WorldWideScience

Sample records for military treatment facilities

  1. Patient Satisfaction in Military Dental Treatment Facilities

    Science.gov (United States)

    2006-03-07

    the variance in regards to overall satisfaction. 15. SUBJECT TERMS Dentistry, Patient Satisfaction, Military, Consumer Satisfaction, Dental... patient satisfaction in military dental treatment facilities. Dental health is extremely important for the military as dental assets are not always... customer satisfaction is an important component of military dental care. Quarterly patient satisfaction reports are generated for each dental treatment

  2. Infection prevention and control in deployed military medical treatment facilities.

    Science.gov (United States)

    Hospenthal, Duane R; Green, Andrew D; Crouch, Helen K; English, Judith F; Pool, Jane; Yun, Heather C; Murray, Clinton K

    2011-08-01

    Infections have complicated the care of combat casualties throughout history and were at one time considered part of the natural history of combat trauma. Personnel who survived to reach medical care were expected to develop and possibly succumb to infections during their care in military hospitals. Initial care of war wounds continues to focus on rapid surgical care with debridement and irrigation, aimed at preventing local infection and sepsis with bacteria from the environment (e.g., clostridial gangrene) or the casualty's own flora. Over the past 150 years, with the revelation that pathogens can be spread from patient to patient and from healthcare providers to patients (including via unwashed hands of healthcare workers, the hospital environment and fomites), a focus on infection prevention and control aimed at decreasing transmission of pathogens and prevention of these infections has developed. Infections associated with combat-related injuries in the recent operations in Iraq and Afghanistan have predominantly been secondary to multidrug-resistant pathogens, likely acquired within the military healthcare system. These healthcare-associated infections seem to originate throughout the system, from deployed medical treatment facilities through the chain of care outside of the combat zone. Emphasis on infection prevention and control, including hand hygiene, isolation, cohorting, and antibiotic control measures, in deployed medical treatment facilities is essential to reducing these healthcare-associated infections. This review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.

  3. Establishing a clinical pharmacy technician at a United States Army military treatment facility.

    Science.gov (United States)

    Evans, Jennifer L; Gladd, Ellen M; Gonzalez, Alicia C; Tranam, Salman; Larrabee, Joni M; Lipphardt, Sarah E; Chen, Tina T; Ronn, Michael D; Spain, John

    2016-01-01

    To describe the creation of a clinical pharmacy technician position within the U.S. Army and to identify the personal skills and characteristics required to meet the demands of this role. An outpatient military treatment facility located in Maryland. The clinical pharmacy technician position was designed to support clinical pharmacy services within a patient-centered medical home. Funding and a position description were established to hire a clinical pharmacy technician. Expected duties included administrative (45%), patient education (30%), and dispensing (25%). Local policy, in accordance with federal law and U.S. Army regulations, was developed to define the expanded technician responsibility to deliver patient medication education. In the initial 3 months, the clinical pharmacy technician spent 24 hours per week on clinical activities, affording an additional 10-15 hours per week for clinical pharmacists to provide patient care. Completed consults increased from 41% to 56%, and patient-pharmacist encounters increased from 240 to 290 per month. The technician, acting as a clinical pharmacist extender, also completed an average of 90 patient encounters independently each month. As a result of these improvements, the decision was made to hire a second technician. Currently, the technicians spend 28-40 hours per week on clinical activities, offsetting an average of 26 hours per week for the clinical pharmacists. A patient-centered medical home clinical pharmacy technician can reduce the administrative workload for clinical pharmacists, improve their efficiency, and enhance the use of clinical pharmacy services. Several characteristics, particularly medication knowledge, make pharmacy technicians particularly suited for this role. The results from the implementation of a clinical pharmacy technician at this military treatment facility resulted in an Army-wide expansion of the position and suggested applicability in other practice sites, particularly in federal

  4. Concept Of Revitalization Of Selected Military Facilities Of Dragoons Barracks In Olsztyn

    Science.gov (United States)

    Zagroba, Marek

    2015-12-01

    Revitalization is a complex program to restore the functioning of the neglected urban areas in terms of spatial, economic and social. Revitalization activities on post-military facilities are stopping negative phenomena, such as degradation of space, social pathology or lack of proper functioning of the area, adapted to modern needs. The object of the work is to present some aspects with the revitalization of former military facilities in the area of the Artyleryjska Street in Olsztyn. The presented design concept aims to revitalize a neglected area of the barracks, which will enable the activation site and include it in the city urban space. The method adopted in this work is the architectural project of adapting selected post-military facilities for new functions, affecting the economic development and social integration of people.

  5. Purchased Behavioral Health Care Received by Military Health System Beneficiaries in Civilian Medical Facilities, 2000-2014.

    Science.gov (United States)

    Wooten, Nikki R; Brittingham, Jordan A; Pitner, Ronald O; Tavakoli, Abbas S; Jeffery, Diana D; Haddock, K Sue

    2018-02-06

    Behavioral health conditions are a significant concern for the U.S. military and the Military Health System (MHS) because of decreased military readiness and increased health care utilization. Although MHS beneficiaries receive direct care in military treatment facilities, a disproportionate majority of behavioral health treatment is purchased care received in civilian facilities. Yet, limited evidence exists about purchased behavioral health care received by MHS beneficiaries. This longitudinal study (1) estimated the prevalence of purchased behavioral health care and (2) identified patient and visit characteristics predicting receipt of purchased behavioral health care in acute care facilities from 2000 to 2014. Medical claims with Major Diagnostic Code 19 (mental disorders/diseases) or 20 (alcohol/drug disorders) as primary diagnoses and TRICARE as the primary/secondary payer were analyzed for MHS beneficiaries (n = 17,943) receiving behavioral health care in civilian acute care facilities from January 1, 2000, to December 31, 2014. The primary dependent variable, receipt of purchased behavioral health care, was modeled for select mental health and substance use disorders from 2000 to 2014 using generalized estimating equations. Patient characteristics included time, age, sex, and race/ethnicity. Visit types included inpatient hospitalization and emergency department (ED). Time was measured in days and visits were assumed to be correlated over time. Behavioral health care was described by both frequency of patients and visit type. The University of South Carolina Institutional Review Board approved this study. From 2000 to 2014, purchased care visits increased significantly for post-traumatic stress disorder, adjustment, anxiety, mood, bipolar, tobacco use, opioid/combination opioid dependence, nondependent cocaine abuse, psychosocial problems, and suicidal ideation among MHS beneficiaries. The majority of care was received for mental health disorders (78

  6. [Marketing in the system of military-medical facilities].

    Science.gov (United States)

    Kostiuchenko, O M; Sviridova, T B

    2014-02-01

    Military medical facilities of the Ministry of Defence of the Russian, have received the right to provide additional services and have been involved in the sphere of market relations. The strong influence of market relations - an objective reality that must be used for the development of military medical institutions and improving quality of care.Effective commercial activity can improve capabilities of the military medical institutions. This requires constant study of market mechanisms to implement and develop their competitive advantage. The paper substantiates the need for the participation of military medical institutions in the provision of health services to the public on the terms of compensation incurred by financial institutions costs (paid medical services, medical assistance program of compulsory and voluntary health insurance). Taking into account the specifics of military medical institutions set out basic principles and recommendations have been implementing marketing approach in their management, the practical application of which will not only increase efficiency, but also create conditions to improve the financial and economic indicators. This knowledge will help the mechanism of functioning health care market and the rules of interaction of market counterparties.

  7. Trends in Vitamin A, C, D, E, K Supplement Prescriptions From Military Treatment Facilities: 2007 to 2011.

    Science.gov (United States)

    Morioka, Travis Y; Bolin, Jeremy T; Attipoe, Selasi; Jones, Donnamaria R; Stephens, Mark B; Deuster, Patricia A

    2015-07-01

    Although prior studies have examined the prevalence of dietary supplement use among various populations, data on single vitamins prescribed by health care providers are limited. This study examined trends in single-vitamin supplement (A, C, D, E, K) prescriptions by providers from military treatment facilities from 2007 to 2011. We examined prescription data from the Department of Defense Pharmacy Data Transaction Service to determine trends in the aforementioned single-vitamin supplement prescriptions. Prescription rates per 1,000 active duty personnel were estimated using population data retrieved from the Defense Medical Epidemiology Database (i.e., [number of prescriptions/population size] × 1,000). Across the 5-year period, the number of vitamin D prescriptions per 1,000 active duty personnel increased 454%. In contrast, the number of vitamin A, vitamin E, and vitamin K prescriptions per 1,000 active duty personnel decreased by 32%, 53%, and 29% respectively. Vitamin C prescriptions remained relatively constant. Across all age groups, total single-vitamin supplement prescriptions increased by 180%. Together, prescriptions examined in this study increased steadily from 2007 to 2011, primarily because of the increase in vitamin D prescriptions. The exhibited trend reflects the current general-population pattern of dietary supplement use, with large increases in vitamin D and declines in vitamin E. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

  8. Military Real Property Maintenance: Management Improvements are needed to Ensure Adequate Facilities

    National Research Council Canada - National Science Library

    Chan, Kwai-Cheung

    2000-01-01

    ... about $5 billion for each of the past 4 years (fiscal years 1996-1999). Separate accounts are used to fund maintenance and repair of family housing, many industrial-related facilities, and many military medical facilities...

  9. Infection control challenges in deployed US military treatment facilities.

    Science.gov (United States)

    Hospenthal, Duane R; Crouch, Helen K

    2009-04-01

    Personnel sustaining combat-related injuries in current overseas conflicts continue to have their care complicated by infections caused by multidrug-resistant organisms, including Acinetobacter, Klebsiella, and Pseudomonas. Although presumed to be due to multiple factors both within and outside of the combat theater, concern has been raised about the difficulties in establishing and maintaining standard infection control (IC) practices in deployed medical treatment facilities and in the evacuation of the injured back to the United States. Level III facilities (hospitals capable of holding patients >72 hours) in Iraq and Afghanistan and the evacuation system from Iraq to the continental US were reviewed by an expert IC-infectious disease team. All reviewed facilities had established IC programs, but these were staffed by personnel with limited IC experience, often without perceived adequate time dedicated to perform their duties, and without uniform levels of command emphasis or support. Proper hand hygiene between patients was not always ideal. Isolation and cohorting of patients to decrease multidrug-resistant organism colonization and infection varied among facilities. Review of standard operating procedures found variability among institutions and in quality of these documents. Application of US national and theater-specific guidelines and of antimicrobial control measures also varied among facilities. Effective IC practices are often difficult to maintain in modern US hospitals. In the deployed setting, with ever-changing personnel in a less than optimal practice environment, IC is even more challenging. Standardization of practice with emphasis on the basics of IC practice (e.g., hand hygiene and isolation procedures) needs to be emplaced and maintained in the deployed setting.

  10. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil)

    Science.gov (United States)

    Wong, Eunice C.; Jaycox, Lisa H.; Ayer, Lynsay; Batka, Caroline; Harris, Racine; Naftel, Scott; Paddock, Susan M.

    2015-01-01

    Abstract A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the Army's primary care settings. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) presents the results from RAND's assessment of the implementation of RESPECT-Mil in military treatment facilities and makes recommendations to improve the delivery of mental health care in these settings. Analyses were based on existing program data used to monitor fidelity to RESPECT-Mil across the Army's primary care clinics, as well as discussions with key stakeholders. During the time of the evaluation, efforts were under way to implement the Patient Centered Medical Home, and uncertainties remained about the implications for the RESPECT-Mil program. Consideration of this transition was made in designing the evaluation and applying its findings more broadly to the implementation of collaborative care within military primary care settings. PMID:28083389

  11. Improving human papilloma virus vaccination rates throughout military treatment facilities.

    Science.gov (United States)

    Dawson, Rachel; Lemmon, Keith; Trivedi, Nidhi J; Hansen, Shana

    2018-03-07

    The four objectives of this study were to (1) educate military healthcare providers on HPV disease and vaccine, (2) assess short term recall of information presented at educational sessions, (3) assess provider comfort level with the vaccine, and (4) assess improvement in HPV vaccination rates. Standardized interactive educational sessions were conducted at military primary care clinics with pre- and post-educational quizzes administered before and immediately following the sessions. Provider attitudes were assessed using Likert scale questionnaires. Vaccination rates in children and young adolescents ages 11-18 at one of the participating regions that had a champion and started a Quality Improvement (QI) project were assessed at baseline, at 3-months and at 6-months post sessions. 200 providers were reached at 48 primary care clinics during May 2014 through October 2015 with 200 quizzes and Likert scale questionnaires returned. There was increase in knowledge following the educational sessions as revealed in the pre- and post- test scores [t(57) = -5.04, p knowledge recall and comfort level in answering parents' questions was seen. We found that educational sessions can improve HPV vaccination rates in military clinics that have a vaccine champion for up to 3-months. Further research into the effects of having clinic vaccine champions is critical. Copyright © 2018. Published by Elsevier Ltd.

  12. Can surgery improve neurological function in penetrating spinal injury? A review of the military and civilian literature and treatment recommendations for military neurosurgeons.

    Science.gov (United States)

    Klimo, Paul; Ragel, Brian T; Rosner, Michael; Gluf, Wayne; McCafferty, Randall

    2010-05-01

    Penetrating spinal injury (PSI), although an infrequent injury in the civilian population, is not an infrequent injury in military conflicts. Throughout military history, the role of surgery in the treatment of PSI has been controversial. The US is currently involved in 2 military campaigns, the hallmark of both being the widespread use of various explosive devices. The authors reviewed the evidence for or against the use of decompressive laminectomy to treat PSI to provide a triservice (US Army, Navy, and Air Force) consensus and treatment recommendations for military neurosurgeons and spine surgeons. A US National Library of Medicine PubMed database search that identified all literature dealing with acute management of PSI from military conflicts and civilian urban trauma centers in the post-Vietnam War period was undertaken. Nineteen retrospective case series (11 military and 8 civilian) met the study criteria. Eleven military articles covered a 20-year time span that included 782 patients who suffered either gunshot or blast-related projectile wounds. Four papers included sufficient data that analyzed the effectiveness of surgery compared with nonoperative management, 6 papers concluded that surgery was of no benefit, 2 papers indicated that surgery did have a role, and 3 papers made no comment. Eight civilian articles covered a 9-year time span that included 653 patients with spinal gunshot wounds. Two articles lacked any comparative data because of treatment bias. Two papers concluded that decompressive laminectomy had a beneficial role, 1 paper favored the removal of intracanal bullets between T-12 and L-4, and 5 papers indicated that surgery was of no benefit. Based on the authors' military and civilian PubMed literature search, most of the evidence suggests that decompressive laminectomy does not improve neurological function in patients with PSI. However, there are serious methodological shortcomings in both literature groups. For this and other reasons

  13. Radiochemical analysis of military nuclear facilities

    International Nuclear Information System (INIS)

    Bayramov, A.A.; Bayramova, S.M.

    2012-01-01

    Full text : Radiochemical Analysis is a branch of analytical chemistry comprising an aggregate of methods for qualitatively determining the composition and content of radioisotopes in the products of transformations. Safety and minimization of radiation impact on human and environment are important demand of operation of Military Nuclear Facilities (MNF). In accordance of recommendations of International Commission on Radiological Protection there are next objects of radiochemical analysis: 1) potential sources of radiochemical pollution; 2) environment (objects of environment, human environment including buildings, agricultural production, water, air et al.); 3) human himself (determination of dose from external and internal radiation, chemical poisoning). The chemical analysis can be carried out using, for example, the Gas Chromatography instrument whish separates chemical mixtures and identifies the components at a molecular level. It is one of the most accurate tools for analyzing environmental samples. The Gas Chromatography works on the principle that a mixture will separate into individual substances when heated. The heated gases are carried through a column with an inert gas (such as helium). As the separated substances emerge from the column opening, they flow into the Mass Spectrometry. Mass spectrometry identifies compounds by the mass of the analyte molecule. Newly developed portable Gas Chromatography and Mass Spectrometry are techniques that can be used to separate volatile organic compounds and pesticides. Other uses of Gas Chromatography, combined with other separation and analytical techniques, have been developed for radionuclides, explosive compounds such as royal demolition explosive and trinitrotoluene, and metals. So, based on the many years experience of operation of dangerous MNF, in concordance with norms of radiation and chemical safety it was considered that the tasks of the radiochemical analysis of Military Nuclear Facilities include

  14. A global epidemiological survey and strategy of treatment of military ocular injury

    Directory of Open Access Journals (Sweden)

    Mao-nian ZHANG

    2011-10-01

    Full Text Available Objective To investigate the current global status of military ocular injury for the purpose of improving the level of domestic epidemiological investigation,in order to improve treatment strategies,and to prevent and reduce the incidence of military ocular injury in Chinese PLA.Methods The epidemiological literature concerning military ocular injury occurring in our country and abroad in recent five years was retrieved by information research;the problems and experiences in the aspects of epidemiological survey,registry,data collection,systematic treatment and prevention of military ocular injury existed in PLA were also summarized and analyzed.Results There were currently no systematic epidemiological data about ocular injury in PLA.A few articles about epidemiological study on ocular injury showed that servicemen were the high risk population of ocular injury.Both in peacetime or wartime the ocular injury was the primary cause leading to monocular blindness of soldiers.As to the ocular injury,in 51.55% of the patients,it occurred in the military operations and work,and 30.31% in military training.The incidence of ocular injury was different in various services,for example,the incidence in the internal security forces of armed police could be as high as 78.85% due to training of martial arts and boxing and wrestling.The deficiency of microsurgery equipments and untimely evacuation were the main causes affecting prognosis during treatment course in primary military hospitals.Conclusions Military affairs,physical training,military maneuver and defense constructions are the main causes of ocular injury in servicemen,and young male soldiers are the main group for prevention and treatment for military ocular injury.More attention should be paid to the epidemiological survey of military ocular injury to find out the causes leading to ocular injury,to improve treatment strategies,to formulate feasible protective measures and then military ocular

  15. Treatment of groundwater contaminated with low levels of military munitions

    International Nuclear Information System (INIS)

    Bricka, R.M.; Sharp, W.

    1993-01-01

    The site of interest is a military base that was established in the late 1800s. In its early history this facility was used as a powder depot to fill projectiles with miximite (a propellant). Since World War I, this facility was used to produce artillery ammunition, bombs, high explosives, pyrotechnics and other ordinances. Weapons production at this facility has ceased, but as a result of the past activities at this facility, contaminants are migrating into the groundwater. One source of drinking water for this installation is a screened well in a stratified-drift aquifer system at a depth of 75-85 feet below land surface. In the 1980s sampling of this well revealed low level contamination of trichloroethylene (TCE), RDX and HMX. TCE levels exceeded drinking water standards and an air stripping column was installed to remove the TCE. RDX and HMX, concentrations were below drinking water standards. Health Advisory (HA) levels for RDX and HMX were published by the U.S. Environmental Protection Agency (USEPA) in November 1988. The lifetime HA levels are 2 ppb and 400 ppb for RDX and HMX, respectively (McLellan et al. 1988a, and McLellan et al. 1988b). It is expected that continuous withdrawals from this well will increase RDX and HMX concentrations. In addition, it is believed that future USEPA regulations will adapt the HA as a drinking water standard. This study was initiated in an effort to have an appropriate cost effective technology ready to meet any such standard. RDX and HMX RDX and HMX are military explosives. RDX (Hexahydro-l,3,5-trinitro-l,3,5-triazine) is a code name for Research Department Explosive. This explosive is described as a white crystalline solid with about 1.3 times the explosive power of trinitrotoluene (TNT). RDX is classified as a EPA Group C compound: Possible Human Carcinogen (McLellan et. al. 1988a). HMX (Octahydro-1, 3, 5, 7- tetranitro-l, 3, 5, 7-tetrazocine) is a code name for High Melting Explosive. This explosive is described as a

  16. Outpatient evaluation, recognition, and initial management of pediatric overweight and obesity in U.S. military medical treatment facilities.

    Science.gov (United States)

    Dickey, Wayne; Arday, David R; Kelly, Joseph; Carnahan, Col David

    2017-02-01

    As childhood obesity is a concern in many communities, this study investigated outpatient evaluation and initial management of overweight and obese pediatric patients in U.S. military medical treatment facilities (MTFs). Samples of 579 overweight and 341 obese patients (as determined by body mass index [BMI]) aged 3-17 years were drawn from MTFs. All available FY2011 outpatient records were searched for documentation of BMI assessment, overweight/obesity diagnosis, and counseling. Administrative data for these patients were merged to assess coded diagnostic and counseling rates and receipt of recommended laboratory screenings. Generic BMI documentation was high, but BMI percentile assessments were found among fewer than half the patients. Diagnostic recording or recognition totaled 10.9% of overweight and 32.0% of obese. Counseling rates were higher, with 46.4% and 61.0% of overweight and obese patients, respectively, receiving weight related counseling. Among patients 10 years of age or older, rates of recommended lab screenings for diabetes, liver abnormality, and dyslipidemia were not greater than 33%. BMI percentile recording was strongly associated with diagnostic recording, and diagnostic recording was strongly associated with counseling. Improvements to electronic health records or implementation of local procedures to facilitate better diagnostic recording would likely improve adherence to clinical practice guidelines. ©2016 American Association of Nurse Practitioners.

  17. Patient perceptions of surgeon-industry relations in a military setting.

    Science.gov (United States)

    Ortiz, Dionisio; Jenne, Joel

    2014-12-01

    Investigations into the financial relationships between orthopedic surgeons and device manufacturers have recently been investigated. Despite these investigations, the public appears to maintain trust and confidence that their surgeons are acting in patients' best interest. However, patient perceptions of these relationships have not been investigated in a military treatment setting. We surveyed patients' perception of the surgeon-industry relationship in a single military treatment facility. From March 2012 to March 2013, we surveyed 282 preoperative and postoperative spine and arthroplasty patients in a single military treatment facility. Patients were eligible if they were adult TRICARE beneficiaries being followed in one of those clinics and within the age requirements. Most patients were aware of private industry involvement in the manufacture of orthopedic implants (77%). Most patients thought that it was beneficial for surgeons to serve in an advisory role to device companies (81%) and most (65%) felt that the relationship was appropriate and beneficial for patient care. A minority (29%) felt their surgeon should receive payment for this role. Most patients in the military setting had a positive view of the relationship that their surgeons had with industry, which is reflective of data obtained in the civilian literature. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  18. Radioactive Liquid Waste Treatment Facility: Environmental Information Document

    Energy Technology Data Exchange (ETDEWEB)

    Haagenstad, H.T.; Gonzales, G.; Suazo, I.L. [Los Alamos National Lab., NM (United States)

    1993-11-01

    At Los Alamos National Laboratory (LANL), the treatment of radioactive liquid waste is an integral function of the LANL mission: to assure U.S. military deterrence capability through nuclear weapons technology. As part of this mission, LANL conducts nuclear materials research and development (R&D) activities. These activities generate radioactive liquid waste that must be handled in a manner to ensure protection of workers, the public, and the environment. Radioactive liquid waste currently generated at LANL is treated at the Radioactive Liquid Waste Treatment Facility (RLWTF), located at Technical Area (TA)-50. The RLWTF is 30 years old and nearing the end of its useful design life. The facility was designed at a time when environmental requirements, as well as more effective treatment technologies, were not inherent in engineering design criteria. The evolution of engineering design criteria has resulted in the older technology becoming less effective in treating radioactive liquid wastestreams in accordance with current National Pollutant Discharge Elimination System (NPDES) and Department of Energy (DOE) regulatory requirements. Therefore, to support ongoing R&D programs pertinent to its mission, LANL is in need of capabilities to efficiently treat radioactive liquid waste onsite or to transport the waste off site for treatment and/or disposal. The purpose of the EID is to provide the technical baseline information for subsequent preparation of an Environmental Impact Statement (EIS) for the RLWTF. This EID addresses the proposed action and alternatives for meeting the purpose and need for agency action.

  19. Radioactive Liquid Waste Treatment Facility: Environmental Information Document

    International Nuclear Information System (INIS)

    Haagenstad, H.T.; Gonzales, G.; Suazo, I.L.

    1993-11-01

    At Los Alamos National Laboratory (LANL), the treatment of radioactive liquid waste is an integral function of the LANL mission: to assure U.S. military deterrence capability through nuclear weapons technology. As part of this mission, LANL conducts nuclear materials research and development (R ampersand D) activities. These activities generate radioactive liquid waste that must be handled in a manner to ensure protection of workers, the public, and the environment. Radioactive liquid waste currently generated at LANL is treated at the Radioactive Liquid Waste Treatment Facility (RLWTF), located at Technical Area (TA)-50. The RLWTF is 30 years old and nearing the end of its useful design life. The facility was designed at a time when environmental requirements, as well as more effective treatment technologies, were not inherent in engineering design criteria. The evolution of engineering design criteria has resulted in the older technology becoming less effective in treating radioactive liquid wastestreams in accordance with current National Pollutant Discharge Elimination System (NPDES) and Department of Energy (DOE) regulatory requirements. Therefore, to support ongoing R ampersand D programs pertinent to its mission, LANL is in need of capabilities to efficiently treat radioactive liquid waste onsite or to transport the waste off site for treatment and/or disposal. The purpose of the EID is to provide the technical baseline information for subsequent preparation of an Environmental Impact Statement (EIS) for the RLWTF. This EID addresses the proposed action and alternatives for meeting the purpose and need for agency action

  20. 32 CFR 245.17 - U.S. civil and military air traffic control facilities.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false U.S. civil and military air traffic control facilities. 245.17 Section 245.17 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS PLAN FOR THE EMERGENCY SECURITY CONTROL OF AIR TRAFFIC (ESCAT) Procedures for Implementation of ESCAT §...

  1. Assessment of Chiropractic Treatment for Low Back Pain, Military Readiness and Smoking Cessation in Military Active Duty Personnel

    Science.gov (United States)

    2017-03-01

    anticipated likelihood of each for this study are included below: Rare but serious (event rate ə %) Fracture to the ribs or hip Nerve injury that may...Award Number: W81-XWH-11-2-0107 TITLE: Assessment of Chiropractic Treatment for Low Back Pain , Military Readiness and Smoking Cessation in...2016 – 02/14/2017 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Assessment of Chiropractic Treatment for Low Back Pain , Military Readiness and Smoking

  2. Wastewater Treatment Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — Individual permits for municipal, industrial, and semi-public wastewater treatment facilities in Iowa for the National Pollutant Discharge Elimination System (NPDES)...

  3. Combating the Military's Escalating Pharmacy Costs: A Lean Six Sigma Approach

    National Research Council Canada - National Science Library

    Nuce, James; Robinson, Lydia; Sikora, Tom

    2008-01-01

    The pharmacy operations of three military, Medical Treatment Facilities (MTF) were observed, to determine possible process improvements and cost saving mechanisms that may be achieved through Lean Six Sigma methodologies...

  4. Outpatient Mental Health Treatment Utilization and Military Career Impact in the United States Marine Corps.

    Science.gov (United States)

    Ghahramanlou-Holloway, Marjan; LaCroix, Jessica M; Koss, Kari; Perera, Kanchana U; Rowan, Anderson; VanSickle, Marcus R; Novak, Laura A; Trieu, Theresa H

    2018-04-23

    Service members (SM) are at increased risk of psychiatric conditions, including suicide, yet research indicates SMs believe seeking mental health treatment may negatively impact their military careers, despite a paucity of research examining actual career impacts. This study examined the link between seeking outpatient mental health (MH) treatment and military career impacts within the United States Marine Corps. In Phase 1, a retrospective medical record review of outpatient MH treatment-seeking Marines ( N = 38) was conducted. In Phase 2, a sample of outpatient MH treatment-seeking Marines ( N = 40) was matched to a non-treatment-seeking sample of Marines ( N = 138) to compare career-progression. In Phase 1, there were no significant links between demographic, military, and clinical characteristics and referral source or receipt of career-affecting treatment recommendations. In Phase 2, MH treatment-seeking Marines in outpatient settings were more likely than matched controls to be separated from the military (95.0% versus 63.0%, p = 0.002), but no more likely to experience involuntary separation. MH treatment-seeking Marines were more likely to have documented legal action (45.0% versus 23.9%, p = 0.008) and had a shorter time of military service following the index MH encounter than matched controls ( p < 0.001). Clinical, anti-stigma, and suicide prevention policy implications are discussed.

  5. Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility

    International Nuclear Information System (INIS)

    1993-08-01

    The 200 Area Effluent Treatment Facility Dangerous Waste Permit Application documentation consists of both Part A and a Part B permit application documentation. An explanation of the Part A revisions associated with this treatment and storage unit, including the current revision, is provided at the beginning of the Part A section. Once the initial Hanford Facility Dangerous Waste Permit is issued, the following process will be used. As final, certified treatment, storage, and/or disposal unit-specific documents are developed, and completeness notifications are made by the US Environmental Protection Agency and the Washington State Department of Ecology, additional unit-specific permit conditions will be incorporated into the Hanford Facility Dangerous Waste Permit through the permit modification process. All treatment, storage, and/or disposal units that are included in the Hanford Facility Dangerous Waste Permit Application will operate under interim status until final status conditions for these units are incorporated into the Hanford Facility Dangerous Waste Permit. The Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility contains information current as of May 1, 1993

  6. Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The 200 Area Effluent Treatment Facility Dangerous Waste Permit Application documentation consists of both Part A and a Part B permit application documentation. An explanation of the Part A revisions associated with this treatment and storage unit, including the current revision, is provided at the beginning of the Part A section. Once the initial Hanford Facility Dangerous Waste Permit is issued, the following process will be used. As final, certified treatment, storage, and/or disposal unit-specific documents are developed, and completeness notifications are made by the US Environmental Protection Agency and the Washington State Department of Ecology, additional unit-specific permit conditions will be incorporated into the Hanford Facility Dangerous Waste Permit through the permit modification process. All treatment, storage, and/or disposal units that are included in the Hanford Facility Dangerous Waste Permit Application will operate under interim status until final status conditions for these units are incorporated into the Hanford Facility Dangerous Waste Permit. The Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility contains information current as of May 1, 1993.

  7. The Reasons for Living Scale-Military Version: Assessing Protective Factors Against Suicide in a Military Sample.

    Science.gov (United States)

    Deutsch, Anne-Marie; Lande, R Gregory

    2017-07-01

    Military suicide rates have been rising over the past decade and continue to challenge military treatment facilities. Assessing suicide risk and improving treatments are a large part of the mission for clinicians who work with uniformed service members. This study attempts to expand the toolkit of military suicide prevention by focusing on protective factors over risk factors. In 1983, Marsha Linehan published a checklist called the Reasons for Living Scale, which asked subjects to check the reasons they choose to continue living, rather than choosing suicide. The authors of this article hypothesized that military service members may have different or additional reasons to live which may relate to their military service. They created a new version of Linehan's inventory by adding protective factors related to military life. The purpose of these additions was to make the inventory more acceptable and relevant to the military population, as well as to identify whether these items constitute a separate subscale as distinguished from previously identified factors. A commonly used assessment tool, the Reasons for Living Inventory (RFL) designed by Marsha Linehan, was expanded to offer items geared to the military population. The RFL presents users with a list of items which may be reasons to not commit suicide (e.g., "I have a responsibility and commitment to my family"). The authors used focus groups of staff and patients in a military psychiatric partial hospitalization program to identify military-centric reasons to live. This process yielded 20 distinct items which were added to Linehan's original list of 48. This expanded list became the Reasons for Living-Military Version. A sample of 200 patients in the military partial hospitalization program completed the inventory at time of or close to admission. This study was approved by the Institutional Review Board at Walter Reed National Military Center for adhering to ethical principles related to pursuing research

  8. Multimedia Campaign Enhances Orthopaedic Patient Perceptions of Health Care Quality: A Prospective Analysis of Effect at a Military Treatment Facility.

    Science.gov (United States)

    Sheean, Andrew J; Foster, James N; Aden, James K; Tubb, Creighton C; Johnson, Anthony E; Stinner, Daniel J

    2017-07-01

    multimedia campaign resulted in significant improvements among indices of orthopaedic patient satisfaction. We believe this model could be used at other military or nonmilitary treatment facilities as a means to engender patients' familiarity with their surgeon and prompt an appreciation for his/her expertise and enhance overall patient perceptions of department-wide health care quality. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  9. Nuclear plants - military hostages

    International Nuclear Information System (INIS)

    Ramberg, B.

    1986-01-01

    Recent events suggest that nuclear reactors could make tempting military or terrorist targets. Despite the care with which most reactors are built, studies document their vulnerability to willful destruction through disruption of coolant mechanisms both inside and outside the containment building. In addition to reactors, such nuclear support facilities as fuel fabrication, reprocessing, and waste storage installations may be attractive military targets. A nuclear bomb which exploded in the vicinity of a reactor could increase its lethal effects by one-third. The implications of this is vulnerability for Middle East stability as well as to other volatile regions. The author suggests several avenues for controlling the dangers: international law, military and civil defense, facility siting, increasing plant safety, and the international management of nuclear energy. 21 references

  10. Intelligence and Security Standards on Industrial Facilities Protection in Case of Terrorism and Military Attack

    International Nuclear Information System (INIS)

    Stipetic, D.

    2007-01-01

    Industrial facilities, which use toxic chemicals in their production processes, are tempting targets for military and terrorist strategists. They know that these facilities when attacked could produce effects not realizable with conventional weapons. The resulting legal, policy and political consequences would be minimal as compared to that of disseminating toxic chemicals or chemical agents as weapons on enemy territory. At this time there is no clear definition of the legality or illegality of these types of actions used against specific industrial targets for the purpose of mass destruction or disruption. Without clearly defined international regulations covering these actions, we must depend solely on national defense systems. Not only are these regulation not defined, there are no implementation tools, which would be available if the various treaties (CWC/BWC) etc., were able to incorporate needed legislative action. Consequently we must depend on and put into practice defense security standards for industrial facilities for protection against both possible terrorist and military attacks. Emergency responses to incidents involving violent criminals and terrorists are extremely dangerous. Incidents involving weapons of mass destruction, firearms, and hazardous materials have resulted in the injury and death of many firefighters, police officers and medical personnel. We wish to intend display place and role of intelligence and counter intelligence system to prevention potential target and military attack. Security needs to be incorporated into the public safety culture and it must become the routine for how we operate. The recognition and identification process is an important skill that needs continual refinement. The use of transportation or facility paperwork assists in recognizing what potential hazards. A key factor in the successful command and management of a hazmat incident or terrorism event is the ability of public safety agencies to function as a

  11. Social anxiety disorder in the Chinese military: prevalence, comorbidities, impairment, and treatment-seeking.

    Science.gov (United States)

    Wang, Huaning; Zhang, Ruiguo; Chen, Yunchun; Wang, Huaihai; Zhang, Yahong; Gan, Jingli; Zhang, Liyi; Tan, Qingrong

    2014-12-30

    The objective of this work is To investigate the prevalence, comorbidities, impairment, and treatment-seeking of social anxiety disorder in the Chinese military personnel. Military personnel (n=11,527) were surveyed from May to August 2007 using a multistage whole cohort probability sampling method. A Chinese version of the World Health Organization Composite International Diagnostic Interview (CIDI) was used for assessment, and a military-related socio-demographic questionnaire was used to describe the prevalence distribution. A unified survey was performed to investigate 11 different social situations. The short-form health survey was used to assess role impairment. The 12-month and lifetime prevalence rates of social anxiety disorder were 3.34% (95% CI: 3.25-3.42%) and 6.22% (95% CI: 6.11-6.32%), respectively. Social anxiety disorder was associated with increased odds of depression, substance abuse, panic attacks/disorder, and generalized anxiety disorder. Childhood foster, female, stressful life events, younger age, and being divorced/widowed increase the incidence of social anxiety disorder. Treatment-seeking was relatively rare. Social anxiety disorder is a common disorder in military personnel in China, and it is a risk factor for subsequent depressive illness, substance abuse and other mental disorder. Early detection and treatment of social anxiety disorder are important because of the low rate of treatment-seeking. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  12. The Environmental Challenge of Military Munitions and Federal Facilities

    Science.gov (United States)

    EPA and the Department of Defense (DoD) must address the contamination legacy left by military munitions and explosives of concern (MEC) and other hazardous munitions materials from military live-fire training or testing.

  13. A Randomized Trial of Musculoskeletal Pain Treatment in a Military Population

    National Research Council Canada - National Science Library

    Gatchel, Robert J

    2005-01-01

    .... This study investigates the effectiveness of an interdisciplinary functional restoration approach to the treatment of Active Duty military from all four branches suffering from chronic musculoskeletal pain (CMP...

  14. Liquid Effluent Retention Facility/Effluent Treatment Facility Hazards Assessment

    International Nuclear Information System (INIS)

    Simiele, G.A.

    1994-01-01

    This document establishes the technical basis in support of Emergency Planning activities for the Liquid Effluent Retention Facility and Effluent Treatment Facility the Hanford Site. The document represents an acceptable interpretation of the implementing guidance document for DOE ORDER 5500.3A. Through this document, the technical basis for the development of facility specific Emergency Action Levels and the Emergency Planning Zone is demonstrated

  15. Teaching in Overseas Military Settings.

    Science.gov (United States)

    McKinney, Fred

    1980-01-01

    Reveals strengths and weaknesses encountered by a psychology teacher involved in the overseas graduate counseling program for Ball State University. Problems included lack of proper teaching and counseling facilities, long teaching hours, and civilian teachers' ignorance of military protocol. Advantages included helping military personnel obtain a…

  16. Substance use disorders in military veterans: prevalence and treatment challenges

    Directory of Open Access Journals (Sweden)

    Teeters JB

    2017-08-01

    Full Text Available Jenni B Teeters,1,2 Cynthia L Lancaster,1,2 Delisa G Brown,3 Sudie E Back1,2 1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; 2Ralph H Johnson Veterans Affairs (VA Medical Center, Charleston, SC, USA, 3Department of Human Development and Psychoeducation, Howard University, Washington, DC, USA Abstract: Substance use disorders (SUDs are a significant problem among our nation’s military veterans. In the following overview, we provide information on the prevalence of SUDs among military veterans, clinical characteristics of SUDs, options for screening and evidence-based treatment, as well as relevant treatment challenges. Among psychotherapeutic approaches, behavioral interventions for the management of SUDs typically involve short-term, cognitive-behavioral therapy interventions. These interventions focus on the identification and modification of maladaptive thoughts and behaviors associated with increased craving, use, or relapse to substances. Additionally, client-centered motivational interviewing approaches focus on increasing motivation to engage in treatment and reduce substance use. A variety of pharmacotherapies have received some support in the management of SUDs, primarily to help with the reduction of craving or withdrawal symptoms. Currently approved medications as well as treatment challenges are discussed. Keywords: addiction, alcohol use disorders, drug use disorders, treatment, pharmacotherapy, psychotherapy

  17. Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

    International Nuclear Information System (INIS)

    Coenenberg, J.G.

    1997-01-01

    The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, 'operating' treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

  18. Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

    Energy Technology Data Exchange (ETDEWEB)

    Coenenberg, J.G.

    1997-08-15

    The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, `operating` treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

  19. A Guide to Interagency Support for DoD: Military Force Deployment, Civilian Noncombatant Repatriation, and Military Patient Regulation

    Science.gov (United States)

    1986-10-01

    organizations for facility support of bulk petrole - um products if necessary. Military construction of petroleum storage terminals is a joint responsibili...and MSC in arranging for domestic transport of petrole - um products. These two TOAs have specific responsibilities, depending on the type of vehicle...Military Liaison Office, Kuwait U.S. Liaison Office, Tunisia U.S. Mutual Defense Assistance Office U.S. Military Group U.S. Military Liaison Office U.S

  20. Biomedical Enhancement of Warfighters and the Legal Protection of Military Medical Personnel in Armed Conflict.

    Science.gov (United States)

    Liivoja, Rain

    2017-10-24

    Under international law, military medical personnel and facilities must be respected and protected in the event of an armed conflict. This special status only applies to personnel and facilities exclusively engaged in certain enumerated medical duties, especially the treatment of the wounded and sick, and the prevention of disease. Military medical personnel have, however, been called upon to engage in the biomedical enhancement of warfighters, as exemplified by the supply of central nervous system stimulants as a fatigue countermeasure. This article argues that international law of armed conflict does not recognise human enhancement as a medical duty, and that engaging in enhancement that is harmful to the enemy results in the loss of special protection normally enjoyed by military medical personnel and units. © The Author 2017. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1992-07-01

    The Grout Treatment Facility (GTF) will provide permanent disposal for approximately 43 Mgal of low-level radioactive liquid waste currently being stored in underground tanks on the Hanford Site. The first step in permanent disposal is accomplished by solidifying the liquid waste with cementitious dry materials. The resulting grout is cast within underground vaults. This report on the GTF contains information on the following: Geologic data, hydrologic data, groundwater monitoring program, information, detection monitoring program, groundwater characterization drawings, building emergency plan--grout treatment facility, response action plan for grout treatment facility, Hanford Facility contingency plan, training course descriptions, overview of the Hanford Facility Grout Performance, assessment, bland use and zoning map, waste minimization plan, cover design engineering report, and clay liners (ADMIXTURES) in semiarid environments

  2. Preventing Obesity in the Military Community (POMC): The Development of a Clinical Trials Research Network

    Science.gov (United States)

    Spieker, Elena A.; Sbrocco, Tracy; Theim, Kelly R.; Maurer, Douglas; Johnson, Dawn; Bryant, Edny; Bakalar, Jennifer L.; Schvey, Natasha A.; Ress, Rachel; Seehusen, Dean; Klein, David A.; Stice, Eric; Yanovski, Jack A.; Chan, Linda; Gentry, Shari; Ellsworth, Carol; Hill, Joanne W.; Tanofsky-Kraff, Marian; Stephens, Mark B.

    2015-01-01

    Obesity impacts the U.S. military by affecting the health and readiness of active duty service members and their families. Preventing Obesity in Military Communities (POMC) is a comprehensive research program within Patient Centered Medical Homes (PCMHs) in three Military Training Facilities. This paper describes three pilot randomized controlled trials that target critical high risk periods for unhealthy weight gain from birth to young adulthood: (1) pregnancy and early infancy (POMC-Mother-Baby), (2) adolescence (POMC-Adolescent), and (3) the first tour of duty after boot camp (POMC-Early Career). Each study employs a two-group randomized treatment or prevention program with follow up. POMC offers a unique opportunity to bring together research and clinical expertise in obesity prevention to develop state-of-the-art programs within PCMHs in Military Training Facilities. This research builds on existing infrastructure that is expected to have immediate clinical benefits to DoD and far-reaching potential for ongoing collaborative work. POMC may offer an economical approach for widespread obesity prevention, from conception to young adulthood, in the U.S. military as well as in civilian communities. PMID:25648176

  3. Improving the beam quality of the neutron radiography facility using the SLOWPOKE-2 at the Royal Military College of Canada

    International Nuclear Information System (INIS)

    Lewis, W.J.; Bennett, L.G.I.; Teshima, P.

    1996-01-01

    At the SLOWPOKE-2 Facility at the Royal Military College of Canada, a neutron radiography facility has been designed and installed, and the beam quality has been improved by performing a series of radiographs using American standard for testing and materials (ASTM) E 545 indicators. Other means of determining the progress such as bubble detectors and activation foils were used. Modifications to the nosepiece of the beam tube including shielding and linings for fast neutron and gamma radiation were made. (orig.)

  4. Reflections on Recent Research Into Animal-Assisted Interventions in the Military and Beyond.

    Science.gov (United States)

    Rumayor, Christina B; Thrasher, Amy M

    2017-11-25

    The purpose of the present review was threefold: to address the current state of Animal-Assisted Interactions (AAI) within the military; to summarize recent literature (within the past three years) in the field of AAI; and to discuss trends in AAI research since 2014. With regard to AAI within the military, several canine interaction programs have been utilized to assist service members in coping with various issues. Therapy dogs have been deployed with Combat-Operational Stress Control units; they have been integrated into medical clinics and behavioral health treatment programs in garrison; and policy has been developed to address the use of therapy animals in military treatment facilities. General research in AAI has demonstrated efficacy for certain presenting issues (stress management, trauma, autism spectrum disorder) and specific populations (children, the elderly, acute care patients). Overall trends in research include calls for increased consideration for animal welfare in AAI and increased rigor in research methodology. Current research supports the structured use of therapy dogs in the treatment of various disorders and with specific populations, including military service members and veterans; however, the need for additional research with rigorous methodology remains.

  5. Hazardous waste treatment facility and skid-mounted treatment systems at Los Alamos

    International Nuclear Information System (INIS)

    Lussiez, G.W.; Zygmunt, S.J.

    1993-01-01

    To centralize treatment, storage, and staging areas for hazardous wastes, Los Alamos National Laboratory has designed a 12,000-ft 2 hazardous waste treatment facility. The facility will house a treatment room for each of four kinds of wastes: nonradioactive characteristic wastes, nonradioactive listed wastes radioactive characteristic wastes, and radioactive listed wastes. The facility will be used for repacking labpacks, bulking small organic waste volumes, processing scintillation vials, treating reactives such as lithium hydride and pyrophoric uranium, treating contaminated solids such as barium sand, and treating plating wastes. The treated wastes will then be appropriately disposed of. This report describes the integral features of the hazardous waste treatment facility

  6. Treatment of Social Competence in Military Veterans, Service Members, and Civilians with Traumatic Brain Injury

    Science.gov (United States)

    2015-08-01

    External Relation, Clarity of Expression, Social Style, Subject Matter, and Aesthetics ). Each of these 10 subscales are rated on a scale of 0 to 5 where 0...Award Number: W81XWH-11-1-0635 TITLE: Treatment of Social Competence in Military Veterans, Service Members, and Civilians with Traumatic Brain...1Aug2014 - 31Jul2015 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Treatment of Social Competence in Military Veterans, Service Members, and Civilians with

  7. The multi-role nature of the SLOWPOKE-2 facility at the Royal Military College of Canada

    International Nuclear Information System (INIS)

    Bennett, L.G.I.; Beeley, P.A.

    1994-01-01

    After up to a decade of successful operation of seven SLOWPOKE-2 reactors within Canada and in Jamaica, an eighth SLOWPOKE-2 research reactor was installed at the Royal Military College of Canada in 1985. Its open pool was one factor that allowed the authors to develop a variety of research capabilities beyond those being established for NAA. A description of the research projects to date will serve to indicate the diversity of this facility. (author) 14 refs.; 4 figs.; 1 tab

  8. Hazard Baseline Downgrade Effluent Treatment Facility

    International Nuclear Information System (INIS)

    Blanchard, A.

    1998-01-01

    This Hazard Baseline Downgrade reviews the Effluent Treatment Facility, in accordance with Department of Energy Order 5480.23, WSRC11Q Facility Safety Document Manual, DOE-STD-1027-92, and DOE-EM-STD-5502-94. It provides a baseline grouping based on the chemical and radiological hazards associated with the facility. The Determination of the baseline grouping for ETF will aid in establishing the appropriate set of standards for the facility

  9. Barriers to mental health treatment for military wives.

    Science.gov (United States)

    Lewy, Colleen S; Oliver, Celina M; McFarland, Bentson H

    2014-09-01

    An Internet-based survey sought information about barriers to mental health services for military wives. On the basis of qualitative work, an Internet-based program was created to identify military wives who may have major depressive disorder. Women (N=569, ages 18 to 56) were recruited from 45 states and eight foreign countries. Most participants (78%) reported mild to severe depression. Many (44%) reported unaddressed mental health needs. Barriers included inability to attend daytime appointments (38%), inability to find a counselor who understands the needs of military spouses (35%), inability to find a counselor the participant could trust (29%), concerns about confidentiality (26%), and lack of knowledge about where to get services (25%). The barriers reported differed markedly from those described by distressed women in the general population. Military wives are an underserved population. Knowledge of military culture is essential for civilian mental health providers working with military wives.

  10. A comparative sociological study of peace museums and military museums

    OpenAIRE

    Murakami, Toshifumi

    2003-01-01

    This paper compares peace museums and military museums in Japan and foreign countries. It analyses the features, social functions of both peace and military museums, and considers the social influence on both museums. A public relations facility of the Self Defense Forces is regarded as a military museum in Japan, so the development and contents of the exhibition of such public relations facilities are analyzed. A half of them were established in a period between 1964 and 1969. Three new larg...

  11. Hanford facilities tracer study report (315 Water Treatment Facility)

    International Nuclear Information System (INIS)

    Ambalam, T.

    1995-01-01

    This report presents the results and findings of a tracer study to determine contact time for the disinfection process of 315 Water Treatment Facility that supplies sanitary water for the 300 Area. The study utilized fluoride as the tracer and contact times were determined for two flow rates. Interpolation of data and short circuiting effects are also discussed. The 315 Water Treatment Facility supplies sanitary water for the 300 Area to various process and domestic users. The Surface Water Treatment Rule (SWTR), outlined in the 1986 Safe Drinking Water Act Amendments enacted by the EPA in 1989 and regulated by the Washington State Department of Health (DOH) in Section 246-290-600 of the Washington Administrative Code (WAC), stipulates filtration and disinfection requirements for public water systems under the direct influence of surface water. The SWTR disinfection guidelines require that each treatment system achieves predetermined inactivation ratios. The inactivation by disinfection is approximated with a measure called CxT, where C is the disinfectant residual concentration and T is the effective contact time of the water with the disinfectant. The CxT calculations for the Hanford water treatment plants were derived from the total volume of the contact basin(s). In the absence of empirical data to support CxT calculations, the DOH determined that the CxT values used in the monthly reports for the water treatment plants on the Hanford site were invalid and required the performance of a tracer study at each plant. In response to that determination, a tracer study will be performed to determine the actual contact times of the facilities for the CxT calculations

  12. Nuclear fuel treatment facility for 'Mutsu'

    International Nuclear Information System (INIS)

    Kanazawa, Toshio; Fujimura, Kazuo; Horiguchi, Eiji; Kobayashi, Tetsuji; Tamekiyo, Yoshizou

    1989-01-01

    A new fixed mooring harbor in Sekinehama and surrounding land facilities to accommodate a test voyage for the nuclear-powered ship 'Mutsu' in 1990 were constructed by the Japan Atomic Energy Research Institute. Kobe Steel took part in the construction of the nuclear fuel treatment process in various facilities, beginning in October, 1988. This report describes the outline of the facility. (author)

  13. Wastewater treatment facilities: Energy efficient improvements and cogeneration

    International Nuclear Information System (INIS)

    Kunkle, R.; Gray, R.; Delzel, D.

    1992-10-01

    The Washington State Energy Office (WSEO) has worked with both the Bonneville Power Administration (BPA) and the US Department of Energy to provide technical and financial assistance to local governments. Based on a recent study conducted by Ecotope for WSEO, local governments spend an estimated $45 million on utility bills statewide. Water and wastewater facilities account for almost a third of this cost. As a result, WSEO decided to focus its efforts on the energy intensive water and wastewater sector. The ultimate goal of this project was to develop mechanisms to incorporate energy efficiency improvements into wastewater treatment facilities in retrofits and during upgrades, remodels, and new construction. Project activities included the following: The review of the existing regulatory environment for treatment system construction, A summary of financing options for efficiency improvements in treatment facilities, A literature review of energy efficiency opportunities in treatment plants, Survey and site visits to characterize existing facilities in Washington State, Estimates of the energy efficiency and cogeneration potential in the sector, and A case study to illustrate the implementation of an efficiency improvement in a treatment facility

  14. LOW LEVEL LIQUID RADIOACTIVE WASTE TREATMENT AT MURMANSK, RUSSIA: FACILITY UPGRADE AND EXPANSION

    International Nuclear Information System (INIS)

    BOWERMAN, B.; CZAJKOWSKI, C.; DYER, R.S.; SORLIE, A.

    2000-01-01

    Today there exist many almost overfilled storage tanks with liquid radioactive waste in the Russian Federation. This waste was generated over several years by the civil and military utilization of nuclear power. The current waste treatment capacity is either not available or inadequate. Following the London Convention, dumping of the waste in the Arctic seas is no longer an alternative. Waste is being generated from today's operations, and large volumes are expected to be generated from the dismantling of decommissioned nuclear submarines. The US and Norway have an ongoing co-operation project with the Russian Federation to upgrade and expand the capacity of a treatment facility for low level liquid waste at the RTP Atomflot site in Murmansk. The capacity will be increased from 1,200 m 3 /year to 5,000 m 3 /year. The facility will also be able to treat high saline waste. The construction phase will be completed the first half of 1998. This will be followed by a start-up and a one year post-construction phase, with US and Norwegian involvement for the entire project. The new facility will consist of 9 units containing various electrochemical, filtration, and sorbent-based treatment systems. The units will be housed in two existing buildings, and must meet more stringent radiation protection requirements that were not enacted when the facility was originally designed. The US and Norwegian technical teams have evaluated the Russian design and associated documentation. The Russian partners send monthly progress reports to US and Norway. Not only technical issues must be overcome but also cultural differences resulting from different methods of management techniques. Six to eight hour time differentials between the partners make real time decisions difficult and relying on electronic age tools becomes extremely important. Language difficulties is another challenge that must be solved. Finding a common vocabulary, and working through interpreters make the process very

  15. On the Military Significance of Language Competence.

    Science.gov (United States)

    Muller, Kurt E.

    1981-01-01

    Argues that facility in a foreign language contributes to the nation's military capability in command, intelligence, operations, logistics, survival skills and in community and official relations. After reviewing relevant historical episodes, suggests that an effort should be made to improve U.S. military personnel language skills. (MES)

  16. Sludge treatment facility preliminary siting study for the sludge treatment project (A-13B)

    International Nuclear Information System (INIS)

    WESTRA, A.G.

    1999-01-01

    This study evaluates various sites in the 100 K area and 200 areas of Hanford for locating a treatment facility for sludge from the K Basins. Both existing facilities and a new standalone facility were evaluated. A standalone facility adjacent to the AW Tank Farm in the 200 East area of Hanford is recommended as the best location for a sludge treatment facility

  17. Effluent Treatment Facility tritium emissions monitoring

    International Nuclear Information System (INIS)

    Dunn, D.L.

    1991-01-01

    An Environmental Protection Agency (EPA) approved sampling and analysis protocol was developed and executed to verify atmospheric emissions compliance for the new Savannah River Site (SRS) F/H area Effluent Treatment Facility. Sampling equipment was fabricated, installed, and tested at stack monitoring points for filtrable particulate radionuclides, radioactive iodine, and tritium. The only detectable anthropogenic radionuclides released from Effluent Treatment Facility stacks during monitoring were iodine-129 and tritium oxide. This paper only examines the collection and analysis of tritium oxide

  18. Grout Treatment Facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1992-07-01

    The Grout Treatment Facility (GTF) is an existing treatment, storage, and/or disposal (TSD) unit located in the 200 East Area and the adjacent 600 Area of the Hanford Site. The GTF mixes dry cementitious solids with liquid mixed waste (containing both dangerous and radioactive constituents) produced by Hanford Site operations. The GTF consists of the following: The 241-AP-02D and 241-AP-04D waste pump pits and transfer piping; Dry Materials Facility (DMF); Grout Disposal Facility (GDF), consisting of the disposal vault and support and monitoring equipment; and Grout Processing Facility (GPF) and Westinghouse Hanford Company on the draft Hanford Facility Dangerous Waste Permit and may not be read to conflict with those comments. The Grout Treatment Facility Dangerous Waste Permit Application consists of both a Part A and a Part B permit application. An explanation of the Part A revisions associated with this TSD unit, including the current revision, is provided at the beginning of the Part A section. The Part B consists of 15 chapters addressing the organization and content of the Part B checklist prepared by the Washington State Department of Ecology (Ecology 1987). For ease of reference, the checklist section numbers, in brackets, follow chapter headings and subheadings

  19. Military Construction: Process and Outcomes

    Science.gov (United States)

    2016-12-14

    barracks, schools, hospitals, child development centers, and other facilities needed to support U.S. military forces at home and overseas. This military...and programming into the President’s budget could take three or more years. Furthermore, it is important to note that only those projects that have...travel, fuel, minor construction projects of $1M or less, training and education , and depot maintenance, and base operations support. O&M

  20. Imposex occurrence in marine whelks at a military facility in the high Arctic

    Energy Technology Data Exchange (ETDEWEB)

    Strand, Jakob [Department of Marine Ecology, National Environmental Research Institute, Frederiksborgvej 399, P.O. Box 358, 4000 Roskilde (Denmark)]. E-mail: jak@dmu.dk; Glahder, Christian M. [Department of Arctic Environment, National Environmental Research Institute, Frederiksborgvej 399, 4000 Roskilde (Denmark); Asmund, Gert [Department of Arctic Environment, National Environmental Research Institute, Frederiksborgvej 399, 4000 Roskilde (Denmark)

    2006-07-15

    Imposex was found in the Arctic whelk Buccinum finmarkianum at several marine stations off Thule Air Base, an US military facility in Northwest Greenland. This indicates a widespread contamination with the antifouling agents, tributyltin (TBT) or triphenyltin (TPhT) in the area, but such contamination was not supported by the organotin analyses in sediments, whelks and clams, which in general was below the analytical detection limit. Organotin concentrations above the detection limit were found only at one station close to a quay, where the highest frequency of imposex also occurred. This suggests that imposex in B. finmarkianum is a biomarker of TBT more sensitive than the detection limits, which the analytical chemistry could achieve in this study. - Imposex as a biomarker was more sensitive for TBT than analytical chemical methods.

