Full-scale leaching study of commercial reactor waste forms

International Nuclear Information System (INIS)

Kalb, P.D.; Colombo, P.

1984-01-01

This paper describes a full-scale leaching experiment which has been conducted at Brookhaven National Laboratory (BNL) to study the release of radionuclides from actual commercial reactor waste forms. While many studies characterizing the leaching behavior of simulated laboratory-scale waste forms have been performed, this program represents one of the first attempts in the United States to quantify activity releases for real, full-scale waste forms. 5 references, 5 figures, 1 table

Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy

DEFF Research Database (Denmark)

Beyer, Rikke; Kongsgaard, Mads; Hougs Kjær, Birgitte

2015-01-01

BACKGROUND: Previous studies have shown that eccentric training has a positive effect on Achilles tendinopathy, but few randomized controlled trials have compared it with other loading-based treatment regimens. PURPOSE: To evaluate the effectiveness of eccentric training (ECC) and heavy slow...... (Victorian Institute of Sports Assessment-Achilles), tendon pain during activity (visual analog scale), tendon swelling, tendon neovascularization, and treatment satisfaction were assessed at 0 and 12 weeks and at the 52-week follow-up. Analyses were performed on an intention-to-treat basis. RESULTS: Both...... groups showed significant (P tendon...

Quiz commercial game adaptation to help in the radioprotection training

International Nuclear Information System (INIS)

Rodrigues Junior, Ary de Araujo

2002-01-01

An employee will be qualified to operate a gamma irradiation facility at EMBRARAD after doing a radiation protection training of at least 18 months. After that, the main radiation protection subjects are revised every six months. In that half-yearly training the operators become teachers and so they explain the radiation protection subjects, under the supervision of an instructor. After some years attending the same training, operators do not have motivation to participate in this kind of periodic event due to the same issues covered. Therefore something should be made to revival their interest and motivation to take part in this periodic training. The way chose was adapted a quiz commercial game to revised radiation protection subjects and included it in the periodic training. The game was well accepted by the operators, it caused a competition among them because everybody wanted to win the game and consequently stimulated them to study. (author)

Contract for service to produce 50 tonnes sterifeed - lesson learned from semi-commercial scale test production

International Nuclear Information System (INIS)

Hassan Hamdani Mutaat; Mat Rasol Awang; Zainon Said; Irwan Md Arif; Alias K Sadeli

2005-01-01

A contract for service has been awarded to a local company to produce 50 tonnes Sterifeed in a period of 4 months commencing 3 September 2001. The production was for supplying enough feed for the testing of Sterifeed on cattle. Appointed contractor was required to manage the production, supply labours and provide transport for the full production operation of the plant. The production performance is discussed based on: the labour cost; supervision and control; and skill and training. This report discusses and evaluate the suitability of service for contract for the future commercial scale production. (Author)

fastPACE Train-the-Trainer: A scalable new educational program to accelerate training in biomedical innovation, entrepreneurship, and commercialization.

Science.gov (United States)

Servoss, Jonathan; Chang, Connie; Fay, Jonathan; Lota, Kanchan Sehgal; Mashour, George A; Ward, Kevin R

2017-10-01

The Institute of Medicine recommended the advance of innovation and entrepreneurship training programs within the Clinical & Translational Science Award (CTSA) program; however, there remains a gap in adoption by CTSA institutes. The University of Michigan's Michigan Institute for Clinical & Health Research and Fast Forward Medical Innovation (FFMI) partnered to develop a pilot program designed to teach CTSA hubs how to implement innovation and entrepreneurship programs at their home institutions. The program provided a 2-day onsite training experience combined with observation of an ongoing course focused on providing biomedical innovation, commercialization and entrepreneurial training to a medical academician audience (FFMI fast PACE). All 9 participating CTSA institutes reported a greater connection to biomedical research commercialization resources. Six launched their own version of the FFMI fast PACE course or modified existing programs. Two reported greater collaboration with their technology transfer offices. The FFMI fast PACE course and training program may be suitable for CTSA hubs looking to enhance innovation and entrepreneurship within their institutions and across their innovation ecosystems.

Training to use a commercial brain-computer interface as access technology: a case study.

Science.gov (United States)

Taherian, Sarvnaz; Selitskiy, Dmitry; Pau, James; Davies, T Claire; Owens, R Glynn

2016-01-01

This case study describes how an individual with spastic quadriplegic cerebral palsy was trained over a period of four weeks to use a commercial electroencephalography (EEG)-based brain-computer interface (BCI). The participant spent three sessions exploring the system, and seven sessions playing a game focused on EEG feedback training of left and right arm motor imagery and a customised, training game paradigm was employed. The participant showed improvement in the production of two distinct EEG patterns. The participant's performance was influenced by motivation, fatigue and concentration. Six weeks post-training the participant could still control the BCI and used this to type a sentence using an augmentative and alternative communication application on a wirelessly linked device. The results from this case study highlight the importance of creating a dynamic, relevant and engaging training environment for BCIs. Implications for Rehabilitation Customising a training paradigm to suit the users' interests can influence adherence to assistive technology training. Mood, fatigue, physical illness and motivation influence the usability of a brain-computer interface. Commercial brain-computer interfaces, which require little set up time, may be used as access technology for individuals with severe disabilities.

Economic Governance to Expand Commercial Wetlands: Within- and Cross-Scale Challenges

NARCIS (Netherlands)

Blaeij, de A.T.; Polman, N.B.P.; Reinhard, A.J.

2011-01-01

Commercial wetlands are defined as wetlands directed by an entrepreneur with the intention of making a profit. The combination of ecosystem services that commercial wetlands can provide seems to be an attractive societal perspective. Nevertheless, these wetlands are not developed on a large scale in

Supervised pelvic floor muscle training versus attention-control massage treatment in patients with faecal incontinence

DEFF Research Database (Denmark)

Ussing, Anja; Dahn, Inge; Due, Ulla

2017-01-01

supplements is recommended as first-line treatment for faecal incontinence. Despite this, the effect of pelvic floor muscle training for faecal incontinence is unclear. No previous trials have investigated the efficacy of supervised pelvic floor muscle training in combination with conservative treatment...... treatment and conservative treatment. The primary outcome is participants' rating of symptom changes after 16 weeks of treatment using the Patient Global Impression of Improvement Scale. Secondary outcomes are the Vaizey Incontinence Score, the Fecal Incontinence Severity Index, the Fecal Incontinence...

Comprehensive characterization of commercially available canine training aids.

Science.gov (United States)

Tipple, Christopher A; Caldwell, Patricia T; Kile, Brian M; Beussman, Douglas J; Rushing, Blake; Mitchell, Natalie J; Whitchurch, Christian J; Grime, Martin; Stockham, Rex; Eckenrode, Brian A

2014-09-01

Effective and reliable training aids for victim recovery canine teams is essential for law enforcement and investigative purposes. Without adequate training aids, the rate of recovery for sub surface or surface human remains deposition using canine teams may be adversely affected and result in confusing information. The composition of three commercially available canine training aids that purportedly generate volatile components responsible for the odor of human decomposition is relatively simple and not closely related to those compounds experimentally determined to be present at the site of surface or sub-surface human remains. In this study, these different commercial formulations were chemically characterized using six different sampling approaches, including two applications of direct liquid injection, solid-phase microextraction (SPME), purge and trap, ambient preconcentration/thermal desorption, and cryogenic preconcentration/thermal desorption. Direct liquid injections resulted in the fewest number of detected compounds, while a cryogen based thermal desorption method detected the greatest number of compounds in each formulation. Based solely upon the direct liquid injection analysis, Pseudo™ Scent I was composed of approximately 29±4% and 71±5% of 2-pyrrolidinone and 4-aminobutanoic acid, respectively. This same analysis showed that Pseudo™ Scent II was composed of approximately 11±1, 11±1, 24±5, and 54±7% of putrescine, cadaverine, 2-pyrrolidinone, and 4-aminobutanoic acid, respectively. Headspace analysis was conducted to more closely simulate the process whereby a canine's nose would capture a volatiles profile. More compounds were detected using the headspace sampling method; however, the vast majority was not consistent with current data on human decomposition. Additionally, the three formulations were tested in outdoor and indoor scenarios by a double-blinded canine team, using a certified and specifically trained victim recovery canine

Review: The Necessity of Producing/Normalizing Adaptive Behavior Scales in Diagnosing Training Treatment Rehabilitation of Peop e and Assessment of the Programs

Directory of Open Access Journals (Sweden)

Seyyed Jalal Sadrosadat

2000-10-01

Full Text Available Adaptive behavior is defined as the manner in which people cope with the natural and social demands of their environments. Impairments in adaptive behavior are described as significant limitations in an individual's effectiveness in meeting the standards of maturation, learning, personal independence, and/or social responsibility that are expected for one's age level and cultural group, as determined by clinical assessment, and usually, standardized scales. The definitions of adaptive deficiencies imply an individual's ability to cope with demands of his or her environment. Some scholars support this notion when describing adaptive behavior's relationship to mental retardation. Despite the fact that adaptive behavior scales are the necessary tools in diagnosing training: treatment. Rehabilitation of people (Particularly with developmental disorders and the assessment of programs, those are not available to professionals. This article tries to explain the necessity of producing/normalizing such scales, and introduces one of the most famous scales named as "Adaptive Behavior Scale-Residential and Community".

A COMPARISOM BETWEEN THE EFFECTTIVENESS OF RELAXATION TRAINING AND PHARMACOTHERAPY IN TREATMENT OF PATIENTS WITH TENSION HEADACHE

Directory of Open Access Journals (Sweden)

R BAGHERIAN

2003-12-01

Full Text Available

Introduction: Headaches are the common cause of refferals to physicians, and among them, tension headache is the most prevalent. There is not consens us on the effectiveness of a specific therapeutic procedure. However, the purpose of this study was to identify the effects of relaxation training in comparison to pharmacotherapy in treatment of tension headache.
Procedures: The study employed an experiment design with two treatment group (N=12 One treatment group gaticipated in a relaxation training program over an 8-week period. A second treatment group was only given Amitriptyline. Data collected over a 2 - week period before and after treatment by using a dialy headache scale used by patients and visual analog scale used by one of the patient";s relatives. Back depression scale and zung Anxietys scale were used for evaluating levels of depression and Anxiety in patients.
Results: Mean score of improvement in relaxation training was significantly higher than that of Amitriptyline group (t=3.85 , P < 0.01 Also the relaxation group demonstrated lower mean score of headache peak than that of peak than that of Amitriptyline  group (t=2.6, p < 0.01. However, regarding to visual analog scale there was no statistically significant difference between two groups.in respect of distribution of patients among different improvement levels, the relaxation training group was significantly better than Amitriptyline group (x₂=6.66, df=2, p < 0.01
Discussion: The relaxation training was more effective than Amitriptuline in decreasing headach for patients with tension headache.

TORONTO HARBOUR COMMISSIONERS (THC) SOIL RECYCLE TREATMENT TRAIN - APPLICATIONS ANALYSIS REPORT

Science.gov (United States)

The Toronto Harbour Commissioners (THC) have developed a soil treatment train designed to treat inorganic and organic contaminants in soils. THC has conducted a large-scale demonstration of these technologies in an attempt to establish that contaminated soils at the Toronto Port ...

Does the Learning Channel Really Matter? : Insights from Commercial Online ICT-training

OpenAIRE

Syynimaa, Nestori

2017-01-01

Evolving ICT has provided new options to participate to training. Online participation has been found to be cost effective, helping people to deal with the time and cost pressures they are facing on their jobs. Previous studies conducted in higher education sector indicates that student satisfaction or learning outcomes does not differ between online and classroom participants. However, little is known what is the situation in commercial ICT-training. This paper studied course fee...

77 FR 3459 - Cancellation of the Environmental Impact Statement for the Mountaineer Commercial Scale Carbon...

Science.gov (United States)

2012-01-24

... Commercial Scale Carbon Capture and Storage Project, Mason County, WV AGENCY: U.S. Department of Energy... Capture and Storage (CCS) Project in Mason County, WV (DOE/EIS-0445). DOE selected this project proposed... the proposed Mountaineer Commercial Scale CCS Project in Mason County, WV. DOE selected this project...

Engineering-scale vitrification of commercial high-level waste

International Nuclear Information System (INIS)

Bonner, W.F.; Bjorklund, W.J.; Hanson, M.S.; Knowlton, D.E.

1980-04-01

To date, technology for immobilizing commercial high-level waste (HLW) has been extensively developed, and two major demonstration projects have been completed, the Waste Solidification Engineering Prototypes (WSEP) Program and the Nuclear Waste Vitrification Project (NWVP). The feasibility of radioactive waste solidification was demonstrated in the WSEP program between 1966 and 1970 (McElroy et al. 1972) using simulated power-reactor waste composed of nonradioactive chemicals and HLW from spent, Hanford reactor fuel. Thirty-three engineering-scale canisters of solidified HLW were produced during the operations. In early 79, the NWVP demonstrated the vitrification of HLW from the processing of actual commercial nuclear fuel. This program consisted of two parts, (1) waste preparation and (2) vitrification by spray calcination and in-can melting. This report presents results from the NWVP

A novel laboratory scale method for studying heat treatment of cake flour

OpenAIRE

Chesterton, AKS; Wilson, David Ian; Sadd, PI; Moggridge, Geoffrey Dillwyn

2014-01-01

A lab-scale method for replicating the time–temperature history experienced by cake flours undergoing heat treatment was developed based on a packed bed configuration. The performance of heat-treated flours was compared with untreated and commercially heat-treated flour by test baking a high ratio cake formulation. Both cake volume and AACC shape measures were optimal after 15 min treatment at 130 °C, though their values varied between harvests. Separate oscillatory rheometry tests of cake ba...

(ARV) treatment training programme

African Journals Online (AJOL)

Winnie

Keywords:ARV, training, evaluation, HIV, health care provider. RÉSUMÉ .... workers, adequate laboratory facilities for measuring viral load and .... questionnaire guide, the head of unit of the ART ...... begins its scale-up programme. Some of ...

A Tentative Analysis of the Use of Potential by Commercial Bank in Controlling Credit Scale

Institute of Scientific and Technical Information of China (English)

YANG Wen-ze

2008-01-01

This article brings forward the conception of potential and filed potential in bank's competition under the inspiration of law of electric current in electrodynamics.It discusses the impact of potential shifting on commercial bank's credit scale and builds up a model for commercial bank to control the scale by credit pricing and risk policy in a dynamic way, and also gives some advice to domestic commercial bank for improving loan business, aiming to settle down the existing credit management problems.

Pre-commercial scale preservation of garlic by gamma radiation in combination with cold storage

International Nuclear Information System (INIS)

Nouchpramool, K.; Charoen, S.; Bunnak, J.

1997-06-01

Irradiation of garlic on a pilot scale and storage in cold room under commercial condition was carried out in co-operation with garlic trader in 1986-1987. Garlic bulbs from local cultivars were irradiated seven weeks after harvest with average dose of 70 Gy and stored for nine months at low (1-7 degrees C) and ambient (25-34 degrees C) temperatures. The treatment proved to be effective in controlling sprouting and in reducing weight loss and rotting. After 9 months of cold storage the weight loss and rotting of irradiated bulbs were reduced by 18 and 13 per cent. The radio inhibition process is technically feasible and economically justified as a profit can be made during the extended storage period. Small scale marketing trials of irradiated garlic conducted during and after termination of storage revealed no adverse comments from consumers

Education and training of operators and maintenance staff at commercial nuclear power stations in Japan

International Nuclear Information System (INIS)

Takahashi, M.; Kataoka, H.

1998-01-01

Safe and stable operation of a nuclear power station requires personnel fostering. In Japan, with the objectives of systematically securing qualified people for a long period of time, and maintaining and improving their skills and knowledge, the utilities have created strict personnel training plans, for continuous education and training. Concrete examples of education and training for operators and maintenance personnel at commercial nuclear power stations in Japan, such as education systems training, facility and contents of curriculum, are detailed including some related matters. Recent activities to catch up with environment changes surrounding education and training of operators and maintenance staff are also mentioned. (author)

Pilot-scale tests for EB flue gas treatment process in Japan

International Nuclear Information System (INIS)

Sato, S.; Tokunaga, O.; Namba, H.

1994-01-01

A review of electron beam applications for flue gas treatment in Japan has been done. Several pilot plants are being performed for commercial use of electron beams process for cleaning of flue gas from low-sulfur coal burning boiler, a municipal waste incinerator and for removal of NO x from a ventilation exhaust of a highway tunnel. Outlines of three pilot-scale tests are introduced. 9 refs, 4 figs

[Development of Autogenic Training Clinical Effectiveness Scale (ATCES)].

Science.gov (United States)

Ikezuki, Makoto; Miyauchi, Yuko; Yamaguchi, Hajime; Koshikawa, Fusako

2002-02-01

The purpose of the present study was to develop a scale measuring clinical effectiveness of autogenic training. In Study 1, 167 undergraduates completed a survey of items concerning physical and mental states, which were thought to vary in the course of autogenic training. With item and factor analyses, 20 items were selected, and the resulting scale (ATCES) had high discrimination and clear factor structure. In Study 2, reliability and concurrent and clinical validity of the scale were examined with three groups of respondents: 85 mentally healthy, 31 control, 13 clinical persons. The scale showed a high test-retest correlation (r = .83) and alpha coefficient (alpha = .86). ATCES had a Pearson correlation coefficient of r = .56 with General Health Questionnaire (GHQ-12), and r = .73 with trait anxiety (STAI-T). And ATCES successfully discriminated the mentally healthy and clinical groups in terms of clinical effectiveness. These results demonstrated high reliability and sufficient concurrent and clinical validity of the new scale.

A Systematic Review of Commercial Cognitive Training Devices: Implications for Use in Sport

Directory of Open Access Journals (Sweden)

David J. Harris

2018-05-01

Full Text Available Background: Cognitive training (CT aims to develop a range of skills, like attention and decision-making, through targeted training of core cognitive functions. While CT can target context specific skills, like movement anticipation, much CT is domain general, focusing on core abilities (e.g., selective attention for transfer to a range of real-world tasks, such as spotting opponents. Commercial CT (CCT devices are highly appealing for athletes and coaches due to their ease of use and eye-catching marketing claims. The extent to which this training transfers to performance in the sporting arena is, however, unclear. Therefore, this paper sought to provide a systematic review of evidence for beneficial training effects of CCT devices and evaluate their application to sport.Methods: An extensive search of electronic databases (PubMed, PsychInfo, GoogleScholar, and SportDiscus was conducted to identify peer-reviewed evidence of training interventions with commercially available CT devices. Forty-three studies met the inclusion criteria and were retained for quality assessment and synthesis of results. Seventeen studies assessed transfer effects beyond laboratory cognitive tests, but only 1 directly assessed transfer to a sporting task.Results: The review of evidence showed limited support for far transfer benefits from CCT devices to sporting tasks, mainly because studies did not target the sporting environment. Additionally, a number of methodological issues with the CCT literature were identified, including small sample sizes, lack of retention tests, and limited replication of findings by researchers independent of the commercial product. Therefore, evidence for sporting benefits is currently limited by the paucity of representative transfer tests and a focus on populations with health conditions.Conclusions: Currently there is little direct evidence that the use of CCT devices can transfer to benefits for sporting performance. This conclusion

The effect of Web-based Braden Scale training on the reliability and precision of Braden Scale pressure ulcer risk assessments.

Science.gov (United States)

Magnan, Morris A; Maklebust, Joann

2008-01-01

To evaluate the effect of Web-based Braden Scale training on the reliability and precision of pressure ulcer risk assessments made by registered nurses (RN) working in acute care settings. Pretest-posttest, 2-group, quasi-experimental design. Five hundred Braden Scale risk assessments were made on 102 acute care patients deemed to be at various levels of risk for pressure ulceration. Assessments were made by RNs working in acute care hospitals at 3 different medical centers where the Braden Scale was in regular daily use (2 medical centers) or new to the setting (1 medical center). The Braden Scale for Predicting Pressure Sore Risk was used to guide pressure ulcer risk assessments. A Web-based version of the Detroit Medical Center Braden Scale Computerized Training Module was used to teach nurses correct use of the Braden Scale and selection of risk-based pressure ulcer prevention interventions. In the aggregate, RN generated reliable Braden Scale pressure ulcer risk assessments 65% of the time after training. The effect of Web-based Braden Scale training on reliability and precision of assessments varied according to familiarity with the scale. With training, new users of the scale made reliable assessments 84% of the time and significantly improved precision of their assessments. The reliability and precision of Braden Scale risk assessments made by its regular users was unaffected by training. Technology-assisted Braden Scale training improved both reliability and precision of risk assessments made by new users of the scale, but had virtually no effect on the reliability or precision of risk assessments made by regular users of the instrument. Further research is needed to determine best approaches for improving reliability and precision of Braden Scale assessments made by its regular users.

Treatment of emulsified oily wastewater by commercial scale electrocoagulation at Vancouver shipyards

Energy Technology Data Exchange (ETDEWEB)

Stephenson, R.J.; Tennant, B.D. [McKay Creek Technologies Ltd., North Vancouver, BC (Canada); Hartle, D.R. [Vancouver Shipping Co. Ltd., BC (Canada); Stuckert, B. [Quantum Environmental Group, Richmond, BC (Canada)

2002-06-01

Some of the emulsified oily wastewater generated by the Washington Marine Group fleet and the Vancouver shipyards are from sources such as bilge water, tank wash water from gas freeing operations, ballast water, and wastewater from pressure washing equipment. The Washington Marine Group is the largest shipbuilding, ship maintenance and repair, and marine transportation company in Canada, a group to which McKay Creek Technologies belongs. A investigation was performed in an attempt to find commercially viable means of treating this wastewater. McKay Creek Technologies developed its own cleaning process. Electrocoagulation is a process based on the use of an electrical current in an electrochemical cell to coagulate contaminants in wastewater. With three years of experience gained by treating the wastewater of the Washington Marine Group operations at Vancouver shipyards using this technology, McKay Creek Technologies has found ways to treat emulsified oily wastewater simply and effectively. It has been determined that electrocoagulation is an effective treatment method for emulsified oils, poly-nuclear aromatic hydrocarbons (PAHs), poorly settling solids, poorly soluble organics, contaminants which add turbidity to water, and negatively charged metal species like arsenic, molybdenum, and phosphate. A brief history of electrocoagulation was provided, and the authors explained the process and how it was applied to the situation at Vancouver shipyards. 2 refs., 5 tabs., 1 fig.

Training in Tobacco Treatments in Psychiatry: A National Survey of Psychiatry Residency Training Directors

Science.gov (United States)

Prochaska, Judith J.; Fromont, Sebastien C.; Louie, Alan K.; Jacobs, Marc H.; Hall, Sharon M.

2016-01-01

Objective Nicotine dependence is the most prevalent substance abuse disorder among adult psychiatric patients and is a leading cause of death and disability. This study examines training in tobacco treatment in psychiatry residency programs across the United States. Method The authors recruited training directors to complete a survey of their program’s curriculum related to tobacco treatment, attitudes related to treating tobacco in psychiatry, and perceptions of residents’ skills for addressing nicotine dependence in psychiatric patients. Results Respondents were representative of the national pool. Half of the programs provided training in tobacco treatments for a median duration of 1 hour. Content areas covered varied greatly. Programs with tobacco-related training expressed more favorable attitudes toward addressing tobacco in psychiatry and were more likely to report confidence in their residents’ skills for treating nicotine dependence. Programs without tobacco training reported a lack of faculty expertise on tobacco treatments. Most training directors reported moderate to high interest in evaluating a model tobacco curriculum for psychiatry and stated they would dedicate an average of 4 hours of curriculum time. Conclusions The findings demonstrate the need for and interest in a model tobacco treatment curriculum for psychiatry residency training. Training psychiatrists offers the potential of delivering treatment to one of the largest remaining groups of smokers: patients with mental disorders. PMID:17021144

A Trustworthiness of Commercial Airline Pilots (T-CAP) Scale for American Consumers

OpenAIRE

Rice, Stephen C; Mehta, Rian; Winter, Scott; Oyman, Korhan

2015-01-01

The purpose of this study was to create a Trustworthiness of Commercial Airline Pilots (T-CAP) scale that could be used with American participants. Previous research (Rice, Mehta, Steelman, & Winter, 2014) created a similar scale that may be used with Indian participants. However, due to cultural differences, it was necessary to recreate an instrument that could be used with American consumers. In fact, the scale developed by American participants did differ significantly, both in terms of le...

Commercial mortgages: An underutilized channel for scaling energy efficiency investments?

Energy Technology Data Exchange (ETDEWEB)

Mathew, Paul; Wallace, Nancy; Alschuler, Elena; Kolstad, Leonard

2016-02-01

Commercial mortgages currently do not fully account for energy factors in underwriting and valuation, particularly as it relates to the impact of energy costs and volatility on an owner’s net operating income. As a consequence, energy efficiency is not properly valued and energy risks are not properly assessed and mitigated. Commercial mortgages are a large lever and could be a significant channel for scaling energy efficiency investments. A pilot analysis of loans with different mortgage contract structures and locations showed that when energy cost volatility was included in mortgage valuation, a 20% reduction in energy use resulted in a 1.3% average increase in mortgage value. This suggests that the explicit inclusion of energy use and volatility in mortgage valuation can send a strong price signal that financially rewards and values energy efficiency in commercial properties. This paper presents findings from a scoping study addressing energy factors in commercial mortgages. First, we present a review of current practices as it relates to incorporating energy factors into commercial mortgage underwriting and valuation. Next, we detail the impacts of energy factors on property values, net operating income and mortgage valuation. Building operational practices alone can result in energy use variations from -17% to 87%. Finally, we present a set of proposed interventions to properly address energy factors in commercial mortgages, based on extensive discussions with stakeholders including mortgage originators, underwriters, building owners and regulators.

Effectiveness of Stress Management Training on Hope and Interpersonal Compatibility of Addicts under Treatment

Directory of Open Access Journals (Sweden)

Z Sepehrinasab

2016-02-01

Full Text Available Objective: The current study was aimed to examine the effectiveness of stress management with behavioral–cognitive mode in the promotion of hope and socio-affective adjustment of drug abusers under methadone maintenance treatment. Method: A quasi – experimental research design, along with pretest-posttest and control group was employed for the conduct of this study. In this regard, the number of 20 drug abusers under methadone maintenance treatment was selected by convenience sampling method and these participants were assigned into experimental group (10 individuals and control group (10 individuals. The participants received ten training sessions and, then, completed Snyder's Trait Hope Scale and Bell’s social adjustment scale (BAS. Results: The results of the study showed that there is a significant difference between the two groups in terms of hope and affective and social adjustment. In fact, the experimental group experienced a considerable promotion. Conclusion: It can be concluded that stress management with behavioral–cognitive training can be an effective interventionist method for the addicts under methadone maintenance treatment.

Methods and results of implementing a commercially available videotaped health physics training program in a multi-disciplined DOE facility

International Nuclear Information System (INIS)

O'Neal, B.L.

1979-01-01

Sandia, a prime contractor for DOE, is a multi-disciplined research and development laboratory. Its various activities include the operations of two nuclear reactors, several multi-kilocurie gamma irradiation facilities, a transuranic hot cell facility, various and numerous particle accelerators and x-ray generators, and many other areas involving employees working with or around radioactive materials or radiation producing machines. Since March 1979, Sandia has conducted a formalized basic radiation safety training program using a commercially available videotaped training package. The videotapes are generic in nature and are accompanied with hard copy text material, vu-graphs, quizzes, and an instructor's guide. Sandia's overall training program and the methods, results, and problem areas of implementing an off the shelf, commercially available videotaped training program are described. Results are summarized using an instructor/course/student evaluation form

Bench-scale demonstration of treatment technologies for contaminated sediments in Sydney Tar Ponds

International Nuclear Information System (INIS)

Volchek, K.; Velicogna, D.; Punt, M.; Wong, B.; Weimer, L.; Tsangaris, A.; Brown, C.E.

2003-01-01

A series of bench-scale tests were conducted to determine the capabilities of selected commercially available technologies for treating contaminated sediments from the South Pond of Sydney Tar Ponds. This study was conducted under the umbrella of a technology demonstration program aimed at evaluating technologies to be used in the remediation of such sediments. The following approach was proposed by SAIC Canada for the treatment of the sediments: (1) solvent extraction for the removal of organic contaminants, (2) acid/chelant leaching for the removal of inorganic contaminants such as heavy metals, and (3) plasma hearth process for the destruction of toxic streams resulting from the first two processes. Solvent extraction followed by plasma treatment proved effective for removing and destroying organic contaminants. The removal of metals did not achieve the expected results through leaching. An approach was proposed for treating those sediments based on the results of the study. The approach differed depending on the level of organic content. An assessment of associated process costs for both a pilot-scale field demonstration and a full-scale treatment was provided. 11 tabs., 4 figs

Model-based strategy for cell culture seed train layout verified at lab scale.

Science.gov (United States)

Kern, Simon; Platas-Barradas, Oscar; Pörtner, Ralf; Frahm, Björn

2016-08-01

Cell culture seed trains-the generation of a sufficient viable cell number for the inoculation of the production scale bioreactor, starting from incubator scale-are time- and cost-intensive. Accordingly, a seed train offers potential for optimization regarding its layout and the corresponding proceedings. A tool has been developed to determine the optimal points in time for cell passaging from one scale into the next and it has been applied to two different cell lines at lab scale, AGE1.HN AAT and CHO-K1. For evaluation, experimental seed train realization has been evaluated in comparison to its layout. In case of the AGE1.HN AAT cell line, the results have also been compared to the formerly manually designed seed train. The tool provides the same seed train layout based on the data of only two batches.

Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments.

Science.gov (United States)

Pagano, Joshua; Kyle, Brandon N; Johnson, Toni L; Saeed, Sy Atezaz

2017-06-01

Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

Scale-Free Networks and Commercial Air Carrier Transportation in the United States

Science.gov (United States)

Conway, Sheila R.

2004-01-01

Network science, or the art of describing system structure, may be useful for the analysis and control of large, complex systems. For example, networks exhibiting scale-free structure have been found to be particularly well suited to deal with environmental uncertainty and large demand growth. The National Airspace System may be, at least in part, a scalable network. In fact, the hub-and-spoke structure of the commercial segment of the NAS is an often-cited example of an existing scale-free network After reviewing the nature and attributes of scale-free networks, this assertion is put to the test: is commercial air carrier transportation in the United States well explained by this model? If so, are the positive attributes of these networks, e.g. those of efficiency, flexibility and robustness, fully realized, or could we effect substantial improvement? This paper first outlines attributes of various network types, then looks more closely at the common carrier air transportation network from perspectives of the traveler, the airlines, and Air Traffic Control (ATC). Network models are applied within each paradigm, including discussion of implied strengths and weaknesses of each model. Finally, known limitations of scalable networks are discussed. With an eye towards NAS operations, utilizing the strengths and avoiding the weaknesses of scale-free networks are addressed.

[Effects of functional training combined with self-made hand flexing training band in treatment of scar contracture after burn injury of dorsal hand].

Science.gov (United States)

Zhu, C; Yi, N; Shi, M N; Liang, Y Y; Zhou, Y B; Dang, R; Qi, Z S; Zhao, H Y

2017-07-20

Objective: To observe the effects of functional training combined with self-made hand flexing training band in treatment of scar contracture after burn injury of dorsal hand. Methods: Forty-six patients with scar contracture after deep partial-thickness or full-thickness burn injury of dorsal hand hospitalized in our department from March 2013 to February 2015 were divided into routine training group (RT, n =18) and comprehensive training group (CT, n =28) according to their willingness. Two weeks after the wounds were healed, patients in group RT were treated with functional training of hands and self-made pressure gloves, while patients in group CT were treated with self-made hand flexing training band (consisting of nylon strap, flexing band, and velcro) on the basis of those in group RT. All patients were treated for 3 months. Before and after treatment, scar condition of affected hands was assessed with Vancouver Scar Scale (VSS). The range of motion of joints of affected hands was measured by Total Active Movement (TAM) Scale. The function of affected hands was evaluated by Carroll Upper Extremity Function Test. Data were processed with t test, chi-square test, and Mann-Whitney U test. Results: (1) The score of VSS in patients of group RT was (10.0±1.9) points before treatment and (4.4±1.4) points after treatment, with the improved score of (5.6±1.0) points. The score of VSS in patients of group CT was (10.5±1.8) points before treatment and (4.6±1.4) points after treatment, with the improved score of (5.9±1.2) points. There was no statistically significant difference in the improved score of patients between the two groups ( t =0.834, P >0.05). The score of VSS in patients of groups RT and CT after treatment was significantly lower than that before treatment (with t values respectively 14.014 and 10.003, P values below 0.01). (2) Before treatment, the ratios of excellent and good results according to TAM were 2/9 in patients of group RT and 3/14 in

Team training using full-scale reactor coolant pump seal mock-ups

International Nuclear Information System (INIS)

McDonald, T.J.; Hamill, R.W.

1987-01-01

The use of full-scale reactor coolant pump (RCP) seal mock-ups has greatly enhanced Northeast Utilities' ability to effectively utilize the team training approach to technical training. With the advent of the Institute of Nuclear Power Operations accreditation come a new emphasis and standards for the integrated training of plant engineering personnel, maintenance mechanics, quality control personnel, and health physics personnel. The results of purchasing full-scale RCP mock-ups to pilot the concept of team training have far exceeded expectations and cost-limiting factors. The initial training program analysis identified RCP seal maintenance as a task that required training for maintenance department personnel. Due to radiation exposure considerations and the unavailability of actual plant equipment for training purposes, the decision was made to procure a mock-up of an RCP seal assembly and housing. This mock-up was designed to facilitate seal cartridge removal, disassembly, assembly, and installation, duplicating all internal components of the seal cartridge and housing area in exact detail

The Combined Effects of Training on Serum Levels of Interferon Gamma (INF-γ and Expanded Scale Disability Status Scale of Patients with Multiple Sclerosis at Different Levels of Disability

Directory of Open Access Journals (Sweden)

Z Saberi

2017-02-01

Full Text Available Background and aim: Multiple sclerosis is a chronic and debilitating nervous system, leading to demyelination of the central nervous system (brain and spinal cord. Regular exercise and general physical activity is important to maintain health and prevent disease, already well known. Therefore the aim of this study was to evaluate the effect of 12 weeks of combined exercises (strength training, Strengthening Exercises, cardio respiratory endurance, a variety of static and dynamic balance exercises, exercises of the trunk (pilates training and walking on the treadmill training with body weight support on interferon gamma and Expanded Disability Status Scale women with multiple sclerosis. Methods: In the present experimental rsearch, female patients who were admitted to the MS Society of Shahrekord, Iran, were divided into three groups based on physical disability scores. In the first group (physical disability scale less than 4.5, 44 people were randomly selected to one experimental group (22 patients and control group (n = 22. In the second group (scale physical disability between 5 and 5.6, 26 patients were enrolled and randomly assigned to an experimental group (n = 13 and control group (n = 13. The third (Physical Disability Scale-up to 6.5, 26 patients were enrolled and randomly assigned to an experimental group (n = 13 and control group (n = 13. A total of 96 patients were participated in this study. Experimental groups of first, second and third were done its own intervention separately. While the control group received stretching exercises, workout schedule for the experimental group was of 12 weeks, three sessions of lasted one hour. Anthropometric factors and interferon-gamma were measured before and after training with the appropriate tools. Serum levels of INF-γ was determind using a commercial ELISA kit and EDSS scores were measured using the measure of disability in patients with MS. Data analysis was performed using descriptive

Preliminary safety evaluation of a commercial-scale krypton-85 encapsulation facility

International Nuclear Information System (INIS)

Christensen, A.B.; Tanner, J.E.; Knecht, D.A.

1980-09-01

This report demonstrates that a commercial-scale facility for encapsulating krypton-85 in zeolite-5A or glass at a 2000 MTHM per year nuclear fuel reprocessing plant can be designed to contain fragments and the 340 to 850 kCi krypton-85 inventory from an assumed catastrophic failure of the high pressure vessel. The vessel failure was assumed as a worst case and was not based on a detailed design evaluation or operating experience. The process design is based on existing commercial hot isostatic pressing technology operated at up to 40 times the scale required for krypton encapsulation. From the calculated process gas inventory in the pressure vessel and vessel design, the explosive energy of 8.4 kg TNT and vessel plug and fragment velocities were calculated. The facility Containment Cell housing the high pressure vessel was designed to contain the gases, fragments, and the shock wave energy calculated for vessel failure. The Access Cell located directly above the Containment Cell was designed to be a tertiary confinement of krypton-85, should the access hatch be breached

Supervised pelvic floor muscle training versus attention-control massage treatment in patients with faecal incontinence: Statistical analysis plan for a randomised controlled trial.

Science.gov (United States)

Ussing, Anja; Dahn, Inge; Due, Ulla; Sørensen, Michael; Petersen, Janne; Bandholm, Thomas

2017-12-01

Faecal incontinence affects approximately 8-9% of the adult population. The condition is surrounded by taboo; it can have a devastating impact on quality of life and lead to major limitations in daily life. Pelvic floor muscle training in combination with information and fibre supplements is recommended as first-line treatment for faecal incontinence. Despite this, the effect of pelvic floor muscle training for faecal incontinence is unclear. No previous trials have investigated the efficacy of supervised pelvic floor muscle training in combination with conservative treatment and compared this to an attention-control massage treatment including conservative treatment. The aim of this trial is to investigate if 16 weeks of supervised pelvic floor muscle training in combination with conservative treatment is superior to attention-control massage treatment and conservative treatment in patients with faecal incontinence. Randomised, controlled, superiority trial with two parallel arms. 100 participants with faecal incontinence will be randomised to either (1) individually supervised pelvic floor muscle training and conservative treatment or (2) attention-control massage treatment and conservative treatment. The primary outcome is participants' rating of symptom changes after 16 weeks of treatment using the Patient Global Impression of Improvement Scale. Secondary outcomes are the Vaizey Incontinence Score, the Fecal Incontinence Severity Index, the Fecal Incontinence Quality of Life Scale, a 14-day bowel diary, anorectal manometry and rectal capacity measurements. Follow-up assessment at 36 months will be conducted. This paper describes and discusses the rationale, the methods and in particular the statistical analysis plan of this trial.

Risk management strategies on small-scale commercial farms in three zobatat of Eritrea

Directory of Open Access Journals (Sweden)

MA Mohammed

2014-05-01

Full Text Available In this study the perceptions of small-scale commercial farmers in Eritrea of the importance of various risk responses are ascertained and analysed to gain insight into their risk-management strategies.  Data were elicited through a survey of 186 small-scale commercial farmers conducted in three zobatat (regions of Eritrea. Factor Analysis is used to investigate heterogeneity in sample farmers’ responses.  Results indicate that relatively more important risk responses include the use of internal and external sources of information, on-farm and off-farm diversification, choice of production system and product marketing arrangements. Farmers’ perceptions of risk responses vary according to farm type, geographical location, farm and farmer characteristics, as well as the existence of enterprise specific risk responses (e.g. livestock insurance and differences in the marketing regulations of various agricultural products.

Sensory differentiation of commercially produced spaghetti

Directory of Open Access Journals (Sweden)

Pestorić Mladenka V.

2015-01-01

Full Text Available This work was focused on the performance of trained and untrained panel in evaluating the texture of nine commercially produced wheat spaghetti. Several sensory methods were applied in order to investigate the performance of different panel groups. In order to avoid the loss of information obtained by non-parametric methods, data were scaled according to contingency tables. This analysis showed that significant differences existed between the two panels for the given products. On the basis of these results, it can be concluded that the used panels cannot be a good alternative to each other in providing sensory texture profiling of commercial spaghetti, except in the case when the properties of spaghetti were evaluated using the control sample.

Preliminary safety evaluation of a commercial-scale krypton-85 encapsulation facility

International Nuclear Information System (INIS)

Christensen, A.B.; Tanner, J.E.; Knecht, D.A.

1980-01-01

This paper demonstrates that a commercial-scale facility for encapsulating krypton-85 in zeolite-5A or glass at a 2000 MTHM per year nuclear fuel reprocessing plant can be designed to contain fragments and the 340 to 850 kCi krypton-85 inventory from an assumed catastrophic failure of the high pressure vessel. The vessel failure was assumed as a worst case and was not based on a detailed design evaluation or operating experience. The process design is based on existing commercial hot isostatic pressing technology operated at up to 40 times the scale required for krypton encapsulation. From the calculated process gas inventory in the pressure vessel and vessel design, the maximum explosive energy of 8.4 kg TNT and resulting vessel plug and fragment velocities were calculated. The facility Containment Cell housing the high pressure vessel was designed to contain the gases, fragments, and the shock wave energy calculated for a hypothetical vessel failure. The Access Cell located directly above the Containment Cell was designed to be a tertiary confinement of krypton-85, should the access hatch be breached. 3 figures, 2 tables

Efficacy of chess training for the treatment of ADHD: A prospective, open label study.

