WorldWideScience

Sample records for refuse fired energy

  1. Research report. Environmentally friendly energy community research business for Fujieda district (Refuse energy utilization); Fujieda chiku kankyo chowagata energy community chosa jigyo (haikibutsu energy riyo shisetsu) chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    An environmentally friendly refuse energy utilizing business, for which RDF (refuse derived fuel) produced out of wastes discharged by industries belonging to a Fujieda city environmental protection council will provide the heat source, is proposed by the said council. The proposal is subjected to a study, a basic plan is drafted, and a decision is made on its profitability. In the study, surveys are conducted on the actualities of wastes and of demand for heat, and specifications are worked out relating to transportation and storage of RDF, production of steam by an RDF-fired boiler, routing of pipes for transmitting the steam to the industries in the district, facility costs, operating costs, etc. It is found that the amount of RDF produced out of the wastes discharged by the council member industries is so small that it can meet the demand of only one industry and that, even if more wastes are collected from a wider area, the increased amount will but meet the demand of two industries and a hot water pool. It is found that the system will be economically feasible, however, if the shortage of RDF-generated energy is covered by an oil-fired boiler and thereby impartiality is established in steam distribution and steam production unit price is reduced. In view of the intensification of control over dioxin, etc., the business will be gaining profit in 2002 and after. (NEDO)

  2. Energy from refuse by bioconversion, fermentation and residue disposal processes

    Energy Technology Data Exchange (ETDEWEB)

    Pfeffer, J T; Liebman, J C

    1976-01-01

    Bioconversion of organic refuse to CH/sub 4/ by anaerobic fermentation is 1 mechanism by which the energy in urban waste can be reclaimed. Laboratory studies were made to determine the rate and amount of gas production at various operating temperatures. The dewatering characteristics of the spent fermentation slurry were evaluated. The spent solids can be dewatered to a sufficiently low moisture content such that incineration is self-sustaining. The incineration system was evaluated to determine the possible energy recovery from the spent cake. A process for treating the liquid blowdown from the system was developed. A mathematical simulation of the total system was constructed to evaluate performance under various operating conditions. A plant processing 908 tons of refuse/day will produce 3905 m/sup 3/ CH/sub 4//hr. Recovery of just CH/sub 4/ provides a 32.6% efficiency of energy recovery. This efficiency can be increased to 63.4% if steam from the incinerator can be sold.

  3. Feasibility of a medium-size central cogenerated energy facility, energy management memorandum

    Science.gov (United States)

    Porter, R. W.

    1982-09-01

    The thermal-economic feasibility was studied of a medium-size central cogenerated energy facility designed to serve five varied industries. Generation options included one dual-fuel diesel and one gas turbine, both with waste heat boilers, and five fired boilers. Fuels included natural gas, and for the fired-boiler cases, also low-sulphur coal and municipal refuse. The fired-boiler cogeneration systems employed back-pressure steam turbines. For coal and refuse, the option of steam only without cogeneration was also assessed. The refuse-fired cases utilized modular incinerators. The options provided for a wide range of steam and electrical capacities. Deficient steam was assumed generated independently in existing equipment. Excess electrical power over that which could be displaced was assumed sold to Commonwealth Edison Company under PURPA (Public Utility Regulator Policies Act). The facility was assumed operated by a mutually owned corporation formed by the cogenerated power users. The economic analysis was predicted on currently applicable energy-investment tax credits and accelerated depreciation for a January 1985 startup date. Based on 100% equity financing, the results indicated that the best alternative was the modular-incinerator cogeneration system.

  4. Ignition processes in the refuse bed of a refuse incineration plant. Gomi shokyakuro ni okeru gomi sonai no chakka katei

    Energy Technology Data Exchange (ETDEWEB)

    Goromaru, T; Onishi, K; Iwakawa, N; Yoshikuni, N [Fukuoka Univ., Fukuoka, (Japan)

    1990-03-01

    The ignition process was studied in this paper, which was particularly connected with the drying process of refuse in the statical characteristics of refuse incinerators. Because of variety in refuse forms to be supplied to the incinerators, a physical model was composed, assuming that refuse was the layers of piled up refuse elements with uniform forms, and the ignition curves of the layers were drawn on the basis of the above model after a mathematical model was formed. The upper part of the curves was altered so that it suits to actual endothermic and heat velocity distribution on the assumption of temperature distribution in the incinerators at their inlet side. No particular alteration was made in their middle part, then the ignition curves were changed to almost straight lines inclined downward. Unburnt and refuse under firing were wrapped by ash and uncombustibles, so the lower part of the curves was only studied as a imaginary solid model by the two methods of finite element method and simple analytical one, and conversion was made into equivalent reduction in combustion temperature. 15 refs., 7 figs., 2 tabs.

  5. Energy efficacy used to score organic refuse pretreatment processes for hydrogen anaerobic production.

    Science.gov (United States)

    Ruggeri, Bernardo; Luongo Malave, Andrea C; Bernardi, Milena; Fino, Debora

    2013-11-01

    The production of hydrogen through Anaerobic Digestion (AD) has been investigated to verify the efficacy of several pretreatment processes. Three types of waste with different carbon structures have been tested to obtain an extensive representation of the behavior of the materials present in Organic Waste (OW). The following types of waste were selected: Sweet Product Residue (SPR), i.e., confectionary residue removed from the market after the expiration date, Organic Waste Market (OWM) refuse from a local fruit and vegetable market, and Coffee Seed Skin (CSS) waste from a coffee production plant. Several pretreatment processes have been applied, including physical, chemical, thermal, and ultrasonic processes and a combination of these processes. Two methods have been used for the SPR to remove the packaging, manual (SPR) and mechanical (SPRex). A pilot plant that is able to extrude the refuse to 200atm was utilized. Two parameters have been used to score the different pretreatment processes: efficiency (ξ), which takes into account the amount of energy produced in the form of hydrogen compared with the available energy embedded in the refuse, and efficacy (η), which compares the efficiency obtained using the pretreated refuse with that obtained using the untreated refuse. The best result obtained for the SPR was the basic pretreatment, with η=6.4, whereas the thermal basic pretreatment gave the highest value, η=17.0 for SPRex. The best result for the OWM was obtained through a combination of basic/thermal pretreatments with η=9.9; lastly, the CSS residue with ultrasonic pretreatment produced the highest quantity of hydrogen, η=5.2. Copyright © 2013 Elsevier Ltd. All rights reserved.

  6. CO-COMBUSTION OF REFUSE DERIVED FUEL WITH COAL IN A FLUIDISED BED COMBUSTOR

    Directory of Open Access Journals (Sweden)

    W. A. WAN AB KARIM GHANI

    2009-03-01

    Full Text Available Power generation from biomass is an attractive technology which utilizes municipal solid waste-based refused derived fuel. In order to explain the behavior of biomass-fired fluidized bed incinerator, biomass sources from refuse derived fuel was co-fired with coal in a 0.15 m diameter and 2.3 m high fluidized bed combustor. The combustion efficiency and carbon monoxide emissions were studied and compared with those from pure coal combustion. This study proved that the blending effect had increased the carbon combustion efficiency up to 12% as compared to single MSW-based RDF. Carbon monoxide levels fluctuated between 200-1600 ppm were observed when coal is added. It is evident from this research that efficient co-firing of biomass with coal can be achieved with minimum modification of existing coal-fired boilers.

  7. Fire analog: a comparison between fire plumes and energy center cooling tower plumes

    Energy Technology Data Exchange (ETDEWEB)

    Orgill, M.M.

    1977-10-01

    Thermal plumes or convection columns associated with large fires are compared to thermal plumes from cooling towers and proposed energy centers to evaluate the fire analog concept. Energy release rates of mass fires are generally larger than for single or small groups of cooling towers but are comparable to proposed large energy centers. However, significant physical differences exist between cooling tower plumes and fire plumes. Cooling tower plumes are generally dominated by ambient wind, stability and turbulence conditions. Fire plumes, depending on burning rates and other factors, can transform into convective columns which may cause the fire behavior to become more violent. This transformation can cause strong inflow winds and updrafts, turbulence and concentrated vortices. Intense convective columns may interact with ambient winds to create significant downwind effects such as wakes and Karman vortex streets. These characteristics have not been observed with cooling tower plumes to date. The differences in physical characteristics between cooling tower and fire plumes makes the fire analog concept very questionable even though the approximate energy requirements appear to be satisfied in case of large energy centers. Additional research is suggested in studying the upper-level plume characteristics of small experimental fires so this information can be correlated with similar data from cooling towers. Numerical simulation of fires and proposed multiple cooling tower systems could also provide comparative data.

  8. Fire hazard analysis for fusion energy experiments

    International Nuclear Information System (INIS)

    Alvares, N.J.; Hasegawa, H.K.

    1979-01-01

    The 2XIIB mirror fusion facility at Lawrence Livermore Laboratory (LLL) was used to evaluate the fire safety of state-of-the-art fusion energy experiments. The primary objective of this evaluation was to ensure the parallel development of fire safety and fusion energy technology. Through fault-tree analysis, we obtained a detailed engineering description of the 2XIIB fire protection system. This information helped us establish an optimum level of fire protection for experimental fusion energy facilities as well as evaluate the level of protection provided by various systems. Concurrently, we analyzed the fire hazard inherent to the facility using techniques that relate the probability of ignition to the flame spread and heat-release potential of construction materials, electrical and thermal insulations, and dielectric fluids. A comparison of the results of both analyses revealed that the existing fire protection system should be modified to accommodate the range of fire hazards inherent to the 2XIIB facility

  9. Moderate Image Spectrometer (MODIS) Fire Radiative Energy: Physics and Applications

    Science.gov (United States)

    Kaufman, Y.

    2004-01-01

    MODIS fire channel does not saturate in the presence of fires. The fire channel therefore is used to estimate the fire radiative energy, a measure of the rate of biomass consumption in the fire. We found correlation between the fire radiative energy, the rate of formation of burn scars and the rate of emission of aerosol from the fires. Others found correlations between the fire radiative energy and the rate of biomass consumption. This relationships can be used to estimates the emissions from the fires and to estimate the fire hazards.

  10. System for manufacturing ash products and energy from refuse waste

    Energy Technology Data Exchange (ETDEWEB)

    Sutin, G.L.; Mahoney, P.F.

    1996-01-04

    The present invention provides a system of manufacturing energy and ash products from solid waste. The system includes apparatus for receiving solid waste for processing, apparatus for shredding the received solid waste, apparatus for removing ferrous material from the shredded solid waste to create processed refuse fuel (PRF) and apparatus for efficiently combusting the PRF. A conveyor transfers the PRF to the combusting apparatus such that the density of the PRF is always controlled for continuous non-problematic flow. Apparatus for recovering residual combustion particulate from the combustion residual gases and for recovering solid ash residue provides the system with the ability to generate steam and electrical energy, and to recover for reuse and recycling valuable materials from the solid ash residue. (author) figs.

  11. Separation of harmful impurities from refuse derived fuels (RDF) by a fluidized bed.

    Science.gov (United States)

    Krüger, B; Mrotzek, A; Wirtz, S

    2014-02-01

    In firing systems of cement production plants and coal-fired power plants, regular fossil fuels are increasingly substituted by alternative fuels. Rising energy prices and ambitious CO2-reduction goals promote the use of alternative fuels as a significant contribution to efficient energy recovery. One possibility to protect energy resources are refuse-derived fuels (RDF), which are produced during the treatment of municipal solid, commercial and industrial waste. The waste fractions suitable for RDF have a high calorific value and are often not suitable for material recycling. With current treatment processes, RDF still contains components which impede the utilization in firing systems or limit the degree of substitution. The content of these undesired components may amount to 4 wt%. These, in most cases incombustible particles which consist of mineral, ceramic and metallic materials can cause damages in the conveying systems (e. g. rotary feeder) or result in contaminations of the products (e. g. cement, chalk). Up-to-date separation processes (sieve machine, magnet separator or air classifier) have individual weaknesses that could hamper a secure separation of these particles. This article describes a new technology for the separation of impurities from refuse derived fuels based on a rotating fluidized bed. In this concept a rotating motion of the particle bed is obtained by the tangential injection of the fluidization gas in a static geometry. The RDF-particles experience a centrifugal force which fluidized the bed radially. The technical principle allows tearing up of particle clusters to single particles. Radially inwards the vertical velocity is much lower thus particles of every description can fall down there. For the subsequent separation of the particles by form and density an additionally cone shaped plate was installed in the centre. Impurities have a higher density and a compact form compared to combustible particles and can be separated with a high

  12. Process for producing a fuel suitable for degassing from refuse

    Energy Technology Data Exchange (ETDEWEB)

    Sulzberger, J

    1975-11-20

    Utilization of the heat energy of refuse in waste incineration plants is time-consuming and expensive due to high investment and operation costs. The inventor recommends to process the refuse to a sterile, handy and storable fuel. For this propose the refuse should be crushed, kneaded and pressed. The briquettes produced in this way should be dried.

  13. New fire diurnal cycle characterizations to improve fire radiative energy assessments made from MODIS observations

    NARCIS (Netherlands)

    Andela, N.; Kaiser, J.; van der Werf, G.R.

    2015-01-01

    Accurate near real time fire emissions estimates are required for air quality forecasts. To date, most approaches are based on satellite-derived estimates of fire radiative power (FRP), which can be converted to fire radiative energy (FRE) which is directly related to fire emissions. Uncertainties

  14. Solid waste as an energy source for the Northeast

    Energy Technology Data Exchange (ETDEWEB)

    Meier, P.M.; McCoy, T.H.

    1976-06-01

    This report, one of a series prepared for the BNL study of the Energy Future of the Northeastern United States, presents an assessment of the potential contribution of energy recovery from municipal refuse to energy supply in the region. A brief review of the present and likely future quantity and composition of municipal refuse and the technologies available for energy recovery (Chapters II and III) is followed by a comparison of the potential contributions to energy supply of the various recovery options including direct firing in utility boilers, pyrolysis to oil or gas, and steam generation for industrial process heat or district space heating (Chapter IV). The relationship of refuse energy recovery to market conditions for alternative energy sources is considered in Chapter V, which also includes an analysis of the impact of haul costs, interest rates, and delivered prices of the major fuels. Institutional barriers to implementation of energy recovery are reviewed in Chapter VI, and the environmental implications of the concept are addressed in Chapter VII. In the concluding chapters, scenarios of energy recovery are developed for 1985 and 2000, and the sensitivity of overall energy yield to projections and assumptions is examined. Although even under the most optimistic assumptions, refuse energy recovery is found to contribute only some 5 percent of total regional consumption, the economic and environmental benefits, coupled with the increasing difficulty of finding other refuse disposal alternatives, make energy recovery a very attractive policy choice for helping to relieve future energy supply difficulties in the Northeast. (auth)

  15. Energy recovery from municipal solid waste by refuse derived fuel production in Malaysia

    International Nuclear Information System (INIS)

    Sanaz Saheri; Noorezlin Ahmad Baseri; Masoud Aghajani Mir; Malmasi Saeed

    2010-01-01

    Energy recovery from municipal solid waste (MSW) is so beneficial both for the energy and for the positive environmental implications. Mainly related to the saving of primary energy derived from fossil fuel. Malaysia as a fast growing population country has the average amount of municipal solid waste (MSW) generated around 0.5-0.8 kg/person/day and it has been increased to 1.7 kg/person/day in major cities. Regarding characterization exercise, the main parts of the Malaysian MSW were found to be food, paper and plastic, which made up almost 80 % of the waste by weight. Furthermore, the average moisture content of the MSW was about 55 %, making incineration a challenging mission. In addition waste sectors in Malaysia contributes to 1.3 million ton of CH 4 compare to total CH 4 emission which is 2.2 MT. In order to overcome waste problem considering other technical, environmental and economical methods seems to be necessarily. Resource recovery centers recovers the maximum proportion of recyclable and recoverable resources from the mixed municipal solid waste .The resource recovery process itself is one of the step-by-step segregation and elimination of all non-combustibles , and separation of the combustibles in the desired form of fuel for good combustion. Then, a further mechanical separation process converts combustible materials to refuse derived fuel (RDF) with moisture content between 20 and 30 % and an average calorific fuel value of about 3450 kcal/kg. So, the aim of this paper is taking into account resource recovery from waste using refuse derived fuel as a secondary resource with regarding advantages and disadvantages of this kind of energy production in Malaysia as a developing country. (author)

  16. Elemental composition of suspended particles released in refuse incineration

    International Nuclear Information System (INIS)

    Mamuro, Tetsuo; Mizohata, Akira

    1979-01-01

    Suspended particles released in refuse incineration were subjected to multielement analysis by means of instrumental neutron activation method and energy dispersive X-ray fluorescence spectrometry. The analytical results were compared with the elemental concentrations observed in the urban atmosphere, and the contribution of the refuse incineration to the urban atmosphere was roughly estimated. Greenberg et al. pointed out on the basis of their analyses that the refuse incineration can account for major portions of the Zn, Cd and Sb observed on urban aerosols. According to our results, the contribution of the refuse incineration for Zn, Cd and Sb is not negligible, but not so serious as in U.S.A. big cities. In Japan big cities there must be other more important sources of these elements. (author)

  17. Fire-Protection Research for Energy-Technology Projects: FY 1981 year-end report

    Energy Technology Data Exchange (ETDEWEB)

    Hasegawa, H.K.; Alvares, N.J.; Lipska-Quinn, A.E.; Beason, D.G.; Foote, K.L.; Priante, S.J.

    1982-07-20

    This report summarizes research conducted in fiscal year 1981 for the DOE-supported project, Fire Protection Research for Energy Technology Projects. Initiated in 1977, this ongoing research program was conceived to advance fire protection strategies for Energy Technology Projects to keep abreast of the unique fire problems that are developing with the complexity of energy technology research. We are developing an analytical methodology through detailed study of fusion energy experiments at Lawrence Livermore National Laboratory (LLNL). Employing these facilities as models for methodology development, we are simultaneously advancing three major task areas: (1) determination of unique fire hazards of current fusion energy facilities; (2) evaluation of the ability of accepted fire management measures to meet and negate hazards; and (3) performance of unique research into problem areas we have identified to provide input into analytical fire-growth and damage-assessment models.

  18. Fire-Protection Research for Energy-Technology Projects: FY 1981 year-end report

    International Nuclear Information System (INIS)

    Hasegawa, H.K.; Alvares, N.J.; Lipska-Quinn, A.E.; Beason, D.G.; Foote, K.L.; Priante, S.J.

    1982-01-01

    This report summarizes research conducted in fiscal year 1981 for the DOE-supported project, Fire Protection Research for Energy Technology Projects. Initiated in 1977, this ongoing research program was conceived to advance fire protection strategies for Energy Technology Projects to keep abreast of the unique fire problems that are developing with the complexity of energy technology research. We are developing an analytical methodology through detailed study of fusion energy experiments at Lawrence Livermore National Laboratory (LLNL). Employing these facilities as models for methodology development, we are simultaneously advancing three major task areas: (1) determination of unique fire hazards of current fusion energy facilities; (2) evaluation of the ability of accepted fire management measures to meet and negate hazards; and (3) performance of unique research into problem areas we have identified to provide input into analytical fire-growth and damage-assessment models

  19. The European investment bank and financing the installation of urban refuse treatment plants with energy recovery

    International Nuclear Information System (INIS)

    Marty-Gauquie, H.

    1992-01-01

    The European Investment Bank (BEI), the world's leading international financing institution, with an annual loans total of 15.3 billion Ecus in 1991, every year finances a number of projects for the treatment of refuse, with energy recovery from waste and heat distribution. This article describes the missions of the BEI and the parameters taken into account for authorizing investment. (author). 2 figs., 2 tabs

  20. Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal.

    Science.gov (United States)

    Chi, Donald L

    2014-07-01

    The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-item survey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P refuse both immunizations and topical fluoride (P refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children.

  1. Fire-protection research for energy technology: Fy 80 year end report

    Science.gov (United States)

    Hasegawa, H. K.; Alvares, N. J.; Lipska, A. E.; Ford, H.; Priante, S.; Beason, D. G.

    1981-05-01

    This continuing research program was initiated in order to advance fire protection strategies for Fusion Energy Experiments (FEE). The program expanded to encompass other forms of energy research. Accomplishments for fiscal year 1980 were: finalization of the fault-free analysis of the Shiva fire management system; development of a second-generation, fire-growth analysis using an alternate model and new LLNL combustion dynamics data; improvements of techniques for chemical smoke aerosol analysis; development and test of a simple method to assess the corrosive potential of smoke aerosols; development of an initial aerosol dilution system; completion of primary small-scale tests for measurements of the dynamics of cable fires; finalization of primary survey format for non-LLNL energy technology facilities; and studies of fire dynamics and aerosol production from electrical insulation and computer tape cassettes.

  2. Fire-protection research for energy technology: FY 80 year-end report

    International Nuclear Information System (INIS)

    Hasegawa, H.K.; Alvares, N.J.; Lipska, A.E.; Ford, H.; Priante, S.; Beason, D.G.

    1981-01-01

    This continuing research program was initiated in 1977 in order to advance fire protection strategies for Fusion Energy Experiments (FEE). The program has since been expanded to encompass other forms of energy research. Accomplishments for fiscal year 1980 were: finalization of the fault-tree analysis of the Shiva fire management system; development of a second-generation, fire-growth analysis using an alternate moel and new LLNL combustion dynamics data; improvements of techniques for chemical smoke aerosol analysis; development and test of a simple method to assess the corrosive potential of smoke aerosols; development of an initial aerosol dilution system; completion of primary small-scale tests for measurements of the dynamics of cable fires; finalization of primary survey format for non-LLNL energy technology facilities; and studies of fire dynamics and aerosol production from electrical insulation and computer tape cassettes

  3. Fire protection research for energy technology projects; FY 79 year-end report

    International Nuclear Information System (INIS)

    Hasegawa, H.K.; Alvares, N.J.; Lipska, A.E.; Ford, H.; Beason, D.G.

    1981-01-01

    This report describes work performed in fiscal year 1979, on a DOE funded study entitled Fire Protection Research for Energy Technology Projects. The primary goal of this program is to ensure that fire protection measures for Fusion Energy Experiments (FEE) evolve concurrently with the complexity of FEE. Ultimately, it is planned that the detailed study of fusion experiments will provide an analytical methodology which can be applied to the full range of energy technology projects. We attempt to achieve this objective by coordinately advancing 3 (three) major task areas; (a) determine the fire hazards of current FEE facilities (b) assess the ability of accepted fire management strategies to meet and negate the hazard, (c) perform unique research into problem areas we have identified to provide input into analytical fire growth and damage assessment models

  4. Early forest fire detection using low-energy hydrogen sensors

    Directory of Open Access Journals (Sweden)

    K. Nörthemann

    2013-11-01

    Full Text Available Most huge forest fires start in partial combustion. In the beginning of a smouldering fire, emission of hydrogen in low concentration occurs. Therefore, hydrogen can be used to detect forest fires before open flames are visible and high temperatures are generated. We have developed a hydrogen sensor comprising of a metal/solid electrolyte/insulator/semiconductor (MEIS structure which allows an economical production. Due to the low energy consumption, an autarkic working unit in the forest was established. In this contribution, first experiments are shown demonstrating the possibility to detect forest fires at a very early stage using the hydrogen sensor.

  5. Compressive behavior of energy-saving fired facing brick composite wall

    Science.gov (United States)

    Guo, Kai; Wu, Cai

    2018-03-01

    The energy-saving fired facing brick composite wall has a broad development prospects due to its merits of thermal insulation, energy conservation, beautiful, and natural. The construction and characteristics of this wall are introduced and analyzed in this paper. Experimental studies of samples are also conducted to investigate its compressive performance. The results show that the energy-saving fired facing brick composite wall has high compressive capacity. It has considerable application prospect, the study in this paper provides foundation to further studies.

  6. Reliability estimation for multiunit nuclear and fossil-fired industrial energy systems

    International Nuclear Information System (INIS)

    Sullivan, W.G.; Wilson, J.V.; Klepper, O.H.

    1977-01-01

    As petroleum-based fuels grow increasingly scarce and costly, nuclear energy may become an important alternative source of industrial energy. Initial applications would most likely include a mix of fossil-fired and nuclear sources of process energy. A means for determining the overall reliability of these mixed systems is a fundamental aspect of demonstrating their feasibility to potential industrial users. Reliability data from nuclear and fossil-fired plants are presented, and several methods of applying these data for calculating the reliability of reasonably complex industrial energy supply systems are given. Reliability estimates made under a number of simplifying assumptions indicate that multiple nuclear units or a combination of nuclear and fossil-fired plants could provide adequate reliability to meet industrial requirements for continuity of service

  7. Refuse-derived fuel as a secondary energy in Taiwan - Using Hotelling space allocation model

    International Nuclear Information System (INIS)

    Kwodong Wey; Sheueching Hong

    2006-01-01

    Most Taiwanese farmers usually blend rice straws into the soil after harvest. However, rice straws possess great thermal energy, which can be used to produce refuse-derived fuel (RDF-5). As Taiwan faces energy shortage, the development benefits of the RDF-5 industry are tempting. This study employs the Hotelling model to design the locations and the optimal numbers of RDF-5 plants. From the technology and material supply point of view, turning waste rice straws into RDF-5 is feasible in Taiwan. Nevertheless, from the business operation perspective, even if the RDF-5 plant is willing to lower its profit rate, its selling price is still hard to compete with imported RDF-5. If the Taiwanese government decides to pursue RDF-5 as an alternative energy, they might need to take a step further to subsidize entrepreneurs or provide appropriate tax benefits. Otherwise, the RDF-5 industry is hard to survive in Taiwan. (Author)

  8. Measurements relating fire radiative energy density and surface fuel consumption - RxCADRE 2011 and 2012

    Science.gov (United States)

    Andrew T. Hudak; Matthew B. Dickinson; Benjamin C. Bright; Robert L. Kremens; E. Louise Loudermilk; Joseph J. O' Brien; Benjamin S. Hornsby; Roger D. Ottmar

    2016-01-01

    Small-scale experiments have demonstrated that fire radiative energy is linearly related to fuel combusted but such a relationship has not been shown at the landscape level of prescribed fires. This paper presents field and remotely sensed measures of pre-fire fuel loads, consumption, fire radiative energy density (FRED) and fire radiative power flux density (FRFD),...

  9. Energy economics of nuclear and coal fired power plant

    International Nuclear Information System (INIS)

    Lee, Kee Won; Cho, Joo Hyun; Kim, Sung Rae; Choi, Hae Yoon

    1995-01-01

    The upturn of Korean nuclear power program can be considered to have started in early 70's while future plants for the construction of new nuclear power plants virtually came to a halt in United States. It is projected that power plant systems from combination of nuclear and coal fired types might shift to all coal fired type, considering the current trend of construction on the new plants in the United States. However, with the depletion of natural resources, it is desirable to understand the utilization of two competitive utility technologies in terms of of invested energy. Presented in this paper is a comparison between two systems, nuclear power plant and coal fired steam power plant in terms of energy investment. The method of comparison is Net Energy Analysis (NEA). In doing so, Input-Output Analysis (IOA) among industries and commodities is done. Using these information, net energy ratios are calculated and compared. NEA is conducted for power plants in U.S. because the availability of necessary data are limited in Korea. Although NEA does not offer conclusive solution, this method can work as a screening process in decision making. When considering energy systems, results from such analysis can be used as a general guideline. 2 figs., 12 tabs., 5 refs. (Author)

  10. Effect of fuel type and deposition surface temperature on the growth and structure of ash deposit collected during co-firing of coal with sewage-sludge, saw-dust and refuse derived fuel

    Energy Technology Data Exchange (ETDEWEB)

    Kupka, Tomasz; Zajac, Krzysztof; Weber, Roman [Clausthal Univ. of Technology, Clausthal-Zellerfeld (Germany). Inst. of Energy Process Engineering and Fuel Technology

    2008-07-01

    Blends of a South African bituminous ''Middleburg'' coal and three alternative fuels (a municipal sewage-sludge, a saw-dust and a refuse derived fuel) have been fired in the slagging reactor to examine the effect of the added fuel on slagging propensity of the mixtures. Two kinds of deposition probes have been used, un-cooled ceramic probes and air-cooled steal probes. Distinct differences in physical and chemical structures of the deposits collected using the un-cooled ceramic probes and air-cooled metal probes have been observed. Glassy, easily molten deposits collected on un-cooled ceramic deposition probes were characteristic for co-firing of municipal sewage-sludge with coal. Porous, sintered (not molten) but easily removable deposits of the same fuel blend have been collected on the air-cooled metal deposition probes. Loose, easy removable deposits have been sampled on air-cooled metal deposition probe during co-firing of coal/saw-dust blends. The mass of the deposit sampled at lower surface temperatures (550-700 C) was always larger than the mass sampled at higher temperatures (1100-1300 C) since the higher temperature ash agglomerated and sintered much faster than the low temperature deposit. (orig.)

  11. Identification and characteristics of vaccine refusers

    OpenAIRE

    Wei, Feifei; Mullooly, John P; Goodman, Mike; McCarty, Maribet C; Hanson, Ann M; Crane, Bradley; Nordin, James D

    2009-01-01

    Abstract Background This study evaluated the utility of immunization registries in identifying vaccine refusals among children. Among refusers, we studied their socioeconomic characteristics and health care utilization patterns. Methods Medical records were reviewed to validate refusal status in the immunization registries of two health plans. Racial, education, and income characteristics of children claiming refusal were collected based on the census tract of each child. Health care utilizat...

  12. School Refusal: Clinical Features, Diagnosis and Treatment

    Directory of Open Access Journals (Sweden)

    Kayhan Bahali

    2010-12-01

    Full Text Available Children regularly and voluntarily go to school in order to fulfill the expectations of society from them to continue their education or schooling. School continuation has been made compulsory by laws. Nonetheless, contrary to popular belief, for some children it is distressing to go to school. These children have difficulty continuing school and/or refuse to go to school. Today school refusal is defined as a child’s inability to continue school for reasons, such as anxiety and depression. The prevalence of school refusal has been reported to be approximately 1% in school-age children and 5% in child psychiatry samples. The prevalence of school refusal is similar among boys and girls. School refusal can occur at any time throughout the child’s academic life and at all socio-economic levels. School refusal is considered a symptom rather than a clinical diagnosis and can manifest itself as a sign of many psychiatric disorders, with anxiety disorders predominant. Separation anxiety disorder, generalized anxiety disorder, social phobia, specific phobia, and adjustment disorder with anxiety symptoms are the most common disorders co-occurring with school refusal. While separation anxiety disorder is associated with school refusal in younger children, other anxiety disorders, especially phobias, are associated with school refusal in adolescents. Children who have parents with psychiatric disorders have a higher incidence of school refusal, and psychiatric disorders are more frequently seen in adult relatives of children with school refusal, which supports a significant role of genetic and environmental factors in th etiology of school refusal. School refusal is a emergency state for child mental health. As it leads to detrimental effects in the short term and the long term, it should be regarded as a serious problem. The long-lasting follow-up studies of school refusing children have revealed that these children have a higher incidence of

  13. Groundwater controls on post-fire permafrost thaw: Water and energy balance effects

    OpenAIRE

    Rocha, Adrian; Mckenzie, Jeffrey; Lamontagne-Halle, Pierrick; Zipper, Samuel

    2018-01-01

    Fire frequency and severity is increasing in high latitude regions, with large impacts on the water and energy balances. However, the degree to which groundwater flow impacts the permafrost response to fire remains poorly understood and understudied. Here, we use the Anaktuvuk River Fire (Alaska, USA) as an archetypal example to investigate groundwater-permafrost interactions following fire. We identify key thermal and hydrologic parameters controlling permafrost and active layer response to ...

  14. Mine-fire diagnostics applied to the Carbondale, Pennsylvania mine-fire site. Rept. of Investigations/1992

    International Nuclear Information System (INIS)

    Kim, A.G.; Justin, T.R.; Miller, J.F.

    1992-01-01

    The U.S. Bureau of Mines applied its mine fire diagnostic method to an abandoned anthracite mine fire site in Carbondale, Lackawanna County, PA. The technique to locate fires in abandoned coal mines and coal refuse piles includes the determination of hydrocarbon concentrations in mine gases, the imposition of an underground gas flow direction, and use of a surface mapping method, to define heated and cold zones in underground coal strata. The heated zones at Carbondale were characterized by elevated methane concentrations. The results of 25 communication tests were analyzed to define 2 large (approximately 100 by 250 ft) and 5 small, isolated heated zones. An approximate correlation existed between the location of the heated zones and areas of anomalous snow melt. The correlation between the results of the diagnostic test and subsurface temperatures was not significant

  15. Environmental performance assessment of utility boiler energy conversion systems

    International Nuclear Information System (INIS)

    Li, Changchun; Gillum, Craig; Toupin, Kevin; Park, Young Ho; Donaldson, Burl

    2016-01-01

    Highlights: • Sustainability analyses of utility boilers are performed. • Natural gas fired boilers have the least CO_2 emissions in fossil fueled boilers. • Solar boilers rank last with an emergy yield ratio of 1.2. • Biomass boilers have the best emergy sustainability index. - Abstract: A significant amount of global electric power generation is produced from the combustion of fossil fuels. Steam boilers are one of the most important components for steam and electricity production. The objective of this paper is to establish a theoretical framework for the sustainability analysis of a utility boiler. These analyses can be used by decision-makers to diagnose and optimize the sustainability of a utility boiler. Seven utility boiler systems are analyzed using energy and embodied solar energy (emergy) principles in order to evaluate their environmental efficiencies. They include a subcritical coal fired boiler, a supercritical coal fired boiler, an oil fired boiler, a natural gas fired boiler, a concentrating solar power boiler utilizing a tower configuration, a biomass boiler, and a refuse derived fuel boiler. Their relative environmental impacts were compared. The results show that the natural gas boiler has significantly lower CO_2 emission than an equivalent coal or oil fired boiler. The refuse derived fuel boiler has about the same CO_2 emissions as the natural gas boiler. The emergy sustainability index of a utility boiler system is determined as the measure of its sustainability from an environmental perspective. Our analyses results indicate that the natural gas boiler has a relatively high emergy sustainability index compared to other fossil fuel boilers. Converting existing coal boilers to natural gas boilers is a feasible option to achieve better sustainability. The results also show that the biomass boiler has the best emergy sustainability index and it will remain a means to utilize the renewable energy within the Rankine steam cycle. Before

  16. Project Startup: Evaluating the Performance of Hydraulic Hybrid Refuse Vehicles

    Energy Technology Data Exchange (ETDEWEB)

    2015-09-01

    The Fleet Test and Evaluation Team at the National Renewable Energy Laboratory (NREL) is evaluating the in-service performance of 10 next-generation hydraulic hybrid refuse vehicles (HHVs), 8 previous-generation HHVs, and 8 comparable conventional diesel vehicles operated by Miami-Dade County's Public Works and Waste Management Department in southern Florida. The HHVs under study - Autocar E3 refuse trucks equipped with Parker Hannifin's RunWise Advanced Series Hybrid Drive systems - can recover as much as 70 percent of the energy typically lost during braking and reuse it to power the vehicle. NREL's evaluation will assess the performance of this technology in commercial operation and help Miami-Dade County determine the ideal routes for maximizing the fuel-saving potential of its HHVs.

  17. Assessment of fire hazards in buildings housing fusion energy experiments

    International Nuclear Information System (INIS)

    Alvares, N.; Lipska, A.

    1978-01-01

    A number of materials in and within the proximity of buildings housing fusion energy experiments (FEE) were analyzed for their potential fire hazard. The materials used in this study were mostly: electrical and thermal insulations. The fire hazard of these materials was assessed in terms of their ease of ignition, heat release rate, generation of smoke, and the effect of thermal environment on the combustion behavior. Several fire protection measures for buildings housing the (FEE) projects are analyzed and as a result of this study are found to be adequate for the near term

  18. 33 CFR 401.89 - Transit refused.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Transit refused. 401.89 Section... TRANSPORTATION SEAWAY REGULATIONS AND RULES Regulations General § 401.89 Transit refused. (a) An officer may refuse to allow a vessel to transit when, (1) The vessel is not equipped in accordance with §§ 401.5 to...

  19. Electronic firing systems and methods for firing a device

    Science.gov (United States)

    Frickey, Steven J [Boise, ID; Svoboda, John M [Idaho Falls, ID

    2012-04-24

    An electronic firing system comprising a control system, a charging system, an electrical energy storage device, a shock tube firing circuit, a shock tube connector, a blasting cap firing circuit, and a blasting cap connector. The control system controls the charging system, which charges the electrical energy storage device. The control system also controls the shock tube firing circuit and the blasting cap firing circuit. When desired, the control system signals the shock tube firing circuit or blasting cap firing circuit to electrically connect the electrical energy storage device to the shock tube connector or the blasting cap connector respectively.

  20. Gas-Fired Distributed Energy Resource Technology Characterizations

    Energy Technology Data Exchange (ETDEWEB)

    Goldstein, L.; Hedman, B.; Knowles, D.; Freedman, S. I.; Woods, R.; Schweizer, T.

    2003-11-01

    The U. S. Department of Energy (DOE) Office of Energy Efficiency and Renewable Energy (EERE) is directing substantial programs in the development and encouragement of new energy technologies. Among them are renewable energy and distributed energy resource technologies. As part of its ongoing effort to document the status and potential of these technologies, DOE EERE directed the National Renewable Energy Laboratory to lead an effort to develop and publish Distributed Energy Technology Characterizations (TCs) that would provide both the department and energy community with a consistent and objective set of cost and performance data in prospective electric-power generation applications in the United States. Toward that goal, DOE/EERE - joined by the Electric Power Research Institute (EPRI) - published the Renewable Energy Technology Characterizations in December 1997.As a follow-up, DOE EERE - joined by the Gas Research Institute - is now publishing this document, Gas-Fired Distributed Energy Resource Technology Characterizations.

  1. Effective technology of wood and gaseous fuel co-firing for clean energy production

    International Nuclear Information System (INIS)

    Zake, M.; Barmina, I.; Gedrovics, M.; Desnickis, A.

    2007-01-01

    The main aim of the study was to develop and optimise a small-scale experimental co-firing technique for the effective and clean heat energy production by replacing a proportion of fossil fuel (propane) with renewable one (wood biomass). Technical solutions of propane co-fire presenting two different ways of additional heat supply to the wood biomass are proposed and analysed. The experiments have shown that a better result can be obtained for the direct propane co-fire of the wood biomass, when the rate of wood gasification and the ignition of volatiles are controlled by additional heat energy supply to the upper portion of wood biomass. A less effective though cleaner way of heat energy production is the direct propane co-fire of volatiles when low-temperature self-sustaining burnout of the wood biomass controls the rate of the volatile formation, while additional heat energy supply to the flow of volatiles controls their burnout. The effect of propane co-fire on the heat production rate and the composition of polluting emissions is studied and analysed for different rates of the additional heat supply to the wood biomass and of the swirling air supply as well as for different charge of wood biomass above the inlet of the propane flame flow. (Authors)

  2. The Legal Ethical Backbone of Conscientious Refusal

    DEFF Research Database (Denmark)

    Munthe, Christian; Nielsen, Morten Ebbe Juul

    2017-01-01

    This article analyzes the idea of a legal right to conscientious refusal for healthcare professionals from a basic legal ethical standpoint, using refusal to perform tasks related to legal abortion (in cases of voluntary employment) as a case in point. The idea of a legal right to conscientious...... refusal is distinguished from ideas regarding moral rights or reasons related to conscientious refusal, and none of the latter are found to support the notion of a legal right. Reasons for allowing some sort of room for conscientious refusal for healthcare professionals based on the importance of cultural...... identity and the fostering of a critical atmosphere might provide some support, if no countervailing factors apply. One such factor is that a legal right to healthcare professionals’ conscientious refusal must comply with basic legal ethical tenets regarding the rule of law and equal treatment...

  3. Assessment of musculoskeletal load in refuse collectors

    Directory of Open Access Journals (Sweden)

    Zbigniew W. Jóźwiak

    2013-08-01

    Full Text Available Background: The aim of this work was to assess the load on the musculoskeletal system and its effects in the collectors of solid refuse. The rationale behind this study was to formulate proposals how to reduce excessive musculoskeletal load in this group of workers. Material and Methods: The study group comprised 15 refuse collectors aged 25 to 50 years. Data about the workplace characteristics and subjective complaints of workers were collected by the free interview and questionnaire. During the survey the photorecording of the workpostures, the distance and velocity by GPS recorders, measurements of forces necessary to move containers, energy expenditure (lung ventilation method, workload estimation using the Firstbeat system and REBA method and stadiometry were done. Results: The distance walked daily by the collectors operating in terms of 2 to 3 in urban areas was about 15 km, and in rural areas about 18 km. The most frequent musculoskeletal complaints concerned the feet (60% subjects, knees, wrists and shoulders (over 40% subjects. After work-shift all examined workers had vertebral column shorter by 10 to 14 mm (11.4 mm mean. Conclusions: The results of our study show that the refuse collectors are subjected to a very high physical load because of the work organization and the way it is performed. To avoid adverse health effects and overload it is necessary to undertake ergonomic interventions, involving training of workers to improve the way of their job performance, active and passive leisure, technical control of the equipment and refuse containers, as well as the renegotiation of contracts with clients, especially those concerning non-standard containers. Med Pr 2013;64(4:507–519

  4. 20000G shock energy harvesters for gun-fired munition

    International Nuclear Information System (INIS)

    Willemin, J.; Boisseau, S.; Olmos, L.; Gallardo, M.; Despesse, G.; Robert, T.

    2016-01-01

    This paper presents a 20000G shock energy harvester dedicated to gun-fired munitions and based on a mass-spring resonant structure coupled to a coil-magnet electromagnetic converter. The 20000G shock energy is firstly stored in the spring as elastic potential energy, released as mass-spring mechanical oscillations right after the shock and finally converted into electricity thanks to the coil-magnet transducer. The device has been modeled, sized to generate 200mJ in 150ms, manufactured and tested in a gun-fired munition. The prototype sizes 117cm 3 and weighs 370g. 210mJ have been generated in a test bench and 140mJ in real conditions; this corresponds to a mean output power of 0.93W (7.9mW/cm 3 ) and a maximum output power of 4.83W (41.3mW/cm 3 ) right after the shock. (paper)

  5. 20000G shock energy harvesters for gun-fired munition

    Science.gov (United States)

    Willemin, J.; Boisseau, S.; Olmos, L.; Gallardo, M.; Despesse, G.; Robert, T.

    2016-11-01

    This paper presents a 20000G shock energy harvester dedicated to gun-fired munitions and based on a mass-spring resonant structure coupled to a coil-magnet electromagnetic converter. The 20000G shock energy is firstly stored in the spring as elastic potential energy, released as mass-spring mechanical oscillations right after the shock and finally converted into electricity thanks to the coil-magnet transducer. The device has been modeled, sized to generate 200mJ in 150ms, manufactured and tested in a gun-fired munition. The prototype sizes 117cm3 and weighs 370g. 210mJ have been generated in a test bench and 140mJ in real conditions; this corresponds to a mean output power of 0.93W (7.9mW/cm3) and a maximum output power of 4.83W (41.3mW/cm3) right after the shock.

  6. Cubicle Refusal in Norwegian Dairy Herds

    Directory of Open Access Journals (Sweden)

    Myren HJ

    2001-03-01

    Full Text Available In order to survey the behaviour of choosing the alley area instead of a cubicle as a lying place (cubicle refusal, a questionnaire was sent to the 273 dairy farms in Norway known to keep cows in cubicle housing systems. Sixty-six percent of the farmers contacted were included in the study. The median herd size was 18 cows (range 7–118. More than 85% of the herds had sheds providing one or more cubicles per cow. The mean herd occurrence of cubicle refusal was 6%, but showed great variation (range 0–55%. Regression analysis showed a significant association between rearing heifers in slatted floor pens and an increased cubicle refusal occurrence (p = 0.02, R2 = 0.05, while herd size, use of litter, or cubicle-to-animal ratio were not found to be associated with cubicle refusal. The practice of rearing heifers in slatted floor pens accounted for about one half of the observed cubicle refusal (etiologic fraction = 0.51.

  7. 30 CFR 77.215-4 - Refuse piles; abandonment.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; abandonment. 77.215-4 Section 77... MINES Surface Installations § 77.215-4 Refuse piles; abandonment. When a refuse pile is to be abandoned... refuse pile shall be abandoned in accordance with a plan submitted by the operator and approved by the...

  8. 30 CFR 816.83 - Coal mine waste: Refuse piles.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Refuse piles. 816.83 Section... ACTIVITIES § 816.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 816.81, the... drainage may not be diverted over the outslope of the refuse piles. Runoff from the areas above the refuse...

  9. 30 CFR 817.83 - Coal mine waste: Refuse piles.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Refuse piles. 817.83 Section... ACTIVITIES § 817.83 Coal mine waste: Refuse piles. Refuse piles shall meet the requirements of § 817.81, the... drainage may not be diverted over the outslope of the refuse pile. Runoff from areas above the refuse pile...

  10. The Legal Ethical Backbone of Conscientious Refusal.

    Science.gov (United States)

    Munthe, Christian; Nielsen, Morten Ebbe Juul

    2017-01-01

    This article analyzes the idea of a legal right to conscientious refusal for healthcare professionals from a basic legal ethical standpoint, using refusal to perform tasks related to legal abortion (in cases of voluntary employment) as a case in point. The idea of a legal right to conscientious refusal is distinguished from ideas regarding moral rights or reasons related to conscientious refusal, and none of the latter are found to support the notion of a legal right. Reasons for allowing some sort of room for conscientious refusal for healthcare professionals based on the importance of cultural identity and the fostering of a critical atmosphere might provide some support, if no countervailing factors apply. One such factor is that a legal right to healthcare professionals' conscientious refusal must comply with basic legal ethical tenets regarding the rule of law and equal treatment, and this requirement is found to create serious problems for those wishing to defend the idea under consideration. We conclude that the notion of a legal right to conscientious refusal for any profession is either fundamentally incompatible with elementary legal ethical requirements, or implausible because it undermines the functioning of a related professional sector (healthcare) or even of society as a whole.

  11. 21 CFR 211.50 - Sewage and refuse.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Sewage and refuse. 211.50 Section 211.50 Food and... CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Buildings and Facilities § 211.50 Sewage and refuse. Sewage, trash, and other refuse in and from the building and immediate premises shall be...

  12. Medication Refusal: Resident Rights, Administration Dilemma.

    Science.gov (United States)

    Haskins, Danielle R; Wick, Jeannette Y

    2017-12-01

    Occasionally, residents actively or passively refuse to take medications. Residents may refuse medication for a number of reasons, including religious beliefs, dietary restrictions, misunderstandings, cognitive impairment, desire to self-harm, or simple inconvenience. This action creates a unique situation for pharmacists and long-term facility staff, especially if patients have dementia. Residents have the legal right to refuse medications, and long-term care facilities need to employ a process to resolve disagreement between the health care team that recommends the medication and the resident who refuses it. In some cases, simple interventions like selecting a different medication or scheduling medications in a different time can address and resolve the resident's objection. If the medical team and the resident cannot resolve their disagreement, often an ethics consultation is helpful. Documenting the resident's refusal to take any or all medications, the health care team's actions and any other outcomes are important. Residents' beliefs may change over time, and the health care team needs to be prepared to revisit the issue as necessary.

  13. Legal briefing: conscience clauses and conscientious refusal.

    Science.gov (United States)

    Pope, Thaddeus Mason

    2010-01-01

    This issue's "Legal Briefing" column covers legal developments pertaining to conscience clauses and conscientious refusal. Not only has this topic been the subject of recent articles in this journal, but it has also been the subject of numerous public and professional discussions. Over the past several months, conscientious refusal disputes have had an unusually high profile not only in courthouses, but also in legislative and regulatory halls across the United States. Healthcare providers' own moral beliefs have been obstructing and are expected to increasingly obstruct patients' access to medical services. For example, some providers, on ethical or moral grounds, have denied: (1) sterilization procedures to pregnant patients, (2) pain medications in end-of-life situations, and (3) information about emergency contraception to rape victims. On the other hand, many healthcare providers have been forced to provide medical treatment that is inconsistent with their moral beliefs. There are two fundamental types of conscientious objection laws. First, there are laws that permit healthcare workers to refuse providing - on ethical, moral, or religious grounds healthcare services that they might otherwise have a legal or employer-mandated obligation to provide. Second, there are laws directed at forcing healthcare workers to provide services to which they might have ethical, moral, or religious objections. Both types of laws are rarely comprehensive, but instead target: (1) certain types of healthcare providers, (2) specific categories of healthcare services, (3) specific patient circumstances, and (4) certain conditions under which a right or obligation is triggered. For the sake of clarity, I have grouped recent legal developments concerning conscientious refusal into eight categories: 1. Abortion: right to refuse 2. Abortion: duty to provide 3. Contraception: right to refuse 4. Contraception: duty to provide 5. Sterilization: right to refuse 6. Fertility, HIV, vaccines

  14. 30 CFR 77.214 - Refuse piles; general.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; general. 77.214 Section 77.214... Installations § 77.214 Refuse piles; general. (a) Refuse piles constructed on or after July 1, 1971, shall be..., tipples, or other surface installations and such piles shall not be located over abandoned openings or...

  15. Refuse derived fuel (RDF) plasma torch gasification as a feasible route to produce low environmental impact syngas for the cement industry.

    Science.gov (United States)

    López-Sabirón, Ana M; Fleiger, Kristina; Schäfer, Stefan; Antoñanzas, Javier; Irazustabarrena, Ane; Aranda-Usón, Alfonso; Ferreira, Germán A

    2015-08-01

    Plasma torch gasification (PTG) is currently researched as a technology for solid waste recovery. However, scientific studies based on evaluating its environmental implications considering the life cycle assessment (LCA) methodology are lacking. Therefore, this work is focused on comparing the environmental effect of the emissions of syngas combustion produced by refuse derived fuel (RDF) and PTG as alternative fuels, with that related to fossil fuel combustion in the cement industry. To obtain real data, a semi-industrial scale pilot plant was used to perform experimental trials on RDF-PTG.The results highlight that PTG for waste to energy recovery in the cement industry is environmentally feasible considering its current state of development. A reduction in every impact category was found when a total or partial substitution of alternative fuel for conventional fuel in the calciner firing (60 % of total thermal energy input) was performed. Furthermore, the results revealed that electrical energy consumption in PTG is also an important parameter from the LCA approach. © The Author(s) 2015.

  16. Fluidized bed combustion of refuse-derived fuel in presence of protective coal ash

    Energy Technology Data Exchange (ETDEWEB)

    Ferrer, Eduardo [CIRCE, Universidad de Zaragoza, Maria de Luna, 3, Zaragoza (Spain); Aho, Martti [VTT Processes, P.O. Box 1603, 40101 Jyvaeskylae (Finland); Silvennoinen, Jaani; Nurminen, Riku-Ville [Kvaerner Power, P.O.Box 109, FIN-33101 Tampere (Finland)

    2005-12-15

    Combustion of refuse-derived fuel (RDF) alone or together with other biomass leads to superheater fouling and corrosion in efficient power plants (with high steam values) due to vaporization and condensation of alkali chlorides. In this study, means were found to raise the portion of RDF to 40% enb without risk to boilers. This was done by co-firing RDF with coal and optimizing coal quality. Free aluminum silicate in coal captured alkalies from vaporized alkali chlorides preventing Cl condensation to superheaters. Strong fouling and corrosion were simultaneously averted. Results from 100 kW and 4 MW CFB reactors are reported. (author)

  17. Construction products performances and basic requirements for fire safety of facades in energy rehabilitation of buildings

    Directory of Open Access Journals (Sweden)

    Laban Mirjana Đ.

    2015-01-01

    Full Text Available Construction product means any product or kit which is produced and placed on the market for incorporation in a permanent manner in construction works, or parts thereof, and the performance of which has an effect on the performance of the construction works with respect to the basic requirements for construction works. Safety in case of fire and Energy economy and heat retention represent two among seven basic requirements which building has to meet according to contemporary technical rules on planning and construction. Performances of external walls building materials (particularly reaction to fire could significantly affect to fire spread on the façade and other building parts. Therefore, façade shaping and materialization in building renewal process, has to meet the fire safety requirement, as well as the energy requirement. Brief survey of fire protection regulations development in Serbia is presented in the paper. Preventive measures for fire risk reduction in building façade energy renewal are proposed according to contemporary fire safety requirements.

  18. Coal refuse reclamation project

    Energy Technology Data Exchange (ETDEWEB)

    Zellmer, S.D.

    1979-04-06

    A 13.8 ha abandoned coal refuse site in southwestern Illinois was reclaimed by recontouring the refuse material and covering it with a minimum 30 cm of soil. The reclamation procedure included determination of the site's final land use, collection of preconstruction environmental data, and development and implementation of engineering plans. The project is demonstrating methods that can be used to reclaim abandoned coal refuse sites, and a multidisciplinary approach is being used to evaluate postconstruction environmental and economic effects of the reclamation effort. Surface water quality has shown significant improvement and plant cover is becoming established on the site. Soil microbial populations are developing and wildlife habitats are forming. The economic value of the site and adjacent properties has increased substantially and the area's aesthetic value has been enhanced. This project is providing valuable design data for future reclamation efforts of this type.

  19. Early Forest Fire Detection Using Low Energy Hydrogen Sensors

    Directory of Open Access Journals (Sweden)

    Jürgen Müller

    2016-08-01

    Full Text Available The North-east German Lowlands is a region with one of the highest forest fire risks in Europe. In order to keep damage levels as low as possible, it is important to have an effective early warning system. Such a system is being developed on the basis of a hydrogen sensor, which makes it possible to detect a smouldering forest fire before the development of open flames. The prototype hydrogen sensor produced at the Humboldt University Berlin has a metal/ solid electrolyte/insulator/ semiconductor (MEIS structure, which allows cost-effective production. Due to the low energy consumption, an autarchic working unit could be installed in the forest. Field trials have shown that it is possible to identify a forest fire in its early stages when hydrogen concentrations are still low. A significant change in the signal due to a fire was measured at a distance of about 100m. In view of the potential impacts of climate change, the innovative pre-ignition warning system is an important early diagnosis and monitoring module for the protection of the forests.

  20. The use of remotely-sensed wildland fire radiation to infer the fates of carbon during biomass combustion - the need to understand and quantify a fire's mass and energy budget

    Science.gov (United States)

    Dickinson, M. B.; Dietenberger, M.; Ellicott, E. A.; Hardy, C.; Hudak, A. T.; Kremens, R.; Mathews, W.; Schroeder, W.; Smith, A. M.; Strand, E. K.

    2016-12-01

    Few measurement techniques offer broad-scale insight on the extent and characteristics of biomass combustion during wildland fires. Remotely-sensed radiation is one of these techniques but its measurement suffers from several limitations and, when quantified, its use to derive variables of real interest depends on an understanding of the fire's mass and energy budget. In this talk, we will review certain assumptions of wildland fire radiation measurement and explore the use of those measurements to infer the fates of biomass and the dissipation of combustion energy. Recent measurements show that the perspective of the sensor (nadir vs oblique) matters relative to estimates of fire radiated power. Other considerations for producing accurate estimates of fire radiation from remote sensing include obscuration by an intervening forest canopy and to what extent measurements that are based on the assumption of graybody/blackbody behavior underestimate fire radiation. Fire radiation measurements are generally a means of quantifying other variables and are often not of interest in and of themselves. Use of fire radiation measurements as a means of inference currently relies on correlations with variables of interest such as biomass consumption and sensible and latent heat and emissions fluxes. Radiation is an imperfect basis for these correlations in that it accounts for a minority of combustion energy ( 15-30%) and is not a constant as is often assumed. Measurements suggest that fire convective energy accounts for the majority of combustion energy and (after radiation) is followed by latent energy, soil heating, and pyrolysis energy, more or less in that order. Combustion energy in and of itself is not its potential maximum, but is reduced to an effective heat of combustion by combustion inefficiency and by work done to pyrolyze fuel (important in char production) and in moisture vaporization. The effective heat of combustion is often on the order of 65% of its potential

  1. Personal values and cancer treatment refusal

    NARCIS (Netherlands)

    Evert van Leeuwen; Marli Huijer

    2000-01-01

    This pilot study explores the reasons patients have for refusing chemotherapy, and the ways oncologists respond to them. Our hypothesis, generated from interviews with patients and oncologists, is that an ethical approach that views a refusal as an autonomous choice, in which patients are informed

  2. 30 CFR 77.215-1 - Refuse piles; identification.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; identification. 77.215-1 Section... COAL MINES Surface Installations § 77.215-1 Refuse piles; identification. A permanent identification marker, at least six feet high and showing the refuse pile identification number as assigned by the...

  3. 30 CFR 77.215-3 - Refuse piles: certification.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles: certification. 77.215-3 Section... COAL MINES Surface Installations § 77.215-3 Refuse piles: certification. (a) Within 180 days following written notification by the District Manager that a refuse pile can present a hazard, the person owning...

  4. Co-firing a pressurized fluidized-bed combustion system with coal and refuse derived fuels and/or sludges. Task 16

    Energy Technology Data Exchange (ETDEWEB)

    DeLallo, M.; Zaharchuk, R.

    1994-01-01

    The co-firing of waste materials with coal in utility scale power plants has emerged as an effective approach to produce energy and manage municipal waste. Leading this approach, the atmospheric fluidized-bed combustor (AFBC) has demonstrated its commercial acceptance in the utility market as a reliable source of power burning a variety of waste and alternative fuels. The fluidized bed, with its stability of combustion, reduces the amount of thermochemical transients and provides for easier process control. The application of pressurized fluidized-bed combustor (PFBC) technology, although relatively new, can provide significant enhancements to the efficient production of electricity while maintaining the waste management benefits of AFBC. A study was undertaken to investigate the technical and economic feasibility of co-firing a PFBC with coal and municipal and industrial wastes. Focus was placed on the production of electricity and the efficient disposal of wastes for application in central power station and distributed locations. Wastes considered for co-firing include municipal solid waste (MSW), tire-derived fuel (TDF), sewage sludge, and industrial de-inking sludge. Issues concerning waste material preparation and feed, PFBC operation, plant emissions, and regulations are addressed. This paper describes the results of this investigation, presents conclusions on the key issues, and provides recommendations for further evaluation.

  5. Energy and water conservation at lignite-fired power plants using drying and water recovery technologies

    International Nuclear Information System (INIS)

    Liu, Ming; Qin, Yuanzhi; Yan, Hui; Han, Xiaoqu; Chong, Daotong

    2015-01-01

    Highlights: • Pre-drying and water recovery technologies were used to conserve energy and water. • The energy and water conservation potential were analyzed with reference cases. • The air-cooling unit produces water when the water content of lignite is high enough. • Influences of main parameters on energy and water conservation were analyzed. - Abstract: Lignite is considered as a competitive energy raw material with high security of supply viewed from a global angle. However, lignite-fired power plants have many shortcomings, including high investment, low energy efficiency and high water use. To address these issues, the drying and water recovery technologies are integrated within lignite-fired power plants. Both air-cooling and wet-cooling units with three kinds of lignite as feeding fuel were analyzed quantitatively. Results showed that energy conservation and water conservation are obtained simultaneously. The power plant firing high moisture lignite becomes more environmental friendly with higher power generation efficiency and a lower water makeup rate than the one firing low moisture lignite. And further calculation revealed that the air-cooling unit needs no makeup water and even produces some water as it generates power, when the water carrying coefficient is higher than 40 g/MJ.

  6. 30 CFR 77.215 - Refuse piles; construction requirements.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; construction requirements. 77.215... COAL MINES Surface Installations § 77.215 Refuse piles; construction requirements. (a) Refuse deposited on a pile shall be spread in layers and compacted in such a manner so as to minimize the flow of air...

  7. 25 CFR 135.23 - Refusal of water delivery.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Refusal of water delivery. 135.23 Section 135.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES CONSTRUCTION ASSESSMENTS, CROW... District § 135.23 Refusal of water delivery. The right is reserved to refuse the delivery of water to any...

  8. Identifying and quantifying energy savings on fired plant using low cost modelling techniques

    International Nuclear Information System (INIS)

    Tucker, Robert; Ward, John

    2012-01-01

    Research highlights: → Furnace models based on the zone method for radiation calculation are described. → Validated steady-state and transient models have been developed. → We show how these simple models can identify the best options for saving energy. → High emissivity coatings predicted to give performance enhancement on a fired heater. → Optimal heat recovery strategies on a steel reheating furnace are predicted. -- Abstract: Combustion in fired heaters, boilers and furnaces often accounts for the major energy consumption on industrial processes. Small improvements in efficiency can result in large reductions in energy consumption, CO 2 emissions, and operating costs. This paper will describe some useful low cost modelling techniques based on the zone method to help identify energy saving opportunities on high temperature fuel-fired process plant. The zone method has for many decades, been successfully applied to small batch furnaces through to large steel-reheating furnaces, glass tanks, boilers and fired heaters on petrochemical plant. Zone models can simulate both steady-state furnace operation and more complex transient operation typical of a production environment. These models can be used to predict thermal efficiency and performance, and more importantly, to assist in identifying and predicting energy saving opportunities from such measures as: ·Improving air/fuel ratio and temperature controls. ·Improved insulation. ·Use of oxygen or oxygen enrichment. ·Air preheating via flue gas heat recovery. ·Modification to furnace geometry and hearth loading. There is also increasing interest in the application of refractory coatings for increasing surface radiation in fired plant. All of the techniques can yield savings ranging from a few percent upwards and can deliver rapid financial payback, but their evaluation often requires robust and reliable models in order to increase confidence in making financial investment decisions. This paper gives

  9. 25 CFR 135.6 - Refusal of water delivery.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Refusal of water delivery. 135.6 Section 135.6 Indians... INDIAN IRRIGATION PROJECT Charges Assessed Against Irrigation District Lands § 135.6 Refusal of water delivery. The right is reserved to the United States to refuse the delivery of water to each of the said...

