WorldWideScience

Sample records for residential services receiving

  1. Residential Differences in the Use of Formal Services Prior to Entering a Nursing Home.

    Science.gov (United States)

    Coward, Raymond T.; And Others

    1994-01-01

    Examined relationship between place of residence and use of formal services prior to entering nursing home among older persons (n=131) within 30 days of admission. Found no residential differences in percent reporting use of formal services, number of services received, kinds of services used, or average length of time services had been received.…

  2. 25 CFR 39.704 - Are schools eligible to receive chaperone expenses to transport residential students?

    Science.gov (United States)

    2010-04-01

    ....704 Are schools eligible to receive chaperone expenses to transport residential students? Yes. Schools... 25 Indians 1 2010-04-01 2010-04-01 false Are schools eligible to receive chaperone expenses to transport residential students? 39.704 Section 39.704 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE...

  3. Short Paper: Frequency Regulation Services from Connected Residential Devices: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Baker, Kyri; Jin, Xin; Vaidhynathan, Deepthi; Jones, Wesley; Christensen, Dane; Sparn, Bethany; Woods, Jason; Sorensen, Harry; Lunacek, Monte

    2017-01-01

    In this paper, we demonstrate the potential benefits that residential buildings can provide for frequency regulation services in the electric power grid. In a hardware-in-the- loop (HIL) implementation, simulated homes along with a physical laboratory home are coordinated via a grid aggregator, and it is shown that their aggregate response has the potential to follow the regulation signal on a timescale of seconds. Connected (communication-enabled), devices in the National Renewable Energy Laboratory's (NREL's) Energy Systems Integration Facility (ESIF) received demand response (DR) requests from a grid aggregator, and the devices responded accordingly to meet the signal while satisfying user comfort bounds and physical hardware limitations. Future research will address the issues of cybersecurity threats, participation rates, and reducing equipment wear-and-tear while providing grid services.

  4. Emergency residential care settings: A model for service assessment and design.

    Science.gov (United States)

    Graça, João; Calheiros, Maria Manuela; Patrício, Joana Nunes; Magalhães, Eunice Vieira

    2018-02-01

    There have been calls for uncovering the "black box" of residential care services, with a particular need for research focusing on emergency care settings for children and youth in danger. In fact, the strikingly scant empirical attention that these settings have received so far contrasts with the role that they often play as gateway into the child welfare system. To answer these calls, this work presents and tests a framework for assessing a service model in residential emergency care. It comprises seven studies which address a set of different focal areas (e.g., service logic model; care experiences), informants (e.g., case records; staff; children/youth), and service components (e.g., case assessment/evaluation; intervention; placement/referral). Drawing on this process-consultation approach, the work proposes a set of key challenges for emergency residential care in terms of service improvement and development, and calls for further research targeting more care units and different types of residential care services. These findings offer a contribution to inform evidence-based practice and policy in service models of residential care. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Psychotropic medication in a randomly selected group of citizens receiving residential or home care

    DEFF Research Database (Denmark)

    Futtrup, Tina Bergmann; Schultz, Hanne; Jensen, Margit Bak

    2014-01-01

    INTRODUCTION: Treatment with one or more psychotropic medications (PMs), especially in the elderly, is associated with risk, and the effects of treatment are poorly validated. The aim of this article was to describe the use of PM in a population of citizens receiving either residential care or home...... care with focus on the prevalence of drug use, the combination of different PMs and doses in relation to current recommendations. METHODS: The medication lists of 214 citizens receiving residential care (122) and home care (92) were collected together with information on age, gender and residential...... status. RESULTS: Two thirds of the citizens (64.5%) used one or more PMs (antipsychotics 15.9%, antidepressants 43.5%, anxiolytics/hypnotics 27.1% and anti-dementia drugs 16.4%). Citizens treated with antipsychotics were also prescribed antidepressants (52.9%), anxiolytics/hypnotics (35.3%) and anti...

  6. Service Differentiation in Residential Broadband Networks

    DEFF Research Database (Denmark)

    Sigurdsson, Halldór Matthias

    2004-01-01

    access providers are implementing service differentiation in their networks where voice and video gets prioritised before data. This paper discusses the role of network access providers in multipurpose packet based networks and the available migration strategies for supporting multimedia services...

  7. Psychotropic medication in a randomly selected group of citizens receiving residential or home care

    DEFF Research Database (Denmark)

    Futtrup, Tina Bergmann; Helnæs, Ann Kathrine; Schultz, Hanne

    2014-01-01

    INTRODUCTION: Treatment with one or more psychotropic medications (PMs), especially in the elderly, is associated with risk, and the effects of treatment are poorly validated. The aim of this article was to describe the use of PM in a population of citizens receiving either residential care or home...

  8. Psychotropic medication in a randomly selected group of citizens receiving residential or home care

    DEFF Research Database (Denmark)

    Futtrup, Tina Bergmann; Schultz, Hanne; Jensen, Margit Bak

    2014-01-01

    INTRODUCTION: Treatment with one or more psychotropic medications (PMs), especially in the elderly, is associated with risk, and the effects of treatment are poorly validated. The aim of this article was to describe the use of PM in a population of citizens receiving either residential care or ho...

  9. Residential proximity to gasoline service stations and preterm birth.

    Science.gov (United States)

    Huppé, Vicky; Kestens, Yan; Auger, Nathalie; Daniel, Mark; Smargiassi, Audrey

    2013-10-01

    Preterm birth (PTB) is a growing public health problem potentially associated with ambient air pollution. Gasoline service stations can emit atmospheric pollutants, including volatile organic compounds potentially implicated in PTB. The objective of this study was to evaluate the relationship between residential proximity to gasoline service stations and PTB. Singleton live births on the Island of Montreal from 1994 to 2006 were obtained (n=267,478). Gasoline service station locations, presence of heavy-traffic roads, and neighborhood socioeconomic status (SES) were determined using a geographic information system. Multivariable logistic regression was used to analyze the association between PTB and residential proximity to gasoline service stations (50, 100, 150, 200, 250, and 500 m), accounting for maternal covariates, neighborhood SES, and heavy-traffic roads. For all distance categories beyond 50 m, presence of service stations was associated with a greater odds of PTB. Associations were robust to adjustment for maternal covariates for distance categories of 150 and 200 m but were nullified when adjusting for neighborhood SES. In analyses accounting for the number of service stations, the likelihood of PTB within 250 m was statistically significant in unadjusted models. Associations were, however, nullified in models accounting for maternal covariates or neighborhood SES. Our results suggest that there is no clear association between residential proximity to gasoline service stations in Montreal and PTB. Given the correlation between proximity of gasoline service stations and SES, it is difficult to delineate the role of these factors in PTB.

  10. 25 CFR 39.702 - Can a school receive funds to transport residential students using commercial transportation?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Can a school receive funds to transport residential... Eligibility for Funds § 39.702 Can a school receive funds to transport residential students using commercial transportation? A school transporting students by commercial bus, train, airplane, or other commercial modes of...

  11. 28 CFR 550.52 - Non-residential drug abuse treatment services.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Non-residential drug abuse treatment... INSTITUTIONAL MANAGEMENT DRUG PROGRAMS Drug Abuse Treatment Program § 550.52 Non-residential drug abuse treatment services. All institutions must have non-residential drug abuse treatment services, provided...

  12. EnviroAtlas - Population and Residential Activity in the Conterminous U.S. Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas web service includes maps that illustrate population and residential activity in each census block group as well as residential-location-based...

  13. Customer service in the residential property market of South Africa

    Directory of Open Access Journals (Sweden)

    S Rudansky-KlopperS

    2004-07-01

    Full Text Available An increasing number of estate agencies are entering the real estate market in South Africa and many are struggling to survive as competition grows stronger. Customer service has become of overriding importance to establish a differential advantage that will ensure long-term survival. This study investigates customer service by estate agencies in the residential property market of South Africa. The results indicate that estate agencies seem to be aware of the importance of providing good customer service and of being service-oriented, but they do not always seem to realise the need to conduct marketing research and test the actual satisfaction of customers with the services provided, leaving a potential gap between what the customer wants and what the estate agency provides.

  14. National survey 2004 on medical services for persons with intellectual disability in residential care in Israel.

    Science.gov (United States)

    Merrick, Joav; Kandel, Isack; Raskas, Mordechai; Caplan, Lee; Morad, Mohammed

    2010-01-01

    In Israel, the Office of the Medical Director of the Ministry of Social Affairs is responsible for the medical service in residential-care centers for persons with intellectual disability (ID). A standard annual questionnaire was developed during 1997-1998, and the first national survey study was conducted in 1998. This present paper presents the findings of the seventh national survey in 2004, for which the following information was gathered via questionnaires: age, gender, and level of intellectual disability of persons served at the residential care center in question, status of the population served, functional profile, nursing, medical, and allied professional staff, number of annual examinations, preventive medicine aspects, medications, number of annual cases of infectious disease, annual unintentional injuries, number of deaths, number of hospitalizations, internal residential center hospitalization, ambulatory out-patient use, use of outside laboratory examinations, and dental care. In 2004, 6,610 persons were served in nine government, 37 private, and 12 public centers. The average number of persons served per center was 113.97 (range 23 to 372). The survey in 2004 showed that 79.2% of the population with ID in residential care in Israel was between 20 and 60 years of age; 48.8% had severe or profound ID, 41% had moderate ID, and 10% had mild ID; 23% were nursing patients; 19% were confined to a wheelchair; 31% had epilepsy; 83% were receiving medication daily for chronic illness; and 52.5% were receiving psychotropic medication for psychiatric illness.

  15. National survey 2007 on medical services for persons with intellectual disability in residential care in Israel.

    Science.gov (United States)

    Merrick, Joav; Kandel, Isack; Lotan, Meir; Aspler, Shoshana; Fuchs, Brian Seth; Morad, Mohammed

    2010-01-01

    In Israel, the Office of the Medical Director of the Ministry of Social Affairs is responsible for the medical service in residential-care centers for persons with intellectual disability (ID). A standard annual questionnaire was developed during 1997-1998, and the first national survey study was conducted in 1998. This present paper presents the findings of the seventh national survey in 2007, for which the following information was gathered via questionnaires: age, gender, and level of intellectual disability of persons served at the residential care center in question, status of the population served, functional profile, nursing, medical, and allied professional staff, number of annual examinations, preventive medicine aspects, medications, number of annual cases of infectious disease, annual unintentional injuries, number of deaths, number of hospitalizations, internal residential center hospitalization, ambulatory out-patient use, use of outside laboratory examinations, and dental care. In 2007, 6,872 persons were served in 9 government, 37 private, and 13 public centers. The average number of persons served per center was 116.47 (range 24 to 341). The survey in 2007 showed that 79% of the population with ID in residential care in Israel was between the ages of 20 and 60 years old, 44% with severe or profound ID, 43% with moderate and 13% with mild ID. Twenty-seven percent were nursing patients, and 18% were confined to a wheelchair, 34% had epilepsy, 86% were found to be receiving medication daily for chronic illness, and 51% received psychotropic medication for psychiatric illness.

  16. Interprofessional student teams augmenting service provision in residential aged care.

    Science.gov (United States)

    Kent, Fiona; Lai, Francis; Beovich, Bronwyn; Dodic, Miodrag

    2016-09-01

    The aim of this study was to determine the usefulness of student-led interprofessional consultations within residential aged care in augmenting patient care and enhancing student education. Volunteer fourth and final year health-care students conducted interprofessional consultations. In a mixed methods design, residents' health-care changes and perspectives were collected prospectively, and student and educator perceptions were measured by survey and interview. Sixteen aged care residents were consulted by interprofessional teams. Students identified two new health issues and proposed 17 recommendations for referrals and five changes to medication management. At six-weeks follow-up, two recommendations had been acted upon clinically, and two medication changes had been implemented. Reasons for the low uptake of recommendations were determined. Residents, students and educators reported high levels of satisfaction. Residential care facilities offer a useful interprofessional learning environment. Student consultations are positively regarded by patients, students and educators and may augment existing health services. © 2016 AJA Inc.

  17. 25 CFR 39.218 - Are there different formulas for different levels of residential services?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Are there different formulas for different levels of residential services? 39.218 Section 39.218 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR... Verifications Residential Programs § 39.218 Are there different formulas for different levels of residential...

  18. VOLTTRON-Based System for Providing Ancillary Services with Residential Building Loads

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Xin

    2016-07-01

    Ancillary services entail controlled modulation of building equipment to maintain a stable balance of generation and load in the power system. Ancillary services include frequency regulation and contingency reserves, whose acting time ranges from several seconds to several minutes. Many pilot studies have been implemented to use industrial loads to provide ancillary services, and some have explored services from commercial building loads or electric vehicle charging loads. Residential loads, such as space conditioning and water heating, represent a largely untapped resource for providing ancillary services. The residential building sector accounts for a significant fraction of the total electricity use in the United States. Many loads in residential buildings are flexible and could potentially be curtailed or shifted at the request of the grid. However, there are many barriers that prevent residential loads being widely used for ancillary services. One of the major technical barriers is the lack of communication capabilities between end-use devices and the grid. End-use devices need to be able to receive the automatic generation control (AGC) signal from the grid operator and supply certain types of telemetry to verify response. With the advance of consumer electronics, communication-enabled, or 'connected,' residential equipment has emerged to overcome the communication barrier. However, these end-use devices have introduced a new interoperability challenge due to the existence of numerous standards and communication protocols among different end devices. In this paper, we present a VOLTTRON-based system that overcomes these technical challenges and provides ancillary services with residential loads. VOLTTRON is an open-source control and sensing platform for building energy management, facilitating interoperability solutions for end devices. We have developed drivers to communicate and control different types of end devices through standard

  19. Characteristics and Outcomes of Young Adult Opiate Users Receiving Residential Substance Abuse Treatment.

    Science.gov (United States)

    Morse, Siobhan; MacMaster, Samuel

    2015-01-01

    Opiate use patterns, user characteristics, and treatment response among young adults are of interest due to current high use prevalence and historical low levels of treatment engagement relative to older populations. Prior research in this population suggests that overall, young adults present at treatment with different issues. In this study the authors investigated potential differences between young adult (18-25 years of age) and older adult (26 and older) opiate users and the impact of differences relative to treatment motivation, length and outcomes. Data for this study was drawn from 760 individuals who entered voluntary, private, residential treatment. Study measures included the Addiction Severity Index (ASI), the Treatment Service Review (TSR), and University of Rhode Island Change Assessment (URICA). Interviews were conducted at program intake and 6-month post-discharge. Results indicate that older adults with a history of opiate use present at treatment with higher levels of severity for alcohol, medical, and psychological problems and young adults present at treatment with greater drug use and more legal issues. Significant improvement for both groups was noted at 6 months post treatment; there were also fewer differences between the two age groups of opiate users. Results suggest different strategies within treatment programs may provide benefit in targeting the disparate needs of younger opiate users. Overall, however, results suggest that individualized treatment within a standard, abstinence-based, residential treatment model can be effective across opiate users at different ages and with different issues, levels of severity, and impairment at intake.

  20. Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD.

    Science.gov (United States)

    Kuhn, Eric; Drescher, Kent; Ruzek, Josef; Rosen, Craig

    2010-06-01

    Aggressive and unsafe driving was examined in 474 male veterans receiving Veterans Affairs residential treatment for posttraumatic stress disorder (PTSD). Specifically, the authors evaluated if PTSD was associated with aggressive and unsafe driving and if Iraq and Afghanistan War veterans were at higher risk than other war veterans. Approximately two thirds of the sample reported lifetime aggressive driving and one third reported current aggressive driving. Posttraumatic stress disorder severity was associated with aggressive driving, but not other forms of unsafe driving. Iraq and Afghanistan veterans endorsed higher rates of and more frequent aggressive driving than did other veterans. After accounting for PTSD severity, age, income, and marital status being an Iraq and Afghanistan War veteran predicted aggressive driving frequency and infrequent seatbelt use.

  1. Psychotropic medication in a randomly selected group of citizens receiving residential or home care

    DEFF Research Database (Denmark)

    Futtrup, Tina Bergmann; Schultz, Hanne; Jensen, Margit Bak

    2014-01-01

    INTRODUCTION: Treatment with one or more psychotropic medications (PMs), especially in the elderly, is associated with risk, and the effects of treatment are poorly validated. The aim of this article was to describe the use of PM in a population of citizens receiving either residential care or home...... status. RESULTS: Two thirds of the citizens (64.5%) used one or more PMs (antipsychotics 15.9%, antidepressants 43.5%, anxiolytics/hypnotics 27.1% and anti-dementia drugs 16.4%). Citizens treated with antipsychotics were also prescribed antidepressants (52.9%), anxiolytics/hypnotics (35.3%) and anti-dementia...... drugs (20.9%). Citizens treated with anti-dementia drugs were also prescribed antipsychotics (20.0%) and antidepressants (54.3%). Doses over 20 mg and 10 mg of citalopram and escitalopram, respectively, were given to 28.0% of the citizens treated with these antidepressants. CONCLUSION: Compared...

  2. Health status, service use, and costs among veterans receiving outreach services in jail or community settings.

    Science.gov (United States)

    McGuire, James; Rosenheck, Robert A; Kasprow, Wesley J

    2003-02-01

    This study compared client characteristics, service use, and health care costs of two groups of veterans who were contacted by outreach workers: a group of veterans who were contacted while incarcerated at the Los Angeles jail and a group of homeless veterans who were contacted in community settings. Between May 1, 1997, and October 1, 1999, a total of 1,676 veterans who were in jail and 6,560 community homeless veterans were assessed through a structured intake procedure that documented their demographic, clinical, and social adjustment characteristics. Data on the use and costs of health services during the year after outreach contact were obtained from national databases of the Department of Veterans Affairs (VA). Chi square and t tests were used for statistical comparisons. The veterans who were contacted in jail obtained higher scores on several measures of social stability (marital status and homelessness status) but had higher rates of unemployment. They had fewer medical problems but higher levels of psychiatric and substance use problems, although the rate of current substance use was lower among these veterans than among the community homeless veterans. One-year service access for the jailed veterans was half that of the community homeless veterans. No differences were observed in the intensity of use of mental health services among those who used services, but the jailed outreach clients used fewer residential, medical, and surgical services. Total health care expenditures for the veterans who received outreach contact in jail were $2,318 less, or 30 percent less, than for those who were contacted through community outreach. Specialized outreach services appear to be modestly effective in linking veterans who become incarcerated with VA health care services. Although it is clinically challenging to link this group with services, the fact that the rate of current substance use is lower during incarceration may provide a window of opportunity for

  3. Thermographic Inspections And The Residential Conservation Service Program (RCS)

    Science.gov (United States)

    Ward, Ronald J.

    1983-03-01

    Rhode Islanders Saving Energy (RISE) is a non-profit corporation founded in 1977 to provide Rhode Island residents with a variety of energy conservation services. Since January of 1981, it has been performing energy audits in compliance with the Department of Energy's (DOE) Residential Conservation Service Program (RCS). One aspect of the RCS program is the performance of inspections on energy conservation activities completed according to RCS installation guidelines. This paper will describe both the use and results of thermographic inspections within the RISE program. The primary objective of these inspections has been to assure the quality of the building envelope after completion of retrofit measures. Thermal anamolies have been detected that vary in size, location and probable cause. Approximately 37% of all jobs performed through RISE in conjunction with the RCS program have required remedial work as a result of problems that were identi-fied during the thermographic inspection. This percentage was much higher when infra-red inspections were conducted on "Non-RCS" retrofits. Statistics will be presented that provide an interesting insight on the quality of retrofit work when performed in associa-tion with a constant inspection process.

  4. DMSK Receiver For Mobile/Satellite Service

    Science.gov (United States)

    Davarian, Faramaz; Simon, Marvin K.; Sumida, Joe T.

    1989-01-01

    Receiver for 2.4-kbit/s differential minimum-shift keying (DMSK) and Gaussian minimum-shift keying(GMSK) suitable for communication between land-mobile stations via geostationary satellites. Operating on phase-shifted signal in 800-MHz band, in presence of fading and Doppler frequency shifts, receiver compact, makes efficient use of frequency spectrum, and wastes little power. Receiver design implemented in very-large-scale-integrated circuits. Basic DMSK receiver design relies on baseband rather than intermediate-frequency processing of in-phase and quadrature signal components because phase errors due to differential delays smaller at baseband.

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

    Science.gov (United States)

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

    2010-01-01

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

  6. Library Information Service Programs in Residential Facilities for the Mentally Retarded.

    Science.gov (United States)

    Matthews, Geraldine M.

    The directory lists approximately 120 library information service programs in residential facilities for the mentally retarded. Each program is described in terms of its collection (journals, books, films, and tapes), space, services (story hours, reference questions, bibliographies, and translation services), budget, clientele, and program…

  7. Treatment Services Received in the CASAWORKS for Families Program

    Science.gov (United States)

    Mckay, James R.; Gutman, Marjorie; Mclellan, A. Thomas; Lynch, Kevin G.; Ketterlinus, Robert

    2003-01-01

    This article presents information on treatment services received by women participating in an initial multistate evaluation of CASAWORKS families. Results indicated most women received services to address medical, employment, basic needs, alcohol and drug, family, and psychiatric problems during the first six months of the program. The clients…

  8. DISPARITIES BETWEEN SERVICES DEMANDED AND SERVICES RECEIVED IN TAIWANESE RESTAURANTS

    OpenAIRE

    Jui-Kuei Chen; I-Shuo Chen

    2010-01-01

    The aim of this study is to evaluate the service quality performance of Taiwanese foreign restaurants. After a review of the literature on service quality and discussions with managers of Taiwanese foreign restaurants, we decided to use the DINERSERV questionnaire. The methodology, an Importance-Performance Analysis (IPA), is used to categorize whole service items into four dimensions: 1) keep up the good work, 2) possible overkill, 3) low priority, and 4) concentrate here, all in accordance ...

  9. Ecosystem services in managing residential landscapes: priorities, value dimensions, and cross-regional patterns

    Science.gov (United States)

    K.L. Larson; K.C. Nelson; S.R. Samples; S.J. Hall; N. Bettez; J. Cavender-Bares; P.M. Groffman; M. Grove; J.B. Heffernan; S.E. Hobbie; J. Learned; J.L. Morse; C. Neill; L.A. Ogden; Jarlath O' Neil-Dunne; D.E. Pataki; C. Polsky; R. Roy Chowdhury; M. Steele; T.L.E. Trammell

    2016-01-01

    Although ecosystem services have been intensively examined in certain domains (e.g., forests and wetlands), little research has assessed ecosystem services for the most dominant landscape type in urban ecosystems—namely, residential yards. In this paper, we report findings of a cross-site survey of homeowners in six U.S. cities to 1) examine how residents subjectively...

  10. Modeling the Association Between Home Care Service Use and Entry Into Residential Aged Care: A Cohort Study Using Routinely Collected Data.

    Science.gov (United States)

    Jorgensen, Mikaela; Siette, Joyce; Georgiou, Andrew; Warland, Andrew; Westbrook, Johanna

    2018-02-01

    To examine home care service-related and person-based factors associated with time to entry into permanent residential aged care. Longitudinal cohort study using routinely collected client management data. A large aged care service provider in New South Wales and the Australian Capital Territory, Australia. A total of 1116 people aged 60 years and older who commenced home care services for higher-level needs between July 1, 2015 and June 30, 2016. Survival analysis methods were used to examine service-related and person-based factors that were associated with time between first home care service and entry into permanent residential aged care. Predictors included service hours per week, combination of service types, demographics, needs, hospital leave, and change in care level. Cluster analysis was used to determine patterns of types of services used. By December 31, 2016, 21.1% of people using home care services had entered into permanent residential care (n = 235). After adjusting for significant factors such as age and care needs, each hour of service received per week was associated with a 6% lower risk of entry into residential care (hazard ratio = 0.94, 95% confidence interval 0.90-0.98). People who were predominant users of social support services, those with an identified carer, and those born in a non-main English-speaking country also remained in their own homes for longer. Greater volume of home care services was associated with significantly delayed entry into permanent residential care. This study provides much-needed evidence about service outcomes that could be used to inform older adults' care choices. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  11. Most Individuals Receive Health Services a Year Before Suicide Death

    Science.gov (United States)

    ... HIV/AIDS (29 items) Institute Announcements (104 items) Most Individuals Receive Health Services a Year Before Suicide ... made a medical visit within four weeks. The most common visit types included primary care and medical ...

  12. Infectious Intestinal Diseases and Residential Water Services in Mexico: a Spatial Analysis

    Directory of Open Access Journals (Sweden)

    Nicholas P. Sisto

    2017-09-01

    Full Text Available Infectious intestinal diseases (IID represent a widespread public health problem in Mexico. The country also faces major challenges with respect to the provision of residential water services (piped water and sewer—an essential input for hygiene and cleanliness in homes. This paper analyzes morbidity rates from several IID associated with unsanitary living conditions along with a series of residential water services indicators for Mexico’s 2,456 municipalities. With data obtained through a special request to the federal epidemiological authority as well as official census data for 2010, we find stark regional contrasts and identify interesting spatial structures for both IID morbidity and residential water services indicators. In particular, municipalities tend to present values similar to neighboring municipalities, forming clusters of relatively high-value (or low-value municipalities. Moreover we find that municipalities with a relatively high level of access to residential water services tend to present relatively low IID morbidity rates. These results have multiple public policy implications. In order to reduce the incidence of IID effectively and efficiently, interventions should explicitly consider the spatial structure of morbidity and target problem spots—which typically spill over state, municipal and other administrative boundaries. Moreover, improvements in the quality of access to piped water (for example, increasing the frequency of supply may be as important for reducing morbidity as the expansion of basic access to this service.

  13. Are all customers really the same? Comparing service quality and satisfaction between residential and business telecommunications customers

    Directory of Open Access Journals (Sweden)

    Charles Makanyeza

    2016-06-01

    Research purpose: The study sought to examine differences in the relationship between service quality and customer satisfaction because of the type of customer. Motivation for the study: Previous studies have not examined the relationship between service quality and customer satisfaction between residential and business customers. Research design, approach and method: The study used a cross-section of 203 customers (108 residential and 95 business in the fixed-line telecommunications sector in Zimbabwe. Moderated regression analysis was performed to test the research hypotheses. Main findings: It was established that the customer category (residential versus business does not moderate the effect of service quality on customer satisfaction. Practical/managerial implications are, generally, that it is not necessary to segment customers by customer category (residential versus business when managing service quality to achieve customer satisfaction. Contribution/value add: The main theoretical contribution of the study is the comparison of the effect of service quality on customer satisfaction between residential and business customers.

  14. Mindfulness and its relationship with eating disorders symptomatology in women receiving residential treatment.

    Science.gov (United States)

    Butryn, Meghan L; Juarascio, Adrienne; Shaw, Jena; Kerrigan, Stephanie G; Clark, Vicki; O'Planick, Antonia; Forman, Evan M

    2013-01-01

    Mindfulness and its related constructs (e.g., awareness and acceptance) are increasingly being recognized as relevant to understanding eating disorders and improving treatment. The purpose of this study was to (1) examine the relationship between mindfulness and ED symptomatology at baseline and (2) examine how changes in mindfulness relate to change in ED symptomatology. Measures of mindfulness and ED symptomatology were administered to 88 patients upon admission to residential ED treatment and at discharge. Baseline ED symptomatology was associated with lower awareness, acceptance, and cognitive defusion, and higher emotional avoidance. Improvements in these variables were related to improvement in ED symptomatology. Interventions targeting mindfulness could be beneficial for patients with EDs. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. Demographic Characteristics of Direct-Service Personnel in Community Residential Units.

    Science.gov (United States)

    Boyle, Gregory J.; Comer, Peter G.

    1990-01-01

    This paper provides an overview of demographic characteristics of direct-service personnel in Melbourne community residential units for intellectually disabled individuals. Many are found to be relatively inexperienced participants in the workforce, and most are young, single females. Implications of these findings for quality of care and staff…

  16. Medical Service Utilization among Youth with School-Identified Disabilities in Residential Care

    Science.gov (United States)

    Lambert, Matthew C.; Trout, Alexandra L.; Nelson, Timothy D.; Epstein, Michael H.; W. Thompson, Ronald

    2016-01-01

    Background: Behavioral, social, emotional, and educational risks among children and youth with school identified disabilities served in residential care have been well documented. However, the health care needs and medical service utilization of this high-risk population are less well known. Given the risks associated with children with…

  17. Second life battery energy storage system for residential demand response service

    DEFF Research Database (Denmark)

    Saez-de-Ibarra, Andoni; Martinez-Laserna, Egoitz; Koch-Ciobotaru, Cosmin

    2015-01-01

    The integration of renewable energies and the usage of battery energy storage systems (BESS) into the residential buildings opens the possibility for minimizing the electricity bill for the end-user. This paper proposes the use of batteries that have already been aged while powering electric...... vehicles, during their main first life application, for providing residential demand response service. The paper considers the decayed characteristics of these batteries and optimizes the rating of such a second life battery energy storage system (SLBESS) for maximizing the economic benefits of the user...

  18. Analysis of Social Return on Investment in two systems of support for people with severe disabilities: personal assistance and residential service. A case study

    Directory of Open Access Journals (Sweden)

    Agustín Huete García

    2014-06-01

    Full Text Available At present, there are several alternatives to support daily life of people with disabilities, which require different resources: human, institutional, technical, material, financial, etc. In addition, these alternatives involve different impacts on both the life of people with disabilites and their immediate environment. This paper presents a case study that compares an user of personal assistance services of the Program for Independent Living (PAVI with an user of a residential service. The study method used is based on the approach of Social Return on Investment (SROI. It also specifies the selection of cases, the partners consulted to gather concepts and values, data collection, variables and formulas for calculating and monetization. Despite its limited scope, it is possible to draw conclusions about the social return on investment in a “standard profile” receiving personal assistance services compared with a “standard profile” in a residential service.

  19. Occurrence of enrofloxacin in overflows from animal lot and residential sewage lagoons and a receiving-stream.

    Science.gov (United States)

    Ikem, Abua; Lin, Chung-Ho; Broz, Bob; Kerley, Monty; Thi, Ho Le

    2017-10-01

    Enrofloxacin (ENRO), a fluoroquinolone, was quantified in overflows from an animal lot and residential sewage lagoons and in a receiving-stream (Gans Creek). The concentrations of ENRO in samples was determined by high-performance liquid chromatography - tandem mass spectrometry. In total, ninety samples including duplicates were analyzed during several monthly sampling campaigns. The samples collected represented the residential sewage lagoon overflow (RLO), animal lot lagoon overflow (ALLO), the combined overflows (RLO and ALLO), and Gans Creek (upstream, midstream and downstream positions). The frequency of detection of ENRO was 90% for RLO and 100% for both ALLO and Gans Creek. The highest concentration of ENRO (0.44 μg/L) was found in ALLO sample collected during high precipitation. ENRO levels found in RLO samples ranged from < LOQ to 259 ng/L and the highest value observed also coincided with high flow. The levels of ENRO found in Gans Creek ranged from 17-216 ng/L. A preliminary ecotoxicological assessment was conducted through calculation of the risk quotients (RQs) for organisms based on the ratio of the measured environmental concentrations in this study to the predicted-no-effect-concentrations (acute and chronic effect) data. From the RQs, high risks were observed for Microcystis aeruginosa (cyanobacteria; RQ = 4.4); Anabaena flosaquae (cyanobacteria; RQ = 1.3); and Lemna minor (aquatic vascular plant; RQ = 2.0). The long-term effects of mixtures of PHCs on Gans Creek watershed are probable.

  20. Evaluation of a mobile X-ray service for elderly residents of residential aged care facilities.

    Science.gov (United States)

    Montalto, Michael; Shay, Simon; Le, Andy

    2015-11-01

    The Royal Melbourne Hospital established a mobile X-ray service (MXS) in 2013. The goal of the MXS is to address the radiology needs of frail, elderly or demented residents of residential aged care facilities (RACFs) who would otherwise require transportation to attend for X-ray. The present study describes the activity of the MXS, and the impact of the MXS on emergency department (ED) attendances by residents of RACFs. The study is a descriptive study and uses a before-and-after cohort approach. Activity for the first year of operation was collected and described. At the end of the first year of operation, the top 30 RACF users of the MXS were identified. The hospital Department of Radiology database was examined to find all plain X-rays performed on any patient presenting from the same 30 RACFs for the 1 year before commencement of the MXS (1 July 2012-30 June 2013) and for the 1 year period after the commencement of the MXS (1 July 2013-30 June 2014). Attendances were compared. The MXS delivered 1532 service attendances to 109 different RACFs. The mean age of patients receiving MXS services was 86 years (range 16-107 years). In all, 1124 services (73.4%) were delivered to patients in high-care RACFs. Most patients (n = 634; 41.4%) were bed or wheelchair bound, followed by those who required assistance to ambulate (n = 457; 29.8%). The most common X-ray examinations performed were chest, hip and pelvis, spine and abdomen. There were 919 service attendances to the top 30 RACFs using the MXS (60.0% of all attendances). There was an 11.5% reduction in ED presentations requiring plain X-ray in the year following the commencement of the MXS (95% confidence interval 0.62-3.98; P = 0.019). The present study suggests a reduction in hospital ED attendances for high users of the MXS. This has benefits for hospitals, patients and nursing homes. It also allows the extension of other programs designed to treat patients in their RACFs. Special rebates for home-based radiology

  1. Patients With Brain Tumors: Who Receives Postacute Occupational Therapy Services?

    Science.gov (United States)

    Chan, Vincy; Xiong, Chen; Colantonio, Angela

    2015-01-01

    Data on the utilization of occupational therapy among patients with brain tumors have been limited to those with malignant tumors and small samples of patients outside North America in specialized palliative care settings. We built on this research by examining the characteristics of patients with brain tumors who received postacute occupational therapy services in Ontario, Canada, using health care administrative data. Between fiscal years 2004-2005 and 2008-2009, 3,199 patients with brain tumors received occupational therapy services in the home care setting after hospital discharge; 12.4% had benign brain tumors, 78.2% had malignant brain tumors, and 9.4% had unspecified brain tumors. However, patients with benign brain tumors were older (mean age=63.3 yr), and a higher percentage were female (65.2%). More than 90% of patients received in-home occupational therapy services. Additional research is needed to examine the significance of these differences and to identify factors that influence access to occupational therapy services in the home care setting. Copyright © 2015 by the American Occupational Therapy Association, Inc.

  2. Future Services for District Heating Solutions in Residential Districts

    Directory of Open Access Journals (Sweden)

    Hannele Ahvenniemi

    2014-06-01

    Full Text Available The underlying assumption of this study is that in order to retain the competitiveness while reaching for the EU targets regarding low-energy construction, district heating companies need to develop new business and service models. How district heating companies could broaden their perspective and switch to a more service-oriented way of thinking is a key interest of our research. The used methods in our study are house builder interviews and a questionnaire. With the help of these methods we discussed the potential interest in heating related services acquiring a comprehensive understanding of the customer needs. The results indicate the importance of certain criteria when choosing the heating system in households: easiness, comfort and affordability seem to dominate the house builders’ preferences. Also environmental awareness seems to be for many an important factor when making a decision about the heating of the house. Altogether, based on the results of this study, we suggest that the prospects of district heating could benefit from highlighting certain aspects and strengths in the future. District heating companies need to increase flexibility, readiness to adopt new services, to invest in new marketing strategies and improving the communication skills.

  3. Energy conservation and CO2-emission abatement potential in the Greek residential services sector

    International Nuclear Information System (INIS)

    A policy for CO 2 -emission abatement will have to allow for the sectoral energy-conservation potential. The present paper outlines the energy-analysis method applied to the Greek residential and services sectors. The trends in energy requirements for 1990-2000 are forecast and energy-conservation and CO 2 -abatement measures are proposed. A Maximum Action Scenario (MAS) and a Realistic Scenario (RS) are compared with a No-Action Scenario (NAS). (Author)

  4. Expansion of the residential conservation service program to multi-family and small commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-11-01

    Alternative regulatory provisions are considered which might permit achievement of the building energy conservation regulatory goals at a lower cost. Major issues, regulatory and legislative options, and cost-benefit analyses are discussed for multi-family and commercial buildings. The following are presented: related government programs, urban and community impact analysis, institutional impacts, energy cost, Residential Conservation Service coverage, methods of analysis, and regional studies. (MHR)

  5. FIGARO ( Future Internet Gateway-based Architecture of Residential Networks ) D5.2: Architecture for service federation in residential networks

    NARCIS (Netherlands)

    Hartog, F.T.H. den; Hillen, B.A.G.; Tijmes, M.R.

    2011-01-01

    This document defines the preliminary version of the FIGARO architectural solution for federation within residential networks. The architecture is derived from use cases from the domains of e-health, energy management, domotics and social community services and thus supports requirements from each

  6. 25 CFR 20.509 - What must the social services worker do when a child is placed in foster care or residential care...

    Science.gov (United States)

    2010-04-01

    ... placed in foster care or residential care facility? 20.509 Section 20.509 Indians BUREAU OF INDIAN... Assistance Foster Care § 20.509 What must the social services worker do when a child is placed in foster care or residential care facility? When a child is placed in foster care or a residential care facility...

  7. Study of structural capacity and serviceability affecting the obstruction of residential door

    Directory of Open Access Journals (Sweden)

    Eric Forcael

    Full Text Available The last Chilean earthquake, occurred on February 27, 2010, allowed establishing important patterns of structural failures in reinforced concrete residential buildings; however, limited progress has been made in the study of basic standards of serviceability, such as obstruction of doors. Thus, this study focused on measuring the influence of design specifications and construction criteria of lintels and columns, in terms of obstruction of doors, considering capacity thresholds for certain levels of displacement. The study consisted of the design and construction of a full-scale prototype of a reinforced concrete frame, designed in accordance with all the ACI-318-08 requirements, taking into account typical aspects of geometry and materiality widely used by the real estate industry, for location and size of doors. In order to quantify the structural capacity of the prototype and to study the serviceability of the door, a quasi-static cyclic test was conducted, according to load and displacement protocols specified in FEMA 356 and FEMA 461, which was adjusted by using virtual models based on a static nonlinear analysis called "Pushover". This research verified that, for displacement levels even five times higher than those established by codes considered, the cracking degree was minimal and fully recoverable. It was also found the door evidenced malfunction when the displacements were greater than those specified by design only, validating a high degree of accomplishment of current codes, in terms of capacity and serviceability, when dealing with obstruction of residential doors.

  8. The Role of Residential Early Parenting Services in Increasing Parenting Confidence in Mothers with A History of Infertility

    Directory of Open Access Journals (Sweden)

    Marjan Lynette

    2016-07-01

    Full Text Available Background Mothers with a history of infertility may experience parenting difficulties and challenges. This study was conducted to investigate the role of residential early parenting services in increasing parenting confidence in mothers with a history of infertility. Materials and Methods This was a retrospective chart review study using the quantitative data from the clients attending the Karitane Residential Units and Parenting Services (known as Karitane RUs during 2013. Parenting confidence (using Karitane Parenting Confidence Scale-KPCS, depression, demographics, reproductive and medical history, as well as child’s information were assessed from a sample of 27 mothers who had a history of infertility and who attended the Karitane RUs for support and assistance. The data were analyzed using SPSS version 19. Results More than half of the women (59.3% reported a relatively low level of parenting confidence on the day of admission. The rate of low parenting confidence, however, dropped to 22.2% after receiving 4-5 days support and training in the Karitane RUs. The mean score of the KPCS increased from 36.9 ± 5.6 before the intervention to 41.1 ± 3.4 after the intervention, indicating an improvement in the parenting confidence of the mothers after attending the Karitane RUs (P<0.0001. No statistically significant association was found between maternal low parenting confidence with parental demographics (including age, country of birth, and employment status, a history of help-seeking, symptoms of depression, as well as child’s information [including gender, age, siblings, diagnosis of gastroesophageal reflux disease (GORD and use of medication]. Conclusion Having a child after a period of infertility can be a stressful experience for some mothers. This can result in low parenting confidence and affect parent-child attachment. Our findings emphasized on the role of the residential early parenting services in promoting the level of

  9. What do customers want from improved residential electricity services? Evidence from a choice experiment

    International Nuclear Information System (INIS)

    Huh, Sung-Yoon; Woo, JongRoul; Lim, Sesil; Lee, Yong-Gil; Kim, Chang Seob

    2015-01-01

    Improvements in customer satisfaction as well as product/service quality represent a common objective of all businesses, and electricity services are no exception. Using choice experiments and a mixed logit model, this study quantitatively analyzes customers' preferences and their marginal willingness to pay for improved residential electricity services. The study provides an ex ante evaluation of customers' acceptance of hypothetical electricity services. According to the results, customers consider the electricity bill and the electricity mix as the two most important attributes when choosing their electricity services. Customers are willing to pay 2.2% more in the average electricity bill (an additional monthly electricity bill of KRW 1,064; USD 0.96) for a significant increase in the share of renewable energy, which is far less than the actual cost of achieving this renewable target. Therefore, it is better to maintain the current electricity mix in principle, and the renewable share should be gradually expanded instead of making a sudden change in the electricity mix. In addition, customers are willing to pay KRW 6,793 (USD 6.15) more to reduce blackouts once in a year and KRW 64/year (USD 0.06/year) to reduce a minute of each blackout. -- Highlights: •Customers' preferences for improved residential electricity services are analyzed. •Empirical setting is a sample of residents in South Korea. •The electricity bills and electricity mix are important to customers. •Increase in electricity bill of different electricity mix is considered

  10. 38 CFR 17.81 - Contracts for residential treatment services for veterans with alcohol or drug dependence or...

    Science.gov (United States)

    2010-07-01

    ... treatment services for veterans with alcohol or drug dependence or abuse disabilities. 17.81 Section 17.81... Federal Agencies § 17.81 Contracts for residential treatment services for veterans with alcohol or drug... “Confidentiality of Alcohol and Drug Abuse Patient Records” (42 CFR part II) and the “Confidentiality of Certain...

  11. Using the SIS to better align the funding of residential services to assessed support needs.

    Science.gov (United States)

    Giné, Climent; Font, Josep; Guàrdia-Olmos, Joan; Balcells-Balcells, Anna; Valls, Judit; Carbó-Carreté, Maria

    2014-05-01

    Resource allocation in social services has become an issue of the utmost importance, especially in these times in which budgets are tight. The aim of this study is to explore whether the SIS allows for the identification of groups of individuals presenting ID with different needs for support living in residential services in Catalonia, Spain, and if so whether or not a more efficient and fairer system of funding could be considered in comparison with the ICAP. The results show that the six categories of need for support resulting from this study could form the basis for better alignment the funding for those who live in this type of residence according to their assessed support needs. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Combinations of Types of Mental Health Services Received in the Past Year Among Young Adults

    Science.gov (United States)

    ... Spotlight December 08, 2015* Combinations of types of mental health services received in the past year among young adults Combinations of types of mental health services received in the past year among young ...

  13. Residential age care and domiciliary oral health services: Reach-OHT-The development of a metropolitan oral health programme in Sydney, Australia.

    Science.gov (United States)

    Wright, F A Clive; Law, Garry; Chu, Steven K-Y; Cullen, John S; Le Couteur, David G

    2017-12-01

    To describe an oral health care programme for older people in Residential Aged Care Facilities (RACFs) to improve access to care and support facilities. Different models of residential care have been proposed, but few have been comprehensive (providing on-site health promotion and service delivery) or sustainable. A partnership model of oral health care, with dental services plus oral health education, was integrated into the community outreach services of a metropolitan hospital department of aged care. The programme provided annual oral health education and training to staff, and on-site dental care to 10 (RACFs). None of the RACFs had received organised education or on-site dental service care prior to the programme. At the completion of the third year of the programme, 607 residents (75% of the total bed capacity for the 10 RACFs) had received an annual oral health assessment, and 271 (46.5%) had received on-site dental care. More than 120 nursing and allied health staff had received education and training in oral health support to residents. Oral cleanliness, the proportion not experiencing dental pain and referral for additional care decreased significantly over the period, but dental caries experience and periodontal conditions remained a concern. Sustainable domiciliary oral health services and oral health education are feasible and practical using a partnership model within the Australian health system. Adaptability, continuity and the use of oral health therapists/dental hygienists in the coordination and management of the programme further contribute to viability. © 2017 The Authors. Gerodontology published by The Gerodontology Association and John Wiley & Sons Ltd.

  14. 25 CFR 20.508 - What must the social services agency do when a child is placed in foster care, residential care...

    Science.gov (United States)

    2010-04-01

    ... placed in foster care, residential care or guardianship home? 20.508 Section 20.508 Indians BUREAU OF... PROGRAMS Child Assistance Foster Care § 20.508 What must the social services agency do when a child is placed in foster care, residential care or guardianship home? The social services agency must make...

  15. Women's attitudes towards receiving family planning services from ...

    African Journals Online (AJOL)

    These are age, level of education, knowledge about family planning benefits and districts. Conclusion: Women's perception towards family planning services delivered by CHWs in Western region in Kenya is quite low. To improve the demand and supply for family planning services in this region, there is need to invest a ...

  16. SCaN Network Ground Station Receiver Performance for Future Service Support

    Science.gov (United States)

    Estabrook, Polly; Lee, Dennis; Cheng, Michael; Lau, Chi-Wung

    2012-01-01

    Objectives: Examine the impact of providing the newly standardized CCSDS Low Density Parity Check (LDPC) codes to the SCaN return data service on the SCaN SN and DSN ground stations receivers: SN Current Receiver: Integrated Receiver (IR). DSN Current Receiver: Downlink Telemetry and Tracking (DTT) Receiver. Early Commercial-Off-The-Shelf (COTS) prototype of the SN User Service Subsystem Component Replacement (USS CR) Narrow Band Receiver. Motivate discussion of general issues of ground station hardware design to enable simple and cheap modifications for support of future services.

  17. Study protocol: A Montessori approach to dementia-related, non-residential respite services in Australia.

    Science.gov (United States)

    Hanna, Andrew; Donnelly, James; Aggar, Christina

    2018-03-27

    Given the social burden and significant cost of dementia care in Australia, finding evidence-based approaches that improve outcomes, maintain independence, and reduce the impact on patients and families is essential. Finding effective ways to train and assist the healthcare staff who support these individuals is also critical, as they are considered to be at risk of workplace stress, burnout, and other psychological disturbances which negatively affects standards of care. The current paper describes a protocol for evaluating the effects of a Montessori-based approach to dementia care, in non-residential respite centres. An 18 month prospective observational, cohort controlled design is suggested that will compare participants from a community respite service that has undergone a Montessori-based workplace culture change and those from a service that provides a person-centred 'care as usual' approach. To achieve this, the protocol includes the assessment of participants across multiple variables on a monthly basis including the cognitive, behavioural, and emotional functioning of clients with dementia, levels of caregiver burden experienced by informal carers, and burnout, compassion satisfaction and workplace engagement among respite staff. The protocol also employs a qualitative evaluation of program fidelity. This approach will provide further insight into the potential benefits of early intervention with Montessori approaches for persons living with dementia in the community, their caregivers, and the staff and volunteers who assist them. Copyright © 2018 Elsevier B.V. All rights reserved.

  18. Enhancement of Recreation Service to Disabled Children. Part II, Recommended Standards with Evaluative Criteria for Recreation Services in Residential Institutions. Final Report.

    Science.gov (United States)

    Berryman, Doris L.

    The suggested standards and evaluative criteria are designed to assist hospitals and other residential institutions in evaluating recreation services provided to residents, primarily children and youth. Described are the development of the standards and the rating instrument, guidelines for using the standards, evaluation and scoring procedures,…

  19. Care home managers' views of dental services for older people living in nursing and residential homes in inner city London.

    Science.gov (United States)

    Belsi, A; Gonzalez-Maffe, J; Jones, K; Wright, D; Gallagher, J E

    2013-06-01

    To investigate care home managers' views on the provision of dental care (current and future; urgent, check-up and follow-up) for their residents, barriers to care and the impact of policy changes, by type of home (nursing vs residential), with a view to informing the planning and provision of care. A cross sectional postal questionnaire survey and follow-up semi-structured interviews. Care homes in South East London. PARTCIPANTS: All care home managers in three south east London boroughs. A 72% response rate (n=152) was achieved, 140 of which were designated as nursing and/or residential homes (92%). Almost all managers reported that the care homes had arrangements in place for residents to access some elements of dental care (99%, n=148). Reported barriers to care included residents' fear of treatment (53%), patients' limited mobility (45%) and waiting times for services (42%). Limited mobility (p=0.01) and transport issues (p=0.01) were more significant barriers for nursing homes, whereas fear (p=0.02) was more significant for residential homes. Access to a range of dental services and modes of service delivery were requested for the future; most notable were the demands for domiciliary services to be available to nursing homes and for residential homes to access local general dental practitioners to meet the needs of their residents. Managers report having arrangements in place for residents to access dental services; however, there was a clear view that future arrangements should be more appropriate to the needs and vulnerabilities of their residents.

  20. Working with complexity: experiences of caring for mothers seeking residential parenting services in New South Wales, Australia.

    Science.gov (United States)

    Fowler, Cathrine; Schmied, Virginia; Dickinson, Marie; Dahlen, Hannah Grace

    2017-02-01

    To investigate staff perception of the changing complexity of mothers and infants admitted to two residential parenting services in New South Wales in the decade from 2005-2015. For many mothers with a young child, parenting is difficult and stressful. If parenting occurs within the context of anxiety, mental illness or abuse it often becomes a high-risk situation for the primary caregiver. Residential parenting services provide early nursing intervention before parenting problems escalate and require physical or mental health focused care. A qualitative descriptive design using semi-structured interview questions was used as phase three of a larger study. Data were gathered from 35 child and family health nurses and ten physicians during eight focus groups. Three main themes emerged: (1) dealing with complexity; (2) changing practice; and (3) appropriate knowledge and skills to handle greater complexity. There was a mix of participant opinions about the increasing complexity of the mothers presenting at residential parenting services during the past decade. Some of the nurses and physicians confirmed an increase in complexity of the mothers while several participants proposed that it was linked to their increased psychosocial assessment knowledge and skill. All participants recognised their work had grown in complexity regardless of their perception about the increased complexity of the mothers. Australian residential parenting services have a significant role in supporting mothers and their families who are experiencing parenting difficulties. It frequently provides early intervention that helps minimise later emotional and physical problems. Nurses are well placed to work with and support mothers with complex histories. Acknowledgement is required that this work is stressful and nurses need to be adequately supported and educated to manage the complex presentations of many families. © 2016 John Wiley & Sons Ltd.

  1. Building trust with people receiving supported employment and housing first services.

    Science.gov (United States)

    Poremski, Daniel; Whitley, Rob; Latimer, Eric

    2016-03-01

    The developing literature on supported employment for people who have a mental illness and recent history of homelessness has yet to explore the relationship between clients and their employment specialists. The objective of the present article is to explore and understand the way in which service users experience supported employment services and how these experiences differ from those receiving usual services. Semistructured qualitative interviews were conducted with 27 people from a randomized controlled trial of supported employment, 14 receiving supported employment, and 13 receiving usual services. Thematic content analysis was used to generate themes and compare experiences between the 2 groups. Trust emerged as an important facilitator to development of a collaborative relationship. It developed with time and featured in the narratives of participants who found jobs. Lack of trust and communication was associated with greater difficulty finding work. People receiving usual services rarely had repeated contact with service providers and therefore did not develop working alliances to the same extent as people receiving supported employment. Without the support of an employment specialist, participants receiving usual services relied more on internal motivation to search for employment opportunities. Programs assisting people to reach their employment goals must be sensitive to homelessness-specific experiences that may make establishing trust difficult. Vocational services should be designed to allow clients to deal exclusively with 1 service provider to permit the development of a working alliance. (c) 2016 APA, all rights reserved).

  2. Better to receive than to give? Interorganizational service arrangements and hospital performance.

    Science.gov (United States)

    Trinh, Hanh Q; Begun, James W; Luke, Roice D

    2010-01-01

    The literature points to possible efficiencies in local-hospital-system performance, but little is known about the internal dynamics that might contribute to this. Study of the service arrangements that nearby same-system hospitals have with one another should provide clues into how system efficiencies might be attained. The purpose of this research was to better understand the financial and operational effects of service sharing and receiving arrangements among nearby hospitals belonging to the same systems. Data are compiled for the 1,227 U.S. urban acute care hospitals that belong to multihospital systems. A longitudinal structural equation model is employed-environmental pressures and organizational characteristics in 1997 are associated with service sharing and receiving arrangements in 2000; service sharing and receiving arrangements are then associated with performance in 2003. Service sharing and receiving are measured by counts of services focal hospitals report that are not duplicated by other-system hospitals within the same county. Linear Structural Relations (LISREL) is used to estimate the model. In general, market competition from managed care and hospitals influences hospitals to exchange services. For individual hospitals, service sharing has no effects on operational efficiency and financial performance. Service receiving, however, is related to greater efficiencies and higher profits. The findings underscore the asymmetrical relationships that exist among local-system hospitals. Individual hospitals benefit from service receiving arrangements but not from sharing arrangements-it is better to receive than to give. To the extent that individual hospitals independently determine service capacities, systems may not be able to effectively rationalize service offerings.

  3. Examining relationships between receiving mental health services in the Pennsylvania prison system and time served.

    Science.gov (United States)

    Metraux, Stephen

    2008-07-01

    This study examined a cohort of 7,046 men who were released from the Pennsylvania State prison system between 1999 and 2002 to Philadelphia County to assess the relationships between receipt of mental health services in prison and prison exit. Administrative data on prison stays for 7,046 men released from Pennsylvania prisons to Philadelphia locations were analyzed. Of the 7,046 men, 8.7% received ongoing or intensive mental health services and 25.9% received mental health services while incarcerated. Multivariate analyses indicate that use of mental health services was positively associated with increased odds of serving the full prison sentence (as opposed to receiving parole), although the relationship between mental health services received and length of prison episode was inconclusive. Dynamics related to prison release warrant further attention in efforts to reduce the prevalence of mental illness in prisons and to facilitate community reentry for persons so diagnosed.

  4. Physical therapy services received by individuals with spinal muscular atrophy (SMA).

    Science.gov (United States)

    Dunaway, Sally; Montes, Jacqueline; McDermott, Michael P; Martens, William; Neisen, Annie; Glanzman, Allan M; Pasternak, Amy; Riley, Susan; Sproule, Douglas; Chiriboga, Claudia; Finkel, Richard; Tennekoon, Gihan; Darras, Basil; De Vivo, Darryl; Pandya, Shree

    2016-01-01

    The consensus statement for standard of care in SMA recommends multidisciplinary medical care including physical therapy (PT) services. To date there are no reports regarding the implementation of these recommendations and the type of care or services received by individuals with SMA. The purpose of this study is to describe the PT services received by individuals with SMA. Interviews were conducted with patients or their caregivers at the Pediatric Neuromuscular Clinical Research (PNCR) Network sites from October 2011 to September 2012. Questions included information about clinical status of the patient, sociodemographic profile of the patient or caregiver, and PT services received in the past year, including the setting, frequency, duration and type of PT, and therapies administered by caregivers. Eighty-six percent of 105 participants reported receiving PT services, some in multiple settings: 62% in the neuromuscular clinic, 38% at school, 34% at home, and 13% in an outpatient clinic. Greater frequency of PT services received was associated with younger age and inability to walk, but not SMA type. This is the first multicenter study documenting PT services received by patients with SMA. Further research is needed to better understand the impact of PT services on the natural history of SMA.

  5. Barriers to Accessing Detox Facilities, Substance Use Treatment, and Residential Services among Women Impacted by Commercial Sexual Exploitation & Trafficking.

    Science.gov (United States)

    Gerassi, Lara B

    2017-10-06

    More than 50% of women entering substance use treatment in the U.S. reported having traded sex for money or drugs. Women's participation in addiction treatment and related services is essential to their recovery and increased safety, stabilization, and quality of life. This paper's aim is to explore the barriers related to accessing detox facilities and essential services including substance use treatment and residential services for women impacted by commercial sexual exploitation (CSE). Data are drawn from a larger, community-based, grounded theory study. In-depth interview data were collected from 30 adult women who traded sex as adults (through maximum variation and snowball sampling), as well as 20 service providers who come into contact with adult women who trade sex (through nominations and purposive sampling). Finding suggest that women often encountered sobriety requirements, which created barriers to accessing addiction treatment or residential services. Some organizations' policies required evicting women if they were caught using, which created additional challenges for women who relapsed. Women wanted to avoid becoming "dopesick" on the streets or at home, which partially contributed to them needing to maintain their addiction. Consequently, some returned to sex trading, thus increasing their risk of trafficking. Some women engaged in creative strategies, such as claiming they were suicidal, in order to access the detox facilities in hospitals. Some women indicated they were only able to detox when they were forced to do so in jail or prison, often without medical assistance. Implications to improve health care delivery for this population are discussed.

  6. Evaluation of the natural attenuation capacity of urban residential soils with ecosystem-service performance index (EPX) and entropy-weight methods.

    Science.gov (United States)

    Xie, Tian; Wang, Meie; Su, Chao; Chen, Weiping

    2018-03-17

    Soils provide the service of attenuating and detoxifying pollutants. Such ability, natural attenuation capacity (NAC), is one of the most important ecosystem services for urban soils. We improved the ecosystem-service performance index (EPX) model by integrating with entropy weight determination method to evaluate the NAC of residential soils in Beijing. Eleven parameters related to the soil process of pollutants fate and transport were selected and 115 residential soil samples were collected. The results showed that bulk density, microbial functional diversity and soil organic matter had high weights in the NAC evaluation. Urban socio-economic indicators of residential communities such as construction age, population density and property & management fee could be employed in kinetic fittings of NAC. It could be concluded urbanization had significant impacts on NAC in residential soils. The improved method revealed reasonable and practical results, and it could be served as a potential measure for application to other quantitative assessment. Copyright © 2018 Elsevier Ltd. All rights reserved.