Science.gov (United States)

Blasco-Fontecilla, Hilario; Gonzalez-Perez, Marisa; Garcia-Lopez, Raquel; Poza-Cano, Belen; Perez-Moreno, Maria Rosario; de Leon-Martinez, Victoria; Otero-Perez, Jose

2016-01-01

To examine the effectiveness of playing chess as a treatment option for children with ADHD. Parents of 44 children ages 6 to 17 with a primary diagnosis of ADHD consented to take part in the study. Parents completed the Spanish version of the Swanson, Nolan and Pelham Scale for parents (SNAP-IV) and the Abbreviated Conner's Rating Scales for parents (CPRS-HI) prior to an 11-week chess-training program. We used a paired t-test to compare pre- and post-intervention outcomes, and Cohen-d calculations to measure the magnitude of the effect. The statistical significance was set at Pchess could be included within the multimodal treatment of ADHD. Copyright © 2014 SEP y SEPB. Published by Elsevier España. All rights reserved.

Plutonium Finishing Plant Treatment and Storage Unit Dangerous Waste Training Plan

International Nuclear Information System (INIS)

ENTROP, G.E.

2000-01-01

The training program for personnel performing waste management duties pertaining to the Plutonium Finishing Plant (PFP) Treatment and Storage Unit is governed by the general requirements established in the Plutonium Finishing Plant Dangerous Waste Training Plan (PFP DWTP). The PFP Treatment and Storage Unit DWTP presented below incorporates all of the components of the PFP DWTP by reference. The discussion presented in this document identifies aspects of the training program specific to the PFP Treatment and Storage Unit. The training program includes specifications for personnel instruction through both classroom and on-the-job training. Training is developed specific to waste management duties. Hanford Facility personnel directly involved with the PFP Treatment and Storage Unit will receive training to container management practices, spill response, and emergency response. These will include, for example, training in the cementation process and training pertaining to applicable elements of WAC 173-303-330(1)(d). Applicable elements from WAC 173-303-330(1)(d) for the PFP Treatment and Storage Unit include: procedures for inspecting, repairing, and replacing facility emergency and monitoring equipment; communications and alarm systems; response to fires or explosions; and shutdown of operations

Treatment of DOE and commercial mixed waste by the private sector

Energy Technology Data Exchange (ETDEWEB)

Garrison, T.W.; Apel, M.L.; Owens, C.M.

1993-03-01

This paper presents a conceptual approach for private sector treatment of mixed low-level radioactive waste generated by the US Department of Energy and commercial industries. This approach focuses on MLLW treatment technologies and capacities available through the private sector in the near term. Wastestream characterization data for 108 MLLW streams at the Idaho National Engineering Laboratory (INEL) were collected and combined with similar data for MLLWs generated through commercial practices. These data were then provided to private treatment facilities and vendors to determine if, and to what extent, they could successfully treat these wastes. Data obtained from this project have provided an initial assessment of private sector capability and capacity to treat a variety of MLLW streams. This information will help formulate plans for future treatment of these and similar wastestreams at DOE facilities. This paper presents details of the MLLW data-gathering efforts used in this research, private sector assessment methods employed, and results of this assessment. Advantages of private sector treatment, as well as barriers to its present use, are also addressed.

Effects Of Desensitization Treatment On Core-Condition Training

Science.gov (United States)

Fry, P. S.

1973-01-01

Pre- and posttest ratings on measures of helping skills such as empathy, respect, concreteness, and genuineness were obtained in the preliminary and advanced training. A significant training effect was obtained for both groups. Desensitization treatment was a significant source of variance for the experimental subjects in training. (Author/LA)

Requirements for a commercial-scale domestic Mo-99 supply

International Nuclear Information System (INIS)

Coats, R.

2009-01-01

This presentation describes the requirements for commercial-scale domestic Molybdenum-99 supply for the United States. It outlines the USA demand for Molybdenum-99 and the supply situation in the USA. Domestic supply ceased in the late 80s. The basic supply issues for USA are quantity, product quality, process control and logistics. It is proposed that the most viable solution to the chronic radionuclide supply problem faced by the USA medical community is the development of a domestic and dedicated single-purpose LEU- based reactor, collocated with a separation processing facility, and capable supplying 100-200% of U.S. demand for the principle clinical radionuclide, Molybdenum-99.

Analysis of the suitability of DOE facilities for treatment of commercial low-level radioactive mixed waste

International Nuclear Information System (INIS)

1996-02-01

This report evaluates the capabilities of the United States Department of Energy's (DOE's) existing and proposed facilities to treat 52 commercially generated low-level radioactive mixed (LLMW) waste streams that were previously identified as being difficult-to-treat using commercial treatment capabilities. The evaluation was performed by comparing the waste matrix and hazardous waste codes for the commercial LLMW streams with the waste acceptance criteria of the treatment facilities, as identified in the following DOE databases: Mixed Waste Inventory Report, Site Treatment Plan, and Waste Stream and Technology Data System. DOE facility personnel also reviewed the list of 52 commercially generated LLMW streams and provided their opinion on whether the wastes were technically acceptable at their facilities, setting aside possible administrative barriers. The evaluation tentatively concludes that the DOE is likely to have at least one treatment facility (either existing or planned) that is technically compatible for most of these difficult-to-treat commercially generated LLMW streams. This conclusion is tempered, however, by the limited amount of data available on the commercially generated LLMW streams, by the preliminary stage of planning for some of the proposed DOE treatment facilities, and by the need to comply with environmental statutes such as the Clean Air Act

Commercial-scale biotherapeutics manufacturing facility for plant-made pharmaceuticals.

Science.gov (United States)

Holtz, Barry R; Berquist, Brian R; Bennett, Lindsay D; Kommineni, Vally J M; Munigunti, Ranjith K; White, Earl L; Wilkerson, Don C; Wong, Kah-Yat I; Ly, Lan H; Marcel, Sylvain

2015-10-01

Rapid, large-scale manufacture of medical countermeasures can be uniquely met by the plant-made-pharmaceutical platform technology. As a participant in the Defense Advanced Research Projects Agency (DARPA) Blue Angel project, the Caliber Biotherapeutics facility was designed, constructed, commissioned and released a therapeutic target (H1N1 influenza subunit vaccine) in manufacturing facilities, with the capacity to process over 3500 kg of plant biomass per week in an automated multilevel growing environment using proprietary LED lighting. The facility can commission additional plant grow rooms that are already built to double this capacity. In addition to the commercial-scale manufacturing facility, a pilot production facility was designed based on the large-scale manufacturing specifications as a way to integrate product development and technology transfer. The primary research, development and manufacturing system employs vacuum-infiltrated Nicotiana benthamiana plants grown in a fully contained, hydroponic system for transient expression of recombinant proteins. This expression platform has been linked to a downstream process system, analytical characterization, and assessment of biological activity. This integrated approach has demonstrated rapid, high-quality production of therapeutic monoclonal antibody targets, including a panel of rituximab biosimilar/biobetter molecules and antiviral antibodies against influenza and dengue fever. © 2015 Society for Experimental Biology, Association of Applied Biologists and John Wiley & Sons Ltd.

The effect of progressive resistance training on lean body mass in post-treatment cancer patients - A systematic review

DEFF Research Database (Denmark)

Lønbro, Simon

2014-01-01

Loss of lean body mass is a common problem in many post-treatment cancer patients and may negatively affect physical capacity in terms of maximal muscle strength and functional performance. The purpose of this study was to systematically review the scientific evidence on the effect of progressive...... resistance training on lean body mass in post-treatment cancer patients. A comprehensive literature search was conducted and ultimately 12 studies were included. Methodological quality of the included studies was evaluated using the PEDro scale and the effect of progressive resistance training was reported...... as the range of mean changes among RCTs and non-RCTs. Six RCTs and six non-RCTs were included in the study. In the RCTs the change in lean body mass in the progressive resistance training groups relative to control groups ranged from -0.4% to 3.9%, and in four of six trials the training effect...

[Evaluation on efficacy of Jin's "Sanzhen" therapy combined with rehabilitation training for hemiplegia of stroke patients by Fugl-Meyer scale].

Science.gov (United States)

Han, De-Xiong; Zhuang, Li-Xing; Zhang, Ying

2011-06-01

To assess the therapeutic effect of Jin's "Sanzhen" therapy combined with rehabilitation training on limb-motor function of stroke patients by using Fugl-Meyer scale. A total of 254 hemiplegic stroke outpatients and inpatients from 7 hospitals were randomly divided into Jin's "Sanzhen" (JSZ) group (n = 83), rehabilitation group (n = 84) and combination group (n = 87). Acupuncture was applied to acupoints of Jin's "Sanzhen" including Quchi (LI 11), Waiguan (SJ 5) and Hegu (LI 4); Futu (ST 32). Zusanli (ST 36) and Sanyinjiao (SP 6); etc. The acupuncture needles were retained for 30 min after "Deqi". Rehabilitation training included passive joint movement, standing-sitting training, tapping-pressing stimulation, walking training, etc. The treatment was conducted once daily, 5 sessions a week and for 4 weeks. Fugl-Meyer scale composed of 100-point motor domain of the upper- and lower-extremity sections was used to assess the patients' motor function. On day 28 after the treatment, of the 83.84 and 87 hemiplegic stroke patients in the JSZ, rehabilitation and combination groups, 48 (57.8%), 31 (36.9%) and 50 (57.5%) experienced marked improvement in their clinical symptoms and signs, 26 (31.3%), 44 (52.4%) and 31(35.6%) had an improvement, and 9 (10.8%), 9 (10.7%) and 6 (6.9%) failed in the treatment, with the total effective rates being 89.2%, 89.3% and 93.1%, respectively. The neurological deficit score (NDS) of the combination group was significantly lower than that of the rehabilitation group (P rehabilitation groups (P rehabilitation groups in both NDS and FMAS (P > 0.05). Jin's "Sanzhen" therapy combined with rehabilitation training can significantly improve the limb motor function of hemiplegic stroke patients, and has a good synergistic effect.

Measures of spike train synchrony for data with multiple time scales

NARCIS (Netherlands)

Satuvuori, Eero; Mulansky, Mario; Bozanic, Nebojsa; Malvestio, Irene; Zeldenrust, Fleur; Lenk, Kerstin; Kreuz, Thomas

2017-01-01

Background Measures of spike train synchrony are widely used in both experimental and computational neuroscience. Time-scale independent and parameter-free measures, such as the ISI-distance, the SPIKE-distance and SPIKE-synchronization, are preferable to time scale parametric measures, since by

Phantom-based interactive simulation system for dental treatment training.

Science.gov (United States)

Sae-Kee, Bundit; Riener, Robert; Frey, Martin; Pröll, Thomas; Burgkart, Rainer

2004-01-01

In this paper, we propose a new interactive simulation system for dental treatment training. The system comprises a virtual reality environment and a force-torque measuring device to enhance the capabilities of a passive phantom of tooth anatomy in dental treatment training processes. The measuring device is connected to the phantom, and provides essential input data for generating the graphic animations of physical behaviors such as drilling and bleeding. The animation methods of those physical behaviors are also presented. This system is not only able to enhance interactivity and accessibility of the training system compared to conventional methods but it also provides possibilities of recording, evaluating, and verifying the training results.

[Development of the unexpected reality scale for childcare training].

Science.gov (United States)

Matsuda, Yuko; Shitara, Saeko; Hamada, Shoko

2016-10-01

This study aimed to develop a scale for unexpected reality for childcare training (Study 1) and examine the change and influence it exerts on the efficacy of preschool teachers (Study 2). In Study 1, the sample consisted of 571 university and junior college students enrolled in a childcare course. After exploratory factor analysis, four factors were extracted: “actual feelings for childcare as a field of study,” “difficulties faced during involvement with children,” “negative aspects of the childcare worker,” and “severity of work.” The study’s scale was shown to be internally consistent and valid. In Study 2, the sample consisted of 122 junior college students enrolled in a childcare course. The results showed that the high-scoring groups of each unexpected reality subscales experienced less unexpected reality in the subsequent training session. Moreover, the results of multiple regression showed that preschool teacher efficacy was predicted positively by “actual feelings for childcare as a field of study” and negatively by “difficulties faced during involvement with children.” Thus, we suggest that for effective pre- and post-guidance of childcare training, unexpected realities should be considered.

Multisensory attention training for treatment of tinnitus.

Science.gov (United States)

Spiegel, D P; Linford, T; Thompson, B; Petoe, M A; Kobayashi, K; Stinear, C M; Searchfield, G D

2015-05-28

Tinnitus is the conscious perception of sound with no physical sound source. Some models of tinnitus pathophysiology suggest that networks associated with attention, memory, distress and multisensory experience are involved in tinnitus perception. The aim of this study was to evaluate whether a multisensory attention training paradigm which used audio, visual, and somatosensory stimulation would reduce tinnitus. Eighteen participants with predominantly unilateral chronic tinnitus were randomized between two groups receiving 20 daily sessions of either integration (attempting to reduce salience to tinnitus by binding with multisensory stimuli) or attention diversion (multisensory stimuli opposite side to tinnitus) training. The training resulted in small but statistically significant reductions in Tinnitus Functional Index and Tinnitus Severity Numeric Scale scores and improved attentional abilities. No statistically significant improvements in tinnitus were found between the training groups. This study demonstrated that a short period of multisensory attention training reduced unilateral tinnitus, but directing attention toward or away from the tinnitus side did not differentiate this effect.

Effects of different pretreatments on the performance of ceramic ultrafiltration membrane during the treatment of oil sands tailings pond recycle water: a pilot-scale study.

Science.gov (United States)

Loganathan, Kavithaa; Chelme-Ayala, Pamela; El-Din, Mohamed Gamal

2015-03-15

Membrane filtration is an effective treatment method for oil sands tailings pond recycle water (RCW); however, membrane fouling and rapid decrease in permeate flux caused by colloids, organic matter, and bitumen residues present in the RCW hinder its successful application. This pilot-scale study investigated the impact of different pretreatment steps on the performance of a ceramic ultrafiltration (CUF) membrane used for the treatment of RCW. Two treatment trains were examined: treatment train 1 consisted of coagulant followed by a CUF system, while treatment train 2 included softening (Multiflo™ system) and coagulant addition, followed by a CUF system. The results indicated that minimum pretreatment (train 1) was required for almost complete solids removal. The addition of a softening step (train 2) provided an additional barrier to membrane fouling by reducing hardness-causing ions to negligible levels. More than 99% removal of turbidity and less than 20% removal of total organic carbon were achieved regardless of the treatment train used. Permeate fluxes normalized at 20 °C of 127-130 L/m(2) h and 111-118 L/m(2) h, with permeate recoveries of 90-93% and 90-94% were observed for the treatment trains 1 and 2, respectively. It was also found that materials deposited onto the membrane surface had an impact on trans-membrane pressure and influenced the required frequencies of chemically enhanced backwashes (CEBs) and clean-in-place (CIP) procedures. The CIP performed was successful in removing fouling and scaling materials such that the CUF performance was restored to baseline levels. The results also demonstrated that due to their low turbidity and silt density index values, permeates produced in this pilot study were suitable for further treatment by high pressure membrane processes. Copyright © 2015 Elsevier Ltd. All rights reserved.

Techno-economic feasibility study of the integration of a commercial small-scale ORC in a real case study

International Nuclear Information System (INIS)

Cavazzini, G.; Dal Toso, P.

2015-01-01

Highlights: • The integration of a small-scale commercial ORC in a real case study was analyzed. • The possibility of recovering the waste heat produced by an ICE was considered. • A semi-empirical steady-state model of the commercial small scale ORC was created. • Both direct and indirect costs was considered in the business model. • The ORC integration was not economically feasible due to increased indirect costs. - Abstract: The ORC certainly represents a promising solution for recovering low-grade waste heat in industries. However, the efficiency of commercial small-scale ORC solutions is still too low in comparison with the high initial costs of the machine and the lack of simulation models specifically developed for commercial ORC systems prevents industries from defining an accurate business model to correctly evaluate the ORC integration in real industrial processes. This paper presents a techno-economic feasibility analysis of the integration of a small-scale commercial ORC in a real case study, represented by a highly-efficient industrial distillery. The integration is aimed at maximizing the electricity auto-production by exploiting the heat produced by an internal combustion engine, already partially recovered in internal thermal processes. To analyze the influence of the ORC integration on the industrial processes, a semi-empirical steady-state model of the commercial small scale ORC was created. The model made it possible to simulate the performance of the commercial ORC within a hypothetical scenario involving the use of the heat from the cooling water and from the exhaust gases of the internal combustion engine. A detailed thermo-dynamic analysis has been carried out to study the effects of the ORC integration on the plant’s energy system with particular focus on the two processes directly affected by ORC integration, namely vapor production and the drying process of the grape marc. The analysis highlighted the great importance in the

U.S. Photovoltaic Prices and Cost Breakdowns. Q1 2015 Benchmarks for Residential, Commercial, and Utility-Scale Systems

Energy Technology Data Exchange (ETDEWEB)

Chung, Donald [National Renewable Energy Lab. (NREL), Golden, CO (United States); Davidson, Carolyn [National Renewable Energy Lab. (NREL), Golden, CO (United States); Fu, Ran [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ardani, Kristen [National Renewable Energy Lab. (NREL), Golden, CO (United States); Margolis, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States)

2015-09-01

The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has continued to decline across all major market sectors. This report provides a Q1 2015 update regarding the prices of residential, commercial, and utility scale PV systems, based on an objective methodology that closely approximates the book value of a PV system. Several cases are benchmarked to represent common variations in business models, labor rates, and system architecture choice. We estimate a weighted-average cash purchase price of $3.09/W for residential scale rooftop systems, $2.15/W for commercial scale rooftop systems, $1.77/W for utility scale systems with fixed mounting structures, and $1.91/W for utility scale systems using single-axis trackers. All systems are modeled assuming standard-efficiency, polycrystalline-silicon PV modules, and further assume installation within the United States.

Deep-UV patterning of commercial grade PMMA for low-cost, large-scale microfluidics

International Nuclear Information System (INIS)

Haiducu, M; Rahbar, M; Foulds, I G; Johnstone, R W; Sameoto, D; Parameswaran, M

2008-01-01

Although PMMA can be exposed using a variety of exposure sources, deep-UV at 254 nm is of interest because it is relatively inexpensive. Additionally, deep-UV sources can be readily scaled to large area exposures. Moreover, this paper will show that depths of over 100µm can be created in commercial grade PMMA using an uncollimated source. These depths are sufficient for creating microfluidic channels. This paper will provide measurements of the dissolution depth of commercial grade PMMA as a function of the exposure dose and etch time, using an IPA:H 2 O developer. Additionally, experiments were run to characterize the dependence of the dissolution rate on temperature and agitation. The patterned substrates were thermally bonded to blank PMMA pieces to enclose the channels and ports were drilled into the reservoirs. The resulting fluidic systems were then tested for leakage. The work herein presents the patterning, development and system behaviour of a complete microfluidics system based on commercial grade PMMA

EngenuitySC Commercialization and Entrepreneurial Training Project

Energy Technology Data Exchange (ETDEWEB)

Hughes, Meghan; Hutton, Katherine R

2012-12-31

A team led by EngenuitySC has performed education and outreach on development of advanced energy markets that will enable wider use of clean energy technologies. This report details the efforts that have made significant advances to improve the market place through education, outreach, and increased communications between industry members. The project resulted in two self-funded industry clusters known as the Fuel Cell Collaborative and NuHub. This project has focused on building and strengthening the leading clean energy clusters in South Carolina: nuclear energy and fuel cell technologies. For the nuclear industry, a new cluster was developed that is now known as NuHub. This cluster has already engaged over 25 nuclear industry leaders or suppliers, four public sector partners, six community economic development foundations, and nearly ten academic partners in a 175 mile radius between Augusta, Georgia and Charlotte, North Carolina. Our outreach has touched over 2,000 stakeholders through the website alone, not including the public audiences and members of the business community reached through news stories and releases that were distributed to over 620 print and online publications. NuHub has established a formal leadership structure, developed subcommittees to focus on industry issues, instituted educational programs for the workforce, and created an industry funding structure that will sustain the industry cluster and mission. NuHub has participated in a wide-variety of community building and outreach activities since its formation under this grant. In the two years since its creation in 2010, we have initiated efforts focused in four main areas that correlate with the four NuHub subcommittees including: innovation, workforce development, industry engagement, and marketing and communications. NuHub successfully raised over $160,000 in both public and private funding, which has supported work to grow the cluster and engage partners including NuScale, Fluor, and

Autogenic-feedback training as a treatment for airsickness in high-performance military aircraft: Two case studies

Science.gov (United States)

Cowings, Patricia S.; Toscano, William B.; Miller, Neal E.; Reynoso, Samuel

1994-01-01

The purpose of this paper is to present a detailed description of the physiological and performance responses of two military pilots undergoing a treatment for motion sickness. The treatment used, Autogenic-Feedback Training (AFT), is an operant conditioning procedure where subjects are taught to control several of their autonomic responses and thereby suppress their motion sickness symptoms. Two male, active duty military pilots (U.S. Navy and U. S. Marine Corps), ages 30 and 35, were each given twelve 30-minute training sessions. The primary criterion for success of training was the subject's ability to tolerate rotating chair motion sickness tests for progressively longer periods of time and at higher rotational velocities. A standardized diagnostic scale was used during motion sickness to assess changes in the subject's perceived malaise. Physiological data were obtained from one pilot during tactical maneuvers in an F-18 aircraft after completion of his training. A significant increase in tolerance to laboratory-induced motion sickness tests and a reduction in autonomic nervous system (ANS) response variability was observed for both subjects after training. Both pilots were successful in applying AFT for controlling their airsickness during subsequent qualification tests on F-18 and T-38 aircraft and were returned to active duty flight status.

Script Training Treatment for Adults with Apraxia of Speech

Science.gov (United States)

Youmans, Gina; Youmans, Scott R.; Hancock, Adrienne B.

2011-01-01

Purpose: Outcomes of script training for individuals with apraxia of speech (AOS) and mild anomic aphasia were investigated. Script training is a functional treatment that has been successful for individuals with aphasia but has not been applied to individuals with AOS. Principles of motor learning were incorporated into training to promote…

Scaling of counter-current imbibition recovery curves using artificial neural networks

Science.gov (United States)

Jafari, Iman; Masihi, Mohsen; Nasiri Zarandi, Masoud

2018-06-01

Scaling imbibition curves are of great importance in the characterization and simulation of oil production from naturally fractured reservoirs. Different parameters such as matrix porosity and permeability, oil and water viscosities, matrix dimensions, and oil/water interfacial tensions have an effective on the imbibition process. Studies on the scaling imbibition curves along with the consideration of different assumptions have resulted in various scaling equations. In this work, using an artificial neural network (ANN) method, a novel technique is presented for scaling imbibition recovery curves, which can be used for scaling the experimental and field-scale imbibition cases. The imbibition recovery curves for training and testing the neural network were gathered through the simulation of different scenarios using a commercial reservoir simulator. In this ANN-based method, six parameters were assumed to have an effect on the imbibition process and were considered as the inputs for training the network. Using the ‘Bayesian regularization’ training algorithm, the network was trained and tested. Training and testing phases showed superior results in comparison with the other scaling methods. It is concluded that using the new technique is useful for scaling imbibition recovery curves, especially for complex cases, for which the common scaling methods are not designed.

A small-scale experimental reactor combined with a simulator for training purposes

International Nuclear Information System (INIS)

Destot, M.; Hagendorf, M.; Vanhumbeeck, D.; Lecocq-Bernard, J.

1981-01-01

The authors discuss how a small-scale reactor combined to a training simulator can be a valuable aid in all forms of training. They describe the CEN-based SILOETTE reactor in Grenoble and its combined simulator. They also take a look at prospects for the future of the system in the light of experience acquired with the ARIANE reactor and the trends for the development of simulators for training purposes [fr

Battery Energy Storage Market: Commercial Scale, Lithium-ion Projects in the U.S.

Energy Technology Data Exchange (ETDEWEB)

McLaren, Joyce; Gagnon, Pieter; Anderson, Kate; Elgqvist, Emma; Fu, Ran; Remo, Tim

2016-10-01

This slide deck presents current market data on the commercial scale li-ion battery storage projects in the U.S. It includes existing project locations, cost data and project cost breakdown, a map of demand charges across the U.S. and information about how the ITC and MACRS apply to energy storage projects that are paired with solar PV technology.

Validation of the Treatment Motivation Scales for forensic outpatient treatment (TMS-F)

NARCIS (Netherlands)

Drieschner, Klaus H.; Boomsma, Anne

The validity of the Treatment Motivation Scales for outpatient offender treatment (TMS-F), a self-report questionnaire with scales for the motivation of patients to engage in the treatment and six cognitive and emotional determinants of this motivation, is evaluated in two studies. In Study 1 (N =

Content and Methods used to Train Tobacco Cessation Treatment Providers: An International Survey.

Science.gov (United States)

Kruse, Gina R; Rigotti, Nancy A; Raw, Martin; McNeill, Ann; Murray, Rachael; Piné-Abata, Hembadoon; Bitton, Asaf; McEwen, Andy

2017-12-01

There are limited existing data describing the training methods used to educate tobacco cessation treatment providers around the world. To measure the prevalence of tobacco cessation treatment content, skills training and teaching methods reported by tobacco treatment training programs across the world. Web-based survey in May-September 2013 among tobacco cessation training experts across six geographic regions and four World Bank income levels. Response rate was 73% (84 of 115 countries contacted). Of 104 individual programs from 84 countries, most reported teaching brief advice (78%) and one-to-one counseling (74%); telephone counseling was uncommon (33%). Overall, teaching of knowledge topics was more commonly reported than skills training. Programs in lower income countries less often reported teaching about medications, behavioral treatments and biomarkers and less often reported skills-based training about interviewing clients, medication management, biomarker measurement, assessing client outcomes, and assisting clients with co-morbidities. Programs reported a median 15 hours of training. Face-to-face training was common (85%); online programs were rare (19%). Almost half (47%) included no learner assessment. Only 35% offered continuing education. Nearly all programs reported teaching evidence-based treatment modalities in a face-to-face format. Few programs delivered training online or offered continuing education. Skills-based training was less common among low- and middle-income countries (LMICs). There is a large unmet need for tobacco treatment training protocols which emphasize practical skills, and which are more rapidly scalable than face-to-face training in LMICs.

Analyzing components of Community Reinforcement and Family Training (CRAFT): Is treatment entry training sufficient?

Science.gov (United States)

Kirby, Kimberly C; Benishek, Lois A; Kerwin, MaryLouise E; Dugosh, Karen L; Carpenedo, Carolyn M; Bresani, Elena; Haugh, James A; Washio, Yukiko; Meyers, Robert J

2017-11-01

Community Reinforcement and Family Training (CRAFT) assists family members with a treatment-resistant loved one. The most consistent outcome of CRAFT is increased treatment entry of the identified treatment-resistant person (IP). This led us to question whether all 6 components of CRAFT are necessary. In a randomized clinical trial, 115 concerned significant others (CSOs) of an IP received 12-14 sessions of the full CRAFT intervention, 4-6 sessions focused on Treatment Entry Training (TEnT), or 12-14 sessions of Al-Anon/Nar-Anon Facilitation (ANF). We monitored treatment entry, attendance, and substance use of the IP and the CSO's mood and functioning. Data were collected at baseline and 4, 6, and 9 months after the baseline. We found significant reductions in time to treatment entry (χ(2)2 = 8.89, p = .01) and greater treatment entry rates for CRAFT (62%; odds ratio [OR] = 2.7, 95% confidence interval [CI] = 1.1-6.9) and TEnT (63%; OR = 2.9, 95% CI = 1.2-7.5) compared with ANF (37%), but CRAFT and TEnT did not differ significantly from each other (OR = 1.1, 95% CI = 0.4-2.7). No between-group differences in IP drug use were reported by CSOs, but days of drug use decreased over time for all groups (F(3, 277) = 13.47, p CRAFT produces greater treatment entry rates than ANF and found similar treatment entry rates for CRAFT and TEnT. This suggests that treatment entry training is sufficient for producing the best established outcome of CRAFT. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

The effect of progressive resistance training on lean body mass in post-treatment cancer patients – A systematic review

International Nuclear Information System (INIS)

Lønbro, Simon

2014-01-01

Loss of lean body mass is a common problem in many post-treatment cancer patients and may negatively affect physical capacity in terms of maximal muscle strength and functional performance. The purpose of this study was to systematically review the scientific evidence on the effect of progressive resistance training on lean body mass in post-treatment cancer patients. A comprehensive literature search was conducted and ultimately 12 studies were included. Methodological quality of the included studies was evaluated using the PEDro scale and the effect of progressive resistance training was reported as the range of mean changes among RCTs and non-RCTs. Six RCTs and six non-RCTs were included in the study. In the RCTs the change in lean body mass in the progressive resistance training groups relative to control groups ranged from −0.4% to 3.9%, and in four of six trials the training effect was significantly larger than the change in the control groups. In the six non-RCTs, the mean change in lean body mass over time ranged from −0.01 to 11.8% which was significant in two of the trials. The included studies reported no or very limited adverse events following progressive resistance training. Based on 12 heterogenic studies there is moderate evidence supporting a positive effect of progressive resistance training on lean body mass in post-treatment cancer patients

A clinical study of autogenic training-based behavioral treatment for panic disorder.

Science.gov (United States)

Sakai, M

1996-03-01

The present study investigated the effect of autogenic training-based behavioral treatment for panic disorder and identified the predictors of treatment outcome. Thirty-four patients meeting DSM-III-R criteria for panic disorder received autogenic training-based behavioral treatment from October 1981 to December 1994. They were treated individually by the author. The medical records of the patients were investigated for the purpose of this study. The results showed that this autogenic training-based behavioral treatment had successful results. Fifteen patients were cured, nine much improved, five improved, and five unchanged at the end of the treatment. Improvement trends were found as for the severity of panic attack and the severity of agoraphobic avoidance. No consistent findings about predictors emerged when such pretreatment variables as demographics and severity of symptoms were used to predict the outcome. Also, three treatment variables showed useful predictive power. First, practicing the second standard autogenic training exercise satisfactorily predicted better outcomes. Second, application of in vivo exposure was found to be positively associated with the treatment outcome in patients with agoraphobic avoidance. Third, longer treatment periods were associated with better outcomes. These findings suggested that the autogenic training-based behavioral treatment could provide relief to the majority of panic disorder patients.

Treatment of Childhood Migraine Using Autogenic Feedback Training.

Science.gov (United States)

Labbe, Elise L.

1984-01-01

Compared autogenic feedback training with a waiting-list control group as a treatment for children (N=28) with migraine headaches. Children in the treatment condition were significantly improved at the end of treatment and at one-month and six-month follow-up. No improvement was found for the children in the control condition. (BH)

Treatment Foster Care Pre-Service Trainings: Changes in Parenting Attitudes and Fostering Readiness

Science.gov (United States)

Strickler, Amy; Trunzo, Annette C.; Kaelin, Michael S.

2018-01-01

Background: Pre-service training of treatment parents is a requirement for all foster care models to ensure safety and well-being of children in care. Researchers theorize treatment parents benefit more from enhanced pre-service trainings; however, no rigorous studies exist indicating the effectiveness of these trainings for treatment parents.…

Chemical treatment of commercial reverse osmosis membranes for use in FO

Science.gov (United States)

Commercially available reverse osmosis (RO) membranes – SW30HR, BW30, and AG – were chemically treated for use in forward osmosis (FO). Nitric acid, phosphoric acid, sulfuric acid, ethanol, and ethanol–acid–water ternary solutions were employed for the treatment. All three membra...

The effect of Web-based Braden Scale training on the reliability of Braden subscale ratings.

Science.gov (United States)

Magnan, Morris A; Maklebust, JoAnn

2009-01-01

The primary purpose of this study was to evaluate the effect of Web-based Braden Scale training on the reliability of Braden Scale subscale ratings made by nurses working in acute care hospitals. A secondary purpose was to describe the distribution of reliable Braden subscale ratings before and after Web-based Braden Scale training. Secondary analysis of data from a recently completed quasi-experimental, pretest-posttest, interrater reliability study. A convenience sample of RNs working at 3 Michigan medical centers voluntarily participated in the study. RN participants included nurses who used the Braden Scale regularly at their place of employment ("regular users") as well as nurses who did not use the Braden Scale at their place of employment ("new users"). Using a pretest-posttest, quasi-experimental design, pretest interrater reliability data were collected to identify the percentage of nurses making reliable Braden subscale assessments. Nurses then completed a Web-based Braden Scale training module after which posttest interrater reliability data were collected. The reliability of nurses' Braden subscale ratings was determined by examining the level of agreement/disagreement between ratings made by an RN and an "expert" rating the same patient. In total, 381 RN-to-expert dyads were available for analysis. During both the pretest and posttest periods, the percentage of reliable subscale ratings was highest for the activity subscale, lowest for the moisture subscale, and second lowest for the nutrition subscale. With Web-based Braden Scale training, the percentage of reliable Braden subscale ratings made by new users increased for all 6 subscales with statistically significant improvements in the percentage of reliable assessments made on 3 subscales: sensory-perception, moisture, and mobility. Training had virtually no effect on the percentage of reliable subscale ratings made by regular users of the Braden Scale. With Web-based Braden Scale training the

Cognitive adaptation training combined with assertive community treatment

DEFF Research Database (Denmark)

Hansen, Jens Peter; Østergaard, Birte; Nordentoft, Merete

2012-01-01

Cognitive adaptation training (CAT) targets the adaptive behaviour of patients with schizophrenia and has shown promising results regarding the social aspects of psychosocial treatment. As yet, no reports have appeared on the use of CAT in combination with assertive community treatment (ACT). Our...

Private sector participation for the treatment of DOE and commercial radioactive mixed wastes

International Nuclear Information System (INIS)

Harris, T.L.; Steele, S.M.; Bohrer, H.A.; Garrison, T.W.; Owens, C.M.

1993-01-01

The ability of the US DOE to accept commercial low-level mixed waste (LLMW) for disposal has been identified as a technically feasible alternative in developing a strategy for managing commercial mixed waste. This document is an estimation of DOE's capabilities to assist the state compacts and the commercial sector with the difficult issues related to the treatment and disposal of LLMW. The first step in determining DOE's capabilities to assist the commercial sector and the state compacts in managing their LLMW is to establish how closely DOE's LLMW resembles the LLMW generated commercially. This report established that a large portion of the low-level mixed waste streams are common to both the DOE and private sectors. A united approach between the DOE and the host states and compacts to cooperatively manage the low-level mixed wastes (LLMW) would prove to be beneficial to all

Treatment effects of combining social skill training and parent training in Taiwanese children with attention deficit hyperactivity disorder.

Science.gov (United States)

Huang, Yu-Hsin; Chung, Chao-Ying; Ou, Hsing-Yi; Tzang, Ruu-Fen; Huang, Kuo-Yang; Liu, Hui-Ching; Sun, Fang-Ju; Chen, Shu-Chin; Pan, Yi-Ju; Liu, Shen-Ing

2015-03-01

Children with attention-deficit/hyperactivity disorder (ADHD) often have problems in social interactions. We investigated the social and behavioral effects of providing both social skill training and parent training to school-aged children with ADHD in Taiwan. Seven consecutive 8-week behavioral-based social skill training (SST) group sessions were held for 48 children with ADHD; parallel 8-week parent group sessions were provided simultaneously. Fifty-five children with ADHD were recruited as a control group. All children took medication as prescribed by their doctors. The effects were assessed using the teacher and parent version of the Chinese version of Swanson, Nolan, and Pelham, version IV scale (SNAP-IV), the Chinese version of the Child Behavior Check List (CBCL-C), child and teacher version of the modified Social Skill Rating System (SSRS-C and SSRS-T), at baseline, post-treatment, and 4 months from baseline. The doses of methylphenidate and drug compliance were controlled during the analysis. The mixed-effects model demonstrated the main effect of group sessions on the Oppositional subscale of SNAP-P, the Anxious/Depressed subscale of CBCL-C, the Self Control subscale of SSRS-C, and the Active Participation subscale of SSRS-T, all in favor of the experimental group. However, the improvement on the Oppositional subscale of SNAP-P and the Self Control subscale of SSRS-C were noted only between baseline and post-treatment period and were not sustained at the end of the follow-up period. Our study demonstrated that children with ADHD could benefit from this low intensity psychosocial program, although some improvements were not maintained at follow-up assessment. Copyright © 2012. Published by Elsevier B.V.

Developing Community Reinforcement and Family Training (CRAFT) for Parents of Treatment-Resistant Adolescents

Science.gov (United States)

Kirby, Kimberly C.; Versek, Brian; Kerwin, MaryLouise E.; Meyers, Kathleen; Benishek, Lois A.; Bresani, Elena; Washio, Yukiko; Arria, Amelia; Meyers, Robert J.

2015-01-01

We describe a project focused on training parents to facilitate their treatment-resistant adolescent's treatment entry and to manage their child after entry into community-based treatment. Controlled studies show that Community Reinforcement and Family Training (CRAFT) is a unilateral treatment that fosters treatment entry of adults; however,…

Working memory training mostly engages general-purpose large-scale networks for learning.

Science.gov (United States)

Salmi, Juha; Nyberg, Lars; Laine, Matti

2018-03-21

The present meta-analytic study examined brain activation changes following working memory (WM) training, a form of cognitive training that has attracted considerable interest. Comparisons with perceptual-motor (PM) learning revealed that WM training engages domain-general large-scale networks for learning encompassing the dorsal attention and salience networks, sensory areas, and striatum. Also the dynamics of the training-induced brain activation changes within these networks showed a high overlap between WM and PM training. The distinguishing feature for WM training was the consistent modulation of the dorso- and ventrolateral prefrontal cortex (DLPFC/VLPFC) activity. The strongest candidate for mediating transfer to similar untrained WM tasks was the frontostriatal system, showing higher striatal and VLPFC activations, and lower DLPFC activations after training. Modulation of transfer-related areas occurred mostly with longer training periods. Overall, our findings place WM training effects into a general perception-action cycle, where some modulations may depend on the specific cognitive demands of a training task. Copyright © 2018 Elsevier Ltd. All rights reserved.

A Trial of Psychoeducational Group Leadership Treaining(5)：　Evaluation of Training Effects by Self-rating Scales.

OpenAIRE

古屋, 健; 音山, 若穂; 懸川, 武史

2014-01-01

Furuya, Kakegawa, and Otoyama（2013a）proposed a leadership training program for university students. The purpose of this study was to evaluate the effects of the program using self-rating scales. Two scales were constructed for this purpose;communication-anxiety scale that consisted of five subscales and leadership-efficacy scale that had two subscales. The score of four subscales of communication-anxiety scale decreased, and two subscales of leadership-efficacy scale improved after training. ...

Nuclear Education and Training Courses as a Commercial Product of a Low Power Research Reactor

International Nuclear Information System (INIS)

Böck, H.; Villa, M.; Steinhauser, G.

2013-01-01

The Vienna University of Technology (VUT) operates a 250 kW TRIGA Mark II research reactor at the Atominstitut (ATI) since March 1962. This reactor is uniquely devoted to nuclear education and training with the aim to offer an instrument to perform academic research and training. During the past decade a number of requests to the Atominstitut asked for the possibility to offer this reactor for external training courses. Over the years, such courses have been developed as regular courses for students during their academic curricula at the VUT/ATI. The courses cover such subjects as “Reactor physics and kinetics”, and “Reactor instrumentation and control”, in total about 20 practical exercises. Textbooks have been developed in English language for both courses. Target groups for commercial courses are other universities without an access to research reactors (i.e., the Technical University of Bratislava, Slovak Republic, or the University of Manchester, UK), international organisations (i.e., IAEA Dept of Safeguards, training section), research centres (ie. Mol, Belgium) for retraining of their reactor staff or nuclear power plants for staff retraining. These courses have been very successful during the past five years in such a manner that the Atominstitut has now to decline new course applications as the reactor is also used for Masters thesis and PhD work which requires full power operation while courses require low power operation. The paper describes typical training programs, target groups and possible transfers of these courses to other reactors. (author)

Evaluation of microbial stability, bioactive compounds, physicochemical properties, and consumer acceptance of pomegranate juice processed in a commercial scale pulsed electric field system

Science.gov (United States)

This paper investigated the feasibility for pasteurizing raw pomegranate juice in a commercial scale pulsed electric field (PEF) system. The juice was processed in a commercial scale PEF processing system at 35 and 38 kV/cm for 281 µs at 55 degree C with a flow rate of 100 L/h. Effect of PEF process...

