WorldWideScience

Sample records for room time saving

  1. A simple intervention to improve patient safety, save time and improve staff experience in the AMU procedure room.

    Science.gov (United States)

    Misselbrook, Gary Peter; Kause, Juliane; Yeoh, Su-Ann

    2016-01-01

    Over the last decade, operating theatres and Intensive Care Units (ICUs) have established systematic methods for performing procedures on patients that have been shown to reduce complications and improve patient safety. Whilst the use of procedure rooms on Acute Medicine Units (AMUs) is highly recommended by patient safety groups and Royal College publications, they are not universally available or appropriately utilised. In this article we discuss a quality improvement project that was undertaken on an AMU at a large university teaching hospital in the United Kingdom, highlighting its successes and challenges.

  2. Can efficient supply management in the operating room save millions?

    Science.gov (United States)

    Park, Kyung W; Dickerson, Cheryl

    2009-04-01

    Supply expenses occupy an ever-increasing portion of the expense budget in today's increasingly technologically complex operating rooms. Yet, little has been studied and published in the anesthesia literature. This review attempts to bring the topic of supply management to anesthesiologists, who play a significant role in operating room management. Little investigative work has been performed on supply management. Anecdotal reports suggest the benefits of a perpetual inventory system over a periodic inventory system. A perpetual inventory system uses utilization data to update inventory on hand continually and this information is linked to purchasing and restocking, whereas a periodic inventory system counts inventory at some regular intervals (such as annually) and uses average utilization to set par levels. On the basis of application of operational management concepts, ways of taking advantage of a perpetual inventory system to achieve savings in supply expenses are outlined. These include linking the operating room scheduling and supply order system, distributor-driven just-in-time delivery of case carts, continual updating of preference lists based on utilization patterns, increasing inventory turnovers, standardizing surgical practices, and vendor consignment of high unit-cost items such as implants. In addition, Lean principles of visual management and elimination of eight wastes may be applicable to supply management.

  3. Value of travel time savings

    DEFF Research Database (Denmark)

    Le Masurier, P.; Polak, J.; Pawlak, Janet

    2015-01-01

    A team of specialist market researchers and Value of Time experts comprising members from SYSTRA, Imperial College London and the Technical University of Denmark has conducted a formal audit and peer review of research undertaken by Arup/ITS Leeds/Accent to derive Value of Travel Time Savings...... Preference (RP) models that were used to derive final Values of Travel Time (VTT). This report contains the findings of our audit and peer review of the procedures adopted by the research team during data collection of the three surveys (SP, RP and Employers Surveys); a peer review of the reported approach...

  4. Principles of valuing business travel time savings

    OpenAIRE

    Fowkes, A.S.

    2001-01-01

    OVERVIEW\\ud \\ud There are two approaches to valuing travel time savings to business people. The first is that which has formed the basis of UK policy for about 30 years, and which is set out in Section 2. This takes the value of travel time savings on employer’s business as equal to the gross wage rate plus an allowance for other costs that the employer saves. These might include such things as desk space, computer, tools, uniform, protective clothing, travel expenses. These were investigated...

  5. The value of business travel time savings

    OpenAIRE

    Fowkes, A.S.; Marks, P.; Nash, C.A.

    1986-01-01

    The value of time savings for business travellers forms a sizeable part of the benefits from trunk road, rail and air transport improvement schemes. It is therefore important to possess appropiate values to place on business travel time savings for evaluation purposes. The normal approach in practice is to adopt the wage rate of the workers in question plus an increment for overheads and non-wage payments. \\ud \\ud In this paper criticisms of this approach are discssed and the implications of ...

  6. Exploring the time-saving bias: How drivers misestimate time saved when increasing speed

    Directory of Open Access Journals (Sweden)

    Eyal Peer

    2010-12-01

    Full Text Available According to the time-saving bias, drivers underestimate the time saved when increasing from a low speed and overestimate the time saved when increasing from a relatively high speed. Previous research used a specific type of task --- drivers were asked to estimate time saved when increasing speed and to give a numeric response --- to show this. The present research conducted two studies with multiple questions to show that the time-saving bias occurs in other tasks. Study 1 found that drivers committed the time-saving bias when asked to estimate (a the time saved when increasing speed or (b the distance that can be completed at a given time when increasing speed or (c the speed required to complete a given distance in decreasing times. Study 2 showed no major differences in estimations of time saved compared to estimations of the remaining journey time and also between responses given on a numeric scale versus a visual analog scale. Study 3 tested two possible explanations for the time-saving bias: a Proportion heuristic and a Differences heuristic. Some evidence was found for use of the latter.

  7. Saving turtles: Talisman, Elf and BHP make room for reptiles

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, A.

    1999-05-03

    Cooperation between Australia`s BHP Petroleum, Canada`s Talisman Energy and France`s El Aquitaine to help the Trinidadian government and conservation groups to save the nesting grounds of the Carribean sea turtle is described. The nesting ground is located near one of the projects the three companies are working on. The giant turtle, also called the leatherback, can weigh as much as a tonne and have a 2.4 metre flipper span, have their nesting places on Trinidad`s northeastern shore. The three companies are working in 36 metres of water opposite two of the turtles` last nesting places. Had the companies proceeded as planned, the project could have destroyed their nesting place. Instead, the companies put up $90,000 for a three-month research project to monitor the movement of the turtles with satellite telemetry. In order to assess the turtles` hearing, tiny wires were inserted in the the turtles` brain to measure brain wave patterns - a method similar to that used on human neo-natals. When it was discovered that the turtles did not adapt well to captivity, they were fitted with earphones and transmitter during 10-minute period when they were in the quiescent state of egg-laying. The companies proceeded with a seismic program that used cables on the sea floor. Rather than use a large and noisy survey vessel to lay long streamers on a wide area, they laid shorter strips on a grid with smaller, quieter boats. That was sufficient for the turtles to continue normal activity as females arrived on the beach in the usual numbers to nest and to lay eggs. The documentation provided to the Trinidadian government was well received and plans are afoot to use it as a benchmark in assessing future exploratory applications within Trinidadian jurisdiction.

  8. Estimated time of arrival and debiasing the time saving bias.

    Science.gov (United States)

    Eriksson, Gabriella; Patten, Christopher J D; Svenson, Ola; Eriksson, Lars

    2015-01-01

    The time saving bias predicts that the time saved when increasing speed from a high speed is overestimated, and underestimated when increasing speed from a slow speed. In a questionnaire, time saving judgements were investigated when information of estimated time to arrival was provided. In an active driving task, an alternative meter indicating the inverted speed was used to debias judgements. The simulated task was to first drive a distance at a given speed, and then drive the same distance again at the speed the driver judged was required to gain exactly 3 min in travel time compared with the first drive. A control group performed the same task with a speedometer and saved less than the targeted 3 min when increasing speed from a high speed, and more than 3 min when increasing from a low speed. Participants in the alternative meter condition were closer to the target. The two studies corroborate a time saving bias and show that biased intuitive judgements can be debiased by displaying the inverted speed. Practitioner Summary: Previous studies have shown a cognitive bias in judgements of the time saved by increasing speed. This simulator study aims to improve driver judgements by introducing a speedometer indicating the inverted speed in active driving. The results show that the bias can be reduced by presenting the inverted speed and this finding can be used when designing in-car information systems.

  9. Saving time with a computerised handbook

    International Nuclear Information System (INIS)

    Henrie, D.K.

    1993-01-01

    The DE/CAASE computerised engineering handbook (Desktop Engineering, Mahwah, NJ, USA) is a software tool designed to automate a wide variety of engineering tasks that are typically performed with an engineering handbook and hand calculator. It significantly reduces the time taken to perform these tasks. For example, instead of spending 60 minutes on determining section properties of composite sections in control room panels and other equipment by hand, it might take less than 5 minutes by using the computerised handbook. Similarly, mode shapes and frequencies of simple structures may take less than 10 minutes to calculate, compared with the hours it used to take. (author)

  10. Daylight savings time and myocardial infarction.

    Science.gov (United States)

    Sandhu, Amneet; Seth, Milan; Gurm, Hitinder S

    2014-01-01

    Prior research has shown a transient increase in the incidence of acute myocardial infarction (AMI) after daylight savings time (DST) in the spring as well as a decrease in AMI after returning to standard time in the fall. These findings have not been verified in a broader population and if extant, may have significant public health and policy implications. We assessed changes in admissions for AMI undergoing percutaneous coronary intervention (PCI) in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) database for the weeks following the four spring and three fall DST changes between March 2010 and September 2013. A negative binomial regression model was used to adjust for trend and seasonal variation. There was no difference in the total weekly number of PCIs performed for AMI for either the fall or spring time changes in the time period analysed. After adjustment for trend and seasonal effects, the Monday following spring time changes was associated with a 24% increase in daily AMI counts (p=0.011), and the Tuesday following fall changes was conversely associated with a 21% reduction (p=0.044). No other weekdays in the weeks following DST changes demonstrated significant associations. In the week following the seasonal time change, DST impacts the timing of presentations for AMI but does not influence the overall incidence of this disease.

  11. Does Daylight Savings Time encourage physical activity?

    Science.gov (United States)

    Zick, Cathleen D

    2014-07-01

    Extending Daylight Savings Time (DST) has been identified as a policy intervention that may encourage physical activity. However, there has been little research on the question of if DST encourages adults to be more physically active. Data from residents of Arizona, Colorado, New Mexico, and Utah ages 18-64 who participated in the 2003-2009 American Time Use Survey are used to assess whether DST is associated with increased time spent in moderate-to-vigorous physical activity (MVPA). The analysis capitalizes on the natural experiment created because Arizona does not observe DST. Both bivariate and multivariate analyses indicate that shifting 1 hour of daylight from morning to evening does not impact MVPA of Americans living in the southwest. While DST may affect the choices people make about the timing and location of their sports/recreational activities, the potential for DST to serve as a broad-based intervention that encourages greater sports/recreation participation is not supported by this analysis. Whether this null effect would persist in other climate situations is an open question.

  12. Do You Automate? Saving Time and Dollars

    Science.gov (United States)

    Carmichael, Christine H.

    2010-01-01

    An automated workforce management strategy can help schools save jobs, improve the job satisfaction of teachers and staff, and free up precious budget dollars for investments in critical learning resources. Automated workforce management systems can help schools control labor costs, minimize compliance risk, and improve employee satisfaction.…

  13. Will Instructors Save Time Using a Specifications Grading System?

    Directory of Open Access Journals (Sweden)

    Sarah Grace Prescott

    2015-08-01

    Full Text Available Review of: Specifications Grading: Restoring Rigor, Motivating Students, and Saving Faculty Time; Linda Nilson and Claudia J. Stranny; (2014. Stylus Publishing, Sterling, VA. 184 pages.

  14. Inferring Saving in Training Time From Effect Size Estimates

    National Research Council Canada - National Science Library

    Burright, Burke

    2000-01-01

    .... Students' time saving represents a major potential benefit of using them. This paper fills a methodology gap in estimating the students' timesaving benefit of asynchronous training technologies...

  15. Saving Money and Time with Virtual Server

    CERN Document Server

    Sanders, Chris

    2006-01-01

    Microsoft Virtual Server 2005 consistently proves to be worth its weight in gold, with new implementations thought up every day. With this product now a free download from Microsoft, scores of new users are able to experience what the power of virtualization can do for their networks. This guide is aimed at network administrators who are interested in ways that Virtual Server 2005 can be implemented in their organizations in order to save money and increase network productivity. It contains information on setting up a virtual network, virtual consolidation, virtual security, virtual honeypo

  16. Technologies for high performance and energy saving in room air conditioners. Shoenegata kokoritsu eakon ni tsuite

    Energy Technology Data Exchange (ETDEWEB)

    Kawai, N. (Toshiba Corp., Tokyo (Japan))

    1994-05-31

    An energy saving inverter type air-conditioner was introduced. It is important to increase the efficiency in the low capacity zone below the rated capacity to realize the energy saving. For the reduction of peak, improving the efficiency in the high capacity operation is also necessary. The power consumption in compressor and in inverter is about 90 % of the total power consumption in air-conditioner. The other 10 % are distributed to the fan motor and the control unit. For achieving the energy saving, the reduction of this 10 % part is also necessary because this 10 % part is constant regardless of the capacity of air-conditioner. The compressor motor was modified to the brushless DC motor with rotor position detecting device to improve the rotor structure and the position detection system. The heat exchanger was changed to a room heat exchanger with slit pattern. For the outdoor heat exchanger, the complex curvature blade fan was adopted. The control system of air-conditioner was changed. The PMV was previously learned and input in the microcomputer to calculate the data. Resultantly, the power consumption was reduced by about 20 % as compared with the conventional air-conditioner. 10 figs., 1 tab.

  17. Investigating the distribution of the value of travel time savings

    DEFF Research Database (Denmark)

    Fosgerau, Mogens

    2006-01-01

    The distribution of the value of travel time savings (VTTS) is investigated employing various nonparametric techniques to a large dataset originating from a stated choice experiment. The data contain choices between a fast and more expensive alternative and a slow and less expensive alternative....... Increasing the implicit price of time leads to an increased share of respondents who decline to pay to save time. But a significant proportion of respondents, 13%, remain willing to pay to save time at the highest price of time in the design. This means that the right tail of the VTTS distribution...

  18. Valuation of Travel Time Savings in Viewpoint of WTA

    Science.gov (United States)

    Shao, Chang-qiao; Liu, Yang; Liu, Xiao-ming

    2014-01-01

    In order to investigate the issues in measurement of value of travel time savings (VTTS), the willingness-to-accept (WTA) for the private car owner is studied by using surveyed data. It is convincing that trip purpose, trip length, time savings, cost savings, income, and allowance from employee have effects on the WTA. Moreover, influences of these variables are not the same for different trip purposes. For commuting trips, effects of income and allowance from employee are significant while time savings and cost savings are dominated for leisure and shopping trips. It is also found that WTA is much higher than expected which implies that there are a group of drivers who are not prone to switching to other trip modes other than passenger car. PMID:25530751

  19. Valuation of travel time savings in viewpoint of WTA.

    Science.gov (United States)

    Shao, Chang-Qiao; Liu, Yang; Liu, Xiao-Ming

    2014-01-01

    In order to investigate the issues in measurement of value of travel time savings (VTTS), the willingness-to-accept (WTA) for the private car owner is studied by using surveyed data. It is convincing that trip purpose, trip length, time savings, cost savings, income, and allowance from employee have effects on the WTA. Moreover, influences of these variables are not the same for different trip purposes. For commuting trips, effects of income and allowance from employee are significant while time savings and cost savings are dominated for leisure and shopping trips. It is also found that WTA is much higher than expected which implies that there are a group of drivers who are not prone to switching to other trip modes other than passenger car.

  20. Valuation of Travel Time Savings in Viewpoint of WTA

    Directory of Open Access Journals (Sweden)

    Chang-qiao Shao

    2014-01-01

    Full Text Available In order to investigate the issues in measurement of value of travel time savings (VTTS, the willingness-to-accept (WTA for the private car owner is studied by using surveyed data. It is convincing that trip purpose, trip length, time savings, cost savings, income, and allowance from employee have effects on the WTA. Moreover, influences of these variables are not the same for different trip purposes. For commuting trips, effects of income and allowance from employee are significant while time savings and cost savings are dominated for leisure and shopping trips. It is also found that WTA is much higher than expected which implies that there are a group of drivers who are not prone to switching to other trip modes other than passenger car.

  1. Effects of daylight savings time changes on stock market volatility.

    Science.gov (United States)

    Berument, M Hakan; Dogan, Nukhet; Onar, Bahar

    2010-04-01

    The presence of daylight savings time effects on stock returns and on stock volatility was investigated using an EGARCH specification to model the conditional variance. The evidence gathered from the major United States stock markets for the period between 1967 and 2007 did not support the existence of the daylight savings time effect on stock returns or on volatility. Returns on the first business day following daylight savings time changes were not lower nor was the volatility higher, as would be expected if there were an effect.

  2. Potential time savings to radiology department personnel in a PACS-based environment

    Science.gov (United States)

    Saarinen, Allan O.; Wilson, M. C.; Iverson, Scott C.; Loop, John W.

    1990-08-01

    A purported benefit of digital imaging and archiving of radiographic procedures is the presumption of time savings to radiologists, radiology technologists, and radiology departmentpersonnel involved with processingfilms and managing theflimfile room. As part of the University of Washington's evaluation of Picture Archiving and Communication Systems (PACS)for the U.S. Army Medical Research and Development Command, a study was performed which evaluated the current operationalpractices of the film-based radiology department at the University of Washington Medical Center (UWMC). Industrial engineering time and motion studies were conducted to document the length of time requiredforfilm processing in various modalities, the proportion of the total exam time usedforfilm processing, the amount of time radiologists spent searchingfor and looking at images, and the amount of time file room personnel spent collating reports, making loans, updatingfilm jacket information, and purging files. This evaluation showed that better than one-half of the tasks in the file room may be eliminated with PACS and radiologists may save easily 10 percent of the time they spend reading films by no longer having to searchforfilms. Radiology technologists may also save as much as 10 percent of their time with PACS, although this estimate is subject to significant patient mix aberrations and measurement error. Given that the UWMC radiology department operates efficiently, similar improvements are forecast for other radiology departments and larger improvements areforecastfor less efficient departments.

  3. Room acoustic transition time based on reflection overlap

    DEFF Research Database (Denmark)

    Jeong, Cheol-Ho; Brunskog, Jonas; Jacobsen, Finn

    2010-01-01

    A transition time is defined based on the temporal overlap of reflected pulses in room impulse responses. Assuming specular reflections only, the temporal distance between adjacent reflections, which is proportional to the volume of a room, is compared with the characteristic width of a pulse at ...... in a room with nonuniform absorption and furniture than in a room that satisfies the underlying assumptions....

  4. Room acoustic transition time based on reflection overlap

    DEFF Research Database (Denmark)

    Jeong, Cheol-Ho; Brunskog, Jonas; Jacobsen, Finn

    2013-01-01

    A transition time is defined based on the temporal overlap of reflected pulses in room impulse responses. Assuming specular reflections only, the temporal distance between adjacent reflections, which is proportional to the volume of a room, is compared with the characteristic width of a pulse at ...... in a room with nonuniform absorption and furniture than in a room that satisfies the underlying assumptions....

  5. Does extending daylight saving time save energy? Evidence from an Australian experiment

    Energy Technology Data Exchange (ETDEWEB)

    Kellogg, R. [California Univ., Berkeley, CA (United States). Dept. of Agricultural and Resource Economics; Wolff, H. [California Univ., Berkeley, CA (United States). Dept. of Agricultural and Resource Economics]|[Forschungsinstitut zur Zukunft der Arbeit (IZA), Bonn (Germany)

    2007-03-15

    Several countries are considering extending Daylight Saving Time (DST) in order to conserve energy, and the U.S. will extend DST by one month beginning in 2007. However, projections that these extensions will reduce electricity consumption rely on extrapolations and simulations rather than empirical evidence. This paper, in contrast, examines a quasiexperiment in which parts of Australia extended DST in 2000 to facilitate the Sydney Olympics. Using detailed panel data and a triple differences specification, we show that the extension did not conserve electricity, and that a prominent simulation model overstates electricity savings when it is applied to Australia. (orig.)

  6. Year-round daylight saving time will save more energy in India than corresponding DST or time zones

    International Nuclear Information System (INIS)

    Ahuja, Dilip R.; SenGupta, D.P.

    2012-01-01

    Many countries have experimented with daylight saving time (DST) to save energy and to align human activities more closely to the daily cycle of light and darkness. Using a novel methodology, we estimate the year-round energy savings to be obtained from advancing Indian Standard Time (IST), from the introduction of DST, and from dividing the country into two time zones. We find that the option of advancing IST consistently saves more energy than the corresponding DST option, which in turn saves more energy than the corresponding time zones option. This is because the energy benefits of advancing IST accrue for the entire year throughout the country, whereas the benefits of DST are confined to summer months and the benefits of two time zones are largely in the lower energy consuming eastern region. We recommend advancing IST by half-hour to being six hours ahead of UTC. This confers the advantages of DST and time zones without their disadvantages and is forecast to save more than 2 billion kWh of electricity every year during evening peaks that are difficult to supply. While these results are India-specific, similar exercises would be useful to many other countries. - Highlights: ► Advancing IST (YRDST) consistently saves more energy than the corresponding DST. ► DST consistently saves more energy than dividing India into two time zones. ► There are also many non-energy benefits of advancing IST. ► Results are for India; countries with DST may find it useful to consider YRDST.

  7. VA Telemedicine: An Analysis of Cost and Time Savings.

    Science.gov (United States)

    Russo, Jack E; McCool, Ryan R; Davies, Louise

    2016-03-01

    The Veterans Affairs (VA) healthcare system provides beneficiary travel reimbursement ("travel pay") to qualifying patients for traveling to appointments. Travel pay is a large expense for the VA and hence the U.S. Government, projected to cost nearly $1 billion in 2015. Telemedicine in the VA system has the potential to save money by reducing patient travel and thus the amount of travel pay disbursed. In this study, we quantify this savings and also report trends in VA telemedicine volumes over time. All telemedicine visits based at the VA Hospital in White River Junction, VT between 2005 and 2013 were reviewed (5,695 visits). Travel distance and time saved as a result of telemedicine were calculated. Clinical volume in the mental health department, which has had the longest participation in telemedicine, was analyzed. Telemedicine resulted in an average travel savings of 145 miles and 142 min per visit. This led to an average travel payment savings of $18,555 per year. Telemedicine volume grew significantly over the study period such that by the final year the travel pay savings had increased to $63,804, or about 3.5% of the total travel pay disbursement for that year. The number of mental health telemedicine visits rose over the study period but remained small relative to the number of face-to-face visits. A higher proportion of telemedicine visits involved new patients. Telemedicine at the VA saves travel distance and time, although the reduction in travel payments remains modest at current telemedicine volumes.

  8. Daylight Saving Time Transitions and Road Traffic Accidents

    Directory of Open Access Journals (Sweden)

    Tuuli Lahti

    2010-01-01

    Full Text Available Circadian rhythm disruptions may have harmful impacts on health. Circadian rhythm disruptions caused by jet lag compromise the quality and amount of sleep and may lead to a variety of symptoms such as fatigue, headache, and loss of attention and alertness. Even a minor change in time schedule may cause considerable stress for the body. Transitions into and out of daylight saving time alter the social and environmental timing twice a year. According to earlier studies, this change in time-schedule leads to sleep disruption and fragmentation of the circadian rhythm. Since sleep deprivation decreases motivation, attention, and alertness, transitions into and out of daylight saving time may increase the amount of accidents during the following days after the transition. We studied the amount of road traffic accidents one week before and one week after transitions into and out of daylight saving time during years from 1981 to 2006. Our results demonstrated that transitions into and out of daylight saving time did not increase the number of traffic road accidents.

  9. Time-Saving Innovations, Time Allocation, and Energy Use: Evidence from Canadian Households

    OpenAIRE

    Brencic, Vera; Young, Denise

    2009-01-01

    Time and energy are major inputs into the production of household goods and services. The introduction of time-saving innovations allows households to change their activity patterns and to reallocate their time across competing activities. As a result, the market penetration of time-saving technologies for general household use is expected to have a two-fold impact on energy use in the residential sector. Firstly, increased use of time-saving technologies for basic household chores (cooking, ...

  10. The Time-Saving Bias in a Firm

    OpenAIRE

    Zíka, Vojtěch

    2015-01-01

    The time-saving bias is a cognitive error which systematically influences human perception of relationship between speed and time. As a consequence they overestimate time gained/lost when accelerating/decelerating from higher speed and underestimate time gained/lost when accelerating/decelerating from lower speed. This bias is most salient in the context of a car driving where such a misperception might lead to an excessively high travelling speed. Apart from the impact on the driving safety,...

  11. The influence of multiple goals on driving behavior: the case of safety, time saving, and fuel saving.

    Science.gov (United States)

    Dogan, Ebru; Steg, Linda; Delhomme, Patricia

    2011-09-01

    Due to the innate complexity of the task drivers have to manage multiple goals while driving and the importance of certain goals may vary over time leading to priority being given to different goals depending on the circumstances. This study aimed to investigate drivers' behavioral regulation while managing multiple goals during driving. To do so participants drove on urban and rural roads in a driving simulator while trying to manage fuel saving and time saving goals, besides the safety goals that are always present during driving. A between-subjects design was used with one group of drivers managing two goals (safety and fuel saving) and another group managing three goals (safety, fuel saving, and time saving) while driving. Participants were provided continuous feedback on the fuel saving goal via a meter on the dashboard. The results indicate that even when a fuel saving or time saving goal is salient, safety goals are still given highest priority when interactions with other road users take place and when interacting with a traffic light. Additionally, performance on the fuel saving goal diminished for the group that had to manage fuel saving and time saving together. The theoretical implications for a goal hierarchy in driving tasks and practical implications for eco-driving are discussed. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Consumption and Savings of First Time House Owners

    DEFF Research Database (Denmark)

    Ejarque, João; Leth-Petersen, Søren

    We characterize savings behavior around the point of the first house purchase. Using a panel data set with income and wealth information on Danish first-time house owners we document that households save for the down payment, mortgage to the limit, run down liquid assets at purchase, and adjust...... to adverse income shocks occurring just after the purchase by reducing consumption. We build a model that replicates these observations, show that the preference parameters are identified from the data, and estimate them. Based on the estimated model house buying significantly reduces the ability to smooth...

  13. Reducing start time delays in operating rooms

    NARCIS (Netherlands)

    Does, R.J.M.M.; Vermaat, T.M.B.; Verver, J.P.S.; Bisgaard, S.; van den Heuvel, J.

    2009-01-01

    Problem: Health care today is facing serious problems: quality of care does not meet patients’ needs and costs are exploding. Inefficient utilization of expensive operating rooms is one of the major problems in many hospitals worldwide. A benchmark study of 13 hospitals in the Netherlands and

  14. Issues in the valuation of travel time savings

    DEFF Research Database (Denmark)

    Gissel, Stine

    1998-01-01

    The subject of the paper is the valuation of travel time savings (emanating from investment in transport infrastructure). In the first part of the paper the question is approached within a microeconomic framework. It is discussed if and how the theory can give indications on the relative value...... of travel time elements and on the extrapolation of time values into the future. In the second part of the paper the same questions are investigated on the basis of the results of several empirical studies....

  15. The application of fuzzy control on energy saving for multi-unit room air-conditioners

    International Nuclear Information System (INIS)

    Chiou, C.B.; Chiou, C.H.; Chu, C.M.; Lin, S.L.

    2009-01-01

    Most research, on energy saving methods for air-conditioners have focused on large chillers as its subject. As most school offices, laboratories, and classrooms are equipped with unitary systems for air-conditioning, this paper discusses methods for energy savings with regard to unitary systems. This paper will put forward the fuzzy temperature control method for multi-unit air-conditioners to enhance energy efficiency. The results show that the use of fuzzy control is efficient for energy saving as well as causing temperature control be steadier, even if there is a change to the thermal loading, the fuzzy control system is able to control the air-conditioning in stable conditions

  16. Wilckodontics - A Novel Synergy in Time to Save Time

    Science.gov (United States)

    K., Sirisha; M., Srinivas; D., Ravindranath; Gowd, Pratap

    2014-01-01

    The systematic search for improvements in orthodontic therapy is shared by several dental specalities especially periodontics. Rapid orthodontic treatment procedures are now focusing on performing Alveolar Corticotomies (ACS) shortly before the application of orthodontic forces. This method has been suggested to enhance tooth movement and, consequently, reduces orthodontic treatment time as a whole. Thus, this article attempts to review the historical perspective of these therapeutic approaches, discusses the biological reasons underlying its use, mentions its main indications and contraindications and its modifications. PMID:24596806

  17. Impact of daylight saving time on the Chilean residential consumption

    International Nuclear Information System (INIS)

    Verdejo, Humberto; Becker, Cristhian; Echiburu, Diego; Escudero, William; Fucks, Emiliano

    2016-01-01

    Since 1970 Chile has had a Daylight Saving Time (DST) policy in order to reduce residential electricity consumption in the country. The time change was set for the first time by executive decree in 1970, and since that date it was applied every year without great changes until 2010. Since then, and to date, decrees have been set in order to increase the duration of the DST, arguing that there are reasons associated with energy savings that justify the extension of the measure that has been adopted by the authority in recent years. In the present study the impact of the application of DST in terms of decreased household electricity consumption is analyzed using two complementary methods, one based on a heuristic approach and the other using an econometric model. The results indicate that there is indeed a marginally small reduction in residential electricity consumption, although these results are not homogeneous throughout the country. - Highlights: • The impact of the application of DST is analyzed in Chilean distribution networks. • The results indicate that there is indeed a marginally small reduction in residential electricity consumption. • A total energy reduction is estimated based on the proposed methodology.

  18. The influence of Multiple Goals on Driving Behavior: the case of Safety, Time Saving, and Fuel Saving

    OpenAIRE

    DOGAN, Ebru; STEG, Linda; DELHOMME, Patricia

    2011-01-01

    Due to the innate complexity of the task drivers have to manage multiple goals while driving and the importance of certain goals may vary over time leading to priority being given to different goals depending on the circumstances. This study aimed to investigate drivers' behavioral regulation while managing multiple goals during driving. To do so participants drove on urban and rural roads in a driving simulator while trying to manage fuel saving and time saving goals, besides the safety goal...

  19. Time-saving innovations, time allocation, and energy use. Evidence from Canadian households

    Energy Technology Data Exchange (ETDEWEB)

    Brencic, Vera; Young, Denise [University of Alberta, 8-14 HM Tory, Edmonton, AB (Canada)

    2009-09-15

    Time and energy are major inputs into the production of household goods and services. As a result, the market penetration of time-saving technologies for general household use is expected to affect both a household's (1) allocation of time across home production and leisure activities; and (2) energy use. For example, with a household's adoption of a microwave or a dishwasher, cooking food and washing dishes will require less time, and therefore in-home meal preparation may increase. Households with microwaves or dishwashers may also opt to spend more time undertaking other production activities, inside or outside the home, or engage in more leisure (watching TV, reading, exercising). To the extent that time is reallocated from less to more energy-intensive activities in the home, residential energy use will increase as households adopt appliances that embody time-saving technology. Furthermore, an adoption of time-saving technologies for basic household chores, such as meal preparation and laundry, can impact energy use due to the fact that many time-saving technologies are more energy intensive than alternative technologies that require larger time commitments. In this paper, we use the Canadian Survey of Household Energy Use data from 2003 to examine the extent to which ownership of products that embody time-saving innovations affects time allocation and energy use at the household level. (author)

  20. Daylight savings time transitions and the incidence rate of unipolar depressive episodes

    DEFF Research Database (Denmark)

    Hansen, Bertel T; Sønderskov, Kim M; Hageman, Ida

    2017-01-01

    Background: Daylight savings time transitions affect approximately 1.6 billion people worldwide. Prior studies have documented associations between daylight savings time transitions and adverse health outcomes, but it remains unknown whether they also cause an increase in the incidence rate...... of depressive episodes. This seems likely because daylight savings time transitions affect circadian rhythms, which are implicated in the etiology of depressive disorder. Therefore, we investigated the effects of daylight savings time transitions on the incidence rate of unipolar depressive episodes. Methods...

  1. Save Time and Money through Chemistry (by Ken Carpenter)

    Science.gov (United States)

    Hazari, Al

    1998-01-01

    Useful Chemistry Publishing: Dayton, OH, 1997. 261 pp. Figs. and tables. ISBN: 0965566714. $24.95 (soft cover only). Would you like to learn about the 5 W's of everyday chemistry and chemicals? Who(m) should you see to learn to identify and appraise jewelry? What should you eat for breakfast? When should you get up from your sleep? Where is cholesterol in the human body? Why do pool owners add hydrochloric acid? Then read Save Time and Money through Chemistry, by Ken Carpenter. This book is loaded with practical and useful chemistry information that every person who took chemistry in high school or college wishes he or she had been introduced or exposed to. I know I do.

  2. Locating room air-conditioners at floor level for energy saving in residential buildings

    International Nuclear Information System (INIS)

    Gao, C.F.; Lee, W.L.; Chen Hua

    2009-01-01

    Residential air-conditioning becomes a common feature in our daily life. They are typically installed at high level known as ceiling-based system (CAC). With the increasing use of floor-based air-conditioning system in commercial buildings for energy saving, it is proposed in this study to locate a top discharge/front return air-conditioner at floor level to resemble a floor-based air-conditioning system (FAC) to curb energy use in residential buildings. Given the concerns about draught discomfort and thermal stratification associated with floor-based air-conditioning systems, the objective of this study is to evaluate the air distribution performance and to quantify the possible energy benefits. Bedroom was chosen as a sensitive case for detailed air distribution performance evaluation. Experimental study, CFD simulations and energy simulations were conducted in achieving the specific objectives. CAC and FAC were installed in a bedroom-like environmental chamber for experimental study at different indoor and outdoor conditions. The air velocities and temperatures at various positions and levels inside the chamber were measured to determine the air distribution performance indices (ADPI) and airflow draft risk (DR). The cooling output, power consumption and coefficient of performance (COP) of the two units were measured and calculated for comparison. The experimental results show that ADPI of CAC and FAC are 92.3% and 84.6%, respectively. COP of FAC is 8.11% higher than CAC, and the corresponding DR are comparable. The experimental results were used to validate the CFD simulations as well as providing actual performance data for predicting the energy use of applying CAC and FAC in a case-study building. CFD simulations and draught assessment confirmed that there is no potential draught discomfort and thermal stratification associated with the use of FAC. Energy simulations predicted that the associated energy saving is 6.9%. Wider use of FAC in residential

  3. Locating room air-conditioners at floor level for energy saving in residential buildings

    Energy Technology Data Exchange (ETDEWEB)

    Gao, C.F.; Lee, Hua; Chen, W.L. [Department of Building Services Engineering, Hong Kong Polytechnic University, Hung Hom (China)

    2009-08-15

    Residential air-conditioning becomes a common feature in our daily life. They are typically installed at high level known as ceiling-based system (CAC). With the increasing use of floor-based air-conditioning system in commercial buildings for energy saving, it is proposed in this study to locate a top discharge/front return air-conditioner at floor level to resemble a floor-based air-conditioning system (FAC) to curb energy use in residential buildings. Given the concerns about draught discomfort and thermal stratification associated with floor-based air-conditioning systems, the objective of this study is to evaluate the air distribution performance and to quantify the possible energy benefits. Bedroom was chosen as a sensitive case for detailed air distribution performance evaluation. Experimental study, CFD simulations and energy simulations were conducted in achieving the specific objectives. CAC and FAC were installed in a bedroom-like environmental chamber for experimental study at different indoor and outdoor conditions. The air velocities and temperatures at various positions and levels inside the chamber were measured to determine the air distribution performance indices (ADPI) and airflow draft risk (DR). The cooling output, power consumption and coefficient of performance (COP) of the two units were measured and calculated for comparison. The experimental results show that ADPI of CAC and FAC are 92.3% and 84.6%, respectively. COP of FAC is 8.11% higher than CAC, and the corresponding DR are comparable. The experimental results were used to validate the CFD simulations as well as providing actual performance data for predicting the energy use of applying CAC and FAC in a case-study building. CFD simulations and draught assessment confirmed that there is no potential draught discomfort and thermal stratification associated with the use of FAC. Energy simulations predicted that the associated energy saving is 6.9%. Wider use of FAC in residential

  4. Effect of Individual Surgeons and Anesthesiologists on Operating Room Time

    NARCIS (Netherlands)

    van Eijk, Ruben P A; van Veen-Berkx, Elizabeth; Kazemier, Geert; Eijkemans, Marinus J C

    BACKGROUND:: Variability in operating room (OR) time causes overutilization and underutilization of the available ORs. There is evidence that for a given type of procedure, the surgeon is the major source of variability in OR time. The primary aim was to quantify the variability between surgeons and

  5. Time Savings with Rituximab Subcutaneous Injection versus Rituximab Intravenous Infusion: A Time and Motion Study in Eight Countries

    Science.gov (United States)

    De Cock, Erwin; Kritikou, Persefoni; Sandoval, Mariana; Tao, Sunning; Wiesner, Christof; Carella, Angelo Michele; Ngoh, Charles; Waterboer, Tim

    2016-01-01

    Background Rituximab is a standard treatment for non-Hodgkin lymphoma. The SABRINA trial (NCT01200758) showed that a subcutaneous (SC) rituximab formulation did not compromise efficacy or safety compared with intravenous (IV) infusion. We aimed to quantify active healthcare professional (HCP) time and patient chair time for rituximab SC and IV, including potential time savings. Methods This non-interventional time and motion study was run in eight countries and 30 day oncology units. Rituximab SC data were collected alongside the MabCute trial (NCT01461928); IV data were collected per routine real-world practice. Trained observers recorded active HCP time for pre-specified tasks (stopwatch) and chair time (time of day). A random intercept model was used to analyze active HCP time (by task and for all tasks combined) in the treatment room and drug preparation area, drug administration duration, chair time and patient treatment room time by country and/or across countries. Active HCP and chair time were extrapolated to a patient’s first year of treatment (11 rituximab sessions). Results Mean active HCP time was 35.0 and 23.7 minutes for IV and SC process, respectively (-32%, p time was 27–58%. Absolute reduction in extrapolated active HCP time (first year of treatment) was 1.1–5.2 hours. Mean chair time was 262.1 minutes for IV, including 180.9 minutes infusion duration, vs. 67.3 minutes for SC, including 8.3 minutes SC injection administration (-74%, p time for the first year of treatment was 3.1–5.5 eight-hour days. Conclusions Compared with rituximab IV, rituximab SC was associated with reduced chair time and active HCP time. The latter could be invested in other activities, whereas the former may lead to more available appointments, reducing waiting lists and increasing the efficiency of day oncology units. Trial Registration ClinicalTrials.gov NCT01200758 PMID:27362533

  6. A properly adjusted forage harvester can save time and money

    Science.gov (United States)

    A properly adjusted forage harvester can save fuel and increase the realizable milk per ton of your silage. This article details the adjustments necessary to minimize energy while maximizing productivity and forage quality....

  7. Response times of operators in a control room

    International Nuclear Information System (INIS)

    Platz, O.; Rasmussen, J.; Skanborg, P.Z.

    1982-12-01

    A statistical analysis was made of operator response times recorded in the control room of a research reactor during the years 1972-1974. A homogeneity test revealed that the data consist of a mixture of populations. A small but statistically significant difference is found between day and night response times. Lognormal distributions are found to provide the best fit of the day and the night response times. (author)

  8. Response Times of Operators in a Control Room

    DEFF Research Database (Denmark)

    Platz, O.; Rasmussen, Jens; Skanborg, Preben Zacho

    A statistical analysis was made of operator response times recorded in the control room of a research reactor during the years 1972-1974. A homogeneity test revealed that the data consist of a mixture of populations. A small but statistically significant difference is found between day and night...

  9. Impact of Extended Daylight Saving Time on National Energy Consumption Report to Congress

    Energy Technology Data Exchange (ETDEWEB)

    Belzer, D. B.; Hadley, S. W.; Chin, S-M.

    2008-10-01

    The Energy Policy Act of 2005 (Pub. L. No. 109-58; EPAct 2005) amended the Uniform Time Act of 1966 (Pub. L. No. 89-387) to increase the portion of the year that is subject to Daylight Saving Time. (15 U.S.C. 260a note) EPAct 2005 extended the duration of Daylight Saving Time in the spring by changing its start date from the first Sunday in April to the second Sunday in March, and in the fall by changing its end date from the last Sunday in October to the first Sunday in November. (15 U.S.C. 260a note) EPAct 2005 also called for the Department of Energy to evaluate the impact of Extended Daylight Saving Time on energy consumption in the United States and to submit a report to Congress. (15 U.S.C. 260a note) This report presents the results of impacts of Extended Daylight Saving Time on the national energy consumption in the United States. The key findings are: (1) The total electricity savings of Extended Daylight Saving Time were about 1.3 Tera Watt-hour (TWh). This corresponds to 0.5 percent per each day of Extended Daylight Saving Time, or 0.03 percent of electricity consumption over the year. In reference, the total 2007 electricity consumption in the United States was 3,900 TWh. (2) In terms of national primary energy consumption, the electricity savings translate to a reduction of 17 Trillion Btu (TBtu) over the spring and fall Extended Daylight Saving Time periods, or roughly 0.02 percent of total U.S. energy consumption during 2007 of 101,000 TBtu. (3) During Extended Daylight Saving Time, electricity savings generally occurred over a three- to five-hour period in the evening with small increases in usage during the early-morning hours. On a daily percentage basis, electricity savings were slightly greater during the March (spring) extension of Extended Daylight Saving Time than the November (fall) extension. On a regional basis, some southern portions of the United States exhibited slightly smaller impacts of Extended Daylight Saving Time on energy savings

  10. Start time delays in operating room: Different perspectives

    Directory of Open Access Journals (Sweden)

    Babita Gupta

    2011-01-01

    Full Text Available Background: Healthcare expenditure is a serious concern, with escalating costs failing to meet the expectations of quality care. The treatment capacities are limited in a hospital setting and the operating rooms (ORs. Their optimal utilization is vital in efficient hospital management. Starting late means considerable wait time for staff, patients and waste of resources. We planned an audit to assess different perspectives of the residents in surgical specialities and anesthesia and OR staff nurses so as to know the causative factors of operative delay. This can help develop a practical model to decrease start time delays in operating room (ORs. Aims: An audit to assess different perspectives of the Operating room (OR staff with respect to the varied causative factors of operative delay in the OR. To aid in the development of a practical model to decrease start time delays in ORs and facilitate on-time starts at Jai Prakash Narayan Apex Trauma centre (JPNATC, All India Institute of Medical Sciences (AIIMS, New Delhi. Methods: We prepared a questionnaire seeking the five main reasons of delay as per their perspective. Results: The available data was analysed. Analysis of the data demonstrated the common causative factors in start time operative delays as: a lack of proper planning, deficiencies in team work, communication gap and limited availability of trained supporting staff. Conclusions: The preparation of the equipment and required material for the OR cases must be done well in advance. Utilization of newer technology enables timely booking and scheduling of cases. Improved inter-departmental coordination and compliance with preanesthetic instructions needs to be ensured. It is essential that the anesthesiologists perform their work promptly, well in time . and supervise the proceedings as the OR manager. This audit is a step forward in defining the need of effective OR planning for continuous quality improvement.

  11. Improving value of travel time savings estimation for more effective transportation project evaluation.

    Science.gov (United States)

    2012-12-01

    Estimates of value of time (VOT) and value of travel time savings (VTTS) are critical elements in benefitcost : analyses of transportation projects and in developing congestion pricing policies. In addition, : differences in VTTS among various modes ...

  12. Effect of daylight saving time on lighting energy use: a literature review

    NARCIS (Netherlands)

    Aries, M.B.C.; Newsham, G.R.

    2008-01-01

    The principal reason for introducing (and extending) daylight saving time (DST) was, and still is, projected energy savings, particularly for electric lighting. This paper presents a literature review concerning the effects of DST on energy use. Simple estimates suggest a reduction in national

  13. Time Delay Estimation in Room Acoustic Environments: An Overview

    Directory of Open Access Journals (Sweden)

    Benesty Jacob

    2006-01-01

    Full Text Available Time delay estimation has been a research topic of significant practical importance in many fields (radar, sonar, seismology, geophysics, ultrasonics, hands-free communications, etc.. It is a first stage that feeds into subsequent processing blocks for identifying, localizing, and tracking radiating sources. This area has made remarkable advances in the past few decades, and is continuing to progress, with an aim to create processors that are tolerant to both noise and reverberation. This paper presents a systematic overview of the state-of-the-art of time-delay-estimation algorithms ranging from the simple cross-correlation method to the advanced blind channel identification based techniques. We discuss the pros and cons of each individual algorithm, and outline their inherent relationships. We also provide experimental results to illustrate their performance differences in room acoustic environments where reverberation and noise are commonly encountered.

  14. Time horizon for AFV emission savings under Tier 2

    International Nuclear Information System (INIS)

    Saricks, C. L.

    2000-01-01

    Implementation of the Federal Tier 2 vehicular emission standards according to the schedule presented in the December, 1999 Final Rule will result in substantial reductions of NMHC, CO, NO x , and fine particle emissions from motor vehicles. Currently, when compared to Tier 1 and even NLEV certification requirements, the emissions performance of automobiles and light-duty trucks powered by non-petroleum (especially, gaseous) fuels (i.e., vehicles collectively termed AFVs) enjoy measurable advantage over their gasoline- and diesel-fueled counterparts over the full Federal Test Procedure and, especially, in Bag 1 (cold start). For the lighter end of these vehicle classes, this advantage may disappear shortly after 2004 under the new standards, but should continue for a longer period (perhaps beyond 2008) for the heavier end as well as for heavy-duty vehicles relative to diesel-fueled counterparts. Because of the continuing commitment of the U.S. Department of Energy's Clean Cities coalitions to the acquisition and operation of AFVs of many types and size classes, it is important for them to know in which classes their acquisitions will remain clear relative to the petroleum-fueled counterparts they might otherwise procure. This paper provides an approximate timeline for and expected magnitude of such savings, assuming that full implementation of the Tier 2 standards covering both vehicular emissions and fuel sulfur limits proceeds on schedule. The pollutants of interest are primary ozone precursors and fine particulate matter from fuel combustion

  15. Fatal alcohol-related traffic crashes increase subsequent to changes to and from daylight savings time.

    Science.gov (United States)

    Hicks, G J; Davis, J W; Hicks, R A

    1998-06-01

    On the hypothesis that sleepiness and alcohol interact to increase the risk of alcohol-related traffic fatalities, the percentages of alcohol-related fatal traffic crashes were assessed for the entire state of New Mexico for the years 1989-1992, for each of the seven days that preceded the changes to and from Daylight Savings Time and for each of the 14 days which followed the changes to and from Daylight Savings Time. Consistent with our hypothesis the percentage of alcohol-related fatal crashes increased significantly during the first seven days after these changes in Daylight Savings Time.

  16. Improving operating room turnover time: a systems based approach.

    Science.gov (United States)

    Bhatt, Ankeet S; Carlson, Grant W; Deckers, Peter J

    2014-12-01

    Operating room (OR) turnover time (TT) has a broad and significant impact on hospital administrators, providers, staff and patients. Our objective was to identify current problems in TT management and implement a consistent, reproducible process to reduce average TT and process variability. Initial observations of TT were made to document the existing process at a 511 bed, 24 OR, academic medical center. Three control groups, including one consisting of Orthopedic and Vascular Surgery, were used to limit potential confounders such as case acuity/duration and equipment needs. A redesigned process based on observed issues, focusing on a horizontally structured, systems-based approach has three major interventions: developing consistent criteria for OR readiness, utilizing parallel processing for patient and room readiness, and enhancing perioperative communication. Process redesign was implemented in Orthopedics and Vascular Surgery. Comparisons of mean and standard deviation of TT were made using an independent 2-tailed t-test. Using all surgical specialties as controls (n = 237), mean TT (hh:mm:ss) was reduced by 0:20:48 min (95 % CI, 0:10:46-0:30:50), from 0:44:23 to 0:23:25, a 46.9 % reduction. Standard deviation of TT was reduced by 0:10:32 min, from 0:16:24 to 0:05:52 and frequency of TT≥30 min was reduced from 72.5to 11.7 %. P systems-based focus should drive OR TT design.

  17. An energy saving mechanism of EPON networks for real time video transmission

    Science.gov (United States)

    Liu, Chien-Ping; Wu, Ho-Ting; Chiang, Yun-Ting; Chien, Shieh-Chieh; Ke, Kai-Wei

    2015-07-01

    Modern access networks are constructed widely by passive optical networks (PONs) to meet the growing bandwidth demand. However, higher bandwidth means more energy consumption. To save energy, a few research works propose the dual-mode energy saving mechanism that allows the ONU to operate between active and sleep modes periodically. However, such dual-mode energy saving design may induce unnecessary power consumption or packet delay increase in the case where only downstream data exist for most of the time. In this paper, we propose a new tri-mode energy saving scheme for Ethernet PON (EPON). The new tri-mode energy saving design, combining the dual-mode saving mechanism with the doze mode, allows the ONU to switch among these three modes alternatively. In the doze mode, the ONU may receive downstream data while keeping its transmitter close. Such scenario is often observed for real time video downstream transmission. Furthermore, the low packet delay of high priority upstream data can be attained through the use of early wake-up mechanism employed in both energy saving modes. The energy saving and system efficiency can thus be achieved jointly while maintaining the differentiated QoS for data with various priorities. Performance results via simulation have demonstrated the effectiveness of such mechanism.

  18. Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial.

    Science.gov (United States)

    Holloran-Schwartz, M Brigid; Gavard, Jeffrey A; Martin, Jared C; Blaskiewicz, Robert J; Yeung, Patrick P

    2016-01-01

    To compare the intraoperative direct costs of a single-use energy device with reusable energy devices during laparoscopic hysterectomy. A randomized controlled trial (Canadian Task Force Classification I). An academic hospital. Forty-six women who underwent laparoscopic hysterectomy from March 2013 to September 2013. Each patient served as her own control. One side of the uterine attachments was desiccated and transected with the single-use device (Ligasure 5-mm Blunt Tip LF1537 with the Force Triad generator). The other side was desiccated and transected with reusable bipolar forceps (RoBi 5 mm), and transected with monopolar scissors using the same Covidien Force Triad generator. The instrument approach used was randomized to the attending physician who was always on the patient's left side. Resident physicians always operated on the patient's right side and used the converse instruments of the attending physician. Start time was recorded at the utero-ovarian pedicle and end time was recorded after transection of the uterine artery on the same side. Costs included the single-use device; amortized costs of the generator, reusable instruments, and cords; cleaning and packaging of reusable instruments; and disposal of the single-use device. Operating room time was $94.14/min. We estimated that our single use-device cost $630.14 and had a total time savings of 6.7 min per case, or 3.35 min per side, which could justify the expense of the device. The single-use energy device had significant median time savings (-4.7 min per side, p energy device that both desiccates and cuts significantly reduced operating room time to justify its own cost, and it also reduced total intraoperative direct costs during laparoscopic hysterectomy in our institution. Operating room cost per minute varies between institutions and must be considered before generalizing our results. Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

  19. The effect of daylight saving time options on electricity consumption of Turkey

    Energy Technology Data Exchange (ETDEWEB)

    Karasu, Servet [Rize University, Rize Vocational School, 53100, Rize (Turkey)

    2010-09-15

    Most of the developed countries in the world use Daylight Saving Time (DST) as an energy conservation method. This study focuses on the effects of DST on electrical lighting in the buildings in Turkey. Turkey might adjust its daylight saving time to decrease energy consumption. For this purpose, five scenarios are considered and compared to status quo. The scenario with a 30-minute forward shift to single DST from April to October, stands out as the best solution to conserve electricity across the entire country. The results of the study show that maximum saving is obtained in this scenario by at least 0.7% on the consumption of lighting electricity. (author)

  20. Real-time pricing when some consumers resist in saving electricity

    International Nuclear Information System (INIS)

    Salies, Evens

    2013-01-01

    Successful real-time electricity pricing depends firstly upon consumers' willingness to subscribe to such terms and, secondly, on their ability to curb consumption levels. The present paper addresses both issues by considering consumers differentiated by their electricity saving costs, half of whom resist saving electricity. We demonstrate that when consumers are free to adopt real-time prices, producers prefer charging inefficient prices and, in so doing, discriminate against that portion of the consumer population which faces no saving costs. We also find that efficient marginal cost pricing is feasible, but is incompatible with mass adoption of real-time prices. - Highlights: • We model consumers switching from uniform to real-time electricity pricing (RTP). • Half the consumer population is pro-RTP and half resists saving electricity. • Efficient RTP is feasible but is incompatible with mass adoption

  1. Valuation of travel time savings for intercity travel: The Madrid-Barcelona corridor

    DEFF Research Database (Denmark)

    Roman, Concepcion; Carlos Martin, Juan; Espino, Raquel

    2014-01-01

    We derive values of travel time savings (VOT) for the Madrid-Barcelona corridor, linking the two largest cities in Spain, based on the estimation of discrete choice models among the main public transport services in the corridor: air transport, high speed rail (HSR) and bus. The new HSR alternative...... (which started to operate in February 2008) competes directly with one of the densest airline domestic markets in the world, and its introduction produced substantial improvements in level of service, achieving reductions in travel time of more than 50% over the conventional train. A specifically...... to provide useful information to quantify users' benefits during the lifespan of a given project. We found, as expected, that HSR and air transport users exhibit substantially higher values for saving travel time than bus travellers. Also as expected, savings of waiting time are more valued than savings...

  2. Saving Space and Time: The Tractor That Einstein Built

    Science.gov (United States)

    2006-01-01

    In 1984, NASA initiated the Gravity Probe B (GP-B) program to test two unverified predictions of Albert Einstein s theory of general relativity, hypotheses about the ways space, time, light, and gravity relate to each other. To test these predictions, the Space Agency and researchers at Stanford University developed an experiment that would check, with extreme precision, tiny changes in the spin direction of four gyroscopes contained in an Earth satellite orbiting at a 400-mile altitude directly over the Earth s poles. When the program first began, the researchers assessed using Global Positioning System (GPS) technology to control the attitude of the GP-B spacecraft accurately. At that time, the best GPS receivers could only provide accuracy to nearly 1 meter, but the GP-B spacecraft required a system 100 times more accurate. To address this concern, researchers at Stanford designed high-performance, attitude-determining hardware that used GPS signals, perfecting a high-precision form of GPS called Carrier-Phase Differential GPS that could provide continuous real-time position, velocity, time, and attitude sensor information for all axes of a vehicle. The researchers came to the realization that controlling the GP-B spacecraft with this new system was essentially no different than controlling an airplane. Their thinking took a new direction: If this technology proved successful, the airlines and the Federal Aviation Administration (FAA) were ready commercial markets. They set out to test the new technology, the "Integrity Beacon Landing System," using it to automatically land a commercial Boeing 737 over 100 times successfully through Real-Time Kinematic (RTK) GPS technology. The thinking of the researchers shifted again, from automatically landing aircraft, to automating precision farming and construction equipment.

  3. Daylight-saving time: Consumption and demand saving and pollutants emission reduction; El cambio de horario de verano: Ahorros en consumo y demanda, y reduccion de contaminantes

    Energy Technology Data Exchange (ETDEWEB)

    Ramos, Gaudencio; Diaz, Rodrigo; Fiscal, Raul; Alquicira, Claudia; Martinez, Serafin; Maqueda, Martin [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1997-12-31

    This paper presents some of the saving obtained in demand and in fuels with the daylight-saving time, as well as the main aspects considered to make an evaluation of it. [Espanol] Se presentan los ahorros obtenidos en consumo, demanda y combustibles con el cambio de horario de verano, asi como los principales aspectos considerados para efectuar la evaluacion de los mismos.

  4. Daylight-saving time: Consumption and demand saving and pollutants emission reduction; El cambio de horario de verano: Ahorros en consumo y demanda, y reduccion de contaminantes

    Energy Technology Data Exchange (ETDEWEB)

    Ramos, Gaudencio; Diaz, Rodrigo; Fiscal, Raul; Alquicira, Claudia; Martinez, Serafin; Maqueda, Martin [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1998-12-31

    This paper presents some of the saving obtained in demand and in fuels with the daylight-saving time, as well as the main aspects considered to make an evaluation of it. [Espanol] Se presentan los ahorros obtenidos en consumo, demanda y combustibles con el cambio de horario de verano, asi como los principales aspectos considerados para efectuar la evaluacion de los mismos.

  5. Saving time in a space-efficient simulation algorithm

    NARCIS (Netherlands)

    Markovski, J.

    2011-01-01

    We present an efficient algorithm for computing the simulation preorder and equivalence for labeled transition systems. The algorithm improves an existing space-efficient algorithm and improves its time complexity by employing a variant of the stability condition and exploiting properties of the

  6. Innovative site characterization demonstration saves time and money

    International Nuclear Information System (INIS)

    Floran, R.J.; Bujewski, G.E.; Johnson, R.L.

    1995-01-01

    A technology demonstration that optimizes sampling strategies and real-time data collection was carried out at the Kirtland Air Force Base RB-11 Radioactive Burial Site, Albuquerque, New Mexico in August 1994. The project, which was funded by the Strategic Environmental Research and Development Program (SERDP), involved the application of a geostatistical-based open-quotes smart samplingclose quotes methodology and software with on-site field screening of soils for radiation, organic compounds and metals. The software, known as Plume trademark, was developed at Argonne National Laboratory as part of the DOE/OTD-funded Mixed Waste Landfill Integrated Demonstration (MWLID). The objective of the investigation was to compare an innovative Adaptive Sampling approach that stressed real-time decision-making with a conventional RCRA-driven site characterization carried out by the Air Force. The latter investigation used a standard drilling and sampling plan as mandated by the EPA. To make the comparison realistic, the same contractors and sampling equipment (Geoprobe reg-sign soil samplers) were used. In both investigations, soil samples were collected at several depths at numerous locations adjacent to burial trenches that contain low-level radioactive waste and animal carcasses. Neither study revealed the presence of contaminants appreciably above risk based action levels, indicating that minimal to no migration has occurred away from the trenches. The combination of Adaptive Sampling with field screening achieved a similar level of confidence compared to the RCRA investigation regarding the potential migration of contaminants at the site. By comparison, the Adaptive Sampling program drilled 28 locations (vs. 36 for the conventional investigation), collected 81 samples (vs. 163), and sent 15 samples (vs. 163) off-site for laboratory analysis. In addition, the field work took 3 1/2 days compared to 13 days for the RCRA investigation

  7. Efficacy of New Measures Saving Time in Acute Stroke Management: A Quantified Analysis.

    Science.gov (United States)

    Iglesias Mohedano, Ana María; García Pastor, Andrés; Díaz Otero, Fernando; Vázquez Alen, Pilar; Vales Montero, Marta; Luque Buzo, Elisa; Redondo Ráfales, Nuria; Chavarria Cano, Beatriz; Fernández Bullido, Yolanda; Villanueva Osorio, Jose Antonio; Gil Núñez, Antonio

    2017-08-01

    Time to treatment remains the most important factor in acute ischemic stroke prognosis. We quantified the effect of new interventions reducing in-hospital delays in acute stroke management and assessed its repercussion on door-to-imaging (DTI), imaging-to-needle (ITN), and door-to-needle (DTN) times. Prospective registry of consecutive stroke patients who were candidates for reperfusion therapy attended in a tertiary care hospital from February 1 to December 31, 2014. A series of measures aimed at reducing in-hospital delays were implemented. We compared DTI, ITN, and DTN times between patients who underwent the interventions and those who did not. 231 patients. DTI time was lower when personal history was reviewed and tests were ordered before patient arrival (2.5 minutes saved, P = .016) and when electrocardiogram was not made (5.4 minutes saved, P time significantly (14 and 12 minutes saved, respectively, P time. Completing all steps resulted in the lowest DTI and ITN times (13 and 19 minutes, respectively). Every measure is an important part of a chain focused on saving time in acute stroke: the lowest DTI and ITN times were obtained when all steps were completed. Measures shortening ITN time produced a greater impact on DTN time reduction; therefore, ITN interventions should be considered a critical part of new protocols and guidelines. Copyright © 2017. Published by Elsevier Inc.