  7. Development of a Quality of Meals and Meal Service Set of Indicators for Residential Facilities for Elderly.

    Science.gov (United States)

    Van Damme, N; Buijck, B; Van Hecke, A; Verhaeghe, S; Goossens, E; Beeckman, D

    2016-01-01

    To develop a content validated set of indicators to evaluate the quality of meals and meal service in residential facilities for elderly. Inadequate food intake is an important risk factor for malnutrition in residential facilities for elderly. Through better meeting the needs and preferences of residents and optimization of meals and meal service, residents' food intake can improve. No indicators were available which could help to guide strategies to improve the quality of meals and meal service. The indicator set was developed according to the Indicator Development Manual of the Dutch Institute for Health Care Improvement (CBO). The working group consisted of three nurse researchers and one expert in gastrology and had expertise in elderly care, malnutrition, indicator development, and food quality. A preliminary list of potential indicators was compiled using the literature and the working group's expertise. Criteria necessary to measure the indicator in practice were developed for each potential indicator. In a double Delphi procedure, the list of potential indicators and respective criteria were analyzed for content validity, using a multidisciplinary expert panel of 11 experts in elderly meal care. A preliminary list of 20 quality indicators, including 45 criteria, was submitted to the expert panel in a double Delphi procedure. After the second Delphi round, 13 indicators and 25 criteria were accepted as having content validity. The content validity index (CVI) ranged from 0.83 to 1. The indicator set consisted of six structural, four result, and three outcome indicators covering the quality domains food, service and choice, as well as nutritional screening. The criteria measure diverse aspects of meal care which are part of the responsibility of kitchen staff and health care professionals. The 'quality of meals and meal service' set of indicators is a resource to map meal quality in residential facilities for elderly. As soon as feasibility tests in practice

  8. The Association Between Residential Care Facility Manager's Educational Attainment and the Presence of Structural and Service Innovations.

    Science.gov (United States)

    Davis, Jullet A

    For many service-oriented firms, knowledge is a key commodity, and the process by which knowledge is codified is critical for firm survival. The administrator or top manager acts as the repository and disseminator of organizational knowledge. The purpose of this project is to examine the association between the administrator's educational attainment and innovation in residential care facilities. The study hypothesized that administrator academic education and certification or licensure would be positively associated with facility innovation. Data for this project comes from the 2010 National Survey of Residential Care Facilities. There were 2277 facilities included in the sample (weighted 30 811). Innovation, the dependent variable, was operationalized using 5 dichotomized measures: clinical information systems, pharmaceutical information systems, electronic health records, providing adult day care, and providing respite care. The data were analyzed using logistic regression. Overall, the results reveal that college education or certification/licensure increased the likelihood of technology use. In addition, those with a high school diploma and certification/licensure were more likely to use technology than were individuals who had, at a minimum, some college. The services models were not significant. It may be that the resources necessary to implement information systems vary substantially from the resources necessary to provide services.

  9. Facilities Management Service Delivery in Public and Private High Rise Residential Buildings in Nigeria: A case study of Eko Court Complex and Niger Towers

    Directory of Open Access Journals (Sweden)

    Olanrele O. O.

    2014-01-01

    Full Text Available This study assessed and compared the delivery of Facilities Management (FM services in public and private high rise residential buildings in Lagos, Nigeria. While some facilities or services may not be available in some public estates, the efficiency of the available ones is inadequate in comparison with the adequacy and efficiency of services provided in private estates. The objectives set for the study include identification of services that are provided in the case studies, service delivery method, and an assessment of the residents’ satisfaction of the services. This study adopted questionnaire survey for collection of data. 127 questionnaires were distributed to the residents of the case studies and 93 were returned. Three of which were discarded for incompleteness, thus 90 were analysed. The study found that most but not all of the facilities services expected in high rise buildings are available in the case studies and the services are outsourced under a standard Service Level Agreement. The service delivery in private high rise residential building is better than the public residential high rise buildings as revealed by the study. The study recommends improved standardization of services, customized services and meeting customer’s expectation for improved service delivery.

  10. Family Life and the Impact of Previous and Present Residential and Day Care Support for Children with Major Cognitive and Behavioural Challenges: A Dilemma for Services and Policy

    Science.gov (United States)

    Brown, R. I.; Geider, S.; Primrose, A.; Jokinen, N. S.

    2011-01-01

    Introduction: Since the development of inclusion and integration, parents have increasingly become the major, and sometimes the only, carers of their children with disabilities. Many families speak of stress and frustration with service and community support, and some have turned to residential and specialised day care services to overcome…

  11. Special Education Services Received by Students with Autism Spectrum Disorders from Preschool through High School.

    Science.gov (United States)

    Wei, Xin; Wagner, Mary; Christiano, Elizabeth R A; Shattuck, Paul; Yu, Jennifer W

    2014-11-01

    Little is known about how special education services received by students with Autism Spectrum Disorders (ASDs) differ by age, disability severity, and demographic characteristics. Using three national datasets, the Pre-Elementary Education Longitudinal Study (PEELS), the Special Education Elementary Longitudinal Study (SEELS), and the National Longitudinal Transition Study-2 (NLTS2), this study examined the age trends in special education services received by students with ASDs from preschool through high school. Elementary-school students with ASDs had higher odds of receiving adaptive physical education, specialized computer software or hardware, and special transportation, but lower odds of receiving learning strategies/study skills support than their preschool peers. Secondary-school students had lower odds of receiving speech/language or occupational therapy and of having a behavior management program, but higher odds of receiving mental health or social work services than their elementary-school peers. Both disability severity and demographic characteristics were associated with differences in special education service receipt rates.

  12. Small distributed generation versus centralised supply: a social cost-benefit analysis in the residential and service sectors

    International Nuclear Information System (INIS)

    Gulli, Francesco

    2006-01-01

    This paper aims at measuring the social benefits of small CHP distributed generation (DG) in the residential and service sectors. We do this by comparing the social costs of decentralised and centralised supplies, simulating 'ideal' situations in which any source of allocative inefficiencies is eliminated. This comparison focuses on assessing internal and external costs. The internal costs are calculated by simulating the optimal prices of the electricity and gas inputs. The external costs are estimated by using and elaborating the results of the dissemination process of the ExternE project, one of the most recent and accurate methodologies in this field. The analysis takes into account the main sources of uncertainty about the parameter values, including uncertainty about external cost estimations. Despite these sources of uncertainty, the paper concludes that centralised supply is still preferable to small DG. In fact, the overall range of DG social competitiveness is restricted, even considering further remarkable improvements in DG electrical efficiency and investment costs. The results are particularly unfavourable for the residential sector, whereas, in the service sector, the performance of DG technologies is slightly better

  13. Satisfaction Assessment of Service Receivers of Daily Rehabilitation Institutions in Tehran Based on the Consumerism Aproach

    Directory of Open Access Journals (Sweden)

    Farideh Hemmati

    2001-12-01

    Full Text Available Objective: This research was conducted in line with Consumerism viewpoint and its objective is to assess the satisfaction level of service receivers in 12 daily rehabilitation Institutions of Tehran in order to improve service supply processes based on the service receivers viewpoints, which can ultimately provide suitable backgrounds for incorporating them into the service supply process. Materials & Methods: The sample society consists of 133 people of the service receivers who were selected through ranked random sampling. Because no studies of this field had been made previously, a viewpoint assessing Questionnaire was drawn up on a scale of 5 Likert degrees containing 92 questions and one repeatedly answered question, and its average of satisfaction mark (3.71 and variance deviation (0.297 was determined. Results: By the way after the question lacking correlation had been omitted, the number of question decreased to 68. Analyses made by use of SPSS 7.5 Win and Excel Win software not only presented a high level of satisfaction in many fields, but also distinguished cases of dissatisfaction. Conclusion: The age, sex and level of education were not suggestive and impact on the level of satisfaction. By the way, the service receivers made suggestion on the modification and Improvement of the processes.

  14. Who Receives Speech/Language Services by 5 Years of Age in the United States?

    Science.gov (United States)

    Hammer, Carol Scheffner; Farkas, George; Hillemeier, Marianne M.; Maczuga, Steve; Cook, Michael; Morano, Stephanie

    2016-01-01

    Purpose We sought to identify factors predictive of or associated with receipt of speech/language services during early childhood. We did so by analyzing data from the Early Childhood Longitudinal Study–Birth Cohort (ECLS-B; Andreassen & Fletcher, 2005), a nationally representative data set maintained by the U.S. Department of Education. We addressed two research questions of particular importance to speech-language pathology practice and policy. First, do early vocabulary delays increase children's likelihood of receiving speech/language services? Second, are minority children systematically less likely to receive these services than otherwise similar White children? Method Multivariate logistic regression analyses were performed for a population-based sample of 9,600 children and families participating in the ECLS-B. Results Expressive vocabulary delays by 24 months of age were strongly associated with and predictive of children's receipt of speech/language services at 24, 48, and 60 months of age (adjusted odds ratio range = 4.32–16.60). Black children were less likely to receive speech/language services than otherwise similar White children at 24, 48, and 60 months of age (adjusted odds ratio range = 0.42–0.55). Lower socioeconomic status children and those whose parental primary language was other than English were also less likely to receive services. Being born with very low birth weight also significantly increased children's receipt of services at 24, 48, and 60 months of age. Conclusion Expressive vocabulary delays at 24 months of age increase children’s risk for later speech/language services. Increased use of culturally and linguistically sensitive practices may help racial/ethnic minority children access needed services. PMID:26579989

  15. What is the best setting for receiving dialysis vascular access repair and maintenance services?

    Science.gov (United States)

    El-Gamil, Audrey M; Dobson, Al; Manolov, Nikolay; DaVanzo, Joan E; Beathard, Gerald A; Foust Litchfield, Terry; Cowin, Brook

    2017-11-17

    Advances in dialysis vascular access (DVA) management have changed where beneficiaries receive this care. The effectiveness, safety, quality, and economy of different care settings have been questioned. This study compares patient outcomes of receiving DVA services in the freestanding office-based center (FOC) to those of the hospital outpatient department (HOPD). It also examines whether outcomes differ for a centrally managed system of FOCs (CMFOC) compared to all other FOCs (AOFOC). Retrospective cohort study of clinically and demographically similar patients within Medicare claims available through United States Renal Data System (USRDS) (2010-2013) who received at least 80% of DVA services in an FOC (n = 80,831) or HOPD (n = 133,965). Separately, FOC population is divided into CMFOC (n = 20,802) and AOFOC (n = 80,267). Propensity matching was used to control for clinical, demographic, and functional characteristics across populations. FOC patients experienced significantly better outcomes, including lower annual mortality (14.6% vs. 17.2%, pDVA-related infections (0.16 vs. 0.20, pDVA services) ($1486 vs. $1533, pDVA services can impact patient clinical and economic outcomes. This research confirmed that patients who received DVA care in the FOC had better outcomes than those treated in the HOPD. The organizational culture and clinical oversight of the CMFOC may result in more favorable outcomes than receiving care in AOFOC.

  16. From Receivers of Service to Givers of Service: Promoting Civic Engagement in Youth from Disadvantaged Circumstances

    Science.gov (United States)

    Jones, Denisha

    2013-01-01

    Youth civic engagement has been an important topic for educators, policy makers, community leaders, and parents with many voicing concerns over a growing decrease in youth civic engagement. Youth civic engagement is often defined by engagement with politics and or the local community through volunteering or service-learning. Youth from…

  17. Elvinger receives Animal and Plant Health Inspection Service's Animal Health Award

    OpenAIRE

    Jackson, Christy

    2008-01-01

    Dr. Francois Elvinger, an associate professor of epidemiology and production management medicine in the Department of Large Animal Clinical Sciences at the Virginia-Maryland Regional College of Veterinary Medicine at Virginia Tech, recently received the United States Department of Agriculture Animal and Plant Health Inspection Service's annual Animal Health Award.

  18. Characteristics of Children with Autism Spectrum Disorders Who Received Services through Community Mental Health Centers

    Science.gov (United States)

    Bryson, Stephanie A.; Corrigan, Susan K.; McDonald, Thomas P.; Holmes, Cheryl

    2008-01-01

    Despite the presence of significant psychiatric comorbidity among children with autism spectrum disorders (ASDs), little research exists on those who receive community-based mental health services. This project examined one year (2004) of data from the database maintained by 26 community mental health centers (CMHCs) in the Midwestern US state of…

  19. Characteristics of a Danish population of adults with acquired deafblindness receiving rehabilitation services

    DEFF Research Database (Denmark)

    Dammeyer, Jesper Herup

    2013-01-01

    The aim of this study is to report on the characteristics of a population of 916 individuals with acquired deafblindness receiving national Danish counselling and rehabilitation services. Age, gender, prevalence, social status, and communication mode are some of the data included in this study. R...

  20. Reforma psiquiátrica e serviços residenciais terapêuticos Psychiatric reform and assisted residential services

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Leal Vidal

    2008-01-01

    Full Text Available OBJETIVO: Apresentar os principais aspectos da reforma psiquiátrica ocorrida em diversos países e no Brasil, destacar a política de reinserção social dos pacientes e descrever os procedimentos da desospitalização ocorridos em Barbacena, Minas Gerais, com ênfase nas residências terapêuticas e nas intervenções de reabilitação psicossocial. MÉTODO: Pesquisa bibliográfica realizada nas fontes eletrônicas Medline e Lilacs (1990 a 2006, com os seguintes descritores: deinstitutionalization, psychiatric reform, community-based treatment, psychosocial rehabilitation. Descrição do processo de implantação das residências terapêuticas (RT por meio de consulta aos documentos da Prefeitura de Barbacena e de observação direta das residências. RESULTADOS: A maioria dos trabalhos selecionados indicou que pacientes desospitalizados apresentam melhora na autonomia, na interação social, no nível global de funcionamento e na qualidade de vida. A desospitalização implica a existência de serviços comunitários com diversos níveis de atenção e requer a presença de profissionais qualificados e programas de reabilitação efetivos. Em Barbacena, o processo de desospitalização teve início em 2000. Atualmente existem 24 RTs no município. CONCLUSÃO: Apesar das dificuldades na sua implantação, os tratamentos de base comunitária tornaram-se o modelo dominante de cuidados psiquiátricos. Para os pacientes desospitalizados, as RTs têm importante papel no processo de reinserção social.OBJECTIVE: The aim of this article is to show the more relevant aspects of psychiatric reform and the community insert of psychiatric patients around the world and in Brazil. It will be detached the procedures of discharge occurred in the city of Barbacena, emphasizing the residential services and the psychosocial approaches. METHODS: Databases Medline and Lilacs were searched between 1990 and 2006 using the following keywords: deinstitutionalization

  1. Public and vehicle lighting in residential areas : paper presented to the Chartered Institution of Building Services CIBS Annual Conference 1979, Harrogate, 19-23 May 1979.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1979-01-01

    Roads in the conventional residential areas serve the purpose of leading to and from the houses in them. Thus, they are essentially traffic routes which may carry all road traffic modes, viz: pedestrians, pedal and motor bicycles, motor cars and trucks, and public service vehicles (buses or trams).

  2. Informed consumer or unlucky visitor? A profile of German patients who received dental services abroad.

    Science.gov (United States)

    Panteli, Dimitra; Augustin, Uta; Röttger, Julia; Struckmann, Verena; Verheyen, Frank; Wagner, Caroline; Busse, Reinhard

    2015-10-01

    A common characteristic of sending countries in cross-border dental care is that of high costs and/or high copayments for dental services. This study aims to provide an insight into the characteristics of German patients receiving planned and emergency (unplanned) dental care abroad and their satisfaction with received services. The Europabefragung is a postal survey carried out by Techniker Krankenkasse for patients who are treated in EU/EEA countries. This study uses data from the Europabefragung 2012. The survey was sent to 45 189 individuals; descriptive statistics for the subset of respondents who received emergency (unplanned) or planned dental treatment are presented. There were 18 339 responses to the questionnaire, out of which 17 543 were deemed valid; 1416 respondents had received emergency (unplanned) (78%) or planned (22%) dental care and were included in the analysis. There were clear differences between unplanned and planned treatments regarding country and type of treatment as well as satisfaction with different aspects of treatment and the need for follow-up care. Overall, satisfaction with treatment was high for both groups; individuals who had received planned treatment were more satisfied on all aspects of care and reported a need for follow-up care less frequently. While German patients who received both emergency (unplanned) and planned services abroad are mostly satisfied with their experience, some concerns arise with regard to continuity of care. Types of information provided to patients seeking care abroad and dissemination modalities should be carefully planned. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. 25 CFR 171.220 - What must I do to my farm unit to receive irrigation service?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What must I do to my farm unit to receive irrigation... WATER IRRIGATION OPERATION AND MAINTENANCE Irrigation Service § 171.220 What must I do to my farm unit to receive irrigation service? You must meet the following requirements for us to provide service: (a...

  4. Realization of Personalized Services for Intelligent Residential Space based on User Identification Method using Sequential Walking Footprints

    Directory of Open Access Journals (Sweden)

    Jin-Woo Jung

    2005-04-01

    Full Text Available A new human-friendly assistive home environment, Intelligent Sweet Home (ISH, developed at KAIST, Korea for testing advanced concepts for independent living of the elderly/the physically handicapped. The concept of ISH is to consider the home itself as an intelligent robot. ISH always checks the intention or health status of the resident. Therefore, ISH can do actively the most proper services considering the resident's life-style by the detected intention or emergency information. But, when there are more than two residents, ISH cannot consider the residents' characteristics or tastes if ISH cannot identify who he/she is before. To realize a personalized service system in the intelligent residential space like ISH, we deal with a human-friendly user identification method for ubiquitous computing environment, specially focused on dynamic human footprint recognition. And then, we address some case studies of personalized services that have been experienced by Human-friendly Welfare Robot System research center, KAIST.

  5. Impact of drug cost sharing on service use and adverse clinical outcomes in elderly receiving antidepressants.

    Science.gov (United States)

    Wang, Philip S; Patrick, Amanda R; Dormuth, Colin; Maclure, Malcolm; Avorn, Jerry; Canning, Claire F; Schneeweiss, Sebastian

    2010-03-01

    Depression imposes enormous burdens on the elderly. Despite this, rates of initiation of and adherence to recommended pharmacotherapy are frequently low in this population. Although initiatives such as the Medicare Modernization Act (MMA) have improved seniors' access to antidepressants, there are concerns that the patient cost-sharing incorporated in the MMA may have unintended consequences if it reduces essential drug use. Age-related pharmacokinetic and pharmacodynamic changes could make seniors particularly vulnerable to antidepressant regimens used inappropriately to save costs, increasing their risks of morbidity, hospitalizations, and nursing home placements. Two sequential large-scale "natural experiments'' in British Columbia provide a unique opportunity to evaluate the effect of cost sharing on outcomes and mental health service use among seniors. In January 2002 the province introduced a CAD 25 copay (CAD10 for low-income seniors). In May 2003 this copay policy was replaced by a second policy consisting of an income-based deductible, 25% coinsurance once the deductible was met, and full coverage once an out-of-pocket ceiling was met. The transition between the two policies is analogous to what many U.S. seniors experience when they transition from private insurance requiring copays to Medicare Part D requiring deductibles and coinsurance. To evaluate whether declines in antidepressant initiation after the introduction of two drug cost-sharing policies in British Columbia were associated with increased use of physician services, hospitalizations, and nursing home admissions among all British Columbia residents aged 65+. Records of physician service use, inpatient hospitalizations, and residential care admissions were obtained from administrative databases. Population-level patterns over time were plotted, and effects of implementing the cost-sharing policies examined in segmented linear regression models. Neither policy affected the rates of visits to

  6. Does time pressure create barriers for people to receive preventive health services?

    Science.gov (United States)

    Yao, Xiaoxi; Dembe, Allard E; Wickizer, Thomas; Lu, Bo

    2015-05-01

    Regular use of recommended preventive health services can promote good health and prevent disease. However, individuals may forgo obtaining preventive care when they are busy with competing activities and commitments. This study examined whether time pressure related to work obligations creates barriers to obtaining needed preventive health services. Data from the 2002-2010 Medical Expenditure Panel Survey (MEPS) were used to measure the work hours of 61,034 employees (including 27,910 females) and their use of five preventive health services (flu vaccinations, routine check-ups, dental check-ups, mammograms and Pap smear). Multivariable logistic regression analyses were performed to test the association between working hours and use of each of those five services. Individuals working long hours (>60 per week) were significantly less likely to obtain dental check-ups (OR=0.81, 95% CI: 0.72-0.91) and mammograms (OR=0.47, 95% CI: 0.31-0.73). Working 51-60 h weekly was associated with less likelihood of receiving Pap smear (OR=0.67, 95% CI: 0.46-0.96). No association was found for flu vaccination. Time pressure from work might create barriers for people to receive particular preventive health services, such as breast cancer screening, cervical cancer screening and dental check-ups. Health practitioners should be aware of this particular source of barriers to care. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. 78 FR 29063 - Survey of Urban Rates for Fixed Voice and Fixed Broadband Residential Services

    Science.gov (United States)

    2013-05-17

    ... that consumers in high-cost areas pay some minimum amount to support the cost of the network before turning to the federal support mechanism, which ultimately is borne by consumers across the nation. As the... of service for some consumers that pay local service rates that are significantly lower than the...

  8. Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services.

    Science.gov (United States)

    Solis, Guillermina R; Champion, Jane Dimmitt

    2017-03-01

    Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person's quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health and risk for fall recurrence. Most fall studies focus on fall risk with few studies on fall recurrence in older adults receiving home health care services unrelated to fall incident. A descriptive pilot study of 30 homebound Hispanic older adults receiving home care services who reported a fall within 3 months was conducted by a multidisciplinary team to evaluate risk of fall recurrence. A heightened risk for fall recurrence was identified with high number of chronic illnesses, high intake of medications, vision problems, and prevalence of urinary incontinence. Findings highlight significant number of intrinsic factors for fall risk recurrence and injuries in a Hispanic older adults population that is homebound and receiving home care services. A multidisciplinary evaluation and culturally appropriate interventions to lessen the risk of fall recurrence are recommended.

  9. Experiences of being a family member to an older person with diabetes receiving home care services.

    Science.gov (United States)

    Bendixen, Bente E; Kirkevold, Marit; Graue, Marit; Haltbakk, Johannes

    2017-08-22

    To describe family members' experiences of attending to an old person with diabetes receiving home care services, including their interaction with the formal caregivers. The study has a qualitative descriptive design. From May to August 2015, eight family members were interviewed. Interviews were analysed using qualitative content analysis. To describe family members' experiences, the following four themes were identified: Security through patients' self-management skills and diabetes knowledge; Perceived burden due to the old persons' deteriorated health; Security through competent home care services; and Doubt due to personnel's inadequate approach and interaction. It is important for personnel in home care services to consider patients' self-management skills and the family members' diabetes knowledge as key aspects in order to limit experiences of burden when the older person with diabetes has deteriorating health. The findings underscore that interaction with home care personnel skilled in managing diabetes helps family members feel secure. © 2017 Nordic College of Caring Science.

  10. Residential services for individuals with intellectual disabilities in Chile. Moving towards good practices

    Directory of Open Access Journals (Sweden)

    Vanessa del Pilar Vega Cordova

    2013-07-01

    Full Text Available This study aims to understand the vision and practices of service providers on care provided and its relation to the support and quality of life of institutionalized Chileans with intellectual disabilities. The methodology used consisted of content analysis of the information obtained from three service provider focus groups. The results indicate that while progress is being made in the quality of services offered to these users, it is necessary to take another step to move from the provision of essential services to the promotion, recording and tracking of quality results. This change requires a joint effort at the different levels of the system, including public policies that focus on personal development opportunities and personal outcome, as well as professionals committed to the promotion of best practices.

  11. Perceptions of the care received from Australian palliative care services: A caregiver perspective.

    Science.gov (United States)

    Pidgeon, Tanya M; Johnson, Claire E; Lester, Leanne; Currow, David; Yates, Patsy; Allingham, Samuel F; Bird, Sonia; Eagar, Kathy

    2018-04-01

    ABSTRACTBackground:Caregiver satisfaction and experience surveys help health professionals to understand, measure, and improve the quality of care provided for patients and their families. Our aim was to explore caregiver perceptions of the care received from Australian specialist palliative care services. Caregivers of patients receiving palliative care in services registered with Australia's Palliative Care Outcomes Collaboration were invited to participate in a caregiver survey. The survey included the FAMCARE-2 and four items from the Ongoing Needs Identification: Caregiver Profile questionnaire. Surveys were completed by 1,592 caregivers from 49 services. Most respondents reported high satisfaction and positive experiences. Caregivers receiving care from community-based palliative care teams were less satisfied with the management of physical symptoms and comfort (odds ratio [OR] = 0.29; 95% confidence interval [CI95%] = 0.14, 0.59), with patient psychological care (OR = 0.56; CI95% = 0.32, 0.98), and with family support (OR = 0.52; CI95% = 0.35, 0.77) than caregivers of patients in an inpatient setting. If aged over 60 years, caregivers were less likely to have their information needs met regarding available support services (OR = 0.98; CI95% = 0.97, 0.98) and carer payments (OR = 0.99; CI95% = 0.98, 1.00). Also, caregivers were less likely to receive adequate information about carer payments if located in an outer regional area (OR = 0.41; CI95% = 0.25, 0.64). With practical training, caregivers receiving care from community services reported inadequate information provision to support them in caring for patients (OR = 0.60; CI95% = 0.45, 0.81). While our study identified caregivers as having positive and satisfactory experiences across all domains of care, there is room for improvement in the delivery of palliative care across symptom management, as well as patient and caregiver support, especially in community settings. Caregiver surveys can facilitate the

  12. Practice leadership and active support in residential services for people with intellectual disabilities: an exploratory study.

    Science.gov (United States)

    Beadle-Brown, J; Mansell, J; Ashman, B; Ockenden, J; Iles, R; Whelton, B

    2014-09-01

    We hypothesised that a key factor determining the quality of active support was 'practice leadership' - provided by the first-line manager to focus staff attention and develop staff skills in providing direct support to enable people with intellectual disabilities to have a good quality of life. This exploratory study focused on what levels of practice leadership were found and its role in explaining variation in active support. Relevant aspects of management, including practice leadership, were assessed by questionnaires administered to staff in residential settings alongside observational measures of active support and resident engagement in meaningful activity. Relationships between these variables were explored using regression and post hoc group comparisons. There was wide variation, with average levels of practice leadership being low, though improving over the period studied. Practice leadership had a significant impact on active support, but was fully mediated by the effect of quality of management. When the quality of management was higher better practice leadership did produce a significant difference in active support. However, higher quality of management on its own did not produce better active support. A number of limitations are acknowledged and further research is required. Practice leadership appears to be an important factor in enabling staff to provide active support but as part of generally good management. Given the rather low levels found, attention needs to be given to the training, career development and support of practice leaders and also to how to protect their time from their many other responsibilities. © 2013 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  13. E-service quality: An investigation of its key dimensions and the discriminatory power in the residential property sector

    Directory of Open Access Journals (Sweden)

    Justin Beneke

    2011-12-01

    Full Text Available Research Statement: With an increase in competition within the South African property sector, real estate agencies need to ensure that their channels are as effective as possible. Using the Internet and mobile technologies represents a new means to reach customers and achieve lower operating costs. This study seeks to ascertain which factors potential buyers consider important when perusing residential property in an online environment. Hence, the dimensions of e-service quality, which constitute their online experience, will be explored. In addition, this research explores buyer typologies and probes whether other forms of technology, such as a mobile interface, may be of commercial value to the realtor. Methodology: The empirical analysis was conducted by means of a quantitative survey. A questionnaire was designed to test the application of the e-service quality construct in the South African real-estate sector. Data was obtained from 300 respondents, across the age spectrum, who filled the criteria of being prospective buyers. Convenience sampling was primarily used to collect responses as the researchers were unable to obtain access to a specific database of listed property buyers. Results & Conclusion: As mirrored in other studies of this nature, it was found that trust is paramount when initiating property sales online. All other variables in the construct (site features, information, accessibility, communication, reliability, responsiveness and personalisation also proved significant. A cluster analysis revealed that older respondents preferred a higher level of support - across all attributes of e-service quality - when interacting with online property services. Lastly, the mobile interface appears to appeal to 'students' as well as 'mature workers'. It is surmised that these individuals have access to smart phones capable of being used for accessing property portals. However, the 'young workers' appear less enthusiastic about the

  14. Residential and service-population exposure to multiple natural hazards in the Mount Hood region of Clackamas County, Oregon

    Science.gov (United States)

    Mathie, Amy M.; Wood, Nathan

    2013-01-01

    The objective of this research is to document residential and service-population exposure to natural hazards in the rural communities of Clackamas County, Oregon, near Mount Hood. The Mount Hood region of Clackamas County has a long history of natural events that have impacted its small, tourism-based communities. To support preparedness and emergency-management planning in the region, a geospatial analysis of population exposure was used to determine the number and type of residents and service populations in flood-, wildfire-, and volcano-related hazard zones. Service populations are a mix of residents and tourists temporarily benefitting from local services, such as retail, education, or recreation. In this study, service population includes day-use visitors at recreational sites, overnight visitors at hotels and resorts, children at schools, and community-center visitors. Although the heavily-forested, rural landscape suggests few people are in the area, there are seasonal peaks of thousands of visitors to the region. “Intelligent” dasymetric mapping efforts using 30-meter resolution land-cover imagery and U.S. Census Bureau data proved ineffective at adequately capturing either the spatial distribution or magnitude of population at risk. Consequently, an address-point-based hybrid dasymetric methodology of assigning population to the physical location of buildings mapped with a global positioning system was employed. The resulting maps of the population (1) provide more precise spatial distributions for hazard-vulnerability assessments, (2) depict appropriate clustering due to higher density structures, such as apartment complexes and multi-unit commercial buildings, and (3) provide new information on the spatial distribution and temporal variation of people utilizing services within the study area. Estimates of population exposure to flooding, wildfire, and volcanic hazards were determined by using overlay analysis in a geographic information system

  15. Analysis of Minimum Efficiency Performance Standards for Residential General Service Lighting in Chile

    Energy Technology Data Exchange (ETDEWEB)

    Letschert, Virginie E.; McNeil, Michael A.; Leiva Ibanez, Francisco Humberto; Ruiz, Ana Maria; Pavon, Mariana; Hall, Stephen

    2011-06-01

    Minimum Efficiency Performance Standards (MEPS) have been chosen as part of Chile's national energy efficiency action plan. As a first MEPS, the Ministry of Energy has decided to focus on a regulation for lighting that would ban the sale of inefficient bulbs, effectively phasing out the use of incandescent lamps. Following major economies such as the US (EISA, 2007) , the EU (Ecodesign, 2009) and Australia (AS/NZS, 2008) who planned a phase out based on minimum efficacy requirements, the Ministry of Energy has undertaken the impact analysis of a MEPS on the residential lighting sector. Fundacion Chile (FC) and Lawrence Berkeley National Laboratory (LBNL) collaborated with the Ministry of Energy and the National Energy Efficiency Program (Programa Pais de Eficiencia Energetica, or PPEE) in order to produce a techno-economic analysis of this future policy measure. LBNL has developed for CLASP (CLASP, 2007) a spreadsheet tool called the Policy Analysis Modeling System (PAMS) that allows for evaluation of costs and benefits at the consumer level but also a wide range of impacts at the national level, such as energy savings, net present value of savings, greenhouse gas (CO2) emission reductions and avoided capacity generation due to a specific policy. Because historically Chile has followed European schemes in energy efficiency programs (test procedures, labelling program definitions), we take the Ecodesign commission regulation No 244/2009 as a starting point when defining our phase out program, which means a tiered phase out based on minimum efficacy per lumen category. The following data were collected in order to perform the techno-economic analysis: (1) Retail prices, efficiency and wattage category in the current market, (2) Usage data (hours of lamp use per day), and (3) Stock data, penetration of efficient lamps in the market. Using these data, PAMS calculates the costs and benefits of efficiency standards from two distinct but related perspectives: (1) The

  16. Nurses' perceptions of the impact of the aged care reform on services for residents in multi-purpose services and residential aged care facilities in rural Australia.

    Science.gov (United States)

    Henderson, Julie; Willis, Eileen; Xiao, Lily; Toffoli, Luisa; Verrall, Claire

    2016-12-01

    To understand nurses' perceptions of the impact of the aged care reform on care and services for residents in multi-purpose services (MPS) and residential aged care facilities (RACF) in rural South Australia. An interpretative study using semi-structured interviews. Participants comprised registered and enrolled nurses working with aged care residents in rural South Australia. Eleven nurses were interviewed, of these seven worked in MPS and four in RACF. Data were analysed for similarities and differences in participants' experiences of care delivery between MPS and RACF. Common issues were identified relating to funding and resource shortfalls, staffing levels, skill mix and knowledge deficits. Funding and staffing shortfalls in MPS were related by participants to the lower priority given to aged care in allocating resources within MPS. Nurses in these services identified limited specialist knowledge of aged care and care deficits around basic nursing care. Nurses in RACF identified funding and staffing shortfalls arising from empty beds due to the introduction of the accommodation payment. Dependence upon care workers was associated with care deficits in complex care such as pain management, medication review and wound care. Further research is needed into the impact of recent reforms on the capacity to deliver quality aged care in rural regions. © 2016 AJA Inc.

  17. Optimal Sizing and Allocation of Residential Photovoltaic Panels in a Distribution Network for Ancillary Services Application

    DEFF Research Database (Denmark)

    Kordheili, Reza Ahmadi; Pourmousavi, Ali; Pillai, Jayakrishnan Radhakrishna

    2014-01-01

    requirements, such as voltage and current limits. This paper proposes an optimization method for determining the number of photovoltaic (PV) panels together with their arrangement in the grid in order to maximize ancillary service, without violating grid operation limits. The proposed optimization method...

  18. Contraceptive discontinuation and switching among couples receiving integrated HIV and family planning services in Lusaka, Zambia.

    Science.gov (United States)

    Haddad, Lisa; Wall, Kristin M; Vwalika, Bellington; Khu, Naw Htee; Brill, Ilene; Kilembe, William; Stephenson, Rob; Chomba, Elwyn; Vwalika, Cheswa; Tichacek, Amanda; Allen, Susan

    2013-10-01

    To describe predictors of contraceptive method discontinuation and switching behaviours among HIV-positive couples receiving couples' voluntary HIV counselling and testing services in Lusaka, Zambia. Couples were randomized in a factorial design to two-family planning educational intervention videos, received comprehensive family planning services and were assessed every 3 months for contraceptive initiation, discontinuation and switching. We modelled factors associated with contraceptive method upgrading and downgrading via multivariate Andersen-Gill models. Most women continued the initial method selected after randomization. The highest rates of discontinuation/switching were observed for injectable contraceptive and intrauterine device users. Time to discontinuing the more effective contraceptive methods or downgrading to oral contraceptives or condoms was associated with the women's younger age, desire for more children within the next year, heavy menstrual bleeding, bleeding between periods and cystitis/dysuria. Health concerns among women about contraceptive implants and male partners not wanting more children were associated with upgrading from oral contraceptives or condoms. HIV status of the woman or the couple was not predictive of switching or stopping. We found complicated patterns of contraceptive use. The predictors of contraception switching indicate that interventions targeted to younger couples that address common contraception-related misconceptions could improve effective family planning utilization. We recommend these findings be used to increase the uptake and continuation of contraception, especially long-acting reversible contraceptive (LARC) methods, and that fertility goal based, LARC-focused family planning be offered as an integral part of HIV prevention services.

  19. Contraceptive discontinuation and switching among couples receiving integrated HIV and family planning services in Lusaka, Zambia

    Science.gov (United States)

    Haddad, Lisa; Wall, Kristin M; Vwalika, Bellington; Htee Khu, Naw; Brill, Ilene; Kilembe, William; Stephenson, Rob; Chomba, Elwyn; Vwalika, Cheswa; Tichacek, Amanda; Allen, Susan

    2014-01-01

    Objective To describe predictors of contraceptive method discontinuation and switching behaviors among HIV positive couples receiving couples' voluntary HIV counseling and testing services in Lusaka, Zambia. Design Couples were randomized in a factorial design to two family planning educational intervention videos, received comprehensive family planning services, and were assessed every 3-months for contraceptive initiation, discontinuation and switching. Methods We modeled factors associated with contraceptive method upgrading and downgrading via multivariate Andersen-Gill models. Results Most women continued the initial method selected after randomization. The highest rates of discontinuation/switching were observed for injectable contraceptive and intrauterine device users. Time to discontinuing the more effective contraceptive methods or downgrading to oral contraceptives or condoms was associated with the women's younger age, desire for more children within the next year, heavy menstrual bleeding, bleeding between periods, and cystitis/dysuria. Health concerns among women about contraceptive implants and male partners not wanting more children were associated with upgrading from oral contraceptives or condoms. HIV status of the woman or the couple was not predictive of switching or stopping. Conclusions We found complicated patterns of contraceptive use. The predictors of contraception switching indicate that interventions targeted to younger couples that address common contraception-related misconceptions could improve effective family planning utilization. We recommend these findings be used to increase the uptake and continuation of contraception, especially long acting reversible contraceptive (LARC) methods, and that fertility-goal based, LARC-focused family planning be offered as an integral part of HIV prevention services. PMID:24088689

  20. 41 CFR 102-118.195 - What documents must a transportation service provider (TSP) send to receive payment for a...

    Science.gov (United States)

    2010-07-01

    ... transportation service provider (TSP) send to receive payment for a transportation billing? 102-118.195 Section... must a transportation service provider (TSP) send to receive payment for a transportation billing? For... Government Billing Documents Terms and Conditions Governing Acceptance and Use of A Government Bill of Lading...

  1. Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities.

    Science.gov (United States)

    Bhuyan, Soumitra S; Zhu, He; Chandak, Aastha; Kim, Jungyoon; Stimpson, Jim P

    2014-12-01

    Healthcare organizations including residential care facilities (RCFs) are diversifying their services to meet market demands. Service innovations have been linked to the changes in the way that healthcare organizations organize their work. The objective of this study is to explore the relationship between organizational service innovations and Electronic Health Record (EHR) adoption in the RCFs. We used the data from the 2010 National Survey of Residential Care Facilities conducted by the Centers for Disease Control and Prevention. The outcome was whether an RCF adopted EHR or not, and the predictors were the organizational service innovations including provision of skilled nursing care and medication review. We also added facility characteristics as control variables. Weighted multivariate logistic regressions were used to estimate the relationship between service innovation factors and EHR adoption in the RCFs. In 2010, about 17.4% of the RCFs were estimated to use EHR. Multivariate analysis showed that RCFs employing service innovations were more likely to adopt EHR. The residential care facilities that provide skilled nursing services to their residents are more likely (OR: 1.42; 95% CI: 1.09-1.87) to adopt EHR. Similarly, RCFs with a provision of medication review were also more likely to adopt EHR (OR: 1.40; 95% CI: 1.00-1.95). Among the control variables, facility size, chain affiliation, ownership type, and Medicaid certification were significantly associated with EHR adoption. Our findings suggest that service innovations may drive EHR adoption in the RCFs in the United States. This can be viewed as a strategic attempt by RCFs to engage in a new business arrangement with hospitals and other health care organizations, where quality of care and interoperability of patients' records might play a vital role under the current healthcare reform. Future research could examine the relationship between service innovations and use of different EHR functionality in

  2. The influence of social environmental factors on rehospitalization among patients receiving home health care services.

    Science.gov (United States)

    Tao, Hong; Ellenbecker, Carol Hall; Chen, Jie; Zhan, Lin; Dalton, Joanne

    2012-01-01

    Guided by Orem's theory, this study examined the influence of social environmental factors on rehospitalization among home health care patients. Living arrangement, frequency of caregiving, and type of primary informal care were found to be related to functional ability. Measurable differences in clinical status and functional ability were related to the duration that patients received home health care services until rehospitalization, with the likelihood of rehospitalization increasing proportionately to the magnitude of the differences. Social environmental factors contributed to rehospitalization (self-care deficit) through functional ability (self-care agency) by altering the balance between self-care demand (clinical status) and self-care agency.

  3. Comparing Self-Concept Among Youth Currently Receiving Inpatient Versus Outpatient Mental Health Services.

    Science.gov (United States)

    Choi, Chris; Ferro, Mark A

    2018-01-01

    This study compared levels of self-concept among youth who were currently receiving inpatient versus outpatient mental health services. Forty-seven youth were recruited from the Child & Youth Mental Health Program at McMaster Children's Hospital. Self-concept was measured using the Self-Perception Profile for Children and Adolescents. The mean age was 14.5 years and most participants were female (70.2%). ANOVAs comparing self-concept with population norms showed large significant effects (d = 0.77 to 1.93) indicating compromised self-concept among youth receiving mental health services. Regression analyses controlling for patient age, sex, family income, and diagnoses of major depressive disorder, generalized social phobia, and generalized anxiety showed that the inpatient setting was a significant predictor of lower global self-worth (β=-.26; p=.035). Compared to outpatients, inpatients generally reported lower self-concept, but differences were significant only for global self-worth. Future research replicating this finding and assessing its clinical significance is encouraged.

  4. 41 CFR 102-118.65 - Can my agency receive electronic billing for payment of transportation services?

    Science.gov (United States)

    2010-07-01

    ... electronic billing for payment of transportation services? 102-118.65 Section 102-118.65 Public Contracts and... Transportation Services § 102-118.65 Can my agency receive electronic billing for payment of transportation... to use electronic billing for the procurement and billing of transportation services. ...

  5. Beliefs about family-school relationships. Changes in pre-service teachers after receiving specific training

    Directory of Open Access Journals (Sweden)

    Cristina Vázquez

    2014-12-01

    Full Text Available Teachers’ beliefs about family-school relationship vary in a continuum according to the role that parents and teachers have, and the power that they hold. Pre-service teachers also have beliefs about this relationship and their own competence to develop it. Two groups of pre-service teachers (second year students participated in this study. One group received specific training on family-school relationship and its improvement (116 students attending a degree in Early Childhood Education, who constituted the experimental group, EG. The other group was not trained (92 students attending a degree in Primary Education, who made up the control group, CG. The Beliefs about family-school Questionnaire (CCR was developed and applied before and after the EG was trained. Results show that students in the EG increased their beliefs about family-school collaboration in the post-test and decreased their beliefs about parental subordination to teachers’ authority and parents’ carelessness. Students in the CG kept their beliefs unchanged, which were significantly more prone to support teachers’ authority and parental subordination and parents’ carelessness compared to the EG.. Perceived competence for family-school relationship did not change significantly in either group. However, significant correlations between beliefs and perceived competence were found, pointing out the importance of working pre-service teachers’ beliefs about family-school collaboration.

  6. Evaluation of solar radio bursts' effect on GPS receiver signal tracking within International GPS Service network

    Science.gov (United States)

    Chen, Zhiyu; Gao, Yang; Liu, Zhizhao

    2005-06-01

    The direct interference from solar radio bursts (SRB) has not usually been considered as a potential threat to global positioning system (GPS) signal tracking, since the flux densities of most bursts are below 40,000 solar flux units (sfu), a threat threshold to GPS L1 frequency proposed by Klobuchar et al. (1999). Recent analysis indicated that a much lower threshold should be adopted for codeless or semicodeless dual-frequency GPS receivers. In this investigation, severe signal corruptions were found at dayside International GPS Service GPS receiver stations during a large solar radio burst that accompanied the super flare of 28 October 2003. Almost no GPS L2 signals were tracked during the solar flux peak time for areas near the subsolar point. Correlation analysis was performed between the rate of loss of lock on GPS L2 frequency and solar radio flux density at different bands, and a correlation index as high as 0.75 is revealed in the 1415 MHz solar radiation band, which is located between the two GPS operating frequencies L2 (1227.60 MHz) and L1 (1575.42 MHz). The correlation analysis indicates that GPS signal losses of lock were primarily caused by microwave in-band interference and that the threat threshold of SRB effects on the GPS system should be re-evaluated, since the flux density of the burst at 1415 MHz was just 4,000-12,000 sfu, which is far below the previously proposed threat threshold. The signal-tracking performance of different types of GPS receivers during such a super flare event is also presented.

  7. Screening for Trauma Exposure, and Posttraumatic Stress Disorder and Depression Symptoms among Mothers Receiving Child Welfare Preventive Services

    Science.gov (United States)

    Chemtob, Claude M.; Griffing, Sascha; Tullberg, Erika; Roberts, Elizabeth; Ellis, Peggy

    2011-01-01

    The role of parental trauma exposure and related mental health symptoms as risk factors for child maltreatment for parents involved with the child welfare (CW) system has received limited attention. In particular, little is known about the extent to which mothers receiving CW services to prevent maltreatment have experienced trauma and suffered…

  8. 20 CFR 1010.210 - In which Department job training programs do covered persons receive priority of service?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false In which Department job training programs do... job training programs do covered persons receive priority of service? (a) Priority of service applies to every qualified job training program funded, in whole or in part, by the Department, including: (1...

  9. Treated Prevalence of and Mental Health Services Received by Children and Adolescents in 42 Low-and-Middle-Income Countries

    Science.gov (United States)

    Morris, Jodi; Belfer, Myron; Daniels, Amy; Flisher, Alan; Ville, Liesbet; Lora, Antonio; Saxena, Shekhar

    2011-01-01

    Background: Little is known about the treated prevalence and services received by children and adolescents in low- and middle-income countries (LAMICs). The purpose of this study is to describe the characteristics and capacity of mental health services for children and adolescents in 42 LAMICs. Methods: The "World Health Organization Assessment…

  10. 25 CFR 256.26 - Can I receive Housing Improvement Program services if I am living in a mobile home?

    Science.gov (United States)

    2010-04-01

    ... § 256.7. If you require Category B services and your mobile home has exterior walls of less than three... 25 Indians 1 2010-04-01 2010-04-01 false Can I receive Housing Improvement Program services if I am living in a mobile home? 256.26 Section 256.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE...

  11. Racial/Ethnic Differences of Justice-Involved Youth in Substance-Related Problems and Services Received.

    Science.gov (United States)

    Heaton, Leanne L

    2018-01-18

    This study examined differences in substance-related problems and receipt of substance-specific counseling in 7 different racial/ethnic groups of justice-involved youth. Data came from a nationally representative sample of 7,073 youth in residential placement across 36 states representing 5 program types. Descriptive analyses and regression modeling techniques were used to examine the relationship between race/ethnicity, substance problems, and substance services. Results show that more than 2/3 report a history of at least 1 substance-related problem. Yet, over 12% of youth in residential placement are in programs that do not offer any substance-related services. This has the greatest implications for African American and Hispanic youth, who are most likely to be the programs without these services. Moreover, there are substantive differences in the prevalence of substance problems by race and ethnicity. American Indian/Alaska Natives and multiracial youth were significantly more likely to have substance problems, to be under the influence of drugs and/or alcohol at the time of the current offense, go have a history of substance problems and above average mental health need, and to have a history of substance problems and a lifetime suicide attempt compared to African Americans. Asian youth were similar to African Americans and had lower rates of substance problems. Asian youth were also the least likely to be under the influence of drugs and/or alcohol at the time of the current offense. This study provides important preliminary findings about Asian, Native Hawaiian/Pacific Islander, and multiracial justice-involved youth and adds to the knowledge about American Indian/Alaska Native populations. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  12. First 2 Years of Experience of “Residential Care” at “Sakalawara Rehabilitation Services,” National Institute of Mental Health and Neurosciences, Bengaluru, India

    Science.gov (United States)

    Manjunatha, Narayana; Agarwal, Preeti Pansari; Shashidhara, Harihara N.; Palakode, Mohan; Raj, E. Aravind; Mary Kapanee, Aruna Rose; Nattala, Prashanthi; Kumar, C. Naveen; Sudhir, Paulomi; Thirthalli, Jagadisha; Bharath, Srikala; Sekar, Kasi; Varghese, Mathew

    2017-01-01

    Introduction: There is an unmet need for continuity-of-care is well known for those with severe mental disorders (SMDs) after acute care at hospitals in India. The “Sakalawara Rehabilitation Services (SRS)” functioned from March 2014 at “Sakalawara Community Mental Health Centre” (SCMHC) of “National Institute of Mental Health and Neurosciences,” Bengaluru, India in the concepts of residential care (half-way-home) with the aim to develop a replicable model. Aim: To review the inpatient records after the initial 2 years of experience in residential care at SCMHC. Methodology: Retrospective file review of inpatients at SCMHC from March 2014 to March 2016 in a semi-structured proforma designed for the study. Ethical committee of NIMHANS Bengaluru has approved the study. Results: The total number of inpatients during this period was 85. It was found that Schizophrenia spectrum disorders were the most common diagnosis among these patients. The activity of daily living and psycho-education were the most common individual interventions. The majority of families underwent structured family psycho-educational interventions. This review also demonstrated the feasibility of tele-aftercare in continuity of care after discharge of patients. Conclusion: SRS kind of residential set-up is feasible and demonstrated effectiveness in maintaining continuity of care of SMDs. There is a need for better structured and customized interventions. There is further a scope for tele (video) aftercare for those with SMDs. PMID:29284806

  13. First 2 Years of Experience of "Residential Care" at "Sakalawara Rehabilitation Services," National Institute of Mental Health and Neurosciences, Bengaluru, India.

    Science.gov (United States)

    Manjunatha, Narayana; Agarwal, Preeti Pansari; Shashidhara, Harihara N; Palakode, Mohan; Raj, E Aravind; Mary Kapanee, Aruna Rose; Nattala, Prashanthi; Kumar, C Naveen; Sudhir, Paulomi; Thirthalli, Jagadisha; Bharath, Srikala; Sekar, Kasi; Varghese, Mathew

    2017-01-01

    There is an unmet need for continuity-of-care is well known for those with severe mental disorders (SMDs) after acute care at hospitals in India. The "Sakalawara Rehabilitation Services (SRS)" functioned from March 2014 at "Sakalawara Community Mental Health Centre" (SCMHC) of "National Institute of Mental Health and Neurosciences," Bengaluru, India in the concepts of residential care (half-way-home) with the aim to develop a replicable model. To review the inpatient records after the initial 2 years of experience in residential care at SCMHC. Retrospective file review of inpatients at SCMHC from March 2014 to March 2016 in a semi-structured proforma designed for the study. Ethical committee of NIMHANS Bengaluru has approved the study. The total number of inpatients during this period was 85. It was found that Schizophrenia spectrum disorders were the most common diagnosis among these patients. The activity of daily living and psycho-education were the most common individual interventions. The majority of families underwent structured family psycho-educational interventions. This review also demonstrated the feasibility of tele-aftercare in continuity of care after discharge of patients. SRS kind of residential set-up is feasible and demonstrated effectiveness in maintaining continuity of care of SMDs. There is a need for better structured and customized interventions. There is further a scope for tele (video) aftercare for those with SMDs.

  14. The Impact of Fear of Falling on Functional Independence Among Older Adults Receiving Home Health Services

    Directory of Open Access Journals (Sweden)

    Katherine A. Lawson OTR, LMSSW, PhD

    2014-07-01

    Full Text Available Background: Falls are the fifth leading cause of death for adults aged 65 years and older. Several intrinsic and extrinsic fall risk factors have been identified, butthere is less understanding of the impact of a fear of falling on falls. Seventy percent of recent fallers and 40% percent of non-fallers report a fear of falling. Therefore, the purpose of this study was to examine the correlation between a fear of falling and a history of falls, as well as the impact on the functional independence of community-dwelling older adults receiving home health services. Methods: The participants completed the Falls Efficacy Scale, the Modified Timed Up and Go Test, self- reported fear of falling, and the KATZ ADL-staircase. The participants were primarily Hispanic females. Results: There was not a significant correlation between a fear of falling and a history of falls. Only participants' age, gender, and the number of medical diagnoses were predictive of past falls. There was a moderate correlation between impaired functional mobility and dependence with activities of daily living (ADL. Additionally, a fear of falling was associated with dependence to perform ADLs as measured objectively. Conclusion: Future studies need to examine the effectiveness of interventions that include dual-task challenges during therapeutic interventions and ADL retraining to reduce fall risk among older adults.

  15. A profile of students receiving counselling services at a university in post-apartheid South Africa.

    Science.gov (United States)

    Bowman, Brett; Payne, Jarrod

    2011-12-01

    The purpose of this study was to describe a profile of students seeking counselling at a racially diverse university in post-apartheid South Africa as a means to demonstrate the importance of routinely collecting and analysing student counselling data at university-based centres across the country. Student data were extracted from the only two counselling centres based at the University of the Witwatersrand in Johannesburg that provided services to 831 students during 2008. The 26 243 students that did not seek counselling during this period formed the comparison group. These data were analysed using logistic regression. Black, female and students within the 21-25 year age category were more likely to receive counselling, and presenting problems varied by population group. Given the country's past and continued levels of social asymmetry, we argue that the development of standardised university-based reporting systems able to describe the characteristics and presenting problems of students seeking counselling across South African universities should be prioritised by its higher education sector. Timely access to information of this kind is crucial to the generation of evidence-based mental health interventions in a population that is especially important to the country's development vision.

  16. Modular health services : A single case study approach to the applicability of modularity to residential mental healthcare

    NARCIS (Netherlands)

    Soffers, R.; Meijboom, B.R.; van Zaanen, J.; van der Feltz, C.M.

    2014-01-01

    Background The Dutch mental healthcare sector has to decrease costs by reducing intramural capacity with one third by 2020 and treating more patients in outpatient care. This transition necessitates enabling patients to become as self-supporting as possible, by customising the residential care they

  17. [A comparative study of the physical conditions of elderly people with care needs receiving rehabilitation services from a nurse or a physiotherapist from a visiting nurse service station].

    Science.gov (United States)

    Matsuda, Akiko; Kunori, Miwako

    2005-02-01

    The purpose of this study was to examine the roles of rehabilitation by a nurse, comparing the attributes of utilization of care services and physical conditions of elderly people receiving rehabilitation services from a nurse or a physiotherapist. Two hundred and fifty four care receivers at the Saiseikai visiting nurse service station, Shiga Prefecture, were interviewed by a nurse or a physiotherapist. They were divided into two groups: 1) receivers of rehabilitation services by a nurse (RRSN group), and 2) receivers of rehabilitation services by a physiotherapist (RRSP group). The subjects were matched for gender and age, and 36 participants for each of the two groups were included in the analysis. Level of dementia, activities of daily living (ADL; Barthel Index), instrumental activities of daily living (IADL), the Glasgow Coma Scale (GCS) and use of visiting services were assessed in the interview. Analysis of variance and the chi2 test were used to compare values for the two groups. Level of dementia in the RRSN group was significantly severe than in the RRSP group (Pservices was significantly more in the RRSN group (P<0.05). Physical status in the RRSN group was significantly lower for ADL, GCS than in the RRSP group. IADL of males in the RRSN group was significantly lower. Thus, we conclude that it is important for nurses to make opportunities to visit elderly people with physiotherapists to assess their physical conditions.

  18. Factors associated with physical therapy services received for individuals with cerebral palsy in an outpatient pediatric medical setting.

    Science.gov (United States)

    Bailes, Amy F; Succop, Paul

    2012-11-01

    Limited information is available regarding physical therapy use for individuals with cerebral palsy (CP). The purpose of this study was to evaluate the association of Gross Motor Function Classification System (GMFCS) level, age, race, sex, and type of insurance with the total physical therapy units received over a 1-year period for individuals with CP in this outpatient pediatric medical setting. This was a cross-sectional study. Four hundred twenty-five individuals with CP (GMFCS level I, 36%; level II, 15%; level III, 13%; level IV, 19%; and level V, 17%) were identified retrospectively through their electronic medical records. A one-way analyses of variance (ANOVA) was performed for each explanatory variable followed by a multiway ANOVA that adjusted for other variables to find the best model to explain total physical therapy units received. A significant difference in total therapy units received was found among GMFCS levels (F=6.91; df=4,420; Pphysical therapy received was found for the factors of sex and race. The final multifactorial model indicates a significant main effect of insurance and a GMFCS by age interaction accounting for 19% of the variability (F=4.45; df=21,403; Pphysical therapy services received in a pediatric medical setting in 1 geographic region of the United States. The results of this study provide insight into how therapy received varies for individuals with CP. Future studies should evaluate additional variables that may affect physical therapy services received.

  19. Under-nutrition at baseline and health services utilization and mortality over a one-year period in older adults receiving Medicare home health services

    Science.gov (United States)

    Yang, Yongbin; Brown, Cynthia J.; Burgio, Kathryn L.; Kilgore, Meredith L.; Ritchie, Christine S.; Roth, David L.; West, Delia Smith; Locher, Julie L.