Effect of Integrated Pest Management Training on Ugandan Small-Scale Farmers

DEFF Research Database (Denmark)

Clausen, Anna Sabine; Jørs, Erik; Atuhaire, Aggrey

2017-01-01

Small-scale farmers in developing countries use hazardous pesticides taking few or no safety measures. Farmer field schools (FFSs) teaching integrated pest management (IPM) have been shown to reduce pesticide use among trained farmers. This cross-sectional study compares pesticide-related knowledge......-reported symptoms. The study supports IPM as a method to reduce pesticide use and potential exposure and to improve pesticide-related KAP among small-scale farmers in developing countries....

Development methodology of the novel Endoscopic stone treatment step 1 (EST s1) training/assessment curriculum.

Science.gov (United States)

Veneziano, Domenico; Ahmed, Kamran; Van Cleynenbreugel, Ben S E P; Gözen, Ali Serdar; Palou, Joan; Sarica, Kemal; Liatsikos, Evangelos N; Sanguedolce, Francesco; Honeck, Patrick; Alvarez-Maestro, Mario; Papatsoris, Athanasios; Kallidonis, Panagiotis; Greco, Francesco; Breda, Alberto; Somani, Bhaskar

2017-07-10

Background Simulation based technical-skill assessment is a core topic of debate, especially in high-risk environments. After the introduction of the E-BLUS exam for basic laparoscopy, no more technical training/assessment urological protocols have been developed in Europe. Objective We describe the methodology used in the development of the novel Endoscopic Stone Treatment step 1 (EST s1) assessment curriculum. Materials and Methods The "full life cycle curriculum development" template was followed for curriculum development. A CTA was run to define the most important steps and details of RIRS, in accordance with EAU Urolithiasis guidelines. Training tasks were created between April 2015 and September 2015. Tasks and metrics were further analyzed by a consensus meeting with the EULIS board in February 2016. A review, aimed to study available simulators and their accordance with task requirements, was subsequently run in London on March 2016. After initial feedback and further tests, content validity of this protocol was achieved during EUREP 2016. Results The EST s1 curriculum development, took 23 months. 72 participants tested the 5 preliminary tasks during EUREP 2015, with sessions of 45 minutes each. Likert-scale questionnaires were filled-out to score the quality of training. The protocol was modified accordingly and 25 participants tested the 4 tasks during the hands-on training sessions of the ESUT 2016 congress. 134 participants finally participated in the validation study in EUREP 2016. During the same event 10 experts confirmed content validity by filling-out a Likert-scale questionnaire. Conclusion We described a reliable and replicable methodology that can be followed to develop training/assessment protocols for surgical procedures. The expert consensus meetings, strict adherence to guidelines and updated literature search towards an Endourology curriculum allowed correct training and assessment protocol development. It is the first step towards

The Effects of Combined Treadmill Training and Pharmacological Treatment on Management of Multiple Sclerosis Female Patients

Directory of Open Access Journals (Sweden)

Ali Asghar Arastoo

2013-04-01

Full Text Available Objectives: To compare the effectiveness of two treatment methods of ‘combination pharmacological treatment and treadmill training’ and ‘pharmacological treatment’ on management of multiple sclerosis (MS female patients. Methods: In this quasi experimental and interventional study a sample of 20 MS patients (mean age: 36.75 years with Expanded Disability Status Scale scores (EDSS 1.0 to 4.0 were randomly assigned to a ‘pharmacologic treatment’ (Ph group and a combination group of ‘pharmacologic treatment& treadmill training’ (PhTT. All these individuals used the drugs of choice ‘Rebif’ and ‘Avonex’. The intervention consisted of 8-weeks (24 sessions of treadmill training (30 minutes each, at 40-75% of age-predicted maximum heart rate for the PhTT group. The Ph group followed their own routine treatment program. Balance, speed and endurance of walking, quality of life and fatigue were measured by Berg Balance Score, 10 meter timed walk test, 2 minute walk test, and Fatigue Severity Scale (FFS. Data were analyzed by paired t test and one way ANOVA. Results: Comparison of results indicated that pre and post intervention led to significant improvements in the balance score (P=0.001, 10m walk time (P=0.001, walking endurance (P=0.007, and FFS (P=0.04 in the PhTT group. In contrast, no significant changes were observed in the Ph group’s balance score, 10m timed walk and fatigue, while there was a significant decrease in the 2min walking distance (P=0.015 in this group. Discussion: These results suggest that treadmill training in combination with pharmacological treatment improve balance and walking capacity and level of fatigue in women with mild to moderate MS.

Excellent reliability of the Hamilton Depression Rating Scale (HDRS-21) in Indonesia after training.

Science.gov (United States)

Istriana, Erita; Kurnia, Ade; Weijers, Annelies; Hidayat, Teddy; Pinxten, Lucas; de Jong, Cor; Schellekens, Arnt

2013-09-01

The Hamilton Depression Rating Scale (HDRS) is the most widely used depression rating scale worldwide. Reliability of HDRS has been reported mainly from Western countries. The current study tested the reliability of HDRS ratings among psychiatric residents in Indonesia, before and after HDRS training. The hypotheses were that: (i) prior to the training reliability of HDRS ratings is poor; and (ii) HDRS training can improve reliability of HDRS ratings to excellent levels. Furthermore, we explored cultural validity at item level. Videotaped HDRS interviews were rated by 30 psychiatric residents before and after 1 day of HDRS training. Based on a gold standard rating, percentage correct ratings and deviation from the standard were calculated. Correct ratings increased from 83% to 99% at item level and from 70% to 100% for the total rating. The average deviation from the gold standard rating improved from 0.07 to 0.02 at item level and from 2.97 to 0.46 for the total rating. HDRS assessment by psychiatric trainees in Indonesia without prior training is unreliable. A short, evidence-based HDRS training improves reliability to near perfect levels. The outlined training program could serve as a template for HDRS trainings. HDRS items that may be less valid for assessment of depression severity in Indonesia are discussed. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

LAVA: Large scale Automated Vulnerability Addition

Science.gov (United States)

2016-05-23

LAVA: Large-scale Automated Vulnerability Addition Brendan Dolan -Gavitt∗, Patrick Hulin†, Tim Leek†, Fredrich Ulrich†, Ryan Whelan† (Authors listed...released, and thus rapidly become stale. We can expect tools to have been trained to detect bugs that have been released. Given the commercial price tag...low TCN) and dead (low liveness) program data is a powerful one for vulnera- bility injection. The DUAs it identifies are internal program quantities

Deployment of commercial energy efficiency cooking

International Nuclear Information System (INIS)

1999-04-01

This research concerned the promotion of energy-efficient wood stoves in commercial and institutional kitchens in Ethiopia, Kenya, Tanzania and Uganda through technology transfer and training of local commercial stove producers. The key objective of the project was to introduce proven designs of energy-efficient wood stoves to producers in the target countries and train them in the manufacture and marketing of these stoves. The improved designs save 50% of the fuel used by the traditional stoves - a major saving where 10-15% of the kitchen budget is spent on fuel. They also remove smoke more effectively, protect cooks from heat and burns, and are easier to keep clean. The project went well although results have varied from one country to the other. In conclusion, the technology transfer of commercial stove designs can take place between neighbouring countries by a process of training, study visits, prototype development, market surveys and producer support.(author)

Assessment of online monitoring strategies for measuring N2O emissions from full-scale wastewater treatment systems.

Science.gov (United States)

Marques, Ricardo; Rodriguez-Caballero, A; Oehmen, Adrian; Pijuan, Maite

2016-08-01

Clark-Type nitrous oxide (N2O) sensors are routinely used to measure dissolved N2O concentrations in wastewater treatment plants (WWTPs), but have never before been applied to assess gas-phase N2O emissions in full-scale WWTPs. In this study, a full-scale N2O gas sensor was tested and validated for online gas measurements, and assessed with respect to its linearity, temperature dependence, signal saturation and drift prior to full-scale application. The sensor was linear at the concentrations tested (0-422.3, 0-50 and 0-10 ppmv N2O) and had a linear response up to 2750 ppmv N2O. An exponential correlation between temperature and sensor signal was described and predicted using a double exponential equation while the drift did not have a significant influence on the signal. The N2O gas sensor was used for online N2O monitoring in a full-scale sequencing batch reactor (SBR) treating domestic wastewater and results were compared with those obtained by a commercial online gas analyser. Emissions were successfully described by the sensor, being even more accurate than the values given by the commercial analyser at N2O concentrations above 500 ppmv. Data from this gas N2O sensor was also used to validate two models to predict N2O emissions from dissolved N2O measurements, one based on oxygen transfer rate and the other based on superficial velocity of the gas bubble. Using the first model, predictions for N2O emissions agreed by 98.7% with the measured by the gas sensor, while 87.0% similarity was obtained with the second model. This is the first study showing a reliable estimation of gas emissions based on dissolved N2O online data in a full-scale wastewater treatment facility. Copyright © 2016 Elsevier Ltd. All rights reserved.

Randomised social-skills training and parental training plus standard treatment versus standard treatment of children with attention deficit hyperactivity disorder - The SOSTRA trial protocol

Directory of Open Access Journals (Sweden)

Thomsen Per

2011-01-01

Full Text Available Abstract Background Children with attention deficit hyperactivity disorder (ADHD are hyperactive and impulsive, cannot maintain attention, and have difficulties with social interactions. Medical treatment may alleviate symptoms of ADHD, but seldom solves difficulties with social interactions. Social-skills training may benefit ADHD children in their social interactions. We want to examine the effects of social-skills training on difficulties related to the children's ADHD symptoms and social interactions. Methods/Design The design is randomised two-armed, parallel group, assessor-blinded trial. Children aged 8-12 years with a diagnosis of ADHD are randomised to social-skills training and parental training plus standard treatment versus standard treatment alone. A sample size calculation estimated that at least 52 children must be included to show a 4-point difference in the primary outcome on the Conners 3rd Edition subscale for 'hyperactivity-impulsivity' between the intervention group and the control group. The outcomes will be assessed 3 and 6 months after randomisation. The primary outcome measure is ADHD symptoms. The secondary outcome is social skills. Tertiary outcomes include the relationship between social skills and symptoms of ADHD, the ability to form attachment, and parents' ADHD symptoms. Discussion We hope that the results from this trial will show that the social-skills training together with medication may have a greater general effect on ADHD symptoms and social and emotional competencies than medication alone. Trial registration ClinicalTrials (NCT: NCT00937469

Commercial applications of large-scale Research and Development computer simulation technologies

International Nuclear Information System (INIS)

Kuok Mee Ling; Pascal Chen; Wen Ho Lee

1998-01-01

The potential commercial applications of two large-scale R and D computer simulation technologies are presented. One such technology is based on the numerical solution of the hydrodynamics equations, and is embodied in the two-dimensional Eulerian code EULE2D, which solves the hydrodynamic equations with various models for the equation of state (EOS), constitutive relations and fracture mechanics. EULE2D is an R and D code originally developed to design and analyze conventional munitions for anti-armor penetrations such as shaped charges, explosive formed projectiles, and kinetic energy rods. Simulated results agree very well with actual experiments. A commercial application presented here is the design and simulation of shaped charges for oil and gas well bore perforation. The other R and D simulation technology is based on the numerical solution of Maxwell's partial differential equations of electromagnetics in space and time, and is implemented in the three-dimensional code FDTD-SPICE, which solves Maxwell's equations in the time domain with finite-differences in the three spatial dimensions and calls SPICE for information when nonlinear active devices are involved. The FDTD method has been used in the radar cross-section modeling of military aircrafts and many other electromagnetic phenomena. The coupling of FDTD method with SPICE, a popular circuit and device simulation program, provides a powerful tool for the simulation and design of microwave and millimeter-wave circuits containing nonlinear active semiconductor devices. A commercial application of FDTD-SPICE presented here is the simulation of a two-element active antenna system. The simulation results and the experimental measurements are in excellent agreement. (Author)

The Stanford Microsurgery and Resident Training (SMaRT) Scale: validation of an on-line global rating scale for technical assessment.

Science.gov (United States)

Satterwhite, Thomas; Son, Ji; Carey, Joseph; Echo, Anthony; Spurling, Terry; Paro, John; Gurtner, Geoffrey; Chang, James; Lee, Gordon K

2014-05-01

We previously reported results of our on-line microsurgery training program, showing that residents who had access to our website significantly improved their cognitive and technical skills. In this study, we report an objective means for expert evaluators to reliably rate trainees' technical skills under the microscope, with the use of our novel global rating scale. "Microsurgery Essentials" (http://smartmicrosurgery.com) is our on-line training curriculum. Residents were randomly divided into 2 groups: 1 group reviewed this online resource and the other did not. Pre- and post-tests consisted of videotaped microsurgical sessions in which the trainee performed "microsurgery" on 3 different models: latex glove, penrose drain, and the dorsal vessel of a chicken foot. The SMaRT (Stanford Microsurgery and Resident Training) scale, consisting of 9 categories graded on a 5-point Likert scale, was used to assess the trainees. Results were analyzed with ANOVA and Student t test, with P less than 0.05 indicating statistical significance. Seventeen residents participated in the study. The SMaRT scale adequately differentiated the performance of more experienced senior residents (PGY-4 to PGY-6, total average score=3.43) from less experienced junior residents (PGY-1 to PGY-3, total average score=2.10, P0.05). Additionally, junior residents who had access to our website showed a significant increase in their graded technical performance by 0.7 points when compared to residents who did not have access to the website who showed an improvement of only 0.2 points (P=0.01). Our SMaRT scale is valid and reliable in assessing the microsurgical skills of residents and other trainees. Current trainees are more likely to use self-directed on-line education because of its easy accessibility and interactive format. Our global rating scale can help ensure residents are achieving appropriate technical milestones.

Final technical report: Commercialization of the Biofine technology for levulinic acid production from paper sludge

Energy Technology Data Exchange (ETDEWEB)

Fitzpatrick, Stephen W.

2002-04-23

This project involved a three-year program managed by BioMetics, Inc. (Waltham, MA) to demonstrate the commercial feasibility of Biofine thermochemical process technology for conversion of cellulose-containing wastes or renewable materials into levulinic acid, a versatile platform chemical. The program, commencing in October 1995, involved the design, procurement, construction and operation of a plant utilizing the Biofine process to convert 1 dry ton per day of paper sludge waste. The plant was successfully designed, constructed, and commissioned in 1997. It was operated for a period of one year on paper sludge from a variety of source paper mills to collect data to verify the design for a commercial scale plant. Operational results were obtained for four different feedstock varieties. Stable, continuous operation was achieved for two of the feedstocks. Continuous operation of the plant at demonstration scale provided the opportunity for process optimization, development of operational protocols, operator training and identification of suitable materials of construction for scale up to commercial operation . Separated fiber from municipal waster was also successfully processed. The project team consisted of BioMetics Inc., Great Lakes Chemical Corporation (West Lafayette, IN), and New York State Energy Research and Development Authority (Albany, NY).

Comparing the effects of eccentric training with eccentric training and static stretching exercises in the treatment of patellar tendinopathy. A controlled clinical trial.

Science.gov (United States)

Dimitrios, Stasinopoulos; Pantelis, Manias; Kalliopi, Stasinopoulou

2012-05-01

The aim of the present study was to investigate the effectiveness of eccentric training and eccentric training with static stretching exercises in the management of patellar tendinopathy. Controlled clinical trial. Rheumatology and rehabilitation centre. Forty-three patients who had patellar tendinopathy for at least three months. They were allocated to two groups by alternative allocation. Group A (n = 22) was treated with eccentric training of patellar tendon and static stretching exercises of quadriceps and hamstrings and Group B (n = 21) received eccentric training of patellar tendon. All patients received five treatments per week for four weeks. Pain and function were evaluated using the VISA-P score at baseline, at the end of treatment (week 4), and six months (week 24) after the end of treatment. At the end of treatment, there was a rise in VISA-P score in both groups compared with baseline (Peccentric training and static stretching exercises produced the largest effect (PEccentric training and static stretching exercises is superior to eccentric training alone to reduce pain and improve function in patients with patellar tendinopathy at the end of the treatment and at follow-up.

Computer-Based Script Training for Aphasia: Emerging Themes from Post-Treatment Interviews

Science.gov (United States)

Cherney, Leora R.; Halper, Anita S.; Kaye, Rosalind C.

2011-01-01

This study presents results of post-treatment interviews following computer-based script training for persons with chronic aphasia. Each of the 23 participants received 9 weeks of AphasiaScripts training. Post-treatment interviews were conducted with the person with aphasia and/or a significant other person. The 23 interviews yielded 584 coded…

Applying lessons from commercial aviation safety and operations to resuscitation.

Science.gov (United States)

Ornato, Joseph P; Peberdy, Mary Ann

2014-02-01

Both commercial aviation and resuscitation are complex activities in which team members must respond to unexpected emergencies in a consistent, high quality manner. Lives are at stake in both activities and the two disciplines have similar leadership structures, standard setting processes, training methods, and operational tools. Commercial aviation crews operate with remarkable consistency and safety, while resuscitation team performance and outcomes are highly variable. This commentary provides the perspective of two physician-pilots showing how commercial aviation training, operations, and safety principles can be adapted to resuscitation team training and performance. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

How valid are commercially available medical simulators?

Science.gov (United States)

Stunt, JJ; Wulms, PH; Kerkhoffs, GM; Dankelman, J; van Dijk, CN; Tuijthof, GJM

2014-01-01

Background Since simulators offer important advantages, they are increasingly used in medical education and medical skills training that require physical actions. A wide variety of simulators have become commercially available. It is of high importance that evidence is provided that training on these simulators can actually improve clinical performance on live patients. Therefore, the aim of this review is to determine the availability of different types of simulators and the evidence of their validation, to offer insight regarding which simulators are suitable to use in the clinical setting as a training modality. Summary Four hundred and thirty-three commercially available simulators were found, from which 405 (94%) were physical models. One hundred and thirty validation studies evaluated 35 (8%) commercially available medical simulators for levels of validity ranging from face to predictive validity. Solely simulators that are used for surgical skills training were validated for the highest validity level (predictive validity). Twenty-four (37%) simulators that give objective feedback had been validated. Studies that tested more powerful levels of validity (concurrent and predictive validity) were methodologically stronger than studies that tested more elementary levels of validity (face, content, and construct validity). Conclusion Ninety-three point five percent of the commercially available simulators are not known to be tested for validity. Although the importance of (a high level of) validation depends on the difficulty level of skills training and possible consequences when skills are insufficient, it is advisable for medical professionals, trainees, medical educators, and companies who manufacture medical simulators to critically judge the available medical simulators for proper validation. This way adequate, safe, and affordable medical psychomotor skills training can be achieved. PMID:25342926

Why did the scale-up of HIV treatment work? A case example from Malawi.

Science.gov (United States)

Harries, Anthony D; Makombe, Simon D; Libamba, Edwin; Schouten, Erik J

2011-08-01

The national scale-up of antiretroviral therapy (ART) in Malawi is based on a public health approach, with principles and practices borrowed from the successful DOTS (directly observed treatment short course-the system used to successfully deliver antituberculosis treatment to people in some of the poorest countries of the world) tuberculosis control framework. During the first 6 years, the number of patients registered on treatment increased from 3000 to >350,000 in both the public and private sectors. The most important reasons for this success have been strong international and national leadership combined with adequate funds, a standardized approach to ART with practical guidelines, an approved national scale-up plan with clear, time-bound milestones; investment in an intensive program of training and accreditation of ART sites, quarterly supervision and monitoring of ART and operational research, rational drug forecasting and no stock-outs of drugs during the first few years, and involvement of the private sector. The looming challenges of human resources, guaranteed financial support, better but also more expensive ART regimens, use of electronic medical records to monitor response to therapy, and attention to HIV prevention need to be met head-on and solved if the momentum of the earlier years is to be maintained.

Training School Psychologists to Conduct Evidence-Based Treatments for Depression

Science.gov (United States)

Stark, Kevin D.; Arora, Prerna; Funk, Catherine L.

2011-01-01

Cognitive behavioral therapy is an effective approach to the treatment of depressive disorders within schools, due to its demonstrated efficacy, as well as its availability in manualized treatment form. When implemented by therapists with inadequate training, the treatment is often stilted, less engaging for participants, and aimlessly guided…

TECHNOLOGY EVALUATION REPORT: TORONTO HARBOUR COMMISSIONERS (THC) SOIL RECYCLE TREATMENT TRAIN. Project Summary

Science.gov (United States)

A demonstration of the Toronto Harbour Commissioners' (THC) Soil Recycle Treatment Train was performed under the Superfund Innovative Technology Evaluation (SITE) Program at a pilot plant facility in Toronto, Ontario, Canada. The Soil Recycle Treatment Train, which consists of s...

How valid are commercially available medical simulators?

Directory of Open Access Journals (Sweden)

Stunt JJ

2014-10-01

Full Text Available JJ Stunt,1 PH Wulms,2 GM Kerkhoffs,1 J Dankelman,2 CN van Dijk,1 GJM Tuijthof1,2 1Orthopedic Research Center Amsterdam, Department of Orthopedic Surgery, Academic Medical Centre, Amsterdam, the Netherlands; 2Department of Biomechanical Engineering, Faculty of Mechanical, Materials and Maritime Engineering, Delft University of Technology, Delft, the Netherlands Background: Since simulators offer important advantages, they are increasingly used in medical education and medical skills training that require physical actions. A wide variety of simulators have become commercially available. It is of high importance that evidence is provided that training on these simulators can actually improve clinical performance on live patients. Therefore, the aim of this review is to determine the availability of different types of simulators and the evidence of their validation, to offer insight regarding which simulators are suitable to use in the clinical setting as a training modality. Summary: Four hundred and thirty-three commercially available simulators were found, from which 405 (94% were physical models. One hundred and thirty validation studies evaluated 35 (8% commercially available medical simulators for levels of validity ranging from face to predictive validity. Solely simulators that are used for surgical skills training were validated for the highest validity level (predictive validity. Twenty-four (37% simulators that give objective feedback had been validated. Studies that tested more powerful levels of validity (concurrent and predictive validity were methodologically stronger than studies that tested more elementary levels of validity (face, content, and construct validity. Conclusion: Ninety-three point five percent of the commercially available simulators are not known to be tested for validity. Although the importance of (a high level of validation depends on the difficulty level of skills training and possible consequences when skills are

Startup of the remote laboratory-scale waste-treatment facility

International Nuclear Information System (INIS)

Knox, C.A.; Siemens, D.H.; Berger, D.N.

1981-01-01

The Remote Laboratory-Scale Waste-Treatment Facility was designed as a system to solidify small volumes of radioactive liquid wastes. The objectives in operating this facility are to evaluate solidification processes, determine the effluents generated, test methods for decontaminating the effluents, and provide radioactive solidified waste products for evaluation. The facility consists of a feed-preparation module, a waste-solidification module and an effluent-treatment module. The system was designed for remote installation and operation. Several special features for remotely handling radioactive materials were incorporated into the design. The equipment was initially assembled outside of a radiochemical cell to size and fabricate the connecting jumpers between the modules and to complete some preliminary design-verification tests. The equipment was then disassembled and installed in the radiochemical cell. When installation was completed the entire system was checked out with water and then with a nonradioactive simulated waste solution. The purpose of these operations was to start up the facility, find and solve operational problems, verify operating procedures and train personnel. The major problems experienced during these nonradioactive runs were plugging of the spray calciner nozzle and feed tank pumping failures. When these problems were solved, radioactive operations were started. This report describes the installation of this facility, its special remote design feature and the startup operations

Ionizing radiation quarantine treatments

OpenAIRE

Hallman, Guy J.

1998-01-01

Irradiation is a viable quarantine disinfestation treatment which has been studied for 40 years although it has received very little commercial use. Two principal obstacles to commercial application, 1) the fact that insects are not killed immediately, and 2) consumer opposition to irradiation, have been allayed to some extent, but the remaining impediment to large-scale commercial use is development of approved protocols by government regulatory agencies in importing countries. The United St...

Safeguardability of a commercial-scaled ACP facility

Energy Technology Data Exchange (ETDEWEB)

Ko, Won Il; Lee, S. Y.; Kim, H. D.; Ha, J. H.; Song, D. Y.; Lee, T. H

2004-07-01

The Advanced spent fuel Conditioning Process (ACP) is an electro-metallurgical treatment technique to convert oxide-type spent nuclear fuel into a metallic form. This report documents a preliminary study on the safeguardability of ACP. The sub-processes and material flow of the pilot scale ACP facility were designed for this study. Then, their Material Balance Areas (MBA) and Key Measurement Point (KMP) were defined based on diversion scenario analysis. Finally, the limit of error in the MUF value was estimated using international target values for the uncertainty of measurement methods. Based on the results of preliminary study, we concluded that the safeguards goals of International Atomic Energy Agency (IAEA) could be met if the assumptions regarding measurement instruments can be achieved in a safeguards system for the ACP facility.

Safeguardability of a commercial-scaled ACP facility

International Nuclear Information System (INIS)

Ko, Won Il; Lee, S. Y.; Kim, H. D.; Ha, J. H.; Song, D. Y.; Lee, T. H.

2004-07-01

The Advanced spent fuel Conditioning Process (ACP) is an electro-metallurgical treatment technique to convert oxide-type spent nuclear fuel into a metallic form. This report documents a preliminary study on the safeguardability of ACP. The sub-processes and material flow of the pilot scale ACP facility were designed for this study. Then, their Material Balance Areas (MBA) and Key Measurement Point (KMP) were defined based on diversion scenario analysis. Finally, the limit of error in the MUF value was estimated using international target values for the uncertainty of measurement methods. Based on the results of preliminary study, we concluded that the safeguards goals of International Atomic Energy Agency (IAEA) could be met if the assumptions regarding measurement instruments can be achieved in a safeguards system for the ACP facility

Capability of 2 gait measures for detecting response to gait training in stroke survivors: Gait Assessment and Intervention Tool and the Tinetti Gait Scale.

Science.gov (United States)

Zimbelman, Janice; Daly, Janis J; Roenigk, Kristen L; Butler, Kristi; Burdsall, Richard; Holcomb, John P

2012-01-01

To characterize the performance of 2 observational gait measures, the Tinetti Gait Scale (TGS) and the Gait Assessment and Intervention Tool (G.A.I.T.), in identifying improvement in gait in response to gait training. In secondary analysis from a larger study of multimodal gait training for stroke survivors, we measured gait at pre-, mid-, and posttreatment according to G.A.I.T. and TGS, assessing their capability to capture recovery of coordinated gait components. Large medical center. Cohort of stroke survivors (N=44) greater than 6 months after stroke. All subjects received 48 sessions of a multimodal gait-training protocol. Treatment consisted of 1.5 hours per session, 4 sessions per week for 12 weeks, receiving these 3 treatment aspects: (1) coordination exercise, (2) body weight-supported treadmill training, and (3) overground gait training, with 46% of subjects receiving functional electrical stimulation. All subjects were evaluated with the G.A.I.T. and TGS before and after completing the 48-session intervention. An additional evaluation was performed at midtreatment (after session 24). For the total subject sample, there were significant pre-/post-, pre-/mid-, and mid-/posttreatment gains for both the G.A.I.T. and the TGS. According to the G.A.I.T., 40 subjects (91%) showed improved scores, 2 (4%) no change, and 2 (4%) a worsening score. According to the TGS, only 26 subjects (59%) showed improved scores, 16 (36%) no change, and 1 (2%) a worsening score. For 1 treatment group of chronic stroke survivors, the TGS failed to identify a significant treatment response to gait training, whereas the G.A.I.T. measure was successful. The G.A.I.T. is more sensitive than the TGS for individual patients and group treatment response in identifying recovery of volitional control of gait components in response to gait training. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Mountaineer Commercial Scale Carbon Capture and Storage Project Topical Report: Preliminary Public Design Report

Energy Technology Data Exchange (ETDEWEB)

Guy Cerimele

2011-09-30

This Preliminary Public Design Report consolidates for public use nonproprietary design information on the Mountaineer Commercial Scale Carbon Capture & Storage project. The report is based on the preliminary design information developed during the Phase I - Project Definition Phase, spanning the time period of February 1, 2010 through September 30, 2011. The report includes descriptions and/or discussions for: (1) DOE's Clean Coal Power Initiative, overall project & Phase I objectives, and the historical evolution of DOE and American Electric Power (AEP) sponsored projects leading to the current project; (2) Alstom's Chilled Ammonia Process (CAP) carbon capture retrofit technology and the carbon storage and monitoring system; (3) AEP's retrofit approach in terms of plant operational and integration philosophy; (4) The process island equipment and balance of plant systems for the CAP technology; (5) The carbon storage system, addressing injection wells, monitoring wells, system monitoring and controls logic philosophy; (6) Overall project estimate that includes the overnight cost estimate, cost escalation for future year expenditures, and major project risks that factored into the development of the risk based contingency; and (7) AEP's decision to suspend further work on the project at the end of Phase I, notwithstanding its assessment that the Alstom CAP technology is ready for commercial demonstration at the intended scale.

Vocational Training for Prison Inmates: A Treatment Model.

Science.gov (United States)

Uche, Greg N.

1995-01-01

Components of a treatment model are diagnosis of offenders' work history and training needs, in relation to labor market requirements; provision of appropriate job and entrepreneurial skills; and after care services. Focus is on vocational adjustment to ensure successful rehabilitation. (SK)

Report on the 1997 Coal Engineer Training Program General Course Training; 1997 nendo sekitan gijutsusha yosei jigyo ippan course kenshu hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-01

The paper reported training in the fiscal 1997 coal engineer training course. The training was made in a period from June 9 to November 12 in terms of actual training, English training, joint seminar, visits to the related facilities in Japan, overseas training, etc. for 10 engineers from mining companies, oil companies and electric power companies. In the actual training, the following lectures were given at International Resource University in Akita prefecture: coal exploration technology, coal situation of Australia, physical/chemical characteristics of coal and the application, coal preparation technology, coal situation in India, coal situation in the U.S., trend of general coal demand, coal situation in China, coal mining technology, actual surface mining technology, coal situation in Canada, commercial English, trend of raw coal demand, coal geology, environmental protection technology related to coal utilization, etc. Overseas training, which was divided into an Australia group and a Canada/America group, was conducted for about a month. Training in Indonesia was canceled because of a large scale forest fire which broke out immediately before the start. 88 figs., 52 tabs.

Training, executive, attention and motor skills (TEAMS) training versus standard treatment for preschool children with attention deficit hyperactivity disorder

DEFF Research Database (Denmark)

Vibholm, Helle Annette; Pedersen, Jesper; Faltinsen, Erlend

2018-01-01

OBJECTIVE: This study compared the effectiveness of manualised training, executive, attention, and motor skills (TEAMS) training versus standard treatment in preschool children with attention deficit hyperactivity disorder (ADHD). We conducted a randomised parallel group, single...

Bacterial communities in full-scale wastewater treatment systems

OpenAIRE

Cydzik-Kwiatkowska, Agnieszka; Zieli?ska, Magdalena

2016-01-01

Bacterial metabolism determines the effectiveness of biological treatment of wastewater. Therefore, it is important to define the relations between the species structure and the performance of full-scale installations. Although there is much laboratory data on microbial consortia, our understanding of dependencies between the microbial structure and operational parameters of full-scale wastewater treatment plants (WWTP) is limited. This mini-review presents the types of microbial consortia in...

Commercialization of the global nuclear energy partnership (GNEP)

International Nuclear Information System (INIS)

Loewen Eric P.; Boaz, Jeffery; Saito, Earl; Boardman, Chuck

2007-01-01

In February 2006 President Bush announced the Advanced Energy Initiative, which included the Department of Energy's (DOE) Global Nuclear Energy Partnership (GNEP). GNEP has seven broad goals, one of the major elements being to develop and deploy advanced nuclear fuel recycling technology. DOE is contemplating accelerating the deployment of these technologies to achieve the construction of a commercial scale application of these technologies. DOE now defines this approach as 'two simultaneous tracks: (1) deployment of commercial scale facilities for which advanced technologies are available now or in the near future, and (2) further research and development of transmutation fuels technologies'. GE believes an integrated technical solution, using existing reactor and fuel reprocessing technologies, is achievable in the near term to accelerate the commercial demonstration of GNEP infrastructure. The concept involves a single, integrated, commercial scale, recycling facility consisting of the Consolidated Fuel Treatment Center (CFTC), capable of processing LWR and fast reactor Spent Nuclear Fuel (SNF) and fabricating Advanced Recycling Reactor (ARR) actinide fuel. The integrated facility would include a fast reactor that uses actinide-bearing fuel to produce electricity. For optimal performance, GE believes this integrated facility should be co-located to eliminate transportation between the CFTC and ARR, and enhance proliferation resistance. This Advanced Recycling Center takes advantage of previous investments by government and industry in fast reactor technology research and development. To allow for commercial acceptance, a prototypical demonstration reactor and associated fuel cycle facility will be constructed, tested, and licensed. Taking advantage of GE's NRC-reviewed modular sodium-cooled PRISM reactor, only a single reactor will be needed and the cost and risk minimized in the initial phase of the program. This paper outlines a process and a schedule to

Satellite cell response to erythropoietin treatment and endurance training in healthy young men

DEFF Research Database (Denmark)

Hoedt, Andrea; Christensen, Britt; Nellemann, Birgitte

2016-01-01

KEY POINT: Erythropoietin (Epo) treatment may induce myogenic differentiation factor (MyoD) expression and prevent apoptosis in satellite cells (SCs) in murine and in vitro models. Endurance training stimulates SC proliferation in vivo in murine and human skeletal muscle. In the present study, we......-receptor interaction. Moreover, endurance training, but not Epo treatment, increases the SC content in type II myofibres, as well as the content of MyoD(+) SCs. Collectively, our results suggest that Epo treatment can regulate human SCs in vivo, supported by Epo receptor mRNA expression in human SCs. In effect, long......-term Epo treatment during disease conditions involving anaemia may impact SCs and warrants further investigation. Satellite cell (SC) proliferation is observed following erythropoitin treatment in vitro in murine myoblasts and endurance training in vivo in human skeletal muscle. The present study aimed...

Performance of a Small-scale Treatment Wetland for Treatment of Landscaping Wash Water

Science.gov (United States)

Thompson, R. J.; Fayed, E.; Fish, W.

2011-12-01

A large number of lawn mowers and related equipment must be cleaned each day by commercial landscaping operations and state and local highway maintenance crews. Washing these devices produces wastewater that contains high amounts of organic matter and potentially problematic nutrients, as well as oil and grease and other chemicals and metals that come from the machinery itself. Dirty water washes off the mowers, flows off the pavement and into nearby storm drains without any kind of treatment. A better idea would be to collect such wastewater, retain it in an appropriate catchment such as an engineered wetland where natural processes could break down any pollutants in the wash water, and allow the water to naturally evaporate or percolate into the soil where it could recharge ground water resources safely. This research examines the performance of a small-scale treatment wetland tailored to remove nitrogen from landscaping wash water by incorporating both aerobic and anaerobic phases. Contaminants are analyzed through physical and chemical methods. Both methods involve collection of samples, followed by standardized, validated analytical laboratory tests for measuring total solids, total kjeldahl nitrogen, nitrates, total and dissolved phosphorus, COD, BOD, oil and grease, and metals (Zn and Cu). High levels of total solids, total kjeldahl nitrogen, nitrates, total and dissolved phosphorus, COD, BOD, oil and grease are found. Zinc and copper levels are low. Wetland treatment removes 99% total solids, 77% total kjeldahl nitrogen, 100% nitrates, 94% total phosphorus, 86% dissolved phosphorus, 94% COD, 97% BOD, and 76% oil and grease. The results will be a critical step towards developing a sustainable low-energy system for treating such wastewater that could be used by private landscaping companies and government agencies.

Shredder and incinerator technology for treatment of commercial transuranic wastes

International Nuclear Information System (INIS)

Oma, K.H.; Westsik, J.H. Jr.; Ross, W.A.

1985-10-01

This report describes the selection and evaluation of process equipment to accomplish the shredding and incineration of commercial TRU wastes. The primary conclusions derived from this study are: Shredding and incineration technology appears effective for converting simulated commercial TRU wastes to a noncombustible form. The gas-heated controlled-air incinerator received the highest technical ranking. On a scale of 1 to 10, the incinerator had a Figure-of-Merit (FOM) number of 7.0. This compares to an FOM of 6.1 for the electrically heated controlled-air incinerator and an FOM of 5.8 for the rotary kiln incienrator. The present worth costs of the incineration processes for a postulated commercial reprocessing plant were lowest for the electrically heated and gas-heated controlled-air incinerators with costs of $16.3 M and $16.9 M, respectively (1985 dollars). Due to higher capital and operating costs, the rotary kiln process had a present worth cost of $20.8 M. The recommended process from the three evaluated for the commercial TRU waste application is the gas-heated controlled-air incinerator with a single stage of shredding for feed pretreatment. This process had the best cost-effectiveness ratio of 1.0 (normalized). The electrically heated controller-air incinerator had a rating of 1.2 and the rotary kiln rated a 1.5. Most of the simulated wastes were easily processed by the low-speed shredders evaluated. The HEPA filters proved difficult to process, however. Wood-framed HEPA filters tended to ride on the cutter wheels and spacers without being gripped and shredded. The metal-framed HEPA filters and other difficult to shred items caused the shredders to periodically reach the torque limit and go into an automatic reversal cycle; however, the filters were eventually processed by the units. All three incinerators were ineffective for oxidizing the aluminum metal used as spacers in HEPA filters

Commercial Spacewalking: Designing an EVA Qualification Program for Space Tourism

Science.gov (United States)

Gast, Matthew A.

2010-01-01

In the near future, accessibility to space will be opened to anyone with the means and the desire to experience the weightlessness of microgravity, and to look out upon both the curvature of the Earth and the blackness of space, from the protected, shirt-sleeved environment of a commercial spacecraft. Initial forays will be short-duration, suborbital flights, but the experience and expertise of half a century of spaceflight will soon produce commercial vehicles capable of achieving low Earth orbit. Even with the commercial space industry still in its infancy, and manned orbital flight a number of years away, there is little doubt that there will one day be a feasible and viable market for those courageous enough to venture outside the vehicle and into the void, wearing nothing but a spacesuit, armed with nothing but preflight training. What that Extravehicular Activity (EVA) preflight training entails, however, is something that has yet to be defined. A number of significant factors will influence the composition of a commercial EVA training program, but a fundamental question remains: 'what minimum training guidelines must be met to ensure a safe and successful commercial spacewalk?' Utilizing the experience gained through the development of NASA's Skills program - designed to qualify NASA and International Partner astronauts for EVA aboard the International Space Station - this paper identifies the attributes and training objectives essential to the safe conduct of an EVA, and attempts to conceptually design a comprehensive training methodology meant to represent an acceptable qualification standard.

Detoxification and biodegradability enhancement of aqueous solutions of four commercial pesticides along a Photo-Fenton treatment

International Nuclear Information System (INIS)

Amat, A. M.; Arques, A.; Domenech, A.; Garcia-Ripoll, A.; Vicente, R.

2009-01-01

Photo-Fenton treatment has proven to be efficient to remove recalcitrant pollutants as commercial pesticides commonly employed in citric cultivars in the Mediterranean coast of Spain as Laition, Sevnol, Ultracid and Metasystox. However, the photon-Fenton treatment resulted to be less efficient to remove organic matter; nevertheless it could be employed as a pre-treatment to couple with biological processes, widely used in wastewater treatment. (Author)

Detoxification and biodegradability enhancement of aqueous solutions of four commercial pesticides along a Photo-Fenton treatment

Energy Technology Data Exchange (ETDEWEB)

Amat, A. M.; Arques, A.; Domenech, A.; Garcia-Ripoll, A.; Vicente, R.

2009-07-01

Photo-Fenton treatment has proven to be efficient to remove recalcitrant pollutants as commercial pesticides commonly employed in citric cultivars in the Mediterranean coast of Spain as Laition, Sevnol, Ultracid and Metasystox. However, the photon-Fenton treatment resulted to be less efficient to remove organic matter; nevertheless it could be employed as a pre-treatment to couple with biological processes, widely used in wastewater treatment. (Author)

Dehydration treatment practices among pediatrics-trained and non-pediatrics trained emergency physicians.