  10. Results of combustion and emissions testing when co-firing blends of binder-enhanced densified refuse-derived fuel (b-dRDF) pellets and coal in a 440 MW{sub e} cyclone fired combustor. Volume 3: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Ohlsson, O.

    1994-07-01

    This report contains the data resulting from the co-firing of b-dRDF pellets and coal in a 440-MW{sub e} cyclone-fired combustor. These tests were conducted under a Collaborative Research and Development Agreement (CRADA). The CRADA partners included the U.S. Department of Energy (DOE), National Renewable Energy Laboratory (NREL), Argonne National Laboratory (ANL), Otter Tail Power Company, Green Isle Environmental, Inc., XL Recycling Corporation, and Marblehead Lime Company. The report is made up of three volumes. This volume contains other supporting information, along with quality assurance documentation and safety and test plans. With this multi-volume approach, readers can find information at the desired level of detail, depending on individual interest or need.

  11. School Refusal

    Science.gov (United States)

    Wimmer, Mary

    2008-01-01

    School attendance is an ongoing concern for administrators, particularly in middle level and high school. Frequent absences affect student learning, test scores, and social development. Absenteeism is often the result of emotional disorders, such as anxiety or depression. Administrators who understand the causes of school refusal behavior and are…

  12. Feedlot biomass co-firing: a renewable energy alternative for coal-fired utilities. Paper no. IGEC-1-128

    International Nuclear Information System (INIS)

    Arumugam, S.; Thien, B.; Annamalai, K.; Sweeten, J.

    2005-01-01

    The swiftly growing feedlot industry in the United States upshots in the production of manure from one or more animal species in excess of what can safely be applied to farmland in accordance with nutrient management plans. Disposal of the vast quantity of manure produced as a by-product of the cattle feeding industry is one of the major operating tasks of the industry. Aside from the traditional means of disposal as fertilizer, an alternative and attractive way of overcoming this threat is to develop processes that make use of manure as an energy resource. In the present study, the feasibility of using of manure as a fuel in existing coal fired power plants is considered and appropriately termed Feedlot Biomass (FB). The technology of co-firing coal: feedlot biomass facilitates an environment friendly utilization of animal waste for the production of valuable power/steam concurrently addressing the renewable energy, groundwater contamination, and greenhouse gas concerns. Co-firing tests were performed at the Texas AandM University 30 kW t (100,000 Btu/h) laboratory-scale facility. The trials revealed the enhanced combustion of the blends. The NO emissions were less for the blend even with higher nitrogen content of FB as compared to coal. (author)

  13. 20 CFR 401.70 - Appeals of refusals to correct records or refusals to allow access to records.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Appeals of refusals to correct records or refusals to allow access to records. 401.70 Section 401.70 Employees' Benefits SOCIAL SECURITY... also inform you that you have a right to file a statement of disagreement with the decision. Your...

  14. Use of ordinary kriging and Gaussian conditional simulation to interpolate airborne fire radiative energy density estimates

    Science.gov (United States)

    C. Klauberg; A. T. Hudak; B. C. Bright; L. Boschetti; M. B. Dickinson; R. L. Kremens; C. A. Silva

    2018-01-01

    Fire radiative energy density (FRED, J m-2) integrated from fire radiative power density (FRPD, W m-2) observations of landscape-level fires can present an undersampling problem when collected from fixed-wing aircraft. In the present study, the aircraft made multiple passes over the fire at ~3 min intervals, thus failing to observe most of the FRPD emitted as the flame...

  15. [Refusal of treatments by an adult cancer patient].

    Science.gov (United States)

    Dauchy, Sarah; Faivre, Jean-Christophe; Block, Véronique; Metzger, Maude; Salleron, Julia; Charles, Cécile; Adam, Virginie

    2018-03-01

    Refusal of treatment questions the treatment's adequacy as well as the quality of the care relationship. A rigorous analysis of these situations is necessary in order to respect the patient's fundamental right to decide for him/herself while preventing a potential loss of chance. This paper proposes practical guidelines for assessment and management of the refusal of treatment by adult cancer patients. The French Association for Supportive Care in Cancer and the French Society for Psycho-Oncology formed a task force that applied a consensus methodology to draft guidelines. We propose five guidelines: (1) be informed of the conditions most often associated with refusal of treatment so as to reinforce adequate support measures; (2) understand the complexity of the process of refusal and accurately identify what is precisely refused; (3) apply an approach of systematic analysis to refusal, to try and increase the possibilities of finding an agreement while reinforcing the respect of the patient's position; (4) establish a legal procedure to address refusal of treatment that safeguards the stakeholders when no accord can be found; and (5) know the indications for ethical collective decision-making. A systematic assessment procedure of treatment refusal is necessary in order to ensure that all the physical, psychological and contextual aspects of it are taken into account, and to provide patients with the best treatment possible. The setting of good care relationship, the improvement of communication skills training and of comprehensive multidisciplinary care are all crucial elements in the prevention of these situations. Copyright © 2018 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

  16. Optimization of use of waste in the future energy system

    DEFF Research Database (Denmark)

    Münster, Marie; Meibom, Peter

    2011-01-01

    of mixed waste, anaerobic digestion of organic waste, and gasification of part of the potential RDF (refuse derived fuel) for CHP (combined heat and power) production, while the remaining part is co-combusted with coal. Co-combustion mainly takes place in new coal-fired power plants, allowing investments...... production in Denmark in a 2025 scenario with 48% renewable energy. Investments in a range of waste conversion technologies are facilitated, including waste incineration, co-combustion with coal, anaerobic digestion, and gasification. The most economically feasible solutions are found to be incineration...

  17. 30 CFR 77.215-2 - Refuse piles; reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Refuse piles; reporting requirements. 77.215-2... COAL MINES Surface Installations § 77.215-2 Refuse piles; reporting requirements. (a) The proposed location of a new refuse pile shall be reported to and acknowledged in writing by the District Manager...

  18. Differences between "refusers" and "non-refusers" in a psychological study.

    NARCIS (Netherlands)

    Hoogstraten, J.; Vorst, H.C.M.

    1972-01-01

    Administered the ABV (Amsterdam Biographical Questionnaire) and the LOS (Leadership Concept Scale) to 98 students. The directions indicated that the Ss need not comply with the requirement to complete the LOS. 21 Ss failed to avail themselves of this permission and were labeled "refusers" (A). Their

  19. Primary care pediatricians' perceptions of vaccine refusal in europe.

    Science.gov (United States)

    Grossman, Zachi; van Esso, Diego; Del Torso, Stefano; Hadjipanayis, Adamos; Drabik, Anna; Gerber, Andreas; Miron, Dan

    2011-03-01

    An electronic survey assessing primary care pediatricians' estimations and practices regarding parents' vaccination refusal was sent to 395 members of the European Academy of Pediatrics Research in Ambulatory Setting network, with a response rate of 87%. Of respondents who vaccinate in the clinic, 93% estimated the total vaccine refusal rate as refusing parents.

  20. Persian Speakers' Use of Refusal Strategies across Politeness Systems

    Science.gov (United States)

    Salmani Nodoushan, Mohammad Ali

    2016-01-01

    This study aimed at investigating the preferred refusal strategies in Persian. 3047 refusals collected by 108 field workers as well as 376 refusals collected through face to face interviews were analyzed and classified according to the descriptions proposed by Liao (1994) and Liao and Bresnahan (1996). The frequencies of the resulting direct and…

  1. 19 CFR 12.114 - Release or refusal of delivery.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Release or refusal of delivery. 12.114 Section 12... delivery. If the completed Notice of Arrival directs the port director to release the shipment of... directs the port director to refuse delivery of the shipment, the shipment shall be refused delivery and...

  2. An investigation on the fuel savings potential of hybrid hydraulic refuse collection vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Bender, Frank A., E-mail: bender@isys.uni-stuttgart.de; Bosse, Thomas; Sawodny, Oliver

    2014-09-15

    Highlights: • Driving cycle acquisition in a refuse collection vehicle. • Vehicle modeling and validation for numerical simulations based on the measured driving cycle. • Fuel consumption analysis for a conventional diesel vehicle and a hybrid hydraulic vehicle. - Abstract: Refuse trucks play an important role in the waste collection process. Due to their typical driving cycle, these vehicles are characterized by large fuel consumption, which strongly affects the overall waste disposal costs. Hybrid hydraulic refuse vehicles offer an interesting alternative to conventional diesel trucks, because they are able to recuperate, store and reuse braking energy. However, the expected fuel savings can vary strongly depending on the driving cycle and the operational mode. Therefore, in order to assess the possible fuel savings, a typical driving cycle was measured in a conventional vehicle run by the waste authority of the City of Stuttgart, and a dynamical model of the considered vehicle was built up. Based on the measured driving cycle and the vehicle model including the hybrid powertrain components, simulations for both the conventional and the hybrid vehicle were performed. Fuel consumption results that indicate savings of about 20% are presented and analyzed in order to evaluate the benefit of hybrid hydraulic vehicles used for refuse collection.

  3. An investigation on the fuel savings potential of hybrid hydraulic refuse collection vehicles

    International Nuclear Information System (INIS)

    Bender, Frank A.; Bosse, Thomas; Sawodny, Oliver

    2014-01-01

    Highlights: • Driving cycle acquisition in a refuse collection vehicle. • Vehicle modeling and validation for numerical simulations based on the measured driving cycle. • Fuel consumption analysis for a conventional diesel vehicle and a hybrid hydraulic vehicle. - Abstract: Refuse trucks play an important role in the waste collection process. Due to their typical driving cycle, these vehicles are characterized by large fuel consumption, which strongly affects the overall waste disposal costs. Hybrid hydraulic refuse vehicles offer an interesting alternative to conventional diesel trucks, because they are able to recuperate, store and reuse braking energy. However, the expected fuel savings can vary strongly depending on the driving cycle and the operational mode. Therefore, in order to assess the possible fuel savings, a typical driving cycle was measured in a conventional vehicle run by the waste authority of the City of Stuttgart, and a dynamical model of the considered vehicle was built up. Based on the measured driving cycle and the vehicle model including the hybrid powertrain components, simulations for both the conventional and the hybrid vehicle were performed. Fuel consumption results that indicate savings of about 20% are presented and analyzed in order to evaluate the benefit of hybrid hydraulic vehicles used for refuse collection

  4. Denitrification capacity of bioreactors filled with refuse at different landfill ages

    International Nuclear Information System (INIS)

    Chen Yingxu; Wu Songwei; Wu Weixiang; Sun Hua; Ding Ying

    2009-01-01

    The denitrification capacity of refuse at different landfill ages in bioreactor landfill system was studied. Three reactors filled with 1-year-old refuse (R1), 6-year-old refuse (R6) and 11-year-old refuse (R11), respectively, were operated in the experiment. Nitrate solution (1000 mg NO 3 - -N L -1 ) was added into each reactor. The results showed that the reactors were all able to consume nitrate. However, 1-year-old refuse in R1 had both a higher nitrate reduction rate and concentration of N 2 . In addition, vertical differences in nitrate removal along the depth of R1 were observed. The bottom-layer refuse and the middle-layer refuse both showed higher efficiency in nitrate depletion than the top layer. Furthermore, N 2 O accumulation was found in R11 with the concentration up to 19.3% of the released gas. These results suggested that 1-year-old refuse, which was partly degraded, was more suitable to use as denitrification medium.

  5. 36 CFR 1002.14 - Sanitation and refuse.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Sanitation and refuse. 1002.14 Section 1002.14 Parks, Forests, and Public Property PRESIDIO TRUST RESOURCE PROTECTION, PUBLIC USE AND RECREATION § 1002.14 Sanitation and refuse. (a) The following are prohibited: (1) Disposing of...

  6. Characteristics and Outcomes of Elderly Patients Refused to ICU

    Directory of Open Access Journals (Sweden)

    María-Consuelo Pintado

    2013-01-01

    Full Text Available Background. There are few data regarding the process of deciding which elderly patients are refused to ICU admission, their characteristics, and outcome. Methods. Prospective longitudinal observational cohort study. We included all consecutive patients older than 75 years, who were evaluated for admission to but were refused to treatment in ICU, during 18 months, with 12-month followup. We collected demographic data, ICU admission/refusal reasons, previous functional and cognitive status, comorbidity, severity of illness, and hospital and 12-month mortality. Results. 338 elderly patients were evaluated for ICU admission and 88 were refused to ICU (26%. Patients refused because they were “too ill to benefit” had more comorbidity and worse functional and mental situation than those admitted to ICU; there were no differences in illness severity. Hospital mortality rate of the whole study cohort was 36.3%, higher in patients “too ill to benefit” (55.6% versus 35.8%, P<0.01, which also have higher 1-year mortality (73.7% versus 42.5%, P<0.01. High comorbidity, low functional status, unavailable ICU beds, and age were associated with refusal decision on multivariate analysis. Conclusions. Prior functional status and comorbidity, not only the age or severity of illness, can help us more to make the right decision of admitting or refusing to ICU patients older than 75 years.

  7. 36 CFR 2.14 - Sanitation and refuse.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Sanitation and refuse. 2.14 Section 2.14 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR RESOURCE PROTECTION, PUBLIC USE AND RECREATION § 2.14 Sanitation and refuse. (a) The following are...

  8. Refusal of Curative Radiation Therapy and Surgery Among Patients With Cancer

    International Nuclear Information System (INIS)

    Aizer, Ayal A.; Chen, Ming-Hui; Parekh, Arti; Choueiri, Toni K.; Hoffman, Karen E.; Kim, Simon P.; Martin, Neil E.; Hu, Jim C.; Trinh, Quoc-Dien; Nguyen, Paul L.

    2014-01-01

    Purpose: Surgery and radiation therapy represent the only curative options for many patients with solid malignancies. However, despite the recommendations of their physicians, some patients refuse these therapies. This study characterized factors associated with refusal of surgical or radiation therapy as well as the impact of refusal of recommended therapy on patients with localized malignancies. Methods and Materials: We used the Surveillance, Epidemiology, and End Results program to identify a population-based sample of 925,127 patients who had diagnoses of 1 of 8 common malignancies for which surgery and/or radiation are believed to confer a survival benefit between 1995 and 2008. Refusal of oncologic therapy, as documented in the SEER database, was the primary outcome measure. Multivariable logistic regression was used to investigate factors associated with refusal. The impact of refusal of therapy on cancer-specific mortality was assessed with Fine and Gray's competing risks regression. Results: In total, 2441 of 692,938 patients (0.4%) refused surgery, and 2113 of 232,189 patients (0.9%) refused radiation, despite the recommendations of their physicians. On multivariable analysis, advancing age, decreasing annual income, nonwhite race, and unmarried status were associated with refusal of surgery, whereas advancing age, decreasing annual income, Asian American race, and unmarried status were associated with refusal of radiation (P<.001 in all cases). Refusal of surgery and radiation were associated with increased estimates of cancer-specific mortality for all malignancies evaluated (hazard ratio [HR], 2.80, 95% confidence interval [CI], 2.59-3.03; P<.001 and HR 1.97 [95% CI, 1.78-2.18]; P<.001, respectively). Conclusions: Nonwhite, less affluent, and unmarried patients are more likely to refuse curative surgical and/or radiation-based oncologic therapy, raising concern that socioeconomic factors may drive some patients to forego potentially life

  9. Refusal of Curative Radiation Therapy and Surgery Among Patients With Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Aizer, Ayal A., E-mail: aaaizer@partners.org [Harvard Radiation Oncology Program, Boston, Massachusetts (United States); Chen, Ming-Hui [Department of Statistics, University of Connecticut, Storrs, Connecticut (United States); Parekh, Arti [Boston University School of Medicine, Boston, Massachusetts (United States); Choueiri, Toni K. [Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute/Brigham and Women' s Hospital, Harvard Medical School, Boston, Massachusetts (United States); Hoffman, Karen E. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Kim, Simon P. [Department of Urology, Mayo Clinic, Rochester, Minnesota (United States); Martin, Neil E. [Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute/Brigham and Women' s Hospital, Harvard Medical School, Boston, Massachusetts (United States); Hu, Jim C. [Department of Urology, University of California, Los Angeles, California (United States); Trinh, Quoc-Dien [Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec (Canada); Nguyen, Paul L. [Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute/Brigham and Women' s Hospital, Harvard Medical School, Boston, Massachusetts (United States)

    2014-07-15

    Purpose: Surgery and radiation therapy represent the only curative options for many patients with solid malignancies. However, despite the recommendations of their physicians, some patients refuse these therapies. This study characterized factors associated with refusal of surgical or radiation therapy as well as the impact of refusal of recommended therapy on patients with localized malignancies. Methods and Materials: We used the Surveillance, Epidemiology, and End Results program to identify a population-based sample of 925,127 patients who had diagnoses of 1 of 8 common malignancies for which surgery and/or radiation are believed to confer a survival benefit between 1995 and 2008. Refusal of oncologic therapy, as documented in the SEER database, was the primary outcome measure. Multivariable logistic regression was used to investigate factors associated with refusal. The impact of refusal of therapy on cancer-specific mortality was assessed with Fine and Gray's competing risks regression. Results: In total, 2441 of 692,938 patients (0.4%) refused surgery, and 2113 of 232,189 patients (0.9%) refused radiation, despite the recommendations of their physicians. On multivariable analysis, advancing age, decreasing annual income, nonwhite race, and unmarried status were associated with refusal of surgery, whereas advancing age, decreasing annual income, Asian American race, and unmarried status were associated with refusal of radiation (P<.001 in all cases). Refusal of surgery and radiation were associated with increased estimates of cancer-specific mortality for all malignancies evaluated (hazard ratio [HR], 2.80, 95% confidence interval [CI], 2.59-3.03; P<.001 and HR 1.97 [95% CI, 1.78-2.18]; P<.001, respectively). Conclusions: Nonwhite, less affluent, and unmarried patients are more likely to refuse curative surgical and/or radiation-based oncologic therapy, raising concern that socioeconomic factors may drive some patients to forego potentially life

  10. New energy vision for Ginoza village. Fiscal 2000 survey report on new energy vision formulation project for Ginoza village; Ginozason shin energy vision. 2000 nendo Ginozason shin energy vision sakutei nado jigyo chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-02-01

    A new energy vision has been formulated for Ginoza village, Okinawa Prefecture, for the realization of symbiosis with nature. It is a 5,000-strong entirely farming village situated along the eastern coast at the middle of the main island of the Ryukyus, with energy consumption of 9,982 kl in terms of crude oil in fiscal 1999. The results of activities in this connection are summarized in six chapters, which are (1) the state of the village and new energy, (2) current state of energy supply/demand and outlook for the future, (3) existing amount of new energy, (4) trends of types of new energy under study, (5) feasibility of new energy introduction, and (6) Ginoza village's new energy vision. Chapter (6) is constituted of the general principles of new energy introduction into Ginoza village and a long-term vision of new energy introduction for each field, and discusses the introducible types which are photovoltaic power generation, wind power generation, small scale hybrid power source systems, fuel cells, natural gas fired cogeneration, refuse fueled power generation, and clean energy vehicles. (NEDO)

  11. Improvement of environmentally relevant qualities of slags from waste-to-energy plants; Verbesserung der umweltrelevanten Qualitaeten von Schlacken aus Abfallverbrennungsanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Alwast, Holger [Prognos AG, Berlin (Germany); Riemann, Axel [RSP GmbH, Herne (Germany)

    2010-10-15

    This expert opinion describes options for improving slag quality (further measures for processing slag, as well as improvements of grate firing in terms of firing-technology), to ensure a slag recovery that is as sustainable as possible. In the context of this project, the term ''slag'' serves as a synonym for solid incineration residues that are generated during the incineration of wastes or of refuse derived fuels and that are separated there (e.g. from the deslagger). The term ''slags'' is also used as a synonym for grate ashes. The main focus of this expertise is on resource and climate protection issues with respect to slag processing. Resource protection refers to the saving of resources and natural raw materials, such as, for example, water and metal ores. Climate protection in this context means CO{sub 2} mitigation through a high specific net energy generation in waste incineration plants, as well as a reduced energy use due to avoided new production of metals, which can be recycled from slag processing. The main measure for improving climate and resource protection in slag processing consists therefore of separating as much metal as possible from slags. By recycling those separated slags, the energy that is needed for the extraction from ores and the raw material ore itself can be saved. This advantage in terms of energy, however, can be partially compensated by the energy use potentially needed for the improvement of slag processing. Further important aspects include the protection of water and soils, as well as the suitability of processed slag for an adequate recovery. These last criteria, however, are not central for this expertise. Currently, 69 municipal solid waste incinerators, hereinafter referred to as Waste-to-Energy (WTE) plants, and 23 refuse derived fuel (RDF) power plants with grate firing are in operation in Germany. Their total capacity amounts to more than 21 million Mg per year. Another 13 RDF

  12. Impending sources of energy to replace fire wood in semi arid climatic zones: A case study in Ethiopia

    Directory of Open Access Journals (Sweden)

    Mihret Dananto Ulsido

    2013-06-01

    Full Text Available The present study paper shows an alternative source of energy that can decrease the extensive use of fire wood in Ethiopia. The country’s entire rural area and significant part of urban population is completely dependent on fire wood as a source of energy. This practice takes its own toll, the forest is on the verge of being wiped out and as a result a clear change of climate and loss of natural biodiversity resources is visible. Fire wood is not the only source of energy available in the country. In this paper, based on their low cost, construction material availability and the required unskilled labor it is shown that biogas and solar energy are potentially feasible source of energy to replace firewood for cooking.

  13. Energy requirement for firing porcelain | M. de O. Madivate | Bulletin ...

    African Journals Online (AJOL)

    Results from studies on the ternary system Ribaué kaolin–Carapira feldspar– Marracuene quartz sands were used to test a procedure that we developed for calculation of the energy requirement for firing porcelain. Results obtained vary between 1300 and 1800 kJ/kg porcelain. These results differ largely from the ones ...

  14. Health and environmental effects of refuse derived fuel (RDF) production and RDF/coal co-firing technologies

    Energy Technology Data Exchange (ETDEWEB)

    O' Toole, J.J.; Wessels, T.E.; Lynch, J.F.; Fassel, V.A.; Lembke, L.L.; Kniseley, R.N.; Norton, G.A.; Junk, G.A.; Richard, J.J.; Dekalb, E.L.; Dobosy, R.J.

    1981-10-01

    Six facilities, representing the scope of different co-firing techniques with their associated RDF production systems were reviewed in detail for combustion equipment, firing modes, emission control systems, residue handling/disposal, and effluent wastewater treatment. These facilities encompass all currently operational or soon to be operational co-firing plants and associated RDF production systems. Occupational health and safety risks for these plants were evaluated on the basis of fatal and nonfatal accidents and disease arising from the respective fuel cycles, coal and RDF. Occupational risks include exposure to pathogenic organisms in the workplace. Unusual events that are life threatening in the RDF processing industry (e.g., explosions) are also discussed and remedial and safety measures reviewed. 80 refs., 4 figs., 30 tabs.

  15. An investigation on the fuel savings potential of hybrid hydraulic refuse collection vehicles.

    Science.gov (United States)

    Bender, Frank A; Bosse, Thomas; Sawodny, Oliver

    2014-09-01

    Refuse trucks play an important role in the waste collection process. Due to their typical driving cycle, these vehicles are characterized by large fuel consumption, which strongly affects the overall waste disposal costs. Hybrid hydraulic refuse vehicles offer an interesting alternative to conventional diesel trucks, because they are able to recuperate, store and reuse braking energy. However, the expected fuel savings can vary strongly depending on the driving cycle and the operational mode. Therefore, in order to assess the possible fuel savings, a typical driving cycle was measured in a conventional vehicle run by the waste authority of the City of Stuttgart, and a dynamical model of the considered vehicle was built up. Based on the measured driving cycle and the vehicle model including the hybrid powertrain components, simulations for both the conventional and the hybrid vehicle were performed. Fuel consumption results that indicate savings of about 20% are presented and analyzed in order to evaluate the benefit of hybrid hydraulic vehicles used for refuse collection. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Factors related to treatment refusal in Taiwanese cancer patients.

    Science.gov (United States)

    Chiang, Ting-Yu; Wang, Chao-Hui; Lin, Yu-Fen; Chou, Shu-Lan; Wang, Ching-Ting; Juang, Hsiao-Ting; Lin, Yung-Chang; Lin, Mei-Hsiang

    2015-01-01

    Incidence and mortality rates for cancer have increased dramatically in the recent 30 years in Taiwan. However, not all patients receive treatment. Treatment refusal might impair patient survival and life quality. In order to improve this situation, we proposed this study to evaluate factors that are related to refusal of treatment in cancer patients via a cancer case manager system. This study analysed data from a case management system during the period from 2010 to 2012 at a medical center in Northern Taiwan. We enrolled a total of 14,974 patients who were diagnosed with cancer. Using the PRECEDE Model as a framework, we conducted logistic regression analysis to identify independent variables that are significantly associated with refusal of therapy in cancer patients. A multivariate logistic regression model was also applied to estimate adjusted the odds ratios (ORs) with 95% confidence intervals (95%CI). A total of 253 patients (1.69%) refused treatment. The multivariate logistic regression result showed that the high risk factors for refusal of treatment in cancer patient included: concerns about adverse effects (prefuse treatment have poor survival. The present study provides evidence of factors that are related to refusal of therapy and might be helpful for further application and improvement of cancer care.

  17. Pervasive refusal syndrome. Three German cases provide further illustration.

    Science.gov (United States)

    Jans, Thomas; Ball, Juliane; Preiss, Maike; Haberhausen, Michael; Warnke, Andreas; Renner, Tobias J

    2011-09-01

    Pervasive refusal syndrome (PRS) has been proposed as a new diagnostic entity among child and adolescent psychiatric disorders. It is characterized by a cluster of life-threatening symptoms including refusal of hood intake, decreased or complete lack of mobilization, and lack of communication as well as retreat from normal life activities. Active refusal to accept help as well as neglect of personal care have been core features of PRS in the limited number of cases reported in the last decade. There have, however; been cases with predominantly passive resistance, indicating the possibility that there may be a continuum from active refusal to passive resistance within PRS. Postulating this continuum allows for the integration of "depressive devitalization" -- a refusal syndrome mainly characterized by passive resistance -- into the concept of PRS. Here, three case vignettes of adolescent patients with PRS are presented. The patients' symptomatology can be allocated on this continuum of PRS. PRS and dissociative disorders are compared in greater detail and contrasted within this discussion of differential diagnoses at the poles of such a continuum. PRS is a useful diagnosis for cases involving symptoms of predominating refusal and retreat which cannot satisfactorily be classified by existing diagnostic categories, and which can mostly clearly be separated from dissociative disorder.

  18. Refusal Skill Ability: An Examination of Adolescent Perceptions of Effectiveness

    Science.gov (United States)

    Nichols, Tracy R.; Birnel, Sara; Graber, Julia A.; Brooks-Gunn, Jeanne; Botvin, Gilbert J.

    2010-01-01

    This pilot study examined whether refusal assertion as defined by a proven drug prevention program was associated with adolescent perceptions of effectiveness by comparing two sets of coded responses to adolescent videotaped refusal role-plays (N = 63). The original set of codes was defined by programmatic standards of refusal assertion and the…

  19. 47 CFR 73.4005 - Advertising-refusal to sell.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Advertising-refusal to sell. 73.4005 Section 73.4005 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.4005 Advertising—refusal to sell. See 412...

  20. Biomass co-firing

    DEFF Research Database (Denmark)

    Yin, Chungen

    2013-01-01

    Co-firing biomass with fossil fuels in existing power plants is an attractive option for significantly increasing renewable energy resource utilization and reducing CO2 emissions. This chapter mainly discusses three direct co-firing technologies: pulverized-fuel (PF) boilers, fluidized-bed combus......Co-firing biomass with fossil fuels in existing power plants is an attractive option for significantly increasing renewable energy resource utilization and reducing CO2 emissions. This chapter mainly discusses three direct co-firing technologies: pulverized-fuel (PF) boilers, fluidized......-bed combustion (FBC) systems, and grate-firing systems, which are employed in about 50%, 40% and 10% of all the co-firing plants, respectively. Their basic principles, process technologies, advantages, and limitations are presented, followed by a brief comparison of these technologies when applied to biomass co...

  1. A preliminary evaluation of a combined tire- and refuse-derived fuel (TDF-RDF)

    Energy Technology Data Exchange (ETDEWEB)

    Stessel, R.I.; Amari, T.; Themelis, N.J.; Wearnick, I.K.

    1999-07-01

    In dense urban areas of the US, it is now becoming clear that waste management is far from economically-optimum. Even with the popularity of inexpensive land disposal, hauling and recycling costs are driving up the average waste bill. An historic option has been refuse-derived fuel, or RDF. Difficulties included low energy content and difficulty obtaining uniformity. Today, many resource-recovery technologies used in RDF are finding their way into materials recovery facilities (MRFs), some of which are reviving the automated processing of waste. Any MRF, automated or not, will have residue streams. Currently, one of the most significant problems is waste tires. Local options are difficult to locate in dense urban areas. As fuels, tires typically have energy contents considerably above those for which most solid-fuel combustors are designed, leading to thermal imbalances and various forms of failure. This paper suggests a new fuel that can be either co-fired with coal, or used in its own right in a combustor primarily designed for coal: TDF-RDF. A preliminary examination is undertaken of thermal and emissions characteristics, and possible costs for a few applications of the fuel. Immediately, TDF is already cleaner-burning than many coals, even in sulfur emissions. RDF has been widely-regarded as being similarly cleanly. Posited MRF residue streams should be still cleaner, and more consistent, than RDF. Overall, there is quite a potential for developing a fuel that would allow old coal powerplants in historic urban centers to be better neighbors, while helping with a few problems in municipal waste management.

  2. Refusal of curative radiation therapy and surgery among patients with cancer.

    Science.gov (United States)

    Aizer, Ayal A; Chen, Ming-Hui; Parekh, Arti; Choueiri, Toni K; Hoffman, Karen E; Kim, Simon P; Martin, Neil E; Hu, Jim C; Trinh, Quoc-Dien; Nguyen, Paul L

    2014-07-15

    Surgery and radiation therapy represent the only curative options for many patients with solid malignancies. However, despite the recommendations of their physicians, some patients refuse these therapies. This study characterized factors associated with refusal of surgical or radiation therapy as well as the impact of refusal of recommended therapy on patients with localized malignancies. We used the Surveillance, Epidemiology, and End Results program to identify a population-based sample of 925,127 patients who had diagnoses of 1 of 8 common malignancies for which surgery and/or radiation are believed to confer a survival benefit between 1995 and 2008. Refusal of oncologic therapy, as documented in the SEER database, was the primary outcome measure. Multivariable logistic regression was used to investigate factors associated with refusal. The impact of refusal of therapy on cancer-specific mortality was assessed with Fine and Gray's competing risks regression. In total, 2441 of 692,938 patients (0.4%) refused surgery, and 2113 of 232,189 patients (0.9%) refused radiation, despite the recommendations of their physicians. On multivariable analysis, advancing age, decreasing annual income, nonwhite race, and unmarried status were associated with refusal of surgery, whereas advancing age, decreasing annual income, Asian American race, and unmarried status were associated with refusal of radiation (PRefusal of surgery and radiation were associated with increased estimates of cancer-specific mortality for all malignancies evaluated (hazard ratio [HR], 2.80, 95% confidence interval [CI], 2.59-3.03; Prefuse curative surgical and/or radiation-based oncologic therapy, raising concern that socioeconomic factors may drive some patients to forego potentially life-saving care. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Microbial ecology of coal mine refuse

    Energy Technology Data Exchange (ETDEWEB)

    Cameron, R. E.; Miller, R. M.

    1977-01-01

    Baseline microbial and ecological studies of samples obtained from two abandoned coal mine refuse sites in the State of Illinois indicate that the unfavorable nature of refuse materials can be a very limiting factor for survival and growth of organisms. Despite the ''foothold'' obtained by some microorganisms, especially acidophilic fungi and some acidotolerant algae, the refuse materials should be amended or ameliorated to raise the pH, provide needed nutrients, especially nitrogen, and provide biodegradable organic matter, both for physical and biological purposes. Finally, the role of microbial populations, responses, and interactions in acid mine wastes must be put into larger perspective. Acid mine drainage amounts to over 4 million tons per year of acidity from active and abandoned mines. Microorganisms appear to be significantly responsible for this problem, but they also can play a beneficial and significant role in the amelioration or alleviation of this detrimental effect as abandoned mines are reclaimed and returned to useful productivity.

  4. Laboratory investigation of fire radiative energy and smoke aerosol emissions

    Science.gov (United States)

    Charles Ichoku; J. Vanderlei Martins; Yoram J. Kaufman; Martin J. Wooster; Patrick H. Freeborn; Wei Min Hao; Stephen Baker; Cecily A. Ryan; Bryce L. Nordgren

    2008-01-01

    Fuel biomass samples from southern Africa and the United States were burned in a laboratory combustion chamber while measuring the biomass consumption rate, the fire radiative energy (FRE) release rate (Rfre), and the smoke concentrations of carbon monoxide (CO), carbon dioxide (CO2), and particulate matter (PM). The PM mass emission rate (RPM) was quantified from...

  5. Autonomy, religious values, and refusal of lifesaving medical treatment.

    OpenAIRE

    Wreen, M J

    1991-01-01

    The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. The central value cited in defence of honouring such a patient's refusal is autonomy. Once autonomy is isolated from other justificatory factors, however, possible cases can be imagined which cast doubt on the great valuational weight assign...

  6. 14 CFR 121.586 - Authority to refuse transportation.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Authority to refuse transportation. 121.586 Section 121.586 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... transportation. (a) No certificate holder may refuse transportation to a passenger on the basis that, because the...

  7. The right to physical integrity and informed refusal: Just how far does a patient’s right to refuse medical treatment go?

    Directory of Open Access Journals (Sweden)

    Annelize Nienaber

    2016-11-01

    Full Text Available The article presents a legal analysis of the right to physical integrity as guaranteed by the South African Constitution, 1996, and the subsequent right of a competent adult person to refuse medical treatment under South African law. We consider whether the right to refuse treatment is an absolute right and very briefly reflect on the application of the constitutional limitations clause to this right. Instances in which patients’ right to physical integrity is limited by factors, which detract from (patient autonomy, are considered: these represent a limitation of their right to refuse medical treatment. We conclude that forced medical interventions, for the most part, are not desirable but, indeed, necessary in some narrowly defined circumstances. When a person makes a decision to refuse a medical intervention, which may seem unusual or may be perceived as irrational, it does not mean that person does not warrant the protection of the constitution and the courts. Provided that the patient makes an informed refusal while of sound mind, generally there is no reason to discredit his/her decision, difficult as it may be for others to accept. At all times the right to bodily integrity is pivotal in any health-related context and should not be lightly disregarded.

  8. Situation testing: the case of health care refusal.

    Science.gov (United States)

    Després, C; Couralet, P-E

    2011-04-01

    Situation testing to assess physicians' refusal to provide healthcare is increasingly used in research studies. This paper aims to explain the relevance and limits of this method. Conducted in 2008-2009, this study was designed to assess the rate of healthcare refusal among several categories of private practitioners toward patients covered by the French public means-tested complementary health insurance (CMUc) when they requested a first appointment by phone. The other objectives were to study the determinants of healthcare refusal and assess the method. The study was conducted on a representative sample of Paris-based dentists and physicians in five categories: general practitioners, medical gynecologists, ophthalmologists, radiologists, and dentists. The method was based on two protocols. In the first scenario, an actor pretended to be a CMUc beneficiary and, in the second one, he did not give information about his health coverage but hinted at a low socioeconomic status. The two protocols were compared and procedures checking the relation between refusal and CMUc coverage were implemented in each of them. In the scenario in which the patient declared being a CMUc beneficiary, the results showed different refusal rates depending on the type of practitioner, physician, or dentist, their specialty, and whether or not, they charge more than the standard set fee. In the second scenario, refusal rates were much lower. The comparison of the two protocols seems to confirm the existence of discrimination based on CMUc affiliation rather than patients' socioeconomic status. The discussion presents the limits of situation testing, which remains an experimental instrument because it does not observe reality but reveals behaviors in situation. The findings cannot be extrapolated and are limited in time. The statistical analysis is only valid if the procedure followed is precise and applied consistently using a preset scenario. In addition, the discriminatory nature of the

  9. [Refusal of nursing care, the legal perspective].

    Science.gov (United States)

    Fisman, Jérôme

    2016-10-01

    The refusal of nursing care forms part of the freedom offered to anyone wanting to refuse, consciously and knowingly, any form of nursing care such as washing, the taking of medication or hospitalisation. However, limits are fixed by law as well as by case law. Are we totally free in the expression of our will? Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  10. Quantitative data on the fire behavior of combustible materials found in nuclear power plants: A literature review

    International Nuclear Information System (INIS)

    Nowlen, S.P.

    1987-02-01

    This report presents the findings of a task in which currently available fire research literature was reviewed for quantitative data on the burning characteristics of combustible materials that are found in nuclear power plants. The materials considered for which quantitative data were available include cable insulation materials, flammable liquids, furniture, trash and general refuse, and wood and wood products. A total of 90 figures and tables, taken primarily from the referenced works, which summarize the available quantitative fire characterization information for these materials is presented

  11. The Research of Utilization Hours of Coal-Fired Power Generation Units Based on Electric Energy Balance

    Science.gov (United States)

    Liu, Junhui; Yang, Jianlian; Wang, Jiangbo; Yang, Meng; Tian, Chunzheng; He, Xinhui

    2018-01-01

    With grid-connected scale of clean energy such as wind power and photovoltaic power expanding rapidly and cross-province transmission scale being bigger, utilization hours of coal-fired power generation units become lower and lower in the context of the current slowdown in electricity demand. This paper analyzes the influencing factors from the three aspects of demand, supply and supply and demand balance, and the mathematical model has been constructed based on the electric energy balance. The utilization hours of coal-fired power generation units have been solved considering the relationship among proportion of various types of power installed capacity, the output rate and utilization hours. By carrying out empirical research in Henan Province, the utilization hours of coal-fired units of Henan Province in 2020 has been achieved. The example validates the practicability and the rationality of the model, which can provide a basis for the decision-making for coal-fired power generation enterprises.

  12. Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse

    Science.gov (United States)

    Trucks Virginia Cleans up With Natural Gas Refuse Trucks to someone by E-mail Share Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse Trucks on Facebook Tweet about Alternative Fuels Data Center: Virginia Cleans up With Natural Gas Refuse Trucks on Twitter Bookmark Alternative

  13. School Refusal: Assessment and Intervention within School Settings.

    Science.gov (United States)

    Wimmer, Mary B.

    Anxiety-based school refusal occurs in 2% of school-age children. The reasons why they refuse to go school range from mental illness and learning problems to general defiance and a desire for attention. Early identification and multi-faceted assessment and interventions are critical to addressing the problem. This book offers concise, practical…

  14. Impact of Land Cover Change Induced by a Fire Event on the Surface Energy Fluxes Derived from Remote Sensing

    Directory of Open Access Journals (Sweden)

    Juan M. Sánchez

    2015-11-01

    Full Text Available Forest fires affect the natural cycle of the vegetation, and the structure and functioning of ecosystems. As a consequence of defoliation and vegetation mortality, surface energy flux patterns can suffer variations. Remote sensing techniques together with surface energy balance modeling offer the opportunity to explore these changes. In this paper we focus on a Mediterranean forest ecosystem. A fire event occurred in 2001 in Almodóvar del Pinar (Spain affecting a pine and shrub area. A two-source energy balance approach was applied to a set of Landsat 5-TM and Landsat 7-EMT+ images to estimate the surface fluxes in the area. Three post-fire periods were analyzed, six, seven, nine, and 11 years after the fire event. Results showed the regeneration of the shrub area in 6–7 years, in contrast to the pine area, where an important decrease in evapotranspiration, around 1 mm·day−1, remained. Differences in evapotranspiration were mitigated nine and 11 years after the fire in the pine area, whereas significant deviations in the rest of the terms of the energy balance equation were still observed. The combined effect of changes in the vegetation structure and surface variables, such as land surface temperature, albedo, or vegetation coverage, is responsible for these variations in the surface energy flux patterns.

  15. Review of fire protection in the nuclear facilities of the Atomic Energy Commission, 1947--1975

    International Nuclear Information System (INIS)

    Maybee, W.W.

    1979-01-01

    In the 28 years in which it grew from a temporary wartime bomb development program to a federal agency with over $30 billion worth of facilities housing much of the nation's advanced research efforts, the Atomic Energy Commission set many records for safety. Among the best was a cumulative fire loss ratio of 12 cents per $100 of value. A 1969 fire--one of four in its history that exceeded $1 million in loss--incurred damages totaling $26 million and prompted major additions to its fire protection programs. The added programs, encompassing additional fire protection engineers, new protection systems, independent inspection programs, and new performance-based goals, resulted in an order-of-magnitude improvement. The cumulative fire loss ratio after 1969 was 0.06 cents per $100 of value, a record few industries have ever achieved

  16. Risk factors associated with treatment refusal in lung cancer.

    Science.gov (United States)

    Suh, Won Na; Kong, Kyoung Ae; Han, Yeji; Kim, Soo Jung; Lee, Su Hwan; Ryu, Yon Ju; Lee, Jin Hwa; Shim, Sung Shine; Kim, Yookyung; Chang, Jung Hyun

    2017-09-01

    The incidence of lung cancer is increasing with longer life expectancy. Refusal of active treatment for cancer is prone to cause patients to experience more severe symptoms and shorten survival. The purpose of this study was to define the factors related to refusal or abandonment of active therapy in lung cancer. We retrospectively reviewed the data of 617 patients from medical records from 2010 to 2014. Two groups were formed: 149 patients who refused anti-cancer treatment and allowed only palliative care were classified into the non-treatment group, while the remaining 468 who received anti-cancer treatment were classified into the treatment group. The groups differed significantly in age, employment, relationship status, number of offspring, educational status, body mass index, presence of chest and systemic symptoms, Charlson Comorbidity Index, Eastern Cooperative Oncology Group score, and tumor node metastasis stage ( P refusal of cancer treatment. Individual factors, such as old age, low educational status, low weight, and poor performance status can influence refusal of cancer treatment in patients with lung cancer, and should be considered prior to consultation with patients. © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

  17. Feasibility of landfill gas as a liquefied natural gas fuel source for refuse trucks.

    Science.gov (United States)

    Zietsman, Josias; Bari, Muhammad Ehsanul; Rand, Aaron J; Gokhale, Bhushan; Lord, Dominique; Kumar, Sunil

    2008-05-01

    The purpose of this paper is to develop a methodology to evaluate the feasibility of using landfill gas (LFG) as a liquefied natural gas (LNG) fuel source for heavy-duty refuse trucks operating on landfills. Using LFG as a vehicle fuel can make the landfills more self-sustaining, reduce their dependence on fossil fuels, and reduce emissions and greenhouse gases. Acrion Technologies Inc. in association with Mack Trucks Inc. developed a technology to generate LNG from LFG using the CO2 WASH process. A successful application of this process was performed at the Eco Complex in Burlington County, PA. During this application two LNG refuse trucks were operated for 600 hr each using LNG produced from gases from the landfill. The methodology developed in this paper can evaluate the feasibility of three LFG options: doing nothing, electricity generation, and producing LNG to fuel refuse trucks. The methodology involved the modeling of several components: LFG generation, energy recovery processes, fleet operations, economic feasibility, and decision-making. The economic feasibility considers factors such as capital, maintenance, operational, and fuel costs, emissions and tax benefits, and the sale of products such as surplus LNG and food-grade carbon dioxide (CO2). Texas was used as a case study. The 96 landfills in Texas were prioritized and 17 landfills were identified that showed potential for converting LFG to LNG for use as a refuse truck fuel. The methodology was applied to a pilot landfill in El Paso, TX. The analysis showed that converting LFG to LNG to fuel refuse trucks proved to be the most feasible option and that the methodology can be applied for any landfill that considers this option.

  18. When does food refusal require professional intervention?

    OpenAIRE

    Dovey, Terence M.; Farrow, Claire V.; Martin, Clarissa I.; Isherwood, Elaine; Halford, Jason C.G.

    2009-01-01

    Food refusal can have the potential to lead to nutritional deficiencies, which increases the risk of a variety of communicable and non-communicable diseases. Deciding when food refusal requires professional intervention is complicated by the fact that there is a natural and appropriate stage in a child's development that is characterised by increased levels of rejection of both previously accepted and novel food items. Therefore, choosing to intervene is difficult, which if handled badly can ...

  19. Refusal of medical treatment in the pediatric emergency service: analysis of reasons and aspects.

    Science.gov (United States)

    Gündüz, Ramiz Coşkun; Halil, Halit; Gürsoy, Cüneyt; Çifci, Atilla; Özgün, Seher; Kodaman, Tuğba; Sönmez, Mehtap

    2014-01-01

    Refusal of treatment for acutely ill children is still an important problem in the emergency service. When families refuse medical treatment for their acutely ill children, healthcare professionals may attempt to provide information and negotiate with the family concerning treatment refusal and its possible adverse outcomes, and request consent for refusal of medical treatment. There is insufficient data about refusal of treatment in our country. The purpose of this study was to analyze the causes of treatment refusal in the pediatric emergency service. We collected data recorded on informed consent forms. During a 2-year-study period, 215 patients refused treatment recommended by acute health care professionals. The majorty of patients were in the 0-2 year age group. Hospitalization was the type of treatment most commonly refused; restrictions regarding family members staying with their children during hospitalization and admission to another hospital were the major reasons for refusal of treatment. Clarifying the reasons for treatment refusal may help us to overcome deficiencies, improve conditions, resolve problems and build confidence between healthcare providers and service users, increasing users' satisfaction in the future.

  20. Current status of research on school refusal

    Directory of Open Access Journals (Sweden)

    Cándido J. Inglés

    2015-06-01

    Full Text Available School refusal behavior refers to the avoidance of a child attending school and/or persistent difficulty staying in the classroom throughout the school day. Based on a review of the scientific literature, the aim of this study is to describe the current state of research on school refusal, differentiating between the findings and progress made in Spain from those achieved in the international field. For this purpose, the significance of this phenomenon, in addition to associated risk factors and variables, will be reviewed in the child and youth population. In turn, the commonly used assessment methods and most recommended treatment proposals, mainly based on cognitive behavioral therapy, are discussed. The results reveal several gaps and subjects for debate in some areas of knowledge about school refusal behavior, with differences being found between Spanish and international studies. In conclusion, future studies and challenges in this field are required.

  1. Refusal to medical interventions.

    Science.gov (United States)

    Palacios, G; Herreros, B; Pacho, E

    2014-10-01

    Refusal to medical interventions is the not acceptance, voluntary and free, of an indicated medical intervention. What the physician should do in case of refusal? It is understandable that the rejection of a validated medical intervention is difficult to accept by the responsible physician when raises the conflict protection of life versus freedom of choice. Therefore it is important to follow some steps to incorporate the most relevant aspects of the conflict. These steps include: 1) Give complete information to patients, informing on possible alternatives, 2) determine whether the patient can decide (age, competency and level of capacity), 3) to ascertain whether the decision is free, 4) analyze the decision with the patient, 5) to persuade, 6) if the patient kept in the rejection decision, consider conscientious objection, 7) take the decision based on the named criteria, 8) finally, if the rejection is accepted, offer available alternatives. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  2. Combustion products of plastics as indicators for refuse burning in the atmosphere.

    Science.gov (United States)

    Simoneit, Bernd R T; Medeiros, Patricia M; Didyk, Borys M

    2005-09-15

    Despite all of the economic problems and environmental discussions on the dangers and hazards of plastic materials, plastic production worldwide is growing at a rate of about 5% per year. Increasing techniques for recycling polymeric materials have been developed during the last few years; however, a large fraction of plastics are still being discarded in landfills or subjected to intentional or incidental open-fire burning. To identify specific tracer compounds generated during such open-fire combustion, both smoke particles from burning and plastic materials from shopping bags, roadside trash, and landfill garbage were extracted for gas chromatography-mass spectrometry analyses. Samples were collected in Concón, Chile, an area frequently affected by wildfire incidents and garbage burning, and the United States for comparison. Atmospheric samples from various aerosol sampling programs are also presented as supportive data. The major components of plastic extracts were even-carbon-chain n-alkanes (C16-C40), the plasticizer di-2-ethylhexyl phthalate, and the antioxidants and lubricants/antiadhesives Irganox 1076, Irgafos 168, and its oxidation product tris(2,4-di-tertbutylphenyl) phosphate. Major compounds in smoke from burning plastics include the non-source-specific n-alkanes (mainly even predominance), terephthalic acid, phthalates, and 4-hydroxybenzoic acid, with minor amounts of polycyclic aromatic hydrocarbons (including triphenylbenzenes) and tris(2,4-di-tert-butylphenyl)phosphate. 1,3,5-Triphenylbenzene and tris(2,4-di-tert-butylphenyl)- phosphate were found in detectable amounts in atmospheric samples where plastics and refuse were burned in open fires, and thus we propose these two compounds as specific tracers for the open-burning of plastics.

  3. Assessing the Risk of Prehospital Administration of Naloxone with Subsequent Refusal of Care.

    Science.gov (United States)

    Levine, Michael; Sanko, Stephen; Eckstein, Marc

    2016-01-01

    EMS providers frequently encounter opioid-toxic patients who receive naloxone and then refuse further medical care. Older studies revealed this practice to be safe. In light of the evolving patterns of opioid abuse, this study attempted to determine the safety of this practice. This is a retrospective review of all patient encounters by the Los Angeles Fire Department (LAFD) between July 1, 2011-December 31, 2013. All LAFD patient encounters are stored electronically. These electronic records were reviewed for subjects who received naloxone had a documented respiratory rate (RR) less than 12, and subsequently refused transport. Data abstracted included name, social security number (SSN), date of birth (DOB), date of EMS encounter, age, and treatment rendered. The names, SSN, and DOB, as available, were supplied to the coroner's office. The Coroner's records were reviewed to determine if a patient with the same or similar name (e.g., Jon vs. Jonathan) had died within 24 hours, 30 days, or 6 months of the initial EMS encounter. The abstractor was blinded to the study hypothesis. 205 subjects were identified; the median (IQR) age was 41 (29-53) years. 27 (13%) were female. One subject (0.49%) died within 24 hours of the initial EMS encounter. The cause of death (COD) was coronary artery disease and heroin use. Two additional subjects (1. %) died within 30 days. One of these subjects died 6 days later; the COD is unknown. The other subject died 20 days after the EMS encounter; the COD was cardiovascular disease and liver cirrhosis. No additional subjects were identified at the 6 month follow up. A third subject died of a heroin overdose 16 months after the initial EMS encounter, but was beyond the pre-defined follow up period. The practice of receiving pre-hospital naloxone by paramedics and subsequently refusing care is associated with an extremely low short- and intermediate-term mortality. Despite an evolving pattern of opioid abuse, the results of this study

  4. Refusing The Choice: Balancing Life and Work

    Science.gov (United States)

    Brooks, J.

    2012-12-01

    The Choice The intellect of man is forced to choose perfection of the life, or of the work, And if it take the second must refuse A heavenly mansion, raging in the dark. When all that story's finished, what's the news? In luck or out the toil has left its mark: That old perplexity an empty purse, Or the day's vanity, the night's remorse. William Butler Yeats William Yeats put forward The Choice that I feel too many scientists feel they must make. Too often, many choose to leave science. How do we refuse this choice and find balance between life and our careers? While I don't know the answer, I will share choices that have lead to not perfection but satisfaction in science careers and lives. The role of mentors, supportive spouses, the luck of the job, and flexibility in research directions have all contributed to being able to refuse to choose.

  5. Clean Cities Niche Market Overview: Refuse Haulers (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    Shea, S.

    2011-09-01

    Refuse haulers are ideal for the adoption of alternative fuels and advanced vehicle technologies. By using fuels like natural gas, propane, or biodiesel, and technologies like hybrid electric and hydraulic hybrid systems, the refuse-hauling sector could substantially decrease its petroleum use and greenhouse gas emissions. Fleet managers should explore the benefits of the fuels and technologies available, as well as the individual fleet needs, before adoption.

  6. Patient Experience Of Provider Refusal Of Medicaid Coverage And Its Implications.

    Science.gov (United States)

    Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae

    2016-01-01

    Previous studies show that many physicians do not accept new patients with Medicaid coverage, but no study has examined Medicaid enrollees' actual experience of provider refusal of their coverage and its implications. Using the 2012 National Health Interview Survey, we estimate provider refusal of health insurance coverage reported by 23,992 adults with continuous coverage for the past 12 months. We find that among Medicaid enrollees, 6.73% reported their coverage being refused by a provider in 2012, a rate higher than that in Medicare and private insurance by 4.07 (p<.01) and 3.68 (p<.001) percentage points, respectively. Refusal of Medicaid coverage is associated with delaying needed care, using emergency room (ER) as a usual source of care, and perceiving current coverage as worse than last year. In view of the Affordable Care Act's (ACA) Medicaid expansion, future studies should continue monitoring enrollees' experience of coverage refusal.

  7. Fire-induced albedo change and surface radiative forcing in sub-Saharan Africa savanna ecosystems: Implications for the energy balance

    Science.gov (United States)

    Dintwe, Kebonye; Okin, Gregory S.; Xue, Yongkang

    2017-06-01

    Surface albedo is a critical parameter that controls surface energy balance. In dryland ecosystems, fires play a significant role in decreasing surface albedo, resulting in positive radiative forcing. Here we investigate the long-term effect of fire on surface albedo. We devised a method to calculate short-, medium-, and long-term effect of fire-induced radiative forcing and their relative effects on energy balance. We used Moderate Resolution Imaging Spectroradiometer (MODIS) data in our analysis, covering different vegetation classes in sub-Saharan Africa (SSA). Our analysis indicated that mean short-term fire-induced albedo change in SSA was -0.022, -0.035, and -0.041 for savannas, shrubland, and grasslands, respectively. At regional scale, mean fire-induced albedo change in savannas was -0.018 and -0.024 for northern sub-Saharan of Africa and the southern hemisphere Africa, respectively. The short-term mean fire-induced radiative forcing in burned areas in sub-Saharan Africa (SSA) was 5.41 W m-2, which contributed continental and global radiative forcings of 0.25 and 0.058 W m-2, respectively. The impact of fire in surface albedo has long-lasting effects that varies with vegetation type. The long-term energetic effects of fire-induced albedo change and associated radiative forcing were, on average, more than 19 times greater across SSA than the short-term effects, suggesting that fires exerted far more radiative forcing than previously thought. Taking into account the actual duration of fire's effect on surface albedo, we conclude that the contribution of SSA fires, globally and throughout the year, is 0.12 W m-2. These findings provide crucial information on possible impact of fire on regional climate variability.

  8. Fiscal 2000 report on the development of high-efficiency refuse-fueled power generation technology; Kokoritsu haikibutsu hatsuden gijutsu kaihatsu 2000 nendo hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Efforts were made to develop a refuse gasification/fusion power generation technology to contribute to the effective utilization of unexploited energy and to reduction in greenhouse gas emissions. Developed in the technology of elevating steam temperature were the evaluation of high-temperature corrosion of SH materials and a high temperature dust removing system, dechlorination technology for the thermolysis process, and a ceramic-made high-temperature air heater. For the avoidance of exhaust gas reheating, development was carried out for a low-temperature denitration unit, stable refuse feeding system for reduction in the self-heat melting critical calorific value, waste plastic injection technology for reduction in the amount of external fuel injection, and so forth. The effect of the developed element technologies were evaluated and a detailed feasibility study was conducted for a refuse gas conversion power generation system using gas engine power generation for minor-scale general waste treatment facilities. In the survey of the trend of refuse-fueled power generation technologies, trend in Japan and advanced refuse-fueled power generation systems and their introduction in Europe and America were investigated. (NEDO)

  9. A narrative review of studies of refusal of psychotropic medication in acute inpatient psychiatric care.

    Science.gov (United States)

    Owiti, J A; Bowers, L

    2011-09-01

    This paper offers a narrative review of the 22 studies of medication refusal in acute psychiatry. Because of varied definitions of medication refusal, diverse methodologies and few rigorous studies, it has not been possible to draw firm conclusions on the average rate of refusal of psychotropic medications in acute psychiatry. However, it is clear that medication refusal is common and leads to poor outcomes characterized by higher rates of seclusion, restraint, threats of, and actual, assaults and longer hospitalizations. There are no statistically significant differences between refusers and acceptors in gender, marital status and preadmission living arrangements. Although no firm conclusions on the influence of ethnicity, status at admission and diagnosis on refusal, the refusers are more likely to have higher number of previous hospitalizations and history of prior refusal. The review indicates that staff factors such as the use of temporary staff, lack of confidence in ward staff and ineffective ward structure are associated with higher rates of medication refusal. Comprehensive knowledge of why, and how, patients refuse medication is lacking. Research on medication refusal is still fragmented, of variable methodological quality and lacks an integrating model. © 2011 Blackwell Publishing.

  10. Fire danger rating over Mediterranean Europe based on fire radiative power derived from Meteosat

    Science.gov (United States)

    Pinto, Miguel M.; DaCamara, Carlos C.; Trigo, Isabel F.; Trigo, Ricardo M.; Feridun Turkman, K.

    2018-02-01

    We present a procedure that allows the operational generation of daily forecasts of fire danger over Mediterranean Europe. The procedure combines historical information about radiative energy released by fire events with daily meteorological forecasts, as provided by the Satellite Application Facility for Land Surface Analysis (LSA SAF) and the European Centre for Medium-Range Weather Forecasts (ECMWF). Fire danger is estimated based on daily probabilities of exceedance of daily energy released by fires occurring at the pixel level. Daily probability considers meteorological factors by means of the Canadian Fire Weather Index (FWI) and is estimated using a daily model based on a generalized Pareto distribution. Five classes of fire danger are then associated with daily probability estimated by the daily model. The model is calibrated using 13 years of data (2004-2016) and validated against the period of January-September 2017. Results obtained show that about 72 % of events releasing daily energy above 10 000 GJ belong to the extreme class of fire danger, a considerably high fraction that is more than 1.5 times the values obtained when using the currently operational Fire Danger Forecast module of the European Forest Fire Information System (EFFIS) or the Fire Risk Map (FRM) product disseminated by the LSA SAF. Besides assisting in wildfire management, the procedure is expected to help in decision making on prescribed burning within the framework of agricultural and forest management practices.

  11. Fire danger rating over Mediterranean Europe based on fire radiative power derived from Meteosat

    Directory of Open Access Journals (Sweden)

    M. M. Pinto

    2018-02-01

    Full Text Available We present a procedure that allows the operational generation of daily forecasts of fire danger over Mediterranean Europe. The procedure combines historical information about radiative energy released by fire events with daily meteorological forecasts, as provided by the Satellite Application Facility for Land Surface Analysis (LSA SAF and the European Centre for Medium-Range Weather Forecasts (ECMWF. Fire danger is estimated based on daily probabilities of exceedance of daily energy released by fires occurring at the pixel level. Daily probability considers meteorological factors by means of the Canadian Fire Weather Index (FWI and is estimated using a daily model based on a generalized Pareto distribution. Five classes of fire danger are then associated with daily probability estimated by the daily model. The model is calibrated using 13 years of data (2004–2016 and validated against the period of January–September 2017. Results obtained show that about 72 % of events releasing daily energy above 10 000 GJ belong to the extreme class of fire danger, a considerably high fraction that is more than 1.5 times the values obtained when using the currently operational Fire Danger Forecast module of the European Forest Fire Information System (EFFIS or the Fire Risk Map (FRM product disseminated by the LSA SAF. Besides assisting in wildfire management, the procedure is expected to help in decision making on prescribed burning within the framework of agricultural and forest management practices.

  12. Water-Energy-Food Nexus in Asia-Pacific Ring of Fire

    Science.gov (United States)

    Taniguchi, M.; Endo, A.; Gurdak, J. J.; Allen, D. M.; Siringan, F.; Delinom, R.; Shoji, J.; Fujii, M.; Baba, K.

