Nursing and Allied Health Shortages: TBR Responds.

Science.gov (United States)

Berryman, Treva

Staff members of the Tennessee Board of Regents (TBR) and the Tennessee Higher Education Commission worked jointly to establish a task force to investigate and develop recommendations for addressing the workforce shortages in nursing and allied health in Tennessee. The investigation established that Tennessee already has a workforce shortage of…

Find Shortage Areas: HPSA & MUA/P by Address

Data.gov (United States)

U.S. Department of Health & Human Services — The Find Shortage Areas: Health Professional Shortage Area (HPSA) and Medically Underserved Area/Population (MUA/P) by Address tool helps you determine if a specific...

Preparing Early Childhood Special Educators in Appalachian Kentucky

Science.gov (United States)

McLaren, Elizabeth; Rutland, Julie Harp

2013-01-01

National shortages of qualified personnel in the field of early childhood special education are well documented, with shortages magnified in regions characterized by poverty and rural geography. This article provides an overview of the challenges faced and innovations implemented by an alternate-track, personnel preparation program in Appalachian…

Labour Shortages in Saskatchewan

Directory of Open Access Journals (Sweden)

J.C. Herbert Emery

2013-01-01

Full Text Available The predictions in the media and from think tanks sound altogether alarming: Saskatchewan, with its booming economy, could be facing a worker shortage so severe that it could drastically hobble the province’s ultimate economic potential. While the world craves only more of Saskatchewan’s abundant natural resources, the province won’t possibly be able to keep up, due to a scarcity of workers that could be as significant as one-fifth of the labour supply by 2020. The Saskatchewan government has rushed to analyze the predicament, issuing reports that urgently seek solutions. But it hasn’t really developed any solutions. In fact, it hasn’t done much about the supposedly looming crisis at all. And that, actually, might just be all it can — and should — do. In truth, Saskatchewan can’t be sure it will be facing a serious shortage, or any shortage, at all. And any attempt by the provincial government to substantially intervene in the labour market could cause more problems for employers and the economy, than it addresses. Saskatchewan’s labour market has already shown a remarkable ability to adjust, on its own, to the commodities boom, and what employers today call a shortage, could well just be everyone getting used to a much tighter, but still very functional, labour market. The province’s lack of action did mean it missed a once-in-a-lifetime opportunity to redirect a huge cohort of Gen-Y students into training for trades that are in high demand (that cohort is already in its mid-20s and finished, or finishing, its career training. That was a mistake. But one big thing the Saskatchewan government can still do to help employers — and workers — is to stop making the strains on labour worse by launching imminent public infrastructure projects that compete with the private sector for labour. Instead, the province should plan those for when the boom slows down and workers need the jobs. It should also abandon any ideas of ramping

Satisfaction in nursing in the context of shortage.

Science.gov (United States)

Morgan, Jennifer Craft; Lynn, Mary R

2009-04-01

This paper describes the central themes nurses identify as important to their overall evaluation of their work. In particular, this paper highlights how the context of the nursing shortage interacts with what nurses understand to be satisfying about their work. On the brink of a current and enduring nursing shortage in the US, this study provides Nurse Managers with an understanding of the dimensions of work satisfaction which they can then utilize to improve retention of incumbent nurses. Semi-structured interviews were conducted with 20 currently employed nurses to explore the concepts that shape their work satisfaction. The nurses, 25 to 55 years old, were predominantly female and Associate Degree or Baccalaureate prepared. Nurses have both intrinsic and extrinsic satisfiers in their work. The traditional satisfiers (pay and benefits) are not the principle satisfiers of today's nurses. In the context of shortage, the aspects of nursing that are the most rewarding are the aspects that are most often sacrificed in the interest of 'getting the job done'. Nurses are finding it difficult to continue to do 'more with less' and are frustrated they are not able to provide the care they were educated to be able to deliver. The description of the dimensions of work satisfaction can provide insight for Nurse Managers and administrators who are interested in improving both recruitment and retention of nurses. Areas identified worthy of focus in retention efforts include: increasing autonomy; reallocating work in a more patient-centred way; creating systems to recognize achievement in the areas of mentoring nurses, educating patients and personal growth in practice; creating meaningful internal labour markets; and enhancing supervisor and administrative support. Managers and administrators should focus on the satisfiers nurses identify if they wish to retain nurses. The traditional focus on extrinsic rewards will not likely be sufficient to retain today's nurses. Retention

Preparing for CLIC tests

CERN Multimedia

Laurent Guiraud

1999-01-01

The Canon 5 undergoes first brazing for preparation in the CLIC study at the CLIC Test Facility 2 (CTF2). This will test injection for a proposed linear collider that will further explore discoveries made at the LHC. Electric fields in the canon will boost electrons into the acceleration fields of the collider.

18 CFR 294.101 - Shortages of electric energy and capacity.

Science.gov (United States)

2010-04-01

... customers; and (ii) It will report any modifications to its contingency plans for accommodating shortages... REGULATORY POLICIES ACT OF 1978 § 294.101 Shortages of electric energy and capacity. (a) Definition of... customers. (4) If a plan for accommodating any shortages of electric energy or capacity affecting its firm...

Research on water shortage risks and countermeasures in North China

Science.gov (United States)

Cheng, Yuxiang; Fang, Wenxuan; Wu, Ziqin

2017-05-01

In the paper, a grey forecasting model and a population growth model are established for forecasting water resources supply and demand situation in the region, and evaluating the scarcity of water resources thereof in order to solve the problem of water shortage in North China. A concrete plan for alleviating water resources pressure is proposed with AHP as basis, thereby discussing the feasibility of the plan. Firstly, water resources supply and demand in the future 15 years are predicted. There are four sources for the demand of water resources mainly: industry, agriculture, ecology and resident living. Main supply sources include surface water and underground water resources. A grey forecasting method is adopted for predicting in the paper aiming at water resources demands since industrial, agricultural and ecological water consumption data have excessive decision factors and the correlation is relatively fuzzy. Since residents' water consumption is determined by per capita water consumption and local population, a logistic growth model is adopted to forecast the population. The grey forecasting method is used for predicting per capita water consumption, and total water demand can be obtained finally. International calculation standards are adopted as reference aiming at water supply. The grey forecasting method is adopted for forecasting surface water quantity and underground water quantity, and water resources supply is obtained finally. Per capita water availability in the region is calculated by comparing the water resources supply and demand. Results show that per capita water availability in the region is only 283 cubic meters this year, people live in serious water shortage region, who will suffer from water shortage state for long time. Then, sensitivity analysis is applied for model test. The test result is excellent, and the prediction results are more accurate. In the paper, the following measures are proposed for improving water resources condition

What's the ROI for resolving the nursing faculty shortage?

Science.gov (United States)

Kowalski, Karren; Kelley, Brian M

2013-01-01

The nursing faculty shortage will have a fundamental impact on the ability to produce nurses. For most nursing schools and states, however, concerns about the relative merits of different solutions to the nursing faculty shortage are misplaced. Without significantly increased visibility and definition, accompanied by a clear public, private, and health care organization return on investment (ROI), proposing solutions to the nursing faculty shortage is at best premature and at worst irrelevant. There is simply too much competition for resources to expect that a vaguely defined and invisible problem with no rationale for increased investment will receive sufficient support from critical decision makers and constituencies. First must come problem definition, visibility, and ROI. Only then can the case be made for implementing solutions to the nursing faculty shortage.

Strategies to address the nursing shortage in Saudi Arabia.

Science.gov (United States)

Aboshaiqah, A

2016-09-01

To investigate the nursing shortage in Saudi Arabia and specifically the shortage of Saudi nurses in the healthcare workforce and to propose solutions. Literature published from 1993 to 2013 providing relevant information on the nursing shortage, cultural traditions and beliefs, and nursing education and policies in Saudi was accessed from multiple sources including Medline, CINAHL Plus and Google Scholar and from official Saudi government document and was reviewed. Saudi Arabia depends largely on an expatriate workforce, and this applies to nursing. Saudi Arabia is experiencing a nursing shortage in common with most countries in the world and a shortage of Saudi nationals, especially women, in the healthcare workforce. The world shortage of nursing is extrinsic to Saudi, but intrinsic factors include a poor image of the nursing profession in the country that is exacerbated by cultural factors. With the call for the Saudization of the workforce to replace the imported workforce by Saudi nationals, including nurses, through the 1992 Royal Decree, Saudi Arabia faces a problem in attracting and retaining Saudi nationals in the nursing workforce. Solutions are suggested that are aimed at improving the public image of nursing through education and the use of the media and improvements in the workplace by addressing working processes such as teamwork, ensuring adequate staffing levels and addressing some aspects of culture which may make working in nursing more compatible with being a Saudi national. © 2016 International Council of Nurses.

40 CFR 205.57-3 - Test vehicle preparation.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Test vehicle preparation. 205.57-3... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Medium and Heavy Trucks § 205.57-3 Test vehicle preparation. (a) Prior to the official test, the test vehicle selected in accordance with § 205-57-2 shall not...

A critical review of the nursing shortage in Malaysia.

Science.gov (United States)

Barnett, T; Namasivayam, P; Narudin, D A A

2010-03-01

This paper describes and critically reviews steps taken to address the nursing workforce shortage in Malaysia. To address the shortage and to build health care capacity, Malaysia has more than doubled its nursing workforce over the past decade, primarily through an increase in the domestic supply of new graduates. Government reports, policy documents and ministerial statements were sourced from the Ministry of Health Malaysia website and reviewed and analysed in the context of the scholarly literature published about the health care workforce in Malaysia and more generally about the global nursing shortage. An escalation in student numbers and the unprecedented number of new graduates entering the workforce has been associated with other impacts that have been responded to symptomatically rather than through workplace reform. Whilst growing the domestic supply of nurses is a critical key strategy to address workforce shortages, steps should also be taken to address structural and other problems of the workplace to support both new graduates and the retention of more experienced staff. Nursing shortages should not be tackled by increasing the supply of new graduates alone. The creation of a safe and supportive work environment is important to the long-term success of current measures taken to grow the workforce and retain nurses within the Malaysian health care system.

Defining Primary Care Shortage Areas: Do GIS-based Measures Yield Different Results?

Science.gov (United States)

Daly, Michael R; Mellor, Jennifer M; Millones, Marco

2018-02-12

To examine whether geographic information systems (GIS)-based physician-to-population ratios (PPRs) yield determinations of geographic primary care shortage areas that differ from those based on bounded-area PPRs like those used in the Health Professional Shortage Area (HPSA) designation process. We used geocoded data on primary care physician (PCP) locations and census block population counts from 1 US state to construct 2 shortage area indicators. The first is a bounded-area shortage indicator defined without GIS methods; the second is a GIS-based measure that measures the populations' spatial proximity to PCP locations. We examined agreement and disagreement between bounded shortage areas and GIS-based shortage areas. Bounded shortage area indicators and GIS-based shortage area indicators agree for the census blocks where the vast majority of our study populations reside. Specifically, 95% and 98% of the populations in our full and urban samples, respectively, reside in census blocks where the 2 indicators agree. Although agreement is generally high in rural areas (ie, 87% of the rural population reside in census blocks where the 2 indicators agree), agreement is significantly lower compared to urban areas. One source of disagreement suggests that bounded-area measures may "overlook" some shortages in rural areas; however, other aspects of the HPSA designation process likely mitigate this concern. Another source of disagreement arises from the border-crossing problem, and it is more prevalent. The GIS-based PPRs we employed would yield shortage area determinations that are similar to those based on bounded-area PPRs defined for Primary Care Service Areas. Disagreement rates were lower than previous studies have found. © 2018 National Rural Health Association.

Medicine shortages in Australia: causes, impact and management strategies in the community setting.

Science.gov (United States)

Tan, Yee Xi; Moles, Rebekah J; Chaar, Betty B

2016-10-01

Background Medicine shortages are an ongoing global problem. The Therapeutic Goods Administration (TGA) dedicated a website for monitoring of medicine shortages in Australia in May 2014, as part of the Medicine Shortage Information Initiative. This study aimed to explore the views of pharmacists regarding medicine shortages in the community setting and the impact of the TGA website in Australia. Setting Community pharmacies in New South Wales, Australia. Method Twenty semi-structured interviews were conducted with community pharmacists. Data collected were analysed thematically utilising the framework analysis method. Main outcome measure Qualitative analysis conducted using the framework approach. Results Findings clearly indicated that medicine shortages were experienced on a regular basis, but most participants were unaware of the TGA website. Medicine shortages reportedly impacted both pharmacists and consumers; and various workarounds were undertaken to manage the issue. The "price disclosure policy" was found to be a prominent contributing factor in emerging shortages. Suggestions were made for ways to improve the growing occurrence of shortages. Conclusion Overall, the study found that there was a lack of familiarity with the TGA website, despite experiencing regular shortages of medicines in practice. Also highlighted, was the importance of pharmacists prioritising patient care over business decisions. To reduce prescribing of out-of-stock medicines notifying doctors about shortages was also considered important, to allow for early action to be taken at higher levels of the supply chain. Findings of this study may help direct future policy-making around the world, as medicine shortages is a problem shared by healthcare providers in most countries around the world.

Ethical framework for resource allocation during a drug supply shortage.

Science.gov (United States)

Gibson, Jennifer L; Bean, Sally; Chidwick, Paula; Godkin, Dianne; Sibbald, Robert W; Wagner, Frank

2012-01-01

Drug supply shortages are common in health systems due to manufacturing and other delays. Frequently, shortages are successfully addressed through conservation and redistribution efforts, with limited impact on patient care. However, when Sandoz Canada Inc. announced in February 2012 that it was reducing production of a number of generic injectable drugs at its Quebec facility, the scope and magnitude of the drug supply shortage were unprecedented in Canada. The potential for an extreme scarcity of some drugs raised ethical concerns about patient care, including the need to limit access to some health services. In this article, the authors describe the development and implementation of an ethical framework to promote equitable access to drugs and healthcare services in the context of a drug supply shortage within and across health systems.

The World Language Teacher Shortage: Taking a New Direction

Science.gov (United States)

Swanson, Pete; Mason, Shannon

2018-01-01

Since the end of World War II, international leaders have made calls addressing the world language teacher shortage. For almost 70 years, such rhetoric has been advanced, yet world language teacher shortages remain in many countries such as Australia, Canada, Ireland, New Zealand, the United Kingdom, and the United States. In this article, the…

An analysis of news flow on the nation's nurse shortage.

Science.gov (United States)

Kalisch, B J; Kalisch, P A; Clinton, J

1981-09-01

Using data from national newspaper clipping services, this article analyzes characteristics of 1978 news coverage of the nation's nurse shortage. Based on a content analysis of nearly 3,000 newspaper articles, findings revealed that 14 per cent of the articles mentioned problems of nurse supply. Articles on nurse shortage were most frequent in the Pacific, Mid-Atlantic and South-Atlantic states and occurred least in the West-North Central and East-South Central states. Articles mentioning nurse shortage were more frequently placed on page 1, associated with clinical nursing in hospital settings and explained as the result of maldistribution of nurses, poor salaries, deficient working conditions and lack of job satisfaction. The reading public was confronted with three major consequences of current and continued shortages in nursing: 1) decline in the availability and diversity of health services; 2) erosion in the quality of care offered the public and jeopardized patient welfare; and 3) escalating health care costs. Solutions to the nurse shortage appear to be closely tied to further expansion of the issue among the public, the initiation of remedial governmental action and timely relocation of scarce resources within the health care industry.

Administration of the natural gas shortage in the USA

Energy Technology Data Exchange (ETDEWEB)

Pluge, W [Koeln Univ. (Germany, F.R.). Inst. fuer Energiewirtschaft

1978-05-01

The natural gas deficit is basically a consequence of the price policy of the U.S. government which keeps the prices of natural gas transported from one state to another subject to a maximum-price regulation. In the course of this development, the U.S. natural gas market has been characterized by three different types of shortage since the early seventies. There are regional differences in the administration of the shortage. Compared to the alternatives the rationing plan of the Federal Energy Regulatory Commission (FERC) is the best solution from on overall economic point of view, but it is rather impracticable and hard to put through completely. Natural gas rationing in the USA did not prevent temporary production losses and unemployment due to shortage. If the maximum-price regulation policy for natural gas is continued, the supply deficit for this energy carrier will become even greater. If, as the National Energy Plan proposes, the maximum-price regulation for natural gas would also pertain to the intrastate market in the future, natural gas shortages would occur there, too.

Sustainable economic production quantity models for inventory systems with shortage

DEFF Research Database (Denmark)

Taleizadeh, Ata Allah; Soleymanfar, Vahid Reza; Govindan, Kannan

2018-01-01

optimal values of inventory system variables, we solve four independent profit maximization problems for four different situations. These proposed models include a basic model in which shortages are not allowed, and when shortages are allowed, the lost sale, full backordering and partial backordering...... (EPQ). The theoretical sustainable EOQ and EPQ models are basic models that ignore many real-life conditions such as the possibility of stock-out in inventory systems. In this paper, we develop four new sustainable economic production quantity models that consider different shortage situations. To find...

Drug shortages in Israel: regulatory perspectives, challenges and solutions.

Science.gov (United States)

Schwartzberg, Eyal; Ainbinder, Denize; Vishkauzan, Alla; Gamzu, Ronni

2017-01-01

Pharmaceutical drug shortages (DSs) are a global problem which presents challenges to countries around the world. Shortages of pharmaceutical products may have a direct detrimental impact on public health and patients' wellbeing by causing delayed, or even lack of, treatment. Moreover, DSs may force both patients and caregivers to use unfamiliar drugs, which could lead to medication errors. The objective of our study was to analyze DSs in Israel during the years 2013-2015, assessing their etiology and exploring the steps taken for their mitigation and prevention. The database of the Israeli Ministry of Health (MoH) on drug shortages contains all the DSs recorded in Israel since 2013, detailing the cause of the DS, its duration, steps taken in its' management and the availability of generic or therapeutic alternatives. Selected examples of DSs from the database are described in this paper in order to identify the causes of DSs, the scope of the problem and possible solutions. Additionally, we have reviewed the recent activities performed by European Medicine Agency (EMA) and the American Food and Drug Administration (FDA) in their efforts to minimize this problem. Several factors contributing towards DSs in Israel were identified, including quality problems in both the final drug product and in the raw materials, upgrades and improvements of the manufacturing process required by the MoH, manufacturing by a sole supplier, dramatic price decrease in off-patent medications causing the manufacturer to discontinue the distribution of the product in Israel, just-in-time inventory control, and others. One of the most important steps in managing drug shortages was identified to be early notification of the shortage by the Marketing Authorization Holder (MAH) to the MoH. In 2013, the Israeli MoH updated the regulation on drug shortages instructing MAHs on their obligation of early notification to the MoH. Furthermore, various steps dealing with marketing withdrawal of drugs

40 CFR 205.160-2 - Test sample selection and preparation.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Test sample selection and preparation... sample selection and preparation. (a) Vehicles comprising the sample which are required to be tested... maintained in any manner unless such preparation, tests, modifications, adjustments or maintenance are part...

Tensile-Creep Test Specimen Preparation Practices of Surface Support Liners

Science.gov (United States)

Guner, Dogukan; Ozturk, Hasan

2017-12-01

Ground support has always been considered as a challenging issue in all underground operations. Many forms of support systems and supporting techniques are available in the mining/tunnelling industry. In the last two decades, a new polymer based material, Thin Spray-on Liner (TSL), has attained a place in the market as an alternative to the current areal ground support systems. Although TSL provides numerous merits and has different application purposes, the knowledge on mechanical properties and performance of this material is still limited. In laboratory studies, since tensile rupture is the most commonly observed failure mechanism in field applications, researchers have generally studied the tensile testing of TSLs with modification of American Society for Testing and Materials (ASTM) D-638 standards. For tensile creep testing, specimen preparation process also follows the ASTM standards. Two different specimen dimension types (Type I, Type IV) are widely preferred in TSL tensile testing that conform to the related standards. Moreover, molding and die cutting are commonly used specimen preparation techniques. In literature, there is a great variability of test results due to the difference in specimen preparation techniques and practices. In this study, a ductile TSL product was tested in order to investigate the effect of both specimen preparation techniques and specimen dimensions under 7-day curing time. As a result, ultimate tensile strength, tensile yield strength, tensile modulus, and elongation at break values were obtained for 4 different test series. It is concluded that Type IV specimens have higher strength values compared to Type I specimens and moulded specimens have lower results than that of prepared by using die cutter. Moreover, specimens prepared by molding techniques have scattered test results. Type IV specimens prepared by die cutter technique are suggested for preparation of tensile test and Type I specimens prepared by die cutter technique

Can state-supported interprofessional coalitions cure preceptor shortages?

Science.gov (United States)

Woodall, Lesli; Smith, Gigi; Garr, David; Hopla, Deborah; Kern, Donna

2018-06-01

The shortage of clinical preceptors compromises the current and future supply of healthcare providers and patient access to primary care. This article describes how an interprofessional coalition in South Carolina formed and sought government support to address the preceptor shortage. Some states have legislated preceptor tax credits and/or deductions to support the clinical education of future primary care healthcare providers. As a result of the coalition's work, a bill to establish similar incentives is pending in the South Carolina legislature.

AACJC/Metropolitan Life Foundation Registered Nurse Shortage Project: Status Report.

Science.gov (United States)

McKenney, James F.

The American Association of Community and Junior Colleges's Nurse Shortage Project was designed to alleviate the nurse shortage by helping community colleges improve recruitment, retention, and graduation in nursing programs through direct mini-grants, with a special emphasis on Tech Prep/Associate Degree initiatives between secondary schools and…

Preparing Community College Leaders: The AACC Core Competencies for Effective Leadership & Doctoral Education

Science.gov (United States)

McNair, Delores E.

2010-01-01

Community colleges in the United States face shortages of leaders prepared to assume administrative positions in the 21st century. To respond to this shortage, graduate programs are emerging with a specific emphasis on community college leadership; other graduate programs offer broader curricula focused on educational leadership, policy, or higher…

19 CFR 18.6 - Short shipments; shortages; entry and allowance.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 1 2010-04-01 2010-04-01 false Short shipments; shortages; entry and allowance...; DEPARTMENT OF THE TREASURY TRANSPORTATION IN BOND AND MERCHANDISE IN TRANSIT General Provisions § 18.6 Short shipments; shortages; entry and allowance. (a) When there has been a short shipment and the short-shipped...

The future of the nurse shortage: will wage increases close the gap?

Science.gov (United States)

Spetz, Joanne; Given, Ruth

2003-01-01

In recent years the U.S. media have been reporting a shortage of registered nurses (RNs). In theory, labor-market shortages are self-correcting; wage increases will bring labor markets into equilibrium, and policy intervention is not necessary. In this paper we develop a simple forecasting model and ask the question: How high must RN wages rise in the future to end the RN shortage? We find that inflation-adjusted wages must increase 3.2-3.8 percent per year between 2002 and 2016, with wages cumulatively rising up to 69 percent, to end the shortage. Total RN expenditures would more than double by 2016.

The social impacts of the energy shortage, behavioral and attitude shifts

Science.gov (United States)

1975-09-01

An analysis of the social impacts of the energy shortage; specifically, an : analysis of shifts in social behavior, or trip-making characteristics, and : shifts in social attitudes towards the energy shortage and conservation policies, : Data were ob...

Skill Shortages in the Trades during Economic Downturns. Occasional Paper

Science.gov (United States)

Oliver, Damian

2011-01-01

During the recent economic downturn, media and industry reports of skill shortages in the trades continued to appear. The intent of this paper is to examine the evidence for skill shortages in the trades persisting during the economic downturns over the last 20 years, using various indicators. These include employment growth, vacancy rates,…

Skill shortages in health: innovative solutions using vocational education and training.

Science.gov (United States)

Kilpatrick, S I; Johns, S S; Millar, P; Le, Q; Routley, G

2007-01-01

This article reports findings of a project funded by the Australian National Council for Vocational Education Research. The project explores solutions to current and projected skills shortages within the health and community services sector, from a vocational education and training perspective. Its purpose is to locate, analyse and disseminate information about innovative models of health training and service delivery that have been developed in response to skill shortages. The article begins with a brief overview of Australian statistics and literature on the structure of the national health workforce and perceived skill shortages. The impact of location (state and rurality), demographics of the workforce, and other relevant factors, on health skill shortages is examined. Drawing on a synthesis of the Australian and international literature on innovative and effective models for addressing health skill shortages and nominations by key stakeholders within the health sector, over 70 models were identified. The models represent a mixture of innovative service delivery models and training solutions from Australia, as well as international examples that could be transposed to the Australian context. They include the skill ecosystem approach facilitated by the Australian National Training Authority Skill Ecosystem Project. Models were selected to represent diversity in terms of the nature of skill shortage addressed, barriers overcome in development of the model, healthcare specialisations, and different customer groups. Key barriers to the development of innovative solutions to skills shortages identified were: policy that is not sufficiently flexible to accommodate changing workplace needs; unwillingness to risk take in order to develop new models; delays in gaining endorsement/accreditation; current vocational education and training (VET) monitoring and reporting systems; issues related to working in partnership, including different cultures, ways of operating

40 CFR 1065.405 - Test engine preparation and maintenance.

Science.gov (United States)

2010-07-01

... has undergone a stabilization step (or in-use operation). If the engine has not already been... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Test engine preparation and...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Engine Selection, Preparation, and Maintenance § 1065...

Orion Ammonia Boiler System Preflight Test Preparations

Science.gov (United States)

Levitt, Julia L.

2017-01-01

The Environmental Controls and Life Support Systems (ECLSS) branch at Kennedy Space Center (KSC) is currently undergoing preparations for ground testing of the Orion Multi-Purpose Crew Vehicle (MPCV) to prepare its subsystems for EM-1 (Exploration Mission-1). EM-1, Orions second unmanned flight, is a three-week long lunar mission during which the vehicle will complete a 6-day retrograde lunar orbit before returning to Earth. This paper focuses on the work done during the authors 16-week internship with the Mechanical Engineering Branch of KSCs Engineering Directorate. The authors project involved assisting with the preparations for testing the Orion MPCVs ammonia boiler system. The purpose of the ammonia boiler system is to keep the spacecraft sufficiently cool during the reentry portion of its mission, from service module (SM) separation to post-landing. This system is critical for keeping both the spacecraft (avionics and electronics) and crew alive during reentry, thus a successful test of the system is essential to the success of EM-1. XXXX The author was able to draft a detailed outline of the procedure for the ammonia system functional test. More work will need to be done on the vehicle power-up and power-down portions of the procedure, but the ammonia system testing portion of the procedure is thorough and includes vehicle test configurations, vehicle commands, and GSE. The author was able to compile a substantial list of questions regarding the ammonia system functional test with the help of her mentors. A significant number of these questions were answered in the teleconferences with Lockheed Martin.

A Microeconomic Model of the Personnel Shortage in Public Rehabilitation Agencies

Science.gov (United States)

Schultz, Jared C.; Millington, Michael J.

2007-01-01

There is a well-documented, growing shortage of rehabilitation counseling professionals in the public sector. Using microeconomics principles, a theoretical model is offered to account for the personnel shortage and propose potential solutions to recruit and retain rehabilitation counselors in the public sector. Suggestions for rehabilitation…

The nature, extent and effect of skills shortages on skills migration in South Africa

Directory of Open Access Journals (Sweden)

Fatima Rasool

2011-07-01

Full Text Available Orientation: South Africa is currently experiencing a serious shortage of skilled workers. It has a negative effect on South Africa’s economic prospects and on global participation in South Africa (SA. This skills shortage severely affects socioeconomic growth and development in SA. Research purpose: This study focuses on the causes and effects of the skills shortages in South Africa. Motivation for the study: The researchers undertook this study to highlight the role that skilled foreign workers can play in supplementing the shortage of skilled workers in South Africa. The shortage is partly because of the failure of the national education and training system to supply the economy with much-needed skills. Research design, approach and method: The researchers undertook a literature study to identify the nature, extent and effect of skills shortages in South Africa. They consulted a wide range of primary and secondary resources in order to acquire an in-depth understanding of the problem. The article explains the research approach and method comprehensively. It also outlines the research method the researchers used. Main findings: This study shows that several factors cause serious skills shortages in SA. Practical/managerial implications: The researchers mention only two significant implications. Firstly, this article provides a logical description of the nature, extent and effect of skills shortages on the economy. Secondly, it indicates clearly the implications of skills shortages for immigration policy. Contribution/value-add: This study confirms the findings of similar studies the Centre for Development and Enterprise (CDE conducted. Opening the doors to highly skilled immigrants can broaden the skills pool.

Forecasting the global shortage of physicians: an economic- and needs-based approach

Science.gov (United States)

Liu, Jenny X; Kinfu, Yohannes; Dal Poz, Mario R

2008-01-01

Abstract Objective Global achievements in health may be limited by critical shortages of health-care workers. To help guide workforce policy, we estimate the future demand for, need for and supply of physicians, by WHO region, to determine where likely shortages will occur by 2015, the target date of the Millennium Development Goals. Methods Using World Bank and WHO data on physicians per capita from 1980 to 2001 for 158 countries, we employ two modelling approaches for estimating the future global requirement for physicians. A needs-based model determines the number of physicians per capita required to achieve 80% coverage of live births by a skilled health-care attendant. In contrast, our economic model identifies the number of physicians per capita that are likely to be demanded, given each country’s economic growth. These estimates are compared to the future supply of physicians projected by extrapolating the historical rate of increase in physicians per capita for each country. Findings By 2015, the global supply of physicians appears to be in balance with projected economic demand. Because our measure of need reflects the minimum level of workforce density required to provide a basic health service that is met in all but the least developed countries, the needs-based estimates predict a global surplus of physicians. However, on a regional basis, both models predict shortages for many countries in the WHO African Region in 2015, with some countries experiencing a needs-based shortage, a demand-based shortage, or both. Conclusion The type of policy intervention needed to alleviate projected shortages, such as increasing health-care training or adopting measures to discourage migration, depends on the type of shortage projected. PMID:18670663

Looming labour shortages challenge Alberta resource industries

Energy Technology Data Exchange (ETDEWEB)

Simpson, R.

2005-07-01

The shortage of skilled manpower that is threatening the viability of Alberta's resource industry is discussed. According to statistics compiled by the Canadian Resource Development the Canadian labour force grew by about 226,000 per year during the last quarter century; this will be reduced by about 125,000 per year during the current decade. It is forecast that by 2016, the annul growth will be near zero. To make up for this unprecedented shortfall, the annual rate of immigration required would have to be as high as 650,000 per year. The Alberta Chamber's Workforce Development Committee is aware of the urgency of the situation and is attempting to aggressively investigate the causes of the shortage of skilled labour and finding ways to deal with the problem. Current investigation appears to point the finger at the state of post-secondary education, most particularly the significantly higher underemployment among aboriginal youth and the likelihood that skills programs training developed to encourage First Nation's people would be the most effective way to help easing the growing labour shortage. Too few educational placement for students, a lack of adequate training equipment and financial resources in post-secondary institutions, and the variations in the quality of provincial educational standards receive the most blame, combined with a lack of awareness of employment opportunities or training programs, and the inability to migrate to high opportunity employment areas. A notable program addressing this issue is the Alberta Apprenticeship and Industry Training System which helps young people to start their apprenticeship training while still in high school, and encourage them to continue their training after graduation from high school. The federal government and other groups also encourage participation among Ab originals and work towards eliminating some of the underlying factors of labour shortages, including cultural biases, barriers to inter

Comparative decision models for anticipating shortage of food grain production in India

Science.gov (United States)

Chattopadhyay, Manojit; Mitra, Subrata Kumar

2018-01-01

This paper attempts to predict food shortages in advance from the analysis of rainfall during the monsoon months along with other inputs used for crop production, such as land used for cereal production, percentage of area covered under irrigation and fertiliser use. We used six binary classification data mining models viz., logistic regression, Multilayer Perceptron, kernel lab-Support Vector Machines, linear discriminant analysis, quadratic discriminant analysis and k-Nearest Neighbors Network, and found that linear discriminant analysis and kernel lab-Support Vector Machines are equally suitable for predicting per capita food shortage with 89.69 % accuracy in overall prediction and 92.06 % accuracy in predicting food shortage ( true negative rate). Advance information of food shortage can help policy makers to take remedial measures in order to prevent devastating consequences arising out of food non-availability.

The nurse manager: job satisfaction, the nursing shortage and retention.

Science.gov (United States)

Andrews, Diane Randall; Dziegielewski, Sophia F

2005-07-01

A critical shortage of registered nurses exists in the United States and this shortage is expected to worsen. It is predicted that unless this issue is resolved, the demand for nursing services will exceed the supply by nearly 30% in 2020. Extensive analysis of this pending crisis has resulted in numerous recommendations to improve both recruitment and retention. The purpose of this article is to clearly outline the issues contributing to this problem, and to provide the nurse manager with information regarding specific influences on job satisfaction as it relates to job turnover and employee retention. To accomplish this, an analysis of the literature using both national and international sources is used to formulate the lessons learned as well as strategies and future courses of action designed to address this shortage.

Test case preparation using a prototype

OpenAIRE

Treharne, Helen; Draper, J.; Schneider, Steve A.

1998-01-01

This paper reports on the preparation of test cases using a prototype within the context of a formal development. It describes an approach to building a prototype using an example. It discusses how a prototype contributes to the testing activity as part of a lifecycle based on the use of formal methods. The results of applying the approach to an embedded avionics case study are also presented.

"Dynamic Labor Shortage" In the Offing.

Science.gov (United States)

Olson, Lawrence

1982-01-01

The United States is on the verge of a labor shortage that is partly the result of declining birth rates. An increase in work force participation by older adults, encouraged by reversals of early retirement and other policy changes, would be advantageous to employers, workers, and the economy. (Author/SK)

Assessment of serious water shortage in the Icelandic water resource system

DEFF Research Database (Denmark)

Jonsdottir, Harpa; Madsen, Henrik

2005-01-01

there will be a shortage of electrical power. This is politically acceptable as long as it only touches heavy industries but not power deliveries to the common market. Empty or near empty reservoirs cause power shortage that will be felt by homeowners and businesses, until spring thaw sets in and inflow to the reservoirs...

Preparing to Test Rover Mobility

Science.gov (United States)

2005-01-01

Rover engineers prepare a mixture of sandy and powdery materials to simulate some difficult Mars driving conditions inside a facility at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The tests in early May 2005 were designed to help plan the best way for the rover Opportunity to drive off of a soft-sand dune that the rover dug itself into the previous week.

46 CFR 61.05-5 - Preparation of boilers for inspection and test.

Science.gov (United States)

2010-10-01

... 46 Shipping 2 2010-10-01 2010-10-01 false Preparation of boilers for inspection and test. 61.05-5... PERIODIC TESTS AND INSPECTIONS Tests and Inspections of Boilers § 61.05-5 Preparation of boilers for... preparing the boilers for the hydrostatic test, they shall be filled with water at not less than 70 °F. and...

Investigation of the homogeneity of methacrylate allergens in commercially available patch test preparations

DEFF Research Database (Denmark)

Mose, Kristian Fredløv; Andersen, Klaus Ejner; Christensen, Lars Porskjaer

2013-01-01

The homogeneity of methacrylates in commercial patch test preparations has not yet been investigated. Inhomogeneous patch test preparations may give rise to false-negative or false-positive patch test results in patients suspected of having methacrylate allergy.......The homogeneity of methacrylates in commercial patch test preparations has not yet been investigated. Inhomogeneous patch test preparations may give rise to false-negative or false-positive patch test results in patients suspected of having methacrylate allergy....

New Jersey's natural gas shortage: a policy analysis

Energy Technology Data Exchange (ETDEWEB)

Cecil, J.L.; Morell, D.

1976-12-01

The public policy problems associated with New Jersey's natural gas shortage are extremely complex and rather difficult to examine. They involve a blend of technology, politics and economics; of regulatory mandates and profit-motivated initiatives; of Federal and state interaction and conflict. To understand the state's gas shortage and to lay the basis for recommending measures to deal with it, information about the basic technology, the organization of the gas industry, the national regulatory posture, and the possible causes of the gas shortage encompasses Part I of the overall study. In Part II, the analysis turns from the national level to a direct examination of New Jersey's gas situation. In Part III, Chapter VIII, the following are considered: the state's supply of natural gas, distribution of these supply volumes within New Jersey by the four major gas utilities, and gas consumption patterns within the state as a whole and then for each major consuming sector (electric utility, industrial, commercial, and residential). This chapter concludes with an analysis of the impacts of the gas shortage to date in New Jersey, and of its probable effects in the near-term. In the final chapter, some tentative conclusions and broad suggestions are advanced for public policies to mitigate the gravity of the state's position with respect to natural gas. Analysis proceeds, in turn, through consideration of possible state actions in several areas: increasing total interstate gas supplies; increasing New Jersey's share of whatever national total exists; making greater (or more effective) use of alternate fuels; and moderating demand for gas through aggressive conservation policies. Some short-term measures to cope better with whatever level of gas shortage exists in the state at any particular time are suggested. 151 references. (MCW)

[Reasons for General Practitioner Shortage – a Comparison Between France and Switzerland].

Science.gov (United States)

Cerny, Thomas; Rosemann, Thomas; Tandjung, Ryan; Chmiel, Corinne

2016-05-25

Both France and Switzerland face a general practitioner (GP) shortage. What differences or parallels exist between the two countries with regard to the causes for this shortage? What conclusions might be drawn from a systematic comparison? Literature review with qualitative and semi-quantitative content analysis. Parallels exist in the comparing categories work contents, working structure, income and social status, medical school formation, private life, psychological motives. Differences are found in the categories biography and social selection, medical socialisation, residency. In Switzerland, residency is not uniformly structured, rarely institutionally organised and contains only few elements specific to general medicine. In France, medical socialisation not only exalts the specialists, but also strongly devaluates the GPs. By systematic analysis and comparison of both countries' pertinent literature, France and Switzerland can deepen their understanding of GP shortage. This paper identifies possible fields of action from medical school through residency up to workplace conditions that are pivotal in addressing the shortage of GPs.

GES [Ground Engineering System] test site preparation

International Nuclear Information System (INIS)

Cox, C.M.; Mahaffey, M.K.; Miller, W.C.; Schade, A.R.; Toyoda, K.G.

1987-10-01

Activities are under way at Hanford to convert the 309 containment building and its associated service wing to a nuclear test facility for the Ground Engineering System (GES) test. Conceptual design is about 80% complete, encompassing facility modifications, a secondary heat transport system, a large vacuum system, a test article cell and handing system, control and data handling systems, and safety andl auxiliary systems. The design makes extensive use of existing equipment to minimize technical risk and cost. Refurbishment of this equipment is 25% complete. Cleanout of some 1000 m 3 of equipment from the earlier reactor test in the facility is 85% complete. An Environmental Assessment was prepared and revised to incorporate Department of Energy (DOE) comments. It is now in the DOE approval chain, where a Finding of No Significant Impact is expected. During the next year, definite design will be well advanced, long-lead procurements will be initiated, construction planning will be completed, an operator training plan will be prepared, and the site (preliminary) safety analysis report will be drafted

Combating pharmacist shortage through labor certification.

Science.gov (United States)

Maswoswe, J J; Stewart, K R; Enigbokan, M; Egbunike, I; Jackson, D M

1994-06-01

Several solutions, ranging from increased technician duties to salary raises, automation, and increasing job satisfaction, have been presented in the literature as methods of assuaging the pharmacist shortage. Although a significant portion of pharmacy graduates from American pharmacy colleges are foreign nationals, no marketing strategies have been elucidated in the retention and recruitment of foreign nationals through labor certification. Labor certifications are generally approved by the Secretary of Labor if the following factors have been verified: 1) there are not sufficient United States workers who are able, willing, qualified, and available for employment; and 2) the employment of the foreign national will not adversely affect the wages and working conditions of U.S. workers similarly employed. When properly understood, the labor certification process is a test of the job market where foreigners, by virtue of their skills and qualifications, attain certification which subsequently leads to permanent residency (green card). The objective of this report is to elucidate the tedious yet effective method of retaining American-educated foreign nationals through labor certification.

How does a shortage of physicians impact on the job satisfaction of health centre staff?

Science.gov (United States)

Saxén, Ulla; Jaatinen, Pekka T; Kivelä, Sirkka-Liisa

2008-01-01

The aim was to determine how a shortage of physicians at Finnish health centres has affected the job satisfaction of the entire staff. A questionnaire was posted to 2848 employees working with patients at health centres in the Finnish provinces of Satakunta and Varsinais-Suomi. The information concerning the shortage of physicians at health centres was taken from research undertaken by the Finnish Medical Association in October 2003. The health centres were divided into four groups according to the severity of the shortage. The questionnaire was returned by 1447 employees. The staff at health centres with the most severe shortage of physicians were less satisfied with the management of the organization. Employees at health centres with a minor shortage of physicians were more satisfied with the quality of services in their operational unit. The shortage of physicians had no impact on staff satisfaction regarding the operation of their work unit, the strain of dealing with issues within their work environment, feelings of stress, the strain of working under pressure that they experienced, or interest in finding a new job. The majority of healthcare employees are satisfied and motivated in their work. The shortage of physicians has only a slightly negative impact on their satisfaction.

Current Situation, Determinants, and Solutions to Drug Shortages in Shaanxi Province, China: A Qualitative Study.

Science.gov (United States)

Yang, Caijun; Wu, Lina; Cai, Wenfang; Zhu, Wenwen; Shen, Qian; Li, Zongjie; Fang, Yu

2016-01-01

Drug shortages were a complex global problem. The aim of this study was to analyze, characterize, and assess the drug shortages, and identify possible solutions in Shaanxi Province, western China. A qualitative methodological approach was conducted during May-June 2015 and December 2015-January 2016. Semi-structured interviews were performed to gather information from representatives of hospital pharmacists, wholesalers, pharmaceutical producers, and local health authorities. Thirty participants took part in the study. Eight traditional Chinese medicines and 87 types of biologicals and chemicals were reported to be in short supply. Most were essential medicines. Five main determinants of drug shortages were detected: too low prices, too low market demands, Good Manufacturing Practice (GMP) issues, materials issues, and approval issues for imported drugs. Five different solutions were proposed by the participants: 1) let the market decide the drug price; 2) establish an information platform; 3) establish a reserve system; 4) enhance the communication among the three parties in the supply chain; and 5) improve hospital inventory management. Western China was currently experiencing a serious drug shortage. Numerous reasons for the shortage were identified. Most drug shortages in China were currently because of "too low prices." To solve this problem, all of the stakeholders, especially the government, needed to participate in managing the drug shortages.

Preparation of HEC Serial Modules for Beam and Cold Tests at CERN in 2000

CERN Multimedia

Fischer, A.

2001-01-01

Photo 1 - Three mated HEC-1 modules in the clean room, prepared for beam tests. Photo 2 - Three mated HEC-1 modules in the clean room, prepared for beam tests. Photo 3 - Three mated HEC-2 modules in the clean room, prepared for beam tests. Photo 4 - Three mated HEC-2 modules in the clean room, prepared for beam tests. Photo 5 - Close-up of the inner-connecting bars of three mated HEC-2 modules, prepared for beam tests. Photo 6 - Mechanical acceptance tests for HEC serial modules at CERN. Photo 7 - Mechanical acceptance tests for HEC serial modules at CERN. Photo 8 - Four HEC-2 modules in the cryostat, prepared for cold tests.

Preparation of working calibration and test materials: uranyl nitrate solution

International Nuclear Information System (INIS)

Yamamura, S.S.; Spraktes, F.W.; Baldwin, J.M.; Hand, R.L.; Lash, R.P.

1977-05-01

Reliable working calibration and test materials (WCTMs) are essential to a meaningful analytical measurements quality assurance program. This report describes recommended methods for the preparation of uranyl nitrate solution WCTMs for testing analytical methods, for calibrating methods, and for testing personnel. Uranyl nitrate solution WCTMs can be synthesized from characterized starting materials or prepared from typical plant materials by thorough characterization with reference to primary or secondary reference calibration and test materials (PRCTMs or SRCTMs). Recommended starting materials are described along with detailed procedures for (a) preparing several widely-used types of uranyl nitrate solution WCTMs, (b) packaging the WCTMs, (c) analyzing the WCTMs to establish the reference values or to confirm the synthesis, and (d) statistically evaluating the analytical data to assign reference values and to assess the accuracy of the WCTMs

Online Availability and Safety of Drugs in Shortage: A Descriptive Study of Internet Vendor Characteristics

Science.gov (United States)

Mackey, Tim K

2012-01-01

Background Unprecedented drug shortages announced by the US Food and Drug Administration (FDA) have severely affected therapeutic access, patient safety, and public health. With continued shortages, patients may seek drugs online. Objective To assess the prevalence of online marketing for current FDA shortage drugs and potential patient safety risks. Methods We performed a descriptive study of the prevalence of online marketing for shortage drugs—that is, offers for sale of each drug, including characteristics of online drug sellers and intermediary sites marketing these drugs. Results Of the 72 FDA shortage-listed drugs, 68 (94%) were offered for sale online. We found 291 offers for these drugs, the vast majority (n = 207, 71.1%) by online drug sellers selling direct to consumers. Intermediary sites included data aggregators (n = 22, 8%), forum links (n = 23, 8%), and personal page data links (n = 34, 12%), as well as Flickr social media links (n = 5, 2%), all advertising drugs without a prescription. Of the 91 online drug sellers identified, 31 (34%) had more than 1 shortage drug offered for sale, representing most (n = 148, 71%) of all online drug seller sales offers. The majority of these online drug sellers (n = 21, 68%) were on the National Association of Boards of Pharmacy (NABP) Not Recommended Sites list. Finally, for shortage drugs with an online drug seller (n = 58, 85%), 53 (91%) had at least one site on the Not Recommended list and 21 (36%) had only sites on the Not Recommended list. Conclusions FDA shortage drugs are widely marketed over the Internet. Suspect online drug sellers and intermediaries dominate these sales offers. As a critical risk management issue, patients, providers, and policymakers should be extremely cautious in procuring shortage drugs through Internet sourcing. PMID:22321731

Online availability and safety of drugs in shortage: a descriptive study of internet vendor characteristics.

Science.gov (United States)

Liang, Bryan A; Mackey, Tim K

2012-02-09

Unprecedented drug shortages announced by the US Food and Drug Administration (FDA) have severely affected therapeutic access, patient safety, and public health. With continued shortages, patients may seek drugs online. To assess the prevalence of online marketing for current FDA shortage drugs and potential patient safety risks. We performed a descriptive study of the prevalence of online marketing for shortage drugs-that is, offers for sale of each drug, including characteristics of online drug sellers and intermediary sites marketing these drugs. Of the 72 FDA shortage-listed drugs, 68 (94%) were offered for sale online. We found 291 offers for these drugs, the vast majority (n = 207, 71.1%) by online drug sellers selling direct to consumers. Intermediary sites included data aggregators (n = 22, 8%), forum links (n = 23, 8%), and personal page data links (n = 34, 12%), as well as Flickr social media links (n = 5, 2%), all advertising drugs without a prescription. Of the 91 online drug sellers identified, 31 (34%) had more than 1 shortage drug offered for sale, representing most (n = 148, 71%) of all online drug seller sales offers. The majority of these online drug sellers (n = 21, 68%) were on the National Association of Boards of Pharmacy (NABP) Not Recommended Sites list. Finally, for shortage drugs with an online drug seller (n = 58, 85%), 53 (91%) had at least one site on the Not Recommended list and 21 (36%) had only sites on the Not Recommended list. FDA shortage drugs are widely marketed over the Internet. Suspect online drug sellers and intermediaries dominate these sales offers. As a critical risk management issue, patients, providers, and policymakers should be extremely cautious in procuring shortage drugs through Internet sourcing.

Fuzzy inventory model for deteriorating items, with time depended demand, shortages, and fully backlogging

OpenAIRE

Wasim Akram Mandal; Sahidul Islam

2016-01-01

In this paper analyzes fuzzy inventory system for deterioration item with time depended demand. Shortages are allowed under fully backlogged. Fixed cost, deterioration cost, shortages cost, holding cost are the cost considered in this model. Fuzziness is applying by allowing the cost components (holding cost, deterioration, shortage cost, holding cost, etc). In fuzzy environment it considered all required parameter to be triangular fuzzy numbers. One numerical solution of the model is obtaine...

Energy network dispatch optimization under emergency of local energy shortage

International Nuclear Information System (INIS)

Cai, Tianxing; Zhao, Chuanyu; Xu, Qiang

2012-01-01

The consequence of short-time energy shortage under extreme conditions, such as earthquake, tsunami, and hurricane, may cause local areas to suffer from delayed rescues, widespread power outages, tremendous economic losses, and even public safety threats. In such urgent events of local energy shortage, agile energy dispatching through an effective energy transportation network, targeting the minimum energy recovery time, should be a top priority. In this paper, a novel methodology is developed for energy network dispatch optimization under emergency of local energy shortage, which includes four stages of work. First, emergency-area-centered energy network needs to be characterized, where the capacity, quantity, and availability of various energy sources are determined. Second, the energy initial situation under emergency conditions needs to be identified. Then, the energy dispatch optimization is conducted based on a developed MILP (mixed-integer linear programming) model in the third stage. Finally, the sensitivity of the minimum dispatch time with respect to uncertainty parameters is characterized by partitioning the entire space of uncertainty parameters into multiple subspaces. The efficacy of the developed methodology is demonstrated via a case study with in-depth discussions. -- Highlights: ► Address the energy network dispatch problem under emergency of local energy shortage. ► Minimize the energy restoration time for the entire energy network under emergency events. ► Develop a new MILP model and a sensitivity analysis method with respect to uncertainties.

Meeting the Challenge of Instructor Shortages: A Blended Teaching and Learning Model for a Neuroscience Course in a Doctor of Physical Therapy Program.

Science.gov (United States)

Ge, Weiqing

2018-01-01

Physical therapy workforce shortages are expected to increase for all 50 states through 2030. There is a recognized nationwide unprecedented shortage of well-prepared physical therapy instructors. One practical solution can be to share instructors among Doctor of Physical Therapy (DPT) programs using a blended teaching and learning model. The purpose of this project was to evaluate the effectiveness of a blended teaching and learning model for a neuroscience course in a DPT program. Faculty members from two DPT programs collaborated to develop, implement, and evaluate a blended teaching and learning model. The Blackboard Learning Management System (LMS) was available at both institutions and chosen as the learning platform. The design of this research study was retrospective nonexperimental observational. The overall feedback from the students was positive. Most students (91.6%) strongly agreed or agreed that the content of the course was appropriate for learning neuroscience. The students taking this blended course performed slightly better than the students taking the traditional course, though there was no significant difference (p=0.06). The results support the use of a blended teaching and learning model to meet faculty shortage challenges. Future research with a larger sample size is necessary.

Association between shortage of energy supply and nuclear gene mutations leading to carcinomatous transformation.

Science.gov (United States)

DU, Jianping

2016-01-01

Anaerobic bacteria use glycolysis, an oxygen-independent metabolic pathway, whereas energy metabolism in the evolved eukaryotic cell is performed via oxidative phosphorylation, with all eukaryotic cell activities depending upon high energy consumption. However, in cancer cells evolving from eukaryotic cells, the energy metabolism switches from oxidative phosphorylation to glycolysis. The shortage of energy supply induces cancer cells to acquire specific characteristics. Base pair renewal is the most energy-consuming process in the cell, and shortage of energy supply may lead to errors in this process; the more prominent the shortage in energy supply, the more errors are likely to occur in base pair renewal, resulting in gene mutations and expression of cancer cell characteristics. Thus, shortage of energy supply is associated with carcinomatous transformation.

21 CFR 660.25 - Potency tests without reference preparations.

Science.gov (United States)

2010-04-01

... recommended for slide tests or microplate techniques. Blood Grouping Reagent recommended for slide test... Grouping Reagent § 660.25 Potency tests without reference preparations. Products for which Reference Blood Grouping Reagents are not available shall be tested for potency by a method approved by the Director...

HTI CONE PENETROMETER PROBES PREPARATION DEVELOPMENTAL TESTING REPORT

Energy Technology Data Exchange (ETDEWEB)

IWATATE, D.F.

1998-10-26

The HTI subsurface characterization task will use the Hanford Cone Penetrometer platform (CPP) to deploy soil sensor and sampling probes into the vadose zone/soils around AX-104 during FY-99. This report provides the data and information compiled during vendor field development tests and laboratory/bench checkout. This document is a vendor deliverable item identified in the ARA Statement of Work HNF-2881, Revision 1. This version of the DTR includes to-be-determined items and some incomplete sections. The Rev. 0 is being released to support the concurrent task of procedure preparation and Qualification Test Plan preparation. Revision 1 is planned to contain all data and information.

Reducing Air Force Fighter Pilot Shortages

Science.gov (United States)

2015-12-31

units). Pilot positions can be divided into two categories: absorbing and nonabsorbing. Absorbing positions are in operational units to which...Continued Attention to Aircrew Management Dynamics The primary source of stress in fighter- pilot management has been reductions in aircraft inventories...Fighter Pilot Shortages C O R P O R A T I O N Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are

The Minority Teacher Shortage: Fact or Fable?

Science.gov (United States)

Ingersoll, Richard M.; May, Henry

2011-01-01

This research examines national data on the status of the minority teacher shortage--the low proportion of minority teachers in comparison to the increasing numbers of students of color in schools. The authors show that efforts over recent decades to recruit more minority teachers, and place them in disadvantaged schools, have been very…

Rapid diagnostic test supply chain and consumption study in Cabo Delgado, Mozambique: estimating stock shortages and identifying drivers of stock-outs.

Science.gov (United States)

Hasselback, Leah; Crawford, Jessica; Chaluco, Timoteo; Rajagopal, Sharanya; Prosser, Wendy; Watson, Noel

2014-08-02

Malaria rapid diagnostic tests (RDTs) are particularly useful in low-resource settings where follow-through on traditional laboratory diagnosis is challenging or lacking. The availability of these tests depends on supply chain processes within the distribution system. In Mozambique, stock-outs of malaria RDTs are fairly common at health facilities. A longitudinal cross-sectional study was conducted to evaluate drivers of stock shortages in the Cabo Delgado province. Data were collected from purposively sampled health facilities, using monthly cross-sectional surveys between October 2011 and May 2012. Estimates of lost consumption (consumption not met due to stock-outs) served as the primary quantitative indicator of stock shortages. This is a better measure of the magnitude of stock-outs than binary indicators that only measure frequency of stock-outs at a given facility. Using a case study based methodology, distribution system characteristics were qualitatively analysed to examine causes of stock-outs at the provincial, district and health centre levels. 15 health facilities were surveyed over 120 time points. Stock-out patterns varied by data source; average monthly proportions of 59%, 17% and 17% of health centres reported a stock-out on stock cards, laboratory and pharmacy forms, respectively. Estimates of lost consumption percentage were significantly high; ranging from 0% to 149%; with a weighted average of 78%. Each ten-unit increase in monthly-observed consumption was associated with a nine-unit increase in lost consumption percentage indicating that higher rates of stock-outs occurred at higher levels of observed consumption. Causes of stock-outs included inaccurate tracking of lost consumption, insufficient sophistication in inventory management and replenishment, and poor process compliance by facility workers, all arguably stemming from inadequate attention to the design and implementation of the distribution system. Substantially high levels of RDT

Marketing nursing as a profession: integrated marketing strategies to address the nursing shortage.

Science.gov (United States)

Somers, Mark John; Finch, Linda; Birnbaum, Dee

2010-07-01

The nursing shortage in the United States is at a crisis level characterized by critical shortages of highly trained nurses and of nursing faculty. Key issues in addressing these shortages include awareness and image-building, along with enhanced outreach programs. Although these issues are related to marketing theory, most studies in this area are based on a vocational choice model. This study was grounded in marketing theory and the results offer a new perspective for addressing the nursing shortage. In-depth interviews conducted with 31 first-year nursing students indicated that there were two distinct segments among nursing students: traditionals and instrumentals. Traditionals were attracted to nursing as a helping profession while instrumentals were interested in career-related rewards such as variety, mobility, and compensation. These findings were discussed in terms of building awareness and marketing programs for nursing students that are integrated across schools of nursing, private foundations and public agencies.

Water shortages and extreme events: a call for research.

Science.gov (United States)

Carmichael, Catriona; Odams, Sue; Murray, Virginia; Sellick, Matthew; Colbourne, Jeni

2013-09-01

Water shortages as a result of extreme weather events, such as flooding and severe cold, have the potential to affect significant numbers of people. Therefore, the need to build robust, coordinated plans based on scientific evidence is crucial. The literature review outlined in this short communication was conducted as part of a joint Drinking Water Inspectorate and Health Protection Agency (now Public Health England) report which aimed to review the scientific evidence base on extreme events, water shortages and the resulting health impacts. A systematic literature review was undertaken to identify published literature from both peer-reviewed and grey literature sources. The retrieved literature was then assessed using the Scottish Intercollegiate Guidelines Network quality assessment. The authors found very few scientific studies. However, a great deal of valuable grey literature was retrieved and used by the research team. In total, six main themes of importance that were identified by the review and discussed included health impacts, water quantity and quality, alternative supplies, vulnerable groups, communication with those affected and the emergency response. The authors conclude that more research needs to be conducted on health impacts and extreme events water shortages in order to build the future knowledge base and development of resilience.

PREPARE: guidelines for planning animal research and testing.

Science.gov (United States)

Smith, Adrian J; Clutton, R Eddie; Lilley, Elliot; Hansen, Kristine E Aa; Brattelid, Trond

2018-04-01

There is widespread concern about the quality, reproducibility and translatability of studies involving research animals. Although there are a number of reporting guidelines available, there is very little overarching guidance on how to plan animal experiments, despite the fact that this is the logical place to start ensuring quality. In this paper we present the PREPARE guidelines: Planning Research and Experimental Procedures on Animals: Recommendations for Excellence. PREPARE covers the three broad areas which determine the quality of the preparation for animal studies: formulation, dialogue between scientists and the animal facility, and quality control of the various components in the study. Some topics overlap and the PREPARE checklist should be adapted to suit specific needs, for example in field research. Advice on use of the checklist is available on the Norecopa website, with links to guidelines for animal research and testing, at https://norecopa.no/PREPARE .