Science.gov (United States)

Nunez, Jeranil; Liu, Deborah R; Nager, Alan L

2012-04-01

We sought to survey emergency physicians in the United States regarding the management of pediatric dehydration secondary to acute gastroenteritis. We hypothesized that responses from physicians with dedicated pediatric training (PT), that is, board certification in pediatrics or pediatric emergency medicine, would differ from responses of physicians with no dedicated pediatric training (non-PT). An anonymous survey was mailed to randomly selected members of the American College of Emergency Physicians and sent electronically to enrollees of Brown University pediatric emergency medicine listserv. The survey consisted of 17 multiple-choice questions based on a clinical scenario depicting a 2-year-old with acute gastroenteritis and moderate dehydration. Questions asked related to treatment preferences, practice setting, and training information. One thousand sixty-nine surveys were received: 997 surveys were used for data analysis, including 269 PT physicians and 721 non-PT physicians. Seventy-nine percent of PT physicians correctly classified the scenario patient as moderately dehydrated versus 71% of non-PT physicians (P = 0.063). Among those who correctly classified the patient, 121 PT physicians (58%) and 350 non-PT physicians (68%) would initially hydrate the patient with intravenous fluids. Pediatrics-trained physicians were more likely to initially choose oral or nasogastric hydration compared with non-PT physicians (P = 0.0127). Pediatrics-trained physicians were less likely to perform laboratory testing compared with the non-PT group (n = 92, 45%, vs n = 337, 66%; P dehydrated children, significantly more PT physicians, compared with non-PT physicians, follow established guidelines.

ACCOUNTING TREATMENT FOR COMMERCIAL DISCOUNTS ON GOODS PURCHASED FOR RESALE

Directory of Open Access Journals (Sweden)

HOLT GHEORGHE

2016-04-01

Full Text Available In the specialized literature there are two major categories of discounts applied between business partners: trade discounts and financial discounts. In terms of accounting, the method of calculation of interest is commercial and financial cuts, especially the tax treatment of them. Trade discounts are applied prior to financial services, and both types of discounts are calculated on the net earlier. Discounts are calculated after applying discounts and special an issue is to know the level of rebates, which are determined periodically based on the turnover.

SCALE-4 Analysis of LaSalle Unit 1 BWR Commercial Reactor Critical Configurations

International Nuclear Information System (INIS)

Gauld, I.C.

2000-01-01

Five commercial reactor criticals (CRCs) for the LaSalle Unit 1 boiling-water reactor have been analyzed using KENO V.a, the Monte Carlo criticality code of the SCALE 4 code system. The irradiated fuel assembly isotopics for the criticality analyses were provided by the Waste Package Design team at the Yucca Mountain Project in the US, who performed the depletion calculations using the SAS2H sequence of SCALE 4. The reactor critical measurements involved two beginning-of-cycle and three middle-of-cycle configurations. The CRCs involved relatively low-cycle burnups, and therefore contained a relatively high gadolinium poison content in the reactor assemblies. This report summarizes the data and methods used in analyzing the critical configurations and assesses the sensitivity of the results to some of the modeling approximations used to represent the gadolinium poison distribution within the assemblies. The KENO V.a calculations, performed using the SCALE 44GROUPNDF5 ENDF/B-V cross-section library, yield predicted k eff values within about 1% Δk/k relative to reactor measurements for the five CRCs using general 8-pin and 9-pin heterogeneous gadolinium poison pin assembly models

Computer aided training system development

International Nuclear Information System (INIS)

Midkiff, G.N.

1987-01-01

The first three phases of Training System Development (TSD) -- job and task analysis, curriculum design, and training material development -- are time consuming and labor intensive. The use of personal computers with a combination of commercial and custom-designed software resulted in a significant reduction in the man-hours required to complete these phases for a Health Physics Technician Training Program at a nuclear power station. This paper reports that each step in the training program project involved the use of personal computers: job survey data were compiled with a statistical package, task analysis was performed with custom software designed to interface with a commercial database management program. Job Performance Measures (tests) were generated by a custom program from data in the task analysis database, and training materials were drafted, edited, and produced using commercial word processing software

An investigation of scale effects in family substance abuse treatment programs

Directory of Open Access Journals (Sweden)

Lee A James

2010-07-01

Full Text Available Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families was too small to be economical. Although the sample size (just nine programs was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup.

Scaling-up antiretroviral therapy in Malawi.

Science.gov (United States)

Jahn, Andreas; Harries, Anthony D; Schouten, Erik J; Libamba, Edwin; Ford, Nathan; Maher, Dermot; Chimbwandira, Frank

2016-10-01

In Malawi, health-system constraints meant that only a fraction of people infected with human immunodeficiency virus (HIV) and in immediate need of antiretroviral treatment (ART) received treatment. In 2004, the Malawian Ministry of Health launched plans to scale-up ART nationwide, adhering to the principle of equity to ensure fair geographical access to therapy. A public health approach was used with standardized training and treatment and regular supervision and monitoring of the programme. Before the scale-up, an estimated 930 000 people in Malawi were HIV-infected, with 170 000 in immediate need of ART. About 3000 patients were on ART in nine clinics. By December 2015, cumulatively 872 567 patients had been started on ART from 716 clinics, following national treatment protocols and using the standard monitoring system. Strong national leadership allowed the ministry of health to implement a uniform system for scaling-up ART and provided benchmarks for implementation on the ground. New systems of training staff and accrediting health facilities enabled task-sharing and decentralization to peripheral health centres and a standardized approach to starting and monitoring ART. A system of quarterly supervision and monitoring, into which operational research was embedded, ensured stocks of drug supplies at facilities and adherence to national treatment guidelines.

Strawberry radurisation on a commercial scale

International Nuclear Information System (INIS)

Du Venhage, C.A.

1985-01-01

An international breakthrough was made at Pelindaba in 1981 when laboratory experiments were adjusted to accomodate commercial quantities of strawberries. Theory and practise of the radurisation of strawberries become compatible and led to the successful marketing of 1,6 million punnets of radurised strawberries during the period 1981 to 1984. Several benefits are derived from this technology, making the marketing and distribution of radurised strawberries an accepted and on-going process

Space Age Training

Science.gov (United States)

1996-01-01

Teledyne Brown developed a computer-based interactive multimedia training system for use with the Crystal Growth Furnace in the U.S. Microgravity Laboratory-2 mission on the Space Shuttle. Teledyne Brown commercialized the system and customized it for PPG Industries Aircraft Products. The system challenges learners with role-playing scenarios and software-driven simulations engaging all the senses using text, video, animation, voice, sounds and music. The transfer of this technology to commercial industrial process training has resulted in significant improvements in effectiveness, standardization, and quality control, as well as cost reductions over the usual classroom and on-the- job training approaches.

Individual Learning Route as a Way of Highly Qualified Specialists Training for Extraction of Solid Commercial Minerals Enterprises

Science.gov (United States)

Oschepkova, Elena; Vasinskaya, Irina; Sockoluck, Irina

2017-11-01

In view of changing educational paradigm (adopting of two-tier system of higher education concept - undergraduate and graduate programs) a need of using of modern learning and information and communications technologies arises putting into practice learner-centered approaches in training of highly qualified specialists for extraction and processing of solid commercial minerals enterprises. In the unstable market demand situation and changeable institutional environment, from one side, and necessity of work balancing, supplying conditions and product quality when mining-and-geological parameters change, from the other side, mining enterprises have to introduce and develop the integrated management process of product and informative and logistic flows under united management system. One of the main limitations, which keeps down the developing process on Russian mining enterprises, is staff incompetence at all levels of logistic management. Under present-day conditions extraction and processing of solid commercial minerals enterprises need highly qualified specialists who can do self-directed researches, develop new and improve present arranging, planning and managing technologies of technical operation and commercial exploitation of transport and transportation and processing facilities based on logistics. Learner-centered approach and individualization of the learning process necessitate the designing of individual learning route (ILR), which can help the students to realize their professional facilities according to requirements for specialists for extraction and processing of solid commercial minerals enterprises.

How valid are commercially available medical simulators?

NARCIS (Netherlands)

Stunt, J.J.; Wulms, P.H.; Kerkhoffs, G.M.; Dankelman, J.; Van Dijk, C.N.; Tuijthof, G.J.M.

2014-01-01

Background: Since simulators offer important advantages, they are increasingly used in medical education and medical skills training that require physical actions. A wide variety of simulators have become commercially available. It is of high importance that evidence is provided that training on

Computerized cognitive training in children and adolescents with attention deficit/hyperactivity disorder as add-on treatment to stimulants: feasibility study and protocol description.

Science.gov (United States)

Rosa, Virginia de Oliveira; Schmitz, Marcelo; Moreira-Maia, Carlos Roberto; Wagner, Flavia; Londero, Igor; Bassotto, Caroline de Fraga; Moritz, Guilherme; de Souza, Caroline Dos Santos; Rohde, Luis Augusto Paim

2017-01-01

Cognitive training has received increasing attention as a non-pharmacological approach for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents. Few studies have assessed cognitive training as add-on treatment to medication in randomized placebo controlled trials. The purpose of this preliminary study was to explore the feasibility of implementing a computerized cognitive training program for ADHD in our environment, describe its main characteristics and potential efficacy in a small pilot study. Six ADHD patients aged 10-12-years old receiving stimulants and presenting residual symptoms were enrolled in a randomized clinical trial to either a standard cognitive training program or a controlled placebo condition for 12 weeks. The primary outcome was core ADHD symptoms measured using the Swanson, Nolan and Pelham Questionnaire (SNAP-IV scale). We faced higher resistance than expected to patient enrollment due to logistic issues to attend face-to-face sessions in the hospital and to fill the requirement of medication status and absence of some comorbidities. Both groups showed decrease in parent reported ADHD symptoms without statistical difference between them. In addition, improvements on neuropsychological tests were observed in both groups - mainly on trained tasks. This protocol revealed the need for new strategies to better assess the effectiveness of cognitive training such as the need to implement the intervention in a school environment to have an assessment with more external validity. Given the small sample size of this pilot study, definitive conclusions on the effects of cognitive training as add-on treatment to stimulants would be premature.

Bacterial communities in full-scale wastewater treatment systems.

Science.gov (United States)

Cydzik-Kwiatkowska, Agnieszka; Zielińska, Magdalena

2016-04-01

Bacterial metabolism determines the effectiveness of biological treatment of wastewater. Therefore, it is important to define the relations between the species structure and the performance of full-scale installations. Although there is much laboratory data on microbial consortia, our understanding of dependencies between the microbial structure and operational parameters of full-scale wastewater treatment plants (WWTP) is limited. This mini-review presents the types of microbial consortia in WWTP. Information is given on extracellular polymeric substances production as factor that is key for formation of spatial structures of microorganisms. Additionally, we discuss data on microbial groups including nitrifiers, denitrifiers, Anammox bacteria, and phosphate- and glycogen-accumulating bacteria in full-scale aerobic systems that was obtained with the use of molecular techniques, including high-throughput sequencing, to shed light on dependencies between the microbial ecology of biomass and the overall efficiency and functional stability of wastewater treatment systems. Sludge bulking in WWTPs is addressed, as well as the microbial composition of consortia involved in antibiotic and micropollutant removal.

Performance evaluation of four different methods for circulating water in commercial-scale, split-pond aquaculture systems

Science.gov (United States)

The split-pond consists of a fish-culture basin that is connected to a waste-treatment lagoon by two conveyance structures. Water is circulated between the two basins with high-volume pumps and many different pumping systems are being used on commercial farms. Pump performance was evaluated with fou...

Technical analysis of advanced wastewater-treatment systems for coal-gasification plants

Energy Technology Data Exchange (ETDEWEB)

1981-03-31

This analysis of advanced wastewater treatment systems for coal gasification plants highlights the three coal gasification demonstration plants proposed by the US Department of Energy: The Memphis Light, Gas and Water Division Industrial Fuel Gas Demonstration Plant, the Illinois Coal Gasification Group Pipeline Gas Demonstration Plant, and the CONOCO Pipeline Gas Demonstration Plant. Technical risks exist for coal gasification wastewater treatment systems, in general, and for the three DOE demonstration plants (as designed), in particular, because of key data gaps. The quantities and compositions of coal gasification wastewaters are not well known; the treatability of coal gasification wastewaters by various technologies has not been adequately studied; the dynamic interactions of sequential wastewater treatment processes and upstream wastewater sources has not been tested at demonstration scale. This report identifies key data gaps and recommends that demonstration-size and commercial-size plants be used for coal gasification wastewater treatment data base development. While certain advanced treatment technologies can benefit from additional bench-scale studies, bench-scale and pilot plant scale operations are not representative of commercial-size facility operation. It is recommended that coal gasification demonstration plants, and other commercial-size facilities that generate similar wastewaters, be used to test advanced wastewater treatment technologies during operation by using sidestreams or collected wastewater samples in addition to the plant's own primary treatment system. Advanced wastewater treatment processes are needed to degrade refractory organics and to concentrate and remove dissolved solids to allow for wastewater reuse. Further study of reverse osmosis, evaporation, electrodialysis, ozonation, activated carbon, and ultrafiltration should take place at bench-scale.

Cyanobacteria, Toxins and Indicators: Full-Scale Monitoring & Bench-Scale Treatment Studies

Science.gov (United States)

Summary of: 1) Lake Erie 2014 bloom season full-scale treatment plant monitoring data for cyanobacteria and cyanobacteria toxins; 2) Follow-up work to examine the impact of pre-oxidation on suspensions of intact toxin-producing cyanobacterial cells.

Use of task-shifting to rapidly scale-up HIV treatment services: experiences from Lusaka, Zambia

Directory of Open Access Journals (Sweden)

Chi Harmony F

2009-01-01

Full Text Available Abstract The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals. However, there is a dearth of literature describing task shifting in sub-Saharan Africa, where services for antiretroviral therapy (ART have scaled up rapidly in the face of generalized human resource crises. As part of ART services expansion in Lusaka, Zambia, we implemented a comprehensive task-shifting program among existing health providers and community-based workers. Training begins with didactic sessions targeting specialized skill sets. This is followed by an intensive period of practical mentorship, where providers are paired with trainers before working independently. We provide on-going quality assessment using key indicators of clinical care quality at each site. Program performance is reviewed with clinic-based staff quarterly. When problems are identified, clinic staff members design and implement specific interventions to address targeted areas. From 2005 to 2007, we trained 516 health providers in adult HIV treatment; 270 in pediatric HIV treatment; 341 in adherence counseling; 91 in a specialty nurse "triage" course, and 93 in an intensive clinical mentorship program. On-going quality assessment demonstrated improvement across clinical care quality indicators, despite rapidly growing patient volumes. Our task-shifting strategy was designed to address current health care worker needs and to sustain ART scale-up activities. While this approach has been successful, long-term solutions to the human resource crisis are also urgently needed to expand the number of providers and to slow staff migration out of the region.

Functional changes in the reward circuit in response to gaming-related cues after training with a commercial video game.

Science.gov (United States)

Gleich, Tobias; Lorenz, Robert C; Gallinat, Jürgen; Kühn, Simone

2017-05-15

In the present longitudinal study, we aimed to investigate video game training associated neuronal changes in reward processing using functional magnetic resonance imaging (fMRI). We recruited 48 healthy young participants which were assigned to one of 2 groups: A group in which participants were instructed to play a commercial video game ("Super Mario 64 DS") on a portable Nintendo DS handheld console at least 30minutes a day over a period of two months (video gaming group; VG) or to a matched passive control group (CG). Before and after the training phase, in both groups, fMRI imaging was conducted during passively viewing reward and punishment-related videos sequences recorded from the trained video game. The results show that video game training may lead to reward related decrease in neuronal activation in the dorsolateral prefrontal cortex (DLPFC) and increase in the hippocampus. Additionally, the decrease in DLPFC activation was associated with gaming related parameters experienced during playing. Specifically, we found that in the VG, gaming related parameters like performance, experienced fun and frustration (assessed during the training period) were correlated to decrease in reward related DLPFC activity. Thus, neuronal changes in terms of video game training seem to be highly related to the appetitive character and reinforcement schedule of the game. Those neuronal changes may also be related to the often reported video game associated improvements in cognitive functions. Copyright © 2017 Elsevier Inc. All rights reserved.

Occurrence of Eimeria species parasites on small-scale commercial chicken farms in Africa and indication of economic profitability.

Directory of Open Access Journals (Sweden)

Kimberly M Fornace

Full Text Available Small-scale commercial poultry production is emerging as an important form of livestock production in Africa, providing sources of income and animal protein to many poor households, yet the occurrence and impact of coccidiosis on this relatively new production system remains unknown. The primary objective of this study was to examine Eimeria parasite occurrence on small-scale commercial poultry farms in Ghana, Tanzania and Zambia. Additionally, farm economic viability was measured by calculating the farm gross margin and enterprise budget. Using these economic measures as global assessments of farm productivity, encompassing the diversity present in regional husbandry systems with a measure of fundamental local relevance, we investigated the detection of specific Eimeria species as indicators of farm profitability. Faecal samples and data on production parameters were collected from small-scale (less than 2,000 birds per batch intensive broiler and layer farms in peri-urban Ghana, Tanzania and Zambia. All seven Eimeria species recognised to infect the chicken were detected in each country. Furthermore, two of the three genetic variants (operational taxonomic units identified previously in Australia have been described outside of Australia for the first time. Detection of the most pathogenic Eimeria species associated with decreased farm profitability and may be considered as an indicator of likely farm performance. While a causal link remains to be demonstrated, the presence of highly pathogenic enteric parasites may pose a threat to profitable, sustainable small-scale poultry enterprises in Africa.

Occurrence of Eimeria Species Parasites on Small-Scale Commercial Chicken Farms in Africa and Indication of Economic Profitability

Science.gov (United States)

Fornace, Kimberly M.; Clark, Emily L.; Macdonald, Sarah E.; Namangala, Boniface; Karimuribo, Esron; Awuni, Joseph A.; Thieme, Olaf; Blake, Damer P.; Rushton, Jonathan

2013-01-01

Small-scale commercial poultry production is emerging as an important form of livestock production in Africa, providing sources of income and animal protein to many poor households, yet the occurrence and impact of coccidiosis on this relatively new production system remains unknown. The primary objective of this study was to examine Eimeria parasite occurrence on small-scale commercial poultry farms in Ghana, Tanzania and Zambia. Additionally, farm economic viability was measured by calculating the farm gross margin and enterprise budget. Using these economic measures as global assessments of farm productivity, encompassing the diversity present in regional husbandry systems with a measure of fundamental local relevance, we investigated the detection of specific Eimeria species as indicators of farm profitability. Faecal samples and data on production parameters were collected from small-scale (less than 2,000 birds per batch) intensive broiler and layer farms in peri-urban Ghana, Tanzania and Zambia. All seven Eimeria species recognised to infect the chicken were detected in each country. Furthermore, two of the three genetic variants (operational taxonomic units) identified previously in Australia have been described outside of Australia for the first time. Detection of the most pathogenic Eimeria species associated with decreased farm profitability and may be considered as an indicator of likely farm performance. While a causal link remains to be demonstrated, the presence of highly pathogenic enteric parasites may pose a threat to profitable, sustainable small-scale poultry enterprises in Africa. PMID:24391923

Occurrence of Eimeria species parasites on small-scale commercial chicken farms in Africa and indication of economic profitability.

Science.gov (United States)

Fornace, Kimberly M; Clark, Emily L; Macdonald, Sarah E; Namangala, Boniface; Karimuribo, Esron; Awuni, Joseph A; Thieme, Olaf; Blake, Damer P; Rushton, Jonathan

2013-01-01

Small-scale commercial poultry production is emerging as an important form of livestock production in Africa, providing sources of income and animal protein to many poor households, yet the occurrence and impact of coccidiosis on this relatively new production system remains unknown. The primary objective of this study was to examine Eimeria parasite occurrence on small-scale commercial poultry farms in Ghana, Tanzania and Zambia. Additionally, farm economic viability was measured by calculating the farm gross margin and enterprise budget. Using these economic measures as global assessments of farm productivity, encompassing the diversity present in regional husbandry systems with a measure of fundamental local relevance, we investigated the detection of specific Eimeria species as indicators of farm profitability. Faecal samples and data on production parameters were collected from small-scale (less than 2,000 birds per batch) intensive broiler and layer farms in peri-urban Ghana, Tanzania and Zambia. All seven Eimeria species recognised to infect the chicken were detected in each country. Furthermore, two of the three genetic variants (operational taxonomic units) identified previously in Australia have been described outside of Australia for the first time. Detection of the most pathogenic Eimeria species associated with decreased farm profitability and may be considered as an indicator of likely farm performance. While a causal link remains to be demonstrated, the presence of highly pathogenic enteric parasites may pose a threat to profitable, sustainable small-scale poultry enterprises in Africa.

Estimating scaled treatment effects with multiple outcomes.

Science.gov (United States)

Kennedy, Edward H; Kangovi, Shreya; Mitra, Nandita

2017-01-01

In classical study designs, the aim is often to learn about the effects of a treatment or intervention on a single outcome; in many modern studies, however, data on multiple outcomes are collected and it is of interest to explore effects on multiple outcomes simultaneously. Such designs can be particularly useful in patient-centered research, where different outcomes might be more or less important to different patients. In this paper, we propose scaled effect measures (via potential outcomes) that translate effects on multiple outcomes to a common scale, using mean-variance and median-interquartile range based standardizations. We present efficient, nonparametric, doubly robust methods for estimating these scaled effects (and weighted average summary measures), and for testing the null hypothesis that treatment affects all outcomes equally. We also discuss methods for exploring how treatment effects depend on covariates (i.e., effect modification). In addition to describing efficiency theory for our estimands and the asymptotic behavior of our estimators, we illustrate the methods in a simulation study and a data analysis. Importantly, and in contrast to much of the literature concerning effects on multiple outcomes, our methods are nonparametric and can be used not only in randomized trials to yield increased efficiency, but also in observational studies with high-dimensional covariates to reduce confounding bias.

[Validation of the Training Addiction Scale (EAE) in master athletes].

Science.gov (United States)

Ruiz-Juan, Francisco; Zarauz Sancho, Antonio; Arbinaga Ibarzábal, Félix

2013-01-01

Measuring instruments for behavioral addictions tend to not be generalizable to other dependences. The aim is to carry out a process of adaptation of the General Addiction Scale (EAG) (Ramos, Sansebastian & Madoz, 2001), to assess exercise dependence. This test presents a self-administered one-dimensional character capable of measuring the degree of addiction of a subject to all kinds of new addictions, excluding illicit substances of abuse. The scale, after adjustment, was renamed as Training Addiction Scale (EAE). 401 athletes took part of which 82.29% are men and the whole sample indicated an age with M=45.78 and SD = 10.25 years. The confirmatory factor analysis has allowed discriminating a general factor and four subscales, with Cronbach's alpha for each of the sub-scales: Tolerance (α=.78), pleasure-relaxation (α=.77), Lack of Control (α=.77) and Abstinence-craving (α=.71). The indexes of asymmetry and curtosis have been near zero and <2.0. The items showed no overlap between the subscales. The model presented correct values for determining an acceptable goodness of fit of the original model and the results were: χ2 / df = 2.93, IFI = .96, CFI = .96, TLI = .93, SRMR = .039, RMSEA = .049.

A Distance Education Model for Training Substance Abuse Treatment Providers in Cognitive-Behavioral Therapy

Science.gov (United States)

Watson, Donnie W.; Rawson, Richard R.; Rataemane, Solomon; Shafer, Michael S.; Obert, Jeanne; Bisesi, Lorrie; Tanamly, Susie

2003-01-01

This paper presents a rationale for the use of a distance education approach in the clinical training of community substance abuse treatment providers. Developing and testing new approaches to the clinical training and supervision of providers is important in the substance abuse treatment field where new information is always available. A…

Assertiveness training: Effects of treatment, maintenance of change and therapists' contribution in therapy outcome

Directory of Open Access Journals (Sweden)

Tovilović Snežana

2005-01-01

Full Text Available In this research is shown part of results concerning evaluation study of group assertiveness training. Treatment, which has been organized as structured program of assertiveness training, has been applied on 18 groups of subjects during 9 group sessions. This treatment has been adjusted to non-psychiatric clients from our country. Groups were lead by two therapists. During 20 months of our research 215 voluntary participants of full age have joined training groups. Final sample consisted of 158 subjects who had finished treatment and who had fulfilled criteria for taking repeated measurement. Subjects had taken battery of questionnaires before the treatment and eight weeks after they had completed treatment. Subsample, which included 35 subjects from one therapist’s groups, took retest after twice longer time period. Results of conducted research have confirmed the hypothesis concerning the potentiality of assertiveness training to produce expected and significant improvements of treated subjects. Therapy effect is found on symptomatic level through reduction of symptoms of non-assertive behaviors, which were target of the treatment. Contrary to expectation interactive effect of treatment and therapist to reduction of symptoms of non-assertive behavior has been found, which implies need for further investigation of variables that are related to therapists. Through the medium of treatment therapeutic changes in structural level, in domain of general assertiveness, social anxiety and treated subjects' self-concept are produced. The effect of therapy we might consider stabled and maintained after 16 weeks of finishing the treatment.

Are self-report scales as effective as clinician rating scales in measuring treatment response in routine clinical practice?

Science.gov (United States)

Zimmerman, Mark; Walsh, Emily; Friedman, Michael; Boerescu, Daniela A; Attiullah, Naureen

2018-01-01

Recent treatment guidelines have suggested that outcome should be measured in routine clinical practice. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compared three self-report scales of depressive symptoms and the two most widely used clinician administered scales in treatment studies in their sensitivity to change and evaluation of treatment response in depressed patients treated in routine practice. At baseline and 4-month follow-up 153 depressed outpatients with DSM-IV MDD completed the Clinically Useful Depression Outcome Scale (CUDOS), Quick Inventory of Depressive Symptomatology-Self-report version (QIDS-SR), and Patient Health Questionnaire (PHQ-9). The patients were rated on the 17-item Hamilton Depression Rating Scale (HAMD) and the Montgomery-Asberg Depression Rating Scale (MADRS). On each scale treatment response was defined as a 50% or greater reduction in scores from baseline. While there were some differences in the percentage of patients considered to be responders on the different scales, a large effect size was found for each scale, with little variability amongst the scales. The level of agreement between the three self-report scales and the clinician rating scales was approximately the same LIMITATIONS: The present study was conducted in a single clinical practice in which the majority of the patients were white, female, and had health insurance. When measuring outcome in clinical practice the magnitude of change in depressive symptoms is as great on self-report scales as on clinician rating scales. Copyright © 2017 Elsevier B.V. All rights reserved.

Computerized cognitive training in children and adolescents with attention deficit/hyperactivity disorder as add-on treatment to stimulants: feasibility study and protocol description

Directory of Open Access Journals (Sweden)

Virginia de Oliveira Rosa

Full Text Available Abstract Background Cognitive training has received increasing attention as a non-pharmacological approach for the treatment of attention deficit/hyperactivity disorder (ADHD in children and adolescents. Few studies have assessed cognitive training as add-on treatment to medication in randomized placebo controlled trials. The purpose of this preliminary study was to explore the feasibility of implementing a computerized cognitive training program for ADHD in our environment, describe its main characteristics and potential efficacy in a small pilot study. Methods Six ADHD patients aged 10-12-years old receiving stimulants and presenting residual symptoms were enrolled in a randomized clinical trial to either a standard cognitive training program or a controlled placebo condition for 12 weeks. The primary outcome was core ADHD symptoms measured using the Swanson, Nolan and Pelham Questionnaire (SNAP-IV scale. Results We faced higher resistance than expected to patient enrollment due to logistic issues to attend face-to-face sessions in the hospital and to fill the requirement of medication status and absence of some comorbidities. Both groups showed decrease in parent reported ADHD symptoms without statistical difference between them. In addition, improvements on neuropsychological tests were observed in both groups – mainly on trained tasks. Conclusions This protocol revealed the need for new strategies to better assess the effectiveness of cognitive training such as the need to implement the intervention in a school environment to have an assessment with more external validity. Given the small sample size of this pilot study, definitive conclusions on the effects of cognitive training as add-on treatment to stimulants would be premature.

Comparison of attention training and cognitive therapy in the treatment of social phobia: a preliminary investigation.

Science.gov (United States)

Donald, Juliet; Abbott, Maree J; Smith, Evelyn

2014-01-01

Prominent models of social phobia highlight the role played by attentional factors, such as self-focused attention, in the development and maintenance of social phobia. Elevated self-focused attention is associated with increases in self-rated anxiety. Treatments that aim to modify and change attentional processes, specifically self-focused attention, will have a direct effect on social phobia symptoms. Thus, Attention Training targets attentional focus. The present study aimed to investigate the efficacy of Attention Training in comparison to an established treatment for social phobia, Cognitive Therapy. Participants (Intention-to-treat = 45; completers = 30) were allocated to either 6 weeks of Attention Training or Cognitive Therapy. It was hypothesized that both treatments would be effective in reducing social phobia symptoms, but that Attention Training would work primarily by reducing levels of self-focused attention. The results found an overall effectiveness of both treatment conditions in reducing social phobia symptoms. However, Attention Training significantly improved scores on the Self-Focused Attention questionnaire and the Brief Fear of Negative Evaluation questionnaire compared to Cognitive Therapy. Attention Training seems to be a promising treatment for social phobia.

Social-skills and parental training plus standard treatment versus standard treatment for children with ADHD - the randomised SOSTRA trial

DEFF Research Database (Denmark)

Simonsen, Erik; Storebø, Ole Jakob; Gluud, Christian

2012-01-01

Objective To investigate the effects of social-skills training and parental training programme for children with attention deficit hyperactivity disorder (ADHD). Methods We conducted a randomized two-armed, parallel group, assessor-blinded superiority trial consisting of social-skills training plus...... parental training and standard treatment versus standard treatment alone. A sample size calculation showed at least 52 children should be included for the trial with follow up three and six months after randomization. The primary outcome measure was ADHD symptoms and secondary outcomes were social skills...... and emotional competences. Results 56 children (39 boys, 17 girls, mean age 10.4 years, SD 1.31) with ADHD were randomized, 28 to the experimental group and 27 to the control group. Mixed-model analyses with repeated measures showed that the time course (y = a + bt + ct2) of ADHD symptoms (p = 0.40), social...

Military Dog Training Aids: Toxicity and Treatment

Science.gov (United States)

1989-11-10

therapy should be considered. Sunportive therapy, including high levels of broad-spectrum vitamins and a bland diet , should be given. Patients should be...Median lethal dose 11,000 mg/min/m 3 Median incapacitating 3 dose Approx. 80 mg/min/m Rate of detox . Rapid; effects disappear in a few hours 20 3...Dog Training Aids: Toxicity and Treatment," Technical Report, Air Force Occupational and Environmental Health Laboratory (1975) 2. Sporting Arms and

Contemporary Commercial Music Singing Students-Voice Quality and Vocal Function at the Beginning of Singing Training.

Science.gov (United States)

Sielska-Badurek, Ewelina M; Sobol, Maria; Olszowska, Katarzyna; Niemczyk, Kazimierz

2017-10-03

The purpose of this study was to assess the voice quality and the vocal tract function in popular singing students at the beginning of their singing training at the High School of Music. This is a retrospective cross-sectional study. The study consisted of 45 popular singing students (35 females and 10 males, mean age: 19.9 ± 2.8 years). They were assessed in the first 2 months of their 4-year singing training at the High School of Music, between 2013 and 2016. Voice quality and vocal tract function were evaluated using videolaryngostroboscopy, palpation of the vocal tract structures, the perceptual speaking and singing voice assessment, acoustic analysis, maximal phonation time, the Voice Handicap Index, and the Singing Voice Handicap Index (SVHI). Twenty-two percent of Contemporary Commercial Music singing students began their education in the High School, with vocal nodules. Palpation of the vocal tract structure showed in 50% correct motions and tension in speaking and in 39.3% in singing. Perceptual voice assessment showed in 80% proper speaking voice quality and in 82.4% proper singing voice quality. The mean vocal fundamental frequency while speaking in females was 214 Hz and in males was 116 Hz. Dysphonia Severity Index was at the level of 2, and maximum phonation time was 17.7 seconds. The Voice Handicap Index and the SVHI remained within the normal range: 7.5 and 19, respectively. Perceptual singing voice assessment correlated with the SVHI (P = 0.006). Twenty-two percent of the Contemporary Commercial Music singing students began their education in the High School, with organic vocal fold lesions. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

Assessment of commercial lamb meat quality by British and Spanish taste panels.

Science.gov (United States)

Sañudo, C; Nute, G R; Campo, M M; María, G; Baker, A; Sierra, I; Enser, M E; Wood, J D

1998-01-01

Trained sensory panels in Britain and Spain assessed loin meat from commercial lambs purchased in Spain, which included Welsh lamb (imported from Britain) and two Spanish breeds (Merino and Rasa Aragonesa). The British panel also assessed British lamb purchased in local butcher shops and supermarkets. Sensory panels, in each country, received meat from the same lambs and used their local methods of cooking and assessment. Spanish panels used unstructured line scales to measure lamb odour intensity, tenderness, juiciness, lamb flavour intensity and two hedonic scales of flavour liking and overall liking. The British panel used 8 point category scales with the same attributes. Results from both panels in objective parameters were in agreement, hence showing that different trained sensory panels may arrive at the same conclusion. However, when panellists were allowed to make hedonic judgements (preference), the British panel preferred British lamb and the Spanish panel preferred Spanish lamb. This finding has important consequences for lamb producers who export their lambs and demonstrates that the underlying reasons for different preferences should be investigated. Production variables are discussed in relation to their influence on lamb eating quality and as a way to tailor lamb eating quality attributes familiar to consumers in the importing country.

A Commercialization Roadmap for Carbon-Negative Energy Systems

Science.gov (United States)

Sanchez, D.

2016-12-01

The Intergovernmental Panel on Climate Change (IPCC) envisages the need for large-scale deployment of net-negative CO2 emissions technologies by mid-century to meet stringent climate mitigation goals and yield a net drawdown of atmospheric carbon. Yet there are few commercial deployments of BECCS outside of niche markets, creating uncertainty about commercialization pathways and sustainability impacts at scale. This uncertainty is exacerbated by the absence of a strong policy framework, such as high carbon prices and research coordination. Here, we propose a strategy for the potential commercial deployment of BECCS. This roadmap proceeds via three steps: 1) via capture and utilization of biogenic CO2 from existing bioenergy facilities, notably ethanol fermentation, 2) via thermochemical co-conversion of biomass and fossil fuels, particularly coal, and 3) via dedicated, large-scale BECCS. Although biochemical conversion is a proven first market for BECCS, this trajectory alone is unlikely to drive commercialization of BECCS at the gigatonne scale. In contrast to biochemical conversion, thermochemical conversion of coal and biomass enables large-scale production of fuels and electricity with a wide range of carbon intensities, process efficiencies and process scales. Aside from systems integration, primarily technical barriers are involved in large-scale biomass logistics, gasification and gas cleaning. Key uncertainties around large-scale BECCS deployment are not limited to commercialization pathways; rather, they include physical constraints on biomass cultivation or CO2 storage, as well as social barriers, including public acceptance of new technologies and conceptions of renewable and fossil energy, which co-conversion systems confound. Despite sustainability risks, this commercialization strategy presents a pathway where energy suppliers, manufacturers and governments could transition from laggards to leaders in climate change mitigation efforts.

Wii Fit balance training or progressive balance training in patients with chronic stroke: a randomised controlled trial

Science.gov (United States)

Yatar, Gozde Iyigun; Yildirim, Sibel Aksu

2015-01-01

[Purpose] The aim of this study was to compare the effects of Wii Fit balance training (WBT) and progressive balance training (PBT) approaches on balance functions, balance confidence, and activities of daily living in chronic stroke patients. [Subjects] A total of 30 patients were randomized into the WBT (n=15) and PBT (n=15) groups. [Methods] All of the subjects received exercise training based on a neurodevelopemental approach in addition to either Wii Fit or progressive balance training for total of 1 hour a day, 3 days per week for 4 weeks. Primary measurements were static balance function measured with a Wii Balance Board and dynamic balance function assessed with the Berg Balance Scale, Timed Up and Go test, Dynamic Gait Index, and Functional Reach Test. Secondary measures were balance confidence assessed with the Activities-specific Balance Confidence scale and activities of daily living evaluated with the Frenchay Activity Index. [Results] There was not remarkable difference between the two treatments in dynamic balance functions, balance confidence, and activities of daily living. [Conclusion] Although both of the approaches were found to be effective in improving the balance functions, balance confidence, and activities of daily living, neither of them were more preferable than the other for the treatment of balance in patients with chronic stroke. PMID:25995576

Wii Fit balance training or progressive balance training in patients with chronic stroke: a randomised controlled trial.

Science.gov (United States)

Yatar, Gozde Iyigun; Yildirim, Sibel Aksu

2015-04-01

[Purpose] The aim of this study was to compare the effects of Wii Fit balance training (WBT) and progressive balance training (PBT) approaches on balance functions, balance confidence, and activities of daily living in chronic stroke patients. [Subjects] A total of 30 patients were randomized into the WBT (n=15) and PBT (n=15) groups. [Methods] All of the subjects received exercise training based on a neurodevelopemental approach in addition to either Wii Fit or progressive balance training for total of 1 hour a day, 3 days per week for 4 weeks. Primary measurements were static balance function measured with a Wii Balance Board and dynamic balance function assessed with the Berg Balance Scale, Timed Up and Go test, Dynamic Gait Index, and Functional Reach Test. Secondary measures were balance confidence assessed with the Activities-specific Balance Confidence scale and activities of daily living evaluated with the Frenchay Activity Index. [Results] There was not remarkable difference between the two treatments in dynamic balance functions, balance confidence, and activities of daily living. [Conclusion] Although both of the approaches were found to be effective in improving the balance functions, balance confidence, and activities of daily living, neither of them were more preferable than the other for the treatment of balance in patients with chronic stroke.

Autogenic-Feedback Training: A Potential Treatment for Orthostatic Intolerance in Aerospace Crews

Science.gov (United States)

Cowings, P. S.; Toscano, W. B.; Miller, N. E.; Pickering, T. G.; Shapiro, D.; Stevenson, J.; Maloney, S.; Knapp, J.

1994-01-01

Postflight orthostatic intolerance has been identified as a serious biomedical problem associated with long-duration exposure to microgravity in space. High priority has been given to the development of countermeasures for this disorder that are both effective and practical. A considerable body of clinical research has demonstrated that people can be taught to increase their own blood pressure voluntarily, and that this is an effective treatment for chronic orthostatic intolerance in paralyzed patients. The current pilot study was designed to examine the feasibility of adding training in control of blood pressure to an existing preflight training program designed to facilitate astronaut adaptation to microgravity. Using an operant conditioning procedure, autogenic-feedback training (AFT), three men and two women participated in four to nine training (15-30-minute) sessions. At the end of training, the average increase in systolic and diastolic pressure, as well as mean arterial pressures, that the subjects made ranged between 20 and 50 mm Hg under both supine and 45 deg head-up tilt conditions. These findings indicate that AFT may be a useful alternative treatment or supplement to existing approaches for preventing postflight orthostatic intolerance. Furthermore, the use of operant conditioning methods for training cardiovascular responses may contribute to the general understanding of the mechanisms of orthostatic intolerance.

Social skills training for juvenile delinquents : post-treatment changes

NARCIS (Netherlands)

van der Stouwe, Trudy; Asscher, Jessica J.; Hoeve, Machteld; van der Laan, Peter H.; Stams, Geert Jan J M

2016-01-01

Objectives: To examine the post-treatment effectiveness of an outpatient, individual social skills training for juvenile delinquents in the Netherlands and to conduct moderator tests for age, gender, ethnicity, and risk of reoffending. Methods: The sample consisted of juveniles who received Tools4U,

Social Skills Training for Juvenile Delinquents: Post-Treatment Changes

NARCIS (Netherlands)

van der Stouwe, Trudy; Asscher, J.J.; Stams, G.J.J.M.; Hoeve, M.; van der Laan, Peter H.

2016-01-01

Objectives: To examine the post-treatment effectiveness of an outpatient, individual social skills training for juvenile delinquents in the Netherlands and to conduct moderator tests for age, gender, ethnicity, and risk of reoffending. Methods: The sample consisted of juveniles who received Tools4U,

Social skills training for juvenile delinquents : Post-treatment changes

NARCIS (Netherlands)

van der Stouwe, T.; Asscher, J.J.; Hoeve, M.; van der Laan, P.H.; Stams, G.J.J.M.