    2013-12-01

    Climate change and economic development are causing increased pressure on water, energy and food resources, presenting communities with increased levels of tradeoffs and potential conflicts among these resources. Therefore, the water-energy-food nexus is one of the most important and fundamental global environmental issues facing the world. For the purposes of this research project, we define human-environmental security as the joint optimization between human and environmental security as well as the water-energy-food nexus. To optimize the governance and management within these inter-connected needs, it is desirable to increase human-environmental security by improving social managements for the water-energy-food nexus. In this research project, we intend to establish a method to manage and optimize the human-environmental security of the water-energy-food nexus by using integrated models, indices, and maps as well as social and natural investigations with stakeholder analyses. We base our approach on the viewpoint that it is important for a sustainable society to increase human-environmental security with decreasing risk and increasing resilience by optimizing the connections within the critical water-energy and water-food clusters. We will take a regional perspective to address these global environmental problems. The geological and geomorphological conditions in our proposed study area are heavily influenced by the so-called 'Ring of Fire,' around the Pacific Ocean. Within these areas including Japan and Southeast Asia, the hydro-meteorological conditions are dominated by the Asia monsoon. The populations that live under these natural conditions face elevated risk and potential disaster as negative impacts, while also benefitting from positive ecological goods and services. There are therefore tradeoffs and conflicts within the water-energy-food nexus, as well as among various stakeholders in the region. The objective of this project is to maximize human

  13. Gas fired combined cycle plant in Singapore: energy use, GWP and cost-a life cycle approach

    International Nuclear Information System (INIS)

    Kannan, R.; Leong, K.C.; Osman, Ramli; Ho, H.K.; Tso, C.P.

    2005-01-01

    A life cycle assessment was performed to quantify the non-renewable (fossil) energy use and global warming potential (GWP) in electricity generation from a typical gas fired combined cycle power plant in Singapore. The cost of electricity generation was estimated using a life cycle cost analysis (LCCA) tool. The life cycle assessment (LCA) of a 367.5 MW gas fired combined cycle power plant operating in Singapore revealed that hidden processes consume about 8% additional energy in addition to the fuel embedded energy, and the hidden GWP is about 18%. The natural gas consumed during the operational phase accounted for 82% of the life cycle cost of electricity generation. An empirical relation between plant efficiency and life cycle energy use and GWP in addition to a scenario for electricity cost with varying gas prices and plant efficiency have been established

  14. Keynote address: Reinventing fire: Physics + markets = energy solutions

    International Nuclear Information System (INIS)

    Lovins, Amory B.

    2015-01-01

    Rocky Mountain Institute's multi-year, 61-author, peer-reviewed Reinventing Fire synthesis showed how the U.S. can realistically run a 2.6× bigger U.S. economy in 2050 with no oil, coal, or nuclear energy, one-third less natural gas, tripled efficiency, and 74% renewable supplies (80% for electricity). This transition, at historically reasonable rates, could be led by business for profit, applying normal rates of return, with some innovative subnational and administrative policies but no Acts of Congress. Excluding carbon emissions and all other externalities, the net present value would be $5 trillion more favorable than business-as-usual, averaging a 14% Internal Rate of Return

  15. Keynote address: Reinventing fire: Physics + markets = energy solutions

    Energy Technology Data Exchange (ETDEWEB)

    Lovins, Amory B., E-mail: ablovins@rmi.org [Cofounder and Chief Scientist, Rocky Mountain Institute, 2317 Snowmass Creek Road, Snowmass CO 81654 (United States)

    2015-03-30

    Rocky Mountain Institute's multi-year, 61-author, peer-reviewed Reinventing Fire synthesis showed how the U.S. can realistically run a 2.6× bigger U.S. economy in 2050 with no oil, coal, or nuclear energy, one-third less natural gas, tripled efficiency, and 74% renewable supplies (80% for electricity). This transition, at historically reasonable rates, could be led by business for profit, applying normal rates of return, with some innovative subnational and administrative policies but no Acts of Congress. Excluding carbon emissions and all other externalities, the net present value would be $5 trillion more favorable than business-as-usual, averaging a 14% Internal Rate of Return.

  16. Academic Self-Attributions for Success and Failure in Mathematics and School Refusal

    Science.gov (United States)

    Gonzálvez, Carolina; Sanmartín, Ricardo; Vicent, María; Inglés, Cándido J.; Aparicio-Flores, M. Pilar; García-Fernández, José M.

    2018-01-01

    The aim of this research is twofold: to analyze the mean differences scores in mathematic self-attributions based on school refusal and to verify its predictive capability on high scores in school refusal. The Sydney Attribution Scale and the School Refusal Assessment Scale-Revised were administered to 1078 Spanish students (50.8% boys) aged…

  17. [The refusal of nursing care by the families].

    Science.gov (United States)

    Curchod, Claude; Fisher, Marion

    2016-10-01

    Caregiving is complex. While it is not easy to admit that the process can be refused by the patient, it is no easier when it is refused by the patient's family. Accepting this fact is however an essential stage in the relational and care processes. The family must therefore be supported by professionals in order to be able to make an enlightened choice. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. Delay and refusal of human papillomavirus vaccine for girls, national immunization survey-teen, 2010.

    Science.gov (United States)

    Dorell, Christina; Yankey, David; Jeyarajah, Jenny; Stokley, Shannon; Fisher, Allison; Markowitz, Lauri; Smith, Philip J

    2014-03-01

    Human papillomavirus (HPV) vaccine coverage among girls is low. We used data reported by parents of 4103 girls, 13 to 17 years old, to assess associations with, and reasons for, delaying or refusing HPV vaccination. Sixty-nine percent of parents neither delayed nor refused vaccination, 11% delayed only, 17% refused only, and 3% both delayed and refused. Eighty-three percent of girls who delayed only, 19% who refused only, and 46% who both delayed and refused went on to initiate the vaccine series or intended to initiate it within the next 12 months. A significantly higher proportion of parents of girls who were non-Hispanic white, lived in households with higher incomes, and had mothers with higher education levels, delayed and/or refused vaccination. The most common reasons for nonvaccination were concerns about lasting health problems from the vaccine, wondering about the vaccine's effectiveness, and believing the vaccine is not needed.

  19. Refusal of emergency caesarean section in Ireland: a relational approach.

    Science.gov (United States)

    Wade, Katherine

    2014-01-01

    This article examines the issue of emergency caesarean section refusal. This raises complex legal and ethical issues surrounding autonomy, capacity, and the right to refuse treatment. In Ireland, the situation is complicated further by the constitutional right to life of the unborn. While cases involving caesarean section refusal have occurred in other jurisdictions, a case of this nature has yet to be reported in Ireland. This article examines possible ways in which the interaction of a woman's right to refuse treatment and the right to life of the unborn could be approached in Ireland in the context of caesarean section refusal. The central argument of the article is that the liberal individualistic approach to autonomy evident in the caesarean section cases in England and Wales is difficult to apply in the Irish context, due to the conflicting constitutional rights of the woman and foetus. Thus, alternative visions of autonomy which take the interests and rights of others into account in medical decision-making are examined. In particular, this article focuses on the concept of relational consent, as developed by Alasdair Maclean and examines how such an approach could be applied in the context of caesarean section refusal in Ireland. The article explains why this approach is particularly appropriate and identifies mechanisms through which such a theory of consent could be applied. It is argued that this approach enhances a woman's right to autonomy, while at the same time allows the right to life of the unborn to be defended.

  20. Energy Analysis and Environmental Impacts of Hybrid Giant Napier (Pennisetum Hydridum) Direct-fired Power Generation in South China

    Science.gov (United States)

    Liao, Yanfen; Fang, Hailin; Zhang, Hengjin; Yu, Zhaosheng; Liu, Zhichao; Ma, Xiaoqian

    2017-05-01

    To meet with the demand of energy conservation and emission reduction policies, the method of life cycle assessment (LCA) was used to assess the feasibility of Hybrid Giant Napier (HGN) direct-fired power generation in this study. The entire life cycle is consisted of five stages (cultivation and harvesting, transportation, drying and comminuting, direct-fired power generation, constructing and decommissioning of biomass power plant). Analytical results revealed that to generate 10000kWh electricity, 10.925 t of customized HGN fuel (moisture content: 30 wt%) and 6659.430 MJ of energy were required. The total environmental impact potential was 0.927 PET2010 (person equivalents, targeted, in 2010) and the global warming (GW), acidification (AC), and nutrient (NE) emissions were 339.235 kg CO2-eq, 22.033 kg SO2-eq, and 25.486 kg NOx-eq respectively. The effect of AC was the most serious among all calculated category impacts. The energy requirements and environmental impacts were found to be sensitive to single yield, average transport distance, cutting frequency, and moisture content. The results indicated that HGN direct-fired power generation accorded well with Chinese energy planning; in addition, HGN proved to be a promising contribution to reducing non-renewable energy consumption and had encouraging prospects as a renewable energy plant.

  1. Central Nervous System Disease, Education, and Race Impact Radiation Refusal in Pediatric Cancer Patients.

    Science.gov (United States)

    Patel, Chirayu G; Stavas, Mark; Perkins, Stephanie; Shinohara, Eric T

    2017-07-01

    To investigate the determinants of radiation therapy refusal in pediatric cancer, we used the Surveillance, Epidemiology, and End Results registry to identify 24,421 patients who met the eligibility criteria, diagnosed between 1974 and 2012. Patients had any stage of cancer, were aged 0 to 19, and received radiation therapy or refused radiation therapy when it was recommended. One hundred twenty-eight patients (0.52%) refused radiation therapy when it was recommended. Thirty-two percent of patients who refused radiation therapy ultimately died from their cancer, at a median of 7 months after diagnosis (95% confidence interval, 3-11 mo), as compared with 29.0% of patients who did not refuse radiation therapy died from their cancer, at a median of 17 months after diagnosis (95% confidence interval, 17-18 mo). On multivariable analysis, central nervous system (CNS) site, education, and race were associated with radiation refusal. The odds ratio for radiation refusal for patients with CNS disease was 1.62 (P=0.009) as compared with patients without CNS disease. For patients living in a county with ≥10% residents having less than ninth grade education, the odds ratio for radiation refusal was 1.71 (P=0.008) as compared with patients living in a county with education. Asian, Pacific Islander, Alaska Native, and American Indian races had an odds ratio of 2.12 (P=0.002) for radiation refusal as compared with black or white race. Although the radiation refusal rate in the pediatric cancer population is low, we show that CNS site, education level, and race are associated with a significant difference in radiation refusal.

  2. Perceived Quality of Informed Refusal Process: A Cross-Sectional Study from Iranian Patients' Perspectives.

    Science.gov (United States)

    Farzandipour, Mehrdad; Sheikhtaheri, Abbas; Sadeqi Jabali, Monireh

    2015-12-01

    Patients have the right to refuse their treatment; however, this refusal should be informed. We evaluated the quality of the informed refusal process in Iranian hospitals from patients' viewpoints. To this end, we developed a questionnaire that covered four key aspects of the informed refusal process including; information disclosure, voluntariness, comprehension, and provider-patient relationship. A total of 284 patients who refused their treatment from 12 teaching hospitals in the Isfahan Province, Iran, were recruited and surveyed to produce a convenience sample. Patients' perceptions about the informed refusal process were scored and the mean scores of the four components were calculated. The findings showed that the practice of information disclosure (9.6 ± 6.4 out of 22 points) was perceived to be moderate, however, comprehension (2.3 ± 1.4 out of 4 points), voluntariness (8.7 ± 1.5 out of 12 points) and provider-patient relationship (10.2 ± 5.2 out of 16 points) were perceived to be relatively good. We found that patients, who refused their care before any treatment had commenced, reported a lower quality of information disclosure and voluntariness. Patients informed by nurses and those who had not had a previous related admission, reported lower scores for comprehension and relationship. In conclusion, the process of obtaining informed refusal was relatively satisfactory except for levels of information disclosure. To improve current practices, Iranian patients need to be better informed about; different treatment options, consequences of treatment refusal, costs of not continuing treatment and follow-ups after refusal. Developing more informative refusal forms is needed. © 2014 John Wiley & Sons Ltd.

  3. Energy poverty, shack fires and childhood burns

    African Journals Online (AJOL)

    sufficient choice in accessing adequate, affordable, reliable, high- quality, safe and ... The impact of informal settlement shack fires on individuals and communities has ... often the loss of lives. Fires kill thousands of people every year, with many more disabled .... self-extinguishing mechanism, which ensures that the flame is ...

  4. Heroin refusal self-efficacy and preference for medication-assisted treatment after inpatient detoxification.

    Science.gov (United States)

    Kenney, Shannon R; Bailey, Genie L; Anderson, Bradley J; Stein, Michael D

    2017-10-01

    An individual's self-efficacy to refuse using heroin in high-risk situations is believed to minimize the likelihood for relapse. However, among individuals completing inpatient heroin detoxification, perceived refusal self-efficacy may also reduce one's perceived need for medication-assisted treatment (MAT), an effective and recommended treatment for opioid use disorder. In the current study, we examined the relationship between heroin refusal self-efficacy and preference for MAT following inpatient detoxification. Participants (N=397) were interviewed at the start of brief inpatient opioid detoxification. Multiple logistic regression was used to estimate the adjusted association of background characteristics, depressed mood, and perceived heroin refusal self-efficacy with preference for MAT. Controlling for other covariates, depressed mood and lower perceived refusal self-efficacy were associated with a significantly greater likelihood of expressing preference for MAT (versus no MAT). Perceived ability to refuse heroin after leaving detox is inversely associated with a heroin user's desire for MAT. An effective continuum of care model may benefit from greater attention to patient's perceived refusal self-efficacy during detoxification which may impact preference for MAT and long-term recovery. Copyright © 2017. Published by Elsevier Ltd.

  5. Sodium bicarbonate effects on the anaerobic digestion of refuse

    Energy Technology Data Exchange (ETDEWEB)

    Kasali, G.B.; Senior, E.; Watson-Craik, I.A. (Strathclyde Univ., Glasgow (UK). Dept. of Applied Physics)

    1989-01-01

    Laboratory column and bottle cultures were used to examine the efficacy of NaHCO{sub 3}additions (1%, 2.5% and 5% w/v) to promote the solid-state refuse fermentation. Buffering capacity increase, by addition of 2.5% NaHCO{sub 3}, equivalent to 84 mg NaHCO{sub 3} g dry weight refuse{sup -1}, promoted both acidogenesis and methanogenesis, with the latter accelerating by a factor of six, compared with glass-distilled water controls. Increased addition, with 5% NaHCO{sub 3}, however, mediated partial suppression of methanogenesis and acidogenesis with cation toxicity the most likely cause. Promotion of the refuse fermentation by NaHCO{sub 3} addition, therefore, necessitates careful control of the concentration applied. (author).

  6. A plea for uniform European definitions for organ donor potential and family refusal rates.

    Science.gov (United States)

    Jansen, Nichon E; Haase-Kromwijk, Bernadette J J M; van Leiden, Hendrik A; Weimar, Willem; Hoitsma, Andries J

    2009-11-01

    Conversion of potential organ donors to actual donors is negatively influenced by family refusals. Refusal rates differ strongly among countries. Is it possible to compare refusal rates in order to be able to learn from countries with the best practices? We searched in the literature for reviews of donor potential and refusal rates for organ donation in intensive care units. We found 14 articles pertinent to this study. There is an enormous diversity among the performed studies. The definitions of potential organ donors and family refusal differed substantially. We tried to re-calculate the refusal rates. This method failed because of the influence caused by the registered will on donation in the Donor Register. We therefore calculated the total refusal rate. This strategy was also less satisfactory considering possible influence of the legal consent system on the approach of family. Because of lack of uniform definitions, we can conclude that the refusal rates for organ donation can not be used for a sound comparison among countries. To be able to learn from well-performing countries, it is necessary to establish uniform definitions regarding organ donation and registration of all intensive care deaths.

  7. A novel solar energy integrated low-rank coal fired power generation using coal pre-drying and an absorption heat pump

    International Nuclear Information System (INIS)

    Xu, Cheng; Bai, Pu; Xin, Tuantuan; Hu, Yue; Xu, Gang; Yang, Yongping

    2017-01-01

    Highlights: •An improved solar energy integrated LRC fired power generation is proposed. •High efficient and economic feasible solar energy conversion is achieved. •Cold-end losses of the boiler and condenser are reduced. •The energy and exergy efficiencies of the overall system are improved. -- Abstract: A novel solar energy integrated low-rank coal (LRC) fired power generation using coal pre-drying and an absorption heat pump (AHP) was proposed. The proposed integrated system efficiently utilizes the solar energy collected from the parabolic trough to drive the AHP to absorb the low-grade waste heat of the steam cycle, achieving larger amount of heat with suitable temperature for coal’s moisture removal prior to the furnace. Through employing the proposed system, the solar energy could be partially converted into the high-grade coal’s heating value and the cold-end losses of the boiler and the steam cycle could be reduced simultaneously, leading to a high-efficient solar energy conversion together with a preferable overall thermal efficiency of the power generation. The results of the detailed thermodynamic and economic analyses showed that, using the proposed integrated concept in a typical 600 MW LRC-fired power plant could reduce the raw coal consumption by 4.6 kg/s with overall energy and exergy efficiencies improvement of 1.2 and 1.8 percentage points, respectively, as 73.0 MW th solar thermal energy was introduced. The cost of the solar generated electric power could be as low as $0.044/kW h. This work provides an improved concept to further advance the solar energy conversion and utilisation in solar-hybrid coal-fired power generation.

  8. An Improved Flexible Solar Thermal Energy Integration Process for Enhancing the Coal-Based Energy Efficiency and NOx Removal Effectiveness in Coal-Fired Power Plants under Different Load Conditions

    Directory of Open Access Journals (Sweden)

    Yu Han

    2017-09-01

    Full Text Available An improved flexible solar-aided power generation system (SAPG for enhancing both selective catalytic reduction (SCR de-NOx efficiency and coal-based energy efficiency of coal-fired power plants is proposed. In the proposed concept, the solar energy injection point is changed for different power plant loads, bringing about different benefits for coal-fired power generation. For partial/low load, solar energy is beneficially used to increase the flue gas temperature to guarantee the SCR de-NOx effectiveness as well as increase the boiler energy input by reheating the combustion air. For high power load, solar energy is used for saving steam bleeds from turbines by heating the feed water. A case study for a typical 1000 MW coal-fired power plant using the proposed concept has been performed and the results showed that, the SCR de-NOx efficiency of proposed SAPG could increase by 3.1% and 7.9% under medium load and low load conditions, respectively, as compared with the reference plant. The standard coal consumption rate of the proposed SAPG could decrease by 2.68 g/kWh, 4.05 g/kWh and 6.31 g/kWh for high, medium and low loads, respectively, with 0.040 USD/kWh of solar generated electricity cost. The proposed concept opens up a novel solar energy integration pattern in coal-fired power plants to improve the pollutant removal effectiveness and decrease the coal consumption of the power plant.

  9. Effect of bio-column composed of aged refuse on methane abatement--a novel configuration of biological oxidation in refuse landfill.

    Science.gov (United States)

    Han, Dan; Zhao, Youcai; Xue, Binjie; Chai, Xiaoli

    2010-01-01

    An experimental bio-column composed of aged refuse was installed around the exhaust pipe as a new way to mitigate methane in refuse landfill. One of the objectives of this work was to assess the effect of aged refuse thickness in bio-column on reducing CH4 emissions. Over the study period, methane oxidation was observed at various thicknesses, 5 cm (small size), 10 cm (middle size) and 15 cm (large size), representing one to three times of pipeline diameters. The middle and large size both showed over 90% methane conversion, and the highest methane conversion rate of above 95% occurred in the middle-size column cell. Michaelis-Menten equation addressed the methanotrophs diffusion in different layers of the bio-columns. Maximum methanotrophic activity (Vmax) measured at the three thicknesses ranged from 6.4 x 10(-3) to 15.6 x 10(-3) units, and the half-saturation value (K(M)) ranged from 0.85% to 1.67%. Both the highest Vmax and K(M) were observed at the middle-size of the bio-column, as well as the largest methanotrophs population, suggesting a significant efficiency of methane mitigation happened in the optimum zone with greatest affinity and methanotrophic bacteria activities. Therefore, bio-column is a potential style for methane abatement in landfill, and the aged refuse both naturally formed and artificially placed in the column plays a critical role in CH4 emission.

  10. Social Skills, Competence, and Drug Refusal Efficacy as Predictors of Adolescent Alcohol Use.

    Science.gov (United States)

    Scheier, Lawrence M.; Botvin, Gilbert J.; Diaz, Tracy; Griffin, Kenneth W.

    1999-01-01

    Examines the extent to which assertiveness and related social skills, personal competence, and refusal efficacy predict alcohol involvement in adolescents. Males were at higher risk for poor refusal skills and reported higher alcohol involvement. Youth characterized by poor social skill development reported lower refusal efficacy, lower grades,…

  11. Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations.

    Science.gov (United States)

    Marco, Catherine A; Brenner, Jay M; Kraus, Chadd K; McGrath, Norine A; Derse, Arthur R

    2017-11-01

    Informed consent is an important component of emergency medical treatment. Most emergency department patients can provide informed consent for treatment upon arrival. Informed consent should also be obtained for emergency medical interventions that may entail significant risk. A related concept to informed consent is informed refusal of treatment. Patients may refuse emergency medical treatment during their evaluation and treatment. This article addresses important considerations for patients who refuse treatment, including case studies and discussion of definitions, epidemiology, assessment of decisional capacity, information delivery, medicolegal considerations, and alternative care plans. Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  12. Energy consumption and energy-saving potential analysis of pollutant abatement systems in a 1000MW coal-fired power plant.

    Science.gov (United States)

    Yang, Hang; Zhang, Yongxin; Zheng, Chenghang; Wu, Xuecheng; Chen, Linghong; Gao, Xiang; Fu, Joshua S

    2018-05-10

    The pollutant abatement systems are widely applied in the coal-fired power sector and the energy consumption was considered an important part of the auxiliary power. An energy consumption analysis and assessment model of pollutant abatement systems in a power unit was developed based on the dynamic parameters and technology. The energy consumption of pollutant abatement systems in a 1000 MW coal-fired power unit which meet the ultra-low emission limits and the factors of operating parameters including unit load and inlet concentration of pollutants on the operating power were analyzed. The results show that the total power consumption of the pollutant abatement systems accounted for 1.27% of the gross power generation during the monitoring period. The WFGD system consumed 67% of the rate while the SCR and ESP systems consumed 8.9% and 24.1%. The power consumption rate of pollutant abatement systems decreased with the increase of unit load and increased with the increase of the inlet concentration of pollutants. The operation adjustment was also an effective method to increase the energy efficiency. For example, the operation adjustment of slurry circulation pumps could promote the energy-saving operation of WFGD system. Implication Statement The application of pollutant abatement technologies increases the internal energy consumption of the power plant, which will lead to an increase of power generation costs. The real-time energy consumption of the different pollutant abatement systems in a typical power unit is analyzed based on the dynamic operating data. Further, the influence of different operating parameters on the operating power of the system and the possible energy-saving potential are analyzed.

  13. Geomorphic reclmation of a coal refuse pile

    Science.gov (United States)

    Hopkinson, L. C.; Quaranta, J.

    2017-12-01

    Geomorphic reclamation is a technique that may offer opportunities to improve mine reclamation in Central Appalachia. The design approach is based on constructing a steady-state, mature landform condition and takes into account the long-term climatic conditions, soil types, terrain grade, and vegetation. Geomorphic reclamation has been applied successfully in semi-arid regions but has not yet been applied in Central Appalachia. This work describes a demonstration study where geomorphic landforming techniques are being applied to a coarse coal refuse pile in southern West Virginia, USA. The reclamation design includes four geomorphic watersheds that radially drain runoff from the pile. Each watershed has one central draining channel and incorporates compound slope profiles similarly to naturally eroded slopes. Planar slopes were also included to maintain the impacted area. The intent is to alter the hydrology to decrease water quality treatment costs. The excavation cut and fill volumes are comparable to those of more conventional refuse pile reclamation designs. If proven successful then this technique can be part of a cost-effective solution to improve water quality at active and future refuse facilities, abandoned mine lands, bond forfeiture sites, landfills, and major earthmoving activities within the region.

  14. Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan.

    Science.gov (United States)

    Shafi, Salman Tahir; Saleem, Mohammad; Anjum, Roshina; Abdullah, Wajid; Shafi, Tahir

    2018-01-01

    In Pakistan, patients with chronic kidney disease (CKD) are commonly diagnosed at a late stage. There is little information about the refusal of hemodialysis by hospitalized CKD patients who need hemodialysis (HD) and reasons for acceptance and refusal among these patients. All patients with Stage V CKD who had medical indications to undergo HD and were hospitalized at a tertiary care facility over a six-month period were invited to participate in this study. Patients were surveyed regarding acceptance or refusing of HD and reasons for their decisions. Demographic, socioeconomic, and clinical characteristics of patients were compared between patients who accepted or refused HD. A total of 125 patients were included in the study. The mean age of the patients was 47.9 ±12.1 years. The mean duration of diagnosis of CKD was 2.5 ± 0.6 months. Of all patients, 72 (57.6%) agreed to do HD and 53 (42.4%) refused HD. Patients with arteriovenous fistula in place (27.1 vs. 9.1%, P 0.02) and those in the middle- or higher-income group (64.4% vs. 38.6%, p = 0.03) were more willing to undergo HD. Trust in doctor's advice (86.1%) was the most common reason for acceptance of HD. Frequency of HD per week (52.8%), lifelong and permanent nature of HD (50.9%), advice by family members or friends (37.7%), perception of poor quality of life on HD (35.8%), and fear of HD needles and complications during HD (33.9%) were the most common reasons for refusal. Refusal of HD is common among hospitalized CKD patients with medical indications to undergo HD, especially in lower income group.

  15. The Refusal of Palliative Radiation in Metastatic Non-Small Cell Lung Cancer and Its Prognostic Implications.

    Science.gov (United States)

    Stavas, Mark J; Arneson, Kyle O; Ning, Matthew S; Attia, Albert A; Phillips, Sharon E; Perkins, Stephanie M; Shinohara, Eric T

    2015-06-01

    Patients with metastatic non-small cell lung cancer (NSCLC) have limited survival. Population studies have evaluated the impact of radiation refusal in the curative setting; however, no data exist concerning the prognostic impact of radiation refusal in the palliative care setting. To investigate the patterns of radiation refusal in newly diagnosed patients with metastatic NSCLC. Patients with Stage IV NSCLC diagnosed between 1988 and 2010 were identified in the Surveillance, Epidemiology, and End Results database. Univariate and multivariate analyses were used to identify predictors for refusal of radiation and the impact of radiation and refusal on survival in the palliative setting. A total of 285,641 patients were initially included in the analysis. Palliative radiation was recommended in 42% and refused by 3.1% of patients. Refusal rates remained consistent across included years of study. On multivariate analysis, older, nonblack/nonwhite, unmarried females were more likely to refuse radiation (P refusing radiation was three months vs. five months for those receiving radiation and two months for those whom radiation was not recommended. Patients with metastatic NSCLC who refuse recommended palliative radiation have a poor survival. Radiation refusal or the recommendation against treatment can serve as a trigger for integrating palliative care services sooner and contributes greatly to prognostic awareness. Further investigation into this survival difference and the factors behind refusal are warranted. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  16. The OECD FIRE database

    International Nuclear Information System (INIS)

    Angner, A.; Berg, H.P.; Roewekamp, M.; Werner, W.; Gauvain, J.

    2007-01-01

    Realistic modelling of fire scenarios is still difficult due to the scarcity of reliable data needed for deterministic and probabilistic fire safety analysis. Therefore, it has been recognized as highly important to establish a fire event database on an international level. In consequence, several member countries of the Nuclear Energy Agency of the OECD have decided in 2000 to establish the International Fire Data Exchange Project (OECD FIRE) to encourage multilateral co-operation in the collection and analysis of data related to fire events at nuclear power plants. This paper presents the OECD FIRE project objectives, work scope and current status of the OECD FIRE database after 3 years of operation as well as first preliminary statistical insights gained from the collected data. (orig.)

  17. Predictors of intensive care unit refusal in French intensive care units: a multiple-center study.

    Science.gov (United States)

    Garrouste-Orgeas, Maité; Montuclard, Luc; Timsit, Jean-François; Reignier, Jean; Desmettre, Thibault; Karoubi, Philippe; Moreau, Delphine; Montesino, Laurent; Duguet, Alexandre; Boussat, Sandrine; Ede, Christophe; Monseau, Yannick; Paule, Thierry; Misset, Benoit; Carlet, Jean

    2005-04-01

    To identify factors associated with granting or refusing intensive care unit (ICU) admission, to analyze ICU characteristics and triage decisions, and to describe mortality in admitted and refused patients. Observational, prospective, multiple-center study. Four university hospitals and seven primary-care hospitals in France. None. Age, underlying diseases (McCabe score and Knaus class), dependency, hospital mortality, and ICU characteristics were recorded. The crude ICU refusal rate was 23.8% (137/574), with variations from 7.1% to 63.1%. The reasons for refusal were too well to benefit (76/137, 55.4%), too sick to benefit (51/137, 37.2%), unit too busy (9/137, 6.5%), and refusal by the family (1/137). In logistic regression analyses, two patient-related factors were associated with ICU refusal: dependency (odds ratio [OR], 14.20; 95% confidence interval [CI], 5.27-38.25; p refused patients, and 1.03 (95% CI, 0.28-1.75) for later-admitted patients. ICU refusal rates varied greatly across ICUs and were dependent on both patient and organizational factors. Efforts to define ethically optimal ICU admission policies might lead to greater homogeneity in refusal rates, although case-mix variations would be expected to leave an irreducible amount of variation across ICUs.

  18. Fire Protection Program Manual

    Energy Technology Data Exchange (ETDEWEB)

    Sharry, J A

    2012-05-18

    This manual documents the Lawrence Livermore National Laboratory (LLNL) Fire Protection Program. Department of Energy (DOE) Orders 420.1B, Facility Safety, requires LLNL to have a comprehensive and effective fire protection program that protects LLNL personnel and property, the public and the environment. The manual provides LLNL and its facilities with general information and guidance for meeting DOE 420.1B requirements. The recommended readers for this manual are: fire protection officers, fire protection engineers, fire fighters, facility managers, directorage assurance managers, facility coordinators, and ES and H team members.

  19. An overview of the political, technical and economical aspects of gas-fired distributed energy system in China

    International Nuclear Information System (INIS)

    Chen, Qiaohui; Wang, Weilong; Lu, Jianfeng; Ding, Jing

    2013-01-01

    The interest in distributed energy system has been increasing in China in recent years due to the environmental and energy policy concerns. The distributed energy system generates power, heating and cooling to residential, commercial and industrial facilities. Due to cascade utilization of energy, it can make good use of energy to improve energy efficiency and to increase energy savings. Furthermore, it consumes less energy and reduces carbon emissions. This paper reviews existing and newly-built gas-fired distributed energy projects in China. The techno-economic assessment of the selected projects has also been discussed and reported. The results show that in Xiamen Jimei DE project, the primary energy ratio of the DES can be as high as 92.9%, and energy-saving rate is 35.5%. Moreover, exergy efficiency reaches 54.3%, and the system can reduce 0.52 million tons of CO 2 annually. -- Highlights: ► The political, technical and economical aspects of gas-fired DES are analyzed. ► The techno-economic assessment of two selected projects is conducted. ► Primary energy ratio can be as high as 92.9% and energy-saving rate is 35.5%. ► Exergy efficiency is 54.3% and the system can reduce a large amount of CO 2 emissions

  20. Refuse derived fuel potential in DKI Jakarta

    Science.gov (United States)

    Widyatmoko, H.

    2018-01-01

    Combustible waste fractions of municipal solid waste (MSW) which can not be easily separated or sorted, reused or recycled, may have a high calorifiv value (CV) that can be used in a fuel for energy recovery. The objective of this study was to explore the Refuse Derived Fuel (RDF) potential of municipal solid waste from DKI Jakarta to produce electricity and to promote it to be socially and politically acceptable. For this purpose, 24 sampels of RDF were taken from Bantargebang, cabonized, molded and pressed to be briquette. All samples were analized for moisture, ash, and calorific value in the physical and chemistry Laboratory of ITB Bandung. The analysis of calorific value (CV) shows the CV difference of 1815.8 cal/g between the briquettes (8051.25 cal/g) and the RDF (9867.12 cal/g. The total waste DKI which can be used as briquettes 5253 ton / day or equivalent with 49154115 kWh / day. If the efficiency of electricity production from RDF was 25%, then Jakarta is able to generate electricity from RDF of 12288529 kWh / day or as much as energy needed by 573,480 middle-class households with energy needs of 642.84 kWh/month.

  1. 76 FR 29796 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Refuse...

    Science.gov (United States)

    2011-05-23

    ... for OMB Review; Comment Request; Refuse Piles and Impounding Structures, Recordkeeping and Reporting... Administration (MSHA) sponsored information collection request (ICR) titled, ``Refuse Piles and Impounding... to submit annual reports and certification on refuse piles and impoundments to the agency and to keep...

  2. Psychotropic Medication Refusal: Reasons and Patients′ Perception at a Secure Forensic Psychiatric Treatment Centre

    Directory of Open Access Journals (Sweden)

    Olajide O Adelugba

    2016-01-01

    Full Text Available Poor adherence to prescribed medication regimens can undermine the effectiveness of medications. This study was conducted to determine the demographic profile of forensic psychiatric inpatients refusing medications and to identify the reasons for refusal. Data were collected through interviews using a questionnaire including Drug Attitude Inventory-10. Medication refusal was more common among Aboriginals (68%, n = 34 than Caucasians (32%, n = 16 and was highest among the patients 21-30 years of age (44%, n = 22. Antisocial personality disorder and substance use disorder featured prominently among patients refusing medications. The main reasons for medication refusal were inconvenience (34%, n = 17 followed by side effects (22%, n = 11, ineffective medication (20%, n = 10, illness-related (16%, n = 8, and no reasons (8%, n = 6. Antipsychotic medications topped the list of the major classes of medications refused followed by Antidepressants and Mood Stabilizers.

  3. Autonomy, religious values, and refusal of lifesaving medical treatment.

    Science.gov (United States)

    Wreen, M J

    1991-09-01

    The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. The central value cited in defence of honouring such a patient's refusal is autonomy. Once autonomy is isolated from other justificatory factors, however, possible cases can be imagined which cast doubt on the great valuational weight assigned it by strong anti-paternalists. This weight is sufficient, in their estimation, to justify honouring the patient's refusal. There is thus a tension between the strong anti-paternalist's commitment to the sufficiency of autonomy and our intuitions respecting such cases. Attempts can be made to relieve this tension, such as arguing that patients aren't really rational in the circumstances envisaged, or that other values, such as privacy or bodily integrity, if added to autonomy, are sufficient to justify an anti-paternalistic stance. All such attempts fail, however. But what does not fail is the addition of religious freedom, freedom respecting a patient's religious beliefs and values. Why religious freedom reduces the tension is then explained, and the specialness of religious beliefs and values examined.

  4. Alternative approach for fire suppression of class A, B and C fires in gloveboxes

    Energy Technology Data Exchange (ETDEWEB)

    Rosenberger, Mark S [Los Alamos National Laboratory; Tsiagkouris, James A [Los Alamos National Laboratory

    2011-02-10

    Department of Energy (DOE) Orders and National Fire Protection Association (NFPA) Codes and Standards require fire suppression in gloveboxes. Several potential solutions have been and are currently being considered at Los Alamos National Laboratory (LANL). The objective is to provide reliable, minimally invasive, and seismically robust fire suppression capable of extinguishing Class A, B, and C fires; achieve compliance with DOE and NFPA requirements; and provide value-added improvements to fire safety in gloveboxes. This report provides a brief summary of current approaches and also documents the successful fire tests conducted to prove that one approach, specifically Fire Foe{trademark} tubes, is capable of achieving the requirement to provide reliable fire protection in gloveboxes in a cost-effective manner.

  5. 29 CFR 1977.22 - Employee refusal to comply with safety rules.

    Science.gov (United States)

    2010-07-01

    ... WILLIAMS-STEIGER OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970 Some Specific Subjects § 1977.22 Employee refusal to comply with safety rules. Employees who refuse to comply with occupational safety and health... Section 1977.22 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

  6. Legislation and refusal of blood transfusion by a minor Jehovah-Witness in Belgium.

    Science.gov (United States)

    Deneyer, M; Matthys, D; Ramet, J; Michel, L; Holsters, D; Vandenplas, Y

    2011-01-01

    The refusal of blood transfusion by Jehovah's Witnesses in critical situations constitutes an ethical and juridical dilemma. The refusal to receive blood products by Jehovah's Witnesses is based on biblical verses. Recurring arguments to sustain this refusal regard the right to self-determination and the right to freedom of faith. If minors are involved, the problem is rendered even more difficult as the parental authority over young children needs to be taken into account. When adolescents are concerned, the situation if even more ambiguous since adolescents might be considered as mature enough to provide autonomous consent. On the basis of three cases, the most frequent bottlenecks that can come up in paediatric emergency services are highlighted: (1) the refusal of a blood transfusion by the parents of a young child; (2) the refusal by an adolescent and (3) prior refusal based on a "No Blood"-document. Regarding minors, the law on patients' rights in Belgium contains safety mechanisms concerning the preservation of physical integrity. Therefore, a key responsibility has been assigned to the physician. A step-by-step plan and a synoptic diagram are presented.

  7. Resource potential for renewable energy generation from co-firing of woody biomass with coal in the Northern U.S.

    Science.gov (United States)

    Michael E. Goerndt; Francisco X. Aguilar; Kenneth Skog

    2013-01-01

    Past studies have established measures of co-firing potential at varying spatial scales to assess opportunities for renewable energy generation from woody biomass. This study estimated physical availability, within ecological and public policy constraints, and associated harvesting and delivery costs of woody biomass for co-firing in selected power plants of the...

  8. A plea for uniform European definitions for organ donor potential and family refusal rates.

    NARCIS (Netherlands)

    Jansen, N.E.; Haase-Kromwijk, B.J.; Leiden, H.A. van; Weimar, W.; Hoitsma, A.J.

    2009-01-01

    Conversion of potential organ donors to actual donors is negatively influenced by family refusals. Refusal rates differ strongly among countries. Is it possible to compare refusal rates in order to be able to learn from countries with the best practices? We searched in the literature for reviews of

  9. Thermodynamic Analyses of Biomass Gasification Integrated Externally Fired, Post-Firing and Dual-Fuel Combined Cycles

    Directory of Open Access Journals (Sweden)

    Saeed Soltani

    2015-01-01

    Full Text Available In the present work, the results are reported of the energy and exergy analyses of three biomass-related processes for electricity generation: the biomass gasification integrated externally fired combined cycle, the biomass gasification integrated dual-fuel combined cycle, and the biomass gasification integrated post-firing combined cycle. The energy efficiency for the biomass gasification integrated post-firing combined cycle is 3% to 6% points higher than for the other cycles. Although the efficiency of the externally fired biomass combined cycle is the lowest, it has an advantage in that it only uses biomass. The energy and exergy efficiencies are maximized for the three configurations at particular values of compressor pressure ratios, and increase with gas turbine inlet temperature. As pressure ratio increases, the mass of air per mass of steam decreases for the biomass gasification integrated post-firing combined cycle, but the pressure ratio has little influence on the ratio of mass of air per mass of steam for the other cycles. The gas turbine exergy efficiency is the highest for the three configurations. The combustion chamber for the dual-fuel cycle exhibits the highest exergy efficiency and that for the post-firing cycle the lowest. Another benefit of the biomass gasification integrated externally fired combined cycle is that it exhibits the highest air preheater and heat recovery steam generator exergy efficiencies.

  10. Research and Development of a New Silica-Alumina Based Cementitious Material Largely Using Coal Refuse for Mine Backfill, Mine Sealing and Waste Disposal Stabilization

    Energy Technology Data Exchange (ETDEWEB)

    Henghu Sun; Yuan Yao

    2012-06-29

    Coal refuse and coal combustion byproducts as industrial solid waste stockpiles have become great threats to the environment. To activate coal refuse is one practical solution to recycle this huge amount of solid waste as substitute for Ordinary Portland Cement (OPC). The central goal of this project is to investigate and develop a new silica-alumina based cementitious material largely using coal refuse as a constituent that will be ideal for durable construction, mine backfill, mine sealing and waste disposal stabilization applications. This new material is an environment-friendly alternative to Ordinary Portland Cement. The main constituents of the new material are coal refuse and other coal wastes including coal sludge and coal combustion products (CCPs). Compared with conventional cement production, successful development of this new technology could potentially save energy and reduce greenhouse gas emissions, recycle vast amount of coal wastes, and significantly reduce production cost. A systematic research has been conducted to seek for an optimal solution for enhancing pozzolanic reactivity of the relatively inert solid waste-coal refuse in order to improve the utilization efficiency and economic benefit as a construction and building material.

  11. Experimental study of fire barriers preventing vertical fire spread in ETISs

    Directory of Open Access Journals (Sweden)

    Xin Huang

    2013-11-01

    Full Text Available In recent years, the external thermal insulation system (ETIS has been applied increasingly in a large amount of buildings for energy conservation purpose. However, the increase use of combustible insulation materials in the ETIS has raised serious fire safety problems. Fires involving this type of ETIS have caused severe damage and loss. In order to improve its fire safety, fire barriers were suggested to be installed. This paper introduces fire experiments that have been done to study the effects of fire barriers on preventing vertical fire spread along the ETIS. The experiments were performed according to BS 8414-1:2002 “Fire performance of external cladding systems – Part 1: Test method for non-loadbearing external cladding systems applied to the face of the building”. The test facility consists of a 9 m high wall. The fire sources were wood cribs with a fire size of 3 ± 0.5 MW. The insulation materials were expanded polystyrene foam (EPS. The fire barrier was a horizontal strip of rockwool with a width of 300 mm. Thermocouples were used to measure temperatures outside and inside the ETIS. A series of experiments with different fire scenarios were done: no fire barrier, two fire barriers and three fire barriers at different heights. Test results were compared. The results show that the ETIS using EPS without fire barriers almost burned out, while the ETIS with fire barriers performed well in preventing fire spread. The temperatures above the fire barrier were much lower than those below the fire barrier, and most of the insulation materials above the top fire barrier stayed in place.

  12. The Impact of Refuse Dump sites on the Physico-chemical and ...

    African Journals Online (AJOL)

    The Impact of Refuse Dump sites on the Physico-chemical and Microbial Properties of ground Water in some selected areas. ... Journal of Agricultural Research and Development. Journal Home ... The pollution effect of refuse dumps on the quality of wells at Ojota, Lagos, Apete, Ibadan and Odopetu, Akure were studied.

  13. Learned Helplessness and Learning Goals: Role played in School Refusal. A Study on Italian Students.

    Directory of Open Access Journals (Sweden)

    Luana Sorrenti

    2016-08-01

    Full Text Available Literature on school refusal has shown a link between school refusal and poor school performance. However, there has been little investigation into the individual underlying factors, and specifically factors directly related to the learning process, such as the learning goals of students and their expectations of success and/or failure. The main purpose of the present study is to investigate the influence of Learned Helplessness (LH and learning goals on school refusal. We hypothesized that LH and learning goals exert a unique role in predicting school refusal above and beyond the roles of academic achievement, age, and gender. The sample consisted of 201 Italian students with an average age of 11.93, with both low (57.2 % of students and high (42.8 % academic achievement. School refusal, LH, and learning goals were measured by means of questionnaires. The results confirm the hypothesis of this study; in fact, we found that learning goals and, above all, LH play a more predictive role of school refusal than academic achievement. These results extend previous studies on school refusal and, for the first time, they provide additional knowledge about this problem, analyzing the relationship between school refusal, learning goals, and LH, still neglected in the literature. Implications on the psychological well-being of students are discussed.

  14. Risk taking and refusal assertiveness in a longitudinal model of alcohol use among inner-city adolescents.

    Science.gov (United States)

    Epstein, J A; Griffin, K W; Botvin, G J

    2001-09-01

    Risk taking and refusal assertiveness have been shown to be important determinants of adolescent alcohol use. However, it remains unclear whether youth predisposed to risk taking would be less likely to assertively refuse. This study examined the relationships among risk taking, refusal assertiveness, and alcohol use in a sample of inner-city minority students (N = 1,459), using a cross-lagged longitudinal structural equation model. Data collectors administered the questionnaire to students following a standardized protocol during a 40-min class period. Based on the tested model, risk taking was more stable over time than refusal assertiveness. Furthermore, high risk takers reported less frequent subsequent refusal assertiveness, and less frequent refusal assertiveness predicted greater drinking. A predisposition toward risk taking appears to be an enduring characteristic that is associated with low refusal assertiveness and increased alcohol use. These findings suggest that alcohol prevention programs that emphasize refusal skills training may be less effective for high risk takers. But programs that focus on enhancing competence or reducing normative expectations for peer alcohol use might be more effective for high risk-taking youth.

  15. Results of performance and emission testing when co-firing blends of dRDF/COAL in a 440 MWe cyclone fired combustor

    International Nuclear Information System (INIS)

    Ohlsson, O.O.

    1993-01-01

    Argonne National Laboratory (ANL) together with the University of North Texas (UNT) have developed an improved method for converting refuse (residential, commercial and institutional waste) into an environmentally safe and economical fuel. In this method, recyclable metals, glass, and some plastic products are separated from the refuse. The remaining fraction, consisting primarily of cellulosic materials is then combined with a calcium hydroxide binding additive and formed into cylindrical pellets. These pellets are dense and odorless, can be stored for extended periods of time without biological or chemical degradation, and due to their increased bulk density are more durable and can be more easily conveyed, handled, and transported than other types of waste-derived fuel pellets. Laboratory and pilot-scale research studies, followed by full-scale combustion tests undertaken by DOE, ANL and UNT, in June--July of 1987 have indicated that binder-enhanced dRDF pellets can be successfully cofired with high sulfur coal in spreader-stoker combustors. The results of these combustion tests indicated significant reductions of SO 2 , NO x and CO 2 in the flue gases, and the reduction of heavy metals and organics in the ash residue. Dioxins and furans, both in the flue gas and in the ash residues were below detectable levels. Additional commercial-scale combustion tests have recently been conducted by DOE, NREL, ANL and several industrial participants including Otter Tail Power Company, Reuter, Inc., XL Recycling and Marblehead Lime Company, under a collaborative research and development agreement (CRADA). A large 440 MW e cyclone-fired combustor was tested at Big Stone City, South Dakota on October 26--27, 1992. This paper describes the cyclone-fired combustion tests, the flue gas emission and ash samples that were collected, the analyses that were performed on these samples, and the final test results

  16. Microbial ecology studies at two coal mine refuse sites in Illinois

    Energy Technology Data Exchange (ETDEWEB)

    Miller, R. M.; Cameron, R. E.

    1978-01-01

    An investigation was made of the microflora associated with coal refuse at two abandoned mines in the midwestern United States. Information was gathered for both the edaphic and the biotic composition of the refuse material. Emphasis was placed on heterotrophic and autotrophic components as to numbers, kinds, and physiological groups. The presence of chemolithotrophs was also investigated. The relationship between abiotic and biotic components in regard to distribution of bacteria, fungi, and algae is discussed. Information presented in this report will be utilized in assessing trends and changes in microbial numbers and composition related to manipulations of the edaphic and biotic ecosystem components associated with reclamation of the refuse piles.

  17. 40 CFR 62.14102 - Affected facilities.

    Science.gov (United States)

    2010-07-01

    ... tires or used oil, but not including refuse-derived fuel) for the production of electric energy is not...) for the production of electric energy and steam or forms of useful energy (such as heat) that are used... not subject to this subpart. (n) Cement kilns firing municipal solid waste are not subject to this...

  18. Development of a Standard Test Scenario to Evaluate the Effectiveness of Portable Fire Extinguishers on Lithium-ion Battery Fires

    Science.gov (United States)

    Juarez, Alfredo; Harper, Susan A.; Hirsch, David B.; Carriere, Thierry

    2013-01-01

    Many sources of fuel are present aboard current spacecraft, with one especially hazardous source of stored energy: lithium ion batteries. Lithium ion batteries are a very hazardous form of fuel due to their self-sustaining combustion once ignited, for example, by an external heat source. Batteries can become extremely energetic fire sources due to their high density electrochemical energy content that may, under duress, be violently converted to thermal energy and fire in the form of a thermal runaway. Currently, lithium ion batteries are the preferred types of batteries aboard international spacecraft and therefore are routinely installed, collectively forming a potentially devastating fire threat to a spacecraft and its crew. Currently NASA is developing a fine water mist portable fire extinguisher for future use on international spacecraft. As its development ensues, a need for the standard evaluation of various types of fire extinguishers against this potential threat is required to provide an unbiased means of comparing between fire extinguisher technologies and ranking them based on performance.

  19. Knowledge-based fault diagnosis system for refuse collection vehicle

    International Nuclear Information System (INIS)

    Tan, CheeFai; Juffrizal, K.; Khalil, S. N.; Nidzamuddin, M. Y.

    2015-01-01

    The refuse collection vehicle is manufactured by local vehicle body manufacturer. Currently; the company supplied six model of the waste compactor truck to the local authority as well as waste management company. The company is facing difficulty to acquire the knowledge from the expert when the expert is absence. To solve the problem, the knowledge from the expert can be stored in the expert system. The expert system is able to provide necessary support to the company when the expert is not available. The implementation of the process and tool is able to be standardize and more accurate. The knowledge that input to the expert system is based on design guidelines and experience from the expert. This project highlighted another application on knowledge-based system (KBS) approached in trouble shooting of the refuse collection vehicle production process. The main aim of the research is to develop a novel expert fault diagnosis system framework for the refuse collection vehicle

  20. Knowledge-based fault diagnosis system for refuse collection vehicle

    Energy Technology Data Exchange (ETDEWEB)

    Tan, CheeFai; Juffrizal, K.; Khalil, S. N.; Nidzamuddin, M. Y. [Centre of Advanced Research on Energy, Universiti Teknikal Malaysia Melaka, Hang Tuah Jaya, Durian Tunggal, Melaka (Malaysia)

    2015-05-15

    The refuse collection vehicle is manufactured by local vehicle body manufacturer. Currently; the company supplied six model of the waste compactor truck to the local authority as well as waste management company. The company is facing difficulty to acquire the knowledge from the expert when the expert is absence. To solve the problem, the knowledge from the expert can be stored in the expert system. The expert system is able to provide necessary support to the company when the expert is not available. The implementation of the process and tool is able to be standardize and more accurate. The knowledge that input to the expert system is based on design guidelines and experience from the expert. This project highlighted another application on knowledge-based system (KBS) approached in trouble shooting of the refuse collection vehicle production process. The main aim of the research is to develop a novel expert fault diagnosis system framework for the refuse collection vehicle.

  1. Corrosion and Materials Performance in biomass fired and co-fired power plants

    DEFF Research Database (Denmark)

    Montgomery, Melanie; Larsen, OH; Biede, O

    2003-01-01

    not previously encountered in coal-fired power plants. The type of corrosion attack can be directly ascribed to the composition of the deposit and the metal surface temperature. In woodchip boilers, a similar corrosion rate and corrosion mechanism has on some occasions been observed. Co-firing of straw (10...... and 20% energy basis) with coal has shown corrosion rates lower than those in straw-fired plants. With both 10 and 20% straw, no chlorine corrosion was seen. This paper will describe the results from in situ investigations undertaken in Denmark on high temperature corrosion in biomass fired plants....... Results from 100% straw-firing, woodchip and co-firing of straw with coal will be reported. The corrosion mechanisms observed are summarized and the corrosion rates for 18-8 type stainless steels are compared....

  2. Can children aged 12 years or more refuse life-saving treatment ...

    African Journals Online (AJOL)

    The best interests of the child are paramount, and should the child unreasonably refuse to consent to life-saving treatment, the Minister of Social Development may give consent for such treatment in terms of the Children's Act. Otherwise, should a parent, guardian, caregiver or healthcare provider believe that such a refusal ...

  3. Coal-fired generation

    CERN Document Server

    Breeze, Paul

    2015-01-01

    Coal-Fired Generation is a concise, up-to-date and readable guide providing an introduction to this traditional power generation technology. It includes detailed descriptions of coal fired generation systems, demystifies the coal fired technology functions in practice as well as exploring the economic and environmental risk factors. Engineers, managers, policymakers and those involved in planning and delivering energy resources will find this reference a valuable guide, to help establish a reliable power supply address social and economic objectives. Focuses on the evolution of the traditio

  4. Fire protection program fiscal year 1995 site support program plan, Hanford Fire Department

    International Nuclear Information System (INIS)

    Good, D.E.

    1994-09-01

    The mission of the Hanford Fire Department (HFD) is to support the safe and timely cleanup of the Hanford site by providing fire suppression, fire prevention, emergency rescue, emergency medical service, and hazardous materials response; and to be capable of dealing with and terminating emergency situations which could threaten the operations, employees, or interest of the US Department of Energy operated Hanford Site. This includes response to surrounding fire departments/districts under a mutual aid agreement and contractual fire fighting, hazardous materials, and ambulance support to Washington Public Power Supply System (Supply System). The fire department also provides site fire marshal overview authority, fire system testing and maintenance, self-contained breathing apparatus maintenance, building tours and inspections, ignitable and reactive waste site inspections, prefire planning, and employee fire prevention education. This report describes the specific responsibilities and programs that the HFD must support and the estimated cost of this support for FY1995

  5. 37 CFR 1.295 - Review of decision finally refusing to publish a statutory invention registration.

    Science.gov (United States)

    2010-07-01

    ... dissatisfied with the final refusal to publish a statutory invention registration for reasons other than... refunded if the final refusal to publish a statutory invention registration for reasons other than... refusing to publish a statutory invention registration. 1.295 Section 1.295 Patents, Trademarks, and...

  6. Children with pervasive refusal.

    OpenAIRE

    Lask, B; Britten, C; Kroll, L; Magagna, J; Tranter, M

    1991-01-01

    Four children are described with a potentially life threatening condition manifested by profound and pervasive refusal to eat, drink, walk, talk, or care for themselves in any way over a period of several months. The multiplicity and severity of the symptoms in these children do not fit comfortably into any existing diagnostic category. Long term and highly skilled nursing and psychiatric care is required to help these children to recover. The possible causes of this syndrome are discussed.

  7. Chemical reagent and process for refuse disposal

    International Nuclear Information System (INIS)

    Somerville, R.B.; Fan, L.T.

    1989-01-01

    A process for treating refuse by mixing them with a reactive chemical and a puzzolana-type material. Said chemical includes a retarding agent which modifies the viscosity and an accelerating agent. (author)

  8. 49 CFR 219.213 - Unlawful refusals; consequences.

    Science.gov (United States)

    2010-10-01

    ... inconsistent with the employee's health, whether such refusal was made in good faith and based on medical..., as appropriate, also consider the following: (1) Whether the railroad made a good faith determination...

  9. 10 CFR 36.27 - Fire protection.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Fire protection. 36.27 Section 36.27 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Design and Performance Requirements for Irradiators § 36.27 Fire protection. (a) The radiation room at a panoramic irradiator must...

  10. Biometric identification with high frequency electrocardiogram: Unregistered user refusal method and performance evaluation.

    Science.gov (United States)

    Kyoso, Masaki

    2015-08-01

    As a new modality for biometric identification, electrocardiogram-based identification technique has been developed. We proposed a technique with high frequency component of electrocardiogram (HFECG) in QRS segment. In this report, an unregistered user refusal algorithm was combined with the artificial neural network based waveform classifier. The refusal function was realized by simple thresholding technique. HFECGs from twenty collaborators were used for supervised learning. Twenty HFECGs from the same collaborators were tested and false acceptance rate (FAR) and false rejection rate (FRR) were evaluated. Ten HFECGs from other collaborators were also tested to find unregistered user refusal performance. The results show that FAR and FRR in the registrants can be kept within 1%, however, unregistered user refusal performance was not acceptable under the same condition.

  11. Environmental co-benefits of energy efficiency improvement in coal-fired power sector: A case study of Henan Province, China

    International Nuclear Information System (INIS)

    Wang, Ke; Wang, Shanshan; Liu, Lei; Yue, Hui; Zhang, Ruiqin; Tang, Xiaoyan

    2016-01-01

    Highlights: • Pollutant surcharge is considered in Energy Conservation Supply Curve. • Intake Fraction method is incorporated into Energy Conservation Supply Curve. • Health benefits contribute 97% of co-benefits of energy efficiency improvement. - Abstract: The coal-fired power sector is one of the major contributors to environmental problems and has great potential of air pollution abatement. This study employs Energy Conservation Supply Curves (ECSCs) combined with pollutant surcharge and health benefits to evaluate the environmental co-benefits of energy efficiency improvement in the coal-fired power sector. Health benefits and the pollution surcharge are considered as the environmental co-benefits that reduce costs of conserved energy (CCEs) in ECSCs. The health benefits of energy efficiency improvement are quantified using Intake Fraction method, while the pollutant surcharge is calculated based on the regulation. Three scenarios including a Business As Usual (BAU) scenario, an Energy Efficiency Improvement (EEI) scenario, and an Upgrading Standards and Incentive (USI) scenario is considered in a case study for Henan Province of China. Our results show that costs of conserved energy (CCEs) are reduced by 0.56 and 0.29 USD/GJ under the EEI and USI scenarios due to health benefits and pollutant surcharge reductions related to energy efficient technologies, respectively. In particular, health benefits account for 97% of the reductions in CCEs, while the pollutant surcharge only contributes 3%. Under the EEI and USI scenarios, in 2020, energy efficiency improvement reduces energy consumption in Henan’s coal-fired power sector by 3.3% and 3.5% compared with the BAU scenario, respectively. The EEI and USI scenarios indicates that health benefits of 1.5 × 10"9 and 2.4 × 10"9 USD are gained and the reductions of pollutant surcharges of 197 and 226 million USD are realized in 2020, respectively.

  12. Behavioural treatment of severe food refusal in five toddlers with developmental disabilities

    NARCIS (Netherlands)

    Moor, J.M.H. de; Didden, H.C.M.; Korzilius, H.P.L.M.

    2007-01-01

    BACKGROUND: Young children with developmental disabilities are at risk of food refusal. In case of severe food refusal, children are being fed by nasal or gastrostomy tube. Behavioural treatment may be effective in establishing oral food intake. METHODS: A behavioural treatment package was

  13. Behavioral treatment of severe food refusal in five toddlers with developmental disabilities

    NARCIS (Netherlands)

    Moor, J.M.H. de; Didden, H.C.M.; Korzilius, H.P.L.M.

    2007-01-01

    Background Young children with developmental disabilities are at risk of food refusal. In case of severe food refusal, children are being fed by nasal or gastrostomy tube. Behavioural treatment may be effective in establishing oral food intake. Methods A behavioural treatment package was

  14. Behavioural treatment of severe food refusal in five toddlers with developmental disabilities.

    NARCIS (Netherlands)

    Moor, J.M.H. de; Didden, R.; Korzilius, H.P.L.M.

    2007-01-01

    BACKGROUND: Young children with developmental disabilities are at risk of food refusal. In case of severe food refusal, children are being fed by nasal or gastrostomy tube. Behavioural treatment may be effective in establishing oral food intake. METHODS: A behavioural treatment package was

  15. Responding to the refusal of care in the emergency department.

    Science.gov (United States)

    Nelson, Jennifer; Venkat, Arvind; Davenport, Moira

    2014-01-01

    The emergency department (ED) serves as the primary gateway for acute care and the source of health care of last resort. Emergency physicians are commonly expected to rapidly assess and treat patients with a variety of life-threatening conditions. However, patients do refuse recommended therapy, even when the consequences are significant morbidity and even mortality. This raises the ethical dilemma of how emergency physicians and ED staff can rapidly determine whether patient refusal of treatment recommendations is based on intact decision-making capacity and how to respond in an appropriate manner when the declining of necessary care by the patient is lacking a basis in informed judgment. This article presents a case that illustrates the ethical tensions raised by the refusal of life-sustaining care in the ED and how such situations can be approached in an ethically appropriate manner.

  16. FireProt: Energy- and Evolution-Based Computational Design of Thermostable Multiple-Point Mutants.

    Science.gov (United States)

    Bednar, David; Beerens, Koen; Sebestova, Eva; Bendl, Jaroslav; Khare, Sagar; Chaloupkova, Radka; Prokop, Zbynek; Brezovsky, Jan; Baker, David; Damborsky, Jiri

    2015-11-01

    There is great interest in increasing proteins' stability to enhance their utility as biocatalysts, therapeutics, diagnostics and nanomaterials. Directed evolution is a powerful, but experimentally strenuous approach. Computational methods offer attractive alternatives. However, due to the limited reliability of predictions and potentially antagonistic effects of substitutions, only single-point mutations are usually predicted in silico, experimentally verified and then recombined in multiple-point mutants. Thus, substantial screening is still required. Here we present FireProt, a robust computational strategy for predicting highly stable multiple-point mutants that combines energy- and evolution-based approaches with smart filtering to identify additive stabilizing mutations. FireProt's reliability and applicability was demonstrated by validating its predictions against 656 mutations from the ProTherm database. We demonstrate that thermostability of the model enzymes haloalkane dehalogenase DhaA and γ-hexachlorocyclohexane dehydrochlorinase LinA can be substantially increased (ΔTm = 24°C and 21°C) by constructing and characterizing only a handful of multiple-point mutants. FireProt can be applied to any protein for which a tertiary structure and homologous sequences are available, and will facilitate the rapid development of robust proteins for biomedical and biotechnological applications.