    2010-01-01

    Objective Older adults receiving Medicare home health services who experience under-nutrition may be at increased risk of experiencing adverse outcomes. We sought to identify the association between baseline nutritional status and subsequent health service utilization and mortality over a one-year period in older adults receiving Medicare home health services. Design This was a longitudinal study using questionnaires and anthropometric measures designed to assess nutritional status (Mini-Nutritional Assessment [MNA]) at baseline and health services utilization and mortality status at six-month and one-year follow-ups. Setting Participants were evaluated in their homes. Participants 198 older adults who were receiving Medicare home health services. Results Based upon MNA, 12.0% of patients were Malnourished, 51.0% were At Risk for Malnourishment, and 36.9% had Normal Nutrition Status. Based upon body mass index (BMI), 8.1% of participants were underweight, 37.9% were normal weight, 25.3% were overweight, and 28.8% were obese. Using multivariate binary logistic regression analyses, participants who were Malnourished or At Risk for Malnourishment were more likely to experience subsequent hospitalization, emergency room visit, home health aide use, and mortality for the entire sample and hospitalization and nursing home stay for overweight and obese participants. Conclusions Experiencing under-nutrition at the time of receipt of Medicare home health services was associated with increased health services utilization and mortality for the entire sample, and with increased health services utilization only for the overweight and obese subsample. Opportunities exist to address risk of under-nutrition in patients receiving home health services, including those who are overweight or obese, to prevent subsequent adverse health outcomes. PMID:21527170

  20. Emergency Medical Services Support for Acute Ischemic Stroke Patients Receiving Thrombolysis at a Primary Stroke Center

    Directory of Open Access Journals (Sweden)

    Byron R. Spencer

    2009-01-01

    Full Text Available Background Emergency Medical Services (EMS is a vital link in the overall chain of stroke survival. A Primary Stroke Center (PSC relies heavily on the 9-1-1 response system along with the ability of EMS personnel to accurately diagnose acute stroke. Other critical elements include identifying time of symptom onset, providing pre-hospital care, selecting a destination PSC, and communicating estimated time of arrival (ETA. Purpose Our purpose was to evaluate the EMS component of thrombolysed acute ischemic stroke patient care at our PSC. Methods In a retrospective manner we retrieved electronic copies of the EMS incident reports for every thrombolysed ischemic stroke patient treated at our PSC from September 2001 to August 2005. The following data elements were extracted: location of victim, EMS agency, times of dispatch, scene, departure, emergency department (ED arrival, recordings of time of stroke onset, blood pressure (BP, heart rate (HR, cardiac rhythm, blood glucose (BG, Glasgow Coma Scale (GCS, Cincinnati Stroke Scale (CSS elements, emergency medical personnel field assessment, and transport decision making. Results Eighty acute ischemic stroke patients received thrombolysis during the study interval. Eighty-one percent arrived by EMS. Two EMS agencies transported to our PSC. Mean dispatch-to-scene time was 6 min, on-scene time was 16 min, transport time was 10 min. Stroke onset time was recorded in 68%, BP, HR, and cardiac rhythm each in 100%, BG in 81%, GCS in 100%, CSS in 100%, and acute stroke diagnosis was made in 88%. Various diagnostic terms were employed: cerebrovascular accident in 40%, unilateral weakness or numbness in 20%, loss of consciousness in 16%, stroke in 8%, other stroke terms in 4%. In 87% of incident reports there was documentation of decision-making to transport to the nearest PSC in conjunction with pre-notification. Conclusion The EMS component of thrombolysed acute ischemic stroke patients care at our PSC appeared

  1. A Study of Training Program Characteristics and Training Program Effectiveness among Organizations Receiving Training Services from External Training Providers

    Science.gov (United States)

    Paek, Jeeyon; Hawley, Joshua D.

    2006-01-01

    The purpose of this study is to examine the impact of training program characteristics on training effectiveness among organizations receiving training services from external training providers. Two surveys were sent to HRD managers and senior managers per company. The results showed that the operational margin of the programs where private…

  2. Dynamics of ecosystem services provided by subtropical forests in Southeast China during succession as measured by donor and receiver value

    Science.gov (United States)

    The trends in the provision of ecosystem services during restoration and succession of subtropical forests and plantations were quantified, in terms of both receiver and donor values, based on a case study of a 3-step secondary succession series that included a 400-year-old subtr...

  3. 78 FR 40511 - Homeward Residential, Inc., a Subsidiary of Ocwen Loan Servicing, LLC, Including On-Site Leased...

    Science.gov (United States)

    2013-07-05

    ... insurance (UI) tax account under the name American Home Mortgage Servicing, Inc. Accordingly, the Department... mortgage servicing customer services from India. The amended notice applicable to TA-W-82,568, TA-W-82,568A...

  4. Pre-Service Teacher Use of Communication Strategies upon Receiving Immediate Feedback

    Science.gov (United States)

    Coogle, Christan Grygas; Rahn, Naomi L.; Ottley, Jennifer Riggie

    2015-01-01

    The purpose of this research was to investigate the impact of immediate feedback through bug-in-ear eCoaching on early childhood special education pre-service teachers' use of communication strategies using an activity-based intervention approach. Three early childhood special education pre-service teachers participated in this study. A…

  5. 42 CFR 435.217 - Individuals receiving home and community-based services.

    Science.gov (United States)

    2010-10-01

    ... Options for Coverage of Families and Children and the Aged, Blind, and Disabled § 435.217 Individuals... if institutionalized. (b) In the absence of home and community-based services under a waiver granted... services. Options for Coverage of Families and Children ...

  6. Residential Waste

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Fruergaard, Thilde; Matsufuji, Y.

    2011-01-01

    are discussed in this chapter. Characterizing residential waste is faced with the problem that many residences already divert some waste away from the official collection systems, for example performing home composting of vegetable waste and garden waste, having their bundled newspaper picked up by the scouts...... twice a year or bringing their used furniture to the flea markets organized by charity clubs. Thus, much of the data available on residential waste represents collected waste and not necessarily all generated waste. The latter can only be characterized by careful studies directly at the source...

  7. A register-based study of variations in services received among dental care attenders

    DEFF Research Database (Denmark)

    Rosing, Kasper; Hede, Børge; Christensen, Lisa Bøge

    2016-01-01

    more dental examinations but fewer tooth extractions, root fillings and composite fillings compared to disadvantaged persons, when controlled for dental health levels. Irregular attenders received fewer IPS and composite fillings but had more extractions compared to regular attenders. Conclusions...

  8. Demonstration of the usefulness of a theoretical framework for humanising care with reference to a residential aged care service in Australia.

    Science.gov (United States)

    Borbasi, Sally; Galvin, Kathleen T; Adams, Trevor; Todres, Les; Farrelly, Brona

    2013-03-01

    To demonstrate the usefulness of a theoretical framework for humanising care of dementia patients. The term humanisation of care has been increasingly used to describe an approach to health care that is informed by core dimensions of what it means to be human. Recent developments in dementia care highlight the importance of maintaining personhood in people with dementia. A conceptual framework is proposed by which the humanisation of care can be understood and applied. Eight dimensions that articulate core features of what needs to be attended to in order for a person to feel more deeply 'met' as a human being are discussed. Evidence from an evaluative study of a dementia outreach service is used to illustrate the usefulness of the humanising framework. Case study examples demonstrate the value of this framework by describing how a dementia outreach service enables care staff in residential aged care facilities to change their focus in the provision of care to residents with dementia. Each of the eight dimensions of humanisation/dehumanisation is used to illustrate how the dementia outreach service team have led to the improvements in resident care. Positive outcomes can be achieved by providing humanised care to residents with dementia. The paper highlights the potential for the humanising framework to be used in dementia care and shows how the framework can be helpfully translated into practice so that carers are supported to adopt an inclusive view of care delivery. A comprehensive framework, grounded in a strong philosophical foundation, can name a breadth of criteria for humanly sensitive care and can be translated into practice in such a way as to potentially transform the provision of care to residents in residential aged care facilities. © 2012 Blackwell Publishing Ltd.

  9. 42 CFR 436.217 - Individuals receiving home and community-based services.

    Science.gov (United States)

    2010-10-01

    ... Children and Aged, Blind, and Disabled Individuals, Including Pregnant Women § 436.217 Individuals... if institutionalized. (b) In the absence of home and community-based services under a waiver granted...

  10. Effectively working with challenging clients who receive hunger service assistance: Case examples and eight recommended guidelines

    Directory of Open Access Journals (Sweden)

    Sharon E. Moore

    2006-12-01

    Full Text Available Those who provide services for people who experience food insecurity come into contact with people who do not always present themselves courteously and favorably. Using case examples from the food bank industry, the authors of this paper will: (1 discuss why people sometimes behave discourteously when seeking assistance from human services professionals; (2 give case examples of how social workers could properly respond to these situations and, (3 give recommendations for effectively working with this client population.

  11. 77 FR 24505 - Hazard Mitigation Assistance for Wind Retrofit Projects for Existing Residential Buildings

    Science.gov (United States)

    2012-04-24

    ...] Hazard Mitigation Assistance for Wind Retrofit Projects for Existing Residential Buildings AGENCY... for Wind Retrofit Projects for Existing Residential Buildings. DATES: Comments must be received by... to protect existing one- and two-family residential buildings (not including manufactured housing...

  12. Barriers to Accessing Tutoring Services among Students Who Received a Mid-Semester Warning

    Science.gov (United States)

    Ciscell, Galen; Foley, Leslie; Luther, Kate; Howe, Robin; Gjsedal, Taylor

    2016-01-01

    For this focus group study we recruited from a population of 345 university students who had been informed of their poor academic performance in at least one course, but who had not utilized peer tutoring in the semester they received the warning, in order to determine if stigma played a role in their decision not to seek help. We learned from…

  13. [Validating an instrument for measuring the perceived quality of services received by people using hospitals in Colombia].

    Science.gov (United States)

    Cabrera-Arana, Gustavo A; Londoño-Pimienta, Jaime L; Bello-Parías, León D

    2008-01-01

    Validating an instrument for measuring the perceived quality of services received by people using hospitals forming part of the Colombian Ministry of Social Protection's restructuring, redesigning and modernisation programme for health-service providing networks. Sánchez and Echeverri's guidelines for validating health quality measurement scales were followed due to the lack of a valid instrument for doing this in Colombia. Conceptual synthesis led to identifying a structure of constituent indicators, domains and sub-domains regarding the perception of health service quality. A list of reactions (having a scale for categorising the replies) was analysed according to the validity of appearance, construct, criteria and utility as criteria for sensitivity and usefulness. Successive revisions and three rounds of field-trials led to producing PECASUSS, an acronym given to the instrument for measuring users' perception of health service quality (Percepción de Calidad Según Usuarios de Servicios de Salud). The guidelines effectively orientated the validation of the instrument required for measuring the perceived quality of health services received by people using hospitals forming part of the programme.

  14. Decision-making experiences of family members of older adults with moderate dementia towards community and residential care home services: a grounded theory study protocol.

    Science.gov (United States)

    Le Low, Lisa Pau; Lam, Lai Wah; Fan, Kim Pong

    2017-06-05

    Caring and supporting older people with dementia have become a major public health priority. Recent reports have also revealed a diminishing number of family carers to provide dementia care in the future. Carers who are engaged in the caring role are known to bear significant psychological, practical and economic challenges as the disease advances over time. Seemingly, evidence indicates that the burden of care can be relieved by formal services. This study aims to explore decision-making experiences of family members of older adults with moderate dementia towards the use of community support (CS) and residential care home (RCH) services. A large multi-site constructivist grounded theory in a range of non-government organizations and a private aged home will frame this Hong Kong study. Purposive sampling will begin the recruitment of family members, followed by theoretical sampling. It is estimated that more than 100 family members using CS and RCH services will participate in an interview. The process of successive constant comparative analysis will be undertaken. The final product, a theory, will generate an integrated and comprehensive conceptual understanding which will explain the processes associated with decision-making of family members for dementia sufferers. Deeper understanding of issues including, but not exclusive to, service needs, expectations and hopes among family carers for improving service support to serve dementia sufferers in CS and RCH services will also be revealed. Importantly, this study seeks to illustrate the practical and strategic aspects of the theory and how it may be useful to transfer its applicability to various service settings to better support those who deliver formal and informal care to the dementia population.

  15. Investigating the factors that affect the communication of death-related bad news to people with intellectual disabilities by staff in residential and supported living services: An interview study.

    Science.gov (United States)

    Tuffrey-Wijne, I; Rose, T

    2017-08-01

    Most staff working in intellectual disability services will be confronted with people with intellectual disabilities who need support around death, dying and bereavement. Previous studies suggest that intellectual disability staff tend to protect clients from knowing about death and avoid communication about death. The aims of this study were to gain further insight into the individual, organisational and contextual factors that affect the communication of death-related bad news to people with intellectual disabilities by intellectual disability staff and to develop guidelines for services to enable appropriate communication with clients about death and dying. Semi-structured interviews were held with 20 social care staff working in intellectual disability residential or supported living services in London, who had supported a client affected by death-related bad news in the past 6 months. Staff found supporting people with intellectual disabilities around death and dying extremely difficult and tended to avoid communication about death. The following factors had a particularly strong influence on staff practice around communicating death-related bad news: fear and distress around death; life and work experience; and organisational culture. Staff attitudes to death communication had a stronger influence than their client's level of cognitive or communicative abilities. Managers were important role models. Service managers should ensure not only that all their staff receive training in death, loss and communication but also that staff are enabled to reflect on their practice, through emotional support, supervision and team discussions. Future work should focus on the development and testing of strategies to enable intellectual disability staff to support their clients in the areas of dying, death and bereavement. © 2017 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  16. Differences between older and younger adults in residential treatment for co-occurring disorders.

    Science.gov (United States)

    Morse, Siobhan A; Watson, Cayce; MacMaster, Samuel A; Bride, Brian E

    2015-01-01

    The purpose of this study was to examine differences between older and younger adults who received integrated treatment for co-occurring substance use and mental disorders, including differences on demographic and baseline characteristics (e.g., substance use, readiness for change, mental health symptoms, and severity of problems associated with substance use), as well as predictors of retention in treatment. This study included 1400 adults who received integrated substance abuse and mental health treatment services at one of two private residential facilities offering residential and outpatient services. Initial analyses consisted of basic descriptive and bivariate analyses to examine differences between older (≥ 50 years old) and younger (co-occurring substance use and mental health disorders by documenting that age-based differences exist in general and in the factors that are associated with the length of stay in residential treatment.

  17. Factors associated with emergency services use in Taiwanese advanced cancer patients receiving palliative home care services during out-of-hours periods: a retrospective medical record study.

    Science.gov (United States)

    Kao, Yee-Hsin; Liu, Yao-Ting; Koo, Malcolm; Chiang, Jui-Kun

    2018-03-12

    For patients receiving palliative home care, the need to visit the emergency department is considered to be an indicator of poor quality care. The situation can be particularly distressing when it occurs outside of normal hours of palliative home care service. The aim of this study was to investigate the factors for emergency department use during out-of-hours periods of palliative home care service among advanced cancer patients in Taiwan. This case-control study was based on a retrospective medical chart review (January 2010 to December 2012) of advanced cancer patients who were receiving palliative home care in a community hospital in south Taiwan. The use of emergency medical services by these patients was dichotomized into either normal hours (8 a.m. to midnight, Monday to Friday, excluding public holidays) of palliative home care or outside normal hours. Logistic regression analyses were performed to evaluate factors associated with emergency services use during out-of-hours period of palliative home care. Of the 94 patients receiving palliative home care, 65 had used emergency services at least once during the 3-year study period. Of these 65 patients, 40% used emergency services during out-of-hours of palliative home care. Patients with distressing conditions (defined as the occurrence of any two conditions of dyspnea, change of consciousness, or gastrointestinal bleeding) were significantly more likely to use emergency services during out-of-hours of palliative home care. Patients at risk of developing dyspnea, change of consciousness, or gastrointestinal bleeding should be provided with relevant information regarding these symptoms and signs.

  18. Latent Class Analysis of Conduct Problems of Elementary Students Receiving Special Education Services

    Science.gov (United States)

    Toupin, Jean; Déry, Michèle; Verlaan, Pierrette; Lemelin, Jean-Pascal; Lecocq, Aurélie; Jagiellowicz, Jadwiga

    2016-01-01

    Students with conduct problems (CPs) may present heterogeneity in terms of behavioral manifestations and service needs. Previous studies using Latent Class Analysis (LCA) to capture this heterogeneity have been conducted mostly with community samples and have often applied a narrow definition of CP. Considering this context, this study…

  19. 25 CFR 39.116 - How does a school determine who receives gifted and talented services?

    Science.gov (United States)

    2010-04-01

    ...) Indicators for visual and performing arts and leadership may be determined based on national, regional, or... EDUCATION THE INDIAN SCHOOL EQUALIZATION PROGRAM Indian School Equalization Formula Gifted and Talented... education plan to provide gifted and talented services related in the areas identified. ...

  20. Transistor Radio Receivers; Radio and Television Service, Intermediate: 9785.04.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    The course outlined is one of the required courses in the Radio and Television Service Curriculum. Mastery of the skills in Basic Radio Circuits and Vacuum Tube AM Troubleshooting (9785.03) is a prerequisite. Eight blocks of instruction are divided into several units each. The instruction blocks are: orientation, fundamentals of transistor…

  1. A Phenomenological Study of Children's Experiences while Families Receive Services from a Homeless Agency

    Science.gov (United States)

    Lorelle, Sonya

    2010-01-01

    Children who experience homelessness have an increased risk for negative outcomes in several developmental areas (Bucker, 2008). While there are numerous programs that hope to mediate these and other risks by offering services to families experiencing homelessness, there is a paucity of research that addresses how children's psychosocial needs are…

  2. Accuracy of Knowledge of Child Development in Mothers of Children Receiving Early Intervention Services

    Science.gov (United States)

    Zand, Debra H.; Pierce, Katherine J.; Bultas, Margaret W.; McMillin, Stephen Edward; Gott, Rolanda Maxim; Wilmott, Jennifer

    2015-01-01

    Parents' involvement in early intervention (EI) services fosters positive developmental trajectories in young children. Although EI research on parenting skills has been abundant, fewer data are available on parents' knowledge of normative child development. Sixty-seven mothers of children participating in a Midwestern city's EI program completed…

  3. Association of comorbidities with home care service utilization of patients with heart failure while receiving telehealth.

    Science.gov (United States)

    Radhakrishnan, Kavita; Jacelon, Cynthia S; Bigelow, Carol; Roche, Joan P; Marquard, Jenna L; Bowles, Kathryn H

    2013-01-01

    Comorbidities adversely impact heart failure (HF) outcomes. Telehealth can assist healthcare providers, especially nurses, in guiding their patients to follow the HF regimen. However, factors, including comorbidity patterns, that act in combination with telehealth to reduce home care nursing utilization are still unclear. The purpose of this article was to examine the association of the comorbidity characteristics of HF patients with nursing utilization along with withdrawal from telehealth service during an episode of tele-home care. A descriptive, correlational study design using retrospective chart review was used. The sample comprised Medicare patients admitted to a New England home care agency who had HF as a diagnosis and had used telehealth from 2008 to 2010. The electronic documentation at the home care agency served as the data source, which included Outcome and Assessment Information Set data of patients with HF. Logistic and multiple regression analyses were used to analyze data. The sample consisted of 403 participants, of whom 70% were older than 75 years, 55% were female, and 94% were white. Comorbidities averaged 5.19 (SD, 1.92), ranging from 1 to 11, and nearly 40% of the participants had 5 or more comorbidities. The mean (SD) nursing contacts in the sample was 9.9 (4.7), ranging from 1 to 26, and 52 (12.7%) patients withdrew from telehealth service. For patients with HF on telehealth, comorbidity characteristics of anemia, anxiety, musculoskeletal, and depression were significantly associated with nursing utilization patterns, and renal failure, cancer, and depression comorbidities were significantly associated with withdrawal from telehealth service. Knowledge of the association of comorbidity characteristics with the home care service utilization patterns of patients with HF on telehealth can assist the home health nurse to develop a tailored care plan that attains optimal patient outcomes. Knowledge of such associations would also focus home

  4. Utilization of gynecologic services in women with breast cancer receiving hormonal therapy.

    Science.gov (United States)

    Wright, Jason D; Desai, Vrunda B; Chen, Ling; Burke, William M; Tergas, Ana I; Hou, June Y; Accordino, Melissa; Ananth, Cande V; Neugut, Alfred I; Hershman, Dawn L

    2017-07-01

    The selective estrogen receptor modulator tamoxifen is now widely used for the treatment and prevention of breast cancer. Tamoxifen use has been associated with a variety of gynecologic problems. Despite the frequency with which hormonal therapy is used for the treatment of breast cancer, limited population-level data are available to describe the occurrence of gynecologic conditions and the use of surveillance testing in women receiving tamoxifen and aromatase inhibitors. We performed a population-based analysis among women with breast cancer receiving hormonal therapy with tamoxifen, a drug commonly used in premenopausal and sometimes postmenopausal women, to determine the frequency of gynecologic abnormalities and use of diagnostic and surveillance testing. We compared these findings to women treated with aromatase inhibitors, agents commonly used in postmenopausal women. The MarketScan database was used to identify women diagnosed with breast cancer from 2009 through 2013 who underwent mastectomy or lumpectomy. Women receiving tamoxifen (age gynecologic symptoms and diseases (vaginal bleeding, endometrial polyps, endometrial hyperplasia, and endometrial cancer) and gynecologic procedures and interventions (transvaginal ultrasound, endometrial biopsy, hysteroscopy/dilation and curettage, and hysterectomy). Time-dependent analyses were performed to examine symptoms and testing. A total of 75,170 women, including 15,735 (20.9%) age gynecologic symptom or pathologic diagnosis during the study period was 20.2%, 12.3%, and 3.5%, respectively (P gynecologic procedure or intervention during the study period was 34.2%, 20.9%, and 9.0%, respectively (P gynecologic symptoms, procedures, and pathology are higher for both premenopausal and postmenopausal women with breast cancer on tamoxifen. Increased efforts to curb use of gynecologic interventions in asymptomatic women are needed. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Use of Electronic Health Records in Residential Care Communities

    Science.gov (United States)

    ... the National Technical Information Service NCHS Use of Electronic Health Records in Residential Care Communities Recommend on ... Facilities Most residential care communities did not use electronic health records in 2010, and use varied by ...

  6. Inflammatory bowel disease patient's satisfaction with healthcare services received. Physicians' and nurses' perceptions.

    Science.gov (United States)

    Casellas, Francesc; Vera, Isabel; Ginard, Daniel; Torrejón, Antonio

    2013-08-01

    patient satisfaction with healthcare services provided for inflammatory bowel diseases (IBD) is essential due to high resources use. the study aimed to describe patient satisfaction with healthcare services using the CACHE questionnaire and to assess gastroenterologist and nurse perception on patients' satisfaction. observational multicentric prospective study in 35 Spanish hospitals. Patients included had Crohn's disease or ulcerative colitis. The study was approved by the Hospital Universitari Vall d'Hebron Ethics Committee. Scheduled study visits: baseline (patient sociodemographics and clinical data were collected), 2-4 and 6-months. Patient satisfaction with healthcare was assessed by CACHE questionnaire at each visit; it scores from 0-least satisfaction to 100-highest satisfaction.Gastroenterologists and nurses answered once an adapted questionnaire. participating 290 patients (54.2 % males, 41.3 years old), 62 gastroenterologists and 47 nurses. At baseline mean (SD) CACHE score was 81.7 (10.9); satisfaction with clinician care was the highest, patient information the lowest. Scores did not change across study. Gastroenterologist global score was 72.5 (9.8); Staff Care satisfaction was the highest, patient information the lowest. All scores were significantly lower than patients'. Nurses' global score was 82.2 (8.5), clinician care satisfaction was the highest, centre facilities the lowest. Scores on satisfaction with clinician care, centre facilities, and patient information scored statistically lower than patients'. No relationship was found between patients' satisfaction and patients characteristics. conclusions: IBD patients are satisfied with healthcare services provided, even though the information may be improved. Nurses' perception is similar to that of patients, physicians have a lower perception.

  7. Improving the service for patients receiving extracorporeal photopheresis using Lean principles.

    Science.gov (United States)

    Rushton, Cherie; Robertson, Leeah; Taylor, Tracie; Taylor, Peter; Button, Paul; Alfred, Arun

    2016-09-08

    The photopheresis unit where the authors work has seen an increased demand both locally and as an outreach service. A Lean assessment of the unit was undertaken to improve processing time and productivity, which in turn would improve the availability of treatment and improve patient care. The assessment indicated that there were excellent nursing standards and patient care; however, patient waiting times and treatment times were prolonged in comparison with other units. The unit reviewed the patient pathway and identified where delays occurred and consequently changed patient scheduling.

  8. Demographic Characteristics, Health Conditions, and Residential Service Use in Adults with Down Syndrome in 25 U.S. States

    Science.gov (United States)

    Stancliffe, Roger J.; Lakin, K. Charlie; Larson, Sheryl A.; Engler, Joshua; Taub, Sarah; Fortune, Jon; Bershadsky, Julie

    2012-01-01

    This study describes service users with Down syndrome (N = 1,199) and a comparative sample with intellectual and developmental disabilities but not Down syndrome (N = 11,182), drawn from National Core Indicator surveys of adult service users in 25 U.S. states. Individuals with Down syndrome were younger than were individuals without Down syndrome.…

  9. Radiations to received for patients in the Radiology Service of the Calderon Guardia Hospital

    International Nuclear Information System (INIS)

    Mora Rodriguez, P.

    1999-01-01

    Was collected a total of 1348 radiodiagnostic studies for the following analysis: thorax, cranium, abdomen, hip and pelvis, dorsal columns, lumbar columns and intravenous pielograms. The reading and analysis of dose of the crystals was carried out in the Laboratory of Nuclear Physics of the University of Costa Rica. Upon comparing the dose with the reference values of dose of the International of Atomic Energy Agency, is found that for all the studies exist figures by above the value recommended. To be able to explain to patient the quantity of radiation received in terms not scientific, is proposed to utilized a qualitative unit, the Bert (equivalent time to natural radiation). Due to the large variations in the dose, is recommended to implement quality control programs, where be guaranteed the diminution of the collective dose and be maintained or improve the quality of the radiologic image. (S. Grainger) [es

  10. Absenteeism rates in students receiving services for CDs, LDs, and EDs: a macroscopic view of the consequences of disability.

    Science.gov (United States)

    Redmond, Sean M; Hosp, John L

    2008-01-01

    Elevated levels of absenteeism have been reported for students receiving special education services, especially students with learning disabilities (LDs) and emotional disturbances (EDs). In contrast, little is known about absenteeism rates associated with students with communication disorders (CDs). Archival records of student attendance for the 1997-2001 academic years from a mid-sized urban school district in the Intermountain West were used to examine absenteeism rates in students receiving services for CDs, LDs, and EDs. Two cohort samples were generated (K-4th grade and 5th-9th grade). Students with CDs displayed absenteeism rates that were comparable to those of students receiving general education. Significant group and group x grade effects were found. Students in the LD and ED groups displayed elevated levels of absenteeism, especially at Grade 9. The outcomes of this study support the characterization of the socioemotional concomitants associated with CDs as being typologically different and exerting a weaker influence on student's health levels than those associated with either LDs or EDs.

  11. Total Cost of Care Lower among Medicare Fee-for-Service Beneficiaries Receiving Care from Patient-Centered Medical Homes

    Science.gov (United States)

    van Hasselt, Martijn; McCall, Nancy; Keyes, Vince; Wensky, Suzanne G; Smith, Kevin W

    2015-01-01

    Objective To compare health care utilization and payments between NCQA-recognized patient-centered medical home (PCMH) practices and practices without such recognition. Data Sources Medicare Part A and B claims files from July 1, 2007 to June 30, 2010, 2009 Census, 2007 Health Resources and Services Administration and CMS Utilization file, Medicare's Enrollment Data Base, and the 2005 American Medical Association Physician Workforce file. Study Design This study used a longitudinal, nonexperimental design. Three annual observations (July 1, 2008–June 30, 2010) were available for each practice. We compared selected outcomes between practices with and those without NCQA PCMH recognition. Data Collection Methods Individual Medicare fee-for-service (FFS) beneficiaries and their claims and utilization data were assigned to PCMH or comparison practices based on where they received the plurality of evaluation and management services between July 1, 2007 and June 30, 2008. Principal Findings Relative to the comparison group, total Medicare payments, acute care payments, and the number of emergency room visits declined after practices received NCQA PCMH recognition. The decline was larger for practices with sicker than average patients, primary care practices, and solo practices. Conclusions This study provides additional evidence about the potential of the PCMH model for reducing health care utilization and the cost of care. PMID:25077375

  12. Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Burton E

    2013-12-01

    Full Text Available Elissa Burton,1,2 Gill Lewin,1,2 Lindy Clemson,3 Duncan Boldy41Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2Research Department, Silver Chain, Perth, WA, Australia; 3Health and Work Research Unit, The University of Sydney, Sydney, NSW, Australia; 4School of Nursing and Midwifery, Curtin University, Perth, WA, AustraliaBackground: Restorative home care services are short-term and aimed at maximizing a person’s ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults.Methods: A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention or the structured exercise program currently being used in the service (control. Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability.Results: There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program.Conclusion: Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes

  13. Evaluation of Data Transfer Performance Between Moving Sender and Receiver in Mobile Communication Networks for Heterogeneous Service Support

    Directory of Open Access Journals (Sweden)

    Dalė Dzemydienė

    2011-12-01

    Full Text Available Vehicular communication networks are acquiring more and more commercial relevance because of recent advances in inter-vehicular communications via the DSRC/WAVE standard, which stimulates a brand new family of visionary services for vehicles, from road safety to entertainment and multimedia applications. After deep analysis of the literature it was decided to investigate evaluation of data transfer performance between moving sender and receiver in mobile communication network for heterogeneous service support. After careful analysis of the simulation tools the NCTUns 6.0 software package was chosen for planned investigations. The results illustrate that the longest communication can be maintained at the maximum number of vehicles participating on the network, but the quality of communication is inversely proportional to the number of vehicles. On this changing topology network when growing number of nodes (vehicles increases flooding of network with the data packages and it determines many collisions. The number of rejected packages increases directly in proportion to the number of vehicles. When the number of nodes (vehicle increases—it is increasing the number of the received same packages which are received from different nodes in the recipient node. On the sender node, the packages are rejected because the collisions occur due to improperly functioning access channel allocation mechanisms. It can be concluded that the routing protocols created for a normal MANET networks is useless in a fast-changing topology large-scale vehicle communication network. To provide heterogeneous services new routing protocols and channel access methods are needed, specifically for vehicle communication networks.

  14. Evaluation of Data Transfer Performance Between Moving Sender and Receiver in Mobile Communication Networks for Heterogeneous Service Support

    Directory of Open Access Journals (Sweden)

    Dalė Dzemydienė

    2013-08-01

    Full Text Available Vehicular communication networks are acquiring more and more commercial relevance because of recent advances in inter-vehicular communications via the DSRC/WAVE standard, which stimulates a brand new family of visionary services for vehicles, from road safety to entertainment and multimedia applications. After deep analysis of the literature it was decided to investigate evaluation of data transfer performance between moving sender and receiver in mobile communication network for heterogeneous service support. After careful analysis of the simulation tools the NCTUns 6.0 software package was chosen for planned investigations. The results illustrate that the longest communication can be maintained at the maximum number of vehicles participating on the network, but the quality of communication is inversely proportional to the number of vehicles. On this changing topology network when growing number of nodes (vehicles increases flooding of network with the data packages and it determines many collisions. The number of rejected packages increases directly in proportion to the number of vehicles. When the number of nodes (vehicle increases—it is increasing the number of the received same packages which are received from different nodes in the recipient node. On the sender node, the packages are rejected because the collisions occur due to improperly functioning access channel allocation mechanisms. It can be concluded that the routing protocols created for a normal MANET networks is useless in a fast-changing topology large-scale vehicle communication network. To provide heterogeneous services new routing protocols and channel access methods are needed, specifically for vehicle communication networks.

  15. The steps to recovery program: Evaluation of a group-based intervention for older individuals receiving mental health services.

    Science.gov (United States)

    Flaherty-Jones, Graeme M; Carne, Alexandra S; Dexter-Smith, Sarah

    2016-03-01

    This study reports on the evaluation of a group-based intervention for older individuals receiving mental health services. A prospective cohort repeated-measure design was used for 48 participants who accessed secondary care mental health services for older people. Changes on the Recovery Assessment Scale (RAS), the Warwick-Edinburgh Mental Well-Being Scale (WEMWEBS), and a postevaluation questionnaire were analyzed. A paired sample t test examined changes in participant's scores on the WEMWEBS and RAS from baseline to postintervention. Participants qualitatively evaluated the Steps to Recovery group as having a positive effect on their recovery. Following involvement in this group intervention, participants reported improved mental well-being and recovery from mental health difficulty. These results suggest that the program has the potential to provide an accessible framework for developing recovery-orientated approaches in mental health care that can be delivered by care staff at all levels. (c) 2016 APA, all rights reserved).

  16. The Effects of an Experiential Service-Learning Project on Residential Interior Design Students' Attitudes toward Design and Community

    Science.gov (United States)

    Gomez-Lanier, Lilia

    2016-01-01

    This mixed research methods study explores whether project-based service-learning projects promote greater learning than standard project-based projects and whether introduced earlier into the curriculum promotes a greater student understanding of the world issues affecting their community. The present study focused on comparing sophomore and…

  17. Closing the Research to Practice Gap in Therapeutic Residential Care: Service Provider-University Partnerships Focused on Evidence-Based Practice

    Science.gov (United States)

    Thompson, Ronald W.; Duppong Hurley, Kristin; Trout, Alexandra L.; Huefner, Jonathan C.; Daly, Daniel L.

    2017-01-01

    Residential care has been criticized for its high cost and limited research evidence. While recent studies and reviews of the literature suggest that a number of evidence-based practices are being implemented in residential care settings, more research is needed to develop and test empirically based practices that can be successfully implemented…

  18. Clinical characteristics and patterns of health deficits of centenarians receiving home care and long-term care services.

    Science.gov (United States)

    Freeman, Shannon; Armstrong, Joshua J; Tyas, Suzanne L; Neufeld, Eva

    2017-12-01

    Centenarians (persons aged 100years and older) are one of the fastest growing cohorts in countries across the world. With the increasing prevalence of centenarians and growing amount of clinical information in large administrative health databases, it is now possible to more fully characterize the health of this unique and heterogeneous population. This study described patterns of health deficits in the centenarian population receiving care from community-based home care services and long-term care facilities (LTCFs) in Ontario, Canada. All centenarians who received home care and were assessed using the interRAI-Home Care Assessment instrument between 2007 and 2011 (n=1163) and all centenarians who resided in LTCFs between 2005 and 2011 who were assessed using the interRAI Minimum Data Set (MDS 2.0) (n=2228) were included in this study. Bivariate analyses described the centenarian population while K-means clustering analyses were utilized to identify relatively homogeneous subgroups within this heterogeneous population. The 3391 centenarians were aged 100 to 114 (mean age 101.5years ±1.9 SD) and the majority were women (84.7%). Commonly reported deficits included cognitive impairment, physical impairment, and bladder problems. Centenarians residing in LTCFs were significantly more likely than centenarians receiving home care services to report cognitive or functional impairment, or to exhibit symptoms of depression. The commonalities and uniqueness of four clusters of centenarians are described. Although there is great variability, there is also commonality within the centenarian population. Recognizing patterns within the heterogeneity of centenarians is key to providing high-quality person-centered care and to targeting health promotion and intervention strategies. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Treatment received, satisfaction with health care services, and psychiatric symptoms 3 months after hospitalization for self-poisoning

    Directory of Open Access Journals (Sweden)

    Grimholt Tine K

    2012-04-01

    Full Text Available Abstract Background Patients who self-poison have high repetition and high mortality rates. Therefore, appropriate follow-up is important. The aims of the present work were to study treatment received, satisfaction with health care services, and psychiatric symptoms after hospitalization for self-poisoning. Methods A cohort of patients who self-poisoned (n = 867 over a period of 1 year received a questionnaire 3 months after discharge. The Beck Depression Inventory (BDI, Beck Hopelessness Scale (BHS, and Generalized Self-Efficacy Scale (GSE were used. The participation rate was 28% (n = 242; mean age, 41 years; 66% females. Results Although only 14% of patients were registered without follow-up referrals at discharge, 41% reported no such measures. Overall, satisfaction with treatment was fairly good, although 29% of patients waited more than 3 weeks for their first appointment. A total of 22% reported repeated self-poisoning and 17% cutting. The mean BDI and BHS scores were 23.3 and 10.1, respectively (both moderate to severe. The GSE score was 25.2. BDI score was 25.6 among patients with suicide attempts, 24.9 for appeals, and 20.1 for substance-use-related poisonings. Conclusions Despite plans for follow-up, many patients reported that they did not receive any. The reported frequency of psychiatric symptoms and self-harm behavior indicate that a more active follow-up is needed.

  20. Clinical Profile and Sex Differences in Brazilian Children and Adolescents Receiving Psychiatric Services in the Emergency Department.

    Science.gov (United States)

    Tonezer, Jordana; Muller, Thomaz; Rocha, Gibsi Possapp; Recondo, Rogéria; Nogueira, Eduardo Lopes; Spanemberg, Lucas

    2015-06-27

    We present a survey of sex differences and socio-demographic and clinical variables in children and adolescents receiving a psychiatric consultation service in an emergency department (ED). This observational, retrospective, and cross-sectional study included all records of patients (age, services in an ED in a 4-year period (January 2010 to December 2013). Two hundred fifty-nine records of children and adolescents were located. The mean age of the participants was 14.19 years, and most subjects were female (59.5%) and had private health insurance (83.7%). Most participants (87.4%) were accompanied by their parents. The main complaints were suicide attempts (21.8%) and psychomotor agitation/aggressiveness (21.8%). Unipolar depression (37.8%) and adjustment, reactive, and anxiety disorders (13.7%) were the most prevalent diagnoses. Most patients received an indication of psychiatric hospitalization (51.7%). Females had more suicide attempts than males (28.3% vs 12.4%) and less psychomotor agitation/aggressiveness than males (15.5% vs 31.4%). Females also exhibited more unipolar depression (47.6% vs 23.5%), fewer psychotic disorders (4.2% vs 16.3%), and substance use/misuse (1.4% vs 13.3%) than males. Males needed more psychiatric medication during evaluation (37.9% vs 19.2%). This survey of the profile of pediatric patients evaluated by a psychiatric service in an ED in Brazil was the first of its kind. The large percentage of patients referred for hospitalization highlights the importance of specialized psychiatry care for this age group in this facility, which is a common entry point for mental health care.

  1. A comparison of the home-care and healthcare service use and costs of older Australians randomised to receive a restorative or a conventional home-care service.

    Science.gov (United States)

    Lewin, Gill; Allan, Janine; Patterson, Candice; Knuiman, Matthew; Boldy, Duncan; Hendrie, Delia

    2014-05-01

    Restorative home-care services, or re-ablement home-care services as they are now known in the UK, aim to assist older individuals who are experiencing difficulties in everyday living to optimise their functioning and reduce their need for ongoing home care. Until recently, the effectiveness of restorative home-care services had only been investigated in terms of singular outcomes such as length of home-care episode, admission to hospital and quality of life. This paper reports on a more complex and perhaps more significant measure--the use and cost of the home-care and healthcare services received over the 2-year period following service commencement. Seven hundred and fifty older individuals referred for government-funded home care were randomly assigned to a restorative or standard service between June 2005 and August 2007. Health and aged care service data were sourced and linked via the Western Australian Data Linkage System. Restorative clients used fewer home-care hours (mean [SD], 117.3 [129.4] vs. 191.2 [230.4]), had lower total home-care costs (AU$5570 vs. AU$8541) and were less likely to be approved for a higher level of aged care (N [%], 171 [55.2] vs. 249 [63.0]) during follow-up. They were also less likely to have presented at an emergency department (OR = 0.69, 95% CI = 0.50-0.94) or have had an unplanned hospital admission [OR (95% CI), 0.69 (0.50-0.95)]. Additionally, the aggregated health and home-care costs of the restorative clients were lower by a factor of 0.83 (95% CI 0.72-0.96) over the 2-year follow-up (AU$19,090 vs. AU$23,428). These results indicate that at a time when Australia is facing the challenges of population ageing and an expected increase in demand for health and aged care services, the provision of a restorative service when an older person is referred for home care is potentially a more cost-effective option than providing conventional home care. © 2014 The Authors. Health and Social Care in the Community published by John

  2. Residential Environment Induced Preference Heterogeneity for River Ecosystem Service Improvements: A Comparison between Urban and Rural Households in the Wei River Basin, China

    Directory of Open Access Journals (Sweden)

    Hengtong Shi

    2016-01-01

    Full Text Available This paper assesses residential environment induced preference heterogeneity regarding ecosystem services improvements of a river basin by comparing urban and rural residents’ welfare estimates. In a choice experiment, the ecological improvements are described in terms of several observable ecological indicators set in an experimental design. Given the fact that economic and environmental conditions differ for urban and rural residents in China, the utility they derive from ecological restoration is hypothesized to differ. The urban and rural residents’ survey data were modeled separately using mixed logit models. The results reveal that water quality and water quantity, measured by unit of level improvement and percentage improvement, respectively, hold the highest marginal utility values in all respondents’ models. Urban and rural residents have the same preference regarding expanding soil erosion control areas and landscape improvement. However, they have statistically significant different utility for water quality, water quantity, forest coverage, ecotourism improvements, and reducing soil erosion intensity. Generally, urban residents express a higher implicit price for most of the ecological indicators. The findings imply that policy makers should take existing preference heterogeneity into account in designing ecosystem payment schemes and allocating resources.

  3. Residential Group Care Quarterly. Volume 5, Number 3, Winter 2005

    Science.gov (United States)

    Michael, Jennifer, Ed.

    2005-01-01

    This issue of "Residential Group Care Quarterly" contains the following articles: (1) "Promising Practices for Adequately Funding and Reimbursing Residential Services" (Lloyd Bullard); (2) "Closing the Gender Gap" (Erin Andersen); (3) "Residential Child Care: Guidelines for Physical Techniques, Crisis Prevention, and Management" (Kurk Lalemand);…

  4. Community Adaptation of Youth Accessing Residential Programs or a Home-Based Alternative: School Attendance and Academic Functioning

    Science.gov (United States)

    Frensch, Karen; Cameron, Gary; Preyde, Michele

    2009-01-01

    Caregivers of 210 youth receiving residential treatment (RT) or intensive family services (IFS) in Ontario were interviewed about the long term community adaptation of youth after leaving these programs. School attendance and academic functioning data at admission, discharge, and 12-18 months post-discharge were analyzed to explore predictors of…

  5. Self- and proxy reports of quality of life among adolescents living in residential youth care compared to adolescents in the general population and mental health services.

    Science.gov (United States)

    Jozefiak, Thomas; Sønnichsen Kayed, Nanna

    2015-07-22

    Child welfare services are aimed at providing care and protection, fostering well-being and prosocial behaviour. Thus, Quality of Life (QoL) should be an important outcome measure in Residential Youth Care (RYC) institutions. However, the dearth of research in this area gives rise to serious concern. The present study is the first large scale, nationwide study assessing QoL among adolescents living in RYC. To provide a reference frame, adolescent self- and primary contact proxy reports were compared to the general population and to adolescent outpatients in Child and Adolescent Mental Health Service (CAMHS). Also, we investigated the association between self-report of QoL in adolescents living in RYC and proxy reports of their primary contacts at the institution. All residents between the ages of 12-23 years living in RYC in Norway were the inclusion criteria. Eighty-six RYC institutions (with 601 eligible youths) were included, 201 youths/ parents did not give their consent. Finally, 400 youths aged 12-20 years participated, yielding a response rate of 67%. As a reference frame for comparison, a general population (N = 1444) and an outpatient sample of adolescents in CAMHS (N = 68) were available. We used the Questionnaire for Measuring Health-related Quality of Life in Children and Adolescents (KINDL-R). General Linear Model analyses (ANCOVA) were conducted with five KINDL life domains as dependent variables and group as independent variable. Self- and proxy reports of QoL in adolescents living in RYC revealed a significantly (p proxy reports in RYC differed significantly on two of five life domains, but correlated low to moderate with each other. The results in this study raise major concerns about the poor QoL of the adolescents living in RYC, thereby challenging the child welfare system and decision makers to take action to improve the QoL of this group. The use of QoL as outcome measures is highly recommended.

  6. Increasing the Number of Outpatients Receiving Spiritual Assessment: A Pain and Palliative Care Service Quality Improvement Project.

    Science.gov (United States)

    Gomez-Castillo, Blanca J; Hirsch, Rosemarie; Groninger, Hunter; Baker, Karen; Cheng, M Jennifer; Phillips, Jayne; Pollack, John; Berger, Ann M

    2015-11-01

    Spirituality is a patient need that requires special attention from the Pain and Palliative Care Service team. This quality improvement project aimed to provide spiritual assessment for all new outpatients with serious life-altering illnesses. Percentage of new outpatients receiving spiritual assessment (Faith, Importance/Influence, Community, Address/Action in care, psychosocial evaluation, chaplain consults) at baseline and postinterventions. Interventions included encouraging clinicians to incorporate adequate spiritual assessment into patient care and implementing chaplain covisits for all initial outpatient visits. The quality improvement interventions increased spiritual assessment (baseline vs. postinterventions): chaplain covisits (25.5% vs. 50%), Faith, Importance/Influence, Community, Address/Action in care completion (49% vs. 72%), and psychosocial evaluation (89% vs. 94%). Improved spiritual assessment in an outpatient palliative care clinic setting can occur with a multidisciplinary approach. This project also identifies data collection and documentation processes that can be targeted for improvement. Published by Elsevier Inc.

  7. Perceptions of the concept of mutation among family members of patients receiving outpatient genetic services and university students.

    Science.gov (United States)

    Ando, Noriko; Iwamitsu, Yumi; Takemura, Kazuhisa; Saito, Yukiko; Takada, Fumio

    2009-12-01

    Our objectives were to investigate: (1) relationships between perceptions of various terms regarding mutation and the depth of knowledge regarding mutation among family members of patients receiving genetic outpatient services, and (2) differences in perceptions of the term "gene mutation" for family members versus university students. Fifty-eight family members and 178 university students responded to two questionnaires: Impressions regarding the term, and Knowledge about the concept of mutation. Factor analyses were conducted to determine the factor structure of ratings of the terms, and two-way analyses of variance [(1)Term, (2)Group x Knowledge] were conducted to examine differences in perceptions of the terms as measured by scores for each extracted factor. Family members had a significantly more negative perception of the term "gene mutation" than "gene change" and a less negative perception of the term "gene mutation" than "gene lesion"; they had significantly more negative perceptions of the term "gene mutation" than did university students.

  8. Experiences of hospital readmission and receiving formal carer services following spinal cord injury: a qualitative study to identify needs.

    Science.gov (United States)

    Braaf, Sandra C; Lennox, Alyse; Nunn, Andrew; Gabbe, Belinda J

    2017-04-14

    The purpose of this study is to explore the needs of people living with spinal cord injury, receiving formal carer and hospital services. This exploratory qualitative study was undertaken with people living with spinal cord injury in metropolitan or regional Victoria. Participants were recruited through the Australian Quadriplegic Association. Twenty-two in-depth interviews were conducted between September and October 2015. Participants were purposely selected based on their age, gender, level of injury, and compensation status. A thematic analysis was undertaken using a framework approach. With respect to hospitalization, the findings highlighted the need for improved access to spinal cord injury specialist care and greater personalization of care delivery for people with spinal cord injury. When receiving formal care services, participants reported the need for carers to be educated in preventing and managing secondary conditions, and for information about managing carers in their life and home. A more reliable and accessible supply of carers was also required to reduce the anxiety associated with an actual or potential absence of their assistance. To improve the independence and quality of care and life for people living with spinal cord injury, more responsive and individualized care is needed in the hospital, rehabilitation, and community settings. Implications for rehabilitation Understanding the individualized needs of people living with spinal cord injury and their families with respect to carer management is necessary to provide tailored rehabilitation education and ensure appropriate community supports are in place. The development of individualized plans by rehabilitation health professionals for obtaining spinal cord injury specialist care post-discharge could reduce anxiety and improve safety and quality of care. Integrating peer support into rehabilitation processes could offer benefits in managing carer issues. Greater family involvement in the

  9. The effectiveness of an integrated collaborative care model vs. a shifted outpatient collaborative care model on community functioning, residential stability, and health service use among homeless adults with mental illness: a quasi-experimental study.

    Science.gov (United States)

    Stergiopoulos, Vicky; Schuler, Andrée; Nisenbaum, Rosane; deRuiter, Wayne; Guimond, Tim; Wasylenki, Donald; Hoch, Jeffrey S; Hwang, Stephen W; Rouleau, Katherine; Dewa, Carolyn

    2015-08-28

    Although a growing number of collaborative mental health care models have been developed, targeting specific populations, few studies have utilized such interventions among homeless populations. This quasi-experimental study compared the outcomes of two shelter-based collaborative mental health care models for men experiencing homelessness and mental illness: (1) an integrated multidisciplinary collaborative care (IMCC) model and (2) a less resource intensive shifted outpatient collaborative care (SOCC) model. In total 142 participants, 70 from IMCC and 72 from SOCC were enrolled and followed for 12 months. Outcome measures included community functioning, residential stability, and health service use. Multivariate regression models were used to compare study arms with respect to change in community functioning, residential stability, and health service use outcomes over time and to identify baseline demographic, clinical or homelessness variables associated with observed changes in these domains. We observed improvements in both programs over time on measures of community functioning, residential stability, hospitalizations, emergency department visits and community physician visits, with no significant differences between groups over time on these outcome measures. Our findings suggest that shelter-based collaborative mental health care models may be effective for individuals experiencing homelessness and mental illness. Future studies should seek to confirm these findings and examine the cost effectiveness of collaborative care models for this population.

  10. Timing of palliative care team referrals for inpatients receiving rapid response services: A retrospective pilot study in a US hospital.

    Science.gov (United States)

    Williams, M; Cardona-Morrell, M; Stevens, P; Bey, J; Smith Glasgow, M E

    2017-10-01

    Research indicates up to one-third of rapid response team calls relate to end-of-life symptoms. The CriSTAL criteria were developed as a screening tool to identify high risk of death within three months. The primary purpose of this pilot study was to investigate the timing of palliative care referrals in patients receiving rapid response team services, and patients' CriSTAL criteria score on admission. The potential feasibility of using the CriSTAL tool to stimulate earlier Palliative Care Team (PCT) referral served as an underlying goal, and investigation of a relationship between specific CriSTAL criteria and the prediction of in-hospital death was a secondary objective. A retrospective chart review of rapid response calls made in 2015 was used to identify patient risk of death on admission based on the CriSTAL criteria. The presence and timing of PCT referral as well as patient survival status to hospital discharge were documented for comparison. A sample of 183 charts from 584 inpatients involved in over 600 RRT events recorded in 2015. The study was undertaken in a 676-bed teaching hospital in the Midwestern U.S. Ninety-one patients died during the hospital stay while 92 patients from the 493 individuals who survived were randomly selected for full analysis. Applying CriSTAL criteria to the 141 individuals aged 50 years or older indicated that frailty (OR=1.43, 95%CI 1.08-1.89, p=0.012), being a male (OR=3.14; 95%CI 1.40-7.05, p=0.006), and the presence of two or more comorbidities (OR=3.71, 95%CI 1.67-8.24, p=0.001) were the most significant predictors of in-hospital death after adjusting for age. A CriSTAL score of 6 was the optimal cut-off for high-risk of in-hospital death. Palliative care consultations within the high-risk population occurred for 45.2% of the deceased and 40.4% of the survivors. Consultation often occurred within two days of the RRT event and many patients (46.8%) died within one day of the consultation. A positive relationship was found

  11. [Use of Mental Health Service Among Young Adults on Unemployment Benefit Before and after Receiving Counseling at a Psychiatric Liaison Department].

    Science.gov (United States)

    Hagen, C; Bänfer, S; Werkstetter, L; Hebebrand, J; Reissner, V

    2016-12-14

    Objective: To determine mental health service utilization before and after consultation of a psychiatric liaison service ("Support 25") among youths aged 16-24 years suffering from mental disorders and receiving unemployment benefits. Methods: Longitudinal registration of mental health service use over a 9-month period (N=148); measurement of possible moderators with questionnaires and rating scales. Results: Mental health service utilization increased from initially 22% to 40% and 47.5% 3 and 6 months after receiving individual treatment recommendation. Low-threshold psychosocial counseling was frequented more often than specific psychiatric or psychotherapeutic treatment. Subjects who contacted mental health services showed a trend towards a lower level of psychosocial functioning than subjects who did not seek treatment. Stigma-related factors did not hinder mental health service use. Conclusions: Despite a high degree of psychiatric morbidity, the surveyed sample of unemployed youths had problems to successfully enter mental health services. Although a substantial increase in service use was observed after receiving psychoeducational information at a psychiatric liaison service, the use of low-threshold counseling predominated. This finding suggests that the mental health system should adapt better to the specific needs of young unemployed, for example, by expanding low-threshold psychiatric pre-treatment offers at vocational centers. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Agency-level financial incentives and electronic reminders to improve continuity of care after discharge from residential treatment and detoxification.

    Science.gov (United States)

    Acevedo, Andrea; Lee, Margaret T; Garnick, Deborah W; Horgan, Constance M; Ritter, Grant A; Panas, Lee; Campbell, Kevin; Bean-Mortinson, Jason

    2018-02-01

    Despite the importance of continuity of care after detoxification and residential treatment, many clients do not receive further treatment services after discharged. This study examined whether offering financial incentives and providing client-specific electronic reminders to treatment agencies lead to improved continuity of care after detoxification or residential treatment. Residential (N = 33) and detoxification agencies (N = 12) receiving public funding in Washington State were randomized into receiving one, both, or none (control group) of the interventions. Agencies assigned to incentives arms could earn financial rewards based on their continuity of care rates relative to a benchmark or based on improvement. Agencies assigned to electronic reminders arms received weekly information on recently discharged clients who had not yet received follow-up treatment. Difference-in-difference regressions controlling for client and agency characteristics tested the effectiveness of these interventions on continuity of care. During the intervention period, 24,347 clients received detoxification services and 20,685 received residential treatment. Overall, neither financial incentives nor electronic reminders had an effect on the likelihood of continuity of care. The interventions did have an effect among residential treatment agencies which had higher continuity of care rates at baseline. Implementation of agency-level financial incentives and electronic reminders did not result in improvements in continuity of care, except among higher performing agencies. Alternative strategies at the facility and systems levels should be explored to identify ways to increase continuity of care rates in specialty settings, especially for low performing agencies. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Knowledge and Acceptability of Long-Acting Reversible Contraception Among Adolescent Women Receiving School-Based Primary Care Services.

    Science.gov (United States)

    Hoopes, Andrea J; Ahrens, Kym R; Gilmore, Kelly; Cady, Janet; Haaland, Wren L; Amies Oelschlager, Anne-Marie; Prager, Sarah

    2016-07-01

    A key strategy to reduce unintended adolescent pregnancies is to expand access to long-acting reversible contraceptive (LARC) methods, including intrauterine devices and subdermal contraceptive implants. LARC services can be provided to adolescents in school-based health and other primary care settings, yet limited knowledge and negative attitudes about LARC methods may influence adolescents' utilization of these methods. This study aimed to evaluate correlates of knowledge and acceptability of LARC methods among adolescent women at a school-based health center (SBHC). In this cross-sectional study, female patients receiving care at 2 SBHCs in Seattle, Washington completed an electronic survey about sexual and reproductive health. Primary outcomes were (1) LARC knowledge as measured by percentage correct of 10 true-false questions and (2) LARC acceptability as measured by participants reporting either liking the idea of having an intrauterine device (IUD)/subdermal implant or currently using one. A total of 102 students diverse in race/ethnicity and socioeconomic backgrounds completed the survey (mean age 16.2 years, range 14.4-19.1 years). Approximately half reported a lifetime history of vaginal sex. Greater LARC knowledge was associated with white race (regression coefficient [coef] = 26.8; 95% CI 13.3-40.4; P Adolescent women in this SBHC setting had variable knowledge and acceptability of LARC. A history of vaginal intercourse was the strongest predictor of LARC acceptability. Our findings suggest a need for LARC counseling and education strategies, particularly for young women from diverse cultural backgrounds and those with less sexual experience. © The Author(s) 2016.

  14. HIV Case Management Support Service Is Associated with Improved CD4 Counts of Patients Receiving Care at the Antiretroviral Clinic of Pantang Hospital, Ghana

    Directory of Open Access Journals (Sweden)

    Bismark Sarfo

    2017-01-01

    Full Text Available Background. Factors associated with individual patient-level management of HIV have received minimal attention in sub-Saharan Africa. This study determined the association between support services and cluster of differentiation 4 (CD4 counts among HIV patients attending ART clinic in Ghana. Methodology. This was a cross-sectional study involving adults with HIV recruited between 1 August 2014 and 31 January 2015. Data on support services were obtained through a closed-ended personal interview while the CD4 counts data were collected from their medical records. Data were entered into EpiData and analyzed using Stata software. Results. Of the 201 patients who participated in the study, 67% (129/191 received case management support service. Counseling about how to prevent the spread of HIV (crude odds ratio (cOR (95% confidence interval (CI (2.79 (1.17–6.68, mental health services (0.2 (0.04–1.00, and case management support service (2.80 (1.34–5.82 was associated with improved CD4 counts of 350 cells/mm3 or more. After adjusting for counseling about how to prevent the spread of HIV and mental health services, case management support service was significantly associated with CD4 counts of 350 cells/mm3 or more (aOR = 2.36 (CI = 1.01–5.49. Conclusion. Case management support service for HIV patients receiving ART improves their CD4 counts above 350 cells/mm3. Incorporating HIV case management services in ART regimen should be a priority in sub-Saharan Africa.

  15. School Accommodation and Modification Ideas for Students Who Receive Special Education Services. PACER Center ACTion Information Sheets: PHP-c49

    Science.gov (United States)

    PACER Center, 2013

    2013-01-01

    Some students with disabilities who receive special education services need accommodations or modifications to their educational program in order to participate in the general curriculum and to be successful in school. While the Individuals with Disabilities Education Act (IDEA) and its regulations do not define accommodations or modifications,…

  16. 20 CFR 664.220 - Is there an exception to permit youth who are not low-income individuals to receive youth services?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Is there an exception to permit youth who are not low-income individuals to receive youth services? 664.220 Section 664.220 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR YOUTH ACTIVITIES UNDER TITLE I OF THE WORKFORCE...

  17. Assessment of status of patients receiving palliative home care and services provided in a rural area-Kerala, India

    Directory of Open Access Journals (Sweden)

    Jayakrishnan Thayyil

    2012-01-01

    Conclusions: The service could address most of the medical, psychosocial, and supportive needs of the patients and reduce their pain and symptoms. The interface between institutional-based care and home care needs more exploration and prospective studies.

