WorldWideScience

Sample records for recovery act support

  1. ACT and Recovery: What We Know About Their Compatibility.

    Science.gov (United States)

    Morse, Gary; Glass, Ashley M H; Monroe-DeVita, Maria

    2016-03-01

    While assertive community treatment (ACT) is a widely implemented evidence-based practice, the extent of its recovery orientation has been debated. A literature search identified 16 empirical articles studying recovery and ACT. These 16 studies were classified as involving stakeholder perceptions, interventions, or fidelity measurement. Stakeholders generally viewed ACT as being recovery oriented; research on both interventions and fidelity measurement showed promising approaches. Overall the literature yielded encouraging findings regarding ACT and recovery, though there remains a dearth of research on the topic. We discuss future directions for research and practice to ensure that ACT programs skillfully support recovery.

  2. the dutch crisis and recovery act: economic recovery and legal crisis

    African Journals Online (AJOL)

    Jonathan

    THE DUTCH CRISIS AND RECOVERY ACT: ECONOMIC RECOVERY AND. LEGAL CRISIS? J Verschuuren. 1 Introduction. Throughout the world, governments are responding to the financial and economic crisis. Such responses vary from supporting the banking system to adopting economic stimulus packages. The latter ...

  3. Department of Energy Recovery Act Investment in Biomass Technologies

    Energy Technology Data Exchange (ETDEWEB)

    None

    2010-11-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) provided more than $36 billion to the Department of Energy (DOE) to accelerate work on existing projects, undertake new and transformative research, and deploy clean energy technologies across the nation. Of this funding, $1029 million is supporting innovative work to advance biomass research, development, demonstration, and deployment.

  4. Measuring the Recovery Orientation of ACT

    Science.gov (United States)

    Salyers, Michelle P.; Stull, Laura G.; Rollins, Angela L.; McGrew, John H.; Hicks, Lia J.; Thomas, Dave; Strieter, Doug

    2014-01-01

    Background Approaches to measuring recovery orientation are needed, particularly for programs that may struggle with implementing recovery-oriented treatment. Objective A mixed methods comparative study was conducted to explore effective approaches to measuring recovery orientation of Assertive Community Treatment (ACT) teams. Design Two ACT teams exhibiting high and low recovery orientation were compared using surveys, treatment plan ratings, diaries of treatment visits, and team-leader-reported treatment control mechanisms. Results The recovery-oriented team differed on one survey measure (higher expectations for consumer recovery), treatment planning (greater consumer involvement and goal-directed content), and use of control mechanisms (less use of representative payee, agency-held lease, daily medication delivery, and family involvement). Staff and consumer diaries showed the most consistent differences (e.g., conveying hope and choice) and were the least susceptible to observer bias, but had the lowest response rates. Conclusions Several practices differentiate recovery orientation on ACT teams, and a mixed-methods assessment approach is feasible. PMID:23690285

  5. The Comprehensive Addiction and Recovery Act: Opioid Use Disorder and Midwifery Practice.

    Science.gov (United States)

    Murphy, Jeanne; Goodman, Daisy; Johnson, M Christina; Terplan, Mishka

    2018-03-01

    The federal response to the opioid use disorder crisis has included a mobilization of resources to encourage office-based pharmacotherapy with buprenorphine, an effort culminating in the 2016 Comprehensive Addiction and Recovery Act, signed into law as Public Law 114-198. The Comprehensive Addiction and Recovery Act was designed to increase access to treatment with special emphasis on services for pregnant women and follow-up for infants affected by prenatal substance exposure. In this effort, the Comprehensive Addiction and Recovery Act laudably expands eligibility for obtaining a waiver to prescribe buprenorphine to nurse practitioners and physician assistants. However, certified nurse-midwives and certified midwives, who care for a significant proportion of pregnant and postpartum women and attend a significant proportion of births in the United States, were not included in the Comprehensive Addiction and Recovery Act legislation. In this commentary, we argue that an "all-hands" approach to providing office-based medication-assisted treatment for opioid use disorder is essential to improving access to treatment. Introduced in the House of Representatives in September 2017, the Addiction Treatment Access Improvement Act (H.R. 3692) would allow midwives to apply for the federal waiver to prescribe buprenorphine and is supported by the American College of Obstetricians and Gynecologists and the American College of Nurse-Midwives. We support this change and encourage the U.S. Congress to act quickly to allow midwives to prescribe medication-assisted treatment for pregnant women with opioid use disorder.

  6. EPA Linked Open Data: Resource Conservation and Recovery Act Handlers (RCRA)

    Data.gov (United States)

    U.S. Environmental Protection Agency — RCRAInfo is EPA’s comprehensive information system that supports the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste...

  7. National Weatherization Assistance Program Characterization Describing the Recovery Act Period

    Energy Technology Data Exchange (ETDEWEB)

    Tonn, Bruce Edward [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Rose, Erin M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hawkins, Beth A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-10-01

    This report characterizes the U.S. Department of Energy s Weatherization Assistance Program (WAP) during the American Recovery and Reinvestment Act of 2009 (Recovery Act) period. This research was one component of the Recovery Act evaluation of WAP. The report presents the results of surveys administered to Grantees (i.e., state weatherization offices) and Subgrantees (i.e., local weatherization agencies). The report also documents the ramp up and ramp down of weatherization production and direct employment during the Recovery Act period and other challenges faced by the Grantees and Subgrantees during this period. Program operations during the Recovery Act (Program Year 2010) are compared to operations during the year previous to the Recovery Act (Program Year 2008).

  8. Decision support systems for recovery of endangered species

    International Nuclear Information System (INIS)

    Armstrong, C.E.

    1995-01-01

    The listing of a species as endangered under the Endangered Species Act invokes a suite of responses to help improve conditions for the recovery of that species, to include identification of stressors contributing to population loss, decision analysis of the impacts of proposed recovery options, and implementation of optimal recovery measures. The ability of a decision support system to quantify inherent stressor uncertainties and to identify the key stressors that can be controlled or eliminated becomes key to ensuring the recovery of an endangered species. The listing of the Snake River sockeye, spring/summer chinook, and fall chinook salmon species in the Snake River as endangered provides a vivid example of the importance of sophisticated decision support systems. Operational and physical changes under consideration at eight of the hydroelectric dams along the Columbia and Lower Snake River pose significant financial impacts to a variety of stakeholders involved in the salmon population recovery process and carry significant uncertainties of outcome. A decision support system is presented to assist in the identification of optimal recovery actions for this example that includes the following: creation of datamarts of information on environmental, engineering, and ecological values that influence species survival; incorporation of decision analysis tools to determine optimal decision policies; and the use of geographic information systems (GIS) to provide a context for decision analysis and to communicate the impacts of decision policies

  9. Recovery act : states' use of highway infrastructure funds and compliance with the act's requirements.

    Science.gov (United States)

    2009-01-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) included more than $48 billion for the Department of Transportations (DOT) investment in transportation infrastructure, including highways, rail, and transit. This testimonybased...

  10. The Dutch "Crisis and Recovery Act": Economic recovery and legal ...

    African Journals Online (AJOL)

    In the Netherlands, the 2010 Crisis and Recovery Act aims at speeding up decisionmaking on a wide variety of activities, hoping that after the financial and economic crisis has passed, development projects can immediately be carried out without any delay caused by legal procedures in court or elsewhere. The Act meets ...

  11. The Dutch Crisis and Recovery Act: Economic Recovery and Legal Crisis?

    Directory of Open Access Journals (Sweden)

    J Verschuuren

    2010-12-01

    Full Text Available In the Netherlands, the 2010 Crisis and Recovery Act aims at speeding up decisionmaking on a wide variety of activities, hoping that after the financial and economic crisis has passed, development projects can immediately be carried out without any delay caused by legal procedures in court or elsewhere. The Act meets great criticism for many reasons: it allegedly curtails citizen's procedural rights because it focuses almost exclusively on environmental standards as "obstructing" standards that need to be removed, and it infringes international and European Union law. In this note, the legal critique on the Act is analysed. The conclusion is that the sense of urgency surrounding the design of legal measures to address the economic crisis enables the legislature to implement innovations and long-time pending amendments to existing legislation. Most issues have however not been fully or properly considered. Many legal questions will arise when implementing the Act, which will retard rather than expedite projects. It is difficult to predict whether the positive effects of the Crisis and Recovery Act would outweigh the negative aspects. Much depends on the manner in which the authorities will actually apply the Act. Should they implement the Act to its full potential, the effect of the Act in sum will be negative. In that case, the Act may help the economy to recover, but it will bring about a crisis in the legal system. It will, in all probability, also not contribute to sustainable development.

  12. A socioeconomic assessment of Forest Service American Recovery and Reinvestment Act projects: eight case studies

    Science.gov (United States)

    Susan Charnley; Pamela J. Jakes; John Schelhas

    2011-01-01

    The American Recovery and Reinvestment Act of 2009 aimed to create jobs and jumpstart the economy while addressing the Nation’s social and environmental needs. The U.S. Department of Agriculture, Forest Service, received $1.15 billion in recovery funding to support projects in wildland fire management, capital improvement and maintenance, and biomass utilization. This...

  13. Special Report "The American Recovery and Reinvestment Act and the Department of Energy"

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-03-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) was signed into law on February 17, 2009, as a way to jumpstart the U.S. economy, create or save millions of jobs, spur technological advances in science and health, and invest in the Nation's energy future. This national effort will require an unprecedented level of transparency and accountability to ensure that U.S. citizens know where their tax dollars are going and how they are being spent. As part of the Recovery Act, the Department of Energy will receive more than $38 billion to support a number of science, energy, and environmental initiatives. Additionally, the Department's authority to make or guarantee energy-related loans has increased to about $127 billion. The Department plans to disburse the vast majority of the funds it receives through grants, cooperative agreements, contracts, and other financial instruments. The supplemental funding provided to the Department of Energy under the Recovery Act dwarfs the Department's annual budget of about $27 billion. The infusion of these funds and the corresponding increase in effort required to ensure that they are properly controlled and disbursed in a timely manner will, without doubt, strain existing resources. It will also have an equally challenging impact on the inherent risks associated with operating the Department's sizable portfolio of missions and activities and, this is complicated by the fact that, in many respects, the Recovery Act requirements represent a fundamental transformation of the Department's mission. If these challenges are to be met successfully, all levels of the Department's structure and its many constituents, including the existing contractor community; the national laboratory system; state and local governments; community action groups and literally thousands of other contract, grant, loan and cooperative agreement recipients throughout the Nation will have to strengthen existing or

  14. 75 FR 53153 - Federal Acquisition Regulation; American Recovery and Reinvestment Act of 2009 (the Recovery Act...

    Science.gov (United States)

    2010-08-30

    ... States would not fully implement section 1605 of the Recovery Act. Section 1605 singled out iron and... statute and how best to convey these requirements in the regulations. Because iron and steel are singled...

  15. Opportunities in the American Recovery and Reinvestment Act for Supports and Services for Youth Transitioning from Foster Care

    Science.gov (United States)

    Flynn-Khan, Margaret; Langford, Barbara Hanson

    2009-01-01

    To address the economic crisis facing the country, the President signed the American Recovery and Reinvestment Act (ARRA) into law on February 17, 2009. This sweeping legislation provides $789 billion to jumpstart the economy and boost employment. This act includes $463 billion in new spending and $326 billion in tax relief directed at those…

  16. Recovery Act. Tapoco project. Cheoah upgrade

    Energy Technology Data Exchange (ETDEWEB)

    Tran, Paul [Alcoa Inc., Alcoa Center, PA (United States)

    2013-10-02

    Under Funding Opportunity Announcement Number: DE-FOA-0000120, Recovery Act: Hydroelectric Facility Modernization, Alcoa Power Generating Inc. (APGI), a fully owned subsidiary of Alcoa Inc., implemented major upgrades at its Cheoah hydroelectric facility near Robbinsville, North Carolina.

  17. American Recovery and Reinvestment Act-comparative effectiveness research infrastructure investments: emerging data resources, tools and publications.

    Science.gov (United States)

    Segal, Courtney; Holve, Erin

    2014-11-01

    The Recovery Act provided a substantial, one-time investment in data infrastructure for comparative effectiveness research (CER). A review of the publications, data, and tools developed as a result of this support has informed understanding of the level of effort undertaken by these projects. Structured search queries, as well as outreach efforts, were conducted to identify and review resources from American Recovery and Reinvestment Act of 2009 CER projects building electronic clinical data infrastructure. The findings from this study provide a spectrum of productivity across a range of topics and settings. A total of 451 manuscripts published in 192 journals, and 141 data resources and tools were identified and address gaps in evidence on priority populations, conditions, and the infrastructure needed to support CER.

  18. Cleanups In My Community (CIMC) - Recovery Act Funded Cleanups, National Layer

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer provides access to Recovery Act Funded Cleanup sites as part of the CIMC web service. The American Recovery and Reinvestment Act was signed into law...

  19. Resource Conservation and Recovery Act Information (RCRAInfo)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Resource Conservation and Recovery Act Information (RCRAInfo) system contains information reported to the state environmental programs on activities and cleanup...

  20. Recovery Act Hospital Alteration Project at Naval Air Station Jacksonville

    Science.gov (United States)

    2010-12-07

    QMAD Quantitative Methods and Analysis Division RLF Rogers Lovelock & Fritz, Incorporated SE Southeast SF Square Feet SOW Statement of Work TMA TRICARE...Finally, the contractor, Rogers Lovelock & Fritz, Incorporated, reported the recipient information required by the Recovery Act. What We Recommend...contractor, Rogers Lovelock & Fritz, Incorporated (RLF), reported the recipient information required by the Recovery Act. Planning: Initially, Project

  1. Spousal recovery support, recovery experiences, and life satisfaction crossover among dual-earner couples.

    Science.gov (United States)

    Park, YoungAh; Fritz, Charlotte

    2015-03-01

    Research has indicated the importance of recovery from work stress for employee well-being and work engagement. However, very little is known about the specific factors that may support or hinder recovery in the context of dual-earner couples. This study proposes spousal recovery support as a potential resource that dual-earner couples can draw on to enhance their recovery experiences and well-being. It was hypothesized that spousal recovery support would be related to the recipient spouse's life satisfaction via his or her own recovery experiences (i.e., psychological detachment, relaxation, and mastery experiences). The study further investigated the crossover of life satisfaction between working spouses as a potential outcome of recovery processes. Data from 318 full-time employed married couples in South Korea were analyzed using structural equation modeling. Results showed that spousal recovery support was positively related to all 3 recovery experiences of the recipient spouse. Moreover, this recovery support was related to the recipient spouse's life satisfaction via relaxation and mastery experiences. Unexpectedly, psychological detachment was negatively related to life satisfaction, possibly indicating a suppression effect. Life satisfaction crossed over between working spouses. No gender differences were found in the hypothesized paths. Based on these findings, theoretical and practical implications are discussed, and future research directions are presented. PsycINFO Database Record (c) 2015 APA, all rights reserved.

  2. Audit Report on "The Department of Energy's American Recovery and Reinvestment Act -- Florida State Energy Program"

    Energy Technology Data Exchange (ETDEWEB)

    None

    2010-06-01

    The Department of Energy's Office of Energy Efficiency and Renewable Energy (EERE) provides grants to states, territories, and the District of Columbia to support their energy priorities through the State Energy Program (SEP). The SEP provides Federal financial assistance to carry out energy efficiency and renewable energy projects that meet each state's unique energy needs while also addressing national goals such as energy security. Federal funding is based on a grant formula that takes into account population and energy consumption. The SEP emphasizes the state's role as the decision maker and administrator for the program. The American Recovery and Reinvestment Act of 2009 (Recovery Act) expanded the SEP, authorizing $3.1 billion in grants. Based on existing grant formulas and after reviewing state-level plans, EERE made awards to states. The State of Florida's Energy Office (Florida) was allocated $126 million - a 90-fold increase over Florida's average annual SEP grant of $1.4 million. Per the Recovery Act, this funding must be obligated by September 30, 2010, and spent by April 30, 2012. As of March 10, 2010, Florida had expended $13.2 million of the SEP Recovery Act funds. Florida planned to use its grant funds to undertake activities that would preserve and create jobs; save energy; increase renewable energy sources; and, reduce greenhouse gas emissions. To accomplish Recovery Act objectives, states could either fund new or expand existing projects. As a condition of the awards, EERE required states to develop and implement sound internal controls over the use of Recovery Act funds. Based on the significant increase in funding from the Recovery Act, we initiated this review to determine whether Florida had internal controls in place to provide assurance that the goals of the SEP and Recovery Act will be met and accomplished efficiently and effectively. We identified weaknesses in the implementation of SEP Recovery Act projects that

  3. Making a Lasting Impression: Recovery Act Reporting At Hanford - 12528

    Energy Technology Data Exchange (ETDEWEB)

    Tebrugge, Kimberly; Disney, Maren [CH2MHILL Plateau Remediation Company, Richland, WA (United States)

    2012-07-01

    The award of American Recovery and Reinvestment Act funding came with an unprecedented request for transparency to showcase to the American public how the stimulus funding was being put to work to achieve the goals put forth by the U.S. Government. At the U.S. Department of Energy Hanford Site, this request manifested in a contract requirement to provide weekly narrative, photos and video to highlight Recovery Act-funded projects. For DOE contractor CH2M HILL Plateau Remediation Company (CH2M HILL), the largest recipient of Hanford's funding, the reporting mechanism evolved into a communications tool for documenting the highly technical cleanup, then effectively sharing that story with the DOE and its varying stakeholder audiences. The report set the groundwork for building a streaming narrative of week-by-week progress. With the end of the Recovery Act, CH2M HILL is applying lessons learned from this stringent, transparent reporting process to its long-term reporting and communications of the progress being made in nuclear decommissioning at Hanford. (authors)

  4. 78 FR 54250 - Federal Acquisition Regulation; Information Collection; American Recovery and Reinvestment Act...

    Science.gov (United States)

    2013-09-03

    ... Recovery Act; d. A narrative description of the employment impact of the Recovery Act funded work; and e... subcontracts awarded to a subcontractor that in the previous tax year had gross income under $300,000, the... data was a sufficient baseline for estimating the number of respondents per year (2,247) that would...

  5. 75 FR 16498 - Buy American Exceptions Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2010-04-01

    ... Reinvestment Act of 2009 (Pub. L. 111-05, approved February 17, 2009) (Recovery Act), and implementing guidance... stalls at the River Terrace Senior Apartments. FOR FURTHER INFORMATION CONTACT: Dominique G. Blom, Deputy... the Recovery Act and OMB's implementing guidance published on April 23, 2009 (74 FR 18449), this...

  6. Geography and recovery under the U.S. Endangered Species Act.

    Science.gov (United States)

    Carroll, Carlos; Vucetich, John A; Nelson, Michael P; Rohlf, Daniel J; Phillips, Michael K

    2010-04-01

    The U.S. Endangered Species Act (ESA) defines an endangered species as one "at risk of extinction throughout all or a significant portion of its range." The prevailing interpretation of this phrase, which focuses exclusively on the overall viability of listed species without regard to their geographic distribution, has led to development of listing and recovery criteria with fundamental conceptual, legal, and practical shortcomings. The ESA's concept of endangerment is broader than the biological concept of extinction risk in that the "esthetic, ecological, educational, historical, recreational, and scientific" values provided by species are not necessarily furthered by a species mere existence, but rather by a species presence across much of its former range. The concept of "significant portion of range" thus implies an additional geographic component to recovery that may enhance viability, but also offers independent benefits that Congress intended the act to achieve. Although the ESA differs from other major endangered-species protection laws because it acknowledges the distinct contribution of geography to recovery, it resembles the "representation, resiliency, and redundancy" conservation-planning framework commonly referenced in recovery plans. To address representation, listing and recovery standards should consider not only what proportion of its former range a species inhabits, but the types of habitats a species occupies and the ecological role it plays there. Recovery planning for formerly widely distributed species (e.g., the gray wolf [Canis lupus]) exemplifies how the geographic component implicit in the ESA's definition of endangerment should be considered in determining recovery goals through identification of ecologically significant types or niche variation within the extent of listed species, subspecies, or "distinct population segments." By linking listing and recovery standards to niche and ecosystem concepts, the concept of ecologically

  7. Report: Response to Congressional Request on Signage Requirements for Projects Funded by the Recovery Act

    Science.gov (United States)

    Report #10-X-0175, August 2, 2010. EPA developed two forms of guidance that discuss the need for recipients to display a Recovery Act logo to communicate to the public that the project is a Recovery Act investment.

  8. 77 FR 17456 - Buy American Exception Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2012-03-26

    ...-2138-01] Buy American Exception Under the American Recovery and Reinvestment Act of 2009 AGENCY... exception to the Buy American Provisions of the American Recovery and Reinvestment Act of 2009 (ARRA or... future years on electricity. The contract specifications required that all exterior photovoltaic...

  9. Promoting recovery through peer support: possibilities for social work practice.

    Science.gov (United States)

    Loumpa, Vasiliki

    2012-01-01

    The Recovery Approach has been adopted by mental health services worldwide and peer support constitutes one of the main elements of recovery-based services. This article discusses the relevancy of recovery and peer support to mental health social work practice through an exploration of social work ethics and values. Furthermore, it provides an exploration of how peer support can be maximized in groupwork to assist the social work clinician to promote recovery and well-being. More specifically, this article discusses how the narrative therapy concepts of "retelling" and "witnessing" can be used in the context of peer support to promote recovery, and also how social constructionist, dialogical, and systemic therapy approaches can assist the social work practitioner to enhance peer support in recovery oriented groupwork. Copyright © Taylor & Francis Group, LLC

  10. Recovery Act: SeaMicro Volume Server Power Reduction Research Development

    Energy Technology Data Exchange (ETDEWEB)

    Gary Lauterbach

    2012-03-22

    Cloud data centers are projected to be the fastest growing segment of the server market through 2015, according to IDC. Increasingly people and businesses rely on the Cloud to deliver digital content quickly and efficiently. Recovery Act funding from the Department of Energy has helped SeaMicro's technologies enhance the total cost of operation, performance and energy efficiency in large data center and Cloud environments. SeaMicro's innovative supercomputer fabric connects thousands of processor cores, memory, storage and input/output traffic. The company's fabric supports multiple processor instruction sets. Current systems featuring SeaMicro technology typically use one quarter the power and take one sixth the space of traditional servers with the same compute performance, yet deliver up to 12 times the bandwidth per core. Mozilla and eHarmony are two customers successfully using SeaMicro's technology. Numerous non-public customers have been successfully using the SeaMicro product in test and production facilities. As a result of the Recovery Act funding from the U.S. Department of Energy, more than 50 direct jobs were created at SeaMicro. To date, they primarily have been high-value, engineering jobs. Hardware, software and manufacturing engineering positions have been created, as well as sales and sales engineering. The positions have allowed SeaMicro to significantly accelerate engineering development and accelerate commercialization. As a result, commercialization and delivery to market are months ahead of initial schedule. Additional jobs were indirectly created through the development of the SeaMicro product. Through many years of research and hard work prior to receipt of public funding, SeaMicro was awarded 2 patents for its work. SeaMicro's product led the way for industry leaders to reconsider the market for low power servers and create new product lines. With valuable support of the U.S. Department of Energy and through Sea

  11. Designing a Successful Transportation Project: Lessons Learned from the Clean Cities American Recovery and Reinvestment Act Projects

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, K.; Singer, M.

    2017-09-01

    The largest source of funding for alternative fuel vehicle and infrastructure projects in the U.S. Department of Energy's Clean Cities program's history came from the American Recovery and Reinvestment Act (Recovery Act). In 2009, the 25 cost-share projects totaled nearly $300 million in federal government investment. This effort included the involvement of 50 Clean Cities coalitions and their nearly 700 stakeholder partners who provided an additional $500 million in matching funds to support projects in their local communities. In total, those 25 projects established 1,380 alternative fueling stations and put more than 9,000 alternative fuel and advanced technology vehicles on the road. Together, these projects displaced 154 million gasoline gallon equivalents (GGE) of petroleum and averted 254,000 tons of greenhouse gas (GHG) emissions, while supporting U.S. energy independence and contributing to regional economic development. During post-project interviews, project leaders consistently cited a number of key components - ranging from technical and logistical factors, to administrative capabilities - for accomplishing an effective and impactful project. This report summarizes the high-level project design and administrative considerations for conducting a successful transportation project.

  12. Designing a Successful Transportation Project: Lessons Learned from the Clean Cities American Recovery and Reinvestment Act Projects

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, Kay L. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Singer, Mark R. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-09-28

    The largest source of funding for alternative fuel vehicle and infrastructure projects in the U.S. Department of Energy's Clean Cities program's history came from the American Recovery and Reinvestment Act (Recovery Act). In 2009, the 25 cost-share projects totaled nearly $300 million in federal government investment. This effort included the involvement of 50 Clean Cities coalitions and their nearly 700 stakeholder partners who provided an additional $500 million in matching funds to support projects in their local communities. In total, those 25 projects established 1,380 alternative fueling stations and put more than 9,000 alternative fuel and advanced technology vehicles on the road. Together, these projects displaced 154 million gasoline gallon equivalents (GGE) of petroleum and averted 254,000 tons of greenhouse gas (GHG) emissions, while supporting U.S. energy independence and contributing to regional economic development. During post-project interviews, project leaders consistently cited a number of key components - ranging from technical and logistical factors, to administrative capabilities - for accomplishing an effective and impactful project. This report summarizes the high-level project design and administrative considerations for conducting a successful transportation project.

  13. Materials and Fuels Complex Hazardous Waste Management Act/Resource Conservation and Recovery Act Storage and Treatment Permit Reapplication, Environmental Protection Agency Number ID4890008952

    Energy Technology Data Exchange (ETDEWEB)

    Holzemer, Michael J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hart, Edward [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-04-01

    Hazardous Waste Management Act/Resource Conservation and Recovery Act Storage and Treatment Permit Reapplication for the Idaho National Laboratory Materials and Fuels Complex Hazardous Waste Management Act/Resource Conservation and Recovery Act Partial Permit, PER-116. This Permit Reapplication is required by the PER-116 Permit Conditions I.G. and I.H., and must be submitted to the Idaho Department of Environmental Quality in accordance with IDAPA 58.01.05.012 [40 CFR §§ 270.10 and 270.13 through 270.29].

  14. 77 FR 24740 - Notice of Lodging of Settlement Agreement Under the Resource Conservation And Recovery Act and...

    Science.gov (United States)

    2012-04-25

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Settlement Agreement Under the Resource Conservation And Recovery Act and the Emergency Planning and Community Right-to-Know Act Notice is hereby given... Recovery Act (``RCRA''), 42 U.S.C. 6901, et seq., and the Emergency Planning and Community Right-to-Know...

  15. 75 FR 29569 - Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act)

    Science.gov (United States)

    2010-05-26

    ...] Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act) AGENCY: Federal... the final Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act), which... mitigation discretionary funding available under Section 406 of the Robert T. Stafford Disaster Relief and...

  16. Resource Conservation and Recovery Act, Part B Permit Application

    International Nuclear Information System (INIS)

    1991-02-01

    The Waste Isolation Pilot Plant (WIPP) project was authorized by the Department of Energy National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Public Law 96-164) as a research and development facility to demonstrate the safe, environmentally sound disposal of transuranic (TRU) radioactive wastes derived from the defense activities of the United States. The WIPP facility is owned and operated by the US Department of Energy (DOE). The TRU waste to be received at WIPP consists largely of such items as laboratory glassware and utensils, tools, scrap metal, shielding, personnel protection equipment, and solidified sludges from the treatment of waste water. Approximately 60 percent of this waste is ''mixed,'' that is, it is also contaminated with hazardous waste or hazardous waste constituents as defined by the Resource Conservation and Recovery Act (RCRA) and by the New Mexico Hazardous Waste Management Regulations (HWMR-5). Therefore, emplacement of TRU mixed waste in the WIPP repository is subject to regulation under HWMR-5 and RCRA. The permit application under the Resource Conservation and Recovery Act for WIPP is divided into five volumes. This document, Volume 4, contains Appendices C3, C4, and D1--D10. These appendices cover information on environmental impacts, site characterization, geology and hydrology of the area, monitoring of the environment, compatibility of waste forms and containers, and removal of volatile organic compounds (VOC)

  17. Surplus Facilities and Resource Conservation and Recovery Act Closure program plan, fiscal year 1992

    International Nuclear Information System (INIS)

    Hughes, M.C.; Wahlen, R.K.; Winship, R.A.

    1991-10-01

    The Surplus Facilities and Resource Conservation and Recovery Act Closure program is responsible to US Department of Energy Field Office, Richland for the safe, cost-effective surveillance, maintenance, and decommissioning of surplus facilities at the Hanford Site. The Surplus Facilities and Resource Conservation and Recovery Act Closure program is also responsible to US Department of Energy Field Office, Richland for the program management of specific Resource Conservation and Recovery Act closures at the Hanford Site. This program plan addresses only the surplus facilities. The criteria used to evaluate each factor relative to decommissioning are based on the guidelines presented by the US Department of Energy Field Office, Richland, Environmental Restoration Division. The guidelines are consistent with the Westinghouse Hanford Company commitment to decommission Hanford Site retired facilities in the safest and most cost-effective way achievable. This document outlines the plan for managing these facilities until disposal

  18. 78 FR 48866 - Nationwide Categorical Waivers Under the American Recovery and Reinvestment Act of 2009 (Recovery...

    Science.gov (United States)

    2013-08-12

    ... fixtures, exterior, LED color- changing direct view lighting fixtures, and multicolor DMX-512 LED wash and... recipients of EERE Recovery Act funds, and from suppliers, distributors, retailers and trade associations... was not identified through a thorough search by EERE, MEP and several trade groups. Direct line...

  19. Youth Homelessness: The Impact of Supportive Relationships on Recovery.

    Science.gov (United States)

    Gasior, Sara; Forchuk, Cheryl; Regan, Sandra

    2018-03-01

    Background Homeless youth are the fastest growing sub-group within the homeless population. They face impaired access to health services and are often left unsupported. They lack social and family support or relationships with service providers. Unsupported homeless youth often become homeless adults. Purpose To test a model based on Peplau's Theory of Interpersonal Relations, examining the influence of a network of service providers, perceptions of social supports, and family relations on a homeless youth's perceptions of recovery. Methods This study is a secondary analysis and used a sample (n = 187) of data collected as part of the original Youth Matters in London study. A cross-sectional design was used to analyze the relationship between variables. Participants were interviewed at 6-month intervals over a 2.5-year period. Hierarchical multiple regression analysis was used. Results Network of service providers, perceived social supports, and perceived family relations explained 21.8% of the variance in homeless youth perceptions of recovery. Perceived social support and family relations were significantly, positively correlated to perceptions of recovery. Network of service providers was not significantly correlated to perceptions of recovery. Conclusions The findings suggest that stronger social supports and family relations may contribute to increased perceptions of recovery among homeless youth.

  20. Resource Conservation and Recovery Act, Part B permit application

    International Nuclear Information System (INIS)

    1991-02-01

    The Waste Isolation Pilot Plant (WIPP) project was authorized by the Department of Energy National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Public Law 96-164) as a research and development facility to demonstrate the safe, environmentally sound disposal of transuranic (TRU) radioactive wastes derived from the defense activities of the United States. The WIPP facility is owned and operated by the US Department of Energy (DOE). The TRU waste to be received at WIPP consists largely of such items as laboratory glassware and utensils, tools, scrap metal, shielding, personnel protection equipment, and solidified sludges from the treatment of waste water. Approximately 60 percent of this waste is ''mixed,'' that is, it is also contaminated with hazardous waste or hazardous waste constituents as defined by the Resource Conservation and Recovery Act (RCRA) and by the New Mexico Hazardous Waste Management Regulations (HWMR-5). Therefore, emplacement of TRU mixed waste in the WIPP repository is subject to regulation under HWMR-5 and RCRA. The permit application under the Resource Conservation and Recovery Act for WIPP is divided into five volumes. This document, Volume 3, is Appendix C2 continued. This appendix contains information on shipping; inventories of chemicals present in waste; chemical compatibility of wastes; the methodology to determine compatibility; analytical data regarding volatile organic compounds (VOC), metals, and solvents; and a description of sampling programs of waste drum gases

  1. Resource Conservation and Recovery Act Part B permit application

    International Nuclear Information System (INIS)

    1991-02-01

    The Waste Isolation Pilot Plant (WIPP) project was authorized by the Department of Energy National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Public Law 96-164) as a research and development facility to demonstrate the safe, environmentally sound disposal of transuranic (TRU) radioactive wastes derived from the defense activities of the United States. The WIPP facility is owned and operated by the US Department of Energy (DOE). The TRU waste to be received at WIPP consists largely of such items as laboratory glassware and utensils, tools, scrap metal, shielding, personnel protection equipment, and solidified sludges from the treatment of waste water. Approximately 60 percent of this waste is ''mixed,'' that is, it is also contaminated with hazardous waste or hazardous waste constituents as defined by the Resource Conservation and Recovery Act (RCRA) and by the New Mexico Hazardous Waste Management Regulations (HWMR-5). Therefore, emplacement of TRU mixed waste in the WIPP repository is subject to regulation under HWMR-5 and RCRA. The permit application under the Resource Conservation and Recovery Act for WIPP is divided into five volumes. This document, Volume 1, contains a site and facility description of WIPP; procedures for waste analysis and characterization, testing, monitoring, inspection, and training; hazard prevention, safety and security plans; plans for closure; and a discussion of other applicable laws. Also included are maps, photographs, and diagrams of the facilities and surrounding areas. 180 refs., 75 figs., 24 tabs

  2. Resource Conservation and Recovery Act, Part B Permit Application

    International Nuclear Information System (INIS)

    1991-02-01

    The Waste Isolation Pilot Plant (WIPP) project was authorized by the Department of Energy National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Public Law 96-164) as a research and development facility to demonstrate the safe, environmentally sound disposal of transuranic (TRU) radioactive wastes derived from the defense activities of the United States. The WIPP facility is owned and operated by the US Department of Energy (DOE). The TRU waste to be received at WIPP consists largely of such items as laboratory glassware and utensils, tools, scrap metal, shielding, personnel protection equipment, and solidified sludges from the treatment of waste water. Approximately 60 percent of this waste is ''mixed,'' that is, it is also contaminated with hazardous waste or hazardous waste constituents as defined by the Resource Conservation and Recovery Act (RCRA) and by the New Mexico Hazardous Waste Management Regulations (HWMR-5). Therefore, emplacement of TRU mixed waste in the WIPP repository is subject to regulation under HWMR-5 and RCRA. The permit application under the Resource Conservation and Recovery Act for WIPP is divided into five volumes. This document, Volume 2, contains Appendices B1, C1, and C2. These appendices describe the surface hydrology of the area, provide a description of the physical and chemical characteristics of wastes to be placed in WIPP, and outline a waste analysis plan which gives an overview of the total waste inventory planned for WIPP. 34 refs., 107 figs., 27 tabs

  3. Sport supporting act: terminology issues

    Directory of Open Access Journals (Sweden)

    Petr Vlček

    2013-01-01

    Full Text Available BACKGROUND: The text deals with terminology issues from an interdisciplinary point of view. It is based on two different disciplines, law and kinanthropology, in an area of their overlap. AIM: The aim of the author is to point out some possible legislative problems, which could arise due to the current reading of the sport supporting act (Act no. 115/2001. The second aim of the author is to contribute to the discussion of kinantropologists (possibly also the educational researchers and lawyers and to stress the importance of the systematic approach to terminology formulation. METHODS: The author uses the method of language interpretation. We also use the basic analytical methods, induction and deduction, while we stress the systematic approach to the term formulation. RESULTS: The analysis of the sport supporting act terminology shows some specific legislative problems, which could arise due to the definition of sport in the sport supporting act. The author discusses a possible alternative solution. CONCLUSION: According to the opinion of the author, clear, obvious and unified terminology of kinantropologists as specialists in their discipline should represent a source, from which other sciences could derive their terminology. Defined and inexpert terminology used in other disciplines should not be used as an argument for its adopting in kinanthropology.

  4. The Alternative Peer Group: A Developmentally Appropriate Recovery Support Model for Adolescents.

    Science.gov (United States)

    Nash, Angela; Collier, Crystal

    2016-01-01

    Recovery as the goal for substance use disorder treatment has been a key component of the Substance Abuse and Mental Health Services Administration's mission for the past decade. Consistent with their mission, there is a call for research and development of recovery-oriented systems of care to support affected individuals through all stages of the recovery process. Evidence is emerging to support recovery practice and research for adults, but recovery-oriented models for adolescents are scant. The Alternative Peer Group (APG) is a comprehensive adolescent recovery support model that integrates recovering peers and prosocial activities into evidence-based clinical practice. Employing APG participants' own words, this article will describe the essential elements and three theoretical frameworks underlying the APG model to illustrate how the APG serves as a developmentally appropriate recovery support service for adolescents with substance use disorder.

  5. American Recovery and Reinvestment Act: Clean Cities Project Awards

    Energy Technology Data Exchange (ETDEWEB)

    2016-08-01

    Each Clean Cities project award under the American Recovery and Reinvestment Act included a diverse group of stakeholders who worked together to lay the foundation for their communities to adopt alternative fuels and petroleum reduction strategies. This document provides a snapshot of the impact of each project and highlights the partners and Clean Cities coalitions who helped transform local and regional transportation markets through 25 projects impacting 45 states.

  6. Resource Conservation and Recovery Act: Part B, Permit application

    International Nuclear Information System (INIS)

    1991-02-01

    The Waste Isolation Pilot Plant (WIPP) project was authorized by the Department of Energy National Security and Military Applications of Nuclear Energy Authorization Act of 1980 (Public Law 96-164) as a research and development facility to demonstrate the safe, environmentally sound disposal of transuranic (TRU) radioactive wastes derived from the defense activities of the United States. The WIPP facility is owned and operated by the US Department of Energy (DOE). The TRU waste to be received at WIPP consists largely of such items as laboratory glassware and utensils, tools, scrap metal, shielding, personnel protection equipment, and solidified sludges from the treatment of waste water. Approximately 60 percent of this waste is ''mixed,'' that is, it is also contaminated with hazardous waste or hazardous waste constituents as defined by the Resource Conservation and Recovery Act (RCRA) and by the New Mexico Hazardous Waste Management Regulations (HWMR-5). Therefore, emplacement of TRU mixed waste in the WIPP repository is subject to regulation under HWMR-5 and RCRA. The permit application under the Resource Conservation and Recovery Act for WIPP is divided into five volumes. This document, Volume 5, contains Appendices E1, H1, I1--3, K1, K2, and L1. These appendices cover a RCRA ground water monitoring waiver, a list of job titles, the operational closure plan, the waste retrieval plan for wastes placed during the test phase, and listings of agreements between WIPP, DOE, and various state and federal agencies. 91 refs., 21 figs., 3 tabs

  7. The influence of perceived family support on post surgery recovery.

    Science.gov (United States)

    Cardoso-Moreno, M J; Tomás-Aragones, L

    2017-01-01

    The objective of this work was to investigate the possible relationship between perceived family support, levels of cortisol and post surgery recovery. The study sample comprised 42 patients that were due to undergo open cholecystectomy surgery in a Regional Health Authority Reference Centre of the Autonomous Community of Extremadura in Spain. The FACES-II questionnaire was used for the evaluation of perceived family support and to measure the three fundamental dimensions of perceived family behaviour: cohesion, adaptability and family type. The day before surgery, a sample of saliva was taken from each subject in order to determine the level of cortisol. Results showed a clear relationship between family support and recovery. Patients with higher scores on the Cohesion Scale demonstrated better post surgery recovery (F = 8.8; gl = 40; p = .005). A relationship between levels of cortisol, perceived family support and recovery was also revealed. Patients with lower scores on the Cohesion scale and higher cortisol levels demonstrated poorer post surgery recovery (F = 10.96; gl = 40; p = .006). These results are coherent with other studies that have highlighted the beneficial effects of perceived family support on mental and physical health.

  8. Socioeconomic Factors Affecting Local Support for Black Bear Recovery Strategies

    Science.gov (United States)

    Morzillo, Anita T.; Mertig, Angela G.; Hollister, Jeffrey W.; Garner, Nathan; Liu, Jianguo

    2010-06-01

    There is global interest in recovering locally extirpated carnivore species. Successful efforts to recover Louisiana black bear in Louisiana have prompted interest in recovery throughout the species’ historical range. We evaluated support for three potential black bear recovery strategies prior to public release of a black bear conservation and management plan for eastern Texas, United States. Data were collected from 1,006 residents living in proximity to potential recovery locations, particularly Big Thicket National Preserve. In addition to traditional logistic regression analysis, we used conditional probability analysis to statistically and visually evaluate probabilities of public support for potential black bear recovery strategies based on socioeconomic characteristics. Allowing black bears to repopulate the region on their own (i.e., without active reintroduction) was the recovery strategy with the greatest probability of acceptance. Recovery strategy acceptance was influenced by many socioeconomic factors. Older and long-time local residents were most likely to want to exclude black bears from the area. Concern about the problems that black bears may cause was the only variable significantly related to support or non-support across all strategies. Lack of personal knowledge about black bears was the most frequent reason for uncertainty about preferred strategy. In order to reduce local uncertainty about possible recovery strategies, we suggest that wildlife managers focus outreach efforts on providing local residents with general information about black bears, as well as information pertinent to minimizing the potential for human-black bear conflict.

  9. Species recovery in the United States: Increasing the effectiveness of the Endangered Species Act

    Science.gov (United States)

    Daniel M. Evans; Judy P. Che-Castaldo; Deborah Crouse; Frank W. Davis; Rebecca Epanchin-Niell; Curtis H. Flather; R. Kipp Frohlich; Dale D. Goble; Ya-Wei Li; Timothy D. Male; Lawrence L. Master; Matthew P. Moskwik; Maile C. Neel; Barry R. Noon; Camille Parmesan; Mark W. Schwartz; J. Michael Scott; Byron K. Williams

    2016-01-01

    The Endangered Species Act (ESA) has succeeded in shielding hundreds of species from extinction and improving species recovery over time. However, recovery for most species officially protected by the ESA - i.e., listed species - has been harder to achieve than initially envisioned. Threats to species are persistent and pervasive, funding has been insufficient...

  10. Dual-earner couples' weekend recovery support, state of recovery, and work engagement: Work-linked relationship as a moderator.

    Science.gov (United States)

    Park, YoungAh; Haun, Verena C

    2017-10-01

    Despite growing recovery research, little is known about couple-dyadic processes of recovery from work. Given that dual-earner couples experience most of their recovery opportunities during nonwork times when they are together, partners in a couple relationship may substantially affect recovery and work engagement. In this study, we propose a couple-dyadic model in which weekend partner recovery support (reported by the recipient partner) is positively related to the recipient partner's state of recovery after the weekend which, in turn, increases the recipient's work engagement the following week (actor-actor mediation effect). We also test the effect of one's state of recovery on the partner's subsequent work engagement (partner effect). Additionally, work-linked relationship status is tested as a moderator of the partner effect. Actor-partner interdependence mediation modeling is used to analyze the data from 167 dual-earner couples who answered surveys on 4 measurement occasions. The results support the indirect effect of partner recovery support on work engagement through the postweekend state of recovery. Multigroup analysis results reveal that the partner effect of state of recovery on work engagement is significant for work-linked couples only and is absent for non-work-linked couples. Theoretical and practical implications, limitations, and future research directions are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  11. Life Support Systems: Oxygen Generation and Recovery

    Data.gov (United States)

    National Aeronautics and Space Administration — The Advanced Exploration Systems (AES) Life Support Systems project Oxygen Generation and Recovery technology development area encompasses several sub-tasks in an...

  12. Audit Report on 'Waste Processing and Recovery Act Acceleration Efforts for Contact-Handled Transuranic Waste at the Hanford Site'

    International Nuclear Information System (INIS)

    2010-01-01

    The Department of Energy's Office of Environmental Management's (EM), Richland Operations Office (Richland), is responsible for disposing of the Hanford Site's (Hanford) transuranic (TRU) waste, including nearly 12,000 cubic meters of radioactive contact-handled TRU wastes. Prior to disposing of this waste at the Department's Waste Isolation Pilot Plant (WIPP), Richland must certify that it meets WIPP's waste acceptance criteria. To be certified, the waste must be characterized, screened for prohibited items, treated (if necessary) and placed into a satisfactory disposal container. In a February 2008 amendment to an existing Record of Decision (Decision), the Department announced its plan to ship up to 8,764 cubic meters of contact-handled TRU waste from Hanford and other waste generator sites to the Advanced Mixed Waste Treatment Project (AMWTP) at Idaho's National Laboratory (INL) for processing and certification prior to disposal at WIPP. The Department decided to maximize the use of the AMWTP's automated waste processing capabilities to compact and, thereby, reduce the volume of contact-handled TRU waste. Compaction reduces the number of shipments and permits WIPP to more efficiently use its limited TRU waste disposal capacity. The Decision noted that the use of AMWTP would avoid the time and expense of establishing a processing capability at other sites. In May 2009, EM allocated $229 million of American Recovery and Reinvestment Act of 2009 (Recovery Act) funds to support Hanford's Solid Waste Program, including Hanford's contact-handled TRU waste. Besides providing jobs, these funds were intended to accelerate cleanup in the short term. We initiated this audit to determine whether the Department was effectively using Recovery Act funds to accelerate processing of Hanford's contact-handled TRU waste. Relying on the availability of Recovery Act funds, the Department changed course and approved an alternative plan that could increase costs by about $25 million

  13. 76 FR 24043 - Buy American Exceptions Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2011-04-29

    ... Minneapolis Public Housing Authority for the purchase and installation of compact fluorescent lamps (CFLs) and... Under the American Recovery and Reinvestment Act of 2009 AGENCY: Office of the Assistant Secretary for Public and Indian Housing, HUD. ACTION: Notice. SUMMARY: In accordance with the American Recovery and...

  14. Hanford Facility resource conservation and recovery act permit general inspection plan

    International Nuclear Information System (INIS)

    Beagles, D.B.

    1995-12-01

    The Hanford Facility Resource Conservation and Recovery Act Permit, General Inspection Requirements, includes a requirement that general facility inspections be conducted of the 100, 200 East, 200 West, 300, 400, and 1100 Areas and the banks of the Columbia River. This inspection plan describes the activities that shall be conducted for a general inspection of the Hanford Facility

  15. 75 FR 69453 - Buy American Exceptions Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2010-11-12

    ... Reinvestment Act of 2009 (Pub. L. 111-05, approved February 17, 2009) (Recovery Act), and implementing guidance... conditioning units and Ground Fault Circuit Interrupter (GFCI) outlets for the Riverdale Senior Apartments... implementing guidance published on April 23, 2009 (74 FR 18449), this notice advises the public that, on...

  16. Social support in the post-abortion recovery room: evidence from patients, support persons and nurses in a Vancouver clinic.

    Science.gov (United States)

    Veiga, Mariana B; Lam, Melanie; Gemeinhardt, Carla; Houlihan, Edwina; Fitzsimmons, Brian P; Hodgson, Zoë G

    2011-03-01

    The benefits of social support in post-surgical recovery are well documented; social support decreases preoperative stress and postoperative recovery time. However, a paucity of studies have examined the effect of social support in the context of pregnancy termination. This study is the first to examine the effect of postoperative accompaniment from the patient, support person and nurses' perspective. This study was carried out in two phases. In Phase I, no accompaniment was allowed in the post-anesthesia recovery room (PAR); in Phase II, accompaniment was permitted. All participants completed pre- and postoperative questionnaires. The perception of accompaniment was overwhelmingly positive in patients and support people. Patients in Phase II demonstrated a high (over 95%) acceptance of accompaniment in the recovery room. It was found that 96.8% reported they would choose to be accompanied in the recovery room again if they had to have another abortion. Support persons felt very strongly that their presence was helpful to the patient. The decrease in pre- to postoperative anxiety levels was significantly greater in those women who were accompanied. However, overall, nurses demonstrated a negative attitude towards accompaniment in the recovery room. In summary, the presence of a support person in the PAR was perceived in a positive manner by patients and support people. However, the reasoning behind the negative opinion of nurses requires further study before PAR accompaniment can be considered a possibility in the context of pregnancy termination. Copyright © 2011 Elsevier Inc. All rights reserved.

  17. 76 FR 51397 - Notice of Lodging of Settlement Agreement Under the Resource Conservation and Recovery Act and...

    Science.gov (United States)

    2011-08-18

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Settlement Agreement Under the Resource Conservation and Recovery Act and the Emergency Planning and Community Right-to-Know Act Notice is hereby given... Planning and Community Right-to-Know Act (``EPCRA''), 42 U.S.C. 11001, et seq. The Complaint alleges that...

  18. Resource Conservation and Recovery Act (RCRA)

    International Nuclear Information System (INIS)

    1989-01-01

    This Resource Conservation and Recovery Act (RCRA) Facility Investigation Program Plan has been developed to provide a framework for the completion of RCRA Facility Investigations (RFI) at identified units on the Savannah Rive Site (SRS) facility. As such, the RFI Program Plan provides: technical guidance for all work to be performed, managerial control, a practical, scientific approach. The purpose of this Overview is to demonstrate how the basic RFI Program Plan elements (technical, management, and approach) are interwoven to provide a practical and workable plan. The goal of the RFI Program Plan is to provide a systematic, uniform approach for performance and reporting. In addition, the RFI Program Plan has been developed to be specific to the SRS facility and to adhere to the Environmental Protection Agency (EPA) RFI guidance received as part of the SRS. The US EPA publication ''Characterization of Hazardous Waste Sites'' has been liberally adapted for use in this RFI Program Plan

  19. 76 FR 72449 - Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2011-11-23

    ... manufactured goods used in and incorporated into a project funded through the Academic Research Infrastructure... iron, steel, and manufactured goods used in and incorporated into a project funded through the Academic... Recovery Act projects funded by the Academic Research Infrastructure--Recovery and Reinvestment Program...

  20. Personal and clinical recovery with the individual placement and support intervention in Denmark

    DEFF Research Database (Denmark)

    Nielsen, Iben Gammelgaard; Stenager, Elsebeth; Eplov, Lene

    on outcomes often referred to as recovery measures i.e. symptoms and self-esteem is ambiguous. One branch of the recovery literature distinguishes between two kinds of recovery. The one, personal recovery is defined by: what helps the individual move beyond the role of being a patient with a mental illness......Introduction: Individual Placement and Support (IPS) is an evidence-based recovery-oriented intervention where employment specialists (ES) support persons with severe mental illness in achieving competitive employment. IPS is labelled a recovery-oriented intervention; although, the influence of IPS....... The other, clinical recovery is defined as symptom reduction and increased level of functioning. Aim: To investigate how an IPS-intervention influences the personal and clinical recovery in persons with severe mental illness. Method: A qualitative phenomenological study including interview of 12...

  1. Socioeconomic Factors Affecting Local Support for Black Bear Recovery Strategies(AED)

    Science.gov (United States)

    There is global interest in recovering locally extirpated carnivore species. Successful efforts to recover Louisiana black bear in Louisiana have prompted interest in recovery throughout the species’ historical range. We evaluated support for three potential black bear recovery s...

  2. ACT-R Electronic Bookshelf: An Adaptive System To Support Learning ACT-R on the Web.

    Science.gov (United States)

    Brusilovsky, Peter; Anderson, John

    This paper describes the electronic ACT-R Bookshelf, a system which supports learning ACT-R, a well-known theory in the field of cognitive psychology, over the World Wide Web. ACT-R Bookshelf is a collection of electronic books on various aspects of ACT-R. The primary role of ACT-R Bookshelf is to serve as a 24-hour information resource for…

  3. Development of the REFOCUS intervention to increase mental health team support for personal recovery.

    Science.gov (United States)

    Slade, Mike; Bird, Victoria; Le Boutillier, Clair; Farkas, Marianne; Grey, Barbara; Larsen, John; Leamy, Mary; Oades, Lindsay; Williams, Julie

    2015-12-01

    There is an emerging evidence base about best practice in supporting recovery. This is usually framed in relation to general principles, and specific pro-recovery interventions are lacking. To develop a theoretically based and empirically defensible new pro-recovery manualised intervention--called the REFOCUS intervention. Seven systematic and two narrative reviews were undertaken. Identified evidence gaps were addressed in three qualitative studies. The findings were synthesised to produce the REFOCUS intervention, manual and model. The REFOCUS intervention comprises two components: recovery-promoting relationships and working practices. Approaches to supporting relationships comprise coaching skills training for staff, developing a shared team understanding of recovery, exploring staff values, a Partnership Project with people who use the service and raising patient expectations. Working practices comprise the following: understanding values and treatment preferences; assessing strengths; and supporting goal-striving. The REFOCUS model describes the causal pathway from the REFOCUS intervention to improved recovery. The REFOCUS intervention is an empirically supported pro-recovery intervention for use in mental health services. It will be evaluated in a multisite cluster randomised controlled trial (ISRCTN02507940). © The Royal College of Psychiatrists 2015.

  4. Renal Function Recovery with Total Artificial Heart Support.

    Science.gov (United States)

    Quader, Mohammed A; Goodreau, Adam M; Shah, Keyur B; Katlaps, Gundars; Cooke, Richard; Smallfield, Melissa C; Tchoukina, Inna F; Wolfe, Luke G; Kasirajan, Vigneshwar

    2016-01-01

    Heart failure patients requiring total artificial heart (TAH) support often have concomitant renal insufficiency (RI). We sought to quantify renal function recovery in patients supported with TAH at our institution. Renal function data at 30, 90, and 180 days after TAH implantation were analyzed for patients with RI, defined as hemodialysis supported or an estimated glomerular filtration rate (eGFR) less than 60 ml/min/1.73 m. Between January 2008 and December 2013, 20 of the 46 (43.5%) TAH recipients (age 51 ± 9 years, 85% men) had RI, mean preoperative eGFR of 48 ± 7 ml/min/1.73 m. Renal function recovery was noted at each follow-up interval: increment in eGFR (ml/min/1.73 m) at 30, 90, and 180 days was 21 ± 35 (p = 0.1), 16.5 ± 18 (p = 0.05), and 10 ± 9 (p = 0.1), respectively. Six patients (30%) required preoperative dialysis. Of these, four recovered renal function, one remained on dialysis, and one died. Six patients (30%) required new-onset dialysis. Of these, three recovered renal function and three died. Overall, 75% (15 of 20) of patients' renal function improved with TAH support. Total artificial heart support improved renal function in 75% of patients with pre-existing significant RI, including those who required preoperative dialysis.

  5. Exploring the effect of organizational culture on consumer perceptions of agency support for mental health recovery.

    Science.gov (United States)

    Clossey, Laurene; Rheinheimer, David

    2014-05-01

    This research explores the impact of mental health agency culture on consumers' perceptions of agency support for their recovery. This study hypothesized that a constructive organizational culture must be present for consumers to perceive agency support for recovery. A sample of 12 mental health agencies in rural Pennsylvania participated in the research. Agency administrators completed an instrument called the recovery oriented service environment, which measured the number of recovery model program components offered by the agency. Consumers completed the recovery oriented services indicators, which taps into their perception of agency support for recovery. Direct service staff completed the organizational social context, which measured their agency's culture. Results showed that in this sample stronger consumer perceptions of agency support for recovery were correlated with higher ratings of agency constructive culture. The results suggest that agency culture is an important variable to target when implementing recovery model programming.

  6. "That's what you do for people you love": A qualitative study of social support and recovery from a musculoskeletal injury.

    Science.gov (United States)

    Prang, Khic-Houy; Newnam, Sharon; Berecki-Gisolf, Janneke

    2018-01-01

    Social support has been identified as a significant factor in facilitating better health outcomes following injury. However, research has primarily focused on the role of social support from the perspective of the person experiencing an injury. Limited research has examined the experiences of the family members and friends of a person with injury. This study aims to explore the perceptions and experiences of social support and recovery following a transport-related musculoskeletal injury (MSI) in a population of injured persons and their family members and friends. This study was conducted using a phenomenological qualitative research design. In-depth semi-structured interviews were conducted with ten persons with MSI, recruited via the Transport Accident Commission (TAC) in Victoria, Australia. Seven family members and friends were also interviewed. The data was analysed using constant comparative method and thematic analysis. Several themes were identified including: (1) key sources and types of support received, (2) relationship development and (3) challenges of providing and receiving support. Participants with MSI reported stories about how the social network provided emotional and tangible support. Family members and friends confirmed the supportive acts provided to the participants with MSI. Positive iterative changes in relationships were reported by the participants with MSI. Participants with MSI, their family members and friends described several difficulties including loss of independence, feeling like a burden, and the impact of caring on health and well-being. The role of social support is complex given the multitude of people involved in the recovery process. The findings of this study suggest that persons with MSI may benefit from support groups and maintenance of existing support networks. Furthermore, family members and friends engaged in the recovery process may benefit from support in this role.

  7. Self-efficacy as a mediator of the relationship between social support and recovery in serious mental illness.

    Science.gov (United States)

    Thomas, Elizabeth C; Muralidharan, Anjana; Medoff, Deborah; Drapalski, Amy L

    2016-12-01

    The purposes of this research were to assess relationships between social support and objective and subjective recovery in a sample of adults with serious mental illness and to examine self-efficacy as a potential mediator of these relationships. In this cross-sectional study, a sample of 250 individuals completed measures tapping social support network size, satisfaction with social support, perceived support from the mental health system, self-efficacy, objective recovery (i.e., psychiatric symptoms, social functioning), and subjective recovery. Pearson product-moment correlations and multiple linear regression analyses examined relationships among social support, self-efficacy, and recovery. A bootstrapping procedure was used to estimate the magnitude and significance of indirect effects in mediation analyses. All social support domains (i.e., social support network size, satisfaction with support, perceived support from the mental health system) were significantly related to at least 1 objective recovery outcome and to subjective recovery. Self-efficacy was a mediator of all relationships between social support and objective and subjective recovery. The present study aids in better understanding the relationship between social support and recovery in individuals with serious mental illness and paves the way for future research. Particularly relevant to mental health service providers, it highlights the importance of establishing and maintaining an effective therapeutic relationship as well as assisting consumers with developing supportive relationships with others. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  8. Results From the Audit of DOD’s American Recovery and Reinvestment Act of 2009 Initial Data Quality Review Implementation

    Science.gov (United States)

    2009-11-03

    Results From the Audit of DoD’s American Recovery and Reinvestment Act of 2009 Initial Data Quality Review Implementation Memorandum No. D-2010-RAM...number. 1. REPORT DATE 03 NOV 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE Results From the Audit of...SUBJECT: Results From the Audit of DOD’ s American Recovery and Reinvestment Act of2009 Initial Data Quality Review Implementation (Report No. D

  9. Recovery Act: Billions of Dollars in Education Credits Appear to Be Erroneous. Treasury Inspector General for Tax Administration. Reference Number: 2011-41-083

    Science.gov (United States)

    US Department of the Treasury, 2011

    2011-01-01

    Education credits are available to help offset the costs of higher education for taxpayers, their spouses, and dependents who qualify as eligible students. The American Recovery and Reinvestment Act of 2009 (Recovery Act) amended the Hope Scholarship Tax Credit (Hope Credit) to provide for a refundable tax credit known as the American Opportunity…

  10. The Social Support Act: the story so far

    NARCIS (Netherlands)

    Mirjam de Klerk; Rob Gilsing; Joost Timmermans

    2010-01-01

    Original title: Op weg met de Wmo. The Social Support Act (Wet maatschappelijke ondersteuning - Wmo) came into force in the Netherlands on 1 January 2007. The aim of the Act is to promote people's social and life skills and ability to participate, and to strengthen social cohesion and quality

  11. Development and evaluation of the INSPIRE measure of staff support for personal recovery.

    Science.gov (United States)

    Williams, Julie; Leamy, Mary; Bird, Victoria; Le Boutillier, Clair; Norton, Sam; Pesola, Francesca; Slade, Mike

    2015-05-01

    No individualised standardised measure of staff support for mental health recovery exists. To develop and evaluate a measure of staff support for recovery. initial draft of measure based on systematic review of recovery processes; consultation (n = 61); and piloting (n = 20). Psychometric evaluation: three rounds of data collection from mental health service users (n = 92). INSPIRE has two sub-scales. The 20-item Support sub-scale has convergent validity (0.60) and adequate sensitivity to change. Exploratory factor analysis (variance 71.4-85.1 %, Kaiser-Meyer-Olkin 0.65-0.78) and internal consistency (range 0.82-0.85) indicate each recovery domain is adequately assessed. The 7-item Relationship sub-scale has convergent validity 0.69, test-retest reliability 0.75, internal consistency 0.89, a one-factor solution (variance 70.5 %, KMO 0.84) and adequate sensitivity to change. A 5-item Brief INSPIRE was also evaluated. INSPIRE and Brief INSPIRE demonstrate adequate psychometric properties, and can be recommended for research and clinical use.