  1. Imposex occurrence in marine whelks at a military facility in the high Arctic

    International Nuclear Information System (INIS)

    Strand, Jakob; Glahder, Christian M.; Asmund, Gert

    2006-01-01

    Imposex was found in the Arctic whelk Buccinum finmarkianum at several marine stations off Thule Air Base, an US military facility in Northwest Greenland. This indicates a widespread contamination with the antifouling agents, tributyltin (TBT) or triphenyltin (TPhT) in the area, but such contamination was not supported by the organotin analyses in sediments, whelks and clams, which in general was below the analytical detection limit. Organotin concentrations above the detection limit were found only at one station close to a quay, where the highest frequency of imposex also occurred. This suggests that imposex in B. finmarkianum is a biomarker of TBT more sensitive than the detection limits, which the analytical chemistry could achieve in this study. - Imposex as a biomarker was more sensitive for TBT than analytical chemical methods

  2. Royal Military College of Canada SLOWPOKE-2 facility. Integrated regulating and instrumentation system (SIRCIS) upgrade project

    International Nuclear Information System (INIS)

    Corcoran, W.P.; Nielsen, K.S.; Kelly, D.G.; Weir, R.D.

    2013-01-01

    The SLOWPOKE-2 Facility at the Royal Military College of Canada has operated the only digitally controlled SLOWPOKE reactor since 2001 (Version 1.0). The present work describes ongoing project development to provide a robust digital reactor control system that is consistent with Aging Management as summarized in the Facility's Life Cycle Management and Maintenance Plan. The project has transitioned from a post-graduate research activity to a comprehensively managed project supported by a team of RMCC professional and technical staff who have delivered an update of the V1.1 system software and hardware implementation that is consistent with best Canadian nuclear industry practice. The challenges associated with the implementation of Version 2.0 in February 2012, the lessons learned from this implementation, and the applications of these lessons to a redesign and rewrite of the RMCC SLOWPOKE-2 digital instrumentation and regulating system (Version 3) are discussed. (author)

  3. China’s Military Support Facility in Djibouti: The Economic and Security Dimensions of China’s First Overseas Base

    Science.gov (United States)

    2017-07-01

    establishment of an overseas military facility in Djibouti marks a fundamental shift in China’s foreign and security policy. • China’s leaders have long used...for Djibouti’s major investment projects. Moreover, Chinese state-owned firms built three of Djibouti’s largest—and most potentially transformative...be some opportunities for the United States to develop its economic relationship with Djibouti, particularly through foreign direct investment

  4. The AMIGO Clinical Study: Attrition Rates Among Military Beneficiaries Undergoing Intensive Group Outpatient Pre-Diabetes Care

    Science.gov (United States)

    2013-11-11

    inactivity and obesity have been observed to serve as catalysts to hasten disease progression. 1,2 A worldwide epidemic, the treatment of this...military treatment facility. The purpose of this study was to decrease the incidence of progression from pre-diabetes to diabetes by evaluating the...or lactating  Patients with untreated hypothyroidism or previously diagnosed Cushing’s syndrome  Patients currently taking metformin or

  5. New Equipment Training Center-Satellite Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The ARDEC Satellite Facility is a 24-hour on-site military satellite transmission and downlink capability to Southwest Asia and all other military OCONUS and CONUS...

  6. Pain treatment facilities: do we need quantity or quality?

    NARCIS (Netherlands)

    de Meij, N.; Koke, A.; van der Weijden, T.; van Kleef, M.; Patijn, J.

    2014-01-01

    Rationale, aims and objectives: Chronic pain patients referred to a pain treatment facility have no guarantee that they will receive a proper diagnostic procedure or treatment. To obtain information about organizational aspects of pain treatment facilities and the content of their daily pain

  7. Military and Military Medical Support in Highly Pathogenic Avian Influenza (HPAI/H5N1) Pandemic Scenario

    International Nuclear Information System (INIS)

    Taleski, V.

    2007-01-01

    Avian influenza (Bird flu) is a highly contagious viral disease affecting mainly chickens, turkeys, ducks, other birds and mammals. Reservoirs for HPAI /H5N1 virus are shore birds and waterfowl (asymptomatic, excrete virus in feces for a long periods of time), live bird markets and commercial swine facilities. Virus tends to cycle between pigs and birds. HPAI (H5N1) virus is on every 'top ten' list available for potential agricultural bio-weapon agents. The threat of a HPAI/H5N1 pandemic is a definitively global phenomenon and the response must be global. A number of National plans led to various measures of preventing and dealing with epidemics/pandemics. Lessons learned form the pandemic history indicated essential role of military and military medical support to civil authorities in a crisis situation. Based on International Military Medical Avian Influenza Pandemic workshop (Vienna 2006), an expected scenario would involve 30-50% outpatients, 20-30% hospital admission, 2-3% deaths, 10-20% complicated cases. Activities of civil hospital may be reduced by 50%. Benefits of military support could be in: Transportation of patients (primarily by air); Mass vaccination and provision of all other preventive measures (masks, Tamiflu); Restriction of movements; Infection control of health care facilities; Field hospitals for triage and quarantine, military barracks to treat milder cases and military hospitals for severe cases; Deal with corpses; Stockpiling (vaccines, antiviral, antibiotics, protective equipment, supplies); Training; Laboratories; Ensure public safety, etc. With the aim of minimizing the risk of a pandemic spread by means of rapid and uncomplicated cooperation, an early warning system has to be established to improve surveillance, improve international contacts (WHO, ECDC, CDC), establish Platform for sharing information, close contacts of national and international military and civilian surveillance networks and databases, cooperation between military

  8. French military plans for Superphenix

    International Nuclear Information System (INIS)

    Albright, D.

    1984-01-01

    France refuses to rule out military use of the plutonium produced by the planned breeder reactor Superphenix, although other nations, including the US, have contributed nuclear materials to it. US policy has been to separate military and civilian nuclear programs to set an example. France has not stated an intention to use Superphenix for military purposes, but is reserving the right to do so. It does not separate the two kinds of nuclear materials for economic reasons. The Non-Proliferation Treaty (NPT) does not address the possibility that plutonium pledged to peaceful use might be commingled with plutonium for military use in a civilian facility within a weapons state. The US could work to strengthen the US-Euratom Agreement on the basis of the contamination principle. 11 references

  9. Predictors of long-term treatment outcome in combat and peacekeeping veterans with military-related PTSD.

    Science.gov (United States)

    Richardson, J Don; Contractor, Ateka A; Armour, Cherie; St Cyr, Kate; Elhai, Jon D; Sareen, Jitender

    2014-11-01

    Posttraumatic stress disorder (PTSD) is a significant psychiatric condition that may result from exposure to combat; it has been associated with severe psychosocial dysfunction. This study examined the predictors of long-term treatment outcomes in a group of veterans with military-related PTSD. The study consisted of a retrospective chart review of 151 consecutive veterans treated at an outpatient clinic for veterans with psychiatric disorders resulting from their military operations between January 2002 and May 2012. The diagnosis of PTSD was made using the Clinician-Administered PTSD Scale. As part of treatment as usual, all patients completed the PTSD Checklist-Military version and Beck Depression Inventory (BDI-II) at intake and at each follow-up appointment, the Short-Form Health Survey (SF-36) at intake, and either the SF-36 or the 12-item Short-Form Health Survey at follow-up. All patients received psychoeducation about PTSD and combined pharmacotherapy and psychotherapy. Analyses demonstrated a significant and progressive improvement in PTSD severity over the 2-year period ([n = 117] Yuan-Bentler χ²40 = 221.25, P loss of probable PTSD diagnosis, is possible in an outpatient setting for veterans with chronic military-related PTSD. © Copyright 2014 Physicians Postgraduate Press, Inc.

  10. Freshwater Treatment and Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Freshwater Treatment and Test Facility, located at SANGB, has direct year-round access to water from Lake St. Clair and has a State of Michigan approved National...

  11. LOW LEVEL LIQUID RADIOACTIVE WASTE TREATMENT AT MURMANSK, RUSSIA: FACILITY UPGRADE AND EXPANSION

    Energy Technology Data Exchange (ETDEWEB)

    BOWERMAN,B.; CZAJKOWSKI,C.; DYER,R.S.; SORLIE,A.

    2000-03-01

    Today there exist many almost overfilled storage tanks with liquid radioactive waste in the Russian Federation. This waste was generated over several years by the civil and military utilization of nuclear power. The current waste treatment capacity is either not available or inadequate. Following the London Convention, dumping of the waste in the Arctic seas is no longer an alternative. Waste is being generated from today's operations, and large volumes are expected to be generated from the dismantling of decommissioned nuclear submarines. The US and Norway have an ongoing co-operation project with the Russian Federation to upgrade and expand the capacity of a treatment facility for low level liquid waste at the RTP Atomflot site in Murmansk. The capacity will be increased from 1,200 m{sup 3}/year to 5,000 m{sup 3} /year. The facility will also be able to treat high saline waste. The construction phase will be completed the first half of 1998. This will be followed by a start-up and a one year post-construction phase, with US and Norwegian involvement for the entire project. The new facility will consist of 9 units containing various electrochemical, filtration, and sorbent-based treatment systems. The units will be housed in two existing buildings, and must meet more stringent radiation protection requirements that were not enacted when the facility was originally designed. The US and Norwegian technical teams have evaluated the Russian design and associated documentation. The Russian partners send monthly progress reports to US and Norway. Not only technical issues must be overcome but also cultural differences resulting from different methods of management techniques. Six to eight hour time differentials between the partners make real time decisions difficult and relying on electronic age tools becomes extremely important. Language difficulties is another challenge that must be solved. Finding a common vocabulary, and working through interpreters make the

  12. A baseline study of drug prescribing practices in a Nigerian military ...

    African Journals Online (AJOL)

    Military facilities provide health care services to an important segment of both themilitary and civil population. Methods: The aim of this study was to evaluate drug prescribing practices at a Nigerian military hospital (MilitaryHospital, Ikoyi, Lagos) and tomake recommendations for its improvement.UsingWHOrational drug use ...

  13. Pain treatment facilities: do we need quantity or quality?

    Science.gov (United States)

    de Meij, Nelleke; Köke, Albère; van der Weijden, Trudy; van Kleef, Maarten; Patijn, Jacob

    2014-10-01

    Chronic pain patients referred to a pain treatment facility have no guarantee that they will receive a proper diagnostic procedure or treatment. To obtain information about organizational aspects of pain treatment facilities and the content of their daily pain practice, we performed a questionnaire survey. The aim of the study was to evaluate the amount of pain treatment facilities, the content of organized specialized pain care and adherence to the criteria of the internationally accepted guidelines for pain treatment services. The University Pain Centre Maastricht in the Department of Anaesthesiology and Pain Management at Maastricht University Medical Centre developed a questionnaire survey based on the Recommendations for Pain Treatment Services of the International Association for the Study of Pain (IASP). The questionnaire was sent to the medical boards of all hospitals in the Netherlands (n=94). The response rate was 86% (n=81). Of all hospitals, 88.9% (n=72) reported the provision of organized specialized pain care, which was provided by a pain management team in 86.1% (n=62) and by an individual specialist in 13.9% (n=10). Insight was obtained from pain treatment facilities in five different domains: the organizational structure of pain management, composition of the pain team, pain team practice, patient characteristics, and research and education facilities. Although 88.9% of all hospitals stated that organized specialized pain care was provided, only a few hospitals could adhere to the criteria for pain treatment services of the IASP. The outcome of the questionnaire survey may help to define quality improvement standards for pain treatment facilities. © 2014 John Wiley & Sons, Ltd.

  14. U.S. Army-Baylor University Health Care Administration Program: evidenced-based outcomes in the military health system.

    Science.gov (United States)

    Mangelsdorff, A David; Rogers, Jody; Finstuen, Kenn; Pryor, Rene

    2004-01-01

    The purpose of this research is to assess the impact of an educational program on the Military Health System on some of the evidence-based educational outcomes for the Individual (student) and the Society (all Army Medical Treatment Facilities). The U.S. Army-Baylor University HCA program provides a unique opportunity to assess the impact of an educational program on the Military Health System (MHS). Since the majority of the graduate students are military officers who serve in military medical treatment facilities (MTFs), tracking their career progression allows assessing the value added of the U.S. Army-Baylor University HCA experience from 1951 to 2001 (n = 2234). The context of Society outcomes includes all the Army MTFs where U.S. Army-Baylor University HCA graduates execute their leadership skills. During the time from 1994 to 2001, all of the Army MTFs in the MHS (n = 38) were examined by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). In a similar but shorter time frame (1997-2001), DoD patient satisfaction assessments were conducted. The Individual outcomes (career advancement, increase in status, higher professional association membership) demonstrate that the selection criteria used for program admission appear to be successful. The Society outcomes showed higher JCAHO scores and satisfied consumers in Army facilities with Baylor graduates as the Deputy Commander for Administration (DCA). Continued internal program assessments (curriculum reviews) and external reviews (Accrediting Commission on Education for Health Services Administration accreditations of 5 years in 1987, 8 years in 1993 and 7 years in 2001, and 7 ACHE student chapter awards) attest to the strengths of the U.S. Army-Baylor University HCA program. Educating the MHS shareholders (patients, beneficiaries, professional and support staff, senior leaders) and leveraging technology to. share best practices for all administrators (including non-Baylor graduates) will

  15. Region 9 NPDES Facilities - Waste Water Treatment Plants

    Science.gov (United States)

    Point geospatial dataset representing locations of NPDES Waste Water Treatment Plant Facilities. NPDES (National Pollution Discharge Elimination System) is an EPA permit program that regulates direct discharges from facilities that discharge treated waste water into waters of the US. Facilities are issued NPDES permits regulating their discharge as required by the Clean Water Act. A facility may have one or more outfalls (dischargers). The location represents the facility or operating plant.

  16. Risk assessment of CST-7 proposed waste treatment and storage facilities Volume I: Limited-scope probabilistic risk assessment (PRA) of proposed CST-7 waste treatment & storage facilities. Volume II: Preliminary hazards analysis of proposed CST-7 waste storage & treatment facilities

    Energy Technology Data Exchange (ETDEWEB)

    Sasser, K.

    1994-06-01

    In FY 1993, the Los Alamos National Laboratory Waste Management Group [CST-7 (formerly EM-7)] requested the Probabilistic Risk and Hazards Analysis Group [TSA-11 (formerly N-6)] to conduct a study of the hazards associated with several CST-7 facilities. Among these facilities are the Hazardous Waste Treatment Facility (HWTF), the HWTF Drum Storage Building (DSB), and the Mixed Waste Receiving and Storage Facility (MWRSF), which are proposed for construction beginning in 1996. These facilities are needed to upgrade the Laboratory`s storage capability for hazardous and mixed wastes and to provide treatment capabilities for wastes in cases where offsite treatment is not available or desirable. These facilities will assist Los Alamos in complying with federal and state requlations.

  17. Atomic power engineering as military and nuclear deterrence

    International Nuclear Information System (INIS)

    Koryakin, Yu.I.

    2000-01-01

    The legislative aspects of the nuclear power facilities protection during military actions are discussed. The IAEA position on this question is considered. Absence in the IAEA subject scope of the works on preparation of the treaty on prohibiting the destruction of nuclear power facilities means that the IAEA countries differently understand the necessity for introducing the legislative positions of the international atomic law. However, observation of the unwritten codex of mutual nuclear deterrence gives rise to the hope for the wise solution of the problem on the nuclear power objects protection during the military actions [ru

  18. Addressing social aspects associated with wastewater treatment facilities

    International Nuclear Information System (INIS)

    Padilla-Rivera, Alejandro; Morgan-Sagastume, Juan Manuel; Noyola, Adalberto; Güereca, Leonor Patricia

    2016-01-01

    In wastewater treatment facilities (WWTF), technical and financial aspects have been considered a priority, while other issues, such as social aspects, have not been evaluated seriously and there is not an accepted methodology for assessing it. In this work, a methodology focused on social concerns related to WWTF is presented. The methodology proposes the use of 25 indicators as a framework for measuring social performance to evaluate the progress in moving towards sustainability. The methodology was applied to test its applicability and effectiveness in two WWTF in Mexico (urban and rural). This evaluation helped define the key elements, stakeholders and barriers in the facilities. In this context, the urban facility showed a better overall performance, a result that may be explained mainly by the better socioeconomic context of the urban municipality. Finally, the evaluation of social aspects using the semi-qualitative approach proposed in this work allows for a comparison between different facilities and for the identification of strengths and weakness, and it provides an alternative tool for achieving and improving wastewater management. - Highlights: • The methodology proposes 25 indicators as a framework for measuring social performance in wastewater treatment facilities. • The evaluation helped to define the key elements, stakeholders and barriers in the wastewater treatment facilities. • The evaluation of social aspects allows the identification of strengths and weakness for improving wastewater management. • It provides a social profile of the facility that highlights the best and worst performances.

  19. Addressing social aspects associated with wastewater treatment facilities

    Energy Technology Data Exchange (ETDEWEB)

    Padilla-Rivera, Alejandro; Morgan-Sagastume, Juan Manuel; Noyola, Adalberto; Güereca, Leonor Patricia, E-mail: lguerecah@iingen.unam.mx

    2016-02-15

    In wastewater treatment facilities (WWTF), technical and financial aspects have been considered a priority, while other issues, such as social aspects, have not been evaluated seriously and there is not an accepted methodology for assessing it. In this work, a methodology focused on social concerns related to WWTF is presented. The methodology proposes the use of 25 indicators as a framework for measuring social performance to evaluate the progress in moving towards sustainability. The methodology was applied to test its applicability and effectiveness in two WWTF in Mexico (urban and rural). This evaluation helped define the key elements, stakeholders and barriers in the facilities. In this context, the urban facility showed a better overall performance, a result that may be explained mainly by the better socioeconomic context of the urban municipality. Finally, the evaluation of social aspects using the semi-qualitative approach proposed in this work allows for a comparison between different facilities and for the identification of strengths and weakness, and it provides an alternative tool for achieving and improving wastewater management. - Highlights: • The methodology proposes 25 indicators as a framework for measuring social performance in wastewater treatment facilities. • The evaluation helped to define the key elements, stakeholders and barriers in the wastewater treatment facilities. • The evaluation of social aspects allows the identification of strengths and weakness for improving wastewater management. • It provides a social profile of the facility that highlights the best and worst performances.

  20. Obesity Prevention in the Military.

    Science.gov (United States)

    Shams-White, Marissa; Deuster, Patricia

    2017-06-01

    The objective was to review prevention efforts and approaches attempting to limit the problem of obesity in the military. Various individual-level initiatives have emerged, including programs promoting healthy cooking, meal planning, and other behavior changes among service members. Importantly, the military is attempting to tackle environmental factors contributing to the rise of obesity, by focusing on many recent environmental-level interventions and initiatives to improve military dining facilities and examine and modify other aspects of installations' built environments. Although published research within the military setting directed towards obesity prevention is limited, many innovative programs have been launched and need to be followed forward. The review of past and ongoing efforts can be an important step in identifying specific areas needing improvement, gaps that should be considered, lessons learned, and characteristics of successful programs that should be disseminated as best practices and further expanded.

  1. An integrated service excellence model for military test and ...

    African Journals Online (AJOL)

    The purpose of this article is to introduce an Integrated Service Excellence Model (ISEM) for empowering the leadership core of the capital-intensive military test and evaluation facilities to provide strategic military test and evaluation services and to continuously improve service excellence by ensuring that all activities ...

  2. Wireless local network architecture for Naval medical treatment facilities

    OpenAIRE

    Deason, Russell C.

    2004-01-01

    Approved for public release; distribution is unlimited In today's Navy Medicine, an approach towards wireless networks is coming into view. The idea of developing and deploying workable Wireless Local Area Networks (WLAN) throughout Naval hospitals is but just a few years down the road. Currently Naval Medical Treatment Facilities (MTF) are using wired Local Area Networks (LANs) throughout the infrastructure of each facility. Civilian hospitals and other medical treatment facilities have b...

  3. Sandia National Laboratories: Integrated Military Systems

    Science.gov (United States)

    Defense Systems & Assessments About Defense Systems & Assessments Program Areas Accomplishments Audit Sandia's Economic Impact Licensing & Technology Transfer Browse Technology Portfolios ; Culture Work-Life Balance Special Programs Integrated Military Systems (IMS) Capabilities Facilities

  4. 3718-F Alkali Metal Treatment and Storage Facility Closure Plan

    International Nuclear Information System (INIS)

    1992-11-01

    The Hanford Site, located northwest of the city of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials, as well as for activities associated with nuclear energy development. The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. The 3718-F Alkali Metal Treatment and Storage Facility (3718-F Facility), located in the 300 Area, was used to store and treat alkali metal wastes. Therefore, it is subject to the regulatory requirements for the storage and treatment of dangerous wastes. Closure will be conducted pursuant to the requirements of the Washington Administrative Code (WAC) 173-303-610 (Ecology 1989) and 40 CFR 270.1. Closure also will satisfy the thermal treatment facility closure requirements of 40 CFR 265.381. This closure plan presents a description of the 3718-F Facility, the history of wastes managed, and the approach that will be followed to close the facility. Only hazardous constituents derived from 3718-F Facility operations will be addressed

  5. Design and methodology of a randomized clinical trial of home-based telemental health treatment for U.S. military personnel and veterans with depression.

    Science.gov (United States)

    Luxton, David D; Pruitt, Larry D; O'Brien, Karen; Stanfill, Katherine; Jenkins-Guarnieri, Michael A; Johnson, Kristine; Wagner, Amy; Thomas, Elissa; Gahm, Gregory A

    2014-05-01

    Home-based telemental health (TMH) treatments have the potential to address current and future health needs of military service members, veterans, and their families, especially for those who live in rural or underserved areas. The use of home-based TMH treatments to address the behavioral health care needs of U.S. military healthcare beneficiaries is not presently considered standard of care in the Military Health System. The feasibility, safety, and clinical efficacy of home-based TMH treatments must be established before broad dissemination of home-based treatment programs can be implemented. This paper describes the design, methodology, and protocol of a clinical trial that compares in-office to home-based Behavioral Activation for Depression (BATD) treatment delivered via web-based video technology for service members and veterans with depression. This grant funded three-year randomized clinical trial is being conducted at the National Center for Telehealth and Technology at Joint-base Lewis-McChord and at the Portland VA Medical Center. Best practice recommendations regarding the implementation of in-home telehealth in the military setting as well as the cultural and contextual factors of providing in-home care to active duty and veteran military populations are also discussed. Published by Elsevier Inc.

  6. RETROFITTING CONTROL FACILITIES FOR WET-WEATHER FLOW TREATMENT

    Science.gov (United States)

    Available technologies were evaluated to demonstrate the technical feasibility and cost effectiveness of retrofitting existing facilities to handle wet-weather flow. Cost/benefit relationships were also compared to construction of new conventional control and treatment facilities...

  7. Improvement of Oil-Vapor Treatment Facility for Wolsong Unit 3,4

    International Nuclear Information System (INIS)

    Kim, Jeong Guk; Kwon, S. W.; Lee, H. S.

    2009-11-01

    With the purpose to minimize an oil-vapor discharge to the atmosphere and to be an environmentally friendly nuclear power plant by an improvement of mist eliminator for turbine lubricant system at Wolsong Nuclear Power Plant Unit 3,4, this project - project name : Improvement of Oil-vapor Treatment Facility for Wolsong Unit 3,4 - was conducted for six months (from Apr. 15, 2009 to Oct. 14, 2009). This Project contains Oil-vapor Source and Environmental Regulation, Analysis on the Present Oil-vapor Treatment Facility, Improvement of Oil-vapor Treatment Facility, Test Facility Design, Fabrication, Installation, Test Operation, Evaluation of the Facility

  8. Implementation and execution of military forward resuscitation programs.

    Science.gov (United States)

    Hooper, Timothy J; Nadler, Roy; Badloe, John; Butler, Frank K; Glassberg, Elon

    2014-05-01

    Through necessity, military medicine has been the driver of medical innovation throughout history. The battlefield presents challenges, such as the requirement to provide care while under threat, resource limitation, and prolonged evacuation times, which must be overcome to improve casualty survival. Focus must also be placed on identifying the causes, and timing, of death within the battlefield. By doing so, military medical doctrine can be shaped, appropriate goals set, new concepts adopted, and relevant technologies investigated and implemented. The majority of battlefield casualties still die in the prehospital environment, before reaching a medical treatment facility, and hemorrhage remains the leading cause of potentially survivable death. Many countries have adopted policies that push damage control resuscitation forward into the prehospital setting, while understanding the need for timely medical evacuation. Although these policies vary according to country, the majority share many common principles. These include the need for early catastrophic hemorrhage control at point-of-wounding, judicious use of fluid resuscitation, use of blood products as far forward as possible, and early evacuation to a surgical facility. Some countries place medical providers with the ability, and resources, for advanced resuscitation with the forward fighting units (perhaps at company level), whereas others have established en route resuscitation capabilities. If we are to continue to improve battlefield casualty survival, we must continue to work together and learn from each other. We must also carry on working alongside our civilian colleagues so that the benefits of translational experience are not lost. This review describes several countries current military approaches to prehospital trauma care. These approaches, refined through a decade of experience, merit consideration for integration into civilian prehospital care practice.

  9. Risk assessment of CST-7 proposed waste treatment and storage facilities Volume I: Limited-scope probabilistic risk assessment (PRA) of proposed CST-7 waste treatment ampersand storage facilities. Volume II: Preliminary hazards analysis of proposed CST-7 waste storage ampersand treatment facilities

    International Nuclear Information System (INIS)

    Sasser, K.

    1994-06-01

    In FY 1993, the Los Alamos National Laboratory Waste Management Group [CST-7 (formerly EM-7)] requested the Probabilistic Risk and Hazards Analysis Group [TSA-11 (formerly N-6)] to conduct a study of the hazards associated with several CST-7 facilities. Among these facilities are the Hazardous Waste Treatment Facility (HWTF), the HWTF Drum Storage Building (DSB), and the Mixed Waste Receiving and Storage Facility (MWRSF), which are proposed for construction beginning in 1996. These facilities are needed to upgrade the Laboratory's storage capability for hazardous and mixed wastes and to provide treatment capabilities for wastes in cases where offsite treatment is not available or desirable. These facilities will assist Los Alamos in complying with federal and state requlations

  10. The Wastewater Treatment Test Facility at Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    Richardson, S.A.; Kent, T.E.; Taylor, P.A.

    1995-01-01

    The Wastewater Treatment Test Facility (WTTF) contains 0.5 L/min test systems which provide a wide range of physical and chemical separation unit operations. The facility is a modified 48 foot trailer which contains all the unit operations of the ORNL's Process Waste Treatment Plant and Nonradiological Wastewater Treatment Plant including chemical precipitation, clarification, filtration, ion-exchange, air stripping, activated carbon adsorption, and zeolite system. This facility has been used to assess treatability of potential new wastewaters containing mixed radioactive, hazardous organic, and heavy metal compounds. With the ability to simulate both present and future ORNL wastewater treatment systems, the WTTF has fast become a valuable tool in solving wastewater treatment problems at the Oak Ridge reservation

  11. Field Demonstration for Biodegradable Military Multipurpose Grease

    National Research Council Canada - National Science Library

    Rhee, In-Sik

    2001-01-01

    Soils and ground water at many military facilities throughout the United States have been contaminated with petroleum based products, such as engine oils, greases, hydraulic fluids, and fuels, often...

  12. Energy Efficiency Strategies for Municipal Wastewater Treatment Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Daw, J.; Hallett, K.; DeWolfe, J.; Venner, I.

    2012-01-01

    Water and wastewater systems are significant energy consumers with an estimated 3%-4% of total U.S. electricity consumption used for the movement and treatment of water and wastewater. Water-energy issues are of growing importance in the context of water shortages, higher energy and material costs, and a changing climate. In this economic environment, it is in the best interest for utilities to find efficiencies, both in water and energy use. Performing energy audits at water and wastewater treatment facilities is one way community energy managers can identify opportunities to save money, energy, and water. In this paper the importance of energy use in wastewater facilities is illustrated by a case study of a process energy audit performed for Crested Butte, Colorado's wastewater treatment plant. The energy audit identified opportunities for significant energy savings by looking at power intensive unit processes such as influent pumping, aeration, ultraviolet disinfection, and solids handling. This case study presents best practices that can be readily adopted by facility managers in their pursuit of energy and financial savings in water and wastewater treatment. This paper is intended to improve community energy managers understanding of the role that the water and wastewater sector plays in a community's total energy consumption. The energy efficiency strategies described provide information on energy savings opportunities, which can be used as a basis for discussing energy management goals with water and wastewater treatment facility managers.

  13. Region 9 NPDES Facilities 2012- Waste Water Treatment Plants

    Science.gov (United States)

    Point geospatial dataset representing locations of NPDES Waste Water Treatment Plant Facilities. NPDES (National Pollution Discharge Elimination System) is an EPA permit program that regulates direct discharges from facilities that discharge treated waste water into waters of the US. Facilities are issued NPDES permits regulating their discharge as required by the Clean Water Act. A facility may have one or more outfalls (dischargers). The location represents the facility or operating plant.

  14. The Importance of Military Cultural Competence.

    Science.gov (United States)

    Meyer, Eric G; Writer, Brian W; Brim, William

    2016-03-01

    Military cultural competence has recently gained national attention. Experts have posited that limited outcomes in the treatment of posttraumatic stress disorder and depression in the military may be related to limited familiarity with the military. National surveys have indicated low military cultural competence among providers and limited educational efforts on military culture or pertinent military pathology in medical schools and residency training programs. Military families, with their own unique military cultural identity, have been identified as a population with increased risks associated with deployment. In response to these findings, several curricula regarding military culture have been established and widely distributed. Assessments of military cultural competence have also been developed. The clinical impact of enhanced cultural competence in general has thus far been limited. The military, however, with its highly prescribed cultural identity, may be a model culture for further study.

  15. Mixed and Low-Level Waste Treatment Facility project

    International Nuclear Information System (INIS)

    1992-04-01

    Mixed and low-level wastes generated at the Idaho National Engineering Laboratory (INEL) are required to be managed according to applicable State and Federal regulations, and Department of Energy Orders that provide for the protection of human health and the environment. The Mixed and Low-Level Waste Treatment Facility Project was chartered in 1991, by the Department of Energy to provide treatment capability for these mixed and low-level waste streams. The first project task consisted of conducting engineering studies to identify the waste streams, their potential treatment strategies, and the requirements that would be imposed on the waste streams and the facilities used to process them. The engineering studies, initiated in July 1991, identified 37 mixed waste streams, and 55 low-level waste streams. This report documents the waste stream information and potential treatment strategies, as well as the regulatory requirements for the Department of Energy-owned treatment facility option. The total report comprises three volumes and two appendices. This report consists of Volume 1, which explains the overall program mission, the guiding assumptions for the engineering studies, and summarizes the waste stream and regulatory information, and Volume 2, the Waste Stream Technical Summary which, encompasses the studies conducted to identify the INEL's waste streams and their potential treatment strategies

  16. [Civilian-military coordination].

    Science.gov (United States)

    de Montravel, G

    2002-01-01

    Current humanitarian emergencies create complex, mutidimensional situations that stimulate simultaneous responses from a wide variety of sources including governments, non-governmental organizations (NGO), United Nations agencies, and private individuals. As a result, it has become essential to establish a coherent framework in which each actor can contribute promptly and effectively to the overall effort. This is the role of the United Nations Office for the Coordination of Humanitarian Affairs. Regardless of the circumstances and level of coordination, cooperation and collaboration between humanitarian and military personnel, it is necessary to bear in mind their objectives. The purpose of humanitarian action is to reduce human suffering. The purpose of military intervention is to stop warfare. The author of this article will discuss the three major obstacles to civilian-military coordination (strategic, tactical, and operational). Operations cannot be conducted smoothly and differences cannot be ironed out without mutual respect between the two parties, an explicit definition of their respective duties and responsibilities, a clear understanding of their cultural differences, and the presence of an organization and facilities for coordination and arbitrage by a neutral referee.

  17. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1992-07-01

    The Grout Treatment Facility (GTF) will provide permanent disposal for approximately 43 Mgal of radioactive liquid waste currently being stored in underground tanks on the Hanford Site. The first step in permanent disposal is accomplished by solidifying the low-level liquid waste with cementitious dry materials. The resulting grout is cast within underground vaults. This report on the GTF contains information on the following: Hanford Site Maps, road evaluation for the grout treatment facility, Department of Ecology certificate of non-designation for centralia fly ash, double-shell tank waste compositional modeling, laboratory analysis reports for double-shell tank waste, stored in tanks 241-AN-103, 241-AN-106, and 241-AW-101, grout vault heat transfer results for M-106 grout formulation, test results for extraction procedure toxicity testing, test results for toxicity testing of double-shell tank grout, pilot-scale grout production test with a simulated low-level waste, characterization of simulated low-level waste grout produced in a pilot-scale test, description of the procedure for sampling nonaging waste storage tanks, description of laboratory procedures, grout campaign waste composition verification, variability in properties of grouted phosphate/sulfate N-reactor waste, engineering drawings, description of operating procedures, equipment list--transportable grout equipment, grout treatment facility--tank integrity assessment plan, long-term effects of waste solutions on concrete and reinforcing steel, vendor information, grout disposal facilities construction quality assurance plan, and flexible membrane liner/waste compatibility test results

  18. 200 Area Effluent Treatment Facility: Delisting petition

    International Nuclear Information System (INIS)

    1993-08-01

    Waste water has been generated for over 40 years as a result of operations conducted on the Hanford Site. This waste water previously was discharged to cribs, ponds, or ditches. An example of such waste water includes process condensate that might have been in contact with dangerous waste or mixed waste (containing both radioactive and dangerous components). This petition presents the treatment technologies that are designed into the 200 Area Effluent Treatment Facility to eliminate the dangerous characteristics of the waste and to delist the effluent in accordance with the requirements found in 40 Code of Federal Regulations 260.20 and 260.22. The purpose of this petition is to demonstrate that the 242-A Evaporator process condensate will be treated adequately so that the effluent from the 200 Area Effluent Treatment Facility will no longer require management as a regulated dangerous waste. This demonstration was performed by use of a surrogate (synthetic) waste, designed by the US Department of Energy, Richland Operations Office to include species that represent all organic and inorganic constituents (but not radionuclide species) expected to be found on the Hanford Site. Thus, the surrogate will encompass not only the expected 242-A Evaporator process condensate characteristics, but those of other potential 200 Area Effluent Treatment Facility waste streams and additional 40 CFR Appendix VIII constituents

  19. Outline of a fuel treatment facility in NUCEF

    International Nuclear Information System (INIS)

    Sugikawa, Susumu; Umeda, Miki; Kokusen, Junya

    1997-03-01

    This report presents outline of the nuclear fuel treatment facility for the purpose of preparing solution fuel used in Static Experiment Critical Facility (STACY) and Transient Experiment Critical Facility (TRACY) in Nuclear Fuel Cycle Safety Engineering Research Facility (NUCEF), including descriptions of process conditions and dimensions of major process equipments on dissolution system of oxide fuel, chemical adjustment system, purification system, acid recovery system, solution fuel storage system, and descriptions of safety design philosophy such as safety considerations of criticality, solvent fire, explosion of hydrogen and red-oil and so on. (author)

  20. Argonne-West facility requirements for a radioactive waste treatment demonstration

    International Nuclear Information System (INIS)

    Dwight, C.C.; Felicione, F.S.; Black, D.B.; Kelso, R.B.; McClellan, G.C.

    1995-01-01

    At Argonne National Laboratory-West (ANL-W), near Idaho Falls, Idaho, facilities that were originally constructed to support the development of liquid-metal reactor technology are being used and/or modified to meet the environmental and waste management research needs of DOE. One example is the use of an Argonne-West facility to conduct a radioactive waste treatment demonstration through a cooperative project with Science Applications International Corporation (SAIC) and Lockheed Idaho Technologies Company. The Plasma Hearth Process (PBP) project will utilize commercially-adapted plasma arc technology to demonstrate treatment of actual mixed waste. The demonstration on radioactive waste will be conducted at Argonne's Transient Reactor Test Facility (TREAT). Utilization of an existing facility for a new and different application presents a unique set of issues in meeting applicable federal state, and local requirements as well as the additional constraints imposed by DOE Orders and ANL-W site requirements. This paper briefly describes the PHP radioactive demonstrations relevant to the interfaces with the TREAT facility. Safety, environmental design, and operational considerations pertinent to the PHP radioactive demonstration are specifically addressed herein. The personnel equipment, and facility interfaces associated with a radioactive waste treatment demonstration are an important aspect of the demonstration effort. Areas requiring significant effort in preparation for the PBP Project being conducted at the TREAT facility include confinement design, waste handling features, and sampling and analysis considerations. Information about the facility in which a radioactive demonstration will be conducted, specifically Argonne's TREAT facility in the case of PHP, may be of interest to other organizations involved in developing and demonstrating technologies for mixed waste treatment

  1. Longevity and efficacy of bifenthrin treatment on desert-pattern U.S. military camouflage netting against mosquitoes in a hot-arid environment

    Science.gov (United States)

    Personnel deployed in support of US military operations will benefit from additions to the current Department of Defense pest management system. A recent study showed that residual insecticide treatment of woodland pattern US military camouflage netting was long lasting and effective at reducing mos...

  2. Opportunities for Automated Demand Response in California Wastewater Treatment Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Aghajanzadeh, Arian [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Wray, Craig [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); McKane, Aimee [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-08-30

    Previous research over a period of six years has identified wastewater treatment facilities as good candidates for demand response (DR), automated demand response (Auto-­DR), and Energy Efficiency (EE) measures. This report summarizes that work, including the characteristics of wastewater treatment facilities, the nature of the wastewater stream, energy used and demand, as well as details of the wastewater treatment process. It also discusses control systems and automated demand response opportunities. Furthermore, this report summarizes the DR potential of three wastewater treatment facilities. In particular, Lawrence Berkeley National Laboratory (LBNL) has collected data at these facilities from control systems, submetered process equipment, utility electricity demand records, and governmental weather stations. The collected data were then used to generate a summary of wastewater power demand, factors affecting that demand, and demand response capabilities. These case studies show that facilities that have implemented energy efficiency measures and that have centralized control systems are well suited to shed or shift electrical loads in response to financial incentives, utility bill savings, and/or opportunities to enhance reliability of service. In summary, municipal wastewater treatment energy demand in California is large, and energy-­intensive equipment offers significant potential for automated demand response. In particular, large load reductions were achieved by targeting effluent pumps and centrifuges. One of the limiting factors to implementing demand response is the reaction of effluent turbidity to reduced aeration at an earlier stage of the process. Another limiting factor is that cogeneration capabilities of municipal facilities, including existing power purchase agreements and utility receptiveness to purchasing electricity from cogeneration facilities, limit a facility’s potential to participate in other DR activities.

  3. Catalytic Fuel Conversion Facility

    Data.gov (United States)

    Federal Laboratory Consortium — This facility enables unique catalysis research related to power and energy applications using military jet fuels and alternative fuels. It is equipped with research...

  4. findings from audits of specialist treatment facilities

    African Journals Online (AJOL)

    Adele

    population groups in terms of the allocation of resources to, and the quality of ... facilities has decreased in real terms, limiting their treatment capacity and their capacity ... fordable, and accessible substance abuse treatment services1, ... The terms “white, black, asian/indian, and coloured” refer to demographic markers and ...

  5. The US-Nigerian Military Cooperation: US Africom As A Mentor For Nigeria’s Military Efforts At Promoting Respect For Human Rights

    Science.gov (United States)

    2016-06-01

    A MENTOR FOR NIGERIA’S MILITARY EFFORTS AT PROMOTING RESPECT FOR HUMAN RIGHTS By Mohammed Asuekome Imam, Major, Nigerian Air Force BSc...security aspects should be integrated into the local environment to mentor military personnel on international best practices.30 This could provide...Similarly, a mentor team from US AFRICOM could periodically visit detention facilities to observe how terror suspects are being treated and then provide

  6. Proton facility economics: the importance of "simple" treatments.

    Science.gov (United States)

    Johnstone, Peter A S; Kerstiens, John; Richard, Helsper

    2012-08-01

    Given the cost and debt incurred to build a modern proton facility, impetus exists to minimize treatment of patients with complex setups because of their slower throughput. The aim of this study was to determine how many "simple" cases are necessary given different patient loads simply to recoup construction costs and debt service, without beginning to cover salaries, utilities, beam costs, and so on. Simple cases are ones that can be performed quickly because of an easy setup for the patient or because the patient is to receive treatment to just one or two fields. A "standard" construction cost and debt for 1, 3, and 4 gantry facilities were calculated from public documents of facilities built in the United States, with 100% of the construction funded through standard 15-year financing at 5% interest. Clinical best case (that each room was completely scheduled with patients over a 14-hour workday) was assumed, and a statistical analysis was modeled with debt, case mix, and payer mix moving independently. Treatment times and reimbursement data from the investigators' facility for varying complexities of patients were extrapolated for varying numbers treated daily. Revenue assumptions of $X per treatment were assumed both for pediatric cases (a mix of Medicaid and private payer) and state Medicare simple case rates. Private payer reimbursement averages $1.75X per treatment. The number of simple patients required daily to cover construction and debt service costs was then derived. A single gantry treating only complex or pediatric patients would need to apply 85% of its treatment slots simply to service debt. However, that same room could cover its debt treating 4 hours of simple patients, thus opening more slots for complex and pediatric patients. A 3-gantry facility treating only complex and pediatric cases would not have enough treatment slots to recoup construction and debt service costs at all. For a 4-gantry center, focusing on complex and pediatric cases alone

  7. Hazardous Waste Treatment Facility and skid-mounted treatment systems at Los Alamos

    International Nuclear Information System (INIS)

    Lussiez, G.W.; Zygmunt, S.J.

    1994-01-01

    To centralize treatment, storage, and areas for hazardous wastes, Los Alamos National Laboratory has designed a 1115 m2 hazardous waste treatment facility. The facility will house a treatment room for each of four kinds of wastes: nonradioactive characteristic wastes, nonradioactive listed wastes, radioactive characteristic wastes, and radioactive listed wastes. The facility will be used for repacking labpacks; bulking small organic waste volumes; processing scintillation vials; treating reactives such as lithium hydride and pyrophoric uranium; treating contaminated solids such as barium sand; treating plating wastes and other solutions with heavy metals and oxidizing organics: Separate treatment rooms will allow workers to avoid mixing waste types and prevent cross-contamination. The ventilation air from the treatment areas may contain hazardous or radioactive dust. Gas may also leak from process equipment. The gas treatment process includes separating solids and gases and neutralization or adsorption of the hazardous gases. The ventilation air from each room will first be filtered before being scrubbed in a common gas caustic scrubber on an outside pad. There are two levels of exhaust in each treatment room, one for heavy gases and another for light gases. Several features help mitigate or eliminate hazards due to spills and releases: each treatment room is sealed and under slight negative pressure; each room has its own HEPA filtration; to avoid mixing of incompatible wastes and reagents, portable individual spill-containment trays are used for skids, to limit the danger of spills, the waste is directly transferred from outside storage to the treatment room; to mitigate the consequences of a gas release in the room, mobile hoods are connected to the exhaust-air treatment system; the floor, walls, ceilings, fixtures, ducts, and piping are made of acid-resistant material or are coated

  8. First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities.

    Science.gov (United States)

    de Meij, Nelleke; van Grotel, Marloes; Patijn, Jacob; van der Weijden, Trudy; van Kleef, Maarten

    2016-01-01

    There is a general consensus about the need to define and improve the quality of pain treatment facilities. Although guidelines and recommendations to improve the quality of pain practice management have been launched, provision of appropriate pain treatment is inconsistent and the quality of facilities varies widely. The aim of the study was to develop an expert-agreed list of quality indicators applicable to pain treatment facilities. The list was also intended to be used as the basis for a set of criteria for registered status of pain treatment facilities. The University Pain Center Maastricht at the Department of Anesthesiology and Pain Management of the Maastricht University Medical Center conducted a 3-round Delphi study in collaboration with the Board of the Pain Section of the Dutch Society of Anesthesiologists (NVA). Twenty-five quality indicators were selected as relevant to 2 types of pain treatment facilities, pain clinics and pain centers. The final expert-agreed list consisted of 22 quality indicators covering 7 quality domains: supervision, availability of care, staffing level and patient load, quality policy, multidisciplinarity, regionalization, and research and education. This set of quality indicators may facilitate organizational evaluation and improve insight into service quality from the perspectives of patients, pain specialists, and other healthcare professionals. Recommendations for improvements to the current set of quality indicators are made. In 2014 the process of registering pain treatment facilities in the Netherlands started; facilities can register as a pain clinic or pain center. © 2015 World Institute of Pain.

  9. Mixed and Low-Level Waste Treatment Facility project

    International Nuclear Information System (INIS)

    1992-04-01

    Mixed and low-level wastes generated at the Idaho National Engineering Laboratory (INEL) are required to be managed according to applicable State and Federal regulations, and Department of Energy Orders that provide for the protection of human health and the environment. The Mixed and Low-Level Waste Treatment Facility Project was chartered in 1991, by the Department of Energy to provide treatment capability for these mixed and low-level waste streams. The first project task consisted of conducting engineering studies to identify the waste streams, their potential treatment strategies, and the requirements that would be imposed on the waste streams and the facilities used to process them. This report, Appendix A, Environmental ampersand Regulatory Planning ampersand Documentation, identifies the regulatory requirements that would be imposed on the operation or construction of a facility designed to process the INEL's waste streams. These requirements are contained in five reports that discuss the following topics: (1) an environmental compliance plan and schedule, (2) National Environmental Policy Act requirements, (3) preliminary siting requirements, (4) regulatory justification for the project, and (5) health and safety criteria

  10. Emergency provisions in the surroundings of military facilities in Rheinland-Pfalz

    International Nuclear Information System (INIS)

    Miska, H.

    1991-01-01

    Based on military service instructions, customatry firebrigade tactics, and the usual procedure for handling unsealed radioactive material, 'operational instructions for accidents involving nuclear weapons' were prepared - at that time unaware of the corresponding military plan ('USCINCEUR ConPlan 4367-87') - and in October 1989 distributed nationwide to all fire-brigades, in coordination with the Federal Minister of Defense. Nationwide distribution ensured, on the one hand, that it was impossible to infer from it the secret locations, and, on the other hand, that all fire-brigades were informed, since transport accidents may happen also outside storage locations. (orig./DG) [de

  11. Chronic pain management in the active-duty military

    Science.gov (United States)

    Jamison, David; Cohen, Steven P.

    2012-06-01

    As in the general population, chronic pain is a prevalent and burdensome affliction in active-duty military personnel. Painful conditions in military members can be categorized broadly in terms of whether they arise directly from combat injuries (gunshot, fragmentation wound, blast impact) or whether they result from non-combat injuries (sprains, herniated discs, motor vehicle accidents). Both combat-related and non-combat-related causes of pain can further be classified as either acute or chronic. Here we discuss the state of pain management as it relates to the military population in both deployed and non-deployed settings. The term non-battle injury (NBI) is commonly used to refer to those conditions not directly associated with the combat actions of war. In the history of warfare, NBI have far outstripped battle-related injuries in terms not only of morbidity, but also mortality. It was not until improvements in health care and field medicine were applied in World War I that battle-related deaths finally outnumbered those attributed to disease and pestilence. However, NBI have been the leading cause of morbidity and hospital admission in every major conflict since the Korean War. Pain remains a leading cause of presentation to military medical facilities, both in and out of theater. The absence of pain services is associated with a low return-to-duty rate among the deployed population. The most common pain complaints involve the low-back and neck, and studies have suggested that earlier treatment is associated with more significant improvement and a higher return to duty rate. It is recognized that military medicine is often at the forefront of medical innovation, and that many fields of medicine have reaped benefit from the conduct of war.

  12. Progress in standards for nuclear air and gas treatment

    International Nuclear Information System (INIS)

    Burchsted, C.A.

    1978-01-01

    Standardization in nuclear air and gas treatment spans a period of more than 25 years, starting with military specifications for HEPA filters and filter media, and now progressing to the development of a formal code analogous to the ASME Boiler and Pressure Vessel Code. Whereas the current standard for components and installation of nuclear air cleaning systems is limited to safety related facilities for nuclear power plants, the proposed code will cover all types of critical ventilation and air and gas treatment installations for all types of nuclear facilities

  13. A comprehensive centralized control system for radiation waste treatment facility

    International Nuclear Information System (INIS)

    Kong Jinsong

    2014-01-01

    A comprehensive centralized control system is designed for the radiation waste treatment facility that lacking of coordinated operational mechanism for the radiation waste treatment. The centralized control and alarm linkage of various systems is implemented to ensure effectively the safety of nuclear facility and materials, improve the integral control ability through advanced informatization ways. (author)

  14. Role of nuclear reactors in future military satellites

    International Nuclear Information System (INIS)

    Buden, D.; Angelo, J.A. Jr.

    1982-01-01

    Future military capabilities will be profoundly influenced by emerging Shuttle Era space technology. Regardless of the specific direction or content of tomorrow's military space program, it is clear that advanced space transportation systems, orbital support facilities, and large-capacity power subsystems will be needed to create the generally larger, more sophisticated military space systems of the future. This paper explores the critical role that space nuclear reactors should play in America's future space program and reviews the current state of nuclear reactor power plant technology. Space nuclear reactor technologies have the potential of satisfying power requirements ranging from 10 kW/sub (e)/ to 100 MW/sub (e)/

  15. The threat at home: Confronting the toxic legacy of the U.S. Military

    International Nuclear Information System (INIS)

    Shulman, S.

    1992-01-01

    The environmental problems that confront the military--and the communities where military facilities are located--are as varied and diverse as the military itself. Past waste management and mismanagement practices have led to large-scale contamination of soil and groundwater with toxic or hazardous fuels, solvents, trace metals, pesticides, explosives, and propellants. Nuclear production facilities generate mixed wastes, which contain both radioactive and toxic contaminants. Test sites and proving grounds are known to contain a large number of unexploded munitions buried in the soil, and a number of arsenals and ammunition plants store chemical weapons agents, which are no longer needed, such as mustard gas and nerve agents. The book is divided into three parts--open-quotes The Threatclose quotes, open-quotes Secret Legaciesclose quotes, and open-quotes Facing the Futureclose quotes. Shulman devotes separate chapters to individual facilities and sites, describing the environmental degradation and damage that has occurred. Through interviews with private citizens, the author portrays the anger and suspicion that exist in surrounding communities. The author describes the frustration of Congressional committees as well as military and contract personnel involved in cleanup, who decry the lack of guidance from the Pentagon

  16. Training manual for process operation and management of radioactive waste treatment facility

    Energy Technology Data Exchange (ETDEWEB)

    Shon, J. S.; Kim, K. J.; Ahn, S. J. [and others

    2004-12-01

    Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure.

  17. Training manual for process operation and management of radioactive waste treatment facility

    International Nuclear Information System (INIS)

    Shon, J. S.; Kim, K. J.; Ahn, S. J.

    2004-12-01

    Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure

  18. Treatment of wastes from a central spent-fuel rod consolidation facility

    International Nuclear Information System (INIS)

    Ross, W.A.

    1986-01-01

    The consolidation of commercial spent-fuel rods at a central treatment facility (such as the proposed Monitored Retrievable Storage Facility) will generate several types of waste, which may require treatment and disposal. Eight alternatives for the treatment of the wastes have been evaluated as part of DOE's Nuclear Waste Treatment Program at the Pacific Northwest Laboratory. The evaluation considered the system costs, potential waste form requirements, and processing characteristics

  19. The Joint Military Medical Executive Skills initiative: an impressive response to changing human resource management rules of engagement.

    Science.gov (United States)

    Kerr, Bernard J

    2007-01-01

    Confronted with a sudden and substantial change in the rules regarding who could command a military medical treatment facility (MTF), the Military Health System (MHS) responded to the challenge with an impressive human resource management solution-the Joint Medical Executive Skills Program. The history, emergence, and continuing role of this initiative exemplifies the MHS's capacity to fulfill the spirit and intent of an arduous Congressional mandate while enhancing professional development and sustaining the career opportunities of medical officers. The MHS response to the Congressional requirement that candidates for MTF command demonstrate professional administrative skills was decisive, creative, and consistent with the basic principles of human resource management. The Joint Medical Executive Skills Program is a management success story that demonstrates how strategic planning, well-defined skills requirements, and structured training can assure a ready supply of qualified commanders for the military's MTFs.

  20. Centralized treatment facility for L/ILW produced in Iran

    International Nuclear Information System (INIS)

    Ettehadian, M.; Momenzadeh, S.; Ansar, M.; Burcl, R.

    2001-01-01

    Full text: Normal operation of 5 MW research reactor, and radioisotope application in medicine, industry and research institutes generate a significant amount of low level radioactive waste. The volume is expected to increase with the expansion of nuclear application. This paper describes the establishing of centralized waste treatment facility developed by Atomic Energy Organization of Iran (AEOI) using IAEA technical assistance and recommendation. The new treatment facility will enable the currently produced RW to be treated conditioned and stored until a national repository becomes available. The centralized facility consists of a waste processing and storage buildings, which will be used to store conditioned waste drums. The treatment methods used for liquid wastes are precipitation, ion exchange and ultra filtration followed by In-drum cementation of residues. An In-drum compactor will be used for compaction of solid wastes. Safe management of low and intermediate radioactive waste, better protection of environment and population and applying suitable and economical processes for treatment of L/ILW are the other objectives of this activity. (author)

  1. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    International Nuclear Information System (INIS)

    Warner, C.L.

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described

  2. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Warner, C.L. (comp.)

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described.

  3. Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa

    Science.gov (United States)

    Bowles, Steven; Louw, Johann; Myers, Bronwyn

    2011-01-01

    Directors' and treatment staff's perceptions of organizational functioning within substance abuse treatment facilities in four provinces in South Africa were examined via the Texas Christian University's Organizational Readiness for Change instrument. Forty-four treatment facilities (out of 89) participated in the study. Results indicated that…

  4. 3718-F Alkali Metal Treatment and Storage Facility Closure Plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    None

    1992-11-01

    The Hanford Site, located northwest of the city of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials, as well as for activities associated with nuclear energy development. The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. The 3718-F Alkali Metal Treatment and Storage Facility (3718-F Facility), located in the 300 Area, was used to store and treat alkali metal wastes. Therefore, it is subject to the regulatory requirements for the storage and treatment of dangerous wastes. Closure will be conducted pursuant to the requirements of the Washington Administrative Code (WAC) 173-303-610 (Ecology 1989) and 40 CFR 270.1. Closure also will satisfy the thermal treatment facility closure requirements of 40 CFR 265.381. This closure plan presents a description of the 3718-F Facility, the history of wastes managed, and the approach that will be followed to close the facility. Only hazardous constituents derived from 3718-F Facility operations will be addressed.