  17. FireProt: Energy- and Evolution-Based Computational Design of Thermostable Multiple-Point Mutants.

    Directory of Open Access Journals (Sweden)

    David Bednar

    2015-11-01

    Full Text Available There is great interest in increasing proteins' stability to enhance their utility as biocatalysts, therapeutics, diagnostics and nanomaterials. Directed evolution is a powerful, but experimentally strenuous approach. Computational methods offer attractive alternatives. However, due to the limited reliability of predictions and potentially antagonistic effects of substitutions, only single-point mutations are usually predicted in silico, experimentally verified and then recombined in multiple-point mutants. Thus, substantial screening is still required. Here we present FireProt, a robust computational strategy for predicting highly stable multiple-point mutants that combines energy- and evolution-based approaches with smart filtering to identify additive stabilizing mutations. FireProt's reliability and applicability was demonstrated by validating its predictions against 656 mutations from the ProTherm database. We demonstrate that thermostability of the model enzymes haloalkane dehalogenase DhaA and γ-hexachlorocyclohexane dehydrochlorinase LinA can be substantially increased (ΔTm = 24°C and 21°C by constructing and characterizing only a handful of multiple-point mutants. FireProt can be applied to any protein for which a tertiary structure and homologous sequences are available, and will facilitate the rapid development of robust proteins for biomedical and biotechnological applications.

  18. NEDO Forum 2001. Session on development of energy and environmental technologies (For promotion of comprehensive development of hydrocarbon-based energy); NEDO Forum 2001. Energy kankyo gijutsu kaihatsu session (tanka suisokei energy no sogo kaihatsu suishin no tame ni)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-09-20

    The presentations made at the above-named session of the NEDO (New Energy and Industrial Technology Development Organization) forum held in Tokyo on September 20, 2001, are collected in this report. Pointed out in a lecture entitled 'How technology development for hydrocarbon-based energy resources should be' was the need of technologies for clean energy production; CO2 emission reduction; NOx, SOx, soot, and dust reduction; and the expansion of exploitation of resources now left unused. Reported in a lecture entitled 'Cooperation with China on coal liquefaction' were the result of a coal liquefaction demonstration plant feasibility study conducted for coal from Inner Mongolia, and so forth. Reported in a lecture entitled 'Development of coal oil upgrading technology' were the result of the operation of a test plant, and so forth. Reported in a lecture entitled 'Research and development of HyperCoal' were the result of HyperCoal manufacturing technology research and development, designing of a HyperCoal-fired gas turbine power generation system, and so forth. In addition, development of technology for high efficiency conversion of biomass energy and development of technology for refuse gasification/melting power generation were reported. (NEDO)

  19. Fire intensity impacts on post-fire temperate coniferous forest net primary productivity

    Science.gov (United States)

    Sparks, Aaron M.; Kolden, Crystal A.; Smith, Alistair M. S.; Boschetti, Luigi; Johnson, Daniel M.; Cochrane, Mark A.

    2018-02-01

    Fire is a dynamic ecological process in forests and impacts the carbon (C) cycle through direct combustion emissions, tree mortality, and by impairing the ability of surviving trees to sequester carbon. While studies on young trees have demonstrated that fire intensity is a determinant of post-fire net primary productivity, wildland fires on landscape to regional scales have largely been assumed to either cause tree mortality, or conversely, cause no physiological impact, ignoring the impacted but surviving trees. Our objective was to understand how fire intensity affects post-fire net primary productivity in conifer-dominated forested ecosystems on the spatial scale of large wildland fires. We examined the relationships between fire radiative power (FRP), its temporal integral (fire radiative energy - FRE), and net primary productivity (NPP) using 16 years of data from the MOderate Resolution Imaging Spectrometer (MODIS) for 15 large fires in western United States coniferous forests. The greatest NPP post-fire loss occurred 1 year post-fire and ranged from -67 to -312 g C m-2 yr-1 (-13 to -54 %) across all fires. Forests dominated by fire-resistant species (species that typically survive low-intensity fires) experienced the lowest relative NPP reductions compared to forests with less resistant species. Post-fire NPP in forests that were dominated by fire-susceptible species were not as sensitive to FRP or FRE, indicating that NPP in these forests may be reduced to similar levels regardless of fire intensity. Conversely, post-fire NPP in forests dominated by fire-resistant and mixed species decreased with increasing FRP or FRE. In some cases, this dose-response relationship persisted for more than a decade post-fire, highlighting a legacy effect of fire intensity on post-fire C dynamics in these forests.

  20. [Maternal refusal to consent to a cesarean delivery, stillbirth].

    Science.gov (United States)

    Defline, A; Obadia, M; El Djerbi, A; Plevy, P; Lepercq, J

    2014-01-01

    The doctor-lawyer perspective that we discuss is a maternal refusal to consent to a cesarean delivery for a fetal indication in June 2011. Despite repeated information of the risks during a three-week hospitalization for pre-eclampsia, after being assured of the proper understanding of the seriousness of the situation by the patient and spouse, and after consideration to transfer to another hospital, the reiterated refusal led to a late fetal extraction resulting in term stillbirth. Copyright © 2013. Published by Elsevier Masson SAS.. All rights reserved.

  1. Jehovah's Witnesses and autonomy: honouring the refusal of blood transfusions.

    Science.gov (United States)

    Bock, Gregory L

    2012-11-01

    This paper explores the scriptural and theological reasons given by Jehovah's Witnesses (JWs) to refuse blood transfusions. Julian Savulescu and Richard W Momeyer argue that informed consent should be based on rational beliefs and that the refusal of blood transfusions by JWs is irrational, but after examining the reasons given by JWs, I challenge the claim that JW beliefs are irrational. I also question whether we should give up the traditional notion of informed consent.

  2. Using a Nonaversive Procedure to Decrease Refusals.

    Science.gov (United States)

    Spooner, Fred; And Others

    1990-01-01

    A nonaversive technique was used to teach a severely handicapped woman to decrease her refusals. The technique employed precision teaching via precise daily measurement strategies, environmental analysis, and a focus on building appropriate behavior. (JDD)

  3. Fire protection at hot laboratories: Prevention, surveillance and fire-fighting

    International Nuclear Information System (INIS)

    Chappellier, A.M.

    1976-01-01

    After pointing out that fire in a hot laboratory can be an important factor contributing to a radioactivity accident, the author briefly recalls the items to be taken into account in a fire hazard analysis. He then describes various important aspects of prevention, detection and fire-fighting which - at the French Commissariat a l'Energie Atomique - are governed by already defined rules or by guidelines which are sufficiently advanced to give a clear idea of the final conclusions to be drawn therefrom. From the point of view protection, the concept of fire sector has been evolved, at hot laboratories, becomes the fire and contamination sector, so as to ensure under all circumstances the containment of any radioactive materials dispersed in the premises on fire. Regarding fire detection, a study should be made on the constraints specific to the facility and liable to affect detector operation. These include ventilation, radiations, neutral or corrosive atmosphere, etc. As regards fire-fighting, two particular aspects are dealt with, namely the question of using water in case of fire and action to be taken concerning ventilation. A practical example - the protection of a ventilation system - is described. In conclusion the paper refers to the need for a thorough analysis specific to each hot laboratory, and to the importance of preparing an operational plan so as to avoid any dangerous improvisations in case of an accident. (author)

  4. What happens after a request for euthanasia is refused? Qualitative interviews with patients, relatives and physicians.

    Science.gov (United States)

    Pasman, H Roeline W; Willems, Dick L; Onwuteaka-Philipsen, Bregje D

    2013-09-01

    Obtaining in-depth information from both patient and physician perspectives about what happens after a request for euthanasia or physician-assisted suicide (EAS) is refused. In-depth interviews with nine patients whose EAS request was refused and seven physicians of these patients, and with three relatives of patients who had died after a request was refused and four physicians of these patients. Interviews were conducted at least 6 months after the refusal. A wish to die remained in all patients after refusal, although it sometimes diminished. In most cases patient and physician stopped discussing this wish, and none of the physicians had discussed plans for the future with the patient or evaluated the patient's situation after their refusal. Physicians were aware of patients' continued wish to die. Patients who are refused EAS may subsequently be silent about a wish to die without abandoning it. Open communication about wishes to die is important, even outside the context of EAS, because if people feel unable to talk about them, their quality of life may be further diminished. Follow up appointments after refusal could give patients the opportunity to discuss their feelings and physicians to support them. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  5. Co-firing biomass and fossil fuels

    International Nuclear Information System (INIS)

    Junge, D.C.

    1991-01-01

    In June 1989, the Alaska Energy Authority and the University of Alaska Anchorage published a monograph summarizing the technology of co-firing biomass and fossil fuels. The title of the 180 page monograph is 'Use of Mixed Fuels in Direct Combustion Systems'. Highlights from the monograph are presented in this paper with emphasis on the following areas: (1) Equipment design and operational experience co-firing fuels; (2) The impact of co-firing on efficiency; (3) Environmental considerations associated with co-firing; (4) Economic considerations in co-firing; and (5) Decision making criteria for co-firing

  6. Prevention of formation of acid drainage from high-sulfur coal refuse by inhibition of iron- and sulfur-oxidizing microorganisms. II. Inhibition in run of mine refuse under simulated field conditions

    Energy Technology Data Exchange (ETDEWEB)

    Dugan, P.R.

    1987-01-01

    The combination of sodium lauryl sulfate and benzoic acid effectively inhibits iron- and sulfur-oxidizing bacteria in coal refuse and prevents the conversion of iron pyrite to sulfate, ferric iron, and sulfuric acid, thereby significantly reducing the formation of acidic drainage from coal refuse. The inhibitors were effective in a concentration of 1.1. mg/kg refuse, and data indicate that the SLS was in excess of the concentration required. The treatment was compatible with the use of lime for neutralization of acid present prior to inhibition of its formation.

  7. Correlates of Inconsistent Refusal of Unprotected Sex among Armenian Female Sex Workers

    Directory of Open Access Journals (Sweden)

    Karine Markosyan

    2014-01-01

    Full Text Available This cross-sectional study assessed the prevalence and correlates of inconsistent refusal of unprotected sex among female sex workers (FSWs in Armenia. One hundred and eighteen street-based FSWs between the ages of 20 and 52 completed a questionnaire assessing FSWs’ demographic, psychosocial, and behavioral characteristics. A total of 52.5% (n=62 of FSWs reported inconsistent refusal of unprotected sex with clients in the past 3 months. Logistic regression analysis controlling for participants’ age and education revealed that perceiving more barriers toward condom use (AOR = 1.1; P<0.01, reporting more types of abuse (AOR = 2.1; P<0.01, and setting lower fees for service (AOR = 0.9; P=0.02 significantly predicted inconsistent refusal of unprotected sex. HIV-risk-reduction behavioral interventions tailored to FSWs working in Yerevan Armenia should address the factors identified in this study toward the goal of enhancing refusal of unprotected sex and ultimately preventing acquisition of sexually transmitted infections (STIs including HIV.

  8. Fire Danger of Interaction Processes of Local Sources with a Limited Energy Capacity and Condensed Substances

    OpenAIRE

    Glushkov, Dmitry Olegovich; Strizhak, Pavel Alexandrovich; Vershinina, Kseniya Yurievna

    2015-01-01

    Numerical investigation of flammable interaction processes of local energy sources with liquid condensed substances has been carried out. Basic integrated characteristic values of process have been defined – ignition delay time at different energy sources parameters. Recommendations have been formulated to ensure fire safety of technological processes, characterized by possible local heat sources formation (cutting, welding, friction, metal grinding etc.) in the vicinity of storage areas, tra...

  9. Wildland Fire Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    Schwager, K. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2017-09-30

    The Wildland Fire Management Plan (FMP) for Brookhaven National Lab (BNL) is written to comply with Department of Energy (DOE) Integrated Safety Management Policy; Federal Wildland Fire Management Policy and Program Review; and Wildland and Prescribed Fire Management Policy and Implementation Procedures Reference Guide. This current plan incorporates changes resulting from new policies on the national level as well as significant changes to available resources and other emerging issues, and replaces BNL's Wildland FMP dated 2014.

  10. Impact of interventions for patients refusing emergency medical services transport.

    Science.gov (United States)

    Alicandro, J; Hollander, J E; Henry, M C; Sciammarella, J; Stapleton, E; Gentile, D

    1995-06-01

    To evaluate the effect of a documentation checklist and on-line medical control contact on ambulance transport of out-of-hospital patients refusing medical assistance. Consecutive patients served by four suburban ambulance services who initially refused emergency medical services (EMS) transport to the hospital were prospectively enrolled. In phase 1 (control phase), all patients who initially refused medical attention or transport had an identifying data card completed. In phase 2 (documentation phase), out-of-hospital providers completed a similar data card that contained a checklist of high-risk criteria for a poor outcome if not transported. In phase 3 (intervention phase), a data card similar to that used in phase 2 was completed, and on-line medical control was contacted for all patients with high-risk criteria who refused transport. The primary endpoint was the percentage of patients transported to the hospital. A total of 361 patients were enrolled. Transport rate varied by phase: control, 17 of 144 (12%); documentation, 11 of 150 (7%); and intervention, 12 of 67 (18%) (chi-square, p = 0.023). Transport of high-risk patients improved with each intervention: control, two of 60 (3%); documentation, seven of 70 (10%); and intervention, 12 of 34 (35%) (chi-square, p = 0.00003). Transport of patients without high-risk criteria decreased with each intervention: control, 15 of 84 (18%); documentation, four of 80 (5%); and intervention, 0 of 33 (0%) (p = 0.0025). Of the 28 patients for whom medical control was contacted, 12 (43%) were transported to the hospital, and only three of these 12 patients (25%) were released from the ED. Contact with on-line medical control increased the likelihood of transport of high-risk patients who initially refused medical assistance. The appropriateness of the decreased transport rate of patients not meeting high-risk criteria needs further evaluation.

  11. Refusal of dialysis amongst patients of chronic kidney disease (CKD)

    International Nuclear Information System (INIS)

    Anees, M.; Khan, J.A.

    2014-01-01

    This study was conducted to determine the refusal of dialysis amongst patients of chronic kidney disease presenting for the first time for dialysis in uremic condition. Study Design: Cross sectional Study. Place and Duration of the Study: Outpatient department of Nephrology, Mayo Hospital, Lahore from 1 st Jan 2012 to 31 st December 2012. Patients and Methods: Patients of CKD due to any cause presenting with uremia for the first time for dialysis were included in the study. History and physical examination was done and demographic data was collected in pre designed form. Patients were offered for dialysis while explaining to them the advantages of getting and disadvantages of not getting dialysis. Patient's response on the offer was recorded and the reason for the refusal were noted. Results: According to the criteria 150 patients were included in the study. Most of the patients were male 92 (61.3%) and illiterate 78 (52.0%). Major cause of CKD was diabetes mellitus 58 (38.7%) followed by hypertension 38 (25.3%). Mean age of the patients was 42.59 ± 13.72 year and income of themost of the patients 126 (84%) was less than US$100/-month. Most of the patients 126 (77.0%) were asked about the need of dialysis in less than three months, 61 (41.3%) offered for the first time and amongst them 85 (54.0%) were offered dialysis already. Majority of the patients 101 (67.3%) refused dialysis when it was offered to them for the first time. Major reason of the refusal was fear of dialysis procedure in 76 (76%) patients followed by treatment by spiritual 14 (14%) and alternative ways and others 11 (11 %). Middle age persons refused dialysis significantly. (author)

  12. Blood Transfusion in Children: The Refusal of Jehovah’s Witness Parents’

    Science.gov (United States)

    Conti, Adelaide; Capasso, Emanuele; Casella, Claudia; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Policino, Fabio; Terracciano, Lucia; Delbon, Paola

    2018-01-01

    Abstract In Italy, both parents have parental responsibility; as a general principle they have the power to give or withhold consent to medical procedures on their children, including consent for blood transfusion; however these rights are not absolute and exist only to promote the welfare of children. Methods The Authors discuss ethical and legal framework for Jehovah’s Witness parents’ refusal of blood transfusion in Italy. They searched national judgments concerning Jehovah’s Witness parents’ refusal of blood transfusion – and related comments – in national legal databases and national legal journals, and literature on medical literature databases. Results In the case of Jehovah’s Witness parents’ refusal of blood transfusion for their child, Italian Courts adopt measures that prevents the parents from exercise their parental responsibility not in the child’s best interest. Discussion In the event that refusal by the parents, outside of emergency situations, exposes the child’s health to serious risk, health workers must proceed by notifying the competent authority, according also to the Italian Code of Medical Ethics. Conclusion When the patient is a minor, the child’s best interest always come first. PMID:29666843

  13. Mental health consequences of abortion and refused abortion.

    Science.gov (United States)

    Watter, W W

    1980-02-01

    There is no scientific evidence to support the hypothesis put forth by Dr. Philip Ney in a recent article published in the Canadian Journal of Psychiatry that induced abortion is associated with an increase in child abuse. There are, however, numerous studies which support the contention that mandatory motherhood adversely affects the mental health of both the mother and the offspring. Studies conducted in Sweden, Scotland, and Czechoslovakia revealed that women who were refused abortions frequently experienced serious psychosocial difficulties for long periods of time following abortion refusal. Case controlled follow-up studies, conducted in Sweden and Czechoslovakia, of offspring born to women who were refused abortions demonstrated that a higher proportion of the unwanted children required psychiatric services, engaged in criminal behavior, and did less well in school than the controlled children. These studies have implications for the current Canadian law which permits a woman to obtain an abortion if pregnancy continuation will endanger her health. In view of the above statistical evidence, and the fact that mortality and morbidity are known to be lower for abortion than for childbirth, any person who denies a woman the right to have an abortion is increasing the risk that the health of the woman will be endangered. By law, therefore, all abortion requests should be honored.

  14. Using Descriptive Assessment in the Treatment of Bite Acceptance and Food Refusal

    Science.gov (United States)

    Casey, Sean D.; Perrin, Christopher J.; Lesser, Aaron D.; Perrin, Stefanie H.; Casey, Cheryl L.; Reed, Gregory K.

    2009-01-01

    The feeding behaviors of two children who maintained failure to thrive diagnoses and displayed food refusal are assessed in their homes. Descriptive assessments are used to identify schedules of consequence provided by each child's care providers for bite acceptance and food refusal behaviors. Assessments reveal rich schedules of praise and access…

  15. Bioethics and religious bodies: refusal of blood transfusions in Germany.

    Science.gov (United States)

    Rajtar, Małgorzata

    2013-12-01

    The refusal of medical treatment is a recurrent topic in bioethical debates and Jehovah's Witnesses often constitute an exemplary case in this regard. The refusal of a potentially life-saving blood transfusion is a controversial choice that challenges the basic medical principle of acting in patients' best interests and often leads physicians to adopt paternalistic attitudes toward patients who refuse transfusion. However, neither existing bioethical nor historical and social sciences scholarship sufficiently addresses experiences of rank-and-file Witnesses in their dealings with the health care system. This article draws on results of a nine-month (2010, 2011-2012) ethnographic research on the relationship between religious, legal, ethical, and emotional issues emerging from the refusal of blood transfusions by Jehovah's Witnesses in Germany (mainly in Berlin). It shows how bioethical challenges are solved in practice by some German physicians and what they perceive to be the main goal of biomedicine: promoting the health or broadly understood well-being of patients. I argue that two different understandings of the concept of autonomy are at work here: autonomy based on reason and autonomy based on choice. The first is privileged by German physicians in line with a Kantian philosophical tradition and constitutional law; the second, paradoxically, is utilized by Jehovah's Witnesses in their version of the Anglo-Saxon Millian approach. Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. Fire Protection Program fiscal year 1996, site support program plan Hanford Fire Department. Revision 2

    International Nuclear Information System (INIS)

    Good, D.E.

    1995-09-01

    The mission of the Hanford Fire Department (HFD) is to support the safe and timely cleanup of the Hanford site by providing fire suppression, fire prevention, emergency rescue, emergency medical service, and hazardous materials response; and to be capable of dealing with and terminating emergency situations which could threaten the operations, employees, or interest of the US Department of Energy operated Hanford Site. This includes response to surrounding fire departments/districts under a mutual aid agreement and contractual fire fighting, hazardous materials, and ambulance support to Washington Public Power Supply System (Supply System). The fire department also provides site fire marshal overview authority, fire system testing and maintenance, self-contained breathing apparatus maintenance, building tours and inspections, ignitable and reactive waste site inspections, prefire planning, and employee fire prevention education. This report gives a program overview, technical program baselines, and cost and schedule baseline

  17. Are they really refusing to travel? A qualitative study of prehospital records

    Directory of Open Access Journals (Sweden)

    Christopher Sarah

    2006-09-01

    Full Text Available Abstract Background Refusal by the patient to travel after calling an emergency ambulance may lead to a preventable waste of scarce resources if it can be shown that an alternative more appropriate response could be employed. A greater understanding is required of the reasons behind 'refusal to travel' (RTT in order to find appropriate solutions to address this issue. We sought to investigate the reasons why patients refuse to travel following emergency call-out in a rural county. Methods Written records made by ambulance crews for patients (n = 397 who were not transported to hospital following an emergency call-out during October 2004 were retrospectively analysed. Results Twelve main themes emerged for RTT which included non injury or minor injury, falls and recovery after treatment on scene; other themes included alternative supervision, follow-up and treatment arrangements or patients arranging their own transport. Importantly, only 8% of the sample was recorded by ambulance crews as truly refusing to travel against advice. Conclusion A system that facilitates standardised recording of RTT information including social reasons for non-transportation needs to be designed. 'Refused to travel' disclaimers need to reflect instances when crew and patient are satisfied that not going to hospital is the right outcome. These recommendations should be considered within the context of the plans for widening the role of ambulance services.

  18. In-situ characterization of wildland fire behavior

    Science.gov (United States)

    Bret Butler; D. Jimenez; J. Forthofer; Paul Sopko; K. Shannon; Jim Reardon

    2010-01-01

    A system consisting of two enclosures has been developed to characterize wildand fire behavior: The first enclosure is a sensor/data logger combination that measures and records convective/radiant energy released by the fire. The second is a digital video camera housed in a fire proof enclosure that records visual images of fire behavior. Together this system provides...

  19. Market forces in municipal and industrial waste-to-energy

    International Nuclear Information System (INIS)

    Makansi, J.

    1991-01-01

    The market for municipal and industrial waste-to-energy can be characterized simply as currently soft with continued excellent long-term prospects. But as in all markets large and small, niche opportunities exist now which can be profitable with proper definition and strategy. Economics of several projects have proven marginal, cost overruns are common, and revenue projections are sometimes overstates. Also contributing to poorer economics of late are lower prices for the electric power produced from these plants. New environmental restrictions are adding 10-15% to the capital costs of a given project. On the industrial front, the strength of waste-fuel firing continues to be evident for independent power production. Important fuel-niche markets have sprung up over the last decade including petroleum coke, coal-mining wastes, hospital or redbag wastes, biomass, used tires, and so on. Another fuel niche is hazardous waste incineration. In the municipal arena, realism has not yet hit the recycling and source reduction enthusiasts. Only 25-35% recycling is considered practical by experts. There are also limits to how often material can be recycled. Finally, in spite of the best efforts of the population to control the amount of refuse generated and to recycle that which is, population and economic growth may overtake any new sense of environmental responsibility. And, yes, the additional refuse still has to go somewhere exclamation point The best somewhere option continues to be a waste-to-energy plant. Current market opportunities and two other market forces (international activities and the role of US utilities) are discussed

  20. Equipment sizing in a coal-fired municipal heating plant modernisation project with support for renewable energy and cogeneration technologies

    International Nuclear Information System (INIS)

    Kalina, Jacek

    2014-01-01

    Highlights: • Sizing of biomass fired cogeneration block is performed for existing heating plant. • Mathematical model for cogeneration block optimisation is presented. • Impact of financial support mechanisms on optimal solution is discussed. • Influence of short term variations of prices and support intensity is presented. • Different design parameters are suggested by economic and technical quality indices. - Abstract: The paper presents results of design parameters optimisation of a wood chips fired steam boiler based heat and power block in a sample project of coal fired municipal heating plant modernisation. The project assumes the conversion of the heating plant into a dual fuel heat and power plant. The problem that is presented is selection of cogeneration block structure and thermodynamic parameters taking into account financial support mechanisms for cogeneration and renewable energy technologies. There are examined energy conversion and financial performances of the project. The results show that without the financial support the project is not profitable although it generates savings of primary energy of fossil fuels. If an administrative incentives are applied the optimal technical solution is different than suggested by energy conversion efficiency or fossil fuel savings. Financial calculations were performed for Polish marked conditions in the years 2011 and 2014 showing the impact of relatively short term variations of prices and support intensity on optimal plant design parameters

  1. Insulin therapy refusal among type II diabetes mellitus patients in Kubang Pasu district, Kedah, Malaysia

    Science.gov (United States)

    Tan, Wei Leong; Asahar, Siti Fairus; Harun, Noor Liani

    2015-01-01

    INTRODUCTION Diabetes mellitus is a rising non-communicable disease in Malaysia. Insulin therapy refusal is a challenge for healthcare providers, as it results in delayed insulin initiation. This study was conducted to determine the prevalence of insulin therapy refusal and its associated factors. METHODS This cross-sectional study was conducted at seven public health clinics in Kubang Pasu district of Kedah, Malaysia, from March to October 2012. A newly developed and validated questionnaire was used and participants were selected via systematic random sampling. Only patients diagnosed with type II diabetes mellitus (T2DM) and under the public health clinic care in Kubang Pasu were included in the study. Multiple logistic regression was used to study the association between insulin therapy refusal and its associated factors. RESULTS There were 461 respondents and the response rate was 100%. Among these 461 patients with T2DM, 74.2% refused insulin therapy. The most common reason given for refusal was a lack of confidence in insulin injection (85.4%). Multiple logistic regression revealed that respondents who had secondary education were 55.0% less likely to refuse insulin therapy than those who had primary education or no formal education (adjusted odds ratio [OR] 0.45, 95% confidence interval [CI] 0.25–0.82, p = 0.009). There was also a significant inverse association between glycated haemoglobin (HbA1c) level and insulin therapy refusal (adjusted OR 0.87, 95% CI 0.76–1.00, p = 0.047). CONCLUSION Insulin therapy refusal is common in Kubang Pasu. Educational status and HbA1c level should be taken into consideration when counselling patients on insulin therapy initiation. PMID:25532511

  2. Marketization of refuse collection in Denmark

    DEFF Research Database (Denmark)

    Busck, Ole Gunni

    2006-01-01

      Danish municipalities' outsourcing and contracting of refuse collection are framed by a complex set of ideologies and objectives, besides regulation. Both at EU-level and at national level extreme demands for marketization of the public sector are counter-weighed by demands for social and envir......  Danish municipalities' outsourcing and contracting of refuse collection are framed by a complex set of ideologies and objectives, besides regulation. Both at EU-level and at national level extreme demands for marketization of the public sector are counter-weighed by demands for social...... and environmental considerations associated with the superior goal of sustainable development. In the EU regulative complex developments in normative and legal regulation of social and environmental requirements to member-states' performance have co-existed with tough requirements to ensure open competition...... in public authorities contracting. In the latest edition of the procurement directive it has been clarified that public authorities' commitment of private service-providers to social and environmental requirements by contracting is perfectly legitimate. At national level the municipalities when contracting...

  3. Energy from waste. Vol. 2; Energie aus Abfall. Bd. 2

    Energy Technology Data Exchange (ETDEWEB)

    Thome-Kozmiensky, K.J.; Beckmann, M.

    2007-07-01

    In the book under consideration, the thermal treatment in waste incinerators, in industrial power stations and in coal-fired power stations is in the foreground. Possibilities of gasification are described. The chapter 'Developments of thermal waste treatment' consists of the following chapter: (a) Maximal size of waste incineration plants (Johannes J.E. Martin); (b) Trends and highlights of the thermal waste treatment in Europe (Martin Brunner); (c) Utilization of waste heat from Vienna waste incinerators for the operation of a district cooling grid - Effects on the primary energy efficiency of district heating and district cooling in Vienna (Franz Schindelar, Alexander Wallisch); (d) Evolutionary plant development based on experiences (Hans-Peter Buechner); (e) Effects of increased chlorine freights at the cocombustion of secondary fuels at the site of the brown coal fired power station Jaenschwalde (Frank Mielke, Andreas Sparmann, Sven Kappa); (f) Refuse-fueled power stations and waste incinerators - different plant technology? (Hendrik Seeger); (g) Generation of fuel gas from high calorific wastes (Udo Hellwig, Michael Beyer); (h) Strength testing of steam vessels with increased testing pressure (Wolfgang Rossmaier). The chapter 'Energy efficiency of waste incinerators' consists the following contributions: (a) Evaluation of energy efficiency in plants of thermal waste treatment; (b) Scientific-technical and juridical rationality - a contradiction? Comments to the judgement o the VGH Baden-Wuerttemberg according to waste incineration (Bodo A. Baars and Adolf Nottrodt); (c) Determination of the energy efficiency in plants of thermal waste incineration - To the difficulties of equivalent values and calculation of the calorific value (Michael Beckmann, Reinhard Scholz). The chapter 'Optimization of the plant technology' contains the following contributions: (a) Stay a while - Considerations according to the first tank of thermal waste

  4. How to justify enforcing a Ulysses contract when Ulysses is competent to refuse.

    Science.gov (United States)

    Davis, John K

    2008-03-01

    Sometimes the mentally ill have sufficient mental capacity to refuse treatment competently, and others have a moral duty to respect their refusal. However, those with episodic mental disorders may wish to precommit themselves to treatment, using Ulysses contracts known as "mental health advance directives." How can health care providers justify enforcing such contracts over an agent's current, competent refusal? I argue that providers respect an agent's autonomy not retrospectively--by reference to his or her past wishes-and not merely synchronically--so that the agent gets what he or she wants right now-but diachronically and prospectively, acting so that the agent can shape his or her circumstances as the agent wishes over time, for the agent will experience the consequences of providers' actions over time. Mental health directives accomplish this, so they are a way of respecting the agent's autonomy even when providers override the agent's current competent refusal.

  5. [Tuberculosis and refusal of treatment: resorting to legislation on serious health threats].

    Science.gov (United States)

    Bouvet, R; Le Gueut, M

    2013-06-01

    Clinicians are regularly confronted with the question of refusal of treatment from patients with tuberculosis. For several years, the French public health authorities have been studying the possibility of compelling treatment or isolation, but no plan has been implemented even though European and American experiences have shown the effectiveness of restrictive measures. Neither the statutory exceptions to the principle of consent to medical treatment nor the conditions of implementation of "required care" allow legally binding measures against patients refusing care or isolation. The legislation on serious health threats has recently been applied to the situation of a refusal of treatment in the context of tuberculosis. It allowed the patient to be ordered to observe prescribed care and the possibility of forced isolation in the event of breach of this order. The legislation on serious health threats is a response to the question of refusal of treatment from patients with tuberculosis. However the opinion of the legal authority as to its necessity and proportionality to the risk remains unknown. Copyright © 2013 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  6. Childhood vaccine refusal and hesitancy intentions in Croatia: insights from a population-based study.

    Science.gov (United States)

    Repalust, Anja; Šević, Sandra; Rihtar, Stanko; Štulhofer, Aleksandar

    2017-10-01

    Considering that programmatic data suggest a recent rise in vaccine refusal in Croatia, this study, first of its kind in Southeast Europe, aimed to estimate the prevalence, and sociodemographic, and sociocultural determinants of childhood vaccine refusal and hesitancy (CVRH) intentions among Croatian adults. Multi-stage stratified population-based survey included 1000 individuals aged 18-88 years (M age  = 47.7, SD = 17.8), of whom 51.7% were women. The outcome, a categorical indicator, distinguished among individuals who would approve vaccinating their children (vaccine accepting), those who would approve some but not all vaccines (vaccine hesitant), and those who would refuse vaccination (vaccine refusing). A sizeable minority of participants was characterized by childhood vaccine refusal (10.6%) and hesitancy intentions (19.5%). In a multivariate assessment controlling for parenthood, the odds of vaccine hesitancy were significantly increased by a younger age (AOR = 1.96-3.03, p Croatia. Following the social contagion model, future research should move beyond individual-level approach and take into account social interaction and social network effects.

  7. Description of different techniques and their potentials of development for the reduction of nitrous oxides in the exhaust gases of waste incinerators and refuse-derived fuel-fired power plants in terms of performance, cost and power consumption; Beschreibung unterschiedlicher Techniken und deren Entwicklungspotentiale zur Minderung von Stickstoffoxiden im Abgas von Abfallverbrennungsanlagen und Ersatzbrennstoff-Kraftwerken hinsichtlich Leistungsfaehigkeit, Kosten und Energieverbrauch

    Energy Technology Data Exchange (ETDEWEB)

    Beckmann, Michael [Technische Univ. Dresden (Germany)

    2011-11-15

    On 22nd July, 2002 the European Parliament passes the sixth Environmental Action Programme of the European Community. According to this Programme, the environmental pollution can be reduced to a level at which adverse effects on human health have to be reduced. Under this aspect, the author of the contribution under consideration describes various techniques and their development potential for the reduction of nitrogen oxides in the exhaust of waste incinerators and refuse-derived fuel-fired power plants in terms of performance, cost and power consumption. Primary measures (air staging, flue gas recirculation) and secondary measures (SNCR, SCR process, combined procedure) were used as techniques.

  8. 8. European sewage and refuse symposium. Documentation

    International Nuclear Information System (INIS)

    1990-01-01

    The subject of the 8. European Sewage and Refuse Symposium is covered under the following headings: collection and control in sewers, industrial waste water management, pretreatment, combined treatment, special cases, industrial waste water sludges disposal and the European waste business. (orig./BBR)

  9. Outcomes of nighttime refusal of admission to the intensive care unit: The role of the intensivist in triage.

    Science.gov (United States)

    Hinds, Nicholas; Borah, Amit; Yoo, Erika J

    2017-06-01

    To compare outcomes of patients refused medical intensive care unit (MICU) admission overnight to those refused during the day and to examine the impact of the intensivist in triage. Retrospective, observational study of patients refused MICU admission at an urban university hospital. Of 294 patients, 186 (63.3%) were refused admission overnight compared to 108 (36.7%) refused during the day. Severity-of-illness by the Mortality Probability Model was similar between the two groups (P=.20). Daytime triage refusals were more likely to be staffed by an intensivist (P=.01). After risk-adjustment, daytime refusals had a lower odds of subsequent ICU admission (OR 0.46, 95% CI 0.22-0.95, P=.04) than patients triaged at night. There was no evidence for interaction between time of triage and intensivist staffing of the patient (P=.99). Patients refused MICU admission overnight are more likely to be later admitted to an ICU than patients refused during the day. However, the mechanism for this observation does not appear to depend on the intensivist's direct evaluation of the patient. Further investigation into the clinician-specific effects of ICU triage and identification of potentially modifiable hospital triage practices will help to improve both ICU utilization and patient safety. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Power generation from refuse derived fuel

    International Nuclear Information System (INIS)

    Surroop, Dinesh; Mohee, Romeela

    2010-01-01

    Full text: The beginning of the third millennium has been characterized by a progressive increase in the demand for fossil fuels, which has caused a steep rise in oil price. At the same time, several environmental disasters have increased the sensitivity of world-wide public opinion towards the effect that environmental pollution has on human health and climate change. These conditions have fostered a renewed interest in renewable energy like solar energy, wind energy, biomass and solid wastes. In addition, the disposal of municipal solid waste (MSW) has become a critical and costly problem. The traditional landfill method requires large amounts of land and contaminates air, water and soil. The increase in socio-economic condition during the past ten years has also significantly increased the amount of solid waste generated. There are around 1200 tons of municipal solid waste (MSW) generated daily, of which the combustibles namely plastics, paper and textile waste represent 28%, and with the present generation rate, the landfill will be filled by 2012. The study was, therefore, initiated to assess the potential of power generation from refused derived fuels (RDF) from municipal solid waste (MSW) in order to reduce the dependency on fossil fuels. There are 336 tons which is equivalent to 12 tons/ h of RDF that can be generated daily from the MSW and this would generate 19.2 MW power. There will be 312 kg/ h of ash that would be generated and the NO x and SO 2 concentration were found to be 395.5 and 43.3 mg/ Nm 3 respectively. It was also found that the amount of non-biogenic CO 2 produced was 471 g/ kWhe. (author)

  11. Vaccine refusal - what we need to know.

    Science.gov (United States)

    Succi, Regina Célia de Menezes

    2018-04-12

    Opposition to vaccines is not a new event, and appeared soon after the introduction of the smallpox vaccine in the late 18th century. The purpose of this review is to educate healthcare professionals about vaccine hesitancy and refusal, its causes and consequences, and make suggestions to address this challenge. A comprehensive and non-systematic search was carried out in the PubMed, LILACS, and ScieLo databases from 1980 to the present day, using the terms "vaccine refusal," "vaccine hesitancy," and "vaccine confidence." The publications considered as the most relevant by the author were critically selected. The beliefs and arguments of the anti-vaccine movements have remained unchanged in the past two centuries, but new social media has facilitated the dissemination of information against vaccines. Studies on the subject have intensified after 2010, but the author did not retrieve any published studies to quantify this behavior in Brazil. The nomenclature on the subject (vaccine hesitancy) was standardized by the World Health Organization in 2012. Discussions have been carried out on the possible causes of vaccine hesitancy and refusal, as well as on the behavior of families and health professionals. Proposals for interventions to decrease public doubts, clarify myths, and improve confidence in vaccines have been made. Guides for the health care professional to face the problem are emerging. The healthcare professional is a key element to transmit information, resolve doubts and increase confidence in vaccines. They must be prepared to face this new challenge. Copyright © 2018 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  12. 46 CFR 28.820 - Fire pumps, fire mains, fire hydrants, and fire hoses.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Fire pumps, fire mains, fire hydrants, and fire hoses... REQUIREMENTS FOR COMMERCIAL FISHING INDUSTRY VESSELS Aleutian Trade Act Vessels § 28.820 Fire pumps, fire mains, fire hydrants, and fire hoses. (a) Each vessel must be equipped with a self-priming, power driven fire...

  13. 24 CFR 3282.354 - Submittal of false information or refusal to submit information.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Submittal of false information or... ENFORCEMENT REGULATIONS Primary Inspection Agencies § 3282.354 Submittal of false information or refusal to submit information. The submittal of false information or the refusal to submit information required...

  14. [Nursing ethics in the face of the refusal of nursing care].

    Science.gov (United States)

    Dauchy, Sarah; Charles, Cécile; Vérotte, Nelly; Block, Véronique; Adam, Virginie

    2016-10-01

    Caregivers can find themselves faced with a refusal of nursing care. A number of questions are then raised. While it is firstly important to understand the reasons for this refusal and what is at stake for the patient, there are a number of nursing strategies in place, not least of all dialogue and analysis. The role of the multi-disciplinary team is essential in such situations. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  15. 9 CFR 93.806 - Animals refused entry.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Animals refused entry. 93.806 Section 93.806 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EXPORTATION AND IMPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS IMPORTATION OF...

  16. Refusal to pay electricity bill is illegal

    International Nuclear Information System (INIS)

    Hermann, H.P.

    1979-01-01

    Pursuant to a judgement passed by the Lower Court of Hamburg, the author discusses probable legal arguments justifying the refusal to pay one's electricity bill, the so-called electricity bill boycott. Following an analysis of the power supply contract and of the content and the limits of the fundamental right of freedom of conscience, as well as of the concept of free enterprise and of the legal effect of licenses under the nuclear law, his point of view stated in the article is to agree with the decision of the court saying that the operation of a nuclear power plant licensed under the nuclear law does not mean an infringement of the right of freedom of conscience. It can further not be accepted to let people refuse to pay their electricity bill by referring to the right of freedom of speech, by alleging conduct against public policy on the part of the public utilities, or by referring to the right of opposition. (HSCH) [de

  17. 46 CFR 28.315 - Fire pumps, fire mains, fire hydrants, and fire hoses.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Fire pumps, fire mains, fire hydrants, and fire hoses... After September 15, 1991, and That Operate With More Than 16 Individuals on Board § 28.315 Fire pumps, fire mains, fire hydrants, and fire hoses. (a) Each vessel 36 feet (11.8 meters) or more in length must...

  18. Evaluating the sustainability of co-firing in the UK

    Energy Technology Data Exchange (ETDEWEB)

    Woods, Jeremy; Tipper, Richard; Brown, Gareth; Diaz-Chavez, Rocio; Lovell, Jessica; de Groot, Peter

    2006-10-09

    The objectives of the study were: Assess the overall carbon balance for co-firing; Investigate the other sustainability issues relating to co-firing; Assess the scope for incentivising the most sustainable forms of co-firing. The main questions to be addressed were: Is the overall carbon balance for co-firing positive? What is the difference in carbon balance between energy crops and other biomass? Are some kinds of energy crops better than others? How big a factor is transport in the carbon balance? Under what circumstances (fuel, transport, process, etc.) are the greatest benefits of co-firing in terms of carbon balance and sustainability? Are there any circumstances (as above) that could raise serious carbon balance or sustainability issues? How does the carbon balance compare between co-firing, dedicated biomass, and biomass heat? Is there any scope for encouraging the most sustainable forms of co-firing - perhaps through using existing or currently in development accreditation schemes? The report concludes that: Co-firing could be expanded to make a significant and low risk contribution to Government and EU renewable energy policy targets; Real environmental and social benefits could arise from the expansion of co-firing markets, both in the UK and in poor developing countries, given responsible development policy; There is no clear environmental or social case, for an arbitrary cap on the amount of co-firing; Co-firing could expand and enhance clean coal Carbon and Capture and Sequestration (CCS). This report focuses solely on the carbon (GHG) and broader sustainability impacts of co-firing in the UK. It does not include an economic evaluation. It provides an overview of the existing materials being used as feedstocks for co-firing and a summary life-cycle assessment of the GHG balances and sustainability (environmental and social) impacts of the provision and use of those feedstocks. A clear distinction is made between the use of residues and dedicated

  19. Evaluating the sustainability of co-firing in the UK

    International Nuclear Information System (INIS)

    Woods, Jeremy; Tipper, Richard; Brown, Gareth; Diaz-Chavez, Rocio; Lovell, Jessica; de Groot, Peter

    2006-01-01

    The objectives of the study were: Assess the overall carbon balance for co-firing; Investigate the other sustainability issues relating to co-firing; Assess the scope for incentivising the most sustainable forms of co-firing. The main questions to be addressed were: Is the overall carbon balance for co-firing positive? What is the difference in carbon balance between energy crops and other biomass? Are some kinds of energy crops better than others? How big a factor is transport in the carbon balance? Under what circumstances (fuel, transport, process, etc.) are the greatest benefits of co-firing in terms of carbon balance and sustainability? Are there any circumstances (as above) that could raise serious carbon balance or sustainability issues? How does the carbon balance compare between co-firing, dedicated biomass, and biomass heat? Is there any scope for encouraging the most sustainable forms of co-firing - perhaps through using existing or currently in development accreditation schemes? The report concludes that: Co-firing could be expanded to make a significant and low risk contribution to Government and EU renewable energy policy targets; Real environmental and social benefits could arise from the expansion of co-firing markets, both in the UK and in poor developing countries, given responsible development policy; There is no clear environmental or social case, for an arbitrary cap on the amount of co-firing; Co-firing could expand and enhance clean coal Carbon and Capture and Sequestration (CCS). This report focuses solely on the carbon (GHG) and broader sustainability impacts of co-firing in the UK. It does not include an economic evaluation. It provides an overview of the existing materials being used as feedstocks for co-firing and a summary life-cycle assessment of the GHG balances and sustainability (environmental and social) impacts of the provision and use of those feedstocks. A clear distinction is made between the use of residues and dedicated

  20. School refusal associated with separation anxiety disorder; an adolescent case report

    Directory of Open Access Journals (Sweden)

    Mustafa Yasin Irmak

    2016-12-01

    Full Text Available In literature, there are lots of studies about separation anxiety disorder (SAD and school refusal. Of the patients in these studies, it is generally known to child age group. In this paper, we aimed to draw attention to an adolescent patient with SAD who admitted to our clinic with complaint of school refusal and there is SAD under his unwillingness to go to school. [J Contemp Med 2016; 6(4.000: 357-360

  1. Fire protection research for DOE facilities: FY 83 year-end report

    International Nuclear Information System (INIS)

    Hasegawa, H.K.; Alvares, N.J.; Lipska-Quinn, A.E.; Beason, D.G.; Foote, K.L.; Priante, S.J.; Stagge, K.

    1984-01-01

    We summarize our research in FY 83 for the DOE-sponsored project, Fire Protection Research for DOE Facilities. This research program was initiated in 1977 to advance fire-protection strategies of energy technology facilities in order to keep abreast of the unique fire problems that develop along with energy technology research. Since 1977, the program has broadened its original scope, as reflected in previous year-end reports. We are developing an analytical methodology through detailed study of fusion energy experiments at Lawrence Livermore National Laboratory (LLNL). Using these experiments as models for methodology development, we are currently advancing three major task areas: (1) the identification of fire hazards unique to fusion energy facilities, (2) the evaluation of accepted fire-management measures to meet the negate hazards, and (3) the performance of unique research into problem areas we have identified to provide input into analytical fire-growth and damage-assessment models

  2. Fire-protection research for DOE facilities: FY 82 year-end report

    International Nuclear Information System (INIS)

    Hasegawa, H.K.; Alvares, N.J.; Lipska-Quinn, A.E.; Beason, D.G.; Priante, S.J.; Foote, K.L.

    1983-01-01

    We summarize our research in FY 82 for the DOE-sponsored project, Fire Protection Research for DOE Facilities. This research program was initiated in 1977 to advance fire-protection strategies for energy technology facilities to keep abreast of the unique fire problems that develop along with energy technology research. Since 1977, the program has broadened its original scope, as reflected in previous year-end reports. We are developing an analytical methodology through detailed study of fusion energy experiments at Lawrence Livermore National Laboratory (LLNL). Using these experiments as models for methodology development, we are concurrently advancing three major task areas: (1) the identification of fire hazards unique to current fusion energy facilities; (2) the evaluation of accepted fire-management measures to meet and negate hazards; and (3) the performance of unique research into problem areas we have identified to provide input into analytical fire-growth and damage-assessment models

  3. 21 CFR 515.21 - Refusal to approve a medicated feed mill license application.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Refusal to approve a medicated feed mill license... SERVICES (CONTINUED) ANIMAL DRUGS, FEEDS, AND RELATED PRODUCTS MEDICATED FEED MILL LICENSE Administrative Actions on Licenses § 515.21 Refusal to approve a medicated feed mill license application. (a) The...

  4. Fire-safety engineering and performance-based codes

    DEFF Research Database (Denmark)

    Sørensen, Lars Schiøtt

    project administrators, etc. The book deals with the following topics: • Historical presentation on the subject of fire • Legislation and building project administration • European fire standardization • Passive and active fire protection • Performance-based Codes • Fire-safety Engineering • Fundamental......Fire-safety Engineering is written as a textbook for Engineering students at universities and other institutions of higher education that teach in the area of fire. The book can also be used as a work of reference for consulting engineers, Building product manufacturers, contractors, building...... thermodynamics • Heat exchange during the fire process • Skin burns • Burning rate, energy release rate and design fires • Proposal to Risk-based design fires • Proposal to a Fire scale • Material ignition and flame spread • Fire dynamics in buildings • Combustion products and toxic gases • Smoke inhalation...

  5. Novel Tools in Determining the Physiological Demands and Nutritional Practices of Ontario FireRangers during Fire Deployments.

    Directory of Open Access Journals (Sweden)

    A H Robertson

    Full Text Available The seasonal profession of wildland fire fighting in Canada requires individuals to work in harsh environmental conditions that are physically demanding. The purpose of this study was to use novel technologies to evaluate the physiological demands and nutritional practices of Canadian FireRangers during fire deployments.Participants (n = 21 from a northern Ontario Fire Base volunteered for this study and data collection occurred during the 2014 fire season and included Initial Attack (IA, Project Fire (P, and Fire Base (B deployments. Deployment-specific energy demands and physiological responses were measured using heart-rate variability (HRV monitoring devices (Zephyr BioHarness3 units. Food consumption behaviour and nutrient quantity and quality were captured using audio-video food logs on iPod Touches and analyzed by NutriBase Pro 11 software.Insufficient kilocalories were consumed relative to expenditure for all deployment types. Average daily kilocalories consumed: IA: 3758 (80% consumption rate; P: 2945±888.8; B: 2433±570.8. Average daily kilocalorie expenditure: IA: 4538±106.3; P: 4012±1164.8; B: 2842±649.9. The Average Macronutrient Distribution Range (AMDR for protein was acceptable: 22-25% (across deployment types. Whereas the AMDR for fat and carbohydrates were high: 40-50%; and low: 27-37% respectively, across deployment types.This study is the first to use the described methodology to simultaneously evaluate energy expenditures and nutritional practices in an occupational setting. The results support the use of HRV monitoring and video-food capture, in occupational field settings, to assess job demands. FireRangers expended the most energy during IA, and the least during B deployments. These results indicate the need to develop strategies centered on maintaining physical fitness and improving food practices.

  6. Nuclear energy cost data base: A reference data base for nuclear and coal-fired powerplant power generation cost analysis

    International Nuclear Information System (INIS)

    1988-09-01

    A reference data base and standard methodology are needed for performing comparative nuclear and fossil power generation cost analyses for the Department of Energy, Office of Nuclear Energy. This report contains such a methodology together with reference assumptions and data to be used with the methodology. It is intended to provide basic guidelines or a starting point for analyses and to serve as a focal point in establishing parameters and methods to be used in economic comparisons of nuclear systems with alternatives. The data base is applicable for economic comparisons of new base load light-water reactors on a once-through cycle, and high- and low-sulfur coal-fired plants, and oil- and natural gas-fired electric generating plants coming on line around the turn of the century. In addition to current generation light-water reactors and fossil fuel-fired plants, preliminary cost information is also presented on improved and advanced light-water reactors, liquid metal reactor plants and fuel cycle facilities. This report includes an updated data base containing proposed technical and economic assumptions to be used in analyses, discussions of a recommended methodology to be used in calculating power generation costs, a sample calculation for illustrative and benchmark purposes and projected power generation costs for fission and coal-fired alternatives. Effects of the 1986 Tax Reform Act are included. 126 refs., 17 figs., 47 tabs

  7. 49 CFR 655.49 - Refusal to submit to a drug or alcohol test.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Refusal to submit to a drug or alcohol test. 655... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS Types of Testing § 655.49 Refusal to submit to a drug or alcohol test. (a) Each...

  8. Refuse derived soluble bio-organics enhancing tomato plant growth and productivity

    Energy Technology Data Exchange (ETDEWEB)

    Sortino, Orazio [Dipartimento di Scienze Agronomiche Agrochimiche e delle Produzioni Animali, Universita degli Studi di Catania, Via Valdisavoia 5, 95123 Catania (Italy); Dipasquale, Mauro [Dipartimento di Chimica, Universita di Torino, Via P. Giuria 7, 10125 Torino (Italy); Montoneri, Enzo, E-mail: enzo.montoneri@unito.it [Dipartimento di Chimica, Universita di Torino, Via P. Giuria 7, 10125 Torino (Italy); Tomasso, Lorenzo; Perrone, Daniele G. [Dipartimento di Chimica, Universita di Torino, Via P. Giuria 7, 10125 Torino (Italy); Vindrola, Daniela; Negre, Michele; Piccone, Giuseppe [Dipartimento di Valorizzazione e Protezione delle Risorse Agroforestali, Universita di Torino, Via L. da Vinci 44, 10095 Grugliasco (Italy)

    2012-10-15

    Highlights: Black-Right-Pointing-Pointer Municipal bio-wastes are a sustainable source of bio-based products. Black-Right-Pointing-Pointer Refuse derived soluble bio-organics promote chlorophyll synthesis. Black-Right-Pointing-Pointer Refuse derived soluble bio-organics enhance plant growth and fruit ripening rate. Black-Right-Pointing-Pointer Sustainable chemistry exploiting urban refuse allows sustainable development. Black-Right-Pointing-Pointer Chemistry, agriculture and the environment benefit from biowaste technology. - Abstract: Municipal bio-refuse (CVD), containing kitchen wastes, home gardening residues and public park trimmings, was treated with alkali to yield a soluble bio-organic fraction (SBO) and an insoluble residue. These materials were characterized using elemental analysis, potentiometric titration, and 13C NMR spectroscopy, and then applied as organic fertilizers to soil for tomato greenhouse cultivation. Their performance was compared with a commercial product obtained from animal residues. Plant growth, fruit yield and quality, and soil and leaf chemical composition were the selected performance indicators. The SBO exhibited the best performance by enhancing leaf chlorophyll content, improving plant growth and fruit ripening rate and yield. No product performance-chemical composition relationship could be assessed. Solubility could be one reason for the superior performance of SBO as a tomato growth promoter. The enhancement of leaf chlorophyll content is discussed to identify a possible link with the SBO photosensitizing properties that have been demonstrated in other work, and thus with photosynthetic performance.

  9. Refuse derived soluble bio-organics enhancing tomato plant growth and productivity

    International Nuclear Information System (INIS)

    Sortino, Orazio; Dipasquale, Mauro; Montoneri, Enzo; Tomasso, Lorenzo; Perrone, Daniele G.; Vindrola, Daniela; Negre, Michele; Piccone, Giuseppe

    2012-01-01

    Highlights: ► Municipal bio-wastes are a sustainable source of bio-based products. ► Refuse derived soluble bio-organics promote chlorophyll synthesis. ► Refuse derived soluble bio-organics enhance plant growth and fruit ripening rate. ► Sustainable chemistry exploiting urban refuse allows sustainable development. ► Chemistry, agriculture and the environment benefit from biowaste technology. - Abstract: Municipal bio-refuse (CVD), containing kitchen wastes, home gardening residues and public park trimmings, was treated with alkali to yield a soluble bio-organic fraction (SBO) and an insoluble residue. These materials were characterized using elemental analysis, potentiometric titration, and 13C NMR spectroscopy, and then applied as organic fertilizers to soil for tomato greenhouse cultivation. Their performance was compared with a commercial product obtained from animal residues. Plant growth, fruit yield and quality, and soil and leaf chemical composition were the selected performance indicators. The SBO exhibited the best performance by enhancing leaf chlorophyll content, improving plant growth and fruit ripening rate and yield. No product performance-chemical composition relationship could be assessed. Solubility could be one reason for the superior performance of SBO as a tomato growth promoter. The enhancement of leaf chlorophyll content is discussed to identify a possible link with the SBO photosensitizing properties that have been demonstrated in other work, and thus with photosynthetic performance.

  10. Biomass CFB gasifier connected to a 350 MW{sub t}h steam boiler fired with coal and natural gas - THERMIE demonstration project in Lahti in Finland

    Energy Technology Data Exchange (ETDEWEB)

    Palonen, J. [Foster Wheeler Energia Oy, Varkaus (Finland). Varkaus Global New Products

    1997-12-31

    The successful experience in developing the advanced Foster Wheeler Energi Oy`s (former Ahlstroem Pyropower) Circulating Fluidized Bed combustion system subsequently led to the development of the CFB gasification technology in the early 1980s. The driving force for the developing work was the dramatic increase in oil price during the oil crises. The primary advantage of CFB gasification technology is that the it enables the substitution of expensive fuels e.g. oil or gas with cheap solid fuels. These cheap fuels are typically different types of waste woods, bark or other biofuels. In the CFB gasifier these solid fuels are converted to gaseous fuel which can be used instead of other expensive fuels. In some cases this also solves a waste disposal problem, providing a secondary economic and environmental benefit. Foster Wheeler Energia Oy has supplied four commercial scale atmospheric CFB gasifiers in the mid 80s to the pulp and paper industry with capacities from 17 to 35 MW based on fuel input. These applications utilize waste wood as feedstock and the units are still successfully operation today. Lahden Laempoevoima Oy is a Finnish power company producing power and district heat for the city of Lahti. The company is 50 % owned by the city of Lahti and 50 % by Imatran Voima Oy, which is the largest utility power company in Finland. Lahden Laempoevoima Oy operates the Kymijaervi power plant locating nearby the city of Lahti in Southern Finland. To keep the energy prices as low as possible, Lahden Laempoevoima is continuously looking for the most economical fuel sources, and simultaneously, trying to improve the environmental acceptability of the energy production. At the moment, about 300 GWh/a different type of biofuels and refuse fuels are available in the Lahti area. On an annual basis, the available amount of biofuels and refuse fuels is enough to substitute for about 15 % of the fuels burned in the main boiler equalling max 30 % of coal. The aim in this Lahden

  11. Biomass CFB gasifier connected to a 350 MW{sub t}h steam boiler fired with coal and natural gas - THERMIE demonstration project in Lahti in Finland

    Energy Technology Data Exchange (ETDEWEB)

    Palonen, J [Foster Wheeler Energia Oy, Varkaus (Finland). Varkaus Global New Products

    1998-12-31

    The successful experience in developing the advanced Foster Wheeler Energi Oy`s (former Ahlstroem Pyropower) Circulating Fluidized Bed combustion system subsequently led to the development of the CFB gasification technology in the early 1980s. The driving force for the developing work was the dramatic increase in oil price during the oil crises. The primary advantage of CFB gasification technology is that the it enables the substitution of expensive fuels e.g. oil or gas with cheap solid fuels. These cheap fuels are typically different types of waste woods, bark or other biofuels. In the CFB gasifier these solid fuels are converted to gaseous fuel which can be used instead of other expensive fuels. In some cases this also solves a waste disposal problem, providing a secondary economic and environmental benefit. Foster Wheeler Energia Oy has supplied four commercial scale atmospheric CFB gasifiers in the mid 80s to the pulp and paper industry with capacities from 17 to 35 MW based on fuel input. These applications utilize waste wood as feedstock and the units are still successfully operation today. Lahden Laempoevoima Oy is a Finnish power company producing power and district heat for the city of Lahti. The company is 50 % owned by the city of Lahti and 50 % by Imatran Voima Oy, which is the largest utility power company in Finland. Lahden Laempoevoima Oy operates the Kymijaervi power plant locating nearby the city of Lahti in Southern Finland. To keep the energy prices as low as possible, Lahden Laempoevoima is continuously looking for the most economical fuel sources, and simultaneously, trying to improve the environmental acceptability of the energy production. At the moment, about 300 GWh/a different type of biofuels and refuse fuels are available in the Lahti area. On an annual basis, the available amount of biofuels and refuse fuels is enough to substitute for about 15 % of the fuels burned in the main boiler equalling max 30 % of coal. The aim in this Lahden

  12. Why do some women refuse to allow male residents to perform pelvic exams?

    Science.gov (United States)

    Rifkin, Julie I; Shapiro, Howard; Regensteiner, Judith G; Stotler, Jeanne K; Schmidt, Betty

    2002-10-01

    Many women who receive medical care in residency training clinics refuse to allow male residents to perform their pelvic exams. This study was conducted to identify which women were most likely to refuse and to learn their reasons for refusing. From January to March 1997, a questionnaire was given to all women entering a Tri-County Health office and a Planned Parenthood clinic, both in the Denver, Colorado, metropolitan area, who consented to participate in the study. Data from the questionnaire were analyzed using a statistical software package. A total of 1,437 women entered the clinics during the study period. Of these patients, 1,078 consented to complete the questionnaire. Seven of these 1,078 women did not complete the questionnaire. Women who did not know the training level of the resident performing the pelvic exam were more likely to refuse than were women who knew the training level of the resident (p =.001), but many women preferred a female physician regardless of the physician's training level. Fifty-eight percent said they would allow a male resident to observe a female attending physician perform the exam, compared with 36% who said they would allow a male resident to observe if the attending physician was a man. Common statements from those who would refuse were: "I am just more comfortable with a female," "Women do not want men to examine their private body parts," and "Women explain things better." A woman's knowledge of the resident's training level correlates with her willingness to have a pelvic exam performed by a male resident. Women who said they would refuse a pelvic exam performed by a male resident gave specific reasons for their decision.

  13. 30 CFR 253.50 - How can MMS refuse or invalidate my OSFR evidence?

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false How can MMS refuse or invalidate my OSFR... can MMS refuse or invalidate my OSFR evidence? (a) If MMS determines that any OSFR evidence you submit... acceptable evidence without being subject to civil penalty under § 253.51. (b) MMS may immediately and...

  14. Comparing the quality of life in insulin recipient and refusal patients with type 2 diabetes.

    Science.gov (United States)

    Khalili, Mitra; Sabouhi, Fakhri; Abazari, Parvaneh; Aminorroaya, Ashraf

    2016-01-01

    Better control of blood sugar and reduction of diabetes complications through insulin therapy could convince people to choose this method. However, patients might refuse insulin therapy due to its painful injection, limitations in daily activities, and hypoglycemia. Thus, insulin therapy could have both positive and negative effects on patients' quality of life (QOL). Therefore, the aim of this study was to compare the QOL of insulin recipient and insulin refusal patients with type 2 diabetes. This study was a descriptive and comparative research conducted on 126 patients; 63 were insulin recipients and 63 had refused insulin therapy. Participants were under the care of the Endocrine and Metabolism Research Center of Isfahan, Iran. Data were gathered using the Diabetes Quality of Life (DQOL) questionnaire. In this tool, higher scores indicated lower QOL in patients. Data were analyzed using independent t-test, analysis of covariance, Mann-Whitney, Chi-square, and Pearson and Spearman's correlation. There was a significant difference (P refusal patients (mean = 1.74, SD = 0.41) in terms of mean QOL score. In addition, men and participants with higher educational levels reported a better QOL (P refusal patients had a better QOL. It seems that QOL is associated with the acceptance or refusal of insulin therapy. Therefore, enhancement of QOL could be related to all aspects of the disease, especially its treatment method and solving the therapeutic problems.