  18. Self-Stigma and Quality of Life among People with Mental Illness Who Receive Compulsory Community Treatment Services

    Science.gov (United States)

    Livingston, James

    2012-01-01

    The present study was designed to examine the relationship between self-stigma and quality of life over a one year time period for 71 people with mental illness who were receiving compulsory community mental health treatment. It was hypothesized that, over time, self-stigma would have the direct effect of eroding quality of life among people with…

  19. Rural patients' access to mobile phones and willingness to receive mobile phone-based pharmacy and other health technology services: a pilot study.

    Science.gov (United States)

    Sankaranarayanan, Jayashri; Sallach, Rory E

    2014-02-01

    This pilot study explores the patient-centered demand for mobile phone-based health (mobile health [m-health]) services in the rural United States by documenting rural patients' access to mobile phones and patients' willingness to receive m-health services. An anonymous institutional review board-approved survey was completed by patients visiting two rural pharmacies in Nebraska from August to October 2011. Patients who volunteered to complete the survey provided their demographic data, disease state information, health status, mobile phone access, and willingness to receive (in terms of using and giving time to) m-health services. The majority of the 24 survey respondents were 19-40 years old (52%), female (88%), married (63%), with excellent to very good health status (63%), with no comorbidities (83%), with ≤$100 monthly medication expenses (80%), with private insurance (78%), living within 5 miles of their pharmacy (71%), and reporting that m-health services are important to them (75%; 12/16). Approximately 95%, 81%, 73%, and 55% of respondents reported access to a mobile phone, voice mails, text messaging, and mobile phone applications, respectively. Of the respondents, 65%, 57%, 52%, and 48% were willing to receive prerecorded messages for appointment reminders from the doctor, disease information, medication use/self-care information, and symptom monitoring information, respectively. In total, 70%, 63%, 61%, 54%, and 50% were willing to receive prerecorded messages from the pharmacist containing contact requests, new/refill prescription reminders, information on medication problems, reviewing/monitoring of medication use, and medication self-management/preventive screenings/immunizations, respectively. Of 44% (7/16) respondents willing to give time for m-health services, 83% were willing to give 15 min, and 17% were willing to give 30 min every month. By demonstrating rural patients' demand for m-health (including pharmacy) services, this is one of the

  20. Characteristics of Older Georgians Receiving Older Americans Act Nutrition Program Services and Other Home- and Community-Based Services: Findings from the Georgia Aging Information Management System (GA AIMS).

    Science.gov (United States)

    Lee, Jung Sun; Shannon, Jerry; Brown, Arvine

    2015-01-01

    This descriptive study examined characteristics of older Georgians receiving Older Americans Act Nutrition Program Services and other home- and community-based services (HCBS) using state aging administrative data (N = 31,341, mean age: 76.6 ± 9.2 y, 71.2% female, 52.3% White). Home-delivered meals (HDM) was used most frequently. The characteristics of older Georgian HCBS participants varied by the type and number of HCBS received. Those receiving HDM and other in-home and caregiving services were more likely to show poorer sociodemographic, economic, and functional characteristics, and food insecurity. Those receiving multiple HCBS were most vulnerable, but showed lower level of food insecurity than those receiving single HCBS, suggesting potential combined benefits of receiving multiple programs. This study underscores the importance of documenting dynamic needs for HCBS, especially HDM, among vulnerable older adults as part of standard administrative process to identify those at high risk of institutionalization, optimize HCBS delivery and coordination, and maximize HCBS benefits.

  1. Potable water use of residential consumers in the Cape Town ...

    African Journals Online (AJOL)

    The potable water use recorded by 3 579 residential consumer water meters in Cape Town, South Africa, was analysed as part of this research. The focus was on selected residential properties in serviced areas, with additional private access to groundwater as a supplementary household water source. Private consumers ...

  2. The Impact of Rural Non-Farm Residential Development on the Provision of Local Public Services. Iowa Land Use Research Report Series.

    Science.gov (United States)

    Fisher, Peter S.

    Using multiple regression analysis for each county and a case study of selected services in Johnson County, Iowa, the study estimated the impacts of rural non-farm development in Iowa on the demand for local public services, on the cost of providing these services, and on the distribution of service benefits and tax burdens among population…

  3. Cultural and Linguistic Alchemy: Mining the Resources of Spanish-Speaking Children and Families Receiving Early Intervention Services

    Science.gov (United States)

    Puig, Victoria I.

    2012-01-01

    This study was designed to gain insight into how early intervention (EI) services incorporate the cultural and linguistic resources of families and how EI professionals and families build partnerships with each other. Through observation and interview, the author looked deeply at the experiences of a small group of culturally and linguistically…

  4. Health-Related Quality of Life: Expanding a Conceptual Framework to Include Older Adults Who Receive Long-Term Services and Supports

    Science.gov (United States)

    Zubritsky, Cynthia; Abbott, Katherine M.; Hirschman, Karen B.; Bowles, Kathryn H.; Foust, Janice B.; Naylor, Mary D.

    2013-01-01

    For older adults receiving long-term services and supports (LTSS), health-related quality of life (HRQoL) has emerged as a critical construct to examine because of its focus on components of well-being, which are affected by progressive changes in health status, health care, and social support. HRQoL is a health-focused quality of life (QOL)…

  5. Depressive Symptoms in Recipients of Home- and Community-Based Services in the United States: Are Older Adults Receiving the Care They Need?

    Science.gov (United States)

    Pepin, Renee; Leggett, Amanda; Sonnega, Amanda; Assari, Shervin

    2017-12-01

    To understand unmet depression needs of older adults, the current study investigates depressive symptoms, psychiatric treatment, and home- and community-based service (HCBS) use in a nationally representative sample of older adults in the United States. Participants included 5,582 adults aged 60 and over from the 2010-2012 waves of the nationally representative Health and Retirement Study. Weighted bivariate analyses were used to examine the frequency of depressive symptoms (Center for Epidemiologic Studies Depression Scale) and psychiatric treatment among HCBS recipients compared with non-HCBS recipients. Weighted logistic regression models were used to evaluate the effect of depressive symptoms on HCBS use. HCBS recipients had a higher frequency of depressive symptoms compared with nonrecipients (27.5% versus 10.4%, respectively). In particular, transportation service recipients had the highest frequency of depressive symptoms (37.5%). HCBS recipients with depressive symptoms were no more likely than nonrecipients to receive psychiatric services. Depressive symptoms were associated with HCBS use, above and beyond sociodemographic and health risk factors. Depressive symptoms are more frequent among HCBS recipients compared with nonrecipients; however, depressed HCBS recipients are no more likely to receive psychiatric services, suggesting unmet depression needs. HCBS may be a key setting for depression detection and delivery of mental health interventions. Copyright © 2017 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  6. Inputs and outcomes: what do staff in services for people with intellectual disabilities perceive they bring to and receive from their work-based relationships?

    Science.gov (United States)

    Disley, Philip; Hatton, Chris; Dagnan, Dave

    2012-12-01

    A number of studies involving staff working in services for people with intellectual disabilities have utilised equity theory as a theoretical framework. According to this theory, people evaluate social relationships through the comparison of inputs and outcomes, respectively, with what a person brings to and receives from a relationship. Little is known about what constitute inputs and outcomes for staff working in services for people with intellectual disabilities. Semi-structured interviews were conducted with 15 staff to find out what constitute inputs and outcomes for staff who work with people with intellectual disabilities. The interviews were conducted in the first half of 2008 in the United Kingdom. Data were analysed using template analysis. A wide range of inputs and outcomes was identified by staff, which were grouped under high-level themes relating to relationships with their employers, their co-workers and the service users. The utility of the findings, in terms of informing future research, is discussed.

  7. Books Received

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Books Received. Articles in Resonance – Journal of Science Education. Volume 1 Issue 1 January 1996 pp 118-118 Books Received. Books Received · More Details Fulltext PDF. Volume 1 Issue 2 February 1996 pp 120-120 Books Received. Books Received.

  8. Predicting Child Protective Services (CPS) Involvement among Low-Income U.S. Families with Young Children Receiving Nutritional Assistance.

    Science.gov (United States)

    Slack, Kristen S; Font, Sarah; Maguire-Jack, Kathryn; Berger, Lawrence M

    2017-10-11

    This exploratory study examines combinations of income-tested welfare benefits and earnings, as they relate to the likelihood of child maltreatment investigations among low-income families with young children participating in a nutritional assistance program in one U.S. state (Wisconsin). Using a sample of 1065 parents who received the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC) benefits in late 2010 and early 2011, we find that relying on either work in the absence of other means-tested welfare benefits, or a combination of work and welfare benefits, reduces the likelihood of CPS involvement compared to parents who rely on welfare benefits in the absence of work. Additionally, we find that housing instability increases the risk of CPS involvement in this population. The findings from this investigation may be useful to programs serving low-income families with young children, as they attempt to identify safety net resources for their clientele.

  9. Healthcare Financial Management Association, Principles and Practices Board. Statement No. 16. Classifying, valuing, and analyzing accounts receivable related to patient services.

    Science.gov (United States)

    1993-05-01

    This Principles and Practices Board project was undertaken in response to the frequent requests from HFMA members for a standard calculation of "days of revenue in receivables." The board's work on this project indicated that every element of the calculation required standards, which is what this statement provides. Since there have been few standards for accounts receivable related to patient services, the industry follows a variety of practices, which often differ from each other. This statement is intended to provide a framework for enhanced external comparison of accounts receivable related to patient services, and thereby improve management information related to this very important asset. Thus, the standards described in this statement represent long-term goals for gradual transition of recordkeeping practices and not a sudden or revolutionary change. The standards described in this statement will provide the necessary framework for the most meaningful external comparisons. Furthermore, management's understanding of deviations from these standards will immediately assist in analysis of differences in data between providers.

  10. Predictors of homeless services re-entry within a sample of adults receiving Homelessness Prevention and Rapid Re-Housing Program (HPRP) assistance.

    Science.gov (United States)

    Brown, Molly; Vaclavik, Danielle; Watson, Dennis P; Wilka, Eric

    2017-05-01

    Local and national evaluations of the federal Homelessness Prevention and Rapid Re-Housing Program (HPRP) have demonstrated a high rate of placement of program participants in permanent housing. However, there is a paucity of research on the long-term outcomes of HPRP, and research on rehousing and prevention interventions for single adults experiencing homelessness is particularly limited. Using Homeless Management Information System data from 2009 to 2015, this study examined risk of return to homeless services among 370 permanently housed and 71 nonpermanently housed single adult HPRP participants in Indianapolis, Indiana. Kaplan-Meier survival curves were conducted to analyze time-to-service re-entry for the full sample, and the homelessness prevention and rapid rehousing participants separately. With an average follow-up of 4.5 years after HPRP exit, 9.5% of the permanently housed HPRP participants and 16.9% of those nonpermanently housed returned to homeless services. By assistance type, 5.4% of permanently housed and 15.8% of nonpermanently housed homelessness prevention recipients re-entered services, and 12.8% of permanently housed and 18.2% of nonpermanently housed rapid rehousing recipients re-entered during the follow-up period. Overall, veterans, individuals receiving rapid rehousing services, and those whose income did not increase during HPRP had significantly greater risk of returning to homeless services. Veterans were at significantly greater risk of re-entry when prevention and rehousing were examined separately. Findings suggest a need for future controlled studies of prevention and rehousing interventions for single adults, aiming to identify unique service needs among veterans and those currently experiencing homelessness in need of rehousing to inform program refinement. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  11. Education and Training Needs in the Field of Visitors Receiving Structures and Tourism Services in the Lower Danube Region

    Directory of Open Access Journals (Sweden)

    Gabriela Ţigu

    2010-11-01

    Full Text Available The paper analyzes the new realities and conditions for the development of tourism in the Lower Danube region in the context of the "Danube Strategy" of the EU, the state of the Bulgarian and Romanian tourist market, and the Romania market, as well as the possibilities for development of alternative tourism along the Danube. Special attention has been paid to the problems of education and training in the field of tourist facilities and services in Bulgaria and Romania and the need for their improvement. The reasons for this are that education and training are strategic factor for sustainable development trough contribution to human capital development, within the Romania- Bulgaria Cross-Border Cooperation Program 2007-2013. In relation to this the Academy of Economic Studies in Bucharest, Romania and D. Tsenov Academy of Economics in Svishtov, Bulgaria decided to collaborate in the field “Cooperation on human resources development – joint development of skills and knowledge”, through the development of cross-border liaisons and exchanges between the two universities. Both Bulgaria and Romania have represented and still represent important tourism destinations in Eastern Europe, promoting coastal tourism, spas, mountain resorts or heritage tourism. Comparing with the existent potential and with the other Central and East- European countries, including Bulgaria, Romania has modest economical performances in tourism industry. The last decade shows a relative decline of external demand for Romania, the main causes being the missing fund for investment in developing, modernization, and rehabilitation of specific infrastructure, the less diversification of the entertainment, the tourism services’ quality – lesser comparative with competitors. On other hand, in the same period, Bulgaria has improved the tourism services’ quality and economic performances. Training specialists in tourism is one of the ways of performance growth in this field

  12. An exploration of the socio-economic profile of women and costs of receiving abortion services at public health facilities of Madhya Pradesh, India.

    Science.gov (United States)

    Banerjee, Sushanta K; Kumar, Rakesh; Warvadekar, Janardan; Manning, Vinoj; Andersen, Kathryn Louise

    2017-03-21

    Maternal mortality, which primarily burdens developing countries, reflects the greatest health divide between rich and poor. This is especially pronounced for access to safe abortion services which alone avert 1 of every 10 maternal deaths in India. Primarily due to confidentiality concerns, poor women in India prefer private services which are often offered by untrained providers and may be expensive. In 2006 the state government of Madhya Pradesh (population 73 million) began a concerted effort to ensure access to safe abortion services at public health facilities to both rural and urban poor women. This study aims to understand the socio-economic profile of women seeking abortion services in public health facilities across this state and out of pocket cost accessing abortion services. In particular, we examine the level of access that poor women have to safe abortion services in Madhya Pradesh. This study consisted of a cross-sectional client follow-up design. A total of 19 facilities were selected using two-stage random sampling and 1036 women presenting to chosen facilities with abortion and post-abortion complications were interviewed between May and December 2014. A structured data collection tool was developed. A composite wealth index computed using principal component analysis derived weights from consumer durables and asset holding and classified women into three categories, poor, moderate, and rich. Findings highlight that overall 57% of women who received abortion care at public health facilities were poor, followed by 21% moderate and 22% rich. More poor women sought care at primary level facilities (58%) than secondary level facilities and among women presenting for postabortion complications (67%) than induced abortion. Women reported spending no money to access abortion services as abortion services are free of cost at public facilities. However, poor women spend INR 64 (1 USD) while visiting primary level facilities and INR 256 (USD 4) while

  13. Using Telehealth to Reduce All-Cause 30-Day Hospital Readmissions among Heart Failure Patients Receiving Skilled Home Health Services.

    Science.gov (United States)

    O'Connor, Melissa; Asdornwised, Usavadee; Dempsey, Mary Louise; Huffenberger, Ann; Jost, Sandra; Flynn, Danielle; Norris, Anne

    2016-01-01

    The reduction of all-cause hospital readmission among heart failure (HF) patients is a national priority. Telehealth is one strategy employed to impact this sought-after patient outcome. Prior research indicates varied results on all-cause hospital readmission highlighting the need to understand telehealth processes and optimal strategies in improving patient outcomes. The purpose of this paper is to describe how one Medicare-certified home health agency launched and maintains a telehealth program intended to reduce all-cause 30-day hospital readmissions among HF patients receiving skilled home health and report its impact on patient outcomes. Using the Transitional Care Model as a guide, the telehealth program employs a 4G wireless tablet-based system that collects patient vital signs (weight, heart rate, blood pressure and blood oxygenation) via wireless peripherals, and is preloaded with subjective questions related to HF and symptoms and instructional videos. Year one all-cause 30-day readmission rate was 19.3%. Fiscal year 2015 ended with an all-cause 30-day readmission rate of 5.2%, a reduction by 14 percentage points (a 73% relative reduction) in three years. Telehealth is now an integral part of the University of Pennsylvania Health System's readmission reduction program. Telehealth was associated with a reduction in all-cause 30-day readmission for one mid-sized Medicare-certified home health agency. A description of the program is presented as well as lessons learned that have significantly contributed to this program's success. Future expansion of the program is planned. Telehealth is a promising approach to caring for a chronically ill population while improving a patient's ability for self-care.

  14. Therapeutic Residential Care for Children and Youth:

    DEFF Research Database (Denmark)

    Whittaker, James K.; Holmes, Lisa; del Valle, Jorge F.

    2016-01-01

    for Child and Family Research, Loughborough University in the U.K. for a Summit meeting on therapeutic residential care for children and youth funded by the Sir Halley Stewart Trust (UK). The focus centered on what is known about therapeutic residential care and what key questions should inform a priority......In many developed countries around the world, ‘group care’ interventions for children and adolescents have come under increasing scrutiny from central government, private philanthropic and child advocacy agencies desirous of (1) achieving better outcomes for vulnerable children and youth; (2) doing...... alternatives to serve high-resource needing youth has had unintended and negative consequences. It is within this context that a working group international experts representing research, policy, service delivery and families (International Work Group for Therapeutic Residential Care) convened at the Centre...

  15. Facilitators and Barriers to Linkage to HIV Care among Female Sex Workers Receiving HIV Testing Services at a Community-Based Organization in Periurban Uganda: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Sharon Nakanwagi

    2016-01-01

    Full Text Available Introduction. While four in ten female sex workers (FSWs in sub-Saharan Africa are infected with HIV, only a small proportion is enrolled in HIV care. We explored facilitators and barriers to linkage to HIV care among FSWs receiving HIV testing services at a community-based organization in periurban Uganda. Methods. The cross-sectional qualitative study was conducted among 28 HIV positive FSWs from May to July 2014. Key informant interviews were conducted with five project staff and eleven peer educators. Data were collected on facilitators for and barriers to linkage to HIV care and manually analyzed following a thematic framework approach. Results. Facilitators for linkage to HIV care included the perceived good quality of health services with same-day results and immediate initiation of treatment, community peer support systems, individual’s need to remain healthy, and having alternative sources of income. Linkage barriers included perceived stigma, fear to be seen at outreach HIV clinics, fear and myths about antiretroviral therapy, lack of time to attend clinic, and financial constraints. Conclusion. Linkage to HIV care among FSWs is influenced by good quality friendly services and peer support. HIV service delivery programs for FSWs should focus on enhancing these and dealing with barriers stemming from stigma and misinformation.

  16. Experiences of mobility for people living with rheumatoid arthritis who are receiving biologic drug therapy: implications for podiatry services.

    Science.gov (United States)

    Sanders, Lucy; Donovan-Hall, Margaret; Borthwick, Alan; Bowen, Catherine J

    2017-01-01

    problematic access to foot health services. Whilst the findings from this study mirror those within the existing literature, which report improvements in physical function related to biological therapy, foot problems clearly remained an unremitting feature of life for patients with rheumatoid disease, even when in receipt of biologics.

  17. Integrated Management of Residential Energy Resources

    Directory of Open Access Journals (Sweden)

    Antunes C. H.

    2012-10-01

    Full Text Available The increasing deployment of distributed generation systems based on renewables in the residential sector, the development of information and communication technologies and the expected evolution of traditional power systems towards smart grids are inducing changes in the passive role of end-users, namely with stimuli to change residential demand patterns. The residential user should be able to make decisions and efficiently manage his energy resources by taking advantages from his flexibility in load usage with the aim to minimize the electricity bill without depreciating the quality of energy services provided. The aim of this paper is characterizing electricity consumption in the residential sector and categorizing the different loads according to their typical usage, working cycles, technical constraints and possible degree of control. This categorization of end-use loads contributes to ascertain the availability of controllable loads to be managed as well as the different direct management actions that can be implemented. The ability to implement different management actions over diverse end-use load will increase the responsiveness of demand and potentially raises the willingness of end-users to accept such activities. The impacts on the aggregated national demand of large-scale dissemination of management systems that would help the end-user to make decisions regarding electricity consumption are predicted using a simulator that generates the aggregated residential sector electricity consumption under variable prices.

  18. 'I wanted to learn how to heal my heart': family carer experiences of receiving an emotional support service in the Well Ways programme.

    Science.gov (United States)

    Foster, Kim

    2011-02-01

    Family carers of people with mental illness provide an immense contribution to society in caring for mental health consumers. However, carers can experience substantial burdens and poor health outcomes themselves. Recognition of their needs for education and support has led to the development of a range of family education programmes. Throughout Australia, the Mental Illness Fellowship Australia offers the Well Ways programme, a group-based, family-to-family, education programme that provides information and aims to increase carers' capacity to care effectively for themselves, their families, and the mental health consumers. This paper describes a qualitative evaluation of an emotional support service piloted in a Well Ways programme in rural Queensland, Australia. The pilot service comprised individual emotional support offered to family carers attending the weekly Well Ways group education programme. Six of eight family carers who received the emotional support engaged in semistructured interviews exploring their experience of receiving the support. Three themes emerged from their experience: dealing with difficult times, connecting through shared experience, and exploring different options. Family carers found the emotional support beneficial, and reported that it enhanced their capacity to manage their own well-being, as well as their caregiving roles. © 2011 The Author. International Journal of Mental Health Nursing © 2011 Australian College of Mental Health Nurses Inc.

  19. What Qualities Are Valued in Residential Direct Care Workers from the Perspective of People with an Intellectual Disability and Managers of Accommodation Services?

    Science.gov (United States)

    Dodevska, G. A.; Vassos, M. V.

    2013-01-01

    Background: To date, the descriptions of a 'good' direct care worker used to recruit workers for disability services have largely been drawn up by managerial professionals in charge of hiring supports for people with disabilities. However, previous research highlights that these professionals conceptualise a "good" direct care worker…

  20. Study of the Rate and Causes of Islamshahr Urban Residents’ Voiding to Refer to the Health Centers for Receiving Health Services (2003

    Directory of Open Access Journals (Sweden)

    P Ghazy Sharei

    2005-05-01

    Full Text Available Background: It was believed that Inhabitant of Islamshahr avoid referring to their health centers and health posts to receive bargain medical services. In search for the rate and causes of such neglect, this study was formed. Materials and Methods: In a cross-sectional study from all urban centers and health posts under the supervision of Islamshahr health network, 712 files were selected randomly. Results: Investigating the selected files it revealed that 25% were complete, 51% were defective and 24% were blank. In other words, only 25% of the files were complete and 75% of the files showed lack of full participation in primary care services. In the process of evaluation of each separate service unit, more defective files were found in family planning and oral health programs. But in the prenatal care and growth observation units, the number of complete files was a little higher than the number of defective ones. This is probably justifiable de to free vaccination of children and pregnant women, which causes the customer to refer to the mentioned units. In search for the causes of this lack of participation, 533 defective files were selected and those families were interviewed through some questionnaires. Conclusion: In family planning and growth observation and prenatal care, the interviewees believed that there was no need for them to seek such services. This in turn shows their lack of knowledge about the necessity of these cares. In case of oral health, lack of such unite in the health center was mentioned as the reason. More details are discussed in the article.

  1. Residential Mechanical Precooling

    Energy Technology Data Exchange (ETDEWEB)

    German, a. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Hoeschele, M. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States)

    2014-12-01

    This research conducted by the Alliance for Residential Building Innovation team evaluated mechanical air conditioner pre-cooling strategies in homes throughout the United States. EnergyPlus modeling evaluated two homes with different performance characteristics in seven climates. Results are applicable to new construction homes and most existing homes built in the last 10 years, as well as fairly efficient retrofitted homes.

  2. Residential Solar Systems.

    Science.gov (United States)

    Fulkerson, Dan

    This publication contains student and teacher instructional materials for a course in residential solar systems. The text is designed either as a basic solar course or as a supplement to extend student skills in areas such as architectural drafting, air conditioning and refrigeration, and plumbing. The materials are presented in four units…

  3. Residential tourism and migration of foreign retirees in Mexico: A case study on the environmental impacts and public services in Baja California Sur

    Directory of Open Access Journals (Sweden)

    Diego Armando Casas-Beltrán

    2013-07-01

    Full Text Available Migration of foreign retirees in Mexico has increased, especially in Los Cabos, where settlements trailer type are increasing and are moving into rural coastal areas of high ecological value, without the knowledge of impacts that may result. Thus the aim of this paper is to contribute to the understanding of this type of settlement, by documenting a case study, the characteristics of their community, their environmental impacts and implications for the provision of public services. We conclude that the town will become a short-term retreat site, because while it does not have high densities, its environmental implications are significant and broad coverage. Its current demand for services is minimal, but may cause conflicts in the future, especially with the water

  4. Seropositivity rates for toxoplasmosis, rubella, syphilis, cytomegalovirus, hepatitis and HIV among pregnant women receiving care at a public health service, São Paulo state, Brazil

    Directory of Open Access Journals (Sweden)

    Márcia Aparecida dos Santos Gonçalves

    Full Text Available Infectious and parasitic diseases affecting women during their reproductive age may result in vertical transmission. The aim of this study was to determine the seroprevalence for TORSCH among pregnant women receiving care at a university hospital. Records of 574 pregnant women who received medical attention from January 2006 to December 2007 were assessed. The mean age was 27.2 ± 6.5 years ranging from 13 to 44. The results of the immunodiagnostic tests were: 62.0% (345/556 for IgG and 3.4% (19/556 for IgM anti-T. gondii; 93.1% (433/465 for IgG and 0.6% (3/465 for IgM anti-rubella; 0.9% (5/561 for VDRL; 1.8% (10/554 for HBsAg; 0.7% (4/545 for anti-HCV and 2.1% (11/531 for HIV. In conclusion, the results of immunodiagnostic tests for the TORSCH panel among pregnant women attending a perinatal service of a university hospital are in agreement with those reported by previous studies and by governmental sources.

  5. Introducing consumer directed care in residential care settings for older people in Australia: views of a citizens' jury.

    Science.gov (United States)

    Laver, Kate; Gnanamanickam, Emmanuel; Whitehead, Craig; Kurrle, Susan; Corlis, Megan; Ratcliffe, Julie; Shulver, Wendy; Crotty, Maria

    2018-01-01

    Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens' jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens' jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public. Results The jury believed that person-centred care should be the foundation of care for all older people. They recommended that each person's funding be split between core services (to ensure basic health, nutrition and hygiene needs are met) and discretionary services. Systems needed to be put into place to enable the transition to consumer directed care including care coordinators to assist in eliciting resident preferences, supports for proxy decision makers, and accreditation processes and risk management strategies to ensure that residents with significant cognitive impairment are not taken advantage of by goods and service providers. Transparency should be increased (perhaps using technologies) so that both the resident and nominated family members can be sure that the person is receiving what they have paid for. Conclusions The views of the jury (as representatives of the public) were that people in residential care should have more say regarding the way in which their care is provided and that a model of consumer directed care should be introduced. Policy makers should consider implementation of consumer directed care models that are economically viable

  6. Guidelines for residential commissioning

    Energy Technology Data Exchange (ETDEWEB)

    Wray, Craig P.; Walker, Iain S.; Sherman, Max H.

    2003-01-31

    Currently, houses do not perform optimally or even as many codes and forecasts predict, largely because they are field assembled and there is no consistent process to identify problems or to correct them. Residential commissioning is a solution to this problem. This guide is the culmination of a 30-month project that began in September 1999. The ultimate objective of the project is to increase the number of houses that undergo commissioning, which will improve the quality, comfort, and safety of homes for California citizens. The project goal is to lay the groundwork for a residential commissioning industry in California focused on end-use energy and non-energy issues. As such, we intend this guide to be a beginning and not an end. Our intent is that the guide will lead to the programmatic integration of commissioning with other building industry processes, which in turn will provide more value to a single site visit for people such as home energy auditors and raters, home inspectors, and building performance contractors. Project work to support the development of this guide includes: a literature review and annotated bibliography, which facilitates access to 469 documents related to residential commissioning published over the past 20 years (Wray et al. 2000), an analysis of the potential benefits one can realistically expect from commissioning new and existing California houses (Matson et al. 2002), and an assessment of 107 diagnostic tools for evaluating residential commissioning metrics (Wray et al. 2002). In this guide, we describe the issues that non-experts should consider in developing a commissioning program to achieve the benefits we have identified. We do this by providing specific recommendations about: how to structure the commissioning process, which diagnostics to use, and how to use them to commission new and existing houses. Using examples, we also demonstrate the potential benefits of applying the recommended whole-house commissioning approach to

  7. Detailed residential electric determination

    Energy Technology Data Exchange (ETDEWEB)

    1984-06-01

    Data on residential loads has been collected from four residences in real time. The data, measured at 5-second intervals for 53 days of continuous operation, were statistically characterized. An algorithm was developed and incorporated into the modeling code SOLCEL. Performance simulations with SOLCEL using these data as well as previous data collected over longer time intervals indicate that no significant errors in system value are introduced through the use of long-term average data.

  8. Trato a los usuarios en los servicios públicos de salud en México The treatment received by public health services users in Mexico

    Directory of Open Access Journals (Sweden)

    Esteban Puentes Rosas

    2006-06-01

    Full Text Available OBJETIVO: Documentar que las diferencias en el trato recibido por los usuarios de los servicios de salud en México dependen principalmente del proveedor, independientemente de las condiciones socioeconómicas de los usuarios. MÉTODOS: Los datos se obtuvieron mediante una encuesta aplicada a 18 018 usuarios que asistieron a 73 servicios de salud de 13 estados de México. Los usuarios debían calificar la forma en que la institución se había desempeñado en siete de los ocho dominios del trato adecuado de los usuarios (autonomía, confidencialidad, comunicación, trato respetuoso, condiciones de las instalaciones básicas, acceso a redes de apoyo social y capacidad de elección. En el cuestionario se presentaron viñetas para valorar las expectativas de los usuarios. Se aplicó un modelo probit ordinal compuesto con la percepción sobre la calidad de cada uno de los dominios del trato adecuado como variable dependiente y el sexo, la escolaridad, la edad, el tipo de proveedor y las expectativas de los usuarios como variables de control. RESULTADOS: El principal factor que determinó la percepción de los usuarios sobre el trato que recibieron en los servicios de salud en México fue el proveedor. Las instituciones de seguridad social mostraron el peor desempeño, mientras que los servicios del programa destinado a la población rural (IMSS Oportunidades recibieron las mejores calificaciones. En general, el dominio mejor calificado fue el trato respetuoso, mientras que la menor calificación se asignó a la capacidad de elección del proveedor. Los hombres consideraron haber tenido mejor comunicación que las mujeres, mientras que el trato respetuoso, la comunicación y el apoyo social tuvieron una asociación significativa inversa con respecto al nivel educacional (P OBJECTIVE: To document the fact that differences in the treatment received by health services users in Mexico are mainly dependent on the type of provider, regardless of the users

  9. Maladaptive Schemas as a Predictor of Residential Treatment Outcomes in Females with Eating Disorders

    OpenAIRE

    Cullum, Jodi Leigh

    2009-01-01

    The present study aimed to examine the relationship between maladaptive schemas and treatment outcomes of adolescent and adult women with an eating disorder receiving residential treatment. Existing data were obtained from 67 females aged 11 to 47 years (m =18.61) that had entered residential treatment for anorexia nervosa (AN), bulimia nervosa (BN), or eating disorder not otherwise specified (EDNOS) at a Western United States residential eating disorder treatment facility. Pre- and posttreat...

  10. Residential outage cost estimation: Hong Kong

    International Nuclear Information System (INIS)

    Woo, C.K.; Ho, T.; Shiu, A.; Cheng, Y.S.; Horowitz, I.; Wang, J.

    2014-01-01

    Hong Kong has almost perfect electricity reliability, the result of substantial investments ultimately financed by electricity consumers who may be willing to accept lower reliability in exchange for lower bills. But consumers with high outage costs are likely to reject the reliability reduction. Our ordered-logit regression analysis of the responses by 1876 households to a telephone survey conducted in June 2013 indicates that Hong Kong residents exhibit a statistically-significant preference for their existing service reliability and rate. Moreover, the average residential cost estimate for a 1-h outage is US$45 (HK$350), topping the estimates reported in 10 of the 11 studies published in the last 10 years. The policy implication is that absent additional compelling evidence, Hong Kong should not reduce its service reliability. - Highlights: • Use a contingent valuation survey to obtain residential preferences for reliability. • Use an ordered logit analysis to estimate Hong Kong's residential outage costs. • Find high outage cost estimates that imply high reliability requirements. • Conclude that sans new evidence, Hong Kong should not reduce its reliability

  11. 'Nothing works' in secure residential youth care?

    NARCIS (Netherlands)

    Souverein, F.A.; van der Helm, G.H.P.; Stams, G.J.J.M.

    2013-01-01

    A debate about the effectiveness of secure residential youth care is currently going on. While some continue to support secure residential youth care, others conclude that ‘nothing works’ in secure residential youth care, and argue that non-residential treatment is superior to secure residential

  12. Books Received

    Indian Academy of Sciences (India)

    Books Received. Challenge and Thrill of Pre-College. Mathematics. V Krishnamurthy et al. New Age International. 1996, Rs.220. Mathematics for Science. S M Uppal and H M Humphreys. New Age International. 1996, Rs.17S. Physics for Engineers. M R Srinivasan. New Age Publications. 1996. Statement about ownership ...

  13. Re-thinking residential mobility

    Science.gov (United States)

    van Ham, Maarten; Findlay, Allan M.

    2015-01-01

    While researchers are increasingly re-conceptualizing international migration, far less attention has been devoted to re-thinking short-distance residential mobility and immobility. In this paper we harness the life course approach to propose a new conceptual framework for residential mobility research. We contend that residential mobility and immobility should be re-conceptualized as relational practices that link lives through time and space while connecting people to structural conditions. Re-thinking and re-assessing residential mobility by exploiting new developments in longitudinal analysis will allow geographers to understand, critique and address pressing societal challenges. PMID:27330243

  14. Large-Scale Residential Demolition

    Science.gov (United States)

    The EPA provides resources for handling residential demolitions or renovations. This includes planning, handling harmful materials, recycling, funding, compliance assistance, good practices and regulations.

  15. The Value of Green Infrastructure on Vacant and Residential Land in Roanoke, Virginia

    Directory of Open Access Journals (Sweden)

    Gunwoo Kim

    2016-03-01

    Full Text Available Using the City of Roanoke, Virginia as a study site, this paper quantifies the forest structure, ecosystem services and values of vacant and residential land. Single family residential land had more trees (1,683,000 than vacant land (210,000 due largely to the differences in land area (32.44 km2 of vacant land vs. 57.94 km2 residential. While the percentage of tree coverage was almost identical across land uses (30.6% in vacant to 32.3% in residential, the number of trees per ha is greater on residential land (290.3 than on vacant land (63.4. The average healthy leaf surface area on individual trees growing on vacant land was greater than that of individual trees on residential land. The fact that trees in vacant land were found to provide more ecosystem services per tree than residential trees was attributed to this leaf area difference. Trees on vacant land are growing in more natural conditions and there are more large trees per ha. Assessing the forest structure and ecosystem services of Roanoke’s vacant and residential land provides a picture of the current extent and condition of the vacant and residential land. Understanding these characteristics provides the information needed for improved management and utilization of urban vacant land and estimating green infrastructure value.

  16. ASHRAE and residential ventilation

    Energy Technology Data Exchange (ETDEWEB)

    Sherman, Max H.

    2003-10-01

    In the last quarter of a century, the western world has become increasingly aware of environmental threats to health and safety. During this period, people psychologically retreated away from outdoors hazards such as pesticides, smog, lead, oil spills, and dioxin to the seeming security of their homes. However, the indoor environment may not be healthier than the outdoor environment, as has become more apparent over the past few years with issues such as mold, formaldehyde, and sick-building syndrome. While the built human environment has changed substantially over the past 10,000 years, human biology has not; poor indoor air quality creates health risks and can be uncomfortable. The human race has found, over time, that it is essential to manage the indoor environments of their homes. ASHRAE has long been in the business of ventilation, but most of the focus of that effort has been in the area of commercial and institutional buildings. Residential ventilation was traditionally not a major concern because it was felt that, between operable windows and envelope leakage, people were getting enough outside air in their homes. In the quarter of a century since the first oil shock, houses have gotten much more energy efficient. At the same time, the kinds of materials and functions in houses changed in character in response to people's needs. People became more environmentally conscious and aware not only about the resources they were consuming but about the environment in which they lived. All of these factors contributed to an increasing level of public concern about residential indoor air quality and ventilation. Where once there was an easy feeling about the residential indoor environment, there is now a desire to define levels of acceptability and performance. Many institutions--both public and private--have interests in Indoor Air Quality (IAQ), but ASHRAE, as the professional society that has had ventilation as part of its mission for over 100 years, is the

  17. Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use.

    Science.gov (United States)

    Marín-Navarrete, Rodrigo; Medina-Mora, María Elena; Horigian, Viviana E; Salloum, Ihsan M; Villalobos-Gallegos, Luis; Fernández-Mondragón, José

    2016-01-01

    In Mexico, specialized treatment services for people with co-occurring disorders are limited within public health services, while private options are deemed too costly. More than 2,000 community-based residential care facilities have risen as an alternative and are the main source of treatment for individuals with substance use disorders; however, suboptimal practices within such facilities are common. Information on the clinical characteristics of patients receiving care in these facilities is scarce and capacity to provide high-quality care for co-occurring disorders is unknown. The aims of this study were to examine the prevalence of co-occurring disorders in patients receiving treatment for substance use in these community-based residential centers and to assess whether the presence of co-occurring disorders is associated with higher severity of substance use, psychiatric symptomatology, and other health risks. This study was conducted with 601 patients receiving treatment for substance use disorders at 30 facilities located in five Mexican states, recruited in 2013 and 2014. Patients were assessed with self-report measures on substance use, service utilization, suicidality, HIV risk behaviors, psychiatric symptomatology, and psychiatric disorder diagnostic criteria. The prevalence of any co-occurring disorder in this sample was 62.6%. Antisocial personality disorder was the most prevalent (43.8%), followed by major depressive disorder (30.9%). The presence of a co-occurring disorder was associated with higher severity of psychiatric symptoms (aB = .496, SE = .050, p Co-occurring disorders are highly prevalent in community-based residential centers in Mexico and are associated with significantly increased probability of other health risks. This highlights the need to develop care standards for this population and the importance of clinical research in these settings.

  18. Residential Mechanical Precooling

    Energy Technology Data Exchange (ETDEWEB)

    German, Alea [Davis Energy Group, Davis, CA (United States). Alliance for Residential Building Innovation (ARBI); Hoeschele, Marc [Davis Energy Group, Davis, CA (United States). Alliance for Residential Building Innovation (ARBI)

    2014-12-01

    Residential air conditioning (AC) represents a challenging load for many electric utilities with poor load factors. Mechanical precooling improves the load factor by shifting cooling operation from on-peak to off-peak hours. This provides benefits to utilities and the electricity grid, as well as to occupants who can take advantage of time-of-use (TOU) electricity rates. Performance benefits stem from reduced compressor cycling, and shifting condensing unit operation to earlier periods of the day when outdoor temperatures are more favorable to operational efficiency. Finding solutions that save energy and reduce demand on the electricity grid is an important national objective and supports key Building America goals. The Alliance for Residential Building Innovation team evaluated mechanical AC precooling strategies in homes throughout the United States. EnergyPlus modeling was used to evaluate two homes with different performance characteristics in seven climates. Results are applicable to new construction homes and most existing homes built in the last 10 years, as well as fairly efficient retrofitted homes. A successful off-peak AC strategy offers the potential for increased efficiency and improved occupant comfort, and promotes a more reliable and robust electricity grid. Demand response capabilities and further integration with photovoltaic TOU generation patterns provide additional opportunities to flatten loads and optimize grid impacts.

  19. Factors affecting long-term mortality of residential shade trees: evidence from Sacramento, California

    Science.gov (United States)

    Yekang Ko; Jun-Hak Lee; E. Gregory McPherson; Lara A. Roman

    2015-01-01

    Urban tree survival is essential to sustain the ecosystem services of urban forests and monitoring is needed to accurately assess benefits. While some urban forestry studies have reported street tree survival, little is known about the factors influencing residential yard tree survival, especially over the long-term. We assessed residential shade tree survival in...

  20. An Evaluation of an OSGi-based Residential Pervasive Computing Platform

    DEFF Research Database (Denmark)

    Hansen, Klaus Marius; Larsen, Simon Bo; Pagter, Jakob Illeborg

    2004-01-01

    and opportunities. As a step towards that, we present an analysis and evaluation of a widely-used setup for residential pervasive computing applications, viz., a setup based on a residential gateway with an Open Services Gateway Initiative (OSGi) implementation. The analysis is anchored in use, through scenarios...

  1. Residential Conservation Service. Model Audit manual

    Energy Technology Data Exchange (ETDEWEB)

    1983-10-01

    The Model Audit is a free technical assistance resource for voluntary use by utilities. The manual contains procedures for customer interviews, residence inspections, and cost and saving calculations. Data forms, calculation aids, weather and other data, and a section on presenting results to the customer are included. This revision incorporates updates issued on the original February 1980 version: improved calculational procedures for cooling load, replacement air conditioners, solar domestic hot water, thermosiphon air panels, sunspaces, and new procedures for several state-added measures.

  2. A Model of Clean Water Supply and Improvement of Enviromental Sanitary Conditions in Residential Clusters in The Mekong Delta, Vietnam

    Directory of Open Access Journals (Sweden)

    Chi Nguyen Thuy Lan

    2015-12-01

    Full Text Available In accordance with Decision 99/TTg dated 9/2/1996 and Decision 173/TTg dated 6/11/2001 of the Prime Minister regarding the construction program of residential clusters (residential flood free areas, these residential areas as constructed would be fully equipped with critical infrastructures and services such as water supply and drainage works, toilets with sanitary appropriateness, etc. to ensure environmental sanitary conditions in the residential clusters. However, the actual surveys done in residential clusters in the Mekong Delta show that many arising problems must be addressed to enable the local communities to have better living conditions and ensure the sanitary conditions and environmental safety.

  3. Residential Energy Performance Metrics

    Directory of Open Access Journals (Sweden)

    Christopher Wright

    2010-06-01

    Full Text Available Techniques for residential energy monitoring are an emerging field that is currently drawing significant attention. This paper is a description of the current efforts to monitor and compare the performance of three solar powered homes built at Missouri University of Science and Technology. The homes are outfitted with an array of sensors and a data logger system to measure and record electricity production, system energy use, internal home temperature and humidity, hot water production, and exterior ambient conditions the houses are experiencing. Data is being collected to measure the performance of the houses, compare to energy modeling programs, design and develop cost effective sensor systems for energy monitoring, and produce a cost effective home control system.

  4. College residential sleep environment.

    Science.gov (United States)

    Sexton-Radek, Kathy; Hartley, Andrew

    2013-12-01

    College students regularly report increased sleep disturbances as well as concomitant reductions in performance (e.g., academic grades) upon entering college. Sleep hygiene refers to healthy sleep practices that are commonly used as first interventions in sleep disturbances. One widely used practice of this sort involves arranging the sleep environment to minimize disturbances from excessive noise and light at bedtime. Communal sleep situations such as those in college residence halls do not easily support this intervention. Following several focus groups, a questionnaire was designed to gather self-reported information on sleep disturbances in a college population. The present study used The Young Adult Sleep Environment Inventory (YASEI) and sleep logs to investigate the sleep environment of college students living in residential halls. A summary of responses indicated that noise and light are significant sleep disturbances in these environments. Recommendations are presented related to these findings.

  5. Can short-term residential care for stroke rehabilitation help to reduce the institutionalization of stroke survivors?

    Science.gov (United States)

    Chau, Pui Hing; Tang, Maria W S; Yeung, Fannie; Chan, Tsz Wai; Cheng, Joanna O Y; Woo, Jean

    2014-01-01

    Stroke survivors may not be receiving optimal rehabilitation as a result of a shortage of hospital resources, and many of them are institutionalized. A rehabilitation program provided in a short-term residential care setting may help to fill the service gap. The primary objectives of this study were, first, to examine whether there were significant differences in terms of rehabilitation outcomes at 1 year after admission to the rehabilitation program (defined as baseline) between those using short-term residential care (intervention group) and those using usual geriatric day hospital care (control group), and, second, to investigate whether lower 1-year institutionalization rates were observed in the intervention group than in the control group. 155 stroke survivors who completed at least the first follow-up at 4 months after baseline. The intervention group was stroke survivors using self-financed short-term residential care for stroke rehabilitation. The control group was stroke survivors using the usual care at a public geriatric day hospital. Assessments were conducted by trained research assistants using structured questionnaires at baseline, 4 months, and 1 year after baseline. The primary outcome measures included Modified Barthel Index score, Mini-Mental Status Examination score, and the institutionalization rate. Cognitive status (as measured by Mini-Mental Status Examination score) of patients in both groups could be maintained from 4 months to 1 year, whereas functional status (as measured by Modified Barthel Index score) of the patients could be further improved after 4 months up to 1 year. Meanwhile, insignificant between-group difference in rehabilitation outcomes was observed. The intervention participants had a significantly lower 1-year institutionalization rate (15.8%) than the control group (25.8%). Short-term residential care for stroke rehabilitation promoted improvements in rehabilitation outcomes comparable with, if not better than, the usual

  6. Training Residential Staff to Conduct Trial-Based Functional Analyses

    Science.gov (United States)

    Lambert, Joseph M.; Bloom, Sarah E.; Kunnavatana, S. Shanun; Collins, Shawnee D.; Clay, Casey J.

    2013-01-01

    We taught 6 supervisors of a residential service provider for adults with developmental disabilities to train 9 house managers to conduct trial-based functional analyses. Effects of the training were evaluated with a nonconcurrent multiple baseline. Results suggest that house managers can be trained to conduct trial-based functional analyses with…

  7. Dental Care Utilization and Satisfaction of Residential University ...

    African Journals Online (AJOL)

    Aim: The objective of this study was to provide information on the level of utilization and satisfaction of residential university students with the dental services provided by the dental clinic of a teaching hospital. Volunteers and Material: A stratified sampling technique was used to recruit volunteers from the outpatient clinic of ...

  8. A review of residential computer oriented energy control systems

    Energy Technology Data Exchange (ETDEWEB)

    North, Greg

    2000-07-01

    The purpose of this report is to bring together as much information on Residential Computer Oriented Energy Control Systems as possible within a single document. This report identifies the main elements of the system and is intended to provide many technical options for the design and implementation of various energy related services.

  9. Residential energy usage comparison: Findings

    Energy Technology Data Exchange (ETDEWEB)

    Smith, B.A.; Uhlaner, R.T.; Cason, T.N.; Courteau, S. (Quantum Consulting, Inc., Berkeley, CA (United States))

    1991-08-01

    This report presents the research methods and results from the Residential Energy Usage Comparison (REUC) project, a joint effort by Southern California Edison Company (SCE) and the Electric Power Research Institute (EPRI). The REUC project design activities began in early 1986. The REUC project is an innovative demand-site project designed to measure and compare typical energy consumption patterns of energy efficient residential electric and gas appliances. 95 figs., 33 tabs.

  10. Risks from Radon: Reconciling Miner and Residential Epidemiology

    International Nuclear Information System (INIS)

    Chambers, Douglas B.; Harley, Naomi H.

    2008-01-01

    Everyone is exposed to radon, an inert radioactive gas that occurs naturally and is present everywhere in the atmosphere. The annual dose from radon and its (short-lived) decay products is typically about one-half of the dose received by members of the public from all natural sources of ionizing radiation. Data on exposures and consequent effects have recently been reviewed by the National Council on Radiation Protection and Measurements (NCRP) and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Studies of underground miners provides a well-established basis for estimating risks from occupational exposures to radon and for studying factors that may affect the dose response relationship such as the reduction of risk (coefficients) with increasing time since exposure. Miners' studies previously formed the basis for estimating risks to people exposed to radon at home, with downward extrapolation from exposures in mines to residential levels of radon. Presently, the risk estimates from residential studies are adequate to estimate radon risks in homes. Although there are major uncertainties in extrapolating the risks of exposure to radon from the miner studies to assessing risks in the home, there is remarkably good agreement between the average of risk factors derived from miner studies and those from pooled residential case-control studies. There are now over 20 analytical studies of residential radon and lung cancer. These studies typically assess the relative risk from exposure to radon based on estimates of residential exposure over a period of 25 to 30 years prior to diagnosis of lung cancer. Recent pooled analyses of residential case-control studies support a small but detectable lung cancer risk from residential exposure, and this risk increases with increasing concentrations. The excess relative risk of lung cancer from long-term residential exposure is about the same for both smokers and non-smokers; however, because the

  11. The value of price transparency in residential solar photovoltaic markets

    Energy Technology Data Exchange (ETDEWEB)

    O’Shaughnessy, Eric; Margolis, Robert

    2018-06-01

    Installed prices for residential solar photovoltaic (PV) systems have declined significantly in recent years. However price dispersion and limited customer access to PV quotes prevents some prospective customers from obtaining low price offers. This study shows that improved customer access to prices - also known as price transparency - is a potential policy lever for further PV price reductions. We use customer search and strategic pricing theory to show that PV installation companies face incentives to offer lower prices in markets with more price transparency. We test this theoretical framework using a unique residential PV quote dataset. Our results show that installers offer lower prices to customers that are expected to receive more quotes. Our study provides a rationale for policies to improve price transparency in residential PV markets.

  12. Benzodiazepine prescribing in children under 15 years of age receiving free medical care on the General Medical Services scheme in Ireland.

    LENUS (Irish Health Repository)

    O'Sullivan, K

    2015-06-01

    To examine the prevalence and secular trends in benzodiazepine (BZD) prescribing in the Irish paediatric population. In addition, we examine coprescribing of antiepileptic, antipsychotic, antidepressant and psychostimulants in children receiving BZD drugs and compare BZD prescribing in Ireland to that in other European countries.

  13. Attitudes toward information and communication technology (ICT) in residential aged care in Western Australia.

    Science.gov (United States)

    Loh, Poh-Kooi; Flicker, Leon; Horner, Barbara

    2009-07-01

    Determine why introduction of health consulting services via Telehealth video conference consultations failed in residential aged care facilities (RACF). Semistructured interview groups and quantitative survey. Two participating not-for-profit RACF. Managers, employed carers, physiotherapist, occupational therapist, registered nurses, and residents from RACF. A survey initially followed by focus groups that centered on 4 questions. How can computers help improve care? What kind of electronic services and products could help improve care? Who should have access to the technology and why was the technology not used? The survey revealed there was awareness of information and communication technology (ICT) in RACF. However, respondents were uncertain of potential benefits provided to their clients. Only 43% of respondents thought a minority of clients would receive the benefits of ICT use. The focus groups revealed several themes regarding the attitudes toward ICT in RACF. Positive attitudes to ICT included themes of saving time, easier doctor access, cost saving, and improved communications. Negative attitudes included themes of loss of human contact, inadequate training, security barriers, not user friendly, limited ability to comply with suggestions, privacy issues, and capital cost. Residents were also concerned about confidentiality and loss of human interaction with the use of Telehealth in residential aged facilities. More training for staff is required to enable them to use ICT efficiently. ICT hardware and software at the user interface must be designed to maintain confidentiality with ease of access. Access to Telehealth services should not impede the routine delivery of personal care and human contact for residents. Studies are required as to where human input to residents is unable to be replaced by Telehealth services.

  14. Qualitative exploration of relationships between peers in residential addiction treatment.

    Science.gov (United States)

    Neale, Joanne; Tompkins, Charlotte N E; Strang, John

    2018-01-01

    Relationships between peers are often considered central to the therapeutic process, yet there is relatively little empirical research either on the nature of peer-to-peer relationships within residential treatment or on how those relationships generate positive behaviour change or facilitate recovery. In this paper, we explore relationships between peers in residential addiction treatment, drawing upon the concept of social capital to frame our analyses. Our study was undertaken during 2015 and 2016 in two English residential treatment services using the same therapeutic community-informed model of treatment. We conducted 22 in-depth interviews with 13 current and 9 former service residents. All interviews were audio-recorded, transcribed verbatim, coded in MAXQDA, and analysed using Iterative Categorisation. Residents reported difficult relationship histories and limited social networks on entry into treatment. Once in treatment, few residents described bonding with their peers on the basis of shared experiences and lifestyles. Instead, interpersonal differences polarised residents in ways that undermined their social capital further. Some senior peers who had been in residential treatment longer acted as positive role models, but many modelled negative behaviours that undermined others' commitment to treatment. Relationships between peers could generate feelings of comfort and connectedness, and friendships developed when residents found things in common with each other. However, residents more often reported isolation, loneliness, wariness, bullying, manipulation, intimidation, social distancing, tensions and conflict. Overall, relationships between peers within residential treatment seemed to generate some positive but more negative social capital; undermining the notion of the community as a method of positive behaviour change. With the caveat that our data have limitations and further research is needed, we suggest that residential treatment providers should

  15. [Attitudes and perceptions of staff and resident-patients in residential units in Thessaly].

    Science.gov (United States)

    Lakioti, En; Angelopoulos, Nv; Tomaras, Vd

    2014-01-01

    foster care to resident-patients. On their part, the resident-patients maintain good relationships with staff and fellow residents, and feel content with their residence itself and the services provided. However, most of them (especially the most functional and with milder symptoms) express their desire for more autonomy, with regard to the degree of supervision received by the staff, their contact with the local community, the perspective of receiving foster care, the perspective of return in their natural family as well as of autonomous living. Ultimately however, the survey results give rise to pessimism with respect to an intermediate-transitional character of the residential units, since only a few resident-patients moved during the follow-up period (34 months) towards reduced-supervision housing and none to the community. However, the functionality of a non-insignificant part of the resident-patients could be employed for leaving "neo"-institutionalized housing and living, and finally their social reintegration.

  16. Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

    International Nuclear Information System (INIS)

    2011-01-01

    The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States [es

  17. Communication dated 19 May 2011 received from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency regarding Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants

    International Nuclear Information System (INIS)

    2011-01-01

    The Secretariat has received a letter dated 19 May 2011 from the Resident Representative of the United Kingdom of Great Britain and Northern Ireland to the Agency, attaching the Proposal for the Assurance of Supply of Enrichment Services and Low Enriched Uranium for Use in Nuclear Power Plants, as described in document GOV/2011/10. As requested by the Resident Representative, the letter and its attachment are circulated herewith for information of all Member States

  18. Assessment of Residential History Generation Using a Public-Record Database

    Directory of Open Access Journals (Sweden)

    David C. Wheeler

    2015-09-01

    Full Text Available In studies of disease with potential environmental risk factors, residential location is often used as a surrogate for unknown environmental exposures or as a basis for assigning environmental exposures. These studies most typically use the residential location at the time of diagnosis due to ease of collection. However, previous residential locations may be more useful for risk analysis because of population mobility and disease latency. When residential histories have not been collected in a study, it may be possible to generate them through public-record databases. In this study, we evaluated the ability of a public-records database from LexisNexis to provide residential histories for subjects in a geographically diverse cohort study. We calculated 11 performance metrics comparing study-collected addresses and two address retrieval services from LexisNexis. We found 77% and 90% match rates for city and state and 72% and 87% detailed address match rates with the basic and enhanced services, respectively. The enhanced LexisNexis service covered 86% of the time at residential addresses recorded in the study. The mean match rate for detailed address matches varied spatially over states. The results suggest that public record databases can be useful for reconstructing residential histories for subjects in epidemiologic studies.

  19. Health and use of health services of people who are homeless and at risk of homelessness who receive free primary health care in Dublin.

    Science.gov (United States)

    Keogh, Claire; O'Brien, Kirsty K; Hoban, Anthony; O'Carroll, Austin; Fahey, Tom

    2015-02-12

    Homeless populations experience poorer physical and mental health, and more barriers to accessing adequate healthcare. This study investigates the health of this population, following the provision of a free to access primary care service for homeless people in Dublin (Safetynet). The health of this group will be compared to previous studies on homelessness conducted in Dublin prior to the establishment of this service (in 1997 and 2005). Participants were recruited through Safetynet clinics. A 133-item questionnaire was administered to determine participants' physical and mental well-being, use of health services and healthcare needs. Prescription data was extracted from participants' electronic health records. A total of 105 participants were recruited. The majority were drug use, 60% (63/105) of participants reported ever using drugs, while 33% (35/105) reported being active drug users. Based on AUDIT C criteria, 53% had an alcohol problem. Compared to previous studies, participants reported more positive ratings of health (70% vs. 57% in 1997 and 46% in 2005). The proportion of participants on one or more prescription medication was higher than in previous studies (81% vs. 32% in 1997 and 49% in 2005) and there was a decrease in attendance at outpatients departments (17% vs. 27% in 2005) and a trend towards a decrease in attendance at Accident and Emergency departments (A & E) (29% vs. 37% in 2005). This vulnerable population has many physical and mental health problems. Use of drugs, alcohol and smoking is common. Following the establishment of Safetynet, self-reported health was rated more positively, there was also a decrease in the use of A & E and outpatient services and an increase in prescription medicines.

  20. Solar Energy Systems for Ohioan Residential Homeowners

    Science.gov (United States)

    Luckett, Rickey D.

    Dwindling nonrenewable energy resources and rising energy costs have forced the United States to develop alternative renewable energy sources. The United States' solar energy industry has seen an upsurge in recent years, and photovoltaic holds considerable promise as a renewable energy technology. The purpose of this case study was to explore homeowner's awareness of the benefits of solar energy. Disruptive-innovation theory was used to explore marketing strategies for conveying information to homeowners about access to new solar energy products and services. Twenty residential homeowners were interviewed face-to-face to explore (a) perceived benefits of solar energy in their county in Ohio, and (b) perceptions on the rationale behind the marketing strategy of solar energy systems sold for residential use. The study findings used inductive analyses and coding interpretation to explore the participants' responses that revealed 3 themes: the existence of environmental benefits for using solar energy systems, the expensive cost of equipment associated with government incentives, and the lack of marketing information that is available for consumer use. The implications for positive social change include the potential to enable corporate leaders, small business owners, and entrepreneurs to develop marketing strategies for renewable energy systems. These strategies may promote use of solar energy systems as a clean, renewable, and affordable alternative electricity energy source for the 21st century.