  5. Gender Dysphoria in the Military.

    Science.gov (United States)

    Ford, Shannon; Schnitzlein, Carla

    2017-11-07

    With the announcement that members of the military who identify as transgender are allowed to serve openly, the need for Department of Defense behavioral health providers to be comfortable in the assessment, diagnosis, and treatment of this population becomes quickly evident. This population has been seeking care in the community and standards have been developed to help guide decision-making, but a comparable document does not exist for the military population. Previously published papers were written in anticipation of the policy allowing for open service. The civilian sector has treatment guidelines and evidence supporting the same for reference. There is no similar document for the military population, likely due to the recent change and ongoing development. This paper attempts to provide an overview of the recent Department of Defense policy and walks the reader through key considerations when providing care to a transgender member of the military as it relates to those who are currently serving in the military through the use of a case example. The military transgender population faces some unique challenges due to the need to balance readiness and deployability with medically necessary health care. Also complicating patient care is that policy development is ongoing-as of this publication, the decision has not yet been made regarding how people who identify as transgender will access into the military nor is there final approval regarding coverage for surgical procedures. Unique circumstances of this population are brought up to generate more discussion and encourage further evaluation and refinement of the process.

  6. [Economic problems in military public health].

    Science.gov (United States)

    Petrov, G M; Moretskiĭ, A A

    2000-03-01

    There are discussed the problems of military treatment and prophylactic institution (TPI) functioning under conditions of market reform of Russian public health. Main marketing concepts in military health are determined and some recommendations on work improvement in TPI of the Armed Forces in the system of obligatory medical insurance are presented, granting population paid medical services. It is necessary to form a new type of director--military and medical manager.

  7. Mixed and Low-Level Waste Treatment Facility Project

    International Nuclear Information System (INIS)

    1992-04-01

    Mixed and low-level wastes generated at the Idaho National Engineering Laboratory (INEL) are required to be managed according to applicable State and Federal regulations, and Department of Energy Orders that provide for the protection of human health and the environment. The Mixed and Low-Level Waste Treatment Facility Project was chartered in 1991, by the Department of Energy to provide treatment capability for these mixed and low-level waste streams. The first project task consisted of conducting engineering studies to identify the waste streams, their potential treatment strategies, and the requirements that would be imposed on the waste streams and the facilities used to process them. This report documents those studies so the project can continue with an evaluation of programmatic options, system tradeoff studies, and the conceptual design phase of the project. This report, appendix B, comprises the engineering design files for this project study. The engineering design files document each waste steam, its characteristics, and identified treatment strategies

  8. Knowledge and Practice of Nursing Staff about Sharp Waste Management in Selected Hospitals of Military (Tehran and Non- Military (Qom in 2012

    Directory of Open Access Journals (Sweden)

    Norouz Mohmoudi

    2017-01-01

    Full Text Available Healthcare wastes are a major challenge in public health and comprise all types of wastes generated by healthcare centers, research facilities, and laboratories. The aim of this study was surveying the knowledge and practice of nursing staff about sharp waste management in selected military (Tehran and non- military (Qom hospitals in 2012. This was a descriptive-analytical study on 143 nursing stuff in Military and Non-Military hospitals. Data was collected using a self-report questionnaire. Statistical tests such as the student t-test, one-way analysis of variance and Pearson correlation were used to data analysis. The mean age of participants was 32(±6.3 and the majority were female. The mean score of knowledge was 54.7(±14.4 and their knowledge classified on a moderate level. Also, the mean score of practice was 65.44(±11.6 and was classified on a moderate level. The means of these variables were higher among personnel of Military than Non-Military. There were positive correlations between knowledge, practice and age variables (P

  9. Obesity and the US Military Family

    Science.gov (United States)

    Tanofsky-Kraff, Marian; Sbrocco, Tracy; Theim, Kelly R.; Cohen, L. Adelyn; Mackey, Eleanor R.; Stice, Eric; Henderson, Jennifer L.; McCreight, Sarah J.; Bryant, Edny J.; Stephens, Mark B.

    2014-01-01

    Objective This review discusses the current knowledge and future directions regarding obesity within the US military family (i.e., active-duty servicemembers, as well as military spouses, children, retirees, and veterans). The increasing rates of overweight and obesity within the US military adversely impact military readiness, limit recruitment, and place a significant financial burden on the Department of Defense. Design and Methods The following topics are reviewed: 1) The prevalence of and the financial, physical, and psychological costs associated with overweight in military communities; 2) military weight regulations, and challenges faced by the military family related to overweight and disordered eating; 3) the continued need for rigorous program evaluations and new intervention development. Results Overweight and its associated sequelae impact the entire military family. Military families share many similarities with their civilian counterparts, but they face unique challenges (e.g., stress related to deployments and relocations). Although the military has weight management resources, there is an urgent need for rigorous program evaluation and the development of enhanced obesity prevention programs across the lifespan of the military family–several of which are proposed herein. Conclusions Interdisciplinary and collaborative research efforts and team-based interventions will continue to inform understanding of obesity treatment and prevention within military and civilian populations. PMID:23836452

  10. [Blood transfusion in emergency settings: French military health service experience].

    Science.gov (United States)

    Sailliol, A; Ausset, S; Peytel, E

    2010-12-01

    Blood transfusion is required in a number of emergency settings and the French military health service (FMHS) has issued specific guidelines for the treatment of war casualties. These guidelines take into account European standards and laws, NATO standards, and also public sentiment regarding transfusion. These guidelines reflect a determination to control the process and to avoid the improvisation frequently associated with wartime transfusion. The evolution in warfare (terrorism and bombing more frequent than gunshot) and the wide use of body armor have deeply changed the clinical presentation of war injuries. These now involve the extremities in 80% of cases, with extensive tissue damage and heavy blood loss. The FMHS recommends that war casualties with hemorrhagic shock be brought quickly to a medical treatment facility (MTF) after first-line treatment applied through buddy aid or by medics. In the MTF, before an early Medevac, a damage control surgery will be performed, with resuscitation using freeze-dried plasma, red blood cells and fresh whole blood. The French military blood bank is responsible for blood product supply, training and medical advice regarding transfusion therapy during wartime, as well as hemovigilance. All transfusion therapy practices are periodically assessed but research on whole blood pathogen reduction is being conducted in order to reduce the residual infectious risk associated with this product. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  11. Ultraviolet Light Surface Treatment as an Environmentally Benign Process for Production, Maintenance and Repair of Military Composite Structures

    National Research Council Canada - National Science Library

    Drzal, Lawrence T

    2002-01-01

    The principal objective of this work is to develop a low-cost, high-speed, environmentally benign, dry surface treatment method for production, and repair of military composite structures using ultraviolet (UV...

  12. Emissions from small-scale burns of simulated deployed U.S. military waste.

    Science.gov (United States)

    Woodall, Brian D; Yamamoto, Dirk P; Gullett, Brian K; Touati, Abderrahmane

    2012-10-16

    U.S. military forces have historically relied on open burning as an expedient method of volume reduction and treatment of solid waste during the conflicts in Afghanistan and Iraq. This study is the first effort to characterize a broad range of pollutants and their emission factors during the burning of military waste and the effects that recycling efforts, namely removing plastics, might have on emissions. Piles of simulated military waste were constructed, burned, and emissions sampled at the U.S. Environmental Protection Agency (EPA) Open Burn Testing Facility (OBTF), Research Triangle Park, NC. Three tests contained polyethylene terephthalate (PET #1 or PET) plastic water bottles and four did not. Emission factors for polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs), particulate matter (PM(10), PM(2.5)), polychlorinated and polybrominated dioxins/furans (PCDD/F and PBDD/F), and criteria pollutants were determined and are contained within. The average PCDD/F emission factors were 270 ng-toxic equivalency (TEQ) per kg carbon burned (ng-TEQ/kg Cb), ranging from 35 to 780 ng-TEQ/kg Cb. Limited testing suggests that targeted removal of plastic water bottles has no apparent effect on reducing pollutants and may even promote increased emissions.

  13. Waste analysis plan for the 200 area effluent treatment facility and liquid effluent retention facility

    International Nuclear Information System (INIS)

    Ballantyne, N.A.

    1995-01-01

    This waste analysis plan (WAP) has been prepared for startup of the 200 Area Effluent Treatment Facility (ETF) and operation of the Liquid Effluent Retention Facility (LERF), which are located on the Hanford Facility, Richland, Washington. This WAP documents the methods used to obtain and analyze representative samples of dangerous waste managed in these units, and of the nondangerous treated effluent that is discharged to the State-Approved Land Disposal System (SALDS). Groundwater Monitoring at the SALDS will be addressed in a separate plan

  14. Operation technology of air treatment system in nuclear facilities

    CERN Document Server

    Chun, Y B; Hwong, Y H; Lee, H K; Min, D K; Park, K J; Uom, S H; Yang, S Y

    2001-01-01

    Effective operation techniques were reviewed on the air treatment system to protect the personnel in nuclear facilities from the contamination of radio-active particles and to keep the environment clear. Nuclear air treatment system consisted of the ventilation and filtering system was characterized by some test. Measurement of air velocity of blowing/exhaust fan in the ventilation system, leak tests of HEPA filters in the filtering, and measurement of pressure difference between the areas defined by radiation level were conducted. The results acquired form the measurements were reflected directly for the operation of air treatment. In the abnormal state of virus parts of devices composted of the system, the repairing method, maintenance and performance test were also employed in operating effectively the air treatment system. These measuring results and techniques can be available to the operation of air treatment system of PIEF as well as the other nuclear facilities in KAERI.

  15. EPA Facility Registry Service (FRS): Wastewater Treatment Plants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS), EPA's Integrated Compliance Information System (ICIS)...

  16. Holistic Care in the US Military I-The Epidaurus Project: An Initiative in Holistic Medicine for the Military Health System, 2001-2012.

    Science.gov (United States)

    Foote, Frederick O; Bulger, Roger J; Frampton, Susan B; Pellegrino, Edmund D

    2012-05-01

    This article describes the history and findings of the Epidaurus Project, a Uniformed Services University-affiliated project to bring holistic care and evidence-based design into the Military Health System (MHS). A distinguished group of civilian thought leaders contributed. The 2005 Base Realignment and Closure process offered a chance to implement the Epidaurus agenda. A new integrated healthcare delivery system, centered around the Walter Reed National Military Medical Center at Bethesda, Maryland, was the result. These facilities will be templates for a new generation of MHS "healing environments" and a model for innovative systems of healthcare nationwide. The Epidaurus Project represents a significant collaboration between civilian medicine and the military in times of war.

  17. Soil management planning for military installations: Strategy for identifying contaminated soils

    International Nuclear Information System (INIS)

    Makdisi, R.S.; Baskin, D.A.; Downey, D.; Taffinder, S.A.

    1992-01-01

    Numerous federal and state regulations mandate the proper handling and disposal and/or treatment of contaminated soils. The Land Disposal Ban and the increasing lack of new or proximal land disposal facilities, coupled with the increasing liability of off-site disposal, have created a need for altering the traditional methods of managing contaminated sods. To delineate soil management decisions, a Soil Management Plan (SMP) was developed which incorporates the substantive requirements of CERCLA/SARA and RCRA into the ongoing base activities (i.e., construction projects, utility repairs and maintenance) and other environmental projects (i.e., underground storage tank removals) that may involve contaminated soils. The decision-making process is developed to guide base personnel in recognizing contamination, following proper sampling and temporary storage procedures, preventing unnecessary human exposure and isolating soils for removal off-site or treatment on-site. The SMP also contains a comprehensive review of soil remediation technologies, such as biological treatment, soil vapor extraction, soil washing, biofiltering, thermal desorption, soil stabilization/solidification, chemical/physical treatment and incineration. Contaminant types expected at the federal military facility are cross-referenced to the appropriate remediation technologies to determine the specific base needs for a soil treatment unit. An example of a conceptual design for a hydrocarbon-contaminated soil treatment unit is presented for a base where underground fuel tanks are the principal source of soil contamination

  18. A Study to Develop the Optimal Military Inter-Institutional Patient Referral Systems Model for DoD (Department of Defense) Military Medical Region III

    Science.gov (United States)

    1988-05-01

    I rerr syttemn an do wlon t P ontimal military inter-instittiuonal patient referral systems model for DOD Military Medical Region III. A convenience...Dactin- on the Armed Services Medical Regulating Office and Patient Airlift "lc rcsusl.s of :his study indicated that the single largest breakdown...and the requirement to regulate to the closest medical facility with capability to care for the patient . L! / I Ii I i A STUDY TO DEVELOP THE OPTIMAL

  19. Ventilation and air conditioning system in waste treatment and storage facilities

    International Nuclear Information System (INIS)

    Kinoshita, Hirotsugu; Sugawara, Kazushige.

    1987-01-01

    So far, the measures concerning the facilities for treating and storing radioactive wastes in nuclear fuel cycle in Japan were in the state which cannot be said to be sufficient. In order to cope with this situation, electric power companies constructed and operated radioactive waste concentration and volume reduction facilities, solid waste storing facilities for drums, high level solid waste storing facilities, spent fuel cask preserving facilities and so on successively in the premises of nuclear power stations, and for the wastes expected in future, the research and the construction plan of the facilities for treating and storing low, medium and high level wastes have been advanced. The ventilation and air conditioning system for these facilities is the important auxiliary system which has the mission of maintaining safe and pleasant environment in the facilities and lowering as far as possible the release of radioactive substances to outside. The outline of waste treatment and storage facilities is explained. The design condition, ventilation and air conditioning method, the features of respective waste treatment and storage facilities, and the problems for the future are described. Hereafter, mechanical ventilation system continues to be the main system, and filters become waste, while the exchange of filters is accompanied by the radiation exposure of workers. (Kako, I.)

  20. Access issues associated with U.S. military presence in Thailand and the Philippines

    OpenAIRE

    Dilag, Bayani C.

    2005-01-01

    Approved for public release, distribution is unlimited In pursuit of the objectives of the U.S. National Security Strategy and the National Military Strategy, the U.S. Armed Forces require access to military and logistics facilities overseas to be able to support and sustain its combat power projection. Access to these places translates into capabilities. An American military forward presence in time of peace as well as during a regional crisis lends credibility to U.S. diplomacy. Moreover...

  1. Startup of the remote laboratory-scale waste-treatment facility

    International Nuclear Information System (INIS)

    Knox, C.A.; Siemens, D.H.; Berger, D.N.

    1981-01-01

    The Remote Laboratory-Scale Waste-Treatment Facility was designed as a system to solidify small volumes of radioactive liquid wastes. The objectives in operating this facility are to evaluate solidification processes, determine the effluents generated, test methods for decontaminating the effluents, and provide radioactive solidified waste products for evaluation. The facility consists of a feed-preparation module, a waste-solidification module and an effluent-treatment module. The system was designed for remote installation and operation. Several special features for remotely handling radioactive materials were incorporated into the design. The equipment was initially assembled outside of a radiochemical cell to size and fabricate the connecting jumpers between the modules and to complete some preliminary design-verification tests. The equipment was then disassembled and installed in the radiochemical cell. When installation was completed the entire system was checked out with water and then with a nonradioactive simulated waste solution. The purpose of these operations was to start up the facility, find and solve operational problems, verify operating procedures and train personnel. The major problems experienced during these nonradioactive runs were plugging of the spray calciner nozzle and feed tank pumping failures. When these problems were solved, radioactive operations were started. This report describes the installation of this facility, its special remote design feature and the startup operations

  2. Treatment of DOE mixed wastes using commercial facilities

    International Nuclear Information System (INIS)

    Kramer, J.F.; Ross, M.A.; Dilday, D.R.

    1992-02-01

    In a demonstration program, Department of Energy (DOE) solid mixed wastes generated during uranium processing operations are characterized to define the unit operations required for treatment. The objectives included the implementation of these treatment operations utilizing a commercial Treatment, Storage and Disposal Facility (TSDF). In contracting for commercial hazardous and mixed waste treatment, it is important to characterize the waste beyond the identification of toxicity characteristic (TC) and radiological content. Performing treatability studies and verification of all the unit operations required for treatment is critical. The stream selected for this program was TC hazardous for barium (D005) and contaminated with both depleted and low enriched uranium. The program resulted in the generation of characterization data and treatment strategies. The characterization and treatability studies indicated that although a common unit operation was required to remove the toxic characteristic, multiple pretreatment operations were needed. Many of these operations do not exist at available TSDF's, rendering some portions of the stream untreatable using existing commercial TSDF's. For this project the need for pretreatment operations resulted in only a portion of the waste originally targeted for treatment being accepted for treatment at a commercial TSDF. The majority of the targeted stream could not be successfully treated due to lack of an off-site commercial treatment facility having the available equipment and capacity or with the correct combination of RCRA permits and radioactive material handling licenses. This paper presents a case study documenting the results of the project

  3. Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

    Directory of Open Access Journals (Sweden)

    Cary A. Brown

    2013-01-01

    Full Text Available Background. Many individuals who work in the military experience sleep deficiency which presents a significant problem given the nature of their work. The cause of their sleep problems is likely multifactorial, stemming from the interplay between their personal health, habits and lifestyle juxtaposed with the stress of their military work such as emotional and physical trauma experienced in service. Objective. To present an overview of sleep deficiency in military members (MMs and review of nonpharmacological treatment options. Discussion. Although there are a number of promising nonpharmacological treatment options available for people working in the military who experience problems sleeping, testing interventions within the context of the military are still in the early stages. Further research utilizing rigorous design and standardized, context appropriate outcome measures is needed to help treat this burgeoning problem.

  4. Conceptual design of tritium treatment facility

    International Nuclear Information System (INIS)

    Tachikawa, Katsuhiro

    1982-01-01

    In connection with the development of fusion reactors, the development of techniques concerning tritium fuel cycle, such as the refining and circulation of fuel, the recovery of tritium from blanket, waste treatment and safe handling, is necessary. In Japan Atomic Energy Research Institute, the design of the tritium process research laboratory has been performed since fiscal 1977, in which the following research is carried out: 1) development of hydrogen isotope separation techniques by deep cooling distillation method and thermal diffusion method, 2) development of the refining, collection and storage techniques for tritium using metallic getters and palladium-silver alloy films, and 3) development of the safe handling techniques for tritium. The design features of this facility are explained, and the design standard for radiation protection is shown. At present, in the detailed design stage, the containment of tritium and safety analysis are studied. The building is of reinforced concrete, and the size is 48 m x 26 m. Glove boxes and various tritium-removing facilities are installed in two operation rooms. Multiple wall containment system and tritium-removing facilities are explained. (Kako, I.)

  5. Holistic Care in the US Military I—The Epidaurus Project: An Initiative in Holistic Medicine for the Military Health System, 2001–2012

    Science.gov (United States)

    Bulger, Roger J.; Frampton, Susan B.; Pellegrino, Edmund D.

    2012-01-01

    This article describes the history and findings of the Epidaurus Project, a Uniformed Services University–affiliated project to bring holistic care and evidence-based design into the Military Health System (MHS). A distinguished group of civilian thought leaders contributed. The 2005 Base Realignment and Closure process offered a chance to implement the Epidaurus agenda. A new integrated healthcare delivery system, centered around the Walter Reed National Military Medical Center at Bethesda, Maryland, was the result. These facilities will be templates for a new generation of MHS “healing environments” and a model for innovative systems of healthcare nationwide. The Epidaurus Project represents a significant collaboration between civilian medicine and the military in times of war. PMID:24278818

  6. Treatability studies of alternative wastewaters for Metal Finishing Effluent Treatment Facility

    International Nuclear Information System (INIS)

    Wittry, D.M.; Martin, H.L.

    1994-01-01

    The 300-M Area Liquid Effluent Treatment Facility (LETF) of the Savannah River Site (SRS) is an end-of-pipe industrial wastewater treatment facility that uses precipitation and filtration, which is the EPA Best Available Technology economically achievable for a Metal Finishing and Aluminum Form Industries. Upon the completion of stored waste treatment, the LETF will be shut down, because production of nuclear materials for reactors stopped at the end of the Cold War. The economic use of the LETF for the treatment of alternative wastewater streams is being evaluated through laboratory bench-scale treatability studies

  7. 40 CFR 403.19 - Provisions of specific applicability to the Owatonna Waste Water Treatment Facility.

    Science.gov (United States)

    2010-07-01

    ... the Owatonna Waste Water Treatment Facility. 403.19 Section 403.19 Protection of Environment... Owatonna Waste Water Treatment Facility. (a) For the purposes of this section, the term “Participating... Industrial User discharging to the Owatonna Waste Water Treatment Facility in Owatonna, Minnesota, when a...

  8. Development of a state radioactive materials storage facility

    International Nuclear Information System (INIS)

    Schmidt, P.S.

    1995-01-01

    The paper outlines the site selection and facility development processes of the state of Wisconsin for a radioactive materials facility. The facility was developed for the temporary storage of wastes from abandoned sites. Due to negative public reaction, the military site selected for the facility was removed from consideration. The primary lesson learned during the 3-year campaign was that any project involving radioactive materials is a potential political issue

  9. Military Families with Handicapped Children: The Reassignment Problem

    Science.gov (United States)

    1981-02-01

    of them ( education service center, Lub- bock Medical facilities , Lubbock State School, psychiatric facilities , etc.) 18. Additional comments: Rapidly...Attached DD ) AN 73 1473 EDITION OF I NOV6GS IS OBSOLETE UNCL 23 Oct 81 8 1 10 2oc 0 6 2 !CURITY CLASSIFICATION OF THIS PAGE (I7,n Data Entered) AIR WAR...COLLEGE AIR UNIVERSITY Report No. MS107-81 MILITARY FAMILIES WITH HANDICAPPED CHILDREN: THE REASSIGNMENT PROBLEM (A (WiDE TO SPECIAL EDUCATION AVAILABLE

  10. Patient satisfaction and loyalty among military healthcare beneficiaries enrolled in a managed care program.

    Science.gov (United States)

    Jennings, B M; Loan, L A

    1999-11-01

    A study was performed to evaluate military beneficiaries' motivation for choosing to change from a civilian managed care system to the military managed care system. Concerns about healthcare cost, quality, and access underpin major reform in military healthcare. The military health system (MHS) is implementing managed care through an initiative known as TRICARE. Patient choice and satisfaction are highly relevant to all healthcare delivery systems; they are being explored aggressively in the MHS as TRICARE evolves. This descriptive study was conducted using a telephone survey consisting of 63 items derived from four pre-existing instruments as well as five facility-specific questions and demographics. The population of interest targeted military beneficiaries on a TRICARE waiting list who, at the time of enrollment, indicated a desire to receive care at the military facility. Consumers were inclined to return to the military system because of loyalty. Also, this study provided evidence that staff courtesy is important to those who seek healthcare. Good quality and accessibility were verified as essential elements in sustaining a consumer's positive view of and attraction to a particular healthcare system. Cost was proven to be a less substantial factor of consumer decision making. Surveys such as this give healthcare providers more information about aspects of care, such as patient loyalty and interpersonal dynamics, that attract people to their healthcare delivery systems. For healthcare systems to thrive, consumer influence and the power of patient dissatisfaction must be understood.

  11. Assessment of the proposed decontamination and waste treatment facility at LLNL

    International Nuclear Information System (INIS)

    Cohen, J.J.

    1987-01-01

    To provide a centralized decontamination and waste treatment facility (DWTF) at LLNL, the construction of a new installation has been planned. Objectives for this new facility were to replace obsolete, structurally and environmentally sub-marginal liquid and solid waste process facilities and decontamination facility and to bring these facilities into compliance with existing federal, state and local regulations as well as DOE orders. In a previous study, SAIC conducted a preliminary review and evaluation of existing facilities at LLNL and cost effectiveness of the proposed DWTF. This document reports on a detailed review of specific aspects of the proposed DWTF

  12. Substance use disorders and PTSD: an exploratory study of treatment preferences among military veterans.

    Science.gov (United States)

    Back, Sudie E; Killeen, Therese K; Teer, Andrew P; Hartwell, Emily E; Federline, Amanda; Beylotte, Frank; Cox, Elizabeth

    2014-02-01

    Substance use disorders (SUDs) and Post Traumatic Stress Disorder (PTSD) frequently co-occur among Veterans and are associated with poor treatment outcomes. Historically, treatments for SUDs and PTSD have been delivered sequentially and independently. More recently, however, integrated treatments have shown promise. This study investigated Veterans' perceptions of the interrelationship between SUDs and PTSD, as well as treatment preferences. Participants were 35 Veterans of recent military conflicts in Iraq and Afghanistan, and prior operations, who completed the Treatment Preferences Questionnaire as well as an in-depth interview. The majority (94.3%) perceived a relationship between their SUD and PTSD symptoms. Veterans reported that PTSD symptom exacerbation was typically (85.3%) associated with an increase in substance use, and PTSD symptom improvement was typically (61.8%) followed by a decrease in substance use (pdevelopment and provision of care for Veterans with SUDs and PTSD. Published by Elsevier Ltd.

  13. Federal Facility Compliance Act, Proposed Site Treatment Plan: Background Volume. Executive Summary

    International Nuclear Information System (INIS)

    1995-01-01

    This Federal Facility Compliance Act Site Treatment Plan discusses the options of radioactive waste management for Ames Laboratory. This is the background volume which discusses: site history and mission; framework for developing site treatment plans; proposed plan organization and related activities; characterization of mixed waste and waste minimization; low level mixed waste streams and the proposed treatment approach; future generation of TRU and mixed wastes; the adequacy of mixed waste storage facilities; and a summary of the overall DOE activity in the area of disposal of mixed waste treatment residuals

  14. Survey of Retired Military Pharmacist's Transition to a Civilian Pharmacy Career Path.

    Science.gov (United States)

    Bennett, David; Wellman, Greg; Mahmood, Maysaa; Freye, Ryan; Remund, Daniel; Samples, Phil L

    2015-12-01

    To explore variables relevant to transition to civilian pharmacy career path for retiring military pharmacists. A cross-sectional survey was designed to collect information from retired military pharmacists including demographics, military service information, postretirement employment and perceptions of transition, satisfaction, level of responsibility, work environment, rewards (level of financial compensation, opportunities for professional development and career advancement, health benefits), and level of supervisory support. The questionnaire also included additional items asking about their perception of their military experience, transition to civilian work and the impact the military career had on their personal and family life. Respondents included 140 retired pharmacists from the U.S. Army, Navy, Air Force, or Coast Guard. Factors found to be significant predictors of transition to civilian career included: bureaucracy in current job, time elapsed since retirement, extent to which an individual misses military structure and chain of command, access to military facilities and Veterans Administration benefits, and reporting little or no stress in committed long-term personal relationship while in the military. Findings suggest that the majority of retired military pharmacists perceived the transition to civilian professional sector was about what they expected or easier than expected. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

  15. Young Australians’ Attitudes to the Military and Military Service

    Directory of Open Access Journals (Sweden)

    Ben Wadham

    2014-08-01

    Full Text Available What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Australia. Civil–military relations describe the complex set of relationships between the civil and military spheres. The role of the military, the relationship between the state and the military, the division of labor between civilian and military entities, foreign policy, and knowledge of military service are some of the fields that constitute a study of civil–military relations. This article reports on beliefs about, and attitudes to the specificities of military service and responses to the broader field of civil–military relations.

  16. DWTF [decontamination and waste treatment facilities] assessment

    International Nuclear Information System (INIS)

    Maimoni, A.

    1986-01-01

    The purpose of this study has been to evaluate the adequacy of present and proposed decontamination and waste treatment facilities (DWTF) at LLNL, to determine the cost effectiveness for proposed improvements, and possible alternatives for accomplishing these improvements. To the extent possible, we have also looked at some of the proposed environmental compliance and cleanup (ECC) projects

  17. Overview of a conceptualized waste water treatment facility for the Consolidated Incinerator Facility

    International Nuclear Information System (INIS)

    McCabe, D.J.

    1992-01-01

    The offgas system in the Consolidated Incinerator Facility (CIF) will generate an aqueous waste stream which is expected to contain hazardous, nonhazardous, and radioactive components. The actual composition of this waste stream will not be identified until startup of the facility, and is expected to vary considerably. Wastewater treatment is being considered as a pretreatment to solidification in order to make a more stable final waste form and to reduce disposal costs. A potential treatment scenario has been defined which may allow disposition of this waste in compliance with all applicable regulations. The conceptualized wastewater treatment plant is based on literature evaluations for treating hazardous metals. Laboratory tests hwill be run to verify the design for its ability to remove the hazardous and radioactive components from this waste stream. The predominant mechanism employed for removal of the hazardous and radioactive metal ions is coprecipitation. The literature indicates that reasonably low quantities of hazardous metals can be achieved with this technique. The effect on the radioactive metal ions is not predictable and has not been tested. The quantity of radioactive metal ions predicted to be present in the waste is significantly less than the solubility limit of those ions, but is higher than the discharge guidelines established by DOE Order 5400.5

  18. Safety assessment of the magnetic resonance imaging (MRI) facility at the 37 Military Hospital

    International Nuclear Information System (INIS)

    Mintah, R.O

    2010-01-01

    Safety assessment of the operation of the Magnetic Resonance Imaging (MRI) system at 37 Military Hospital was done. Protocols were developed to assess the radiological health and safety impact of some selected MR imaging procedures on patients, staff and the general public. The parameters considered to be assessed were; specific absorption rate (SAR); temperature rise in the body, variation of the magnetic field gradients, RF energy used, sound pressure level and the potential for missile effects. The Smart brain and Routine lumbar Spine examination cards specific to brain and lumbar spine anatomy techniques were used. For brain examinations the T1 W-SE sagittal PH, and the T1 W-SE Tra-PH protocols gave the highest SAR values with a mean value 1.6 W/kg for 3 minutes. For the lumbar spine examinations, the T1 W-TSE axial protocols exposed patients to the highest consistent SAR value of 2.8 W /kg. The T2W-TSE axial protocol gave the highest SAR value of 3.8 W/kg with a mean value of 3.1 W/kg with the highest exposure time of 4 minutes with a mean of 2.5 minutes. These SAR values were within the limits recommended by the United States Food and Drug Administration (USFDA). To optimize patient, staff and public safety, local guidelines for safety assessment were developed which include: in house screening with a metal detector, filling in the screening form and ensuring that safety requirements are met before entering the MR room. The choice of protocols that minimize SAR values and strict compliance to safety protocols developed at the MRI facility therefore should be followed and continuously updated to achieve maximum safety for staff, patient and the general public in and around an MRI facility. (au)

  19. Delisting strategy for the Hanford Site 242-A Evaporator PUREX Plant Condensate Treatment Facility

    International Nuclear Information System (INIS)

    1992-04-01

    This document describes the strategy that the US Department of Energy, Richland Field Office intends to use in preparing the delisting petition for the 242-A Evaporator/PUREX Plant Condensate Treatment Facility. Because the 242-A Evaporator/PUREX Plant Condensate Treatment Facility will not be operational until 1994, the delisting petition will be structured as an up-front petition based on the ''multiple waste treatment facility'' approach outline in the 1985 US Environmental Protection Agency's Petitions to Delist Hazardous Waste. The 242-A evaporator/PUREX Plant Condensate Treatment Facility effluent characterization data will not be available to support the delisting petition, because the delisting petition will be submitted to the US Environmental Protection Agency before start-up of the 242-A Evaporator/PUREX Plant Condensate Treatment Facility. Therefore, the delisting petition will be based on data collected during the pilot plant testing for the 242-A Evaporator/PUREX Plant Condensate Treatment Facility. This pilot plant testing will be conducted on synthetic waste. The composition of the synthetic waste will be based on: (1) constituents of regulatory concern, and (2) on process knowledge. The pilot plant testing will be performed to determine the removal efficiencies of the process equipment at concentrations greater than reasonably could be expected in the actual waste. This strategy document also describes the logic used to develop the synthetic waste, to develop the pilot plant testing program, and to prepare the delisting petition. This strategy document also described how full-scale operating data will be collected during initial operation of the 242-A Evaporator/PUREX Plant Condensate Treatment Facility to verify information presented in the delisting petition

  20. Hong kong chemical waste treatment facilities: a technology overview

    Energy Technology Data Exchange (ETDEWEB)

    Siuwang, Chu [Enviropace Ltd., Hong Kong (Hong Kong)

    1994-12-31

    The effective management of chemical and industrial wastes represents one of the most pressing environmental problems confronting the Hong Kong community. In 1990, the Hong Kong government contracted Enviropace Limited for the design, construction and operation of a Chemical Waste Treatment Facility. The treatment and disposal processes, their integration and management are the subject of discussion in this paper

  1. Hong kong chemical waste treatment facilities: a technology overview

    Energy Technology Data Exchange (ETDEWEB)

    Siuwang, Chu [Enviropace Ltd., Hong Kong (Hong Kong)

    1993-12-31

    The effective management of chemical and industrial wastes represents one of the most pressing environmental problems confronting the Hong Kong community. In 1990, the Hong Kong government contracted Enviropace Limited for the design, construction and operation of a Chemical Waste Treatment Facility. The treatment and disposal processes, their integration and management are the subject of discussion in this paper

  2. 200 area effluent treatment facility opertaional test report

    International Nuclear Information System (INIS)

    Crane, A.F.

    1995-01-01

    This document reports the results of the 200 Area Effluent Treatment Facility (200 Area ETF) operational testing activities. These Operational testing activities demonstrated that the functional, operational and design requirements of the 200 Area ETF have been met and identified open items which require retesting

  3. Nature and Treatment of Comorbid Alcohol Problems and Post Traumatic Stress Disorder Among American Military Personnel and Veterans.

    Science.gov (United States)

    Allen, John P; Crawford, Eric F; Kudler, Harold

    2016-01-01

    Many service members and veterans seeking treatment for alcohol problems also have post-traumatic stress disorder (PTSD). This article considers the effectiveness of treating alcohol problems and PTSD simultaneously. The authors begin by summarizing the extent of excessive alcohol use among military service members and veterans. They then explore the relationship between combat exposure and subsequent alcohol use; identify and briefly describe evidence-based treatments for alcohol problems and PTSD, separately; and review research on the effects of single treatments for both PTSD symptoms and alcohol use.

  4. Mosquito Control Techniques Developed for the US Military

    Science.gov (United States)

    The USDA developed and field tested new techniques to reduce the risk to deployed military troops from vector-borne diseases. Some of the methods developed included (1) novel military personal protection methods, (2) barrier treatments of artificial materials and natural vegetation, and (3) ground a...

  5. Military and civilian media coverage of suicide.

    Science.gov (United States)

    Edwards-Stewart, Amanda; Kinn, Julie T; June, Jennifer D; Fullerton, Nicole R

    2011-01-01

    Military suicide has increased over the past decade and reports of Service Member and Veteran suicides receive media attention. Some methods of reporting suicide appear to cause a "media contagion" effect, potentially increasing suicide. This effect is explored in relation to media reports of both military and civilian suicides. To reduce possible contagion, recommendations for media reporting of suicides were adapted by the Suicide Prevention Resource Center (SPRC). We assessed 240 military and civilian newspaper reports of suicide from 15 different sources for compliance with the SPRC guidelines. Nearly all reviewed articles violated at least one guideline. Results highlighted military news articles regarding Service Members included more pejorative language and discussion of failed psychological treatment. Conversely, civilian articles romanticized the victim and provided more details regarding the suicide. Further exploration of military suicide reporting bias is discussed as a need in future research.

  6. CE: Military Sexual Trauma in Male Service Members.

    Science.gov (United States)

    Eckerlin, Denise M; Kovalesky, Andrea; Jakupcak, Matthew

    2016-09-01

    : The experience of military sexual trauma (MST), which can result from assault, battery, or harassment of a sexual nature, may jeopardize the mental health of service members as well as that of their family members, colleagues, and community members. Although a greater proportion of female than male service members are subjected to MST, the Department of Defense estimates that the absolute numbers of affected men and women, across all ranks and branches of military service, are nearly equal because roughly 85% of military members are men. Little research has explored the effects of MST on men. This article discusses the unique ways in which men may experience MST, and examines how social stereotypes of masculinity, myths surrounding sexual assault, and military culture and structure often influence a man's interpretation of an attack and his likelihood of reporting the incident or seeking treatment. It describes current treatments for MST-related mental health conditions and addresses implications for nurses and other health care professionals.

  7. Low-level wastewater treatment facility process control operational test report

    International Nuclear Information System (INIS)

    Bergquist, G.G.

    1996-01-01

    This test report documents the results obtained while conducting operational testing of a new TK 102 level controller and total outflow integrator added to the NHCON software that controls the Low-Level Wastewater Treatment Facility (LLWTF). The test was performed with WHC-SD-CP-OTP 154, PFP Low-Level Wastewater Treatment Facility Process Control Operational Test. A complete test copy is included in appendix A. The new TK 102 level controller provides a signal, hereafter referred to its cascade mode, to the treatment train flow controller which enables the water treatment process to run for long periods without continuous operator monitoring. The test successfully demonstrated the functionality of the new controller under standard and abnormal conditions expected from the LLWTF operation. In addition, a flow totalizer is now displayed on the LLWTF outlet MICON screen which tallies the process output in gallons. This feature substantially improves the ability to retrieve daily process volumes for maintaining accurate material balances

  8. Barriers to Seeking Mental Health Services among Adolescents in Military Families

    Science.gov (United States)

    Becker, Sara J.; Swenson, Rebecca; Esposito-Smythers, Christianne; Cataldo, Andrea; Spirito, Anthony

    2014-01-01

    Military families with adolescents experience high levels of stress associated with parental deployment, but many of these families do not seek or utilize mental health services. The current qualitative study was designed to better understand barriers to mental health treatment experienced by adolescents in military families. Focus groups and individual interviews were conducted with military adolescents (n = 13), military (non-enlisted) parents (n = 12), and mental health service providers who treat adolescents in military families (n = 20). Discussions primarily explored barriers to seeking treatment, with supplemental questions assessing the ideal elements of mental health services for this population. Seven barriers to engaging in mental health services were identified: four internal (confidentiality concerns, stigma, ethic of self-reliance, lack of perceived relevance) and three external (time and effort concerns, logistical concerns, financial concerns). Challenges engaging military adolescents in mental health services are discussed and several recommendations are offered for service providers attempting to work with this population. PMID:25574070

  9. Military Construction of the Defense Finance and Accounting Service Operations Facility, Columbus, Ohio

    National Research Council Canada - National Science Library

    Granetto, Paul

    1995-01-01

    The audit objectives were to determine whether the Defense Finance and Accounting Service Columbus Center properly planned and programmed the FY 1996 proposed military construction project and whether...

  10. Utilization of psychiatric services by female military personnel changes since admission of women to all German Armed Forces military careers.

    Science.gov (United States)

    Zimmermann, Peter; Ströhle, Andreas; Langner, Franziska; Lanczik, Mario

    2010-07-01

    In 2001, women were admitted to all military careers in the German Armed Forces. This study examines whether the utilization of psychiatric services of female military personnel has changed since then. The central medical database of German military personnel for the years 2000 and 2006 was analyzed. Between 2000 and 2006, the percentage (based on the average totals of male and female military personnel) of consultations of primary care unit surgeons for psychiatric problems increased significantly for both male and female military personnel, this increase being more apparent for women than for men. Stress-related disorders showed the greatest rise. In 2006, as opposed to 2000, the total proportion of both outpatient and inpatient mental health treatment provided to female military personnel was significantly higher than for males, particularly regarding stress-related, affective and personality disorders. Gender-specific aspects should be considered more intensely in preventive and therapeutic psychiatric supply in the German Armed Forces.

  11. Modeling Accessibility of Screening and Treatment Facilities for Older Adults using Transportation Networks.

    Science.gov (United States)

    Zhang, Qiuyi; Northridge, Mary E; Jin, Zhu; Metcalf, Sara S

    2018-04-01

    Increased lifespans and population growth have resulted in an older U.S. society that must reckon with the complex oral health needs that arise as adults age. Understanding accessibility to screening and treatment facilities for older adults is necessary in order to provide them with preventive and restorative services. This study uses an agent-based model to examine the accessibility of screening and treatment facilities via transportation networks for older adults living in the neighborhoods of northern Manhattan, New York City. Older adults are simulated as socioeconomically distinct agents who move along a GIS-based transportation network using transportation modes that mediate their access to screening and treatment facilities. This simulation model includes four types of mobile agents as a simplifying assumption: walk, by car, by bus, or by van (i.e., a form of transportation assistance for older adults). These mobile agents follow particular routes: older adults who travel by car, bus, and van follow street roads, whereas pedestrians follow walkways. The model enables the user to focus on one neighborhood at a time for analysis. The spatial dimension of an older adult's accessibility to screening and treatment facilities is simulated through the travel costs (indicated by travel time or distance) incurred in the GIS-based model environment, where lower travel costs to screening and treatment facilities imply better access. This model provides a framework for representing health-seeking behavior that is contextualized by a transportation network in a GIS environment.

  12. Postpartum fatigue in the active-duty military woman.

    Science.gov (United States)

    Rychnovsky, Jacqueline D

    2007-01-01

    (a) To describe fatigue levels in military active-duty women, (b) to describe the relationship among selected predictor variables of fatigue, and (c) to examine the relationship between predictor variables, fatigue levels, and performance (as measured by functional status) after childbirth. Based on the Theory of Unpleasant Symptoms, a longitudinal, prospective design. A large military medical facility in the southwest United States. A convenience sample of 109 military active-duty women. Postpartum fatigue. Women were found to be moderately fatigued across time, with no change in fatigue levels from 2 to 6 weeks after delivery. All variables correlated with fatigue during hospitalization and at 2 weeks after delivery, and depression, anxiety, maternal sleep, and functional status correlated with fatigue at 6 weeks after delivery. Regression analyses indicated that maternal anxiety predicted fatigue at 6 weeks after delivery. Over half the women had not regained full functional status when they returned to work, and 40% still displayed symptoms of postpartum depression and anxiety. Military women continue to experiencing postpartum fatigue when they return to the workplace. Future research is needed to examine issues surrounding fatigue and its associated variables during the first year after delivery.

  13. Profile of New Mexico Military Institute's Toles Learning Center: Marketing the LRC into the Twenty-First Century.

    Science.gov (United States)

    McLaren, M. Bruce

    1987-01-01

    Describes New Mexico Military Institute (NMMI), a state-supported combined military high school/junior college. Discusses its new learning resources center, the impact of the center on the community, and efforts to promote a greater demand for center services and raise funds for the facility. Recommends 14 marketing strategies. (DMM)

  14. Association Between Treatment at High-Volume Facilities and Improved Overall Survival in Soft Tissue Sarcomas.

    Science.gov (United States)

    Venigalla, Sriram; Nead, Kevin T; Sebro, Ronnie; Guttmann, David M; Sharma, Sonam; Simone, Charles B; Levin, William P; Wilson, Robert J; Weber, Kristy L; Shabason, Jacob E

    2018-03-15

    Soft tissue sarcomas (STS) are rare malignancies that require complex multidisciplinary management. Therefore, facilities with high sarcoma case volume may demonstrate superior outcomes. We hypothesized that STS treatment at high-volume (HV) facilities would be associated with improved overall survival (OS). Patients aged ≥18 years with nonmetastatic STS treated with surgery and radiation therapy at a single facility from 2004 through 2013 were identified from the National Cancer Database. Facilities were dichotomized into HV and low-volume (LV) cohorts based on total case volume over the study period. OS was assessed using multivariable Cox regression with propensity score-matching. Patterns of care were assessed using multivariable logistic regression analysis. Of 9025 total patients, 1578 (17%) and 7447 (83%) were treated at HV and LV facilities, respectively. On multivariable analysis, high educational attainment, larger tumor size, higher grade, and negative surgical margins were statistically significantly associated with treatment at HV facilities; conversely, black race and non-metropolitan residence were negative predictors of treatment at HV facilities. On propensity score-matched multivariable analysis, treatment at HV facilities versus LV facilities was associated with improved OS (hazard ratio, 0.87, 95% confidence interval, 0.80-0.95; P = .001). Older age, lack of insurance, greater comorbidity, larger tumor size, higher tumor grade, and positive surgical margins were associated with statistically significantly worse OS. In this observational cohort study using the National Cancer Database, receipt of surgery and radiation therapy at HV facilities was associated with improved OS in patients with STS. Potential sociodemographic disparities limit access to care at HV facilities for certain populations. Our findings highlight the importance of receipt of care at HV facilities for patients with STS and warrant further study into improving access to

  15. Moving effective treatment for posttraumatic stress disorder to primary care: A randomized controlled trial with active duty military.

    Science.gov (United States)

    Cigrang, Jeffrey A; Rauch, Sheila A; Mintz, Jim; Brundige, Antoinette R; Mitchell, Jennifer A; Najera, Elizabeth; Litz, Brett T; Young-McCaughan, Stacey; Roache, John D; Hembree, Elizabeth A; Goodie, Jeffrey L; Sonnek, Scott M; Peterson, Alan L

    2017-12-01

    Many military service members with PTSD do not receive evidence-based specialty behavioral health treatment because of perceived barriers and stigma. Behavioral health providers in primary care can deliver brief, effective treatments expanding access and reducing barriers and stigma. The purpose of this randomized clinical trial was to determine if a brief cognitive-behavior therapy delivered in primary care using the Primary Care Behavioral Health model would be effective at reducing PTSD and co-occurring symptoms. A total of 67 service members (50 men, 17 women) were randomized to receive a brief, trauma-focused intervention developed for the primary care setting called Prolonged Exposure for Primary Care (PE-PC) or a delayed treatment minimal contact control condition. Inclusion criteria were significant PTSD symptoms following military deployment, medication stability, and interest in receiving treatment for PTSD symptoms in primary care. Exclusion criteria were moderate or greater risk of suicide, severe brain injury, or alcohol/substance use at a level that required immediate treatment. Assessments were completed at baseline, posttreatment/postminimal contact control, and at 8-week and 6-month posttreatment follow-up points. Primary measures were the PTSD Symptom Scale-Interview and the PTSD Checklist-Stressor-Specific. PE-PC resulted in larger reduction in PTSD severity and general distress than the minimal contact control. Delayed treatment evidenced medium to large effects comparable to the immediate intervention group. Treatment benefits persisted through the 6-month follow-up of the study. PE-PC delivered in integrated primary care is effective for the treatment of PTSD and co-occurring symptoms and may help reduce barriers and stigma found in specialty care settings. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. Stem cell applications in military medicine

    OpenAIRE

    Christopherson, Gregory T; Nesti, Leon J

    2011-01-01

    There are many similarities between health issues affecting military and civilian patient populations, with the exception of the relatively small but vital segment of active soldiers who experience high-energy blast injuries during combat. A rising incidence of major injuries from explosive devices in recent campaigns has further complicated treatment and recovery, highlighting the need for tissue regenerative options and intensifying interest in the possible role of stem cells for military m...

  17. PTSD in the military: special considerations for understanding prevalence, pathophysiology and treatment following deployment

    Science.gov (United States)

    Yehuda, Rachel; Vermetten, Eric; McFarlane, Alexander C.; Lehrner, Amy

    2014-01-01

    Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in the military addresses a range of issues and debates related to mental health in military personnel and combat veterans. This article provides an overview of the issues covered in selected contributions that have been assembled for a special volume to consider issues unique to the military. Several leading scholars and military experts have contributed papers regarding: 1) prevalence rates of PTSD and other post-deployment mental health problems in different NATO countries, 2) the search for biomarkers of PTSD and the potential applications of such findings, and 3) prevention and intervention approaches for service members and veterans. The volume includes studies that highlight the divergence in prevalence rates of PTSD and other post-deployment mental health problems across nations and that discuss potential causes and implications. Included studies also provide an overview of research conducted in military or Veteran's Affairs settings, and overarching reviews of military-wide approaches to research, promotion of resilience, and mental health interventions in the Unites States and across NATO and allied ISAF partners. PMID:25206950

  18. Improving Distribution of Military Programs’ Technical Criteria

    Science.gov (United States)

    1993-08-01

    Vacuum System ETL 1110-3-380 01/29/88 Std Distribution of Military Arfid Pavement Dsg ETL 1110-3-381 01/29/88 Airfield Pavement Design ETL 1110-3...Army Arfid O&M Facilities TM 5-825-2 08/01/78 Flexible Pavement Design for Airfields TM 5-825-2-1 11/01/89 Army Airfields Pavements, Flex (Appendix

  19. Relocation of the U.S. Military Bases Problem in Japan - U.S. Relations: the Okinawa Vector

    Directory of Open Access Journals (Sweden)

    K R Voda

    2012-03-01

    Full Text Available In the article the problems of the U.S. military presence in Japan are observed. The author analyzes the U.S.-Japan joint actions to relocate American military facilities from Okinawa. The influence of the Okinawa factor on the resignation of Prime Minister Hatoyama, the leader of the Democratic party of Japan, is revealed.

  20. Novel USDA Mosquito Control Techniques for the US Military

    Science.gov (United States)

    Novel techniques that we developed at the USDA to protect deployed military troops from the threat of vector-borne diseases are described. Some of the methods developed included (1) novel military personal protection methods, (2) barrier treatments of artificial materials and natural vegetation, and...

  1. Encountering women veterans with military sexual trauma.

    Science.gov (United States)

    Conard, Patricia L; Young, Cathy; Hogan, LaMicha; Armstrong, Myrna L

    2014-10-01

    As women veterans (WVs) are returning from Operation Iraqi Freedom and Operation Enduring Freedom with military sexual trauma (MST), the purpose of this article is twofold. First, important exploratory questions that can assist with a thorough assessment and history are presented as well as the applicable treatment for any new, recurrent, or unresolved symptoms that involve MST. Review of multiple literary materials, as well as a clinical situation. WVs will be encountered in a variety of military or civilian primary and community care healthcare settings. Every woman (and man) in the civilian sector should be asked, "Have you ever served in the military?" Recognition, acknowledgment, and applicable interventions for MST and associated comorbidities, especially post-traumatic stress disorder, are presented as currently 80-90% of MST experiences have gone unreported. Immediate treatment and follow-up are critical for the well-being of the WVs. © 2014 Wiley Periodicals, Inc.

  2. Facilities for treatment of radioactive contaminated water in nuclear power plants

    International Nuclear Information System (INIS)

    1981-02-01

    The standard applies to processes applied in facilities for treatment of radioactive contaminated water in nuclear power plants with LWR- and HTR-type reactors. It does not apply to the treatment of concentrates obtained in the decontamination of water. (orig.) [de

  3. Autogenic-feedback training as a treatment for airsickness in high-performance military aircraft: Two case studies

    Science.gov (United States)

    Cowings, Patricia S.; Toscano, William B.; Miller, Neal E.; Reynoso, Samuel

    1994-01-01

    The purpose of this paper is to present a detailed description of the physiological and performance responses of two military pilots undergoing a treatment for motion sickness. The treatment used, Autogenic-Feedback Training (AFT), is an operant conditioning procedure where subjects are taught to control several of their autonomic responses and thereby suppress their motion sickness symptoms. Two male, active duty military pilots (U.S. Navy and U. S. Marine Corps), ages 30 and 35, were each given twelve 30-minute training sessions. The primary criterion for success of training was the subject's ability to tolerate rotating chair motion sickness tests for progressively longer periods of time and at higher rotational velocities. A standardized diagnostic scale was used during motion sickness to assess changes in the subject's perceived malaise. Physiological data were obtained from one pilot during tactical maneuvers in an F-18 aircraft after completion of his training. A significant increase in tolerance to laboratory-induced motion sickness tests and a reduction in autonomic nervous system (ANS) response variability was observed for both subjects after training. Both pilots were successful in applying AFT for controlling their airsickness during subsequent qualification tests on F-18 and T-38 aircraft and were returned to active duty flight status.

  4. Bulk Fuel Storage and Delivery Systems Infrastructure Military Construction Requirements for Japan

    National Research Council Canada - National Science Library

    Padgett, Gary

    2000-01-01

    .... Specifically, this audit evaluated requirements for bulk fuel storage facilities at three locations in Japan. We also evaluated the management control program as it relates to the bulk fuel storage military construction requirements validation process.

  5. Clinical characteristics of older male military veterans seeking treatment for erectile dysfunction.

    Science.gov (United States)

    Beaudreau, Sherry A; Rideaux, Tiffany; Zeiss, Robert A

    2011-02-01

    Male sexual dysfunction is a significant international public health issue affecting both middle-aged and older adults. To date, however, no studies have compared age differences in psychiatric issues, frequency of sexual activity and treatment recommendations between older and middle-aged male military Veterans seeking treatment for erectile dysfunction (ED) in the U.S.A. Data were collected between 1982 and 2003 at the Palo Alto Veterans Affairs Andrology Clinic. The 1,250 participants, aged 22 to 87 years (median = 63), completed a semi-structured interview. Using multiple linear regressions, we examined age differences in five domains: medical and endocrine risk factors; psychiatric and psychosocial risk factors; frequency of sexual behaviors; self-reported and objectively measured erectile function; and treatment recommendations. Compared with middle-aged adults, older adults were more likely to present for ED treatment with medical risk factors and were more often recommended a vacuum pump treatment. Middle-aged male Veterans were more likely to experience psychiatric risk factors for ED and were more sexually active than older Veterans. Despite greater objective erectile ability in middle-aged adults, there were no age differences in maximum self-reported erectile functioning. These results provide some evidence of age-related characteristics and treatment needs of male patients seeking treatment for sexual dysfunction. We encourage health care professionals working with adults across the lifespan to consider ways to individualize psychoeducation and brief psychotherapy for the treatment of ED to the specific needs of the patient, which may vary between middle-aged and older cohorts of patients.

  6. Military Strategy vs. Military Doctrine

    DEFF Research Database (Denmark)

    Barfoed, Jacob

    2015-01-01

    The article argues that while doctrine represents the more scientific side of warfare, strategy represents the artistic side. Existing doctrine will almost never meet the requirements for winning the next war; it is through the artistic application of generic peacetime doctrine to the specific st...... strategic and operational context, using doctrine as building blocks for a context specific military strategy, that the military commander outwits and defeats or coerces the adversary and achieves the military objectives....

  7. Integration of the military and civilian nuclear fuel cycles in Russia

    International Nuclear Information System (INIS)

    Bukharin, O.

    1994-01-01

    This paper describes the close integration of the civil and military nuclear fuel cycles in Russia. Individual processing facilities, as well as the flow of nuclear material, are described as they existed in the 1980s and as they exist today. The end of the Cold War and the breakup of the Soviet Union weakened the ties between the two nuclear fuel cycles, but did not separate them. Separation of the military and civilian nuclear fuel cycles would facilitate Russia's integration into the world's nuclear fuel cycle and its participation in international non-proliferation regimes

  8. Family Adjustment to Geographic Mobility: Military Families on the Move

    Science.gov (United States)

    1981-08-11

    military are the related topics of father absence and transcultural experiences. MOBILITY AND ITS EFFECTS ON CHILDREN Children in military families...c-ild experi- ences added stress due to geographic mobility, transcultural experi- ences, transient father absences, and early retirement of the...family, and that short-term crisis therapy was the ideal psychotherapeutic modality for treatment of military children. CONCLUSION In summary, there are

  9. First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities

    NARCIS (Netherlands)

    Meij, N. de; Grotel, M. van; Patijn, J.; Weijden, T.T. van der; Kleef, M. van

    2016-01-01

    BACKGROUND: There is a general consensus about the need to define and improve the quality of pain treatment facilities. Although guidelines and recommendations to improve the quality of pain practice management have been launched, provision of appropriate pain treatment is inconsistent and the

  10. 1976 Hanford americium-exposure incident: decontamination and treatment facility

    International Nuclear Information System (INIS)

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

    1982-01-01

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

  11. British Military surgical key performance indicators: time for an update?

    Science.gov (United States)

    Marsden, Max Er; Sharrock, A E; Hansen, C L; Newton, N J; Bowley, D M; Midwinter, M

    2016-10-01

    Key performance indicators (KPIs) are metrics that compare actual care against an ideal structure, process or outcome standard. KPIs designed to assess performance in deployed military surgical facilities have previously been published. This study aimed to review the overall performance of surgical trauma care for casualties treated at Role 3 Camp Bastion, Medical Treatment Facility, Afghanistan, in light of the existing Defence Medical Services (DMS) KPIs. The secondary aims were to assess the utility of the surgical KPIs and make recommendations for future surgical trauma care review. Data on 22 surgical parameters were prospectively collected for 150 injured patients who had primary surgery at Camp Bastion between 1 May 2013 and 20 August 2013. Additional information for these patients was obtained using the Joint Theatre Trauma Register. The authors assessed data recording, applicability and compliance with the KPIs. Median data recording was 100% (IQR 98%-100%), median applicability was 56% (IQR 10%-99%) and median compliance was 78% (IQR 58%-93%). One KPI was not applicable to any patient in our population. Eleven KPIs achieved >80% compliance, five KPIs had 80%-60% compliance and five KPIs had performance of the surgical aspect of military trauma care in 2013. The KPIs highlight areas for improvement in service delivery. Individual KPI development should be driven by evidence and reflect advances in practice and knowledge. A method of stakeholder consultation, and sequential refinement following evidence review, may be the right process to develop the future set of DMS KPIs. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  12. Differences between U.S. substance abuse treatment facilities that do and do not offer domestic violence services.