  15. Analysis of fouling in refuse waste incinerators

    NARCIS (Netherlands)

    Beek, van M.C.; Rindt, C.C.M.; Wijers, J.G.; Steenhoven, van A.A.

    2001-01-01

    Gas-side fouling of waste-heat-recovery boilers, caused mainly by the deposition of particulate matter, reduces the heat transfer in the boiler. The fouling as observed on the tube bundles in the boiler of a Dutch refuse waste incinerator varied from thin and powdery for the economizer to thick and

  16. Use for refuse of shale carbonization

    Energy Technology Data Exchange (ETDEWEB)

    1917-09-25

    A process is disclosed for using the refuse from the carbonization of bituminous shales in the preparation of light building material, characterized in that the pulverized material is mixed wet with a light filler, formed in a mold, and burned with or without the addition of clay or with the addition of binding and preserving material, preparing the mold from the pulverized material in the cold.

  17. A Study on the Perception of Jordanian EFL Learners’ Pragmatic Transfer of Refusals

    Directory of Open Access Journals (Sweden)

    Ibrahim Fathi Huwari

    2015-02-01

    Full Text Available This study investigates the perception of Jordanian EFL learners’ (JEFL pragmatic transfer of refusal strategies in terms of contextual and cultural factors. Data were collected using a discourse completion test (DCT and a scaled-response questionnaire (SRQ to elicit perception data from the participants. Data from the SRQ were analyzed based on the speaker’s right to refuse the initiating act. Findings revealed that the right the speaker has to refuse the initiating act was assigned high ratings by the three groups (i.e., M > 3.00 in all social categories. Individually, however, the groups displayed the rating value differently where the AEL1 group’s perception of the speaker’s right was relatively higher than that of the JEFL and JAL1 groups in all the social categories. The JEFL participants’ negative pragmatic transfer criteria were met in the first and third social categories. The study concludes with a discussion of important directions for future research. Keywords: Perception, Refusal, Pragmatic transfer, Pragmalinguistic transfer, Sociopragmatic transfer

  18. Improvement of fire protection measures for nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    Improvements of fire protection measures for nuclear power plants were performed as following items: Development of fire hazard analysis method. Application of developed Fire Dynamic Tool to actual plants (FDT{sup S}), With regard to fire tests for the fire data acquisition, cable fire test and High Energy Arcing Faults (HEAF) fire test were performed. Implementation of fire hazard analysis code and simulation were performed as following items: Fire analysis codes FDS, SYLVIA, and CFAST were implemented in order to analyze the fire progression phenomena. Trial simulation of HEAF accident of Onagawa NPP in Tohoku earthquake. (author)

  19. Fire Danger of Interaction Processes of Local Sources with a Limited Energy Capacity and Condensed Substances

    Directory of Open Access Journals (Sweden)

    Glushkov Dmitrii O.

    2015-01-01

    Full Text Available Numerical investigation of flammable interaction processes of local energy sources with liquid condensed substances has been carried out. Basic integrated characteristic values of process have been defined – ignition delay time at different energy sources parameters. Recommendations have been formulated to ensure fire safety of technological processes, characterized by possible local heat sources formation (cutting, welding, friction, metal grinding etc. in the vicinity of storage areas, transportation, transfer and processing of flammable liquids (gasoline, kerosene, diesel fuel.

  20. An audit of consent refusals in clinical research at a tertiary care center in India

    Directory of Open Access Journals (Sweden)

    S J Thaker

    2015-01-01

    Full Text Available Background and Rationale: Ensuring research participants′ autonomy is one of the core ethical obligations of researchers. This fundamental principle confers on every participant the right to refuse to take part in clinical research, and the measure of the number of consent refusals could be an important metric to evaluate the quality of the informed consent process. This audit examined consent refusals among Indian participants in clinical studies done at our center. Materials and Methods: The number of consent refusals and their reasons in 10 studies done at our center over a 5-year period were assessed. The studies were classified by the authors according to the type of participant (healthy vs patients, type of sponsor (investigator-initiated vs pharmaceutical industry, type of study (observational vs interventional, level of risk [based on the Indian Council of Medical Research (ICMR "Ethical Guidelines for Biomedical Research on Human Participants"], available knowledge of the intervention being studied, and each patient′s disease condition. Results: The overall consent refusal rate was 21%. This rate was higher among patient participants [23.8% vs. healthy people (14.9%; P = 0.002], in interventional studies [33.6% vs observational studies (7.5%; P < 0.0001], in pharmaceutical industry-sponsored studies [34.7% vs investigator-initiated studies (7.2%; P < 0.0001], and in studies with greater risk (P < 0.0001. The most common reasons for consent refusals were multiple blood collections (28%, inability to comply with the study protocol (20%, and the risks involved (20%. Conclusion: Our audit suggests the adequacy and reasonable quality of the informed consent process using consent refusals as a metric.

  1. Clean Power Generation from the Intractable Natural Coalfield Fires: Turn Harm into Benefit.

    Science.gov (United States)

    Shi, Bobo; Su, Hetao; Li, Jinshi; Qi, Haining; Zhou, Fubao; Torero, José L; Chen, Zhongwei

    2017-07-13

    The coal fires, a global catastrophe for hundreds of years, have been proved extremely difficult to control, and hit almost every coal-bearing area globally. Meanwhile, underground coal fires contain tremendous reservoir of geothermal energy. Approximately one billion tons of coal burns underground annually in the world, which could generate ~1000 GW per annum. A game-changing approach, environmentally sound thermal energy extraction from the intractable natural coalfield fires, is being developed by utilizing the waste energy and reducing the temperature of coalfield fires at the same time. Based on the Seebeck effect of thermoelectric materials, the temperature difference between the heat medium and cooling medium was employed to directly convert thermal energy into clean electrical energy. By the time of December 2016, the power generation from a single borehole at Daquan Lake fire district in Xinjiang has been exceeded 174.6 W. The field trial demonstrates that it is possible to exploit and utilize the waste heat resources in the treated coal fire areas. It promises a significant impact on the structure of global energy generation and can also promote progress in thermoelectric conversion materials, geothermal exploration, underground coal fires control and other energy related areas.

  2. [Refusal of care by a HIV-positive adolescent: role of the cross-cultural approach].

    Science.gov (United States)

    Bouaziz, Nora; Titia Rizzi, Alice

    The refusal of treatment is frequent in human immunodeficiency virus-positive adolescents. The clinical history of a teenage girl presenting severe immunodepression secondary to the virus, a depressive disorder and a refusal of treatment, illustrates the benefit of combined paediatric, child psychiatric and cross-cultural care as proposed by the Cochin-Paris Adolescent Centre. Working on the meaning of the refusal was a prerequisite for the construction of a care project forming part of a life project, as the psychopathological work could only begin once somatic care ensuring the patient's protection was in place. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. A method for ensemble wildland fire simulation

    Science.gov (United States)

    Mark A. Finney; Isaac C. Grenfell; Charles W. McHugh; Robert C. Seli; Diane Trethewey; Richard D. Stratton; Stuart Brittain

    2011-01-01

    An ensemble simulation system that accounts for uncertainty in long-range weather conditions and two-dimensional wildland fire spread is described. Fuel moisture is expressed based on the energy release component, a US fire danger rating index, and its variation throughout the fire season is modeled using time series analysis of historical weather data. This analysis...

  4. A comparative study of health hazards and environmental impacts for electricity generation through nuclear energy hidroelectricity and coal fired thermoeletrical generation

    International Nuclear Information System (INIS)

    Guimaraes, C.A.

    1982-01-01

    Environmental impacts and health hazards were comparatively assessed in regard to electricity generation via nuclear energy, hidraulic dams and coal firing. The main aspects covered the nuclear reactor and its associated nuclear fuel cycle, coal fired thermoelectrical power plant its associated coal industry, and hidroelectrical power plant and its dam. Besides specific comparisons of impacts in the air, water, soil and health hazards an evaluation for the Brazilian case was made based on a forecast of electricity demand up to the year 2020. For the nuclear option the consequences were analysed based on American data since no data is yet available for Brazil. Coal firing option was also analised for based heavily on American data due to small Brazilian experience in this sector of energy generation. For hydroelectrical option Brazilian data were used mostly from CESP for comparative purposes. These alternatives for generation of electricity considered in this study are the most relevant for the next four decades for Brazil. (Author) [pt

  5. Understanding Excessive School Absenteeism as School Refusal Behavior

    Science.gov (United States)

    Dube, Shanta R.; Orpinas, Pamela

    2009-01-01

    Understanding excessive absenteeism is important to ameliorating the negative outcomes associated with the behavior. The present study examined behavioral reinforcement profiles of school refusal behavior: negative reinforcement (avoidance) and positive reinforcement (gaining parental attention or receiving tangible benefits from not attending…

  6. School Refusal Behavior: Classification, Assessment, and Treatment Issues.

    Science.gov (United States)

    Lee, Marcella I.; Miltenberger, Raymond G.

    1996-01-01

    Discusses diagnostic and functional classification, assessment, and treatment approaches for school refusal behavior. Diagnostic classification focuses on separation anxiety disorder, specific phobia, social phobia, depression, and truancy. Functional classification focuses on the maintaining consequences of the behavior, such as avoidance of…

  7. Is clinician refusal to treat an emerging problem in injury compensation systems?

    Science.gov (United States)

    Brijnath, Bianca; Mazza, Danielle; Kosny, Agnieszka; Bunzli, Samantha; Singh, Nabita; Ruseckaite, Rasa; Collie, Alex

    2016-01-01

    Objective The reasons that doctors may refuse or be reluctant to treat have not been widely explored in the medical literature. To understand the ethical implications of reluctance to treat there is a need to recognise the constraints of doctors working in complex systems and to consider how these constraints may influence reluctance. The aim of this paper is to illustrate these constraints using the case of compensable injury in the Australian context. Design Between September and December 2012, a qualitative investigation involving face-to-face semistructured interviews examined the knowledge, attitudes and practices of general practitioners (GPs) facilitating return to work in people with compensable injuries. Setting Compensable injury management in general practice in Melbourne, Australia. Participants 25 GPs who were treating, or had treated a patient with compensable injury. Results The practice of clinicians refusing treatment was described by all participants. While most GPs reported refusal to treat among their colleagues in primary and specialist care, many participants also described their own reluctance to treat people with compensable injuries. Reasons offered included time and financial burdens, in addition to the clinical complexities involved in compensable injury management. Conclusions In the case of compensable injury management, reluctance and refusal to treat is likely to have a domino effect by increasing the time and financial burden of clinically complex patients on the remaining clinicians. This may present a significant challenge to an effective, sustainable compensation system. Urgent research is needed to understand the extent and implications of reluctance and refusal to treat and to identify strategies to engage clinicians in treating people with compensable injuries. PMID:26792215

  8. A portable system for characterizing wildland fire behavior

    Science.gov (United States)

    Bret Butler; D. Jimenez; J. Forthofer; K. Shannon; Paul Sopko

    2010-01-01

    A field deployable system for quantifying energy and mass transport in wildland fires is described. The system consists of two enclosures: The first is a sensor/data logger combination package that allows characterization of convective/radiant energy transport in fires. This package contains batteries, a programmable data logger, sensors, and other electronics. The...

  9. [Refusal of care in the intensive care: how makes decision?].

    Science.gov (United States)

    Borel, M; Veber, B; Villette-Baron, K; Hariri, S; Dureuil, B; Hervé, C

    2009-11-01

    Decision-making bringing to an admission or not in intensive care is complex. The aim of this study is to analyze with an ethical point of view the making decision process leading to the refusal and its consequences. It is proposed a setting in prospect through the principles of beneficence, non-maleficience, respect for autonomy, justice, and the Leonetti law. Prospective study in surgical reanimation at the University Hospital of Rouen over 9 months (November 2007-September 2008). Systematic collection for each non-admitted patient of the general characters, the methods of decision making, immediate becoming and within 48 h Constitution of two groups: patients for whom an admission in intensive care could be an unreasonable situation of obstinacy, and patients for whom an admission in reanimation would not be about unreasonable if it occurred. One hundred and fifty situations were analyzed. The potentially unreasonable character of an admission does not involve necessarily a refusal of care in intensive care. The question of the lack of place and equity in the access to the care is real but relative according to the typology of the patients. The research of the respect of the autonomy of the patient is difficult but could be facilitated. The Leonetti law does not appear to be able to be a framework with the situation of refusal of care in intensive care. It is not a question of going towards a systematic admission in intensive care of any patient proposed, but to make sure that so if there is a refusal, it is carried out according to a step ethically acceptable.

  10. Vaccination Confidence and Parental Refusal/Delay of Early Childhood Vaccines.

    Directory of Open Access Journals (Sweden)

    Melissa B Gilkey

    Full Text Available To support efforts to address parental hesitancy towards early childhood vaccination, we sought to validate the Vaccination Confidence Scale using data from a large, population-based sample of U.S. parents.We used weighted data from 9,354 parents who completed the 2011 National Immunization Survey. Parents reported on the immunization history of a 19- to 35-month-old child in their households. Healthcare providers then verified children's vaccination status for vaccines including measles, mumps, and rubella (MMR, varicella, and seasonal flu. We used separate multivariable logistic regression models to assess associations between parents' mean scores on the 8-item Vaccination Confidence Scale and vaccine refusal, vaccine delay, and vaccination status.A substantial minority of parents reported a history of vaccine refusal (15% or delay (27%. Vaccination confidence was negatively associated with refusal of any vaccine (odds ratio [OR] = 0.58, 95% confidence interval [CI], 0.54-0.63 as well as refusal of MMR, varicella, and flu vaccines specifically. Negative associations between vaccination confidence and measures of vaccine delay were more moderate, including delay of any vaccine (OR = 0.81, 95% CI, 0.76-0.86. Vaccination confidence was positively associated with having received vaccines, including MMR (OR = 1.53, 95% CI, 1.40-1.68, varicella (OR = 1.54, 95% CI, 1.42-1.66, and flu vaccines (OR = 1.32, 95% CI, 1.23-1.42.Vaccination confidence was consistently associated with early childhood vaccination behavior across multiple vaccine types. Our findings support expanding the application of the Vaccination Confidence Scale to measure vaccination beliefs among parents of young children.

  11. Treatment for School Refusal among Children and Adolescents: A Systematic Review and Meta-Analysis

    Science.gov (United States)

    Maynard, Brandy R.; Heyne, David; Brendel, Kristen Esposito; Bulanda, Jeffery J.; Thompson, Aaron M.; Pigott, Terri D.

    2018-01-01

    Objective: School refusal is a psychosocial problem associated with adverse short- and long-term consequences for children and adolescents. The authors conducted a systematic review and meta-analysis to examine the effects of psychosocial treatments for children and adolescents with school refusal. Method: A comprehensive search process was used…

  12. Obstetric Patients Who Select and Those Who Refuse Medical Students' Participation in Their Care.

    Science.gov (United States)

    Magrane, Diane; And Others

    1994-01-01

    A survey of 222 obstetrics patients assisted by medical clerkship students from the University of Vermont and 78 who refused student participation found privacy the primary motivation for refusal and a desire to contribute to students' education a primary reason for accepting student participation. Patients frequently erroneously anticipated the…

  13. Consent and assessment of capacity to decide or refuse treatment.

    Science.gov (United States)

    Simpson, Owena

    Consent protects the right of patients to decide what happens to them. Before any medical intervention, adults must give valid consent, which must be voluntary, informed and given free of undue influence. When consent is being obtained, patients must be informed about the intervention, why it is being done and its risks; information they are given must be recorded. Every effort should be made to explain the issues in terms that the patient can understand and by providing support and aids to communicate. Consent can be expressed, where patients say they consent or put it in writing, or implied, where a healthcare professional infers from their behaviour that they consent. While different types of consent are valid, some are evidence of stronger proof in court that valid consent has been given. Competent adults have the right to refuse treatment, regardless of the reasons they give for refusal and even if the refusal will result in death; clinicians must respect their decision. In some circumstances-such as when an unconscious person is admitted as an emergency-healthcare professionals can make decisions on behalf of patients, and must do so in patients' best interests.

  14. Nuclear Energy Cost Data Base: A reference data base for nuclear and coal-fired powerplant power generation cost analysis

    International Nuclear Information System (INIS)

    Delene, J.G.; Bowers, H.I.

    1986-12-01

    A reference data base and standard methodology are needed for performing comparative nuclear and fossil power generation cost analyses for the Department of Energy, Office of Nuclear Energy. This report contains such a methodology together with reference assumptions and data to be used with the methodology. It is intended to provide basic guidelines or a starting point for analyses and to serve as a focal point in establishing parameters and methods to be used in economic comparisons of nuclear systems with alternatives. The data base is applicable for economic comparisons of new base load light-water reactors on either the current once-through cycle or self-generated recycle, high- and low-sulfur coal-fired plants, and oil- and natural gas-fired electric generating plants coming on line around the turn of the century. In additions to light-water reactors and fossil fuel-fired plants, preliminary cost information is also presented on liquid metal reactor plants. This report includes a data base containing proposed technical and economic assumptions to be used in analyses, discussions of recommended methodology to be used in calculating power generation costs, and a sample calculation for illustrative benchmark purposes

  15. Nuclear Energy Cost Data Base: a reference data base for nuclear and coal-fired powerplant power generation cost analysis

    International Nuclear Information System (INIS)

    1985-06-01

    A reference data base and standard methodology are needed for performing comparative nuclear and fossil power generation cost analyses for the Department of Energy, Office of Nuclear Energy. This report contains such a methodology together with reference assumptions and data to be used with the methodology. It is intended to provide basic guidelines or a starting point for analyses and to serve as a focal point in establishing parameters and methods to be used in economic comparisons of nuclear systems with alternatives. The data base is applicable for economic comparisons of new base load light-water reactors on either the current once-through cycle or self-generated recycle, high- and low-sulfur coal-fired plants, and oil- and natural gas-fired electric generating plants coming on line in the last decade of this century. In addition to light-water reactors and fossil fuel-fired plants, preliminary cost information is also presented on liquid metal reactor plants. This report includes a data base containing proposed technical and economic assumptions to be used in analyses, discussions of a recommended methodology to be used in calculating power generation costs, and a sample calculation for illustrative and benchmark purposes

  16. Parental psychological symptoms and familial risk factors of children and adolescents who exhibit school refusal.

    Science.gov (United States)

    Bahali, K; Tahiroglu, A Y; Avci, A; Seydaoglu, G

    2011-12-01

    To assess the levels of psychological symptoms in the parents of children with school refusal and determine the familial risk factors in its development. This study was performed on 55 pairs of parents who had children exhibiting school refusal and were compared with a control group. A socio-demographic data form, the Beck Depression Inventory, the State-Trait Anxiety Inventory, and the Symptom Checklist-90 revised were applied to these parents. Parents of the school refusal group had higher anxiety and depression scores than the controls. Among the risk factors for school refusal, physical punishment by the parents, a history of organic disease in the parents or children, and a history of psychiatric disorders in the parents or other relatives were found to be significant. Depending on genetic and environmental factors, parents with psychiatric disorders appeared to be associated with development of psychiatric disorders in their children. Moreover, psychiatric disorders in parents negatively affected the treatment of their children and adolescents who exhibited school refusal. It is therefore vital to treat psychiatric disorders of parents with the children having psychiatric disorders, and thus increase parent participation in their children's therapeutic process.

  17. High energy arcing fault fires in switchgear equipment : a literature review.

    Energy Technology Data Exchange (ETDEWEB)

    Nowlen, Steven Patrick; Brown, Jason W.; Wyant, Francis John

    2008-10-01

    In power generating plants, switchgear provide a means to isolate and de-energize specific electrical components and buses in order to clear downstream faults, perform routine maintenance, and replace necessary electrical equipment. These protective devices may be categorized by the insulating medium, such as air or oil, and are typically specified by voltage classes, i.e. low, medium, and high voltage. Given their high energy content, catastrophic failure of switchgear by means of a high energy arcing fault (HEAF) may occur. An incident such as this may lead to an explosion and fire within the switchgear, directly impact adjacent components, and possibly render dependent electrical equipment inoperable. Historically, HEAF events have been poorly documented and discussed in little detail. Recent incidents involving switchgear components at nuclear power plants, however, were scrupulously investigated. The phenomena itself is only understood on a very elementary level from preliminary experiments and theories; though many have argued that these early experiments were inaccurate due to primitive instrumentation or poorly justified methodologies and thus require re-evaluation. Within the past two decades, however, there has been a resurgence of research that analyzes previous work and modern technology. Developing a greater understanding of the HEAF phenomena, in particular the affects on switchgear equipment and other associated switching components, would allow power generating industries to minimize and possibly prevent future occurrences, thereby reducing costs associated with repair and downtime. This report presents the findings of a literature review focused on arc fault studies for electrical switching equipment. The specific objective of this review was to assess the availability of the types of information needed to support development of improved treatment methods in fire Probabilistic Risk Assessment (PRA) for nuclear power plant applications.

  18. Exploratory Studies Facility Subsurface Fire Hazards Analysis

    International Nuclear Information System (INIS)

    Logan, Richard C.

    2002-01-01

    The primary objective of this Fire Hazard Analysis (FHA) is to confirm the requirements for a comprehensive fire and related hazards protection program for the Exploratory Studies Facility (ESF) are sufficient to minimize the potential for: The occurrence of a fire or related event; A fire that causes an unacceptable on-site or off-site release of hazardous or radiological material that will threaten the health and safety of employees, the public or the environment; Vital U.S. Department of Energy (DOE) programs suffering unacceptable interruptions as a result of fire and related hazards; Property losses from a fire and related events exceeding limits established by DOE; and Critical process controls and safety class systems being damaged as a result of a fire and related events

  19. Pigments which reflect infrared radiation from fire

    Science.gov (United States)

    Berdahl, Paul H.

    1998-01-01

    Conventional paints transmit or absorb most of the intense infrared (IR) radiation emitted by fire, causing them to contribute to the spread of fire. The present invention comprises a fire retardant paint additive that reflects the thermal IR radiation emitted by fire in the 1 to 20 micrometer (.mu.m) wavelength range. The important spectral ranges for fire control are typically about 1 to about 8 .mu.m or, for cool smoky fires, about 2 .mu.m to about 16 .mu.m. The improved inventive coatings reflect adverse electromagnetic energy and slow the spread of fire. Specific IR reflective pigments include titanium dioxide (rutile) and red iron oxide pigments with diameters of about 1 .mu.m to about 2 .mu.m and thin leafing aluminum flake pigments.

  20. Marketing of fuels - energy from refuse

    Energy Technology Data Exchange (ETDEWEB)

    Tweedale, A W

    1986-03-01

    Ways of utilising low grade materials, achieving market acceptance and proving their technical and financial viability are discussed. Alternative ways in which wastes can be used to produce energy are outlined covering the incineration process whereby heat normally lost in the waste gases after the combustion of waste materials is recovered to produce heat and sometimes electricity, waste shredding and use in fluidised bed boilers, and combustion of waste pellets. Employment of utilities company and innovative and energetic approach to marketing are considered.

  1. Energy sustainable development through energy efficient heating devices and buildings

    International Nuclear Information System (INIS)

    Bojic, M.

    2006-01-01

    Energy devices and buildings are sustainable if, when they operate, they use sustainable (renewable and refuse) energy and generate nega-energy. This paper covers three research examples of this type of sustainability: (1) use of air-to-earth heat exchangers, (2) computer control of heating and cooling of the building (via heat pumps and heat-recovery devices), and (3) design control of energy consumption in a house. (author)

  2. NREL Evaluates Performance of Hydraulic Hybrid Refuse Vehicles

    Energy Technology Data Exchange (ETDEWEB)

    2015-09-01

    This highlight describes NREL's evaluation of the in-service performance of 10 next-generation hydraulic hybrid refuse vehicles (HHVs), 8 previous-generation (model year 2013) HHVs, and 8 comparable conventional diesel vehicles operated by Miami-Dade County's Public Works and Waste Management Department in southern Florida. Launched in March 2015, the on-road portion of this 12-month evaluation focuses on collecting and analyzing vehicle performance data - fuel economy, maintenance costs, and drive cycles - from the HHVs and the conventional diesel vehicles. The fuel economy of heavy-duty vehicles, such as refuse trucks, is largely dependent on the load carried and the drive cycles on which they operate. In the right applications, HHVs offer a potential fuel-cost advantage over their conventional counterparts. This advantage is contingent, however, on driving behavior and drive cycles with high kinetic intensity that take advantage of regenerative braking. NREL's evaluation will assess the performance of this technology in commercial operation and help Miami-Dade County determine the ideal routes for maximizing the fuel-saving potential of its HHVs. Based on the field data, NREL will develop a validated vehicle model using the Future Automotive Systems Technology Simulator, also known as FASTSim, to study the impacts of route selection and other vehicle parameters. NREL is also analyzing fueling and maintenance data to support total-cost-of-ownership estimations and forecasts. The study aims to improve understanding of the overall usage and effectiveness of HHVs in refuse operation compared to similar conventional vehicles and to provide unbiased technical information to interested stakeholders.

  3. Rape myth acceptance and rape acknowledgment: The mediating role of sexual refusal assertiveness.

    Science.gov (United States)

    Newins, Amie R; Wilson, Laura C; White, Susan W

    2018-05-01

    Unacknowledged rape, defined as when an individual experiences an event that meets a legal or empirical definition of rape but the individual does not label it as such, is prevalent. Research examining predictors of rape acknowledgment is needed. Sexual assertiveness may be an important variable to consider, as an individual's typical behavior during sexual situations may influence rape acknowledgment. To assess the indirect effect of rape myth acceptance on rape acknowledgment through sexual refusal assertiveness, an online survey of 181 female rape survivors was conducted. The indirect effects of two types of rape myths (He didn't mean to and Rape is a deviant event) were significant and positive. Specifically, acceptance of these two rape myths was negatively related to sexual refusal assertiveness, which was negatively associated with likelihood of rape acknowledgment. The results of this study indicate that sexual refusal assertiveness is associated with lower likelihood of rape acknowledgment among rape survivors. As a result, it appears that, under certain circumstances, women high in rape myth acceptance may be more likely to acknowledge rape when it results in decreased sexual refusal assertiveness. Copyright © 2018 Elsevier B.V. All rights reserved.

  4. Magnetometric Studies of Catalyst Refuses in Nanocarbon Materials

    Directory of Open Access Journals (Sweden)

    Eklund Peter

    2008-01-01

    Full Text Available AbstractIt is shown that magnetometry can be employed as an effective tool to control the content of a ferromagnetic constituent in nanocarbon materials. We propose a thermochemical treatment protocol to achieve extensive cleaning of the source nanocarbon materials from ferromagnetic refuses.

  5. [Refusal of personal hygiene care and nursing responsibility].

    Science.gov (United States)

    Peyé, Anne

    2013-03-01

    Situations of patients refusing personal hygiene care are frequent. Sources of difficulties and questioning for caregivers, they can lead to maltreatment. In order to avoid this pitfall, it is essential to support the teams in their approach around representations of caregiving and nursing responsibility.

  6. Effects of invasive insects and fire on energy exchange and evapotranspiration in the New Jersey pine lands

    Science.gov (United States)

    Kenneth L. Clark; Nicholas Skowronski; Michael Gallagher; Hedi Renninger; Karina. Schafer

    2012-01-01

    We used eddy covariance and meteorological measurements to quantify energy exchange and evapotranspiration (Et) in three representative upland forest stands in the New Jersey Pinelands that were either defoliated by gypsy moth (Lymantria dispar L.) or burned in prescribed fires during the study period. Latent (λE) and sensible heat (H)...

  7. Is clinician refusal to treat an emerging problem in injury compensation systems?

    Science.gov (United States)

    Brijnath, Bianca; Mazza, Danielle; Kosny, Agnieszka; Bunzli, Samantha; Singh, Nabita; Ruseckaite, Rasa; Collie, Alex

    2016-01-20

    The reasons that doctors may refuse or be reluctant to treat have not been widely explored in the medical literature. To understand the ethical implications of reluctance to treat there is a need to recognise the constraints of doctors working in complex systems and to consider how these constraints may influence reluctance. The aim of this paper is to illustrate these constraints using the case of compensable injury in the Australian context. Between September and December 2012, a qualitative investigation involving face-to-face semistructured interviews examined the knowledge, attitudes and practices of general practitioners (GPs) facilitating return to work in people with compensable injuries. Compensable injury management in general practice in Melbourne, Australia. 25 GPs who were treating, or had treated a patient with compensable injury. The practice of clinicians refusing treatment was described by all participants. While most GPs reported refusal to treat among their colleagues in primary and specialist care, many participants also described their own reluctance to treat people with compensable injuries. Reasons offered included time and financial burdens, in addition to the clinical complexities involved in compensable injury management. In the case of compensable injury management, reluctance and refusal to treat is likely to have a domino effect by increasing the time and financial burden of clinically complex patients on the remaining clinicians. This may present a significant challenge to an effective, sustainable compensation system. Urgent research is needed to understand the extent and implications of reluctance and refusal to treat and to identify strategies to engage clinicians in treating people with compensable injuries. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  8. The geo-environmental design of a coal refuse impoundment in Illinois

    International Nuclear Information System (INIS)

    Ripp, B.J.

    1997-01-01

    The coal refuse impoundment discussed was one of the first permitted under new regulatory standards within the State of Illinois. The new standards go beyond the geotechnial stability of the structure and must address the groundwater quality of the area and the impact of the impoundment on the groundwater system. The geotechnial design of the coal refuse impoundment dam and associated structures had its own particular challenges such as: 1) the construction of the structure over mined workings; 2) the close proximity of seismically active fault zones; and 3) the embankment configuration being controlled by the material balance of the mine refuse. The implementation of the groundwater protection plan included: 1) incorporating the groundwater quality standards and sampling protocols of several state agencies while the standards were being drafted; 2) sampling of the potential sources of groundwater impact; 3) establishing background levels; and 4) establishing the groundwater class. An initial groundwater transport model was developed and used as the basis for recommending a groundwater monitoring design in place of constructing a soil or synthetic liner. 15 refs., 2 figs., 3 tabs

  9. Refuses and delays in the transportation by ship of radioactive material

    International Nuclear Information System (INIS)

    Xavier, Clarice; Sobreira, Ana Celia

    2011-01-01

    Some Class 7 materials can only be transported by ship, making that load and unload activities can be done in a port. In the Brazil, the port of Santos posses the most volume of cargo manipulation, and cargoes which contain radioactive material are always present with all manipulation requisites according to applicable regulations. The transport and manipulation operations of radioactive material are performed in accordance with national and international requisites but, some individuals posses yet a high risk perception according to our experience, involving members of Brazilian port authorities, the Navy and cargoes handlers at the ports. So, exist yet a high quantity of refuses and delays during the transport by ship. Therefore, a communication strategy was developed and applied, to inform the risk perception, supplying information on the very principles of ionizing radiation, legislation and uses of radiation, and so, diminishing the quantity of refuses and delays. From that initial communication strategy on, it becomes evident the necessity of training and conscience making a movement for the problem of refuses and delays be diminished

  10. 25 CFR 171.420 - Can I dispose of sewage, trash, or other refuse on a BIA irrigation project?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Can I dispose of sewage, trash, or other refuse on a BIA... AND WATER IRRIGATION OPERATION AND MAINTENANCE Irrigation Facilities § 171.420 Can I dispose of sewage, trash, or other refuse on a BIA irrigation project? No. Sewage, trash, or other refuse are considered...

  11. The Impact of Age and Sex on the Refusal Strategies Used by Iranian EFL Learners

    Directory of Open Access Journals (Sweden)

    Shohreh Shahpouri Arani

    2013-05-01

    Full Text Available One major problem for non-native speakers is using refusals and because of this, second language teachers and others who communicate in that language should have the cultural differences in mind. When the interlocutors say “no” to a request or invitation, either directly or indirectly, they use speech act of refusalRefusal is considered a face threatening act, as there exists a kind of contradiction in it and is always realized indirectly. Thus, a high level of pragmatic competence is needed to realize it. The aim of this study is to find out whether the age and sex of Iranian learners have any effect on their used refusal strategies and if the existence of such an effect was demonstrated which group is more native like in terms of content and form of used strategies. To achieve this end, graduated students (male/female of different age, sex and different fields of study were selected. Three groups of participants participated in this study. The first group includes 30 American English Speakers (A.E.S. The second group consists of participants whose ages were between 22-29 and the third group was a group of 30 participants of both sexes who speak English as a second language (sex is the only variable under study in this group. Using a Discourse Completion Test (DCT, a number of refusal situations were collected, responded by participants and analyzed. The results revealed that the age and sex of EFL learners does not have any significant effect on using refusal strategies.

  12. Othermotherwork: "Testimonio" and the Refusal of Historical Trauma

    Science.gov (United States)

    Vega, Christine

    2018-01-01

    This paper is an "ofrenda" (offering), a "testimonio" (testimony) of the healing power of reconstituting severed relationships and reconstructing agentic creation stories in the pathology of soul-wounds where pictures and "cuentos" serve to mend genealogical traumas. This paper is a refusal of neglecting traumas, it…

  13. Exploratory Studies Facility Subsurface Fire Hazards Analysis

    International Nuclear Information System (INIS)

    Kubicek, J. L.

    2001-01-01

    The primary objective of this Fire Hazard Analysis (FHA) is to confirm the requirements for a comprehensive fire and related hazards protection program for the Exploratory Studies Facility (ESF) are sufficient to minimize the potential for: (1) The occurrence of a fire or related event. (2) A fire that causes an unacceptable on-site or off-site release of hazardous or radiological material that will threaten the health and safety of employees, the public or the environment. (3) Vital US. Department of Energy (DOE) programs suffering unacceptable interruptions as a result of fire and related hazards. (4) Property losses from a fire and related events exceeding limits established by DOE. (5) Critical process controls and safety class systems being damaged as a result of a fire and related events

  14. Long-term energy and climate implications of carbon capture and storage deployment strategies in the US coal-fired electricity fleet.

    Science.gov (United States)

    Sathre, Roger; Masanet, Eric

    2012-09-04

    To understand the long-term energy and climate implications of different implementation strategies for carbon capture and storage (CCS) in the US coal-fired electricity fleet, we integrate three analytical elements: scenario projection of energy supply systems, temporally explicit life cycle modeling, and time-dependent calculation of radiative forcing. Assuming continued large-scale use of coal for electricity generation, we find that aggressive implementation of CCS could reduce cumulative greenhouse gas emissions (CO(2), CH(4), and N(2)O) from the US coal-fired power fleet through 2100 by 37-58%. Cumulative radiative forcing through 2100 would be reduced by only 24-46%, due to the front-loaded time profile of the emissions and the long atmospheric residence time of CO(2). The efficiency of energy conversion and carbon capture technologies strongly affects the amount of primary energy used but has little effect on greenhouse gas emissions or radiative forcing. Delaying implementation of CCS deployment significantly increases long-term radiative forcing. This study highlights the time-dynamic nature of potential climate benefits and energy costs of different CCS deployment pathways and identifies opportunities and constraints of successful CCS implementation.

  15. Predicting risk of school refusal: Examining the incremental role of trait EI beyond personality and emotion regulation

    Directory of Open Access Journals (Sweden)

    Filippello Pina

    2018-01-01

    Full Text Available Research has not yet been deepened in the link between personality factors and risk of school refusal. Furthermore, previous studies fail to verify the direct relation between trait EI and the risk of school refusal. The present study examined personality traits, emotion regulation and trait EI for the contributory role they may play in predicting the risk of school refusal. The sample consisted of 311 participants, 112 males (36% and 199 females (64% with an average age of 14.19 (SD = .60, from a high school in the city of Messina (Sicily, Italy. Results show that the risk of school refusal is positively related to neuroticism and maladaptive emotion regulation strategies, while it is negatively related to the extroversion, agreeableness and conscientiousness and trait EI. Moreover, trait EI can be considered as a strong incremental negative predictor of risk of school refusal over and above personality traits and emotion regulation.

  16. Environment-friendly type energy and coordinated community development project. Feasibility study for industrialization of high efficiency waste-fired power generation system (industrial refuse derived fuel and gas turbine combined type); Kankyo chowagata energy community keisei sokushin. Kokoritsu haikibutsu hatsuden (sangyo RDF GT fukugogata) jigyoka FS chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    High efficiency power generation, which is useful for promoting the environment-friendly type energy and coordinated community, is investigated by combining a steam turbine power generation system using the PS-RDF (paper sludge-refuse derived fuel) and a gas turbine (GT) combined cycle. Industrialization plan for processing PS in low cost has been made to ensure the profitability by participating the wholesale power supply under the law of electric power industry. This combined system is similar to the so-called super power generation using municipal garbage, but the lower temperature of steam from GT waste heat boilers (WHB) is super-heated by the flue gas from RDF boiler, which is called advanced power generation system (A.S.S.). The total power generation capacity is 149,000 kW, which consists of three 35,000 kW units of GT and one 44,000 kW unit of steam turbine. When comparing the combined system (A.S.S.) and usual one with the independent installation of the RDF steam power generation system and a GT combined cycle, the A.S.S. provides the repowering efficiency of 7,600 kW output with exactly the same quantity of fuel input as usual one. 71 figs., 31 tabs.

  17. Numerical modeling of the effects of fire-induced convection and fire-atmosphere interactions on wildfire spread and fire plume dynamics

    Science.gov (United States)

    Sun, Ruiyu

    It is possible due to present day computing power to produce a fluid dynamical physically-based numerical solution to wildfire behavior, at least in the research mode. This type of wildfire modeling affords a flexibility and produces details that are not available in either current operational wildfire behavior models or field experiments. However before using these models to study wildfire, validation is necessary, and model results need to be systematically and objectively analyzed and compared to real fires. Plume theory and data from the Meteotron experiment, which was specially designed to provide results from measurements for the theoretical study of a convective plume produced by a high heat source at the ground, are used here to evaluate the fire plume properties simulated by two numerical wildfire models, the Fire Dynamics Simulator or FDS, and the Clark coupled atmosphere-fire model. The study indicates that the FDS produces good agreement with the plume theory and the Meteotron results. The study also suggests that the coupled atmosphere-fire model, a less explicit and ideally less computationally demanding model than the FDS; can produce good agreement, but that the agreement is sensitive to the method of putting the energy released from the fire into the atmosphere. The WFDS (Wildfire and wildland-urban interface FDS), an extension of the FDS to the vegetative fuel, and the Australian grass fire experiments are used to evaluate and improve the UULES-wildfire coupled model. Despite the simple fire parameterization in the UULES-wildfire coupled model, the fireline is fairly well predicted in terms of both shape and location in the simulation of Australian grass fire experiment F19. Finally, the UULES-wildfire coupled model is used to examine how the turbulent flow in the atmospheric boundary layer (ABL) affects the growth of the grass fires. The model fires showed significant randomness in fire growth: Fire spread is not deterministic in the ABL, and a

  18. Pediatric Depression: When Does Parental Refusal for Treatment Constitute Medical Neglect?

    Science.gov (United States)

    Shapiro, Michael

    2018-06-01

    Depression is a common disorder in youth, and 10% to 15% of individuals have a lifetime prevalence by 18 years of age. Youth who receive treatment typically have a positive outcome, but many remain undiagnosed and untreated. 1 There is a dearth of literature on parental refusal to consent to treatment for pediatric depression and the circumstances under which such refusal could be considered medical neglect. In general, it appears that mental health diagnoses are rarely reported in cases of medical neglect. 2 . Copyright © 2018 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  19. [Professionals' training and refusal of nursing care].

    Science.gov (United States)

    Bay, Corinne

    2016-10-01

    A patient's refusal of nursing care concerns the caregivers. Future professionals must be prepared for it and student nurses are trained to deal with such situations. It is also important to empower patients and support them in their choice. This article presents the example of the Haute École Robert Schuman in Libramont, Belgium. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  20. Social Cultivation of Vaccine Refusal and Delay among Waldorf (Steiner) School Parents.

    Science.gov (United States)

    Sobo, Elisa J

    2015-09-01

    U.S. media reports suggest that vastly disproportionate numbers of un- and under-vaccinated children attend Waldorf (private alternative) schools. After confirming this statistically, I analyzed qualitative and quantitative vaccination-related data provided by parents from a well-established U.S. Waldorf school. In Europe, Waldorf-related non-vaccination is associated with anthroposophy (a worldview foundational to Waldorf education)—but that was not the case here. Nor was simple ignorance to blame: Parents were highly educated and dedicated to self-education regarding child health. They saw vaccination as variously unnecessary, toxic, developmentally inappropriate, and profit driven. Some vaccine caution likely predated matriculation, but notable post-enrollment refusal increases provided evidence of the socially cultivated nature of vaccine refusal in the Waldorf school setting. Vaccine caution was nourished and intensified by an institutionalized emphasis on alternative information and by school community norms lauding vaccine refusal and masking uptake. Implications for intervention are explored. © 2015 by the American Anthropological Association.

  1. Towards improved quantification of post-fire conifer mortality and recovery: Impacts of fire radiative flux on seedling and mature tree mortality, physiology, and growth

    Science.gov (United States)

    Sparks, A. M.; Kolden, C.; Smith, A. M.

    2016-12-01

    Fire activity, in terms of intensity, frequency, and total area burned, is expected to increase with changing climate. A challenge for landscape level assessment of fire effects, termed burn severity, is that current assessments provide very little information regarding vegetation physiological performance and recovery, limiting our understanding of fire effects on ecosystem services such as carbon storage/cycling. To address these limitations, we evaluated an alternative dose-response methodology for quantifying fire effects that attempts to bridge fire combustion dynamics and ecophysiology. Specifically, we conducted a highly controlled, laboratory assessment of seedling response to increasing doses of fire radiative energy applied through surface fires, for two western U.S. conifer species. Seedling physiology and spectral reflectance were acquired pre- and up to 1 year post-fire. Post-fire mortality, physiological performance, and spectral reflectance were strongly related with fire radiative energy density (FRED: J m-2) dose. To examine how these relationships change with tree size and age, we conducted small prescribed fires at the tree scale (35 m2) in a mature conifer stand. Radial growth and resin duct defenses were assessed on the mature conifer trees following the prescribed fires. Differences in dose-response relationships between seedlings and mature trees indicate the importance of fire behavior (e.g., flaming-dominated versus smoldering-dominated combustion) in characterizing these relationships. Ultimately, these results suggest that post-fire impacts on growth of surviving seedlings and mature trees require modes of heat transfer to impact tree canopies.

  2. Comparing the quality of life in insulin recipient and refusal patients with type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Mitra Khalili

    2016-01-01

    Conclusions: Results showed that insulin refusal patients had a better QOL. It seems that QOL is associated with the acceptance or refusal of insulin therapy. Therefore, enhancement of QOL could be related to all aspects of the disease, especially its treatment method and solving the therapeutic problems.

  3. Remote sensing fire and fuels in southern California

    Science.gov (United States)

    Philip Riggan; Lynn Wolden; Bob Tissell; David Weise; J. Coen

    2011-01-01

    Airborne remote sensing at infrared wavelengths has the potential to quantify large-fire properties related to energy release or intensity, residence time, fuel-consumption rate, rate of spread, and soil heating. Remote sensing at a high temporal rate can track fire-line outbreaks and acceleration and spotting ahead of a fire front. Yet infrared imagers and imaging...

  4. Use of wet FGD material for revegetation of an abandoned acidic coal refuse pile

    International Nuclear Information System (INIS)

    Mafi, S.; Stehouwer, R.C.

    1996-01-01

    Wet FGD material has a neutralizing potential of 15% CaCO 3 . These properties may make it a beneficial amendment for revegetation of hyper-acidic coal refuse. In greenhouse and field experiments, coal refuse (pH = 2.5) was amended with wet FGD (300, 500, and 700 tons/acre). Amendment with FGD was as effective as agricultural lime (AL) in increasing refuse pH and decreasing soluble Al and Fe. Addition of compost to the FGD further increased pH and decreased soluble Al and Fe. Downward transport of Ca was greater with FGD than AL, but FGD did not increase leachate concentrations of S. Amendment with FGD increased refuse, leachate and plant tissue concentrations of B. Other trace elements were not increased by FGD. In the greenhouse, plant growth was similar with AL and FGD except during the first three months when AL produced more growth than FGD. The initial growth suppression by FGD was likely due to high soluble salts, and possibly by high B concentrations. During the first year of the field experiment plant growth was greater with FGD than with AL. In both the field and greenhouse experiments compost increased plant growth when combined with FGD. These experiments show revegetation of toxic coal refuse and improvement in drainage water quality is possible by amendment with FGD. Revegetation success will be improved by combined amendment with FGD and compost

  5. [Remaining a caregiver in the face of a refusal of nursing care].

    Science.gov (United States)

    Blanchard, Karine; Ménard, Rachel; Corvol, Aline

    2016-10-01

    Caregivers working with elderly people often find themselves in a difficult position when faced with the refusal of nursing care, whether or not the patient presents cognitive disorders. The nurses from the mobile geriatrics team of Rennes university hospital are regularly asked to help the caregiving teams in such situations. Refusals may concern washing, medication, eating, moving to an armchair, the organisation of physical aids or human assistance after discharge or transfer to a nursing home. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  6. Learning fire-fighting lessons after Chernobyl

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    Fire protection measures in Soviet nuclear power plants were set out in November 1987, in the Nuclear Power Plant Design Fire Protection Standards (VSN 01-87, USSR Ministry of Atomic Energy). The most important of these measures are. Avoiding as far as possible the use of combustible materials in plant structures and equipment. Dividing buildings and areas into suitable fire-fighting zones. Ensuring reliable fire protection of the control and safety systems. Protecting technical personnel from the dangers of a fire while they are performing essential accident-repair work and facilitating evacuation procedures (providing at least two evacuation routes and exits, anti-smoke protection of evacuation routes and control panel areas etc). Installing automatic fire-extinguishing and fire alarm systems. Providing various stationary facilities and equipment to assist the use of mobile fire-fighting appliances. In addition, a special fire-fighting division is being set up in every nuclear power plant while the first unit is still being constructed. These divisions work in close co-operation with the technical personnel management of the plant and with the bodies responsible for monitoring nuclear safety. (author)

  7. Strategie di rifuto in Italiano: uno studio etnografico (Refusal Strategies in Italian: An Ethnographic Study).

    Science.gov (United States)

    Frescura, Marina

    1997-01-01

    After reviewing previous research on speech acts, this article describes a study that analyzed the behavior of speakers of standard Italian in refusing an offer of food. The importance of "face" is explained, and the refusal strategies are classified into four categories: explicit, tactical, decisive, and conclusive. (CFM)

  8. Calibration of the CAFE-3D fire code with controlled indoor fire data

    International Nuclear Information System (INIS)

    Lopez, C.; Koski, J.A.; Khalil, I.; Suo-Anttila, A.

    2004-01-01

    The Container Analysis Fire Environment (CAFE) code contains a computational fluid dynamics (CFD) based fire model that has been successfully coupled to standard finite element computer codes. This coupling of CFD and finite element codes allows for a more realistic modeling of the thermal performance of objects engulfed in fire, which aids in the design and risk analysis of radioactive material packages. The CAFE fire model is based on a three-dimensional finite volume formulation of basic fire chemistry and fluid dynamics. This fire model includes a variable-density primitive-variable formulation of mass, momentum, energy and species equations. Multiple chemical species and soot formation are included in the combustion model. Thermal radiation is modeled as diffusive radiation transport inside the flame zone and as view-factor radiation outside the flame zone. Turbulence is modeled with an eddy diffusivity model. The soot model is coupled to the diffusive radiation formulation using the Rosseland approximation and the optical properties of soot. In order to verify and improve the accuracy of computers codes, they should be benchmarked against test data. This paper describes a set of experiments that were performed at the Fire Laboratory for Accreditation of Modeling by Experiment (FLAME) fire facility of Sandia National Laboratories in Albuquerque, New Mexico, USA. The paper also describes how the data collected from the experiments was used to calibrate and benchmark the CAFE-3D fire code. Detailed description of the tests performed and comparisons between the calculated results and the collected data from the experiments are provided

  9. Insulin therapy refusal among type II diabetes mellitus patients in Kubang Pasu district, the state of Kedah, Malaysia.

    Science.gov (United States)

    Tan, Wei Leong; Asahar, Siti Fairus; Harun, Noor Liani

    2015-04-01

    Diabetes mellitus is a rising non-communicable disease in Malaysia. Insulin therapy refusal is a great challenge for healthcare providers, as it results in delayed insulin initiation. This study was conducted to determine the prevalence of insulin therapy refusal and its associated factors. This cross sectional study was conducted at seven public health clinics in Kubang Pasu district, Malaysia, from March to October 2012. A newly developed and validated questionnaire was used and participants were selected via systematic random sampling. Only patients diagnosed with type II diabetes mellitus (T2DM) and under the public health clinic care in Kubang Pasu were included in the study. Multiple logistic regressions were used to study the association between insulin therapy refusal and its associated factors. There were 461 respondents and the response rate was 100%. Among these 461 patients with T2DM, 74.2% refused insulin therapy. The most common reason given for refusal was a lack of confidence in insulin injection (85.4%). Multiple logistic regression revealed that respondents who had secondary education were 55.0% less likely to refuse insulin therapy than those who had primary or no formal education (p = 0.009, adjusted odds ratio [OR] = 0.45, 95% confidence interval [CI] = 0.25-0.82). There was also a significant inverse association between glycated haemoglobin (HbA1c) and insulin therapy refusal (p = 0.047, adjusted OR = 0.87, 95% CI = 0.76-1.00). Insulin therapy refusal is common in Kubang Pasu. Education status and HbA1c should be taken into consideration when counselling patients on insulin therapy initiation.

  10. Conscientious refusals and reason-giving.

    Science.gov (United States)

    Marsh, Jason

    2014-07-01

    Some philosophers have argued for what I call the reason-giving requirement for conscientious refusal in reproductive healthcare. According to this requirement, healthcare practitioners who conscientiously object to administering standard forms of treatment must have arguments to back up their conscience, arguments that are purely public in character. I argue that such a requirement, though attractive in some ways, faces an overlooked epistemic problem: it is either too easy or too difficult to satisfy in standard cases. I close by briefly considering whether a version of the reason-giving requirement can be salvaged despite this important difficulty. © 2013 John Wiley & Sons Ltd.

  11. 7 CFR 319.8-26 - Material refused entry.

    Science.gov (United States)

    2010-01-01

    ... Plant Protection Act (7 U.S.C. 7714 and 7731). Neither the Department of Agriculture nor the inspector... 7 Agriculture 5 2010-01-01 2010-01-01 false Material refused entry. 319.8-26 Section 319.8-26 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION...

  12. Why parents refuse childhood vaccination: a qualitative study using online focus groups

    Science.gov (United States)

    2013-01-01

    Background In high income countries, vaccine-preventable diseases have been greatly reduced through routine vaccination programs. Despite this success, many parents question, and a small proportion even refuse vaccination for their children. As no qualitative studies have explored the factors behind these decisions among Dutch parents, we performed a study using online focus groups. Methods In total, eight online focus groups (n = 60) which included Dutch parents with at least one child, aged 0–4 years, for whom they refused all or part of the vaccinations within the National Immunization Program (NIP). A thematic analysis was performed to explore factors that influenced the parents’ decisions to refuse vaccination. Results Refusal of vaccination was found to reflect multiple factors including family lifestyle; perceptions about the child’s body and immune system; perceived risks of disease, vaccine efficacy, and side effects; perceived advantages of experiencing the disease; prior negative experience with vaccination; and social environment. The use of online focus groups proved to be an effective qualitative research method providing meaningful data. Conclusion Information provided by the NIP turned out to be insufficient for this group of parents. More trust in the NIP and deliberate decisions might result from increased parental understanding of lifestyle and disease susceptibility, the impact of vaccinations on the immune system, and the relative risks of diseases and their vaccines. The public health institute should also inform parents that the NIP is recommended but non-mandatory. PMID:24341406

  13. Refuse derived fuel incineration: Fuel gas monitoring and analysis

    International Nuclear Information System (INIS)

    Ranaldi, E.; Coronidi, M.; De Stefanis, P.; Di Palo, C.; Zagaroli, M.

    1993-11-01

    Experience and results on refuse derived fuel (selected from municipal solid wastes) incineration are reported. The study involved the investigation of inorganic compounds (heavy metals, acids and toxic gases) emissions, and included feeding materials and incineration residues characterization and mass balance

  14. Invitation Refusals in Cameroon French and Hexagonal French

    Science.gov (United States)

    Farenkia, Bernard Mulo

    2015-01-01

    Descriptions of regional pragmatic variation in French are lacking to date the focus has been on a limited range of speech acts, including apologies, requests, compliments and responses to compliments. The present paper, a systematic analysis of invitation refusals across regional varieties of French, is designed to add to the research on…

  15. Wildland fire limits subsequent fire occurrence

    Science.gov (United States)

    Sean A. Parks; Carol Miller; Lisa M. Holsinger; Scott Baggett; Benjamin J. Bird

    2016-01-01

    Several aspects of wildland fire are moderated by site- and landscape-level vegetation changes caused by previous fire, thereby creating a dynamic where one fire exerts a regulatory control on subsequent fire. For example, wildland fire has been shown to regulate the size and severity of subsequent fire. However, wildland fire has the potential to influence...

  16. Wife beating refusal among women of reproductive age in urban and rural Ethiopia.

    Science.gov (United States)

    Gurmu, Eshetu; Endale, Senait

    2017-03-16

    Wife beating is the most common and widespread form of intimate partner violence in Ethiopia. It results in countless severe health, socio-economic and psychological problems and has contributed to the violation of human rights including the liberty of women to enjoy conjugal life. The main purpose of this study is to assess the levels and patterns of wife beating refusal and its associated socio-cultural and demographic factors in rural and urban Ethiopia. The 2011 Ethiopian Demographic and Health Survey (EDHS) data based on 11,097 and 5287 women in the reproductive age group (i.e. 15-49 years) living in rural and urban areas, respectively,were used in this study. Cronbach's alpha was used to assess the internal consistency of the measure of women's attitudes towards wife beating. The Statistical Package for Social Sciences was applied to analyze the data. A binary logistic regression model was fitted to identify variables that significantly predict respondents' refusal of wife beating. Separate analysis by a place of residence was undertaken as attitude towards wife beating vary between rural and urban areas. The likelihood of refusing wife beating in Ethiopia was significantly higher among urban women (54.2%) than rural women (24.5%). Although there was a significant variations in attitude towards refusing wife beating among different regions in Ethiopia, increasing educational level, high access to media, age of respondents were associated with high level of refusal of wife beating. In contrast, rural residence, being in marital union, high number of living children, being followers of some religions (Muslim followers in urban and Protestants in rural) were associated with low level of refusal of wife beating. The findings of this study reveal that wife beating in Ethiopia is a function of demographic and socio-cultural factors among which age and educational attainment of respondents, number of living children, religious affiliation, marital commitment and

  17. What happens after a request for euthanasia is refused? Qualitative interviews with patients, relatives and physicians

    NARCIS (Netherlands)

    Pasman, H.R.W.; Willems, D.L.; Onwuteaka-Philipsen, B.D.

    2013-01-01

    Objective: Obtaining in-depth information from both patient and physician perspectives about what happens after a request for euthanasia or physician-assisted suicide (EAS) is refused. Methods: In-depth interviews with nine patients whose EAS request was refused and seven physicians of these

  18. Surface Fire Hazards Analysis Technical Report-Constructor Facilities

    International Nuclear Information System (INIS)

    Flye, R.E.

    2000-01-01

    The purpose of this Fire Hazards Analysis Technical Report (hereinafter referred to as Technical Report) is to assess the risk from fire within individual fire areas to ascertain whether the U.S. Department of Energy (DOE) fire safety objectives are met. The objectives identified in DOE Order 420.1, Change 2, Facility Safety, Section 4.2, establish requirements for a comprehensive fire and related hazards protection program for facilities sufficient to minimize the potential for: The occurrence of a fire or related event; A fire that causes an unacceptable on-site or off-site release of hazardous or radiological material that will threaten the health and safety of employees, the public, or the environment; Vital DOE programs suffering unacceptable interruptions as a result of fire and related hazards; Property losses from a fire and related events exceeding defined limits established by DOE; and Critical process controls and safety class systems being damaged as a result of a fire and related events

  19. The improvement of the fire protections system for nuclear cycle facilities. Formulation of a fire protection guideline for nuclear fuel cycle facilities

    International Nuclear Information System (INIS)

    2012-04-01

    The private side Fire Protection Guideline was investigated with respect to the fire having taken place at the nuclear reactor site followed by the Chuetsu-Oki earthquake in Niigata Prefecture in 2007. To improve the fire protection system especially applicable to MOX fuel fabrication facilities, JNES (Japan Nuclear Energy Safety Organization) investigated private guidelines adopted in Japanese Light Water cooled Reactors, the standardized guidelines used in Nuclear Facilities in other countries including USA, and the standards in the chemical plants. The content of the guideline concerns the prevention of the fire breakout, the prevention of fire extension, the reduction of the fire effects, as well as the facility-characteristic protection countermeasures and the fire effect evaluations. (S. Ohno)

  20. Understanding the antecedents of Korean high school students' drinking refusal self-efficacy: parental influence, peer influence, and behavior.

    Science.gov (United States)

    Jang, Su Ahn; Cho, Namauk; Yoo, Jina

    2011-12-29

    The current study examined the factors that influence Korean adolescents' drinking refusal self-efficacy, which is known to be associated with alcohol use and drinking intentions. Specifically, this study considered parental monitoring, parent-child communication satisfaction, peer influence, and prior alcohol use as possible antecedents of Korean high school students' drinking refusal self-efficacy. High school students (n = 538) in South Korea responded to the current study. The data revealed that parent-child communication satisfaction facilitated parental monitoring, and these factors indirectly predicted adolescents' drinking behavior through peer influence. We also found that prior drinking, parental monitoring, and peer influence were directly associated with drinking refusal self-efficacy, and the self-efficacy, in turn, was associated with drinking intentions. These results not only suggest that drinking refusal self-efficacy are related to drinking behavior and intentions, but they also provide a theoretical explanation for how parental and peer influences are associated with adolescents' drinking refusal self-efficacy.

  1. Informed consent for the administration of an intravenous contrast agent: importance and determinants of patient refusal

    International Nuclear Information System (INIS)

    Martel, J.; Garcia-Diaz, J. D.

    1999-01-01

    We proposed to determine the proportion of patients who refuse to undergo intravenous contrast administration and the factors that influence their refusal. Our series consisted of 442 patients who were supposed to undergo imaging studies involving the intravenous injection of an iodine contrast. In a personal interview, the patients were issued a questionnaire specifically designed for this study. The following parameters were recorded: sex, age, inpatient or outpatient status, medical history available, person who informed them about the procedure, person signing the informed consent (patient or other) , highest academic degree, attitude toward receiving the information and degree of concern after reading and signing the consent form. In our series 8.6% of the patients (95% confidence interval: 6-11.2) refused to sign the informed consent form. In addition, there were a number of patients who delayed the procedure or hindered the daily work schedule by some other means. When the relationship between each of the variables studied and refusal to sign the consent form was assessed, significant associations were observed between the latter and the academic level of the patient, his or her degree of concern and having received the information from a trained person. There was also a nearly significant trend toward the association between refusal and the patient's background. Relatively few patients refuse to sign the informed consent to receive intravenous contrast administration but this negative decision interferes with the health care practice. It is possible to identify certain correctable factors that influence the patient in this respect. (Author) 13 refs

  2. Materials Problems and Solutions in Biomass Fired Plants

    DEFF Research Database (Denmark)

    Larsen, Ole Hede; Montgomery, Melanie

    2006-01-01

    ascribed to the composition of the deposit and the metal surface temperature. In woodchip boilers, a similar corrosion rate and corrosion mechanism has on some occasions been observed. Co-firing of straw (10 and 20% energy basis) with coal has shown corrosion rates lower than those in straw-fired plants......Due to Denmark’s pledge to reduce carbon dioxide emissions, biomass is utilised increasingly as a fuel for generating energy. Extensive research and demonstration projects especially in the area of material performance for biomass fired boilers have been undertaken to make biomass a viable fuel...... resource. When straw is combusted, potassium chloride and potassium sulphate are present in ash products, which condense on superheater components. This gives rise to specific chlorine corrosion problems not previously encountered in coal-fired power plants. The type of corrosion attack can be directly...