  12. The impact of cost recovery on electric utilities' Clean Air Act compliance strategies

    International Nuclear Information System (INIS)

    Bensinger, D.L.

    1993-01-01

    By 1995, over 200 electric power plant units in twenty one states must comply with Phase I of the acid rain requirements in Title IV of the 1990 Clean Air Act Amendments (CAAA). By the year 2000, an additional 2200 units must comply with the Title IV. Compliance costs are expected to necessitate significant electricity rate increases. In order to recover their compliance costs, utilities must file rate increase requests with state public utility commissions (PUC's), and undergo a rate proceeding involving public heatings. Because of the magnitude of cost and the complexity of compliance options, including interaction with Titles I and III of the CAAA, extensive PUC reviews of compliance strategies are likely. These reviews could become as adversarial as the nuclear prudence reviews of the 1980's. A lack of understanding of air pollution and the CAA by much of the general public and the flexibility of compliance options creates an environment conducive to adverse public reaction to the cost of complying with the Clean Air Act. Public attitudes toward pollution control technologies will be greatly affected by these hearings, and the early plant hearings will shape the utility rate making process under the Clean Air Act. Inadequate cost recovery due to constrained compliance strategies or adverse hearings could significantly inhibit industry willingness to invest in certain control technologies or advanced combustion technologies. There are already signs that Clean Air Act compliance will be the prudence issue of the 1990's for utilities, even where state statutes mandate particular compliance approaches. Specific actions should be undertaken now by the utility industry to improve the probability of sound cost recovery decisions, preserve compliance options, including multimedia strategies, and avoid the social- and cost-acceptance problems of nuclear power

  13. Recovery Act: States Could Provide More Information on Education Programs to Enhance the Public's Understanding of Fund Use. Report to the Republican Leader, U.S. Senate. GAO-10-807

    Science.gov (United States)

    Ashby, Cornelia M.

    2010-01-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) provides $70.3 billion for three education programs--the State Fiscal Stabilization Fund (SFSF), Title I of the Elementary and Secondary Education Act (Title I), and Individuals with Disabilities Education Act (IDEA). The Act requires recipients to be accountable for how these funds…

  14. Evaluating the INSPIRE measure of staff support for personal recovery in a Swedish psychiatric context.

    Science.gov (United States)

    Schön, Ulla-Karin; Svedberg, Petra; Rosenberg, David

    2015-05-01

    Recovery is understood to be an individual process that cannot be controlled, but can be supported and facilitated at the individual, organizational and system levels. Standardized measures of recovery may play a critical role in contributing to the development of a recovery-oriented system. The INSPIRE measure is a 28-item service user-rated measure of recovery support. INSPIRE assesses both the individual preferences of the user in the recovery process and their experience of support from staff. The aim of this study was to evaluate the psychometric properties of the Swedish version of the INSPIRE measure, for potential use in Swedish mental health services and in order to promote recovery in mental illness. The sample consisted of 85 participants from six community mental health services targeting people with a diagnosis of psychosis in a municipality in Sweden. For the test-retest evaluation, 78 participants completed the questionnaire 2 weeks later. The results in the present study indicate that the Swedish version of the INSPIRE measure had good face and content validity, satisfactory internal consistency and some level of instability in test-retest reliability. While further studies that test the instrument in a larger and more diverse clinical context are needed, INSPIRE can be considered a relevant and feasible instrument to utilize in supporting the development of a recovery-oriented system in Sweden.

  15. The Recovery Process When Participating in Cancer Support and Rehabilitation Programs in Sweden

    Directory of Open Access Journals (Sweden)

    Christina Melin-Johansson

    2015-07-01

    Full Text Available The aim was to illuminate the meaning of participating in support and rehabilitation programs described by people diagnosed with cancer. Nineteen persons were interviewed in focus groups and face-to-face. Data were analyzed with a qualitative phenomenological hermeneutical method for researching lived experiences. Interpretation proceeded through three phases: naïve reading, structural analysis, and comprehensive understanding. Three themes were disclosed: receiving support for recovery when being most vulnerable, recapturing capabilities through supportive activities, and searching to find stability and well-being in a changed life situation. Participating in the programs was an existential transition from living in an unpredictable situation that was turned into something meaningful. Recovery did not mean the return to a state of normality; rather, it meant a continuing recovery from cancer treatments and symptoms involving recapturing capabilities and searching for a balance in a forever changed life. This study provides new insights about the experiences of participating in cancer support and rehabilitation programs.

  16. Using mobile phone technology to provide recovery support for women offenders.

    Science.gov (United States)

    Scott, Christy K; Johnson, Kimberly; Dennis, Michael L

    2013-10-01

    Mobile technology holds promise as a recovery tool for people with substance use disorders. However, some populations who may benefit the most may not have access to or experience with mobile phones. Incarcerated women represent a group at high risk for recidivism and relapse to substance abuse. Cost-effective mechanisms must be in place to support their recovery upon release. This study explores using mobile technology as a recovery management tool for women offenders residing in the community following release from jail. This study surveyed 325 minority women offenders with substance use disorders to determine whether or not they use cell phones, their comfort with texting and search features, and the social networks that they access from mobile phones. We found that 83% of survey subjects had cell phones; 30% of those were smartphones. Seventy-seven percent of the women reported access to supportive friends, and 88% had close family members they contacted regularly using mobile technology. Results indicated that most of the women were comfortable using a mobile phone, although the majority of them had prepaid minutes rather than plans, and most did currently use smartphones or have the capability to download applications or access social networks via their phones. Most women reported that they would be comfortable using a mobile phone to text, e-mail, and answer surveys. The high rate of adoption of mobile technology by women offenders makes them a promising target for recovery support delivered via mobile phone.

  17. Infrastructure to support learning health systems: are we there yet? Innovative solutions and lessons learned from American Recovery and Reinvestment Act CER investments.

    Science.gov (United States)

    Holve, Erin; Segal, Courtney

    2014-11-01

    The 11 big health data networks participating in the AcademyHealth Electronic Data Methods Forum represent cutting-edge efforts to harness the power of big health data for research and quality improvement. This paper is a comparative case study based on site visits conducted with a subset of these large infrastructure grants funded through the Recovery Act, in which four key issues emerge that can inform the evolution of learning health systems, including the importance of acknowledging the challenges of scaling specialized expertise needed to manage and run CER networks; the delicate balance between privacy protections and the utility of distributed networks; emerging community engagement strategies; and the complexities of developing a robust business model for multi-use networks.

  18. Actual and potential use of population viability analyses in recovery of plant species listed under the US endangered species act.

    Science.gov (United States)

    Zeigler, Sara L; Che-Castaldo, Judy P; Neel, Maile C

    2013-12-01

    Use of population viability analyses (PVAs) in endangered species recovery planning has been met with both support and criticism. Previous reviews promote use of PVA for setting scientifically based, measurable, and objective recovery criteria and recommend improvements to increase the framework's utility. However, others have questioned the value of PVA models for setting recovery criteria and assert that PVAs are more appropriate for understanding relative trade-offs between alternative management actions. We reviewed 258 final recovery plans for 642 plants listed under the U.S. Endangered Species Act to determine the number of plans that used or recommended PVA in recovery planning. We also reviewed 223 publications that describe plant PVAs to assess how these models were designed and whether those designs reflected previous recommendations for improvement of PVAs. Twenty-four percent of listed species had recovery plans that used or recommended PVA. In publications, the typical model was a matrix population model parameterized with ≤5 years of demographic data that did not consider stochasticity, genetics, density dependence, seed banks, vegetative reproduction, dormancy, threats, or management strategies. Population growth rates for different populations of the same species or for the same population at different points in time were often statistically different or varied by >10%. Therefore, PVAs parameterized with underlying vital rates that vary to this degree may not accurately predict recovery objectives across a species' entire distribution or over longer time scales. We assert that PVA, although an important tool as part of an adaptive-management program, can help to determine quantitative recovery criteria only if more long-term data sets that capture spatiotemporal variability in vital rates become available. Lacking this, there is a strong need for viable and comprehensive methods for determining quantitative, science-based recovery criteria for

  19. Music-supported therapy for stroke motor recovery: theoretical and practical considerations.

    Science.gov (United States)

    Chen, Joyce L

    2018-05-08

    Music may confer benefits for well-being and health. What is the state of knowledge and evidence for a role of music in supporting the rehabilitation of movements after stroke? In this brief perspective, I provide background context and information about stroke recovery in general, in order to spark reflection and discussion for how we think music may impact motor recovery, given the current clinical milieu. © 2018 New York Academy of Sciences.

  20. 77 FR 11163 - Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2012-02-24

    ...) companies world-wide were identified that manufacture ABS approved anchors of superior holding anchors. Of... NATIONAL SCIENCE FOUNDATION Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009 AGENCY: National Science Foundation (NSF). ACTION: Notice. SUMMARY: NSF is hereby...

  1. 75 FR 29584 - Notice of Lodging of Consent Decree Under the Resource Conservation and Recovery Act

    Science.gov (United States)

    2010-05-26

    ..., to obtain a permit under the Resource Conservation and Recovery Act (``RCRA'') for its ownership and... emissions from the TMW at the facility; perform trial and risk burns for the TMW to identify appropriate incinerator level and risk based operating and control parameters for the unit; file a notification and...

  2. The Setting is the Service: How the Architecture of Sober Living Residences Supports Community Based Recovery.

    Science.gov (United States)

    Wittman, Fried; Jee, Babette; Polcin, Douglas L; Henderson, Diane

    2014-07-01

    The architecture of residential recovery settings is an important silent partner in the alcohol/drug recovery field. The settings significantly support or hinder recovery experiences of residents, and shape community reactions to the presence of sober living houses (SLH) in ordinary neighborhoods. Grounded in the principles of Alcoholics Anonymous, the SLH provides residents with settings designed to support peer based recovery; further, these settings operate in a community context that insists on sobriety and strongly encourages attendance at 12-step meetings. Little formal research has been conducted to show how architectural features of the recovery setting - building appearance, spatial layouts, furnishings and finishes, policies for use of the facilities, physical care and maintenance of the property, neighborhood features, aspects of location in the city - function to promote (or retard) recovery, and to build (or detract from) community support. This paper uses a case-study approach to analyze the architecture of a community-based residential recovery service that has demonstrated successful recovery outcomes for its residents, is popular in its community, and has achieved state-wide recognition. The Environmental Pattern Language (Alexander, Ishikawa, & Silverstein, 1977) is used to analyze its architecture in a format that can be tested, critiqued, and adapted for use by similar programs in many communities, providing a model for replication and further research.

  3. 76 FR 35920 - Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2011-06-20

    ... antifouling system was done by UAF in 2009. Only two sources were identified world-wide and none were... NATIONAL SCIENCE FOUNDATION Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009 AGENCY: National Science Foundation (NSF). ACTION: Notice. SUMMARY: NSF is hereby...

  4. Resource Conservation and Recovery Act, Part B Permit Application

    International Nuclear Information System (INIS)

    1993-01-01

    The Waste Isolation Pilot Plant (WIPP) Project was authorized by the US Department of Energy 5 (DOE) National Security and Military Applications of the Nuclear Energy Authorization Act of 1980 (Public Law 96-164). Its legislative mandate is to provide a research and development facility to demonstrate the safe disposal of radioactive waste resulting from national defense programs and activities. To fulfill this mandate, the WIPP facility has been designed to perform scientific investigations of the behavior of bedded salt as a repository medium and the interactions between the soft and radioactive wastes. In 1991, DOE proposed to initiate a experimental Test Phase designed to demonstrate the performance of the repository. The Test Phase activities involve experiments using transuranic (TRU) waste typical of the waste planned for future disposal at the WIPP facility. Much of this TRU waste is co-contaminated with chemical constituents which are defined as hazardous under HWMR-7, Pt. II, sec. 261. This waste is TRU mixed waste and is the subject of this application. Because geologic repositories, such as the WIPP facility, are defined under the Resource Conservation and Recovery Act (RCRA) as land disposal facilities, the groundwater monitoring requirements of HWMR-7, PLV, Subpart X, must be addressed. HWMR-7, Pt. V, Subpart X, must be addressed. This appendix demonstrates that groundwater monitoring is not needed in order to demonstrate compliance with the performance standards; therefore, HWMR-7, Pt.V, Subpart F, will not apply to the WIPP facility

  5. New Mexico Forest Inventory and Analysis: American Recovery and Reinvestment Act Project, Field Report: 2010-2012

    Science.gov (United States)

    Mary Stuever; John Capuano

    2014-01-01

    For a 3-year period, from 2010-2012, the New Mexico Forestry Division utilized contractors to collect Forest Inventory and Analysis (FIA) data in New Mexico. Funded through the American Recovery and Reinvestment Act, the State partnered with the Interior West FIA Program. Together, both agencies collected data on approximately 6,450 plots. This effort represents the...

  6. The normative dimension and legal meaning of endangered and recovery in the U.S. Endangered Species Act.

    Science.gov (United States)

    Vucetich, John A; Nelson, Michael P; Phillips, Michael K

    2006-10-01

    The ethical, legal, and social significance of the U.S. Endangered Species Act of 1973 (ESA) is widely appreciated. Much of the significance of the act arises from the legal definitions that the act provides for the terms threatened species and endangered species. The meanings of these terms are important because they give legal meaning to the concept of a recovered species. Unfortunately, the meanings of these terms are often misapprehended and rarely subjected to formal analysis. We analyzed the legal meaning of recovered species and illustrate key points with details from "recovery" efforts for the gray wolf (Canis lupus). We focused on interpreting the phrase "significant portion of its range," which is part of the legal definition of endangered species. We argue that recovery and endangerment entail a fundamentally normative dimension (i.e., specifying conditions of endangerment) and a fundamentally scientific dimension (i.e., determining whether a species meets the conditions of endangerment). Specifying conditions for endangerment is largely normative because it judges risks of extinction to be either acceptable or unacceptable. Like many other laws that specify what is unacceptable, the ESA largely specifies the conditions that constitute unacceptable extinction risk. The ESA specifies unacceptable risks of extinction by defining endangered species in terms of the portion of a species' range over which a species is "in danger of extinction." Our analysis indicated that (1) legal recovery entails much more than the scientific notion of population viability, (2) most efforts to recover endangered species are grossly inadequate, and (3) many unlisted species meet the legal definition of an endangered or threatened species.

  7. Resource Conservation and Recovery Act (RCRA) closure sumamry for the Uranium Treatment Unit

    International Nuclear Information System (INIS)

    1996-05-01

    This closure summary has been prepared for the Uranium Treatment Unit (UTU) located at the Y-12 Plant in Oak Ridge, Tennessee. The actions required to achieve closure of the UTU area are outlined in the Closure Plan, submitted to and approved by the Tennessee Department of Environmental and Conservation staff, respectively. The UTU was used to store and treat waste materials that are regulated by the Resource Conservation and Recovery Act. This closure summary details all steps that were performed to close the UTU in accordance with the approved plan

  8. American Recovery and Reinvestment Act: North Fork Skokomish Powerhouse at Cushman No. 2 Dam

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Steve [DBA Tacoma Power, WA (United States); McCarty, Patrick [DBA Tacoma Power, WA (United States)

    2013-09-30

    The objective of this project was to add generating capacity on an in-stream flow release at Tacoma Power's Cushman hydroelectric project, Cushman No. 2 Dam, FERC Project P-460. The flow that is being used to generate additional electricity was being discharged from a valve at the base of the dam without recovery of the energy. A second objective to the project was to incorporate upstream fish passage by use of a fish collection structure attached to the draft tubes of the hydroelectric units. This will enable reintroduction of native anadromous fish above the dams which have blocked fish passage since the late 1920's. The project was funded in part by the American Recovery and Reinvestment Act through the Department of Energy, Office of Energy, Efficiency and Renewable Energy, Wind and Water Power Program.

  9. EPA Recovery Mapper

    Data.gov (United States)

    U.S. Environmental Protection Agency — The EPA Recovery Mapper is an Internet interactive mapping application that allows users to discover information about every American Recovery and Reinvestment Act...

  10. Comprehensive Energy Assessment: EE and RE Project Optimization Modeling for United States Pacific Command (USPACOM) American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance

    Energy Technology Data Exchange (ETDEWEB)

    Brigantic, Robert T.; Papatyi, Anthony F.; Perkins, Casey J.

    2010-09-30

    This report summarizes a study and corresponding model development conducted in support of the United States Pacific Command (USPACOM) as part of the Federal Energy Management Program (FEMP) American Reinvestment and Recovery Act (ARRA). This research was aimed at developing a mathematical programming framework and accompanying optimization methodology in order to simultaneously evaluate energy efficiency (EE) and renewable energy (RE) opportunities. Once developed, this research then demonstrated this methodology at a USPACOM installation - Camp H.M. Smith, Hawaii. We believe this is the first time such an integrated, joint EE and RE optimization methodology has been constructed and demonstrated.

  11. "Recovery" in bipolar disorder: how can service users be supported through a self-management intervention? A qualitative focus group study.

    Science.gov (United States)

    Todd, Nicholas J; Jones, Steven H; Lobban, Fiona A

    2012-04-01

    Bipolar disorder (BD) is a chronic and recurrent affective disorder. Recovery is defined as the process by which people can live fulfilling lives despite experiencing symptoms. To explore how an opportunistically recruited group of service users with BD experience recovery and self-management to understand more about how a service users' recovery may be supported. Twelve service users with BD took part in a series of focus groups. Service users' responses to questions about their personal experiences of self-management and recovery were analysed. Focus groups were transcribed verbatim and thematic analysis ([ Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101]) was employed to identify common themes in the data. Four key themes were identified: (1) Recovery is not about being symptom free; (2) Recovery requires taking responsibility for your own wellness; (3) Self-management: building on existing techniques; (4) Overcoming barriers to recovery: negativity, stigma and taboo. Service users with BD have provided further support for the concept of recovery and have suggested a number of ways recovery can be supported. A self-management approach informed by the recovery literature has been proposed as a way to support service users' recovery.

  12. Assessing the impact of the U.S. Endangered Species Act recovery planning guidelines on managing threats for listed species.

    Science.gov (United States)

    Troyer, Caitlin M; Gerber, Leah R

    2015-10-01

    The Endangered Species Act (ESA) of the United States was enacted in 1973 to prevent the extinction of species. Recovery plans, required by 1988 amendments to the ESA, play an important role in organizing these efforts to protect and recover species. To improve the use of science in the recovery planning process, the Society for Conservation Biology (SCB) commissioned an independent review of endangered species recovery planning in 1999. From these findings, the SCB made key recommendations for how management agencies could improve the recovery planning process, after which the U.S. Fish and Wildlife Service and the National Marine Fisheries Service redrafted their recovery planning guidelines. One important recommendation called for recovery plans to make threats a primary focus, including organizing and prioritizing recovery tasks for threat abatement. We sought to determine the extent to which results from the SCB study were incorporated into these new guidelines and whether the SCB recommendations regarding threats manifested in recovery plans written under the new guidelines. Recovery planning guidelines generally incorporated the SCB recommendations, including those for managing threats. However, although recent recovery plans have improved in their treatment of threats, many fail to adequately incorporate threat monitoring. This failure suggests that developing clear guidelines for monitoring should be an important priority in improving ESA recovery planning. © 2015 Society for Conservation Biology.

  13. Medical Support for Aircraft Disaster Search and Recovery Operations at Sea: the RSN Experience.

    Science.gov (United States)

    Teo, Kok Ann Colin; Chong, Tse Feng Gabriel; Liow, Min Han Lincoln; Tang, Kong Choong

    2016-06-01

    The maritime environment presents a unique set of challenges to search and recovery (SAR) operations. There is a paucity of information available to guide provision of medical support for SAR operations for aircraft disasters at sea. The Republic of Singapore Navy (RSN) took part in two such SAR operations in 2014 which showcased the value of a military organization in these operations. Key considerations in medical support for similar operations include the resultant casualty profile and challenges specific to the maritime environment, such as large distances of area of operations from land, variable sea states, and space limitations. Medical support planning can be approached using well-established disaster management life cycle phases of preparedness, mitigation, response, and recovery, which all are described in detail. This includes key areas of dedicated training and exercises, force protection, availability of air assets and chamber support, psychological care, and the forensic handling of human remains. Relevant lessons learned by RSN from the Air Asia QZ8501 search operation are also included in the description of these key areas. Teo KAC , Chong TFG , Liow MHL , Tang KC . Medical support for aircraft disaster search and recovery operations at sea: the RSN experience. Prehosp Disaster Med. 2016; 31(3):294-299.

  14. 75 FR 37456 - Green Retrofit Program of Title XII of the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2010-06-29

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5376-N-55] Green Retrofit Program of... Affordable Housing Preservation must collect certain data to administer the Green Retrofit Program (GRP... Title of Proposal: Green Retrofit Program of Title XII of the American Recovery and Reinvestment Act of...

  15. Supporting Stroke Motor Recovery Through a Mobile Application: A Pilot Study.

    Science.gov (United States)

    Lawson, Sonia; Tang, Ziying; Feng, Jinjuan

    Neuroplasticity and motor learning are promoted with repetitive movement, appropriate challenge, and performance feedback. ARMStrokes, a smartphone application, incorporates these qualities to support motor recovery. Engaging exercises are easily accessible for improved compliance. In a multiple-case, mixed-methods pilot study, the potential of this technology for stroke motor recovery was examined. Exercises calibrated to the participant's skill level targeted forearm, elbow, and shoulder motions for a 6-wk protocol. Visual, auditory, and vibration feedback promoted self-assessment. Pre- and posttest data from 6 chronic stroke survivors who used the app in different ways (i.e., to measure active or passive motion, to track endurance) demonstrated improvements in accuracy of movements, fatigue, range of motion, and performance of daily activities. Statistically significant changes were not obtained with this pilot study. Further study on the efficacy of this technology is supported. Copyright © 2017 by the American Occupational Therapy Association, Inc.

  16. Final Scientific/Technical Report [Recovery Act: Districtwide Geothermal Heating Conversion

    Energy Technology Data Exchange (ETDEWEB)

    Chatterton, Mike [McKinstry, Meridian, ID (United States)

    2014-02-12

    The Recovery Act: Districtwide Geothermal Heating Conversion project performed by the Blaine County School District was part of a larger effort by the District to reduce operating costs, address deferred maintenance items, and to improve the learning environment of the students. This project evaluated three options for the ground source which were Open-Loop Extraction/Re-injection wells, Closed-Loop Vertical Boreholes, and Closed-Loop Horizontal Slinky approaches. In the end the Closed-Loop Horizontal Slinky approach had the lowest total cost of ownership but the majority of the sites associated with this project did not have enough available ground area to install the system so the second lowest option was used (Open-Loop). In addition to the ground source, this project looked at ways to retrofit existing HVAC systems with new high efficiency systems. The end result was the installation of distributed waterto- air heat pumps with water-to-water heat pumps installed to act as boilers/chillers for areas with a high ventilation demand such as they gymnasiums. A number of options were evaluated and the lowest total cost of ownership approach was implemented in the majority of the facilities. The facilities where the lowest total cost of ownership approaches was not selected were done to maintain consistency of the systems from facility to facility. This project had a number of other benefits to the Blaine County public. The project utilizes guaranteed energy savings to justify the levy funds expended. The project also developed an educational dashboard that can be used in the classrooms and to educate the community on the project and its performance. In addition, the majority of the installation work was performed by contractors local to Blaine County which acted as an economic stimulus to the area during a period of recession.

  17. The role of extracorporeal life support in acute myocarditis: a bridge to recovery?

    Science.gov (United States)

    Sanders, D Bradford; Sowell, Steven R; Willis, Brigham; Lane, John; Pierce, Christopher; Pophal, Stephen; Arabia, Francisco A; Nigro, John J

    2012-12-01

    Acute myocardial failure associated with myocarditis is highly lethal. Left ventricular assist device support for these patients has been advocated to decompress the left ventricle and facilitate myocardial remodeling and recovery. Concerns exist regarding the ability of venoarterial (VA) extracorporeal life support (ECLS) to decompress the left ventricle and allow effective myocardial recovery. ECLS has several advantages, including availability, rapid deployment, and flexibility, as compared with contemporary ventricular assist devices. The objective of this study was to provide a brief review of acute myocarditis and present our series of patients. After Institutional Review Board approval, we conducted a retrospective data analysis of patients on ECLS experiencing rapidly progressive myocardial failure from a normal baseline. Patients with a history of intrinsic heart disease were excluded. All patients were thought to have myocarditis and had failed medical therapy requiring emergent ECLS support. Five patients demographics are detailed in Table 1. Patients experienced life-threatening intractable dysrhythmias or cardiac arrest and were refractory to medical therapy with severe acidosis and impending multisystem organ failure. All patients were stabilized with VA ECLS, and the left ventricle and atrium were decompressed in four of five patients. A left atrial vent was placed in one patient. Myocardial recovery with successful weaning from ECLS was obtained in four of five patients and to a normal ejection fraction in three of the five. One patient failed ECLS weaning and required biventricular VAD support secondary to severe myocardial necrosis from giant cell myocarditis and was transplanted, one died, all others are alive at follow-up. ECLS is safe and effective to treat acute myocardial failure and may be used to obtain myocardial recovery in certain subsets. We devised a decision algorithm for ECLS deployment in this patient cohort and routinely use ECLS.

  18. Resource Conservation and Recovery Act Industrial Sites quality assurance project plan: Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    1994-06-01

    This quality assurance project plan (QAPjP) describes the measures that shall be taken to ensure that the environmental data collected during characterization and closure activities of Resource Conservation and Recovery Act (RCRA) Industrial Sites at the Nevada Test Site (NTS) are meaningful, valid, defensible, and can be used to achieve project objectives. These activities are conducted by the US Department of Energy Nevada Operations Office (DOE/NV) under the Nevada Environmental Restoration (ER) Project. The Nevada ER Project consists of environmental restoration activities on the NTS, Tonopah Test Range, Nellis Air Force Range, and eight sites in five other states. The RCRA Industrial Sites subproject constitutes a component of the Nevada ER Project. Currently, this QAPjP is limited to the seven RCRA Industrial Sites identified within this document that are to be closed under an interim status and pertains to all field- investigation, analytical-laboratory, and data-review activities in support of these closures. The information presented here supplements the RCRA Industrial Sites Project Management Plan and is to be used in conjunction with the site-specific subproject sampling and analysis plans

  19. Virtual Reality Cue Refusal Video Game for Alcohol and Cigarette Recovery Support: Summative Study.

    Science.gov (United States)

    Metcalf, Mary; Rossie, Karen; Stokes, Katie; Tallman, Christina; Tanner, Bradley

    2018-04-16

    New technologies such as virtual reality, augmented reality, and video games hold promise to support and enhance individuals in addiction treatment and recovery. Quitting or decreasing cigarette or alcohol use can lead to significant health improvements for individuals, decreasing heart disease risk and cancer risks (for both nicotine and alcohol use), among others. However, remaining in recovery from use is a significant challenge for most individuals. We developed and assessed the Take Control game, a partially immersive Kinect for Windows platform game that allows users to counter substance cues through active movements (hitting, kicking, etc). Formative analysis during phase I and phase II guided development. We conducted a small wait-list control trial using a quasi-random sampling technique (systematic) with 61 participants in recovery from addiction to alcohol or tobacco. Participants used the game 3 times and reported on substance use, cravings, satisfaction with the game experience, self-efficacy related to recovery, and side effects from exposure to a virtual reality intervention and substance cues. Participants found the game engaging and fun and felt playing the game would support recovery efforts. On average, reported substance use decreased for participants during the intervention period. Participants in recovery for alcohol use saw more benefit than those in recovery for tobacco use, with a statistically significant increase in self-efficacy, attitude, and behavior during the intervention. Side effects from the use of a virtual reality intervention were minor and decreased over time; cravings and side effects also decreased during the study. The preliminary results suggest the intervention holds promise as an adjunct to standard treatment for those in recovery, particularly from alcohol use. ©Mary Metcalf, Karen Rossie, Katie Stokes, Christina Tallman, Bradley Tanner. Originally published in JMIR Serious Games (http://games.jmir.org), 16.04.2018.

  20. HANFORD TANK FARM RESOURCE CONSERVATION and RECOVERY ACT (RCRA) CORRECTIVE ACTION PROGRAM

    International Nuclear Information System (INIS)

    KRISTOFZSKI, J.G.

    2007-01-01

    As a consequence of producing special nuclear material for the nation's defense, large amounts of extremely hazardous radioactive waste was created at the US Department of Energy's (DOE) Hanford Site in south central Washington State. A little over 50 million gallons of this waste is now stored in 177 large, underground tanks on Hanford's Central Plateau in tank farms regulated under the Atomic Energy Act and the Resource, Conservation, and Recovery Act (RCRA). Over 60 tanks and associated infrastructure have released or are presumed to have released waste in the vadose zone. In 1998, DOE's Office of River Protection established the Hanford Tank Farm RCRA Corrective Action Program (RCAP) to: (1) characterize the distribution and extent of the existing vadose zone contamination; (2) determine how the contamination will move in the future; (3) estimate the impacts of this contamination on groundwater and other media; (4) develop and implement mitigative measures; and (5) develop corrective measures to be implemented as part of the final closure of the tank farm facilities. Since its creation, RCAP has made major advances in each of these areas, which will be discussed in this paper

  1. Positive Peer Support or Negative Peer Influence? the Role of Peers among Adolescents in Recovery High Schools

    Science.gov (United States)

    Karakos, Holly L.

    2014-01-01

    Evidence from previous research suggests that peers at times exert negative influence and at other times exert positive influence on drug and alcohol use among adolescents in recovery. This study explores recovery high school staff members' perceptions of peer support among students in recovery high schools using qualitative interview data. Themes…

  2. Moms Supporting Moms: Digital Storytelling With Peer Mentors in Recovery From Substance Use.

    Science.gov (United States)

    Paterno, Mary T; Fiddian-Green, Alice; Gubrium, Aline

    2018-01-01

    Substance use disorder (SUD) is a growing issue nationally, and SUD in pregnancy has significant consequences for mothers and their children. This article describes findings from a pilot project that used digital storytelling as a mechanism for understanding substance use and recovery from the perspective of women in recovery from SUD in pregnancy who worked as peer mentors with pregnant women currently experiencing SUD. Research on peer mentorship has primarily focused on outcomes for mentees but not the experience of the peer mentors themselves. In this qualitative study, a 3-day digital storytelling workshop was conducted with five women in recovery serving as peer mentors in their community. Each mentor also participated in an individual, in-depth interview. The digital storytelling workshop process helped peer mentors make linkages between their past substance use experiences to their present work of recovery, and fostered deep social connections between mentors through the shared experience. The workshop process also elicited a sense of hope among participants, which served as groundwork for developing advocacy-based efforts. Digital storytelling may be therapeutic for women in recovery and has the potential to be integrated into recovery programs to bolster hope and social support among participants.

  3. An integrated decision support system for wastewater nutrient recovery and recycling to agriculture

    Science.gov (United States)

    Roy, E. D.; Bomeisl, L.; Cornbrooks, P.; Mo, W.

    2017-12-01

    Nutrient recovery and recycling has become a key research topic within the wastewater engineering and nutrient management communities. Several technologies now exist that can effectively capture nutrients from wastewater, and innovation in this area continues to be an important research pursuit. However, practical nutrient recycling solutions require more than capable nutrient capture technologies. We also need to understand the role that wastewater nutrient recovery and recycling can play within broader nutrient management schemes at the landscape level, including important interactions at the nexus of food, energy, and water. We are developing an integrated decision support system that combines wastewater treatment data, agricultural data, spatial nutrient balance modeling, life cycle assessment, stakeholder knowledge, and multi-criteria decision making. Our goals are to: (1) help guide design decisions related to the implementation of sustainable nutrient recovery technology, (2) support innovations in watershed nutrient management that operate at the interface of the built environment and agriculture, and (3) aid efforts to protect aquatic ecosystems while supporting human welfare in a circular nutrient economy. These goals will be realized partly through the assessment of plausible alternative scenarios for the future. In this presentation, we will describe the tool and focus on nutrient balance results for the New England region. These results illustrate that both centralized and decentralized wastewater nutrient recovery schemes have potential to transform nutrient flows in many New England watersheds, diverting wastewater N and P away from aquatic ecosystems and toward local or regional agricultural soils where they can offset a substantial percentage of imported fertilizer. We will also highlight feasibility criteria and next steps to integrate stakeholder knowledge, economics, and life cycle assessment into the tool.

  4. Space Technology Game Changing Development- Next Generation Life Support: Spacecraft Oxygen Recovery (SCOR)

    Science.gov (United States)

    Abney, Morgan; Barta, Daniel

    2015-01-01

    The Next Generation Life Support Spacecraft Oxygen Recovery (SCOR) project element is dedicated to developing technology that enables oxygen recovery from metabolically produced carbon dioxide in space habitats. The state-of-the-art system on the International Space Station uses Sabatier technology to recover (is) approximately 50% oxygen from carbon dioxide. The remaining oxygen required for crew respiration is supplied from Earth. For long duration manned missions beyond low-Earth orbit, resupply of oxygen becomes economically and logistically prohibitive. To mitigate these challenges, the SCOR project element is targeting development of technology to increase the recovery of oxygen to 75% or more, thereby reducing the total oxygen resupply required for future missions.

  5. Citizen Support for Northern Ohio Community College Funding Initiatives during an Economic Recession Recovery

    Science.gov (United States)

    Flores, Patricia

    2013-01-01

    The current research, "Citizen Support for Northern Ohio Community College Funding Initiatives during an Economic Recession Recovery", asks the question: Do the citizens of Northern Ohio support community college funding during difficult economic times? Based on the theory of Stakeholder Analysis, the purpose of this concurrent,…

  6. An Empirical Investigation into Causality of Unsafe Act and Recovery during EOP Simulation

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Sun Yeong; Jung, Won Dea [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-08-15

    A data collection worksheet and guideline to collect HRA (Human Reliability Analysis) data with simulator data sources were developed for the HRA data handbook project by KAERI. Using the data worksheet, simulator data were collected and analyzed for an HRA qualitative database. The purpose of this paper is to define the causalities of operators' UAs (Unsafe Acts) ending in an inappropriate component manipulation and recovery during an EOP (Emergency Operating Procedure) operation, and to show some results for the causality from a case study. The reason we suggest the causality of an UA is because an inappropriate manipulation during an EOP operation can be resulted by the causality among operators in an MCR (Main Control Room). Therefore, a 'causality' data field was inserted into the data worksheet to identify the real initiator, and related operators for an inappropriate component manipulation. With this 'causality' data field, an HRA analyzer can establish who caused an UA (or a recovery) and who was involved in the process. They can also calculate the HEP (Human Error Probability) grouped by the initiator if they are interested in the HEP by the initiator.

  7. Recovery from schizophrenia and the recovery model.

    Science.gov (United States)

    Warner, Richard

    2009-07-01

    The recovery model refers to subjective experiences of optimism, empowerment and interpersonal support, and to a focus on collaborative treatment approaches, finding productive roles for user/consumers, peer support and reducing stigma. The model is influencing service development around the world. This review will assess whether optimism about outcome from serious mental illness and other tenets of the recovery model are borne out by recent research. Remission of symptoms has been precisely defined, but the definition of 'recovery' is a more diffuse concept that includes such factors as being productive and functioning independently. Recent research and a large, earlier body of data suggest that optimism about outcome from schizophrenia is justified. A substantial proportion of people with the illness will recover completely and many more will regain good social functioning. Outcome is better for people in the developing world. Mortality for people with schizophrenia is increasing but is lower in the developing world. Working appears to help people recover from schizophrenia, and recent advances in vocational rehabilitation have been shown to be effective in countries with differing economies and labor markets. A growing body of research supports the concept that empowerment is an important component of the recovery process. Key tenets of the recovery model - optimism about recovery from schizophrenia, the importance of access to employment and the value of empowerment of user/consumers in the recovery process - are supported by the scientific research. Attempts to reduce the internalized stigma of mental illness should enhance the recovery process.

  8. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems

    Science.gov (United States)

    Slade, Mike; Amering, Michaela; Farkas, Marianne; Hamilton, Bridget; O'Hagan, Mary; Panther, Graham; Perkins, Rachel; Shepherd, Geoff; Tse, Samson; Whitley, Rob

    2014-01-01

    An understanding of recovery as a personal and subjective experience has emerged within mental health systems. This meaning of recovery now underpins mental health policy in many countries. Developing a focus on this type of recovery will involve transformation within mental health systems. Human systems do not easily transform. In this paper, we identify seven mis-uses (“abuses”) of the concept of recovery: recovery is the latest model; recovery does not apply to “my” patients; services can make people recover through effective treatment; compulsory detention and treatment aid recovery; a recovery orientation means closing services; recovery is about making people independent and normal; and contributing to society happens only after the person is recovered. We then identify ten empirically-validated interventions which support recovery, by targeting key recovery processes of connectedness, hope, identity, meaning and empowerment (the CHIME framework). The ten interventions are peer support workers, advance directives, wellness recovery action planning, illness management and recovery, REFOCUS, strengths model, recovery colleges or recovery education programs, individual placement and support, supported housing, and mental health trialogues. Finally, three scientific challenges are identified: broadening cultural understandings of recovery, implementing organizational transformation, and promoting citizenship. PMID:24497237

  9. 3 CFR - Waiver of Reimbursement Under the United Nations Participation Act to Support the United Nations...

    Science.gov (United States)

    2010-01-01

    ... Participation Act to Support the United Nations/African Union Mission in Darfur Presidential Documents Other... the United Nations Participation Act to Support the United Nations/African Union Mission in Darfur... the United Nations/African Union Mission in Darfur to support the airlift of equipment for...

  10. RCRA [Resource Conservation and Recovery Act] ground-water monitoring projects for Hanford facilities: Annual progress report for 1988

    International Nuclear Information System (INIS)

    Fruland, R.M.; Lundgren, R.E.

    1989-04-01

    This report describes the progress during 1988 of 14 Hanford Site ground-water monitoring projects covering 16 hazardous waste facilities and 1 nonhazardous waste facility (the Solid Waste Landfill). Each of the projects is being conducted according to federal regulations based on the Resource Conservation and Recovery Act (RCRA) of 1976 and the State of Washington Administrative Code. 21 refs., 23 figs., 8 tabs

  11. Lessons from comparative effectiveness research methods development projects funded under the Recovery Act.

    Science.gov (United States)

    Zurovac, Jelena; Esposito, Dominick

    2014-11-01

    The American Recovery and Reinvestment Act of 2009 (ARRA) directed nearly US$29.2 million to comparative effectiveness research (CER) methods development. To help inform future CER methods investments, we describe the ARRA CER methods projects, identify barriers to this research and discuss the alignment of topics with published methods development priorities. We used several existing resources and held discussions with ARRA CER methods investigators. Although funded projects explored many identified priority topics, investigators noted that much work remains. For example, given the considerable investments in CER data infrastructure, the methods development field can benefit from additional efforts to educate researchers about the availability of new data sources and about how best to apply methods to match their research questions and data.

  12. Exploring Self-Care and Preferred Supports for Adult Parents in Recovery from Substance Use Disorders: Qualitative Findings from a Feasibility Study.

    Science.gov (United States)

    Raynor, Phyllis A; Pope, Charlene; York, Janet; Smith, Gigi; Mueller, Martina

    2017-11-01

    Very little is known about the self-care behaviors (SCB) that adult parents employ and the preferred supports they utilize to maintain their recovery from substance use disorders (SUD) while also parenting their children. This study used a qualitative descriptive approach to explore perceptions of self-care and parenting to inform future self-care interventions for parents in early recovery. Nineteen mothers and fathers of at least one child between the ages of 6-18 were interviewed by telephone about parental self-care practices while in recovery from SUD, recovery management, and preferred supports in the community. Participants described the experience of parenting as challenging, with variations in the level of support and resources. Self-care included meaningful connection with recovery support and children, taking care of physical health, maintaining spirituality, healthy eating, exercise, journaling, continuing education, staying busy, sponsorship, establishing boundaries, self-monitoring, abstinence, and dealing with destructive emotions. Participants reported SCB as being a critical component of their ongoing recovery and their parenting practices, though differences in SCB by gender and for minorities require further exploration. Parental gains were perceived as benefits of SCB that minimized the negative impact of prior parental drug use on their children.

  13. Associations between the peer support relationship, service satisfaction and recovery-oriented outcomes: a correlational study.

    Science.gov (United States)

    Thomas, Elizabeth C; Salzer, Mark S

    2017-12-18

    The working alliance between non-peer providers and mental health consumers is associated with positive outcomes. It is hypothesized that this factor, in addition to other active support elements, is also positively related to peer support service outcomes. This study evaluates correlates of the peer-to-peer relationship and its unique association with service satisfaction and recovery-oriented outcomes. Participants were 46 adults with serious mental illnesses taking part in a peer-brokered self-directed care intervention. Pearson correlation analyses examined associations among peer relationship factors, services-related variables and recovery-oriented outcomes (i.e. empowerment, recovery and quality of life). Hierarchical multiple regression analyses evaluated associations between relationship factors and outcomes over time, controlling for other possible intervention effects. The peer relationship was not related to number of contacts. There were robust associations between the peer relationship and service satisfaction and some recovery-oriented outcomes at 24-months, but not at 12-months. These associations were not explained by other possible intervention effects. This study contributes to a better understanding of the positive, unique association between the peer-to-peer relationship and outcomes, similar to what is found in non-peer-delivered interventions. Implications for program administrators and policymakers seeking to integrate peer specialists into mental health service systems are discussed.

  14. Recovery strategies implemented by sport support staff of elite rugby players in South Africa

    Directory of Open Access Journals (Sweden)

    D.V. Van Wyk

    2009-01-01

    Full Text Available Objective: The main aim of this study was to determine strategies used toaccelerate recovery of elite rugby players after training and matches, asused by medical support staff of rugby teams in South A frica. A  secondaryaim was to focus on specifics of implementing ice/cold water immersion asrecovery strategy. Design: A  Questionnaire-based cross sectional descriptive survey was used.Setting and Participants: Most (n=58 of the medical support staff ofrugby teams (doctors, physiotherapists, biokineticists and fitness trainerswho attended the inaugural Rugby Medical A ssociation conference linked to the South A frican Sports MedicineA ssociation Conference in Pretoria (14-16th November, 2007 participated in the study. Results: Recovery strategies were utilized mostly after matches. Stretching and ice/cold water immersion were utilized the most (83%. More biokineticists and fitness trainers advocated the usage of stretching than their counter-parts (medical doctors and physiotherapists. Ice/Cold water immersion and A ctive Recovery were the top two ratedstrategies. A  summary of the details around implementation of ice/cold water therapy is shown (mean as utilized bythe subjects: (i The time to immersion after matches was 12±9 min; (ii The total duration of one immersion sessionwas 6±6 min; (iii 3 immersion sessions per average training week was utilized by subjects; (iv The average water temperature was 10±3 ºC.; (v Ice cubes were used most frequently to cool water for immersion sessions, and(vi plastic drums were mostly used as the container for water. Conclusion: In this survey the representative group of support staff provided insight to which strategies are utilizedin South A frican elite rugby teams to accelerate recovery of players after training and/or matches.

  15. Water Recovery Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The AES Water Recovery Project (WRP) is advancing environmental control and life support systems water recovery technologies to support human exploration beyond low...

  16. Exploring Student Service Members/Veterans Social Support and Campus Climate in the Context of Recovery

    Directory of Open Access Journals (Sweden)

    Susan M. Love

    2015-09-01

    Full Text Available Now that the financial needs of post 9/11 student service members/veterans have begun to be addressed, the attention has shifted to disabilities and recovery strategies of student service members/veterans. Therefore, in a cross sectional design, this study electronically surveyed 189 enrolled student service members/veterans attending a large urban state university about their experiences of returning to school. Specifically, this study described the students’ rates of Post-Traumatic Stress Disorder (PTSD and alcohol abuse, perceived stress, adaptive and non-adaptive coping strategies, social support, participation in campus activities, and perceived campus climate. Moreover, correlates of recovery were examined. Although the majority of the returning students were doing well, 36.1% reported a high level of stress, 15.1% reported a high level of anger, 17.3% reported active symptoms of PTSD, and 27.1% screened positive for alcohol problems. Social networks were found to be the most salient factor in recovery. The study’s limitations are discussed and specific support strategies are presented that can be employed by disability services, counseling services and college administrators.

  17. Environmental Restoration Contractor Resource Conservation and Recovery Act Permit Implementation Plan

    International Nuclear Information System (INIS)

    Lewis, R.A.

    1996-05-01

    This document contains the revised Environmental Restoration Contractor (ERC) Implementation Plan for compliance with the Dangerous Waste and Hazardous and Solid Waste Amendment portions of the Resource Conservation and Recovery Act (RCRA) Permit for the Treatment, Storage, and Disposal of Dangerous Waste (hereafter referred to as the open-quotes Permitclose quotes). The Permit became effective on September 28, 1994. The ERC has developed the Permit Implementation Plan to ensure that the Permit is properly implemented within the ERC project and functions. The plan contains a list of applicable permit conditions, descriptions, responsible organizations, and the status of compliance. The ERC's responsibilities for Permit implementation are identified within both project and functional organizations. Project Managers are responsible for complying with conditions specific to a particular treatment, storage, or disposal (TSD) unit. TSD-specific compliance in include items such as closure plan deliverables, reporting and record keeping requirements, or compliance with non-unit-specific tasks such as spill reporting and emergency response. Functional organizations are responsible for sitewide activities, such as coordinating Permit modifications and developing personnel training programs

  18. Heat Transfer Reactor Experiment (HTRE)-3 Container Storage Unit Resource Conservation Recovery Act closure plan

    International Nuclear Information System (INIS)

    Spry, M.J.

    1992-11-01

    This document describes the closure of the HTRE-3 Container Storage Unit under the requirements of the Resource Conservation and Recovery Act. The unit's location, size, history, and current status are described. The document also summarizes the decontamination and decommissioning efforts performed in 1983 and provides an estimate of,waste residues remaining in the HTRE-3 assembly. A risk evaluation was performed that demonstrates that the residue does not pose a hazard to public health or the environment. Based on the risk evaluation, it is proposed that the HTRE-3 Container Storage Unit be closed in its present condition, without further decontamination or removal activities

  19. Therapy induces widespread reorganization of motor cortex after complete spinal transection that supports motor recovery.

    Science.gov (United States)

    Ganzer, Patrick D; Manohar, Anitha; Shumsky, Jed S; Moxon, Karen A

    2016-05-01

    Reorganization of the somatosensory system and its relationship to functional recovery after spinal cord injury (SCI) has been well studied. However, little is known about the impact of SCI on organization of the motor system. Recent studies suggest that step-training paradigms in combination with spinal stimulation, either electrically or through pharmacology, are more effective than step training alone at inducing recovery and that reorganization of descending corticospinal circuits is necessary. However, simpler, passive exercise combined with pharmacotherapy has also shown functional improvement after SCI and reorganization of, at least, the sensory cortex. In this study we assessed the effect of passive exercise and serotonergic (5-HT) pharmacological therapies on behavioral recovery and organization of the motor cortex. We compared the effects of passive hindlimb bike exercise to bike exercise combined with daily injections of 5-HT agonists in a rat model of complete mid-thoracic transection. 5-HT pharmacotherapy combined with bike exercise allowed the animals to achieve unassisted weight support in the open field. This combination of therapies also produced extensive expansion of the axial trunk motor cortex into the deafferented hindlimb motor cortex and, surprisingly, reorganization within the caudal and even the rostral forelimb motor cortex areas. The extent of the axial trunk expansion was correlated to improvement in behavioral recovery of hindlimbs during open field locomotion, including weight support. From a translational perspective, these data suggest a rationale for developing and optimizing cost-effective, non-invasive, pharmacological and passive exercise regimes to promote plasticity that supports restoration of movement after spinal cord injury. Copyright © 2016. Published by Elsevier Inc.

  20. Picturing recovery: a photovoice exploration of recovery dimensions among people with serious mental illness.

    Science.gov (United States)

    Cabassa, Leopoldo J; Nicasio, Andel; Whitley, Rob

    2013-09-01

    Recovery from mental disorders encompasses multiple interrelated dimensions. This study used photovoice to explore how individuals with serious mental illness and a history of substance abuse and homelessness envisioned their recovery. A dimensional recovery model was applied to examine how the interrelationships between recovery dimensions supported consumers' recovery journeys. Photovoice is a participatory research method that empowers people by giving them cameras to document their experiences and inform social action. Sixteen consumers recruited from two supported housing agencies participated in six weekly sessions to which they brought photographs that they took of persons and events in their lives that reflected recovery and wellness and discussed the meaning of the photographs in individual interviews and group sessions. The authors used pile-sorting, grounded theory, and a deductive template-analytic technique to analyze narrative and visual data. Spirituality, life achievements, and receiving and providing support were the most salient themes that emerged from the analysis and illustrate beneficial interrelationships between recovery dimensions. Participants discussed how they relied on their spirituality to support their sobriety and cope with addictions-aspects of clinical recovery. Educational and vocational achievements represented gains in functioning that contributed to increasing self-esteem and self-agency and reducing self-stigma. Social dimensions of recovery, such as receiving and giving support to loved ones, rippled through consumers' lives reducing isolation and enhancing their self-worth. The findings illustrate the value of participatory methods to understand what recovery signified to people with serious mental illness and how understanding the interrelationships between recovery dimensions can inform recovery-oriented services.

  1. Progressive recovery of osseoperception as a function of the combination of implant-supported prostheses.

    Science.gov (United States)

    Batista, Mauro; Bonachela, Wellington; Soares, Janir

    2008-06-01

    The extraction of teeth involves the elimination of extremely sensitive periodontal mechanoreceptors, which play an important role in oral sensory perception. The aim of this study was to evaluate the recovery of interocclusal sensory perception for micro-thickness in individuals with different types of implant-supported prostheses. Wearers of complete dentures (CDs) comprised the negative control group (group A, n=17). The experimental group consisted of wearers of prostheses supported by osseointegrated implants (Group B, n=29), which was subsequently divided into 4 subgroups: B(1) (n=5)--implant supported overdentures (ISO) occluding with CD; B(2) (n=6)--implant-supported fixed prostheses (ISFP) occluding with CD; B(3) (n=8)--wearers of maxillary and mandibular ISFP, and B(4) (n=10)--ISFP occluding with natural dentition (ND). Individuals with ND represented the positive control group (Group C, n=24). Aluminum foils measuring 10 microm, 24 microm, 30 microm, 50 microm, 80 microm, and 104 microm thickness were placed within the premolar area, adding up to 120 tests for each individual. The mean tactile thresholds of groups A, B1, B2, B3, B4, and C were 92 microm, 27 microm, 27 microm, 14 microm, 10 microm, and 10 microm, respectively. [Correction added after publication online 18 April 2008: in the preceding sentence 92 microm, 27 microm, 14 microm, 10 microm and 10 microm, was corrected to 92 microm, 27 microm, 27 microm, 14 microm, 10 microm and 10 microm]. The Kruskal-Wallis test revealed significant difference among groups (P<0.05). The Dunn test revealed that group A was statistically different from groups C, B(3), and B(4), and that B(1) and B(2) were statistically different from group C. Progressive recovery of osseoperception as a function of the combination of implant-supported prostheses could be observed. Moreover, ISO and/or ISFP combinations may similarly maximize the recovery of osseoperception.

  2. Progressing recovery-oriented care in psychiatric inpatient units: Occupational therapy’s role in supporting a stronger peer workforce

    Directory of Open Access Journals (Sweden)

    Chris Lloyd

    2017-10-01

    Full Text Available Purpose - Initiated by the service user movement, recovery-oriented practices are one of the keystones of modern mental health care. Over the past two decades, substantial gains have been made with introducing recovery-oriented practice in many areas of mental health practice, but there remain areas where progress is delayed, notably, the psychiatric inpatient environment. The peer support workforce can play a pivotal role in progressing recovery-oriented practices. The purpose of this paper is to provide a pragmatic consideration of how occupational therapists can influence mental health systems to work proactively with a peer workforce. Design/methodology/approach - The authors reviewed current literature and considered practical approaches to building a peer workforce in collaboration with occupational therapists. Findings - It is suggested that the peer support workforce should be consciously enhanced in the inpatient setting to support culture change as a matter of priority. Occupational therapists working on inpatient units should play a key role in promoting and supporting the growth in the peer support workforce. Doing so will enrich the Occupational Therapy profession as well as improving service user outcomes. Originality/value - This paper seeks to provide a pragmatic consideration of how occupational therapists can influence mental health systems to work proactively with a peer workforce.

  3. Recovery outcomes of schizophrenia patients treated with paliperidone palmitate in a community setting: patient and provider perspectives on recovery.

    Science.gov (United States)

    Williams, Wesley; McKinney, Christopher; Martinez, Larry; Benson, Carmela

    2016-01-01

    This study evaluated the effect of paliperidone palmitate long-acting injectable (LAI) antipsychotic on recovery-oriented mental health outcomes from the perspective of healthcare providers and patients during the treatment of patients with schizophrenia or schizoaffective disorders. Archival data for patients with a primary diagnosis of schizophrenia or schizoaffective disorder receiving ≥6 months of paliperidone palmitate LAI were retrieved from the electronic medical records system at the Mental Health Center of Denver. Mental health recovery was assessed from both a provider's (Recovery Markers Inventory [RMI]) and patient's (Consumer Recovery Measure [CRM]) perspective. A three-level hierarchical linear model (HLM) was utilized to determine changes in CRM and RMI scores by including independent variables in the models: intercept, months from treatment (slope), treatment time period (pretreatment and treatment), age, gender, primary diagnosis, substance abuse diagnosis, concurrent medications, and adherence to paliperidone palmitate LAI. A total of 219 patients were identified and included in the study. Results of the final three-level HLMs indicated an overall increase in CRM scores (p a retrospective, non-comparative design, and did not adjust for multiplicity Conclusions: The current study demonstrates that changes in recovery-oriented mental health outcomes can be detected following the administration of a specific antipsychotic treatment in persons with schizophrenia or schizoaffective disorders. Furthermore, patients receiving paliperidone palmitate LAI can effectively improve recovery-oriented outcomes, thereby supporting the drug's use as schizophrenia treatment from a recovery-oriented perspective.

  4. Recovery of Terephthalic Acid by employing magnetic nanoparticles as a solid support

    Directory of Open Access Journals (Sweden)

    Elmira Ghamary

    2018-03-01

    Full Text Available Abstract The aim of this research work is focused on the improvement of Terephthalic acid recovery from PET wastes by using organically modified nano-Fe3O4@Cyanuric Chloride as the solid support. The performance of organically modified nano magnetic was examined in detail and the obtained results were compared with the unsupported reaction data. Required reaction time for complete glycolysis of the wastes, consumption of the solvent as well as catalyst decreases up 99%, 37.5% and 40% respectively. Result showed that nano-Fe 3O4@Cyanuric Chloride delivered good performance as solid support in depolymerizing of PET to the terephthalic acid.

  5. Assessment of modularity architecture for recovery process of electric vehicle in supporting sustainable design

    Science.gov (United States)

    Baroroh, D. K.; Alfiah, D.

    2018-05-01

    The electric vehicle is one of the innovations to reduce the pollution of the vehicle. Nevertheless, it still has a problem, especially for disposal stage. In supporting product design and development strategy, which is the idea of sustainable design or problem solving of disposal stage, assessment of modularity architecture from electric vehicle in recovery process needs to be done. This research used Design Structure Matrix (DSM) approach to deciding interaction of components and assessment of modularity architecture using the calculation of value from 3 variables, namely Module Independence (MI), Module Similarity (MS), and Modularity for End of Life Stage (MEOL). The result of this research shows that existing design of electric vehicles has the architectural design which has a high value of modularity for recovery process on disposal stage. Accordingly, so it can be reused and recycled in component level or module without disassembly process to support the product that is environmentally friendly (sustainable design) and able reduce disassembly cost.

  6. The Train Driver Recovery Problem - Solution Method and Decision Support System Framework

    DEFF Research Database (Denmark)

    Rezanova, Natalia Jurjevna

    2009-01-01

    the proposed model and solution method is suitable for solving in real-time. Recovery duties are generated as resource constrained paths in duty networks, and the set partitioning problem is solved with a linear programming based branch-and-price algorithm. Dynamic column generation and problem space expansion...... driver decision support system in their operational environment. Besides solving a particular optimization problem, this thesis contributes with a description of the railway planning process, tactical crew scheduling and the real-time dispatching solutions, taking a starting point in DSB S....... Rezanova NJ, Ryan DM. The train driver recovery problem–A set partitioning based model and solution method. Computers and Operations Research, in press, 2009. doi: 10.1016/j.cor.2009.03.023. 2. Clausen J, Larsen A, Larsen J, Rezanova NJ. Disruption management in the airline industry–Concepts, models...

  7. Substance Abuse Counselors' Recovery Status and Self-Schemas: Preliminary Implications for Empirically Supported Treatment Implementation.

    Science.gov (United States)

    Nielson, Elizabeth M

    2016-01-01

    The purpose of this paper is to better understand the relationship between substance abuse counselors' personal recovery status, self-schemas, and willingness to use empirically supported treatments for substance use disorders. A phenomenological qualitative study enrolled 12 practicing substance abuse counselors. Within this sample, recovering counselors tended to see those who suffer from addiction as qualitatively different from those who do not and hence themselves as similar to their patients, while nonrecovering counselors tended to see patients as experiencing a specific variety of the same basic human struggles everyone experiences, and hence also felt able to relate to their patients' struggles. Since empirically supported treatments may fit more or less neatly within one or the other of these viewpoints, this finding suggests that counselors' recovery status and corresponding self-schemas may be related to counselor willingness to learn and practice specific treatments.

  8. Recovery from cannabis use disorders: Abstinence versus moderation and treatment-assisted recovery versus natural recovery.

    Science.gov (United States)

    Stea, Jonathan N; Yakovenko, Igor; Hodgins, David C

    2015-09-01

    The present study of recovery from cannabis use disorders was undertaken with 2 primary objectives that address gaps in the literature. The first objective was to provide an exploratory portrait of the recovery process from cannabis use disorders, comparing individuals who recovered naturally with those who were involved in treatment. The second objective was to explore systematically the similarities and differences between abstinence and moderation recoveries. Adults who have recovered from a cannabis use disorder were recruited in the community (N = 119). The abstinence and treatment-assisted participants exhibited higher levels of lifetime cannabis problem severity than the moderation and natural recovery participants, respectively. As well, cognitive factors were identified as the most useful strategies for recovery (e.g., thinking about benefits and negative consequences of cannabis), followed by behavioral factors (e.g., avoidance of triggers for use and high-risk situations). Findings lend further support to the effectiveness of cognitive, motivational, and behavioral strategies as helpful actions and maintenance factors involved in the recovery process. The findings also generally support the idea that cannabis use disorders lie on a continuum of problem severity, with moderation and natural recoveries more likely to occur at the lower end of the continuum and abstinence and treatment-assisted recoveries more likely to occur at the upper end. (c) 2015 APA, all rights reserved).

  9. How the Recovery Act's Federal Coordinating Council paved the way for the Patient-Centered Outcomes Research Institute.

    Science.gov (United States)

    Conway, Patrick H

    2010-11-01

    The American Recovery and Reinvestment Act of 2009 provided $1.1 billion for comparative effectiveness research and established the Federal Coordinating Council for Comparative Effectiveness Research to direct that investment. The council laid a critical foundation for comparative effectiveness research in the steps it took to gather information, invite public input, set priorities, coordinate project solicitations, and stress the importance of evaluating research investments. Although the council has been superseded by a successor--the Patient-Centered Outcomes Research Institute--the experiences of the council can and should inform the work of the new institute as it begins its operations.

  10. Substance Abuse Counselors’ Recovery Status and Self-Schemas: Preliminary Implications for Empirically Supported Treatment Implementation

    Science.gov (United States)

    Nielson, Elizabeth M.