  8. Daylight saving time transitions and hospital treatments due to accidents or manic episodes

    Directory of Open Access Journals (Sweden)

    Lönnqvist Jouko

    2008-02-01

    Full Text Available Abstract Background Daylight saving time affects millions of people annually but its impacts are still widely unknown. Sleep deprivation and the change of circadian rhythm can trigger mental illness and cause higher accident rates. Transitions into and out of daylight saving time changes the circadian rhythm and may cause sleep deprivation. Thus it seems plausible that the prevalence of accidents and/or manic episodes may be higher after transition into and out of daylight saving time. The aim of this study was to explore the effects of transitions into and out of daylight saving time on the incidence of accidents and manic episodes in the Finnish population during the years of 1987 to 2003. Methods The nationwide data were derived from the Finnish Hospital Discharge Register. From the register we obtained the information about the hospital-treated accidents and manic episodes during two weeks before and two weeks after the transitions in 1987–2003. Results The results were negative, as the transitions into or out of daylight saving time had no significant effect on the incidence of accidents or manic episodes. Conclusion One-hour transitions do not increase the incidence of manic episodes or accidents which require hospital treatment.

  9. Daylight saving time transitions and hospital treatments due to accidents or manic episodes

    Science.gov (United States)

    Lahti, Tuuli A; Haukka, Jari; Lönnqvist, Jouko; Partonen, Timo

    2008-01-01

    Background Daylight saving time affects millions of people annually but its impacts are still widely unknown. Sleep deprivation and the change of circadian rhythm can trigger mental illness and cause higher accident rates. Transitions into and out of daylight saving time changes the circadian rhythm and may cause sleep deprivation. Thus it seems plausible that the prevalence of accidents and/or manic episodes may be higher after transition into and out of daylight saving time. The aim of this study was to explore the effects of transitions into and out of daylight saving time on the incidence of accidents and manic episodes in the Finnish population during the years of 1987 to 2003. Methods The nationwide data were derived from the Finnish Hospital Discharge Register. From the register we obtained the information about the hospital-treated accidents and manic episodes during two weeks before and two weeks after the transitions in 1987–2003. Results The results were negative, as the transitions into or out of daylight saving time had no significant effect on the incidence of accidents or manic episodes. Conclusion One-hour transitions do not increase the incidence of manic episodes or accidents which require hospital treatment. PMID:18302734

  10. A cost and time analysis of laryngology procedures in the endoscopy suite versus the operating room.

    Science.gov (United States)

    Hillel, Alexander T; Ochsner, Matthew C; Johns, Michael M; Klein, Adam M

    2016-06-01

    To assess the costs, charges, reimbursement, and efficiency of performing awake laryngology procedures in an endoscopy suite (ES) compared with like procedures performed in the operating room (OR). Retrospective review of billing records. Cost, charges, and reimbursements for the hospital, surgeon, and anesthesiologist were compared between ES injection laryngoplasty and laser excision procedures and matched case controls in the OR. Time spent in 1) the preoperative unit, 2) the operating or endoscopy suite, and 3) recovery unit were compared between OR and ES procedures. Hospital expenses were significantly less for ES procedures when compared to OR procedures. Reimbursement was similar for ES and OR injection laryngoplasty, though greater for OR laser excisions. Net balance (reimbursement-expenses) was greater for ES procedures. A predictive model of payer costs over a 3-year period showed similar costs for ES and OR laser procedures and reduced costs for ES compared to OR injection laryngoplasty. Times spent preoperatively and the procedure were significantly less for ES procedures. For individual laryngology procedures, the ES reduces time and costs compared to the OR, increasing otolaryngologist and hospital efficiency. This reveals cost and time savings of ES injection laryngoplasty, which occurs at a similar frequency as OR injection laryngoplasty. Given the increased frequency for ES laser procedures, total costs are similar for ES and OR laser excision of papilloma, which usually require repeated procedures. When regulated office space is unavailable, endoscopy rooms represent an alternative setting for unsedated laryngology procedures. NA Laryngoscope, 126:1385-1389, 2016. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

  11. Chapter 10: Peak Demand and Time-Differentiated Energy Savings Cross-Cutting Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

    Energy Technology Data Exchange (ETDEWEB)

    Kurnik, Charles W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Stern, Frank [Navigant, Boulder, CO (United States); Spencer, Justin [Navigant, Boulder, CO (United States)

    2017-10-03

    Savings from electric energy efficiency measures and programs are often expressed in terms of annual energy and presented as kilowatt-hours per year (kWh/year). However, for a full assessment of the value of these savings, it is usually necessary to consider the measure or program's impact on peak demand as well as time-differentiated energy savings. This cross-cutting protocol describes methods for estimating the peak demand and time-differentiated energy impacts of measures implemented through energy efficiency programs.

  12. New time-saving predictor algorithm for multiple breath washout in adolescents

    DEFF Research Database (Denmark)

    Grønbæk, Jonathan; Hallas, Henrik Wegener; Arianto, Lambang

    2016-01-01

    BACKGROUND: Multiple breath washout (MBW) is an informative but time-consuming test. This study evaluates the uncertainty of a time-saving predictor algorithm in adolescents. METHODS: Adolescents were recruited from the Copenhagen Prospective Study on Asthma in Childhood (COPSAC2000) birth cohort...

  13. Dessau-Soprin cultural and sport complex arena, restaurant, community room, swimming pool and curling : municipality of La Peche new construction project, feasibility study and energy saving project

    Energy Technology Data Exchange (ETDEWEB)

    Heon, K. [Dessau-Soprin Inc., Longueuil, PQ (Canada)

    2004-07-27

    The Cultural and sport complex of La Peche is a new construction project which in its first phase will consist of an arena and a community room. The second phase will include a swimming pool and curling facilities. A description of the complex was provided in this paper, including details of square footage, seating, offices and service rooms. An energy consumption analysis was conducted, with details of mechanical and electrical installations, refrigeration system options, and a complete list of architectural options with reference to the commercial building incentive program. Detailed evaluations of scenarios were provided. A reference model was provided with details of standard operational data concerning issues such as lighting density and resurfacings. Two types of heating systems were simulated in the reference model: electric and natural gas with details of consumption levels estimated for both. Later modifications to the reference model were made concerning energy efficiency saving measures. Three compressor types were also evaluated: modular, screw and reciprocating. The most profitable measures reviewed in this document were the following: radiant floor heating; make-up air recovery; central management systems; smaller secondary refrigerant fluid pumps and a low emissivity ceiling. A 20 year period life cycle cost comparison revealed that the complex would recover 20 per cent of the energy rejected by compressors. The use of a 100 per cent heat recovery system would result in savings of $33,962 per year. tabs., figs.

  14. Assessment of safety levels in operation rooms at two major tertiary care public hospitals of Karachi. Safe surgery saves life

    International Nuclear Information System (INIS)

    Minhas, M.S.; Muzzammil, M.; Effendi, J.

    2017-01-01

    The objectives of this study are to determine the knowledge and attitude towards surgical safety among the health care professionals including surgeons, anaesthetist, hospital administrators, and operation room personnel and raise awareness towards the importance of safe surgery. Method: A pilot cross- sectional study of 543 healthcare providers working in the operating rooms and the surgical intensive care units was conducted in two tertiary care hospitals, within a study period of one month. A structured questionnaire was constructed and an informed verbal consent was taken. The questionnaire was then distributed; data collected and analysed on SPSS 20.0. Results: A total of 543 respondents participated in the study out of which there were 375 (69%) men and 168 (31%) women. The ages ranged between 23-58 years, mean 40.5+-24.74. There were 110 (20.25%) surgeons, 58 (10.68%) anaesthetist, 132 (24.30%) trainees, 125 (23.02%) technicians, and were 118 (21.73%) nurses. The question regarding briefing operation room personnel is important for patient safety was agreed by 532 (98%) respondents. Amongst the respondents, 239 (44%) did not feel safe to be operated in their own setup. Team communication improvement through the check list implementation was agreed by 483 (89%) respondents. 514 (94.7%) opted for the checklist to be used while they are being operated. That operation room personnel frequently disregard established protocols was agreed by 374 (69%) respondents. 193 (35.54%) of the respondents stated that it is difficult for them to speak up in the or if they perceive a problem with patient care. Conclusion: Operation room personnel were not aware of several important areas related to briefing, communication, safety attitude, following standard protocols and use of WHO Surgical Safety check list. A pre-post intervention study should be conducted after formal introduction of the Checklist. Successful implementation will require taking all stake holders on board

  15. A Study on the Optimal Duration of Daylight Saving Time (DST in Korea

    Directory of Open Access Journals (Sweden)

    Byeong-Hee Mihn

    2009-09-01

    Full Text Available Daylight saving time aims at spending effective daylight in summer season. Korea had enforced daylight saving time twelve times from 1948 to 1988. Since 1988, it is not executed, but it is recently discussed the resumption of DST. In this paper, we investigate the trend of DST in other countries, review the history of DST in Korea, and suggest the optimal DST duration in terms of astronomical aspects (times of sunrise and sunset. We find that the starting day of DST in Korea is apt for the second Sunday in Mayor the second Sunday in April according to the time of sunrise or to the difference between Korean standard meridian and observer`s, respectively. We also discuss time friction that might be caused by time difference between DST and Korea Standard Time (KST.

  16. Evaluating the benefits of digital pathology implementation: Time savings in laboratory logistics.

    Science.gov (United States)

    Baidoshvili, Alexi; Bucur, Anca; van Leeuwen, Jasper; van der Laak, Jeroen; Kluin, Philip; van Diest, Paul J

    2018-06-20

    The benefits of digital pathology for workflow improvement and thereby cost savings in pathology, at least partly outweighing investment costs, are increasingly recognized. Successful implementations in a variety of scenarios start to demonstrate cost benefits of digital pathology for both research and routine diagnostics, contributing to a sound business case encouraging further adoption. To further support new adopters, there is still a need for detailed assessment of the impact this technology has on the relevant pathology workflows with emphasis on time saving. To assess the impact of digital pathology adoption on logistic laboratory tasks (i.e. not including pathologists' time for diagnosis making) in LabPON, a large regional pathology laboratory in The Netherlands. To quantify the benefits of digitization we analyzed the differences between the traditional analog and new digital workflows, carried out detailed measurements of all relevant steps in key analog and digital processes, and compared time spent. We modeled and assessed the logistic savings in five workflows: (1) Routine diagnosis, (2) Multi-disciplinary meeting, (3) External revision requests, (4) Extra stainings and (5) External consultation. On average over 19 working hours were saved on a typical day by working digitally, with the highest savings in routine diagnosis and multi-disciplinary meeting workflows. By working digitally, a significant amount of time could be saved in a large regional pathology lab with a typical case mix. We also present the data in each workflow per task and concrete logistic steps to allow extrapolation to the context and case mix of other laboratories. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  17. Change in the Classroom Deportment of Children Following Change From Daylight Saving Time.

    Science.gov (United States)

    Hicks, Robert A.; And Others

    1980-01-01

    The deportment of each student in a third-grade classroom was rated by the teacher before and after the fall change from daylight savings time, to see if this disruption in circadian rhythms alters behavior. The deportment of boys improved significantly while the deportment of girls was significantly disrupted. (Author/SJL)

  18. Household Consumption and Savings Around the Time of Births and the Role of Education

    NARCIS (Netherlands)

    Kalwij, A.S.

    2003-01-01

    This study examines households’ financial situation around the time of births using a panel of Dutch households over the period 1987-1993. I find that at all levels of education households accumulate wealth before and draw on their liquid savings after having given birth to their first child.

  19. Household consumption and savings around the time of births and the role of education.

    NARCIS (Netherlands)

    Kalwij, A.S.

    2003-01-01

    This study examines households’ financial situation around the time of births using a panel of Dutch households over the period 1987-1993. I find that at all levels of education households accumulate wealth before and draw on their liquid savings after having given birth to their first child.

  20. Lean principles optimize on-time vascular surgery operating room starts and decrease resident work hours.

    Science.gov (United States)

    Warner, Courtney J; Walsh, Daniel B; Horvath, Alexander J; Walsh, Teri R; Herrick, Daniel P; Prentiss, Steven J; Powell, Richard J

    2013-11-01

    Lean process improvement techniques are used in industry to improve efficiency and quality while controlling costs. These techniques are less commonly applied in health care. This study assessed the effectiveness of Lean principles on first case on-time operating room starts and quantified effects on resident work hours. Standard process improvement techniques (DMAIC methodology: define, measure, analyze, improve, control) were used to identify causes of delayed vascular surgery first case starts. Value stream maps and process flow diagrams were created. Process data were analyzed with Pareto and control charts. High-yield changes were identified and simulated in computer and live settings prior to implementation. The primary outcome measure was the proportion of on-time first case starts; secondary outcomes included hospital costs, resident rounding time, and work hours. Data were compared with existing benchmarks. Prior to implementation, 39% of first cases started on time. Process mapping identified late resident arrival in preoperative holding as a cause of delayed first case starts. Resident rounding process inefficiencies were identified and changed through the use of checklists, standardization, and elimination of nonvalue-added activity. Following implementation of process improvements, first case on-time starts improved to 71% at 6 weeks (P = .002). Improvement was sustained with an 86% on-time rate at 1 year (P < .001). Resident rounding time was reduced by 33% (from 70 to 47 minutes). At 9 weeks following implementation, these changes generated an opportunity cost potential of $12,582. Use of Lean principles allowed rapid identification and implementation of perioperative process changes that improved efficiency and resulted in significant cost savings. This improvement was sustained at 1 year. Downstream effects included improved resident efficiency with decreased work hours. Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All

  1. Energy Savings in Cellular Networks Based on Space-Time Structure of Traffic Loads

    Science.gov (United States)

    Sun, Jingbo; Wang, Yue; Yuan, Jian; Shan, Xiuming

    Since most of energy consumed by the telecommunication infrastructure is due to the Base Transceiver Station (BTS), switching off BTSs when traffic load is low has been recognized as an effective way of saving energy. In this letter, an energy saving scheme is proposed to minimize the number of active BTSs based on the space-time structure of traffic loads as determined by principal component analysis. Compared to existing methods, our approach models traffic loads more accurately, and has a much smaller input size. As it is implemented in an off-line manner, our scheme also avoids excessive communications and computing overheads. Simulation results show that the proposed method has a comparable performance in energy savings.

  2. Estimating the Value of Life, Injury, and Travel Time Saved Using a Stated Preference Framework.

    Science.gov (United States)

    Niroomand, Naghmeh; Jenkins, Glenn P

    2016-06-01

    The incidence of fatality over the period 2010-2014 from automobile accidents in North Cyprus is 2.75 times greater than the average for the EU. With the prospect of North Cyprus entering the EU, many investments will need to be undertaken to improve road safety in order to reach EU benchmarks. The objective of this study is to provide local estimates of the value of a statistical life and injury along with the value of time savings. These are among the parameter values needed for the evaluation of the change in the expected incidence of automotive accidents and time savings brought about by such projects. In this study we conducted a stated choice experiment to identify the preferences and tradeoffs of automobile drivers in North Cyprus for improved travel times, travel costs, and safety. The choice of route was examined using mixed logit models to obtain the marginal utilities associated with each attribute of the routes that consumers choose. These estimates were used to assess the individuals' willingness to pay (WTP) to avoid fatalities and injuries and to save travel time. We then used the results to obtain community-wide estimates of the value of a statistical life (VSL) saved, the value of injury (VI) prevented, and the value per hour of travel time saved. The estimates for the VSL range from €315,293 to €1,117,856 and the estimates of VI from € 5,603 to € 28,186. These values are consistent, after adjusting for differences in incomes, with the median results of similar studies done for EU countries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Daylight Savings Time Transitions and the Incidence Rate of Unipolar Depressive Episodes.

    Science.gov (United States)

    Hansen, Bertel T; Sønderskov, Kim M; Hageman, Ida; Dinesen, Peter T; Østergaard, Søren D

    2017-05-01

    Daylight savings time transitions affect approximately 1.6 billion people worldwide. Prior studies have documented associations between daylight savings time transitions and adverse health outcomes, but it remains unknown whether they also cause an increase in the incidence rate of depressive episodes. This seems likely because daylight savings time transitions affect circadian rhythms, which are implicated in the etiology of depressive disorder. Therefore, we investigated the effects of daylight savings time transitions on the incidence rate of unipolar depressive episodes. Using time series intervention analysis of nationwide data from the Danish Psychiatric Central Research Register from 1995 to 2012, we compared the observed trend in the incidence rate of hospital contacts for unipolar depressive episodes after the transitions to and from summer time to the predicted trend in the incidence rate. The analyses were based on 185,419 hospital contacts for unipolar depression and showed that the transition from summer time to standard time were associated with an 11% increase (95% CI = 7%, 15%) in the incidence rate of unipolar depressive episodes that dissipated over approximately 10 weeks. The transition from standard time to summer time was not associated with a parallel change in the incidence rate of unipolar depressive episodes. This study shows that the transition from summer time to standard time was associated with an increase in the incidence rate of unipolar depressive episodes. Distress associated with the sudden advancement of sunset, marking the coming of a long period of short days, may explain this finding. See video abstract at, http://links.lww.com/EDE/B179.

  4. Time Management in the Operating Room: An Analysis of the Dedicated Minimally Invasive Surgery Suite

    Science.gov (United States)

    Hsiao, Kenneth C.; Machaidze, Zurab

    2004-01-01

    Background: Dedicated minimally invasive surgery suites are available that contain specialized equipment to facilitate endoscopic surgery. Laparoscopy performed in a general operating room is hampered by the multitude of additional equipment that must be transported into the room. The objective of this study was to compare the preparation times between procedures performed in traditional operating rooms versus dedicated minimally invasive surgery suites to see whether operating room efficiency is improved in the specialized room. Methods: The records of 50 patients who underwent laparoscopic procedures between September 2000 and April 2002 were retrospectively reviewed. Twenty-three patients underwent surgery in a general operating room and 18 patients in an minimally invasive surgery suite. Nine patients were excluded because of cystoscopic procedures undergone prior to laparoscopy. Various time points were recorded from which various time intervals were derived, such as preanesthesia time, anesthesia induction time, and total preparation time. A 2-tailed, unpaired Student t test was used for statistical analysis. Results: The mean preanesthesia time was significantly faster in the minimally invasive surgery suite (12.2 minutes) compared with that in the traditional operating room (17.8 minutes) (P=0.013). Mean anesthesia induction time in the minimally invasive surgery suite (47.5 minutes) was similar to time in the traditional operating room (45.7 minutes) (P=0.734). The average total preparation time for the minimally invasive surgery suite (59.6 minutes) was not significantly faster than that in the general operating room (63.5 minutes) (P=0.481). Conclusion: The amount of time that elapses between the patient entering the room and anesthesia induction is statically shorter in a dedicated minimally invasive surgery suite. Laparoscopic surgery is performed more efficiently in a dedicated minimally invasive surgery suite versus a traditional operating room. PMID

  5. Waiting room time: An opportunity for parental oral health education.

    Science.gov (United States)

    Soussou, Randa; Aleksejūnienė, Jolanta; Harrison, Rosamund

    2017-09-14

    The UBC Children's Dental Program (CDP) has provided free dental treatments to underserved low-income children, but its preventive component needs to be enhanced. The study aims were: 1) to develop a "waiting-room based" dental education program engaging caregivers of these children, and 2) to assess the program's feasibility, acceptability and effectiveness. In preparation, a situational analysis (SA) included structured interviews with caregivers, and with various stakeholders (e.g., dental students, instructors, health authority) involved in the CDP program. Based on the SA, caregiver-centered education was designed using an interactive power point presentation; after the presentation, each caregiver set personalized goals for modifying his/her child's dental behaviours. Evaluation of the program was done with follow-up telephone calls; the program's effectiveness was assessed by comparing before/after proportions of caregivers brushing their child's teeth, children brushing teeth in the morning and evening, children eating sugar-containing snacks, and children drinking sugar-containing drinks. The program proved to be easy to implement (feasible) and the recruitment rate was 99% (acceptable). The follow-up rate was 81%. The SA identified that the caregivers' knowledge about caries etiology and prevention was limited. All recruited caregivers completed the educational session and set goals for their family. The evaluation demonstrated an increase in caregiver-reported short-term diet and oral self-care behaviours of their children. A dental education program engaging caregivers in the waiting room was a feasible, acceptable and promising strategy for improving short-term dental behaviours of children.

  6. The shift to and from daylight savings time and motor vehicle crashes.

    Science.gov (United States)

    Lambe, M; Cummings, P

    2000-07-01

    The objective of the study was to examine whether the shifts to and from daylight savings time in Sweden have short-term effects on the incidence of traffic crashes. A database maintained by the Swedish National Road Administration was used to examine crashes from 1984 through 1995, that occurred on state roads the Monday preceding, the Monday immediately after (index Monday), and the Monday 1 week after the change to daylight savings time in the spring and for the corresponding three Mondays in the autumn. The Mondays 1 week before and after the time changes were taken as representing the expected incidence of crashes. Crash incidence was calculated per 1000 person-years using population estimates for each year of the study. The association between 1 h of possible sleep loss and crash incidence was estimated by the incidence rate ratio from negative binomial regression. The incidence rate ratio was 1.04 (95% CI, 0.92-1.16) for a Monday on which drivers were expected to have had 1 h less sleep, compared with other Mondays. In the spring, the incidence rate ratio for crashes was 1.11 (95% CI, 0.93-1.31) for Mondays after the time change compared to other spring Mondays. The corresponding rate ratio for the fall was 0.98 (95% CI, 0.84-1.15) It was concluded that the shift to and from daylight savings time did not have measurable important immediate effects on crash incidence in Sweden.

  7. Transition into daylight saving time influences the fragmentation of the rest-activity cycle

    Directory of Open Access Journals (Sweden)

    Tuulio-Henriksson Annamari

    2006-01-01

    Full Text Available Abstract Background Daylight saving time is widely adopted. Little is known about its influence on the daily rest-activity cycles. We decided to explore the effects of transition into daylight saving time on the circadian rhythm of activity. Methods We monitored the rest-activity cycles with the use of wrist-worn accelerometer on a sample of ten healthy adults for ten days around the transition into summer time. Identical protocols were carried out on the same individuals in two consecutive years, yielding data on 200 person-days for analysis in this study. Results There was no significant effect on the rest-activity cycle in the sample as a whole. Fragmentation of the rest-activity cycle was enhanced in a subgroup of persons having sleep for eight hours or less (P = 0.04 but reduced in those who preferred to sleep for more than eight hours per night (P = 0.05. The average level of motor activity was increased in persons having the morning preference for daily activity patterns (P = 0.01. Conclusion Transition into daylight saving time may have a disruptive effect on the rest-activity cycle in those healthy adults who are short-sleepers or more of the evening type.

  8. Saving billions of dollars--and physicians' time--by streamlining billing practices.

    Science.gov (United States)

    Blanchfield, Bonnie B; Heffernan, James L; Osgood, Bradford; Sheehan, Rosemary R; Meyer, Gregg S

    2010-06-01

    The U.S. system of billing third parties for health care services is complex, expensive, and inefficient. Physicians end up using nearly 12 percent of their net patient service revenue to cover the costs of excessive administrative complexity. A single transparent set of payment rules for multiple payers, a single claim form, and standard rules of submission, among other innovations, would reduce the burden on the billing offices of physician organizations. On a national scale, our hypothetical modeling of these changes would translate into $7 billion of savings annually for physician and clinical services. Four hours of professional time per physician and five hours of practice support staff time could be saved each week.

  9. Using the Life Satisfaction Approach to Value Daylight Savings Time Transitions: Evidence from Britain and Germany

    OpenAIRE

    Daniel Kuehnle; Christoph Wunder

    2015-01-01

    Daylight savings time (DST) represents a public good with costs and benefits. We provide the first comprehensive examination of the welfare effects of the spring and autumn transitions for the UK and Germany. Using individual-level data and a regression discontinuity design, we estimate the effect of the transitions on life satisfaction. Our results show that individuals in both the UK and Germany experience deteriorations in life satisfaction in the first week after the spring transition. We...

  10. Quantifying Adoption Rates and Energy Savings Over Time for Advanced Manufacturing Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Hanes, Rebecca [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Carpenter Petri, Alberta C [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Riddle, Matt [Argonne National Laboratory; Graziano, Diane [Argonne National Laboratory

    2017-10-09

    Energy-efficient manufacturing technologies can reduce energy consumption and lower operating costs for an individual manufacturing facility, but increased process complexity and the resulting risk of disruption means that manufacturers may be reluctant to adopt such technologies. In order to quantify potential energy savings at scales larger than a single facility, it is necessary to account for how quickly and how widely the technology will be adopted by manufacturers. This work develops a methodology for estimating energy-efficient manufacturing technology adoption rates using quantitative, objectively measurable technology characteristics, including energetic, economic and technical criteria. Twelve technology characteristics are considered, and each characteristic is assigned an importance weight that reflects its impact on the overall technology adoption rate. Technology characteristic data and importance weights are used to calculate the adoption score, a number between 0 and 1 that represents how quickly the technology is likely to be adopted. The adoption score is then used to estimate parameters for the Bass diffusion curve, which quantifies the change in the number of new technology adopters in a population over time. Finally, energy savings at the sector level are calculated over time by multiplying the number of new technology adopters at each time step with the technology's facility-level energy savings. The proposed methodology will be applied to five state-of-the-art energy-efficient technologies in the carbon fiber composites sector, with technology data obtained from the Department of Energy's 2016 bandwidth study. Because the importance weights used in estimating the Bass curve parameters are subjective, a sensitivity analysis will be performed on the weights to obtain a range of parameters for each technology. The potential energy savings for each technology and the rate at which each technology is adopted in the sector are quantified

  11. Extended operating times are more efficient, save money and maintain a high staff and patient satisfaction.

    Science.gov (United States)

    Herron, Jonathan Blair Thomas; French, Rachel; Gilliam, Andrew Douglas

    2018-01-01

    Current public sector austerity measures necessitate efficiency savings throughout the NHS. Performance targets have resulted in activity being performed in the private sector, waiting list initiative lists and requests for staff to work overtime. This has resulted in staff fatigue and additional agency costs. Adoption of extended operating theatre times (0800-1800 hours) may improve productivity and efficiency, with potentially significant financial savings; however, implementation may adversely affect staff morale and patient compliance. A pilot period of four months of extended operating times (4.5 hour sessions) was completed and included all theatre surgical specialties. Outcome measures included: the number of cases completed, late starts, early finishes, cancelled operations, theatre overruns, preoperative assessment and 18-week targets. The outcomes were then compared to pre-existing normal working day operating lists (0900-1700). Theatre staff, patient and surgical trainee satisfaction with the system were also considered by use of an anonymous questionnaire. The study showed that in-session utilisation time was unchanged by extended operating hours 88.7% (vs 89.2%). The service was rated as 'good' or 'excellent' by 87.5% of patients. Over £345,000 was saved by reducing premium payments. Savings of £225,000 were made by reducing privately outsourced operation and a further £63,000 by reviewing staff hours. Day case procedures increased from 2.8 to 3.2 cases/day with extended operating. There was no significant increase in late starts (5.1% vs 6.8%) or cancellation rates (0.75% vs 1.02%). Theatre over-runs reduced from 5% to 3.4%. The 18 weeks target for surgery was achieved in 93.7% of cases (vs 88.3%). The number of elective procedures increased from 4.1 to 4.89 cases/day. Only 13.33% of trainees (n = 33) surveyed felt that extended operating had a negative impact on training. The study concludes that extended operating increased productivity from

  12. Daylight saving time can decrease the frequency of wildlife–vehicle collisions

    Science.gov (United States)

    Ellis, William A.; FitzGibbon, Sean I.; Barth, Benjamin J.; Niehaus, Amanda C.; David, Gwendolyn K.; Taylor, Brendan D.; Matsushige, Helena; Melzer, Alistair; Bercovitch, Fred B.; Carrick, Frank; Jones, Darryl N.; Dexter, Cathryn; Gillett, Amber; Predavec, Martin; Lunney, Dan

    2016-01-01

    Daylight saving time (DST) could reduce collisions with wildlife by changing the timing of commuter traffic relative to the behaviour of nocturnal animals. To test this idea, we tracked wild koalas (Phascolarctos cinereus) in southeast Queensland, where koalas have declined by 80% in the last 20 years, and compared their movements with traffic patterns along roads where they are often killed. Using a simple model, we found that DST could decrease collisions with koalas by 8% on weekdays and 11% at weekends, simply by shifting the timing of traffic relative to darkness. Wildlife conservation and road safety should become part of the debate on DST. PMID:27881767

  13. Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study.

    Science.gov (United States)

    Tabib, Christian H; Bahler, Clinton D; Hardacker, Thomas J; Ball, Kevin M; Sundaram, Chandru P

    2015-08-01

    To create a protocol for providing real-time operating room (OR) cost feedback to surgeons. We hypothesize that this protocol will reduce costs in a responsible way without sacrificing quality of care. All OR costs were obtained and recorded for robot-assisted partial nephrectomy and laparoscopic donor nephrectomy. Before the beginning of this project, costs pertaining to the 20 most recent cases were analyzed. Items were identified from previous cases as modifiable for replacement or omission. Timely feedback of total OR costs and cost of each item used was provided to the surgeon after each case, and costs were analyzed. A cost analysis of the robot-assisted partial nephrectomy before the washout period indicates expenditures of $5243.04 per case. Ten recommended modifiable items were found to have an average per case cost of $1229.33 representing 23.4% of the total cost. A postwashout period cost analysis found the total OR cost decreased by $899.67 (17.2%) because of changes directly related to the modifiable items. Therefore, 73.2% of the possible identified savings was realized. The same stepwise approach was applied to laparoscopic donor nephrectomies. The average total cost per case before the washout period was $3530.05 with $457.54 attributed to modifiable items. After the washout period, modifiable items costs were reduced by $289.73 (8.0%). No complications occurred in the donor nephrectomy cases while one postoperative complication occurred in the partial nephrectomy group. Providing surgeons with feedback related to OR costs may lead to a change in surgeon behavior and decreased overall costs. Further studies are needed to show equivalence in patient outcomes.

  14. Effects of daylight-saving time changes on stock market volatility: a comment.

    Science.gov (United States)

    Kamstra, Mark J; Kramer, Lisa A; Levi, Maurice D

    2010-12-01

    In a recent article in this journal, Berument, Dogan, and Onar (2010) challenged the existence of the previously documented daylight-saving effect. Kamstra, Kramer, and Levi's original finding (2000) was that average stock market returns on Mondays following time changes are economically and statistically significantly lower than typical Monday returns. Kamstra, et al. hypothesized that the effect may arise due to heightened anxiety or risk aversion on the part of market participants after they experience a 1-hr. disruption in their sleep habits, in accordance with prior findings in the psychology literature linking sleep desynchronosis with anxiety. Berument, et al. replicated the original findings using ordinary least squares estimation, but when they modeled the mean of returns using a method prone to producing biased estimates, they obtained puzzling results. The analysis here, based on standard, unbiased modeling techniques, shows that the daylight-saving effect remains intact in the U.S.

  15. Parametric Room Acoustic workflows with real-time acoustic simulation

    DEFF Research Database (Denmark)

    Parigi, Dario

    2017-01-01

    The paper investigates and assesses the opportunities that real-time acoustic simulation offer to engage in parametric acoustics workflow and to influence architectural designs from early design stages......The paper investigates and assesses the opportunities that real-time acoustic simulation offer to engage in parametric acoustics workflow and to influence architectural designs from early design stages...

  16. Critical analysis of the daylight saving time; Analisis critico al horario del verano

    Energy Technology Data Exchange (ETDEWEB)

    Romero Paredes Rubio, Hernando [Universidad Autonoma Metropolitana Ciudad-Ixtapalapa, Mexico, D.F., (Mexico)

    2001-07-01

    The critical analysis is presented as a synthesis of the problem untied since the implementation of the daylight saving time. The often related history is retaken to introduce the reader into the context of the causes of a such program. The geometric aspect of the solar trajectories is discussed and the length of the day as a function of the latitude and the time of the year to have technical elements for the time displacement in a certain region. The technical implementation of the daylight saving time based on three elements is justified: time of dawn and the decline (length of the day), national economic motivation and tourism industry. Stands out that although the daylight saving time schedule has a set of social and economic benefits it is not centered in the individual but in the society as a whole. The errors in handling the information and the misinformation are pointed out as the main causes of the controversy, the discord and the political manipulation of competing groups. [Spanish] El analisis critico se presenta como una sintesis del problema desatado desde la implementacion del horario de verano. La historia muchas veces contada se retoma para introducir al lector en el contexto de las causas de un tal programa. Se discute el aspecto geometrico de las trayectorias solares y la longitud del dia como una funcion de la latitud y de la epoca del ano para tener elementos tecnicos para el desplazamiento horario en una region determinada. Se justifica la implementacion tecnica del horario de verano en funcion de tres elementos: hora de alba y del ocaso (longitud del dia), motivacion economica nacional e industria turistica. Se destaca que si bien el horario de verano tiene un conjunto de beneficios sociales y economicos no se centra en el individuo sino en la sociedad en su conjunto. Se senalan los errores de manejo de la informacion y la desinformacion como los principales causantes de la polemica, el desacuerdo y la manipulacion politica de grupos

  17. Time to propagate green building construction concept for saving precious resources sustainable development

    International Nuclear Information System (INIS)

    Ali, Z.

    2005-01-01

    At present, we are constructing houses and buildings without giving any consideration to consumption of resources at the time of construction and consumption of resources for the use of such houses or buildings. ; Although green is our color but we are doing little about green building. Time has now come to propagate Green Building Construction Concepts in order to save our precious resources. The paper deals with dire need of awareness about conservation of water, conservation of energy, use of local materials, use of natural materials, etc. (author)

  18. The impact of daylight saving time on electricity consumption: Evidence from southern Norway and Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Mirza, Faisal Mehmood, E-mail: faisal.mirza@umb.no [Department of Economics and Resource Management, Norwegian University of Life Sciences (UMB), P.O. Box 5003, 1432 As (Norway); Bergland, Olvar, E-mail: olvar.bergland@umb.no [Department of Economics and Resource Management, Norwegian University of Life Sciences (UMB), P.O. Box 5003, 1432 As (Norway)

    2011-06-15

    This paper examines the impact of daylight saving time (DST) on electricity consumption in southern Norway and Sweden. As DST was implemented in both the countries in 1980, we do not have a clear counterfactual in the form of a control period to identify the impact of DST directly with before and after or with and without analysis. This problem in the study is resolved by using 'equivalent day normalization technique' to identify the impact of DST. The difference-in-difference (DID) average treatment effects model suggests an annual reduction of at least 1.0 percent in electricity consumption for both Norway and Sweden due to DST. The average annual electricity consumption reduction corresponding to DST effects equals 519 and 882 GWh for southern Norway and Sweden, resulting in an annual financial saving of 16.1 million Euros and 30.1 million Euros, respectively. The distribution of treatment effects across different hours of the day indicates a small but significant reduction in electricity consumption during the morning and a steep decline during the evening hours in both countries. - Highlights: > We assess the impact of DST on electricity consumption in southern Norway and Sweden. > DST reduces electricity consumption by 1.3 percent in both countries. > The impact is smaller during the morning hours but larger during evening hours. > Respective annual financial savings equal Euro 16.1 and 30.1 million for Norway and Sweden. > Average annual electricity savings equal 519 and 882 GWh for two countries, respectively.

  19. The impact of daylight saving time on electricity consumption: Evidence from southern Norway and Sweden

    International Nuclear Information System (INIS)

    Mirza, Faisal Mehmood; Bergland, Olvar

    2011-01-01

    This paper examines the impact of daylight saving time (DST) on electricity consumption in southern Norway and Sweden. As DST was implemented in both the countries in 1980, we do not have a clear counterfactual in the form of a control period to identify the impact of DST directly with before and after or with and without analysis. This problem in the study is resolved by using 'equivalent day normalization technique' to identify the impact of DST. The difference-in-difference (DID) average treatment effects model suggests an annual reduction of at least 1.0 percent in electricity consumption for both Norway and Sweden due to DST. The average annual electricity consumption reduction corresponding to DST effects equals 519 and 882 GWh for southern Norway and Sweden, resulting in an annual financial saving of 16.1 million Euros and 30.1 million Euros, respectively. The distribution of treatment effects across different hours of the day indicates a small but significant reduction in electricity consumption during the morning and a steep decline during the evening hours in both countries. - Highlights: → We assess the impact of DST on electricity consumption in southern Norway and Sweden. → DST reduces electricity consumption by 1.3 percent in both countries. → The impact is smaller during the morning hours but larger during evening hours. → Respective annual financial savings equal Euro 16.1 and 30.1 million for Norway and Sweden. → Average annual electricity savings equal 519 and 882 GWh for two countries, respectively.

  20. Effects of Daylight Saving Time changes on stock market volatility: a reply.

    Science.gov (United States)

    Berument, Hakan; Dogan, Nukhet

    2011-12-01

    There is a rich array of evidence that suggests that changes in sleeping patterns affect an individual's decision-making processes. A nationwide sleeping-pattern change happens twice a year when the Daylight Saving Time (DST) change occurs. Kamstra, Kramer, and Levi argued in 2000 that a DST change lowers stock market returns. This study presents evidence that DST changes affect the relationship between stock market return and volatility. Empirical evidence suggests that the positive relationship between return and volatility becomes negative on the Mondays following DST changes.

  1. Time-saving and fail-safe dissection method for vestibulocochlear organs in gross anatomy classes.

    Science.gov (United States)

    Suzuki, Ryoji; Konno, Naoaki; Ishizawa, Akimitsu; Kanatsu, Yoshinori; Funakoshi, Kodai; Akashi, Hideo; Zhou, Ming; Abe, Hiroshi

    2017-09-01

    Because the vestibulocochlear organs are tiny and complex, and are covered by the petrous part of the temporal bone, they are very difficult for medical students to dissect and visualize during gross anatomy classes. Here, we report a time-saving and fail-safe procedure we have devised, using a hand-held hobby router. Nine en bloc temporal bone samples from donated human cadavers were used as trial materials for devising an appropriate procedure for dissecting the vestibulocochlear organs. A hand-held hobby router was used to cut through the temporal bone. After trials, the most time-saving and fail-safe method was selected. The performance of the selected method was assessed by a survey of 242 sides of 121 cadavers during gross anatomy classes for vestibulocochlear dissection. The assessment was based on the observation ratio. The best procedure appeared to be removal of the external acoustic meatus roof and tympanic cavity roof together with removal of the internal acoustic meatus roof. The whole procedure was completed within two dissection classes, each lasting 4.5 hr. The ratio of surveillance for the chorda tympani and three semicircular canals by students was significantly improved during 2013 through 2016. In our dissection class, "removal of the external acoustic meatus roof and tympanic cavity roof together with removal of the internal acoustic meatus roof" was the best procedure for students in the limited time available. Clin. Anat. 30:703-710, 2017. © 2017Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  2. Riding the Electricity Market as an Energy Management Strategy: Savings from Real-Time Pricing

    Energy Technology Data Exchange (ETDEWEB)

    Chiles, Thomas [U.S. General Services Administration, Washington, D.C. (United States); Shutika, Kenneth [U.S. General Services Administration, Washington, D.C. (United States); Coleman, Philip [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2018-03-13

    Dynamic pricing of electricity, in which retail prices facing customers are responsive to changes in the underlying wholesale markets, represents a step towards economic efficiency in that customers get exposed to some or all of the costs facing wholesale market players. But what do customers who opt for this greater exposure – available in the roughly 15 “de-regulated” states, as well as, to some extent, from some regulated utilities – get in return for their risks? The U.S. General Services Administration (GSA) took a retrospective eight-year look at what the savings would have been had they let the loads for which they purchase electricity in the Washington, DC area buy electricity on the real-time pricing (RTP) market – the dynamic pricing option with the highest risk – as opposed to the strategy they chose in actuality, which was fixing flat prices with 3rd-party providers. We found that opting for RTP for the eight years of the study (2005 through 2012) would have resulted in 17% savings, or almost a quarter of a billion dollars, relative to GSA’s actual prices from the 3rd-party suppliers. This is particularly astonishing given that GSA appeared to have timed the market well during the study period, consistently beating the standard offer products provided by the distribution utilities. The issue of budgetary predictability poses an obstacle for customers (especially government ones) considering RTP and, to a lesser extent, other dynamic pricing options. Indeed, GSA would have lost money with RTP in two of the eight years, one of them substantially. But the magnitude of the savings is indisputably compelling and, even if it may be somewhat aberrational due to high congestion in the DC market, begs consideration by large electricity users currently paying to “lock in” fixed flat prices.

  3. Time based room correction system for low frequencies using multiple loudspeakers

    DEFF Research Database (Denmark)

    Nielsen, Sofus Birkedal; Celestinos, Adrian

    2007-01-01

      Improving sound from loudspeakers in a room is a big issue. We are facing a rather complicated and serious problem, as one can experience very big variations in sound pressure level - up to 30 dB - in a room, especially at low frequencies. An innovative way of looking at the problem in the time......-domain by the construction of a finite-difference time-domain approximation program (FDTD) has lead to a novel and simple solution also working in the time-domain called Controlled Acoustically Bass System (CABS). Working in the time-domain CABS includes additional cancelling loudspeakers at the back wall in order to remove...

  4. The impact of the daylight saving time on electricity consumption-A case study from Jordan

    International Nuclear Information System (INIS)

    Awad Momani, Mohammad; Yatim, Baharudin; Ali, Mohd Alauddin Mohd

    2009-01-01

    The paper examines the impact of daylight saving time (DST) on electricity consumption in Jordan. Two types of analysis were done: the first analysis examines the impact of DST on the lighting loads based on a survey study made for residential and commercial sectors. The second examines the impact of DST on the over all electricity generation through analyzing the daily load curves (DLCs) before and after the DST onset and removal in 2000 and 2007. The results show that the application of DST during the year 2000 saves the electricity used for illumination by -0.73% but it increases the overall generation at the onset and removal of DST by 0.5% and 1.4% due to increase in the heating and cooling loads. The analysis of DLCs during the year 2007 shows similar effects as in the year 2000 except during the early morning period at the DST onset where DST decreases the demand during this time. The analysis shows that DST decreases the electricity demand at DST onset by 0.2% and increases it at DST removal by 0.3%. A possible decrease in the electricity consumption may take place if the DST is implemented from April to end of August.

  5. Effect of daylight saving time on lighting energy use: A literature review

    International Nuclear Information System (INIS)

    Aries, Myriam B.C.; Newsham, Guy R.

    2008-01-01

    The principal reason for introducing (and extending) daylight saving time (DST) was, and still is, projected energy savings, particularly for electric lighting. This paper presents a literature review concerning the effects of DST on energy use. Simple estimates suggest a reduction in national electricity use of around 0.5%, as a result of residential lighting reduction. Several studies have demonstrated effects of this size based on more complex simulations or on measured data. However, there are just as many studies that suggest no effect, and some studies suggest overall energy penalties, particularly if gasoline consumption is accounted for. There is general consensus that DST does contribute to an evening reduction in peak demand for electricity, though this may be offset by an increase in the morning. Nevertheless, the basic patterns of energy use, and the energy efficiency of buildings and equipment have changed since many of these studies were conducted. Therefore, we recommend that future energy policy decisions regarding changes to DST be preceded by high-quality research based on detailed analysis of prevailing energy use, and behaviours and systems that affect energy use. This would be timely, given the extension to DST underway in North America in 2007

  6. Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants.

    Science.gov (United States)

    Dullet, Navjit W; Geraghty, Estella M; Kaufman, Taylor; Kissee, Jamie L; King, Jesse; Dharmar, Madan; Smith, Anthony C; Marcin, James P

    2017-04-01

    The objective of this study was to estimate travel-related and environmental savings resulting from the use of telemedicine for outpatient specialty consultations with a university telemedicine program. The study was designed to retrospectively analyze the telemedicine consultation database at the University of California Davis Health System (UCDHS) between July 1996 and December 2013. Travel distances and travel times were calculated between the patient home, the telemedicine clinic, and the UCDHS in-person clinic. Travel cost savings and environmental impact were calculated by determining differences in mileage reimbursement rate and emissions between those incurred in attending telemedicine appointments and those that would have been incurred if a visit to the hub site had been necessary. There were 19,246 consultations identified among 11,281 unique patients. Telemedicine visits resulted in a total travel distance savings of 5,345,602 miles, a total travel time savings of 4,708,891 minutes or 8.96 years, and a total direct travel cost savings of $2,882,056. The mean per-consultation round-trip distance savings were 278 miles, average travel time savings were 245 minutes, and average cost savings were $156. Telemedicine consultations resulted in a total emissions savings of 1969 metric tons of CO 2 , 50 metric tons of CO, 3.7 metric tons of NO x , and 5.5 metric tons of volatile organic compounds. This study demonstrates the positive impact of a health system's outpatient telemedicine program on patient travel time, patient travel costs, and environmental pollutants. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  7. Prehospital interventions: Time wasted or time saved? An observational cohort study management in initial trauma care

    NARCIS (Netherlands)

    M.W.A. van der Velden (M. W A); A.N. Ringburg (Akkie); E.A. Bergs (Engelbert); E.W. Steyerberg (Ewout); P. Patka (Peter); I.B. Schipper (Inger)

    2008-01-01

    textabstractObjective: Preclinical actions in the primary assessment of victims of blunt trauma may prolong the time to definitive clinical care. The aim of this study was to examine the duration of performed interventions and to study the effect of on-scene time (OST) and interventions performed

  8. Variable elasticity of substituition in a discrete time Solow–Swan growth model with differential saving

    International Nuclear Information System (INIS)

    Brianzoni, Serena; Mammana, Cristiana; Michetti, Elisabetta

    2012-01-01

    Highlights: ► One dimensional piecewise smooth map: border collision bifurcations. ► Numerical simulations: complex dynamics. ► Ves production function in the solow–swan growth model and comparison with the ces production function. - Abstract: We study the dynamics shown by the discrete time neoclassical one-sector growth model with differential savings as in Bohm and Kaas while assuming VES production function in the form given by Revankar . It is shown that the model can exhibit unbounded endogenous growth despite the absence of exogenous technical change and the presence of non-reproducible factors if the elasticity of substitution is greater than one. We then consider parameters range related to non-trivial dynamics (i.e. the elasticity of substitution in less than one and shareholders save more than workers) and we focus on local and global bifurcations causing the transition to more and more complex asymptotic dynamics. In particular, as our map is non-differentiable in a subset of the states space, we show that border collision bifurcations occur. Several numerical simulations support the analysis.

  9. Bats on a Budget: Torpor-Assisted Migration Saves Time and Energy

    Science.gov (United States)

    McGuire, Liam P.; Jonasson, Kristin A.; Guglielmo, Christopher G.

    2014-01-01

    Bats and birds must balance time and energy budgets during migration. Migrating bats face similar physiological challenges to birds, but nocturnality creates special challenges for bats, such as a conflict between travelling and refueling, which many birds avoid by feeding in daylight and flying at night. As endothermic animals, bats and birds alike must expend substantial amounts of energy to maintain high body temperatures. For migratory birds refueling at stopovers, remaining euthermic during inactive periods reduces the net refuelling rate, thereby prolonging stopover duration and delaying subsequent movement. We hypothesized that bats could mitigate similar ambient-temperature dependent costs by using a torpor-assisted migration strategy. We studied silver-haired bats Lasionycteris noctivagans during autumn migration using a combination of respirometry and temperature-sensitive radiotelemetry to estimate energy costs incurred under ambient temperature conditions, and the energy that bats saved by using torpor during daytime roosting periods. All bats, regardless of sex, age, or body condition used torpor at stopover and saved up to 91% of the energy they would have expended to remain euthermic. Furthermore, bats modulated use of torpor depending on ambient temperature. By adjusting the time spent torpid, bats achieved a rate of energy expenditure independent of the ambient temperature encountered at stopover. By lowering body temperature during inactive periods, fuel stores are spared, reducing the need for refuelling. Optimal migration models consider trade-offs between time and energy. Heterothermy provides a physiological strategy that allows bats to conserve energy without paying a time penalty as they migrate. Although uncommon, some avian lineages are known to use heterothermy, and current theoretical models of migration may not be appropriate for these groups. We propose that thermoregulatory strategies should be an important consideration of future

  10. The influence of multiple goals on driving behavior : The case of safety, time saving, and fuel saving

    NARCIS (Netherlands)

    Dogan, Ebru; Steg, Linda; Delhomme, Patricia

    Due to the innate complexity of the task drivers have to manage multiple goals while driving and the importance of certain goals may vary over time leading to priority being given to different goals depending on the circumstances. This study aimed to investigate drivers' behavioral regulation while

  11. Measuring quality indicators in the operating room: cleaning and turnover time.

    Science.gov (United States)

    Jericó, Marli de Carvalho; Perroca, Márcia Galan; da Penha, Vivian Colombo

    2011-01-01

    This exploratory-descriptive study was carried out in the Surgical Center Unit of a university hospital aiming to measure time spent with concurrent cleaning performed by the cleaning service and turnover time and also investigated potential associations between cleaning time and the surgery's magnitude and specialty, period of the day and the room's size. The sample consisted of 101 surgeries, computing cleaning time and 60 surgeries, computing turnover time. The Kaplan-Meier method was used to analyze time and Pearson's correlation to study potential correlations. The time spent in concurrent cleaning was 7.1 minutes and turnover time was 35.6 minutes. No association between cleaning time and the other variables was found. These findings can support nurses in the efficient use of resources thereby speeding up the work process in the operating room.

  12. Plant Leaf Imaging using Time of Flight Camera under Sunlight, Shadow and Room Conditions

    DEFF Research Database (Denmark)

    Kazmi, Wajahat; Foix, Sergi; Alenya, Guillem

    2012-01-01

    In this article, we analyze the effects of ambient light on Time of Flight (ToF) depth imaging for a plant's leaf in sunlight, shadow and room conditions. ToF imaging is sensitive to ambient light and we try to find the best possible integration times (IT) for each condition. This is important in...

  13. The Impact of the Hotel Room Tax: An Interrupted Time Series Approach

    OpenAIRE

    Bonham, Carl; Fujii, Edwin; Im, Eric; Mak, James

    1992-01-01

    Employs interrupted time series analysis to estimate ex post the impact of a hotel room tax on real net hotel revenues by analyzing that time series before and after the imposition of the tax. Finds that the tax had a negligible effect on real hotel revenues.

  14. Lost sleep and cyberloafing: Evidence from the laboratory and a daylight saving time quasi-experiment.

    Science.gov (United States)

    Wagner, David T; Barnes, Christopher M; Lim, Vivien K G; Ferris, D Lance

    2012-09-01

    The Internet is a powerful tool that has changed the way people work. However, the ubiquity of the Internet has led to a new workplace threat to productivity-cyberloafing. Building on the ego depletion model of self-regulation, we examine how lost and low-quality sleep influence employee cyberloafing behaviors and how individual differences in conscientiousness moderate these effects. We also demonstrate that the shift to Daylight Saving Time (DST) results in a dramatic increase in cyberloafing behavior at the national level. We first tested the DST-cyberloafing relation through a national quasi-experiment, then directly tested the relation between sleep and cyberloafing in a closely controlled laboratory setting. We discuss the implications of our findings for theory, practice, and future research.

  15. NCBI-compliant genome submissions: tips and tricks to save time and money.

    Science.gov (United States)

    Pirovano, Walter; Boetzer, Marten; Derks, Martijn F L; Smit, Sandra

    2017-03-01

    Genome sequences nowadays play a central role in molecular biology and bioinformatics. These sequences are shared with the scientific community through sequence databases. The sequence repositories of the International Nucleotide Sequence Database Collaboration (INSDC, comprising GenBank, ENA and DDBJ) are the largest in the world. Preparing an annotated sequence in such a way that it will be accepted by the database is challenging because many validation criteria apply. In our opinion, it is an undesirable situation that researchers who want to submit their sequence need either a lot of experience or help from partners to get the job done. To save valuable time and money, we list a number of recommendations for people who want to submit an annotated genome to a sequence database, as well as for tool developers, who could help to ease the process. © The Author 2015. Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  16. Impact of daylight savings time on spontaneous pregnancy loss in in vitro fertilization patients.

    Science.gov (United States)

    Liu, Constance; Politch, Joseph A; Cullerton, Evan; Go, Kathryn; Pang, Samuel; Kuohung, Wendy

    2017-01-01

    Transition into daylight savings time (DST) has studied negative impacts on health, but little is known regarding impact on fertility. This retrospective cohort study evaluates DST impact on pregnancy and pregnancy loss rates in 1,654 autologous in vitro fertilization cycles (2009 to 2012). Study groups were identified based on the relationship of DST to embryo transfer. Pregnancy rates were similar in Spring and Fall (41.4%, 42.2%). Pregnancy loss rates were also comparable between Spring and Fall (15.5%, 17.1%), but rates of loss were significantly higher in Spring when DST occurred after embryo transfer (24.3%). Loss was marked in patients with a history of prior spontaneous pregnancy loss (60.5%).

  17. Time Spent in Face-to-Face Patient Care and Work Outside the Examination Room

    OpenAIRE

    Gottschalk, Andrew; Flocke, Susan A.

    2005-01-01

    PURPOSE Contrary to physicians’ concerns that face-to-face patient time is decreasing, data from the National Ambulatory Medical Care Survey (NAMCS) indicate that between 1988 and 1998, durations of primary care outpatient visits have increased. This study documented how physicians spend time during the workday, including time outside the examination room, and compared observed face-to-face patient care time with that reported in NAMCS.

  18. Analysis of impact of daylight time savings on energy use of buildings in Kuwait

    Energy Technology Data Exchange (ETDEWEB)

    Krarti, Moncef, E-mail: moncef.krarti@colorado.ed [CEAE Department, CB 428, University of Colorado, Boulder, CO 80309 (United States); Hajiah, Ali [Kuwait Institute for Scientific Research, Safat (Kuwait)

    2011-05-15

    In this paper, a detailed simulation-based analysis is conducted to assess the impact of adopting Daylight Saving Time (DST) on the electrical energy use and peak demand in Kuwait. The analysis focused on the impact of DST in the building sector since it represents 90% of electrical energy usage of Kuwait. The simulation results indicate that the adoption of DST has mixed impacts for Kuwait. While the commercial and the governmental sectors may benefit from the DST, the private residences and apartment buildings can see both their annual energy use and peak demand increase slightly by adopting DST. The overall impact of the DST implementation is rather minimal with a slight increase energy use of about 0.07% and a slight reduction in peak demand of 0.14% or about 12 MW based on 2005 electrical peak demand for Kuwait. - Research highlights: {yields} A detailed simulation-based analysis is conducted to assess the impact of adopting Daylight Saving Time (DST) on the electrical energy use and peak demand in Kuwait. {yields} The analysis focused on the impact of DST in the building sector since it represents 90% of electrical energy usage of Kuwait. {yields} It is found that while the commercial and the governmental building sectors may benefit from DST, the private residences and apartment buildings can see both their annual energy use and peak demand increase slightly by adopting DST. {yields} Since the residential sector represents the majority of the electrical load in Kuwait, DST adoption was found to cause slight increase in annual electrical energy use by about 0.07% and a slight reduction in electrical peak electrical demand by about 0.14%.

  19. Analysis of impact of daylight time savings on energy use of buildings in Kuwait

    International Nuclear Information System (INIS)

    Krarti, Moncef; Hajiah, Ali

    2011-01-01

    In this paper, a detailed simulation-based analysis is conducted to assess the impact of adopting Daylight Saving Time (DST) on the electrical energy use and peak demand in Kuwait. The analysis focused on the impact of DST in the building sector since it represents 90% of electrical energy usage of Kuwait. The simulation results indicate that the adoption of DST has mixed impacts for Kuwait. While the commercial and the governmental sectors may benefit from the DST, the private residences and apartment buildings can see both their annual energy use and peak demand increase slightly by adopting DST. The overall impact of the DST implementation is rather minimal with a slight increase energy use of about 0.07% and a slight reduction in peak demand of 0.14% or about 12 MW based on 2005 electrical peak demand for Kuwait. - Research highlights: → A detailed simulation-based analysis is conducted to assess the impact of adopting Daylight Saving Time (DST) on the electrical energy use and peak demand in Kuwait. → The analysis focused on the impact of DST in the building sector since it represents 90% of electrical energy usage of Kuwait. → It is found that while the commercial and the governmental building sectors may benefit from DST, the private residences and apartment buildings can see both their annual energy use and peak demand increase slightly by adopting DST. → Since the residential sector represents the majority of the electrical load in Kuwait, DST adoption was found to cause slight increase in annual electrical energy use by about 0.07% and a slight reduction in electrical peak electrical demand by about 0.14%.

  20. WAITING TIME IN THE WAITING ROOM IN FAMILY PRACTICE AND PATIENT SATISFACTION

    Directory of Open Access Journals (Sweden)

    Janko Kersnik

    2001-05-01

    Full Text Available Background: Appointment system shortens the waiting time in the waiting room for the patient and allows better use of time for the doctor. We wanted to examine how long patients are willing to wait in the waiting room, how long they waited at the last visit, patient satisfaction with the last visit, the satisfaction with the length of waiting in the past 12 months and the overall patient satisfaction score for the last 12 months. Appointment system proved to be effective means of organising practice time. Waiting time in the waiting room with appointment system was considerably shorter (mean 18.5 minutes as compared to the waiting time in the practices without appointment system (mean 55.4 minutes, the fact which is reflected also in higher satisfaction with waiting in the waiting room in the past 12 months. Three quarters of patients in practices with appointment system waited standard 20 minutes or less, as opposed to the other practices where only one quarter of patients waited 20 minutes or less.Conclusions: The overall satisfaction with the doctor with the appointment system does not differ in both types of practices. The patients from practices with appointment system evaluated better possibility to get an appointment to suit the patients, but worse help of the doctors’ staff, possibility to get through to the office by phone, the length of time during the consultation and the doctors’ thoroughness.

  1. Functional relationship of room temperature and setting time of alginate impression material

    Directory of Open Access Journals (Sweden)

    Dyah Irnawati

    2009-09-01

    Full Text Available Background: Indonesia is a tropical country with temperature variation. A lot of dental clinics do not use air conditioner. The room temperature influences water temperature for mixing alginate impression materials. Purpose: The aim of this study was to investigate the functional relationship of room temperature and initial setting time of alginate impression materials. Methods: The New Kromopan® alginate (normal and fast sets were used. The initial setting time were tested at 23 (control, 24, 25, 26, 27, 28, 29, 30 and 31 degrees Celcius room temperatures (n = 5. The initial setting time was tested based on ANSI/ADA Specification no. 18 (ISO 1563. The alginate powder was mixed with distilled water (23/50 ratio, put in the metal ring mould, and the initial setting time was measured by test rod. Data were statistically analyzed by linear regression (α = 0.05. result: The initial setting times were 149.60 ± 0.55 (control and 96.40 ± 0.89 (31° C seconds for normal set, and 122.00 ± 1.00 (control and 69.60 ± 0.55 (31° C seconds for fast set. The coefficient of determination of room temperature to initial setting time of alginate were R2 = 0.74 (normal set and R2 = 0.88 (fast set. The regression equation for normal set was Y = 257.6 – 5.5 X (p < 0.01 and fast set was Y = 237.7 – 5.6 X (p < 0.01. Conclusions: The room temperature gave high contribution and became a strength predictor for initial setting time of alginates. The share contribution to the setting time was 0.74% for normal set and 0.88% for fast set alginates.

  2. Room for manoeuvre in time of the workforce in dairy production systems

    Directory of Open Access Journals (Sweden)

    Joel Carneiro dos Santos Filho

    2012-12-01

    Full Text Available The objective of this study was to characterize and to analyze the room for manoeuvre in time in dairy production systems (DPS. Two interviews were conducted in twenty DPS in the Northern region of Paraná, Brazil, with the following objectives: to know the management and practices involving the herd, the land area and the commercialization; and to qualify and evaluate the work organization. In order to build the variables, the repertory grid method was used, and for the typology, the graphic methodology of Bertin adapted to small samples was used. The results showed that the room for manoeuvre in time of the DPS, quantified in hours available per year, varied between the farmers and was related to routine work and seasonal work durations, as well as the autonomy of farmers to perform both works. The routine work was related to the number of cows, but was also explained by the herd management, by the transport equipment for the feed and by the workforce composition. Four types of work organization were identified between sampled DPS, based on room for manoeuvre in time and how they were built. Knowing the room for manoeuvre time and its variables, it is possible to guide the farmers to adjust their dairy production system in order to have more time available for other activities or to develop the dairy production system.