Do Test Design and Uses Influence Test Preparation? Testing a Model of Washback with Structural Equation Modeling

Science.gov (United States)

Xie, Qin; Andrews, Stephen

2013-01-01

This study introduces Expectancy-value motivation theory to explain the paths of influences from perceptions of test design and uses to test preparation as a special case of washback on learning. Based on this theory, two conceptual models were proposed and tested via Structural Equation Modeling. Data collection involved over 870 test takers of…

Is physical water scarcity a new phenomenon? Global assessment of water shortage over the last two millennia

International Nuclear Information System (INIS)

Kummu, Matti; Varis, Olli; Ward, Philip J; De Moel, Hans

2010-01-01

In this letter we analyse the temporal development of physical population-driven water scarcity, i.e. water shortage, over the period 0 AD to 2005 AD. This was done using population data derived from the HYDE dataset, and water resource availability based on the WaterGAP model results for the period 1961-90. Changes in historical water resources availability were simulated with the STREAM model, forced by climate output data of the ECBilt-CLIO-VECODE climate model. The water crowding index, i.e. Falkenmark water stress indicator, was used to identify water shortage in 284 sub-basins. Although our results show a few areas with moderate water shortage (1000-1700 m 3 /capita/yr) around the year 1800, water shortage began in earnest at around 1900, when 2% of the world population was under chronic water shortage ( 3 /capita/yr). By 1960, this percentage had risen to 9%. From then on, the number of people under water shortage increased rapidly to the year 2005, by which time 35% of the world population lived in areas with chronic water shortage. In this study, the effects of changes in population on water shortage are roughly four times more important than changes in water availability as a result of long-term climatic change. Global trends in adaptation measures to cope with reduced water resources per capita, such as irrigated area, reservoir storage, groundwater abstraction, and global trade of agricultural products, closely follow the recent increase in global water shortage.

Addressing the Importance and Scale of the U.S. Teacher Shortage. UCEA Policy Brief 2018-1

Science.gov (United States)

Castro, Andrene; Quinn, Daniel J.; Fuller, Edward; Barnes, Michael

2018-01-01

Teacher shortages pose a major challenge for state policy makers, district leaders, and school leaders. Importantly, however, the severity of the shortage differs by the particular dynamics of state- and local- teacher labor markets with some regions and states experiencing more severe shortages than others. This brief examines the elements of the…

[The evolution of nursing shortage and strategies to face it: a longitudinal study in 11 hospitals].

Science.gov (United States)

Stringhetta, Francesca; Dal Ponte, Adriana; Palese, Alvisa

2012-01-01

To describe the perception of the evolution of nursing shortage from 2000 to 2009 according to Nursing Coordinators and the strategies to face it. Nursing coordinators of 11 hospitals or districts of Friuli Venezia Giulia, Trentino Alto Adige and Veneto regions were interviewed in 2000, 2004 and 2009 to collect data and assess their perception on nurses' shortage. In the first interview the medium gap between staff planned and in service was -5.4%; in 2004 -9.4% and in 2009 -3.3%. The shortage, once with a seasonal trend is now constant and appreciated in all the wards. In years 2000 and 2004 on average 5 strategies to face the shortage were implemented, in 2009 7. No systematic strategies have been used with the exception of the unification of wards, mainly during summer for letting people go on holydays. According to Nursing Coordinators the effects of the shortage are already observable (although not quantified) on patients and nurses. The nurses' shortage has been one of the challenges of the last 10 years. Its causes have changed but not the strategies implemented.

G-Tunnel pressurized slot-testing preparations

International Nuclear Information System (INIS)

Zimmerman, R.M.; Sifre-Soto, C.; Mann, K.L.; Bellman, R.A. Jr.; Luker, S.; Dodds, D.J.

1992-04-01

Designers and analysts of radioactive waste repositories must be able to predict the mechanical behavior of the host rock. Sandia National laboratories elected to conduct a development program on pressurized slot testing and featured (1) development of an improved method to cut slots using a chain saw with diamond-tipped cutters, (2) measurements useful for determining in situ stresses normal to slots, (3) measurements applicable for determining the in situ modulus of deformation parallel to a drift surface, and (4) evaluations of the potentials of pressurized slot strength testing. This report describes the preparations leading to the measurements and evaluations

Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals.

Science.gov (United States)

Rosoff, Philip M

2012-01-01

Periodic and unexpected shortages of drugs, biologics, and even medical devices have become commonplace in the United States. When shortages occur, hospitals and clinics need to decide how to ration their available stock. When such situations arise, institutions can choose from several different allocation schemes, such as first-come, first-served, a lottery, or a more rational and calculated approach. While the first two approaches sound reasonable at first glance, there are a number of problems associated with them, including the inability to make fine, individual patient-centered decisions. They also do not discriminate between what kinds of patients and what types of uses may be more deserving or reasonable than others. In this article I outline an ethically acceptable procedure for rationing drugs during a shortage in which demand outstrips supply.

Causes of shortage and delay in material supply: a preliminary study

Science.gov (United States)

Rahman, M. M.; Yap, Y. H.; Ramli, N. R.; Dullah, M. A.; Shamsuddin, M. S. W.

2017-11-01

Shortage and delay in materials supply is argued to be one of the most important factors that lead to delay in construction project delivery globally. However, the relevant underlying reasons vary from country to country. As such, this paper summarises the outcomes of a study that targeted identifying causes of shortage and delay in materials supply in Brunei Darussalam. The study was conducted through fifteen semi-structured interviews of contractors and materials suppliers in Brunei. The study identified six causes of shortageof materials and nine causes of delay in materials supply in Brunei. The most importantcausefor shortage of materials relates to the origin or availability of construction materials. On the other hand, the most influential cause of delay in material supply was found to be poor materials procurement and inventory management system, which has other underlying reasons such as late identification of the type of materials needed. The observations are expected to help in formulating or reviewing relevant policies, in order to ensure on-time project delivery.

Deliberate Disequilibrium: Preparing for a Community College Presidency

Science.gov (United States)

McNair, Delores E.

2015-01-01

Anticipated retirements and relatively short tenure in office create a shortage of community college presidents in the United States. To fill the unprecedented number of vacancies requires a cadre of candidates well prepared for the demands of the position. Using Satir's change model as a theoretical framework, this year-long reflective study…

Feed Preparation for Source of Alkali Melt Rate Tests

International Nuclear Information System (INIS)

Stone, M. E.; Lambert, D. P.

2005-01-01

The purpose of the Source of Alkali testing was to prepare feed for melt rate testing in order to determine the maximum melt-rate for a series of batches where the alkali was increased from 0% Na 2 O in the frit (low washed sludge) to 16% Na 2 O in the frit (highly washed sludge). This document summarizes the feed preparation for the Source of Alkali melt rate testing. The Source of Alkali melt rate results will be issued in a separate report. Five batches of Sludge Receipt and Adjustment Tank (SRAT) product and four batches of Slurry Mix Evaporator (SME) product were produced to support Source of Alkali (SOA) melt rate testing. Sludge Batch 3 (SB3) simulant and frit 418 were used as targets for the 8% Na 2 O baseline run. For the other four cases (0% Na 2 O, 4% Na 2 O, 12% Na 2 O, and 16% Na 2 O in frit), special sludge and frit preparations were necessary. The sludge preparations mimicked washing of the SB3 baseline composition, while frit adjustments consisted of increasing or decreasing Na and then re-normalizing the remaining frit components. For all batches, the target glass compositions were identical. The five SRAT products were prepared for testing in the dry fed melt-rate furnace and the four SME products were prepared for the Slurry-fed Melt-Rate Furnace (SMRF). At the same time, the impacts of washing on a baseline composition from a Chemical Process Cell (CPC) perspective could also be investigated. Five process simulations (0% Na 2 O in frit, 4% Na 2 O in frit, 8% Na 2 O in frit or baseline, 12% Na 2 O in frit, and 16% Na 2 O in frit) were completed in three identical 4-L apparatus to produce the five SRAT products. The SRAT products were later dried and combined with the complementary frits to produce identical glass compositions. All five batches were produced with identical processing steps, including off-gas measurement using online gas chromatographs. Two slurry-fed melter feed batches, a 4% Na 2 O in frit run (less washed sludge combined with

Utah’s oldest show the most concern for future water shortages

OpenAIRE

Baji, Viviane

2016-01-01

Utah is set to double in population by 2050. It is unclear whether current water supplies will be able to accommodate the needs of the future growth. Young people will be in their prime when water shortage predictions come to fruition, so it is important to know how concerned they are about the water issues that will affect them. An understanding of the relationship between age and water shortage concern may also contribute to the development of social science theories relating age and enviro...

Development of a novel information and communication technology system to compensate for a sudden shortage of emergency department physicians.

Science.gov (United States)

Tanaka, Kumiko; Nakada, Taka-Aki; Fukuma, Hiroshi; Nakao, Shota; Masunaga, Naohisa; Tomita, Keisuke; Matsumura, Yosuke; Mizushima, Yasuaki; Matsuoka, Tetsuya

2017-01-23

A sudden shortage of physician resources due to overwhelming patient needs can affect the quality of care in the emergency department (ED). Developing effective response strategies remains a challenging research area. We created a novel system using information and communication technology (ICT) to respond to a sudden shortage, and tested the system to determine whether it would compensate for a shortage. Patients (n = 4890) transferred to a level I trauma center in Japan during 2012-2015 were studied. We assessed whether the system secured the necessary physicians without using other means such as phone or pager, and calculated fulfillment rate by the system as a primary outcome variable. We tested for the difference in probability of multiple casualties among total casualties transferred to the ED as an indicator of ability to respond to excessive patient needs, in a secondary analysis before and after system introduction. The system was activated 24 times (stand-by request [n = 12], attendance request [n = 12]) in 24 months, and secured the necessary physicians without using other means; fulfillment rate was 100%. There was no significant difference in the probability of multiple casualties during daytime weekdays hours before and after system introduction, while the probability of multiple casualties during night or weekend hours after system introduction significantly increased compared to before system introduction (4.8% vs. 12.9%, P improvement in the ability to respond to sudden excessive patient needs in multiple causalities. A novel system using ICT successfully secured immediate responses from needed physicians outside the hospital without increasing user workload, and increased the ability to respond to excessive patient needs. The system appears to be able to compensate for a shortage of physician in the ED due to excessive patient transfers, particularly during off-hours.

China's large-scale power shortages of 2004 and 2011 after the electricity market reforms of 2002: Explanations and differences

International Nuclear Information System (INIS)

Ming, Zeng; Song, Xue; Lingyun, Li; Yuejin, Wang; Yang, Wei; Ying, Li

2013-01-01

Since the electricity market reforms of 2002, two large-scale power shortages, one occurring in 2004 and one in 2011, exerted a tremendous impact on the economic development of China and also gave rise to a fierce discussion regarding electricity system reforms. In this paper, the background and the influence scale of the two power shortages are described. Second, reasons for these two large-scale power shortages are analyzed from the perspectives of power generation, power consumption and coordination of power sources and grid network construction investments. Characteristics of these two large-scale power shortages are then summarized by comparatively analyzing the performance and the formation of the reasons behind these two large-scale power shortages. Finally, some effective measures that take into account the current status of electricity market reforms in China are suggested. This paper concludes that to eliminate power shortages in China, both the supply and the demand should be considered, and these considerations should be accompanied by supervisory policies and incentive mechanisms. - Highlights: • Reasons of these two large-scale power shortages are analyzed. • Characteristics of these two large-scale power shortages are summarized. • Some effective measures to eliminate power shortage are suggested

Test Preparation in the Accountability Era: Toward a Learning-Oriented Approach

Science.gov (United States)

Gebril, Atta

2018-01-01

The article introduces a learning-oriented approach to test preparation that could help in easing the tension between learning and assessment. The first part of the article discusses the different concepts that are usually used in the context of test preparation. The second section reports on the literature pertaining to the effects of test…

Disturbance induced by surface preparation on instrumented indentation test

International Nuclear Information System (INIS)

Li, Yugang; Kanouté, Pascale; François, Manuel

2015-01-01

Surface preparation, which may induce considerable sample disturbance, plays an important role in instrumented indentation test (IIT). In this study, the sample disturbance (mainly divided into residual stresses and plastic strain) induced by the surface preparation process of instrumented indentation test specimens were investigated with both experimental tests and numerical simulations. Grazing incidence X-ray diffractions (GIXRD) and uniaxial tensile tests were conducted for characterizing the residual stresses and high plastic strain in the top surface layers of a carefully mechanically polished indentation sample, which, in the present work, is made of commercially pure titanium. Instrumented indentation tests and the corresponding finite element simulations were performed as well. For comparison, a reference sample (carefully mechanically polished & electrolytically polished) which represents the raw material was prepared and tested. Results showed that a careful mechanical polishing procedure can effectively reduce the level of residual stresses induced by this process. However, the high plastic strain in the surface region imposed by the polishing process is significant. The induced plastic strain can affect a depth up to 5 µm, which is deeper than the maximum penetration depth h max (3 µm) used for the instrumented indentation tests. In the near surface layer (in the range of depth about 350 nm), the plastic strain levels are fairly high. In the very top layer, the plastic strain was even estimated to reach more than 60%. The simultaneous use of indentation tests and numerical simulations showed that the existence of high plastic strain in the surface region will make the load vs depth (P–h) curve shift upwards, the contact hardness (H) increase and the contact stiffness (S) decrease

Disturbance induced by surface preparation on instrumented indentation test

Energy Technology Data Exchange (ETDEWEB)

Li, Yugang, E-mail: yugang.li@utt.fr [Université de Technologie de Troyes (UTT), ICD-LASMIS, UMR CNRS 6281, 12, rue Marie Curie-CS 42060, 10010 Troyes Cedex (France); Kanouté, Pascale, E-mail: pascale.kanoute@onera.fr [Université de Technologie de Troyes (UTT), ICD-LASMIS, UMR CNRS 6281, 12, rue Marie Curie-CS 42060, 10010 Troyes Cedex (France); The French Aerospace Lab (ONERA), DMSM/MCE, 29 avenue de la Division Leclerc-BP 72, F-92322 Chatillon Cedex (France); François, Manuel, E-mail: manuel.francois@utt.fr [Université de Technologie de Troyes (UTT), ICD-LASMIS, UMR CNRS 6281, 12, rue Marie Curie-CS 42060, 10010 Troyes Cedex (France)

2015-08-26

Surface preparation, which may induce considerable sample disturbance, plays an important role in instrumented indentation test (IIT). In this study, the sample disturbance (mainly divided into residual stresses and plastic strain) induced by the surface preparation process of instrumented indentation test specimens were investigated with both experimental tests and numerical simulations. Grazing incidence X-ray diffractions (GIXRD) and uniaxial tensile tests were conducted for characterizing the residual stresses and high plastic strain in the top surface layers of a carefully mechanically polished indentation sample, which, in the present work, is made of commercially pure titanium. Instrumented indentation tests and the corresponding finite element simulations were performed as well. For comparison, a reference sample (carefully mechanically polished & electrolytically polished) which represents the raw material was prepared and tested. Results showed that a careful mechanical polishing procedure can effectively reduce the level of residual stresses induced by this process. However, the high plastic strain in the surface region imposed by the polishing process is significant. The induced plastic strain can affect a depth up to 5 µm, which is deeper than the maximum penetration depth h{sub max} (3 µm) used for the instrumented indentation tests. In the near surface layer (in the range of depth about 350 nm), the plastic strain levels are fairly high. In the very top layer, the plastic strain was even estimated to reach more than 60%. The simultaneous use of indentation tests and numerical simulations showed that the existence of high plastic strain in the surface region will make the load vs depth (P–h) curve shift upwards, the contact hardness (H) increase and the contact stiffness (S) decrease.

Technetium99m shortage: Practical solutions to manage lack of the radio-isotope in nuclear medicine departments

International Nuclear Information System (INIS)

Biechlin-Chassel, M.L.; Francois-Joubert, A.; Bolot, C.; Desruet, M.D.; Bourrel, F.; Pelegrin, M.; Couret, I.; Lao, S.; Quelven, I.

2010-01-01

Technetium 99m ( 99m Tc) shortage crisis regularly affect nuclear medicine activity and oblige the community to find solutions in order to perform most of the prescribed exams and avoid systematic substitutions by other non-nuclear medicine techniques. Firstly, some practical solutions can be set up in radiopharmacy departments such as using more than two generators together, realizing fractionated elutions, preparing radiopharmaceuticals with elutions providing from different generators.. Then, it could be interesting to have a reflexion in nuclear medicine departments to convene patients the days when 99m Tc supply is sufficient, to pool some exams or to make substitutions with more available isotopes. (authors)

Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions.

Science.gov (United States)

Al-Ruthia, Yazed Sulaiman; Mansy, Wael; Barasin, Mohammad; Ghawaa, Yazeed Mohammad; AlSultan, Mohammed; Alsenaidy, Mohammad A; Alhawas, Solaiman; AlGhadeer, Sultan

2017-07-01

Background: Patients with mental disorders, such as depression and anxiety, who seek medical care in private psychiatric clinics in Riyadh, Saudi Arabia, have recently expressed concerns to doctors about difficulty in filling psychotropic medications, such as Amitriptyline and Aripiprazole, at retail community pharmacies. Objectives: The aim of this study was to investigate whether there is a shortage of some commonly prescribed psychotropic medications in retail community pharmacies in Saudi Arabia, and if so, to explore the possible reasons behind the shortage of these medications. Methods: The availability of 28 commonly prescribed psychotropic medications was checked in multiple retail community pharmacies in 4 different regions of Saudi Arabia. Further, potential reasons behind the shortage of some psychotropic medications in retail community pharmacies were also explored. Results: Amitriptyline, Amoxapine, Aripiprazole, Bupropion, Buspirone, Duloxetine, Haloperidol, Hydroxyzine, Lithium, Prochlorperazine, Procyclidine, Promethazine, Thioridazine, Trazodone, and Trifluoperazine were unavailable in over half of the 248 community pharmacies surveyed. Four possible reasons behind the shortage of these medications were reported by 31 pharmacists working in different retail community pharmacies' purchasing departments, with a majority (58.06%) reporting the primary reason for a shortage of these medications that they are slow-moving items with low profit margins. Conclusions: The findings of this study should expedite the reform process in both the Ministry of Health and the Saudi Food and Drug Authority (SFDA) to publish and enforce an essential list of medications for retail community pharmacies, which should include the most commonly prescribed psychotropic medications.

Teacher Competency in Classroom Testing, Measurement Preparation, and Classroom Testing Practices.

Science.gov (United States)

Newman, Dorothy C.; Stallings, William M.

An assessment instrument and a questionnaire (Appendices A and B) were developed to determine how well teachers understand classroom testing principles and to gain information on the measurement preparation and classroom practices of teachers. Two hundred ninety-four inservice teachers, grades 1 through 12, from three urban school systems in…

Preparing Special Education Higher Education Faculty: The Influences of Contemporary Education Issues and Policy Recommendations

Science.gov (United States)

deBettencourt, Laurie U.; Hoover, John J.; Rude, Harvey A.; Taylor, Shanon S.

2016-01-01

There is a well-documented need for leadership personnel who are prepared at the doctoral level to fill special education faculty positions at institutions of higher education (IHEs) and train the next generation of teachers. The intersection of continued retirements of special education faculty, shortage of well-prepared special education faculty…

Toward a Comprehensive Strategy for Addressing the Teacher Shortage.

Science.gov (United States)

Hawley, Willis D.

1986-01-01

The likely consequences of different educational policies affecting teacher supply and demand are examined in relation to the predicted teacher shortage. Includes a table describing 23 policies and practices of schools that attract qualified teachers. (MD)

Test anxiety levels and related factors: students preparing for university exams.

Science.gov (United States)

Kurt, Ayse Sonay; Balci, Serap; Kose, Dilek

2014-11-01

To assess test anxiety levels and related factors among students preparing for university exams. The descriptive, cross-sectional study was conducted at Istanbul University, Turkey, and comprised students preparing for exams in two private courses for the 2010-11 academic year. Data was collected via an original questionnaire and the Test Anxiety Inventory. SPSS 20 was used for statistical analyses. Of the 1250 students who qualified for the study, the final sample size was 376 (30%). Of them, 210 (55.9%) were females, and 154 (41%) were 18 years old. Students' mean Test Anxiety Inventory scores were 39.44±11.34. Female students' overall test anxiety scores and mean emotionality subscale score were significantly higher than those of their male counterparts. Students whose mothers had an educational attainment between primary school n=170 (45.2%) and a high school diploma n=184 (48.9%), as well as those with four or more siblings n=49 (15%), had significantly higher mean overall Test Anxiety Inventory scores. Among other things, test anxiety is influenced by maternal educational level, type of high school, number of exams, and number of siblings. Preparing a relaxed study environment for students, providing the family monetary or social support, and encouraging participation in social activities are recommendedto decreajb anxiety in students preparing for university exams.

Concerns for Skills Shortages in the 21st Century: A Review into the Construction Industry, Australia

Directory of Open Access Journals (Sweden)

Michelle Watson

2012-11-01

Full Text Available The Australian Construction Industry is now facing skills shortages in all trades. As an industry focused on the skill of its workforce, there is now concern the Australian standard in quality, workmanship, and productivity will inhibit both at national and international level.This research paper addresses the underlying, influential factors concerning skills shortages in the Australian construction industry. The influential factors addressed include funding, training statistics, employer expectations, financial limitations, Industrial Relations and immigration. Given the reference to skills shortages within the industry, and documented in related literature, if skills shortages are to continue to exist, their effect will impact upon the overall performance of construction companies throughout Australia.

Price signals and end consumer flexibility in shortage situations

International Nuclear Information System (INIS)

Hunnes, Arngrim; Grande, Ove S.

2002-08-01

This report is written as a part of the project ''Consumer flexibility and efficient use of ICT''. The project aim is 1) to provide a decision basis and suggest external conditions for a priority guided development of an infrastructure based on future ICT solutions and 2) develop, test and evaluate various measures which stimulate flexibility in consumption with consideration to power price, network rent and new market solutions. The central question in the report is how to stimulate the end consumer to be flexible in the consumption of electric power. The use of power price and system rent is desired tools for communicating the right price signals to the end consumers and thereby give the end users an incentive. The focus is primarily on the short term flexibility. The first chapter in the report gives an introduction to the price signals and the two way communication. There is a clear distinction between price signals from power suppliers and price signals from network companies. The two following chapters contain a more thorough discussion. As to the price signals from the power suppliers it is pointed out that most of the existing power contracts have a design so that they in the short term do not give the right price signals to the end users. It is proposed that two new contract types are tested: 1) Spot price and time settling. 2) Contract for reduced power price in a certain period provided the consumer is willing to reduce the load when 1) the spot price exceeds a level given by the end user, 2) the present load exceeds the subscribed level. In the chapter about the price signals from network companies there is first a brief introduction to the natural monopoly and the demands of the authorities to network tariffs. There is also a survey of the size of the system tariffs in the various counties. The central section of the chapter contains suggestions for designing network tariffs. Based on the deductions it is proposed that the project will test the

Xenotransplantation: A Potential Solution to the Critical Organ Donor Shortage

Directory of Open Access Journals (Sweden)

K Howe Sim

1999-01-01

Full Text Available The success of allotransplantation as a treatment for end-stage organ failure has resulted in the need for an increasing number of organ donors. Attempts to meet this need include the use of organs from living related and unrelated donors, financial or other incentives for the donor family, and even the reuse of transplanted organs. Despite these initiatives, the supply of organs for transplantation still falls far short of the demand, as evidenced by longer waiting times for transplantation and decreasing transplantation rates. Even if Canada were able to increase its organ donor rate to that of Spain (40 to 50/million, where organ donation is governed by ‘presumed consent’ legislation, this would not alleviate the problem of donor shortage. Interest in xenotransplantation stems from the need to overcome this increasingly severe shortage of human organs. Indeed, some argue that xenotransplantation is the only potential way of addressing this shortage. As immunological barriers to xenotransplantation are better understood, those hurdles are being addressed through genetic engineering of donor animals and the development of new drug therapies. However, before xenotransplantation can be fully implemented, both the scientific/medical communities and the general public must seriously consider and attempt to resolve the many complex ethical, social and economic issues that it presents.

ROMANIAN TOURISM FACING LABOUR SHORTAGE

Directory of Open Access Journals (Sweden)

Cristina Simon

2008-05-01

Full Text Available The purpose of this paper is to present the main trends în the Romanian tourism sector andtheir impact on the labour market. The first part of the paper presents the main trends în the travel and tourismsector. The second part of the paper focuses on the challenges of the labour market în the hotel sector,highlighting essential aspect related to the declining of population, shortage of the workforce, emigration,financial compensations. The final part exposes few ideas and possible suggestions that can be applied into thetravel and tourism sector în order to better manage the multiple dimensions of growth.

Labor Health Shortage and Future Prospects for the Medical Workforce in Morocco

OpenAIRE

Zouag, Nada; Driouchi, Ahmed; Achehboune, Amale

2015-01-01

Abstract This paper looks at the current situation of health deficits and shortages in Morocco with a focus on the roles of medical education and prospects for the health workforce for the period 2010-2030. The attained results from both trend description and simulations of patterns show major shortages relative to the needs. The existence of these trends appeals for further cooperation in the areas of health care through emphasis on medical education and research. These outcomes appear to be...

Intergration in community relations: water shortage and social ...

African Journals Online (AJOL)

The topography of the environment; few boreholes/wells; lack of pipe-borne water; lack of maintenance of boreholes; increase in population; and lack of projection for the future constitute reasons responsible for water shortage. On the other hand, disrupting queue; giving preference to friends to fetch water at the expense of ...

40 CFR 205.171-2 - Test exhaust system sample selection and preparation.

Science.gov (United States)

2010-07-01

... Systems § 205.171-2 Test exhaust system sample selection and preparation. (a)(1) Exhaust systems... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Test exhaust system sample selection and preparation. 205.171-2 Section 205.171-2 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...

Assessment of the direct cyclotron production of (99m)Tc: An approach to crisis management of (99m)Tc shortage.

Science.gov (United States)

Rovais, Mohammad Reza Aboudzadeh; Aardaneh, Khosro; Aslani, Gholamreza; Rahiminejad, Ali; Yousefi, Kamran; Boulouri, Fatemeh

2016-06-01

Nowadays, the cyclotron production of technetium-99m ((99m)Tc) has been increased, due to the worldwide (99m)Tc generator shortage. In the present work, an improved strategy for the production of (99m)Tc, using the proton irradiation of the enriched (100)Mo was developed. The performance of this method in terms of the production yield, chemical purity, radiochemical purity, as well as radionuclide purity was evaluated. The average production yield was measured to be 356MBqμA(-1)h(-1). A good agreement was found between the calculated production yield and the experimental one. The radiochemical separation and total recovery yields of (99m)Tc were 92% and 69%, respectively. The radiochemical and the radionuclide purities of the (99m)Tc were 99% and >99.99% at the end of purification, respectively. The results of quality control tests (QC) support the concept that cyclotron-produced (99m)Tc is suitable for preparation of USP-compliant. Copyright © 2016 Elsevier Ltd. All rights reserved.

Delaware Technical & Community College's response to the critical shortage of Delaware secondary science teachers

Science.gov (United States)

Campbell, Nancy S.

This executive position paper examines the critical shortage of Delaware high school science teachers and Delaware Technical & Community College's possible role in addressing this shortage. A concise analysis of economic and political implications of the science teacher shortage is presented. The following topics were researched and evaluated: the specific science teacher needs for Delaware school districts; the science teacher education program offerings at Delaware universities and colleges; the Alternative Route to Teacher Certification (ARTC); and the state of Delaware's scholarship response to the need. Recommendations for Delaware Tech's role include the development and implementation of two new Associate of Arts of Teaching programs in physics secondary science education and chemistry secondary science education.

Water shortage risk assessment considering large-scale regional transfers: a copula-based uncertainty case study in Lunan, China.

Science.gov (United States)

Gao, Xueping; Liu, Yinzhu; Sun, Bowen

2018-06-05

The risk of water shortage caused by uncertainties, such as frequent drought, varied precipitation, multiple water resources, and different water demands, brings new challenges to the water transfer projects. Uncertainties exist for transferring water and local surface water; therefore, the relationship between them should be thoroughly studied to prevent water shortage. For more effective water management, an uncertainty-based water shortage risk assessment model (UWSRAM) is developed to study the combined effect of multiple water resources and analyze the shortage degree under uncertainty. The UWSRAM combines copula-based Monte Carlo stochastic simulation and the chance-constrained programming-stochastic multiobjective optimization model, using the Lunan water-receiving area in China as an example. Statistical copula functions are employed to estimate the joint probability of available transferring water and local surface water and sampling from the multivariate probability distribution, which are used as inputs for the optimization model. The approach reveals the distribution of water shortage and is able to emphasize the importance of improving and updating transferring water and local surface water management, and examine their combined influence on water shortage risk assessment. The possible available water and shortages can be calculated applying the UWSRAM, also with the corresponding allocation measures under different water availability levels and violating probabilities. The UWSRAM is valuable for mastering the overall multi-water resource and water shortage degree, adapting to the uncertainty surrounding water resources, establishing effective water resource planning policies for managers and achieving sustainable development.

Are word-of-mouth communications contributing to a shortage of nephrology nurses?

Science.gov (United States)

Wolfe, William A

2014-01-01

Nephrology nurse shortages have historically been viewed as a subset of the overall nursing supply in the United States. Not-here-to-fore considered as a contributing factor are the effects of word-of-mouth and Internet-based word-of-mouth communications from nurses who have had disappointing work experiences in hemodialysis clinics. This article discusses the potential effects of word-of-mouse communications and posits that negative word-of-mouse communications may discourage new and experienced nurses from considering the specialty of nephrology nursing, thus contributing to a nephrology nursing shortage.

7 CFR 3431.5 - Solicitation of veterinarian shortage situations.

Science.gov (United States)

2010-01-01

... Secretary reserves the right to solicit veterinarian shortage situations every year or every three years, as... of nominations that may be submitted by each State animal health official. (e) Nominations... the position is not secured. (f) Nominating Official. The State animal health official in each state...

The Nursing Shortage Impact on Job Outcome (The Case in Sri Lanka

Directory of Open Access Journals (Sweden)

Kumari Shammika Senani Mudihanselage Hellerawa

2015-09-01

Full Text Available The nursing shortage is a common problem throughout the world. Nurses form the largest proportion of the healthcare system and play a significant role in providing direct patient care. Considering the importance of the role of nurses in the healthcare system, it is important to investigate how nursing shortage effects the quality of patient care, nurses’ job satisfaction and their work stress. A study was conducted to investigate the correlation between these at the Polonnaruwa District General Hospital in Sri Lanka with a random sample of nurses working in the hospital and using a self-administered questionnaire. This study uses an explanatory research design. The statistical analysis confirmed a positive relationship between nurse shortage and workload. It also shows a significant positive relationship between workload and the quality of patient care. Furthermore, a negative relationship was observed between workload and the quality of patient care. In addition, this study calculates the mean effect of emotional intelligence of these factors, and a significant correlation is found between emotional intelligence and workload as well as work stress. There is a firm evidence that in Sri Lanka, nursing shortage influences the workload of the employee, finally affecting the quality of patient care. In addition, the study recognized the capability of nurses to manage their emotions as well as emotions of others, which has increased their tolerance to control psychological stress in performing their duty. This study confirms that nurse’s emotional intelligence act as a partial oderating variable for job outcomes of nurses.

Towards risk-based drought management in the Netherlands: quantifying the welfare effects of water shortage

Science.gov (United States)

van der Vat, Marnix; Femke, Schasfoort; Rhee Gigi, Van; Manfred, Wienhoven; Nico, Polman; Joost, Delsman; den Hoek Paul, Van; Maat Judith, Ter; Marjolein, Mens

2016-04-01

It is widely acknowledged that drought management should move from a crisis to a risk-based approach. A risk-based approach to managing water resources requires a sound drought risk analysis, quantifying the probability and impacts of water shortage due to droughts. Impacts of droughts are for example crop yield losses, hydropower production losses, and water shortage for municipal and industrial use. Many studies analyse the balance between supply and demand, but there is little experience in translating this into economic metrics that can be used in a decision-making process on investments to reduce drought risk. We will present a drought risk analysis method for the Netherlands, with a focus on the underlying economic method to quantify the welfare effects of water shortage for different water users. Both the risk-based approach as well as the economic valuation of water shortage for various water users was explored in a study for the Dutch Government. First, an historic analysis of the effects of droughts on revenues and prices in agriculture as well as on shipping and nature was carried out. Second, a drought risk analysis method was developed that combines drought hazard and drought impact analysis in a probabilistic way for various sectors. This consists of a stepwise approach, from water availability through water shortage to economic impact, for a range of drought events with a certain return period. Finally, a local case study was conducted to test the applicability of the drought risk analysis method. Through the study, experience was gained into integrating hydrological and economic analyses, which is a prerequisite for drought risk analysis. Results indicate that the risk analysis method is promising and applicable for various sectors. However, it was also found that quantification of economic impacts from droughts is time-consuming, because location- and sector-specific data is needed, which is not always readily available. Furthermore, for some

Recent food shortage is associated with leprosy disease in Bangladesh: a case-control study.

Directory of Open Access Journals (Sweden)

Sabiena G Feenstra

Full Text Available BACKGROUND: Leprosy is remaining prevalent in the poorest areas of the world. Intensive control programmes with multidrug therapy (MDT reduced the number of registered cases in these areas, but transmission of Mycobacterium leprae continues in most endemic countries. Socio-economic circumstances are considered to be a major determinant, but uncertainty exists regarding the association between leprosy and poverty. We assessed the association between different socio-economic factors and the risk of acquiring clinical signs of leprosy. METHODS AND FINDINGS: We performed a case-control study in two leprosy endemic districts in northwest Bangladesh. Using interviews with structured questionnaires we compared the socio-economic circumstances of recently diagnosed leprosy patients with a control population from a random cluster sample in the same area. Logistic regression was used to compare cases and controls for their wealth score as calculated with an asset index and other socio-economic factors. The study included 90 patients and 199 controls. A recent period of food shortage and not poverty per se was identified as the only socio-economic factor significantly associated with clinical manifestation of leprosy disease (OR 1.79 (1.06-3.02; p = 0.030. A decreasing trend in leprosy prevalence with an increasing socio-economic status as measured with an asset index is apparent, but not statistically significant (test for a trend: OR 0.85 (0.71-1.02; p = 0.083. CONCLUSIONS: Recent food shortage is an important poverty related predictor for the clinical manifestation of leprosy disease. Food shortage is seasonal and poverty related in northwest Bangladesh. Targeted nutritional support for high risk groups should be included in leprosy control programmes in endemic areas to reduce risk of disease.

Energy shortages in Europe? strategic meetings on energy security

International Nuclear Information System (INIS)

Derdevet, M.

2005-01-01

On the RTE's initiative, the Economic and Social Council welcome the first 'Strategic Meetings on Energy Security' event on July 11, 2005. With its 'Energy Shortages in Europe?' subtitle, the convention was in line with the topical issue of oil price increases. Opening the convention, Hubert Bouchet, the vice-president of the Research and Technology Productive Activities section of the Economic and Social Council (CES) stated that with its 400 million citizens, Europe uses over 2 500 tWh of electricity a year, and that its demand for primary energy is growing, making it the largest importer of energy in the world and the top second user after the United States. The trend should continue at least until 2030. H Bouchet also stress that though the worlds is using increasing amounts of energy, over 1.5 billion people do not have access to modern energy sources. Therefore, there are huge needs. There were four round-tables introducing rich debates with the room. The first one was about the issue of the 'energy market: the end of overcapacity', and the second one, dedicated so secure supplies, was titled: 'An ill adapted regulatory framework and European context'. In the afternoon, exchanges covered 'Strategies to prepare the energy offer for new stakes' and 'Major strategies for France and Europe'. (author)

A New Way for Incorporating GCM Information into Water Shortage Projections

Directory of Open Access Journals (Sweden)

Seung Beom Seo

2015-05-01

Full Text Available Climate change information is essential for water resources management planning, and the majority of research available uses the global circulation model (GCM data to project future water balance. Despite the fact that the results of various GCMs are still heterogeneous, it is common to utilize GCM values directly in climate change impact assessment models. To mitigate these limitations, this study provides an alternative methodology, which uses GCM-based data to assign weights on historical scenarios rather than to directly input their values into the assessment models, thereby reducing the uncertainty involved in the direct use of GCMs. Therefore, the real innovation of this study is placed on the use of a new probability weighting scheme with multiple GCMs rather than on the direct input of GCM-driven data. Applied to make future projections of the water shortage in the Han River basin of Korea, the proposed methodology produced conservative but realistic projection results (15% increase compared to the existing methodologies, which projected a dramatic increase (144% in water shortage over 10 years. As a result, it was anticipated that the amount of water shortages in the Han River basin would gradually increase in the next 90 years, including a 57% increase in the 2080s.

Policy Measures to Alleviate Foreign Currency Liquidity Shortages under Aggregate Risk with Moral Hazard

OpenAIRE

Hiroshi Fujiki

2010-01-01

During the recent global financial crisis, some central banks introduced two innovative cross-border operations to deal with the problems of foreign currency liquidity shortages: domestic liquidity operations using cross-border collaterals and operations for supplying foreign currency based on standing swap lines among central banks. We show theoretically that central banks improve the efficiency of equilibrium under foreign currency liquidity shortages by those two innovative temporary polic...

Medical Supplies Shortages and Burnout among Greek Health Care Workers during Economic Crisis: a Pilot Study

Science.gov (United States)

Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K.; Dounias, George; Hadjichristodoulou, Christos

2014-01-01

Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country. PMID:24688306

Minding the gap: World Bank's assistance to power shortage mitigation in the developing world

Energy Technology Data Exchange (ETDEWEB)

Heffner, G.; Maurer, L.; Sarkar, A.; Wang, X. [The World Bank, 1818 H Street, NW, Washington DC 20433 (United States)

2010-04-15

This paper describes the World Bank's technical assistance and lending efforts in support of developing countries facing power shortages. The paper reviews the World Bank's experience in helping governments to mitigate power shortages in Africa, South Asia, East Asia, and Latin America regions. The paper stresses the need to consider each power ''crunch'' on an individual basis, and describes the process used in diagnosing a shortage situation and prescribing mitigation strategies. Several brief case studies are presented, including Botswana, Brazil, Uganda, and South Africa. The political and customer-centric dimensions of power shortage mitigation are briefly described, with suggestions for minimizing the socio-economic impacts of power shortages on the urban and rural poors. The paper concludes that an integrated supply-demand portfolio approach works best, and within the portfolio a mix of market-based rationing, emergency mobilization of customer-owned generation, interruptible rates, load control, and energy efficient lighting should be sought. Although the best formulation will vary according to market structure, demand composition, and nature of the crisis, World Bank practitioners have found one program that works almost everywhere to produce fast and effective results - mass market Compact Fluorescent Lamp (CFL) replacement programs. (author)

What is the impact of commercial test preparation courses on medical examination performance?

Science.gov (United States)

McGaghie, William C; Downing, Steven M; Kubilius, Ramune

2004-01-01

Commercial test preparation courses are part of the fabric of U.S. medical education. They are also big business with 2,000 sales for 1 firm listed at nearly $250 million. This article systematically reviews and evaluates research published in peer-reviewed journals and in the "grey literature" that addresses the impact of commercial test preparation courses on standardized, undergraduate medical examinations. Thirteen computerized English language databases were searched using 29 search terms and search concepts from their onset to October 1, 2002. Also manually searched was medical education conference proceedings and publications after the end date; and medical education journal editors were contacted about articles accepted for publication, but not yet in print, that were deemed pertinent to this review. Studies that met three criteria were selected: (a) a commercial test preparation course or service was an educational intervention, (b) the outcome variable was one of several standardized medical examinations, and (c) results are published in a peer-reviewed journal or another outlet that insures scholarly scrutiny. The criteria were applied and data extracted by consensus of 2 reviewers. The search identified 11 empirical studies, of which 10 (8 journal articles, 2 unpublished reports) are included in this review. Qualitative data synthesis and tabular presentation of research methods and outcomes are used. The articles and unpublished reports reveal that current research lacks control and rigor; the incremental validity of the commercial courses on medical examination performance, if any, is extremely small; and evidence in support of the courses is weak or nonexistent; almost no details are given about the form and conduct of the commercial test preparation courses; studies are confined to courses in preparation for the Medical College Admission Test, the former National Board of Medical Examiners Part 1, and the United States Medical Licensing Examination

To favor survival under food shortage, the brain disables costly memory.

Science.gov (United States)

Plaçais, Pierre-Yves; Preat, Thomas

2013-01-25

The brain regulates energy homeostasis in the organism. Under resource shortage, the brain takes priority over peripheral organs for energy supply. But can the brain also down-regulate its own consumption to favor survival? We show that the brain of Drosophila specifically disables the costly formation of aversive long-term memory (LTM) upon starvation, a physiological state required for appetitive LTM formation. At the neural circuit level, the slow oscillations normally triggered in two pairs of dopaminergic neurons to enable aversive LTM formation were abolished in starved flies. Transient artificial activation of these neurons during training restored LTM formation in starved flies but at the price of a reduced survival. LTM formation is thus subject to adaptive plasticity that helps survival under food shortage.

Potential Ways to Address Shortage Situations of 99Mo/99mTc.

Science.gov (United States)

Filzen, Leah M; Ellingson, Lacey R; Paulsen, Andrew M; Hung, Joseph C

2017-03-01

99m Tc, the most common radioisotope used in nuclear medicine, is produced in a nuclear reactor from the decay of 99 Mo. There are only a few aging nuclear reactors around the world that produce 99 Mo, and one of the major contributors, the National Research Universal (Canada), ceased production on October 31, 2016. The National Research Universal produced approximately 40% of the world's 99 Mo supply, so with its shut down, shortages of 99 Mo/ 99m Tc are expected. Methods: Nuclear pharmacies and nuclear medicine departments throughout the United States were contacted and asked to provide their strategies for coping with a shortage of 99 Mo/ 99m Tc. Each of these strategies was evaluated on the basis of its effectiveness for conserving 99m Tc while still meeting the needs of the patients. Results: From the responses, the following 6 categories of strategies, in order of importance, were compiled: contractual agreements with commercial nuclear pharmacies, alternative imaging protocols, changes in imaging schedules, software use, generator management, and reduction of ordered doses or elimination of backup doses. Conclusion: The supply chain of 99 Mo/ 99m Tc is quite fragile; therefore, being aware of the most appropriate coping strategies is crucial. It is essential to build a strong collaboration between the nuclear pharmacy and nuclear medicine department during a shortage situation. With both nuclear medicine departments and nuclear pharmacies implementing viable strategies, such as the ones proposed, the amount of 99m Tc available during a shortage situation can be maximized. © 2017 by the Society of Nuclear Medicine and Molecular Imaging.

Concise Approach for Determining the Optimal Annual Capacity Shortage Percentage using Techno-Economic Feasibility Parameters of PV Power System

Science.gov (United States)

Alghoul, M. A.; Ali, Amer; Kannanaikal, F. V.; Amin, N.; Sopian, K.

2017-11-01

PV power systems have been commercially available and widely used for decades. The performance of a reliable PV system that fulfils the expectations requires correct input data and careful design. Inaccurate input data of the techno-economic feasibility would affect the size, cost aspects, stability and performance of PV power system on the long run. The annual capacity shortage is one of the main input data that should be selected with careful attention. The aim of this study is to reveal the effect of different annual capacity shortages on the techno-economic feasibility parameters and determining the optimal value for Baghdad city location using HOMER simulation tool. Six values of annual capacity shortage percentages (0%, 1%, 2%, 3%, 4%, and 5%), and wide daily load profile range (10 kWh - 100 kWh) are implemented. The optimal annual capacity shortage is the value that always "wins" when each techno-economic feasibility parameter is at its optimal/ reasonable criteria. The results showed that the optimal annual capacity shortage that reduces significantly the cost of PV power system while keeping the PV system with reasonable technical feasibility is 3%. This capacity shortage value can be carried as a reference value in future works for Baghdad city location. Using this approach of analysis at other locations, annual capacity shortage can be always offered as a reference value for those locations.

Shortage of Mathematics Teachers in Thai Basic Education Level

Science.gov (United States)

Puncreobutr, Vichian; Rattanatumma, Tawachai

2016-01-01

The objective of this study was to identify the reasons for shortage of Mathematics teachers at Thai Basic Education level. This research is both quantitative and qualitative in nature. For the purpose of study, survey was conducted with senior high school students, in order to find out their willingness to pursue mathematics in Bachelor of…

Renewable energy strategies to overcome power shortage in Kurdistan Region of Iraq

Directory of Open Access Journals (Sweden)

Al-Din Salar Salah Muhy

2017-01-01

Full Text Available The aim of this paper is to investigate the possibility of applying renewable energy strategies in Kurdistan Region of Iraq to overcome the shortage of electricity supply. Finding alternative renewable sources could overcome the problem. The renewable energy will reduce CO2 emission in the cities which considers the main source of pollution. That will participate in reducing the effect of global warming. The study tries to investigate the direct solar renewable energy through two of the main renewable energy categories to produce electricity based on a survey of literature review. Photovoltaic and wind power technologies are possible to be conducted in the region to overcome power shortage.

[Shortage of physicians in anaesthesiology and intensive care medicine - Causes, consequences and solutions].

Science.gov (United States)

Papenfuß, Tim; Roch, Carmen

2012-05-01

74% of all hospitals had vacant positions in 2011, also departments of anaesthesiology and intensive care medicine. More than 50% of these departments work with locums. There are couple of reasons for the shortage of physicians. The consequences in anaesthesiology and intensive care medicine can result in qualitative and financial loss. To solve the shortage of physicians one has to solve the reasons. Main reasons are increasing feminization of medical profession and part-time-work, work-life-balance and a poor specialised education. © Georg Thieme Verlag Stuttgart · New York.

Preparation and testing of plant seed meal-based wood adhesives.

Science.gov (United States)

He, Zhongqi; Chapital, Dorselyn C

2015-03-05

Recently, the interest in plant seed meal-based products as wood adhesives has steadily increased, as these plant raw materials are considered renewable and environment-friendly. These natural products may serve as alternatives to petroleum-based adhesives to ease environmental and sustainability concerns. This work demonstrates the preparation and testing of the plant seed-based wood adhesives using cottonseed and soy meal as raw materials. In addition to untreated meals, water washed meals and protein isolates are prepared and tested. Adhesive slurries are prepared by mixing a freeze-dried meal product with deionized water (3:25 w/w) for 2 hr. Each adhesive preparation is applied to one end of 2 wood veneer strips using a brush. The tacky adhesive coated areas of the wood veneer strips are lapped and glued by hot-pressing. Adhesive strength is reported as the shear strength of the bonded wood specimen at break. Water resistance of the adhesives is measured by the change in shear strength of the bonded wood specimens at break after water soaking. This protocol allows one to assess plant seed-based agricultural products as suitable candidates for substitution of synthetic-based wood adhesives. Adjustments to the adhesive formulation with or without additives and bonding conditions could optimize their adhesive properties for various practical applications.

Enterprise Policies for Tackling the Digital Skills Shortage

Directory of Open Access Journals (Sweden)

Daniela BORISOV

2013-06-01

Full Text Available Nowadays as results of the turbulent crisis, economies are confronted with the effects of the financial crisis, consequently many European states members are faced with strategic challenges in decisions about personnel development. Some of industries have faced shortages in the digital skill attainment of the currently employed personnel, or short supply of IT-related personnel due to the inadequacy of new entrants on the labor market. These problems are encountered in several traditional industries affected too rapidly by the technological advance. Along to these aspects, there are other difficulties for employers and employees as well, such as structural changes in job offering in various sectors or disparity in the employees; age categories – because of high unemployment rates in youth for instance. These are complemented by fewer job opportunities for young individuals (eventually, graduates for the tertiary sector of formal education that fit according to their specializations or even new type of skills’ demand – much oriented on the digitalization. The paper intends to presents some empirical aspects raised from the statistical evidence useful to point out critical aspects in the domestic and eventually, European approach to entreprice policy, in developing proper curricula to empower the academic institutions to provide knowledge, to foster skills for current enrolled students. On short term already, the future workforce needs to be prepared for the digitalization of the professional activity, regardless the specific domain of work and, in this view; companies should be in the position to manage this potential crisis of the labour market.

Impact of Antibiotic Shortage on H. Pylori Treatment: A Step-Wise Approach for Pharmacist Management

Directory of Open Access Journals (Sweden)

Ann Lloyd, Pharm.D., BCPS

2013-01-01

Full Text Available The current drug shortage crisis involving multiple oral antibiotics has significantly impacted preferred therapeutic options for treatment of H.pylori infection. Pharmacists may help alleviate the impact of this shortage through a proposed step-wise approach which includes proper inventory management, verification of indication, evaluation of regimen, therapeutic monitoring, and communication with patients and providers regarding alternative therapy or symptomatic relief.

Preparation of refractory cermet structures for lithium compatibility testing

Science.gov (United States)

Heestand, R. L.; Jones, R. A.; Wright, T. R.; Kizer, D. E.

1973-01-01

High-purity nitride and carbide cermets were synthesized for compatability testing in liquid lithium. A process was developed for the preparation of high-purity hafnium nitride powder, which was subsequently blended with tungsten powder or tantalum nitride and tungsten powders and fabricated into 3 in diameter billets by uniaxial hot pressing. Specimens were then cut from the billets for compatability testing. Similar processing techniques were applied to produce hafnium carbide and zirconium carbide cermets for use in the testing program. All billets produced were characterized with respect to chemistry, structure, density, and strength properties.

Analysing monthly sectorial water use and its influence on salt intrusion induced water shortage in urbanized deltas

NARCIS (Netherlands)

Yao, Mingtian; Yan, Dan; Kabat, Pavel; Huang, Heqing; Hutjes, Ronald W.A.; Werners, Saskia E.

2016-01-01

Urbanizing delta regions face seasonal water shortages induced by rising salt intrusion. Decreasing river discharge is readily listed as the major cause of water shortage events. Yet, observations of river discharge often fail to support this attribution. Evidence of the association between

Is The Water Shortage Crisis Really One of the Most Dangerous?

Science.gov (United States)

Narayanan, M.

2010-12-01

Author of the 1998 book, Last Oasis: Facing Water Scarcity, Dr. Sandra Postel predicts big water availability problems as populations of so-called “water-stressed” countries jump perhaps six fold over the next 30 years. The author has reported on this in his previous AGU presentations. In the next four decades, more than half of the world’s population will have to deal with sever water shortages. The United States has been blessed with several large fresh water lakes. In spite of having this fresh water supply, some states like Arizona could be facing sever fresh water shortages in the next couple of decades. Sid Wilson, general manager of the Central Arizona Project has indicated "It's not a question of if there is a water shortage anymore. It is in reality, when there will be a water shortage. " Several states share water from the Colorado river. The river has limited water supply to cater to the needs of Arizona, Nevada, California, Colorado, New Mexico, Utah and Wyoming. World Health Organization, NASA, Department of the Interior, NOAA and several organizations have observed that there is a real water shortage crisis. This is because the world’s population has tripled in the twentieth century. This has resulted in a six-fold increase of water usage. Fresh water supply is limited. This is because water cannot be replaced with an alternative. It is important to observe that petroleum can be replaced with alternative fuel resources. It is necessary to recognize that fact that irrigation necessitates almost 65% to 70% of water withdrawal. Industry may utilize about 20% and domestic consumption is about 10% Evaporation from reservoirs is also a major factor, depending upon the climate and environment. Therefore there is an urgent need for all the countries to establish a strong, sound, sensible and sustainable management program for utilizing the available water supplies efficiently (Narayanan, 2008). References: Narayanan, Mysore. (2008). Hydrology, Water

Dealing with labor shortages in long-term care: a marketing problem.

Science.gov (United States)

Moore, S T

1990-01-01

A recent analysis of data from the Bureau of Labor statistics raise serious implications for the long-term care industry. The human resource problems faced by managers in long-term care will escalate into a fullblown crisis by the end of this century. This will result from a decrease in the number of young workers available to work in unskilled and semiskilled occupations. The effect of this shortage will be exaggerated by an expansion of other sectors of the service industry. Long-term care facilities will be forced to compete with the fast food and retail industry as well as other sectors of the health industry for scarce workers. This article briefly examines the causes, consequences of this problem and suggests several strategies to mitigate the effect of the coming labor shortage.

Inventory Model for Deteriorating Items Involving Fuzzy with Shortages and Exponential Demand

Directory of Open Access Journals (Sweden)

Sharmila Vijai Stanly

2015-11-01

Full Text Available This paper considers the fuzzy inventory model for deteriorating items for power demand under fully backlogged conditions. We define various factors which are affecting the inventory cost by using the shortage costs. An intention of this paper is to study the inventory modelling through fuzzy environment. Inventory parameters, such as holding cost, shortage cost, purchasing cost and deterioration cost are assumed to be the trapezoidal fuzzy numbers. In addition, an efficient algorithm is developed to determine the optimal policy, and the computational effort and time are small for the proposed algorithm. It is simple to implement, and our approach is illustrated through some numerical examples to demonstrate the application and the performance of the proposed methodology.

Impact of Antibiotic Shortage on H. Pylori Treatment: A Step-Wise Approach for Pharmacist Management

Directory of Open Access Journals (Sweden)

Michelle M. Lamb

2013-01-01

Full Text Available The current drug shortage crisis involving multiple oral antibiotics has significantly impacted preferred therapeutic options for treatment of H.pylori infection. Pharmacists may help alleviate the impact of this shortage through a proposed step-wise approach which includes proper inventory management, verification of indication, evaluation of regimen, therapeutic monitoring, and communication with patients and providers regarding alternative therapy or symptomatic relief.   Type: Original Research

Acquisition and preparation of specimens of rock for large-scale testing

International Nuclear Information System (INIS)

Watkins, D.J.

1981-01-01

The techniques used for acquisition and preparation of large specimens of rock for laboratory testing depend upon the location of the specimen, the type of rock and the equipment available at the sampling site. Examples are presented to illustrate sampling and preparation techniques used for two large cylindrical samples of granitic material, one pervasively fractured and one containing a single fracture

41 CFR 101-26.307 - Processing overages, shortages, and damages.

Science.gov (United States)

2010-07-01

... United States, when other than GSA or DOD pays the transportation charges. (b) Reporting discrepancies or..., shortages, and damages. (a) Transportation-type discrepancies shall be processed in accordance with the instructions in subpart 101-40.7 when the discrepancies are the fault of the carrier and occur while the...

Preparation and Integration of ALHAT Precision Landing Technology for Morpheus Flight Testing

Science.gov (United States)

Carson, John M., III; Robertson, Edward A.; Pierrottet, Diego F.; Roback, Vincent E.; Trawny, Nikolas; Devolites, Jennifer L.; Hart, Jeremy J.; Estes, Jay N.; Gaddis, Gregory S.

2014-01-01

The Autonomous precision Landing and Hazard Avoidance Technology (ALHAT) project has developed a suite of prototype sensors for enabling autonomous and safe precision land- ing of robotic or crewed vehicles on solid solar bodies under varying terrain lighting condi- tions. The sensors include a Lidar-based Hazard Detection System (HDS), a multipurpose Navigation Doppler Lidar (NDL), and a long-range Laser Altimeter (LAlt). Preparation for terrestrial ight testing of ALHAT onboard the Morpheus free- ying, rocket-propelled ight test vehicle has been in progress since 2012, with ight tests over a lunar-like ter- rain eld occurring in Spring 2014. Signi cant work e orts within both the ALHAT and Morpheus projects has been required in the preparation of the sensors, vehicle, and test facilities for interfacing, integrating and verifying overall system performance to ensure readiness for ight testing. The ALHAT sensors have undergone numerous stand-alone sensor tests, simulations, and calibrations, along with integrated-system tests in special- ized gantries, trucks, helicopters and xed-wing aircraft. A lunar-like terrain environment was constructed for ALHAT system testing during Morpheus ights, and vibration and thermal testing of the ALHAT sensors was performed based on Morpheus ights prior to ALHAT integration. High- delity simulations were implemented to gain insight into integrated ALHAT sensors and Morpheus GN&C system performance, and command and telemetry interfacing and functional testing was conducted once the ALHAT sensors and electronics were integrated onto Morpheus. This paper captures some of the details and lessons learned in the planning, preparation and integration of the individual ALHAT sen- sors, the vehicle, and the test environment that led up to the joint ight tests.

Approaches to tenofovir and abacavir drug shortages in South Africa: A guide for clinicians

Directory of Open Access Journals (Sweden)

Laurie Schowalter

2012-06-01

Full Text Available Shortages of the nucleoside reverse transcriptase inhibitors (NRTI abacavir and tenofovir have been reported recently at health facilities across South Africa. The Society issued the following clinical advice to healthcare providers experiencing shortages on 29 March 2012. These recommendations are intended only as a guide to clinical therapy, based on expert consensus and best available evidence. Treatment decisions for patients should be made by their responsible clinicians, with due consideration for individual circumstances. S Afr J HIV Med 2012;13(2:56-57.

Directing students to profound open-book test preparation : The relationship between deep learning and open-book test time

NARCIS (Netherlands)

Heijne-Penninga, M.; Kuks, J.B.; Hofman, W.H.; Cohen-Schotanus, J.

2011-01-01

Background: Considering the growing amount of medical knowledge and the focus of medical education on acquiring competences, using open-book tests seems inevitable. A possible disadvantage of these tests is that students underestimate test preparation. Aims: We examined whether students who used a

Addressing Canada's Commercialization Crisis and Shortage of Venture Capital: Will the Federal Government’s Solution Work?

Directory of Open Access Journals (Sweden)

Stephen A. Hurwitz

2013-09-01

Full Text Available Lack of funding is a major challenge to innovation in Canada’s emerging technology industry. This article will focus on this supply-side challenge within the complex venture capital ecosystem and discuss: i the current shortage of venture capital available to commercialize Canada’s R&D; ii the causes and consequences of that venture capital shortage; iii how the federal government will address this shortage through its innovative 2013 Venture Capital Action Plan, which commits $400 million and seeks to raise at least another $800 million from outside investors; and iv how a separate decision in the federal 2013 budget to phase out federal tax credits for labour-sponsored venture capital funds could imperil the 2013 Venture Capital Action Plan.

Preparing Secondary Stem Teachers for High-Need Schools: Challenges of an Urban Residency Program

Science.gov (United States)

Garza, Rubén; Duchaine, Ellen L.; Reynosa, Raymond

2013-01-01

Teaching residency programs that blend coursework with clinical experiences have emerged nationwide to prepare aspiring teachers for the demanding reality of teaching in high-need urban schools. The Teaching Residency Program for Critical Shortage Areas was created to help urban school districts with the challenge of recruiting and retaining…

United States Registered Nurse Workforce Report Card and Shortage Forecast: A Revisit.

