactured Housing Consensus Committee

Science.gov (United States)

2011-02-22

.../Introductions/New Members Administrative Matters/Announcements Public Comments (a public comments period will be... to the public and the site is accessible to individuals with disabilities. DATES: The meeting will be...-free number). Persons who have difficulty hearing or speaking may access this number via TTY by calling...

Quality Affordable Housing: A Theoretical Framework for Planning and Design of Quality Housing

Directory of Open Access Journals (Sweden)

Noor Sharipah Sultan Sidi

2011-10-01

Full Text Available The provision of adequate, good or quality housing for the population has always been a major challenge and task for most nations in the world particularly the developing countries. As such various measures have been undertaken towards this end. However, the major constraint or problem in this respect has always been in defining the criteria for quality housing and establishing the standards of quality housing particularly with respect to the parameters in the determination of quality as some of the parameters are subjective and contextual such as psychological, cultural and environmental aspects. This paper is aimed at discussing the concept of quality housing and establishing the parameters and theoretical framework which can be used by researchers, town planners, architects, policy makers and others in the formulation of criteria / guidelines for the planning and design of quality housing.

Creating Affordable Housing through self-management:

DEFF Research Database (Denmark)

Jensen, Jesper Ole; Stensgaard, Anne Gro

The paper presents a case on self-management in the Danish social housing sector as a way of providing affordable housing. It is based on an evaluation of a Danish concept for affordable housing, Social Housing Plus (“AlmenBolig+”). The concept was introduced in 2007, and so far app 1.400 housing...

Pathology of mass housing projects in Iran (Mehr Housing Plan ...

African Journals Online (AJOL)

Mass housing in construction industry is known as projects that mass production methods are used to construct residential units in it. Mass housing is a model of construction that has high economic, technical and managerial feasibility and should optimize three areas of quality, time and cost. But it should be noted that in ...

Backyard Living – Integrative Policies Towards Migrant Workers: Housing Microfinance in Greater Ho Chi Minh City, Vietnam

Directory of Open Access Journals (Sweden)

Martin Noltze

2008-01-01

Full Text Available The urban agglomeration of the Vietnamese southeast industrial driving force Ho Chi Minh City (HCMC has become the most outstanding benefi ciary of the remarkable economic growth and foreign investments in the Vietnamese economy since the start of a comprehensive economic reform process in the mid 1980s. The notable development towards the foremost economic centre led to a high influx of migrant workers. In the course of an ongoing expansion process towards a megacity of tomorrow, the defi cient provision of adequate housing remains one of the most challenging problems of rural migrants in Greater HCMC. However, a future-oriented sustainable megacity concept is strongly dependent on the successful integration of migrants into the urban society. Within this context, the housing market is considered to be a key aspect of comprehensive urban planning. Hereby, housing microfinance (HMF will be presented as an alternative housing finance scheme meeting the demand of a noteworthy number of poor and low-income people. Thereby HMF can do both: focus on specifi c needs of migrants with respect to their current life situation and enhance its outreach to a potential target group.

Passive houses in Norway

Energy Technology Data Exchange (ETDEWEB)

Halse, Andreas

2008-12-15

The paper analyzes the introduction of passive houses in the Norwegian house market. Passive houses are houses with extremely low levels of energy consumption for heating, and have not yet been built in Norway, but have started to enter the market in Germany and some other countries. The construction sector is analyzed as a sectoral innovation system. The different elements of the innovation system are studied. This includes government agencies, producers, consumers, finance and education. The analysis shows that passive and low-energy houses are on the verge of market breakthrough. This can partly be explained by economic calculations, and partly by processes of learning and change in the institutional set-up of the sector. The construction sector is a sector characterized by low innovative intensity and little interaction between different agents. Those working to promote passive houses have to some extent managed to cope with these challenges. This has happened by breaking away from the traditional focus of Norwegian energy efficiency policies on technology and the economically rational agents, by instead focusing on knowledge and institutional change at the level of the producers. (Author)

IMPROVING HOSPITAL LOGISTICS BY RETHINKING TECHNOLOGY ASSESSMENT

DEFF Research Database (Denmark)

Jacobsen, Peter; Jørgensen, Pelle Morten Thomas

2011-01-01

In order to cope with the future challenges of the health care sector, there is an urging need for improving efficiency at hospitals. The study presents a framework enabling health care managers of improving the in-house logistics. The distinctiveness of the framework is the way in which it relates...... technology, logistics, structure and procedures to efficiency. Changing one factor e.g. technology, initiates an iterative loop focusing on change in the related factors in order to obtain the optimal efficiency. The search for an optimal efficient solution is the driving force of the framework...... at a Danish hospital. The framework is tested on the blood sample logistics between the emergency department and laboratory with the goal of enhancing the efficiency of the emergency department....

Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review.

Science.gov (United States)

Kyle, Tania; Dunn, James R

2008-01-01

Individuals with severe and persistent mental illness (SPMI) identify housing as an important factor in achieving and maintaining their health. However, many live in substandard accommodations that are physically inadequate, crowded, noisy and located in undesirable neighbourhoods. In much of the research on housing for persons with SPMI, the central outcome of interest is remaining housed; however, it is worth investigating whether housing has other benefits. This paper is a systematic review of studies that investigated the relationship between housing-related independent variables and health-related dependent variables. Ten online databases were searched for studies published since 1980 that had study populations of adults with SPMI, analysed primary or secondary empirical data, and measured housing-related independent variables and health-related dependent variables. Clearly defined epidemiological criteria were used to assess the strength of evidence of the selected studies. Twenty-nine studies met the suitability criteria, of which 14 reported healthcare utilisation outcomes; 12 examined mental status outcomes; and 9 reported quality-of-life outcomes. The findings of the review suggest that there is good evidence that housing interventions benefit the homeless population; however more research is needed about housing solutions for individuals with SPMI who are housed, but in precarious or inappropriate housing situations. Study methodologies could be improved by emphasising longitudinal designs that focus on participant retention and by implementing matched control groups or randomised interventions to strengthen internal validity. Ensuring that a person is adequately housed upon discharge from hospital should be a treatment priority. When housing eligibility is not dependent on psychiatric treatment compliance and sobriety, providing permanent housing minimises harm and may free people to voluntarily seek treatment. Housing that offers an unlimited length of

Housing demand or money supply? A new Keynesian dynamic stochastic general equilibrium model on China's housing market fluctuations

Science.gov (United States)

Wen, Xing-Chun; He, Ling-Yun

2015-08-01

There is a bitter controversy over what drives the housing price in China in the existing literature. In this paper, we investigate the underlying driving force behind housing price fluctuations in China, especially focusing on the role of housing demand shock with that of money supply shock in explaining housing price movements, by a new Keynesian dynamic stochastic general equilibrium model. Empirical results suggest that it is housing demand, instead of money supply, that mainly drives China's housing price movements. Relevant policy implication is further discussed, namely, whether to consider the housing price fluctuations in the conduct of monetary policy. By means of the policy simulations, we find that a real house price-augmented money supply rule is a better monetary policy for China's economy stabilization. 1. Investment refers to fixed capital investment. 2. Housing price refers to national average housing price. Quarterly data on housing price during the period of our work are not directly available. However, monthly data of the value of sales on housing and sale volume on housing can be directly obtained from National Bureau of Statistics of China. We add up the monthly data and calculate one quarter's housing price by dividing the value of housing sales by its sale volume in one quarter. 3. M2 means the broad money supply in China.

Low energy houses and passive houses - common questions; Laagenergihus och passivhus - vanliga fraagestaellningar

Energy Technology Data Exchange (ETDEWEB)

Sikander, Eva; Samuelson, Ingemar; Gustavsson, Thorbjoern; Ruud, Svein; Larsson, Krister; Hiller, Carolina; Werner, Goesta; Gabrielii, Kristina

2009-07-01

This feasibility study of passive houses and low-energy houses has raised several questions concerning aspects of which more knowledge is needed. Many can be answered by existing knowledge, but there are still several that can only partly be answered, and some that cannot be answered at all. As there is a substantial demand for, and interest in, the construction of low-energy houses and passive houses, it is important that the remaining questions should be addressed so that the building sector can continue to develop. Examples of areas where further knowledge is needed include: moisture safe and energy-efficient building envelopes; demand-responsive ventilation, without risk of poor indoor environmental conditions; thermal comfort (summer and winter); airtight and durable detailing; design systems and working methods to ensure retention of good characteristics when converting or extending buildings; durability aspects of certain components and functions; the effects of occupants on energy use; how indoor environment conditions and functions will cope with climate change; quality assurance in order to ensure that the appropriate knowledge is applied, and that the work is carried out properly. Some important points to emphasise: The design and construction of low-energy houses and passive houses must be firmly based on the correct design principles and appropriate standards of workmanship, in order to ensure that the houses are energy-efficient, have good indoor environmental conditions and can be expected to have long lives. Proper understanding of the principles, coupled with constant quality awareness, are essential in all stages of the work from the developer, designer and construction personnel but also during operation-phase. Hitherto, low-energy houses and passive houses have been built in relatively small numbers, but the expectation is that interest in them will increase. This raises the question of how, if production is to be very much more than at present