    2016-01-01

    Purpose The purpose of this paper is to better understand the relationship between substance abuse counselors’ personal recovery status, self-schemas, and willingness to use empirically supported treatments for substance use disorders. Methods A phenomenological qualitative study enrolled 12 practicing substance abuse counselors. Results Within this sample, recovering counselors tended to see those who suffer from addiction as qualitatively different from those who do not and hence themselves as similar to their patients, while nonrecovering counselors tended to see patients as experiencing a specific variety of the same basic human struggles everyone experiences, and hence also felt able to relate to their patients’ struggles. Discussion Since empirically supported treatments may fit more or less neatly within one or the other of these viewpoints, this finding suggests that counselors’ recovery status and corresponding self-schemas may be related to counselor willingness to learn and practice specific treatments. PMID:28626597

  11. Green shoots of recovery: a realist evaluation of a team to support change in general practice.

    Science.gov (United States)

    Bartlett, Maggie; Basten, Ruth; McKinley, Robert K

    2017-02-08

    A multidisciplinary support team for general practice was established in April 2014 by a local National Health Service (NHS) England management team. This work evaluates the team's effectiveness in supporting and promoting change in its first 2 years, using realist methodology. Primary care in one area of England. Semistructured interviews were conducted with staff from 14 practices, 3 key senior NHS England personnel and 5 members of the support team. Sampling of practice staff was purposive to include representatives from relevant professional groups. The team worked with practices to identify areas for change, construct action plans and implement them. While there was no specified timescale for the team's work with practices, it was tailored to each. In realist evaluations, outcomes are contingent on mechanisms acting in contexts, and both an understanding of how an intervention leads to change in a socially constructed system and the resultant changes are outcomes. The principal positive mechanisms leading to change were the support team's expertise and its relationships with practice staff. The 'external view' provided by the team via its corroborative and normalising effects was an important mechanism for increasing morale in some practice contexts. A powerful negative mechanism was related to perceptions of 'being seen as a failing practice' which included expressions of 'shame'. Outcomes for practices as perceived by their staff were better communication, improvements in patients' access to appointments resulting from better clinical and managerial skill mix, and improvements in workload management. The support team promoted change within practices leading to signs of the 'green shoots of recovery' within the time frame of the evaluation. Such interventions need to be tailored and responsive to practices' needs. The team's expertise and relationships between team members and practice staff are central to success. Published by the BMJ Publishing Group

  12. Contracts for field projects and supporting research on enhanced oil recovery. Progress review No. 71, quarter ending June 30, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    Progress reports are presented for the following tasks: chemical flooding--supporting research; gas displacement--supporting research; thermal recovery--supporting research; geoscience technology; resource assessment technology; microbial technology; and novel technology. A list of available publication is also provided.

  13. Issues in radioactive mixed waste compliance with RCRA [Resource Conservation and Recovery Act]: Some examples from ongoing operations at the Idaho National Engineering Laboratory

    International Nuclear Information System (INIS)

    Eaton, D.L.; Smith, T.H.; Clements, T.L. Jr.; Hodge, V.

    1990-01-01

    Radioactive mixed waste is subject to regulation under both the Resource Conservation and Recovery Act (RCRA) and the Atomic Energy Act (AEA). The regulation of such waste is the responsibility of the Environmental Protection Agency (EPA) and either the Nuclear Regulatory Commission (NRC) or the Department of Energy (DOE), depending on whether the waste is commercially generated or defense-related. The recent application of the RCRA regulations to ongoing operations at the DOE's Idaho National Engineering Laboratory (INEL) are described in greater detail. 8 refs., 2 figs

  14. Improving sample recovery

    International Nuclear Information System (INIS)

    Blanchard, R.J.

    1995-09-01

    This Engineering Task Plan (ETP) describes the tasks, i.e., tests, studies, external support and modifications planned to increase the recovery of the recovery of the waste tank contents using combinations of improved techniques, equipment, knowledge, experience and testing to better the recovery rates presently being experienced

  15. IT-support for healthcare professionals acting in major incidents

    DEFF Research Database (Denmark)

    Kristensen, Margit; Kyng, Morten; Nielsen, Esben Toftdahl

    2005-01-01

    This paper focuses on development of it support for healthcare professionals acting in major incidents. We introduce the participatory design approach as adequate for analysis, design and development of technologies for use in complex environments and situations, and describe the actual...... the BlueBio biomonitor prototype, a wireless multifunction biomonitor. BlueBio data can be accessed by the healthcare professionals independent of where they are located and displayed on different types of devices tailored to the needs of the individual professional. Finally we discuss some challenges...

  16. 75 FR 33608 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-06-14

    ...In accordance with the Privacy Act of 1974, as amended (Privacy Act), the Department of Education (Department) publishes this notice proposing to revise the system of records notice for the Investigative Files of the Inspector General (18-10-01), 68 FR 38154 (June 26, 2003). The Department proposes to amend this system of records notice by: (1) Adding a new routine use to allow reporting on the activities of the Inspector General regarding American Recovery and Reinvestment Act funds to the Recovery Accountability and Transparency Board (RATB) as established by the American Recovery and Reinvestment Act of 2009 (Pub. L. 111-5); (2) adding a new routine use to allow for disclosure of information in connection with response and remedial efforts in the event of a data breach in accordance with Office of Management and Budget (OMB) requirements in M-07-16 (May 22, 2007); (3) revising routine uses ``(12) Disclosure to the President's Council on Integrity and Efficiency'' and ``(13) Disclosure for Qualitative Assessment Reviews'' to allow reporting on the activities of the Inspector General to the Council of Inspectors General on Integrity and Efficiency (formerly the President's Council on Integrity and Efficiency) as established by the Inspector General Reform Act of 2008 (Pub. L. 110-409); (4) revising the routine use ``(4) Disclosure to Public and Private Sources in Connection with the Higher Education Act of 1965, as Amended (HEA)'' to allow the disclosure of information to an educational institution or a school that is or was a party to an agreement with the Secretary of Education pursuant to the HEA; and (5) updating the system location addresses. This system of records provides essential support for investigative activities of the Office of Inspector General (OIG) relating to the Department's programs and operations, enabling the OIG to secure and maintain the necessary information and to coordinate with other law enforcement agencies as appropriate.

  17. Role of self-efficacy and social support in short-term recovery after total hip replacement: a prospective cohort study.

    Science.gov (United States)

    Brembo, Espen Andreas; Kapstad, Heidi; Van Dulmen, Sandra; Eide, Hilde

    2017-04-11

    Despite the overall success of total hip replacement (THR) in patients with symptomatic osteoarthritis (OA), up to one-quarter of patients report suboptimal recovery. The aim of this study was to determine whether social support and general self-efficacy predict variability in short-term recovery in a Norwegian cohort. We performed secondary analysis of a prospective multicenter study of 223 patients who underwent THR for OA in 2003-2004. The total score of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at 3 months after surgery was used as the recovery variable. We measured self-efficacy using the General Self-Efficacy Scale (GSES) and social support with the Social Provisions Scale (SPS). Preoperative and postoperative scores were compared using Wilcoxon tests. The Mann-Whitney U test compared scores between groups that differed in gender and age. Spearman's rho correlation coefficients were used to evaluate associations between selected predictor variables and the recovery variable. We performed univariate and multiple linear regression analyses to identify independent variables and their ability to predict short-term recovery after THR. The median preoperative WOMAC score was 58.3 before and 23.9 after surgery. The mean absolute change was 31.9 (standard deviation [SD] 17.0) and the mean relative change was 54.8% (SD 26.6). Older age, female gender, higher educational level, number of comorbidities, baseline WOMAC score, self-efficacy, and three of six individual provisions correlated significantly with short-term recovery after THR and predicted the variability in recovery in the univariate regression model. In multiple regression models, baseline WOMAC was the most consistent predictor of short-term recovery: a higher preoperative WOMAC score predicted worse short-term recovery (β = 0.44 [0.29, 0.59]). Higher self-efficacy predicted better recovery (β = -0.44 [-0.87, -0.02]). Reliable alliance was a significant predictor

  18. 75 FR 53708 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2010-09-01

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  19. 78 FR 57650 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2013-09-19

    ...-FF08E00000] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior... with endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also...

  20. 77 FR 12611 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2012-03-01

    ...-FF08E00000] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior... with endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also...

  1. 75 FR 69699 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2010-11-15

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  2. 75 FR 79387 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2010-12-20

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  3. 76 FR 14424 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2011-03-16

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  4. 78 FR 16703 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2013-03-18

    ...-FF08E00000] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior... with endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also...

  5. 76 FR 70160 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2011-11-10

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  6. 78 FR 55287 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2013-09-10

    ...-FF08E00000] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior... with endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also...

  7. 76 FR 20004 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2011-04-11

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  8. 75 FR 20857 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2010-04-21

    ...] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice... endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity. The Act also requires that we...

  9. State Implementation and Perceptions of Title I School Improvement Grants under the Recovery Act: One Year Later. Online Appendix--State Responses to Open-Ended Questions about the ARRA SIG Program

    Science.gov (United States)

    Center on Education Policy, 2012

    2012-01-01

    To learn more about states' experiences with implementing school improvement grants (SIGs) funded through the American Recovery and Reinvestment Act (ARRA), the Center on Education Policy (CEP) administered a survey to state Title I directors. (Title I of the Elementary and Secondary Education Act provides federal funds to schools in low-income…

  10. Contracts for field projects and supporting research on enhanced oil recovery. Progress review No. 82, quarterly report, January--March 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-01

    This document consists of a list of projects supporting work on oil recovery programs. A publications list and index of companies and institutions is provided. The remaining portion of the document provides brief descriptions on projects in chemical flooding, gas displacement, thermal recovery, geoscience, resource assessment, and reservoir class field demonstrations.

  11. Evidence of recovery of Juniperus virginiana trees from sulfur pollution after the Clean Air Act.

    Science.gov (United States)

    Thomas, Richard B; Spal, Scott E; Smith, Kenneth R; Nippert, Jesse B

    2013-09-17

    Using dendroisotopic techniques, we show the recovery of Juniperus virginiana L. (eastern red cedar) trees in the Central Appalachian Mountains from decades of acidic pollution. Acid deposition over much of the 20th century reduced stomatal conductance of leaves, thereby increasing intrinsic water-use efficiency of the Juniperus trees. These data indicate that the stomata of Juniperus may be more sensitive to acid deposition than to increasing atmospheric CO2. A breakpoint in the 100-y δ(13)C tree ring chronology occurred around 1980, as the legacy of sulfur dioxide emissions declined following the enactment of the Clean Air Act in 1970, indicating a gradual increase in stomatal conductance (despite rising levels of atmospheric CO2) and a concurrent increase in photosynthesis related to decreasing acid deposition and increasing atmospheric CO2. Tree ring δ(34)S shows a synchronous change in the sources of sulfur used at the whole-tree level that indicates a reduced anthropogenic influence. The increase in growth and the δ(13)C and δ(34)S trends in the tree ring chronology of these Juniperus trees provide evidence for a distinct physiological response to changes in atmospheric SO2 emissions since ∼1980 and signify the positive impacts of landmark environmental legislation to facilitate recovery of forest ecosystems from acid deposition.

  12. Model of Management (Mo.Ma) for the patient with schizophrenia: crisis control, maintenance, relapse prevention, and recovery with long-acting injectable antipsychotics (LAIs).

    Science.gov (United States)

    Brugnoli, Roberto; Rapinesi, Chiara; Kotzalidis, Georgios D; Marcellusi, Andrea; Mennini, Francesco S; De Filippis, Sergio; Carrus, Dario; Ballerini, Andrea; Francomano, Antonio; Ducci, Giuseppe; Del Casale, Antonio; Girardi, Paolo

    2016-01-01

    Schizophrenia is a severe mental disease that affects approximately 1% of the population with a relevant chronic impact on social and occupational functioning and daily activities. People with schizophrenia are 2-2.5 times more likely to die early than the general population. Non-adherence to antipsychotic medications, both in chronic and first episode schizophrenia, is one of the most important risk factors for relapse and hospitalization, that consequently contributes to increased costs due to psychiatric hospitalization. Atypical long-acting injectable (LAI) antipsychotics can improve treatment adherence and decrease re-hospitalization rates in patients with schizophrenia since its onset. The primary goals in the management of schizophrenia are directed not only at symptom reduction in the short and long term, but also at maintaining physical and mental functioning, improving quality of life, and promoting patient recovery. To propose a scientific evidence-based integrated model that provides an algorithm for recovery of patients with schizophrenia and to investigate the effectiveness and safety of antipsychotics LAI in the treatment, maintenance, relapse prevention, and recovery of schizophrenia. After an accurate literature review we identified, collected and analyzed the crucial points in taking care schizophrenia patients, through which we defined the steps described in the model of management and the choice of the better treatment option. Results. In the management model we propose, the choice of a second generation long acting antipsychotic, could allow from the earliest stages of illness better patient management, especially for young individuals with schizophrenia onset, a better recovery and significant reductions of relapse and health care costs. LAI formulations of antipsychotics are valuable, because they help patients to remain adherent to their medication through regular contact with healthcare professionals and to prevent covert non-adherence. The

  13. On-campus programs to support college students in recovery.

    Science.gov (United States)

    Misch, Donald A

    2009-01-01

    The author argues that referral of alcohol-abusing college students to off-campus treatment services, although necessary for some, is not optimal for many. He advocates the implementation of comprehensive on-campus services for students committed to recovery in order to optimize their treatment while allowing them to remain in school and work towards their degree. The author suggests that such on-campus recovery services provide additional benefits to the college or university as well as to other students, and he proposes that on-campus alcohol-abusing students in recovery can serve as important opinion leaders and role models for their peers.

  14. Environmental regulations handbook for enhanced oil recovery. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, T.D.

    1980-08-01

    A guide to environmental laws and regulations which have special significance for enhanced oil recovery (EOR) is presented. The Clean Air Act, the Clean Water Act, the Safe Drinking Water Act, Resource Conservation and Recovery Act, federal regulations, and state regulations are discussed. This handbook has been designed as a planning tool and a convenient reference source. The 16 states included comprise the major oil-producing states in various regions of the state. The major topics covered are: general guidelines for complying with environmental laws and regulations; air pollution control; water pollution control; protecting drinking water: underground injection control; hazardous waste management; and federal laws affecting siting or operation of EOR facilities. (DMC)

  15. Contracts for field projects and supporting research on enhanced oil recovery: Progress review No. 74, Quarter ending March 31, 1993

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-01

    Accomplishments for the past quarter are presented for the following tasks: chemical flooding--supporting research; gas displacement--supporting research; thermal recovery--supporting research; geoscience technology; resource assessment technology; microbial technology; field demonstrations in high-priority reservoir classes; and novel technology. A list of available publication is also provided.

  16. A trial essay about studies of Grief Toward to recovery support for mothers who abuse their children

    OpenAIRE

    遠藤, 野ゆり

    2016-01-01

    This paper is a short essay about studies of Grief which are written by Sigmund Freud, Melanie Klein, John Bowlby, and Keigo Okonogi. The final aim is to describe parents’, mainly mother’s mechanism of recovery process from their abusing of children. This paper is one piece of this aim. The lag of support for abusing mother seems to be caused by the complexity and difficulty of their mechanism. They often have been abused in their childhood and can’t remember it. The process of recovery is pa...

  17. Recovery of a US endangered fish.

    Directory of Open Access Journals (Sweden)

    Mark B Bain

    Full Text Available BACKGROUND: More fish have been afforded US Endangered Species Act protection than any other vertebrate taxonomic group, and none has been designated as recovered. Shortnose sturgeon (Acipenser brevirostrum occupy large rivers and estuaries along the Atlantic coast of North America, and the species has been protected by the US Endangered Species Act since its enactment. METHODOLOGY/PRINCIPAL FINDINGS: Data on the shortnose sturgeon in the Hudson River (New York to Albany, NY, USA were obtained from a 1970s population study, a population and fish distribution study we conducted in the late 1990s, and a fish monitoring program during the 1980s and 1990s. Population estimates indicate a late 1990s abundance of about 60,000 fish, dominated by adults. The Hudson River population has increased by more than 400% since the 1970s, appears healthy, and has attributes typical for a long-lived species. Our population estimates exceed the government and scientific population recovery criteria by more than 500%, we found a positive trend in population abundance, and key habitats have remained intact despite heavy human river use. CONCLUSIONS/SIGNIFICANCE: Scientists and legislators have called for changes in the US Endangered Species Act, the Act is being debated in the US Congress, and the Act has been characterized as failing to recover species. Recovery of the Hudson River population of shortnose sturgeon suggests the combination of species and habitat protection with patience can yield successful species recovery, even near one of the world's largest human population centers.

  18. Integrating personal medicine into service delivery: empowering people in recovery.

    Science.gov (United States)

    MacDonald-Wilson, Kim L; Deegan, Patricia E; Hutchison, Shari L; Parrotta, Nancy; Schuster, James M

    2013-12-01

    Illness management and recovery strategies are considered evidence-based practices. The article describes how a web-based application, CommonGround, has been used to support implementation of such strategies in outpatient mental health services and assess its impact. The specific focus of this article is Personal Medicine, self-management strategies that are a salient component of the CommonGround intervention. With support from counties and a not-for-profit managed care organization, CommonGround has been introduced in 10 medication clinics, one Assertive Community Treatment (ACT) team, and one peer support center across Pennsylvania. Methods include analysis of data from the application's database and evaluation of health functioning, symptoms, and progress toward recovery. Health functioning improved over time and use of self-management strategies was associated with fewer concerns about medication side effects, fewer concerns about the impact of mental health medicine on physical health, more reports that mental health medicines were helping, and greater progress in individuals' recovery. Using Personal Medicine empowers individuals to work with their prescribers to find a "right balance" between what they do to be well and what they take to be well. This program helps individuals and their service team focus on individual strengths and resilient self-care strategies. More research is needed to assess factors that may predict changes in outcomes and how a web-based tool focused on self-management strategies may moderate those factors. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  19. Contracts for field projects and supporting research on enhanced oil recovery. Progress review No. 89

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    Summaries are presented for the DOE contracts related to supported research for thermal recovery of petroleum, geoscience technology, and field demonstrations in high-priority reservoir classes. Data included for each project are: title, contract number, principal investigator, research organization, beginning date, expected completion date, amount of award, objectives of the research, and summary of technical progress.

  20. 75 FR 10246 - Nationwide Categorical Waivers Under Section 1605 (Buy American) of the American Recovery and...

    Science.gov (United States)

    2010-03-05

    ... Waivers Under Section 1605 (Buy American) of the American Recovery and Reinvestment Act of 2009 (Recovery... nationwide categorical waivers of the Buy American requirements of the American Recovery and Reinvestment Act... domestic manufacturers for these products. This strategy will ensure that all future determinations of...

  1. Misuse of Checklist Assessments in Endangered Species Recovery Efforts

    Directory of Open Access Journals (Sweden)

    Thomas P. Good

    2003-12-01

    Full Text Available Natural resource agencies worldwide must develop species recovery plans that specify threats, propose targets required for recovery, and evaluate the extent to which habitat alteration and restoration may influence species decline and recovery. To evaluate the impacts of proposed habitat alterations on species of conservation concern, standardized protocols may be adopted even when supporting data are scarce. For example, a habitat matrix was developed by the National Marine Fisheries Service (NMFS to guide consultations under the Endangered Species Act for actions that may affect the functioning of the freshwater habitat used by several federally listed salmonid species. The habitat matrix has also been advocated as a tool for recovery planning by agencies apart from the NMFS, who could use it to define the habitat conditions assumed to be necessary for salmonid population viability and hence recovery. This use of the habitat matrix in a recovery context has not been evaluated, and, despite its widespread use as a regulatory tool, the empirical relationships between many of the habitat matrix variables and salmonid populations remain unexplored. By amassing data on habitat assessments and trends in fish abundance, we empirically evaluate the relationship between habitat matrix scores and salmonid population metrics. We found that abundance trends for populations of three species of threatened and endangered salmonids (chinook, coho, and steelhead were unrelated to these habitat matrix assessments. This study reveals the danger of assuming quantitative relationships between habitat and organism and cautions against co-opting protocols from the regulatory realm for recovery planning for endangered species.

  2. Building addiction recovery capital through online participation in a recovery community.

    Science.gov (United States)

    Bliuc, Ana-Maria; Best, David; Iqbal, Muhammad; Upton, Katie

    2017-11-01

    This study examines how online participation in a community of recovery contributes to personal journeys of recovery. It investigates whether recovery capital building - as indicated by increased levels and quality of online social interactions - and markers of positive identity development predict retention in a recovery program designed around fostering community involvement for early stage recovery addicts. It was predicted that online participation on the group's Facebook page and positive identity development are associated to retention in the program. To map how participants interact online, social network analysis (SNA) based on naturally occurring online data (N = 609) on the Facebook page of a recovery community was conducted. Computerised linguistic analyses evaluated sentiment of the textual data (capturing social identity markers). Linear regression analyses evaluated whether indicators of recovery capital predict program retention. To illustrate the findings in the context of the specific recovery community, presented are two case studies of key participants who moved from the periphery to the centre of the social network. By conducting in-depth interviews with these participants, personal experiences of engagement in the online community of group members who have undergone the most significant changes since joining the community are explored. Retention in the program was determined by a) the number of comment 'likes' and all 'likes' received on the Facebook page; b) position in the social network (degree of centrality); and c) linguistic content around group identity and achievement. Positive online interactions between members of recovery communities support the recovery process through helping participants to develop recovery capital that binds them to groups supportive of positive change. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Resource Conservation and Recovery Act closure plan for the Intermediate-Level Transuranic Storage Facility mixed waste container storage units

    International Nuclear Information System (INIS)

    Nolte, E.P.; Spry, M.J.; Stanisich, S.N.

    1992-11-01

    This document describes the proposed plan for clean closure of the Intermediate-Level Transuranic Storage Facility mixed waste container storage units at the Idaho National Engineering Laboratory in accordance with the Resource Conservation and Recovery Act closure requirements. Descriptions of the location, size, capacity, history, and current status of the units are included. The units will be closed by removing waste containers in storage, and decontamination structures and equipment that may have contacted waste. Sufficient sampling and documentation of all activities will be performed to demonstrate clean closure. A tentative schedule is provided in the form of a milestone chart

  4. Using variances to comply with resource conservation and recovery act treatment standards

    International Nuclear Information System (INIS)

    Ranek, N.L.

    2002-01-01

    When a waste generated, treated, or disposed of at a site in the United States is classified as hazardous under the Resource Conservation and Recovery Act and is destined for land disposal, the waste manager responsible for that site must select an approach to comply with land disposal restrictions (LDR) treatment standards. This paper focuses on the approach of obtaining a variance from existing, applicable LDR treatment standards. It describes the types of available variances, which include (1) determination of equivalent treatment (DET); (2) treatability variance; and (3) treatment variance for contaminated soil. The process for obtaining each type of variance is also described. Data are presented showing that historically the U.S. Environmental Protection Agency (EPA) processed DET petitions within one year of their date of submission. However, a 1999 EPA policy change added public participation to the DET petition review, which may lengthen processing time in the future. Regarding site-specific treatability variances, data are presented showing an EPA processing time of between 10 and 16 months. Only one generically applicable treatability variance has been granted, which took 30 months to process. No treatment variances for contaminated soil, which were added to the federal LDR program in 1998, are identified as having been granted.

  5. A Smartphone Application Supporting Recovery from Heroin Addiction: Perspectives of Patients and Providers in China, Taiwan, and the USA.

    Science.gov (United States)

    Schulte, Marya; Liang, Di; Wu, Fei; Lan, Yu-Ching; Tsay, Wening; Du, Jiang; Zhao, Min; Li, Xu; Hser, Yih-Ing

    2016-09-01

    Smartphone-based interventions are increasingly used to support self-monitoring, self-management, and treatment and medication compliance in order to improve overall functioning and well-being. In attempting to develop a smartphone application (S-Health) that assists heroin-dependent patients in recovery, a series of focus groups (72 patients, 22 providers) were conducted in China, Taiwan, and the USA to obtain their perspectives on its acceptance and potential adoption. Data were analyzed according to the Diffusion of Innovation (DOI) theory of characteristics important to the adoption of innovation. Important to Relative Advantage, USA participants cited S-Health's potential ability to overcome logistical barriers, while those in China and Taiwan valued its potential to supplement currently limited services. In terms of Compatibility, participants across sites reported recovery needs and goals that such an application could be helpful in supporting; however, its utility during strong craving was questioned in China and Taiwan. Important factors relevant to Complexity included concerns about smartphone access and familiarity, individualization of content, and particularly in China and Taiwan, participants wanted assurance of privacy and security. The study results suggest a general acceptance, but also indicate cultural variations in access to therapeutic and other social support systems, legal repercussions of substance use, societal perceptions of addiction, and the role of family and other social support in recovery. Taking these factors into consideration is likely to increase diffusion as well as effectiveness of these smartphone-based interventions.

  6. Using smartphones to decrease substance use via self-monitoring and recovery support: study protocol for a randomized control trial.

    Science.gov (United States)

    Scott, Christy K; Dennis, Michael L; Gustafson, David H

    2017-08-10

    Alcohol abuse, other substance use disorders, and risk behaviors associated with the human immunodeficiency virus (HIV) represent three of the top 10 modifiable causes of mortality in the US. Despite evidence that continuing care is effective in sustaining recovery from substance use disorders and associated behaviors, patients rarely receive it. Smartphone applications (apps) have been effective in delivering continuing care to patients almost anywhere and anytime. This study tests the effectiveness of two components of such apps: ongoing self-monitoring through Ecological Momentary Assessments (EMAs) and immediate recovery support through Ecological Momentary Interventions (EMIs). The target population, adults enrolled in substance use disorder treatment (n = 400), are being recruited from treatment centers in Chicago and randomly assigned to one of four conditions upon discharge in a 2 × 2 factorial design. Participants receive (1) EMAs only, (2) EMIs only, (3) combined EMAs + EMIs, or (4) a control condition without EMA or EMI for 6 months. People in the experimental conditions receive smartphones with the apps (EMA and/or EMI) specific to their condition. Phones alert participants in the EMA and EMA + EMI conditions at five random times per day and present participants with questions about people, places, activities, and feelings that they experienced in the past 30 min and whether these factors make them want to use substances, support their recovery, or have no impact. Those in the EMI and EMA + EMI conditions have continual access to a suite of support services. In the EMA + EMI condition, participants are prompted to use the EMI(s) when responses to the EMA(s) indicate risk. All groups have access to recovery support as usual. The primary outcome is days of abstinence from alcohol and other drugs. Secondary outcomes are number of HIV risk behaviors and whether abstinence mediates the effects of EMA, EMI, or EMA + EMI on HIV

  7. Effects of cold water immersion and active recovery on hemodynamics and recovery of muscle strength following resistance exercise.

    Science.gov (United States)

    Roberts, Llion A; Muthalib, Makii; Stanley, Jamie; Lichtwark, Glen; Nosaka, Kazunori; Coombes, Jeff S; Peake, Jonathan M

    2015-08-15

    Cold water immersion (CWI) and active recovery (ACT) are frequently used as postexercise recovery strategies. However, the physiological effects of CWI and ACT after resistance exercise are not well characterized. We examined the effects of CWI and ACT on cardiac output (Q̇), muscle oxygenation (SmO2), blood volume (tHb), muscle temperature (Tmuscle), and isometric strength after resistance exercise. On separate days, 10 men performed resistance exercise, followed by 10 min CWI at 10°C or 10 min ACT (low-intensity cycling). Q̇ (7.9 ± 2.7 l) and Tmuscle (2.2 ± 0.8°C) increased, whereas SmO2 (-21.5 ± 8.8%) and tHb (-10.1 ± 7.7 μM) decreased after exercise (P < 0.05). During CWI, Q̇ (-1.1 ± 0.7 l) and Tmuscle (-6.6 ± 5.3°C) decreased, while tHb (121 ± 77 μM) increased (P < 0.05). In the hour after CWI, Q̇ and Tmuscle remained low, while tHb also decreased (P < 0.05). By contrast, during ACT, Q̇ (3.9 ± 2.3 l), Tmuscle (2.2 ± 0.5°C), SmO2 (17.1 ± 5.7%), and tHb (91 ± 66 μM) all increased (P < 0.05). In the hour after ACT, Tmuscle, and tHb remained high (P < 0.05). Peak isometric strength during 10-s maximum voluntary contractions (MVCs) did not change significantly after CWI, whereas it decreased after ACT (-30 to -45 Nm; P < 0.05). Muscle deoxygenation time during MVCs increased after ACT (P < 0.05), but not after CWI. Muscle reoxygenation time after MVCs tended to increase after CWI (P = 0.052). These findings suggest first that hemodynamics and muscle temperature after resistance exercise are dependent on ambient temperature and metabolic demands with skeletal muscle, and second, that recovery of strength after resistance exercise is independent of changes in hemodynamics and muscle temperature. Copyright © 2015 the American Physiological Society.

  8. 77 FR 5045 - Endangered Species Recovery Permit Applications

    Science.gov (United States)

    2012-02-01

    ...-FF08E00000] Endangered Species Recovery Permit Applications AGENCY: Fish and Wildlife Service, Interior... certain activities with endangered species. With some exceptions, the Endangered Species Act (Act) prohibits activities with endangered and threatened species unless a Federal permit allows such activity...

  9. Negative Affective Experiences in Relation to Stages of Eating Disorder Recovery

    Science.gov (United States)

    Harney, Megan B.; Fitzsimmons-Crafr, Ellen E.; Maldonado, Christine R.; Bardone-Cone, Anna M.

    2013-01-01

    The purpose of this study was to examine a collection of negative affect symptoms in relation to stages of eating disorder recovery. Depressive symptoms, anxiety symptoms, loneliness, and perceived stress are known to be present in individuals with eating disorders; however, less is known about the presence of such constructs throughout the recovery process. Does this negative affect fog continue to linger in individuals who have recovered from an eating disorder? Female participants seen at some point for an eating disorder at a primary care clinic were categorized into one of three groups using a stringent definition of eating disorder recovery based on physical, behavioral, and psychological criteria: active eating disorder (n =53), partially recovered (n =15; psychological criteria not met), and fully recovered (n =20; all recovery criteria met). Additionally, data were obtained from 67 female controls who had no history of an eating disorder. Self-report data indicated that controls and women fully recovered from an eating disorder scored significantly lower than partially recovered and active eating disorder groups in perceived stress, depression, and anxiety. Controls and the fully recovered group were statistically indistinguishable from each other in these domains, as were the partially recovered and active eating disorder groups, suggesting an interesting divide depending on whether psychological criteria (e.g., normative levels of weight/shape concern) were met. In contrast, controls and fully recovered and partially recovered groups all reported feeling significantly less lonely relative to those with an active eating disorder suggesting that improved perceptions of interpersonal, social support may act as a stepping stone toward more comprehensive eating disorder recovery. Future research may want to longitudinally determine if an increase in actual or perceived social support facilitates the movement toward full recovery and whether this, in turn, has

  10. Negative affective experiences in relation to stages of eating disorder recovery.

    Science.gov (United States)

    Harney, Megan B; Fitzsimmons-Craft, Ellen E; Maldonado, Christine R; Bardone-Cone, Anna M

    2014-01-01

    The purpose of this study was to examine a collection of negative affect symptoms in relation to stages of eating disorder recovery. Depressive symptoms, anxiety symptoms, loneliness, and perceived stress are known to be present in individuals with eating disorders; however, less is known about the presence of such constructs throughout the recovery process. Does this negative affect fog continue to linger in individuals who have recovered from an eating disorder? Female participants seen at some point for an eating disorder at a primary care clinic were categorized into one of three groups using a stringent definition of eating disorder recovery based on physical, behavioral, and psychological criteria: active eating disorder (n=53), partially recovered (n=15; psychological criteria not met), and fully recovered (n=20; all recovery criteria met). Additionally, data were obtained from 67 female controls who had no history of an eating disorder. Self-report data indicated that controls and women fully recovered from an eating disorder scored significantly lower than partially recovered and active eating disorder groups in perceived stress, depression, and anxiety. Controls and the fully recovered group were statistically indistinguishable from each other in these domains, as were the partially recovered and active eating disorder groups, suggesting an interesting divide depending on whether psychological criteria (e.g., normative levels of weight/shape concern) were met. In contrast, controls and fully recovered and partially recovered groups all reported feeling significantly less lonely relative to those with an active eating disorder suggesting that improved perceptions of interpersonal functioning and social support may act as a stepping stone toward more comprehensive eating disorder recovery. Future research may want to longitudinally determine if an increase in actual or perceived social support facilitates the movement toward full recovery and whether this

  11. Heart Attack Recovery FAQs

    Science.gov (United States)

    ... recommendations to make a full recovery. View an animation of a heart attack . Heart Attack Recovery Questions ... Support Network Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium and Salt 3 Heart Attack Symptoms ...

  12. Contracts for field projects and supporting research on enhanced oil recovery, October--December 1992. Progress review No. 73, quarter ending December 31, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-01

    Accomplishments for this quarter ending December 31, 1992 are presented for the following tasks: chemical flooding--supporting research; gas displacement--supporting research; thermal recovery--supporting research; geoscience technology; resource assessment technology; microbial technology; reservoir classes; and novel technology.

  13. RECIPROCAL RESPONSIBILITY AND SOCIAL SUPPORT AMONG WOMEN IN SUBSTANCE USE RECOVERY.

    Science.gov (United States)

    Brereton, Kate L; Alvarez, Josefina; Jason, Leonard A; Stevens, Edward B; Dyson, Vida B; McNeilly, Catherine; Ferrari, Joseph R

    2014-01-01

    This study sought to identify individual- and house-level predictors of women's employment, education, and retention in self-run recovery homes. Data from a national study of 292 women in Oxford House, an international organization of recovery homes grounded on self-help/mutual aid and 12-step principles were analyzed. Results indicated that the house's Reciprocal Responsibility predicted number of days of paid work. Individual and house variables did not predict participation in education. The presence of recovery home members in personal social networks was statistically significant in predicting retention in the recovery home. Lastly, results indicated that number of days of paid work were not predictive of likelihood of substance use in the next 12 months. The findings of this study indicate that the ability to develop social networks and Reciprocal Responsibility in recovery homes can contribute to positive outcomes for women.

  14. Study on the feasibility of implementing a cost-recovery program

    International Nuclear Information System (INIS)

    1988-02-01

    The AECB does not currently have an adequate legal basis for cost recovery. The use of amendments to the AEC (Atomic Energy Control) Act or Regulations to effect cost recovery would entail too high a risk of successful legal challenge and political complications which could adversely affect the AECB's operational effectiveness. In the time frame envisaged by Treasury Board Secretariat for the AECB to collect fees, it is not practical to amend the AEC Act to make it binding on the Crown, and specifically to authorize the AECB to recover its costs. The only practical approach to providing a sound legal basis for cost recovery is through amendment of the Financial Administration Act. Studies to date have provided a basis to establish options for cost recovery which may be practical, provided that a sound legal basis is established. Studies to date have not provided a basis to evaluate the impact of any of these options on the development, application, and use of atomic energy in Canada, or on the regulatory effectiveness of the AECB. While the principle of cost-recovery has been decided by the Treasury Board, public consultations are needed to evaluate impact and to arrive at a final decision on the extent of cost recovery. Such consultations are required by the government's Regulatory Process Action Plan. Cost recovery is likely to generate a strong negative reaction from the nuclear industry, some of which may affect the ability of the AECB to implement an effective regulatory program

  15. Contracts for field projects and supporting research on enhanced oil recovery, July--September 1992. Progress review No. 72, quarter ending September 30, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1993-09-01

    Accomplishments for the past quarter are presented for the following tasks: Chemical flooding--supporting research; gas displacement--supporting research; thermal recovery--supporting research; geoscience technology; resource assessment technology; microbial technology; and novel technology. A list of available publication is also provided.

  16. Contracts for field projects and supporting research on enhanced oil recovery. Progress review number 86, quarter ending March 31, 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    Summaries are presented for 37 enhanced oil recovery contracts being supported by the Department of Energy. The projects are grouped into gas displacement methods, thermal recovery methods, geoscience technology, reservoir characterization, and field demonstrations in high-priority reservoir classes. Each summary includes the objectives of the project and a summary of the technical progress, as well as information on contract dates, size of award, principal investigator, and company or facility doing the research.

  17. Savannah River Site Footprint Reduction Results under the American Recovery and Reinvestment Act - 13302

    Energy Technology Data Exchange (ETDEWEB)

    Flora, Mary [Savannah River Nuclear Solutions Bldg. 730-4B, Aiken, SC 29808 (United States); Adams, Angelia [United States Department of Energy Bldg. 730-B, Aiken, SC 29808 (United States); Pope, Robert [United States Environmental Protection Agency Region IV Atlanta, GA 30303 (United States)

    2013-07-01

    The Savannah River Site (SRS) is an 802 square-kilometer United States Department of Energy (US DOE) nuclear facility located along the Savannah River near Aiken, South Carolina, managed and operated by Savannah River Nuclear Solutions. Construction of SRS began in the early 1950's to enhance the nation's nuclear weapons capability. Nuclear weapons material production began in the early 1950's, eventually utilizing five production reactors constructed to support the national defense mission. Past operations have resulted in releases of hazardous constituents and substances to soil and groundwater, resulting in 515 waste sites with contamination exceeding regulatory thresholds. More than 1,000 facilities were constructed onsite with approximately 300 of them considered radiological, nuclear or industrial in nature. In 2003, SRS entered into a Memorandum of Agreement with its regulators to accelerate the cleanup using an Area Completion strategy. The strategy was designed to focus cleanup efforts on the 14 large industrial areas of the site to realize efficiencies of scale in the characterization, assessment, and remediation activities. This strategy focuses on addressing the contaminated surface units and the vadose zone and addressing groundwater plumes subsequently. This approach streamlines characterization and remediation efforts as well as the required regulatory documentation, while enhancing the ability to make large-scale cleanup decisions. In February 2009, Congress approved the American Reinvestment and Recovery Act (ARRA) to create jobs and promote economic recovery. At SRS, ARRA funding was established in part to accelerate the completion of environmental remediation and facility deactivation and decommissioning (D and D). By late 2012, SRS achieved 85 percent footprint reduction utilizing ARRA funding by accelerating and coupling waste unit remediation with D and D of remnant facilities. Facility D and D activities were sequenced and

  18. American Recovery and Reinvestment Act (ARRA) Federal Energy Management Program Technical Assistance Project 282 Renewable Energy Opportunities at Fort Gordon, Georgia

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Brian K.; Gorrissen, Willy J.; Hand, James R.; Horner, Jacob A.; Orrell, Alice C.; Russo, Bryan J.; Weimar, Mark R.; Williamson, Jennifer L.; Nesse, Ronald J.

    2010-09-30

    This document provides an overview of renewable resource potential at Fort Gordon, based primarily upon analysis of secondary data sources supplemented with limited on-site evaluations. This effort focuses on grid-connected generation of electricity from renewable energy sources and also on ground source heat pumps for heating and cooling buildings. The effort was funded by the American Recovery and Reinvestment Act (ARRA) as follow-on to the 2005 Department of Defense (DoD) Renewables Assessment. The site visit to Fort Gordon took place on March 9, 2010.

  19. National recovery strategy for woodland caribou (Rangifer tarandus caribou, boreal population, in Canada

    Directory of Open Access Journals (Sweden)

    Dave Hervieux

    2007-04-01

    Full Text Available Recovery planning for the boreal population of woodland caribou is a complex task, spanning eight Canadian provinces and territories. To accommodate unique situations across the country, recovery planning for this Species at Risk Act-listed threatened species is occurring at both provincial/ territorial and national levels. The national recovery strategy strives to identify nationally important issues and provide direction for provinces and territories as they plan and implement boreal caribou recovery within their jurisdictions. The national vision is to conserve and recover boreal caribou and their habitat across Canada. Specific goals are to: 1 Prevent extirpation of local boreal caribou populations from all existing caribou ranges; and 2 Maintain or enhance local boreal caribou populations at or to self-sustaining levels within all existing caribou ranges; and 3 Maintain or enhance boreal caribou habitat to support self-sustaining local populations. Nineteen broad national approaches are identified. These approaches include items relating to: habitat planning and management, caribou population monitoring and management, management of human-caused mortality, management of other wildlife species, consideration of government legislation and policy,promotion of stewardship and public outreach, and research. Specific outcomes are provided for each stated recovery approach. For more information on Canada's national recovery strategy for the boreal population of woodland caribou please see www.speciesatrisk.gc.ca/recovery/default_e.cfm

  20. Impact of the resource conservation and recovery act on energy facility siting

    International Nuclear Information System (INIS)

    Tevepaugh, C.W.

    1982-01-01

    The Resource Conservation and Recovery Act (RCRA) of 1976 is a multifaceted approach to the management of both solid and hazardous waste. The focus of this research is on the RCRA mandated proposed regulations for the siting of hazardous waste disposal facilities. This research is an analysis of the interactions among hazardous waste disposal facilities, energy supply technologies and land use issues. This study addresses the impact of RCRA hazardous waste regulations in a descriptive and exploratory manner. A literature and legislative review, interviews and letters of inquiry were synthesized to identify the relationship between RCRA hazardous waste regulations and the siting of selected energy supply technologies. The results of this synthesis were used to determine if and how RCRA influences national land use issues. It was found that the interaction between RCRA and the siting of hazardous waste disposal facilities required by energy supply technologies will impact national land use issues. All energy supply technologies reviewed generate hazardous waste. The siting of industrial functions such as energy supply facilities and hazardous waste disposal facilities will influence future development patterns. The micro-level impacts from the siting of hazardous waste disposal facilities will produce a ripple effect on land use with successive buffer zones developing around the facilities due to the interactive growth of the land use sectors

  1. Role of spared pathways in locomotor recovery after body-weight-supported treadmill training in contused rats.

    Science.gov (United States)

    Singh, Anita; Balasubramanian, Sriram; Murray, Marion; Lemay, Michel; Houle, John

    2011-12-01

    Body-weight-supported treadmill training (BWSTT)-related locomotor recovery has been shown in spinalized animals. Only a few animal studies have demonstrated locomotor recovery after BWSTT in an incomplete spinal cord injury (SCI) model, such as contusion injury. The contribution of spared descending pathways after BWSTT to behavioral recovery is unclear. Our goal was to evaluate locomotor recovery in contused rats after BWSTT, and to study the role of spared pathways in spinal plasticity after BWSTT. Forty-eight rats received a contusion, a transection, or a contusion followed at 9 weeks by a second transection injury. Half of the animals in the three injury groups were given BWSTT for up to 8 weeks. Kinematics and the Basso-Beattie-Bresnahan (BBB) test assessed behavioral improvements. Changes in Hoffmann-reflex (H-reflex) rate depression property, soleus muscle mass, and sprouting of primary afferent fibers were also evaluated. BWSTT-contused animals showed accelerated locomotor recovery, improved H-reflex properties, reduced muscle atrophy, and decreased sprouting of small caliber afferent fibers. BBB scores were not improved by BWSTT. Untrained contused rats that received a transection exhibited a decrease in kinematic parameters immediately after the transection; in contrast, trained contused rats did not show an immediate decrease in kinematic parameters after transection. This suggests that BWSTT with spared descending pathways leads to neuroplasticity at the lumbar spinal level that is capable of maintaining locomotor activity. Discontinuing training after the transection in the trained contused rats abolished the improved kinematics within 2 weeks and led to a reversal of the improved H-reflex response, increased muscle atrophy, and an increase in primary afferent fiber sprouting. Thus continued training may be required for maintenance of the recovery. Transected animals had no effect of BWSTT, indicating that in the absence of spared pathways this

  2. Activities of the Oil Implementation Task Force, reporting period March--August 1991; Contracts for field projects and supporting research on enhanced oil recovery, reporting period October--December 1990

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    Activities of DOE's Oil Implementation Task Force for the period March--August 1991 are reviewed. Contracts for fields projects and supporting research on enhanced oil recovery are discussed, with a list of related publications given. Enhanced recovery processes covered include chemical flooding, gas displacement, thermal recovery, and microbial recovery.

  3. Endangered Species Act Critical Habitat

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Critical habitat (CH) is designated for the survival and recovery of species listed as threatened or endangered under the Endangered Species Act (ESA). Critical...

  4. A Discussion of Oxygen Recovery Definitions and Key Performance Parameters for Closed-Loop Atmosphere Revitalization Life Support Technology Development

    Science.gov (United States)

    Abney, Morgan B.; Perry, Jay L.

    2016-01-01

    Over the last 55 years, NASA has evolved life support for crewed space exploration vehicles from simple resupply during Project Mercury to the complex and highly integrated system of systems aboard the International Space Station. As NASA targets exploration destinations farther from low Earth orbit and mission durations of 500 to 1000 days, life support systems must evolve to meet new requirements. In addition to having more robust, reliable, and maintainable hardware, limiting resupply becomes critical for managing mission logistics and cost. Supplying a crew with the basics of food, water, and oxygen become more challenging as the destination ventures further from Earth. Aboard ISS the Atmosphere Revitalization Subsystem (ARS) supplies the crew's oxygen demand by electrolyzing water. This approach makes water a primary logistics commodity that must be managed carefully. Chemical reduction of metabolic carbon dioxide (CO2) provides a method of recycling oxygen thereby reducing the net ARS water demand and therefore minimizing logistics needs. Multiple methods have been proposed to achieve this recovery and have been reported in the literature. However, depending on the architecture and the technology approach, "oxygen recovery" can be defined in various ways. This discontinuity makes it difficult to compare technologies directly. In an effort to clarify community discussions of Oxygen Recovery, we propose specific definitions and describe the methodology used to arrive at those definitions. Additionally, we discuss key performance parameters for Oxygen Recovery technology development including challenges with comparisons to state-of-the-art.

  5. A little goes a long way: the impact of distal social support on community integration and recovery of individuals with psychiatric disabilities.

    Science.gov (United States)

    Townley, Greg; Miller, Henry; Kloos, Bret

    2013-09-01

    Although an extensive body of literature highlights the important role of social support for individuals with psychiatric disabilities, definitions of support tend to be restricted-focusing on intimate relationships such as friend and family networks and ignoring the role of casual relationships existing naturally in the community. This mixed-methods study of 300 consumers of mental health services in the Southeastern US aims to better understand the impact of community supports, termed distal supports, on community integration and recovery from mental illness. Qualitative content analysis, tests of group mean differences, and hierarchical linear regression analyses revealed the following: (1) participants primarily reported receiving tangible support (e.g., free medication/discounted goods) from distal supports rather than emotional support (e.g., displays of warmth/affection) or informational support (e.g., provision of advice); (2) women and older participants reported more distal supports than men or younger participants; and (3) distal supports played a unique role in predicting community integration and recovery even after accounting for the influence of traditional support networks. Results highlight the importance of considering diverse types of social support in naturally occurring settings when designing treatment plans and interventions aimed at encouraging community participation and adaptive functioning for individuals with psychiatric disabilities.

  6. Leadership support for ward managers in acute mental health inpatient settings.

    Science.gov (United States)

    Bonner, Gwen; McLaughlin, Sue

    2014-05-01

    This article shares findings of work undertaken with a group of mental health ward managers to consider their roles through workshops using an action learning approach. The tensions between the need to balance the burden of administrative tasks and act as clinical role models, leaders and managers are considered in the context of providing recovery-focused services. The group reviewed their leadership styles, broke down the administrative elements of their roles using activity logs, reviewed their working environments and considered how recovery focused they believed their wards to be. Findings support the notion that the ward manager role in acute inpatient settings is at times unmanageable. Administration is one aspect of the role for which ward managers feel unprepared and the high number of administrative tasks take them away from front line clinical care, leading to frustration. Absence from clinical areas reduces opportunities for role modeling good clinical practice to other staff. Despite the frustrations of administrative tasks, overall the managers thought they were supportive to their staff and that their wards were recovery focused.

  7. Bridge to recovery in two cases of dilated cardiomyopathy after long-term mechanical circulatory support

    OpenAIRE

    Pacholewicz, Jerzy; Zakliczy?ski, Micha?; Kowalik, Violetta; Nadziakiewicz, Pawe?; Kowalski, Oskar; Kalarus, Zbigniew; Zembala, Marian

    2014-01-01

    Ventricular assist devices (VADs) have become an established therapeutic option for patients with end-stage heart failure. Achieving the potential for recovery of native heart function using VADs is an established form of treatment in a selected group of patients with HF. We report two cases of VAD patients with different types of pump used for mechanical circulatory support, a continuous flow pump (Heart-Ware?) and a pulsatile pump (POLVAD MEV?), which allow regeneration of the native heart....

  8. Estimating Recovery Failure Probabilities in Off-normal Situations from Full-Scope Simulator Data

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yochan; Park, Jinkyun; Kim, Seunghwan; Choi, Sun Yeong; Jung, Wondea [Korea Atomic Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    As part of this effort, KAERI developed the Human Reliability data EXtraction (HuREX) framework and is collecting full-scope simulator-based human reliability data into the OPERA (Operator PErformance and Reliability Analysis) database. In this study, with the series of estimation research for HEPs or PSF effects, significant information for a quantitative HRA analysis, recovery failure probabilities (RFPs), were produced from the OPERA database. Unsafe acts can occur at any time in safety-critical systems and the operators often manage the systems by discovering their errors and eliminating or mitigating them. To model the recovery processes or recovery strategies, there were several researches that categorize the recovery behaviors. Because the recent human error trends are required to be considered during a human reliability analysis, Jang et al. can be seen as an essential effort of the data collection. However, since the empirical results regarding soft controls were produced from a controlled laboratory environment with student participants, it is necessary to analyze a wide range of operator behaviors using full-scope simulators. This paper presents the statistics related with human error recovery behaviors obtained from the full-scope simulations that in-site operators participated in. In this study, the recovery effects by shift changes or technical support centers were not considered owing to a lack of simulation data.

  9. School Improvement Grants: Selected States Generally Awarded Funds Only to Eligible Schools. American Recovery and Reinvestment Act of 2009. Final Audit Report. ED-OIG/A05L0002

    Science.gov (United States)

    US Department of Education, 2012

    2012-01-01

    This final audit report covers the results of the review of five State educational agencies' monitoring plans and awarding processes for American Recovery and Reinvestment Act of 2009 and regular School Improvement Grants funds that the State educational agencies awarded for fiscal year 2009 (for use during school year 2010-2011). The objectives…

  10. German support systems for onshore wind farms in the context of Polish acts limiting wind energy development

    Directory of Open Access Journals (Sweden)

    Dawid Leszek

    2017-09-01

    Full Text Available European energy system is undergoing a deep transition to low-emission energy sources, mainly wind farms. This transition is caused mostly by energy politics of European Union (EU and its goals in the topic of renewable energy. European wind energy is dominated by Germany that produces half of total wind energy in EU. The aim of this article is to present support systems for wind farms existing in Germany in the context of introducing in Poland the Act of 20 May 2016 on Wind Energy Investments limiting onshore wind farms localization and Act of 22 June 2016 introducing changes to the Act on Renewable Energy Sources (RES and some other acts. It is postulated to make amendments of acts regulating RES while considering German solutions.

  11. The Activity Support Scale for Multiple Groups (ACTS-MG): Child-reported Physical Activity Parenting in African American and Non-Hispanic White Families.

    Science.gov (United States)

    Lampard, Amy M; Nishi, Akihiro; Baskin, Monica L; Carson, Tiffany L; Davison, Kirsten K

    2016-01-01

    This study aimed to assess the psychometric properties of a child-report, multidimensional measure of physical activity (PA) parenting, the Activity Support Scale for Multiple Groups (ACTS-MG), in African American and non-Hispanic white families. The ACTS-MG was administered to children aged 5 to 12 years. A three factor model of PA parenting (Modeling of PA, Logistic Support, and Restricting Access to Screen-based Activities) was tested separately for mother's and fathers' PA parenting. The proposed three-factor structure was supported in both racial groups for mothers' PA parenting and in the African American sample for fathers' PA parenting. Factorial invariance between racial groups was demonstrated for mother's PA parenting. Building on a previous study examining the ACTS-MG parent-report, this study supports the use of the ACTS-MG child-report for mothers' PA parenting. However, further research is required to investigate the measurement of fathers' PA parenting across racial groups.

  12. 30 CFR 75.207 - Pillar recovery.

    Science.gov (United States)

    2010-07-01

    ... SAFETY STANDARDS-UNDERGROUND COAL MINES Roof Support § 75.207 Pillar recovery. Pillar recovery shall be... be left in place. (b) Before mining is started in a pillar split or lift— (1) At least two rows of breaker posts or equivalent support shall be installed— (i) As close to the initial intended breakline as...

  13. Houston Recovery Initiative: A Rich Case Study of Building Recovery Communities One Voice at a Time.

    Science.gov (United States)

    Bitting, Sara; Nash, Angela; Ochoa, Ashley

    2016-01-01

    Recovery from alcohol and drug problems is a process of change through which an individual achieves control and improved quality of life. Recovery is a primary goal for individuals with substance use disorder as it provides hope that treatment and overall health are possible for every individual. More than 23 million Americans are in recovery from addiction to alcohol and other drugs.Recovery-oriented systems of care (ROSC) are networks of community services and peer support that help individuals and families achieve recovery from substances and improve overall health. ROSC is a strengths-based and person-centered model that leverages existing community resources to address the needs of individuals and families as they progress through the journey of recovery. The ROSC model serves as the foundation of the Houston Recovery Initiative (HRI).The purpose of this article is to describe the history, development, and infrastructure of the HRI, which is a volunteer collaboration whose main goal is to educate the community on recovery and broaden the recovery safety net for people with substance use disorder in Houston, Texas. Since 2010, the HRI has grown to include more than 200 agencies across the spectrum of treatment and recovery support services in Houston so as to provide a resource for the community. Herein, we detail efforts to grow the HRI, lessons learned, future plans, and resources needed to move the HRI forward.

  14. 75 FR 66363 - School Improvement Grants; American Recovery and Reinvestment Act of 2009 (ARRA); Title I of the...

    Science.gov (United States)

    2010-10-28

    ... behavioral supports or taking steps to eliminate bullying and student harassment; or (D) Expanding the school... DEPARTMENT OF EDUCATION [Docket ID ED-2009-OESE-0010] RIN 1810-AB06 School Improvement Grants... Act of 1965, as Amended (ESEA) ACTION: Final requirements for School Improvement Grants authorized...

  15. Recovery High Schools: Opportunities for Support and Personal Growth for Students in Recovery

    Science.gov (United States)

    Finch, Andrew; Wegman, Holly

    2012-01-01

    The time right after treatment for substance abuse is a particularly vulnerable time for adolescents; a time made more difficult by the expectation that they will return to their high school. Traditional high schools are often a high-risk environment for students who are working on maintaining their sobriety. Recovery schools offer an alternative…

  16. Role of self-efficacy and social support in short-term recovery after total hip replacement: a prospective cohort study.

    NARCIS (Netherlands)

    Brembo, E.A.; Kapstad, H.; Dulmen, S. van; Eide, H.

    2017-01-01

    Background: Despite the overall success of total hip replacement (THR) in patients with symptomatic osteoarthritis (OA), up to one-quarter of patients report suboptimal recovery. The aim of this study was to determine whether social support and general self-efficacy predict variability in short-term

  17. Recovery in soccer : part ii-recovery strategies.

    Science.gov (United States)

    Nédélec, Mathieu; McCall, Alan; Carling, Chris; Legall, Franck; Berthoin, Serge; Dupont, Gregory

    2013-01-01

    now do not significantly accelerate the return to initial levels of performance in comparison with a control condition. In conclusion, scientific evidence to support the use of strategies commonly used during recovery is lacking. Additional research is required in this area in order to help practitioners establish an efficient recovery protocol immediately after matchplay, but also for the following days. Future studies could focus on the chronic effects of recovery strategies, on combinations of recovery protocols and on the effects of recovery strategies inducing an anti-inflammatory or a pro-inflammatory response.

  18. Ecosystem Considerations for Postdisaster Recovery: Lessons from China, Pakistan, and Elsewhere for Recovery Planning in Haiti

    Directory of Open Access Journals (Sweden)

    Susan A. Mainka

    2011-03-01

    Full Text Available As the world joins forces to support the people of Haiti on their long road of recovery following the January 2010 earthquake, plans and strategies should take into consideration past experiences from other postdisaster recovery efforts with respect to integrating ecosystem considerations. Sound ecosystem management can both support the medium and long-term needs for recovery as well as help to buffer the impacts of future extreme natural events, which for Haiti are likely to include both hurricanes and earthquakes. An additional challenge will be to include the potential impacts of climate change into ecosystem management strategies.

  19. Disaster recovery using VMware vSphere Replication and vCenter Site Recovery Manager

    CERN Document Server

    GB, Abhilash

    2014-01-01

    This is a step-by-step guide that will help you understand disaster recovery using VMware vSphere Replication 5.5 and VMware vCenter Site Recovery Manager (SRM) 5.5. The topics and configuration procedures are accompanied with relevant screenshots, flowcharts, and logical diagrams that makes grasping the concepts easier. This book is a guide for anyone who is keen on using vSphere Replication or vCenter Site Recovery Manager as a disaster recovery solution. This is an excellent handbook for solution architects, administrators, on-field engineers, and support professionals. Although the book as

  20. 26 CFR 7.57(d)-1 - Election with respect to straight line recovery of intangibles.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Election with respect to straight line recovery... ACT OF 1976 § 7.57(d)-1 Election with respect to straight line recovery of intangibles. (a) Purpose... Tax Reform Act of 1976. Under this election taxpayers may use cost depletion to compute straight line...

  1. Analysis of the impacts of the 1984 Resource Conservation and Recovery Act amendments on the Idaho National Engineering Laboratory

    International Nuclear Information System (INIS)

    Falconer, K.L.; Davis, K.D.; Johnson, R.D.; Nishimoto, D.D.; Wallace, M.T.

    1986-02-01

    The November 1984 Amendments to the Resource Conservation and Recovery Act (RCRA) have had, and will continue to have, a significant impact on the management of hazardous and radioactive mixed waste at the Idaho National Engineering Laboratory (INEL). These Amendments include new requirements specific to federal facilities such as the INEL. In this paper, areas of direct impact and associated INEL plans for complying with the 1984 RCRA Amendments will be described. The specific areas to be covered are the following: (1) changes in RCRA Part B permitting, including requirements for addressing past hazardous waste TSD sites; (2) the effects of increased restrictions on land disposal; (3) new requirements for undergrond tanks; (4) requirements for federal facilities; and (5) mandatory minimization of waste generation

  2. Three approaches for estimating recovery factors in carbon dioxide enhanced oil recovery

    Science.gov (United States)

    Verma, Mahendra K.

    2017-07-17

    PrefaceThe Energy Independence and Security Act of 2007 authorized the U.S. Geological Survey (USGS) to conduct a national assessment of geologic storage resources for carbon dioxide (CO2) and requested the USGS to estimate the “potential volumes of oil and gas recoverable by injection and sequestration of industrial carbon dioxide in potential sequestration formations” (42 U.S.C. 17271(b)(4)). Geologic CO2 sequestration associated with enhanced oil recovery (EOR) using CO2 in existing hydrocarbon reservoirs has the potential to increase the U.S. hydrocarbon recoverable resource. The objective of this report is to provide detailed information on three approaches that can be used to calculate the incremental recovery factors for CO2-EOR. Therefore, the contents of this report could form an integral part of an assessment methodology that can be used to assess the sedimentary basins of the United States for the hydrocarbon recovery potential using CO2-EOR methods in conventional oil reservoirs.

  3. Development of Support Service for Prevention and Recovery from Dementia and Science of Lethe

    Science.gov (United States)

    Otake, Mihoko

    Purpose of this study is to explore service design method through the development of support service for prevention and recovery from dementia towards science of lethe. We designed and implemented conversation support service via coimagination method based on multiscale service design method, both were proposed by the author. Multiscale service model consists of tool, event, human, network, style and rule. Service elements at different scales are developed according to the model. Interactive conversation supported by coimagination method activates cognitive functions so as to prevent progress of dementia. This paper proposes theoretical bases for science of lethe. Firstly, relationship among coimagination method and three cognitive functions including division of attention, planning, episodic memory which decline at mild cognitive imparement. Secondly, thought state transition model during conversation which describes cognitive enhancement via interactive communication. Thirdly, Set Theoretical Measure of Interaction is proposed for evaluating effectiveness of conversation to cognitive enhancement. Simulation result suggests that the ideas which cannot be explored by each speaker are explored during interactive conversation. Finally, coimagination method compared with reminiscence therapy and its possibility for collaboration is discussed.

  4. Information needs critical to implementing the Federal Facility Compliance Act

    Energy Technology Data Exchange (ETDEWEB)

    Rasch, D.N. [Department of Energy-Idaho Operations Office, Idaho Falls, ID (United States); Kristofferson, K. [WINCO/INEL, Idaho Falls, ID (United States); Eaton, D.L. [EG& G Idaho/INEL, Idaho Falls, ID (United States)] [and others

    1994-12-31

    The presented paper summarizes the current status of data collection completed to support the Federal Facility Compliance Act (FFCA) Interim Mixed Waste Inventory Report (IMWIR), current needs, and related lessons learned. The Department of Energy (DOE), as required in Section 3021 of Resource Conservation and Recovery Act (RCRA), is required to prepare waste inventory reports, treatment reports and treatment plans. With this extensive effort, formulation of these requirements has required extensive data collection, validation and revision efforts. The framework for supporting these data needs has been enhanced by establishing a core database capable of supporting the required IMWIR, and has provided the basis for development of the Conceptual Site Treatment Plan (CSTP). The development of the CSTP has shown a need for complex wide standardized information that will ultimately become the basis for major land disposal restriction (LDR) activities such as; site treatment, equity resolution, consent agreement and continued capability to respond to stakeholder requests. DOE is in a position to dramatically demonstrate to the public and the states that mixed waste treatment can be cost effectively realized. To accomplish this program successfully will require use of existing data and expertise. This effort will be enhanced by implementation of basic system management processes which focus on completion of a mutually agreed to goal.