  3. Measuring the impact of efficient household travel decisions on potential travel time savings and accessibility gains

    Energy Technology Data Exchange (ETDEWEB)

    Recker, W.W.; McNally, M.G. [University of California, Irvine (United States). Institute of Transportation Studies, Department of Civil and Environmental Engineering; Chen, C. [Ming-Chuan University, Taiwan (China). Department of Tourism Industry

    2001-07-01

    Using the conceptual framework of time-space geography, this paper incorporates both spatio-temporal constraints and household interaction effects into a meaningful measure of the potential of a household to interact with the built environment. Within this context, personal accessibility is described as a measure of the potential ability of individuals within a household not only to reach activity opportunities, but to do so with sufficient time available for participation in those activities, subject to the spatio-temporal constraints imposed by their daily obligations and transportation supply environment. The incorporation of activity-based concepts in the measurement of accessibility as a product of travel time savings not only explicitly acknowledges a temporal dimension in assessing the potential for spatial interaction but also expands the applicability of accessibility consideration to such real-world policy options as the promotion of ride-sharing and trip chaining behaviors. An empirical application of the model system provides an indication of the potential of activity-based modeling approaches to assess the bounds on achievable improvements in accessibility and travel time based on daily household activity patterns. It also provides an assessment of roles for trip chaining and ride-sharing as potentially effective methods to facilitate transportation policy objectives. (author)

  4. Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure

    Science.gov (United States)

    Roy, Sanjoy; Hammond, Jeffrey; Panish, Jessica; Shnoda, Pullen; Savidge, Sandy; Wilson, Mark

    2015-01-01

    Background. This study assessed the reduction in surgeon stress associated with savings in procedure time for mechanical fixation of an intraperitoneal onlay mesh (IPOM) compared to a traditional suture fixation in open ventral hernia repair. Study Design. Nine general surgeons performed 36 open IPOM fixation procedures in porcine model. Each surgeon conducted two mechanical (using ETHICON SECURESTRAPTM Open) and two suture fixation procedures. Fixation time was measured using a stopwatch, and related surgeon stress was assessed using the validated SURG-TLX questionnaire. T-tests were used to compare between-group differences, and a two-sided 95% confidence interval for the difference in stress levels was established using nonparametric methodology. Results. The mechanical fixation group demonstrated an 89.1% mean reduction in fixation time, as compared to the suture group (p Open demonstrated a significant reduction in fixation time and surgeon stress, which may translate into improved operating efficiency, improved performance, improved surgeon quality of life, and reduced overall costs of the procedure. PMID:26240834

  5. Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure

    Directory of Open Access Journals (Sweden)

    Sanjoy Roy

    2015-01-01

    Full Text Available Background. This study assessed the reduction in surgeon stress associated with savings in procedure time for mechanical fixation of an intraperitoneal onlay mesh (IPOM compared to a traditional suture fixation in open ventral hernia repair. Study Design. Nine general surgeons performed 36 open IPOM fixation procedures in porcine model. Each surgeon conducted two mechanical (using ETHICON SECURESTRAPTM Open and two suture fixation procedures. Fixation time was measured using a stopwatch, and related surgeon stress was assessed using the validated SURG-TLX questionnaire. T-tests were used to compare between-group differences, and a two-sided 95% confidence interval for the difference in stress levels was established using nonparametric methodology. Results. The mechanical fixation group demonstrated an 89.1% mean reduction in fixation time, as compared to the suture group (p<0.00001. Surgeon stress scores measured using SURG-TLX were 55.5% lower in the mechanical compared to the suture fixation group (p<0.001. Scores in five of the six sources of stress were significantly lower for mechanical fixation. Conclusions. Mechanical fixation with ETHICON SECURESTRAPTM Open demonstrated a significant reduction in fixation time and surgeon stress, which may translate into improved operating efficiency, improved performance, improved surgeon quality of life, and reduced overall costs of the procedure.

  6. Social Security and Saving: A Time-Series Econometrics Pedagogical Example (With "R" Code)

    Science.gov (United States)

    Wassell, Charles S., Jr.

    2018-01-01

    In 1974, and then again in 1996, Martin Feldstein published studies of the impact of the Social Security system on private saving in the U.S. economy. He found that Social Security depressed personal saving by a substantial amount--up to 50 percent. The author uses the Feldstein data and empirical models in this article to illustrate the steps in…

  7. The effect of handover location on trauma theatre start time: An estimated cost saving of £131 000 per year.

    Science.gov (United States)

    Nahas, Sam; Ali, Adam; Majid, Kiran; Joseph, Roshan; Huber, Chris; Babu, Victor

    2018-02-08

    The National Health Service was estimated to be in £2.45 billion deficit in 2015 to 2016. Trauma theatre utilization and efficiency has never been so important as it is estimated to cost £15/minute. Structured questionnaires were given to 23 members of staff at our Trust who are actively involved in the organization or delivery of orthopaedic trauma lists at least once per week. This was used to identify key factors that may improve theatre efficiency. Following focus group evaluation, the location of the preoperative theatre meeting was changed, with all staff involved being required to attend this. Our primary outcome measure was mean theatre start time (time of arrival in the anaesthetic room) during the 1 month immediately preceding the change and the month following the change. Theatre start time was improved on average 24 minutes (1 month premeeting and postmeeting change). This equates to a saving of £360 per day, or £131 040 per year. Changing the trauma meeting location to a venue adjacent to the trauma theatre can improve theatre start times, theatre efficiency, and therefore result in significant cost savings. Copyright © 2018 John Wiley & Sons, Ltd.

  8. Influence of impedance phase angle on sound pressures and reverberation times in a rectangular room

    DEFF Research Database (Denmark)

    Jeong, Cheol-Ho; Lee, Doheon; Santurette, Sébastien

    2014-01-01

    , but with an absorptive ceiling are investigated. The zero phase angle, which has commonly been assumed in practice, is regarded as reference and differences in the sound pressure level and early decay time from the reference are quantified. As expected, larger differences in the room acoustic parameters are found...

  9. Real-time data collection technologies: Enhanced decision-making and cost savings January, 2005

    International Nuclear Information System (INIS)

    Rust, T.L.; Vu, H.Q.

    2006-01-01

    Hand-held computers, Geographic Information Systems (GIS), and wireless communication devices are rapidly replacing traditional methods for field monitoring and data collection. Although pencil and paper remain important means of data transcription, field technicians can now use Personal Digital Assistants (PDA) to record their field notes and monitoring data. As data are uploaded wirelessly from the field, decision-makers can view realtime reports and maps that identify sample locations and monitoring results. The combination of PDAs, wireless communications, and web-based GIS provides field personnel and decision-makers many benefits throughout the life cycle of a project, including improved data consistency, real-time transfer of data from field locations to centralized databases, input validation, elimination of transcription errors, and cost savings. Concerns have been expressed however, about investing in hardware, software, and training for a new technology. This paper, based on several years of experience using wireless technologies for dozens of projects, is focused specifically on two case studies. The first case study is a large lead removal site in the Midwest at which real-time data collection technologies were used throughout the project to collect thousands of data points. The second is the Hurricane Katrina/Rita emergency response requiring rapid data collection under extraordinary circumstances. At both sites, the use of real-time data collection technologies significantly improved the data management process which reduced overall costs and increased efficiency. These results could not have been achieved using traditional data collection procedures. The oral presentation will focus on the advantages and disadvantages of the real-time data collection technologies, lessons learned, and planning considerations. A live demonstration, following a typical data collection scenario in which data are collected and plotted on a GIS map in near real-time

  10. Whole exome sequencing in neurogenetic odysseys: An effective, cost- and time-saving diagnostic approach.

    Directory of Open Access Journals (Sweden)

    Marta Córdoba

    Full Text Available Diagnostic trajectories for neurogenetic disorders frequently require the use of considerable time and resources, exposing patients and families to so-called "diagnostic odysseys". Previous studies have provided strong evidence for increased diagnostic and clinical utility of whole-exome sequencing in medical genetics. However, specific reports assessing its utility in a setting such as ours- a neurogeneticist led academic group serving in a low-income country-are rare.To assess the diagnostic yield of WES in patients suspected of having a neurogenetic condition and explore the cost-effectiveness of its implementation in a research group located in an Argentinean public hospital.This is a prospective study of the clinical utility of WES in a series of 40 consecutive patients selected from a Neurogenetic Clinic of a tertiary Hospital in Argentina. We evaluated patients retrospectively for previous diagnostic trajectories. Diagnostic yield, clinical impact on management and economic diagnostic burden were evaluated.We demonstrated the clinical utility of Whole Exome Sequencing in our patient cohort, obtaining a diagnostic yield of 40% (95% CI, 24.8%-55.2% among a diverse group of neurological disorders. The average age at the time of WES was 23 (range 3-70. The mean time elapsed from symptom onset to WES was 11 years (range 3-42. The mean cost of the diagnostic workup prior to WES was USD 1646 (USD 1439 to 1853, which is 60% higher than WES cost in our center.WES for neurogenetics proved to be an effective, cost- and time-saving approach for the molecular diagnosis of this heterogeneous and complex group of patients.

  11. Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection.

    Science.gov (United States)

    Azzi, Alain Joe; Shah, Karan; Seely, Andrew; Villeneuve, James Patrick; Sundaresan, Sudhir R; Shamji, Farid M; Maziak, Donna E; Gilbert, Sebastien

    2016-05-01

    Health care resources are costly and should be used judiciously and efficiently. Predicting the duration of surgical procedures is key to optimizing operating room resources. Our objective was to identify factors influencing operative time, particularly surgical team turnover. We performed a single-institution, retrospective review of lobectomy operations. Univariate and multivariate analyses were performed to evaluate the impact of different factors on surgical time (skin-to-skin) and total procedure time. Staff turnover within the nursing component of the surgical team was defined as the number of instances any nurse had to leave the operating room over the total number of nurses involved in the operation. A total of 235 lobectomies were performed by 5 surgeons, most commonly for lung cancer (95%). On multivariate analysis, percent forced expiratory volume in 1 second, surgical approach, and lesion size had a significant effect on surgical time. Nursing turnover was associated with a significant increase in surgical time (53.7 minutes; 95% confidence interval, 6.4-101; P = .026) and total procedure time (83.2 minutes; 95% confidence interval, 30.1-136.2; P = .002). Active management of surgical team turnover may be an opportunity to improve operating room efficiency when the surgical team is engaged in a major pulmonary resection. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  12. Room acoustic enhancement in a small hall with very low natural reverberation time

    DEFF Research Database (Denmark)

    Gade, Anders Christian

    1996-01-01

    natural combinations of room acoustic properties. Consequently, the natural reverberation time in a newly opened 350 seat multipurpose hall in Denmark was designed as low as 0.7 sec. Two different reverberation enhancement systems were considered and tested in the hall. The objective and subjective...... testing results are reported and compared with previous results obtained in another small hall supplied with a similar enhancement system. The results concerning 'realism' are also compared with acoustic properties found in 'natural' halls of different sizes and reverberation times.......In small multipurpose halls to be equipped with electronic reverberation enhancement systems, selecting a very low natural reverberation time is advantageous for several reasons. It will 1) reduce the risk of feedback, 2) increase the possible range of room acoustic variation and 3) allow for more...

  13. Plant Outage Time Savings Provided by Subcritical Physics Testing at Vogtle Unit 2

    International Nuclear Information System (INIS)

    Cupp, Philip; Heibel, M.D.

    2006-01-01

    The most recent core reload design verification physics testing done at Southern Nuclear Company's (SNC) Vogtle Unit 2, performed prior to initial power operations in operating cycle 12, was successfully completed while the reactor was at least 1% ΔK/K subcritical. The testing program used was the first application of the Subcritical Physics Testing (SPT) program developed by the Westinghouse Electric Company LLC. The SPT program centers on the application of the Westinghouse Subcritical Rod Worth Measurement (SRWM) methodology that was developed in cooperation with the Vogtle Reactor Engineering staff. The SRWM methodology received U. S. Nuclear Regulatory Commission (NRC) approval in August of 2005. The first application of the SPT program occurred at Vogtle Unit 2 in October of 2005. The results of the core design verification measurements obtained during the SPT program demonstrated excellent agreement with prediction, demonstrating that the predicted core characteristics were in excellent agreement with the actual operating characteristics of the core. This paper presents an overview of the SPT Program used at Vogtle Unit 2 during operating cycle 12, and a discussion of the critical path outage time savings the SPT program is capable of providing. (authors)

  14. Promoting Savings at Tax Time through a Video-Based Solution-Focused Brief Coaching Intervention

    Directory of Open Access Journals (Sweden)

    Lance Palmer

    2016-09-01

    Full Text Available Solution-focused brief coaching, based on solution-focused brief therapy, is a well-established practice model and is used widely to help individuals progress toward desired outcomes in a variety of settings. This papers presents the findings of a pilot study that examined the impact of a video-based solution-focused brief coaching intervention delivered in conjunction with income tax preparation services at a Volunteer Income Tax Assistance location (n = 212. Individuals receiving tax preparation assistance were randomly assigned to one of four treatment groups: 1 control group; 2 video-based solution-focused brief coaching; 3 discount card incentive; 4 both the video-based solution-focused brief coaching and the discount card incentive. Results of the study indicate that the video-based solution-focused brief coaching intervention increased both the frequency and amount of self-reported savings at tax time. Results also indicate that financial therapy based interventions may be scalable through the use of technology.

  15. Hot times in Whistler : energy saving hybrid systems in area hotels

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2008-01-15

    The resort of Whistler in British Columbia is to host the 2010 Winter Olympics, and the town of Whistler has committed to reducing energy consumption and emissions output in the community's 9500 dwelling units. Commercial hotels and mountain operations in the region are facing higher costs associated with tanked propane supply systems and higher infrastructure costs for some of the proposed alternatives. This article described a hybrid heating system designed by Sempa Power Systems. The systems have now been installed in conference centres and on all large mountain lodge complexes in the region. The hybrid heating system is a patent-pending system that automatically load-balances fossil fuel sources with electricity consumption to reduce energy costs, decrease GHG emissions, and increase efficiencies. Clients at the complexes are monitored online in real time and analyses of empirical data are compared with actual consumption to historical baseline averages. It was concluded that complexes in which the systems have been installed are averaging 28 per cent energy savings, a 39 per cent reduction in greenhouse gases (GHGs), and a 13 per cent reduction in energy consumption. 2 figs.

  16. Impact of daylight saving time on road traffic collision risk: a systematic review.

    Science.gov (United States)

    Carey, Rachel N; Sarma, Kiran M

    2017-07-02

    Bills have been put forward in the UK and Republic of Ireland proposing a move to Central European Time (CET). Proponents argue that such a change will have benefits for road safety, with daylight being shifted from the morning, when collision risk is lower, to the evening, when risk is higher. Studies examining the impact of daylight saving time (DST) on road traffic collision risk can help inform the debate on the potential road safety benefits of a move to CET. The objective of this systematic review was to examine the impact of DST on collision risk. Major electronic databases were searched, with no restrictions as to date of publication (the last search was performed in January 2017). Access to unpublished reports was requested through an international expert group. Studies that provided a quantitative analysis of the effect of DST on road safety-related outcomes were included. The primary outcomes of interest were road traffic collisions, injuries and fatalities. Twenty-four studies met the inclusion criteria. Seventeen examined the short-term impact of transitions around DST and 12 examined long-term effects. Findings from the short-term studies were inconsistent. The long-term findings suggested a positive effect of DST. However, this cannot be attributed solely to DST, as a range of road collision risk factors vary over time. The evidence from this review cannot support or refute the assertion that a permanent shift in light from morning to evening will have a road safety benefit. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Structured printed referral letter (form letter; saves time and improves communication

    Directory of Open Access Journals (Sweden)

    R.P.J.C. Ramanayake

    2013-01-01

    Full Text Available Referral of patients to hospitals, specialists and other institutions is an essential part of primary health care. Patients are referred to specialists when investigation or therapeutic options are exhausted in primary care or when opinion or advice is needed from them. Referral has considerable implications for patients, health care system and health care costs. Good communication between primary and secondary care is essential for the smooth running of any health care system. Referral and reply letters are the sole means of communication between doctors most of the time and breakdown in communication could lead to poor continuity of care, delayed diagnoses, polypharmacy, increased litigation risk and unnecessary testing. A referral letter also helps to avoid patient dissatisfaction and loss of confidence in family physician. Studies of referral letters have reported that specialists are dissatisfied with their quality and content. Inclusion of letter writing skills in the medical curriculum, peer assessment and feedback have shown to improve the quality of referral letters. . Form letters have shown to enhance information content and communication in referral process. In Sri Lanka referral letters are usually hand written and frequent complaints are that these letters do not contain adequate information and retrieval of information is a problem due to poor legibility and clarity. Sometimes Primary care doctors refer patients to hospitals and specialists with only verbal instructions. To address these short comings this form letter was introduced. Based on the guidelines and systematic review of published articles, items of information to be included were decided. Printed forms of the letter are kept in the practice and the doctor has to just fill up relevant information under each heading. The objectives of introducing this structured referral letter was to improve the quality and standard of referral letters and save time for both general

  18. Incidence of myocardial infarction with shifts to and from daylight savings time.

    Science.gov (United States)

    Jiddou, Monica R; Pica, Mark; Boura, Judy; Qu, Lihua; Franklin, Barry A

    2013-03-01

    Modulators of normal bodily functions such as the duration and quality of sleep might transiently influence cardiovascular risk. The transition to daylight savings time (DST) has been associated with a short-term increased incidence ratio (IR) of acute myocardial infarction (AMI). The present retrospective study examined the IR of AMIs that presented to our hospitals the week after DST and after the autumn switch to standard time, October 2006 to April 2012, with specific reference to the AMI type. Our study population (n = 935 patients; 59% men, 41% women) was obtained from the electronic medical records of the Royal Oak and Troy campuses of the Beaumont Hospitals in Michigan. Overall, the frequency of AMI was similar in the spring and autumn, 463 (49.5%) and 472 (50.5%), respectively. The IR for the first week after the spring shift was 1.17 (95% confidence interval 1.00 to 1.36). After the transition from DST in the autumn, the IR for the same period was lower, but not significantly different, 0.99 (95% confidence interval 0.85 to 1.16). Nevertheless, the greatest increase in AMI occurred on the first day (Sunday) after the spring shift to DST (1.71, 95% confidence interval 1.09 to 2.02; p <0.05). Also, a significantly greater incidence was found of non-ST-segment myocardial infarction after the transition to DST in the study group compared with that in the control group (p = 0.022). In conclusion, these data suggest that shifts to and from DST might transiently affect the incidence and type of acute cardiac events, albeit modestly. Copyright © 2013 Elsevier Inc. All rights reserved.

  19. New theory on the reverberation of rooms. [considering sound wave travel time

    Science.gov (United States)

    Pujolle, J.

    1974-01-01

    The inadequacy of the various theories which have been proposed for finding the reverberation time of rooms can be explained by an attempt to examine what might occur at a listening point when image sources of determined acoustic power are added to the actual source. The number and locations of the image sources are stipulated. The intensity of sound at the listening point can be calculated by means of approximations whose conditions for validity are given. This leads to the proposal of a new expression for the reverberation time, yielding results which fall between those obtained through use of the Eyring and Millington formulae; these results are made to depend on the shape of the room by means of a new definition of the mean free path.

  20. From here to efficiency : time lags between the introduction of new technology and the achievement of fuel savings

    International Nuclear Information System (INIS)

    Mintz, M.; Vyas, A.; Wang, M.; Stodolsky, F.; Cuenca, R.; Gaines, L.

    1999-01-01

    In this paper, the energy savings of new technology offering significant improvements in fuel efficiency are tracked for over 20 years as vehicles incorporating that technology enter the fleet and replace conventional light-duty vehicles. Two separate analyses are discussed: a life-cycle analysis of aluminum-intensive vehicles and a fuel-cycle analysis of the energy and greenhouse gas emissions of double vs. triple fuel-economy vehicles. In both efforts, market-penetration modeling is used to simulate the rate at which new technology enters the new fleet, and stock-adjustment modeling is used to capture the inertia in turnover of new and existing current-technology vehicles. Together, these two effects--slowed market penetration and delayed vehicle replacement--increase the time lag between market introduction and the achievement of substantial energy savings. In both cases, 15-20 years elapse, before savings approach these levels

  1. Quality Saving Mechanisms of Mitochondria during Aging in a Fully Time-Dependent Computational Biophysical Model.

    Directory of Open Access Journals (Sweden)

    Daniel Mellem

    Full Text Available Mitochondria are essential for the energy production of eukaryotic cells. During aging mitochondria run through various processes which change their quality in terms of activity, health and metabolic supply. In recent years, many of these processes such as fission and fusion of mitochondria, mitophagy, mitochondrial biogenesis and energy consumption have been subject of research. Based on numerous experimental insights, it was possible to qualify mitochondrial behaviour in computational simulations. Here, we present a new biophysical model based on the approach of Figge et al. in 2012. We introduce exponential decay and growth laws for each mitochondrial process to derive its time-dependent probability during the aging of cells. All mitochondrial processes of the original model are mathematically and biophysically redefined and additional processes are implemented: Mitochondrial fission and fusion is separated into a metabolic outer-membrane part and a protein-related inner-membrane part, a quality-dependent threshold for mitophagy and mitochondrial biogenesis is introduced and processes for activity-dependent internal oxidative stress as well as mitochondrial repair mechanisms are newly included. Our findings reveal a decrease of mitochondrial quality and a fragmentation of the mitochondrial network during aging. Additionally, the model discloses a quality increasing mechanism due to the interplay of the mitophagy and biogenesis cycle and the fission and fusion cycle of mitochondria. It is revealed that decreased mitochondrial repair can be a quality saving process in aged cells. Furthermore, the model finds strategies to sustain the quality of the mitochondrial network in cells with high production rates of reactive oxygen species due to large energy demands. Hence, the model adds new insights to biophysical mechanisms of mitochondrial aging and provides novel understandings of the interdependency of mitochondrial processes.

  2. Evaluating Operating Room Turnaround Times and Cancellations at Dwight D. Eisenhower Army Medical Center

    National Research Council Canada - National Science Library

    Amsink, William L

    2005-01-01

    .... This study describes the inefficient use of the current operating room management software system, and identifies strategies to improve operating room efficiency by analyzing the most common causes...

  3. Fatal accidents following changes in daylight savings time: the American experience.

    Science.gov (United States)

    Varughese; Allen

    2001-01-01

    Objective: This study examines specific hypotheses that both sleep loss and behavioral changes occurring with the time shifts for Daylight Savings Time (DST) significantly effect the number of fatal traffic accidents in the United States of America.Background: It has been reported that there is a significant increase in the number of automobile accidents in the spring shift to DST due to the loss of 1 h of sleep. But the extra hour gained at night with the shift from DST in the fall has been variably reported to be associated with increases and decreases in the number of automobile accidents which may reflect either behavioral anticipation with an extended late night prior to the change or the benefit of extra sleep after the change.Methods: Data from 21 years of United States' fatal automobile accidents were gathered. The mean number of accidents on the days at the time of the shifts (Saturday, Sunday and Monday) was compared to the average of the corresponding mean number of accidents on the matching day of the weeks preceding and following the shift. This was repeated for each DST shift. The number of accidents for a particular shift was also correlated with the year of the accidents.Results: There was a significant increase in accidents for the Monday immediately following the spring shift to DST (t=1.92, P=0.034). There was also a significant increase in number of accidents on the Sunday of the fall shift from DST (P<0.002). No significant changes were observed for the other days. A significant negative correlation with the year was found between the number of accidents on the Saturdays and Sundays but not Mondays.Conclusions: The sleep deprivation on the Monday following shift to DST in the spring results in a small increase in fatal accidents. The behavioral adaptation anticipating the longer day on Sunday of the shift from DST in the fall leads to an increased number of accidents suggesting an increase in late night (early Sunday morning) driving when

  4. Time for cleaning and room preparation: connection between surgery size and professional perspectives

    Directory of Open Access Journals (Sweden)

    Marla Andréia Garcia de AVILA

    Full Text Available The objective was to verify the association between time needed for room cleaning (TLPS and the surgery size, and related advantages and difficulties faced by the circulator of the room assigned to this task. A mixed method, with a transverse quantitative, retrospective approach, using a sample of 3095 surgeries performed, from January to June 2011, and a qualitative approach using a Thematic Content Analysis of statements from 11 circulators, was used. The average TLPS was smaller in size 1 surgeries, increasing in sizes 2, 3 and 4, with a significant difference. Advantages reported included organization and size of staff, and difficulties reported related to sharp, bladed materials mixed with surgical instruments and a reduced number of cleaning professionals. The larger the size, the higher the TLPS. Surgical teams operating in the Surgical Center interfere directly in the process, facilitating or hindering the achievement of institutional goals related to quality and productivity.

  5. Pushover, Response Spectrum and Time History Analyses of Safe Rooms in a Poor Performance Masonry Building

    International Nuclear Information System (INIS)

    Mazloom, M.

    2008-01-01

    The idea of safe room has been developed for decreasing the earthquake casualties in masonry buildings. The information obtained from the previous ground motions occurring in seismic zones expresses the lack of enough safety of these buildings against earthquakes. For this reason, an attempt has been made to create some safe areas inside the existing masonry buildings, which are called safe rooms. The practical method for making these safe areas is to install some prefabricated steel frames in some parts of the existing structure. These frames do not carry any service loads before an earthquake. However, if a devastating earthquake happens and the load bearing walls of the building are destroyed, some parts of the floors, which are in the safe areas, will fall on the roof of the installed frames and the occupants who have sheltered there will survive. This paper presents the performance of these frames located in a destroying three storey masonry building with favorable conclusions. In fact, the experimental pushover diagram of the safe room located at the ground-floor level of this building is compared with the analytical results and it is concluded that pushover analysis is a good method for seismic performance evaluation of safe rooms. For time history analysis the 1940 El Centro, the 2003 Bam, and the 1990 Manjil earthquake records with the maximum peak accelerations of 0.35g were utilized. Also the design spectrum of Iranian Standard No. 2800-05 for the ground kind 2 is used for response spectrum analysis. The results of time history, response spectrum and pushover analyses show that the strength and displacement capacity of the steel frames are adequate to accommodate the distortions generated by seismic loads and aftershocks properly

  6. Assessment of retinal sensitivity using a time-saving strategy in normal individuals

    Directory of Open Access Journals (Sweden)

    Suzumura H

    2012-11-01

    .Keywords: time-saving strategy, frequency-of-seeing curve, dynamic, Swedish Interactive Threshold Algorithm Standard, Octopus perimeter, Humphrey field analyzer

  7. Transport Time and Preoperating Room Hemostatic Interventions Are Important: Improving Outcomes After Severe Truncal Injury.

    Science.gov (United States)

    Holcomb, John B

    2018-03-01

    Experience in the ongoing wars in Iraq and Afghanistan confirm that faster transport combined with effective prehospital interventions improves the outcomes of patients suffering hemorrhagic shock. Outcomes of patients with hemorrhagic shock and extremity bleeding have improved with widespread use of tourniquets and early balanced transfusion therapy. Conversely, civilian patients suffering truncal bleeding and shock have the same mortality (46%) over the last 20 years. To understand how to decrease this substantial mortality, one must first critically evaluate all phases of care from point of injury to definitive hemorrhage control in the operating room. Limited literature review. The peak time to death after severe truncal injury is within 30 minutes of injury. However, when adding prehospital transport time, time spent in the emergency department, followed by the time in the operating room, it currently takes 2.1 hours to achieve definitive truncal hemorrhage control. This disparity in uncontrolled truncal bleeding and time to hemorrhage control needs to be reconciled. Prehospital and emergency department whole blood transfusion and temporary truncal hemorrhage control are now possible. The importance of rapid transport, early truncal hemorrhage control and whole blood transfusion is now widely recognized. Prehospital temporary truncal hemorrhage control and whole blood transfusion should offer the best possibility of improving patient outcomes after severe truncal injury.

  8. Energy Savings Lifetimes and Persistence

    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, Ian M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Schiller, Steven R. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Todd, Annika [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Billingsley, Megan A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Schwartz, Lisa C. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2016-02-01

    This technical brief explains the concepts of energy savings lifetimes and savings persistence and discusses how program administrators use these factors to calculate savings for efficiency measures, programs and portfolios. Savings lifetime is the length of time that one or more energy efficiency measures or activities save energy, and savings persistence is the change in savings throughout the functional life of a given efficiency measure or activity. Savings lifetimes are essential for assessing the lifecycle benefits and cost effectiveness of efficiency activities and for forecasting loads in resource planning. The brief also provides estimates of savings lifetimes derived from a national collection of costs and savings for electric efficiency programs and portfolios.

  9. Floor Covering and Surface Identification for Assistive Mobile Robotic Real-Time Room Localization Application

    Directory of Open Access Journals (Sweden)

    Michael Gillham

    2013-12-01

    Full Text Available Assistive robotic applications require systems capable of interaction in the human world, a workspace which is highly dynamic and not always predictable. Mobile assistive devices face the additional and complex problem of when and if intervention should occur; therefore before any trajectory assistance is given, the robotic device must know where it is in real-time, without unnecessary disruption or delay to the user requirements. In this paper, we demonstrate a novel robust method for determining room identification from floor features in a real-time computational frame for autonomous and assistive robotics in the human environment. We utilize two inexpensive sensors: an optical mouse sensor for straightforward and rapid, texture or pattern sampling, and a four color photodiode light sensor for fast color determination. We show how data relating floor texture and color obtained from typical dynamic human environments, using these two sensors, compares favorably with data obtained from a standard webcam. We show that suitable data can be extracted from these two sensors at a rate 16 times faster than a standard webcam, and that these data are in a form which can be rapidly processed using readily available classification techniques, suitable for real-time system application. We achieved a 95% correct classification accuracy identifying 133 rooms’ flooring from 35 classes, suitable for fast coarse global room localization application, boundary crossing detection, and additionally some degree of surface type identification.

  10. Save Energy: Save Money!

    Science.gov (United States)

    Eccli, Eugene; And Others

    This publication is a collection of inexpensive energy saving tips and home improvements for home owners, particularly in low-income areas or in older homes. Section titles are: (1) Keeping Warm; (2) Getting Heat Where You Need It; (3) Using the Sun; (4) Furnaces, Stoves, and Fireplaces; (5) Insulation and Other Energy Needs; (6) Do-It-Yourself…

  11. Effects of daylight-saving time changes on stock market returns and stock market volatility: rebuttal.

    Science.gov (United States)

    Kamstra, Mark J; Kramer, Lisa A; Levi, Maurice D

    2013-02-01

    In a 2011 reply to our 2010 comment in this journal, Berument and Dogen maintained their challenge to the existence of the negative daylight-saving effect in stock returns reported by Kamstra, Kramer, and Levi in 2000. Unfortunately, in their reply, Berument and Dogen ignored all of the points raised in the comment, failing even to cite the Kamstra, et al. comment. Berument and Dogen continued to use inappropriate estimation techniques, over-parameterized models, and low-power tests and perhaps most surprisingly even failed to replicate results they themselves reported in their previous paper, written by Berument, Dogen, and Onar in 2010. The findings reported by Berument and Dogen, as well as by Berument, Dogen, and Onar, are neither well-supported nor well-reasoned. We maintain our original objections to their analysis, highlight new serious empirical and theoretical problems, and emphasize that there remains statistically significant evidence of an economically large negative daylight-saving effect in U.S. stock returns. The issues raised in this rebuttal extend beyond the daylight-saving effect itself, touching on methodological points that arise more generally when deciding how to model financial returns data.

  12. Femtosecond Time-Resolved Resonance-Enhanced CARS of Gaseous Iodine at Room Temperature

    International Nuclear Information System (INIS)

    He Ping; Fan Rong-Wei; Xia Yuan-Qin; Yu Xin; Chen De-Ying; Yao Yong

    2011-01-01

    Time-resolved resonance-enhanced coherent anti-Stokes Raman scattering (CARS) is applied to investigate molecular dynamics in gaseous iodine. 40 fs laser pulses are applied to create and monitor the high vibrational states of iodine at room temperature (corresponding to a vapor pressure as low as about 35 Pa) by femtosecond time-resolved CARS. Depending on the time delay between the probe pulse and the pump/Stokes pulse pairs, the high vibrational states both on the electronically ground states and the excited states can be detected as oscillations in the CARS transient signal. It is proved that the femtosecond time-resolved CARS technique is a promising candidate for investigating the molecular dynamics of a low concentration system and can be applied to environmental and atmospheric monitoring measurements. (condensed matter: electronic structure, electrical, magnetic, and optical properties)

  13. Effect of Resident Involvement on Operative Time and Operating Room Staffing Costs.

    Science.gov (United States)

    Allen, Robert William; Pruitt, Mark; Taaffe, Kevin M

    The operating room (OR) is a major driver of hospital costs; therefore, operative time is an expensive resource. The training of surgical residents must include time spent in the OR, but that experience comes with a cost to the surgeon and hospital. The objective of this article is to determine the effect of surgical resident involvement in the OR on operative time and subsequent hospital labor costs. The Kruskal-Wallis statistical test is used to determine whether or not there is a difference in operative times between 2 groups of cases (with residents and without residents). This difference leads to an increased cost in associated hospital labor costs for the group with the longer operative time. Cases were performed at Greenville Memorial Hospital. Greenville Memorial Hospital is part of the larger healthcare system, Greenville Health System, located in Greenville, SC and is a level 1 trauma center with up to 33 staffed ORs. A total of 84,997 cases were performed at the partnering hospital between January 1st, 2011 and July 31st, 2015. Cases were only chosen for analysis if there was only one CPT code associated with the case and there were more than 5 observations for each group being studied. This article presents a comprehensive retrospective analysis of 29,134 cases covering 246 procedures. The analysis shows that 45 procedures took significantly longer with a resident present in the room. The average increase in operative time was 4.8 minutes and the cost per minute of extra operative time was determined to be $9.57 per minute. OR labor costs at the partnering hospital was found to be $2,257,433, or $492,889 per year. Knowing the affect on operative time and OR costs allows managers to make smart decisions when considering alternative educational and training techniques. In addition, knowing the connection between residents in the room and surgical duration could help provide better estimates of surgical time in the future and increase the predictability of

  14. Cooling of computer rooms, a chance for savings. Energy conservation in the ICT-sector; Computerruimten koelen, een kans voor besparing. Energiebesparing in de ICT-sector

    Energy Technology Data Exchange (ETDEWEB)

    Sijpheer, N.C. [ECN Duurzame Energie in de Gebouwde Omgeving DEGO, Petten (Netherlands)

    2004-08-01

    An overview is given of the demand for electricity in the information and (tele)communication sector in the Netherlands and how electricity can be saved in a simple way and by means of proven technology. [Dutch] Een overzicht wordt gegeven van de vraag naar elektriciteit in de ICT-sector in Nederland en hoeveel elektriciteit op een eenvoudige wijze en met bewezen technieken kan worden bespaard.

  15. The methodology for the evaluation of the energy saving by the daylight saving time in Mexico; Metodologia para la evaluacion del ahorro de energia debido al cambio de horario durante la epoca del verano

    Energy Technology Data Exchange (ETDEWEB)

    Ramos Niembro, Gaudencio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1996-12-31

    A description is made of the methodology for the evaluation of energy saving by the daylight saving time in Mexico. A mathematical model was developed that would allow the quantitative evaluation of the energy saving by the daylight saving time, through measurements of the consumption of different users from the domestic commercial and industrial sector, considering the various variables that impact the consumption [Espanol] Se describe la metodologia para la evalucion del ahorro de energia por el cambio de horario de verano en Mexico. Se desarrollo un modelo matematico que permitiera evaluar cuantitativamente el ahorro de energia debido al cambio de horario durante la epoca de verano, atraves de mediciones de consumos de los diferentes usuarios de los sectores domestico, comercial e industrial, considerando las diversas variables que impactan en el consumo

  16. The methodology for the evaluation of the energy saving by the daylight saving time in Mexico; Metodologia para la evaluacion del ahorro de energia debido al cambio de horario durante la epoca del verano

    Energy Technology Data Exchange (ETDEWEB)

    Ramos Niembro, Gaudencio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1997-12-31

    A description is made of the methodology for the evaluation of energy saving by the daylight saving time in Mexico. A mathematical model was developed that would allow the quantitative evaluation of the energy saving by the daylight saving time, through measurements of the consumption of different users from the domestic commercial and industrial sector, considering the various variables that impact the consumption [Espanol] Se describe la metodologia para la evalucion del ahorro de energia por el cambio de horario de verano en Mexico. Se desarrollo un modelo matematico que permitiera evaluar cuantitativamente el ahorro de energia debido al cambio de horario durante la epoca de verano, atraves de mediciones de consumos de los diferentes usuarios de los sectores domestico, comercial e industrial, considerando las diversas variables que impactan en el consumo

  17. Reducing Operating Room Turnover Time for Robotic Surgery Using a Motor Racing Pit Stop Model.

    Science.gov (United States)

    Souders, Colby P; Catchpole, Ken R; Wood, Lauren N; Solnik, Jonathon M; Avenido, Raymund M; Strauss, Paul L; Eilber, Karyn S; Anger, Jennifer T

    2017-08-01

    Operating room (OR) turnover time, time taken between one patient leaving the OR and the next entering, is an important determinant of OR utilization, a key value metric for hospital administrators. Surgical robots have increased the complexity and number of tasks required during an OR turnover, resulting in highly variable OR turnover times. We sought to streamline the turnover process and decrease robotic OR turnover times and increase efficiency. Direct observation of 45 pre-intervention robotic OR turnovers was performed. Following a previously successful model for handoffs, we employed concepts from motor racing pit stops, including briefings, leadership, role definition, task allocation and task sequencing. Turnover task cards for staff were developed, and card assignments were distributed for each turnover. Forty-one cases were observed post-intervention. Average total OR turnover time was 99.2 min (95% CI 88.0-110.3) pre-intervention and 53.2 min (95% CI 48.0-58.5) at 3 months post-intervention. Average room ready time from when the patient exited the OR until the surgical technician was ready to receive the next patient was 42.2 min (95% CI 36.7-47.7) before the intervention, which reduced to 27.2 min at 3 months (95% CI 24.7-29.7) post-intervention (p system changes are needed to capitalize on that result. Pit stop and other high-risk industry models may inform approaches to the management of tasks and teams.

  18. TED-Time and life saving External Defibrillator for home-use.

    Science.gov (United States)

    Weiss, Teddy A; Rosenheck, Shimon; Gorni, Shraga; Katz, Ioni; Mendelbaum, Mendel; Gilon, Dan

    2014-06-01

    Sudden Cardiac Death--SCD --is a major unmet health problem that needs urgent and prompt solution. AICDs are very expensive, risky and indicated for a small group of patients, at the highest risk. AEDs--Automatic External Defibrillators--are designed for public places and although safe, cannot enter the home-market due to their cost and need for constant, high-cost maintenance. We developed TED, a low-cost AED that derives its energy off the mains, designed for home-use, to save SCD victims' lives. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. The daylight saving time in Mexico; El cambio de horario durante la epoca del verano en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Covarrubias Ramos, Rogelio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1996-12-31

    The daylight saving time in Mexico for energy saving is analyzed; such a change is made forwarding the clocks one hour in all Mexico the first Sunday of April and backing them an hour the last Sunday of October. Mention is made the reasons why Mexico adopted this measure, the social-economic impact that brings along and the benefits of this daylight saving time. The case of countries that also apply this measure is analyzed. It is expected that this measure attains benefits for the society either collectively or individually through the ecology and the economy. [Espanol] Se analiza el cambio de horario en la epoca de verano en Mexico para ahorrar energia; dicho cambio se realiza al adelantar una hora al reloj en todo el territorio de Mexico el primer domingo de abril y retrazarlo una hora el ultimo domingo de octubre. Se mencionan las razones por las cuales Mexico adopto esta medida, el impacto socio-economico que traera consigo y los beneficios del cambio de horario. Se aborda la situacion de los paises que tambien aplican esta medida. Se espera que esta medida logre beneficios para la sociedad, ya sea en modo colectivo o individual, para la ecologia y para la economia.

  20. The daylight saving time in Mexico; El cambio de horario durante la epoca del verano en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Covarrubias Ramos, Rogelio [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1997-12-31

    The daylight saving time in Mexico for energy saving is analyzed; such a change is made forwarding the clocks one hour in all Mexico the first Sunday of April and backing them an hour the last Sunday of October. Mention is made the reasons why Mexico adopted this measure, the social-economic impact that brings along and the benefits of this daylight saving time. The case of countries that also apply this measure is analyzed. It is expected that this measure attains benefits for the society either collectively or individually through the ecology and the economy. [Espanol] Se analiza el cambio de horario en la epoca de verano en Mexico para ahorrar energia; dicho cambio se realiza al adelantar una hora al reloj en todo el territorio de Mexico el primer domingo de abril y retrazarlo una hora el ultimo domingo de octubre. Se mencionan las razones por las cuales Mexico adopto esta medida, el impacto socio-economico que traera consigo y los beneficios del cambio de horario. Se aborda la situacion de los paises que tambien aplican esta medida. Se espera que esta medida logre beneficios para la sociedad, ya sea en modo colectivo o individual, para la ecologia y para la economia.

  1. Real-time transmission electron microscope observation of gold nanoclusters diffusing into silicon at room temperature

    International Nuclear Information System (INIS)

    Ishida, Tadashi; Nakajima, Yuuki; Fujita, Hiroyuki; Endo, Junji; Collard, Dominique

    2009-01-01

    Gold diffusion into silicon at room temperature was observed in real time with atomic resolution. Gold nanoclusters were formed on a silicon surface by an electrical discharge between a silicon tip and a gold coated tip inside an ultrahigh-vacuum transmission electron microscope (TEM) specimen chamber. At the moment of the gold nanocluster deposition, the gold nanoclusters had a crystalline structure. The crystalline structure gradually disappeared due to the interdiffusion between silicon and gold as observed after the deposition of gold nanoclusters. The shape of the nanocluster gradually changed due to the gold diffusion into the damaged silicon. The diffusion front between silicon and gold moved toward the silicon side. From the observations of the diffusion front, the gold diffusivity at room temperature was extracted. The extracted activation energy, 0.21 eV, matched the activation energy in bulk diffusion between damaged silicon and gold. This information is useful for optimizing the hybridization between solid-state and biological nanodevices in which gold is used as an adhesive layer between the two devices.

  2. Teaching surgery takes time: the impact of surgical education on time in the operating room

    Science.gov (United States)

    Vinden, Christopher; Malthaner, Richard; McGee, Jacob; McClure, J. Andrew; Winick-Ng, Jennifer; Liu, Kuan; Nash, Danielle M.; Welk, Blayne; Dubois, Luc

    2016-01-01

    Background It is generally accepted that surgical training is associated with increased surgical duration. The purpose of this study was to determine the magnitude of this increase for common surgical procedures by comparing surgery duration in teaching and nonteaching hospitals. Methods This retrospective population-based cohort study included all adult residents of Ontario, Canada, who underwent 1 of 14 surgical procedures between 2002 and 2012. We used several linked administrative databases to identify the study cohort in addition to patient-, surgeon- and procedure-related variables. We determined surgery duration using anesthesiology billing records. Negative binomial regression was used to model the association between teaching versus nonteaching hospital status and surgery duration. Results Of the 713 573 surgical cases included in this study, 20.8% were performed in a teaching hospital. For each procedure, the mean surgery duration was significantly longer for teaching hospitals, with differences ranging from 5 to 62 minutes across individual procedures in unadjusted analyses (all p surgery duration, adjusting for patient-, surgeon- and procedure-related variables as well as the clustering of patients within surgeons and hospitals. Conclusion Our results show that a wide range of surgical procedures require significantly more time to perform in teaching than nonteaching hospitals. Given the magnitude of this difference, the impact of surgical training on health care costs and clinical outcomes should be a priority for future studies. PMID:27007088

  3. The efficiency of a dedicated staff on operating room turnover time in hand surgery.

    Science.gov (United States)

    Avery, Daniel M; Matullo, Kristofer S

    2014-01-01

    To evaluate the effect of orthopedic and nonorthopedic operating room (OR) staff on the efficiency of turnover time in a hand surgery practice. A total of 621 sequential hand surgery cases were retrospectively reviewed. Turnover times for sequential cases were calculated and analyzed with regard to the characteristics of the OR staff being primarily orthopedic or nonorthopedic. A total of 227 turnover times were analyzed. The average turnover time with all nonorthopedic staff was 31 minutes, for having only an orthopedic surgical technician was 32 minutes, for having only an orthopedic circulator was 25 minutes, and for having both an orthopedic surgical technician and a circulator was 20 minutes. Statistical significance was seen when comparing only an orthopedic surgical technician versus both an orthopedic circulator and a surgical technician and when comparing both nonorthopedic staff versus both an orthopedic circulator and a surgical technician. OR efficiency is being increasingly evaluated for its effect on hospital revenue and OR staff costs. Reducing turnover time is one aspect of a multifaceted solution in increasing efficiency. Our study showed that, for hand surgery, orthopedic-specific staff can reduce turnover time. Economic/Decision Analysis III. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  4. Time-saving method of orbital thermal regime calculations of nanosatellites as exemplified by a 3U CubeSat

    Directory of Open Access Journals (Sweden)

    Gorev Vasily

    2018-01-01

    Full Text Available A time-saving approach to perform technical calculations of thermal conditions of orbital motion of 3U CubeSat nanosatellite was applied, which made it possible to make the thermal calculations of a satellite with simple structure geometry using MatLab and SolidWorks Simulation. Passive thermal regulation facilities are sufficient for a 3U CubeSat to provide thermal conductivity of the case’s structural elements and to remove heat from the lighted surface and internal components to the satellite’s shadowed surface. Application of spectrally selective coatings allows narrowing the range of surface temperatures of 3U CubeSat.

  5. Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery.

    Science.gov (United States)

    Read-Brown, Sarah; Sanders, David S; Brown, Anna S; Yackel, Thomas R; Choi, Dongseok; Tu, Daniel C; Chiang, Michael F

    2013-01-01

    Efficiency and quality of documentation are critical in surgical settings because operating rooms are a major source of revenue, and because adverse events may have enormous consequences. Electronic health records (EHRs) have potential to impact surgical volume, quality, and documentation time. Ophthalmology is an ideal domain to examine these issues because procedures are high-throughput and demand efficient documentation. This time-motion study examines nursing documentation during implementation of an EHR operating room management system in an ophthalmology department. Key findings are: (1) EHR nursing documentation time was significantly worse during early implementation, but improved to a level near but slightly worse than paper baseline, (2) Mean documentation time varied significantly among nurses during early implementation, and (3) There was no decrease in operating room turnover time or surgical volume after implementation. These findings have important implications for ambulatory surgery departments planning EHR implementation, and for research in system design.

  6. Efficiency of an automated reception and turnaround time management system for the phlebotomy room.

    Science.gov (United States)

    Yun, Soon Gyu; Shin, Jeong Won; Park, Eun Su; Bang, Hae In; Kang, Jung Gu

    2016-01-01

    Recent advances in laboratory information systems have largely been focused on automation. However, the phlebotomy services have not been completely automated. To address this issue, we introduced an automated reception and turnaround time (TAT) management system, for the first time in Korea, whereby the patient's information is transmitted directly to the actual phlebotomy site and the TAT for each phlebotomy step can be monitored at a glance. The GNT5 system (Energium Co., Ltd., Korea) was installed in June 2013. The automated reception and TAT management system has been in operation since February 2014. Integration of the automated reception machine with the GNT5 allowed for direct transmission of laboratory order information to the GNT5 without involving any manual reception step. We used the mean TAT from reception to actual phlebotomy as the parameter for evaluating the efficiency of our system. Mean TAT decreased from 5:45 min to 2:42 min after operationalization of the system. The mean number of patients in queue decreased from 2.9 to 1.0. Further, the number of cases taking more than five minutes from reception to phlebotomy, defined as the defect rate, decreased from 20.1% to 9.7%. The use of automated reception and TAT management system was associated with a decrease of overall TAT and an improved workflow at the phlebotomy room.

  7. Simple time-saving method for iron determination based on fluorescence quenching of an azaflavanon-3-ol compound.

    Science.gov (United States)

    Başoğlu, Aysel; Tosun, Gonca; Ocak, Miraç; Alp, Hakan; Yaylı, Nurettin; Ocak, Ümmühan

    2015-03-18

    A simple and time-saving spectrofluorometric method developed using an azaflavanon-3-ol compound was used for the determination of iron in various food samples. Nitric acid and hydrogen peroxide were used for digestion of samples in a closed microwave system. The method was validated by analyzing two certified reference materials (CRM-SA-C Sandy Soil C and Mixed Polish Herbs INCT-MPH-2). Measurements were carried out using a modified standard addition method. The standard addition graph was linear until 21.6 mg/L in the determination of iron(III). Detection and quantification limits were 0.81 and 2.4 mg/L, respectively. Satisfactory accuracy was obtained for spinach, dill, mint, purslane, rocket, red lentils, dry beans, and two iron medicinal tablets. High recoveries were found for streamwater samples fortified at three different concentrations. The method is simple, time-saving, cost-effective, and suitable for the determination of the iron content of foods.

  8. Household Savings

    DEFF Research Database (Denmark)

    Browning, Martin; Lusardi, Annamaria

    suggested in the informal saving literature can be captured in the standard optimizing model. Particular attention is given to recent work on the precautionary motive and its implications for saving and consumption behavior. We also discuss the "behavioral" or "psychological" approach that eschews the use......In this survey, we review the recent theoretical and empirical literature on household saving and consumption. The discussion is structured around a list of motives for saving and how well the standard theory captures these motives. We show that almost all of the motives for saving that have been...

  9. Improving value of travel time savings estimation for more effective transportation project evaluation : [summary].

    Science.gov (United States)

    2012-01-01

    The daily commute to a job is a cost of working. Workers may share stories about the extent or rigors of their commute, or they may enjoy the time with reading, music, or drive-time radio personalities. For any trip, many factors contribute to a trav...

  10. Nanosecond time-resolved characterization of a pentacene-based room-temperature MASER

    Science.gov (United States)

    Salvadori, Enrico; Breeze, Jonathan D.; Tan, Ke-Jie; Sathian, Juna; Richards, Benjamin; Fung, Mei Wai; Wolfowicz, Gary; Oxborrow, Mark; Alford, Neil McN.; Kay, Christopher W. M.

    2017-01-01

    The performance of a room temperature, zero-field MASER operating at 1.45 GHz has been examined. Nanosecond laser pulses, which are essentially instantaneous on the timescale of the spin dynamics, allow the visible-to-microwave conversion efficiency and temporal response of the MASER to be measured as a function of excitation energy. It is observed that the timing and amplitude of the MASER output pulse are correlated with the laser excitation energy: at higher laser energy, the microwave pulses have larger amplitude and appear after shorter delay than those recorded at lower laser energy. Seeding experiments demonstrate that the output variation may be stabilized by an external source and establish the minimum seeding power required. The dynamics of the MASER emission may be modeled by a pair of first order, non-linear differential equations, derived from the Lotka-Volterra model (Predator-Prey), where by the microwave mode of the resonator is the predator and the spin polarization in the triplet state of pentacene is the prey. Simulations allowed the Einstein coefficient of stimulated emission, the spin-lattice relaxation and the number of triplets contributing to the MASER emission to be estimated. These are essential parameters for the rational improvement of a MASER based on a spin-polarized triplet molecule. PMID:28169331

  11. Poison-Proof Your Home: One Room at a Time Checklist

    Science.gov (United States)

    ... you store household cleaning products, such as dishwashing detergent, disinfectants, oven and window cleansers, and drain cleaners ... gain access. Laundry Room Are chemicals and laundry detergents or softeners out of the reach of young ...

  12. Playing with Game Time: Auto-Saves and Undoing Despite the ‘Magic Circle’

    Directory of Open Access Journals (Sweden)

    Chuk Moran

    2010-07-01

    Full Text Available Typically the time of games played on computer systems is considered as linear and progressive. Those studying games talk this way and often linear time is the idiom by which players make sense of their experiences at play. This article focuses on some recent games that explicitly engage players with time, a practice that I argue highlights the complicated relationship between the player, game time, and clock time. It is common to treat videogames as exception from the world, bounded in a kind of “magic circle” (Huizinga, 1938/1955. This can be seen in the most ready explanation of time; the basically uninterrupted arrow of player progress through the space of the game, made canonical by Jesper Juul (2005. However, there are many other kinds of time in games, and how players use these times says something significant about a game. There is something more to the magic circle than a condition of pure interiority. The magic circle is play that situates a game and it hosts a special intensity opening to larger forces. This is often ignored in the contemporary use of the term in scholarly discussions of computer-based games. The overly respectful attitude that games are distinct from regular life results in the construction of a “pure” zone strictly internal to games, and time in this zone appears as a line. This article argues that such a vision is incomplete. Time in videogames need not be understood as a single line, or any diagram of lines at all. The complex and overlapping rhythms that crosscut everyday life do not stop at a magical barrier that contains and protects the game; these varied rhythms both influence how games are played, and describe the variety of times that games contain. By attending to other times than a line, we can recognize other patterns in gaming. I suggest that the act of undoing highlights this particular temporal intensity of videogames. In this paper, I argue that undoing is not simply the restoration of a

  13. Reduction in laboratory turnaround time decreases emergency room length of stay

    Directory of Open Access Journals (Sweden)

    Kaushik N

    2018-04-01

    Full Text Available Nitin Kaushik,1 Victor S Khangulov,2 Matthew O’Hara,2 Ramy Arnaout3,4 1Becton, Dickinson and Company, Franklin Lakes, NJ, USA; 2Department of Health Economics and Outcomes Research, Boston Strategic Partners, Inc., Boston, MA, USA; 3Department of Pathology, 4Division of Biomedical Informatics, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA USA Objective: Laboratory tests are an important contributor to treatment decisions in the emergency department (ED. Rapid turnaround of laboratory tests can optimize ED throughout by reducing the length of stay (LOS and improving patient outcomes. Despite evidence supporting the effect of shorter turnaround time (TAT on LOS and outcomes, there is still a lack of large retrospective studies examining these associations. Here, we evaluated the effect of a reduction in laboratory TAT on ED LOS using retrospective analysis of Electronic Health Records (EHR. Materials and methods: Retrospective analysis of ED encounters from a large, US-based, de-identified EHR database and a separate analysis of ED encounters from the EHR of an ED at a top-tier tertiary care center were performed. Additionally, an efficiency model calculating the cumulative potential LOS time savings and resulting financial opportunity due to laboratory TAT reduction was created, assuming other factors affecting LOS are constant. Results: Multivariate regression analysis of patients from the multisite study showed that a 1-minute decrease in laboratory TAT was associated with 0.50 minutes of decrease in LOS. The single-site analysis confirmed our findings from the multisite analysis that a positive correlation between laboratory TAT and ED LOS exists in the ED population as a whole, as well as across different patient acuity levels. In addition, based on the calculations from the efficiency model, for a 5-, 10- and 15-minute TAT reduction, the single-site ED can potentially admit a total of 127, 256 and 386 additional

  14. The tea ceremony room in traditional Japan: a stylized organization of space and time?

    Directory of Open Access Journals (Sweden)

    Eric Decreux

    2015-12-01

    Full Text Available The paper has the purpose to present the organization of the tea room in the Japanese traditional tea ceremony and its interactions with Japanese imaginary. It suggests mainly that this space is organized in such a way that it eventually appears to become a stylized living place, taking into account two requirements. The first one is clearly to provide a place where both host and guests can have an harmonious exchange around a bowl of tea. The second is to provide a place in harmony with an idealized cosmos expressing both the presence of an ecumene and of time, as it is perceived in the Japanese traditional spirit. The paper thus investigates the presence of diverse Japanese crafts: tatami, calligraphy and poetry, pottery, flowers, metalwork, Japanese pastry, sometimes clothes etc., but also the relationship with outer gardens, outside weather, and the rules of behavior between people. All of these elements are not only considered in relation to one another, but also in relation to the season, to the guests or to other elements of the situation. We emphasize the valorization of different places at some moments, the role of frontiers of some tatami borders or of the fan of each participant. The mutual respect between people playing different roles is also highlighted, as well as the respect towards the chosen objects. Finally, the coordination of the movements and places during the meeting creates a specific and often really appreciated atmosphere. These rules contribute to building a living socialized and idealized place in accordance with two of the well-known watchwords of the tea ceremony: wa kei sei jaku – harmony, respect, purity, tranquility and ichiko ichie one time, one meeting.

  15. Real-time observations of stressful events in the operating room

    Directory of Open Access Journals (Sweden)

    AlNassar Sami

    2012-01-01

    Full Text Available Aim: To identify and quantify factors causing stress in the operating room (OR and evaluate the relationship between these factors and surgeons′ stress level. Methods: This is a prospective observational study from 32 elective surgical procedures conducted in the OR of King Khalid University Hospital, Riyadh, Saudi Arabia. Before each operation, each surgeon was asked of stressors. Two interns observed 16 surgeries each, separately. The interns watched and took notes during the entire surgical procedure. During each operation, the observer recorded anxiety-inducing activities and events that occurred in real time by means of a checklist of 8 potential stressors: technical, patient problems, teamwork problems, time and management issues, distractions and interruptions, equipment problems, personal problems, and teaching. After each operation, surgeons were asked to answer the validated State-Trait Anxiety Inventory questionnaire and self-report on their stress level from the 8 sources using a scale of 1-8 (1: stress free, 8: extremely stressful. The observer also recorded perceived stress levels experienced by the surgeons during the operation. Results: One hundred ten stressors were identified. Technical problems most frequently caused stress (16.4% and personal issues the least often (6.4%. Frequently encountered stressors (teaching and distractions/interruptions caused less stress to the surgeons. Technical factors, teamwork, and equipment problems occurred frequently and were also a major contributor to OR stress. All patients were discharged in good health and within 1 week of surgery. Conclusion: Certain stressful factors do occur among surgeons in the OR and can increase the potential for errors. Further research is required to determine the impact of stress on performance and the outcome of surgery.

  16. Author-based journal selection system that helps authors save time in article submission.

    Science.gov (United States)

    Ozturk, Onur; Ileri, Fatih

    2018-01-01

    Submission to journals takes a lot of time and format related submission requirements vary greatly from one journal to another. Lack of time and motivation in academia reduces scientific outputs and demotivates researchers. Author-based journal selection system (ABJSS) is a platform for pooling manuscripts conceived to minimize the time spent for manuscript submission and to increase scientific output. The system will provide two types of account: "Author" and "Journal Administrator". Each account type will have its own abilities and permissions. The ABJJS system is an ongoing project that will be designed in cooperation with IT experts and academicians and it will be presented to the scientific world as soon as it secures sufficient support.