Science.gov (United States)

Zhang, Xiaoming; Tai, Daniel; Pforsich, Hugh; Lin, Vernon W

This is a reevaluation of registered nurse (RN) supply and demand from 2016 to 2030 using a previously published work forecast model and grading methodology with more recent workforce data. There will be a shortage of 154 018 RNs by 2020 and 510 394 RNs by 2030; the South and West regions will have higher shortage ratios than Northeast and Midwest regions. This reflects a nearly 50% overall improvement when compared with the authors' prior study, and the low-performing states have improved from 18 "D" and 12 "F" grades as published earlier to 13 "D" and 1 "F" in this study. Although progress has been made, efforts to foster the pipelines for improving the nursing workforce need to be continued.

40 CFR 86.152-98 - Vehicle preparation; refueling test.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Vehicle preparation; refueling test... PROGRAMS (CONTINUED) CONTROL OF EMISSIONS FROM NEW AND IN-USE HIGHWAY VEHICLES AND ENGINES Emission Regulations for 1977 and Later Model Year New Light-Duty Vehicles and New Light-Duty Trucks and New Otto-Cycle...

The Impact of Water Shortages on Educational Delivery in Selected ...

African Journals Online (AJOL)

The goal of the study was to investigate the impact of water shortages on educational delivery in selected schools in Harare East District. The population included school heads, teachers and pupils all drawn from selected schools of Harare East District. The sample consisted of five school heads, fifty teachers and one ...

Addressing a Yellow Fever Vaccine Shortage - United States, 2016-2017.

Science.gov (United States)

Gershman, Mark D; Angelo, Kristina M; Ritchey, Julian; Greenberg, David P; Muhammad, Riyadh D; Brunette, Gary; Cetron, Martin S; Sotir, Mark J

2017-05-05

Recent manufacturing problems resulted in a shortage of the only U.S.-licensed yellow fever vaccine. This shortage is expected to lead to a complete depletion of yellow fever vaccine available for the immunization of U.S. travelers by mid-2017. CDC, the Food and Drug Administration (FDA), and Sanofi Pasteur are collaborating to ensure a continuous yellow fever vaccine supply in the United States. As part of this collaboration, Sanofi Pasteur submitted an expanded access investigational new drug (eIND) application to FDA in September 2016 to allow for the importation and use of an alternative yellow fever vaccine manufactured by Sanofi Pasteur France, with safety and efficacy comparable to the U.S.-licensed vaccine; the eIND was accepted by FDA in October 2016. The implementation of this eIND protocol included developing a systematic process for selecting a limited number of clinic sites to provide the vaccine. CDC and Sanofi Pasteur will continue to communicate with the public and other stakeholders, and CDC will provide a list of locations that will be administering the replacement vaccine at a later date.

The Relationship between Test Preparation and State Test Performance: Evidence from the Measure of Effective Teaching (MET) Project

Science.gov (United States)

Li, Hongli; Xiong, Yao

2018-01-01

The passage of the NCLB Act enhanced accountability policies in the United States, and standardized testing became prevalent as a policy tool to ensure accountability in K-12 education. Given the high stakes of state administered accountability tests, more school teachers have adopted test-preparation strategies to ensure satisfactory student…

The Effect of Labor Supply Shortages on Asymmetric Cost Behavior

DEFF Research Database (Denmark)

Hoffmann, Kira

facing restrictions in labor supply increase costs (and resources) less than companies operating with sufficient access to additional personnel. This leads to a more symmetrical cost behavior for increasing activity compared to decreasing activity. Additional analyses show that shortages in labor supply......, such as prior period slack creation or pessimistic managerial expectations with respect to future demand....

Development of the high-level waste high-temperature melter feed preparation flowsheet for vitrification process testing

International Nuclear Information System (INIS)

Seymour, R.G.

1995-01-01

High-level waste (HLW) feed preparation flowsheet development was initiated in fiscal year (FY) 1994 to evaluate alternative flowsheets for preparing melter feed for high-temperature melter (HTM) vitrification testing. Three flowsheets were proposed that might lead to increased processing capacity relative to the Hanford Waste Vitrification Plant (HWVP) and that were flexible enough to use with other HLW melter technologies. This document describes the decision path that led to the selection of flowsheets to be tested in the FY 1994 small-scale HTM tests. Feed preparation flowsheet development for the HLW HTM was based on the feed preparation flowsheet that was developed for the HWVP. This approach allowed the HLW program to build upon the extensive feed preparation flowsheet database developed under the HWVP Project. Primary adjustments to the HWVP flowsheet were to the acid adjustment and glass component additions. Developmental background regarding the individual features of the HLW feed preparation flowsheets is provided. Applicability of the HWVP flowsheet features to the new HLW vitrification mission is discussed. The proposed flowsheets were tested at the laboratory-scale at Pacific Northwest Laboratory. Based on the results of this testing and previously established criteria, a reductant-based flowsheet using glycolic acid and a nitric acid-based flowsheet were selected for the FY 1994 small-scale HTM testing

Systemic Measures and Legislative and Organizational Frameworks Aimed at Preventing or Mitigating Drug Shortages in 28 European and Western Asian Countries

Science.gov (United States)

Bochenek, Tomasz; Abilova, Vafa; Alkan, Ali; Asanin, Bogdan; de Miguel Beriain, Iñigo; Besovic, Zeljka; Vella Bonanno, Patricia; Bucsics, Anna; Davidescu, Michal; De Weerdt, Elfi; Duborija-Kovacevic, Natasa; Fürst, Jurij; Gaga, Mina; Gailīte, Elma; Gulbinovič, Jolanta; Gürpınar, Emre U.; Hankó, Balázs; Hargaden, Vincent; Hotvedt, Tor A.; Hoxha, Iris; Huys, Isabelle; Inotai, Andras; Jakupi, Arianit; Jenzer, Helena; Joppi, Roberta; Laius, Ott; Lenormand, Marie-Camille; Makridaki, Despina; Malaj, Admir; Margus, Kertu; Marković-Peković, Vanda; Miljković, Nenad; de Miranda, João L.; Primožič, Stanislav; Rajinac, Dragana; Schwartz, David G.; Šebesta, Robin; Simoens, Steven; Slaby, Juraj; Sović-Brkičić, Ljiljana; Tesar, Tomas; Tzimis, Leonidas; Warmińska, Ewa; Godman, Brian

2018-01-01

Drug shortages have been identified as a public health problem in an increasing number of countries. This can negatively impact on the quality and efficiency of patient care, as well as contribute to increases in the cost of treatment and the workload of health care providers. Shortages also raise ethical and political issues. The scientific evidence on drug shortages is still scarce, but many lessons can be drawn from cross-country analyses. The objective of this study was to characterize, compare, and evaluate the current systemic measures and legislative and organizational frameworks aimed at preventing or mitigating drug shortages within health care systems across a range of European and Western Asian countries. The study design was retrospective, cross-sectional, descriptive, and observational. Information was gathered through a survey distributed among senior personnel from ministries of health, state medicines agencies, local health authorities, other health or pharmaceutical pricing and reimbursement authorities, health insurance companies and academic institutions, with knowledge of the pharmaceutical markets in the 28 countries studied. Our study found that formal definitions of drug shortages currently exist in only a few countries. The characteristics of drug shortages, including their assortment, duration, frequency, and dynamics, were found to be variable and sometimes difficult to assess. Numerous information hubs were identified. Providing public access to information on drug shortages to the maximum possible extent is a prerequisite for performing more advanced studies on the problem and identifying solutions. Imposing public service obligations, providing the formal possibility to prescribe unlicensed medicines, and temporary bans on parallel exports are widespread measures. A positive finding of our study was the identification of numerous bottom-up initiatives and organizational frameworks aimed at preventing or mitigating drug shortages. The

Immediate and longer term impact of the varicella shortage on children 18 and 24 months of age in a community population

Directory of Open Access Journals (Sweden)

Zimmerman Rick

2006-08-01

Full Text Available Abstract Background Little is known about the impact of the recent varicella vaccine shortage. To assess the temporal trend in varicella vaccine administration before 18 and 24 months of age in a community cohort of children prior to, during and after the recent varicella vaccine shortage. And to compare the temporal trends in varicella vaccinations to trends of an older, more widely accepted vaccine, the MMR. Methods Community population-based birth cohorts were identified who were eligible for the varicella vaccination before, during and after the 2001 to 2002 varicella vaccine shortage. Only children (84% of all who remained in the community through their second birthday were included. For each child in the cohort, the medical records and immunization registry records from both medical facilities in the county were reviewed to identify the dates and sites for all varicella immunizations given. In addition to varicella immunizations, the dates of all MMR vaccinations were recorded. Additional data abstracted included the child's birth date, gender and dates of any recognized cases of chickenpox up through age 24 months. Results Of the 2,512 children in the birth cohorts, 50.8% were boys. In the three cohorts combined, 81.1% of the boys and 79.3% of the girls (p = 0.30 received the varicella vaccine by age 24 months. The pre-shortage community rate of varicella immunization was 79.7% by 24 months of age. During the varicella vaccine shortage, the rate of varicella immunization by 24 months fell to 77.2%. Only 6 additional children received a "catch-up" immunization by 36 months of age. In the post shortage period the community 24-month immunization rate rebounded to a level higher than the pre-shortage rate 84.0%. During the almost three years of observation, the MMR immunization rate by age 24 months was constant (87%. Conclusion The varicella shortage was associated with an immediate drop in the 24-month varicella immunizations rate but

Organ donor shortage in the Netherlands; Definition of the potential donor pool and the role of family refusal

NARCIS (Netherlands)

Frazer-Jansen, N.E.

2012-01-01

The shortage of post-mortem organ donors in the Netherlands is a prominent problem for patients on the waiting list for organ transplantation. As long as there is a shortage of suitable organs for transplantation, the need to identify bottlenecks in the organ donation process is crucial to further

Inflow shortages in deregulated power markets - Reasons for concern?

International Nuclear Information System (INIS)

Bye, Torstein; Bruvoll, Annegrete; Aune, Finn Roar

2008-01-01

In many countries hydropower constitutes a large share of the electricity producing capacity. In the earlier regulated electricity markets, production capacities exceeded demand due to security of supply concerns. The present deregulated markets base investments upon profitability alone, and security of supply issues are claimed to be less important. Market operators trust the pricing mechanism in competitive markets to clear. Then low inflow constitutes a less problem. Several markets, both under regulated and deregulated regimes, have faced serious droughts. Some of them have experienced problems with market clearance (Chile, Brazil, California) while other markets functioned well (The Nordic market). Important features to the market response are the flexibility of demand, the pattern of inflow shortage, the storage capacities, the possibility of trade between regions with different production technologies, and the market design and concentration. We apply an empirical based market model to simulate the effects under two inflow shortage scenarios in an international market with combined hydro and thermal capacities and restricted transmission capacities. We compare the scenarios with actual events and show that the model and the real market outcome are comparable. The simulations do not reveal any problems with the functioning of the market, which should calm down the anxiousness about security of supply in deregulated markets with stochastic energy supply

Inflow shortages in deregulated power markets - Reasons for concern?

Energy Technology Data Exchange (ETDEWEB)

Bye, Torstein; Bruvoll, Annegrete; Aune, Finn Roar [Research Department, Statistics Norway, P.O. Box 8131 Dep., 0033 Oslo (Norway)

2008-07-15

In many countries hydropower constitutes a large share of the electricity producing capacity. In the earlier regulated electricity markets, production capacities exceeded demand due to security of supply concerns. The present deregulated markets base investments upon profitability alone, and security of supply issues are claimed to be less important. Market operators trust the pricing mechanism in competitive markets to clear. Then low inflow constitutes a less problem. Several markets, both under regulated and deregulated regimes, have faced serious droughts. Some of them have experienced problems with market clearance (Chile, Brazil, California) while other markets functioned well (The Nordic market). Important features to the market response are the flexibility of demand, the pattern of inflow shortage, the storage capacities, the possibility of trade between regions with different production technologies, and the market design and concentration. We apply an empirical based market model to simulate the effects under two inflow shortage scenarios in an international market with combined hydro and thermal capacities and restricted transmission capacities. We compare the scenarios with actual events and show that the model and the real market outcome are comparable. The simulations do not reveal any problems with the functioning of the market, which should calm down the anxiousness about security of supply in deregulated markets with stochastic energy supply. (author)

Hydroxyisohexyl 3-cyclohexene carboxaldehyde (lyral) in patch test preparations under varied storage conditions.

Science.gov (United States)

Hamann, Dathan; Hamann, Carsten R; Zimerson, Erik; Bruze, Magnus

2013-01-01

The common practice of preparing patch tests in advance has recently been called into question by researchers. It has been established that fragrance compounds are volatile and their testing efficacy may be affected by storage conditions and preparation. Allergens in fragrance mix I rapidly decrease in concentration after preapplication to test chambers. This study aimed to investigate the volatility of hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) in petrolatum when stored in test chambers and to explore the correlation between vapor pressure and allergen loss in petrolatum during preparation and storage. Standardized HICC in petrolatum was prepared and stored in IQ Chambers and Finn Chambers with covers at 5°C, 25°C, and 35°C, and concentration was analyzed at intervals for up to 9 days using gel permeation chromatography. Changes in HICC concentrations were not statistically significant at 8 hours at 5°C, 25°C, and 35°C. After 9 days, HICC concentrations were found to fall approximately 30% when stored at 35°C, 10% at 25°C, and less than 5% at 5°C. There was no significant difference between IQ and Finn chambers. Hydroxyisohexyl 3-cyclohexene carboxaldehyde concentrations are more stable in petrolatum than many other studied fragrance allergens, but HICC is still at risk for decreasing concentration when exposed to ambient air or heat for prolonged periods.

Preparations for deuterium tritium experiments on the Tokamak Fusion Test Reactor

International Nuclear Information System (INIS)

Hawryluk, R.J.; Adler, H.; Alling, P.; Ancher, C.; Anderson, H.; Anderson, J.W.; Arunasalam, V.; Ascione, G.; Ashcroft, D.; Barnes, G.

1994-04-01

The final hardware modifications for tritium operation have been completed for the Tokamak Fusion Test Reactor (TFTR). These activities include preparation of the tritium gas handling system, installation of additional neutron shielding, conversion of the toroidal field coil cooling system from water to a Fluorinet trademark system, modification of the vacuum system to handle tritium, preparation and testing of the neutral beam system for tritium operation and a final deuterium-deuterium (D-D) run to simulate expected deuterium-tritium (D-T) operation. Testing of the tritium system with low concentration tritium has successfully begun. Simulation of trace and high power D-T experiments using D-D have been performed. The physics objectives of D-T operation are production of ∼ 10 megawatts (MW) of fusion power, evaluation of confinement and heating in deuterium-tritium plasmas, evaluation of α-particle heating of electrons, and collective effects driven by alpha particles and testing of diagnostics for confined α-particles. Experimental results and theoretical modeling in support of the D-T experiments are reviewed

Preparations for deuterium--tritium experiments on the Tokamak Fusion Test Reactor*

International Nuclear Information System (INIS)

Hawryluk, R.J.; Adler, H.; Alling, P.; Ancher, C.; Anderson, H.; Anderson, J.L.; Anderson, J.W.; Arunasalam, V.; Ascione, G.; Aschroft, D.; Barnes, C.W.; Barnes, G.; Batchelor, D.B.; Bateman, G.; Batha, S.; Baylor, L.A.; Beer, M.; Bell, M.G.; Biglow, T.S.; Bitter, M.; Blanchard, W.; Bonoli, P.; Bretz, N.L.; Brunkhorst, C.; Budny, R.; Burgess, T.; Bush, H.; Bush, C.E.; Camp, R.; Caorlin, M.; Carnevale, H.; Chang, Z.; Chen, L.; Cheng, C.Z.; Chrzanowski, J.; Collazo, I.; Collins, J.; Coward, G.; Cowley, S.; Cropper, M.; Darrow, D.S.; Daugert, R.; DeLooper, J.; Duong, H.; Dudek, L.; Durst, R.; Efthimion, P.C.; Ernst, D.; Faunce, J.; Fonck, R.J.; Fredd, E.; Fredrickson, E.; Fromm, N.; Fu, G.Y.; Furth, H.P.; Garzotto, V.; Gentile, C.; Gettelfinger, G.; Gilbert, J.; Gioia, J.; Goldfinger, R.C.; Golian, T.; Gorelenkov, N.; Gouge, M.J.; Grek, B.; Grisham, L.R.; Hammett, G.; Hanson, G.R.; Heidbrink, W.; Hermann, H.W.; Hill, K.W.; Hirshman, S.; Hoffman, D.J.; Hosea, J.; Hulse, R.A.; Hsuan, H.; Jaeger, E.F.; Janos, A.; Jassby, D.L.; Jobes, F.C.; Johnson, D.W.; Johnson, L.C.; Kamperschroer, J.; Kesner, J.; Kugel, H.; Kwon, S.; Labik, G.; Lam, N.T.; LaMarche, P.H.; Laughlin, M.J.; Lawson, E.; LeBlanc, B.; Leonard, M.; Levine, J.; Levinton, F.M.; Loesser, D.; Long, D.; Machuzak, J.; Mansfield, D.E.; Marchlik, M.; Marmar, E.S.; Marsala, R.; Martin, A.; Martin, G.; Mastrocola, V.; Mazzucato, E.; McCarthy, M.P.; Majeski, R.; Mauel, M.; McCormack, B.; McCune, D.C.; McGuire, K.M.; Meade, D.M.; Medley, S.S.; Mikkelsen, D.R.; Milora, S.L.; Monticello, D.; Mueller, D.; Murakami, M.; Murphy, J.A.; Nagy, A.; Navratil, G.A.; Nazikian, R.; Newman, R.; Nishitani, T.; Norris, M.; O'Connor, T.; Oldaker, M.; Ongena, J.; Osakabe, M.; Owens, D.K.; Park, H.; Park, W.; Paul, S.F.; Pavlov, Y.I.; Pearson, G.; Perkins, F.; Perry, E.; Persing, R.; Petrov, M.; Phillips, C.K.; Pitcher, S.; Popovichev, S.; Qualls, A.L.; Raftopoulos, S.; Ramakrishnan, R.; Ramsey, A.; Rasmussen, D.A.; Redi, M.H.

1994-01-01

The final hardware modifications for tritium operation have been completed for the Tokamak Fusion Test Reactor (TFTR) [Fusion Technol. 21, 1324 (1992)]. These activities include preparation of the tritium gas handling system, installation of additional neutron shielding, conversion of the toroidal field coil cooling system from water to a Fluorinert TM system, modification of the vacuum system to handle tritium, preparation, and testing of the neutral beam system for tritium operation and a final deuterium--deuterium (D--D) run to simulate expected deuterium--tritium (D--T) operation. Testing of the tritium system with low concentration tritium has successfully begun. Simulation of trace and high power D--T experiments using D--D have been performed. The physics objectives of D--T operation are production of ∼10 MW of fusion power, evaluation of confinement, and heating in deuterium--tritium plasmas, evaluation of α-particle heating of electrons, and collective effects driven by alpha particles and testing of diagnostics for confined α particles. Experimental results and theoretical modeling in support of the D--T experiments are reviewed

Supporting Students' Preparation for the Viva: Their Pre-Conceptions and Implications for Practice

Science.gov (United States)

Wellington, Jerry

2010-01-01

There has been relatively little research on the pre-conceptions of doctoral students about the final examination, the viva voce and hence there is a shortage of evidence to underpin activities designed to prepare them for this experience. The present paper, which is based upon data from a wide range of focus groups of pre-viva students, seeks to…

Y2K: prepare, don't panic.

Science.gov (United States)

Russo, R

1999-04-01

Y2K issues could affect anyone, so it is important for HIV-positive people to make preparations to ensure their health and security. There are wide-ranging opinions about the effects of the so-called Millennium Bug, but some planning will make any changes more manageable. Patients should have adequate supplies of food, water, and medications at home in case of shortages or production problems. Other prudent steps include keeping extra cash on hand and obtaining copies of medical records and benefit plans. Internet resources are listed.

Stakeholders' Perceptions on Shortage of Healthcare Workers in Primary Healthcare in Botswana: Focus Group Discussions.

Directory of Open Access Journals (Sweden)

Oathokwa Nkomazana

Full Text Available An adequate health workforce force is central to universal health coverage and positive public health outcomes. However many African countries have critical shortages of healthcare workers, which are worse in primary healthcare. The aim of this study was to explore the perceptions of healthcare workers, policy makers and the community on the shortage of healthcare workers in Botswana.Fifteen focus group discussions were conducted with three groups of policy makers, six groups of healthcare workers and six groups of community members in rural, urban and remote rural health districts of Botswana. All the participants were 18 years and older. Recruitment was purposive and the framework method was used to inductively analyse the data.There was a perceived shortage of healthcare workers in primary healthcare, which was believed to result from an increased need for health services, inequitable distribution of healthcare workers, migration and too few such workers being trained. Migration was mainly the result of unfavourable personal and family factors, weak and ineffective healthcare and human resources management, low salaries and inadequate incentives for rural and remote area service.Botswana has a perceived shortage of healthcare workers, which is worse in primary healthcare and rural areas, as a result of multiple complex factors. To address the scarcity the country should train adequate numbers of healthcare workers and distribute them equitably to sufficiently resourced healthcare facilities. They should be competently managed and adequately remunerated and the living conditions and rural infrastructure should also be improved.

42 CFR Appendix G to Part 5 - Criteria for Designation of Areas Having Shortages of Veterinary Professional(s)

Science.gov (United States)

2010-10-01

... of Veterinary Professional(s) G Appendix G to Part 5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT... Pt. 5, App. G Appendix G to Part 5—Criteria for Designation of Areas Having Shortages of Veterinary Professional(s) Part I—Geographic Areas A. Criteria for Food Animal Veterinary Shortage. A geographic area will...

Testing Dust Control Preparation with Respect to Mine Employee Exposure to Inhalling Chemical Agents

Directory of Open Access Journals (Sweden)

Eugeniusz Orszulik

2013-01-01

Full Text Available This paper presents the results of tests used in dust hazard prevention for air-water spraying devices in collieries. The purpose of the tests was to evaluate mine employees’ exposure to inhalling chemical agents when the ZWILKOP ZW-10 preparation is used. The paper presents the results of the measurements of concentration, in a mine atmosphere, of the following chemical agents: hazardous substances 2-(2-butoxyethoxyethanol and 2-ethylhexan-1-ol, constituting ingredients of the preparation at mine employees’ workstations. The tests were performed during work related to the mining of coal in inclined drift C31, seam 415/1-2 on the premises of “Borynia-Zofiówka-Jastrzębie” Hard Coal Mine, Jastrzębie-Zdrój, Poland, using the TELESTO mist systems. Using aqueous solutions for the preparation at concentrations of 15 and 20‰ causes no exceedance of the allowable mine air concentrations for the chemical agents tested.

Prepare Your Child For Reading Tests: Tips for Parents = Prepare a sus hijos para tomar pruebas de lectura: Ideas para padres.

Science.gov (United States)

Bachman, Tori Mello

Parents can help their children prepare for reading tests in a number of ways, not only just before the test, but also with everyday activities. There are generally two types of reading tests given to students: tests given by teachers throughout the year to see what information students have retained, and more formal, often standardized, tests…

Civil Society and Residents’ Coping Strategies with Water Shortages and Household Food Insecurity in Gweru, Zimbabwe

Directory of Open Access Journals (Sweden)

Winmore Kusena

2017-02-01

Full Text Available Domestic water shortages are distressing many urban areas in developing countries and require well planned and sustainable coping strategies in order to bequeath citizens decent lives. The objectives of this paper were to identify water related civil society groups present in Gweru; reveal devised coping strategies to combat water shortages and household food insecurity; and challenges faced by civil society and residents in obtaining sustainable coping strategies. A survey was conducted through interviews, questionnaires and observations as data collection instruments. The findings show that residents relied on borehole drilled in their respective areas by the municipality, Non-Governmental Organisations (NGOs and through individual initiatives. Although public boreholes were available, they were found at an average of only two in a given residential area, regardless of its population. Residents also collected water in containers during late hours of the night or early hours of the day. Gweru residents in addition devised strategies to cope with household food insecurity caused by water shortages and high monthly water bills. Combined with the aforementioned water shortage coping strategies, the stratagem by residents included coming up with payment plans, denying city personnel access into their premises for water disconnection; and self-reconnection in the event of disconnection. Community gardens initiated by Non-Governmental Organisations and food imports from neighbouring countries were some of the adaptive mechanisms dealing with household food insecurity. However, despite resolute efforts by civil society and residents to muddle through water supply and food security challenges, the city needs financial aid to enhance service provision that does not solely relying on residents. Financial injection and investment in sustainable alternative water sources for the city’s multiple uses will go a long way in solving the water shortages and

The strategic relevance of manufacturing technology: An overall quality concept to promote innovation preventing drug shortage.

Science.gov (United States)

Panzitta, Michele; Ponti, Mauro; Bruno, Giorgio; Cois, Giancarlo; D'Arpino, Alessandro; Minghetti, Paola; Mendicino, Francesca Romana; Perioli, Luana; Ricci, Maurizio

2017-01-10

Manufacturing is the bridge between research and patient: without product, there is no clinical outcome. Shortage has a variety of causes, in this paper we analyse only causes related to manufacturing technology and we use shortage as a paradigm highliting the relevance of Pharmaceutical Technology. Product and process complexity and capacity issues are the main challenge for the Pharmaceutical Industry Supply chain. Manufacturing Technology should be acknowledged as a R&D step and as a very important matter during University degree in Pharmacy and related disciplines, promoting collaboration between Academia and Industry, measured during HTA step and rewarded in terms of price and reimbursement. The above elements are not yet properly recognised, and manufacturing technology is taken in to consideration only when a shortage is in place. In a previous work, Panzitta et al. proposed to perform a full technology assessment at the Health Technological Assessment stage, evaluating three main technical aspects of a medicine: manufacturing process, physicochemical properties, and formulation characteristics. In this paper, we develop the concept of manufacturing appraisal, providing a technical overview of upcoming challenges, a risk based approach and an economic picture of shortage costs. We develop also an overall quality concept, not limited to GMP factors but broaden to all elements leading to a robust supply and promoting technical innovation. Copyright © 2016 Elsevier B.V. All rights reserved.

The Effects of Tutoring in Preparing Chinese Students for the Scholastic Aptitude Test

Science.gov (United States)

Chen, Li

2009-01-01

Scholastic Aptitude Test, called SAT, has an immense influence in Chinese education. Most Chinese students choose to attend tutoring programs outside of the school curriculum to help them prepare. This study explores the tutoring programs both in China and the United States to assess variables that affect the quality of their preparation.…

China's water shortage could shake world food security.

Science.gov (United States)

Brown, L R; Halweil, B

1998-01-01

This report indicates the global concern about China's water shortages and describes basin supplies, global availability of grain, and reasons for water losses. There is little precise data on how land productivity will be affected by declines in irrigation. Reports from the "China Daily" indicate that the 1995 grain harvest in Shandong province declined by 2.7 million tons (food for 9 million people) due to water failures of the Yellow River. A delegate at the 1998 National People's Congress pointed out that rural villages nationwide had shortages of 30 billion cu. m and losses of 20 million tons of grain production. About 70% of grain harvests rely on irrigation. Water demand for residential use and industrial use is likely to increase and compete with farm use. One unlikely option is to divert irrigation water to cities as needed and import grain. The entire agricultural, energy, and industrial economies need to be made more water efficient. Agriculture will need to produce more water efficient crops and livestock products and less water intensive energy supplies. Another alternative is to divert water from one location to another. Water pricing could reinforce efficiency of use. Use of composting toilets could reduce human residential water demand. Urban capacity building should rely on separate industrial and residential wastewater systems. Investing in technologies for industry can reduce water demand among paper and steel producers. The fastest growing grain market is in North Africa and the Middle East. Trends in principal grain exporting countries with 85% of global exports indicate no growth in grain production for export since 1980.

Forecasting the shortage of neurosurgeons in Iran using a system dynamics model approach.

Science.gov (United States)

Rafiei, Sima; Daneshvaran, Arman; Abdollahzade, Sina

2018-01-01

Shortage of physicians particularly in specialty levels is considered as an important issue in Iran health system. Thus, in an uncertain environment, long-term planning is required for health professionals as a basic priority on a national scale. This study aimed to estimate the number of required neurosurgeons using system dynamic modeling. System dynamic modeling was applied to predict the gap between stock and number of required neurosurgeons in Iran up to 2020. A supply and demand simulation model was constructed for neurosurgeons using system dynamic approach. The demand model included epidemiological, demographic, and utilization variables along with supply model-incorporated current stock of neurosurgeons and flow variables such as attrition, migration, and retirement rate. Data were obtained from various governmental databases and were analyzed by Vensim PLE Version 3.0 to address the flow of health professionals, clinical infrastructure, population demographics, and disease prevalence during the time. It was forecasted that shortage in number of neurosurgeons would disappear at 2020. The most dominant determinants on predicted number of neurosurgeons were the prevalence of neurosurgical diseases, the rate for service utilization, and medical capacity of the region. Shortage of neurosurgeons in some areas of the country relates to maldistribution of the specialists. Accordingly, there is a need to reconsider the allocation system for health professionals within the country instead of increasing the overall number of acceptance quota in training positions.

9 CFR 147.8 - Procedures for preparing egg yolk samples for diagnostic tests.

Science.gov (United States)

2010-01-01

... samples for diagnostic tests. 147.8 Section 147.8 Animals and Animal Products ANIMAL AND PLANT HEALTH... IMPROVEMENT PLAN Blood Testing Procedures § 147.8 Procedures for preparing egg yolk samples for diagnostic... for diagnostic testing. (b) The authorized laboratory must identify each egg as to the breeding flock...

Order Level Inventory Models for Deteriorating Seasonable/Fashionable Products with Time Dependent Demand and Shortages

Directory of Open Access Journals (Sweden)

K. Skouri

2009-01-01

Full Text Available An order level inventory model for seasonable/fashionable products subject to a period of increasing demand followed by a period of level demand and then by a period of decreasing demand rate (three branches ramp type demand rate is considered. The unsatisfied demand is partially backlogged with a time dependent backlogging rate. In addition, the product deteriorates with a time dependent, namely, Weibull, deterioration rate. The model is studied under the following different replenishment policies: (a starting with no shortages and (b starting with shortages. The optimal replenishment policy for the model is derived for both the above mentioned policies.

Lessons learned in preparing method 29 filters for compliance testing audits.

Science.gov (United States)

Martz, R F; McCartney, J E; Bursey, J T; Riley, C E

2000-01-01

Companies conducting compliance testing are required to analyze audit samples at the time they collect and analyze the stack samples if audit samples are available. Eastern Research Group (ERG) provides technical support to the EPA's Emission Measurements Center's Stationary Source Audit Program (SSAP) for developing, preparing, and distributing performance evaluation samples and audit materials. These audit samples are requested via the regulatory Agency and include spiked audit materials for EPA Method 29-Metals Emissions from Stationary Sources, as well as other methods. To provide appropriate audit materials to federal, state, tribal, and local governments, as well as agencies performing environmental activities and conducting emission compliance tests, ERG has recently performed testing of blank filter materials and preparation of spiked filters for EPA Method 29. For sampling stationary sources using an EPA Method 29 sampling train, the use of filters without organic binders containing less than 1.3 microg/in.2 of each of the metals to be measured is required. Risk Assessment testing imposes even stricter requirements for clean filter background levels. Three vendor sources of quartz fiber filters were evaluated for background contamination to ensure that audit samples would be prepared using filters with the lowest metal background levels. A procedure was developed to test new filters, and a cleaning procedure was evaluated to see if a greater level of cleanliness could be achieved using an acid rinse with new filters. Background levels for filters supplied by different vendors and within lots of filters from the same vendor showed a wide variation, confirmed through contact with several analytical laboratories that frequently perform EPA Method 29 analyses. It has been necessary to repeat more than one compliance test because of suspect metals background contamination levels. An acid cleaning step produced improvement in contamination level, but the

Recycle Waste Collection Tank (RWCT) simulant testing in the PVTD feed preparation system

International Nuclear Information System (INIS)

Abrigo, G.P.; Daume, J.T.; Halstead, S.D.; Myers, R.L.; Beckette, M.R.; Freeman, C.J.; Hatchell, B.K.

1996-03-01

(This is part of the radwaste vitrification program at Hanford.) RWCT was to routinely receive final canister decontamination sand blast frit and rinse water, Decontamination Waste Treatment Tank bottoms, and melter off-gas Submerged Bed Scrubber filter cake. In order to address the design needs of the RWCT system to meet performance levels, the PNL Vitrification Technology (PVTD) program used the Feed Preparation Test System (FPTS) to evaluate its equipment and performance for a simulant of RWCT slurry. (FPTS is an adaptation of the Defense Waste Processing Facility feed preparation system and represents the initially proposed Hanford Waste Vitrification Plant feed preparation system designed by Fluor-Daniel, Inc.) The following were determined: mixing performance, pump priming, pump performance, simulant flow characterization, evaporator and condenser performance, and ammonia dispersion. The RWCT test had two runs, one with and one without tank baffles

Standard practice for preparation and use of direct tension stress-corrosion test specimens

CERN Document Server

American Society for Testing and Materials. Philadelphia

1985-01-01

1.1 This practice covers procedures for designing, preparing, and using ASTM standard tension test specimens for investigating susceptibility to stress-corrosion cracking. Axially loaded specimens may be stressed quantitatively with equipment for application of either a constant load, constant strain, or with a continuously increasing strain. 1.2 Tension test specimens are adaptable for testing a wide variety of product forms as well as parts joined by welding, riveting, or various other methods. 1.3 The exposure of specimens in a corrosive environment is treated only briefly because other standards are being prepared to deal with this aspect. Meanwhile, the investigator is referred to Practices G35, G36, G37, and G44, and to ASTM Special Technical Publication 425 (1).

Shortage of donation despite an adequate number of donors : A professional attitude?

NARCIS (Netherlands)

Ploeg, RJ; Niesing, J; Sieber-Rasch, MH; Willems, L; Kranenburg, K

2003-01-01

Background A major problem in the field of transplantation is the persistent shortage of donor organs and tissues for transplantation. This study was initiated to (1) chart the donor potential for organs and tissue in The Netherlands and (2) to identify factors influencing whether donation is

Is there a 'pig cycle' in the labour supply of doctors? How training and immigration policies respond to physician shortages.

Science.gov (United States)

Chojnicki, Xavier; Moullan, Yasser

2018-03-01

Many OECD countries are faced with the considerable challenge of a physician shortage. This paper investigates the strategies that OECD governments adopt and determines whether these policies effectively address these medical shortages. Due to the amount of time medical training requires, it takes longer for an expansion in medical school capacity to have an effect than the recruitment of foreign-trained physicians. Using data obtained from the OECD (2014) and Bhargava et al. (2011), we constructed a unique country-level panel dataset that includes annual data for 17 OECD countries on physician shortages, the number of medical school graduates and immigration and emigration rates from 1991 to 2004. By calculating panel fixed-effect estimates, we find that after a period of medical shortages, OECD governments produce more medical graduates in the long run but in the short term, they primarily recruit from abroad; however, at the same time, certain practising physicians choose to emigrate. Simulation results show the limits of recruiting only abroad in the long term but also highlight its appropriateness for the short term when there is a recurrent cycle of shortages/surpluses in the labour supply of physicians (pig cycle theory). Copyright © 2018 Elsevier Ltd. All rights reserved.

On the electricity shortage, price and electricity theft nexus

International Nuclear Information System (INIS)

Jamil, Faisal

2013-01-01

Pakistan is facing severe electricity shortfall of its history since 2006. Several measures have been implemented in order to mitigate electricity shortage. The focus has been on raising the installed capacity of electricity generation and transmission. The present policy results in expensive thermal electricity generation mostly using expensive and environmentally hazardous furnace oil and inability of utilities to recover their cost of supply although there is unprecedented rise in electricity tariffs. This study concentrates on the electricity demand and traces the relationship between electricity shortfalls, tariff rate and electricity theft in the background of recent electricity crisis using the data for the period 1985–2010. We employed the Granger causality test through error correction model and out-of-sample causality through variance decomposition method. Empirical evidence shows that electricity theft greatly influences electricity shortfalls through lowering investment and inefficient use of electricity. The study concludes that electricity crisis cannot be handled without combating rampant electricity theft in the country. - Highlights: ► The study investigates relationship among electricity outages, price and electricity theft. ► It employed Johansen approach, ECM and variance decomposition analysis. ► Empirical evidence shows that electricity theft causes outages and rising tariff rates. ► Variance decomposition analysis results are slightly different from ECM

Credit financing for deteriorating imperfect quality items with allowable shortages

Directory of Open Access Journals (Sweden)

Aditi Khanna

2016-01-01

Full Text Available The outset of new technologies, systems and applications in manufacturing sector has no doubt lighten up our workload, yet the chance causes of variation in production system cannot be eliminated completely. Every produced/ordered lot may have some fraction of defectives which may vary from process to process. In addition the situation is more susceptible when the items are deteriorating in nature. However, the defective items can be secluded from the good quality lot through a careful inspection process. Thus, a screening process is obligatory in today’s technology driven industry which has the customer satisfaction as its only motto. Moreover, in order to survive in the current global markets, credit financing has been proven a very influential promotional tool to attract new customers and a good inducement policy for the retailers. Keeping this scenario in mind, the present paper investigates an inventory model for a retailer dealing with imperfect quality deteriorating items under permissible delay in payments. Shortages are allowed and fully backlogged. This model jointly optimizes the order quantity and shortages by maximizing the expected total profit. A mathematical model is developed to depict this scenario. Results have been validated with the help of numerical example. Comprehensive sensitivity analysis has also been presented.

[Application of the xenogenic acellular dermal matrix membrane application used in the postoperative tissue shortage repair].

Science.gov (United States)

Bai, Yanxia; Yan, Liying; Zhang, Shaoqiang; Shao, Yuan; Yao, Xiaobao; Li, Honghui; Zhao, Ruimin; Zhao, Qian; Zhang, Pengfei; Yang, Qi

2014-09-01

To observe the short-term and long-term curative effect of the xenogenic acellular dermal matrix membrane (or joint muscle flap transfer) application used in the 82 cases postoperative tissue shortage repair that after the head neck carcinoma resection. To held the 82 cases head neck carcinoma postoperative mucosa shortage repaired after resection by the xenogenic acellular dermal matrix membrane (or joint muscle flap transfer), 65 cases mucosa shortage wound be directly covered by the repair membrane and the other 17 cases mucosa shortage wound be repaired by the tranfered muscle tissue flap with the repair membrane covered; 53 cases underwent additional postoperative radiotherapy between 2-4 weeks and follow-up in 1, 3, 6, 12, 18, 24, 30, 36, 48, 60 months and observed the operation site repair process through the electronic laryngoscope, observed the patients respiration, swallow, phonation function. Seventy-seven cases patients operation incision reached I phase healing standard, another 5 cases patients operation incision reached II phase healing standard because of the wound infection and fully-recovered through the local wound drainage,dressing process. All the patients tracheal cannula,the stomach tube be extubated successfully and without the local cicatricial constriction occurred. Seventy-eight cases follow up period reached 1 year including 53 cases who underwent postoperative radiotherapy, 49 cases follow up period reached 3 years including 32 cases who underwent postoperative radiotherapy, 14 cases follow up period reached 5 years including 12 cases who underwent postoperative radiotherapy. The patients with static local lesions discovered no reaction such as exclusion, allergy. The application of xenogenic acellular dermal matrix membrane (or joint muscle flap transfer used in in the postoperative tissue shortage repair that after the head neck carcinoma resection have several advantage such as comparatively easily implementation, operation safety

Investigating the Relationship between Test Preparation and "TOEFL iBT"® Performance. Research Report. ETS RR-14-15

Science.gov (United States)

Liu, Ou Lydia

2014-01-01

This study investigates the relationship between test preparation and test performance on the "TOEFL iBT"® exam. Information on background variables and test preparation strategies was gathered from 14,593 respondents in China through an online survey. A Chinese standardized English test was used as a control for prior English ability.…

Influence of Specimen Preparation and Test Methods on the Flexural Strength Results of Monolithic Zirconia Materials.

Science.gov (United States)

Schatz, Christine; Strickstrock, Monika; Roos, Malgorzata; Edelhoff, Daniel; Eichberger, Marlis; Zylla, Isabella-Maria; Stawarczyk, Bogna

2016-03-09

The aim of this work was to evaluate the influence of specimen preparation and test method on the flexural strength results of monolithic zirconia. Different monolithic zirconia materials (Ceramill Zolid (Amann Girrbach, Koblach, Austria), Zenostar ZrTranslucent (Wieland Dental, Pforzheim, Germany), and DD Bio zx² (Dental Direkt, Spenge, Germany)) were tested with three different methods: 3-point, 4-point, and biaxial flexural strength. Additionally, different specimen preparation methods were applied: either dry polishing before sintering or wet polishing after sintering. Each subgroup included 40 specimens. The surface roughness was assessed using scanning electron microscopy (SEM) and a profilometer whereas monoclinic phase transformation was investigated with X-ray diffraction. The data were analyzed using a three-way Analysis of Variance (ANOVA) with respect to the three factors: zirconia, specimen preparation, and test method. One-way ANOVA was conducted for the test method and zirconia factors within the combination of two other factors. A 2-parameter Weibull distribution assumption was applied to analyze the reliability under different testing conditions. In general, values measured using the 4-point test method presented the lowest flexural strength values. The flexural strength findings can be grouped in the following order: 4-point strength values than prepared before sintering. The Weibull moduli ranged from 5.1 to 16.5. Specimens polished before sintering showed higher surface roughness values than specimens polished after sintering. In contrast, no strong impact of the polishing procedures on the monoclinic surface layer was observed. No impact of zirconia material on flexural strength was found. The test method and the preparation method significantly influenced the flexural strength values.

Analytical support for the preparation of bundle test QUENCH-10 on air ingress

International Nuclear Information System (INIS)

Birchley, J.; Haste, T.; Homann, C.; Hering, W.

2005-07-01

Bundle test QUENCH-10 is dedicated to study air ingress with subsequent water quench during a supposed accident in a spent fuel storage tank. It was proposed by AEKI, Budapest, Hungary and was performed on 21 July 2004 in the QUENCH facility at Forschungszentrum Karlsruhe. Preparation of the test is based on common analytical work at Forschungszentrum Karlsruhe and Paul Scherrer Institut, Villigen, Switzerland, mainly with the severe accident codes SCDAP/RELAP5 and MELCOR, to derive the protocol for the essential test phases, namely pre-oxidation, air ingress and quench phase. For issues that could not be tackled by this computational work, suggestions for the test conduct were made and applied during the test. Improvements of the experimental set-up and the test conduct were suggested and largely applied. In SCDAP/RELAP5, an error was found: for thick oxide scales, the output value of the oxide scale is sensibly underestimated. For the aims of the test preparation, its consequences could be taken into account. Together with the related computational and other analytical support by the engaged institutions the test is co-financed as test QUENCH-L1 by the European Community under the Euratom Fifth Framework Programme on Nuclear Fission Safety 1998 - 2002 (LACOMERA Project, contract No. FIR1-CT2002-40158). (orig.)

Effects of a power shortage in the Tokyo metropolitan area on awareness of nuclear power generation and power savings behavior

International Nuclear Information System (INIS)

Kitada, Atsuko

2004-01-01

The shutdown of a number of nuclear power stations of the Tokyo Electric Power Company in the summer of 2003 caused a power shortage problem in the Tokyo Metropolitan area. To examine the effects of the power shortage, in September 2003 a survey was conducted in the service areas of the Kansai Electric Power Company (Kansai region) and the Tokyo Electric Power Company (Kanto region). This survey was part of a wider opinion survey begun in 1993 concerning nuclear power generation. The results of the September 2003 survey are as follows: The degree of recognition of the power shortage problem in the Metropolitan area was high, with 40% of respondents in the Kansai region and nearly 70% in the Kanto region understanding that the shortage was caused by the shutdown of several nuclear power station. The overall awareness of nuclear power generation was little affected in both the Kansai and Kanto regions, though the sense of a shortage of the generating capacity had been raised slightly. Once respondents knew about the power shortage problem, they estimated the likelihood of an occurrence of large-scale service interruption to be low, nearly at an even chance, and they had been only slightly worried about it, essentially viewing the problem optimistically. In the Kanto region, where public relations activities for power savings had been actively pursued, the frequency of experiencing exposure to such public relations activities was remarkably higher than in the Kansai region. The relation between exposure to public relations activities for power savings and power savings behavior was analyzed using quantification method II. Analysis results suggest that public relations activities for power savings in the Kanto region had the effect of urging power savings behavior. However, the difference in the rate of putting power savings behavior into practice was small between the Kanto and Kansai regions, indicating that public relation activities for power savings in the Kanto

Shortage of uranium already in the 1980's: expand Ranstad at once

Energy Technology Data Exchange (ETDEWEB)

Berg, G

1975-11-14

The extraction of uranium at Ranstad must be increased and the construction of thermal nuclear power stations limited until enough breeder reactors are available. A shortage of uranium is expected for the 1980's. Deposits of uranium ore in various countries are tabulated and their yields and cost of extraction stated.

University versus Practice: A Pilot Study to Identify Skills Shortages That Exist in First-Year Trainee Accountants in South Africa

Science.gov (United States)

van Romburgh, Henriëtte; van der Merwe, Nico

2015-01-01

This study aims to determine the skills shortages in first-year trainee accountants entering practice in South Africa and to recommend ways to address and overcome those shortages. Questionnaires were administered to registered audit firms in Gauteng Province to gather the perceptions of senior trainees, managers and partners on the skills…

Is There a Shortage of Obstetrician-Gynecologists?

Science.gov (United States)

Stonehocker, Jody; Muruthi, Joyce; Rayburn, William F

2017-03-01

Projections of supply and demand for obstetricians-gynecologists suggest a current minimal or modest shortage that will worsen in the future. The US adult female population is expected to increase by more than 20% by 2045 and represents a key driver for increased demand for health care services. The annual number of obstetrician-gynecologists (ob-gyn) residency graduates has increased negligibly, whereas the proportion accepted into fellowships increased steadily, reducing those in general practice. The gradual increase in proportion of ob-gyns who are women coincides with desires for more work-life balance and earlier retirement from clinical practice. As the supply of advanced practice providers of women's health services grows, the need for more ob-gyns could be less to meet the projected demand. Copyright © 2016 Elsevier Inc. All rights reserved.

Development of resistance welding process. 4. Preparation of pressuring enclosed creep test specimen of 7A material

International Nuclear Information System (INIS)

Endo, Hideo; Seki, Masayuki; Ishibashi, Fujio; Hirako, Kazuhito; Tsukada, Tatsuya

2001-02-01

Mechanical strength in the position welded by resistance welding system was examined in 1999. The test specimens were destroyed in the welding position in a shorter time than expected in the creep test. Therefore, test specimens were prepared to evaluate the cause of destruction. Inner-pressure enclosed creep test specimens were prepared by resistance welding method. Cladding material with low deviation of thickness and high re-crystallization rate was used. Heat treatment after resistance welding was performed to remove the influence of residual stress and the precipitation of carbides. (1) Before preparation of specimens, the welding condition was fixed. Three test specimens were prepared. Two specimens without heat treatment were transported to MMS in Oarai Engineering Center on Aug. 4, 2000. One specimen with heat treatment was transported to MMS after evaluating the residual stress to get optimum heat treatment condition. (2) Specimens were prepared with welding end plugs to both ends of ferritic ODS cladding. Enclosing sides were welded with highly strong Ferritic/Martensitic steel end plugs. The other sides were welded with ferritic ODS end plugs. (3) Some kinds of electrical wave data were obtained during performing welding. Welding position was evaluated with supersonic detector after performing welding. (4) Mechanical strength of welding position in high temperature 800degC was confirmed to be equal to or larger than that of cladding material. The highly qualified specimens in the present were successfully prepared. (author)

Estimating Demand for and Supply of Pediatric Preventive Dental Care for Children and Identifying Dental Care Shortage Areas, Georgia, 2015.

Science.gov (United States)

Cao, Shanshan; Gentili, Monica; Griffin, Paul M; Griffin, Susan O; Harati, Pravara; Johnson, Ben; Serban, Nicoleta; Tomar, Scott

Demand for dental care is expected to outpace supply through 2025. The objectives of this study were to determine the extent of pediatric dental care shortages in Georgia and to develop a general method for estimation that can be applied to other states. We estimated supply and demand for pediatric preventive dental care for the 159 counties in Georgia in 2015. We compared pediatric preventive dental care shortage areas (where demand exceeded twice the supply) designated by our methods with dental health professional shortage areas designated by the Health Resources & Services Administration. We estimated caries risk from a multivariate analysis of National Health and Nutrition Examination Survey data and national census data. We estimated county-level demand based on the time needed to perform preventive dental care services and the proportion of time that dentists spend on pediatric preventive dental care services from the Medical Expenditure Panel Survey. Pediatric preventive dental care supply exceeded demand in Georgia in 75 counties: the average annual county-level pediatric preventive dental care demand was 16 866 hours, and the supply was 32 969 hours. We identified 41 counties as pediatric dental care shortage areas, 14 of which had not been designated by the Health Resources & Services Administration. Age- and service-specific information on dental care shortage areas could result in more efficient provider staffing and geographic targeting.

The insurance of bulk oil cargoes and adjustment of shortage claims

International Nuclear Information System (INIS)

Tavendale, R.

1993-01-01

Shortage claims discussed in this article include those due to a definite disaster such as a fire, those due to cargo contamination and storage, and those identified in documentation as occurring between loading and unloading. The principal types of cover are examined, and the distinction between gross and net quantities, claim documentation, the petroleum measurement tables, and guaranteed out turn cover are described in detail. (UK)

Preparation, Conduct and Evaluation of Exercises to Test Preparedness for a Nuclear or Radiological Emergency - Training Materials

International Nuclear Information System (INIS)

2010-01-01

Emergency response exercises are a key component of a good program of preparation in emergencies. They can provide a unique insight on the State of preparation of emergency response organizations. They can also be the basis for continuous improvement programs of the infrastructure of response in emergencies. However, to be more useful, the exercises in emergency response need to be well organized, professionally conducted and its assessment should focus on the potential for constructive improvement. The course of the IAEA on preparedness, conduction and evaluation exercises to test the preparation before a nuclear emergency or radiation designed for people and organizations that want to increase their ability to carry out effective and significant emergency exercises. The objectives of this course are: To familiarize participants with concepts, terminology, process of preparation, conduction and evaluation of the exercise to test the preparation before a nuclear emergency or radiation; Provide participants with knowledge practical and the ability to organize, lead and evaluate an exercise to test the preparation for a nuclear emergency or radiation in their own countries; Submit an exercise response model in emergency prepared by the IAEA; and give participants the skill to adapt the proposal of model exercise and organize and lead this exercise model right in your own country. [es

The PZC-based Tc-99m generator preparation and its performance test

International Nuclear Information System (INIS)

Liu Yishu

2007-01-01

This paper described the preparation of Tc-99m generator prepared with Japan distributing Mo adsorbent PZC and irradiated nature MoO 3 and its performance test. Four Tc-99m generators were prepared with different batches of PZC and reactor irradiated nature MoO 3 . The adsorption capacity of PZC to Mo is approximately 200mgMo/gPZC. The adsorption efficiency of three batches PZC is good (>90%) and that of one batch of PZC is not good enough (∼83%). The loss of fine powder (The PZC is fragile) is quite different with the different preparation process of PZC. The elution efficiency is 80-90% and has the up trend with the elution date. The Mo breakthrough can be controlled to acceptable level by connecting HZO safe column containing 1.0g HZO. All the specifications of eluted from PZC-based Tc-99m generator can meet the requirements under Sodium Pertechnetate injection in China Pharmacopoeia. (author)

Optimal Intermittent Operation of Water Distribution Networks under Water Shortage

Directory of Open Access Journals (Sweden)

mohamad Solgi

2017-07-01

Full Text Available Under water shortage conditions, it is necessary to exercise water consumption management practices in water distribution networks (WDN. Intermittent supply of water is one such practice that makes it possible to supply consumption nodal demands with the required pressure via water cutoff to some consumers during certain hours of the day. One of the most important issues that must be observed in this management practice is the equitable and uniform water distribution among the consumers. In the present study, uniformity in water distribution and minimum supply of water to all consumers are defined as justice and equity, respectively. Also, an optimization model has been developed to find an optimal intermittent supply schedule that ensures maximum number of demand nodes are supplied with water while the constraints on the operation of water distribution networks are also observed. To show the efficiency of the proposed model, it has been used in the Two-Loop distribution network under several different scenarios of water shortage. The optimization model has been solved using the honey bee mating optimization algorithm (HBMO linked to the hydraulic simulator EPANET. The results obtained confirm the efficiency of the proposed model in achieving an optimal intermittent supply schedule. Moreover, the model is found capable of distributing the available water in an equitable and just manner among all the consumers even under severe water shoratges.

Forecasting the shortage of neurosurgeons in Iran using a system dynamics model approach

Directory of Open Access Journals (Sweden)

Sima Rafiei

2018-01-01

Conclusions: Shortage of neurosurgeons in some areas of the country relates to maldistribution of the specialists. Accordingly, there is a need to reconsider the allocation system for health professionals within the country instead of increasing the overall number of acceptance quota in training positions.

A strategy to address the nursing faculty shortage.

Science.gov (United States)

Ganley, Barbara J; Sheets, Ingrid

2009-07-01

This article describes one university's experience in creating a master's geriatric clinical nurse specialist-nurse educator program to address the nursing faculty shortage and the need for geriatric clinical nurse specialists. The successes and challenges are outlined, and curricular ideas that may be beneficial to other nursing programs also are presented. This program has enhanced the university's pool of clinical instructors, increased its ability to provide services to older adults, and allowed faculty to instruct and focus undergraduates in the distinctions of geriatric nursing care. The biggest challenges faced were marketing and recruitment of nurses; these challenges were addressed, and possible solutions are offered. The most immediate benefit of this program was the generation of geriatric clinical nurse specialists.

Motivational indicators of protective behaviour in response to urban water shortage threat

Science.gov (United States)

Mankad, Aditi; Greenhill, Murni; Tucker, David; Tapsuwan, Sorada

2013-05-01

The present study examined the role of protection motivation variables in predicting rainwater tank adoption among urban householders. A regression analysis found that subjective knowledge, threat appraisal, response efficacy, response costs, subjective norms and social norms significantly predicted adaptive behavioural intentions (F(6, 399) = 50.769, p accounted for 43% of the variance in intentions to install a rainwater tank as a protective measure against future water shortages. Results further indicated that several variables uniquely contributed to the prediction of rainwater tank adoption (listed in order of relative contribution: response efficacy, threat appraisal, response costs, subjective knowledge and subjective norms). This suggests that people who perceive there is a real water shortage threat, and believe that rainwater tanks are effective in relieving the threat and require minimal or manageable effort to obtain, are more likely to install a tank on their property as a protective measure. Implications of these results are discussed from a research and policy perspective. Recommendations for future motivational research in the area of urban decentralised system acceptance and adoption are presented.

The nursing shortage: part way down the slippery slope.

Science.gov (United States)

Cowin, Leanne; Jacobsson, Denise

2003-07-01

The shortage of nurses has reached a crisis point for health care services. A number of issues including the effects of economic rationalism, generational differences, working conditions and nurse education are revisited in a discussion that aims to refuel the debate on workplace reform for nurses. Economic rationalism has altered the healthcare service landscape. Attempts to balance service delivery with workforce resources have led to possibly unforeseen changes. Highly skilled nurses are required in acute services, however resource allocation may prevent this. The nursing workforce is aging although the current nursing workforce consists of three generations: baby boomers, generation X and generation Y. There are significant ideological and work organisational differences between these generations leading to possible conflict between nurses. The pool of available nurses to fill employment vacancies is finite. Attracting overseas nurses to fill nurse vacancies will leave vacancies elsewhere and is not a long-term solution to the nursing shortage. Moreover, if the workplace has not addressed the reasons why nurses have left the health care workplace then there is a real danger of losing those recently attracted back into the workplace. Working conditions are a critical element within the retention puzzle. Job satisfaction dimensions such as autonomy and professional relationships are key components for improving working conditions. The final issue explored is the question of whether the tertiary education system is the most appropriate place in which to develop and educate nurses. It is suggested that workplace reforms should be the target of retention strategies rather than changes in the educational process of nursing.

A production inventory model with deteriorating items and shortages

Directory of Open Access Journals (Sweden)

Samanta G.P.

2004-01-01

Full Text Available A continuous production control inventory model for deteriorating items with shortages is developed. A number of structural properties of the inventory system are studied analytically. The formulae for the optimal average system cost, stock level, backlog level and production cycle time are derived when the deterioration rate is very small. Numerical examples are taken to illustrate the procedure of finding the optimal total inventory cost, stock level, backlog level and production cycle time. Sensitivity analysis is carried out to demonstrate the effects of changing parameter values on the optimal solution of the system.

Exploring Future Water Shortage for Large River Basins under Different Water Allocation Strategies

NARCIS (Netherlands)

Yan, Dan; Yao, Mingtian; Ludwig, Fulco; Kabat, Pavel; Huang, He Qing; Hutjes, Ronald W.A.; Werners, Saskia E.

2018-01-01

Climate change and socio-economic development increase variations in water availability and water use in the Pearl River Basin (PRB), China. This can potentially result in conflicts over water resources between water users, and cause water shortage in the dry season. To assess and manage water

Effects of Staff Participation, Morale, and Shortage on Organisational Performance: An International Survey

Science.gov (United States)

Cheema, Jehanzeb R.; Asrar-ul-Haq, Muhammad

2017-01-01

Prior research has suggested that staff-centred organisational factors such as participation, morale and shortage can have a significant effect on organisational outcomes. However, relatively little attention has been paid to cross-country examination of these relationships specifically for educational organisations such as schools, colleges, and…

System Schema Analysis of County Economy Talents Shortages Based on the Perspective of Returning-home Entrepreneurship

Institute of Scientific and Technical Information of China (English)

2010-01-01

According to the discussion of domestic scholars on county talents,we know that the researches concerning county human resources mainly focus on discussing the problems such as the total amount,distribution,quality and introduction of county talents though the analysis of coordination between talents and county economic development,and the research of relationship between industry adjustment and talents need.However,there have no relevant documents about the analysis and discussion of county talents problems based on system schema theory.In view of this reality,on the basis of the introduction of the system schema theory propounded by management guru Peter Senge,we conduct the feedback schema analysis of the restricted factors of talents shortages during county economic development;establish the growth limits schema of county talents system;analyze the functioning mechanism of the total amount,distribution,quality and introduction of county talents on the development of county economy;discuss the relationship between the individual quality,social relation and emotional need of returning-home start-up,and talents resource shortage;propose the countermeasures and suggestions to mitigate the shortage of county talents,in order to optimize the allocation of county human resources,and promote the county’s economic development.