  5. Experience of Wellness Recovery Action Planning in Self-Help and Mutual Support Groups for People with Lived Experience of Mental Health Difficulties

    Directory of Open Access Journals (Sweden)

    Rebekah Pratt

    2013-01-01

    Full Text Available The main aim of this research was to assess the relevance and impact of wellness recovery action planning (WRAP as a tool for self-management and wellness planning by individuals with mental health problems from pre-existing and newly formed groups, where the possibilities for continued mutual support in the development of WRAPs could be explored. Interviews and focus groups were conducted and pre-post recovery outcome measures completed (Recovery Assessment Scale and Warwick Edinburgh Mental Well Being Scale. 21 WRAP group participants took part in the research. The WRAP approach, used in groups and delivered by trained facilitators who could also share their lived experience, was very relevant and appeared to have a positive impact on many of the participants. The impact on participants varied from learning more about recovery and developing improved self-awareness to integrating a WRAP approach into daily life. The apparent positive impact of WRAP delivered in the context of mutual support groups indicates that it should be given serious consideration as a unique and worthwhile option for improving mental health. WRAP groups could make a significant contribution to the range of self-management options that are available for improving mental health and well-being.

  6. Service users' expectations of treatment and support at the Community Mental Health Centre in their recovery.

    Science.gov (United States)

    Biringer, Eva; Davidson, Larry; Sundfør, Bengt; Ruud, Torleif; Borg, Marit

    2017-09-01

    Focus on service users' needs, coping and empowerment, user involvement, and comprehensiveness are supposed to be key elements of the Community Mental Health Centres in Norway. Taking a user-oriented approach means acknowledging the individual's own expectations, aims and hopes. However, studies that have investigated service users' expectations of treatment and support at Community Mental Health Centres are hard to find. The aim of the study was therefore to explore service users' expectations at the start of treatment at a Community Mental Health Centre. Within a collaborative framework, taking a hermeneutic-phenomenological approach, ten service users participated in in-depth interviews about their expectations, hopes and aims for treatment and recovery. The participants sought help due to various mental health issues that had interfered with their lives and created disability and suffering. A data-driven stepwise approach in line with thematic analysis was used. The study was approved by the Norwegian Social Science Data Services. The following four main themes representing participants' expectations at the start of treatment were elicited: hope for recovery, developing understanding, finding tools for coping and receiving counselling and practical assistance. Participants' expectations about treatment were tightly interwoven with their personal aims and hopes for their future life, and expectations were often related to practical and financial problems, the solution of which being deemed necessary to gain a safe basis for recovery in the long run. The transferability of the results may be limited by the small number of participants. The study emphasises how important it is that service users' personal aims and expectations guide the collaborative treatment process. In addition to providing treatment aimed at improving symptoms, Community Mental Health Centres should take a more comprehensive approach than today by providing more support with family issues

  7. In Dogs With a European Adder Bite, Does the Use of Antivenom With Supportive Treatment Compared to Supportive Treatment Alone Improve Time to Recovery?

    Directory of Open Access Journals (Sweden)

    Lindsay Hodgson

    2017-11-01

    Full Text Available The current literature does not offer convincing evidence for the positive effect of antivenom on time to recovery in dogs envenomated by the European adder. It appears that the use of antivenom in addition to supportive treatment may positively affect local swelling if given within 24 hours of the bite, but the evidence is low quality and further studies are required before a more definitive answer can be reached.

  8. A bioeconomic perspective on the Endangered Species Act

    Science.gov (United States)

    Salau, K. R.; Fenichel, E. P.

    2012-12-01

    Habitat destruction threatens species existence and has recently accelerated due to population growth, urban sprawl, agricultural development and other profitable land conversions on public and private lands. To exacerbate this issue, the public good nature of species existence creates strong incentives for landowners to engage in free-riding behavior and forego conservation on managed lands. To reverse these negative effects, the United States Congress passed the Endangered Species Act (ESA) in 1973 to create a set of rules for planning government intervention to protect dwindling fish, wildlife, and plant populations and create a platform for recovery and conservation. The ESA is quite explicit about how to make tradeoffs when listing a species as threatened or endangered - only evaluation of biological risks faced are considered. But the act is unclear about what information can or should be used when determining delisting criteria for endangered species. The ESA mandates federal participation in conservation and, in many cases, agencies must curtail socially beneficial activities (e.g. grazing, renewable energy development, mining, military training) in order to meet species recovery objectives. As funding for conservation on federal lands is limited, this creates an implicit tradeoff between recovering species - to gain post-delisting managerial flexibility - and preventing extinction - to minimize management costs. In this respect, reconciliation of biological recovery goals amidst budget constraints and alternate land-use benefits should be supplemented by economic analysis. Economic tradeoffs are inherent in species recovery under the ESA, but the act does not discuss how agencies should structure a recovery plan in light of such factors. This study outlines a bioeconomic approach to framing the recovery problem under the ESA and provides a framework for simultaneously establishing measurable delisting criteria and a least-cost path to recovery. This

  9. The relationship between the Resource Conservation and Recovery Act and the storage and disposal of spent nuclear fuel and high-level waste

    International Nuclear Information System (INIS)

    Gertz, C.P.; Cloke, P.L.

    1993-01-01

    This paper addresses the potential applicability of the requirements of the Resource Conservation and Recovery Act (RCRA) to the disposal of spent commercial nuclear fuel and of high-level (vitrified) radioactive waste. The Atomic Energy Act of 1954, as amended, and the associated regulations issued by the US NRC provides many requirements that apply to these waste forms and largely, if not entirely, pre-empts the applicability of RCRA. The RCRA would apply only to the non-radioactive components of these wastes, and then only in respect to hazardous components. In view of these restrictions it becomes important to evaluate whether any components of spent fuel or high-level waste are toxic, as defined by the RCRA regulations. Present indications are that they are not and, hence, the US DOE is proceeding on the basis that these wastes and others that may be generated in the future are non-hazardous in respect to RCRA definitions

  10. Battleground Energy Recovery Project

    Energy Technology Data Exchange (ETDEWEB)

    Bullock, Daniel [USDOE Gulf Coast Clean Energy Application Center, Woodlands, TX (United States)

    2011-12-31

    In October 2009, the project partners began a 36-month effort to develop an innovative, commercial-scale demonstration project incorporating state-of-the-art waste heat recovery technology at Clean Harbors, Inc., a large hazardous waste incinerator site located in Deer Park, Texas. With financial support provided by the U.S. Department of Energy, the Battleground Energy Recovery Project was launched to advance waste heat recovery solutions into the hazardous waste incineration market, an area that has seen little adoption of heat recovery in the United States. The goal of the project was to accelerate the use of energy-efficient, waste heat recovery technology as an alternative means to produce steam for industrial processes. The project had three main engineering and business objectives: Prove Feasibility of Waste Heat Recovery Technology at a Hazardous Waste Incinerator Complex; Provide Low-cost Steam to a Major Polypropylene Plant Using Waste Heat; and Create a Showcase Waste Heat Recovery Demonstration Project.

  11. Support of enhanced oil recovery to independent producers in Texas. Quarterly technical progress report, July 1, 1995--September 30, 1995

    Energy Technology Data Exchange (ETDEWEB)

    Fotouh, K.H.

    1995-09-30

    The main objective of this project is to support independent oil producers in Texas and to improve the productivity of marginal wells utilizing enhanced oil recovery techniques. The main task carried out this quarter was the generation of an electronic data base.

  12. A Review of the American Recovery and Reinvestment Act Smart Grid Projects and Their Implications for China

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Xu [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Marnay, Chris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Feng, Wei [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Karali, Nihan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-06-21

    The Chinese government has paid growing attention to renewable energy development and has set ambitious goals for carbon dioxide (CO2) emissions reduction and energy savings. Smart grid (SG) technologies have been regarded as emerging ways to integrate renewable energy and to help achieve these climate and energy goals. This report first reviews completed SG demonstrations under the U.S. American Recovery and Reinvestment Act (ARRA); especially two key programs: the SG Investment Grant (SGIG) and the SG Demonstration Project (SGDP). Under the SGIG, the larger of the two programs, over $3.4 billion was used to help industry deploy existing advanced SG technologies and tools to improve grid performance and reduce costs. Including industry investment, a total of $8 billion was spent on 99 cost-shared projects, which involved more than 200 participating electric utilities and other organizations. These projects aimed to modernize the electric grid, strengthen cyber security, improve interoperability, and collect comprehensive data on SG operations and benefits.

  13. Ethnicity and cultural models of recovery from breast cancer.

    Science.gov (United States)

    Coreil, Jeannine; Corvin, Jaime A; Nupp, Rebecca; Dyer, Karen; Noble, Charlotte

    2012-01-01

    Recovery narratives describe the culturally shared understandings about the ideal or desirable way to recover from an illness experience. This paper examines ethnic differences in recovery narratives among women participating in breast cancer support groups in Central Florida, USA. It compares groups serving African-American, Latina, and European American women, with the objective of better understanding the appeal of ethnic-specific illness support groups for culturally diverse populations. A mixed-method study design combined qualitative and quantitative measures, including in-depth interviews, participant observation at support group meetings, collection of printed documents, and a structured survey. Core elements of the recovery narrative drew from the dominant societal cancer discourse of optimism and personal transformation through adversity; however, important ethnic differences were evident in the meaning assigned to these themes. Groups gave distinctive salience to themes of faith and spirituality, empowerment through the migration experience, and becoming a better person through the journey of recovery. The findings suggest that ethnic cancer support groups draw upon dominant societal discourses about cancer, but they espouse distinctive recovery narratives that are consonant with the groups' cultural models of illness. Similarity between ethnic members' individual recovery narratives and that of the group may contribute to the appeal of ethnic illness support groups for culturally diverse populations.

  14. Changing practice to support self-management and recovery in mental illness: application of an implementation model.

    Science.gov (United States)

    Harris, Melanie; Jones, Phil; Heartfield, Marie; Allstrom, Mary; Hancock, Janette; Lawn, Sharon; Battersby, Malcolm

    2015-01-01

    Health services introducing practice changes need effective implementation methods. Within the setting of a community mental health service offering recovery-oriented psychosocial support for people with mental illness, we aimed to: (i) identify a well-founded implementation model; and (ii) assess its practical usefulness in introducing a new programme for recovery-oriented self-management support. We reviewed the literature to identify implementation models applicable to community mental health organisations, and that also had corresponding measurement tools. We used one of these models to inform organisational change strategies. The literature review showed few models with corresponding tools. The Promoting Action on Research Implementation in Health Services (PARIHS) model and the related Organisational Readiness to Change Assessment (ORCA) tool were used. The PARIHS proposes prerequisites for health service change and the ORCA measures the extent to which these prerequisites are present. Application of the ORCA at two time points during implementation of the new programme showed strategy-related gains for some prerequisites but not for others, reflecting observed implementation progress. Additional strategies to address target prerequisites could be drawn from the PARIHS model. The PARIHS model and ORCA tool have potential in designing and monitoring practice change strategies in community mental health organisations. Further practical use and testing of implementation models appears justified in overcoming barriers to change.

  15. Applying Strengths Model principles to build a rural community-based mental health support service and achieve recovery outcomes.

    Science.gov (United States)

    Dunstan, Debra; Anderson, Donnah

    2018-02-01

    The Personal Helpers and Mentors (PHaMs) service is a non-clinical, community-based Australian Government initiative aimed at increasing opportunities for recovery for people whose lives are severely affected by mental illness. Using a strengths-based recovery model, PHaMs caseworkers support and mentor people 'at risk of falling through the gaps' between state funded clinical treatment services and federally funded social services (such as supported housing, education and employment). While there is evidence that PHaMs realises its aim in metropolitan areas, little is known about how services are developed and function in low resource rural settings and what outcomes are achieved. These questions were addressed in a case study of a PHaMs service in a rural town in the state of New South Wales, Australia. Data were collected from two sources: local service documents prepared for staff orientation and operational purposes, and records and reports of service participants\\' performance and achievements. Participants\\' gains in wellbeing, recovery goals, and the target outcome areas of increased access to services, increased personal capacity and self-reliance, and increased community participation, were gathered from self-reports. The Role Functioning Scale was used as a measure of caseworker ratings of participants\\' adaptive functioning. The qualitative data were examined for semantic content and underlying themes. The quantitative analyses involved repeated measures and between-groups comparisons of uncontrolled pre-test–post-test and retrospective pre-test data. From commencement of the service in October 2009 to June 2014, an estimated 31% of the people living with severe mental illness in the local government area had accessed the PHaMs service (N=126; mean age 31.9 years; 42% male, 27% Aboriginal). The document analysis revealed that despite a lack of detail on how a PHaMs service should be developed or delivered, by focusing on the goal of client recovery

  16. The implications of RCRA [Resource Conservation and Recovery Act] regulation for the disposal of transuranic and high-level waste

    International Nuclear Information System (INIS)

    Sigmon, C.F.; Sharples, F.E.; Smith, E.D.

    1988-01-01

    In May of 1987 the Department of Energy (DOE) published a rule interpreting the definition of ''byproduct'' under the Atomic Energy Act. This byproduct rule clarified the role of the Resource Conservation and Recovery Act (RCRA) in the regulation of DOE's radioactive waste management activities. According to the rule, only the radioactive portion of DOE's mixed radioactive and hazardous waste (mixed waste), including mixed transuranic (TRU) and high-level waste (HLW), is exempt from RCRA under the byproduct exemption. The portion of a waste that is hazardous as defined by RCRA is subject to full regulation under RCRA. Because the radioactive and hazardous portions of m any, if not most, DOE wastes are likely to be inseparable, the rule in effect makes most mixed wastes subject to dual regulation. The potential application of RCRA to facilities such as the Waste Isolation Pilot Plant (WIPP) and the HLW repository creates unique challenges for both the DOE and regulatory authorities. Strategies must be developed to assure compliance with RCRA without either causing excessive administrative burdens or abandoning the goal of minimizing radiation exposure. This paper will explore some of the potential regulatory options for and recent trends in the regulation of TRU and HLW under RCRA

  17. Recovery and money management.

    Science.gov (United States)

    Rowe, Michael; Serowik, Kristin L; Ablondi, Karen; Wilber, Charles; Rosen, Marc I

    2013-06-01

    Social recovery and external money management are important approaches in contemporary mental health care, but little research has been done on the relationship between the two or on application of recovery principles to money management for people at risk of being assigned a representative payee or conservator. Out of 49 total qualitative interviews, 25 transcripts with persons receiving Social Security insurance or Social Security disability insurance who were at risk of being assigned a money manager were analyzed to assess the presence of recognized recovery themes. The recovery principles of self-direction and responsibility were strong themes in participant comments related to money management. Money management interventions should incorporate peoples' recovery-related motivations to acquire financial management skills as a means to direct and assume responsibility for one's finances. Staff involved in money management should receive training to support client's recovery-related goals. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

  18. Recovery of cesium from nuclear waste using hollow fibre supported liquid membrane containing calix[4]arene-bis-(2,3-naphtho)-crown-6

    International Nuclear Information System (INIS)

    Kandwal, P.; Mohapatra, P.K.; Ansari, S.A.; Manchanda, Vijay K.

    2011-01-01

    Transport behaviour of cesium through hollow fibre supported liquid membrane (HFSLM) containing calix[4]arenebis-(2,3-naphtho)-crown-6 (CNC) as carrier extractant, has been investigated under various experimental conditions. At tracer concentration of cesium, > 99% recovery of cesium was achieved from 3M HNO 3 solution to distilled water with 1 mM of CNC in 80% NPOE + 20 % n-dodecane mixture. Effect of feed phase acidity, ligand concentration, metal ion concentration etc. has been investigated. Recovery of cesium from Pressurized Heavy Water Reactor Simulated High Level Waste (PHWR-SHLW) using 1 mM CNC dissolved proposed diluent as the extractant, was carried out and it was found that it takes 12 hours of continuous operation for 88% recovery of metal ion. Nevertheless, the complete recovery of cesium from SHLW was possible after neutralization of strip phase acidity with NaOH. (author)

  19. Promoting recovery: service user and staff perceptions of resilience provided by a new Early Intervention in Psychosis service.

    Science.gov (United States)

    Morton, Adrian; Fairhurst, Alicia; Ryan, Rebecca

    2010-02-01

    The principles and practice of recovery are guiding many changes in mental health service provision. As a new Early Intervention in Psychosis (EIP) service, we were interested in finding out if both staff and users perceive the service as promoting resilience and in turn, recovery. A naturalistic sample of service users and staff completed the Organizational Climate questionnaire to assess the degree to which the service promotes resilience in overcoming a first episode psychosis. The results indicated that both staff and service users similarly perceive the service as positively supporting resilience. The one exception was the staff rated the 'available resources to meet people's needs' as less than service users. The positive rating of resilience indicated that the service is working in a manner consistent with a recovery orientation. The results will act as a benchmark to compare with both other EIP services and future performance.

  20. Molten salt oxidation of mixed wastes: Separation of radioactive materials and Resource Conservation and Recovery Act (RCRA) materials

    International Nuclear Information System (INIS)

    Bell, J.T.; Haas, P.A.; Rudolph, J.C.

    1993-01-01

    The Oak Ridge National Laboratory (ORNL) is involved in a program to apply a molten salt oxidation (MSO) process to the treatment of mixed wastes at Oak Ridge and other Department of Energy (DOE) sites. Mixed wastes are defined as those wastes that contain both radioactive components, which are regulated by the atomic energy legislation, and hazardous waste components, which are regulated under the Resource Conservation and Recovery Act (RCRA). A major part of our ORNL program involves the development of separation technologies that are necessary for the complete treatment of mixed wastes. The residues from the MSO treatment of the mixed wastes must be processed further to separate the radioactive components, to concentrate and recycle residues, or to convert the residues into forms acceptable for final disposal. This paper is a review of the MSO requirements for separation technologies, the information now available, and the concepts for our development studies

  1. Vegetation and moisture performance on a Resource Conservation and Recovery Act-equivalent landfill cap at the Hanford site

    International Nuclear Information System (INIS)

    Kemp, C.J.; Sackschewsky, M.R.

    1997-03-01

    Landfills, as defined under the Resource Conservation and Recovery Act of 1976 (RCRA) can receive waste materials from commercial and industrial operations, residences, and other sources. Sanitary landfills that are used to dispose of solid waste require a landfill cover that meets RCRA requirements to prevent leaching of water through buried wastes and to isolate the waste for a period of 30 years. The purpose of a RCRA landfill cover is to 'protect public health, to prevent land, air, and water pollution, and conserve the state's natural, economic, and energy resources' (Washington Administrative Code [WAC] 173-304). The hypothesis of this study were as follows: (1) amending soil nitrogen would enhance perennial grass biomass; (2) the amount of biomass produced by commercially-available wheatgrass species would be similar to bluebunch wheatgrass; and (3) the vegetative biomass, as required by WAC-173-304, would not be produced in a semiarid climate

  2. Resource Conservation and Recovery Act (RCRA) Part B permit application for tank storage units at the Oak Ridge Y-12 Plant

    International Nuclear Information System (INIS)

    1994-05-01

    In compliance with the Resource Conservation and Recovery Act (RCRA), this report discusses information relating to permit applications for three tank storage units at Y-12. The storage units are: Building 9811-1 RCRA Tank Storage Unit (OD-7); Waste Oil/Solvent Storage Unit (OD-9); and Liquid Organic Solvent Storage Unit (OD-10). Numerous sections discuss the following: Facility description; waste characteristics; process information; groundwater monitoring; procedures to prevent hazards; contingency plan; personnel training; closure plan, post closure plan, and financial requirements; record keeping; other federal laws; organic air emissions; solid waste management units; and certification. Sixteen appendices contain such items as maps, waste analyses and forms, inspection logs, equipment identification, etc

  3. 75 FR 42172 - Agenda and Notice of Partially Closed Meeting of the Recovery Independent Advisory Panel

    Science.gov (United States)

    2010-07-20

    ... Act of 2009, Public Law 111-5 (Recovery Act), and the Federal Advisory Committee Act of 1972 (FACA...: Hyatt Regency Cambridge, 575 Memorial Drive, Cambridge, MA 02139. FOR FURTHER INFORMATION CONTACT: Glen...

  4. Perceptions about recovery needs and drug-avoidance recovery behaviors among youth in substance abuse treatment.

    Science.gov (United States)

    Gonzales, Rachel; Anglin, M Douglas; Glik, Deborah C; Zavalza, Christina

    2013-01-01

    This study used mixed methods to explore youth attitudes about recovery-related needs and important drug-avoidance behaviors after treatment. Focus groups were conducted with 118 substance using youth in treatment (four residential and 10 outpatient settings) throughout Los Angeles County. The average age was 17.4 (SD = 2.9); 78.3% were male, 66.1% Latino; and most were in treatment for primary marijuana (40.9%) or methamphetamine (30.4%) abuse. Quantitatve results from the drug-avoidance activity survey identified the following factors youth rated as important to their recovery after treatment: lifestyle improvement activities (95.7%); changing personal drug behaviors (89.6%); drug environment/culture change activities (82.5%); with the least important being therapeutic activities (78.5%). Qualitative findings from focus groups that asked what youth think are important for recovery programs to address after treatment revealed the following four areas: (1) recovery promotion to developmentally appropriate activities (95%); (2) facilitating the use of coping skills to deal with stress (85%); (3) offering alternative recovery support options (not just abstinence only) (75%); and (4) continuing to provide substance use education (65%). Findings highlight essential aspects of recovery in terms of need and drug-avoidance behaviors considered important to youth in treatment. Such information will help to better address clinical and recovery support models aimed at relapse prevention to ensure that the perceived problems of substance-abusing youth are adequately met.

  5. Recovery concept in a Norwegian setting to be examined by the assertive community treatment model and mixed methods.

    Science.gov (United States)

    Lofthus, Ann-Mari; Westerlund, Heidi; Bjørgen, Dagfinn; Lindstrøm, Jonas Christoffer; Lauveng, Arnhild; Rose, Diana; Ruud, Torleif; Heiervang, Kristin

    2018-02-01

    Recovery is a crucial concept in the mental health field. The research of recovery is split into the categories of personal, social and clinical recovery. The purpose of this study was to explore the fragmented concept of recovery in light of assertive community treatment (ACT) in Norway. The study has a mixed methods design with a pragmatic approach. The Questionnaire about the Process of Recovery and open-ended questions posed to 70 participants from 12 ACT teams in Norway, gathered by the "Users interview users" method, are combined with interviews or focus groups with eight of these participants. Surprisingly those under a community treatment order (CTO) report the highest degree of personal recovery. The qualitative material shows that the service users interpreted the concept of recovery differently than researchers and professionals. The ACT service users highlighted three important elements: flexible treatment, medication and access to a car. They emphasized the necessity for basic needs to be met in order to experience a meaningful recovery process, and these basic needs may be of even greater importance to those under CTOs. Their experiences should imply a greater emphasis on securing basic needs such as secure housing, sounder finances and access to the normal benefits offered by society. © 2016 Australian College of Mental Health Nurses Inc.

  6. Higher Education as the Catalyst of Recovery in Conflict-Affected Societies

    Science.gov (United States)

    Milton, Sansom; Barakat, Sultan

    2016-01-01

    This article examines the role of higher education in the recovery of conflict-affected societies and argues that while the sector is typically a very low reconstruction priority, it has the potential, if addressed strategically, to act as a catalyst for effective and sustainable post-war recovery. The article begins by contextualising higher…

  7. The Stigma of Mental Illness and Recovery.

    Science.gov (United States)

    Avdibegović, Esmina; Hasanović, Mevludin

    2017-12-01

    Stigma and recovery "from" and "in" mental illness are associated in many various ways. While recovery gives opportunities, makes person stronger, gives purpose and meaning to their lives and leads to social inclusion, in the same time stigma reduces opportunities, reduces self-esteem and self-efficacy, reduces the belief in own abilities and contributes to social exclusion through discrimination. The recovery of a person with mental illness means to get and keep hope, to understand their own possibilities and impossibilities, active living, to be autonomous, to have a social identity and to give meaning and purpose of our own lives. The care system, recovery-oriented, provides help and support to people with mental disorders in his/her recovery, which contributes to reduction of self-stigma, to the elimination of stigmatizing attitudes and beliefs in mental health services which consequently may have a positive reflection in reducing the stigma of mental illness in the community. It is important to look at the stigma and recovery from the perspective of individual experience of each person with a mental illness in the process of recovery. A support to the recovery concept and the development of a recovery-oriented system of care should be one of the key segments of any strategy to combat the stigma of mental illness. Also, the cultural and the social stigma aspects of stigma would be taken into account in the developing of the recovery concept and on the recovery-oriented care system.

  8. Improving the efficiency of longwall face recoveries by managing the geotechnical threats

    Energy Technology Data Exchange (ETDEWEB)

    David Hill; Rob Thomas [Strata Engineering (Australia)

    2006-12-15

    The project objective was to develop credible industry guidelines for the specification of effective ground control strategies, so as to minimise the likely geotechnical threats relating to the safety, operational costs and production delays associated with the recovery and relocation of a longwall face. The project commenced with an industry survey of longwall relocation practice. The resulting database covers issues such as the geotechnical environment, support practices and ground control experiences, including any difficulties encountered. Fieldwork aimed at geotechnical characterisation covered a range of environments in NSW and Queensland, drawing also on existing data from a number of mines. Longwall take-off monitoring data was obtained from 24 face recoveries across all the major coalfields. The fieldwork identified a number of critical features of the geotechnical environment, support design and mining geometry that have a pronounced impact on ground control during take-off. A cantilever model of roof behaviour at the take-off point was developed and validated by the data collected. The roof cantilever acts to transfer load to the solid abutment, the primary support element. Four parameters were identified as the main geotechnical hazards, namely: low roof competency (ie weak roof); an adverse weighting environment; geological structure; and horizontal stress concentrations at the gate ends (generally the maingate). Four aspects of the geometry and process were seen to be particularly significant, in terms of their impact on roof stability and the success of the overall operation, namely: the ability to maintain powered support resistance during bolt-up and take-off; the direction in which the powered supports are removed; the impact of take-off chutes; and the speed of the powered support removal process.

  9. The recovery paradigm - a model of hope and change for alcohol and drug addiction.

    Science.gov (United States)

    Best, David W; Lubman, Dan I

    2012-08-01

    Alcohol and drug disorders remain major health and social problems in Australia, contributing enormously to the global burden of disease and the everyday practice of primary care. A recent growth in recovery research and recovery focused policies are starting to have an impact in Australia, with implications for how we attempt to resolve these problems. In this article we discuss recent international findings in recovery research, and explore their implications for primary care. Research indicates that over half of dependent substance users will eventually achieve stable recovery. Key predictors of recovery are active engagement in the community and immersion in peer support groups and activities. Recovery requires a twin track approach: enabling and supporting individual recovery journeys, while creating environmental conditions that enable and support a 'social contagion' of recovery, in which recovery is transmitted through supportive social networks and dedicated recovery groups, such as mutual aid.

  10. Early enteral immune nutrition support after radical operation for gastric cancer on promoting the recovery of gastrointestinal function and immune function

    Directory of Open Access Journals (Sweden)

    Zhi-Gang Li

    2016-05-01

    Full Text Available Objective: To analyze the effect of early enteral immune nutrition support after radical operation for gastric cancer on the recovery of gastrointestinal function and immune function. Methods: A total of 106 cases of patients received radical operation for gastric cancer in our hospital were selected as research subjects, and according to different ways of postoperative nutrition intervention, all patients were divided into observation group (n=50 and control group (n=56. Control group received conventional enteral nutrition intervention, observation group received postoperative early enteral immune nutrition support, and then differences in postoperative intestinal mucosa barrier function, gastrointestinal hormone levels, immune function levels and nutrition-related indicator values were compared between two groups. Results: After observation group received enteral immune nutrition intervention, serum DAO, PS and D-lactate levels as well as urine L/M ratio were lower than those of control group; serum GAS, CCK, MTL and SP values of observation group after intervention were higher than those of control group, and GLU, VIP, GIP and SS values were lower than those of control group; CD4, IgG, NK cell, C3, C4, CH50 and S-IgA levels of observation group after intervention were higher than those of control group; serum ALB, PRE, TRF and RBP levels of observation group after intervention were higher than those of control group. Conclusion: Early enteral immune nutrition support after radical operation for gastric cancer is conducive to the recovery of gastrointestinal function and the promotion of immune state, eventually promotes patients’ postoperative overall recovery and has active clinical significance.

  11. Mindfulness-Based Cancer Recovery (MBCR) versus Supportive Expressive Group Therapy (SET) for distressed breast cancer survivors: evaluating mindfulness and social support as mediators.

    Science.gov (United States)

    Schellekens, Melanie P J; Tamagawa, Rie; Labelle, Laura E; Speca, Michael; Stephen, Joanne; Drysdale, Elaine; Sample, Sarah; Pickering, Barbara; Dirkse, Dale; Savage, Linette Lawlor; Carlson, Linda E

    2017-06-01

    Despite growing evidence in support of mindfulness as an underlying mechanism of mindfulness-based interventions (MBIs), it has been suggested that nonspecific therapeutic factors, such as the experience of social support, may contribute to the positive effects of MBIs. In the present study, we examined whether change in mindfulness and/or social support mediated the effect of Mindfulness-Based Cancer Recovery (MBCR) compared to another active intervention (i.e. Supportive Expressive Group Therapy (SET)), on change in mood disturbance, stress symptoms and quality of life. A secondary analysis was conducted of a multi-site randomized clinical trial investigating the impacts of MBCR and SET on distressed breast cancer survivors (MINDSET). We applied the causal steps approach with bootstrapping to test mediation, using pre- and post-intervention questionnaire data of the participants who were randomised to MBCR (n = 69) or SET (n = 70). MBCR participants improved significantly more on mood disturbance, stress symptoms and social support, but not on quality of life or mindfulness, compared to SET participants. Increased social support partially mediated the impact of MBCR versus SET on mood disturbance and stress symptoms. Because no group differences on mindfulness and quality of life were observed, no mediation analyses were performed on these variables. Findings showed that increased social support was related to more improvement in mood and stress after MBCR compared to support groups, whereas changes in mindfulness were not. This suggests a more important role for social support in enhancing outcomes in MBCR than previously thought.

  12. Surviving ICU: Stories of recovery.

    Science.gov (United States)

    Ewens, Beverley A; Hendricks, Joyce M; Sundin, Deborah

    2018-02-28

    The aim of this study was to investigate stories of recovery through the lens of intensive care unit (ICU) survivors. Survival from ICUs is increasing, as are associated physical and psychological complications. Despite the significant impact on survivors, there is inadequate support provision in Australia and world-wide for this population. An interpretive biographical approach of intensive care survivors' experiences of recovery. Data were collected during 2014-2015 from diaries, face to face interviews, memos and field notes. Six participants diarized for 3 months commencing 2 months after hospital discharge. At 5 months, participants were interviewed about the content of their diaries and symbols and signifiers in them to create a shared meaning. Analysis of diaries and interviews were undertaken using two frameworks to identify themes throughout participants' stories and provides a unique portrait of recovery through their individual lens. Participants considered their lives had irreparably changed and yet felt unsupported by a healthcare system that had "saved" them. This view through their lens identified turmoil, which existed between their surface and inner worlds as they struggled to conform to what recovery "should be". The novel biographical methods provided a safe and creative way to reveal survivors' inner thoughts and feelings. Participants' considered creating their stories supported their recovery process and in particular enabled them to reflect on their progress. Findings from this study may lead to increased awareness among health care providers about problems survivors face and improved support services more broadly, based on frameworks appropriate for this population. © 2018 John Wiley & Sons Ltd.

  13. Un-bundling payments for radioisotopes from radiopharmaceuticals and from diagnostic procedures: A tool to support the implementation of full-cost recovery - NEA discussion document

    International Nuclear Information System (INIS)

    2012-09-01

    The objective of the NEA's HLG-MR policy approach is to ensure a long-term secure supply. The HLG-MR has determined that to attain that objective, a necessary (but not sufficient) requirement is that irradiation services in the 99 Mo/' 99m Tc supply chain must be provided on a full-cost recovery (FCR) basis (OECD-NEA, 2011). The HLG-MR policy approach also recommended that supply chain participants should implement payment reforms that promote full-cost recovery within their reimbursement systems. Reforms might include separate radioisotope pricing or auditing, separate radioisotope payment, differential radioisotope payment for FCR, or other approaches to promote a complete transition to full-cost recovery. This paper is written to provide a basis for further discussion on the use of separate reimbursement to encourage the move to full-cost recovery. Separate reimbursement is one tool that could be used by public and private health insurance to support the move to ensuring sufficient reimbursement rates (or payments) for 99 Mo/' 99m Tc while the industry moves to full-cost recovery for irradiation services, paying for outage reserve capacity and transitioning to using LEU targets. Other tools are available (such as differential payments, separate radioisotope payments, auditing) that could lead to similar outcomes that support the changes necessary in the 99 Mo/' 99m Tc supply chain to ensure a long-term reliable supply of these important medical isotopes

  14. Resource Conservation and Recovery Act closure report: Area 2 Bitcutter and Postshot Containment Shops Injection Wells, Correction Action Unit 90

    International Nuclear Information System (INIS)

    1996-12-01

    This Closure Report provides documentation of the activities conducted during the Resource Conservation and Recovery Act (RCRA) closure of the Bitcutter and Postshot Containment Shops Injection Wells located in Area 2 of the Nevada Test Site (NTS), Oak Spring Quadrangle (USGS, 1986), Township 10 South, Range 53 East, Nye County, Nevada. This report discusses the Bitcutter Shop Inside Injection Well (CAU 90-A) closure-in-place and the Bitcutter Shop Outside Injection Well (CAU 90-B) and Postshot Containment Shop Injection Well (CAU 90-C) clean closures. This Closure Report provides background information about the unit, the results of the characterization activities and actions conducted to determine the closure design. It also provides a discussion of the drainage analysis, preliminary closure activities, final closure activities, waste management activities, and the Post-Closure Care requirements

  15. Spatially Dispersed Employee Recovery

    DEFF Research Database (Denmark)

    Hvass, Kristian Anders; Torfadóttir, Embla

    2014-01-01

    Employee recovery addresses either employee well-being or management's practices in aiding employees in recovering themselves following a service failure. This paper surveys the cabin crew at a small, European, low-cost carrier and investigates employees' perceptions of management practices to aid...... personnel achieve service recovery. Employee recovery within service research often focuses on front-line employees that work in a fixed location, however a contribution to the field is made by investigating the recovery of spatially dispersed personnel, such as operational personnel in the transport sector......, who have a work place away from a fixed or central location and have minimal management contact. Results suggest that the support employees receive from management, such as recognition, information sharing, training, and strategic awareness are all important for spatially dispersed front...

  16. American Recovery and Reinvestment Act (ARRA) FEMP Technical Assistance

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Breckenridge; Thomas R. Wood

    2010-08-01

    The purpose of this document is to evaluate the opportunity for Letterkenny Army Depot (LEAD or the Depot) to utilize biogenic methane, which may be available in shale formations under the Depot, to provide a supplemental source of natural gas that could allow the Depot to increase energy independence. Both the Director and Deputy of Public Works at the Depot are supportive in general of a methane production project, but wanted to better understand the challenges prior to embarking on such a project. This report will cover many of these issues. A similar project has been successfully developed by the U. S. Army at Ft. Knox, KY, which will be explained and referred to throughout this report as a backdrop to discussing the challenges and opportunities at LEAD, because the geologic formations and possibilities at both sites are similar. Prior to discussing the opportunity at LEAD, it is important to briefly discuss the successful methane recovery operation at Ft. Knox, because it is applicable to the projected approach for the LEAD methane system. The Ft. Knox project is an excellent example of how the U. S. Army can use an onsite renewable resource to provide a secure energy source that is not dependent on regional energy networks and foreign oil. At Ft. Knox, the U. S. Army contracted (through a utility co-op) with an energy production company to drill wells, establish a distribution infrastructure, and provide the equipment needed to prepare and compress the produced methane gas for use by base operations. The energy production company agreed to conduct the exploratory investigation at Ft. Knox with no cost to the government, as long as they could be granted a long-term contract if a reliable energy resource was established. The Depot is located, in part, over an Ordovician Age shale formation that may have the potential for producing biogenic methane, similar to the Devonian Age shale found beneath Ft. Knox. However, the Ordovician Age Shale beneath the

  17. Nutrition to Support Recovery from Endurance Exercise: Optimal Carbohydrate and Protein Replacement.

    Science.gov (United States)

    Moore, Daniel R

    2015-01-01

    Proper nutrition is vital to optimize recovery after endurance exercise. Dietary carbohydrate and protein provide the requisite substrates to enhance glycogen resynthesis and remodel skeletal muscle proteins, respectively, both of which would be important to rapidly restore muscle function and performance. With short recovery windows (optimal ingestion of both carbohydrate and protein.

  18. Recovery Act: Hydroelectric Facility Improvement Project - Replacement of Current Mechanical Seal System with Rope Packing System

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, Jessica D.

    2013-05-29

    On January 27, 2010 the City of North Little Rock, Arkansas received notification of the awarding of a Department of Energy (DOE) grant totaling $450,000 in funding from the American Recovery and Reinvestment Act (ARRA) under the Project Title: Recovery Act: Hydroelectric Facility Improvement Project – Automated Intake Clearing Equipment and Materials Management. The purpose of the grant was for improvements to be made at the City’s hydroelectric generating facility located on the Arkansas River. Improvements were to be made through the installation of an intake maintenance device (IMD) and the purchase of a large capacity wood grinder. The wood grinder was purchased in order to receive the tree limbs, tree trunks, and other organic debris that collects at the intake of the plant during high flow. The wood grinder eliminates the periodic burning of the waste material that is cleared from the intake and reduces any additional air pollution to the area. The resulting organic mulch has been made available to the public at no charge. Design discussion and planning began immediately and the wood grinder was purchased in July of 2010 and immediately put to work mulching debris that was gathered regularly from the intake of the facility. The mulch is currently available to the public for free. A large majority of the design process was spent in discussion with the Corps of Engineers to obtain approval for drawings, documents, and permits that were required in order to make changes to the structure of the powerhouse. In April of 2011, the City’s Project Engineer, who had overseen the application, resigned and left the City’s employ. A new Systems Mechanical Engineer was hired and tasked with overseeing the project. The transfer of responsibility led to a re-examination of the original assumptions and research upon which the grant proposal was based. At that point, the project went under review and a trip was booked for July 2011 to visit facilities that currently

  19. Long-Term Social Reintegration Outcomes for Burn Survivors With and Without Peer Support Attendance: A Life Impact Burn Recovery Evaluation (LIBRE) Study.

    Science.gov (United States)

    Grieve, Brian; Shapiro, Gabriel D; Wibbenmeyer, Lucy; Acton, Amy; Lee, Austin; Marino, Molly; Jette, Alan; Schneider, Jeffrey C; Kazis, Lewis E; Ryan, Colleen M

    2017-10-31

    To examine differences in long-term social reintegration outcomes for burn survivors with and without peer support attendance. Cross-sectional survey. Community-dwelling burn survivors. Burn survivors (N=601) aged ≥18 years with injuries to ≥5% total body surface area (TBSA) or burns to critical areas (hands, feet, face, or genitals). Not applicable. The Life Impact Burn Recovery Evaluation Profile was used to examine the following previously validated 6 scale scores of social participation: Family and Friends, Social Interactions, Social Activities, Work and Employment, Romantic Relationships, and Sexual Relationships. Burn support group attendance was reported by 330 (55%) of 596 respondents who responded to this item. Attendees had larger burn size (43.4%±23.6% vs 36.8%±23.4% TBSA burned, P10 years from injury (50% vs 42.5%, Preintegration in burn survivors. This cross-sectional study prompts further exploration into the potential benefits of peer support groups on burn recovery with future intervention studies. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  20. 40 CFR 35.928-3 - Implementation of the industrial cost recovery system.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Implementation of the industrial cost...-Clean Water Act § 35.928-3 Implementation of the industrial cost recovery system. (a) When a grantee's industrial cost recovery system is approved, implementation of the approved system shall become a condition...

  1. Good recovery from aphasia is also supported by right basal ganglia: a longitudinal controlled PET study. EJPRM-ESPRM 2008 award winner.

    Science.gov (United States)

    De Boissezon, X; Marie, N; Castel-Lacanal, E; Marque, P; Bezy, C; Gros, H; Lotterie, J-A; Cardebat, D; Puel, M; Demonet, J-F

    2009-12-01

    It has long been a matter of debate whether recovery from aphasia after left perisylvian lesion is mediated by perilesional left hemispheric regions or by right homologous areas. To investigate the neural substrates of aphasia recovery, a longitudinal study in patients after a left single perisylvian stroke was performed. Thirteen aphasic patients were H2(15)O PET-scanned twice at a one year interval during a word generation task. Patients are divided into two groups according to language performance for the word generation task at PET2. For the Good Recovery (GR) group, patients' performances are indistinguishable from those of normal subjects, while patients from the Poor Recovery (PR) group keep language disorders. Using SPM2, Language-Rest contrast is computed for both groups at both PET stages. Then, Session Effect contrast (TEP2-TEP1>0) is calculated for both groups. For the GR group, the Session Effect contrast shows an increase of activations in the left Postero-Superior Temporal Gyrus PSTG but also in the right thalamus and lenticular nuclei; for PR patients, the right lenticular nucleus activation is more important at PET1 than PET2. The crucial role of the left temporal activation is confirmed and its increase is linked to behavioural recovery. The role of the right basal ganglia to support good recovery from aphasia is a new finding. Their activation may be more task-dependant and related to inhibition of the right frontal cortex.

  2. Use of Artificial Propagation and Supplementation for Rebuilding Salmon Stocks Listed under the Endangered Species Act : Recovery Issues for Threatened and Endangered Snake River Salmon : Technical Report 5 of 11.

    Energy Technology Data Exchange (ETDEWEB)

    Lichatowich, Jim; Watson, Bruce

    1993-06-01

    Conventional hatcheries, supplementation, and habitat protection are management activities located on a production continuum. At one end of the continuum is the conventional hatchery which attempts to separate artificially propagated fish from naturally reproducing populations. On the other end of the continuum is natural production. Supplementation which attempts to increase natural production through the use of artificial propagation lies somewhere between natural production and conventional hatcheries on the continuum. The use of artificial propagation in the recovery of listed species is controversial. Guidance on the use of artificial propagation in the recovery of listed species comes from three sources: The Endangered Species Act (ESA), US Fish and Wildlife Service (USFWS) policies and National Marine Fisheries Service (NMFS) guidelines.

  3. Development of Support Service for Prevention and Recovery from Dementia and Science of Lethe

    Science.gov (United States)

    Otake, Mihoko

    This paper proposes multiscale service design method through the development of support service for prevention and recovery from dementia towards science of lethe. Proposed multiscale service model consists of tool, event, human, network, style and rule. Service elements at different scales are developed according to the model. Firstly, the author proposes and practices coimagination method as an ``event'', which is expected to prevent the progress of cognitive impairment. Coimagination support system was developed as a ``tool''. Experimental results suggest the effective activation of episodic memory, division of attention, and planning function of participants by the measurement of cognitive activities during the coimagination. Then, Fonobono Research Institute was established as a ''network'' for ``human'' who studies coimagination, which is a multisector research organization including elderly people living around Kashiwa city, companies including instrument and welfare companies, Kashiwa city and Chiba prefecture, researchers of the University of Tokyo. The institute proposes and realizes lifelong research as a novel life ``style'' for elderly people, and discusses life with two rounds as an innovative ``rule'' for social system of aged society.

  4. Solid waste landfills under the Resource Conservation and Recovery Act Subtitle D

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    This document provides guidance for meeting: (1) Guidelines for the Land Disposal of Solid Waste (40 CFR 241); (2) Criteria for Classification of Solid Waste Disposal Facilities and Practices (40 CFR 257); and (3) Criteria for Municipal Solid Waste Landfills (MSWLFs) (40 CFR Part 258). Revisions to 40 CFR 257 and a new Part 258 were published in the Federal Register (56 FR 50978, 10/9/91). The Guidelines for the Land Disposal of Solid Waste set requirements and recommended procedures to ensure that the design, construction, and operation of land disposal sites is done in a manner that will protect human health and the environment. These regulations are applicable to MSWLFs and non-MSWLFs (e.g., landfills used only for the disposal of demolition debris, commercial waste, and/or industrial waste). These guidelines are not applicable to the, land disposal of hazardous, agricultural, and/or mining wastes. These criteria are to be used under the Resource Conservation and Recovery Act (RCRA) in determining which solid waste disposal facilities pose a reasonable possibility of adversely affecting human health or the environment. Facilities failing to satisfy these criteria will be considered to be open dumps which are prohibited under Section 4005 of RCRA. The Criteria for MSWLFs are applicable only to MSWLFs, including those MSWLFs in which sewage sludge is co-disposed with household waste. Based on specific criteria, certain MSWLFs are exempt from some, or all, of the regulations of 40 CFR 258. MSWLFs that fail to satisfy the criteria specified in 40 CFR 258 are also considered open dumps for the purposes of Section 4005 of RCRA. Through the use of a series of interrelated flow diagrams, this guidance document directs the reader to each design, operation, maintenance, and closure activity that must be performed for MSWLFs and non-MSWLFs.

  5. Recovery from a chemical weapons accident or incident: A concept paper on planning

    Energy Technology Data Exchange (ETDEWEB)

    Herzenberg, C.L.; Haffenden, R.; Lerner, K.; Meleski, S.A.; Tanzman, E.A. [Argonne National Lab., IL (United States); Lewis, L.M. [US Dept. of Agriculture (United States); Hemphill, R.C. [Niagara Mohawk Power Corporation (United States); Adams, J.D. [US Environmental Protection Agency (United States)

    1994-04-01

    Emergency planning for an unintended release of chemical agent from the nation`s chemical weapons stockpile should include preparation for. the period following implementation of immediate emergency response. That period -- the recovery, reentry, and restoration stage -- is the subject of this report. The report provides an overview of the role of recovery, reentry, and restoration planning in the Chemical Stockpile Emergency Preparedness Program (CSEPP), describes the transition from immediate emergency response to restoration, and analyzes the legal framework that would govern restoration activities. Social, economic, and administrative issues, as well as technical ones, need to be considered in the planning effort. Because of possible jurisdictional conflicts, appropriate federal, state, and local agencies need to be included in a coordinated planning process. Advance consideration should be given to the pertinent federal and state statutes and regulations. On the federal level, the principal statutes and regulations to be considered are those associated with the Comprehensive Environmental Response, Compensation, and Liability Act; the Resource Conservation and Recovery Act; and the National Environmental Policy Act. This report recommends that extensive preaccident planning be undertaken for the recovery, reentry, and restoration stage and outlines several key issues that should be considered in that planning. The need for interagency cooperation and coordination at all levels of the planning process is emphasized.

  6. Comparison of double-acting and single-acting synthetic jets

    Czech Academy of Sciences Publication Activity Database

    Hsu, S.S.; Trávníček, Zdeněk; Chou, C.-C.; Chen, C. C.; Wang, A. B.

    2013-01-01

    Roč. 203, December (2013), s. 291-299 ISSN 0924-4247 Institutional support: RVO:61388998 Keywords : synthetic jet * double-acting & single acting machines * PIV Subject RIV: BK - Fluid Dynamics Impact factor: 1.943, year: 2013 http://dx.doi.org/10.1016/j.sna.2013.09.005

  7. 75 FR 9451 - Sunshine Act Meetings

    Science.gov (United States)

    2010-03-02

    ... Tuesday, March 2, 2010 9:30 a.m. Briefing on Uranium Recovery (Public Meeting). (Contact: Dominick Orlando, 301-415-6749.) This meeting will be webcast live at the Web address-- http://www.nrc.gov , Week of... NUCLEAR REGULATORY COMMISSION [NRC-2010-0002] Sunshine Act Meetings Agency Holding the Meetings...

  8. [The Global Model of Public Mental Health and Recovery Mentors].

    Science.gov (United States)

    Pelletier, Jean-François; Auclair, Émilie

    Objectives The aim of this paper is to revisit the Global Model of Public Mental Health (GMPMH) in light of the 4th Civic Forum. Recovery mentors of the University of Recovery chaired this public event, which was held in East-end Montreal, Canada, in 2016. The University of Recovery is a concept of co-learning among its members.Methods Being able to refer to international conventions and human rights standards is a key component of a genuine global approach that is supportive of individuals and communities in their quest for recovery and full citizenship. The GMPMH was inspired by the ecological approach in public health and health promotion programs, while adding to that approach the recovery mentors, as agents of mental health policies and legislation transformation. The GMPMH integrates recovery- and citizenship-oriented practices through the Ottawa Charter for Health Promotion of the World Health Organization. Indeed, here the GMPMH is said to be global in that the supranational and individual levels reinforce each other, taking turns with a) a set of legal rules and international conventions on human rights, including those of disabled persons, and b) the active involvement and agency of recovery mentors who can evoke these rules and conventions as part of a plea for the recognition of their personal and collective capacity for change; they acted as tracers of recovery trajectories during the Civic Forum. The GMPMH was first published in 2009, and revisited in 2013. While this latter revision was based on the 3rd Civic Forum, in this paper we use the same approach to revisit the GMPMH as underpinned by the findings and recommendations of the 4th Civic Forum, which discussed questions related to work and employment.Results Updating the GMPMH in light of the Civic Forum underlines the need for a more inclusive type of governance regarding policy and systems transformation. Local communities and persons in recovery can reach each other to promote change and

  9. Characterization of sediment in a leaching trench RCRA (Resource Conservation and Recovery Act) site

    International Nuclear Information System (INIS)

    Zimmerman, M.G.; Kossik, C.D.

    1988-01-01

    Hazardous materials potentially were disposed of into a pair of leaching trenches from 1975 until Resource Conservation and Recovery Act (RCRA) regulations were imposed in 1985. These leaching trenches now are used for disposal of nonhazardous process water. The typical effluent (approximately 3 million gal/d) consisted of water with trace quantities of laboratory, maintenance, and fuel fabrication process chemicals. The largest constituent in the waste stream was uranium in low concentrations. This paper describes the project used to analyze and characterize the sediments in and below the leaching trenches. Two phases of sediment sampling were performed. The first phase consisted of taking samples between the bottom of the trenches and groundwater to locate contamination in the deep sediments under the trenches. To accomplish this sampling, a series of wells were drilled, and samples were obtained for every five feet in depth. The second phase consisted of samples taken at three depths in a series of positions along each trench. Sampling was completed to determine contamination levels in the shallow sediments and loose material washed into the trenches from the process sewer system. The project results were that no measurable contamination was found in the deep sediments. Measurable contamination from metals, such as chromium and nickel, was found in the shallow sediments. The primary contaminant in the shallow sediments was uranium. The concentration of contaminants decreased rapidly to near-background levels at shallow depths below the bottoms of the trenches

  10. 75 FR 6413 - Sunshine Act Meeting Notice

    Science.gov (United States)

    2010-02-09

    ... a.m. Briefing on Uranium Recovery (Public Meeting). (Contact: Dominick Orlando, 301-415-6749.) This... NUCLEAR REGULATORY COMMISSION [NRC-2010-0002] Sunshine Act Meeting Notice DATES: Weeks of February.... Briefing on Regional Programs--Programs, Performance, and Future Plans (Public Meeting). (Contact: Richard...

  11. Workplace Lactation Support in Milwaukee County 5 Years After the Affordable Care Act.

    Science.gov (United States)

    Lennon, Tyler; Willis, Earnestine

    2017-02-01

    Workplace lactation support has become increasingly important because returning to work is associated with discontinuing breastfeeding and women in the workforce are increasing. Research aim: This study examined workplace lactation support among Milwaukee County businesses 5 years after implementation of the Affordable Care Act's Break Time for Nursing Mothers provision. A cross-sectional survey of Milwaukee County businesses was conducted in the summer of 2015 that inquired about workplace policies, lactation spaces, and other lactation resources offered. Business supports were stratified based on employer sizes: large (> 500 employees), medium (50-499 employees), and small (20-49 employees). A lactation amenity score was calculated for each business based on lactation resources available. Three hundred surveys were distributed and 71 businesses voluntarily completed the survey. Small employers were excluded from statistical analysis due to fewer responses ( n = 8). Overall, 87.3% ( n = 55) of respondents reported providing access to a multiuser space for lactation and 65.1% ( n = 41) reported providing a designated lactation space. Large employers ( n = 30) were more likely than medium employers ( n = 33) to provide a designated lactation space for breastfeeding or expressing (86.7% vs. 45.5%, p increase additional lactation support for women in the workplace.

  12. 75 FR 55577 - Clean Water Act; Contractor Access to Confidential Business Information

    Science.gov (United States)

    2010-09-13

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9200-8] Clean Water Act; Contractor Access to Confidential... Recovery Act (RCRA). Transfer of the information will allow the contractor and subcontractors to access... contractors and subcontractors over the history of the effluent guidelines program. EPA determined that this...

  13. The role of emotions and trust in service recovery in business-to-consumer electronic commerce

    OpenAIRE

    Chaparro Pelaez, Jose Julian; Hernández García, Ángel; Urueña López, Alberto

    2015-01-01

    This study proposes a service recovery model to describe how cumulative satisfaction, loyalty and word-of-mouth are affected by complaints. The model is based on the role of positive and negative emotions in satisfaction with service recovery processes, with trust acting as a mediator of the relationship between satisfaction with service recovery and cumulative satisfaction, and between positive and negative emotions, satisfaction with service recovery and loyalty. The sample for this study c...

  14. Do psychological variables affect early surgical recovery?

    Directory of Open Access Journals (Sweden)

    Michael N Mavros

    Full Text Available BACKGROUND: Numerous studies have examined the effect of psychological variables on surgical recovery, but no definite conclusion has been reached yet. We sought to examine whether psychological factors influence early surgical recovery. METHODS: We performed a systematic search in PubMed, Scopus and PsycINFO databases to identify studies examining the association of preoperative psychological variables or interventions with objectively measured, early surgical outcomes. RESULTS: We identified 16 eligible studies, 15 of which reported a significant association between at least one psychological variable or intervention and an early postoperative outcome. However, most studies also reported psychological factors not influencing surgical recovery and there was significant heterogeneity across the studies. Overall, trait and state anxiety, state anger, active coping, subclinical depression, and intramarital hostility appeared to complicate recovery, while dispositional optimism, religiousness, anger control, low pain expectations, and external locus of control seemed to promote healing. Psychological interventions (guided relaxation, couple support visit, and psychiatric interview also appeared to favor recovery. Psychological factors unrelated to surgical outcomes included loneliness, perceived social support, anger expression, and trait anger. CONCLUSION: Although the heterogeneity of the available evidence precludes any safe conclusions, psychological variables appear to be associated with early surgical recovery; this association could bear important implications for clinical practice. Large clinical trials and further analyses are needed to precisely evaluate the contribution of psychology in surgical recovery.

  15. 75 FR 4428 - Sunshine Act Meeting Notice

    Science.gov (United States)

    2010-01-27

    ....m. Briefing on Uranium Recovery (Public Meeting). (Contact: Dominick Orlando, 301-415-6749.) This... NUCLEAR REGULATORY COMMISSION [NRC-2010-0002] Sunshine Act Meeting Notice DATES: Weeks of January... Plans (Public Meeting). (Contact: Quynh Nguyen, 301-415-5844.) This meeting will be webcast live at the...

  16. Citizenship and recovery: two intertwined concepts for civic-recovery.

    Science.gov (United States)

    Pelletier, Jean-François; Corbière, Marc; Lecomte, Tania; Briand, Catherine; Corrigan, Patrick; Davidson, Larry; Rowe, Michael

    2015-03-04

    Validation of the psychometric properties of a new measure of citizenship was required for a research project in the province of Quebec, Canada. This study was meant to study the interplay between recovery- and citizenship-oriented supportive employment. As recovery and citizenship were expected to be two related concepts, convergent validity between the Citizenship Measure (CM) and the Recovery Assessment Scale (RAS) was tested. Study objectives were to: 1) conduct exploratory factor analyses on the CM and confirmatory factor analysis on the RAS tools (construct validity), 2) calculate Cronbach's alphas for each dimension emerging from objective 1 (reliability), and 3) calculate correlations between all dimensions from both tools (convergent validity). Data were collected from 174 individuals with serious mental illness, working in social firms. Serious mental illnesses include major depression, schizophrenia, bipolar disorder, obsessive compulsive disorder, panic disorder, post traumatic stress disorder and borderline personality disorder. Five factors emerged from the exploratory factor analysis of the CM, with good reliability. Confirmatory factor analyses showed that the short and the long versions of the RAS present satisfactory results. Finally, the correlation matrix indicated that all dimensions from both tools are significantly correlated, thus confirming their convergent validity. This study confirms the validity and reliability of two tools, CM and RAS. These tools can be used in combination to assess citizenship and recovery, both of which may be combined in the new concept of civic-recovery.

  17. Recovery Act: Demonstration of a SOFC Generator Fueled by Propane to Provide Electrical Power to Real World Applications

    Energy Technology Data Exchange (ETDEWEB)

    Bessette, Norman [Acumentrics Corporation, Westwood, MA (United States)

    2016-08-01

    The objective of this project provided with funds through the American Recovery and Reinvestment Act of 2009 (ARRA) was to demonstrate a Solid Oxide Fuel Cell (SOFC) generator capable of operation on propane fuel to improve efficiency and reduce emissions over commercially available portable generators. The key objectives can be summarized as: Development of two portable electrical generators in the 1-3kW range utilizing Solid Oxide Fuel Cells and propane fuel; The development and demonstration of a proof-of-concept electro-mechanical propane fuel interface that provides a user friendly capability for managing propane fuel; The deployment and use of the fuel cell portable generators to power media production equipment over the course of several months at multiple NASCAR automobile racing events; The deployment and use of the fuel cell portable generators at scheduled events by first responders (police, fire) of the City of Folsom California; and Capturing data with regard to the systems’ ability to meet Department of Energy (DOE) Technical Targets and evaluating the ease of use and potential barriers to further adoption of the systems.

  18. Course of Recovery from Alcoholism

    Science.gov (United States)

    Venner, Kamilla L.; Matzger, Helen; Forcehimes, Alyssa A.; Moos, Rudolf H.; Feldstein, Sarah W.; Willenbring, Mark L.; Weisner, Constance

    2010-01-01

    This article represents the proceedings of a symposium at the 2005 Research Society on Alcoholism meeting in Santa Barbara, California, organized and chaired by Kamilla L. Venner. This symposium integrated current empirical research on the course of recovery from alcoholism from multiple perspectives, an aim that is consistent with NIAAA's new focus on the process of recovery. The presentations and presenters were as follows: (1) The Role of Community Services and Informal Support on 7-Year Drinking Outcomes in Treated and Untreated Drinkers, by Helen Matzger; (2) The Sequence of Recovery Events in a Native American Sample, by Kamilla L. Venner; (3) Transformational Change in Recovery, by Alyssa A. Forcehimes; (4) Social Settings and Substance Use: Contextual Factors in Recovery, by Rudolf H. Moos; and (5) A Broader View of Change in Drinking Behavior, by discussant Mark L. Willenbring. A theme connecting the presentations was that treatment is but one discrete aspect to recovery and that sustained recovery is often influenced by an individual interaction with others within a social context. Collectively, presentations underscored the need to think more broadly about factors contributing to the remission of alcohol dependence. PMID:16737468

  19. Recovery i fællesskaber

    DEFF Research Database (Denmark)

    Nielsen, Diana Astrup

    2013-01-01

    in present day practice. The dissertation aims at examining the potentials and limitations of recovery-orientation in a context of practice, and is thus concerned with the question: Which limitations and potentials emerge for recovery-orientation, when the applications of the the-ory are investigated...... gathered consists of interviews with the residents and recordings from institutional staff meetings at the establishment. The analyses presented in the dissertation are from in-depth studies of two select cases with resi-dents of the establishment. Two theoretical approaches are applied to each case...... as for identifying suggestions for improving and developing such practice. 4 The analyses of the empirical data presented serve to identify limitations, as well as potentials for practice based upon recovery-orientation. The approach from critical psychology supports that the concepts of recovery-orientation lack...