  1. Children With Intellectual Disability and Hospice Utilization: The Moderating Effect of Residential Care.

    Science.gov (United States)

    Lindley, Lisa C

    2017-01-01

    Children with intellectual disability commonly lack access to pediatric hospice care services. Residential care may be a critical component in providing access to hospice care for children with intellectual disability. This research tested whether residential care intensifies the relationship between intellectual disability and hospice utilization (ie, hospice enrollment, hospice length of stay), while controlling for demographic characteristics. Multivariate regression analyses were conducted using 2008 to 2010 California Medicaid claims data. The odds of children with intellectual disability in residential care enrolling in hospice care were 3 times higher than their counterparts in their last year of life, when controlling for demographics. Residential care promoted hospice enrollment among children with intellectual disability. The interaction between intellectual disability and residential care was not related to hospice length of stay. Residential care did not attenuate or intensify the relationship between intellectual disability and hospice length of stay. The findings highlight the important role of residential care in facilitating hospice enrollment for children with intellectual disability. More research is needed to understand the capability of residential care staff to identify children with intellectual disability earlier in their end-of-life trajectory and initiate longer hospice length of stays.

  2. Can short-term residential care for stroke rehabilitation help to reduce the institutionalization of stroke survivors?

    Directory of Open Access Journals (Sweden)

    Chau PH

    2014-02-01

    Full Text Available Pui Hing Chau,1 Maria WS Tang,2 Fannie Yeung,2 Tsz Wai Chan,1 Joanna OY Cheng,1 Jean Woo2 1School of Nursing, University of Hong Kong, Hong Kong, Special Administrative Region of the People's Republic of China; 2Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, Special Administrative Region of the People's Republic of China Background: Stroke survivors may not be receiving optimal rehabilitation as a result of a shortage of hospital resources, and many of them are institutionalized. A rehabilitation program provided in a short-term residential care setting may help to fill the service gap. Objectives: The primary objectives of this study were, first, to examine whether there were significant differences in terms of rehabilitation outcomes at 1 year after admission to the rehabilitation program (defined as baseline between those using short-term residential care (intervention group and those using usual geriatric day hospital care (control group, and, second, to investigate whether lower 1-year institutionalization rates were observed in the intervention group than in the control group. Participants: 155 stroke survivors who completed at least the first follow-up at 4 months after baseline. Intervention: The intervention group was stroke survivors using self-financed short-term residential care for stroke rehabilitation. The control group was stroke survivors using the usual care at a public geriatric day hospital. Measurements: Assessments were conducted by trained research assistants using structured questionnaires at baseline, 4 months, and 1 year after baseline. The primary outcome measures included Modified Barthel Index score, Mini-Mental Status Examination score, and the institutionalization rate. Results: Cognitive status (as measured by Mini-Mental Status Examination score of patients in both groups could be maintained from 4 months to 1 year, whereas functional status (as measured by Modified Barthel

  3. Main challenges of residential areas

    Directory of Open Access Journals (Sweden)

    Oana Luca

    2017-06-01

    Full Text Available The present article is a position paper aiming to initiate a professional debate related to the aspects related to the urban dysfunctions leading to the wear of the residential areas. The paper proposes a definition of the wear process, identify the main causes leading to its occurrence and propose a number of solutions to neutralise the dysfunctions. The three wearing phases of residential areas components are emphasized, exploring their lifecycle. In order to perform the study of urban wear, the status of the residential areas components can be established and monitored, and also the variables of the function that can mathematically model the specific wear process may be considered. The paper is considered a first step for the model adjustment, to be tested and validated in the following steps. Based on the mathematical method and model, there can be created, in a potential future research, the possibility of determining the precarity degree for residential areas/neighbourhoods and cities, by minimising the subjective component of the analyses preceding the decision for renovation or regeneration.

  4. Trends of Sustainable Residential Architecture

    OpenAIRE

    Narvydas, A

    2014-01-01

    The article is based on Master’s research conducted during Scottish Housing Expo 2010. The aim of the research was to determine the prevailing trends in sustainable residential architecture. Each trend can be described by features detected during visual and technical observation of project data. Based on that architects may predict possible problems related to a specific trend.

  5. Technical Problems of Residential Construction

    Science.gov (United States)

    Nowogońska, Beata; Cibis, Jerzy

    2017-10-01

    Beauty, utility, durability - these are the features of good architecture and should also be the distinguishing qualities of every residential building. But do beauty and utility remain along with the passing of time? Performance characteristics are an indicator of both, the technical as well as aesthetic state of buildings. Aesthetic needs are in disagreement with the merciless aging process. The beauty of a city is formed not only by the original forms of new residential buildings, but also by existing tenement housing; thus preserving their aesthetics becomes a necessity. Time is continuously passing and along with it, aging intensifies. The aging process is a natural phenomenon for every material. The life expectancy of building materials is also limited. Along with the passing of time, the technical state of residential buildings continuously deteriorates. With the passing of time, the aesthetic values and preferences of users of flats change and the usability of the building decreases. The permanence of buildings, including residential buildings, is shaped not only by the forces of nature but also by activities of humans. A long lifespan is ensured by carrying out ongoing, systematic renovation-repair works. It is thanks to them that buildings derived from past centuries are still being used, and their market attractiveness is not decreasing.

  6. Congestion and residential moving behaviour

    DEFF Research Database (Denmark)

    Larsen, Morten Marott; Pilegaard, Ninette; Van Ommeren, Jos

    2008-01-01

    we study how congestion and residential moving behaviour are interrelated, using a two-region job search model. Workers choose between interregional commuting and residential moving, in order to live closer to their place of work. This choice affects the external costs of commuting, due to conges......we study how congestion and residential moving behaviour are interrelated, using a two-region job search model. Workers choose between interregional commuting and residential moving, in order to live closer to their place of work. This choice affects the external costs of commuting, due...... to congestion. We focus on the equilibrium in which some workers currently living in one region accept jobs in the other, with a fraction of them choosing to commute from their current residence to the new job in the other region and the remainder choosing to move to the region in which the new job is located....... The welfare-maximising road tax is derived, which is essentially the Pigouvian tax, given the absence of a tax on moving. Given the presence of moving taxes, which are substantial in Europe, the optimal road tax for commuters is the Pigouvian tax plus the amortised value of the moving tax, evaluated...

  7. Convergence of Residential Gateway Technology

    NARCIS (Netherlands)

    Hartog, F.T.H. den; Balm, M.; Jong, C.M. de; Kwaaitaal, J.J.B.

    2004-01-01

    A new OSI-based model is described that can be used for the classification of residential gateways. It is applied to analyze current gateway solutions and draw evolutionary paths for the medium to long term. From this it is concluded that particularly set-top boxes and broadband modems, as opposed

  8. Reduced Antivation Ferritic/Martensitic Steel Eurofer 97 as Possible Structural Material for Fusion Devices. Metallurgical Characterization on As-Received Condition and after Simulated Services Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, P.; Lancha, A. M.; Lapena, J.; Serrano, M.; Hernandez-Mayoral, M.

    2004-07-01

    Metallurgical Characterization of the reduced activation ferritic/martensitic steel Eurofer'97, on as-received condition and after thermal ageing treatment in the temperature range from 400 degree centigree to 600 degree centigree for periods up to 10.000 h, was carried out. The microstructure of the steel remained stable (tempered martensite with M{sub 2}3 C{sub 6} and MX precipitates) after the thermal ageing treatments studied in this work. In general, this stability was also observed in the mechanical properties. The Eurofer'97 steel exhibited similar values of hardness, ultimate tensile stress, 0,2% proof stress, USE and T{sub 0}3 regardless of the investigated material condition. However, ageing at 600 degree centigree for 10.000 ha caused a slight increase in the DBTT, of approximately 23. In terms of creep properties, the steel shows in general adequate creep rupture strength levels for short rupture times. However, the results obtained up to now for long time creep rupture tests at 500 degree centigree suggests a change in the deformation mechanisms. (Author) 62 refs.

  9. Performance-Based Contracting in Residential Care and Treatment: Driving Policy and Practice Change through Public-Private Partnership in Illinois

    Science.gov (United States)

    Kearney, Kathleen A.; McEwen, Erwin; Bloom-Ellis, Brice; Jordan, Neil

    2010-01-01

    The National Quality Improvement Center on the Privatization of Child Welfare Services selected Illinois as a demonstration site in 2007 to evaluate performance-based contracting in residential treatment services. This article discusses the first two years of project implementation including developing residential treatment performance indicators,…

  10. Homeless veterans' satisfaction with residential treatment.

    Science.gov (United States)

    Kasprow, W J; Frisman, L; Rosenheck, R A

    1999-04-01

    Because little is known about homeless individuals' satisfaction with mental health services or the association between satisfaction and measures of treatment outcome, the study examined those issues in a group of homeless veterans. Demographic and clinical data were obtained from intake assessments conducted before veterans' admission to residential treatment facilities under contract with the Department of Veterans Affairs Health Care for Homeless Veterans program, a national outreach and case management program. Clients completed a satisfaction survey and the Community-Oriented Programs Environment Scale, which asks them to rate dimensions of the treatment environment. Outcome data came from discharge outcome summaries completed by VA case managers. Overall satisfaction with residential treatment services was high among the 1,048 veterans surveyed. Greater satisfaction was associated with more days of drug abuse and more days spent institutionalized in the month before intake and with an intake diagnosis of drug abuse. Regression analyses indicated that satisfaction was most strongly related to clients' perceptions of several factors in the treatment environment. Policy clarity, clients' involvement in the program, an emphasis on order, a practical orientation, and peer support were positively related to satisfaction; staff control and clients' expression of anger were negatively related. Satisfaction was significantly associated with case managers' discharge ratings of clinical improvement of drug problems and psychiatric problems. Homeless veterans are more satisfied in environments they perceive to be supportive, orderly, and focused on practical solutions. The results indicate that client satisfaction is not related to treatment outcomes strongly enough to serve as a substitute for other outcome measures.

  11. Performance-based potential for residential energy efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Performance-based potential for residential energy efficiency

    2013-01-15

    Energy performance contracts (EPCs) have proven an effective mechanism for increasing energy efficiency in nearly all sectors of the economy since their introduction nearly 30 years ago. In the modern form, activities undertaken as part of an EPC are scoped and implemented by experts with specialized technical knowledge, financed by commercial lenders, and enable a facility owner to limit risk and investment of time and resources while receiving the rewards of improved energy performance. This report provides a review of the experiences of the US with EPCs and discusses the possibilities for the residential sector to utilize EPCs. Notably absent from the EPC market is the residential segment. Historically, research has shown that the residential sector varies in several key ways from markets segments where EPCs have proven successful, including: high degree of heterogeneity of energy use characteristics among and within households, comparatively small quantity of energy consumed per residence, limited access to information about energy consumption and savings potential, and market inefficiencies that constrain the value of efficiency measures. However, the combination of recent technological advances in automated metering infrastructure, flexible financing options, and the expansion of competitive wholesale electricity markets to include energy efficiency as a biddable supply-side resource present an opportunity for EPC-like efforts to successfully engage the residential sector, albeit following a different model than has been used in EPCs traditionally.(Author)

  12. Use of insulating concrete forms in residential housing construction.

    OpenAIRE

    Lewis, Dan C.

    2000-01-01

    The use of Insulated Concrete Forms (ICFs) represents a viable alternative construction method to conventional wood framing in today's residential housing marketplace. The Partnership for Advancing Housing Technology, a joint Government-private venture, will further propel the advancement of ICF construction. The National Evaluation Service is currently standardizing the ICF industry building requirements for inclusion in model building codes. There are three types of ICF building units and f...

  13. Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study.

    Science.gov (United States)

    Kim, Jiho; Zhang, Wendy; Nyonyitono, Maureen; Lourenco, Lillian; Nanfuka, Mastula; Okoboi, Stephen; Birungi, Josephine; Lester, Richard T; Kaleebu, Pontiano; Munderi, Paula; Moore, David M

    2015-01-01

    Mobile phone technologies have been promoted to improve adherence to antiretroviral therapy (ART). We studied the receptiveness of patients in a rural Ugandan setting to the use of short messaging service (SMS) communication for such purposes. We performed a cross-sectional analysis measuring mobile phone ownership and literacy amongst patients of The AIDS Support Organisation (TASO) in Jinja, Uganda. We performed bivariate and multivariate logistic regression analyses to examine associations between explanatory variables and a composite outcome of being literate and having a mobile phone. From June 2012 to August 2013, we enrolled 895 participants, of whom 684 (76%) were female. The median age was 44 years. A total of 576 (63%) were both literate and mobile phone users. Of these, 91% (527/ 576) responded favourably to the potential use of SMS for health communication, while only 38.9% (124/319) of others were favourable to the idea (pmobile phone users reported optimal adherence to ART (86.4% vs. 90.6%; p=0.007). Male participants (AOR=2.81; 95% CI 1.83-4.30), sub-optimal adherence (AOR=1.76; 95% CI 1.12-2.77), those with waged or salaried employment (AOR=2.35; 95% CI 1.23-4.49), crafts/trade work (AOR=2.38; 95% CI 1.11-5.12), or involved in petty trade (AOR=1.85; 95% CI 1.09-3.13) (in comparison to those with no income) were more likely to report mobile phone ownership and literacy. In a rural Ugandan setting, we found that over 60% of patients could potentially benefit from a mobile phone-based ART adherence support. However, support for such an intervention was lower for other patients.

  14. Why are some people who have received overdose education and naloxone reticent to call Emergency Medical Services in the event of overdose?

    Science.gov (United States)

    Koester, Stephen; Mueller, Shane R; Raville, Lisa; Langegger, Sig; Binswanger, Ingrid A

    2017-10-01

    Overdose Education and Naloxone Distribution (OEND) training for persons who inject drugs (PWID) underlines the importance of summoning emergency medical services (EMS). To encourage PWID to do so, Colorado enacted a Good Samaritan law providing limited immunity from prosecution for possession of a controlled substance and/or drug paraphernalia to the overdose victim and the witnesses who in good faith provide emergency assistance. This paper examines the law's influence by describing OEND trained PWIDs' experience reversing overdoses and their decision about calling for EMS support. Findings from two complementary studies, a qualitative study based on semi-structured interviews with OEND trained PWID who had reversed one or more overdoses, and an on-going fieldwork-based project examining PWIDs' self-identified health concerns were triangulated to describe and explain participants' decision to call for EMS. In most overdose reversals described, no EMS call was made. Participants reported several reasons for not doing so. Most frequent was the fear that despite the Good Samaritan law, a police response would result in arrest of the victim and/or witness for outstanding warrants, or sentence violations. Fears were based on individual and collective experience, and reinforced by the city of Denver's aggressive approach to managing homelessness through increased enforcement of misdemeanors and the imposition of more recent ordinances, including a camping ban, to control space. The city's homeless crisis was reflected as well in the concern expressed by housed PWID that an EMS intervention would jeopardize their public housing. Results suggest that the immunity provided by the Good Samaritan law does not address PWIDs' fear that their current legal status as well as the victim's will result in arrest and incarceration. As currently conceived, the Good Samaritan law does not provide immunity for PWIDs' already enmeshed in the criminal justice system, or PWID fearful of

  15. Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings.

    Science.gov (United States)

    Guydish, Joseph; Ziedonis, Douglas; Tajima, Barbara; Seward, Greg; Passalacqua, Emma; Chan, Mable; Delucchi, Kevin; Zammarelli, Lucy; Levy, Michael; Kolodziej, Monika; Brigham, Greg

    2012-02-01

    Smoking prevalence among persons in addiction treatment is 3-4 times higher than in the general population. However, treatment programs often report organizational barriers to providing tobacco-related services. This study assessed the effectiveness of a six month organizational change intervention, Addressing Tobacco Through Organizational Change (ATTOC), to improve how programs address tobacco dependence. The ATTOC intervention, implemented in three residential treatment programs, included consultation, staff training, policy development, leadership support and access to nicotine replacement therapy (NRT) medication. Program staff and clients were surveyed at pre- and post-intervention, and at 6 month follow-up. The staff survey measured knowledge of the hazards of smoking, attitudes about and barriers to treating smoking, counselor self-efficacy in providing such services, and practices used to address tobacco. The client survey measured knowledge, attitudes, and tobacco-related services received. NRT use was tracked. From pre- to post-intervention, staff beliefs became more favorable toward treating tobacco dependence (F(1, 163)=7.15, p=0.008), NRT use increased, and tobacco-related practices increased in a non-significant trend (F(1, 123)=3.66, p=0.058). Client attitudes toward treating tobacco dependence became more favorable (F(1, 235)=10.58, p=0.0013) and clients received more tobacco-related services from their program (F(1, 235)=92.86, p<0.0001) and from their counselors (F(1, 235)=61.59, p<0.0001). Most changes remained at follow-up. The ATTOC intervention can help shift the treatment system culture and increase tobacco services in addiction treatment programs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  16. MEASUREMENT OF CUSTOMER SATISFACTION AT RESIDENTIAL MARKETING: SAFRANBOLU SAMPLE

    Directory of Open Access Journals (Sweden)

    Hicran Özgüner Kılıç

    2016-08-01

    Full Text Available Keeping existing customers has become more important for busineses than the acquisition of a new customer in the context of both the globalization process and the intense competition lived within this period in all business sectors. Therefore, the determination of customer satisfaction has become one of the primary priorities of businesses. Goods and services produceers put emphasis on consumer satisfaction which is the one of the important issues, as well as residential producer individuals and businesses. Although there are numerous studies which dealt with the customer satisfaction issue in the literatüre, the number of studies made in the residential marketing field is so few that this matter has been the biggest motivation to perform this study. In this context, this study has been done to determine the customer satisfaction level reached by residential producers whose number is increasing day after day in Safranbolu. At the same time, the investigation has been conducted to determine residential buyers’ satisfaction in Safranbolu by using the face-to-face survey method with customers who led to 247 usable surveys. The obtained results evaluation shows, in a general way, that the participants who bought houses have gained a moderate level of satisfaction.

  17. Electronic warfare receivers and receiving systems

    CERN Document Server

    Poisel, Richard A

    2014-01-01

    Receivers systems are considered the core of electronic warfare (EW) intercept systems. Without them, the fundamental purpose of such systems is null and void. This book considers the major elements that make up receiver systems and the receivers that go in them.This resource provides system design engineers with techniques for design and development of EW receivers for modern modulations (spread spectrum) in addition to receivers for older, common modulation formats. Each major module in these receivers is considered in detail. Design information is included as well as performance tradeoffs o

  18. Promoting oral health care among people living in residential aged care facilities: Perceptions of care staff.

    Science.gov (United States)

    Villarosa, Amy R; Clark, Sally; Villarosa, Ariana C; Patterson Norrie, Tiffany; Macdonald, Susan; Anlezark, Jennifer; Srinivas, Ravi; George, Ajesh

    2018-04-23

    This study aimed to look at the practices and perspectives of residential aged care facility (RACF) care staff regarding the provision of oral health care in RACFs. Emphasis has been placed on the provision of adequate oral health care in RACFs through the Better Oral Health in Residential Aged Care programme. Endorsed by the Australian government, this programme provided oral health education and training for aged care staff. However, recent evidence suggests that nearly five years after the implementation of this programme, the provision of oral care in RACFs in NSW remains inadequate. This project utilised an exploratory qualitative design which involved a focus group with 12 RACF care staff. Participants were asked to discuss the current oral health practices in their facility, and their perceived barriers to providing oral health care. The key findings demonstrated current oral health practices and challenges among care staff. Most care staff had received oral health training and demonstrated positive attitudes towards providing dental care. However, some participants identified that ongoing and regular training was necessary to inform practice and raise awareness among residents. Organisational constraints and access to dental services also limited provision of dental care while a lack of standardised guidelines created confusion in defining their role as oral healthcare providers in the RACF. This study highlighted the need for research and strategies that focus on capacity building care staff in oral health care and improving access of aged care residents to dental services. © 2018 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

  19. Residential mobility and childhood leukemia.

    Science.gov (United States)

    Amoon, A T; Oksuzyan, S; Crespi, C M; Arah, O A; Cockburn, M; Vergara, X; Kheifets, L

    2018-07-01

    Studies of environmental exposures and childhood leukemia studies do not usually account for residential mobility. Yet, in addition to being a potential risk factor, mobility can induce selection bias, confounding, or measurement error in such studies. Using data collected for California Powerline Study (CAPS), we attempt to disentangle the effect of mobility. We analyzed data from a population-based case-control study of childhood leukemia using cases who were born in California and diagnosed between 1988 and 2008 and birth certificate controls. We used stratified logistic regression, case-only analysis, and propensity-score adjustments to assess predictors of residential mobility between birth and diagnosis, and account for potential confounding due to residential mobility. Children who moved tended to be older, lived in housing other than single-family homes, had younger mothers and fewer siblings, and were of lower socioeconomic status. Odds ratios for leukemia among non-movers living mobility, including dwelling type, increased odds ratios for leukemia to 2.61 (95% CI: 1.76-3.86) for living mobility of childhood leukemia cases varied by several sociodemographic characteristics, but not by the distance to the nearest power line or calculated magnetic fields. Mobility appears to be an unlikely explanation for the associations observed between power lines exposure and childhood leukemia. Copyright © 2018 Elsevier Inc. All rights reserved.

  20. RESIDENTIAL MORTGAGE IN MODERN RUSSIA

    Directory of Open Access Journals (Sweden)

    Dementiev N. P.

    2015-03-01

    Full Text Available The article presents a comparative analysis of residential mortgages in Russia and the United States. The primary ways of mortgage refinancing are outlined. Predominance of the elements of two-level refinancing system of residential mortgage in Russia and the United States is shown. The activity of the Agency for Housing Mortgage Lending (AHML, the basic tool of the Russian government’s mortgage policy, is described in detail. In its objectives and functions the AHML is similar to the American mortgage agencies Ginnie Mae, Fannie Mae and Freddie Mac. Similarities were identified in the Russian and US residential mortgages in the pre-crisis period (high rates of mortgage growth, favourable economic conjuncture, low interest rates, large increase in house prices, speculative housing demand. During the mortgage crisis, the policies of the Russian and US governments and monetary authorities had also much in common (monetary policy easing, cheap central banks loans, extended facilities of mortgage refinancing on the part of state agencies, mortgage rescue scheme, social mortgage programs. But the scope of mortgage in Russia is enormously narrow as compared to the US mortgage. The most important reason for that - low incomes of the Russian population.

  1. Residential Carers' Knowledge and Attitudes towards Physiotherapy Interventions for Adults with Learning Disabilities

    Science.gov (United States)

    Stewart, Stephen; Macha, Ruth; Hebblethwaite, Amy; Hames, Annette

    2009-01-01

    Through the use of face-to-face interviews, this article explores residential carers' perceptions and understanding of a physiotherapy service provided to patients with a learning disability, with the aim of highlighting potential areas for improvement in the service. Carers involved in the study reported a good relationship with the…

  2. Transmitter-receiver system

    NARCIS (Netherlands)

    De Weerdt, E.; Van Kampen, E.J.; Chu, Q.P.

    2009-01-01

    The invention relates to a transmitter-receiver system comprising at least three transmitters and at least a first receiver and a second receiver, wherein the receivers are connected to a computing device that is arranged to analyse signals that said receivers receive from said transmitters and to

  3. Key Residential Building Equipment Technologies for Control and Grid Support PART I (Residential)

    Energy Technology Data Exchange (ETDEWEB)

    Starke, Michael R [ORNL; Onar, Omer C [ORNL; DeVault, Robert C [ORNL

    2011-09-01

    Electrical energy consumption of the residential sector is a crucial area of research that has in the past primarily focused on increasing the efficiency of household devices such as water heaters, dishwashers, air conditioners, and clothes washer and dryer units. However, the focus of this research is shifting as objectives such as developing the smart grid and ensuring that the power system remains reliable come to the fore, along with the increasing need to reduce energy use and costs. Load research has started to focus on mechanisms to support the power system through demand reduction and/or reliability services. The power system relies on matching generation and load, and day-ahead and real-time energy markets capture most of this need. However, a separate set of grid services exist to address the discrepancies in load and generation arising from contingencies and operational mismatches, and to ensure that the transmission system is available for delivery of power from generation to load. Currently, these grid services are mostly provided by generation resources. The addition of renewable resources with their inherent variability can complicate the issue of power system reliability and lead to the increased need for grid services. Using load as a resource, through demand response programs, can fill the additional need for flexible resources and even reduce costly energy peaks. Loads have been shown to have response that is equal to or better than generation in some cases. Furthermore, price-incentivized demand response programs have been shown to reduce the peak energy requirements, thereby affecting the wholesale market efficiency and overall energy prices. The residential sector is not only the largest consumer of electrical energy in the United States, but also has the highest potential to provide demand reduction and power system support, as technological advancements in load control, sensor technologies, and communication are made. The prevailing loads

  4. Utilization of formal health services for children aged 1-5 in Aceh after the 2004 tsunami: Which children did not receive the health care they needed? Implications for other natural disaster relief efforts.

    Science.gov (United States)

    Rassekh, Bahie Mary; Santosham, Mathuram

    2014-01-01

    Aceh, Indonesia, was the hardest-hit area in the December 26, 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense, with billions of dollars of aid pledged to this province alone. Since then, there have been several natural disasters, including Typhoon Haiyan, which have caused great loss of life and displacement and for which these results are applicable. This study aimed to determine and assess utilization patterns of health services for children under the age of five with diarrhea, cough and difficulty breathing, fever, or skin disease and to identify determinants of formal and non-formal healthcare usage. A household survey of 1439 households was administered to caretakers of children aged 1-5 years. A sample of clusters within Banda Aceh and Aceh Besar were selected and those caretakers within the cluster who fit the inclusion criteria were interviewed. In the two weeks prior to the survey, 78.3% of respondents utilized formal health services as the first line of care for their child's illness episode. Factors significantly associated with decreased formal healthcare usage for the sick children were if the children were living in a displaced household, if the children's mother or father were not living, and if the children's caretaker was not the mother. Although utilization of formal health services for children was quite high after the tsunami, there were certain children who received significantly less care, including those who were displaced, those who were being cared for by someone other than their mother, and those for whom one or both parents had died. Among the recommendations are suggestions to target these children to ensure that they receive the health care they need.

  5. [Children's and Adolescents' Mental Health in Residential Youth Care Settings].

    Science.gov (United States)

    Niemann, Katrin; Häßler, Frank

    2014-01-01

    Children's and Adolescents' Mental Health in Residential Youth Care Settings Young people in residential youth care show a higher prevalence of mental problems than other children. This study gives an overview about the current situation of children and young people in the residential youth welfare service in Rostock (Mecklenburg-Western Pomerania, Germany). In 2008 a similar study for the rural district Bad Doberan (Mecklenburg-Western Pomerania, Germany) was conducted by Engel, Pätow, and Häßler (2009). This research was carried out with two measuring times over a period of eight months starting 2010. 48 young people and their keyworker as well as teachers answered Achenbach's self- and third-party-assessment forms for mental problems. Furthermore the Barrat-Impulsiveness Scale (BIS-11) and the Youth-Psychopathic Inventory were used to get information about traits of Psychopathy. The result showed that 51 % of the young people rated themselves as clinical relevant. Female probands reached higher scores than the male. The third-party assessment displayed 45 % in clinical scores. These scores, presented by a dimensional assessment, confirm the higher prevalence of mental problems in residential youthcare settings. A long term improvement of the life situation of psychological stressed children and adolescents, who are living in residential care homes, can only be achieved by an intensive cooperation of all the involved institutions and professions. The basis for this is the realisation of this necessity as well as the deduction and implementation of appropriate curricula, which imparts the required abilities needed for the conversion in the respective professions.

  6. Residential energy usage comparison project: An overview

    Energy Technology Data Exchange (ETDEWEB)

    Smith, B.A.; Uhlaner, R.T.; Cason, T.N. (Quantum Consulting, Inc., Berkeley, CA (USA))

    1990-10-01

    This report provides an overveiw of the residential energy usage comparison project, an integrated load and market research project sponsored by EPRI and the Southern California Edison Company. Traditional studies of the relative energy consumption of electric and gas household appliances have relied on laboratory analyses and computer simulations. This project was designed to study the appliance energy consumption patterns of actual households. Ninety-two households in Orange County, California, southeast of Los Angeles, served as the study sample. Half of the households received new electric space-conditioning, water-heating, cooking, and clothes-drying equipment; the other half received gas equipment. The electric space-conditioning and water-heating appliances were heat pump technologies. All of the appliances were metered to collect load-shape and energy consumption data. The households were also surveyed periodically to obtain information on their energy needs and their acceptance of the appliances. The metered energy consumption data provide an important benchmark for comparing the energy consumption and costs of alternative end-use technologies. The customer research results provide new insights into customer preferences for fuel and appliance types. 15 figs., 3 tabs.

  7. Program evaluation: Weatherization Residential Assistance Partnership (WRAP) Program

    Energy Technology Data Exchange (ETDEWEB)

    Jacobson, Bonnie B.; Lundien, Barbara; Kaufman, Jeffrey; Kreczko, Adam; Ferrey, Steven; Morgan, Stephen

    1991-12-01

    The Weatherization Residential Assistance Partnership,'' or WRAP program, is a fuel-blind conservation program designed to assist Northeast Utilities' low-income customers to use energy safely and efficiently. Innovative with respect to its collaborative approach and its focus on utilizing and strengthening the existing low-income weatherization service delivery network, the WRAP program offers an interesting model to other utilities which traditionally have relied on for-profit energy service contractors and highly centralized program implementation structures. This report presents appendices with surveys, participant list, and computers program to examine and predict potential energy savings.

  8. Outbreak of Clostridium difficile ribotype 027 in a residential home.

    Science.gov (United States)

    Clayton, J J; McHale-Owen, J

    2014-12-01

    This article reports a significant outbreak of Clostridium difficile ribotype 027 infection in a residential care home in the UK. Five of six affected residents died within one month of diagnosis. Investigation of the facility revealed problems with hand hygiene and environmental cleaning. Affected residents had received a mean of 2.7 antibiotic courses in the two months preceding diagnosis. It is important to recognize that C. difficile outbreaks can occur in residential homes. There is a need for health- and social-care systems to work closely together to assure the safety of people in their care. Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

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

    NARCIS (Netherlands)

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

    2008-01-01

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

  10. Organizational capacity for service integration in community-based addiction health services.

    Science.gov (United States)

    Guerrero, Erick G; Aarons, Gregory A; Palinkas, Lawrence A

    2014-04-01

    We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs. We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program. Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing. These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.

  11. Investigate and Comparsion Self-Esteem and Happiness Among Residential and Non-Residential Old People

    Directory of Open Access Journals (Sweden)

    Zakieh Nasiri

    2012-07-01

    Full Text Available Objectives: The main aim of this study was to investigate and to compare elderly happiness and self-esteem among residential and non-residential. Methods & Materials: This research was designed as descriptive. Two groups were selected in convenience method. Member of residential elderly (416 elderly were chosen based on Morgan Table. Hundred-twenty elderly, 60 residential (30 men and 30 women and 60 non-residential (30 men and 30 women were chosen for study. Data used the three questionnaires, like Demographic questionnaires, Oxford Happiness Inventory and Self-esteem Scale’s Rozenberg. Data were gathered and analyzed with Pearson test, t-student test. Results: The results were indicated that a significant relationship between happiness and self-esteem, among residential and non- residential old people. The findings showed significant difference in happiness, self-esteem among residential and home participants in both groups (P<0.01. Conclusion: The results were showed that a significant relationship between social support and self-esteem, among residential and non-residential old people. Also, the results were indicated that significant difference between social support. In general, residential participants had lower social support and self-esteem than non-residential participants.

  12. Chapter 17: Residential Behavior Protocol

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, James [Cadmus Group, Waltham, MA (United States); Todd, Annika [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-01-01

    Residential behavior-based (BB) programs use strategies grounded in the behavioral social sciences to influence household energy use. Strategies may include providing households with real-time or delayed feedback about their energy use; supplying energy-efficiency education and tips; rewarding households for reducing their energy use; comparing households to their peers; and establishing games, tournaments, and competitions. BB programs often target multiple energy end uses and encourage energy savings, demand savings, or both. Savings from BB programs are usually a small percentage of energy use, typically less than 5%.

  13. Receiver Test Selection Criteria

    Science.gov (United States)

    2015-03-12

    The DOT requests that GPS manufacturers submit receivers for test in the following TWG categories: - Aviation (non-certified), cellular, general location/navigation, high precision, timing, networks, and space-based receivers - Each receiver should b...

  14. Ecosystem Services

    Science.gov (United States)

    Ecosystem goods and services are the many life-sustaining benefits we receive from nature and contribute to environmental and human health and well-being. Ecosystem-focused research will develop methods to measure ecosystem goods and services.

  15. 25 CFR 20.502 - Can Child Assistance funds be used to place Indian children in residential care facilities?

    Science.gov (United States)

    2010-04-01

    ... OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance How... in residential care facilities? You, the social service program, can use Child Assistance funds to... 25 Indians 1 2010-04-01 2010-04-01 false Can Child Assistance funds be used to place Indian...

  16. Barriers and facilitators to successful transition from long-term residential substance abuse treatment.

    Science.gov (United States)

    Manuel, Jennifer I; Yuan, Yeqing; Herman, Daniel B; Svikis, Dace S; Nichols, Obie; Palmer, Erin; Deren, Sherry

    2017-03-01

    Although residential substance abuse treatment has been shown to improve substance use and other outcomes, relapse is common. This qualitative study explores factors that hinder and help individuals during the transition from long-term residential substance abuse treatment to the community. Semi-structured interviews were conducted with 32 individuals from residential substance abuse treatment. Based on the socio-ecological model, barriers and facilitators to transition were identified across five levels: individual, interpersonal, organizational, community, and policy. The major results indicate that primary areas of intervention needed to improve outcomes for these high-risk individuals include access to stable housing and employment, aftercare services and positive support networks; expanded discharge planning services and transitional assistance; and funding to address gaps in service delivery and to meet individuals' basic needs. This study contributes to the literature by identifying transition barriers and facilitators from the perspectives of individuals in residential treatment, and by using the socio-ecological model to understand the complexity of this transition at multiple levels. Findings identify potential targets for enhanced support post-discharge from residential treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Residential ventilation standards scoping study

    Energy Technology Data Exchange (ETDEWEB)

    McKone, Thomas E.; Sherman, Max H.

    2003-10-01

    The goals of this scoping study are to identify research needed to develop improved ventilation standards for California's Title 24 Building Energy Efficiency Standards. The 2008 Title 24 Standards are the primary target for the outcome of this research, but this scoping study is not limited to that timeframe. We prepared this scoping study to provide the California Energy Commission with broad and flexible options for developing a research plan to advance the standards. This document presents the findings of a scoping study commissioned by the Public Interest Energy Research (PIER) program of the California Energy Commission to determine what research is necessary to develop new residential ventilation requirements for California. This study is one of three companion efforts needed to complete the job of determining the ventilation needs of California residences, determining the bases for setting residential ventilation requirements, and determining appropriate ventilation technologies to meet these needs and requirements in an energy efficient manner. Rather than providing research results, this scoping study identifies important research questions along with the level of effort necessary to address these questions and the costs, risks, and benefits of pursuing alternative research questions. In approaching these questions and corresponding levels of effort, feasibility and timing were important considerations. The Commission has specified Summer 2005 as the latest date for completing this research in time to update the 2008 version of California's Energy Code (Title 24).

  18. Residential Electricity Consumption in Poland

    Directory of Open Access Journals (Sweden)

    Edyta Ropuszyńska-Surma

    2016-01-01

    Full Text Available Key factors influencing electricity consumption in the residential sector in Poland have been identified. A fixed-effects model was used, which includes time effects, and a set of covariates, based on the model developed by Houthakker et al. This model estimates electricity demand by using lagged values of the dependent variable along with current and lagged values of electricity prices, and other variables that affect electricity demand such as: population, economic growth, income per capita, price of related goods, etc. The model has been identified according to the research results of the authors and those obtained by Bentzen and Engsted. The set of covariates was extended to the lagged electricity price given by a tariff (taken from two years previous to the time of interest and heating degree days index, a very important factor in European Union countries, where the climate is temperate. The authors propose four models of residential electricity demand, for which a confidence interval of 95% has been assumed. Estimation was based on Polish quarterly data for the years 2003-2013. (original abstract

  19. The perceptions of homeless people regarding their healthcare needs and experiences of receiving health care.

    Science.gov (United States)

    Rae, Bernadette Emma; Rees, Sharon

    2015-09-01

    To understand the perspective of the homeless about their healthcare encounters and how their experiences of receiving healthcare influence their health-seeking behaviour. A phenomenological study was undertaken because of the increasing levels of homelessness in the United Kingdom. Most of the current literature is American or Canadian. An interpretive phenomenological inquiry. An opportunistic sample of fourteen single homeless adults was recruited from one male hostel and one non-residential day centre. Data collection was done in 2013. Semi-structured audio-recorded interviews were conducted one-to-one. Colaizzi's method for data analysis was used. Three major themes were identified. Expressed Health Need, Healthcare Experiences and Attitudes to health care. Health problems are recognized by the homeless but the need for intervention is not always prioritised. Obstacles in access to health care in the UK are both perceived (attitudes towards the homeless; previous bad experience) and actual (difficulty in registering with a general practitioner, difficulty travelling to services, being forced to move to new area). Some homeless people feel that they are treated with prejudice and receive substandard care. Positive healthcare experiences were also reported. Positive and negative healthcare encounters can profoundly affect the homeless. Address apparent inconsistency of care; promote greater interdisciplinary communication and referrals to homeless services from prisons and hospitals; increase the availability of intermediate services; reduce obligation of homeless to move area; research experiences of homeless families. © 2015 John Wiley & Sons Ltd.

  20. Residential instability: a perspective on system imbalance.

    Science.gov (United States)

    Appleby, Lawrence; Desai, Prakash

    1987-10-01

    In an exploration of residential instability and recidivism in chronic mental patients, 215 psychiatric admissions were followed for a year after the initial episode. In addition to an unusually high incidence of residential mobility, a relationship between mobility and number of hospitalizations was evident, as were isolation, disruptive family situations, and homelessness. The needed response of the mental health system is discussed.

  1. Credit Scores, Race, and Residential Sorting

    Science.gov (United States)

    Nelson, Ashlyn Aiko

    2010-01-01

    Credit scores have a profound impact on home purchasing power and mortgage pricing, yet little is known about how credit scores influence households' residential location decisions. This study estimates the effects of credit scores on residential sorting behavior using a novel mortgage industry data set combining household demographic, credit, and…

  2. Does immigrant residential crowding reflect hidden homelessness?

    Directory of Open Access Journals (Sweden)

    Michael Haan

    2011-12-01

    the extent to which heightened levels of residential crowding might reflect “hidden homelessness.” I find mixed evidence to support this link, and, if anything, find some evidence to suggest that the link between residential crowding and hidden homelessness, if one exists, is strongest for the Canadian-born.

  3. Helicobacter pylori Infection in Persons with Intellectual Disability in Residential Care in Israel

    Directory of Open Access Journals (Sweden)

    Joav Merrick

    2001-01-01

    Full Text Available Helicobacter pylori (formerly Campylobacter pylori was identified in 1982 by researchers from Australia as a pathogenic factor in peptic ulcer disease. Due to the few studies on H. pylori infection conducted in the population of persons with intellectual disability it was decided to conduct a clinical study in Israel. The purpose of the study was to determine the occurrence of H. pylori infection in persons who presented with severe dyspeptic symptoms and to monitor clinically the effect of treatment. The Division for Mental Retardation in Israel provides service to 6,022 persons in 53 residential care centers and 1 in central Israel was selected for this pilot study. The study has been performed since 1999 and each patient who came to the medical clinic of the institution with severe dyspeptic symptoms was examined clinically and a blood specimen drawn for IgG antibodies to H. pylori (ELISA, Pharmatop Millenia. In case of positive serology, triple drug treatment (amoxycillin, metronidazole, and pantoprazole or omepra-zole was initiated for 1 week. Since 1999 a total of 43 persons (total population in care was 224 had severe dyspeptic symptoms and 42 persons (98%, 26 males, 16 females, mean age 45 years, mean institutionalization 20 years had Helicobacter infection. All patients were treated for 1 week, but six patients received an extra month of omeprazole due to persistent symptoms. At follow-up, clinically all patients had improvement and only seven still had minor complaints (83% treatment success. Persons with developmental disability, intellectual disability, or mental retardation in residential care presenting with severe dyspeptic symptoms had a high incidence of H. pylori infection. Therefore, we recommend serology or urea breath investigations in this population presenting with dyspeptic symptoms and triple drug treatment for 1 week in case of positive findings.

  4. Estimating the Determinants of Residential Water Demand in Italy

    Directory of Open Access Journals (Sweden)

    Giulia Romano

    2014-09-01

    Full Text Available The aim of this study was to estimate the determinants of residential water demand for chief towns of every Italian province, in the period 2007–2009, using the linear mixed-effects model estimated with the restricted-maximum-likelihood method. Results confirmed that the applied tariff had a negative effect on residential water consumption and that it was a relevant driver of domestic water consumption. Moreover, income per capita had a positive effect on water consumption. Among measured climatic and geographical features, precipitation and altitude exerted a strongly significant negative effect on water consumption, while temperature did not influence water demand. Further, data show that small towns in terms of population served were characterized by lower levels of consumption. Water utilities ownership itself did not have a significant effect on water consumption but tariffs were significantly lower and residential water consumption was higher in towns where the water service was managed by publicly owned water utilities. However, further research is needed to gain a better understanding of the connection between ownership of water utilities and water prices and water consumption.

  5. An innovative educational program for residential energy efficiency. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Laquatra, J.; Chi, P.S.K.

    1996-09-01

    Recognizing the importance of energy conservation, under sponsorship of the US Department of Energy, Cornell University conducted a research and demonstration project entitled An Innovative Educational Program for Residential Energy Efficiency. The research project examined the amount of residential energy that can be saved through changes in behavior and practices of household members. To encourage these changes, a workshop was offered to randomly-selected households in New York State. Two surveys were administered to household participants (Survey 1 and Survey 2, Appendix A) and a control group; and a manual was developed to convey many easy but effective ways to make a house more energy efficient (see Residential Manual, Appendix B). Implementing methods of energy efficiency will help reduce this country`s dependence on foreign energy sources and will also reduce the amount of money that is lost on inefficient energy use. Because Cornell Cooperative Extension operates as a component of the land-grant university system throughout the US, the results of this research project have been used to develop a program that can be implemented by the Cooperative Extension Service nationwide. The specific goals and objectives for this project will be outlined, the population and sample for the research will be described, and the instruments utilized for the survey will be explained. A description of the workshop and manual will also be discussed. This report will end with a summary of the results from this project and any observed changes and/or recommendations for future surveys pertaining to energy efficiency.

  6. New Hampshire Carbon Challenge: Reducing Residential Energy Use and Greenhouse Gas Emissions

    Science.gov (United States)

    Schloss, A. L.; Bartlett, D.; Blaha, D.; Skoglund, C.; Dundorf, J.; Froburg, E.; Pasinella, B.

    2007-12-01

    The New Hampshire Carbon Challenge is an initiative of the Institute for the Study of Earth, Oceans and Space at the University of New Hampshire. Our goal is to educate New Hampshire residents about climate change and also encourage them to reduce their household greenhouse gas emissions by 10,000 pounds. The Northeast region is undergoing climate changes consistent with those expected due to increasing levels of CO2 in the atmosphere, while also contributing to climate change as the world's seventh largest source of CO2 emissions. In the USA, approximately 40 percent of CO2 emissions from fossil fuel combustion come from residential energy consumption for space heating, electricity usage, and transportation. Homeowners typically are not aware that modest energy reductions can result in significant carbon savings. Most campaigns that raise awareness of climate change and residential energy usage disseminate information to consumers through newspaper articles, brochures, websites, or other traditional means of communication. These information-only campaigns have not been very effective in changing residential energy consumption. Bombarded with information in their daily lives, the public has become quite adept at tuning most of it out. When much of the information they receive about climate change is confusing and contradictory, residents have even less incentive to change their behavior. The Challenge is unique in that it couples accurate information about climate change with concrete actions homeowners can take to reduce their carbon emissions. Our strategy is to utilize the tools of Community Based Social Marketing, which has been shown to be effective in changing behavior, and also to leverage existing networks including the NH Department of Environmental Services, UNH Cooperative Extension, faith-based communities, municipal energy committees and Climate Project volunteers, to effectively reach residents throughout the state. The response to our program has

  7. Restructuring and the retail residential market for power in Pennsylvania

    International Nuclear Information System (INIS)

    Kleit, Andrew N.; Shcherbakova, Anastasia V.; Chen Xu

    2012-01-01

    In January 2010 electricity retail residential rate caps expired in a large part of Pennsylvania, allowing consumers to shop for electricity in the retail market. In this paper we employ customer-level data from the relevant territory to analyze what residential customer and community characteristics impacted the decision of whether or not to switch to an alternative electricity provider, and when to make the switch. Results show that customers with higher usage levels (especially around the time of the program's introduction), electric heating, and those living in more urban and more educated communities with lower unemployment rates and higher median household incomes were both more likely to switch, and more likely to do so faster. Lower switching rates and a slower switching response was observed from customers with more variable month to month usage (perhaps this made them unsure of future benefits from switching), those on alternative residential electricity rates (time-of-day and thermal storage programs), and those new to the relevant area (perhaps due to lack of information about the residential choice program). Critics of retail electricity competition have suggested that it disadvantages poor and elderly ratepayers. Our results do not support this contention. Customers living in communities with higher poverty rates were actually more likely to switch (and do so faster) than middle-income consumers. Communities with higher shares of senior population were not found to have lower switching rates from younger communities. - Highlights: ► We analyze introduction of retail competition in Pennsylvania's electricity sector. ► We evaluate what characteristics influence consumers to switch electric providers. ► Higher usage and electric heat influence customers to switch and to do so faster. ► More variable usage and being new to service area deter switching. ► High poverty rates induce switching; older communities no less likely to switch.

  8. Residential Differences in the Composition of the Helping Networks of Impaired Elders.

    Science.gov (United States)

    Coward, Raymond T.; And Others

    1990-01-01

    Used data from 1984 Supplement on Aging to National Health Interview Survey to examine residential differences in helping network composition of 3,761 impaired elders. Severely impaired elders in nonmetropolitan communities were less apt than metropolitan counterparts to receive aid from formal providers and were significantly more likely to…

  9. Care staff training in detection of depression in residential homes for the elderly: randomised trial

    NARCIS (Netherlands)

    Eisses, A.M.H.; Kluiter, H.; Jongenelis, K.; Pot, A.M.; Beekman, A.T.F.; Ormel, J.

    2005-01-01

    Background: Many people with depression in residential care homes for the elderly do not receive treatment because their depression remains undetected. Aims: To determine the effects of staff training on the detection, treatment and outcome of depression in residents of ten homes. Method: We

  10. Care staff training in detection of depression in residential homes for the elderly - Randomised trial

    NARCIS (Netherlands)

    Eisses, AMH; Kluiter, H; Jongenelis, K; Beekman, ATF; Ormel, J

    Background. Many people with depression in residential care homes for the elderly do not receive treatment because their depression remains undetected. Aims. To determine the effects of staff training on the detection, treatment and outcome of depression in residents often homes. Method. We

  11. Residential radon survey in Finland

    International Nuclear Information System (INIS)

    Arvela, H.; Maekelaeinen, I.; Castren, O.

    1993-02-01

    The study measured the indoor radon concentration in the dwellings of 3074 persons, selected randomly from the central population register of Finland. Alpha track detectors and two consecutive half year measuring periods were used. The national mean of indoor radon concentration for persons living in low-rise residential buildings as well as blocks of flats was 145 and 82 Bq/m 3 , respectively. The mean for the total population was 123 Bq/m 3 . Based on the decision of the Ministry of Social Affairs and Health in 1992, the indoor radon concentration should not exceed 400 Bq/m 3 in already existing houses, the target for new construction being less than 200 Bq/m 3 . According to the study, the percentage of the Finnish population living in houses with an indoor radon concentration exceeding 200, 400 and 800 Bq/m 3 was 12.3 %, 3.6 % and 1.0 %

  12. Training residential staff and supervisors to conduct traditional functional analyses.

    Science.gov (United States)

    Lambert, Joseph M; Bloom, Sarah E; Clay, Casey J; Kunnavatana, S Shanun; Collins, Shawnee D

    2014-07-01

    In this study we extended a training outlined by Iwata to behavioral technicians working for a residential service provider for adults with developmental disabilities. Specifically, we trained ten supervisors and four assistants to organize, conduct, collect data for, and interpret the results of traditional functional analyses (FA; Iwata et al.,1994). Performance was initially low and improved across all measures following training. Results extend previous FA training research by including a tangible condition and by demonstrating that individuals with little to no prior experience conducting FAs can be taught all of the skills required to autonomously conduct them in a relatively short period of time. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Evaluation of Multi Residential House Renovation Efficiency

    Directory of Open Access Journals (Sweden)

    Daiva Rapcevičienė

    2011-03-01

    Full Text Available Analyzed multi residential house renovation investment projects efficiency evaluation methods: economic-social, and environmental, as well as key financial valuation methods: simple pay-back period, the energy cost savings, the net present value, internal rate of return. Building walls condition regenerative rate which is used to evaluate investments in energy-saving measures is also discussed. According to reconstruction investments of multi residential house, three government financing programs of multi residential house are evaluated and selected the most effective program by comparing financial valuation methods taking and without taking into account building walls condition regenerative rate. Article in Lithuanian

  14. Solar heat receiver

    Science.gov (United States)

    Hunt, Arlon J.; Hansen, Leif J.; Evans, David B.

    1985-01-01

    A receiver for converting solar energy to heat a gas to temperatures from 700.degree.-900.degree. C. The receiver is formed to minimize impingement of radiation on the walls and to provide maximum heating at and near the entry of the gas exit. Also, the receiver is formed to provide controlled movement of the gas to be heated to minimize wall temperatures. The receiver is designed for use with gas containing fine heat absorbing particles, such as carbon particles.

  15. 47 CFR 15.121 - Scanning receivers and frequency converters used with scanning receivers.

    Science.gov (United States)

    2010-10-01

    ... from the Cellular Radiotelephone Service frequency bands voids the certification of the scanning... Radiotelephone Service transmissions. (e) Scanning receivers and frequency converters designed for use with... 47 Telecommunication 1 2010-10-01 2010-10-01 false Scanning receivers and frequency converters...

  16. 75 FR 26137 - High-Cost Universal Service Support, Federal-State Joint Board on Universal Service

    Science.gov (United States)

    2010-05-11

    ... Office of Consumer Advocate for supplemental high-cost universal service support for rural residential... Consumer Advocate for supplemental high-cost universal service support for rural residential customers of... certain local rates to increase their support rather than to cut rates to meet competition. 40. Finally...

  17. 12 CFR 541.16 - Improved residential real estate.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Improved residential real estate. 541.16... REGULATIONS AFFECTING FEDERAL SAVINGS ASSOCIATIONS § 541.16 Improved residential real estate. The term improved residential real estate means residential real estate containing offsite or other improvements...

  18. 12 CFR 541.23 - Residential real estate.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Residential real estate. 541.23 Section 541.23... AFFECTING FEDERAL SAVINGS ASSOCIATIONS § 541.23 Residential real estate. The terms residential real estate... home used in part for business); (c) Other real estate used for primarily residential purposes other...

  19. Residential location choice of knowledge-workers: The role of amenities, workplace and lifestyle

    DEFF Research Database (Denmark)

    Frenkel, Amnon; Bendit, Edward; Kaplan, Sigal

    2013-01-01

    This study investigates the residential location choice of knowledge-workers at the intra-metropolitan level by applying discrete choice models. The models represent housing choices of 833 knowledge-workers in high-technology and financial services and analyze the relative importance of lifestyle...

  20. Determinants of establishment survival for residential trees in Sacramento County, CA

    Science.gov (United States)

    Lara A. Roman; John J. Battles; Joe R. McBride

    2014-01-01

    Urban forests can provide ecosystem services that motivate tree planting campaigns, and tree survival is a key element of program success and projected benefits. We studied survival in a shade tree give-away program in Sacramento, CA, monitoring a cohort of young trees for five years on single-family residential properties. We used conditional inference trees to...

  1. Adaptation to Early Adulthood by a Sample of Youth Discharged from a Residential Education Placement

    Science.gov (United States)

    Jones, Loring

    2008-01-01

    Three years of outcome data for foster youth (n = 106) discharged from a one-of-kind residential education service are presented. Findings were that 50% of respondents attended college at some point. Youth reported having 2 or 3 jobs a year with at least one bout of unemployment. Most of the non-college bound youth reported working in low-wage…

  2. Effects of rural residential development on forest communities in Oregon and Washington, USA

    Science.gov (United States)

    David L. Azuma; Bianca N.I. Eskelson; Joel L. Thompson

    2014-01-01

    Rural residential development in forests of Oregon and Washington continues to be a key driver of land use change. This type of development can have a variety of effects on the goods and services forests provide to the region. We used structure density from photo-interpreted points around forest inventory and analysis plots to examine differences in forest attributes...

  3. Perceptions of Personal Well-Being among Youth Accessing Residential or Intensive Home-Based Treatment

    Science.gov (United States)

    Preyde, Michele; Watkins, Hanna; Ashbourne, Graham; Lazure, Kelly; Carter, Jeff; Penney, Randy; White, Sara; Frensch, Karen; Cameron, Gary

    2013-01-01

    The outcomes of youth accessing residential treatment or intensive home-based treatment are varied. Understanding youth's perceptions of their well-being may inform service. The purpose of this report was to explore perceptions of youth's mental health, life satisfaction, and outlook for the future. Youth reported ongoing struggles with mental…

  4. Assessment of Meaning in Adolescents Receiving Clinical Services in Mississippi Following the Deepwater Horizon Oil Spill: An Application of the Purpose in Life Test-Short Form (PIL-SF).

    Science.gov (United States)

    Schulenberg, Stefan E; Smith, C Veronica; Drescher, Christopher F; Buchanan, Erin M

    2016-12-01

    This study's purpose was to assess perceived meaning in adolescents. Specifically, our goals were to examine the psychometric properties of the Purpose in Life test-Short Form (PIL-SF) and its ability to predict psychological outcomes in an adolescent sample. Aspects of well-being (self-efficacy, life satisfaction, and resilience) and psychological distress (posttraumatic stress, depression, anxiety, and general stress) were assessed in a sample of adolescents (N = 91; 58.2% female; mean age = 14.89) receiving clinical services following the Deepwater Horizon Oil Spill. Meaning was positively associated with life satisfaction, self-efficacy, and resilience, and negatively associated with posttraumatic stress and depression. Meaning was not significantly related to anxiety or general stress. Females reported significantly more meaning than males, while no significant differences were noted by race/ethnicity. The PIL-SF is a useful measure with adolescents. Moreover, meaning is an important concept to consider with respect to disasters. © 2015 Wiley Periodicals, Inc.

  5. Evidence-Based Cutoff Threshold Values from Receiver Operating Characteristic Curve Analysis for Knee Osteoarthritis in the 50-Year-Old Korean Population: Analysis of Big Data from the National Health Insurance Sharing Service

    Directory of Open Access Journals (Sweden)

    Hyunseok Jee

    2018-01-01

    Full Text Available We aimed to investigate the characteristics of patients with osteoarthritis (OA, using the data of all Koreans registered in the National Health Insurance Sharing Service Database (NHISS DB, and to provide ideal alternative cutoff thresholds for alleviating OA symptoms. Patients with OA (codes M17 and M17.1–M17.9 in the Korean Standard Classification of Disease and Causes of Death were analyzed using SAS software. Optimal cutoff thresholds were determined using receiver operating characteristic curve analysis. The 50-year age group was the most OA pathogenic group (among 40~70 years, n=2088. All exercise types affected the change of body mass index (p<0.05 and the sex difference in blood pressure (BP (p<0.01. All types of exercise positively affected the loss of waist circumference and the balance test (standing time on one leg in seconds (p<0.01. The cutoff threshold for the time in seconds from standing up from a chair to walking 3 m and returning to the same chair was 8.25 (80% sensitivity and 100% specificity. By using the exercise modalities, categorized multiple variables, and the cutoff threshold, an optimal alternative exercise program can be designed for alleviating OA symptoms in the 50-year age group.

  6. Multidisciplinary residential treatment of type 1 diabetes mellitus and co-occurring eating disorders.

    Science.gov (United States)

    Dickens, Yani L; Haynos, Ann F; Nunnemaker, Shannon; Platka-Bird, Lorraine; Dolores, John

    2015-01-01

    Research on treatment for diabetes and co-occurring eating disorders is sparse. We examined outcomes from multidisciplinary residential treatment for women with type 1 diabetes and eating disorders and the impact of treatment duration on outcomes. Participants were 29 women with type 1 diabetes and eating disorders receiving residential treatment. Repeated measures analyses of variance examined changes in blood glucose and psychological symptoms over treatment. Analyses were repeated to include treatment by duration interactions. Treatment produced significant reductions in blood glucose, eating disorder symptoms, and psychological concerns. Longer treatment duration was associated with greater improvements in psychological symptoms.

  7. 5 CFR 1655.20 - Residential loans.

    Science.gov (United States)

    2010-01-01

    ...'s primary residence is his or her principal residence. A primary residence may include a house, a... residence. A residential loan will not be made for a lease-to-buy option, unless the option to buy is being...

  8. RACIAL RESIDENTIAL SEGREGATION AND ADVERSE BIRTH OUTCOMES

    Science.gov (United States)

    INTRODUCTION. The disparity between black and white women's adverse birth outcomes has been subject to much investigation, yet the factors underlying its persistence remain elusive, which has encouraged research on neighborhood-level influences, including racial residential segr...