77 FR 30016 - Clinical Study Design and Performance of Hospital Glucose Sensors

Science.gov (United States)

2012-05-21

...] Clinical Study Design and Performance of Hospital Glucose Sensors AGENCY: Food and Drug Administration, HHS... Sensors.'' The purpose of this public meeting is to discuss clinical study design considerations and performance metrics for innovative glucose sensors intended to be used in hospital point of care settings...

The Relationship between Hospital Financial Performance and Information Technology Integration Strategy Selection

Science.gov (United States)

Xie, Yue

2012-01-01

In light of the new healthcare regulations, hospitals are increasingly reevaluating their IT integration strategies to meet expanded healthcare information exchange requirements. Nevertheless, hospital executives do not have all the information they need to differentiate between the available strategies and recognize what may better fit their…

Housing Affordability Data System (HADS)

Data.gov (United States)

Department of Housing and Urban Development — The Housing Affordability Data System (HADS) is a set of files derived from the 1985 and later national American Housing Survey (AHS) and the 2002 and later Metro...

Demonstration of Advanced Technologies for Multi-Load Washers in Hospitality and Healthcare -- Ozone Based Laundry Systems

Energy Technology Data Exchange (ETDEWEB)

Boyd, Brian K. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Parker, Graham B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Petersen, Joseph M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Sullivan, Greg [Efficiency Solutions, LLC (United States); Goetzler, W. [Navigant Consulting, Inc. (United States); Sutherland, T. A. [Navigant Consulting, Inc. (United States); Foley, K. J. [Navigant Consulting, Inc. (United States)

2014-08-14

The objective of this demonstration project was to evaluate market-ready retrofit technologies for reducing the energy and water use of multi-load washers in healthcare and hospitality facilities. Specifically, this project evaluated laundry wastewater recycling technology in the hospitality sector and ozone laundry technology in both the healthcare and hospitality sectors. This report documents the demonstration of ozone laundry system installations at the Charleston Place Hotel in Charleston, South Carolina, and the Rogerson House assisted living facility in Boston, Massachusetts.

American Housing Survey (AHS) 2011

Data.gov (United States)

Department of Housing and Urban Development — The AHS is the largest, regular national housing sample survey in the United States. The U.S. Census Bureau conducts the AHS to obtain up-to-date housing statistics...

The Eco House

Energy Technology Data Exchange (ETDEWEB)

Hobbett, A. (Leicester Ecology Trust (United Kingdom))

The Eco House is a former park keeper's lodge on the periphery of Leicester's largest public park. Taken over by Leicester Ecology Trust in 1990, the Eco House was a successor to the Trust's earlier low energy house. This has been a local authority decant house, retrofitted to show the potential for increased energy efficiency in older buildings. Many of the ideas from the earlier project were adopted by the new with a widening of its remit to include all matters of environmental concern connected with people's homes. So in addition to energy efficiency, other issues addressed include conservation of resources, wildlife, organic gardening, food production, water, environmental consumerism, recycling and health. Given that the use of energy is regarded by many environmentalists to be the single most important environmental issue today, and one which is easiest for households to address, it remains the project's dominant theme. (author)

[Application of health education of house-to-house visit in malaria prevention and control].

Science.gov (United States)

Zhou, Wen-gang; Qu, Yan; Wang, Wen-guang; Tang, Song-yuan

2014-10-01

To evaluate the effects of health education of house-to-house visit in malaria prevention and control in the border and minority areas. A health education of house-to-house visit in malaria prevention and control was carried out, and baseline and follow up surveys were conducted by qualitative and quantitative methods to document the changes of local villagers' knowledge, attitudes and behaviors (KAP) of malaria prevention and control in 2 counties of Yunnan Province, and the results before and after the interventions were analyzed and compared. After the intervention, the cognition rates about malaria symptoms and signs, transmission mode, preventive measures and health-seeking behaviors were 99.3%, 98.9%, 79.9% and 99.3% respectively in the local residents, and those were 39.2%, 8.2%, 47.0% and 49.9% respectively before the intervention, and all the differences were statistically significant (P all house-to-house visit is an effective community-based health education approach.

Housing, Transportation, And Food: How ACOs Seek To Improve Population Health By Addressing Nonmedical Needs Of Patients.