  3. Combustion tests in a solid fuel boiler to clarify the emissions when co-firing refuse; Proveldning i fastbraenslepanna foer att kartlaegga emissioner vid inblandning av olika avfallsfraktioner

    Energy Technology Data Exchange (ETDEWEB)

    Blom, Elisabet; Lundborg, Rickard; Wrangensten, Lars

    2002-04-01

    In this Vaermeforsk-project tests have been performed in a 60 MW moving grate steam boiler at Tekniska Verken in Linkoeping. The boiler plant has an electrostatic filter for dust reduction and also a flue gas condensing plant with heat recovery. Vaermeforsk has financed the project. During the tests the following fuel fractions have been injected into the reference fuel, a mix of recovered wood chips (70 %) and bark (30 %): Paper/plastic/wood fuel (10 % and 25 % injection on an energy basis); Meat powder (10 % and 25 % injection on an energy basis); Napkin waste (10 % injection on an energy basis); Leather waste (10 % injection on an energy basis). The highest lower heating value was noted for meat powder, approx. 24 MJ/kg with a moisture content of 3,4 %. The heating values for the other fuel fractions were on the same level or just beneath the corresponding heating value for the reference fuel. The highest chlorine content was found in the paper/plastic/wood fraction respectively the leather waste fraction with 1,2 and 1,4 % (weight) of chlorine. The meat powder had the highest nitrogen content but all the fuel mixes had a quite high content of nitrogen with values over 1 % (weight). Analyses of sulphur in the fuels showed that leather waste had the lowest content just over 0, 1 %, considered as a low sulphur level for fuels in general. However, there are problems to get balance between in- and output for sulphur and chlorine based on fuel analysis. Difficulties to take representative fuel samples, especially when it comes to chlorine, can be an explanation. Video camera recordings and flue gas analysis in the furnace showed that the injection of refuse fractions seems to improve the combustion conditions with better local combustion of CO and hydrocarbons. The results from the emission measurements in the chimney can be summarised as follows (emission values at 11 % O{sub 2}): the lowest CO emission was noted with 25 % meat powder injection (<50 mg/nm{sup 3

  4. The impacts of coal refuse/fly ash bulk bends on water quality and plant growth

    Energy Technology Data Exchange (ETDEWEB)

    Stewar, B.R.; Daniels, W.L. [Virginia Polytechnic Institute and State Univ., Blacksburg, VA (United States)

    1995-09-01

    There is considerable interest in the beneficial reuse of coal fly ash as a soil amendment on coal refuse piles. One method of application would be to blend the coal refuse and the fly ash before deposition in a refuse pile. A field experiment was initiated to measure the effects of bulk blending fly ash with coal refuse on water quality and plant growth parameters. Fly ash (class F) from three sources were used in the experiment. Two of the fly ashes were acidic and the third was alkaline. Trenches were excavated in a coal refuse pile to a depth of 2 m and the refuse was blended with fly ash and then returned to the trench. In other plots the ash was applied as a surface amendment. A treatment of a bulk blend of 5% (w/w) rock phosphate was also included in the experiment. Large volume lysimeters were installed in some trenches to collect the leachates. The fly ash treatments appear to improve the quality of the leachates when compared to the leachates from the untreated plots. The fly ash amended treatments have lower leachate concentrations of Fe and Al. Initially the fly ash treatments showed high levels of leachate B, however those levels have decreased with time. Millet (Setaria italica) yields from the first year of the experiment were highest n the alkaline fly ash and rock phosphate blended plots. In the second growing season, the two bulk blends with alkaline fly ash had the highest yields. In the third growing season all treatments had higher yield levels than the untreated control plots. The positive effects of the fly ash on leachate quality were attributed to the alkalinity of the ash, and the increase in yield was attributed to the increases in water holding capacity due to fly ash treatments.

  5. Making Sense of Iconic Symbols: A Study of Preschool Children Conducting a Refuse-Sorting Task

    Science.gov (United States)

    Ljung-Djärf, Agneta; Åberg-Bengtsson, Lisbeth; Ottosson, Torgny; Beach, Dennis

    2015-01-01

    This article is part of a larger project focusing upon explanatory illustrations that children encounter in pre- and primary school education. The research questions concerned (a) how preschool children make sense of iconic symbols when placing items of refuse on illustrations of refuse bins in a sorting task and (b) what stumbling blocks they…

  6. 13 CFR 115.18 - Refusal to issue further guarantees; suspension and termination of PSB status.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Refusal to issue further guarantees; suspension and termination of PSB status. 115.18 Section 115.18 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION SURETY BOND GUARANTEE Provisions for All Surety Bond Guarantees § 115.18 Refusal to issue further guarantees; suspension...

  7. 75 FR 4565 - Federal Acquisition Regulation; Submission for OMB Review; Right of First Refusal of Employment

    Science.gov (United States)

    2010-01-28

    .... Please cite OMB Control No. 9000-0114, Right of First Refusal of Employment, in all correspondence. Dated... ADMINISTRATION [OMB Control No. 9000-0114] Federal Acquisition Regulation; Submission for OMB Review; Right of... previously approved information collection requirement concerning right of first refusal of employment. A...

  8. [Participation refusal by probands in an epidemiologic long-term study--sociodemographic, clinical and psychometric findings].

    Science.gov (United States)

    Franz, M; Schepank, H; Wirth, T; Schellberg, D

    1992-11-01

    Usually little is known about probands who participated in an epidemiological longitudinal field survey but refused participation in follow-up investigations. For reasons of data protection and on account of the fact that investigative instruments used in longterm field surveys or panel studies are more focused on well defined issues (opinions, attitudes, assessment of behaviors) and less on personality variables, differentiated statements on probands who explicitly refused cooperation can hardly be made. In our epidemiological longitudinal field study on prevalence and course of psychogenic disorders we have a different situation. Within the limits of our study we had the unique opportunity to gain far-reaching information on probands who refused to participate in preceding investigations in regard to sociodemographic, psychometric and clinical variables. The clientele of refusers we present in our paper mainly comprises elderly, married, rather obsessive-compulsive structured, lower-class females. According to our data interactive aspects are equally responsible for reduced cooperativeness. The significance of our findings for the planning and carrying out of epidemiological longitudinal field surveys is discussed.

  9. Review of the potential for utilizing washery refuse in N. S. W. and Queensland

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, K M

    1977-06-01

    The growing importance attached to the environment, coupled with the increasing quantities of coal refuse resulting from expanded coal production has highlighted the problem of coal refuse disposal and provided the necessary impetus to find uses for the by-product, which will eventually be regarded as a fuel and engineering material rather than a waste. Potential areas of use will be as a fuel; as a potential fuel replacement and raw material additive for brick manufacture; as a raw material for lightweight aggregate manufacture; as a construction material; for agricultural purposes, or a number of other areas of special use. The successful marketing of coal refuse will depend on an in-depth technical market analysis being carried out, followed by practical research and a comprehensive product examination and identification program being undertaken.

  10. Fundamental aspects of municipal refuse generated in Beirut and Tripoli: field studies 1994-1996

    International Nuclear Information System (INIS)

    Ayoub, G.M.; Acra, A.; Abdallah, R.; Merhebi, F.

    1996-01-01

    This study presents socio-economic survey on collection and analysis of data pertaining to the municipal refuse generated in Beirut and Tripoli, Two big cities of Lebanon.Although the collection process applied in Beirut has progressed immensely in the past two years, the unsatisfactory methods of disposal that have been employed until now has an impact on the environment:marine environment as well as the air pollution becoming problems in the city of Beirut. In this respect, solid wastes characterization and generation rates in both cities of Beirut and Tripoli are presented. Mapping of refuse collection and disposal services in the two cities is described. Sources of refuse like hospitals, industries, household,...are enumerated. Recycling potentials of plastics, paper and cardboard, glass wastes, metallic wastes, textile wastes are described

  11. Bacteria and Acidic Drainage from Coal Refuse: Inhibition by Sodium Lauryl Sulfate and Sodium Benzoate

    OpenAIRE

    Dugan, Patrick R.; Apel, William A.

    1983-01-01

    The application of an aqueous solution of sodium lauryl sulfate and sodium benzoate to the surface of high-sulfur coal refuse resulted in the inhibition of iron-and sulfur-oxidizing chemoautotrophic bacteria and in the decrease of acidic drainage from the refuse, suggesting that acid drainage can be abated in the field by inhibiting iron- and sulfur-oxidizing bacteria.

  12. Herpes labialis and Nigerian dental health care providers: knowledge, attitudes, behaviors, and refusal to treat.

    Science.gov (United States)

    Azodo, Clement Chinedu; Umoh, Agnes O

    2015-09-15

    The few existing studies on herpes labialis among health care workers have been predominantly among non-dental health care workers. The purpose of this study was to determine Nigerian dental health care providers' knowledge of, attitudes toward, preventive behaviors for, and refusal to treat patients with herpes labialis. This cross-sectional study was conducted among final-year dental students at the University of Benin, dental house officers, and residents at the University of Benin Teaching Hospital, Benin City, Nigeria. Data collection was via a self-administered questionnaire. Bivariate statistics and logistic regression were used to relate the dependent and independent variables. Of the 120 questionnaires distributed, 110 were completed and returned, giving a 91.7% retrieval rate. However, 15 of the returned questionnaires were discarded because they were improperly completed, leaving a total of 95 questionnaires for final analysis in this study. The majority of participants were over 28 years old (54.7%), male (67.4%), unmarried (66.3%), and postgraduate dental health care providers (51.6%). Less than half (43.2%) of participants demonstrated adequate overall knowledge of herpes labialis. About one-tenth (10.5%) and more than three-quarters (87.4%) of participants reported a positive attitude and performance of adequate preventive behaviors, respectively. A total of 16.8% of participants reported a high tendency to refuse treatment to patients with herpes labialis. Although not statistically significant, young, unmarried, male undergraduate participants reported a greater likelihood to refuse treatment to herpes labialis patients. We found a statistically significant positive correlation between attitude and refusal to treat patients with herpes labialis. However, marital status and the attitude of participants toward these patients emerged as the determinants for refusal to treat patients with herpes labialis. Data from this study revealed a high level of

  13. Predictors of condom use and refusal among the population of Free State province in South Africa.

    Science.gov (United States)

    Chandran, Thoovakkunon Moorkoth; Berkvens, Dirk; Chikobvu, Perpetual; Nöstlinger, Christiana; Colebunders, Robert; Williams, Brian Gerard; Speybroeck, Niko

    2012-05-28

    This study investigated the extent and predictors of condom use and condom refusal in the Free State province in South Africa. Through a household survey conducted in the Free Sate province of South Africa, 5,837 adults were interviewed. Univariate and multivariate survey logistic regressions and classification trees (CT) were used for analysing two response variables 'ever used condom' and 'ever refused condom'. Eighty-three per cent of the respondents had ever used condoms, of which 38% always used them; 61% used them during the last sexual intercourse and 9% had ever refused to use them. The univariate logistic regression models and CT analysis indicated that a strong predictor of condom use was its perceived need. In the CT analysis, this variable was followed in importance by 'knowledge of correct use of condom', condom availability, young age, being single and higher education. 'Perceived need' for condoms did not remain significant in the multivariate analysis after controlling for other variables. The strongest predictor of condom refusal, as shown by the CT, was shame associated with condoms followed by the presence of sexual risk behaviour, knowing one's HIV status, older age and lacking knowledge of condoms (i.e., ability to prevent sexually transmitted diseases and pregnancy, availability, correct and consistent use and existence of female condoms). In the multivariate logistic regression, age was not significant for condom refusal while affordability and perceived need were additional significant variables. The use of complementary modelling techniques such as CT in addition to logistic regressions adds to a better understanding of condom use and refusal. Further improvement in correct and consistent use of condoms will require targeted interventions. In addition to existing social marketing campaigns, tailored approaches should focus on establishing the perceived need for condom-use and improving skills for correct use. They should also incorporate

  14. Predictors of condom use and refusal among the population of Free State province in South Africa

    Directory of Open Access Journals (Sweden)

    Chandran Thoovakkunon

    2012-05-01

    Full Text Available Abstract Background This study investigated the extent and predictors of condom use and condom refusal in the Free State province in South Africa. Methods Through a household survey conducted in the Free Sate province of South Africa, 5,837 adults were interviewed. Univariate and multivariate survey logistic regressions and classification trees (CT were used for analysing two response variables ‘ever used condom’ and ‘ever refused condom’. Results Eighty-three per cent of the respondents had ever used condoms, of which 38% always used them; 61% used them during the last sexual intercourse and 9% had ever refused to use them. The univariate logistic regression models and CT analysis indicated that a strong predictor of condom use was its perceived need. In the CT analysis, this variable was followed in importance by ‘knowledge of correct use of condom’, condom availability, young age, being single and higher education. ‘Perceived need’ for condoms did not remain significant in the multivariate analysis after controlling for other variables. The strongest predictor of condom refusal, as shown by the CT, was shame associated with condoms followed by the presence of sexual risk behaviour, knowing one’s HIV status, older age and lacking knowledge of condoms (i.e., ability to prevent sexually transmitted diseases and pregnancy, availability, correct and consistent use and existence of female condoms. In the multivariate logistic regression, age was not significant for condom refusal while affordability and perceived need were additional significant variables. Conclusions The use of complementary modelling techniques such as CT in addition to logistic regressions adds to a better understanding of condom use and refusal. Further improvement in correct and consistent use of condoms will require targeted interventions. In addition to existing social marketing campaigns, tailored approaches should focus on establishing the perceived need

  15. [Refusal of care faced by case manager from elderly persons in complex situation: cross perspectives].

    Science.gov (United States)

    Corvol, A; Balard, F; Moutel, G; Somme, D

    2014-01-01

    Case management is a new professional field in France. It is addressed to elderly persons living in community whose situation is regarded as particularly complex. Case managers have to assess needs and coordinate necessary services. One common criteria of complexity is refusal of care. The objective of this study is to compare the words of users with those of case managers about refusal of care, in order to understand its meaning, professionals' attitudes and ethical challenges. Two researchers have cooperated on this qualitative research: the first one, anthropologist, interviewed 19 individuals, and 11 of their caregivers. The second one, geriatrician and researcher in medical ethics, lead four focus groups gathering a total of 18 case managers. Refusal of care often is the result of the will of preserving one's identity, compromised by illness. Individuals seek control on their life. Facing this behaviour, case managers try to secure the individual, by establishing a personal relationship that respects their choices, even if care has to be delayed. Refusal of care may sometimes disclose a desire to vanish, in front of which professionals meet their own limits. To recognise an elderly person that refuses care as a unique individual who can make choices secure his identity, and allow him to change. Copyright © 2013 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  16. Fire risk assessment for hydrogen at EDG/battery room

    Energy Technology Data Exchange (ETDEWEB)

    Jee, Moon Hak; Hong, Sung Yull; Choi, Kwang Hee; Jung, Hyun Jong; Park, Kyung Hyum [Korea electric Power Research Institute, Taejon (Korea, Republic of); Song, Jin Bae [KHNP, Wolsong (Korea, Republic of)

    2004-07-01

    At the design stage of Nuclear Power Plant, the fire hazard analysis for the fire zone or compartment is implemented according to the fire protection requirement and the document is required for the licensing approval. On the basis of fire hazard analysis, the evaluation for the safe shutdown capability is preceded for each fire zone that contains safety-important systems and facilities. The primary philosophy for the fire safety is to secure fire defense-in-depth at Nuclear Power Plants that represents fire prevention, fire protection, and mitigation from fire damage. One of the concerning fire zones that need quantitative fire hazard analysis as well as qualitative fire evaluation at Nuclear Power Plants is the battery room at Emergency Diesel Generator (EDG) Room. For an example, Emergency Power Supply System called as EPS at Wolsong Nuclear Power Plant generates emergency power and supply the electric power to the safety-related systems and essential facilities during the loss of on-site and off-site AC power. For the start of emergency power generator, it needs DC power from the battery units inside the EPS room. For the emergency supply of DC power, the battery at EPS room should be recharged during the standby period to compensate the reduced chemical energy that was converted to the electric energy or depleted through the natural process. During the recharge process, especially at the time of charging current becoming greater than the nominal floating current or at the time of over-charging period, the hydrogen and the oxygen are generated from the positive plate and cathodic part respectively and escaped through the vent holes or crevices. In this context, the fire hazard assessment should be done for the EPS/battery room with quantitative approach and the fire safety evaluation for the explosion of hydrogen gas must be done under the specific fire protection program at Nuclear Power Plants.

  17. Fire risk assessment for hydrogen at EDG/battery room

    International Nuclear Information System (INIS)

    Jee, Moon Hak; Hong, Sung Yull; Choi, Kwang Hee; Jung, Hyun Jong; Park, Kyung Hyum; Song, Jin Bae

    2004-01-01

    At the design stage of Nuclear Power Plant, the fire hazard analysis for the fire zone or compartment is implemented according to the fire protection requirement and the document is required for the licensing approval. On the basis of fire hazard analysis, the evaluation for the safe shutdown capability is preceded for each fire zone that contains safety-important systems and facilities. The primary philosophy for the fire safety is to secure fire defense-in-depth at Nuclear Power Plants that represents fire prevention, fire protection, and mitigation from fire damage. One of the concerning fire zones that need quantitative fire hazard analysis as well as qualitative fire evaluation at Nuclear Power Plants is the battery room at Emergency Diesel Generator (EDG) Room. For an example, Emergency Power Supply System called as EPS at Wolsong Nuclear Power Plant generates emergency power and supply the electric power to the safety-related systems and essential facilities during the loss of on-site and off-site AC power. For the start of emergency power generator, it needs DC power from the battery units inside the EPS room. For the emergency supply of DC power, the battery at EPS room should be recharged during the standby period to compensate the reduced chemical energy that was converted to the electric energy or depleted through the natural process. During the recharge process, especially at the time of charging current becoming greater than the nominal floating current or at the time of over-charging period, the hydrogen and the oxygen are generated from the positive plate and cathodic part respectively and escaped through the vent holes or crevices. In this context, the fire hazard assessment should be done for the EPS/battery room with quantitative approach and the fire safety evaluation for the explosion of hydrogen gas must be done under the specific fire protection program at Nuclear Power Plants

  18. Pediatric transplantation using hearts refused on the basis of donor quality.

    Science.gov (United States)

    Bailey, Leonard L; Razzouk, Anees J; Hasaniya, Nahidh W; Chinnock, Richard E

    2009-06-01

    There is always more demand than supply of organs in pediatric heart transplantation. Yet, potential donor organs are regularly declined for a variety of reasons, among them donor organ quality as determined by United Network for Organ Sharing (UNOS) refusal code 830 or its equivalent. For the study group institutional and UNOS databases (July 2000 to December 2008) were reviewed to examine outcomes of pediatric heart transplantation using donor hearts that had been previously refused one or more times because of organ quality. Variation between outcomes of this cohort and recipients who received primarily offered heart grafts in a single institution was analyzed. In 29 recipients, transplantation or retransplantation was with heart grafts previously declined on the basis of quality. Recovery distances (p actuarial survival was 74% +/- 10.5%. At the present time, 24 of the 29 recipients (83%) are alive. These results do not vary statistically from those experienced by 84 recipients of 86 primarily offered donor organs during the same time. Despite longer distance recovery (ie, longer graft cold ischemic times), outcomes of pediatric heart transplantation using donor heart grafts refused on the basis of organ quality are highly competitive. Pediatric donor hearts should seldom be declined on the basis of organ quality (UNOS code 830).

  19. Emissions from co-combustion of wood and household refuse

    International Nuclear Information System (INIS)

    Zhang, X.J.; Peterson, F.

    1996-01-01

    An investigation was carried out on the emissions produced in a 20 kW experimental boiler burning a combination of wood and household refuse. The wood content ranged form 10 to 50%. Direct sampling with Tenax adsorbent was used to cover a range of volatile organic compounds (VOCs). The measurements also included unburned hydrocarbons, carbon monoxide, carbon dioxide, oxygen and flue gas temperature. Combustion and emission parameters were recorded continuously with a multi-point data logger. VOCs were analyzed by gas chromatography and mass spectrometer (GC/MS). The main emphasis was placed on the effect of wood on VOC emissions. The results showed that as the wood content increased from 10 to 50%, there was a roughly linear increase in emissions of total VOCs. Carbon monoxide and unburned hydrocarbon emissions also increased. These results suggest that household refuse is a good substitute for wood as a boiler fuel, as it has a similar calorific value but fewer emissions. (Author)

  20. Surface forcing of non-stand-replacing fires in Siberian larch forests

    Science.gov (United States)

    Chen, Dong; Loboda, Tatiana V.

    2018-04-01

    Wildfires are the dominant disturbance agent in the Siberian larch forests. Extensive low- to mediate-intensity non-stand-replacing fires are a notable property of fire regime in these forests. Recent large scale studies of these fires have focused mostly on their impacts on carbon budget; however, their potential impacts on energy budget through post-fire albedo changes have not been considered. This study quantifies the post-fire surface forcing for Siberian larch forests that experienced non-stand-replacing fires between 2001 and 2012 using the full record of MODIS MCD43A3 albedo product and a burned area product developed specifically for the Russian forests. Despite a large variability, the mean effect of non-stand-replacing fires imposed through albedo is a negative forcing which lasts for at least 14 years. However, the magnitude of the forcing is much smaller than that imposed by stand-replacing fires, highlighting the importance of differentiating between the two fire types in the studies involving the fire impacts in the region. The results of this study also show that MODIS-based summer differenced normalized burn ratio (dNBR) provides a reliable metric for differentiating non-stand-replacing from stand-replacing fires with an overall accuracy of 88%, which is of considerable importance for future work on modeling post-fire energy budget and carbon budget in the region.

  1. Bacteria and Acidic Drainage from Coal Refuse: Inhibition by Sodium Lauryl Sulfate and Sodium Benzoate

    Science.gov (United States)

    Dugan, Patrick R.; Apel, William A.

    1983-01-01

    The application of an aqueous solution of sodium lauryl sulfate and sodium benzoate to the surface of high-sulfur coal refuse resulted in the inhibition of iron-and sulfur-oxidizing chemoautotrophic bacteria and in the decrease of acidic drainage from the refuse, suggesting that acid drainage can be abated in the field by inhibiting iron- and sulfur-oxidizing bacteria. PMID:16346347

  2. Thinking through Moments of Sexual Refusal in "Looking for Alibrandi" and "The Rage in Placid Lake"

    Science.gov (United States)

    Clarke, Kyra

    2016-01-01

    This paper explores two scenarios in which young women refuse the sexual advances of young men in the films "Looking for Alibrandi" and "The Rage in Placid Lake." The paper highlights the heteronormative nature of education around refusing sex, which reinstates gendered stereotypes of masculine as active and feminine as…

  3. Fire hazards analysis for the uranium oxide (UO3) facility

    International Nuclear Information System (INIS)

    Wyatt, D.M.

    1994-01-01

    The Fire Hazards Analysis (FHA) documents the deactivation end-point status of the UO 3 complex fire hazards, fire protection and life safety systems. This FHA has been prepared for the Uranium Oxide Facility by Westinghouse Hanford Company in accordance with the criteria established in DOE 5480.7A, Fire Protection and RLID 5480.7, Fire Protection. The purpose of the Fire Hazards Analysis is to comprehensively and quantitatively assess the risk from a fire within individual fire areas in a Department of Energy facility so as to ascertain whether the objectives stated in DOE Order 5480.7, paragraph 4 are met. Particular attention has been paid to RLID 5480.7, Section 8.3, which specifies the criteria for deactivating fire protection in decommission and demolition facilities

  4. Transitional paternalism: how shared normative powers give rise to the asymmetry of adolescent consent and refusal.

    Science.gov (United States)

    Manson, Neil C

    2015-02-01

    In many jurisdictions, adolescents acquire the right to consent to treatment; but in some cases their refusals - e.g. of life-saving treatment - may not be respected. This asymmetry of adolescent consent and refusal seems puzzling, even incoherent. The aim here is to offer an original explanation, and a justification, of this asymmetry. Rather than trying to explain the asymmetry in terms of a variable standard of competence - where the adolescent is competent to consent to, but not refuse, certain interventions - the account offered here focuses more closely on the normative power to render actions permissible. Where normative powers are shared they can readily give rise to an asymmetry between consent and refusal. We then turn to why it is justifiable that normative powers be shared in adolescence. Transitional paternalism holds that the acquisition of normative powers by competent adolescents should not be an instant one, achieved in a single step, but that there should be a transitional period where paternalistic protection is rolled back, but not entirely withdrawn until a later date. Transitional paternalism could be implemented without generating the asymmetry between consent and refusal but, it is argued, the asymmetric version of transitional paternalism is to be preferred insofar as it offers a greater respect for the adolescent's decisions than the symmetrical alternative. © 2014 John Wiley & Sons Ltd.

  5. Coal fires, fresh air and the hardy British: A historical view of domestic energy efficiency and thermal comfort in Britain

    International Nuclear Information System (INIS)

    Rudge, Janet

    2012-01-01

    Fuel poverty has been most commonly researched in the UK although it is experienced in other parts of Europe, to varying degrees. showed that energy inefficient buildings and heating systems are the most significant components of fuel poverty and highlighted the legacy of older buildings in this country that remain the majority of those now recognised as hard to treat. This paper considers the historical context for fuel poverty as a particularly British phenomenon. It examines claims that this is due to the mild climate and low indoor temperature expectations. It is concluded that there are significant differences from the European situation. The climate, particularly its characteristic changeability, has influenced building and heating methods, and the low priority given to energy efficiency by legislators. Significantly, economic priorities produced poor quality mass housing during the industrial revolution. The availability of coal encouraged the use of open fires, which demanded high ventilation rates. The British do value warmth but older buildings designed for heating with radiant open fires are difficult to adapt to convective central heating. Lessons can be drawn for newly industrialised economies similarly producing poor quality mass housing with low priorities for energy efficiency. - Highlights: ► Historical reasons for fuel poverty as a particularly UK phenomenon are considered. ► There are significant differences with the European situation. ► The changeable climate influenced building and heating methods as well as health. ► Fuel supply encouraged heating by inefficient open fires that needed draughts. ► Improving airtightness in an oldhousing stock remains challenging.

  6. Lime helps establish crownvetch on coal-breaker refuse

    Science.gov (United States)

    Miroslaw M. Czapowskyj; Edward A. Sowa

    1976-01-01

    A study was begun in 1965 to determine the effect of lime fertilizer, and mulch on the establishment and growth of crownvetch crowns planted on anthracite coal-breaker refuse. After 7 years the lime application had by far the strongest effect. Both 2.5 and 5.0 tons per acre increased survival and ground cover manyfold, and both treatments were equally beneficial from...

  7. [Refusal of care and respect of the body].

    Science.gov (United States)

    Bernard, Marie-Fleur

    Patients receive numerous care procedures which they may refuse for physical and/or psychological reasons, even if, sometimes, the consequences for them can be dramatic. Faced with this situation, caregivers are helpless. Only ethical reflection centred on their responsibility and their humanity can guide them towards the suitable attitude to adopt. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  8. Correlates of HIV testing refusal among emergency department patients in the opt-out testing era.

    Science.gov (United States)

    Setse, Rosanna W; Maxwell, Celia J

    2014-05-01

    Opt-out HIV screening is recommended by the CDC for patients in all healthcare settings. We examined correlates of HIV testing refusal among urban emergency department (ED) patients. Confidential free HIV screening was offered to 32,633 ED patients in an urban tertiary care facility in Washington, DC, during May 2007-December 2011. Demographic differences in testing refusals were examined using χ(2) tests and generalized linear models. HIV testing refusal rates were 47.7 % 95 % CI (46.7-48.7), 11.7 % (11.0-12.4), 10.7 % (10.0-11.4), 16.9 % (15.9-17.9) and 26.9 % (25.6-28.2) in 2007, 2008, 2009, 2010 and 2011 respectively. Persons 33-54 years of age [adjusted prevalence ratio (APR) 1.42, (1.36-1.48)] and those ≥ 55 years [APR 1.39 (1.31-1.47)], versus 33-54 years; and females versus males [APR 1.07 (1.02-1.11)] were more likely to refuse testing. Opt-out HIV testing is feasible and sustainable in urban ED settings. Efforts are needed to encourage testing among older patients and women.

  9. Energy production from biomass

    International Nuclear Information System (INIS)

    Bestebroer, S.I.

    1995-01-01

    The aim of the task group 'Energy Production from Biomass', initiated by the Dutch Ministry of Economic Affairs, was to identify bottlenecks in the development of biomass for energy production. The bottlenecks were identified by means of a process analysis of clean biomass fuels to the production of electricity and/or heat. The subjects in the process analysis are the potential availability of biomass, logistics, processing techniques, energy use, environmental effects, economic impact, and stimulation measures. Three categories of biomass are distinguished: organic residual matter, imported biomass, and energy crops, cultivated in the Netherlands. With regard to the processing techniques attention is paid to co-firing of clean biomass in existing electric power plants (co-firing in a coal-fired power plant or co-firing of fuel gas from biomass in a coal-fired or natural gas-fired power plant), and the combustion or gasification of clean biomass in special stand-alone installations. 5 figs., 13 tabs., 28 refs

  10. The importance of fossil-fired power plants for the future energy supply

    International Nuclear Information System (INIS)

    Czychon, K.H.

    2013-01-01

    In response to the nuclear disaster in Fukushima and the phasing out of nuclear energy in Germany which is planned up to the year 2022, in addition to the already decommissioned nuclear power plants, a further outage capacity of approximately 13 MW will result. Against the background of the unresolved storage problem, regardless of further expansion of the use of renewable energy sources, the need arises for additional fossil-fueled power plants, i.e. gas and coal power plants. The development of gas prices shows that a further expansion of the gas turbine power plants is limited for economic reasons. This leads to the consequence that the future coal-fired power plants are needed to produce electricity. To meet the requirements for a reduction of CO 2 emissions laws, new power plants must be built with increased efficiency compared to previous systems. In order to meet the challenges of future fossil fuel power plant generations, the Grosskraftwerk Mannheim (Large-scale Power Plant Mannheim) is involved in numerous research projects to increase efficiency, reduce harmful emissions and economic implementation of ambitious technologies.

  11. [School refusal and dropping out of school: positioning regarding a Swiss perspective].

    Science.gov (United States)

    Walitza, Susanne; Melfsen, Siebke; Della Casa, André; Schneller, Lena

    2013-01-01

    This article deals with refusal to attend school and dropping out of school from the point of view of child and adolescent psychiatry and psychology, in German speaking countries and from the perspective of Swiss schools and their administrative bodies. General epidemiological data on refusal to attend school show that approximately 5% of children and adolescents are likely to try to avoid attending school at some point. There is very little data available on the frequency of school drop-out. In the past two years (2011 and 2012), approximately 2% of all patients seen for the first time at the department of Child and Adolescent Psychiatry, University Zurich, were referred because of failure to attend school, making this phenomenon one of the most common reasons for referral in child and adolescent psychiatry. After a discussion of the epidemiology, symptomatology, causes and its risk factors, the article presents examples drawn from practice and guidelines for intervention in cases of refusal to attend school, and discusses ways of preventing school drop-out from the point of view of schools, hospitals and bodies such as educational psychology services in Switzerland.

  12. The Secret Drama at the Patient's Bedside-Refusal of Treatment Because of the Practitioner's Ethnic Identity: The Medical Staff 's Point of View.

    Science.gov (United States)

    Popper-Giveon, Ariela; Keshet, Yael

    2018-04-01

    Patients' refusal of treatment based on the practitioner's ethnic identity reveals a clash of values: neutrality in medicine versus patient-centered care. Taking the Israeli-Palestinian conflict into account, this article aims at examining Israeli health care professionals' points of view concerning patients' refusal of treatment because of a practitioner's ethnic identity. Fifty in-depth interviews were conducted with 10 managers and 40 health care professionals, Jewish and Arab, employed at 11 public hospitals. Most refusal incidents recorded are unidirectional: Jewish patients refusing to be treated by Arab practitioners. Refusals are usually directed toward nurses and junior medical staff members, especially if recognizable as religious Muslims. Refusals are often initiated by the patients' relatives and occur more frequently during periods of escalation in the conflict. The structural competency approach can be applied to increase awareness of the role of social determinants in shaping patients' ethnic-based treatment refusals and to improve the handling of such incidents.

  13. Summary of fire protection programs of the United States Department of Energy

    International Nuclear Information System (INIS)

    1991-10-01

    This edition of the Annual Summary of DOE Fire Protection Programs continues the series started in 1972. Since May 1950, an annual report has been required from each field organization. The content has varied through the years and most of the accident data reporting requirements have been superseded by the Computerized Accident/Incident Reporting System administered by EG ampersand G, Idaho. However, this report is the sole source of information relating to fire protection programs, and to the actions of the field offices and to headquarters that are of general fire protection interest

  14. FIRE

    International Nuclear Information System (INIS)

    Brtis, J.S.; Hausheer, T.G.

    1990-01-01

    FIRE, a microcomputer based program to assist engineers in reviewing and documenting the fire protection impact of design changes has been developed. Acting as an electronic consultant, FIRE is designed to work with an experienced nuclear system engineer, who may not have any detailed fire protection expertise. FIRE helps the engineer to decide if a modification might adversely affect the fire protection design of the station. Since its first development, FIRE has been customized to reflect the fire protection philosophy of the Commonwealth Edison Company. That program is in early production use. This paper discusses the FIRE program in light of its being a useful application of expert system technologies in the power industry

  15. A Review of Fire Interactions and Mass Fires

    Directory of Open Access Journals (Sweden)

    Mark A. Finney

    2011-01-01

    Full Text Available The character of a wildland fire can change dramatically in the presence of another nearby fire. Understanding and predicting the changes in behavior due to fire-fire interactions cannot only be life-saving to those on the ground, but also be used to better control a prescribed fire to meet objectives. In discontinuous fuel types, such interactions may elicit fire spread where none otherwise existed. Fire-fire interactions occur naturally when spot fires start ahead of the main fire and when separate fire events converge in one location. Interactions can be created intentionally during prescribed fires by using spatial ignition patterns. Mass fires are among the most extreme examples of interactive behavior. This paper presents a review of the detailed effects of fire-fire interaction in terms of merging or coalescence criteria, burning rates, flame dimensions, flame temperature, indraft velocity, pulsation, and convection column dynamics. Though relevant in many situations, these changes in fire behavior have yet to be included in any operational-fire models or decision support systems.

  16. Constructive and Destructive Aspects of Refusal from Communication

    Directory of Open Access Journals (Sweden)

    Marianna A. Gulyaeva

    2016-12-01

    Full Text Available The article investigates the phenomenon of refusal from communication in terms of its positive and negative impact, both on the communicative process, and interpersonal relationships in general. It has been analyzed several aspects of the failure to communicate with positive communication position. The identification of constructive or destructive potential was carried out on the basis of three parameters such as productivity/ unproductive conflict resolution with the help of avoiding communication, the choice of an optimum way of non-communication and its role in the communication process on the basis of the functions performed by them. Failure to communicate is often perceived negatively and is considered an inefficient form of communication, so it does not allow to solve interpersonal conflicts. This article discusses the circumstances where refusal from communication advocates an effective way to avoid conflict. In situations where the termination of communication is inevitable, a fundamental factor for the positive, harmonious form of communication acts interrupting the communication process. Functioning in the communicative space, failure to communicate can either destroy an interaction and relationship between the partners, and regulate the communication process by guiding in the right direction, coordinating the behavior of communication.

  17. [Refusal of care in the intensive care: how makes decision?].

    OpenAIRE

    Borel , Marie; Veber , Benoit; Villette-Baron , Karen; Hariri , S.; Dureuil , Bertrand; Hervé , Christian

    2009-01-01

    International audience; It is not a question of going towards a systematic admission in intensive care of any patient proposed, but to make sure that so if there is a refusal, it is carried out according to a step ethically acceptable.

  18. Integrating geothermal into coal-fired power plant with carbon capture: A comparative study with solar energy

    International Nuclear Information System (INIS)

    Wang, Fu; Deng, Shuai; Zhao, Jun; Zhao, Jiapei; Yang, Guohua; Yan, Jinyue

    2017-01-01

    Highlights: • Post-combustion carbon capture integrating geothermal energy was proposed. • A 300 MWe subcritical coal-fired plant was selected as the baseline. • The geothermal assisted carbon capture system was compared with solar assisted carbon capture plant. • Two different locations were chosen for the technical and economical comparison. • Using medium temperature geothermal thermal energy to replace steam extraction performs better performance. - Abstract: A new system integrating geothermal energy into post-combustion carbon capture is proposed in this paper. Geothermal energy at medium temperatures is used to provide the required thermal heat for solvent regeneration. The performance of this system is compared with solar assisted carbon capture plant via technical and economic evaluation. A 300 MWe coal-fired power plant is selected as the reference case, and two different locations based on the local climatic conditions and geothermal resources are chosen for the comparison. The results show that the geothermal assisted post-combustion carbon capture plant has better performances than the solar assisted one in term of the net power output and annual electricity generation. The net plant average efficiency based on lower heating value can be increased by 2.75% with a thermal load fraction of about 41%. Results of economic assessment show that the proposed geothermal assisted post-combustion carbon capture system has lower levelized costs of electricity and cost of carbon dioxide avoidance compared to the solar assisted post-combustion carbon capture plant. In order to achieve comparative advantages over the reference post-combustion carbon capture plant in both locations, the price of solar collector has to be lower than 70 USD/m 2 , and the drilling depth of the geothermal well shall be less than 2.1 km.

  19. Burning behavior in a poor-ventilation compartment fire - ghosting fire

    International Nuclear Information System (INIS)

    Sugawa, Osami; Kawagoe, Kunio; Oka, Yasushi

    1991-01-01

    We investigated compartment fire behavior under poor-ventilation conditions using a methyl alcohol pool fire as the source with a diameter of 30 cm set in a tight box of 2 m (W)x3 m(L)x0.6 m(H). The temperatures in the box and the fuel, gas concentrations of CO, CO 2 , and O 2 , and the fuel consumption rate were measured simultaneously. The burning fuel surface level was kept constant during the test by means of an automatic fuel supply system. It was found that the flame begun to detach from the fuel surface as the oxygen concentration decreased to about 16%, and the color changed to pale blue. The flame detached completely from the fuel and a 'ghosting flame' was observed just under the ceiling which showed a thin pale blue flame and looked line an aurora. The oxygen concentration measured in the ghosting period under the ceiling was 9-10 vol%, and CO 2 was 4.5 vol% so that the oxygen of such concentration acted as in inert gas. CO 2 gas concentration looked almost a single-layer with gradient in the upper half part in ghosting period. Temperatures in the same layer decreased after ghosting occurred with gradient. For poor-ventilated fires, air exchange rate as 1.6-2.4 times/hr was estimated in the test; the burning rate decreased finally to about 1/6 of the fuel controlled fire. It has been tacitly assumed that the flame (reaction zone) and pyrolyzing material area (fuel) exit in almost the same zone, but ghosting fire is not necessarily the case. Therefore, extinguishment of ghosting fire which may occur in an enclosure with fuel and energy rich but poor-ventilation such as a power plant will be extremely difficult. (orig.)

  20. The moderating role of risk-taking tendency and refusal assertiveness on social influences in alcohol use among inner-city adolescents.

    Science.gov (United States)

    Epstein, Jennifer A; Botvin, Gilbert J

    2002-07-01

    Many etiological models of adolescent alcohol use concentrate on the main effects of risk and protective factors. This study examined the moderating influence of risk-taking tendency and refusal assertiveness on perceived friends' drinking as associated with alcohol use among inner-city adolescents. Participants (N = 2,400; 54% female) completed questionnaires that included measures of risk-taking tendency, refusal assertiveness, perceived friends' drinking and alcohol use (drinking frequency, drinking amount and drunkenness). Main effects for perceived friends' drinking, risk-taking tendency and refusal assertiveness were found for all three drinking measures, consistent with prior work. Furthermore, significant interactions were found between (1) risk-taking tendency and perceived friends' drinking and (2) refusal assertiveness and perceived friends' drinking. High risk-taking tendency and low refusal assertiveness increased the impact of perceived friends' drinking on alcohol use among inner-city adolescents. This suggests that these factors are important components in preventing alcohol use.

  1. Patient refusal for regional anesthesia in elderly orthopedic population: A cross-sectional survey at a tertiary care hospital.

    Science.gov (United States)

    Salam, Asma Abdus; Afshan, Gauhar

    2016-01-01

    Improvements in pain management techniques in the last decade have had a major impact on the practice of orthopedic surgeries, for example, total hip arthroplasty and total knee arthroplasty. Although there are a number of treatment options for postoperative pain, a gold standard has not been established. In our institution, both general anesthesia and regional anesthesia (RA), are being offered to the elderly orthopedic population but RA is not frequently accepted by elderly population. The objective of this study was to determine the frequency of various reasons for refusal of RA in elderly patients undergoing orthopedic surgeries. A prospective study conducted over a period of 1 year, had 549 patients with ages above 60 years who underwent different types of elective orthopedic procedures 182 patients who refused RA were interviewed according to a structured questionnaire designed to assess the reasons of refusal. Most common reason for the refusal of RA was surgeon's choice (38.5%), whereas 20.3% of the patients were unaware about the RA. There was a significant association between female gender and refusing RA due to backache (17.2%) and fear of being awake during the operation (24.1%) respectively. This survey showed that the main reasons among elderly female population were the fear of remaining awake and backache. However, overall it was the surgeon's choice which made patients refuse RA, and the anesthesiologists were the main source of information.

  2. [Anorexia and refusal to eat in the elderly].

    Science.gov (United States)

    Hazif-Thomas, Cyril; Thomas, Philippe

    2016-01-01

    The question of the links between anorexia and the refusal to eat in the elderly is often the cause of major difficulties with regard to therapeutic strategies within caregiving teams. Likewise, few studies have been carried out into the diachronic links between teenage anorexia and that of the elderly. The role of the multi-disciplinary team is essential. Copyright © 2015. Published by Elsevier Masson SAS.

  3. FIRES: Fire Information Retrieval and Evaluation System - A program for fire danger rating analysis

    Science.gov (United States)

    Patricia L. Andrews; Larry S. Bradshaw

    1997-01-01

    A computer program, FIRES: Fire Information Retrieval and Evaluation System, provides methods for evaluating the performance of fire danger rating indexes. The relationship between fire danger indexes and historical fire occurrence and size is examined through logistic regression and percentiles. Historical seasonal trends of fire danger and fire occurrence can be...

  4. X-Ray diffraction and scanning electron microscopy-energy dispersive spectroscopic analysis of ceramõmetal interface at different firing temperatures

    Directory of Open Access Journals (Sweden)

    Monika Saini

    2010-01-01

    Full Text Available Objective: Porcelain chipping from porcelain fused to metal restoration has been Achilles heel till date. There has been advent of newer ceramics in past but but none of them has been a panacea for Porcelain fracture. An optimal firing is thus essential for the clinical success of the porcelain-fused to metal restoration. The aim of the present study was to evaluate ceramo-metal interface at different firing temperature using XRD and SEM-EDS analysis. Clinical implication of the study was to predict the optimal firing temperature at which porcelain should be fused with metal in order to possibly prevent the occasional failure of the porcelain fused to metal restorations. Materials and Methods: To meet the above-mentioned goal, porcelain was fused to metal at different firing temperatures (930-990°C in vacuum. The microstructural observations of interface between porcelain and metal were evaluated using X-ray diffraction and scanning electron microscopy with energy dispersive spectroscopy. Results: Based on the experimental investigation of the interaction zone of porcelain fused to metal samples, it was observed that as the firing temperature was increased, the pores became less in number as well as the size of the pores decreased at the porcelain/metal interface upto 975°C but increased in size at 990°C. The least number of pores with least diameter were found in samples fired at 975°C. Several oxides like Cr 2 O 3 , NiO, and Al 2 O 3 and intermetallic compounds (CrSi 2 , AlNi 3 were also formed in the interaction zone. Conclusions : It is suggested that the presence of pores may trigger the crack propagation along the interface, causing the failure of the porcelain fused to metal restoration during masticatory action.

  5. Ways to Say No: Refusal Skill Strategies among Urban Adolescents

    Science.gov (United States)

    Nichols, Tracy R.; Graber, Julia A.; Brooks-Gunn, Jeanne; Botvin, Gilbert J.

    2006-01-01

    Objectives: To examine associations among adolescents' generated verbal strategies (ie, Simple No, Declarative Statements, Excuse, Alternatives) and underlying nonverbal assertiveness in 2 refusal situations: smoking and shoplifting. Methods: Sixth-grade urban minority students (N = 454) participated in videotaped role-play assessments of peer…

  6. Fire propagation equation for the explicit identification of fire scenarios in a fire PSA

    International Nuclear Information System (INIS)

    Lim, Ho Gon; Han, Sang Hoon; Moon, Joo Hyun

    2011-01-01

    When performing fire PSA in a nuclear power plant, an event mapping method, using an internal event PSA model, is widely used to reduce the resources used by fire PSA model development. Feasible initiating events and component failure events due to fire are identified to transform the fault tree (FT) for an internal event PSA into one for a fire PSA using the event mapping method. A surrogate event or damage term method is used to condition the FT of the internal PSA. The surrogate event or the damage term plays the role of flagging whether the system/component in a fire compartment is damaged or not, depending on the fire being initiated from a specified compartment. These methods usually require explicit states of all compartments to be modeled in a fire area. Fire event scenarios, when using explicit identification, such as surrogate or damage terms, have two problems: there is no consideration of multiple fire propagation beyond a single propagation to an adjacent compartment, and there is no consideration of simultaneous fire propagations in which an initiating fire event is propagated to multiple paths simultaneously. The present paper suggests a fire propagation equation to identify all possible fire event scenarios for an explicitly treated fire event scenario in the fire PSA. Also, a method for separating fire events was developed to make all fire events a set of mutually exclusive events, which can facilitate arithmetic summation in fire risk quantification. A simple example is given to confirm the applicability of the present method for a 2x3 rectangular fire area. Also, a feasible asymptotic approach is discussed to reduce the computational burden for fire risk quantification

  7. Coal fires in Indonesia

    Energy Technology Data Exchange (ETDEWEB)

    Whitehouse, Alfred E.; Mulyana, Asep A.S. [Office of Surface Mining/Ministry of Energy and Mineral Resources Coal Fire Project, Ministry of Energy and Mineral Resources, Agency for Training and Education, Jl. Gatot Subroto, Kav. 49, Jakarta 12950 (Indonesia)

    2004-07-12

    Indonesia's fire and haze problem is increasingly being ascribed to large-scale forest conversion and land clearing activities making way for pulpwood, rubber and oil palm plantations. Fire is the cheapest tool available to small holders and plantation owners to reduce vegetation cover and prepare and fertilize extremely poor soils. Fires that escaped from agricultural burns have ravaged East Kalimantan forests on the island of Borneo during extreme drought periods in 1982-1983, 1987, 1991, 1994 and 1997-1998. Estimates based on satellite data and ground observations are that more than five million hectares were burned in East Kalimantan during the 1997/1998 dry season. Not only were the economic losses and ecological damage from these surface fires enormous, they ignited coal seams exposed at the ground surface along their outcrops.Coal fires now threaten Indonesia's shrinking ecological resources in Kutai National Park and Sungai Wain Nature Reserve. Sungai Wain has one of the last areas of unburned primary rainforest in the Balikpapan-Samarinda area with an extremely rich biodiversity. Although fires in 1997/1998 damaged nearly 50% of this Reserve and ignited 76 coal fires, it remains the most valuable water catchment area in the region and it has been used as a reintroduction site for the endangered orangutan. The Office of Surface Mining provided Indonesia with the capability to take quick action on coal fires that presented threats to public health and safety, infrastructure or the environment. The US Department of State's Southeast Asia Environmental Protection Initiative through the US Agency for International Development funded the project. Technical assistance and training transferred skills in coal fire management through the Ministry of Energy and Mineral Resource's Training Agency to the regional offices; giving the regions the long-term capability to manage coal fires. Funding was also included to extinguish coal fires as

  8. Fire and Smoke Model Evaluation Experiment: Coordination of a study to improve smoke modeling for fire operations within the United States

    Science.gov (United States)

    French, N. H. F.; Ottmar, R. D.; Brown, T. J.; Larkin, N. K.

    2017-12-01

    The Fire and Smoke Model Evaluation Experiment (FASMEE) is an integrative research effort to identify and collect critical measurements to improve operational wildland fire and smoke prediction systems. FASMEE has two active phases and one suggested phase. Phase 1 is the analysis and planning process to assess the current state of fire-plume-smoke modeling and to determine the critical measurements required to evaluate and improve these operational fire and smoke models. As the major deliverable for Phase 1, a study plan has been completed that describes the measurement needs, field campaigns, and command, safety and air space de-confliction plans necessary to complete the FASMEE project. Phase 2 is a set of field campaigns to collect data during 2019-2022. Future Improvements would be a set of analyses and model improvements based on the data collected within Phase 2 that is dependent on identifying future funding sources. In this presentation, we will review the FASMEE Study Plan and detailed measurements and conditions expected for the four to five proposed research burns. The recommended measurements during Phase 2 span the four interrelated disciplines of FASMEE: fuels and consumption, fire behavior and energy, plume dynamics and meteorology, and smoke emissions, chemistry, and transport. Fuel type, condition, and consumption during wildland fire relates to several fire impacts including radiative heating, which provides the energy that drives fire dynamics. Local-scale meteorology is an important factor which relates to atmospheric chemistry, dispersion, and transport. Plume dynamics provide the connection between fire behavior and far-field smoke dispersion, because it determines the vertical distribution of the emissions. Guided by the data needs and science questions generated during Phase 1, three wildland fire campaigns were selected. These included the western wildfire campaign (rapid deployment aimed at western wildfires supporting NOAA, NASA, and NSF

  9. Electrical Switchgear Building No. 5010-ESF Fire Hazards Technical Report

    International Nuclear Information System (INIS)

    N.M. Ruonavaara

    2001-01-01

    The purpose of this Fire Hazards Analysis Technical Report (hereinafter referred to as Technical Report) is to assess the risk from fire within individual fire areas to ascertain whether the U.S. Department of Energy (DOE) fire safety objectives are met. The objectives, identified in DOE Order 420.1, Change 2, Fire Safety, Section 4.2, establish requirements for a comprehensive fire and related hazards protection program for facilities sufficient to minimize the potential for: (1) The occurrence of a fire or related event; (2) A fire that causes an unacceptable on-site or off-site release of hazardous or radiological material that will threaten the health and safety of the employees, the public, and the environment; (3) Vital DOE programs suffering unacceptable interruptions as a result of fire and related hazards; (4) Property losses from a fire and related events exceeding defined limits established by DOE; and (5) Critical process controls and safety class systems being damaged as a result of a fire and related event

  10. New tendencies in wildland fire simulation for understanding fire phenomena: An overview of the WFDS system capabilities in Mediterranean ecosystems

    Science.gov (United States)

    Pastor, E.; Tarragó, D.; Planas, E.

    2012-04-01

    Wildfire theoretical modeling endeavors predicting fire behavior characteristics, such as the rate of spread, the flames geometry and the energy released by the fire front by applying the physics and the chemistry laws that govern fire phenomena. Its ultimate aim is to help fire managers to improve fire prevention and suppression and hence reducing damage to population and protecting ecosystems. WFDS is a 3D computational fluid dynamics (CFD) model of a fire-driven flow. It is particularly appropriate for predicting the fire behaviour burning through the wildland-urban interface, since it is able to predict the fire behaviour in the intermix of vegetative and structural fuels that comprise the wildland urban interface. This model is not suitable for operational fire management yet due to computational costs constrains, but given the fact that it is open-source and that it has a detailed description of the fuels and of the combustion and heat transfer mechanisms it is currently a suitable system for research purposes. In this paper we present the most important characteristics of the WFDS simulation tool in terms of the models implemented, the input information required and the outputs that the simulator gives useful for understanding fire phenomena. We briefly discuss its advantages and opportunities through some simulation exercises of Mediterranean ecosystems.

  11. Carbon-13 nuclear magnetic resonance spectroscopic characterization of humic substances from municipal refuse decomposing in a landfill

    International Nuclear Information System (INIS)

    Newman, R.H.; Theng, B.K.G.; Filip, Z.

    1987-01-01

    Municipal refuse was disposed of in simulated landfills and left for periods of more than 20 months. Three different 40 m 3 systems of disposals were studied, namely (i) where the refuse was compacted, (ii) where it was mixed with sewage sludge and left uncompacted, and (iii) where it was compacted with sewage sludge. At 2, 6, 12 and 20 months, the humic substances were extracted from each system, purified, and characterised by cross-polarisation 13 C NMR spectroscopy with 'magic-angle' sample spinning. The areas under the various signals were related to carbon percentages in different structural categories. The aromaticity of the humic acids increased with time of decomposition; those from refuse mixed with sewage sludge were particularly high in phenolic content. A signal at 174 p.p.m., assigned primarily to secondary amide linkages, reached maximum strength after 6 to 12 months decomposition. The carbohydrate contents of the humic acids showed only small variations as decomposition progressed. Polymethylene chains in lipids, particularly for the uncompacted system, accounted for a diminishing fraction of total carbon as time of refuse disposal increased. The spectrum of a soil humic acid showed features similar to those observed in spectra of humic acids derived from refuse, but the signals were less well resolved. 19 refs.; 8 figs.; 3 tabs

  12. Understanding treatment refusal among adults presenting for HIV-testing in Soweto, South Africa: a qualitative study.

    Science.gov (United States)

    Katz, Ingrid T; Dietrich, Janan; Tshabalala, Gugu; Essien, Thandekile; Rough, Kathryn; Wright, Alexi A; Bangsberg, David R; Gray, Glenda E; Ware, Norma C

    2015-04-01

    HIV treatment initiatives have focused on increasing access to antiretroviral therapy (ART). There is growing evidence, however, that treatment availability alone is insufficient to stop the epidemic. In South Africa, only one third of individuals living with HIV are actually on treatment. Treatment refusal has been identified as a phenomenon among people who are asymptomatic, however, factors driving refusal remain poorly understood. We interviewed 50 purposively sampled participants who presented for voluntary counseling and testing in Soweto to elicit a broad range of detailed perspectives on ART refusal. We then integrated our core findings into an explanatory framework. Participants described feeling "too healthy" to start treatment, despite often having a diagnosis of AIDS. This subjective view of wellness was framed within the context of treatment being reserved for the sick. Taking ART could also lead to unintended disclosure and social isolation. These data provide a novel explanatory model of treatment refusal, recognizing perceived risks and social costs incurred when disclosing one's status through treatment initiation. Our findings suggest that improving engagement in care for people living with HIV in South Africa will require optimizing social integration and connectivity for those who test positive.

  13. Refusal of recommended maternity care: Time to make a pact with women?

    Science.gov (United States)

    Jenkinson, Bec; Kruske, Sue; Kildea, Sue

    2018-03-28

    The right to refuse medical treatment can be contentious in maternity care. Professional guidance for midwives and obstetricians emphasises informed consent and respect for patient autonomy, but there is little guidance available to clinicians about the appropriate clinical responses when women decline recommended care. We propose a comprehensive, woman-centred, systems-level framework for documentation and communication with the goal of supporting women, clinicians and health services in situations of maternal refusal. We term this the Personalised Alternative Care and Treatment framework. The Personalised Alternative Care and Treatment framework addresses Australian policy, practice, education and professional issues to underpin woman-centred care in the context of maternal refusal. It embeds Respectful Maternity Care in system-level maternity care policy; highlights the woman's role as decision maker about her maternity care; documents information exchanged with women; creates a 'living' plan that respects the woman's birth intentions and can be reviewed as circumstances change; enables communication between clinicians; permits flexible initiation pathways; provides for professional education for clinicians, and incorporates a mediation role to act as a failsafe. The Personalised Alternative Care and Treatment framework has the potential to meet the needs of women, clinicians and health services when pregnant women decline recommended maternity care. Copyright © 2018. Published by Elsevier Ltd.

  14. Comparison of the characteristics of fire and non-fire households in the 2004-2005 survey of fire department-attended and unattended fires.

    Science.gov (United States)

    Greene, Michael A

    2012-06-01

    Comparison of characteristics of fire with non-fire households to determine factors differentially associated with fire households (fire risk factors). National household telephone survey in 2004-2005 by the US Consumer Product Safety Commission with 916 fire households and a comparison sample of 2161 non-fire households. There were an estimated 7.4 million fires (96.6% not reported to fire departments) with 130,000 injuries. Bivariate analysis and multivariate logistic regression analyses to assess differences in household characteristics. Significant factors associated with fire households were renting vs. owning (OR 1.988 pfire households with non-cooking fires (OR 1.383 p=0.0011). Single family houses were associated with non-fire households in the bivariate analysis but not in the multivariate analyses. Renting, household members under 18 years old and smokers are risk factors for unattended fires, similar to the literature for fatal and injury fires. Differences included household members over 65 years old (associated with non-fire households), college/postgraduate education (associated with fire households) and lack of significance of income. Preventing cooking fires (64% of survey incidents), smoking prevention efforts and fire prevention education for families with young children have the potential for reducing unattended fires and injuries.

  15. Retrofit options to enable biomass firing at Irish peat plants: Background report 4.2 for the EU Joule 2+ project: Energy from biomass: An assessment of two promising systems for energy production

    International Nuclear Information System (INIS)

    Van den Broek, R.; Faaij, A.; Blaney, G.

    1995-05-01

    An overview is given of the most promising options for retrofitting existing Irish peat plants to accept biomass fuel. It is expected that with low investment costs the existing peat stations can be adapted to enable them to fire biomass. It will also be possible to co-fire peat and biomass, this option will become a way of using biomass in power generation with relatively low risk, both on the field of initial investments and supply security. The objectives of this report are: assessing the different technical options for retrofitting the plants to enable biomass firing; provide investment costs, efficiencies, emissions and expected lifetimes for the different retrofit options. The results from this study are used in the final integration phase of the EU-Joule project 'Energy from biomass'. Chapter 2 deals with methodological considerations which have been made in estimation of the investment costs. In chapter 3 the present situation is described. Both peat harvesting and power plant operation of both sod and milled peat plants are explained. Also some past experiences with wood chips firing in Irish peat stations are discussed. Chapter 4 gives a general view on retrofitting peat plants to enable biomass firing. Some starting points like biomass fuel feeding and emission standards that have to be met are highlighted. The rationale behind four main choices are given. Finally, a technical description is presented of the two boiler adaptations that will be considered among the different retrofit options, namely conversion of milled peat units into bubbling fluidized bed and into a whole tree energy unit. Six retrofit options are described in more detail in chapter 5. Information is given on the present status of the plants, the technical considerations of the retrofit, expected performance and an estimation of a range in which the investment costs can be expected. 4 figs., 10 tabs., 5 appendices

  16. Electric equipment for Koto Refuse Incineration Plant; Tokyoto Koto seiso kojo muke denki setsubi

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-10

    Meidensha Corporation, intending to enter into refuse disposal business, delivered electric equipment to a Koto Refuse Incineration Plant, Koto Ward, Tokyo, and the facilities came into operation in October, 1998. The plant is the largest in Japan in terms of refuse processing capacity (1800t/day), and efforts are exerted to harmonize the plant with the surroundings, which involve pollution measures and a building that images a cruising yacht. The power receiving facility consists of a 66kV nominal two-circuit gas insulated switch and gas insulated transformer arranged in a space saving design. Heat from refuse incineration is fed to a steam turbine generator (yielding 50MW, the largest in Japan, with the surplus offered for sale after 15MW fed to loads in the site) and to neighboring facilities. For the suppression of fluctuations in voltage at the power receiving point, reactive power is subjected to control which is done by controlling the generator magnetic field system. An 11kV distribution system is provided to match the steam turbine generator voltage, and the voltage is stepped down to 6.6kV with the intermediary of a 23MVA gas insulated transformer. The power is fed to high voltage motors such as the one used for the induced draft fan, electric equipment in the buildings, power facilities in the plant, etc. A power monitoring board is provided in the central control room for general supervision over the power related facilities. (NEDO)

  17. GASIFICATION BASED BIOMASS CO-FIRING

    Energy Technology Data Exchange (ETDEWEB)

    Babul Patel; Kevin McQuigg; Robert Toerne; John Bick

    2003-01-01

    Biomass gasification offers a practical way to use this widespread fuel source for co-firing traditional large utility boilers. The gasification process converts biomass into a low Btu producer gas that can be used as a supplemental fuel in an existing utility boiler. This strategy of co-firing is compatible with a variety of conventional boilers including natural gas and oil fired boilers, pulverized coal fired conventional and cyclone boilers. Gasification has the potential to address all problems associated with the other types of co-firing with minimum modifications to the existing boiler systems. Gasification can also utilize biomass sources that have been previously unsuitable due to size or processing requirements, facilitating a wider selection of biomass as fuel and providing opportunity in reduction of carbon dioxide emissions to the atmosphere through the commercialization of this technology. This study evaluated two plants: Wester Kentucky Energy Corporation's (WKE's) Reid Plant and TXU Energy's Monticello Plant for technical and economical feasibility. These plants were selected for their proximity to large supply of poultry litter in the area. The Reid plant is located in Henderson County in southwest Kentucky, with a large poultry processing facility nearby. Within a fifty-mile radius of the Reid plant, there are large-scale poultry farms that generate over 75,000 tons/year of poultry litter. The local poultry farmers are actively seeking environmentally more benign alternatives to the current use of the litter as landfill or as a farm spread as fertilizer. The Monticello plant is located in Titus County, TX near the town of Pittsburgh, TX, where again a large poultry processor and poultry farmers in the area generate over 110,000 tons/year of poultry litter. Disposal of this litter in the area is also a concern. This project offers a model opportunity to demonstrate the feasibility of biomass co-firing and at the same time eliminate

  18. 76 FR 24467 - Fire Mountain Lodge; Notice of Application Accepted for Filing, Soliciting Motions To Intervene...