2016-01-01

Objectives To examine the post-treatment effectiveness of an outpatient, individual social skills training for juvenile delinquents in the Netherlands and to conduct moderator tests for age, gender, ethnicity, and risk of reoffending. Methods The sample consisted of juveniles who received Tools4U, a

Strength training and testosterone treatment have opposing effects on migration inhibitor factor levels in ageing men

DEFF Research Database (Denmark)

Glintborg, D.; Christensen, L. L.; Kvorning, T.

2013-01-01

Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men......Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men...

Effect of Voluntary Ethanol Consumption Combined with Testosterone Treatment on Cardiovascular Function in Rats: Influence of Exercise Training.

Directory of Open Access Journals (Sweden)

Sheila A Engi

Full Text Available This study evaluated the effects of voluntary ethanol consumption combined with testosterone treatment on cardiovascular function in rats. Moreover, we investigated the influence of exercise training on these effects. To this end, male rats were submitted to low-intensity training on a treadmill or kept sedentary while concurrently being treated with ethanol for 6 weeks. For voluntary ethanol intake, rats were given access to two bottles, one containing ethanol and other containing water, three 24-hour sessions per week. In the last two weeks (weeks 5 and 6, animals underwent testosterone treatment concurrently with exercise training and exposure to ethanol. Ethanol consumption was not affected by either testosterone treatment or exercise training. Also, drug treatments did not influence the treadmill performance improvement evoked by training. However, testosterone alone, but not in combination with ethanol, reduced resting heart rate. Moreover, combined treatment with testosterone and ethanol reduced the pressor response to the selective α1-adrenoceptor agonist phenylephrine. Treatment with either testosterone or ethanol alone also affected baroreflex activity and enhanced depressor response to acetylcholine, but these effects were inhibited when drugs were coadministrated. Exercise training restored most cardiovascular effects evoked by drug treatments. Furthermore, both drugs administrated alone increased pressor response to phenylephrine in trained animals. Also, drug treatments inhibited the beneficial effects of training on baroreflex function. In conclusion, the present results suggest a potential interaction between toxic effects of testosterone and ethanol on cardiovascular function. Data also indicate that exercise training is an important factor influencing the effects of these substances.

Large-scale distribution of tritium in a commercial product

International Nuclear Information System (INIS)

Combs, F.; Doda, R.J.

1979-01-01

Tritium enters the environment from various sources including nuclear reactor operations, weapons testing, natural production, and from the manufacture, use and ultimate disposal of commercial products containing tritium. A recent commercial application of tritium in the United States of America involves the backlighting of liquid crystal displays (LCD) in digital electronic watches. These watches are distributed through normal commercial channels to the general public. One million curies (MCi) of tritium were distributed in 1977 in this product. This is a significant quantity of tritium compared with power reactor-produced tritium (3MCi yearly) or with naturally produced tritium (6MCi yearly). This is the single largest commercial application involving tritium to date. The final disposition of tritium from large quantities of this product, after its useful life, must be estimated by considering the means of disposal and the possibility of dispersal of tritium concurrent with disposal. The most likely method of final disposition of this product will be disposal in solid refuse; this includes burial in land fills and incineration. Burial in land fills will probably contain the tritium for its effective lifetime, whereas incineration will release all the tritium gas (as the oxide) to the atmosphere. The use and disposal of this product will be studied as part of an environmental study that is at present being prepared for the U.S. Nuclear Regulatory Commission. (author)

A feasible approach to implement a commercial scale CANDU fuel manufacturing plant in Egypt

International Nuclear Information System (INIS)

El-Shehawy, I.; El-Sharaky, M.; Yasso, K.; Selim, I.; Graham, N.; Newington, D.

1995-01-01

Many planning scenarios have been examined to assess and evaluate the economic estimates for implementing a commercial scale CANDU fuel manufacturing plant in Egypt. The cost estimates indicated strong influence of the annual capital costs on total fuel manufacturing cost; this is particularly evident in a small initial plant where the proposed design output is only sufficient to supply reload fuel for a single CANDU-6 reactor. A modular approach is investigated as a possible way, to reduce the capital costs for a small initial fuel plant. In this approach the plant would do fuel assembly operations only and the remainder of a plant would be constructed and equipped in the stages when high production volumes can justify the capital expenses. Such approach seems economically feasible for implementing a small scale CANDU fuel manufacturing plant in developing countries such as Egypt and further improvement could be achieved over the years of operation. (author)

Cognitive Flexibility Training: A Large-Scale Multimodal Adaptive Active-Control Intervention Study in Healthy Older Adults

Directory of Open Access Journals (Sweden)

Jessika I. V. Buitenweg

2017-11-01

Full Text Available As aging is associated with cognitive decline, particularly in the executive functions, it is essential to effectively improve cognition in older adults. Online cognitive training is currently a popular, though controversial method. Although some changes seem possible in older adults through training, far transfer, and longitudinal maintenance are rarely seen. Based on previous literature we created a unique, state-of-the-art intervention study by incorporating frequent sessions and flexible, novel, adaptive training tasks, along with an active control group. We created a program called TAPASS (Training Project Amsterdam Seniors and Stroke, a randomized controlled trial. Healthy older adults (60–80 y.o. were assigned to a frequent- (FS or infrequent switching (IS experimental condition or to the active control group and performed 58 half-hour sessions over the course of 12 weeks. Effects on executive functioning, processing- and psychomotor speed, planning, verbal long term memory, verbal fluency, and reasoning were measured on four time points before, during and after the training. Additionally, we examined the explorative question which individual aspects added to training benefit. Besides improvements on the training, we found significant time effects on multiple transfer tasks in all three groups that likely reflected retest effects. No training-specific improvements were detected, and we did not find evidence of additional benefits of individual characteristics. Judging from these results, the therapeutic value of using commercially available training games to train the aging brain is modest, though any apparent effects should be ascribed more to expectancy and motivation than to the elements in our training protocol. Our results emphasize the importance of using parallel tests as outcome measures for transfer and including both active and passive control conditions. Further investigation into different training methods is advised

Use of hippotherapy in gait training for hemiparetic post-stroke.

Science.gov (United States)

Beinotti, Fernanda; Correia, Nilzete; Christofoletti, Gustavo; Borges, Guilherme

2010-12-01

To evaluate the hippotherapy influence on gait training in post-stroke hemiparetic individuals. The study was constituted of 20 individuals divided into two groups. Group A performed the conventional treatment while group B the conventional treatment along with hippotherapy during 16 weeks. The patients were evaluated by using the Functional Ambulation Category Scale, Fugl-Meyer Scale, only the lower limbs and balance sub items, Berg Balance Scale, and functional assessment of gait (cadence) in the beginning and end of the treatment. Significant improvements were observed in the experimental group including motor impairment in lower limbs (p=0.004), balance, over time (p=0.007) but a significant trend between groups (p=0.056). The gait independence, cadence and speed were not significantly in both groups (p=0.93, 0.69 and 0.44). Hippotherapy associated with conventional physical therapy demonstrates a positive influence in gait training, besides bringing the patients' gait standard closer to normality than the control group.

Use of hippotherapy in gait training for hemiparetic post-stroke

Directory of Open Access Journals (Sweden)

Fernanda Beinotti

2010-12-01

Full Text Available OBJECTIVE: To evaluate the hippotherapy influence on gait training in post-stroke hemiparetic individuals. METHOD: The study was constituted of 20 individuals divided into two groups. Group A performed the conventional treatment while group B the conventional treatment along with hippotherapy during 16 weeks. The patients were evaluated by using the Functional Ambulation Category Scale, Fugl-Meyer Scale, only the lower limbs and balance sub items, Berg Balance Scale, and functional assessment of gait (cadence in the beginning and end of the treatment. RESULTS: Significant improvements were observed in the experimental group including motor impairment in lower limbs (p=0.004, balance, over time (p=0.007 but a significant trend between groups (p=0.056. The gait independence, cadence and speed were not significantly in both groups (p=0.93, 0.69 and 0.44. CONCLUSION: Hippotherapy associated with conventional physical therapy demonstrates a positive influence in gait training, besides bringing the patients' gait standard closer to normality than the control group.

Water Treatment Plant Operation. Volume II. A Field Study Training Program.

Science.gov (United States)

California State Univ., Sacramento. School of Engineering.

The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

Water Treatment Plant Operation. Volume I. A Field Study Training Program.

Science.gov (United States)

California State Univ., Sacramento. School of Engineering.

The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

Barkley's Parent Training Program, Working Memory Training and their Combination for Children with ADHD: Attention Deficit Hyperactivity Disorder.

Directory of Open Access Journals (Sweden)

Zahra Hosainzadeh Maleki

2014-06-01

Full Text Available The aim of the current study was to examine the effectiveness of Barkley's parent training program, working memory training and the combination of these two interventions for children with Attention deficit hyperactivity disorder (ADHD.In this study, 36 participants with ADHD (aged 6 to 12 years were selected by convenience sampling. Revision of the Swanson, Nolan and Pelham (SNAP questionnaire (SNAP-IV, Child Behavior Checklist (CBCL and clinical interviews were employed to diagnose ADHD. Wechsler Intelligence Scale for Children-Fourth Edition was also implemented. The participants were randomly assigned to the three intervention groups of Barkley's parent training program, working memory training and the combined group. SNAP-IV and CBCL were used as pre-tests and post-tests across all three groups. Data were analyzed using MANCOVA (SPSS version18.There was a significant difference (p< 0.05 in the decline of attention deficit and hyperactivity /impulsivity symptoms between the combined treatment group and working memory training group and also between the combined treatment group and the parent training group in SNAP. In terms of attention problems (experience-based subscales of CBCL, there was a significant difference (p< 0.001 between the combined treatment group and working memory training group. Furthermore, compared to the working memory training and parent training groups, the combined group demonstrated a significant decline (p< 0.01 in clinical symptoms of ADHD (based on DSM.It was revealed that combined treatment in comparison with the other two methods suppressed the clinical symptoms of ADHD more significantly.

A MILP-based heuristic for a commercial train timetabling problem

OpenAIRE

Gestrelius, Sara; Aronsson, Martin; Peterson, Anders

2017-01-01

Using mathematical methods to support the yearly timetable planning process has many advantages. Unfortunately, the train timetabling problem for large geographical areas and many trains is intractable for optimization models alone. In this paper, we therefore present a MILP-based heuristic that has been designed to generate good-enough timetables for large geographical areas and many trains. In the incremental fix and release heuristic (IFRH), trains are added to the timetable in batches. Fo...

Does Wechsler Intelligence Scale administration and scoring proficiency improve during assessment training?

Science.gov (United States)

Platt, Tyson L; Zachar, Peter; Ray, Glen E; Lobello, Steven G; Underhill, Andrea T

2007-04-01

Studies have found that Wechsler scale administration and scoring proficiency is not easily attained during graduate training. These findings may be related to methodological issues. Using a single-group repeated measures design, this study documents statistically significant, though modest, error reduction on the WAIS-III and WISC-III during a graduate course in assessment. The study design does not permit the isolation of training factors related to error reduction, or assessment of whether error reduction is a function of mere practice. However, the results do indicate that previous study findings of no or inconsistent improvement in scoring proficiency may have been the result of methodological factors. Implications for teaching individual intelligence testing and further research are discussed.

Interpersonal Problem-Solving Skills Training in the Treatment of Self-Poisoning Patients.

Science.gov (United States)

McLeavey, B. C.; And Others

1994-01-01

Evaluated the effectiveness of interpersonal problem-solving skills training (IPSST) for the treatment of self-poisoning patients. Subjects were assigned randomly either to IPSST or to a control treatment. Although both treatments reduced the number of presenting problems, the IPSST was more effective as determined by other outcome measures. (RJM)

ACCOUNTING TREATMENTS SPECIFIC TO COUNTERPART COMMERCIAL TRANSACTIONS

Directory of Open Access Journals (Sweden)

Lucia PALIU - POPA

2010-12-01

Full Text Available Given the lack of availability of funds in foreign currency, felt in many countries, especially in the developing and developed countries and the economic or financial crisis in the global foreign exchange, counterpart commercial transactions were imposed as a “disarming” condition of the international trade. In the counterpart a purchase transaction is combined with a sale transaction, an import with an export in order to ensure balanced trade between the partners, trade that involves eliminating or reducing the currency as a payment source and its replacement with trade of goods and services. Thus, in the context of an acute need to export of greatly industrialized countries, where the overproduction phenomenon tends to have a chronic character, the counterpart has become a highly complex and sustainable phenomenon, which has seen a steady increase in the volume of amounts, with a geographical area and large variety of forms and mechanisms of implementation. Based on the characteristics and structure of counterpart transactions, we shall describe in this paper the accounting models specific to international trade, as part of the combined foreign trade transactions without neglecting the tax treatments that influence the entry in the accounts

The feasibility of cognitive adaptation training for outpatients with schizophrenia in integrated treatment

DEFF Research Database (Denmark)

Hansen, Jens Peter; Østergaard, Birte; Nordentoft, Merete

2013-01-01

Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark. In this ...

Effects of Behavioral Skills Training on Parental Treatment of Children's Food Selectivity

Science.gov (United States)

Seiverling, Laura; Williams, Keith; Sturmey, Peter; Hart, Sadie

2012-01-01

We used behavioral skills training to teach parents of 3 children with autism spectrum disorder and food selectivity to conduct a home-based treatment package that consisted of taste exposure, escape extinction, and fading. Parent performance following training improved during both taste sessions and probe meals and was reflected in increases in…

Treatment of post-stroke dysphagia by vitalstim therapy coupled with conventional swallowing training.

Science.gov (United States)

Xia, Wenguang; Zheng, Chanjuan; Lei, Qingtao; Tang, Zhouping; Hua, Qiang; Zhang, Yangpu; Zhu, Suiqiang

2011-02-01

To investigate the effects of VitalStim therapy coupled with conventional swallowing training on recovery of post-stroke dysphagia, a total of 120 patients with post-stroke dysphagia were randomly and evenly divided into three groups: conventional swallowing therapy group, VitalStim therapy group, and VitalStim therapy plus conventional swallowing therapy group. Prior to and after the treatment, signals of surface electromyography (sEMG) of swallowing muscles were detected, swallowing function was evaluated by using the Standardized Swallowing Assessment (SSA) and Videofluoroscopic Swallowing Study (VFSS) tests, and swallowing-related quality of life (SWAL-QOL) was evaluated using the SWAL-QOL questionnaire. There were significant differences in sEMG value, SSA, VFSS, and SWAL-QOL scores in each group between prior to and after treatment. After 4-week treatment, sEMG value, SSA, VFSS and SWAL-QOL scores were significantly greater in the VitalStim therapy plus conventional swallowing training group than in the conventional swallowing training group and VitalStim therapy group, but no significant difference existed between conventional swallowing therapy group and VitalStim therapy group. It was concluded that VitalStim therapy coupled with conventional swallowing training was conducive to recovery of post-stroke dysphagia.

System Evaluation and Life-Cycle Cost Analysis of a Commercial-Scale High-Temperature Electrolysis Hydrogen Production Plant

Energy Technology Data Exchange (ETDEWEB)

Edwin A. Harvego; James E. O' Brien; Michael G. McKellar

2012-11-01

Results of a system evaluation and lifecycle cost analysis are presented for a commercial-scale high-temperature electrolysis (HTE) central hydrogen production plant. The plant design relies on grid electricity to power the electrolysis process and system components, and industrial natural gas to provide process heat. The HYSYS process analysis software was used to evaluate the reference central plant design capable of producing 50,000 kg/day of hydrogen. The HYSYS software performs mass and energy balances across all components to allow optimization of the design using a detailed process flow sheet and realistic operating conditions specified by the analyst. The lifecycle cost analysis was performed using the H2A analysis methodology developed by the Department of Energy (DOE) Hydrogen Program. This methodology utilizes Microsoft Excel spreadsheet analysis tools that require detailed plant performance information (obtained from HYSYS), along with financial and cost information to calculate lifecycle costs. The results of the lifecycle analyses indicate that for a 10% internal rate of return, a large central commercial-scale hydrogen production plant can produce 50,000 kg/day of hydrogen at an average cost of $2.68/kg. When the cost of carbon sequestration is taken into account, the average cost of hydrogen production increases by $0.40/kg to $3.08/kg.

[The model program of psycho-social treatment and staff training].

Science.gov (United States)

Ikebuchi, Emi

2012-01-01

The model program of psycho-social treatment and staff training were reported in this issue. The mission of model program is supporting recovery of persons with mental illness and their family as well as empowering their hope and sense of values. The personal support specialists belonging to multi-disciplinary team have responsibility to support life-long process of recovery across hospitalization, out-patients clinic, day treatment, and outreach service. The shared value of multi-disciplinary team (the community life supporting team) is recovery so that the team renders self directive life, various alternatives of their lives, and peer group with models of recovery to persons with mental illness. There should be several technologies which are used in the team such as engagement, psycho-education, cognitive-behavior therapy, care-management, cooperating with other resources. The responsibility, assessment and evaluation techniques, guarantee of opportunities for training, and auditing system of the team and process of treatment are important factors to educate team staff. Raising effective multi-disciplinary team requires existence of a mentor or good model near the team.

Commercial Motor Vehicle Driving Safety Website

OpenAIRE

Tidwell, Scott; Trimble, Tammy; Blanco, Myra

2016-01-01

This report documents the CMV Driving Safety website (http://cmvdrivingsafety.org/), which was created by the National Surface Transportation Safety Center for Excellence (NSTSCE) as an outreach effort to assist commercial motor vehicle (CMV) fleets and drivers, driver trainers, CMV training schools, and insurance companies. The website contains 15 unique pages and provides six downloadable training modules on driver distraction, driver health, hours of service, driver drowsiness and fatigue,...

A Study on the Revitalizing of technology commercialization in KAERI

International Nuclear Information System (INIS)

Choi, J. I.; Jang, S. K.; Hong, G. P.; Lee, E. S.

2009-02-01

The TEC training program should be implemented for researches who want to commercialize their own technologies. To build creative organization culture is essential for technology commercialization. Collaboration strategy is related to analyze how KAERI is catching up their technological capabilities in nuclear technology, and what the success factors of KAERI in technology commercialization are.

Rasmussen's model of human behavior in laparoscopy training.

Science.gov (United States)

Wentink, M; Stassen, L P S; Alwayn, I; Hosman, R J A W; Stassen, H G

2003-08-01

Compared to aviation, where virtual reality (VR) training has been standardized and simulators have proven their benefits, the objectives, needs, and means of VR training in minimally invasive surgery (MIS) still have to be established. The aim of the study presented is to introduce Rasmussen's model of human behavior as a practical framework for the definition of the training objectives, needs, and means in MIS. Rasmussen distinguishes three levels of human behavior: skill-, rule-, and knowledge-based behaviour. The training needs of a laparoscopic novice can be determined by identifying the specific skill-, rule-, and knowledge-based behavior that is required for performing safe laparoscopy. Future objectives of VR laparoscopy trainers should address all three levels of behavior. Although most commercially available simulators for laparoscopy aim at training skill-based behavior, especially the training of knowledge-based behavior during complications in surgery will improve safety levels. However, the cost and complexity of a training means increases when the training objectives proceed from the training of skill-based behavior to the training of complex knowledge-based behavior. In aviation, human behavior models have been used successfully to integrate the training of skill-, rule-, and knowledge-based behavior in a full flight simulator. Understanding surgeon behavior is one of the first steps towards a future full-scale laparoscopy simulator.

Field Experience with and Potential for Multi-time Scale Grid Transactions from Responsive Commercial Buildings

Energy Technology Data Exchange (ETDEWEB)

Piette, Mary Ann; Kiliccote, Sila; Ghatikar, Girish

2014-08-01

The need for and concepts behind demand response are evolving. As the electric system changes with more intermittent renewable electric supply systems, there is a need to allow buildings to provide more flexible demand. This paper presents results from field studies and pilots, as well as engineering estimates of the potential capabilities of fast load responsiveness in commercial buildings. We present a sector wide analysis of flexible loads in commercial buildings, which was conducted to improve resource planning and determine which loads to evaluate in future demonstrations. These systems provide important capabilities for future transactional systems. The field analysis is based on results from California, plus projects in the northwest and east coast. End-uses considered include heating, ventilation, air conditioning and lighting. The timescales of control include day-ahead, as well as day-of, 10-minute ahead and even faster response. This technology can provide DR signals on different times scales to interact with responsive building loads. We describe the latency of the control systems in the building and the round trip communications with the wholesale grid operators.

Xbox Kinect training to improve clinical measures of balance in older adults: a pilot study.

Science.gov (United States)

Bieryla, Kathleen A

2016-06-01

Falls are a leading cause of injury and death for old adults, with one risk factor for falls being balance deficits. The low cost (balance intervention tools. To investigate the feasibility of using the Xbox Kinect for training to improve clinical measures of balance in old adults and retain improvements after a period of time. Thirteen healthy old adults (aged 70+ years) were randomly divided into two groups. The experimental group completed Kinect training three times a week for 3 weeks while the control group continued with normal activities. Four clinical measures of balance were assessed before training, 1 week and 1 month after training: Berg balance scale (BBS), Fullerton advanced balance (FAB) scale, functional reach (FR), and timed up and go (TUG). The ability to implement the training program was successful. The experimental group significantly increased their BBS and FAB after training while the control group did not. There was no significant change for either groups with FR and TUG. A training program using the Kinect with commercially available games was feasible with old adults. Kinect training may be an inexpensive way for old adults to receive helpful feedback encouraging them to continue with balance training program in their home.

Commercial Ion Exchange Resin Vitrification in Borosilicate Glass

International Nuclear Information System (INIS)

Cicero-Herman, C.A.; Workman, P.; Poole, K.; Erich, D.; Harden, J.

1998-05-01

Bench-scale studies were performed to determine the feasibility of vitrification treatment of six resins representative of those used in the commercial nuclear industry. Each resin was successfully immobilized using the same proprietary borosilicate glass formulation. Waste loadings varied from 38 to 70 g of resin/100 g of glass produced depending on the particular resin, with volume reductions of 28 percent to 68 percent. The bench-scale results were used to perform a melter demonstration with one of the resins at the Clemson Environmental Technologies Laboratory (CETL). The resin used was a weakly acidic meth acrylic cation exchange resin. The vitrification process utilized represented a approximately 64 percent volume reduction. Glass characterization, radionuclide retention, offgas analyses, and system compatibility results will be discussed in this paper

A review of water treatment membrane nanotechnologies

KAUST Repository

Pendergast, MaryTheresa M.; Hoek, Eric M.V.

2011-01-01

readiness was based on known or anticipated material costs, scalability (for large scale water treatment applications), and compatibility with existing manufacturing infrastructure. Overall, bio-inspired membranes are farthest from commercial reality

Extension of Small-Scale Postharvest Horticulture Technologies—A Model Training and Services Center

Directory of Open Access Journals (Sweden)

Lisa Kitinoja

2015-07-01

Full Text Available A pilot Postharvest Training and Services Center (PTSC was launched in October 2012 in Arusha, Tanzania as part of a United States Agency for International Development (USAID funded project. The five key components of the PTSC are (1 training of postharvest trainers, (2 postharvest training and demonstrations for local small-scale clientele, (3 adaptive research, (4 postharvest services, and (5 retail sales of postharvest tools and supplies. During the years of 2011–2012, a one year e-learning program was provided to 36 young horticultural professionals from seven Sub-Saharan African countries. These postharvest specialists went on to train more than 13,000 local farmers, extension workers, food processors, and marketers in their home countries in the year following completion of their course. Evaluators found that these specialists had trained an additional 9300 people by November 2014. When asked about adoption by their local trainees, 79% reported examples of their trainees using improved postharvest practices. From 2012–2013, the project supported 30 multi-day training programs, and the evaluation found that many of the improved practices being promoted were adopted by the trainees and led to increased earnings. Three PTSC components still require attention. Research activities initiated during the project are incomplete, and successful sales of postharvest goods and services will require commitment and improved partnering.

Attitudes and preferences towards exercise training in individuals with alcohol use disorders in a residential treatment setting.

Science.gov (United States)

Stoutenberg, Mark; Warne, James; Vidot, Denise; Jimenez, Erika; Read, Jennifer P

2015-02-01

Alcohol use disorders (AUD) are a major public health concern due to their association with several acute and chronic health conditions. Exercise training offers a myriad of physical and mental health benefits, and may be a promising adjunct intervention for those in AUD treatment. The purpose of this study was to explore the possible role of exercise training as a treatment strategy by examining the attitudes, beliefs, and preferences of individuals entering residential AUD treatment. Surveys were administered to eligible individuals with AUD within 2days of intake to one of two residential treatment centers. The survey asked respondents about their attitudes, beliefs, and preferences towards exercise training as a part of their residential treatment. Respondents were in favor of receiving exercise counseling as part of their treatment (70.6%), in a face-to-face format (90.0%), and from an exercise counselor at the treatment center (55.5%). The top reported benefits included: improved health, feeling good about oneself, and feeling more confident. The most commonly reported barriers to exercise training included transportation issues, lack of motivation, knowledge, and proper equipment, and cost. Our study supports previous work in individuals with substance abuse disorders and suggests that exercise training would be widely accepted as a part of residential treatment for AUD. This study also identified several strategies that can be used to individualize exercise training programs to better meet the needs of AUD patients and maximize their participation in future interventions. Copyright © 2015 Elsevier Inc. All rights reserved.

TAX TREATMENT SPECIFIC TO INTRA COMMUNITY COMMERCIAL BUSINESS TRANSACTIONS - ACQUISITION AND INTRA-COMMUNITY SUPPLY OF GOODS

Directory of Open Access Journals (Sweden)

Paliu -Popa Lucia

2009-11-01

Full Text Available Romania's accession to the European Union has imposed harmonize national legislation with Community law, registering significant changes in the tax area, particularly on value added tax. In order to determine the person liable to pay value added tax, related to intra-community commercial transactions, must to clarify tax matters for those operations. Given the complexity of intra-community commercial transactions and their taxation, in the following issues we will address the intra-community trade in goods, with reference to specific tax treatment of supplies and intra-community acquisitions of goods. To do this we will consider more specific situations that arise in trade relationship between EU Member States, examples that will allow us to draw some conclusions on tax matters arising in intracommunity commercial relationship

Multi-center randomized controlled trial of cognitive treatment, placebo, oxybutynin, bladder training, and pelvic floor training in children with functional urinary incontinence

NARCIS (Netherlands)

van Gool, Jan D.; de Jong, Tom P. V. M.; Winkler-Seinstra, Pauline; Tamminen-Moebius, Tytti; Lax, Hildegard; Hirche, Herbert; Nijman, Rien J. M.; Hjalmas, Kelm; Jodal, Ulf; Bachmann, Hannsjoerg; Hoebeke, Piet; Vande Walle, Johan; Misselwitz, Joachim; John, Ulrike; Bael, An

Objective Functional urinary incontinence causes considerable morbidity in 8.4% of school-age children, mainly girls. To compare oxybutynin, placebo, and bladder training in overactive bladder (OAB), and cognitive treatment and pelvic floor training in dysfunctional voiding (DV), a multi-center

Multi-center randomized controlled trial of cognitive treatment, placebo, oxybutynin, bladder training, and pelvic floor training in children with functional urinary incontinence

NARCIS (Netherlands)

van Gool, Jan D.; de Jong, Tom P. V. M.; Winkler-Seinstra, Pauline; Tamminen-Möbius, Tytti; Lax, Hildegard; Hirche, Herbert; Nijman, Rien J. M.; Hjälmås, Kelm; Jodal, Ulf; Bachmann, Hannsjörg; Hoebeke, Piet; Walle, Johan Vande; Misselwitz, Joachim; John, Ulrike; Bael, An

2014-01-01

Functional urinary incontinence causes considerable morbidity in 8.4% of school-age children, mainly girls. To compare oxybutynin, placebo, and bladder training in overactive bladder (OAB), and cognitive treatment and pelvic floor training in dysfunctional voiding (DV), a multi-center controlled

Training Research: Practical Recommendations for Maximum Impact

Science.gov (United States)

Beidas, Rinad S.; Koerner, Kelly; Weingardt, Kenneth R.; Kendall, Philip C.

2011-01-01

This review offers practical recommendations regarding research on training in evidence-based practices for mental health and substance abuse treatment. When designing training research, we recommend: (a) aligning with the larger dissemination and implementation literature to consider contextual variables and clearly defining terminology, (b) critically examining the implicit assumptions underlying the stage model of psychotherapy development, (c) incorporating research methods from other disciplines that embrace the principles of formative evaluation and iterative review, and (d) thinking about how technology can be used to take training to scale throughout all stages of a training research project. An example demonstrates the implementation of these recommendations. PMID:21380792

Program Incubation and Commercialization Best Practices Report

Energy Technology Data Exchange (ETDEWEB)

Richardson, Shannon

2018-04-06

As a reminder, the primary task of the 4C Program is to increase the commercialization rate of cleantech companies in California. Commercialization, broadly defined, is the innovation continuum of developing and introducing a new product or service into the market. For measurability, the 4C Program defines commercialization as encompassing a startup’s: (a) preparation, (b) incubation, (c) commercial-scale pilot / demonstration, and (d) first customer.

The effect of rater training on scoring performance and scale-specific expertise amongst occupational therapists participating in a multicentre study

DEFF Research Database (Denmark)

Hansen, Tina; Elholm Madsen, Esben; Sørensen, Annette

2016-01-01

Gill Ingestive Skills Assessment (MISA) they observe, interpret and record occupational performance of dysphagic clients participating in a meal. This is a highly complex task, which might introduce unwanted variability in measurement scores. A 2-day rater training programme was developed and this builds...... of the training on scoring performance and scale-specific expertise amongst raters. METHOD: During 2 days of rater training, 81 occupational therapists (OTs) were qualified to observe and score dysphagic clients' mealtime performance according to the criteria of 36 MISA-items. The training effects were evaluated...... deficient mealtime performance appeared most difficult to score. The OTs scale-specific expertise improved significantly (knowledge: Z = -7.857, p performance when using the Danish MISA as well as their perceived...

SU-F-T-225: Is It Time to Have Pre-Configured Therapeutic Beams Available in Commercial Treatment Planning Systems?

International Nuclear Information System (INIS)

Ding, G

2016-01-01

Purpose: Commissioning radiation beams requires considerable effort to obtain the beam data for beam configuration in a commercial treatment planning system. With the advances in technology, the manufacturer of accelerators now has the ability to adjust radiation beam parameters to meet pre-determined specifications with high precision. This study aims to illustrate the feasibility of making pre-configured radiation beams available in commercial treatment planning systems. Methods: In recent years, Varian has made a set of measured beam data from the TrueBeam accelerator available to users. Although the beam data are provided as “suggestive data” without warranty, the commissioned data measured by users have been shown to be in excellent agreement with the data set provided when the beams from the installed Linacs were adjusted to meet the beam specifications. An unofficial survey among Varian Linac TrueBeam users shows that the suggestive data set has been used with validation by users in some clinics. This indicates that radiation beams from a specified Linac can be standardized and pre-configured in a treatment planning system. Results: Two newly installed Varian TrueBeam accelerators at two different centers were examined in which one set of commissioned beam data was obtained from measurements performed by an independent physics consulting company and the other was measured by local physicists in the department. All beams from both accelerators were tuned to meet the manufacturer’s specifications. Discrepancies of less than 1% were found between the commissioned beam data from both accelerators and the suggestive data set provided by Varian. Conclusion: It may be feasible that radiation beams can be pre-configured in commercial treatment planning systems. The radiation beam users will perform the beam validation and end-to-end tests instead of configuring beams. This framework can increase both the efficiency and the accuracy in commercial radiation

Towards commercial aquaponics

NARCIS (Netherlands)

Palm, Harry W.; Knaus, Ulrich; Appelbaum, Samuel; Goddek, Simon; Strauch, Sebastian M.; Vermeulen, Tycho; Haїssam Jijakli, M.; Kotzen, Benz

2018-01-01

Aquaponics is rapidly developing as the need for sustainable food production increases and freshwater and phosphorous reserves shrink. Starting from small-scale operations, aquaponics is at the brink of commercialization, attracting investment. Arising from integrated freshwater aquaculture, a

Small-scale medical waste incinerators - experiences and trials in South Africa

International Nuclear Information System (INIS)

Rogers, David E.C.; Brent, Alan C.

2006-01-01

Formal waste management services are not accessible for the majority of primary healthcare clinics on the African continent, and affordable and practicable technology solutions are required in the developing country context. In response, a protocol was established for the first quantitative and qualitative evaluation of relatively low cost small-scale incinerators for use at rural primary healthcare clinics. The protocol comprised the first phase of four, which defined the comprehensive trials of three incineration units. The trials showed that all of the units could be used to render medical waste non-infectious, and to destroy syringes or render needles unsuitable for reuse. Emission loads from the incinerators are higher than large-scale commercial incinerators, but a panel of experts considered the incinerators to be more acceptable compared to the other waste treatment and disposal options available in under-serviced rural areas. However, the incinerators must be used within a safe waste management programme that provides the necessary resources in the form of collection containers, maintenance support, acceptable energy sources, and understandable operational instructions for the incinerators, whilst minimising the exposure risks to emissions through the correct placement of the units in relation to the clinic and the surrounding communities. On-going training and awareness building are essential in order to ensure that the incinerators are correctly used as a sustainable waste treatment option

Commercializing fuel cells: managing risks

Science.gov (United States)

Bos, Peter B.

Commercialization of fuel cells, like any other product, entails both financial and technical risks. Most of the fuel cell literature has focussed upon technical risks, however, the most significant risks during commercialization may well be associated with the financial funding requirements of this process. Successful commercialization requires an integrated management of these risks. Like any developing technology, fuel cells face the typical 'Catch-22' of commercialization: "to enter the market, the production costs must come down, however, to lower these costs, the cumulative production must be greatly increased, i.e. significant market penetration must occur". Unless explicit steps are taken to address this dilemma, fuel cell commercialization will remain slow and require large subsidies for market entry. To successfully address this commercialization dilemma, it is necessary to follow a market-driven commercialization strategy that identifies high-value entry markets while minimizing the financial and technical risks of market entry. The financial and technical risks of fuel cell commercialization are minimized, both for vendors and end-users, with the initial market entry of small-scale systems into high-value stationary applications. Small-scale systems, in the order of 1-40 kW, benefit from economies of production — as opposed to economies to scale — to attain rapid cost reductions from production learning and continuous technological innovation. These capital costs reductions will accelerate their commercialization through market pull as the fuel cell systems become progressively more viable, starting with various high-value stationary and, eventually, for high-volume mobile applications. To facilitate market penetration via market pull, fuel cell systems must meet market-derived economic and technical specifications and be compatible with existing market and fuels infrastructures. Compatibility with the fuels infrastructure is facilitated by a

Service dog training program for treatment of posttraumatic stress in service members.

Science.gov (United States)

Yount, Rick A; Olmert, Meg D; Lee, Mary R

2012-01-01

In July 2008, social worker and certified service dog trainer Rick Yount created the first Warrior dog-training program designed to be a safe, effective, nonpharmaceutical intervention to treat the symptoms of posttraumatic stress disorder (PTSD) and traumatic brain injury in Veterans and service members undergoing treatment at a large Veterans Administration residential treatment facility. In 2009, Yount was asked to establish the program at a prominent Department of Defense medical center. In October 2010, Yount was invited to create a service dog training program to support the research and treatment mission at the new National Intrepid Center of Excellence (NICoE), in Bethesda, Maryland. This program, now being offered through the nonprofit foundation Warrior Canine Connection, continues to produce anecdotal evidence that training service dogs reduces the PTSD symptoms of Warrior-trainers and that the presence of the dogs enhances the sense of wellness in the NICoE staff and the families of our Wounded Warriors. Under the research leadership of the NICoE, the Warrior Canine Connection research team plans to systematically investigate the physiological, psychological, and behavioral benefits of this program.

Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes

DEFF Research Database (Denmark)

Hölmich, P; Uhrskou, P; Ulnits, L

1999-01-01

Groin pain is common among athletes. A major cause of long-standing problems is adductor-related groin pain. The purpose of this randomised clinical trial was to compare an active training programme (AT) with a physiotherapy treatment without active training (PT) in the treatment of adductor-rela...

A smartphone application of alcohol resilience treatment for behavioral self-control training.

Science.gov (United States)

Yu, Fei; Albers, Jörg; Gao, Tian; Wang, Minghao; Bilberg, Arne; Stenager, Elsebeth

2012-01-01

High relapse rate is one of the most prominent problems in addiction treatment. Alcohol Resilience Treatment (ART), an alcohol addiction therapy, is based on Cue Exposure Treatment, which has shown promising results in preliminary studies. ART aims at optimizing the core area of relapse prevention, and intends to improve patients' capability to withstand craving of alcohol. This method emphasizes the interplay of resilience and resourcefulness. It contains 6 sessions with different topics according to the stage of treatment circuit, and each session consists of 6 steps. Due to the purity and structure of the treatment rationale, it is realistic, reasonable and manageable to transform the method into a smartphone application. An ART app in Android system and an accessory of bilateral tactile stimulation were developed and will be used in a study with behavioral self-control training. This paper presents the design and realization of the smartphone based ART application. The design of a pilot study, which is to examine the benefits of a smartphone application providing behavioral self-control training, is also reported in this paper.

Biofeedback, autogenic training, and progressive relaxation in the treatment of Raynaud's disease: a comparative study.

Science.gov (United States)

Keefe, F J; Surwit, R S; Pilon, R N

1980-01-01

Twenty-one female patients suffering from diagnosed idiopathic Raynaud's Disease were trained to raise digital skin temperature using either autogenic training, progressive muscle relaxation, or a combination of autogenic training and skin temperature feedback. Patients were instructed in the treatment procedures in three one-hour group sessions spaced one week apart. All patients were instructed to practice what they had learned twice a day at home. Patients kept records of the frequency of vasospastic attacks occurring over a four-week baseline period, and during the first four weeks and the ninth week of training. In addition, patients underwent four laboratory cold stress tests during which they were instructed to maintain digital temperature as the ambient temperature was slowly dropped from 26 degrees to 17 degrees C. Cold stress tests were given during week 1 of baseline and during weeks 1, 3, and 5 of training. No significant differences between the three behavioral treatment procedures were obtained. In addition, the ability of patients to maintain digital temperature during the cold stress challenge showed significant improvement from the first to the last tests. Symptomatic improvement was maintained by all patients nine weeks after the start of training. The implications of these findings for the behavioral treatment of Raynaud's Disease are discussed. PMID:6988380

Large Scale Monte Carlo Simulation of Neutrino Interactions Using the Open Science Grid and Commercial Clouds

International Nuclear Information System (INIS)

Norman, A.; Boyd, J.; Davies, G.; Flumerfelt, E.; Herner, K.; Mayer, N.; Mhashilhar, P.; Tamsett, M.; Timm, S.

2015-01-01

Modern long baseline neutrino experiments like the NOvA experiment at Fermilab, require large scale, compute intensive simulations of their neutrino beam fluxes and backgrounds induced by cosmic rays. The amount of simulation required to keep the systematic uncertainties in the simulation from dominating the final physics results is often 10x to 100x that of the actual detector exposure. For the first physics results from NOvA this has meant the simulation of more than 2 billion cosmic ray events in the far detector and more than 200 million NuMI beam spill simulations. Performing these high statistics levels of simulation have been made possible for NOvA through the use of the Open Science Grid and through large scale runs on commercial clouds like Amazon EC2. We details the challenges in performing large scale simulation in these environments and how the computing infrastructure for the NOvA experiment has been adapted to seamlessly support the running of different simulation and data processing tasks on these resources. (paper)

Fouling control in a lab-scale MBR system: Comparison of several commercially applied coagulants.

Science.gov (United States)

Gkotsis, P K; Batsari, E L; Peleka, E N; Tolkou, A K; Zouboulis, A I

2017-12-01

The Membrane bioreactors (MBRs) integrate the biological degradation of pollutants with membrane filtration-separation during wastewater treatment. Membrane fouling, which is considered as the main process drawback, stems from the interaction between the membrane material and the (organic or inorganic) foulants, leading to membrane's efficiency deterioration. It is widely recognized that the mixed liquor colloidal and Soluble Microbial Products (SMP) are in principal responsible for this undesirable situation. As a result, the appropriate pretreatment of wastewater feed is often considered as necessary procedure and the coagulation/flocculation (C/F) process is regarded as a relevant viable option for wastewater treatment by MBRs in order to improve the effective removal of suspended solids (SS), of colloidal particles, of natural organic matter (NOM), as well as of other soluble materials. The objective of this study is the application of coagulation/flocculation for fouling control of MBR systems by using several commercially available chemical coagulant/flocculant agents. For this purpose, an appropriate lab-scale continuous-flow, fully automatic MBR system has been assembled and various (inorganic) coagulants (i.e. FeCl 3 ∙6H 2 O, Fe 2 (SO 4 ) 3 ·5H 2 O, FeClSO 4 , PFS 0.3 , PAC A9-M, PAC-A16, Al 2 (SO 4 ) 3 ·18H 2 O, FO4350SSH, NaAlO 2 ) have been examined. Filterability tests and SMP concentration measurements were also conducted in order to investigate the reversible, as well as the irreversible fouling, respectively. Based upon the obtained results and after selecting the most efficient coagulants (FeCl 3 ·6H 2 O, Fe 2 (SO 4 ) 3 ·5H 2 O, FeClSO 4 , PAC-A9, PAC-A16), an attempt was subsequently performed to correlate the major fouling indices (i.e. TMP, TTF, SMP concentration) in order to improve the overall process operability by this fouling control method. Copyright © 2016 Elsevier Ltd. All rights reserved.