  9. Forecasting residential electricity demand in provincial China.

    Science.gov (United States)

    Liao, Hua; Liu, Yanan; Gao, Yixuan; Hao, Yu; Ma, Xiao-Wei; Wang, Kan

    2017-03-01

    In China, more than 80% electricity comes from coal which dominates the CO2 emissions. Residential electricity demand forecasting plays a significant role in electricity infrastructure planning and energy policy designing, but it is challenging to make an accurate forecast for developing countries. This paper forecasts the provincial residential electricity consumption of China in the 13th Five-Year-Plan (2016-2020) period using panel data. To overcome the limitations of widely used predication models with unreliably prior knowledge on function forms, a robust piecewise linear model in reduced form is utilized to capture the non-deterministic relationship between income and residential electricity consumption. The forecast results suggest that the growth rates of developed provinces will slow down, while the less developed will be still in fast growing. The national residential electricity demand will increase at 6.6% annually during 2016-2020, and populous provinces such as Guangdong will be the main contributors to the increments.

  10. Modeling radon transport in multistory residential buildings

    International Nuclear Information System (INIS)

    Persily, A.K.

    1993-01-01

    Radon concentrations have been studied extensively in single-family residential buildings, but relatively little work has been done in large buildings, including multistory residential buildings. The phenomena of radon transport in multistory residential buildings is made more complicated by the multizone nature of the airflow system and the numerous interzone airflow paths that must be characterized in such a system. This paper presents the results of a computer simulation of airflow and radon transport in a twelve-story residential building. Interzone airflow rates and radon concentrations were predicted using the multizone airflow and contaminant dispersal program (CON-TAM88). Limited simulations were conducted to study the influence of two different radon source terms, indoor-outdoor temperature difference and exterior wall leakage values on radon transport and radon concentration distributions

  11. Gentrification and Residential Mobility in Philadelphia

    OpenAIRE

    Ding, Lei; Hwang, Jackelyn; Divringi, Eileen

    2016-01-01

    Gentrification has provoked considerable controversy surrounding its effects on residential displacement. Using a unique individual-level, longitudinal data set, this study examines mobility rates and residential destinations of residents in gentrifying neighborhoods during the recent housing boom and bust in Philadelphia for various strata of residents and different types of gentrification. We find that vulnerable residents, those with low credit scores and without mortgages, are generally n...

  12. Architectural design of passive solar residential building

    Directory of Open Access Journals (Sweden)

    Ma Jing

    2015-01-01

    Full Text Available This paper studies thermal environment of closed balconies that commonly exist in residential buildings, and designs a passive solar residential building. The design optimizes the architectural details of the house and passive utilization of solar energy to provide auxiliary heating for house in winter and cooling in summer. This design might provide a more sufficient and reasonable modification for microclimate in the house.

  13. Dental Care Utilization and Satisfaction of Residential University Students

    Directory of Open Access Journals (Sweden)

    Bamise CT

    2008-01-01

    Full Text Available Aim: The objective of this study was to provide information on the level of utilization and satisfaction of residential university students with the dental services provided by the dental clinic of a teaching hospital. Volunteers and Material: A stratified sampling technique was used to recruit volunteers from the outpatient clinic of the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Information was collected by a self-administered questionnaire composed of questions that measure the level of utilization and satisfaction with the dental services provided. Questionnaires were provided to 650 randomly chosen students residing in the University hostels. There were 39 refusals, and 6 incomplete questionnaires were discarded. This left a sample size of 605 volunteers. Results: Forty seven students (7.8% indicated that they visited the dental hospital within the last 12 months. Males and females utilized the dental services equally, and utilization increased with age and the number of years spent on campus. Anticipation of painful dental treatment, high dental charges, long waiting times and being too busy for a dental visit were cited as the most important impediments to seeking dental treatment. Females expressed greater satisfaction with the services. Conclusion: Dental service utilization among the students was found to be low. Oral health awareness campaigns, improving the quality of the services, and shortening the waiting time are expected to increase service utilization and satisfaction.

  14. Integrated residential photovoltaic array development

    Science.gov (United States)

    Royal, G. C., III

    1981-04-01

    Sixteen conceptual designs of residential photovoltaic arrays are described. Each design concept was evaluated by an industry advisory panel using a comprehensive set of technical, economic and institutional criteria. Key electrical and mechanical concerns that effect further array subsystem development are also discussed. Three integrated array design concepts were selected by the advisory panel for further optimization and development. From these concepts a single one will be selected for detailed analysis and prototype fabrication. The three concepts selected are: (1) An array of frameless panels/modules sealed in a T shaped zipper locking neoprene gasket grid pressure fitted into an extruded aluminum channel grid fastened across the rafters. (2) An array of frameless modules pressure fitted in a series of zipper locking EPDM rubber extrusions adhesively bonded to the roof. Series string voltage is developed using a set of integral tongue connectors and positioning blocks. (3) An array of frameless modules sealed by a silicone adhesive in a prefabricated grid of rigid tape and sheet metal attached to the roof.

  15. Low complexity MIMO receivers

    CERN Document Server

    Bai, Lin; Yu, Quan

    2014-01-01

    Multiple-input multiple-output (MIMO) systems can increase the spectral efficiency in wireless communications. However, the interference becomes the major drawback that leads to high computational complexity at both transmitter and receiver. In particular, the complexity of MIMO receivers can be prohibitively high. As an efficient mathematical tool to devise low complexity approaches that mitigate the interference in MIMO systems, lattice reduction (LR) has been widely studied and employed over the last decade. The co-authors of this book are world's leading experts on MIMO receivers, and here they share the key findings of their research over years. They detail a range of key techniques for receiver design as multiple transmitted and received signals are available. The authors first introduce the principle of signal detection and the LR in mathematical aspects. They then move on to discuss the use of LR in low complexity MIMO receiver design with respect to different aspects, including uncoded MIMO detection...

  16. What are effective strategies for implementing trauma-informed care in youth inpatient psychiatric and residential treatment settings? A realist systematic review.

    Science.gov (United States)

    Bryson, Stephanie A; Gauvin, Emma; Jamieson, Ally; Rathgeber, Melanie; Faulkner-Gibson, Lorelei; Bell, Sarah; Davidson, Jana; Russel, Jennifer; Burke, Sharlynne

    2017-01-01

    Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions. After more than two decades, a number of TIC frameworks and approaches have shown favorable results. Largely unexamined, however, are the features that lead to successful implementation of TIC, especially in child and adolescent inpatient psychiatric and residential settings. Using methods proposed by Pawson et al. (J Health Serv Res Policy 10:21-34, 2005), we conducted a modified five-stage realist systematic review of peer-reviewed TIC literature. We rigorously searched ten electronic databases for peer reviewed publications appearing between 2000 and 2015 linking terms "trauma-informed" and "child*" or "youth," plus "inpatient" or "residential" plus "psych*" or "mental." After screening 693 unique abstracts, we selected 13 articles which described TIC interventions in youth psychiatric or residential settings. We designed a theoretically-based evaluative framework using the active implementation cycles of the National Implementation Research Network (NIRN) to discern which foci were associated with effective TIC implementation. Excluded were statewide mental health initiatives and TIC implementations in outpatient mental health, child welfare, and education settings. Interventions examined included: Attachment, Self-Regulation, and Competency Framework; Six Core Strategies

  17. Delphi Accounts Receivable Module -

    Data.gov (United States)

    Department of Transportation — Delphi accounts receivable module contains the following data elements, but are not limited to customer information, cash receipts, line of accounting details, bill...

  18. Cable networks, services, and management

    CERN Document Server

    2015-01-01

    Cable Networks, Services, and Management is the first book to cover cable networks, services, and their management, in-depth, for network operators, engineers, researchers, and students. Thirteen experts in various fields have contributed their knowledge of network architectures and services, Operations, Administration, Maintenance, Provisioning, Troubleshooting (OAMPT) for residential and business services, cloud, Software Defined Networks (SDN), as well as virtualization concepts and their applications as part of the future directions of cable networks. The book begins by introducing architecture and services for Data Over Cable Service Interface Specification (DOCSIS) 3.0/ 3.1, Converged Cable Access Platform (CCAP), Content Distribution Networks (CDN, IP TV, and Packet Cable and Wi-Fi for Residential Services. Topics that are discussed in proceeding chapters include: operational systems and management architectures, service orders, provisioning, fault manageme t, performance management, billing systems a...

  19. Model documentation report: Residential sector demand module of the national energy modeling system

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-01-01

    This report documents the objectives, analytical approach, and development of the National Energy Modeling System (NEMS) Residential Sector Demand Module. The report catalogues and describes the model assumptions, computational methodology, parameter estimation techniques, and FORTRAN source code. This reference document provides a detailed description for energy analysts, other users, and the public. The NEMS Residential Sector Demand Module is currently used for mid-term forecasting purposes and energy policy analysis over the forecast horizon of 1993 through 2020. The model generates forecasts of energy demand for the residential sector by service, fuel, and Census Division. Policy impacts resulting from new technologies, market incentives, and regulatory changes can be estimated using the module. 26 refs., 6 figs., 5 tabs.

  20. Unbundling the retail gas market: Current activities and guidance for serving residential and small customers

    Energy Technology Data Exchange (ETDEWEB)

    Costello, K.W.; Lemon, J.R.

    1996-05-01

    The restructuring of retail gas services has followed a typical pattern for previously heavily regulated industries: large customers are initially given rights to purchase unbundled services from different entities, with the same rights dispersed over time to smaller customers. For about ten years now industrial customers in most states have been able to {open_quotes}play the market{close_quotes}. Since the passage of the Federal Energy Regulatory Commission (FERC) Order 636 in 1992, interest has centered on expanding service unbundling to small retail customers, including residential customers. Importantly, the Order prohibited pipelines from providing bundled sales service. This is not surprising - in the telecommunications industry, for example, the unbundling of wholesale services was a strong stimulant for developing competition in the local exchange market. The push for small-customer service unbundling has derived from the basic but politically attractive idea that all retail customers should directly benefit from competitive forces in the natural gas industry. When one looks at the movement of prices since 1985, it is easy to see that large retail customers have enjoyed more favorable prices than other retail customers. For example, over the period 1985 to 1994 gas prices to industrial customers and electric utilities fell around 23 percent and 36 percent, respectively. In comparison, gas prices to residential customers increased by around 5 percent while gas prices to commercial customers decreased slightly by about 1 percent. This report examines various aspects of unbundling to small retail gas customers, with special emphasis on residential customers.

  1. Unbundling the retail gas market: Current activities and guidance for serving residential and small customers

    International Nuclear Information System (INIS)

    Costello, K.W.; Lemon, J.R.

    1996-05-01

    The restructuring of retail gas services has followed a typical pattern for previously heavily regulated industries: large customers are initially given rights to purchase unbundled services from different entities, with the same rights dispersed over time to smaller customers. For about ten years now industrial customers in most states have been able to open-quotes play the marketclose quotes. Since the passage of the Federal Energy Regulatory Commission (FERC) Order 636 in 1992, interest has centered on expanding service unbundling to small retail customers, including residential customers. Importantly, the Order prohibited pipelines from providing bundled sales service. This is not surprising - in the telecommunications industry, for example, the unbundling of wholesale services was a strong stimulant for developing competition in the local exchange market. The push for small-customer service unbundling has derived from the basic but politically attractive idea that all retail customers should directly benefit from competitive forces in the natural gas industry. When one looks at the movement of prices since 1985, it is easy to see that large retail customers have enjoyed more favorable prices than other retail customers. For example, over the period 1985 to 1994 gas prices to industrial customers and electric utilities fell around 23 percent and 36 percent, respectively. In comparison, gas prices to residential customers increased by around 5 percent while gas prices to commercial customers decreased slightly by about 1 percent. This report examines various aspects of unbundling to small retail gas customers, with special emphasis on residential customers

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

    Science.gov (United States)

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

    2008-01-01

    Characteristics of patients living in residential care facilities and the availability of mental hospital- and residential beds in Italy and The Netherlands were compared to assess whether differences in the process of deinstitutionalisation have influenced the composition of their residential patient populations. Data from the Dutch UTOPIA-study (UTilization & Outcome of Patients In the Association of Dutch residential care providers) and the Italian PROGRES-study were used. Dutch residents were more likely to suffer from substance or alcohol abuse than Italian residents. The latter were more likely to suffer from schizophrenia or a related disorder, less likely to have experienced mental hospital admissions and showed an overall shorter duration of stay in residential care facilities. Contrary to our expectations Dutch residents, who still have good access to long stay beds in mental hospitals, are not less disabled than Italian residents. Finally, the number of beds in residential care facilities per 10,000 inhabitants in the Netherlands is twice (6) as high as in Italy (3). The Italian and Dutch deinstitutionalisation processes have resulted in a different availability in the number of residential beds. However, it did not influence the overall level of functioning of both residential populations.

  3. Differences between Residential and Non-Residential Fathers on Sexual Socialisation of African American Youth

    Science.gov (United States)

    Sneed, Carl D.; Willis, Leigh A.

    2016-01-01

    This study investigated differences between residential and non-residential fathers on topics discussed during father-child sex communication and factors associated with child sexual socialisation. Young people (N = 159, 53% female) provided self-reports using computer surveys on the role of their fathers on father-child sex communication, general…

  4. Implementing an Assessment Clinic in a Residential PTSD Program

    Directory of Open Access Journals (Sweden)

    Joan McDowell

    2014-08-01

    Full Text Available Creating useful treatment plans can help improve services to consumers of mental health services. As more evidence-based practices are implemented, deciding what treatment, at what time, for whom becomes an important factor in facilitating positive outcomes. Readiness for trauma-focused treatments for Posttraumatic Stress Disorder (PTSD such as Cognitive Processing Therapy or Prolonged Exposure Therapy may influence whether an individual can successfully complete either protocol. In addition, components of adjunctive therapies such as Acceptance and Commitment Therapy or Dialectical Behavior Therapy may be useful in moving a particular patient toward readiness and successful completion of treatment. Psychological assessment adds valuable data to inform these types of treatment decisions. This paper describes the implementation of a psychological assessment clinic in a residential PTSD treatment setting. Barriers to implementation, use of the data, and Veterans’ reactions to the feedback provided to them are included.

  5. Improving pregnancy outcome during imprisonment: a model residential care program.

    Science.gov (United States)

    Siefert, K; Pimlott, S

    2001-04-01

    The female prison population has increased dramatically in recent years. Most women prisoners are involved with drugs, and as many as 25 percent are pregnant or have delivered within the past year. Reproductive health and drug treatment services for women in prison are inadequate, if they are available at all, and although illicit drugs are readily available in prison, drug-involved pregnant women often are incarcerated to protect fetal health. Studies of pregnancy outcome among women prisoners have demonstrated high rates of perinatal mortality and morbidity. This article examines issues related to pregnancy among women prisoners and describes an innovative residential program designed for pregnant, drug-dependent women in a state adult corrections system. Social workers can play an important role in promoting policy reform and improved services for this underserved population.

  6. Modeling and analysis of long term energy demands in residential sector of pakistan

    International Nuclear Information System (INIS)

    Rashid, T.; Sahir, M.H.

    2015-01-01

    Residential sector is the core among the energy demand sectors in Pakistan. Currently, various techniques are being used worldwide to assess future energy demands including integrated system modeling (ISM). Therefore, the current study is focused on implementation of ISM approach for future energy demand analysis of Pakistan's residential sector in terms of increase in population, rapid urbanization, household size and type, and increase/decrease in GDP. A detailed business-as-usual (BAU) model is formulated in TIMES energy modeling framework using different factors like growth in future energy services, end-use technology characterization, and restricted fuel supplies. Additionally, the developed model is capable to compare the projected energy demand under different scenarios e.g. strong economy, weak economy and energy efficiency. The implementation of ISM proved a viable approach to predict the future energy demands of Pakistan's residential sector. Furthermore, the analysis shows that the energy consumption in the residential sector would be 46.5 Mtoe (Million Ton of Oil Equivalent) in 2040 compared to 23 Mtoe of the base year (2007) along with 600% increase in electricity demands. The study further maps the potential residential energy policies to congregate the future demands. (author)

  7. Impact of Rate Design Alternatives on Residential Solar Customer Bills. Increased Fixed Charges, Minimum Bills and Demand-based Rates

    Energy Technology Data Exchange (ETDEWEB)

    Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Davidson, Carolyn [National Renewable Energy Lab. (NREL), Golden, CO (United States); McLaren, Joyce [National Renewable Energy Lab. (NREL), Golden, CO (United States); Miller, John [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    With rapid growth in energy efficiency and distributed generation, electric utilities are anticipating stagnant or decreasing electricity sales, particularly in the residential sector. Utilities are increasingly considering alternative rates structures that are designed to recover fixed costs from residential solar photovoltaic (PV) customers with low net electricity consumption. Proposed structures have included fixed charge increases, minimum bills, and increasingly, demand rates - for net metered customers and all customers. This study examines the electricity bill implications of various residential rate alternatives for multiple locations within the United States. For the locations analyzed, the results suggest that residential PV customers offset, on average, between 60% and 99% of their annual load. However, roughly 65% of a typical customer's electricity demand is non-coincidental with PV generation, so the typical PV customer is generally highly reliant on the grid for pooling services.

  8. Post-Retrofit Residential Assessments

    Energy Technology Data Exchange (ETDEWEB)

    Lancaster, Ross; lutzenhiser, Loren; Moezzi, Mithra; Widder, Sarah H.; Chandra, Subrato; Baechler, Michael C.

    2012-04-30

    This study examined a range of factors influencing energy consumption in households that had participated in residential energy-efficiency upgrades. The study was funded by a grant from the U.S. Department of Energy’s Pacific Northwest National Laboratory and was conducted by faculty and staff of Portland State University Center for Urban Studies and Department of Economics. This work was made possible through the assistance and support of the Energy Trust of Oregon (ETO), whose residential energy-efficiency programs provided the population from which the sample cases were drawn. All households in the study had participated in the ETO Home Performance with Energy Star (HPwES) program. A number of these had concurrently pursued measures through other ETO programs. Post-retrofit energy outcomes are rarely investigated on a house-by-house basis. Rather, aggregate changes are ordinarily the focus of program impact evaluations, with deviation from aggregate expectations chalked up to measurement error, the vagaries of weather and idiosyncrasies of occupants. However, understanding how homes perform post-retrofit on an individual basis can give important insights to increase energy savings at the participant and the programmatic level. Taking a more disaggregated approach, this study analyzed energy consumption data from before and after the retrofit activity and made comparisons with engineering estimates for the upgrades, to identify households that performed differently from what may have been expected based on the estimates. A statistical analysis using hierarchal linear models, which accounted for weather variations, was performed looking separately at gas and electrical use during the periods before and after upgrades took place. A more straightforward comparison of billing data for 12-month periods before and after the intervention was also performed, yielding the majority of the cases examined. The later approach allowed total energy use and costs to be

  9. Residentialization of Public Spaces: Bratislava Example

    Science.gov (United States)

    Bacová, Andrea; Puškár, Branislav; Vráblová, Edita

    2017-10-01

    The housing estates in Bratislava saturated the housing needs of a large number of inhabitants who come after World War II to the city. Design of public spaces often did not have priority in the process of designing. The solutions for mentioned exterior spaces had been planned after blocks of flat realization, but many of them are not realized to this day. The article analyzes the example of the unrealized public spaces in existing housing estates Devinska Nova Ves and Petržalka (city districts of Bratislava) and offer practical solutions in relation to residencialization method. Residencialization of missing public places is an effective method of adding identities to settlements. It improves the quality of residential environment and public spaces. The main aim is to create better conditions for social activities in public areas, which are missing on the present. The research will be focused on the examination of the urban, cultural and construction potential of the existing residential enviroment in Bratislava. The main aim of residentialization is not only to enhance the quality of spatial and building structures in the selected residential area and maintain long-term sustainability in the pertinent programme area, but mainly to improve the quality of living for the residents. The outputs of the project are proposals and practical procedures developed with regard to planning documents for local municipal authorities and regional organizations. The solutions will have a positive impact on the enhancement of the quality of public spaces, attractive social activities and of a conceptual link - residentialization.

  10. Preliminary estimate for reinforcement steel quantity in residential buildings

    Directory of Open Access Journals (Sweden)

    Mahamid Ibrahim

    2016-12-01

    Full Text Available The objective of this study was to develop prediction mathematical equations to compute reinforcement steel quantity in traditional residential buildings based on 158 sets of data collected in the West Bank in Palestine. The records related to the quantities were collected from consultancy firms that provide reinforced concrete design services. The data were collected for residential buildings up to four floors. Linear regression analysis was chosen to show the correlation between the included variables. The following variables were used in the regression models: quantity of reinforcement steel (dependent variable, structural element volume (independent variable and floor area (independent variable. Fourteen models were developed; nine models were developed to compute the quantity of reinforcement steel in different structural elements: slabs, beams, columns and footings. The other five models were used to estimate the total steel quantity in a residential building. The coefficient of multiple determination (R2 of the developed models ranged from 0.70 to 0.82. This confirms a good correlation between the dependent and the independent variables. The accuracy of the developed models was tested using the mean absolute percentage error (MAPE test. With MAPE values ranging from 21% to 36%, the results compare favourably with past research that indicated that accuracy between ±25% and ±50% at the early stages is acceptable. The results also show that the models built on structural element size have better accuracy than the models using floor area. Such types of equations are very useful, especially in their simplicity and ability to be handled by calculators or simple computer programmes.

  11. Alexandrite Lidar Receiver

    National Research Council Canada - National Science Library

    Wilkerson, Thomas

    2000-01-01

    ...". The chosen vendor, Orca Photonics, In. (Redmond, WA), in close collaboration with USU personnel, built a portable, computerized lidar system that not only is suitable as a receiver for a near IR alexandrite laser, but also contains an independent Nd...

  12. JSSG - SPACED RECEIVER MEASUREMENTS.

    Science.gov (United States)

    The height of ionospheric irregularities was measured by several laboratories belonging to the Joint Satellite Studies Group, using spaced receiver techniques. The method of analysis and results obtained are presented. (Author)

  13. Solar energy receiver

    Science.gov (United States)

    Schwartz, Jacob

    1978-01-01

    An improved long-life design for solar energy receivers provides for greatly reduced thermally induced stress and permits the utilization of less expensive heat exchanger materials while maintaining receiver efficiencies in excess of 85% without undue expenditure of energy to circulate the working fluid. In one embodiment, the flow index for the receiver is first set as close as practical to a value such that the Graetz number yields the optimal heat transfer coefficient per unit of pumping energy, in this case, 6. The convective index for the receiver is then set as closely as practical to two times the flow index so as to obtain optimal efficiency per unit mass of material.

  14. Receiver Gain Modulation Circuit

    Science.gov (United States)

    Jones, Hollis; Racette, Paul; Walker, David; Gu, Dazhen

    2011-01-01

    A receiver gain modulation circuit (RGMC) was developed that modulates the power gain of the output of a radiometer receiver with a test signal. As the radiometer receiver switches between calibration noise references, the test signal is mixed with the calibrated noise and thus produces an ensemble set of measurements from which ensemble statistical analysis can be used to extract statistical information about the test signal. The RGMC is an enabling technology of the ensemble detector. As a key component for achieving ensemble detection and analysis, the RGMC has broad aeronautical and space applications. The RGMC can be used to test and develop new calibration algorithms, for example, to detect gain anomalies, and/or correct for slow drifts that affect climate-quality measurements over an accelerated time scale. A generalized approach to analyzing radiometer system designs yields a mathematical treatment of noise reference measurements in calibration algorithms. By treating the measurements from the different noise references as ensemble samples of the receiver state, i.e. receiver gain, a quantitative description of the non-stationary properties of the underlying receiver fluctuations can be derived. Excellent agreement has been obtained between model calculations and radiometric measurements. The mathematical formulation is equivalent to modulating the gain of a stable receiver with an externally generated signal and is the basis for ensemble detection and analysis (EDA). The concept of generating ensemble data sets using an ensemble detector is similar to the ensemble data sets generated as part of ensemble empirical mode decomposition (EEMD) with exception of a key distinguishing factor. EEMD adds noise to the signal under study whereas EDA mixes the signal with calibrated noise. It is mixing with calibrated noise that permits the measurement of temporal-functional variability of uncertainty in the underlying process. The RGMC permits the evaluation of EDA by

  15. Analyzing Residential End-Use Energy Consumption Data to Inform Residential Consumer Decisions and Enable Energy Efficiency Improvements

    Science.gov (United States)

    Carlson, Derrick R.

    consumption, which suggests significant diminishing returns for parties interested in monitoring appliance level electricity consumption. Another way to improve understanding of residential energy consumption is through the development of residential use phase energy vectors for use in the Economic Input-Output Life Cycle Assessment (EIO-LCA) model. The EIO-LCA model is a valuable scoping tool to predict the environmental impacts of economic activity. This tool has a gap in its capabilities as residential use phase energy is outside the scope of the model. Adding use phase energy vectors to the EIO-LCA model will improve the modeling, provide a more complete estimation of energy impacts and allow for embedded energy to be compared to use phase energy for the purchase of goods and services in the residential sector. This work adds 21 quads of energy to the residential energy sector for the model and 15 quads of energy for personal transportation. These additions represent one third of the total energy consumption of the United States and a third of the total energy in the EIO-LCA model. This work also demonstrates that for many products such as electronics and household appliances use phase energy demands are much greater than manufacturing energy demands and dominate the life cycles for these products. A final way in which this thesis improves upon the understanding of how use phase energy is consumed in a home is through the exploration of potential energy reductions in a home. This analysis selects products that are used or consumed in a home, and explores the potential for reductions in the embedded manufacturing and use phase energy of that product using EIO-LCA and the energy vectors created in Chapter 3. The results give consumers an understanding of where energy is consumed in the lifecycle of products that they purchase and provide policy makers with valuable information on how to focus or refocus policies that are aimed and reducing energy in the residential sector

  16. Estimation of energy efficiency of residential buildings

    Directory of Open Access Journals (Sweden)

    Glushkov Sergey

    2017-01-01

    Full Text Available Increasing energy performance of the residential buildings by means of reducing heat consumption on the heating and ventilation is the last segment in the system of energy resources saving. The first segments in the energy saving process are heat producing and transportation over the main lines and outside distribution networks. In the period from 2006 to 2013. by means of the heat-supply schemes optimization and modernization of the heating systems. using expensive (200–300 $US per 1 m though hugely effective preliminary coated pipes. the economy reached 2.7 mln tons of fuel equivalent. Considering the multi-stage and multifactorial nature (electricity. heat and water supply of the residential sector energy saving. the reasonable estimate of the efficiency of the saving of residential buildings energy should be performed in tons of fuel equivalent per unit of time.

  17. Gentrification and Residential Mobility in Philadelphia.

    Science.gov (United States)

    Ding, Lei; Hwang, Jackelyn; Divringi, Eileen

    2016-11-01

    Gentrification has provoked considerable controversy surrounding its effects on residential displacement. Using a unique individual-level, longitudinal data set, this study examines mobility rates and residential destinations of residents in gentrifying neighborhoods during the recent housing boom and bust in Philadelphia for various strata of residents and different types of gentrification. We find that vulnerable residents, those with low credit scores and without mortgages, are generally no more likely to move from gentrifying neighborhoods compared with their counterparts in nongentrifying neighborhoods. When they do move, however, they are more likely to move to lower-income neighborhoods. Residents in gentrifying neighborhoods at the aggregate level have slightly higher mobility rates, but these rates are largely driven by more advantaged residents. These findings shed new light on the heterogeneity in mobility patterns across residents in gentrifying neighborhoods and suggest that researchers should focus more attention on the quality of residential moves and nonmoves for less advantaged residents, rather than mobility rates alone.

  18. Solar Photovoltaic Financing: Residential Sector Deployment

    Energy Technology Data Exchange (ETDEWEB)

    Coughlin, J.; Cory, K.

    2009-03-01

    This report presents the information that homeowners and policy makers need to facilitate PV financing at the residential level. The full range of cash payments, bill savings, and tax incentives is covered, as well as potentially available solar attribute payments. Traditional financing is also compared to innovative solutions, many of which are borrowed from the commercial sector. Together, these mechanisms are critical for making the economic case for a residential PV installation, given its high upfront costs. Unfortunately, these programs are presently limited to select locations around the country. By calling attention to these innovative initiatives, this report aims to help policy makers consider greater adoption of these models to benefit homeowners interested installing a residential PV system.

  19. Energy savings in Danish residential building stock

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.; Svendsen, Svend

    2006-01-01

    a short account of the technical energy-saving possibilities that are present in existing dwellings and presents a financial methodology used for assessing energy-saving measures. In order to estimate the total savings potential detailed calculations have been performed in a case with two typical...... buildings representing the residential building stock and based on these calculations an assessment of the energy-saving potential is performed. A profitable savings potential of energy used for space heating of about 80% is identified over 45 years (until 2050) within the residential building stock......A large potential for energy savings exists in the Danish residential building stock due to the fact that 75% of the buildings were constructed before 1979 when the first important demands for energy performance of building were introduced. It is also a fact that many buildings in Denmark face...

  20. Modelling and forecasting Turkish residential electricity demand

    International Nuclear Information System (INIS)

    Dilaver, Zafer; Hunt, Lester C

    2011-01-01

    This research investigates the relationship between Turkish residential electricity consumption, household total final consumption expenditure and residential electricity prices by applying the structural time series model to annual data over the period from 1960 to 2008. Household total final consumption expenditure, real energy prices and an underlying energy demand trend are found to be important drivers of Turkish residential electricity demand with the estimated short run and the long run total final consumption expenditure elasticities being 0.38 and 1.57, respectively, and the estimated short run and long run price elasticities being -0.09 and -0.38, respectively. Moreover, the estimated underlying energy demand trend, (which, as far as is known, has not been investigated before for the Turkish residential sector) should be of some benefit to Turkish decision makers in terms of energy planning. It provides information about the impact of past policies, the influence of technical progress, the impacts of changes in consumer behaviour and the effects of changes in economic structure. Furthermore, based on the estimated equation, and different forecast assumptions, it is predicted that Turkish residential electricity demand will be somewhere between 48 and 80 TWh by 2020 compared to 40 TWh in 2008. - Research highlights: → Estimated short run and long run expenditure elasticities of 0.38 and 1.57, respectively. → Estimated short run and long run price elasticities of -0.09 and -0.38, respectively. → Estimated UEDT has increasing (i.e. energy using) and decreasing (i.e. energy saving) periods. → Predicted Turkish residential electricity demand between 48 and 80 TWh in 2020.

  1. The state of the residential fire fatality problem in Sweden: Epidemiology, risk factors, and event typologies.

    Science.gov (United States)

    Jonsson, Anders; Bonander, Carl; Nilson, Finn; Huss, Fredrik

    2017-09-01

    Residential fires represent the largest category of fatal fires in Sweden. The purpose of this study was to describe the epidemiology of fatal residential fires in Sweden and to identify clusters of events. Data was collected from a database that combines information on fatal fires with data from forensic examinations and the Swedish Cause of Death-register. Mortality rates were calculated for different strata using population statistics and rescue service turnout reports. Cluster analysis was performed using multiple correspondence analysis with agglomerative hierarchical clustering. Male sex, old age, smoking, and alcohol were identified as risk factors, and the most common primary injury diagnosis was exposure to toxic gases. Compared to non-fatal fires, fatal residential fires more often originated in the bedroom, were more often caused by smoking, and were more likely to occur at night. Six clusters were identified. The first two clusters were both smoking-related, but were separated into (1) fatalities that often involved elderly people, usually female, whose clothes were ignited (17% of the sample), (2) middle-aged (45-64years old), (often) intoxicated men, where the fire usually originated in furniture (30%). Other clusters that were identified in the analysis were related to (3) fires caused by technical fault, started in electrical installations in single houses (13%), (4) cooking appliances left on (8%), (5) events with unknown cause, room and object of origin (25%), and (6) deliberately set fires (7%). Fatal residential fires were unevenly distributed in the Swedish population. To further reduce the incidence of fire mortality, specialized prevention efforts that focus on the different needs of each cluster are required. Cooperation between various societal functions, e.g. rescue services, elderly care, psychiatric clinics and other social services, with an application of both human and technological interventions, should reduce residential fire

  2. Receiver Heterogeneity Helps

    DEFF Research Database (Denmark)

    Kovács, Erika R.; Pedersen, Morten Videbæk; Roetter, Daniel Enrique Lucani

    2014-01-01

    Heterogeneity amongst devices and desired service are commonly seen as a source of additional challenges for setting up an efficient multi-layer multicast service. In particular, devices requiring only the base layer can become a key bottleneck to the performance for other devices. This paper...... studies the case of a wireless multi-layer multicast setting and shows that the judicious use of network coding allows devices with different computational capabilities to trade-off processing complexity for an improved quality of service. As a consequence, individual devices can determine their required...... effort, while bringing significant advantages to the system as a whole. Network coding is used as a key element to reduce signaling in order to deliver the multicast service. More importantly, our proposed approach focuses on creating some structure in the transmitted stream by allowing inter...

  3. Strategy Guideline: High Performance Residential Lighting

    Energy Technology Data Exchange (ETDEWEB)

    Holton, J.

    2012-02-01

    The Strategy Guideline: High Performance Residential Lighting has been developed to provide a tool for the understanding and application of high performance lighting in the home. The high performance lighting strategies featured in this guide are drawn from recent advances in commercial lighting for application to typical spaces found in residential buildings. This guide offers strategies to greatly reduce lighting energy use through the application of high quality fluorescent and light emitting diode (LED) technologies. It is important to note that these strategies not only save energy in the home but also serve to satisfy the homeowner's expectations for high quality lighting.

  4. Impacts of Water Quality on Residential Water Heating Equipment

    Energy Technology Data Exchange (ETDEWEB)

    Widder, Sarah H.; Baechler, Michael C.

    2013-11-01

    Water heating is a ubiquitous energy use in all residential housing, accounting for 17.7% of residential energy use (EIA 2012). Today, there are many efficient water heating options available for every fuel type, from electric and gas to more unconventional fuel types like propane, solar, and fuel oil. Which water heating option is the best choice for a given household will depend on a number of factors, including average daily hot water use (total gallons per day), hot water draw patterns (close together or spread out), the hot water distribution system (compact or distributed), installation constraints (such as space, electrical service, or venting accommodations) and fuel-type availability and cost. While in general more efficient water heaters are more expensive than conventional water heating technologies, the savings in energy use and, thus, utility bills can recoup the additional upfront investment and make an efficient water heater a good investment over time in most situations, although the specific payback period for a given installation will vary widely. However, the expected lifetime of a water heater in a given installation can dramatically influence the cost effectiveness and savings potential of a water heater and should be considered, along with water use characteristics, fuel availability and cost, and specific home characteristics when selecting the optimum water heating equipment for a particular installation. This report provides recommendations for selecting and maintaining water heating equipment based on local water quality characteristics.

  5. Forecasting HotWater Consumption in Residential Houses

    Directory of Open Access Journals (Sweden)

    Linas Gelažanskas

    2015-11-01

    Full Text Available An increased number of intermittent renewables poses a threat to the system balance. As a result, new tools and concepts, like advanced demand-side management and smart grid technologies, are required for the demand to meet supply. There is a need for higher consumer awareness and automatic response to a shortage or surplus of electricity. The distributed water heater can be considered as one of the most energy-intensive devices, where its energy demand is shiftable in time without influencing the comfort level. Tailored hot water usage predictions and advanced control techniques could enable these devices to supply ancillary energy balancing services. The paper analyses a set of hot water consumption data from residential dwellings. This work is an important foundation for the development of a demand-side management strategy based on hot water consumption forecasting at the level of individual residential houses. Various forecasting models, such as exponential smoothing, seasonal autoregressive integrated moving average, seasonal decomposition and a combination of them, are fitted to test different prediction techniques. These models outperform the chosen benchmark models (mean, naive and seasonal naive and show better performance measure values. The results suggest that seasonal decomposition of the time series plays the most significant part in the accuracy of forecasting.

  6. Profitability of Residential Battery Energy Storage Combined with Solar Photovoltaics

    Directory of Open Access Journals (Sweden)

    Christoph Goebel

    2017-07-01

    Full Text Available Lithium-ion (Li-Ion batteries are increasingly being considered as bulk energy storage in grid applications. One such application is residential energy storage combined with solar photovoltaic (PV panels to enable higher self-consumption rates, which has become financially more attractive recently due to decreasing feed-in subsidies. Although residential energy storage solutions are commercially mature, it remains unclear which system configurations and circumstances, including aggregator-based applications such as the provision of ancillary services, lead to profitable consumer investments. Therefore, we conduct an extensive simulation study that is able to jointly capture these aspects. Our results show that, at current battery module prices, even optimal system configurations still do not lead to profitable investments into Li-Ion batteries if they are merely used as a buffer for solar energy. The first settings in which they will become profitable, as prices are further declining, will be larger households at locations with higher average levels of solar irradiance. If the batteries can be remote-controlled by an aggregator to provide overnight negative reserve, their profitability increases significantly.

  7. 'Chaos' in superregenerative receivers

    International Nuclear Information System (INIS)

    Commercon, Jean-Claude; Badard, Robert

    2005-01-01

    The superregenerative principle has been known since the early 1920s. The circuit is extremely simple and extremely sensitive. Today, superheterodyne receivers generally supplant superregenerative receivers in most applications because there are several undesirable characteristics: poor selectivity, reradiation, etc. Superregenerative receivers undergo a revival in recent papers for wireless systems, where low cost and very low power consumption are relevant: house/building meters (such as water, energy, gas counter), personal computer environment (keyboard, mouse), etc. Another drawback is the noise level which is higher than that of a well-designed superheterodyne receiver; without an antenna input signal, the output of the receiver hears in an earphone as a waterfall noise; this sound principally is the inherent input noise amplified and detected by the circuit; however, when the input noise is negligible with respect of an antenna input signal, we are faced to an other source of 'noise' self-generated by the superregenerative working. The main objective of this paper concerns this self-generated noise coming from an exponential growing followed by a re-injection process for which the final state is a function of the phase of the input signal

  8. A Longitudinal Study of Child Maltreatment and Mental Health Predictors of Admission to Psychiatric Residential Treatment Facilities

    Directory of Open Access Journals (Sweden)

    Roderick A. Rose

    2017-09-01

    Full Text Available The child welfare system is an access point for children’s mental health services. Psychiatric residential treatment facilities (PRTFs are the most restrictive, and most expensive setting for children to receive long-term care. Given the high rates of behavioral health concerns among maltreated children in out-of-home care, research is needed to examine the factors that predict entry in PRTFs among children investigated for maltreatment. This exploratory study used cross-sector administrative records linked across multiple systems, including child welfare records and Medicaid claims, from a single state over a five-year period (n = 105,982. Cox proportional hazards modeling was used to predict entry into a PRTF. After controlling for many factors, PRTF entry was predicted by diagnosis code indicating a trauma-related condition, antipsychotic medication prescriptions, and entry into lower levels of out-of-home care, supporting the view that youth are admitted to PRTFs largely due to clinical need. However, PRTF admission is also associated with characteristics of their experiences with the social service system, primarily foster care placement stability and permanency. Implications for practice and research are discussed.

  9. Steering Angle Function Algorithm of Morphing of Residential Area

    Directory of Open Access Journals (Sweden)

    XIE Tian

    2015-07-01

    Full Text Available A residential area feature morphing method based on steering angle function is presented. To residential area with the same representation under two different scales,transforming the representation of the residential area polygon from vector coordinates to steering angle function,then using the steering angle function to match,and finding out the similarity and the differences between the residential areas under different scale to get the steering angle function of the the residential areas under any middle scale,the final,transforming the middle scale steering angle function to vector coordinates form,and get the middle shape interpolation of the the residential area polygon.Experimental results show:the residential area morphing method by using steering angle function presented can realize the continuous multi-scale representation under the premise of keeping in shape for the residential area with the rectangular boundary features.

  10. PRN 2011-1: Residential Exposure Joint Venture

    Science.gov (United States)

    This PR Notice is to advise registrants of an industry-wide joint venture, titled the Residential Exposure Joint Venture (REJV), which has developed a national survey regarding residential consumer use/usage data for pesticides.

  11. Central solar energy receiver

    Science.gov (United States)

    Drost, M. Kevin

    1983-01-01

    An improved tower-mounted central solar energy receiver for heating air drawn through the receiver by an induced draft fan. A number of vertically oriented, energy absorbing, fin-shaped slats are radially arranged in a number of concentric cylindrical arrays on top of the tower coaxially surrounding a pipe having air holes through which the fan draws air which is heated by the slats which receive the solar radiation from a heliostat field. A number of vertically oriented and wedge-shaped columns are radially arranged in a number of concentric cylindrical clusters surrounding the slat arrays. The columns have two mirror-reflecting sides to reflect radiation into the slat arrays and one energy absorbing side to reduce reradiation and reflection from the slat arrays.

  12. Modeling Residential Electricity Consumption Function in Malaysia: Time Series Approach

    OpenAIRE

    L. L. Ivy-Yap; H. A. Bekhet

    2014-01-01

    As the Malaysian residential electricity consumption continued to increase rapidly, effective energy policies, which address factors affecting residential electricity consumption, is urgently needed. This study attempts to investigate the relationship between residential electricity consumption (EC), real disposable income (Y), price of electricity (Pe) and population (Po) in Malaysia for 1978-2011 period. Unlike previous studies on Malaysia, the current study focuses on the residential secto...

  13. Wideband CMOS receivers

    CERN Document Server

    Oliveira, Luis

    2015-01-01

    This book demonstrates how to design a wideband receiver operating in current mode, in which the noise and non-linearity are reduced, implemented in a low cost single chip, using standard CMOS technology.  The authors present a solution to remove the transimpedance amplifier (TIA) block and connect directly the mixer’s output to a passive second-order continuous-time Σ∆ analog to digital converter (ADC), which operates in current-mode. These techniques enable the reduction of area, power consumption, and cost in modern CMOS receivers.

  14. Residential segregation and mental health among Latinos in a nationally representative survey.

    Science.gov (United States)

    Nobles, Carrie J; Valentine, Sarah E; Zepeda, E David; Wang, Ye; Ahles, Emily M; Shtasel, Derri L; Marques, Luana

    2017-04-01

    Among Latinos, living in a locality with greater Latino ethnic density may be protective for mental health, although findings vary by Latino subgroup, gender and birthplace. Although little studied, Latino residential segregation may capture different pathways linking risk and protective environmental factors to mental health than local ethnic density. This study evaluated the association between residential segregation and mental distress as measured by the Kessler-10 (K10) among Latino participants in the National Latino and Asian American Study (NLAAS). Census data from 2000 was used to calculate metropolitan statistical area (MSA) residential segregation using the dissimilarity and isolation indices, as well as census tract ethnicity density and poverty. Latino subgroup (Puerto Rican, Mexican American, Cuban American and other Latino subgroup), gender and generation status were evaluated as moderators. Among 2554 Latino participants in NLAAS, residential segregation as measured by the isolation index was associated with less mental distress (β -0.14, 95% CI -0.26 to -0.03 log(K10)) among Latinos overall after adjustment for ethnic density, poverty and individual covariates. Residential segregation as measured by the dissimilarity index was significantly associated with less mental distress among men (β -0.56, 95% CI -1.04 to -0.08) but not among women (β -0.20, 95% CI -0.45 to 0.04, p-interaction=0.019). No modification was observed by Latino subgroup or generation. Among Latinos, increasing residential segregation was associated with less mental distress, and this association was moderated by gender. Findings suggest that MSA-level segregation measures may capture protective effects associated with living in Latino communities for mental health. 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/.

  15. Greenhouse Gas Emissions Accounting of Urban Residential Consumption: A Household Survey Based Approach

    Science.gov (United States)

    Lin, Tao; Yu, Yunjun; Bai, Xuemei; Feng, Ling; Wang, Jin

    2013-01-01

    Devising policies for a low carbon city requires a careful understanding of the characteristics of urban residential lifestyle and consumption. The production-based accounting approach based on top-down statistical data has a limited ability to reflect the total greenhouse gas (GHG) emissions from residential consumption. In this paper, we present a survey-based GHG emissions accounting methodology for urban residential consumption, and apply it in Xiamen City, a rapidly urbanizing coastal city in southeast China. Based on this, the main influencing factors determining residential GHG emissions at the household and community scale are identified, and the typical profiles of low, medium and high GHG emission households and communities are identified. Up to 70% of household GHG emissions are from regional and national activities that support household consumption including the supply of energy and building materials, while 17% are from urban level basic services and supplies such as sewage treatment and solid waste management, and only 13% are direct emissions from household consumption. Housing area and household size are the two main factors determining GHG emissions from residential consumption at the household scale, while average housing area and building height were the main factors at the community scale. Our results show a large disparity in GHG emissions profiles among different households, with high GHG emissions households emitting about five times more than low GHG emissions households. Emissions from high GHG emissions communities are about twice as high as from low GHG emissions communities. Our findings can contribute to better tailored and targeted policies aimed at reducing household GHG emissions, and developing low GHG emissions residential communities in China. PMID:23405187

  16. Greenhouse gas emissions accounting of urban residential consumption: a household survey based approach.

    Directory of Open Access Journals (Sweden)

    Tao Lin

    Full Text Available Devising policies for a low carbon city requires a careful understanding of the characteristics of urban residential lifestyle and consumption. The production-based accounting approach based on top-down statistical data has a limited ability to reflect the total greenhouse gas (GHG emissions from residential consumption. In this paper, we present a survey-based GHG emissions accounting methodology for urban residential consumption, and apply it in Xiamen City, a rapidly urbanizing coastal city in southeast China. Based on this, the main influencing factors determining residential GHG emissions at the household and community scale are identified, and the typical profiles of low, medium and high GHG emission households and communities are identified. Up to 70% of household GHG emissions are from regional and national activities that support household consumption including the supply of energy and building materials, while 17% are from urban level basic services and supplies such as sewage treatment and solid waste management, and only 13% are direct emissions from household consumption. Housing area and household size are the two main factors determining GHG emissions from residential consumption at the household scale, while average housing area and building height were the main factors at the community scale. Our results show a large disparity in GHG emissions profiles among different households, with high GHG emissions households emitting about five times more than low GHG emissions households. Emissions from high GHG emissions communities are about twice as high as from low GHG emissions communities. Our findings can contribute to better tailored and targeted policies aimed at reducing household GHG emissions, and developing low GHG emissions residential communities in China.

  17. Best practices guide for residential HVAC Retrofits

    Energy Technology Data Exchange (ETDEWEB)

    Walker, Iain S.

    2003-08-11

    This best practices guide for residential HVAC system retrofits is aimed at contractors who want guidance on delivering energy efficient, cost effective and innovative products. It has been developed around the idea of having packages of changes to the building HVAC system and building envelope that are climate and house construction dependent. These packages include materials, procedures and equipment and are designed to remove some of the guesswork from a builder, contractor, installer or homeowner decisions about how best to carry out HVAC changes. The packages are not meant to be taken as rigid requirements--instead they are systems engineered guidelines that form the basis for energy efficient retrofits. Similar approaches have been taken previously for new construction to develop extremely energy efficient homes that are comfortable safe and durable, and often cost less than standard construction. This is best epitomized by the Building America program whose partners have built thousands of residences throughout the U.S. using these principles. The differences between retrofitting and new construction tend to limit the changes one can make to a building, so these packages rely on relatively simple and non-intrusive technologies and techniques. The retrofits also focus on changes to a building that will give many years of service to the occupants. Another key aspect of these best practices is that we need to know how a house is working so that we know what parts have the potential for improvement. To do this we have put together a set of diagnostic tools that combine physical measurements and checklists/questionnaires. The measured test results, observations and homeowner answers to questions are used to direct us towards the best retrofits applicable to each individual house. The retrofits will depend on the current condition of the building envelope and HVAC system, the local climate, the construction methods used for the house, and the presence of various

  18. Family events and the residential mobility of couples

    NARCIS (Netherlands)

    Michielin, F.; Mulder, C.H.

    2008-01-01

    Using data from retrospective surveys carried out in the Netherlands during the early 1990s, we describe how the residential mobility of couples—that is, short-distance moves—is affected by family events and how fertility is affected by residential mobility. The results show that residential moves

  19. Sender-Receiver Games

    NARCIS (Netherlands)

    Peeters, R.J.A.P.; Potters, J.A.M.

    1999-01-01

    Standard game-theoretic solution concepts do not guarantee meaningful commu- nication in cheap-talk games. In this paper, we define a solution concept which guarantees communication for a large class of games by designing a behavior pro- tocol which the receiver uses to judge messages sent by the

  20. Electricity: Residential Wiring. Secondary Schools. Curriculum Guide.

    Science.gov (United States)

    Trust Territory of the Pacific Islands Dept. of Education, Saipan.

    This curriculum guide on residential wiring for secondary students is one of six developed for inservice teachers at Marianas High School in Saipan. The guide provides the rationale, description, goals, and objectives of the program; the program of studies and performance objectives by levels; samples of lesson plans for effective delivery of…

  1. Guidelines for Transferring Residential Courses into Web

    Science.gov (United States)

    Tüzün, Hakan; Çinar, Murat

    2016-01-01

    This study shared unique design experiences by examining the process of transferring residential courses to the Web, and proposed a design model for individuals who want to transfer their courses into this environment. The formative research method was used in the study, and two project teams' processes of putting courses, which were being taught…

  2. DETERMINANTS OF RESIDENTIAL PER CAPITA WATER ...

    African Journals Online (AJOL)

    This report presents the findings of the study on the determinants of residential per capita water demand of Makurdi metropolis in Benue State, Nigeria. Data for the study was obtained by the use of questionnaires, oral interviews and observations. The data was analyzed using SPSS. Twenty variables were considered in ...

  3. Development of a Residential Integrated Ventilation Controller

    Energy Technology Data Exchange (ETDEWEB)

    Staff Scientist; Walker, Iain; Sherman, Max; Dickerhoff, Darryl

    2011-12-01

    The goal of this study was to develop a Residential Integrated Ventilation Controller (RIVEC) to reduce the energy impact of required mechanical ventilation by 20percent, maintain or improve indoor air quality and provide demand response benefits. This represents potential energy savings of about 140 GWh of electricity and 83 million therms of natural gas as well as proportional peak savings in California. The RIVEC controller is intended to meet the 2008 Title 24 requirements for residential ventilation as well as taking into account the issues of outdoor conditions, other ventilation devices (including economizers), peak demand concerns and occupant preferences. The controller is designed to manage all the residential ventilation systems that are currently available. A key innovation in this controller is the ability to implement the concept of efficacy and intermittent ventilation which allows time shifting of ventilation. Using this approach ventilation can be shifted away from times of high cost or high outdoor pollution towards times when it is cheaper and more effective. Simulations, based on the ones used to develop the new residential ventilation requirements for the California Buildings Energy code, were used to further define the specific criteria and strategies needed for the controller. These simulations provide estimates of the energy, peak power and contaminant improvement possible for different California climates for the various ventilation systems. Results from a field test of the prototype controller corroborate the predicted performance.

  4. Condition assessment and strengthening of residential units

    Directory of Open Access Journals (Sweden)

    Tatheer Zahra

    2014-01-01

    Full Text Available About 40, ground plus one (G+1 residential units were designed using a hybrid structural framing system (RC frame and load bearing walls. A few months after the completion of the ground floor of the residential units, cracks appeared at several locations in the structure. Field and Laboratory testing was conducted to ascertain the in situ strength of concrete and steel reinforcement. The results of the experimental work were used in the analytical ETABS model for the structural stability calculations. The results indicated that residential units were marginally safe in the existing condition (completed ground floor, but the anticipated construction of the floor above the ground floor (G+1 could not be carried out as the strength of the structural system was inadequate. To increase the safety of existing ground floor and to provide the option of the construction of one floor above, rehabilitation and strengthening design was performed. The proposed strengthening design made use of welded wire fabric (WWF and carbon fibre reinforced polymer (CFRP laminates/sheets for the strengthening of walls, columns and slabs. The residential units will be strengthened in the near future.

  5. Chapter 6: Residential Lighting Evaluation Protocol

    Energy Technology Data Exchange (ETDEWEB)

    Dimetrosky, Scott [Apex Analytics LLC, Boulder, CO (United States); Parkinson, Katie [Apex Analytics LLC, Boulder, CO (United States); Lieb, Noah [Apex Analytics LLC, Boulder, CO (United States)

    2015-02-01

    In recent years, residential lighting has represented a significant share of ratepayer-funded energy-efficiency electricity savings. Utilities have achieved the majority of these savings by promoting the purchase and installation of compact fluorescent lamps (CFLs), both standard 'twister' bulbs and specialty CFLs such as reflectors, A-Lamps, globes, and dimmable lights.

  6. housing tenure, residential moves and children's educational

    African Journals Online (AJOL)

    User

    ABSTRACT. Research has shown that non-conventional factors like housing and residential experiences dur- ing childhood have impacts on children's success. Given the critical importance of human capi- tal accumulation in Ghana, it is significant from policy standpoint to recognise factors and mechanisms that are ...

  7. Housing tenure, residential moves and children's educational ...

    African Journals Online (AJOL)

    Research has shown that non-conventional factors like housing and residential experiences during childhood have impacts on children's success. Given the critical importance of human capital accumulation in Ghana, it is significant from policy standpoint to recognise factors and mechanisms that are relevant to the next ...

  8. AMUSE: an advanced ATM platform for residential interactive and distributive television

    Science.gov (United States)

    Di Concetto, M.; Gallassi, G.; Rosa, C.

    1996-12-01

    There is presently a strong expectation for the opportunities offered by the deployment of new and sophisticated telecommunication services with increasing interactivity, ranging from distributive to highly interactive, covering heterogeneous areas, like entertainment, tourism, commercial and information. The Project AMUSE (Advanced MUltimedia SErvices to residential users), which s being carried out in the framework of the Advanced Communication Technologies and Services Programme sponsored by the European Union, is proposing effective solutions to various open issues related to the implementation and provisioning of new multimedia services. After an overview of the project and the relevant platform, the paper will introduce a description of the advanced services the project is going to provide to real residential users by means of a state-of-then-art Asynchronous Transfer Mode end-to-end infrastructure. Emphasis will be put on the outcomes of the experiences gained during the first project year, stemming from the implementation and deployment of complex multimedia services developed by means of innovative authoring tools. Particular attention will be paid to the facts and findings resulting from the activities so far performed in the Italian trial island. In particular, the role of contents provisioning and service design, as well as the monitoring of service acceptance and usability by the final users are emerging as outstanding topics, even beyond network technological issues. Finally, an outline of major unsolved problems in the area of interactive multimedia s presented.

  9. Charging Schedule for Electric Vehicles in Danish Residential Distribution Grids

    DEFF Research Database (Denmark)

    Pillai, Jayakrishnan Radhakrishna; Huang, Shaojun; Bak-Jensen, Birgitte

    2015-01-01

    , the vehicle owner, vehicle fleet operator and other parties involved in the process could economically benefit from the process. This paper investigates an optimal EV charging plan in Danish residential distribution grids in view of supporting high volumes of wind power in electricity grids. The results...... energy sources like wind in power systems. The EV batteries could be used to charge during periods of excess electricity production from wind power and reduce the charging rate or discharge on deficit of power in the grid, supporting system stability and reliability. By providing such grid services......The prospects of Electric Vehicles (EVs) in providing clean transportation and supporting renewable electricity is widely discussed in sustainable energy forums worldwide. The battery storage of EVs could be used to address the variability and unpredictability of electricity produced from renewable...

  10. Information Processing and Creative Thinking Abilities of Residential and Non-Residential School Children

    Directory of Open Access Journals (Sweden)

    Atasi Mohanty

    2015-10-01

    Full Text Available This study attempts to assess and compare the residential and non-residential schoolchildren in information-processing skills and creative thinking abilities. A sample of 80 children from Classes 5 and 7 were selected from two types of schools, residential/ashram (02 and non-residential/formal schools (02 in Bolpur subdivision of West Bengal in India where the medium of instruction is Bengali language/mother-tongue. All the children were individually administered the PASS (Planning, Attention, Simultaneous, Successive, Stroop, Matching Familiar Figure Test (MFFT-20, and creative thinking tasks. The residential school children were found to perform better both in information processing and creative thinking tasks. The developmental trend could not be clearly observed due to small sample size, but with increasing age, children were using better processing strategies. Due to ashram environment, creative pedagogy, and various co-curricular activities, the residential school children were found to be more creative than their formal school counterparts. Moreover, some significant positive correlations were found among information processing skills and creative thinking dimensions.

  11. Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety.

    Science.gov (United States)

    Staiger, Petra K; Kyrios, Michael; Williams, James S; Kambouropoulos, Nicolas; Howard, Alexandra; Gruenert, Stefan

    2014-02-17

    Residential drug rehabilitation is often seen as a treatment of last resort for people with severe substance abuse issues. These clients present with more severe symptoms, and frequent psychiatric comorbidities relative to outpatients. Given the complex nature of this client group, a high proportion of clients seeking treatment often do not enter treatment, and of those who do, many exit prematurely. Given the highly social nature of residential drug rehabilitation services, it has been argued that social anxieties might decrease the likelihood of an individual entering treatment, or increase the likelihood of them prematurely exiting treatment. The current paper reports on the protocol of a Randomised Control Trial which examined whether treatment of social anxiety prior to entry to treatment improves entry rates and retention in residential drug rehabilitation. A Randomised Control Trial comparing a social skills treatment with a treatment as usual control group was employed. The social skills training program was based on the principles of Cognitive Behaviour Therapy, and was adapted from Ron Rapee's social skills training program. A permutated block randomisation procedure was utilised. Participants are followed up at the completion of the program (or baseline plus six weeks for controls) and at three months following entry into residential rehabilitation (or six months post-baseline for participants who do not enter treatment). The current study could potentially have implications for addressing social anxiety within residential drug treatment services in order to improve entry and retention in treatment. The results might suggest that the use of additional screening tools in intake assessments, a focus on coping with social anxieties in support groups for clients waiting to enter treatment, and greater awareness of social anxiety issues is warranted. Australian New Zealand Clinical Trials Registry (ACTRN) registration number: ACTRN12611000579998.