Factors Other Than Climate Change, Main Drivers of 2014/15 Water Shortage in Southeast Brazil

Science.gov (United States)

Otto, Friederike E. L.; Coelho, Caio A. S.; King, Andrew; Coughlan de Perez, Erin; Wada, Yoshihide; van Oldenborgh, Geert Jan; Haarsma, Rein; Haustein, Karsten; Uhe, Peter; van Aalst, Maarten;

Morale, Participation and Shortage in White-Majority and White-Minority Schools: Principals' Perceptions

Science.gov (United States)

Cheema, Jehanzeb R.; Fuller Hamilton, Asia N.

2017-01-01

Prior research has shown that teacher-centred factors such as teacher participation in decision making, teacher morale, and shortage of teaching staff, can affect school performance. In this study we examined how these factors differ between White-majority and White-minority schools both before and after controlling for school characteristics such…

40 CFR 1045.305 - How must I prepare and test my production-line engines?

Science.gov (United States)

2010-07-01

... production-line engines? 1045.305 Section 1045.305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS CONTROL OF EMISSIONS FROM SPARK-IGNITION PROPULSION MARINE ENGINES AND VESSELS Testing Production-line Engines § 1045.305 How must I prepare and test my production-line engines...

40 CFR 1048.305 - How must I prepare and test my production-line engines?

Science.gov (United States)

2010-07-01

... production-line engines? 1048.305 Section 1048.305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW, LARGE NONROAD SPARK-IGNITION ENGINES Testing Production-line Engines § 1048.305 How must I prepare and test my production-line engines? This...

Outbreak of Serratia marcescens bloodstream infections in patients receiving parenteral nutrition prepared by a compounding pharmacy.

Science.gov (United States)

Gupta, Neil; Hocevar, Susan N; Moulton-Meissner, Heather A; Stevens, Kelly M; McIntyre, Mary G; Jensen, Bette; Kuhar, David T; Noble-Wang, Judith A; Schnatz, Rick G; Becker, Shawn C; Kastango, Eric S; Shehab, Nadine; Kallen, Alexander J

2014-07-01

Compounding pharmacies often prepare parenteral nutrition (PN) and must adhere to rigorous standards to avoid contamination of the sterile preparation. In March 2011, Serratia marcescens bloodstream infections (BSIs) were identified in 5 patients receiving PN from a single compounding pharmacy. An investigation was conducted to identify potential sources of contamination and prevent further infections. Cases were defined as S. marcescens BSIs in patients receiving PN from the pharmacy between January and March 2011. We reviewed case patients' clinical records, evaluated pharmacy compounding practices, and obtained epidemiologically directed environmental cultures. Molecular relatedness of available Serratia isolates was determined by pulsed-field gel electrophoresis (PFGE). Nineteen case patients were identified; 9 died. The attack rate for patients receiving PN in March was 35%. No case patients were younger than 18 years. In October 2010, the pharmacy began compounding and filter-sterilizing amino acid solution for adult PN using nonsterile amino acids due to a national manufacturer shortage. Review of this process identified breaches in mixing, filtration, and sterility testing practices. S. marcescens was identified from a pharmacy water faucet, mixing container, and opened amino acid powder. These isolates were indistinguishable from the outbreak strain by PFGE. Compounding of nonsterile amino acid components of PN was initiated due to a manufacturer shortage. Failure to follow recommended compounding standards contributed to an outbreak of S. marcescens BSIs. Improved adherence to sterile compounding standards, critical examination of standards for sterile compounding from nonsterile ingredients, and more rigorous oversight of compounding pharmacies is needed to prevent future outbreaks. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public

Chinese Students' Perceptions of the Value of Test Preparation Courses for the TOEFL iBT: Merit, Worth, and Significance

Science.gov (United States)

Ma, Jia; Cheng, Liying

2015-01-01

Test preparation for high-stakes English language tests has received increasing research attention in the language assessment field; however, little is known about what aspects of test preparation students attend to and value. In this study, we considered the perspectives of 12 Chinese students who were enrolled in various academic programs in a…

Skilled labour supply in the South African construction industry: The nexus between certification, quality of work output and shortages

Directory of Open Access Journals (Sweden)

Abimbola O. Windapo

2016-06-01

Full Text Available Orientation: Construction human resource management. Research purpose: The study examines the skilled labour supply in the South African construction industry and determines whether there is a relationship between trade certification, quality of work output and scarce labour skills. Motivation for the study: The rationale for the investigation is based on the view of scholars that a skilled labour shortage is preponderant in the South African construction industry even though there is a high level of youth unemployment in South Africa and that the perceived skills shortage contributes to a decrease in productivity and product quality. Research design, approach and method: The paper reviews relevant literature and employs a mixed method research approach in collecting empirical data from contracting companies within the Western Cape Province of South Africa that are listed on the Construction Industry Development Board contractor register. Main findings: The study demonstrated that there is no shortage of manpower, but there is a shortage of qualified or skilled tradesmen, such as electricians, plumbers, welders, fitters and carpenters, whose professions are more technical and require formal training and certification. The level of supply of skilled tradesmen is attributed to the lack of high-quality basic education, the state of the economy, compulsory certification of tradesmen and an ageing workforce. It was also found that there is a significant relationship between skilled labour shortages and the requirement that labour be certified and that work output is unsatisfactory when there is no certification requirement. Practical/managerial implications: Based on these findings, the study concludes that skilled labour shortages and poor work output quality continue to be experienced in the South African construction industry when workers are unable to obtain formal certification for informal work experience acquired through years of practice on

Metaphorical expressions used in Swedish news media narratives to portray the shortage of nurses and their working conditions.

Science.gov (United States)

Blomberg, Helena; Stier, Jonas

2016-02-01

The aim of the study is to uncover and reveal how nurses as a profession and their working conditions are dramatized and portrayed in Swedish media narratives about the shortage of nurses. The media is an arena where stakeholders can air their views of the healthcare sector in general and the situation for nurses in particular. The focus in this study is the debate in Sweden on the shortage of nurses. Qualitative discursive study. A discourse analysis of media narratives about nurses and their working conditions published in several Swedish newspapers from 2009-2014. 1779 articles were included in the study. A selection (113 articles) of these articles was further analysed using a qualitative discursive psychological approach. Nurses are portrayed as being good, concerned about and critical of healthcare managers and politicians for not taking action. The accused actors justify their actions by partially accepting or displacing responsibility. The shortage of nurses is framed as a social problem - a threat to patients' safety. Seven different types of metaphorical expression frame the problem as inevitable, beyond control, abstract, an individual and collegial problem and nurses as replaceable. In addition, nurses and patients are dehumanized and no-one is held responsible. This study analyses the role of the media in emphasizing the seriousness or obscurity of the problem and possible solutions to it. Alternative narratives are needed to re-frame the nursing shortage and to find sustainable solutions. © 2015 John Wiley & Sons Ltd.

Media-fill simulation tests in manual and robotic aseptic preparation of injection solutions in syringes.

Science.gov (United States)

Krämer, Irene; Federici, Matteo; Kaiser, Vanessa; Thiesen, Judith

2016-04-01

The purpose of this study was to evaluate the contamination rate of media-fill products either prepared automated with a robotic system (APOTECAchemo™) or prepared manually at cytotoxic workbenches in the same cleanroom environment and by experienced operators. Media fills were completed by microbiological environmental control in the critical zones and used to validate the cleaning and disinfection procedures of the robotic system. The aseptic preparation of patient individual ready-to-use injection solutions was simulated by using double concentrated tryptic soy broth as growth medium, water for injection and plastic syringes as primary packaging materials. Media fills were either prepared automated (500 units) in the robot or manually (500 units) in cytotoxic workbenches in the same cleanroom over a period of 18 working days. The test solutions were incubated at room temperature (22℃) over 4 weeks. Products were visually inspected for turbidity after a 2-week and 4-week period. Following incubation, growth promotion tests were performed with Staphylococcus epidermidis. During the media-fill procedures, passive air monitoring was performed with settle plates and surface monitoring with contact plates on predefined locations as well as fingerprints. The plates got incubated for 5-7 days at room temperature, followed by 2-3 days at 30-35℃ and the colony forming units (cfu) counted after both periods. The robot was cleaned and disinfected according to the established standard operating procedure on two working days prior to the media-fill session, while on six other working days only six critical components were sanitized at the end of the media-fill sessions. Every day UV irradiation was operated for 4 h after finishing work. None of the 1000 media-fill products prepared in the two different settings showed turbidity after the incubation period thereby indicating no contamination with microorganisms. All products remained uniform, clear, and light

Overview of allied health personnel shortages.

Science.gov (United States)

Elwood, T W

1991-01-01

Upon learning that 95% of all fatal traffic accidents occur within three miles of one's home, an acquaintance moved to another residence four miles away and is still alive today. The world might be a much better place if most obstacles could be overcome this handily. Unfortunately, the problem of allied health personnel shortages appears to be more intractable. Because the situation is complicated in nature, it is most unlikely that any single remedy will suffice. Public and private interests have joined forces in many states, but it is abundantly clear that conventional market forces are unlikely to prevail. These forces usually focus on supply and demand. While shortages may cause entry-level salaries to rise, they do not stimulate academic institutions to increase their output nor will they affect the availability of research funding and/or doctoral training programs. Current market forces compel health facilities to engage in bidding wars for scarce manpower. Although individual job seekers may benefit, this practice does not increase the number of training program graduates. The federal government has a decisive role to play in assuring an adequate number of personnel to meet this nation's health care needs. Assistance is necessary in the form of providing entry- and advanced-level traineeships to accelerate the flow of part-time students pursuing doctorates, and to fund model student recruitment/retention projects. This role should encompass attracting students (particularly from minority and underserved portions of the population) to academic programs. The Disadvantaged Minority Health Improvement Act, PL 101-527 that was enacted in November 1990, contains only minimal provisions for allied health. Eligibility for student scholarship assistance is restricted to a small handful of allied health professions. Moreover, allied health is not eligible for the loan repayment program aimed at individuals who agree to serve on the faculty of health professions

Measuring the Impact of the Home Health Nursing Shortage on Family Caregivers of Children Receiving Palliative Care.

Science.gov (United States)

Weaver, Meaghann S; Wichman, Brittany; Bace, Sue; Schroeder, Denice; Vail, Catherine; Wichman, Chris; Macfadyen, Andrew

2018-06-01

The national nursing shortage translates into a gap in home nursing care available to children with complex, chronic medical conditions and their family caregivers receiving palliative care consultations. A total of 38 home health nursing surveys were completed by families receiving pediatric palliative care consultation services at a freestanding children's hospital in the Midwest. The gap in the average number of nursing hours allotted versus received was 40 h/wk per family, primarily during evening hours. Parents missed an average of 23 hours of employment per week to provide hands-on nursing care at home, ranking stress regarding personal employment due to nursing shortage at 6.2/10. Families invested an average of 10 h/mo searching for additional nursing coverage and often resorted to utilizing more than 6 different home nurse coverage personnel per month. Families reported multiple delays to hospital discharges (mean, 15 days per delay) due to inability to find home nursing coverage. Respiratory technology and lack of Medicaid coverage ( P home nursing access. This study examines how the pediatric home nursing shortage translates into a lived experience for families with children with complex medical conditions receiving palliative care.

The Preparation of the Cryomagnets and the Assembly of the LHC Test String 2

CERN Document Server

Andujar, O; Calzas-Rodriguez, C; Cruikshank, P; Desebe, O; Dobers, T; Jacquemod, A; Kos, N; Lepeule, P; Maan, W; Missiaen, D; Parma, Vittorio; Riddone, G; Rodríguez-Mateos, F; Rohmig, P; Saban, R I; Schneider, G; Serio, L; Skoczen, Blazej; Tock, J P; Veness, R J M; Vuitton, C

2001-01-01

The numerous complex activities required to prepare the cryomagnets for the installation in String 2 are described. These include the configuration of the mechanical interfaces, thee conditioning of the beam tubes, the installation of beam screens and the instrumentation as well as the final checks. The preparation of the cryomagnets for String 2 has been a dress rehearsal for the preparation that the cryomagnets will undergo before their installation in the tunnel. After a description of the interconnection procedures of the components for String 2, the tests carried-out to release the String for operation are described. A brief account of the lessons learnt is also given.

The use of bacteriological preparates to test processes in radiation sterilization

International Nuclear Information System (INIS)

Gazso, L.; Igali, S.; Kovacs, A.

1976-01-01

Environmental factors influencing the irradiation sensitivity of micro-organisms, bacterium stocks being suitable for biological checking up and spore test organism used nowadays are reviewed. According to the tests made on Bacillus pumilus E601 and Bacillus sphaericus Csub(I)A stockes with Noratom, PX-γ-30 and 60 Co radiation sources the irradiation sensitivity of the same products irradiated with the same dose can differ in the function of the radiation source and the dose rate. It seems necessary to produce the test preparates in the same way in a central laboratory and to calibrate them to single radiation sources. It is advisable to check up the factual microbicidal effect of the nominal dosage by a biological dosimeter. The method reviewed potentiates a much higher confidence than that of conventional sterility tests and its additional advantage is the cheapness. (K.A.)

Copper and Zinc Deficiency in a Patient Receiving Long-Term Parenteral Nutrition During a Shortage of Parenteral Trace Element Products.

Science.gov (United States)

Palm, Eric; Dotson, Bryan

2015-11-01

Drug shortages in the United States, including parenteral nutrition (PN) components, have been common in recent years and can adversely affect patient care. Here we report a case of copper and zinc deficiency in a patient receiving PN during a shortage of parenteral trace element products. The management of the patient's deficiencies, including the use of an imported parenteral multi-trace element product, is described. © 2014 American Society for Parenteral and Enteral Nutrition.

Water shortage and drought monitoring in Bačka region (Vojvodina, North Serbia: Setting-up measurement stations network

Directory of Open Access Journals (Sweden)

Jovanović Mlađen

2013-01-01

Full Text Available Water shortage and drought, as the most important hydro-climatic hazards, cause significant damages in case of most continents including SE Europe. An experimental field established in Bačka region (Vojvodina Autonomous Province, North Serbia for the purpose of droughts/water shortage monitoring and remote sensing under ongoing IPA project 'Water shortage hazard and adaptive water management strategies in the Hungarian-Serbian cross-border region' (WAHASTRAT. The main objective of this project is to determine water shortage con­flicts on a local and regional level, and to reveal the frequency, extent and severity of future hydro-cli­matic hazards. The locations of eight measurement stations selected on the principle of representativeness in term of terrain configuration and soil cover. An area in which measurement stations were placed, covers about 1000 km2 (12% of total area of Bačka and includes geomorphic units which reliable represent the relief of the whole Bačka region. Measurement stations were placed on 4 out of 5 most common soil types in the Bačka and Vojvodina: chernozem, alluvial soils, smonitza and saline and alkali soils. A measurement equipment system was constructed for the requirements of the WAHASTRAT project. The aim was to design a user-friendly and affordable IT solution, which would enable continuous re­mote monitoring of meteorological parameters and soil moisture. Independent solar-powered meas­urement stations are able to automatically measure air temperature, air humidity, wind speed, wind di­rection, precipitation and soil moisture.

Is there a shortage of neurosurgeons in the United States?

Science.gov (United States)

Rosman, Judy; Slane, Steve; Dery, Beth; Vogelbaum, Michael A; Cohen-Gadol, Aaron A; Couldwell, William T

2013-08-01

Neurosurgical workforce decision-making is typically driven by the 1 neurosurgeon per 100,000 population ratio proposed in 1977 in the Study on Surgical Services for the United States report. The actual ratio has always been higher than suggested. We evaluated whether the 1:100,000 ratio from the Study on Surgical Services for the United States report is still valid, whether there are enough neurosurgeons in the United States to meet patient needs, and whether demand is driven by patient need. For our analysis, the distribution of practicing US neurosurgeons was merged with census data to yield density indices of neurosurgeons by state; a survey assessing practice characteristics was e-mailed to practicing neurosurgeons; and a compilation of job advertisements for US neurosurgeons was evaluated. Multivariant statistical analyses yielded inconclusive results regarding patient demand because existing data sets are not designed to establish patient demand and many neurosurgeons are subspecialized. The data indicated that the ratio of neurosurgeons to total US population is 1:65,580. In the survey responses, neurosurgeon-to-patient ratios varied dramatically by state and were inconsistently correlated with whether neurosurgeons indicated they were overworked or underworked. The 305 job advertisements may indicate a shortage. Twenty-four percent of advertising practices indicated that they are recruiting only for emergency department coverage, and an additional 26% indicated that they might not be recruiting if not for the need for emergency coverage. Demand ratios should be reevaluated by region and subspecialty to consider changes in neurosurgery practice. A "shortage" in the employment market may reflect factors other than patient need.

The knowledge status EFFEKT: Efficiency shortage. Basis for further research

International Nuclear Information System (INIS)

Doorman, Gerard; Grande, Ove S.

2002-02-01

This report gives a survey of results from the ''Norges forskningsraad'' ( The Norwegian Research Council) program EFFEKT (1996-2000) and some other relevant projects. The report focuses on areas relevant to the efficiency shortage problems and is made as a part of the foundation for the start of the competence project ''Competence Building - Capacity Shortage''. The challenge is to find adequate solutions that satisfies the demands from market participants, systems operators and market actors. This mainly contains problems of both operational and long term strategic character which primarily touches the following main areas: Peak load coverage, operating security and reserves, network capacity and environmental aspects. The results are reported under these headings from several relevant projects. The major challenges in the future will be: 1) Development of mechanisms that bring the right incentives for improved use of the flexibility in the end consumption. 2) Adaptation of the market and organisational conditions in order to improve the consumer flexibility. 3) Further development of the incentive structures for the network owners and systems operators so that the existing transferring capacity is used as well as possible and the macro economic development of the network is encouraged. 4) Profit estimations and financing of larger co-originated connections particularly across the country borders, in deregulated power markets. Particularly the first two challenges are probably a condition for the deregulated power markets as the Nordic one, shall be able to survive in the long run. In an appendix main data studied in the projects as a basis for this report, are referred

Preparation, validation and user-testing of pictogram-based patient information leaflets for hemodialysis patients.

Science.gov (United States)

Mateti, Uday Venkat; Nagappa, Anantha Naik; Attur, Ravindra Prabhu; Bairy, Manohar; Nagaraju, Shankar Prasad; Mallayasamy, Surulivelrajan; Vilakkathala, Rajesh; Guddattu, Vasudev; Balkrishnan, Rajesh

2015-11-01

Patient information leaflets are universally-accepted resources to educate the patients/users about their medications, disease and lifestyle modification. The objective of the study was to prepare, validate and perform user-testing of pictogram-based patient information leaflets (P-PILs) among hemodialysis (HD) patients. The P-PILs are prepared by referring to the primary, secondary and tertiary resources. The content and pictograms of the leaflet have been validated by an expert committee consisting of three nephrologists and two academic pharmacists. The Baker Able Leaflet Design has been applied to develop the layout and design of the P-PILs. Quasi-experimental pre- and post-test design without control group was conducted on 81 HD patients for user-testing of P-PILs. The mean Baker Able Leaflet Design assessment score for English version of the leaflet was 28, and 26 for Kannada version. The overall user-testing knowledge assessment mean scores were observed to have significantly improved from 44.25 to 69.62 with p value information leaflets can be considered an effective educational tool for HD patients.

Responding to teacher shortages : Relationships among mobility experiences, attitudes, and intentions of Dutch teachers

NARCIS (Netherlands)

van Geffen, R.E.; Poell, R.F.

2014-01-01

From all over the world there have been calls from governmental institutions to address a shortage of high quality teachers. As changing jobs generates new experiences, job mobility could be a way for teachers to adhere to the government’s call to develop themselves into the teaching force needed.

Responding to teacher shortages: relationships among mobility experiences, attitudes, and intentions of Dutch teachers

NARCIS (Netherlands)

van Geffen, R.E.; Poell, R.F.

2014-01-01

From all over the world there have been calls from governmental institutions to address a shortage of high quality teachers. As changing jobs generates new experiences, job mobility could be a way for teachers to adhere to the government’s call to develop themselves into the teaching force needed.

78 FR 23742 - Nomination Form of Veterinary Shortage Situations for the Veterinary Medicine Loan Repayment...

Science.gov (United States)

2013-04-22

... DEPARTMENT OF AGRICULTURE National Institute of Food and Agriculture Nomination Form of Veterinary Shortage Situations for the Veterinary Medicine Loan Repayment Program (VMLRP) AGENCY: National Institute... information collection for the Veterinary Medicine Loan Repayment Program (VMLRP). This notice initiates a 30...

Reduce, reuse and recycle: a green solution to Canada's medical isotope shortage.

Science.gov (United States)

Galea, R; Ross, C; Wells, R G

2014-05-01

Due to the unforeseen maintenance issues at the National Research Universal (NRU) reactor at Chalk River and coincidental shutdowns of other international reactors, a global shortage of medical isotopes (in particular technetium-99m, Tc-99m) occurred in 2009. The operation of these research reactors is expensive, their age creates concerns about their continued maintenance and the process results in a large amount of long-lived nuclear waste, whose storage cost has been subsidized by governments. While the NRU has since revived its operations, it is scheduled to cease isotope production in 2016. The Canadian government created the Non-reactor based medical Isotope Supply Program (NISP) to promote research into alternative methods for producing medical isotopes. The NRC was a member of a collaboration looking into the use of electron linear accelerators (LINAC) to produce molybdenum-99 (Mo-99), the parent isotope of Tc-99m. This paper outlines NRC's involvement in every step of this process, from the production, chemical processing, recycling and preliminary animal studies to demonstrate the equivalence of LINAC Tc-99m with the existing supply. This process stems from reusing an old idea, reduces the nuclear waste to virtually zero and recycles material to create a green solution to Canada's medical isotope shortage. © 2013 Published by Elsevier Ltd.

To have and to hold: personnel shortage in a Finnish healthcare organisation.

Science.gov (United States)

Heilmann, Pia

2010-07-01

Retirements of baby boomers will create a talent shortage in Finnish health care. Concurrently, difficulties exist in recruiting new personnel. This paper provides an overview concerning the bottlenecks in talent management in a Finnish hospital, and finds solutions for recruitment and retention problems of healthcare professionals (nurses and physicians). Because the healthcare staffing shortage is worldwide, the results of this paper are also useful internationally. The research was a qualitative case study and the research method used was group interview. Background data was gathered from the public media and healthcare trade organisations. The bottlenecks of talent management in hospital organisation seem to relate to retaining actions of senior personnel. Concurrently, the organisation should develop new practices for attracting new personnel. Very few efforts on image marketing and recruitment have been done. The Internet has not been fully exploited and recruitment information has not been sent even to the neighbouring nursing college. Job rotation has not been used as a help in recruitment and competence development. Difficulties exist in transmitting tacit knowledge from a retiring nurse to a junior nurse. Leadership skills of the superior seem to be important when retaining and committing senior personnel. Recruitment and retention problems encourage organisations to develop new recruitment and commitment practices as well as management and leadership skills.

Selection of dissolution process for spent fuels and preparation of corrosion test solution simulated to dissolver (contract research)

International Nuclear Information System (INIS)

Motooka, Takafumi; Terakado, Shogo; Koya, Toshio; Hamada, Shozo; Kiuchi, Kiyoshi

2001-03-01

In order to evaluate the reliability of reprocessing equipment materials used in the Rokkasho Reprocessing Plant, we have proceeded a mock-up test and laboratory tests for getting corrosion parameters. In a dissolver made of zirconium, the simulation of test solutions to the practical solution which includes the high concentration of radioactive elements such as FP and TRU is one of the important issues with respect to the life prediction. On this experiment, the dissolution process of spent fuels and the preparation of test solution for evaluating the corrosion resistance of dissolver materials were selected. These processes were tested in the No.3 cell of WASTEF. The test solution for corrosion tests was prepared by adjusting the uranium and nitric acid concentrations. (author)

40 CFR 1048.410 - How must I select, prepare, and test my in-use engines?

Science.gov (United States)

2010-07-01

... my in-use engines? 1048.410 Section 1048.410 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW, LARGE NONROAD SPARK-IGNITION ENGINES Testing In-use Engines § 1048.410 How must I select, prepare, and test my in-use engines? (a) You...

76 FR 5131 - Solicitation of Nomination of Veterinary Shortage Situations for the Veterinary Medicine Loan...

Science.gov (United States)

2011-01-28

... Science; National Institute of Food and Agriculture; U.S. Department of Agriculture; STOP 2220; 1400... and State Allocation Method 4. State Allocation of Nominations 5. FY 2011 Shortage Situation..., Extension, and Teaching Policy Act of 1997 (NARETPA). This law established a new Veterinary Medicine Loan...

Drug tendering: drug supply and shortage implications for the uptake of biosimilars

Directory of Open Access Journals (Sweden)

Dranitsaris G

2017-09-01

Full Text Available George Dranitsaris,1 Ira Jacobs,2 Carol Kirchhoff,3 Robert Popovian,4 Lesley G Shane5 1Augmentium Pharma Consulting Inc., Toronto, ON, Canada; 2Global Medical Affairs, Pfizer Inc, New York, NY, 3Global Technology Services, Biotechnology and Aseptic Sciences Group, Pfizer Inc, Chesterfield, MO, 4US Government Relations, Pfizer Inc, Washington, DC, 5Outcomes and Evidence, Global Health and Value, Pfizer Inc, New York, NY, USA Abstract: Due to the continued increase in global spending on health care, payers have introduced a number of programs, policies, and agreements on pharmaceutical pricing in order to control costs. While incentives to increase generic drug use have achieved significant savings, other cost-containment measures are required. Tendering is a formal procedure to purchase medications using competitive bidding for a particular contract. Although useful for cost containment, tendering can lead to decreased competition in a given market. Consequently, drug shortages can occur, resulting in changes to treatment plans to products that may have lower efficacy and/or an increased risk of adverse effects. Therefore, care must be taken to ensure that tendering does not negatively impact patient care or the health care system. A large and expanding portion of total pharmaceutical expenditure is for biologic therapies. These agents have revolutionized the treatment of many diseases, including cancer and inflammatory conditions; however, patient access to biologic drugs can be limited due to availability, insurance coverage, and cost. As branded biologic therapies reach the end of patent- and data-protection periods, biosimilars are being approved as lower-cost alternatives. Biosimilars are products that are highly similar to the originator product with no clinically meaningful differences in terms of safety, purity, or potency. As more biosimilars receive regulatory approval and adoption increases, these therapies are expected to have an

Land-Water-Food Nexus and indications of crop adjustment for water shortage solution.

Science.gov (United States)

Ren, Dandan; Yang, Yonghui; Yang, Yanmin; Richards, Keith; Zhou, Xinyao

2018-06-01

While agriculture places the greatest demand on water resources, increasing agricultural production is worsening a global water shortage. Reducing the cultivation of water-consuming crops may be the most effective way to reduce agricultural water use. However, when also taking food demand into consideration, sustaining the balance between regional water and food securities is a growing challenge. This paper addresses this task for regions where water is unsustainable for food production (Beijing-Tianjin-Hebei Region for example) by: (i) assessing the different effects of wheat and maize on water use; (ii) analyzing virtual water and virtual land flows associated with food imports and exports between Beijing-Tianjin-Hebei and elsewhere in China; (iii) identifying sub-regions where grain is produced using scarce water resources but exported to other regions; and (iv) analyzing the potentiality for mitigating water shortage via Land-Water-Food Nexus. In the Beijing-Tianjin-Hebei Region, the study reveals that 29.76 bn m 3 of virtual water (10.81 bn m 3 of blue virtual water) are used by wheat and maize production and 8.77 bn m 3 of virtual water used in nearly 2 million ha of cropland to overproduce 12 million ton of maize for external food consumption. As an importing-based sub-region with high population density, Beijing & Tianjin imported mostly grain (wheat and maize) from Shandong Province. Then, Hebei Province, as an exporting-based sub-region with severe water shortage, overproduced too much grain for other regions, which aggravated the water crisis. To achieve an integrated and sustainable development of the Beijing-Tianjin-Hebei Region, Hebei Province should stop undertaking the breadbasket role for Beijing & Tianjin and pay more attention to groundwater depletion. The analysis of the Land-Water-Food Nexus indicates how shifts in cultivated crops can potentially solve the overuse of water resources without adverse effects on food supply

Land-Water-Food Nexus and Indications of Crop Adjustment for Water Shortage Solution

Science.gov (United States)

Yang, Y.; Ren, D.; Zhou, X.

2017-12-01

Agriculture places the greatest demand on water resources, and increasing agricultural production is worsening a global water shortage. Reducing the cultivation of water-consuming crops may be the most effective way to reduce agricultural water use. However, when also taking food demand into consideration, sustaining the balance between regional water and food securities is a growing challenge. This paper addresses this task for regions where water is unsustainable for food production (Beijing-Tianjin-Hebei Region for example), by (i) assessing the different effects of wheat and maize on water use; (ii) analyzing virtual water and virtual land flows associated with food imports and exports between Beijing-Tianjin-Hebei and elsewhere in China; (iii) identifying sub-regions where grain are produced using scarce water resources but exported to other regions. (iv) analyzing the potentiality for mitigating water shortage via Land-Water-Food Nexus. In the Beijing-Tianjin-Hebei Region, the study reveals that 29.76 bn m3 of virtual water (10.81 bn m3 of blue virtual water) are used by wheat and maize production and nearly 2 million ha of cropland using 8.77 bn m3 of virtual water overproduced 12 million ton of maize for external food consumption. As an importing-based sub-region with high population density, Beijing and Tianjin (BT) imported mostly grain (wheat and maize) from Shandong (SD). Whereas, Hebei (HB), as an exporting-based sub-region with sever water shortage, overproduced too much grain for other regions (like Central area), which aggravated water crisis. To achieve Beijing-Tianjin-Hebei's integrated and sustainable development, HB should not undertake the breadbasket role for BT but pay more attention to groundwater depletion. The analysis of the Land-Water-Food Nexus indicates how shifts in the cultivated crops can potentially solve the overuse of water resources without adverse effect on food supply, and provides meaningful information to support policy

The shortage of medical workers in Sub-Saharan Africa and substitution policy

OpenAIRE

Bourgain, Arnaud; Pieretti, Patrice; Zou, Benteng

2011-01-01

Substitution policies are strategies sometimes chosen in Sub-Saharan Africa for curtailing the shortage of health professionals especially caused by the outflow of medical personnel. The aim of our contribution is to propose a way to assess the merits and drawbacks of substitution policies by developing a simple growth model of healthcare productivity with medical brain drain. Within this framework, we use a medical care production function of the CES type which aggregates low and high specia...

Desalination - A solution to water shortage

International Nuclear Information System (INIS)

Shakaib, M.

2005-01-01

Pakistan as well as neighbouring countries are faced with critical water shortage for the last few decades. The demand for water has outstripped its supply making the availability of safe water sources an issue Also conflicts over water sharing are expected in many regions of the world. Thus, because of this looming crisis water problems are getting increasing attention all over the world. With the advancement of desalination technology many countries had resorted removal of salts from brackish and sea water as an alternative water supply and they are now viewing desalination as a future solution to problems of lack of water. Today, over 100 countries use desalting requirement. A total of 12,451 desalting units (of a unit size of 100 m/sup 3//d or more) with a total capacity of 22,735,000 m /d had been installed or contracted worldwide. Brackish water desalination plants contribute with 9,400,000 m3/d, whereas the capacity of the sea water plants had reached up to 13,300,000 m3/d. This paper will discuss the use of desalination to produce potable water from saline water for domestic or municipal purposes and also the available desalination techniques that have been developed over the years and have achieved commercial success. (author)

The global health workforce shortage: role of surgeons and other providers.

Science.gov (United States)

Sheldon, George F; Ricketts, Thomas C; Charles, Anthony; King, Jennifer; Fraher, Erin P; Meyer, Anthony

2008-01-01

The debate over the status of the physician workforce seems to be concluded. It now is clear that a shortage of physicians exists and is likely to worsen. In retrospect it seems obvious that a static annual production of physicians, coupled with a population growth of 25 million persons each decade, would result in a progressively lower physician to population ratio. Moreover, Cooper has demonstrated convincingly that the robust economy of the past 50 years correlates with demand for physician services. The aging physician workforce is an additional problem: one third of physicians are over 55 years of age, and the population over the age of 65 years is expected to double by 2030. Signs of a physician and surgeon shortage are becoming apparent. The largest organization of physicians in the world (119,000 members), the American College of Physicians, published a white paper in 2006 titled, "The Impending Collapse of Primary Care Medicine and Its Implications for the State of the Nation's Health Care" [37]. The American College of Surgeons, the largest organization of surgeons, has published an article on access to emergency surgery [38], and the Institute of Medicine of the National Academies of Science has published a book on the future of emergency care (Fig. 10). The reports document diminished involvement and availability of emergency care by general surgeons, neurologic surgeons, orthopedists, hand surgeons, plastic surgeons, and others. The emergency room has become the primary care physician after 5 PM for much of the population. A survey done by the Commonwealth Fund revealed that less than half of primary care practices have an on-call arrangement for after-hours care. Other evidence of evolving shortage are reports of long wait times for appointments, the hospitalist movement, and others. The policies for the future should move beyond dispute over whether or not a shortage exists. The immediate need is for the United States, as a society, to commit to

Supply shortage forecast in Ontario: The significance of demand-side management (DSM); its tools and techniques

International Nuclear Information System (INIS)

Saini, S.

2004-01-01

Aspects of the recent report by the Ontario Electricity Conservation and Supply Task Force and Independent Market Operator which forecasts acute power supply shortages in Ontario, are discussed. Immediate action is recommended to avert the problem. The principal recommendation concerns the adoption of Demand Side Management as a tool to reduce the widening gap between supply and demand, citing supply shortage, imports, high prices, deregulated market and environmental concerns as the driving forces which push for the adoption of DSM. It is claimed that DSM, through its tools such as Demand/Load Response Programs and Time-of-Use rates has the capacity to create the necessary balance between supply and demand more efficiently, and in a more timely fashion than supply side management. The demand for adoption of DSM is justified on the basis of a careful examination of the magnitude and significance of each of the driving forces affecting the electricity supply in Ontario, as well as the benefits and techniques of DSM designed to manage power shortages. Energy Conservation and Efficiency and Demand/Load Response Programs are discussed as the principal DSM techniques, while Dynamic/Real Time Pricing, Time-of-Use Rates, Automated /Smart Metering, Web-based/Communication Systems, Reliability-based Programs, Market/Price-based programs, and Types of Load Control are described as the principal tools used by DSM. DSM program approaches and strategies are also reviewed, along with a brief list of successful examples of DSM applications. 3 figs

Supply shortage forecast in Ontario: The significance of demand-side management (DSM); its tools and techniques

Energy Technology Data Exchange (ETDEWEB)

Saini, S.

2004-06-01

Aspects of the recent report by the Ontario Electricity Conservation and Supply Task Force and Independent Market Operator which forecasts acute power supply shortages in Ontario, are discussed. Immediate action is recommended to avert the problem. The principal recommendation concerns the adoption of Demand Side Management as a tool to reduce the widening gap between supply and demand, citing supply shortage, imports, high prices, deregulated market and environmental concerns as the driving forces which push for the adoption of DSM. It is claimed that DSM, through its tools such as Demand/Load Response Programs and Time-of-Use rates has the capacity to create the necessary balance between supply and demand more efficiently, and in a more timely fashion than supply side management. The demand for adoption of DSM is justified on the basis of a careful examination of the magnitude and significance of each of the driving forces affecting the electricity supply in Ontario, as well as the benefits and techniques of DSM designed to manage power shortages. Energy Conservation and Efficiency and Demand/Load Response Programs are discussed as the principal DSM techniques, while Dynamic/Real Time Pricing, Time-of-Use Rates, Automated /Smart Metering, Web-based/Communication Systems, Reliability-based Programs, Market/Price-based programs, and Types of Load Control are described as the principal tools used by DSM. DSM program approaches and strategies are also reviewed, along with a brief list of successful examples of DSM applications. 3 figs.

The shortages of nurses in NSW: a motivation hygiene approach to identifying problems and solutions.

Science.gov (United States)

Carroll, E; Dwyer, L

1988-01-01

For a number of years public hospitals in NSW have experienced high turnover figures for nursing staff and have been unable to recruit sufficient numbers of registered nurses back into hospital employment. This paper outlines factors on both the demand and the supply side which contribute to the present shortage. It then goes on to argue that a greater appreciation of the causes of the shortage, and strategies for its resolution, can be gained by presenting the issues from the perspective of Herzberg's Motivation--Hygiene Theory. 'Motivation' factors, providing satisfaction to nurses, include achievement and recognition, the work itself, responsibility, advancement and potential for personal growth. 'Hygiene' factors, producing dissatisfaction, include physical working conditions, employer policies and administrative practices, interpersonal relations, salary. Discussion of the issues from this perspective indicates that strategies to resolve the crisis must proceed on two fronts. Continuing efforts must be made to promote job satisfaction among nurses while at the same time reducing the incidence of factors promoting job dissatisfaction.

International cooperation and shortage of doctors: an analysis of the interaction between Brazil, Angola and Cuba.

Science.gov (United States)

Alves, Sandra Mara Campos; Oliveira, Felipe Proenço de; Matos, Mateus Falcão Martins; Santos, Leonor Maria Pacheco; Delduque, Maria Celia

2017-07-01

The shortage of doctors, especially in remote areas, is a critical issue for the development of national health systems and has thus been the focus of a number of international cooperation projects. An exploratory and qualitative study was conducted to examine cooperation between Brazil, Angola and Cuba. A nonsystematic literature review was conducted of selected open access articles and official documents addressing relevant health cooperation initiatives. Previously selected characteristics of actions designed to redress the shortage of doctors were compared. It was concluded that the interactions between the three countries were fruitful and potentially beneficial for the health of the population of these countries. South-South cooperation between these countries showed positive results in the educational and regulatory dimensions and adopted a non-dependence perspective that seeks to strengthen endogenous capacity, which are important factors for evaluating the structural components of health systems.

The Congruence of Vocational Interests and the Workplace Environment: Reducing the Language Teacher Shortage

Science.gov (United States)

Swanson, Peter B.

2012-01-01

There is a shortage of second/foreign language (S/FL) teachers in many parts of the world, and the rates of attrition are cause for alarm in North America. Canadian and US teachers' (N = 323) were administered the Self-Directed Search vocational interest inventory and the Coping in Stressful Situations scale. Results from this quantitative study…

40 CFR 1051.305 - How must I prepare and test my production-line vehicles or engines?

Science.gov (United States)

2010-07-01

... production-line vehicles or engines? 1051.305 Section 1051.305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS CONTROL OF EMISSIONS FROM RECREATIONAL ENGINES AND VEHICLES Testing Production-Line Vehicles and Engines § 1051.305 How must I prepare and test my production...

Alarm bells [Power supply shortage in the Northeast in the 1990's

International Nuclear Information System (INIS)

Ray, M.

1989-01-01

This article addresses the differing opinions of the Department of Energy(US DOE) and the leaders of the Senate Energy Committee versus utilities and state regulators on whether there will be a power-supply shortage in the Northeast in the 1990's and what should be done to avoid it. Also addressed is where the whole utility industry stands regarding decisions by regulators and governing bodies on competition, independent power plants, transmission and wholesale sales of power and building new nuclear plants

76 FR 45268 - Center for Drug Evaluation and Research, Approach to Addressing Drug Shortage; Public Workshop

Science.gov (United States)

2011-07-28

...] Center for Drug Evaluation and Research, Approach to Addressing Drug Shortage; Public Workshop AGENCY... Administration (FDA) is announcing a public workshop regarding the approach of the Center for Drug Evaluation and..., and to gain additional insight from, professional societies, patient advocates, industry, consumer...

Addressing the impact of economic sanctions on Iranian drug shortages in the joint comprehensive plan of action: promoting access to medicines and health diplomacy.

Science.gov (United States)

Setayesh, Sogol; Mackey, Tim K

2016-06-08

The U.S Congress initiated sanctions against Iran after the 1979 U.S. Embassy hostage crisis in Tehran, and since then the scope of multilateral sanctions imposed by the United States, the European Union, and the United Nations Security Council have progressively expanded throughout the intervening years. Though primarily targeted at Iran's nuclear proliferation activities, sanctions have nevertheless resulted in negative public health outcomes for ordinary Iranian citizens. This includes creating vital domestic shortages to life-saving medicines, leaving an estimated 6 million Iranian patients with limited treatment access for a host of diseases. Sanctions have also crippled Iran's domestic pharmaceutical industry, leading to the disruption of generic medicines production and forcing the country to import medicines and raw materials that are of lower or questionable quality. Countries such as the United States have responded to this medical crisis by implementing export control exemptions with the aim of easing the trade of humanitarian goods (including certain pharmaceuticals and medical devices). However, despite these efforts, pharmaceutical firms and international banking institutions remain cautious about doing business with Iran, leaving the country faced with continuing shortages. We conducted a review of key characteristics of the Iranian drug shortage that identified 73 shortage drugs that closely tracked with the disease burden in the country. Additionally, 44 % of these drugs were also classified as essential medicines by the World Health Organization. A vast majority of these drugs were also covered under export control exemptions that theoretically should make them easier to procure, but nevertheless will still in shortage. Based on our review of the sanctions regulatory framework and key characteristics of the Iranian drug shortage, we propose policy intervention leveraging the recently negotiated P5 + 1 agreement that begins the process of

Addressing the primary care physician shortage in an evolving medical workforce

Directory of Open Access Journals (Sweden)

Lakhan Shaheen E

2009-05-01

Full Text Available Abstract Background Primary care physicians have been shown to play an important role in the general health of the communities in which they serve. In spite of their importance, however, there has been a decrease in the number of physicians interested in pursuing primary care fields, while the proportion of specialists continues to increase. The prediction of an overall physician shortage only augments this issue in the US, where this uneven distribution is particularly evident. As such, serious effort to increase the number of practicing primary care physicians is both necessary and beneficial for meeting this country's health care needs. Discussion There are several factors at play which contribute to the decrease in the number of practicing physicians in primary specialties. Lifestyle concerns, such as schedule and income, as well as the lack of prestige associated with this field seem to be among the most prevalent reasons cited for the diminishing interest. Multifaceted concerns such as these, however, are difficult to adequately invalidate; doing so would not only require a great deal research, but also a good deal of time – a resource which is in short supply given the current physician shortage being faced. Thus, a more immediate solution may lie in the increased recruitment and continued support of those individuals who are already associated with primary care service. This is particularly relevant given the Association of American Medical College's goal of increasing medical school enrollment by 15% over the next 10 years. Several groups have been shown to be large contributors to primary care in the US. Here, we focus on three such groups: minority students, International Medical Graduates (IMGs and Osteopathic Physicians (DOs. Although these groups are highly diverse individually, they all share the distinction of being underutilized in regard to the current primary care shortages faced. Thus, through more fully accentuating these

School age test or procedure preparation

Science.gov (United States)

... your child with books, bubbles, games, hand-held video games, or other activities. PLAY PREPARATION Children often avoid ... using this type of communication. Older children may benefit from videos that show children of the same age explaining, ...

Preparation results for lifetime test of conversion LEU fuel in plutonium production reactors

International Nuclear Information System (INIS)

Vatulin, A.; Stetskiy, Yu.; Kukharkin, N.; Kalougin, A.; Gavrilov, P.; Ivanov, A.

1999-01-01

The program of converting Russian production reactors for the purpose to stop their plutonium fabrication is currently in progress. The program also provides for operation of these reactors under the conversion mode with using of low-enriched fuel (LEU). LEU fuel elements were developed and activities related to their preparation for reactor tests were carried out. (author)

The FDA Unapproved Drugs Initiative: An Observational Study of the Consequences for Drug Prices and Shortages in the United States.

Science.gov (United States)

Gupta, Ravi; Dhruva, Sanket S; Fox, Erin R; Ross, Joseph S

2017-10-01

Hundreds of drug products are currently marketed in the United States without approval from the FDA. The 2006 Unapproved Drugs Initiative (UDI) requires manufacturers to remove these drug products from the market or obtain FDA approval by demonstrating evidence of safety and efficacy. Once the FDA acts against an unapproved drug, fewer manufacturers remain in the market, potentially enabling drug price increases and greater susceptibility to drug shortages. There is a need for systematic study of the UDI's effect on prices and shortages of all targeted drugs. To examine the clinical evidence for approval and association with prices and shortages of previously unapproved prescription drugs after being addressed by the UDI. Previously unapproved prescription drugs that faced UDI regulatory action or with at least 1 product that received FDA approval through manufacturers' voluntary compliance with the UDI between 2006 and 2015 were identified. The clinical evidence was categorized as either newly conducted clinical trials or use of previously published literature and/or bioequivalence studies to demonstrate safety and efficacy. We determined the change in average wholesale price, presence of shortage, and duration of shortage for each drug during the 2 years before and after UDI regulatory action or approval through voluntary compliance. Between 2006 and 2015, 34 previously unapproved prescription drugs were addressed by the UDI. Nearly 90% of those with a drug product that received FDA approval were supported by literature reviews or bioequivalence studies, not new clinical trial evidence. Among the 26 drugs with available pricing data, average wholesale price during the 2 years before and after voluntary approval or UDI action increased by a median of 37% (interquartile range [IQR] = 23%-204%; P Innovation; from the Blue Cross Blue Shield Association to better understand medical technology evidence generation; from the Centers for Medicare & Medicaid Services to

[The principle of registration, evaluation and testing of disinfecting preparations].

Science.gov (United States)

Röhm-Rodowald, Ewa; Jakimiak, Bozenna; Podgórska, Marta

2008-01-01

Disinfectants are used to produce a state in which the number of living micro-organisms has been reduced to a level which is appropriate to the practical situation. For any products which are included in the Biocidal Directive 98/8/EC, for which specific activity is claimed, test data has to be approved by the regulatory authority and a product license obtained before the product can be offered for sale. Disinfectants can be recorded as biocidal products or medical devices. Presently, it is possible to measure the activity of a product on defined micro-organisms in specified experimental conditions. Efficacy is the result of the use of a product according to a defined application. To allow different requirements in different areas of application, separate tests and pass criteria have been or will be prepared for each of following three areas of application: medical, veterinary and group comprising food, industrial, domestic and institutional areas. The laboratory methods to be used for testing the activity of chemical disinfectants meets the European standards. The tests are categorised on a modular basis as follows: phase 1 tests, phase 2 step 1 tests, phase 2 step 2 tests and phase 3 tests. In order to claim that a product has disinfectant properties, suitable for use in the medical area, the product shall be tested according to European standards: phase 2 step 1 tests, phase 2 step 2 tests. Phase 1 tests are not required to support claims for chemical disinfectants used in human medicine. Only phase 1 tests are required to support claims for active substances for which no particular area of application is specified. Medical devices are subjects to the European Directive 93/42/EEC which requires that a product must carry a CE mark. Disinfectants which are intended specifically by its manufacturer to be used on medical devices are themselves medical devices and so these products, as well as conforming to the instrument disinfection European standards as specified

Two Birds with One Social Policy Stone: Youth Employment and Regional Skills Shortages in Australia

Science.gov (United States)

Pyke, Joanne; Bertone, Santina; Grace, Marty; Broadbent, Robyn

2007-01-01

In June 2005, the Victorian State Government introduced the Regional Jobs Package (RJP)--a twelve-month pilot program that attempted to kill two social policy problems with one stone. The problems were youth unemployment and skills shortages in regional areas of Victoria, Australia. The intention of the RJP was to create a "win-win"…

Standard practice for preparing, cleaning, and evaluating corrosion test specimens

CERN Document Server

American Society for Testing and Materials. Philadelphia

2003-01-01

1.1 This practice covers suggested procedures for preparing bare, solid metal specimens for tests, for removing corrosion products after the test has been completed, and for evaluating the corrosion damage that has occurred. Emphasis is placed on procedures related to the evaluation of corrosion by mass loss and pitting measurements. (Warning—In many cases the corrosion product on the reactive metals titanium and zirconium is a hard and tightly bonded oxide that defies removal by chemical or ordinary mechanical means. In many such cases, corrosion rates are established by mass gain rather than mass loss.) 1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see 1 and 7.2.

Exacerbating Staff Shortages and Student Dissatisfaction? The Impact of AACSB Accreditation on Faculty Recruitment in Australia

Directory of Open Access Journals (Sweden)

Margaret Lightbody

2010-09-01

Full Text Available Australian accounting schools are widely perceived to be experiencing a staffing shortage. Many accountingschools are now seeking AACSB accreditation. There has been no consideration in the accounting literatureof how such accreditation might impact on the future ability of accounting schools to attract the ex-practiceaccountants that have traditionally comprised the majority of their faculty recruits. To examine suchimplications, this paper presents an interpretive case study of an Australian business school which is in theprocess of applying for AACSB accreditation. The paper argues that an implication of the increasinglyinflexible work environment driven by AACSB accreditation may be that academia becomes a less attractiveworkplace for ex-practitioner faculty. This may further exacerbate existing academic staff shortages andreduce diversity and professional knowledge within accounting schools, with consequent implications forteaching, student engagement, and industry engagement. This in turn may have long term ramifications forthe ability of the universities to attract students and thus earn the tuition fees on which they currently rely.

Impact of canal water shortages on groundwater in the Lower Bari Doab Canal system in Pakistan

International Nuclear Information System (INIS)

Shakir, A.S.; Rehman, H.U.; Khan, N.M.; Qazi, A.U.

2011-01-01

This paper presents rigorous analysis of shortage of canal water supplies, crop water requirements, and groundwater use and its quality in the command of Lower Bari Doab Canal, Pakistan. The annual canal water supplies are 36% less than the crop water requirements. This shortage further increases to 56% if actual canal supplies (averaged over last ten years) are compared with the crop water requirement. The groundwater levels are depleting at the rate of 30 to 40 cm per year in most parts of the LBDC command and this tendency of lowering may increase in future due to further increase in crop water requirements. The analysis of data for the last seven years indicate that quality of groundwater in most parts of LBDC command is generally good (64% of the area) or marginally acceptable (28%) for irrigation use. However, declining trends in groundwater quality are visible and can create long term sustain ability problems if proper remedial actions are not taken well in time. (author)

More and Better Prepared Teachers, More and Better Prepared Majors

Science.gov (United States)

Stewart, Gay

2010-02-01

A more scientifically literate society benefits physics as a profession. It is best realized by better serving all undergraduate physics students. Arguably, the most important are future K-12 teachers. In better serving all students, the department also benefits. University of Arkansas, Fayetteville has seen a drastic change in number of majors, the number of students active in research and the number of graduates pursuing graduate work while also increasing the number of majors who decide to teach. Building these numbers and strengthening these resources at Arkansas began with an NSF course revision project, grew as a we became primary program institution in the Physics Teacher Education Coalition (www.PTEC.org), received a Noyce Scholarship grant, and now continues in our building of an NSF Math Science Partnership utilizing our experiences coupled with PTRA materials, and expanding our efforts to Mathematics. Through APLU's SMTI, we are making changes in chemistry as well. These efforts will be discussed, with additional information on PTEC which is bringing together innovative ideas and practices throughout the country to help meet the critical shortage of well prepared and actively supported teachers. )

Geometric representation of the mean-variance-skewness portfolio frontier based upon the shortage function

OpenAIRE

Kerstens, Kristiaan; Mounier, Amine; Van de Woestyne, Ignace

2008-01-01

The literature suggests that investors prefer portfolios based on mean, variance and skewness rather than portfolios based on mean-variance (MV) criteria solely. Furthermore, a small variety of methods have been proposed to determine mean-variance-skewness (MVS) optimal portfolios. Recently, the shortage function has been introduced as a measure of efficiency, allowing to characterize MVS optimalportfolios using non-parametric mathematical programming tools. While tracing the MV portfolio fro...

Reduce shortage with self-reservation policy for a manufacturer paying both fixed and variable stockout expenditure

NARCIS (Netherlands)

Huang, B.; Wu, A.

2017-01-01

This study considers a single item make-to-stock system with continuous-time production and inventory controls to meet bulk demand with an exponential inter-arrival time. A key issue in this system is the non-convex shortage cost consisting of fixed and variable expenditures when the demand is not

Fragrance patch tests prepared in advance may give false-negative reactions.

Science.gov (United States)

Mowitz, Martin; Svedman, Cecilia; Zimerson, Erik; Bruze, Magnus

2014-11-01

Several of the ingredients in fragrance mix I (FM I) have been shown to evaporate from petrolatum preparations applied in test chambers to an extent that can be suspected to affect the patch test result. To compare the reactivity towards FM I and fragrance mix II (FM II) when they are applied in test chambers in advance and immediately prior to the patch test occasion. Seven hundred and ninety-five consecutive patients were simultaneously patch tested with duplicate samples of FM I and FM II. One sample was applied in the test chamber 6 days in advance (6D sample), and the other sample was applied immediately before the patients were patch tested (fresh sample). Twenty-two (2.8%) patients reacted exclusively to the fresh sample of FM I, 6 (0.7%) reacted exclusively to the 6D sample, and 22 (2.8%) reacted to both samples. The corresponding numbers for FM II were 9 (1.1%) for the fresh sample, 6 (0.7%) for the 6D sample and 12 (1.5%) for both samples. There was a statistically significant difference between the numbers of patients reacting to the fresh and 6D samples of FM I. No corresponding difference was observed for FM II. This can probably be explained by differences in volatilities between the ingredients of FM I and FM II. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Radiographers supporting radiologists in the interpretation of screening mammography: a viable strategy to meet the shortage in the number of radiologists

International Nuclear Information System (INIS)

Torres-Mejía, Gabriela; Smith, Robert A.; Carranza-Flores, María de la Luz; Bogart, Andy; Martínez-Matsushita, Louis; Miglioretti, Diana L.; Kerlikowske, Karla; Ortega-Olvera, Carolina; Montemayor-Varela, Ernesto; Angeles-Llerenas, Angélica; Bautista-Arredondo, Sergio; Sánchez-González, Gilberto; Martínez-Montañez, Olga G.; Uscanga-Sánchez, Santos R.; Lazcano-Ponce, Eduardo; Hernández-Ávila, Mauricio

2015-01-01

An alternative approach to the traditional model of radiologists interpreting screening mammography is necessary due to the shortage of radiologists to interpret screening mammograms in many countries. We evaluated the performance of 15 Mexican radiographers, also known as radiologic technologists, in the interpretation of screening mammography after a 6 months training period in a screening setting. Fifteen radiographers received 6 months standardized training with radiologists in the interpretation of screening mammography using the Breast Imaging Reporting and Data System (BI-RADS) system. A challenging test set of 110 cases developed by the Breast Cancer Surveillance Consortium was used to evaluate their performance. We estimated sensitivity, specificity, false positive rates, likelihood ratio of a positive test (LR+) and the area under the subject-specific Receiver Operating Characteristic (ROC) curve (AUC) for diagnostic accuracy. A mathematical model simulating the consequences in costs and performance of two hypothetical scenarios compared to the status quo in which a radiologist reads all screening mammograms was also performed. Radiographer’s sensitivity was comparable to the sensitivity scores achieved by U.S. radiologists who took the test but their false-positive rate was higher. Median sensitivity was 73.3 % (Interquartile range, IQR: 46.7–86.7 %) and the median false positive rate was 49.5 % (IQR: 34.7–57.9 %). The median LR+ was 1.4 (IQR: 1.3-1.7 %) and the median AUC was 0.6 (IQR: 0.6–0.7). A scenario in which a radiographer reads all mammograms first, and a radiologist reads only those that were difficult for the radiographer, was more cost-effective than a scenario in which either the radiographer or radiologist reads all mammograms. Given the comparable sensitivity achieved by Mexican radiographers and U.S. radiologists on a test set, screening mammography interpretation by radiographers appears to be a possible adjunct to radiologists

Reduce, reuse and recycle: A green solution to Canada's medical isotope shortage

International Nuclear Information System (INIS)

Galea, R.; Ross, C.; Wells, R.G.

2014-01-01

Due to the unforeseen maintenance issues at the National Research Universal (NRU) reactor at Chalk River and coincidental shutdowns of other international reactors, a global shortage of medical isotopes (in particular technetium-99m, Tc-99m) occurred in 2009. The operation of these research reactors is expensive, their age creates concerns about their continued maintenance and the process results in a large amount of long-lived nuclear waste, whose storage cost has been subsidized by governments. While the NRU has since revived its operations, it is scheduled to cease isotope production in 2016. The Canadian government created the Non-reactor based medical Isotope Supply Program (NISP) to promote research into alternative methods for producing medical isotopes. The NRC was a member of a collaboration looking into the use of electron linear accelerators (LINAC) to produce molybdenum-99 (Mo-99), the parent isotope of Tc-99m. This paper outlines NRC’s involvement in every step of this process, from the production, chemical processing, recycling and preliminary animal studies to demonstrate the equivalence of LINAC Tc-99m with the existing supply. This process stems from reusing an old idea, reduces the nuclear waste to virtually zero and recycles material to create a green solution to Canada's medical isotope shortage. - Highlights: • Commercial power electron accelerators are realistic option to produce 99 Mo. • Could cover national demand of Canada. • Demonstrate LINAC- 99 Mo as environmental and economical solution to isotope crisis. • Demonstrate LINAC- 99m Tc to be clinically equivalent to current fission- 99m Tc supply

Applying the International Medical Graduate Program Model to Alleviate the Supply Shortage of Accounting Doctoral Faculty

Science.gov (United States)

HassabElnaby, Hassan R.; Dobrzykowski, David D.; Tran, Oanh Thikie

2012-01-01

Accounting has been faced with a severe shortage in the supply of qualified doctoral faculty. Drawing upon the international mobility of foreign scholars and the spirit of the international medical graduate program, this article suggests a model to fill the demand in accounting doctoral faculty. The underlying assumption of the suggested model is…

Hospital Staff Shortage after the 2011 Triple Disaster in Fukushima, Japan-An Earthquake, Tsunamis, and Nuclear Power Plant Accident: A Case of the Soso District.