Water Treatment Plant Operation Volume 2. A Field Study Training Program. Revised.

Science.gov (United States)

California State Univ., Sacramento. School of Engineering.

The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

Validation of a scale for network therapy: a technique for systematic use of peer and family support in addition treatment.

Science.gov (United States)

Keller, D S; Galanter, M; Weinberg, S

1997-02-01

Substance abuse treatments are increasingly employing standardized formats. This is especially the case for approaches that utilize an individual psychotherapy format but less so for family-based approaches. Network therapy, an approach that involves family members and peers in the patient's relapse prevention efforts, is theoretically and clinically differentiated in this paper from family systems therapy for addiction. Based on these conceptual differences, a Network Therapy Rating Scale (NTRS) was developed to measure the integrity and differentiability of network therapy from other family-based approaches to addiction treatment. Seven addictions faculty and 10 third- and fourth-year psychiatry residents recently trained in the network approach used the NTRS to rate excerpts of network and family systems therapy sessions. Data revealed the NTRS had high internal consistency reliability when utilized by both groups of raters. In addition, network and nonnetwork subscales within the NTRS rated congruent therapy excerpts significantly higher than noncongruent therapy excerpts, indicating that the NTRS subscales measure what they are designed to measure. Implications for research and training are discussed.

The Influence of Treatment Motivation on Outcomes of Social Skills Training for Juvenile Delinquents.

Science.gov (United States)

van der Stouwe, Trudy; Asscher, Jessica J; Hoeve, Machteld; van der Laan, Peter H; Stams, Geert Jan J M

2018-01-01

This study examined the influence of treatment motivation on posttreatment effectiveness of an outpatient, individual social skills training for juvenile delinquents imposed as a penal sanction. Propensity score matching was used to match a control group of juveniles receiving treatment as usual ( n = 108 of total N = 354) to a treatment group of juveniles receiving Tools4U, a social skills training with a parental component ( N = 115). Treatment motivation was examined as a moderator and predictor of treatment effects on impulsivity, social perspective-taking, social problem-solving, lack of critical reasoning, developmental task-related skills, and parenting skills. Treatment effects were mostly consistent across juveniles with different levels of treatment motivation. Only one moderating effect was found on active tackling (i.e., actively addressing problems), and predictive effects were found on seeking social support, cognitive empathy, hostile intent attribution, and self-centeredness. Implications for further research are discussed.

The Influence of Treatment Motivation on Outcomes of Social Skills Training for Juvenile Delinquents

Science.gov (United States)

van der Stouwe, Trudy; Asscher, Jessica J.; Hoeve, Machteld; van der Laan, Peter H.; Stams, Geert Jan J. M.

2016-01-01

This study examined the influence of treatment motivation on posttreatment effectiveness of an outpatient, individual social skills training for juvenile delinquents imposed as a penal sanction. Propensity score matching was used to match a control group of juveniles receiving treatment as usual (n = 108 of total N = 354) to a treatment group of juveniles receiving Tools4U, a social skills training with a parental component (N = 115). Treatment motivation was examined as a moderator and predictor of treatment effects on impulsivity, social perspective-taking, social problem-solving, lack of critical reasoning, developmental task-related skills, and parenting skills. Treatment effects were mostly consistent across juveniles with different levels of treatment motivation. Only one moderating effect was found on active tackling (i.e., actively addressing problems), and predictive effects were found on seeking social support, cognitive empathy, hostile intent attribution, and self-centeredness. Implications for further research are discussed. PMID:27225504

In-flight cardiac arrest and in-flight cardiopulmonary resuscitation during commercial air travel: consensus statement and supplementary treatment guideline from the German Society of Aerospace Medicine (DGLRM).

Science.gov (United States)

Hinkelbein, Jochen; Böhm, Lennert; Braunecker, Stefan; Genzwürker, Harald V; Kalina, Steffen; Cirillo, Fabrizio; Komorowski, Matthieu; Hohn, Andreas; Siedenburg, Jörg; Bernhard, Michael; Janicke, Ilse; Adler, Christoph; Jansen, Stefanie; Glaser, Eckard; Krawczyk, Pawel; Miesen, Mirko; Andres, Janusz; De Robertis, Edoardo; Neuhaus, Christopher

2018-05-05

By the end of the year 2016, approximately 3 billion people worldwide travelled by commercial air transport. Between 1 out of 14,000 and 1 out of 50,000 passengers will experience acute medical problems/emergencies during a flight (i.e., in-flight medical emergency). Cardiac arrest accounts for 0.3% of all in-flight medical emergencies. So far, no specific guideline exists for the management and treatment of in-flight cardiac arrest (IFCA). A task force with clinical and investigational expertise in aviation, aviation medicine, and emergency medicine was created to develop a consensus based on scientific evidence and compiled a guideline for the management and treatment of in-flight cardiac arrests. Using the GRADE, RAND, and DELPHI methods, a systematic literature search was performed in PubMed. Specific recommendations have been developed for the treatment of IFCA. A total of 29 specific recommendations for the treatment and management of in-flight cardiac arrests were generated. The main recommendations included emergency equipments as well as communication of the emergency. Training of the crew is of utmost importance, and should ideally have a focus on CPR in aircraft. The decision for a diversion should be considered very carefully.

Large-scale computer-mediated training for management teachers

Directory of Open Access Journals (Sweden)

Gilly Salmon

1997-01-01

Full Text Available In 1995/6 the Open University Business School (OUBS trained 187 tutors in the UK and Continental Western Europe in Computer Mediated Conferencing (CMC for management education. The medium chosen for the training was FirstClassTM. In 1996/7 the OUBS trained a further 106 tutors in FirstClassTM using an improved version of the previous years training. The on line training was based on a previously developed model of learning on line. The model was tested both by means of the structure of the training programme and the improvements made. The training programme was evaluated and revised for the second cohort. Comparison was made between the two training programmes.

Parenting training for women in residential substance abuse treatment. Results of a demonstration project.

Science.gov (United States)

Camp, J M; Finkelstein, N

1997-01-01

This paper presents findings on the impact of implementing a parenting component in two urban residential treatment programs in Massachusetts for pregnant and parenting chemically-dependent women. The parenting component consisted of multiple services for both women and their infants while they were in residential treatment as well as aftercare services after discharge from treatment. Findings presented focus on: (a) the characteristics of the 170 pregnant and parenting women who participated in the parenting component during its 48 months of implementation; (b) changes in the parenting skills and self-esteem of women who completed parenting training; (c) the quality of mother-child interaction; and (d) the participants' perceptions about the impact of the parenting training. Women in both programs made dramatic improvements in self-esteem and experienced significant gains in parenting knowledge and attitudes. The participants were also overwhelmingly positive about the impact of the parenting training on their lives. Study findings underline the importance of parenting services for pregnant and parenting women in residential substance abuse treatment.

Small-scale, hydrogen-oxidizing-denitrifying bioreactor for treatment of nitrate-contaminated drinking water.

Science.gov (United States)

Smith, Richard L; Buckwalter, Seanne P; Repert, Deborah A; Miller, Daniel N

2005-05-01

Nitrate removal by hydrogen-coupled denitrification was examined using flow-through, packed-bed bioreactors to develop a small-scale, cost effective system for treating nitrate-contaminated drinking-water supplies. Nitrate removal was accomplished using a Rhodocyclus sp., strain HOD 5, isolated from a sole-source drinking-water aquifer. The autotrophic capacity of the purple non-sulfur photosynthetic bacterium made it particularly adept for this purpose. Initial tests used a commercial bioreactor filled with glass beads and countercurrent, non-sterile flow of an autotrophic, air-saturated, growth medium and hydrogen gas. Complete removal of 2 mM nitrate was achieved for more than 300 days of operation at a 2-h retention time. A low-cost hydrogen generator/bioreactor system was then constructed from readily available materials as a water treatment approach using the Rhodocyclus strain. After initial tests with the growth medium, the constructed system was tested using nitrate-amended drinking water obtained from fractured granite and sandstone aquifers, with moderate and low TDS loads, respectively. Incomplete nitrate removal was evident in both water types, with high-nitrite concentrations in the bioreactor output, due to a pH increase, which inhibited nitrite reduction. This was rectified by including carbon dioxide in the hydrogen stream. Additionally, complete nitrate removal was accomplished with wastewater-impacted surface water, with a concurrent decrease in dissolved organic carbon. The results of this study using three chemically distinct water supplies demonstrate that hydrogen-coupled denitrification can serve as the basis for small-scale remediation and that pilot-scale testing might be the next logical step.

TBT-contaminated sediments. Treatment in a pilot scale

Energy Technology Data Exchange (ETDEWEB)

Stichnothe, H.; Calmano, W.; Arevalo, E.; Keller, A.; Thoeming, J. [Hamburg Univ. of Technology, Dept. Environmental Science and Technology, Hamburg (Germany)

2005-07-01

Background, aims and scope. Sediments in harbours and nearby shipyards demonstrate widespread contamination with tributyltin (TBT). Therefore, reuse and relocation of dredged material from these locations are prohibited. Even if the international marine organization (IMO) convention concerning TBT-based paints is ratified (champ 2003) the TBT problem in sediments will continue to remain for many years due to the persistence of TBT. Methods. An electrochemical process has been developed to treat polluted sediments. Dredged materials with high and low TBT-contents were studied on a technical and a pilot scale. The treatment process was assessed by chemical analysis and a biotest battery. Additionally, an economic analysis was performed to check the economic feasibility of the process to treat dredged material from two different locations at different operating conditions. Furthermore an up-scaling estimation was performed to evaluate treatment costs at a larger scale, i.e. for a plant having a capacity of 720,000 t/a. Results and discussion. Butyltin species and polycyclic aromatic hydrocarbons (PAH) were decomposed due to electrochemically-induced oxidation, while the treatment did not alter heavy metal and PCB concentrations. The bacteria luminescence test indicated a reduced toxicity after the electrochemical treatment, while the algae growth inhibition test and bacteria contact test did not confirm these results. Based on a small consumer price of Euro 0.12/kWh, treating the high-contaminated sediment in the pilot plant would cost Euro 21/m{sup 3} and Euro 31/m{sup 3} for the low contaminated sediment, respectively. Assuming an industrial consumer price of Euro 0.06/kWh for electricity in an up-scaled process with a capacity of 720,000 t/a, the total treatment costs for the low contaminated sediment would be Euro 13/m{sup 3}. Conclusion. The results of treating dredged material from Bremerhaven and the fine-grained fraction from the METHA plant show that the

Effect of circuit class versus individual task specific training on balance in post-stroke patients

International Nuclear Information System (INIS)

Basri, R.; Ali, A.; Ullah, S.; Naseem, M.; Haq, Z.U.

2017-01-01

Objective: To compare the efficacy of circuit class versus individual, task specific training on balance, in post stroke patients. Methods: From a total of 64 participants, 32 participants were treated in circuit based workstations, while 32 participants were treated individually for 4 weeks. Importantly, both groups were treated with standard balance physiotherapy protocols. The treatment was delivered for 5 days per week with 1.5 hours daily. The patients were evaluated for three outcome measures i.e. berg balance scale, time up and go test and for motor assessment scale at baseline and after treatment. Results: Patients in both groups reported significant improvement after 4 weeks of training program compared to baseline on all outcome measures, except time up and go test that did not significantly improve in individual group. Compared to individual group, circuit group reported more improvement on berg balance scale scores (31.33 versus 37.80), time up and go test (23.13sec versus 16.67sec) and on motor assessment scale scores (18.77 versus 20.63) respectively. Conclusion: Circuit class training is more efficacious in improving balance in stroke patients as compared to individual task specific training. (author)

Cervical cancer screening and treatment training course in El Salvador: experience and lessons learned.

Science.gov (United States)

Masch, Rachel; Ditzian, Lauren R; April, Ayana K; Maza, Mauricio; Peralta, Ethel; Cremer, Miriam L

2011-09-01

Visual inspection with acetic acid (VIA) is a simple, low-cost alternative to traditional Pap smears that could greatly benefit the amount of screening and treatment available in low-resource areas, such as rural El Salvador. The objective of this study was to train Salvadoran health providers in VIA and cryotherapy using a week-long competency course. Health providers participated in the VIA training course, which consisted of 1 half-day of didactics, followed by 4 and 1 half days of clinical training. Pretests and posttests were administered. A 1-day didactic refresher course was administered to assess the quality of services being provided. Sixty-eight nurses and physicians completed the training course. Each trainee screened approximately 120 women and performed, on average, seven cryotherapy treatments. The average trainee improved his or her score by 15% on the theoretical test and 16.7% on the image test. At the completion of the 1-day refresher, average test scores were the highest among all the courses. The final assessment was based on 41 providers. The course proved a successful tool for training healthcare providers in methods of cervical cancer screening and treatment. The course is replicable in other low-resource settings in different countries. It also provided trainees with the opportunity to adapt their clinical skills in their realistic work setting.

Disseminating contingency management: Impacts of staff training and implementation at an opiate treatment program

OpenAIRE

Hartzler, Bryan; Jackson, T. Ron; Jones, Brinn E.; Beadnell, Blair; Calsyn, Donald A.

2013-01-01

Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (interventio...

Money matters: evidence from a large-scale randomized field experiment with vouchers for adult training

OpenAIRE

Messer, Dolores; Wolter, Stefan C.

2009-01-01

This paper presents the results of a randomized experiment analyzing the use of vouchers for adult training. In 2006, 2,400 people were issued with a training voucher which they were entitled to use in payment for a training course of their choice. User behavior was compared with a control group of 14,000 people. People in the treatment and in the control group were not aware at any time that they were part of an experiment. The experiment shows that the voucher had a significant causal impac...

Appling hydrolysis acidification-anoxic–oxic process in the treatment of petrochemical wastewater: From bench scale reactor to full scale wastewater treatment plant

International Nuclear Information System (INIS)

Wu, Changyong; Zhou, Yuexi; Sun, Qingliang; Fu, Liya; Xi, Hongbo; Yu, Yin; Yu, Ruozhen

2016-01-01

Highlights: • Hydrolysis acidification-anoxic–oxic process can be used to treat petrochemical wastewater. • The toxicity and treatability changed significantly after hydrolysis acidification. • The type and concentration of organics reduced greatly after treatment. • The effluent shows low acute toxicity by luminescent bacteria assay. • Advanced treatment is recommended for the effluent. - Abstract: A hydrolysis acidification (HA)-anoxic–oxic (A/O) process was adopted to treat a petrochemical wastewater. The operation optimization was carried out firstly by a bench scale experimental reactor. Then a full scale petrochemical wastewater treatment plant (PCWWTP, 6500 m 3 h −1 ) was operated with the same parameters. The results showed that the BOD 5 /COD of the wastewater increased from 0.30 to 0.43 by HA. The effluent COD was 54.4 mg L −1 for bench scale reactor and 60.9 mg L −1 for PCWWTP when the influent COD was about 480 mg L −1 on optimized conditions. The organics measured by gas chromatography-mass spectrometry (GC–MS) reduced obviously and the total concentration of the 5 organics (1,3-dioxolane, 2-pentanone, ethylbenzene, 2-chloromethyl-1,3-dioxolane and indene) detected in the effluent was only 0.24 mg L −1 . There was no obvious toxicity of the effluent. However, low acute toxicity of the effluent could be detected by the luminescent bacteria assay, indicating the advanced treatment is needed. The clone library profiling analysis showed that the dominant bacteria in the system were Acidobacteria, Proteobacteria and Bacteriodetes. HA-A/O process is suitable for the petrochemical wastewater treatment.

The Perceptions of Fair Interpersonal Treatment Scale: development and validation of a measure of interpersonal treatment in the workplace.

Science.gov (United States)

Donovan, M A; Drasgow, F; Munson, L J

1998-10-01

The Perceptions of Fair Interpersonal Treatment (PFIT) scale was designed to assess employees' perceptions of the interpersonal treatment in their work environment. Analyses of the factor structure and reliability of this new instrument indicate that the PFIT scale is a reliable instrument composed of 2 factors: supervisor treatment and coworker treatment. It was hypothesized that the PFIT scale would be positively correlated with job satisfaction variables and negatively correlated with work withdrawal, job withdrawal, experiences of sexual harassment, and an organization's tolerance of sexual harassment. Results based on 509 employees in a private-sector organization and 217 female faculty and staff members at a large midwestern university supported these hypotheses. Arguments that common method variance and employees' dispositions are responsible for the significant correlations between the PFIT scale and other job-related variables were eliminated. The implications of these results are discussed.

Diagnosis and Treatment of Osteoporosis Before and After Fracture: A Side-by-Side Analysis of Commercially Insured and Medicare Advantage Osteoporosis Patients.

Science.gov (United States)

Weaver, Jessica; Sajjan, Shiva; Lewiecki, E Michael; Harris, Steven T

2017-07-01

Although treatment for osteoporosis is recommended by U.S. clinical guidelines, a lack of diagnosis and treatment is common among patients with osteoporotic fractures. To determine the rates of osteoporosis diagnosis and treatment before and after various types of fractures. This was a retrospective claims analysis using data from the Humana Medicare Advantage claims (Medicare group) and Optum Insight Clinformatics Data Mart commercial claims (Commercial group). Patients included in the study had a claim for a qualifying fracture occurring between January 2008 and December 2013 (the index fracture), were continuously enrolled in the health plan for ≥ 1 year before and after the index fracture, and were aged ≥ 65 years in the Medicare group or ≥ 50 years in the Commercial group at the time of the index fracture. Fragility fractures and osteoporosis diagnoses were identified from ICD-9-CM codes. Treatment for osteoporosis included oral and injectable therapies identified by National Drug Code numbers and Healthcare Common Procedure Coding System codes. Diagnosis and treatment rates were assessed during the 1-year periods before and after the index fracture. All analyses were conducted by fracture type (vertebral, hip, nonhip/nonvertebral [NHNV], and multiple), with stratification by age and sex. No comparisons were made between the Medicare and Commercial groups; rather, McNemar tests were used to compare prefracture versus postfracture diagnosis and treatment rates within each group. For inclusion in the Medicare group, 45,603 patients were identified, and 54,145 patients were identified for the Commercial group. In the prefracture period, the osteoporosis diagnosis rates ranged from 12.0% (NHNV) to 21.5% (vertebral) in the Medicare group and from 5.3% (NHNV) to 12.1% (vertebral) in the Commercial group. In the postfracture period, diagnosis rates significantly increased (P types but did not exceed 42.1% (vertebral) in the Medicare group and 27.7% (vertebral

Tuberculosis Prevention in the Private Sector: Using Claims-Based Methods to Identify and Evaluate Latent Tuberculosis Infection Treatment With Isoniazid Among the Commercially Insured.

Science.gov (United States)

Stockbridge, Erica L; Miller, Thaddeus L; Carlson, Erin K; Ho, Christine

Targeted identification and treatment of people with latent tuberculosis infection (LTBI) are key components of the US tuberculosis elimination strategy. Because of recent policy changes, some LTBI treatment may shift from public health departments to the private sector. To (1) develop methodology to estimate initiation and completion of treatment with isoniazid for LTBI using claims data, and (2) estimate treatment completion rates for isoniazid regimens from commercial insurance claims. Medical and pharmacy claims data representing insurance-paid services rendered and prescriptions filled between January 2011 and March 2015 were analyzed. Four million commercially insured individuals 0 to 64 years of age. Six-month and 9-month treatment completion rates for isoniazid LTBI regimens. There was an annual isoniazid LTBI treatment initiation rate of 12.5/100 000 insured persons. Of 1074 unique courses of treatment with isoniazid for which treatment completion could be assessed, almost half (46.3%; confidence interval, 43.3-49.3) completed 6 or more months of therapy. Of those, approximately half (48.9%; confidence interval, 44.5-53.3) completed 9 months or more. Claims data can be used to identify and evaluate LTBI treatment with isoniazid occurring in the commercial sector. Completion rates were in the range of those found in public health settings. These findings suggest that the commercial sector may be a valuable adjunct to more traditional venues for tuberculosis prevention. In addition, these newly developed claims-based methods offer a means to gain important insights and open new avenues to monitor, evaluate, and coordinate tuberculosis prevention.

EFFECTS OF BEHAVIORAL SKILLS TRAINING ON PARENTAL TREATMENT OF CHILDREN'S FOOD SELECTIVITY

OpenAIRE

Seiverling, Laura; Williams, Keith; Sturmey, Peter; Hart, Sadie

2012-01-01

We used behavioral skills training to teach parents of 3 children with autism spectrum disorder and food selectivity to conduct a home-based treatment package that consisted of taste exposure, escape extinction, and fading. Parent performance following training improved during both taste sessions and probe meals and was reflected in increases in children's acceptance of bites and decreases in their disruptive behavior. Parents also reported that increases in diet variety were maintained at fo...

Autogenic-feedback training: A potential treatment for post-flight orthostatic intolerance in aerospace crews

Science.gov (United States)

Cowings, Patricia S.; Toscano, William B.; Miller, Neil E.; Pickering, Thomas G.; Shapiro, David

1993-01-01

Postflight orthostatic intolerance was identified as a serious biomedical problem associated with long duration exposure to microgravity in space. High priority was given to the development of countermeasures for this disorder which are both effective and practical. A considerable body of clinical research demonstrated that people can be taught to increase their own blood pressure voluntarily and that this is an effective treatment for chronic orthostatic intolerance in paralyzed patients. The present pilot study was designed to examine the feasibility of adding training in control of blood pressure to an existing preflight training program designed to facilitate astronaut adaptation to microgravity. Using an operant conditioning procedure, Autogenic-Feedback Training (AFT), three men and two women participated in four to nine (15-30 training sessions). At the end of training, the average increase in systolic and diastolic pressure, as well as mean arterial pressures that the subjects made, ranged between 20 and 5O mmHg under both supine and 45 deg head-up tilt conditions. These findings suggest that AFT may be a useful alternative treatment or supplement to existing approaches for preventing postflight orthostatic intolerance. Further, the use of operant conditioning methods for training cardiovascular responses may contribute to the general understanding of the mechanisms of orthostatic intolerance.

A survey of low-level radioactive waste treatment methods and problem areas associated with commercial nuclear power plants

International Nuclear Information System (INIS)

Jolley, R.L.; Rodgers, B.R.

1987-01-01

A survey was made (June 1985) of technologies that were currently being used, those that had been discontinued, and those that were under consideration for treatment of low-level radioactive waste from the commercial nuclear power plants in the United States. The survey results included information concerning problems areas, areas needing research and development, and the use of mobile treatment facilities

Training at Aerospatiale

Science.gov (United States)

Chabod, Rene

A training plan for Aerospatiale is outlined which incorporates goals for both the organization and the individual. Emphasis is placed on the training of staff in multiple skills such as mechanics/electronics. Other areas considered include the development of information tools, the development of commercial approaches, and the learning of new industrial techniques and foreign languages.

Transitioning glass-ceramic scintillators for diagnostic x-ray imaging from the laboratory to commercial scale

Science.gov (United States)

Beckert, M. Brooke; Gallego, Sabrina; Elder, Eric; Nadler, Jason

2016-10-01

This study sought to mitigate risk in transitioning newly developed glass-ceramic scintillator technology from a laboratory concept to commercial product by identifying the most significant hurdles to increased scale. These included selection of cost effective raw material sources, investigation of process parameters with the most significant impact on performance, and synthesis steps that could see the greatest benefit from participation of an industry partner that specializes in glass or optical component manufacturing. Efforts focused on enhancing the performance of glass-ceramic nanocomposite scintillators developed specifically for medical imaging via composition and process modifications that ensured efficient capture of incident X-ray energy and emission of scintillation light. The use of cost effective raw materials and existing manufacturing methods demonstrated proof-of-concept for economical viable alternatives to existing benchmark materials, as well as possible disruptive applications afforded by novel geometries and comparatively lower cost per volume. The authors now seek the expertise of industry to effectively navigate the transition from laboratory demonstrations to pilot scale production and testing to evince the industry of the viability and usefulness of composite-based scintillators.

Accounting and Tax Issues Concerning Commercial Discounts

Directory of Open Access Journals (Sweden)

Sava Raluca

2015-12-01

Full Text Available Commercial discounts accounting presents a particular importance because, on the one hand, of their widely spread on a large scale in the commercial activity and on the second hand, due to the influence of the accounting and reporting method over the value added tax. The paper theoretically addresses commercial reductions and also their reflection in the accounting according with the latest regulations in force.

Can Competency-Based Training Fly?: An Overview of Key Issues for "Ab Initio" Pilot Training

Science.gov (United States)

Franks, Peter; Hay, Stephen; Mavin, Tim

2014-01-01

Competency-based training (CBT) for pilots was formally introduced in 1999 by the Civil Aviation Safety Authority (CASA) for training leading to the issue of aeroplane private and commercial pilot licences. This initiative followed the Australian government's introduction of CBT policy for vocational and workplace training in the late 1980's.…

Desensitization And Study-Skills Training As Treatment For Two Types of Test-Anxious Students

Science.gov (United States)

Osterhouse, Robert A.

1972-01-01

This study compared the effectiveness of systematic desensitization and training in efficient study methods for reducing test anxiety among subjects selected on the basis of two types of self reported anxiety. Desensitization offered more promise as a treatment method for test anxiety than did training in study skills. (Author)

Digital simulation of a commercial scale high temperature gas-cooled reactor (HTGR) steam power plant

International Nuclear Information System (INIS)

Ray, A.; Bowman, H.F.

1978-01-01

A nonlinear dynamic model of a commercial scale high temperature gas-cooled reactor (HTGR) steam power plant was derived in state-space form from fundamental principles. The plant model is 40th order, time-invariant, deterministic and continuous-time. Numerical results were obtained by digital simulation. Steady-state performance of the nonlinear model was verified with plant heat balance data at 100, 75 and 50 percent load levels. Local stability, controllability and observability were examined in this range using standard linear algorithms. Transfer function matrices for the linearized models were also obtained. Transient response characteristics of 6 system variables for independent step distrubances in 2 different input variables are presented as typical results

Augmenting one-session treatment of children's specific phobias with attention training to positive stimuli.

Science.gov (United States)

Waters, Allison M; Farrell, Lara J; Zimmer-Gembeck, Melanie J; Milliner, Ella; Tiralongo, Evelin; Donovan, Caroline L; McConnell, Harry; Bradley, Brendan P; Mogg, Karin; Ollendick, Thomas H

2014-11-01

This study examined the efficacy of combining two promising approaches to treating children's specific phobias, namely attention training and one 3-h session of exposure therapy ('one-session treatment', OST). Attention training towards positive stimuli (ATP) and OST (ATP+OST) was expected to have more positive effects on implicit and explicit cognitive mechanisms and clinical outcome measures than an attention training control (ATC) condition plus OST (ATC+OST). Thirty-seven children (6-17 years) with a specific phobia were randomly assigned to ATP+OST or ATC+OST. In ATP+OST, children completed 160 trials of attention training responding to a probe that always followed the happy face in happy-angry face pairs. In ATC+OST, the probe appeared equally often after angry and happy faces. In the same session, children completed OST targeting their phobic situation/object. Clinical outcomes included clinician, parent and child report measures. Cognitive outcomes were assessed in terms of change in attention bias to happy and angry faces and in danger and coping expectancies. Assessments were completed before and after treatment and three-months later. Compared to ATC+OST, the ATP+OST condition produced (a) significantly greater reductions in children's danger expectancies about their feared situations/object during the OST and at three-month follow-up, and (b) significantly improved attention bias towards positive stimuli at post-treatment, which in turn, predicted a lower level of clinician-rated phobia diagnostic severity three-months after treatment. There were no significant differences between ATP+OST and ATC+OST conditions in clinician, parent, or child-rated clinical outcomes. Training children with phobias to focus on positive stimuli is effective in increasing attention towards positive stimuli and reducing danger expectancy biases. Studies with larger sample sizes and a stronger 'dose' of ATP prior to the OST may reveal promising outcomes on clinical measures

The Nature of Coping in Treatment for Marijuana Dependence: Latent Structure and Validation of the Coping Strategies Scale

Science.gov (United States)

Litt, Mark D.; Kadden, Ronald M; Tennen, Howard

2012-01-01

The Coping Strategies Scale (CSS) was designed to assess adaptive changes in substance-use specific coping that result from treatment. The present study sought to examine the latent structure of the CSS in the hope that it might shed light on the coping processes of drug users, and guide the development of a brief version of the CSS. Respondents on the CSS were 751 men and women treated in three clinical trials for marijuana dependence. Posttreatment CSS data were analyzed to determine the nature of coping responses in patients who have been trained to use specific strategies to deal with substance use disorders. Exploratory factor analysis yielded two factors, categorized as problem-focused and emotion-focused coping, but confirmatory factor analysis did not support this structure. When infrequently endorsed items were removed, however, confirmatory factor analysis revealed a good fit to the data. Contrary to expectations, practical strategies that often form the basis for coping skills training, such as avoiding those who smoke, were not frequently endorsed. Problem focused items reflected cognitive commitments to change. Emotion-focused items included cognitive reinterpretations of emotions, to help manage emotional reactions. Brief versions of the CSS based on these factors showed good convergent and discriminant validity. The CSS, and the brief versions of the CSS, may prove useful in future treatment trials to evaluate effects of treatment on coping skills acquisition and utilization in substance dependent individuals. PMID:22082345

[Biofeedback treatment for acute whiplash patients].

Science.gov (United States)

Gálvez-Hernández, Carmen Lizette; Rodríguez-Ortiz, María Dolores; Del Río-Portilla, Yolanda

2016-01-01

The aim of this study is to evaluate the physiological and psychological effect after an electromyographic biofeedback treatment in combination with progressive muscular relaxation training in patients with acute whiplash. Twelve patients with acute whiplash volunteered to participate in a quasi-experimental design and a control group. Two months maximum after car accident, severity levels II and I. previous history of persistent pain or serious previous injury. The groups were randomly divided in two (treatment and waiting list groups). We used electromyographic measures of the trapezius muscles with psychometric tests: Beck Anxiety and Depression Inventory; Oswestry Pain Disability Questionnaire; Visual Analog Scale of Pain; TAMPA Scale for Kinesiophobia. The treatment consisted in electromyographic biofeedback after progressive muscular relaxation training. There were significant intra-group differences before and after treatment in muscular symmetry and subjective pain perception in the treatment group. We achieved a significant change (clinical and statistical) in subjective pain perception and muscular symmetry. This study highlights the importance of multidisciplinary work in acute pain patients and the effectiveness of clinical psychophysiological strategies with acute whiplash patients.

Habit reversal training and educational group treatments for children with tourette syndrome: A preliminary randomised controlled trial.

Science.gov (United States)

Yates, Rachel; Edwards, Katie; King, John; Luzon, Olga; Evangeli, Michael; Stark, Daniel; McFarlane, Fiona; Heyman, Isobel; İnce, Başak; Kodric, Jana; Murphy, Tara

2016-05-01

Quality of life of children with Tourette Syndrome (TS) is impacted greatly by its symptoms and their social consequences. Habit Reversal Training (HRT) is effective but has not, until now, been empirically evaluated in groups. This randomised controlled trial evaluated feasibility and preliminary efficacy of eight HRT group sessions compared to eight Education group sessions. Thirty-three children aged 9-13 years with TS or Chronic Tic Disorder took part. Outcomes evaluated were tic severity and quality of life (QoL). Tic severity improvements were found in both groups. Motor tic severity (Yale Global Tic Severity Scale) showed greatest improvements in the HRT group. Both groups showed a strong tendency toward improvements in patient reported QoL. In conclusion, group-based treatments for TS are feasible and exposure to other children with tics did not increase tic expression. HRT led to greater reductions in tic severity than Education. Implications, such as cost-effectiveness of treatment delivery, are discussed. Copyright © 2016. Published by Elsevier Ltd.

Experimental determination and theoretical analysis of local residual stress at grain scale

NARCIS (Netherlands)

Basu, Indranil; Ocelík, Václav; De Hosson, Jeff Th M.

2017-01-01

Grain/phase boundaries contribute significantly to build up of residual stresses, owing to varied plastic/thermal response of different grain orientations or phases during thermomechanical treatment. Hence, accurate quantification of such local scale stress gradients in commercial components is

Exploring the role of parent training in the treatment of childhood anxiety.

Science.gov (United States)

Khanna, Muniya S; Kendall, Philip C

2009-10-01

Data from a randomized clinical trial comparing the relative efficacy of individual cognitive-behavioral therapy (ICBT), family CBT (FCBT), and a family-based education/support/attention control (FESA) condition were used to examine associations between in-session therapeutic techniques related to parent training (PT) and treatment outcomes. This study explored the extent to which therapists' use of PT techniques, specifically (a) parental anxiety management, (b) transfer of control from therapist to parent to child over child's coping, (c) communication skills training, and (d) contingency management training, contributed to treatment outcome in family-based CBT. Children (N = 53; 31 males; 7.8-13.8 years of age; M = 10.1 years, SD = 2.3; 85% Caucasian, 9% African American, 4% Asian, 2% "other" background) with a principal anxiety disorder completed 16 sessions of CBT with their parents. The relative contributions of PT components on treatment outcome were evaluated. As hypothesized, both transfer-of-control and parental anxiety management techniques significantly contributed to improvement on clinician and parent ratings of child global functioning within FCBT. PT did not significantly contribute to improvement on measures of child anxiety. These preliminary findings suggest that when FCBT is conducted for child anxiety, PT (i.e., transfer-of-control and parental anxiety management techniques) may contribute to improvements in the child's global functioning. (c) 2009 APA, all rights reserved.

The Effectiveness of Life Skills Training on Enhancement of Self-Esteem and Marital Satisfaction among Addicts in Treatment Period

Directory of Open Access Journals (Sweden)

R Nooripour

2014-11-01

Full Text Available Objective: This study has been done to determine the impact of life skills training on enhancement of self-esteem and marital satisfaction among addicts in treatment period. Method: The research design was semi experimental pretest-posttest with witness group. For each group 12men addicts in treatment period in Qazvin city were selected by available sampling. Rosenberg self-esteem and Enrich marital satisfaction questionnaires were administered among selected samples. Training workshop was conducted on role playing, questioning and answering which was taught by psychology professors in experimental group. Results: Results showed life skills training improved self-esteem and marital satisfaction of addicts in treatment period. Conclusion: Life skills training have a positive impact on self-esteem and marital satisfaction of individuals especially on addicts in treatment period, also life skills training in the field of smoking prevention enhances individuals’ skills (such as self-esteem, marital satisfaction, etc…. Life skills training empower person to actualize his knowledge, attitudes and values, and enable him to have motivation for healthy behavior which this will have significant impact on his relationship with his wife.

Semi-commercialization of PVP-carrageenan hydrogel

International Nuclear Information System (INIS)

Relleve, Lorna S.; Abad, Lucille V.; Aranilla, Charito T.; Dela Rosa, A.M.

2008-01-01

The Philippine Nuclear Research Institute (PNRI) has developed the PVP-Carrageenan hydrogel wound dressing by radiation processing. The PVP-Carrageenan hydrogel has undergone clinical testing for burn and bedsores. It has already a pending patent application (No. 1-2000-02471) at the Philippine Patent Office. The techno-economic feasibility study has also been completed. In order to commercialize this product, a project on semi-commercialization in partnership with the investor was proposed to Technology Incubation for Commercialization (TECHNICOM), a technology transfer program of the Department of Science and Technology (DOST). TECHNICOM was established in 2003 under the National Science and Technology Plan (2002-2020) as a strategic technology transfer program. The program aims to identify key technological breakthroughs especially those generated by R and D institutes. It can intervene through the following: technology assessment/commercial prototype development; business plan/feasibility study preparation; intellectual property rights protection; technology valuation negotiation and licensing; semi-commercial production assistance and training/consultancy services. High technology applications with commercial potentials are given priority. Under semi-commercialization stage, government funds will be provided to match private sector investment in the commercial application of a particular technology innovation. This will lessen the risk of commercialization and ensure commitment from the investors. Commercial success in the shortest time is ensured since scientist can then work closely with the private sector at the production floor while testing the gaps in the technology. (author)

A Pulse Power Modulator System for Commercial High Power Ion Beam Surface Treatment Applications

International Nuclear Information System (INIS)

Barrett, D.M.; Cockreham, B.D.; Dragt, A.J.; Ives, H.C.; Neau, E.L.; Reed, K.W.; White, F.E.

1999-01-01

The Ion Beam Surface Treatment (lBESTrM) process utilizes high energy pulsed ion beams to deposit energy onto the surface of a material allowing near instantaneous melting of the surface layer. The melted layer typically re-solidifies at a very rapid rate which forms a homogeneous, fine- grained structure on the surface of the material resulting in significantly improved surface characteristics. In order to commercialize the IBESTTM process, a reliable and easy-to-operate modulator system has been developed. The QM-I modulator is a thyratron-switched five-stage magnetic pulse compression network which drives a two-stage linear induction adder. The adder provides 400 kV, 150 ns FWHM pulses at a maximum repetition rate of 10 pps for the acceleration of the ion beam. Special emphasis has been placed upon developing the modulator system to be consistent with long-life commercial service

Irrigation Training Manual. Planning, Design, Operation, and Management of Small-Scale Irrigation Systems [and] Irrigation Reference Manual. A Technical Reference to Be Used with the Peace Corps Irrigation Training Manual T0076 in the Selection, Planning, Design, Operation, and Management of Small-Scale Irrigation Systems.

Science.gov (United States)

Salazar, LeRoy; And Others

This resource for trainers involved in irrigated agriculture training for Peace Corps volunteers consists of two parts: irrigation training manual and irrigation reference manual. The complete course should fully prepare volunteers serving as irrigation, specialists to plan, implement, evaluate and manage small-scale irrigation projects in arid,…

[Clinical study of post-stroke speech apraxia treated with scalp electric acupuncture under anatomic orientation and rehabilitation training].

Science.gov (United States)

Jiang, Yujuan; Yang, Yuxia; Xiang, Rong; Chang, E; Zhang, Yanchun; Zuo, Bingfang; Zhang, Qianwei

2015-07-01

To compare the differences in the clinical efficacy on post-stroke speech disorder between scalp electric acupuncture (EA) under anatomic orientation combined with rehabilitation training and simple rehabilitation training. Sixty patients of post-stroke speech apraxia were randomized into an observation group and a control group, 30 cases in each one. In the observation group, under anatomic orientation, the scalp EA was adopted to the dominant hemisphere Broca area on the left cerebrum. Additionally, the speech rehabilitation training was combined. In the control group, the speech rehabilitation training was simply,used. The treatment lasted for 4 weeks totally. The speech movement program module in the psychological language assessment and treatment system of Chinese aphasia was used for the evident of efficacy assessment. The scores of counting, singing scale, repeating phonetic alphabet, repeating monosyllable and repeating disyllable were observed in the patients of the two groups. The assessment was done separately on the day of grouping and 4 weeks after treatment. In 4 weeks of treatment, the scores of counting, singing scale, repeating phonetic alphabet, repeating monosyllable and repeating disyllable were all improved as compared with those before treatment in the two groups (all Pspeech rehabilitation training obviously improves speech apraxia in stroke patients so that the speech disorder cani be relieved. The efficacy is better than that in simple rehabilitation training.

A Potential Treatment for Post-Flight Orthostatic Intolerance in Aero-Space Crews: Autogenic-Feedback Training

Science.gov (United States)

Cowings, P. S.; Toscano, W. B.; Miller, N. E.; Pickering, T. G.; Shapiro, D.