  17. Just-in-Time to Save Lives: A Pilot Study of Layperson Tourniquet Application.

    Science.gov (United States)

    Goolsby, Craig; Branting, Andrew; Chen, Elizabeth; Mack, Erin; Olsen, Cara

    2015-09-01

    The objective was to determine whether just-in-time (JiT) instructions increase successful tourniquet application by laypersons. This was a randomized pilot study conducted in August 2014. The study occurred at the Uniformed Services University campus in Bethesda, Maryland. A total of 194 volunteers without prior military service or medical training completed the study. The participant stood in front of a waist-down mannequin that had an exposed leg. An observer read a scenario card aloud that described a mass casualty event. The observer then asked the participant to apply a Combat Application Tourniquet (C-A-T) to the mannequin. Test participants received a 4 × 6-inch card, with JiT instructions, in addition to their C-A-T; controls received no instructions. Participants were randomized in a 3:1 ratio of instructions to no instructions. The study's primary outcome was the proportion of successfully applied tourniquets by participants receiving JiT instructions compared to participants not receiving instructions. Secondary outcomes included the time for successful tourniquet placement, reasons for failed tourniquet application, and participants' self-reported willingness and comfort using tourniquets in real-life settings. Just-in-time instructions more than doubled successful tourniquet placement. Participants supplied with JiT instructions placed a tourniquet successfully 44.14% of the time, compared to 20.41% of the time for controls without instructions (risk ratio = 2.16; 95% confidence interval = 1.21 to 3.87; p = 0.003). Just-in-time instructions increase laypeople's successful application of C-A-T. This pilot study provides evidence that JiT instructions may assist the lay public in providing effective point-of-injury hemorrhage control. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

  18. Engaging science communication that are time-saving for scientists using new online technology

    Science.gov (United States)

    Lilja Bye, Bente

    2016-04-01

    Science communication is a time consuming and challenging task. Communicating scientific results comes on top of doing science itself and the administrative work the modern day scientists have to cope with. The competition on peoples time and attention is also fierce. In order to get peoples attention and interest, it is today often required that there is a two-way communication. The audience needs and wants to be engaged, even in real-time. The skills and times required to do that is normally not included in the university curricula. In this presentation we will look at new technologies that can help scientists overcome some of those skills and time challenges. The new online technologies that has been tested and developed in other societal areas, can be of great use for research and the important science communication. We will illustrate this through an example from biodiversity, wetlands and these fields use of Earth observations. Both the scientists themselves representing different fields of research and the general public are being engaged effectively and efficiently through specifically designed online events/seminars/workshops. The scientists are able to learn from each other while also engaging in live dialogues with the audience. A cooperation between the Group of Earth Observations and the Ramsar Convention of Wetlands will be used to illustrate the method. Within the global Earth observation community, where this example comes from, there is a great potential for efficient capacity building, targeting both experts, decision-makers and the general public. The method presented is demonstrating one way of tapping into that potential using new online technologies and it can easily be transferred to other fields of geoscience and science in general.

  19. Energy Savings by Wireless Control of Speed, Scheduling and Travel Times for Hauling Operation

    OpenAIRE

    Rylander, David; Axelsson, Jakob; Wallin, Peter

    2014-01-01

    A Quarry and Aggregate production site consist of sequential production processes and activities to process and produce the output products. Compared to a fixed manufacturing plant, the quarry processes involve mobile machines such as wheel loaders, trucks and articulated haulers and a highly dynamic road infrastructure. Today, the mobile machines are generally not synchronized or controlled towards the overall throughput of the site in real time. This indicates a general improvement potentia...

  20. Immunity-based optimal estimation approach for a new real time group elevator dynamic control application for energy and time saving.

    Science.gov (United States)

    Baygin, Mehmet; Karakose, Mehmet

    2013-01-01

    Nowadays, the increasing use of group elevator control systems owing to increasing building heights makes the development of high-performance algorithms necessary in terms of time and energy saving. Although there are many studies in the literature about this topic, they are still not effective enough because they are not able to evaluate all features of system. In this paper, a new approach of immune system-based optimal estimate is studied for dynamic control of group elevator systems. The method is mainly based on estimation of optimal way by optimizing all calls with genetic, immune system and DNA computing algorithms, and it is evaluated with a fuzzy system. The system has a dynamic feature in terms of the situation of calls and the option of the most appropriate algorithm, and it also adaptively works in terms of parameters such as the number of floors and cabins. This new approach which provides both time and energy saving was carried out in real time. The experimental results comparatively demonstrate the effects of method. With dynamic and adaptive control approach in this study carried out, a significant progress on group elevator control systems has been achieved in terms of time and energy efficiency according to traditional methods.

  1. Immunity-Based Optimal Estimation Approach for a New Real Time Group Elevator Dynamic Control Application for Energy and Time Saving

    Directory of Open Access Journals (Sweden)

    Mehmet Baygin

    2013-01-01

    Full Text Available Nowadays, the increasing use of group elevator control systems owing to increasing building heights makes the development of high-performance algorithms necessary in terms of time and energy saving. Although there are many studies in the literature about this topic, they are still not effective enough because they are not able to evaluate all features of system. In this paper, a new approach of immune system-based optimal estimate is studied for dynamic control of group elevator systems. The method is mainly based on estimation of optimal way by optimizing all calls with genetic, immune system and DNA computing algorithms, and it is evaluated with a fuzzy system. The system has a dynamic feature in terms of the situation of calls and the option of the most appropriate algorithm, and it also adaptively works in terms of parameters such as the number of floors and cabins. This new approach which provides both time and energy saving was carried out in real time. The experimental results comparatively demonstrate the effects of method. With dynamic and adaptive control approach in this study carried out, a significant progress on group elevator control systems has been achieved in terms of time and energy efficiency according to traditional methods.

  2. Estimation methods for sound levels and reverberation time in a room with irregular shape or absorption distribution

    NARCIS (Netherlands)

    Gerretsen, E.

    2006-01-01

    The reverberation time of an enclosed space is an important parameter to describe the acoustic quality in enclosed spaces. Mainly due to its simplicity Sabine’s equation is normally used even though the considered situations seldom comply with its preconditions: regular room shape, regular

  3. Development of an On-Line Surgeon-Specific Operating Room Time Prediction System (Experience with the Michigan Surgical Monitors)

    OpenAIRE

    Brown, Allan C.D.; Schmidt, Nancy M.

    1984-01-01

    The development of a micro-computer application for the on-line prediction of surgeon-specific operating room time using an IBM - PCXT is described. The reasons leading to the project, together with an assessment of the Condor 20 relational database management system as the basis for the application are discussed.

  4. Is Advanced Real-Time Energy Metering Sufficient to Persuade People to Save Energy?

    Directory of Open Access Journals (Sweden)

    Leite H.

    2012-10-01

    Full Text Available In order to promote a low-carbon economy, EU citizens may soon be able to check their electricity consumption from smart meter. It is hoped that smart meter can, by providing real-time consumption and pricing information to residential users, help reducing demand for electricity. It is argued in this paper that, according the Elaborative Likelihood Model (ELM, these methods are most likely to be effective when consumers perceive the issue of energy conservation relevant to their lives. Nevertheless, some fundamental characteristics of these methods result in limited amount of perceived personal relevance; for instance, energy expenditure expense may be relatively small comparing to other household expenditure like mortgage and consumption information does not enhance interpersonal trust. In this paper, it is suggested that smart meter can apply the “nudge” approaches which respond to ELM as the use of simple rules to make decision, which include the change of feedback delivery and device design.

  5. Is Advanced Real-Time Energy Metering Sufficient to Persuade People to Save Energy?

    Science.gov (United States)

    Ting, L.; Leite, H.; Ponce de Leão, T.

    2012-10-01

    In order to promote a low-carbon economy, EU citizens may soon be able to check their electricity consumption from smart meter. It is hoped that smart meter can, by providing real-time consumption and pricing information to residential users, help reducing demand for electricity. It is argued in this paper that, according the Elaborative Likelihood Model (ELM), these methods are most likely to be effective when consumers perceive the issue of energy conservation relevant to their lives. Nevertheless, some fundamental characteristics of these methods result in limited amount of perceived personal relevance; for instance, energy expenditure expense may be relatively small comparing to other household expenditure like mortgage and consumption information does not enhance interpersonal trust. In this paper, it is suggested that smart meter can apply the "nudge" approaches which respond to ELM as the use of simple rules to make decision, which include the change of feedback delivery and device design.

  6. RAMA casein zymography: Time-saving and highly sensitive casein zymography for MMP7 and trypsin.

    Science.gov (United States)

    Yasumitsu, Hidetaro; Ozeki, Yasuhiro; Kanaly, Robert A

    2016-11-01

    To detect metalloproteinase-7 (MMP7), zymography is conducted using a casein substrate and conventional CBB stain. It has disadvantages because it is time consuming and has low sensitivity. Previously, a sensitive method to detect MMP7 up to 30 pg was reported, however it required special substrates and complicated handlings. RAMA casein zymography described herein is rapid, sensitive, and reproducible. By applying high-sensitivity staining with low substrate conditions, the staining process is completed within 1 h and sensitivity was increased 100-fold. The method can detect 10 pg MMP7 by using commercially available casein without complicated handlings. Moreover, it increases detection sensitivity for trypsin. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  7. Savings times: approaching of two technologies; Racionalizacao do tempo: uma integracao de tecnologias

    Energy Technology Data Exchange (ETDEWEB)

    Migueis, Carlos Otavio; Eppinghaus, Guilherme; Ferreira, Ipojucan; Alfano, Pedro Paulo; Campello, Sergio [Vetcogray, Macae, RJ (Brazil)

    2008-07-01

    As the result of merging both wellhead and production subsea systems technologies, a new concept of flowbases and tubing hangers has been developed. This new generation of equipment will allow a significant reduction in rig time during drilling and completion operations just processing at the same time steps that before were supposed to be done separately. In order to implement this merge of technologies, concepts and techniques already well known in drilling and completion will be used. One of the main modifications is to adopt in the internal upper half profile of the flowbase the same profile used in the wellheads. This will allow the use of existent cam type running tools, wear bushing running tools and BOP test tools. Also the casing hanger pack-off (CVU) sealing and locking technology will be used to lock and seal the tubing hanger. The new method of running the flowbase, using a cam type running tool, became possible due to the adoption of the technology for landing the wellhead with the support of an ROV. In the other hand, the tubing hanger was fully redesigned using as reference the existent casing hangers. The new concept is an evolution for the actual concept and will allow the time reduction in rig operations, enhancing the performance of the unlocking system of the tubing hanger during its retrieval. During the development of this new flowbase and tubing hanger system, it was necessary the development of a set of new tools, such as: one trip pack-off landing, energizing/deenergizing, test and tubing hanger retrieving tool; one trip pack-off unlocking and tubing hanger retrieving tool. In order to confirm the viability of the concepts, a series of design reviews were conducted involving different Vetco Gray SDS and SPS experts from various departments such as product engineering and service. Doing this it became possible to fully evaluate the operation from drilling to completion also checking if the applicability of the current equipment that today

  8. Alternative strategies: A means for saving money and time on the Yucca Mountain Project

    International Nuclear Information System (INIS)

    Wilder, D.G.

    1993-01-01

    The United States Department of Energy (DOE) is undertaking studies to determine the suitability of Yucca Mountain (YM) as a potential site for disposal of high level nuclear waste. Yucca Mountain is located in an arid environment. Many processes that could contribute to mobilization of radionuclides are either absent or minimized in a dry site. Therefore, Yucca Mountain should have the potential of being a veryfavorable site for disposal of waste. The determination of suitability has no precedence, and the characterization of an and site is complex, requiring intensive studies to determine suitability. The studies undertaken by the Yucca Mountain Site Characterization Project (YMP) are very costly. By a process called performance allocation, the YMP determined strategies to satisfy regulations or meet performance while minimizing costs and schedules. Those involved recognized that allocations should be reviewed as additional information became available. The allocation has not been reviewed nor revised since the initial allocation in the Site Characterization Plan (SCP). The purpose of this paper is to outline alternative allocations that the author feels should be considered based on the additional information that is available at this time

  9. Low-priced, time-saving, reliable and stable LR-115 counting system

    International Nuclear Information System (INIS)

    Tchorz-Trzeciakiewicz, D.E.

    2015-01-01

    Nuclear alpha particles leave etches (tracks) when they hit the surface of a LR-115 detector. The density of these tracks is used to measure radon concentration. Counting these tracks by human sense is tedious and time-consuming procedure and may introduce counting error, whereas most available automatic and semiautomatic counting systems are expensive or complex. An uncomplicated, robust, reliable and stable counting system using freely available on the Internet software as Digimizer™ and PhotoScape was developed and proposed. The effectiveness of the proposed procedure was evaluated by comparing the amount of tracks counted by software with the amount of tracks counted manually for 223 detectors. The percentage error for each analysed detector was obtained as a difference between automatic and manual counts divided by manual count. For more than 97% of detectors, the percentage errors oscillated between −3% and 3%. - Highlights: • Semiautomatic, uncomplicated procedure was proposed to count the amount of alpha tracks. • Freely available software on the Internet used as alpha tracks counting system for LR-115. • LR-115 detectors used to measure radon concentration and radon exhalation rate

  10. Spending to save

    DEFF Research Database (Denmark)

    Larsen, Anders

    2013-01-01

    the energy distribution companies meet their overall saving obligation, the net savings impact are about a third of the savings reported by the obligated parties. Further it was found that while energy savings in the public and business sector have a high net impact, some subsidies given under the EEO...... perspective. The evaluation has resulted in noticeable adjustments of the design of the Danish EEO, e.g. introduction of a 1 year payback-time limit for projects receiving subsidies, a minimum baseline for insulation products, and specification of documentation requirements....

  11. Cholera outbreak in a village in south India – Timely action saved lives

    Directory of Open Access Journals (Sweden)

    R. Deepthi

    2013-02-01

    Full Text Available Summary: Cholera remains a public health concern in developing countries because of its high morbidity and mortality. This study was designed to assess the magnitude of and factors responsible for an outbreak in a South Indian village and to implement measures for containing and preventing the recurrence of such outbreaks. Data was obtained by surveying households in the village to identify cases and assess factors responsible for the outbreak. A sanitary survey of the water supply system was performed to identify the cause of the outbreak. Preventive measures were implemented by setting up a rapid response team to manage cases and provide safe drinking water and health education regarding the prevention of such outbreaks. A total of 73 cases were reported during the outbreak, an attack rate of 17.5%. Attack rates were similar among males and females, and the highest rates were observed among the elderly (33.3%, while the lowest rates were observed among adults (14.7%. There were no deaths reported due to cholera in the village. Most households (81% surveyed did not use any method of water purification, 79.7% practiced open field defecation and 58.2% practiced inadequate hand washing, indicating poor sanitary practices. Cases were most commonly observed in houses which did not practice any method of water purification (p < 0.001 and among people living below the poverty line (p = 0.02. Despite the high attack rate, no deaths were reported, largely thanks to timely medical and preventive interventions. Keywords: Outbreak investigation, Cholera, Sanitary practices, Prevention

  12. [THE FAILURE MODES AND EFFECTS ANALYSIS FACILITATES A SAFE, TIME AND MONEY SAVING OPEN ACCESS COLONOSCOPY SERVICE].

    Science.gov (United States)

    Gingold-Belfer, Rachel; Niv, Yaron; Horev, Nehama; Gross, Shuli; Sahar, Nadav; Dickman, Ram

    2017-04-01

    Failure modes and effects analysis (FMEA) is used for the identification of potential risks in health care processes. We used a specific FMEA - based form for direct referral for colonoscopy and assessed it for procedurerelated perforations. Ten experts in endoscopy evaluated and computed the entire referral process, modes of preparation for the endoscopic procedure, the endoscopic procedure itself and the discharge process. We used FMEA assessing for likelihood of occurrence, detection and severity and calculated the risk profile number (RPN) for each of the above points. According to the highest RPN results we designed a specific open access referral form and then compared the occurrence of colonic perforations (between 2010 and 2013) in patients who were referred through the open access arm (Group 1) to those who had a prior clinical consultation (non-open access, Group 2). Our experts in endoscopy (5 physicians and 5 nurses) identified 3 categories of failure modes that, on average, reached the highest RPNs. We identified 9,558 colonoscopies in group 1, and 12,567 in group 2. Perforations were identified in three patients from the open access group (1:3186, 0.03%) and in 10 from group 2 (1:1256, 0.07%) (p = 0.024). Direct referral for colonoscopy saved 9,558 pre-procedure consultations and the sum of $850,000. The FMEA tool-based specific referral form facilitates a safe, time and money saving open access colonoscopy service. Our form may be adopted by other gastroenterological clinics in Israel.

  13. Assessment of reverberation time by two measurement systems for room electromagnetics analysis

    DEFF Research Database (Denmark)

    Bamba, Aliou; Joseph, Wout; Plets, David

    2011-01-01

    A closed room environment is viewed as a lossy cavity, characterized by possibly a line of sight (LOS) component and diffuse scattering parts from walls and internal obstacles. A theory used in acoustics and reverberation chambers is applied for the electromagnetics case, and main issues related...

  14. Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up

    Directory of Open Access Journals (Sweden)

    Saeed Noorollahian

    2018-01-01

    Full Text Available Maxillary permanent incisors have a major role in facial esthetics. Impaction of them has great adverse effect on smile and causes serious concerns in patient and parents. Physical barriers (e.g., overretained primary teeth, supernumerary teeth, and pathologic lesions, space problems, developmental abnormalities, altered eruption sequence, trauma, palatal clefts, and genetics can act as etiologic factors. Currently, the conventional technique to treatment of impacted teeth consists of a combined orthodontic and surgical approach, to guide the impacted teeth in a constant position and surrounded by normal hard and soft tissues. Treatment is challenging because of some limitations such as patient's age, cooperation, anchorage, and mechanotherapy possibilities. Hence, sophisticated treatment planning is crucial. A 9-year-old girl with horizontally impacted maxillary left central incisor treated with surgical exposure and closed orthodontic forced eruption with 2 × 4 partial setup fixed appliances. Force was applied with 0.014 inch nickel–titanium wire as elastic overlay and handmade ligated bracket. To save chair time in each appointment, the overlay was activated by twisting of ligature wire extensions around it. After 16-month treatment, impacted incisor emerged in oral cavity, with accepted alignment and inclination. Handmade ligated bracket with ligature wire extensions is useful for the treatment of impacted teeth. Due to easy activation of overlay in this method, chair time become short in each appointment.

  15. Applications of a saving method with max-min ant system to a vehicle routing problem with time windows and speed limits

    Directory of Open Access Journals (Sweden)

    Suphan Sodsoon

    2014-06-01

    Full Text Available This study aims to solve a Vehicle Routing Problem with Time Windows and Speed Limits (VRPTWSL, which has received considerable attention in recent years. The vehicle routing problem with time windows is an extension of the well-known Vehicle Routing Problem (VRP and involves a fleet of vehicles set of from a depot to serve a number of customers at different geographic locations with various demands within specific time and speed limits before returning to the depot eventually. To solve the problem, an efficient Saving Method-Max Min Ant System (Saving-MMAS with Local Search algorithm is applied. Using minimization of the total transportation costs as the objective of the extension VRPTWSL, a mathematic model is constructed. Finally, the Saving-MMAS algorithms indicated the good quality of the method in this problem.

  16. Applying cost accounting to operating room staffing in otolaryngology: time-driven activity-based costing and outpatient adenotonsillectomy.

    Science.gov (United States)

    Balakrishnan, Karthik; Goico, Brian; Arjmand, Ellis M

    2015-04-01

    (1) To describe the application of a detailed cost-accounting method (time-driven activity-cased costing) to operating room personnel costs, avoiding the proxy use of hospital and provider charges. (2) To model potential cost efficiencies using different staffing models with the case study of outpatient adenotonsillectomy. Prospective cost analysis case study. Tertiary pediatric hospital. All otolaryngology providers and otolaryngology operating room staff at our institution. Time-driven activity-based costing demonstrated precise per-case and per-minute calculation of personnel costs. We identified several areas of unused personnel capacity in a basic staffing model. Per-case personnel costs decreased by 23.2% by allowing a surgeon to run 2 operating rooms, despite doubling all other staff. Further cost reductions up to a total of 26.4% were predicted with additional staffing rearrangements. Time-driven activity-based costing allows detailed understanding of not only personnel costs but also how personnel time is used. This in turn allows testing of alternative staffing models to decrease unused personnel capacity and increase efficiency. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  17. Experimental Investigation of the Heat Transfer in a Room using Night-Time Coling by Mixing Ventilation

    DEFF Research Database (Denmark)

    Jensen, Rasmus Lund; Nørgaard, Jesper; Daniels, Ole

    2011-01-01

    of full-scale measurements. The efficiency of night-time ventilation depends on the outdoor temperature and the heat transfer between the room air and the building constructions. In a full-scale test room the heat transfer was investigated during 12 hour of discharging by night-time ventilation. Three...... areas and the convective heat transfer coefficient ranged between 5 and 30 W/m2. The ratio of convective to total heat flow from the ceiling depends on the air change rate, ranging from approximately 40% at the low air change rates to approximately 70% at the high air change rate. Even though radiation......For many years focus has been on reducing the energy need for heating in buildings. This has lead to buildings with low energy demands for heating but often at the expense of the need for cooling of the building. In order to design buildings with low or zero energy need energy efficient strategies...

  18. Experimental Investigation of the Influence of Obstacle in the Room on Passive Night-Time Cooling using Displacement Ventilation

    DEFF Research Database (Denmark)

    Pomianowski, Michal Zbigniew; Khalegi, Farzad; Domarks, Giedrius

    2011-01-01

    Night-time ventilation is a promising approach for reducing the energy needed for cooling buildings without reducing thermal comfort. The objective of this paper is to determine how an internal obstacle, such as a table, will influence the heat transfer in the room and the efficiency of night......-time ventilation which uses displacement ventilation. Experimental work was conducted on the basis of the work in a similar previous study, performed by (Artmann 2010), and this is an extension of that work. Experimental results obtained for a case with a table were compared with the results obtained by Artmann et...... al. for a room with displacement ventilation, but without table. The results obtained in the experiment with the table indicated that the mean heat flux was slightly lower but very similar compared to the case without the table. The heat flux at the ceiling was measured to be the same for both setups...

  19. Feature Selection as a Time and Cost-Saving Approach for Land Suitability Classification (Case Study of Shavur Plain, Iran

    Directory of Open Access Journals (Sweden)

    Saeid Hamzeh

    2016-10-01

    Full Text Available Land suitability classification is important in planning and managing sustainable land use. Most approaches to land suitability analysis combine a large number of land and soil parameters, and are time-consuming and costly. In this study, a potentially useful technique (combined feature selection and fuzzy-AHP method to increase the efficiency of land suitability analysis was presented. To this end, three different feature selection algorithms—random search, best search and genetic methods—were used to determine the most effective parameters for land suitability classification for the cultivation of barely in the Shavur Plain, southwest Iran. Next, land suitability classes were calculated for all methods by using the fuzzy-AHP approach. Salinity (electrical conductivity (EC, alkalinity (exchangeable sodium percentage (ESP, wetness and soil texture were selected using the random search method. Gypsum, EC, ESP, and soil texture were selected using both the best search and genetic methods. The result shows a strong agreement between the standard fuzzy-AHP methods and methods presented in this study. The values of Kappa coefficients were 0.82, 0.79 and 0.79 for the random search, best search and genetic methods, respectively, compared with the standard fuzzy-AHP method. Our results indicate that EC, ESP, soil texture and wetness are the most effective features for evaluating land suitability classification for the cultivation of barely in the study area, and uses of these parameters, together with their appropriate weights as obtained from fuzzy-AHP, can perform good results for land suitability classification. So, the combined feature selection presented and the fuzzy-AHP approach has the potential to save time and money for land suitability classification.

  20. Integrating Real-Time Room Acoustics Simulation into a CAD Modeling Software to Enhance the Architectural Design Process

    Directory of Open Access Journals (Sweden)

    Sönke Pelzer

    2014-04-01

    Full Text Available For architects, real-time 3D visual rendering of CAD-models is a valuable tool. The architect usually perceives the visual appearance of the building interior in a natural and realistic way during the design process. Unfortunately this only emphasizes the role of the visual appearance of a building, while the acoustics often remain disregarded. Controlling the room acoustics is not integrated into most architects’ workflows—due to a lack of tools. The present contribution describes a newly developed plug-in for adding an adequate 3D-acoustics feedback to the architect. To present intuitively the acoustical effect of the current design project, the plug-in uses real-time audio rendering and 3D-reproduction. The room acoustics of the design can be varied by modifying structural shapes as well as by changing the material selection. In addition to the audio feedback, also a visualization of important room acoustics qualities is provided by displaying color-coded maps inside the CAD software.

  1. Effect of automated ultraviolet C-emitting device on decontamination of hospital rooms with and without real-time observation of terminal room disinfection.

    Science.gov (United States)

    Penno, Katie; Jandarov, Roman A; Sopirala, Madhuri M

    2017-11-01

    We studied the effectiveness of an ultraviolet C (UV-C) emitter in clinical settings and compared it with observed terminal disinfection. We cultured 22 hospital discharge rooms at a tertiary care academic medical center. Phase 1 (unobserved terminal disinfection) included cultures of 11 high-touch environmental surfaces (HTSs) after terminal room disinfection (AD) and after the use of a UV-C-emitting device (AUV). Phase 2 (observed terminal disinfection) included cultures before terminal room disinfection (BD), AD, and AUV. Zero-inflated Poisson regression compared mean colony forming units (CFU) between the groups. Two-sample proportion tests identified significance of the observed differences in proportions of thoroughly cleaned HTSs (CFU cleaning significantly reduced microbial burden and improved the thoroughness of terminal disinfection. We found no further benefit to UV-C use if standard terminal disinfection was observed. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  2. Measuring industrial energy savings

    International Nuclear Information System (INIS)

    Kelly Kissock, J.; Eger, Carl

    2008-01-01

    Accurate measurement of energy savings from industrial energy efficiency projects can reduce uncertainty about the efficacy of the projects, guide the selection of future projects, improve future estimates of expected savings, promote financing of energy efficiency projects through shared-savings agreements, and improve utilization of capital resources. Many efforts to measure industrial energy savings, or simply track progress toward efficiency goals, have had difficulty incorporating changing weather and production, which are frequently major drivers of plant energy use. This paper presents a general method for measuring plant-wide industrial energy savings that takes into account changing weather and production between the pre and post-retrofit periods. In addition, the method can disaggregate savings into components, which provides additional resolution for understanding the effectiveness of individual projects when several projects are implemented together. The method uses multivariable piece-wise regression models to characterize baseline energy use, and disaggregates savings by taking the total derivative of the energy use equation. Although the method incorporates search techniques, multi-variable least-squares regression and calculus, it is easily implemented using data analysis software, and can use readily available temperature, production and utility billing data. This is important, since more complicated methods may be too complex for widespread use. The method is demonstrated using case studies of actual energy assessments. The case studies demonstrate the importance of adjusting for weather and production between the pre- and post-retrofit periods, how plant-wide savings can be disaggregated to evaluate the effectiveness of individual retrofits, how the method can identify the time-dependence of savings, and limitations of engineering models when used to estimate future savings

  3. Low-Frequency Loudspeaker-Room Simulation Using Finite Differences in the Time Domain-Part 1: Analysis

    DEFF Research Database (Denmark)

    Celestinos, Adrian; Nielsen, Sofus Birkedal

    2008-01-01

    Small- and medium-size rectangular rooms have a strong influence on the low-frequency performance of loudspeakers. A simulation program based on the finite-difference time-domain (FDTD) method is introduced to analyze the sound field produced by loudspeakers in rectangular rooms at low frequencies...

  4. A real-time regional adaptive exposure method for saving dose-area product in x-ray fluoroscopy

    International Nuclear Information System (INIS)

    Burion, Steve; Funk, Tobias; Speidel, Michael A.

    2013-01-01

    Purpose: Reduction of radiation dose in x-ray imaging has been recognized as a high priority in the medical community. Here the authors show that a regional adaptive exposure method can reduce dose-area product (DAP) in x-ray fluoroscopy. The authors' method is particularly geared toward providing dose savings for the pediatric population. Methods: The scanning beam digital x-ray system uses a large-area x-ray source with 8000 focal spots in combination with a small photon-counting detector. An imaging frame is obtained by acquiring and reconstructing up to 8000 detector images, each viewing only a small portion of the patient. Regional adaptive exposure was implemented by varying the exposure of the detector images depending on the local opacity of the object. A family of phantoms ranging in size from infant to obese adult was imaged in anteroposterior view with and without adaptive exposure. The DAP delivered to each phantom was measured in each case, and noise performance was compared by generating noise arrays to represent regional noise in the images. These noise arrays were generated by dividing the image into regions of about 6 mm 2 , calculating the relative noise in each region, and placing the relative noise value of each region in a one-dimensional array (noise array) sorted from highest to lowest. Dose-area product savings were calculated as the difference between the ratio of DAP with adaptive exposure to DAP without adaptive exposure. The authors modified this value by a correction factor that matches the noise arrays where relative noise is the highest to report a final dose-area product savings. Results: The average dose-area product saving across the phantom family was (42 ± 8)% with the highest dose-area product saving in the child-sized phantom (50%) and the lowest in the phantom mimicking an obese adult (23%). Conclusions: Phantom measurements indicate that a regional adaptive exposure method can produce large DAP savings without compromising

  5. Multi-Train Energy Saving for Maximum Usage of Regenerative Energy by Dwell Time Optimization in Urban Rail Transit Using Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Fei Lin

    2016-03-01

    Full Text Available With its large capacity, the total urban rail transit energy consumption is very high; thus, energy saving operations are quite meaningful. The effective use of regenerative braking energy is the mainstream method for improving the efficiency of energy saving. This paper examines the optimization of train dwell time and builds a multiple train operation model for energy conservation of a power supply system. By changing the dwell time, the braking energy can be absorbed and utilized by other traction trains as efficiently as possible. The application of genetic algorithms is proposed for the optimization, based on the current schedule. Next, to validate the correctness and effectiveness of the optimization, a real case is studied. Actual data from the Beijing subway Yizhuang Line are employed to perform the simulation, and the results indicate that the optimization method of the dwell time is effective.

  6. Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

    Directory of Open Access Journals (Sweden)

    Regula Morgenegg

    2018-01-01

    retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery. Results: There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001. In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each. The quotient of actual/planned OR turnaround times ranged from 1.733–3.000. Conclusion: Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking.

  7. Analysis on factors affecting household customers decision in using electricity at peak time and its correlation towards saving electricity

    Science.gov (United States)

    Pasasa, Linus; Marbun, Parlin; Mariza, Ita

    2015-09-01

    The purpose of this paper is to study and analyse the factors affecting customer decisions in using electricity at peak-load hours (between 17.00 to 22.00 WIB) and their behaviors towards electricity conservation in Indonesian household. The underlying rationale is to influence a reduction in energy consumption by stimulating energy saving behaviors, thereby reducing the impact of energy use on the environment. How is the correlation between the decisions in using electricity during peak load hours with the household customer's behavior towards saving electricity? The primary data is obtained by distributing questionnaires to customers of PT. PLN Jakarta Raya and Tangerang Distribution from Household segment. The data is analysed using the Structural Equation Model (SEM) and AMOS Software. The research is finding that all factors (Personal, Social, PLN Services, Psychological, and Cultural) are positively influence customer decision in using electricity at peak load hours. There is a correlation between the decisions in using electricity during peak load hours with the household customer's behavior towards saving electricity.

  8. "Knife to skin" time is a poor marker of operating room utilization and efficiency in cardiac surgery.

    Science.gov (United States)

    Luthra, Suvitesh; Ramady, Omar; Monge, Mary; Fitzsimons, Michael G; Kaleta, Terry R; Sundt, Thoralf M

    2015-06-01

    Markers of operation room (OR) efficiency in cardiac surgery are focused on "knife to skin" and "start time tardiness." These do not evaluate the middle and later parts of the cardiac surgical pathway. The purpose of this analysis was to evaluate knife to skin time as an efficiency marker in cardiac surgery. We looked at knife to skin time, procedure time, and transfer times in the cardiac operational pathway for their correlation with predefined indices of operational efficiency (Index of Operation Efficiency - InOE, Surgical Index of Operational Efficiency - sInOE). A regression analysis was performed to test the goodness of fit of the regression curves estimated for InOE relative to the times on the operational pathway. The mean knife to skin time was 90.6 ± 13 minutes (23% of total OR time). The mean procedure time was 282 ± 123 minutes (71% of total OR time). Utilization efficiencies were highest for aortic valve replacement and coronary artery bypass grafting and least for complex aortic procedures. There were no significant procedure-specific or team-specific differences for standard procedures. Procedure times correlated the strongest with InOE (r = -0.98, p knife to skin is not as strong an indicator of efficiency. A statistically significant linear dependence on InOE was observed with "procedure times" only. Procedure times are a better marker of OR efficiency than knife to skin in cardiac cases. Strategies to increase OR utilization and efficiency should address procedure times in addition to knife to skin times. © 2015 Wiley Periodicals, Inc.

  9. Potential electricity savings by variable speed control of compressor for air conditioning systems

    Energy Technology Data Exchange (ETDEWEB)

    Nasution, Henry [Bung Hatta University, Department of Mechanical Engineering, Faculty of Industrial Engineering, Padang, West Sumatera (Indonesia); Wan Hassan, Mat Nawi [Universiti Teknologi Malaysia, Faculty of Mechanical Engineering, Skudai, Johor Bahru-Darul Ta' zim (Malaysia)

    2006-05-15

    The potential of a variable-speed compressor running on a controller to provide enhanced load-matching capability, energy saving and thermal comfort for application in air-conditioning system is demonstrated. An air-conditioning system, originally operated on a constant speed mode, is retrofitted with an inverter and a PID controller. The system was installed to a thermal environmental room together with a data acquisition system to monitor energy consumption and temperature of the room. Measurements were taken 2 h daily at a time interval of 5 min for an on/off and an inverter variable-speed conditions. The results indicate that thermal comfort of the room together with energy saving can be obtained through a proper selection of K for the controller. At a temperature setting of 22 C, the energy saving for the system is estimated to reach 25.3% for PID controllers. (orig.)

  10. Time-dependent density functional theory for the charging kinetics of electric double layer containing room-temperature ionic liquids.

    Science.gov (United States)

    Lian, Cheng; Zhao, Shuangliang; Liu, Honglai; Wu, Jianzhong

    2016-11-28

    Understanding the charging kinetics of electric double layers is of fundamental importance for the design and development of novel electrochemical devices such as supercapacitors and field-effect transistors. In this work, we study the dynamic behavior of room-temperature ionic liquids using a classical time-dependent density functional theory that accounts for the molecular excluded volume effects, the electrostatic correlations, and the dispersion forces. While the conventional models predict a monotonic increase of the surface charge with time upon application of an electrode voltage, our results show that dispersion between ions results in a non-monotonic increase of the surface charge with the duration of charging. Furthermore, we investigate the effects of van der Waals attraction between electrode/ionic-liquid interactions on the charging processes.

  11. Costs of disposable material in the operating room do not show high correlation with surgical time: Implications for hospital payment.

    Science.gov (United States)

    Delo, Caroline; Leclercq, Pol; Martins, Dimitri; Pirson, Magali

    2015-08-01

    The objectives of this study are to analyze the variation of the surgical time and of disposable costs per surgical procedure and to analyze the association between disposable costs and the surgical time. The registration of data was done in an operating room of a 419 bed general hospital, over a period of three months (n = 1556 surgical procedures). Disposable material per procedure used was recorded through a barcode scanning method. The average cost (standard deviation) of disposable material is €183.66 (€183.44). The mean surgical time (standard deviation) is 96 min (63). Results have shown that the homogeneity of operating time and DM costs was quite good per surgical procedure. The correlation between the surgical time and DM costs is not high (r = 0.65). In a context of Diagnosis Related Group (DRG) based hospital payment, it is important that costs information systems are able to precisely calculate costs per case. Our results show that the correlation between surgical time and costs of disposable materials is not good. Therefore, empirical data or itemized lists should be used instead of surgical time as a cost driver for the allocation of costs of disposable materials to patients. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Cost Savings Realized by Implementation of Routine Microbiological Identification by Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry.

    Science.gov (United States)

    Tran, Anthony; Alby, Kevin; Kerr, Alan; Jones, Melissa; Gilligan, Peter H

    2015-08-01

    Matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectrometry (MS) is an emerging technology for rapid identification of bacterial and fungal isolates. In comparison to conventional methods, this technology is much less labor intensive and can provide accurate and reliable results in minutes from a single isolated colony. We compared the cost of performing the bioMérieux Vitek MALDI-TOF MS with conventional microbiological methods to determine the amount saved by the laboratory by converting to the new technology. Identification costs for 21,930 isolates collected between April 1, 2013, and March 31, 2014, were directly compared for MALDI-TOF MS and conventional methodologies. These isolates were composed of commonly isolated organisms, including commonly encountered aerobic and facultative bacteria and yeast but excluding anaerobes and filamentous fungi. Mycobacterium tuberculosis complex and rapidly growing mycobacteria were also evaluated for a 5-month period during the study. Reagent costs and a total cost analysis that included technologist time in addition to reagent expenses and maintenance service agreement costs were analyzed as part of this study. The use of MALDI-TOF MS equated to a net savings of $69,108.61, or 87.8%, in reagent costs annually compared to traditional methods. When total costs are calculated to include technologist time and maintenance costs, traditional identification would have cost $142,532.69, versus $68,886.51 with the MALDI-TOF MS method, resulting in a laboratory savings of $73,646.18, or 51.7%, annually by adopting the new technology. The initial cost of the instrument at our usage level would be offset in about 3 years. MALDI-TOF MS not only represents an innovative technology for the rapid and accurate identification of bacterial and fungal isolates, it also provides a significant cost savings for the laboratory. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  13. Reverberation time in class rooms – Comparison of regulations and classification criteria in the Nordic countries

    DEFF Research Database (Denmark)

    Rasmussen, Birgit; Brunskog, Jonas; Hoffmeyer, Dan

    2012-01-01

    Regulatory requirements or guidelines for classroom reverberation time exist in all five Nordic countries and in most of Europe – as well as other acoustic criteria for schools, e.g. concerning airborne and impact sound insulation, facade sound insulation and installation noise. There are several...... reasons for having such requirements: Improving learning efficiency for pupils and work conditions for teachers and reducing noise levels, thus increasing comfort for everyone. Instead of including acoustic regulatory requirements for schools directly in the building regulations, Iceland, Norway...... and Sweden have introduced acoustic quality classes A, B, C and D in national standards with class C referred to as regulatory requirements. These national classification standards are dealing with acoustic classes for several types of buildings. A classification scheme also exists in Finland...

  14. Occupational dosimetry in real time hemodynamic rooms. utility of the system Dose-aware as a training tool

    International Nuclear Information System (INIS)

    Pinto Monedero, M.; Rodriguez Cobo, C.; Pifarre Martinez, X.; Ruiz Martin, J.; Barros Candelero, J. M.; Goicolea Ruigomez, J.; Diaz Blaires, G.; Garcia Lunar

    2014-01-01

    This paper presents the results from a study in a real time dosimetry system used in the catheter laboratory room of our center. The objective was to know the occupational doses per procedure, on the one hand, and, on the other hand, to evaluate its utility as a learning tool for radiation protection purposes with the simultaneous video recording of the interventions. 83 diagnostic and therapeutic procedures were analyzed, and an average dose per procedure of 0,37 μSv and 0,10 μSv for the main cardiologist and nurse were obtained, respectively. 36 of these interventions were also recorded and the images were synchronized with the dosimetric information stored and the dosimetry system. The findings were presented to the interventional cardiology team in a learning session. They showed a high level of satisfaction with this new method of optimizing the occupational doses through a customized learning session. (Author)

  15. Time to diagnosis and treatment for cancer patients in the Netherlands: Room for improvement?

    Science.gov (United States)

    Helsper, Charles C W; van Erp, Nicole N F; Peeters, Petra P H M; de Wit, Niek N J

    2017-12-01

    Reducing the duration of the diagnostic cancer care pathway is intensively pursued. The aim of this study was to chart the diagnostic pathway for the five most common cancers in the Netherlands. A retrospective cohort study using cancer patients' anonymised primary care data (free text and coded) linked to the Netherlands Cancer Registry. We determined the median duration of the following: 1. Primary care intervals (IPCs): the first cancer-related general practitioner consultation to referral, 2. Referral intervals (IRs): referral to diagnosis, 3. Treatment intervals (ITs): diagnosis to treatment and the overarching intervals, 4. Diagnostic intervals (IDs): IPC and IR combined and 5. Health care intervals (IHCs): IPC, IR and IT combined. For 465, 309, 197, 237 and 149 patients diagnosed with breast-, colorectal-, lung-, prostate cancer and melanoma, respectively; median IPC, IR and ID durations were shortest for breast cancer and melanoma (ID duration 7 and 21 days, respectively), intermediate for lung- and colon cancer (ID duration 49 and 54 days) and the longest for prostate cancer (ID duration 137 days). For all cancers, the duration of intervals increased steeply for the 10-25% with longest durations. For colorectal cancer, increasing ID durations showed increasing proportions of time attributable to primary care (IPC). Approximately 10-25% of cancer patients show substantially long duration of diagnostic intervals. Reducing primary care delay seems particularly relevant for colorectal cancer. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Does Daylight Saving Save Energy? A Meta-Analysis

    OpenAIRE

    Havránek, Tomáš; Herman, Dominik; Irsova, Zuzana

    2016-01-01

    The original rationale for adopting daylight saving time (DST) was energy savings. Modern research studies, however, question the magnitude and even direction of the effect of DST on energy consumption. Representing the first meta-analysis in this literature, we collect 162 estimates from 44 studies and find that the mean reported estimate indicates modest energy savings: 0.34% during the days when DST applies. The literature is not affected by publication bias, but the results vary systemati...

  17. Reinforcement Learning and Savings Behavior.

    Science.gov (United States)

    Choi, James J; Laibson, David; Madrian, Brigitte C; Metrick, Andrew

    2009-12-01

    We show that individual investors over-extrapolate from their personal experience when making savings decisions. Investors who experience particularly rewarding outcomes from saving in their 401(k)-a high average and/or low variance return-increase their 401(k) savings rate more than investors who have less rewarding experiences with saving. This finding is not driven by aggregate time-series shocks, income effects, rational learning about investing skill, investor fixed effects, or time-varying investor-level heterogeneity that is correlated with portfolio allocations to stock, bond, and cash asset classes. We discuss implications for the equity premium puzzle and interventions aimed at improving household financial outcomes.

  18. Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.

    Science.gov (United States)

    Sanders, David S; Read-Brown, Sarah; Tu, Daniel C; Lambert, William E; Choi, Dongseok; Almario, Bella M; Yackel, Thomas R; Brown, Anna S; Chiang, Michael F

    2014-05-01

    Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. To determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. For documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. Electronic health record OR management system implementation. (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation. There was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.

  19. Perceptions on the Impact of a Just-in-Time Room on Trainees and Supervising Physicians in a Pediatric Emergency Department.

    Science.gov (United States)

    Thomas, Anita A; Uspal, Neil G; Oron, Assaf P; Klein, Eileen J

    2016-12-01

    Just-in-time (JIT) training refers to education occurring immediately prior to clinical encounters. An in situ JIT room in a pediatric emergency department (ED) was created for procedural education. We examined trainee self-reported JIT room use, its impact on trainee self-perception of procedural competence/confidence, and the effect its usage has on the need for intervention by supervising physicians during procedures. Cross-sectional survey study of a convenience sample of residents rotating through the ED and supervising pediatric emergency medicine physicians. Outcomes included JIT room use, trainee procedural confidence, and frequency of supervisor intervention during procedures. Thirty-one of 32 supervising physicians (97%) and 122 of 186 residents (66%) completed the survey, with 71% of trainees reporting improved confidence, and 68% reporting improved procedural skills ( P  < .05, +1.4-point average skills improvement on a 5-point Likert scale). Trainees perceived no difference among supervising physicians intervening in procedures with or without JIT room use ( P  = .30, paired difference -0.0 points). Nearly all supervisors reported improved trainee procedural confidence, and 77% reported improved trainee procedural skills after JIT room use ( P  < .05, paired difference +1.8 points); 58% of supervisors stated they intervene in procedures without trainee JIT room use, compared with 42% with JIT room use ( P  < .05, paired difference -0.4 points). Use of the JIT room led to improved trainee confidence and supervisor reports of less procedural intervention. Although it carries financial and time costs, an in situ JIT room may be important for convenient JIT training.

  20. Real-Time Risk and Fault Management in the Mission Evaluation Room for the International Space Station

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, W.R.; Novack, S.D.

    2003-05-30

    Effective anomaly resolution in the Mission Evaluation Room (MER) of the International Space Station (ISS) requires consideration of risk in the process of identifying faults and developing corrective actions. Risk models such as fault trees from the ISS Probabilistic Risk Assessment (PRA) can be used to support anomaly resolution, but the functionality required goes significantly beyond what the PRA could provide. Methods and tools are needed that can systematically guide the identification of root causes for on-orbit anomalies, and to develop effective corrective actions that address the event and its consequences without undue risk to the crew or the mission. In addition, an overall information management framework is needed so that risk can be systematically incorporated in the process, and effectively communicated across all the disciplines and levels of management within the space station program. The commercial nuclear power industry developed such a decision making framework, known as the critical safety function approach, to guide emergency response following the accident at Three Mile Island in 1979. This report identifies new methods, tools, and decision processes that can be used to enhance anomaly resolution in the ISS Mission Evaluation Room. Current anomaly resolution processes were reviewed to identify requirements for effective real-time risk and fault management. Experience gained in other domains, especially the commercial nuclear power industry, was reviewed to identify applicable methods and tools. Recommendations were developed for next-generation tools to support MER anomaly resolution, and a plan for implementing the recommendations was formulated. The foundation of the proposed tool set will be a ''Mission Success Framework'' designed to integrate and guide the anomaly resolution process, and to facilitate consistent communication across disciplines while focusing on the overriding importance of mission success.

  1. Real-Time Risk and Fault Management in the Mission Evaluation Room of the International Space Station

    Energy Technology Data Exchange (ETDEWEB)

    William R. Nelson; Steven D. Novack

    2003-05-01

    Effective anomaly resolution in the Mission Evaluation Room (MER) of the International Space Station (ISS) requires consideration of risk in the process of identifying faults and developing corrective actions. Risk models such as fault trees from the ISS Probablistic Risk Assessment (PRA) can be used to support anomaly resolution, but the functionality required goes significantly beyond what the PRA could provide. Methods and tools are needed that can systematically guide the identification of root causes for on-orbit anomalies, and to develop effective corrective actions that address the event and its consequences without undue risk to the crew or the mission. In addition, an overall information management framework is needed so that risk can be systematically incorporated in the process, and effectively communicated across all the disciplines and levels of management within the space station program. The commercial nuclear power industry developed such a decision making framework, known as the critical safety function approach, to guide emergency response following the accident at Three Mile Island in 1979. This report identifies new methods, tools, and decision processes that can be used to enhance anomaly resolution in the ISS Mission Evaluation Room. Current anomaly resolution processes were reviewed to identify requirements for effective real-time risk and fault management. Experience gained in other domains, especially the commercial nuclear power industry, was reviewed to identify applicable methods and tools. Recommendations were developed for next-generation tools to support MER anomaly resolution, and a plan for implementing the recommendations was formulated. The foundation of the proposed toolset will be a "Mission Success Framework" designed to integrate and guide the anomaly resolution process, and to facilitate consistent communication across disciplines while focusing on the overriding importance of mission success.

  2. Hypoxia Room

    Data.gov (United States)

    Federal Laboratory Consortium — The Hypoxia Room is a 8x8x8 ft. clear vinyl plastic and aluminum frame construction enclosure located within USAREIM laboratory 028. The Hypoxia Room (manufactured...

  3. ARDressCode: Augmented Dressing Room with Tag-based Motion Tracking and Real-Time Clothes Simulation

    DEFF Research Database (Denmark)

    Kjærside, Krista; Kortbek, Karen Johanne; Møller, Henrik Hedegaard

    2005-01-01

    This paper introduces a new augmented reality concept for dressing rooms enabling a customer to combine a tactile experience of the fabrics with easy simulated try-on. The dressing room has a camera and a projection surface instead of a mirror. The customers stick a few visual tags to their normal...

  4. Timeliness of Operating Room Case Planning and Time Utilization: Influence of First and To-Follow Cases

    Directory of Open Access Journals (Sweden)

    Konrad Meissner

    2017-04-01

    Full Text Available Resource and cost constraints in hospitals demand thorough planning of operating room schedules. Ideally, exact start times and durations are known in advance for each case. However, aside from the first case’s start, most factors are hard to predict. While the role of the start of the first case for optimal room utilization has been shown before, data for to-follow cases are lacking. The present study therefore aimed to analyze all elective surgery cases of a university hospital within 1 year in search of visible patterns. A total of 14,014 cases scheduled on 254 regular working days at a university hospital between September 2015 and August 2016 underwent screening. After eliminating 112 emergencies during regular working hours, 13,547 elective daytime cases were analyzed, out of which 4,346 ranked first, 3,723 second, and 5,478 third or higher in the daily schedule. Also, 36% of cases changed start times from the day before to 7:00 a.m., with half of these (52% resulting in a delay of more than 15 min. After 7:00 a.m., 87% of cases started more than 10 min off schedule, with 26% being early and 74% late. Timeliness was 15 ± 72 min (mean ± SD for first, 21 ± 84 min for second, and 25 ± 93 min for all to-follow cases, compared to preoperative day planning, and 21 ± 45, 23 ± 61, and 19 ± 74 min compared to 7:00 a.m. status. Start time deviations were also related to procedure duration, with cases of 61–90 min duration being most reliable (deviation 9.8 ± 67 min compared to 7:00 a.m., regardless of order. In consequence, cases following after 61–90 min long cases had the shortest deviations of incision time from schedule (16 ± 66 min. Taken together, start times for elective surgery cases deviate substantially from schedule, with first and second cases falling into the highest mean deviation category. Second cases had the largest deviations from scheduled times compared to

  5. Radiological safety system based on real-time tritium-in-air monitoring in room and effluents

    Energy Technology Data Exchange (ETDEWEB)

    Bidica, N.; Sofalca, N.; Balteanu, O.; Stefan, I. [National Institute of Cryogenics and Isotopes Technologies, Ramnicu Valcea (Romania)

    2006-07-01

    The conceptual design of the radiological safety system based on real time-in-air monitoring in room and effluents is intended to provide the maximum achievable safety level, basing no the ALARA concept. the capabilities of this system are not only to inform any time personnel about tritium in air concentration level, but it will be able to: initiate the shut down procedure and drain off the plant, as well to start the Air cleaning System when the tritium-in-air concentration exceed pre-established threshold; estimate tritium effective dose rate before starting an activity into the monitored area, or during this activity, or soon as the activity was finished; estimate tritium effective dose and instantly record and update individual effective doses, using a special computer application called 'dose record'; lock access into the radiological area for individuals when tritium dose rate in the monitoring area will exceed the pre-established thresholds, or when any individual dose data provided by 'dose records' application ask for, or for other protection consideration; calculate the total tritium activity released to the environment (per day, week, or month). (N.C.)

  6. Radiological safety system based on real-time tritium-in-air monitoring in room and effluents

    International Nuclear Information System (INIS)

    Bidica, N.; Sofalca, N.; Balteanu, O.; Stefan, I.

    2006-01-01

    The conceptual design of the radiological safety system based on real time-in-air monitoring in room and effluents is intended to provide the maximum achievable safety level, basing no the ALARA concept. the capabilities of this system are not only to inform any time personnel about tritium in air concentration level, but it will be able to: initiate the shut down procedure and drain off the plant, as well to start the Air cleaning System when the tritium-in-air concentration exceed pre-established threshold; estimate tritium effective dose rate before starting an activity into the monitored area, or during this activity, or soon as the activity was finished; estimate tritium effective dose and instantly record and update individual effective doses, using a special computer application called 'dose record'; lock access into the radiological area for individuals when tritium dose rate in the monitoring area will exceed the pre-established thresholds, or when any individual dose data provided by 'dose records' application ask for, or for other protection consideration; calculate the total tritium activity released to the environment (per day, week, or month). (N.C.)

  7. Dynamic Time-Resolved Chirped-Pulse Rotational Spectroscopy of Vinyl Cyanide Photoproducts in a Room Temperature Flow Reactor

    Science.gov (United States)

    Zaleski, Daniel P.; Prozument, Kirill

    2017-06-01

    Chirped-pulsed (CP) Fourier transform rotational spectroscopy invented by Brooks Pate and coworkers a decade ago is an attractive tool for gas phase chemical dynamics and kinetics studies. A good reactor for such a purpose would have well-defined (and variable) temperature and pressure conditions to be amenable to accurate kinetic modeling. Furthermore, in low pressure samples with large enough number of molecular emitters, reaction dynamics can be observable directly, rather than mediated by supersonic expansion. In the present work, we are evaluating feasibility of in situ time-resolved CP spectroscopy in a room temperature flow tube reactor. Vinyl cyanide (CH_2CHCN), neat or mixed with inert gasses, flows through the reactor at pressures 1-50 μbar (0.76-38 mTorr) where it is photodissociated by a 193 nm laser. Millimeter-wave beam of the CP spectrometer co-propagates with the laser beam along the reactor tube and interacts with nascent photoproducts. Rotational transitions of HCN, HNC, and HCCCN are detected, with ≥10 μs time-steps for 500 ms following photolysis of CH_2CHCN. The post-photolysis evolution of the photoproducts' rotational line intensities is investigated for the effects of rotational and vibrational thermalization of energized photoproducts. Possible contributions from bimolecular and wall-mediated chemistry are evaluated as well.

  8. Cortisol at the emergency room rape visit as a predictor of PTSD and depression symptoms over time.

    Science.gov (United States)

    Walsh, Kate; Nugent, Nicole R; Kotte, Amelia; Amstadter, Ananda B; Wang, Sheila; Guille, Constance; Acierno, Ron; Kilpatrick, Dean G; Resnick, Heidi S

    2013-11-01

    Dysregulation of the hypothalamic-pituitary-adrenal axis, typically reflected by alterations in cortisol responsivity, has been associated with exposure to traumatic events and the development of stress-related disorders such as posttraumatic stress disorder (PTSD) and depression. Serum cortisol was measured at the time of a post sexual assault medical exam among a sample of 323 female victims of recent sexual assault. Analyses were conducted among 235 participants who provided data regarding history of previous assault as well as PTSD and depression symptoms during at least one of the three follow-ups. Growth curve models suggested that prior history of assault and serum cortisol were positively associated with the intercept and negatively associated with the slope of PTSD and depression symptoms after controlling for covariates. Prior history of assault and serum cortisol also interacted to predict the intercept and slope of PTSD and depression symptoms such that women with a prior history of assault and lower ER cortisol had higher initial symptoms that decreased at a slower rate relative to women without a prior history and those with higher ER cortisol. Prior history of assault was associated with diminished acute cortisol responsivity at the emergency room visit. Prior assault history and cortisol both independently and interactively predicted PTSD and depression symptoms at first follow-up and over the course a 6-month follow-up. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center.

    Science.gov (United States)

    Kodali, Bhavani S; Kim, Dennie; Bleday, Ronald; Flanagan, Hugh; Urman, Richard D

    2014-04-01

    Turnover time (TOT) is one of the classic measures of operating room (OR) efficiency. There have been numerous efforts to reduce TOTs, sometimes through the employment of a process improvement framework. However, most examples of process improvement in the TOT focus primarily on operational changes to workflows and statistical significance. These examples of process improvement do not detail the complex organizational challenges associated with implementing, expanding, and sustaining change. TOT data for general and gastrointestinal surgery were collected retrospectively over a 26-mo period at a large multispecialty academic institution. We calculated mean and median TOTs. TOTs were excluded if the sequence of cases was changed or cases were canceled. Data were retrieved from the perioperative nursing data entry system. Using performance improvement strategies, we determined how various events and organizational factors created an environment that was receptive to change. This ultimately led to a sustained decrease in the OR TOT both in the general and gastrointestinal surgery ORs that were the focus of the study (44.8 min versus 48.6 min; P managers, and change agents commonly face. Awareness of the numerous variables that may support or impede a particular change effort can inform effective change implementation strategies that are "organizationally compatible." Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Drug consumption rooms: Comparing times, spaces and actors in issues of social acceptability in French public debate.

    Science.gov (United States)

    Jauffret-Roustide, Marie; Cailbault, Isabelle

    2018-06-01

    In October 2016, the first French drug consumption room (DCR) opened in Paris. We propose to examine the process through which this issue has been framed as a matter of public concern, after being ignored for almost 20 years. Our analysis of the controversy on DCRs investigates how public conversations on harm reduction evolve according to the time period (from the 1990s to the present), scale of discourse (local vs. national), and involved actors (politicians, professionals, local residents, and drug users). Our methodology includes analyses of media content: we reviewed 1735 articles published between 1990 and 2017. Our theoretical approach is in line with the sociology "des épreuves" derived from pragmatic sociology and controversy analysis. This approach goes beyond interactionism by attempting to place situations back into broader sociological realities. We also pay special attention to governance, a political lens that focuses on local aspects of negotiations and on the implication of a variety of actors. While the current debate on DCRs in France draws on constraints and resources already present in the harm reduction debate of the 1980s, it also repositions itself by avoiding moral argumentation and featuring less confrontation in the professional sphere. Today, we can see that the center of this tense debate has shifted from the professional sphere to the political and residential spheres. Most often, residents advance concerns that are not directly related to drug users themselves, but that derive from their apprehension of living in a displaced and stranded neighborhood. The public conversation leaves little room for drug users, even though they are the primary stakeholders of harm reduction and play a crucial role in DCR advocacy. Our work reveals that the controversy about DCR is the product of complex interactions between different kinds of actors harm reduction professionals, political actors at the local and national levels, local residents, and

  11. Net savings

    International Nuclear Information System (INIS)

    Roche, P.

    2001-01-01

    The state of e-commerce in the Canadian upstream oil and natural gas sector is examined in an effort to discover the extent to which the .com economy has penetrated the marketplace. The overall assessment is that although the situation varies from producer to producer and process to process, a bustling digital marketplace in the Canadian oil business has yet to emerge. Nevertheless, there are several examples of companies using e-business tools to minimize technology staffing and to eliminate wasteful practices. Initiatives cited include streamlining of supply chains to cut handling costs, using application service providers to trim information technology budgets, and adopting electronic joint interest billing to save on printing, postage and re-entering data. Most notable efforts have been made by companies such as BXL Energy Limited and Genesis Exploration Limited, both of which are boosting efficiency on the inside by contracting out data storage and software applications. For example, BXL has replaced its microfilm log library occupying six cabinets, and totalling about 9,000 lbs., by a fibre optic line. All applications can now be run from a laptop which weighs three to four pounds. In a similar vein, Genesis Exploration started using application service providers (ASPs) to avoid the cost and hassle of buying and maintaining major software applications in-house. By accessing the ASPs, Genesis staff can run software without buying or installing it on their own computers. In yet another example of cutting information technology costs, Pengrowth Corporation has its network administration done remotely over the Internet by Northwest Digital Systems (NWD). As far as the industry at large is concerned, the answer appears to be in a digital marketplace specifically tailored to the upstream sector's unique profile. As a start, a study is underway by Deloitte Consulting to explore producer interest in joining or founding an upstream digital marketplace. The study was

  12. Net savings

    Energy Technology Data Exchange (ETDEWEB)

    Roche, P.

    2001-02-01

    The state of e-commerce in the Canadian upstream oil and natural gas sector is examined in an effort to discover the extent to which the .com economy has penetrated the marketplace. The overall assessment is that although the situation varies from producer to producer and process to process, a bustling digital marketplace in the Canadian oil business has yet to emerge. Nevertheless, there are several examples of companies using e-business tools to minimize technology staffing and to eliminate wasteful practices. Initiatives cited include streamlining of supply chains to cut handling costs, using application service providers to trim information technology budgets, and adopting electronic joint interest billing to save on printing, postage and re-entering data. Most notable efforts have been made by companies such as BXL Energy Limited and Genesis Exploration Limited, both of which are boosting efficiency on the inside by contracting out data storage and software applications. For example, BXL has replaced its microfilm log library occupying six cabinets, and totalling about 9,000 lbs., by a fibre optic line. All applications can now be run from a laptop which weighs three to four pounds. In a similar vein, Genesis Exploration started using application service providers (ASPs) to avoid the cost and hassle of buying and maintaining major software applications in-house. By accessing the ASPs, Genesis staff can run software without buying or installing it on their own computers. In yet another example of cutting information technology costs, Pengrowth Corporation has its network administration done remotely over the Internet by Northwest Digital Systems (NWD). As far as the industry at large is concerned, the answer appears to be in a digital marketplace specifically tailored to the upstream sector's unique profile. As a start, a study is underway by Deloitte Consulting to explore producer interest in joining or founding an upstream digital marketplace. The study

  13. Buoyed by geophysics : geophysics, just-in-time procurement help save millions on Ekwan pipeline buoyancy control

    Energy Technology Data Exchange (ETDEWEB)

    Roche, P.