  20. Resident education and perceptions of recovery in serious mental illness: observations and commentary.

    Science.gov (United States)

    Buckley, Peter; Bahmiller, Daniel; Kenna, Courtney Amanda; Shevitz, Stewart; Powell, Ike; Fricks, Larry

    2007-01-01

    Recovery is emerging as a guiding influence in mental health service delivery and transformation. As a consequence, the expectations and curricular needs of trainees (as future stakeholders in a transformed, recovery-oriented system) are now of considerable importance. To this end, resident-led focus groups were held at the Medical College of Georgia to obtain perceptions of the Recovery Model. Certified Peer Support Specialists (CPSS) attended and topics covered were the Recovery Model, the CPSS training curriculum, and developing a Wellness Recovery Action Plan (WRAP) with consumers. Advantages and disadvantages of the Recovery model were discussed, with residents generally expressing cautious optimism regarding implementation of these principles, yet concern regarding the potential for diminishing confidence and support for traditional professional services. All residents indicated an interest in obtaining more information about the Recovery Model, including how to incorporate WRAPS and the role of CPSS in Recovery. Almost half of the residents selected a recovery-oriented workshop as the best method for further education about these concepts, with less support for other options of didactic handouts and expert lecture. Future efforts should be directed at implementing recovery curricula into resident education and evaluating the changes in resident knowledge, attitude toward recovery, and plans to implement recovery-oriented principles into their own professional practice.

  1. 75 FR 8155 - Sunshine Act; Notice of Meeting

    Science.gov (United States)

    2010-02-23

    ....m. Briefing on Uranium Recovery (Public Meeting) (Contact: Dominick Orlando, 301-415-6749). This... NUCLEAR REGULATORY COMMISSION [NRC-2010-0002] Sunshine Act; Notice of Meeting DATES: Weeks of....m. Affirmation Session (Public Meeting) (Tentative). Entergy Nuclear Operations, Inc. (Indian Point...

  2. Airborne Measurements in Support of the NASA Atmospheric Carbon and Transport - America (ACT-America) Mission

    Science.gov (United States)

    Meadows, Byron; Davis, Ken; Barrick, John; Browell, Edward; Chen, Gao; Dobler, Jeremy; Fried, Alan; Lauvaux, Thomas; Lin, Bing; McGill, Matt; hide

    2015-01-01

    NASA announced the research opportunity Earth Venture Suborbital -2 (EVS-2) mission in support of the NASA's science strategic goals and objectives in 2013. Penn State University, NASA Langley Research Center (LaRC), and other academic institutions, government agencies, and industrial companies together formulated and proposed the Atmospheric Carbon and Transport -America (ACT -America) suborbital mission, which was subsequently selected for implementation. The airborne measurements that are part of ACT-America will provide a unique set of remote and in-situ measurements of CO2 over North America at spatial and temporal scales not previously available to the science community and this will greatly enhance our understanding of the carbon cycle. ACT -America will consist of five airborne campaigns, covering all four seasons, to measure regional atmospheric carbon distributions and to evaluate the accuracy of atmospheric transport models used to assess carbon sinks and sources under fair and stormy weather conditions. This coordinated mission will measure atmospheric carbon in the three most important regions of the continental US carbon balance: Northeast, Midwest, and South. Data will be collected using 2 airborne platforms (NASA Wallops' C-130 and NASA Langley's B-200) with both in-situ and lidar instruments, along with instrumented ground towers and under flights of the Orbiting Carbon Observatory (OCO-2) satellite. This presentation provides an overview of the ACT-America instruments, with particular emphasis on the airborne CO2and backscatter lidars, and the, rationale, approach, and anticipated results from this mission.

  3. Maximal loads acting on legs of powered roof support unit in longwalls with bumping hazards

    Institute of Scientific and Technical Information of China (English)

    StanislawSzweda

    2001-01-01

    In the article the results of measurements of the resultant force in the legs of a powered roof support unit, caused by a dynamic interaction bf the rock mass, are discussed. The measurements have been taken in the Iongwalls mined with a roof fall, characterized by the highest degree of bumping hazard. It has been stated that the maximal force in the legs Fro, recorded during a dynamic interaction of the rock mass, is proportional to the initial static force in the legs Fst.p Therefore a need for a careful selection of the initial load of the powered roof support, according to the local mining and geological conditions, results from such a statement. Setting the legs with the supporting load exceeding the indispensable value for keeping the direct roof solids in balance, deteriorating the operational parameters of a Iongwall system also has a disadvantageous influence on the value of the force in the legs and the rate of its increase, caused by a dynamic interaction of the rock mass. A correct selection of the initial load causes a decrease in the intensity of a dynamic interaction of the rock mass on powered roof supports, which also has an advanta igeous influence on their life, Simultaneously with the measurements of the resultant force in the legs, the vertical acceleration of the canopy was also recorded. It has enabled to prove that the external dynamic forces may act on the unit both from the roof as well as from the floor. The changes of the force in the legs caused by dynamic phenomena intrinsically created in the roof and changes of the force in the legs caused by blasting explosives in the roof of the working, have been analyzed separately. It has been stated that an increase in the loads of legs, caused by intrinsic phenomena is significantly higher than a force increase in the legs caused by blasting. It means that powered roof supports, to be operated in the workings, where the bumping hazard occurs, will also transmit the loads acting on a unit

  4. ACTS 2014

    DEFF Research Database (Denmark)

    Co-curator of ACTS 2014 together with Rasmus Holmboe, Judith Schwarzbart and Sanne Kofoed. ACTS is the Museum of Contemporary Art’s international bi-annual festival. ACTS was established in 2011 and, while the primary focus is on sound and performance art, it also looks toward socially oriented art....... For the 2014 festival, the museum has entered into a collaboration with the Department for Performance Design at Roskilde University – with continued focus on sound and performance art, and social art in public spaces. With ACTS, art moves out of its usual exhibition space and instead utilizes the city, its...... various possibilities and public spaces as a stage. ACTS takes place in and around the museum and diverse locations in Roskilde city. ACTS is partly curated by the museum staff and partly by guest curators. ACTS 2014 is supported by Nordea-fonden and is a part of the project The Museum goes downtown....

  5. Life cycle assessment as development and decision support tool for wastewater resource recovery technology

    DEFF Research Database (Denmark)

    Fang, Linda L.; Valverde Perez, Borja; Damgaard, Anders

    2016-01-01

    resource recovery. The freshwater and nutrient content of wastewater are recognized as potential valuable resources that can be recovered for beneficial reuse. Both recovery and reuse are intended to address existing environmental concerns, for example, water scarcity and use of non-renewable phosphorus...... and water recovery system in its potential operating environment, we assess the potential environmental impacts of such a system using the EASETECH model. In the simulation, recovered water and nutrients are used in scenarios of agricultural irrigation-fertilization and aquifer recharge. In these scenarios......, TRENS reduces global warming up to 15% and marine eutrophication impacts up to 9% compared to conventional treatment. This is due to the recovery and reuse of nutrient resources, primarily nitrogen. The key environmental concerns obtained through the LCA are linked to increased human toxicity impacts...

  6. Social Relationships, Gender, and Recovery From Mobility Limitation Among Older Americans.

    Science.gov (United States)

    Latham, Kenzie; Clarke, Philippa J; Pavela, Greg

    2015-09-01

    Evidence suggests social relationships may be important facilitators for recovery from functional impairment, but the extant literature is limited in its measurement of social relationships including an over emphasis on filial social support and a paucity of nationally representative data. Using data from Waves 4-9 (1998-2008) of the Health and Retirement Study (HRS), this research examines the association between social relationships and recovery from severe mobility limitation (i.e., difficulty walking one block or across the room) among older Americans. Using a more nuanced measure of recovery that includes complete and partial recovery, a series of discrete-time event history models with multiple competing recovery outcomes were estimated using multinomial logistic regression. Providing instrumental support to peers increased the odds of complete and partial recovery from severe mobility limitation, net of numerous social, and health factors. Having relatives living nearby decreased the odds of complete recovery, while being engaged in one's neighborhood increased the odds of partial recovery. The influence of partner status on partial and complete recovery varied by gender, whereby partnered men were more likely to experience recovery relative to partnered women. The effect of neighborhood engagement on partial recovery also varied by gender. Disengaged women were the least likely to experience partial recovery compared with any other group. The rehabilitative potential of social relationships has important policy implications. Interventions aimed at encouraging older adults with mobility limitation to be engaged in their neighborhoods and/or provide instrumental support to peers may improve functional health outcomes. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. Leveraging technology to enhance addiction treatment and recovery.

    Science.gov (United States)

    Marsch, Lisa A

    2012-01-01

    Technology such as the Internet and mobile phones offers considerable promise for affecting the assessment, prevention, and treatment of and recovery from substance use disorders. Technology may enable entirely new models of behavioral health care within and outside of formal systems of care. This article reviews the promise of technology-based therapeutic tools for affecting the quality and reach of addiction treatment and recovery support systems, as well as the empirical support to date for this approach. Potential models for implementing technology-based interventions targeting substance use disorders are described. Opportunities to optimize the effectiveness and impact of technology-based interventions targeting addiction and recovery, along with outstanding research needs, are discussed.

  8. An evaluation of service use outcomes in a Recovery College.

    Science.gov (United States)

    Bourne, Philippa; Meddings, Sara; Whittington, Adrian

    2017-12-23

    Recovery Colleges offer educational courses about recovery and mental health which are co-produced by mental health professionals and experts by lived experience. Previous evaluations have found positive effects of Recovery Colleges on a range of outcomes including wellbeing, recovery and quality of life. To evaluate service use outcomes for Sussex Recovery College students who use mental health services. The study used a controlled-before-and-after design. It used archival data to analyse service use before and after participants registered with the Recovery College (n = 463). Participants acted as their own control. Students used mental health services less after attending the Recovery College than before. Students who attended the Recovery College showed significant reductions in occupied hospital bed days, admissions, admissions under section and community contacts in the 18 months post compared with the 18 months before registering. Reductions in service use were greater for those who completed a course than those who registered but did not complete a course. These findings suggest that attending Recovery College courses is associated with reduced service use. The reductions equate to non-cashable cost-savings of £1200 per registered student and £1760 for students who completed a course. Further research is needed to investigate causality.

  9. Greedy Algorithms for Nonnegativity-Constrained Simultaneous Sparse Recovery

    Science.gov (United States)

    Kim, Daeun; Haldar, Justin P.

    2016-01-01

    This work proposes a family of greedy algorithms to jointly reconstruct a set of vectors that are (i) nonnegative and (ii) simultaneously sparse with a shared support set. The proposed algorithms generalize previous approaches that were designed to impose these constraints individually. Similar to previous greedy algorithms for sparse recovery, the proposed algorithms iteratively identify promising support indices. In contrast to previous approaches, the support index selection procedure has been adapted to prioritize indices that are consistent with both the nonnegativity and shared support constraints. Empirical results demonstrate for the first time that the combined use of simultaneous sparsity and nonnegativity constraints can substantially improve recovery performance relative to existing greedy algorithms that impose less signal structure. PMID:26973368

  10. Recovery post treatment: plans, barriers and motivators.

    Science.gov (United States)

    Duffy, Paul; Baldwin, Helen

    2013-01-30

    The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital) that contribute to recovery following treatment. This work examined the factors those in recovery perceive to be barriers to (lack of capital) or facilitators of (presence of capital) sustained recovery post treatment. A purposive sample of 45 participants was recruited from 11 drug treatment services in northern England. Semi-structured qualitative interviews lasting between 30 and 90 minutes were conducted one to three months after participants completed treatment. Interviews examined key themes identified through previous literature but focused on allowing participants to explore their unique recovery journey. Interviews were transcribed and analysed thematically using a combination of deductive and inductive approaches. Participants generally reported high levels of confidence in maintaining their recovery with most planning to remain abstinent. There were indications of high levels of recovery capital. Aftercare engagement was high, often through self referral, with non substance use related activity felt to be particularly positive. Supported housing was critical and concerns were raised about the ability to afford to live independently with financial stability and welfare availability a key concern in general. Employment, often in the substance use treatment field, was a desire. However, it was a long term goal, with substantial risks associated with pursuing this too early. Positive social support was almost exclusively from within the recovery community although the re-building of relationships with family (children in particular) was a key motivator post treatment. Addressing internal factors and underlying issues i.e. 'human capital', provided confidence for continued recovery whilst motivators focused on external factors such as family and maintaining aspects of a 'normal' life i.e. 'social and physical

  11. Recovery post treatment: plans, barriers and motivators

    Directory of Open Access Journals (Sweden)

    Duffy Paul

    2013-01-01

    Full Text Available Abstract Background The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital that contribute to recovery following treatment. This work examined the factors those in recovery perceive to be barriers to (lack of capital or facilitators of (presence of capital sustained recovery post treatment. Methods A purposive sample of 45 participants was recruited from 11 drug treatment services in northern England. Semi-structured qualitative interviews lasting between 30 and 90 minutes were conducted one to three months after participants completed treatment. Interviews examined key themes identified through previous literature but focused on allowing participants to explore their unique recovery journey. Interviews were transcribed and analysed thematically using a combination of deductive and inductive approaches. Results Participants generally reported high levels of confidence in maintaining their recovery with most planning to remain abstinent. There were indications of high levels of recovery capital. Aftercare engagement was high, often through self referral, with non substance use related activity felt to be particularly positive. Supported housing was critical and concerns were raised about the ability to afford to live independently with financial stability and welfare availability a key concern in general. Employment, often in the substance use treatment field, was a desire. However, it was a long term goal, with substantial risks associated with pursuing this too early. Positive social support was almost exclusively from within the recovery community although the re-building of relationships with family (children in particular was a key motivator post treatment. Conclusions Addressing internal factors and underlying issues i.e. ‘human capital’, provided confidence for continued recovery whilst motivators focused on external factors such as family and

  12. Protocol for a systematic review of evaluation research for adults who have participated in the 'SMART recovery' mutual support programme.

    Science.gov (United States)

    Beck, Alison K; Baker, Amanda; Kelly, Peter J; Deane, Frank P; Shakeshaft, Anthony; Hunt, David; Forbes, Erin; Kelly, John F

    2016-05-23

    Self-Management and Recovery Training (SMART Recovery) offers an alternative to predominant 12-step approaches to mutual aid (eg, alcoholics anonymous). Although the principles (eg, self-efficacy) and therapeutic approaches (eg, motivational interviewing and cognitive behavioural therapy) of SMART Recovery are evidence based, further clarity regarding the direct evidence of its effectiveness as a mutual aid package is needed. Relative to methodologically rigorous reviews supporting the efficacy of 12-step approaches, to date, reviews of SMART Recovery have been descriptive. We aim to address this gap by providing a comprehensive overview of the evidence for SMART Recovery in adults with problematic alcohol, substance and/or behavioural addiction, including a commentary on outcomes assessed, potential mediators, feasibility (including economic outcomes) and a critical evaluation of the methods used. Methods are informed by the Cochrane Guidelines for Systematic Reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. 6 electronic peer-reviewed and 4 grey literature databases have been identified. Preliminary searches have been conducted for SMART Recovery literature (liberal inclusion criteria, not restricted to randomised controlled trials (RCTs), qualitative-only designs excluded). Eligible 'evaluation' articles will be assessed against standardised criteria and checked by an independent assessor. The searches will be re-run just before final analyses and further studies retrieved for inclusion. A narrative synthesis of the findings will be reported, structured around intervention type and content, population characteristics, and outcomes. Where possible, 'summary of findings' tables will be generated for each comparison. When data are available, we will calculate a risk ratio and its 95% CI (dichotomous outcomes) and/or effect size according to Cohen's formula (continuous outcomes) for the primary outcome of each trial. No

  13. 77 FR 15143 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2012-03-14

    ... abuse. Recovery Act, Sec. Sec. 1521, 1523(a)(1). The Education Jobs Fund requires, among other things... signature (or submitted with date and signature under penalty of perjury), and any other identifying number...

  14. Development and validation of attitudes towards Recovery Questionnaire across Chinese people in recovery, their family carers, and service providers in Hong Kong.

    Science.gov (United States)

    Mak, Winnie W S; Chan, Randolph C H; Yau, Sania S W

    2018-05-29

    Considering the lack of existing measures on attitudes toward personal recovery and the need to acknowledge the cultural milieu in recovery attitude assessment, the present study developed and validated the Attitudes towards Recovery Questionnaire (ARQ) in a sample of people in recovery of mental illness, family carers, and mental health service providers in Hong Kong. The ARQ was developed based on existing literature and measures of recovery, and focus group discussions with various stakeholders. Findings of the multi-sample confirmatory factor analyses supported a five-factor structure: (1) resilience as a person in recovery, (2) self-appreciation and development, (3) self-direction, (4) family involvement, and (5) social ties and integration. The ARQ was positively correlated with recovery outcomes, empowerment, recovery knowledge, and recovery orientation of mental health services. As a tool for examining recovery attitudes, the ARQ informs us of the mindset across stakeholders and areas that need enhancement to facilitate the recovery process. Copyright © 2018. Published by Elsevier B.V.

  15. Parents' experiences managing their child's complicated postoperative recovery.

    Science.gov (United States)

    Purcell, Mary; Longard, Julie; Chorney, Jill; Hong, Paul

    2018-03-01

    Tonsillectomy is commonly performed as same-day surgery and parents are heavily relied upon for management of children's postoperative recovery. The objective of this study was to provide an in-depth description of the experiences parents face when managing their child's complicated postoperative recoveries at home. An exploratory qualitative study at an academic pediatric hospital in Eastern Canada was performed. Participants included 12 parents of children aged 3-6 years who underwent adeno/tonsillectomy and experienced unexpected outcomes or complications during the postoperative recovery period. Parents participated in semi-structured interviews within 6 months of their child's surgery. Interviews were transcribed verbatim and thematic analysis was used to identify themes in the parents' experiences. Parents described struggling to make the decision to come back to hospital, that adequate information does not prevent emotional difficulties, and feeling somewhat responsible for the unexpected outcome or complicated course of recovery. Communication with healthcare providers was considered very important in helping with the recovery process. This research helps to inform healthcare professionals about how they might better support families during complicated recovery processes. Areas of action may include clear communication, setting expectations, and psychosocial support. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Recommendations for a coordinated approach to regulating the uranium recovery industry

    International Nuclear Information System (INIS)

    Sweeney, K.; Thompson, A.J.; Lehrenbaum, W.U.; Gormley, P.; Kim, D.H.

    2001-01-01

    A number of regulatory positions that are of central importance to the uranium recovery industry today have their origins in regulatory interpretations that were developed by Nuclear Regulatory Commission (NRC or Commission) staff almost two decades ago, shortly after Congress first granted the Commission the direct authority to regulate uranium mill tailings and related wastes by enacting the Uranium Mill Tailings Radiation Control Act (UMTRCA) as an amendment to the Atomic Energy Act of 1954 (AEA). Consequently, several key regulatory positions that govern uranium recovery activities today were developed at a time when the regulatory programme for uranium milling operations, including the management and disposition of uranium mill tailings and related wastes, was in the earliest stages of conception, and when the uranium recovery industry was at or near peak levels of production. Often, the policies and positions that were developed by the Commission staff dining this period, and subsequently, were developed in an ad hoc manner, rather than being formulated as part of a deliberate, coordinated regulatory strategy. Moreover, many of these positions and policies were based on assumptions that would later turn out to be completely incorrect regarding the future development of the uranium recovery industry and of the regulatory programme governing the industry. In the twenty years that have elapsed since Congress first enacted UMTRCA, a robust programme has been created for the comprehensive regulation of uranium recovery activities. At the same time, the nature of the uranium recovery industry has changed dramatically. As a result, some of the policies and positions that were developed by Commission staff almost two decades ago, that may have seemed reasonable at the time they were developed, appear increasingly unreasonable and inappropriate today, given the current regulatory framework and the realities of the modern uranium recovery industry. This raises concerns

  17. Modeling for Endangered-Species Recovery: Gray Wolves in the Western Great Lakes Region

    Science.gov (United States)

    Jean Fitts Cochrane; Robert G. Haight; Anthony M. Starfield

    2003-01-01

    The Federal Endangered Species Act is intended to conserve endangered and threatened species and their habitats and to improve the species' status so that they no longer need protection under the Act. In the process of planning the recovery of threatened or endangered species, the U.S. Fish and Wildlife Service increasingly uses demographic models to predict...

  18. 29 CFR 1620.33 - Recovery of wages due; injunctions; penalties for willful violations.

    Science.gov (United States)

    2010-07-01

    ... OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.33 Recovery of wages due; injunctions; penalties for willful... paid to an employee to meet the equal pay standard, and of any wages that the employer should have paid an employee whose wages he reduced in violation of the Act in an attempt to equalize his or her pay...

  19. Recovery in the 21st Century: From Shame to Strength.

    Science.gov (United States)

    Gumbley, Stephen J

    2016-01-01

    Through the "war on drugs," the just-say-no campaign, and into the early years of this century, the overarching approach to substance use disorders (SUDs) called for a single outcome (abstinence) and a single methodology (spiritual connection with a higher power) as the remedy for SUDs. Those who did not become permanently abstinent or rejected the spiritual approach were seen as "not ready" or "in denial."A seismic shift in thinking about "addiction" and "recovery" began in earnest in the 1990s. In 2005, the Substance Abuse and Mental Health Services Administration brought together leaders of the treatment and recovery field for the historic National Summit on Recovery to develop broad-based consensus on guiding principles for recovery and elements of recovery-oriented systems of care.Major changes associated with the recovery-oriented approach include viewing SUDs as chronic, rather than acute, problems that require long-term support and focusing on recovery management rather than disease management. Complete abstinence is not an absolute requirement for wellness for all persons with SUDs. There are "many pathways to recovery," not only the 12-Step approach (White & Kurtz, 2006). Sustained recovery is self-directed and requires personal choices, the support of peers and allies, and community reinforcement as well as a strength-based approach and the use of research-based interventions. This Perspectives column addresses the historical context for the transformation toward a recovery-oriented system of care, highlights federal efforts to promote recovery-oriented approaches, and describes recovery-oriented terminology to reduce misconceptions, labeling, and stigmatization and promote recovery for individuals, families, and communities.

  20. 77 FR 49089 - High-Cost Mortgage and Homeownership Counseling Amendments to the Truth in Lending Act...

    Science.gov (United States)

    2012-08-15

    ... U.S. recession since the Great Depression.\\6\\ The Dodd-Frank Act created the Bureau and consolidated.... 1639h, and sections 1124 and 1125 of the Financial Institutions Reform, Recovery, and Enforcement Act of...

  1. Recovery From Comorbidity

    Directory of Open Access Journals (Sweden)

    Mathew Carter

    2013-11-01

    Full Text Available Comorbidity among mood, anxiety, and alcohol disorders is common and burdensome, affecting individuals, families, and public health. A systematic and integrative review of the literature across disciplines and research methodologies was performed. Supradisciplinary approaches were applied to the review and the ensuing critical appraisal. Definitions, measurement, and estimation are controversial and inconstant. Recovery from comorbidity cannot be easily extricated from a sociocultural milieu. Methodological challenges in quantitative and qualitative research and across disciplines are many and are discussed. The evidence supporting current treatments is sparse and short-term, and modalities operating in isolation typically fail. People easily fall into the cracks between mental health and addiction services. Clinicians feel untrained and consumers bear the brunt of this: Judgmental and moralistic interactions persist and comorbidity is unrecognized in high-risk populations. Competing historical paradigms of mental illness and addiction present a barrier to progress and reductionism is an impediment to care and an obstacle to the integration and interpretation of research. What matters to consumers is challenging to quantify but worth considering: Finding employment, safe housing, and meaning are crucial to recovery. Complex social networks and peer support in recovery are important but poorly understood. The focus on modalities of limited evidence or generalizability persists in literature and practice. We need to consider different combinations of comorbidity, transitions as opposed to dichotomies of use or illness, and explore the long-term view and emic perspectives.

  2. Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention.

    Science.gov (United States)

    Wallace, Genevieve; Bird, Victoria; Leamy, Mary; Bacon, Faye; Le Boutillier, Clair; Janosik, Monika; MacPherson, Rob; Williams, Julie; Slade, Mike

    2016-09-01

    Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships. Interviews (n = 24) and two focus groups (n = 13) were conducted as part of a process evaluation and included a purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data. Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention. Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured.

  3. Uncertainty in Population Estimates for Endangered Animals and Improving the Recovery Process

    Directory of Open Access Journals (Sweden)

    Janet L. Rachlow

    2013-08-01

    Full Text Available United States recovery plans contain biological information for a species listed under the Endangered Species Act and specify recovery criteria to provide basis for species recovery. The objective of our study was to evaluate whether recovery plans provide uncertainty (e.g., variance with estimates of population size. We reviewed all finalized recovery plans for listed terrestrial vertebrate species to record the following data: (1 if a current population size was given, (2 if a measure of uncertainty or variance was associated with current estimates of population size and (3 if population size was stipulated for recovery. We found that 59% of completed recovery plans specified a current population size, 14.5% specified a variance for the current population size estimate and 43% specified population size as a recovery criterion. More recent recovery plans reported more estimates of current population size, uncertainty and population size as a recovery criterion. Also, bird and mammal recovery plans reported more estimates of population size and uncertainty compared to reptiles and amphibians. We suggest the use of calculating minimum detectable differences to improve confidence when delisting endangered animals and we identified incentives for individuals to get involved in recovery planning to improve access to quantitative data.

  4. In College and in Recovery: Reasons for Joining a Collegiate Recovery Program

    Science.gov (United States)

    Laudet, Alexandre B.; Harris, Kitty; Kimball, Thomas; Winters, Ken C.; Moberg, D. Paul

    2016-01-01

    Objective: Collegiate Recovery Programs (CRPs), a campus-based peer support model for students recovering from substance abuse problems, grew exponentially in the past decade, yet remain unexplored. Methods: This mixed-methods study examines students' reasons for CRP enrollment to guide academic institutions and referral sources. Students (N =…

  5. Effect of Ti solute on the recovery of cold-rolled V-Ti alloys

    International Nuclear Information System (INIS)

    Leguey, T.; Munoz, A.; Pareja, R.

    1999-01-01

    The recovery characteristics of cold-rolled pure V and V-Ti alloys with compositions of 0.3, 1 and 4.5 at.% Ti have been investigated by positron annihilation spectroscopy. The recovery is accomplished in two stages. Fifty percent cold rolling induces the formation of microvoids in V-0.3Ti and V-1Ti but not in V-4.5Ti. The first recovery stage in pure V, V-0.3Ti and V-1Ti starts with the dissolution of microvoids. The recovery curves of the annihilation parameters for the alloys indicate the formation of Ti-rich precipitates during the first recovery stage. These precipitates act as very efficient vacancy sinks. The second recovery stage starting for annealing temperatures above ≅1150 K is attributed to annealing of vacancies associated to the precipitates. (orig.)

  6. Illness Insight and Recovery: How Important is Illness Insight in Peoples’ Recovery Process?

    DEFF Research Database (Denmark)

    Korsbek, Lisa

    2013-01-01

    . Sources Used:The writing is based on research literature related to illness insight and on personal recovery experiences.Conclusions and Implications for Practice: It is helpful to consider the integration of the issue of illness insight when addressing the questions and consequences of diagnosis......Topic: This account reflects on the topic of illness insight and recovery. Purpose: The purpose of the account is to clarify our understanding about the importance of illness insight in peoples’ recovery process, especially when relating the question of illness insight to the question of identity......, and to assist individuals to work through the false analogy between illness and identity while supporting the transformation from patient to person. It is also necessary for clinicians to develop a clear understanding of peoples’ actual needs and gain more knowledge about peoples’ own views and experiences...

  7. Recovery Act Final Project Report -- Transportation Electrification

    Energy Technology Data Exchange (ETDEWEB)

    Gogineni, Kumar

    2013-12-31

    ChargePoint America demonstrated the viability, economic and environmental benefits of an electric vehicle-charging infrastructure. Electric vehicles (EVs) and plug-in electric vehicles (PHEVs) arrived in late 2010, there was a substantial lack of infrastructure to support these vehicles. ChargePoint America deployed charging infrastructure in ten (10) metropolitan regions in coordination with vehicle deliveries targeting those same regions by our OEM partners: General Motors, Nissan, Fisker Automotive, Ford, smart USA, and BMW. The metropolitan regions include Central Texas (Austin/San Antonio), Bellevue/Redmond (WA), Southern Michigan, Los Angeles area (CA), New York Metro (NY), Central Florida (Orlando/Tampa), Sacramento (CA), San Francisco/San Jose (CA), Washington DC and Boston (MA). ChargePoint America installed more than 4,600 Level 2 (220v) SAE J1772™ UL listed networked charging ports in home, public and commercial locations to support approximately 2000 program vehicles. ChargePoint collected data to analyze how individuals, businesses and local governments used their vehicles. Understanding driver charging behavior patterns will provide the DoE with critical information as EV adoption increases in the United States.

  8. Hydro models and salmon recovery in the northwest

    International Nuclear Information System (INIS)

    Dragoon, K.

    1993-01-01

    Hydro regulation models provide extensive support for analyzing the efficacy of salmon recovery plans in the Northwest. Power planners developed these computer programs to help plan and efficiently operate a large multiple use river system. The models represent physical relationships and operational requirements on the system. They also simulate coordinated system operations for efficient power generation. These models are being pressed into service to provide data for fish recovery plans. They provide important information about hydro system capabilities and responses to recovery programs. However, the models cannot meet all of the analytical needs of fish biologists working toward salmon recovery

  9. Medication-assisted recovery from opioid addiction: historical and contemporary perspectives.

    Science.gov (United States)

    White, William L

    2012-01-01

    Recovery is being used as a conceptual fulcrum for the redesign of addiction treatment and related support services in the United States. Efforts by policy, research, and clinical leaders to define recovery and calls for assertive models of long-term recovery management raise critical questions about how transformation efforts of recovery-focused systems will affect the pharmacotherapeutic treatment of opioid addiction and the status of patients participating in such treatment. This article highlights recent work advocating a recovery-oriented approach to medication-assisted treatment.

  10. Calculation of the force acting on a drop in a nonuniform flow of a current-supporting fluid

    International Nuclear Information System (INIS)

    Korovin, V.M.

    1993-01-01

    In the context of wide use of intense electric currents in various technological process, it is of practical interest to investigate the characteristics of the force action of electromagnetic fields on a variety of inclusions - solid particles, drops, gas bubbles - suspended in current-supporting fluids. In the available studies one treats the simplest case, in which the vortical component of the electromagnetic forces, generated by the interaction of the current with the internal magnetic field, is nonvanishing only in small vicinities near these inclusions, and therefore these electromagnetic forces do not generate global motion of the homogeneous current-supporting fluid. In practice, in most cases the vortical component of electromagnetic forces plays a substantial role in the whole operating region of the technological device, and the motion of the current-supporting fluid is created specifically by electromagnetic forces. In the case of a varying electromagnetic field the forces acting on particles are located in the conducting fluid, moving under the field action, were calculated by Korovim (Korovim, V. M., open-quotes The calculation of forces acting on suspended particles during the flow of a conducting fluid in a varying electromagnetic field,close quotes Magn. Gidrodin, No. 1 95-102 (1991)). In the present study the authors generalize the method suggested by Korovin for calculating forces applied to both drops and particles and gas bubbles suspended in the gradient flow of a fluid moving under the action of a constant electromagnetic field. 6 refs

  11. The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems

    Science.gov (United States)

    Laudet, Alexandre B.; Morgen, Keith; White, William L.

    2006-01-01

    SUMMARY Many recovering substance users report quitting drugs because they wanted a better life. The road of recovery is the path to a better life but a challenging and stressful path for most. There has been little research among recovering persons in spite of the numbers involved, and most research has focused on substance use outcomes. This study examines stress and quality of life as a function of time in recovery, and uses structural equation modeling to test the hypothesis that social supports, spirituality, religiousness, life meaning, and 12-step affiliation buffer stress toward enhanced life satisfaction. Recovering persons (N = 353) recruited in New York City were mostly inner-city ethnic minority members whose primary substance had been crack or heroin. Longer recovery time was significantly associated with lower stress and with higher quality of life. Findings supported the study hypothesis; the ‘buffer’ constructs accounted for 22% of the variance in life satisfaction. Implications for research and clinical practice are discussed. PMID:16892161

  12. Resource Conservation and Recovery Act permit modifications and the functional equivalency demonstration: a case study

    International Nuclear Information System (INIS)

    Elsberry, K.; Garcia, P.; Carnes, R.; Kinker, J.; Loehr, C.; Lyon, W.

    1996-01-01

    Hazardous waste operating permits issued under the Resource Conservation and Recovery Act (RCRA) often impose requirements that specific components and equipment be used. Consequently, changing these items, may first require that the owner/operator request a potentially time-consuming and costly permit modification. However, the owner/operator may demonstrate that a modification is not required because the planned changes are ''functionally equivalent.'' The Controlled-Air Incinerator at Los Alamos National Laboratory is scheduled for maintenance and improvements. The incinerator's carbon adsorption unit/high efficiency particulate air filtration system, was redesigned to improve reliability and minimize maintenance. A study was performed to determine whether the redesigned unit would qualify as functionally equivalent to the original component. In performing this study, the following steps were taken: (a) the key performance factors were identified; (b) performance data describing the existing unit were obtained; (c) performance of both the existing and redesigned units was simulated; and (d) the performance data were compared to ascertain whether the components could qualify as functionally equivalent. In this case, the key performance data included gas residence time and distribution of flow over the activated carbon. Because both units were custom designed and fabricated, a simple comparison of manufacturers' specifications was impossible. Therefore, numerical simulation of each unit design was performed using the TEMPEST thermal-hydraulic computer code to model isothermal hydrodynamic performance under steady-state conditions. The results of residence time calculations from the model were coupled with flow proportion and sampled using a Monte Carlo-style simulation to derive distributions that describe the predicted residence times

  13. INEL RCRA [Resource Conservation and Recovery Act] permit for incineration of hazardous waste: Status report

    International Nuclear Information System (INIS)

    McFee, J.N.; Dalton, J.D.; Bohrer, H.A.

    1987-01-01

    The Waste Experimental Reduction Facility (WERF) was constructed to reduce the volume of low-level radioactive waste at the Idaho National Engineering Laboratory (INEL). To address the problem of radioactively contaminated ignitable hazardous waste resulting from INEL activities, a development program was carried out to evaluate WERF's ability to meet the regulated criteria for incinerating liquid and solid ignitable waste. Concurrently, INEL submitted its hazardous waste Part B application under the Resource Conservation and Recovery Act (RCRA). As required, and as a major step in the permitting process, the WERF incinerator portion of the permit application included a proposed trial burn, which is a demonstration test of the incinerator's ability to destroy hazardous materials. The trial burn plan was designed to demonstrate the system performance for liquid and solid ignitable wastes at three operating conditions, using a prepared mix of materials representative of waste to be processed. EPA Region X reviewed and commented on the plan prior to the trial burn. Results of the liquid feed trial burn showed a greater than 97% probability of meeting the RCRA-dictated DRE value for chlorinated solvents and a greater than 99% probability for nonchlorinated solvents. Nonchlorinated solid waste results were calculated at a 93% probability of meeting the required DRE, with a 75% probability for chlorinated solid wastes. In addition, the incinerator DRE continued to improve long after the assumed pre-test equilibrium period had ended. The trial burn demonstrates that the WERF incinerator can safely and adequately destroy ignitable hazardous and mixed waste and provides a significant enhancement of the INEL's waste management system

  14. Supporting recovery in patients with psychosis through care by community-based adult mental health teams (REFOCUS): a multisite, cluster, randomised, controlled trial.

    Science.gov (United States)

    Slade, Mike; Bird, Victoria; Clarke, Eleanor; Le Boutillier, Clair; McCrone, Paul; Macpherson, Rob; Pesola, Francesca; Wallace, Genevieve; Williams, Julie; Leamy, Mary

    2015-06-01

    Mental health policy in many countries is oriented around recovery, but the evidence base for service-level recovery-promotion interventions is lacking. We did a cluster, randomised, controlled trial in two National Health Service Trusts in England. REFOCUS is a 1-year team-level intervention targeting staff behaviour to increase focus on values, preferences, strengths, and goals of patients with psychosis, and staff-patient relationships, through coaching and partnership. Between April, 2011, and May, 2012, community-based adult mental health teams were randomly allocated to provide usual treatment plus REFOCUS or usual treatment alone (control). Baseline and 1-year follow-up outcomes were assessed in randomly selected patients. The primary outcome was recovery and was assessed with the Questionnaire about Processes of Recovery (QPR). We also calculated overall service costs. We used multiple imputation to estimate missing data, and the imputation model captured clustering at the team level. Analysis was by intention to treat. This trial is registered, number ISRCTN02507940. 14 teams were included in the REFOCUS group and 13 in the control group. Outcomes were assessed in 403 patients (88% of the target sample) at baseline and in 297 at 1 year. Mean QPR total scores did not differ between the two groups (REFOCUS group 40·6 [SD 10·1] vs control 40·0 [10·2], adjusted difference 0·68, 95% CI -1·7 to 3·1, p=0·58). High team participation was associated with higher staff-rated scores for recovery-promotion behaviour change (adjusted difference -0·4, 95% CI -0·7 to -0·2, p=0·001) and patient-rated QPR interpersonal scores (-1·6, -2·7 to -0·5, p=0·005) at follow-up than low participation. Patients treated in the REFOCUS group incurred £1062 (95% CI -1103 to 3017) lower adjusted costs than those in the control group. Although the primary endpoint was negative, supporting recovery might, from the staff perspective, improve functioning and reduce needs

  15. 76 FR 76762 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-12-08

    ... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby.... Environmental Protection Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act...

  16. 76 FR 57764 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-09-16

    ... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby... Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act (``CAA'') against...

  17. Phronesis, a diagnosis and recovery tool for system administrators

    CERN Document Server

    Haen, Christophe; Neufeld, Niko

    The administration of a large computer infrastructure is a great challenge in many aspects and requires experts in various domains to be successful. One criterion to which the users of a data center are directly exposed is the availability of the infrastructure. A high availability comes at the cost of constant and performant monitoring solutions as well as experts ready to diagnose and solve the problems. It is unfortunately not always possible to have an expert team constantly on site. This work presents a tool which is meant to support system administrators in their tasks by diagnosing problems, offering recovery solutions, and acting as a history and knowledge database. We will first detail what large data centers are composed of and what are the various competences that are required in order to successfully administrate them. This will lead us to consider the problems that are traditionally encountered by the administrators. Those problems are at the source of this project, and we will define our goals f...

  18. 75 FR 48974 - Notice of Intent To Award Patient Protection and Affordable Care Act Funding to Approved But...

    Science.gov (United States)

    2010-08-12

    ... manner consistent with other provisions of Recovery Act, all laborers and mechanics employed by... funding, over the fiscal year 2008 level, for programs authorized by the Public Health Services Act, for...

  19. Image denoising via collaborative support-agnostic recovery

    KAUST Repository

    Behzad, Muzammil; Masood, Mudassir; Ballal, Tarig; Shadaydeh, Maha; Al-Naffouri, Tareq Y.

    2017-01-01

    In this paper, we propose a novel patch-based image denoising algorithm using collaborative support-agnostic sparse reconstruction. In the proposed collaborative scheme, similar patches are assumed to share the same support taps. For sparse reconstruction, the likelihood of a tap being active in a patch is computed and refined through a collaboration process with other similar patches in the similarity group. This provides a very good patch support estimation, hence enhancing the quality of image restoration. Performance comparisons with state-of-the-art algorithms, in terms of PSNR and SSIM, demonstrate the superiority of the proposed algorithm.

  20. Image denoising via collaborative support-agnostic recovery

    KAUST Repository

    Behzad, Muzammil

    2017-06-20

    In this paper, we propose a novel patch-based image denoising algorithm using collaborative support-agnostic sparse reconstruction. In the proposed collaborative scheme, similar patches are assumed to share the same support taps. For sparse reconstruction, the likelihood of a tap being active in a patch is computed and refined through a collaboration process with other similar patches in the similarity group. This provides a very good patch support estimation, hence enhancing the quality of image restoration. Performance comparisons with state-of-the-art algorithms, in terms of PSNR and SSIM, demonstrate the superiority of the proposed algorithm.

  1. Recovery from PTSD following Hurricane Katrina.

    Science.gov (United States)

    McLaughlin, Katie A; Berglund, Patricia; Gruber, Michael J; Kessler, Ronald C; Sampson, Nancy A; Zaslavsky, Alan M

    2011-06-01

    We examined patterns and correlates of speed of recovery of estimated posttraumatic stress disorder (PTSD) among people who developed PTSD in the wake of Hurricane Katrina. A probability sample of prehurricane residents of areas affected by Hurricane Katrina was administered a telephone survey 7-19 months following the hurricane and again 24-27 months posthurricane. The baseline survey assessed PTSD using a validated screening scale and assessed a number of hypothesized predictors of PTSD recovery that included sociodemographics, prehurricane history of psychopathology, hurricane-related stressors, social support, and social competence. Exposure to posthurricane stressors and course of estimated PTSD were assessed in a follow-up interview. An estimated 17.1% of respondents had a history of estimated hurricane-related PTSD at baseline and 29.2% by the follow-up survey. Of the respondents who developed estimated hurricane-related PTSD, 39.0% recovered by the time of the follow-up survey with a mean duration of 16.5 months. Predictors of slow recovery included exposure to a life-threatening situation, hurricane-related housing adversity, and high income. Other sociodemographics, history of psychopathology, social support, social competence, and posthurricane stressors were unrelated to recovery from estimated PTSD. The majority of adults who developed estimated PTSD after Hurricane Katrina did not recover within 18-27 months. Delayed onset was common. Findings document the importance of initial trauma exposure severity in predicting course of illness and suggest that pre- and posttrauma factors typically associated with course of estimated PTSD did not influence recovery following Hurricane Katrina. © 2011 Wiley-Liss, Inc.

  2. The role of nutritional support in the physical and functional recovery of critically ill patients: a narrative review.

    Science.gov (United States)

    Bear, Danielle E; Wandrag, Liesl; Merriweather, Judith L; Connolly, Bronwen; Hart, Nicholas; Grocott, Michael P W

    2017-08-26

    The lack of benefit from randomised controlled trials has resulted in significant controversy regarding the role of nutrition during critical illness in terms of long-term recovery and outcome. Although methodological caveats with a failure to adequately appreciate biological mechanisms may explain these disappointing results, it must be acknowledged that nutritional support during early critical illness, when considered alone, may have limited long-term functional impact.This narrative review focuses specifically on recent clinical trials and evaluates the impact of nutrition during critical illness on long-term physical and functional recovery.Specific focus on the trial design and methodological limitations has been considered in detail. Limitations include delivery of caloric and protein targets, patient heterogeneity, short duration of intervention, inappropriate clinical outcomes and a disregard for baseline nutritional status and nutritional intake in the post-ICU period.With survivorship at the forefront of critical care research, it is imperative that nutrition studies carefully consider biological mechanisms and trial design because these factors can strongly influence outcomes, in particular long-term physical and functional outcome. Failure to do so may lead to inconclusive clinical trials and consequent rejection of the potentially beneficial effects of nutrition interventions during critical illness.

  3. ACT Test

    Science.gov (United States)

    ... to clot, the higher the degree of clotting inhibition. During surgery, the ACT is kept above a ... What is ECLS? An Introduction to Extracorporeal Life Support. University of Michigan Health System [On-line information]. ...

  4. Teaching Children's Rights and Climate Change with the Support of Act for Climate Web-Based Learning Environment

    Science.gov (United States)

    Gkotzos, Dimitrios

    2017-01-01

    This article presents an effort to integrate the issues of climate change and children's rights into the Greek primary school curriculum through the use of information and communication technologies (ICTs). The curriculum Act for Climate was developed through the lens of children's rights and with the support of a web-based learning environment…

  5. The Recovery Knowledge Inventory for Measurement of Nursing Student Views on Recovery-oriented Mental Health Services.

    Science.gov (United States)

    Happell, Brenda; Byrne, Louise; Platania-Phung, Chris

    2015-01-01

    Recovery-oriented services are a goal for policy and practice in the Australian mental health service system. Evidence-based reform requires an instrument to measure knowledge of recovery concepts. The Recovery Knowledge Inventory (RKI) was designed for this purpose, however, its suitability and validity for student health professionals has not been evaluated. The purpose of the current article is to report the psychometric features of the RKI for measuring nursing students' views on recovery. The RKI, a self-report measure, consists of four scales: (I) Roles and Responsibilities, (II) Non-Linearity of the Recovery Process, (III) Roles of Self-Definition and Peers, and (IV) Expectations Regarding Recovery. Confirmatory and exploratory factor analyses of the baseline data (n = 167) were applied to assess validity and reliability. Exploratory factor analyses generally replicated the item structure suggested by the three main scales, however more stringent analyses (confirmatory factor analysis) did not provide strong support for convergent validity. A refined RKI with 16 items had internal reliabilities of α = .75 for Roles and Responsibilities, α = .49 for Roles of Self-Definition and Peers, and α = .72, for Recovery as Non-Linear Process. If the RKI is to be applied to nursing student populations, the conceptual underpinning of the instrument needs to be reworked, and new items should be generated to evaluate and improve scale validity and reliability.

  6. Limits of recovery against slip-induced falls while walking.

    Science.gov (United States)

    Yang, Feng; Bhatt, Tanvi; Pai, Yi-Chung

    2011-10-13

    Slip-induced falls in gait often have devastating consequences. The purposes of this study were 1) to select the determinants that can best discriminate the outcomes (recoveries or falls) of an unannounced slip induced in gait (and to find their corresponding threshold, i.e., the limits of recovery, which can clearly separate these two outcomes), and 2) to verify these results in a subset of repeated-slip trials. Based on the data collected from 69 young subjects during a slip induced in gait, nine different ways of combining the center of mass (COM) stability, the hip height, and its vertical velocity were investigated with the aid of logistic regression. The results revealed that the COM stability (s) and limb support (represented by the quotient of hip vertical velocity to hip height, S(hip)) recorded at the instant immediately prior to the recovery step touchdown were sufficiently sensitive to account for all (100%) variance in falls, and specific enough to account for nearly all (98.3%) variability in recoveries. This boundary (S(hip)=-0.22s-0.25), which quantifies the risk of falls in the stability-limb support quotient (s-S(hip)) domain, was fully verified using second-slip and third-slip trials (n=76) with classification of falls at 100% and recoveries at 98.6%. The severity of an actual fall is likely to be greater further below the boundary, while the likelihood of a fall diminishes above it. Finally, the slope of the boundary also indicates the tradeoff between the stability and limb support, whereby high stability can compensate for the insufficiency in limb support, or vice versa. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. A pilot study of a smartphone application supporting recovery from drug addiction.

    Science.gov (United States)

    Liang, Di; Han, Hui; Du, Jiang; Zhao, Min; Hser, Yih-Ing

    2018-05-01

    Mobile health (mHealth) technologies have the potential to facilitate self-monitoring and self-management for individuals with substance use disorders (SUD). S-Health is a bilingual smartphone application based on cognitive behavioral principles and is designed to support recovery from drug addiction by trigger recognition so as to allow practice in-the-moment coping to prevent relapse. For this pilot randomized controlled study, 75 participants were recruited from methadone maintenance treatment clinics and the social worker consortium in Shanghai, China. Participants in the control group (N=25) received text messages from S-Health (e.g., HIV prevention and other educational materials). Participants in the intervention group (N=50) received both text messages and daily surveys on cravings, affects, triggers, responses to triggers, and social contexts. At the end of the 1-month study trial, 26.2% of the intervention group and 50% of the control group had positive urine test results (p=0.06). Also, the number of days using drug in the past week was significantly lower among participants in the intervention group (Mean=0.71, SD=1.87) relative to the control group (Mean=2.20, SD=3.06) (paddiction. Copyright © 2018 Elsevier Inc. All rights reserved.

  8. Coteaching Recovery to Mental Health Care Professionals.

    Science.gov (United States)

    Larsen, Christine; Lange, Mads; Jørgensen, Kim; Kistrup, Kristen; Petersen, Lone

    2018-06-01

    In 2010, the Regional Council of the Capital Region of Denmark endorsed a vision of mental health services based on personal recovery, rehabilitation, and the involvement of caregivers. Programs to achieve this vision include hiring peer support workers, a Recovery College, and service user participation at the organizational level. This column describes a cornerstone of these initiatives-an education program in the recovery model for mental health professionals. In 2013-2014, the Capital Region implemented 148 workshops on recovery-oriented services for all practitioner staff in mental health services in the region. The workshops featured a coteaching model, with both a mental health professional and an individual with lived experience serving as trainers. This model showed promise and should be expanded, including more targeted training for specific services. Such an expansion could be included in a national strategy for user involvement and recovery-oriented practice set to launch in 2018.

  9. Total Value of Phosphorus Recovery.

    Science.gov (United States)

    Mayer, Brooke K; Baker, Lawrence A; Boyer, Treavor H; Drechsel, Pay; Gifford, Mac; Hanjra, Munir A; Parameswaran, Prathap; Stoltzfus, Jared; Westerhoff, Paul; Rittmann, Bruce E

    2016-07-05

    Phosphorus (P) is a critical, geographically concentrated, nonrenewable resource necessary to support global food production. In excess (e.g., due to runoff or wastewater discharges), P is also a primary cause of eutrophication. To reconcile the simultaneous shortage and overabundance of P, lost P flows must be recovered and reused, alongside improvements in P-use efficiency. While this motivation is increasingly being recognized, little P recovery is practiced today, as recovered P generally cannot compete with the relatively low cost of mined P. Therefore, P is often captured to prevent its release into the environment without beneficial recovery and reuse. However, additional incentives for P recovery emerge when accounting for the total value of P recovery. This article provides a comprehensive overview of the range of benefits of recovering P from waste streams, i.e., the total value of recovering P. This approach accounts for P products, as well as other assets that are associated with P and can be recovered in parallel, such as energy, nitrogen, metals and minerals, and water. Additionally, P recovery provides valuable services to society and the environment by protecting and improving environmental quality, enhancing efficiency of waste treatment facilities, and improving food security and social equity. The needs to make P recovery a reality are also discussed, including business models, bottlenecks, and policy and education strategies.

  10. Global patterns of drought recovery

    Energy Technology Data Exchange (ETDEWEB)

    Schwalm, Christopher R.; Anderegg, William R. L.; Michalak, Anna M.; Fisher, Joshua B.; Biondi, Franco; Koch, George; Litvak, Marcy; Ogle, Kiona; Shaw, John D.; Wolf, Adam; Huntzinger, Deborah N.; Schaefer, Kevin; Cook, Robert; Wei, Yaxing; Fang, Yuanyuan; Hayes, Daniel; Huang, Maoyi; Jain, Atul; Tian, Hanqin

    2017-08-09

    Drought is a recurring multi-factor phenomenon with major impacts on natural and human systems1-3. Drought is especially important for land carbon sink variability, influencing climate regulation of the terrestrial biosphere4. While 20th Century trends in drought regime are ambiguous, “more extreme extremes” as well as more frequent and severe droughts3,7 are expected in the 21st Century. Recovery time, the length of time an ecosystem requires to revert to its pre-drought functional state, is a critical metric of drought impact. Yet the spatiotemporal patterning and controls of drought recovery are largely unknown. Here we use three distinct global datasets of gross primary productivity to show that across diverse terrestrial ecosystems drought recovery times are driven by biological productivity and biodiversity, with drought length and severity of secondary importance. Recovery time, especially for extreme droughts, and the areal extent of ecosystems in recovery from drought generally increase over the 20th Century, supporting an increase globally in drought impact8. Our results indicate that if future Anthropocene droughts become more widespread as expected, that droughts will become more frequent relative to recovery time. This increases the risk of entering a new regime where vegetation never recovers to its original state and widespread degradation of the land carbon sink ensues.

  11. Comparison of between-training-sessions recovery strategies for world-class BMX pilots.

    Science.gov (United States)

    Marquet, Laurie-Anne; Hausswirth, Christophe; Hays, Arnaud; Vettoretti, Fabrice; Brisswalter, Jeanick

    2015-03-01

    To assess the impact of between-training-sessions recovery strategies (passive [PAS], active [ACT], cold-water immersion [CWI], and ingestion of a recovery drink [NUTR]) on maximal cycling performance, perceptions of delayed-onset muscle soreness (DOMS), and fatigue in world-class BMX riders. Eleven elite BMX athletes, members of the French national team (top country in the 2011 international ranking, 4 medals at the 2012 World Championships, top European country), participated in the study, which involved standardized training periods. Athletes performed 3 maximal-sprint power tests: the first day of the week before the training session and before and after training on the third day of the week (D3). The recovery strategy was randomly assigned to each participant on day 2 immediately after the last training period of the day. Perceptions of DOMS and general fatigue were recorded on D3. After training on D3, the decrease in maximal-sprint power (Pmax) was significantly greater for PAS than with CWI (P=.02) and NUTR (P=.018). Similar results were found with ACT (vs CWI P=.044, and vs NUTR P=.042). Self-reported DOMS and fatigue were significantly greater after PAS than after other strategies. For elite BMX riders, between training days, nutritional and/or CWI recovery strategies appear to be best for reducing muscle fatigue and increasing the capacity to withstand the training schedule.

  12. Learning dialog act processing

    OpenAIRE

    Wermter, Stefan; Löchel, Matthias

    1996-01-01

    In this paper we describe a new approach for learning dialog act processing. In this approach we integrate a symbolic semantic segmentation parser with a learning dialog act network. In order to support the unforeseeable errors and variations of spoken language we have concentrated on robust data-driven learning. This approach already compares favorably with the statistical average plausibility method, produces a segmentation and dialog act assignment for all utterances in a robust manner,...

  13. Three Mile Island accident technical support

    International Nuclear Information System (INIS)

    Long, R.L.; Crimmins, T.M.; Lowe, W.W.

    1981-01-01

    A large number of technical support personnel were required to respond to the Three Mile Island Unit 2 (TMI-2) accident of March 28, 1979. Under the leadership of General Public Utilities personnel, onsite (round-the-clock shift) technical support began the evening of March 29 and within a week the TMI Recovery Organization incorporated all of the essential technical capability to implement the Base Plan for Cooldown, manage the radioactive waste problem, and begin the steps toward long-range plant recovery. These steps toward recovery are described in some detail. 1 refs

  14. Creating a Supportive Environment : Peer Support Groups for Psychotic Disorders

    NARCIS (Netherlands)

    Castelein, Stynke; Bruggeman, Richard; Davidson, Larry; van der Gaag, Mark

    People with psychotic disorders frequently experience significant mental and social limitations that may result in persisting social isolation. Research has shown that a supportive social environment is crucial for the process of personal recovery. Peer support groups can provide an opportunity to

  15. Creating a Supportive Environment: Peer Support Groups for Psychotic Disorders

    NARCIS (Netherlands)

    Castelein, S.; Bruggeman, R.; Davidson, L.; van der Gaag, M.

    2015-01-01

    People with psychotic disorders frequently experience significant mental and social limitations that may result in persisting social isolation. Research has shown that a supportive social environment is crucial for the process of personal recovery. Peer support groups can provide an opportunity to

  16. A review of state regulations that exceed those of the federal Resource Conservation and Recovery Act (RCRA)

    International Nuclear Information System (INIS)

    Coutant, C.C.; Heckman, C.L.

    1988-04-01

    This report identifies and provides information on state hazardous waste management programs and regulations in states where the US Department of Energy (DOE) has facilities. The objective is to describe for the DOE defense program and its contractors how state requirements are more stringent than the federal regulations under the Resource Conservation and Recovery Act (RCRA). DOE defense programs are located in 13 of the 50 states. Most of these states have regulations that are essentially equivalent to the federal RCRA requirements as they existed prior to the 1984 amendments, but their regulations are, in most instances, more stringment than the federal requirements. Differences are both substantive and procedural, and they are summarized and tabulated herein. All but three of these 13 states have been granted Final Authorization from the US Environmental Protection Agency (EPA) to operate their own hazardous waste management program in accord with the federal RCRA program prior to the 1984 amendments; two of the three others have some stage of Interim Authorization. EPA currently administers all of the provisions of the 1984 amendments, including requirements for corrective action under Sect. 3004(u). Two states, Colorado and Tennessee, have been granted revisions to their Final Authorizations delegating responsibility for the hazardous wastes. Responsible state agencies (with appropriate telephone numbers) are indicated, as are the relevant laws and current regulatory statutes

  17. Spatial cognitive rehabilitation and motor recovery after stroke

    Science.gov (United States)

    Barrett, A.M.; Muzaffar, Tufail

    2014-01-01

    Purpose of review Stroke rehabilitation needs to take major steps forward to reduce functional disability for survivors. In this article, we suggest that spatial retraining might greatly increase the efficiency and efficacy of motor rehabilitation, directly addressing the burden and cost of paralysis after stroke. Recent findings Combining motor and cognitive treatment may be practical, as well as addressing needs after moderate–to-severe stroke. Spatial neglect could suppress motor recovery and reduce motor learning, even when patients receive appropriate rehabilitation to build strength, dexterity, and endurance. Spatial neglect rehabilitation acts to promote motor as well as visual-perceptual recovery. These findings, and previous underemphasized studies, make a strong case for combining spatial neglect treatment with traditional exercise training. Spatial neglect therapies might also help people who cannot participate in intensive movement therapies because of limited strength and endurance after stroke. Summary Spatial retraining, currently used selectively after right brain stroke, may be broadly useful after stroke to promote rapid motor recovery. PMID:25364954

  18. Acute cardiac support with intravenous milrinone promotes recovery from early brain injury in a murine model of severe subarachnoid haemorrhage.

    Science.gov (United States)

    Mutoh, Tomoko; Mutoh, Tatsushi; Nakamura, Kazuhiro; Yamamoto, Yukiko; Tsuru, Yoshiharu; Tsubone, Hirokazu; Ishikawa, Tatsuya; Taki, Yasuyuki

    2017-04-01

    Early brain injury/ischaemia (EBI) is a serious complication early after subarachnoid haemorrhage (SAH) that contributes to development of delayed cerebral ischaemia (DCI). This study aimed to determine the role of inotropic cardiac support using milrinone (MIL) on restoring acute cerebral hypoperfusion attributable to EBI and improving outcomes after experimental SAH. Forty-three male C57BL/6 mice were assigned to either sham surgery (SAH-sham), SAH induced by endovascular perforation plus postconditioning with 2% isoflurane (Control), or SAH plus isoflurane combined with MIL with and without hypoxia-inducible factor inhibitor (HIF-I) pretreatment. Cardiac output (CO) during intravenous MIL infusion (0.25-0.75 μg/kg/min) between 1.5 and 2.5 hours after SAH induction was monitored with Doppler echocardiography. Magnetic resonance imaging (MRI)-continuous arterial spin labelling was used for quantitative cerebral blood flow (CBF) measurements. Neurobehavioral function was assessed daily by neurological score and open field test. DCI was analyzed 3 days later by determining infarction on MRI. Mild reduction of cardiac output (CO) and global cerebral blood flow (CBF) depression were notable early after SAH. MIL increased CO in a dose-dependent manner (P<.001), which was accompanied by improved hypoperfusion, incidence of DCI and functional recovery than Control (P<.05). The neuroprotective effects afforded by MIL or Control were attenuated by hypoxia-inducible factor (HIF) inhibition (P<.05). These results suggest that MIL improves acute hypoperfusion by its inotropic effect, leading to neurobehavioral improvement in mice after severe SAH, in which HIF may be acting as a critical mediator. © 2017 John Wiley & Sons Australia, Ltd.

  19. Recovery efficiency test project, Phase 2 activity report

    Energy Technology Data Exchange (ETDEWEB)

    Overbey, W.K. Jr.; Salamy, S.P.; Locke, C.D.

    1989-02-01

    The Recovery Efficiency Test well project addressed a number of technical issues. The primary objective was to determine the increased efficiency of gas recovery of a long horizontal wellbore over that of a vertical wellbore and, more specifically, what improvements can be expected from inducing multiple hydraulic fractures from such a wellbore. This volume contains appendices for: (1) supporting material and procedures for data frac'' stimulation of zone 6 using nitrogen and nitrogen foam; (2) supporting material and procedures for stimulation no. 1 nitrogen gas frac on zone no. 1; (3) supporting material and procedures for stimulation no. 2 in zone no. 1 using liquid CO{sub 2}; (4) supporting material and procedures for frac no. 3 on zone no.1 using nitrogen foam and proppant; (5) supporting material and procedures for stimulation no. 4 in zones 2--3 and 4 using nitrogen foam and proppant; (6) supporting materials and procedures for stimulation no. 5 in zones 5 and 8; and (7) fracture diagnostics reports and supporting materials.

  20. A Strategy for American Innovation: Driving towards Sustainable Growth and Quality Jobs

    Science.gov (United States)

    Executive Office of the President, 2009

    2009-01-01

    Since taking office, President Obama has taken historic steps to lay the foundation for the innovation economy of the future. The Obama Innovation Strategy builds on well over $100 billion of Recovery Act funds that support innovation, additional support for education, infrastructure and others in the Recovery Act and the President's Budget, and…

  1. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... today. ANNUAL FUND Become a Corporate Supporter Cause Marketing Make a Charitable Gift Our Corporate Supporters Workplace ... Clearance Airway Clearance Techniques (ACTs) There are different ways to clear your airways. Most are easy to ...