    Science.gov (United States)

    2011-05-02

    .... The existing Fire Mountain Lodge project consists of: (1) A 265- foot-long earth and concrete filled... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 1992-003] Fire Mountain.... Date filed: April 25, 2008. d. Applicant: Mr. Ken Willis. e. Name of Project: Fire Mountain Lodge. f...

  19. Remote sensing of fire severity: linking post-fire reflectance data with physiological responses in two western conifer species

    Science.gov (United States)

    Sparks, A. M.; Smith, A. M.; Kolden, C.; Apostol, K. G.; Boschetti, L.

    2014-12-01

    Fire is a common disturbance in forested ecosystems in the western U.S. and can be responsible for long-term impacts on vegetation and soil. An improved understanding of how ecosystems recover after fire is necessary so that land managers can plan for and mitigate the effects of these disturbances. Although several studies have attempted to link fire intensity with severity, direct links between spectral indices of severity and key physiological changes in vegetation are not well understood. We conducted an assessment of how two western conifer species respond to four fire radiative energy treatments, with spectra acquired pre- and up to a month post-burn. After transforming the spectral data into Landsat 8 equivalent reflectance, burn severity indices commonly used in the remote sensing community were compared to concurrent physiological measurements including gas exchange and photosynthetic rate. Preliminary results indicate significant relationships between several fire severity indices and physiological responses measured in the conifer seedlings.

  20. Mid-21st-century climate changes increase predicted fire occurrence and fire season length, Northern Rocky Mountains, United States

    Science.gov (United States)

    Riley, Karin L.; Loehman, Rachel A.

    2016-01-01

    Climate changes are expected to increase fire frequency, fire season length, and cumulative area burned in the western United States. We focus on the potential impact of mid-21st-century climate changes on annual burn probability, fire season length, and large fire characteristics including number and size for a study area in the Northern Rocky Mountains. Although large fires are rare they account for most of the area burned in western North America, burn under extreme weather conditions, and exhibit behaviors that preclude methods of direct control. Allocation of resources, development of management plans, and assessment of fire effects on ecosystems all require an understanding of when and where fires are likely to burn, particularly under altered climate regimes that may increase large fire occurrence. We used the large fire simulation model FSim to model ignition, growth, and containment of wildfires under two climate scenarios: contemporary (based on instrumental weather) and mid-century (based on an ensemble average of global climate models driven by the A1B SRES emissions scenario). Modeled changes in fire patterns include increased annual burn probability, particularly in areas of the study region with relatively short contemporary fire return intervals; increased individual fire size and annual area burned; and fewer years without large fires. High fire danger days, represented by threshold values of Energy Release Component (ERC), are projected to increase in number, especially in spring and fall, lengthening the climatic fire season. For fire managers, ERC is an indicator of fire intensity potential and fire economics, with higher ERC thresholds often associated with larger, more expensive fires. Longer periods of elevated ERC may significantly increase the cost and complexity of fire management activities, requiring new strategies to maintain desired ecological conditions and limit fire risk. Increased fire activity (within the historical range of

  1. the development of new generation of solid waste refuse incinerators

    African Journals Online (AJOL)

    Apart from town refuse, there are wastes from agriculturally based industries especially ... depends on careful control of the 3T's (time, temperature and turbulence). ... These activities cause serious public health risks ... The modifications to the old bottle incinerators were developed by carefully assessing the failure modes.

  2. 9 CFR 351.19 - Refusal of certification for specific lots.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Refusal of certification for specific lots. 351.19 Section 351.19 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION...

  3. Evaluation of fire probabilistic safety assessment for a PWR plant

    International Nuclear Information System (INIS)

    Wu, C.H.; Lin, T.J.; Kao, T.M.

    2001-01-01

    The internal fire analysis of the level 1 power operation probability safety assessment (PSA) for Maanshan (PWR) Nuclear Power Plant (MNPP) was updated. The fire analysis adopted a scenario-based PSA approach to systematically evaluate fire and smoke hazards and their associated risk impact to MNPP. The result shows that the core damage frequency (CDF) due to fire is about six times lower than the previous one analyzed by the Atomic Energy Council (AEC), Republic of China in 1987. The plant model was modified to reflect the impact of human events and recovery actions during fire. Many tabulated EXCEL spread-sheets were used for evaluation of the fire risk. The fire-induced CDF for MNPP is found to be 2.1 E-6 per year in this study. The relative results of the fire analysis will provide the bases for further risk-informed fire protection evaluation in the near future. (author)

  4. Free to become martyrs? The right to refuse medical treatment on religious grounds in a comparative perspective

    Directory of Open Access Journals (Sweden)

    Vincenzo Pacillo

    2016-09-01

     ABSTRACT: This study focuses on the right of patients to refuse medical treatments on religious grounds and on the (supposed right to the parents to refuse medical treatments on behalf of their children, emphasizing the links and connections between the freedom of religion, the right to self-determination and the right to refuse medical treatment based on religious motivations. After a comparison between the norms devoted to rule the exercise of these rights in the English (and Welsh and Italian legal systems, the article suggests that the approach of medical staff towards a Refusal of Medical Treatment on Religious Grounds ought to start an intercultural process. This process ought to be a cross-cultural dialogue devoted not only to translate medical language in a language which can be fully understood by the patient, but also to create a reciprocal comprehension between the (mainstream ethnocultural communication codes and instances of the staff and the (nondominant ethnocultural (and religious communication codes and instances of the patient (or of his/her parents.

  5. Modeling of air toxics from hydrocarbon pool fires

    International Nuclear Information System (INIS)

    Harvey, K.A.; Aydil, M.L.; Barone, J.B.

    1996-01-01

    While there is guidance for estimating the radiation hazards of fires (ARCHIE), there is little guidance on modeling the dispersion of hazardous materials from fires. The objective of this paper is to provide a review of the methodology used for modeling the impacts of liquid hydrocarbon pool fires. The required input variables for modeling of hydrocarbon pool fires include emission strength, emission duration, and dispersion characteristics. Methods for predicting the products of combustion including the use of literature values, test data, and thermodynamic equilibrium calculations are discussed. The use of energy balances coupled to radiative heat transfer calculations are presented as a method for determining flame temperature. Fire modeling literature is reviewed in order to determine other source release variables such as mass burn rate and duration and flame geometry

  6. Right of a patient to refuse medical treatment: justification for judicial ...

    African Journals Online (AJOL)

    Nnamdi Azikiwe University Journal of International Law and Jurisprudence ... This paper discusses the right of a patient to refuse medical treatment and juxtaposes ... This is achieved by an expository review of relevant case law and scholarly ...

  7. When is it permissible to dismiss a family who refuses vaccines? Legal, ethical and public health perspectives.

    Science.gov (United States)

    Halperin, Beth; Melnychuk, Ryan; Downie, Jocelyn; Macdonald, Noni

    2007-12-01

    Although immunization is one of the most important health interventions of the 20th century, cases of infectious disease continue to occur. There are parents who refuse immunization for their children, creating a dilemma for the primary care physician who must consider the best interest of the individual child as well as that of the community. Some physicians, when faced with parents who refuse immunization on behalf of their children, choose to dismiss these families from their practice. Given the existing shortage of primary care physicians across Canada, this decision to dismiss families based on vaccine refusal has far-reaching implications. The present article explores this issue in the Canadian context from a legal, ethical and public health perspective.

  8. Engineering Status of the Fusion Ignition Research Experiment (FIRE)

    International Nuclear Information System (INIS)

    Heitzenroeder, Philip J.; Meade, Dale; Thome, Richard J.

    2000-01-01

    FIRE is a compact, high field tokamak being studied as an option for the next step in the US magnetic fusion energy program. FIRE's programmatic mission is to attain, explore, understand, and optimize alpha-dominated plasmas to provide the knowledge necessary for the design of attractive magnetic fusion energy systems. This study began in 1999 with broad participation of the US fusion community, including several industrial participants. The design under development has a major radius of 2 m, a minor radius of 0.525 m, a field on axis of 10T and capability to operate at 12T with upgrades to power supplies. Toroidal and poloidal field magnets are inertially cooled with liquid nitrogen. An important goal for FIRE is a total project cost in the $1B range. This paper presents an overview of the engineering details which were developed during the FIRE preconceptual design study in FY99 and 00

  9. Individual- and regional-level determinants of human papillomavirus (HPV) vaccine refusal: the Ontario Grade 8 HPV vaccine cohort study.

    Science.gov (United States)

    Remes, Olivia; Smith, Leah M; Alvarado-Llano, Beatriz E; Colley, Lindsey; Lévesque, Linda E

    2014-10-08

    Studies on the determinants of human papillomavirus (HPV) vaccine use have generally focused on individual-level characteristics, despite the potentially important influence of regional-level characteristics. Therefore, we undertook a population-based, retrospective cohort study to identify individual- and regional-level determinants of HPV vaccine refusal (non-receipt) in Ontario's (Canada) Grade 8 HPV Immunization Program. Ontario's administrative health and immunization databases were used to identify girls eligible for free HPV vaccination in 2007-2011 and to ascertain individual-level characteristics of cohort members (socio-demographics, vaccination history, health care utilization, medical history). The social and material characteristics of the girl's region (health unit) were derived from the 2006 Canadian Census. Generalized estimating equations (binomial distribution, logit link) were used to estimate the population-average effects of individual- and regional-level characteristics on HPV vaccine refusal. Our cohort consisted of 144,047 girls, 49.3% of whom refused HPV vaccination. Factors associated with refusal included a previous diagnosis of Down's syndrome (OR = 1.37, 95% CI 1.16-1.63) or autism (OR = 1.60, 95% CI 1.34-1.90), few physician visits (OR = 1.45, 95% CI 1.35-1.55), and previous refusal of mandatory (OR = 2.23, 95% CI 2.07-2.40) and optional (OR = 3.96, 95% CI 3.87-4.05) vaccines. Refusal was highest among the lowest and highest income levels. Finally, a previous diagnosis of obesity and living in an area of high deprivation were associated with lower refusal (OR = 0.87, 95% CI 0.83-0.92 and OR = 0.82 95%, CI 0.79-0.86, respectively). Studies on HPV vaccine determinants should consider regional-level factors. Efforts to increase HPV vaccine acceptance should include vulnerable populations (such as girls of low income) and girls with limited contact with the healthcare system.

  10. Management of Older Inpatients Who Refuse Nonpsychiatric Medication Within Birmingham and Solihull Mental Health NHS Foundation Trust: Audit.

    Science.gov (United States)

    Umotong, Eno

    2016-12-01

    The effects of poor medication compliance are well documented and include increased morbidity, early mortality, and financial costs to the society. According to national guidelines, when a competent patient refuses medication, the doctor on duty has a responsibility to ensure the patient understands their proposed course of action. The aims of this audit were to evaluate whether this consultation was taking place within older in-patient units across Birmingham and Solihull Mental Health NHS Foundation Trust when patients refuse nonpsychiatric medicines. Poor compliance was defined as more than five refusals of a nonpsychiatric medication over a 4-week period. A discussion with the duty doctor occurred in 75% of cases (27/36), which resulted in a change in prescription or compliance in 59% (16/27 patients). After patient refusal of medication, a consultation with the duty doctor is likely to improve compliance and uncover salient issues particularly in regards to capacity and drug suitability.

  11. Energy, exergy, environmental and economic analysis of industrial fired heaters based on heat recovery and preheating techniques

    International Nuclear Information System (INIS)

    Shekarchian, M.; Zarifi, F.; Moghavvemi, M.; Motasemi, F.; Mahlia, T.M.I.

    2013-01-01

    Highlights: • 4-E analysis of a typical industrial grade fired heater unit is studied. • This analysis is accomplished for the first time in this study. • Heat recovery and air preheating lead to substantial reduction in the fuel consumption. • The company’s current costs are tremendously reduced by these methods. • The methods lead to mitigation in GHG emission and to reduction in the associated taxes. - Abstract: Fired heaters are ubiquitous in both the petroleum and petrochemical industries, due to it being vital in their day to day operations. They form major components in petroleum refineries, petrochemical facilities, and processing units. This study was commissioned in order to analyze the economic benefits of incorporating both heat recovery and air preheating methods into the existing fired heater units. Four fired heater units were analyzed from the energy and environmental point of views. Moreover, the second law efficiency and the rate of irreversibility were also analyzed via the exergy analysis. Both analyses was indicative of the fact that the heat recovery process enhances both the first and second law efficiencies while simultaneously assisting in the production of high and low pressure water steam. The implementation and usage of the process improves the thermal and exergy efficiencies from 63.4% to 71.7% and 49.4%, to 54.8%, respectively. Additionally, the heat recovery and air preheating methods leads to a substantial reduction in fuel consumption, in the realm of up to 7.4%, while also simultaneously decreasing heat loss and the irreversibility of the unit. Nevertheless, the results of the economic analysis posits that although utilizing an air preheater unit enhances the thermal performance of the system, due to the air preheater’s capital and maintenance costs, incorporating an air preheater unit to an existing fired heater is not economically justifiable. Furthermore, the results of the sensitivity analysis and payback period

  12. Problems and prospects of refuse disposal in nigerian urban centres ...

    African Journals Online (AJOL)

    Refuse disposal is one of the major environmental problems that developing ... The problem of waste management has two parts, that of collection and that of disposal. ... Disposal methods such as dumping sites, incineration, recycling, shipping ... citizenry has roles to play in adopting more suitable solutions to this problem.

  13. Dynamics of clean coal-fired power generation development in China

    International Nuclear Information System (INIS)

    Yue, Li

    2012-01-01

    Coal-fired power technology will play an important role over a long period in China. Clean coal-fired power technology is essential for the global GHG emission reduction. Recently, advanced supercritical (SC)/ultra-supercritical (USC) technology has made remarkable progress in China and greatly contributed to energy saving and emission reduction. This study analyzes the dynamics of SC/USC development in China from an integrated perspective. The result indicates that, besides the internal demand, the effective implementation of domestic public policy and technology transfer contributed greatly to the development of SC/USC technology in China. In future low carbon scenario, SC/USC coal-fired power technology might still be the most important power generation technology in China until 2040, and will have a significant application prospect in other developing countries. The analysis makes a very useful introduction for other advanced energy technology development, including a renewable energy technology, in China and other developing countries. - Highlights: ► The US/USC technology is the key clean coal-fired power technology in current China. ► The domestic policy and technology transfer largely contributed to their development. ► This makes a useful introduction for the development of renewable energy in China.

  14. Vegetation succession and soil infiltration characteristics under different aged refuse dumps at the Heidaigou opencast coal mine

    Directory of Open Access Journals (Sweden)

    Huang Lei

    2015-07-01

    Full Text Available Vegetation succession and soil infiltration characteristics under five different restoration models of refuse dumps including different-aged revegetated sites (1995, 1998, 2003 and 2005 in the northern, eastern and western open-pit coal mine dump and a reference site with native vegetation, which had never been damaged by coal mining activities on the Heidaigou Open Cut Coal Mine were studied. Changes in the plant species, soil properties and infiltration rates were evaluated at the different refuse dumps. The results indicated that the number of herbaceous species, plant cover, biomass, fine particles, and total N, P and SOM increased significantly with increasing site age. However, the number of shrub species decreased since revegetation, its cover increased from 17% to 41% initially and subsequently decreased to the present level of 4%. The natural vegetation community and the northern refuse dump had the highest cumulative infiltration rates of 3.96 and 2.89 cm s−1 in contrast to the eastern and western refuse dumps and the abandoned land, where the highest cumulative infiltration rates were 1.26, 1.04 and 0.88 cm s−1, respectively. A multiple linear regression analysis indicated that the infiltration rate was primarily determined by the silt percentage, SOM, plant coverage and the variation in soil bulk density. Our results provide new ideas regarding future soil erosion controls and sustainable development at open-pit coal mine refuse dumps.

  15. Calculation of Fire Severity Factors and Fire Non-Suppression Probabilities For A DOE Facility Fire PRA

    International Nuclear Information System (INIS)

    Elicson, Tom; Harwood, Bentley; Lucek, Heather; Bouchard, Jim

    2011-01-01

    Over a 12 month period, a fire PRA was developed for a DOE facility using the NUREG/CR-6850 EPRI/NRC fire PRA methodology. The fire PRA modeling included calculation of fire severity factors (SFs) and fire non-suppression probabilities (PNS) for each safe shutdown (SSD) component considered in the fire PRA model. The SFs were developed by performing detailed fire modeling through a combination of CFAST fire zone model calculations and Latin Hypercube Sampling (LHS). Component damage times and automatic fire suppression system actuation times calculated in the CFAST LHS analyses were then input to a time-dependent model of fire non-suppression probability. The fire non-suppression probability model is based on the modeling approach outlined in NUREG/CR-6850 and is supplemented with plant specific data. This paper presents the methodology used in the DOE facility fire PRA for modeling fire-induced SSD component failures and includes discussions of modeling techniques for: Development of time-dependent fire heat release rate profiles (required as input to CFAST), Calculation of fire severity factors based on CFAST detailed fire modeling, and Calculation of fire non-suppression probabilities.

  16. Modern tools to evaluate and optimize fire protection systems

    International Nuclear Information System (INIS)

    Alvares, N.J.; Hasegawa, H.K.

    1980-01-01

    Modern techniques, such as fault tree analysis, can be used to obtain engineering descriptions of specific fire protection systems. The analysis allows establishment of an optimum level of fire protection, and evaluates the level of protection provided by various systems. A prime example: the application to fusion energy experiments

  17. Materials Problems and Solutions in Biomass fired plants

    DEFF Research Database (Denmark)

    Larsen, Ole Hede; Montgomery, Melanie

    2006-01-01

    be directly ascribed to the composition of the deposit and the metal surface temperature. In woodchip boilers, a similar corrosion rate and corrosion mechanism has on some occasions been observed. Cofiring of straw (10 and 20% energy basis) with coal has shown corrosion rates lower than those in straw fired......Owing to Denmark's pledge to reduce carbon dioxide emissions, biomass is being increasingly utilised as a fuel for generating energy. Extensive research and development projects, especially in the area of material performance for biomass fired boilers, have been undertaken to make biomass a viable...... fuel resource. When straw is combusted, potassium chloride and potassium sulphate are present in ash products, which condense on superheater components. This gives rise to specific chlorine corrosion problems not previously encountered in coal fired power plants. The type of corrosion attack can...

  18. A quality of life quandary: a framework for navigating parental refusal of treatment for co-morbidities in infants with underlying medical conditions.

    Science.gov (United States)

    Kunz, Sarah N; McAdams, Ryan M; Diekema, Douglas S; Opel, Douglas J

    2015-01-01

    Parental refusal of a recommended treatment is not an uncommon scenario in the neonatal intensive care unit. These refusals may be based upon the parents' perceptions of their child's projected quality of life. The inherent subjectivity of quality of life assessments, however, can exacerbate disagreement between parents and healthcare providers. We present a case of parental refusal of surgical intervention for necrotizing enterocolitis in an infant with Bartter syndrome and develop an ethical framework in which to consider the appropriateness of parental refusal based upon an infant's projected quality of life. Copyright 2015 The Journal of Clinical Ethics. All rights reserved.

  19. The use of coal refuse as construction aggregates; Utilizacion de los Esteriles de Carbon como Aridos en Construccion

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    The objective of this project was to carry out a study which would allow us to determine the nature and properties of coal refuse for its possible use as construction aggregates: roadbeds concrete, bituminous meagres, etc. and to establish criteria of acceptability, placing, and quality control. Two types of refuse, considered to be representative, were chosen (one black and one red) and various trials were performed at a grinding and classifying plant for the obtention of granular materials. The results of these trials determined the most appropriate plant treatment for each type of refuse and established the margin of acceptability, criteria of acceptability, and quality control tests to be applied to the materials obtained from coal refuse for use as construction aggregates. Laboratory testing with both types of refuse mixed with binders (cement, emulsions) were carried out. At the same time, real scale tests, through the construction of concrete slabs in local roads and in trial areas, using the proportions of aggregates and cement that are customary in the area, and also by varying the cement content, substituting it for airborne ash from the thermal La Pereda power station were also performed. From the results obtained, it can be deduced that coal refuse can be used as granular material for roadbeds in different ways: stabilised as gravel-cement, in the form of gravel emulsion, as gravel slag, or by itself. As far as its use in concrete manufacture, it is limited to marginal works. With regard to its decorative use in gardening, it is being used in various town halls in Asturias and Cantabria. (Author)

  20. Patient-related factors and circumstances surrounding decisions to forego life-sustaining treatment, including intensive care unit admission refusal.

    Science.gov (United States)

    Reignier, Jean; Dumont, Romain; Katsahian, Sandrine; Martin-Lefevre, Laurent; Renard, Benoit; Fiancette, Maud; Lebert, Christine; Clementi, Eva; Bontemps, Frederic

    2008-07-01

    To assess decisions to forego life-sustaining treatment (LST) in patients too sick for intensive care unit (ICU) admission, comparatively to patients admitted to the ICU. Prospective observational cohort study. A medical-surgical ICU. Consecutive patients referred to the ICU during a one-yr period. None. Of 898 triaged patients, 147 were deemed too well to benefit from ICU admission. Decisions to forego LST were made in 148 of 666 (22.2%) admitted patients and in all 85 patients deemed too sick for ICU admission. Independent predictors of decisions to forego LST at ICU refusal rather than after ICU admission were: age; underlying disease; living in an institution; preexisting cognitive impairment; admission for medical reasons; and acute cardiac failure, acute central neurologic illness, or sepsis. Hospital mortality after decisions to forego LST was not significantly different in refused and admitted patients (77.5% vs. 86.5%; p = .1). Decisions to forego LST were made via telephone in 58.8% of refused patients and none of the admitted patients. Nurses caring for the patient had no direct contact with the ICU physicians for 62.3% of the decisions in refused patients, whereas meetings between nurses and physicians occurred in 70.3% of decisions to forego LST in the ICU. Patients or relatives were involved in 28.2% of decisions to forego LST at ICU refusal compared with 78.4% of decisions to forego LST in ICU patients (p refused patients (vs. none of admitted patients) and were associated with less involvement of nurses and relatives compared with decisions in admitted patients. Further work is needed to improve decisions to forego LST made under the distinctive circumstances of triage.

  1. The Italian National Guidelines for the fire safety of facades

    Directory of Open Access Journals (Sweden)

    Lamberto Mazziotti

    2013-11-01

    Full Text Available Traditionally, the facades' design buildings where once only focused on architectural or aesthetic purposes (in addition, of course, of whether protective issues. Nowadays, thanks to the technological development of the construction works and the use of new types of materials, the facades' design should also address fire safety related aspects. In Europe and especially in Italy – where the types of building façades are built with windows of small surface and natural stone coverings – the green building/sustainability movement has resulted in the development of new concepts in facade or curtain wall design that intended to enhance the energy efficiency of building façades. These new building surfaces are covered by extensive panelling fitted with insulating materials or by wide glass surfaces, capable of carry out the most diverse purposes including, just to name a few: energy reduction, climate comfort, recovery of electricity through photovoltaic panels that convert sunlight into electricity, large space for advertising purpose. One of the main fire safety goal for a building design is to restrict the vertical fire spread so that the smoke and flames are limited to the fire origin floor. The new building façade and curtain wall topologies could overwhelms concerns for fire safety, therefore the Italian National fire service has released a Fire Code Guideline in order to address the fire safety design for an high rise building façade. This paper aims to show the guideline contents and the related fire safety façades concerns.

  2. Understanding Treatment Refusal Among Adults Presenting for HIV-Testing in Soweto, South Africa: A Qualitative Study

    OpenAIRE

    Katz, Ingrid T.; Dietrich, Janan; Tshabalala, Gugu; Essien, Thandekile; Rough, Kathryn; Wright, Alexi A.; Bangsberg, David R.; Gray, Glenda E.; Ware, Norma C.

    2015-01-01

    HIV treatment initiatives have focused on increasing access to antiretroviral therapy (ART). There is growing evidence, however, that treatment availability alone is insufficient to stop the epidemic. In South Africa, only one third of individuals living with HIV are actually on treatment. Treatment refusal has been identified as a phenomenon among people who are asymptomatic, however, factors driving refusal remain poorly understood. We interviewed 50 purposively sampled participants who pre...

  3. Scaling up the microwave firing of ceramics

    International Nuclear Information System (INIS)

    Wroe, F.C.R.

    1993-01-01

    EA Technology, through a comprehensive R ampersand D program, is developing new microwave furnace technology focused on the ceramics processing industries. Using a combination of computer modelling, experimentation and feasibility studies, EA Technology has developed processes and procedures for firing large ceramic components. The aim of this work is to describe the investigation of the firing of ceramic products such as bricks, pottery, refractories, and industrial ceramics, using advanced processing techniques to produce and maintain uniformity of temperature throughout the components and kiln environment. This has achieved the goal of producing uniform microstructures and low thermal stress by careful control of the firing cycle. This paper illustrates the feasibility of microwave-assisted firing and shows it to be economically viable in terms of energy costs and process control. 6 refs., 1 fig

  4. Investigation of UF6 behavior in a fire

    International Nuclear Information System (INIS)

    Williams, W.R.

    1988-01-01

    Reactions between UF 6 and combustible gases and the potential for UF 6 -filled cylinders to rupture when exposed to fire are addressed. Although the absence of kinetic data prevents specific identification and quantification of the chemical species formed, potential reaction products resulting from the release of UF 6 into a fire include UF 4 , UO 2 F 2 , HF, C, CF 4 ,COF 2 , and short chain, fluorinated or partially fluorinated hydrocarbons. Such a release adds energy to a fire relative to normal combustion reactions. Time intervals to an assumed point of rupture for UF 6 -filled cylinders exposed to fire are estimated conservatively. Several related studies are also summarized, including a test series in which small UF 6 -filled cylinders were immersed in fire resulting in valve failures and explosive ruptures. It is concluded that all sizes of UF 6 cylinders currently in use may rupture within 30 minutes when totally immersed in a fire. For cylinders adjacent to fires, rupture of the larger cylinders appears much less likely

  5. A review of fire interactions and mass fires

    Science.gov (United States)

    Mark A. Finney; Sara S. McAllister

    2011-01-01

    The character of a wildland fire can change dramatically in the presence of another nearby fire. Understanding and predicting the changes in behavior due to fire-fire interactions cannot only be life-saving to those on the ground, but also be used to better control a prescribed fire to meet objectives. In discontinuous fuel types, such interactions may elicit fire...

  6. Medication refusal in children with oppositional defiant disorder or conduct disorder and comorbid attention-deficit/hyperactivity disorder: medication history and clinical correlates.

    Science.gov (United States)

    Demidovich, Mark; Kolko, David J; Bukstein, Oscar G; Hart, Jonathan

    2011-02-01

    Abstract Objective: This study examines the characteristics of 96 children with attention-deficit/hyperactivity disorder (ADHD) and their families who refused a recommendation for medication as part of their treatment for disruptive disorders. The ADHD cases were taken from a sample of 139 youth (age 6-11) who were recruited for a clinical trial that compared the administration of a modular psychosocial treatment in an outpatient clinic or community settings. Medication management was an optional treatment module for children with ADHD in both conditions. Children who were (vs. were not) taking medication at intake, and children who accepted (vs. refused) medication recommendations during the study were compared on diagnostic and clinical measures related to child, school, parent, and family domains of functioning. Parents of 30% of the children refused study medication for ADHD. Parental medication acceptability and intake correlated highly with both medication history and study refusal of medication. Increased parental self-efficacy and emotional support for their youth correlated with medication refusal. No demographics and few child or school factors were associated with medication refusal. Medication use was associated with reductions in some key ADHD symptoms, but did not affect disruptive behaviors as did the psychosocial interventions. Medication refusers remain poorly understood but certain correlates, such as parental self-efficacy, parental emotional support for their youth, and medication acceptability, warrant further evaluation.

  7. Evaluation of low-level solid radioactive waste generated by a large hospital and disposed of with ordinary refuse

    International Nuclear Information System (INIS)

    Conte, L.; Pedroli, G.; Monciardini, M.; Bianchi, L.; Novario, R.; Beretta, A.

    1996-01-01

    In the Lombardy region some hospitals have recently been reported to the local authorities because of the presence of radioactivity in hospital refuse sent to the municipal tips for incineration. On various occasions the refuse collectors coming from the hospitals had to return with their refuse as traces of radioactivity were detected at the entrance to the tips equipped with monitoring systems. Hospitals administering radioactive substances for diagnostic or therapeutic purposes produce radioactive waste mainly in solid and liquid form. This waste is principally present in patient excreta and in contaminated materials. Radioactive waste present in patient excreta is normally disposed of through the sewage system provided that the concentration limits and annual activity stipulated by law are respected. The contaminated materials coming from the departments that carry out radioisotopic investigations and therapy with unsealed sources can be collected separately and sent to a tip after a period of storage to permit radioactive decay. However, part of the radioactive waste escapes all checks and inevitably mixes with normal refuse or with special hospital refuse that is not considered radioactive. This occurs in the case of: 1. excreta from patients who are not hospitalised after a radioisotopic investigation and materials contaminated by the excreta; 2. excreta from hospitalised patients which are eliminated outside the nuclear medicine and radiotherapy departments; 3. contaminated materials produced with unsealed sources in hospital departments other than those of nuclear medicine and radiotherapy; The waste indicated in point 1 is probably the main problem in ecological terms as the patients who are not hospitalised eliminate radioactive excreta into domestic sewage systems and can also contaminate materials that are disposed of with normal household refuse. In this case any solution to the problem would seriously affect diagnostic activities carried out in the

  8. Fire characteristics charts for fire behavior and U.S. fire danger rating

    Science.gov (United States)

    Faith Ann Heinsch; Pat Andrews

    2010-01-01

    The fire characteristics chart is a graphical method of presenting U.S. National Fire Danger Rating indices or primary surface or crown fire behavior characteristics. A desktop computer application has been developed to produce fire characteristics charts in a format suitable for inclusion in reports and presentations. Many options include change of scales, colors,...

  9. [A patient who refused treatment after self-poisoning with paracetamol

    NARCIS (Netherlands)

    Kramers, C.; Jansman, F.G.A.; Droogleever Fortuyn, H.A.

    2006-01-01

    Two patients, a 20-year-old man and a 33-year-old woman, were admitted with paracetamol poisoning. Both patients refused treatment initially but eventually complied. The man had a paracetamol concentration of 47.5 mg/l 2.5-5.0 h after ingestion, so antidote treatment was not considered necessary.

  10. Refuse Dumps And The Environment: A Case Study Of Some ...

    African Journals Online (AJOL)

    Refuse Dumps And The Environment: A Case Study Of Some Selected Cities In Nigeria. ... International Journal of Emotional Psychology and Sport Ethics ... This study assessed the level of environmental pollution in the nation by focusing on the degree of accumulation of house – hold wastes, industrial scraps or wastes, ...

  11. Co-firing: panacea or potential monster?

    Energy Technology Data Exchange (ETDEWEB)

    Grundy, M.; Lilley, P. [Mott MacDonald Ltd., Brighton (United Kingdom). Energy Division

    2004-01-01

    Co-firing with fossil fuels could well be the only practical and economic way to introduce a significant biomass contribution to UK renewables. But, in the hands of the large generators, co-firing is a potential monster, capable of destroying the carefully-constructed incentive structure for 'real' renewables such as wind power and dedicated biomass plants. Both views contain an element of truth, but the conflict between them could endanger the infant energy crop industry. 1 fig., 2 photos.

  12. United States position paper on sodium fires, design and testing

    International Nuclear Information System (INIS)

    Hilliard, R.K.; Johnson, R.P.

    1983-01-01

    The first Specialists' Meeting on sodium fire technology sponsored by the International Working Group on Fast Reactors (IWGFR) was held in Richland, Washington in 1972. The group concluded that the state-of-technology at that time was inadequate to support the growing LMFBR industry. During the second IWGFR Specialists' Meeting on sodium fires, held in Cadarache, France in 1978, a large quantity of technical information was exchanged and areas were identified where additional work was needed. Advances in several important areas of sodium fire technology have been made in the United States since that time, including improved computer codes, design of a sodium fire protection system for the CRBRP, measurement of water release from heated concrete, and testing and modeling of the sodium-concrete reaction. Research in the U.S. related to sodium fire technology is performed chiefly at the Energy Systems Group of Rockwell International (including Atomics International), the Hanford Engineering Development Laboratory (HEDL), and the Sandia National Laboratories (SNL). The work at the first two laboratories is sponsored by the U.S. Department of Energy, while that at the latter is sponsored by the U.S. Nuclear Regulatory Commission. Various aspects of sodium fire related work is also performed at several other laboratories. The current status of sodium fire technology in the U.S. is summarized in this report

  13. Racial and Ethnic Disparities in Parental Refusal of Consent in a Large, Multisite Pediatric Critical Care Clinical Trial.

    Science.gov (United States)

    Natale, Joanne E; Lebet, Ruth; Joseph, Jill G; Ulysse, Christine; Ascenzi, Judith; Wypij, David; Curley, Martha A Q

    2017-05-01

    To evaluate whether race or ethnicity was independently associated with parental refusal of consent for their child's participation in a multisite pediatric critical care clinical trial. We performed a secondary analyses of data from Randomized Evaluation of Sedation Titration for Respiratory Failure (RESTORE), a 31-center cluster randomized trial of sedation management in critically ill children with acute respiratory failure supported on mechanical ventilation. Multivariable logistic regression modeling estimated associations between patient race and ethnicity and parental refusal of study consent. Among the 3438 children meeting enrollment criteria and approached for consent, 2954 had documented race/ethnicity of non-Hispanic White (White), non-Hispanic Black (Black), or Hispanic of any race. Inability to approach for consent was more common for parents of Black (19.5%) compared with White (11.7%) or Hispanic children (13.2%). Among those offered consent, parents of Black (29.5%) and Hispanic children (25.9%) more frequently refused consent than parents of White children (18.2%, P refuse consent. Parents of children offered participation in the intervention arm were more likely to refuse consent than parents in the control arm (OR 2.15, 95% CI 1.37-3.36, P care clinical trial. Ameliorating this racial disparity may improve the validity and generalizability of study findings. ClinicalTrials.gov: NCT00814099. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Confusing criminal and civil law: when may a hospital refuse to release a dead body?

    Science.gov (United States)

    Gallagher, Steven B

    2014-12-01

    A United Kingdom bereavement advice group has expressed concern that hospitals in Britain may be acting "illegally" in refusing to release dead bodies to relatives unless they provide evidence that funeral arrangements have been made. In some cases, hospitals may have refused to release a body to anyone other than an undertaker. The charity argues that this behaviour constitutes the common law offence of preventing the lawful burial of a body. This article considers the confusion that may occur between this offence and interference with the right to possession of a body for lawful burial. The conclusion is that it is extremely unlikely a hospital or its employees would fall foul of the criminal law in refusing to release a dead body and may be liable in the civil courts if they release a body to someone who does not have the duty and consequent right to possession of the body for lawful burial.

  15. Fire protection and fire fighting in nuclear installations

    International Nuclear Information System (INIS)

    1989-01-01

    Fires are a threat to all technical installations. While fire protection has long been a well established conventional discipline, its application to nuclear facilities requires special considerations. Nevertheless, for a long time fire engineering has been somewhat neglected in the design and operation of nuclear installations. In the nuclear industry, the Browns Ferry fire in 1975 brought about an essential change in the attention paid to fire problems. Designers and plant operators, as well as insurance companies and regulators, increased their efforts to develop concepts and methods for reducing fire risks, not only to protect the capital investment in nuclear plants but also to consider the potential secondary effects which could lead to nuclear accidents. Although the number of fires in nuclear installations is still relatively large, their overall importance to the safety of nuclear power plants was not considered to be very high. Only more recently have probabilistic analyses changed this picture. The results may well have to be taken into account more carefully. Various aspects of fire fighting and fire protection were discussed during the Symposium, the first of its kind to be organized by the IAEA. It was convened in co-operation with several organizations working in the nuclear or fire protection fields. The intention was to gather experts from nuclear engineering areas and the conventional fire protection field at one meeting with a view to enhancing the exchange of information and experience and to presenting current knowledge on the various disciplines involved. The presentations at the meeting were subdivided into eight sessions: standards and licensing (6 papers); national fire safety practices (7 papers); fire safety by design (11 papers); fire fighting (2 papers); computer fire modeling (7 papers); fire safety in fuel center facilities (7 papers); fire testing of materials (3 papers); fire risk assessment (5 papers). A separate abstract was

  16. Informed, advance refusals of treatment by people with severe mental illness in a randomised controlled trial of joint crisis plans: demand, content and correlates.

    Science.gov (United States)

    Henderson, Claire; Farrelly, Simone; Flach, Clare; Borschmann, Rohan; Birchwood, Max; Thornicroft, Graham; Waheed, Waquas; Szmukler, George

    2017-11-24

    In the UK, crisis planning for mental health care should acknowledge the right to make an informed advance treatment refusal under the Mental Capacity Act 2005. Our aims were to estimate the demand for such treatment refusals within a sample of service users who had had a recent hospital admission for psychosis or bipolar disorder, and to examine the relationship between refusals, and service user characteristics. To identify refusals we conducted content analysis of Joint Crisis Plans, which are plans formulated by service users and their clinical team with involvement from an external facilitator, and routine care plans in sub-samples from a multi-centre randomised controlled trial of Joint Crisis Plans (plus routine mental health care) versus routine care alone (CRIMSON) in England. Factors hypothesised to be associated with refusals were identified using the trial data collected through baseline interviews of service users and clinicians and collection of routine clinical data. Ninety-nine of 221 (45%) of the Joint Crisis Plans contained a treatment refusal compared to 10 of 424 (2.4%) baseline routine care plans. No Joint Crisis Plans recorded disagreement with refusals on the part of clinicians. Among those with completed Joint Crisis Plans, adjusted analyses indicated a significant association between treatment refusals and perceived coercion at baseline (odds ratio = 1.21, 95% CI 1.02-1.43), but not with baseline working alliance or a past history of involuntary admission. We demonstrated significant demand for written treatment refusals in line with the Mental Capacity Act 2005, which had not previously been elicited by the process of treatment planning. Future treatment/crisis plans should incorporate the opportunity for service users to record a treatment refusal during the drafting of such plans. ISRCTN11501328 Registered 13th March 2008.

  17. Energy year 2005 - how is the energy balance in Rogaland and what are the implications?

    International Nuclear Information System (INIS)

    2006-01-01

    The topic of the lunch meeting is the current and future energy balance in the county of Rogaland, Norway. The question of how to meet the future's increased energy demand is treated. An assessment of the energy situation in the years 2005-2015 is made. Regional projects are presented in the forms of coal fired power station, gasworks and wind power projects. The presented projects are Haugaland Kraft's coal-fired power station, Naturkraft's gas fired power plant and Norsk Vind Energi's wind turbine plants (ml)

  18. Resolving vorticity-driven lateral fire spread using the WRF-Fire coupled atmosphere–fire numerical model

    OpenAIRE

    Simpson, C. C.; Sharples, J. J.; Evans, J. P.

    2014-01-01

    Fire channelling is a form of dynamic fire behaviour, during which a wildland fire spreads rapidly across a steep lee-facing slope in a direction transverse to the background winds, and is often accompanied by a downwind extension of the active flaming region and extreme pyro-convection. Recent work using the WRF-Fire coupled atmosphere-fire model has demonstrated that fire channelling can be characterised as vorticity-driven lateral fire spread (VDLS). In t...

  19. A review of technologies and performances of thermal treatment systems for energy recovery from waste

    Energy Technology Data Exchange (ETDEWEB)

    Lombardi, Lidia, E-mail: lidia.lombardi@unicusano.it [Niccolò Cusano University, via Don Carlo Gnocchi, 3, 00166 Rome (Italy); Carnevale, Ennio [Industrial Engineering Department, University of Florence, via Santa Marta, 3, 50129 Florence (Italy); Corti, Andrea [Department of Information Engineering and Mathematics, University of Siena, via Roma, 56, 53100 (Italy)

    2015-03-15

    Highlights: • The topic of energy recovery from waste by thermal treatment is reviewed. • Combustion, gasification and pyrolysis were considered. • Data about energy recovery performances were collected and compared. • Main limitations to high values of energy performances were illustrated. • Diffusion of energy recovery from waste in EU, USA and other countries was discussed. - Abstract: The aim of this work is to identify the current level of energy recovery through waste thermal treatment. The state of the art in energy recovery from waste was investigated, highlighting the differences for different types of thermal treatment, considering combustion/incineration, gasification and pyrolysis. Also different types of wastes – Municipal Solid Waste (MSW), Refuse Derived Fuel (RDF) or Solid Refuse Fuels (SRF) and some typologies of Industrial Waste (IW) (sludge, plastic scraps, etc.) – were included in the analysis. The investigation was carried out mainly reviewing papers, published in scientific journals and conferences, but also considering technical reports, to gather more information. In particular the goal of this review work was to synthesize studies in order to compare the values of energy conversion efficiencies measured or calculated for different types of thermal processes and different types of waste. It emerged that the dominant type of thermal treatment is incineration associated to energy recovery in a steam cycle. When waste gasification is applied, the produced syngas is generally combusted in a boiler to generate steam for energy recovery in a steam cycle. For both the possibilities – incineration or gasification – cogeneration is the mean to improve energy recovery, especially for small scale plants. In the case of only electricity production, the achievable values are strongly dependent on the plant size: for large plant size, where advanced technical solutions can be applied and sustained from an economic point of view, net

  20. Sensitivity Analysis on Fire Modeling of Main Control Board Fire Using Fire Dynamics Simulator

    International Nuclear Information System (INIS)

    Kang, Dae Il; Lim, Ho Gon

    2015-01-01

    In this study, sensitivity analyses for an MCB fire were performed to identify the effects on the MCR forced abandonment time according to the changes of height and number for fire initiation places. Hanul Unit 3 NPP was selected as a reference plant for this study. In this study, sensitivity analyses for an MCB fire were performed to identify the effects on the MCR forced abandonment time according to the changes of height and number of fire initiation places. A main control board (MCB) fire can cause a forced main control room (MCR) abandonment of the operators as well as the function failures or spurious operations of the control and instrumentation-related components. If the MCR cannot be habitable, a safe shutdown from outside the MCR can be achieved and maintained at an alternate shutdown panel independent from the MCR. When the fire modeling for an electrical cabinet such as an MCB was performed, its many input parameters can affect the fire simulation results. This study results showed that the decrease in the height of fire ignition place and the use of single fire ignition place in fire modeling for the propagating fire shortened MCR abandonment time

  1. Sensitivity Analysis on Fire Modeling of Main Control Board Fire Using Fire Dynamics Simulator

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Dae Il; Lim, Ho Gon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    In this study, sensitivity analyses for an MCB fire were performed to identify the effects on the MCR forced abandonment time according to the changes of height and number for fire initiation places. Hanul Unit 3 NPP was selected as a reference plant for this study. In this study, sensitivity analyses for an MCB fire were performed to identify the effects on the MCR forced abandonment time according to the changes of height and number of fire initiation places. A main control board (MCB) fire can cause a forced main control room (MCR) abandonment of the operators as well as the function failures or spurious operations of the control and instrumentation-related components. If the MCR cannot be habitable, a safe shutdown from outside the MCR can be achieved and maintained at an alternate shutdown panel independent from the MCR. When the fire modeling for an electrical cabinet such as an MCB was performed, its many input parameters can affect the fire simulation results. This study results showed that the decrease in the height of fire ignition place and the use of single fire ignition place in fire modeling for the propagating fire shortened MCR abandonment time.

  2. Jointly optimizing selection of fuel treatments and siting of forest biomass-based energy production facilities for landscape-scale fire hazard reduction.

    Science.gov (United States)

    Peter J. Daugherty; Jeremy S. Fried

    2007-01-01

    Landscape-scale fuel treatments for forest fire hazard reduction potentially produce large quantities of material suitable for biomass energy production. The analytic framework FIA BioSum addresses this situation by developing detailed data on forest conditions and production under alternative fuel treatment prescriptions, and computes haul costs to alternative sites...

  3. Boreal Forest Fire Cools Climate

    Science.gov (United States)

    Randerson, J. T.; Liu, H.; Flanner, M.; Chambers, S. D.; Harden, J. W.; Hess, P. G.; Jin, Y.; Mack, M. C.; Pfister, G.; Schuur, E. A.; Treseder, K. K.; Welp, L. R.; Zender, C. S.

    2005-12-01

    We report measurements, modeling, and analysis of carbon and energy fluxes from a boreal forest fire that occurred in interior Alaska during 1999. In the first year after the fire, ozone production, atmospheric aerosol loading, greenhouse gas emissions, soot deposition, and decreases in summer albedo contributed to a positive annual radiative forcing (RF). These effects were partly offset by an increase in fall, winter, and spring albedo from reduced canopy cover and increased exposure of snow-covered surfaces. The atmospheric lifetime of aerosols and ozone and are relatively short (days to months). The radiative effects of soot on snow are also attenuated rapidly from the deposition of fresh snow. As a result, a year after the fire, only two classes of RF mechanisms remained: greenhouse gas emissions and post-fire changes in surface albedo. Summer albedo increased rapidly in subsequent years and was substantially higher than unburned control areas (by more than 0.03) after 4 years as a result of grass and shrub establishment. Satellite measurements from MODIS of other interior Alaska burn scars provided evidence that elevated levels of spring and summer albedo (relative to unburned control areas) persisted for at least 4 decades after fire. In parallel, our chamber, eddy covariance, and biomass measurements indicated that the post-fire ecosystems switch from a source to a sink within the first decade. Taken together, the extended period of increased spring and summer albedo and carbon uptake of intermediate-aged stands appears to more than offset the initial warming pulse caused by fire emissions, when compared using the RF concept. This result suggests that management of forests in northern countries to suppress fire and preserve carbon sinks may have the opposite effect on climate as that intended.

  4. Costs and potentials of energy conservation in China's coal-fired power industry: A bottom-up approach considering price uncertainties

    International Nuclear Information System (INIS)

    Chen, Hao; Kang, Jia-Ning; Liao, Hua; Tang, Bao-Jun; Wei, Yi-Ming

    2017-01-01

    Energy conservation technologies in the coal-fired power sector are important solutions for the environmental pollution and climate change issues. However, a unified framework for estimating their costs and potentials is still needed due to the wide technology choices, especially considering their economic feasibility under fuel and carbon price uncertainties. Therefore, this study has employed a bottom-up approach to analyze the costs and potentials of 32 key technologies’ new promotions during the 13th Five-Year Plan period (2016–2020), which combines the conservation supply curve (CSC) approach and break-even analysis. Findings show that (1) these 32 technologies have a total coal conservation potential of 275.77 Mt with a cost of 238.82 billion yuan, and their break-even coal price is 866 yuan/ton. (2) steam-water circulation system has the largest energy conservation potential in the coal-fired power industry. (3) considering the co-benefits will facilitate these technologies’ promotions, because their break-even coal prices will decrease by 2.35 yuan/ton when the carbon prices increase by 1 yuan/ton. (4) discount rates have the largest impacts on the technologies’ cost-effectiveness, while the future generation level affect their energy conservation potentials most. - Highlights: • The 32 technologies can save 275.77 Mt coal with a cost of 238.82 billion yuan. • The steam-water circulation system has the largest energy conservation potential. • Considering the co-benefits will facilitate the technology promotions • Discount rates have the largest impacts on the technologies’ cost-effectiveness.

  5. 38 CFR 17.100 - Refusal of treatment by unnecessarily breaking appointments.

    Science.gov (United States)

    2010-07-01

    ... and satisfactory reasons are advanced for breaking the appointment and circumstances were such that... unnecessarily breaking appointments. 17.100 Section 17.100 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Breaking Appointments § 17.100 Refusal of treatment by unnecessarily breaking...

  6. Staff attitude and experience in dealing with rational nursing home patients who refuse to eat and drink.

    Science.gov (United States)

    Mattiasson, A C; Andersson, L

    1994-11-01

    This paper describes the personal attitudes of nursing home staff and their experience of coping with rational nursing home patients who refused to eat and drink. Professional caregivers in 13 nursing homes and nursing home units in the county of Stockholm, Sweden, were asked to judge an ethical conflict involving a situation in which a patient of sound mind refused to eat and drink. Two questions were raised: (a) What would your unit's decision be in this case? (b) What is your personal opinion in this case? Answers to question (a) showed that 20% believed that the patient's autonomy would be respected, i.e. the patient would be allowed to die without medical intervention. Concerning question (b), the results showed that approximately 50% believed that the patient's wishes regarding food refusal must be respected. Furthermore, the results suggested that both professional category and number of years' service made a difference to the staff views on patient autonomy. Finally, the findings indicated that the nursing homes included in the study did not show any distinct policy with regard to the autonomy of elderly nursing home patients in refusing to eat and drink.

  7. Nuclear Power Plant Fire Protection Research Program

    International Nuclear Information System (INIS)

    Datta, A.

    1985-07-01

    The goal is to develop test data and analytical capabilities to support the evaluation of: (1) the contribution of fires to the risk from nuclear power plants; (2) the effects of fires on control room equipment and operations; and (3) the effects of actuation of fire suppression systems on safety equipment. A range of fire sources will be characterized with respect to their energy and mass evolution, including smoke, corrosion products, and electrically conductive products of combustion. An analytical method for determining the environment resulting from fire will be developed. This method will account for the source characteristics, the suppression action following detection of the fire, and certain parameters specific to the plant enclosure in which the fire originates, such as the geometry of the enclosure and the ventilation rate. The developing local environment in the vicinity of safety-related equipment will be expressed in terms of temperatures, temperature rise rates, heat fluxes, and moisture and certain species content. The response of certain safe shutdown equipment and components to the environmental conditions will be studied. The objective will be to determine the limits of environmental conditions that a component may be exposed to without impairment of its ability to function

  8. Trans*+ing Classrooms: The Pedagogy of Refusal as Mediator for Learning

    Directory of Open Access Journals (Sweden)

    sj Miller

    2016-07-01

    Full Text Available Gender and sexuality norms, conscribed under cis/heteropatriarchy, have established violent and unstable social and educational climates for the millennial generation of lesbian, gay, bisexual, transgender, intersex, agender/asexual, gender creative, and questioning youth. While strides have been made to make schools more supportive and queer inclusive, schools still struggle to include lesbian, gay, bisexual, transgender*+, intersex, agender/asexual, gender creative, queer and questioning (LGBT*+IAGCQQ-positive curricula. While extensive studies must be done on behalf of all queer youth, this work specifically focuses on how to support classroom teachers to uptake and apply a pedagogy of refusal that attends to the most vulnerabilized population of queer youth to date, those that are trans*+. A pedagogy of refusal will be explored through an evolving theory of trans*+ness, then demonstrated through a framework for classroom application, followed by recommendations for change.

  9. Modelling the role of fires in the terrestrial carbon balance by incorporating SPITFIRE into the global vegetation modelORCHIDEE - Part 1: Simulating historical global burned area and fire regimes

    Science.gov (United States)

    C. Yue; P. Ciais; P. Cadule; K. Thonicke; S. Archibald; B. Poulter; W. M. Hao; S. Hantson; F. Mouillot; P. Friedlingstein; F. Maignan; N. Viovy

    2014-01-01

    Fire is an important global ecological process that influences the distribution of biomes, with consequences for carbon, water, and energy budgets. Therefore it is impossible to appropriately model the history and future of the terrestrial ecosystems and the climate system without including fire. This study incorporates the process-based prognostic fire module SPITFIRE...

  10. Frequent fliers, school phobias, and the sick student: school health personnel's perceptions of students who refuse school.

    Science.gov (United States)

    Torrens Armstrong, Anna M; McCormack Brown, Kelli R; Brindley, Roger; Coreil, Jeannine; McDermott, Robert J

    2011-09-01

    This study explored school personnel's perceptions of school refusal, as it has been described as a "common educational and public health problem" that is less tolerated due to increasing awareness of the potential socioeconomic consequences of this phenomenon. In-depth interviews were conducted with school personnel at the middle school (N = 42), high school (N = 40), and district levels (N = 10). The findings focus on emergent themes from interviews with school health personnel (N = 12), particularly those themes related to their perceptions of and role in working with school-refusing students. Personnel, especially school health services staff, constructed a typification of the school-refusing student as "the sick student," which conceptualized student refusal due to reasons related to illness. Personnel further delineated sick students by whether they considered the illness legitimate. School health personnel referenced the infamous "frequent fliers" and "school phobics" within this categorization of students. Overarching dynamics of this typification included parental control, parental awareness, student locus of control, blame, and victim status. These typifications influenced how personnel reacted to students they encountered, particularly in deciding which students need "help" versus "discipline," thus presenting implications for students and screening of students. Overall, findings suggest school health personnel play a pivotal role in screening students who are refusing school as well as keeping students in school, underscoring policy that supports an increased presence of school health personnel. Recommendations for school health, prevention, and early intervention include the development of screening protocols and staff training. © 2011, American School Health Association.

  11. 45 CFR 286.150 - Can a family, with a child under age 6, be penalized because a parent refuses to work because (s...

    Science.gov (United States)

    2010-10-01

    ... arrangements are unavailable. (b) Refusal to work when an acceptable form of child care is available is not... penalized because a parent refuses to work because (s)he cannot find child care? 286.150 Section 286.150... a parent refuses to work because (s)he cannot find child care? (a) If the individual is a single...

  12. Fire protection

    International Nuclear Information System (INIS)

    Janetzky, E.

    1980-01-01

    Safety and fire prevention measurements have to be treated like the activities developing, planning, construction and erection. Therefore it is necessary that these measurements have to be integrated into the activities mentioned above at an early stage in order to guarantee their effectiveness. With regard to fire accidents the statistics of the insurance companies concerned show that the damage caused increased in the last years mainly due to high concentration of material. Organization of fire prevention and fire fighting, reasons of fire break out, characteristics and behaviour of fire, smoke and fire detection, smoke and heat venting, fire extinguishers (portable and stationary), construction material in presence of fire, respiratory protection etc. will be discussed. (orig./RW)

  13. Modelling methods for co-fired pulverised fuel furnaces

    Energy Technology Data Exchange (ETDEWEB)

    L. Ma; M. Gharebaghi; R. Porter; M. Pourkashanian; J.M. Jones; A. Williams [University of Leeds, Leeds (United Kingdom). Energy and Resources Research Institute

    2009-12-15

    Co-firing of biomass and coal can be beneficial in reducing the carbon footprint of energy production. Accurate modelling of co-fired furnaces is essential to discover potential problems that may occur during biomass firing and to mitigate potential negative effects of biomass fuels, including lower efficiency due to lower burnout and NOx formation issues. Existing coal combustion models should be modified to increase reliability of predictions for biomass, including factors such as increased drag due to non-spherical particle sizes and accounting for organic compounds and the effects they have on NOx emission. Detailed biomass co-firing models have been developed and tested for a range of biomass fuels and show promising results. 32 refs., 4 figs., 3 tabs.

  14. A hydroclimatic model of global fire patterns

    Science.gov (United States)

    Boer, Matthias

    2015-04-01

    Satellite-based earth observation is providing an increasingly accurate picture of global fire patterns. The highest fire activity is observed in seasonally dry (sub-)tropical environments of South America, Africa and Australia, but fires occur with varying frequency, intensity and seasonality in almost all biomes on Earth. The particular combination of these fire characteristics, or fire regime, is known to emerge from the combined influences of climate, vegetation, terrain and land use, but has so far proven difficult to reproduce by global models. Uncertainty about the biophysical drivers and constraints that underlie current global fire patterns is propagated in model predictions of how ecosystems, fire regimes and biogeochemical cycles may respond to projected future climates. Here, I present a hydroclimatic model of global fire patterns that predicts the mean annual burned area fraction (F) of 0.25° x 0.25° grid cells as a function of the climatic water balance. Following Bradstock's four-switch model, long-term fire activity levels were assumed to be controlled by fuel productivity rates and the likelihood that the extant fuel is dry enough to burn. The frequency of ignitions and favourable fire weather were assumed to be non-limiting at long time scales. Fundamentally, fuel productivity and fuel dryness are a function of the local water and energy budgets available for the production and desiccation of plant biomass. The climatic water balance summarizes the simultaneous availability of biologically usable energy and water at a site, and may therefore be expected to explain a significant proportion of global variation in F. To capture the effect of the climatic water balance on fire activity I focused on the upper quantiles of F, i.e. the maximum level of fire activity for a given climatic water balance. Analysing GFED4 data for annual burned area together with gridded climate data, I found that nearly 80% of the global variation in the 0.99 quantile of F

  15. Microfine coal firing results from a retrofit gas/oil-designed industrial boiler

    Energy Technology Data Exchange (ETDEWEB)

    Patel, R.; Borio, R.W.; Liljedahl, G. [Combustion Engineering, Inc., Windsor, CT (United States)] [and others

    1995-11-01

    Under US Department of Energy, Pittsburgh Energy Technology Center (PETC) support, the development of a High Efficiency Advanced Coal Combustor (HEACC) has been in progress since 1987 at the ABB Power Plant Laboratories. The initial work on this concept produced an advanced coal firing system that was capable of firing both water-based and dry pulverized coal in an industrial boiler environment.

  16. Preliminary fire hazards analysis for W-211, Initial Tank Retrieval Systems

    International Nuclear Information System (INIS)

    Huckfeldt, R.A.

    1995-01-01

    A fire hazards analysis (FHA) was performed for Project W-211, Initial Tank Retrieval System (ITRS), at the Department of Energy (DOE) Hanford site. The objectives of this FHA was to determine (1) the fire hazards that expose the Initial Tank Retrieval System or are inherent in the process, (2) the adequacy of the fire-safety features planned, and (3) the degree of compliance of the project with specific fire safety provisions in DOE orders and related engineering codes and standards. The scope included the construction, the process hazards, building fire protection, and site wide fire protection. The results are presented in terms of the fire hazards present, the potential extent of fire damage, and the impact on employees and public safety. This study evaluated the ITRS with respect to its use at Tank 241-SY-101 only

  17. Heavy Metal Contamination of Foods by Refuse Dump Sites in Awka, Southeastern Nigeria

    Directory of Open Access Journals (Sweden)

    J. K. C. Nduka

    2008-01-01

    Full Text Available The impact of heavy metals from refuse dumps on soil, food, and water qualities in Awka, Nigeria was studied. Soil samples (top and 1.35 m deep were collected from five refuse dumps digested with conc. HNO3 and HClO4. The heavy metals (lead, manganese, arsenic, chromium, cadmium, and nickel in vegetables (spinach, fluted pumpkin, root crop (cocoyam, and surface and ground water were determined using an atomic absorption spectrophotometer (AAS. Chemical properties of the soil and bacteria were determined. Heavy metals were found to be more concentrated at a depth of 1.35 m. Manganese was high in shallow wells and borehole water samples with the highest levels as 0.538 and 0.325 mg/l, respectively. Nickel levels in the borehole sample ranged from 0.001 to 0.227 mg/l, whereas the highest level of lead was 0.01 mg/l. The Obibia stream had the highest levels of manganese and lead. Linear regression analyses showed that the relationship between soil heavy metals and farm produce heavy metals was strong. Taken together, we may conclude that the consumption of leafy vegetables and crops produced on contaminated soils may pose a health risk to those that reside around the refuse dumps.

  18. Evidence of fuels management and fire weather influencing fire severity in an extreme fire event.

    Science.gov (United States)

    Lydersen, Jamie M; Collins, Brandon M; Brooks, Matthew L; Matchett, John R; Shive, Kristen L; Povak, Nicholas A; Kane, Van R; Smith, Douglas F

    2017-10-01

    Following changes in vegetation structure and pattern, along with a changing climate, large wildfire incidence has increased in forests throughout the western United States. Given this increase, there is great interest in whether fuels treatments and previous wildfire can alter fire severity patterns in large wildfires. We assessed the relative influence of previous fuels treatments (including wildfire), fire weather, vegetation, and water balance on fire-severity in the Rim Fire of 2013. We did this at three different spatial scales to investigate whether the influences on fire severity changed across scales. Both fuels treatments and previous low to moderate-severity wildfire reduced the prevalence of high-severity fire. In general, areas without recent fuels treatments and areas that previously burned at high severity tended to have a greater proportion of high-severity fire in the Rim Fire. Areas treated with prescribed fire, especially when combined with thinning, had the lowest proportions of high severity. The proportion of the landscape burned at high severity was most strongly influenced by fire weather and proportional area previously treated for fuels or burned by low to moderate severity wildfire. The proportion treated needed to effectively reduce the amount of high severity fire varied by spatial scale of analysis, with smaller spatial scales requiring a greater proportion treated to see an effect on fire severity. When moderate and high-severity fire encountered a previously treated area, fire severity was significantly reduced in the treated area relative to the adjacent untreated area. Our results show that fuels treatments and low to moderate-severity wildfire can reduce fire severity in a subsequent wildfire, even when burning under fire growth conditions. These results serve as further evidence that both fuels treatments and lower severity wildfire can increase forest resilience. © 2017 by the Ecological Society of America.

  19. Laboratory fire behavior measurements of chaparral crown fire

    Science.gov (United States)

    C. Sanpakit; S. Omodan; D. Weise; M Princevac

    2015-01-01

    In 2013, there was an estimated 9,900 wildland fires that claimed more than 577,000 acres of land. That same year, about 542 prescribed fires were used to treat 48,554 acres by several agencies in California. Being able to understand fires using laboratory models can better prepare individuals to combat or use fires. Our research focused on chaparral crown fires....