    2005-09-01

    Large-diameter natural gas pipelines buried in wet muskeg have the potential to rise to the surface due to buoyancy. Until recently, the most reliable method to prevent this was to attach specially manufactured bolt-on concrete weights at closely spaced intervals. However, these weights significantly increase capital budgets by millions of dollars because each weight weighs 2,540 kg and costs $1,000. A less costly alternative for buoyancy control in shallow muskeg is for the contractor to simply dig a deeper ditch. Another option is to hold down the pipeline by polyester straps attached to screw anchors. The challenge of applying these less costly options is that heavy equipment cannot be brought to the site to determine ground conditions until after all procurement, assessment and design is completed. Engineers must therefore select a buoyancy control measure based only on air photos and possibly a few drill holes. However, air photos do not indicate the depth of muskeg. Although some muskeg areas may turn out to be thick enough to avoid buoyancy control altogether, once construction is underway, it is too late to opt for cheaper alternatives. EnCana Corporation's 24-inch Ekwan pipeline was recently constructed through a remote area of British Columbia to connect the Greater Sierra natural gas discovery to a tie-in point on Nova Gas Transmission's northwest mainline. Air photos indicated that half of the route was through muskeg. AMEC E and C Services Inc. was responsible for the engineering and management of the project. The company used a combination of geophysical techniques to learn about the ground conditions. Toboggan mounted portable equipment was hauled by snowmobiles along trails made earlier by the survey crews. Ground penetrating radar assessed the muskeg thickness. Fixed frequency electromagnetic surveys also enhanced the results of the ground penetrating radar. The number of bolt-on weights was reduced from 9,000 to 3,700, a savings of $3

  14. Room Acoustics

    Science.gov (United States)

    Kuttruff, Heinrich; Mommertz, Eckard

    The traditional task of room acoustics is to create or formulate conditions which ensure the best possible propagation of sound in a room from a sound source to a listener. Thus, objects of room acoustics are in particular assembly halls of all kinds, such as auditoria and lecture halls, conference rooms, theaters, concert halls or churches. Already at this point, it has to be pointed out that these conditions essentially depend on the question if speech or music should be transmitted; in the first case, the criterion for transmission quality is good speech intelligibility, in the other case, however, the success of room-acoustical efforts depends on other factors that cannot be quantified that easily, not least it also depends on the hearing habits of the listeners. In any case, absolutely "good acoustics" of a room do not exist.

  15. Race and time from diagnosis to radical prostatectomy: does equal access mean equal timely access to the operating room?--Results from the SEARCH database.

    Science.gov (United States)

    Bañez, Lionel L; Terris, Martha K; Aronson, William J; Presti, Joseph C; Kane, Christopher J; Amling, Christopher L; Freedland, Stephen J

    2009-04-01

    African American men with prostate cancer are at higher risk for cancer-specific death than Caucasian men. We determine whether significant delays in management contribute to this disparity. We hypothesize that in an equal-access health care system, time interval from diagnosis to treatment would not differ by race. We identified 1,532 African American and Caucasian men who underwent radical prostatectomy (RP) from 1988 to 2007 at one of four Veterans Affairs Medical Centers that comprise the Shared Equal-Access Regional Cancer Hospital (SEARCH) database with known biopsy date. We compared time from biopsy to RP between racial groups using linear regression adjusting for demographic and clinical variables. We analyzed risk of potential clinically relevant delays by determining odds of delays >90 and >180 days. Median time interval from diagnosis to RP was 76 and 68 days for African Americans and Caucasian men, respectively (P = 0.004). After controlling for demographic and clinical variables, race was not associated with the time interval between diagnosis and RP (P = 0.09). Furthermore, race was not associated with increased risk of delays >90 (P = 0.45) or >180 days (P = 0.31). In a cohort of men undergoing RP in an equal-access setting, there was no significant difference between racial groups with regard to time interval from diagnosis to RP. Thus, equal-access includes equal timely access to the operating room. Given our previous finding of poorer outcomes among African Americans, treatment delays do not seem to explain these observations. Our findings need to be confirmed in patients electing other treatment modalities and in other practice settings.

  16. Use of an operating microscope during spine surgery is associated with minor increases in operating room times and no increased risk of infection.

    Science.gov (United States)

    Basques, Bryce A; Golinvaux, Nicholas S; Bohl, Daniel D; Yacob, Alem; Toy, Jason O; Varthi, Arya G; Grauer, Jonathan N

    2014-10-15

    Retrospective database review. To evaluate whether microscope use during spine procedures is associated with increased operating room times or increased risk of infection. Operating microscopes are commonly used in spine procedures. It is debated whether the use of an operating microscope increases operating room time or confers increased risk of infection. The American College of Surgeons National Surgical Quality Improvement Program database, which includes data from more than 370 participating hospitals, was used to identify patients undergoing elective spinal procedures with and without the use of an operating microscope for the years 2011 and 2012. Bivariate and multivariate linear regressions were used to test the association between microscope use and operating room times. Bivariate and multivariate logistic regressions were similarly conducted to test the association between microscope use and infection occurrence within 30 days of surgery. A total of 23,670 elective spine procedures were identified, of which 2226 (9.4%) used an operating microscope. The average patient age was 55.1±14.4 years. The average operative time (incision to closure) was 125.7±82.0 minutes.Microscope use was associated with minor increases in preoperative room time (+2.9 min, P=0.013), operative time (+13.2 min, Pmicroscope and nonmicroscope groups for occurrence of any infection, superficial surgical site infection, deep surgical site infection, organ space infection, or sepsis/septic shock, regardless of surgery type. We did not find operating room times or infection risk to be significant deterrents for use of an operating microscope during spine surgery. 3.

  17. Evaluating time between birth to cry or bag and mask ventilation using mobile delivery room timers in India: the NICHD Global Network's Helping Babies Breathe Trial.

    Science.gov (United States)

    Somannavar, Manjunath S; Goudar, Shivaprasad S; Revankar, Amit P; Moore, Janet L; McClure, Elizabeth M; Destefanis, Pablo; DeCain, Martha; Goco, Norman; Wright, Linda L

    2015-08-06

    The Golden Minute®, the first minute following birth of a newborn, is a critical period for establishing ventilation after delivery, as emphasized in the Helping Babies Breathe® and other resuscitation training programs. Previous studies have reinforced training through observers' evaluation of this time period; although observation is useful for research, it may not be a sustainable method to support resuscitation practice in low-resource settings where few birth attendants are available. In order to reinforce resuscitation within The Golden Minute®, we sought to develop a simple mobile delivery-room timer on an Android cell phone platform for birth attendants to use at the time of delivery. We developed and evaluated a mobile delivery room timer to document the time interval from birth to the initiation of newborn crying/spontaneous respiration or bag and mask ventilation in a convenience sample of women who delivered in five hospitals in Karnataka, India. The mobile delivery room timer is an Android cell phone-based application that recorded key events including crowning, delivery, and crying/spontaneous respiration or bag and mask ventilation. The mobile delivery room timer recorded the birth attendant verbally indicating the time of crowning, birth-(defined as when the entire baby was delivered), crying/spontaneous respiration or bag and mask ventilation. The mobile delivery room timer results were validated in a subsample by a trained observer (nurse) who independently recorded the time between delivery and initiation of crying/spontaneous respiration or bag and mask ventilation. Of the total 4,597 deliveries, 2,107 (46%) were timed; a sample (n = 438) of these deliveries was also observed by a trained nurse. There was high concordance between the mobile delivery room timer and observed time elapsed between birth and crying/spontaneous respiration or ventilation (correlation =0.94, p cried/breathed spontaneously or received bag and mask ventilation by 1

  18. Fluorescence from gaseous UF/sub 6/ excited by a near-UV dye laser. [Decay time,quenching rate,room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Benetti, P [Pavia Univ. (Italy); Cubeddu, R; Sacchi, C A; Svelto, O; Zaraga, F [Politecnico di Milano (Italy)

    1976-06-01

    Preliminary data are reported on the visible fluorescence of gaseous UF/sub 6/ excited by a dye laser at 374 nm. A decay time of 500 ns at p = 0 and a quenching rate of 5.7 x 10/sup -12/cm/sup 3/molec/sup -1/s/sup -1/ have been measured at room temperature.

  19. ARDressCode: Augmented Dressing Room with Tag-based Motion Tracking and Real-Time Clothes Simulation

    DEFF Research Database (Denmark)

    Kjærside, Krista; Kortbek, Karen Johanne; Møller, Henrik Hedegaard

    2005-01-01

    This paper introduces a new augmented reality concept for dressing rooms enabling a customer to combine a tactile experience of the fabrics with easy simulated try-on. The dressing room has a camera and a projection surface instead of a mirror. The customers stick a few visual tags to their normal...... clothes. Then the ARDressCode application features motion capture and provides an AR video stream on the AR “mirror ” with the selected piece of clothes mixed in and fitted to the customer body. Design issues and technical implementation as well as the prospects of further development of the techniques...

  20. Towards a Practical and Scientifically Sound Tool for Measuring Time and Risk Preferences in Pension Savings Decisions

    NARCIS (Netherlands)

    Potters, Jan; Riedl, A.; Smeets, Paul

    We present a recently developed experimental method to estimate individuals’ time and risk preferences and test it for its suitability in the pension context. Participants allocate money between an account that pays out at an earlier date and an account that pays out at later dates. Money allocated

  1. Geology of Woman Saving Concept

    Directory of Open Access Journals (Sweden)

    Shayesteh Madani

    2014-09-01

    Full Text Available Money is lubricant and an instrument for economic transaction. Money social dimension has increased over time, transforming it from a sole economic instrument to a device for various transactions. Money economic value in society is indicated through different forms, one of which is saving, in the sense of money accumulation and its use under specific future circumstances. Women, who form half of the society, take specific approaches to money and savings. The current research aims to investigate the perspectives and changing attitude strategy to money and saving among married women. The participants of this study include 20 to 70 year-old employed household married women who were observed phenomenologically and interviewed qualitatively on saving through.   The findings of this study demonstrated women perspectives on various types of saving, ways of saving, transfer methods, saving consumption forms and their mechanism. It also revealed that while money is an economic instrument and possess the economic material; attitudes and acts related to money are influenced by social conditions that has consequently turned saving into a social phenomenon.

  2. Saving time and energy with oversubscription and semi-direct Møller-Plesset second order perturbation methods.

    Science.gov (United States)

    Fought, Ellie L; Sundriyal, Vaibhav; Sosonkina, Masha; Windus, Theresa L

    2017-04-30

    In this work, the effect of oversubscription is evaluated, via calling 2n, 3n, or 4n processes for n physical cores, on semi-direct MP2 energy and gradient calculations and RI-MP2 energy calculations with the cc-pVTZ basis using NWChem. Results indicate that on both Intel and AMD platforms, oversubscription reduces total time to solution on average for semi-direct MP2 energy calculations by 25-45% and reduces total energy consumed by the CPU and DRAM on average by 10-15% on the Intel platform. Semi-direct gradient time to solution is shortened on average by 8-15% and energy consumption is decreased by 5-10%. Linear regression analysis shows a strong correlation between time to solution and total energy consumed. Oversubscribing during RI-MP2 calculations results in performance degradations of 30-50% at the 4n level. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  3. Transforming parts of a differential equations system to difference equations as a method for run-time savings in NONMEM.

    Science.gov (United States)

    Petersson, K J F; Friberg, L E; Karlsson, M O

    2010-10-01

    Computer models of biological systems grow more complex as computing power increase. Often these models are defined as differential equations and no analytical solutions exist. Numerical integration is used to approximate the solution; this can be computationally intensive, time consuming and be a large proportion of the total computer runtime. The performance of different integration methods depend on the mathematical properties of the differential equations system at hand. In this paper we investigate the possibility of runtime gains by calculating parts of or the whole differential equations system at given time intervals, outside of the differential equations solver. This approach was tested on nine models defined as differential equations with the goal to reduce runtime while maintaining model fit, based on the objective function value. The software used was NONMEM. In four models the computational runtime was successfully reduced (by 59-96%). The differences in parameter estimates, compared to using only the differential equations solver were less than 12% for all fixed effects parameters. For the variance parameters, estimates were within 10% for the majority of the parameters. Population and individual predictions were similar and the differences in OFV were between 1 and -14 units. When computational runtime seriously affects the usefulness of a model we suggest evaluating this approach for repetitive elements of model building and evaluation such as covariate inclusions or bootstraps.

  4. Relative roles of emissions and meteorology in the diurnal pattern of urban PM10: analysis of the daylight saving time effect.

    Science.gov (United States)

    Muñoz, Ricardo C

    2012-06-01

    Daylight saving time (DST) is a common practice in many countries, in which Official Time (OT) is abruptly shifted 1 hour with respect to solar time on two occasions every year (in fall and spring). All anthropogenic emitting processes tied to OT like job and school commuting traffic, abruptly change in this moment their timing with respect to solar time, inducing a sudden shift between emissions and the meteorological factors that control the dispersion and transport of air pollutants. Analyzing 13 years of hourly particulate matter (PM10) concentrations measured in Santiago, Chile, we demonstrate that the DST practice has observable non-trivial effects in the PM10 diurnal cycle. The clearest impact is in the morning peak of PM10 during the fall DST change, which occurs later and has on average a significant smaller magnitude in the days after the DST change as compared to the days before it. This decrease in magnitude is most remarkable because it occurs in a period of the year when overall PM10 concentrations increase due to generally worsening of the dispersion conditions. Results are shown for seven monitoring stations around the city, and for the fall and spring DST changes. They show clearly the interplay of emissions and meteorology in conditioning urban air pollution problems, highlighting the role of the morning and evening transitions of the atmospheric boundary layer in shaping the diurnal pattern of urban air pollutant concentrations.

  5. Saving in cycles: how to get people to save more money.

    Science.gov (United States)

    Tam, Leona; Dholakia, Utpal

    2014-02-01

    Low personal savings rates are an important social issue in the United States. We propose and test one particular method to get people to save more money that is based on the cyclical time orientation. In contrast to conventional, popular methods that encourage individuals to ignore past mistakes, focus on the future, and set goals to save money, our proposed method frames the savings task in cyclical terms, emphasizing the present. Across the studies, individuals who used our proposed cyclical savings method, compared with individuals who used a linear savings method, provided an average of 74% higher savings estimates and saved an average of 78% more money. We also found that the cyclical savings method was more efficacious because it increased implementation planning and lowered future optimism regarding saving money.

  6. The supermarket of the future saves energy. Shop links food refrigeration to room temperature control, and supplements artificial lighting with daylight; Supermarkt der Zukunft spart Energie. Laden koppelt Lebensmittelkuehlung mit Raumtemperierung und ergaenzt die Beleuchtung durch Tageslicht

    Energy Technology Data Exchange (ETDEWEB)

    Gintars, Dorothee

    2013-07-01

    The energy savings division at the discount store Aldi Sued in Rastatt should in the future only need two-thirds of the primary energy usually required for refrigeration, heating, ventilation, air conditioning and lighting. A compressor pack with carbon dioxide as a coolant which has been developed in-house, and which is coupled to borehole heat exchangers, not only cools food, but also provides temperature control for indoor areas. The energy concept, which has been developed at the ISE Fraunhofer Institute for Solar Energy Systems, is rounded off by a well insulated building envelope, the use of daylight and efficient ventilation. In the third year of operation, the amount of energy consumed is coming close to the ambitious target levels. (orig.)

  7. Indoor Solar Thermal Energy Saving Time with Phase Change Material in a Horizontal Shell and Finned-Tube Heat Exchanger

    Directory of Open Access Journals (Sweden)

    S. Paria

    2015-01-01

    Full Text Available An experimental as well as numerical investigation was conducted on the melting/solidification processes of a stationary phase change material (PCM in a shell around a finned-tube heat exchanger system. The PCM was stored in the horizontal annular space between a shell and finned-tube where distilled water was employed as the heat transfer fluid (HTF. The focus of this study was on the behavior of PCM for storage (charging or melting and removal (discharging or solidification, as well as the effect of flow rate on the charged and discharged solar thermal energy. The impact of the Reynolds number was determined and the results were compared with each other to reveal the changes in amount of stored thermal energy with the variation of heat transfer fluid flow rates. The results showed that, by increasing the Reynolds number from 1000 to 2000, the total melting time decreases by 58%. The process of solidification also will speed up with increasing Reynolds number in the discharging process. The results also indicated that the fluctuation of gradient temperature decreased and became smooth with increasing Reynolds number. As a result, by increasing the Reynolds number in the charging process, the theoretical efficiency rises.

  8. Indoor solar thermal energy saving time with phase change material in a horizontal shell and finned-tube heat exchanger.

    Science.gov (United States)

    Paria, S; Sarhan, A A D; Goodarzi, M S; Baradaran, S; Rahmanian, B; Yarmand, H; Alavi, M A; Kazi, S N; Metselaar, H S C

    2015-01-01

    An experimental as well as numerical investigation was conducted on the melting/solidification processes of a stationary phase change material (PCM) in a shell around a finned-tube heat exchanger system. The PCM was stored in the horizontal annular space between a shell and finned-tube where distilled water was employed as the heat transfer fluid (HTF). The focus of this study was on the behavior of PCM for storage (charging or melting) and removal (discharging or solidification), as well as the effect of flow rate on the charged and discharged solar thermal energy. The impact of the Reynolds number was determined and the results were compared with each other to reveal the changes in amount of stored thermal energy with the variation of heat transfer fluid flow rates. The results showed that, by increasing the Reynolds number from 1000 to 2000, the total melting time decreases by 58%. The process of solidification also will speed up with increasing Reynolds number in the discharging process. The results also indicated that the fluctuation of gradient temperature decreased and became smooth with increasing Reynolds number. As a result, by increasing the Reynolds number in the charging process, the theoretical efficiency rises.

  9. Recovery Room

    African Journals Online (AJOL)

    defined postoperative unit or on the hospital ward. Patients were frequently transferred from the operating room directly to the ward where they were placed close to the nursing station. In 1947 the. Anesthesia Study Commission of the Philadelphia.

  10. [Handling modern imaging procedures in a high-tech operating room].

    Science.gov (United States)

    Hüfner, T; Citak, M; Imrecke, J; Krettek, C; Stübig, T

    2012-03-01

    Operating rooms are the central unit in the hospital network in trauma centers. In this area, high costs but also high revenues are generated. Modern operating theater concepts as an integrated model have been offered by different companies since the early 2000s. Our hypothesis is that integrative concepts for operating rooms, in addition to improved operating room ergonomics, have the potential for measurable time and cost savings. In our clinic, an integrated operating room concept (I-Suite, Stryker, Duisburg) was implemented after analysis of the problems. In addition to the ceiling-mounted arrangement, the system includes an endoscopy unit, a navigation system, and a voice control system. In the first 6 months (9/2005 to 2/2006), 112 procedures were performed in the integrated operating room: 34 total knee arthroplasties, 12 endoscopic spine surgeries, and 66 inpatient arthroscopic procedures (28 shoulder and 38 knee reconstructions). The analysis showed a daily saving of 22-45 min, corresponding to 15-30% of the daily changeover times, calculated to account for potential savings in the internal cost allocation of 225-450 EUR. A commercial operating room concept was evaluated in a pilot phase in terms of hard data, including time and cost factors. Besides the described effects further savings might be achieved through the effective use of voice control and the benefit of the sterile handle on the navigation camera, since waiting times for an additional nurse are minimized. The time of the procedure of intraoperative imaging is also reduced due to the ceiling-mounted concept, as the C-arm can be moved freely in the operating theater without hindering cables. By these measures and ensuing improved efficiency, the initial high costs for the implementation of the system may be cushioned over time.

  11. Reinforcement Learning and Savings Behavior*

    Science.gov (United States)

    Choi, James J.; Laibson, David; Madrian, Brigitte C.; Metrick, Andrew

    2009-01-01

    We show that individual investors over-extrapolate from their personal experience when making savings decisions. Investors who experience particularly rewarding outcomes from saving in their 401(k)—a high average and/or low variance return—increase their 401(k) savings rate more than investors who have less rewarding experiences with saving. This finding is not driven by aggregate time-series shocks, income effects, rational learning about investing skill, investor fixed effects, or time-varying investor-level heterogeneity that is correlated with portfolio allocations to stock, bond, and cash asset classes. We discuss implications for the equity premium puzzle and interventions aimed at improving household financial outcomes. PMID:20352013

  12. Telecardiology application in jordan: its impact on diagnosis and disease management, patients' quality of life, and time- and cost-savings.

    Science.gov (United States)

    Khader, Yousef Saleh; Jarrah, Mohamad Ismail; Al-Shudifat, Abde-Ellah M; Shdaifat, Amjad; Aljanabi, Husham; Al-Fakeh, Shadwan Ismeil; Turk, Elias Emil; Zayed, Khaled Ali; Al Quran, Hanadi A; Ellauzi, Ziad Mohd; Al Tahan, Mohammad

    2014-01-01

    Objectives. To assess the impact of live interactive telecardiology on diagnosis and disease management, patients' quality of life, and time- and cost-savings. Methods. All consecutive patients who attended or were referred to the teleclinics for suspected cardiac problems in two hospitals in remote areas of Jordan during the study period were included in the study. Patients were interviewed for relevant information and their quality of life was assessed during the first visit and 8 weeks after the last visit. Results. A total of 76 patients were included in this study. Final diagnosis and treatment plan were established as part of the telecardiology consultations in 71.1% and 77.3% of patients, respectively. Patients' travel was avoided for 38 (50.0%) who were managed locally. The majority of patients perceived that the visit to the telecardiology clinic results in less travel time (96.1%), less waiting time (98.1%), and lower cost (100.0%). Telecardiology consultations resulted in an improvement in the quality of life after two months of the first visit. Conclusions. Telecardiology care in remote areas of Jordan would improve the access to health care, help to reach proper diagnosis and establish the treatment plan, and improve the quality of life.

  13. Selection of population controls for a Salmonella case-control study in the UK using a market research panel and web-survey provides time and resource savings.

    Science.gov (United States)

    Mook, P; Kanagarajah, S; Maguire, H; Adak, G K; Dabrera, G; Waldram, A; Freeman, R; Charlett, A; Oliver, I

    2016-04-01

    Timely recruitment of population controls in infectious disease outbreak investigations is challenging. We evaluated the timeliness and cost of using a market research panel as a sampling frame for recruiting controls in a case-control study during an outbreak of Salmonella Mikawasima in the UK in 2013. We deployed a web-survey by email to targeted members of a market research panel (panel controls) in parallel to the outbreak control team interviewing randomly selected public health staff by telephone and completing paper-based questionnaires (staff controls). Recruitment and completion of exposure history web-surveys for panel controls (n = 123) took 14 h compared to 15 days for staff controls (n = 82). The average staff-time cost per questionnaire for staff controls was £13·13 compared to an invoiced cost of £3·60 per panel control. Differences in the distribution of some exposures existed between these control groups but case-control studies using each group found that illness was associated with consumption of chicken outside of the home and chicken from local butchers. Recruiting market research panel controls offers time and resource savings. More rapid investigations would enable more prompt implementation of control measures. We recommend that this method of recruiting controls is considered in future investigations and assessed further to better understand strengths and limitations.

  14. Nanosecond retinal structure changes in K-590 during the room-temperature bacteriorhodopsin photocycle: picosecond time-resolved coherent anti-stokes Raman spectroscopy

    OpenAIRE

    Weidlich, O.; Ujj, L.; Jäger, F.; Atkinson, G.H.

    1997-01-01

    Time-resolved vibrational spectra are used to elucidate the structural changes in the retinal chromophore within the K-590 intermediate that precedes the formation of the L-550 intermediate in the room-temperature (RT) bacteriorhodopsin (BR) photocycle. Measured by picosecond time-resolved coherent anti-Stokes Raman scattering (PTR/CARS), these vibrational data are recorded within the 750 cm-1 to 1720 cm-1 spectral region and with time delays of 50-260 ns after the RT/BR photocycle is optical...

  15. Preoperative ultrasound staging of the axilla make's peroperative examination of the sentinel node redundant in breast cancer: saving tissue, time and money.

    Science.gov (United States)

    Van Berckelaer, Christophe; Huizing, Manon; Van Goethem, Mireille; Vervaecke, Andrew; Papadimitriou, Konstantinos; Verslegers, Inge; Trinh, Bich X; Van Dam, Peter; Altintas, Sevilay; Van den Wyngaert, Tim; Huyghe, Ivan; Siozopoulou, Vasiliki; Tjalma, Wiebren A A

    2016-11-01

    To evaluate the role of preoperative axillary staging with ultrasound (US) and fine needle aspiration cytology (FNAC). Can we avoid intraoperative sentinel lymph node (SLN) examination, with an acceptable revision rate by preoperative staging? This study is based on the retrospective data of 336 patients that underwent US evaluation of the axilla as part of their staging. A FNAC biopsy was performed when abnormal lymph nodes were visualized. Patients with normal appearing nodes on US or a benign diagnostic biopsy had removal of the SLNs without intraoperative pathological examination. We calculated the sensitivity, specificity and accuracy of US/FNAC in predicting the necessity of an axillary lymphadenectomy. Subsequently we looked at the total cost and the operating time of 3 models. Model A is our study protocol. Model B is a theoretical protocol based on the findings of the Z0011 trial with only clinical preoperative staging and in Model C preoperative staging and intraoperative pathological examination were both theoretically done. sentinel node, staging, ultrasound, preoperative axillary staging, FNAC, axilla RESULTS: The sensitivity, specificity and accuracy are respectively 0.75 (0.66-0.82), 1.00 (0.99-1.00) and 0.92 (0.88-0.94). Only 26 out of 317 (8.2%) patients that successfully underwent staging needed a revision. The total cost of Model A was 1.58% cheaper than Model C and resulted in a decrease in operation time by 9,46%. The benefits compared with Model B were much smaller. Preoperative US/FNAC staging of the axillary lymph nodes can avoid intraoperative examination of the sentinel node with an acceptable revision rate. It saves tissue, reduces operating time and decreases healthcare costs in general. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  16. The Genome-Wide DNA Methylation Profile of Peripheral Blood Is Not Systematically Changed by Short-Time Storage at Room Temperature

    Directory of Open Access Journals (Sweden)

    Nicklas Heine Staunstrup

    2017-12-01

    Full Text Available Background: Epigenetic epidemiology has proven an important research discipline in the delineation of diseases of complex etiology. The approach, in such studies, is often to use bio-banked clinical material, however, many such samples were collected for purposes other than epigenetic studies and, thus, potentially not processed and stored appropriately. The Danish National Birth Cohort (DNBC includes more than 100,000 peripheral and umbilical cord blood samples shipped from maternity wards by ordinary mail in EDTA tubes. While this and other similar cohorts hold great promises for DNA methylation studies the potential systematic changes prompted by storage at ambient temperatures have never been assessed on a genome-wide level. Methods and Results: In this study, matched EDTA whole blood samples were stored up to three days at room temperature prior to DNA extraction and methylated DNA immunoprecipitation coupled with deep sequencing (MeDIP-seq. We established that the quality of the MeDIP-seq libraries was high and comparable across samples; and that the methylation profiles did not change systematically during the short-time storage at room temperature. Conclusion: The global DNA methylation profile is stable in whole blood samples stored for up to three days at room temperature in EDTA tubes making genome-wide methylation studies on such material feasible.

  17. SU-F-J-44: Development of a Room Laser Based Real-Time Alignment Monitoring System Using An Array of Photodiodes

    International Nuclear Information System (INIS)

    Noh, Y; Kim, T; Kang, S; Kim, D; Cho, M; Kim, K; Shin, D; Suh, T; Kim, S

    2016-01-01

    Purpose: To develop a real-time alignment monitoring system (RAMS) to compensate for the limitations of the conventional room laser based alignment system, and to verify the feasibility of the RAMS. Methods: The RAMS was composed of a room laser sensing array (RLSA), an analog-todigital converter, and a control PC. In the RLSA, seven photodiodes (each in 1 mm width) are arranged in a pattern that the RAMS provides alignment in 1 mm resolution. It works based on detecting laser light aligned on one of photodiodes. When misaligned, the laser would match with different photodiode(s) giving signal at unexpected location. Thus, how much displaced can be determined. To verify the reproducibility of the system with respect to time as well as repeated set-ups, temporal reproducibility and repeatability test was conducted. The accuracy of the system was tested by obtaining detection signals with varying laser-match positions. Results: The signal of the RAMS was found to be stable with respect to time. The repeatability test resulted in a maximum coefficient of variance of 1.14%, suggesting that the signal of the RAMS was stable over repeated set-ups. In the accuracy test, signals between when the laser was aligned and notaligned with any of sensors could be distinguished by signal intensity. The signals of not-aligned sensors were always below 75% of the signal of the aligned sensor. It was confirmed that the system could detect 1 mm of movement by monitoring the pattern of signals, and could observe the movement of the system in real-time. Conclusion: We developed a room laser based alignment monitoring system. The feasibility test verified that the system is capable of quantitative alignment monitoring in real time. The system is relatively simple, not expensive, and considered to be easily incorporated into conventional room laser systems for real-time alignment monitoring. This research was supported by the Mid-career Researcher Program through NRF funded by the

  18. Creators Room

    DEFF Research Database (Denmark)

    Iversholt, Lene; Iversholt Toft, Karina

    2012-01-01

    Creators Room er et koncept til daginsitutioner, der indrammer og giver bud på en forståelse mellem inkluderende pædagogik og fysiske rammer. Konceptet er udviklet i et tværfagligt procesforløb, hvor formålet har været at skabe stadig bedre indendørsmiljøer for børn ved at forene pædagogiske...

  19. Private Sector Savings

    Directory of Open Access Journals (Sweden)

    Pitonáková Renáta

    2018-03-01

    Full Text Available The majority of household savings are in the form of bank deposits. It is therefore of interest for credit institutions to tailor their deposit policy for getting finances from non-banking entities and to provide the private sector with the loans that are necessary for investment activities and consumption. This paper deals with the determinants of the saving rate of the private sector of Slovakia. Economic, financial and demographic variables influence savings. Growth of income per capita, private disposable income, elderly dependency ratio, real interest rate and inflation have a positive impact on savings, while increases in public savings indicate a crowding out effect. The inflation rate implies precautionary savings, and dependency ratio savings for bequest. There are also implications for governing institutions deciding on the implementation of appropriate fiscal and monetary operations.

  20. Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities - A qualitative case study in Bangladesh.

    Science.gov (United States)

    Biswas, Animesh; Anderson, Rondi; Doraiswamy, Sathyanarayanan; Abdullah, Abu Sayeed Md; Purno, Nabila; Rahman, Fazlur; Halim, Abdul

    2018-01-01

    Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016.  In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby's as well as mother's lives in resource-poor teagardens with a considerable access barrier to health facilities.

  1. Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh

    Science.gov (United States)

    Biswas, Animesh; Anderson, Rondi; Doraiswamy, Sathyanarayanan; Abdullah, Abu Sayeed Md.; Purno, Nabila; Rahman, Fazlur; Halim, Abdul

    2018-01-01

    Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016.  In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities. PMID:29707205

  2. Do we still need autopsy in times of modern multislice computed tomography?-Missed diagnoses in the emergency room.

    Science.gov (United States)

    Euler, S A; Kastenberger, T; Attal, R; Rieger, M; Blauth, M; Petri, M

    2017-01-01

    In spite of increasing quality of emergency room (ER) assessment in trauma patients and improved accuracy of modern multislice computed tomography (MSCT), the number of potentially missed diagnoses is still controversial. The aim of this study was to compare the initial findings of ER assessment and MSCT to the findings during autopsy in trauma patients not surviving the first 48 h after admission. We hypothesized that autopsy was more accurate than MSCT in diagnosing potentially fatal diagnoses. Between January 2004 and September 2007, all trauma patients undergoing ER treatment in our institution who deceased within 48 h after admission were analyzed regarding diagnoses from initial ER assessment, including MSCT, and diagnoses from autopsy. Data were prospectively collected and retrospectively analyzed. Autopsy reports were compared to diagnoses of ER assessment and MSCT. Missed diagnoses (MD) and missed potentially fatal diagnoses (MPFD) were analyzed. Seventy-three patients with a mean age of 53.2 years were included into the study. Sixty-three percent were male. Autopsy revealed at least one missed diagnosis in 25% of the patients, with the thoracic area accounting for 67% of these. At least one MPFD was found in 4.1% of the patients, all of them being located in the thorax. Total numbers of MD and MPFD were significantly lower for the newer CT generation (64 MSCT, N = 11), compared to older one (4 MSCT, N = 26). As determined by autopsy, modern multislice computed tomography is an accurate method to diagnose injuries. However, 25% of all diagnoses, and 4.1% of potentially fatal diagnoses are still missed in trauma patients, who deceased within the first 48 h after admission. Therefore, autopsy seems to be necessary to determine potentially missed diagnoses for both academic and medicolegal reasons as well as for quality control.

  3. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time.

    Science.gov (United States)

    Stepaniak, Pieter S; Vrijland, Wietske W; de Quelerij, Marcel; de Vries, Guus; Heij, Christiaan

    2010-12-01

    If variation in procedure times could be controlled or better predicted, the cost of surgeries could be reduced through improved scheduling of surgical resources. This study on the impact of similar consecutive cases on the turnover, surgical, and procedure times tests the perception that repeating the same manual tasks reduces the duration of these tasks. We hypothesize that when a fixed team works on similar consecutive cases the result will be shorter turnover and procedure duration as well as less variation as compared with the situation without a fixed team. Case-control study. St Franciscus Hospital, a large general teaching hospital in Rotterdam, the Netherlands. Two procedures, inguinal hernia repair and laparoscopic cholecystectomy, were selected and divided across a control group and a study group. Patients were randomly assigned to the study or control group. Preparation time, surgical time, procedure time, and turnover time. For inguinal hernia repair, we found a significantly lower preparation time and 10 minutes less procedure time in the study group, as compared with the control group. Variation in the study group was lower, as compared with the control group. For laparoscopic cholecystectomy, preparation time was significantly lower in the study group, as compared with the control group. For both procedures, there was a significant decrease in turnover time. Scheduling similar consecutive cases and performing with a fixed team results in lower turnover times and preparation times. The procedure time of the inguinal hernia repair decreased significantly and has practical scheduling implications. For more complex surgery, like laparoscopic cholecystectomy, there is no effect on procedure time.

  4. Vibrational spectrum of the K-590 intermediate in the bacteriorhodopsin photocycle at room temperature: picosecond time-resolved resonance coherent anti-Raman spectroscopy

    Science.gov (United States)

    Ujj, L.; Jäger, F.; Popp, A.; Atkinson, G. H.

    1996-12-01

    The vibrational spectrum of the K-590 intermediate, thought to contribute significantly to the energy storage and transduction mechanism in the bacteriorhodopsin (BR) photocycle, is measured at room temperature using picosecond time-resolved resonance coherent anti-Stokes Raman scattering (PTR/CARS). The room-temperature BR photocycle is initiated by the 3 ps, 570 nm excitation of the ground-state species, BR-570, prepared in both H 2O and D 2O suspensions of BR. PTR/CARS data, recorded 50 ps after BR-570 excitation, at which time only BR-570 and K-590 are present, have an excellent S/N which provides a significantly more detailed view of the K-590 vibrational degrees of freedom than previously available. Two picosecond (6 ps FWHM) laser pulses, ω1 (633.4 nm) and ωS (675-700 nm), are used to record PTR/CARS data via electronic resonance enhancement in both BR-570 and K-590, each of which contains a distinct retinal structure (assigned as 13- rans, 15- anti, 13- cis, respectively). To obtain the vibrational spectrum of K-590 separately, the PTR/CARS spectra from the mixture of isomeric retinals is quantitatively analyzed in terms of third-order susceptibility ( η(3)) relationships. PTR/CARS spectra of K-590 recorded from both H 2O and D 2O suspensions of BR are compared with the analogous vibrational data obtained via spontaneous resonance Raman (RR) scattering at both low (77 K) and room temperature. Analyses of these vibrational spectra identify temperature-dependent effects and changes assignable to the substitution of deuterium at the Schiff-base nitrogen not previously reported.

  5. The Virtual Dressing Room

    DEFF Research Database (Denmark)

    Holte, Michael Boelstoft

    2013-01-01

    This paper presents a review of recent developments and future perspectives, addressing the problem of creating a virtual dressing room. First, we review the current state-of-the-art of exiting solutions and discuss their applicability and limitations. We categorize the exiting solutions into three...... kinds: (1) virtual real-time 2D image/video techniques, where the consumer gets to superimpose the clothes on their real-time video to visualize themselves wearing the clothes. (2) 2D and 3D mannequins, where a web-application uses the body measurements provided by the customer, to superimpose...... and their demands to a virtual dressing room....

  6. Influence of malaxation time of olive paste on oil extraction yields and chemical and organoleptic characteristics of virgin olive oil obtained by a centrifugal decanter at water saving

    Directory of Open Access Journals (Sweden)

    Serraiocco, A.

    2002-06-01

    Full Text Available Experimental tests were carried out to ascertain the influence of malaxation time of olive paste on extraction yields and qualitative characteristics of virgin olive oils obtained by a centrifugal decanter at water saving. Results show that malaxation time has to be no less than 45 minutes to have a satisfactory oil extraction yield. Furthermore, it was ascertained that the malaxation time, protracted up to 90 minutes, does not have influence upon qualitative and organoleptic characteristics of oils. Only the total phenols content of oils changed significantly when the malaxation time of olive paste increased from 15 to 90 minutes. However, in this research has been demonstrated that in some cases the total phenols content of oils increased during the first 30-45 minutes of malaxation and after it diminished. This is due to the variation of total phenols content of vegetable water that in the first time increased and after diminished very quickly. Because of the partition equilibrium law, the total phenols content of oil changed in the same way. Finally, results show that the composition of volatile substances of head-space of oils did not change increasing the malaxation time of olive paste obtained from good quality olive fruits.Se realizaron pruebas experimentales para verificar la influencia del tiempo de batido sobre los rendimientos en aceite y sobre las características de la calidad de los aceites obtenidos con un decanter centrifugo con ahorro de agua. Los resultados conseguidos indicaron que el tiempo de batido no debe ser inferior a 45 minutos para poder obtener rendimientos en aceite satisfactorios. Además, se pudo verificar que la operación de batido, aun siendo prolongada a 90 minutos, no influencia significativamente en las características cualitativas y organolépticas de los aceites. Solo el contenido de fenoles totales en los aceites disminuyó cuando el tiempo de batido fue incrementado de 15 a 90 minutos. Sin embargo, se

  7. Energy saving certificates

    International Nuclear Information System (INIS)

    2005-11-01

    The French ministry of economy, finances and industry and the French agency of environment and energy mastery (Ademe) have organized on November 8, 2005, a colloquium for the presentation of the energy saving certificates, a new tool to oblige the energy suppliers to encourage their clients to make energy savings. This document gathers the transparencies presented at this colloquium about the following topics: state-of-the-art and presentation of the energy saving certificates system: presentation of the EEC system, presentation of the EEC standard operations; the energy saving certificates in Europe today: energy efficiency commitment in UK, Italian white certificate scheme, perspectives of the different European systems. (J.S.)

  8. Creating Engaging Escape Rooms for the Classroom

    Science.gov (United States)

    Nicholson, Scott

    2018-01-01

    Escape rooms are "live-action team-based games where players discover clues, solve puzzles, and accomplish tasks in one or more rooms in order to accomplish a specific goal (usually escaping from the room) in a limited amount of time." Escape Rooms are one type of Escape Game, which are narrative-based challenges that use puzzles, tasks,…

  9. Contract saving schemes

    NARCIS (Netherlands)

    Ronald, R.; Smith, S.J.; Elsinga, M.; Eng, O.S.; Fox O'Mahony, L.; Wachter, S.

    2012-01-01

    Contractual saving schemes for housing are institutionalised savings programmes normally linked to rights to loans for home purchase. They are diverse types as they have been developed differently in each national context, but normally fall into categories of open, closed, compulsory, and ‘free

  10. Birth room images

    DEFF Research Database (Denmark)

    Bowden, Calida; Sheehan, Athena; Foureur, Maralyn Jean

    2016-01-01

    Objective: this study examined images of birth rooms in developed countries to analyse the messages and visual discourse being communicated through images. Design: a small qualitative study using Kress and van Leeuwen's (2006) social semiotic theoretical framework for image analysis, a form...... and implications for practice: as images on the Internet inform and persuade society about stereotypical behaviours, the trends of our time and sociocultural norms, it is important to recognise images of the technological birth room on the Internet may be influential in dictating women's attitudes, choices...

  11. Test Room Stability Plan

    International Nuclear Information System (INIS)

    1993-01-01

    This plan documents the combination of designs, installations, programs, and activities that ensures that the underground excavations at the Waste Isolation Pilot Plant (WIPP), in which transuranic (TRU) waste may be emplaced during the Test Phase, will remain sufficiently stable and safe during that time. The current ground support systems installed at the WIPP are the result of over ten years of data collection from hundreds of geomechanical instruments and thousands of hours of direct observation of the changing conditions of the openings. In addition, some of the world's most respected experts on salt rock mechanics have provided input in the design process and concurrence on the suitability of the final design. The general mine rockbolt pattern and the ground support system for the test rooms are designed to specifically address the fracture and deformation geometries observed today at the WIPP. After an introductory chapter, this plan describes the general underground design, then proceeds to an account of general ground support performance, and finally focuses on the details of the special test room ground support systems. One such system already installed in Room 1, Panel 1, is described in comprehensive detail. Other test rooms in Panel 1, whether full-size or smaller, will be equipped with systems that ensure stability to the same or equivalent extent. They will benefit from the experience gained in the first test room, which in turn benefitted from the data and knowledge accumulated during previous stages (e.g., the Site and Preliminary Design Validation program) of the project

  12. Time-dependent radiolytic yields at room temperature and temperature-dependent absorption spectra of the solvated electrons in polyols

    International Nuclear Information System (INIS)

    Lin Mingzhang; Mostafavi, M.; Lampre, I.; Muroya, Y.; Katsumura, Y.

    2007-01-01

    The molar extinction coefficients at the absorption maximum of the solvated electron spectrum have been evaluated to be 900, 970, and 1000 mol -1 ·m 2 for 1,2-ethanediol (12ED), 1,2-propanediol (12PD), and 1,3-propanediol (13PD), respectively. These values are two-third or three-fourth of the value usually reported in the published report. Picosecond pulse radiolysis studies have aided in depicting the radiolytic yield of the solvated electron in these solvents as a function of time from picosecond to microsecond. The radiolytic yield in these viscous solvents is found to be strongly different from that of the water solution. The temperature dependent absorption spectra of the solvated electron in 12ED, 12PD, and 13PD have been also investigated. In all the three solvents, the optical spectra shift to the red with increasing temperature. While the shape of the spectra does not change in 13PD, a widening on the blue side of the absorption band is observed in 12ED and 12PD at elevated temperatures. (authors)

  13. Invisible costs, visible savings.

    Science.gov (United States)

    Lefever, G

    1999-08-01

    By identifying hidden inventory costs, nurse managers can save money for the organization. Some measures include tracking and standardizing supplies, accurately evaluating patients' needs, and making informed purchasing decisions.

  14. Realized Cost Savings 2016

    Data.gov (United States)

    Department of Veterans Affairs — This dataset is provided as a requirement of OMB’s Integrated Data Collection (IDC) and links to VA’s Realized Cost Savings and Avoidances data in JSON format. Cost...

  15. Benefits of Leapfrogging to Superefficiency and Low Global Warming Potential Refrigerants in Room Air Conditioning

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Technologies Area; Wei, Max [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Technologies Area; Letschert, Virginie [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Technologies Area; Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Technologies Area

    2015-10-01

    Hydrofluorocarbons (HFCs) emitted from uses such as refrigerants and thermal insulating foam, are now the fastest growing greenhouse gases (GHGs), with global warming potentials (GWP) thousands of times higher than carbon dioxide (CO2). Because of the short lifetime of these molecules in the atmosphere, mitigating the amount of these short-lived climate pollutants (SLCPs) provides a faster path to climate change mitigation than control of CO2 alone. This has led to proposals from Africa, Europe, India, Island States, and North America to amend the Montreal Protocol on Substances that Deplete the Ozone Layer (Montreal Protocol) to phase-down high-GWP HFCs. Simultaneously, energy efficiency market transformation programs such as standards, labeling and incentive programs are endeavoring to improve the energy efficiency for refrigeration and air conditioning equipment to provide life cycle cost, energy, GHG, and peak load savings. In this paper we provide an estimate of the magnitude of such GHG and peak electric load savings potential, for room air conditioning, if the refrigerant transition and energy efficiency improvement policies are implemented either separately or in parallel. We find that implementing HFC refrigerant transition and energy efficiency improvement policies in parallel for room air conditioning, roughly doubles the benefit of either policy implemented separately. We estimate that shifting the 2030 world stock of room air conditioners from the low efficiency technology using high-GWP refrigerants to higher efficiency technology and low-GWP refrigerants in parallel would save between 340-790 gigawatts (GW) of peak load globally, which is roughly equivalent to avoiding 680-1550 peak power plants of 500MW each. This would save 0.85 GT/year annually in China equivalent to over 8 Three Gorges dams and over 0.32 GT/year annually in India equivalent to roughly twice India’s 100GW solar mission target. While there is some uncertainty associated with

  16. Saving gas project

    Energy Technology Data Exchange (ETDEWEB)

    Vasques, Maria Anunciacao S. [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil); Garantizado, Maria Auxiliadora G. [CONCREMAT Engenharia, Rio de Janeiro, RJ (Brazil)

    2009-12-19

    The work presented was implemented in municipalities around the construction of the pipeline project Urucu-Coari-Manaus, the Engineering / IETEG-IENOR, because of the constant release of workers, consequently the finishing stages of this work and its future completion. The Project aims to guide saving gas with the workforce, their families and communities to the enterprise of small business cooperatives and solidarity within the potential of the site. This project is developed through the workshops: entrepreneur ship, tourism, use, reuse and recycling of products, and hortifruiti culture, agroecology, agribusiness (cooperativism solidarity) and forestry. Its execution took place in two phases, the first called 'pilot' of 12/12/2007 to 27/03/2008 in sections A and B1, in the municipality of Coari stretch and B2 in Caapiranga. The second phase occurred from 30/06 to 27/09/08, in the words B1, in the municipalities of Codajas and Anori words and B2 in Iranduba, Manacapuru and Anama. The workshops were held in state and municipal schools and administered by the Institute of Social and Environmental Amazon - ISAM, which had a team of coordinators, teachers, experts and masters of the time until the nineteen twenty-two hours to implement the project. (author)

  17. Emergency room visits for respiratory conditions in children increased after Guagua Pichincha volcanic eruptions in April 2000 in Quito, Ecuador Observational Study: Time Series Analysis

    Directory of Open Access Journals (Sweden)

    Jagai Jyotsna S

    2007-07-01

    Full Text Available Abstract Background This study documented elevated rates of emergency room (ER visits for acute upper and lower respiratory infections and asthma-related conditions in the children of Quito, Ecuador associated with the eruption of Guagua Pichincha in April of 2000. Methods We abstracted 5169 (43% females ER records with primary respiratory conditions treated from January 1 – December 27, 2000 and examined the change in pediatric ER visits for respiratory conditions before, during, and after exposure events of April, 2000. We applied a Poisson regression model adapted to time series of cases for three non-overlapping disease categories: acute upper respiratory infection (AURI, acute lower respiratory infection (ALRI, and asthma-related conditions in boys and girls for three age groups: 0–4, 5–9, and 10–15 years. Results At the main pediatric medical facility, the Baca Ortiz Pediatric Hospital, the rate of emergency room (ER visits due to respiratory conditions substantially increased in the three weeks after eruption (RR = 2.22, 95%CI = [1.95, 2.52] and RR = 1.72 95%CI = [1.49, 1.97] for lower and upper respiratory tract infections respectively. The largest impact of eruptions on respiratory distress was observed in children younger than 5 years (RR = 2.21, 95%CI = [1.79, 2.73] and RR = 2.16 95%CI = [1.67, 2.76] in boys and girls respectively. The rate of asthma and asthma-related diagnosis doubled during the period of volcano fumarolic activity (RR = 1.97, 95%CI = [1.19, 3.24]. Overall, 28 days of volcanic activity and ash releases resulted in 345 (95%CI = [241, 460] additional ER visits due to respiratory conditions. Conclusion The study has demonstrated strong relationship between ash exposure and respiratory effects in children.

  18. Emergency room visits for respiratory conditions in children increased after Guagua Pichincha volcanic eruptions in April 2000 in Quito, Ecuador observational study: time series analysis.

    Science.gov (United States)

    Naumova, Elena N; Yepes, Hugo; Griffiths, Jeffrey K; Sempértegui, Fernando; Khurana, Gauri; Jagai, Jyotsna S; Játiva, Edgar; Estrella, Bertha

    2007-07-24

    This study documented elevated rates of emergency room (ER) visits for acute upper and lower respiratory infections and asthma-related conditions in the children of Quito, Ecuador associated with the eruption of Guagua Pichincha in April of 2000. We abstracted 5169 (43% females) ER records with primary respiratory conditions treated from January 1-December 27, 2000 and examined the change in pediatric ER visits for respiratory conditions before, during, and after exposure events of April, 2000. We applied a Poisson regression model adapted to time series of cases for three non-overlapping disease categories: acute upper respiratory infection (AURI), acute lower respiratory infection (ALRI), and asthma-related conditions in boys and girls for three age groups: 0-4, 5-9, and 10-15 years. At the main pediatric medical facility, the Baca Ortiz Pediatric Hospital, the rate of emergency room (ER) visits due to respiratory conditions substantially increased in the three weeks after eruption (RR = 2.22, 95%CI = [1.95, 2.52] and RR = 1.72 95%CI = [1.49, 1.97] for lower and upper respiratory tract infections respectively. The largest impact of eruptions on respiratory distress was observed in children younger than 5 years (RR = 2.21, 95%CI = [1.79, 2.73] and RR = 2.16 95%CI = [1.67, 2.76] in boys and girls respectively). The rate of asthma and asthma-related diagnosis doubled during the period of volcano fumarolic activity (RR = 1.97, 95%CI = [1.19, 3.24]). Overall, 28 days of volcanic activity and ash releases resulted in 345 (95%CI = [241, 460]) additional ER visits due to respiratory conditions. The study has demonstrated strong relationship between ash exposure and respiratory effects in children.

  19. The research and application of green computer room environmental monitoring system based on internet of things technology

    Science.gov (United States)

    Wei, Wang; Chongchao, Pan; Yikai, Liang; Gang, Li

    2017-11-01

    With the rapid development of information technology, the scale of data center increases quickly, and the energy consumption of computer room also increases rapidly, among which, energy consumption of air conditioning cooling makes up a large proportion. How to apply new technology to reduce the energy consumption of the computer room becomes an important topic of energy saving in the current research. This paper study internet of things technology, and design a kind of green computer room environmental monitoring system. In the system, we can get the real-time environment data from the application of wireless sensor network technology, which will be showed in a creative way of three-dimensional effect. In the environment monitor, we can get the computer room assets view, temperature cloud view, humidity cloud view, microenvironment view and so on. Thus according to the condition of the microenvironment, we can adjust the air volume, temperature and humidity parameters of the air conditioning for the individual equipment cabinet to realize the precise air conditioning refrigeration. And this can reduce the energy consumption of air conditioning, as a result, the overall energy consumption of the green computer room will reduce greatly. At the same time, we apply this project in the computer center of Weihai, and after a year of test and running, we find that it took a good energy saving effect, which fully verified the effectiveness of this project on the energy conservation of the computer room.

  20. Lack of sensitivity of staffing for 8-hour sessions to standard deviation in daily actual hours of operating room time used for surgeons with long queues.

    Science.gov (United States)

    Pandit, Jaideep J; Dexter, Franklin

    2009-06-01

    At multiple facilities including some in the United Kingdom's National Health Service, the following are features of many surgical-anesthetic teams: i) there is sufficient workload for each operating room (OR) list to almost always be fully scheduled; ii) the workdays are organized such that a single surgeon is assigned to each block of time (usually 8 h); iii) one team is assigned per block; and iv) hardly ever would a team "split" to do cases in more than one OR simultaneously. We used Monte-Carlo simulation using normal and Weibull distributions to estimate the times to complete lists of cases scheduled into such 8 h sessions. For each combination of mean and standard deviation, inefficiencies of use of OR time were determined for 10 h versus 8 h of staffing. When the mean actual hours of OR time used averages standard deviation and relative cost of over-run to under-run. When mean > or = 8 h 50 min, 10 h staffing has higher OR efficiency. For 8 h 25 min standard deviation of 60 min and relative cost of over-run to under-run of 2.0 versus (b) 8 h 48 min for normal, standard deviation of 0 min and relative cost ratio of 1.50. Although the simplest decision rule would be to staff for 8 h if the mean workload is standard deviation 60 min, and relative cost ratio of 2.00, the inefficiency of use of OR time would be 34% larger if staffing were planned for 8 h instead of 10 h. For surgical teams with 8 h sessions, use the following decision rule for anesthesiology and OR nurse staffing. If actual hours of OR time used averages or = 8 h 50 min, plan 10 h staffing. For averages in between, perform the full analysis of McIntosh et al. (Anesth Analg 2006;103:1499-516).

  1. CellDyM: A room temperature operating cryogenic cell for the dynamic monitoring of snow metamorphism by time-lapse X-ray microtomography

    Science.gov (United States)

    Calonne, N.; Flin, F.; Lesaffre, B.; Dufour, A.; Roulle, J.; Puglièse, P.; Philip, A.; Lahoucine, F.; Geindreau, C.; Panel, J.-M.; Roscoat, S. Rolland; Charrier, P.

    2015-05-01

    Monitoring the time evolution of snow microstructure in 3-D is crucial for a better understanding of snow metamorphism. We, therefore, designed a cryogenic cell that precisely controls the experimental conditions of a sample while it is scanned by X-ray tomography. Based on a thermoelectrical regulation and a vacuum insulation, the cell operates at room temperature. It is, thus, adaptable to diverse scanners, offering advantages in terms of imaging techniques, resolution, and speed. Three-dimensional time-lapse series were obtained under equitemperature and temperature gradient conditions at a 7.8 μm precision. The typical features of each metamorphism and the anisotropic faceting behavior between the basal and prismatic planes, known to occur close to -2°C, were observed in less than 30 h. These results are consistent with the temperature fields expected from heat conduction simulations through the cell. They confirm the cell's accuracy and the interest of relatively short periods to study snow metamorphism.

  2. Real-time monitoring for detection of retained surgical sponges and team motion in the surgical operation room using radio-frequency-identification (RFID) technology: a preclinical evaluation.

    Science.gov (United States)

    Kranzfelder, Michael; Zywitza, Dorit; Jell, Thomas; Schneider, Armin; Gillen, Sonja; Friess, Helmut; Feussner, Hubertus

    2012-06-15

    Technical progress in the surgical operating room (OR) increases constantly, facilitating the development of intelligent OR systems functioning as "safety backup" in the background of surgery. Precondition is comprehensive data retrieval to identify imminent risky situations and inaugurate adequate security mechanisms. Radio-frequency-identification (RFID) technology may have the potential to meet these demands. We set up a pilot study investigating feasibility and appliance reliability of a stationary RFID system for real-time surgical sponge monitoring (passive tagged sponges, position monitoring: mayo-stand/abdominal situs/waste bucket) and OR team tracking (active transponders, position monitoring: right/left side of OR table). In vitro: 20/20 sponges (100%) were detected on the mayo-stand and within the OR-phantom, however, real-time detection accuracy declined to 7/20 (33%) when the tags were moved simultaneously. All retained sponges were detected correctly. In vivo (animal): 7-10/10 sterilized sponges (70%-100%) were detected correctly within the abdominal cavity. OR-team: detection accuracy within the OR (surveillance antenna) and on both sides of the OR table (sector antenna) was 100%. Mean detection time for position change (left to right side and contrariwise) was 30-60 s. No transponder failure was noted. This is the first combined RFID system that has been developed for stationary use in the surgical OR. Preclinical evaluation revealed a reliable sponge tracking and correct detection of retained textiles (passive RFID) but also demonstrated feasibility of comprehensive data acquisition of team motion (active RFID). However, detection accuracy needs to be further improved before implementation into the surgical OR. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. Household water saving: Evidence from Spain

    Science.gov (United States)

    Aisa, Rosa; Larramona, Gemma

    2012-12-01

    This article focuses on household water use in Spain by analyzing the influence of a detailed set of factors. We find that, although the presence of both water-saving equipment and water-conservation habits leads to water savings, the factors that influence each are not the same. In particular, our results show that those individuals most committed to the adoption of water-saving equipment and, at the same time, less committed to water-conservation habits tend to have higher incomes.

  4. A RFID specific participatory design approach to support design and implementation of real-time location systems in the operating room.

    Science.gov (United States)

    Guédon, A C P; Wauben, L S G L; de Korne, D F; Overvelde, M; Dankelman, J; van den Dobbelsteen, J J

    2015-01-01

    Information technology, such as real-time location (RTL) systems using Radio Frequency IDentification (RFID) may contribute to overcome patient safety issues and high costs in healthcare. The aim of this work is to study if a RFID specific Participatory Design (PD) approach supports the design and the implementation of RTL systems in the Operating Room (OR). A RFID specific PD approach was used to design and implement two RFID based modules. The Device Module monitors the safety status of OR devices and the Patient Module tracks the patients' locations during their hospital stay. The PD principles 'multidisciplinary team', 'participation users (active involvement)' and 'early adopters' were used to include users from the RFID company, the university and the hospital. The design and implementation process consisted of two 'structured cycles' ('iterations'). The effectiveness of this approach was assessed by the acceptance in terms of level of use, continuity of the project and purchase. The Device Module included eight strategic and twelve tactical actions and the Patient Module included six strategic and twelve tactical actions. Both modules are now used on a daily basis and are purchased by the hospitals for continued use. The RFID specific PD approach was effective in guiding and supporting the design and implementation process of RFID technology in the OR. The multidisciplinary teams and their active participation provided insights in the social and the organizational context of the hospitals making it possible to better fit the technology to the hospitals' (future) needs.

  5. Saving time and money: a validation of the self ratings on the prospective NIMH Life-Chart Method (NIMH-LCM).

    Science.gov (United States)

    Born, Christoph; Amann, Benedikt L; Grunze, Heinz; Post, Robert M; Schärer, Lars

    2014-05-07

    Careful observation of the longitudinal course of bipolar disorders is pivotal to finding optimal treatments and improving outcome. A useful tool is the daily prospective Life-Chart Method, developed by the National Institute of Mental Health. However, it remains unclear whether the patient version is as valid as the clinician version. We compared the patient-rated version of the Lifechart (LC-self) with the Young-Mania-Rating Scale (YMRS), Inventory of Depressive Symptoms-Clinician version (IDS-C), and Clinical Global Impression-Bipolar version (CGI-BP) in 108 bipolar I and II patients who participated in the Naturalistic Follow-up Study (NFS) of the German centres of the Bipolar Collaborative Network (BCN; formerly Stanley Foundation Bipolar Network). For statistical evaluation, levels of severity of mood states on the Lifechart were transformed numerically and comparison with affective scales was performed using chi-square and t tests. For testing correlations Pearson´s coefficient was calculated. Ratings for depression of LC-self and total scores of IDS-C were found to be highly correlated (Pearson coefficient r = -.718; p money saving alternative to the clinician-rated version which should be incorporated in future clinical research in bipolar disorder. Generalizability of the results is limited by the selection of highly motivated patients in specialized bipolar centres and by the open design of the study.