    Science.gov (United States)

    Cohn, Amy; Najavits, Lisa M

    2014-04-01

    Victimization by and perpetration of domestic violence are associated with co-occurring mental and substance use disorders. This study used data from the National Survey of Substance Abuse Treatment Services to examine differences in organizational factors, treatment approaches offered, and client-level factors among 13,342 substance abuse treatment facilities by whether or not they offered domestic violence services. Only 36% of the facilities offered domestic violence services. Those that offered such services were more likely than those that did not to treat clients with co-occurring disorders. Principal-components analysis reduced eight treatment approaches to two factors: psychosocial services and traditional substance abuse services. Regression models indicated that the frequency with which psychosocial services were offered depended on the percentage of clients with co-occurring disorders who were being treated in the facility and whether or not that facility offered domestic violence services. Specifically, facilities that did not offer domestic violence services and that had a high percentage of clients with co-occurring disorders were more likely to offer psychosocial services than facilities that offered domestic violence services. A larger proportion of facilities offering domestic violence services offered traditional substance abuse treatment services, compared with facilities not offering domestic violence services, but this relationship was not contingent on the percentage of clients with co-occurring disorders at each facility. Improved efforts should be made to tailor treatments to accommodate the links between domestic violence, mental disorders, and substance abuse.

  13. Request for modification of 200 Area effluent treatment facility final delisting

    International Nuclear Information System (INIS)

    Bowman, R.C.

    1998-01-01

    A Delisting Petition submitted to the U.S. Environmental Protection Agency in August 1993 addressed effluent to be generated at the 200 Area Effluent Treatment Facility from treating Hanford Facility waste streams. This Delisting Petition requested that 71.9 million liters per year of treated effluent, bearing the designation 'F001' through 'F005', and/or 'F039' that is derived from 'F001' through 'F005' waste, be delisted. On June 13, 1995, the U.S. Environmental Protection Agency published the final rule (Final Delisting), which formally excluded 71.9 million liters per year of 200 Area Effluent Treatment Facility effluent from ''being listed as hazardous wastes'' (60 FR 31115 now promulgated in 40 CFR 261). Given the limited scope, it is necessary to request a modification of the Final Delisting to address the management of a more diverse multi-source leachate (F039) at the 200 Area Effluent Treatment Facility. From past operations and current cleanup activities on the Hanford Facility, a considerable amount of both liquid and solid Resource Conservation and Recovery Act of 1976 regulated mixed waste has been and continues to be generated. Ultimately this waste will be treated as necessary to meet the Resource Conservation and Recovery Act Land Disposal Restrictions. The disposal of this waste will be in Resource Conservation and Recovery Act--compliant permitted lined trenches equipped with leachate collection systems. These operations will result in the generation of what is referred to as multi-source leachate. This newly generated waste will receive the listed waste designation of F039. This waste also must be managed in compliance with the provisions of the Resource Conservation and Recovery Act

  14. FY-1981 project status for the Transuranic Waste Treatment Facility

    International Nuclear Information System (INIS)

    Benedetti, R.L.; Tait, T.D.

    1981-11-01

    The primary objective of the Transuranic Waste Treatment Facility (TWTF) Project is to provide a facility to process low-level transuranic waste stored at the Idaho National Engineering Laboratory (INEL) into a form acceptable for disposal at the Waste Isolation Pilot Plant. This report provides brief summary descriptions of the project objectives and background, project status through FY-1981, planned activities for FY-1982, and the EG and G TWTF Project office position on processing INEL transuranic waste

  15. Young Australians’ Attitudes to the Military and Military Service

    OpenAIRE

    Ben Wadham; Grace Skrzypiec; Phillip Slee

    2014-01-01

    What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Au...

  16. Human Factors Issues in the Use of Virtual and Augmented Reality for Military Purposes - USA

    National Research Council Canada - National Science Library

    2005-01-01

    .... military virtual reality research facilites. The articles lists key research personnel, current research projects, a selection of literature by affiliated researchers, and laboratory facilities available...

  17. Tax credits, insurance, and in vitro fertilization in the U.S. military health care system.

    Science.gov (United States)

    Wu, Mae; Henne, Melinda; Propst, Anthony

    2012-06-01

    The FAMILY Act, an income tax credit for infertility treatments, was introduced into the U.S. Senate on May 12, 2011. We estimated the costs and utilization of in vitro fertilization (IVF) in the military if infertility treatment became a tax credit or TRICARE benefit. We surveyed 7 military treatment facilities (MTFs) that offer IVF, with a 100% response rate. We first modeled the impact of the FAMILY Act on the MTFs. We then assessed the impact and costs of a TRICARE benefit for IVF. In 2009, MTFs performed 810 IVF cycles with average patient charges of $4961 and estimated pharmacy costs of $2K per cycle. With implementation of the FAMILY Act, we estimate an increase in IVF demand at the MTFs to 1165 annual cycles. With a TRICARE benefit, estimated demand would increase to 6,924 annual IVF cycles. MTF pharmacy costs would increase to $7.3 annually. TRICARE medical and pharmacy costs would exceed $24.4 million and $6.5 million, respectively. In conclusion, if the FAMILY Act becomes law, demand for IVF at MTFs will increase 29%, with a 50% decrease in patient medical expenses after tax credits. MTF pharmacy costs will rise, and additional staffing will be required to meet the demand. If IVF becomes a TRICARE benefit, demand for IVF will increase at least 2-fold. Current MTFs would be unable to absorb the increased demand, leading to increased TRICARE treatment costs at civilian centers.

  18. Treatment of chemical warfare agent casualties: retention of knowledge and self-perceived competency among military physicians and paramedics.

    Science.gov (United States)

    Shiyovich, Arthur; Statlender, Liran; Abu-Tailakh, Muhammad; Plakht, Ygal; Shrot, Shai; Kassirer, Michael

    2015-06-01

    Specialized training of medical teams for chemical warfare agent (CWA) events is important to save lives. We aimed to evaluate the retention of knowledge (ROK) and self-perceived competency (SPC) of military medical personnel in delivering treatment during CWA events. A questionnaire and a multiple-choice examination were sent to military physicians and paramedics, evaluating their CWA, ROK, and SPC (study group [SG]). Their assessment was compared to medical personnel immediately post training (reference group [RG]). SG was subdivided into two groups: G1 ≤ 1 year and G2 > 1 year, past training. Overall, 135 participants responded (35-RG, 65% physicians). Self-reported ROK and SPC were significantly higher in RG compared to SG and in G1 compared to G2. Test scores were higher in RG compared to SG, but similar in G1 and G2 groups. SPC was lower compared to ROK in the entire cohort and subgroups. A moderate correlation was found between the self-and test-assessed scores (Pearson correlation coefficient 0.45, p ROK. Thus, we recommend CWA refresher training at least every year. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

  19. Antimicrobially Treated Projects for Military Use

    National Research Council Canada - National Science Library

    Swofford, Wayne; Hanrahan, William; Centola, Duane; Isenhour, Crystal; Smith, Hoshus; Ramey, David; Chandler, Jeff

    2007-01-01

    ... desired in combat environments. The objective of this research was to identify, incorporate, and evaluate emerging and promising, commercially available antimicrobial treatments/technologies on military items to provide...

  20. Longevity and efficacy of bifenthrin treatment on desert-pattern US military camouflage netting against mosquitoes in a hot-arid environment.

    Science.gov (United States)

    Britch, Seth C; Linthicum, Kenneth J; Wynn, Willard W; Aldridge, Robert L; Walker, Todd W; Farooq, Muhammad; Dunford, James C; Smith, Vincent L; Robinson, Cathy A; Lothrop, Branka B; Snelling, Melissa; Gutierrez, Arturo; Wittie, Jeremy; White, Gregory

    2011-09-01

    The current Department of Defense pest management system does not provide adequate protection from arthropod disease vectors to personnel deployed in support of US military operations. We hypothesized that military camouflage netting, ubiquitous around living and working areas in current US military operations in Africa and the Middle East, treated with a residual pesticide such as bifenthrin may reduce the presence of biting insects and improve the military pest management system. In this study, we examined the longevity and efficacy of bifenthrin applied to camouflage netting material at the maximum label rate of 0.03 liter formulation (7.9% AI) per 92.9 m2 against field populations of mosquitoes in southern California in a hot-arid environment similar to regions of Iraq, Afghanistan, and the Horn of Africa. We showed that bifenthrin treatment of camouflage netting was effective at reducing mosquito populations, predominantly Psorophora columbiae and Aedes vexans, by an average of up to 46% for 56 days, and could cause as much as 40% mortality in Culex quinquefasciatus in laboratory bioassays for nearly 2 months postapplication. These population reductions could translate to commensurate reductions in risk of exposure to mosquito-borne pathogens, and could potentially be effective against sand flies and filth flies.

  1. Patient Satisfaction in Military Dental Treatment Facilities

    National Research Council Canada - National Science Library

    Chaffin, Jeffrey G

    2006-01-01

    .... Respondents completed 658,443 surveys using a standardized DoD questionnaire. Factor analysis was utilized to assess the underlying constructs ofsatisfaction and hierarchical multiple linear regression to assess...

  2. Net Zero Energy Military Installations: A Guide to Assessment and Planning

    Energy Technology Data Exchange (ETDEWEB)

    Booth, S.; Barnett, J.; Burman, K.; Hambrick, J.; Westby, R.

    2010-08-01

    The U.S. Department of Defense (DoD) recognizes the strategic importance of energy to its mission, and is working to reduce energy consumption and enhance energy self-sufficiency by drawing on local clean energy sources. A joint initiative formed between DoD and the U.S. Department of Energy (DOE) in 2008 to address military energy use led to a task force to examine the potential for net zero energy military installations, which would produce as much energy on site as they consume in buildings, facilities, and fleet vehicles. This report presents an assessment and planning process to examine military installations for net zero energy potential. Net Zero Energy Installation Assessment (NZEIA) presents a systematic framework to analyze energy projects at installations while balancing other site priorities such as mission, cost, and security.

  3. Federal Facilities Compliance Act, Conceptual Site Treatment Plan. Part 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-10-29

    This Conceptual Site Treatment Plan was prepared by Ames Laboratory to meet the requirements of the Federal Facilities Compliance Act. Topics discussed in this document include: general discussion of the plan, including the purpose and scope; technical aspects of preparing plans, including the rationale behind the treatability groupings and a discussion of characterization issues; treatment technology needs and treatment options for specific waste streams; low-level mixed waste options; TRU waste options; and future waste generation from restoration activities.

  4. Permitting mixed waste treatment, storage and disposal facilities: A mixed bag

    International Nuclear Information System (INIS)

    Ranek, N.L.; Coalgate, J.L.

    1995-01-01

    The Federal Facility Compliance Act of 1992 (FFCAct) requires the U.S. Department of Energy (DOE) to make a comprehensive national inventory of its mixed wastes (i.e., wastes that contain both a hazardous component that meets the Resource Conservation and Recovery Act (RCRA) definition of hazardous waste and a radioactive component consisting of source, special nuclear, or byproduct material regulated under the Atomic Energy Act (AEA)), and of its mixed waste treatment technologies and facilities. It also requires each DOE facility that stores or generates mixed waste to develop a treatment plan that includes, in part, a schedule for constructing units to treat those wastes that can be treated using existing technologies. Inherent in constructing treatment units for mixed wastes is, of course, permitting. This paper identifies Federal regulatory program requirements that are likely to apply to new DOE mixed waste treatment units. The paper concentrates on showing how RCRA permitting requirements interrelate with the permitting or licensing requirements of such other laws as the Atomic Energy Act, the Clean Water Act, and the Clean Air Act. Documentation needed to support permit applications under these laws are compared with RCRA permit application documentation. National Environmental Policy Act (NEPA) documentation requirements are also addressed, and throughout the paper, suggestions are made for managing the permitting process

  5. Radiation protection -Operation of chemical wastewater treatment facility

    International Nuclear Information System (INIS)

    Lee, M. J.; Lim, M. H.; Ahn, S. S.; Jeong, Y. S.

    1996-12-01

    The wastewater and sewage treatment facility have been operated. From the results of operation, it was confirmed that the quality of treated wastewater was 1/5 or 1/10 lower than that of regulation of law for environmental conservation. The quality of treated sewage has been maintained to 70% of regulation of law for environmental conservation. (author). 14 tabs., 8 figs

  6. Methodology for Determining Increases in Radionuclide Inventories for the Effluent Treatment Facility Process

    International Nuclear Information System (INIS)

    Blanchard, A.

    1998-01-01

    A study is currently underway to determine if the Effluent Treatment Facility can be downgraded from a Hazard Category 3 facility to a Radiological Facility per DOE STD-1027-92. This technical report provides a methodology to determine and monitor increases in the radionuclide inventories of the ETF process columns. It also provides guidelines to ensure that other potential increases to the ETF radionuclide inventory are evaluated as required to ensure that the ETF remains a Radiological Facility

  7. Decommissioning of Facilities. General Safety Requirements. Pt. 6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2014-07-15

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning.

  8. Monitoring of Creatine Kinase Levels in Specific Military Populations for Early Treatment

    Science.gov (United States)

    2016-02-01

    CrossFit style approach to exercise. CrossFit , as an exercise construct, has numerous cases of rhabdomyolysis associated with it and is a known risk...among the CrossFit community. The increase prevalence of this style of exercise could be contributing to the uptrend within the military as both...functional fitness” and CrossFit often attract the military and law enforcement populations. This statistical data shows that there is a relevant

  9. Analysis of the suitability of DOE facilities for treatment of commercial low-level radioactive mixed waste

    International Nuclear Information System (INIS)

    1996-02-01

    This report evaluates the capabilities of the United States Department of Energy's (DOE's) existing and proposed facilities to treat 52 commercially generated low-level radioactive mixed (LLMW) waste streams that were previously identified as being difficult-to-treat using commercial treatment capabilities. The evaluation was performed by comparing the waste matrix and hazardous waste codes for the commercial LLMW streams with the waste acceptance criteria of the treatment facilities, as identified in the following DOE databases: Mixed Waste Inventory Report, Site Treatment Plan, and Waste Stream and Technology Data System. DOE facility personnel also reviewed the list of 52 commercially generated LLMW streams and provided their opinion on whether the wastes were technically acceptable at their facilities, setting aside possible administrative barriers. The evaluation tentatively concludes that the DOE is likely to have at least one treatment facility (either existing or planned) that is technically compatible for most of these difficult-to-treat commercially generated LLMW streams. This conclusion is tempered, however, by the limited amount of data available on the commercially generated LLMW streams, by the preliminary stage of planning for some of the proposed DOE treatment facilities, and by the need to comply with environmental statutes such as the Clean Air Act

  10. Military Curricula for Vocational & Technical Education. Basic Baker, 9-4.

    Science.gov (United States)

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    Both teacher and student materials are included for a bakery technology course designed to facilitate learning the fundamental duties required in a dining facility or centralized pastry shop. One of a number of military-developed curriculum packages selected for adaptation to vocational curriculum and instruction, the course consists of seventeen…

  11. Request for modification of 200 Area effluent treatment facility final delisting

    Energy Technology Data Exchange (ETDEWEB)

    BOWMAN, R.C.

    1998-11-19

    A Delisting Petition submitted to the U.S. Environmental Protection Agency in August 1993 addressed effluent to be generated at the 200 Area Effluent Treatment Facility from treating Hanford Facility waste streams. This Delisting Petition requested that 71.9 million liters per year of treated effluent, bearing the designation 'F001' through 'F005', and/or 'F039' that is derived from 'F001' through 'F005' waste, be delisted. On June 13, 1995, the U.S. Environmental Protection Agency published the final rule (Final Delisting), which formally excluded 71.9 million liters per year of 200 Area Effluent Treatment Facility effluent from ''being listed as hazardous wastes'' (60 FR 31115 now promulgated in 40 CFR 261). Given the limited scope, it is necessary to request a modification of the Final Delisting to address the management of a more diverse multi-source leachate (F039) at the 200 Area Effluent Treatment Facility. From past operations and current cleanup activities on the Hanford Facility, a considerable amount of both liquid and solid Resource Conservation and Recovery Act of 1976 regulated mixed waste has been and continues to be generated. Ultimately this waste will be treated as necessary to meet the Resource Conservation and Recovery Act Land Disposal Restrictions. The disposal of this waste will be in Resource Conservation and Recovery Act--compliant permitted lined trenches equipped with leachate collection systems. These operations will result in the generation of what is referred to as multi-source leachate. This newly generated waste will receive the listed waste designation of F039. This waste also must be managed in compliance with the provisions of the Resource Conservation and Recovery Act.

  12. Guilt, shame, and suicidal ideation in a military outpatient clinical sample.

    Science.gov (United States)

    Bryan, Craig J; Morrow, Chad E; Etienne, Neysa; Ray-Sannerud, Bobbie

    2013-01-01

    Increased suicide risk among US military personnel is a growing concern. Research has linked trauma exposure, including exposure to combat-related injuries, death, and atrocities to suicidal ideation among combat veterans. Guilt (feeling bad about what you did to another) and shame (feeling bad about who you are) have been proposed as potential contributors to suicidal ideation among military personnel, but have not yet received much empirical attention. Sixty-nine active duty military personnel receiving outpatient mental health treatment at a military clinic completed self-report symptom measures of guilt, shame, depression, posttraumatic stress disorder, and suicidal ideation while engaged in treatment. Generalized linear regression modeling was utilized to test the association of guilt and shame with suicidal ideation. Mean levels of guilt and shame were significantly higher among military personnel with a history of suicidal ideation. Guilt (B = 0.203, SE = .046, P guilt (B = 0.167, SE = .053, P = .001) was significantly associated with increased suicidal ideation. Guilt and shame are associated with increased severity of suicidal ideation in military mental health outpatients. Guilt has a particularly strong relationship with suicidal ideation. © 2012 Wiley Periodicals, Inc.

  13. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1992-07-01

    The Grout Treatment Facility (GTF) will provide permanent disposal for approximately 43 Mgal of radioactive liquid waste currently being stored in underground tanks on the Hanford Site. The first step in permanent disposal is accomplished by solidifying the liquid waste with cementitious dry materials. The resulting grout is cast within underground vaults. This report on the GTF contains information on the following: Vault design, run-on/run-off control design, and asphalt compatibility with 90-degree celsius double-shell slurry feed

  14. An Effective Web Presence for Substance Abuse Treatment Facilities.

    Science.gov (United States)

    Link, Thomas W; Hefner, Jennifer L; Ford, Eric W; Huerta, Timothy R

    2016-01-01

    Website development for health care has only been prevalent in the last two and a half decades. The first websites were electronic versions of brochures providing hardly any interaction with the consumer or potential consumer. The percentage of consumers that use the internet during the decision-making process for health care providers continues to rise. As a result, the websites of health care providers are becoming more of a representation of the facility and creating an organizational image rather than a brochure-like informational page. The purpose of this study was to analyze substance abuse treatment center's websites in the State of California with the goal of informing the management of substance abuse centers regarding an effective and inexpensive means to closing the marketing gaps in the industry. This brief research report presents the results of employing an automated web-crawler to assess website quality along five dimensions: accessibility, content, marketing, technology, and usability score. The sample mean scores for all dimensions were between 4 and 6 on a 10-point scale. On average larger facilities had higher quality websites. The low mean scores on these dimensions indicate that that substance abuse centers have significant room for improvement of their website's. Efficiently spending marketing funds to increase the effectiveness of a treatment center's website can be a low cost way for even small facilities to increase market competitiveness.

  15. European military mental health research: benefits of collaboration.

    Science.gov (United States)

    Himmerich, Hubertus; Willmund, G D; Wesemann, U; Jones, N; Fear, N T

    2017-06-01

    Despite joint participation in international military operations, few collaborative military mental health research projects have been undertaken by European countries. From a common perspective of military mental health researchers from Germany and the UK, the lack of shared research might be related not only to the use of different languages but also the different ways in which the two militaries provide mental health and medical support to operations and differences in military institutions. One area that is suitable for military health research collaboration within UK and German forces is mental health and well-being among military personnel. This could include the study of resilience factors, the prevention of mental disorder, mental health awareness, stigma reduction and the treatment of mental disorder. Military mental health research topics, interests and the studies that have been conducted to date in the UK and Germany have considerable overlap and commonality of purpose. To undertake the investigation of the long-term consequences of operational deployment, the specific burdens placed on military families and to further the understanding of the role of factors such as biomarkers for use in military mental health research, it seems advisable to forge international research alliances across European nations, which would allow for researchers to draw transcultural and generalisable conclusions from their work. Such an enterprise is probably worthwhile given the shared research interests of Germany and the UK and the common perspectives on military mental health in particular. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  16. Analysis of glycerin waste in A-Area sanitary treatment facility material

    International Nuclear Information System (INIS)

    1995-01-01

    TNX has a large supply of 55 gallon drums containing pure glycerin and glycerin with additives. The glycerin drums were procured to simulate the glass stream in a pilot-scale melter process at TNX. Since the glycerin was not used for this process, TNX is looking at disposing the material in a sanitary waste treatment facility onsite. The effect of adding the contents of the drums to sewage bacteria was tested. A drum of pure glycerin and a drum of glycerin mixed with lithium chloride were tested. The test consisted of mixing sanitary sludge material with the glycerin material. The purpose of the test was to determine if the glycerin impacted the aerobic bacterial population. The bacterial densities were determined by taking samples from the sludge/glycerin mixtures and using aerobic plate count methods. The total organic carbon (TOC) levels were measured before and after testing. The results indicate that the cell density of the aerobic bacteria increased with the addition of glycerin and the glycerin mixture and the TOC removal rate was different for all tests. Disposal of glycerin in the wastewater treatment facilities should pose no problems. Additional testing and analysis of the mixed samples should be done before its disposal in a waste water treatment facility

  17. F/H Effluent Treatment Facility filtration upgrade alternative evaluations overview

    Energy Technology Data Exchange (ETDEWEB)

    Miles, W.C. Jr.; Poirier, M.R.; Brown, D.F.

    1992-01-01

    The F/H Effluent Treatment Facility (ETF) at the Savannah River Site (SRS) was designed to treat process wastewater from the 200-F/H Production Facilities (routine wastewater) as well as intermittent flows from the F/H Retention Basins and F/H Cooling Water Basins (nonroutine wastewater). Since start-up of the ETF at SRS in 1988, the treatment process has experienced difficulties processing routine and nonroutine wastewater. Studies have identified high bacteria and bacterial decomposition products in the wastewater as the cause for excessive fouling of the filtration system. In order to meet Waste Management requirements for the treatment of processed wastewater, an upgrade of the ETF filtration system is being developed. This upgrade must be able to process the nonroutine wastewater at design capacity. As a result, a study of alternative filter technologies was conducted utilizing simulated wastewater. The simulated wastewater tests have been completed. Three filter technologies, centrifugal polymeric ultrafilters, tubular polymeric ultrafilters, and backwashable cartridge filters have been selected for further evaluation utilizing actual ETF wastewater.

  18. F/H Effluent Treatment Facility filtration upgrade alternative evaluations overview

    Energy Technology Data Exchange (ETDEWEB)

    Miles, W.C. Jr.; Poirier, M.R.; Brown, D.F.

    1992-07-01

    The F/H Effluent Treatment Facility (ETF) at the Savannah River Site (SRS) was designed to treat process wastewater from the 200-F/H Production Facilities (routine wastewater) as well as intermittent flows from the F/H Retention Basins and F/H Cooling Water Basins (nonroutine wastewater). Since start-up of the ETF at SRS in 1988, the treatment process has experienced difficulties processing routine and nonroutine wastewater. Studies have identified high bacteria and bacterial decomposition products in the wastewater as the cause for excessive fouling of the filtration system. In order to meet Waste Management requirements for the treatment of processed wastewater, an upgrade of the ETF filtration system is being developed. This upgrade must be able to process the nonroutine wastewater at design capacity. As a result, a study of alternative filter technologies was conducted utilizing simulated wastewater. The simulated wastewater tests have been completed. Three filter technologies, centrifugal polymeric ultrafilters, tubular polymeric ultrafilters, and backwashable cartridge filters have been selected for further evaluation utilizing actual ETF wastewater.

  19. F/H effluent treatment facility filtration upgrade alternative evaluations overview

    International Nuclear Information System (INIS)

    Miles, W.C. Jr.; Poirier, M.R.; Brown, D.F.

    1992-01-01

    The F/H Effluent Treatment Facility (ETF) at the Savannah River Site (SRS) was designed to treat process wastewater from the 200-F/H Production Facilities (routine wastewater) as well as intermittent flows from the F/H Retention Basins and F/H Cooling Water Basins (nonroutine wastewater). Since start-up of the ETF at SRS in 1988, the treatment process has experienced difficulties processing routine and nonroutine wastewater. Studies have identified high bacteria and bacterial decomposition products in the wastewater as the cause for excessive fouling of the filtration system. In order to meet Waste Management requirements for the treatment of processed wastewater, an upgrade of the ETF filtration system is being developed. This upgrade must be able to process the nonroutine wastewater at design capacity. As a result, a study of alternative filter technologies was conducted utilizing simulated wastewater. The simulated wastewater tests have been completed. Three filter technologies, centrifugal polymeric ultrafilters, tubular polymeric ultrafilters, and backwashable cartridge filters have been selected for further evaluation utilizing actual ETF wastewater. (author)

  20. Syria’s Military Capabilities and Options for Military Intervention

    DEFF Research Database (Denmark)

    Pradhan-Blach, Flemming

    2012-01-01

    This background paper does not endorse any military action towards Syria. The document does not reflect or express any official Danish policy or a position of the University of Copenhagen or the Centre for Military Studies. The purpose of this paper is to briefly describe military capabilities...... and options in order to provide a factual background for the ongoing discussion on possible military intervention in the Syrian conflict and Denmark’s possible participation in such an intervention. The paper is primarily based on the Military Balance published by the International Institute for Strategic...

  1. Preliminary exploitation of industrial facility for flue gas treatment

    International Nuclear Information System (INIS)

    Chmielewski, A.G.; Zimek, Z.; Iller, E.; Tyminski, B.; Licki, J.

    2001-01-01

    Full text: High emission of SO 2 and NO x in the process of fossil fuel combustion creates a major world environmental problem. Poland which uses for energy production mainly pit and brown coal produces these pollutants as well. The certain amount of SO 2 and slightly less NO x pollutants is introduced into the atmosphere. 1/2 of SO 2 and 1/3 NO x pollution is contributed by heat and electricity generating boilers. The biggest sources of pollution are located in south west side of Poland and are connected with industrial centers but over 45% of the total 802 and 69% of NO x pollutants distributed over polish territory come from external sources. The laboratory facility for flue gas treatment radiation technology was organized in Institute of Nuclear Chemistry and Technology at Warsaw at the end of 80s. Soon after the pilot plant for flue gas treatment with electron beam has been installed at Power Plant Kaweczyn near Warsaw. The flow capacity trough those installations was respectively 400 and 20000 Nm /h. Three new elements have been introduced to the construction of the radiation chamber in Polish pilot installation. Those are: cascade double stage irradiation, longitudinal irradiation, (beam scanned along the chamber axis) and the air blow under the chamber window with the purpose to create air curtain separating the window from the flue gases causing corrosion. Three different system for filtration aid has been constructed and tested: bag filter, gravel bead filter and electrostatic precipitator. The pilot plant installation was used to establish the optimal parameters of industrial facility: optimizing of the process parameters leading to reduction of energy with high efficiency of SO 2 and NO x removal; selecting and testing filter devices and filtration process; developing of the monitoring and control systems at industrial plant for flue gas cleaning, preparation of the design for industrial scale facility. The positive results of the tests performed on

  2. Staffing Levels and Inpatient Outcomes at Military Health Care Facilities: A Resource-Based View

    National Research Council Canada - National Science Library

    Yap, Glenn

    2004-01-01

    Using a Resource-Based Theory/View of the firm, this study examined if increased inpatient staffing levels at military hospitals can generate a competitive advantage based on better patient quality outcomes...

  3. Development of safeguards information treatment system at facility level in Korea

    International Nuclear Information System (INIS)

    So, D.S.; Lee, B.D.; Song, D.Y.

    2001-01-01

    Safeguards Information Treatment System (SITS) at Facility level was developed to implement efficiently the obligations under IAEA comprehensive Safeguards Agreement, bilateral nuclear cooperation Agreements with other countries and domestic law, and to manage efficiently the information related to safeguards implementation at facility level in Korea. Nuclear facilities in Korea are categorized into 8 types based on its accounting characteristics as follows: (1) Item counting facility or bulk handling facility; (2) Batch follow-up facility or not; (3) MUF (Material Unaccounted For) occurrence or not; (4) Nuclear production facility or not; (5) Operation status of facility; (6) Information management of nuclear material transfer status between KMPs or not; (7) Indication of inventory KMP on the inventory change of nuclear material is required or not. Hardware and Software for SITS can be loaded on a personal computer under operation system of Window 2000 or Window NT. MS SQL server 7 and MS Internet Information Server were adopted for database management system and Web server, respectively. Network environment of SITS was designed to include nuclear research institute, nuclear power plants of PWR and CANDU, nuclear fuel fabrication facilities and other facilities. SITS can be operated standalone or under the client-server system if intranet exists. More detailed contents of SITS are described elsewhere. Each module of SITS will be tested during incorporation of existing data into SITS and SITS will be distributed to nuclear facilities in Korea

  4. Design of safeguards information treatment system at the facility level

    Energy Technology Data Exchange (ETDEWEB)

    Song, Dae Yong; Lee, Byung Doo; Kwack, Eun Ho; Choi, Young Myong

    2001-05-01

    We are developing Safeguards Information Treatment System at the facility level(SITS) to manage synthetically safeguards information and to implement efficiently the obligations under the Korea-IAEA Safeguards Agreement, bilateral agreements with other countries and domestic law. In this report, we described the contents of the detailed design of SITS such as database, I/O layout and program. In the present, we are implementing the SITS based on the contents of the design of SITS, and then we plan to provide the system for the facilities after we finish implementing and testing the system.

  5. Design of safeguards information treatment system at the facility level

    International Nuclear Information System (INIS)

    Song, Dae Yong; Lee, Byung Doo; Kwack, Eun Ho; Choi, Young Myong

    2001-05-01

    We are developing Safeguards Information Treatment System at the facility level(SITS) to manage synthetically safeguards information and to implement efficiently the obligations under the Korea-IAEA Safeguards Agreement, bilateral agreements with other countries and domestic law. In this report, we described the contents of the detailed design of SITS such as database, I/O layout and program. In the present, we are implementing the SITS based on the contents of the design of SITS, and then we plan to provide the system for the facilities after we finish implementing and testing the system

  6. Status of proton treatment facility at National Cancer Center, Kashiwa

    International Nuclear Information System (INIS)

    Tachikawa, T.; Kohmura, I.; Kataoka, S.; Nonaka, H.; Kimura, T.; Sato, T.; Nishio, T.; Shimbo, M.; Ogino, T.; Ikeda, H.

    2001-01-01

    Proton treatment facility at National Cancer Center Hospital East (Kashiwa) has two rotating gantry ports and one horizontal fixed port. In order to provide the same dose distribution at different gantry angles, the beam optics from the accelerator (235 MeV cyclotron) to the entrance of nozzle is specially tuned. Recently developed automatic tuning method of beam alignment can realize a sequential treatment at three irradiation ports. (author)

  7. Military youth and the deployment cycle: emotional health consequences and recommendations for intervention.

    Science.gov (United States)

    Esposito-Smythers, Christianne; Wolff, Jennifer; Lemmon, Keith M; Bodzy, Mary; Swenson, Rebecca R; Spirito, Anthony

    2011-08-01

    The United States military force includes over 2.2 million volunteer service members. Three out of five service members who are deployed or are preparing for deployment have spouses and/or children. Stressors associated with the deployment cycle can lead to depression, anxiety, and behavior problems in children, as well as psychological distress in the military spouse. Further, the emotional and behavioral health of family members can affect the psychological functioning of the military service member during the deployment and reintegration periods. Despite widespread acknowledgment of the need for emotional and behavioral health services for youth from military families, many professionals in a position to serve them struggle with how to best respond and select appropriate interventions. The purpose of this paper is to provide an empirically based and theoretically informed review to guide service provision and the development of evidence based treatments for military youth in particular. This review includes an overview of stressors associated with the deployment cycle, emotional and behavioral health consequences of deployment on youth and their caretaking parent, and existing preventative and treatment services for youth from military families. It concludes with treatment recommendations for older children and adolescents experiencing emotional and behavioral health symptoms associated with the deployment cycle.

  8. Malaria prevalence and treatment of febrile patients at health facilities and medicine retailers in Cameroon.

    Science.gov (United States)

    Mangham, Lindsay J; Cundill, Bonnie; Achonduh, Olivia A; Ambebila, Joel N; Lele, Albertine K; Metoh, Theresia N; Ndive, Sarah N; Ndong, Ignatius C; Nguela, Rachel L; Nji, Akindeh M; Orang-Ojong, Barnabas; Wiseman, Virginia; Pamen-Ngako, Joelle; Mbacham, Wilfred F

    2012-03-01

    To investigate the quality of malaria case management in Cameroon 5 years after the adoption of artemisinin-based combination therapy (ACT). Treatment patterns were examined in different types of facility, and the factors associated with being prescribed or receiving an ACT were investigated. A cross-sectional cluster survey was conducted among individuals of all ages who left public and private health facilities and medicine retailers in Cameroon and who reported seeking treatment for a fever. Prevalence of malaria was determined by rapid diagnostic tests (RDTs) in consenting patients attending the facilities and medicine retailers. Among the patients, 73% were prescribed or received an antimalarial, and 51% were prescribed or received an ACT. Treatment provided to patients significantly differed by type of facility: 65% of patients at public facilities, 55% of patients at private facilities and 45% of patients at medicine retailers were prescribed or received an ACT (P = 0.023). The odds of a febrile patient being prescribed or receiving an ACT were significantly higher for patients who asked for an ACT (OR = 24.1, P < 0.001), were examined by the health worker (OR = 1.88, P = 0.021), had not previously sought an antimalarial for the illness (OR = 2.29, P = 0.001) and sought treatment at a public (OR = 3.55) or private facility (OR = 1.99, P = 0.003). Malaria was confirmed in 29% of patients and 70% of patients with a negative result were prescribed or received an antimalarial. Malaria case management could be improved. Symptomatic diagnosis is inefficient because two-thirds of febrile patients do not have malaria. Government plans to extend malaria testing should promote rational use of ACT; though, the introduction of rapid diagnostic testing needs to be accompanied by updated clinical guidelines that provide clear guidance for the treatment of patients with negative test results. © 2011 Blackwell Publishing Ltd.

  9. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1988-01-01

    This section briefly describes the Hanford Site, provides a general description of the site operations and administration, provides an overview of the contents of this Grout Treatment Facility (GTF) Permit Application, and gives a list of acronyms and abbreviations used in the document. The decision was made to use the checklist as a locator reference instead of using the checklist section numbers as paragraph section numbers because several different types of waste management units, some of which are not addressed in the checklists, are part of the GTF. The GTF is a waste management unit within the Hanford Site facility. In May 1988, permit application was filed that identified the GTF as an existing facility. The GTF mixes dry cementitious solids with liquid mixed wastes (containing both dangerous and radioactive constituents) produced by Hanford Site operations. In addition to the design and operating features of the GTF that are intended to meet the requirements of dangerous waste regulations, many additional design and operating features are necessary to comply with radioactive waste management practices. The GTF design features and practices are intended to keep operational exposure to radionuclides and dangerous substances ''as low as reasonably achievable'' (ALARA) and to provide a disposal system that protects the environment for at least 10,000 yr. In some instances, ALARA practices present difficulties when complying with requirements of dangerous waste regulations

  10. Environmental Protection Agency (EPA) Facility Registry Service (FRS) Wastewater Treatment Plants

    Data.gov (United States)

    Department of Homeland Security — This GIS dataset contains data on wastewater treatment plants, based on EPA's Facility Registry Service (FRS) and NPDES, along with Clean Watersheds Needs Survey...

  11. Operation, Maintenance and Management of Wastewater Treatment Facilities: A Bibliography of Technical Documents.

    Science.gov (United States)

    Himes, Dottie

    This is an annotated bibliography of wastewater treatment manuals. Fourteen manuals are abstracted including: (1) A Planned Maintenance Management System for Municipal Wastewater Treatment Plants; (2) Anaerobic Sludge Digestion, Operations Manual; (3) Emergency Planning for Municipal Wastewater Treatment Facilities; (4) Estimating Laboratory Needs…

  12. 14 CFR 61.73 - Military pilots or former military pilots: Special rules.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military pilots or former military pilots... Ratings and Pilot Authorizations § 61.73 Military pilots or former military pilots: Special rules. (a... a disciplinary action involving aircraft operations, a U.S. military pilot or former military pilot...

  13. Converting Resources from Military to Non-military Uses

    OpenAIRE

    Jurgen Brauer; John Tepper Marlin

    1992-01-01

    As a proportion of gross national product, U.S. military spending has declined steadily since the mid-1980s. The end of the Cold War has given rise to calls for even more cuts in military spending. In early 1992, President George Bush proposed to reduce military spending by 3 percent per year, in real dollars, for the next five years. The Democratic leadership in the House of Representatives countered with a plan calling for substantially deeper cuts. Any substantial changes in military expen...

  14. Risk management program for the 283-W water treatment facility

    International Nuclear Information System (INIS)

    Green, W.E.

    1999-01-01

    This Risk Management (RM) Program covers the 283-W Water Treatment Facility (283W Facility), located in the 200 West Area of the Hanford Site. A RM Program is necessary for this facility because it stores chlorine, a listed substance, in excess of or has the potential to exceed the threshold quantities defined in Title 40 of the Code of Federal Regulations (CFR) Part 68 (EPA, 1998). The RM Program contains data that will be used to prepare a RM Plan, which is required by 40 CFR 68. The RM Plan is a summary of the RM Program information, contained within this document, and will be submitted to the U.S. Environmental Protection Agency (EPA) ultimately for distribution to the public. The RM Plan will be prepared and submitted separately from this document

  15. 76 FR 14590 - Defense Federal Acquisition Regulation Supplement; Safety of Facilities, Infrastructure, and...

    Science.gov (United States)

    2011-03-17

    ... makes it unlikely that a small business could afford to sustain the infrastructure required to perform...-AG73 Defense Federal Acquisition Regulation Supplement; Safety of Facilities, Infrastructure, and... facilities, infrastructure, and equipment that are intended for use by military or civilian personnel of the...

  16. Hazardous air pollutant (HAP) emission characterization of sewage treatment facilities in Korea.

    Science.gov (United States)

    Kang, Kyoung-Hee; Dong, Jong-In

    2010-04-01

    Until recently, nearly all sewage treatment-related regulations and researches have focused on the removal of the conventional and toxic pollutants from liquid effluents. The discharge of toxic compounds to the atmosphere has been implicitly regarded as a way of removal or destruction. During sewage treatment, the fate mechanism of volatilization/stripping, sorption and biotransformation primarily determines the fate of volatile HAPs. The objectives of this study are to investigate the emission characteristics of HAPs, which are generated from the liquid surface of sewage treatment facilities, by using an emission isolation flux chamber. HAP emissions increased at the inlet of the aerobic chamber during summer due to the relatively high atmospheric temperature. The percent ratio of flux for toluene reached its peak in winter, accounting for 33.6-34.2% of the total, but decreased to 25.1-28.6% in summer. In autumn, trichloroethene (TCE) was the highest, recording 17.6-18.1%, with chloroform and toluene showing similar levels. It seems that the ratio of chlorinated hydrocarbons increases in both summer and autumn because the chamber temperature during that time is higher than winter. This study is the initial study to investigate the emission characteristics of volatile HAPs emitted from domestic sewage treatment facilities to the air in Korea. Therefore, the isolation flux chamber will be used as an emission estimations tool to measure HAPs from sewage treatment facilities and may be applied to develop the emission factor and national source inventory of HAPs.

  17. Low HAP/VOC Compliant Resins for Military Applications

    Science.gov (United States)

    2011-09-01

    commumty that was dooradng the perchlorote. Soy Oil 1Walls’ Win Against Perchlorate Texas Military Facility Gets EPA, State OK for Reuse T he...accomplishment is rhe soy - bean, or to be more precise its derivative, soy oil , which cleaned up the chemicals and saved millions of dollars. 5 Army’s Soy ...Fourier Transform Infrared Spectroscopy GM: Glycidyl methacrylate GPC: Gel Permeation Chromatography HAP: Hazardous Air Pollutants HMMWV: High

  18. NPDES Permit for Soap Creek Associates Wastewater Treatment Facility in Montana

    Science.gov (United States)

    Under National Pollutant Discharge Elimination System permit number MT-0023183, Soap Creek Associates, Inc. is authorized to discharge from its wastewater treatment facility located in West, Bighorn County, Montana, to Soap Creek.

  19. Quality assurance in military medical research and medical radiation accident management.

    Science.gov (United States)

    Hotz, Mark E; Meineke, Viktor

    2012-08-01

    The provision of quality radiation-related medical diagnostic and therapeutic treatments cannot occur without the presence of robust quality assurance and standardization programs. Medical laboratory services are essential in patient treatment and must be able to meet the needs of all patients and the clinical personnel responsible for the medical care of these patients. Clinical personnel involved in patient care must embody the quality assurance process in daily work to ensure program sustainability. In conformance with the German Federal Government's concept for modern departmental research, the international standard ISO 9001, one of the relevant standards of the International Organization for Standardization (ISO), is applied in quality assurance in military medical research. By its holistic approach, this internationally accepted standard provides an excellent basis for establishing a modern quality management system in line with international standards. Furthermore, this standard can serve as a sound basis for the further development of an already established quality management system when additional standards shall apply, as for instance in reference laboratories or medical laboratories. Besides quality assurance, a military medical facility must manage additional risk events in the context of early recognition/detection of health risks of military personnel on deployment in order to be able to take appropriate preventive and protective measures; for instance, with medical radiation accident management. The international standard ISO 31000:2009 can serve as a guideline for establishing risk management. Clear organizational structures and defined work processes are required when individual laboratory units seek accreditation according to specific laboratory standards. Furthermore, international efforts to develop health laboratory standards must be reinforced that support sustainable quality assurance, as in the exchange and comparison of test results within

  20. Particular intervention plan of Cherbourg's military harbour

    International Nuclear Information System (INIS)

    2014-01-01

    The Particular intervention plan (PPI in French) is an emergency plan which foresees the measures and means to be implemented to address the potential risks of the presence and operation of a nuclear facility. This plan is implemented and developed by the Prefect in case of nuclear accident (or incident leading to a potential accident), the impact of which extending beyond the facility perimeter. It represents a special section of the organisation plan for civil protection response (ORSEC plan). The PPI foresees the necessary measures and means for crisis management during the first hours following the accident and is triggered by the Department Prefect according to the information provided by the facility operator. Its aim is to protect the populations leaving within 10 km of the facility against a potential radiological hazard. The PPI describes: the facility, the intervention area, the protection measures for the population, the conditions of emergency plan triggering, the crisis organisation, the action forms of the different services, and the post-accident stage. This document is the public version of the Particular intervention plan of the military harbour of Cherbourg (Manche, France) which hosts several nuclear facilities devoted to the construction and dismantling of nuclear submarines (without weapons)

  1. Trauma treatment in a role 1 medical facility in Afghanistan

    DEFF Research Database (Denmark)

    Vedel, Pernille Nygaard; Helsø, I; Jørgensen, H L

    2013-01-01

    Most of the emergency care delivered in Afghanistan is currently provided by the military sector and non-governmental organisations. Main Operating Base (MOB) Price in Helmand Province has a small medical centre and due to its location provides critical care to civilians and military casualties a...... and this article describes the patterns in trauma patient care at the MOB Price medical centre regarding the types of patients and injuries....

  2. Hanford facility dangerous waste permit application, 325 hazardous waste treatment units. Revision 1

    International Nuclear Information System (INIS)

    1997-07-01

    This report contains the Hanford Facility Dangerous Waste Permit Application for the 325 Hazardous Waste Treatment Units (325 HWTUs) which consist of the Shielded Analytical Laboratory, the 325 Building, and the 325 Collection/Loadout Station Tank. The 325 HWTUs receive, store, and treat dangerous waste generated by Hanford Facility programs. Routine dangerous and/or mixed waste treatment that will be conducted in the 325 HWTUs will include pH adjustment, ion exchange, carbon absorption, oxidation, reduction, waste concentration by evaporation, precipitation, filtration, solvent extraction, solids washing, phase separation, catalytic destruction, and solidification/stabilization

  3. Hanford facility dangerous waste permit application, 325 hazardous waste treatment units. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    This report contains the Hanford Facility Dangerous Waste Permit Application for the 325 Hazardous Waste Treatment Units (325 HWTUs) which consist of the Shielded Analytical Laboratory, the 325 Building, and the 325 Collection/Loadout Station Tank. The 325 HWTUs receive, store, and treat dangerous waste generated by Hanford Facility programs. Routine dangerous and/or mixed waste treatment that will be conducted in the 325 HWTUs will include pH adjustment, ion exchange, carbon absorption, oxidation, reduction, waste concentration by evaporation, precipitation, filtration, solvent extraction, solids washing, phase separation, catalytic destruction, and solidification/stabilization.

  4. Mixed and low-level waste treatment facility project

    International Nuclear Information System (INIS)

    1992-04-01

    The technology information provided in this report is only the first step toward the identification and selection of process systems that may be recommended for a proposed mixed and low-level waste treatment facility. More specific information on each technology will be required to conduct the system and equipment tradeoff studies that will follow these preengineering studies. For example, capacity, maintainability, reliability, cost, applicability to specific waste streams, and technology availability must be further defined. This report does not currently contain all needed information; however, all major technologies considered to be potentially applicable to the treatment of mixed and low-level waste are identified and described herein. Future reports will seek to improve the depth of information on technologies

  5. Mixed and low-level waste treatment facility project

    Energy Technology Data Exchange (ETDEWEB)

    1992-04-01

    The technology information provided in this report is only the first step toward the identification and selection of process systems that may be recommended for a proposed mixed and low-level waste treatment facility. More specific information on each technology will be required to conduct the system and equipment tradeoff studies that will follow these preengineering studies. For example, capacity, maintainability, reliability, cost, applicability to specific waste streams, and technology availability must be further defined. This report does not currently contain all needed information; however, all major technologies considered to be potentially applicable to the treatment of mixed and low-level waste are identified and described herein. Future reports will seek to improve the depth of information on technologies.

  6. Economic impacts of zebra mussels on drinking water treatment and electric power generation facilities.

    Science.gov (United States)

    Connelly, Nancy A; O'Neill, Charles R; Knuth, Barbara A; Brown, Tommy L

    2007-07-01

    Invasions of nonnative species such as zebra mussels can have both ecological and economic consequences. The economic impacts of zebra mussels have not been examined in detail since the mid-1990s. The purpose of this study was to quantify the annual and cumulative economic impact of zebra mussels on surface water-dependent drinking water treatment and electric power generation facilities (where previous research indicated the greatest impacts). The study time frame was from the first full year after discovery in North America (Lake St. Clair, 1989) to the present (2004); the study area was throughout the mussels' North American range. A mail survey resulted in a response rate of 31% for electric power companies and 41% for drinking water treatment plants. Telephone interviews with a sample of nonrespondents assessed nonresponse bias; only one difference was found and adjusted for. Over one-third (37%) of surveyed facilities reported finding zebra mussels in the facility and almost half (45%) have initiated preventive measures to prevent zebra mussels from entering the facility operations. Almost all surveyed facilities (91%) with zebra mussels have used control or mitigation alternatives to remove or control zebra mussels. We estimated that 36% of surveyed facilities experienced an economic impact. Expanding the sample to the population of the study area, we estimated 267 million dollars (BCa 95% CI = 161 million dollars - 467 million dollars) in total economic costs for electric generation and water treatment facilities through late 2004, since 1989. Annual costs were greater (44,000 dollars/facility) during the early years of zebra mussel infestation than in recent years (30,000 dollars). As a result of this and other factors, early predictions of the ultimate costs of the zebra mussel invasion may have been excessive.

  7. Development of safeguards information treatment system at the facility level

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Doo; Song, Dae Yong; So, Dong Sup; Kwack, Eun Ho [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2000-04-01

    Safeguards Information Treatment System(SITS) at the facility level is required to implement efficiently the obligations under the Korea-IAEA Safeguards Agreement, bilateral agreements with other countries and domestic law. In this report, the requirements and major functions of SITS were considered, and the error checking methods and the relationships of safeguards information were reviewed. SITS will be developed to cover the different accounting procedures and methods applied at the various facilities under IAEA safeguards. Also, the resolved result of the Y2K problem in the existing nuclear material accounting program was described. 3 tabs. (Author)

  8. Conceptual model of male military sexual trauma.

    Science.gov (United States)

    Elder, William B; Domino, Jessica L; Rentz, Timothy O; Mata-Galán, Emma L

    2017-08-01

    Male sexual trauma is understudied, leaving much to be known about the unique mental health needs of male survivors. This study examined veteran men's perceptions of the effects of military sexual trauma. Military sexual trauma was defined as physically forced, verbally coerced, or substance-incapacitated acts experienced during military service. Interviews were conducted with 21 male veterans who reported experiencing military sexual trauma. Data were drawn together using a grounded theory methodology. Three categories emerged from data analysis, including (a) types of military sexual trauma (being touched in a sexual way against their will [N = 18]; sexual remarks directed at them [N = 15]; being physically forced to have sex [N = 13]); (b) negative life effects (difficulty trusting others [N = 18]; fear of abandonment [N = 17]; substance use [N = 13]; fear of interpersonal violence [N = 12]; conduct and vocational problems [N = 11]; irritability/aggression [N = 8]; insecurity about sexual performance [N = 8]; difficulty managing anger [N = 8]); and (c) posttraumatic growth (N = 15). Results from this study suggest sexual trauma in the military context may affect systems of self-organization, specifically problems in affective, self-concept, and relational domains, similar to symptoms of those who have experienced prolonged traumatic stressors. This model can be used by clinicians to select treatments that specifically target these symptoms and promote posttraumatic growth. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  9. Geographic access to radiation therapy facilities and disparities of early-stage breast cancer treatment

    Directory of Open Access Journals (Sweden)

    Yan Lin

    2018-05-01

    Full Text Available Few studies of breast cancer treatment have focused on the Northern Plains of the United States, an area with a high mastectomy rate. This study examined the association between geographic access to radiation therapy facilities and receipt of breast cancer treatments among early-stage breast cancer patients in South Dakota. Based on 4,209 early-stage breast cancer patients diagnosed between 2001 and 2012 in South Dakota, the study measured geographic proximity to radiation therapy facilities using the shortest travel time for patients to the closest radiation therapy facility. Two-level logistic regression models were used to estimate for early stage cases i the odds of mastectomy versus breast conserving surgery (BCS; ii the odds of not receiving radiation therapy after BCS versus receiving follow-up radiation therapy. Covariates included race/ethnicity, age at diagnosis, tumour grade, tumour sequence, year of diagnosis, census tract-level poverty rate and urban/rural residence. The spatial scan statistic method was used to identify geographic areas with significantly higher likelihood of experiencing mastectomy. The study found that geographic accessibility to radiation therapy facilities was negatively associated with the likelihood of receiving mastectomy after adjustment for other covariates, but not associated with radiation therapy use among patients receiving BCS. Compared with patients travelling less than 30 minutes to a radiation therapy facility, patients travelling more than 90 minutes were about 1.5 times more likely to receive mastectomy (odds ratio, 1.51; 95% confidence interval, 1.08-2.11 and patients travelling more than 120 minutes were 1.7 times more likely to receive mastectomy (odds ratio, 1.70; 95% confidence interval, 1.19-2.42. The study also identified a statistically significant cluster of patients receiving mastectomy who were located in south-eastern South Dakota, after adjustment for other factors. Because

  10. Possibilities for Hospital Treatment of Industrial Accident Victims in Military Medical Academy

    International Nuclear Information System (INIS)

    Todorovic, V.; Jevtic, M.; Jovanovic, D.; Jovic-Stosic, J.

    2007-01-01

    Possibility of mass injuries in traffic, industrial accidents or terrorist attack is every day reality. Management of victims may need complex measures including activities on the site, transportation, and hospital care. Preparedness for hospital treatment of mass trauma or poisoning is among the main duties of Military Medical Academy (MMA). It is medical institution of tertiary level with the capacity of 1214 beds in 13 surgical clinics, 12 internal medicine clinics, 2 neuropsychiatry clinics, poison control centre and organ transplantation centre. National Poison Control Centre is the only specialized institution for treatment of adult's acute poisonings in the country. Centre includes: 1. Clinic of Toxicology and Clinical Pharmacology with Intensive Care Unit and Toxicology Information Department; 2. Institute of Experimental Toxicology and Pharmacology; 3. Mobile Toxicological - Chemical Squad. Being a part of MMA, Centre benefits from all advantages of central type hospital, including possibilities for contemporary diagnostic and therapeutic procedures of different specialities, and other necessary medical and logistic support. Except hospital organization and preparedness for admission of mass injuries victims, one of strategic goals of MMA is functional integration in civilian health care system including more detailed planning for collaboration in case of chemical accidents.(author)

  11. Latest development in project site radwaste treatment facility (SRTF) Sanmen

    International Nuclear Information System (INIS)

    Mennicken, K.; Lohmann, P.