Science.gov (United States)

Ochi, Sae; Tsubokura, Masaharu; Kato, Shigeaki; Iwamoto, Shuichi; Ogata, Shinichi; Morita, Tomohiro; Hori, Arinobu; Oikawa, Tomoyoshi; Kikuchi, Antoku; Watanabe, Zenjiro; Kanazawa, Yukio; Kumakawa, Hiromi; Kuma, Yoshinobu; Kumakura, Tetsuo; Inomata, Yoshimitsu; Kami, Masahiro; Shineha, Ryuzaburo; Saito, Yasutoshi

2016-01-01

In 2011, Fukushima was struck by a triple disaster: an earthquake, tsunamis, and a nuclear accident. In the aftermath, there was much fear among hospital staff members about radiation exposure and many staff members failed to report to work. One objective is to measure this shortage in hospital staff and another is to compare the difference in recovery by hospital types and by categories of hospital staff. The monthly records of the number of staff members from May 2011 to September 2012 were extracted anonymously from the records of 7 local hospitals in the Soso district in Fukushima. Change in the number of staff was analyzed. Staff shortages at hospitals reached a maximum within one month after the disaster (47% reported to work). The shortage of clerks was the most severe (38% reported to work), followed by nurses (48% reported to work). The shortages remained even 18 months after the disaster. After a disaster in which the damage to hospital functions surpasses the structural damage, massive support of human resources in the acute phase and a smaller volume of support in the mid-term phase appear to be required, particularly for non-medical staff.

Effective Factors on Shortage of Breastfeeding According to Iranian Traditional Medicine.

Science.gov (United States)

Ghorat, Fereshteh; Nejatbakhsh, Fatemeh; Ahmadi, Mohammad; Namazi, Nazli

2016-05-01

Support for breastfeeding is a public health priority. One of the major factors that can negatively affect breastfeeding is the lack of breast milk. There are many instructions on the subject of breast milk in Iranian traditional medicine resources. This article attempts to investigate causes and reasons for the lack of breast milk from the perspective of the great scholars in this field. This study reviews the literature based on the Iranian traditional medicine. The literature review included traditional medicine resources and a survey of reputable databases using keywords such as "morzae", "sady", "pestan", "sheer", "sheerkhar", and "hifzossehhe". The content analysis was used after collecting data. According to the viewpoint stated in traditional medicine literature, the primary substance for milk production is blood that transforms to milk after crossing the breast glandular tissue. The main causes of milk shortage can be classified into four categories, namely food-related factors, factors related to blood impaired, factors related to breast tissue and psychological and physical factors. One of the main reasons for milk shortage is the impaired quality and quantity of food. Appropriate mizaj of breast tissue is required for adequate milk production as it develops sufficient ability to absorb and transform the substance into milk. On the other hand, the ability of breast tissue is greatly influenced by the main organs of the body, particularly the heart; being the core of understanding psychological factors. Thus, psychological factors can have a significant effect on the process of milk production. Due to the importance of breastfeeding, reflection on other viewpoints, such as those mentioned in Iranian traditional medicine, could pave the way towards new research areas. It could also steer policies towards an extra focus on breastfeeding by mothers.

Computer Forensic Function Testing: Media Preparation, Write Protection And Verification

Directory of Open Access Journals (Sweden)

Yinghua (David Guo

2010-06-01

Full Text Available Normal 0 false false false EN-US JA AR-SA The growth in the computer forensic field has created a demand for new software (or increased functionality to existing software and a means to verify that this software is truly forensic i.e. capable of meeting the requirements of the trier of fact. In this work, we review our previous work---a function oriented testing framework for validation and verification of computer forensic tools. This framework consists of three parts: function mapping, requirements specification and reference set development. Through function mapping, we give a scientific and systemical description of the fundamentals of computer forensic discipline, i.e. what functions are needed in the computer forensic investigation process. We focus this paper on the functions of media preparation, write protection and verification. Specifically, we complete the function mapping of these functions and specify their requirements. Based on this work, future work can be conducted to develop corresponding reference sets to test any tools that possess these functions.

A systematic review on the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings.

Science.gov (United States)

Gi, Toh Shir; Devi, Kamala M; Neo Kim, Emily Ang

2011-01-01

Nursing shortage is a global issue that which affects oncology nursing. Oncology nurses are more prone to experience job dissatisfaction, stress and burnout when they work in units with poor staffing. There is thus a need for greater understanding of the relationship between the nursing shortage and nursing outcomes in oncology/haematology settings. This review aimed to establish the best available evidence concerning the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings; and to make recommendations for practice and future research. Types of participants: This review considered studies that included oncology registered nurses (RNs) who were more than 18 years of age and worked in either inpatient or outpatient oncology/haematology wards or units for the adult or paediatric patients.Types of intervention: This review considered studies that evaluated the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings.Types of outcomes: This review included studies that measured job satisfaction, stress and burnout levels using different outcomes measures. Job satisfaction was determined by the Measure of Job Satisfaction scale, the Misener Nurse Practitioner Job Satisfaction Scale and the Likert scale, stress by the Pediatric Oncology Nurse Stressor Questionnaire and burnout by the Maslash Burnout Inventory scale.Types of studies: This review included descriptive/descriptive-correlational studies which were published in English. The search strategy sought to identify published and unpublished studies conducted between 1990 and 2010. Using a three-step search strategy, the following databases were accessed: CINAHL, Medline, Scopus, ScienceDirect, PsycInfo, PsycArticles, Web of Science, The Cochrane Library, Proquest and Mednar. Two independent reviewers assessed each paper for methodological validity prior to inclusion in

Teacher Shortages in Urban Schools: The Role of Traditional and Alternative Certification Routes in Filling the Voids.

Science.gov (United States)

Ng, Jennifer C.

2003-01-01

Examines the impact of teacher recruitment approaches via university-based and alternative certification programs. Asserts that traditional and alternative certification efforts are by themselves limited in their potential to address the problem of teacher shortages in urban schools. Suggests that an organizational view of schools, which looks…

Use of the radiometric method at creation cell test-systems for pre-screening of anticancer preparations

International Nuclear Information System (INIS)

Kuznetsova, N.N.; Khashimova, Z.S.; Sadikov, A.A.

2004-01-01

Full text: Development of cancer chemotherapy is tightly bound with investigation of biological activity of different compounds on in vitro test systems. Our research has been directed on definition of sensitivity of the cell line KML removed by us from passed of mice melanoma B-16. We had been investigated action of 18 clinical antineoplastic preparations of different classes: alkylating - sarcolysinum, thiophosphamide, dopan, fhthordopan; antimetabolites - cytararibinum, methotrexatum, 6-mercaptopurinum, 5-fhthorouracilum, fhthorafur; antineoplastic antibiotics- adriamycinum, neomycinum, rubomycinum, bruneomycinum, carminomycinum, olivomycinum; plant substances - vinblastinum, colchaminum (component of ointment which used at treatment of skin cancer) and other - carboplatin. Cytotoxic effect of preparations estimated two methods - radiometric on inclusion of 3H - timidine in cells and spectrophotometric by definition of total amount nucleic acids and protein. For this purpose KML cells passed in quantity of 120 thousand in 3 ml of nutrient medium RPMI 1640, 10 % calf embryo serum in bottles and after 24 hours entered substances in dozes from 0,01 up to 100 μg/ml. Contact of substances to cells was 24 hours, then 10 μ Ci 3 H - timidine was injected on bottles at 1 hour. Cells transferred on GFC-filters, washed from not connected label. Filters transferred in scintillation liquid and a level of a radio-activity determined on β-counter. All tested clinical preparations appeared active within the criteria of activity, thus the radiometric method was more sensitive, than spectrophotometric. Thus, testing results of model have shown that stable cell line KML was sensitive to action of 18 clinical preparations with various mechanisms of action by different estimations of damaging action. This model can be used for biological activity of new potential cancerolytics pre-screening. This work was supported by the Center of Science and Technology of the Republic of

Steps Leading to an Ethnographic Analysis of Mothers Preparing Children for a Memory Test.

Science.gov (United States)

Rogoff, Barbara; Gardner, William P.

In this study four research strategies used in previous studies of the socialization of cognitive skills were first contrasted and then assessed in terms of five criteria. (The data base for this study was 32 videotapes of mothers preparing their 7- or 9-year-old children to take a memory test.) The four strategies (frequency coding, fine-grained…

Test Preparation: Your Role

Science.gov (United States)

... eating cooked meat may be required since some studies have shown that eating cooked meat prior to testing can temporarily increase the level of creatinine. Fecal occult blood test : certain food and/or medication restrictions may be required. Urine ...

The analysis on the extreme water shortage event in Hangzhou in 1247 AD and its natural and social backgrounds

Science.gov (United States)

Liu, Haolong

2017-04-01

Yangtze River Delta locating in the north subtropics of China, is famous for numerous rivers and lakes. Because of East Asian monsoon rainfall, flood is always the most primary disaster in this area during the past 2000 years. However, there were also several extreme water shortage events in the history. Example in Hangzhou in 1247 AD was such a typical year in the area. In the paper, the severity of this extreme event and the closely tied spatiotemporal variation of drought in Yangtze River Delta was quantitatively analyzed on the basis of documentary records during Southern Song Dynasty. Furtherly, its natural and social backgrounds was discussed. The result s are summarized as follows: 1) Wells, canals and West Lake of Hangzhou dried up in 1247 AD. The water level of canals was about 1.32-2.64 m lower than that in the normal year. The reduction of storage capacity in West Lake was 21 million stere or so. 2) The droughts in Yangtze River Delta was moderate on the whole, but that in the west of Zhejiang Province was severe. The drought in Hangzhou lasted from the 2nd lunar month to the end of this year. 3) The water shortage event was closely related to the quick going north and farther northern location of summer rain belt. The descending sea-level weakening the tide in Qiantang River, can also reduce the supply of water resources. 4) The quick growth of urban population, excessive aquaculture, and ineffective government supervision played an important social role in the process of this event. In the all, this extreme water shortage event was the result of both natural and social factors. This research is very helpful for the futuristic water resource forecast in Yangtze River Delta, and it also affords us lessons on the risk management and heritage conservation that merit attention. Key Words: Hangzhou, 1247 AD, water shortage, canal, West Lake, natural factors, social factors

Predicted shortage of vascular surgeons in the United Kingdom: A matter for debate?

Science.gov (United States)

Harkin, D W; Beard, J D; Shearman, C P; Wyatt, M G

2016-10-01

Vascular surgery became a new independent surgical specialty in the United Kingdom (UK) in 2013. In this matter for debate we discuss the question, is there a "shortage of vascular surgeons in the United Kingdom?" We used data derived from the "Vascular Surgery United Kingdom Workforce Survey 2014", NHS Employers Electronic Staff Records (ESR), and the National Vascular Registry (NVR) surgeon-level public report to estimate current and predict future workforce requirements. We estimate there are approximately 458 Consultant Vascular Surgeons for the current UK population of 63 million, or 1 per 137,000 population. In several UK Regions there are a large number of relatively small teams (3 or less) of vascular surgeons working in separate NHS Trusts in close geographical proximity. In developed countries, both the number and complexity of vascular surgery procedures (open and endovascular) per capita population is increasing, and concerns have been raised that demand cannot be met without a significant expansion in numbers of vascular surgeons. Additional workforce demand arises from the impact of population growth and changes in surgical work-patterns with respect to gender, working-life-balance and 7-day services. We predict a future shortage of Consultant Vascular Surgeons in the UK and recommend an increase in training numbers and an expansion in the UK Consultant Vascular Surgeon workforce to accommodate population growth, facilitate changes in work-patterns and to create safe sustainable services. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

Trafficking in human beings as an enterprise: : Highlighting key questions about data shortage on the business side

NARCIS (Netherlands)

Muraszkiewicz, J.; Watson, H; Wadwa, K.; de Hert, Paul

2015-01-01

Researchers and policymakers face a shortage of data on the business side of human trafficking. This inevitably leads to problems when trying to combat this crime. Questions such as: who is involved in trafficking, how do they operate, what is their relationship with organised crime groups (or other

Health system's response for physician workforce shortages and the upcoming crisis in Ethiopia: a grounded theory research.

Science.gov (United States)

Assefa, Tsion; Haile Mariam, Damen; Mekonnen, Wubegzier; Derbew, Miliard

2017-12-28

A rapid transition from severe physician workforce shortage to massive production to ensure the physician workforce demand puts the Ethiopian health care system in a variety of challenges. Therefore, this study discovered how the health system response for physician workforce shortage using the so-called flooding strategy was viewed by different stakeholders. The study adopted the grounded theory research approach to explore the causes, contexts, and consequences (at the present, in the short and long term) of massive medical student admission to the medical schools on patient care, medical education workforce, and medical students. Forty-three purposively selected individuals were involved in a semi-structured interview from different settings: academics, government health care system, and non-governmental organizations (NGOs). Data coding, classification, and categorization were assisted using ATLAs.ti qualitative data analysis scientific software. In relation to the health system response, eight main categories were emerged: (1) reasons for rapid medical education expansion; (2) preparation for medical education expansion; (3) the consequences of rapid medical education expansion; (4) massive production/flooding as human resources for health (HRH) development strategy; (5) cooperation on HRH development; (6) HRH strategies and planning; (7) capacity of system for HRH development; and (8) institutional continuity for HRH development. The demand for physician workforce and gaining political acceptance were cited as main reasons which motivated the government to scale up the medical education rapidly. However, the rapid expansion was beyond the capacity of medical schools' human resources, patient flow, and size of teaching hospitals. As a result, there were potential adverse consequences in clinical service delivery, and teaching learning process at the present: "the number should consider the available resources such as number of classrooms, patient flows

Reading Comprehension in Test Preparation Classes: An Analysis of Teachers' Pedagogical Content Knowledge in TESOL

Science.gov (United States)

Irvine-Niakaris, Christine; Kiely, Richard

2015-01-01

This article examines the pedagogical content knowledge which underpins the practices in reading lessons of experienced teachers in test preparation classes. It takes as a starting point the assumption that practice is shaped by teacher cognitions, which are established through professional training and classroom experience. Thus, the study…

A fuzzy inventory model with acceptable shortage using graded mean integration value method

Science.gov (United States)

Saranya, R.; Varadarajan, R.

2018-04-01

In many inventory models uncertainty is due to fuzziness and fuzziness is the closed possible approach to reality. In this paper, we proposed a fuzzy inventory model with acceptable shortage which is completely backlogged. We fuzzily the carrying cost, backorder cost and ordering cost using Triangular and Trapezoidal fuzzy numbers to obtain the fuzzy total cost. The purpose of our study is to defuzzify the total profit function by Graded Mean Integration Value Method. Further a numerical example is also given to demonstrate the developed crisp and fuzzy models.

How to prepare water accommodated fractions from petroleum hydrocarbons for use in aquatic toxicity testing - the basics

International Nuclear Information System (INIS)

Blenkinsopp, S.; Boileau, P.; Kyle, D.; Sergy, G.; Fingas, M.

1996-01-01

A method to prepare water accommodated fractions (WAFs) from petroleum products for use in toxicity testing, was introduced. In order to develop a repeatable protocol, a systematic study of a range of experimental variables was conducted. One semi-solid oil and six liquid oils were exposed to artificial seawater. Studies were also performed on three liquid oils exposed to freshwater. Low energy mixing and fluorinated Nalgene carboys was used to produce the WAFs. The mixing time depended on the oil type and loading rate. Individual loading rates were prepared for each concentration, because WAF composition is influenced by loading rate rather than serial dilution. An overview of the basic concepts of WAF preparation was described. A draft protocol for preparing WAFs from liquid and semi-solid oil was also described and results were summarized. 5 refs., 3 tabs., 6 figs

Some aspects of preparation and testing of group constants group constant system ABBN-90

International Nuclear Information System (INIS)

Nikolaev, M.N.; Tsiboulia, A.M.; Manturov, G.N.

1996-01-01

This paper presents an overview of activities performed to prepare and test the group constants ABBN-90. The ABBN-90 set is designed for application calculations of fast, intermediate and thermal nuclear reactors. The calculations of subgroup parameters are discussed. The processing code system GRUCON is mentioned in comparison to the NJOY code system. Proposals are made for future activities. (author). Figs, tabs

Is physical water scarcity a new phenomenon? Global assessment of water shortage over the last two millennia

NARCIS (Netherlands)

Kummu, M.S.; Ward, P.J.; de Moel, H.; Varis, O.

2010-01-01

In this letter we analyse the temporal development of physical population-driven water scarcity, i.e. water shortage, over the period 0 AD to 2005 AD. This was done using population data derived from the HYDE dataset, and water resource availability based on the WaterGAP model results for the period

Demonstration project: Load management on the user side at power shortages

International Nuclear Information System (INIS)

Lindskoug, Stefan

2005-10-01

The risk for power shortages during extreme cold weather has increased in Sweden. Comments are made that high electricity spot prices are important for holding down the demand. Through the consumers' higher price sensitivity, the electricity system can be operated with lower reserve capacity. The objective of the demonstration project is to show methods for reducing the electricity demand at the national level at high spot prices. An important prerequisite is that the measures must be profitable for all parties involved. Four separate studies were made, two concerning households, one industry and one for the district heating sector. The conclusion from the studies is that load management on the customer's side is an economic alternative to investment in new production capacity

MobiQiyas: A Mobile Learning Standardized Test Preparation for Saudi Arabian Students

Directory of Open Access Journals (Sweden)

Mohssen Mohammed Alabbadi

2010-10-01

Full Text Available A mobile learning system, called MobiQiyas, for preparing Saudi Arabian students for one of the standardized tests, given by the National Center for Assessment in Higher Education (NCAHE, has been developed, using ready-made commercial products and tools. The learning material of MobiQiyas consists of practice questions with their answers, both provided by NCAHE, to be loaded by the students into their own mobile phones; after installation, the students can interact with MobiQiyas any number of times, as desired, without incurring any additional cost, other than the initial airtime cost for downloading. From total number of students taken the test, 20,000 students were randomly selected to use MobiQiyas and information was collected from them to measure their attitudes and participation of MobiQiyas. It was found that 36.1% of students had actually downloaded MobiQiyas successfully. Furthermore, a telephone survey was conducted, after the test period, on a class of 40 students in a secondary school in Riyadh, taking the same test, to measure their acceptance of MobiQiyas, using a 9-item questionnaire based on a 5-point Likert scale. The responses of the 40 students reflected high acceptance and satisfaction levels of MobiQiyas as an effective test prep tool.

Coordinating vendor-buyer decisions for imperfect quality items considering trade credit and fully backlogged shortages

Science.gov (United States)

Khanna, Aditi; Gautam, Prerna; Jaggi, Chandra K.

2016-03-01

Supply chain management has become a critical issue for modern business environments. In today's world of cooperative decision-making, individual decisions in order to reduce inventory costs may not lead to an overall optimal solution. Coordination is necessary among participants of supply chain to achieve better performance. There are legitimate and important efforts from the vendor to enhance the relation with buyer; one such effort is offering trade credit which has been a driver of growth and development of business between them. The cost of financing is a core consideration in effective financial management, in general and in context of business. Also, due to imperfect production a vendor may produce defective items which results in shortages. Motivated with these aspects, an integrated vendor-buyer inventory model is developed for imperfect quality items with allowable shortages; in which the vendor offers credit period to the buyer for payment. The objective is to minimize the total joint annual costs incurred by the vendor and the buyer by using integrated decision making approach. The expected total annual integrated cost is derived and a solution procedure is provided to find the optimal solution. Numerical analysis shows that the integrated model gives an impressive cost reduction, in comparison to independent decision policies by the vendor and the buyer.

Competence building capacity shortage

International Nuclear Information System (INIS)

Doorman, Gerard; Wangensteen, Ivar; Bakken, Bjoern

2005-02-01

The objective of the project 'Competence Building Capacity Shortage' has been 'to increase knowledge about central approaches aimed at solving the peaking capacity problem in restructured power systems'. With respect to reserve markets, a model was developed in the project to analyze the relations between reserve requirements and prices in the spot and reserve markets respectively. A mathematical model was also developed and implemented, which also includes the balance market, and has a good ability to predict the relations between these markets under various assumptions. With some further development, this model can be used fore realistic analyses of these markets in a Nordic context. It was also concluded that certain system requirements with respect to frequency and time deviation can be relaxed without adverse effects. However, the requirements to system bias, Frequency Activated Operating Reserves and Frequency Activated Contingency Reserves cannot be relaxed, the latter because they must cover the dimensioning fault in the system. On the other hand, Fast Contingency Reserves can be reduced by removing requirements to national balances. Costs can furthermore be reduced by increasingly adapting a Nordic as opposed to national approach. A model for stepwise power flow was developed in the project, which is especially useful to analyze slow power system dynamics. This is relevant when analysing the effects of reserve requirements. A model for the analysis of the capacity balance in Norway and Sweden was also developed. This model is useful for looking at the future balance under various assumptions regarding e.g. weather conditions, demand growth and the development of the generation system. With respect to the present situation, if there is some price flexibility on the demand side and system operators are able to use reserves from the demand side, the probability for load shedding during the peak load hour is close to zero under the weather conditions after

High temperature superconductivity: Concept, preparation and testing of high Tc superconductor compounds, and applications

International Nuclear Information System (INIS)

Harara, Wafik

1992-06-01

Many studies have been carried out on high temperature superconductors with transition temperature above that of the liquid nitrogen. In this scientific study the concept and the mechanism of this phenomena are discussed, in addition the examples of preparation and testing of high temperature superconductors compounds are shown. Also the most important applications in industry are explained. (author). 15 refs., 2 tabs., 18 figs

High-throughput preparation and testing of ion-exchanged zeolites

International Nuclear Information System (INIS)

Janssen, K.P.F.; Paul, J.S.; Sels, B.F.; Jacobs, P.A.

2007-01-01

A high-throughput research platform was developed for the preparation and subsequent catalytic liquid-phase screening of ion-exchanged zeolites, for instance with regard to their use as heterogeneous catalysts. In this system aqueous solutions and other liquid as well as solid reagents are employed as starting materials and 24 samples are prepared on a library plate with a 4 x 6 layout. Volumetric dispensing of metal precursor solutions, weighing of zeolite and subsequent mixing/washing cycles of the starting materials and distributing reaction mixtures to the library plate are automatically performed by liquid and solid handlers controlled by a single common and easy-to-use programming software interface. The thus prepared materials are automatically contacted with reagent solutions, heated, stirred and sampled continuously using a modified liquid handling. The high-throughput platform is highly promising in enhancing synthesis of catalysts and their screening. In this paper the preparation of lanthanum-exchanged NaY zeolites (LaNaY) on the platform is reported, along with their use as catalyst for the conversion of renewables

The crisis in leadership in the context of the nursing shortage and the increasing prevalence of nursing unions

Directory of Open Access Journals (Sweden)

Balogh-Robinson LL

2012-10-01

Full Text Available Latisha L Balogh-RobinsonMarist College, School of Global and Professional Programs, Poughkeepsie, NY, USAAbstract: Developing nurse leaders in a unionized environment presents unique challenges that are beyond those traditionally experienced in nonunion settings. This literature review examines multiple factors contributing to increasing nursing union membership, including population aging, the nursing shortage, and the relationship between leadership and staff engagement. Current trends in succession planning and leadership development are also highlighted. Job dissatisfaction related to the inability to provide quality care in the context of a protracted nursing shortage and current health care trends is identified as the driver in nursing union growth. The discussion that follows assumes current trends in nursing unionization will continue and proposes that adversarial relationships between management and union nurses will further amplify the dearth in leadership by reducing the pool of nurses willing to leave the union for nonunion leadership roles.Keywords: succession planning, baby boomer, staff engagement, population aging

Factors Affecting Result in Chinese Proficiency Test (HSK Level 6: Reading Section and Preparation Strategies

Directory of Open Access Journals (Sweden)

Sri Haryanti

2013-11-01

Full Text Available Chinese Proficiency Test (HSK is an internationally standardized exam which tests and rates Chinese language proficiency. The highest level in this test is level 6. The writing part of the test consists of 3 (three parts, namely, (1 listening, (2 reading, (3 writing. Furthermore, the reading part is made of 4 components. Level 6 of this test implies a high degree of difficulty. This paper specifically looked on how to prepare effectively for participants to be able to work on the reading part in order to achieve best result. This article used the methods of literature review and observational study as well as field research and would also incorporate the author’s personal experience in taking the test into recommending strategies for doing the reading part in a level 6 HSK test. Finally, research suggested several techniques and tips that might assist participants in achieving maximum scores in handling the reading part of level 6 HSK test.

Identifying Areas of Primary Care Shortage in Urban Ohio

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Hsin-Chung Liao

Full Text Available ABSTRACT: This study considers both spatial and a-spatial variables in examining accessibility to primary healthcare in the three largest urban areas of Ohio (Cleveland, Columbus, and Cincinnati. Spatial access emphasizes the importance of geographic barriers between individuals and primary care physicians, while a-spatial variables include non-geographic barriers or facilitators such as age, sex, race, income, social class, education, living conditions and language skills. Population and socioeconomic data were obtained from the 2000 Census, and primary care physician data for 2008 was provided by the Ohio Medical Board. We first implemented a two-step method based on a floating catchment area using Geographic Information Systems to measure spatial accessibility in terms of 30-minute travel times. We then used principal component analysis to group various socio-demographic variables into three groups: (1 socioeconomic disadvantages, (2 living conditions, and (3 healthcare needs. Finally, spatial and a-spatial variables were integrated to identify areas with poor access to primary care in Cleveland, Columbus, and Cincinnati. KEYWORDS: Geographic information systems, healthcare access, spatial accessibility, primary care shortage areas

Physical therapy workforce shortage for aging and aged societies in Thailand.

Science.gov (United States)

Kraiwong, Ratchanok; Vongsirinavarat, Mantana; Soonthorndhada, Kusol

2014-07-01

According to demographic changes, the size of the aging population has rapidly increased. Thailand has been facing the "aging society" since 2005 and the "aged society" has been projected to appear by the year 2025. Increased life expectancy is associated with health problems and risks, specifically chronic diseases and disability. Aging and aged societies and related specific conditions as stroke require the provision of services from health professionals. The shortage of the physical therapy workforce in Thailand has been reported. This study investigated the size of physical therapy workforce required for the approaching aging society of Thailand and estimated the number of needed physical therapists, specifically regarding stroke condition. Evidently, the issue of the physical therapy workforce to serve aging and aged societies in Thailand requires advocating and careful arranging.

Interim Canadian recommendations for the use of a fractional dose of yellow fever vaccine during a vaccine shortage

Science.gov (United States)

2016-01-01

Summary This statement outlines interim recommendations intended for use during yellow fever vaccine shortages only. The recommendations differ from the standard recommendations for yellow fever vaccination in the Canadian Immunization Guide and in the Committee to Advise on Tropical Medicine and Travel (CATMAT) Statement for Travellers and Yellow Fever. PMID:29770023

Understanding the pediatric dermatology workforce shortage: mentoring matters.

Science.gov (United States)

Admani, Shehla; Caufield, Maura; Kim, Silvia S; Siegfried, Elaine C; Friedlander, Sheila Fallon

2014-02-01

To target pediatric dermatologists directly in order to evaluate their current demographics and the most important motivating factors that influenced their career choice. Pediatric dermatology is one of the pediatric subspecialties with an inadequate supply to meet current patient needs. A survey was designed to evaluate the training pathway, employment status, participation in teaching, and clinical practice characteristics of pediatric dermatologists. The survey was administered to attendants of the 2010 Society for Pediatric Dermatology annual meeting. Any remaining board certified pediatric dermatologists who had not previously responded were queried via Survey Monkey. There was a 71% response rate. The majority chose a career in pediatric dermatology early, often prior to starting a dermatology residency. The vast majority of respondents noted mentorship as the most important influence on their decision to pursue a career in pediatric dermatology. The most common obstacles cited by respondents were financial hardship and resistance of some dermatology programs to accept applicants previously trained in pediatrics. Our survey provides evidence to support the importance of early exposure to the field and, most importantly, to committed pediatric dermatologists who can serve as mentors. This information may be helpful in approaching solutions to the workforce shortage in the field of pediatric dermatology. Copyright © 2014 Mosby, Inc. All rights reserved.

42 CFR Appendix F to Part 5 - Criteria for Designation of Areas Having Shortages of Pharmacy Professional(s)

Science.gov (United States)

2010-10-01

... of Pharmacy Professional(s) F Appendix F to Part 5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF..., App. F Appendix F to Part 5—Criteria for Designation of Areas Having Shortages of Pharmacy... of pharmacy professional(s) if the following three criteria are met: 1. The area is a rational area...

Basic considerations for the preparation of performance testing materials as related to performance evaluation acceptance criteria

International Nuclear Information System (INIS)

McCurdy, D.E.; Morton, J.S.

2001-01-01

The preparation of performance testing (PT) materials for environmental and radiobioassay applications involves the use of natural matrix materials containing the analyte of interest, the addition (spiking) of the analyte to a desired matrix (followed by blending for certain matrices) or a combination of the two. The distribution of the sample analyte concentration in a batch of PT samples will reflect the degree of heterogeneity of the analyte in the PT material and/or the reproducibility of the sample preparation process. Commercial and government implemented radioanalytical performance evaluation programs have a variety of acceptable performance criteria. The performance criteria should take into consideration many parameters related to the preparation of the PT materials including the within and between sample analyte heterogeneity, the accuracy of the quantification of an analyte in the PT material and to what 'known' value will a laboratory's result be compared. How sample preparation parameters affect the successful participation in performance evaluation (PE) programs having an acceptance criteria established as a percent difference from a 'known' value or in PE programs using other acceptance criteria, such as the guidance provided in ANSI N42.22 and N13.30 is discussed. (author)

Hanford Waste Vitrification Plant full-scale feed preparation testing with water and process simulant slurries

International Nuclear Information System (INIS)

Gaskill, J.R.; Larson, D.E.; Abrigo, G.P.

1996-03-01

The Hanford Waste Vitrification Plant was intended to convert selected, pretreated defense high-level waste and transuranic waste from the Hanford Site into a borosilicate glass. A full-scale testing program was conducted with nonradioactive waste simulants to develop information for process and equipment design of the feed-preparation system. The equipment systems tested included the Slurry Receipt and Adjustment Tank, Slurry Mix Evaporator, and Melter-Feed Tank. The areas of data generation included heat transfer (boiling, heating, and cooling), slurry mixing, slurry pumping and transport, slurry sampling, and process chemistry. 13 refs., 129 figs., 68 tabs

Preparation of Pd-Loaded Hierarchical FAU Membranes and Testing in Acetophenone Hydrogenation

Directory of Open Access Journals (Sweden)

Raffaele Molinari

2016-03-01

Full Text Available Pd-loaded hierarchical FAU (Pd-FAU membranes, containing an intrinsic secondary non-zeolitic (mesoporosity, were prepared and tested in the catalytic transfer hydrogenation of acetophenone (AP to produce phenylethanol (PE, an industrially relevant product. The best operating conditions were preliminarily identified by testing different solvents and organic hydrogen donors in a batch hydrogenation process where micron-sized FAU seeds were employed as catalyst support. Water as solvent and formic acid as hydrogen source resulted to be the best choice in terms of conversion for the catalytic hydrogenation of AP, providing the basis for the design of a green and sustainable process. The best experimental conditions were selected and applied to the Pd-loaded FAU membrane finding enhanced catalytic performance such as a five-fold higher productivity than with the unsupported Pd-FAU crystals (11.0 vs. 2.2 mgproduct gcat−1·h−1. The catalytic performance of the membrane on the alumina support was also tested in a tangential flow system obtaining a productivity higher than that of the batch system (22.0 vs. 11.0 mgproduct gcat−1·h−1.

Preparation of Pd-Loaded Hierarchical FAU Membranes and Testing in Acetophenone Hydrogenation.

Science.gov (United States)

Molinari, Raffaele; Lavorato, Cristina; Mastropietro, Teresa F; Argurio, Pietro; Drioli, Enrico; Poerio, Teresa

2016-03-22

Pd-loaded hierarchical FAU (Pd-FAU) membranes, containing an intrinsic secondary non-zeolitic (meso)porosity, were prepared and tested in the catalytic transfer hydrogenation of acetophenone (AP) to produce phenylethanol (PE), an industrially relevant product. The best operating conditions were preliminarily identified by testing different solvents and organic hydrogen donors in a batch hydrogenation process where micron-sized FAU seeds were employed as catalyst support. Water as solvent and formic acid as hydrogen source resulted to be the best choice in terms of conversion for the catalytic hydrogenation of AP, providing the basis for the design of a green and sustainable process. The best experimental conditions were selected and applied to the Pd-loaded FAU membrane finding enhanced catalytic performance such as a five-fold higher productivity than with the unsupported Pd-FAU crystals (11.0 vs. 2.2 mgproduct gcat(-1)·h(-1)). The catalytic performance of the membrane on the alumina support was also tested in a tangential flow system obtaining a productivity higher than that of the batch system (22.0 vs. 11.0 mgproduct gcat(-1)·h(-1)).

New Tools to Prepare ACE Cross-section Files for MCNP Analytic Test Problems

International Nuclear Information System (INIS)

Brown, Forrest B.

2016-01-01

Monte Carlo calculations using one-group cross sections, multigroup cross sections, or simple continuous energy cross sections are often used to: (1) verify production codes against known analytical solutions, (2) verify new methods and algorithms that do not involve detailed collision physics, (3) compare Monte Carlo calculation methods with deterministic methods, and (4) teach fundamentals to students. In this work we describe 2 new tools for preparing the ACE cross-section files to be used by MCNP ® for these analytic test problems, simple a ce.pl and simple a ce m g.pl.

Technetium{sup 99m} shortage: Practical solutions to manage lack of the radio-isotope in nuclear medicine departments; Penurie de technetium{sup 99m}: des pistes pratiques pour gerer les periodes de crise dans les services de medecine nucleaire

Energy Technology Data Exchange (ETDEWEB)

Biechlin-Chassel, M.L. [Radiopharmacie, service de pharmacie, centre hospitalier de Chambery, 73 - Chambery (France); Francois-Joubert, A. [Service de medecine nucleaire, centre hospitalier de Chambery, 73 - Chambery (France); Bolot, C. [Service de radiopharmacie, service pharmaceutique, centre de medecine nucleaire, groupement hospitalier Est, 69 - Bron (France); Desruet, M.D. [Radiopharmacie, service de medecine nucleaire, CHU de Grenoble, 38 - Grenoble (France); Bourrel, F. [Services de pharmacie et medecine nucleaire, centre hospitalier d' Avignon, 84 - Avignon (France); Pelegrin, M. [Institut de recherche en cancerologie (IRCM), 34 - Montpellier (France); Inserm U896, universite Montpellier 1, 34 - Montpellier (France); CRLC Val d' Aurelle Paul-Lamarque, 34 - Montpellier (France); Couret, I. [Service de medecine nucleaire, hopital Lapeyronie, 34 - Montpellier (France); Lao, S. [Service de medecine nucleaire, CHU Hopital de l' Archet, 06 - Nice (France); Quelven, I. [Faculte de medecine, 87 - Limoges (France)

2010-11-15

Technetium{sup 99m} ({sup 99m}Tc) shortage crisis regularly affect nuclear medicine activity and oblige the community to find solutions in order to perform most of the prescribed exams and avoid systematic substitutions by other non-nuclear medicine techniques. Firstly, some practical solutions can be set up in radiopharmacy departments such as using more than two generators together, realizing fractionated elutions, preparing radiopharmaceuticals with elutions providing from different generators.. Then, it could be interesting to have a reflexion in nuclear medicine departments to convene patients the days when {sup 99m}Tc supply is sufficient, to pool some exams or to make substitutions with more available isotopes. (authors)

The hospital preparation of radiopharmaceuticals

International Nuclear Information System (INIS)

The subject is covered in sections: introduction; preparation ((general - sterilization), production areas (laboratories), working methods for injections, working methods for oral preparations and iodination procedures); analytical testing (general, standards common to injections and oral preparations, standards for injections, standards for oral preparations); reliable methods of preparing sup(99m)Tc-radiopharmaceuticals and 51 Cr-red cells; commercial radiopharmaceutical kits. (U.K.)

Respiratory metabolism and calorie restriction relieve persistent endoplasmic reticulum stress induced by calcium shortage in yeast

OpenAIRE

Busti, Stefano; Mapelli, Valeria; Tripodi, Farida; Sanvito, Rossella; Magni, Fulvio; Coccetti, Paola; Rocchetti, Marcella; Nielsen, Jens; Alberghina, Lilia; Vanoni, Marco

2016-01-01

Calcium homeostasis is crucial to eukaryotic cell survival. By acting as an enzyme cofactor and a second messenger in several signal transduction pathways, the calcium ion controls many essential biological processes. Inside the endoplasmic reticulum (ER) calcium concentration is carefully regulated to safeguard the correct folding and processing of secretory proteins. By using the model organism Saccharomyces cerevisiae we show that calcium shortage leads to a slowdown of cell growth and met...

Outcomes analysis of an alternative formulation of PEGylated liposomal doxorubicin in recurrent epithelial ovarian carcinoma during the drug shortage era

Directory of Open Access Journals (Sweden)

Berger JL

2014-08-01

Full Text Available Jessica L Berger, Ashlee Smith, Kristin K Zorn, Paniti Sukumvanich, Alexander B Olawaiye, Joseph Kelley, Thomas C Krivak Magee-Womens Hospital, University of Pittsburgh Medical Center, Division of Gynecologic Oncology, Pittsburgh, PA, USA Background: In response to the critical shortage of Doxil®, the US Food and Drug Administration (FDA allowed temporary importation of non-FDA-approved second-generation liposomal doxorubicin, Lipo-Dox®. Lipo-Dox utilizes a different liposomal particle than Doxil and demonstrates different pharmacokinetic properties. Its use has never been evaluated in a North American population. The objective of this study was to evaluate the efficacy and tolerability of Lipo-Dox at Magee-Womens Hospital, University of Pittsburgh Medical Center, for patients with recurrent epithelial ovarian cancer who were treated during the Doxil shortage. Methods: Patients treated with Lipo-Dox from January 2012 to December 2012 were identified retrospectively. Disease response was defined radiographically by RECIST (Response Evaluation Criteria in Solid Tumors or biochemically by CA-125 level if measurable disease was not present. Survival was defined from the start date of Lipo-Dox until the date of progression or death. Toxicity was assessed by the Gynecologic Oncology Group common toxicity criteria. Results: Eighteen patients with recurrent epithelial ovarian cancer who received Lipo-Dox were identified. These patients had a median of three prior treatment regimens. The median number of Lipo-Dox cycles given was 3.5 (range 1–8. No patients had a complete or partial response. Two patients had stable disease over a mean follow-up of 144.5 days. Fourteen patients had progressive disease, with a median time to progression of 82 days. Progression was based on CA-125 in four patients and RECIST in the remainder. Nine patients died from the disease. Conclusion: Although this represents a small, pretreated population, there were no clinical

Stability testing of extemporaneous preparation of methyl salicylate ointment

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H A Makeen

2018-01-01

Results: The shelf life (t90% of extemporaneously prepared methyl salicylate ointment was found to be 131 days at room temperature (25°C ± 5°C and 176 days in the refrigerator (2°C–8°C. Conclusion: The methyl salicylate present in extemporaneous ointment preparation is fairly stable at cool temperatures but shows faster degradation at higher temperature conditions. Therefore, it is recommended that an expiry date of 4 months can be safely mentioned when stored in cool.

Successful importation of cytarabine into the United States during a critical national drug shortage.

Science.gov (United States)

Hunnisett-Dritz, Dee

2012-08-15

The importation of cytarabine into the United States during a critical national drug shortage is described. In March 2011, the hospital pharmacy team at an acute care hospital was struggling to supply cytarabine for four specific patients, all of whom needed critical maintenance therapy after induction. Cytarabine was not available from any source in the United States, and the team had no realistic projected release dates for back orders. Idis UK, a pharmaceutical distributor, was asked to identify available drug and eventually found an unrestricted source of cytarabine in Switzerland. Once available drug was identified, a price quote for the supply amount was written for our consideration. This was inspected carefully to ensure that the drug, strength, dosage form, and any other ingredients listed were indeed what were expected. The pharmacy department worked with the hospital's department of finance and accounting to submit the necessary financial paperwork. Payment was electronically sent to the distributor before the drug was shipped. Before the order for cytarabine was placed, the associated risks and benefits were assessed. The patients provided consent to treatment with the unapproved product. Acceptance of the price quote and instructions to order the drug were e-mailed to the distributor. The necessary documentation was completed and included with the shipment. The importation process, from initial inquiries to delivery, took 21 days. The importation of cytarabine amid a drug shortage required a complex process that involved the efforts of an overseas distributor, the cooperation of multiple health professionals, and meticulous attention to detail.

Vulnerability of U.S. water supply to shortage: a technical document supporting the Forest Service 2010 RPA Assessment

Science.gov (United States)

Romano Foti; Jorge A. Ramirez; Thomas C. Brown

2012-01-01

Comparison of projected future water demand and supply across the conterminous United States indicates that, due to improving efficiency in water use, expected increases in population and economic activity do not by themselves pose a serious threat of large-scale water shortages. However, climate change can increase water demand and decrease water supply to the extent...

Toddler test or procedure preparation

Science.gov (United States)

... a test or procedure: Explain the procedure in language your child understands, using plain words. Avoid abstract terms. Make sure your child understands the exact body part involved in the test, and that the ...

An assessment of the Zimbabwe ministry of health and child welfare provider initiated HIV testing and counselling programme

Directory of Open Access Journals (Sweden)

Sibanda Euphemia L

2012-05-01

Full Text Available Abstract Background Provider-initiated HIV testing and counselling (PITC is widely recommended to ensure timely treatment of HIV. The Zimbabwe Ministry of Health introduced PITC in 2007. We aimed to evaluate institutional capacity to implement PITC and investigate patient and health care worker (HCW perceptions of the PITC programme. Methods Purposive selection of health care institutions was conducted among those providing PITC. Study procedures included 1 assessment of implementation procedures and institutional capacity using a semi-structured questionnaire; 2 in-depth interviews with patients who had been offered HIV testing to explore perceptions of PITC, 3 Focus group discussions with HCW to explore views on PITC. Qualitative data was analysed according to Framework Analysis. Results Sixteen health care institutions were selected (two central, two provincial, six district hospitals; and six primary care clinics. All institutions at least offered PITC in part. The main challenges which prevented optimum implementation were shortages of staff trained in PITC, HIV rapid testing and counselling; shortages of appropriate counselling space, and, at the time of assessment, shortages of HIV test kits. Both health care workers and patients embraced PITC because they had noticed that it had saved lives through early detection and treatment of HIV. Although health care workers reported an increase in workload as a result of PITC, they felt this was offset by the reduced number of HIV-related admissions and satisfaction of working with healthier clients. Conclusion PITC has been embraced by patients and health care workers as a life-saving intervention. There is need to address shortages in material, human and structural resources to ensure optimum implementation.

Energy markets: a glut or shortage?; Les marches de l'energie: abondance ou penurie?

Energy Technology Data Exchange (ETDEWEB)

Mandil, C. [Agence International de l' Energie, 75 - Paris (France)

2005-08-01

Although fossil fuels do not risk being exhausted soon, the specter of scarcity is haunting the oil market. This market has fallen victim to a historical shortage of investments and a rising demand that is less elastic than expected. Moreover, higher oil prices seem to have no effect on investment decisions, nor on consumer behavior. Should we resignedly accept prices rising up to one or even two hundred dollars a barrel? And should we passively accept having poor countries pay for the thoughtlessness of wealthy lands? (author)

42 CFR Appendix A to Part 5 - Criteria for Designation of Areas Having Shortages of Primary Medical Care Professional(s)

Science.gov (United States)

2010-10-01

... above.) 2. Determination of Degree of Shortage. Designated correctional institutions will be assigned to... metropolitan areas which display a strong self-identity (as indicated by a homogeneous socioeconomic or... population for the differing health service requirements of various age-sex population groups will be...

Significance of single lung transplantation in the current situation of severe donor shortage in Japan.

Science.gov (United States)

Miyoshi, Ryo; Chen-Yoshikawa, Toyofumi F; Hijiya, Kyoko; Motoyama, Hideki; Aoyama, Akihiro; Menju, Toshi; Sato, Toshihiko; Sonobe, Makoto; Date, Hiroshi

2016-02-01

Although bilateral lung transplantation is the procedure of choice internationally, single lung transplantation is preferred in Japan because of the severe donor shortage except in cases of contraindications to single lung transplantation. This study aimed to evaluate the clinical characteristics of single lung transplant recipients and outcomes of this procedure at one of the largest lung transplant centers in Japan. Between April 2002 and May 2015, 57 cadaveric lung transplantations (33 single and 24 bilateral) were performed in Kyoto University Hospital. The clinical characteristics of the lung transplant recipients and outcomes of these procedures, including overall survival and postoperative complications, were investigated. Overall, the 1-, 3-, and 5-year survival rates were 86, 77, and 72 %, respectively, with a median follow-up period of 1.9 years. There was no significant difference in survival between patients who underwent single lung transplantations and those who underwent bilateral lung transplantations (p = 0.92). The median waiting time was significantly shorter for single lung transplant patients than for bilateral lung transplant patients (p = 0.02). Native lung complications were seen in 14 out of 33 patients (42 %) who underwent single lung transplantation. There was no significant difference in survival between patients with and without postoperative native lung complications. Single lung transplantation has been performed with acceptable outcomes in our institution. In the current situation of severe donor shortage in Japan, single lung transplantation can remain the first choice of treatment except in cases of contraindications to single lung transplantation.

Scaling up nurse education: An evaluation of a national PhD capacity development programme in South Africa, in the context of the global shortage of nursing graduates.

Science.gov (United States)

Comiskey, Catherine M; Matthews, Anne; Williamson, Charmaine; Bruce, Judith; Mulaudzi, Mavis; Klopper, Hester

2015-05-01

The global shortage of nursing professionals educated at baccalaureate level and beyond has been highlighted. Within America, services are preparing to treat an additional 32 million individuals under the Health Reform Bill. Within South Africa nursing education outputs do not meet demands. Countries are addressing these shortages by developing advanced nurse roles which require research degrees. To evaluate a national PhD programme within the context of a nurse education strategy and a national health insurance plan. A comparative effectiveness research design was employed. The setting was in South Africa between 2011 and 2013, a county with 51.7 million inhabitants. Participants included PhD candidates, programme facilitators, supervisors and key stakeholders. Data from a one day workshop was analysed using an inductive thematic analysis. Three years of evaluation reports were analysed. A mapping of the alignment of the PhD topics with healthcare priorities, and a comparison of the development of nurse education, of the national and international funder were conducted. The evaluation reports rated the programme highly. Three themes were identified from the workshop. These were, "support" with the sub-themes of burden, leveraging and a physical supportive place; "planning" with the sub-themes of the national context and practice, and "quality" with the sub-themes of processes and monitoring and evaluation. The mapping of PhD topics revealed that research was in line with development priorities. However, further investment and infrastructural changes were necessary to sustain the programme and its impact. To address sustainability and capacity in nations scaling up nurse education and healthcare insurance, it was recommended that top-up degrees for diploma educated nurses be developed along with, the implementation of a national nursing strategy for PhD and post-doctoral training encompassing clinical practice implementation and collaboration. Copyright © 2015

Safety assessment of botanicals and botanical preparations used as ingredients in food supplements: Testing an EFS tired approach

NARCIS (Netherlands)

Speijers, G.; Bottex, B.; Dusemund, B.; Lugasi, A.; Toth, J.; Amberg-Muller, J.; Galli, C.; Silano, V.; Rietjens, I.

2010-01-01

This article describes results obtained by testing the European Food Safety Authority-tiered guidance approach for safety assessment of botanicals and botanical preparations intended for use in food supplements. Main conclusions emerging are as follows. (i) Botanical ingredients must be identified

Preparing for the SAT: A Review

Science.gov (United States)

Appelrouth, Jed I.; Zabrucky, Karen M.

2017-01-01

In 2016, more than 1.6 million students took the Scholastic Aptitude Test (SAT), a standardized college admissions test (College Board 2016a). Researchers have estimated that 33 percent of students who take the SAT participate in some mode of formal test preparation, such as private tutoring or classes, to prepare for the exam (Buchmann, Condron…

Sustaining supply of senior academic leadership skills in a shortage environment: a short review of a decade of dental experience.

Science.gov (United States)

Kruger, Estie; Heitz-Mayfield, Lisa; Tennant, Marc

2014-06-01

For the past decade, and expected for the next decade, Australia faces a significant health workforce shortage and an acute maldistribution of health workforce. Against this background the governments at both national and state level have been increasing the training places for all health practitioners and trying to redress the imbalance through a strong regional focus on these developments. Dentistry has been an active participant in these workforce initiatives. This study examines the increasing demand for academics and discusses the existing pathways for increase, and also examines in detail the advantages of a sustainable, shared-model approach, using dentistry as a model for other disciplines. Three non-exclusive pathways for reform are considered: importation of academics, delayed retirement and the shared resource approach. Of the various solutions outlined in this review a detailed explanation of a cost-effective shared model of senior academic leadership is highlighted as a viable, sustainable model for ameliorating the shortage.

Test plan for preparing the Rapid Transuranic Monitoring Laboratory for field deployment

International Nuclear Information System (INIS)

McIsaac, C.V.; Sill, C.W.; Gehrke, R.J.; Killian, E.W.; Watts, K.D.

1994-04-01

This plan describes experimental work that will be performed during fiscal year 1994 to prepare the Rapid Transuranic Monitoring Laboratory (RTML) for routine field use by US Department of Energy (DOE) Environmental Restoration and Waste Management programs. The RTML is a mobile, field-deployable laboratory developed at the Idaho National Engineering Laboratory (INEL) that provides a rapid, cost-effective means of characterizing and monitoring radioactive waste remediation sites for low-level radioactive contaminants. Analytical instruments currently installed in the RTML include an extended-range, germanium photon analysis spectrometer with an automatic sample changer; two, large-area, ionization chamber alpha spectrometers; and four alpha continuous air monitors. The RTML was field tested at the INEL during June 1993 in conjunction with the Buried Waste Integrated Demonstration's remote retrieval demonstration. The major tasks described in this test plan are to (a) evaluate the beta detectors for use in screening soil samples for 90 Sr, (b) upgrade the alpha spectral analysis software programs, and (c) upgrade the photon spectral analysis software programs

Future global manpower shortages in nuclear industries with special reference to india including remedial measures

International Nuclear Information System (INIS)

Ghosh Hazra, G.S.

2008-01-01

Full text: The Radiation Protection Program of the Environmental Protection Agencies of countries employ scientists, engineers, statisticians, economists, lawyers, policy analysts, and public affairs professionals amongst others. These professionals aim to protect workers, the general public, and the environment from harmful radiation exposures and to provide the technical basis for radiation protection policies and regulations. Professionals include Health physicists, Bio statistician, Radio chemist, Radio ecologist, Radio biologist etc. With a large proportion of the population of the nuclear workforce of many countries now approaching retirement age, existing power plants of these countries will be hard pressed to find enough qualified professionals to support their operations. The potential shortage of skilled manpower not only affects utilities, but also impacts the entire nuclear infrastructure, including national laboratories, federal and state agencies, nuclear technology vendors and manufacturing companies, nuclear construction companies, and university nuclear engineering departments. Manpower requirements exist in the nuclear power industry, universities and research establishments, hospitals, government departments, general industry e.g. radiography, transport, instrumentation etc., specialist contractors, agencies and consultancies serving radiation protection. India is no exception. India has the world's 12 th largest economy. Assuming India's average growth rate p.a. of more than 5%, total GDP by 2050 will increase substantially which will require proportionate increase of manpower for all industries. Also chance of brain drain is very high from developing countries e.g. from India to developed countries because of much higher pay and better lifestyle as there will be shortage of manpower in developed countries as explained above. With population growth to be stabilized in future in India, the working age population may not increase in the year 2030

Preparing emergency personnel in dialysis: a just-in-time training program for additional staffing during disasters.

Science.gov (United States)

Stoler, Genevieve B; Johnston, James R; Stevenson, Judy A; Suyama, Joe

2013-06-01

There are 341 000 patients in the United States who are dependent on routine dialysis for survival. Recent large-scale disasters have emphasized the importance of disaster preparedness, including supporting dialysis units, for people with chronic disease. Contingency plans for staffing are important for providing continuity of care for a technically challenging procedure such as dialysis. PReparing Emergency Personnel in Dialysis (PREP-D) is a just-in-time training program designed to train individuals having minimum familiarity with the basic steps of dialysis to support routine dialysis staff during a disaster. A 5-module educational program was developed through a collaborative, multidisciplinary effort. A pilot study testing the program was performed using 20 nontechnician dialysis facility employees and 20 clinical-year medical students as subjects. When comparing pretest and posttest scores, the entire study population showed a mean improvement of 28.9%, with dialysis facility employees and medical students showing improvements of 21.8% and 36.4%, respectively (P just-in-time training format. The knowledge gained by using the PREP-D program during a staffing shortage may allow for continuity of care for critical services such as dialysis during a disaster.

Simple Sample Preparation Method for Direct Microbial Identification and Susceptibility Testing From Positive Blood Cultures.

Science.gov (United States)

Pan, Hong-Wei; Li, Wei; Li, Rong-Guo; Li, Yong; Zhang, Yi; Sun, En-Hua

2018-01-01

Rapid identification and determination of the antibiotic susceptibility profiles of the infectious agents in patients with bloodstream infections are critical steps in choosing an effective targeted antibiotic for treatment. However, there has been minimal effort focused on developing combined methods for the simultaneous direct identification and antibiotic susceptibility determination of bacteria in positive blood cultures. In this study, we constructed a lysis-centrifugation-wash procedure to prepare a bacterial pellet from positive blood cultures, which can be used directly for identification by matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry (MALDI-TOF MS) and antibiotic susceptibility testing by the Vitek 2 system. The method was evaluated using a total of 129 clinical bacteria-positive blood cultures. The whole sample preparation process could be completed in identification was 96.49% for gram-negative bacteria and 97.22% for gram-positive bacteria. Vitek 2 antimicrobial susceptibility testing of gram-negative bacteria showed an agreement rate of antimicrobial categories of 96.89% with a minor error, major error, and very major error rate of 2.63, 0.24, and 0.24%, respectively. Category agreement of antimicrobials against gram-positive bacteria was 92.81%, with a minor error, major error, and very major error rate of 4.51, 1.22, and 1.46%, respectively. These results indicated that our direct antibiotic susceptibility analysis method worked well compared to the conventional culture-dependent laboratory method. Overall, this fast, easy, and accurate method can facilitate the direct identification and antibiotic susceptibility testing of bacteria in positive blood cultures.

Standard practice for preparation and use of Bent-Beam stress-corrosion test specimens

CERN Document Server

American Society for Testing and Materials. Philadelphia

2011-01-01

1.1 This practice covers procedures for designing, preparing, and using bent-beam stress-corrosion specimens. 1.2 Different specimen configurations are given for use with different product forms, such as sheet or plate. This practice applicable to specimens of any metal that are stressed to levels less than the elastic limit of the material, and therefore, the applied stress can be accurately calculated or measured (see Note 1). Stress calculations by this practice are not applicable to plastically stressed specimens. Note 1—It is the nature of these practices that only the applied stress can be calculated. Since stress-corrosion cracking is a function of the total stress, for critical applications and proper interpretation of results, the residual stress (before applying external stress) or the total elastic stress (after applying external stress) should be determined by appropriate nondestructive methods, such as X-ray diffraction (1). 1.3 Test procedures are given for stress-corrosion testing by ex...

New adsorbents from oil shales. Preparation, characterization and U, Th isotope adsorption tests

International Nuclear Information System (INIS)

Khouya, E.; Andres, Y.; Naslain, R.; Pailler, R.; Nourredine, A.

2004-01-01

New activated adsorbents for radionuclides have been produced from Moroccan oil shales by pyrolysis of the natural material at 550 deg C flowed by a KMnO 4 activation. The texture and composition of the native rock and the adsorbents were studied before their use in tests for adsorption of radionuclides from standard solutions prepared from uranylnitrate and thorium nitrate in equilibrium with their daughters. The distribution coefficients between solutions containing U, Th and Ra and the adsorbents were evaluated by means of specific activities, measured by γ-ray spectrometry. The adsorbents were observed to eliminate U, Th, Ra, Ac and Tl from aqueous solutions. (author)

Solve the organ shortage: let the bidding begin!

Science.gov (United States)

Kevorkian, J

2001-01-01

Commercialization of transplantable human organs is the only sure way to end the crisis of their supply. This is best accomplished by implementing a free, non-profit, nationwide, ultimately global online auction market. It should be independent of the current United Network of Organ Sharing (UNOS) system dealing solely with altruistic donation, and of governmental, sectarian, academic, and other bureaucratic control. The operation of such an auction is described with a hypothetical example. An included provision guarantees equity for poor, uninsured, and indigent recipients. Money accrued can be substantial, and would be disbursed by established formula, with major portions going to donors' families and to special funds to be used to bid for the poor and to defray costs incurred by them. As the organ shortage eases, bid prices should drop, resulting perhaps in eventual altruistic donation. Objections to commericalization based on ethics, bodily sanctity, inequity, pecuniary greed, and the slippery slope tocsin are nullified by cogent arguments and examples. The current situation has worsened despite so-called required request laws, proposed token payments to cover funeral expenses for donor families, and extensive media advertising to spur altruistic donation. Prohibitive national and state laws must be rescinded for the sake of more than 60,000 patients now on lengthening waiting lists. A profession committed to saving lives is duty-bound to endorse, help implement, and participate in an auction system dedicated to that end.

EOQ Model for Delayed Deteriorating Items with Shortages and Trade Credit Policy

Directory of Open Access Journals (Sweden)

R Sundararajan

2015-08-01

Full Text Available This paper deals with a deterministic inventory model for deteriorating items under the condition of permissible delay in payments with constant demand rate is a function of time which differs from before and after deterioration for a single item. Shortages are allowed and completely backlogged which is a function of time. Under these assumptions, this paper develops a retailer's model for obtaining an optimal cycle length and ordering quantity in deteriorating items of an inventory model. Thus, our objective is retailer's cost minimization problem to nd an optimal replenishment policy under various parameters. The convexity of the objective function is derived and the numerical examples are provided to support the proposed model. Sensitivity analysis of the optimal solution with respect to major parameters of the model is included and the implications are discussed.

Preparation, validation and user-testing of pictogram-based patient information leaflets for tuberculosis.