  6. Parametric Room Acoustic Workflows

    DEFF Research Database (Denmark)

    Parigi, Dario; Svidt, Kjeld; Molin, Erik

    2017-01-01

    The paper investigates and assesses different room acoustics software and the opportunities they offer to engage in parametric acoustics workflow and to influence architectural designs. The first step consists in the testing and benchmarking of different tools on the basis of accuracy, speed...... and interoperability with Grasshopper 3d. The focus will be placed to the benchmarking of three different acoustic analysis tools based on raytracing. To compare the accuracy and speed of the acoustic evaluation across different tools, a homogeneous set of acoustic parameters is chosen. The room acoustics parameters...... included in the set are reverberation time (EDT, RT30), clarity (C50), loudness (G), and definition (D50). Scenarios are discussed for determining at different design stages the most suitable acoustic tool. Those scenarios are characterized, by the use of less accurate but fast evaluation tools to be used...

  7. Evaluation of a dual-room sliding gantry CT concept for workflow optimisation in polytrauma and regular in- and outpatient management

    Energy Technology Data Exchange (ETDEWEB)

    Frellesen, Claudia; Boettcher, Marie; Wichmann, Julian L.; Drieske, Martina; Kerl, J. Matthias; Lehnert, Thomas [Department of Diagnostic and Interventional Radiology, Clinic of the Goethe University, Frankfurt (Germany); Nau, Christoph; Geiger, Emmanuel; Wutzler, Sebastian [Department of Trauma, Reconstructive and Hand Surgery, Clinic of the Goethe University, Frankfurt (Germany); Ackermann, Hanns [Department of Biostatistics and Mathematical Modelling, Clinic of the Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt (Germany); Vogl, Thomas J. [Department of Diagnostic and Interventional Radiology, Clinic of the Goethe University, Frankfurt (Germany); Bauer, Ralf W., E-mail: ralfwbauer@aol.com [Department of Diagnostic and Interventional Radiology, Clinic of the Goethe University, Frankfurt (Germany)

    2015-01-15

    Highlights: • A sliding gantry trauma room CT solution facilitates significantly faster polytrauma management. • Faster and more efficient resumption of regularly scheduled patients due to a two room solution is supported. • Sliding gantry CT achieves the same patient throughput as two separate conventional CT devices. - Abstract: Objectives: To reveal the impact on workflow from introducing a dual-room sliding gantry CT to the trauma room for polytrauma and regularly scheduled in- outpatients with regard to efficiency and degree of capacity utilisation. Materials and methods: Time analysis was performed for 30 polytrauma patients each in 2 different trauma room settings, the new trauma room comprising a sliding gantry CT, the old one a stationary single-room CT. Complete trauma room and diagnostic workup times were manually measured and compared for both groups. In a third scenario, the number of CT scans performed with one single sliding gantry CT and the two-room concept was compared to the number of CT scans performed on two separate regular CT units in a 5 days clinical routine sample. Results: Patients demographics and type of CT examinations were comparable for all patient groups. The median time from patient arrival in the trauma room until beginning of CT scanning was 6 min shorter for the sliding gantry CT group (21 vs.15 min). Sliding gantry CT embedded in a two-room solution achieved 252 CT scans in 5 working days, compared to 250 CT scans on two separate regular CT units with the same man power. Conclusions: Sliding gantry CT in the trauma room allows for significant time saving in the diagnostic workup of polytrauma patients and faster resumption of the regular in- outpatient's CT schedule is possible. With the same man power, the dual-room solution is able to generate the same throughput as two separate CT units.

  8. Evaluation of a dual-room sliding gantry CT concept for workflow optimisation in polytrauma and regular in- and outpatient management

    International Nuclear Information System (INIS)

    Frellesen, Claudia; Boettcher, Marie; Wichmann, Julian L.; Drieske, Martina; Kerl, J. Matthias; Lehnert, Thomas; Nau, Christoph; Geiger, Emmanuel; Wutzler, Sebastian; Ackermann, Hanns; Vogl, Thomas J.; Bauer, Ralf W.

    2015-01-01

    Highlights: • A sliding gantry trauma room CT solution facilitates significantly faster polytrauma management. • Faster and more efficient resumption of regularly scheduled patients due to a two room solution is supported. • Sliding gantry CT achieves the same patient throughput as two separate conventional CT devices. - Abstract: Objectives: To reveal the impact on workflow from introducing a dual-room sliding gantry CT to the trauma room for polytrauma and regularly scheduled in- outpatients with regard to efficiency and degree of capacity utilisation. Materials and methods: Time analysis was performed for 30 polytrauma patients each in 2 different trauma room settings, the new trauma room comprising a sliding gantry CT, the old one a stationary single-room CT. Complete trauma room and diagnostic workup times were manually measured and compared for both groups. In a third scenario, the number of CT scans performed with one single sliding gantry CT and the two-room concept was compared to the number of CT scans performed on two separate regular CT units in a 5 days clinical routine sample. Results: Patients demographics and type of CT examinations were comparable for all patient groups. The median time from patient arrival in the trauma room until beginning of CT scanning was 6 min shorter for the sliding gantry CT group (21 vs.15 min). Sliding gantry CT embedded in a two-room solution achieved 252 CT scans in 5 working days, compared to 250 CT scans on two separate regular CT units with the same man power. Conclusions: Sliding gantry CT in the trauma room allows for significant time saving in the diagnostic workup of polytrauma patients and faster resumption of the regular in- outpatient's CT schedule is possible. With the same man power, the dual-room solution is able to generate the same throughput as two separate CT units

  9. Sign Up for Savings.

    Science.gov (United States)

    Kennedy, Mike

    2002-01-01

    Discusses performance service contracts between educational facilities and energy services companies, in which the company provides the money for energy-efficiency improvements and the school pays the company an annual fee. The company guarantees the savings will meet or exceed the fee. (EV)

  10. Saving Malta's music memory

    OpenAIRE

    Sant, Toni

    2013-01-01

    Maltese music is being lost. Along with it Malta loses its culture, way of life, and memories. Dr Toni Sant is trying to change this trend through the Malta Music Memory Project (M3P) http://www.um.edu.mt/think/saving-maltas-music-memory-2/

  11. Save Our Water Resources.

    Science.gov (United States)

    Bromley, Albert W.

    The purpose of this booklet, developed as part of Project SOAR (Save Our American Resources), is to give Scout leaders some facts about the world's resources, the sources of water pollution, and how people can help in obtaining solutions. Among the topics discussed are the world's water resources, the water cycle, water quality, sources of water…

  12. Gun control saves lives

    African Journals Online (AJOL)

    gun control legislation. One study estimated that more than 4 500 lives were saved across five SA cities from 2001 to 2005.[5] Pro-gun interest groups seeking to promote gun ownership and diffusion have attacked these findings, suggesting that stricter gun control was only enacted in 2004 following the publication of ...

  13. The association between diurnal temperature range and emergency room admissions for cardiovascular, respiratory, digestive and genitourinary disease among the elderly: a time series study.

    Science.gov (United States)

    Wang, Min-zhen; Zheng, Shan; He, Shi-lin; Li, Bei; Teng, Huai-jin; Wang, Shi-gong; Yin, Ling; Shang, Ke-zheng; Li, Tan-shi

    2013-07-01

    To evaluate the short-term effect of diurnal temperature range (DTR) on emergency room (ER) admissions among elderly adults in Beijing. After controlling the long-time and seasonal trend, weather, air pollution and other confounding factors, a semi-parametric generalized additive model (GAM) was used to analyze the exposure-effect relationship between DTR and daily ER admissions among elderly adults with different lag structures from 2009 to 2011 in Beijing. We examined the effects of DTR for stratified groups by age and gender, and conducted the modifying effect of season on DTR to test the possible interaction. Significant associations were found between DTR and four major causes of daily ER admissions among elderly adults in Beijing. A 1 °C increase in the 8-day moving average of DTR (lag 07) corresponded to an increase of 2.08% (95% CI: 0.88%-3.29%) in respiratory ER admissions and 2.14% (95% CI: 0.71%-3.59%) in digestive ER admissions. A 1 °C increase in the 3-day and 6-day moving average of DTR (lag 02 and lag 05) corresponded to a 0.76% (95% CI: 0.07%-1.46%) increase in cardiovascular ER admissions, and 1.81% (95% CI: 0.21%-3.45%) increase in genitourinary ER admissions, respectively. The people aged 75 years and older were associated more strongly with DTR than the 65-74 age group. The modifying effect of season on DTR was observed and it was various in four causes. This study strengthens the evidence that DTR is an independent risk factor for ER admissions among elderly persons. Some prevention programs that target the elderly and other high risk subgroups for impending large temperature changes may reduce the impact of DTR on people's health. Copyright © 2013 Elsevier B.V. All rights reserved.

  14. RECRUITMENT FINANCED BY SAVED LEAVE (RSL PROGRAMME)

    CERN Multimedia

    Division du Personnel; Tel. 73903

    1999-01-01

    Transfer to the saved leave account and saved leave bonusStaff members participating in the RSL programme may opt to transfer up to 10 days of unused annual leave or unused compensatory leave into their saved leave account, at the end of the leave year, i.e. 30 September (as set out in the implementation procedure dated 27 August 1997).A leave transfer request form, which you should complete, sign and return, if you wish to use this possibility, has been addressed you. To allow the necessary time for the processing of your request, you should return it without delay.As foreseen in the implementation procedure, an additional day of saved leave will be granted for each full period of 20 days remaining in the saved leave account on 31 December 1999, for any staff member participating in the RSL programme until that date.For part-time staff members participating in the RSL programme, the above-mentioned days of leave (annual, compensatory and saved) are adjusted proportionally to their contractual working week as...

  15. Save energy - for industry

    International Nuclear Information System (INIS)

    Anon.

    1983-01-01

    The article is an interview with Glenn Bjorklund, Vice President of SCalEd (Southern California Edison). The variations in Californian power demand and public electricity consumption habits are explained, together with types of power source used in electricity production. Questions are posed concerning SCalEd's energy saving strategy. The political implications of electricity charge changes are discussed. The planned energy resources for 1982-1992 are given with nuclear power being the largest contributor. (H.J.P./G.T.H.)

  16. 'Stroke Room': Diagnosis and Treatment at a Single Location for Rapid Intraarterial Stroke Treatment.

    Science.gov (United States)

    Ragoschke-Schumm, Andreas; Yilmaz, Umut; Kostopoulos, Panagiotis; Lesmeister, Martin; Manitz, Matthias; Walter, Silke; Helwig, Stefan; Schwindling, Lenka; Fousse, Mathias; Haass, Anton; Garner, Dominique; Körner, Heiko; Roumia, Safwan; Grunwald, Iris; Nasreldein, Ali; Halmer, Ramona; Liu, Yang; Schlechtriemen, Thomas; Reith, Wolfgang; Fassbender, Klaus

    2015-01-01

    For patients with acute ischemic stroke, intra-arterial treatment (IAT) is considered to be an effective strategy for removing the obstructing clot. Because outcome crucially depends on time to treatment ('time-is-brain' concept), we assessed the effects of an intervention based on performing all the time-sensitive diagnostic and therapeutic procedures at a single location on the delay before intra-arterial stroke treatment. Consecutive acute stroke patients with large vessel occlusion who obtained IAT were evaluated before and after implementation (April 26, 2010) of an intervention focused on performing all the diagnostic and therapeutic measures at a single site ('stroke room'). After implementation of the intervention, the median intervals between admission and first angiography series were significantly shorter for 174 intervention patients (102 min, interquartile range (IQR) 85-120 min) than for 81 control patients (117 min, IQR 89-150 min; p room') saves crucial time until IAT. © 2015 S. Karger AG, Basel.

  17. A Spreadsheet Model That Estimates the Impact of Reduced Distribution Time on Inventory Investment Savings: What is a Day Taken Out of the Pipeline Worth in Inventory?

    Science.gov (United States)

    2012-03-01

    fall-2006/lecture-notes/lect11.pdf Chang, C.-T. (2005). A Linearization Approach for Inventory Models with Variable Lead Time. International Journal of Production Economics , 263...Demand and Lead Time are Stochastic. International Journal of Production Economics , 595-605. Hayya, J. C., Harrison, T. P., & He, X. (2011). The Impact

  18. Energy Saving by Novel Bed-Integrated Local Exhaust Ventilation

    DEFF Research Database (Denmark)

    Bivolarova, Mariya Petrova; Kehayova, Nushka; Melikov, Arsen Krikor

    2016-01-01

    High quality indoor environment in hospitals is important for patients’ healing and performance of the personnel. A novel method for minimizing spread of bio-effluents generated from hospitalized patients lying in bed was developed. The method consists of ventilated mattress (VM) which is able...... respectively with 55%, 71.1% and 85.9% and in the double room with 39.3%, 60.0%, and 80.4%. The use of the VM with reduced background CAV ventilation is an effective energy saving strategy for both double and single patient hospital rooms.......-bed hospital patient room (1.3 air changes per hour (ACH)) and double-bed patient room (1.6 ACH) was assessed by means of dynamic computer simulations. The estimated annual energy consumption for the rooms using the VM combined with CAV was compared to the annual energy consumption when the CAV ventilation...

  19. Control room lay-out

    International Nuclear Information System (INIS)

    Toma, Violeta

    2004-01-01

    TRIUMF (Tri-University Meson Facility) is Canada's national laboratory for particle and nuclear physics. There are 6 accelerators and 3 Control Rooms at TRIUMF. The main control room serves the big cyclotron, the 500 MeV, and the adjacent experiment. The 42 MeV and two 32 MeV ones are production dedicated. These cyclotrons belong to a private company but are operated by TRIUMF staff from ATG (Applied Technology Group) Control Room. The last is ISAC (Isotope Acceleration and Separation) Control Room, from which the LINAC is controlled. Research areas cover theoretical (2 subjects), pure (5 subjects) and applied (8 subjects) physics. In the early '70s, as the 500 MeV was being completed, the first Control Room was built in the main accelerator building. The recent topics covered by this paper are proton and pion therapy, what are the operator's duties?, the CP42, TR30 and TR13 cyclotron control rooms, the ISAC control systems including control room modification. Due to the nature of an operator's job, the Control Room layout is pretty important. This is true for any work environment, but when working shifts it becomes essential. Lots of time and effort, not to mention money, were spent to figure out the optimum configuration. It seems to me that the key factor in the control room layout is versatility, and this is because it has to keep happy a group of people with different inclinations, which have a tendency to become quite moody after the second night shift. No matter what, there will still be unhappy people, but we are trying our best. (Y. Tanaka)

  20. Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements.

    Science.gov (United States)

    Hamid, Kamran S; Matson, Andrew P; Nwachukwu, Benedict U; Scott, Daniel J; Mather, Richard C; DeOrio, James K

    2017-01-01

    Traditional intraoperative referencing for total ankle replacements (TARs) involves multiple steps and fluoroscopic guidance to determine mechanical alignment. Recent adoption of patient-specific instrumentation (PSI) allows for referencing to be determined preoperatively, resulting in less steps and potentially decreased operative time. We hypothesized that usage of PSI would result in decreased operating room time that would offset the additional cost of PSI compared with standard referencing (SR). In addition, we aimed to compare postoperative radiographic alignment between PSI and SR. Between August 2014 and September 2015, 87 patients undergoing TAR were enrolled in a prospectively collected TAR database. Patients were divided into cohorts based on PSI vs SR, and operative times were reviewed. Radiographic alignment parameters were retrospectively measured at 6 weeks postoperatively. Time-driven activity-based costing (TDABC) was used to derive direct costs. Cost vs operative time-savings were examined via 2-way sensitivity analysis to determine cost-saving thresholds for PSI applicable to a range of institution types. Cost-saving thresholds defined the price of PSI below which PSI would be cost-saving. A total of 35 PSI and 52 SR cases were evaluated with no significant differences identified in patient characteristics. Operative time from incision to completion of casting in cases without adjunct procedures was 127 minutes with PSI and 161 minutes with SR ( P cost-savings threshold range at our institution of $863 below which PSI pricing would provide net cost-savings. Two-way sensitivity analysis generated a globally applicable cost-savings threshold model based on institution-specific costs and surgeon-specific time-savings. This study demonstrated equivalent postoperative TAR alignment with PSI and SR referencing systems but with a significant decrease in operative time with PSI. Based on TDABC and associated sensitivity analysis, a cost-savings threshold

  1. Improving operating room safety

    Directory of Open Access Journals (Sweden)

    Garrett Jill

    2009-11-01

    Full Text Available Abstract Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of our operating room. Our efforts have prepared us for successfully implementing a standardized checklist to improve operating room safety throughout our entire system. Based on these findings we recommend a multimodal approach to improving operating room safety.

  2. Entrepreneurial Saving Practices and Reinvestment

    NARCIS (Netherlands)

    Beck, Thorsten; Pamuk, Haki; Uras, Burak R.

    2017-01-01

    We use a novel enterprise survey to gauge the relationship between saving instruments and entrepreneurial reinvestment. We show that while most informal saving practices are not associated with a lower likelihood of reinvestment when compared with formal saving practices, there is a significantly

  3. Social Capital and Savings Behavior

    DEFF Research Database (Denmark)

    Newman, Carol; Tarp, Finn; Khai, Luu Duc

    In this paper, we analyze household savings in rural Vietnam paying particular attention to the factors that determine the proportion of savings held as formal deposits. Our aim is to explore the extent to which social capital can play a role in promoting formal savings behavior. Social capital...

  4. Saving water through global trade

    NARCIS (Netherlands)

    Chapagain, Ashok; Hoekstra, Arjen Ysbert; Savenije, H.H.G.

    2005-01-01

    Many nations save domestic water resources by importing water-intensive products and exporting commodities that are less water intensive. National water saving through the import of a product can imply saving water at a global level if the flow is from sites with high to sites with low water

  5. Enthalpy estimation for thermal comfort and energy saving in air conditioning system

    International Nuclear Information System (INIS)

    Chu, C.-M.; Jong, T.-L.

    2008-01-01

    The thermal comfort control of a room must consider not only the thermal comfort level but also energy saving. This paper proposes an enthalpy estimation that is conducive for thermal comfort control and energy saving. The least enthalpy estimator (LEE) combines the concept of human thermal comfort with the theory of enthalpy to predict the load for a suitable setting pair in order to maintain more precisely the thermal comfort level and save energy in the air conditioning system

  6. Protecting Health and Saving Lives: The Part-Time/Internet-Based Master of Public Health Program at the Johns Hopkins Bloomberg School of Public Health

    Science.gov (United States)

    Bruce, Linda; Gresh, Kathy; Vanchiswaran, Rohini; Werapitiya, Deepthi

    2007-01-01

    This article discusses the part-time/Internet-based Master of Public Health (MPH) program at the Johns Hopkins Bloomberg School of Public Health (JHSPH). The Johns Hopkins Bloomberg School of Public Health was the first school of public health in the United States to offer a Master of Public Health program via the Internet. The JHSPH MPH Program…

  7. Operating room management and operating room productivity: the case of Germany.

    Science.gov (United States)

    Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

    2008-09-01

    We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

  8. Saving doses by outage planning strategy and architectural arrangements

    International Nuclear Information System (INIS)

    Wahlstroem, B.

    1993-01-01

    All radiation doses come out as a result of dose rate and exposure time, and the main part of the occupational exposure is caused during outages. While every reasonable attempt should be made to lower the dose rates, the other factor, the exposure time, may not be forgotten. The paper presents possible ways of saving man-hours in the controlled zone by outage planning strategy. And every saved man-hour means a saved radiation dose. At Loviisa NPS also some special architectural arrangements contribute to shortening the outage time, thus saving doses

  9. Energy. Saving 'Private' Areva

    International Nuclear Information System (INIS)

    Dupin, Ludovic

    2015-01-01

    While Areva keeps on loosing money (billions of euros for 2014), the saving of this company is at stake. Staff is already planned to be reduced in La Hague, and other staff reductions might occur after the failure of a previous strategic plan. Various activities could be sold (dismantling, mining). The article outlines the difficult relationships between Areva and EDF and the problems also faced by EDF. Some actors think that Areva should remain independent from EDF in order to be free to compete on international bidding. The rapprochement between these two companies is said to be necessary for the Ministry but seems very difficult to achieve

  10. Water Saving for Development

    Science.gov (United States)

    Zacharias, Ierotheos

    2013-04-01

    The project "Water Saving for Development (WaS4D)" is financed by European Territorial Cooperational Programme, Greece-Italy 2007-2013, and aims at developing issues on water saving related to improvement of individual behaviors and implementing innovative actions and facilities in order to harmonize policies and start concrete actions for a sustainable water management, making also people and stakeholders awake to water as a vital resource, strategic for quality of life and territory competitiveness. Drinkable water saving culture & behavior, limited water resources, water supply optimization, water resources and demand management, water e-service & educational e-tools are the key words of WaS4D. In this frame the project objectives are: • Definition of water need for domestic and other than domestic purposes: regional and territorial hydro-balance; • promotion of locally available resources not currently being used - water recycling or reuse and rainwater harvesting; • scientific data implementation into Informative Territorial System and publication of geo-referred maps into the institutional web sites, to share information for water protection; • participated review of the regulatory framework for the promotion of water-efficient devices and practices by means of the definition of Action Plans, with defined targets up to brief (2015) and medium (2020) term; • building up water e-services, front-office for all the water issues in building agricultural, industrial and touristic sectors, to share information, procedures and instruments for the water management; • creation and publication of a user friendly software, a game, to promote sustainability for houses also addressed to young people; • creation of water info point into physical spaces called "Water House" to promote education, training, events and new advisory services to assist professionals involved in water uses and consumers; • implementation of participatory approach & networking for a

  11. Savings for the Poor

    OpenAIRE

    Ignacio Mas

    2010-01-01

    This paper reviews the relevance of formal financial services – in particular, savings – to poor people, the economic factors that have hindered the mass-scale delivery of such services in developing countries, and the technology-based opportunities that exist today to make massive gains in financial inclusion. It also highlights the benefits to government from universal financial access, as well as the key policy enablers that would need to be put in place to allow the necessary innovati...

  12. Locomotive energy savings possibilities

    Directory of Open Access Journals (Sweden)

    Leonas Povilas LINGAITIS

    2009-01-01

    Full Text Available Economic indicators of electrodynamic braking have not been properly estimated. Vehicles with alternative power trains are transitional stage between development of pollution- free vehicles. According to these aspects the investigation on conventional hybrids drives and their control system is carried out in the article. The equation that allows evaluating effectiveness of regenerative braking for different variants of hybrid drive are given. Presenting different types of locomotive energy savings power systems, which are using regenerative braking energy any form of hybrid traction vehicles systems, circuit diagrams, electrical parameters curves.

  13. Room temperature superconductors

    International Nuclear Information System (INIS)

    Sleight, A.W.

    1995-01-01

    If the Holy Grail of room temperature superconductivity could be achieved, the impact on could be enormous. However, a useful room temperature superconductor for most applications must possess a T c somewhat above room temperature and must be capable of sustaining superconductivity in the presence of magnetic fields while carrying a significant current load. The authors will return to the subject of just what characteristics one might seek for a compound to be a room temperature superconductor. 30 refs., 3 figs., 1 tab

  14. Is it acceptable to use coagulation plasma samples stored at room temperature and 4°C for 24 hours for additional prothrombin time, activated partial thromboplastin time, fibrinogen, antithrombin, and D-dimer testing?

    Science.gov (United States)

    Rimac, V; Coen Herak, D

    2017-10-01

    Coagulation laboratories are faced on daily basis with requests for additional testing in already analyzed fresh plasma samples. This prompted us to examine whether plasma samples stored at room temperature (RT), and 4°C for 24 hours can be accepted for additional prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen (Fbg), antithrombin (AT), and D-dimer testing. We measured PT, aPTT, Fbg in 50 and AT in 30 plasma samples with normal and pathological values, within 4 hours of blood collection (baseline results) and after 24-hours storage at RT (primary tubes), and 4°C (aliquots). D-dimer stability was investigated in 20 samples stored in primary tubes at 4°C. No statistically significant difference between baseline results and results in samples stored at RT and 4°C was observed for PT (P=.938), aPTT (P=.186), Fbg (P=.962), AT (P=.713), and D-dimers (P=.169). The highest median percentage changes were found for aPTT, being more pronounced for samples stored at 4°C (13.0%) than at RT (8.7%). Plasma samples stored both at RT and 4°C for 24 hours are acceptable for additional PT, Fbg, and AT testing. Plasma samples stored 24 hours in primary tubes at 4°C are suitable for D-dimer testing. © 2017 John Wiley & Sons Ltd.

  15. Learning to save lives!

    CERN Document Server

    2003-01-01

    They're all around you and watch over you, but you won't be aware of them unless you look closely at their office doors. There are 308 of them and they have all been given 12 hours of training with the CERN Fire Brigade. Who are they? Quite simply, those who could one day save your life at work, the CERN first-aiders. First-aiders are recruited on a volunteer basis. "Training is in groups of 10 to 12 people and a lot of emphasis is placed on the practical to ensure that they remember the life-saving techniques we show them", explains Patrick Berlinghi, a CERN first-aid instructor from TIS Division. He is looking forward to the arrival of four new instructors, which will bring the total number to twelve (eleven firemen and one member of the Medical Service). "The new instructors were trained at CERN from 16 to 24 May by Marie-Christine Boucher Da Ros (a member of the Commission Pédagogie de l'Observatoire National Français du Secourisme, the education commission of France's national first-aid body). This in...

  16. THE PUZZLE OF SIMULTANEOUS SAVINGS AND DEBTS

    Directory of Open Access Journals (Sweden)

    RODICA IANOLE

    2012-05-01

    Full Text Available „Neither a borrower nor a lender be” recommends Shakespeare in Hamlet. The advice seems particularly interesting in nowadays society where a person can be easily found in both approximate situations, in the same time. It goes without saying that saving and borrowing do not describe mutually exclusive strategies of financial management and thus many people retain savings or carry on saving at the same time as having debts. We add to this fact a more pragmatically wisdom, the one of the economist Robert Solow -“We (economists think of wealth as fungible; we think a dollar is a dollar. Why don't they (the others do so?” (Solow, 1987 – and we naturally ask ourselves if the mechanism of having simultaneous savings and debts is a rational one, according to traditional economics.Making appeal to the emerging body of behavioral economics literature we reach to the mental accounting theory to see if it can explain savings inclination versus debt inclination. The main research question we want to explore is the following: if mental accounting prevents people from spending money from one „mental account” on goods belonging to another one, will people – after using all their money from a given account – be willing to go into debt to buy goods belonging to this account in a situation when they still have money in other accounts?

  17. Chinese hotel general managers' perspectives on energy-saving practices

    Science.gov (United States)

    Zhu, Yidan

    As hotels' concern about sustainability and budget-control is growing steadily, energy-saving issues have become one of the important management concerns hospitality industry face. By executing proper energy-saving practices, previous scholars believed that hotel operation costs can decrease dramatically. Moreover, they believed that conducting energy-saving practices may eventually help the hotel to gain other benefits such as an improved reputation and stronger competitive advantage. The energy-saving issue also has become a critical management problem for the hotel industry in China. Previous research has not investigated energy-saving in China's hotel segment. To achieve a better understanding of the importance of energy-saving, this document attempts to present some insights into China's energy-saving practices in the tourist accommodations sector. Results of the study show the Chinese general managers' attitudes toward energy-saving issues and the differences among the diverse hotel managers who responded to the study. Study results indicate that in China, most of the hotels' energy bills decrease due to the implementation of energy-saving equipments. General managers of hotels in operation for a shorter period of time are typically responsible for making decisions about energy-saving issues; older hotels are used to choosing corporate level concerning to this issue. Larger Chinese hotels generally have official energy-saving usage training sessions for employees, but smaller Chinese hotels sometimes overlook the importance of employee training. The study also found that for the Chinese hospitality industry, energy-saving practices related to electricity are the most efficient and common way to save energy, but older hotels also should pay attention to other ways of saving energy such as water conservation or heating/cooling system.

  18. "You can save time if…"-A qualitative study on internal factors slowing down clinical trials in Sub-Saharan Africa.

    Directory of Open Access Journals (Sweden)

    Nerina Vischer

    Full Text Available The costs, complexity, legal requirements and number of amendments associated with clinical trials are rising constantly, which negatively affects the efficient conduct of trials. In Sub-Saharan Africa, this situation is exacerbated by capacity and funding limitations, which further increase the workload of clinical trialists. At the same time, trials are critically important for improving public health in these settings. The aim of this study was to identify the internal factors that slow down clinical trials in Sub-Saharan Africa. Here, factors are limited to those that exclusively relate to clinical trial teams and sponsors. These factors may be influenced independently of external conditions and may significantly increase trial efficiency if addressed by the respective teams.We conducted sixty key informant interviews with clinical trial staff working in different positions in two clinical research centres in Kenya, Ghana, Burkina Faso and Senegal. The study covered English- and French-speaking, and Eastern and Western parts of Sub-Saharan Africa. We performed thematic analysis of the interview transcripts.We found various internal factors associated with slowing down clinical trials; these were summarised into two broad themes, "planning" and "site organisation". These themes were consistently mentioned across positions and countries. "Planning" factors related to budget feasibility, clear project ideas, realistic deadlines, understanding of trial processes, adaptation to the local context and involvement of site staff in planning. "Site organisation" factors covered staff turnover, employment conditions, career paths, workload, delegation and management.We found that internal factors slowing down clinical trials are of high importance to trial staff. Our data suggest that adequate and coherent planning, careful assessment of the setting, clear task allocation and management capacity strengthening may help to overcome the identified

  19. Can lean save lives?

    Science.gov (United States)

    Fillingham, David

    2007-01-01

    The purpose of this paper is to show how over the last 18 months Bolton Hospitals NHS Trust have been exploring whether or not lean methodologies, often known as the Toyota Production System, can indeed be applied to healthcare. This paper is a viewpoint. One's early experience is that lean really can save lives. The Toyota Production System is an amazingly successful way of manufacturing cars. It cannot be simply translated unthinkingly into a hospital but lessons can be learned from it and the method can be adapted and developed so that it becomes owned by healthcare staff and focused towards the goal of improved patient care. Working in healthcare is a stressful and difficult thing. Everyone needs a touch of inspiration and encouragement. Applying lean to healthcare in Bolton seems to be achieving just that for those who work there.

  20. Feasibility study on novel room air conditioner with natural cooling capability

    International Nuclear Information System (INIS)

    Han, Zongwei; Liu, Qiankun; Zhang, Yanqing; Zhang, Shuwei; Liu, Jiangzhen; Li, Weiliang

    2016-01-01

    Highlights: • A novel heat pipe combined evaporative cooling room air conditioner is constructed. • The mathematical model of the air conditioner is established. • The reliability of the model is verified by experiments. • The performance of the novel and conventional air conditioner is compared. • The applicability of the novel air conditioner in different areas is investigated. - Abstract: In order to improve the energy efficiency of room air conditioners, this paper proposed a new air conditioner that combined evaporative cooling technology, separate type heat pipe technology, and vapour compression refrigeration technology (called “combined air conditioner”). The mathematical model of the air conditioner was established and its reliability was verified by experiments. Based on the model, the simulation of the operating performance of the combined air conditioner and a conventional air conditioner was studied in typical climate regions during the cooling period, with the following results: In cold and dry areas like Shenyang, compared with the conventional air conditioner, the average cooling coefficient of performance (COP) of the combined air conditioner was increased by 27.40%. As the climate gradually became warmer and humidity gradually increased, the running time of the heat pipe cooling mode was gradually reduced, and then the energy-saving effect of the combined air conditioner became worse. For example, in the hot and humid Guangzhou, the energy saving rate was only 11.81%. Therefore, it was found that the combined air conditioner had good energy-saving potential in cold and dry areas.

  1. Effect of Room Ventilation Rates in Rodent Rooms with Direct-Exhaust IVC Systems.

    Science.gov (United States)

    Geertsema, Roger S; Lindsell, Claire E

    2015-09-01

    When IVC are directly exhausted from a rodent housing room, the air quality of the room can become independent of the intracage air quality and may reduce the need for high room ventilation rates. This study assessed the effect of decreasing the ventilation rate in rodent rooms using direct-exhaust IVC systems. The study was conducted over 16 wk and compared conditions in 8 rodent rooms that had ventilation rates of 5 to 6 air changes per hour (ACH) with those in rooms at 10 to 12 ACH. At the low ventilation rate, rooms had higher CO₂ concentrations, higher dew point temperature, and lower particulate levels and spent a greater percentage of time above the temperature set point than did rooms at the high rate. The levels of allergens and endotoxins in room air were the same regardless of the ventilation rate. Differences seen in parameters within cages at the 2 ventilation rates were operationally irrelevant. We detected no total volatile organic compounds in the room that were attributable to ammonia, regardless of the ventilation rate. Clearing the air of ethanol after a spill took longer at the low compared with high rate. However, ethanol clearance was faster at the low rate when the demand-control system was activated than at the high ventilation rate alone. Air quality in the room and in the cages were acceptable with room ventilation rates of 5 to 6 ACH in rodent rooms that use direct-exhaust IVC systems.

  2. Future control room design (modernization of control room systems)

    International Nuclear Information System (INIS)

    Reischl, Ludwig; Freitag, Timo; Dergel, Rene

    2009-01-01

    In the frame of lifetime extension for nuclear power plants the modernization of the complete safety and operational control technology will be digitalized. It is also recommended to modernize the operator facilities, monitoring systems in the control room, the back-up shut-down center and the local control stations. The authors summarize the reasons for the modernization recommendations and discuss possible solutions for display-oriented control rooms. A concept for control room backfitting includes generic requirements, requirements of the local authorities, ergonomic principles information content and information density, and the design process. The backfitting strategy should include a cooperation with the operational personnel, The quality assurance and training via simulator needs sufficient timing during the implementation of the backfitting.

  3. [Hospital emergency rooms].

    Science.gov (United States)

    Tudela, Pere; Mòdol, Josep Maria

    2003-05-17

    Overuse of hospital emergency rooms (HERs) is parallel to their controversy. To understand this problem, some concepts should be first clarified. In HERs, there are some intrinsic aspects which are directly related to the emergency itself and thus cannot be modified (intermittent patient flow, need to prioritize, difficulty to achieve a rapid diagnosis, influence of time on treatment, value of clinical follow up, patient's expectations, impact of HER on the overall hospital working dynamics). On the other hand, there are some extrinsic aspects which indeed are not related to HER itself but are rather historically associated with it (precarious structure, delay on admission, lack of privacy, inadequate triage of cases, lack of professionalization); these latter aspects may be potentially modified and should be reconsidered.

  4. Savings in its sights for Somerset Trust.

    Science.gov (United States)

    Russell, Colin

    2011-10-01

    Colin Russell, healthcare specialist at Schneider Electric (pictured), explains how the company has recently worked with Taunton and Somerset NHS Foundation Trust to implement a major energy-saving project at the Trust's Musgrove Park Hospital in Taunton. He argues that, at a time when all areas of the service are being asked to reduce costs, such partnerships can potentially save the institution millions of pounds and significantly reduce carbon emissions, while "revitalising" parts of the NHS estate, and ensuring continuity of vital hospital services for facilities managers.

  5. Finding Savings in Community Use of Schools

    Science.gov (United States)

    Gandy, Julia

    2013-01-01

    This article reports on the growing challenge of managing community groups using educational facilities for meetings, athletics, and special events. It describes how, by using an online scheduling software program, one school district was able to track payments and save time and money with its event and facility scheduling process.

  6. Opinion: Composition Studies Saves the World!

    Science.gov (United States)

    Bizzell, Patricia

    2009-01-01

    Stanley Fish in his new book ["Save the World on Your Own Time" (New York: Oxford UP,2008)] says that composition studies presents "the clearest example" of what is desperately wrong in the academy, because in writing classrooms, he says, "more often than not anthologies of provocative readings take center stage and the actual teaching of writing…

  7. 12 CFR 583.21 - Savings association.

    Science.gov (United States)

    2010-01-01

    ... AFFECTING SAVINGS AND LOAN HOLDING COMPANIES § 583.21 Savings association. The term savings association means a Federal savings and loan association or a Federal savings bank chartered under section 5 of the Home Owners' Loan Act, a building and loan, savings and loan or homestead association or a cooperative...

  8. [The hybrid operating room. Home of high-end intraoperative imaging].

    Science.gov (United States)

    Gebhard, F; Riepl, C; Richter, P; Liebold, A; Gorki, H; Wirtz, R; König, R; Wilde, F; Schramm, A; Kraus, M

    2012-02-01

    A hybrid operating room must serve the medical needs of different highly specialized disciplines. It integrates interventional techniques for cardiovascular procedures and allows operations in the field of orthopaedic surgery, neurosurgery and maxillofacial surgery. The integration of all steps such as planning, documentation and the procedure itself saves time and precious resources. The best available imaging devices and user interfaces reduce the need for extensive personnel in the OR and facilitate new minimally invasive procedures. The immediate possibility of postoperative control images in CT-like quality enables the surgeon to react to problems during the same procedure without the need for later revision.

  9. Saving Time with Automated Account Management

    Science.gov (United States)

    School Business Affairs, 2013

    2013-01-01

    Thanks to intelligent solutions, schools, colleges, and universities no longer need to manage user account life cycles by using scripts or tedious manual procedures. The solutions house the scripts and manual procedures. Accounts can be automatically created, modified, or deleted in all applications within the school. This article describes how an…

  10. EFFECTIVE SAVINGS IN PRODUCTION TIMES AND COST

    African Journals Online (AJOL)

    ES OBE

    lamination process itself [5,6,7]. The purpose of this work is to fully expose, by means of experimental data, the ... takes staff to laminate such work piece (in cases of handlay-up processes) and machines. (for resin injection .... The unfinished layer of mat being laminated usually result in laminate products with rough surfaces ...

  11. CSN's New Emergency Room

    International Nuclear Information System (INIS)

    Sendin, P.

    2005-01-01

    During the month of July 2005 the physical renovation works and technological updating of the basic infrastructures of the CSN Emergency Room (SALEM) were finished, allowing the Room to now have greater functionality and a broader technical capacity. Nevertheless, the technological improvement process of SALEM will reach its full potential within the next few years, once the installation currently underway of the new information integration and monitoring systems and the decision making support systems have been completed. This article describes the improvements introduced to the Room and the objectives pursued in this renovation project to convert the SALEM into a new generation room in accordance with its current technological context. (Author) 4 refs

  12. Use of a holder-vacuum tube device to save on-site hands in preparing urine samples for head-space gas-chromatography, and its application to determine the time allowance for sample sealing.

    Science.gov (United States)

    Kawai, Toshio; Sumino, Kimiaki; Ohashi, Fumiko; Ikeda, Masayuki

    2011-01-01

    To facilitate urine sample preparation prior to head-space gas-chromatographic (HS-GC) analysis. Urine samples containing one of the five solvents (acetone, methanol, methyl ethyl ketone, methyl isobutyl ketone and toluene) at the levels of biological exposure limits were aspirated into a vacuum tube via holder, a device commercially available for venous blood collection (the vacuum tube method). The urine sample, 5 ml, was quantitatively transferred to a 20-ml head-space vial prior to HS-GC analysis. The loaded tubes were stored at +4 ℃ in dark for up to 3 d. The vacuum tube method facilitated on-site procedures of urine sample preparation for HS-GC with no significant loss of solvents in the sample and no need of skilled hands, whereas on-site sample preparation time was significantly reduced. Furthermore, no loss of solvents was detected during the 3-d storage, irrespective of hydrophilic (acetone) or lipophilic solvent (toluene). In a pilot application, high performance of the vacuum tube method in sealing a sample in an air-tight space succeeded to confirm that no solvent will be lost when sealing is completed within 5 min after urine voiding, and that the allowance time is as long as 30 min in case of toluene in urine. The use of the holder-vacuum tube device not only saves hands for transfer of the sample to air-tight space, but facilitates sample storage prior to HS-GC analysis.

  13. Diamond-set drill bits: savings achieved at Cominak

    International Nuclear Information System (INIS)

    Artru, P.; Bibert, F.X.; Croisat, G.

    1988-01-01

    Rotary instead of percussion adoption of drilling in the underground Akouta mine (Niger) has been the cause of important savings in blasting and bolting operations. Other savings affect capital expenditures and indirect savings are coming from better working conditions. For blast holes drilling and bolting, spare parts expenditures are 2.4 times lower with rotary drilling. Drilling rods are cheaper and last longer with rotary drilling. A rotary equipped Jumbos fleet is cheaper to maintain and is 18% more available, due to less mechanical and other breakdowns. Total savings for the mine owner and operator Cominak reach more than a billion of CFA francs [fr

  14. Save energy, without entropy

    International Nuclear Information System (INIS)

    Steinmeyer, D.

    1992-01-01

    When we talk about saving energy what we usually mean is not wasting work. What we try to do when we design a process, is to use work as effectively as possible. It's hard to do that if we can't see it clearly. This paper illustrates how work can be seen (or calculated) without imposing entropy as a screen in front of it. We've all heard that the second law tells us that the entropy of the universe is increasing, and we are left with the feeling that the universe is ultimately headed for chaos, but receive little other information from this statement. A slightly more useful statement of the second law is the work potential of the universe is decreasing. However, this statement carries a needlessly negative ring. A simplified definition of the second law is: It takes work to change things. With these two corollaries: We can calculate the theoretical minimum work needed for a given change; and We can express the value of all changes in terms of work

  15. Medical irradiation technique saves lives of victims of Lima inferno

    International Nuclear Information System (INIS)

    2002-01-01

    experts who are preparing for a high level international expert meeting on radiation of tissue next year. IAEA involvement in tissue banking grew out of the role it had taken in the successful use of irradiation to sterilize disposable medical products. Over 200,000 donor grafts, priced at over $50 million, have been produced by the programme, replacing expensive imports developing countries formerly relied on. In fact, said Mr Qian, importing the grafts provided under the IAEA programme would have cost developing countries $US 500 million. 'Not only has the programme saved $450 million by replacing imported tissue, making allografts (donated tissue) available in these countries for the first time is an improvement in health care,' Mr Qian said. A major component of the IAEA programme has been the development of skills, resulting in the writing of the first ever training curriculum for tissue banking, and distance learning programmes, based in Singapore and Buenos Aires, that offer university diplomas. 'By trying to establish a level playing field for developed and developing countries in one key area of medical service delivery we have achieved enormous cost savings, helped save lives and improved the quality of life for many patients. Now the lessons learned in developing countries are being adopted by the developed world,' said Mr Qian. NOTE: There will be a press conference in Room C-03, in the Vienna International Centre, at 10: 30, 4 December. Mr Qian, Sam Doppelt, USA, president of the American Association of Tissue Banking, Jan Koller, Slovakia, Secretary of the European Tissue Banking Association and Fortunato Banaim, Argentina, President of the Latin America Association of Tissue Banking will be available to answer reporters' questions. (IAEA)

  16. Binaural room simulation

    Science.gov (United States)

    Lehnert, H.; Blauert, Jens; Pompetzki, W.

    1991-01-01

    In every-day listening the auditory event perceived by a listener is determined not only by the sound signal that a sound emits but also by a variety of environmental parameters. These parameters are the position, orientation and directional characteristics of the sound source, the listener's position and orientation, the geometrical and acoustical properties of surfaces which affect the sound field and the sound propagation properties of the surrounding fluid. A complete set of these parameters can be called an Acoustic Environment. If the auditory event perceived by a listener is manipulated in such a way that the listener is shifted acoustically into a different acoustic environment without moving himself physically, a Virtual Acoustic Environment has been created. Here, we deal with a special technique to set up nearly arbitrary Virtual Acoustic Environments, the Binaural Room Simulation. The purpose of the Binaural Room Simulation is to compute the binaural impulse response related to a virtual acoustic environment taking into account all parameters mentioned above. One possible way to describe a Virtual Acoustic Environment is the concept of the virtual sound sources. Each of the virtual sources emits a certain signal which is correlated but not necessarily identical with the signal emitted by the direct sound source. If source and receiver are non moving, the acoustic environment becomes a linear time-invariant system. Then, the Binaural Impulse Response from the source to a listener' s eardrums contains all relevant auditory information related to the Virtual Acoustic Environment. Listening into the simulated environment can easily be achieved by convolving the Binaural Impulse Response with dry signals and representing the results via headphones.

  17. Saving-Based Asset Pricing

    DEFF Research Database (Denmark)

    Dreyer, Johannes Kabderian; Schneider, Johannes; T. Smith, William

    2013-01-01

    This paper explores the implications of a novel class of preferences for the behavior of asset prices. Following a suggestion by Marshall (1920), we entertain the possibility that people derive utility not only from consumption, but also from the very act of saving. These ‘‘saving-based’’ prefere...

  18. Prescription Program Provides Significant Savings

    Science.gov (United States)

    Rowan, James M.

    2010-01-01

    Most school districts today are looking for ways to save money without decreasing services to its staff. Retired pharmacist Tim Sylvester, a lifelong resident of Alpena Public Schools in Alpena, Michigan, presented the district with a pharmaceuticals plan that would save the district money without raising employee co-pays for prescriptions. The…

  19. To provide care and be cared for in a multiple-bed hospital room.

    Science.gov (United States)

    Persson, Eva; Määttä, Sylvia

    2012-12-01

    To illuminate patients' experiences of being cared for and nurses' experiences of caring for patients in a multiple-bed hospital room. Many patients and healthcare personnel seem to prefer single-bed hospital rooms. However, certain advantages of multiple-bed hospital rooms (MBRs) have also been described. Eight men and eight women being cared for in a multiple-bedroom were interviewed, and two focus-group interviews (FGI) with 12 nurses were performed. A qualitative content analysis was used. One theme--Creating a sphere of privacy--and three categories were identified based on the patient interviews. The categories were: Being considerate, Having company and The patients' area. In the FGI, one theme--Integrating individual care with care for all--and two categories emerged: Experiencing a friendly atmosphere and Providing exigent care. Both patients and nurses described the advantages and disadvantages of multiple-bed rooms. The patient culture of taking care of one another and enjoying the company of room-mates were considered positive and gave a sense of security of both patients and nurses. The advantages were slight and could easily become disadvantages if, for example, room-mates were very ill or confused. The patients tried to maintain their privacy and dignity and claimed that there were small problems with room-mates listening to conversations. In contrast, the nurses stressed patient integrity as a main disadvantage and worked to protect the integrity of individual patients. Providing care for all patients simultaneously had the advantage of saving time. The insights gained in the present study could assist nurses in reducing the disadvantages and taking advantage of the positive elements of providing care in MBRs. Health professionals need to be aware of how attitudes towards male and female patients, respectively, could affect care provision. © 2012 The Authors. Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.

  20. Performance evaluation of ZnO–CuO hetero junction solid state room temperature ethanol sensor

    International Nuclear Information System (INIS)

    Yu, Ming-Ru; Suyambrakasam, Gobalakrishnan; Wu, Ren-Jang; Chavali, Murthy

    2012-01-01

    Graphical abstract: Sensor response (resistance) curves of time were changed from 150 ppm to 250 ppm alcohol concentration of ZnO–CuO 1:1. The response and recovery times were measured to be 62 and 83 s, respectively. The sensing material ZnO–CuO is a high potential alcohol sensor which provides a simple, rapid and highly sensitive alcohol gas sensor operating at room temperature. Highlights: ► The main advantages of the ethanol sensor are as followings. ► Novel materials ZnO–CuO ethanol sensor. ► The optimized ZnO–CuO hetero contact system. ► A good sensor response and room working temperature (save energy). -- Abstract: A semiconductor ethanol sensor was developed using ZnO–CuO and its performance was evaluated at room temperature. Hetero-junction sensor was made of ZnO–CuO nanoparticles for sensing alcohol at room temperature. Nanoparticles were prepared by hydrothermal method and optimized with different weight ratios. Sensor characteristics were linear for the concentration range of 150–250 ppm. Composite materials of ZnO–CuO were characterized using X-ray diffraction (XRD), temperature-programmed reduction (TPR) and high-resolution transmission electron microscopy (HR-TEM). ZnO–CuO (1:1) material showed maximum sensor response (S = R air /R alcohol ) of 3.32 ± 0.1 toward 200 ppm of alcohol vapor at room temperature. The response and recovery times were measured to be 62 and 83 s, respectively. The linearity R 2 of the sensor response was 0.9026. The sensing materials ZnO–CuO (1:1) provide a simple, rapid and highly sensitive alcohol gas sensor operating at room temperature.

  1. Effects of external debt on national savings in Botswana | Oageng ...

    African Journals Online (AJOL)

    The main objective of the study was to investigate the effects of external debt on national savings in Botswana using time series economic tools for the period 1980-2014. Annual data for Savings as percentage of GDP, GDP per capita, Exports as percentage of GDP, Exchange rates, Gross Fixed Capital Formation as ...

  2. COMPUTER MODELLING OF ENERGY SAVING EFFECTS

    Directory of Open Access Journals (Sweden)

    Marian JANCZAREK

    2016-09-01

    Full Text Available The paper presents the analysis of the dynamics of the heat transfer through the outer wall of the thermal technical spaces, taking into account the impact of the sinusoidal nature of the changes in atmospheric temperature. These temporal variations of the input on the outer surface of the chamber divider result at the output of the sinusoidal change on the inner wall of the room, but suitably suppressed and shifted in phase. Properly selected phase shift is clearly important for saving energy used for the operation associated with the maintenance of a specific regime of heat inside the thermal technical chamber support. Laboratory tests of the model and the actual object allowed for optimal design of the chamber due to the structure of the partition as well as due to the orientation of the geographical location of the chamber.

  3. Virtual Seminar Room

    DEFF Research Database (Denmark)

    Forchhammer, Søren Otto; Fosgerau, Anders; Hansen, Peter Søren Kirk

    1999-01-01

    The initial design considerations and research goals for an ATM network based virtual seminar room with 5 sites are presented.......The initial design considerations and research goals for an ATM network based virtual seminar room with 5 sites are presented....

  4. Operating room manager game

    NARCIS (Netherlands)

    Hans, Elias W.; Nieberg, T.

    2007-01-01

    The operating room (OR) department of a hospital forms the heart of the organization, where the single largest cost is incurred. This document presents and reports on the “Operating Room Manager Game,” developed to give insight into managing a large hospital's OR department at various levels of

  5. Energy saving baking methods. Energibesparende bagemetoder

    Energy Technology Data Exchange (ETDEWEB)

    Gry, P.

    1988-01-01

    The project ''Energy Saving Baking Methods'', run as part of the Energy Research Project-1984, and has as its aim to investigate potentials for energy saving by employing microwaves in the baking process. The project is a follow-up of the Nordic Industry Fund project which was completed in 1983. Smaller test ovens with IR long waves, warm air convection and microwaves of 2,47 GHz were used. Measurements of heat distribution from all three energy sources have been made. Extensive experiments have been carried out in order to develope baking methods for white loaves which are energy saving, but where the quality of the bread does not undergo any form of deterioration. Tests were made using microwaves alone, and in combination with hot air and IR. A resulting saving 35% baking time was achieved, and a further reduction of baking time can be reached where a greater improvement of energy distribution can take place, especially in the case of microwaves and IR. (AB).

  6. LED Lightbulbs as a Source of Electricity Saving in Buildings

    Directory of Open Access Journals (Sweden)

    Zeb Akhtar

    2016-01-01

    Full Text Available Today a number of renewable energy technologies are available for power generation, but fossil fuels are still providing a dominant share nevertheless. In order to decrease the electric bill and save our environment, energy conservation is always crucial. In this paper a very interesting idea is presented which is economically viable to reduce electricity usage in our buildings. An effort has been made to estimate the amount of energy that could be saved in the dormitory section of the IMOP building in Russia. Although there are many ways to reduce the consumption of electricity in this building but here the emphasis is on changing light bulbs inside the rooms, kitchen, toilet and bathroom of each apartment. The scope of the study is to figure out monthly electricity saving by replacing traditional light bulbs by LED light bulbs in the building under consideration. The total investment required and the payback period is also presented.

  7. Evaluation of water saving measures for mid-sized tourist lodging units: the case of Samos Island, Greece

    Directory of Open Access Journals (Sweden)

    Eleftheria E. Klontza

    2016-06-01

    Full Text Available Hotel sector causes significant environmental stress in both natural and built up areas due to their consumption of water and energy. In addition, the production of large volumes of liquid and solid waste results in a significant environmental footprint. The use of water and energy by hotels is strongly linked (e.g. energy is consumed for hot water, operation of the pool, preparation of meals, etc. and usually referred to as the water – energy nexus. Thus, for big consumers like hotels, water and energy consumption should be addressed collectively as water-saving measures can lead to a reduction in energy consumption. The aim of this study is to assess the environmental performance of mid-sized hotel units by analyzing and quantifying their use of water. An analysis using a two-step approach was made of 8 accommodation facilities located on Samos Island, Greece: (i a mapping of water use by adopting an end-use approach, and then (ii an assessment of saving practices using three main criteria: savings, cost of investment and payback time. The preliminary results indicate that for small sized lodging units, water consumed inside the guest rooms accounts for the majority of all the water used and low-cost water saving measures and actions can reduce the pressure on water resources without disturbing guests, while increasing the financial profitability of a hotel.

  8. Room acoustics modeling using a point-cloud representation of the room geometry

    DEFF Research Database (Denmark)

    Markovic, Milos; Olesen, Søren Krarup; Hammershøi, Dorte

    2013-01-01

    Room acoustics modeling is usually based on the room geometry that is parametrically described prior to a sound transmission calculation. This is a highly room-specific task and rather time consuming if a complex geometry is to be described. Here, a run time generic method for an arbitrary room...... geometry acquisition is presented. The method exploits a depth sensor of the Kinect device that provides a point based information of a scanned room interior. After post-processing of the Kinect output data, a 3D point-cloud model of the room is obtained. Sound transmission between two selected points...... level of user immersion by a real time acoustical simulation of a dynamic scenes....

  9. Environment of care: Is it time to reassess microbial contamination of the operating room air as a risk factor for surgical site infection in total joint arthroplasty?

    Science.gov (United States)

    Parvizi, Javad; Barnes, Sue; Shohat, Noam; Edmiston, Charles E

    2017-11-01

    In the modern operating room (OR), traditional surgical mask, frequent air exchanges, and architectural barriers are viewed as effective in reducing airborne microbial populations. Intraoperative sampling of airborne particulates is rarely performed in the OR because of technical difficulties associated with sampling methodologies and a common belief that airborne contamination is infrequently associated with surgical site infections (SSIs). Recent studies suggest that viable airborne particulates are readily disseminated throughout the OR, placing patients at risk for postoperative SSI. In 2017, virtually all surgical disciplines are engaged in the implantation of selective biomedical devices, and these implants have been documented to be at high risk for intraoperative contamination. Approximately 1.2 million arthroplasties are performed annually in the United States, and that number is expected to increase to 3.8 million by the year 2030. The incidence of periprosthetic joint infection is perceived to be low (<2.5%); however, the personal and fiscal morbidity is significant. Although the pharmaceutic and computer industries enforce stringent air quality standards on their manufacturing processes, there is currently no U.S. standard for acceptable air quality within the OR environment. This review documents the contribution of air contamination to the etiology of periprosthetic joint infection, and evidence for selective innovative strategies to reduce the risk of intraoperative microbial aerosols. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  10. REMINDER: Saved Leave Scheme (SLS)

    CERN Multimedia

    2003-01-01

    Transfer of leave to saved leave accounts Under the provisions of the voluntary saved leave scheme (SLS), a maximum total of 10 days'* annual and compensatory leave (excluding saved leave accumulated in accordance with the provisions of Administrative Circular No 22B) can be transferred to the saved leave account at the end of the leave year (30 September). We remind you that unused leave of all those taking part in the saved leave scheme at the closure of the leave year accounts is transferred automatically to the saved leave account on that date. Therefore, staff members have no administrative steps to take. In addition, the transfer, which eliminates the risk of omitting to request leave transfers and rules out calculation errors in transfer requests, will be clearly shown in the list of leave transactions that can be consulted in EDH from October 2003 onwards. Furthermore, this automatic leave transfer optimizes staff members' chances of benefiting from a saved leave bonus provided that they ar...

  11. How to tackle energy saving and load leveling. Energy saving towards 2000 and measures for the coming winter (energy-saving activities by California`s SCE, demand side management activities); Sho energy fuka heijunka ni do torikumuka. Seireki 2000 nen ni muketa sho energy to konto no shoene taisaku, Kashu SCE no sho energy (DSM katsudo wo saguru)

    Energy Technology Data Exchange (ETDEWEB)

    Nasu, S. [The Energy Conservation Center Japan, Tokyo (Japan)

    1997-02-01

    Tokyo Electric Power has realized a peak shift of 5% for the maximum power demand by various measures to cope with increasing power demand and differential rate by time zone, including expansion of the differential rate system and heat-storage systems. Some of more notable recent techniques are eco-ice and eco-vendor systems, the former storing ice in the heat-storage tanks and the latter strongly cooling vending machines during nighttime. The NAS battery system is being developed as the new technique for load leveling. The energy-related advisory organ for Minister of International Trade and Industry asks each industrial unit to save at least 1% of power on the annual average as the energy-saving measure towards 2000. The energy-saving measures promoted by the government for the coming winter are controlled release of wastes, efficient use of power, setting room temperature at 19{degree}C or lower and voluntarily refrain from commuting by cars. The US power industry is abandoning the concept of DSM in the midst of deregulation and increased competition, and cutting budgets for new energy development. California`s SCE is promoting energy-saving through expanded use of high-efficiency motors, accurate grasp of customers` needs and publicity activities through internet systems. 4 figs., 1 tab.

  12. First installation of a dual-room IVR-CT system in the emergency room.

    Science.gov (United States)

    Wada, Daiki; Nakamori, Yasushi; Kanayama, Shuji; Maruyama, Shuhei; Kawada, Masahiro; Iwamura, Hiromu; Hayakawa, Koichi; Saito, Fukuki; Kuwagata, Yasuyuki

    2018-03-05

    Computed tomography (CT) embedded in the emergency room has gained importance in the early diagnostic phase of trauma care. In 2011, we implemented a new trauma workflow concept with a sliding CT scanner system with interventional radiology features (IVR-CT) that allows CT examination and emergency therapeutic intervention without relocating the patient, which we call the Hybrid emergency room (Hybrid ER). In the Hybrid ER, all life-saving procedures, CT examination, damage control surgery, and transcatheter arterial embolisation can be performed on the same table. Although the trauma workflow realized in the Hybrid ER may improve mortality in severe trauma, the Hybrid ER can potentially affect the efficacy of other in/outpatient diagnostic workflow because one room is occupied by one severely injured patient undergoing both emergency trauma care and CT scanning for long periods. In July 2017, we implemented a new trauma workflow concept with a dual-room sliding CT scanner system with interventional radiology features (dual-room IVR-CT) to increase patient throughput. When we perform emergency surgery or interventional radiology for a severely injured or ill patient in the Hybrid ER, the sliding CT scanner moves to the adjacent CT suite, and we can perform CT scanning of another in/outpatient. We believe that dual-room IVR-CT can contribute to the improvement of both the survival of severely injured or ill patients and patient throughput.