1994-01-01

Postflight orthostatic intolerance has been identified as a serious biomedical problem associated with long duration exposure to microgravity in space. High priority has been given to the development of countermeasures for this disorder which are both effective and practical. A considerable body of clinical research has demonstrated that people can be taught to increase their own blood pressure voluntarily and that this is an effective treatment for chronic Orthostatic intolerance in paralyzed patients. The present pilot study was designed to examine the feasibility of adding training in control of blood pressure to an existing preflight training program designed to facilitate astronaut adaptation to microgravity. Using in operant conditioning procedure, Autogenic-Feedback Training (AFT), three men and two women participated in four to nine (15-30 training sessions). At the end of training ranged between 20 and 50 mm Hg under both supine and 450 head-up tilt conditions. These findings suggest that AFT may be a useful alternative treatment or supplement to existing approaches for preventing postflight Orthostatic intolerance. Further, the use of operant conditioning methods for training cardiovascular responses may contribute to the general understanding of the mechanisms of orthostatic intolerance.

A Two-Year Multidisciplinary Training Program for the Frontline Workforce in Community Treatment of Severe Mental Illness.

Science.gov (United States)

Ruud, Torleif; Flage, Karin Blix; Kolbjørnsrud, Ole-Bjørn; Haugen, Gunnar Brox; Sørlie, Tore

2016-01-01

Since 1999, a national two-year multidisciplinary onsite training program has been in operation in Norway. The program trains frontline workforce personnel who provide community treatment to people with severe mental illness. A national network of mental health workers, consumers, caregivers, and others providing or supporting psychosocial treatment and rehabilitation for people with severe mental illness has organized local onsite part-time training programs in collaboration with community mental health centers (CMHCs), municipalities, and primary care providers. CMHC and primary care staff are trained together to increase collaboration. Nationwide dissemination has continued, with new local programs established every year. Evaluations have shown that the program is successful.

Addiction treatment staff perceptions of training as a facilitator or barrier to implementing evidence-based practices: a national qualitative research study.

Science.gov (United States)

D'Ippolito, Melinda; Lundgren, Lena; Amodeo, Maryann; Beltrame, Clelia; Lim, Lynn; Chassler, Deborah

2015-01-01

This qualitative effort examines training-related facilitators and barriers to implementing evidence-based practices (EBPs) in 285 community-based addiction treatment organizations (CBOs) nationwide that were funded by the Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment (SAMHSA/CSAT) to implement EBPs. Using qualitative interviews, the authors explored staff (N = 514) descriptions of training as a facilitator or barrier to implementation. Training-related factors were described 663 times as facilitators (by 440 staff) and 233 times as barriers (by 170 staff). Responses were coded using content analysis. Specific characteristics of the training received, such as access to expert knowledge and quality, as well as ongoing training were described as central facilitating factors to EBP implementation. Key reasons training was perceived as a barrier included the amount of training; the training did not fit current staff and/or organizational needs; the training for some EBPs was perceived to be too demanding; and the difficulty accessing training. Since government funders of addiction treatments require that CBOs implement EBPs and they provide training resources, the quality, flexibility, and accessibility of the available training needs to be promoted throughout the addiction treatment network. Only 17% of CBOs reported that they used the SAMHSA-funded ATTC (Addiction Technology Transfer Center) training centers and 42% used SAMHSA technical assistance. Hence, federally funded resources for training were not always used.

Photocatalytic Treatment of Shower Water Using a Pilot Scale Reactor

Directory of Open Access Journals (Sweden)

Yash Boyjoo

2012-01-01

Full Text Available Treatment of shower water deserves special consideration for reuse not only because of its low pollutant loading but also because it is produced in large quantities. In this study, a pilot scale study of photocatalytic degradation of impurities in real shower water was performed in a 31 L volume reactor using titanium dioxide as the photocatalyst. The reactor was operated in a continuous slurry recirculation mode. Several operational parameters were studied including the slurry initial pH, catalyst concentration, air flow rate, and slurry recirculation rate. Up to 57% of total organic carbon (TOC elimination was obtained after 6 hours of treatment (for 3.0 slurry initial pH, 0.07 gL−1 catalyst concentration, 1.8 Lmin−1 air flow rate, and 4.4 Lmin−1 slurry recirculation rate. This study showed that photocatalysis could be successfully transposed from bench scale to pilot scale. Furthermore, the ease of operation and the potential to use solar energy make photocatalysis an attractive prospect with respect to treatment of grey water.

Effects of ultrasound therapy with taping PNF training and PNF training with taping in treatment and rehabilitation of sports injuries of high ankle sprain

Directory of Open Access Journals (Sweden)

D L Charly Daniel

2017-01-01

Conclusions: It was concluded that combining ultrasound with taping and PNF training with taping were found to be more beneficial in the treatment and rehabilitation of high ankle sprain injury. The combined effect of UT, PNF training, and taping may be explored by future researchers.

HWCVD of polymers: Commercialization and scale-up

International Nuclear Information System (INIS)

Pryce Lewis, Hilton G.; Bansal, Neeta P.; White, Aleksandr J.; Handy, Erik S.

2009-01-01

GVD Corporation specializes in process development and equipment design for the production of ultra-thin polymer coatings using hot wire chemical vapor deposition (HWCVD, also known as initiated chemical vapor deposition, iCVD). HWCVD allows many coating compositions to be produced, including fluorocarbon and silicone polymers, copolymers, and vinyl hydrocarbon polymers. It is especially valuable for creating ultra-thin layers of insoluble, infusible polymers which are hard to process by conventional means, such as polytetrafluoroethylene (PTFE, Teflon. HWCVD PTFE coatings are chemically robust, comprised of essentially 100% CF 2 , resistant to solvents, conformal to complex surface geometry, and have excellent adhesion to a wide range of substrates. Since the part to be coated remains at room temperature, fragile materials like plastics and fabrics can be coated with ease. GVD has focused on scale-up of the process equipment and has developed several standard coating systems, which will be discussed in this paper. These include laboratory-scale batch coating systems, a medium sized production batch coating system, a large scale custom batch coater, and a pilot scale roll-to-roll web coater. All of GVD's systems are complete with fully automated, computer based control systems and include options for effluent monitors and an exhaust scrubber.

Body weight-supported treadmill training is no better than overground training for individuals with chronic stroke: a randomized controlled trial.

Science.gov (United States)

Middleton, Addie; Merlo-Rains, Angela; Peters, Denise M; Greene, Jennifaye V; Blanck, Erika L; Moran, Robert; Fritz, Stacy L

2014-01-01

Body weight-supported treadmill training (BWSTT) has produced mixed results compared with other therapeutic techniques. The purpose of this study was to determine whether an intensive intervention (intensive mobility training) including BWSTT provides superior gait, balance, and mobility outcomes compared with a similar intervention with overground gait training in place of BWSTT. Forty-three individuals with chronic stroke (mean [SD] age, 61.5 [13.5] years; mean [SD] time since stroke, 3.3 [3.8] years), were randomized to a treatment (BWSTT, n = 23) or control (overground gait training, n = 20) group. Treatment consisted of 1 hour of gait training; 1 hour of balance activities; and 1 hour of strength, range of motion, and coordination for 10 consecutive weekdays (30 hours). Assessments (step length differential, self-selected and fast walking speed, 6-minute walk test, Berg Balance Scale [BBS], Dynamic Gait Index [DGI], Activities-specific Balance Confidence [ABC] scale, single limb stance, Timed Up and Go [TUG], Fugl-Meyer [FM], and perceived recovery [PR]) were conducted before, immediately after, and 3 months after intervention. No significant differences (α = 0.05) were found between groups after training or at follow-up; therefore, groups were combined for remaining analyses. Significant differences (α = 0.05) were found pretest to posttest for fast walking speed, BBS, DGI, ABC, TUG, FM, and PR. DGI, ABC, TUG, and PR results remained significant at follow-up. Effect sizes were small to moderate in the direction of improvement. Future studies should investigate the effectiveness of intensive interventions of durations greater than 10 days for improving gait, balance, and mobility in individuals with chronic stroke.

Body Weight–Supported Treadmill Training Is No Better Than Overground Training for Individuals with Chronic Stroke: A Randomized Controlled Trial

Science.gov (United States)

Middleton, Addie; Merlo-Rains, Angela; Peters, Denise M.; Greene, Jennifaye V.; Blanck, Erika L.; Moran, Robert; Fritz, Stacy L.

2014-01-01

Background Body weight–supported treadmill training (BWSTT) has produced mixed results compared with other therapeutic techniques. Objective The purpose of this study was to determine whether an intensive intervention (intensive mobility training) including BWSTT provides superior gait, balance, and mobility outcomes compared with a similar intervention with overground gait training in place of BWSTT. Methods Forty-three individuals with chronic stroke (mean [SD] age, 61.5 [13.5] years; mean [SD] time since stroke, 3.3 [3.8] years), were randomized to a treatment (BWSTT, n = 23) or control (overground gait training, n = 20) group. Treatment consisted of 1 hour of gait training; 1 hour of balance activities; and 1 hour of strength, range of motion, and coordination for 10 consecutive weekdays (30 hours). Assessments (step length differential, self-selected and fast walking speed, 6-minute walk test, Berg Balance Scale [BBS], Dynamic Gait Index [DGI], Activities-specific Balance Confidence [ABC] scale, single limb stance, Timed Up and Go [TUG], Fugl-Meyer [FM], and perceived recovery [PR]) were conducted before, immediately after, and 3 months after intervention. Results No significant differences (α = 0.05) were found between groups after training or at follow-up; therefore, groups were combined for remaining analyses. Significant differences (α = 0.05) were found pretest to posttest for fast walking speed, BBS, DGI, ABC, TUG, FM, and PR. DGI, ABC, TUG, and PR results remained significant at follow-up. Effect sizes were small to moderate in the direction of improvement. Conclusions Future studies should investigate the effectiveness of intensive interventions of durations greater than 10 days for improving gait, balance, and mobility in individuals with chronic stroke. PMID:25467394

Comparative study on Virtual Reality Training (VRT over Sensory Motor Training (SMT in Unilateral Chronic Osteoarthritis – A Randomized Control Trial

Directory of Open Access Journals (Sweden)

Fathy Abdelazim Awwad Elshazly

2016-08-01

Full Text Available Osteoarthritis is a common rheumatologic disease. Several non operative interventions have been described for the treatment. But the available evidences of comparing the effectiveness of Virtual reality training over sensory motor training are very few. So, the purpose of this study is to compare the effectiveness of Virtual reality training over sensory motor training in the treatment of Osteoarthritis. 60 subjects who fulfilled the inclusion and exclusion criteria were divided into three Groups (1, 2 & 3 with randomized sampling method. Group 1 treated with Virtual reality training (VRT, Group 2 treated with sensory motor training (SMT and Group 3 (control treated with conventional exercise training (CET. The duration of the treatment was three times per week for 8 weeks in all the three groups. Subjects were assessed at baseline, at 4th and 8th week. Pain Intensity by Visual Analog scale (VAS, Joint Proprioception by Perception Sense, Functional Disability by WOMAC Score, and Quality of Life by HRQOL score were measured. A statistically significant (p ≤ 0.05 difference between all the 3 groups were noted at the period of 8 week for pain intensity, joint proprioception, functional disability and quality of life. Group-1 treated with (VRT shows more significant improvement in all parameters compared with Group-2 (SMT and Group-3 (CET. In conclusion, the addition of virtual reality training to conventional training exercises could improve pain and proprioception which subsequently improve the functional level and quality of life of OA patients

The denigration of women in Malawian radio commercials.

Science.gov (United States)

Chilimampunga, C

1999-07-01

This article investigates the denigration of women in Malawi Broadcasting Corporation (MBC) commercials. A random sample of 100 commercials was tape-recorded, transcribed, and analyzed using a content-analysis method. Results showed that 36 of the 100 commercials portrayed females negatively. 41 commercials were judged to denigrate females; of these, 24 portrayed them as having little authority, 4 as dependent, 8 as home-oriented, 5 as noncompetitive, and 4 as sex objects. The large number of commercials featuring both female and male voices reflects the widespread and internalized acceptance of gender stereotypes, which favor men in wider Malawian society. In order to improve images of women, three actions must be taken: commercials must be conceived in a balanced manner, there must be an increase in the female-male ratio among MBC employees, and training on gender issues and on nonsexist advertising techniques should be introduced. While radio commercials are not the fundamental cause of the subordinate status of women, and women's status will not be transformed by the commercials alone, radio advertising can stimulate change.

Cost analysis of large-scale implementation of the 'Helping Babies Breathe' newborn resuscitation-training program in Tanzania.

Science.gov (United States)

Chaudhury, Sumona; Arlington, Lauren; Brenan, Shelby; Kairuki, Allan Kaijunga; Meda, Amunga Robson; Isangula, Kahabi G; Mponzi, Victor; Bishanga, Dunstan; Thomas, Erica; Msemo, Georgina; Azayo, Mary; Molinier, Alice; Nelson, Brett D

2016-12-01

Helping Babies Breathe (HBB) has become the gold standard globally for training birth-attendants in neonatal resuscitation in low-resource settings in efforts to reduce early newborn asphyxia and mortality. The purpose of this study was to do a first-ever activity-based cost-analysis of at-scale HBB program implementation and initial follow-up in a large region of Tanzania and evaluate costs of national scale-up as one component of a multi-method external evaluation of the implementation of HBB at scale in Tanzania. We used activity-based costing to examine budget expense data during the two-month implementation and follow-up of HBB in one of the target regions. Activity-cost centers included administrative, initial training (including resuscitation equipment), and follow-up training expenses. Sensitivity analysis was utilized to project cost scenarios incurred to achieve countrywide expansion of the program across all mainland regions of Tanzania and to model costs of program maintenance over one and five years following initiation. Total costs for the Mbeya Region were $202,240, with the highest proportion due to initial training and equipment (45.2%), followed by central program administration (37.2%), and follow-up visits (17.6%). Within Mbeya, 49 training sessions were undertaken, involving the training of 1,341 health providers from 336 health facilities in eight districts. To similarly expand the HBB program across the 25 regions of mainland Tanzania, the total economic cost is projected to be around $4,000,000 (around $600 per facility). Following sensitivity analyses, the estimated total for all Tanzania initial rollout lies between $2,934,793 to $4,309,595. In order to maintain the program nationally under the current model, it is estimated it would cost $2,019,115 for a further one year and $5,640,794 for a further five years of ongoing program support. HBB implementation is a relatively low-cost intervention with potential for high impact on perinatal

Meditation awareness training for the treatment of fibromyalgia syndrome: A randomized controlled trial.

Science.gov (United States)

Van Gordon, William; Shonin, Edo; Dunn, Thomas J; Garcia-Campayo, Javier; Griffiths, Mark D

2017-02-01

The purpose of this study was to conduct the first randomized controlled trial (RCT) to evaluate the effectiveness of a second-generation mindfulness-based intervention (SG-MBI) for treating fibromyalgia syndrome (FMS). Compared to first-generation mindfulness-based interventions, SG-MBIs are more acknowledging of the spiritual aspect of mindfulness. A RCT employing intent-to-treat analysis. Adults with FMS received an 8-week SG-MBI known as meditation awareness training (MAT; n = 74) or an active control intervention known as cognitive behaviour theory for groups (n = 74). Assessments were performed at pre-, post-, and 6-month follow-up phases. Meditation awareness training participants demonstrated significant and sustained improvements over control group participants in FMS symptomatology, pain perception, sleep quality, psychological distress, non-attachment (to self, symptoms, and environment), and civic engagement. A mediation analysis found that (1) civic engagement partially mediated treatment effects for all outcome variables, (2) non-attachment partially mediated treatment effects for psychological distress and sleep quality, and (3) non-attachment almost fully mediated treatment effects for FMS symptomatology and pain perception. Average daily time spent in meditation was found to be a significant predictor of changes in all outcome variables. Meditation awareness training may be a suitable treatment for adults with FMS and appears to ameliorate FMS symptomatology and pain perception by reducing attachment to self. Statement of contribution What is already known on this subject? Designing interventions to treat fibromyalgia syndrome (FMS) continues to be a challenge. There is growing interest into the applications of mindfulness-based interventions for treating FMS. Second-generation mindfulness-based interventions (SG-MBIs) are a key new direction in mindfulness research. What does this study add? Meditation awareness training - an SG-MBI - resulted

Training, abilities, role and responsibilities of the technician in treatment planning or 'dosimetrist' in radiotherapy

International Nuclear Information System (INIS)

Buchheit, Isabelle; Angles, Damien; Marchesi, Vincent; Fau, Pierre; Aubignac, Leone; Palisson, Jeremy; Lacornerie, Thomas; Baron, Pierre-Louis; Popoff, Romain; Llagostera, Camille; Buffard, Edwige; Sarrazin, Thierry; Le Du, Dominique; Estivalet, Andre; Tchong, Bruno; Marcie, Serge; Guerin, Lucie; Parent, Laure

2013-09-01

As the creation of treatment plans in radiotherapy (commonly named dosimetry) has become a crucial task in the treatment process, and has been historically performed by the medical physician, it may be delegated to other professionals and there is therefore a need of creation of a profession: the technician in treatment planning or dosimetrist. In order to better define this profession, its role and its education and training requirements, this document describes its role, its required knowledge, abilities and capacities (general knowledge, knowledge in anatomy, oncology and imagery, in radiation production, in ballistic and preparation, in radiotherapy, in breath-based feedback, in body irradiation, in radiation protection, in delimitation of organs at risk, and in administrative issues). The different training levels are indicated: initial training, continuous training, and validation of prior experience. The legal framework and organisational issues are addressed in terms of delegation and responsibility

Evaluation of treatment alternatives for wastes from both spent fuel rod consolidation and miscellaneous commercial activities

International Nuclear Information System (INIS)

Ross, W.A.; Schneider, K.J.; Oma, K.H.; Smith, R.I.; Bunnell, L.R.

1986-07-01

Alternative treatments were considered for both existing commercial transuranic wastes and future wastes from spent fuel rod consolidation. Waste treatment was assumed to occur at a hypothetical central treatment facility (a Monitored Retrieval Storage [MRS] facility was used as a reference). Disposal of the waste in a geologic repository was also assumed. The waste form charcteristics, process characteristics, and costs were evaluated for each waste treatment alternative. The evaluation indicated that selection of a high volume reduction alternative can save almost $1 billion in life-cycle costs for the management of transuranic and high-activity wastes from 70,000 MTU of spent fuel compared to the reference MRS waste treatment processes. The supercompaction, arc pyrolysis and melting, and maximum volume reduction alternatives are recommended for further consideration; the latter two are recommended for further testing and demonstration

Perceptions of substance use, treatment options and training needs among Iranian primary care physicians

Directory of Open Access Journals (Sweden)

Dolan Kate A

2005-06-01

Full Text Available Abstract In order to be optimally effective, continuing training programmes for health-care professionals need to be tailored so that they target specific knowledge deficits, both in terms of topic content and appropriate intervention strategies. A first step in designing tailored treatment programmes is to identify the characteristics of the relevant health-care professional group, their current levels of content and treatment knowledge, the estimated prevalence of drug and alcohol problems among their patients and their preferred options for receiving continuing education and training. This study reports the results of a survey of 53 primary care physicians working in Iran. The majority were male, had a mean age of 44 years and saw approximately 94 patients per week. In terms of their patients' drug use, primary care physicians thought most patients with a substance use problem were male, women were most likely to use tobacco (52%, opium (32% and marijuana/hashish and young people were most likely to use tobacco, alcohol, marijuana and heroin. Counselling and nicotine patches were the treatments most commonly provided. Although the majority (55% reported referring patients to other services, more than a third did not. Most primary care physicians reported being interested in attending further training on substance abuse issues. The implications of these data for ongoing education and training of primary care physicians in Iran are discussed.

Commercial Conspiracy Theories

Directory of Open Access Journals (Sweden)

Adrian eFurnham

2013-06-01

Full Text Available There are many ways to categorise conspiracy theories. In the present study, we examined individual and demographic predictors of beliefs in commercial conspiracy theories among a British sample of over 300 women and men. Results showed people were cynical and sceptical with regard to advertising tricks, as well as the tactics of organisations like banks and alcohol, drug and tobacco companies. Beliefs sorted into four identifiable clusters, labelled sneakiness, manipulative, change-the-rules and suppression/prevention. The high alpha for the overall scale suggested general beliefs in commercial conspiracy. Regressions suggested that those people who were less religious, more left-wing, more pessimistic, less (self-defined as wealthy, less Neurotic and less Open-to-Experience believed there was more commercial conspiracy. Overall the individual difference variables explained relatively little of the variance in these beliefs.The implications of these findings for the literature on conspiracy theories are discussed.

Progress commercializing solar-electric power systems

International Nuclear Information System (INIS)

Dracker, R.; De Laquil, P. III

1996-01-01

The commercial status of the principal solar electric technologies -- photovoltaic and solar thermal -- is reviewed. Current and near-term market niches are identified, and projected longer-term markets are explored along with the key strategies for achieving them, including technological breakthroughs, manufacturing developments, economies of scale and mass production, and market creation. Market barriers and public policy impacts on commercialization are discussed

Adding exercise training to rosuvastatin treatment: influence on serum lipids and biomarkers of muscle and liver damage.

Science.gov (United States)

Coen, Paul M; Flynn, Michael G; Markofski, Melissa M; Pence, Brandt D; Hannemann, Robert E

2009-07-01

Statin treatment and exercise training can improve lipid profile when administered separately. The efficacy of exercise and statin treatment combined, and its impact on myalgia and serum creatine kinase (CK) have not been completely addressed. The purpose of this study was to determine the effect of statin treatment and the addition of exercise training on lipid profile, including oxidized low-density lipoprotein (oxLDL), and levels of CK and alanine transaminase. Thirty-one hypercholesterolemic and physically inactive subjects were randomly assigned to rosuvastatin (R) or rosuvastatin/exercise (RE) group. A third group of physically active hypercholesterolemic subjects served as an active control group (AC). The R and RE groups received rosuvastatin treatment (10 mg/d) for 20 weeks. From week 10 to week 20, the RE group also participated in a combined endurance and resistive exercise training program (3 d/wk). Lipid profile was determined for all subjects at week 0 (Pre), week 10 (Mid), and week 20 (Post). The CK and alanine transaminase levels were measured at the same time points in the RE and R groups and 48 hours after the first and fifth exercise bout in the RE group. Each RE subject was formally queried about muscle fatigue, soreness, and stiffness before each training session. Total, LDL, and oxLDL cholesterol was lower in the RE and R groups at Mid and Post time points when compared with Pre. Oxidized LDL was lower in the RE group compared with the R group at the Post time point. When treatment groups (R and RE) were combined, high-density lipoprotein levels were increased and triglycerides decreased across time. Creatine kinase increased in the RE group 48 hours after the first exercise bout, but returned to baseline levels 48 hours after the fifth exercise bout. Rosuvastatin treatment decreased total, LDL, and oxLDL cholesterol. The addition of an exercise training program resulted in a further decrease in oxLDL. There was no abnormal sustained increase

Commercializing medical technology.

Science.gov (United States)

Scanlon, Kevin J; Lieberman, Mark A

2007-04-01

As medicine moves into the 21st century, life saving therapies will move from inception into medical products faster if there is a better synergy between science and business. Medicine appears to have 50-year innovative cycles of education and scientific discoveries. In the 1880's, the chemical industry in Germany was faced with the dilemma of modernization to exploit the new scientific discoveries. The solution was the spawning of novel technical colleges for training in these new chemical industries. The impact of those new employees and their groundbreaking compounds had a profound influence on medicine and medical education in Germany between 1880 and 1930. Germany dominated international science during this period and was a training center for scientists worldwide. This model of synergy between education and business was envied and admired in Europe, Asia and America. British science soon after evolved to dominate the field of science during the prewar and post World War (1930's-1970's) because the German scientists fled Hitler's government. These expatriated scientists had a profound influence on the teaching and training of British scientists, which lead to advances in medicine such as antibiotics. After the Second World War, the US government wisely funded the development of the medical infrastructure that we see today. British and German scientists in medicine moved to America because of this bountiful funding for their research. These expatriated scientists helped drive these medical advances into commercialized products by the 1980's. America has been the center of medical education and advances of biotechnology but will it continue? International scientists trained in America have started to return to Europe and Asia. These American-trained scientists and their governments are very aware of the commercial potential of biotechnology. Those governments are now more prepared to play an active role this new science. Germany, Ireland, Britain, Singapore

Design and Fabrication of the First Commercial-Scale Liquid Phase Methanol (LPMEOH) Reactor

Energy Technology Data Exchange (ETDEWEB)

None

1998-12-21

The Liquid Phase Methanol (LPMEOHT) process uses a slurry bubble column reactor to convert synthesis gas (syngas), primarily a mixture of carbon monoxide and hydrogen, to methanol. Because of its superior heat management the process can utilize directly the carbon monoxide (CO)-rich syngas characteristic of the gasification of coal, petroleum coke, residual oil, wastes, or other hydrocarbon feedstocks. The LPMEOHM Demonstration Project at Kingsport, Tennessee, is a $213.7 million cooperative agreement between the U.S. Department of Energy (DOE) and Air Products Liquid Phase Conversion Company, L.P., a partnership between Air Products and Chemicals, Inc. and Eastman Chemical Company, to produce methanol from coal-derived syngas. Construction of the LPMEOH~ Process Demonstration Plant at Eastman's chemicals-from-coal complex in Kingsport was completed in January 1997. Following commissioning and shakedown activities, the fwst production of methanol from the facility occurred on April 2, 1997. Nameplate capacity of 260 short tons per day (TPD) was achieved on April 6, 1997, and production rates have exceeded 300 TPD of methanol at times. This report describes the design, fabrication, and installation of the Kingsport LPMEOEFM reactor, which is the first commercial-scale LPMEOEPM reaetor ever built. The vessel is 7.5 feet in diameter and 70 feet tall with design conditions of 1000 psig at 600 `F. These dimensions represent a significant scale-up from prior experience at the DOE-owned Alternative Fuels Development Unit in LaPorte, Texas, where 18-inch and 22-inch diameter reactors have been tested successfidly over thousands of hours. The biggest obstacles discovered during the scale- up, however, were encountered during fabrication of the vessel. The lessons learned during this process must be considered in tailoring the design for future sites, where the reactor dimensions may grow by yet another factor of two.

Regional vegetation management standards for commercial pine ...

African Journals Online (AJOL)

Although the understanding gained from these trials allowed for the development of vegetation management standards, their operational and economic viability need to be tested on a commercial basis. Four pine trials were thus initiated to test the applicability of these standards when utilised on a commercial scale. Two of ...

Approach to team skills training

International Nuclear Information System (INIS)

Koontz, J.L.; Roe, M.L.; Gaddy, C.D.

1987-01-01

The US commercial nuclear power industry has recognized the importance of team skills in control room operation. The desire to combine training of team interaction skills, like communications, with technical knowledge of reactor operations requires a unique approach to training. An NRC-sponsored study identified a five-phase approach to team skills training designed to be consistent with the systems approach to training currently endorsed by the NRC Policy Statement on Training and Qualification. This paper describes an approach to team skills training with emphasis on the nuclear power plant control room crew. An approach to team skills training

Training in the Prevention and Treatment of Child Abuse and Neglect. The User Manual Series.

Science.gov (United States)

Broadhurst, Diane D.; MacDicken, Robert A.

Intended primarily for persons or agencies responsible for providing training to professionals and interested citizens involved in delivery of services to abusive and neglectful families, the manual addresses the importance of training in the identification, reporting, diagnosis, treatment, and prevention of child abuse and neglect. Chapters focus…

The efficacy of a commercial competitive exclusion product on Campylobacter colonization in broiler chickens in a 5-week pilot-scale study.

Science.gov (United States)

Schneitz, C; Hakkinen, M

2016-05-01

The efficacy of the commercial competitive exclusion product Broilact against Campylobacter jejuni was evaluated in broiler chickens in a 5-week pilot-scale study. Newly-hatched broiler chicks were brought from a commercial hatchery. After arrival 50 seeder chicks were challenged orally with approximately 10(3) cfu of C. jejuni, wing marked, and placed back in a delivery box and moved to a separate room. The rest of the chicks (contact chicks) were placed in floor pens, 100 chicks per pen. Birds in two pens were treated orally on the day of hatch with the commercial competitive exclusion (CE) product Broilact, and three pens were left untreated. The following day 10 seeder chicks were introduced into the Broilact treated and untreated control pens. One pen was left both untreated and unchallenged (0-control). Each week the ceca of 10 contact chicks and one seeder chick were examined quantitatively for Campylobacter The treatment prevented or significantly reduced the colonization of the challenge organism in the ceca during the two first weeks; the percentage of colonized birds being 0% after the first week and 30% after the second week in the Broilact treated groups but was 100% in the control groups the entire 5-week rearing period. During the third rearing week the proportion of Campylobacter positive birds started to increase in the treated pens, being 80% after the third week and 95 and 90% after the fourth and fifth rearing weeks, respectively. Similarly the average count of Campylobacter in the cecal contents of the Broilact treated chicks started to increase, the difference between the treated and control chicks being 1.4 logs at the end of the rearing period. Although the protective effect was temporary and occurred only during the first two weeks of the rearing period, the results of this study support the earlier observations that CE flora designed to protect chicks from Salmonella may also reduce Campylobacter colonization of broiler chickens. © The

A smartphone application of alcohol resilience treatment for behavioral self-control training

DEFF Research Database (Denmark)

Yu, Fei; Albers, Jörg; Gao, Tian

2012-01-01

of the treatment rationale, it is realistic, reasonable and manageable to transform the method into a smartphone application. An ART app in Android system and an accessory of bilateral tactile stimulation were developed and will be used in a study with behavioral self-control training. This paper presents...... the design and realization of the smartphone based ART application. The design of a pilot study, which is to examine the benefits of a smartphone application providing behavioral self-control training, is also reported in this paper....

The significance of motivation in periodontal treatment: validity and reliability of the motivation assessment scale among patients undergoing periodontal treatment.

Science.gov (United States)

Pac, A; Oruba, Z; Olszewska-Czyż, I; Chomyszyn-Gajewska, M

2014-03-01

The individual evaluation of patients' motivation should be introduced to the protocol of periodontal treatment, as it could impact positively on effective treatment planning and treatment outcomes. However, a standardised tool measuring the extent of periodontal patients' motivation has not yet been proposed in the literature. Thus, the objective of the present study was to determine the validity and reliability of the Zychlińscy motivation scale adjusted to the needs of periodontology. Cross sectional study. Department of Periodontology and Oral Medicine, Dental University Clinic, Jagiellonian University, Krakow, Poland. 199 adult periodontal patients, aged 20-78. 14-item questionnaire. The items were adopted from the original Zychlińscy motivation assessment scale. Validity and reliability of the proposed motivation assessment instrument. The assessed Cronbach's alpha of 0.79 indicates the scale is a reliable tool. Principal component analysis revealed a model with three factors, which explained half of the total variance. Those factors represented: the patient's attitude towards treatment and oral hygiene practice; previous experiences during treatment; and the influence of external conditions on the patient's attitude towards treatment. The proposed scale proved to be a reliable and accurate tool for the evaluation of periodontal patients' motivation.

'Oorja' in India: Assessing a large-scale commercial distribution of advanced biomass stoves to households.

Science.gov (United States)

Thurber, Mark C; Phadke, Himani; Nagavarapu, Sriniketh; Shrimali, Gireesh; Zerriffi, Hisham

2014-04-01

pellets. The business orientation of First Energy allowed the company to pivot rapidly to commercial customers when the household market encountered difficulties. The business background of managers also facilitated the initial marketing and distribution efforts that allowed the stove distribution to reach scale.

Nuclear instrument technician training

International Nuclear Information System (INIS)

Wollesen, E.S.

1991-01-01

This paper reports on Nuclear Instrument Technician (NIT) training that has developed at an accelerated rate over the past three decades. During the 1960's commercial nuclear power plants were in their infancy. For that reason, there is little wonder that NIT training had little structure and little creditability. NIT training, in many early plants, was little more than On-The Job Training (OJT). The seventies brought changes in Instrumentation and Controls as well as emphasis on the requirements for more in depth training and documentation. As in the seventies, the eighties saw not only changes in technologies but tighter requirements, standardized training and the development of accredited Nuclear Instrument Training; thus the conclusion: Nuclear Instrument Training Isn't What It Used To Be

A review of water treatment membrane nanotechnologies

KAUST Repository

Pendergast, MaryTheresa M.

2011-01-01

Nanotechnology is being used to enhance conventional ceramic and polymeric water treatment membrane materials through various avenues. Among the numerous concepts proposed, the most promising to date include zeolitic and catalytic nanoparticle coated ceramic membranes, hybrid inorganic-organic nanocomposite membranes, and bio-inspired membranes such as hybrid protein-polymer biomimetic membranes, aligned nanotube membranes, and isoporous block copolymer membranes. A semi-quantitative ranking system was proposed considering projected performance enhancement (over state-of-the-art analogs) and state of commercial readiness. Performance enhancement was based on water permeability, solute selectivity, and operational robustness, while commercial readiness was based on known or anticipated material costs, scalability (for large scale water treatment applications), and compatibility with existing manufacturing infrastructure. Overall, bio-inspired membranes are farthest from commercial reality, but offer the most promise for performance enhancements; however, nanocomposite membranes offering significant performance enhancements are already commercially available. Zeolitic and catalytic membranes appear reasonably far from commercial reality and offer small to moderate performance enhancements. The ranking of each membrane nanotechnology is discussed along with the key commercialization hurdles for each membrane nanotechnology. © 2011 The Royal Society of Chemistry.

Developing a Successful Open Source Training Model

Directory of Open Access Journals (Sweden)

Belinda Lopez

2010-01-01

Full Text Available Training programs for open source software provide a tangible, and sellable, product. A successful training program not only builds revenue, it also adds to the overall body of knowledge available for the open source project. By gathering best practices and taking advantage of the collective expertise within a community, it may be possible for a business to partner with an open source project to build a curriculum that promotes the project and supports the needs of the company's training customers. This article describes the initial approach used by Canonical, the commercial sponsor of the Ubuntu Linux operating system, to engage the community in the creation of its training offerings. We then discuss alternate curriculum creation models and some of the conditions that are necessary for successful collaboration between creators of existing documentation and commercial training providers.

Transcendental Meditation and Assertive Training in the Treatment of Social Anxiety.

Science.gov (United States)

Wampler, Larry D.; Amira, Stephen B.

Research indicates that transcendental meditation (TM) may provide relief from accumulated stress and render the meditator better able to cope with future stressful events. Single and combined TM and assertive training programs were compared for effectiveness in the treatment of socially anxious college students. A waiting-list group served as the…

Development of a versatile high-temperature short-time (HTST) pasteurization device for small-scale processing of cell culture medium formulations.

Science.gov (United States)

Floris, Patrick; Curtin, Sean; Kaisermayer, Christian; Lindeberg, Anna; Bones, Jonathan

2018-07-01

The compatibility of CHO cell culture medium formulations with all stages of the bioprocess must be evaluated through small-scale studies prior to scale-up for commercial manufacturing operations. Here, we describe the development of a bespoke small-scale device for assessing the compatibility of culture media with a widely implemented upstream viral clearance strategy, high-temperature short-time (HTST) treatment. The thermal stability of undefined medium formulations supplemented with soy hydrolysates was evaluated upon variations in critical HTST processing parameters, namely, holding times and temperatures. Prolonged holding times of 43 s at temperatures of 110 °C did not adversely impact medium quality while significant degradation was observed upon treatment at elevated temperatures (200 °C) for shorter time periods (11 s). The performance of the device was benchmarked against a commercially available mini-pilot HTST system upon treatment of identical formulations on both platforms. Processed medium samples were analyzed by untargeted LC-MS/MS for compositional profiling followed by chemometric evaluation, which confirmed the observed degradation effects caused by elevated holding temperatures but revealed comparable performance of our developed device with the commercial mini-pilot setup. The developed device can assist medium optimization activities by reducing volume requirements relative to commercially available mini-pilot instrumentation and by facilitating fast throughput evaluation of heat-induced effects on multiple medium lots.

Does a web-based feedback training program result in improved reliability in clinicians' ratings of the Global Assessment of Functioning (GAF) Scale?

Science.gov (United States)

Støre-Valen, Jakob; Ryum, Truls; Pedersen, Geir A F; Pripp, Are H; Jose, Paul E; Karterud, Sigmund

2015-09-01

The Global Assessment of Functioning (GAF) Scale is used in routine clinical practice and research to estimate symptom and functional severity and longitudinal change. Concerns about poor interrater reliability have been raised, and the present study evaluated the effect of a Web-based GAF training program designed to improve interrater reliability in routine clinical practice. Clinicians rated up to 20 vignettes online, and received deviation scores as immediate feedback (i.e., own scores compared with expert raters) after each rating. Growth curves of absolute SD scores across the vignettes were modeled. A linear mixed effects model, using the clinician's deviation scores from expert raters as the dependent variable, indicated an improvement in reliability during training. Moderation by content of scale (symptoms; functioning), scale range (average; extreme), previous experience with GAF rating, profession, and postgraduate training were assessed. Training reduced deviation scores for inexperienced GAF raters, for individuals in clinical professions other than nursing and medicine, and for individuals with no postgraduate specialization. In addition, training was most beneficial for cases with average severity of symptoms compared with cases with extreme severity. The results support the use of Web-based training with feedback routines as a means to improve the reliability of GAF ratings performed by clinicians in mental health practice. These results especially pertain to clinicians in mental health practice who do not have a masters or doctoral degree. (c) 2015 APA, all rights reserved.

Effectiveness of Shockwave Treatment Combined With Eccentric Training for Patellar Tendinopathy : A Double-Blinded Randomized Study

NARCIS (Netherlands)

Thijs, Karin M; Zwerver, Johannes; Backx, Frank J G; Steeneken, Victor; Rayer, Stephan; Groenenboom, Petra; Moen, Maarten H

OBJECTIVE: To evaluate the effectiveness of a combined treatment of focused shockwave therapy (ESWT) and eccentric training compared with sham-shockwave therapy (placebo) and eccentric training in participants with patellar tendinopathy (PT) after 24 weeks. DESIGN: Randomized controlled trial.

Effectiveness of Shockwave Treatment Combined With Eccentric Training for Patellar Tendinopathy : A Double-Blinded Randomized Study

NARCIS (Netherlands)

Thijs, Karin M.; Zwerver, Johannes; Backx, Frank J. G.; Steeneken, Victor; Rayer, Stephan; Groenenboom, Petra; Moen, Maarten H.

2017-01-01

OBJECTIVE: To evaluate the effectiveness of a combined treatment of focused shockwave therapy (ESWT) and eccentric training compared with sham-shockwave therapy (placebo) and eccentric training in participants with patellar tendinopathy (PT) after 24 weeks. DESIGN: Randomized controlled trial.

European Training and Research in Peritoneal Dialysis: scientific objectives, training, implementation and impact of the programme.

Science.gov (United States)

Foster, Tom L; Ferrantelli, Evelina; van Wier-van der Schaaf, Tanja; Beelen, Robert H J

2014-03-01

Peritoneal dialysis (PD) offers many advantages over hospital-based haemodialysis, including better quality of life. Despite this, there is a general under-utilisation of PD in Europe, which, to some extent, can be attributed to a lack of knowledge and education amongst renal clinicians and nurses. The specific aim of the European Training and Research in Peritoneal Dialysis (EuTRiPD) programme is to address this lack of knowledge, to develop a minimum of five biomarkers that allow the prediction of outcome in PD and three therapeutic treatments to improve outcome in PD. EuTRiPD is a EU-wide consortium with clinical, academic and commercial partners set up to address this knowledge gap. By training through research and close collaboration between academic and commercial entities we hope to improve the outcome and uptake of PD. It is the goal of EuTRiPD to improve the currently hampered diagnostic therapeutic developments in renal replacement therapy (RRT) and structure existing high-quality PD-related research across Europe. It is hoped that EuTRiPD can and will have a significant impact on socio-economic and scientific aspects of PD. It is the aim for EuTRiPD to boost the uptake of PD throughout Europe by making PD the obvious choice for patients. © 2013 European Dialysis and Transplant Nurses Association/European Renal Care Association.

Residential and Light Commercial HVAC. Teacher Edition.

Science.gov (United States)

Stephenson, David; Fulkerson, Dan, Ed.

This curriculum guide contains 18 units of instruction for a competency-based course in residential and light commercial heating, ventilating, and air conditioning (HVAC). Introductory materials include a competency profile and an instructional/task analysis that correlates job training with related information for this course. Each instructional…

Randomized Trial of Anger Control Training for Adolescents with Tourette's Syndrome and Disruptive Behavior

Science.gov (United States)

Sukhdolsky, Denis G.; Vitulano, Lawrence A.; Carroll, Deirdre H.; McGuire, Joseph; Leckman, James F.; Scahill, Lawrence

2009-01-01

A randomized trial to examine the efficacy of anger control training for treating adolescents with Tourette's syndrome and disruptive behavior reveals that those administered with the anger control training showed a decrease in their Disruptive Behavior Rating Scale score by 52 percent as compared with a decrease of 11 percent in the treatment as…

Pilot-scale equipment development for pyrochemical treatment of spent oxide fuel

International Nuclear Information System (INIS)

Herrmann, S. D.