Science.gov (United States)

Shrestha, Anmol; Rajesh, V; Dessai, Sneha Shamrao; Stanly, Sharon Mary; Mateti, Uday Venkat

2018-05-25

Patient education is of paramount importance with regard to the condition of the disease and the treatment given besides lifestyle remodelling in order to get the desired therapeutic outcome. When verbal information is provided to the patients, they often tend to forget it. Pictorial aids or pictograms, as they are commonly known, are tools that are widely used for imparting knowledge to the patients. The aim of the study is to prepare and validate a Pictogram-based Patient Information Leaflet (P-PILs) on Tuberculosis (TB). P-PILs have been prepared from tertiary, secondary and primary sources. The knowledge-based questions are prepared with respect to the P-PILs. The baseline knowledge of the volunteers and patients have been analyzed before administering the P-PILs by using the validated questionnaire. The post-knowledge of the volunteers and patients has been analyzed after administering the P-PILs (20 min) by using the same questionnaire and the user-opinion has also been obtained at the end. The study results show that the mean scores of the overall user-testing knowledge assessment are found to have improved significantly from the pre-P-PILs administration score of 62.67 to the post-P-PILs administration score of 91. The overall user-opinion about the P-PILs has been found to be good (75%) followed by average (25%). The present study shows that there is significant improvement in the knowledge levels of the patients and volunteers after reading the validated leaflets. The Pictogram-based Patient Information Leaflets are found to be an effective educational tool for TB patients. Copyright © 2018. Published by Elsevier Ltd.

Risk Assessment in Relation to the Effect of Climate Change on Water Shortage in the Taichung Area

Science.gov (United States)

Hsiao, J.; Chang, L.; Ho, C.; Niu, M.

2010-12-01

Rapid economic development has stimulated a worldwide greenhouse effect and induced global climate change. Global climate change has increased the range of variation in the quantity of regional river flows between wet and dry seasons, which effects the management of regional water resources. Consequently, the influence of climate change has become an important issue in the management of regional water resources. In this study, the Monte Carlo simulation method was applied to risk analysis of shortage of water supply in the Taichung area. This study proposed a simulation model that integrated three models: weather generator model, surface runoff model, and water distribution model. The proposed model was used to evaluate the efficiency of the current water supply system and the potential effectiveness of two additional plans for water supply: the “artificial lakes” plan and the “cross-basin water transport” plan. A first-order Markov Chain method and two probability distribution models, exponential distribution and normal distribution, were used in the weather generator model. In the surface runoff model, researchers selected the Generalized Watershed Loading Function model (GWLF) to simulate the relationship between quantity of rainfall and basin outflow. A system dynamics model (SD) was applied to the water distribution model. Results of the simulation indicated that climate change could increase the annual quantity of river flow in the Dachia River and Daan River basins. However, climate change could also increase the difference in the quantity of river flow between wet and dry seasons. Simulation results showed that in current system case or in the additional plan cases, shortage status of water for both public and agricultural uses with conditions of climate change will be mostly worse than that without conditions of climate change except for the shortage status for the public use in the current system case. With or without considering the effect of

The Nature of the Current and Anticipated Shortage of Professional Skills and Qualities of Workers in the Russian Labor Market

Science.gov (United States)

Bondarenko, Natal'ia

2015-01-01

This article analyzes the characteristics of the existing and expected deficit of professional skills and qualities of workers employed by Russian companies. Analyzed factors include generic skills, soft or behavioral skills, the influence of the qualification, and shortage on the effectiveness of the companies as a whole. The data is based on a…

Structural characterization of pharmaceutical heparins prepared from different animal tissues.

Science.gov (United States)

Fu, Li; Li, Guoyun; Yang, Bo; Onishi, Akihiro; Li, Lingyun; Sun, Peilong; Zhang, Fuming; Linhardt, Robert J

2013-05-01

Although most pharmaceutical heparin used today is obtained from porcine intestine, heparin has historically been prepared from bovine lung and ovine intestine. There is some regulatory concern about establishing the species origin of heparin. This concern began with the outbreak of mad cow disease in the 1990s and was exacerbated during the heparin shortage in the 2000s and the heparin contamination crisis of 2007-2008. Three heparins from porcine, ovine, and bovine were characterized through state-of-the-art carbohydrate analysis methods with a view profiling their physicochemical properties. Differences in molecular weight, monosaccharide and disaccharide composition, oligosaccharide sequence, and antithrombin III-binding affinity were observed. These data provide some insight into the variability of heparins obtained from these three species and suggest some analytical approaches that may be useful in confirming the species origin of a heparin active pharmaceutical ingredient. Copyright © 2013 Wiley Periodicals, Inc.

Eco-friendly plasmonic sensors: using the photothermal effect to prepare metal nanoparticle-containing test papers for highly sensitive colorimetric detection.

Science.gov (United States)

Tseng, Shao-Chin; Yu, Chen-Chieh; Wan, Dehui; Chen, Hsuen-Li; Wang, Lon Alex; Wu, Ming-Chung; Su, Wei-Fang; Han, Hsieh-Cheng; Chen, Li-Chyong

2012-06-05

Convenient, rapid, and accurate detection of chemical and biomolecules would be a great benefit to medical, pharmaceutical, and environmental sciences. Many chemical and biosensors based on metal nanoparticles (NPs) have been developed. However, as a result of the inconvenience and complexity of most of the current preparation techniques, surface plasmon-based test papers are not as common as, for example, litmus paper, which finds daily use. In this paper, we propose a convenient and practical technique, based on the photothermal effect, to fabricate the plasmonic test paper. This technique is superior to other reported methods for its rapid fabrication time (a few seconds), large-area throughput, selectivity in the positioning of the NPs, and the capability of preparing NP arrays in high density on various paper substrates. In addition to their low cost, portability, flexibility, and biodegradability, plasmonic test paper can be burned after detecting contagious biomolecules, making them safe and eco-friendly.

Preparation and Testing of Corrosion and Spallation-Resistant Coatings

Energy Technology Data Exchange (ETDEWEB)

Hurley, John

2015-11-01

This Energy & Environmental Research Center (EERC) project is designed to determine if plating APMT®, a specific highly oxidation-resistant oxide dispersion-strengthened FeCrAl alloy made by Kanthal, onto nickel-based superalloy turbine parts is a viable method for substantially improving the lifetimes and maximum use temperatures of the parts. The method for joining the APMT plate to the superalloys is called evaporative metal bonding and involves placing a thin foil of zinc between the plate and the superalloy, clamping them together, and heating in an atmosphere-controlled furnace. Upon heating, the zinc melts and dissolves the oxide skins of the alloys at the bond line, allowing the two alloys to diffuse into each other. The zinc then diffuses through the alloys and evaporates from their surfaces. During this annual reporting period, the finite element model was completed and used to design clamping jigs to hold the APMT plate to the larger blocks of superalloys during the bonding process. The clamping system was machined from titanium–zirconium–molybdenum and used to bond the APMT plate to the superalloy blocks. The bond between the APMT plate was weak for one of each of the superalloy blocks. We believe that this occurred because enough oxidation had occurred on the surface of the parts as a result of a 1-month time period between sandblasting to prepare the parts and the actual bonding process. The other blocks were, therefore, bonded within 1 day of preparing the parts for bonding, and their joints appear strong. Scanning electron microscopy analyses of representative joints showed that no zinc remained in the alloys after bonding. Also, phases rich in hafnium and tantalum had precipitated near the bond line in the APMT. Iron from the APMT had diffused into the superalloys during bonding, more extensively in the CM247LC than in the Rene 80. Nickel from the superalloys had diffused into the APMT, again more extensively in the joint with the CM247LC than

Adapting to the global shortage of cholera vaccines: targeted single dose cholera vaccine in response to an outbreak in South Sudan.

Science.gov (United States)

Parker, Lucy A; Rumunu, John; Jamet, Christine; Kenyi, Yona; Lino, Richard Laku; Wamala, Joseph F; Mpairwe, Allan M; Ciglenecki, Iza; Luquero, Francisco J; Azman, Andrew S; Cabrol, Jean-Clement

2017-04-01

Shortages of vaccines for epidemic diseases, such as cholera, meningitis, and yellow fever, have become common over the past decade, hampering efforts to control outbreaks through mass reactive vaccination campaigns. Additionally, various epidemiological, political, and logistical challenges, which are poorly documented in the literature, often lead to delays in reactive campaigns, ultimately reducing the effect of vaccination. In June 2015, a cholera outbreak occurred in Juba, South Sudan, and because of the global shortage of oral cholera vaccine, authorities were unable to secure sufficient doses to vaccinate the entire at-risk population-approximately 1 million people. In this Personal View, we document the first public health use of a reduced, single-dose regimen of oral cholera vaccine, and show the details of the decision-making process and timeline. We also make recommendations to help improve reactive vaccination campaigns against cholera, and discuss the importance of new and flexible context-specific dose regimens and vaccination strategies. Copyright © 2017 Elsevier Ltd. All rights reserved.

Simple Sample Preparation Method for Direct Microbial Identification and Susceptibility Testing From Positive Blood Cultures

Directory of Open Access Journals (Sweden)

Hong-wei Pan

2018-03-01

Full Text Available Rapid identification and determination of the antibiotic susceptibility profiles of the infectious agents in patients with bloodstream infections are critical steps in choosing an effective targeted antibiotic for treatment. However, there has been minimal effort focused on developing combined methods for the simultaneous direct identification and antibiotic susceptibility determination of bacteria in positive blood cultures. In this study, we constructed a lysis-centrifugation-wash procedure to prepare a bacterial pellet from positive blood cultures, which can be used directly for identification by matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry (MALDI-TOF MS and antibiotic susceptibility testing by the Vitek 2 system. The method was evaluated using a total of 129 clinical bacteria-positive blood cultures. The whole sample preparation process could be completed in <15 min. The correct rate of direct MALDI-TOF MS identification was 96.49% for gram-negative bacteria and 97.22% for gram-positive bacteria. Vitek 2 antimicrobial susceptibility testing of gram-negative bacteria showed an agreement rate of antimicrobial categories of 96.89% with a minor error, major error, and very major error rate of 2.63, 0.24, and 0.24%, respectively. Category agreement of antimicrobials against gram-positive bacteria was 92.81%, with a minor error, major error, and very major error rate of 4.51, 1.22, and 1.46%, respectively. These results indicated that our direct antibiotic susceptibility analysis method worked well compared to the conventional culture-dependent laboratory method. Overall, this fast, easy, and accurate method can facilitate the direct identification and antibiotic susceptibility testing of bacteria in positive blood cultures.

Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels among nurses in oncology/haematology settings.

Science.gov (United States)

Toh, Shir Gi; Ang, Emily; Devi, M Kamala

2012-06-01

To establish the best available evidence regarding the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings. Electronic databases (CINAHL, Medline, Scopus, ScienceDirect, PsycInfo, PsycArticles, Web of Science, The Cochrane Library, Proquest and Mednar) were searched using a three-step strategy in order to identify published and unpublished studies conducted between 1990 and 2010. Grey literature was excluded in the review. The identified studies were evaluated using standardised critical appraisal instruments from the Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). A total of seven descriptive and descriptive-correlational studies published in English were included and data were presented in a narrative summary. Findings revealed a positive bidirectional relationship between the nursing shortage and oncology registered nurses' (RNs') job dissatisfaction, stress and burnout. The extent of the job dissatisfaction, stress and burnout experienced by the oncology RNs and their perception of staffing inadequacy differed according to their demography and work settings. Particularly, nurses who had higher qualifications and positions, who worked full-time and who worked in inpatient settings and non-Magnet hospitals were more likely to attribute staffing inadequacy as one of the main contributing factors for their job dissatisfaction, stress and burnout. This led to a rise in the number of oncology RNs leaving the speciality. Within the constraints of the study and the few quality papers available, it appears that oncology RNs who worked in substandard staffing units often express job dissatisfaction, stress and burnout, which prompt them to seek new employment out of the oncology specialty. This entails a pressing need for organisations to ensure sufficient staffing in oncology/haematology settings, in order to ensure that quality patient care

The method of preparation and use of vasectomized stallions to regulate the sexual function in mares during hippodrome testing

Directory of Open Access Journals (Sweden)

Nursulu Julanova

2016-01-01

Full Text Available The objective of this study was to develop a method of preparation and use of vasectomized stallions, and to test them as a factor preventing genital functional disorders in mares during training and hippodrome testing. Thoroughbred mares of English, Arabic and Akhal-Teke breeds owned by horse ranches of the Republic of Kazakhstan were used in the research. Vasectomy techniques were mastered on a slaughtering material, and then field tested on stallions. A series of experiments were set for comparative evaluation of various methods of preparation and use of a vasectomized stallion, resulting in a technique based on removing the front section of sperm ducts in the ventro-caudal portion of the scrotum. The developed method is convenient, safe, and easy to perform in field conditions. The surgery is not time consuming, and there are no postoperative complications. We found a positive effect of the vasectomized stallion on the course of the mares’ oestrous cycles, on their performance during hippodrome testing, and their reproductive function. The method reduced the standing heat period, and the mares quickly recovered their performance. Thus, it decreased the time of the mares’ elimination from the training schedule and had a positive effect on the performance during hippodrome testing. The use of a vasectomized stallion during training significantly predetermined the course of the mares’ reproductive cycle after completion of the hippodrome testing. The results of this study are relevant to the practical needs of sport horse breeding.

Strategies for laboratory cost containment and for pathologist shortage: centralised pathology laboratories with microwave-stimulated histoprocessing and telepathology.

Science.gov (United States)

Leong, Anthony S Y; Leong, F Joel W M

2005-02-01

The imposition of laboratory cost containment, often from external forces, dictates the necessity to develop strategies to meet laboratory cost savings. In addition, the national and worldwide shortage of anatomical pathologists makes it imperative to examine our current practice and laboratory set-ups. Some of the strategies employed in other areas of pathology and laboratory medicine include improvements in staff productivity and the adoption of technological developments that reduce manual intervention. However, such opportunities in anatomical pathology are few and far between. Centralisation has been an effective approach in bringing economies of scale, the adoption of 'best practices' and the consolidation of pathologists, but this has not been possible in anatomical pathology because conventional histoprocessing takes a minimum of 14 hours and clinical turnaround time requirements necessitate that the laboratory and pathologist be in proximity and on site. While centralisation of laboratories for clinical chemistry, haematology and even microbiology has been successful in Australia and other countries, the essential requirements for anatomical pathology laboratories are different. In addition to efficient synchronised courier networks, a method of ultra-rapid tissue processing and some expedient system of returning the prepared tissue sections to the remote laboratory are essential to maintain the turnaround times mandatory for optimal clinical management. The advent of microwave-stimulated tissue processing that can be completed in 30-60 minutes and the immediate availability of compressed digital images of entire tissue sections via telepathology completes the final components of the equation necessary for making centralised anatomical pathology laboratories a reality.

Medical isotope shortage 2009-2010 and future options NRU, SLOWPOKE and MAPLE

Energy Technology Data Exchange (ETDEWEB)

Hilborn, J. [Deep River, Ontario (Canada)

2013-07-01

The 15 month shutdown of NRU and the unexpected termination of the AECL/Nordion MAPLE project caused a world-wide shortage of medical isotopes. After the recent repair of NRU, AECL is confident that it could continue operating safely and reliably as a multi-purpose reactor until 2021 or longer. There is convincing evidence that the restoration of the MAPLE reactors is technically feasible, but it is highly improbable that a 10 MW MAPLE production reactor can ever be cost-effective. However, conversion of the present 10 MW reactors to 3 MW, without major changes to the structural hardware, warrants serious consideration. Finally, even the 20 kW SLOWPOKE reactor could produce useful quantities of Mo-99. If the present fuel rods were replaced with a small tank containing a solution of low-enriched uranyl sulphate in water, three of these liquid core reactors could supply all of Canada. (author)

Medical isotope shortage 2009-2010 and future options NRU, SLOWPOKE and MAPLE

International Nuclear Information System (INIS)

Hilborn, J.

2013-01-01

The 15 month shutdown of NRU and the unexpected termination of the AECL/Nordion MAPLE project caused a world-wide shortage of medical isotopes. After the recent repair of NRU, AECL is confident that it could continue operating safely and reliably as a multi-purpose reactor until 2021 or longer. There is convincing evidence that the restoration of the MAPLE reactors is technically feasible, but it is highly improbable that a 10 MW MAPLE production reactor can ever be cost-effective. However, conversion of the present 10 MW reactors to 3 MW, without major changes to the structural hardware, warrants serious consideration. Finally, even the 20 kW SLOWPOKE reactor could produce useful quantities of Mo-99. If the present fuel rods were replaced with a small tank containing a solution of low-enriched uranyl sulphate in water, three of these liquid core reactors could supply all of Canada. (author)

Preparation and application of tea to a tritium performance testing programme

International Nuclear Information System (INIS)

Daka, J. N.; Moodie, G.; Dinardo, A.; Kramer, G. H.

2012-01-01

A simple, but novel technique, for adjusting steeps of black tea to produce fluids, which are visually and spectroscopically similar to urine, has been developed at the National Calibration Reference Centre for Bioassay and In Vivo Monitoring in Canada. The method uses scans of absorbance versus wavelength, in the UV-VIS range (200-800 nm) to select diluted tea steeps that simulate urine. Tea solutions (1 and 10 %) were spiked with tritium and distributed to laboratories for performance testing (PT). The PT exercise was done as in a regular bioassay programme. The results showed that all samples satisfied the pass/fail conditions of the S-106 standard of the Canadian Nuclear Safety Commission, suggesting that adjusted tea successfully simulated urine for the tritium PT programmes. Also, since unlike urine whose use may increase the probability of contaminating and transmitting diseases (e.g. hepatitis C), tea is a safer alternative. When needed, it can readily be prepared for the laboratories. (authors)

Nurse practitioner graduates "Speak Out" about the adequacy of their educational preparation to care for older adults: A qualitative study.

Science.gov (United States)

Jones, Jacqueline; Kotthoff-Burrell, Ernestine; Kass-Wolff, Jane; Brownrigg, Vicki

2015-12-01

With a shortage of primary care providers prepared to care for an aging U.S. population, nurse practitioner (NP) programs are integrating gerontological content. This qualitative descriptive study explored NP graduate perceptions on the adequacy of their education to prepare them to care for seniors. Twenty-three graduates of NP program options at two universities in the western U.S. participated in focus group discussions or interviews. Participants shared their perceptions of their NP educational preparation and suggestions for enhancing gerontologic curriculum. Four main domains emerged from analysis of qualitative data: (a) "Getting your boots on and getting into the role"; (b) "Older people are more complex than we were prepared to care for"; (c) "It is very different as a provider, but I am so glad I was a nurse with experience first"; (d) "NPs have a scope of practice, physician assistants (PAs) have a job description-but I wish we had their [procedural] preparation." Graduates identified a need for more educational content and clinical experiences specific to the care of older adults. Some suggested a postgraduate residency or mentoring option to assist NP role transition and progression and limit role confusion. ©2015 American Association of Nurse Practitioners.

Preparation for Scaling Studies of Ice-Crystal Icing at the NRC Research Altitude Test Facility

Science.gov (United States)

Struk, Peter M.; Bencic, Timothy J.; Tsao, Jen-Ching; Fuleki, Dan; Knezevici, Daniel C.

2013-01-01

This paper describes experiments conducted at the National Research Council (NRC) of Canadas Research Altitiude Test Facility between March 26 and April 11, 2012. The tests, conducted collaboratively between NASA and NRC, focus on three key aspects in preparation for later scaling work to be conducted with a NACA 0012 airfoil model in the NRC Cascade rig: (1) cloud characterization, (2) scaling model development, and (3) ice-shape profile measurements. Regarding cloud characterization, the experiments focus on particle spectra measurements using two shadowgraphy methods, cloud uniformity via particle scattering from a laser sheet, and characterization of the SEA Multi-Element probe. Overviews of each aspect as well as detailed information on the diagnostic method are presented. Select results from the measurements and interpretation are presented which will help guide future work.

Model of inventory replenishment in periodic review accounting for the occurrence of shortages

Directory of Open Access Journals (Sweden)

Stanisław Krzyżaniak

2014-03-01

Full Text Available Background: Despite the development of alternative concepts of goods flow management, the inventory management under conditions of random variations of demand is still an important issue, both from the point of view of inventory keeping and replenishment costs and the service level measured as the level of inventory availability. There is a number of inventory replenishment systems used in these conditions, but they are mostly developments of two basic systems: reorder point-based and periodic review-based. The paper deals with the latter system. Numerous researches indicate the need to improve the classical models describing that system, the reason being mainly the necessity to adapt the model better to the actual conditions. This allows a correct selection of parameters that control the used inventory replenishment system and - as a result - to obtain expected economic effects. Methods: This research aimed at building a model of the periodic review system to reflect the relations (observed during simulation tests between the volume of inventory shortages and the degree of accounting for so-called deferred demand, and the service level expressed as the probability of satisfying the demand in the review and the inventory replenishment cycle. The following model building and testing method has been applied: numerical simulation of inventory replenishment - detailed analysis of simulation results - construction of the model taking into account the regularities observed during the simulations - determination of principles of solving the system of relations creating the model - verification of the results obtained from the model using the results from simulation. Results: Presented are selected results of calculations based on classical formulas and using the developed model, which describe the relations between the service level and the parameters controlling the discussed inventory replenishment system. The results are compared to the simulation

Planning ahead : although Canada could experience a shortage of some 300,000 workers within the next 20 years, long-term strategies can help companies cope : part 1

Energy Technology Data Exchange (ETDEWEB)

Cook, D.

2006-12-15

This article is the first in a 2-part series examining the current labour shortage in the energy industry. Factors that are expected to exacerbate the shortage were reviewed, as well as some of the steps that the petroleum industry is now taking to manage labour challenges in the future. A critical talent crisis is expected to occur in the next 5 to 10 years as baby boomers plan to retire, and fewer graduates are expected to enter the marketplace. While some organizations have responded to shortages by merely offering high salaries to employees, many oil and gas companies are now looking to develop the skills and capabilities of employees in order to retain them. In addition, employers are attempting to strengthen social networks within their organizations by providing coaching and mentoring programs. A recent report published by the Conference Board of Canada has suggested that the oil and gas industry can improve manpower shortages by improving training programs; attracting more immigrants; and creating better mechanisms for recognizing foreign credentials and prior learning assessments. Many organizations are successfully using internal referral programs to hire employees with the appropriate skill levels. Petro-Canada is now using electronic recruiting methods to draw upon a wider resource pool and is currently building relationships with key post-secondary institutions as well as providing programs to give educational awards to students. Devon Canada has recently implemented an employee referral program and has also focused on improving conditions at its Jackfish steam assisted gravity drainage (SAGD) project at Fort McMurray by hiring certified chefs, installing satellite televisions and providing top-notch recreation facilities. 2 figs.

Evaluation Of ARG-1 Samples Prepared By Cesium Carbonate Dissolution During The Isolok SME Acceptability Testing

International Nuclear Information System (INIS)

Edwards, T.; Hera, K.; Coleman, C.

2011-01-01

Evaluation of Defense Waste Processing Facility (DWPF) Chemical Process Cell (CPC) cycle time identified several opportunities to improve the CPC processing time. The Mechanical Systems and Custom Equipment Development (MS and CED) Section of the Savannah River National Laboratory (SRNL) recently completed the evaluation of one of these opportunities - the possibility of using an Isolok sampling valve as an alternative to the Hydragard valve for taking DWPF process samples at the Slurry Mix Evaporator (SME). The use of an Isolok for SME sampling has the potential to improve operability, reduce maintenance time, and decrease CPC cycle time. The SME acceptability testing for the Isolok was requested in Task Technical Request (TTR) HLW-DWPF-TTR-2010-0036 and was conducted as outlined in Task Technical and Quality Assurance Plan (TTQAP) SRNLRP-2011-00145. RW-0333P QA requirements applied to the task, and the results from the investigation were documented in SRNL-STI-2011-00693. Measurement of the chemical composition of study samples was a critical component of the SME acceptability testing of the Isolok. A sampling and analytical plan supported the investigation with the analytical plan directing that the study samples be prepared by a cesium carbonate (Cs 2 CO 3 ) fusion dissolution method and analyzed by Inductively Coupled Plasma - Optical Emission Spectroscopy (ICP-OES). The use of the cesium carbonate preparation method for the Isolok testing provided an opportunity for an additional assessment of this dissolution method, which is being investigated as a potential replacement for the two methods (i.e., sodium peroxide fusion and mixed acid dissolution) that have been used at the DWPF for the analysis of SME samples. Earlier testing of the Cs 2 CO 3 method yielded promising results which led to a TTR from Savannah River Remediation, LLC (SRR) to SRNL for additional support and an associated TTQAP to direct the SRNL efforts. A technical report resulting from this

Preparation of alumina microspheres

International Nuclear Information System (INIS)

Santos, W.R. dos; Abrao, A.

1980-01-01

Inorganic exchangers are widely used for adsorption and column partition chromatography. The main difficulty of using commercial alumina (in powder) for column chromatography is related to its packing, and the operations through the column become diffcult and time-consuming; also it turns to be virtually impossible to use large dimension columns. In order to eliminate these problems, a process for the preparation of alumina micro-spheres was developed as an adaptation of a similar process used to prepare nuclear fuel microspheres (UO 2 , ThO 2 ). The flowsheet of this process is presented together with the analytical results of sphericity after calcination, granulometry, density and characterization by X-ray diffractometry. Solubility tests showed that the so-prepared microspheres are well resistant to strong acids and bases; retention tests showed their efficiency, mainly to copper. (C.L.B.) [pt

TFTR DT preparation project status

Energy Technology Data Exchange (ETDEWEB)

Perry, E.D.; Dudek, L.E.

1993-11-01

The Tokamak Fusion Test Reactor (TFTR) research program is preparing to commence the first high power Deuterium-Tritium (DT) experiments of the US Fusion Program. Hardware upgrades to TFTR required for DT operations have been completed. This paper discusses these hardware preparations.

[Remedy for shortage or risk for national security? The search for oil in Switzerland].

Science.gov (United States)

Haller, Lea; Gisler, Monika

2014-03-01

Over several decades, geologists, entrepreneurs, politicians, and public authorities dealt with a potential petroleum occurrence in Switzerland. They provided scientific expertise, granted concessions, invested capital and sank bore holes. Although the endeavour was never successful economically, it reveals how closely related geopolitical situations and the exploitation of natural resources were. This article investigates the search for crude oil in Switzerland from the 1930s until the 1960s, combining a history of science and technology perspective with a history of the political regulations and economic considerations concerning the extractive industry. It traces the changing fears and hopes about potential oil occurrences in Switzerland: From an investment to overcome future shortages, to the risk of imperial desires if oil would be found in abundance.

The implication of the shortage of health workforce specialist on universal health coverage in Kenya.

Science.gov (United States)

Miseda, Mumbo Hazel; Were, Samuel Odhiambo; Murianki, Cirindi Anne; Mutuku, Milo Peter; Mutwiwa, Stephen N

2017-12-01

Globally, there is an acute shortage of human resources for health (HRH), and the greatest burden is borne by low-income countries especially in sub-Saharan Africa and some parts of Asia. This shortage has not only considerably constrained the achievement of health-related development goals but also impeded accelerated progress towards universal health coverage (UHC). Like any other low-income country, Kenya is experiencing health workforce shortage particularly in specialized healthcare workers to cater for the rapidly growing need for specialized health care (MOH Training Needs Assessment report (2015)). Efficient use of the existing health workforce including task shifting is under consideration as a short-term stop gap measure while deliberate efforts are being put on retention policies and increased production of HRH. The Ministry of Health (MOH) with support from the United States Agency for International Development-funded FUNZOKenya project and MOH/Japan International Cooperation Agency (JICA) project conducted a country-wide training needs assessment (TNA) to identify skill gaps in the provision of specialized health care in private and public hospitals in 46 out of Kenya's 47 counties between April and June 2015. A total of 99 respondents participated in the TNA. Structured questionnaires were used to undertake this assessment. The assessment sought to determine the extent of skill gaps on the basis of the national guidelines and as perceived by the County Directors of Health (CDH). The questionnaires were posted to and received by all the respondents a week prior to a face-to-face interview with the respondents for familiarization. Data analysis was done using SPSS statistical package. Overall, the findings revealed average skill gaps on selected specialists (healthcare professional whose practice is limited to a particular area, such as a branch of medicine, surgery, or nursing, especially, one who by virtue of advanced training is certified by a

The role of the uncertainty in assessing future scenarios of water shortage in alluvial aquifers

Science.gov (United States)

Romano, Emanuele; Camici, Stefania; Brocca, Luca; Moramarco, Tommaso; Guyennon, Nicolas; Preziosi, Elisabetta

2015-04-01

There are many evidences that the combined effects of variations in precipitation and temperature due to climate change can result in a significant change of the recharge to groundwater at different time scales. A possible reduction of effective infiltration can result in a significant decrease, temporary or permanent, of the availability of the resource and, consequently, the sustainable pumping rate should be reassessed. In addition to this, one should also consider the so called indirect impacts of climate change, resulting from human intervention (e.g. augmentation of abstractions) which are feared to be even more important than the direct ones in the medium term: thus, a possible increase of episodes of shortage (i.e. the inability of the groundwater system to completely supply the water demand) can result both from change in the climate forcing and change in the demand. In order to assess future scenarios of water shortage a modelling chain is often used. It includes: 1) the use of General Circulation Models to estimate changes in temperature and precipitation; 2) downscaling procedures to match modeling scenarios to the observed meteorological time series; 3) soil-atmosphere modelling to estimate the time variation of the recharge to the aquifer; 4) groundwater flow models to simulate the water budget and piezometric head evolution; 5) future scenarios of groundwater quantitative status that include scenarios of demand variation. It is well known that each of these processing steps is affected by an intrinsic uncertainty that propagates through the whole chain leading to a final uncertainty on the piezometric head scenarios. The estimate of such an uncertainty is a key point for a correct management of groundwater resources, in case of water shortage due to prolonged droughts as well as for planning purposes. This study analyzes the uncertainty of the processing chain from GCM scenarios to its impact on an alluvial aquifer in terms of exploitation

UTILIZATION OF ACUTE CARE NURSE PRACTITIONERS TO COMBAT PHYSICIAN SHORTAGES IN THE MILITARY TRAUMA SYSTEM: WORKING TOWARDS IMPROVED OUTCOMES

Science.gov (United States)

2016-10-01

repeatedly deployed, potentially leading to burnout or difficulties with post-traumatic stress .36 Some of this burden could be relieved with the use of an...1 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY UTILIZATION OF ACUTE CARE NURSE PRACTITIONERS TO COMBAT PHYSICIAN SHORTAGES IN THE...providers such as nurse practitioners to aid in achieving patient care goals, there is little published to support their use in the military

Testing electrode suitability for field stimulation of high-threshold biological preparations

Directory of Open Access Journals (Sweden)

Hugo Fernando Maia Milan

Full Text Available IntroductionA problem posed by electrical field (E stimulation of biological preparations with high excitation threshold is that the E intensity required for excitation is likely to induce water electrolysis at the electrode surface, which can alter the extracellular medium and cause deleterious effects on the cells. In this study, different electrode materials and geometries were tested aiming at identifying electrode configurations that could transduce the E intensity required for exciting ventricular cardiomyocytes isolated from neonatal rats (threshold E ~30 V/cm without causing water electrolysis.MethodsWire and plate electrodes made of platinum, stainless steel and nickel/chrome alloy were used. The effect of blasting the electrode surface with sand and NaHCO3 solution was also tested. Electrodes were inserted into a cell perfusion chamber containing the saline solution routinely used for physiological experiments. During E application for 5 min, the electrode surface and its surroundings were examined at high magnification for the presence of microbubbles, which indicates the occurrence of water electrolysis. The greatest E intensity applied that failed to generate microbubbles (En was estimated.ResultsWhile nickel/chrome and stainless steel electrodes resulted in low En values, the best performance was observed for sandblasted platinum wire (2 mm diameter and plate (25 mm x 5 mm; 0.1 mm thickness electrodes, for which Enwas ≥40 V/cm.ConclusionThese electrode configurations are suitable for effective and safe stimulation of isolated neonatal cardiomyocytes.

Preparing Residents for Teaching Careers: The Faculty for Tomorrow Resident Workshop.

Science.gov (United States)

Lin, Steven; Gordon, Paul

2017-03-01

Progress toward growing the primary care workforce is at risk of being derailed by an emerging crisis: a critical shortage of family medicine faculty. In response to the faculty shortage, the Society of Teachers of Family Medicine (STFM) launched a 2-year initiative called "Faculty for Tomorrow" (F4T). The F4T Task Force created a workshop designed to increase residents' interest in, and prepare them for, careers in academic family medicine. We aimed to evaluate the effectiveness of this workshop. Participants were family medicine residents who preregistered for and attended the F4T Resident Workshop at the 2016 STFM Annual Spring Conference. The intervention was a full-day, 9-hour preconference workshop delivered by a multi-institutional faculty team. Participants were asked to complete a questionnaire before and immediately after the workshop. Data collected included demographics, residency program characteristics, future career plans, self-reported confidence in skills, and general knowledge relevant to becoming faculty. A total of 75 participants attended the workshop. The proportion of those who were "extremely likely" to pursue a career in academic family medicine increased from 58% to 72%. Participants reported statistically significant improvements in their confidence in clinical teaching, providing feedback to learners, writing an effective CV, knowledge about the structure of academic family medicine, and knowledge about applying for a faculty position. The STFM F4T Resident Workshop was effective at increasing participants' interest in academic careers, as well as self-reported confidence in skills and knowledge relevant to becoming faculty. The data collected from participants regarding their career plans may inform future interventions.

Antioxidant potential of selected Spirulina platensis preparations.

Science.gov (United States)

Dartsch, Peter C

2008-05-01

Recent studies suggest that Spirulina, a unicellular blue-green alga, may have a variety of health benefits and therapeutic properties and is also capable of acting as an antioxidant and antiinflammatory agent. In this study, a cell-free and a cell-based test assay were used to examine the antioxidant and antiinflammatory properties of four selected Spirulina platensis preparations: (1) Biospirulina, (2) SpiruComplex, a preparation with naturally bound selenium, chromium and zinc, (3) SpiruZink, a preparation with naturally bound zinc, (4) Zinkspirulina + Acerola, a preparation with naturally bound zinc and acerola powder. The cell-free test assay used potassium superoxide as a donor for superoxide radicals, whereas the cell-based test assay used the formation of intracellular superoxide radicals of functional neutrophils upon stimulation by phorbol-12-myristate-13-acetate as a model to investigate the potential of Spirulina preparations to inactivate superoxide radicals. In accordance with the recommended daily dosage, test concentrations ranging from 50 to 1000 microg/mL were chosen. The results showed a dose-dependent inactivation of free superoxide radicals (antioxidant effect) as well as an antiinflammatory effect characterized by a dose-dependent reduction of the metabolic activity of functional neutrophils and a dose-dependent inactivation of superoxide radicals generated during an oxidative burst. The results demonstrate that the tested Spirulina preparations have a high antioxidant and antiinflammatory potential. Especially SpiruZink and Zinkspirulina + Acerola might be useful as a supportive therapeutic approach for reducing oxidative stress and/or the generation of oxygen radicals in the course of inflammatory processes.

Preparation and testing of corrosion and spallation-resistant coatings

Energy Technology Data Exchange (ETDEWEB)

Hurley, John P. [Univ. of North Dakota, Grand Forks, ND (United States); Cavalli, Matthew N. [Univ. of North Dakota, Grand Forks, ND (United States)

2016-06-30

its standard oxidation, spallation, and corrosion testing, which was scheduled for completion in the spring of 2016. However, because of commercial demands, the tests were not completed by the time of this report except some initial spallation tests at 1150°C. In those tests, several of the APMT plates separated from the CM247LC, likely because of the remaining aluminum oxide scale on the surface of the CM247LC. This implies that surface preparation may need to include machining to remove the oxide scale before bonding rather than just sandblasting. In previous tensile testing at 950°C, the breaks in the tensile samples always occurred in the APMT and not at the joints. Gasifier sampling was completed to determine what types of trace contaminants may occur in cleaned and combusted syngas and that could lead to corrosion or deposition in turbines firing coal syngas. The sampling was done from a pressurized fluidized-bed gasifier and a pressurized entrained-flow gasifier. The particles captured on a filter from syngas were typically 0.2 to 0.5 μm in diameter, whereas those captured from the combusted syngas were slightly larger and more spherical. X-ray photoelectron spectroscopy done at Oak Ridge National Laboratory showed that the particles do not contain any metals and have an atomic composition almost identical to that of the polycarbonate filter. This indicates that the particles are primarily soot-based and not formed from volatilization of metals in the gasifiers.

IELTS Preparation Courses in China : the Reading Comprehension Task

OpenAIRE

Zhou, Ying

2011-01-01

More and more private language schools provide IELTS preparation courses for candidates who want to sit the test for admission to undergraduate and postgraduate courses in English-speaking countries. This essay investigates whether the IELTS preparation course in a language school in China offers an adequate preparation for candidates. The study focuses on one preparation course for the IELTS reading test (other modules are beyond the scope of the present study). A questionnaire and interview...

Adolescent test or procedure preparation

Science.gov (United States)

... someone else) during the procedure Playing hand-held video games Using guided imagery Trying other distractions, such as ... effects the test may cause. Older teens may benefit from videos that show adolescents of the same age explaining ...

Engaging rural preceptors in new longitudinal community clerkships during workforce shortage: a qualitative study

Directory of Open Access Journals (Sweden)

Weston Kathryn M

2011-09-01

Full Text Available Abstract Background In keeping with its mission to produce doctors for rural and regional Australia, the University of Wollongong, Graduate School of Medicine has established an innovative model of clinical education. This includes a 12-month integrated community-based clerkship in a regional or rural setting, offering senior students longitudinal participation in a 'community of practice' with access to continuity of patient care experiences, continuity of supervision and curriculum, and individualised personal and professional development. This required developing new teaching sites, based on attracting preceptors and providing them with educational and physical infrastructure. A major challenge was severe health workforce shortages. Methods Before the new clerkship started, we interviewed 28 general practitioners to determine why they engaged as clerkship preceptors. Independent researchers conducted semi-structured interviews. Responses were transcribed for inductive qualitative content analysis. Results The new model motivated preceptors to engage because it enhanced their opportunities to contribute to authentic learning when compared with the perceived limitations of short-term attachments. Preceptors appreciated the significant recognition of the value of general practice teaching and the honour of major involvement in the university. They predicted that the initiative would have positive effects on general practitioner morale and improve the quality of their practice. Other themes included the doctors' commitment to their profession, 'handing on' to the next generation and helping their community to attract doctors in the future. Conclusions Supervisors perceive that new models of clinical education offer alternative solutions to health care education, delivery and workforce. The longitudinal relationship between preceptor, student and community was seen as offering reciprocal benefits. General practitioners are committed to refining

Preparing for Success through Apprenticeship

Science.gov (United States)

Christman, Scott

2012-01-01

The fact that many companies outsource jobs and contracts for manufactured products can be attributed to the shortage of technically trained and skilled workers in America's workforce. Today, business and industry, educators, parents, and students are significantly interested in STEM education and technological literacy. With the majority of…

On the Preparation and Testing of Fuel Cell Catalysts Using the Thin Film Rotating Disk Electrode Method.

Science.gov (United States)

Inaba, Masanori; Quinson, Jonathan; Bucher, Jan Rudolf; Arenz, Matthias

2018-03-16

We present a step-by-step tutorial to prepare proton exchange membrane fuel cell (PEMFC) catalysts, consisting of Pt nanoparticles (NPs) supported on a high surface area carbon, and to test their performance in thin film rotating disk electrode (TF-RDE) measurements. The TF-RDE methodology is widely used for catalyst screening; nevertheless, the measured performance sometimes considerably differs among research groups. These uncertainties impede the advancement of new catalyst materials and, consequently, several authors discussed possible best practice methods and the importance of benchmarking. The visual tutorial highlights possible pitfalls in the TF-RDE testing of Pt/C catalysts. A synthesis and testing protocol to assess standard Pt/C catalysts is introduced that can be used together with polycrystalline Pt disks as benchmark catalysts. In particular, this study highlights how the properties of the catalyst film on the glassy carbon (GC) electrode influence the measured performance in TF-RDE testing. To obtain thin, homogeneous catalyst films, not only the catalyst preparation, but also the ink deposition and drying procedures are essential. It is demonstrated that an adjustment of the ink's pH might be necessary, and how simple control measurements can be used to check film quality. Once reproducible TF-RDE measurements are obtained, determining the Pt loading on the catalyst support (expressed as Pt wt%) and the electrochemical surface area is necessary to normalize the determined reaction rates to either surface area or Pt mass. For the surface area determination, so-called CO stripping, or the determination of the hydrogen underpotential deposition (Hupd) charge, are standard. For the determination of the Pt loading, a straightforward and cheap procedure using digestion in aqua regia with subsequent conversion of Pt(IV) to Pt(II) and UV-vis measurements is introduced.

Flaw preparations for HSST program vessel fracture mechanics testing: mechanical-cyclic pumping and electron-beam weld-hydrogen-charge cracking schemes

International Nuclear Information System (INIS)

Holz, P.P.

1980-06-01

The purpose of the document is to present schemes for flaw preparations in heavy section steel. The ability of investigators to grow representative sharp cracks of known size, location, and orientation is basic to representative field testing to determine data for potential flaw propagation, fracture behavior, and margin against fracture for high-pressure-, high-temperature-service steel vessels subjected to increasing pressurization and/or thermal shock. Gaging for analytical stress and strain procedures and ultrasonic and acoustic emission instrumentation can then be applied to monitor the vessel during testing and to study crack growth. This report presents flaw preparations for HSST fracture mechanics testing. Cracks were grown by two techniques: (1) a mechanical method wherein a premachined notch was sharpened by pressurization and (2) a method combining electron-beam welds and hydrogen charging to crack the chill zone of a rapidly placed autogenous weld. The mechanical method produces a naturally occurring growth shape controlled primarily by the shape of the machined notch; the welding-electrochemical method produces flaws of uniform depth from the surface of a wall or machined notch. Theories, details, discussions, and procedures are covered for both of the flaw-growing schemes

[Predicting spread of new pandemic swine-origin influenza A (H1N1) in local mid-size city: evaluation of hospital bed shortage and effectiveness of vaccination].

Science.gov (United States)

Takeuchi, Shouhei; Kuroda, Yoshiki

2010-01-01

On April 24th, 2009, a new swine-origin influenza A (H1N1) was first reported in Mexico. Japan confirmed cases of the flu on May 9th, and the pandemic in Japan has become full-scale. The Ministry of Health, Labor and Welfare of Japan announced that the first peak of this pandemic was predicted to occur in October, 2009. Therefore, it is most important to predict the progress of this pandemic to be able to use medical resources effectively in Japan. We used a modified susceptible-exposed-infected-recovered (SEIR) model to calculate the number of infected people and hospital bed shortage during this pandemic. In this model, available medical resources were investigated on the basis of four vaccination scenarios. Our model showed that it would take a further six months for the pandemic to peak than was predicted by the Ministry of Health, Labor and Welfare of Japan. Without vaccination, at the peak of the pandemic 23,689 out of 400,000 people would be infected and the hospital bed shortage would reach 7,349 in total. We suggest that mathematical models are strong tools to predict the spread of infectious diseases. According to our model, it is possible to prevent hospital bed shortage by vaccination.

Preparation and characterization of PTFE coating in new polymer quartz piezoelectric crystal sensor for testing liquor products

International Nuclear Information System (INIS)

Gu Yu; Li Qiang

2015-01-01

A new method was developed based on the electron beam vacuum dispersion (EBVD) technology to prepare the PTFE polymer coating of the new polymer quartz piezoelectric crystal sensor for testing liquor products. The new method was applied in the new EBVD equipment which we designed. A real-time system monitoring the polymer coating’s thickness was designed for the new EBVD equipment according to the quartz crystal microbalance (QCM) principle, playing an important role in preparing stable and uniform PTFE polymer coatings of the same thickness. 30 pieces of PTFE polymer coatings on the surface of the quartz crystal basis were prepared with the PTFE polymer ultrafine powder (purity ≥ 99.99%) as the starting material. We obtained 30 pieces of new PTFE polymer sensors. By using scanning electron microscopy (SEM), the structure of the PTFE polymer coating’s column clusters was studied. One sample from the 30 pieces of new PTFE polymer sensors was analysed by SEM in four scales, i.e., 400×, 1000×, 10000×, and 25000×. It was shown that under the condition of high bias voltage and low bias current, uniformly PTFE polymer coating could be achieved, which indicates that the new EBVD equipment is suitable for mass production of stable and uniform polymer coating. (paper)

Medical students and physical education students as CPR instructors: an appropriate solution to the CPR-instructor shortage in secondary schools?

OpenAIRE

Cuijpers, P. J. P. M.; Bookelman, G.; Kicken, W.; de Vries, W.; Gorgels, A. P. M.

2016-01-01

Background Integrating cardiopulmonary resuscitation (CPR) training in secondary schools will increase the number of potential CPR providers. However, currently too few certified instructors are available for this purpose. Training medical students and physical education student teachers to become CPR instructors could decrease this shortage. Aim Examine whether medical students and physical education student teachers can provide CPR training for secondary school pupils as well as (i.?e., non...

Improment of process for preparing and testing hydrogels in wound/burn treatment to apply a licence

International Nuclear Information System (INIS)

Doan Thi The; Pham Thi Thu Hong; Doan Binh; Tran Tich Canh; Nguyen Quoc Hien

2007-01-01

Hydrogel based on PVA/PVP/KC/CMC for burn wound dressing has been prepared by cross linking irradiation. The characteristics of the hydrogel such as gel fraction, mechanical properties, the equilibrium swelling degree in water and in pseudo-extra cellular fluid (PECF), and the water vapor transmission rate (WVTR) were measured. The microbe penetration, burn-wound healing effects, skin irritation and sterility level of the hydrogel were tested and analyzed. In addition, a technology system for producing hydrogel in a 500 pieces/batch/4hr scale was designed. (author)

Bone preparation at the KCCAMS laboratory

Energy Technology Data Exchange (ETDEWEB)

Beaumont, Will, E-mail: wbeaumon@uci.ed [Earth System Science Dept., University of California, B321 Croul Hall, Irvine, CA 92697-3100 (United States); Beverly, Robert; Southon, John [Earth System Science Dept., University of California, B321 Croul Hall, Irvine, CA 92697-3100 (United States); Taylor, R.E. [Department of Anthropology, University of California, Riverside, CA 92521 (United States)

2010-04-15

Collagen purification by ultrafiltration is becoming widely accepted as a superior {sup 14}C sample preparation method for removing environmental contamination from archaeological bone. We present an overview of bone sample preparation methods used at the KCCAMS laboratory, UC Irvine. Methods development data are also discussed, including results of tests of gelatinization temperature, evaluation of 10 kDa vs. 30 kDa molecular weight (MW) ultrafiltration, improvements to ultrafilter cleaning methods, tests of ultrafilter memory, and ultrafilter glycerin contamination. These tests were not intended to be exhaustive, but rather to show how standard procedures can be validated and improved with relatively little effort.

Preparation, characterization and use of a reference material to proficiency testing for determination of metals in fish tissue in natura

International Nuclear Information System (INIS)

Santana, Luciana Vieira de

2013-01-01

The proficiency tests are widely used to evaluate the analytical capacity of laboratories and also as part of the accreditation process. For this reason, are important tools for the control of the quality of the analytical results obtained in the laboratories that work directly with seafood companies. In Brazil there are no providers of proficiency testing for metals potentially toxic in fish tissues. In this work will be described all steps used for the production of reference materials to be used in a proficiency testing pilot study for As, Cd, Pb and Hg in fish tissue following the recommendations of the ISO Guide 35. He preparation scheme consisted in selecting the individuals, cleaning, grinding, homogenization and fortification with As, Cd and Pb in two concentration levels. The preparation resulted in 164 sachets of 10 g each. In order to evaluate the effect of gamma irradiation in the samples conservation 52 sachets were irradiated with 60 Co (10.00 ± 1.05 kGy) in a gamma cell. This material with others non irradiated 52 sachets were used for the homogeneity and stability studies. The remaining 60 were used for the proficiency testing. The results demonstrated that both materials were homogeneous and presented good stability (during a period of 45 days). However, the irradiated material present better integrity, concerning biological degradation, when stored in ambient temperature. For this reason they were used to the proficiency testing pilot program. Ten laboratories participated in the proficiency testing pilot study and the results were evaluated using the following tests: z-score, confidence ellipse and En numbers. This work demonstrates the capability of the laboratory to produce reference materials as well as to organize and conduct proficiency testing. (author)

Collaborative ReTek exchange - An innovative solution to the skills and resource shortage in the nuclear industry - 16396

International Nuclear Information System (INIS)

Parr, Corhyn

2009-01-01

A Different Approach to the Skills and Resource Shortage The Nuclear Industry has for many years been concerned about a skills and resource shortage. This has been due to a poor perception of the industry by those on the outside, highly competitive industries vying for the same resource pool, a steep retirement curve for highly qualified staff and a lack of graduates entering industry. Here in the UK the creation of the National Skill Academy for Nuclear (NSAN) has put in place a framework to record skills and look to accredit the training providers in the nuclear industry to ensure that the correct skills for the future are available. This has gone some way to solving the skills problem and developing a well recognised accredited system but what about resource - where are the additional qualified resources going to be found? Part of the Solution - A Resource Exchange. How do we solve the skills shortage? We come together as an industry and share the available resource through a collaborative resource exchange. It has been done before in the IT industry when rates for specialists hit Pounds 1500 per day and recruitment agencies were charging extortionate fees for providing temporary resource. ReTek Consulting have developed the ReTek Resource Exchange to provide a neutral collaborative platform across the supply chain; from large scale infrastructure companies and joint venture platforms through to small companies and independent consultants. Using the ReTek Exchange permanent staff are made available to work for others during periods of under-utilisation. Links with similar highly regulated industries enable further management of peaks and troughs and a growth in experienced nuclear professionals through focused training and development. The Benefits of the ReTek Exchange are: - Increased utilisation of your current workforce. - Shared cost of permanent staff. - Speedy access to staff available in your region. - Reduced need for contract or agency staff. - Access

The Third International Reference Preparation of Egg Lecithin

Science.gov (United States)

Krag, P.; Bentzon, M. Weis

1961-01-01

The Third International Reference Preparation of Egg Lecithin was produced (in a quantity of 5000 ml) at the WHO Serological Reference Centre, Copenhagen, and assayed in 1958 against the Second International Reference Preparation by four laboratories in three countries. Complement-fixation and slide-flocculation tests were used. The new preparation was found acceptable, and its establishment was authorized by the WHO Expert Committee on Biological Standardization. The average log10 titres and results of analyses of variances are shown. The variances were of the usual order of magnitude, and the differences in titre between antigens containing the Second and the Third International Reference Preparations varied from -0.011 to 0.116; only one of the differences exceeded the 5% limit of significance. The use of the Third International Reference Preparation in tests for the acceptability of lecithin preparations is described. PMID:13753864

Injection Tests

CERN Document Server

Kain, V

2009-01-01

The success of the start-up of the LHC on 10th of September was in part due to the preparation without beam and injection tests in 2008. The injection tests allowed debugging and improvement in appropriate portions to allow safe, efficient and state-of-the-art commissioning later on. The usefulness of such an approach for a successful start-up becomes obvious when looking at the problems we encountered before and during the injection tests and could solve during this period. The outline of the preparation and highlights of the different injection tests will be presented and the excellent performance of many tools discussed. A list of shortcomings will follow, leading to some planning for the preparation of the run in 2009.

PS-109 Barriers and facilitators to implementing drug changes caused by drug tenders and shortages

DEFF Research Database (Denmark)

Rishøj, Rikke Mie; Christrup, Lona Louring; Clemmensen, Marianne H

2015-01-01

. Purpose To identify barriers and facilitators for implementing drug changes due to drug tenders and shortages in Danish public hospitals. Material and methods Six focus group interviews were conducted at three hospitals in different regions of the country. At each hospital two focus group interviews were...... thematically through content analysis. Results Barriers Identified included: frequent changes of labelling, packages and drug names. Furthermore, implementing drug changes requires extra resources and finance. Technologies such as computerised physician order entry and barcode scanning systems were perceived...... as potential facilitators, but also as barriers in cases where the quality and implementation of the systems were not adequate. Facilitators included: hospital pharmacy services and lower drug prices. Furthermore recommendations on generic prescription, optimisation of the tendering process and support...

Study on the system-level test method of digital metering in smart substation

Science.gov (United States)

Zhang, Xiang; Yang, Min; Hu, Juan; Li, Fuchao; Luo, Ruixi; Li, Jinsong; Ai, Bing

2017-03-01

Nowadays, the test methods of digital metering system in smart substation are used to test and evaluate the performance of a single device, but these methods can only effectively guarantee the accuracy and reliability of the measurement results of a digital metering device in a single run, it does not completely reflect the performance when each device constitutes a complete system. This paper introduced the shortages of the existing test methods. A system-level test method of digital metering in smart substation was proposed, and the feasibility of the method was proved by the actual test.

Oromucosal film preparations: classification and characterization methods.

Science.gov (United States)

Preis, Maren; Woertz, Christina; Kleinebudde, Peter; Breitkreutz, Jörg

2013-09-01

Recently, the regulatory authorities have enlarged the variety of 'oromucosal preparations' by buccal films and orodispersible films. Various film preparations have entered the market and pharmacopoeias. Due to the novelty of the official monographs, no standardized characterization methods and quality specifications are included. This review reports the methods of choice to characterize oromucosal film preparations with respect to biorelevant characterization and quality control. Commonly used dissolution tests for other dosage forms are not transferable for films in all cases. Alternatives and guidance on decision, which methods are favorable for film preparations are discussed. Furthermore, issues about requirements for film dosage forms are reflected. Oromucosal film preparations offer a wide spectrum of opportunities. There are a lot of suggestions in the literature on how to control the quality of these innovative products, but no standardized tests are available. Regulatory authorities need to define the standards and quality requirements more precisely.

The Beneficial Auxiliary Role of Poison Information Centers: Stewardly Use of Rabies Post-Exposure Prophylaxis in a Time of Shortage

Directory of Open Access Journals (Sweden)

Rachel Gorodetsky

2012-12-01

Full Text Available Background: During the one-year period from May 2008 to May 2009, a nationwide shortage developed which rabies vaccine was not being produced by the manufacturers. In order to manage existing supply, a protocol was established wherein an authorization was required from the regional poison center before vaccine could be administered to a patient. Methods: The Georgia Poison Center internal database was accessed for information pertaining to rabies exposure calls for the time of the restriction, as well as the years before and after. Results were examined for the total number of human rabies exposure calls received by the poison center, as well as the number of cases in which PEP was recommended.  Results: During the restriction period, the number of rabies-related calls increased, while the percentage of cases in which PEP was recommended, remained consistent. The year following the restriction, the number of rabies related calls remained elevated. Conclusion: Our Regional Poison Center was able to make a positive impact by reducing unnecessary use of PEP in a time of shortage and thereby ensuring that all patients who needed the vaccine were able to receive it. This further shows the potential capacity of the poison information centers to optimize healthcare services.  

Selection of an evaluation index for water ecological civilizations of water-shortage cities based on the grey rough set

Science.gov (United States)

Zhang, X. Y.; Zhu, J. W.; Xie, J. C.; Liu, J. L.; Jiang, R. G.

2017-08-01

According to the characteristics and existing problems of water ecological civilization of water-shortage cities, the evaluation index system of water ecological civilization was established using a grey rough set. From six aspects of water resources, water security, water environment, water ecology, water culture and water management, this study established the prime frame of the evaluation system, including 28 items, and used rough set theory to undertake optimal selection of the index system. Grey correlation theory then was used for weightings in order that the integrated evaluation index system for water ecology civilization of water-shortage cities could be constituted. Xi’an City was taken as an example, for which the results showed that 20 evaluation indexes could be obtained after optimal selection of the preliminary framework of evaluation index. The most influential indices were the water-resource category index and water environment category index. The leakage rate of the public water supply pipe network, as well as the disposal, treatment and usage rate of polluted water, urban water surface area ratio, the water quality of the main rivers, and so on also are important. It was demonstrated that the evaluation index could provide an objectively reflection of regional features and key points for the development of water ecology civilization for cities with scarce water resources. It is considered that the application example has universal applicability.

Can alternative sugar sources buffer pollinators from nectar shortages?

Science.gov (United States)

Gardner-Gee, Robin; Dhami, Manpreet K; Paulin, Katherine J; Beggs, Jacqueline R

2014-12-01

Honeydew is abundant in many ecosystems and may provide an alternative food source (a buffer) for pollinators during periods of food shortage, but the impact of honeydew on pollination systems has received little attention to date. In New Zealand, kānuka trees (Myrtaceae: Kunzea ericoides (A. Rich) Joy Thompson) are often heavily infested by the endemic honeydew-producing scale insect Coelostomidia wairoensis (Maskell) (Hemiptera: Coelostomidiidae) and the period of high honeydew production can overlap with kānuka flowering. In this study, we quantified the sugar resources (honeydew and nectar) available on kānuka and recorded nocturnal insect activity on infested and uninfested kānuka during the flowering period. Insects were abundant on infested trees, but flowers on infested trees received fewer insect visitors than flowers on uninfested trees. There was little evidence that insects had switched directly from nectar-feeding to honeydew-feeding, but it is possible that some omnivores (e.g., cockroaches) were distracted by the other honeydew-associated resources on infested branches (e.g., sooty molds, prey). Additional sampling was carried out after kānuka flowering had finished to determine honeydew usage in the absence of adjacent nectar resources. Moths, which had fed almost exclusively on nectar earlier, were recorded feeding extensively on honeydew after flowering had ceased; hence, honeydew may provide an additional food source for potential pollinators. Our results show that honeydew resources can impact floral visitation patterns and suggest that future pollinator studies should consider the full range of sugar resources present in the study environment.

UO{sub 2} Kernel Preparation by M-EG Process and Its Irradiation Test

Energy Technology Data Exchange (ETDEWEB)

Jeong, K. C.; Eom, S. H.; Kim, Y. K.; Yeo, S. H.; Kim, Y. M.; Kim, B. G.; Cho, M. S. [KAERI, Daejeon (Korea, Republic of)

2016-05-15

Kernels of KAERI TRISO fuels are prepared in the following steps: (1) preparation of a raw material solution(UN solution) by UO{sub 3} (or U{sub 3}O{sub 8}) powder dissolution in the concentrated HNO{sub 3}; (2) broth preparation and physical property control by mixing UN, THFA, PVA, and H{sub 2}O; (3) preparation of spherical liquid gel droplets and dried-ADU gels in sequence through a reaction between uranyl ions and ammonia ions in a gelation column; (4) ageing, washing, and drying processes of ADU gel using AWD equipment; (5) UO{sub 3} calcination by thermal decomposition of driedADU gel in the air; (6) fabrication of UO{sub 2} kernel by reducing the UO{sub 3} and sintering in the H{sub 2}. In this study, improved KAERI processes for UO{sub 2} kernel preparation were presented. ADU gel washing procedure in AWD processes and the heating mode in sintering process were modified and the internal structures of UO{sub 2} kernels are presented as a result.