    2015-01-01

    Westinghouse Electric Germany GmbH (WEG) was successful in being awarded a contract as to the planning, delivery, installation and commissioning of radwaste treatment systems for the AP1000 units at Sanmen site, PR China. Operational low and intermediate level radioactive waste will be processed in the Site Radwaste Treatment Facility (SRTF). This paper explains the latest developments of the project, especially the experience with customer-hired Chinese planning partners, installation companies and Customer operating personnel. (authors)

  12. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1988-01-01

    This section briefly describes the Hanford Site, provides a general description of the site operations and administration, provides an overview of the contents of this Grout Treatment Facility (GTF) Permit Application, and gives a list of acronyms and abbreviations used in the document. The decision was made to use the checklist as a locator reference instead of using the checklist section numbers as paragraph section numbers because several different types of waste management units, some of which are not addressed in the checklists, are part of the GTF. The GTF is a waste management unit within the Hanford Site facility. In May 1988, a permit application was filed that identified the GTF as an existing facility. The GTF mixes dry cementitious solids with liquid mixed wastes (containing both dangerous and radioactive constituents) produced by Hanford Site operations. In addition to the design and operating features of the GTF that are intended to meet the requirements of dangerous waste regulations, many additional design and operating features are necessary to comply with radioactive waste management practices. The GTF design features and practices are intended to keep operational exposure to radionuclides and dangerous substances ''as low as reasonably achievable'' (ALARA) and to provide a disposal system that protects the environment for at least 10,000 yr. In some instances, ALARA practices present difficulties when complying with requirements of dangerous waste regulations. This volume contains 2 appendices covering engineering drawings and operating procedures

  13. Grout treatment facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1988-01-01

    This section briefly describes the Hanford Site, provides a general description of the site operations and administration, provides an overview of the contents of this Grout Treatment Facility (GTF) Permit Application, and gives a list of acronyms and abbreviations used in the document. The decision was made to use the checklist as a locator reference instead of using the checklist section numbers as paragraph section numbers because several different types of waste management units, some of which are not addressed in the checklists, are part of the GTF. The GTF is a waste management unit within the Hanford Site facility. In May 1988, a permit application was filed that identified the GTF as an existing facility. The GTF mixes dry cementitious solids with liquid mixed wastes (containing both dangerous and radioactive constitutents) produced by Hanford Site operations. In addition to the design and operating features of the GTF that are intended to meet the requirements of dangerous waste regulations, many additional design and operating features are necessary to comply with radioactive waste management practices. The GTF design features and practices are intended to keep operational exposure to radionuclides and dangerous substances ''as low as reasonably achievable'' (ALARA) and to provide a disposal system that protects the environment for at least 10,000 yr. In some instances, ALARA practices present difficulties when complying with requirements of dangerous waste regulations. This volume contains 2 Appendices covering engineering drawings and operating procedures

  14. Grout Treatment Facility dangerous waste permit application

    International Nuclear Information System (INIS)

    1988-01-01

    This section briefly describes the Hanford Site, provides a general description of the site operations and administration, provides an overview of the contents of this Grout Treatment Facility (GTF) Permit Application, and gives a list of acronyms and abbreviations used in the document. The decision was made to use the checklist as a locator reference instead of using the checklist section numbers as paragraph section numbers because several different types of waste management units, some of which are not addressed in the checklists, are part of the GTF. The GTF is a waste management unit within the Hanford Site facility. In May 1988, a permit application was filed that identified the GTF as an existing facility. The GTF mixes dry cementitious solids with liquid wastes (containing both dangerous and radioactive constituents) produced by Hanford Site operations. In addition to the design and operating features of the GTF that are intended to meet the requirements of dangerous waste regulations, many additional design and operating features are necessary to comply with radioactive waste management practices. The GTF design features and practices are intended to keep operational exposure to radionuclides and dangerous substances ''as low as reasonably achievable'' (ALARA) and to provide a disposal system that protects the environment for at least 10,000 yr. In some instances, ALARA practices present difficulties when complying with requirements of dangerous waste regulations. This volume contains 14 Appendices. Topics include Engineering Drawings, Maps, Roads, Toxicity Testing, and Pilot-Scale Testing

  15. Shrinking the Civil-Military Divide: A Military Perspective

    Science.gov (United States)

    2015-04-13

    behavior and rights, the values of the military are different and unique. Senior military officers highlight the importance of understanding the...Examples include on-base housing, shopping , schools, children’s sports leagues, and community and social events such as concerts, comedy shows, and movies... mall , a sporting event, or the movies provides a simple, 16 Skelton, “The Civil-Military Gap

  16. Military nuclear activities. The simulation program

    International Nuclear Information System (INIS)

    Delpuech, A.

    2000-01-01

    The durability of the French nuclear weapon dissuasion has to integrate two kind of problems: the geopolitical situation with the comprehensive nuclear test ban treaty (CTBT) and the aging of weapons. The replacement of decayed weapons requires a complete safety and reliability validation of the new weapons which is performed using simulation. This paper gives a brief presentation of the simulation program and of the technical means developed by the military division of the French atomic energy commission (CEA-DAM): the Airix X-ray radiography installation and the 'megajoule' laser facility. (J.S.)

  17. Impact assessment of the forest fires on Oarai Research and Development Center Waste Treatment Facility

    International Nuclear Information System (INIS)

    Shimomura, Yusuke; Kitamura, Ryoichi; Hanari, Akira; Sato, Isamu

    2016-03-01

    In response to new standards for regulating waste treatment facility ('new regulatory standards'; December 18, 2013 enforcement), it was carried out impact assessment of forest fires on the Waste Treatment Facility existed in Oarai Research and Development Center of Japan Atomic Energy Agency. At first, a fire spread scenario of forest fires was assumed. The intensity of forest fires was evaluated from field surveys, forest fire evaluation models and so on. As models of forest fire intensity evaluation, Rothermel Model and Canadian Forest Fire Behavior Prediction (FBP) System were used. Impact assessment of radiant heat to the facility was carried out, and temperature change of outer walls for the assumed forest fires was estimated. The outer wall temperature of facility was estimated around 160degC at the maximum, it was revealed that it doesn't reach allowable temperature limit. Consequently, it doesn't influence the strength of concrete. In addition, a probability of fire breach was estimated to be about 20%. This report illustrates an example of evaluation of forest fires for the new regulatory standards through impact assessment of the forest fires on the Waste Treatment Facility. (author)

  18. Opportunities for Energy Efficiency and Open Automated Demand Response in Wastewater Treatment Facilities in California -- Phase I Report

    Energy Technology Data Exchange (ETDEWEB)

    Lekov, Alex; Thompson, Lisa; McKane, Aimee; Song, Katherine; Piette, Mary Ann

    2009-04-01

    This report summarizes the Lawrence Berkeley National Laboratory?s research to date in characterizing energy efficiency and automated demand response opportunities for wastewater treatment facilities in California. The report describes the characteristics of wastewater treatment facilities, the nature of the wastewater stream, energy use and demand, as well as details of the wastewater treatment process. It also discusses control systems and energy efficiency and automated demand response opportunities. In addition, several energy efficiency and load management case studies are provided for wastewater treatment facilities.This study shows that wastewater treatment facilities can be excellent candidates for open automated demand response and that facilities which have implemented energy efficiency measures and have centralized control systems are well-suited to shift or shed electrical loads in response to financial incentives, utility bill savings, and/or opportunities to enhance reliability of service. Control technologies installed for energy efficiency and load management purposes can often be adapted for automated demand response at little additional cost. These improved controls may prepare facilities to be more receptive to open automated demand response due to both increased confidence in the opportunities for controlling energy cost/use and access to the real-time data.

  19. Development of an Integrated Leachate Treatment Solution for the Port Granby Waste Management Facility - 12429

    Energy Technology Data Exchange (ETDEWEB)

    Conroy, Kevin W. [Golder Associates Inc., Lakewood, Colorado (United States); Vandergaast, Gerald [Atomic Energy of Canada Limited, Port Hope, Ontario (Canada)

    2012-07-01

    The Port Granby Project (the Project) is located near the north shore of Lake Ontario in the Municipality of Clarington, Ontario, Canada. The Project consists of relocating approximately 450,000 m{sup 3} of historic Low-Level Radioactive Waste (LLRW) and contaminated soil from the existing Port Granby Waste Management Facility (WMF) to a proposed Long-Term Waste Management Facility (LTWMF) located adjacent to the WMF. The LTWMF will include an engineered waste containment facility, a Wastewater Treatment Plant (WTP), and other ancillary facilities. A series of bench- and pilot-scale test programs have been conducted to identify preferred treatment processes to be incorporated into the WTP to treat wastewater generated during the construction, closure and post-closure periods at the WMF/LTWMF. (authors)

  20. Do drug treatment facilities increase clients' exposure to potential neighborhood-level triggers for relapse? A small-area assessment of a large, public treatment system.

    Science.gov (United States)

    Jacobson, Jerry O

    2006-03-01

    Research on drug treatment facility locations has focused narrowly on the issue of geographic proximity to clients. We argue that neighborhood conditions should also enter into the facility location decision and illustrate a formal assessment of neighborhood conditions at facilities in a large, metropolitan area, taking into account conditions clients already face at home. We discuss choice and construction of small-area measures relevant to the drug treatment context, including drug activity, disadvantage, and violence as well as statistical comparisons of clients' home and treatment locations with respect to these measures. Analysis of 22,707 clients discharged from 494 community-based outpatient and residential treatment facilities that received public funds during 1998-2000 in Los Angeles County revealed no significant mean differences between home and treatment neighborhoods. However, up to 20% of clients are exposed to markedly higher levels of disadvantage, violence, or drug activity where they attend treatment than where they live, suggesting that it is not uncommon for treatment locations to increase clients' exposure to potential environmental triggers for relapse. Whereas on average both home and treatment locations exhibit higher levels of these measures than the household locations of the general population, substantial variability in public treatment clients' home neighborhoods calls into question the notion that they hail exclusively from poor, high drug activity areas. Shortcomings of measures available for neighborhood assessment of treatment locations and implications of the findings for other areas of treatment research are also discussed.

  1. Independent dose per monitor unit review of eight U.S.A. proton treatment facilities

    International Nuclear Information System (INIS)

    Moyers, M. F.; Ibbott, G. S.; Grant, R. L.; Summers, P. A.; Followill, D. S.

    2014-01-01

    Purpose: Compare the dose per monitor unit at different proton treatment facilities using three different dosimetry methods. Methods: Measurements of dose per monitor unit were performed by a single group at eight facilities using 11 test beams and up to six different clinical portal treatment sites. These measurements were compared to the facility reported dose per monitor unit values. Results: Agreement between the measured and reported doses was similar using any of the three dosimetry methods. Use of the ICRU 59 N D,w based method gave results approximately 3% higher than both the ICRU 59 N X and ICRU 78 (TRS-398) N D,w based methods. Conclusions: Any single dosimetry method could be used for multi-institution trials with similar conformity between facilities. A multi-institutional trial could support facilities using both the ICRU 59 N X based and ICRU 78 (TRS-398) N D,w based methods but use of the ICRU 59 N D,w based method should not be allowed simultaneously with the other two until the difference is resolved

  2. An Overview of the Use of Neurofeedback Biofeedback for the Treatment of Symptoms of Traumatic Brain Injury in Military and Civilian Populations.

    Science.gov (United States)

    Gray, Sarah N

    2017-08-01

    Background: Neurofeedback, a type of biofeedback, is an operant conditioning treatment that has been studied for use in the treatment of traumatic brain injury (TBI) in both civilian and military populations. In this approach, users are able to see or hear representations of data related to their own physiologic responses to triggers, such as stress or distraction, in real time and, with practice, learn to alter these responses in order to reduce symptoms and/or improve performance. Objective: This article provides a brief overview of the use of biofeedback, focusing on neurofeedback, for symptoms related to TBI, with applications for both civilian and military populations, and describes a pilot study that is currently underway looking at the effects of a commercial neurofeedback device on patients with mild-to-moderate TBIs. Conclusions: Although more research, including blinded randomized controlled studies, is needed on the use of neurofeedback for TBI, the literature suggests that this approach shows promise for treating some symptoms of TBI with this modality. With further advances in technology, including at-home use of neurofeedback devices, preliminary data suggests that TBI survivors may benefit from improved motivation for treatment and some reduction of symptoms related to attention, mood, and mindfulness, with the addition of neurofeedback to treatment.

  3. Complementary and Alternative Medicine Services in the Military Health System.

    Science.gov (United States)

    Herman, Patricia M; Sorbero, Melony E; Sims-Columbia, Ann C

    2017-11-01

    Surveys of military personnel indicate substantial use of complementary and alternative medicine (CAM) that possibly exceeds use in the general U.S. Although military treatment facilities (MTFs) are known to offer CAM, surveys do not indicate where service members receive this care. This study offers a comprehensive system-wide accounting of the types of CAM offered across the military health system (MHS), the conditions for which it is used, and its level of use. These data will help MHS policymakers better support their population's healthcare needs. A census survey of MTFs across the MHS on all CAM use, supplemented where possible by MHS utilization data. Types of CAM offered by each MTF, reasons given for offering CAM, health conditions for which CAM is used, and number of patient visits for each CAM type. Of the 142 MTFs in the MHS, 133 (94%) responded. Of these, 110 (83%) offer at least one type of CAM and 5 more plan to offer CAM services in the future. Larger MTFs (those reporting ≥25,000 beneficiaries enrolled) are both more likely to offer CAM services (p 10) of different types of CAM (p = 0.010) than smaller MTFs. Three-fourths of MTFs offering CAM provide stress management/relaxation therapy, two-thirds provide acupuncture, and at least half provide progressive muscle relaxation, guided imagery, chiropractic, and mindfulness meditation. MTFs most commonly report CAM use for pain and mental health conditions. Acupuncture and chiropractic are most commonly used for pain, and stress management/relaxation therapy and mind-body medicine combinations are most often used for mental health-related conditions. We estimate 76,000 CAM patient encounters per month across the MHS. The availability of CAM services in the MHS is widespread and is being used to address a range of challenging pain and mental health conditions.

  4. Estimation of marginal costs at existing waste treatment facilities.

    Science.gov (United States)

    Martinez-Sanchez, Veronica; Hulgaard, Tore; Hindsgaul, Claus; Riber, Christian; Kamuk, Bettina; Astrup, Thomas F

    2016-04-01

    address and include costs in existing waste facilities in decision-making may unintendedly lead to higher overall costs at societal level. To avoid misleading conclusions, economic assessment of alternative SWM solutions should not only consider potential costs associated with alternative treatment but also include marginal costs associated with existing facilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Decommissioning of Facilities. General Safety Requirements. Pt. 6 (Spanish Edition)

    International Nuclear Information System (INIS)

    2017-01-01

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning.

  6. Decommissioning of Facilities. General Safety Requirements. Pt. 6 (Russian Edition)

    International Nuclear Information System (INIS)

    2015-01-01

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning

  7. Operation and Maintenance Manual for the Central Facilities Area Sewage Treatment Plant

    Energy Technology Data Exchange (ETDEWEB)

    Norm Stanley

    2011-02-01

    This Operation and Maintenance Manual lists operator and management responsibilities, permit standards, general operating procedures, maintenance requirements and monitoring methods for the Sewage Treatment Plant at the Central Facilities Area at the Idaho National Laboratory. The manual is required by the Municipal Wastewater Reuse Permit (LA-000141-03) the sewage treatment plant.

  8. Design and Shielding of Radiotherapy Treatment Facilities; IPEM Report 75, 2nd Edition

    Science.gov (United States)

    Horton, Patrick; Eaton, David

    2017-07-01

    Design and Shielding of Radiotherapy Treatment Facilities provides readers with a single point of reference for protection advice to the construction and modification of radiotherapy facilities. The book assembles a faculty of national and international experts on all modalities including megavoltage and kilovoltage photons, brachytherapy and high-energy particles, and on conventional and Monte Carlo shielding calculations. This book is a comprehensive reference for qualified experts and radiation-shielding designers in radiation physics and also useful to anyone involved in the design of radiotherapy facilities.

  9. Treatment compliance and challenges among tuberculosis patients across selected health facilities in Osun State Nigeria.

    Science.gov (United States)

    Ajao, K O; Ogundun, O A; Afolabi, O T; Ojo, T O; Atiba, B P; Oguntunase, D O

    2014-12-01

    Tuberculosis (TB) is a major public health problem in the world and Africa has approximately one quarter of the world's cases. One of the greatest challenges facing most TB programmes is the non-compliance to TB treatment among TB patients. This study aimed at determining the challenges of management of tuberculosis (TB) across selected Osun State health facilities. The study employed a descriptive cross-sectional design. A semi-structured questionnaire was used to collect data from 102 TB patients in the health facilities. The instrument measured socio-demographic variables, patient related factors, socio-economic variables, health care system related factors to TB disease and treatment. Data were analysed and summarized using descriptive and inferential statistics. Statistical significance was placed at p facilities (χ2 = 21.761, p facility and patient-related factors were largely responsible.

  10. Operation technology of the ventilation system of the radioactive waste treatment facility(II) - Design and operation note

    Energy Technology Data Exchange (ETDEWEB)

    Lee, K. M.; Lee, B. C.; Bae, S. M. [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-12-01

    As the radioactive waste treatment work, such as compaction and/or solidification of wastes, are done directly by the workers in the Radioactive Waste Treatment Facility, the reasonable design and operation of the ventilation system is essential. In this report, the design criteria and specification of the ventilation equipment, system operation method are described for the effective design and operation of ventilation system in the radioactive waste treatment facility. And the anti-vibration work which was done in the Radioactive Waste Treatment Facility in KAERI to reduce the effect of vibration due to the continuous operation of big rotational equipment, the intake fans and the exhaust fans, are described in the report. 11 refs., 10 figs., 12 tabs. (Author)

  11. Engineering report for interim solids removal modifications of the Steam Plant Wastewater Treatment Facility

    International Nuclear Information System (INIS)

    1995-04-01

    The Steam Plant Wastewater Treatment Facility (SPWTF) treats wastewater from the Y-12 Plant coal yard, steam plant, and water demineralizer facility. The facility is required to comply with National Pollutant Discharge Elimination System (NPDES) standards prior to discharge to East Fork Poplar Creek (EFPC). The existing facility was designed to meet Best Available Technology (BAT) standards and has been in operation since 1988. The SPWTF has had intermittent violations of the NPDES permit primarily due to difficulties in complying with the limit for total iron of 1.0 ppM. A FY-1997 Line Item project, SPWTF Upgrades, is planned to improve the capabilities of the SPWTF to eliminate non-compliances with the permit limits. The intent of the Interim Solids Removal Modification project is to improve the SPWTF effluent quality and to provide pilot treatment data to assist in the design and implementation of the SPWTF Upgrades Line Item Project

  12. Military otolaryngology resident case numbers and board passing rates during the Afghanistan and Iraq wars.

    Science.gov (United States)

    Scalzitti, Nicholas; Brennan, Joseph; Bothwell, Nici; Brigger, Matthew; Ramsey, Mitchell; Gallagher, Thomas; Maturo, Stephen

    2014-05-01

    During the wars in Iraq and Afghanistan, the US military has continued to train medical residents despite concern that postgraduate medical education at military training facilities has suffered. This study compares the experience of otolaryngology residents at military programs with the experience of their civilian counterparts. Retrospective review. Academic military medical centers. Resident caseload data and board examination passing rates were requested from each of the 6 Department of Defense otolaryngology residency programs for 2001 to 2010. The American Board of Otolaryngology and the Accreditation Council for Graduate Medical Education provided the national averages for resident caseload. National board passing rates from 2004 to 2010 were also obtained. Two-sample t tests were used to compare the pooled caseloads from the military programs with the national averages. Board passing rates were compared with a test of proportions. Data were available for all but one military program. Regarding total cases, only 2001 and 2003 showed a significant difference (P < .05), with military residents completing more cases in those years. For individual case categories, the military averages were higher in Otology (299.6 vs 261.2, P = .033) and Plastics/Reconstruction (248.1 vs 149.2, P = .003). Only the Head & Neck category significantly favored the national average over the military (278.3 and 226.0, P = .039). The first-time board passing rates were identical between the groups (93%). Our results suggest that the military otolaryngology residency programs are equal in terms of caseload and board passing rates compared with civilian programs over this time period.

  13. 200 Area effluent treatment facility process control plan 98-02

    International Nuclear Information System (INIS)

    Le, E.Q.

    1998-01-01

    This Process Control Plan (PCP) provides a description of the background information, key objectives, and operating criteria defining Effluent Treatment Facility (ETF) Campaign 98-02 as required per HNF-IP-0931 Section 37, Process Control Plans. Campaign 98-62 is expected to process approximately 18 millions gallons of groundwater with an assumption that the UP-1 groundwater pump will be shut down on June 30, 1998. This campaign will resume the UP-1 groundwater treatment operation from Campaign 97-01. The Campaign 97-01 was suspended in November 1997 to allow RCRA waste in LERF Basin 42 to be treated to meet the Land Disposal Restriction Clean Out requirements. The decision to utilize ETF as part of the selected interim remedial action of the 200-UP-1 Operable Unit is documented by the Declaration of the Record of Decision, (Ecology, EPA and DOE 1997). The treatment method was chosen in accordance with the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) as amended by the Superfund Amendments and Reauthorization Act of 1986 (SARA), the Hanford Federal Facility Agreement and Consent Order (known as the Tri-Party Agreement or TPA), and to the extent practicable, the National Oil and Hazardous Substances Pollution Contingency Plan (NCP)

  14. Facility-Based treatment of under five diarrhoea in Cross River State ...

    African Journals Online (AJOL)

    2015-06-29

    Jun 29, 2015 ... based diarrhoea treatment strategies and guidelines by health care professional at the facility level will go a long way in improving .... p-value. Oral rehydration solution alone or given with Zinc1. 28. (10.0%). 12 (13.2%).

  15. Military and Political Studies

    OpenAIRE

    Alexey I. Podberyozkin

    2014-01-01

    Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issu...

  16. Gaps in the implementation of antenatal syphilis detection and treatment in health facilities across sub-Saharan Africa.

    Science.gov (United States)

    Kanyangarara, Mufaro; Walker, Neff; Boerma, Ties

    2018-01-01

    Syphilis in pregnancy is an under-recognized public health problem, especially in sub-Saharan Africa which accounts for over 60% of the global burden of syphilis. If left untreated, more than half of maternal syphilis cases will result in adverse pregnancy outcomes including stillbirth and fetal loss, neonatal death, prematurity or low birth weight, and neonatal infections. Achieving universal coverage of antenatal syphilis screening and treatment has been the focus of the global campaign for the elimination of mother-to-child transmission of syphilis. However, little is known about the availability of antenatal syphilis screening and treatment across sub-Saharan Africa. The objective of this study was to estimate the 'likelihood of appropriate care' for antenatal syphilis screening and treatment by analyzing health facility surveys and household surveys conducted from 2010 to 2015 in 12 sub-Saharan African countries. In this secondary data analysis, we linked indicators of health facility readiness to provide antenatal syphilis detection and treatment from Service Provision Assessments (SPAs) and Service Availability and Readiness Assessments (SARAs) to indicators of ANC use from the Demographic and Health Surveys (DHS) to compute estimates of the 'likelihood of appropriate care'. Based on data from 5,593 health facilities that reported offering antenatal care (ANC) services, the availability of syphilis detection and treatment in ANC facilities ranged from 2% to 83%. The availability of syphilis detection and treatment was substantially lower in ANC facilities in West Africa compared to the other sub-regions. Levels of ANC attendance were high (median 94.9%), but only 27% of ANC attendees initiated care at less than 4 months gestation. We estimated that about one in twelve pregnant women received ANC early (<4 months) at a facility ready to provide syphilis detection and treatment (median 8%, range 7-32%). The largest implementation bottleneck identified was low

  17. Facility-level, state, and financial factors associated with changes in the provision of smoking cessation services in US substance abuse treatment facilities: Results from the National Survey of Substance Abuse Treatment Services 2006 to 2012.

    Science.gov (United States)

    Cohn, Amy; Elmasry, Hoda; Niaura, Ray

    2017-06-01

    Cigarette smoking is common among patients in substance abuse treatment. Tobacco control programs have advocated for integrated tobacco dependence treatment into behavioral healthcare, including within substance abuse treatment facilities (SATFs) to reduce the public health burden of tobacco use. This study used data from seven waves (2006 to 2012) of the National Survey of Substance Abuse Treatment Services (n=94,145) to examine state and annual changes in the provision of smoking cessation services within US SATFs and whether changes over time could be explained by facility-level (private vs public ownership, receipt of earmarks, facility admissions, acceptance of government insurance) and state-level factors (cigarette tax per pack, smoke free policies, and percent of CDC recommended tobacco prevention spending). Results showed that the prevalence of SATFs offering smoking cessation services increased over time, from 13% to 65%. The amount of tax per cigarette pack, accepting government insurance, government (vs private) ownership, facility admissions, and CDC recommended tobacco prevention spending (per state) were the strongest correlates of the provision of smoking cessation programs in SATFs. Facilities that received earmarks were less likely to provide cessation services. Adult smoking prevalence and state-level smoke free policies were not significant correlates of the provision of smoking cessation services over time. Policies aimed at increasing the distribution of tax revenues to cessation services in SATFs may offset tobacco-related burden among those with substance abuse problems. Copyright © 2017. Published by Elsevier Inc.

  18. Operational experience at the Sludge Treatment Facility

    International Nuclear Information System (INIS)

    Sy, D.J.

    1987-01-01

    The Sludge Treatment Facility (STF) at the Oak Ridge Gaseous Diffusion Plant has been in operation since April 1987. The facility was designed to encapsulate hazardous sludge wastes in a cement matrix. Fixation will allow the waste to meet or exceed applicable compressive strength and leachability requirements. Thus, the grout mixture complies with the Resource Conservation and Recovery Act (RCRA) guidelines as a nonhazardous waste. The grout mixture is based upon a recipe formulation developed after several years of waste stream characterization and formulation studies. The wastes to be treated at the STF are wastes impounded in two ponds. The ponds have a combined capacity of 4.5 million gallons of sludge. The sludge is transferred from the ponds to a 15,000-gallon capacity storage tank by the use of a dredge. The grout mixture recipe dictates the amount of sludge, cement, fly ash, and admixture required for weighing per batch. All ingredients are weighed and then transferred to a tilt or high energy mixer for mixing. The grout mixture is then transferred to 89- or 96-gallon steel drums. The drums are placed in a storage yard designed for a point source discharge from the yard

  19. Designing Facilities for Collaborative Operations

    Science.gov (United States)

    Norris, Jeffrey; Powell, Mark; Backes, Paul; Steinke, Robert; Tso, Kam; Wales, Roxana

    2003-01-01

    A methodology for designing operational facilities for collaboration by multiple experts has begun to take shape as an outgrowth of a project to design such facilities for scientific operations of the planned 2003 Mars Exploration Rover (MER) mission. The methodology could also be applicable to the design of military "situation rooms" and other facilities for terrestrial missions. It was recognized in this project that modern mission operations depend heavily upon the collaborative use of computers. It was further recognized that tests have shown that layout of a facility exerts a dramatic effect on the efficiency and endurance of the operations staff. The facility designs (for example, see figure) and the methodology developed during the project reflect this recognition. One element of the methodology is a metric, called effective capacity, that was created for use in evaluating proposed MER operational facilities and may also be useful for evaluating other collaboration spaces, including meeting rooms and military situation rooms. The effective capacity of a facility is defined as the number of people in the facility who can be meaningfully engaged in its operations. A person is considered to be meaningfully engaged if the person can (1) see, hear, and communicate with everyone else present; (2) see the material under discussion (typically data on a piece of paper, computer monitor, or projection screen); and (3) provide input to the product under development by the group. The effective capacity of a facility is less than the number of people that can physically fit in the facility. For example, a typical office that contains a desktop computer has an effective capacity of .4, while a small conference room that contains a projection screen has an effective capacity of around 10. Little or no benefit would be derived from allowing the number of persons in an operational facility to exceed its effective capacity: At best, the operations staff would be underutilized

  20. Tobacco Pricing in Military Stores: Views of Military Policy Leaders.

    Science.gov (United States)

    Smith, Elizabeth A; Jahnke, Sara A; Poston, Walker S C; Malone, Ruth E; Haddock, Christopher K

    2016-10-01

    Higher tobacco taxes reduce tobacco use. On military installations, cigarettes and other tobacco products are sold tax-free, keeping prices artificially low. Pricing regulations in the military specify that tobacco should be within 5% of the local most competitive price, but prices still average almost 13% lower than those at local Walmarts. To gain insight into policy leaders' ideas and positions on military tobacco pricing, we interviewed members of the Department of Defense (DoD) Addictive Substances Misuse Advisory Committee and the Advisory Committee on Tobacco about tobacco pricing policies (n = 12). Participants frequently lacked specific knowledge of details of military pricing policy, and the impact higher prices might have on military tobacco use. Most participants thought tobacco should not be sold at military stores, but many also felt that this policy change was unlikely due to tobacco industry pressure, and DoD reliance on tobacco profits to support Morale, Welfare, and Recreation funds. Achieving a tobacco-free military will require changing pricing policy, but this study suggests that for effective implementation, military leadership must also understand and articulate more clearly the rationale for doing so. Previous work has found that adherence to military tobacco pricing policy is inconsistent at best. This study suggests that lack of knowledge about the policy and conflicting pressures resulting from the funding stream tobacco sales represent extend to high level military policy leaders. Without clearer information and direction, these leaders are unlikely to be able to establish and implement better tobacco pricing policy. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Legal problems of waste treatment in German atomic energy facilities

    International Nuclear Information System (INIS)

    Pfaffelhuber, J.K.

    1980-01-01

    The execution of the strategies of waste treatment and disposal calls for the laws and regulations on the obligations of the owners of equipments and facilities and of the state for securing safety and the final elimination of radioactive wastes, which are defined mainly in Article 9 of Atomgesetz and Section 2 (Article 44 - 48) of the order on protection from radiation. The owners of equipments and facilities of atomic energy technology shall limit the emission of radiation to about 6% of internationally permissible values, avoid uncontrolled emission without fail, inspect emission and submit reports yearly to government offices. The owners have attention obligations to utilize harmlessly produced radioactive residues and the expanded or dismantled parts of radioactive equipments or to eliminate orderly such things as radioactive wastes, only when such utilization is unable technically or economically, or not adequate under the protection aims of Atomgesetz. The possessors of radioactive wastes shall deliver the wastes to the accumulation places of provinces for intermediate storage, to the facilities of the Federal Republic for securing safety or final storage, or the facilities authorized by government offices for the elimination of radioactive wastes. Provinces shall install the accumulation places for the intermediate storage of radioactive wastes produced in their territories, and the Federal Republic shall set up the facilities for securing safety and the final elimination of radioactive wastes (Article 9, Atomgesetz). (Okada, K.)

  2. Military Librarians Workshop: A Premier Gathering of Military Librarians, 1957-1999

    National Research Council Canada - National Science Library

    Palmer, William A., Jr; Hanna, Marcia

    2000-01-01

    The Military Librarian Workshop(MLW) is an annual meeting that brings together civilian and military personnel who serve as special librarians, library supervisors, or technical information officers in military or governmental...

  3. Religion and the Military: A Growing Ethical Dilemma

    National Research Council Canada - National Science Library

    Greenslit, Lawrence P

    2006-01-01

    Ethical dilemmas over the issue of freedom of personal religious expression and fair treatment for all faith groups are creating conflicts within the military, both inside and outside the chaplaincies...

  4. Continuous quality improvement in substance abuse treatment facilities: How much does it cost?

    Science.gov (United States)

    Hunt, Priscillia; Hunter, Sarah B; Levan, Deborah

    2017-06-01

    Continuous quality improvement (CQI) has grown in the U.S. since the 1970s, yet little is known about the costs to implement CQI in substance abuse treatment facilities. This paper is part of a larger group randomized control trial in a large urban county evaluating the impact of Plan-Study-Do-Act (PDSA)-CQI designed for community service organizations (Hunter, Ober, Paddock, Hunt, & Levan, 2014). Operated by one umbrella organization, each of the eight facilities of the study, four residential and four outpatient substance abuse treatment facilities, selected their own CQI Actions, including administrative- and clinical care-related Actions. Using an activity-based costing approach, we collected labor and supplies and equipment costs directly attributable to CQI Actions over a 12-month trial period. Our study finds implementation of CQI and meeting costs of this trial per facility were approximately $2000 to $10,500 per year ($4500 on average), or $10 to $60 per admitted client. We provide a description of the sources of variation in these costs, including differing intensity of the CQI Actions selected, which should help decision makers plan use of PDSA-CQI. Copyright © 2017. Published by Elsevier Inc.

  5. The Military Health System: Redefining the Role of Employers and Improving Cost-Share Parity Among Retirees

    Science.gov (United States)

    2014-02-13

    program and optional dental plans. Active-duty military members are automatically enrolled into TRICARE Prime and are assigned to a military treatment...registers as a cost consideration in the calculus of the majority of employers in the U.S. who provide health insurance to their employees. Military

  6. To the Question on the Nature of Military Threats and Non-Military Responses

    Directory of Open Access Journals (Sweden)

    Sambu R. Tsyrendorzhjyev

    2015-01-01

    Full Text Available The notion of "military danger, military threats, military and non-military measures to Parry, and other definitions from the policy of the State to ensure the military security of the now widely used in journalism, conceptual, other documents and research. The attentive reader it is not difficult to notice the ambiguity in the interpretation of these concepts. This makes it difficult to not only the perception of the relevant topics for ensuring military security publications, but also the development of the theory and practice of ensuring the defence and security of the State. The author's view on the essence of the reasoning logic of non-military measures to counter military threats, as the ultimate goal of the article is the following.First the task of analyzing the concept of "national security", "object of national security" and understand the functions of the State, society and the individual to ensure national security. Decomposition of an object of national security, which is "national property" (the content of the concepts described in the article has made it possible to substantiate the basis for classification of national security threats and with better understanding of the nature, variety, Genesis. This provided a rationale for the role and the place of the tasks ensuring military security in the common task of ensuring national security, the correlation of military and non-military threats.The final phase of the research, the results of which are set out in the article is devoted to analysis of military threats, which made it possible to identify their main structural elements: source, media, military-political and strategic nature, install the main factors defining the content of these elements and their interaction. Based on these results, the proposed definition of the essence of non-military measures for counteracting of military threats, as well as guidelines for developing these measures.

  7. Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy.

    Science.gov (United States)

    Carey, Evan P; Nolan, Charlotte; Kerns, Robert D; Ho, P Michael; Frank, Joseph W

    2018-05-01

    Expert guidelines recommend non-pharmacologic treatments and non-opioid medications for chronic pain and recommend against initiating long-term opioid therapy (LTOT). We examined whether veterans with incident chronic pain receiving care at facilities with greater utilization of non-pharmacologic treatments and non-opioid medications are less likely to initiate LTOT. Retrospective cohort study PARTICIPANTS: Veterans receiving primary care from a Veterans Health Administration facility with incident chronic pain between 1/1/2010 and 12/31/2015 based on either of 2 criteria: (1) persistent moderate-to-severe patient-reported pain and (2) diagnoses "likely to represent" chronic pain. The independent variable was facility-level utilization of pain-related treatment modalities (non-pharmacologic, non-opioid medications, LTOT) in the prior calendar year. The dependent variable was patient-level initiation of LTOT (≥ 90 days within 365 days) in the subsequent year, adjusting for patient characteristics. Among 1,094,569 veterans with incident chronic pain from 2010 to 2015, there was wide facility-level variation in utilization of 10 pain-related treatment modalities, including initiation of LTOT (median, 16%; range, 5-32%). Veterans receiving care at facilities with greater utilization of non-pharmacologic treatments were less likely to initiate LTOT in the year following incident chronic pain. Conversely, veterans receiving care at facilities with greater non-opioid and opioid medication utilization were more likely to initiate LTOT; this association was strongest for past year facility-level LTOT initiation (adjusted rate ratio, 2.10; 95% confidence interval, 2.06-2.15, top vs. bottom quartile of facility-level LTOT initiation in prior calendar year). Facility-level utilization patterns of non-pharmacologic, non-opioid, and opioid treatments for chronic pain are associated with subsequent patient-level initiation of LTOT among veterans with incident chronic pain

  8. 3718-F Alkali Metal Treatment and Storage Facility Closure Plan

    International Nuclear Information System (INIS)

    1991-12-01

    Since 1987, Westinghouse Hanford Company has been a major contractor to the U.S. Department of Energy-Richland Operations Office and has served as co-operator of the 3718-F Alkali Metal Treatment and Storage Facility, the waste management unit addressed in this closure plan. The closure plan consists of a Part A Dangerous waste Permit Application and a RCRA Closure Plan. An explanation of the Part A Revision (Revision 1) submitted with this document is provided at the beginning of the Part A section. The closure plan consists of 9 chapters and 5 appendices. The chapters cover: introduction; facility description; process information; waste characteristics; groundwater; closure strategy and performance standards; closure activities; postclosure; and references

  9. 3718-F Alkali Metal Treatment and Storage Facility Closure Plan

    Energy Technology Data Exchange (ETDEWEB)

    None

    1991-12-01

    Since 1987, Westinghouse Hanford Company has been a major contractor to the U.S. Department of Energy-Richland Operations Office and has served as co-operator of the 3718-F Alkali Metal Treatment and Storage Facility, the waste management unit addressed in this closure plan. The closure plan consists of a Part A Dangerous waste Permit Application and a RCRA Closure Plan. An explanation of the Part A Revision (Revision 1) submitted with this document is provided at the beginning of the Part A section. The closure plan consists of 9 chapters and 5 appendices. The chapters cover: introduction; facility description; process information; waste characteristics; groundwater; closure strategy and performance standards; closure activities; postclosure; and references.

  10. Risk communication on the construction of radioactive waste treatment facility

    International Nuclear Information System (INIS)

    Okoshi, Minoru

    2005-01-01

    In this paper, risk communications among the Japan Radioisotope Association (JRIA), a local government and the general public which were carried out during the development process of a radioactive waste treatment facility in Takizawa Village, Iwate Prefecture are analyzed based on the articles of newspapers and the interviews with the concerned people. The analysis results show good risk communications were not carried out because of the absence of the confidence to the JRIA, decision making rules and the merits. In order to make good use of this experience for the future development of radioactive waste management facilities, the lessons learned from this case are summarized and the check lists for good risk communication are proposed. (author)

  11. Family Reintegration Difficulties and Couples Therapy for Military Veterans and Their Spouses

    Science.gov (United States)

    Sayers, S. L.

    2011-01-01

    There is compelling evidence that mental health problems complicate the process of family reintegration of military service members after a wartime deployment. Couples in which one spouse has recently returned from military deployment in Iraq or Afghanistan and are experiencing marital problems can present a significant treatment challenge. There…

  12. Treatment, Storage and Disposal (TSD) Corrective Action Facility Polygons, Region 9, 2015, US EPA Region 9

    Data.gov (United States)

    U.S. Environmental Protection Agency — RCRA Treatment, Storage and Disposal facilities (TSDs) are facilities that have treated, stored or disposed of hazardous wastes. They are required to clean up...

  13. Stem cell applications in military medicine.

    Science.gov (United States)

    Christopherson, Gregory T; Nesti, Leon J

    2011-10-19

    There are many similarities between health issues affecting military and civilian patient populations, with the exception of the relatively small but vital segment of active soldiers who experience high-energy blast injuries during combat. A rising incidence of major injuries from explosive devices in recent campaigns has further complicated treatment and recovery, highlighting the need for tissue regenerative options and intensifying interest in the possible role of stem cells for military medicine. In this review we outline the array of tissue-specific injuries typically seen in modern combat - as well as address a few complications unique to soldiers--and discuss the state of current stem cell research in addressing each area. Embryonic, induced-pluripotent and adult stem cell sources are defined, along with advantages and disadvantages unique to each cell type. More detailed stem cell sources are described in the context of each tissue of interest, including neural, cardiopulmonary, musculoskeletal and sensory tissues, with brief discussion of their potential role in regenerative medicine moving forward. Additional commentary is given to military stem cell applications aside from regenerative medicine, such as blood pharming, immunomodulation and drug screening, with an overview of stem cell banking and the unique opportunity provided by the military and civilian overlap of stem cell research.

  14. Improving aircraft accident forecasting for an integrated plutonium storage facility

    International Nuclear Information System (INIS)

    Rock, J.C.; Kiffe, J.; McNerney, M.T.; Turen, T.A.

    1998-06-01

    Aircraft accidents pose a quantifiable threat to facilities used to store and process surplus weapon-grade plutonium. The Department of Energy (DOE) recently published its first aircraft accident analysis guidelines: Accident Analysis for Aircraft Crash into Hazardous Facilities. This document establishes a hierarchy of procedures for estimating the small annual frequency for aircraft accidents that impact Pantex facilities and the even smaller frequency of hazardous material released to the environment. The standard establishes a screening threshold of 10 -6 impacts per year; if the initial estimate of impact frequency for a facility is below this level, no further analysis is required. The Pantex Site-Wide Environmental Impact Statement (SWEIS) calculates the aircraft impact frequency to be above this screening level. The DOE Standard encourages more detailed analyses in such cases. This report presents three refinements, namely, removing retired small military aircraft from the accident rate database, correcting the conversion factor from military accident rates (accidents per 100,000 hours) to the rates used in the DOE model (accidents per flight phase), and adjusting the conditional probability of impact for general aviation to more accurately reflect pilot training and local conditions. This report documents a halving of the predicted frequency of an aircraft impact at Pantex and points toward further reductions

  15. Regional waste treatment facilities with underground monolith disposal for all low-heat-generating nuclear wastes

    International Nuclear Information System (INIS)

    Forsberg, C.W.

    1982-01-01

    An alternative system for treatment and disposal of all ''low-heat-generating'' nuclear wastes from all sources is proposed. The system, Regional Waste Treatment Facilities with Underground Monolith Disposal (RWTF/UMD), integrates waste treatment and disposal operations into single facilities at regional sites. Untreated and/or pretreated wastes are transported from generation sites such as reactors, hospitals, and industries to regional facilities in bulk containers. Liquid wastes are also transported in bulk after being gelled for transport. The untreated and pretreated wastes are processed by incineration, crushing, and other processes at the RWTF. The processed wastes are mixed with cement. The wet concrete mixture is poured into large low-cost, manmade caverns or deep trenches. Monolith dimensions are from 15 to 25 m wide, and 20 to 60 m high and as long as required. This alternative waste system may provide higher safety margins in waste disposal at lower costs

  16. Military service and military vocational training effects on post-service earnings

    OpenAIRE

    Bolin, Phil Warren

    1980-01-01

    Approved for public release; distribution is unlimited. The influence of military service and military vocational training on post-service earnings was analyzed using the National Longitudinal Survey of young men (14-24 years of age in 1966) . When individuals were classified by their propensity to use training neither military service nor military vocational training was a significant determinant of post-service earnings. A disaggregation of the sample IQ revealed that m...

  17. Financing CHP Projects at Wastewater Treatment Facilities with Clean Water State Revolving Funds

    Science.gov (United States)

    This factsheet provides information about CHP at wastewater treatment facilities, including applications, financial challenges, and financial opportunities, such as the Clean Water State Revolving Fund.

  18. Bringing the Military Back in: Military Expenditures and Economic Growth 1990 to 2003

    Directory of Open Access Journals (Sweden)

    Jeffrey Kentor

    2015-08-01

    Full Text Available After the “peace bonus” era, global military expenditures have escalated sharply despite some worldwide declines in military personnel. Theories on the economic impacts of the military institution and escalated military spending greatly differ and include arguments that they either improve domestic economic performance or crowd out growth-inducing processes. Empirical findings on this matter are inconclusive, in part due to a failure to disentangle the various dimensions of military expenditures. We further suggest that modern sociology's relative inattention to such issues has contributed to these shortcomings. We explore a new dimension of military spending that clarifies this issue—military expenditures per soldier —which captures the capital intensiveness of a country’s military organization. Our cross-national panel regression and causal analyses of developed and less developed countries from 1990 to 2003 show that military expenditures per soldier inhibit the growth of per capita GDP, net of control variables, with the most pronounced effects in least developed countries. These expenditures inhibit national development in part by slowing the expansion of the labor force. Labor-intensive militaries may provide a pathway for upward mobility, but comparatively capital-intensive military organizations limit entry opportunities for unskilled and under- or unemployed people. Deep investments in military hardware also reduce the investment capital available for more economically productive opportunities. We also find that arms imports have a positive effect on economic growth, but only in less developed countries.

  19. Ground Water Monitoring Requirements for Hazardous Waste Treatment, Storage and Disposal Facilities

    Science.gov (United States)

    The groundwater monitoring requirements for hazardous waste treatment, storage and disposal facilities (TSDFs) are just one aspect of the Resource Conservation and Recovery Act (RCRA) hazardous waste management strategy for protecting human health and the

  20. Mixed and Low-Level Treatment Facility Project

    Energy Technology Data Exchange (ETDEWEB)

    1992-04-01

    This appendix contains the mixed and low-level waste engineering design files (EDFS) documenting each low-level and mixed waste stream investigated during preengineering studies for Mixed and Low-Level Waste Treatment Facility Project. The EDFs provide background information on mixed and low-level waste generated at the Idaho National Engineering Laboratory. They identify, characterize, and provide treatment strategies for the waste streams. Mixed waste is waste containing both radioactive and hazardous components as defined by the Atomic Energy Act and the Resource Conservation and Recovery Act, respectively. Low-level waste is waste that contains radioactivity and is not classified as high-level waste, transuranic waste, spent nuclear fuel, or 11e(2) byproduct material as defined by DOE 5820.2A. Test specimens of fissionable material irradiated for research and development only, and not for the production of power or plutonium, may be classified as low-level waste, provided the concentration of transuranic is less than 100 nCi/g. This appendix is a tool that clarifies presentation format for the EDFS. The EDFs contain waste stream characterization data and potential treatment strategies that will facilitate system tradeoff studies and conceptual design development. A total of 43 mixed waste and 55 low-level waste EDFs are provided.

  1. Mixed and Low-Level Treatment Facility Project

    International Nuclear Information System (INIS)

    1992-04-01

    This appendix contains the mixed and low-level waste engineering design files (EDFS) documenting each low-level and mixed waste stream investigated during preengineering studies for Mixed and Low-Level Waste Treatment Facility Project. The EDFs provide background information on mixed and low-level waste generated at the Idaho National Engineering Laboratory. They identify, characterize, and provide treatment strategies for the waste streams. Mixed waste is waste containing both radioactive and hazardous components as defined by the Atomic Energy Act and the Resource Conservation and Recovery Act, respectively. Low-level waste is waste that contains radioactivity and is not classified as high-level waste, transuranic waste, spent nuclear fuel, or 11e(2) byproduct material as defined by DOE 5820.2A. Test specimens of fissionable material irradiated for research and development only, and not for the production of power or plutonium, may be classified as low-level waste, provided the concentration of transuranic is less than 100 nCi/g. This appendix is a tool that clarifies presentation format for the EDFS. The EDFs contain waste stream characterization data and potential treatment strategies that will facilitate system tradeoff studies and conceptual design development. A total of 43 mixed waste and 55 low-level waste EDFs are provided

  2. Lessons Learned From The 200 West Pump And Treatment Facility Construction Project At The US DOE Hanford Site - A Leadership For Energy And Environmental Design (LEED) Gold-Certified Facility

    International Nuclear Information System (INIS)

    Dorr, Kent A.; Ostrom, Michael J.; Freeman-Pollard, Jhivaun R.

    2012-01-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built in an accelerated manner with American Recovery and Reinvestment Act (ARRA) funds and has attained Leadership in Energy and Environmental Design (LEED) GOLD certification, which makes it the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. There were many contractual, technical, configuration management, quality, safety, and LEED challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility. This paper will present the Project and LEED accomplishments, as well as Lessons Learned by CHPRC when additional ARRA funds were used to accelerate design, procurement, construction, and commissioning of the 200 West Groundwater Pump and Treatment (2W PandT) Facility to meet DOE's mission of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012

  3. Lessons Learned From The 200 West Pump And Treatment Facility Construction Project At The US DOE Hanford Site - A Leadership For Energy And Environmental Design (LEED) Gold-Certified Facility

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A. [CH2M HILL Plateau Remediation Company, Richland, WA (United States); Ostrom, Michael J. [CH2M HILL Plateau Remediation Company, Richland, WA (United States); Freeman-Pollard, Jhivaun R. [CH2M HILL Plateau Remediation Company, Richland, WA (United States)

    2012-11-14

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built in an accelerated manner with American Recovery and Reinvestment Act (ARRA) funds and has attained Leadership in Energy and Environmental Design (LEED) GOLD certification, which makes it the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. There were many contractual, technical, configuration management, quality, safety, and LEED challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility. This paper will present the Project and LEED accomplishments, as well as Lessons Learned by CHPRC when additional ARRA funds were used to accelerate design, procurement, construction, and commissioning of the 200 West Groundwater Pump and Treatment (2W P&T) Facility to meet DOE's mission of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012.

  4. Project C-018H, 242-A Evaporator/PUREX Plant Process Condensate Treatment Facility, functional design criteria. Revision 3

    International Nuclear Information System (INIS)

    Sullivan, N.

    1995-01-01

    This document provides the Functional Design Criteria (FDC) for Project C-018H, the 242-A Evaporator and Plutonium-Uranium Extraction (PUREX) Plant Condensate Treatment Facility (Also referred to as the 200 Area Effluent Treatment Facility [ETF]). The project will provide the facilities to treat and dispose of the 242-A Evaporator process condensate (PC), the Plutonium-Uranium Extraction (PUREX) Plant process condensate (PDD), and the PUREX Plant ammonia scrubber distillate (ASD)

  5. Sixty years of the Military Technical Courier: Origins of the military technical thinking in the military printing of the Kingdom of Serbia

    Directory of Open Access Journals (Sweden)

    Ivan B. Mijatović

    2012-04-01

    Full Text Available The article sheds light on the origins of the military technical thinking in the military publishing of the Kingdom of Serbia with a view to marking a jubilee - the sixtieth anniversary of the Military Technical Courier. 'Vojin', the first military review, printed in the middle of 19th century as a private venture, covered a wide scope of military issues, among which a special place was given to 'the science of weapons'. No sooner had this review ceased to exist than The Headquarters of the Army of the Kingdom of Serbia started publishing a new military review, 'Ratnik', which, apart from the art of war and war literature, dealt with the science of weapons in order to inform officers about the latest achievements in military technology and to educate them as well. Serbian military thinking, including its technical aspect, did not fall behind modern trends in its European and world counterparts until 1914. The development of weaponry in Europe and the world was regularly covered on the pages of military reviews.

  6. Military and Political Studies

    Directory of Open Access Journals (Sweden)

    Alexey I. Podberyozkin

    2014-01-01

    Full Text Available Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issues to understand the basic trends in the development of scientific and technological progress and its impact on the balance of forces in the world. Global changes in the balance of power and the nature of the conflict, the emergence of new types of weapons are changing the basic methods and approaches to the art of war, which requires a science-based perspective on problem solving and multi-disciplinary approach in achieving the goals. Military and political studies allow us to understand how the development of military technology and military organization of the state affected by the political situation in the world, the national security of the country and its place in the system of international relations. Military-political research has been developing at MGIMO for a few decades. It laid down the basis for a scientific school of political-military studies. Its founding fathers were such prominent scholars of international affairs, as I.G. Usachyov, A.D. Nikonov, A.G. Arbatov, V.G. Baranovsky, V.M. Kulagin, A.N. Nikitin and other well-known experts. Their work covers a wide range of military and political issues, including the topics of arms control and disarmament, international, and especially European security, military policy, NATO, the Western military-political doctrines and their practical application. Now the lead in the development of this research at MGIMO has taken Center for Military-Political Studies, which became a concentration of relevant

  7. The Hanford Site solid waste treatment project; Waste Receiving and Processing (WRAP) Facility

    International Nuclear Information System (INIS)

    Roberts, R.J.

    1991-01-01

    The Waste Receiving and Processing (WRAP) Facility will provide treatment and temporary storage (consisting of in-process storage) for radioactive and radioactive/hazardous mixed waste. This facility must be constructed and operated in compliance with all appropriate US Department of Energy (DOE) orders and Resource Conservation and Recovery Act (RCRA) regulations. The WRAP Facility will examine and certify, segregate/sort, and treat for disposal suspect transuranic (TRU) wastes in drums and boxes placed in 20-yr retrievable storage since 1970; low-level radioactive mixed waste (RMW) generated and placed into storage at the Hanford Site since 1987; designated remote-handled wastes; and newly generated TRU and RMW wastes from high-level waste (HLW) recovery and processing operations. In order to accelerated the WRAP Project, a partitioning of the facility functions was done in two phases as a means to expedite those parts of the WRAP duties that were well understood and used established technology, while allowing more time to better define the processing functions needed for the remainder of WRAP. The WRAP Module 1 phase one, is to provide the necessary nondestructive examination and nondestructive assay services, as well as all transuranic package transporter (TRUPACT-2) shipping for both WRAP Project phases, with heating, ventilation, and air conditioning; change rooms; and administrative services. Phase two of the project, WRAP Module 2, will provide all necessary waste treatment facilities for disposal of solid wastes. 1 tab

  8. Residual mosquito barrier treatments on U.S. military camouflage netting in a southern California desert environment

    Science.gov (United States)

    Treating perimeters of vegetation with residual insecticides for protection from mosquito vectors has potential for U.S. military force health protection. However, for current U.S. military operations in hot-arid environments with little or no vegetation, residual applications on portable artificial...

  9. NPDES Permit for Dakota Magic Casino Wastewater Treatment Facility in North Dakota

    Science.gov (United States)

    Under NPDES permit ND-0030813, the Dakota Nation Gaming Enterprise is authorized to discharge from the wastewater treatment facility in Richland County, North Dakota, to a roadside ditch flowing to an unnamed tributary to the Bois de Sioux.

  10. NPDES Permit for Town of Lodge Grass Wastewater Treatment Facility in Montana

    Science.gov (United States)

    Under National Pollutant Discharge Elimination System permit number MT0021890, the Town of Lodge Grass is authorized to discharge from from its wastewater treatment facility in Big Horn County to an unnamed slough to the Little Bighorn River.

  11. Mixed and low-level waste treatment facility project. Volume 3, Waste treatment technologies (Draft)

    Energy Technology Data Exchange (ETDEWEB)

    1992-04-01

    The technology information provided in this report is only the first step toward the identification and selection of process systems that may be recommended for a proposed mixed and low-level waste treatment facility. More specific information on each technology will be required to conduct the system and equipment tradeoff studies that will follow these preengineering studies. For example, capacity, maintainability, reliability, cost, applicability to specific waste streams, and technology availability must be further defined. This report does not currently contain all needed information; however, all major technologies considered to be potentially applicable to the treatment of mixed and low-level waste are identified and described herein. Future reports will seek to improve the depth of information on technologies.

  12. An Exploratory Study of the Relationship Between the Big-Five Personality Dimensions and Political Skills with Military Staff Members’ Perceived Performance

    OpenAIRE

    Alicia Ohlsson; Rhino Bandelitz Johansen; Gerry Larsson

    2017-01-01

    The purpose was to explore the relationship and mediation effects between the Big Five personality dimensions, and political skill with military staff members’ perceived performance. The sample included 185 Armed Forces International staff members from several military education facilities. The results indicated that the PSI and several personality dimensions were positively correlated with individuals’ perceived performance. In addition, the personality dimension Conscientiousness acted as a...

  13. Identification and treatment of lithium as the primary toxicant in a groundwater treatment facility effluent

    International Nuclear Information System (INIS)

    Kszos, L.A.; Crow, K.R.

    1996-01-01

    6 Li is used in manufacturing nuclear weapons, shielding, and reactor control rods. Li compounds have been used at DOE facilities and Li-contaminated waste has historically been land disposed. Seep water from burial grounds near Y-12 contain small amounts of chlorinated hydrocarbons, traces of PCBs, and 10-19 mg/L Li. Seep treatment consists of oil-water separation, filtration, air stripping, and carbon adsorption. Routine biomonitoring tests using fathead minnows and Ceriodaphniadubia are conducted. Evaluation of suspected contaminants revealed that toxicity was most likely due to Li. Laboratory tests showed that 1 mg Li/L reduced the survival of both species; 0.5 mg Li/L reduced Ceriodaphnia reproduction and minnow growth. However, the toxicity was greatly reduced in presence of sodium (up to 4 mg Li/L, Na can fully negate the toxic effect of Li). Because of the low Na level discharged from the treatment facility, Li removal from the ground water was desired. SuperLig reg-sign columns were used (Li-selective organic macrocycle bonded to silica gel). Bench-scale tests showed that the material was very effective for removing Li from the effluent, reducing the toxicity

  14. TSD-DOSE: A radiological dose assessment model for treatment, storage, and disposal facilities

    International Nuclear Information System (INIS)

    Pfingston, M.; Arnish, J.; LePoire, D.; Chen, S.-Y.

    1998-01-01

    Past practices at US Department of Energy (DOE) field facilities resulted in the presence of trace amounts of radioactive materials in some hazardous chemical wastes shipped from these facilities. In May 1991, the DOE Office of Waste Operations issued a nationwide moratorium on shipping all hazardous waste until procedures could be established to ensure that only nonradioactive hazardous waste would be shipped from DOE facilities to commercial treatment, storage, and disposal (TSD) facilities. To aid in assessing the potential impacts of shipments of mixed radioactive and chemically hazardous wastes, a radiological assessment computer model (or code) was developed on the basis of detailed assessments of potential radiological exposures and doses for eight commercial hazardous waste TSD facilities. The model, called TSD-DOSE, is designed to incorporate waste-specific and site-specific data to estimate potential radiological doses to on-site workers and the off-site public from waste-handling operations at a TSD facility. The code is intended to provide both DOE and commercial TSD facilities with a rapid and cost-effective method for assessing potential human radiation exposures from the processing of chemical wastes contaminated with trace amounts of radionuclides

  15. 14 CFR 65.117 - Military riggers or former military riggers: Special certification rule.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military riggers or former military riggers: Special certification rule. 65.117 Section 65.117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... Riggers § 65.117 Military riggers or former military riggers: Special certification rule. In place of the...

  16. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...

  17. ELIST8: simulating military deployments in Java

    International Nuclear Information System (INIS)

    Van Groningen, C. N.; Blachowicz, D.; Braun, M. D.; Simunich, K. L.; Widing, M. A.