  2. Ultrafast gain recovery and modulation limitations in self-assembled quantum-dot devices

    DEFF Research Database (Denmark)

    Berg, Tommy Winther; Bischoff, Svend; Magnúsdóttir, Ingibjörg

    2001-01-01

    Measurements of ultrafast gain recovery in self-assembled InAs quantum-dot (QD) amplifiers are explained by a comprehensive numerical model. The on excited state carriers are found to act as a reservoir for the optically active ground state carriers resulting in an ultrafast gain recovery as long...... as the excited state is well populated. However, when pulses are injected into the device at high-repetition frequencies, the response of a on amplifier is found to be limited by the wetting-layer dynamics....

  3. High Altitude Platforms for Disaster Recovery: Capabilities, Strategies, and Techniques for Emergency Telecommunications

    Directory of Open Access Journals (Sweden)

    Juan D. Deaton

    2008-09-01

    Full Text Available Natural disasters and terrorist acts have significant potential to disrupt emergency communication systems. These emergency communication networks include first-responder, cellular, landline, and emergency answering services such as 911, 112, or 999. Without these essential emergency communications capabilities, search, rescue, and recovery operations during a catastrophic event will be severely debilitated. High altitude platforms could be fitted with telecommunications equipment and used to support these critical communications missions once the catastrophic event occurs. With the ability to be continuously on station, HAPs provide excellent options for providing emergency coverage over high-risk areas before catastrophic incidents occur. HAPs could also provide enhanced 911 capabilities using either GPS or reference stations. This paper proposes potential emergency communications architecture and presents a method for estimating emergency communications systems traffic patterns for a catastrophic event.

  4. The Development of a Collegiate Recovery Program: Applying Social Cognitive Theory within a Social Ecological Framework

    Science.gov (United States)

    Beeson, Eric T.; Whitney, Jennifer M.; Peterson, Holly M.

    2017-01-01

    Background: Collegiate recovery programs (CRPs) are emerging as a strategy to provide after-care support to students in recovery from substance use disorders (SUDs) at institutions of higher education. CRPs are an innovative strategy for Health Educators to support the personal, academic, and professional goals of students in recovery. Purpose:…

  5. [Effect of short-acting combined oral contraceptives on bleeding after induced abortion].

    Science.gov (United States)

    Wang, X F; Zhong, M; Liu, J

    2017-11-07

    Objective: To explore the effect of short-acting combined oral contraceptives on vaginal bleeding after induced abortion. Methods: A total of 726 patients, who had took induced abortion from July 2016 to September 2016 in obstetrics and gynecology outpatient department of Nanfang Hospital, Southern Medical University, were included and divided into the observation group and the control group according to whether they took short-acting combined oral contraceptives after induced abortion, with 312 cases, 414 cases respectively.The vaginal bleeding days, amounts of bleeding, the endometrial thickness 3 weeks later, and whether the patient had menstrual recovery on time were observed and analyzed. Results: The observation group had less bleeding days and amount of bleeding, compared with the control group.69.87% (218/312) patients of the observation group had more than 8mm of endometrial thickness on postoperative day 21, while 61.11% (253/414) of the observation group did, the difference was statistically significant ( P =0.034).90.06% (281/312) patients of the observation group had menstrual recovery on time, while 82.61% (342/414) of the observation group did, the difference was statistically significant ( P =0.004). Conclusion: Short-acting combined oral contraceptives after induced abortion can significantly shorten the vaginal bleeding days, reduce the amount of bleeding, promote endometrial repair and menstrual recovery.There fore, it has important clinical significance and application value.

  6. 75 FR 39669 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-07-12

    ...In accordance with the Privacy Act of 1974, as amended (Privacy Act), the Department of Education (Department) publishes this notice proposing to revise the system of records notice for the Hotline Complaint Files of the Inspector General (18-10-04), 64 FR 30157-59 (June 4, 1999). The Department proposes to amend this system of records notice by: (1) Adding that a purpose of the system is to report on complaints and allegations related to American Recovery and Reinvestment Act of 2009 (ARRA) funds to the Recovery Accountability and Transparency Board (RATB) as established by the ARRA (Pub. L. 111- 5); (2) adding a new routine use to allow the disclosure of ARRA- related complaints and allegations to the RATB; (3) adding a new routine use to allow for disclosure of information in connection with response and remedial efforts in the event of a data breach in accordance with Office of Management and Budget (OMB) requirements in M-07-16 (May 22, 2007); (4) revising the routine use ``Disclosure to Public and Private Sources in Connection with the Higher Education Act of 1965, as amended (HEA)'' to allow the disclosure of information to an educational institution or a school that is or was a party to an agreement with the Secretary of Education pursuant to the HEA; and (5) updating the address of the System Manager.

  7. Implementing a complex intervention to support personal recovery: a qualitative study nested within a cluster randomised controlled trial.

    Science.gov (United States)

    Leamy, Mary; Clarke, Eleanor; Le Boutillier, Clair; Bird, Victoria; Janosik, Monika; Sabas, Kai; Riley, Genevieve; Williams, Julie; Slade, Mike

    2014-01-01

    To investigate staff and trainer perspectives on the barriers and facilitators to implementing a complex intervention to help staff support the recovery of service users with a primary diagnosis of psychosis in community mental health teams. Process evaluation nested within a cluster randomised controlled trial (RCT). 28 interviews with mental health care staff, 3 interviews with trainers, 4 focus groups with intervention teams and 28 written trainer reports. 14 community-based mental health teams in two UK sites (one urban, one semi-rural) who received the intervention. The factors influencing the implementation of the intervention can be organised under two over-arching themes: Organisational readiness for change and Training effectiveness. Organisational readiness for change comprised three sub-themes: NHS Trust readiness; Team readiness; and Practitioner readiness. Training effectiveness comprised three sub-themes: Engagement strategies; Delivery style and Modelling recovery principles. Three findings can inform future implementation and evaluation of complex interventions. First, the underlying intervention model predicted that three areas would be important for changing practice: staff skill development; intention to implement; and actual implementation behaviour. This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting. Second, practitioners make inferences about organisational commitment by observing the allocation of resources, Knowledge Performance Indicators and service evaluation outcome measures. These need to be aligned with recovery values, principles and practice. Finally, we recommend the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs. We believe this would maximise the likelihood of adequate implementation and hence reduce waste in research

  8. Recovery Act: Advanced Direct Methanol Fuel Cell for Mobile Computing

    Energy Technology Data Exchange (ETDEWEB)

    Fletcher, James H. [University of North Florida; Cox, Philip [University of North Florida; Harrington, William J [University of North Florida; Campbell, Joseph L [University of North Florida

    2013-09-03

    ABSTRACT Project Title: Recovery Act: Advanced Direct Methanol Fuel Cell for Mobile Computing PROJECT OBJECTIVE The objective of the project was to advance portable fuel cell system technology towards the commercial targets of power density, energy density and lifetime. These targets were laid out in the DOE’s R&D roadmap to develop an advanced direct methanol fuel cell power supply that meets commercial entry requirements. Such a power supply will enable mobile computers to operate non-stop, unplugged from the wall power outlet, by using the high energy density of methanol fuel contained in a replaceable fuel cartridge. Specifically this project focused on balance-of-plant component integration and miniaturization, as well as extensive component, subassembly and integrated system durability and validation testing. This design has resulted in a pre-production power supply design and a prototype that meet the rigorous demands of consumer electronic applications. PROJECT TASKS The proposed work plan was designed to meet the project objectives, which corresponded directly with the objectives outlined in the Funding Opportunity Announcement: To engineer the fuel cell balance-of-plant and packaging to meet the needs of consumer electronic systems, specifically at power levels required for mobile computing. UNF used existing balance-of-plant component technologies developed under its current US Army CERDEC project, as well as a previous DOE project completed by PolyFuel, to further refine them to both miniaturize and integrate their functionality to increase the system power density and energy density. Benefits of UNF’s novel passive water recycling MEA (membrane electrode assembly) and the simplified system architecture it enabled formed the foundation of the design approach. The package design was hardened to address orientation independence, shock, vibration, and environmental requirements. Fuel cartridge and fuel subsystems were improved to ensure effective fuel

  9. Measuring individual disaster recovery: a socioecological framework.

    Science.gov (United States)

    Abramson, David M; Stehling-Ariza, Tasha; Park, Yoon Soo; Walsh, Lauren; Culp, Derrin

    2010-09-01

    Disaster recovery is a complex phenomenon. Too often, recovery is measured in singular fashion, such as quantifying rebuilt infrastructure or lifelines, without taking in to account the affected population's individual and community recovery. A comprehensive framework is needed that encompasses a much broader and far-reaching construct with multiple underlying dimensions and numerous causal pathways; without the consideration of a comprehensive framework that investigates relationships between these factors, an accurate measurement of recovery may not be valid. This study proposes a model that encapsulates these ideas into a single framework, the Socio-Ecological Model of Recovery. Using confirmatory factor analysis, an operational measure of recovery was developed and validated using the five measures of housing stability, economic stability, physical health, mental health, and social role adaptation. The data were drawn from a sample of displaced households following Hurricane Katrina. Measures of psychological strength, risk, disaster exposure, neighborhood contextual effects, and formal and informal help were modeled to examine their direct and indirect effects on recovery using a structural equation model. All five elements of the recovery measure were positively correlated with a latent measure of recovery, although mental health and social role adaptation displayed the strongest associations. An individual's psychological strength had the greatest association with positive recovery, followed by having a household income greater than $20,000 and having informal social support. Those factors most strongly associated with an absence of recovery included the time displaced since the hurricane, being disabled, and living in a community with substantial social disorder. The socio-ecological framework provides a robust means for measuring recovery, and for testing those factors associated with the presence or absence of recovery.

  10. Latinos and Latinas in Communal Settings: A Grounded Theory of Recovery

    Directory of Open Access Journals (Sweden)

    Joseph R. Ferrari

    2009-03-01

    Full Text Available Semi-structured interviews were conducted with 12 Latino/a residents of a mutual help residential recovery program (Oxford House in order to elicit their experiences of the program’s therapeutic elements. A model of recovery emerged from the analysis including several themes supported by existing literature: personal motivation and readiness to change, mutual help, sober environment, social support, and accountability. Consistent with a broad conceptualization of recovery, outcomes included abstinence, new life skills, and increased self-esteem/sense of purpose. Most participants were the only Latino/a in their Houses; however, cultural differences did not emerge as salient issues. The study’s findings highlight potential therapeutic aspects of mutual-help communal recovery programs and suggest that English-speaking, bicultural Latinos/as have positive experiences and may benefit from participating in these programs.

  11. Concept definition study for recovery of tumbling satellites. Volume 2: Supporting research and technology report

    Science.gov (United States)

    Cable, D. A.; Derocher, W. L., Jr.; Cathcart, J. A.; Keeley, M. G.; Madayev, L.; Nguyen, T. K.; Preese, J. R.

    1986-01-01

    A number of areas of research and laboratory experiments were identified which could lead to development of a cost efficient remote, disable satellite recovery system. Estimates were planned of disabled satellite motion. A concept is defined as a Tumbling Satellite Recovery kit which includes a modular system, composed of a number of subsystem mechanisms that can be readily integrated into varying combinations. This would enable the user to quickly configure a tailored remote, disabled satellite recovery kit to meet a broad spectrum of potential scenarios. The capability was determined of U.S. Earth based satellite tracking facilities to adequately determine the orientation and motion rates of disabled satellites.

  12. Public Support for Family Smoking Prevention and Tobacco Control Act Point-of-Sale Provisions: Results of a National Study.

    Science.gov (United States)

    Rose, Shyanika W; Emery, Sherry L; Ennett, Susan; McNaughton Reyes, Heath Luz; Scott, John C; Ribisl, Kurt M

    2015-10-01

    We assessed public and smoker support for enacted and potential point-of-sale (POS) tobacco-control policies under the Family Smoking Prevention and Tobacco Control Act. We surveyed a US nationally representative sample of 17, 507 respondents (6595 smokers) in January through February 2013, and used linear regression to calculate weighted point estimates and identify factors associated with support for POS policies among adults and smokers. Overall, nonsmokers were more supportive than were smokers. Regardless of smoking status, African Americans, Hispanics, women, and those of older ages were more supportive than White, male, and younger respondents, respectively. Policy support varied by provision. More than 80% of respondents supported minors' access restrictions and more than 45% supported graphic warnings. Support was lowest for plain packaging (23%), black-and-white advertising (26%), and a ban on menthol cigarettes (36%). Public support for marketing and POS provisions is low relative to other areas of tobacco control. Tobacco-control advocates and the Food and Drug Administration should build on existing levels of public support to promote and maintain evidence-based, but controversial, policy changes in the retail environment.

  13. Methane recovery from landfill in China

    Energy Technology Data Exchange (ETDEWEB)

    Gaolai, L.

    1996-12-31

    GEF has approved a special project for a demonstration project for Methane Recovery from the Urban Refuse Land Fill. This paper will introduce the possibility of GHG reduction from the landfill in China, describe the activities of the GEF project, and the priorities for international cooperation in this field. The Global Environment Facility (GEF) approved the project, China Promoting Methane Recovery and Unlization from Mixed Municipal Refuse, at its Council meeting in last April. This project is the first one supported by international organization in this field.

  14. 78 FR 36566 - Endangered and Threatened Wildlife and Plants; Technical Agency Draft Recovery Plan for Golden Sedge

    Science.gov (United States)

    2013-06-18

    ... draft recovery plan for the endangered golden sedge, a species endemic to the coastal plain in North... framework for the recovery of this species so that protection under the Act is no longer necessary. Golden... ``protected'' to mean the site has been fee simple acquired and put into long-term conservation by a local or...

  15. Artificial and bioartificial support systems for liver failure

    DEFF Research Database (Denmark)

    Liu, J P; Gluud, L L; Als-Nielsen, B

    2004-01-01

    Artificial and bioartificial liver support systems may 'bridge' patients with acute or acute-on-chronic liver failure to liver transplantation or recovery.......Artificial and bioartificial liver support systems may 'bridge' patients with acute or acute-on-chronic liver failure to liver transplantation or recovery....

  16. Double-Shell Tank (DST) Maintenance and Recovery Subsystem Definition Report

    International Nuclear Information System (INIS)

    SMITH, E.A.

    2000-01-01

    The description of the Double-Shell Tank (DST) Maintenance and Recovery Subsystem presented in this document was developed to establish its boundaries. The DST Maintenance and Recovery Subsystem consists of new and existing equipment and facilities used to provide tank farm operators logistic support and problem resolution for the DST System during operations. This support will include evaluating equipment status, performing preventive and corrective maintenance, developing work packages, managing spares and consumables, supplying tooling, and training maintenance and operations personnel

  17. Opening Doors to Recovery: Recidivism and Recovery Among Persons With Serious Mental Illnesses and Repeated Hospitalizations.

    Science.gov (United States)

    Compton, Michael T; Kelley, Mary E; Pope, Alicia; Smith, Kelly; Broussard, Beth; Reed, Thomas A; DiPolito, June A; Druss, Benjamin G; Li, Charles; Lott Haynes, Nora

    2016-02-01

    Repeated hospitalizations and arrests or incarcerations diminish the ability of individuals with serious mental illnesses to pursue recovery. Community mental health systems need new models to address recidivism as well as service fragmentation, lack of engagement by local stakeholders, and poor communication between mental health providers and the police. This study examined the initial effects on institutional recidivism and measures of recovery among persons enrolled in Opening Doors to Recovery, an intensive, team-based community support program for persons with mental illness and a history of inpatient psychiatric recidivism. A randomized controlled trial of the model is underway. The number of hospitalizations, days hospitalized, and arrests (all from state administrative sources) in the year before enrollment and during the first 12 months of enrollment in the program were compared. Longitudinal trajectories of recovery-using three self-report and five clinician-rated measures-were examined. Analyses accounted for baseline symptom severity and intensity of involvement in the program. One hundred participants were enrolled, and 72 were included in the analyses. Hospitalizations decreased, from 1.9±1.6 to .6±.9 (precovery measures, and trajectories of improvement were apparent across the entire follow-up period. Opening Doors to Recovery holds promise as a new service approach for reducing hospital recidivism and promoting recovery in community mental health systems and is deserving of further controlled testing.

  18. Contracts for field projects and supporting research on enhanced oil recovery. Progress review number 87

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    Approximately 30 research projects are summarized in this report. Title of the project, contract number, company or university, award amount, principal investigators, objectives, and summary of technical progress are given for each project. Enhanced oil recovery projects include chemical flooding, gas displacement, and thermal recovery. Most of the research projects though are related to geoscience technology and reservoir characterization.

  19. Nutrition for recovery in aquatic sports.

    Science.gov (United States)

    Burke, Louise M; Mujika, Iñigo

    2014-08-01

    Postexercise recovery is an important topic among aquatic athletes and involves interest in the quality, quantity, and timing of intake of food and fluids after workouts or competitive events to optimize processes such as refueling, rehydration, repair, and adaptation. Recovery processes that help to minimize the risk of illness and injury are also important but are less well documented. Recovery between workouts or competitive events may have two separate goals: (a) restoration of body losses and changes caused by the first session to restore performance for the next and (b) maximization of the adaptive responses to the stress provided by the session to gradually make the body become better at the features of exercise that are important for performance. In some cases, effective recovery occurs only when nutrients are supplied, and an early supply of nutrients may also be valuable in situations in which the period immediately after exercise provides an enhanced stimulus for recovery. This review summarizes contemporary knowledge of nutritional strategies to promote glycogen resynthesis, restoration of fluid balance, and protein synthesis after different types of exercise stimuli. It notes that some scenarios benefit from a proactive approach to recovery eating, whereas others may not need such attention. In fact, in some situations it may actually be beneficial to withhold nutritional support immediately after exercise. Each athlete should use a cost-benefit analysis of the approaches to recovery after different types of workouts or competitive events and then periodize different recovery strategies into their training or competition programs.

  20. Data warehousing methods and processing infrastructure for brain recovery research.

    Science.gov (United States)

    Gee, T; Kenny, S; Price, C J; Seghier, M L; Small, S L; Leff, A P; Pacurar, A; Strother, S C

    2010-09-01

    In order to accelerate translational neuroscience with the goal of improving clinical care it has become important to support rapid accumulation and analysis of large, heterogeneous neuroimaging samples and their metadata from both normal control and patient groups. We propose a multi-centre, multinational approach to accelerate the data mining of large samples and facilitate data-led clinical translation of neuroimaging results in stroke. Such data-driven approaches are likely to have an early impact on clinically relevant brain recovery while we simultaneously pursue the much more challenging model-based approaches that depend on a deep understanding of the complex neural circuitry and physiological processes that support brain function and recovery. We present a brief overview of three (potentially converging) approaches to neuroimaging data warehousing and processing that aim to support these diverse methods for facilitating prediction of cognitive and behavioral recovery after stroke, or other types of brain injury or disease.

  1. High Altitude Platforms for Disaster Recovery: Capabilities, Strategies, and Techniques for Providing Emergency Telecommunications

    Energy Technology Data Exchange (ETDEWEB)

    Juan D. Deaton

    2008-05-01

    Natural disasters and terrorist acts have significant potential to disrupt emergency communication systems. These emergency communication networks include first-responder, cellular, landline, and emergency answering services such as 911, 112, or 999. Without these essential emergency communications capabilities, search, rescue, and recovery operations during a catastrophic event will be severely debilitated. High altitude platforms could be fitted with telecommunications equipment and used to support these critical communications missions once the catastrophic event occurs. With the ability to be continuously on station, HAPs provide excellent options for providing emergency coverage over high-risk areas before catastrophic incidents occur. HAPs could also provide enhanced 911 capabilities using either GPS or reference stations. This paper proposes potential emergency communications architecture and presents a method for estimating emergency communications systems traffic patterns for a catastrophic event.

  2. Using the RE-AIM Framework to Evaluate Disaster Recovery Videos

    Directory of Open Access Journals (Sweden)

    Sarah Cronin

    2018-02-01

    Full Text Available Natural disasters both increase and cause financial challenges for survivors. Crisis support reduces negative outcomes such as financial stress, yet survivors are often unaware or unable to access available services. Aiming to innovatively improve access to quality financial education and to support financial recovery post-disaster, a video series was developed with a community advisory board. The RE-AIM framework informed a developmental evaluation measuring the videos’ influence. Results indicated majority of participants have used or intend to use the videos in their disaster work. This indicates the video series may be a helpful tool for disaster responders when providing financial recovery support.

  3. 75 FR 30440 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-ASTM International

    Science.gov (United States)

    2010-06-01

    ... Production Act of 1993--ASTM International Notice is hereby given that, on May 6, 2010, pursuant to Section 6... Act''), ASTM International (``ASTM'') has filed written notifications simultaneously with the Attorney... recovery of antitrust plaintiffs to actual damages under specified circumstances. Specifically, ASTM has...

  4. Seed banks as a source of vegetation regeneration to support the recovery of degraded rivers: A comparison of river reaches of varying condition.

    Science.gov (United States)

    O'Donnell, Jessica; Fryirs, Kirstie A; Leishman, Michelle R

    2016-01-15

    Anthropogenic disturbance has contributed to widespread geomorphic adjustment and the degradation of many rivers. This research compares for river reaches of varying condition, the potential for seed banks to support geomorphic river recovery through vegetation regeneration. Seven river reaches in the lower Hunter catchment of south-eastern Australia were assessed as being in poor, moderate, or good condition, based on geomorphic and ecological indicators. Seed bank composition within the channel and floodplain (determined in a seedling emergence study) was compared to standing vegetation. Seed bank potential for supporting geomorphic recovery was assessed by measuring native species richness, and the abundance of different plant growth forms, with consideration of the roles played by different growth forms in geomorphic adjustment. The exotic seed bank was considered a limiting factor for achieving ecological restoration goals, and similarly analysed. Seed bank native species richness was comparable between the reaches, and regardless of condition, early successional and pioneer herbs, sedges, grasses and rushes dominated the seed bank. The capacity for these growth forms to colonise and stabilise non-cohesive sediments and initiate biogeomorphic succession, indicates high potential for the seed banks of even highly degraded reaches to contribute to geomorphic river recovery. However, exotic propagules increasingly dominated the seed banks of moderate and poor condition reaches and reflected increasing encroachment by terrestrial exotic vegetation associated with riparian degradation. As the degree of riparian degradation increases, the resources required to control the regeneration of exotic species will similarly increase, if seed bank-based regeneration is to contribute to both geomorphic and ecological restoration goals. Copyright © 2015 Elsevier B.V. All rights reserved.

  5. Complementary Therapies – a spiritual resource in recovery-processes?

    DEFF Research Database (Denmark)

    Lunde, Anita; Dürr, Dorte Wiwe; Johannessen, Helle

    rehabilitative treatments intends to support recovery processes of people with serious mental illness. Aim: To investigate how employees and residents perceive complementary therapies as an integral rehabilitative treatment, and to explore the recovery related implications of spirituality employed in the use...... and health as well as for the ethics of providing complementary treatment practice in social psychiatry....

  6. 36. INVESTING IN RECOVERY – AN ECONOMIC AS WELL AS MORAL IMPERATIVE

    Science.gov (United States)

    McDaid, David

    2018-01-01

    Abstract Overall Abstract: ‘Recovery’ is a key concept in mental health policy around the globe. The World Health Organization has called for ‘a recovery-based approach that puts the emphasis on supporting individuals with mental disorders and psychosocial disabilities to achieve their own aspirations and goals’. Investing in evidence-based actions to help foster recovery should therefore be core to any system of support for anyone experiencing schizophrenia or other severe mental health problems. While there is clearly a moral imperative to maximise opportunities for recovery, the economic case for action can also be compelling and complementary. However, the opportunity to make an economic argument to support investment in recovery is not always taken, and even when made it is often too narrow in ambition and scope to have a major influence policy and practice. This presentation will highlight examples of the economic potential of recovery-focused services in health, employment, education and housing services. It will look at strengths and weaknesses in the way in which economic evidence is presented to policy makers, including the extent to which implementation challenges have been considered. It will argue that in making the economic case for recovery it is just as vital to look at the role of the messenger as well as the message that is being communicated.

  7. Implementing a complex intervention to support personal recovery: a qualitative study nested within a cluster randomised controlled trial.

    Directory of Open Access Journals (Sweden)

    Mary Leamy

    Full Text Available OBJECTIVE: To investigate staff and trainer perspectives on the barriers and facilitators to implementing a complex intervention to help staff support the recovery of service users with a primary diagnosis of psychosis in community mental health teams. DESIGN: Process evaluation nested within a cluster randomised controlled trial (RCT. PARTICIPANTS: 28 interviews with mental health care staff, 3 interviews with trainers, 4 focus groups with intervention teams and 28 written trainer reports. SETTING: 14 community-based mental health teams in two UK sites (one urban, one semi-rural who received the intervention. RESULTS: The factors influencing the implementation of the intervention can be organised under two over-arching themes: Organisational readiness for change and Training effectiveness. Organisational readiness for change comprised three sub-themes: NHS Trust readiness; Team readiness; and Practitioner readiness. Training effectiveness comprised three sub-themes: Engagement strategies; Delivery style and Modelling recovery principles. CONCLUSIONS: Three findings can inform future implementation and evaluation of complex interventions. First, the underlying intervention model predicted that three areas would be important for changing practice: staff skill development; intention to implement; and actual implementation behaviour. This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting. Second, practitioners make inferences about organisational commitment by observing the allocation of resources, Knowledge Performance Indicators and service evaluation outcome measures. These need to be aligned with recovery values, principles and practice. Finally, we recommend the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs. We believe this would

  8. Medical Operational Challenges in the Expedition 16 Landing and Recovery

    Science.gov (United States)

    Moynihan, S.; Johnston, S. L.; Ilcus, L. S.; Shevchenko, V.

    2009-01-01

    On April 19, 2008 the crew of Expedition 16 left the International Space Station and returned to earth via their Soyuz TMA-11 capsule after 192 days on orbit. Their capsule experienced the second consecutive and third ballistic reentry in the last 10 TMA recoveries and landed approximately 260 miles (420 km) from the prime landing site. Issues: The purpose of this presentation will be to describe, not only the typical medical operational challenges faced by Flight Surgeons recovering a long duration crew from space, but also address the unique challenges that existed with the Expedition 16 landing and crew recovery. Nominal Soyuz recovery challenges include remote recovery sites with crew exposures to sleep shifting and fatigue, dehydration, hypothermia and hyperthermia, and rotational, sustained, and impact g-forces. These environmental factors coupled with the patho-physiologic neuro-vestibular and orthostatic intolerance changes that occur secondary to the crews reintroduction into the earth s gravity field will be detailed. Additional challenges that were unique to this expedition included a ballistic reentry with higher g-loads, the presence of fire outside of the capsule on landing, a contingency medical event of a ground support personnel, and loss of communications with the crew just prior to landing and during recovery operations. Conclusions: In spite of these unique challenges the Russian Search and Rescue Forces and Medical Support personnel along with U.S. Medical Support performed well together. Possible improvements in training and coordination will be discussed.

  9. Waste heat recovery for offshore applications

    DEFF Research Database (Denmark)

    Pierobon, Leonardo; Kandepu, Rambabu; Haglind, Fredrik

    2012-01-01

    vary in the range 20-30%. There are several technologies available for onshore gas turbines (and low/medium heat sources) to convert the waste heat into electricity. For offshore applications it is not economical and practical to have a steam bottoming cycle to increase the efficiency of electricity...... production, due to low gas turbine outlet temperature, space and weight restrictions and the need for make-up water. A more promising option for use offshore is organic Rankine cycles (ORC). Moreover, several oil and gas platforms are equipped with waste heat recovery units to recover a part of the thermal...... energy in the gas turbine off-gas using heat exchangers, and the recovered thermal energy acts as heat source for some of the heat loads on the platform. The amount of the recovered thermal energy depends on the heat loads and thus the full potential of waste heat recovery units may not be utilized...

  10. Maximal loads acting on legs of powered roof support unit in longwalls with bumping hazards

    Institute of Scientific and Technical Information of China (English)

    Stanislaw Szweda

    2001-01-01

    In the article the results of measurements of the resultant force in th e legs of a powered roof support unit, caused by a dynamic interaction of the ro ck mass, are discussed. The measurements have been taken in the longwalls mined with a roof fall, characterized by the highest degree of bumping hazard. It has been stated that the maximal force in the legs Fm, recorded during a dynam ic interaction of the rock mass, is proportional to the initial static force in the legs Fst,p. Th erefore a need for a careful selection of the initial load of the powered roof s upport, according to the local mining and geological conditions, results from su ch a statement. Setting the legs with the supporting load exceeding the indispen sable value for keeping the direct roof solids in balance, deteriorating the ope rational parameters of a longwall system also has a disadvantageous influence on the value of the force in the legs and the rate of its increase, caused by a dy namic interaction of the rock mass. A correct selection of the initial load caus es a decrease in the intensity of a dynamic interaction of the rock mass on powe red roof supports, which also has an advantageous influence on their life.   Simultaneously with the measurements of the resultant force in the legs, the vertical acceleration of the canopy was also recorded. It has enabled to prove that the exte rnal dynamic forces may act on the unit both from the roof as well as from the f loor. The changes of the force in the legs caused by dynamic phenomena intrinsic ally created in the roof and changes of the force in the legs caused by blasting explosives in the roof of the working, have been analyzed separately. It has been stated that an increase in the loads of legs, caused by intrinsi c phenomena is significantly higher than a force increase in the legs caused by blasting. It means that powered roof supports, to be operated in the workings, w here the bumping hazard occurs, will also transmit the loads

  11. 75 FR 39041 - Notice of Lodging of Proposed Consent Decree Under the Solid Waste Disposal Act

    Science.gov (United States)

    2010-07-07

    ... Water Services, Inc., Civil Action No. 2:10-CV-00128-ABJ, was lodged with the United States District... the Solid Waste Disposal Act (as amended by the Resource Conservation and Recovery Act), 42 U.S.C. 6973, in connection with Defendant's failure to comply with an Administrative Order issued by EPA...

  12. A recovery room-based acute pain service.

    Science.gov (United States)

    Leykin, Y; Pellis, T; Ambrosio, C; Zanette, G; Malisano, A; Rapotec, A; Casati, A

    2007-04-01

    Despite routine postoperative pain management improves recovery and reduces postoperative morbidity and overall costs, and the availability of a large armamentarium of analgesic techniques and drugs, a significant portion of patients do not receive adequate postoperative pain control. We describe a recovery room (RR) based acute pain service model. Guidelines on postoperative pain and therapeutic protocols were instituted in January 1999. The analgesic endpoint was a visual analogic scale (VAS) below 4 for all surgical patients for the first 48-72 h. The RR, run by one anesthesiologist and 2 nurses and one assistant, acted as a coordination centre. Discharge from the RR was subject to achieving effective analgesia. Nurses of each ward monitored VAS along with vital signs, administered rescue doses if necessary, and reported to the RR nurse when needed. RR nurses monitored the patient at least twice daily and reported to the anesthesiologist. We have distributed an anonymous questionnaire, within surgical wards, to both surgeons and nurses to evaluate their perception of pain management and of this acute pain service (APS) model. VAS was maintained significantly process confirmed the desire of all professional figures to be informed and involved in acute pain management as part of a coordinated and systematic approach to the surgical patient. A RR-based APS can effectively act as coordinating centre for acute pain treatment without adjunctive personnel.

  13. High Altitude Platforms for Disaster Recovery: Capabilities, Strategies, and Techniques for Emergency Telecommunications

    Directory of Open Access Journals (Sweden)

    Deaton JuanD

    2008-01-01

    Full Text Available Abstract Natural disasters and terrorist acts have significant potential to disrupt emergency communication systems. These emergency communication networks include first-responder, cellular, landline, and emergency answering services such as 911, 112, or 999. Without these essential emergency communications capabilities, search, rescue, and recovery operations during a catastrophic event will be severely debilitated. High altitude platforms could be fitted with telecommunications equipment and used to support these critical communications missions once the catastrophic event occurs. With the ability to be continuously on station, HAPs provide excellent options for providing emergency coverage over high-risk areas before catastrophic incidents occur. HAPs could also provide enhanced 911 capabilities using either GPS or reference stations. This paper proposes potential emergency communications architecture and presents a method for estimating emergency communications systems traffic patterns for a catastrophic event.

  14. Getting More Ecologically Relevant Information from Laboratory Tests: Recovery of Lemna minor After Exposure to Herbicides and Their Mixtures.

    Science.gov (United States)

    Knežević, Varja; Tunić, Tanja; Gajić, Pero; Marjan, Patricija; Savić, Danko; Tenji, Dina; Teodorović, Ivana

    2016-11-01

    Recovery after exposure to herbicides-atrazine, isoproturon, and trifluralin-their binary and ternary mixtures, was studied under laboratory conditions using a slightly adapted standard protocol for Lemna minor. The objectives of the present study were (1) to compare empirical to predicted toxicity of selected herbicide mixtures; (2) to assess L. minor recovery potential after exposure to selected individual herbicides and their mixtures; and (3) to suggest an appropriate recovery potential assessment approach and endpoint in a modified laboratory growth inhibition test. The deviation of empirical from predicted toxicity was highest in binary mixtures of dissimilarly acting herbicides. The concentration addition model slightly underestimated mixture effects, indicating potential synergistic interactions between photosynthetic inhibitors (atrazine and isoproturon) and a cell mitosis inhibitor (trifluralin). Recovery after exposure to the binary mixture of atrazine and isoproturon was fast and concentration-independent: no significant differences between relative growth rates (RGRs) in any of the mixtures (IC10 Mix , 25 Mix , and 50 Mix ) versus control level were recorded in the last interval of the recovery phase. The recovery of the plants exposed to binary and ternary mixtures of dissimilarly acting herbicides was strictly concentration-dependent. Only plants exposed to IC10 Mix , regardless of the herbicides, recovered RGRs close to control level in the last interval of the recovery phase. The inhibition of the RGRs in the last interval of the recovery phase compared with the control level is a proposed endpoint that could inform on reversibility of the effects and indicate possible mixture effects on plant population recovery potential.

  15. Stress and Recovery during Simulated Microgravity

    Science.gov (United States)

    Nicolas, Michel

    The aim of this study was to determine the effects of a 60-day head-down tilt long-term bed rest (HDT) on stress and recovery in sixteen healthy female volunteers during the WISE-2005 study (Women International Space Simulation for Exploration). Participants were randomly assigned to either an exercise group (Exe) that followed a training program combining resistive and aerobic exercises, or to a no-exercise control group (Ctl). Psychological states were assessed using the Rest-Q, a validated questionnaire based on stress-recovery responses. A longitudinal analysis revealed significant changes in the general and specific stress scales for all participants throughout the experiment with a critical stage from supine to standing posture leading to a significant decrease in physical recovery. During HDT, Exe reported higher scores in stress subscales, as well as lower recovery scores compared to the Ctl. During the post HDT ambulatory recovery period, the exercisers still reported higher scores than the non-exercisers on the Lack of energy stress related scale, along with lower scores in general well-being and personal accomplishment. The present findings show that simulated weightlessness such as HDT may induce psychological stress and lead to subsequent alterations in perceived recovery. Exercise did not reduce HDT impaired effects on stress and recovery states. In the perspective of spaceflights of long-duration such as the future missions to Mars, there is a need for additional experiments to further investigate spaceflight-induced changes of stress and recovery parameters and the effects of exercise on these parameters. Further studies might determine and analyze the psychological factors involved, but also how to intervene concerning these factors with efficient psychological preparation which, although not yet fully investigated, may reduce stress, promote recovery and support adaptive responses to such extreme environments.

  16. Universal access, cost recovery, and payment services

    OpenAIRE

    Sujit Chakravorti; Jeffery W. Gunther; Robert R. Moore

    2005-01-01

    We suggest a subtle, yet far- reaching, tension in the objectives specified by the Monetary Control Act of 1980 (MCA) for the Federal Reserve’s role in providing retail payment services, such as check processing. Specifically, we argue that the requirement of an overall cost-revenue match, coupled with the goal of ensuring equitable access on a universal basis, partially shifted the burden of cost recovery from high-cost to low-cost service points during the MCA’s early years, thereby allowin...

  17. The MIntAct project--IntAct as a common curation platform for 11 molecular interaction databases

    OpenAIRE

    Orchard, S; Ammari, M; Aranda, B; Breuza, L; Briganti, L; Broackes-Carter, F; Campbell, N; Chavali, G; Chen, C; del-Toro, N; Duesbury, M; Dumousseau, M; Galeota, E; Hinz, U; Iannuccelli, M

    2014-01-01

    IntAct (freely available at http://www.ebi.ac.uk/intact) is an open-source, open data molecular interaction database populated by data either curated from the literature or from direct data depositions. IntAct has developed a sophisticated web-based curation tool, capable of supporting both IMEx- and MIMIx-level curation. This tool is now utilized by multiple additional curation teams, all of whom annotate data directly into the IntAct database. Members of the IntAct team supply appropriate l...

  18. Interactions between Energy Efficiency Programs funded under the Recovery Act and Utility Customer-Funded Energy Efficiency Programs

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, Charles A.; Stuart, Elizabeth; Hoffman, Ian; Fuller, Merrian C.; Billingsley, Megan A.

    2011-02-25

    Since the spring of 2009, billions of federal dollars have been allocated to state and local governments as grants for energy efficiency and renewable energy projects and programs. The scale of this American Reinvestment and Recovery Act (ARRA) funding, focused on 'shovel-ready' projects to create and retain jobs, is unprecedented. Thousands of newly funded players - cities, counties, states, and tribes - and thousands of programs and projects are entering the existing landscape of energy efficiency programs for the first time or expanding their reach. The nation's experience base with energy efficiency is growing enormously, fed by federal dollars and driven by broader objectives than saving energy alone. State and local officials made countless choices in developing portfolios of ARRA-funded energy efficiency programs and deciding how their programs would relate to existing efficiency programs funded by utility customers. Those choices are worth examining as bellwethers of a future world where there may be multiple program administrators and funding sources in many states. What are the opportunities and challenges of this new environment? What short- and long-term impacts will this large, infusion of funds have on utility customer-funded programs; for example, on infrastructure for delivering energy efficiency services or on customer willingness to invest in energy efficiency? To what extent has the attribution of energy savings been a critical issue, especially where administrators of utility customer-funded energy efficiency programs have performance or shareholder incentives? Do the new ARRA-funded energy efficiency programs provide insights on roles or activities that are particularly well-suited to state and local program administrators vs. administrators or implementers of utility customer-funded programs? The answers could have important implications for the future of U.S. energy efficiency. This report focuses on a selected set of ARRA

  19. Disaster Preparation and Recovery - Multiple Languages

    Science.gov (United States)

    ... MedlinePlus Search Search MedlinePlus GO GO About MedlinePlus Site Map FAQs Customer Support Health Topics Drugs & Supplements Videos & Tools You Are Here: Home → Multiple Languages → All Health Topics → Disaster Preparation and Recovery URL of this page: https:// ...

  20. 75 FR 75677 - Agency Information Collection Request. 30-Day Public Comment Request

    Science.gov (United States)

    2010-12-06

    ... American Recovery and Reinvestment Act (ARRA) Prevention and Wellness-Leveraging National Organizations is... A: Obesity prevention through improved nutrition and increased physical activity Category B: Tobacco... sustain community prevention efforts beyond Recovery Act CPPW funding and support the National Prevention...

  1. Key Recovery Using Noised Secret Sharing with Discounts over Large Clouds

    OpenAIRE

    JAJODIA , Sushil; Litwin , Witold; Schwarz , Thomas

    2013-01-01

    Encryption key loss problem is the Achilles's heel of cryptography. Key escrow helps, but favors disclosures. Schemes for recoverable encryption keys through noised secret sharing alleviate the dilemma. Key owner escrows a specifically encrypted backup. The recovery needs a large cloud. Cloud cost, money trail should rarefy illegal attempts. We now propose noised secret sharing schemes supporting discounts. The recovery request with discount code lowers the recovery complexity, easily by orde...

  2. Water Recovery from Brines to Further Close the Water Recovery Loop in Human Spaceflight

    Science.gov (United States)

    Jackson, W. Andrew; Barta, Daniel J.; Anderson, Molly S.; Lange, Kevin E.; Hanford, Anthony J.; Shull, Sarah A.; Carter, D. Layne

    2014-01-01

    Further closure of water recovery systems will be necessary for future long duration human exploration missions. NASA's Space Technology Roadmap for Human Health, Life Support and Habitation Systems specified a milestone to advance water management technologies during the 2015 to 2019 timeframe to achieve 98% H2O recovery from a mixed wastewater stream containing condensate, urine, hygiene, laundry, and water derived from waste. This goal can only be achieved by either reducing the amount of brines produced by a water recovery system or by recovering water from wastewater brines. NASA convened a Technical Interchange Meeting (TIM) on the topic of Water Recovery from Brines (WRB) that was held on January14-15th, 2014 at Johnson Space Center. Objectives of the TIM were to review systems and architectures that are sources of brines and the composition of brines they produce, review the state of the art in NASA technology development and perspectives from other industries, capture the challenges and difficulties in developing brine processing hardware, identify key figures of merit and requirements to focus technology development and evaluate candidate technologies, and identify other critical issues including microgravity sensitivity, and concepts of operation, safety. This paper represents an initial summary of findings from the workshop.

  3. Development of two short measures for recovery and stress in sport.

    Science.gov (United States)

    Nässi, Anu; Ferrauti, Alexander; Meyer, Tim; Pfeiffer, Mark; Kellmann, Michael

    2017-08-01

    The Acute Recovery and Stress Scale (ARSS) and the Short Recovery and Stress Scale were first established in German for the purposes of monitoring athletes' current recovery-stress states in an economical and multidimensional manner. The aim of this paper is to document the development and initial validation of the English versions of these two psychometric monitoring tools. A total of 267 English-speaking athletes from a variety of team and individual sports participated in the study. The English versions demonstrated satisfactory internal consistency for both instruments (Cronbach α of .74-.89). Furthermore, good model fit was found for the eight scales of the ARSS, matching the structure and results of the German counterparts. Correlations among and between the scales reciprocate the theoretical constructs of stress and recovery, supporting the construct validity of the scales. Correlation coefficients within stress and recovery ranged between r s  = .29 and .68. The correlations between stress and recovery varied between r s  = -.29 and -.64. These constructs were further supported by correlations with the scores of the Recovery-Stress Questionnaire for Athletes, thereby showing convergent validity. The findings demonstrate initial validity and reliability of the two measures and reflect the results of the German versions. However, further research is needed before applying these scales in practical settings.

  4. 77 FR 9624 - Buy American Exception Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2012-02-17

    ... required that the contractor purchase and install one Venmar EKO 1.5 heat recovery ventilator (HRV), which... the home exceeds the amount that can be produced by the solar panels and thus the facility would not...

  5. Self-cognitions in antisocial alcohol dependence and recovery.

    Science.gov (United States)

    Corte, Colleen; Stein, Karen Farchaus

    2007-02-01

    Cross-sectional relationships between content and structural properties of the self-concept and alcohol use in young adults with antisocial alcohol dependence (AAD) (n = 24), those in recovery from AAD (n = 18), and controls (n = 23) were examined using the schema model of the self-concept. Persons with AAD had a trend toward fewer positive self-schemas than did controls, and had more negative self-schemas and a trend toward higher interrelatedness than did those in recovery and controls. They also showed evidence of a drinking-related self-schema, whereas those in recovery showed evidence of a recovery-related self-schema. Finally, evidence to support a model using properties of the self-concept to predict high levels of alcohol use was found. These findings provide a beginning empirical foundation for the development of nursing interventions aimed at altering self-structure to prevent the development of and promote recovery from antisocial alcohol dependence.

  6. Evidence-based post-exercise recovery strategies in basketball.

    Science.gov (United States)

    Calleja-González, Julio; Terrados, Nicolás; Mielgo-Ayuso, Juan; Delextrat, Anne; Jukic, Igor; Vaquera, Alejandro; Torres, Lorena; Schelling, Xavier; Stojanovic, Marko; Ostojic, Sergej M

    2016-01-01

    Basketball can be described as a moderate-to-long duration exercise including repeated bouts of high-intensity activity interspersed with periods of low to moderate active recovery or passive rest. A match is characterized by repeated explosive activities, such as sprints, jumps, shuffles and rapid changes in direction. In top-level modern basketball, players are frequently required to play consecutive matches with limited time to recover. To ensure adequate recovery after any basketball activity (i.e., match or training), it is necessary to know the type of fatigue induced and, if possible, its underlying mechanisms. Despite limited scientific evidence to support their effectiveness in facilitating optimal recovery, certain recovery strategies are commonly utilized in basketball. It is particularly important to optimize recovery because players spend a much greater proportion of their time recovering than they do in training. Therefore, the main aim of this report is to facilitate useful information that may lead to practical application, based on the scientific evidence and applied knowledge specifically in basketball.

  7. Experiences from an ACT programme in Copenhagen

    DEFF Research Database (Denmark)

    Benjaminsen, Lars

    groups of ACT are individuals who have complex support needs due to for instance mental illness and/or substance abuse and for whom it is difficult to use mainstream support systems. The team consists not only of social support workers but also of a psychiatrist, a nurse and an addiction councilor......, and social workers with administrative authority from the social office and the job center. In the international research literature ACT has been shown in randomized controlled trials to be a very effective method in bringing individuals out of homelessness and into a stable housing situation. This study...... is based on quantitative outcome measurement in an intervention group of about 60 homeless individuals who through the program has received both a housing solution and support from the ACT-team. The study is not a randomized controlled trial as there is no control group. Furthermore qualitative interviews...

  8. Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting.

    Science.gov (United States)

    Waters, Cerith S; Frude, Neil; Flaxman, Paul E; Boyd, Jane

    2018-03-01

    To examine the effects of a 1-day acceptance and commitment therapy (ACT) workshop on the mental health of clinically distressed health care employees, and to explore ACT's processes of change in a routine practice setting. A quasi-controlled design, with participants block allocated to an ACT intervention or waiting list control group based on self-referral date. Participants were 35 health care workers who had self-referred for the ACT workshop via a clinical support service for staff. Measures were completed by ACT and control group participants at pre-intervention and 3 months post-intervention. Participants allocated to the waitlist condition went on to receive the ACT intervention and were also assessed 3 months later. At 3 months post-intervention, participants in the ACT group reported a significantly lower level of psychological distress compared to the control group (d = 1.41). Across the 3-month evaluation period, clinically significant change was exhibited by 50% of ACT participants, compared to 0% in the control group. When the control group received the same ACT intervention, 69% went on to exhibit clinically significant change. The ACT intervention also resulted in significant improvements in psychological flexibility, defusion, and mindfulness skills, but did not significantly reduce the frequency of negative cognitions. Bootstrapped mediation analyses indicated that the reduction in distress in the ACT condition was primarily associated with an increase in mindfulness skills, especially observing and non-reactivity. These findings provide preliminary support for providing brief ACT interventions as part of routine clinical support services for distressed workers. A 1-day ACT workshop delivered in the context of a routine staff support service was effective for reducing psychological distress among health care workers. The brief nature of this group intervention means it may be particularly suitable for staff support and primary care mental

  9. Good job, bad job: The employment experiences of women in recovery from substance abuse.

    Science.gov (United States)

    Sinakhone, Joyce K; Hunter, Bronwyn A; Jason, Leonard A

    2017-01-01

    Women in metropolitan areas have lower employment participation and employment rates than men. Although women face multiple challenges in the labor market, those who have a history of substance use and are abstinent may have a greater disadvantage in obtaining viable employment opportunities due to factors associated with substance use. No research to date has examined employment experiences among women in recovery from substance use. This study examined employment characteristics and experiences of women who had a history of substance use and lived in sober-living environments in urban areas. Data were collected through telephone interviews to sober living homes that were located in 20 urban areas. Themes identified through thematic analysis included employment challenges, the importance of work to substance abuse recovery, job satisfaction, employment aspirations, and employment support in the sober living home. Employment is important to women in substance abuse recovery, not only as a means for financial support, but also as a life priority. The results highlight how employer scheduling practices, low-level positions, and lack of employment supports impact recovery. Findings provide insight into the need for employment support services, including employer education and flexible policies for women in recovery.

  10. 76 FR 27103 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2011-05-10

    ...., Education Jobs Fund, Public Law 111-226, 124 Stat. 2389, sec. 101 (Aug. 10, 2010) (``[T]he amount under this... Recovery Act was enacted on February 17, 2009, in order to make supplemental appropriations for job... of records contains information relevant to the retention of an employee, the retention of a security...

  11. Disaster Debris Recovery Database - Recovery

    Data.gov (United States)

    U.S. Environmental Protection Agency — The US EPA Disaster Debris Recovery Database (DDRD) promotes the proper recovery, recycling, and disposal of disaster debris for emergency responders at the federal,...

  12. DOE Hanford Network Upgrades and Disaster Recovery Exercise Support the Cleanup Mission Now and into the Future

    Energy Technology Data Exchange (ETDEWEB)

    Eckman, Todd J.; Hertzel, Ali K.; Lane, James J.

    2013-11-07

    In 2013, the U.S. Department of Energy's (DOE) Hanford Site, located in Washington State, funded an update to the critical network infrastructure supporting the Hanford Federal Cloud (HFC). The project, called ET-50, was the final step in a plan that was initiated five years ago called "Hanford's IT Vision, 2015 and Beyond." The ET-50 project upgraded Hanford's core data center switches and routers along with a majority of the distribution layer switches. The upgrades allowed HFC the network intelligence to provide Hanford with a more reliable and resilient network architecture. The culmination of the five year plan improved network intelligence and high performance computing as well as helped to provide 10 Gbps capable links between core backbone devices (10 times the previous bandwidth). These improvements allow Hanford the ability to further support bandwidth intense applications, such as video teleconferencing. The ET-50 switch upgrade, along with other upgrades implemented from the five year plan, have prepared Hanford's network for the next evolution of technology in voice, video, and data. Hand-in-hand with ET-50's major data center outage, Mission Support Alliance's (MSA) Information Management (IM) organization executed a disaster recovery (DR) exercise to perform a true integration test and capability study. The DR scope was planned within the constraints of ET-50's 14 hour datacenter outage window. This DR exercise tested Hanford's Continuity of Operations (COOP) capability and failover plans for safety and business critical Hanford Federal Cloud applications. The planned suite of services to be tested was identified prior to the outage and plans were prepared to test the services ability to failover from the primary Hanford data center to the backup data center. The services tested were: Core Network (backbone, firewall, load balancers); Voicemail; Voice over IP (VoIP); Emergency Notification; Virtual desktops

  13. DOE Hanford Network Upgrades and Disaster Recovery Exercise Support the Cleanup Mission Now and into the Future

    International Nuclear Information System (INIS)

    Eckman, Todd J.; Hertzel, Ali K.; Lane, James J.

    2013-01-01

    In 2013, the U.S. Department of Energy's (DOE) Hanford Site, located in Washington State, funded an update to the critical network infrastructure supporting the Hanford Federal Cloud (HFC). The project, called ET-50, was the final step in a plan that was initiated five years ago called 'Hanford's IT Vision, 2015 and Beyond.' The ET-50 project upgraded Hanford's core data center switches and routers along with a majority of the distribution layer switches. The upgrades allowed HFC the network intelligence to provide Hanford with a more reliable and resilient network architecture. The culmination of the five year plan improved network intelligence and high performance computing as well as helped to provide 10 Gbps capable links between core backbone devices (10 times the previous bandwidth). These improvements allow Hanford the ability to further support bandwidth intense applications, such as video teleconferencing. The ET-50 switch upgrade, along with other upgrades implemented from the five year plan, have prepared Hanford's network for the next evolution of technology in voice, video, and data. Hand-in-hand with ET-50's major data center outage, Mission Support Alliance's (MSA) Information Management (IM) organization executed a disaster recovery (DR) exercise to perform a true integration test and capability study. The DR scope was planned within the constraints of ET-50's 14 hour datacenter outage window. This DR exercise tested Hanford's Continuity of Operations (COOP) capability and failover plans for safety and business critical Hanford Federal Cloud applications. The planned suite of services to be tested was identified prior to the outage and plans were prepared to test the services ability to failover from the primary Hanford data center to the backup data center. The services tested were: Core Network (backbone, firewall, load balancers); Voicemail; Voice over IP (VoIP); Emergency Notification; Virtual desktops; and, Select set of production applications

  14. 75 FR 62542 - Agency Information Collection Request. 30-Day Public Comment Request

    Science.gov (United States)

    2010-10-12

    ... collection. The American Recovery and Reinvestment Act (ARRA) Prevention and Wellness- Leveraging National...: Category A: Obesity prevention through improved nutrition and increased physical activity Category B... Organizations will work to sustain community prevention efforts beyond Recovery Act CPPW funding and support the...

  15. Social identity, social networks and recovery capital in emerging adulthood: A pilot study.

    Science.gov (United States)

    Mawson, E; Best, D; Beckwith, M; Dingle, G A; Lubman, D I

    2015-11-11

    It has been argued that recovery from substance dependence relies on a change in identity, with past research focused on 'personal identity'. This study assessed support for a social identity model of recovery in emerging adults through examining associations between social identity, social networks, recovery capital, and quality of life. Twenty participants aged 18-21 in residential treatment for substance misuse were recruited from four specialist youth drug treatment services - three detoxification facilities and one psychosocial rehabilitation facility in Victoria, Australia. Participants completed a detailed social network interview exploring the substance use of groups in their social networks and measures of quality of life, recovery capital, and social identity. Lower group substance use was associated with higher recovery capital, stronger identification with non-using groups, and greater importance of non-using groups in the social network. Additionally, greater identification with and importance of non-using groups were associated with better environmental quality of life, whereas greater importance conferred on using groups was associated with reduced environmental quality of life. Support was found for the role of social identity processes in reported recovery capital and quality of life. Future research in larger, longitudinal samples is required to improve understanding of social identity processes during treatment and early recovery and its relationship to recovery stability.

  16. The relevance of recovery to carers of people who have schizophrenia

    OpenAIRE

    Fox, Joanna Ruth

    2013-01-01

    Recovery is a new concept positing that people with schizophrenia can lead fulfilling, satisfying, and productive lives. Family carers often play a helpful but largely unacknowledged role in the support of service users with schizophrenia, and the nature of their contribution to and their role in recovery has hitherto not been investigated. This original PhD explores whether learning about the recovery approach through participation in a training intervention changes the way carers view recov...

  17. Assessing the viability of the Species at Risk Act in managing commercial exploitation and recovery of threatened and endangered marine fish in Canada

    OpenAIRE

    Druce, Courtney Danielle

    2012-01-01

    Commercially exploited threatened or endangered marine fish are consistently declined for listing under Canada’s Species at Risk Act (SARA), largely due to predicted socio-economic impacts associated with SARA’s prohibitions. However, commercial exploitation can be exempted from SARA’s general prohibitions. If exemptions were utilized, commercially exploited species could benefit from other aspects of SARA listing, and support continued economic opportunities for fishers. I conducted a litera...

  18. A framework for developing objective and measurable recovery criteria for threatened and endangered species.

    Science.gov (United States)

    Himes Boor, Gina K

    2014-02-01

    For species listed under the U.S. Endangered Species Act (ESA), the U.S. Fish and Wildlife Service and National Marine Fisheries Service are tasked with writing recovery plans that include "objective, measurable criteria" that define when a species is no longer at risk of extinction, but neither the act itself nor agency guidelines provide an explicit definition of objective, measurable criteria. Past reviews of recovery plans, including one published in 2012, show that many criteria lack quantitative metrics with clear biological rationale and are not meeting the measureable and objective mandate. I reviewed how objective, measureable criteria have been defined implicitly and explicitly in peer-reviewed literature, the ESA, other U.S. statutes, and legal decisions. Based on a synthesis of these sources, I propose the following 6 standards be used as minimum requirements for objective, measurable criteria: contain a quantitative threshold with calculable units, stipulate a timeframe over which they must be met, explicitly define the spatial extent or population to which they apply, specify a sampling procedure that includes sample size, specify a statistical significance level, and include justification by providing scientific evidence that the criteria define a species whose extinction risk has been reduced to the desired level. To meet these 6 standards, I suggest that recovery plans be explicitly guided by and organized around a population viability modeling framework even if data or agency resources are too limited to complete a viability model. When data and resources are available, recovery criteria can be developed from the population viability model results, but when data and resources are insufficient for model implementation, extinction risk thresholds can be used as criteria. A recovery-planning approach centered on viability modeling will also yield appropriately focused data-acquisition and monitoring plans and will facilitate a seamless transition

  19. The endangered species act: science, policy, and politics.

    Science.gov (United States)

    Bean, Michael J

    2009-04-01

    The Endangered Species Act of 1973 is one of the nation's most significant and most controversial environmental laws. Over three-and-a-half decades, it has profoundly influenced both private and federal agency behavior. As the scope of that influence has come to be recognized, a law that is ostensibly to be guided by science has inevitably become entangled in politics. The generality of many of the law's key provisions has produced continuing uncertainty and conflict over some basic issues. Among these are what species or other taxa are potentially subject to the Act's protections, what the extent of those protections is, and whether the Act's ultimate goal of recovery is one that is being effectively achieved. New challenges face the administrators of this law, including that of incorporating climate change considerations into the decisions made under the Act, and responding to the information made available by recent advances in genetics. This paper provides a brief overview of the Endangered Species Act's history and its key provisions, and a more in-depth look at some of the current and recurrent controversies that have attended its implementation.

  20. Progress in implementing the Federal Facility Compliance Act

    International Nuclear Information System (INIS)

    Bubar, P.; Stone, M.E.

    1994-01-01

    Hazardous waste and hazardous components of mixed waste require treatment prior to disposal, in accordance with the Resource Conservation and Recovery Act as amended by the Federal Facility Compliance Act. The primary driver for the United States Department of Energy's mixed waste management strategy is the Federal Facility Compliance Act. This Act requires each site generating or storing mixed waste to prepare a treatment plan addressing all mixed waste at the site, with a schedule for treatment capacity construction, and milestones for treating waste when known treatment technologies exist. As of this writing, the Department has published conceptual site treatment plans identifying the technical on-site options and options at other Department or commercial sites. It is now finalizing the Mixed Waste Inventory and Technology Report required by the Act, providing additional detail on its waste streams and treatment capabilities. Now the Department, at its sites, is in the difficult process of winnowing down treatment options in conjunction with the States, with input from the public and other interested parties. Many technical questions, policy and funding issues, and equity concerns among the States must be addressed to enable the Department to propose its preferred treatment options by August 1994

  1. Platinum group metal recovery and catalyst manufacturing process

    Energy Technology Data Exchange (ETDEWEB)

    Chung, H. S.; Kim, Y. S.; Yoo, J. H.; Lee, H. S.; Ahn, D. H.; Kim, K. R.; Lee, S. H.; Paek, S. W.; Kang, H. S.

    1998-03-01

    The fission product nuclides generated during the irradiation of reactor fuel include many useful elements, among them platinum group metal such as ruthenium, rhodium and palladium which are of great industrial importance, occur rarely in nature and are highly valuable. In this research, the authors reviewed various PGM recovery methods. Recovery of palladium from seven-component simulated waste solution was conducted by selective precipitation method. The recovery yield was more than 99.5% and the purity of the product was more than 99%. Wet-proof catalyst was prepared with the recovered palladium. The specific surface area of the catalyst support was more than 400 m{sup 2}/g. The content of palladium impregnated on the support was 10 wt.%. Hydrogen isotope exchange efficiency of 93 % to equilibrium with small amount of the catalyst was obtained. It was turned out possible to consider using such palladium or other very low active PGM materials in applications where its actively is unimportant as in nuclear industries. (author). 63 refs., 38 tabs., 36 figs.

  2. Thermal recovery characteristics of Kori-unit 1 linde 80 weld

    International Nuclear Information System (INIS)

    Chi, S. H.; Hong, J. H.; Kuk, I. H.; Kim, I. S.

    1997-01-01

    The recovery activation energy, the order of reaction and the characteristic recovery rate constant were determined by isochronal (573K -823K) and isothermal (723K - 775K) annealing experiments on specimens made from a broken half of a Kori-Unit 1 surveillance weld specimen (fluence: 1.21 x 10 23 n/m 2 , E (1MeV, Cu: 0.29 wt%) to investigate the recovery characteristics of a high copper weld of neutron-irradiated reactor pressure vessel (RPV). Vickers microhardness tests were conducted to trace the recovery behavior after heat treatments. The results were analyzed in terms of recovery stages, behavior of responsible defects and recovery kinetics. It was shown that recovery occurred through two annealing stages (stage I: 673K - 753K, stage II: 753K - 823K) with recovery activation energies of 2.68 eV and 2.83 eV for stage I and II, respectively. The isothermal hardness recovery at 723 K and 775 K coincided with the ratio of the characteristic rate constant for each recovery stage. The order of reaction was 2 for both recovery stages. The recovery activation energies of present specimens are approximately equal to that of copper diffusion in α-iron in the presence of vacancies, suggesting that recovery may occur through the diffusion of copper atoms. The present results strongly support the copper precipitate coarsening model. (author)

  3. Measuring personal recovery - psychometric properties of the Swedish Questionnaire about the Process of Recovery (QPR-Swe).