Rural and remote dental services shortages: filling the gaps through geo-spatial analysis evidence-based targeting.

Science.gov (United States)

Shiika, Yulia; Kruger, Estie; Tennant, Marc

Australia has a significant mal-distribution of its limited dental workforce. Outside the major capital cities, the distribution of accessible dental care is at best patchy. This study applied geo-spatial analysis technology to locate gaps in dental service accessibility for rural and remote dwelling Australians, in order to test the hypothesis that there are a few key location points in Australia where further dental services could make a significant contribution to ameliorating the immediate shortage crisis. A total of 2,086 dental practices were located in country areas, covering a combined catchment area of 1.84 million square kilometers, based on 50 km catchment zones around each clinic. Geo-spatial analysis technology was used to identify gaps in the accessibility of dental services for rural and remote dwelling Australians. An extraction of data was obtained to analyse the integrated geographically-aligned database. Results: Resolution of the lack of dental practices for 74 townships (of greater than 500 residents) across Australia could potentially address access for 104,000 people. An examination of the socio-economic mix found that the majority of the dental practices (84%) are located in areas classified as less disadvantaged. Output from the study provided a cohesive national map that has identified locations that could have health improvement via the targeting of dental services to that location. The study identified potential location sites for dental clinics, to address the current inequity in accessing dental services in rural and remote Australia.

Preparation of bubble damage detectors

International Nuclear Information System (INIS)

Tu Caiqing; Guo Shilun; Wang Yulan; Hao Xiuhong; Chen Changmao; Su Jingling

1997-01-01

Bubble damage detectors have been prepared by using polyacrylamide as detector solid and freon as detector liquid. Tests show that the prepared detectors are sensitive to fast neutrons and have proportionality between bubble number and neutron fluence within a certain range of neutron fluence. Therefore, it can be used as a fast neutron detector and a dosimeter

PREPARATIVE SKIN PREPARATION AND SURGICAL WOUND INFECTION

Directory of Open Access Journals (Sweden)

Anjanappa

2015-01-01

Full Text Available BACKGROUND AND OBJECTIVE: It is an established fact now that the normal skin of healthy human beings harbours a rich bacterial fl ora. Normally considered non - pathogenic , these organisms way be a potential source of infection of the surgical wound. Approximately 20% of the resident flora is beyond the reach of surgical scrubs and antiseptics. The goal of surgical preparation of the skin with antiseptics is to remove transient and pathogenic microorganisms on the skin surface and to reduce the resident flora to a low level. Povidone iodine (I odophors and chlorhexidine are most often used antiseptics for pre - operative skin preparation. OBJECTIVES : To evaluate the efficacy of povidone iodine alone and in combination with antiseptic agent containing alcoholic chlorhexidine in preoperative skin p reparation by taking swab culture. (2 To compare the rate of postoperative wound infection in both the groups. METHODS: One hundred patients (fifty in each group undergoing clean elective surgery with no focus of infection on the body were included in th e study. The pre - operative skin preparation in each group is done with the respective antiseptic regimen. In both the groups after application of antiseptics , sterile saline swab culture was taken immediately from site of incision. In cases which showed gr owth of organisms , the bacteria isolated were identified by their morphological and cultural characteristics. Grams staining , coagulase test and antibiotic sensitivity test were done wherever necessary and difference in colonization rates was determined as a measure of efficacy of antiseptic regimen. RESULTS: The results of the study showed that when compared to povidone iodine alone , using a combination of povidone iodine and alcoholic solution of chlorhexidine , the colonization rates of the site of incisi on were reduced significantly. As for the rate of post - operative wound infection , it is also proven that wound infections are also

Avoiding a Pilot Retention Death Spiral: The Pilot Shortage and DOD’s Challenge to Maintain an Effective Fighting Force

Science.gov (United States)

2018-04-09

public oversight.”79 His comments apply equally well to the Air Force or the Navy. Anecdotal evidence provided by an anonymous survey on social media ...Master’s Thesis 31 July 2017- 09 APRIL 2018 Avoiding a Pilot Retention Death Spiral: The Pilot Shortage and DOD’s Challenge to Maintain an Effective ...DOD’S CHALLENGE TO MAINTAIN AN EFFECTIVE FIGHTING FORCE by Nathan Thompson Lieutenant Colonel, United States Air Force

Test Review: TestDaF

Science.gov (United States)

Norris, John; Drackert, Anastasia

2018-01-01

The Test of German as a Foreign Language (TestDaF) plays a critical role as a standardized test of German language proficiency. Developed and administered by the Society for Academic Study Preparation and Test Development (g.a.s.t.), TestDaF was launched in 2001 and has experienced persistent annual growth, with more than 44,000 test takers in…

Fatty liver disease and lifestyle in youngsters: diet, food intake frequency, exercise, sleep shortage and fashion.

Science.gov (United States)

Trovato, Francesca M; Martines, Giuseppe Fabio; Brischetto, Daniela; Catalano, Daniela; Musumeci, Giuseppe; Trovato, Guglielmo M

2016-03-01

Fatty liver is associated with alcohol habits and/or overweight/obesity. We challenged several lifestyle features associated with fatty liver and, particularly, with non-alcoholic fatty liver disease (NAFLD). Among them, sleep shortage as a result of nightlife habits and a preference for plus-size fashion were assessed. The latter consists of fashionable plus-sized clothing for actual individuals' size and reflects a frequent attitude of some social or age groups, conceivably indicating more global and widespread trend and behaviour. We studied a group of 708 non-diabetic youngsters, 458 women and 250 men, 21.72 ± 3.71 years old (range 15-35 years), referred for minor digestive ailments for clinical assessment, ultrasound detection of fatty liver and nutritional counselling. Details of personal history regarding lifestyle, food intake frequency and alcohol intake, dietary and physical exercise profile, sleep duration and clothing preferences were recorded. The prevalence of NAFLD in this cohort of youngsters is 67/708 (9.4%). Even if it is quantitatively very low in both groups, the average alcohol intake, always below 20 g/day, is greater in NAFLD subjects (5.83 ± 4.32 g) vs. subjects with normal liver (2.02 ± 3.20 g). The number of meals/day and adherence to a Mediterranean diet profile are smaller in NAFLD subjects. By multiple regression, BMI, sedentary life, plus-sized clothing for their actual size, sleep shortage and lower frequency of daily food intake are associated with the presence of NAFLD. Onset and continuation of fatty liver disease, beyond food and exercise quantity and quality, with their effects on obesity, may also be associated with other aspects of lifestyle. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services.

Science.gov (United States)

Kanchanachitra, Churnrurtai; Lindelow, Magnus; Johnston, Timothy; Hanvoravongchai, Piya; Lorenzo, Fely Marilyn; Huong, Nguyen Lan; Wilopo, Siswanto Agus; dela Rosa, Jennifer Frances

2011-02-26

In this paper, we address the issues of shortage and maldistribution of health personnel in southeast Asia in the context of the international trade in health services. Although there is no shortage of health workers in the region overall, when analysed separately, five low-income countries have some deficit. All countries in southeast Asia face problems of maldistribution of health workers, and rural areas are often understaffed. Despite a high capacity for medical and nursing training in both public and private facilities, there is weak coordination between production of health workers and capacity for employment. Regional experiences and policy responses to address these challenges can be used to inform future policy in the region and elsewhere. A distinctive feature of southeast Asia is its engagement in international trade in health services. Singapore and Malaysia import health workers to meet domestic demand and to provide services to international patients. Thailand attracts many foreign patients for health services. This situation has resulted in the so-called brain drain of highly specialised staff from public medical schools to the private hospitals. The Philippines and Indonesia are the main exporters of doctors and nurses in the region. Agreements about mutual recognition of professional qualifications for three groups of health workers under the Association of Southeast Asian Nations Framework Agreement on Services could result in increased movement within the region in the future. To ensure that vital human resources for health are available to meet the needs of the populations that they serve, migration management and retention strategies need to be integrated into ongoing efforts to strengthen health systems in southeast Asia. There is also a need for improved dialogue between the health and trade sectors on how to balance economic opportunities associated with trade in health services with domestic health needs and equity issues. Copyright © 2011

Preparation and Testing of Impedance-based Fluidic Biochips with RTgill-W1 Cells for Rapid Evaluation of Drinking Water Samples for Toxicity

Science.gov (United States)

2016-03-07

109 | e53555 | Page 1 of 8 Video Article Preparation and Testing of Impedance-based Fluidic Biochips with RTgill-W1 Cells for Rapid Evaluation of...www.jove.com/ video /53555 DOI: doi:10.3791/53555 Keywords: Environmental Sciences, Issue 109, Fish cells, impedance, sensors, biochip, water toxicity...sensitivity to cholinesterase-inhibiting pesticides . Applications for this toxicity detector are for rapid field-portable testing of drinking water

Pharmaceutical studies on and clinical application of olanzapine suppositories prepared as a hospital preparation

OpenAIRE

Matsumoto, Kazuaki; Kimura, Satoru; Takahashi, Kenichi; Yokoyama, Yuta; Miyazawa, Masayuki; Kushibiki, Satoko; Katamachi, Morio; Kizu, Junko

2016-01-01

Background A new formulation of olanzapine available for terminally ill patients is needed. Rectal administration using suppositories is an alternative for patients for whom administration via the oral route is not feasible. In the present study, we prepared olanzapine suppositories, and confirmed using pharmaceutical tests. Furthermore, we demonstrated the efficacy and safety of olanzapine suppositories in terminally ill patients. Methods We prepared olanzapine suppositories using bases cons...

Path Toward Economic Resilience for Family Caregivers: Mitigating Household Deprivation and the Health Care Talent Shortage at the Same Time

OpenAIRE

Simon, Melissa A.; Gunia, Brian; Martin, Emily J.; Foucar, Charles E.; Kundu, Tapas; Ragas, Daiva M.; Emanuel, Linda L.

2013-01-01

Rising costs and a workforce talent shortage are two of the health care industry’s most pressing challenges. In particular, serious illnesses often impose significant costs on individuals and their families, which can place families at an increased risk for multigenerational economic deprivation or even an illness–poverty trap. At the same time, family caregivers often acquire a wide variety of health care skills that neither these caregivers nor the health care industry typically use. As the...

Nursing Workforce: Emerging Nurse Shortages Due to Multiple Factors. Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives.

Science.gov (United States)

Heinrich, Janet

Current evidence suggests emerging shortages of nurses available or willing to fill some vacant positions in hospitals, nursing homes, and home care. Total employment of registered nurses (RNs) per capita and the national unemployment rate for RNs have declined, and providers from around the country report growing difficulty recruiting and…

Effects of seedbed preparation, irrigation, and water harvesting of seedling emergence at the Nevada Test Site

International Nuclear Information System (INIS)

Winkel, V.K.; Ostler, W.K.; Gabbert, W.D.; Lyon, G.E.

1994-02-01

Approximately 800 hectares on the US Department of Energy Nevada Test Site and vicinity are contaminated with plutonium. As part of a cleanup effort, both the indigenous vegetation and the top 5--10 cm of soil may be removed, and the soil may or may not be replaced. Technologies must be developed to stabilize and revegetate these lands. A study was developed to determine adaptable plant species, methods to prepare seedbeds for direct seeding and water harvesting, and proper irrigation rates. Plots were cleared of indigenous vegetation, and then prepared with various seedbed/water harvesting treatments including, pitting, land imprinting, and mulching. Other plots were treated with large water harvesting structures. Three irrigation treatments were superimposed over the seedbed/water harvesting treatments. Seedling emergence data was collected, and the treatment combinations compared. Supporting meteorological and soil data were collected with an automatic data-logger. Specific data included precipitation, and air temperature. In a year of above-average precipitation, irrigation did not generally aid germination and emergence of seeded species, and only slightly increased densities of species from the native seedbank. With the exception of increased shrub seedling densities in desert strips, there were no strong seedbed preparation/water harvesting treatment effects. In years of above-average rainfall, mulching and water harvesting treatments, irrigation may not be necessary to insure adequate germination and emergence of adapted perennial grasses, forbs, and shrubs in the Mojave/Great Basin Transition Desert. Future collection of survival data will determine whether a maintenance irrigation program is necessary to ensure establishmnent of native plants

Preparation and Testing of Impedance-based Fluidic Biochips with RTgill-W1 Cells for Rapid Evaluation of Drinking Water Samples for Toxicity.

Science.gov (United States)

Brennan, Linda M; Widder, Mark W; McAleer, Michael K; Mayo, Michael W; Greis, Alex P; van der Schalie, William H

2016-03-07

This manuscript describes how to prepare fluidic biochips with Rainbow trout gill epithelial (RTgill-W1) cells for use in a field portable water toxicity sensor. A monolayer of RTgill-W1 cells forms on the sensing electrodes enclosed within the biochips. The biochips are then used for testing in a field portable electric cell-substrate impedance sensing (ECIS) device designed for rapid toxicity testing of drinking water. The manuscript further describes how to run a toxicity test using the prepared biochips. A control water sample and the test water sample are mixed with pre-measured powdered media and injected into separate channels of the biochip. Impedance readings from the sensing electrodes in each of the biochip channels are measured and compared by an automated statistical software program. The screen on the ECIS instrument will indicate either "Contamination Detected" or "No Contamination Detected" within an hour of sample injection. Advantages are ease of use and rapid response to a broad spectrum of inorganic and organic chemicals at concentrations that are relevant to human health concerns, as well as the long-term stability of stored biochips in a ready state for testing. Limitations are the requirement for cold storage of the biochips and limited sensitivity to cholinesterase-inhibiting pesticides. Applications for this toxicity detector are for rapid field-portable testing of drinking water supplies by Army Preventative Medicine personnel or for use at municipal water treatment facilities.

Detection of endotoxins in radiopharmaceutical preparations. III. Limulus test assessment using radiopharmaceutical preparations; correlation with the rabbit pyrogen test

Energy Technology Data Exchange (ETDEWEB)

Cohen, Y; Bahri, F; Bruneau, J; Dubuis, M; Dubuis, N; Merlin, L; Michaud, T; Peysson, S

1986-01-01

Experiments using 17 radiopharmaceuticals containing known amounts of added endotoxin show that none of them inhibits the pyrogenic reaction of the rabbit. Gelation of the Limulus amoebocyte lysate (LAL) is inhibited by 4 of them: colloidal erbium 169Er citrate, colloidal rhenium 186Re sulfide, colloidal technetium /sup 99m/Tc (Re) sulfide for liver scintigraphy and the colloidal technetium /sup 99m/Tc (Re) sulfide for lymphography. This inhibition is cancelled, either by dilution or after neutral pH adjustment. Both controls were performed on 313 batches of various radiopharmaceuticals, 95% of results were identical (93% negative, 2% positive). The remaining 5% correspond to positive LAL tests vs negative rabbit tests on the same batches. No negative LAL test vs positive rabbit test was observed.

Preparing for the Speaking Tasks of the "TOEFL iBT"® Test: An Investigation of the Journeys of Chinese Test Takers. "TOEFL iBT"® Research Report. TOEFL iBT-28. ETS Research Report. RR-17-19

Science.gov (United States)

Yu, Guoxing; He, Lianzhen; Rea-Dickins, Pauline; Kiely, Richard; Lu, Yanbin; Zhang, Jing; Zhang, Yan; Xu, Shasha; Fang, Lin

2017-01-01

Language test preparation has often been studied within the consequential validity framework in relation to ethics, equity, fairness, and washback of assessment. The use of independent and integrated speaking tasks in the "TOEFL iBT"® test represents a significant development and innovation in assessing speaking ability in academic…

The Effect of Mock Tests on Iranian EFL learners’ Test Scores

OpenAIRE

Hossein Khodabakhshzadeh; Reza Zardkanloo

2016-01-01

The effect of using tests in test preparation courses has been subject to debate. While some scholars such as Yang and Badger (2015) believe it is a cause of positive washback effect, others argue that this issue is tentative and context-bound (Green, 2007). Therefore, this study investigated the effect of using Mock tests in International English Language Testing System (IELTS) preparation courses on students’ overall IELTS scores. Fifty one IELTS students were selected non-randomly through ...

46 CFR 170.185 - Stability test preparations.

Science.gov (United States)

2010-10-01

... test: (a) The vessel must be as complete as practicable at the time of the test. (b) Each tank vessel...) The water depth at the mooring site must provide ample clearance against grounding. (e) Each mooring... that result in acceptable accuracy in calculating the center of gravity and displacement of the unit...

Performance of TESLA Cavities After Fabrication and Preparation in Industry

CERN Document Server

Pekeler, Michael; Bauer, Stefan; Knobloch, Jens; Vom Stein, Peter

2005-01-01

In order to demonstrate cw operation of TESLA cavities in linear accelerators driving FEL applications, two TESLA cavities were manufactured and prepared by ACCEL for BESSY. After production, both cavities were prepared for vertical test at ACCEL's premises using state of the art chemical polishing and high pressure water rinsing techniques. The cavities were tested in DESY's vertical RF test installation. Accelerating gradients close to 25 MV/m were reached. One cavity was completed with a helium vessel modified for cw operation and prepared with chemical polishing, high pressure water rinsing, and assembled with the required High Power Coupler at ACCEL. The fully dressed cavity was then shipped under vacuum to BESSY and tested in the horizontal cryostat HoBiCaT. Horizontal RF test results will be presented and compared with the vertical test results.

Set-up of a pre-test mock-up experiment in preparation for the HCPB Breeder Unit mock-up experimental campaign

Energy Technology Data Exchange (ETDEWEB)

Hernández, F., E-mail: francisco.hernandez@kit.edu [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany); Kolb, M. [Karlsruhe Institute of Technology (KIT), Institute for Applied Materials (IAM-WPT) (Germany); Ilić, M.; Kunze, A. [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany); Németh, J. [KFKI Research Institute for Particle and Nuclear Physics (Hungary); Weth, A. von der [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany)

2013-10-15

Highlights: ► As preparation for the HCPB-TBM Breeder Unit out-of-pile testing campaign, a pre-test experiment (PREMUX) has been prepared and described. ► A new heater system based on a wire heater matrix has been developed for imitating the neutronic volumetric heating and it is compared with the conventional plate heaters. ► The test section is described and preliminary thermal results with the available models are presented and are to be benchmarked with PREMUX. ► The PREMUX integration in the air cooling loop L-STAR/LL in the Karlsruhe Institute for Technology is shown and future steps are discussed. -- Abstract: The complexity of the experimental set-up for testing a full-scaled Breeder Unit (BU) mock-up for the European Helium Cooled Pebble Bed Test Blanket Module (HCPB-TBM) has motivated to build a pre-test mock-up experiment (PREMUX) consisting of a slice of the BU in the Li{sub 4}SiO{sub 4} region. This pre-test aims at verifying the feasibility of the methods to be used for the subsequent testing of the full-scaled BU mock-up. Key parameters needed for the modeling of the breeder material is also to be determined by the Hot Wire Method (HWM). The modeling tools for the thermo-mechanics of the pebble beds and for the mock-up structure are to be calibrated and validated as well. This paper presents the setting-up of PREMUX in the L-STAR/LL facility at the Karlsruhe Institute of Technology. A key requirement of the experiments is to mimic the neutronic volumetric heating. A new heater concept is discussed and compared to several conventional heater configurations with respect to the estimated temperature distribution in the pebble beds. The design and integration of the thermocouple system in the heater matrix and pebble beds is also described, as well as other key aspects of the mock-up (dimensions, layout, cooling system, purge gas line, boundary conditions and integration in the test facility). The adequacy of these methods for the full-scaled BU

Task-shifting HIV counselling and testing services in Zambia: the role of lay counsellors

Directory of Open Access Journals (Sweden)

Kapanda Paul

2009-05-01

Full Text Available Abstract Background The human resource shortage in Zambia is placing a heavy burden on the few health care workers available at health facilities. The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services. Methods Quantitative and qualitative data were collected by means of semistructured interviews from all active lay counsellors in each of the facilities and a facility manager or counselling supervisor overseeing counseling and testing services and clients. At each of the 10 selected facilities, all counselling and testing record books for the month of May 2007 were examined and any recordkeeping errors were tallied by cadre. Qualitative data were collected through focus group discussions with health care workers at each facility. Results Lay counsellors provide counselling and testing services of quality and relieve the workload of overstretched health care workers. Facility managers recognize and appreciate the services provided by lay counsellors. Lay counsellors provide up to 70% of counselling and testing services at health facilities. The data review revealed lower error rates for lay counsellors, compared to health care workers, in completing the counselling and testing registers. Conclusion Community volunteers, with approved training and ongoing supervision, can play a major role at health facilities to provide counselling and testing services of quality, and relieve the burden on already overstretched health care workers.

CT colonography with limited bowel preparation: prospective assessment of patient experience and preference in comparison to optical colonoscopy with cathartic bowel preparation

International Nuclear Information System (INIS)

Jensch, Sebastiaan; Bipat, Shandra; Vries, Ayso H. de; Heutinck, Anneke; Stoker, Jaap; Peringa, Jan; Montauban van Swijndregt, Alexander D.; Dekker, Evelien; Baak, Lubbertus C.

2010-01-01

The purpose of this study was to prospectively compare participant experience and preference of limited preparation computed tomography colonography (CTC) with full-preparation colonoscopy in a consecutive series of patients at increased risk of colorectal cancer. CTC preparation comprised 180 ml diatrizoate meglumine, 80 ml barium and 30 mg bisacodyl. For the colonoscopy preparation 4 l of polyethylene glycol solution was used. Participants' experience and preference were compared using the Wilcoxon signed rank test and the chi-squared test, respectively. Associations between preference and experience parameters for the 173 participants were determined by logistic regression. Diarrhoea occurred in 94% of participants during CTC preparation. This side effect was perceived as severely or extremely burdensome by 29%. Nonetheless, the total burden was significantly lower for the CTC preparation than for colonoscopy (9% rated the CTC preparation as severely or extremely burdensome compared with 59% for colonoscopy; p<0.001). Participants experienced significantly more pain, discomfort and total burden with the colonoscopy procedure than with CTC (p<0.001). After 5 weeks, 69% preferred CTC, 8% were indifferent and 23% preferred colonoscopy (p<0.001). A burdensome colonoscopy preparation and pain at colonoscopy were associated with CTC preference (p<0.04). In conclusion, participants' experience and preference were rated in favour of CTC with limited bowel preparation compared with full-preparation colonoscopy. (orig.)

The Effect of Mock Tests on Iranian EFL learners’ Test Scores

Directory of Open Access Journals (Sweden)

Hossein Khodabakhshzadeh

2016-07-01

Full Text Available The effect of using tests in test preparation courses has been subject to debate. While some scholars such as Yang and Badger (2015 believe it is a cause of positive washback effect, others argue that this issue is tentative and context-bound (Green, 2007. Therefore, this study investigated the effect of using Mock tests in International English Language Testing System (IELTS preparation courses on students’ overall IELTS scores. Fifty one IELTS students were selected non-randomly through the quota sampling approach out of 76 students at Mahan Language Institute in Birjand, Iran.  These participants were distributed into Group 1 (n=25 and Group 2 (n=26. A complete IELTS test was administered to ensure that the Groups were homogeneous and to serve as pretest. After 10 sessions of intervention, a different IELTS test was administered as posttest. The results of between subject analysis through independent samples t-test revealed that using Mock tests in the IELTS preparation courses can positively affect the participants scores on IELTS exam. Pedagogical implications are discussed.

Pyocin-sensitivity testing as a method of typing Pseudomonas aeruginosa: use of "phage-free" preparations of pyocin.

Science.gov (United States)

Rampling, A; Whitby, J L; Wildy, P

1975-11-01

A method for pyocin-sensitivity typing by means of "phage-free" preparations of pyocin is described. The method was tested on 227 isolates of P. aeruginosa, collected from 34 different foci of infection in hospitals in the British Isles and the results were compared with those for combined serological and phage typing of all strains and pyocin production of 105 of the isolates. It is concluded that pyocin-sensitivity typing is a simple and reliable method giving a high degree of discrimination, comparable to that of combined serological and phage typing, and it is suitable for use in routine hospital laboratories.

40 CFR 86.1231-90 - Vehicle preparation.

Science.gov (United States)

2010-07-01

... Emission Test Procedures for New Gasoline-Fueled, Natural Gas-Fueled, Liquefied Petroleum Gas-Fueled and Methanol-Fueled Heavy-Duty Vehicles § 86.1231-90 Vehicle preparation. (a) Prepare the fuel tank(s) for... tank is 40 percent full. (b) Provide additional fittings and adapters, as required, to accommodate a...

Encouraging Autonomy and Preparing for IELTS: Mutually Exclusive Goals?

Science.gov (United States)

Barrett-Lennard, Siri

1997-01-01

Suggests foreign students in Australia may not be getting preparation needed to integrate successfully into university study. Research is reviewed that indicates these students not only need help preparing for the International English Language Testing System (IELTS) but also with learning at an Australian university. Academic preparation courses…

Preparation and testing of a tetra-amine copper(II) chitosan bead system for enhanced phosphate remediation.

Science.gov (United States)

Kumar, Ilango Aswin; Viswanathan, Natrayasamy

2018-03-01

A tetra-amine copper(II) chitosan bead system (TAC@CS composite beads) was developed by grafting tetra-amine copper(II) (TAC) with chitosan (CS) and utilized for phosphate removal. The prepared TAC@CS composite beads possess enhanced phosphate sorption capacity (SC) of 41.42 ± 0.071 mg/g than copper grafted chitosan (Cu@CS) composite, TAC and chitosan which were found to be 37.01 ± 0.803, 33.20 ± 0.650 and 7.24 ± 0.059 mg/g respectively. In batch mode, various adsorption influencing parameters like contact time, initial phosphate concentration, solution pH, co-anions and temperature were optimized for maximum phosphate sorption. The prepared adsorbents were characterized by FTIR, XRD, UV-Visible, SEM and EDAX analysis. The adsorption isotherms and thermodynamic parameters of the adsorbent were studied. The feasible phosphate uptake mechanism of TAC@CS biocomposite beads was reported. The reusability studies of TAC@CS composite beads were carried out using NaOH as elutant. The suitability of TAC@CS composite beads at field conditions was tested with phosphate contaminated field water samples collected from nearby areas of Dindigul district. Copyright © 2017 Elsevier Ltd. All rights reserved.

The quality and scope of information provided by medical laboratories to patients before laboratory testing: Survey of the Working Group for Patient Preparation of the Croatian Society of Medical Biochemistry and Laboratory Medicine.

Science.gov (United States)

Nikolac, Nora; Simundic, Ana-Maria; Kackov, Sanja; Serdar, Tihana; Dorotic, Adrijana; Fumic, Ksenija; Gudasic-Vrdoljak, Jelena; Klenkar, Kornelija; Sambunjak, Jadranka; Vidranski, Valentina

2015-10-23

The aim of this work was to evaluate to what extent the scope and content of information provided to patients is standardized across medical biochemistry laboratories in Croatia. Two on-line self-report surveys were sent out: Survey A regarding attitudes on importance of patient preparation and Survey B on the contents of patient preparation instructions. 13/118 laboratories (11%) do not provide written instructions to patients on how to prepare for laboratory testing, and 36 (40%) do not include information about water intake in their instructions. Only half of laboratories provide instructions for prostate-specific antigen (53.8%), female sex hormones (53.7%) and therapeutic drug monitoring (TDM) (52.5%). Inadequate information about fasting status (55.0%) and 24 hour urine collection (77.9%) were frequent errors with high severity and were associated with the greatest potential to cause patient harm. Laboratory professionals in Croatia have a positive attitude towards the importance of patient preparation for laboratory testing. However, the information for laboratory testing is not standardized and frequently lacks guidance for tests related to TDM, coagulation and endocrinology. This study highlights the need for standardized, updated and evidence-based recommendations for patient preparation in order to minimize the risk for patients. Copyright © 2015 Elsevier B.V. All rights reserved.

Comprehensive Test Ban Treaty: options before nuclear Pakistan

International Nuclear Information System (INIS)

Pattanaik, Smruti S.

1998-01-01

The post-nuclear period has rendered Pakistan's strategic calculations more vulnerable. The decision to go nuclear after seventeen days of debate have started proving costly to Pakistan. This is revealed by the economic crisis resulting out of the foreign currency shortage, leading the country to default on the payment of debts. The pressure imposed by the International Monetary Fund (IMF) and World Bank and their patrons to sign the Comprehensive Test Ban Treaty (CTBT) have exposed Pakistan's economic vulnerability. Under this growing pressure, many have started questioning the decision to go nuclear

Preparation, Conduct and Evaluation of Exercises to Test Preparedness for a Nuclear or Radiological Emergency

International Nuclear Information System (INIS)

2010-01-01

The aim of this publication is to serve as a practical tool for the preparation, conduct and evaluation of exercises to test preparedness for response to a nuclear or radiological emergency. It fulfils in part the functions assigned to the IAEA under Article 5.a(ii) of the Convention on Assistance in Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), namely, to collect and disseminate to States Parties and Member States information concerning the methodologies, techniques and available results of research on such emergencies. To ensure effective response to radiation emergencies when needed, provisions should be made for regular training of emergency response personnel. As stated in Preparedness and Response for a Nuclear or Radiological Emergency (Safety Requirements, Safety Standard Series No. GS-R-2), 'The operator and the response organizations shall make arrangements for the selection of personnel and training to ensure that the personnel have the requisite knowledge, skills, abilities, equipment, procedures and other arrangements to perform their assigned response functions'. A further requirement is that 'Exercise programmes shall be conducted to ensure that all specified functions required to be performed for emergency response and all organizational interfaces for facilities in threat category I, II or III and the national level programmes for threat category IV or V are tested at suitable intervals'. In 2004 the IAEA General Conference, in resolution GC(48)/RES/10 encouraged Member States to 'implement the Safety Requirements for Preparedness and Response to a Nuclear or Radiological Emergency'. This document is published as part of the IAEA Emergency Preparedness and Response Series to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. It was developed based on a number of assumptions about national and local capabilities. Therefore, the exercise structure, terms and scenarios must be

Coombs test

Science.gov (United States)

Direct antiglobulin test; Indirect antiglobulin test; Anemia - hemolytic ... No special preparation is necessary for this test. ... There are 2 types of the Coombs test: Direct Indirect The direct ... that are stuck to the surface of red blood cells. Many diseases ...

Timestamp Test Report - Preparred for Champ Mission

DEFF Research Database (Denmark)

Denver, Troelz

1999-01-01

This test is performed in order to assess the time relation between the GPS real time timestamping of attitude TCs from the Advanced Stellar Compass (ASC) and the integration periods of the CCD cameras.......This test is performed in order to assess the time relation between the GPS real time timestamping of attitude TCs from the Advanced Stellar Compass (ASC) and the integration periods of the CCD cameras....

Timestamp Test Report - Preparred for Proba Mission

DEFF Research Database (Denmark)

Denver, Troelz

1999-01-01

This test is performed in order to assess the time relation between the GPS real time timestamping of attitude TCs from the Advanced Stellar Compass (ASC) and the integration periods of the CCD cameras.......This test is performed in order to assess the time relation between the GPS real time timestamping of attitude TCs from the Advanced Stellar Compass (ASC) and the integration periods of the CCD cameras....

Should We Extend Teacher Preparation?

Science.gov (United States)

Hawley, Willis D.

1989-01-01

Discusses the implications of five-year teacher preparation programs. Argues that different strategies and curricula should be tested and evaluated before mandating major system-wide changes in teacher certification requirements. (FMW)

40 CFR 86.531-78 - Vehicle preparation.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Vehicle preparation. 86.531-78 Section... (CONTINUED) CONTROL OF EMISSIONS FROM NEW AND IN-USE HIGHWAY VEHICLES AND ENGINES Emission Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.531-78 Vehicle preparation. (a) The manufacturer...

MUET Preparation Language Learning Strategies

Science.gov (United States)

Kuen, Yoong Li; Embi, Mohamed Amin

2012-01-01

The main objective of the study was to examine the English language learning strategies (LLS) used by Lower Six students in secondary schools who are sitting for their MUET test. It analyzed the language learning strategies that students use in order to prepare for the MUET test. Data were collected using a survey questionnaire with 300 students.…

Fuel cell testing of Pt–Ru catalysts supported on differently prepared and pretreated carbon nanotubes

International Nuclear Information System (INIS)

Tokarz, Wojciech; Lota, Grzegorz; Frackowiak, Elzbieta; Czerwiński, Andrzej; Piela, Piotr

2013-01-01

Proton-exchange membrane fuel cell (PEMFC) testing of Pt–Ru catalysts supported on differently prepared multiwall carbon nanotube (MCNT) supports was performed to elucidate the influence of the different supports on the operating characteristics of the catalysts under real direct methanol fuel cell (DMFC) anode and H 2 -PEMFC anode conditions. The MCNTs were either thin, entangled or thick, disentangled. Pretreatment of the MCNTs was also done and it was either high-temperature KOH etching or annealing (graphitization). The performance of the catalysts was compared against the performance of a commercial Pt–Ru catalyst supported on a high-surface-area carbon black. Among the different MCNT supports, the graphitized, entangled support offered the best performance in all tests, which was equal to the performance of the commercial catalyst, despite the MCNT catalyst layer was ca. 2.2 times thicker than the carbon black catalyst layer. Even for an MCNT catalyst layer, which was almost 7 times thicker than the carbon black catalyst layer, the transport limitations were not prohibitive. This confirmed the expected potential of nanotube supports for providing superior reactant transport properties of the PEMFC catalyst layers

Methods for preparing synthetic freshwaters.

Science.gov (United States)

Smith, E J; Davison, W; Hamilton-Taylor, J

2002-03-01

Synthetic solutions that emulate the major ion compositions of natural waters are useful in experiments aimed at understanding biogeochemical processes. Standard recipes exist for preparing synthetic analogues of seawater, with its relatively constant composition, but, due to the diversity of freshwaters, a range of compositions and recipes is required. Generic protocols are developed for preparing synthetic freshwaters of any desired composition. The major problems encountered in preparing hard and soft waters include dissolving sparingly soluble calcium carbonate, ensuring that the ionic components of each concentrated stock solution cannot form an insoluble salt and dealing with the supersaturation of calcium carbonate in many hard waters. For acidic waters the poor solubility of aluminium salts requires attention. These problems are overcome by preparing concentrated stock solutions according to carefully designed reaction paths that were tested using a combination of experiment and equilibrium modeling. These stock solutions must then be added in a prescribed order to prepare a final solution that is brought into equilibrium with the atmosphere. The example calculations for preparing hard, soft and acidic freshwater surrogates with major ion compositions the same as published analyses, are presented in a generalized fashion that should allow preparation of any synthetic freshwater according to its known analysis.

Doctoring up the Nursing Profession: Several Factors Are Contributing to the National Nursing Shortage, but Initiatives, Perceptions and College Programs Can Nurture Industry's Growth

Science.gov (United States)

Keels, Crystal L.

2004-01-01

For all the baby boomers who've embraced and adopted healthier lifestyles, including proper diet and exercise, there may be an even more compelling reason. If you get sick or become hospitalized, you may not have the critically needed services of a well-trained nurse. It's been widely reported that there is a nursing shortage in the United States,…

Preparing Science Teachers: Strong Emphasis on Science Content Course Work in a Master's Program in Education

Science.gov (United States)

Ajhar, Edward A.; Blackwell, E.; Quesada, D.

2010-05-01

In South Florida, science teacher preparation is often weak as a shortage of science teachers often prompts administrators to assign teachers to science classes just to cover the classroom needs. This results is poor preparation of students for college science course work, which, in turn, causes the next generation of science teachers to be even weaker than the first. This cycle must be broken in order to prepare better students in the sciences. At St. Thomas University in Miami Gardens, Florida, our School of Science has teamed with our Institute for Education to create a program to alleviate this problem: A Master of Science in Education with a Concentration in Earth/Space Science. The Master's program consists of 36 total credits. Half the curriculum consists of traditional educational foundation and instructional leadership courses while the other half is focused on Earth and Space Science content courses. The content area of 18 credits also provides a separate certificate program. Although traditional high school science education places a heavy emphasis on Earth Science, this program expands that emphasis to include the broader context of astronomy, astrophysics, astrobiology, planetary science, and the practice and philosophy of science. From this contextual basis the teacher is better prepared to educate and motivate middle and high school students in all areas of the physical sciences. Because hands-on experience is especially valuable to educators, our program uses materials and equipment including small optical telescopes (Galileoscopes), several 8-in and 14-in Celestron and Meade reflectors, and a Small Radio Telescope installed on site. (Partial funding provided by the US Department of Education through Minority Science and Engineering Improvement Program grant P120A050062.)

Astronauts Cooper and Conrad prepare cameras during visual acuity tests

Science.gov (United States)

1965-01-01

Astronauts L. Gordon Cooper Jr. (left), command pilot, and Charles Conrad Jr., pilot, the prime crew of the Gemini 5 space flight, prepare their cameras while aboard a C-130 aircraft flying near Laredo. The two astronauts are taking part in a series of visual acuity experiments to aid them in learning to identify known terrestrial features under controlled conditions.

Leukocytospermia and sperm preparation - a flow cytometric study

Directory of Open Access Journals (Sweden)

Perticarari Sandra

2009-01-01

Full Text Available Abstract Background Leukocytes represent the predominant source of reactive oxygen species both in seminal plasma and in sperm suspensions and have been demonstrated to negatively influence sperm function and fertilization rate in assisted reproduction procedures. Peroxidase test is the standard method recommended by WHO to detect semen leukocytes but it may be inaccurate. The aims of this study were (i to compare the efficiency of swim-up and density-gradient centrifugation techniques in removing seminal leukocytes, (ii to examine the effect of leukocytes on sperm preparation, and (iii to compare flow cytometry and peroxidase test in determining leukocyte concentration in semen using a multiparameter flow cytometric method. Methods Semen samples from 126 male partners of couples undergoing infertility investigations were analyzed for leukocytospermia using standard optical microscopy and flow cytometry. Sixty-nine out of 126 samples were also processed using simultaneously the swim-up and density-gradient centrifugation techniques. A multiparameter flow cytometric analysis to assess simultaneously sperm concentration, sperm viability, sperm apoptosis, and leukocyte concentration was carried out on neat and prepared sperm. Results Both sperm preparation methods removed most seminal leukocytes. However, the concentration of leukocytes was significantly lower after swim-up compared to that after density-gradient centrifugation preparation. Leukocytes concentration, either initial or in prepared fractions, was not correlated with sperm parameters (optical microscopy and flow cytometry parameters after semen processing. There was no correlation between leukocyte concentration in the ejaculate and sperm recovery rate, whereas a significant correlation was found between the concentration of the residual leukocytes in prepared fractions and viable sperm recovery rate. Although the overall concordance between the flow cytometry and the optical

Dynamic simulations for preparing the acceptance test of JT-60SA cryogenic system

Science.gov (United States)

Cirillo, R.; Hoa, C.; Michel, F.; Poncet, J. M.; Rousset, B.

2016-12-01

Power generation in the future could be provided by thermo-nuclear fusion reactors like tokamaks. There inside, the fusion reaction takes place thanks to the generation of plasmas at hundreds of millions of degrees that must be confined magnetically with superconductive coils, cooled down to around 4.5 K. Within this frame, an experimental tokamak device, JT-60SA is currently under construction in Naka (Japan). The plasma works cyclically and the coil system is subject to pulsed heat loads. In order to size the refrigerator close to the average power and hence optimizing investment and operational costs, measures have to be taken to smooth the heat load. Here we present a dynamic model of the JT-60SA's Auxiliary Cold box (ACB) for preparing the acceptance tests of the refrigeration system planned in 2016 in Naka. The aim of this study is to simulate the pulsed load scenarios using different process controls. All the simulations have been performed with EcosimPro® and the associated cryogenic library: CRYOLIB.

Preparation of biodiesel from soybean oil by using heterogeneous catalyst

Energy Technology Data Exchange (ETDEWEB)

Ferdous, Kaniz; Rakib Uddin, M.; Islam, M.A. [Department of Chemical Engineering and Polymer Science, Shah Jalal University of Science and Technology, Sylhet 3114 (Bangladesh); Khan, Maksudur R. [Department of Chemical Engineering and Polymer Science, Shah Jalal University of Science and Technology, Sylhet 3114 (Bangladesh); Faculty of Chemical and Natural Resources Engineering, University Malaysia Pahang, 26300 Gambang, Kuantan, Pahang (Malaysia)

2013-07-01

The predicted shortage of fossil fuels and related environmental concerns has recently attracted significant attention to search alternative fuel. Biodiesel is one of the alternatives to fossil fuel. Now-a-days, most biodiesel is produced by the transesterification of oils using methanol and a homogeneous base catalyst. The use of homogeneous catalysts is normally limited to batch mode processing followed by a catalyst separation step. The immiscible glycerol phase, which accumulates during the course of the reaction, solubilizes the homogeneous base catalyst and therefore, withdraws from the reaction medium. Moreover, other difficulties of using homogeneous base catalysts relate to their sensitivity to free fatty acid (FFA) and water and resulting saponification phenomenon. High energy consumption and costly separation of the catalyst from the reaction mixture have inspired the use of heterogeneous catalyst. The use of heterogeneous catalysts does not lead to the formation of soaps through neutralization of FFA and saponification of oil. In the present paper, biodiesel was prepared from crude (soybean) oil by transesterification reaction using heterogeneous base catalyst name calcium oxide (CaO). Various reaction parameters were optimized and the biodiesel properties were evaluated.

Aggregate resource availability in the conterminous United States, including suggestions for addressing shortages, quality, and environmental concerns

Science.gov (United States)

Langer, William H.

2011-01-01

One-third of America's major roads are in poor or mediocre condition, and over one-quarter of the bridges are either structurally deficient or functionally obsolete. A 70-percent increase in annual aggregate production may be required to upgrade the transportation infrastructure. Natural aggregate is widespread throughout the conterminous United States, but the location of aggregate is determined by geology and is non-negotiable. Natural aggregate is in short supply in the Coastal Plain and Mississippi embayment, Colorado Plateau and Wyoming Basin, glaciated Midwest, High Plains, and the non-glaciated Northern Plains. A variety of techniques have been used to overcome local shortages, such as the use of substitute materials, recycling, and importing high-quality aggregates from more distant locations.

Preparation of Ga-68-NOTA as a renal PET agent and feasibility tests in mice

International Nuclear Information System (INIS)

Lee, Ji Youn; Jeong, Jae Min; Kim, Young Ju; Jeong, Hyuk-Jin; Lee, Yun-Sang; Lee, Dong Soo

2014-01-01

Introduction: Positron emission tomography (PET) may provide more accurate quantification of kidney function such as glomerular filtration rate (GFR) than gamma imaging. The purpose of these experiments was to prepare and evaluate Ga-68 complexes as potential PET agents for measurement of GFR. Methods: We labeled EDTA, DTPA, DOTA, and NOTA with Ga-68 obtained from a Ge-68/Ga-68-generator and measured the binding to serum and red blood cells. Biodistribution study was performed in male BALB/c mice after intravenous injection together with Cr-51-EDTA as the standard for glomerular filtration rate (GFR) measurement. Animal-PET study was performed using BALB/c mice. Results: All the tested chelating agents except DTPA showed quantitative labeling yields (> 99%). Among them, Ga-68-NOTA showed consistently low binding to both human and mouse RBC and serum protein. Biodistribution study showed no significant difference between Ga-68-NOTA and Cr-51-EDTA groups by one-way analysis of variance (ANOVA) (p > 0.05). Furthermore, the GFR values obtained by Ga-68-NOTA and Cr-51-EDTA were almost same (0.26 ± 0.04 and 0.25 ± 0.04 mL/min, respectively). Animal-PET study showed almost the same GFR (0.25 mL/min) with the values obtained by biodistribution study. Conclusion: We proved that an easy-to-prepare agent Ga-68-NOTA is ideal for renal PET as well as for GFR measurement

Are radioisotope shortages a thing of the past?

Energy Technology Data Exchange (ETDEWEB)

Peykov, Pavel; Cameron, Ron [OECD Nuclear Energy Agency, Issy-les-Moulineaux (France)

2014-10-15

Since June 2009, the NEA and its High-level Group on the Security of Supply of Medical Radioisotopes (HLG-MR) have examined the causes of {sup 99}Mo/{sup 99m}Tc supply shortages and developed a policy approach, including principles and supporting recommendations to address those causes. The NEA has also reviewed the global {sup 99}Mo/{sup 99m}Tc supply situation periodically, using the most up-to-date data from supply chain participants, to highlight periods of reduced supply and underscore the case for implementing the HLG-MR policy approach in a timely and globally-consistent manner. In 2012, the NEA released a {sup 99}Mo supply and demand update for the period up to 2030 (A Supply and Demand Update of the Molybdenum-99 Market, OECD/NEA, 2012), identifying periods of low supply relative to demand. This paper presents the preliminary results from an updated {sup 99}Mo supply and demand forecast, focusing on the potentially critical 2015-2020 period, when two major {sup 99}Mo producers (the NRU reactor in Canada and the OSIRIS reactor in France) are scheduled to cease {sup 99}Mo irradiations. On the demand side, the NEA had previously released a study with the results from a global survey of future demand for {sup 99}Mo/{sup 99m}Tc (OECD-NEA, 2011), devising a scenario based on a data assessment by an expert advisory group. In the current analysis, the expected demand growth rate and total demand have been modified, based on the latest information from supply chain participants. On the supply side, the NEA has updated the list of current and planned new {sup 99}Mo/{sup 99m}Tc irradiation and processing projects. The modelling results incorporate revisions to production start/end dates, potential additional projects, and impacts of converting to the use of low-enriched uranium (LEU) targets on {sup 99}Mo/{sup 99m}Tc capacity and production. The supply forecast horizon (2015 to 2020) has been chosen to reflect upcoming, important changes in global production capacity

Are radioisotope shortages a thing of the past?

International Nuclear Information System (INIS)

Peykov, Pavel; Cameron, Ron

2014-01-01

Since June 2009, the NEA and its High-level Group on the Security of Supply of Medical Radioisotopes (HLG-MR) have examined the causes of 99 Mo/ 99m Tc supply shortages and developed a policy approach, including principles and supporting recommendations to address those causes. The NEA has also reviewed the global 99 Mo/ 99m Tc supply situation periodically, using the most up-to-date data from supply chain participants, to highlight periods of reduced supply and underscore the case for implementing the HLG-MR policy approach in a timely and globally-consistent manner. In 2012, the NEA released a 99 Mo supply and demand update for the period up to 2030 (A Supply and Demand Update of the Molybdenum-99 Market, OECD/NEA, 2012), identifying periods of low supply relative to demand. This paper presents the preliminary results from an updated 99 Mo supply and demand forecast, focusing on the potentially critical 2015-2020 period, when two major 99 Mo producers (the NRU reactor in Canada and the OSIRIS reactor in France) are scheduled to cease 99 Mo irradiations. On the demand side, the NEA had previously released a study with the results from a global survey of future demand for 99 Mo/ 99m Tc (OECD-NEA, 2011), devising a scenario based on a data assessment by an expert advisory group. In the current analysis, the expected demand growth rate and total demand have been modified, based on the latest information from supply chain participants. On the supply side, the NEA has updated the list of current and planned new 99 Mo/ 99m Tc irradiation and processing projects. The modelling results incorporate revisions to production start/end dates, potential additional projects, and impacts of converting to the use of low-enriched uranium (LEU) targets on 99 Mo/ 99m Tc capacity and production. The supply forecast horizon (2015 to 2020) has been chosen to reflect upcoming, important changes in global production capacity - the planned shutdowns in Canada and France, and the expected

PREPARATION, CHARACTERIZATION AND CATALYTIC ACTIVITY TEST OF CoMo/ZnO CATALYST ON ETHANOL CONVERSION USING STEAM REFORMING METHOD

Directory of Open Access Journals (Sweden)

Wega Trisunaryanti

2010-06-01

Full Text Available Preparation, characterization and catalytic activity test of CoMo/ZnO catalyst for steam reforming of ethanol have been investigated. The catalysts preparation was carried out by impregnation of Co and/or Mo onto ZnO sample. Water excess was used in ethanol feed for steam reforming process under mol ratio of ethanol:water (1:10. Characterizations of catalysts were conducted by analysis of metal content using Atomic Absorption Spectroscopy (AAS. Determination of catalysts acidity was conducted by gravimetric method of adsorption of pyridine base. Catalytic activity test on ethanol conversion using steam reforming method was conducted in a semi-flow reactor system, at a temperature of 400 oC, for 1.5 h under N2 flow rate of 10 mL/min. Gas product was analyzed by gas chromatograph with TCD system. The results of catalysts characterizations showed that the impregnation of Co and/or Mo metals on ZnO sample increased its acidity and specific surface area. The content of Co in Co/ZnO and CoMo/ZnO catalysts was 1.14 and 0.49 wt%. The Mo content in CoMo/ZnO catalyst was 0.36 wt%. The catalytic activity test result on ethanol conversion showed that the ZnO, Co/ZnO, and CoMo/ZnO catalysts produced gas fraction of 16.73, 28.53, and 35.53 wt%, respectively. The coke production of ZnO, Co/ZnO, and CoMo/ZnO catalysts was 0.86, 0.24, and 0.08 wt%, respectively. The gas products consisted mainly of hydrogen.   Keywords: CoMo/ZnO catalyst, steam reforming, ethanol

The Learning Assistant Model for Science Teacher Recruitment and Preparation

Science.gov (United States)

Otero, Valerie

2006-04-01

There is a shortage of high quality physical science teachers in the United States. In 2001, less than 50% of teachers who taught physics held a major or minor in physics or physics education (Neuschatz & McFarling, 2003). Studies point to content knowledge as one of the two factors that is positively correlated with teacher quality. However, those directly responsible for the science content preparation of teachers, specifically science research faculty, are rarely involved in focused efforts to improve teacher quality or to create alternative paths for becoming a teacher. What role should science research faculty play in the recruitment and preparation of science teachers? How might teacher recruitment and preparation be conceived so that science research faculty members' participation in these efforts is not at odds with the traditional scientific research foci of science research departments? To address this issue, we have coupled our teacher recruitment and preparation efforts with our efforts for transforming our large-enrollment, undergraduate science courses. This is achieved through the undergraduate Learning Assistant (LA) program, where talented mathematics and science majors are hired to assist in transforming large enrollment courses to student-centered, collaborative environments. These LAs are the target of our teacher recruitment efforts. Science research faculty, in collaboration with faculty from the school of education have established a community that supports LAs in making decisions to explore K12 teaching as a career option. Fifteen percent of the LAs who have participated in this program have entered teaching credential programs and now plan to become K12 teachers. An added effect of this program is that research faculty have developed skills and knowledge regarding inquiry-based and student-centered pedagogy and theories of student learning. The Learning Assistant program has led to increased subject matter knowledge among learning

Standard guide for preparing and interpreting precision and bias statements in test method standards used in the nuclear industry

CERN Document Server

American Society for Testing and Materials. Philadelphia

1992-01-01

1.1 This guide covers terminology useful for the preparation and interpretation of precision and bias statements. 1.2 In formulating precision and bias statements, it is important to understand the statistical concepts involved and to identify the major sources of variation that affect results. Appendix X1 provides a brief summary of these concepts. 1.3 To illustrate the statistical concepts and to demonstrate some sources of variation, a hypothetical data set has been analyzed in Appendix X2. Reference to this example is made throughout this guide. 1.4 It is difficult and at times impossible to ship nuclear materials for interlaboratory testing. Thus, precision statements for test methods relating to nuclear materials will ordinarily reflect only within-laboratory variation.

Cytological preparations for molecular analysis: A review of technical procedures, advantages and limitations for referring samples for testing.

Science.gov (United States)

da Cunha Santos, G; Saieg, M A; Troncone, G; Zeppa, P

2018-04-01

Minimally invasive procedures such as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) must yield not only good quality and quantity of material for morphological assessment, but also an adequate sample for analysis of molecular markers to guide patients to appropriate targeted therapies. In this context, cytopathologists worldwide should be familiar with minimum requirements for refereeing cytological samples for testing. The present manuscript is a review with comprehensive description of the content of the workshop entitled Cytological preparations for molecular analysis: pre-analytical issues for EBUS TBNA, presented at the 40th European Congress of Cytopathology in Liverpool, UK. The present review emphasises the advantages and limitations of different types of cytology substrates used for molecular analysis such as archival smears, liquid-based preparations, archival cytospin preparations and FTA (Flinders Technology Associates) cards, as well as their technical requirements/features. These various types of cytological specimens can be successfully used for an extensive array of molecular studies, but the quality and quantity of extracted nucleic acids rely directly on adequate pre-analytical assessment of those samples. In this setting, cytopathologists must not only be familiar with the different types of specimens and associated technical procedures, but also correctly handle the material provided by minimally invasive procedures, ensuring that there is sufficient amount of material for a precise diagnosis and correct management of the patient through personalised care. © 2018 John Wiley & Sons Ltd.

Waste Preparation and Transport Chemistry: Results of the FY 2001 Studies

Energy Technology Data Exchange (ETDEWEB)

Hunt, R.D.

2002-03-25

During FY 2001, tank farm operations at Hanford and the Savannah River Site (SRS) continued to be negatively impacted by the unintended formation of solids. At Hanford, the primary solids formation problem involves a series of plugged pipes and pumps during the saltwell pumping activities of the interim stabilization program. For example, transfers of tank S-102 waste were suspended due to a plugged pipeline or a mechanical problem with the transfer pump. The replacement pump then failed within 2 weeks. In contrast, since full-scale waste remediation activities such as vitrification were initiated, the SRS has encountered a wider range of problems due to unwanted solids. The 2H evaporator system was shut down because of the formation of aluminosilicate deposits with enriched uranium in the evaporator pot. While high concentrations of aluminum are expected in the tank waste due to previous canyon operations, the primary source of silicon is the recycle stream from the vitrifier. While solids formation can be expected when waste streams are combined, the formation of the aluminosilicate deposits required an elevated temperature within the evaporator. The shutdown of the 2H evaporator led to a severe shortage of tank space. Therefore, the SRS tank farm was forced to transfer highly concentrated waste, which led to a plugged transfer pump in tank 32. For each of the proposed cesium removal technologies for the SRS, unwanted solids formation occurred during the large laboratory-scale tests prior to the final selection of the solvent extraction process. It can be expected that further problems will be encountered as more unit operations of the remediation effort are deployed and as more waste streams are combined. Since these problems have already led to costly schedule delays, the tank farm operators at both sites have identified the prevention of solids formation as a high-priority need. In response to this need, the Tank Focus Area has assembled a team of researchers

Economic benefits of sharing and redistributing influenza vaccines when shortages occurred.

Science.gov (United States)

Chen, Sheng-I

2017-01-01

Recurrent influenza outbreak has been a concern for government health institutions in Taiwan. Over 10% of the population is infected by influenza viruses every year, and the infection has caused losses to both health and the economy. Approximately three million free vaccine doses are ordered and administered to high-risk populations at the beginning of flu season to control the disease. The government recommends sharing and redistributing vaccine inventories when shortages occur. While this policy intends to increase inventory flexibility, and has been proven as widely valuable, its impact on vaccine availability has not been previously reported. This study developed an inventory model adapted to vaccination protocols to evaluate government recommended polices under different levels of vaccine production. Demands were uncertain and stratified by ages and locations according to the demographic data in Taiwan. When vaccine supply is sufficient, sharing pediatric vaccine reduced vaccine unavailability by 43% and overstock by 54%, and sharing adult vaccine reduced vaccine unavailability by 9% and overstock by 15%. Redistributing vaccines obtained greater gains for both pediatrics and adults (by 75%). When the vaccine supply is in short, only sharing pediatric vaccine yielded a 48% reduction of unused inventory, while other polices do not improve performances. When implementing vaccination activities for seasonal influenza intervention, it is important to consider mismatches of demand and vaccine inventory. Our model confirmed that sharing and redistributing vaccines can substantially increase availability and reduce unused vaccines.

Economic benefits of sharing and redistributing influenza vaccines when shortages occurred.

Directory of Open Access Journals (Sweden)

Sheng-I Chen

Full Text Available Recurrent influenza outbreak has been a concern for government health institutions in Taiwan. Over 10% of the population is infected by influenza viruses every year, and the infection has caused losses to both health and the economy. Approximately three million free vaccine doses are ordered and administered to high-risk populations at the beginning of flu season to control the disease. The government recommends sharing and redistributing vaccine inventories when shortages occur. While this policy intends to increase inventory flexibility, and has been proven as widely valuable, its impact on vaccine availability has not been previously reported.This study developed an inventory model adapted to vaccination protocols to evaluate government recommended polices under different levels of vaccine production. Demands were uncertain and stratified by ages and locations according to the demographic data in Taiwan.When vaccine supply is sufficient, sharing pediatric vaccine reduced vaccine unavailability by 43% and overstock by 54%, and sharing adult vaccine reduced vaccine unavailability by 9% and overstock by 15%. Redistributing vaccines obtained greater gains for both pediatrics and adults (by 75%. When the vaccine supply is in short, only sharing pediatric vaccine yielded a 48% reduction of unused inventory, while other polices do not improve performances.When implementing vaccination activities for seasonal influenza intervention, it is important to consider mismatches of demand and vaccine inventory. Our model confirmed that sharing and redistributing vaccines can substantially increase availability and reduce unused vaccines.

Coccidioides precipitin test

Science.gov (United States)

Coccidioidomycosis antibody test; Coccidioides blood test; Valley fever blood test ... There is no special preparation for the test. ... The precipitin test is one of several tests that can be done to determine if you are infected with coccidioides, which ...