  20. Fire hazard analysis for Plutonium Finishing Plant complex

    International Nuclear Information System (INIS)

    MCKINNIS, D.L.

    1999-01-01

    A fire hazards analysis (FHA) was performed for the Plutonium Finishing Plant (PFP) Complex at the Department of Energy (DOE) Hanford site. The scope of the FHA focuses on the nuclear facilities/structures in the Complex. The analysis was conducted in accordance with RLID 5480.7, [DOE Directive RLID 5480.7, 1/17/94] and DOE Order 5480.7A, ''Fire Protection'' [DOE Order 5480.7A, 2/17/93] and addresses each of the sixteen principle elements outlined in paragraph 9.a(3) of the Order. The elements are addressed in terms of the fire protection objectives stated in paragraph 4 of DOE 5480.7A. In addition, the FHA also complies with WHC-CM-4-41, Fire Protection Program Manual, Section 3.4 [1994] and WHC-SD-GN-FHA-30001, Rev. 0 [WHC, 1994]. Objectives of the FHA are to determine: (1) the fire hazards that expose the PFP facilities, or that are inherent in the building operations, (2) the adequacy of the fire safety features currently located in the PFP Complex, and (3) the degree of compliance of the facility with specific fire safety provisions in DOE orders, related engineering codes, and standards

  1. Wildland fire in ecosystems: effects of fire on flora

    Science.gov (United States)

    James K. Brown; Jane Kapler Smith

    2000-01-01

    VOLUME 2: This state-of-knowledge review about the effects of fire on flora and fuels can assist land managers with ecosystem and fire management planning and in their efforts to inform others about the ecological role of fire. Chapter topics include fire regime classification, autecological effects of fire, fire regime characteristics and postfire plant community...

  2. Utilization of washery dirt and mine refuse

    Energy Technology Data Exchange (ETDEWEB)

    Leininger, D; Schieder, T

    1975-10-02

    Washery dirt and mine refuse may be used without processing as road ballast, embankments and dykes, and for filling gravel pits and subsidence areas. The properties required in road ballast are outlined. For the top portions of embankments and for frost protection layers, washery dirt must be processed to remove particles of the wrong size. Methods of heat treatment are listed, and the chemical composition of the dirt is discussed. Because of its different chemical composition, large particles are preferable to fine dirt for some applications, even if they have to be crushed. Tree planting experiments on spoilbanks are described.

  3. Fire behavior potential in central Saskatchewan under predicted climate change : summary document

    International Nuclear Information System (INIS)

    Parisien, M.; Hirsch, K.; Todd, B.; Flannigan, M.; Kafka, V.; Flynn, N.

    2005-01-01

    This study assesses fire danger and fire behaviour potential in central Saskatchewan using simulated climate scenarios produced by the Canadian Regional Climate Model (CRCM), including scenario analysis of base, double and triple level carbon dioxide in the atmosphere and uses available forest fuels to develop an absolute measure of fire behaviour. For each of these climate scenarios, the CRCM-generated weather was used as input variables into the Canadian Forest Fire Behavior Prediction (FBP) System. Fire behavior potential was quantified using head fire intensity, a measure of the fire's energy output because it can be related to fire behavior characteristics, suppression effectiveness, and fire effects. The report discusses the implications of fire behavior potential changes for fire and forest management. Preliminary results suggest a large increase in area burned in the study area by the end of the twenty-first century. Some of the possible fire management activities for long-term prediction include: pre-positioning of resources, preparedness planning, prioritization of fire and forest management activities and fire threat evaluation. 16 refs., 1 tab, 7 figs

  4. The effects of variable renewable electricity on energy efficiency and full load hours of fossil-fired power plants in the European Union

    NARCIS (Netherlands)

    de Groot, Mats; Crijns-Graus, Wina; Harmsen, Robert

    2017-01-01

    This study focused on the effects of variable renewable electricity (VRE) on full load hours and energy efficiency of fossil-fired power generation in the European Union from 1990-2014. Member states were aggregated into three groups based on the level of VRE penetration. Average full load hours are

  5. Determinants for refusal of HIV testing among women attending for antenatal care in Gambella Region, Ethiopia.

    Science.gov (United States)

    Fanta, Wondimagegn; Worku, Alemayehu

    2012-07-26

    In Gambella region, inhabitants owe socio-cultural factors that might favor refusal for HIV testing service utilization among Antenatal Care attendees. To assess determinants for refusal of HIV testing service utilization among ANC attendees in Gambella Region. A comparative cross sectional study was conducted among ANC attendees from March 2008 to May 2008 in four selected health facilities of Gambella region. Sample size of 332 participants (83 who refused HIV testing and 249 who accepted HIV testing) were taken for the study. The study was supplemented with four focus group discussions. Multivariate binary logistic regression was employed to control for confounding factors. When adjusted with other factors pregnant women with 2-3 live births in the past; who claimed divorce as a perceived response of their husband following HIV positive test result; who had not sought agreement from their husband for testing; disclosure of test for husband and being from certain ethnic group (E.g. Mejenger) were independent predictors for refusal of HIV testing among ANC attendees. Based on the findings, the following recommendations were forwarded: Provision of innovative information and education on the pre-test session for those pregnant women having two or more children; community involvement to tackle stigma; women empowerment; designing couple friendly counseling service; and fighting harmful traditional practices related with decision of HIV testing.

  6. The importance of fire simulation in fire prediction

    Directory of Open Access Journals (Sweden)

    Jevtić Radoje B.

    2014-01-01

    Full Text Available The appearance of fire in objects with lot of humans inside represents very possible real situation that could be very danger and could cause destructive consequences on human lives and material properties. Very important influence in fire prediction, fire protection, human and material properties safety could be a fire simulation in object. This simulation could give many useful information of possible fire propagation; possible and existed evacuation routes; possible and exited placing of fire, smoke, temperature conditions in object and many other information of crucial importance for human lives and material properties, such as the best places for sensors position, optimal number of sensors, projection of possible evacuation routes etc. There are many different programs for fire simulation. This paper presents complete fire simulation in Electrotechnical school Nikola Tesla in Niš in FDS.

  7. Wildland Fire Management Plan for Brookhaven National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Green,T.

    2009-10-23

    This Wildland Fire Management Plan (FMP) for Brookhaven National Lab (BNL) updates the 2003 plan incorporating changes necessary to comply with DOE Order 450.1 and DOE P 450.4, Federal Wildland Fire Management Policy and Program Review; Wildland and Prescribed Fire Management Policy and implementation Procedures Reference Guide. This current plan incorporates changes since the original draft of the FMP that result from new policies on the national level. This update also removes references and dependence on the U.S. Fish & Wildlife Service and Department of the Interior, fully transitioning Wildland Fire Management responsibilities to BNL. The Department of Energy policy for managing wildland fires requires that all areas, managed by the DOE and/or its various contractors, that can sustain fire must have a FMP that details fire management guidelines for operational procedures associated with wild fire, operational, and prescribed fires. Fire management plans provide guidance on fire preparedness, fire prevention, wildfire suppression, and the use of controlled, 'prescribed' fires and mechanical means to control the amount of available combustible material. Values reflected in the BNL Wildland FMP include protecting life and public safety; Lab properties, structures and improvements; cultural and historical sites; neighboring private and public properties; and endangered, threatened, and species of concern. Other values supported by the plan include the enhancement of fire-dependent ecosystems at BNL. This FMP will be reviewed periodically to ensure the fire program advances and evolves with the missions of the DOE and BNL. This Fire Management Plan is presented in a format that coverers all aspects specified by DOE guidance documents which are based on the national template for fire management plans adopted under the National Fire Plan. The DOE is one of the signatory agencies on the National Fire Plan. This FMP is to be used and implemented for the

  8. Modeling and Analysis of Realistic Fire Scenarios in Spacecraft

    Science.gov (United States)

    Brooker, J. E.; Dietrich, D. L.; Gokoglu, S. A.; Urban, D. L.; Ruff, G. A.

    2015-01-01

    An accidental fire inside a spacecraft is an unlikely, but very real emergency situation that can easily have dire consequences. While much has been learned over the past 25+ years of dedicated research on flame behavior in microgravity, a quantitative understanding of the initiation, spread, detection and extinguishment of a realistic fire aboard a spacecraft is lacking. Virtually all combustion experiments in microgravity have been small-scale, by necessity (hardware limitations in ground-based facilities and safety concerns in space-based facilities). Large-scale, realistic fire experiments are unlikely for the foreseeable future (unlike in terrestrial situations). Therefore, NASA will have to rely on scale modeling, extrapolation of small-scale experiments and detailed numerical modeling to provide the data necessary for vehicle and safety system design. This paper presents the results of parallel efforts to better model the initiation, spread, detection and extinguishment of fires aboard spacecraft. The first is a detailed numerical model using the freely available Fire Dynamics Simulator (FDS). FDS is a CFD code that numerically solves a large eddy simulation form of the Navier-Stokes equations. FDS provides a detailed treatment of the smoke and energy transport from a fire. The simulations provide a wealth of information, but are computationally intensive and not suitable for parametric studies where the detailed treatment of the mass and energy transport are unnecessary. The second path extends a model previously documented at ICES meetings that attempted to predict maximum survivable fires aboard space-craft. This one-dimensional model implies the heat and mass transfer as well as toxic species production from a fire. These simplifications result in a code that is faster and more suitable for parametric studies (having already been used to help in the hatch design of the Multi-Purpose Crew Vehicle, MPCV).

  9. Continental-scale simulation of burn probabilities, flame lengths, and fire size distribution for the United States

    Science.gov (United States)

    Mark A. Finney; Charles W. McHugh; Isaac Grenfell; Karin L. Riley

    2010-01-01

    Components of a quantitative risk assessment were produced by simulation of burn probabilities and fire behavior variation for 134 fire planning units (FPUs) across the continental U.S. The system uses fire growth simulation of ignitions modeled from relationships between large fire occurrence and the fire danger index Energy Release Component (ERC). Simulations of 10,...

  10. Fire-tube immersion heater optimization program and field heater audit program

    Energy Technology Data Exchange (ETDEWEB)

    Croteau, P. [Petro-Canada, Calgary, AB (Canada)

    2007-07-01

    This presentation provided an overview of the top 5 priorities for emission reduction and eco-efficiency by the Petroleum Technology Alliance of Canada (PTAC). These included venting of methane emissions; fuel consumption in reciprocating engines; fuel consumption in fired heaters; flaring and incineration; and fugitive emissions. It described the common concern for many upstream operating companies as being energy consumption associated with immersion heaters. PTAC fire-tube heater and line heater studies were presented. Combustion efficiency was discussed in terms of excess air, fire-tube selection, heat flux rate, and reliability guidelines. Other topics included heat transfer and fire-tube design; burner selection; burner duty cycle; heater tune up inspection procedure; and insulation. Two other programs were also discussed, notably a Petro-Canada fire-tube immersion heater optimization program and the field audit program run by Natural Resources Canada. It was concluded that improved efficiency involves training; managing excess air in combustion; managing the burner duty cycle; striving for 82 per cent combustion efficiency; and providing adequate insulation to reduce energy demand. tabs., figs.

  11. High Temperature Corrosion on Biodust Firing

    DEFF Research Database (Denmark)

    Okoro, Sunday Chukwudi

    The high content of alkali metals and chlorine in biomass gives rise to fouling/slagging and corrosion of heat exchange components, such as superheaters, in biomass fired power plants. Increasing the lifetime of these components, and in addition, preventing unwarranted plant shutdowns due...... to their failure, requires understanding of the complex corrosion mechanisms, as well as development of materials that are resistant to corrosion under biomass firing conditions, thereby motivating the current work. To understand the mechanisms of corrosion attack, comprehensive analysis of corrosion products...... by the combined use of complementary information from microscopy, energy dispersive X-ray spectroscopy and various X-ray diffraction characterization techniques. In light of the wide variation in operating conditions in biomass fired power plants, systematic and well-controlled, but realistic laboratory scale...

  12. Adsorber fires

    International Nuclear Information System (INIS)

    Holmes, W.

    1987-01-01

    The following conclusions are offered with respect to activated charcoal filter systems in nuclear power plants: (1) The use of activated charcoal in nuclear facilities presents a potential for deep-seated fires. (2) The defense-in-depth approach to nuclear fire safety requires that if an ignition should occur, fires must be detected quickly and subsequently suppressed. (3) Deep-seated fires in charcoal beds are difficult to extinguish. (4) Automatic water sprays can be used to extinguish fires rapidly and reliably when properly introduced into the burning medium. The second part of the conclusions offered are more like challenges: (1) The problem associated with inadvertent actuations of fire protection systems is not a major one, and it can be reduced further by proper design review, installation, testing, and maintenance. Eliminating automatic fire extinguishing systems for the protection of charcoal adsorbers is not justified. (2) Removal of automatic fire protection systems due to fear of inadvertent fire protection system operation is a case of treating the effect rather than the cause. On the other hand, properly maintaining automatic fire protection systems will preserve the risk of fire loss at acceptable levels while at the same time reducing the risk of damage presented by inadvertent operation of fire protection systems

  13. Disposable containers as larval habitats for Aedes aegypti in a city with regular refuse collection: a study in Marília, São Paulo State, Brazil.

    Science.gov (United States)

    Mazine, C A; Macoris, M L; Andrighetti, M T; Yasumaro, S; Silva, M E; Nelson, M J; Winch, P J

    1996-09-01

    In Marília, Brazil, refuse is collected at least every other day, yet non-useful, non-returnable containers such as cans, plastic bottles and tires account for almost half of the container habitats found positive for the Aedes aegypti mosquito. A study was therefore conducted to investigate why these containers exist despite regular refuse collection and a high level of awareness of dengue prevention, and how the control program could most effectively respond. Differing community perceptions as to what constitutes refuse were found to lead people to store a variety of containers in their yard. Other dimensions of the problem include the presence of informal refuse collectors in search of saleable materials, and dumping of refuse in vacant lots and along roads. An intervention based on these data will involve the informal refuse collectors in implementation of a community-based recycling project.

  14. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses

    NARCIS (Netherlands)

    de Bie, J.; Cuperus-Bosma, J.M.; van der Jagt, M.A.; Gevers, J.K.M.; van der Wal, G.

    2005-01-01

    Occurrence of problems with, refusals of orders and contemplated refusals of orders for risky procedures by nurses in Dutch hospitals and views on the safety of performance was studied using postal questionnaires (600 physicians and 3200 nurses, response 60-71%). Of the respondents, 11-30%

  15. Higher refusal rates for organ donation among older potential donors in the Netherlands: impact of the donor register and relatives.

    NARCIS (Netherlands)

    Leiden, H.A. van; Jansen, N.E.; Haase-Kromwijk, B.J.; Hoitsma, A.J.

    2010-01-01

    BACKGROUND: The availability of donor organs is considerably reduced by relatives refusing donation after death. There is no previous large-scale evaluation of the influence of the Donor Register (DR) consultation and the potential donor's age on this refusal in The Netherlands. METHODS: This study

  16. The principles for creation of fire-prevention forest belts with barriers of deciduous species for protection from crown fires

    Directory of Open Access Journals (Sweden)

    S. N. Sannikov

    2017-10-01

    Full Text Available The article discuss one of the priority security problems in Russia, which is elaboration of the strategic system of the forest and society safeguards from catastrophic forest crown fires in connection with rapid climate warming. It is postulated, that a most effective and reliable barrier for the dispersal of the intensive crown fire in a coniferous forest massive can be a sufficiently wide strip of deciduous tree species – «deciduous forest barrier», which has phytomass capable of absorbing crown fire energy and transforming them to surface fire, which may be extinguished by technical means. The actuality of the natural study of the transition parameters from the crown fire to surface fire has been noted, depending on climate, fire intensity and the deciduous barrier structure. The results of the quantitative natural investigation of the consequences of catastrophic crown fires of 2004 in the island pine forests of forest-steppe zone in Kurgan Oblast, which passed through the belt of 50–70 year-old birch stands of middle density, has been cited and formalized mathematically. It has been shown, that 150 m width of deciduous forest barrier is necessary as a minimum for the reliable transition of the high intensive front crown fire to surface fire in the forest-steppe conditions of the Western Siberia, but this width reduces with a decreasing heating effect. It has been proposed to create the complex fire-prevention forest belts of different construction for the protection of forests, industrial objects and settlements. Besides a basic deciduous barrier, their structure should include technologically necessary buffer zones and zones for the localization and extinguishing surface fire, which stop a crown fire. It has been recommended to use natural regeneration of deciduous tree species, as a most effective and non-deficient method for the creation of deciduous forest barriers in the predominant forest types, except the lichen pine forests

  17. The right to physical integrity and informed refusal: Just how far does ...

    African Journals Online (AJOL)

    Provided that the patient makes an informed refusal while of sound mind, generally ... At all times the right to bodily integrity is pivotal in any health-related context and should ... choices regarding the body in an autonomous and independent.

  18. Refusal of implant supported mandibular overdentures by elderly patients.

    Science.gov (United States)

    Ellis, Janice S; Levine, Alissa; Bedos, Christophe; Mojon, Phillippe; Rosberger, Zeer; Feine, Jocelyne; Thomason, J Mark

    2011-03-01

      The aim of this study was to gain greater in-depth understanding of why elderly patients who are currently dissatisfied with conventional dentures decline implant treatment.   There is strong evidence from high-quality randomised controlled trials to support the use of implant-supported overdentures for the restoration of the edentulous mandible. However, whilst recruiting for randomised clinical trials, researchers have found that a high proportion of potential subjects decline participation, despite the removal of financial constraints.   The study adopted a qualitative approach to provide a rich and deep understanding of people's reasons for refusal. Data were collected through focus group interviews in a two-centre study based in Montreal, Canada and Newcastle, UK. A semi-structured interview schedule was used and iteratively developed as analysis identified themes from previous focus groups. Transcripts of focus groups were coded and emergent themes determined.   Two main themes emerged; patients' fear and anxiety (relating to the pain of surgery, complications of the procedure and immediate post-surgical denture use), and the appropriateness of the procedure in an elderly person.   Fears of pain, complications and social embarrassment, exacerbated by age, are important factors that help explain refusal of implants by elderly patients. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

  19. Risk assessment of main control board fire using fire dynamics simulator

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Dae Il, E-mail: dikang@kaeri.re.kr [KAERI, 1045 Daedeokdaero, Yuseong-Gu, Daejeon 305-353 (Korea, Republic of); Kim, Kilyoo; Jang, Seung-Cheol [KAERI, 1045 Daedeokdaero, Yuseong-Gu, Daejeon 305-353 (Korea, Republic of); Yoo, Seong Yeon [Chungnam National University, 79, Daehagro, Yuseong-Gu, Daejeon (Korea, Republic of)

    2015-08-15

    Highlights: • A decision tree for evaluating the risk of a main control board (MCB) fire was proposed to systematically determine the MCB fire scenarios. • Fire simulations using fire dynamics simulator (FDS) were performed to estimate the time to MCR abandonment. • Non-propagating and propagating fire scenarios were considered for fire simulations. • The current study indicates that the quantification of the MCB fire risk should address the propagating fire and non-propagating fire scenarios if the MCB has no internal barriers between the panels. - Abstract: This paper presents the process and results of a risk assessment for a main control board (MCB) fire using fire dynamics simulator (FDS). A decision tree for evaluating the risk of a MCB fire was proposed to systematically determine the MCB fire scenarios, and fire simulations using FDS were performed to estimate the time to MCR abandonment. As a reference NPP for this study, Hanul unit 3 in Korea was selected and its core damage frequency (CDF) owing to the MCB fire was quantified. Two types of fire scenarios were considered for fire simulations: non-propagating fire scenarios occurring within a single MCB panel and propagating fire scenarios spreading from one control panel to the adjacent panels. Further, the fire scenarios were classified into fires with and without a heating, ventilation, and air conditioning system (HVACS). The fire simulation results showed that the major factor causing the MCR evacuation was the optical density irrelevant to the availability of the HVACS. The risk assessment results showed that the abandonment fire scenario risk was less than the non-abandonment fire scenario risk and the propagating fire scenario risk was greater than the non-propagating fire scenario risk.

  20. Risk assessment of main control board fire using fire dynamics simulator

    International Nuclear Information System (INIS)

    Kang, Dae Il; Kim, Kilyoo; Jang, Seung-Cheol; Yoo, Seong Yeon

    2015-01-01

    Highlights: • A decision tree for evaluating the risk of a main control board (MCB) fire was proposed to systematically determine the MCB fire scenarios. • Fire simulations using fire dynamics simulator (FDS) were performed to estimate the time to MCR abandonment. • Non-propagating and propagating fire scenarios were considered for fire simulations. • The current study indicates that the quantification of the MCB fire risk should address the propagating fire and non-propagating fire scenarios if the MCB has no internal barriers between the panels. - Abstract: This paper presents the process and results of a risk assessment for a main control board (MCB) fire using fire dynamics simulator (FDS). A decision tree for evaluating the risk of a MCB fire was proposed to systematically determine the MCB fire scenarios, and fire simulations using FDS were performed to estimate the time to MCR abandonment. As a reference NPP for this study, Hanul unit 3 in Korea was selected and its core damage frequency (CDF) owing to the MCB fire was quantified. Two types of fire scenarios were considered for fire simulations: non-propagating fire scenarios occurring within a single MCB panel and propagating fire scenarios spreading from one control panel to the adjacent panels. Further, the fire scenarios were classified into fires with and without a heating, ventilation, and air conditioning system (HVACS). The fire simulation results showed that the major factor causing the MCR evacuation was the optical density irrelevant to the availability of the HVACS. The risk assessment results showed that the abandonment fire scenario risk was less than the non-abandonment fire scenario risk and the propagating fire scenario risk was greater than the non-propagating fire scenario risk

  1. Biological and geophysical feedbacks with fire in the Earth system

    Science.gov (United States)

    Archibald, S.; Lehmann, C. E. R.; Belcher, C. M.; Bond, W. J.; Bradstock, R. A.; Daniau, A.-L.; Dexter, K. G.; Forrestel, E. J.; Greve, M.; He, T.; Higgins, S. I.; Hoffmann, W. A.; Lamont, B. B.; McGlinn, D. J.; Moncrieff, G. R.; Osborne, C. P.; Pausas, J. G.; Price, O.; Ripley, B. S.; Rogers, B. M.; Schwilk, D. W.; Simon, M. F.; Turetsky, M. R.; Van der Werf, G. R.; Zanne, A. E.

    2018-03-01

    Roughly 3% of the Earth’s land surface burns annually, representing a critical exchange of energy and matter between the land and atmosphere via combustion. Fires range from slow smouldering peat fires, to low-intensity surface fires, to intense crown fires, depending on vegetation structure, fuel moisture, prevailing climate, and weather conditions. While the links between biogeochemistry, climate and fire are widely studied within Earth system science, these relationships are also mediated by fuels—namely plants and their litter—that are the product of evolutionary and ecological processes. Fire is a powerful selective force and, over their evolutionary history, plants have evolved traits that both tolerate and promote fire numerous times and across diverse clades. Here we outline a conceptual framework of how plant traits determine the flammability of ecosystems and interact with climate and weather to influence fire regimes. We explore how these evolutionary and ecological processes scale to impact biogeochemical and Earth system processes. Finally, we outline several research challenges that, when resolved, will improve our understanding of the role of plant evolution in mediating the fire feedbacks driving Earth system processes. Understanding current patterns of fire and vegetation, as well as patterns of fire over geological time, requires research that incorporates evolutionary biology, ecology, biogeography, and the biogeosciences.

  2. Observations of parent-child co-shoppers in supermarkets: children's involvement in food selections, parental yielding, and refusal strategies.

    Science.gov (United States)

    O'Dougherty, Maureen; Story, Mary; Stang, Jamie

    2006-01-01

    The study aimed to collect descriptive information on the decision-making processes of adult shoppers around food purchases when young children are present. Anthropological field observations were conducted on adult-child grocery shoppers. Eleven supermarkets in the Minneapolis-St. Paul metropolitan region. A convenience sample (n = 142) of adult-child shoppers at 8 budget and 3 deluxe supermarkets located in diverse urban and suburban areas. Observations registered adult-child interactions over food selections, including parental yielding or refusal strategies and child engagement in shopping. Means and frequencies were calculated for food items considered. In 67 (50.4%) of the total 133 observations, a child initiated a request. Half (55.2%) of the requests were for sweets or snacks. Nearly half (47.8%) of adults yielded to the child's request. Brands and marketing techniques appeared to be a factor in 28.6% of selections. The most frequent adult refusals either provided an explanation or ignored the request. Adults yield to children's requests for sweets and snacks nearly as often as they refuse them. However, effective refusal strategies are used by many adults. Opportunities exist in the grocery store for adults to reinforce young children's interest in food and nutrition.

  3. Full-scale horizontal cable-tray tests: Fire-propagation characteristics

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    At the Fermi National Accelerator Center (Fermilab), as at any high-energy physics laboratory, the experimental program depends on complex arrays of equipment that require years to assemble and place in service. These equipment arrays are typically located in enclosed tunnels or experimental halls and could be destroyed by rapidly propagating, uncontrolled fire. Cable trays, both vertical and horizontal, are an integral and ubiquitous component of these installations. Concurrently, throughout industry and within the professional fire-fighting community, there has been concern over the flammability and fire propagation characteristics of electrical cables in open cable trays. While some information was available concerning fire propagation in vertical cable trays, little was known about fires in horizontal cable trays. In view of the potential for loss of equipment and facilities, not to mention the programmatic impact of a fire, Fermilab initiated a program of full-scale, horizontal cable-tray fire tests to determine the flammability and rate of horizontal fire propagation in cable-tray configurations and cable mixed typical of those existing in underground tunnel enclosures and support buildings as Fermilab. This series of tests addressed the effects of ventilation rates and cable-tray fill, fire-fighting techniques, and the effectiveness and value of automatic sprinklers, smoke detection, and cable-coating fire barriers in detecting, controlling, or extinguishing a cable-tray fire. Detailed descriptions of each fire test, including sketches of cable-tray configuration and contents, instrumentation, ventilation rates, Fermilab Fire Department personnel observations, photographs, and graphs of thermocouple readings are available in a report of these tests prepared by the Fermilab Safety Section

  4. New fire hazard in the company. Lithium batteries and lithium accumulators; Neue Brandgefahr im Betrieb. Lithiumbatterien und -akkumulatoren

    Energy Technology Data Exchange (ETDEWEB)

    Lambotte, Stephan [Hochschule Furtwangen (Germany). Security and Safety Engineering

    2012-09-15

    Almost every fire prevention officer and each firefighter knows metal fires from demonstration tests as part of his training: gleaming bright light, high temperatures and spectacular reactions with water stay memorable to everyone present in these experiments. Everyone learns, that light metal fires practically can not be extinguished with water. On the contrary, the reaction with water induces a significant spread of fire. It is therefore understandable that fire safety officers are insecure when lithium based energy storage devices are used in companies. From this perspective, the author of the contribution under consideration report on the dangerousness of energy storage devices in the event of a fire.

  5. Gas fired heat pumps

    International Nuclear Information System (INIS)

    Seifert, M.

    2006-01-01

    The condensing gas boiler is now state of the art and there is no more room for improvement in performance, technically speaking. The next logical step to improve the overall efficiency is to exploit ambient heat in combination with the primary source of energy, natural gas. That means using natural-gas driven heat pumps and gas-fired heat pumps. Based on this, the Swiss Gas Industry decided to set up a practical test programme enjoying a high priority. The aim of the project 'Gas-fired heat pump practical test' is to assess by field tests the characteristics and performance of the foreign serial heat pumps currently on the market and to prepare and promote the introduction on the market place of this sustainable natural-gas technology. (author)

  6. Fire-Walking

    Science.gov (United States)

    Willey, David

    2010-01-01

    This article gives a brief history of fire-walking and then deals with the physics behind fire-walking. The author has performed approximately 50 fire-walks, took the data for the world's hottest fire-walk and was, at one time, a world record holder for the longest fire-walk (www.dwilley.com/HDATLTW/Record_Making_Firewalks.html). He currently…

  7. 76 FR 22381 - National Fire Codes: Request for Comments on NFPA Technical Committee Reports

    Science.gov (United States)

    2011-04-21

    ... Stored Electrical P Energy Emergency and Standby Power Systems. NFPA 291 Recommended Practice for Fire P.... NFPA 400 Hazardous Materials Code....... P NFPA 402 Guide for Aircraft Rescue and P Fire-Fighting... Installation, P Maintenance, and Use of Emergency Services Communications Systems. NFPA 1500 Standard on Fire...

  8. Forest-fire models

    Science.gov (United States)

    Haiganoush Preisler; Alan Ager

    2013-01-01

    For applied mathematicians forest fire models refer mainly to a non-linear dynamic system often used to simulate spread of fire. For forest managers forest fire models may pertain to any of the three phases of fire management: prefire planning (fire risk models), fire suppression (fire behavior models), and postfire evaluation (fire effects and economic models). In...

  9. "No Thank You, We'd Rather Not": The Rights and Policies of Daily Newspapers Relating to Refusals to Accept Advertising.

    Science.gov (United States)

    Utt, Sandra H.; Pasternack, Steve

    A study investigated the types of advertisements newspapers refuse as well as the attitudes of advertising managers about guidelines and laws concerning advertising refusal. Newspapers were selected from the "1985 Editor and Publisher Yearbook" using a systematic probability sampling method, and questionnaires were mailed to advertising…

  10. Fire Perimeters

    Data.gov (United States)

    California Natural Resource Agency — The Fire Perimeters data consists of CDF fires 300 acres and greater in size and USFS fires 10 acres and greater throughout California from 1950 to 2003. Some fires...

  11. Fire History

    Data.gov (United States)

    California Natural Resource Agency — The Fire Perimeters data consists of CDF fires 300 acres and greater in size and USFS fires 10 acres and greater throughout California from 1950 to 2002. Some fires...

  12. Optimization of use of waste in the future energy system

    International Nuclear Information System (INIS)

    Muenster, Marie; Meibom, Peter

    2011-01-01

    Alternative uses of waste for energy production become increasingly interesting when considered from two perspectives, that of waste management and the energy system perspective. This paper presents the results of an enquiry into the use of waste in a future energy system. The analysis was performed using the energy system analysis model, Balmorel. The study is focused on Germany and the Nordic countries and demonstrates the optimization of both investments and production within the energy systems. The results present cost optimization excluding taxation concerning the use of waste for energy production in Denmark in a 2025 scenario with 48% renewable energy. Investments in a range of waste conversion technologies are facilitated, including waste incineration, co-combustion with coal, anaerobic digestion, and gasification. The most economically feasible solutions are found to be incineration of mixed waste, anaerobic digestion of organic waste, and gasification of part of the potential RDF (refuse derived fuel) for CHP (combined heat and power) production, while the remaining part is co-combusted with coal. Co-combustion mainly takes place in new coal-fired power plants, allowing investments to increase in comparison with a situation where only investments in waste incineration are allowed. -- Highlights: → The analysis is based on hourly chronological time steps, thereby taking dynamic properties of the energy system into account. → The system analyzed includes both the heat and the electricity market, which is important when analyzing e.g. CHP technologies. → The surrounding countries, which form part of the same electricity market, are included in the analysis. → New innovative Waste-to-Energy production plants have been modeled to allow for a more efficient and flexible use of waste. → The analysis includes economical optimization of operation and of investments in production and transmission of both electricity and heat.

  13. St. Louis demonstration final report: refuse processing plant equipment, facilities, and environmental evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Fiscus, D.E.; Gorman, P.G.; Schrag, M.P.; Shannon, L.J.

    1977-09-01

    The results are presented of processing plant evaluations of the St. Louis-Union Electric Refuse Fuel Project, including equipment and facilities as well as assessment of environmental emissions at both the processing and the power plants. Data on plant material flows and operating parameters, plant operating costs, characteristics of plant material flows, and emissions from various processing operations were obtained during a testing program encompassing 53 calendar weeks. Refuse derived fuel (RDF) is the major product (80.6% by weight) of the refuse processing plant, the other being ferrous metal scrap, a marketable by-product. Average operating costs for the entire evaluation period were $8.26/Mg ($7.49/ton). The average overall processing rate for the period was 168 Mg/8-h day (185.5 tons/8-h day) at 31.0 Mg/h (34.2 tons/h). Future plants using an air classification system of the type used at the St. Louis demonstration plant will need an emissions control device for particulates from the large de-entrainment cyclone. Also in the air exhaust from the cyclone were total counts of bacteria and viruses several times higher than those of suburban ambient air. No water effluent or noise exposure problems were encountered, although landfill leachate mixed with ground water could result in contamination, given low dilution rates.

  14. Co-firing of imported wood pellets – An option to efficiently save CO2 emissions in Europe?

    International Nuclear Information System (INIS)

    Ehrig, Rita; Behrendt, Frank

    2013-01-01

    In this paper the energy and carbon footprints of pellet imports from Australia, West Canada, and Russia for co-firing in Europe are investigated. Their ecologic and economic performances are proven by applying the Belgian and UK co-firing subsidy systems, which require dedicated sustainability evaluations. Based on the modelling of different subsidy schemes and price scenarios, the present paper identifies favourable conditions for the use of biomass co-firing in Germany and Austria, which currently do not have dedicated co-firing incentives. The present paper shows that under present conditions, co-firing has a narrow financial gap to coal with −3 to 4 € Cent/kWh el and has low CO 2 mitigation costs compared to other renewables. Moreover, it is shown that co-firing is one of the most cost-attractive options to reach the EU-2020 targets. For policy makers, the support of co-firing is found to be very efficient in terms of cost-benefit ratio. It is proven that the co-firing subsidy schemes might direct supply chain decisions towards options with low energy and carbon impacts. - Highlights: • Co-firing has a low financial gap and allows for advantageous CO 2 mitigation costs compared to other renewable. • Belgian and UK's co-firing subsidies are reasonable options to promote cost-effective renewable electricity generation. • Co-firing subsidy schemes can effectively direct supply chain decisions towards low energy and carbon options

  15. "To My Relations": Writing and Refusal toward an Indigenous Epistolary Methodology

    Science.gov (United States)

    Cisneros, Nora Alba

    2018-01-01

    In this article, the author presents an Indigenous Epistolary Methodology (IEM) to reflect on what it means for Indigenous women to engage the notion of refusal in traditional writing methods and qualitative research. The author proposes that an IEM, nestled within her familial genealogies, Indigenous Knowledges and Chicana Feminist Epistemology…

  16. Fire weather conditions and fire-atmosphere interactions observed during low-intensity prescribed fires - RxCADRE 2012

    Science.gov (United States)

    Craig B. Clements; Neil P. Lareau; Daisuke Seto; Jonathan Contezac; Braniff Davis; Casey Teske; Thomas J. Zajkowski; Andrew T. Hudak; Benjamin C. Bright; Matthew B. Dickinson; Bret W. Butler; Daniel Jimenez; J. Kevin. Hiers

    2016-01-01

    The role of fire-atmosphere coupling on fire behaviour is not well established, and to date few field observations have been made to investigate the interactions between fire spread and fire-induced winds. Therefore, comprehensive field observations are needed to better understand micrometeorological aspects of fire spread. To address this need, meteorological...

  17. Community participation in fire management planning: The Trinity county fire safe council's fire plan

    Science.gov (United States)

    Yvonne Everett

    2008-01-01

    In 1999, Trinity County CA, initiated a participatory fire management planning effort. Since that time, the Trinity County Fire Safe Council has completed critical portions of a fire safe plan and has begun to implement projects defined in the plan. Completion of a GIS based, landscape scale fuels reduction element in the plan defined by volunteer fire fighters, agency...

  18. Report of regional new energy vision for Kannami Town; 2001 nendo Kannami cho chiiki shin energy vision hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-03-01

    For promoting the introduction of new energy and for enhancing people's consciousness of such at Kannami Town, Shizuoka Prefecture, surveys and studies were conducted involving the energy consumption structure of the town, the amount of new energy resources in existence, and new energy introduction projects, and a vision was formulated. The town consumes approximately 5-million GJ/year, with the industrial sector consuming 47%, the transportation sector 29%, and the residential and commercial sector 26%. When a comparison is made, the percentages of the residential/commercial and transportation sectors are relatively higher than the national average. Projects for new energy introduction were studied, which involved photovoltaic power generation for the town office, community hall, primary and junior high schools, nursery schools, and general residences; solar heat utilization for public facilities, greenhouses, and general residences; wind power generation for sightseeing facilities, public gardens, and emergency evaluation areas; utilization of sewage waste heat for the sewage purification center; utilization of hot spa waste heat in the urban area; a biomass-fueled power plant; medium- and mini-scale hydroelectric power generation for the drinking water treatment plant; refuse-fueled power generation at refuse incineration facilities; use of clean-energy automobiles; natural gas-fueled cogeneration for public organizations; and so forth. (NEDO)

  19. 14 CFR 120.11 - Refusal to submit to a drug or alcohol test by a Part 61 certificate holder.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Refusal to submit to a drug or alcohol test...: CERTIFICATION AND OPERATIONS DRUG AND ALCOHOL TESTING PROGRAM Individuals Certificated Under Parts 61, 63, and 65 § 120.11 Refusal to submit to a drug or alcohol test by a Part 61 certificate holder. (a) This...

  20. 14 CFR 120.15 - Refusal to submit to a drug or alcohol test by a Part 65 certificate holder.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Refusal to submit to a drug or alcohol test...: CERTIFICATION AND OPERATIONS DRUG AND ALCOHOL TESTING PROGRAM Individuals Certificated Under Parts 61, 63, and 65 § 120.15 Refusal to submit to a drug or alcohol test by a Part 65 certificate holder. (a) This...

  1. 14 CFR 120.13 - Refusal to submit to a drug or alcohol test by a Part 63 certificate holder.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Refusal to submit to a drug or alcohol test...: CERTIFICATION AND OPERATIONS DRUG AND ALCOHOL TESTING PROGRAM Individuals Certificated Under Parts 61, 63, and 65 § 120.13 Refusal to submit to a drug or alcohol test by a Part 63 certificate holder. (a) This...

  2. Managing wildland fires: integrating weather models into fire projections

    Science.gov (United States)

    Anne M. Rosenthal; Francis Fujioka

    2004-01-01

    Flames from the Old Fire sweep through lands north of San Bernardino during late fall of 2003. Like many Southern California fires, the Old Fire consumed susceptible forests at the urban-wildland interface and spread to nearby city neighborhoods. By incorporating weather models into fire perimeter projections, scientist Francis Fujioka is improving fire modeling as a...

  3. Fire hazard analysis for Plutonium Finishing Plant complex

    Energy Technology Data Exchange (ETDEWEB)

    MCKINNIS, D.L.

    1999-02-23

    A fire hazards analysis (FHA) was performed for the Plutonium Finishing Plant (PFP) Complex at the Department of Energy (DOE) Hanford site. The scope of the FHA focuses on the nuclear facilities/structures in the Complex. The analysis was conducted in accordance with RLID 5480.7, [DOE Directive RLID 5480.7, 1/17/94] and DOE Order 5480.7A, ''Fire Protection'' [DOE Order 5480.7A, 2/17/93] and addresses each of the sixteen principle elements outlined in paragraph 9.a(3) of the Order. The elements are addressed in terms of the fire protection objectives stated in paragraph 4 of DOE 5480.7A. In addition, the FHA also complies with WHC-CM-4-41, Fire Protection Program Manual, Section 3.4 [1994] and WHC-SD-GN-FHA-30001, Rev. 0 [WHC, 1994]. Objectives of the FHA are to determine: (1) the fire hazards that expose the PFP facilities, or that are inherent in the building operations, (2) the adequacy of the fire safety features currently located in the PFP Complex, and (3) the degree of compliance of the facility with specific fire safety provisions in DOE orders, related engineering codes, and standards.

  4. Factors Associated with Participation, Active Refusals and Reasons for Not Taking Part in a Mortality Followback Survey Evaluating End-of-Life Care.

    Directory of Open Access Journals (Sweden)

    Natalia Calanzani

    Full Text Available Examination of factors independently associated with participation in mortality followback surveys is rare, even though these surveys are frequently used to evaluate end-of-life care. We aimed to identify factors associated with 1 participation versus non-participation and 2 provision of an active refusal versus a silent refusal; and systematically examine reasons for refusal in a population-based mortality followback survey.Postal survey about the end-of-life care received by 1516 people who died from cancer (aged ≥18, identified through death registrations in London, England (response rate 39.3%. The informant of death (a relative in 95.3% of cases was contacted 4-10 months after the patient died. We used multivariate logistic regression to identify factors associated with participation/active refusals and content analysis to examine refusal reasons provided by 205 nonparticipants.The odds of partaking were higher for patients aged 90+ (AOR 3.48, 95%CI: 1.52-8.00, ref: 20-49yrs and female informants (AOR 1.70, 95%CI: 1.33-2.16. Odds were lower for hospital deaths (AOR 0.62, 95%CI: 0.46-0.84, ref: home and proxies other than spouses/partners (AORs 0.28 to 0.57. Proxies of patients born overseas were less likely to provide an active refusal (AOR 0.49; 95% CI: 0.32-0.77. Refusal reasons were often multidimensional, most commonly study-related (36.0%, proxy-related and grief-related (25.1% each. One limitation of this analysis is the large number of nonparticipants who did not provide reasons for refusal (715/920.Our survey better reached proxies of older patients while those dying in hospitals were underrepresented. Proxy characteristics played a role, with higher participation from women and spouses/partners. More information is needed about the care received by underrepresented groups. Study design improvements may guide future questionnaire development and help develop strategies to increase response rates.

  5. Factors Associated with Participation, Active Refusals and Reasons for Not Taking Part in a Mortality Followback Survey Evaluating End-of-Life Care

    Science.gov (United States)

    Calanzani, Natalia; Higginson, Irene J; Koffman, Jonathan; Gomes, Barbara

    2016-01-01

    Background Examination of factors independently associated with participation in mortality followback surveys is rare, even though these surveys are frequently used to evaluate end-of-life care. We aimed to identify factors associated with 1) participation versus non-participation and 2) provision of an active refusal versus a silent refusal; and systematically examine reasons for refusal in a population-based mortality followback survey. Methods Postal survey about the end-of-life care received by 1516 people who died from cancer (aged ≥18), identified through death registrations in London, England (response rate 39.3%). The informant of death (a relative in 95.3% of cases) was contacted 4–10 months after the patient died. We used multivariate logistic regression to identify factors associated with participation/active refusals and content analysis to examine refusal reasons provided by 205 nonparticipants. Findings The odds of partaking were higher for patients aged 90+ (AOR 3.48, 95%CI: 1.52–8.00, ref: 20–49yrs) and female informants (AOR 1.70, 95%CI: 1.33–2.16). Odds were lower for hospital deaths (AOR 0.62, 95%CI: 0.46–0.84, ref: home) and proxies other than spouses/partners (AORs 0.28 to 0.57). Proxies of patients born overseas were less likely to provide an active refusal (AOR 0.49; 95% CI: 0.32–0.77). Refusal reasons were often multidimensional, most commonly study-related (36.0%), proxy-related and grief-related (25.1% each). One limitation of this analysis is the large number of nonparticipants who did not provide reasons for refusal (715/920). Conclusions Our survey better reached proxies of older patients while those dying in hospitals were underrepresented. Proxy characteristics played a role, with higher participation from women and spouses/partners. More information is needed about the care received by underrepresented groups. Study design improvements may guide future questionnaire development and help develop strategies to increase

  6. Do pharmacists have a right to refuse to fill prescriptions for abortifacient drugs?

    Science.gov (United States)

    Weinstein, B D

    1992-01-01

    Some pharmacists opposed to abortion on moral ground are concerned by having to fill prescriptions for abortifacient drugs like mifepristone (RU-486). The issue of the right of pharmacists to refuse to fill such prescriptions depends on the model of the physician-pharmacist-patient relationship. The libertarian model of pharmacy practice holds that physicians, pharmacists, and patients are bound only by the contract that they freely negotiate with one another, thus the pharmacist has no moral obligation to fill a prescription for mifepristone unless he or she has expressly contracted to do so. The American Pharmaceutical Association's 1981 Code of Ethics does not specify what a pharmacist ought to do in particular circumstances. The right to refuse is strongly supported by the principles of nonmaleficence and respect for autonomy. These are principles of the libertarian model of the pharmacist-patient relationship but are also present in the guild or societal models stressing the duty to avoid harming others. Justification for pharmacists right of refusal appeals to their autonomy rights as members of the moral community rather than the profession of pharmacy. Since the professional right to autonomy is not absolute, moral consideration circumscribe it: it is difficult to argue that a pharmacist who believes that homosexuality is immoral has the right to refuse to fill a prescription for AZT. Even if a person who presents such a prescription is homosexual there is no causal relationship between filling a prescription for AZT and participating in a homosexual act. At the opposite end the libertarians reject the notion of even a basic right to health care. A woman in the above situation would not have a right to the abortifacient drug, so a pharmacist has no duty to dispense it. According to the technician model of professionalism, the pharmacist's personal values do not matter, so a pharmacist has a duty to provide the service.

  7. Enhancing adaptive capacity for restoring fire-dependent ecosystems: the Fire Learning Network's Prescribed Fire Training Exchanges

    Directory of Open Access Journals (Sweden)

    Andrew G. Spencer

    2015-09-01

    Full Text Available Prescribed fire is a critical tool for promoting restoration and increasing resilience in fire-adapted ecosystems, but there are barriers to its use, including a shortage of personnel with adequate ecological knowledge and operational expertise to implement prescribed fire across multijurisdictional landscapes. In the United States, recognized needs for both professional development and increased use of fire are not being met, often because of institutional limitations. The Fire Learning Network has been characterized as a multiscalar, collaborative network that works to enhance the adaptive capacity of fire management institutions, and this network developed the Prescribed Fire Training Exchanges (TREXs to address persistent challenges in increasing the capacity for prescribed fire implementation. Our research was designed to investigate where fire professionals face professional barriers, how the TREX addresses these, and in what ways the TREX may be contributing to the adaptive capacity of fire management institutions. We evaluated the training model using surveys, interviews, focus groups, and participant observation. We found that, although the training events cannot overcome all institutional barriers, they incorporate the key components of professional development in fire; foster collaboration, learning, and network building; and provide flexible opportunities with an emphasis on local context to train a variety of professionals with disparate needs. The strategy also offers an avenue for overcoming barriers faced by contingent and nonfederal fire professionals in attaining training and operational experience, thereby increasing the variety of actors and resources involved in fire management. Although it is an incremental step, the TREX is contributing to the adaptive capacity of institutions in social-ecological systems in which fire is a critical ecological process.

  8. Optimal planning of co-firing alternative fuels with coal in a power plant by grey nonlinear mixed integer programming model

    Energy Technology Data Exchange (ETDEWEB)

    Koa, A.S.; Chang, N.B. [University of Central Florida, Orlando, FL (United States). Dept. for Civil & Environmental Engineering

    2008-07-15

    Energy supply and use is of fundamental importance to society. Although the interactions between energy and environment were originally local in character, they have now widened to cover regional and global issues, such as acid rain and the greenhouse effect. It is for this reason that there is a need for covering the direct and indirect economic and environmental impacts of energy acquisition, transport, production and use. In this paper, particular attention is directed to ways of resolving conflict between economic and environmental goals by encouraging a power plant to consider co-firing biomass and refuse-derived fuel (RDF) with coal simultaneously. It aims at reducing the emission level of sulfur dioxide (SO{sub 2}) in an uncertain environment, using the power plant in Michigan City, Indiana as an example. To assess the uncertainty by a comparative way both deterministic and grey nonlinear mixed integer programming (MIP) models were developed to minimize the net operating cost with respect to possible fuel combinations. It aims at generating the optimal portfolio of alternative fuels while maintaining the same electricity generation simultaneously. To case the solution procedure stepwise relaxation algorithm was developed for solving the grey nonlinear MIP model. Breakeven alternative fuel value can be identified in the post-optimization stage for decision-making. Research findings show that the inclusion of RDF does not exhibit comparative advantage in terms of the net cost, albeit relatively lower air pollution impact. Yet it can be sustained by a charge system, subsidy program, or emission credit as the price of coal increases over time.

  9. Optimal planning of co-firing alternative fuels with coal in a power plant by grey nonlinear mixed integer programming model.

    Science.gov (United States)

    Ko, Andi Setiady; Chang, Ni-Bin

    2008-07-01

    Energy supply and use is of fundamental importance to society. Although the interactions between energy and environment were originally local in character, they have now widened to cover regional and global issues, such as acid rain and the greenhouse effect. It is for this reason that there is a need for covering the direct and indirect economic and environmental impacts of energy acquisition, transport, production and use. In this paper, particular attention is directed to ways of resolving conflict between economic and environmental goals by encouraging a power plant to consider co-firing biomass and refuse-derived fuel (RDF) with coal simultaneously. It aims at reducing the emission level of sulfur dioxide (SO(2)) in an uncertain environment, using the power plant in Michigan City, Indiana as an example. To assess the uncertainty by a comparative way both deterministic and grey nonlinear mixed integer programming (MIP) models were developed to minimize the net operating cost with respect to possible fuel combinations. It aims at generating the optimal portfolio of alternative fuels while maintaining the same electricity generation simultaneously. To ease the solution procedure stepwise relaxation algorithm was developed for solving the grey nonlinear MIP model. Breakeven alternative fuel value can be identified in the post-optimization stage for decision-making. Research findings show that the inclusion of RDF does not exhibit comparative advantage in terms of the net cost, albeit relatively lower air pollution impact. Yet it can be sustained by a charge system, subsidy program, or emission credit as the price of coal increases over time.

  10. 30 CFR 780.25 - Reclamation plan: Siltation structures, impoundments, and refuse piles.

    Science.gov (United States)

    2010-07-01

    ... is capable of being done after consideration of cost, logistics, and available technology. The fact... COAL EXPLORATION SYSTEMS UNDER REGULATORY PROGRAMS SURFACE MINING PERMIT APPLICATIONS-MINIMUM..., and refuse piles. (a) General. Each application must include a general plan and a detailed design plan...

  11. 30 CFR 784.16 - Reclamation plan: Siltation structures, impoundments, and refuse piles.

    Science.gov (United States)

    2010-07-01

    ... of being done after consideration of cost, logistics, and available technology. The fact that one... COAL EXPLORATION SYSTEMS UNDER REGULATORY PROGRAMS UNDERGROUND MINING PERMIT APPLICATIONS-MINIMUM..., and refuse piles. (a) General. Each application must include a general plan and a detailed design plan...

  12. At the Intersection of Faith, Culture, and Family Dynamics: A Complex Case of Refusal of Treatment for Childhood Cancer.

    Science.gov (United States)

    Brown, Amy E Caruso

    2017-01-01

    Refusing treatment for potentially curable childhood cancers engenders much discussion and debate. I present a case in which the competent parents of a young Amish child with acute myeloid leukemia deferred authority for decision making to the child's maternal grandfather, who was vocal in his opposition to treatment. I analyze three related concerns that distinguish this case from other accounts of refused treatment. First, I place deference to grandparents as decision makers in the context of surrogate decision making more generally. Second, the maternal grandfather's ardent refusal of treatment and his rationale appeared to be inconsistent with the beliefs expressed by other family members and by members of the same Amish community, leading members of the medical team to question whether refusal of treatment should be treated differently when it appears to be based on the idiosyncratic beliefs of an individual rather than on community-wide values. Third, the medical team perceived tension and dissension between the nonverbal behavior of some family members and the verbal statements made by the maternal grandfather, leading the team to question the parents' true wishes and debate how to weigh nonverbal and indirect forms of communication. Finally, building upon the conclusions of these queries, I explore whether, if the child's prognosis was less favorable or if he were to relapse later, the maternal grandfather should have been permitted to drive a decision to refuse further treatment. Copyright 2017 The Journal of Clinical Ethics. All rights reserved.

  13. Exploring the relationship between postmigratory stressors and mental health for asylum seekers and refused asylum seekers in the UK.

    Science.gov (United States)

    Morgan, Gareth; Melluish, Steve; Welham, Alice

    2017-01-01

    Numerous studies have linked the high rates of traumatic events experienced by refugees to the elevated rate of mental health problems in these populations. A growing body of evidence has also highlighted the importance of considering postmigratory stressors when making sense of displaced person distress. This study explored the relationship between mental health and postmigratory stress for asylum seekers and refused asylum seekers in Britain. The study further examined if those refused asylum experienced elevated distress and postmigratory stress compared to those awaiting the outcome of asylum applications. Results indicated that participants ( N = 97) had endured a range of pre- and postmigratory stressors and had high scores on measures of anxiety, depression, and PTSD. A postmigratory factor comprising items associated with isolation, restrictive policies, and stressors associated with having an insecure immigration status, was significantly associated with PTSD scores. This relationship remained when controlling for the variance accounted for by premigratory trauma predictors. Being refused asylum was the strongest predictor of depression and anxiety. Those refused asylum scored higher on a factor associated with barriers to accessing services. Social materialist theories of distress are drawn upon to contextualise the heightened vulnerability of those refused asylum. The paper concludes by emphasising the problems associated with taking an exclusively trauma-focussed approach when working with asylum seekers and argues for community orientated interventions to support displaced people to cope with the various stressors endured in exile.

  14. Clinical practice guidelines of the French Association for Supportive Care in Cancer and the French Society for Psycho-oncology: refusal of treatment by adults afflicted with cancer.

    Science.gov (United States)

    Faivre, J C; Adam, V; Block, V; Metzger, M; Salleron, J; Dauchy, S

    2017-11-01

    The study's purpose was to develop practical guidelines for assessment and management of refusal of treatment by adults afflicted with cancer. The French Association for Supportive Care in Cancer and the French Society for Psycho-oncology gathered a task force that applied a consensus methodology to draft guidelines studied predisposing situations, the diagnosis, regulatory aspects, and the management of refusal of treatment by adults afflicted with cancer. We propose five guidelines: (1) be aware of the conditions/profiles of patients most often associated with refusal of treatment so as to adequately underpin the care and support measures; (2) understand the complexity of the process of refusal and knowing how to accurately identify the type and the modalities of the refused treatments; (3) apply a way to systematically analyze refusal, thereby promoting progression from a situation of disaccord toward a consensual decision; (4) devise procedures, according to the legal context, to address refusal of treatment that safeguards the stakeholders in situations of sustained disaccord; and (5) know the indications for ethical collective decision-making. The quality of the relationship between patients and health professionals, and the communication between them are essential components involved in reaching a point of consent or refusal of treatment. A process of systematic analysis of refusal is recommended as the only way to ensure that all of the physiological, psychological, and contextual elements that are potentially involved are taken into account.

  15. [Granted, undecided, withdrawn and refused requests for euthanasia and physician-assisted suicide in the Netherlands; 2000-2002].

    Science.gov (United States)

    Onwuteaka-Philipsen, B D; Jansen-Van der Weide, M C; Van der Wal, G

    2006-02-04

    To determine the characteristics of patients who request euthanasia or physician-assisted suicide and whether these characteristics differ among those whose request is granted, those who die before the procedure, those who die before completion of the approval process, those who withdraw their request, and lastly, those whose request is refused by the physician. Questionnaire study. All general practitioners in 18 of the 23 Dutch general practitioner districts received a written questionnaire in which they were asked to describe the most recent request for euthanasia or physician-assisted suicide that they had received (response 60%, n=3614). Of all explicit requests, 44% resulted in euthanasia or physician-assisted suicide. Thirteen percent of patients died before the procedure, 13% died before completion of the approval process, 13% withdrew their request and 12% were refused by the physician. The most prominent symptoms were 'feeling bad', 'tiredness', and 'lack of appetite'. The most frequently mentioned reasons for requesting euthanasia or physician-assisted suicide were 'pointless suffering', 'loss of dignity', and 'general weakness'. The patients' situation met the official requirements for accepted practice best in the group of requests that resulted in euthanasia or physician-assisted suicide and least in the group of refused requests. A lesser degree of competence and less unbearable and hopeless suffering had the strongest associations with the refusal of a request. The complexity of euthanasia or physician-assisted suicide decision-making is reflected in the fact that, besides granting and refusing a request, 3 other situations could be distinguished. The decisions physicians made, the reasons for their decisions and the way they arrived at their decisions appeared to be based on patient evaluations and on the official requirements for accepted practice.

  16. Wastes disposal on board a ship. Crushing and volume reducing apparatus for combustible and non-combustible refuses; Senjo no haikibutsu shori. Kanen funen gomi no hasai gen`yo shori sochi

    Energy Technology Data Exchange (ETDEWEB)

    Kishida, Y. [Hitachi Zosen Corp., Osaka (Japan)

    1996-07-25

    This paper introduces a refuse crushing apparatus to reduce for storage the volume of refuses produced on board a ship by crushing. Refuses to be crushed are solid wastes including solid combustible refuses such as paper, wood pieces, and cloths, non-combustible refuses such as empty cans, metals and glass, and refuses unsuitable for combustion, such as plastics and stylofoam. Crushing methods include impact system, compression system and shearing system. The shearing system shears and crushes refuses by using blades rotating at a low speed. The system has a wide range of crush ability and excellent versatility, generates low levels of dust, noise and vibration, and is suitable as a marine use refuse disposing apparatus. However, empty cans and PET bottles are more difficult of getting into cutting blades requiring a large amount of time for crushing. Therefore, it is more suitable to reduce volume of refuses by using a compressor or the like apparatuses, and then crush them by using a double-axial shearing crusher. Stylofoam causes its crushed pieces to be electrically charged and deposited onto the apparatus, hence it is more suitable to reduce the volume of refuses and make them brittle by heating, and then crush them by using the double-axial crusher. 2 figs.

  17. Overcoming healthcare workers vaccine refusal--competition between egoism and altruism.

    Science.gov (United States)

    Betsch, C

    2014-12-04

    Vaccination reduces the risk of becoming infected with and transmitting pathogens. The role of healthcare workers (HCWs) in controlling and limiting nosocomial infections has been stressed repeatedly. This has also been recognised at a political level, leading the European Council of Ministers in 2009 to encourage coverage of 75% seasonal influenza vaccine in HCWs. Although there are policies, recommendations and well-tolerated vaccines, still many HCWs refuse to get vaccinated. This article uses literature from psychology and behavioural economics to understand vaccination decisions and the specific situation of HCWs. HCWs are expected to be highly motivated to protect others. However, their individual vaccination decisions follow the same principles (of weighting individual risks) as everyone else’s vaccination decisions. This will lead to decisional conflict in a typical social dilemma situation, in which individual interests are at odds with collective interests. Failure to get vaccinated may be the result. If we understand the motivations and mechanisms of HCWs’ vaccine refusal, interventions and campaigns may be designed more effectively. Strategies to increase HCWs’ vaccine uptake should be directed towards correcting skewed risk perceptions and activating pro-social motivation in HCWs.

  18. US Fire Administration Fire Statistics

    Data.gov (United States)

    Department of Homeland Security — The U.S. Fire Administration collects data from a variety of sources to provide information and analyses on the status and scope of the fire problem in the United...

  19. Design optimization and sensitivity analysis of a biomass-fired combined cooling, heating and power system with thermal energy storage systems

    International Nuclear Information System (INIS)

    Caliano, Martina; Bianco, Nicola; Graditi, Giorgio; Mongibello, Luigi

    2017-01-01

    Highlights: • A novel operation strategy for biomass-fired combined cooling, heating and power system is presented. • A design optimization of the system is conducted. • The effects of variation of the incentive for the electricity generation are evaluated. • The effects of the variation of the absorption chiller size and the thermal energy storage system one are evaluated. • The inclusion of a cold storage system into the combined cooling, heating and power system is also analyzed. - Abstract: In this work, an operation strategy for a biomass-fired combined cooling, heating and power system, composed of a cogeneration unit, an absorption chiller, and a thermal energy storage system, is formulated in order to satisfy time-varying energy demands of an Italian cluster of residential multi-apartment buildings. This operation strategy is adopted for performing the economical optimization of the design of two of the devices composing the combined cooling, heating and power system, namely the absorption chiller and the storage system. A sensitivity analysis is carried out in order to evaluate the impact of the incentive for the electricity generation on the optimized results, and also to evaluate, separately, the effects of the variation of the absorption chiller size, and the effects of the variation of the thermal energy storage system size on the system performance. In addition, the inclusion into the system of a cold thermal energy storage system is analyzed, as well, assuming different possible values for the cold storage system cost. The results of the sensitivity analysis indicate that the most influencing factors from the economical point of view are represented by the incentive for the electricity generation and the absorption chiller power. Results also show that the combined use of a thermal energy storage and of a cold thermal energy storage during the hot season could represent a viable solution from the economical point of view.

  20. Safety guide on fire protection in nuclear power plants

    International Nuclear Information System (INIS)

    1976-01-01

    The purpose of the Safety Guide is to give specific design and operational guidance for protection from fire and explosion in nuclear power plants, based on the general guidance given in the relevant sections of the 'Safety Code of Practice - Design' and the 'Safety Code of Practice - Operation' of the International Atomic Energy Agency. The guide will confine itself to fire protection of safety systems and items important to safety, leaving the non-safety matters of fire protection in nuclear power plants to be decided upon the basis of the various available national and international practices and regulations. (HP) [de