    2002-01-01

    Planning for the transportation of large amounts of equipment, troops, and supplies presents a complex problem. Many options, including modes of transportation, vehicles, facilities, routes, and timing, must be considered. The amount of data involved in generating and analyzing a course of action (e.g., detailed information about military units, logistical infrastructures, and vehicles) is enormous. Software tools are critical in defining and analyzing these plans. Argonne National Laboratory has developed ELIST (Enhanced Logistics Intra-theater Support Tool), a simulation-based decision support system, to assist military planners in determining the logistical feasibility of an intra-theater course of action. The current version of ELIST (v.8) contains a discrete event simulation developed using the Java programming language. Argonne selected Java because of its object-oriented framework, which has greatly facilitated entity and process development within the simulation, and because it fulfills a primary requirement for multi-platform execution. This paper describes the model, including setup and analysis, a high-level architectural design, and an evaluation of Java

  18. Facility Will Help Transition Models Into Operations

    Science.gov (United States)

    Kumar, Mohi

    2009-02-01

    The U.S. National Oceanic and Atmospheric Administration's Space Weather Prediction Center (NOAA SWPC), in partnership with the U.S. Air Force Weather Agency (AFWA), is establishing a center to promote and facilitate the transition of space weather models to operations. The new facility, called the Developmental Testbed Center (DTC), will take models used by researchers and rigorously test them to see if they can withstand continued use as viable warning systems. If a model used in a space weather warning system crashes or fails to perform well, severe consequences can result. These include increased radiation risks to astronauts and people traveling on high-altitude flights, national security vulnerabilities from the loss of military satellite communications, and the cost of replacing damaged military and commercial spacecraft.

  19. Six-Hours-Rule - A Dogma for Military Surgery?

    National Research Council Canada - National Science Library

    Gerngross, Heinz; Kahle, Wilhelm

    2004-01-01

    Today, the six-hours-rule is a delicate item for military logistics and it is a great challenge for medical services to provide an adequate treatment during the first hours after wounding. DEFINITION: Six-hour-rule...

  20. Iraqi Military Academies

    Directory of Open Access Journals (Sweden)

    Nodar Z. Mossaki

    2015-03-01

    Full Text Available The article analyzes the system of training of officers in military academies in Iraq – in Zakho, Qalacholan, ar-Rustamiyah and an-Nasiriyah. The author describes the history of creation, process of evolution, challenges and features of training in these colleges. Particular attention paid to military academies in the territory of Iraqi Kurdistan, which actually do not obey the central government of Iraq, however, have the highest level of training. Currently, Iraq's military academies operate on the basis of the NATO standards. Iraqi military academies paid miuch attention to the specifics of the military and political situation in Iraq – counterinsurgency and counterterrorism operations, patrolling cities, fighting in an urban environment etc. Significant place in the curriculum take the courses contributing to the formation of pro-Western sentiment.

  1. The Pentagon vs. Congress: The Political Economy of Military Base Closures During BRAC

    National Research Council Canada - National Science Library

    Kehl, Brian

    2003-01-01

    .... A quantitative approach, based on logistic regression, is used to analyze the significance and magnitude of economic and political variables that influenced the Pentagon and the BRAC Commissioners. Empirical findings indicate that politics was not removed from the process and that political variables were important in determining the probability a particular military facility remained open.

  2. Provider-Induced Demand in the Treatment of Carotid Artery Stenosis: Variation in Treatment Decisions Between Private Sector Fee-for-Service vs Salary-Based Military Physicians.

    Science.gov (United States)

    Nguyen, Louis L; Smith, Ann D; Scully, Rebecca E; Jiang, Wei; Learn, Peter A; Lipsitz, Stuart R; Weissman, Joel S; Helmchen, Lorens A; Koehlmoos, Tracey; Hoburg, Andrew; Kimsey, Linda G

    2017-06-01

    Although many factors influence the management of carotid artery stenosis, it is not well understood whether a preference toward procedural management exists when procedural volume and physician compensation are linked in the fee-for-service environment. To explore evidence for provider-induced demand in the management of carotid artery stenosis. The Department of Defense Military Health System Data Repository was queried for individuals diagnosed with carotid artery stenosis between October 1, 2006, and September 30, 2010. A hierarchical multivariable model evaluated the association of the treatment system (fee-for-service physicians in the private sector vs salary-based military physicians) with the odds of procedural intervention (carotid endarterectomy or carotid artery stenting) compared with medical management. Subanalysis was performed by symptom status at the time of presentation. The association of treatment system and of management strategy with clinical outcomes, including stroke and death, was also evaluated. Data analysis was conducted from August 15, 2015, to August 2, 2016. The odds of procedural intervention based on treatment system was the primary outcome used to indicate the presence and effect of provider-induced demand. Of 10 579 individuals with a diagnosis of carotid artery stenosis (4615 women and 5964 men; mean [SD] age, 65.6 [11.4] years), 1307 (12.4%) underwent at least 1 procedure. After adjusting for demographic and clinical factors, the odds of undergoing procedural management were significantly higher for patients in the fee-for-service system compared with those in the salary-based setting (odds ratio, 1.629; 95% CI, 1.285-2.063; P fee-for-service system were significantly more likely to undergo procedural management for carotid stenosis compared with those in the salary-based setting. These findings remained consistent for individuals with and without symptomatic disease.

  3. Suicidal behaviours in male and female users of illicit drugs recruited in drug treatment facilities

    Directory of Open Access Journals (Sweden)

    Elisabet Arribas-Ibar

    2017-07-01

    Conclusions: Prevalence of suicidal ideation/plans was high among illicit drug users recruited from healthcare facilities. Besides psychological variables, participation in illegal market activities and crime ought to be considered in drug users’ suicidal prevention. Suicide risk needs to be evaluated in drug treatment facilities and psychological status and context contemplated.

  4. Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache.

    Science.gov (United States)

    Holtkamp, Matthew D; Grimes, Jamie; Ling, Geoffrey

    2016-06-01

    Traumatic brain injury (TBI) is defined as an alteration in brain function caused by an external force. Mild TBI or concussion is now well recognized to be a risk of military service as well as participation in athletic sports such as football. Posttraumatic headache (PTH) is the most common symptom after mTBI in US service members. PTH most commonly presents with migraine-like headache features. The following is an overview of the epidemiology, pathophysiology, clinical course, prognosis, complications, and treatment of mTBI and associated comorbidities with a focus on PTH. There is a particular emphasis on emerging evidence-based clinical practice. One important medical consequence of the recognition that mTBI is a highly prevalent among military service members is that the Department of Defense (DoD) is dedicating significant financial and intellectual resources to better understanding and developing treatments for TBI. The identification of the importance of TBI among the US military population has had the added benefit of increasing awareness of this condition among civilian populations, particularly those engaged in both professional and youth sports. The NIH and NSF are also supporting important TBI research. President Obama's Brain Initiative is also providing additional impetus for these efforts. Unfortunately, the understanding of the acute and chronic effects of mTBI on the brain remains limited. Gratefully, there is hope that through innovative research, there will be advances in elucidating the underlying pathophysiology, which will lead to clinical and prognostic indicators, ultimately resulting in new treatment options for this very complicated set of disorders.

  5. Fit for purpose quality management system for military forensic exploitation.

    Science.gov (United States)

    Wilson, Lauren Elizabeth; Gahan, Michelle Elizabeth; Robertson, James; Lennard, Chris

    2018-03-01

    In a previous publication we described a systems approach to forensic science applied in the military domain. The forensic science 'system of systems' describes forensic science as a sub-system in the larger criminal justice, law enforcement, intelligence, and military systems, with quality management being an important supporting system. Quality management systems help to ensure that organisations achieve their objective and continually improve their capability. Components of forensic science quality management systems can include standardisation of processes, accreditation of facilities to national/international standards, and certification of personnel. A fit for purpose quality management system should be balanced to allow organisations to meet objectives, provide continuous improvement; mitigate risk; and impart a positive quality culture. Considerable attention over the last decades has been given to the need for forensic science quality management systems to meet criminal justice and law enforcement objectives. More recently, the need for the forensic quality management systems to meet forensic intelligence objectives has been considered. This paper, for the first time, discusses the need for a fit for purpose quality management system for military forensic exploitation. Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.

  6. Biofouling of microfilters at the Savannah River Site F/H-Area Effluent Treatment Facility

    International Nuclear Information System (INIS)

    McCabe, D.J.; Wiggins, A.W.; Poirier, M.R.; Hazen, T.C.

    1991-01-01

    The F/H-Effluent Treatment Facility uses state-of-the-art water treatment processes to remove contaminants from low-level radioactive wastewater at the Savannah River Site. The plant replaces seepage basins that were closed to comply with the 1984 amendments to the Resource Conservation and Recovery Act (RCRA). The facility removes both radioactive and nonradioactive contaminants from the effluents orginating from onsite waste management facilities. The unit processes involve filtration, ion exchange, activated carbon absorption, and reverse osmosis. The filtration step is prone to considerable fouling, reducing the overall throughput of the facility. The filters utilized in the process are Norton Ceraflo trademark ceramic microfilters. It was discovered that bacteria were primarily responsible for the severe filter fouling. Inorganic fouling was also observed, but was not normally as severe as the bacterial fouling. The bacteria densities necessary to induce severe fouling were not significantly higher than those often found in surface water streams. Diversion of waste streams containing the highest quantity of bacteria, and various methods of source reduction were implemented, which dramatically improved the filter performance. Addition of aluminum nitrate at low pH further improved the filter performance

  7. Biofouling of microfilters at the Savannah River Site F/H-area effluent treatment facility

    International Nuclear Information System (INIS)

    McCabe, D.J.; Wiggins, A.W.; Poirier, M.R.; Hazen, T.C.

    1992-01-01

    The F/H-Effluent Treatment Facility uses state-of-the-art water treatment processes to remove contaminants from low-level radioactive wastewater at the Savannah River Site, The plant replaces seepage basins that were closed to comply with the 1984 amendments to the Resource Conservation and Recovery Act (RCRA). The facility removes both radioactive and nonradioactive contaminants from the effluents originating from onsite waste management facilities. The unit processes involve filtration, ion exchange, activated carbon absorption, and reverse osmosis. The filtration step is prone to considerable fouling, reducing the overall throughput of the facility. The Filters utilized in the process are Norton Ceraflo ceramic microfilters. It was discovered that bacteria were primarily responsible for the severe filter fouling. Inorganic fouling was also observed, but was not normally as severe as the bacterial fouling. The bacteria densities necessary to induce severe fouling were not significantly higher than those often found in surface water streams. Diversion of waste streams containing the highest quantity of bacteria, and various methods of source reduction were implemented, which dramatically unproved the filter performance. Addition of aluminum nitrate at low pH further improved the filter performance. (author)

  8. ISO 15859 Propellant and Fluid Specifications: A Review and Comparison with Military and NASA Specifications

    Science.gov (United States)

    Greene, Ben; McClure, Mark B.; Baker, David L.

    2006-01-01

    This work presents an overview of the International Organization for Standardization (ISO) 15859 International Standard for Space Systems Fluid Characteristics, Sampling and Test Methods Parts 1 through 13 issued in June 2004. These standards establish requirements for fluid characteristics, sampling, and test methods for 13 fluids of concern to the propellant community and propellant characterization laboratories: oxygen, hydrogen, nitrogen, helium, nitrogen tetroxide, monomethylhydrazine, hydrazine, kerosene, argon, water, ammonia, carbon dioxide, and breathing air. A comparison of the fluid characteristics, sampling, and test methods required by the ISO standards to the current military and NASA specifications, which are in use at NASA facilities and elsewhere, is presented. Many ISO standards composition limits and other content agree with those found in the applicable parts of NASA SE-S-0073, NASA SSP 30573, military performance standards and details, and Compressed Gas Association (CGA) commodity specifications. The status of a current project managed at NASA Johnson Space Center White Sands Test Facility (WSTF) to rewrite these documents is discussed.

  9. Unconventional Military Advising Mission Conducted by Conventional US Military Forces

    OpenAIRE

    Hajjar, Remi M.

    2016-01-01

    This article examines how and why many contemporary US mainstream military advisors—as compared to Special Forces advisors—often work from a position of disadvantage when conducting unconventional advising missions. Post-9/11 deployments to Iraq and Afghanistan have caused the US military to adapt to myriad complexities, including a renewed need for the widespread execution of the unconventional military advising mission by the Special Forces and conventional units. Although Special Forces ty...

  10. What Military Officers Need to Know About Civil-Military Relations

    Science.gov (United States)

    2012-04-01

    2012, Vol. 65, No. 2 Mackubin Thomas Owens ivil-military relations describe the interactions among the people of a state, the institutions of that...civilians for the unexpect- edly difficult occupation of Iraq,” one close observer—U.S. Army major Isaiah Wilson III, an official historian of the...U.S. Civil- Military Relations. 4. I have addressed these questions in depth in Mackubin Thomas Owens, US Civil-Military Relations after 9/11

  11. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A.; Ostrom, Michael J.; Freeman-Pollard, Jhivaun R.

    2013-01-11

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy’s (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE’s mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team’s successful integration of the project’s core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE’s mission objective, as well as attainment of LEED GOLD certification, which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award.

  12. Helmet-Induced Occipital Neuralgia in a Military Aviator.

    Science.gov (United States)

    Chalela, Julio A

    2018-04-01

    Headaches among military personnel are very common and headgear wear is a frequently identified culprit. Helmet wear may cause migrainous headaches, external compression headache, other primary cranial neuralgias, and occipital neuralgia. The clinical features and the response to treatment allow distinction between the different types of headaches. Headaches among aviators are particularly concerning as they may act as distractors while flying and the treatment options are often incompatible with flying status. A 24-yr-old door gunner presented with suboccipital pain associated with the wear of his helmet. He described the pain as a paroxysmal stabbing sensation coming in waves. The physical exam and history supported the diagnosis of primary occipital neuralgia. Systemic pharmacological options were discussed with the soldier, but rejected due to his need to remain in flying status. An occipital nerve block was performed with good clinical results, supporting the diagnosis of occipital neuralgia and allowing him to continue as mission qualified. Occipital neuralgia can be induced by helmet wear in military personnel. Occipital nerve block can be performed in the deployed setting, allowing the service member to remain mission capable and sparing him/her from systemic side effects.Chalela JA. Helmet-induced occipital neuralgia in a military aviator. Aerosp Med Hum Perform. 2018; 89(4):409-410.

  13. NPDES Permit for Rosebud Casino and Hotel Wastewater Treatment Facility in South Dakota

    Science.gov (United States)

    Under NPDES permit SD-0034584, Rosebud Casino and Hotel, South Dakota, is authorized to discharge from its wastewater treatment facility in Todd County, South Dakota to an unnamed drainageway(s) tributary to Rock Creek.

  14. Radiological assessment and management of radioactive spill in a liquid waste treatment facility - Case study

    International Nuclear Information System (INIS)

    Amer, H.A.; Shawky, S.; Ibrahiem, N.

    2002-01-01

    The radiological assessment and management of radioactive spill from liquid waste treatment facility is presented. The incident contaminated the area surrounding the treatment facility with various radionuclides, which were dispersed into the soil. A method based on the European basic safety standards was used to contain the risks associated with the contaminated site. The introduced case study proceeded up to the stage of simplified risk study, since the site is small and it was relatively easy to remove and store the contaminated soil. According to the obtained results, the removal of the upper 30-cm would be considered as appropriate remedying action to resume background level. One of the most important basic concepts of radiation protection in nuclear facilities is the continuity of monitoring radiological release to the environment. It is known that from nuclear facilities only very small amounts of radioactivity are discharged with the liquid effluents and the exhaust air into the environment. Recent studies screening the natural and artificial radionuclide in soil samples from the investigated area revealed normal background concentrations with no anomalies

  15. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...... to fit within a nation's overall national security system without ever-increasing budgets....

  16. Final environmental assessment for a refinement of the power delivery component of the Southern Nevada Water Authority Treatment and Transmission Facility

    International Nuclear Information System (INIS)

    1998-07-01

    The Southern Nevada Water Authority (SNWA) is designing and constructing a system of regional water supply facilities to meet current and projected water demands and increase system reliability. The existing Southern Nevada Water system is being upgraded with a number of improvements to increase the capacity of the system. However, even the expanded system is expected to be unable to meet projected peak daily water demands by the year 1999. As a result, new facilities are being designed and constructed to operate in conjunction with the upgraded Southern Nevada Water system. These new facilities, known as the Southern Nevada Water Authority Treatment and Transmission Facility (SNWA-TTF), include four primary components: a new raw water intake; new transmission facilities including below ground pipelines, tunnels, and above ground pumping stations; a water treatment facility; and new power supply facilities. Because existing power supplies would not be adequate for the new water treatment facilities, new power facilities, consisting of two new 230 kV-69 kV substations and new 69 and 230 kV power lines, are being constructed. This environmental assessment is specifically on the new power facilities

  17. Optimal number of energy generators for biogas utilization in wastewater treatment facility

    International Nuclear Information System (INIS)

    Tsagarakis, Konstantinos P.

    2007-01-01

    A technoeconomic analysis has been undertaken considering the optimum number of energy producing generators using biogas coming from anaerobic digestion. Inputs for this analysis originate from available data on the first generator for energy production from biogas, installed in Greece at the wastewater treatment facility of Iraklio city. The data spans a period of 5.5 years of operation. It is concluded that the cost per kWh produced is 0.0876 Euro /kWh if one generator is used covering 15.9% of the facility's needs. If two generators are used, more biogas is utilized contributing 32.6% of the facility's needs at a marginal production cost of 0.0886 Euro /kWh. Similar estimations have been made for scenarios involving up to six generators. In contrast, the marginal cost of conventionally produced energy is 0.1383-0.2483 Euro /kWh

  18. Theme day: corrosion and surface treatments in nuclear facilities. Proceedings

    International Nuclear Information System (INIS)

    2012-02-01

    This document brings together the available presentations given at the theme day organized by the Bourgogne Nuclear Pole on the topic of corrosion and surface treatments in nuclear facilities. Eleven presentations (slides) are compiled in this document: 1 - Introduction - PNB centre of competitiveness and R and D activities (A. Mantovan, PNB); 2 - Corrosion damage (M. Foucault, Areva NP - Centre Technique Le Creusot); 3 - Corrosion mechanisms (R. Oltra, UB-ICB); 4 - Examples of expertise management (C. Duret-Thual, Institut de la corrosion/Corrosion Institute); 5 - General framework of surface treatments (C. Nouveau, ENSAM Cluny Paris Tech); 6 - Surfaces et interfaces characterisation - Part A (C. Langlade, Y. Gachon, UTBM and HEF); 7 - Surfaces et interfaces characterisation - Part B (C. Langlade, Y. Gachon, UTBM and HEF); 8 - Ion beam surface treatment (Y. Le Guellec, Quertech Ingenierie); 9 - Impact surface treatment (G. Saout, Sonats); 10 - Metal oxides Characterisation by US laser (R. Oltra, UB-ICB); 11 - Detection and Characterisation of intergranular corrosion (Y. Kernin, Stephane Bourgois, Areva Intercontrole)

  19. Impact of Military Lifestyle on Military Spouses' Educational and Career Goals

    Science.gov (United States)

    Ott, Laura E.; Kellley Morgan, Jessica; Akroyd, H. Duane

    2018-01-01

    The military lifestyle imposes unique challenges for military spouses in regards to their education and careers. To help alleviate these challenges, military spouses are encouraged to pursue portable career paths. This causes one to question whether spouses desire these portable careers and what influences spouses place on pursuing specific…

  20. A Bourdieusian Analysis of U.S. Military Culture Ground in the Mental Help-Seeking Literature.

    Science.gov (United States)

    Abraham, Traci; Cheney, Ann M; Curran, Geoffrey M

    2017-09-01

    This theoretical treatise uses the scientific literature concerning help seeking for mental illness among those with a background in the U.S. military to posit a more complex definition of military culture. The help-seeking literature is used to illustrate how hegemonic masculinity, when situated in the military field, informs the decision to seek formal treatment for mental illness among those men with a background in the U.S. military. These analyses advocate for a nuanced, multidimensional, and situated definition of U.S. military culture that emphasizes the way in which institutional structures and social relations of power intersect with individual values, beliefs, and motivations to inform and structure health-related practices.

  1. Consortium for Health and Military Performance and American College of Sports Medicine consensus paper on extreme conditioning programs in military personnel.

    Science.gov (United States)

    Bergeron, Michael F; Nindl, Bradley C; Deuster, Patricia A; Baumgartner, Neal; Kane, Shawn F; Kraemer, William J; Sexauer, Lisa R; Thompson, Walter R; O'Connor, Francis G

    2011-01-01

    A potential emerging problem associated with increasingly popularized extreme conditioning programs (ECPs) has been identified by the military and civilian communities. That is, there is an apparent disproportionate musculoskeletal injury risk from these demanding programs, particularly for novice participants, resulting in lost duty time, medical treatment, and extensive rehabilitation. This is a significant and costly concern for the military with regard to effectively maintaining operational readiness of the Force. While there are certain recognized positive aspects of ECPs that address a perceived and/or actual unfulfilled conditioning need for many individuals and military units, these programs have limitations and should be considered carefully. Moreover, certain distinctive characteristics of ECPs appear to violate recognized accepted standards for safely and appropriately developing muscular fitness and are not uniformly aligned with established and accepted training doctrine. Accordingly, practical solutions to improve ECP prescription and implementation and reduce injury risk are of paramount importance.

  2. Deployment of military mothers: supportive and nonsupportive military programs, processes, and policies.

    Science.gov (United States)

    Goodman, Petra; Turner, Annette; Agazio, Janice; Throop, Meryia; Padden, Diane; Greiner, Shawna; Hillier, Shannon L

    2013-07-01

    Military mothers and their children cope with unique issues when mothers are deployed. In this article, we present mothers' perspectives on how military resources affected them, their children, and their caregivers during deployment. Mothers described beneficial features of military programs such as family readiness groups and behavioral health care, processes such as unit support, and policies on length and timing of deployments. Aspects that were not supportive included inflexibility in family care plans, using personal leave time and funds for transporting children, denial of release to resolve caretaker issues, and limited time for reintegration. We offer recommendations for enhanced support to these families that the military could provide. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

  3. Preliminary efficacy of service dogs as a complementary treatment for posttraumatic stress disorder in military members and veterans.

    Science.gov (United States)

    O'Haire, Marguerite E; Rodriguez, Kerri E

    2018-02-01

    Psychiatric service dogs are an emerging complementary treatment for military members and veterans with posttraumatic stress disorder (PTSD). Yet despite anecdotal accounts of their value, there is a lack of empirical research on their efficacy. The current proof-of-concept study assessed the effects of this practice. A nonrandomized efficacy trial was conducted with 141 post-9/11 military members and veterans with PTSD to compare usual care alone (n = 66) with usual care plus a trained service dog (n = 75). The primary outcome was longitudinal change on The PTSD Checklist (PCL; Weathers, Litz, Herman, Huska, & Keane, 1993), including data points from a cross-sectional assessment and a longitudinal record review. Secondary outcomes included cross-sectional differences in depression, quality of life, and social and work functioning. Mixed-model analyses revealed clinically significant reductions in PTSD symptoms from baseline following the receipt of a service dog, but not while receiving usual care alone. Though clinically meaningful, average reductions were not below the diagnostic cutoff on the PCL. Regression analyses revealed significant differences with medium to large effect sizes among those with service dogs compared with those on the waitlist, including lower depression, higher quality of life, and higher social functioning. There were no differences in employment status, but there was lower absenteeism because of health among those who were employed. The addition of trained service dogs to usual care may confer clinically meaningful improvements in PTSD symptomology for military members and veterans with PTSD, though it does not appear to be associated with a loss of diagnosis. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  4. The Consequences of Modern Military Deployment on Calcium Status and Bone Health

    Science.gov (United States)

    2010-01-01

    tissue disorders were the predominant illness and injury- related category for ambulatory visits in military clinics and facilities in 2008, accounting...tobacco use, high bone turnover rates, and family history of osteoporosis all contribute to a higher risk of osteoporosis .23 During the physical...Soldiers reported they did not consume large quantities of milk in Baghdad because of its unpleasant taste. Increased skin pigmen- tation, obesity , and

  5. How will military/civilian coordination work for reception of mass casualties from overseas?

    Science.gov (United States)

    Mackenzie, Colin; Donohue, John; Wasylina, Philip; Cullum, Woodrow; Hu, Peter; Lam, David M

    2009-01-01

    In Maryland, there have been no military/civilian training exercises of the Medical Mutual Aid Agreement for >20 years. The aims of this paper are to describe the National Disaster Medical System (NDMS), to coordinate military and civilian medical mutual aid in response to arrival of overseas mass casualties, and to evaluate the mass-casualty reception and bed "surge" capacity of Maryland NDMS Hospitals. Three tabletop exercises and a functional exercise were performed using a simulated, overseas, military mass-casualty event. The first tabletop exercise was with military and civilian NMDS partners. The second tested the revised NDMS activation plan. The third exercised the Authorities of State Emergency Medical System and Walter Reed Army Medical Center Directors of Emergency Medicine over Maryland NDMS hospitals, and their Medical Mutual Aid Agreement. The functional exercise used Homeland Security Exercise Evaluation Program tools to evaluate reception, triage, staging, and transportation of 160 notional patients (including 20 live, moulaged "patients") and one canine. The first tabletop exercise identified deficiencies in operational protocols for military/civilian mass-casualty reception, triage, treatment, and problems with sharing a Unified Command. The second found improvements in the revised NDMS activation plan. The third informed expectations for NDMS hospitals. In the functional exercise, all notional patients were received, triaged, dispatched, and accounted in military and five civilian hospitals within two hours. The canine revealed deficiencies in companion/military animal reception, holding, treatment, and evacuation. Three working groups were suggested: (1) to ensure 100% compliance with triage tags, patient accountability, and return of equipment used in mass casualty events and exercises; (2) to investigate making information technology and imaging networks available for Emergency Operation Centers and Incident Command; and (3) to establish NDMS

  6. Support of the radioactive waste treatment nuclear fuel fabrication facility

    International Nuclear Information System (INIS)

    Park, H.H.; Han, K.W.; Lee, B.J.; Shim, G.S.; Chung, M.S.

    1982-01-01

    Technical service of radioactive waste treatment in Daeduck Engineering Center includes; 1) Treatment of radioactive wastes from the nuclear fuel fabrication facility and from laboratories. 2) Establishing a process for intermediate treatment necessary till the time when RWTF is in completion. 3) Technical evaluation of unit processes and equipments concerning RWTF. About 35 drums (8 m 3 ) of solid wastes were treated and stored while more than 130 m 3 of liquid wastes were disposed or stored. A process with evaporators of 10 1/hr in capacity, a four-stage solvent washer, storage tanks and disposal system was designed and some of the equipments were manufactured. Concerning RWTF, its process was reviewed technically and emphasis were made on stability of the bituminization process against explosion, function of PAAC pump, decontamination, and finally on problems to be solved in the comming years. (Author)

  7. Sociometric approaches for managing military units and predicting of behavior of military personnel

    Science.gov (United States)

    Kudro, Nataliya M.; Puzikova, Svetlana M.

    2017-09-01

    In the Republic of Kazakhstan military service becomes attractive primarily for that category of people who have no opportunity to acquire high quality vocational or higher education, decent income by the speciality available, or those who have not yet identified themselves professionally and socially. Its a serious problem how to ensure ability of military units to execute their service duties in conditions of more and more increasing requirements for professional competences of military personnel, increased intellectualization of military service when the quality of "human material" often is not corresponding to the required standards. This problem in the national and foreign science is still being developed and has no final solutions accessible for the scientific society. This article presents an effort to offer specialists in the military administration area one of probable tools to forecast successfulness of execution of professional tasks by military units based on results of sociometric studies and algorithms of plotting Bayesian networks. Using these tools a military leader will be able to evaluate effectiveness of his managerial activity, correct mechanisms of individual and mentoring activity with regard to individual servicemen, provide an opportunity to eliminate risks of failing to fulfill professional tasks on time and failing to ensure combat readiness of entrusted military team.

  8. Facility effluent monitoring plan for the 325 Facility

    International Nuclear Information System (INIS)

    1998-01-01

    The Applied Chemistry Laboratory (325 Facility) houses radiochemistry research, radioanalytical service, radiochemical process development, and hazardous and mixed hazardous waste treatment activities. The laboratories and specialized facilities enable work ranging from that with nonradioactive materials to work with picogram to kilogram quantities of fissionable materials and up to megacurie quantities of other radionuclides. The special facilities include two shielded hot-cell areas that provide for process development or analytical chemistry work with highly radioactive materials, and a waste treatment facility for processing hazardous, mixed, low-level, and transuranic wastes generated by Pacific Northwest Laboratory. Radioactive material storage and usage occur throughout the facility and include a large number of isotopes. This material is in several forms, including solid, liquid, particulate, and gas. Some of these materials are also heated during testing which can produce vapors. The research activities have been assigned to the following activity designations: High-Level Hot Cell, Hazardous Waste Treatment Unit, Waste Form Development, Special Testing Projects, Chemical Process Development, Analytical Hot Cell, and Analytical Chemistry. The following summarizes the airborne and liquid effluents and the results of the Facility Effluent Monitoring Plan (FEMP) determination for the facility. The complete monitoring plan includes characterization of effluent streams, monitoring/sampling design criteria, a description of the monitoring systems and sample analysis, and quality assurance requirements

  9. Canadian Model of Military Leadership as a Successful Mixture of Civilian and Military Experiences

    Directory of Open Access Journals (Sweden)

    Piotr Malinowski

    2015-06-01

    Full Text Available The origins of military leadership are rooted in ancient times and its embodiment are great chieftains and commanders. However, since the moment when in organisation and management sciences the civil theories of leadership started to emerge, the military forces have incorporated their solutions to structure the assumptions of new, coherent and effective models of military leadership. A good example of such solutions is the Canadian model of military leadership, competently merging the civil theories with experience and needs of the military environment. This solution may be a perfect example of effective application of leadership theory to modify the existing national model of military leadership and construct a more efficient one.

  10. Guide to good practices at plutonium facilities

    International Nuclear Information System (INIS)

    Faust, L.G.; Brackenbush, L.W.; Carter, L.A.; Endres, G.W.R.; Glenn, R.D.; Jech, J.J.; Selby, J.M.; Smith, R.C.; Waite, D.A.; Walsh, W.P.

    1977-09-01

    This manual establishes guidelines and principles for use in setting up a sound radiation protection program for work with plutonium. The guidance presented is based on the experiences of Energy Research and Development Administration (ERDA) contractors and those portions of private industry concerned with the operation of plutonium facilities, specifically with the fabrication of mixed oxide reactor fuel. The manual is directed primarily to those facilities which have as their sole purpose the handling of large quantities of plutonium for military or industrial uses. It is not intended for use by facilities engaged in reactor or chemical separation operations nor for partial or occasional use by analytical laboratories; while these facilities would find the manual beneficial, it would be incomplete for their needs. The manual addresses good practices that should be observed by management, staff and designers, since the benefits of a good radiation protection program are the result of their joint efforts. Methods for the diagnostic evaluation of internally deposited Pu are included

  11. Outcomes of Open Dorsal Wrist Ganglion Excision in Active-Duty Military Personnel.

    Science.gov (United States)

    Balazs, George C; Donohue, Michael A; Drake, Matthew L; Ipsen, Derek; Nanos, George P; Tintle, Scott M

    2015-09-01

    To examine the most common presenting complaints of active-duty service members with isolated dorsal wrist ganglions and to determine the rate of return to unrestricted duty after open excision. Surgical records at 2 military facilities were screened to identify male and female active duty service members undergoing isolated open excision of dorsal wrist ganglions from January 1, 2006 to January 1, 2014. Electronic medical records and service disability databases were searched to identify the most common presenting symptoms and to determine whether patients returned to unrestricted active duty after surgery. Postoperative outcomes examined were pain persisting greater than 4 weeks after surgery, stiffness requiring formal occupational therapy treatment, surgical wound complications, and recurrence. A total of 125 active duty military personnel (Army, 54; Navy, 43; and Marine Corps, 28) met criteria for inclusion. Mean follow-up was 45 months. Fifteen percent (8 of 54) of the Army personnel were given permanent waivers from performing push-ups owing to persistent pain and stiffness. Pain persisting greater than 4 weeks after surgery was an independent predictor of eventual need for a permanent push-up waiver. The overall recurrence incidence was 9%. No demographic or perioperative factors were associated with recurrence. Patients whose occupation or activities require forceful wrist extension should be counseled on the considerable risk of residual pain and functional limitations that may occur after open dorsal wrist ganglion excision. Therapeutic IV. Published by Elsevier Inc.

  12. Shielding design of a treatment room for an accelerator-based epithermal neutron irradiation facility for BNCT

    International Nuclear Information System (INIS)

    Evans, J.F.; Blue, T.E.

    1996-01-01

    Protecting the facility personnel and the general public from radiation exposure is a primary safety concern of an accelerator-based epithermal neutron irradiation facility. This work makes an attempt at answering the questions open-quotes How much?close quotes and open-quotes What kind?close quotes of shielding will meet the occupational limits of such a facility. Shielding effectiveness is compared for ordinary and barytes concretes in combination with and without borated polyethylene. A calculational model was developed of a treatment room, patient open-quotes scatterer,close quotes and the epithermal neutron beam. The Monte Carlo code, MCNP, was used to compute the total effective dose equivalent rates at specific points of interest outside of the treatment room. A conservative occupational effective dose rate limit of 0.01 mSv h -1 was the guideline for this study. Conservative Monte Carlo calculations show that constructing the treatment room walls with 1.5 m of ordinary concrete, 1.2 m of barytes concrete, 1.0 m of ordinary concrete preceded by 10 cm of 5% boron-polyethylene, or 0.8 m of barytes concrete preceded by 10 cm of 5% boron-polyethylene will adequately protect facility personnel. 20 refs., 8 figs., 2 tabs

  13. Cases of Lyme disease reported in a military community.

    Science.gov (United States)

    Underwood, P K; Armour, V M

    1993-02-01

    Lyme disease, a growing public health problem in the United States, is also an increasing threat in Europe. Cases identified in a military community in West Germany are presented and problems of diagnosis and treatment discussed.

  14. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility - 13113

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A.; Freeman-Pollard, Jhivaun R.; Ostrom, Michael J. [CH2M HILL Plateau Remediation Company, P.O. Box 1600, MSIN R4-41, 99352 (United States)

    2013-07-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE's mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team's successful integration of the project's core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE's mission objective, as well as attainment of LEED GOLD certification (Figure 1), which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. (authors)

  15. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility - 13113

    International Nuclear Information System (INIS)

    Dorr, Kent A.; Freeman-Pollard, Jhivaun R.; Ostrom, Michael J.

    2013-01-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE's mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team's successful integration of the project's core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE's mission objective, as well as attainment of LEED GOLD certification (Figure 1), which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. (authors)

  16. RUSSIAN-VIETNAMESE MILITARY-TECHNICAL COOPERATION: CHALLENGES AND OPPORTUNITIES FOR RUSSIA

    Directory of Open Access Journals (Sweden)

    Н В Федоров

    2017-12-01

    Full Text Available Vietnam plays important role in Russian policy in the Asia-Pacific region. Military-technical cooperation holds special position in Russian-Vietnamese relations. The aim of the article is the detection of the special features of military-technical cooperation between Russia and Vietnam, and also challenges and opportunities it provides for Russian policy. After the collapse of the USSR defense interaction between Russia and Vietnam was determined by commercial foundations. Vietnam needed new Russian weapons to protect its interests, first of all, in the South China Sea. For Moscow military-technical cooperation with Vietnam got economic significance. But later there was a rise of political dimension of cooperation in this sphere, influenced by some external factors. The period of the 2000-2010s was marked by growth of arms sales from Russia to Vietnam. It was mostly caused by the escalation of the South China Sea conflict, for which US-Chinese contradictions began to play an increasing role. Military-technical coopera-tion with Vietnam influenced some aspects of policy of Russia in the region. There was an increase of indi-rect involvement of Russia into the South China Sea conflict. Russian arms sales for Vietnam became one of problems in Russian-Chinese relations. But Russia and China could cope with these disputes, partly because of enlargement of their interaction in international relations, including the demonstration of similar position for some aspects of the South China Sea conflict. In the framework of development of defense cooperation with Vietnam, Russia could get special conditions of access to facilities of Cam Ranh Bay that strengthened its strategic positions in the region. Russian cooperation with Hanoi in military-technical field and general reinforcement of Russian positions in Vietnam might be also a reason for contradictions with the US.

  17. New treatment facility for low level process effluents at the Savannah River site

    International Nuclear Information System (INIS)

    Ebra, M.A.; Bibler, J.P.; Johnston, B.S.; Kilpatrick, L.L.; Poy, F.L.; Wallace, R.M.

    1987-01-01

    A new facility, the F/H Effluent Treatment Facility (F/H ETF) is under construction at the Savannah River site. It will decontaminate process effluents containing low levels of radionuclides and hazardous chemicals prior to discharge to a surface stream. These effluents, which are currently discharged to seepage basins, originate in the chemical separations and high-level radioactive waste processing areas, known as F-Area and H-Area. The new facility will allow closure of the basins in order to meet the provisions of the Resource Conservation and Recovery Act by November 1988. A high degree of reliability is expected from this design as a result of extensive process development work that has been conducted at the Savannah River Laboratory. This work has included both bench scale testing of individual unit operations and pilot scale testing of an integrated facility, 150 to 285 L/min (40 to 75 gpm), that contains the major operations

  18. Liquid waste treatment at plutonium fuels fabrication facility, 2

    International Nuclear Information System (INIS)

    Matsumoto, Ken-ichi; Itoh, Ichiroh; Ohuchi, Jin; Miyo, Hiroaki

    1974-01-01

    The economics in the management of the radioactive liquid waste from Plutonium Fuels Fabrication Facility with sludge-blanket type flocculators has been evaluated. (1) Cost calculation: The cost of chemicals and electricity to treat 1 cubic meter of liquid waste is about 876 yen, while the total operating cost is 250 thousand yen per cubic meter in the case of 140 m 3 /year treatment. These figures are much higher than those for ordinary wastes, due to the particular operation against plutonium. (2) Proposal of the closed system for liquid waste treatment at PFFF: In the case of a closed system using evaporator, ion exchange column and rotary-kiln calciner, the operating cost is estimated at 40 thousand yen per cubic meter of liquid waste. Final radioactivity of treated liquid is below 10 -8 micro curies/ml. (Mori, K.)

  19. Selling petroleum to the military

    International Nuclear Information System (INIS)

    Uscher, R.H.

    1999-01-01

    This article examines what petroleum products and services the US military buys, the contracts awarded to Asian and European refiners for supplies outside the USA, and military specifications and test methods including the specifications of JP-8 battlefield fuel and the JP-8+100 additive package for military aircraft. The way in which the military buys petroleum products is described, and details are given of the types of military contracts, the bidding on Defense Energy Support Center (DESC) petroleum contracts, the performance of military petroleum contracts, socio-economic programmes, the Prompt Payment Act requiring contractors to be paid promptly, and procedures for claims and disputes

  20. Study on the development of safeguards information treatment system at the facility level

    Energy Technology Data Exchange (ETDEWEB)

    Lee, B. D.; Song, D. Y.; So, D. S.; Kwak, E. H. [KAERI, Taejon (Korea, Republic of)

    2000-05-01

    Safeguards Information Treatment System(SITS) at the facility level is required to implement efficiently the obligations under the Korea-IAEA Safeguards Agreement, bilateral agreements with other countries and domestic law. In this paper, the requirements and major functions of SITS were considered, and the error checking methods and the relationships of safeguards information were reviewed. SITS will be developed to cover the different accounting procedures and methods applied at the various facilities under IAEA safeguards. Also, the resolved result of the Y2K problem in the existing nuclear material accounting program was described.

  1. Behavior and removal of organic species in the Savannah River Plant effluent treatment facility

    International Nuclear Information System (INIS)

    Oblath, S.B.; Georgeton, G.K.

    1988-01-01

    The effluent treatment facility (ETF) at the Savannah River Plant (SRP) is a new facility designed to treat and decontaminate low-level radioactive wastewater prior to release to the environment. The wastewater is primarily composed of evaporator overheads from the chemical separations and waste handling facilities at SRP. Primarily a 2000 mg/L NaNO 3 solution, the wastewater also contains microcurie-per-liter quantities of radionuclides and milligram-per-liter concentrations of heavy metals and organic components. This paper shows a block diagram of the major process steps. The pH adjustment, filtration, mercury removal, reverse osmosis, and cation-exchange polishing steps give a significant reduction of inorganic species and radionuclide (except trittium) concentrations. The activated carbon removal step was recently added to remove organic species to ensure that the effluent discharge permit limits for oil and grease and biochemical oxygen demand are met. The concentrates and regenerates from each of the treatment steps are further concentrated by evaporation to reduce the volume sufficiently for incorporation into and disposal as a grout

  2. Safety assessments for centralized waste treatment and disposal facility in Puspokszilagy Hungary

    International Nuclear Information System (INIS)

    Berci, K.; Hauszmann, Z.; Ormai, P.

    2002-01-01

    The centralized waste treatment and disposal facility Puspokszilagy is a shallow land, near surface engineered type disposal unit. The site, together with its geographic, geological and hydrogeological characteristics, is described. Data are given on the radioactive inventory. The operational safety assessment and the post-closure safety assessment is outlined. (author)

  3. Application of HACCP principles as a management tool for monitoring and controlling microbiological hazards in water treatment facilities.

    Science.gov (United States)

    Jagals, C; Jagals, P

    2004-01-01

    HACCP (hazard analysis and critical control points) principles were applied to evaluate the effectiveness of two water treatment facilities to continually produce potable water free of microbiological health hazards. This paper reports a hazard analyses protocol (microbiological hazards based on faecal coliforms (FC) and turbidity (TBY) as indicators) for critical control points (CCPs) within each facility. The CCPs were raw resource water, sedimentation, filtration and chlorine-disinfection. The aim was to determine the effectiveness of each CCP to remove the indicators from the water under treatment. Arbitrary critical performance limit targets (CPLTs) were set up for each CCP to determine to what extent each contributed to effective removal and to predict what the effect would be if any of the CCPs should fail. Health-related water quality guideline limits for expected health effects were applied and compliance measured at the 90th percentile. The raw resource river water used at both treatment facilities complied with raw resource water extraction CPLTs. The treated potable water complied with health-related drinking water guidelines. Sedimentation removed the largest proportion of the indicators from the raw water, but showed failure potential that could overload the consequent system. Filtration effectiveness at both treatment facilities showed potential to break down the overall effectiveness of the entire treatment facility, since the filter systems failed to meet their respective CPLTs. This left the disinfection phase to remove the remaining portion of indicators. Faecal coliforms appeared to be completely removed from post-chlorination samples. This indicated that both chlorine disinfection phases were 100% effective in meeting their disinfection CPLTs, despite having to "clean up" the indicator organisms that spilt over from the upstream CCPs. This, nevertheless, implied a risk of unsafe water release into distribution. CCPs at these treatment

  4. Maximizing Production Capacity from an Ultrafiltration Process at the Hanford Department of Waste Treatment Facility

    International Nuclear Information System (INIS)

    Foust, Henry C.; Holton, Langdon K.; Demick, Laurence E.

    2005-01-01

    The Department of Energy has contracted Bechtel National, Inc. to design, construct and commission a Waste Treatment and Immobilization Plant (WTP) to treat radioactive slurry currently stored in underground waste storage tanks. A critical element of the waste treatment capacity for the WTP is the proper operation of an ultrafiltration process (UFP). The UFP separates supernate solution from radioactive solids. The solution and solid phases are separately immobilized. An oversight review of the UFP design and operation has identified several methods to improve the capacity of the ultrafiltration process, which will also improve the capacity of the WTP. Areas explored were the basis of design, an analysis of the WTP capacity, process chemistry within the UFP, and UFP process control. This article discusses some of the findings of this oversight review in terms of sodium and solid production, which supports the treatment of low activity waste (LAW) associated with the facility, and solid production, which supports the treatment of high level waste (HLW) associated with the facility

  5. China's Military Potential

    National Research Council Canada - National Science Library

    Wortzel, Larry

    1998-01-01

    The People's Republic of China (PRC) is seen by many as an economic powerhouse with the world's largest standing military that has the potential to translate economic power into the military sphere...

  6. [Reimbursement of opiate substitution drugs to militaries in 2007].

    Science.gov (United States)

    d'Argouges, F; Desjeux, G; Marsan, P; Thevenin-Garron, V

    2012-09-01

    The use of psychoactive drugs by militaries is not compatible with the analytical skills and self-control required by their jobs. Military physicians take this problem into consideration by organising systematic drugs screening in the French forces. However, for technical reasons, opiates are not concerned by this screening with the agreement of the people concerned. The estimated number of militaries who use an opiate substitute may be an approach of heroin consumption in the French forces. This study describes buprenorphine and methadone reimbursements made during 2007 by the national military healthcare centre to French militaries. Each French soldier is affiliated to a special health insurance. The national military healthcare centre has in its information system, all the data concerning drug reimbursement made to French military personnel. This is a retrospective study of buprenorphine and methadone reimbursements made during 2007 by the military healthcare centre, to militaries from the three sectors of the French forces, and from the gendarmerie and joint forces. Only one reimbursement of one of these two drugs during this period allowed the patient to be included in our study. Daily drug dose and treatment steadiness profile have been calculated according to the criteria of the French monitoring centre for drugs and drug addiction. The criteria of the National guidelines against frauds have been used to identify misuse of these drugs. Doctors' shopping behaviour has also been studied. Finally, the nature of the prescriber and the consumption of other drugs in combination with opiate substitute have been analysed. One hundred and eighty-one military consumers of opiate substitute drugs (167 men and 14 women) participated. This sample included people from the three sectors of the French forces as well as from the gendarmerie and from the joint forces. The average age of the consumers was 26.6 years (20-42 years). The average length of service was 6.1 years

  7. Best available technology for the Los Alamos National Laboratory Radioactive Liquid Waste Treatment Facility

    International Nuclear Information System (INIS)

    Midkiff, W.S.; Romero, R.L.; Suazo, I.L.; Garcia, R.; Parsons, R.M.

    1993-01-01

    The existing Los Alamos National Laboratory TA-50 liquid radioactive waste treatment plant RLWP has been in service for over thirty years, during this period many technical, regulatory, and processing changes have occurred. The existing facility can no longer comply with the demands and requirements for continued operation, and would not be able to comply with anticipated stringent future contaminant discharge limitations. Either a major upgrading or replacement of the existing facility is required. In order to assess the most appropriate means of providing an adequate facility to comply with predicted requirements for Ta-50, this Best Available Technology (BAT) Study was conducted to compare feasible technical and economic alternatives in order to define the most favorable technology configuration. This report consists of eleven sections. Section 1 provides a general introduction and background of the TA-50 operations and the basis for this study. Section 2 provides a technical discussion of the unit processes at TA-50 and several other comparable operations at other DOE sites. Section 3 addresses the evaluation and selection of appropriate treatment processes. Section 4 provides an analysis of environmental issues and concerns. Section 5 presents the rationale for the selection of preferred process configurations. Section 6 is the evaluation of operational issues. Section 7 addresses energy and resource use topics. Section 8 provides an economic analysis, and Section 9 summarizes the evaluation and the identification of the BAT. These sections are augmented by appendices. The report identifies the construction of a new radioactive liquid waste treatment facility as the BAT. Based on the information analyzed for this study, this option appears to provide the best combination of environmental compliance, operability, and economic value

  8. Security of water treatment facilities

    Energy Technology Data Exchange (ETDEWEB)

    Forsha, C.A. [Univ. of Pittsburgh at Johnstown, Johnstowne, PA (United States)

    2002-06-15

    The safety of the nation's water supply is at risk. Although harm may or may not be done to water sources, the fear is definitely a factor. No matter what size system supplies water, the community will expect increased security. Decisions must be made as to how much will be spent on security and what measures will be taken with the money. Small systems often have a difficult time in finding a direction to focus on. Physical and electronic protection is less involved because of the scale of service. Biological contamination is difficult to prevent if the assailants are determined. Small-scale water storage and low magnitudes of flow increase a contamination threat. Large systems have a size advantage when dealing with biological contamination because of the dilution factor, but physical and electronic protection is more involved. Large-scale systems are more likely to overlook components. A balance is maintained through anything dealing with the public. Having greater assurance that water quality will be maintained comes at the cost of knowing less about how water is protected and treated, and being banned from public land within watersheds that supply drinking water. Whether good or bad ideas are being implemented, security of water treatment facilities is changing. (author)

  9. Security of water treatment facilities

    International Nuclear Information System (INIS)

    Forsha, C.A.

    2002-01-01

    The safety of the nation's water supply is at risk. Although harm may or may not be done to water sources, the fear is definitely a factor. No matter what size system supplies water, the community will expect increased security. Decisions must be made as to how much will be spent on security and what measures will be taken with the money. Small systems often have a difficult time in finding a direction to focus on. Physical and electronic protection is less involved because of the scale of service. Biological contamination is difficult to prevent if the assailants are determined. Small-scale water storage and low magnitudes of flow increase a contamination threat. Large systems have a size advantage when dealing with biological contamination because of the dilution factor, but physical and electronic protection is more involved. Large-scale systems are more likely to overlook components. A balance is maintained through anything dealing with the public. Having greater assurance that water quality will be maintained comes at the cost of knowing less about how water is protected and treated, and being banned from public land within watersheds that supply drinking water. Whether good or bad ideas are being implemented, security of water treatment facilities is changing. (author)

  10. Improving the Quality of Services in Residential Treatment Facilities: A Strength-Based Consultative Review Process

    Science.gov (United States)

    Pavkov, Thomas W.; Lourie, Ira S.; Hug, Richard W.; Negash, Sesen

    2010-01-01

    This descriptive case study reports on the positive impact of a consultative review methodology used to conduct quality assurance reviews as part of the Residential Treatment Center Evaluation Project. The study details improvement in the quality of services provided to youth in unmonitored residential treatment facilities. Improvements were…

  11. Challenges in implementing uncomplicated malaria treatment in children: a health facility survey in rural Malawi.

    Science.gov (United States)

    Kabaghe, Alinune N; Phiri, Mphatso D; Phiri, Kamija S; van Vugt, Michèle

    2017-10-18

    Prompt and effective malaria treatment are key in reducing transmission, disease severity and mortality. With the current scale-up of artemisinin-based combination therapy (ACT) coverage, there is need to focus on challenges affecting implementation of the intervention. Routine indicators focus on utilization and coverage, neglecting implementation quality. A health system in rural Malawi was assessed for uncomplicated malaria treatment implementation in children. A cross-sectional health facility survey was conducted in six health centres around the Majete Wildlife Reserve in Chikwawa district using a health system effectiveness approach to assess uncomplicated malaria treatment implementation. Interviews with health facility personnel and exit interviews with guardians of 120 children under 5 years were conducted. Health workers appropriately prescribed an ACT and did not prescribe an ACT to 73% (95% CI 63-84%) of malaria rapid diagnostic test (RDT) positive and 98% (95% CI 96-100%) RDT negative children, respectively. However, 24% (95% CI 13-37%) of children receiving artemisinin-lumefantrine had an inappropriate dose by weight. Health facility findings included inadequate number of personnel (average: 2.1 health workers per 10,000 population), anti-malarial drug stock-outs or not supplied, and inconsistent health information records. Guardians of 59% (95% CI 51-69%) of children presented within 24 h of onset of child's symptoms. The survey presents an approach for assessing treatment effectiveness, highlighting bottlenecks which coverage indicators are incapable of detecting, and which may reduce quality and effectiveness of malaria treatment. Health service provider practices in prescribing and dosing anti-malarial drugs, due to drug stock-outs or high patient load, risk development of drug resistance, treatment failure and exposure to adverse effects.

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

  13. Military Internal Medicine Resident Decision to Apply to Fellowship and Extend Military Commitment.

    Science.gov (United States)

    Barsoumian, Alice E; Hartzell, Joshua D; Bonura, Erin M; Ressner, Roseanne A; Whitman, Timothy J; Yun, Heather C

    2018-02-06

    Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations. Questions were developed after discussion with various military graduate medical education and internal medicine leaders, underwent external review, and were added to a larger question set. The survey link was distributed electronically to all U.S. military affiliated residencies' graduating internal medicine residents in December 2016-January 2017. Data were analyzed by decision to apply to fellowship and decision to extend military obligation using Fisher's exact test or Pearon's chi-square test. Sixty-eight residents from 10 of 11 military residency programs responded, for a response rate of 51%. The majority (62%) applied to fellowship to start after residency completion. Reasons cited for applying to fellowship included wanting to become a specialist as soon as possible (74%), wishing to avoid being a general internist (57%), and because they are unable to practice as a hospitalist in the military (52%). Fellowship applicants were more likely to plan to extend their military obligation than non-applicants, as did those with longer duration of military commitments. No other factors, including Uniformed Services University attendance or participation in undergraduate military experiences, were found to impact plan to extend active duty service commitment. The majority of graduating internal medicine residents apply for fellowship and report a desire to avoid being a

  14. Aggressive behavior among military veterans in substance use disorder treatment: the roles of posttraumatic stress and impulsivity.

    Science.gov (United States)

    Heinz, Adrienne J; Makin-Byrd, Kerry; Blonigen, Daniel M; Reilly, Patrick; Timko, Christine

    2015-03-01

    This study examined posttraumatic stress disorder (PTSD) symptom severity and impulsivity as predictors of aggressive behavior among 133 male military veterans entering substance abuse treatment who endorsed difficulty controlling anger in the past year. At treatment intake, participants completed measures assessing PTSD symptom severity, impulsivity and aggressive behavior. Perpetration of aggressive behavior was reassessed 4 months later. Results from multivariate models indicated that PTSD symptom severity and impulsivity explained unique variance in aggressive behavior at intake but not follow-up. Mediation models indicated that the association between PTSD symptom severity and aggressive behavior was accounted for by impulsivity. The identification of impulsivity as a key mediator between trauma symptoms and aggressive behavior has significant clinical and research implications. Based on these findings, clinicians are encouraged to consider a standard assessment of impulsivity and the selection of interventions that target impulsivity as a trans-diagnostic process among at-risk client populations. Published by Elsevier Inc.

  15. MILITARY CONSTRUCTION: Kaiserslautern Military Community Center Project Continues to Experience Problems

    National Research Council Canada - National Science Library

    Kutz, Gregory D; Causseaux, Bruce A; Dorn, Terrell G

    2008-01-01

    The Kaiserslautern Military Community Center (KMCC) is one of many projects initiated at Ramstein Air Base to upgrade capabilities of the base as a result of the consolidation of military bases in Europe...

  16. Political economy of decentralising HIV and AIDS treatment services to primary healthcare facilities in three Nigerian states.

    Science.gov (United States)

    Mbachu, Chinyere; Onwujekwe, Obinna; Ezumah, Nkoli; Ajayi, Olayinka; Sanwo, Olusola; Uzochukwu, Benjamin

    2016-09-01

    Decentralisation is defined as the dispersion, distribution or transfer of resources, functions and decision-making power from a central authority to regional and local authorities. It is usually accompanied by assignment of accountability and responsibility for results. Fundamental to understanding decentralisation is learning what motivates central governments to give up power and resources to local governments, and the practical significance of this on their positions regarding decentralisation. This study examined key political and institutional influences on role-players' capacity to support decentralisation of HIV and AIDS treatment services to primary healthcare facilities, and implications for sustainability. In-depth interviews were conducted with 55 purposively selected key informants, drawn from three Nigerian states that were at different stages of decentralising HIV and AIDS treatment services to primary care facilities. Key informants represented different categories of role-players involved in HIV and AIDS control programmes. Thematic framework analysis of data was done. Support for decentralisation of HIV and AIDS treatment services to primary healthcare facilities was substantial among different categories of actors. Political factors such as the local and global agenda for health, political tenure and party affiliations, and institutional factors such as consolidation of decision-making power and improvements in career trajectories, influenced role-players support for decentralisation of HIV and AIDS treatment services. It is feasible and acceptable to decentralise HIV and AIDS treatment services to primary healthcare facilities, to help improve coverage. However, role-players' support largely depends on how well the reform aligns with political structures and current institutional practices.