A Bridging Approach to Boost Doctoral Enrollment in a HBCU: An Exploratory Qualitative Study

Science.gov (United States)

Birore, Charles M. S.; Wu, Liyun

2017-01-01

A declining enrollment in doctoral social work programs not only affects the sustainability of the programs, but also impacts the knowledge-based economy in the long run. The shortage of doctoral-prepared faculty, interwoven with the current national shortage of social workers, will limit effective service delivery, and generation of knowledge…

Preparation of W/CuCrZr monoblock test mock-up using vacuum brazing technique

International Nuclear Information System (INIS)

Singh, Kongkham Premjit; Khirwadkar, Samir S.; Bhope, Kedar; Patel, Nikunj; Mokaria, Prakash K.; Mehta, Mayur

2015-01-01

Development of the joining for W/CuCrZr monoblock PFC test mock-up is an interest area in Fusion R and D. W/Cu bimetallic material has prepared using OFHC copper casting approach on the radial surface of W monoblock tile surface. The W/Cu bimetallic material has been joined with CuCrZr tube (heat sink) material with the vacuum brazing route. Vacuum brazing of W/Cu-CuCrZr has been performed @ 970 °C for 10 mins using NiCuMn-37 filler material under deep vacuum environment (10 -6 mbar). Graphite fixtures were used for OFHC copper casting and vacuum brazing experiments. The joint integrity of W/Cu-CuCrZr monoblock mock-up on W/Cu and Cu-CuCrZr has been checked using ultrasonic immersion technique. Micro-structural examination and Spot-wise elemental analysis have been carried out using HR-SEM and EDAX. The results of the experimental work will be discussed in the paper. (author)

Coal supply shortage - buyers beware

Energy Technology Data Exchange (ETDEWEB)

Moth, M; Phillips, K

1988-08-01

Since the commencement of 1988, the world coal market has witnessed a number of quite remarkable shifts and realignments that have ostensibly resulted from import demand surges, notably in Europe and the Pacific Rim but perhaps more significantly also from constraints on supply, most obviously in Australia but also seen elsewhere in the PRC, Colombia, Poland, and South Africa. Consequently, this has left the USA as the only remaining reliable surplus supplier of high volume quality steam and metallurgical coals to the world market. Importantly, it has to be recognised that these existing supply/demand factors will not disappear overnight. What has been a very strong buyers' market for coal throughout at least the last six years is now no longer the case. Coal purchasers around the globe have to be prepared for an extended and indeed a refreshing period of 'seller power' with scarcity of supply and higher coal prices forecast to extend well into next year and maybe even longer. The message for coal importers who have not yet woken up to the new order of things is very clear, 'today is possibly already too late to secure coal purchases for delivery in 1988 because many exporters report they are sold out. But more important with tight supply expected to prevail, buyers should be securing their purchases now for 1989 imports requirements and delivery'. 2 figs.

Accelerated Thermal Cycling Test of Microencapsulated Paraffin Wax/Polyaniline Made by Simple Preparation Method for Solar Thermal Energy Storage.

Science.gov (United States)

Silakhori, Mahyar; Naghavi, Mohammad Sajad; Metselaar, Hendrik Simon Cornelis; Mahlia, Teuku Meurah Indra; Fauzi, Hadi; Mehrali, Mohammad

2013-04-29

Microencapsulated paraffin wax/polyaniline was prepared using a simple in situ polymerization technique, and its performance characteristics were investigated. Weight losses of samples were determined by Thermal Gravimetry Analysis (TGA). The microencapsulated samples with 23% and 49% paraffin showed less decomposition after 330 °C than with higher percentage of paraffin. These samples were then subjected to a thermal cycling test. Thermal properties of microencapsulated paraffin wax were evaluated by Differential Scanning Calorimeter (DSC). Structure stability and compatibility of core and coating materials were also tested by Fourier transform infrared spectrophotometer (FTIR), and the surface morphology of the samples are shown by Field Emission Scanning Electron Microscopy (FESEM). It has been found that the microencapsulated paraffin waxes show little change in the latent heat of fusion and melting temperature after one thousand thermal recycles. Besides, the chemical characteristics and structural profile remained constant after one thousand thermal cycling tests. Therefore, microencapsulated paraffin wax/polyaniline is a stable material that can be used for thermal energy storage systems.

Food preparation supplies predict children's family meal and home-prepared dinner consumption in low-income households.

Science.gov (United States)

Appelhans, Bradley M; Waring, Molly E; Schneider, Kristin L; Pagoto, Sherry L

2014-05-01

Frequent family meals and home food preparation are considered important for children's nutritional health and weight maintenance. This cross-sectional study tested whether these parent-driven behaviors are related to the availability of food preparation supplies in low-income urban households. Caregivers of children ages 6-13 provided information on family meal frequency, child consumption of home-prepared dinners, household food insecurity, and attitudes towards cooking. Researchers used a newly developed Food Preparation Checklist (FPC) to assess the availability of 41 food preparation supplies during a physical audit of the home environment. Caregivers and children provided anthropometric measurements and jointly reported on child dietary intake. In ordinal logistic regression models, greater home availability of food preparation supplies was associated with more frequent family meals and child consumption of home-prepared dinners. Associations were independent of household financial strain, food insecurity, caregiver attitudes toward cooking, and sociodemographic characteristics. Fewer food preparation supplies were available in households characterized by greater food insecurity, lower income, and negative caregiver attitudes towards cooking, but did not differ by child or caregiver weight status. As in prior studies, more frequent family meals and consumption of home-prepared dinners were associated with healthier child dietary intake in several areas. We conclude that food preparation supplies are often limited in the most socioeconomically disadvantaged households, and their availability is related to the frequency with which children consume family meals and home-prepared dinners. The potential role of food preparation supplies as contributors to socioeconomic disparities in child nutritional health and obesity deserves further study. Copyright © 2014 Elsevier Ltd. All rights reserved.

Specific tolerance induction across a xenogeneic barrier: Production of mixed rat/mouse lymphohematopoietic chimeras using a nonlethal preparative regimen

International Nuclear Information System (INIS)

Sharabi, Y.; Aksentijevich, I.; Sundt, T.M. III; Sachs, D.H.; Sykes, M.

1990-01-01

The development of safe methods for inducing donor-specific tolerance across xenogeneic barriers could potentially relieve the critical shortage of allograft donors that currently limits the applicability of organ transplantation. We report here that such tolerance can be induced in a xenogeneic combination (rat----mouse) using a nonmyeloablative and nonlethal preparative regimen. Successful induction of chimerism and donor-specific transplantation tolerance required pretreatment of recipients with monoclonal antibodies (mAbs) against NK1.1, Thy-1.2, CD4 and CD8, followed by administration of 3 Gy whole body radiation (WBI), 7 Gy thymic irradiation, and infusion of T cell-depleted rat bone marrow cells (BMC). Rat cells appeared among peripheral blood lymphocytes (PBL) of such recipients by 2-3 wk, and rat T cells by 2-5 wk following bone marrow transplantation (BMT). Donor-type rat skin grafts placed 4 mo after BMT were accepted, while simultaneously placed non-donor-type rat skin grafts were promptly rejected. In addition to its clinical potential, the ability to induce donor-specific tolerance across xenogeneic barriers using such a nonlethal preparative regimen provides a valuable model for the study of mechanisms of xenogeneic transplantation tolerance

Real-time laboratory exercises to test contingency plans for classical swine fever: experiences from two national laboratories.

Science.gov (United States)

Koenen, F; Uttenthal, A; Meindl-Böhmer, A

2007-12-01

In order to adequately and efficiently handle outbreaks of contagious diseases such as classical swine fever (CSF), foot and mouth disease or highly pathogenic avian influenza, competent authorities and the laboratories involved have to be well prepared and must be in possession of functioning contingency plans. These plans should ensure that in the event of an outbreak access to facilities, equipment, resources, trained personnel, and all other facilities needed for the rapid and efficient eradication of the outbreak is guaranteed, and that the procedures to follow are well rehearsed. It is essential that these plans are established during 'peace-time' and are reviewed regularly. This paper provides suggestions on how to perform laboratory exercises to test preparedness and describes the experiences of two national reference laboratories for CSF. The major lesson learnt was the importance of a well-documented laboratory contingency plan. The major pitfalls encountered were shortage of space, difficulties in guaranteeing biosecurity and sufficient supplies of sterile equipment and consumables. The need for a standardised laboratory information management system, that is used by all those involved in order to reduce the administrative load, is also discussed.

Interference with the clinical independence of doctors in hospitals faced with a shortage of resources: what should doctors do?

Science.gov (United States)

McQuoid-Mason, D J

2014-11-01

In the face of interference with their clinical independence in hospitals with a shortage of resources, what should doctors do? The question can be answered by considering: (i) the constitutional right to healthcare and emergency treatment; (ii) the common-law position regarding unlawful homicide and the doctrine of 'superior orders'; (iii) the ethical rules of the Health Professions Council of South Africa; and (iv) whether there is any protection for doctors who refuse to carry out unprofessional, unethical or unlawful directives from their superiors. While this article focuses on the public sector, some of the legal principles, where relevant, apply equally to doctors in the private sector.

Test rig overview for validation and reliability testing of shutdown system software

International Nuclear Information System (INIS)

Zhao, M.; McDonald, A.; Dick, P.

2007-01-01

The test rig for Validation and Reliability Testing of shutdown system software has been upgraded from the AECL Windows-based test rig previously used for CANDU6 stations. It includes a Virtual Trip Computer, which is a software simulation of the functional specification of the trip computer, and a real-time trip computer simulator in a separate chassis, which is used during the preparation of trip computer test cases before the actual trip computers are available. This allows preparation work for Validation and Reliability Testing to be performed in advance of delivery of actual trip computers to maintain a project schedule. (author)

Impacting Student Perceptions about Careers in Information Systems

Science.gov (United States)

Walstrom, Kent A.; Schambach, Thomas P.

2012-01-01

A shortage of graduates prepared to fill the available jobs in Information Systems remains. Previous studies have verified the shortage and attempted to explain why students do not major in Information Technology related fields. Since prior studies identified lack of awareness regarding the discipline as a major reason in ignoring the major, the…

Penetration Testing Curriculum Development in Practice

Directory of Open Access Journals (Sweden)

Chengcheng Li

2015-04-01

Full Text Available As both the frequency and the severity of network breaches have increased in recent years, it is essential that cybersecurity is incorporated into the core of business operations. Evidence from the U.S. Bureau of Labor Statistics (Bureau of Labor Statistics, 2012 indicates that there is, and will continue to be, a severe shortage of cybersecurity professionals nationwide throughout the next decade. To fill this job shortage we need a workforce with strong hands-on experience in the latest technologies and software tools to catch up with the rapid evolution of network technologies. It is vital that the IT professionals possess up-to-date technical skills and think and act one step ahead of the cyber criminals who are constantly probing and exploring system vulnerabilities. There is no perfect security mechanism that can defeat all the cyber-attacks; the traditional defensive security mechanism will eventually fail to the pervasive zero-day attacks. However, there are steps to follow to reduce an organization’s vulnerability to cyber-attacks and to mitigate damages. Active security tests of the network from a cyber-criminal’s perspective can identify system vulnerabilities that may lead to future breaches. “If you know yourself but not the enemy, for every victory gained you will also suffer a defeat. But if you know the enemy and know yourself, you need not fear the result of hundred battles” (Sun, 2013. Penetration testing is a discipline within cybersecurity that focuses on identifying and exploiting the vulnerabilities of a network, eventually obtaining access to the critical business information. The pentesters, the security professionals who perform penetration testing, or ethical hackers, break the triad of information security - Confidentiality, Integrity, and Accountability (CIA - as if they were a cyber-criminal. The purpose of ethical hacking or penetration testing is to know what the “enemy” can do and then generate a

Test plan for Series 2 spent fuel cladding containment credit tests

International Nuclear Information System (INIS)

Wilson, C.N.

1984-10-01

This test plan describes a second series of tests to be conducted by Westinghouse Hanford Company (WHC) to evaluate the effectiveness of breached cladding as a barrier to radionuclide release in the NNWSI-proposed geologic repository. These tests will be conducted at the Hanford Engineering Development Laboratory (HEDL). A first series of tests, initiated at HEDL during FY 1983, demonstrated specimen preparation and feasibility of the testing concept. The second series tests will be similar to the Series 1 tests with the following exceptions: NNWSI reference groundwater obtained from well J-13 will be used as the leachant instead of deionized water; fuel from a second source will be used; and certain refinements will be made in specimen preparation, sampling, and analytical procedures. 12 references, 5 figures, 5 tables

Evaluation of the pharmaceutical quality of some quinine preparations sold in Nigeria.

Science.gov (United States)

Nnamdi, Jolly A; Arhewoh, Ikhuoria M; Okhamafe, Augustine O; Enato, Ehijie F O

2009-01-01

The purpose of this study was to determine the pharmaceutical quality of quinine preparations sold in Nigerian markets. The organoleptic and physicochemical properties of quinine tablets, as well as oral liquids and parenteral quinine preparations, were assessed according to British Pharmacopoeia (BP) and unofficial standards as recommended by the manufacturers. Of the 6 brands of tablets assessed, 4 passed the uniformity of content test and 5 the disintegration test, but only 2 the dissolution test. The pH of 2 of the 6 brands of oral liquid preparations met BP standards, while only 1 oral liquid met the BP standard for percentage content. The assay further demonstrated that 4 brands of the parenteral preparations met BP standards for quinine content. All the parenteral preparations were found to be sterile. Quinine preparations sold in Nigeria varied considerably in their pharmaceutical quality. A strict check of the quality of brands of quinine by regulatory agencies and distributors before they are sold to the public is therefore recommended. Copyright 2009 S. Karger AG, Basel.

An evaluation of the applicability of gamma radiation for preparing typhoid fever vaccine

International Nuclear Information System (INIS)

Malafiej, E.; Lachmanowa, S.; Horoszewicz-Malafiej, A.; Politechnika Lodzka

1974-01-01

Using mouse protection test, two typhoid fever vaccines were comparatively tested for efficacy: that prepared by thermal inactivation and that treated with ionizing radiation. The experiments were performed with white mice BALB/c. Co 60 was used as the radiation source. Vaccine prepared by the thermal inactivation showed higher protective activity than the vaccine prepared by treatment with ionizing radiation. (author)

A Novel Preparation Method of Two Polymer Dyes with Low Cytotoxicity

Directory of Open Access Journals (Sweden)

Dongjun Lv

2017-02-01

Full Text Available A new preparation method of polymer dyes was developed to improve both the grafting degree of the azo dyes onto O-carboxymethyl chitosan (OMCS and the water solubility of prepared polymer dyes. Firstly, the coupling compound of two azo edible colorants, sunset yellow (SY and allura red (AR, was grafted onto OMCS, and then coupled with their diazonium salt. The chemical structure of prepared polymer dyes was determined by Fourier transform-infrared spectroscopy and 1H-NMR, and the results showed that the two azo dyes were successfully grafted onto OMCS. The grafting degree onto OMCS and the water solubility of polymer dyes were tested, and the results showed that they were both improved as expected. The UV-vis spectra analysis results showed that the prepared polymer dyes showed similar color performance with the original azo dyes. Eventually, the cytotoxicity of prepared polymer dyes was tested and compared with the original azo dyes by a cytotoxicity test on human liver cell lines LO2, and the results showed that their grafting onto OMCS significantly reduced the cytotoxicity.

Preparation of porous materials for radionuclides capture

International Nuclear Information System (INIS)

Bajzikova, Anna; Smrcek, Stanislav; Kozempel, Jan; Vlk, Martin; Barta, Jan

2015-01-01

Porous materials showing promise for radionuclide capture from water at contaminated sites were prepared. Nanoporous materials (size of pores 1-100 nm) and some polymers are well suited to this purpose owing their affinity for selected radionuclides. Nanoporous metal oxides and silica gel with styrene-divinylbenzene-TODGA-modified surface were prepared, characterized and tested for radionuclide ( 227 Ac, 227 Th, 223 Ra) capture efficiency. (orig.)

Final Report for X-ray Diffraction Sample Preparation Method Development

Energy Technology Data Exchange (ETDEWEB)

Ely, T. M. [Hanford Site (HNF), Richland, WA (United States); Meznarich, H. K. [Hanford Site (HNF), Richland, WA (United States); Valero, T. [Hanford Site (HNF), Richland, WA (United States)

2018-01-30

WRPS-1500790, “X-ray Diffraction Saltcake Sample Preparation Method Development Plan/Procedure,” was originally prepared with the intent of improving the specimen preparation methodology used to generate saltcake specimens suitable for XRD-based solid phase characterization. At the time that this test plan document was originally developed, packed powder in cavity supports with collodion binder was the established XRD specimen preparation method. An alternate specimen preparation method less vulnerable, if not completely invulnerable to preferred orientation effects, was desired as a replacement for the method.

Scoping Summary Report: Development of Lower Basin Shortage Guidelines and Coordinated Management Strategies for Lake Powell and Lake Mead, Particularly Under Low Reservoir Conditions

OpenAIRE

U.S. Department of the Interior, Bureau of Reclamation

2006-01-01

The Bureau of Reclamation (Reclamation) acting on behalf of the Secretary of the Department of the Interior (Secretary) proposes to take action to adopt specific Colorado River Lower Basin shortage guidelines and coordinated reservoir management strategies to address operations of Lake Powell and Lake Mead, particularly under low reservoir conditions. This proposed Action will provide a greater degree of certainty to all water users and managers in the Colorado River Basin by providing more d...

Assessing the relationship between total factor productivity and foreign direct investment in an economy with a skills shortage: the case of South Africa

OpenAIRE

Bonga-Bonga, Lumengo; Phume, Maphelane

2017-01-01

This paper assesses the relationship between total factor productivity (TFP) and foreign direct investment (FDI) in a country with skills shortage. South Africa is used as a case study. Literature is inconclusive on how FDI should affect TFP. This paper shows that it is important to account for the interactivity between FDI and human capital when assessing the effects of FDI on TFP. Moreover, the empirical results show that, contrary to countries with abundance of skills, in countries with sk...

Standardization of anti-lethal toxin potency test of antivenoms prepared from two different Agkistrodon halys venoms

Directory of Open Access Journals (Sweden)

K. H. Lee

2006-01-01

Full Text Available In Korea, antivenoms for the treatment of patients bitten by venomous snakes have been imported from Japan or China. Although there is cross-reactivity between these antibodies and venoms from snakes indigenous to Korea (e.g. Agkistrodon genus, protection is not optimal. Antivenoms specifically prepared to neutralize Korean snake venoms could be more effective, with fewer side effects. To this end, we established an infrastructure to develop national standards and created a standardized method to evaluate the efficacy of two horse-derived antivenoms using mouse lethal toxin test. Additionally, we determined the antivenoms neutralizing activity against lethal doses (LD50 of Agkistrodon halys (from Japan and Jiangzhe Agkistrodon halys (from China venoms. We also performed cross-neutralization tests using probit analysis on each pairing of venom and antivenom in order to check the possibility of using Jiangzhe A. halys venom as a substitute for A. halys venom, the current standard. Slope of A. halys venom with A. halys antivenom was 10.2 and that of A. halys venom with Jiangzhe A. halys antivenom was 9.6. However, Slope of Jiangzhe A. halys venom with A. halys antivenom was 4.7 while that of Jiangzhe A. halys venom with Jiangzhe A. halys antivenom was 11.5. Therefore, the significant difference in slope patterns suggests that Jiangzhe A. halys venom cannot be used as a substitute for the standard venom to test the anti-lethal toxin activity of antivenoms (p<0.05.

Shortage of energy increases profitability of district heating

International Nuclear Information System (INIS)

2003-01-01

Increased demand will cause the price of district heating to increase, but not to the level of the price of electricity. The cheapest heating alternative in Denmark, Norway and Sweden is district heating. In Norway, district heating is developed primarily for commercial buildings and housing cooperatives. Thirty per cent of all buildings under construction are prepared for district heating and the percentage will increase strongly in the coming time. The total net production of district heating in Norway in 2001 was 2000 GWh, which is only a small part of the total potential for district heating

Safety assessment of botanicals and botanical preparations used as ingredients in food supplements: testing an European Food Safety Authority-tiered approach.

Science.gov (United States)

Speijers, Gerrit; Bottex, Bernard; Dusemund, Birgit; Lugasi, Andrea; Tóth, Jaroslav; Amberg-Müller, Judith; Galli, Corrado L; Silano, Vittorio; Rietjens, Ivonne M C M

2010-02-01

This article describes results obtained by testing the European Food Safety Authority-tiered guidance approach for safety assessment of botanicals and botanical preparations intended for use in food supplements. Main conclusions emerging are as follows. (i) Botanical ingredients must be identified by their scientific (binomial) name, in most cases down to the subspecies level or lower. (ii) Adequate characterization and description of the botanical parts and preparation methodology used is needed. Safety of a botanical ingredient cannot be assumed only relying on the long-term safe use of other preparations of the same botanical. (iii) Because of possible adulterations, misclassifications, replacements or falsifications, and restorations, establishment of adequate quality control is necessary. (iv) The strength of the evidence underlying concerns over a botanical ingredient should be included in the safety assessment. (v) The matrix effect should be taken into account in the safety assessment on a case-by-case basis. (vi) Adequate data and methods for appropriate exposure assessment are often missing. (vii) Safety regulations concerning toxic contaminants have to be complied with. The application of the guidance approach can result in the conclusion that safety can be presumed, that the botanical ingredient is of safety concern, or that further data are needed to assess safety.

A technician from NASDA test the real-time radiation monitoring device on SPACEHAB in preparation fo

Science.gov (United States)

1997-01-01

A technician from the National Space Development Agency of Japan (NASDA) tests the real-time radiation monitoring device on SPACEHAB at Kennedy Space Center in preparation for the STS-89 mission, slated to be the first Shuttle launch of 1998. STS-89 will be the eighth of nine scheduled Mir dockings and will include a double module of SPACEHAB, used mainly as a large pressurized cargo container for science, logistical equipment and supplies to be exchanged between the orbiter Endeavour and the Russian Space Station Mir. The nine-day flight of STS-89 also is scheduled to include the transfer of the seventh American to live and work aboard the Russian orbiting outpost. Liftoff of Endeavour and its seven-member crew is targeted for Jan. 15, 1998, at 1:03 a.m. EDT from Launch Pad 39A.

40 CFR 86.1231-96 - Vehicle preparation.

Science.gov (United States)

2010-07-01

... Emission Test Procedures for New Gasoline-Fueled, Natural Gas-Fueled, Liquefied Petroleum Gas-Fueled and... vehicles prepare the fuel tank(s) for recording the temperature of the prescribed test fuel, as described... drain at the lowest point possible in the tank(s) as installed on the vehicle. (c) For preconditioning...

MUET Preparation Language Learning Strategies

Directory of Open Access Journals (Sweden)

Yoong Li Kuen

2012-01-01

Full Text Available The main objective of the study was to examine the English language learning strategies (LLS used by Lower Six students in secondary schools who are sitting for their MUET test. It analyzed the language learning strategies that students use in order to prepare for the MUET test. Data were collected using a survey questionnaire with 300 students. The instrument used in this study called “MUET Preparation Language Strategy Use Inventory” is an adapted and bilingual questionnaire designed by Cohen, Oxford and Chi (2005 known as Language Strategy Use Inventory. Forty items were analyzed and they comprised of the four skills tested in MUET which is listening, speaking, reading and writing. Data were analyzed by performing frequency analysis. The findings revealed that the listening skill is the most frequently used, while the writing skill is the least frequently used. Only the listening skill has high frequency of use, while the reading, speaking and writing skills fall under the range of moderate frequency of use. There were variations in responses with regard to the use of LLS among Form Six students in secondary schools. The findings had practical implications.

Citric acid urine test

Science.gov (United States)

Urine - citric acid test; Renal tubular acidosis - citric acid test; Kidney stones - citric acid test; Urolithiasis - citric acid test ... No special preparation is necessary for this test. But the results ... test is usually done while you are on a normal diet. Ask your ...

Properties of Formula 127 glass prepared with radioactive zirconia calcine

International Nuclear Information System (INIS)

Staples, B.A.; Pavlica, D.A.; Cole, H.S.

1982-09-01

Formula 127 glass has been developed to immobilize ICPP zirconia calcine. This glass has been prepared remotely on a laboratory scale basis with actual radioactive zirconia calcine retrieved after ten years of storage from Bin Set 2. The aqueous leachability of the glass produced was investigated and compared through application of the MCC-1, MCC-2 and Soxhlet leach tests with that of Formula 127 glass prepared with simulated calcine. The solid state properties of the glasses prepared with actual and simulated calcines were also measured by electron spectroscopy for chemical analysis (ESCA) and scanning electron microscopy energy dispersive x-ray (SEM-EDX). Based on the application of these leaching tests and analysis techniques the properties measured in this study are similar for 127 glass prepared with either simulated or radioactive calcine. 13 figures, 16 tables

Development and Testing of an Automated 4-Day Text Messaging Guidance as an Aid for Improving Colonoscopy Preparation.

Science.gov (United States)

Walter, Benjamin Michael; Klare, Peter; Neu, Bruno; Schmid, Roland M; von Delius, Stefan

2016-06-21

In gastroenterology a sufficient colon cleansing improves adenoma detection rate and prevents the need for preterm repeat colonoscopies due to invalid preparation. It has been shown that patient education is of major importance for improvement of colon cleansing. Objective of this study was to assess the function of an automated text messaging (short message service, SMS)-supported colonoscopy preparation starting 4 days before colonoscopy appointment. After preevaluation to assess mobile phone usage in the patient population for relevance of this approach, a Web-based, automated SMS text messaging system was developed, following which a single-center feasibility study at a tertiary care center was performed. Patients scheduled for outpatient colonoscopy were invited to participate. Patients enrolled in the study group received automated information about dietary recommendations and bowel cleansing during colonoscopy preparation. Data of outpatient colonoscopies with regular preparation procedure were used for pair matching and served as control. Primary end point was feasibility of SMS text messaging support in colonoscopy preparation assessed as stable and satisfactory function of the system. Secondary end points were quality of bowel preparation according to the Boston Bowel Preparation Scale (BBPS) and patient satisfaction with SMS text messaging-provided information assessed by a questionnaire. Web-based SMS text messaging-supported colonoscopy preparation was successful and feasible in 19 of 20 patients. Mean (standard error of the mean, SEM) total BBPS score was slightly higher in the SMS group than in the control group (7.3, SEM 0.3 vs 6.4, SEM 0.2) and for each colonic region (left, transverse, and right colon). Patient satisfaction regarding SMS text messaging-based information was high. Using SMS for colonoscopy preparation with 4 days' guidance including dietary recommendation is a new approach to improve colonoscopy preparation. Quality of colonoscopy

Single-tube library preparation for degraded DNA

DEFF Research Database (Denmark)

Carøe, Christian; Gopalakrishnan, Shyam; Vinner, Lasse

2018-01-01

these obstacles and enable higher throughput are therefore of interest to researchers working with degraded DNA. 2.In this study, we compare four Illumina library preparation protocols, including two “single-tube” methods developed for this study with the explicit aim of improving data quality and reducing...... of chemically damaged and highly fragmented DNA molecules. In particular, the enzymatic reactions and DNA purification steps during library preparation can result in DNA template loss and sequencing biases, affecting downstream analyses. The development of library preparation methods that circumvent...... preparation time and expenses. The methods are tested on grey wolf (Canis lupus) museum specimens. 3.We found single-tube protocols increase library complexity, yield more reads that map uniquely to the reference genome, reduce processing time, and may decrease laboratory costs by 90%. 4.Given the advantages...

Operating Room Fires and Surgical Skin Preparation.

Science.gov (United States)

Jones, Edward L; Overbey, Douglas M; Chapman, Brandon C; Jones, Teresa S; Hilton, Sarah A; Moore, John T; Robinson, Thomas N

2017-07-01

Operating room fires are "never events" that remain an under-reported source of devastating complications. One common set-up that promotes fires is the use of surgical skin preparations combined with electrosurgery and oxygen. Limited data exist examining the incidence of fires and surgical skin preparations. A standardized, ex vivo model was created with a 15 × 15 cm section of clipped porcine skin. An electrosurgical "Bovie" pencil was activated for 2 seconds on 30 Watts coagulation mode in 21% oxygen (room air), both immediately and 3 minutes after skin preparation application. Skin preparations with and without alcohol were tested, and were applied with and without pooling. Alcohol-based skin preparations included 70% isopropyl alcohol (IPA) with 2% chlorhexidine gluconate, 74% IPA with 0.7% iodine povacrylex, and plain 70% IPA. No fires occurred with nonalcohol-based preparations (p fires occurred in 38% (23 of 60) at 0 minutes and 27% (16 of 60) at 3 minutes. Alcohol-based skin preparations fuel operating room fires in common clinical scenarios. Following manufacturer guidelines and allowing 3 minutes for drying, surgical fires were still created in 1 in 10 cases without pooling and more than one-quarter of cases with pooling. Surgeons can decrease the risk of an operating room fire by using nonalcohol-based skin preparations or avoiding pooling of the preparation solution. Published by Elsevier Inc.

Identification of Anticipated Job Stressors of Registered Nurse Refresher Students as They Prepare to Reenter the Work Force Following a Career Break

Science.gov (United States)

Peterson, Carol A.

2013-01-01

Multifactorial reasons have produced a growing nursing shortage. One possible group that could reverse this shortage is inactive nurses. Many stakeholders wonder about allocating scarce resources to identify, locate, educate, and redeploy this group into active practice. The purpose of this one-phase embedded validating quantitative mixed…

Preparation and evaluation of reference materials for accountancy analysis. (1) Preparation and evaluation method

International Nuclear Information System (INIS)

Takamatsu, Mai; Kacchi, Tomokazu; Murakami, Toshiki; Ai, Hironobu; Sumi, Mika; Abe, Katsuo; Kageyama, Tomio; Nakazawa, Hiroaki

2009-01-01

Isotope dilution mass spectrometry method used for the accountancy analysis at nuclear fuel facilities requires the standard materials called LSD (Large Size Dried) spike. Generally, LSD spikes are prepared from certified reference materials (CRMs) which supplied from foreign laboratories. However, the difficulty of Pu CRM importation is increasing. It is important for safeguards to attain and continue high reliable accountancy analysis and stable securing of LSD spike is essential. Therefore, in order to conserve CRMs, several types of LSD spike were prepared under collaboration work between JAEA and JNFL, such as the amount of nuclear material in one LSD spike is decreased and others. Practical test with actual samples were performed at JNFL Rokkasho reprocessing plant, and those results were compared with the results obtained by using LSD spike which supplied from foreign laboratory. Preparation and verification analysis of LSD spikes and evaluation of uncertainty based on ISO-GUM will be presented. (author)

Full integrated system of real-time monitoring based on distributed architecture for the high temperature engineering test reactor (HTTR)

International Nuclear Information System (INIS)

Subekti, Muhammad; Ohno, Tomio; Kudo, Kazuhiko; Takamatsu, Kuniyoshi; Nabeshima, Kunihiko

2005-01-01

A new monitoring system scheme based on distributed architecture for the High Temperature Engineering Test Reactor (HTTR) is proposed to assure consistency of the real-time process of expanded system. A distributed monitoring task on client PCs as an alternative architecture maximizes the throughput and capabilities of the system even if the monitoring tasks suffer a shortage of bandwidth. The prototype of the on-line monitoring system has been developed successfully and will be tested at the actual HTTR site. (author)

Tracking the Career Paths of Physics Teachers in Texas

Science.gov (United States)

Mount, Jennifer; Marshall, Jill; Fuller, Edward

2013-01-01

In Texas, and some other states, there is a documented shortage of physics teachers, in terms of both number and qualifications. The shortage in Texas is due as much to teachers leaving the field (attrition) as to a lack of teachers entering. There are efforts under way to prepare more and better-qualified physics teachers who will stay in the…

Innovative Technology for Preparing Washing Liquid During Well Drilling

Directory of Open Access Journals (Sweden)

Davydenko A.N.

2015-09-01

Full Text Available Technology of washings liquid preparation is worked out. Prospects of the hydrodynamic supercavitation use for preparation of washing liquids during well drilling are substantiated. Theoretical research make it possible to set parameters and work out the construction of cavitational dispergator. The results of theoretical research found their confirmation during practical examinations and became the basis for creation of the technique of washing liquid preparation and construction of cavitational dispergator tested in production conditions.

The nursing shortage ... will we become an endangered species or near extinction in the new millennium.

Science.gov (United States)

Lanford, A; Hardesty, P

1998-12-01

In conclusion, it is obvious to each of us that the nursing shortage issue is complex. There are no simple solutions. In the acute care arena we can expect to see the usual recruitment wars using sign-on bonuses, increased salaries for per diem staff, internship programs and all sorts of methods used in the past to recruit needed staff. It is that sort of crisis management and short term thinking that has plagued the profession in the past. These are bandaid efforts especially in light of the factors of supply vs demand with short-term quick fixes. There must be, however, more efforts towards addressing the long-term issues such as wage compression, differentiated practice and pay, effective models of care delivery, educating the public about nursing, and public/government funding more nursing education and research at all levels. There may need to be a federal subsidy for nursing education and recruitment included to affect the magnitude of this potential societal problem. The profession is at a crossroads. One thing is certain however, this nursing shortage is different and will get worse before it gets better. Let's not let the demand for nurses become so large and supply become so small that we are an endangered species or near extinction in the new millennium. What will be the scenario for nurses in 2050? Are we, as the largest healthcare profession, so complacent about our continued existence that we are at a point of paralysis? Are we in such a state of deep depression in response to current changing environment that we will allow ourselves to be devoured by our predators. Are we cannibalistic as we eat our young and chew on our own unresolved internal issues with a lack of action? Are we septic as a result of our own self-inflicted professional wounds? Our profession must become immediately aware of our possibly tenuous future. We must work together as a community of nurses to strategically address the areas of recruitment, education, retention and

Evaluation of zero-order controlled release preparations of nifedipine tablet on dissolution test, together with cost benefit point of view.

Science.gov (United States)

Sakurai, Miyuki; Naruto, Ikue; Matsuyama, Kenji

2008-05-01

Many generic drugs have been released to decrease medical expenses, but some problems have been reported with regard to bioavailability and safety. In this study, we compared three once-a-day controlled-release preparations of nifedipine by the dissolution test (one branded and two generic preparations). Although the two generic drugs were equivalent to the branded drug according to the criteria listed in the Japanese "Guideline for Bioequivalence Studies of Generic Products", there was still a possibility of problems arising. For example, side effects could be caused by a rapid increase in the blood level of nifedipine with one generic drug, while bioavailability might be inadequate with the other due to its small area under the concentration vs. time curve. When each drug was prescribed at a dosage of 20 mg once daily for two weeks, the difference in the copayment for the patient was only 10 yen. Accordingly, it is important for doctors and pharmacists to carefully consider whether such a slight difference in price is really a benefit for the patient.

Importance of a 99Mo/99mTc generator and a perspective of nuclear medicine in the face of the difficult situation of supply shortage of 99mTc from the view-point of a nuclear medicine specialist

International Nuclear Information System (INIS)

Kosuda, Shigeru

2010-01-01

In this review a list of commercially available 99m Tc-labeled radiopharmaceuticals was presented, and the significance to use them clinically was described in the face of this difficult situation due to the 99m Tc shortage. The supply history and the chronological change in the sales of 99 Mo/ 99m Tc generators in Japan were also described. I emphasize the importance of a nationwide spread of dedicated single photon emission computed tomography (SPECT)/CT equipments, which provide not only a simultaneous acquisition of dual tracers, but also information on both function and morphology. The present issues to address this difficult situation were discussed, referring to the summary of the Organization for Economic Co-operation and Development (OECD)/the Nuclear Energy Agency (NEA) workshop held in Paris and the press conference at the 56 th Society of Nuclear Medicine (SNM) annual meeting held in Toronto. The results of a questionnaire survey conducted in Saitama prefecture suggested the procedures, such as a domestic self-supply of 99 Mo, to resolve the issues related to the shortage. In addition, the ongoing Japan Materials Testing Reactor (JMTR) project regarding self-supply of 99 Mo was described. Based on a reliable supply of 99m Tc, the following suggestions to develop nuclear medicine were presented from the viewpoint of a nuclear medicine specialist; development of a brand-new SPECT/CT equipment using semi-conductor, clinical application of new tracers, and reassessment of the existing SPECT studies. (author)

Reconstruction of -35 kV/200 kW HVPS for test of klystron units in LHCD system

International Nuclear Information System (INIS)

Huang Yiyun

2004-01-01

The paper introduces the -35 kV/200 kW high voltage power supply (HVPS) which is specially used to test klystron units in LHCD system. The new klystrons must be tested under high voltage level before operation and the old klystrons which have worked for a longtime must be exercised by HVPS in lower hybrid current drive (LHCD) system. As the former HVPS has some shortages in engineering design and operation design, the HVPS has to be modified and rebuilt by adopting new method and technology to solve existing bottle-neck problems. (author)

Estradiol blood test

Science.gov (United States)

... page: //medlineplus.gov/ency/article/003711.htm Estradiol blood test To use the sharing features on this page, ... of estrogens. How the Test is Performed A blood sample is needed . How to Prepare for the Test Your health care provider may tell you to ...

An EOQ model for time-dependent deteriorating items with alternating demand rates allowing shortages by considering time value of money

Directory of Open Access Journals (Sweden)

Kundu Antara

2013-01-01

Full Text Available The present paper deals with an economic order quantity (EOQ model of an inventory problem with alternating demand rate: (i For a certain period, the demand rate is a non linear function of the instantaneous inventory level. (ii For the rest of the cycle, the demand rate is time dependent. The time at which demand rate changes, may be deterministic or uncertain. The deterioration rate of the item is time dependent. The holding cost and shortage cost are taken as a linear function of time. The total cost function per unit time is obtained. Finally, the model is solved using a gradient based non-linear optimization technique (LINGO and is illustrated by a numerical example.

AACJC/Metropolitan Life Foundation Registered Nurse Shortage Project: Final Report.

Science.gov (United States)

Hawaii Univ., Lihue. Kauai Community Coll.

In an effort to increase the number of graduating Kauai High School (KHS) seniors prepared to enter the Kauai Community College (KCC) Career Ladder Nursing Program, a special 2 + 2 program was initiated involving college/high school curriculum articulation, academic and career counseling, and early admission to KCC. At the outset of the project,…

30 CFR 18.96 - Preparation of machines for inspection; requirements.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Preparation of machines for inspection... TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Field Approval of Electrically Operated Mining Equipment § 18.96 Preparation of machines for inspection...

hs-CRP Test

Science.gov (United States)

... the sample? No test preparation is needed; however, fasting for 9-12 hours before the blood sample ... such as colon cancer , complications of diabetes , and obesity. I have had cholesterol tests but never an ...

Water Management Strategies against Water Shortage in the Alps (Invited)

Science.gov (United States)

de Jong, C.

2009-12-01

and anthropogenic scenarios. Innovative measures of mitigation and adaptation should predict and prevent future water shortages.

Lithium carbonate tablets. Preparation techniques influence over active ingredient liberation

International Nuclear Information System (INIS)

Bueno, J.H.F.; Oliveira, A.G. de; Toledo Salgado, P.E. de

1989-01-01

Lithium carbonate tablets, prepared using wet and dry granulation, were assessed in vitro so as to determine the active ingredient dissolution. In this study, standardized formulations were used and developed with usual adjuvants (lactose - maize starch). Parallel to the dissolution testing. The influence of the preparation process over some physical characteristics (hardness, friability and disintegration) was also analysed. Although a better performance was observed of tables prepared using dry granulation, the authors concluded that the wet process is more suitable in preparing tables with the mentioned drug. (author)

Protocol for Cohesionless Sample Preparation for Physical Experimentation

Science.gov (United States)

2016-05-01

Standard test method for consolidated drained triaxial compression test for soils . In Annual book of ASTM standards. West Conshohocken, PA: ASTM...derived wherein uncertainties and laboratory scatter associated with soil fabric-behavior variance during sample preparation are mitigated. Samples of...wherein comparable analysis between different laboratory tests’ results can be made by ensuring a comparable soil fabric prior to laboratory testing

Microfluidic Sample Preparation for Diagnostic Cytopathology

Science.gov (United States)

Mach, Albert J.; Adeyiga, Oladunni B.; Di Carlo, Dino

2014-01-01

The cellular components of body fluids are routinely analyzed to identify disease and treatment approaches. While significant focus has been placed on developing cell analysis technologies, tools to automate the preparation of cellular specimens have been more limited, especially for body fluids beyond blood. Preparation steps include separating, concentrating, and exposing cells to reagents. Sample preparation continues to be routinely performed off-chip by technicians, preventing cell-based point-of-care diagnostics, increasing the cost of tests, and reducing the consistency of the final analysis following multiple manually-performed steps. Here, we review the assortment of biofluids for which suspended cells are analyzed, along with their characteristics and diagnostic value. We present an overview of the conventional sample preparation processes for cytological diagnosis. We finally discuss the challenges and opportunities in developing microfluidic devices for the purpose of automating or miniaturizing these processes, with particular emphases on preparing large or small volume samples, working with samples of high cellularity, automating multi-step processes, and obtaining high purity subpopulations of cells. We hope to convey the importance of and help identify new research directions addressing the vast biological and clinical applications in preparing and analyzing the array of available biological fluids. Successfully addressing the challenges described in this review can lead to inexpensive systems to improve diagnostic accuracy while simultaneously reducing overall systemic healthcare costs. PMID:23380972

The basic construction materials industry and today’s vast housing shortage

Directory of Open Access Journals (Sweden)

Oteiza, I.

2008-12-01

Full Text Available This paper documents some of the aspects of the major challenge facing world-wide building: humanity's daunting shortage of basic housing, monographically focusing on what this means for the basic building materials industry. These needs have created the greatest demand ever for ex-novo solutions and an exponential increase in slum rehabilitation and improvement, translated here into the need for construction materials and more specifically, cement, as the emblematic component of buildings.El trabajo aborda en forma documentada, algunos aspectos del mayor de los retos que tiene planteado a nivel cosmopolita el sector de la edificación: las ingentes necesidades de habitabilidad básica que padece la humanidad, centrándose en forma monográfica en lo que ello supone para la industria de materiales básicos de edificación. Necesidades que se traducen en la mayor demanda histórica de soluciones ex-novo y en el aumento exponencial de rehabilitación y mejora de tugurios, que los autores traducen en necesidades de materiales de construcción, y de forma más concreta, de cemento, como material emblemático de la edificación.El trabajo, mediante el análisis de casos, muestra la muy diferente repercusión que tienen los materiales sobre los presupuestos finales de lo ejecutado, según se trate del mundo desarrollado (MD o de países en vías de desarrollo (PVD. Por otra parte, estudia la incidencia general del sector 'informal' de la construcción, concluyendo que éste, en muchos países, es el consumidor mayoritario de materiales -specialmente cemento-y que a nivel mundial los PVD lo son tanto en producción como en consumo.

European technology activities to prepare for ITER component procurement

International Nuclear Information System (INIS)

Gasparotto, M.

2006-01-01

Over the past few years the technology activities of the European fusion programme have principally been devoted to: a) the completion of design and R (and) D studies in preparation for the procurement of ITER systems and components in close collaboration with the ITER team and according to the ITER design and schedule; b) provision of support to European industry and associations in key areas of fusion R (and) D to ensure a competitive and timely approach to the planned procurement. The EU contribution to ITER design and R (and) D activities has been maintained at a significant level with the objectives of: · continuing, and in some areas expanding, the effort in areas where design and R (and)D are still required: in particular in Machine Assembly, Remote Handling, ITER Test Blanket Modules, Diagnostics, Heating and Current Drive Systems. · continuing and completing manufacturing R (and)D to determine the most technically and cost affective manufacturing methods for ITER components to be built in Europe. · preparing new test facilities needed during ITER construction (DIPOLE, HELOKA, DTP-2, ECRH Test Facility, Fatigue Testing Facility). · supporting the European site preparation process and the preparation of safety and licensing documentation for ITER in Cadarache. · maintaining support to EU industries in R (and) D activities of relevance to fusion. To support the ITER Design activities and to prepare for the provision of timely answers to key issues, which may be raised during the ITER design review, support from specialized companies has been set-up in the fields of Civil and General Plant Engineering, Mechanical Engineering / Components, Mechanical Engineering / Systems (and) Plants, Remote Handling (and) Assembly, Electrical Engineering, Nuclear Safety Engineering. In recent years major efforts have been directed towards the technology development of the ITER components for which procurement can be launched during the first years of the construction

Effect of students’ determination of testing time on their test performance

NARCIS (Netherlands)

Bakker, D.R.; Deng, D.M.; Wesselink, P.R.; Vervoorn, J.M.

2017-01-01

This article investigates whether giving students control over preparing for and the moment of taking a test affects their test results in comparison with when the school is in control of the amount of training followed by a predetermined test moment. The students participated in training for manual

Overcoming the Critical Shortage of STEM - Prepared Secondary Students Through Modeling and Simulation

Science.gov (United States)

Spencer, Thomas; Berry, Brandon

2012-01-01

In developing understanding of technological systems - modeling and simulation tools aid significantly in the learning and visualization processes. In design courses we sketch , extrude, shape, refine and animate with virtual tools in 3D. Final designs are built using a 3D printer. Aspiring architects create spaces with realistic materials and lighting schemes rendered on model surfaces to create breathtaking walk-throughs of virtual spaces. Digital Electronics students design systems that address real-world needs. Designs are simulated in virtual circuits to provide proof of concept before physical construction. This vastly increases students' ability to design and build complex systems. We find students using modeling and simulation in the learning process, assimilate information at a much faster pace and engage more deeply in learning. As Pre-Engineering educators within the Career and Technical Education program at our school division's Technology Academy our task is to help learners in their quest to develop deep understanding of complex technological systems in a variety of engineering disciplines. Today's young learners have vast opportunities to learn with tools that many of us only dreamed about a decade or so ago when we were engaged in engineering and other technical studies. Today's learner paints with a virtual brush - scenes that can aid significantly in the learning and visualization processes. Modeling and simulation systems have become the new standard tool set in the technical classroom [1-5]. Modeling and simulation systems are now applied as feedback loops in the learning environment. Much of the study of behavior change through the use of feedback loops can be attributed to Stanford Psychologist Alfred Bandura. "Drawing on several education experiments involving children, Bandura observed that giving individuals a clear goal and a means to evaluate their progress toward that goal greatly increased the likelihood that they would achieve it."

Cost Effectiveness of Screening Colonoscopy Depends on Adequate Bowel Preparation Rates - A Modeling Study.

Directory of Open Access Journals (Sweden)

James Kingsley

Full Text Available Inadequate bowel preparation during screening colonoscopy necessitates repeating colonoscopy. Studies suggest inadequate bowel preparation rates of 20-60%. This increases the cost of colonoscopy for our society.The aim of this study is to determine the impact of inadequate bowel preparation rate on the cost effectiveness of colonoscopy compared to other screening strategies for colorectal cancer (CRC.A microsimulation model of CRC screening strategies for the general population at average risk for CRC. The strategies include fecal immunochemistry test (FIT every year, colonoscopy every ten years, sigmoidoscopy every five years, or stool DNA test every 3 years. The screening could be performed at private practice offices, outpatient hospitals, and ambulatory surgical centers.At the current assumed inadequate bowel preparation rate of 25%, the cost of colonoscopy as a screening strategy is above society's willingness to pay (<$50,000/QALY. Threshold analysis demonstrated that an inadequate bowel preparation rate of 13% or less is necessary before colonoscopy is considered more cost effective than FIT. At inadequate bowel preparation rates of 25%, colonoscopy is still more cost effective compared to sigmoidoscopy and stool DNA test. Sensitivity analysis of all inputs adjusted by ±10% showed incremental cost effectiveness ratio values were influenced most by the specificity, adherence, and sensitivity of FIT and colonoscopy.Screening colonoscopy is not a cost effective strategy when compared with fecal immunochemical test, as long as the inadequate bowel preparation rate is greater than 13%.

Special Education Teacher Preparation in Kenya, Malawi, Zambia, and Zimbabwe

Science.gov (United States)

Chitiyo, Morgan; Odongo, George; Itimu-Phiri, Ambumulire; Muwana, Florence; Lipemba, Mary

2015-01-01

Researchers have repeatedly identified special education teacher shortage as one of the factors that have stymied the development of special education in many African countries. Highly qualified special education teachers are an integral part of successful national educational systems. In order to ensure an optimum supply of qualified special…

Crossing the Primary and Secondary School Divide in Teacher Preparation

Science.gov (United States)

Knipe, Sally

2012-01-01

Teacher education courses at universities qualify graduates to teach in age-related contexts of primary/early childhood/secondary that reflect the organisational structure of schools. In terms of teacher employment, for some considerable time, these longstanding organisational divisions have been by-passed whereby a shortage of teachers in…

Slice&Dice: Recognizing Food Preparation Activities Using Embedded Accelerometers

Science.gov (United States)

Pham, Cuong; Olivier, Patrick

Within the context of an endeavor to provide situated support for people with cognitive impairments in the kitchen, we developed and evaluated classifiers for recognizing 11 actions involved in food preparation. Data was collected from 20 lay subjects using four specially designed kitchen utensils incorporating embedded 3-axis accelerometers. Subjects were asked to prepare a mixed salad in our laboratory-based instrumented kitchen environment. Video of each subject's food preparation activities were independently annotated by three different coders. Several classifiers were trained and tested using these features. With an overall accuracy of 82.9% our investigation demonstrated that a broad set of food preparation actions can be reliably recognized using sensors embedded in kitchen utensils.

Deposition-precipitation with Urea to prepare Au/Mg(OH)2 catalysts: Influence of the preparation conditions on metal size and load

International Nuclear Information System (INIS)

Milone, Candida; Trapani, Mariachiara; Zanella, Rodolfo; Piperopolulos, Elpida; Galvagno, Signorino

2010-01-01

Deposition-precipitation with Urea method to prepare Au/Mg(OH) 2 was investigated. The preparation was carried out at 80 o C using an aqueous solution of HAuCl 4 and Urea in presence of MgO as support precursor. The pH of the solution was 9.5-10 owing to the rapid hydration of MgO to Mg(OH) 2 . The influence of the preparation conditions (Urea concentration, preparation procedure, addition of magnesium citrate) on the gold load and particle size distribution was evaluated. The structural characterization of preparations was carried out by means of X-ray diffractometry and transmission electron microscopy. Among the parameters investigated, the preparation procedure, that is the control of the interaction between gold species and the support, is the main step for the deposition of the highest amount of gold (> 80% of the theoretical amount) having small size and a narrow distribution (d = 4.1 nm, σ = ±1.1 nm). The synthesized catalysts were tested in the CO oxidation reaction.

Preparation of alumina microspheres. Its application as in inorganic exchanger

Energy Technology Data Exchange (ETDEWEB)

Santos, W.R. dos; Abrao, A [Instituto de Pesquisas Energeticas e Nucleares, Sao Paulo (Brazil). Centro de Engenharia Quimica

1980-01-01

Inorganic exchangers are widely used for adsorption and column partition chromatography. The main difficulty of using commercial alumina (in powder) for column chromatography is related to its packing, and the operations through the column become diffcult and time-consuming; also it turns to be virtually impossible to use large dimension columns. In order to eliminate these problems, a process for the preparation of alumina microspheres was developed as an adaptation of a similar process used to prepare nuclear fuel microspheres (UO/sub 2/, ThO/sub 2/). The flowsheet of this process is presented together with the analytical results of sphericity after calcination, granulometry, density and characterization by X-ray diffractometry. Solubility tests showed that the so-prepared microspheres are well resistant to strong acids and bases; retention tests showed their efficiency, mainly to copper.

Goethite Bench-scale and Large-scale Preparation Tests

Energy Technology Data Exchange (ETDEWEB)

Josephson, Gary B.; Westsik, Joseph H.

2011-10-23

The Hanford Waste Treatment and Immobilization Plant (WTP) is the keystone for cleanup of high-level radioactive waste from our nation's nuclear defense program. The WTP will process high-level waste from the Hanford tanks and produce immobilized high-level waste glass for disposal at a national repository, low activity waste (LAW) glass, and liquid effluent from the vitrification off-gas scrubbers. The liquid effluent will be stabilized into a secondary waste form (e.g. grout-like material) and disposed on the Hanford site in the Integrated Disposal Facility (IDF) along with the low-activity waste glass. The major long-term environmental impact at Hanford results from technetium that volatilizes from the WTP melters and finally resides in the secondary waste. Laboratory studies have indicated that pertechnetate ({sup 99}TcO{sub 4}{sup -}) can be reduced and captured into a solid solution of {alpha}-FeOOH, goethite (Um 2010). Goethite is a stable mineral and can significantly retard the release of technetium to the environment from the IDF. The laboratory studies were conducted using reaction times of many days, which is typical of environmental subsurface reactions that were the genesis of this new process. This study was the first step in considering adaptation of the slow laboratory steps to a larger-scale and faster process that could be conducted either within the WTP or within the effluent treatment facility (ETF). Two levels of scale-up tests were conducted (25x and 400x). The largest scale-up produced slurries of Fe-rich precipitates that contained rhenium as a nonradioactive surrogate for {sup 99}Tc. The slurries were used in melter tests at Vitreous State Laboratory (VSL) to determine whether captured rhenium was less volatile in the vitrification process than rhenium in an unmodified feed. A critical step in the technetium immobilization process is to chemically reduce Tc(VII) in the pertechnetate (TcO{sub 4}{sup -}) to Tc(Iv)by reaction with the

The workforce for health in a globalized context--global shortages and international migration.

Science.gov (United States)

Aluttis, Christoph; Bishaw, Tewabech; Frank, Martina W

2014-01-01

The 'crisis in human resources' in the health sector has been described as one of the most pressing global health issues of our time. The World Health Organization (WHO) estimates that the world faces a global shortage of almost 4.3 million doctors, midwives, nurses, and other healthcare professionals. A global undersupply of these threatens the quality and sustainability of health systems worldwide. This undersupply is concurrent with globalization and the resulting liberalization of markets, which allow health workers to offer their services in countries other than those of their origin. The opportunities of health workers to seek employment abroad has led to a complex migration pattern, characterized by a flow of health professionals from low- to high-income countries. This global migration pattern has sparked a broad international debate about the consequences for health systems worldwide, including questions about sustainability, justice, and global social accountabilities. This article provides a review of this phenomenon and gives an overview of the current scope of health workforce migration patterns. It further focuses on the scientific discourse regarding health workforce migration and its effects on both high- and low-income countries in an interdependent world. The article also reviews the internal and external factors that fuel health worker migration and illustrates how health workforce migration is a classic global health issue of our time. Accordingly, it elaborates on the international community's approach to solving the workforce crisis, focusing in particular on the WHO Code of Practice, established in 2010.

Patients with History of Colonoscopy Are Less Likely to Achieve High Quality Preparation After Implementing Split-Dose Bowel Preparation.

Science.gov (United States)

Madhoun, M F; Bitar, H; Parava, P; Bashir, M H; Zia, H

2017-01-01

Anecdotally, we observed that patients who had previous colonoscopies were less likely to follow newly implemented split-dose bowel preparation (SDBP) instructions. We investigated whether the indication for colonoscopy is an independent factor for achieving high quality bowel preparation among patients asked to follow SDBP. We performed a retrospective study of data from 1478 patients who received outpatient colonoscopies in 2014 (the year of SDBP implementation) at our Veterans Affairs Medical Center. We collected information related to demographics and factors known to affect bowel preparations. Reasons for colonoscopy were dichotomized into surveillance (previous colonoscopy) vs. non-surveillance (positive occult blood test or screening). Bowel preparation quality was scored using the Boston Bowel Preparation Scale (BBPS), and was categorized as either excellent vs. not excellent (BBPS≥7 vs. BBPSquality was excellent in 60% of colonoscopies and adequate in 84% of colonoscopies. Thirty-six percent (535) were surveillance colonoscopies. In multivariate logistic regression analysis, more patients in the non-surveillance group achieved excellent (OR 0.8 ; 95% CI [0.7-0.8], P <0.0001) and adequate (OR 0.8 ; 95% CI [0.7-0.9], P <0.006) bowel preparation than did patients in the surveillance group. Patients with a prior colonoscopy might not follow the split-dose bowel preparation instructions. Educational interventions emphasizing the benefits of SDBP in this group of patients may help ensure compliance and prevent the habitual use of day-before preparations. © Acta Gastro-Enterologica Belgica.

Innovative plant protection means prepared natural raw materials

Directory of Open Access Journals (Sweden)

Omar Lomtadze

2018-03-01

Full Text Available Were developed new compositions preparation against pests and diseases of plant: Insekto-acaricide “Antipest”, Fungicide “Antifungal”, a drug against of overwintering pests “Proinsekt” and nutritious preparation “Si-humate”.The effectiveness of trial oil-emulsion preparation “Proinsect” was assessed by the spread of pests - San Jose scale (Diaspidiotus perniciosus and mountain ash bentwing (Leucoptera scitella Costa on treated trees. According to field testing, the efficiency of preparation “Proinsect” exceeds the effectiveness of one of the best imported oily preparation “Sipcomol”, which was selected as a reference.Joint content in composition of synthetic pyretroids with turpentine oil, supposedly synergism takes place (turpentines cause prolonged action of synthetic pyrethroid. In working solutions, obtained from turpentine oil containing composition concentration of pyretroid is low, but it is enough during the whole period of pest development cycle. According to the comparative field testing of “Antipest” and imported preparations, against for fruits pests their efficiency is at almost one level, despite the low content (by 30–40% of pyrethroid (cypermethrin in “Antipest”.The developed phosphate preparation “Antifungal” is a little bit less effective compared to Bordeaux mixture. If well take into account significant decrease of intensity of disease spread and development after the action of phosphate preparation, also very low toxicity zinc hydro- and dihydrophosphates compared to the blue vitriol (Copper(II sulfate, the developed fungicide preparation can be successfully used instead of traditional Bordeaux mixture and in particular against the peach leaf curl.According to the results of field trials, effect, of developed silicon containing humic nutrient composition -“Si-humate” on experimental 2-year-old seedlings apples and peach is on the average 15–17% better than the control ones in

Preparation of acceptance tests and criteria for the Test Blanket Systems to be operated in ITER

Energy Technology Data Exchange (ETDEWEB)

Laan, J.G. van der, E-mail: JaapG.vanderLaan@iter.org [ITER Organization, Route de Vinon sur Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Cuquel, B. [AIRBUS Defence and Space S.A.S., 13115 Saint Paul Lez Durance (France); Demange, D.; Ghidersa, B.-E. [Karlsruhe Institute of Technology, Karlsruhe (Germany); Giancarli, L.M.; Iseli, M.; Jourdan, T. [ITER Organization, Route de Vinon sur Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Nevière, J.-C. [Comex-Nucleaire, 13115 Saint Paul Lez Durance (France); Pascal, R.; Ring, W. [ITER Organization, Route de Vinon sur Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France)

2015-10-15

Highlights: • Initial guideline for acceptance testing and acceptance criteria for Test Blanket Systems in ITER. • These tests complement those required by the applicable codes and standards, and regulations. • Completion of TBS manufacture will be followed by Factory Acceptance Testing, prior to shipment. • Next steps are “Reception Inspection Tests”, and on-site pre-installation and components tests. • This guideline allows the detailing of the TBS specific test plans and their scheduling. - Abstract: This paper describes the main acceptance criteria and required acceptance tests for the components of the six Test Blanket Systems to be installed and operated in ITER. It summarizes the guide-line toward the establishment of detailed test plans for the TBS, starting from the end-product at the ITER Members factories, and to generally define the type of tests that have to be performed on the ITER site after shipment, and/or prior to the systems final commissioning phase.