    Science.gov (United States)

    Argentzell, Elisabeth; Hultqvist, Jenny; Neil, Sandra; Eklund, Mona

    2017-10-01

    Personal recovery, defined as an individual process towards meaning, is an important target within mental health services. Measuring recovery hence requires reliable and valid measures. The Process of Recovery Questionnaire (QPR) was developed for that purpose. The aim was to develop a Swedish version of the QPR (QPR-Swe) and explore its psychometric properties in terms of factor structure, internal consistency, construct validity and sensitivity to change. A total of 226 participants entered the study. The factor structure was investigated by Principal Component Analysis and Scree plot. Construct validity was addressed in terms of convergent validity against indicators of self-mastery, self-esteem, quality of life and self-rated health. A one-factor solution of QPR-Swe received better support than a two-factor solution. Good internal consistency was indicated, α = 0.92, and construct validity was satisfactory. The QPR-Swe showed preliminary sensitivity to change. The QPR-Swe showed promising initial psychometric properties in terms of internal consistency, convergent validity and sensitivity to change. The QPR-Swe is recommended for use in research and clinical contexts to assess personal recovery among people with mental illness.

  4. Rapid recovery from aphasia after infarction of Wernicke’s area

    Directory of Open Access Journals (Sweden)

    Melodie Yen

    2015-04-01

    Quantitative analysis of connected speech samples and language testing following infarction of Wernicke’s area revealed rapid improvements in almost all speech/language measures, spanning phonological, syntactic and semantic domains. The greatest changes occurred early, with recovery slowing over time, and the data were well fit by logarithmic recovery curves. Despite the importance of Wernicke’s area, the rapidity and extent of recovery observed suggest that other brain regions can be rapidly recruited to support many of the functions of Wernicke’s area (Weiller et al., 1995.

  5. Atmosphere Resource Recovery and Environmental Monitoring

    Science.gov (United States)

    Roman, Monsi; Howard, David

    2015-01-01

    Atmosphere Resource Recovery and Environmental Monitoring (ARREM) is a project focused on evolving existing and maturing emerging 'closed loop' atmosphere revitalization (AR) life support systems that produce clean, breathable air for crewmembers, and developing a suite of low mass, low power environmental monitors to detect and measure air- and waterborne constituents and contaminants. The objective is to improve reliability and efficiency, reduce mass and volume, and increase recovery of oxygen from carbon dioxide created by human metabolism from 43% to greater than 90%. The technology developments under ARREM are vital to extending human space missions from low-Earth orbit like the International Space Station to destinations deeper into space such as Mars where dependency on Earth for resupply of maintenance items and critical life support elements such as water and oxygen is not possible. The primary goal of the ARREM project is to demonstrate that systems meet the more stringent performance parameters for deep space exploration and are compatible with other systems within closed loop life support through a series of integrated tests performed in an environmental test chamber capable of simulating human metabolic activities and measuring systems outputs.

  6. Preparation of radioactive ''mixed'' waste samples for measurement of RCRA [Resource Conservation and Recovery Act] organic compounds

    International Nuclear Information System (INIS)

    Tomkins, B.A.; Caton, J.E.

    1987-01-01

    A radioactive ''mixed'' waste typically contains alpha-, beta-, or gamma-emitting radionuclides and varying quantities of semivolatile or volatile organic species, some or all of which may be named specifically by the Resource Conservation and Recovery Act (RCRA). Because there are no acceptable means available currently for disposing of these mixed wastes, they are presently stored above-ground in sealed drums. For this reason, analytical procedures which can determine RCRA organics in radioactive waste are necessary for deciding the proper approach for disposal. An important goal of this work is the development of methods for preparing mixed waste samples in a manner which allows the RCRA organics to be measured in conventional organic analysis laboratories without special precautions. Analytical procedures developed for handling mixed waste samples must satisfy not only the usual constraints present in any trace-level organic chemical determination, but also those needed to insure the protection of the operator from radioactive contamination. Consequently, procedures should be designed to use the least amount of radioactive sample commensurate with achieving acceptable sensitivity with the RCRA analytical methods. Furthermore, the unusual laboratory glassware which would normally be used should be replaced with disposable materials wherever possible, in order to reduce the ''clean-up'' time required, and thereby reduce the operator's exposure to radioactivity. Actual sample handling should be reduced to the absolute minimum. Finally, the final isolate must exhibit a sufficiently low level of alpha, beta, or gamma activity to permit detailed characterization in a conventional organic analysis laboratory. 4 refs., 5 tabs

  7. Mutual support and recovery in the Russian Alcoholics Anonymous online community

    Directory of Open Access Journals (Sweden)

    Lyytikäinen Laura

    2016-04-01

    Full Text Available AIMS – In Russia the paradigm of alcoholism as a disease is still in contrast to the general perception of alcoholics as weak-willed. This article studies alcoholism and recovery in Russia through the case study of the Russian Alcoholics Anonymous online group. It studies how people who are seeking help for their drinking problems in this online community come to incorporate a new self-understanding of being ill with alcoholism.

  8. Disaster recovery plan for Automation Technology

    International Nuclear Information System (INIS)

    Owens, M.J.

    1997-06-01

    Automation Technology provides a multitude of data processing and network services to the Environmental Restoration Contract (ERC). These services include: personal computers, local and wide area networks, and Internet and intranet support and services. ERC employees and client personnel receive these services primarily from the Data Center located on the ground floor in the Bechtel Corporate Center at 3350 George Washington Way, Richland, Washington. Centralized databases, server-based software, and network services for the Bechtel Local Area Network reside on servers located in the Data Center. The data communication circuits supported in this center allow for the transmission of business information to and from all project locations in the Hanford Site complex. The loss of one or more of these functions would seriously impact the ability of the ERC to conduct business and bring a virtual standstill to many ERC employees'' activities. Upon declaration of disaster by the Contingency Manager and the Disaster Recovery Coordinator, the disaster recovery plan will be implemented. 24 tabs

  9. The sunshine act and medical publications: Guidance from professional medical associations.

    Science.gov (United States)

    Toroser, Dikran; DeTora, Lisa; Cairns, Angela; Juneja, Renu; Georgieva, Anna; Weigel, Al; Pepitone, Kim

    2015-01-01

    To review guidance from professional medical associations to physicians on the Sunshine Act, with a focus on industry support for medical publications. Using 'Sunshine Act' as a search term, we searched PubMed (dates February 2013 to November 2014) and the 'grey literature' using Google and Google Scholar. Online information was extracted from websites of pre-identified professional medical associations. Some professional medical associations have published peer-reviewed recommendations, position statements or general advice on their websites and in journals around the Sunshine Act. Associations also provided broad online educational resources for physicians. There was universal agreement between peer-reviewed publications, including guidelines, for the need for full transparency and disclosure of industry support. Surveys by some professional associations showed variance in opinion on the forecasted impact of the Sunshine Act on physician-industry relationships. There was scarce information specifically related to reporting requirements for industry-supported medical publications. There is a shortage of information for physicians from professional associations regarding the Sunshine Act and support for medical publications. Due to the lack of clear guidance regarding support for publications, there are presently varying interpretations of the Sunshine Act. The literature debates the potential impact of the Sunshine Act and expresses some concerns that physician-enabled innovation in drug development may be hindered.

  10. Evaluation and prioritization of stream habitat monitoring in the Lower Columbia Salmon and Steelhead Recovery Domain as related to the habitat monitoring needs of ESA recovery plans

    Science.gov (United States)

    Puls, Amy L.; Anlauf Dunn, Kara; Graham Hudson, Bernadette

    2014-01-01

    The lower Columbia River and its tributaries once supported abundant runs of salmon and steelhead; however, there are five species currently listed under the federal Endangered Species Act (ESA). The National Marine Fisheries Service has completed, and is proposing for adoption, a comprehensive ESA Recovery Plan for the Lower Columbia Evolutionarily Significant Units (ESUs) based on the recovery plans developed by Oregon and Washington. One of the primary factors attributed to the decline of these species is habitat degradation. There are numerous entities conducting status and/or trends monitoring of instream habitat in the lower Columbia River Basin, but because the programs were developed for agency specific reasons, the existing monitoring efforts are not well coordinated, and often lack the spatial coverage, certainty, or species coverage necessary to answer questions related to status and trends of the ESA listed populations. The Pacific Northwest Aquatic Monitoring Partnership’s Integrated Status and Trends Monitoring (ISTM) project was initiated to improve integration of existing and new monitoring efforts by developing recommendations for sampling frames, protocols, and data sharing. In an effort to meet the ISTM project goals, five objectives were identified: (1) identify and prioritize decisions, questions, and monitoring objectives, (2) evaluate how existing programs align with these management decisions, questions, and objectives, (3) identify the most appropriate monitoring design to inform priority management decisions, questions, and objectives, (4) use trade-off analysis to develop specific recommendations for monitoring based on outcomes of Objectives 1-3 and (5) recommend implementation and reporting mechanisms. This report summarizes the effort to address Objectives 1 and 2, detailing the commonalities among the habitat characteristics that all entities measure and monitor, and how the metrics align with the priorities listed in the

  11. Simulation of petroleum recovery in naturally fractured reservoirs: physical process representation

    Energy Technology Data Exchange (ETDEWEB)

    Paiva, Hernani P.; Miranda Filho, Daniel N. de [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil); Schiozer, Denis J. [Universidade Estadual de Campinas (UNICAMP), SP (Brazil)

    2012-07-01

    The naturally fractured reservoir recovery normally involves risk especially in intermediate to oil wet systems because of the simulations poor efficiency results under waterflood displacement. Double-porosity models are generally used in fractured reservoir simulation and have been implemented in the major commercial reservoir simulators. The physical processes acting in petroleum recovery are represented in double-porosity models by matrix-fracture transfer functions, therefore commercial simulators have their own implementations, and as a result different kinetics and final recoveries are attained. In this work, a double porosity simulator was built with Kazemi et al. (1976), Sabathier et al. (1998) and Lu et al. (2008) transfer function implementations and their recovery results have been compared using waterflood displacement in oil-wet or intermediate-wet systems. The results of transfer function comparisons have showed recovery improvements in oil-wet or intermediate-wet systems under different physical processes combination, particularly in fully discontinuous porous medium when concurrent imbibition takes place, coherent with Firoozabadi (2000) experimental results. Furthermore, the implemented transfer functions, related to a double-porosity model, have been compared to double-porosity commercial simulator model, as well a discrete fracture model with refined grid, showing differences between them. Waterflood can be an effective recovery method even in fully discontinuous media for oil-wet or intermediate-wet systems where concurrent imbibition takes place with high enough pressure gradients across the matrix blocks. (author)

  12. Characterization of rapid recovery from γ-ray damage in plateau-phase human diploid fibroblasts

    International Nuclear Information System (INIS)

    Malcolm, A.W.; Tomkinson, K.N.; Little, J.B.

    1982-01-01

    Rapid recovery was investigated in density-inhibited, stationary-phase human diploid cells subcultured to low density at various times after a single dose of radiation. The influence of total dose, postirradiation temperature, and cell-to-cell contact on recovery was examined. The cultures were exposed to 60 Co γ rays at a dose rate of 50 rad per second. When the irradiation and postirradiation temperatures were maintained at 25 or 37 0 C, recovery, as manifested by an enhancement in survival, was similar during the first 30 min, whereas it was reduced at later times in the 25 0 C compared with the 37 0 C cultures. This result suggests the existence of different rapidly and slowly acting components to recovery. No recovery was noted at any time with incubation at 4 0 C. The recovery observed in density-inhibited cultures was consistently greater than that in less dense cultures, suggesting an effect of cell-to-cell contact and cell cycle distribution. Following single doses of 200 to 900 rad, progressive enhancement in relative recovery occurred with increasing doses over a period of 2 to 90 min, illustrating the importance of the relationship of the dose to the rapid recovery process

  13. Embodying Critical and Corporeal Methodology: Digital Storytelling With Young Women in Eating Disorder Recovery

    Directory of Open Access Journals (Sweden)

    Andrea LaMarre

    2016-03-01

    Full Text Available Digital storytelling is as an arts-based research method that offers researchers an opportunity to engage deeply with participants, speak back to dominant discourses, and re-imagine bodily possibilities. In this article, we describe the process of developing a research-based digital storytelling curriculum exploring eating disorder recovery. We have built this curriculum around research interviews with young women in recovery as well as research and popular literature on eating disorder recovery. Here, we highlight how the curriculum acted as a scaffolding device for the participants' artistic creation around their lived experiences of recovery. The participants' stories crystallize what resonated for them in the workshop process: they each have an open-ended narrative arc, emphasize the intercorporeality of recovery, and focus on recovery as process. The nuances within each story reveal unique embodied experiences that contextualize their recoveries. Using the example of eating disorder recovery, we offer an illustration of the possibilities of digital storytelling as a critical arts-based research method and what we gain from doing research differently in terms of participant-researcher relationships and the value of the arts in disrupting dominant discourses. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs160278

  14. Environmental protection uranium recovery issues in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Peake, R.T.; Cherepy, A.; Rosnick, R.; Schultheisz, D.; Setlow, L. [U.S. Environmental Protection Agency, Washington, DC (United States)

    2011-07-01

    Uranium recovery activities in the United States were at a standstill just a few years ago. Demand for processed uranium yellowcake has increased, as has its price, though the price is down since the Fukushima reactor accident. Interest in producing uranium has increased, too. Currently the most preferred, low-cost uranium extraction method in the United States is in-situ leach (ISL) recovery where the geohydrology is conducive to injection, mobilization and pumping. A number of applications for new ISL and conventional mills have recently been submitted or are expected to be submitted for licensing by the Nuclear Regulatory Commission (NRC). In the United States, the Environmental Protection Agency (EPA) has developed Health and Environmental Protection Standards for Uranium and Thorium Mill Tailings under the authority of the Uranium Mill Tailings Radiation Control Act of 1978 (UMTRCA). These standards are found in the Code of Federal Regulations, Title 40, Part 192 (40 CFR Part 192). The NRC develops implementing regulations for 40 CFR Part 192 and then NRC or delegated States enforce the NRC and EPA regulations. Facilities regulated under 40 CFR Part 192 include conventional uranium and thorium mills as well as in-situ leach operations, which are considered to be 'milling underground' for regulatory purposes. However, there are no explicit standards for ISL operations in 40 CFR Part 192. In addition, EPA has determined that portions of the operations at uranium recovery operations, specifically the radon emissions from tailings impoundments, are covered by Section 112 of the Clean Air Act as a source of hazardous air pollutants (HAPs). EPA addresses these operations in 40 CFR Part 61, Subpart W. EPA is in the process of reviewing both 40 CFR Part 192 and 40 CFR Part 61, Subpart W for possible revision. This paper presents some of the issues related to uranium recovery that are being considered in the current regulatory review. (author)

  15. Supported extractant membranes for americium and plutonium recovery

    International Nuclear Information System (INIS)

    Muscatello, A.C.; Navratil, J.D.; Killion, M.E.; Price, M.Y.

    1987-01-01

    Solid supported liquid membranes(SLM) are useful in transferring and concentrating americium and plutonium from nitrate solutions. Specifically, DHDECMP(dihexyl-N,N-diethylcarbamoylmethylphosphonate) supported on Accurel or Celgard polypropylene hollow fibers assembled in modular form transfers >95% of the americium and >70% of the plutonium from high nitrate (6.9 M), low acid (0.1 M) feeds into 0.25 M oxalic acid stripping solution. Membranes supporting TBP (tri-n-butylphosphate) also transfer these metal ions. Maximum permeabilities were observed to be 1 x 10 -3 cm sec -1 , similar to the values for other systems. The feed:strip volume ratio shows an inverse relationship to the fraction of metal ion transferred. Cation exchangers may be used to concentrate americium from the strip solution

  16. Recovery Of Chromium Metal (VI) Using Supported Liquid Membrane (SLM) Method, A study of Influence of NaCl and pH in Receiving Phase on Transport

    Science.gov (United States)

    Cholid Djunaidi, Muhammad; Lusiana, Retno A.; Rahayu, Maya D.

    2017-06-01

    Chromium metal(VI) is a valuable metal but in contrary has high toxicity, so the separation and recovery from waste are very important. One method that can be used for the separation and recovery of chromium (VI) is a Supported Liquid Membrane (SLM). SLM system contains of three main components: a supporting membrane, organic solvents and carrier compounds. The supported Membrane used in this research is Polytetrafluoroethylene (PTFE), organic solvent is kerosene, and the carrier compound used is aliquat 336. The supported liquid membrane is placed between two phases, namely, feed phase as the source of analyte (Cr(VI)) and the receiving phase as the result of separation. Feed phase is the electroplating waste which contains of chromium metal with pH variation about 4, 6 and 9. Whereas the receiving phase are the solution of HCl, NaOH, HCl-NaCl and NaOH-NaCl with pH variation about 1, 3, 5 and 7. The efficiency separation is determined by measurement of chromium in the feed and the receiving phase using AAS (Atomic Absorption Spectrophotometry). The experiment results show that transport of Chrom (VI) by Supported Liquid membrane (SLM) is influenced by pH solution in feed phase and receiving phase as well as NaCl in receiving phase. The highest chromium metal is transported from feed phase about 97,78%, whereas in receiving phase shows about 58,09%. The highest chromium metal transport happens on pH 6 in feed phase, pH 7 in receiving phase with the mixture of NaOH and NaCl using carrier compound aliquat 336.

  17. Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses.

    Science.gov (United States)

    Castellow, Jennifer; Kloos, Bret; Townley, Greg

    2015-08-01

    This paper argues that the experience of homelessness is inherently traumatic and thus has the potential to affect the manifestation of mental illness. The experiences related to being homeless might act as specific and unique sources of vulnerability. This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homelessness might contribute to psychosocial vulnerability to negative mental health outcomes. Future investigations examining this concept of risk and vulnerability as a result of homelessness are in order.

  18. Buddhist Approaches to Addiction Recovery

    Directory of Open Access Journals (Sweden)

    Paramabandhu Groves

    2014-10-01

    Full Text Available The Buddha recognized addiction problems and advised his followers accordingly, although this was not the primary focus of his teachings. Thailand and Japan, which have long-standing Buddhist traditions, have developed Buddhist influenced responses to addiction. With its emphasis on craving and attachment, an understanding of the workings of the mind, as well as practices to work with the mind, Buddhism lends itself as a rich resource to assist addiction recovery. The twelve step movement has been an impetus to making use of ideas and practices from Buddhism. In particular, mindfulness, has started to be used to support addiction recovery, with promising results. Exploration of other areas of Buddhism is beginning, and may provide additional benefit in the future.

  19. 78 FR 80415 - To Take Certain Actions Under the African Growth and Opportunity Act and for Other Purposes

    Science.gov (United States)

    2013-12-31

    ... Economic Recovery Act (CBERA) (19 U.S.C. 2702), as amended by the Caribbean Basin Trade Partnership Act... Proclamation 7746 of December 30, 2003, implemented the United States-Chile Free Trade Agreement (USCFTA) with respect to the United States and, pursuant to the United States-Chile Free Trade Agreement Implementation...

  20. Recovery of Corneal Endothelial Cells from Periphery after Injury.

    Directory of Open Access Journals (Sweden)

    Sang Ouk Choi

    Full Text Available Wound healing of the endothelium occurs through cell enlargement and migration. However, the peripheral corneal endothelium may act as a cell resource for the recovery of corneal endothelium in endothelial injury.To investigate the recovery process of corneal endothelial cells (CECs from corneal endothelial injury.Three patients with unilateral chemical eye injuries, and 15 rabbit eyes with corneal endothelial chemical injuries were studied. Slit lamp examination, specular microscopy, and ultrasound pachymetry were performed immediately after chemical injury and 1, 3, 6, and 9 months later. The anterior chambers of eyes from New Zealand white rabbits were injected with 0.1 mL of 0.05 N NaOH for 10 min (NaOH group. Corneal edema was evaluated at day 1, 7, and 14. Vital staining was performed using alizarin red and trypan blue.Specular microscopy did not reveal any corneal endothelial cells immediately after injury. Corneal edema subsided from the periphery to the center, CEC density increased, and central corneal thickness decreased over time. In the animal study, corneal edema was greater in the NaOH group compared to the control at both day 1 and day 7. At day 1, no CECs were detected at the center and periphery of the corneas in the NaOH group. Two weeks after injury, small, hexagonal CECs were detected in peripheral cornea, while CECs in mid-periphery were large and non-hexagonal.CECs migrated from the periphery to the center of the cornea after endothelial injury. The peripheral corneal endothelium may act as a cell resource for the recovery of corneal endothelium.

  1. Faulted systems recovery experience. Final report, May 1992

    International Nuclear Information System (INIS)

    1992-05-01

    This report addresses the recovery (i.e., return to service from a faulted, or otherwise unavailable, condition) of important nuclear power plant front-line and support systems and equipment. It contains information based on operating experience relative to the times to recover from a variety of plant events. It also indicates the nature of the operator actions involved. This information is intended to provide useful insights to utilities who are undertaking Individual Plant Examinations (IPEs) per Generic Letter 88-20 of the Nuclear Regulatory Commission. The report provides a database of recovery experience primarily derived from Licensee Event Reports (LERs). The database contains recovery duration information for 205 demand events and 98 nondemand events. In particular, it contains recovery durations for 42 pump related and 143 valve related events that are representative of demand conditions. Experience shows that, overall, about one-half of all pumps and valves are recovered in 30 minutes or less. Specific recovery experience is dependent on the equipment type, the plant system involved, and the failure mode encountered. (author)

  2. Microbial enhanced oil recovery: Entering the log phase

    Energy Technology Data Exchange (ETDEWEB)

    Bryant, R.S.

    1995-12-31

    Microbial enhanced oil recovery (MEOR) technology has advanced internationally since 1980 from a laboratory-based evaluation of microbial processes to field applications. In order to adequately support the decline in oil production in certain areas, research on cost-effective technologies such as microbial enhanced oil recovery processes must focus on both near-term and long-term applications. Many marginal wells are desperately in need of an inexpensive improved oil recovery technology today that can assist producers in order to prevent their abandonment. Microbial enhanced waterflooding technology has also been shown to be an economically feasible technology in the United States. Complementary environmental research and development will also be required to address any potential environmental impacts of microbial processes. In 1995 at this conference, the goal is to further document and promote microbial processes for improved oil recovery and related technology for solving environmental problems.

  3. Interpellating recovery: The politics of 'identity' in recovery-focused treatment.

    Science.gov (United States)

    Fomiatti, Renae; Moore, David; Fraser, Suzanne

    2017-06-01

    Much research tends to treat alcohol and other drug 'recovery' as a process of positive identity change and development. In this article, we depart from this dominant approach by examining how the social and material practices of alcohol and other drug treatment are themselves active in the constitution of 'recovery identity'. Using Judith Butler's theorisation of interpellation, we examine the accounts of treatment experiences and practices provided in interviews with people who inject drugs. In contrast to the existing literature, we argue that the 'recovering addict' is a socially produced category rather than a coherent psychological identity. We consider the production of this category in relation to three dynamics identified in the data: (1) the tendency to materialise treatment subjects as both disordered and as 'in control' of these disorders; (2) the production of treatment subjects as enmeshed in suspect social relationships and therefore requiring surveillance as well as social support; and (3) treatment's particular enactment of social context such that it erases stigmatisation and marginalisation and paradoxically performs subjects as entirely individually responsible for relinquishing drug use. These dynamics produce capacities and attributes often ascribed to identity but which are better understood as articulations of epistemological disorder in the state of knowledge about addiction, and its expression in treatment. By way of conclusion, we question the utility of 'recovery identity', conventionally defined, in providing a rationale for treatment. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Cooperation and the Endangered Species Act

    International Nuclear Information System (INIS)

    Palmer, S.C.

    1991-01-01

    Passage of the Endangered Species Act in 1973 set the stage for some of the nations most polemic environmental battles. One of these is in the Colorado River Basin which is home to four native and rare fish species. Acrimonious confrontation has characterized the consultations under the ESA regarding these fish species. In 1983, the U.S. Fish and Wildlife Service announced that no new water depletions such as for hydropower plants, from the Upper Colorado River Basin would be allowed. This created no small stir among basin states and water developers and a negotiated solution was sought. The result was the Recovery Implementation Program for Endangered Fish Species in the Upper Colorado River Basin. This paper reports that models of political negotiation indicate conceptually, that the Recovery Program with its decisions made by unanimity of consensus, its open process and sharing of information, its shared budget and users fees, is a vehicle of political compromise and cooperation

  5. Perioperative solutions for rapid recovery joint arthroplasty: get ahead and stay ahead.

    Science.gov (United States)

    Sculco, Peter K; Pagnano, Mark W

    2015-04-01

    Rapid recovery after total joint arthroplasty requires patients to get ahead and stay ahead or the four impediments to early rehabilitation and discharge: volume depletion, blood loss, pain, and nausea. Adequate volume resuscitation starts before entering the operating room and focuses on intravenous fluids rather than red blood cell transfusion. Tranexamic acid limits blood loss and reduces the need for most other blood management systems. Rapid recovery pain management focuses on minimizing parenteral opioids. A short-acting spinal with a peri-articular local anesthetic injection is reliable, reproducible, and safe. Patients at risk for post-operative nausea are treated with anti-emetic medications and perioperative dexamethasone. These interventions reflect a transition from the sick-patient model to the well-patient model and make rapid recovery joint arthroplasty a reality in 2015. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Overcoming challenges to the recovery of declining amphibian populations in the United States

    Science.gov (United States)

    Walls, Susan; Ball, Lianne C.; Barichivich, William J.; Dodd, Kenneth; Enge, Kevin M; Gorman, Thomas A.; O'Donnell, Katherine; Palis, John G; Semlitsch, Raymond D.

    2016-01-01

    The US Endangered Species Act of 1973 (ESA) affords many potential benefits to species threatened with extinction. However, most at-risk amphibians—one of the most imperiled vertebrate groups—remain unlisted under the provisions of the ESA, and many impediments to recovery exist for those species that have been listed. Of the 35 US amphibian species and distinct population segments (“taxa”) listed under the ESA, 40% currently lack a final (completed) recovery plan, 28.6% lack designated critical habitat, and 8.6% lack both. For taxa that have recovery plans, the time between their listing and the development of those plans was from 2 to 29 years, and the time between their listing and the designation of critical habitat ranged from 0 to 14 years. The underlying causes of such delays in protection are complex and constitute obstacles to recovery of imperiled species. We outline a series of strategic actions by which these challenges may be overcome.

  7. Carbonaceous Asteroid Volatile Recovery (CAVoR) system, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — The Carbonaceous Asteroid Volatile Recovery (CAVoR) system produces water and hydrogen-rich syngas for propellant production, life support consumables, and...

  8. A home for body and soul: substance using women in recovery.

    Science.gov (United States)

    Kruk, Edward; Sandberg, Kathryn

    2013-12-20

    We report on an in-depth qualitative study of 28 active and former substance addicted women of low or marginal income on the core components of a harm reduction-based addiction recovery program. These women volunteered to be interviewed about their perceptions of their therapeutic needs in their transition from substance addiction to recovery. Data were gathered about women's experiences and essential needs in addiction recovery, what helped and what hindered their past efforts in recovery, and their views of what would constitute an effective woman-centred recovery program. The research was based upon the experience and knowledge of the women in interaction with their communities and with recovery programs. The study was informed by harm reduction practice principles that emphasize the importance of individual experience in knowledge construction, reduction of harm, low threshold access, and the development of a hierarchy of needs in regard to addiction recovery. Three core needs were identified by study participants: normalization and structure, biopsychosocial-spiritual safety, and social connection. What hindered recovery efforts as identified by participants was an inner urban location, prescriptive recovery, invidious treatment, lack of safety, distress-derived distraction, problem-focused treatment, coercive elements of mutual support groups, and social marginalization. What helped included connection in counselling and therapy, multidisciplinary service provision, spirituality focus, opportunities for learning and work, and a safe and flexible structure. Core components of an effective recovery program identified by women themselves stand in contrast to the views of service providers and policymakers, particularly in regard to the need for a rural location for residential programs, low threshold access, multidisciplinary service provision of conventional and complementary modalities and therapies for integrated healing, long-term multi-phase recovery, and

  9. 77 FR 1095 - Sunshine Act Meeting

    Science.gov (United States)

    2012-01-09

    ... provisions of the Government in the Sunshine Act, Public Law 94-409, that the Securities and Exchange... 2012 budget of the Public Company Accounting Oversight Board and will consider the related annual accounting support fee for the Board under Section 109 of the Sarbanes-Oxley Act of 2002. Commissioner...

  10. Poststroke Trajectories: The Process of Recovery Over the Longer Term Following Stroke.

    Science.gov (United States)

    Hawkins, Rebecca J; Jowett, Adam; Godfrey, Mary; Mellish, Kirste; Young, John; Farrin, Amanda; Holloway, Ivana; Hewison, Jenny; Forster, Anne

    2017-01-01

    We adopted a grounded theory approach to explore the process of recovery experienced by stroke survivors over the longer term who were living in the community in the United Kingdom, and the interacting factors that are understood to have shaped their recovery trajectories. We used a combination of qualitative methods. From the accounts of 22 purposively sampled stroke survivors, four different recovery trajectories were evident: (a) meaningful recovery, (b) cycles of recovery and decline, (c) ongoing disruption, (d) gradual, ongoing decline. Building on the concept of the illness trajectory, our findings demonstrate how multiple, interacting factors shape the process and meaning of recovery over time. Such factors included conception of recovery and meanings given to the changing self, the meanings and consequences of health and illness experiences across the life course, loss, sense of agency, and enacting relationships. Awareness of the process of recovery will help professionals better support stroke survivors.

  11. Diagram of the Water Recovery and Management for the International Space Station

    Science.gov (United States)

    2000-01-01

    This diagram shows the flow of water recovery and management in the International Space Station (ISS). The Environmental Control and Life Support System (ECLSS) Group of the Flight Projects Directorate at the Marshall Space Flight Center is responsible for the regenerative ECLSS hardware, as well as providing technical support for the rest of the system. The regenerative ECLSS, whose main components are the Water Recovery System (WRS), and the Oxygen Generation System (OGS), reclaims and recycles water oxygen. The ECLSS maintains a pressurized habitation environment, provides water recovery and storage, maintains and provides fire detection/ suppression, and provides breathable air and a comfortable atmosphere in which to live and work within the ISS. The ECLSS hardware will be located in the Node 3 module of the ISS.

  12. 78 FR 73525 - Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) or Superfund...

    Science.gov (United States)

    2013-12-06

    ... Conservation and Recovery Act (RCRA). Many state programs also offer accompanying financial incentive programs... states and tribes that have the management and administrative capacity within their government required... identify the institutional controls relied on in the remedy and include relevant information concerning the...

  13. Salmon recovery planning using the VELMA model

    Science.gov (United States)

    We developed a set of tools to provide decision support for community-based salmon recovery planning in Pacific Northwest watersheds. This seminar describes how these tools are being integrated and applied in collaboration with Puget Sound tribes and community stakeholders to add...

  14. Development of a stable uranium recovery regulatory framework for uranium recovery activities in the United States

    International Nuclear Information System (INIS)

    Layton, M.C.; Abrams, C.E.

    2000-01-01

    The U.S. Nuclear Regulatory Commission (NRC) has historically regulated operations at all uranium and thorium recovery facilities under the authority of the Atomic Energy Act of 1954, as amended. Uranium recovery facilities are those plants, or portions of facilities that process uranium- or thorium-bearing material primarily for its source material content. The uranium recovery industry expressed some concerns over several aspects of the NRC's practices, as described in the NRC's guidance documents. In April 1998, the National Mining Association submitted a report to the Commission, that identified specific concerns with NRC's current position and guidance regarding concurrent jurisdiction at uranium mills; dual regulatory authority at in situ leach facilities; the use of mill tailings impoundments for disposal of radioactive material other than 11e.(2) byproduct material; and the ability to process alternate feed material at uranium mills. The NRC staff addressed most of these concerns in two SECY (staff recommendations) papers that were concurrently provided to the Commission, along with a SECY paper on a draft rulemaking plan relating to these and other issues. The issues addressed in these papers included a new rulemaking, disposal of materials other than 11 e.(2) byproduct material, processing of materials other than natural ores, and improved efficiency for regulating in situ leach uranium facilities. The Commission issued final policy decisions on these issues and directions for NRC staff to implement those decisions in July 2000. (author)

  15. Recovery of neurofilament following early monocular deprivation

    Directory of Open Access Journals (Sweden)

    Timothy P O'Leary

    2012-04-01

    Full Text Available A brief period of monocular deprivation in early postnatal life can alter the structure of neurons within deprived-eye-receiving layers of the dorsal lateral geniculate nucleus. The modification of structure is accompanied by a marked reduction in labeling for neurofilament, a protein that composes the stable cytoskeleton and that supports neuron structure. This study examined the extent of neurofilament recovery in monocularly deprived cats that either had their deprived eye opened (binocular recovery, or had the deprivation reversed to the fellow eye (reverse occlusion. The degree to which recovery was dependent on visually-driven activity was examined by placing monocularly deprived animals in complete darkness (dark rearing. The loss of neurofilament and the reduction of soma size caused by monocular deprivation were both ameliorated equally following either binocular recovery or reverse occlusion for 8 days. Though monocularly deprived animals placed in complete darkness showed recovery of soma size, there was a generalized loss of neurofilament labeling that extended to originally non-deprived layers. Overall, these results indicate that recovery of soma size is achieved by removal of the competitive disadvantage of the deprived eye, and occurred even in the absence of visually-driven activity. Recovery of neurofilament occurred when the competitive disadvantage of the deprived eye was removed, but unlike the recovery of soma size, was dependent upon visually-driven activity. The role of neurofilament in providing stable neural structure raises the intriguing possibility that dark rearing, which reduced overall neurofilament levels, could be used to reset the deprived visual system so as to make it more ameliorable with treatment by experiential manipulations.

  16. Transitions from biomedical to recovery-oriented practices in mental health: a scoping review to explore the role of Internet-based interventions.

    Science.gov (United States)

    Strand, Monica; Gammon, Deede; Ruland, Cornelia M

    2017-04-07

    The Internet is transforming mental health care services by increasing access to, and potentially improving the quality of, care. Internet-based interventions in mental health can potentially play a role in transitions from biomedical to recovery-oriented research and practices, but an overview of what this may entail, current work, and issues that need addressing, is lacking. The objective of this study is to describe Internet-based recovery-oriented interventions (referred to as e-recovery) and current research, and to identify gaps and issues relevant to advancing recovery research and practices through opportunities provided by the Internet. Five iterative stages of a scoping review framework were followed in searching and analyzing the literature. A recovery framework with four domains and 16 themes was used to deductively code intervention characteristics according to their support for recovery-oriented practices. Only Internet-based interventions used in conjunction with ongoing care were included. Twenty studies describing six e-recovery interventions were identified and originated in Australia, Finland, the Netherlands, Norway and USA. The domain supporting personal recovery was most clearly reflected in interventions, whereas the last three domains, i.e., promoting citizenship, organizational commitment and working relationship were less evident. Support for the formulation and follow-up of personal goals and preferences, and in accessing peer-support, were the characteristics shared by most interventions. Three of the six studies that employed a comparison group used randomization, and none presented definitive findings. None used recovery-oriented frameworks or specific recovery outcome measures. Four of the interventions were specific to a diagnosis. Research about how technologies might aid in illuminating and shaping recovery processes is in its formative stages. We recommend that future e-recovery research and innovation attend to four dimensions

  17. Development of a recovery education program for inpatient mental health providers.

    Science.gov (United States)

    Chen, Shu-Ping; Krupa, Terry; Lysaght, Rosemary; McCay, Elizabeth; Piat, Myra

    2014-12-01

    Mental health system transformation toward a recovery-orientation has created a demand for education to equip providers with recovery competencies. This report describes the development of a recovery education program designed specifically for inpatient providers. Part 1 of the education is a self-learning program introducing recovery concepts and a recovery competency framework; Part 2 is a group-learning program focusing on real-life dilemmas and applying the Appreciative Inquiry approach to address these clinical dilemmas. A pilot study with a pretest/posttest design was used to evaluate the program. Participants included 26 inpatient multidisciplinary providers from 3 hospitals. The results showed participants' improvement on recovery knowledge (z = -2.55, p = .011) after the self-learning program. Evaluations of the group-learning program were high (4.21 out of 5). These results support continued efforts to refine the program. Inpatient providers could use this program to lead interprofessional practice in promoting recovery. (c) 2014 APA, all rights reserved.

  18. Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial.

    Science.gov (United States)

    McKay, James R; Gustafson, David H; Ivey, Megan; McTavish, Fiona; Pe-Romashko, Klaren; Curtis, Brenda; Oslin, David A; Polsky, Daniel; Quanbeck, Andrew; Lynch, Kevin G

    2018-01-30

    New smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor. Telephone Monitoring and Counseling (TMC) has demonstrated efficacy in two randomized trials with alcohol-dependent patients. A-CHESS and TMC have complementary strengths. A-CHESS provides automated 24/7 recovery support services and frequent assessment of symptoms and status, but does not involve regular contact with a counselor. TMC provides regular and sustained contact with the same counselor, but no ongoing support between calls. The future of continuing care for alcohol use disorders is likely to involve automated mobile technology and counselor contact, but little is known about how best to integrate these services. To address this question, the study will feature a 2 × 2 design (A-CHESS for 12 months [yes/no] × TMC for 12 months [yes/no]), in which 280 alcohol-dependent patients in intensive outpatient programs (IOPs) will be randomized to one of the four conditions and followed for 18 months. We will determine whether adding TMC to A-CHESS produces fewer heavy drinking days than TMC or A-CHESS alone and test for TMC and A-CHESS main effects. We will determine the costs of each of the four conditions and the incremental cost-effectiveness of the three active conditions. Analyses will also examine secondary outcomes, including a biological measure of alcohol use, and hypothesized moderation and mediation effects. The results of the study will yield important information on improving patient alcohol use outcomes by integrating mobile

  19. Active Recovery After High-Intensity Interval-Training Does Not Attenuate Training Adaptation

    Directory of Open Access Journals (Sweden)

    Thimo Wiewelhove

    2018-04-01

    Full Text Available Objective: High-intensity interval training (HIIT can be extremely demanding and can consequently produce high blood lactate levels. Previous studies have shown that lactate is a potent metabolic stimulus, which is important for adaptation. Active recovery (ACT after intensive exercise, however, enhances blood lactate removal in comparison with passive recovery (PAS and, consequently, may attenuate endurance performance improvements. Therefore, the aim of this study was to examine the influence of regular ACT on training adaptations during a HIIT mesocycle.Methods: Twenty-six well-trained male intermittent sport athletes (age: 23.5 ± 2.5 years; O2max: 55.36 ± 3.69 ml min kg-1 participated in a randomized controlled trial consisting of 4 weeks of a running-based HIIT mesocycle with a total of 12 HIIT sessions. After each training session, participants completed 15 min of either moderate jogging (ACT or PAS. Subjects were matched to the ACT or PAS groups according to age and performance. Before the HIIT program and 1 week after the last training session, the athletes performed a progressive incremental exercise test on a motor-driven treadmill to determine O2max, maximum running velocity (vmax, the running velocity at which O2max occurs (vO2max, and anaerobic lactate threshold (AT. Furthermore, repeated sprint ability (RSA were determined.Results: In the whole group the HIIT mesocycle induced significant or small to moderate changes in vmax (p < 0.001, effect size [ES] = 0.65,, vO2max (p < 0.001, ES = 0.62, and AT (p < 0.001, ES = 0.56 compared with the values before the intervention. O2max and RSA remained unchanged throughout the study. In addition, no significant differences in the changes were noted in any of the parameters between ACT and PAS except for AT (p < 0.05, ES = 0.57.Conclusion: Regular use of individualized ACT did not attenuate training adaptations during a HIIT mesocycle compared to PAS. Interestingly, we found that the ACT

  20. Sharing data under the 21st Century Cures Act.

    Science.gov (United States)

    Majumder, Mary A; Guerrini, Christi J; Bollinger, Juli M; Cook-Deegan, Robert; McGuire, Amy L

    2017-12-01

    On 13 December 2016, President Obama signed the 21st Century Cures Act ("the Act") into law. Many of its provisions support the creation of an "Information Commons," an ecosystem of separate but interconnected initiatives that facilitate open and responsible sharing of genomic and other data for research and clinical purposes. For example, the Act supports the National Institutes of Health in mandating data sharing, provides funding and guidance for the large national cohort program now known as All of Us, expresses congressional support for a global pediatric study network, and strengthens patient access to health information. The Act also addresses potential barriers to data sharing. For example, it makes the issuance of certificates of confidentiality automatic for federally funded research involving "identifiable, sensitive" information and strengthens the associated protections. At the same time, the Act exacerbates or neglects several challenges, for example, increasing complexity by adding a new definition of "identifiable" and failing to address the financial sustainability of data sharing and the scope of commercialization. In sum, the Act is a positive step, yet there is still much work to be done before the goals of broad data sharing and utilization can be achieved.

  1. Acceptance and Avoidance Processes at Different Levels of Psychological Recovery from Enduring Mental Illness.

    Science.gov (United States)

    Siqueira, Vinicius R; Oades, Lindsay G

    2015-01-01

    Objective. This study examined the use of psychological acceptance and experiential avoidance, two key concepts of Acceptance and Commitment Therapy (ACT), in the psychological recovery process of people with enduring mental illness. Method. Sixty-seven participants were recruited from the metropolitan, regional, and rural areas of New South Wales, Australia. They all presented some form of chronic mental illness (at least 12 months) as reflected in DSM-IV Axis I diagnostic criteria. The Acceptance and Action Questionnaire (AAQ-19) was used to measure the presence of psychological acceptance and experiential avoidance; the Recovery Assessment Scale (RAS) was used to examine the levels of psychological recovery; and the Scales of Psychological Well-Being was used to observe if there are benefits in utilizing psychological acceptance and experiential avoidance in the recovery process. Results. An analysis of objectively quantifiable measures found no clear correlation between the use of psychological acceptance and recovery in mental illness as measured by the RAS. The data, however, showed a relationship between psychological acceptance and some components of recovery, thereby demonstrating its possible value in the recovery process. Conclusion. The major contribution of this research was the emerging correlation that was observed between psychological acceptance and positive levels of psychological well-being among individuals with mental illness.

  2. Resource Conservation and Recovery Act, Part B, Permit Application

    International Nuclear Information System (INIS)

    1991-01-01

    This report is part of the permit application for the WIPP facility. Appendices are presented on the following: the design validation final report; sampling of volatile organic compounds which may be emitted from waste binss, site supplementary roof support system, and studies on wind and tornado probabilities

  3. Implementing recovery: an analysis of the key technologies in Scotland

    Science.gov (United States)

    2011-01-01

    Background Over the past ten years the promotion of recovery has become a stated aim of mental health policies within a number of English speaking countries, including Scotland. Implementation of a recovery approach involves a significant reorientation of mental health services and practices, which often poses significant challenges for reformers. This article examines how four key technologies of recovery have assisted in the move towards the creation of a recovery-oriented mental health system in Scotland. Methods Drawing on documentary analysis and a series of interviews we examine the construction and implementation of four key recovery 'technologies' as they have been put to use in Scotland: recovery narratives, the Scottish Recovery Indicator (SRI), Wellness Recovery Action Planning (WRAP) and peer support. Results Our findings illuminate how each of these technologies works to instantiate, exemplify and disseminate a 'recovery orientation' at different sites within the mental health system in order to bring about a 'recovery oriented' mental health system. They also enable us to identify some of the factors that facilitate or hinder the effectiveness of those technologies in bringing about a change in how mental health services are delivered in Scotland. These finding provide a basis for some general reflections on the utility of 'recovery technologies' to implement a shift towards recovery in mental health services in Scotland and elsewhere. Conclusions Our analysis of this process within the Scottish context will be valuable for policy makers and service coordinators wishing to implement recovery values within their own national mental health systems. PMID:21569633

  4. Implementing recovery: an analysis of the key technologies in Scotland

    Directory of Open Access Journals (Sweden)

    Sturdy Steve

    2011-05-01

    Full Text Available Abstract Background Over the past ten years the promotion of recovery has become a stated aim of mental health policies within a number of English speaking countries, including Scotland. Implementation of a recovery approach involves a significant reorientation of mental health services and practices, which often poses significant challenges for reformers. This article examines how four key technologies of recovery have assisted in the move towards the creation of a recovery-oriented mental health system in Scotland. Methods Drawing on documentary analysis and a series of interviews we examine the construction and implementation of four key recovery 'technologies' as they have been put to use in Scotland: recovery narratives, the Scottish Recovery Indicator (SRI, Wellness Recovery Action Planning (WRAP and peer support. Results Our findings illuminate how each of these technologies works to instantiate, exemplify and disseminate a 'recovery orientation' at different sites within the mental health system in order to bring about a 'recovery oriented' mental health system. They also enable us to identify some of the factors that facilitate or hinder the effectiveness of those technologies in bringing about a change in how mental health services are delivered in Scotland. These finding provide a basis for some general reflections on the utility of 'recovery technologies' to implement a shift towards recovery in mental health services in Scotland and elsewhere. Conclusions Our analysis of this process within the Scottish context will be valuable for policy makers and service coordinators wishing to implement recovery values within their own national mental health systems.

  5. Illness management and recovery (IMR) in Danish community mental health centres

    DEFF Research Database (Denmark)

    Dalum, Helle Stentoft; Korsbek, Lisa; Mikkelsen, John Hagel

    2011-01-01

    Background: Schizophrenia and bipolar disorder are severe mental illnesses that can have a significant disabling impact on the lives of people. Psychosocial interventions that stress hope and recovery as a part of a multidimensional approach are possibly indicated to support people with severe...... mental illness in facilitating recovery. Illness Management and Recovery (IMR) is a curriculum-based psychosocial intervention designed as structured program with a recovery-oriented approach. The aim of IMR is to rehabilitate people with severe mental illnesses by helping them acquire knowledge...... and skills in managing their illness and achieve personal recovery goals. Previous randomised clinical trials indicate that IMR can be implemented with a good effect and a high fidelity though further trials are crucial to demonstrate the potential effectiveness of IMR. Methods/Design: The trial design...

  6. Bioeconomic analysis supports the endangered species act.

    Science.gov (United States)

    Salau, Kehinde R; Fenichel, Eli P

    2015-10-01

    The United States Endangered Species Act (ESA) was enacted to protect and restore declining fish, wildlife, and plant populations. The ESA mandates endangered species protection irrespective of costs. This translates to the restriction of activities that harm endangered populations. We discuss criticisms of the ESA in the context of public land management and examine under what circumstance banning non-conservation activity on multiple use federal lands can be socially optimal. We develop a bioeconomic model to frame the species management problem under the ESA and identify scenarios where ESA-imposed regulations emerge as optimal strategies. Results suggest that banning harmful activities is a preferred strategy when valued endangered species are in decline or exposed to poor habitat quality. However, it is not optimal to sustain such a strategy in perpetuity. An optimal plan involves a switch to land-use practices characteristic of habitat conservation plans.

  7. Enhanced recovery after elective colorectal surgery: now the standard of care.

    LENUS (Irish Health Repository)

    Andrews, E J

    2011-09-01

    Enhanced recovery programmes have been studied in randomised trials with evidence of quicker recovery of gut function, reduced morbidity, mortality and hospital stay and improved physiological and nutritional outcomes. They aim to reduce the physiological and psychological stress of surgery and consequently the uncontrolled stress response. The key elements, reduced pre-operative fasting, intravenous fluid restriction and early feeding after surgery, are in conflict with traditional management plans but are supported by strong clinical evidence. Given the strength of the current data enhanced recovery should now be the standard of care.

  8. 77 FR 9266 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Pistoia Alliance...

    Science.gov (United States)

    2012-02-16

    ... filed for the purpose of extending the Act's provisions limiting the recovery of antitrust plaintiffs to... LLC, San Diego, CA; Unilever (UK) Central Resources Limited, London, United Kingdom; Ian Harrow...

  9. Undocumented & Unafraid: The DREAM Act 5 and the Public Disclosure of Undocumented Status as a Political Act

    Science.gov (United States)

    Galindo, Rene

    2012-01-01

    In 2010, the political advocacy of undocumented immigrant students in support of the DREAM Act took a new and decisive direction when the public disclosure of undocumented status as political act was adopted. This new political strategy included the first case of civil disobedience practiced by a group of undocumented immigrant students now known…

  10. 77 FR 30871 - Implementing the Prison Rape Elimination Act

    Science.gov (United States)

    2012-05-23

    ...--Implementing the Prison Rape Elimination Act Proclamation 8823--Armed Forces Day, 2012 #0; #0; #0; Presidential... Prison Rape Elimination Act Memorandum for the Heads of Executive Departments and Agencies Sexual... Rape Elimination Act of 2003 (PREA) was enacted with bipartisan support and established a ``zero...

  11. Reflections on Hip Fracture Recovery From Older Adults Enrolled in a Clinical Trial

    Directory of Open Access Journals (Sweden)

    Sarah Stott-Eveneshen MA

    2017-03-01

    Full Text Available This study describes patients’ perspectives on recovery during participation in a randomized controlled trial that tested a postoperative hip fracture management program (B4 Clinic, compared with usual care, on mobility. Semistructured qualitative interviews were conducted with 50 older adults with hip fracture (from both groups twice over 12 months. A total of 32 women (64% and 18 men (36% participated in the study with a mean age at baseline of 82 (range = 65-98 years. A total of 40 participants reported recovery goals at some point during their recovery from hip fracture but only 18 participants realized their goals within 12 months. Recovering mobility, returning to prefracture activities, and obtaining stable health were the most commonly reported goals. Participants described good social support, access to physiotherapy, and positive perspective as most important to recovery. These factors were influenced by participants’ knowledge, resources, and monthly contact with study staff (perceived as a form of social support. The most frequently reported barriers to participants’ recovery were the onset of complications, pain, and limited access to physiotherapy. Potential implications of these findings include design and modification of new or preexisting fracture programs, prioritizing patient engagement and enhanced knowledge for future clinical research in hip fracture recovery.

  12. Work stress, poor recovery and burnout in teachers.

    Science.gov (United States)

    Gluschkoff, K; Elovainio, M; Kinnunen, U; Mullola, S; Hintsanen, M; Keltikangas-Järvinen, L; Hintsa, T

    2016-10-01

    Both work stress and poor recovery have been shown to contribute to the development of burnout. However, the role of recovery as a mediating mechanism that links work stress to burnout has not been sufficiently addressed in research. To examine recovery as a mediator in the relationship between work stress and burnout among teachers. A cross-sectional study of Finnish primary school teachers, in whom burnout was measured with the Maslach Burnout Inventory-General Survey and work stress was conceptualized using the effort-reward imbalance (ERI) model. Recovery was measured with the Recovery Experience Questionnaire and the Jenkins Sleep Problems Scale. Multiple linear regression analyses and bootstrap mediation analyses adjusted for age, gender and total working hours were performed. Among the 76 study subjects, high ERI was associated with burnout and its dimensions of exhaustion, cynicism and reduced professional efficacy. Poor recovery experiences, in terms of low relaxation during leisure time, partially mediated the relationship between ERI and reduced professional efficacy. Sleep problems, in the form of non-restorative sleep, partially mediated the relationship between ERI and both burnout and exhaustion. Supporting a balance between effort and reward at work may enhance leisure time recovery and improve sleep quality, as well as help to reduce burnout rates. © The Author 2016. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Need satisfaction and employees' recovery state at work: A daily diary study.

    Science.gov (United States)

    van Hooff, Madelon L M; Geurts, Sabine A E

    2015-07-01

    The present study aimed to advance insight in the associations between employees' daily effort expenditure at work and their recovery state during the workday, and specifically focused on the role of daily work-related need satisfaction in this process. We examined (a) if high intrinsic work motivation and low self-control effort act as mediating mechanisms underlying the beneficial role of need satisfaction, and (b) to what extent need satisfaction mitigates the adverse effects of high job demands (work pressure and cognitive demands) on employee recovery. Data were collected by means of a 5-day daily diary study (2 measurements daily: in the morning before work, and at the end of the workday) among 68 participants. Multilevel analyses showed that need satisfaction at work was related to a beneficial recovery state at the end of the workday, and that this association was mediated by high intrinsic work motivation and low self-control effort. Furthermore, need satisfaction attenuated the adverse effects of high work pressure on employee recovery. All in all, this study increased our understanding of employees' daily effort and recovery processes at work, and highlighted the beneficial role of need satisfaction at work. (c) 2015 APA, all rights reserved).

  14. Species-level persistence probabilities for recovery and conservation status assessment.

    Science.gov (United States)

    Che-Castaldo, Judy P; Neel, Maile C

    2016-12-01

    Recovery planning for species listed under the U.S. Endangered Species Act has been hampered by a lack of consistency and transparency, which can be improved by implementing a standardized approach for evaluating species status and developing measurable recovery criteria. However, managers lack an assessment method that integrates threat abatement and can be used when demographic data are limited. To help meet these needs, we demonstrated an approach for evaluating species status based on habitat configuration data. We applied 3 established persistence measures (patch occupancy, metapopulation capacity, and proportion of population lost) to compare 2 conservation strategies (critical habitat designated by the U.S. Fish and Wildlife Service and the Forest Service's Carbonate Habitat Management Strategy) and 2 threat scenarios (maximum limestone mining, removal of all habitat in areas with mining claims; minimum mining, removal of habitat only in areas with existing operations and high-quality ore) against a baseline of existing habitat for 3 federally listed plant species. Protecting all area within the designated critical habitat maintained a similar level (83.9-99.9%) of species persistence as the baseline, whereas maximum mining greatly reduced persistence (0.51-38.4% maintained). The 3 persistence measures provided complementary insights reflecting different aspects of habitat availability (total area, number of patches, patch size, and connectivity). These measures can be used to link recovery criteria developed following the 3 R principles (representation, redundancy, and resilience) to the resulting improvements in species viability. By focusing on amount and distribution of habitat, our method provides a means of assessing the status of data-poor species to inform decision making under the Endangered Species Act. © 2016 Society for Conservation Biology.

  15. Recovery in SoccerPart II—Recovery Strategies

    OpenAIRE

    Nedelec, Mathieu; McCall, Alan; Carling, Chris; Legall, Franck; Berthoin, Serge; Dupont, Grégory

    2013-01-01

    International audience; In the formerly published part I of this two-part review, we examined fatigue after soccer matchplay and recovery kinetics of physical performance, and cognitive, subjective and biological markers. To reduce the magnitude of fatigue and to accelerate the time to fully recover after completion, several recovery strategies are now used in professional soccer teams. During congested fixture schedules, recovery strategies are highly required to alleviate post-match fatigue...

  16. TANZANIA'S 2002 RECORDS AND ARCHIVES MANAGEMENT ACT

    African Journals Online (AJOL)

    However, some critical areas that need serious revisiting include supporting the Act with adequate resources, training, provisions on electronic records and records created by Union Government. The paper recommends facilitation of ample resources, training on the Act, reduction of power of director of the Records and ...

  17. The MIntAct project—IntAct as a common curation platform for 11 molecular interaction databases

    Science.gov (United States)

    Orchard, Sandra; Ammari, Mais; Aranda, Bruno; Breuza, Lionel; Briganti, Leonardo; Broackes-Carter, Fiona; Campbell, Nancy H.; Chavali, Gayatri; Chen, Carol; del-Toro, Noemi; Duesbury, Margaret; Dumousseau, Marine; Galeota, Eugenia; Hinz, Ursula; Iannuccelli, Marta; Jagannathan, Sruthi; Jimenez, Rafael; Khadake, Jyoti; Lagreid, Astrid; Licata, Luana; Lovering, Ruth C.; Meldal, Birgit; Melidoni, Anna N.; Milagros, Mila; Peluso, Daniele; Perfetto, Livia; Porras, Pablo; Raghunath, Arathi; Ricard-Blum, Sylvie; Roechert, Bernd; Stutz, Andre; Tognolli, Michael; van Roey, Kim; Cesareni, Gianni; Hermjakob, Henning

    2014-01-01

    IntAct (freely available at http://www.ebi.ac.uk/intact) is an open-source, open data molecular interaction database populated by data either curated from the literature or from direct data depositions. IntAct has developed a sophisticated web-based curation tool, capable of supporting both IMEx- and MIMIx-level curation. This tool is now utilized by multiple additional curation teams, all of whom annotate data directly into the IntAct database. Members of the IntAct team supply appropriate levels of training, perform quality control on entries and take responsibility for long-term data maintenance. Recently, the MINT and IntAct databases decided to merge their separate efforts to make optimal use of limited developer resources and maximize the curation output. All data manually curated by the MINT curators have been moved into the IntAct database at EMBL-EBI and are merged with the existing IntAct dataset. Both IntAct and MINT are active contributors to the IMEx consortium (http://www.imexconsortium.org). PMID:24234451

  18. Neuropharmacology of Poststroke Motor and Speech Recovery.

    Science.gov (United States)

    Keser, Zafer; Francisco, Gerard E

    2015-11-01

    Almost 7 million adult Americans have had a stroke. There is a growing need for more effective treatment options as add-ons to conventional therapies. This article summarizes the published literature for pharmacologic agents used for the enhancement of motor and speech recovery after stroke. Amphetamine, levodopa, selective serotonin reuptake inhibitors, and piracetam were the most commonly used drugs. Pharmacologic augmentation of stroke motor and speech recovery seems promising but systematic, adequately powered, randomized, and double-blind clinical trials are needed. At this point, the use of these pharmacologic agents is not supported by class I evidence. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Interdependent recovery of adults with schizophrenia: Asian American consumer perspectives of family involvement and influence.

    Science.gov (United States)

    Lee, Karen Kyeunghae; Yamada, Ann-Marie; Kim, Min Ah; Dinh, Tam Q

    2015-09-01

    Family involvement is important in the recovery experience of culturally diverse adults with schizophrenia. However, little is known about the influence of family among consumers purported to have close family ties without regular contact. This study explored Asian American consumers' views about family relationships and participation in their recovery. Secondary analysis of qualitative data from a larger project was conducted to explore family related themes of 8 Asian Americans receiving services from recovery-focused programs in urban Southern California. Most consumers described their family support as adequate while simultaneously reporting limited family involvement. Asia-born and U.S.-born Asian consumers varied in describing family support, suggesting providers consider nativity in culturally responsive service delivery. Families need not be present to affect the perspectives of Asian Americans receiving recovery-oriented services. The extent of family influences on recovery, beyond the initial determination of current family contact, requires further exploration. (c) 2015 APA, all rights reserved).

  20. Aggregation Tool to Create Curated Data albums to Support Disaster Recovery and Response

    Science.gov (United States)

    Ramachandran, Rahul; Kulkarni, Ajinkya; Maskey, Manil; Bakare, Rohan; Basyal, Sabin; Li, Xiang; Flynn, Shannon

    2014-01-01

    recovery efforts. The search process for the analyst could be made much more efficient and productive if a tool could go beyond a typical search engine and provide not just links to web sites but actual links to specific data relevant to the natural disaster, parse unstructured reports for useful information nuggets, as well as gather other related reports, summaries, news stories, and images. This presentation will describe a semantic aggregation tool developed to address similar problem for Earth Science researchers. This tool provides automated curation, and creates "Data Albums" to support case studies. The generated "Data Albums" are compiled collections of information related to a specific science topic or event, containing links to relevant data files (granules) from different instruments; tools and services for visualization and analysis; information about the event contained in news reports, and images or videos to supplement research analysis. An ontology-based relevancy-ranking algorithm drives the curation of relevant data sets for a given event. This tool is now being used to generate a catalog of Hurricane Case Studies at Global Hydrology Resource Center (GHRC), one of NASA's Distribute Active Archive Centers. Another instance of the Data Albums tool is currently being created in collaboration with NASA/MSFC's SPoRT Center, which conducts research on unique NASA products and capabilities that can be transitioned to the operational community to solve forecast problems. This new instance focuses on severe weather to support SPoRT researchers in their model evaluation studies

  1. A Thermal Energy Recovery System and its Applications in Building (A Short Comunication

    Directory of Open Access Journals (Sweden)

    Afsane Chavoshani

    2016-01-01

    Full Text Available In this paper a heat recovery system from oil heater as a water heater is proposed and analyzed. The potential of heat recovery is studied technically and economically. A model was built and experiments on it are discussed. Recovery of waste heat from the oil heater stack and its application in building is proven to be economically beneficial. The most part of this apparatus was a double-walled tanks and oil heater stack act as firebox for water heater. This tank with 200 liters volume was made of galvanized iron sheets and painted with black color for adsorption of solar radiation. The tank of water heater was filled with 12-15○C water. Sampling was performed at 8 in the morning to 8 at night during one week. The analysis results show that the heat recovery system is recognized as a well option for the examined residential building from both economic and environmental points of view. With the operation considering optimal economic benefits, cost is reduced by about 50%. With maximizing the environmental advantages, CO2 emissions are decreased.