  13. Standard work for room entry: Linking lean, hand hygiene, and patient-centeredness.

    Science.gov (United States)

    O'Reilly, Kristin; Ruokis, Samantha; Russell, Kristin; Teves, Tim; DiLibero, Justin; Yassa, David; Berry, Hannah; Howell, Michael D

    2016-03-01

    Healthcare-associated infections are costly and fatal. Substantial front-line, administrative, regulatory, and research efforts have focused on improving hand hygiene. While broad agreement exists that hand hygiene is the most important single approach to infection prevention, compliance with hand hygiene is typically only about 40%(1). Our aim was to develop a standard process for room entry in the intensive care unit that improved compliance with hand hygiene and allowed for maximum efficiency. We recognized that hand hygiene is a single step in a substantially more complicated process of room entry. We applied Lean engineering techniques to develop a standard process that included both physical steps and also standard communication elements from provider to patients and families and created a physical environment to support this. We observed meaningful improvement in the performance of the new standard as well as time savings for clinical providers with each room entry. We also observed an increase in room entries that included verbal communication and an explanation of what the clinician was entering the room to do. The design and implementation of a standardized room entry process and the creation of an environment that supports that new process has resulted in measurable positive outcomes on the medical intensive care unit, including quality, patient experience, efficiency, and staff satisfaction. Designing a process, rather than viewing tasks that need to happen in close proximity in time (either serially or in parallel) as unrelated, simplifies work for staff and results in higher compliance to individual tasks. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. 12 CFR 561.43 - Savings association.

    Science.gov (United States)

    2010-01-01

    ..., chartered under section 5 of the Act, or a building and loan, savings and loan, or homestead association, or... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Savings association. 561.43 Section 561.43... AFFECTING ALL SAVINGS ASSOCIATIONS § 561.43 Savings association. The term savings association means a...

  15. The Virtual Dressing Room

    DEFF Research Database (Denmark)

    Holte, Michael Boelstoft; Gao, Yi; Petersson, Eva

    2015-01-01

    This paper presents the design and evaluation of a usability and user experience test of a virtual dressing room. First, we motivate and introduce our recent developed prototype of a virtual dressing room. Next, we present the research and test design grounded in related usability and user...... experience studies. We give a description of the experimental setup and the execution of the designed usability and user experience test. To this end, we report interesting results and discuss the results with respect to user-centered design and development of a virtual dressing room....

  16. Films and dark room

    International Nuclear Information System (INIS)

    Abdul Nassir Ibrahim; Azali Muhammad; Ab. Razak Hamzah; Abd. Aziz Mohamed; Mohamad Pauzi Ismail

    2008-01-01

    After we know where the radiographic come from, then we must know about the film and also dark room. So, this chapter 5 discusses the two main components for radiography work that is film and dark room, places to process the film. Film are structured with three structured that are basic structured, emulsion and protection structured. So, this film can be classified either with their speed, screen and standard that used. The process to wash the film must be done in dark room otherwise the radiographer cannot get what are they inspected. The processing of film will be discussed briefly in next chapter.

  17. Room Acoustical Fields

    CERN Document Server

    Mechel, Fridolin

    2013-01-01

    This book presents the theory of room acoustical fields and revises the Mirror Source Methods for practical computational use, emphasizing the wave character of acoustical fields.  The presented higher methods include the concepts of “Mirror Point Sources” and “Corner sources which allow for an excellent approximation of complex room geometries and even equipped rooms. In contrast to classical description, this book extends the theory of sound fields describing them by their complex sound pressure and the particle velocity. This approach enables accurate descriptions of interference and absorption phenomena.

  18. School nurses' role in asthma management, school absenteeism, and cost savings: a demonstration project.

    Science.gov (United States)

    Rodriguez, Eunice; Rivera, Diana Austria; Perlroth, Daniella; Becker, Edmund; Wang, Nancy Ewen; Landau, Melinda

    2013-12-01

    With increasing budget cuts to education and social services, rigorous evaluation needs to document school nurses' impact on student health, academic outcomes, and district funding. Utilizing a quasi-experimental design, we evaluated outcomes in 4 schools with added full-time nurses and 5 matched schools with part-time nurses in the San Jose Unified School District. Student data and logistic regression models were used to examine predictors of illness-related absenteeism for 2006-2007 and 2008-2009. We calculated average daily attendance (ADA) funding and parent wages associated with an improvement in illness-related absenteeism. Utilizing parent surveys, we also estimated the cost of services for asthma-related visits to the emergency room (ER; N = 2489). Children with asthma were more likely to be absent due to illness; however, mean absenteeism due to illness decreased when full-time nurses were added to demonstration schools but increased in comparison schools during 2008-2009, resulting in a potential savings of $48,518.62 in ADA funding (N = 6081). Parents in demonstration schools reported fewer ER visits, and the estimated savings in ER services and parent wages were significant. Full-time school nurses play an important role in improving asthma management among students in underserved schools, which can impact school absenteeism and attendance-related economic costs. © 2013, American School Health Association.

  19. Our Urban Living Room

    DEFF Research Database (Denmark)

    Hjortshøj, Rasmus

    2016-01-01

    Our Urban Living Room is an exhibition and a book, created by Cobe. The theme is based on Cobe’s ten years of practice, grounded in social livability and urban democracy, and our aim to create buildings and spaces that invite Copenhageners to use and define them; as an extended living room, where...... the boundaries between private and public space become fluid. Based on specific Cobe projects, Our Urban Living Room tells stories about the architectural development of Copenhagen, while exploring the progression of the Danish Capital - from an industrial city into an urban living room, known as one...... of the world’s most livable places. Photography by Rasmus Hjortshøj....

  20. Overview of contractual savings institutions

    OpenAIRE

    Vittas, Dimitri; Skully, Michael

    1991-01-01

    Contractual savings institutions include national provident funds, life insurance companies, private pension funds, and funded social pension insurance systems. They have long-term liabilities and stable cash flows and are therefore ideal providers of term finance, not only to government and industry, but also to municipal authorities and the housing sector. Except for Singapore, Malaysia, and a few other countries, most developing countries have small and insignificant contractual savings in...

  1. The rise of corporate savings

    OpenAIRE

    Roc Armenter

    2012-01-01

    Over the past few decades, several developed economies have experienced large changes in how much households and firms save. In fact, a sharp increase in firms’ savings behavior has changed the net position of the (nonfinancial) corporate sector vis-à-vis the rest of the economy. ; Why have firms in the business of producing goods or services become lenders? This is quite at odds with traditional models of corporate finance, which suggest that firms issue debt and equity to fund their operati...

  2. At ISR Main Control Room

    CERN Multimedia

    1983-01-01

    After 13 years the exploitation of the Intersecting Storage Rings as a beam-beam collider went to an end. In this last year the demands were very exacting, both in terms of operating time and diversified running conditions (Annual Report 1983 p. 123). Before dismantelement the photographer made a last tour, see photos 8310889X --> 8310667X. This photo shows the Main Control Room.

  3. Energy savings: persuasion and persistence

    Energy Technology Data Exchange (ETDEWEB)

    Eijadi, David; McDougall, Tom; Leaf, Kris; Douglas, Jim; Steinbock, Jason; Reimer, Paul [The Weidt Group, Minnetonka, MN (United States); Gauthier, Julia [Xcel Energy, Minneapolis, MN (United States); Wild, Doug; Richards McDaniel, Stephanie [BWBR Architects, Inc., Saint Paul, MN (United States)

    2005-07-01

    In this study, the architects, sponsoring utility and energy simulation specialist joined together to investigate the persistence of energy savings in three completed projects: a college library; a municipal transportation facility; and a hospital. The primary question being 'How well did the design decisions made with the help of simulation analysis translate into building operations over several years?' Design simulation and metered performance data are compared for specific energy-saving strategies. The paper provides a brief overview of the basis of selection of the three projects, the energy design assistance methods employed and the decisions made, along with their savings expectations. For each case, design characteristics, modelling assumptions, selected strategies and actual metered performance are outlined. We find evidence of appropriate levels of energy conservation, but they are not the absolute values predicted. In each case, the discrepancies between modelling assumptions and final construction or operating procedures are identified, examined and rectified. The paper illustrates that while owners are saving energy, they are not always getting the full savings potential for what they install. The paper concludes with a re-examination of the overall process. It evaluates the potential for additional savings of individual technologies and related larger utility incentives to design teams and building owners.

  4. With directed study before a 4-day operating room management course, trust in the content did not change progressively during the classroom time.

    Science.gov (United States)

    Dexter, Franklin; Epstein, Richard H; Fahy, Brenda G; Van Swol, Lyn M

    2017-11-01

    A 4-day course in operating room (OR) management is sufficient to provide anesthesiologists with the knowledge and problem solving skills needed to participate in projects of the systems-based-practice competency. Anesthesiologists may need to learn fewer topics when the objective is, instead, limited to comprehension of decision-making on the day of surgery, We tested the hypothesis that trust in course content would not increase further after completion of topics related to OR decision-making on the day of surgery. Panel survey. A 4-day 35hour course in OR management. Mandatory assignments before classes were: 1) review of statistics at a level slightly less than required of anesthesiology residents by the American Board of Anesthesiology; and 2) reading of peer-reviewed published articles while learning the scientific vocabulary. N=31 course participants who each attended 1 of 4 identical courses. At the end of each of the 4days, course participants completed a 9-item scale assessing trust in the course content, namely, its quality, usefulness, and reliability. Cronbach alpha for the 1 to 7 trust scale was 0.94. The means±SD of scores were 5.86±0.80 after day #1, 5.81±0.76 after day #2, 5.80±0.77 after day #3, and 5.97±0.76 after day #4. Multiple methods of statistical analysis all found that there was no significant effect of the number of days of the course on trust in the content (all P≥0.30). Trust in the course content did not increase after the end of the 1st day. Therefore, statistics review, reading, and the 1st day of the course appear sufficient when the objective of teaching OR management is not that participants will learn how to make the decisions, but will comprehend them and trust in the information underlying knowledgeable decision-making. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Short-term effects of fine particulate air pollution on cardiovascular hospital emergency room visits: a time-series study in Beijing, China.

    Science.gov (United States)

    Su, Chang; Breitner, Susanne; Schneider, Alexandra; Liu, Liqun; Franck, Ulrich; Peters, Annette; Pan, Xiaochuan

    2016-05-01

    The link between particulate matter (PM) and cardiovascular morbidity has been investigated in numerous studies. Less evidence exists, however, about how age, gender and season may modify this relationship. The aim of this study was to evaluate the association between ambient PM2.5 (PM ≤ 2.5 µm) and daily hospital emergency room visits (ERV) for cardiovascular diseases in Beijing, China. Moreover, potential effect modification by age, gender, season, air mass origin and the specific period with 2008 Beijing Olympic were investigated. Finally, the temporal lag structure of PM2.5 has also been explored. Daily counts of cardiovascular ERV were obtained from the Peking University Third Hospital from January 2007 to December 2008. Concurrently, data on PM2.5, PM10 (PM ≤ 10 µm), nitrogen dioxide and sulfur dioxide concentrations were obtained from monitoring networks and a fixed monitoring station. Poisson regression models adjusting for confounders were used to estimate immediate, delayed and cumulative air pollution effects. The temporal lag structure was also estimated using polynomial distributed lag (PDL) models. We calculated the relative risk (RR) for overall cardiovascular disease ERV as well as for specific causes of disease; and also investigated the potential modifying effect of age, gender, season, air mass origin and the period with 2008 Beijing Olympics. We observed adverse effects of PM2.5 on cardiovascular ERV--an IQR increase (68 μg/m(3)) in PM2.5 was associated with an overall RR of 1.022 (95% CI 0.990-1.057) obtained from PDL model. Strongest effects of PM2.5 on cardiovascular ERV were found for a lag of 7 days; the respective estimate was 1.012 (95% CI 1.002-1.022). The effects were more pronounced in females and in spring. Arrhythmia and cerebrovascular diseases showed a stronger association with PM2.5. We also found stronger PM-effects for stagnant and southern air masses and the period of Olympics modified the air pollution effects. We

  6. The power of the age standardized incidence rate to discover the gene link between cancer diseases: development of a new epidemiological method to save money, time, and effort for genetic scientists.

    Science.gov (United States)

    Alghamdi, Ibrahim G; Hussain, Issam I; Alghamdi, Mohamed S; El-Sheemy, Mohammed A

    2015-01-01

    This study provides an incipient epidemiological rule using the concept of direct method of standardization to determine the genetic link between cancer diseases. The overall 8 or 10 years age standardized incidence rate (ASIR) for both cancer diseases, for example (A) and (B) should be calculated for all regions of the country. A line chart should be used to display the overall ASIR trend of both diseases (A and B). Pearson's correlation can be used to determine the strength of the association between the overall ASIRs of both diseases. The overlap or opposite direction of the overall ASIR trend of both diseases (A and B) should be determined and studied for possible associations between cancer diseases. If the trend of the overall 8 or 10 years ASIR of a disease (A) follows that of disease (B) in all regions of the country, then the genes of patients with both diseases (A and B) will be highly homogeneous, and they should be studied in the region with the highest and lowest overall ASIR for both diseases (A and B). In addition, if there is an opposite direction or overlapping trend for both diseases (A and B) in certain regions of the country or among specific groups of people with the same demographic characteristics, then the genes of patients will be investigated for both diseases to identify the potential gene link between cancer diseases. This study revealed that the overall ASIR trends of female breast cancer, prostate cancer, and ovarian cancer are very similar in all regions of Saudi Arabia and England. Our epidemiological evidence helps to save money, time, and effort for testing the potential gene link between cancer diseases.

  7. The power of the age standardized incidence rate to discover the gene link between cancer diseases: development of a new epidemiological method to save money, time, and effort for genetic scientists

    Science.gov (United States)

    Alghamdi, Ibrahim G; Hussain, Issam I; Alghamdi, Mohamed S; El-Sheemy, Mohammed A

    2015-01-01

    Background This study provides an incipient epidemiological rule using the concept of direct method of standardization to determine the genetic link between cancer diseases. Methods The overall 8 or 10 years age standardized incidence rate (ASIR) for both cancer diseases, for example (A) and (B) should be calculated for all regions of the country. A line chart should be used to display the overall ASIR trend of both diseases (A and B). Pearson’s correlation can be used to determine the strength of the association between the overall ASIRs of both diseases. The overlap or opposite direction of the overall ASIR trend of both diseases (A and B) should be determined and studied for possible associations between cancer diseases. Results If the trend of the overall 8 or 10 years ASIR of a disease (A) follows that of disease (B) in all regions of the country, then the genes of patients with both diseases (A and B) will be highly homogeneous, and they should be studied in the region with the highest and lowest overall ASIR for both diseases (A and B). In addition, if there is an opposite direction or overlapping trend for both diseases (A and B) in certain regions of the country or among specific groups of people with the same demographic characteristics, then the genes of patients will be investigated for both diseases to identify the potential gene link between cancer diseases. Conclusion This study revealed that the overall ASIR trends of female breast cancer, prostate cancer, and ovarian cancer are very similar in all regions of Saudi Arabia and England. Our epidemiological evidence helps to save money, time, and effort for testing the potential gene link between cancer diseases. PMID:25878508

  8. Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh [version 1; referees: 1 approved, 2 approved with reservations

    Directory of Open Access Journals (Sweden)

    Animesh Biswas

    2018-03-01

    Full Text Available Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016.  In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%, retention of the placenta with post-partum hemorrhage (11.1% and premature rupture of the membrane (8.9%. About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities.

  9. Structured packing: an opportunity for energy savings

    International Nuclear Information System (INIS)

    Chavez T, R.H.; Guadarrama G, J.J.

    1996-01-01

    This work emphasizes the advantages about the use of structured packing. This type of packings allows by its geometry to reduce the processing time giving energy savings and throw down the production costs in several industries such as heavy water production plants, petrochemical industry and all industries involved with separation processes. There is a comparative results of energy consumption utilizing the structured vs. Raschig packings. (Author)

  10. 76 FR 16477 - General Reporting and Recordkeeping by Savings Associations and Savings and Loan Holding Companies

    Science.gov (United States)

    2011-03-23

    ... Savings Associations and Savings and Loan Holding Companies AGENCY: Office of Thrift Supervision (OTS...), 12 CFR 562.4 (audit of savings association, savings and loan holding company, or affiliate), 12 CFR... the savings association), 12 CFR 584.1(f) (books and records of each savings and loan holding company...

  11. Energy Savings Performance Contract Energy Sales Agreement Toolkit

    Energy Technology Data Exchange (ETDEWEB)

    None

    2017-08-14

    FEMP developed the Energy Savings Performance Contracting Energy Sales Agreement (ESPC ESA) Toolkit to provide federal agency contracting officers and other acquisition team members with information that will facilitate the timely execution of ESPC ESA projects.

  12. Modelling the impact of social network on energy savings

    International Nuclear Information System (INIS)

    Du, Feng; Zhang, Jiangfeng; Li, Hailong; Yan, Jinyue; Galloway, Stuart; Lo, Kwok L.

    2016-01-01

    Highlights: • Energy saving propagation along a social network is modelled. • This model consists of a time evolving weighted directed network. • Network weights and information decay are applied in savings calculation. - Abstract: It is noted that human behaviour changes can have a significant impact on energy consumption, however, qualitative study on such an impact is still very limited, and it is necessary to develop the corresponding mathematical models to describe how much energy savings can be achieved through human engagement. In this paper a mathematical model of human behavioural dynamic interactions on a social network is derived to calculate energy savings. This model consists of a weighted directed network with time evolving information on each node. Energy savings from the whole network is expressed as mathematical expectation from probability theory. This expected energy savings model includes both direct and indirect energy savings of individuals in the network. The savings model is obtained by network weights and modified by the decay of information. Expected energy savings are calculated for cases where individuals in the social network are treated as a single information source or multiple sources. This model is tested on a social network consisting of 40 people. The results show that the strength of relations between individuals is more important to information diffusion than the number of connections individuals have. The expected energy savings of optimally chosen node can be 25.32% more than randomly chosen nodes at the end of the second month for the case of single information source in the network, and 16.96% more than random nodes for the case of multiple information sources. This illustrates that the model presented in this paper can be used to determine which individuals will have the most influence on the social network, which in turn provides a useful guide to identify targeted customers in energy efficiency technology rollout

  13. Night time cooling by ventilation or night sky radiation combined with in-room radiant cooling panels including phase change materials

    DEFF Research Database (Denmark)

    Bourdakis, Eleftherios; Olesen, Bjarne W.; Grossule, Fabio

    Night sky radiative cooling technology using PhotoVoltaic/Thermal panels (PVT) and night time ventilation have been studied both by means of simulations and experiments to evaluate their potential and to validate the created simulation model used to describe it. An experimental setup has been...... depending on the sky clearness. This cooling power was enough to remove the stored heat and regenerate the ceiling panels. The validation simulation model results related to PCM were close to the corresponding results extracted from the experiment, while the results related to the production of cold water...... through the night sky radiative cooling differed significantly. The possibility of night time ventilation was studied through simulations for three different latitudes. It was concluded that for Danish climatic conditions night time ventilation would also be able to regenerate the panels while its...

  14. The miraculously saved refineries

    International Nuclear Information System (INIS)

    Cosnard, D.

    2005-01-01

    During 20 years, refining has been the weak link of the petroleum industry. This sector has always suffered from a chronical overcapacity. Today, on the contrary, there is a lack of facilities and shortage is threatening. The Reichstett refinery (Alsace, France) is the smallest French refinery. It has been several times threatened with closure but today, thanks to the increasing demand, it works at full capacity. This short paper summarizes the history of this facility and its social and environmental impact in the region. (J.S.)

  15. Estimating the response times of human operators working in the main control room of nuclear power plants based on the context of a seismic event – A case study

    International Nuclear Information System (INIS)

    Park, Jinkyun; Kim, Yochan; Kim, Jung Han; Jung, Wondea; Jang, Seung Cheol

    2015-01-01

    Highlights: • Response times under seismic events are necessary for human reliability analysis. • Conceptual framework to estimate response times under a seismic event is suggested. • Four kinds of representative contexts in seismic events are considered. • Rules for estimating response times on the representative contexts are extracted. - Abstract: After the Fukushima accident, a couple of novel issues have raised in terms of the safety assessment of nuclear power plants (NPPs). This means that the performance of human operators should be properly evaluated under an extreme event. However, it is unrealistic to collect a sufficient amount of human performance data from a real event, such as a great earthquake. As one of the promising solutions, a conceptual framework is suggested in this paper, which is helpful for estimating the response time data of human operators working in the main control room of NPPs under a seismic event. To this end, the four kinds of representative contexts that could be anticipated from seismic events are identified. Then the response times of human operators who are faced with similar contexts are reviewed from existing literatures and databases. As a result, a couple of rules that allow us to extrapolate the response times of human operators under seismic events are extracted. Although underlying rationales being used for determining these rules are still arguable, it is expected that response times under seismic events could be properly understood along with accumulating those of human operators against non-seismic conditions

  16. About "Save the Children Committee (India)".

    Science.gov (United States)

    1996-01-01

    This article describes the activity among charitable committees to provide education and shelter to orphans and homeless children in India. "Save The Children Committee" of the All India Women's Conference began operations during the Bengal famine of 1943 by providing shelter to children who were homeless or did not know where their parents were. The Bengal Relief Committee also provided shelters, which later became Children's Homes, which were operated by the Save The Children Committee. Funding support for the homes came from individual donors and organizations. The Bengal government provided Rs.25/month/child for 450 children. Children's homes were set up in Phola, Mymensingh, and Brahmanberia, in the present day Bangladesh, and in Bankura. The Committee took over homes in Mahishadal, Khagda, and Belbeni. After 1948, the Children's Homes in East Pakistan were transferred to India. In 1952, several Children's Committees merged. Funds were supplied by international organizations. Government support levels varied over time. Schools for orphans changed from an emphasis on self-reliance and work to ordinary schooling. Brief descriptions are provided for homes at Pifa, Mangalgunge in Bongaon Subdivision, Thakurpukur in 24-Parganas, and Khagda in Midnapore district. For example, the home at Khagda was begun by the Bengal Relief Committee at the time of the famine of 1944. Save The Children Committee took over its operations in 1946. It is now a home for 21 boys. The boys have access to a good high school, have achieved academically, and received respect from the community.

  17. Can connectionism save constructivism?

    Science.gov (United States)

    Marcus, G F

    1998-05-01

    Constructivism is the Piagetian notion that learning leads the child to develop new types of representations. For example, on the Piagetian view, a child is born without knowing that objects persist in time even when they are occluded; through a process of learning, the child comes to know that objects persist in time. The trouble with this view has always been the lack of a concrete, computational account of how a learning mechanism could lead to such a change. Recently, however, in a book entitled Rethinking Innateness. Elman et al. (Elman, J.L., Bates, E., Johnson, M.H., Karmiloff-Smith, A., Parisi, D., Plunkett, K., 1996. Rethinking Innateness: A Connectionist Perspective on Development. Cambridge, MA: MIT Press) have claimed that connectionist models might provide an account of the development of new kinds of representations that would not depend on the existence of innate representations. I show that the models described in Rethinking Innateness depend on innately assumed representations and that they do not offer a genuine alternative to nativism. Moreover, I present simulation results which show that these models are incapable of deriving genuine abstract representations that are not presupposed. I then give a formal account of why the models fail to generalize in the ways that humans do. Thus, connectionism, at least in its current form, does not provide any support for constructivism. I conclude by sketching a possible alternative.

  18. Control room design

    International Nuclear Information System (INIS)

    Zinke, H.

    1980-01-01

    To control a 1300 megawatt nuclear power plant, about 15000 plant parameters must be collected together to control and operate the plant. The control room design therefore is of particular importance. The main design criteria are: Required functions of the power plant process - Level of Automation - Ergonomics - Available Technology. Extensive analysis has resulted in a control room design method. This ensures that an objective solution will be reached. Resulting from this methodical approach are: 1. Scope, position and appearance of the instrumentation. 2. Scope, position and appearance of the operator controls. Process analysis dictates what instrumentation and operator controls are needed. The priority and importance of the control and instrumentation (this we define as the utilisation areas), dictates the rough layout of the control room. (orig./RW)

  19. Room for caring

    DEFF Research Database (Denmark)

    Timmermann, Connie; Uhrenfeldt, Lisbeth; Birkelund, Regner

    2015-01-01

    Aim This study explores how seriously ill hospitalized patients' experience and assign meaning to their patient room. Background Modern hospitals and the rational underlying care and treatment of today have their emphasis on diagnosis, cure and treatment. Consequently, aesthetics in the patient...... rooms such as a view of nature or natural light entering the room are often neglected in caring for these patients. Method A phenomenological-hermeneutic study design was applied and data was collected through multiple qualitative interviews combined with observations at a teaching hospital in Denmark......-being, relief and hope for the patients during serious illness. Therefore, these sensory impressions should be thought of as holding palliative potential and should be included as a part of caring for the seriously ill patients....

  20. Quick, save the ozone

    International Nuclear Information System (INIS)

    Weber, J.

    1993-01-01

    Last December, after an all-out, nearly $500 million development effort, an Imperial Chemical Industries (ICI) plant in Louisiana was the first world-scale US facility to start pumping out HFC 134a, an alternative to CFC12, the chemical that accounts for more than 50% of CFC use. The saga of 134a is an object lesson in how a global crisis can compel governments and companies to transform technology far faster than either thought possible. With deadlines for phasing out CFCs closing in, ICI and its rivals, Du Pont and Elf, developed technology speedily by constructing factories even while their choice molecules were still being tested. ICI slashed the time it takes to commercialize a technology from the industry norm of more than a decade to only five years. If companies are forced to act on environmental issues, they do it

  1. Control Evaluation Information System Savings

    Directory of Open Access Journals (Sweden)

    Eddy Sutedjo

    2011-05-01

    Full Text Available The purpose of this research is to evaluate the control of information system savings in the banking and to identify the weaknesses and problem happened in those saving systems. Research method used are book studies by collecting data and information needed and field studies by interview, observation, questioner, and checklist using COBIT method as a standard to assess the information system control of the company. The expected result about the evaluation result that show in the problem happened and recommendation given as the evaluation report and to give a view about the control done by the company. Conclusion took from this research that this banking company has met standards although some weaknesses still exists in the system.Index Terms - Control Information System, Savings

  2. Influence of constructional energy-saving measures on the radon-concentration in the air in dwellings

    International Nuclear Information System (INIS)

    Grund, A.L.; Buermeyer, J.; Spizyn, A.; Zahradnik, I.; Grimm, V.; Grimm, G.; Gundlach, M.; Walpert, V.; Breckow, J.

    2015-01-01

    Due to energy-saving measures the air exchange in residential houses may be reduced. In order to determine time-dependent courses the indoor radon-concentrations were measured both, before and after renovation for several weeks. In addition, the most relevant climatic conditions or indoor climate factors, as e.g. the CO 2 -concentration, were measured. Verifying the renovation success, Blower-Door registered -Tests were performed, both as well before and after the renovation. Simultaneously the radon-concentration was measured. The results before and after renovation were compared with respect to seasonal parameters and the inhabitant's behavior. By investigation of the correlation coefficient the influencing parameters and the impact of the energy saving measures were analyzed. Based on the findings a model was developed to characterize the time-dependent course based on the influence quantities. The energy-saving measures at the building considerably influence the radon dynamics. Due to the denser building envelope, fresh air flows in case of underinflation caused by stack effect not only from the outside but even through the basement from the soil. Thus, by this path the radon-containing air can be transported into the dwelling's rooms as well. The influences of the users outweigh the influence of weather parameters, thus, the radonemission- rate was used for user-independent determination of the radon situation.

  3. The changing sensory room

    DEFF Research Database (Denmark)

    2018-01-01

    In 2017 the kindergarten The Milky Way in the city Vejle in Denmark made a sensory room that has the special ability change whenever wanted by the children and social educators. Kjetil Sandvik (to the right) from Copenhagen University and Klaus Thestrup from Aarhus University reflects upon what...... they saw, took part in and talked with the social educators about. Jacob Knudsen from VIFIN filmed the two gentlemen and organised the project. it is a room composed around common experiments, many self-made objects, open narrative structures. and a combination of digital and analogue elements....

  4. Evaluation on Innovation approaches on Performance from Malaysian perspective: A study on Malaysian Building energy saving

    Directory of Open Access Journals (Sweden)

    Amlus M. H.

    2018-01-01

    Full Text Available Lately Malaysia energy consumption versus generation rapidly shows increasing due to increasing of load. This phenomenon happened following to advanced country development. Lacking on design and without energy management approach the energy consumption and monthly electrical bill will steadily increased and support the increasing of world carbon emission. Therefore the aim of this work is to approach the simplest innovation task-energy audit , which is load-apportioning strategy. This approach using matching the usage of equipment with fully utilized space and reschedules the time of usage. A one week data was collected by logged power meter at main switchboard at selected building using Fluke Power Recorder. From the data collected, current usage of every load can be determine, then load will be arrange into a group with same portion and same time of usage. The result shows clearly the energy consumption for every single day and indicates the highest and lowest peak. From this work the apportioning strategy implemented by rearrange the load following type of room application. After the arrangement, new measurement was taken and a very good result was established. This work also can be further apply for a huge load that can be save a lot of money for owner especially government by energy saving.

  5. Are Women Empowered to Save?

    Directory of Open Access Journals (Sweden)

    Frances Woolley

    2013-12-01

    Full Text Available Female economic empowerment – rising earnings, increased opportunities, greater labour force participation – has given many women the means to save. The shifting of responsibility for retirement security from employers and governments onto individuals has given women a reason to save. But are women actually saving? In this paper, we explore the relationship between the gender dynamics within a family and the accumulation of wealth. We find that little evidence in support of the conventional wisdom that families with a female financial manager save more and repay their debts more often. We find some evidence that male financial management leads to greater savings, and other evidence suggesting that savings patterns have a complex relationship with intra-family gender dynamics. El empoderamiento económico de la mujer – el aumento de los ingresos, mayores oportunidades, mayor participación laboral – ha dado a muchas mujeres los medios para ahorrar. Al pasar la responsabilidad de los ingresos de la jubilación de los empleadores y el gobierno a los individuos ha dado a las mujeres un motivo para ahorrar. ¿Pero realmente ahorran las mujeres? En este artículo se analizan las relaciones entre las dinámicas de género en una familia, y la acumulación de riqueza. Se ha llegado a la conclusión de que hay poca evidencia que apoye la creencia convencional de que las familias en las que una mujer gestiona las financias ahorran más y devuelven sus créditos más frecuentemente. Se ha encontrado alguna evidencia de que la gestión financiera por varones acarrea mayores ahorros, y otras evidencias que sugieren que los patrones de ahorro tienen una relación compleja con las dinámicas de género dentro de la familia.

  6. End users heat energy savings using thermostat regulation valves radiators, v. 16(64)

    International Nuclear Information System (INIS)

    Jakimovska, Emilija Misheva; Potsev, Eftim

    2008-01-01

    Billing the used heat energy offers the opportunity to motivate end users to use the heat energy rationally and to save the energy. Installing the thermostat valves on the radiators it is possible frequently to regulate the room temperature and to use the heat gains, obtaining comfortable climate in the apartments and saving the energy. Thermostat valves give the possibility to use the heat energy rationally and save the energy, and these way and users can regulate the heat energy consumption according to their own level of thermal comfort. (Author)

  7. End users heat energy savings using thermostat regulation valves radiators, v. 16(63)

    International Nuclear Information System (INIS)

    Jakimovska, Emilija Misheva; Potsev, Eftim

    2008-01-01

    Billing the used heat energy offers the opportunity to motivate end users to use the heat energy rationally and to save the energy. Installing the thermostat valves on the radiators it is possible frequently to regulate the room temperature and to use the heat gains, obtaining comfortable climate in the apartments and saving the energy. Thermostat valves give the possibility to use the heat energy rationally and save the energy, and these way and users can regulate the heat energy consumption according to their own level of thermal comfort. (Author)

  8. Operating room fires in periocular surgery.

    Science.gov (United States)

    Connor, Michael A; Menke, Anne M; Vrcek, Ivan; Shore, John W

    2018-06-01

    A survey of ophthalmic plastic and reconstructive surgeons as well as seven-year data regarding claims made to the Ophthalmic Mutual Insurance Company (OMIC) is used to discuss operating room fires in periocular surgery. A retrospective review of all closed claim operating room fires submitted to OMIC was performed. A survey soliciting personal experiences with operating room fires was distributed to all American Society of Oculoplastic and Reconstructive Surgeons. Over the last 2 decades, OMIC managed 7 lawsuits resulting from an operating room fire during periocular surgery. The mean settlement per lawsuit was $145,285 (range $10,000-474,994). All six patients suffered burns to the face, and three required admission to a burn unit. One hundred and sixty-eight surgeons participated in the online survey. Approximately 44% of survey respondents have experienced at least one operating room fire. Supplemental oxygen was administered in 88% of these cases. Most surgical fires reported occurred in a hospital-based operating room (59%) under monitored anesthesia care (79%). Monopolar cautery (41%) and thermal, high-temperature cautery (41%) were most commonly reported as the inciting agents. Almost half of the patients involved in a surgical fire experienced a complication from the fire (48%). Sixty-nine percent of hospital operating rooms and 66% of ambulatory surgery centers maintain an operating room fire prevention policy. An intraoperative fire can be costly for both the patient and the surgeon. Ophthalmic surgeons operate in an oxygen rich and therefore flammable environment. Proactive measures can be undertaken to reduce the incidence of surgical fires periocular surgery; however, a fire can occur at any time and the entire operating room team must be constantly vigilant to prevent and manage operating room fires.

  9. Should the decline in the personal saving rate be a cause for concern?

    OpenAIRE

    C. Alan Garner

    2006-01-01

    The personal saving rate has received particular attention recently because saving was negative in 2005 for the first time since the Great Depression. Although saving declined in other developed countries during this period, the U.S. decline was more pronounced than in most of these countries. ; A major concern is whether U.S. households are providing adequately for long-term needs, such as future retirement and medical expenses. In addition, low personal saving has created short-run concerns...

  10. Analysis of room acoustics in Danish Hospitals

    DEFF Research Database (Denmark)

    Hoffmann, Ida Ørduk; Zapata Rodriguez, Valentina; Jeong, Cheol-Ho

    2018-01-01

    time (EDT) and T20, and the sound pressure level metrics, namely the equivalent level and peak level. In addition, the staff at the hospitals is asked about their personal perception of the acoustic and noise conditions and the correlation between their subjective disturbances......This project aims to compare room acoustic parameters and noise levels in various Danish hospitals: Odense, Gentofte, Bispebjerg, Hillerød and Aarhus Hospitals. Room acoustic conditions are measured in audiometric rooms at Odense, Gentofte, Bispebjerg and Aarhus hospitals. The noise levels...

  11. Evaluation of a dark-room

    International Nuclear Information System (INIS)

    Passos, J.C.

    1987-01-01

    The adequate operation conditions of a dark-room are essential to guarantee the image quality, the least exposure of the patient and the staff, contributing also to reduce the expenses with specific equipments and processing solutions. Therefore, to install a dark-room, it is necessary a previous study about its physical dimensions, the location of equipments, accessories, light safeguards and visual warning, besides adequate darkening and correct filme processing. We propose three basic tests to check the adequacy and the integrity of a dark-room: light safeguards test, hygiene test, developing time and temperature test. (Author) [pt

  12. Saving Face and Group Identity

    DEFF Research Database (Denmark)

    Eriksson, Tor; Mao, Lei; Villeval, Marie-Claire

    2015-01-01

    their self- but also other group members' image. This behavior is frequent even in the absence of group identity. When group identity is more salient, individuals help regardless of whether the least performer is an in-group or an out-group. This suggests that saving others' face is a strong social norm.......Are people willing to sacrifice resources to save one's and others' face? In a laboratory experiment, we study whether individuals forego resources to avoid the public exposure of the least performer in their group. We show that a majority of individuals are willing to pay to preserve not only...

  13. A real-time monitoring system for the assessment of stability and performance of in abandoned room and pillar lignite mines

    International Nuclear Information System (INIS)

    Aydan, O.; Tano, H.; Sakamoto, A.; Yamada, N.; Sugiura, K.

    2005-01-01

    The authors have been involved with the stability of abandoned mines beneath urbanized residential areas in Tokai region. These abandoned lignite mines were in operation until 1960's. There is a great concern about the stability of these abandoned mines during large earthquakes. The 2003 Miyagi Hokubu earthquake caused great damage to abandoned mines and resulted in collapses. The authors describe an integrated real-time monitoring system and they report some measured data up to now. The responses of monitoring system during a large roof collapse under gravitational condition as well as during and after two earthquakes are presented and their implications are discussed. (authors)

  14. A real-time monitoring system for the assessment of stability and performance of in abandoned room and pillar lignite mines

    Energy Technology Data Exchange (ETDEWEB)

    Aydan, O. [Tokai Univ., Dept.of Marine Civil Engineering, Shizuoka (Japan); Tano, H. [Nihon Univ., Dept. of Civil Engineering, Koriyama (Japan); Sakamoto, A.; Yamada, N.; Sugiura, K. [Tobishima Construction Company, Nagoya Branch (Japan)

    2005-07-01

    The authors have been involved with the stability of abandoned mines beneath urbanized residential areas in Tokai region. These abandoned lignite mines were in operation until 1960's. There is a great concern about the stability of these abandoned mines during large earthquakes. The 2003 Miyagi Hokubu earthquake caused great damage to abandoned mines and resulted in collapses. The authors describe an integrated real-time monitoring system and they report some measured data up to now. The responses of monitoring system during a large roof collapse under gravitational condition as well as during and after two earthquakes are presented and their implications are discussed. (authors)

  15. Improved methods to evaluate realised energy savings

    NARCIS (Netherlands)

    Boonekamp, P.G.M.

    2005-01-01

    This thesis regards the calculation of realised energy savings at national and sectoral level, and the policy contribution to total savings. It is observed that the results of monitoring and evaluation studies on realised energy savings are hardly applied in energy saving policy. Causes are the lack

  16. The power of the age standardized incidence rate to discover the gene link between cancer diseases: development of a new epidemiological method to save money, time, and effort for genetic scientists

    Directory of Open Access Journals (Sweden)

    Alghamdi IG

    2015-03-01

    . Our epidemiological evidence helps to save money, time, and effort for testing the potential gene link between cancer diseases. Keywords: epidemiology, medical statistics, direct standardization, England, Saudi Arabia

  17. Evaluating the auralization of a small room in a virtual sound environment using objective room acoustic measures

    DEFF Research Database (Denmark)

    Ahrens, Axel; Marschall, Marton; Dau, Torsten

    2016-01-01

    To study human auditory perception in realistic environments, loudspeaker-based reproduction techniques have recently become state-of-the-art. To evaluate the accuracy of a simulation-based room auralization of a small room, objective measures, such as early-decay-time (EDT), reverberation time...... of the room. The auralizations were generated using the loudspeaker-based room auralization toolbox (LoRA; Favrot and Buchholz, 2010) and reproduced in a 64-channel loudspeaker array, set up in an anechoic chamber. Differences between the objective measures evaluated in the real and the virtual room were......, clarity, interaural cross-correlation (IACC), and the speech transmission index were measured in an IEC listening room for 28 source-receiver combinations. The room was then modeled in the room acoustics software ODEON, and the same objective measures were also evaluated for the auralized version...

  18. The energy saving manual; Das Energiesparbuch

    Energy Technology Data Exchange (ETDEWEB)

    Goetze, Monika; Pinn, Gudrun

    2009-07-01

    The constant increase in the cost of electric power, petroleum, gasoline and gas burden the household budget. At the same time, greenhouse gases are speeding up global warming alarmingly. It is time to reconsider our style of living. This guide presents simple and practical hints to reduce energy costs and protect the climate. Exemplary calculations show how up to 1100 Euro can be saved per household member and per annum. Subjects: Identifying fields of excess energy consumption; No wasting of electricity, heat, and warm water; Food, shopping and climate; Mobility and climate protection; How to establish an individual energy conservation profile. (orig.)

  19. Gas explosion in a room with a window and passage to an adjacent room

    Directory of Open Access Journals (Sweden)

    Polandov Yuri

    2016-01-01

    Full Text Available Some publications describe an effect, produced during a physical model experiment, when an adjacent gas-free room influences the gas explosion pressure in a room with a window. The explosion pressure in this case significantly exceeds (2.5 times the explosion pressure in a room without an adjacent room. This result has been confirmed by our studies. Based on other available information about the influence of the ignition point location on the explosion pressure in one room, it was suggested that this could be true for an explosion in two rooms. In our studies we used a test unit with two connected chambers, each having a volume of 1.125 m3. It turned out that this influence of the adjacent volume was not so unambiguous as it was described in those publications. It was found out that the maximum effect of explosion pressure amplification by the adjacent room is achieved, when the igniter is located in the chamber filled with a gas-air mixture in the area between the center of the chamber and the window (maximum amplification by more than 3 times. This effect is lower directly by the window (1.8 times and is practically absent in case of ignition within the area near the passage connecting the chamber with the adjacent room. This suggests that the effect discovered earlier is a special case of the general dependence of the gas explosion pressure in two chambers on the igniter location.

  20. PS Control Room

    CERN Multimedia

    CERN PhotoLab

    1963-01-01

    The good old PS Control Room, all manual. For each parameter, a knob or a button to control it; for each, a light or meter or oscilloscope to monitor it; carefully written pages serve as the data bank; phones and intercom for communication. D.Dekkers is at the microphone, M.Valvini sits in front.

  1. Room for iodo therapy

    International Nuclear Information System (INIS)

    Pinto, A.L.A.; Derivi, A.; Bacelar, A.; Ramos, F.R.; Dias, T.M.; Baptista, I.S.

    1996-01-01

    A description of rules to assemble, to install and to maintain a room for iodo therapy is presented. The necessities of the patients and procedures to meet the norms of radiologic protection established by the Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil) are highlighted

  2. Local control room

    CERN Multimedia

    CERN PhotoLab

    1972-01-01

    Local control room in the ejection building : all electronics pertaining to proton distribution and concomitants such as beam gymnastics and diagnostics at high energies will eventually be gathered here. Shown is the first of two rows of fast ejection electronic racks. It includes only what is necessary for operation.

  3. DSS / Press Room

    Science.gov (United States)

    Defense Security Service, U.S. Department of Defense Site Map | A-Z Index | Facebook | Twitter Locations Press Room Organizational Structure Careers at DSS Doing Business with DSS Frequently Asked Classification System (NCCS) National Industrial Security System (NISS) ODAA Business Management System (OBMS

  4. Radiation protection in the operating room

    International Nuclear Information System (INIS)

    Kunz, B.; Stargardt, A.

    1978-01-01

    On the basis of legally provided area dose measurements and time records of fluoroscopic examinations during the operation, radiation doses to medical personnel and patients are evaluated. Adequate radiation protection measures and a careful behaviour in the operating room keep the radiation exposure to the personnel below the maximum permissible exposure. Taking into account the continuous personnel radiation monitoring and medical supervision, radiation hazards in the operating room can be considered low

  5. Occupational dosimetry in real time hemodynamic rooms. utility of the system Dose-aware as a training tool; Dosimetria ocupacional en tiempo real en salas de hemodinamica. Utilidad del Sistema Dose-Aware como herramienta formativa

    Energy Technology Data Exchange (ETDEWEB)

    Pinto Monedero, M.; Rodriguez Cobo, C.; Pifarre Martinez, X.; Ruiz Martin, J.; Barros Candelero, J. M.; Goicolea Ruigomez, J.; Diaz Blaires, G.; Garcia Lunar

    2014-02-01

    This paper presents the results from a study in a real time dosimetry system used in the catheter laboratory room of our center. The objective was to know the occupational doses per procedure, on the one hand, and, on the other hand, to evaluate its utility as a learning tool for radiation protection purposes with the simultaneous video recording of the interventions. 83 diagnostic and therapeutic procedures were analyzed, and an average dose per procedure of 0,37 {mu}Sv and 0,10 {mu}Sv for the main cardiologist and nurse were obtained, respectively. 36 of these interventions were also recorded and the images were synchronized with the dosimetric information stored and the dosimetry system. The findings were presented to the interventional cardiology team in a learning session. They showed a high level of satisfaction with this new method of optimizing the occupational doses through a customized learning session. (Author)

  6. Controlling the clean room atmosphere

    International Nuclear Information System (INIS)

    Meeks, R.F.

    1979-01-01

    Several types of clean rooms are commonly in use. They include the conventional clean room, the horizontal laminar flow clean room, the vertical laminar flow clean room and a fourth type that incorporates ideas from the previous types and is known as a clean air bench or hood. These clean rooms are briefly described. The origin of contamination and methods for controlling the contamination are discussed

  7. Revolving fund for energy saving

    International Nuclear Information System (INIS)

    Prebensen, K.

    1993-01-01

    A key issue in Eastern Europe is the adjustment of prices from the former COMECON level to a level conforming with free market conditions. In the case of household heating, this issue involves the removal of government subsidies leading to sharply increasing prices, metering of individual consumption, improving the efficiency of energy production, distribution and use - where savings of 30-50% in each link are technically feasible - thereby providing a potential for a adapting consumption patterns to higher energy prices, provided that funds are available. Currently, investment in commercial heat production and distribution systems have received substantial international support - whereas investment in reduction of demand has been little exploited. The Revolving Fund for Energy Savings in Polish Households is a concept for efficient financing of small-scale projects. It aims at financing, on the level of housing cooperatives, on the basis of a simplified lending and project evaluation procedure, well suited to current Polish conditions or an organizationally and financially weak banking system and little developed technical knowledge in the field of energy saving. A general introduction to the issue is given and technical problems are elaborated. The implementation of Energy Savings in Housing seen from the banking point of view, and a current pilot scheme for financing, are described. (AB)

  8. Social Capital and Savings Behaviour

    DEFF Research Database (Denmark)

    Newman, Carol; Tarp, Finn; Van Den Broeck, Katleen

    We explore the extent to which social capital can play a role in imparting information about the returns to saving where potential knowledge gaps and mistrust exists. Using data from Vietnam we find strong evidence to support the hypothesis that information transmitted via reputable social...

  9. Save the Boulders Beach Penguins

    Science.gov (United States)

    Sheerer, Katherine; Schnittka, Christine

    2012-01-01

    Maybe it's the peculiar way they walk or their cute little suits, but students of all ages are drawn to penguins. To meet younger students' curiosity, the authors adapted a middle-school level, penguin-themed curriculum unit called Save the Penguins (Schnittka, Bell, and Richards 2010) for third-grade students. The students loved learning about…

  10. Stability of disposal rooms during waste retrieval

    International Nuclear Information System (INIS)

    Brandshaug, T.

    1989-03-01

    This report presents the results of a numerical analysis to determine the stability of waste disposal rooms for vertical and horizontal emplacement during the period of waste retrieval. It is assumed that waste retrieval starts 50 years after the initial emplacement of the waste, and that access to and retrieval of the waste containers take place through the disposal rooms. It is further assumed that the disposal rooms are not back-filled. Convective cooling of the disposal rooms in preparation for waste retrieval is included in the analysis. Conditions and parameters used were taken from the Nevada Nuclear Waste Storage Investigation (NNWSI) Project Site Characterization Plan Conceptual Design Report (MacDougall et al., 1987). Thermal results are presented which illustrate the heat transfer response of the rock adjacent to the disposal rooms. Mechanical results are presented which illustrate the predicted distribution of stress, joint slip, and room deformations for the period of time investigated. Under the assumption that the host rock can be classified as ''fair to good'' using the Geomechanics Classification System (Bieniawski, 1974), only light ground support would appear to be necessary for the disposal rooms to remain stable. 23 refs., 28 figs., 2 tabs

  11. Automated Air Traffic Control Operations with Weather and Time-Constraints: A First Look at (Simulated) Far-Term Control Room Operations

    Science.gov (United States)

    Prevot, Thomas; Homola, Jeffrey R.; Martin, Lynne H.; Mercer, Joey S.; Cabrall, Christopher C.

    2011-01-01

    In this paper we discuss results from a recent high fidelity simulation of air traffic control operations with automated separation assurance in the presence of weather and time-constraints. We report findings from a human-in-the-loop study conducted in the Airspace Operations Laboratory (AOL) at the NASA Ames Research Center. During four afternoons in early 2010, fifteen active and recently retired air traffic controllers and supervisors controlled high levels of traffic in a highly automated environment during three-hour long scenarios, For each scenario, twelve air traffic controllers operated eight sector positions in two air traffic control areas and were supervised by three front line managers, Controllers worked one-hour shifts, were relieved by other controllers, took a 3D-minute break, and worked another one-hour shift. On average, twice today's traffic density was simulated with more than 2200 aircraft per traffic scenario. The scenarios were designed to create peaks and valleys in traffic density, growing and decaying convective weather areas, and expose controllers to heavy and light metering conditions. This design enabled an initial look at a broad spectrum of workload, challenge, boredom, and fatigue in an otherwise uncharted territory of future operations. In this paper we report human/system integration aspects, safety and efficiency results as well as airspace throughput, workload, and operational acceptability. We conclude that, with further refinements. air traffic control operations with ground-based automated separation assurance can be an effective and acceptable means to routinely provide very high traffic throughput in the en route airspace.

  12. 76 FR 31680 - General Reporting and Recordkeeping by Savings Associations and Savings and Loan Holding Companies

    Science.gov (United States)

    2011-06-01

    ... Savings Associations and Savings and Loan Holding Companies AGENCY: Office of Thrift Supervision (OTS... Savings and Loan Holding Companies. OMB Number: 1550-0011. Form Number: N/A. Description: This information...), 12 CFR 562.4 (audit of savings association, savings and loan holding company, or affiliate), 12 CFR...

  13. The impact on energy consumption of daylight saving clock changes

    Energy Technology Data Exchange (ETDEWEB)

    Hill, S.I.; Desobry, F. [Department of Engineering, University of Cambridge (United Kingdom); Garnsey, E.W. [Institute for Manufacturing, University of Cambridge (United Kingdom); Chong, Y.-F. [IPA Energy and Water Consulting (United Kingdom)

    2010-09-15

    The focus of this work is an investigation of the effect of prevailing time regime on energy consumption. In particular we perform analysis demonstrating potential energy savings which could be obtained were Great Britain to maintain daylight savings time (DST) over winter, instead of reverting to Greenwich mean time (GMT). We review the literature on the effect of DST on energy consumption and show that this indicates a justification for considering the issue. Our headline result is in agreement with many related studies in that advancing the clock by an hour in winter would lead to energy savings of at least 0.3% of daily demand in Great Britain. In deriving this result we have adopted methodologies currently used in load prediction, in particular Support Vector Regression, to estimate energy demand on a half-hourly basis. Corresponding cost savings are found to be higher (due to the nonlinear increase of costs) and we find them to be on the order of 0.6% over the months considered. In terms of environmental impact we find the saving to be approximately equivalent to 450,000 ton of CO{sub 2}. In deriving these results we adopt a conservative approach such that we consider them lower bounds on any true savings. (author)

  14. The impact on energy consumption of daylight saving clock changes

    International Nuclear Information System (INIS)

    Hill, S.I.; Desobry, F.; Garnsey, E.W.; Chong, Y.-F.

    2010-01-01

    The focus of this work is an investigation of the effect of prevailing time regime on energy consumption. In particular we perform analysis demonstrating potential energy savings which could be obtained were Great Britain to maintain daylight savings time (DST) over winter, instead of reverting to Greenwich mean time (GMT). We review the literature on the effect of DST on energy consumption and show that this indicates a justification for considering the issue. Our headline result is in agreement with many related studies in that advancing the clock by an hour in winter would lead to energy savings of at least 0.3% of daily demand in Great Britain. In deriving this result we have adopted methodologies currently used in load prediction, in particular Support Vector Regression, to estimate energy demand on a half-hourly basis. Corresponding cost savings are found to be higher (due to the nonlinear increase of costs) and we find them to be on the order of 0.6% over the months considered. In terms of environmental impact we find the saving to be approximately equivalent to 450,000 ton of CO 2 . In deriving these results we adopt a conservative approach such that we consider them lower bounds on any true savings.

  15. Evaluation of Water consumption and savings achieved in Datacenters through Air side Economization

    Science.gov (United States)

    Mishra, Ravi

    Recent researches and a few facility owners have focused on eliminating the chiller plant altogether by implementing 'Evaporative Cooling', as an alternative or augmentation to compressor-based air conditioning since the energy consumption is dominated by the compressor work (around 41%) in the chiller plant. Because evaporative cooling systems consume water, when evaluating the energy savings potential of these systems, it is imperative to consider not just their impacts on electricity use, but also their impacts on water consumption as well since Joe Kava, Google's head of data center operations, was quoted as saying that water is the "big elephant in the room" for data center companies. The objective of this study was to calculate the savings achieved in water consumption when these evaporative cooling systems were completely or partially marginalized when the facility is strictly working in the Economizer mode also known as 'free cooling' considering other modes of cooling required only for a part of the time when outside temperature, humidity and pollutant level were unfavorable causing improper functioning and reliability issues. The analysis was done on ASHRAE climatic zones with the help of TMY-3 weather data.

  16. Clean room actuators

    Energy Technology Data Exchange (ETDEWEB)

    Higuchi, Toshiro

    1987-06-01

    This report explains on the present status of the clean room actuators including the author's research results. In a clean room, there exists a possibility of dust generation, even when a direct human work is eliminated by the use of robots or automatic machines, from the machines themselves. For this, it is important to develop such clean robots and transfer/positioning mechanism that do not generate dusts, and to develop an actuator and its control technique. Topics described in the report are as follows: 1. Prevention of dust diffusion by means of sealing. 2. Elimination of mechanical contact (Linear induction motor and pneumatic float, linear motor and magnetic attraction float, linear motor and air bearing, and magnetic bearing). 3. Contactless actuator having a positioning mechanism (Use of linear step motor and rotary contactless actuator). (15 figs, 11 refs)

  17. Room temperature creep in metals and alloys

    Energy Technology Data Exchange (ETDEWEB)

    Deibler, Lisa Anne [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials Characterization and Performance

    2014-09-01

    Time dependent deformation in the form of creep and stress relaxation is not often considered a factor when designing structural alloy parts for use at room temperature. However, creep and stress relaxation do occur at room temperature (0.09-0.21 Tm for alloys in this report) in structural alloys. This report will summarize the available literature on room temperature creep, present creep data collected on various structural alloys, and finally compare the acquired data to equations used in the literature to model creep behavior. Based on evidence from the literature and fitting of various equations, the mechanism which causes room temperature creep is found to include dislocation generation as well as exhaustion.

  18. Survey of industrial radioisotope savings

    International Nuclear Information System (INIS)

    1965-01-01

    Only three decades after the discovery of artificial radioactivity and two after radioisotopes became available in quantity, methods employing these as sources or tracers have found widespread use, not only in scientific research, but also in industrial process and product control. The sums spent by industry on these new techniques amount to millions of dollars a year. Realizing the overall attitude of industry to scientific progress - to accept only methods that pay relatively quickly - one can assume that the economic benefits must be of a still larger order of magnitude. In order to determine the extent to which radioisotopes are in daily use and to evaluate the economic benefits derived from such use, IAEA decided to make an 'International Survey on the Use of Radioisotopes in Industry'. In 1962, the Agency invited a number of its highly industrialized Member States to participate in this Survey. Similar surveys had been performed in various countries in the 1950's. However, the approaches and also the definition of the economic benefits differed greatly from one survey to another. Hence, the Agency's approach was to try to persuade all countries to conduct surveys at the same time, concerning the same categories of industries and using the same terms of costs, savings, etc. In total, 24 Member States of the Agency agreed to participate in the survey and in due course they submitted contributions. The national reports were discussed at a 'Study Group Meeting on Radioisotope Economics', convened in Vienna in March 1964. Based upon these discussions, the national reports have been edited and summarized. A publication showing the administration of the Survey and providing all details is now published by the Agency. From the publication it is evident that in general the return of technical information was quite high, of the order of 90%, but, unfortunately the economic response was much lower. However, most of the reports had some bearing on the economic aspects

  19. Bone Cutting Forceps: A Safe Approach for Saving Strangulated Penis

    Directory of Open Access Journals (Sweden)

    Mohamed Ahmed Abd El Salam

    2016-01-01

    Full Text Available Penile strangulation is considered a rare andrological emergency that may lead to a wide range of complications. Penile strangulation may be related to mental retardation in children or hypersexuality, abnormal sexual preferences in adults. This case report shows a 23-year-old male who presented to the emergency room with agonizing pain related to a metallic ring placed at the base of the penis for more than 8 hours during an attempt of masturbation. Removing this metallic ring and saving the patient’s penis from gangrene without causing injury were very challenging. Patient was successfully managed and had an uneventful recovery.

  20. Questions asked concerning energy savings in lighting systems

    International Nuclear Information System (INIS)

    Bernet, J.

    2005-01-01

    This article discusses the question why information on the power consumption of lighting fixtures is not often to be found in articles in lifestyle magazines or in the displays of designer-boutiques. The efficiency of various types of lighting is discussed. In particular, the differences between traditional incandescent bulbs and energy-saving lighting systems are examined from the aesthetical, colour-reproduction and energy-consumption points of view. Further information presented includes details on colour-reproduction indexes and colour temperature. The lighting needs of various types of room are looked at and the influence of the physical form of the lighting fixtures on purchasing decisions is examined

  1. Air Distribution in Rooms

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    The research on air distribution in rooms is often done as full-size investigations, scale-model investigations or by Computational Fluid Dynamics (CFD). New activities have taken place within all three areas and this paper draws comparisons between the different methods. The outcome of the l......EA sponsored research "Air Flow Pattern within Buildings" is used for comparisons in some parts of the paper because various types of experiments and many countries are involved....

  2. Planets in a Room

    Science.gov (United States)

    Giacomini, l.; Aloisi, F.; De Angelis, I.

    2017-09-01

    Teaching planetary science using a spherical projector to show the planets' surfaces is a very effective but usually very expensive idea. Whatsmore, it usually assumes the availability of a dedicated space and a trained user. "Planets in a room" is a prototypal low cost version of a small, spherical projector that teachers, museum, planetary scientists and other individuals can easily build and use on their own, to show and teach the planets The project of "Planets in a Room" was made by the italian non-profit association Speak Science with the collaboration of INAF-IAPS of Rome and the Roma Tre University (Dipartimento di Matematica e Fisica). This proposal was funded by the Europlanet Outreach Funding Scheme in 2016. "Planets in a room" will be presented during EPSC 2017 to give birth to the second phase of the project, when the outreach and research community will be involved and schools from all over Europe will be invited to participate with the aim of bringing planetary science to a larger audience.

  3. Small scale models equal large scale savings

    International Nuclear Information System (INIS)

    Lee, R.; Segroves, R.

    1994-01-01

    A physical scale model of a reactor is a tool which can be used to reduce the time spent by workers in the containment during an outage and thus to reduce the radiation dose and save money. The model can be used for worker orientation, and for planning maintenance, modifications, manpower deployment and outage activities. Examples of the use of models are presented. These were for the La Salle 2 and Dresden 1 and 2 BWRs. In each case cost-effectiveness and exposure reduction due to the use of a scale model is demonstrated. (UK)

  4. Long-run savings and investment strategy optimization.

    Science.gov (United States)

    Gerrard, Russell; Guillén, Montserrat; Nielsen, Jens Perch; Pérez-Marín, Ana M

    2014-01-01

    We focus on automatic strategies to optimize life cycle savings and investment. Classical optimal savings theory establishes that, given the level of risk aversion, a saver would keep the same relative amount invested in risky assets at any given time. We show that, when optimizing lifecycle investment, performance and risk assessment have to take into account the investor's risk aversion and the maximum amount the investor could lose, simultaneously. When risk aversion and maximum possible loss are considered jointly, an optimal savings strategy is obtained, which follows from constant rather than relative absolute risk aversion. This result is fundamental to prove that if risk aversion and the maximum possible loss are both high, then holding a constant amount invested in the risky asset is optimal for a standard lifetime saving/pension process and outperforms some other simple strategies. Performance comparisons are based on downside risk-adjusted equivalence that is used in our illustration.