  17. Modeling Soil Moisture in Support of the Revegetation of Military Lands in Arid Regions.

    Science.gov (United States)

    Caldwell, T. G.; McDonald, E. V.; Young, M. H.

    2003-12-01

    The National Training Center (NTC), the Army's primary mechanized maneuver training facility, covers approximately 2600 km2 within the Mojave Desert in southern California, and is the subject of ongoing studies to support the sustainability of military lands in desert environments. Revegetation of these lands by the Integrated Training Areas Management (ITAM) Program requires the identification of optimum growing conditions to reestablish desert vegetation from seed and seedling, especially with regard to the timing and abundance of plant-available water. Water content, soil water potential, and soil temperature were continuously monitored and used to calibrate the Simultaneous Heat And Water (SHAW) model at 3 re-seeded sites. Modeled irrigation scenarios were used to further evaluate the most effective volume, frequency, and timing of irrigation required to maximize revegetation success and minimize water use. Surface treatments including straw mulch, gravel mulch, soil tackifier and plastic sheet

  18. Military Construction, Military Quality of Life and Veterans Affairs: FY2007 Appropriations

    National Research Council Canada - National Science Library

    Else, Daniel H; Scott, Christine; Panangala, Sidath V

    2007-01-01

    ... construction, military housing allowances, military installation maintenance and operation, the Department of Veterans Affairs, and other veteran-related agencies, rested in the House Committee...

  19. Recycled Water Reuse Permit Renewal Application for the Central Facilities Area Sewage Treatment Plant

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, Mike [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    This renewal application for a Recycled Water Reuse Permit is being submitted in accordance with the Idaho Administrative Procedures Act 58.01.17 “Recycled Water Rules” and the Municipal Wastewater Reuse Permit LA-000141-03 for continuing the operation of the Central Facilities Area Sewage Treatment Plant located at the Idaho National Laboratory. The permit expires March 16, 2015. The permit requires a renewal application to be submitted six months prior to the expiration date of the existing permit. For the Central Facilities Area Sewage Treatment Plant, the renewal application must be submitted by September 16, 2014. The information in this application is consistent with the Idaho Department of Environmental Quality’s Guidance for Reclamation and Reuse of Municipal and Industrial Wastewater and discussions with Idaho Department of Environmental Quality personnel.

  20. Comparison of Clinical Features in a Population of Basic Military Trainees Versus the General Department of Defense Beneficiary Population Presenting With Influenza.

    Science.gov (United States)

    Scheuller, H Samuel; Park, Jisuk; Lott, Lisa; Tavish, Michele; Danaher, Patrick

    2017-09-01

    Upper respiratory tract infection (URI) is a well-documented cause of morbidity, extra expense, and lost training time among basic military trainees (BMTs). The goal of this study was to characterize the clinical presentation of influenza in the BMT population and to better understand how this presentation differs from that of the general Department of Defense (DoD) beneficiary population (non-BMTs). Clinical and demographic data were collected in a prospective study that enrolled DoD beneficiaries presenting to medical treatment facilities in San Antonio, Texas, with URI symptoms between January 2005 and March 2011. Vital signs and symptom duration were collected at the time of enrollment along with basic demographic information. Among 4,448 participants enrolled, 466 (10.5%) tested positive for influenza: 198 of 3,103 BMTs (6.4%) vs. 268 of 1,345 non-BMTs (20%) (p 0.5°F, p 0.5, 95% CI = 0.3-0.8, p 0.5, 95% CI = 0.3-0.8, p standard deviation = 1.4) symptoms, whereas non-BMTs presented with a mean of 6.9 (standard deviation = 1.3) symptoms (p < 0.01). The pretest probability of a BMT presenting with URI symptoms having influenza is significantly lower than that for the general DoD beneficiary population. BMTs with influenza presented sooner, with higher fever, and with fewer overall symptoms than the general DoD beneficiary population. These differences are likely attributable to early reporting and response bias and less likely attributed to age. Military efforts to identify BMTs with suspected influenza infection early and to refer them for treatment promptly are efficacious. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  1. Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations

    National Research Council Canada - National Science Library

    Jorgensen, Brent M

    2005-01-01

    "Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations" argues that, under current domestic and international laws, and current military regulations and doctrine...

  2. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert

    2013-01-01

    Military capacity building has increasingly become an integral part of Danish defence. Military capacity is a new way of thinking Danish defence and poses a new set of challenges and opportunities for the Danish military and the Political leadership. On the 12th of december, PhD. Candidate Josefine...... Kühnel Larsen and researcher Lars Bangert Struwe of CMS had organized a seminar in collaboration with Royal Danish Defense Colleg and the East African Security Governance Network. The seminar focused on some of the risks involved in Military capacity building and how these risks are dealt with from...

  3. Village of Pender, Nebraska Wastewater Treatment Facility, Pender, Nebraska - Clean Water Act Public Notice

    Science.gov (United States)

    The EPA is providing notice of proposed Administrative Penalty Assessment against the Village of Pender, Nebraska Wastewater Treatment Facility (“Respondent”) for alleged violations of Sections 301 and/or 404 of the Clean Water Act

  4. Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations?

    Science.gov (United States)

    2013-06-14

    ethical , and political. 22 Pfaff 1999, 8). The beliefs of egoism and post-modern relativism can be...MILITARY DISSENT: WHAT ARE THE ETHICAL IMPLICATIONS OF TENSIONS IN U.S. CIVIL-MILITARY RELATIONS? A thesis presented to the...JUN 2013 4. TITLE AND SUBTITLE Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations? 5a. CONTRACT

  5. Medical Total Force Management

    Science.gov (United States)

    2014-05-01

    Facilities (MTFs). For specialties that are common in civilian labor markets , civilian providers generally cost less than military providers. While the...produced in Military Treatment Facilities (MTFs). For specialties that are common in civilian labor markets , civilian providers generally cost less...Attracting Fully Trained Medical Personnel,” CRM D0013237.A2 (Alexandria, VA: CNA Corporation, 2006). 66

  6. Management of Substance Use Disorder in Military Services: A Comprehensive Approach.

    Science.gov (United States)

    Sharbafchi, Mohammad Reza; Heydari, Mostafa

    2017-01-01

    Historically, substance misuse has been a serious problem faced by worldwide military personnel. Some research showed that military personnel have higher rates of unhealthy substance use than their age peers in the general population. These problems have serious consequences and may lead to significant military difficulties in the field of readiness, discipline, and mental or physical health. In this review, we gathered various methods for prevention, diagnosis, and treatment of substance use disorders and suggested a comprehensive plan for Iran Armed Forces to improve existing services. This article is a narrative review study, which was carried out on 2016. A careful literature review was performed between January 1970 and April 2016 on several national and international databases. Articles were screened according to the following inclusion criteria: (1) review articles about prevention and treatment protocols, (2) executive guidance, (3) cohort articles about risk factors of addiction, and (4) randomized controlled trials about prevention or treatment of substance use disorders in army service members. After screening by title and abstract, 130 articles selected of 832 founded articles, and after quality assessment, finally, 63 articles included in the review. There is a necessity to manage substance use disorder through prevention, screening, and then referral to proper services for diagnosis and treatment. Urinalysis programs for screening are cost-effective and should be considered as a main method. Effective treatment includes both behavioral and pharmacological methods. The ideal prevention program will include multiple and mutually reinforcing evidence-based universal, selective, and indicated attempts at both the individual and environmental levels. The implementation of screening and treatment strategies needs strict rules and national guideline for the comprehensive management of substance use disorders in army.

  7. Demonstration of Antimicrobial Corrosion-Resisting Interior Coating Systems for Military Facilities in Warm, Humid Locations

    Science.gov (United States)

    2017-06-01

    solutions in civil and military engineering, geospatial sciences, water resources, and environmental sciences for the Army, the Department of Defense...was unexpectedly upgraded soon after the demonstration coatings were applied, apparently due to a scheduling change or miscommunication re- lated...oils and grease, so no cleaning solution was needed. Sherwin Williams ProMar 200 acrylic primer was used to prime all gyp- sum surfaces that were

  8. 78 FR 5717 - Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal...

    Science.gov (United States)

    2013-01-28

    ...-AA00 Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal... Guard is establishing a safety zone in the navigable waters of Suisun Bay near Military Ocean Terminal Concord, CA in support of military onload and offload operations. This safety zone is established to...

  9. Preliminary siting criteria for the proposed mixed and low-level waste treatment facility at the Idaho National Engineering Laboratory

    International Nuclear Information System (INIS)

    Jorgenson-Waters, M.

    1992-09-01

    The Mixed and Low-Level Waste Treatment Facility project was established in 1991 by the US Department of Energy Idaho Field Office. This facility will provide treatment capabilities for Idaho National Engineering Laboratory (INEL) low-level mixed waste and low-level waste. This report identifies the siting requirements imposed on facilities that treat and store these waste types by Federal and State regulatory agencies and the US Department of Energy. Site selection criteria based on cost, environmental, health and safety, archeological, geological and service, and support requirements are presented. These criteria will be used to recommend alternative sites for the new facility. The National Environmental Policy Act process will then be invoked to evaluate the alternatives and the alternative sites and make a final site determination

  10. Military Personnel Who Seek Health and Mental Health Services Outside the Military.

    Science.gov (United States)

    Waitzkin, Howard; Cruz, Mario; Shuey, Bryant; Smithers, Daniel; Muncy, Laura; Noble, Marylou

    2018-05-01

    Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners. A hotline organized by faith-based and peace organizations received calls from clients and referred them to the network when the clients described unmet needs for physical or mental health services. Intake and follow-up interviews at 2 wk and 2 mo after intake captured demographic characteristics, mental health diagnoses, and reasons for seeking civilian rather than military care. Non-parametric bootstrap regression analyses identified predictors of psychiatric disorders, suicidality, and absence without leave (AWOL). Qualitative analyses of clients' narratives clarified their experiences and reasons for seeking care. The research protocol has been reviewed and approved annually by the Institutional Review Board at the University of New Mexico. Depression (72%), post-traumatic stress disorder (62%), alcohol use disorder (27%), and panic disorder (25%) were the most common diagnoses. Forty-eight percent of clients reported suicidal ideation. Twenty percent were absence without leave. Combat trauma predicted post-traumatic stress disorder (odds ratio [OR] = 8.84, 95% confidence interval [CI] 1.66, 47.12, p = 0.01) and absence without leave (OR = x3.85, 95% CI 1.14, 12.94, p = 0.03). Non-combat trauma predicted panic disorder (OR = 3.64, 95% CI 1.29, 10.23, p = 0.01). Geographical region was associated with generalized anxiety disorder

  11. Integrative Review of Breastfeeding Duration and Influencing Factors Among Women Serving Active Duty in the U.S. Military.

    Science.gov (United States)

    Farwell, Andrea L

    To determine what is known about breastfeeding duration among active-duty servicewomen and to identify factors related to military employment that facilitate or inhibit breastfeeding. Literature searches using CINAHL and MEDLINE were conducted with the keywords military and breastfeeding for articles published from January 2000 through May 2016. Abstracts and full-text research articles were retrieved and analyzed that met the inclusion criteria: English language, U.S. active-duty military personnel, peer-reviewed, and identified facilitators and/or barriers to breastfeeding. Eight studies were analyzed for quality and content; analysis was guided by Cooper's five stages of review synthesis processes. Findings indicated that although breastfeeding initiation rates are similar to those for civilians, military women may discontinue sooner. Perception of military work as a barrier is associated with shorter duration, and enlisted personnel were less likely to breastfeed to 12 months than commissioned officers. Military women experienced work-related barriers: lack of proper facilities for pumping, pressures and obligations related to rank, conflicts between mother/soldier demands, physical fitness/weight standards, concerns related to exposure to hazardous material, and prolonged separations from their infants. Most women in the military serve during their childbearing years when they may want to breastfeed. Strategies to promote breastfeeding include advocacy for policy changes, education of servicewomen and supervisors/commanders, and implementation of a breastfeeding class that addresses military-specific factors. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  12. Patients' costs and cost-effectiveness of tuberculosis treatment in DOTS and non-DOTS facilities in Rio de Janeiro, Brazil.

    Directory of Open Access Journals (Sweden)

    Ricardo Steffen

    2010-11-01

    Full Text Available Costs of tuberculosis diagnosis and treatment may represent a significant burden for the poor and for the health system in resource-poor countries.The aim of this study was to analyze patients' costs of tuberculosis care and to estimate the incremental cost-effectiveness ratio (ICER of the directly observed treatment (DOT strategy per completed treatment in Rio de Janeiro, Brazil.We interviewed 218 adult patients with bacteriologically confirmed pulmonary tuberculosis. Information on direct (out-of-pocket expenses and indirect (hours lost costs, loss in income and costs with extra help were gathered through a questionnaire. Healthcare system additional costs due to supervision of pill-intake were calculated considering staff salaries. Effectiveness was measured by treatment completion rate. The ICER of DOT compared to self-administered therapy (SAT was calculated.DOT increased costs during the treatment phase, while SAT increased costs in the pre-diagnostic phase, for both the patient and the health system. Treatment completion rates were 71% in SAT facilities and 79% in DOT facilities. Costs per completed treatment were US$ 194 for patients and U$ 189 for the health system in SAT facilities, compared to US$ 336 and US$ 726 in DOT facilities. The ICER was US$ 6,616 per completed DOT treatment compared to SAT.Costs incurred by TB patients are high in Rio de Janeiro, especially for those under DOT. The DOT strategy doubles patients' costs and increases by fourfold the health system costs per completed treatment. The additional costs for DOT may be one of the contributing factors to the completion rates below the targeted 85% recommended by WHO.

  13. Environmental assessment for the Waste Water Treatment Facility at the West Valley Demonstration Project and finding of no significant impact

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    The possible environmental impacts from the construction and operation of a waste water treatment facility for the West Valley Demonstration Project are presented. The West Valley Project is a demonstration project on the solidification of high-level radioactive wastes. The need for the facility is the result of a rise in the work force needed for the project which rendered the existing sewage treatment plant incapable of meeting the nonradioactive waste water treatment needs.

  14. Environmental assessment for the Waste Water Treatment Facility at the West Valley Demonstration Project and finding of no significant impact

    International Nuclear Information System (INIS)

    1992-01-01

    The possible environmental impacts from the construction and operation of a waste water treatment facility for the West Valley Demonstration Project are presented. The West Valley Project is a demonstration project on the solidification of high-level radioactive wastes. The need for the facility is the result of a rise in the work force needed for the project which rendered the existing sewage treatment plant incapable of meeting the nonradioactive waste water treatment needs

  15. Image processing technology for nuclear facilities

    International Nuclear Information System (INIS)

    Lee, Jong Min; Lee, Yong Beom; Kim, Woong Ki; Park, Soon Young

    1993-05-01

    Digital image processing technique is being actively studied since microprocessors and semiconductor memory devices have been developed in 1960's. Now image processing board for personal computer as well as image processing system for workstation is developed and widely applied to medical science, military, remote inspection, and nuclear industry. Image processing technology which provides computer system with vision ability not only recognizes nonobvious information but processes large information and therefore this technique is applied to various fields like remote measurement, object recognition and decision in adverse environment, and analysis of X-ray penetration image in nuclear facilities. In this report, various applications of image processing to nuclear facilities are examined, and image processing techniques are also analysed with the view of proposing the ideas for future applications. (Author)

  16. Operational analysis and improvement of a spent nuclear fuel handling and treatment facility using discrete event simulation

    International Nuclear Information System (INIS)

    Garcia, H.E.

    2000-01-01

    Spent nuclear fuel handling and treatment often require facilities with a high level of operational complexity. Simulation models can reveal undesirable characteristics and production problems before they become readily apparent during system operations. The value of this approach is illustrated here through an operational study, using discrete event modeling techniques, to analyze the Fuel Conditioning Facility at Argonne National Laboratory and to identify enhanced nuclear waste treatment configurations. The modeling approach and results of what-if studies are discussed. An example on how to improve productivity is presented.

  17. Influence of military sexual assault and other military stressors on substance use disorder and PTS symptomology in female military veterans.

    Science.gov (United States)

    Yalch, Matthew M; Hebenstreit, Claire L; Maguen, Shira

    2018-05-01

    Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N=407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Effects of military-authorized activities on the San Joaquin kit fox (Vulpes velox macrotis) at Camp Roberts Army National Guard Training Site, California

    Energy Technology Data Exchange (ETDEWEB)

    Berry, W.H.; Standley, W.G.; O`Farrell, T.P.; Kato, T.T.

    1992-10-01

    The effects of military-authorized activities on San Joaquin kit fox (Vulpes velox macrotis) were investigated at Camp Roberts Army National Guard Training Site from 1988 to 1991. Military-authorized activities included military training exercises, facilities maintenance, new construction, controlled burning, livestock grazing, and public-access hunting. Positive effects of the military included habitat preservation, preactivity surveys, and natural resources management practices designed to conserve kit foxes and their habitat. Perceived negative effects such as entrapment in dens, shootings during military exercises, and accidental poisoning were not observed. Foxes were observed in areas being used simultaneously by military units. Authorized activities were known to have caused the deaths of three of 52 radiocollared foxes recovered dead: one became entangled in concertina wire, one was believed shot by a hunter, and one was struck by a vehicle. Entanglement in communication wire may have contributed to the death of another radiocollared fox that was killed by a predator. Approximately 10% of kit fox dens encountered showed evidence of vehicle traffic, but denning sites did not appear to be a limiting factor for kit foxes.

  19. Predictors of suicidal ideation among active duty military personnel with posttraumatic stress disorder.

    Science.gov (United States)

    McLean, Carmen P; Zang, Yinyin; Zandberg, Laurie; Bryan, Craig J; Gay, Natalie; Yarvis, Jeffrey S; Foa, Edna B

    2017-01-15

    Given the alarming rate of military suicides, it is critical to identify the factors that increase risk of suicidal thoughts and behaviors among active duty military personnel. This study examined a predictive model of suicidal ideation among 366 treatment-seeking active duty military personnel with posttraumatic stress disorder (PTSD) following deployments to or near Iraq or Afghanistan. Structural equation modeling was employed to examine the relative contribution of combat exposure, social support, PTSD severity, depressive symptoms, guilt, and trauma-related cognitions on suicidal ideation. The final structural equation model had a highly satisfactory fit [χ 2 (2) =2.023, p=.364; RMSEA =.006; CFI =1; GFI =.998]. PTSD severity had an indirect effect on suicidal ideation via trauma-related cognitions. Depression had a direct positive effect on suicidal ideation; it also had an indirect effect via trauma-related cognitions and interpersonal support. Among participants who had made a previous suicide attempt, only depression symptom severity was significantly linked to suicidal ideation. Data are cross-sectional, precluding causal interpretations. Findings may only generalize to treatment seeking active duty military personnel with PTSD reporting no more than moderate suicidal ideation. These findings suggest that depression and trauma-related cognitions, particularly negative thoughts about the self, play an important role in suicidal ideation among active duty military personnel with PTSD. Negative cognitions about the self and interpersonal support may be important targets for intervention to decrease suicidal ideation. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. Forecasting military expenditure

    Directory of Open Access Journals (Sweden)

    Tobias Böhmelt

    2014-05-01

    Full Text Available To what extent do frequently cited determinants of military spending allow us to predict and forecast future levels of expenditure? The authors draw on the data and specifications of a recent model on military expenditure and assess the predictive power of its variables using in-sample predictions, out-of-sample forecasts and Bayesian model averaging. To this end, this paper provides guidelines for prediction exercises in general using these three techniques. More substantially, however, the findings emphasize that previous levels of military spending as well as a country’s institutional and economic characteristics particularly improve our ability to predict future levels of investment in the military. Variables pertaining to the international security environment also matter, but seem less important. In addition, the results highlight that the updated model, which drops weak predictors, is not only more parsimonious, but also slightly more accurate than the original specification.

  1. Facile Dry Surface Cleaning of Graphene by UV Treatment

    Science.gov (United States)

    Kim, Jin Hong; Haidari, Mohd Musaib; Choi, Jin Sik; Kim, Hakseong; Yu, Young-Jun; Park, Jonghyurk

    2018-05-01

    Graphene has been considered an ideal material for application in transparent lightweight wearable electronics due to its extraordinary mechanical, optical, and electrical properties originating from its ordered hexagonal carbon atomic lattice in a layer. Precise surface control is critical in maximizing its performance in electronic applications. Graphene grown by chemical vapor deposition is widely used but it produces polymeric residue following wet/chemical transfer process, which strongly affects its intrinsic electrical properties and limits the doping efficiency by adsorption. Here, we introduce a facile dry-cleaning method based on UV irradiation to eliminate the organic residues even after device fabrication. Through surface topography, Raman analysis, and electrical transport measurement characteristics, we confirm that the optimized UV treatment can recover the clean graphene surface and improve graphene-FET performance more effectively than thermal treatment. We propose our UV irradiation method as a systematically controllable and damage-free post process for application in large-area devices.

  2. Precautions for preventing criticality at plutonium fuel treatment facilities

    International Nuclear Information System (INIS)

    Deworm, J.P.; Fieuw, G.; Cank, H. de

    1976-01-01

    Four criticality accidents took place between 1958 and 1964 at fuel processing plants using wet methods. So far accident of this type has taken place at production units where fissionable material is used. The prevention of criticality is one of the major concerns of the officials in charge of the plutonium fuel research laboratories operated at the Mol Nuclear Energy Study Centre by the SCK/CEN-Belgonucleaire Association. The means of preventing such an accident are of three types: introducing different types of treatment in well-defined work units; thorough analysis of planned experiments or fabrication programmes to determine the sub-criticality factors; application of technical and administrative procedures which ensure that the facilities are always sub-critical during the treatment and storage of fissionable materials. The installation includes a detection and warning system and provision is made for the immediate evacuation of staff should a crticality incident occur. The effects of a critical excursion on the building have been assessed. (author)

  3. Worldwide Military Spending, 1990-1995

    OpenAIRE

    Jerald A Schiff; Benedict J. Clements; Sanjeev Gupta

    1996-01-01

    The decline in military spending that began in the mid-1980s continued through 1995, and this decline was widespread both geographically and by level of development. Cuts in military spending appear to have potentially important implications for nonmilitary spending and fiscal adjustment. In contrast to findings for previous periods, military spending has declined more than proportionately in those countries that have reduced total spending. Countries with Fund programs have reduced military ...

  4. Dental Treatment in a State-Funded Primary Dental Care Facility: Contextual and Individual Predictors of Treatment Need?

    Science.gov (United States)

    Wanyonyi, Kristina L; Radford, David R; Gallagher, Jennifer E

    2017-01-01

    This study examined individual and contextual factors which predict the dental care received by patients in a state-funded primary dental care training facility in England. Routine clinical and demographic data were extracted from a live dental patient management system in a state-funded facility using novel methods. The data, spanning a four-year period [2008-2012] were cleaned, validated, linked by means of postcode to deprivation status, and analysed to identify factors which predict dental treatment need. The predictive relationship between patients' individual characteristics (demography, smoking, payment status) and contextual experience (deprivation based on area of residence), with common dental treatments received was examined using unadjusted analysis and adjusted logistic regression. Additionally, multilevel modelling was used to establish the isolated influence of area of residence on treatments. Data on 6,351 dental patients extracted comprised of 147,417 treatment procedures delivered across 10,371 courses of care. Individual level factors associated with the treatments were age, sex, payment exemption and smoking status and deprivation associated with area of residence was a contextual predictor of treatment. More than 50% of children (care in the form of 'instruction and advice', compared with 46% of working age adults (18-64 years); p = 0.001. The odds of receiving treatment increased with each increasing year of age amongst adults (p = 0.001): 'partial dentures' (7%); 'scale and polish' (3.7%); 'tooth extraction' (3%; p = 0.001), and 'instruction and advice' (3%; p = 0.001). Smokers had a higher likelihood of receiving all treatments; and were notably over four times more likely to receive 'instruction and advice' than non-smokers (OR 4.124; 95% CI: 3.088-5.508; p = 0.01). A further new finding from the multilevel models was a significant difference in treatment related to area of residence; adults from the most deprived quintile were more likely

  5. THE DEMOCRATIC CONTROL OF MILITARY FORCES

    Directory of Open Access Journals (Sweden)

    Smail Oštraković

    2011-04-01

    Full Text Available The transition requirement for post communism countries, especially the part that is about military forces is to establish those civil-military relation that will have prepared projects for awareness evolving of society and military about necessity of democratic control over military sector of country through development of many different communication forms and shapes. Before everything, it means the entire freedom and independence of media at access to military forces as the topic and subject of its interests and also the organization of public military communication system as integral part of information-communication system in society

  6. Transfer of Invasive Species Associated with the Movement of Military Equipment and Personnel

    Science.gov (United States)

    2007-07-01

    DISCLAIMER: The contents of this report are not to be used for advertising , publication, or promotional purposes. Citation of trade names does not...the operational capa- bility of the main facilities. One location was the area owned by the Nestle Company. This site included extensive hardstand...the existing water system used by the Nestle Company provided the wash water. In this situation the water was not recaptured for reuse. Military

  7. Nasreya: a treatment and disposal facility for industrial hazardous waste in Alexandria, Egypt: phase I.

    Science.gov (United States)

    Ramadan, Adham R; Kock, Per; Nadim, Amani

    2005-04-01

    A facility for the treatment and disposal of industrial hazardous waste has been established in Alexandria, Egypt. Phase I of the facility encompassing a secure landfill and solar evaporation ponds is ready to receive waste, and Phase II encompassing physico-chemical treatment, solidification, and interim storage is underway. The facility, the Nasreya Centre, is the first of its kind in Egypt, and represents the nucleus for the integration, improvement and further expansion of different hazardous waste management practices and services in Alexandria. It has been developed within the overall legal framework of the Egyptian Law for the Environment, and is expected to improve prospects for enforcement of the regulatory requirements specified in this law. It has been developed with the overall aim of promoting the establishment of an integrated industrial hazardous waste management system in Alexandria, serving as a demonstration to be replicated elsewhere in Egypt. For Phase I, the Centre only accepts inorganic industrial wastes. In this respect, a waste acceptance policy has been developed, which is expected to be reviewed during Phase II, with an expansion of the waste types accepted.

  8. Industrial Processes to Reduce Generation of Hazardous Waste at DoD facilities. Phase Report. Appendix A

    Science.gov (United States)

    1985-12-01

    by CLEMCO, Pauli & helps to stress - releive the surfaces, Griffin, CAB Systems and Royce does not heal cracks in aluminum and Mechanical Systems are now...Generation of HlazardOuIs Waste at DoD Facilities- 1.S)3 Re.port 2 PERSONAL AUTHOR(S) Ia lYE OF REPOR I Jb TIME COVERED 14. DATE OF REPORT (Year...105 miles from Hill AFB on the north slope. of the Ulntah Mountains. (For military and family members and retired military and family members only

  9. Military Expenditure, Threats, and Growth

    OpenAIRE

    Aizenman, Joshua; Glick, Reuven

    2003-01-01

    This paper clarifies one of the puzzling results of the economic growth literature: the impact of military expenditure is frequently found to be non-significant or negative, yet most countries spend a large fraction of their GDP on defense and the military. We start by empirical evaluation of the non- linear interactions between military expenditure, external threats, corruption, and other relevant controls. While growth falls with higher levels of military spending, given the values of the o...

  10. EFFLUENT TREATMENT FACILITY PEROXIDE DESTRUCTION CATALYST TESTING

    International Nuclear Information System (INIS)

    HALGREN DL

    2008-01-01

    The 200 Area Effluent Treatment Facility (ETF) main treatment train includes the peroxide destruction module (PDM) where the hydrogen peroxide residual from the upstream ultraviolet light/hydrogen peroxide oxidation unit is destroyed. Removal of the residual peroxide is necessary to protect downstream membranes from the strong oxidizer. The main component of the PDM is two reaction vessels utilizing granular activated carbon (GAC) as the reaction media. The PDM experienced a number of operability problems, including frequent plugging, and has not been utilized since the ETF changed to groundwater as the predominant feed. The unit seemed to be underperforming in regards to peroxide removal during the early periods of operation as well. It is anticipated that a functional PDM will be required for wastewater from the vitrification plant and other future streams. An alternate media or methodology needs to be identified to replace the GAC in the PDMs. This series of bench scale tests is to develop information to support an engineering study on the options for replacement of the existing GAC method for peroxide destruction at the ETF. A number of different catalysts will be compared as well as other potential methods such as strong reducing agents. The testing should lead to general conclusions on the viability of different catalysts and identify candidates for further study and evaluation

  11. Optimal Management of DoD Lands for Military Training, Ecosystem Services, and Renewable Energy Generation: Framework and Data Requirements

    Science.gov (United States)

    2013-01-01

    published by ERDC, visit the ERDC online library at http://acwc.sdp.sirsi.net/ client /default. Base Facilities Environmental Quality ERDC/CERL TR...generation—on the primary land-management driver, the military training. 1.3 Approach The modeling framework was developed to generate a Pareto

  12. Military personnel recognition system using texture, colour, and SURF features

    Science.gov (United States)

    Irhebhude, Martins E.; Edirisinghe, Eran A.

    2014-06-01

    This paper presents an automatic, machine vision based, military personnel identification and classification system. Classification is done using a Support Vector Machine (SVM) on sets of Army, Air Force and Navy camouflage uniform personnel datasets. In the proposed system, the arm of service of personnel is recognised by the camouflage of a persons uniform, type of cap and the type of badge/logo. The detailed analysis done include; camouflage cap and plain cap differentiation using gray level co-occurrence matrix (GLCM) texture feature; classification on Army, Air Force and Navy camouflaged uniforms using GLCM texture and colour histogram bin features; plain cap badge classification into Army, Air Force and Navy using Speed Up Robust Feature (SURF). The proposed method recognised camouflage personnel arm of service on sets of data retrieved from google images and selected military websites. Correlation-based Feature Selection (CFS) was used to improve recognition and reduce dimensionality, thereby speeding the classification process. With this method success rates recorded during the analysis include 93.8% for camouflage appearance category, 100%, 90% and 100% rates of plain cap and camouflage cap categories for Army, Air Force and Navy categories, respectively. Accurate recognition was recorded using SURF for the plain cap badge category. Substantial analysis has been carried out and results prove that the proposed method can correctly classify military personnel into various arms of service. We show that the proposed method can be integrated into a face recognition system, which will recognise personnel in addition to determining the arm of service which the personnel belong. Such a system can be used to enhance the security of a military base or facility.

  13. Radiographic facilities and their utilization at the Royal Military College of Science

    International Nuclear Information System (INIS)

    Carter, A.C.; Wilson, C.G.

    1976-01-01

    Non-destructive testing is playing an ever-increasing role in the design and production of weapons and material for the Ministry of Defence and the modern Army staff officer or officer in a technical corps must have the scientific and technological background to appreciate this importance. Some Army staff officers will be required to discuss the design of projects with civilian engineers and research staff and give judgement decisions involving NDT tests of weapons and equipment during and after manufacture and also after field use, etc. Radiography plays a key role in this work. The range of equipment utilised in x and γ-radiography, and experiments using these, described here are used at the Royal Military College of Science, UK for the education of such personnel. (U.K.)

  14. The economic impact of military expenditures

    OpenAIRE

    Landau, Daniel

    1993-01-01

    The author addresses three questions about military spending in developing countries: What are the levels of (and trends in) military spending as a percentage of gross national product? What impact does peacetime military spending have on growth, government spending on social welfare and infrastructure, and other key economic variables? What major factors influence the level of military spending? The author finds that military spending as a share of GNP generally fell in the 1980s, even in th...

  15. Military Versus Civilian Murder-Suicide.

    Science.gov (United States)

    Patton, Christina L; McNally, Matthew R; Fremouw, William J

    2015-07-03

    Previous studies have implicated significant differences between military members and civilians with regard to violent behavior, including suicide, domestic violence, and harm to others, but none have examined military murder-suicide. This study sought to determine whether there were meaningful differences between military and civilian murder-suicide perpetrators. Using data from the Center for Disease Control's (CDC) National Violent Death Reporting System (NVDRS), military (n = 259) and civilian (n = 259) murder-suicide perpetrators were compared on a number of demographic, psychological, and contextual factors using chi-square analyses. Logistic regression was used to determine which variables predicted membership to the military or civilian perpetrator groups. Military murder-suicide perpetrators were more likely to be older, have physical health problems, be currently or formerly married, less likely to abuse substances, and to exhibit significantly different motives than civilian perpetrators. Logistic regression revealed that membership to the military, rather than the civilian, perpetrator group was predicted by age, physical health problems, and declining heath motive-reflecting the significance of a more than 15-year difference in mean age between the two groups. Findings point to the need to tailor suicide risk assessments to include questions specific to murder-suicide, to assess attitudes toward murder-suicide, and to the importance of assessing suicide and violence risk in older adult military populations. © The Author(s) 2015.

  16. Robins Air Force Base Solar Cogeneration Facility design

    Energy Technology Data Exchange (ETDEWEB)

    Pierce, B.L.; Bodenschatz, C.A.

    1982-06-01

    A conceptual design and a cost estimate have been developed for a Solar Cogeneration Facility at Robins Air Force Base. This demonstration solar facility was designed to generate and deliver electrical power and process steam to the existing base distribution systems. The facility was to have the potential for construction and operation by 1986 and make use of existing technology. Specific objectives during the DOE funded conceptual design program were to: prepare a Solar Cogeneration Facility (overall System) Specification, select a preferred configuration and develop a conceptual design, establish the performance and economic characteristics of the facility, and prepare a development plan for the demonstration program. The Westinghouse team, comprised of the Westinghouse Advanced Energy Systems Division, Heery and Heery, Inc., and Foster Wheeler Solar Development Corporation, in conjunction with the U.S. Air Force Logistics Command and Georgia Power Company, has selected a conceptual design for the facility that will utilize the latest DOE central receiver technology, effectively utilize the energy collected in the application, operate base-loaded every sunny day of the year, and be applicable to a large number of military and industrial facilities throughout the country. The design of the facility incorporates the use of a Collector System, a Receiver System, an Electrical Power Generating System, a Balance of Facility - Steam and Feedwater System, and a Master Control System.

  17. Facilities for the treatment of radioactively contaminated water in nuclear power plants

    International Nuclear Information System (INIS)

    1978-01-01

    The regulation is to be applied to design, construction and operation of facilities for the treatment of contaminated water in stationary nuclear power plants with LWR and HTR. The facilities are to be designed, constructed and operated in such manner that (a) imcontrolled discharge of contaminated water is avoided (Paragraph 46 section 1, no. 1 Radiation Protection Regulation) (b) the activity discharged with water is as low as possible ( paragraph 46, section 2, no. 2 Radiation Protection Regulation) (c)contaminated water will not get into the ground, unless this is permitted by a license (paragraph 46 section 6 Radiation Protection Regulation) (d) the radiation exposure resulting from direct radiation, contamination and inhalation of the personnel working with the facility is as low as possible and, at the most, corresponds to the values fixed in the regulation (paragraph 28 section 1 Radiation Protection Regulation) or the values given in the discharge permit. The regulation is not to be applied to installations for reactor coolant or fuel pit clean-up. (orig./HP) [de

  18. 32 CFR 575.1 - Military Academy.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Military Academy. 575.1 Section 575.1 National... MILITARY ACADEMY § 575.1 Military Academy. (a) Organization and administration. (1) The United States Military Academy is under the general direction and supervision of the Department of the Army. The...

  19. 2010 Annual Wastewater Reuse Report for the Idaho National Laboratory Site's Central Facilities Area Sewage Treatment Plant

    Energy Technology Data Exchange (ETDEWEB)

    Mike lewis

    2011-02-01

    This report describes conditions, as required by the state of Idaho Wastewater Reuse Permit (#LA-000141-03), for the wastewater land application site at Idaho National Laboratory Site’s Central Facilities Area Sewage Treatment Plant from November 1, 2009, through October 31, 2010. The report contains the following information: • Site description • Facility and system description • Permit required monitoring data and loading rates • Status of special compliance conditions • Discussion of the facility’s environmental impacts. During the 2010 permit year, approximately 2.2 million gallons of treated wastewater was land-applied to the irrigation area at Central Facilities Area Sewage Treatment plant.

  20. F/H Effluent Treatment Facility. Preliminary engineering report

    International Nuclear Information System (INIS)

    1985-01-01

    The Department of Energy is currently proposing to construct the F/H ETF to process wastewater from the Separations Areas and replace the existing seepage basins. Reasons for seepage basin closure are two-fold. First, nonradioactive hazardous materials routinely discharged to the seepage basins may have adversely impacted the quality of the groundwater in the vicinity of the basins. Second, amendments to the Resource Conservation and Recovery Act (RCRA) were approved in 1984, prohibiting the discharge of hazardous wastes to unlined seepage basins after November, 1988. The F/H ETF will consist of wastewater storage facilities and a treatment plant discharging treated effluent to Upper Three Runs Creek. Seepage basin use in F and H Areas wil be discontinued after startup, allowing timely closure of these basins. 3 refs

  1. Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder

    Directory of Open Access Journals (Sweden)

    Clemens Scott Kruse

    2018-04-01

    Full Text Available Background: Military veterans returning from a combat zone often face mental health challenges as a result of traumatic experiences. The veteran in the United States has been underdiagnosed and underserved. Since its advancement in the 1990s, telemedicine has become a more prevalent means of delivering services for post-traumatic stress disorder among veterans in the United States, but its adoption is not ubiquitous. Objective: To clarify the association of telemedicine and the treatment of veterans with post-traumatic stress disorder through identification of facilitators and barriers to the adoption of the modality. Methods: Reviewers analysed articles from CINAHL and PubMed databases, using relative key words, selecting the 28 most germane to the study objective. Results: The most common adoption facilitators were: improving access to rural populations of veterans (22%, effective treatment outcomes (16%, and decreased costs related to care (13%. The most prevalent barriers were: veterans lacking access to necessary modalities (25%, availability of physicians competent in post-traumatic stress disorder treatment (20%, and complications with technology (20%. Five themes surfaced for facilitators: accessibility, effectiveness, cost reduction, positive patient perception, and supportive community; and 5 themes for barriers: access to technology, technical complications, physician availability, negative patient perception, and uninformed patients. Conclusion: This literature review identifies cost and outcomes-effectiveness. The association of telemedicine with the treatment of veterans with post-traumatic stress disorder is feasible, beneficial and effective.

  2. Military Effectiveness: A Reappraisal

    National Research Council Canada - National Science Library

    Bernasconi, Jeffrey J

    2007-01-01

    .... Two divergent theories cover the ground of military effectiveness. One looks at the interaction of social structures, whereas the other looks at the effect organization has on military effectiveness...

  3. Military exceptionalism or tobacco exceptionalism: How civilian health leaders' beliefs may impede military tobacco control efforts

    OpenAIRE

    Smith, EA; Malone, RE

    2013-01-01

    Smoking impairs the readiness and performance of military personnel, yet congressional opposition has thwarted military tobacco control initiatives. Involvement of civilian organizations might alter this political dynamic. We interviewed 13 leaders of national civilian public health and tobacco control organizations to explore their perspectives on military tobacco control, inductively analyzing data for themes. Leaders believed that military tobacco use was problematic but lacked specific kn...

  4. MILITARY LEADERSHIP VISION

    Directory of Open Access Journals (Sweden)

    Gheorghe CALOPĂREANU

    2013-12-01

    Full Text Available The actual study is aimed at defining the place and the role of the concepts of authority, management and leadership and their connexions within the recognized military strategic systems. In addition to the above mentioned main objective, the following related aims will be achieved in the present work: - to analyze the command, management and leadership nexus; - to make suggestions for configuring an effective professional framework to address the armed forces leadership challenges and the visionary leader concept. Eventually, the present study will emphasize the need for the military leaders to lead not only the members of the organization but the military organizations themselves.

  5. Federal Facilities Compliance Act, Draft Site Treatment Plan: Background Volume, Part 2, Volume 1

    International Nuclear Information System (INIS)

    1994-01-01

    This Draft Site Treatment Plan was prepared by Ames Laboratory to meet the requirements of the Federal Facilities Compliance Act. Topics discussed include: purpose and scope of the plan; site history and mission; draft plant organization; waste minimization; waste characterization; preferred option selection process; technology for treating low-level radioactive wastes and TRU wastes; future generation of mixed waste streams; funding; and process for evaluating disposal issues in support of the site treatment plan

  6. Centralized treatment facility for low level radioactive waste produced in Belgium. The CILVA project

    International Nuclear Information System (INIS)

    Renard, Cl.; Detilleux, M.; Debieve, P.

    1993-01-01

    Due to rather limited amount of waste produced and the small size of the Belgian territory (30 x 10 3 km 2 ), ONDRAF/NIRAS strategy aims at centralizing treatment conditioning and storage of radioactive waste. ONDRAF/NTRAS has decided to set up a new infrastructure: the CILVA unit. The CILVA facility is focused on the supercompaction and the incineration treatment, so that ONDRAF/NIRAS can safely manage all radioactive wastes produced in Belgium. (2 figs.)

  7. 31 CFR 29.333 - Military service.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Military service. 29.333 Section 29... Satisfied by June 30, 1997 § 29.333 Military service. (a) For employees who entered on duty on or before June 30, 1997, and whose military service was performed prior to that date, credit for military service...

  8. The Ambiguity of Foreign Military Assistance

    DEFF Research Database (Denmark)

    Laugesen, Henrik

    This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya.......This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya....

  9. Partners in Freedom: Contributions of the Langley Research Center to U.S. Military Aircraft of the 1990's

    Science.gov (United States)

    Chambers, Joseph R.

    2000-01-01

    Established in 1917 as the nation#s first civil aeronautics research laboratory under the National Advisory Commit-tee for Aeronautics (NACA), Langley was a small laboratory that solved the problems of flight for military and civil aviation. Throughout history, Langley has maintained a working partnership with the Department of Defense, U.S. industry, universities, and other government agencies to support the defense of the nation with research. During World War II, Langley directed virtually all of its workforce and facilities to research for military aircraft. Following the war, a balanced program of military and civil projects was undertaken. In some instances Langley research from one aircraft program helped solve a problem in another. At the conclusion of some programs, Langley obtained the research models for additional tests to learn more about previously unknown phenomena. The data also proved useful in later developmental programs. Many of the military aircraft in the U.S. inventory as of late 1999 were over 20 years old. Langley activities that contributed to the development of some of these aircraft began over 50 years prior. This publication documents the role, from early concept stages to problem solving for fleet aircraft, that Langley played in the military aircraft fleet of the United States for the 1990's.

  10. National Military Family Association

    Science.gov (United States)

    ... MilitaryFamily.org © 2017 - National Military Family Association Twitter Facebook Pinterest Instagram Charity Navigator Four Star Charity GuideStar Exchange Better Business Bureau Charity Watch Independent Charity of America nonprofit ...

  11. An Exploratory Study of the Relationship Between the Big-Five Personality Dimensions and Political Skills with Military Staff Members’ Perceived Performance

    Directory of Open Access Journals (Sweden)

    Alicia Ohlsson

    2017-10-01

    Full Text Available The purpose was to explore the relationship and mediation effects between the Big Five personality dimensions, and political skill with military staff members’ perceived performance. The sample included 185 Armed Forces International staff members from several military education facilities. The results indicated that the PSI and several personality dimensions were positively correlated with individuals’ perceived performance. In addition, the personality dimension Conscientiousness acted as a statistically significant mediator between an individual’s use of political skills and their perceived performance. Practical considerations and future research directions are suggested.

  12. Military experience can influence Women's eating habits.

    Science.gov (United States)

    Breland, Jessica Y; Donalson, Rosemary; Nevedal, Andrea; Dinh, Julie V; Maguen, Shira

    2017-11-01

    Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women's self-reported eating habits before, during, and after military service. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments. Published by Elsevier Ltd.

  13. New business with the new military.

    Science.gov (United States)

    Apgar, Mahlon; Keane, John M

    2004-09-01

    A $200 billion market has appeared on your business horizon, but you may not have noticed it. It's the U.S. military--the new U.S. military. Virtually all aspects of the military are changing to ensure it can fight unpredictable threats while sustaining the infrastructure needed to support and train forces. The military is turning to non-traditional business partners to meet a wide range of needs, from health care to housing to information technology. The Defense Department is yielding its monopoly on every aspect of national security and adopting a more businesslike model in which the military's warfighting capabilities are supported through outsourcing and business alliances. Civilians are replacing military personnel in many noncombat roles. Military functions with corporate equivalents are candidates for outsourcing and privatization. Market standards are replacing the heavy customization that has locked many companies out of this marketplace. The authors have participated in the transformation process from different perspectives--one civilian, the other military. Together, they highlight the prospects that transformation is creating for companies outside the traditional defense industry and reveal paths to success in this complex market. They also present six principles for doing business with the military that require persistence, integrity, and a willingness to master the intricacies of a distinctive culture. By understanding the logic of military transformation, executives can identify and create vast new business opportunities. And by mastering the six principles, they can build profitable long-term relationships.

  14. Military Classics

    Science.gov (United States)

    1988-01-01

    the relation of religion and politics to seventeenth-century English military history. Frederick II, King of Prussia. Frederick the Great on the Art...Beginning with the reign of King Henry VIII, Barnett’s work explores the history of the British Army as an institution and fighting force. The volume...native clans led by Shaka , to its fall under the guns of the British Army by 1878. The Zulus produced a formidable military force, and this excellent

  15. Extract of Cordyceps militaris inhibits angiogenesis and suppresses tumor growth of human malignant melanoma cells.

    Science.gov (United States)

    Ruma, I Made Winarsa; Putranto, Endy Widya; Kondo, Eisaku; Watanabe, Risayo; Saito, Ken; Inoue, Yusuke; Yamamoto, Ken-Ichi; Nakata, Susumu; Kaihata, Masaji; Murata, Hitoshi; Sakaguchi, Masakiyo

    2014-07-01

    Angiogenesis is essential for tumor development and metastasis. Among several angiogenic factors, vascular endothelial growth factor receptor (VEGF) is important for tumor-derived angiogenesis and commonly overexpressed in solid tumors. Thus, many antitumor strategies targeting VEGF have been developed to inhibit cancer angiogenesis, offering insights into the successful treatment of solid cancers. However, there are a number of issues such as harmful effects on normal vascularity in clinical trials. Taking this into consideration, we employed Cordyceps militaris as an antitumor approach due to its biological safety in vivo. The herbal medicinal mushroom Cordyceps militaris has been reported to show potential anticancer properties including anti-angiogenic capacity; however, its concrete properties have yet to be fully demonstrated. In this study, we aimed to elucidate the biological role of Cordyceps militaris extract in tumor cells, especially in regulating angiogenesis and tumor growth of a human malignant melanoma cell line. We demonstrated that Cordyceps militaris extract remarkably suppressed tumor growth via induction of apoptotic cell death in culture that links to the abrogation of VEGF production in melanoma cells. This was followed by mitigation of Akt1 and GSK-3β activation, while p38α phosphorylation levels were increased. Extract treatment in mouse model xenografted with human melanoma cells resulted in a dramatic antitumor effect with down-regulation of VEGF expression. The results suggest that suppression of tumor growth by Cordyceps militaris extract is, at least, mediated by its anti-angiogenicity and apoptosis induction capacities. Cordyceps militaris extract may be a potent antitumor herbal drug for solid tumors.

  16. Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia

    Science.gov (United States)

    2013-01-01

    Background Patient compliance is a key factor in treatment success. Satisfied patients are more likely to utilize health services, comply with medical treatment, and continue with the health care providers. Yet, the national tuberculosis control program failed to address some of these aspects in order to achieve the national targets. Hence, this study attempted to investigate patient satisfaction and adherence to tuberculosis treatment in Sidama zone of south Ethiopia. Methods A facility based cross sectional study was conducted using quantitative method of data collection from March to April 2011. A sample of 531 respondents on anti TB treatment from 11 health centers and 1 hospital were included in the study. The sample size to each facility was allocated using probability proportional to size allocation, and study participants for the interview were selected by systematic random sampling. A Pre tested, interviewer administered questionnaire was used to collect the data. Collected data was edited, coded and entered to Epi data version 3.1 and exported to SPSS version 16. Confirmatory factor analysis was done to identify factors that explain most of the variance observed in most of the manifested variables. Bivariate and Multivariate analysis were computed to analyze the data. Result The study revealed 90% of the study participants were satisfied with TB treatment service. However, 26% of respondents had poor adherence to their TB treatment. Patient perceived on professional care, time spent with health care provider, accessibility, technical competency, convenience (cleanliness) and consultation and relational empathy were independent predictors of overall patient satisfaction (P patient satisfaction (Beta = 0.262). In multivariate analysis occupational status, area of residence, perceived time spent with health care provider, perceived accessibility, perceived waiting time, perceived professional care and over all patient satisfaction were significantly

  17. Study on patient-induced radioactivity during proton treatment in hengjian proton medical facility.

    Science.gov (United States)

    Wu, Qingbiao; Wang, Qingbin; Liang, Tianjiao; Zhang, Gang; Ma, Yinglin; Chen, Yu; Ye, Rong; Liu, Qiongyao; Wang, Yufei; Wang, Huaibao

    2016-09-01

    At present, increasingly more proton medical facilities have been established globally for better curative effect and less side effect in tumor treatment. Compared with electron and photon, proton delivers more energy and dose at its end of range (Bragg peak), and has less lateral scattering for its much larger mass. However, proton is much easier to produce neutron and induced radioactivity, which makes radiation protection for proton accelerators more difficult than for electron accelerators. This study focuses on the problem of patient-induced radioactivity during proton treatment, which has been ignored for years. However, we confirmed it is a vital factor for radiation protection to both patient escort and positioning technician, by FLUKA's simulation and activation formula calculation of Hengjian Proton Medical Facility (HJPMF), whose energy ranges from 130 to 230MeV. Furthermore, new formulas for calculating the activity buildup process of periodic irradiation were derived and used to study the relationship between saturation degree and half-life of nuclides. Finally, suggestions are put forward to lessen the radiation hazard from patient-induced radioactivity. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Monkey Bites among US Military Members, Afghanistan, 2011

    Science.gov (United States)

    Baker, Katheryn A.

    2012-01-01

    Bites from Macaca mulatta monkeys, native to Afghanistan, can cause serious infections. To determine risk for US military members in Afghanistan, we reviewed records for September–December 2011. Among 126 animal bites and exposures, 10 were monkey bites. Command emphasis is vital for preventing monkey bites; provider training and bite reporting promote postexposure treatment. PMID:23017939

  19. Problems of Military Cemeteries Greenery - Case Study of the Military Cemetery in Zvolen

    Science.gov (United States)

    Halajová, Denisa; Petreková, Denisa; Bihuňová, Mária

    2017-10-01

    The intention of this work is to highlight the importance of understanding military cemeteries as objects of cultural and historical heritage and as a part of garden design history. The design and maintenance of cemeteries and graves is a manifestation of the national culture. This is even more evident in military cemeteries, the maintenance of which is regulated by international agreements. Objects of military cemeteries are important places not only from the historical and architectural point of view, but also as green space. Most military cemeteries in Slovakia originated from World War I and II. In Slovakia, 160,000 soldiers were buried, 75,206 of them lost their lives in World War I and 93,000 in World War II. 32,495 war graves are registered by The Ministry of the Interior of the Slovak Republic - 23,316 war graves from World War I and 9,179 from World War II. From the period of World War II, there are 22 cemeteries and graveyards in Slovakia, established for soldiers of the Soviet, German, Romanian and Czechoslovak army. Military cemeteries and memorials are mostly high quality works of architecture and art. This paper focuses on the current situation and restoration issues of military cemeteries by examining the Military Cemetery in Zvolen. In the context of its planned reconstruction, a comprehensive tree assessment has been started in 2016. The Military Cemetery in Zvolen, being one of the largest military cemeteries in Slovakia, consists of The Cemetery of the Soviet Army with 17,628 buried soldiers and The Romanian Cemetery with 11,000 buried soldiers. The Romanian Cemetery is one of the largest cemeteries of the Romanian Army in Europe. Both cemeteries were declared national cultural monuments in 1963. In the cemetery, dendrometrical parameters and the health condition of trees were evaluated. In total, there are 825 woody plants. In both cemeteries, coniferous trees prevail, mainly individuals of the genus Thuja (49.4 %). Moreover, the maintenance of

  20. A brief introduction to the military workplace culture.

    Science.gov (United States)

    Redmond, S A; Wilcox, S L; Campbell, S; Kim, A; Finney, K; Barr, K; Hassan, A M

    2015-01-01

    Military culture and workplace are areas of interest for researchers across disciplines. However, few publications on military culture exist. The purpose of this article is to introduce general concepts regarding the structure and culture of the United States Military and discuss how this creates challenges for reintegrating into the civilian world. Topics that will be covered in this article include an overview of the Department of Defense (DoD) and Department of Veterans Affairs (VA), socialization to military culture, the unique features of the military as a workplace, the cultural experiences of military personnel reintegrating back into the community, and the challenges faced by military members and their spouses. The provided information on military culture will expand military cultural competency so that civilian employers can enhance their ability to create supportive workplaces for veterans and military spouses during times of transition and reintegration. The unique characteristics of the military culture should be understood by those who work with or plan to work with military populations.

  1. Mainstreaming Military Compensation: Problems and Prospects

    National Research Council Canada - National Science Library

    MacDonald, David

    1998-01-01

    Changes to the military retirement system in the 1980's and attention by law makers, military leadership, and service members to pay comparability between the private sector and the military indicate...

  2. Preventing Commercial Colonialism and Retaining Sovereignty Over National Policy and Military Strategy in Space

    Science.gov (United States)

    2018-04-09

    of satellites and sub-orbital space tourism flights, to the almost fictional asteroid mining, hotels on the Moon, and settlements on Mars. In... tourism . However, it is likely that the Chinese military will protect Chinese commercial presence in space either through militarization of dual-use...include sub-orbital space tourism , crew changes for orbital facilities, and residential tourism in orbit around Earth and the Moon. Visions of manned

  3. Multi-Country Analysis of Treatment Costs for HIV/AIDS (MATCH): Facility-Level ART Unit Cost Analysis in Ethiopia, Malawi, Rwanda, South Africa and Zambia

    Science.gov (United States)

    Tagar, Elya; Sundaram, Maaya; Condliffe, Kate; Matatiyo, Blackson; Chimbwandira, Frank; Chilima, Ben; Mwanamanga, Robert; Moyo, Crispin; Chitah, Bona Mukosha; Nyemazi, Jean Pierre; Assefa, Yibeltal; Pillay, Yogan; Mayer, Sam; Shear, Lauren; Dain, Mary; Hurley, Raphael; Kumar, Ritu; McCarthy, Thomas; Batra, Parul; Gwinnell, Dan; Diamond, Samantha; Over, Mead

    2014-01-01

    Background Today's uncertain HIV funding landscape threatens to slow progress towards treatment goals. Understanding the costs of antiretroviral therapy (ART) will be essential for governments to make informed policy decisions about the pace of scale-up under the 2013 WHO HIV Treatment Guidelines, which increase the number of people eligible for treatment from 17.6 million to 28.6 million. The study presented here is one of the largest of its kind and the first to describe the facility-level cost of ART in a random sample of facilities in Ethiopia, Malawi, Rwanda, South Africa and Zambia. Methods & Findings In 2010–2011, comprehensive data on one year of facility-level ART costs and patient outcomes were collected from 161 facilities, selected using stratified random sampling. Overall, facility-level ART costs were significantly lower than expected in four of the five countries, with a simple average of $208 per patient-year (ppy) across Ethiopia, Malawi, Rwanda and Zambia. Costs were higher in South Africa, at $682 ppy. This included medications, laboratory services, direct and indirect personnel, patient support, equipment and administrative services. Facilities demonstrated the ability to retain patients alive and on treatment at these costs, although outcomes for established patients (2–8% annual loss to follow-up or death) were better than outcomes for new patients in their first year of ART (77–95% alive and on treatment). Conclusions This study illustrated that the facility-level costs of ART are lower than previously understood in these five countries. While limitations must be considered, and costs will vary across countries, this suggests that expanded treatment coverage may be affordable. Further research is needed to understand investment costs of treatment scale-up, non-facility costs and opportunities for more efficient resource allocation. PMID:25389777

  4. Design of the PRIDE Facility

    International Nuclear Information System (INIS)

    You, Gil Sung; Choung, Won Myung; Lee, Eun Pyo; Cho, Il Je; Kwon, Kie Chan; Hong, Dong Hee; Lee, Won Kyung; Ku, Jeong Hoe

    2009-01-01

    From 2007, KAERI is developing a PyRoprocess Integrated inactive DEmonstration facility (the PRIDE facility). The maximum annual treatment capacity of this facility will be a 10 ton-HM. The process will use a natural uranium feed material or a natural uranium mixed with some surrogate material for a simulation of a spent fuel. KAERI has also another plan to construct a demonstration facility which can treat a real spent fuel by pyroprocessing. This facility is called by ESPF, Engineering Scale Pyroprocess Facility. The ESPF will have the same treatment capability of spent fuel with the PRIDE facility. The only difference between the PRIDE and the ESPF is a radiation shielding capability. From the PRIDE facility designing works and demonstration with a simulated spent fuel after construction, it will be able to obtain the basic facility requirements, remote operability, interrelation properties between process equipment for designing of the ESPF. The flow sheet of the PRIDE processes is composed of five main processes, such as a decladding and voloxidation, an electro-reduction, an electrorefining, an electro-winning, and a salt waste treatment. The final products from the PRIDE facility are a simulated TRU metal and U metal ingot

  5. Dental Treatment in a State-Funded Primary Dental Care Facility: Contextual and Individual Predictors of Treatment Need?