  12. Residential Satisfaction in the Informal Neighborhoods of Ulaanbaatar, Mongolia

    Directory of Open Access Journals (Sweden)

    Jean Caldieron

    2013-03-01

    Full Text Available Residential satisfaction is a very important factor in determining the quality of life, housing improvement proposals, and adequate housing policies. This paper reports on the findings of a study in four informal neighborhoods or “ger districts” of Ulaanbaatar, the Mongolian capital. Mongolia has been facing an onslaught of rural migration to the urban areas because of two reasons. First, rural nomads have lost their livestock due to recent harsh climate conditions, and second because of the transition from communism to a democratic market economy, based on the exploitation of Mongolia’s rich mineral resources. In the cities, migrants have invaded land and erected rural nomadic “ger” (felt tents or yurts. The traditional ger (as they are called in the Mongolian language are sustainable structures well adapted for a nomadic society. However, when they are located in high-density, unplanned shantytowns, they create many issues. The country’s capital, Ulaanbaatar, is the coldest capital in the world; ger’ household use coal for heating which causes dense air pollution, especially in the winter. These informal urban areas lack sanitation, adequate vehicular access and other services. Eventually residents build small permanent houses, but they still lack for basic services. This paper presents the findings of more than one hundred household surveys related to housing conditions in three informal ger districts of Ulaanbaatar. The surveys were held in the summer of 2011. This paper discusses some of the characteristics of the settlements as well as the residential satisfaction of its inhabitants.

  13. Assessing human vulnerability: Daytime residential distribution as a vulnerability indicator

    Science.gov (United States)

    Gokesch, Karin; Promper, Catrin; Papathoma-Köhle, Maria; Glade, Thomas

    2014-05-01

    Natural hazard risk management is based on detailed information on potential impacts of natural hazards. Especially concerning fast onset hazards such as flash floods, earthquakes but also debris flows and landslides, knowing potential hotspots of impact to both, assets and human lives is essential. This information is important for emergency management and decision making in the response phase of the disaster management cycle. Emergency managers are in need of information regarding not only the number of humans being potentially affected but also the respective vulnerability of the group affected based on characteristics such as age, income, health condition, mobility, etc. regarding a certain hazard. The analysis presented focuses on the distribution of the population, assuming a certain pattern of people in a certain radius of action. The method applied is based on a regular pattern of movement of different groups of people and a pattern of presence in certain units, e.g. schools, businesses or residential buildings. The distribution is calculated on a minimum of available data including the average household size, as well as information on building types. The study area is located in the Southwest of Lower Austria, Austria. The city of Waidhofen/Ybbs can be regarded as a regional center providing basic infrastructure, shops and schools. The high concentration of buildings combining shops and residential units leads to a high damage potential throughout the whole study area. The presented results indicate the population distribution within the study area on an average working day. It is clear that explicitly high numbers of people are located in specific buildings (e.g. schools and hospitals) which also include highly vulnerable groups especially to fast onset hazards. The results provide emergency services with the information that they need in order to intervene directly where large numbers of victims or people that need to be evacuated are located. In this

  14. Development of the cloud sharing system for residential earthquake responses using smartphones

    Science.gov (United States)

    Shohei, N.; Fujiwara, H.; Azuma, H.; Hao, K. X.

    2015-12-01

    Earthquake responses at residential depends on its building structure, site amplification, epicenter distance, and etc. Until recently, it was impossible to obtain the individual residential response by conventional seismometer in terms of costs. However, current technology makes it possible with the Micro Electro Mechanical Systems (MEMS) sensors inside mobile terminals like smartphones. We developed the cloud sharing system for residential earthquake response in local community utilizing mobile terminals, such as an iPhone, iPad, iPod touch as a collaboration between NIED and Hakusan Corp. The triggered earthquake acceleration waveforms are recorded at sampling frequencies of 100Hz and stored on their memories once an threshold value was exceeded or ordered information received from the Earthquake Early Warning system. The recorded data is automatically transmitted and archived on the cloud server once the wireless communication is available. Users can easily get the uploaded data by use of a web browser through Internet. The cloud sharing system is designed for residential and only shared in local community internal. Residents can freely add sensors and register information about installation points in each region. And if an earthquake occurs, they can easily view the local distribution of seismic intensities and even analyze waves.To verify this cloud-based seismic wave sharing system, we have performed on site experiments under the cooperation of several local communities, The system and experimental results will be introduced and demonstrated in the presentation.

  15. A near-threshold, 0.16 nJ/b OOK-transmitter with 0.18 nJ/b noise-cancelling super-regenerative receiver for the medical implant communications service.

    Science.gov (United States)

    Ma, Chao; Hu, Changhui; Cheng, Jiao; Xia, Lingli; Chiang, Patrick Yin

    2013-12-01

    A 0.16 nJ/b MICS transmitter and 0.18 nJ/b super-regenerative receiver are demonstrated, where each is specifically designed to operate in the near-threshold region. The low-VDD transmitter utilizes a sub-harmonic injection-locked ring oscillator, edge combiner for frequency multiplication, and class-C power amplifier. The low-VDD receiver introduces a replica super-regenerative receiver as a method to reject common-mode noise sources, such as supply/substrate coupling, thereby reducing undesired self-oscillations and improving BER. Designed in a 90-nm CMOS process, the test-chip measurements show a sensitivity of -80 dBm at 500 kb/s and -65 dBm at 1 Mb/s, respectively, at a BER less than 10⁻³, with 340 μW total power.

  16. Violence narratives of Mexican women treated in mutual-aid residential centers for addiction treatment

    OpenAIRE

    Lozano-Verduzco, Ignacio; Romero-Mendoza, Martha; Mar?n-Navarrete, Rodrigo

    2016-01-01

    Background Violence against women is a social and public health issue in Mexico. The aim of this article is to explore violence among an understudied group of women, who attended Mutual-Aid Residential Centers for Addiction Treatment and experienced stigma both as women and addicts. These centers are particular kind of addiction treatment services that stem from 12-step philosophy, but that have been found to manipulate said philosophy and exercise extreme forms of psychological and physical ...

  17. Residential demolition and its impact on vacant lot hydrology: implications for the management of stormwater and sewer system overflows

    Science.gov (United States)

    Increased residential demolitions have made vacant lots a ubiquitous feature of the contemporary urban landscape. Vacant lots may provide ecosystem services such as stormwater runoff capture, but the extent of these functions will be regulated by soil hydrology. We evaluated soil...

  18. Development and Pilot Testing of a Food Safety Curriculum for Managers and Staff of Residential Childcare Institutions (RCCIs)

    Science.gov (United States)

    Pivarnik, Lori F.; Patnoad, Martha S.; Nyachuba, David; McLandsborough, Lynne; Couto, Stephen; Hagan, Elsina E.; Breau, Marti

    2013-01-01

    Food safety training materials, targeted for residential childcare institution (RCCI) staff of facilities of 20 residents or less, were developed, piloted, and evaluated. The goal was to assist in the implementation of a Hazard Analysis Critical Control Points (HACCP)-based food safety plan as required by Food and Nutrition Service/United States…

  19. 38 CFR 17.80 - Alcohol and drug dependence or abuse treatment and rehabilitation in residential and...

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Alcohol and drug... of Services of Other Federal Agencies § 17.80 Alcohol and drug dependence or abuse treatment and rehabilitation in residential and nonresidential facilities by contract. (a) Alcohol and drug dependence or abuse...

  20. 78 FR 61370 - National Vaccine Injury Compensation Program; List of Petitions Received

    Science.gov (United States)

    2013-10-03

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration National Vaccine Injury Compensation Program; List of Petitions Received AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice. SUMMARY: The Health Resources and Services Administration (HRSA) is...

  1. Ultra-wideband receiver

    Science.gov (United States)

    McEwan, Thomas E.

    1994-01-01

    An ultra-wideband (UWB) receiver utilizes a strobed input line with a sampler connected to an amplifier. In a differential configuration, .+-.UWB inputs are connected to separate antennas or to two halves of a dipole antenna. The two input lines include samplers which are commonly strobed by a gating pulse with a very low duty cycle. In a single ended configuration, only a single strobed input line and sampler is utilized. The samplers integrate, or average, up to 10,000 pulses to achieve high sensitivity and good rejection of uncorrelated signals.

  2. Dynamic management of integrated residential energy systems

    Science.gov (United States)

    Muratori, Matteo

    This study combines principles of energy systems engineering and statistics to develop integrated models of residential energy use in the United States, to include residential recharging of electric vehicles. These models can be used by government, policymakers, and the utility industry to provide answers and guidance regarding the future of the U.S. energy system. Currently, electric power generation must match the total demand at each instant, following seasonal patterns and instantaneous fluctuations. Thus, one of the biggest drivers of costs and capacity requirement is the electricity demand that occurs during peak periods. These peak periods require utility companies to maintain operational capacity that often is underutilized, outdated, expensive, and inefficient. In light of this, flattening the demand curve has long been recognized as an effective way of cutting the cost of producing electricity and increasing overall efficiency. The problem is exacerbated by expected widespread adoption of non-dispatchable renewable power generation. The intermittent nature of renewable resources and their non-dispatchability substantially limit the ability of electric power generation of adapting to the fluctuating demand. Smart grid technologies and demand response programs are proposed as a technical solution to make the electric power demand more flexible and able to adapt to power generation. Residential demand response programs offer different incentives and benefits to consumers in response to their flexibility in the timing of their electricity consumption. Understanding interactions between new and existing energy technologies, and policy impacts therein, is key to driving sustainable energy use and economic growth. Comprehensive and accurate models of the next-generation power system allow for understanding the effects of new energy technologies on the power system infrastructure, and can be used to guide policy, technology, and economic decisions. This

  3. 10 CFR 434.518 - Service water heating.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Service water heating. 434.518 Section 434.518 Energy... RESIDENTIAL BUILDINGS Building Energy Cost Compliance Alternative § 434.518 Service water heating. 518.1The... Table 518.1.1, Service Hot Water Quantities. The service water heating loads from Table 518.1.1 are...

  4. Does Immigrant Residential Crowding Reflect Hidden Homelessness?

    Directory of Open Access Journals (Sweden)

    Michael Haan

    2011-01-01

    Full Text Available Compared to the Canadian-born, immigrants are under-represented among Canada’s homeless population, when their decline in economic wellbeing is considered alongside their relative absence in homeless shelters. One way to explain this oddity, proposed in both academic and popular literature, is that immigrant communities employ unique avoidance strategies, such as within-group co-residence, to help keep co-ethnics off the streets and out of homeless shelters. In this paper I use the 2001 census of Canada to investigate the extent to which heightened levels of residential crowding might reflect “hidden homelessness”. I find mixed evidence to support this link, and, if anything, find some evidence to suggest that the link between residential crowding and hidden homelessness, if one exists, is strongest for the Canadian-born.

  5. FACTOR ANALYSIS OF MULTISTOREY RESIDENTIAL BUILDINGS ZONE

    Directory of Open Access Journals (Sweden)

    Петр Матвеевич Мазуркин

    2016-02-01

    Full Text Available According to the UN classification of 11 classes of soil cover, the first three are grass, trees and shrubs and forests. In the city they correspond to the three elements of vegetation: lawns, tree plantings (trees and shrubs. We have adopted zoning for city-building to identify statistical regularities. Map dimensions in GIS "Map 2011" Yoshkar-Ola was allocated to "residential zone" and "Area of construction of multi-storey residential buildings (cadastral 58 quart crystals". The parameters of the elements of the vegetation cover have been considered: the number of elements of different levels, area and perimeter, the absolute and relative form, and activity of vegetation. As the result, we have obtained equations of binomial rank distributions, conducted the ratings and selected the best of cadastral quarter on environmental conditions.

  6. Electricity demand for South Korean residential sector

    International Nuclear Information System (INIS)

    Sa'ad, Suleiman

    2009-01-01

    This study estimates the electricity demand function for the residential sector of South Korea with the aim of examining the effects of improved energy efficiency, structural factors and household lifestyles on electricity consumption. In the study, time series data for the period from 1973 to 2007 is used in a structural time series model to estimate the long-term price and income elasticities and annual growth of underlying energy demand trend (UEDT) at the end of the estimation period. The result shows a long-term income elasticity of 1.33 and a long-term price elasticity of -0.27% with -0.93% as the percentage growth of UEDT at the end of the estimation period. This result suggests that, in order to encourage energy efficiency in the residential sector, the government should complement the market based pricing policies with non-market policies such as minimum energy efficiency standards and public enlightenment.

  7. Residential indoor air quality guideline : ozone

    International Nuclear Information System (INIS)

    2010-01-01

    Ozone (O 3 ) is a colourless gas that reacts rapidly on surfaces and with other constituents in the air. Sources of indoor O 3 include devices sold as home air cleaners, and some types of office equipment. Outdoor O 3 is also an important contributor to indoor levels of O 3 , depending on the air exchange rate with indoor environments. This residential indoor air quality guideline examined factors that affect the introduction, dispersion and removal of O 3 indoors. The health effects of prolonged exposure to O 3 were discussed, and studies conducted to evaluate the population health impacts of O 3 were reviewed. The studies demonstrated that there is a significant association between ambient O 3 and adverse health impacts. Exposure guidelines for residential indoor air quality were discussed. 14 refs.

  8. MICRO-CHP System for Residential Applications

    Energy Technology Data Exchange (ETDEWEB)

    Joseph Gerstmann

    2009-01-31

    This is the final report of progress under Phase I of a project to develop and commercialize a micro-CHP system for residential applications that provides electrical power, heating, and cooling for the home. This is the first phase of a three-phase effort in which the residential micro-CHP system will be designed (Phase I), developed and tested in the laboratory (Phase II); and further developed and field tested (Phase III). The project team consists of Advanced Mechanical Technology, Inc. (AMTI), responsible for system design and integration; Marathon Engine Systems, Inc. (MES), responsible for design of the engine-generator subsystem; AO Smith, responsible for design of the thermal storage and water heating subsystems; Trane, a business of American Standard Companies, responsible for design of the HVAC subsystem; and AirXchange, Inc., responsible for design of the mechanical ventilation and dehumidification subsystem.

  9. 7 CFR 29.42 - Receiving station.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.42 Receiving station. Points at which producer tobacco is offered for marketing (other than sale at auction on a designated market), including tobacco auction warehouses, packing...

  10. 8. Prevalence of Epistaxis among Patients Receiving ...

    African Journals Online (AJOL)

    user

    The aim of this study was thus to determine the prevalence, aetiology and treatment modalities of epistaxis among patients receiving otorhinolaryngology services at MNH and MOI. Materials and Methods: A cross-sectional, hospital based study was done to 427 patients at Muhimbili. National Hospital (MNH) and Muhimbili.

  11. Impact of information and communications technologies on residental customer energy services

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, C.; Kempton, W.; Eide, A.; Iyer, M. [and others

    1996-10-01

    This study analyzes the potential impact of information and communications technologies on utility delivery of residential customer energy services. Many utilities are conducting trials which test energy-related and non-energy services using advanced communications systems.

  12. Residential Group Composition Among the Alyawarra

    OpenAIRE

    Denham, woodrowW W

    2014-01-01

    This is the third of three papers I have written recently that challenge and seek to supplant the presumption of closure, rigidity and simplicity in anthropological analyses of Australian Aboriginal social organization. The first dealt with generational closure in canonical Kariera and Aranda kinship models; the second dealt with societal closure, endogamy and the small-world problem; this one examines closure, rigidity and simplicity in residential group compositions. I argue that these thre...

  13. INVESTIGATION OF ELECTROMAGNETIC FIELDS IN RESIDENTIAL AREAS

    Directory of Open Access Journals (Sweden)

    Dušan MEDVEĎ

    2017-09-01

    Full Text Available This article is devoted to investigation of impact of electromagnetic fields around the electrical equipment used in a residential area and their impact on the human body. This paper was based on sets of measurements of magnetic induction B with magnetometer and on computational simulations in ANSYS for particular appliances often used in household. The results from measurements and simulations led to setting out the recommendations for practical action in the form of elimination of harmful electromagnetic radiation.

  14. DESIGN ASPECTS OF A RESIDENTIAL WIND GENERATOR

    Directory of Open Access Journals (Sweden)

    C. BRAD

    2017-03-01

    Full Text Available In this paper we present some aspects about the design of a small permanent magnet wind generator with axial magnetic flux often used in residential wind turbine. There are summarised the main steps of the magnetic and electric calculations with applications to a particular case: 0.6 kVA wind generator. The axial flux wind generator design starts with the characteristics of the rare earths permanent magnet existing on the market.

  15. Transition issues in an unbundled residential market

    International Nuclear Information System (INIS)

    Brett, J.D.

    1996-01-01

    Aspects of an unbundled residential gas market were discussed, among them (1) the role of a local distribution company (LDC), (2) the context and the issues, (3) the customers'needs and desires, (4) long term planning responsibility, (5) consumer protection and dealing with abuses, (6) the obligation to serve, (7) the bad credit risk customer, (8) billing, credit and collection, and (9) metering and CIS

  16. Comprehensive areal model of residential heating demands

    Energy Technology Data Exchange (ETDEWEB)

    Tessmer, R.G. Jr.

    1978-01-01

    Data sources and methodology for modeling annual residential heating demands are described. A small areal basis is chosen, census tract or minor civil division, to permit estimation of demand densities and economic evaluation of community district heating systems. The demand model is specified for the entire nation in order to provide general applicability and to permit validation with other published fuel consumption estimates for 1970.

  17. Development Of Economic Techniques For Residential Thermography

    Science.gov (United States)

    Allen, Lee R.; Allen, Sharon

    1983-03-01

    Infrared thermography has proven to be a valuable tool in the detection of heat loss in both commercial and residential buildings. The field of residential thermography has needed a simple method with which to report the deficiencies found during an infrared scan. Two major obstacles hindering the cost effectiveness of residential thermography have been 1) the ability to quickly transport some high resolution imaging system equipment from job site to job site without having to totally dismount the instruments at each area, and 2) the lack of a standard form with which to report the findings of the survey to the customer. Since the industry has yet to provide us with either, we believed it necessary to develop our own. Through trial and error, we have come up with a system that makes interior residential thermography a profitable venture at a price the homeowner can afford. Insulation voids, or defects can be instantly spotted with the use of a thermal imaging system under the proper conditions. A special hand-held device was developed that enables the thermographer to carry the equipment from house to house without the need to dismantle and set up at each stop. All the necessary components are attached for a total weight of about 40 pounds. The findings are then conveyed to a form we have developed. The form is simple enough that the client without special training in thermography can understand. The client is then able to locate the problems and take corrective measures or give it to a con-tractor to do the work.

  18. Procedures for Calculating Residential Dehumidification Loads

    Energy Technology Data Exchange (ETDEWEB)

    Winkler, Jon [National Renewable Energy Lab. (NREL), Golden, CO (United States); Booten, Chuck [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-06-01

    Residential building codes and voluntary labeling programs are continually increasing the energy efficiency requirements of residential buildings. Improving a building's thermal enclosure and installing energy-efficient appliances and lighting can result in significant reductions in sensible cooling loads leading to smaller air conditioners and shorter cooling seasons. However due to fresh air ventilation requirements and internal gains, latent cooling loads are not reduced by the same proportion. Thus, it's becoming more challenging for conventional cooling equipment to control indoor humidity at part-load cooling conditions and using conventional cooling equipment in a non-conventional building poses the potential risk of high indoor humidity. The objective of this project was to investigate the impact the chosen design condition has on the calculated part-load cooling moisture load, and compare calculated moisture loads and the required dehumidification capacity to whole-building simulations. Procedures for sizing whole-house supplemental dehumidification equipment have yet to be formalized; however minor modifications to current Air-Conditioner Contractors of America (ACCA) Manual J load calculation procedures are appropriate for calculating residential part-load cooling moisture loads. Though ASHRAE 1% DP design conditions are commonly used to determine the dehumidification requirements for commercial buildings, an appropriate DP design condition for residential buildings has not been investigated. Two methods for sizing supplemental dehumidification equipment were developed and tested. The first method closely followed Manual J cooling load calculations; whereas the second method made more conservative assumptions impacting both sensible and latent loads.

  19. Residential location choice of knowledge-workers in a "startup metropolis": the role of amenities, workplace and lifestyle

    DEFF Research Database (Denmark)

    Frenkel, Amnon; Bendit, Edward; Kaplan, Sigal

    2013-01-01

    This study investigates the residential location choice of knowledge-workers at the intra-metropolitan level by applying discrete choice models. The models represent housing choices of 833 knowledge-workers in high-technology and financial services and analyze the relative importance of lifestyle...... and cultural amenities in addition to classic location factors. Hence, the model bridges the gap between the recent lifestyle-oriented and the classical utility-oriented conceptualizations of the residential choice of knowledge-workers. The most important factors are municipal socioeconomic level, housing...... affordability and commuting time, while substantial secondary factors are cultural and educational land-use and culture-oriented lifestyle....

  20. Metal contamination in environmental media in residential ...

    Science.gov (United States)

    Hard-rock mining for metals, such as gold, silver, copper, zinc, iron and others, is recognized to have a significant impact on the environmental media, soil and water, in particular. Toxic contaminants released from mine waste to surface water and groundwater is the primary concern, but human exposure to soil contaminants either directly, via inhalation of airborne dust particles, or indirectly, via food chain (ingestion of animal products and/or vegetables grown in contaminated areas), is also, significant. In this research, we analyzed data collected in 2007, as part of a larger environmental study performed in the Rosia Montana area in Transylvania, to provide the Romanian governmental authorities with data on the levels of metal contamination in environmental media from this historical mining area. The data were also considered in policy decision to address mining-related environmental concerns in the area. We examined soil and water data collected from residential areas near the mining sites to determine relationships among metals analyzed in these different environmental media, using the correlation procedure in SAS statistical software. Results for residential soil and water analysis indicate that the average values for arsenic (As) (85 mg/kg), cadmium (Cd) (3.2 mg/kg), mercury (Hg) (2.3 mg/kg) and lead (Pb) (92 mg/kg) exceeded the Romanian regulatory exposure levels [the intervention thresholds for residential soil in case of As (25 mg/kg) and Hg

  1. Sorption of organic gases in residential rooms

    Science.gov (United States)

    Singer, Brett C.; Hodgson, Alfred T.; Hotchi, Toshifumi; Ming, Katherine Y.; Sextro, Richard G.; Wood, Emily E.; Brown, Nancy J.

    Experiments were conducted to characterize organic gas sorption in residential rooms studied "as-is" with furnishings and material surfaces unaltered and in a furnished chamber designed to simulate a residential room. Results are presented for 10 rooms (five bedrooms, two bathrooms, a home office, and two multi-function spaces) and the chamber. Exposed materials were characterized and areas quantified. A mixture of volatile organic compounds (VOCs) was rapidly volatilized within each room as it was closed and sealed for a 5-h Adsorb phase; this was followed by 30-min Flush and 2-h closed-room Desorb phases. Included were alkane, aromatic, and oxygenated VOCs representing a range of ambient and indoor air pollutants. Three organophosphorus compounds served as surrogates for Sarin-like nerve agents. Measured gas-phase concentrations were fit to three variations of a mathematical model that considers sorption occurring at a surface sink and potentially a second, embedded sink. The 3-parameter sink-diffusion model provided acceptable fits for most compounds and the 4-parameter two-sink model provided acceptable fits for the others. Initial adsorption rates and sorptive partitioning increased with decreasing vapor pressure for the alkanes, aromatics and oxygenated VOCs. Best-fit sorption parameters obtained from experimental data from the chamber produced best-fit sorption parameters similar to those obtained from the residential rooms.

  2. Medication administration errors for older people in long-term residential care

    Directory of Open Access Journals (Sweden)

    Szczepura Ala

    2011-12-01

    Full Text Available Abstract Background Older people in long-term residential care are at increased risk of medication prescribing and administration errors. The main aim of this study was to measure the incidence of medication administration errors in nursing and residential homes using a barcode medication administration (BCMA system. Methods A prospective study was conducted in 13 care homes (9 residential and 4 nursing. Data on all medication administrations for a cohort of 345 older residents were recorded in real-time using a disguised observation technique. Every attempt by social care and nursing staff to administer medication over a 3-month observation period was analysed using BCMA records to determine the incidence and types of potential medication administration errors (MAEs and whether errors were averted. Error classifications included attempts to administer medication at the wrong time, to the wrong person or discontinued medication. Further analysis compared data for residential and nursing homes. In addition, staff were surveyed prior to BCMA system implementation to assess their awareness of administration errors. Results A total of 188,249 medication administration attempts were analysed using BCMA data. Typically each resident was receiving nine different drugs and was exposed to 206 medication administration episodes every month. During the observation period, 2,289 potential MAEs were recorded for the 345 residents; 90% of residents were exposed to at least one error. The most common (n = 1,021, 45% of errors was attempting to give medication at the wrong time. Over the 3-month observation period, half (52% of residents were exposed to a serious error such as attempting to give medication to the wrong resident. Error incidence rates were 1.43 as high (95% CI 1.32-1.56 p Conclusions The incidence of medication administration errors is high in long-term residential care. A barcode medication administration system can capture medication

  3. Predictors of residential treatment retention among individuals with co-occurring substance abuse and mental health disorders.

    Science.gov (United States)

    Choi, Sam; Adams, Susie M; MacMaster, Samuel A; Seiters, John

    2013-01-01

    A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. The purpose of this study is to identify factors during the initial phase of treatment which predict retention in private residential treatment for individuals with co-occurring substance use and mental health disorders. The participants were 1,317 individuals with co-occurring substance abuse and mental health disorders receiving treatment at three residential treatment centers located in Memphis, TN, Malibu, CA, and Palm Springs, CA. Bivariate analysis and logistic regression were utilized to identify factors that predict treatment retention at 30 days. The findings indicate a variety of factors including age, gender, types of drug, Addiction Severity Index Medical and Psychiatric scores, and readiness to change. These identified factors could be incorporated into pretreatment assessments, so that programs can initiate preventive measures to decrease attrition and improve treatment outcomes.

  4. Solar thermal energy receiver

    Science.gov (United States)

    Baker, Karl W. (Inventor); Dustin, Miles O. (Inventor)

    1992-01-01

    A plurality of heat pipes in a shell receive concentrated solar energy and transfer the energy to a heat activated system. To provide for even distribution of the energy despite uneven impingement of solar energy on the heat pipes, absence of solar energy at times, or failure of one or more of the heat pipes, energy storage means are disposed on the heat pipes which extend through a heat pipe thermal coupling means into the heat activated device. To enhance energy transfer to the heat activated device, the heat pipe coupling cavity means may be provided with extensions into the device. For use with a Stirling engine having passages for working gas, heat transfer members may be positioned to contact the gas and the heat pipes. The shell may be divided into sections by transverse walls. To prevent cavity working fluid from collecting in the extensions, a porous body is positioned in the cavity.

  5. Beyond residential mobility: A broader conceptualization of instability and its impact on victimization risk among children.

    Science.gov (United States)

    Merrick, Melissa T; Henly, Megan; Turner, Heather A; David-Ferdon, Corinne; Hamby, Sherry; Kacha-Ochana, Akadia; Simon, Thomas R; Finkelhor, David

    2018-03-17

    Predictability in a child's environment is a critical quality of safe, stable, nurturing relationships and environments, which promote wellbeing and protect against maltreatment. Research has focused on residential mobility's effect on this predictability. This study augments such research by analyzing the impact of an instability index-including the lifetime destabilization factors (LDFs) of natural disasters, homelessness, child home removal, multiple moves, parental incarceration, unemployment, deployment, and multiple marriages--on childhood victimizations. The cross-sectional, nationally representative sample of 12,935 cases (mean age = 8.6 years) was pooled from 2008, 2011, and 2014 National Surveys of Children's Exposure to Violence (NatSCEV). Logistic regression models controlling for demographics, socio-economic status, and family structure tested the association between excessive residential mobility, alone, and with LDFs, and past year childhood victimizations (sexual victimization, witnessing community or family violence, maltreatment, physical assault, property crime, and polyvictimization). Nearly 40% of the sample reported at least one LDF. Excessive residential mobility was significantly predictive of increased odds of all but two victimizations; almost all associations were no longer significant after other destabilizing factors were included. The LDF index without residential mobility was significantly predictive of increased odds of all victimizations (AOR's ranged from 1.36 to 1.69), and the adjusted odds ratio indicated a 69% increased odds of polyvictimization for each additional LDF a child experienced. The LDF index thus provides a useful alternative to using residential moves as the sole indicator of instability. These findings underscore the need for comprehensive supports and services to support stability for children and families. Copyright © 2018. Published by Elsevier Ltd.

  6. Summary of Workshop: Barriers to Energy Efficient Residential Ventilation

    Energy Technology Data Exchange (ETDEWEB)

    Sherman, Max; Sherman, Max

    2008-01-10

    The objectives for this workshop were to bring together those with different viewpoints on the implementation of energy efficient ventilation in homes to share their perspectives. The primary benefit of the workshop is to allow the participants to get a broader understanding of the issues involved and thereby make themselves more able to achieve their own goals in this area. In order to achieve this objective each participant was asked to address four objectives from their point of view: (1) Drivers for energy efficient residential ventilation: Why is this an important issue? Who cares about it? Where is the demand: occupants, utilities, regulation, programs, etc? What does sustainability mean in this context? (2) Markets & Technologies: What products, services and systems are out there? What kinds of things are in the pipeline? What is being installed now? Are there regional or other trends? What are the technology interactions with other equipment and the envelope? (3) Barriers to Implementation: What is stopping decision makers from implementing energy-efficient residential ventilation systems? What kind of barriers are there: technological, cost, informational, structural, etc. What is the critical path? (4) Solutions: What can be done to overcome the barriers and how can/should we do it? What is the role of public vs. private institutions? Where can investments be made to save energy while improving the indoor environment? Ten participants prepared presentations for the workshop. Those presentations are included in sections at the end of this workshop report. These presentations provided the principal context for the discussions that happened during the workshop. Critical path issues were raised and potential solutions discussed during the workshop. As a secondary objective they have listed key issues and some potential consensus items which resulted from the discussions.

  7. Using Radio Irregularity for Increasing Residential Energy Awareness

    Directory of Open Access Journals (Sweden)

    A. Miljković

    2012-06-01

    Full Text Available Radio irregularity phenomenon is often considered as a shortcoming of wireless networks. In this paper, the method of using radio irregularity as an efficient human presence detection sensor in smart homes is presented. The method is mainly based on monitoring variations of the received signal strength indicator (RSSI within the messages used for the communication between wireless smart power outlets. The radio signals used for the inter-outlets communication can be absorbed, diffracted or reflected by objects in their propagation paths. When a human enters the existing radio communication field, the variation of the signal strength at the receiver is even more expressed. Based on the detected changes and compared to the initial thresholds set during the initialization phase, the system detects human presence. The proposed solution increases user awareness and automates the power control in households, with the primary goal to contribute in residential energy savings. Compared to conventional sensor networks, this approach preserves the sensorial intelligence, simplicity and low installation costs, without the need for additional sensors integration.

  8. As novas práticas em saúde mental e o trabalho no serviço residencial terapêutico Las nuevas prácticas en salud mental y el trabajo en servicio residencial terapéutico New practices in mental health and work in therapeutic residential service

    Directory of Open Access Journals (Sweden)

    Danielle Souza Silva

    2011-09-01

    sujetos activos.The objective was to investigate the perception of caregivers about their work in Therapeutic Residential Services (TRS of Caicó-RN. It was a descriptive and qualitative research, conducted in 2009 with six nursing professionals working as caregivers, through a semi-structured interview. Two categories were discovered: the work performed at TRS and its achievements; Difficulties and challenges encountered in the dynamics of the SRT. The SRT was deployed in order to (re socialize the residents in community life, to increase the autonomy and capacity for social interaction. The address and their routine enable users to make daily changes in their lifestyle and quality of life, despite the existence of severe problems such as instability of the physical infrastructure, inadequate human and material resources. The work of the caregivers comes from the unanimous incorporation of the psychosocial approach, but still needs improvement in order to emphasize the role of the residents as active subjects.

  9. National estimation of children in residential care institutions in Cambodia: a modelling study.

    Science.gov (United States)

    Stark, Lindsay; Rubenstein, Beth L; Pak, Kimchoeun; Kosal, Sok

    2017-01-16

    The primary objective of this study was to collect baseline data on the number of children living in residential care institutions in Cambodia. The secondary objective was to describe the characteristics of the children (eg, age, sex, duration of stay, education and health). The data were intended to guide recent efforts by the Government of Cambodia to reduce the number of children living in residential care institutions and increase the number of children growing up in supportive family environments. Data were collected in Cambodia across 24 sites at the commune level. Communes-administrative divisions roughly equivalent to counties-were selected by the National Institute of Statistics using a two-stage sampling method. Government lists and key informant interviews were used to construct a complete roster of institutions across the 24 communes. All identified institutions were visited to count the number of children and gather data on their basic characteristics. The rate of children in residential care in the selected communes was calculated as a percentage of total population using a Poisson model. This rate was applied to all districts in Cambodia with at least one reported residential care institution. A total of 3588 children were counted across 122 institutions. A child living in a residential care institution was defined as anyone under the age of 18 years who was sleeping in the institution for at least four nights per week during the data collection period. There are an estimated 48 775 children living in residential care institutions in Cambodia. The vast majority of children have a living parent and are school-aged. More than half are between 13 and 17 years of age. Nearly 1 of every 100 children in Cambodia is living in residential care. This raises substantial concerns for child health, protection and national development. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

  10. A hybrid society model for simulating residential electricity consumption

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Minjie [School of Electrical Engineering, Beijing Jiaotong University, Beijing (China); State Power Economic Research Institute, Beijing (China); Hu, Zhaoguang [State Power Economic Research Institute, Beijing (China); Wu, Junyong; Zhou, Yuhui [School of Electrical Engineering, Beijing Jiaotong University, Beijing (China)

    2008-12-15

    In this paper, a hybrid social model of econometric model and social influence model is proposed for evaluating the influence of pricing policy and public education policy on residential habit of electricity using in power resources management. And, a hybrid society simulation platform based on the proposed model, called residential electricity consumption multi-agent systems (RECMAS), is designed for simulating residential electricity consumption by multi-agent system. RECMAS is composed of consumer agent, power supplier agent, and policy maker agent. It provides the policy makers with a useful tool to evaluate power price policies and public education campaigns in different scenarios. According to an influenced diffusion mechanism, RECMAS can simulate the residential electricity demand-supply chain and analyze impacts of the factors on residential electricity consumption. Finally, the proposed method is used to simulate urban residential electricity consumption in China. (author)

  11. A hybrid society model for simulating residential electricity consumption

    International Nuclear Information System (INIS)

    Xu, Minjie; Hu, Zhaoguang; Wu, Junyong; Zhou, Yuhui

    2008-01-01

    In this paper, a hybrid social model of econometric model and social influence model is proposed for evaluating the influence of pricing policy and public education policy on residential habit of electricity using in power resources management. And, a hybrid society simulation platform based on the proposed model, called residential electricity consumption multi-agent systems (RECMAS), is designed for simulating residential electricity consumption by multi-agent system. RECMAS is composed of consumer agent, power supplier agent, and policy maker agent. It provides the policy makers with a useful tool to evaluate power price policies and public education campaigns in different scenarios. According to an influenced diffusion mechanism, RECMAS can simulate the residential electricity demand-supply chain and analyze impacts of the factors on residential electricity consumption. Finally, the proposed method is used to simulate urban residential electricity consumption in China. (author)

  12. CERN apprentice receives award

    CERN Multimedia

    2008-01-01

    Another CERN apprentice has received an award for the quality of his work. Stéphane Küng (centre), at the UIG ceremony last November, presided over by Geneva State Councillor Pierre-François Unger, Head of the Department of Economics and Health. Electronics technician Stéphane Küng was honoured in November by the Social Foundation of the Union Industrielle Genevoise (UIG) as one of Geneva’s eight best apprentices in the field of mechatronics. The 20-year-old Genevan obtained his Federal apprentice’s certificate (Certificat fédéral de capacité - CFC) in June 2007, achieving excellent marks in his written tests at the Centre d’Enseignement Professionnel Technique et Artisanal (CEPTA). Like more than 200 youngsters before him, Stéphane Küng spent part of his four-year sandwich course working at CERN, where he followed many practical training courses and gained valuable hands-on experience in various technical groups and labs. "It’ always very gr...

  13. Depressive symptoms as a predictor of alcohol relapse after residential treatment programs for alcohol use disorder.

    Science.gov (United States)

    Suter, Marius; Strik, Werner; Moggi, Franz

    2011-10-01

    Alcohol use disorder (AUD) and depressive disorders often co-occur. Findings on the effects of major depressive disorder (MDD) or depressive symptoms on posttreatment alcohol relapse are controversial. The study's aim is to examine the association of MDD and depressive symptoms with treatment outcomes after residential AUD programs. In a naturalistic-prospective, multisite study with 12 residential AUD treatment programs in the German-speaking part of Switzerland, 64 patients with AUD with MDD, 283 patients with AUD with clinically significant depressive symptoms at admission, and 81 patients with AUD with such problems at discharge were compared with patients with AUD only on alcohol use, depressive symptoms, and treatment service utilization. MDD was provisionally identified at admission and definitively defined at discharge. Whereas patients with MDD did not differ from patients with AUD only at 1-year follow-up, patients with AUD with clinically significant depressive symptoms had significantly shorter time-to-first-drink and a lower abstinence rate. These patients also had elevated AUD indices and treatment service utilization for psychiatric disorders. Our results suggest that clinically significant depressive symptoms are a substantial risk factor for relapse so that it may be important to treat them during and after residential AUD treatment programs. Copyright © 2011 Elsevier Inc. All rights reserved.

  14. [Evaluation of a residential care and supported housing program in the regional association of Westphalia-Lippe].

    Science.gov (United States)

    Richter, Dirk

    2010-04-01

    During the deinstitutionalisation of psychiatric care in Germany, new psychiatric care approaches have been developed, which have been rarely scientifically evaluated. This study aims at evaluating the residential care and supported housing program of a public service in Westphalia, Northwestern Germany. Data on 1486 clients about sociodemographics, individual biographies, housing, social integration and perspective of care were collected by staff. Individual interviews on the clients' quality of life were conducted with 941 subjects. The residential care and supported housing program clients are chronically mentally ill and disabled. Clients from the supported housing sector have a much more favorable biographical and social background compared to those from residential care. Integration into the regular workforce does usually not happen. Clients from the residential care sector have only few social contacts outside their institution. The quality of life assessment revealed no differences between the settings. More external social contacts should be provided especially for the residential care clients. Motivational interventions might enhance the clients' social inclusion further. Copyright Georg Thieme Verlag KG Stuttgart . New York.

  15. Access to information technology and willingness to receive text ...

    African Journals Online (AJOL)

    Background. Effective communication is imperative for the delivery and receipt of adequate health care services. Aim. To determine access to information technology and willingness to receive short message service (SMS) text message reminders for childhood immunisation services among mothers in Lagos, Nigeria.

  16. Nursing staff work patterns in a residential aged care home: a time-motion study.

    Science.gov (United States)

    Qian, Siyu; Yu, Ping; Hailey, David

    2016-11-01

    Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time-motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses' work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses' work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are

  17. Resignation from the VAT exemption of sales of residential premises by the developer

    Directory of Open Access Journals (Sweden)

    Joanna Koziollek

    2016-09-01

    Full Text Available Tax institutions should be construed in a rational manner, in order so as to not restrict economic turnover excessively. The regulations concerning the possibility to resign from the VAT exemption of sales of residential premises by the developer characterizes by the high level of formalism which affects in a negative manner the sales process performed by the developer. This paper is devoted to the fragment of the polish Act on the goods and services tax governing the issue of resignation from the VAT exemption of sales of residential premises, which implies in a certain extent to appeal to the regulation of exemptions stipulated in this Act. The subject matter of this analysis is to examine the correctness of transposition of the Directive 112 into polish legal system in the field of real estate exemptions from VAT, the conditions for exercising the optional exemption, as well as the benefit of the resignation from the VAT exemption by the taxpayer.

  18. Development of residential-conservation-survey methodology for the US Air Force. Interim report. Task two

    Energy Technology Data Exchange (ETDEWEB)

    Abrams, D. W.; Hartman, T. L.; Lau, A. S.

    1981-11-13

    A US Air Force (USAF) Residential Energy Conservation Methodology was developed to compare USAF needs and available data to the procedures of the Residential Conservation Service (RCS) program as developed for general use by utility companies serving civilian customers. Attention was given to the data implications related to group housing, climatic data requirements, life-cycle cost analysis, energy saving modifications beyond those covered by RCS, and methods for utilizing existing energy consumption data in approaching the USAF survey program. Detailed information and summaries are given on the five subtasks of the program. Energy conservation alternatives are listed and the basic analysis techniques to be used in evaluating their thermal performane are described. (MCW)

  19. Solar Adoption and Energy Consumption in the Residential Sector

    Science.gov (United States)

    McAllister, Joseph Andrew

    This dissertation analyzes the energy consumption behavior of residential adopters of solar photovoltaic systems (solar-PV). Based on large data sets from the San Diego region that have been assembled or otherwise acquired by the author, the dissertation quantifies changes in energy consumption after solar-PV installation and determines whether certain household characteristics are correlated with such changes. In doing so, it seeks to answer two related questions: First, "Do residential solar adopters increase or decrease their electricity consumption after they install a solar-PV system?" Assuming that certain categories of residential adopters increase and others decrease, the second question is "Which residential adopters increase and which decrease their consumption and why?" The database that was used to conduct this analysis includes information about 5,243 residential systems in San Diego Gas & Electric's (SDG&E) service territory installed between January 2007 and December 2010. San Diego is a national leader in the installation of small-scale solar-electric systems, with over 12,000 systems in the region installed as of January 2012, or around 14% of the total number installed in California. The author performed detailed characterization of a significant subset of the solar installations in the San Diego region. Assembled data included technical and economic characteristics of the systems themselves; the solar companies that sold and installed them; individual customer electric utility billing data; metered PV production data for a subgroup of these solar systems; and data about the properties where the systems are located. Primarily, the author was able to conduct an electricity consumption analysis at the individual household level for 2,410 PV systems installed in SDG&E service territory between January 2007 and December 2010. This analysis was designed to detect changes in electricity consumption from the pre-solar to the post-installation period. To

  20. Fertility expectations and residential mobility in Britain

    Directory of Open Access Journals (Sweden)

    John Ermisch

    2016-12-01

    Full Text Available Background: It is plausible that people take into account anticipated changes in family size in choosing where to live. But estimation of the impact of anticipated events on current transitions in an event history framework is challenging because expectations must be measured in some way and, like indicators of past childbearing, expected future childbearing may be endogenous with respect to housing decisions. Objective: The objective of the study is to estimate how expected changes in family size affect residential movement in Great Britain in a way which addresses these challenges. Methods: We use longitudinal data from a mature 18-wave panel survey, the British Household Panel Survey, which incorporates a direct measure of fertility expectations. The statistical methods allow for the potential endogeneity of expectations in our estimation and testing framework. Results: We produce evidence consistent with the idea that past childbearing mainly affects residential mobility through expectations of future childbearing, not directly through the number of children in the household. But there is heterogeneity in response. In particular, fertility expectations have a much greater effect on mobility among women who face lower costs of mobility, such as private tenants. Conclusions: Our estimates indicate that expecting to have a(nother child in the future increases the probability of moving by about 0.036 on average, relative to an average mobility rate of 0.14 per annum in our sample. Contribution: Our contribution is to incorporate anticipation of future events into an empirical model of residential mobility. We also shed light on how childbearing affects mobility.

  1. Perfil dos pacientes atendidos no setor de fonoaudiologia de um serviço público de Recife - PE Profile of patients receiving speech therapy care at a public service at Recife-PE

    Directory of Open Access Journals (Sweden)

    Percy Maria de Lima Barros

    2010-02-01

    Full Text Available OBJETIVO: traçar o perfil dos pacientes cadastrados e atendidos pelo setor de Fonoaudiologia de um serviço público de Recife. MÉTODOS: o estudo foi realizado a partir da coleta e análise dos dados referentes à origem do encaminhamento, faixa etária, gênero, queixas fonoaudiológicas de crianças, adolescentes, adultos e idosos, colhidos das fichas das entrevistas iniciais. A amostra foi constituída por todos os indivíduos cadastrados no setor de Fonoaudiologia de um serviço público da cidade de Recife, no período de julho de 2007 a maio de 2008. RESULTADOS: dos 251 pacientes atendidos, 12 foram excluídos da pesquisa, três destes obtiveram alta fonoaudiológica e nove não apresentavam os dados completos. Das fichas analisadas, houve um maior número de encaminhamento realizado por Pediatras (25%, em seguida Otorrinolaringologista (16% e Clínico Geral (10%, sendo a maioria do sexo masculino (61%, com idade entre 0 a 11 anos de idade. De acordo com as queixas, as mais freqüentes foram de desvio fonológico (14%, seguidos de atraso de linguagem (11%, disfluência (10% e respirador oral (8%. Em relação ao número de queixas apresentadas, 72% apresentaram uma queixa, 25% duas queixas e 2 % três queixas associadas. CONCLUSÕES: o perfil atendido no setor de fonoaudiologia de um serviço público da cidade de Recife, apesar de ser variado, é em sua maioria do sexo masculino, encaminhado por pediatras, com alteração de voz e idade entre 0 a 11 anos, apresentando frequentemente uma única queixa fonoaudiológica.PURPOSE: to delineate the profile of patients registered and attended by a Speech Therapy sector in a public service at Recife. METHODS: the study was conducted from the collection and analysis of data concerning the origin of referral, age, gender, speech complaints of children, adolescents, adults and elderly, collected from the records of initial interviews. The sample consisted of all individuals registered in the

  2. Practical Diagnostics for Evaluating Residential Commissioning Metrics

    Energy Technology Data Exchange (ETDEWEB)

    Wray, Craig; Walker, Iain; Siegel, Jeff; Sherman, Max

    2002-06-11

    In this report, we identify and describe 24 practical diagnostics that are ready now to evaluate residential commissioning metrics, and that we expect to include in the commissioning guide. Our discussion in the main body of this report is limited to existing diagnostics in areas of particular concern with significant interactions: envelope and HVAC systems. These areas include insulation quality, windows, airtightness, envelope moisture, fan and duct system airflows, duct leakage, cooling equipment charge, and combustion appliance backdrafting with spillage. Appendix C describes the 83 other diagnostics that we have examined in the course of this project, but that are not ready or are inappropriate for residential commissioning. Combined with Appendix B, Table 1 in the main body of the report summarizes the advantages and disadvantages of all 107 diagnostics. We first describe what residential commissioning is, its characteristic elements, and how one might structure its process. Our intent in this discussion is to formulate and clarify these issues, but is largely preliminary because such a practice does not yet exist. Subsequent sections of the report describe metrics one can use in residential commissioning, along with the consolidated set of 24 practical diagnostics that the building industry can use now to evaluate them. Where possible, we also discuss the accuracy and usability of diagnostics, based on recent laboratory work and field studies by LBNL staff and others in more than 100 houses. These studies concentrate on evaluating diagnostics in the following four areas: the DeltaQ duct leakage test, air-handler airflow tests, supply and return grille airflow tests, and refrigerant charge tests. Appendix A describes those efforts in detail. In addition, where possible, we identify the costs to purchase diagnostic equipment and the amount of time required to conduct the diagnostics. Table 1 summarizes these data. Individual equipment costs for the 24

  3. Residential firewood use in the United States.

    Science.gov (United States)

    Lipfert, F W; Dungan, J L

    1983-03-25

    An empirical relation between residential firewood use and population density was developed from survey data for 64 counties in New England and was corroborated by data from other states. The results indicate that usage is concentrated in urbanized areas of the Northeast and north central states and that about 9.0 to 11.0 percent of U.S. space heating input is from firewood. No constraints due to the supply of wood were apparent in 1978-1979. These findings have implications for effects on air quality.

  4. Competitive solar heating systems for residential buildings

    DEFF Research Database (Denmark)

    Furbo, Simon; Thür, Alexander; Fiedler, Frank

    2005-01-01

    The paper describes the ongoing research project “Competitive solar heating systems for residential buildings”. The aim of the project is to develop competitive solar combisystems which are attractive to buyers. The solar combisystems must be attractive compared to traditional energy systems, both....... In Denmark and Norway the focus is on solar heating/natural gas systems, and in Sweden and Latvia the focus is on solar heating/pellet systems. Additionally, Lund Institute of Technology and University of Oslo are studying solar collectors of various types being integrated into the roof and facade...... of the building....

  5. Strategy Guideline. High Performance Residential Lighting

    Energy Technology Data Exchange (ETDEWEB)

    Holton, J. [IBACOS, Inc., Pittsburgh, PA (United States)

    2012-02-01

    This report has been developed to provide a tool for the understanding and application of high performance lighting in the home. The strategies featured in this guide are drawn from recent advances in commercial lighting for application to typical spaces found in residential buildings. This guide offers strategies to greatly reduce lighting energy use through the application of high quality fluorescent and light emitting diode (LED) technologies. It is important to note that these strategies not only save energy in the home but also serve to satisfy the homeowner’s expectations for high quality lighting.

  6. Residential Energy Consumption Survey: Quality Profile

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    The Residential Energy Consumption Survey (RECS) is a periodic national survey that provides timely information about energy consumption and expenditures of U.S. households and about energy-related characteristics of housing units. The survey was first conducted in 1978 as the National Interim Energy Consumption Survey (NIECS), and the 1979 survey was called the Household Screener Survey. From 1980 through 1982 RECS was conducted annually. The next RECS was fielded in 1984, and since then, the survey has been undertaken at 3-year intervals. The most recent RECS was conducted in 1993.

  7. Residential/commercial market for energy technologies

    Energy Technology Data Exchange (ETDEWEB)

    Glesk, M M

    1979-08-01

    The residential/commercial market sector, particularly as it relates to energy technologies, is described. Buildings account for about 25% of the total energy consumed in the US. Market response to energy technologies is influenced by several considerations. Some considerations discussed are: industry characteristics; market sectors; energy-consumption characeristics; industry forecasts; and market influences. Market acceptance may be slow or nonexistent, the technology may have little impact on energy consumption, and redesign or modification may be necessary to overcome belatedly perceived market barriers. 7 figures, 20 tables.

  8. Applying power electronics to residential HVAC

    International Nuclear Information System (INIS)

    Sulfstede, L.

    1991-01-01

    This paper outlines several of the market and application issues bearing on the economics residential variable speed air conditioners and heat pumps. Technical details of capacity modulized systems have been avoided, along with design issues and tradeoffs involving power semiconductors, motor torque and speed control strategies- and silicon integration for these applications. The intention is to provoke new creative technical solutions but perhaps more importantly, to involve new marketing strategies that will develop the mature potential of air conditioning products containing power electronics to enable them to generate the tough HVAC market, competing successfully against conventional systems

  9. Life-cycle energy of residential buildings in China

    International Nuclear Information System (INIS)

    Chang, Yuan; Ries, Robert J.; Wang, Yaowu

    2013-01-01

    In the context of rapid urbanization and new construction in rural China, residential building energy consumption has the potential to increase with the expected increase in demand. A process-based hybrid life-cycle assessment model is used to quantify the life-cycle energy use for both urban and rural residential buildings in China and determine the energy use characteristics of each life cycle phase. An input–output model for the pre-use phases is based on 2007 Chinese economic benchmark data. A process-based life-cycle assessment model for estimating the operation and demolition phases uses historical energy-intensity data. Results show that operation energy in both urban and rural residential buildings is dominant and varies from 75% to 86% of life cycle energy respectively. Gaps in living standards as well as differences in building structure and materials result in a life-cycle energy intensity of urban residential buildings that is 20% higher than that of rural residential buildings. The life-cycle energy of urban residential buildings is most sensitive to the reduction of operational energy intensity excluding heating energy which depends on both the occupants' energy-saving behavior as well as the performance of the building itself. -- Highlights: •We developed a hybrid LCA model to quantify the life-cycle energy for urban and rural residential buildings in China. •Operation energy in urban and rural residential buildings is dominant, varying from 75% to 86% of life cycle energy respectively. •Compared with rural residential buildings, the life-cycle energy intensity of urban residential buildings is 20% higher. •The life-cycle energy of urban residential buildings is most sensitive to the reduction of daily activity energy

  10. Towards socially and economically sustainable urban developments : impacts of toll pricing on residential developments.

    Science.gov (United States)

    2013-12-01

    The goal of this research is to investigate the effects of road pricing on residential land use choices and to : help select pricing policies that foster socially and economically sustainable residential development in : urbanized residential areas. ...

  11. Improved reliability of residential heat pumps; Foerbaettrad driftsaekerhet hos villavaermepumpar

    Energy Technology Data Exchange (ETDEWEB)

    Haglund Stignor, Caroline; Larsson, Kristin; Jensen, Sara; Larsson, Johan; Berg, Johan; Lidbom, Peter; Rolfsman, Lennart

    2012-07-01

    Today, heat pump heating systems are common in Swedish single-family houses. Many owners are pleased with their installation, but statistics show that a certain number of heat pumps break every year, resulting in high costs for both insurance companies and owners. On behalf of Laensfoersaekringars Forskningsfond, SP Energy Technology has studied the cause of the most common failures for residential heat pumps. The objective of the study was to suggest what measures to be taken to reduce the number of failures, i.e. improving the reliability of heat pumps. The methods used were analysis of public failure statistics and sales statistics and interviews with heat pump manufacturers, installers, service representatives and assessors at Laensfoersaekringar. In addition, heat pump manuals have been examined and literature searches for various methods for durability tests have been performed. Based on the outcome from the interviews the most common failures were categorized by if they; 1. Could have been prevented by better operation and maintenance of the heat pump. 2. Caused by a poorly performed installation. 3. Could have been prevented if certain parameters had been measured, recorded and followed up. 4. Are due to poor quality of components or systems. However, the results show that many of the common failures fall into several different categories and therefore, different types of measures must be taken to improve the operational reliability of residential heat pumps. The interviews tell that failures often are caused by poor installation, neglected maintenance and surveillance, and poor quality of standard components or that components are used outside their declared operating range. The quality of the installations could be improved by increasing installers' knowledge about heat pumps and by requiring that an installation protocol shall be filled-in. It is also important that the owner of the heat pump performs the preventive maintenance recommended by the

  12. Directory of Facilities and Services for the Learning Disabled, 1993-94. Fifteenth Edition.

    Science.gov (United States)

    Academic Therapy Publications, Novato, CA.

    This directory lists, by state, facilities and services for children, adolescents, and adults with learning disabilities. Facilities and services include summer camps, college programs, day and residential schools, diagnostic services, behavioral development services, educational therapy, consulting seminars, guidance and mental health services,…

  13. Variation in Older Adult Characteristics by Residence Type and Use of Home- and Community-Based Services

    Directory of Open Access Journals (Sweden)

    Heidi H. Ewen

    2017-03-01

    Full Text Available Background: The majority of older adults prefer to remain in their homes, or to “age-in-place.” To accomplish this goal, many older adults will rely upon home- and community-based services (HCBS for support. However, the availability and accessibility of HCBS may differ based on whether the older adult lives in the community or in a senior housing apartment facility. Methods: This paper reports findings from the Pathways to Life Quality study of residential change and stability among seniors in upstate New York. Data were analyzed from 663 older adults living in one of three housing types: service-rich facilities, service-poor facilities, and community-dwelling in single-family homes. A multinomial logistic regression model was used to examine factors associated with residence type. A linear regression model was fitted to examine factors associated with HCBS utilization. Results: When compared to community-dwelling older adults, those residing in service-rich and service-poor facilities were more likely to be older, report more activity limitations, and provide less instrumental assistance to others. Those in service-poor facilities were more likely to have poorer mental health and lower perceived purpose in life. The three leading HCBS utilized were senior centers (20%, homemaker services (19%, and transportation services (18%. More HCBS utilization was associated with participants who resided in service-poor housing, were older, were female, and had more activity limitations. More HCBS utilization was also associated with those who received instrumental support, had higher perceived purpose in life, and poorer mental health. Conclusions: Findings suggest that older adults’ residential environment is associated with their health status and HCBS utilization. Building upon the Person–Environment Fit theories, dedicated efforts are needed to introduce and expand upon existing HCBS available to facility residents to address physical and

  14. Micro-CHP systems for residential applications

    International Nuclear Information System (INIS)

    Paepe, Michel de; D'Herdt, Peter; Mertens, David

    2006-01-01

    Micro-CHP systems are now emerging on the market. In this paper, a thorough analysis is made of the operational parameters of 3 types of micro-CHP systems for residential use. Two types of houses (detached and terraced) are compared with a two storey apartment. For each building type, the energy demands for electricity and heat are dynamically determined. Using these load profiles, several CHP systems are designed for each building type. Data were obtained for two commercially available gas engines, two Stirling engines and a fuel cell. Using a dynamic simulation, including start up times, these five system types are compared to the separate energy system of a natural gas boiler and buying electricity from the grid. All CHP systems, if well sized, result in a reduction of primary energy use, though different technologies have very different impacts. Gas engines seem to have the best performance. The economic analysis shows that fuel cells are still too expensive and that even the gas engines only have a small internal rate of return (<5%), and this only occurs in favourable economic circumstances. It can, therefore, be concluded that although the different technologies are technically mature, installation costs should at least be reduced by 50% before CHP systems become interesting for residential use. Condensing gas boilers, now very popular in new homes, prove to be economically more interesting and also have a modest effect on primary energy consumption

  15. RETHINKING RESIDENTIAL MOBILITY: AN INTERDISCIPLINARY INTERPRETATION

    Directory of Open Access Journals (Sweden)

    Roderick J. Lawrence

    2008-03-01

    Full Text Available Since the 1950s academics and professionals have proposed a number of disciplinary and sector based interpretations of why, when and where households move or choose to stay in the same housing unit at different periods of the life cycle and especially the family cycle. This article challenges studies that only analyse one set of factors. The article stems from a synthesis of 20 years of research by the author who  has an interdisciplinary training in the broad field of people-environment relations. First, it reviews some key concepts related to human ecology, including housing, culture, identity and cultivation. Then it will consider how these concepts can be applied to interpret residential mobility using an interdisciplinary approach. An empirical case study of residential mobility in Geneva, Switzerland is presented in order to show how this approach can help improve our understanding of the motives people have regarding the wish to stay in their residence or to move elsewhere.