  5. Long-Run Savings and Investment Strategy Optimization

    Directory of Open Access Journals (Sweden)

    Russell Gerrard

    2014-01-01

    Full Text Available We focus on automatic strategies to optimize life cycle savings and investment. Classical optimal savings theory establishes that, given the level of risk aversion, a saver would keep the same relative amount invested in risky assets at any given time. We show that, when optimizing lifecycle investment, performance and risk assessment have to take into account the investor’s risk aversion and the maximum amount the investor could lose, simultaneously. When risk aversion and maximum possible loss are considered jointly, an optimal savings strategy is obtained, which follows from constant rather than relative absolute risk aversion. This result is fundamental to prove that if risk aversion and the maximum possible loss are both high, then holding a constant amount invested in the risky asset is optimal for a standard lifetime saving/pension process and outperforms some other simple strategies. Performance comparisons are based on downside risk-adjusted equivalence that is used in our illustration.

  6. PENGARUH WAKTU REAKSI ETANOLISIS PADA SUHU RUANG TERHADAP RENDEMEN DAN STABILITAS EMULSI PRODUK ETANOLISIS Palm Kernel Oil (PKO [The Effect of Ethanolisis Reaction Time at Room Temperature on Yield and Emulsion Stability Ofproduct of Ethanolisis Palm Kernel Oil (PKO

    Directory of Open Access Journals (Sweden)

    Jessica Yunggo

    2016-09-01

    Full Text Available PKO (palm kernel oil is made from palm kernel of Elaesis gueneensis Jacq, which is a mixture of triglycerides. Triglycerides can be converted into a number of derivative products such as mono-diglycerides (MG-DG. MG-DG can be formed by ethanolisis reaction. In this study ethanolisis reaction of PKO was done by adding 96% of technical ethanol containing NaOH 1% (w/w PKO on PKO solution at a room temperature and a shorter time than the another PKO ethanolisis before. This study was aimed to find the best PKO ethanolisis reaction time in providing products of ethanolisis PKO with yield and high emulsion stability. The experiment was a nonfactorial  and arranged in a complete randomized block design (CRBD with four replications.  The single factor studied was 7 levels of  the reaction time in which  were 1, 3, 5, 7, 9, 11 and 13 minutes.  The data  were analysed using ANOVA and  further by Orthogonal polynomial on the significant level of 1% and 5%. The results showed that the reaction time ethanolisis had no effect on the yield and stability of the emulsion of fresh coconut milk. The yield of the resulting range between 17.32% - 18.07% and the stability of emulsion ranged between 88.88% - 92.50% during one day and 85.23% - 89.50% during two days. The sensory observation indicated that PKO ethanolisis product can preserve coconut milk for 3 days of storage time with color and scent of fresh coconut milk, and  more stable compared to control. Keywords: emulsion stability, ethanolisis, PKO, time, yield

  7. Far ahead of the times. Measurements demonstrate: solar thermal heating systems save money at the highest level of domestic comfort; Der Zeit weit voraus. Messungen beweisen: solarthermische Heizsysteme sparen bares Geld bei hoechstem Wohnkomfort

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2012-12-15

    If someone wants to build or renovate its own home at present, is well advised to decide for a sustainable and cost saving energy concept. Already at the beginning of this year, the oil and gas prices amount to more than 90 cent per litre. Tendency: increasing. Many households look back on one of the most expensive heating periods of the past five years, although the winter 2011/2012 brought average temperatures statistically. If someone wants to become independent from the development of the energy prices, needs a building and heating concept which meets the heat requirement from renewable energy resources as wide-ranging as possible.

  8. FY 1997 cost savings report

    International Nuclear Information System (INIS)

    Sellards, J.B.

    1998-01-01

    With the end of the cold war, funding for the Environmental Management program increased rapidly as nuclear weapons production facilities were shut down, cleanup responsibilities increased, and facilities were transferred to the cleanup program. As funding for the Environmental Management (EM) program began to level off in response to Administration and Congressional efforts to balance the Federal budget, the program redoubled its efforts to increase efficiency and get more productivity out of every dollar. Cost savings and enhanced performance are an integral pair of Hanford Site operations. FY1997 was the third year of a cost savings program that was initially defined in FY 1995. The definitions and process remained virtually the same as those used in FY 1996

  9. Energy savings in Polish buildings

    Energy Technology Data Exchange (ETDEWEB)

    Markel, L.C.; Gula, A.; Reeves, G.

    1995-12-31

    A demonstration of low-cost insulation and weatherization techniques was a part of phase 1 of the Krakow Clean Fossil Fuels and Energy Efficient Project. The objectives were to identify a cost-effective set of measures to reduce energy used for space heating, determine how much energy could be saved, and foster widespread implementation of those measures. The demonstration project focused on 4 11-story buildings in a Krakow housing cooperative. Energy savings of over 20% were obtained. Most important, the procedures and materials implemented in the demonstration project have been adapted to Polish conditions and applied to other housing cooperatives, schools, and hospitals. Additional projects are being planned, in Krakow and other cities, under the direction of FEWE-Krakow, the Polish Energie Cities Network, and Biuro Rozwoju Krakowa.

  10. Water Saving Strategies & Ecological Modernisation

    DEFF Research Database (Denmark)

    Hoffmann, Birgitte; Jensen, Jesper Ole; Elle, Morten

    2005-01-01

    Drawing on case studies of water saving campaigns and new collaborations, the pa-per will serve, on the one hand, as an interpretation of the water saving strategy in Co-penhagen in the light of Ecological Modernisation, and on the other hand, as a critical discussion of Ecological Modernisation...... as a frame for understanding resource manage-ment. The water management in Copenhagen has in recent years undergone a rather radi-cal transition. Along with strong drivers for resource management in the region the mu-nicipal water supplier has tested and implemented a number of initiatives to promote sus...... to 125 l/capita/day in 2002. A series of different strategies, targets and tools have been implemented: Emphasizing demand side instead of supply side, using and communicating indicators, formulating goals for reducing water consumption and developing learning processes in water management. A main...

  11. Room with a View: Ethical Encounters in Room 13

    Science.gov (United States)

    Grube, Vicky

    2012-01-01

    In this article, the author describes ethical encounters in Room 13, a schoolroom where children made what they wanted, posed their own questions, and ran an art room like a small business. In Room 13 children had the responsibility to maintain all aspects of the art studio. Specific decisions fell to an annually elected management team, a small…

  12. Cost savings through innovative technologies

    International Nuclear Information System (INIS)

    Lankford, J.M.; Jackson, J.P.

    1995-01-01

    Newly developed technologies can and already are saving money. Other technologies under development will provide solutions to problems which are currently impossible or too expensive to address, and still others will offer alternative strategies where baseline approaches are not acceptable to the public. All of these options will be considered as the nation decides what it wishes to accomplish, and fund, to clean up the nuclear weapons complex

  13. Reform Proposals for Replenishing Retirement Savings

    Directory of Open Access Journals (Sweden)

    Jack M. Mintz

    2013-02-01

    67 years of age, similar to old-age security eligibility. Meanwhile, the tax treatment of group RRSPs — for which employer contributions are currently subject to payroll taxes — should be made the same as it is for defined-contribution registered pension plans (RPPs. There is also the option of increasing the age limit for RPP and RRSP contributions, from 71 to 75 years, to reflect the increase in life expectancies. RRSP contributions can be altered to allow lifetimeaveraging, allowing workers to take advantage of additional contribution room. Contribution limits on Tax-Free Savings Accounts should be increased as well. Policy-makers should also look at creating a capital-gains deferral account, to allow investors to sell off underperforming assets, without fear of triggering a tax bill, as long as they reinvest the proceeds. The freedom to unlock unwanted investments, and make better ones, will improve revenue prospects for investors and the government. Many of these reforms can be phased in gradually, to assess their effects on government revenue and savers’ behaviour. But they all appear to have the potential to encourage increased saving, without significantly harming long-term government revenue, helping Canadians better prepare for comfortable retirements, even after the serious wealth destruction that accompanied the recent economic crisis.

  14. Safety measures in exposure room

    International Nuclear Information System (INIS)

    Muhammad Jamal Md Isa

    2004-01-01

    The contents of this chapter are follows - The exposure room: location and dimension, material and thickness, windows, doors and other openings; Position of the Irradiating Apparatus, Use of Space Adjoining the Room, Warning Signs/Light, Dark Room. Materials and Apparatus: Classification of Areas, Local Rules, Other General Safety Requirements

  15. Room for a rethink?

    Energy Technology Data Exchange (ETDEWEB)

    Walker, S. [Independent Editorial and Technical Services, Oxford (United Kingdom)

    2000-05-01

    Room-and-pillar has traditionally satisfied the need for a low-cost, flexible coal mining system. Its downside can be low resource recovery. With accessible reserves falling steadily, can mining companies afford to accept this? Simon Walker looks into this problem using evidence presented recently on the US experience by Richard Bonskorski of the US Energy Information Administration, Dr Michael Karmis of Virgina Tech, Roger O'Quinn from Eimco, an equipment manufacturer, and Larry Howe from J H Fletcher. An urgent need is identified to develop new systems to allow significant gains in extraction, using novel concepts such as remote mining. 2 refs., 1 fig., 4 photos.

  16. Room for improvement

    DEFF Research Database (Denmark)

    Sandal, Louise F; Thorlund, Jonas B; Moore, Andrew J

    2018-01-01

    -reported outcomes and qualitative findings supported the primary finding, while improvements in muscle strength and aerobic capacity did not differ between exercise groups. CONCLUSION: Results suggest that the physical environment contributes to treatment response. Matching patients' preferences to treatment rooms...... significance (p=0.07). Waitlist group reported no improvement (-0.05 95% CI -0.5 to 0.4). In interviews, participants from the standard environment expressed greater social cohesion and feeling at home. Qualitative themes identified; reflection, sense of fellowship and transition. Secondary patient...... may improve patient-reported outcomes. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov identifier: NCT02043613....

  17. Making room for volunteers

    DEFF Research Database (Denmark)

    Nielsen, Rasmus Kleis

    2012-01-01

    If campaigns do not accommodate this view, all but a hard core of regulars and fired-up partisans will drift away, leaving it for staffers and hired hands to do all the hard work of identifying voters, canvassing people by foot and by phone, and turning out the vote. [...] ironically, a campaign...... that is singleminded in its instrumental pursuit of victory can thus be less effective than one that is more accommodating- a campaign that makes room for volunteers by accepting that, unlike staffers, they come to politics with a different perspective and conception of what is and ought to be going on....

  18. On The Living Room

    Directory of Open Access Journals (Sweden)

    Thomas Richards

    2013-03-01

    Full Text Available This text discusses the work The Living Room, directed by the author, and reflects on its meanings and functions. The article confronts problems performance raises in relation to contemporary social life, bringing forward the isolation of life today and the possibilities performance offers to fight it. We problematise the crisis experienced by the author and the consequent creation of the work as a mobile performative device in relation to the staging space. Finally, the work questions the forms of interaction and type of participation possible in performance.

  19. Development of hydraulic elevators achieving high-reliability and energy saving

    Energy Technology Data Exchange (ETDEWEB)

    Takeda, Kazutoshi; Nakamura, Ichiro; Sakata, Kazuhiro; Sasaki, Eiichi

    1988-10-25

    The hydraulic elevator, having the advantage of maximally utilizing the height of building, as it does not necessitate the machinery room to be installed at the top of building, lowering the loading charge to the building, etc., is being considerably expanded in market for use. In order to design the energy-saving elevator improved in comfortability to be in, it is necessary to minimize, to the necessary limit, and so fix, as a constant, the running time at landing speed, for which necessary purpose a landing time minimizing (LM) control was developed. To shorten the running time at landing speed, the reduction in speed is delayed by the time, obtained and designated by detecting the operational condition of elevator. After having studied that time, respectively corresponding to each load and each temperature, it could improve the comfortability to be in, by securing the landing accuracy, and reduce the consumed power by 30 to 40%, by shortening the operation in time. 3 references, 6 figures.

  20. Energy Savings in a Market Economy

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    1998-01-01

    The paper outlines the concept of energy savings as opposed to energy efficency. Afterwards are described briefly the up and down role of energy savings in recent Danish energy policy. It discusses the failure of leaving electricity savings and Integrated Resource Planning to the electricity...

  1. 24 CFR 221.1 - Savings clause.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Savings clause. 221.1 Section 221.1... MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER AUTHORITIES LOW COST AND MODERATE INCOME MORTGAGE INSURANCE-SAVINGS CLAUSE Eligibility Requirements-Low Cost Homes-Savings Clause § 221.1...

  2. Consumer behaviours: Teaching children to save energy

    Science.gov (United States)

    Grønhøj, Alice

    2016-08-01

    Energy-saving programmes are increasingly targeted at children to encourage household energy conservation. A study involving the assignment of energy-saving interventions to Girl Scouts shows that a child-focused intervention can improve energy-saving behaviours among children and their parents.

  3. A Business Case for Nuclear Plant Control Room Modernization

    International Nuclear Information System (INIS)

    Thomas, Ken; Lawrie, Sean; Niedermuller, Josef M.

    2016-01-01

    This paper presents a generic business case for implementation of technology that supports Control Room Modernization (CRM). The analysis presented in two forms; 1) a standalone technology upgrade, and 2) a technology upgrade that is built upon and incremental to a prior business case created for Mobile Work Packages (MWP). The business case contends that advanced communication and networking and analytical technologies will allow NPP to conduct control room operations with improved focus by reducing human factors and redundant manpower, and therefore operate with fewer errors. While some labor savings can be harvested in terms of overtime, the majority of savings are demonstrated as reduced time to take the plant off line and bring back on line in support of outages. The benefits are quantified to a rough order of magnitude that provides directional guidance to NPPs that are interested in developing a similar business case. This business case focuses on modernization of the operator control room and does not consider a complete overhaul and modernization of a plants instrument and control systems. While operators may be considering such an investment at their plants, the sizable capital investment required is not likely supported by a cost/benefit analysis alone. More likely, it is driven by obsolescence and reliability issues, and requires consideration of mechanical condition of plant systems, capital depreciation, financing, relicensing and overall viability of the plant asset over a 20-year horizon in a competitive market. Prior studies [REF] have indicated that such a modernization of plant I&C systems, alone or as part of a larger modernization effort, can yield very significant reductions in O&M costs. However, the depth of research and analysis required to develop a meaningful business case for a plant modernization effort is well beyond the scope of this study. While CRM as considered in this study can be easily integrated as part of grander plant

  4. A Business Case for Nuclear Plant Control Room Modernization

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States); Lawrie, Sean [Idaho National Lab. (INL), Idaho Falls, ID (United States); Niedermuller, Josef M. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-06-01

    This paper presents a generic business case for implementation of technology that supports Control Room Modernization (CRM). The analysis presented in two forms; 1) a standalone technology upgrade, and 2) a technology upgrade that is built upon and incremental to a prior business case created for Mobile Work Packages (MWP). The business case contends that advanced communication and networking and analytical technologies will allow NPP to conduct control room operations with improved focus by reducing human factors and redundant manpower, and therefore operate with fewer errors. While some labor savings can be harvested in terms of overtime, the majority of savings are demonstrated as reduced time to take the plant off line and bring back on line in support of outages. The benefits are quantified to a rough order of magnitude that provides directional guidance to NPPs that are interested in developing a similar business case. This business case focuses on modernization of the operator control room and does not consider a complete overhaul and modernization of a plants instrument and control systems. While operators may be considering such an investment at their plants, the sizable capital investment required is not likely supported by a cost/benefit analysis alone. More likely, it is driven by obsolescence and reliability issues, and requires consideration of mechanical condition of plant systems, capital depreciation, financing, relicensing and overall viability of the plant asset over a 20-year horizon in a competitive market. Prior studies [REF] have indicated that such a modernization of plant I&C systems, alone or as part of a larger modernization effort, can yield very significant reductions in O&M costs. However, the depth of research and analysis required to develop a meaningful business case for a plant modernization effort is well beyond the scope of this study. While CRM as considered in this study can be easily integrated as part of grander plant

  5. Simulation study on the operating characteristics of the heat pipe for combined evaporative cooling of computer room air-conditioning system

    International Nuclear Information System (INIS)

    Han, Zongwei; Zhang, Yanqing; Meng, Xin; Liu, Qiankun; Li, Weiliang; Han, Yu; Zhang, Yanhong

    2016-01-01

    In order to improve the energy efficiency of air conditioning systems in computer rooms, this paper proposed a new concept of integrating evaporative cooling air-conditioning system with heat pipes. Based on a computer room in Shenyang, China, a mathematical model was built to perform transient simulations of the new system. The annual dynamical performance of the new system was then compared with a typical conventional computer room air-conditioning system. The result showed that the new integrated air-conditioning system had better energy efficiency, i.e. 31.31% reduction in energy consumption and 29.49% increase in COP (coefficient of performance), due to the adoption of evaporative condenser and the separate type heat pipe technology. Further study also revealed that the incorporated heat pipes enabled a 36.88% of decrease in the operation duration of the vapor compressor, and a 53.86% of reduction for the activation times of the compressor, which could lead to a longer lifespan of the compressor. The new integrated evaporative cooling air-conditioning system was also tested in different climate regions. It showed that the energy saving of the new system was greatly affected by climate, and it had the best effect in cold and dry regions like Shenyang with up to 31.31% energy saving. In some warm and humid climate regions like Guangzhou, the energy saving could be achieved up to 13.66%. - Highlights: • A novel combined air-conditioning system of computer room is constructed. • The performance of the system and conventional system is simulated and compared. • The applicability of the system in different climate regions is investigated.

  6. Design of energy saving monitoring system on isothermal oilless lubricated air compressor

    Science.gov (United States)

    Ma, S. N.; Liu, Q.; Xu, B. L.; Liu, Y.; Hu, F.

    2017-10-01

    This design introduces a kind of STM32F051C8T6 circuit monitoring system which is based on the ARM core. According to the operating principle of air compressor, the reduction of temperature and current is converted to save electricity and directly displayed, save electricity information stored at the same time, to achieve real-time monitoring air compressor energy saving effect in the process of operation.

  7. Energy saving consulting in Hamburg

    Energy Technology Data Exchange (ETDEWEB)

    1982-10-01

    For anyone who wants to realise the dream of his own house, the terms of thermal insulation and saving heating plant should be central in planning this. One needs advice from experts for this. A survey of the many consultants offices available in Hamburg is provided. The list was compiled with the assistance of the Hamburg Chamber of Commerce and the Hamburg Trades Council and of professional associations. The information on the special fields of activity of the named consultants is based on their statements.

  8. Medical savings accounts make waves.

    Science.gov (United States)

    Gardner, J

    1995-02-27

    MSAs: the theory. Medical savings account legislation would allow consumers to set aside pre-tax dollars to pay for day-to-day healthcare costs. The accounts are to be backed up by a catastropic policy with a deductible roughly equal to the maximum amount allowed in the MSA. The aim is to reduce healthcare cost inflation by making consumers more aware of the costs of healthcare than they are under comprehensive policies and enabling them to shop for the lowest-cost, highest-quality care.

  9. Student saving, does it exist? : A study of students' saving behavior, attitude towards saving and motivation to save.

    OpenAIRE

    Tuvesson, Joakim; Yu, Shiyu

    2011-01-01

    Swedish households are getting deeper in debt and house prices keeps on rising. This is what happened in USA and it was one of the major causes of the recent financial crisis. To avoid a similar crisis in Sweden we think one part of the solution is to make sure that those who are students today and soon will get jobs, buy houses, take loans etcetera have necessary knowledge to do so. Students’ saving is an area that almost completely lacked researchers’ attention, and one goal with this thesi...

  10. Connecting possibilistic prudence and optimal saving

    Directory of Open Access Journals (Sweden)

    Ana María Lucia Casademunt

    2013-12-01

    Full Text Available In this paper we study the optimal saving problem in the framework of possibility theory. The notion of possibilistic precautionary saving is introduced as a measure of the way the presence of possibilistic risk (represented by a fuzzy number influences a consumer in establishing the level of optimal saving. The notion of prudence of an agent in the face of possibilistic risk is defined and the equivalence between the prudence condition and a positive possibilistic precautionary saving is proved. Some relations between possibilistic risk aversion, prudence and possibilistic precautionary saving were established.

  11. Energy Savings Measure Packages. Existing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Casey, Sean [National Renewable Energy Lab. (NREL), Golden, CO (United States); Booten, Chuck [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2011-11-01

    This document presents the most cost effective Energy Savings Measure Packages (ESMP) for existing mixed-fuel and all electric homes to achieve 15% and 30% savings for each BetterBuildings grantee location across the United States. These packages are optimized for minimum cost to homeowners for source energy savings given the local climate and prevalent building characteristics (i.e. foundation types). Maximum cost savings are typically found between 30% and 50% energy savings over the reference home; this typically amounts to $300 - $700/year.

  12. Risk transfer via energy-savings insurance

    International Nuclear Information System (INIS)

    Mills, Evan

    2003-01-01

    Among the key barriers to investment in energy efficiency are uncertainties about attaining projected energy savings and potential disputes over stipulated savings. The fields of energy management and risk management are thus intertwined. While many technical methods have emerged to manage performance risks (e.g. building diagnostics and commissioning), financial methods are less developed in the energy management arena than in other segments of the economy. Energy-savings insurance (ESI) - formal insurance of predicted energy savings - transfers and spreads both types of risk over a larger pool of energy efficiency projects and reduces barriers to market entry of smaller energy service firms who lack sufficiently strong balance sheets to self-insure the savings. ESI encourages those implementing energy-saving projects to go beyond standard measures and thereby achieve more significant levels of energy savings. Insurance providers are proponents of improved savings measurement and verification techniques, as well as maintenance, thereby contributing to national energy-saving objectives. If properly applied, ESI can potentially reduce the net cost of energy-saving projects by reducing the interest rates charged by lenders, and by increasing the level of savings through quality control. Governmental agencies have been pioneers in the use of ESI and could continue to play a role

  13. Federal Aviation Administration retained savings program proposal

    International Nuclear Information System (INIS)

    Hostick, D.J.; Larson, L.L.; Hostick, C.J.

    1998-03-01

    Federal legislation allows federal agencies to retain up to 50% of the savings associated with implementing energy efficiency and water conservation measures and practices. Given budget pressures to reduce expenditures, the use of retained savings to fund additional projects represents a source of funds outside of the traditional budget cycle. The Southwest Region Federal Aviation Administration (FAA) has tasked Pacific Northwest National Laboratory (PNNL) to develop a model retained savings program for Southwest Region FAA use and as a prototype for consideration by the FAA. PNNL recommends the following steps be taken in developing a Southwest Region FAA retained savings program: Establish a retained savings mechanism. Determine the level at which the retained savings should be consolidated into a fund. The preliminary recommendation is to establish a revolving efficiency loan fund at the regional level. Such a mechanism allows some consolidation of savings to fund larger projects, while maintaining a sense of facility ownership in that the funds will remain within the region

  14. Energy saving synergies in national energy systems

    DEFF Research Database (Denmark)

    Thellufsen, Jakob Zinck; Lund, Henrik

    2015-01-01

    In the transition towards a 100% renewable energy system, energy savings are essential. The possibility of energy savings through conservation or efficiency increases can be identified in, for instance, the heating and electricity sectors, in industry, and in transport. Several studies point...... to various optimal levels of savings in the different sectors of the energy system. However, these studies do not investigate the idea of energy savings being system dependent. This paper argues that such system dependency is critical to understand, as it does not make sense to analyse an energy saving...... without taking into account the actual benefit of the saving in relation to the energy system. The study therefore identifies a need to understand how saving methods may interact with each other and the system in which they are conducted. By using energy system analysis to do hourly simulation...

  15. SAVE ENERGY IN TEXTILE SMES

    Directory of Open Access Journals (Sweden)

    SCALIA Mauro

    2016-05-01

    Full Text Available Efficiency and competitiveness in textile and clothing manufacturing sector must take into account the current and future energy challenges. Energy efficiency is a subject of critical importance for the Textile & Clothing industry, for other sectors and for the society in general. EURATEX has initiated Energy Made-to-Measure, an information campaign running until 2016 to empower over 300 textile & clothing companies, notably SMEs, to become more energy efficient. SET( Save Energy in Textile SMEs a collaborative project co-funded within the European Programme Intelligent Energy Europe II helps companies to understand their energy consumption and allows them to compare the sector benchmarks in different production processes. SET has developed the SET tool, Energy Saving and Efficiency Tool, a free of charge tool customized for textile manufacturers. The SET tool is made up of 4 elements: a stand-alone software (SET Tool for self-assessment based on an Excel application; an on-line part (SET tool Web for advanced benchmarking and comparison of the performances across years; a guiding document for the companies and overview of financial incentives and legal obligations regarding energy efficiency. Designed specifically for small and medium enterprises (SMEs, the SET tool enables the evaluation of energy consumption and recommends measures to reduce the consumption. Prior to modifying the company’s production processes and making investments to increase energy efficiency, textile SMEs need to get different type of information, including legal context, economic and technical peculiarities.

  16. Low frequency sound reproduction in irregular rooms using CABS (Control Acoustic Bass System)

    DEFF Research Database (Denmark)

    Celestinos, Adrian; Nielsen, Sofus Birkedal

    2011-01-01

    of an irregular room model using the FDTD (Finite Difference Time Domain) method has been presented. CABS has been simulated in the irregular room model. Measurements of CABS in a real irregular room have been performed. The performance of CABS was affected by the irregular shape of the room due to the corner...

  17. "Same Room, Safe Place".

    Science.gov (United States)

    Keene Woods, Nikki

    2017-04-01

    There are many different professional stances on safe sleep and then there is the reality of caring for a newborn. There is a debate among professionals regarding safe sleep recommendations. The continum of recommendations vary from the American Academy of Pediatrics (AAP) Safe Sleep Guidelines to the bed-sharing recommendations from the Mother-Baby Behavioral Sleep Laboratory. The lack of consistent and uniform safe sleep recommendations from health professionals has been confusing for families but has more recently raised a real professional ethical dilemma. Despite years of focused safe sleep community education and interventions, sleep-related infant deaths are on the rise in many communities. This commentary calls for a united safe sleep message from all health professionals to improve health for mothers and infants most at-risk, "Same Room, Safe Place."

  18. Hotel room suicide.

    Science.gov (United States)

    Zarkowski, Paul; Avery, David

    2006-10-01

    The objective of our research was to quantify the increased risk of suicide associated with registering in local hotels/motels. Medical examiner case files of suicide in King County, Washington, were reviewed for years 2002-2004. The incidence of suicide in local residents registering in local hotels/motels was 223/100,000 which is significantly greater than the incidence of suicide in the general population of King County (11.7/100,000 p Hotel/motel guests from outside Washington had a significantly reduced incidence of suicide (3.9/100,000 p = 0.002). The study results suggest that there is an increased risk of suicide in local residents who register in local hotel rooms.

  19. CEBAF Control Room Renovation

    International Nuclear Information System (INIS)

    Michael Spata; Anthony Cuffe; Thomas Oren

    2005-01-01

    The Machine Control Center (MCC) at Jefferson Lab's Continuous Electron Beam Accelerator Facility (CEBAF) was constructed in the early 1990s and based on proven technology of that era. Through our experience over the last 15 years and in our planning for the facilities 12 GeV upgrade we reevaluated the control room environment to capitalize on emerging visualization and display technologies and improve on work-flow processes and ergonomic attributes. The renovation was performed in two phases during the summer of 2004, with one phase occurring during machine operations and the latter, more extensive phase, occurring during our semi-annual shutdown period. The new facility takes advantage of advances in display technology, analog and video signal management, server technology, ergonomic workspace design, lighting engineering, acoustic ceilings and raised flooring solutions to provide a marked improvement in the overall environment of machine operations

  20. Room to Groove?

    DEFF Research Database (Denmark)

    Seabrooke, Leonard

    . As long as they stay within the parameters of legitimate financial practice to signal institutional isomorphism, the `groove', creditors may well allow borrowers room for change in self-determined ways. This paper maps out the historical and conceptual terrain concerning civilizing ideas about...... the legitimacy of financial practices within global capital markets, and investigates relationships between Western `civilizers' and Emerging Market Economies during the last two periods of financial globalization, the late-nineteenth/ early-twentieth centuries and the late-twentieth century.......The use of a `standard of civilization', a preferred form of socio-political organization, in global capital markets presents both constraints and opportunities for creditors and borrowers. When imposed, civilizing standards may change how a borrower would prefer to conduct their affairs. Creditors...

  1. CEBAF Control Room Renovation

    International Nuclear Information System (INIS)

    Michael Spata; Thomas Oren

    2005-01-01

    The Machine Control Center (MCC) at Jefferson Lab's Continuous Electron Beam Accelerator Facility (CEBAF) was initially constructed in the early 1990s and based on proven technology of that era. Through our experience over the last 15 years and in our planning for the facility's 12 GeV upgrade we reevaluated the control room environment to capitalize on emerging visualization and display technologies and improve workflow processes and ergonomic attributes. This effort also sets the foundation for the redevelopment of the accelerator's control system to deliver high reliability performance with improvements in beam specifications management and information flow. The complete renovation was performed over a three-week maintenance period with no interruption to beam operations. We present the results of this effort

  2. CEBAF Control Room Renovation

    International Nuclear Information System (INIS)

    Michael Spata; Thomas Oren

    2005-01-01

    The Machine Control Center at Jefferson Lab's Continuous Electron Beam Accelerator Facility was initially constructed in the early 1990s and based on proven technology of that era. Through our experience over the last 15 years and in our planning for the facilities 12 GeV upgrade we reevaluated the control room environment to capitalize on emerging visualization and display technologies and improve on workflow processes and ergonomic attributes. This effort also sets the foundation for the redevelopment of the accelerator's control system to deliver high reliability performance with improvements in beam specifications management and information flow. The complete renovation was performed over a three-week period with no interruption to beam operations. We present the results of this effort

  3. Man and room climate. The importance of thermal comfort; Der Mensch und das Raumklima. Zur Bedeutung der thermischen Behaglichkeit

    Energy Technology Data Exchange (ETDEWEB)

    Hoefte, Klaus [Uponor Academy, Ochtrup (Germany)

    2009-07-01

    Room climate has become increasingly important during the past few decades as humans spend about 90 percent of their time inside rooms. Influencing factors are acoustics, lighting, air quality and thermal room climate. The contribution focuses on thermal room climate and room air quality which are the most important of these factors. (orig.)

  4. Potential CO{sub 2} reduction by implementing energy efficiency standard for room air conditioner in Malaysia

    Energy Technology Data Exchange (ETDEWEB)

    Mahlia, T.M.I.; Masjuki, H.H.; Choudhury, I.A.; Saidur, R. [Department of Mechanical Engineering, University of Malaya, 50603 Kuala Lumpur (Malaysia)

    2001-09-01

    This study attempts to predict the environmental impact of implementing an energy efficiency standard for room air conditioners in Malaysia. The ownership of room air conditioners has increased tremendously in this country. At present, there are about 528,792 room air conditioners in Malaysian households. In the year 2020, it will be about 1,511,276. The potential carbon dioxide reduction is based on the predicted electricity savings from implementing a minimum energy efficiency standard for room air conditioners. The electricity savings are calculated based on the predicted electricity consumption by a single air conditioner in the Malaysian household. The replacement of less efficient units of this appliance is reflected in reduced electricity consumption and emissions from power plants. The energy efficiency provisions of this regulation and agreement provide targets to save money, energy and, most importantly, to protect the environment. (Author)

  5. Room acoustics for the aged.

    Science.gov (United States)

    Plomp, R; Duquesnoy, A J

    1980-12-01

    This article deals with the combined effects of noise and reverberation on the speech-reception threshold for sentences. It is based on a series of current investigations on: (1) the modulation-transfer function as a measure of speech intelligibility in rooms, (2) the applicability of this concept to hearing-impaired persons, and (3) hearing loss for speech in quiet and in noise as a function of age. It is shown that, generally, in auditoria, classrooms, etc. the reverberation time T, acceptable for normal-hearing listeners, has to be reduced to (0.75)DT in order to be acceptable for elderly subjects with a hearing loss of D dB for speech in noise; for listening conditions as in lounges, restaurants, etc. the corresponding value is (0.82)DT.

  6. Control room habitability study: findings and recommendations

    International Nuclear Information System (INIS)

    Driscoll, J.W.

    1986-01-01

    The Advisory Committee on Reactor Safeguards (ACRS) has raised a number of concerns related to control room habitability and has recommended actions which they believe could alleviate these concerns. As a result of the ACRS's concerns, the US Nuclear Regulatory Commission's (NRC) Office of Nuclear Reactor Regulation (NRR) in conjunction with the Offices of Research and Inspection and Enforcement, and the NRC regional offices, embarked upon a program to reevaluate Control Room Habitability. Argonne National Laboratory was contracted by the NRC to perform a Control Room Habitability Study on twelve licensed power reactors. The plants selected for the study were chosen based upon architect engineer, nuclear steam system supplier, utility, and plant location. Participants in the study review the plant design as contained in the Updated Safety Analysis Report, Technical Specifications, Three Mile Island action item III.D.3.4 submittal on Control Room Habitability, NRC staff evaluation of the III.D.3.4 submittal, appropriate plant operating procedures, system drawings, and significant Licensee Event Reports on Loss of Cooling to the Control Room Envelope. A two-day visit is then made to the plant to determine if the as-built systems are built, operated, and surveillance performed as described in the documentation reviewed prior to the visit. The major findings of this study are included in this report along with generic recommendations of the review team that apply to control room HVAC systems. Although the study is not complete, at the time of publication of this report, the results obtained to date should be useful to persons responsible for Control Room Habitability in evaluating their own systems

  7. Rollout of quality assurance interventions in labor room in two districts of Bihar, India

    OpenAIRE

    Jyoti Sharma; Sutapa B Neogi; Preeti Negandhi; Monika Chauhan; Siddharth Reddy; Ghanshyam Sethy

    2016-01-01

    Background: Quality of care at the facilities during childbirth remains a major concern. Improved quality could have the greatest dividend in saving maternal and newborn lives. Objective: The objective of this study was to implement quality assurance measures in the labor rooms of select public health facilities in two districts of Bihar. Methods: The labor room quality assurance intervention was implemented in two districts, Gaya and Purnea in Bihar. Health facilities having >200 deliveries/...

  8. Short-term indicators. Intensities as a proxy for savings

    Energy Technology Data Exchange (ETDEWEB)

    Boonekamp, P.G.M.; Gerdes, J. [ECN Policy Studies, Petten (Netherlands); Faberi, S. [Institute of Studies for the Integration of Systems ISIS, Rome (Italy)

    2013-12-15

    The ODYSSEE database on energy efficiency indicators (www.odyssee-indicators.org) has been set up to enable the monitoring and evaluation of realised energy efficiency improvements and related energy savings. The database covers the 27 EU countries as well as Norway and Croatia and data are available from 1990 on. This work contributes to the growing need for quantitative monitoring and evaluation of the impacts of energy policies and measures, both at the EU and national level, e.g. due to the Energy Services Directive and the proposed Energy Efficiency Directive. Because the underlying data become available only after some time, the savings figures are not always timely available. This is especially true for the ODEX efficiency indices per sector that rely on a number of indicators. Therefore, there is a need for so-called short-term indicators that become available shortly after the year has passed for which data are needed. The short term indicators do not replace the savings indicators but function as a proxy for the savings in the most recent year. This proxy value is faster available, but will be less accurate than the saving indicators themselves. The short term indicators have to be checked regularly with the ODEX indicators in order to see whether they can function still as a proxy.

  9. Challenges and solutions for realistic room simulation

    Science.gov (United States)

    Begault, Durand R.

    2002-05-01

    Virtual room acoustic simulation (auralization) techniques have traditionally focused on answering questions related to speech intelligibility or musical quality, typically in large volumetric spaces. More recently, auralization techniques have been found to be important for the externalization of headphone-reproduced virtual acoustic images. Although externalization can be accomplished using a minimal simulation, data indicate that realistic auralizations need to be responsive to head motion cues for accurate localization. Computational demands increase when providing for the simulation of coupled spaces, small rooms lacking meaningful reverberant decays, or reflective surfaces in outdoor environments. Auditory threshold data for both early reflections and late reverberant energy levels indicate that much of the information captured in acoustical measurements is inaudible, minimizing the intensive computational requirements of real-time auralization systems. Results are presented for early reflection thresholds as a function of azimuth angle, arrival time, and sound-source type, and reverberation thresholds as a function of reverberation time and level within 250-Hz-2-kHz octave bands. Good agreement is found between data obtained in virtual room simulations and those obtained in real rooms, allowing a strategy for minimizing computational requirements of real-time auralization systems.

  10. Room acoustic properties of concert halls

    DEFF Research Database (Denmark)

    Gade, Anders Christian

    1996-01-01

    A large database of values of various room acoustic parameters has provided the basis for statistical analyses of how and how much the acoustic properties of concert halls are influenced by their size, shape, and absorption area (as deduced from measured reverberation time). The data have been...

  11. Room for both qualification and inclusion?

    DEFF Research Database (Denmark)

    Ringskou, Lea Thomsen; Gravesen, David Thore

    2017-01-01

    Our research project concerns the work of leisure time pedagogues in the Danish primary school, more precisely the rooms and roles they practice in and construct. A reform in 2014 invited the pedagogues into a series of new activities and curriculum based school activities. Activities dominated...

  12. Anticipating urgent surgery in operating room departments

    NARCIS (Netherlands)

    van der Lans, M.; Hans, Elias W.; Hurink, Johann L.; Wullink, Gerhard; van Houdenhoven, M.; Kazemier, G.

    2005-01-01

    Operating Room (OR) departments need to create robust surgical schedules that anticipate urgent surgery, while minimizing urgent surgery waiting time and overtime, and maximizing utilization. We consider two levels of planning and control to anticipate urgent surgery. At the tactical level, we study

  13. Control room habitability system review models

    International Nuclear Information System (INIS)

    Gilpin, H.

    1990-12-01

    This report provides a method of calculating control room operator doses from postulated reactor accidents and chemical spills as part of the resolution of TMI Action Plan III.D.3.4. The computer codes contained in this report use source concentrations calculated by either TACT5, FPFP, or EXTRAN, and transport them via user-defined flow rates to the control room envelope. The codes compute doses to six organs from up to 150 radionuclides (or 1 toxic chemical) for time steps as short as one second. Supporting codes written in Clipper assist in data entry and manipulation, and graphically display the results of the FORTRAN calculations. 7 refs., 22 figs

  14. Working conditions of a radiodiagnostic room

    International Nuclear Information System (INIS)

    Chikirdin, Eh.G.

    1983-01-01

    The concept of ''operating load'' of an X-ray diagnostic room is explained. The concept includes the calculation of the Week's maximum exposure calculation and monitoring of stationary radiation shielding, measurements of exposure dose rate at working places. In this case the substitution of the actual repeated short-time regime of emitter operation for the calculated continuous regime is performed. The data on the ''operating load'' of X-ray diagnostic room are presented taking into account the method of X-ray investigation

  15. Control room habitability study - findings and recommendations

    International Nuclear Information System (INIS)

    Driscoll, J.W.

    1987-01-01

    The Advisory Committee on Reactor Safeguards (ACRS) has raised a number of concerns related to control room habitability and has recommended actions which they believe could alleviate these concerns. As a result of the ACRS's concerns, the US Nuclear Regulatory Commission's (NRC) Office of Nuclear Reactor Regulation (NRR) in conjunction with the Offices of Research and Inspection and Enforcement, and the NRC regional offices, embarked upon a program to reevaluate Control Room Habitability. Argonne National Laboratory was contracted by the NRC to perform a Control Room Habitability Study on twelve licensed power reactors. The plants selected for the study were chosen based upon architect engineer, nuclear steam system supplier, utility, and plant location. The major findings of this study are included in this report along with generic recommendations of the review team that apply to control room HVAC systems. Although the study is not complete, at the time of publication of this report, the results obtained to date should be useful to persons responsible for Control Room Habitability in evaluating their own systems

  16. Determination of radon in housing rooms

    International Nuclear Information System (INIS)

    Steger, F.; Sorantin, H.; Kozuh-Schneeberger, J.; Lovranich, E.; Khademi, B.

    1988-03-01

    Radon concentration in 171 apartments with 503 rooms in and around Vienna was measured by a passive measuring system. Polycarbonate foils were exposed during 3 months; the nuclear tracks were visualized by electro-chemical method and evaluated. In housing- and sleeping rooms the mean concentration was 1,03 pCi/l, in cellars 2,15 pCi/l. The equivalent dosis, with 1,03 pCi/l was estimated to 90 mrem/a. At the same time the external radiation dose in the same rooms was measured by TL dosimeters and the dose estimated is again 90 mrem/a. 34 refs., 16 figs., 4 tabs. (qui)

  17. Leadership in the control room

    International Nuclear Information System (INIS)

    McDougall, S.J.

    2006-01-01

    This paper discusses the importance of leadership within the control rooms at nuclear power facilities. the leadership capability of control room staff has a significant influence over the improvement of human performance and the development of an 'event free' culture within the business. The development of leadership competency in the control room must be an important part of any nuclear power utility business improvement plan. (author)

  18. Leadership in the control room

    Energy Technology Data Exchange (ETDEWEB)

    McDougall, S.J. [Bruce Power, Bruce B Operations Div., Tiverton, Ontario (Canada)

    2006-07-01

    This paper discusses the importance of leadership within the control rooms at nuclear power facilities. the leadership capability of control room staff has a significant influence over the improvement of human performance and the development of an 'event free' culture within the business. The development of leadership competency in the control room must be an important part of any nuclear power utility business improvement plan. (author)

  19. Savings and Debts in Agriculture

    Directory of Open Access Journals (Sweden)

    Marina Luminita Sarbovan

    2012-05-01

    Full Text Available The savings and debts problematic bring us in front the Keynesian principles of supporting the global demand, so spectacular immortalized inside his “General Theory of Money. The architects of the European Union consider that production in agriculture and other economic branches is “ab initio” grounded on the credit mechanism administrated by banks: the present day approach of the agricultural process configured it as costly, owing a relatively medium to long term duration, and risky, making important the banking institution for mitigating such constrains. Romania fights for the ambitious goal of entering in the euro zone, and this target became even more challenging after the new EU Regulation No 1176/2011 on the prevention and correction of macroeconomic imbalances, which stipulates a safer surveillance for the member states. In fact, our country has to meet the exigencies of nominal and real convergence criteria, measured by the European scoreboard and relevant index.

  20. [Saving motives in young, middle-aged, and older adults. Preliminary results of a new inventory for exploring lifespan saving motives].

    Science.gov (United States)

    Rager, B; Lang, F R; Wagner, G G

    2012-12-01

    There is some research on personal reasons for saving money in the economic sciences. However, not much is known about the age differences of saving motives. In this vein, the future time perspective (FTP) is known to play a critical role for motivation across the life span. In this study, we introduce a new Saving Motive Inventory (SMI), which also covers saving goals after retirement. Furthermore, it is argued that additional saving motives that are not based on economic models of life-cycle saving also exist. In accordance with the socio-emotional selectivity theory, we explored age differences in an online survey with 496 participants from young (19-44 years), middle-aged (45-64 years), and older (65-86 years) adulthood, who completed a questionnaire on saving motives, personality, and future-related thinking (e.g., Future Time Perspective Scale, Life Orientation Test). Results of the explorative Factor Analysis (EFA) are consistent with the theoretical expectations. The factors are generativity, educational investment, consumption, indifference, and provision for death and dying. Together these five factors account for 67% of the variance. In general, the inventory is reliable and valid with respect to the expected internal and external criteria. It contributes to better understanding of saving motives over the lifespan, especially with respect to effects of the future time perspective.

  1. Modern control room for AHWR

    International Nuclear Information System (INIS)

    Verghese, Clement C.; Joseph, Jose; Biswas, B.B.; Patil, R.K.

    2005-01-01

    Advanced Heavy Water Reactor (AHWR) is a next generation nuclear power plant being developed by Bhabha Atomic Research Centre. A modern control room has been conceived for operation and monitoring of the plant in tune with the advanced features of the reactor. A state of the art C and I architecture based on extensive use of computers and networking has been conceived for this plant. This architecture enables the implementation of a fully computerised operator friendly control room with soft HMIs. Features of the modern control room and control room and concept of soft HMI based operator interfaces have been described in the paper. (author)

  2. Influence of constructional energy-saving measures on the radon-concentration in the air in dwellings; Einfluss baulicher Energiesparmassnahmen auf die Radonkonzentration in Wohnraeumen

    Energy Technology Data Exchange (ETDEWEB)

    Grund, A.L.; Buermeyer, J.; Spizyn, A.; Zahradnik, I.; Grimm, V.; Grimm, G.; Gundlach, M.; Walpert, V.; Breckow, J. [Technische Hochschule Mittelhessen (THM), Giessen (Germany). Inst. fuer Medizinische Physik und Strahlenschutz (IMPS)

    2015-07-01

    Due to energy-saving measures the air exchange in residential houses may be reduced. In order to determine time-dependent courses the indoor radon-concentrations were measured both, before and after renovation for several weeks. In addition, the most relevant climatic conditions or indoor climate factors, as e.g. the CO{sub 2}-concentration, were measured. Verifying the renovation success, Blower-Door {sup registered} -Tests were performed, both as well before and after the renovation. Simultaneously the radon-concentration was measured. The results before and after renovation were compared with respect to seasonal parameters and the inhabitant's behavior. By investigation of the correlation coefficient the influencing parameters and the impact of the energy saving measures were analyzed. Based on the findings a model was developed to characterize the time-dependent course based on the influence quantities. The energy-saving measures at the building considerably influence the radon dynamics. Due to the denser building envelope, fresh air flows in case of underinflation caused by stack effect not only from the outside but even through the basement from the soil. Thus, by this path the radon-containing air can be transported into the dwelling's rooms as well. The influences of the users outweigh the influence of weather parameters, thus, the radonemission- rate was used for user-independent determination of the radon situation.

  3. Outcome of burr hole surgery in the emergency room for severe acute subdural hematoma

    International Nuclear Information System (INIS)

    Park, Young-Soo; Hironaka, Yasuhiro; Motoyama, Yasushi; Asai, Hideki; Watanabe, Tomoo; Nishio, Kenji; Nakase, Hiroyuki; Okuchi, Kazuo

    2010-01-01

    We have performed burr hole surgery in the emergency room for severe acute subdural hematoma from April 2007 in twenty five patients. All patients were deep comatose and showed cerebral herniation sign with bilateral pupillary abnormalities. Burr hole surgeries were performed as soon as possible after CT evaluation. Continually decomporresive craiectomies were followed if clinical improvements were achieved and mild baribiturate-moderate hypothermia combined (MB-MH) therapy was induced postoperatively in some cases. The mean average was 65.6 years (range 16-93). The causes of head injuries were traffic accident in 9, fall down in 13 and unknown in 3. The mean Glasgow coma scale (GCS) on admission was 4.4 (range 3-9). The mean time interval from arrival to burr hole surgery was 33.5 minutes (range 21-50 minutes). Decompressive craniectomy was indicated in 14 cases and MB-MH therapy was induced in 13 cases. The overall clinical outcome consisted of good recovery in 3, moderate disability in 2, severe disability in 3, persistent vegetative state in 3 and death in 14. Favorable results can be expected even in patients with serious acute subdural hematoma. Emergent burr hole surgery was effective to decrease intracranial pressure rapidly and to save time. So active burr hole surgery in the emergency room is strongly recommended to all cases of severe acute subdural hematoma. (author)

  4. Saving energy. [Metal Coating With Infrared Dryers

    Energy Technology Data Exchange (ETDEWEB)

    Schmid, K

    1981-01-01

    One way of saving energy in metal coating is by using electrically heated infrared dryers with medium-wave radiation (2 to 3 ..mu..m). The absorbing capacity of varnishes and plastic coatings is >90% in this range so that the radiation energy is almost completely transformed into heat. Medium-wave radiation sources have a much higher service life than short-wave sources (30.000 hours of operation) and do not require cooling; compared with long-wave sources, they have a higher heat transfer and thus much shorter drying times. The main fields of application, a cost example, and practical examples among the customers of Messrs. Eisenmann are presented.

  5. More room for ISOLDE

    CERN Multimedia

    2005-01-01

    To meet the needs of the new ISOLDE experiments, a new extension has been added to the facility's Building 170. The new extension to Building 170. Moving around the ISOLDE hall was almost like an obstacle course until now. The facility's Building 170 simply didn't have an inch to spare and the ISOLDE team's need to set up new experiments, whose installation could have created difficulties from the safety point of view, only exacerbated the problem. "We had ambitious plans to develop new experiments but no room for them", says Mats Lindroos, ISOLDE's technical coordinator. The only solution was to extend the existing building". This was how a new building saw the light of day. Measuring 24 metres long, 20 metres wide and 12 metres high, it is an extension to the existing Building 170 and should be ready for use this year. The new structure makes use of the existing infrastructure, with part of the end wall of Building 170 being kept as a support for steel platforms. The top of this wall had to be cut away ...

  6. Moonlight project promotes energy-saving technology

    Science.gov (United States)

    Ishihara, A.

    1986-01-01

    In promoting energy saving, development of energy conservation technologies aimed at raising energy efficiency in the fields of energy conversion, its transportation, its storage, and its consumption is considered, along with enactment of legal actions urging rational use of energies and implementation of an enlightenment campaign for energy conservation to play a crucial role. Under the Moonlight Project, technical development is at present being centered around the following six pillars: (1) large scale energy saving technology; (2) pioneering and fundamental energy saving technology; (3) international cooperative research project; (4) research and survey of energy saving technology; (5) energy saving technology development by private industry; and (6) promotion of energy saving through standardization. Heat pumps, magnetohydrodynamic generators and fuel cells are discussed.

  7. 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...

  8. Shielded room measurements, Final report

    Energy Technology Data Exchange (ETDEWEB)

    Stanton, J.S.

    1949-02-22

    The attenuation of electro-statically and electro-magnetically shielded rooms in the ``E,`` ``R,`` ``I,`` and ``T`` Buildings was measured so that corrective measure could be taken if the attenuation was found to be low. If remedial measures could not be taken, the shortcomings of the rooms would be known. Also, the men making the measurements should oversee construction and correct errors at the time. The work was performed by measuring the attenuation at spot frequencies over the range of from 150 kilocycles to 1280 megacycles with suitable equipment mounted in small rubber-tried trucks. The attenuation was determined by ``before and after`` shielding and/or ``door open and door closed`` measurements after installation of copper shielding. In general, attenuation in the frequency range of approximately 10 to 150 mc. was good and was of the order expected. At frequencies in the range of 150 mc. to 1280 mc., the attenuation curve was more erratic; that is, at certain frequencies a severe loss of attenuation was noted, while at others, the attenuation was very good. This was mainly due to poor or faulty seals around doors and pass windows. These poor seals existed in the ``T,`` ``E,`` and ``I`` Buildings because the doors were fitted improperly and somewhat inferior material was used. By experience from these difficulties, both causes were corrected in the ``R`` Building, which resulted in the improvement of the very high frequency (v.h.f.) range in this building. In some specific cases, however, the results were about the same. For the range of frequencies below approximately 10 mc., the attenuation, in almost all cases, gradually decreased as the frequency decreased and reached a minimum at .3 to 1.0 mc. This loss of attenuation was attributed to multiple grounding caused by moisture in the insulating timbers and will gradually decrease as the wood dries out.

  9. The risk of divorce and household saving behavior

    OpenAIRE

    Libertad González; Berkay Özcan

    2008-01-01

    We analyze the impact of an increase in the risk of divorce on the saving behaviour of married couples. From a theoretical perspective, the expected sign of the effect is ambiguous. We take advantage of the legalization of divorce in Ireland in 1996 as an exogenous increase in the likelihood of marital dissolution. We analyze the saving behaviour over time of couples who were married before the law was passed. We propose a difference-in-differences approach where we use as comparison groups e...

  10. An integrated tiered service delivery model (ITSDM based on local CD4 testing demands can improve turn-around times and save costs whilst ensuring accessible and scalable CD4 services across a national programme.

    Directory of Open Access Journals (Sweden)

    Deborah K Glencross

    Full Text Available The South African National Health Laboratory Service (NHLS responded to HIV treatment initiatives with two-tiered CD4 laboratory services in 2004. Increasing programmatic burden, as more patients access anti-retroviral therapy (ART, has demanded extending CD4 services to meet increasing clinical needs. The aim of this study was to review existing services and develop a service-model that integrated laboratory-based and point-of-care testing (POCT, to extend national coverage, improve local turn-around/(TAT and contain programmatic costs.NHLS Corporate Data Warehouse CD4 data, from 60-70 laboratories and 4756 referring health facilities was reviewed for referral laboratory workload, respective referring facility volumes and related TAT, from 2009-2012.An integrated tiered service delivery model (ITSDM is proposed. Tier-1/POCT delivers CD4 testing at single health-clinics providing ART in hard-to-reach areas (350-1500 tests/day, serving ≥ 200 health-clinics. Tier-6 provides national support for standardisation, harmonization and quality across the organization.The ITSDM offers improved local TAT by extending CD4 services into rural/remote areas with new Tier-3 or Tier-2/POC-Hub services installed in existing community laboratories, most with developed infrastructure. The advantage of lower laboratory CD4 costs and use of existing infrastructure enables subsidization of delivery of more expensive POC services, into hard-to-reach districts without reasonable access to a local CD4 laboratory. Full ITSDM implementation across 5 service tiers (as opposed to widespread implementation of POC testing to extend service can facilitate sustainable 'full service coverage' across South Africa, and save>than R125 million in HIV/AIDS programmatic costs. ITSDM hierarchical parental-support also assures laboratory/POC management, equipment maintenance, quality control and on-going training between tiers.

  11. Saving in Sub-Saharan Africa

    OpenAIRE

    Ernest Aryeetey; Christopher Udry

    2000-01-01

    Gross domestic savings in Africa averaged only 8 percent of GDP in the 1980s, compared to 23 percent for Southeast Asia and 35 percent in the Newly Industrialized Economies. Aside from being generally low, saving rates in most of Africa have shown consistent decline over the last thirty years. These savings figures must be considered tentative, because they are derived as a residual in the national accounts from expenditure and production data that are themselves quite unreliable. Notwithstan...

  12. Energy-saving technology choices by Dutch glasshouse firms

    NARCIS (Netherlands)

    Pietola, K.; Oude Lansink, A.G.J.M.

    2006-01-01

    This paper estimates a sequence of energy-saving technology choices by Dutch glasshouse firms. The model allows for time-constant, firm-specific effects and serial correlation of errors and it is estimated on panel data over the period 1991¿1995. The unobserved error sequences are simulated in the

  13. Determinants of National Savings: A Short and Long Run ...

    African Journals Online (AJOL)

    The study investigated the determinants of national savings by employing the Johansen cointegration technique and error correction model to examine the short run and long run dynamics of the system using time-series data for Ghana over the 1975-2008 period. The study found all the variables to be integrated of order ...

  14. REVIEW OF ENERGY-SAVING TECHNOLOGIES IN MODERN HYDRAULIC DRIVES

    Directory of Open Access Journals (Sweden)

    Mykola Karpenko

    2017-12-01

    Full Text Available This paper focuses on review of modern energy­saving technologies in hydraulic drives. Described main areas of energy conservation in hydraulic drive (which in turn are divided into many under the directions and was established the popularity of them. Reviewed the comparative analysis of efficiency application of various strategies for energy saving in a hydraulic drive. Based on the review for further research a combined method of real­time control systems with energy­saving algorithms and regeneration unit – selected for maxing efficiency in hydraulic drive. Scientific papers (40 papers, what introduced in review, is not older than 15 years in the databases “Sciencedirect” and “Scopus”.

  15. VO2 thermochromic smart window for energy savings and generation

    Science.gov (United States)

    Zhou, Jiadong; Gao, Yanfeng; Zhang, Zongtao; Luo, Hongjie; Cao, Chuanxiang; Chen, Zhang; Dai, Lei; Liu, Xinling

    2013-10-01

    The ability to achieve energy saving in architectures and optimal solar energy utilisation affects the sustainable development of the human race. Traditional smart windows and solar cells cannot be combined into one device for energy saving and electricity generation. A VO2 film can respond to the environmental temperature to intelligently regulate infrared transmittance while maintaining visible transparency, and can be applied as a thermochromic smart window. Herein, we report for the first time a novel VO2-based smart window that partially utilises light scattering to solar cells around the glass panel for electricity generation. This smart window combines energy-saving and generation in one device, and offers potential to intelligently regulate and utilise solar radiation in an efficient manner.

  16. Energy savings in CSFR - building sector

    International Nuclear Information System (INIS)

    Jacobsen, F.R.

    1993-01-01

    The Czechoslovak/Danish project on energy savings in buildings proves that it is possible to save up to 30% of the energy in buildings. 10% can be saved at an investment of 27 bill KCS. The total investment that is needed to save 30% is 140 bill KCS. Further energy savings can be obtained through more energy efficient supply systems. Information dissemination is important for the energy saving programme as are economic incentives. Investments in energy savings should be profitable for the investor, but this is not the case in the Czech and Slovak republics today. Changes are needed. Energy prices are still to low, compared to investment costs. Financial possibilities are not satisfactory for private investors. Price systems are not favourable to investment in energy savings. Training is needed for boiler men and energy consultants. Legislation is essential for the support of the full range of activities in the energy sector. Research and Development activities must back up the development of the sector. Pilot projects can illuminate the savings potential. The production of technical equipment for control and metering and production of insulation materials must be promoted. (AB)

  17. Cogeneration an opportunity for industrial energy saving

    International Nuclear Information System (INIS)

    Pasha, R.A.; Butt, Z.S.

    2011-01-01

    This paper is about the cogeneration from industrial energy savings opportunities perspective. The energy crisis in these days forces industry to find ways to cope with critical situation. There are several energy savings options which if properly planned and implemented would be beneficial both for industry and community. One way of energy saving is Cogeneration i.e. Combined Heat and Power. The paper will review the basic methods, types and then discuss the suitability of these options for specific industry. It has been identified that generally process industry can get benefits of energy savings. (author)

  18. Leveraging investments for energy savings

    Energy Technology Data Exchange (ETDEWEB)

    Tonnos, A. [Bestech, Sudbury, ON (Canada)

    2008-07-01

    This paper described the application of a computerized energy management program at a 40-year old mine in Ontario. The purpose of the project was to implement standards that promote process owner accountability, employee engagement, and the development of sustainable systems within the mine's administrative core. The program was developed to consider key parameters in the mine's energy consumption, including ventilation, compressed air, and process water. An account center monthly overview function was used. A breakdown of the account center by process was also provided. The system also used historical plotting capabilities. Use of the system meant that leaks could be detected by monitoring irregularities in underground readings. An alarm search page was also provided for control room operators. Parameters were presented for each alarm in order to identify contacts and procedures. System upgrades to the program were performed remotely. The program is available for installation at other mines. tabs., figs.

  19. Fostering the practice of rooming-in in newborn care

    Directory of Open Access Journals (Sweden)

    Saurabh R. Shrivastava

    2013-09-01

    Full Text Available Practice of rooming-in meant that baby and mother stayed together in the same room day and night in the hospital, right from the time of delivery till the time of discharge. Adoption of rooming-in offers multiple benefits to the newborn, mother, and mother-child as a unit. It is a cost-effective approach wherefewer instruments are required and spares additional manpower. Rooming-in endeavors the opportunity to contribute signifi cantly in the child’s growth, development and survival by assisting in timely initiation of breastfeeding. To ensure universal application of rooming-in in hospitals, a comprehensive and technically sound strategy should be formulated and implemented with active participation of healthcare professionals. Measures such as advocating institutional delivery through outreach awareness activities; adoption of baby-friendly hospital initiative; inculcating a sense of ownership among health professionals, can be strategically enforced for better maternal and child health related outcomes.

  20. Madness in Sartre's "The Room"

    NARCIS (Netherlands)

    Jongeneel, E.C.S.

    2009-01-01

    In "The Room," part of his short story collection, The Wall (1938), Jean-Paul Sartre investigates madness as an alternative way of bourgeois life and thus takes a stand in the contemporary debate on the existential status of mental illness. "The Room" is a case-study of a "limit situation," as well