    Directory of Open Access Journals (Sweden)

    Kristina L Wanyonyi

    Full Text Available This study examined individual and contextual factors which predict the dental care received by patients in a state-funded primary dental care training facility in England.Routine clinical and demographic data were extracted from a live dental patient management system in a state-funded facility using novel methods. The data, spanning a four-year period [2008-2012] were cleaned, validated, linked by means of postcode to deprivation status, and analysed to identify factors which predict dental treatment need. The predictive relationship between patients' individual characteristics (demography, smoking, payment status and contextual experience (deprivation based on area of residence, with common dental treatments received was examined using unadjusted analysis and adjusted logistic regression. Additionally, multilevel modelling was used to establish the isolated influence of area of residence on treatments.Data on 6,351 dental patients extracted comprised of 147,417 treatment procedures delivered across 10,371 courses of care. Individual level factors associated with the treatments were age, sex, payment exemption and smoking status and deprivation associated with area of residence was a contextual predictor of treatment. More than 50% of children (<18 years and older adults (≥65 years received preventive care in the form of 'instruction and advice', compared with 46% of working age adults (18-64 years; p = 0.001. The odds of receiving treatment increased with each increasing year of age amongst adults (p = 0.001: 'partial dentures' (7%; 'scale and polish' (3.7%; 'tooth extraction' (3%; p = 0.001, and 'instruction and advice' (3%; p = 0.001. Smokers had a higher likelihood of receiving all treatments; and were notably over four times more likely to receive 'instruction and advice' than non-smokers (OR 4.124; 95% CI: 3.088-5.508; p = 0.01. A further new finding from the multilevel models was a significant difference in treatment related to area

  6. Virtual realities: The use of violent video games in U.S. military recruitment and treatment of mental disability caused by war

    Directory of Open Access Journals (Sweden)

    John Derby

    2016-03-01

    Full Text Available This article critically analyzes the U.S. military's contradictory use of violent video gaming technologies for recruiting young gamers to the military, training soldiers for combat, and clinically treating soldiers for posttraumatic stress disorder (PTSD caused by military service. Using a Disability Studies lens, I discuss the commercial video game Full Spectrum Leader/Warrior, the U.S. Army's free video game America's Army, and the virtual reality exposure therapy application Virtual Iraq. I also discuss missions and omissions from the literature on these gaming technologies, which bolsters the underlying ableism of military culture that inhibits soldiers from recovering from PTSD.

  7. TRICARE, Military Health System

    Science.gov (United States)

    ... Claim Get Proof of TRICARE Coverage View My Military Health Record Less TRICARE Enrollment Freeze Starting Dec. ... Disaster Information Download a Form Go Paperless My Military Health Records Multimedia Center Plan Information Kits Recoupment ...

  8. MILITARY COMPETITION BETWEEN FRIENDS? HEGEMONIC DEVELOPMENT AND MILITARY SPENDING AMONG EIGHT WESTERN DEMOCRACIES, 1920-1938

    Directory of Open Access Journals (Sweden)

    Jari Eloranta

    2001-01-01

    Full Text Available This article explores the complicated phenomenon of military spending among a sample of eight Western democracies in the interwar period by analyzing especially the possibility of economic and/or military competition between the Western Great Powers and the ensuing impacts on the smaller states included here. The hegemonic paradigm suggested by e.g. Paul Kennedy predicts that the economic leader in a system will increasingly invest on maintaining security; thus eventually bringing economic growth to a halt. The military spending patterns respective of economic growth at first seem to suggest that not only the totalitarian states, as is the traditional view, but also the UK and France stepped in to fill the void created by the lack of American leadership. However, the military expenditures of these nations were too low to warrant the conclusion that they had any impact on their respective economic performance. This result is also verified here by employing Granger non-causality tests between the military spending and economic growth variables. Moreover, regression analysis on the military spending variables for the UK and France points towards competition on the level. The smaller states, respectively, seemed to follow the UK and France fairly closely in their military spending decisions.

  9. 2013 Annual Wastewater Reuse Report for the Idaho National Laboratory Site’s Central Facilities Area Sewage Treatment Plant

    Energy Technology Data Exchange (ETDEWEB)

    Mike Lewis

    2014-02-01

    This report describes conditions, as required by the state of Idaho Wastewater Reuse Permit (#LA-000141-03), for the wastewater land application site at the Idaho National Laboratory Site’s Central Facilities Area Sewage Treatment Plant from November 1, 2012, through October 31, 2013. The report contains, as applicable, the following information: • Site description • Facility and system description • Permit required monitoring data and loading rates • Status of compliance conditions and activities • Discussion of the facility’s environmental impacts. During the 2013 permit year, no wastewater was land-applied to the irrigation area of the Central Facilities Area Sewage Treatment Plant and therefore, no effluent flow volumes or samples were collected from wastewater sampling point WW-014102. However, soil samples were collected in October from soil monitoring unit SU-014101.

  10. Federal Facilities Compliance Act, Draft Site Treatment Plan: Compliance Plan Volume. Part 2, Volume 2

    International Nuclear Information System (INIS)

    1994-01-01

    This document presents the details of the implementation of the Site Treatment Plan developed by Ames Laboratory in compliance with the Federal Facilities Compliance Act. Topics discussed in this document include: implementation of the plan; milestones; annual updates to the plan; inclusion of new waste streams; modifications of the plan; funding considerations; low-level mixed waste treatment plan and schedules; and TRU mixed waste streams

  11. Price of military uranium

    International Nuclear Information System (INIS)

    Klimenko, A.V.

    1998-01-01

    The theoretical results about optimum strategy of use of military uranium confirmed by systems approach accounts are received. The numerical value of the system approach price of the highly enriched military uranium also is given

  12. Influences on the start, selection and duration of treatment with antibiotics in long-term care facilities.

    Science.gov (United States)

    Daneman, Nick; Campitelli, Michael A; Giannakeas, Vasily; Morris, Andrew M; Bell, Chaim M; Maxwell, Colleen J; Jeffs, Lianne; Austin, Peter C; Bronskill, Susan E

    2017-06-26

    Understanding the extent to which current antibiotic prescribing behaviour is influenced by clinicians' historical patterns of practice will help target interventions to optimize antibiotic use in long-term care. Our objective was to evaluate whether clinicians' historical prescribing behaviours influence the start, prolongation and class selection for treatment with antibiotics in residents of long-term care facilities. We conducted a retrospective cohort study of all physicians who prescribed to residents in long-term care facilities in Ontario between Jan. 1 and Dec. 31, 2014. We examined variability in antibiotic prescribing among physicians for 3 measures: start of treatment with antibiotics, use of prolonged durations exceeding 7 days and selection of fluoroquinolones. Funnel plots with control limits were used to determine the extent of variation and characterize physicians as extreme low, low, average, high and extreme high prescribers for each tendency. Multivariable logistic regression was used to assess whether a clinician's prescribing tendency in the previous year predicted current prescribing patterns, after accounting for residents' demographics, comorbidity, functional status and indwelling devices. Among 1695 long-term care physicians, who prescribed for 93 132 residents, there was wide variability in the start of antibiotic treatment (median 45% of patients, interquartile range [IQR] 32%-55%), use of prolonged treatment durations (median 30% of antibiotic prescriptions, IQR 19%-46%) and selection of fluoroquinolones (median 27% of antibiotic prescriptions, IQR 18%-37%). Prescribing tendencies for antibiotics by physicians in 2014 correlated strongly with tendencies in the previous year. After controlling for individual resident characteristics, prior prescribing tendency was a significant predictor of current practice. Physicians prescribing antibiotics exhibited individual, measurable and historical tendencies toward start of antibiotic treatment

  13. Investigation of development and management of treatment planning systems for BNCT at foreign facilities

    International Nuclear Information System (INIS)

    2001-03-01

    A new computational dosimetry system for BNCT: JCDS is developed by JAERI in order to carry out BNCT with epithermal neutron beam at present. The development and management situation of computational dosimetry system, which are developed and are used in BNCT facilities in foreign countries, were investigated in order to accurately grasp functions necessary for preparation of the treatment planning and its future subjects. In present state, 'SERA', which are developed by Idaho National Engineering and Environmental Laboratory (INEEL), is used in many BNCT facilities. Followings are necessary for development and management of the treatment planning system. (1) Reliability confirmation of system performance by verification as comparison examination of calculated value with actual experimental measured value. (2) Confirmation systems such as periodic maintenance for retention of the system quality. (3) The improvement system, which always considered relative merits and demerits with other computational dosimetry system. (4) The development of integrated system with patient setting. (author)

  14. Health in Argentina under the Military Junta.

    Science.gov (United States)

    Bermann, S; Escudero, J C

    1978-01-01

    The socioeconomic policies of Argentina's Military Junta, in power since March 1976, have led to a sharp impoverishment of the vast majority of the population. In the health sector, facilities which previously were public are being transferred to the private sector, and public hospitals formerly providing free services to the population now charge patients for the care received. As a necessary counterpart to these unpopular measures, a regime of terror has been waged against members of the health team--both those politically active and those considered potentially subversive, particularly the psychiatrists and workers in community health. Differences between the Argentinian situation and previous European fascist patterns are noted, and the possibility of use of the "Argentinian model" in other capitalist countries in crisis is discussed.

  15. private military contractors, war crimes and international

    African Journals Online (AJOL)

    HP USER

    work.10 Military history has recorded a strong role for private actors in military affairs firmly ..... Evidence records that, while the state military officers found by a military ... Should it be the chief executive officer (CEO) of .... The Financial Times.

  16. Measures to reduce the impact of anti-icing agents on the environment and on the work of wastewater treatment facilities

    Directory of Open Access Journals (Sweden)

    Voronov Yuriy Viktorovich

    2014-09-01

    Full Text Available This article analyses the impact of the excess of chemical agents in the snow on the environment and on the working waste water treatment facilities. The article presents some suggestions for improvement of regulatory requirements concerning design engineering of snow melting facilities in the water disposal system. This suggestion was substantiated to assess snow as waste disposed from road surface, and to register snow mass delivered to snow melting facilities in equivalent units. It is assumed that snow melting stations are facilities designed for waste treatment, and this is why the project documentation for construction of these facilities has to undergo a state expertise for Environmental Impact Assessment. Completed studies provide estimates of the receipted snow, its pollution, etc. But at the same time these studies serve as the basis for approving the necessity of developing a unified system for monitoring the city's snow-melting plants to ensure the reliability.

  17. SEARCH AND DETENTION OF THE MILITARY PERSONNEL WHO HAS AVOIDED THE MILITARY SERVICE: SOURCES, REALITIES, IMPROVEMENT PROSPECTS

    OpenAIRE

    Natalia V. V.

    2014-01-01

    The article is devoted to the topical issues of the search and detention of the military personnel who has avoided the military service. On the basis of official information, the author gave a short historical digression, the analysis of a current state of the problem of evasion of the military personnel from military service is carried out and possible ways of its solutions are proposed

  18. Mortality of first world war military personnel: comparison of two military cohorts.

    Science.gov (United States)

    Wilson, Nick; Clement, Christine; Summers, Jennifer A; Bannister, John; Harper, Glyn

    2014-12-16

    To identify the impact of the first world war on the lifespan of participating military personnel (including in veterans who survived the war). Comparison of two cohorts of military personnel, followed to death. Military personnel leaving New Zealand to participate in the first world war. From a dataset of the New Zealand Expeditionary Forces, we randomly selected participants who embarked on troopships in 1914 and a comparison non-combat cohort who departed on troopships in late 1918 (350 in each group). Lifespan based on dates of birth and death from a range of sources (such as individual military files and an official database of birth and death records). A quarter of the 1914 cohort died during the war, with deaths from injury predominating (94%) over deaths from disease (6%). This cohort had a significantly shorter lifespan than the late 1918 "non-combat" cohort, with median ages of death being 65.9 versus 74.2, respectively (a difference of 8.3 years shown also in Kaplan-Meier survival curves, log rank Pworld war in 1914 from New Zealand lost around eight years of life (relative to a comparable military cohort). In the postwar period they continued to have an increased risk of premature death. © Wilson et al 2014.

  19. Facility Targeting, Protection and Mission Decision Making Using the VISAC Code

    Science.gov (United States)

    Morris, Robert H.; Sulfredge, C. David

    2011-01-01

    The Visual Interactive Site Analysis Code (VISAC) has been used by DTRA and several other agencies to aid in targeting facilities and to predict the associated collateral effects for the go, no go mission decision making process. VISAC integrates the three concepts of target geometric modeling, damage assessment capabilities, and an event/fault tree methodology for evaluating accident/incident consequences. It can analyze a variety of accidents/incidents at nuclear or industrial facilities, ranging from simple component sabotage to an attack with military or terrorist weapons. For nuclear facilities, VISAC predicts the facility damage, estimated downtime, amount and timing of any radionuclides released. Used in conjunction with DTRA's HPAC code, VISAC also can analyze transport and dispersion of the radionuclides, levels of contamination of the surrounding area, and the population at risk. VISAC has also been used by the NRC to aid in the development of protective measures for nuclear facilities that may be subjected to attacks by car/truck bombs.

  20. An assessment of testing requirement impacts on nuclear thermal propulsion ground test facility design

    International Nuclear Information System (INIS)

    Shipers, L.R.; Ottinger, C.A.; Sanchez, L.C.

    1993-01-01

    Programs to develop solid core nuclear thermal propulsion (NTP) systems have been under way at the Department of Defense (DoD), the National Aeronautics and Space Administration (NASA), and the Department of Energy (DOE). These programs have recognized the need for a new ground test facility to support development of NTP systems. However, the different military and civilian applications have led to different ground test facility requirements. The Department of Energy (DOE) in its role as landlord and operator of the proposed research reactor test facilities has initiated an effort to explore opportunities for a common ground test facility to meet both DoD and NASA needs. The baseline design and operating limits of the proposed DoD NTP ground test facility are described. The NASA ground test facility requirements are reviewed and their potential impact on the DoD facility baseline is discussed

  1. TSD-DOSE : a radiological dose assessment model for treatment, storage, and disposal facilities

    International Nuclear Information System (INIS)

    Pfingston, M.

    1998-01-01

    In May 1991, the U.S. Department of Energy (DOE), Office of Waste Operations, issued a nationwide moratorium on shipping slightly radioactive mixed waste from DOE facilities to commercial treatment, storage, and disposal (TSD) facilities. Studies were subsequently conducted to evaluate the radiological impacts associated with DOE's prior shipments through DOE's authorized release process under DOE Order 5400.5. To support this endeavor, a radiological assessment computer code--TSD-DOSE (Version 1.1)--was developed and issued by DOE in 1997. The code was developed on the basis of detailed radiological assessments performed for eight commercial hazardous waste TSD facilities. It was designed to utilize waste-specific and site-specific data to estimate potential radiological doses to on-site workers and the off-site public from waste handling operations at a TSD facility. The code has since been released for use by DOE field offices and was recently used by DOE to evaluate the release of septic waste containing residual radioactive material to a TSD facility licensed under the Resource Conservation and Recovery Act. Revisions to the code were initiated in 1997 to incorporate comments received from users and to increase TSD-DOSE's capability, accuracy, and flexibility. These updates included incorporation of the method used to estimate external radiation doses from DOE's RESRAD model and expansion of the source term to include 85 radionuclides. In addition, a detailed verification and benchmarking analysis was performed

  2. The very low level radioactive military waste in France

    International Nuclear Information System (INIS)

    2005-01-01

    The recommendations of the Observatory of French nuclear weapons call attention to the fact the I.N.B.S. depend on the services of the High Commissioner of Atomic Energy;call attention to the fact that the reactors of the nuclear propulsion ( only military ones) are out of regulation: independent studies have to be realised on three harbors (Brest, Toulon, Cherbourg) for an evaluation about the environmental and sanitary consequences of the presence of nuclear facilities near urban areas that is not the case for any civil nuclear installation; call attention on the dismantling operations actually in some military nuclear installations, who is in charge of the control of the different steps of these dismantling operations, call attention on the setting up of radioactive waste storage ( very low activity at Saint-Priest, Rhone, very high activity with americium at Valduc, long lived elements at Cadarache, tritium waste at Valduc, alpha waste at Valduc waste not under the control of an independent organism; call attention on the final destination of depleted uranium; call attention on the bad management of tritium by the installation of nuclear weapons fabrication, about the actual stocks in plutonium and uranium. (N.C.)

  3. A Historical Survey of Military Health Services: The Crimean War and Florence Nigtingale

    OpenAIRE

    Unal Demirtas; Gultekin Ozturk; Aslan Ozden

    2014-01-01

    During the Crimean War freezing cold and contagious diseases was more important than the Russian soldiers for the allied armies. Typhus, scorbut, cholera and malaria prepare the dead of a large number of soldiers. According to the resources, the contagious diseases led to death more than ten times of the military actions. That and #8217;s why, The European armies understood the importance of the treatment diseases in the war and the Crimean War became the beginning point in military health co...

  4. Exposure to airborne fungi during sorting of recyclable plastics in waste treatment facilities

    Directory of Open Access Journals (Sweden)

    Kristýna Černá

    2017-02-01

    Full Text Available Background: In working environment of waste treatment facilities, employees are exposed to high concentrations of airborne microorganisms. Fungi constitute an essential part of them. This study aims at evaluating the diurnal variation in concentrations and species composition of the fungal contamination in 2 plastic waste sorting facilities in different seasons. Material and Methods: Air samples from the 2 sorting facilities were collected through the membrane filters method on 4 different types of cultivation media. Isolated fungi were classified to genera or species by using a light microscopy. Results: Overall, the highest concentrations of airborne fungi were recorded in summer (9.1×103–9.0×105 colony-forming units (CFU/m3, while the lowest ones in winter (2.7×103–2.9×105 CFU/m3. The concentration increased from the beginning of the work shift and reached a plateau after 6–7 h of the sorting. The most frequently isolated airborne fungi were those of the genera Penicillium and Aspergillus. The turnover of fungal species between seasons was relatively high as well as changes in the number of detected species, but potentially toxigenic and allergenic fungi were detected in both facilities during all seasons. Conclusions: Generally, high concentrations of airborne fungi were detected in the working environment of plastic waste sorting facilities, which raises the question of health risk taken by the employees. Based on our results, the use of protective equipment by employees is recommended and preventive measures should be introduced into the working environment of waste sorting facilities to reduce health risk for employees. Med Pr 2017;68(1:1–9

  5. Opportunities for Automated Demand Response in Wastewater Treatment Facilities in California - Southeast Water Pollution Control Plant Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, Daniel [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goli, Sasank [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Faulkner, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); McKane, Aimee [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-12-20

    This report details a study into the demand response potential of a large wastewater treatment facility in San Francisco. Previous research had identified wastewater treatment facilities as good candidates for demand response and automated demand response, and this study was conducted to investigate facility attributes that are conducive to demand response or which hinder its implementation. One years' worth of operational data were collected from the facility's control system, submetered process equipment, utility electricity demand records, and governmental weather stations. These data were analyzed to determine factors which affected facility power demand and demand response capabilities The average baseline demand at the Southeast facility was approximately 4 MW. During the rainy season (October-March) the facility treated 40% more wastewater than the dry season, but demand only increased by 4%. Submetering of the facility's lift pumps and centrifuges predicted load shifts capabilities of 154 kW and 86 kW, respectively, with large lift pump shifts in the rainy season. Analysis of demand data during maintenance events confirmed the magnitude of these possible load shifts, and indicated other areas of the facility with demand response potential. Load sheds were seen to be possible by shutting down a portion of the facility's aeration trains (average shed of 132 kW). Load shifts were seen to be possible by shifting operation of centrifuges, the gravity belt thickener, lift pumps, and external pump stations These load shifts were made possible by the storage capabilities of the facility and of the city's sewer system. Large load reductions (an average of 2,065 kW) were seen from operating the cogeneration unit, but normal practice is continuous operation, precluding its use for demand response. The study also identified potential demand response opportunities that warrant further study: modulating variable-demand aeration loads, shifting

  6. Biochemical analysis of cerebrospinal fluid in the laboratories of deployed medical treatment facilities: are Multistix 10 SG strip and iSTAT useful?

    Science.gov (United States)

    Lefrere, Bertrand; Plantamura, J; Renard, C; Ceppa, F; Delacour, H

    2017-12-01

    During military deployment, the diagnosis and the management of acute bacterial meningitis can be problematic, as deployed Medical Treatment Facilities (MTFs) often have a limited laboratory diagnostic capability. However, French Role 2 and 3 MTFs have point-of-care (POC) testing to perform urinary (Multistix 10 SG strip) and blood (iSTAT handheld analyser) biochemical testing mentioned in AMedP8.5. The purpose of this study was to compare the accuracy of this urine test strip and of the iSTAT CHEM8 and CG4 cartridges with a standard hospital bench top analyser in order to determine if these POC devices have a potential role in the biochemical analysis of cerebrospinal fluid (CSF protein, CSF glucose and CSF lactate, respectively). Agreement between the index methods and the reference methods (suitable kits on the Cobas 6 000 System) was evaluated by parallel testing of 30 CSF samples by both techniques. For CSF protein, agreement between the strip and the reference method was evaluated determining the κ coefficient. For CSF glucose and CSF lactate subgroups, least squares linear regressions were calculated and Bland-Altman analyses were performed. The Multistix 10 SG strip can be used to make a semiquantitative determination of CSF protein. A good agreement between the strip and the reference method was observed (κ coefficient: 0.93 (IC 95 0.82 to 1)). This strip is thus well adapted to demonstrate an elevation of CSF protein level as observed in acute bacterial meningitis. The iSTAT CHEM8 and CG4+ cartridges correlated well with the reference methods for the determination of CSF glucose and CSF lactate, respectively (r 2 >0.98) but exhibited a negative bias (∼ -7% and ∼ -15%, respectively). The combined use of the Multistix 10 SG strip and of the iSTAT system appears to be an attractive solution for the biochemical investigation of CSF in medical treatment facilities with limited laboratory diagnostic capability. Published by the BMJ Publishing Group

  7. Virtual realities: The use of violent video games in U.S. military recruitment and treatment of mental disability caused by war

    OpenAIRE

    John Derby

    2016-01-01

    This article critically analyzes the U.S. military's contradictory use of violent video gaming technologies for recruiting young gamers to the military, training soldiers for combat, and clinically treating soldiers for posttraumatic stress disorder (PTSD) caused by military service. Using a Disability Studies lens, I discuss the commercial video game Full Spectrum Leader/Warrior, the U.S. Army's free video game America's Army, and the virtual reality exposure therapy application Virtual Iraq...

  8. Conversion of Abbandoned Military Areas

    Directory of Open Access Journals (Sweden)

    Daiva Marcinkevičiūtė

    2011-03-01

    Full Text Available The article analyses the situation of abandoned military sites, their value and significance of their conservation. It also reviews their impact on their environment and their potential in tourism, environmental, economic and social spheres. Further the positive experiences in military sites' conversion are studied. The importance of society's involvement in the conversions is discussed. The situation of XIX-XX age's military object's, the significance of their conservation and their potential in tourism market is separately analysed. The results of two researches are introduced, one of which inquires about the Lithuanian military objects' potential in tourism sphere, another one explores the possibilities of conversion. Article in Lithuanian

  9. Treatment and storage of radioactive gases from nuclear facilities

    International Nuclear Information System (INIS)

    Johannsen, K.H.; Schwarzbach, R.

    1980-01-01

    Treatment of exhaust air from nuclear facilities aimed at retaining or separating the radionuclides of iodine, xenon, and krypton as well as of tritium and carbon-14 and their storage are of special interest in connection with increasing utilization of nuclear power in order to reduce releases of radioactive materials to the atmosphere. The state of the art and applicability of potential processes of separating volatile fission and activation products from nuclear power stations and reprocessing plants are reviewed. Possibilities of ultimate storage are presented. An evaluation of the current stage of development shows that processes for effective separation of radioactive gases are available. Recent works are focused on economy and safety optimization. Long-term storage, in particular of extremely long-lived radionuclides, needs further investigation. (author)

  10. Immunization status of Iranian military recruits against Bordetella pertussis infection (whooping cough).

    Science.gov (United States)

    Izadi, Morteza; Afsharpaiman, Shahla; Jonaidi Jafari, Nematollah; Ranjbar, Reza; Gooya, Mohammad Mahdi; Robat Sarpooshi, Javad; Esfahani, Ali Akbar; Soheylipoor, Hamid

    2011-03-21

    Military recruits are susceptible to respiratory pathogens because of increased antibiotic resistance and the lack of an effective vaccine. The goal of the current study was to determine the immunological status of the Bordetella pertussis among conscripts in Iranian military garrisons. The study population consisted of 424 conscripts aged 18 to 21 years who enrolled for military service. They were selected using cluster stratified sampling from all military garrisons in Tehra, Iran. To determine the seroprevalence of infection, blood specimens from all recruits were collected and stored at - 20 °C until assayed. All serum samples were screened for immunoglobulin G (IgG) antibodies against Bordetella pertussis toxin (PT) and by using enzyme-linked immunosorbent assay (ELISA). The overall prevalence of B. pertussis seropositivity in military recruits was 60.6. Only 55.0% of the recruits had low awareness about the record of vaccination against B. pertussis during childhood. Among 424 studied individuals, 48 recruits (11.3%) had a positive history of whooping cough; prevalence of seropositivity in these recruits was 70.0%. Among these subjects, 61.7% were referred to a physician for treatment and only 39.6% of them were administered anti-pertussis therapy. Our study showed that military conscripts in Tehran garrisons were not serologically immune to pertussis and also confirmed the low awareness about vaccination and medical history related to pertussis infection in this high-risk subgroup of the Iranian population. Routine acellular booster vaccination, particularly before 18 years of age, is recommended.

  11. Cultural Dimensions of Military Training

    Science.gov (United States)

    2014-06-13

    to military, and to make them able to operate effectively in multicultural dimensions. This cultural impact forced the military doctrine to adapt...degree the research findings and conclusions. The bibliography reviewed for this thesis is available at the Combined Arms Research Library . Unfortunately...in terms of increased ability of understanding and operating in a different cultural or multicultural setting, led the military decision makers to

  12. Southeast Regional Wastewater Treatment Plant Facilities Improvements Project and Geysers Effluent Pipeline Project. Draft EIR/EIS: Executive summary

    International Nuclear Information System (INIS)

    1994-01-01

    The Southeast Regional Wastewater Treatment Plant (SERWTP) Facilities Improvement Plan and Geysers Effluent Pipeline and Effluent Injection Project are proposed as a plan to provide expanded wastewater treatment capabilities and to dispose of the effluent by injection in The Geysers geothermal field for purposes of power production. The project is located predominantly in the County of Lake, California, and also in part of Sonoma County. The plan includes various conventional facilities improvements in wastewater treatment to a secondary level of treatment at the SWERWTP. The plan includes facilities to convey the treated effluent in a 26-mile, 24-inch inside diameter pipeline to the Southeast Geysers. The wastewater from the SERWTP would be supplemented by raw lake water diverted from nearby Clear Lake. At The Geysers, the effluent would be directed into a system of distribution lines to wells. In the geothermal reservoir, the water will be converted to steam and collected in production wells that will direct the steam to six existing power plants. This document is a summary of a combined full Environmental Impact Report (EIR) and Environmental Impact Statement (EIS). The EIR/EIS describes the environmental impacts of the various components of the project. Mitigation measures are suggested for reducing impacts to a less than significant level

  13. On Military Innovation: Toward an Analytical Framework

    OpenAIRE

    Ross, Andrew L

    2010-01-01

    What is military innovation? How should we think about Chinese military innovation? By developing an analytical framework that captures both the components of military innovation (technology, doctrine, and organization) and the continuum of change, we can better assess the nature, extent, and importance of contemporary Chinese military innovation.

  14. The epidemiological studies of leukemia around nuclear facilities for children and young adults: critical review

    International Nuclear Information System (INIS)

    2008-01-01

    This objective of this report is to make a review of studies relative to the risk of leukemia among children and young adults less than twenty five years old near the nuclear facilities. the nuclear facilities considered in this report are nuclear power plants (electric power generation), the nuclear research centers, the fuel or weapons fabrication plants, reprocessing plants. This report does not describe the risk analysis near the sites of nuclear weapons test, the consequences of accidents on nuclear facilities such Chernobylsk or the the population near the military and industrial site of Mayak (Ural). The same is for the mining sites and the facilities of uranium extraction that are out of this report. (N.C.)

  15. Application of an experimental irradiation facility type K-120 for the radiation treatment of agricultural products in large quantity

    International Nuclear Information System (INIS)

    Stenger, V.; Foeldiak, G.; Horvath, I.; Hargittai, P.; Bartfai, Cs.

    1979-01-01

    During experimental and pilot irradiation carried out by the 60 Co irradiation facility type K-120 of the Institute of Isotopes of the Hungarian Academy of Sciences an irradiation technology for the treatment of agricultural and food products of considerable density has been developed. Applying transport containers of commercial size the intermittent radiation treatment of great quantity products was made possible with homogeneous dose distribution. The radiation technical characteristics, the utilization coefficient and the capacity of the facility for every agricultural product were calculated. (author)

  16. The Design and Construction of the Advanced Mixed Waste Treatment Facility

    Energy Technology Data Exchange (ETDEWEB)

    Harrop, G.

    2003-02-27

    The Advanced Mixed Treatment Project (AMWTP) privatized contract was awarded to BNFL Inc. in December 1996 and construction of the main facility commenced in August 2000. The purpose of the advanced mixed waste treatment facility is to safely treat plutonium contaminated waste, currently stored in drums and boxes, for final disposal at the Waste Isolation Pilot Plant (WIPP). The plant is being built at the Idaho National Engineering and Environmental Laboratory. Construction was completed in 28 months, to satisfy the Settlement Agreement milestone of December 2002. Commissioning of the related retrieval and characterization facilities is currently underway. The first shipment of pre-characterized waste is scheduled for March 2003, with AMWTP characterized and certified waste shipments from June 2003. To accommodate these challenging delivery targets BNFL adopted a systematic and focused construction program that included the use of a temporary structure to allow winter working, proven design and engineering principles and international procurement policies to help achieve quality and schedule. The technology involved in achieving the AMWTP functional requirements is primarily based upon a BNFL established pedigree of plant and equipment; applied in a manner that suits the process and waste. This technology includes the use of remotely controlled floor mounted and overhead power manipulators, a high power shredder and a 2000-ton force supercompactor with the attendant glove box suite, interconnections and automated material handling. The characterization equipment includes real-time radiography (RTR) units, drum and box assay measurement systems, drum head space gas sampling / analysis and drum venting, drum coring and sampling capabilities. The project adopted a particularly stringent and intensive pre-installation testing philosophy to ensure that equipment would work safely and reliably at the required throughput. This testing included the complete off site

  17. The Design and Construction of the Advanced Mixed Waste Treatment Facility

    International Nuclear Information System (INIS)

    Harrop, G.

    2003-01-01

    The Advanced Mixed Treatment Project (AMWTP) privatized contract was awarded to BNFL Inc. in December 1996 and construction of the main facility commenced in August 2000. The purpose of the advanced mixed waste treatment facility is to safely treat plutonium contaminated waste, currently stored in drums and boxes, for final disposal at the Waste Isolation Pilot Plant (WIPP). The plant is being built at the Idaho National Engineering and Environmental Laboratory. Construction was completed in 28 months, to satisfy the Settlement Agreement milestone of December 2002. Commissioning of the related retrieval and characterization facilities is currently underway. The first shipment of pre-characterized waste is scheduled for March 2003, with AMWTP characterized and certified waste shipments from June 2003. To accommodate these challenging delivery targets BNFL adopted a systematic and focused construction program that included the use of a temporary structure to allow winter working, proven design and engineering principles and international procurement policies to help achieve quality and schedule. The technology involved in achieving the AMWTP functional requirements is primarily based upon a BNFL established pedigree of plant and equipment; applied in a manner that suits the process and waste. This technology includes the use of remotely controlled floor mounted and overhead power manipulators, a high power shredder and a 2000-ton force supercompactor with the attendant glove box suite, interconnections and automated material handling. The characterization equipment includes real-time radiography (RTR) units, drum and box assay measurement systems, drum head space gas sampling / analysis and drum venting, drum coring and sampling capabilities. The project adopted a particularly stringent and intensive pre-installation testing philosophy to ensure that equipment would work safely and reliably at the required throughput. This testing included the complete off site

  18. DSM-5 Criteria and Its Implications for Diagnosing PTSD in Military Service Members and Veterans.

    Science.gov (United States)

    Guina, Jeffrey; Welton, Randon S; Broderick, Pamela J; Correll, Terry L; Peirson, Ryan P

    2016-05-01

    This review addresses how changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 posttraumatic stress disorder (PTSD) criteria has the potential to affect the care and careers of those who have served in the military, where the diagnosis often determines fitness for duty and veterans' benefits. PTSD criteria changes were intended to integrate new knowledge acquired since previous DSM editions. Many believe the changes will improve diagnosis and treatment, but some worry these could have negative clinical, occupational, and legal consequences. We analyze the changes in classification, trauma definition, symptoms, symptom clusters, and subtypes and possible impacts on the military (e.g., over- and under-diagnosis, "drone" video exposure, subthreshold PTSD, and secondary PTSD). We also discuss critiques and proposals for future changes. Our objectives are to improve the screening, diagnosis, and treatment of those service members who have survived trauma and to improve policies related to the military mental healthcare and disability systems.

  19. Families in the Military

    Science.gov (United States)

    ... family that loses the active presence of a parent through separation faces significant challenges and stress. During the parent's ... children can and do adjust successfully to the separation and stress involved when a parent in the military is deployed. Visit AACAP's Military ...

  20. Treatment of nanomaterial-containing waste in thermal waste treatment facilities; Behandlung nanomaterialhaltiger Abfaelle in thermischen Abfallbehandlungsanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Vogel, Julia; Weiss, Volker [Umweltbundesamt, Dessau-Rosslau (Germany); Oischinger, Juergen; Meiller, Martin; Daschner, Robert [Fraunhofer Umsicht, Sulzbach-Rosenberg (Germany)

    2016-09-15

    There is already a multitude of products on the market, which contain synthetic nanomaterials (NM), and for the coming years an increase of such products can be expected. Consequently, it is predictable that more nanomaterial-containing waste will occur in the residual waste that is predominately disposed in thermal waste treatment plants. However, the knowledge about the behaviour and effects of nanomaterials from nanomaterial-containing waste in this disposal route is currently still low. A research project of the German Environment Agency on the ''Investigation of potential environmental impacts when disposing nanomaterial-containing waste in waste treatment plants'' will therefore dedicate itself to a detailed examination of emission pathways in the thermal waste treatment facilities. The tests carried out i.a. on an industrial waste incineration plant and a sludge incineration plant with controlled addition of titanium dioxide at the nanoscale, showed that no increase in the emissions of NM in the exhaust gas was detected. The majority of the NM was found in the combustion residues, particularly the slag.

  1. ENGINEERING STUDY FOR THE 200 AREA EFFLUENT TREATMENT FACILITY (ETF) SECONDARY WASTE TREATMENT OF PROJECTED FUTURE WASTE FEEDS

    International Nuclear Information System (INIS)

    LUECK, K.J.

    2004-01-01

    This report documents an engineering study conducted to evaluate alternatives for treating secondary waste in the secondary treatment train (STT) of the Hanford Site 200 Area Effluent Treatment Facility (ETF). The study evaluates ETF STT treatment alternatives and recommends preferred alternatives for meeting the projected future missions of the ETF. The preferred alternative(s) will process projected future ETF influents to produce a solid waste acceptable for final disposal on the Hanford Site. The main text of this report summarizes the ETF past and projected operations, lists the assumptions about projected operations that provide the basis for the engineering evaluation, and summarizes the evaluation process. The evaluation process includes identification of available modifications to the current ETF process, screens those modifications for technical viability, evaluates the technically viable alternatives, and provides conclusions and recommendations based on that evaluation

  2. Comparison of poisonings managed at military and Veterans Administration hospitals reported to Texas poison centers.

    Science.gov (United States)

    Forrester, M B

    2017-01-01

    There is little information on poisonings managed at military and Veterans Administration (VA) hospitals. This investigation described and compared poisonings reported to Texas poison centers that were managed at military and VA hospitals. Retrospective analysis of poison centre data. Cases were poisonings among patients aged 18 years or more reported to Texas poison centers during 2000-2015 where management occurred at a military or VA hospital. The distribution of exposures for various demographic and clinical factors was determined for military and veterans hospitals and comparisons were made between the two groups. There were 4353 and 1676 poisonings managed at military and VA hospitals, resepctively. Males accounted for 50.5% of the military hospital patients and 84.9% of the VA hospital patients. The mean age for military hospital patients was 31 years and for VA hospital patients was 50 years. The proportion of poisonings managed at military hospitals and VA hospitals, respectively, were intentional (70.0% vs 64.1%), particularly suspected attempted suicide (57.3% vs 47.7%), and unintentional (25.0% vs 30.5%). More than one substance was reported in 37.7% of military and 33.2% of VA hospital poisonings. The most commonly reported substance categories for poisonings managed at military and VA hospitals, respectively, were analgesics (28.4% vs 19.7%), sedatives/hypnotics/antipsychotics (24.7% vs 23.4%), antidepressants (18.7% vs 19.7%) and alcohol (11.3% vs 10.6%). A number of differences were observed between poisonings managed at military and VA hospitals. These differing patterns of poisonings may need to be taken into account in the education, prevention and treatment of poisonings at these hospitals and among the populations they serve. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  3. Performance specifications for proton medical facility

    Energy Technology Data Exchange (ETDEWEB)

    Chu, W.T.; Staples, J.W.; Ludewigt, B.A.; Renner, T.R.; Singh, R.P.; Nyman, M.A.; Collier, J.M.; Daftari, I.K.; Petti, P.L.; Alonso, J.R. [Lawrence Berkeley Lab., CA (United States); Kubo, H.; Verhey, L.J. [University of California Davis Medical Center, Sacramento, CA (United States). Cancer Center]|[California Univ., San Francisco, CA (United States). School of Medicine; Castro, J.R. [Lawrence Berkeley Lab., CA (United States)]|[University of California Davis Medical Center, Sacramento, CA (United States). Cancer Center]|[California Univ., San Francisco, CA (United States). School of Medicine

    1993-03-01

    Performance specifications of technical components of a modern proton radiotherapy facility are presented. The technical items specified include: the accelerator; the beam transport system including rotating gantry; the treatment beamline systems including beam scattering, beam scanning, and dosimetric instrumentation; and an integrated treatment and accelerator control system. Also included are treatment ancillary facilities such as diagnostic tools, patient positioning and alignment devices, and treatment planning systems. The facility specified will accommodate beam scanning enabling the three-dimensional conformal therapy deliver .

  4. [Management of military medical service in Ukraine: origin, trends, and mechanism of development (1992-2004)].

    Science.gov (United States)

    Radysh, Ia F

    2005-01-01

    Three periods of the development of military medical service management in Ukraine can be outlined according to the findings of the conducted study, they are the following: formation (1992-1994), consolidation and development (the end of 1994-2003), functional and structural transformation (2004). Leading tendencies of the formation of the management of medical military service in the period are shown in the article to be democratization and structural order of units of the system of the management of military service, integration of efforts and resources of medical military service in one medically covered area of the state, introduction and intensive expansion in army prophylactic and treatment institutions of wide spectrum of requiring payment medical service, rendering out-patient medical service to armed forces personnel and pensioner of Ministry of Defense by family physicians, orientation toward effective management.

  5. 7 CFR 3550.158 - Active military duty.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Active military duty. 3550.158 Section 3550.158... AGRICULTURE DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.158 Active military duty...-time active military duty after a loan is closed not exceed six percent. Active military duty does not...

  6. State waste discharge permit application for the 200 Area Effluent Treatment Facility and the State-Approved Land Disposal Site

    International Nuclear Information System (INIS)

    1993-08-01

    Application is being made for a permit pursuant to Chapter 173--216 of the Washington Administrative Code (WAC), to discharge treated waste water and cooling tower blowdown from the 200 Area Effluent Treatment Facility (ETF) to land at the State-Approved Land Disposal Site (SALDS). The ETF is located in the 200 East Area and the SALDS is located north of the 200 West Area. The ETF is an industrial waste water treatment plant that will initially receive waste water from the following two sources, both located in the 200 Area on the Hanford Site: (1) the Liquid Effluent Retention Facility (LERF) and (2) the 242-A Evaporator. The waste water discharged from these two facilities is process condensate (PC), a by-product of the concentration of waste from DSTs that is performed in the 242-A Evaporator. Because the ETF is designed as a flexible treatment system, other aqueous waste streams generated at the Hanford Site may be considered for treatment at the ETF. The origin of the waste currently contained in the DSTs is explained in Section 2.0. An overview of the concentration of these waste in the 242-A Evaporator is provided in Section 3.0. Section 4.0 describes the LERF, a storage facility for process condensate. Attachment A responds to Section B of the permit application and provides an overview of the processes that generated the wastes, storage of the wastes in double-shell tanks (DST), preliminary treatment in the 242-A Evaporator, and storage at the LERF. Attachment B addresses waste water treatment at the ETF (under construction) and the addition of cooling tower blowdown to the treated waste water prior to disposal at SALDS. Attachment C describes treated waste water disposal at the proposed SALDS

  7. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System.

    Science.gov (United States)

    King, Heidi B; Kesling, Kimberly; Birk, Carmen; Walker, Theodore; Taylor, Heather; Datena, Michael; Burgess, Brittany; Bower, Lyndsay

    2017-03-01

    Partnership for Patients (PfP) was a national initiative sponsored by the Department of Health and Human Services, Centers for Medicare and Medicaid Services, to reduce preventable hospital acquired conditions (HACs) by 40% and readmissions (within 30 days) by 20%, by the end of 2013 (as compared to the baseline of CY2010). Along with partners across the nation, the Assistant Secretary of Defense for Health Affairs, Dr. Jonathan Woodson, pledged to support PfP in June 2011. Participation of the Military Health System (MHS) in PfP marked the implementation of the first enterprise-wide patient safety initiative. Three phases of the MHS initiative were developed to meet the aims of the national PfP initiative: (1) Planning and Design, (2) Implementation, and (3) Monitoring and Sustainment. The Planning and Design phase focused on the identification of evidence-based practices (Table III); the development of implementation guides; the implementation of various communication, education, and improvement strategies; and the development of methods by which to track progress and share successes. The implementation phase focused on identifying roles and responsibilities across all levels of care; creating, disseminating, and implementing evidence-based practices at participating military treatment facilities; and establishing a structured learning action network. Finally, during the monitoring and sustainment phase, per the guidance of the Agency for Healthcare Research and Quality, an overall HAC rate was developed for quarterly analysis. The HAC rate per 1,000 dispositions (i.e., discharges) was an aggregate of all PfP HACs. Using the HAC rate, the improvement rate was calculated by comparing the current quarter's HAC rate to the baseline (CY2010). This allowed the MHS to track the overall progress across the enterprise. The MHS achieved a number of accomplishments, including a 15.8% cumulative reduction in HACs by the end of 2013, an 11.1% reduction in readmissions

  8. Cooperative Extension Training Impact on Military Youth and 4-H Youth: The Case of Speak Out for Military Kids

    Science.gov (United States)

    Edwin, James; McKinley, Steve; Talbert, B. Allen

    2010-01-01

    Extension needs new venues to promote their programming skills to unfamiliar audiences. One new audience Extension is currently reaching is military children. By partnering with Operation: Military Kids to offer a Speak Out for Military Kids training, Extension supports military children and document changes in the behavior of this audience.…

  9. Pending crisis in Russian civil military relations

    Energy Technology Data Exchange (ETDEWEB)

    Ball, D.Y.

    1997-10-01

    A key issue in the study of civil-military relations has been how to create a military sufficiently strong to ensure security from external threats while simultaneously preventing the military from using its preponderance of power in the domestic arena. This dilemma arises from the fear engendered by a large armed force created to combat foreign threats, but which is also inherently a threat to the society that created it. In Russia, however, the question is not how the civilian leadership can keep the military out of politics, but how the military can keep the leadership from politicizing the armed forces. The Russian military has no interest in resolving Russia`s domestic political problems. It is a professional military that prefers to leave politics to the politicians, and to carry out its mission of defending the nation against external attack. But the lack of responsible central leadership and the poor state of the economy are driving the military toward involvement in domestic politics if for no other reason than to ensure its own survival.

  10. Integrating occupational therapy in treating combat stress reaction within a military unit: An intervention model.

    Science.gov (United States)

    Gindi, Shahar; Galili, Giora; Volovic-Shushan, Shani; Adir-Pavis, Shirly

    2016-01-01

    Combat stress reaction (CR) is a syndrome with a wide range of symptoms including changes in soldiers' behaviors, emotional and physiological responses, avoidance and a decrease in both personal and military functioning. The short-term goal in treating CR is a speedy return to healthy functioning, whereas the long-term goal is to prevent the development of PTSD. Previous research has indicated that the achievement of this short-term goal affects the achievement of the long-term goal and vice versa. Effective treatment requires intervention by trained professionals proficient in reinforcing personal and functional identity without psychiatric labelling. The present paper presents a therapeutic model integrating OT in treating CR within a military setting. The model emphasizes the importance of preventing fixation to the role of 'patient' and a rapid return to maximal functioning. Based on Kielhofner's Model of Human Occupation, which aims to promote adaptive and efficient functioning by engaging soldiers in tasks supporting their military identity, empowering functionality, and increasing their perceived competency. The model emphasizes the therapeutic milieu within a military environment. Practical application of this model focuses on interdisciplinary aspects and client-focused application. The paper describes an assessment process for each soldier entering the CR unit and a treatment model integrating OT.

  11. REVOLUTION IN MILITARY SCIENCE, ITS IMPORTANCE AND CONSEQUENCES, MILITARY ART ON A NEW STAGE,

    Science.gov (United States)

    The central problem of modern military art is defined as the development of new methods of conducting armed conflict. The changes involving the radical military technical re-equipping of Soviet Armed Forces, are described.

  12. An art report to analyze internal and external research status for the establishment of the safe supply system of the foods for military meal service using ionization energy

    International Nuclear Information System (INIS)

    Byun, Myung Woo; Lee, Ju Woon; Kim, Jang Ho; Jo, Cheol Hun; Kim, Dong Ho; Lee, You Seok

    2003-09-01

    Since the risk of food-borne pathogenic diseases such as E. coli O157:H7 and Salmonella always remains in the military meal service system, it is necessary to develop the method to eliminate this problem. According to the preference survey of military meals, it is shown that soldiers preferred the improvement in quality such as tastes and variety to the increase in quantity. For this reason, the supply of diverse foods, improvement of cooking methods, and the complement of meal service facilities are required. The developed countries such as the United States maintain the facilities to control the environmental factors such as temperature, moisture, and oxygen and they develop and use the rapid methods to test the storage times of each category of foods based on the theoretical studies of food storage/preservation/processing and their experimental data. Due to the ordinary sanitation methods are gradually limited all over the world, as new technology for prevention of food-borne diseases and establishment to manufacture wholesome food, a radiation technology is very effective to ensure safe food and preservation/distribution, improve the safety of processed food and its manufacturing processes. And, the military meal service including combat rations furnishes viability, energy, ability for duty, and mental rest to soldiers. Furthermore, it ensures combat capabilities, enhances mobility power of troops, improves combat efficiency, and establishes the military supply system. It is necessary to study irradiation technique in order to establish the safe food supply system for military meal service and eliminate contamination such as food-borne disease for combat crews as an essential element in military power

  13. Physical security of nuclear facilities

    International Nuclear Information System (INIS)

    Dixon, H.

    1987-01-01

    A serious problem with present security systems at nuclear facilities is that the threats and standards prepared by the NRC and DOE are general, and the field offices are required to develop their own local threats and, on that basis, to prepared detailed specifications for security systems at sites in their jurisdiction. As a result, the capabilities of the systems vary across facilities. Five steps in particular are strongly recommended as corrective measures: 1. Those agencies responsible for civil nuclear facilities should jointly prepare detailed threat definitions, operational requirements, and equipment specifications to protect generic nuclear facilities, and these matters should be issued as policy. The agencies should provide sufficient detail to guide the design of specific security systems and to identify candidate components. 2. The DOE, NRC, and DOD should explain to Congress why government-developed security and other military equipment are not used to upgrade existing security systems and to stock future ones. 3. Each DOE and NRC facility should be assessed to determine the impact on the size of the guard force and on warning time when personnel-detecting radars and ground point sensors are installed. 4. All security guards and technicians should be investigated for the highest security clearance, with reinvestigations every four years. 5. The processes and vehicles used in intrafacility transport of nuclear materials should be evaluated against a range of threats and attack scenarios, including violent air and vehicle assaults. All of these recommendations are feasible and cost-effective. The appropriate congressional subcommittees should direct that they be implemented as soon as possible

  14. Exposure to airborne fungi during sorting of recyclable plastics in waste treatment facilities.

    Science.gov (United States)

    Černá, Kristýna; Wittlingerová, Zdeňka; Zimová, Magdaléna; Janovský, Zdeněk

    2017-02-28

    In working environment of waste treatment facilities, employees are exposed to high concentrations of airborne microorganisms. Fungi constitute an essential part of them. This study aims at evaluating the diurnal variation in concentrations and species composition of the fungal contamination in 2 plastic waste sorting facilities in different seasons. Air samples from the 2 sorting facilities were collected through the membrane filters method on 4 different types of cultivation media. Isolated fungi were classified to genera or species by using a light microscopy. Overall, the highest concentrations of airborne fungi were recorded in summer (9.1×103-9.0×105 colony-forming units (CFU)/m3), while the lowest ones in winter (2.7×103-2.9×105 CFU/m3). The concentration increased from the beginning of the work shift and reached a plateau after 6-7 h of the sorting. The most frequently isolated airborne fungi were those of the genera Penicillium and Aspergillus. The turnover of fungal species between seasons was relatively high as well as changes in the number of detected species, but potentially toxigenic and allergenic fungi were detected in both facilities during all seasons. Generally, high concentrations of airborne fungi were detected in the working environment of plastic waste sorting facilities, which raises the question of health risk taken by the employees. Based on our results, the use of protective equipment by employees is recommended and preventive measures should be introduced into the working environment of waste sorting facilities to reduce health risk for employees. Med Pr 2017;68(1):1-9. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  15. The Military and the Transition to Adulthood

    Science.gov (United States)

    Kelty, Ryan; Kleykamp, Meredith; Segal, David R.

    2010-01-01

    Ryan Kelty, Meredith Kleykamp, and David Segal examine the effect of military service on the transition to adulthood. They highlight changes since World War II in the role of the military in the lives of young adults, focusing especially on how the move from a conscription to an all-volunteer military has changed the way military service affects…

  16. 32 CFR 1602.17 - Military service.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Military service. 1602.17 Section 1602.17 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM DEFINITIONS § 1602.17 Military service. The term military service includes service in the Army, the Navy, the Air Force...

  17. Privatized Military Operations

    Science.gov (United States)

    2006-01-01

    environment such as that in Abu Grahib prison , where military personnel tasked with similar duties to that of contractors have been held legally accountable... Grahib Prison . The Washington Post. Office of Management and Budget Circular A-76. (August 4, 1988. Revised 1999). Performance of Commercial...downsizes the military after the Global War on Terror as it did after the Cold War. Private contractors depend largely upon former service members to

  18. Assessment of Military Cultural Competence: A Pilot Study.

    Science.gov (United States)

    Meyer, Eric G; Hall-Clark, Brittany N; Hamaoka, Derrick; Peterson, Alan L

    2015-08-01

    Cultural competence is widely considered a cornerstone of patient care. Efforts to improve military cultural competency have recently gained national attention. Assessment of cultural competence is a critical component to this effort, but no assessment of military cultural competence currently exists. An assessment of military cultural competence (AMCC) was created through broad input and consensus. Careful review of previous cultural competency assessment designs and analysis techniques was considered. The AMCC was organized into three sections: skills, attitudes, and knowledge. In addition to gathering data to determine absolute responses from groups with different exposure levels to the military (direct, indirect, and none), paired questions were utilized to assess relative competencies between military culture and culture in general. Piloting of the AMCC revealed significant differences between military exposure groups. Specifically, those with personal military exposure were more likely to be in absolute agreement that the military is a culture, were more likely to screen for military culture, and had increased knowledge of military culture compared to those with no military exposure. Relative differences were more informative. For example, all groups were less likely to agree that their personal culture could be at odds with military culture as compared to other cultures. Such perceptions could hinder asking difficult questions and thus undermine care. The AMCC is a model for the measurement of the skills, attitudes, and knowledge related to military cultural competence. With further validity testing, the AMCC will be helpful in the critical task of measuring outcomes in ongoing efforts to improve military cultural competence. The novel approach of assessing variance appears to reduce bias and may also be helpful in the design of other cultural competency assessments.

  19. Assessment and treatment of soil and ground water contamination at military airfields

    International Nuclear Information System (INIS)

    Bollow, T.; Goth, M.; Nazari, M.

    1994-01-01

    Assessing air pollution at military airfields is difficult for some special reasons. These may be lack of data, frequently changing - and often, therefore, uninformed - personnel, and a history of the use of the most diverse chemicals which were not always properly stored and disposed of. As an added problem, decontamination needs to be effected stepwise, according to priorities, for lack of funds. Procedural recommendations are given by means of practical examples. (orig.) [de

  20. Firearm Ownership Among Military Veterans With PTSD: A Profile of Demographic and Psychosocial Correlates.

    Science.gov (United States)

    Heinz, Adrienne J; Cohen, Nicole L; Holleran, Lori; Alvarez, Jennifer A; Bonn-Miller, Marcel O

    2016-10-01

    Post-traumatic stress disorder (PTSD), a condition that disproportionately affects military veterans, is associated with heightened rates of aggression and suicide. Although experience with firearms is common among this population, virtually nothing is known regarding who is more likely to own a firearm and whether firearm ownership is differentially associated with psychological and behavioral risk factors among veterans with PTSD. Of 465 veterans (79% male) entering PTSD treatment, 28% owned a firearm (median number of firearms among owners = 3, range = 1-40). Firearm owners reported higher income were less likely to be unemployed, and were more likely to be male, Caucasian, married, and living in permanent housing. Ownership was associated with higher combat exposure and driving aggression, yet lower rates of childhood and military sexual trauma, suicidal ideation, and incarceration. Ownership was not associated with previous suicide attempt, arrest history, number of traumas experienced, PTSD symptoms, or depression. Together, among a sample of treatment-seeking military veterans with PTSD, those who owned a firearm appeared to demonstrate greater stability across a number of domains of functioning. Importantly though, routine firearm safety discussions (e.g., accessibility restrictions; violence risk assessments) and bolstering of anger management skills remain critical when working with this high-risk population. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.