  2. Ongoing Recovery Basic Information Tool (ORBIT)

    Science.gov (United States)

    Oberg, Donald

    1993-01-01

    The Federal Drug Free Work Place Program (DFWP) has now matured to the point of being able to return employees to sensitive testing designated positions (TDP) after completion of treatment of their addiction. The known tendency of addicted individuals to suffer multiple relapses prior to their final recovery has resulted in several positive urine tests (relapses) occurring among those Federal employees who have already completed treatment and who have been returned to TDP's. The very real potential for further relapses occurring after additional employees return to TDP's will be a critical factor in the ultimate success of the DFWP and in the public's impression of the program's effectiveness. In response to this concern, NASA has begun development of its Ongoing Recovery Basic Information Tool (ORBIT) instrument. The aim of the NASA ORBIT is to provide Employee Assistance Program (EAP) professionals with an advanced clinical tool which will be helpful in supporting recovery from substance abuse and which will allow more accurate determinations of when clients may be successfully returned to sensitive positions.

  3. An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges.

    Science.gov (United States)

    Frost, Barry G; Tirupati, Srinivasan; Johnston, Suzanne; Turrell, Megan; Lewin, Terry J; Sly, Ketrina A; Conrad, Agatha M

    2017-01-17

    Over past decades, improvements in longer-term clinical and personal outcomes for individuals experiencing serious mental illness (SMI) have been moderate, although recovery has clearly been shown to be possible. Recovery experiences are inherently personal, and recovery can be complex and non-linear; however, there are a broad range of potential recovery contexts and contributors, both non-professional and professional. Ongoing refinement of recovery-oriented models for mental health (MH) services needs to be fostered. This descriptive paper outlines a service-wide Integrated Recovery-oriented Model (IRM) for MH services, designed to enhance personally valued health, wellbeing and social inclusion outcomes by increasing access to evidenced-based psychosocial interventions (EBIs) within a service context that supports recovery as both a process and an outcome. Evolution of the IRM is characterised as a series of five broad challenges, which draw together: relevant recovery perspectives; overall service delivery frameworks; psychiatric and psychosocial rehabilitation approaches and literature; our own clinical and service delivery experience; and implementation, evaluation and review strategies. The model revolves around the person's changing recovery needs, focusing on underlying processes and the service frameworks to support and reinforce hope as a primary catalyst for symptomatic and functional recovery. Within the IRM, clinical rehabilitation (CR) practices, processes and partnerships facilitate access to psychosocial EBIs to promote hope, recovery, self-agency and social inclusion. Core IRM components are detailed (remediation of functioning; collaborative restoration of skills and competencies; and active community reconnection), together with associated phases, processes, evaluation strategies, and an illustrative IRM scenario. The achievement of these goals requires ongoing collaboration with community organisations. Improved outcomes are achievable for

  4. From recovery values to recovery-oriented practice?

    DEFF Research Database (Denmark)

    Dalum, Helle; Pedersen, Inge Kryger; Cunningham, Harry

    2015-01-01

    Introduction: The recovery model has influenced mental health services and fostered new standards for best practice. However, knowledge about how mental health care professionals (HCPs) experience recoveryoriented programs is sparse. Aim/Question: This paper explores HCPs' experiences when...... facilitating a recovery-oriented rehabilitation program. The research question is howdo HCPs experience a change in their attitude and practicewhen applying recovery-oriented programs? Methods: This paper draws on semi-structured in-depth qualitative interviews conducted with 16 HCPs experienced...... in facilitating a recovery-oriented rehabilitation program in either the USA or Denmark. Results: Three themes emerged from the HCPs' reflections on changes in attitudes and practices: “Hopeful Attitude” captures a change in the HCPs' attitude toward a more positive view on the future for clients' living...

  5. An Overview of the Advanced CompuTational Software (ACTS)Collection

    Energy Technology Data Exchange (ETDEWEB)

    Drummond, Leroy A.; Marques, Osni A.

    2005-02-02

    The ACTS Collection brings together a number of general-purpose computational tools that were developed by independent research projects mostly funded and supported by the U.S. Department of Energy. These tools tackle a number of common computational issues found in many applications, mainly implementation of numerical algorithms, and support for code development, execution and optimization. In this article, we introduce the numerical tools in the collection and their functionalities, present a model for developing more complex computational applications on top of ACTS tools, and summarize applications that use these tools. Lastly, we present a vision of the ACTS project for deployment of the ACTS Collection by the computational sciences community.

  6. Recovery efficiency test project, Phase 2 activity report. Volume 2, Final report

    Energy Technology Data Exchange (ETDEWEB)

    Overbey, W.K. Jr.; Salamy, S.P.; Locke, C.D.

    1989-02-01

    The Recovery Efficiency Test well project addressed a number of technical issues. The primary objective was to determine the increased efficiency of gas recovery of a long horizontal wellbore over that of a vertical wellbore and, more specifically, what improvements can be expected from inducing multiple hydraulic fractures from such a wellbore. This volume contains appendices for: (1) supporting material and procedures for ``data frac`` stimulation of zone 6 using nitrogen and nitrogen foam; (2) supporting material and procedures for stimulation no. 1 nitrogen gas frac on zone no. 1; (3) supporting material and procedures for stimulation no. 2 in zone no. 1 using liquid CO{sub 2}; (4) supporting material and procedures for frac no. 3 on zone no.1 using nitrogen foam and proppant; (5) supporting material and procedures for stimulation no. 4 in zones 2--3 and 4 using nitrogen foam and proppant; (6) supporting materials and procedures for stimulation no. 5 in zones 5 and 8; and (7) fracture diagnostics reports and supporting materials.

  7. ABI3 mediates dehydration stress recovery response in Arabidopsis thaliana by regulating expression of downstream genes.

    Science.gov (United States)

    Bedi, Sonia; Sengupta, Sourabh; Ray, Anagh; Nag Chaudhuri, Ronita

    2016-09-01

    ABI3, originally discovered as a seed-specific transcription factor is now implicated to act beyond seed physiology, especially during abiotic stress. In non-seed plants, ABI3 is known to act in desiccation stress signaling. Here we show that ABI3 plays a role in dehydration stress response in Arabidopsis. ABI3 gene was upregulated during dehydration stress and its expression was maintained during subsequent stress recovery phases. Comparative gene expression studies in response to dehydration stress and stress recovery were done with genes which had potential ABI3 binding sites in their upstream regulatory regions. Such studies showed that several genes including known seed-specific factors like CRUCIFERIN1, CRUCIFERIN3 and LEA-group of genes like LEA76, LEA6, DEHYDRIN LEA and LEA-LIKE got upregulated in an ABI3-dependent manner, especially during the stress recovery phase. ABI3 got recruited to regions upstream to the transcription start site of these genes during dehydration stress response through direct or indirect DNA binding. Interestingly, ABI3 also binds to its own promoter region during such stress signaling. Nucleosomes covering potential ABI3 binding sites in the upstream sequences of the above-mentioned genes alter positions, and show increased H3 K9 acetylation during stress-induced transcription. ABI3 thus mediates dehydration stress signaling in Arabidopsis through regulation of a group of genes that play a role primarily during stress recovery phase. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. Exploring the focus and experiences of smartphone applications for addiction recovery.

    Science.gov (United States)

    Savic, Michael; Best, David; Rodda, Simone; Lubman, Dan I

    2013-01-01

    Addiction recovery Smartphone applications (apps) (n = 87) identified on the Google Play store in 2012 were coded, along with app user reviews, to explore functions, foci, and user experiences. Content analysis revealed that apps typically provided information on recovery, as well as content to enhance motivation, promote social support and tools to monitor progress. App users commented that the apps helped to inform them, keep them focussed, inspire them, and connect them with other people and groups. Because few addiction recovery apps appear to have been formally evaluated, further research is needed to ascertain their effectiveness as stand-alone or adjunctive interventions.

  9. 'Everyone here wants everyone else to get better': The role of social identity in eating disorder recovery.

    Science.gov (United States)

    McNamara, Niamh; Parsons, Harriet

    2016-12-01

    Retention of a positively valued illness identity contributes to poor outcomes for individuals with eating disorders (EDs). Consequently, dis-identification from the illness identity and the adoption of a recovery identity are vital for successful recovery. While social identity processes have been shown to influence ED maintenance, their role in recovery is rarely considered. This study explores how a sense of shared identity helps individuals with EDs manage their condition and promotes recovery. Transcripts from 18 online support sessions involving 75 participants were thematically analysed. Our findings suggest that the illness identity initially operates as a social identity that forms the basis for connections with similar others. For those wishing to recover, identity-based support is then perceived to be more effective than that found outside the group. Online interactions also facilitate construction of a new shared recovery identity which promotes a shift from the illness identity as a primary source of definition and endorses group norms of illness disclosure and treatment engagement. While in the clinical literature, ED identity is seen as problematic and interventions are targeted at challenging an individual's self-concept, we suggest that interventions could instead harness identity resources to support a transition to a recovery identity. © 2016 The British Psychological Society.

  10. Imaging network level language recovery after left PCA stroke.

    Science.gov (United States)

    Sebastian, Rajani; Long, Charltien; Purcell, Jeremy J; Faria, Andreia V; Lindquist, Martin; Jarso, Samson; Race, David; Davis, Cameron; Posner, Joseph; Wright, Amy; Hillis, Argye E

    2016-05-11

    The neural mechanisms that support aphasia recovery are not yet fully understood. Our goal was to evaluate longitudinal changes in naming recovery in participants with posterior cerebral artery (PCA) stroke using a case-by-case analysis. Using task based and resting state functional magnetic resonance imaging (fMRI) and detailed language testing, we longitudinally studied the recovery of the naming network in four participants with PCA stroke with naming deficits at the acute (0 week), sub acute (3-5 weeks), and chronic time point (5-7 months) post stroke. Behavioral and imaging analyses (task related and resting state functional connectivity) were carried out to elucidate longitudinal changes in naming recovery. Behavioral and imaging analysis revealed that an improvement in naming accuracy from the acute to the chronic stage was reflected by increased connectivity within and between left and right hemisphere "language" regions. One participant who had persistent moderate naming deficit showed weak and decreasing connectivity longitudinally within and between left and right hemisphere language regions. These findings emphasize a network view of aphasia recovery, and show that the degree of inter- and intra- hemispheric balance between the language-specific regions is necessary for optimal recovery of naming, at least in participants with PCA stroke.

  11. Peer support and peer-led family support for persons living with schizophrenia.

    Science.gov (United States)

    Duckworth, Kenneth; Halpern, Lisa

    2014-05-01

    Peer support and peer-led family psychoeducation represent two distinct and complementary recovery-oriented models to support individuals who live with schizophrenia and their families, respectively. The goals of these models focus on improving knowledge, coping, self-care, social support, and self-management strategies. These models represent important capacity-building strategies for people who live with the illness and the people who love them. This brief article is intended to provide the practicing clinician, person living with schizophrenia, and policy maker with a working knowledge of the current state of the literature in these two related fields. Practitioners should consider these resources and integrate them into their care. A person living with schizophrenia could use this review to advocate for appropriate resources and to identify career opportunities. Policy makers could benefit from an understanding of the literature to mitigate financial and cultural barriers to adopting these practices. The last 5 years have seen a dramatic expansion of the application of randomized controlled trials (RCTs) to give evidence to match the experience of people in these programs. The field has seen Wellness Recovery Action Plan (WRAP) named as evidence-based practice by the National Registry of Evidence-Based Practices. A RCT was also conducted for another peer-developed and led program called Building Recovery of Individual Dreams & Goals through Education & Support. Family to Family, the largest peer-led family psychoeducation course, was also found to have significant impact after the study and also 6 months later in RCT. Family to Family has also been named as an evidence-based practice. The field of people who are living well with schizophrenia working as resources and supports to others living with the illness is an idea that is growing momentum. This momentum has been matched by the RCT evidence. Peer support as a professional role has an emerging literature

  12. What Factors Influence Employee Service Recovery Performance and What Are the Consequences in Health Care?

    Science.gov (United States)

    Nadiri, Halil; Tanova, Cem

    2016-01-01

    We analyzed the extent to which the service recovery performance of frontline employees in private health care institutions is influenced by employee perceptions of manager attitudes toward service quality, workplace support, and manager fairness and organizational commitment. We also examined the relationship of service recovery performance to employee job satisfaction and turnover intentions. Partial least square path modeling of data from 178 frontline employees in private health care institutions in North Cyprus was utilized. Although empowerment and role clarity were positively related to service recovery performance, perceived managerial attitudes toward hospital customer service, teamwork, and customer service-oriented training as indicators of workplace support were not related to frontline employees' service recovery performance. Organizational justice was related to affective commitment, which in turn was related to service recovery performance. Although service recovery performance was not related to employee turnover intentions, it was related to job satisfaction. Managerial implications of these study findings are presented in the light of the cognitive evaluation theory. Health services differ from other service organizations in the way that intrinsic and extrinsic rewards influence the service recovery efforts of frontline employees. To ensure high quality services, managers should focus on intrinsic rewards, empower and give more autonomy to staff.

  13. ESPRIT: Exercise Sensing and Pose Recovery Inference Tool, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to develop ESPRIT: an Exercise Sensing and Pose Recovery Inference Tool, in support of NASA's effort in developing crew exercise technologies for...

  14. People, Aid and institutions in socio-economic recovery

    NARCIS (Netherlands)

    Hilhorst, Thea; Weijs, Bart; Haar, van der Gemma

    2017-01-01

    An estimated 2 billion people live in countries affected by fragility, conflict and violence. Extreme poverty is increasingly concentrated in these areas, and governments and international agencies seek avenues to enable socio-economic recovery and to support people as they try to rebuild their

  15. Complying with the Federal Facilities Compliance Act

    International Nuclear Information System (INIS)

    Pavetto, C.S.; Watmore, A.S.

    1994-01-01

    The Federal Facilities Compliance Act (FFCA), signed into law on October 6, 1992, amended the Resource Conservation and Recovery Act (RCRA) to place significant additional environmental compliance responsibilities on federal facilities. The federal government has expressly waived sovereign immunity regarding hazardous waste enforcement action taken against these facilities by the states and the EPA. An exception exists for mixed waste violations. The FFCA defines mixed waste as hazardous waste, as defined by RCRA, combined with source, special nuclear or by-product material that is subject to the Atomic Energy Act of 1954. As the majority owner of mixed waste in the United States, the Department of Energy (DOE) must satisfy several new requirements under the FFCA for their facilities. This paper reviews the FFCA's requirements and how they apply to and may affect the DOE and other federal facilities. Included in the review are responsibilities of federal agencies involved and the role of the EPA and the states. In addition, this paper discusses the intent of the FFCA to encourage development of federal facility agreements (FFA) between federal agencies, the EPA and state environmental regulatory agencies

  16. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Fiscal Year 2015 (October 2014-September 2015), Revision 0

    International Nuclear Information System (INIS)

    Matthews, Patrick

    2016-01-01

    This report serves as the combined annual report for post-closure activities for the following closed corrective action units (CAUs); CAU 90, Area 2 Bitcutter Containment; CAU 91, Area 3 U-3fi Injection Well; CAU 92, Area 6 Decon Pond Facility; CAU 110, Area 3 WMD U-3ax/bl Crater; CAU 111, Area 5 WMD Retired Mixed Waste Pits; and CAU 112, Area 23 Hazardous Waste Trenches. This report covers fiscal year 2015 (October 2014 through September 2015). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and are summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report.

  17. Messages of Hope: Using Positive Stories of Survival to Assist Recovery in Rwanda

    Directory of Open Access Journals (Sweden)

    Girish Lala

    2014-08-01

    Full Text Available For the past twenty years, the overriding story of Rwanda has been centred around the events and consequences of the genocide. In Rwanda, public expressions of that story have occurred in the gacaca courts, where survivors and perpetrators testified about their experiences and actions, during ongoing annual remembrance and mourning commemorations, and in memorial sites across the country that act as physical reminders of the genocide. While important as mechanisms for justice, testimony, and commemoration, on their own such events and installations also have the potential to re-traumatise. Accordingly, Rwandan agencies have encouraged a focus on the future as the overarching theme of recent national commemorations. Yet, opportunities for Rwandans to recount and disseminate positive, future-oriented stories of survival and healing remain sparse. Creation and awareness of positive stories have the potential to assist in recovery by increasing feelings of hope and efficacy; and recent research has demonstrated the value of hopefulness, well-being, and social support for vulnerable people. The Messages of Hope program seeks to leverage those ideas into a framework for generating positive messages by Rwandan survivors, providing an opportunity for everyday Rwandans to record and transmit their own positive stories of survival to demonstrate recovery and growth after the genocide, and to reinforce connectedness by sharing their challenges and aspirations. We describe the development and early implementation of this initiative and its potential longer-term application in other contexts of vulnerability.

  18. 75 FR 6231 - Securities Act of 1933; Securities Exchange Act of 1934; Order Regarding Review of FASB...

    Science.gov (United States)

    2010-02-08

    ...; Securities Exchange Act of 1934; Order Regarding Review of FASB Accounting Support Fee for 2010 Under Section...'s accounting support fee for calendar year 2010. In connection with its review, the Commission also... contributions from the accounting profession. After its review, the Commission determined that the 2010 annual...

  19. Role of disposal in developing Federal Facility Compliance Act mixed waste treatment plans

    International Nuclear Information System (INIS)

    Case, J.T.; Rhoderick, J.

    1994-01-01

    The Federal Facilities Compliance Act (FFCA) was enacted on October 6, 1992. This act amends the Solid Waste Disposal Act, which was previously amended by the Resource Conservation and Recovery Act (RCRA). The FFCA set in place a process for managing the Department of Energy's (DOE) mixed low-level radioactive wastes (MLLW), wastes that contain both hazardous and low-level radioactive constituents, with full participation of the affected states. The FFCA provides the framework for the development of treatment capacity for DOE's mixed waste. Disposal of the treatment residues is not addressed by the FFCA. DOE has initiated efforts in concert with the states in the development of a disposal strategy for the treated mixed wastes. This paper outlines DOE efforts in development of a mixed waste disposal strategy which is integrated with the FFCA Site Treatment Planning process

  20. MSWI Bottom Ash Characterization and Resource Recovery Potential Assessment.

    Czech Academy of Sciences Publication Activity Database

    Šyc, Michal; Kameníková, Petra; Krausová, Aneta; Zach, Boleslav; Pohořelý, Michael; Svoboda, Karel; Punčochář, Miroslav

    2015-01-01

    Roč. 2, č. 36 (2015), s. 79-84 ISSN 1640-4902 R&D Projects: GA TA ČR TE02000236 Institutional support: RVO:67985858 Keywords : MSWI * bottom ash * metal recovery Subject RIV: CI - Industrial Chemistry, Chemical Engineering

  1. Low perceived social support and post-myocardial infarction prognosis in the enhancing recovery in coronary heart disease clinical trial: the effects of treatment.

    Science.gov (United States)

    Burg, Matthew M; Barefoot, John; Berkman, Lisa; Catellier, Diane J; Czajkowski, Susan; Saab, Patrice; Huber, Marc; DeLillo, Vicki; Mitchell, Pamela; Skala, Judy; Taylor, C Barr

    2005-01-01

    In post hoc analyses, to examine in low perceived social support (LPSS) patients enrolled in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) clinical trial (n = 1503), the pattern of social support following myocardial infarction (MI), the impact of psychosocial intervention on perceived support, the relationship of perceived support at the time of MI to subsequent death and recurrent MI, and the relationship of change in perceived support 6 months after MI to subsequent mortality. Partner status (partner, no partner) and score (12 = moderate support) on the ENRICHD Social Support Instrument (ESSI) were used post hoc to define four levels of risk. The resulting 4 LPSS risk groups were compared on baseline characteristics, changes in social support, and medical outcomes to a group of concurrently enrolled acute myocardial infarction patients without depression or LPSS (MI comparison group, n = 408). Effects of treatment assignment on LPSS and death/recurrent MI were also examined. All 4 LPSS risk groups demonstrated improvement in perceived support, regardless of treatment assignment, with a significant treatment effect only seen in the LPSS risk group with no partner and moderate support at baseline. During an average 29-month follow-up, the combined end point of death/nonfatal MI was 10% in the MI comparison group and 23% in the ENRICHD LPSS patients; LPSS conferred a greater risk in unadjusted and adjusted models (HR = 1.74-2.39). Change in ESSI score and/or improvement in perceived social support were not found to predict subsequent mortality. Baseline LPSS predicted death/recurrent MI in the ENRICHD cohort, independent of treatment assignment. Intervention effects indicated a partner surrogacy role for the interventionist and the need for a moderate level of support at baseline for the intervention to be effective.

  2. Illness management and recovery (IMR) in Danish community mental health centres

    DEFF Research Database (Denmark)

    Dalum, Helle Stentoft; Korsbek, Lisa; Mikkelsen, John Hagel

    2011-01-01

    is a randomised, assessor-blinded, multi-centre, clinical trial of the IMR program compared with treatment as usual for 200 participants diagnosed with schizophrenia or bipolar disorder under the care of two community mental health centres in the Capital Region of Denmark. The primary outcome is level......Background: Schizophrenia and bipolar disorder are severe mental illnesses that can have a significant disabling impact on the lives of people. Psychosocial interventions that stress hope and recovery as a part of a multidimensional approach are possibly indicated to support people with severe...... mental illness in facilitating recovery. Illness Management and Recovery (IMR) is a curriculum-based psychosocial intervention designed as structured program with a recovery-oriented approach. The aim of IMR is to rehabilitate people with severe mental illnesses by helping them acquire knowledge...

  3. 76 FR 9767 - Nationwide Categorical Waivers Under Section 1605 (Buy American) of the American Recovery and...

    Science.gov (United States)

    2011-02-22

    ... accurate colors under multiple lighting setups are required); (5) Global Positioning System (GPS) Time... multiple lighting setups are required); (5) Global Positioning System (GPS) Time Source Modules (to serve... the Recovery Act. Authority: Pub. L. 111-5, section 1605. Issued in Washington, DC on January 19, 2011...

  4. Push-off reactions in recovery after tripping discriminate young subjects, older non-fallers and older fallers.

    Science.gov (United States)

    Pijnappels, Mirjam; Bobbert, Maarten F; van Dieën, Jaap H

    2005-06-01

    Tripping is a major cause for falls, especially in the elderly. This study investigated whether falls in the elderly can be attributed to inadequate push-off reactions by the support limb in the recovery after a trip. Twelve young (20-34 years) and eleven older (65-72 years) men and women walked over a platform and were tripped several times over an obstacle that suddenly appeared from the floor. Kinematics and ground reactions forces of the support limb during push-off were measured of falls and successful recoveries. Young subjects did not fall. The older subjects were divided into a group of four non-fallers and seven fallers. Older fallers showed insufficient reduction of the angular momentum during push-off and less proper placement of the recovery limb. This was due to a lower rate of change of moment generation in all support limb joints and a lower peak ankle moment. Onset of knee moment generation was slightly delayed in older fallers. Improvement over trials was ascribed to better positioning of the recovery limb, as no clear differences were seen in the joint moments of the support limb. In conclusion, the contribution of the support limb to prevent a fall after tripping is decreased in older adults. Lower limb strength could be an underlying factor and strength training might help to reduce fall risk.

  5. Recovery, as Experienced by Women with Borderline Personality Disorder.

    Science.gov (United States)

    Larivière, Nadine; Couture, Élise; Blackburn, Catherine; Carbonneau, Manon; Lacombe, Christophe; Schinck, Shella-Ann; David, Pierre; St-Cyr-Tribble, Denise

    2015-12-01

    Studies examining recovery through the service users' perspectives have mainly included persons with schizophrenia or bipolar disorder. Giving voice to those with borderline personality disorder (BPD) would enrich our understanding of recovery, as their specific experiences may bring new dimensions, obstacles and facilitators. The objective of this study was to qualitatively capture the experience of recovery in women with BPD. Participants were women between 18 and 65 years old who had a diagnosis of BPD and completed at least 2 years in a program for persons with BPD. During the first meeting, they produced a picture collage, followed by an interview on their experience of recovery. The second meeting was a phone interview to discuss new thoughts. In addition, their medical records were reviewed. A thematic analysis of the interviews was conducted and organized with the Person-Environment-Occupation model. Although recovery was not the best term to name their experience, they all talked about a process towards stability and wellbeing (n = 12). Dimensions of recovery included, for example, letting go of the past (person), being involved in meaningful activities (occupation) and having healthy relationships (environment). Facilitators included social support and participation in a specialized therapy program. The main obstacle was unstable family relationships. The findings from this study showed similar dimensions to previous recovery studies, new perspectives on certain dimensions, as well as new ones. They also reinforced the importance to incorporate intervention outcomes that target the person with BPD, their social environment and meaningful occupations.

  6. Asymmetric anode and cathode extraction structure fast recovery diode

    Science.gov (United States)

    Xie, Jiaqiang; Ma, Li; Gao, Yong

    2018-05-01

    This paper presents an asymmetric anode structure and cathode extraction fast and soft recovery diode. The device anode is partial-heavily doped and partial-lightly doped. The P+ region is introduced into the cathode. Firstly, the characteristics of the diode are simulated and analyzed. Secondly, the diode was fabricated and its characteristics were tested. The experimental results are in good agreement with the simulation results. The results show that, compared with the P–i–N diode, although the forward conduction characteristic of the diode is declined, the reverse recovery peak current is reduced by 47%, the reverse recovery time is shortened by 20% and the softness factor is doubled. In addition, the breakdown voltage is increased by 10%. Project supported by the National Natural Science Foundation of China (No. 51177133).

  7. Double-Shell Tanks System Maintenance and Recovery Needs Report

    International Nuclear Information System (INIS)

    SMITH, D.F.

    2002-01-01

    This report represents an initial effort to identify maintenance equipment needed to support critical components used for delivery of waste feed to the Waste Isolation and Treatment Plant (WTP). Rough estimates of cost benefits for selected maintenance capabilities are provided. A follow-on to this report should include a detailed cost analysis showing cost benefits and tradeoffs in selection and development of specific maintenance capabilities. Critical component failures during delivery of waste feed from the DSTs to the WTP have the potential to idle WTP facilities if the duration of the recovery operations are long enough to allow the WTP to exhaust a planned 60-day lag storage capacity for waste feed. If a critical component within the transfer route fails, current planning does not provide for an alternative HLW feed source. Critical components with relatively high failure frequencies and recovery times are identified, along with a summary of documentation regarding historical maintenance and recovery operations and planning. Components, such as mixer pumps and transfer pumps, are estimated to have relatively long recovery times due, in part, to the current practice of sending spare pumps, when needed, off-site to a remote location, for vendor refurbishment and testing prior to installation in a tank. No capability is provided on-site for pump ''run-in''. As neither the spare pumps in storage, installed pumps, or other critical components are subjected to periodic preventive maintenance, and these critical components are planned to be operated intermittently over a long period of time, component failures are to be expected. Recommendations are made for further analysis to identify specific equipment cost benefits, development costs, and tradeoffs in selection of alternatives. This new equipment will provide capabilities for component storage and maintenance in line with vendor recommendations, reduce the duration of recovery operations, and support personnel

  8. Activities of the Oil Implementation Task Force; Contracts for field projects and supporting research on enhanced oil recovery, July--September 1990

    Energy Technology Data Exchange (ETDEWEB)

    Tiedemann, H.A. (ed.) (USDOE Bartlesville Project Office, OK (USA))

    1991-05-01

    The report contains a general introduction and background to DOE's revised National Energy Strategy Advanced Oil Recovery Program and activities of the Oil Implementation Task Force; a detailed synopsis of the symposium, including technical presentations, comments and suggestions; a section of technical information on deltaic reservoirs; and appendices containing a comprehensive listing of references keyed to general deltaic and geological aspects of reservoirs and those relevant to six selected deltaic plays. Enhanced recovery processes include chemical floodings, gas displacement, thermal recovery, geoscience, and microbial recovery.

  9. Technology strategy for enhanced recovery; Technology Target Areas; TTA3 - enhanced recovery

    Energy Technology Data Exchange (ETDEWEB)

    2007-07-01

    could probably be implemented with existing facilities and within the relevant time frame. The Research and development effort in the 1980's and early 1990's on chemical methods gained a lot of knowledge and expertise at the research institutes and in the oil companies. The new effort should be based on the existing knowledge, focus on pilot testing and field implementation, and redoing of work should be avoided. A lot of excellent work has been carried out on EOR for the NCS. The following main common challenges for all of the studied EOR methods have been identified and can be grouped in 3 main categories: 1. Recovery process understanding 2. Field recovery predictions 3. Pilots and field trials The recommendations from the enhanced recovery group (TTA3) are the following: ) There is a clear need for increased support for focussed projects over a wide range of EOR methods in order to achieve the high ambitions for reserve replacement and recovery factors that have been set for the NCS fields. The EOR share of the total PETROMAKS programme should be raised significantly above today's 7.5% of the PETROMAKS budge. Furthermore, high priority should be given to pilots on EOR methods and field trials and to launch EOR projects within Demo2000. There is today none EOR projects financed through Demo2000. ) A special initiative is recommended to generate and support projects for improved water flooding by the use of chemical additives (chemical flooding). A workshop seminar should be arranged to discuss specific Research and development projects in the area of water based EOR methods (chemical additives). ) Projects on sweep improvements for gas or WAG injection i.e. Foam Assisted WAG (FAWAG), especially related to field implementation should be encouraged. (Author)

  10. 7 CFR 1405.7 - Uruguay Round Agreements Act.

    Science.gov (United States)

    2010-01-01

    ... Uruguay Round Agreements Act. In the event the outlays by the United States for domestic support measures... level of domestic support provided by the United States complies with the commitments of the United...

  11. Groningen orthopaedic social support scale: Validity and reliability

    NARCIS (Netherlands)

    van den Akker-Scheek, I.; Stevens, M.; Spriensma, A.; van Horn, J.R.

    2004-01-01

    BACKGROUND: Social support is an important factor in the rehabilitation process, as it has a positive influence on patients' health, functioning and recovery. In particular, perceived social support and instrumental support are important after total hip or knee arthroplasty. However, nursing staff

  12. Dietetic- nutritional, physical and physiological recovery methods post-competition in team sports. A review.

    Science.gov (United States)

    Terrados, Nicolas; Mielgo-Ayuso, Juan; Delextrat, Anne; Ostojic, Sergej M; Calleja-González, Julio

    2018-03-27

    To a proper recovery, is absolutely necessary to know that athletes with enhanced recovery after maximal exercise are likely to perform better in sports. Recovery strategies are commonly used in team sports despite limited scientific evidence to support their effectiveness in facilitating optimal recovery and the players spend a much greater proportion of their time recovering than they do in training. According to authors, some studies investigated the effect of recovery strategies on physical performance in team sports, lack of experimental studies about the real origin of the fatigue, certify the need for further study this phenomenon. Thus, developing effective methods for helping athletes to recover is deemed essential. Therefore, the aim of this review is provide information for his practical application, based on scientific evidence about recovery in team sports.

  13. Recovery Act - Sustainable Transportation: Advanced Electric Drive Vehicle Education Program

    Energy Technology Data Exchange (ETDEWEB)

    Caille, Gary

    2013-12-13

    The collective goals of this effort include: 1) reach all facets of this society with education regarding electric vehicles (EV) and plug–in hybrid electric vehicles (PHEV), 2) prepare a workforce to service these advanced vehicles, 3) create web–based learning at an unparalleled level, 4) educate secondary school students to prepare for their future and 5) train the next generation of professional engineers regarding electric vehicles. The Team provided an integrated approach combining secondary schools, community colleges, four–year colleges and community outreach to provide a consistent message (Figure 1). Colorado State University Ventures (CSUV), as the prime contractor, plays a key program management and co–ordination role. CSUV is an affiliate of Colorado State University (CSU) and is a separate 501(c)(3) company. The Team consists of CSUV acting as the prime contractor subcontracted to Arapahoe Community College (ACC), CSU, Motion Reality Inc. (MRI), Georgia Institute of Technology (Georgia Tech) and Ricardo. Collaborators are Douglas County Educational Foundation/School District and Gooru (www.goorulearning.org), a nonprofit web–based learning resource and Google spin–off.

  14. Productivity and recovery of forage fish under climate change and fishing: North Sea sandeel as a case study

    DEFF Research Database (Denmark)

    Lindegren, Martin; van Deurs, Mikael; MacKenzie, Brian

    2018-01-01

    -east Atlantic, acting as a key prey for predatory fish and sea birds, as well as supporting a large commercial fishery. In this case study, we investigate the underlying factors affecting recruitment and how these in turn affect productivity of the North Sea sandeel using long-term data and modelling. Our...... results demonstrate how sandeel productivity in the central North Sea (Dogger Bank) depends on a combination of external and internal regulatory factors, including fishing and climate effects, as well as density dependence and food availability of the preferred zooplankton prey (Calanus finmarchicus...... and Temora longicornis). Furthermore, our model scenarios suggest that while fishing largely contributed to the abrupt stock decline during the late 1990s and the following period of low biomass, a complete recovery of the stock to the highly productive levels of the early 1980s would only be possible...

  15. 17 CFR 245.103 - Issuer right of recovery; right of action by equity security owner.

    Science.gov (United States)

    2010-04-01

    ..., conversion or termination of a derivative security) in violation of section 306(a)(1) of that Act of an... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Issuer right of recovery; right of action by equity security owner. 245.103 Section 245.103 Commodity and Securities Exchanges...

  16. Adolescents with anxiety and depression: is social recovery relevant?

    Science.gov (United States)

    Simonds, Laura M; Pons, Rebecca A; Stone, Nicola J; Warren, Fiona; John, Mary

    2014-01-01

    Social recovery has become a prominent aspect of mental health service design and delivery in the past decade. Much of the literature on social recovery is derived from first-person accounts or primary research with adult service users experiencing severe mental illness. There is a lack of both theoretical and empirical work that could inform consideration of how the concept of social recovery might apply to adolescents experiencing common (non-psychotic) mental health problems such as anxiety and depression. The current study was conducted to understand the process of experiencing anxiety and depression in young people. Semi-structured interviews were conducted with nine adolescents with anxiety and depression (seven girls and two boys aged 14-16 years) and 12 mothers who were recruited from a specialist Child and Adolescent Mental Health Service in the South of England. Thematic analysis indicated that young people do experience a process of 'recovery'; the processes participants described have some congruence with the earlier stages of adult recovery models involving biographical disruption and the development of new meanings, in this case of anxiety or depression, and changes in sense of identity. The accounts diverge with regard to later stages of adult models involving the development of hope and responsibility. The findings suggest that services should attend to social isolation and emphasise support for positive aspirations for future selves whilst also attending to young people's and parents' expectations about change. Methodological challenges face enquiry about 'recovery' given its connotations with cure in everyday language. Theoretical and empirical work on social recovery in young people and families is lacking. Using interviews, this study sought to understand the relevance of social recovery for adolescents with anxiety and depression and their mothers. Findings suggest some congruence with the earlier stages of adult recovery models involving

  17. Recovery from chemical, biological, and radiological incidents. Critical infrastructure and economic impact considerations

    Energy Technology Data Exchange (ETDEWEB)

    Franco, David Oliver [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Yang, Lynn I. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Hammer, Ann E. [Sandia National Lab. (SNL-CA), Livermore, CA (United States)

    2012-06-01

    To restore regional lifeline services and economic activity as quickly as possible after a chemical, biological or radiological incident, emergency planners and managers will need to prioritize critical infrastructure across many sectors for restoration. In parallel, state and local governments will need to identify and implement measures to promote reoccupation and economy recovery in the region. This document provides guidance on predisaster planning for two of the National Disaster Recovery Framework Recovery Support Functions: Infrastructure Systems and Economic Recovery. It identifies key considerations for infrastructure restoration, outlines a process for prioritizing critical infrastructure for restoration, and identifies critical considerations for promoting regional economic recovery following a widearea disaster. Its goal is to equip members of the emergency preparedness community to systematically prioritize critical infrastructure for restoration, and to develop effective economic recovery plans in preparation for a widearea CBR disaster.

  18. An Approach for Hydrogen Recycling in a Closed-loop Life Support Architecture to Increase Oxygen Recovery Beyond State-of-the-Art

    Science.gov (United States)

    Abney, Morgan B.; Miller, Lee; Greenwood, Zachary; Alvarez, Giraldo

    2014-01-01

    State-of-the-art atmosphere revitalization life support technology on the International Space Station is theoretically capable of recovering 50% of the oxygen from metabolic carbon dioxide via the Carbon Dioxide Reduction Assembly (CRA). When coupled with a Plasma Pyrolysis Assembly (PPA), oxygen recovery increases dramatically, thus drastically reducing the logistical challenges associated with oxygen resupply. The PPA decomposes methane to predominantly form hydrogen and acetylene. Because of the unstable nature of acetylene, a down-stream separation system is required to remove acetylene from the hydrogen stream before it is recycled to the CRA. A new closed-loop architecture that includes a PPA and downstream Hydrogen Purification Assembly (HyPA) is proposed and discussed. Additionally, initial results of separation material testing are reported.

  19. Resource recovery and reuse as an incentive for a more viable sanitation service chain

    Directory of Open Access Journals (Sweden)

    Krishna C. Rao

    2017-06-01

    Full Text Available Recovering nutrients, water and energy from domestic waste streams, including wastewater and faecal sludge, is slowly gaining momentum in low-income countries. Resource recovery and reuse (RRR offers value beyond environmental benefits through cost recovery. An expected game changer in sanitation service provision is a business model where benefits accrued via RRR can support upstream sanitation services despite the multitude of private and public stakeholders involved from waste collection to treatment. This paper shows options of how resource recovery and reuse can be an incentive for the sustainable sanitation service chain, by recovering costs where revenue can feed back internally or using generated revenues from reuse to fill financial gaps across the service chain to complement other supporting mechanisms for making waste management more attractive.

  20. Establishing endangered species recovery criteria using predictive simulation modeling

    Science.gov (United States)

    McGowan, Conor P.; Catlin, Daniel H.; Shaffer, Terry L.; Gratto-Trevor, Cheri L.; Aron, Carol

    2014-01-01

    Listing a species under the Endangered Species Act (ESA) and developing a recovery plan requires U.S. Fish and Wildlife Service to establish specific and measurable criteria for delisting. Generally, species are listed because they face (or are perceived to face) elevated risk of extinction due to issues such as habitat loss, invasive species, or other factors. Recovery plans identify recovery criteria that reduce extinction risk to an acceptable level. It logically follows that the recovery criteria, the defined conditions for removing a species from ESA protections, need to be closely related to extinction risk. Extinction probability is a population parameter estimated with a model that uses current demographic information to project the population into the future over a number of replicates, calculating the proportion of replicated populations that go extinct. We simulated extinction probabilities of piping plovers in the Great Plains and estimated the relationship between extinction probability and various demographic parameters. We tested the fit of regression models linking initial abundance, productivity, or population growth rate to extinction risk, and then, using the regression parameter estimates, determined the conditions required to reduce extinction probability to some pre-defined acceptable threshold. Binomial regression models with mean population growth rate and the natural log of initial abundance were the best predictors of extinction probability 50 years into the future. For example, based on our regression models, an initial abundance of approximately 2400 females with an expected mean population growth rate of 1.0 will limit extinction risk for piping plovers in the Great Plains to less than 0.048. Our method provides a straightforward way of developing specific and measurable recovery criteria linked directly to the core issue of extinction risk. Published by Elsevier Ltd.

  1. Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Fiscal Year 2015 (October 2014–September 2015), Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2016-03-01

    This report serves as the combined annual report for post-closure activities for the following closed corrective action units (CAUs); CAU 90, Area 2 Bitcutter Containment; CAU 91, Area 3 U-3fi Injection Well; CAU 92, Area 6 Decon Pond Facility; CAU 110, Area 3 WMD U-3ax/bl Crater; CAU 111, Area 5 WMD Retired Mixed Waste Pits; and CAU 112, Area 23 Hazardous Waste Trenches. This report covers fiscal year 2015 (October 2014 through September 2015). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and are summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report.

  2. 76 FR 186 - Notice of Buy American Waiver Under the American Recovery and Reinvestment Act of 2009

    Science.gov (United States)

    2011-01-03

    ... system set-up. 8. Pre-programmed with 150 channels for the existing facsimile stations world-wide and... successful operation world-wide. Eighteen (18) potential vendors were identified with only six (6... NATIONAL SCIENCE FOUNDATION Notice of Buy American Waiver Under the American Recovery and...

  3. 75 FR 11564 - Notice Pursuant to the National Cooperative Research and Production Act Of 1993-Telemanagement Forum

    Science.gov (United States)

    2010-03-11

    ... were filed for the purpose of extending the Act's provisions limiting the recovery of antitrust... computing and networking services, Amsterdam, NETHERLANDS; Sincera Consulting, LLC, Manchester, NH; SMI...-Enterprise, High Wycombe, Buckinghamshire, UNITED KINGDOM; Arismore, Saint-Cloud cedex, FRANCE; ASTELLIA...

  4. 75 FR 40014 - Privacy Act of 1974, as Amended; Proposed System of Records and Routine Use Disclosures

    Science.gov (United States)

    2010-07-13

    ...: Economic Recovery List (ERL) Database, Social Security Administration. SYSTEM CLASSIFICATION: None. SYSTEM... SOCIAL SECURITY ADMINISTRATION Privacy Act of 1974, as Amended; Proposed System of Records and Routine Use Disclosures AGENCY: Social Security Administration (SSA). ACTION: Proposed System of Records...

  5. Recovery Act: Geologic Sequestration Training and Research

    Energy Technology Data Exchange (ETDEWEB)

    Walsh, Peter; Esposito, Richard; Theodorou, Konstantinos; Hannon, Michael; Lamplugh, Aaron; Ellison, Kirk

    2013-06-30

    Work under the project entitled "Geologic Sequestration Training and Research," was performed by the University of Alabama at Birmingham and Southern Company from December 1, 2009, to June 30, 2013. The emphasis was on training of students and faculty through research on topics central to further development, demonstration, and commercialization of carbon capture, utilization, and storage (CCUS). The project had the following components: (1) establishment of a laboratory for measurement of rock properties, (2) evaluation of the sealing capacity of caprocks, (3) evaluation of porosity, permeability, and storage capacity of reservoirs, (4) simulation of CO{sub 2} migration and trapping in storage reservoirs and seepage through seal layers, (5) education and training of students through independent research on rock properties and reservoir simulation, and (6) development of an advanced undergraduate/graduate level course on coal combustion and gasification, climate change, and carbon sequestration. Four graduate students and one undergraduate student participated in the project. Two were awarded Ph.D. degrees for their work, the first in December 2010 and the second in August 2013. A third graduate student has proposed research on an advanced technique for measurement of porosity and permeability, and has been admitted to candidacy for the Ph.D. The fourth graduate student is preparing his proposal for research on CCUS and solid waste management. The undergraduate student performed experimental measurements on caprock and reservoir rock samples and received his B.S.M.E. degree in May 2012. The "Caprock Integrity Laboratory," established with support from the present project, is fully functional and equipped for measurement of porosity, permeability, minimum capillary displacement pressure, and effective permeability to gas in the presence of wetting phases. Measurements are made at ambient temperature and under reservoir conditions, including supercritical CO{sub 2

  6. Resource Conservation and Recovery Act, Part B permit application

    International Nuclear Information System (INIS)

    1993-01-01

    This volume contains appendices D4 through D17 which cover the following: Waste Isolation Pilot Plant site environmental report; ecological monitoring program at the Waste Isolation Pilot Plant; site characterization; regional and site geology and hydrology; general geology; dissolution features; ground water hydrology; typical carbon sorption bed efficiency; VOC monitoring plan for bin-room tests; chemical compatibility analysis of waste forms and container materials; probable maximum precipitation; WHIP supplementary roof support system room 1, panel 1; and corrosion risk assessment of the Waste Isolation Pilot Plant ''humid'' test bins

  7. Uncovering Recovery: The Resistible Rise of Recovery and Resilience

    Directory of Open Access Journals (Sweden)

    David Harper

    2012-10-01

    Full Text Available Discourses of recovery and resilience have risen to positions of dominance in the mental health field. Models of recovery and resilience enjoy purchase, in both policy and practice, across a range of settings from self-described psychiatric survivors through to mental health charities through to statutory mental health service providers. Despite this ubiquity, there is confusion about what recovery means. In this article we problematize notions of recovery and resilience, and consider what, if anything, should be recovered from these concepts. We focus on three key issues, i individualization, ii the persistence of a deficit model, and iii collective approaches to recovery. Through documentary analysis we consider these issues across third sector organizations, and public and mental health policy. Firstly, definitional debates about recovery reflect wider ideological debates about the nature of mental health. The vagueness of these concepts and implicit assumptions inherent in dominant recovery and resilience discourses render them problematic because they individualize what are social problems. Secondly, these discourses, despite being seen as inherently liberatory are conceptually dependent on a notion of deficit in that talk of “positives” and “strengths” requires the existence of “negatives” and “weaknesses” for these concepts to make sense.  We argue that this does little to substantially transform dominant understandings of psychological distress. Thirdly, these issues combine to impact upon the progressive potential of recovery. It comes to be seen as an individualistic experiential narrative accompaniment to medical understandings where the structural causes of distress are obscured. This in turn impacts upon the potential for recovery to be used to explore more collective, political aspects of emotional distress. Drawing on the work of Fraser, we use this critique to characterize “recovery” as a “struggle for

  8. Evaluation of a Residential Mental Health Recovery Service in North Queensland.

    Science.gov (United States)

    Heyeres, Marion; Kinchin, Irina; Whatley, Elise; Brophy, Lisa; Jago, Jon; Wintzloff, Thomas; Morton, Steve; Mosby, Vinitta; Gopalkrishnan, Narayan; Tsey, Komla

    2018-01-01

    Evidence shows that subacute mental health recovery occurs best when a person remains active within the community and fulfils meaningful and satisfying roles of their choosing. Several residential care services that incorporate these values have been established in Australia and overseas. This study describes (a) the development of an evaluation framework for a new subacute residential mental health recovery service in regional Australia and (b) reports on the formative evaluation outcomes. Continuous quality improvement and participatory research approaches informed all stages of the development of the evaluation framework. A program logic was established and subsequently tested for practicability. The resultant logic utilizes the Scottish Recovery Indicator 2 (SRI 2) service development tool, Individual Recovery Plans (IRPs), and the impact assessment of the service on psychiatric inpatient admissions (reported separately). Service strengths included a recovery-focused practice that identifies and addresses the basic needs of residents (consumers). The consumers of the service were encouraged to develop their own goals and self-manage their recovery plans. The staff of the service were identified as working effectively in the context of the recovery process; the staff were seen as supported and valued. Areas for improvement included more opportunities for self-management for residents and more feedback from residents and carers.

  9. Evaluation of a Residential Mental Health Recovery Service in North Queensland

    Directory of Open Access Journals (Sweden)

    Marion Heyeres

    2018-05-01

    Full Text Available BackgroundEvidence shows that subacute mental health recovery occurs best when a person remains active within the community and fulfils meaningful and satisfying roles of their choosing. Several residential care services that incorporate these values have been established in Australia and overseas.AimsThis study describes (a the development of an evaluation framework for a new subacute residential mental health recovery service in regional Australia and (b reports on the formative evaluation outcomes.MethodsContinuous quality improvement and participatory research approaches informed all stages of the development of the evaluation framework. A program logic was established and subsequently tested for practicability. The resultant logic utilizes the Scottish Recovery Indicator 2 (SRI 2 service development tool, Individual Recovery Plans (IRPs, and the impact assessment of the service on psychiatric inpatient admissions (reported separately.ResultsService strengths included a recovery-focused practice that identifies and addresses the basic needs of residents (consumers. The consumers of the service were encouraged to develop their own goals and self-manage their recovery plans. The staff of the service were identified as working effectively in the context of the recovery process; the staff were seen as supported and valued. Areas for improvement included more opportunities for self-management for residents and more feedback from residents and carers.

  10. Homologous Recombination as a Replication Fork Escort: Fork-Protection and Recovery

    Directory of Open Access Journals (Sweden)

    Audrey Costes

    2012-12-01

    Full Text Available Homologous recombination is a universal mechanism that allows DNA repair and ensures the efficiency of DNA replication. The substrate initiating the process of homologous recombination is a single-stranded DNA that promotes a strand exchange reaction resulting in a genetic exchange that promotes genetic diversity and DNA repair. The molecular mechanisms by which homologous recombination repairs a double-strand break have been extensively studied and are now well characterized. However, the mechanisms by which homologous recombination contribute to DNA replication in eukaryotes remains poorly understood. Studies in bacteria have identified multiple roles for the machinery of homologous recombination at replication forks. Here, we review our understanding of the molecular pathways involving the homologous recombination machinery to support the robustness of DNA replication. In addition to its role in fork-recovery and in rebuilding a functional replication fork apparatus, homologous recombination may also act as a fork-protection mechanism. We discuss that some of the fork-escort functions of homologous recombination might be achieved by loading of the recombination machinery at inactivated forks without a need for a strand exchange step; as well as the consequence of such a model for the stability of eukaryotic genomes.

  11. Case and Administrative Support Tools

    Science.gov (United States)

    Case and Administrative Support Tools (CAST) is the secure portion of the Office of General Counsel (OGC) Dashboard business process automation tool used to help reduce office administrative labor costs while increasing employee effectiveness. CAST supports business functions which rely on and store Privacy Act sensitive data (PII). Specific business processes included in CAST (and respective PII) are: -Civil Rights Cast Tracking (name, partial medical history, summary of case, and case correspondance). -Employment Law Case Tracking (name, summary of case). -Federal Tort Claims Act Incident Tracking (name, summary of incidents). -Ethics Program Support Tools and Tracking (name, partial financial history). -Summer Honors Application Tracking (name, home address, telephone number, employment history). -Workforce Flexibility Initiative Support Tools (name, alternative workplace phone number). -Resource and Personnel Management Support Tools (name, partial employment and financial history).

  12. Dietary Supplements for Health, Adaptation, and Recovery in Athletes.

    Science.gov (United States)

    Rawson, Eric S; Miles, Mary P; Larson-Meyer, D Enette

    2018-03-01

    Some dietary supplements are recommended to athletes based on data that supports improved exercise performance. Other dietary supplements are not ergogenic per se, but may improve health, adaptation to exercise, or recovery from injury, and so could help athletes to train and/or compete more effectively. In this review, we describe several dietary supplements that may improve health, exercise adaptation, or recovery. Creatine monohydrate may improve recovery from and adaptation to intense training, recovery from periods of injury with extreme inactivity, cognitive processing, and reduce severity of or enhance recovery from mild traumatic brain injury (mTBI). Omega 3-fatty acid supplementation may also reduce severity of or enhance recovery from mTBI. Replenishment of vitamin D insufficiency or deficiency will likely improve some aspects of immune, bone, and muscle health. Probiotic supplementation can reduce the incidence, duration, and severity of upper respiratory tract infection, which may indirectly improve training or competitive performance. Preliminary data show that gelatin and/or collagen may improve connective tissue health. Some anti-inflammatory supplements, such as curcumin or tart cherry juice, may reduce inflammation and possibly delayed onset muscle soreness (DOMS). Beta-hydroxy beta-methylbutyrate (HMB) does not consistently increase strength and/or lean mass or reduce markers of muscle damage, but more research on recovery from injury that includes periods of extreme inactivity is needed. Several dietary supplements, including creatine monohydrate, omega 3-fatty acids, vitamin D, probiotics, gelatin, and curcumin/tart cherry juice could help athletes train and/or compete more effectively.

  13. Processes of recovery through routine or specialist treatment for borderline personality disorder (BPD): a qualitative study.

    Science.gov (United States)

    Katsakou, Christina; Pistrang, Nancy; Barnicot, Kirsten; White, Hayley; Priebe, Stefan

    2017-07-04

    Recovery processes in borderline personality disorder (BPD) are poorly understood. This study explored how recovery in BPD occurs through routine or specialist treatment, as perceived by service users (SUs) and therapists. SUs were recruited from two specialist BPD services, three community mental health teams, and one psychological therapies service. Semi-structured interviews were conducted with 48 SUs and 15 therapists. The "framework" approach was used to analyse the data. The findings were organized into two domains of themes. The first domain described three parallel processes that constituted SUs' recovery journey: fighting ambivalence and committing to taking action; moving from shame to self-acceptance and compassion; and moving from distrust and defensiveness to opening up to others. The second domain described four therapeutic challenges that needed to be addressed to support this journey: balancing self-exploration and finding solutions; balancing structure and flexibility; confronting interpersonal difficulties and practicing new ways of relating; and balancing support and independence. Therapies facilitating the identified processes may promote recovery. The recovery processes and therapeutic challenges identified in this study could provide a framework to guide future research.

  14. Professionals' views on mental health service users' education: challenges and support.

    Science.gov (United States)

    Nieminen, I; Kaunonen, M

    2017-02-01

    WHAT IS KNOWN ON THE SUBJECT?: Mental health service users (MHSUs) may experience disruptions in their education. However, education has been shown to have a positive influence on their recovery, potentially offering them broader employment opportunities. The literature suggests that providing support for MHSUs in their educational efforts may be beneficial and is wished for by the service users themselves. However, there is a lack of mental health professionals' views on the topic in the setting of a community mental health centre. WHAT DOES THIS PAPER ADD TO THE EXISTING KNOWLEDGE?: In the perception of mental health professionals, the predominance of disease in the life of MHSUs and their marginalization may form barriers to their success in education. Professionals can support MHSUs in their educational efforts by strengthening the MHSUs' internal resources and creating a supportive environment with professional expertise available. A service user-centred education might further help MHSUs to achieve their educational goals. Our findings confirm previous knowledge of a recovery-oriented approach to supporting MHSUs' education. This study explored the topic from the professionals' perspective in the context of community mental health centres, which is a fresh view in the research literature. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings suggest which types of support professionals perceive to be required for MHSUs to advance their studies. Knowledge of adequate forms of support can be applied in the mental health nursing practice to develop support measures for service users to advance in their studies. All levels of the community mental health centres should be aware of and adopt a recovery-oriented approach. MHSUs and professionals need to have a shared opinion on the definition of recovery orientation. This requires mutual discussion and the more active involvement of MHSUs in the design of their own rehabilitation process. Introduction Studies show

  15. Stressful life events predict delayed functional recovery following treatment for mania in bipolar disorder.

    Science.gov (United States)

    Yan-Meier, Leslie; Eberhart, Nicole K; Hammen, Constance L; Gitlin, Michael; Sokolski, Kenneth; Altshuler, Lori

    2011-04-30

    Identifying predictors of functional recovery in bipolar disorder is critical to treatment efforts to help patients re-establish premorbid levels of role adjustment following an acute manic episode. The current study examined the role of stressful life events as potential obstacles to recovery of functioning in various roles. 65 patients with bipolar I disorder participated in a longitudinal study of functional recovery following clinical recovery from a manic episode. Stressful life events were assessed as predictors of concurrent vs. delayed recovery of role functioning in 4 domains (friends, family, home duties, work/school). Despite clinical recovery, a subset of patients experienced delayed functional recovery in various role domains. Moreover, delayed functional recovery was significantly associated with presence of one or more stressors in the prior 3 months, even after controlling for mood symptoms. Presence of a stressor predicted longer time to functional recovery in life domains, up to 112 days in work/school. Interventions that provide monitoring, support, and problem-solving may be needed to help prevent or mitigate the effects of stress on functional recovery. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  16. Routine methods for post-transportation accident recovery of spent fuel casks

    International Nuclear Information System (INIS)

    Shappert, L.B.; Pope, R.B.; Best, R.E.; Jones, R.H.

    1991-01-01

    Spent fuel casks and other large radioactive material packages have been examined to determine whether the designs are adequate to allow the casks to be recovered using conventional recovery methods following a transportation accident. Casks and similar packages are typically designed with, and handled by, trunnions that support the package during transport. These trunnions are considered the best cask feature with which to grapple the cask once it is no longer in its usual shipping mode. Following a transport accident, the trunnions may be buried or entangled so that they are not readily accessible to initiate the recovery process. To evaluate the effectiveness of applying traditional recovery methods to spent fuel casks, a workshop was held in which a series of accidents involving casks were postulated; the modes of transportation considered included truck, rail, and barge. These participants knowledgeable in transport, handling, and, in some cases, recovery of large, heavy containers attended. Participants concluded that the physical recovery of a cask involved in an accident, irrespective of where the accident occurs, would be a straightforward rigging operation and that the addition of specific recovery features (e.g., additional trunnions) to the cask appears unnecessary

  17. The lived experience of art making as a companion to the mental health recovery process.

    Science.gov (United States)

    Van Lith, Theresa; Fenner, Patricia; Schofield, Margot

    2011-01-01

    Art making is a common activity provided for consumers in mental health psychosocial rehabilitation services, yet there is little evidence available which examines its role in the recovery process. The current study inquires into mental health consumers' lived experiences of art making within psychosocial rehabilitation services and their views on how art making supports mental health recovery. This research used qualitative in-depth interviews to explore the role of art making in the mental health recovery journey. The sample comprised 18 consumer participants who attended art-based programs in two psychosocial services in Victoria, Australia. The 60-90 min interviews were analysed using interpretative phenomenological analysis. A total of 11 major themes were identified and organised into three areas: qualities conducive to the art making context, how the art making process benefits mental health recovery, and how the image or art product benefits mental health recovery. The 11 themes are described and illustrated from participant interviews. Consumers described art making as a transformative activity which enabled them to take greater control of their lives, resulting in feeling stronger, more confident, and more capable of driving their journey of recovery. The art product also served valuable roles in supporting their recovery. Art making is a highly valued activity by consumers, who suggest that innovative and strengths-based methods, such as art making, can facilitate recovery and self-expression. A key challenge for the field is to determine how such methods can be better integrated into mental health service delivery.

  18. From recovery to regulation: an attempt to reconceptualize 'recovery from work'.

    Science.gov (United States)

    Zijlstra, F R H; Cropley, M; Rydstedt, L W

    2014-08-01

    The concept of 'recovery' (from work) has quickly gained in importance in the occupational health literature. However, we think that the conceptualization of 'recovery' needs some more attention. Although many authors acknowledge that 'recovery' refers to a 'process', the concept is often treated as a static construct. In this paper, we argue that recovery should be conceptualized as a dynamic construct related to changes in psychophysiological state of the person. We refer to two main theories that have provided a theoretical framework for research in this area: Meijman & Mulder's Effort-Recovery (E-R) model and Hobfoll's Conservation of Resources theory. In particular, the E-R model has been seminal in this area and stresses the element of changing psychophysiological states that has been used for reconceptualising 'recovery'. Various biological rhythms influence these changing psychophysiological states, and thus the level of energy (or effort) a person can mobilize or wants to mobilize. A distinction is made between 'physical fatigue' and 'mental fatigue' and its consequences for recovery. The discrepancy between 'actual state' and 'required state' has been suggested as the basis for 'recovery'. This emphasises that recovery is a dynamic and ongoing process, which also included motivational aspects, in particular as far as mental work is concerned. The capacity to maintain self-regulation of one's psychophysiological state is important in this respect. Thus, we propose that 'recovery' is the continuous process of harmonizing the 'actual state' with the state that is 'required' at that moment. Copyright © 2014 John Wiley & Sons, Ltd.

  19. Recovery Act: Water Heater ZigBee Open Standard Wireless Controller

    Energy Technology Data Exchange (ETDEWEB)

    Butler, William P. [Emerson Electric Co., St. Louis, MO (United States); Buescher, Tom [Emerson Electric Co., St. Louis, MO (United States)

    2014-04-30

    The objective of Emerson's Water Heater ZigBee Open Standard Wireless Controller is to support the DOE's AARA priority for Clean, Secure Energy by designing a water heater control that levels out residential and small business peak electricity demand through thermal energy storage in the water heater tank.

  20. Healthy Libraries Develop Healthy Communities: Public Libraries and their Tremendous Efforts to Support the Affordable Care Act.

    Science.gov (United States)

    Collins, Lydia N

    This article is about the dedication of public library staff and my role as the Consumer Health Coordinator for the National Network of Libraries of Medicine, Middle Atlantic Region (NN/LM MAR) to support outreach efforts for health insurance enrollment under the Patient Protection and Affordable Care Act (ACA). ACA was created in order to ensure that all Americans have access to affordable health care. What we didn't know is that public libraries across the nation would play such an integral role in the health insurance enrollment process. The National Network of Libraries of Medicine (NN/LM) worked closely with public libraries in order to assist with this new role. As we approach the second enrollment and re-enrollment periods, public libraries are gearing up once again to assist with ACA.