  16. Residential proximinity, perceived and acceptable risk

    International Nuclear Information System (INIS)

    Rogers, G.O.

    1984-01-01

    This paper focuses on the relationship between the life experiences associated with residential proximity, and the perception and acceptability of the risks associated with generating electricity in nuclear power plants. Perceived risk is operationally defined in terms of estimated likelihood of occurrence, while acceptability of nuclear power is defined in terms of people's favorable or unfavorable opinions regarding nuclear power plants. In the context of a simple social-structural model of perceived and acceptable risk, four potential explanations for enhanced acceptability among those residentially proximate with nuclear facilities are examined: residents, through the experience of living with hazard, are reinforced toward assigning lower probabilities to the potential risks associated with nuclear facilities; the cognitive dissonance created by the acceptance of the risks associated with nuclear power is decreased by reducing perceived risk; nuclear neighbors are predisposed toward, educated about, and/or economically dependent upon nuclear power hence the more favorable attitudes toward it; nearby residents are systematically more altruistic--other oriented--than the general population and thus more willing to bear the risks associated with nuclear power

  17. Thermal Profiling of Residential Energy Use

    Energy Technology Data Exchange (ETDEWEB)

    Albert, A; Rajagopal, R

    2015-03-01

    This work describes a methodology for informing targeted demand-response (DR) and marketing programs that focus on the temperature-sensitive part of residential electricity demand. Our methodology uses data that is becoming readily available at utility companies-hourly energy consumption readings collected from "smart" electricity meters, as well as hourly temperature readings. To decompose individual consumption into a thermal-sensitive part and a base load (non-thermally-sensitive), we propose a model of temperature response that is based on thermal regimes, i.e., unobserved decisions of consumers to use their heating or cooling appliances. We use this model to extract useful benchmarks that compose thermal profiles of individual users, i.e., terse characterizations of the statistics of these users' temperature-sensitive consumption. We present example profiles generated using our model on real consumers, and show its performance on a large sample of residential users. This knowledge may, in turn, inform the DR program by allowing scarce operational and marketing budgets to be spent on the right users-those whose influencing will yield highest energy reductions-at the right time. We show that such segmentation and targeting of users may offer savings exceeding 100% of a random strategy.

  18. Residential fuel choice in the Pacific Northwest

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.D.; Englin, J.E.; Harkreader, S.A.

    1989-02-01

    In 1983, the Northwest Power Planning Council (Council) issued Model Conservation Standards (MCS) designed to improve the efficiency of electrically heated buildings. Since then, the standards have been adopted by numerous local governments and utilities. The Bonneville Power Administration (Bonneville) has played an active role in marketing residential energy efficiency improvements through the Super Good Cents Program (SGCP) and encouraging the adoption and implementation of the MCS as local codes through the Early Adopter Program (EAP). Since the inception of the MCS, however, questions have arisen about the effect of the code and programs on the selection of heating fuels for new homes. Recently, Bonneville has proposed a gradual reduction in the incentive levels under these two programs prior to 1995 based on several assumptions about the market for MCS homes: builder costs will decline as builders gain experience building them; buyers will seek out MCS homes as their appreciation for their lower energy costs and greater comfort increases; and the resale market will increasingly reflect the greater quality of MCS homes. The growing availability of data from several jurisdictions where the MCS have been implemented has recently made it possible to begin assessing the effect of the MCS programs on residential fuel choice and evaluating assumptions underlying the programs and Bonneville's plans to revise them. This study is the first such assessment conducted for Bonneville.

  19. Economic aspects of possible residential heating conservation

    Energy Technology Data Exchange (ETDEWEB)

    Hopkowicz, M.; Szul, A. [Technical Univ., Cracow (Poland)

    1995-12-31

    The paper presents methods of evaluation of energy and economy related effects of different actions aimed at conservation in residential buildings. It identifies also the method of selecting the most effective way of distribution funds assigned to weatherization as well as necessary improvements to be implemented within the heating node and the internal heating system of the building. The analysis of data gathered for four 11-stories high residential buildings of {open_quotes}Zeran{close_quotes} type being subject of the Conservation Demonstrative Project, included a differentiated scope of weatherization efforts and various actions aimed at system upgrading. Basing upon the discussion of the split of heat losses in a building as well as the established energy savings for numerous options of upgrading works, the main problem has been defined. It consists in optimal distribution of financial means for the discussed measures if the total amount of funds assigned for modifications is defined. The method based upon the principle of relative increments has been suggested. The economical and energy specifications of the building and its components, required for this method have also been elaborated. The application of this method allowed to define the suggested optimal scope of actions within the entire fund assigned for the comprehensive weatherization.

  20. Family Structure, Residential Mobility, and Environmental Inequality.

    Science.gov (United States)

    Downey, Liam; Crowder, Kyle; Kemp, Robert J

    2017-04-01

    This study combines micro-level data on families with children from the Panel Study of Income Dynamics with neighborhood-level industrial hazard data from the Environmental Protection Agency and neighborhood-level U.S. census data to examine both the association between family structure and residential proximity to neighborhood pollution and the micro-level, residential mobility processes that contribute to differential pollution proximity across family types. Results indicate the existence of significant family structure differences in household proximity to industrial pollution in U.S. metropolitan areas between 1990 and 1999, with single-mother and single-father families experiencing neighborhood pollution levels that are on average 46% and 26% greater, respectively, than those experienced by two-parent families. Moreover, the pollution gap between single-mother and two-parent families persists with controls for household and neighborhood socioeconomic, sociodemographic, and race/ethnic characteristics. Examination of underlying migration patterns reveals that single-mother, single-father, and two-parent families are equally likely to move in response to pollution. However, mobile single-parent families move into neighborhoods with significantly higher pollution levels than do mobile two-parent families. Thus, family structure differences in pollution proximity are maintained more by these destination neighborhood differences than by family structure variations in the likelihood of moving out of polluted neighborhoods.

  1. Residential carbon monoxide poisoning from motor vehicles.

    Science.gov (United States)

    Hampson, Neil B

    2011-01-01

    Although morbidity and mortality from accidental carbon monoxide (CO) poisoning are high in the United States, identification of common but poorly recognized sources should help prevention efforts. The study aimed to describe CO poisoning of home occupants due to a vehicle left running in an attached garage. News stories reporting incidents of US CO poisoning were collected daily from March 2007 to September 2009 via a news.Google.com search and data extracted. Patients were individuals reported in the media to have been poisoned with CO in their home by a vehicle running in the attached garage. Main outcome measures were frequency of occurrence, geographic distribution, patient demographics, and mortality. Of 837 CO poisoning incidents reported in US news media over 2 and a half years, 59 (8%) were the result of a vehicle left running in the garage. The elderly were disproportionately affected, with incidents most common in states with larger elderly populations and 29% of cases with age specified occurring in individuals older than 80 years. Among those older than 80 years, 15 of 17 were found dead at the scene. Residential CO poisoning from a vehicle running in the garage is common, disproportionately affects the elderly, has a high mortality rate, and should be preventable with a residential CO alarm. Copyright © 2011 Elsevier Inc. All rights reserved.

  2. Data on European non-residential buildings.

    Science.gov (United States)

    D'Agostino, Delia; Cuniberti, Barbara; Bertoldi, Paolo

    2017-10-01

    This data article relates to the research paper Energy consumption and efficiency technology measures in European non-residential buildings (D'Agostino et al., 2017) [1]. The reported data have been collected in the framework of the Green Building Programme that ran from 2006 to 2014. The project has encouraged the adoption of efficiency measures to boost energy savings in European non-residential buildings. Data focus on the one-thousand buildings that joined the Programme allowing to save around 985 GWh/year. The main requirement to join the Programme was the reduction of at least 25% primary energy consumption in a new or retrofitted building. Energy consumption before and after the renovation are provided for retrofitted buildings while, in new constructions, a building had to be designed using at least 25% less energy than requested by the country's building codes. The following data are linked within this article: energy consumption, absolute and relative savings related to primary energy, saving percentages, implemented efficiency measures and renewables. Further information is given about each building in relation to geometry, envelope, materials, lighting and systems.

  3. Improving student satisfaction of Andalas University Dormitory through Service Quality and Importance Performance Analysis

    Science.gov (United States)

    Putri, Nilda Tri; Anggraini, Larisa

    2018-03-01

    Residential satisfaction of university dormitories serve as one of the significant aspects in the framework of sustainability in higher education. This research investigated the quality of dormitory services in Andalas University Dormitory based on student’s satisfaction. According to management residential, the enrollment of residential student has increased gradually in Andalas University. In 2016, capacity of residential student is 1686, but only 1081 students can stay at dormitory because some rooms in bad condition. There are a lot of problems and complaints regarding dormitory’s service quality i.e water problems, leaky rooms and bathrooms, cleanliness and inadequate facilities in residential college. In addition, there are 20% of last year student’s residential check out before the time of contract runs out. The aim of this research are understanding the level of GAP exists between expectation and perception students’ residential in the content of service quality and evaluating the improvement priority services using Importance Performance Analysis. This study is measuring service quality by using Responsiveness, Assurance, Empathy, Reliability and Tangible dimension. A negative GAP indicates that the actual services are than what was expected and the GAP is highlighted area for improvement. Based on IPA, management should improve this following dimension services : responsiveness, tangible and assurance dimension.

  4. 78 FR 10636 - Large Residential Washers From Korea and Mexico

    Science.gov (United States)

    2013-02-14

    ... Residential Washers From Korea and Mexico Determinations On the basis of the record \\1\\ developed in the... determines that an industry in the United States is materially injured by reason of imports from Mexico of... of large residential washers from Korea and Mexico were sold at LTFV within the meaning of 733(b) of...

  5. 77 FR 9700 - Large Residential Washers From Korea and Mexico

    Science.gov (United States)

    2012-02-17

    ...)] Large Residential Washers From Korea and Mexico Determinations On the basis of the record \\1\\ developed... reasonable indication that an industry is materially injured by reason of imports from Mexico of large... imports of large residential washers from Mexico. Accordingly, effective December 30, 2011, the Commission...

  6. 77 FR 51569 - Large Residential Washers From Korea and Mexico

    Science.gov (United States)

    2012-08-24

    ...)] Large Residential Washers From Korea and Mexico Scheduling of the final phase of countervailing duty and... and Mexico of large residential washers, provided for in subheading 8450.20.00 of the Harmonized... and Mexico are being sold in the United States at less than fair value within the meaning of section...

  7. Contestation in the Use of Residential space: House Typologies and ...

    African Journals Online (AJOL)

    The need to accommodate the populace creates competition for space; the outcome of this competition has produced differently zoned areas such as residential areas, shopping centres, parks and office towers. Bulawayo's residential areas are dominated by one-household units or detached one-storey houses in the ...

  8. Residential Education as an Option for At-Risk Youth.

    Science.gov (United States)

    Beker, Jerome, Ed.; Magnuson, Douglas, Ed.

    Residential treatment centers have always steered a course between bureaucracy and anarchy. The conventional professional wisdom in the United States holds that residential group care programs for children and youth are intrinsically flawed. This volume seeks to remedy this perception by making a case for the adoption of Israeli and European…

  9. Engineering economic assessment of residential wood heating in NY

    Science.gov (United States)

    We provide insight into the recent resurgence in residential wood heating in New York by: (i) examining the lifetime costs of outdoor wood hydronic heaters (OWHHs) and other whole-house residential wood heat devices,(ii) comparing these lifetime costs with those of competing tech...

  10. Effect of Land Use and Transportation Infrastructure on Residential Burglary

    NARCIS (Netherlands)

    Montoya, L.

    2011-01-01

    This research studies the relationship between land uses and infrastructure on residential burglary. The objective was to assess which theory is better at explaining residential burglary: -the “awareness space,‿ which states that crime takes place at edges or along paths on the way to work, school,

  11. Demand of elderly people for residential care: an exploratory study

    NARCIS (Netherlands)

    van Bilsen, P.; Hamers, J.; Groot, W.; Spreeuwenberg, C.

    2006-01-01

    Background: Because of the rapid aging population, the demand for residential care exceeds availability. This paper presents the results of a study that focuses on the demand of elderly people for residential care and determinants (elderly people's personal characteristics, needs and resources) that

  12. Effect of Organizational Climate on Youth Outcomes in Residential Treatment

    Science.gov (United States)

    Jordan, Neil; Leon, Scott C.; Epstein, Richard A.; Durkin, Elizabeth; Helgerson, Jena; Lakin-Starr, Brittany L.

    2009-01-01

    This study examined the association between organizational climate and changes in internalizing and externalizing behavior for youth in residential treatment centers (RTCs). The sample included 407 youth and 349 front-line residential treatment staff from 17 RTCs in Illinois. Youth behavior was measured using the Child Functional Assessment Rating…

  13. Inflation Hedging Abilities of Residential Properties in Selected ...

    African Journals Online (AJOL)

    The study employed the Ordinary Least Squares regression model to regress the rates of returns of the considered residential property investments against actual, ... However, with regards to expected inflation, the capital and total returns of residential properties in Akobo sub-market completely hedged; while for Bodija ...

  14. The Role of Residential Segregation in Contemporary School Segregation

    Science.gov (United States)

    Frankenberg, Erica

    2013-01-01

    Inaction to address housing segregation in metropolitan areas has resulted in persistently high levels of residential segregation. As the Supreme Court has recently limited school districts' voluntary integration efforts, this article considers the role of residential segregation in maintaining racially isolated schools, namely what is known about…

  15. Residential land values and their determinants in high density ...

    African Journals Online (AJOL)

    The study identified that residential segregation exists in Nigerian cities and the study area. Among urbanization and residential land use problems identified by the study are poor level of social and technical infrastructure, poor land and city management system capacity, paucity of planning laws, funding, poor institutional ...

  16. Residential and Nonresidential Parents; Perspectives on Visitation Problems.

    Science.gov (United States)

    Wolchik, Sharlene A.; And Others

    1996-01-01

    Examined visitation problems from the perspectives of residential and nonresidential parents through interviews. Subjects were 341 fathers and 271 mothers from 378 divorcing families. Residential parents perceptions of visitation problems were correlated with concerns about their ex-spouse's parenting abilities. Anger and hurt about the divorce…

  17. The influence of residential desegregation on property prices in ...

    African Journals Online (AJOL)

    S Blignaut

    certain extent the schools have opened their doors, sports and recreation facilities have been integrated, and residential areas have ... Pietersburg, the capital and economic heartland of the. Northern Province, is a classic example of Davies's. (1981) apartheid city model. Most traditional white residential areas lie to the east ...

  18. Essays examining aspects of the UK residential property market

    NARCIS (Netherlands)

    Glen, J.

    2012-01-01

    This thesis contains five essays addressing a variety of topics relating to aspects of the UK residential property market. The first essay examines the long run drivers of real residential house prices, and then seeks to develop a short run error correction model to examine the adjustment of real

  19. Examination of Negative Peer Contagion in a Residential Care Setting

    Science.gov (United States)

    Huefner, Jonathan C.; Ringle, Jay L.

    2012-01-01

    There has been ongoing concern about the negative impact of residential treatment on youth in care. Research examining the impact of negative peer influence in juvenile justice, education, and residential care settings is reviewed. A study was conducted to examine the impact of negative peer contagion on the level of problem behavior in a…

  20. Exploring the Relationship between Conduct Disorder and Residential Treatment Outcomes

    Science.gov (United States)

    Shabat, Julia Cathcart; Lyons, John S.; Martinovich, Zoran

    2008-01-01

    We examined the differential outcomes in residential treatment for youths with conduct disorder (CD)--with special attention paid to interactions with age and gender--in a sample of children and adolescents in 50 residential treatment centers and group homes across Illinois. Multi-disciplinary teams rated youths ages 6-20 (N = 457) on measures of…

  1. 2011 Residential Energy Efficiency Technical Update Meeting Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2011-11-01

    This report provides an overview of the U.S. Department of Energy Building America program's Summer 2011 Residential Energy Efficiency Technical Update Meeting. This meeting was held on August 9-11, 2011, in Denver, Colorado, and brought together more than 290 professionals representing organizations with a vested interest in energy efficiency improvements in residential buildings.

  2. Student Preference for Residential or Online Project Work in Psychology

    Science.gov (United States)

    Kaye, Helen; Barrett, Jane P.; Knightley, Wendy M.

    2013-01-01

    Psychology students at the Open University (OU) can choose whether to complete their project work at residential school or by participating in an online equivalent. This study identifies different factors governing module choice and student experience: When choosing residential school, social aspects are important, whereas for online, students are…

  3. Managing customer loyalty in liberalized residential energy markets: the impact of energy branding

    International Nuclear Information System (INIS)

    Hartmann, P.; Ibanez, V.A.

    2007-01-01

    In numerous recently deregulated energy markets, utilities previously operating in monopolistic environments are now focusing on customer satisfaction and loyalty. In this study, a conceptual framework is proposed that analyses the effects of brand associations and perceived switching costs on customer satisfaction and loyalty in residential energy markets. Several brand associations relevant to energy branding are identified: perceived technical service quality and service process quality, perception of value-added services, environmental and social commitment of the company, brand trust, price perceptions and brand associations related to the corporate attributes 'innovative and dynamic'. Subsequently, the proposed model is tested in the scope of a representative survey of Spanish residential energy customers. Results indicate that customer satisfaction, brand trust and perceived switching costs are positively related to customer loyalty and that brand trust exerts a stronger influence on customer loyalty than satisfaction and switching costs. Findings also show significant effects of the perception of service process quality and environmental and social commitment on loyalty via customer satisfaction. Implications for energy brand managers and regulators are discussed. [Author

  4. Managing customer loyalty in liberalized residential energy markets: The impact of energy branding

    International Nuclear Information System (INIS)

    Hartmann, Patrick; Apaolaza Ibanez, Vanessa

    2007-01-01

    In numerous recently deregulated energy markets, utilities previously operating in monopolistic environments are now focusing on customer satisfaction and loyalty. In this study, a conceptual framework is proposed that analyses the effects of brand associations and perceived switching costs on customer satisfaction and loyalty in residential energy markets. Several brand associations relevant to energy branding are identified: perceived technical service quality and service process quality, perception of value-added services, environmental and social commitment of the company, brand trust, price perceptions and brand associations related to the corporate attributes 'innovative and dynamic'. Subsequently, the proposed model is tested in the scope of a representative survey of Spanish residential energy customers. Results indicate that customer satisfaction, brand trust and perceived switching costs are positively related to customer loyalty and that brand trust exerts a stronger influence on customer loyalty than satisfaction and switching costs. Findings also show significant effects of the perception of service process quality and environmental and social commitment on loyalty via customer satisfaction. Implications for energy brand managers and regulators are discussed

  5. Managing customer loyalty in liberalized residential energy markets: the impact of energy branding

    Energy Technology Data Exchange (ETDEWEB)

    Hartmann, P.; Ibanez, V.A. [University of the Basque Country, Bilbao (Spain). Facultad de Ciencias Economicas y Empresariales

    2007-04-15

    In numerous recently deregulated energy markets, utilities previously operating in monopolistic environments are now focusing on customer satisfaction and loyalty. In this study, a conceptual framework is proposed that analyses the effects of brand associations and perceived switching costs on customer satisfaction and loyalty in residential energy markets. Several brand associations relevant to energy branding are identified: perceived technical service quality and service process quality, perception of value-added services, environmental and social commitment of the company, brand trust, price perceptions and brand associations related to the corporate attributes 'innovative and dynamic'. Subsequently, the proposed model is tested in the scope of a representative survey of Spanish residential energy customers. Results indicate that customer satisfaction, brand trust and perceived switching costs are positively related to customer loyalty and that brand trust exerts a stronger influence on customer loyalty than satisfaction and switching costs. Findings also show significant effects of the perception of service process quality and environmental and social commitment on loyalty via customer satisfaction. Implications for energy brand managers and regulators are discussed. [Author].

  6. Medication administration errors for older people in long-term residential care.

    Science.gov (United States)

    Szczepura, Ala; Wild, Deidre; Nelson, Sara

    2011-12-07

    Older people in long-term residential care are at increased risk of medication prescribing and administration errors. The main aim of this study was to measure the incidence of medication administration errors in nursing and residential homes using a barcode medication administration (BCMA) system. A prospective study was conducted in 13 care homes (9 residential and 4 nursing). Data on all medication administrations for a cohort of 345 older residents were recorded in real-time using a disguised observation technique. Every attempt by social care and nursing staff to administer medication over a 3-month observation period was analysed using BCMA records to determine the incidence and types of potential medication administration errors (MAEs) and whether errors were averted. Error classifications included attempts to administer medication at the wrong time, to the wrong person or discontinued medication. Further analysis compared data for residential and nursing homes. In addition, staff were surveyed prior to BCMA system implementation to assess their awareness of administration errors. A total of 188,249 medication administration attempts were analysed using BCMA data. Typically each resident was receiving nine different drugs and was exposed to 206 medication administration episodes every month. During the observation period, 2,289 potential MAEs were recorded for the 345 residents; 90% of residents were exposed to at least one error. The most common (n = 1,021, 45% of errors) was attempting to give medication at the wrong time. Over the 3-month observation period, half (52%) of residents were exposed to a serious error such as attempting to give medication to the wrong resident. Error incidence rates were 1.43 as high (95% CI 1.32-1.56 p < 0.001) in nursing homes as in residential homes. The level of non-compliance with system alerts was very low in both settings (0.075% of administrations). The pre-study survey revealed that only 12/41 staff administering

  7. GNSS Software Receiver for UAVs

    DEFF Research Database (Denmark)

    Olesen, Daniel Madelung; Jakobsen, Jakob; von Benzon, Hans-Henrik

    2016-01-01

    This paper describes the current activities of GPS/GNSS Software receiver development at DTU Space. GNSS Software receivers have received a great deal of attention in the last two decades and numerous implementations have already been presented. DTU Space has just recently started development of ...... of our own GNSS software-receiver targeted for mini UAV applications, and we will in in this paper present our current progress and briefly discuss the benefits of Software Receivers in relation to our research interests.......This paper describes the current activities of GPS/GNSS Software receiver development at DTU Space. GNSS Software receivers have received a great deal of attention in the last two decades and numerous implementations have already been presented. DTU Space has just recently started development...

  8. Residential damage in an area of underground coal mining

    International Nuclear Information System (INIS)

    Padgett, M.F.

    1988-01-01

    In order to estimate the potential for future subsidence-related residential damage, a statistical analysis of past residential damage in the Boulder-Weld, Colorado, coal field was performed. The objectives of this study were to assess the difference in damage severity and frequency between undermined and non-undermined areas, and to determine, where applicable, which mining factors significantly influence the severity and frequency of residential damage. The results of this study suggest that undermined homes have almost three times the risk of having some type of structural damage than do non-undermined homes. The study also indicated that both geologic factors, such as the ratio of sandstone/claystone in the overburden, and mining factors, such as the mining feature (room, pillar, entry, etc.), can significantly affect the severity of overlying residential damage. However, the results of this study are dependent on local conditions and should not be applied elsewhere unless the geologic, mining, and residential conditions are similar

  9. Residential heat pumps in the future Danish energy system

    DEFF Research Database (Denmark)

    Petrovic, Stefan; Karlsson, Kenneth Bernard

    2016-01-01

    Denmark is striving towards 100% renewable energy system in 2050. Residential heat pumps are expected to be a part of that system.We propose two novel approaches to improve the representation of residential heat pumps: Coefficients of performance (COPs) are modelled as dependent on air and ground...... temperature while installation of ground-source heat pumps is constrained by available ground area. In this study, TIMES-DK model is utilised to test the effects of improved modelling of residential heat pumps on the Danish energy system until 2050.The analysis of the Danish energy system was done...... for politically agreed targets which include: at least 50% of electricity consumption from wind power starting from 2020, fossil fuel free heat and power sector from 2035 and 100% renewable energy system starting from 2050. Residential heat pumps supply around 25% of total residential heating demand after 2035...

  10. Eventos adversos a medicamentos en ancianos atendidos en un servicio de medicina familiar en Nayarit, México Adverse events to drugs in the elderly receiving attention at a family medicine service in Nayarit, Mexico

    Directory of Open Access Journals (Sweden)

    Rosa María Pimienta Woor

    2007-12-01

    Full Text Available Se realizó un estudio descriptivo, observacional y transversal con el objetivo de describir las características del comportamiento de eventos adversos a medicamentos en ancianos atendidos en una Unidad de Medicina Familiar del Instituto Mexicano del Seguro Social en Tepic, Nayarit. La muestra fue conformada por 248 ancianos en el periodo comprendido de febrero a julio de 2006. Los datos se obtuvieron mediante un instrumento de recolección de información, expediente clínico y datos aportados por los médicos. Se identificaron 69 eventos adversos a medicamentos. Los grupos farmacológicos más relacionados con los eventos adversos fueron los utilizados en afecciones cardiovasculares (40,5 %, músculo-esqueléticas (27,5 % y endocrinas (10,1 %. El sistema más afectado fue el gastrointestinal. Se comprobó alta frecuencia y características de los eventos adversos, similares a los reportados en las revisiones sistemáticas de la literatura médica mundial. La regresión logística multivariada mostró asociación entre evento adverso y polifarmacia, considerada a nivel mundial como un factor de alto riesgoA descriptive, observational and cross-sectional study was conducted aimed at describing the characteristics of the behavior of adverse events to drugs in the elderly receiving attention at a Family Medicine Unit of the Mexican Social Security Institute in Tepic, Nayarit. The sample was composed of 248 aged persons from February to July, 2006. The data were obtained by an instrument of information collection, medical history and data provided by the physicians. 69 adverse events to drugs were identified. The pharmacological groups most related to adverse events were the used in cardiovascular affections (40.5 %, musculoskeletal affections (27.5 % and endocrine affections (10.1 %. The gastrointestinal system was the most affected. The high frequency and characteristics of the adverse events, similar to the reported in the systematic reviews of

  11. Mobile phones in residential treatment: implications for practice.

    Science.gov (United States)

    Collier, Scott; Gavriel, Mardell

    2015-08-01

    A nonprofit primary care, substance abuse and mental health treatment provider that operates nine separate residential treatment facilities in both northern and southern California began allowing clients to keep their mobile phones while in treatment. From the advent of mobile phone technology and its widespread adoption through early 2013, the organization prohibited clients from having phones while in treatment. Calls to and from clients needed to be made and received at the house phone. After years of enforcing the policy with diminished success as phones became cheaper, smaller, and more prevalent, agency leadership decided to experiment with allowing the clients to keep their phones while in treatment. Elopement data as they relate to the policy are examined along with data from staff interviews about its implementation and impact. Results show that elopements resulting from being caught with a mobile phone were eliminated and some clients were able to be returned to treatment using the devices. All seven (100%) of the interviewees were supportive of the new policy and thought it should be continued. The impact of the policy on clinical disruptions, lost/stolen property liability, and confidentiality issues are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. A Smart Power Electronic Multiconverter for the Residential Sector.

    Science.gov (United States)

    Guerrero-Martinez, Miguel Angel; Milanes-Montero, Maria Isabel; Barrero-Gonzalez, Fermin; Miñambres-Marcos, Victor Manuel; Romero-Cadaval, Enrique; Gonzalez-Romera, Eva

    2017-05-26

    The future of the grid includes distributed generation and smart grid technologies. Demand Side Management (DSM) systems will also be essential to achieve a high level of reliability and robustness in power systems. To do that, expanding the Advanced Metering Infrastructure (AMI) and Energy Management Systems (EMS) are necessary. The trend direction is towards the creation of energy resource hubs, such as the smart community concept. This paper presents a smart multiconverter system for residential/housing sector with a Hybrid Energy Storage System (HESS) consisting of supercapacitor and battery, and with local photovoltaic (PV) energy source integration. The device works as a distributed energy unit located in each house of the community, receiving active power set-points provided by a smart community EMS. This central EMS is responsible for managing the active energy flows between the electricity grid, renewable energy sources, storage equipment and loads existing in the community. The proposed multiconverter is responsible for complying with the reference active power set-points with proper power quality; guaranteeing that the local PV modules operate with a Maximum Power Point Tracking (MPPT) algorithm; and extending the lifetime of the battery thanks to a cooperative operation of the HESS. A simulation model has been developed in order to show the detailed operation of the system. Finally, a prototype of the multiconverter platform has been implemented and some experimental tests have been carried out to validate it.

  13. Energy use and environmental impact of new residential buildings

    Energy Technology Data Exchange (ETDEWEB)

    Adalberth, Karin

    2000-01-01

    The objective of this thesis is to investigate the energy use and environmental impact of residential buildings. Seven authentic buildings built in the 1990s in Sweden are investigated. They are analysed according to energy use and environmental impact during their life cycle: manufacture of building materials, transport of building materials and components to the building site, erection to a building, occupancy, maintenance and renovation, and finally demolition and removal of debris. Results show that approx. 85 % of the total estimated energy use during the life cycle is used during the occupation phase. The energy used to manufacture building and installation materials constitutes approx. 15 % of the total energy use. 70-90 % of the total environmental impact arises during the occupation phase, while the manufacture of construction and installation materials constitutes 10-20 %. In conclusion, the energy use and environmental impact during the occupation phase make up a majority of the total. At the end of the thesis, a tool is presented which helps designers and clients predict the energy use during the occupation phase for a future multi-family building before any constructional or installation drawings are made. In this way, different thermal properties may be elaborated in order to receive an energy-efficient and environmentally adapted dwelling.

  14. How architectural design affords experiences of freedom in residential care for older people.

    Science.gov (United States)

    Van Steenwinkel, Iris; Dierckx de Casterlé, Bernadette; Heylighen, Ann

    2017-04-01

    Human values and social issues shape visions on dwelling and care for older people, a growing number of whom live in residential care facilities. These facilities' architectural design is considered to play an important role in realizing care visions. This role, however, has received little attention in research. This article presents a case study of a residential care facility for which the architects made considerable effort to match the design with the care vision. The study offers insights into residents' and caregivers' experiences of, respectively, living and working in this facility, and the role of architectural features therein. A single qualitative case study design was used to provide in-depth, contextual insights. The methods include semi-structured interviews with residents and caregivers, and participant observation. Data concerning design intentions, assumptions and strategies were obtained from design documents, through a semi-structured interview with the architects, and observations on site. Our analysis underlines the importance of freedom (and especially freedom of movement), and the balance between experiencing freedom and being bound to a social and physical framework. It shows the architecture features that can have a role therein: small-scaleness in terms of number of residents per dwelling unit, size and compactness; spatial generosity in terms of surface area, room to maneuver and variety of places; and physical accessibility. Our study challenges the idea of family-like group living. Since we found limited sense of group belonging amongst residents, our findings suggest to rethink residential care facilities in terms of private or collective living in order to address residents' social freedom of movement. Caregivers associated 'hominess' with freedom of movement, action and choice, with favorable social dynamics and with the building's residential character. Being perceived as homey, the facility's architectural design matches caregivers

  15. Potential reduction of non-residential solid waste in Sukomanunggal district West Surabaya

    Science.gov (United States)

    Warmadewanthi, I. D. A. A.; Reswari, S. A.

    2018-01-01

    Sukomanunggal district a development unit 8 with the designation as a regional trade and services, industrial, education, healthcare, offices, and shopping center. The development of this region will make an increasing solid waste generation, especially waste from non-residential facilities. The aims of this research to know the potential reduction of waste source. The method used is the Likert scale questionnaire to determine the knowledge, attitude, and behavior of non-residential facilities manager. Results from this research are the existing reduction of non-residential solid waste is 5.34%, potential reduction of the waste source is optimization of plastic and paper waste with the reduction rate up to 19,52%. The level of public participation existing amounted to 46.79% with a willingness to increase recycling efforts amounted to 72.87%. Efforts that can be developed to increase public awareness of 3R are providing three types of bins, modification of solid waste collection schedule according to a type of waste that has been sorted, the provision of the communal bin.

  16. Methods and models for the residential load management in distribution networks

    Science.gov (United States)

    Molina Garcia, Angel

    The main purpose of this thesis is the development of new tools to obtain and assess residential load control strategies. In this way, elemental load models to simulate electrical and thermal behaviors have been implemented and validated; an appropriate aggregation technique, based on kernel estimators, has been selected; and a load control strategy algorithm has been developed and applied on the air conditioning-heat pump individual loads, analyzing the control action effects from two viewpoints: customer (demand pattern changes, services...) and utility (resource optimization, profile demand modifications...). As a consequence, this integrated tool allows to know the flexibility degree of a specific residential demand profile, according to a target demand profile previously defined, by means of an optimum combination of forced connections and disconnections, taking into account the discomfort level maximum accepted by the customers. Electrical thermal storage appliances have also been studied. In this case, the day-valley periods are proposed as possible partial storage periods. This would involve to divide the actual storage periods into two partial periods, decreasing the thermal capacity necessities as well as the discharge period forecasts. A thermal study about this proposal has been developed, comparing the indoor temperatures in both cases. Finally, and taking into account the modifications suffered by the electrical market during these last years, the developed tools can be applied by utility and customer side, within an electrical sector (residential) which supposes around 25 per cent the total electrical demand.

  17. Michigan residential heating oil and propane price survey: 1995-1996 heating season. Final report

    International Nuclear Information System (INIS)

    Moriarty, C.

    1996-05-01

    This report summarizes the results of a survey of residential No. 2 distillate fuel (home heating oil) and liquefied petroleum gas (propane) prices over the 1995--1996 heating season in Michigan. The Michigan's Public Service Commission (MPSC) conducted the survey under a cooperative agreement with the US Department of Energy's (DOE) Energy Information Administration (EIA). This survey was funded in part by a grant from the DOE. From October 1995 through March 1996, the MPSC surveyed participating distributors by telephone for current residential retail home heating oil and propane prices. The MPSC transmitted the data via a computer modem to the EIA using the Petroleum Electronic Data Reporting Option (PEDRO). Survey results were published in aggregate on the MPSC World Wide Web site at http://ermisweb.state.mi.us/shopp. The page was updated with both residential and wholesale prices immediately following the transmission of the data to the EIA. The EIA constructed the survey using a sample of Michigan home heating oil and propane retailers. The sample accounts for different sales volumes, geographic location, and sources of primary supply

  18. The performance of a residential heat pump operating with a nonazeotropic binary refrigerant mixture

    Science.gov (United States)

    Didion, D.; Mulroy, W.

    Results of laboratory measurement of the performance change of a substantially unmodified residential heat pump designed for 222 when charged with a non azeotropic, binary mixture of R1381 and R152a is presented. Results are presented for various sizes of fixed expansion devices. The effect of gliding temperature in the saturation zone was found to be small. The effect of compositions shift by flash distillation in the accumulator was found to measurably improve low temperature heating performance. It was further observed that some system modification (such as the addition of a receiver) could have further enhanced this low temperature heating performance improvement.

  19. Gender differences in infirmary use at a residential summer camp.

    Science.gov (United States)

    Rudolf, M C; Tomanovich, O; Greenberg, J; Friend, L; Alario, A J

    1992-08-01

    Studies of health behavior in adults show that women report more morbidity and greater health service utilization than do men, despite lower mortality rates. Explanations involve social and biological gender differences in adult life. Infirmary utilization at a residential summer camp where parental influence is minimized was studied to determine whether these gender differences occur in the pediatric age group. Three hundred ninety-eight campers, 8 to 18 years old were studied. Girls were observed to make greater use of the infirmary than boys (p less than .01) and were especially likely to present with minor trauma, both musculoskeletal (p less than .05) and skin (p less than .01). No correlation was found between age and frequency of visits. Obvious morbidity was similar for boys and girls, in that no gender difference was observed in those visiting for definite medical indications alone or in those admitted. However, a difference was evident in those visiting for minor and trivial problems, particularly in those making three or more visits for minor and trivial problems (p less than .01). Although obvious morbidity was no different in campers, girls used the infirmary more than boys in a manner similar to that reported for adult health behavior. This suggests that gender differences occur earlier than suspected and are not simply related to adult social roles.

  20. Unique Construction and Social Experiences in Residential Remediation Sites - 13423

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Paul; Scarborough, Rebecca [Sevenson Environmental Services, Inc. 2749 Lockport Road, Niagara Falls, NY 14305 (United States)

    2013-07-01

    Sevenson Environmental Services, Inc., (Sevenson) has performed several radiological remediation projects located in residential urban areas. Over the course of these projects, there has been a wide variety of experiences encountered from construction related issues to unique social situations. Some of the construction related issues included the remediation of interior basements where contaminated material was located under the footers of the structure or was used in the mortar between cinder block or field stone foundations. Other issues included site security, maintaining furnaces or other utilities, underpinning, backfilling and restoration. In addition to the radiological hazards associated with this work there were occupational safety and industrial hygiene issues that had to be addressed to ensure the safety and health of neighboring properties and residents. The unique social situations at these job sites have included arson, theft/stolen property, assault/battery, prostitution, execution of arrest warrants for residents, discovery of drugs and paraphernalia, blood borne pathogens, and unexploded ordnance. Some of these situations have become a sort of comical urban legend throughout the organization. One situation had historical significance, involving the demolition of a house to save a tree older than the Declaration of Independence. All of these projects typically involve the excavation of early 20. century items such as advertisement signs, various old bottles (milk, Listerine, perfume, whisky) and other miscellaneous common trash items. (authors)

  1. Unique Construction and Social Experiences in Residential Remediation Sites - 13423

    International Nuclear Information System (INIS)

    Jung, Paul; Scarborough, Rebecca

    2013-01-01

    Sevenson Environmental Services, Inc., (Sevenson) has performed several radiological remediation projects located in residential urban areas. Over the course of these projects, there has been a wide variety of experiences encountered from construction related issues to unique social situations. Some of the construction related issues included the remediation of interior basements where contaminated material was located under the footers of the structure or was used in the mortar between cinder block or field stone foundations. Other issues included site security, maintaining furnaces or other utilities, underpinning, backfilling and restoration. In addition to the radiological hazards associated with this work there were occupational safety and industrial hygiene issues that had to be addressed to ensure the safety and health of neighboring properties and residents. The unique social situations at these job sites have included arson, theft/stolen property, assault/battery, prostitution, execution of arrest warrants for residents, discovery of drugs and paraphernalia, blood borne pathogens, and unexploded ordnance. Some of these situations have become a sort of comical urban legend throughout the organization. One situation had historical significance, involving the demolition of a house to save a tree older than the Declaration of Independence. All of these projects typically involve the excavation of early 20. century items such as advertisement signs, various old bottles (milk, Listerine, perfume, whisky) and other miscellaneous common trash items. (authors)

  2. Water Fluoridation Statistics - Percent of PWS population receiving fluoridated water

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2000-2014 Water Fluoridation Statistics is a biennial report of the percentage and number of people receiving fluoridated water from 2000 through 2014, originally...

  3. Water Fluoridation Statistics - Percent of PWS population receiving fluoridated water

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2000-2014. Water Fluoridation Statistics is a biennial report of the percentage and number of people receiving fluoridated water from 2000 through 2014, originally...

  4. Statistical assessment of fire safety in multi-residential buildings in Slovenia

    Directory of Open Access Journals (Sweden)

    Domen Kušar

    2009-01-01

    Full Text Available Nearly a third of residential units in Slovenia are located in multi-residential buildings. The majority of such buildings were built after WW2, when the need for suitable accommodation buildings was at its peak. They were built using the construction possibilities and requirements of the time. Every year there are over 200 fires in these buildings, resulting in fatalities and vast material damage. Due to the great efforts over the past centuries, which were all mainly aimed at replacing combustible construction materials with non-combustible ones, and with advancements in fire service equipment and techniques, the number of fires and their scope has decreased significantly but they were not entirely put out. New and greater advances in the field of fire safety of multi-residential buildings became obvious within the last few years, when stricter regulations regarding the construction of such objects came into force. Developments in science and within the industry itself brought about several new solutions in improving the situation in this field, which has been confirmed by experiences from abroad. Unfortunately in Slovenia, the establishment of safety principles still depends mainly on an occupants’ perception, financial means, and at the same time, certain implementation procedures that are much more complicated due to new property ownership. With the aid of the statistical results from the 2002 Census and contemporary fire safety requirements, this article attempts to show the present-day situation of the problem at both the state and municipality level and will propose solutions to improve this situation. The authors established that not even one single older, multi-residential building meets complies with modern requirements. Fortunately, the situation is improved by the fact that most buildings in Slovenia are built from non-combustible materials (concrete, brick, which limit the spread of fire.

  5. Where's the evidence? a systematic review of economic analyses of residential aged care infrastructure.

    Science.gov (United States)

    Easton, Tiffany; Milte, Rachel; Crotty, Maria; Ratcliffe, Julie

    2017-03-21

    Residential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of residential care infrastructure. A systematic review of English language articles using AgeLine, CINAHL, Econlit, Informit (databases in Health; Business and Law; Social Sciences), Medline, ProQuest, Scopus, and Web of Science with retrieval up to 14 December 2015. The search strategy combined terms relating to nursing homes, economics, and older people. Full economic evaluations, partial economic evaluations, and randomised trials reporting more limited economic information, such as estimates of resource use or costs of interventions were included. Data was extracted using predefined data fields and synthesized in a narrative summary to address the stated review objective. Fourteen studies containing an economic component were identified. None of the identified studies attempted to systematically link costs and outcomes in the form of a cost-benefit, cost-effectiveness, or cost-utility analysis. There was a wide variation in approaches taken for valuing the outcomes associated with differential residential care infrastructures: 8 studies utilized various clinical outcomes as proxies for the quality of care provided, and 2 focused on resident outcomes including agitation, quality of life, and the quality of care interactions. Only 2 studies included residents living with dementia. Robust economic evidence is needed to inform aged care facility design. Future research should focus on identifying appropriate and meaningful outcome measures that can be used at a service planning level, as well as the broader health benefits and cost-saving potential of different organisational and environmental characteristics in residential care. International Prospective Register of

  6. Drug Administration via Enteral Feeding Tube in Residential Care Facilities for Individuals with Intellectual Disability: A Focus Group Study on Guideline Implementation

    Science.gov (United States)

    Joos, Elke; Van Tongelen, Inge; Wijnants, Karen; Mehuys, Els; Van Bocxlaer, Jan; Remon, Jean Paul; Grypdonck, Maria; Van Winckel, Myriam; Boussery, Koen

    2016-01-01

    People with profound intellectual disabilities often receive medication through enteral feeding tube (EFT). In a previous study, we found that current guidelines concerning medication preparation and administration through EFT are often not followed in residential care facilities (RCFs) for individuals with intellectual disabilities. The present…

  7. A Comparative Study of the Behavioral, Personality, and Fire History Characteristics of Residential and Outpatient Adolescents (Ages 12-17) With Firesetting Behaviors

    Science.gov (United States)

    Pollinger, Joyce; Samuels, Laura; Stadolnik, Robert

    2005-01-01

    Juvenile firesetting behavior has received relatively little research attention and previous attempts to systematically classify this heterogeneous population of children has been only partially successful. Currently there is no literature available that defines treatment and intervention needs of adolescents in residential treatment with…

  8. Evaluation of advanced technologies for residential appliances and residential and commercial lighting

    Energy Technology Data Exchange (ETDEWEB)

    Turiel, I.; Atkinson, B.; Boghosian, S.; Chan, P.; Jennings, J.; Lutz, J.; McMahon, J.; Rosenquist, G.

    1995-01-01

    Section 127 of the Energy Policy Act requires that the Department of Energy (DOE) prepare a report to Congress on the potential for the development and commercialization of appliances that substantially exceed the present federal or state efficiency standards. Candidate high-efficiency appliances must meet several criteria including: the potential exists for substantial improvement (beyond the minimum established in law) of the appliance`s energy efficiency; electric, water, or gas utilities are prepared to support and promote the commercialization of such appliances; manufacturers are unlikely to undertake development and commercialization of such appliances on their own, or development and production would be substantially accelerated by support to manufacturers. This report describes options to improve the efficiency of residential appliances, including water heaters, clothes washers and dryers, refrigerator/freezers, dishwashers, space heating and cooling devices, as well as residential and commercial lighting products. Data from this report (particularly Appendix 1)were used to prepare the report to Congress mentioned previously. For the residential sector, national energy savings are calculated using the LBL Residential Energy Model. This model projects the number of households and appliance saturations over time. First, end-use consumption is calculated for a base case where models that only meet the standard replace existing models as these reach the end of their lifetime. Second, models with efficiencies equal to the technology under consideration replace existing models that reach the end of their lifetime. For the commercial sector, the COMMEND model was utilized to project national energy savings from new technologies. In this report, energy savings are shown for the period 1988 to 2015.

  9. Residential Solar Power and the Physics Teacher

    Science.gov (United States)

    Carpenter, David

    2007-10-01

    The roof of my house sports one of the largest residential photovoltaic arrays in Ohio. It produces all of the electricity for my house and family of four. With state and federal incentives, it cost less to install than the price of a new car. It will pay for itself within the warrantee period. A picture of my house with solar panels is the background on my classroom computer. I am the physics teacher at Hayes High School in Delaware, Ohio. I don't need a formal curriculum. Sooner or later my students start asking questions. They even ask the exact same questions that adults do. The inverter for my PV system sends performance data to my computer. I post this on my website, which takes it into my classroom. This sparks conversation on a whole variety of topics, from sun angles to energy, electricity, technology and climate studies.

  10. Residential mobility and migration of the separated

    Directory of Open Access Journals (Sweden)

    Maarten van Ham

    2007-12-01

    Full Text Available Separation is known to have a disruptive effect on the housing careers of those involved, mainly because a decrease in resources causes (temporary downward moves on the housing ladder. Little is known about the geographies of the residential mobility behaviour of the separated. Applying a hazard analysis to retrospective life-course data for the Netherlands, we investigate three hypotheses: individuals who experienced separation move more often than do steady singles and people in intact couple relationships, they are less likely to move over long distances, and they move more often to cities than people in intact couple relationships. The results show that separation leads to an increase in mobility, to moves over short distance for men with children, and to a prevalence of the city as a destination of moves.

  11. Lead in a residential environment in Jamaica.

    Science.gov (United States)

    Anglin-Brown, B; Armour-Brown, A; Lalor, G C; Preston, J; Vutchkov, M K

    1996-09-01

    The background levels of lead in Jamaica in soils and sediments, estimated at 37 mg kg(-1), are relatively high compared with world averages. Several areas have values in excess of this due to mineralisation and pollution. One such is the residential Hope Flats/Kintyre area in which levels of lead up to 2.5% are found in the soils and up to 8 μg kg(-1) in the water of the nearby Hope River. The blood lead levels of a sample of children were in the range 5.7-57 μg dl(-1). The high lead levels suggest a potential health risk, particularly for the children. This can be minimised by programmes which include community education, case management and abatement to reduce the lead exposure.

  12. Probabilistic Quantification of Potentially Flexible Residential Demand

    DEFF Research Database (Denmark)

    Kouzelis, Konstantinos; Mendaza, Iker Diaz de Cerio; Bak-Jensen, Birgitte

    2014-01-01

    The balancing of power systems with high penetration of renewable energy is a serious challenge to be faced in the near future. One of the possible solutions, recently capturing a lot of attention, is demand response. Demand response can only be achieved by power consumers holding loads which allow...... them to modify their normal power consumption pattern, namely flexible consumers. However flexibility, despite being constantly mentioned, is usually not properly defined and even rarer quantified. This manuscript introduces a methodology to identify and quantify potentially flexible demand...... of residential consumers. The procedure is based on non-flexible consumer clustering and subsequent statistical analysis. Consequently, the power consumption pattern of a flexible consumer is compared to a 3D probability distribution created by the previously referred methodology. The results show a strong...

  13. Quebec residential electricity demand: a microeconometric approach

    International Nuclear Information System (INIS)

    Bernard, J.T.; Bolduc, D.; Belanger, D.

    1996-01-01

    An economic analysis of Quebec residential electricity demand was studied by micro-simulation models. These structural models describe all components which lead to decisions upon durable holdings and electric appliance usage. The demand for space and water heating systems was evaluated. Recent price change in favour of energy sources other than electricity were taken into account. Price and income elasticity ratios were found to be low, as expected when estimating short term use. The role played by socio-economic variables on the choice of space-water heating systems and electricity use was also examined. Recent conversions have indicated a trend toward preference by households in favour of natural gas or oil over electricity. 18 refs., 5 tabs., 1 fig

  14. Competitive solar heating systems for residential buildings

    DEFF Research Database (Denmark)

    Furbo, Simon; Thür, Alexander; Fiedler, Frank

    2005-01-01

    .D. studies in Denmark, Sweden and Latvia, and a post-doc. study in Norway. Close cooperation between the researchers and the industry partners ensures that the results of the project can be utilized. By the end of the project the industry partners will be able to bring the developed systems onto the market...... from an economical and architectural point of view. The project includes education, research, development and demonstration. The project started in 2003 and will be finished by the end of 2006. The participants of the project, which is financed by Nordic Energy Research and the participants themselves......The paper describes the ongoing research project “Competitive solar heating systems for residential buildings”. The aim of the project is to develop competitive solar combisystems which are attractive to buyers. The solar combisystems must be attractive compared to traditional energy systems, both...

  15. Particulate emissions from residential wood combustion

    DEFF Research Database (Denmark)

    Luis Teles de Carvalho, Ricardo; Jensen, Ole Michael; Tarelho, Luis A. C.

    Residential wood combustion (RWC) in fireplaces and conventional appliances is the main contributor to fine particulate matter (PM2.5) emissions in Denmark and Portugal representing more than 30% of the total emissions [1;2]. Such estimations are uncertain concerning the wood consumption...... and official emission factors, not taking into account actual burning conditions in dwellings [3]. There is limited knowledge on the real-life performance and spatial distribution of existing appliance types. Few studies have been targeting to understand the influence of fuel operation habits on PM2.5...... the available estimations for Denmark and Portugal, suggesting a methodology to increase the accuracy of activity data and emission factors. This work is based on new studies carried out to quantify the PM2.5 emissions in daily life through field experiments in Danish dwellings and by considering typical...

  16. Indoor Environment in Residential Prefabricated Buildings

    Science.gov (United States)

    Kraus, Michal; Juhásová Šenitková, Ingrid

    2017-10-01

    The contribution presents results of the experimental measurement of indoor air quality in residential prefabricated buildings. People spend about 90% of their life in the indoor environment of buildings. Hygrothermal parameters and indoor air quality are the essential component that define the quality of the indoor environment. The results of case study characterize the quality of the indoor environment of the ordinary occupants in housing unit of residential prefabricated building. A current problem of revitalized prefabricated buildings is inadequate air exchange and related thereto to poor indoor air quality. The experimental measurements were carried out just before and at the beginning of the heating season (from 1st October to 30th November 2016). Heating season was launched in the middle of experimental measurement. The wireless indoor sensor Elgato Eve Room was used for measurements. The obtained values of indoor air temperature [°C], relative humidity [%] and indoor air quality [ppm] are describe and analysis in this study. The results of the study indicate that the values of temperature and indoor air quality meet optimal levels during the experiment with nuances. The mean air temperature in the indoor environment is 22.43 °C. The temperature of the indoor environment is held at the optimum level (18-24 °C) for 94.50% time of the experimental measurements. In addition, the indoor air quality in the context of the content of harmful volatile organic compounds (VOCs) has been excellent for almost 91% time of the total experiment. However, the values of relative humidity were less than the optimum value nearly 40% of the total observed time. The mean 10-minutes values of relative humidity during the heating season is about 10% lower than the mean 10-minutes relative humidity before the heating season.

  17. Hypospadias and residential proximity to pesticide applications.

    Science.gov (United States)

    Carmichael, Suzan L; Yang, Wei; Roberts, Eric M; Kegley, Susan E; Wolff, Craig; Guo, Liang; Lammer, Edward J; English, Paul; Shaw, Gary M

    2013-11-01

    Experimental evidence suggests pesticides may be associated with hypospadias. Examine the association of hypospadias with residential proximity to commercial agricultural pesticide applications. The study population included male infants born from 1991 to 2004 to mothers residing in 8 California counties. Cases (n = 690) were ascertained by the California Birth Defects Monitoring Program; controls were selected randomly from the birth population (n = 2195). We determined early pregnancy exposure to pesticide applications within a 500-m radius of mother's residential address, using detailed data on applications and land use. Associations with exposures to physicochemical groups of pesticides and specific chemicals were assessed using logistic regression adjusted for maternal race or ethnicity and age and infant birth year. Forty-one percent of cases and controls were classified as exposed to 57 chemical groups and 292 chemicals. Despite >500 statistical comparisons, there were few elevated odds ratios with confidence intervals that excluded 1 for chemical groups or specific chemicals. Those that did were for monochlorophenoxy acid or ester herbicides; the insecticides aldicarb, dimethoate, phorate, and petroleum oils; and adjuvant polyoxyethylene sorbitol among all cases; 2,6-dinitroaniline herbicides, the herbicide oxyfluorfen, and the fungicide copper sulfate among mild cases; and chloroacetanilide herbicides, polyalkyloxy compounds used as adjuvants, the insecticides aldicarb and acephate, and the adjuvant nonyl-phenoxy-poly(ethylene oxy)ethanol among moderate and severe cases. Odds ratios ranged from 1.9 to 2.9. Most pesticides were not associated with elevated hypospadias risk. For the few that were associated, results should be interpreted with caution until replicated in other study populations.

  18. Indoor Noise Loading in Residential Prefabricated Buildings

    Science.gov (United States)

    Kraus, Michal; Juhásová Šenitková, Ingrid

    2017-10-01

    Quality on indoor environment is among others also defined by an acoustic comfort and noise emissions. The indoor noise loading in the residential prefabricated buildings is specific problem related to structural design of these buildings. Problems with noise level of sanitary systems are mostly associated with hydraulic shock such as water distribution and sewage drainage. Another very common cause of excessive noise is also flushing the toilet or water fall on enamelled steel (bath or shower). This paper aims to analyse the acoustic properties in the residential prefabricated buildings. Sanitary core of the assessed apartment is in original condition without any alterations. The sanitary core is based on a formica (high-pressure laminate). The study discusses the maximum sound levels in the three assessed rooms for the three different noise sources. The values of maximum noise level are measured for the corridor, bedroom and living room. Sources of noise are common activities relating to the operation of sanitary core - the toilet flush in the toilet, falling water from the shower in the bathroom and the water falling on the bottom of the kitchen sink in the kitchen. Other sources of noise are eliminated or minimized during the experiment. The digital sound level meter Testo 815 is used for measurements. The measured values of maximum sound level LA,max [dB] are adjusted by the correction coefficient. The obtained values are compared with the hygienic limits for day and night period. Night hygienic limit (30 dB) is exceeded in all the rooms for all noise sources. This limit is exceeded from 17 to 73%. The values in the bedroom and the living room meet the daily hygienic limit (40 dB). The daily limit is exceeded only in the corridor. The highest values of noise are identified for the toilet flushing.

  19. Spatial access to residential care resources in Beijing, China

    Directory of Open Access Journals (Sweden)

    Cheng Yang

    2012-08-01

    Full Text Available Abstract Background As the population is ageing rapidly in Beijing, the residential care sector is in a fast expansion process with the support of the municipal government. Understanding spatial accessibility to residential care resources by older people supports the need for rational allocation of care resources in future planning. Methods Based on population data and data on residential care resources, this study uses two Geographic Information System (GIS based methods – shortest path analysis and a two-step floating catchment area (2SFCA method to analyse spatial accessibility to residential care resources. Results Spatial accessibility varies as the methods and considered factors change. When only time distance is considered, residential care resources are more accessible in the central city than in suburban and exurban areas. If care resources are considered in addition to time distance, spatial accessibility is relatively poor in the central city compared to the northeast to southeast side of the suburban and exurban areas. The resources in the northwest to southwest side of the city are the least accessible, even though several hotspots of residential care resources are located in these areas. Conclusions For policy making, it may require combining various methods for a comprehensive analysis. The methods used in this study provide tools for identifying underserved areas in order to improve equity in access to and efficiency in allocation of residential care resources in future planning.

  20. Invited commentary: integrating a life-course perspective and social theory to advance research on residential segregation and health.

    Science.gov (United States)

    Osypuk, Theresa L

    2013-02-15

    Research on racial residential segregation and health typically uses multilevel, population-based, slice-in-time data. Although research using this approach, including that by Kershaw et al. (Am J Epidemiol. 2013;177(4):299-309), has been valuable, I argue that to advance our understanding of how residential segregation influences health and health disparities, it is critical to incorporate a life-course perspective and integrate social theory. Applying a life-course perspective would entail modeling transitions, cumulative risk, and developmental and dynamic processes and mechanisms, as well as recognizing the contingency of contextual effects on different social groups. I discuss the need for analytic methods appropriate for modeling health effects of distal causes experienced across the life course, such as segregation, that operate through multiple levels and sequences of mediators, potentially across decades. Sociological theories of neighborhood attainment (e.g., segmented assimilation, ethnic resurgence, and place stratification theories) can guide effect-modification tests to help illuminate health effects resulting from intersections of residential processes, race/ethnicity, immigration, and other social determinants of health. For example, nativity and immigration history may crucially shape residential processes and exposures, but these have received limited attention in prior segregation-health literature.