1999-01-01

Fundamental objectives regarding spent nuclear fuel treatment technologies include, first, the effective distribution of spent fuel constituents among product and stable waste forms and, second, the minimization and standardization of waste form types and volumes. Argonne National Laboratory (ANL) has developed and is presently demonstrating the electrometallurgical treatment of sodium-bonded metal fuel from Experimental Breeder Reactor II, resulting in an uranium product and two stable waste forms, i.e. ceramic and metallic. Engineering efforts are underway at ANL to develop pilot-scale equipment which would precondition irradiated oxide fuel via pyrochemical processing and subsequently allow for electrometallurgical treatment of such non-metallic fuels into standard product and waste forms. This paper highlights the integration of proposed spent oxide fuel treatment with existing electrometallurgical processes. System designs and technical bases for development of pilot-scale oxide reduction equipment are also described

Motivation for treatment in substance-dependent patients. Psychometric evaluation of the TCU motivation for treatment scales

NARCIS (Netherlands)

de Weert-van Oene, Gerdien H.; Schippers, Gerard M.; de Jong, Cor A. J.; Schrijvers, Guus A. J. P.

2002-01-01

The objective of this paper is to analyze the psychometric properties of the TCU Motivation for Treatment (MfT) scale in alcohol- and drug-dependent patients in an inpatient treatment facility in the Netherlands, to see whether it is useful in European populations as well. In the study, 279

d-Cycloserine enhances durability of social skills training in autism spectrum disorder.

Science.gov (United States)

Wink, Logan K; Minshawi, Noha F; Shaffer, Rebecca C; Plawecki, Martin H; Posey, David J; Horn, Paul S; Adams, Ryan; Pedapati, Ernest V; Schaefer, Tori L; McDougle, Christopher J; Swiezy, Naomi B; Erickson, Craig A

2017-01-01

d-Cycloserine (DCS) enhances extinction learning across species, but it has proven challenging to identify consistent benefit of DCS when added to therapeutic interventions. We conducted a placebo-controlled trial of DCS to potentiate social skills training in autism spectrum disorder (ASD) but found substantial improvement in both the DCS and placebo groups at the conclusion of active treatment. Here, we assess the impact of DCS 11 weeks following active treatment to evaluate the impact of DCS on treatment response durability. Study participants included 60 outpatient youth with ASD, ages 5-11 years, all with IQ above 70, and significantly impaired social functioning who completed a 10-week active treatment phase during which they received weekly single doses of 50 mg of DCS or placebo administered 30 min prior to group social skills training. Following the 10-week active treatment phase, blinded follow-up assessments occurred at week 11 and week 22. The primary outcome measure for our durability of treatment evaluation was the parent-rated social responsiveness scale (SRS) total raw score at week 22. Analysis of the SRS total raw score demonstrated significant decrease for the DCS group compared to the placebo group ( p  = 0.042) indicating greater maintenance of treatment effect in the DCS group. DCS was well tolerated, with irritability being the most frequently reported adverse effect in both groups. The findings of this study suggest that DCS may help youth with ASD to maintain skills gained during sort-term social skills training. Larger-scale studies with longer follow-up will be necessary to further understand the long-term impact of DCS paired with structured social skills training. ClinicalTrials.gov, NCT01086475.

Commercial tokamak reactors with resistive toroidal field magnets

International Nuclear Information System (INIS)

Bombery, L.; Cohn, D.R.; Jassby, D.L.

1984-01-01

Scaling relations and design concepts are developed for commercial tokamak reactors that use watercooled copper toroidal field (TF) magnets. Illustrative parameters are developed for reactors that are scaled up in size from LITE test reactor designs, which use quasi-continuous copper plate magnets. Acceptably low magnet power requirements may be attainable in a moderate beta (β = 0.065) commercial reactor with a major radius of 6.2 m. The shielding thickness and magnet size are substantially reduced relative to values in commercial reactors with superconducting magnets. Operation at high beta (β = 0.14) leads to a reduction in reactor size, magnet-stored energy, and recirculating power. Reactors using resistive TF magnets could provide advantages of physically smaller devices, improved maintenance features, and increased ruggedness and reliability

High-energy heavy-ion beams as igniters for commercial-scale intertial-fusion power plants

International Nuclear Information System (INIS)

Judd, D.L.

1977-01-01

Commercial-scale inertial-fusion power can be generated by producing a steady succession of thermonuclear microexplosions of small pellet targets whose ignition requires supplying a few magajoules in a few nanoseconds, a goal well beyond the present single-shot capabilities of high-power pulsed laser and electron-beam systems which also lack the needed repetition-rate capability of order one per second. However, existing high-energy accelerator technology with straightforward engineering extrapolations, applied to pulsed beams of heavy ions in low charge states, can meet all requirements. The relevant accelerator capabilities are discussed; three widely differing types of accelerators show promise. Needed developmental work is mostly on lower-energy components and can be conducted at relatively low cost. Some of the work started at several accelerator laboratories on this new approach within the past year are described, and possible goals of an early demonstration construction project are indicated

Look for good and never give up: A novel attention training treatment for childhood anxiety disorders.

Science.gov (United States)

Waters, Allison M; Zimmer-Gembeck, Melanie J; Craske, Michelle G; Pine, Daniel S; Bradley, Brendan P; Mogg, Karin

2015-10-01

Attention bias modification training (ABMT) is a promising treatment for anxiety disorders. Recent evidence suggests that attention training towards positive stimuli, using visual-search based ABMT, has beneficial effects on anxiety and attention biases in children. The present study extends this prior research using distinctive techniques designed to increase participant learning, memory consolidation, and treatment engagement. Fifty-nine clinically anxious children were randomly assigned to the active treatment condition (ATC) (N = 31) or waitlist control condition (WLC) (N = 28). In the ATC, children completed 12 treatment sessions at home on computer in which they searched matrices for a pleasant or calm target amongst unpleasant background pictures, while also engaging in techniques designed to consolidate learning and memory for these search strategies. No contact was made with children in the WLC during the wait period. Diagnostic, parent- and child-reports of anxiety and depressive symptoms, externalising behaviour problems and attention biases were assessed pre- and post-condition and six-months after treatment. Children in the ATC showed greater improvements on multiple clinical measures compared to children in the WLC. Post-treatment gains improved six-months after treatment. Attention biases for angry and happy faces did not change significantly from pre-to post-condition. However, larger pre-treatment attention bias towards threat was associated with greater reduction in anxiety at post-treatment. Also, children who showed greater consolidation of learning and memory strategies during treatment achieved greater improvement in global functioning at post-treatment. Attention training towards positive stimuli using enhanced visual-search procedures appears to be a promising treatment for childhood anxiety disorders. Copyright © 2015 Elsevier Ltd. All rights reserved.

Enhanced learning through scale models and see-thru visualization

International Nuclear Information System (INIS)

Kelley, M.D.

1987-01-01

The development of PowerSafety International's See-Thru Power Plant has provided the nuclear industry with a bridge that can span the gap between the part-task simulator and the full-scope, high-fidelity plant simulator. The principle behind the See-Thru Power Plant is to provide the use of sensory experience in nuclear training programs. The See-Thru Power Plant is a scaled down, fully functioning model of a commercial nuclear power plant, equipped with a primary system, secondary system, and control console. The major components are constructed of glass, thus permitting visual conceptualization of a working nuclear power plant

Training health professionals to recruit into challenging randomized controlled trials improved confidence: the development of the QuinteT randomized controlled trial recruitment training intervention.

Science.gov (United States)

Mills, Nicola; Gaunt, Daisy; Blazeby, Jane M; Elliott, Daisy; Husbands, Samantha; Holding, Peter; Rooshenas, Leila; Jepson, Marcus; Young, Bridget; Bower, Peter; Tudur Smith, Catrin; Gamble, Carrol; Donovan, Jenny L

2018-03-01

The objective of this study was to describe and evaluate a training intervention for recruiting patients to randomized controlled trials (RCTs), particularly for those anticipated to be difficult for recruitment. One of three training workshops was offered to surgeons and one to research nurses. Self-confidence in recruitment was measured through questionnaires before and up to 3 months after training; perceived impact of training on practice was assessed after. Data were analyzed using two-sample t-tests and supplemented with findings from the content analysis of free-text comments. Sixty-seven surgeons and 32 nurses attended. Self-confidence scores for all 10 questions increased after training [range of mean scores before 5.1-6.9 and after 6.9-8.2 (scale 0-10, all 95% confidence intervals are above 0 and all P-values recruitment following training was high-surgeons' mean score 8.8 [standard deviation (SD), 1.2] and nurses' 8.4 (SD, 1.3) (scale 0-10); 50% (19/38) of surgeons and 40% (10/25) of nurses reported on a 4-point Likert scale that training had made "a lot" of difference to their RCT discussions. Analysis of free text revealed this was mostly in relation to how to convey equipoise, explain randomization, and manage treatment preferences. Surgeons and research nurses reported increased self-confidence in discussing RCTs with patients, a raised awareness of hidden challenges and a positive impact on recruitment practice following QuinteT RCT Recruitment Training. Training will be made more available and evaluated in relation to recruitment rates and informed consent. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

Bacterial spores survive treatment with commercial sterilants and disinfectants.

Science.gov (United States)

Sagripanti, J L; Bonifacino, A

1999-09-01

This study compared the activity of commercial liquid sterilants and disinfectants on Bacillus subtilis spores deposited on three types of devices made of noncorrodible, corrodible, or polymeric material. Products like Renalin, Exspor, Wavicide-01, Cidexplus, and cupric ascorbate were tested under conditions specified for liquid sterilization. These products, at the shorter times indicated for disinfection, and popular disinfectants, like Clorox, Cavicide, and Lysol were also studied. Data obtained with a sensitive and quantitative test suggest that commercial liquid sterilants and disinfectants are less effective on contaminated surfaces than generally acknowledged.

The use of commercial video games in rehabilitation: a systematic review.

Science.gov (United States)

Bonnechère, Bruno; Jansen, Bart; Omelina, Lubos; Van Sint Jan, Serge

2016-12-01

The aim of this paper was to investigate the effect of commercial video games (VGs) in physical rehabilitation of motor functions. Several databases were screened (Medline, SAGE Journals Online, and ScienceDirect) using combinations of the following free-text terms: commercial games, video games, exergames, serious gaming, rehabilitation games, PlayStation, Nintendo, Wii, Wii Fit, Xbox, and Kinect. The search was limited to peer-reviewed English journals. The beginning of the search time frame was not restricted and the end of the search time frame was 31 December 2015. Only randomized controlled trial, cohort, and observational studies evaluating the effect of VGs on physical rehabilitation were included in the review. A total of 4728 abstracts were screened, 275 were fully reviewed, and 126 papers were eventually included. The following information was extracted from the selected studies: device type, number and type of patients, intervention, and main outcomes. The integration of VGs into physical rehabilitation has been tested for various pathological conditions, including stroke, cerebral palsy, Parkinson's disease, balance training, weight loss, and aging. There was large variability in the protocols used (e.g. number of sessions, intervention duration, outcome measures, and sample size). The results of this review show that in most cases, the introduction of VG training in physical rehabilitation offered similar results as conventional therapy. Therefore, VGs could be added as an adjunct treatment in rehabilitation for various pathologies to stimulate patient motivation. VGs could also be used at home to maintain rehabilitation benefits.

Evaluation of a commercial biologically based IMRT treatment planning system

International Nuclear Information System (INIS)

Semenenko, Vladimir A.; Reitz, Bodo; Day, Ellen; Qi, X. Sharon; Miften, Moyed; Li, X. Allen

2008-01-01

A new inverse treatment planning system (TPS) for external beam radiation therapy with high energy photons is commercially available that utilizes both dose-volume-based cost functions and a selection of cost functions which are based on biological models. The purpose of this work is to evaluate quality of intensity-modulated radiation therapy (IMRT) plans resulting from the use of biological cost functions in comparison to plans designed using a traditional TPS employing dose-volume-based optimization. Treatment planning was performed independently at two institutions. For six cancer patients, including head and neck (one case from each institution), prostate, brain, liver, and rectal cases, segmental multileaf collimator IMRT plans were designed using biological cost functions and compared with clinically used dose-based plans for the same patients. Dose-volume histograms and dosimetric indices, such as minimum, maximum, and mean dose, were extracted and compared between the two types of treatment plans. Comparisons of the generalized equivalent uniform dose (EUD), a previously proposed plan quality index (fEUD), target conformity and heterogeneity indices, and the number of segments and monitor units were also performed. The most prominent feature of the biologically based plans was better sparing of organs at risk (OARs). When all plans from both institutions were combined, the biologically based plans resulted in smaller EUD values for 26 out of 33 OARs by an average of 5.6 Gy (range 0.24 to 15 Gy). Owing to more efficient beam segmentation and leaf sequencing tools implemented in the biologically based TPS compared to the dose-based TPS, an estimated treatment delivery time was shorter in most (five out of six) cases with some plans showing up to 50% reduction. The biologically based plans were generally characterized by a smaller conformity index, but greater heterogeneity index compared to the dose-based plans. Overall, compared to plans based on dose

Large-scale commercial applications of the in situ vitrification remediation technology

International Nuclear Information System (INIS)

Campbell, B.E.; Hansen, J.E.; McElroy, J.L.; Thompson, L.E.; Timmerman, C.L.

1994-01-01

The first large-scale commercial application of the innovative In Situ Vitrification (ISV) remediation technology was completed at the Parsons Chemical/ETM Enterprises Superfund site in Michigan State midyear 1994. This project involved treating 4,800 tons of pesticide and mercury-contaminated soil. The project also involved performance of the USEPA SITE Program demonstration test for the ISV technology. The Parsons project involved consolidation and staging of contaminated soil from widespread locations on and nearby the site. This paper presents a brief description of the ISV technology along with case-study type information on these two sites and the performance of the ISV technology on them. The paper also reviews other remediation projects where ISV has been identified as the/a preferred remedy, and where ISV is currently planned for use. These sites include soils contaminated with pesticides, dioxin, PCP, paint wastes, and a variety of heavy metals. This review of additional sites also includes a description of a planned radioactive mixed waste remediation project in Australia that contains large amounts of plutonium, uranium, lead, beryllium, and metallic and other debris buried in limestone and dolomitic soil burial pits. Initial test work has been completed on this application, and preparations are now underway for pilot testing in Australia. This project will demonstrate the applicability of the ISV technology to the challenging application of buried mixed wastes

Comparing the Effectiveness of Self-Paced and Collaborative Frame-of-Reference Training on Rater Accuracy in a Large-Scale Writing Assessment

Science.gov (United States)

Raczynski, Kevin R.; Cohen, Allan S.; Engelhard, George, Jr.; Lu, Zhenqiu

2015-01-01

There is a large body of research on the effectiveness of rater training methods in the industrial and organizational psychology literature. Less has been reported in the measurement literature on large-scale writing assessments. This study compared the effectiveness of two widely used rater training methods--self-paced and collaborative…

Robotic surgery training with commercially available simulation systems in 2011: a current review and practice pattern survey from the society of urologic robotic surgeons.

Science.gov (United States)

Lallas, Costas D; Davis, John W

2012-03-01

Virtual reality (VR) simulation has the potential to standardize surgical training for robotic surgery. We sought to evaluate all commercially available VR robotic simulators. A MEDLINE(®) literature search was performed of all applicable keywords. Available VR simulators were evaluated with regard to face, content, and construct validation. Additionally, a survey was e-mailed to all members of the Endourological Society, querying the pervasiveness of VR simulators in robotic surgical training. Finally, each company was e-mailed to ask for a price quote for their respective system. There are four VR robotic surgical simulators currently available: RoSS™, dV-Trainer™, SEP Robot™, and da Vinci(®) Skills Simulator™. Each system is represented in the literature and all possess varying degrees of face, content, and construct validity. Although all systems have basic skill sets with performance analysis and metrics software, most do not contain procedural components. When evaluating the results of our survey, most respondents did not possess a VR simulator although almost all believed there to be great potential for these devices in robotic surgical training. With the exception of the SEP Robot, all VR simulators are similar in price. VR simulators have a definite role in the future of robotic surgical training. Although the simulators target technical components of training, their largest impact will be appreciated when incorporated into a comprehensive educational curriculum.

Survey of potential health and safety hazards of commercial-scale ethanol production facilities

Energy Technology Data Exchange (ETDEWEB)

Watson, A.P.; Smith, J.G.; Elmore, J.L.

1982-04-01

Generic safety and health aspects of commercial-scale (60 to 600 million L/y) anhydrous ethanol production were identified. Several common feedstocks (grains, roots and fibers, and sugarcane) and fuels (coal, natural gas, wood, and bagasse) were evaluated throughout each step of generic plant operation, from initial milling and sizing through saccharification, fermentation, distillation, and stillage disposal. The fermentation, digestion, or combustion phases are not particularly hazardous, although the strong acids and bases used for hydrolysis and pH adjustment should be handled with the same precautions that every industrial solvent deserves. The most serious safety hazard is that of explosion from grain dust or ethanol fume ignition and boiler/steam line overpressurization. Inhalation of ethanol and carbon dioxide vapors may cause intoxication or asphyxiation in unventilated areas, which could be particularly hazardous near equipment controls and agitating vats. Contact with low-pressure process steam would produce scalding burns. Benzene, used in stripping water from ethanol in the final distillation column, is a suspected leukemogen. Substitution of this fluid by alternative liquids is addressed.

Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial.

Science.gov (United States)

Picelli, Alessandro; Melotti, Camilla; Origano, Francesca; Waldner, Andreas; Gimigliano, Raffaele; Smania, Nicola

2012-09-01

Treadmill training (with or without robotic assistance) has been reported to improve balance skills in patients with Parkinson's disease (PD). However, its effectiveness on postural instability has been evaluated mainly in patients with mild to moderate PD (Hoehn & Yahr stage ≤3). Patients with more severe disease may benefit from robot-assisted gait training performed by the Gait-Trainer GT1, as a harness supports them with their feet placed on motor-driven footplates. The aim of this study was to determine whether robot-assisted gait training could have a positive influence on postural stability in patients with PD at Hoehn & Yahr stage 3-4. Thirty-four patients with PD at Hoehn & Yahr stage 3-4 were randomly assigned into two groups. All patients received twelve, 40-min treatment sessions, three days/week, for four consecutive weeks. The Robotic Training group (n = 17) underwent robot-assisted gait training, while the Physical Therapy group (n = 17) underwent a training program not specifically aimed at improving postural stability. Patients were evaluated before, immediately after and 1-month post-treatment. Primary outcomes were: Berg Balance scale; Nutt's rating. A significant improvement was found after treatment on the Berg Balance Scale and the Nutt's rating in favor of the Robotic Training group (Berg: 43.44 ± 2.73; Nutt: 1.38 ± 0.50) compared to the Physical Therapy group (Berg: 37.27 ± 5.68; Nutt: 2.07 ± 0.59). All improvements were maintained at the 1-month follow-up evaluation. Robot-assisted gait training may improve postural instability in patients with PD at Hoehn & Yahr stage 3-4. Copyright © 2012 Elsevier Ltd. All rights reserved.

Treatment methods for radioactive mixed wastes in commercial low-level wastes: technical considerations

International Nuclear Information System (INIS)

MacKenzie, D.R.; Kempf, C.R.

1986-01-01

Treatment options for the management of three generic categories of radioactive mixed waste in commercial low-level wastes (LLW) have been identified and evaluated. These wastes were characterized as part of a BNL study in which LLW generators were surveyed for information on potential chemical hazards in their wastes. The general treatment options available for mixed wastes are destruction, immobilization, and reclamation. Solidification, absorption, incineration, acid digestion, wet-air oxidation, distillation, liquid-liquid wastes. Containment, segregation, decontamination, and solidification or containment of residues, have been considered for lead metal wastes which have themselves been contaminated and are not used for purposes of waste disposal shielding, packaging, or containment. For chromium-containing wastes, solidification, incineration, wet-air oxidation, acid digestion, and containment have been considered. For each of these wastes, the management option evaluation has included an assessment of testing appropriate to determine the effect of the option on both the radiological and potential chemical hazards present

Treatment methods for radioactive mixed wastes in commercial low-level wastes: technical considerations

Energy Technology Data Exchange (ETDEWEB)

MacKenzie, D.R.; Kempf, C.R.

1986-01-01

Treatment options for the management of three generic categories of radioactive mixed waste in commercial low-level wastes (LLW) have been identified and evaluated. These wastes were characterized as part of a BNL study in which LLW generators were surveyed for information on potential chemical hazards in their wastes. The general treatment options available for mixed wastes are destruction, immobilization, and reclamation. Solidification, absorption, incineration, acid digestion, wet-air oxidation, distillation, liquid-liquid wastes. Containment, segregation, decontamination, and solidification or containment of residues, have been considered for lead metal wastes which have themselves been contaminated and are not used for purposes of waste disposal shielding, packaging, or containment. For chromium-containing wastes, solidification, incineration, wet-air oxidation, acid digestion, and containment have been considered. For each of these wastes, the management option evaluation has included an assessment of testing appropriate to determine the effect of the option on both the radiological and potential chemical hazards present.

Semantic Feature Training for the Treatment of Anomia in Alzheimer Disease: A Preliminary Investigation.

Science.gov (United States)

Flanagan, Kieran J; Copland, David A; van Hees, Sophia; Byrne, Gerard J; Angwin, Anthony J

2016-03-01

This is a preliminary investigation into the effectiveness of semantic feature training for the treatment of anomia in Alzheimer disease (AD). Anomia is a common clinical characteristic of AD. It is widely held that anomia in AD is caused by the combination of cognitive deficits and progressive loss of semantic feature information. Therapy that aims to help participants relearn or retain semantic features should, therefore, help treat anomia in AD. Two men with AD and one man with progressive nonfluent aphasia received 10 treatment sessions focused on relearning the names of 20 animals and 20 fruits. Within each category, half of the items were of high and half were of low typicality. We individualized treatment items to each participant, using items that each had not named correctly at baseline. Treatment sessions consisted of naming, category sorting, and semantic feature verification tasks. Both participants with AD showed post-treatment improvements in naming, and one maintained the treatment effects at 6-week follow-up. The semantic category of the treatment items influenced post-treatment outcomes, but typicality did not. In contrast to the participants with AD, the man with progressive nonfluent aphasia had no improvement in naming ability. Our results suggest the potential viability of semantic feature training to treat anomia in AD and, therefore, the need for further research.

Modeling of a Large-Scale High Temperature Regenerative Sulfur Removal Process

DEFF Research Database (Denmark)

Konttinen, Jukka T.; Johnsson, Jan Erik

1999-01-01

model that does not account for bed hydrodynamics. The pilot-scale test run results, obtained in the test runs of the sulfur removal process with real coal gasifier gas, have been used for parameter estimation. The validity of the reactor model for commercial-scale design applications is discussed.......Regenerable mixed metal oxide sorbents are prime candidates for the removal of hydrogen sulfide from hot gasifier gas in the simplified integrated gasification combined cycle (IGCC) process. As part of the regenerative sulfur removal process development, reactor models are needed for scale......-up. Steady-state kinetic reactor models are needed for reactor sizing, and dynamic models can be used for process control design and operator training. The regenerative sulfur removal process to be studied in this paper consists of two side-by-side fluidized bed reactors operating at temperatures of 400...

Training using a new multidirectional reach tool improves balance in individuals with stroke.

Science.gov (United States)

Khumsapsiri, Numpung; Siriphorn, Akkradate; Pooranawatthanakul, Kanokporn; Oungphalachai, Tanyarut

2018-04-01

Previous studies suggested that limits of stability (LOS) training with visual feedback using commercial equipment could be used to improve balance ability in individuals with stroke. However, this system is expensive. In this study, we created a new tool from inexpensive elements based on LOS training using visual feedback. The aim of this study was to investigate the effect of training using a new multidirectional reach tool on balance in individuals with stroke. A single-blind randomized control trial was conducted. Individuals with stroke (n = 16; age range 38-72 years) were recruited. Participants in the experimental group were trained with the multidirectional reach training for 30 min and conventional physical therapy for 30 min per day, 3 days a week for 4 weeks. Participants in the control group received conventional physical therapy for 30 min per day, 3 days a week for 4 weeks. The outcomes were LOS, weight-bearing squat, and Fullerton Advanced Balance scale. All of the outcome measures were measured at pretraining, post-training, and 1 month follow-up. At post-training and 1-month follow-up, the participants in the experimental group had an improvement of dynamic balance than the control group. Furthermore, the activity assessment by Fullerton Advanced Balance scale was more improved at 1 month follow-up in the experimental group than control group. The results of this study provide evidence that training using a new multidirectional reach tool is effective for improving balance in individuals with stroke. Copyright © 2018 John Wiley & Sons, Ltd.

Global-scale Observations of the Limb and Disk (GOLD) Mission: Science from Geostationary Orbit on-board a Commercial Communications Satellite

Science.gov (United States)

Eastes, R.; Deaver, T.; Krywonos, A.; Lankton, M. R.; McClintock, W. E.; Pang, R.

2011-12-01

Geostationary orbits are ideal for many science investigations of the Earth system on global scales. These orbits allow continuous observations of the same geographic region, enabling spatial and temporal changes to be distinguished and eliminating the ambiguity inherent to observations from low Earth orbit (LEO). Just as observations from geostationary orbit have revolutionized our understanding of changes in the troposphere, they will dramatically improve our understanding of the space environment at higher altitudes. However, geostationary orbits are infrequently used for science missions because of high costs. Geostationary satellites are large, typically weighing tons. Consequently, devoting an entire satellite to a science mission requires a large financial commitment, both for the spacecraft itself and for sufficient science instrumentation to justify a dedicated spacecraft. Furthermore, the small number of geostationary satellites produced for scientific missions increases the costs of each satellite. For these reasons, it is attractive to consider flying scientific instruments on satellites operated by commercial companies, some of whom have fleets of ~40 satellites. However, scientists' lack of understanding of the capabilities of commercial spacecraft as well as commercial companies' concerns about risks to their primary mission have impeded the cooperation necessary for the shared use of a spacecraft. Working with a commercial partner, the GOLD mission has successfully overcome these issues. Our experience indicates that there are numerous benefits to flying on commercial communications satellites (e.g., it is possible to downlink large amounts of data) and the costs are low if the experimental requirements adequately match the capabilities and available resources of the host spacecraft. Consequently, affordable access to geostationary orbit aboard a communications satellite now appears possible for science payloads.

Evaluating Commercial and Private Cloud Services for Facility-Scale Geodetic Data Access, Analysis, and Services

Science.gov (United States)

Meertens, C. M.; Boler, F. M.; Ertz, D. J.; Mencin, D.; Phillips, D.; Baker, S.

2017-12-01

UNAVCO, in its role as a NSF facility for geodetic infrastructure and data, has succeeded for over two decades using on-premises infrastructure, and while the promise of cloud-based infrastructure is well-established, significant questions about suitability of such infrastructure for facility-scale services remain. Primarily through the GeoSciCloud award from NSF EarthCube, UNAVCO is investigating the costs, advantages, and disadvantages of providing its geodetic data and services in the cloud versus using UNAVCO's on-premises infrastructure. (IRIS is a collaborator on the project and is performing its own suite of investigations). In contrast to the 2-3 year time scale for the research cycle, the time scale of operation and planning for NSF facilities is for a minimum of five years and for some services extends to a decade or more. Planning for on-premises infrastructure is deliberate, and migrations typically take months to years to fully implement. Migrations to a cloud environment can only go forward with similar deliberate planning and understanding of all costs and benefits. The EarthCube GeoSciCloud project is intended to address the uncertainties of facility-level operations in the cloud. Investigations are being performed in a commercial cloud environment (Amazon AWS) during the first year of the project and in a private cloud environment (NSF XSEDE resource at the Texas Advanced Computing Center) during the second year. These investigations are expected to illuminate the potential as well as the limitations of running facility scale production services in the cloud. The work includes running parallel equivalent cloud-based services to on premises services and includes: data serving via ftp from a large data store, operation of a metadata database, production scale processing of multiple months of geodetic data, web services delivery of quality checked data and products, large-scale compute services for event post-processing, and serving real time data

The gambling follow-up scale: development and reliability testing of a scale for pathological gamblers under treatment.

Science.gov (United States)

de Castro, Viviane; Fuentes, Daniel; Tavares, Hermano

2005-02-01

To provide preliminary data on the Gambling Follow-Up Scale (GFS), a new scale assessing recovering gamblers. Secondary goals included assessing the impact of "work status," "family relationship," "leisure," and "enrolment in Gamblers Anonymous (GA)" on gambling (all items from the scale), together with the impact of treatment. Using the GFS, 3 independent raters interviewed gamblers under treatment. The sample was collected in 2 university centres in the city of São Paulo, Brazil. Patients attended psychotherapy coupled with psychiatric follow-up, participation in GA, or both. We interviewed 47 pathological gamblers; 13 were interviewed twice, with a minimum interval of 6 months, for a total of 60 GFS interviews. Interviews took on average 6.0 minutes, SD 2.7. Interrater concordance ranged from 82% to 95% (intraclass correlation coefficient range 0.85 to 0.99, P < 0.001). A factorial analysis showed a 1-factor solution (Eigenvalue = 2.4, 47.6% of total variance accounted). "Leisure," "frequency and time gambling," and "family relationship" showed considerable loadings (0.84; 0.71; 0.71),whereas "enrolment in GA" and "work status" showed moderate loadings (0.59; 0.56). A linear regression model significantly correlated gambling (R2 = 0.356; P < 0.001) with "leisure" and length of treatment. Treatment modalities affected "leisure" (F2,43 = 5.00, P = 0.011), with GA attendees reporting more regular and gratifying activities. The GFS showed interrater reliability and construct validity. More leisure and lengthier treatment were significantly relAted to less gambling. GA enrolment seemed to particularly benefit the quality of leisure. Future studies could profit from the quickness and simple structure of the GFS in providing shareable outcome measures.

Team building and diagnostic training

International Nuclear Information System (INIS)

Bulmer, S.

1987-01-01

While developing a commercial training program to improve teamwork in control room crews, General Electric's Nuclear Training Services made an important discovery. Traditional training methods for developing teamwork and enhancing diagnostics capabilities are incomplete. Traditional methods generally help, but fail to fulfill the long-term needs of most teams. Teamwork has been treated as a short-term performance problem. Traditional diagnostic training suffers from a similar problem. Too often, it covers only the basic principles of decision-making, ignoring the development of expert diagnostic capabilities. In response to this discovery, they have developed comprehensive training in Team Building and Diagnostics

Effect of brief training on reliability and applicability of Global Assessment of functioning scale by Psychiatric clinical officers in Uganda.

Science.gov (United States)

Abbo, C; Okello, E S; Nakku, J

2013-03-01

The Global Assessment of Functioning (GAF) is the standard method and an essential tool for representing a clinician's judgment of a patient's overall level of psychological, social and occupational functioning. As such, it is probably the single most widely used method for assessing impairment among the patients with psychiatric illnesses. To assess the effects of one-hour training on application of the GAF by Psychiatric Clinical Officers' in a Ugandan setting. Five Psychiatrists and five Psychiatric Clinical Officers (PCOs) or Assistant Medical Officers who hold a 2 year diploma in Clinical Psychiatry were randomly selected to independently rate a video-recorded psychiatric interview according to the DSM IV-TR. The PCOs were then offered a one-hour training on how to rate the GAF scale and asked to rate the video case interview again. All ratings were assigned on the basis of past one year, at admission and current functioning. Interclass correlations (ICC) were computed using two-way mixed models. The ICC between the psychiatrists and the PCOs before training in the past one year, at admission and current functioning were +0.48, +0.51 and +0.59 respectively. After training, the ICC coefficients were +0.60, +0.82 and +0.83. Brief training given to PCOs improved the applications of their ratings of GAF scale to acceptable levels. There is need for formal training to this cadre of psychiatric practitioners in the use of the GAF.

Serum proteomic changes after randomized prolonged erythropoietin treatment and/or endurance training: detection of novel biomarkers.

Directory of Open Access Journals (Sweden)

Britt Christensen

Full Text Available Despite implementation of the biological passport to detect erythropoietin abuse, a need for additional biomarkers remains. We used a proteomic approach to identify novel serum biomarkers of prolonged erythropoiesis-stimulating agent (ESA exposure (Darbepoietin-α and/or aerobic training.Thirty-six healthy young males were randomly assigned to the following groups: Sedentary-placebo (n = 9, Sedentary-ESA (n = 9, Training-placebo (n = 10, or Training-ESA (n = 8. They were treated with placebo/Darbepoietin-α subcutaneously once/week for 10 weeks followed by a 3-week washout period. Training consisted of supervised biking 3/week for 13 weeks at the highest possible intensity. Serum was collected at baseline, week 3 (high dose Darbepoietin-α, week 10 (reduced dose Darbepoietin-α, and after a 3-week washout period.Serum proteins were separated according to charge and molecular mass (2D-gel electrophoresis. The identity of proteins from spots exhibiting altered intensity was determined by mass spectrometry.Six protein spots changed in response to Darbepoietin-α treatment. Comparing all 4 experimental groups, two protein spots (serotransferrin and haptoglobin/haptoglobin related protein showed a significant response to Darbepoietin-α treatment. The haptoglobin/haptoglobin related protein spot showed a significantly lower intensity in all subjects in the training-ESA group during the treatment period and increased during the washout period.An isoform of haptoglobin/haptoglobin related protein could be a new anti-doping marker and merits further research.ClinicalTrials.gov NCT01320449.

Video game-based coordinative training improves ataxia in children with degenerative ataxia.

Science.gov (United States)

Ilg, Winfried; Schatton, Cornelia; Schicks, Julia; Giese, Martin A; Schöls, Ludger; Synofzik, Matthis

2012-11-13

Degenerative ataxias in children present a rare condition where effective treatments are lacking. Intensive coordinative training based on physiotherapeutic exercises improves degenerative ataxia in adults, but such exercises have drawbacks for children, often including a lack of motivation for high-frequent physiotherapy. Recently developed whole-body controlled video game technology might present a novel treatment strategy for highly interactive and motivational coordinative training for children with degenerative ataxias. We examined the effectiveness of an 8-week coordinative training for 10 children with progressive spinocerebellar ataxia. Training was based on 3 Microsoft Xbox Kinect video games particularly suitable to exercise whole-body coordination and dynamic balance. Training was started with a laboratory-based 2-week training phase and followed by 6 weeks training in children's home environment. Rater-blinded assessments were performed 2 weeks before laboratory-based training, immediately prior to and after the laboratory-based training period, as well as after home training. These assessments allowed for an intraindividual control design, where performance changes with and without training were compared. Ataxia symptoms were significantly reduced (decrease in Scale for the Assessment and Rating of Ataxia score, p = 0.0078) and balance capacities improved (dynamic gait index, p = 0.04) after intervention. Quantitative movement analysis revealed improvements in gait (lateral sway: p = 0.01; step length variability: p = 0.01) and in goal-directed leg placement (p = 0.03). Despite progressive cerebellar degeneration, children are able to improve motor performance by intensive coordination training. Directed training of whole-body controlled video games might present a highly motivational, cost-efficient, and home-based rehabilitation strategy to train dynamic balance and interaction with dynamic environments in a large variety of young-onset neurologic

Final report from VFL Technologies for the pilot-scale thermal treatment of Lower East Fork Poplar Creek floodplain soils. LEFPC appendices. Volume 6. Appendix VI-X

International Nuclear Information System (INIS)

1994-09-01

This final report from VFL Technologies for the pilot-scale thermal treatment of lower East Fork Poplar Creek floodplain soils dated September 1994 contains LEFPC Appendices, Volume 6, Appendix VI - X. These appendices cover the following areas: chain of custody, miscellaneous process calculations (residence time and orifice plate calculations), waste management (mercury and radiation confirmatory testing before and after final verification run), health and safety (training, respirator fit test and radiation work permits), and transportation (soil receipt documentation)

Changes in Functional Connectivity Associated with Direct Training and Generalization Effects of a Theory-Based Generative Naming Treatment

Directory of Open Access Journals (Sweden)

Swathi Kiran

2014-04-01

Nine PWA improved on the trained abstract words; seven PWA also showed generalization to concrete words in the same context-category. The region with the highest node degree in the trained abstract network across PWA was left inferior frontal gyrus pars triangularis (L IFGtri; while the highest node degree in the generalized concrete network was left precentral gyrus. Regions that showed increased connectivity for both training and generalization included L IFGtri, right middle frontal gyrus (MFG, and bilateral angular gyrus. Regions that showed increased connectivity regardless of whether or not treatment was given and whether or not treatment was successful included left MFG and bilateral superior frontal gyrus. Additionally, PWA who generalized showed more left than right hemisphere changes in both abstract and concrete networks; while PWA who improved on the trained abstract words, but did not generalize to concrete words showed more left than right hemisphere changes for the abstract network, but more right than left hemisphere changes for the concrete network. These results suggest that (a direct training and generalization are tapping into similar neural mechanisms, and (b changes in the left hemisphere coincide with better treatment outcomes.

Training motor responses to food: A novel treatment for obesity targeting implicit processes.

Science.gov (United States)

Stice, Eric; Lawrence, Natalia S; Kemps, Eva; Veling, Harm

2016-11-01

The present review first summarizes results from prospective brain imaging studies focused on identifying neural vulnerability factors that predict excessive weight gain. Next, findings from cognitive psychology experiments evaluating various interventions involving food response inhibition training or food response facilitation training are reviewed that appear to target these neural vulnerability factors and that have produced encouraging weight loss effects. Findings from both of these reviewed research fields suggest that interventions that reduce reward and attention region responses to high calorie food cues and increase inhibitory region responses to high calorie food cues could prove useful in the treatment of obesity. Based on this review, a new conceptual model is presented to describe how different cognitive training procedures may contribute to modifying eating behavior and important directions for future research are offered. It is concluded that there is a need for evaluating the effectiveness of more intensive food response training interventions and testing whether adding such training to extant weight loss interventions increases their efficacy. Copyright © 2016 Elsevier Ltd. All rights reserved.

Exploring the Role of Parent Training in the Treatment of Childhood Anxiety

Science.gov (United States)

Khanna, Muniya S.; Kendall, Philip C.

2009-01-01

Data from a randomized clinical trial comparing the relative efficacy of individual cognitive-behavioral therapy (ICBT), family CBT (FCBT), and a family-based education/support/attention control (FESA) condition were used to examine associations between in-session therapeutic techniques related to parent training (PT) and treatment outcomes. This…

An Automated Motion Detection and Reward System for Animal Training.

Science.gov (United States)

Miller, Brad; Lim, Audrey N; Heidbreder, Arnold F; Black, Kevin J

2015-12-04

A variety of approaches has been used to minimize head movement during functional brain imaging studies in awake laboratory animals. Many laboratories expend substantial effort and time training animals to remain essentially motionless during such studies. We could not locate an "off-the-shelf" automated training system that suited our needs.  We developed a time- and labor-saving automated system to train animals to hold still for extended periods of time. The system uses a personal computer and modest external hardware to provide stimulus cues, monitor movement using commercial video surveillance components, and dispense rewards. A custom computer program automatically increases the motionless duration required for rewards based on performance during the training session but allows changes during sessions. This system was used to train cynomolgus monkeys (Macaca fascicularis) for awake neuroimaging studies using positron emission tomography (PET) and functional magnetic resonance imaging (fMRI). The automated system saved the trainer substantial time, presented stimuli and rewards in a highly consistent manner, and automatically documented training sessions. We have limited data to prove the training system's success, drawn from the automated records during training sessions, but we believe others may find it useful. The system can be adapted to a range of behavioral training/recording activities for research or commercial applications, and the software is freely available for non-commercial use.

‘Oorja’ in India: Assessing a large-scale commercial distribution of advanced biomass stoves to households

Science.gov (United States)

Thurber, Mark C.; Phadke, Himani; Nagavarapu, Sriniketh; Shrimali, Gireesh; Zerriffi, Hisham

2015-01-01

make pellets. The business orientation of First Energy allowed the company to pivot rapidly to commercial customers when the household market encountered difficulties. The business background of managers also facilitated the initial marketing and distribution efforts that allowed the stove distribution to reach scale. PMID:25814822

Physical-chemical treatment of rainwater runoff in recovery and recycling companies: lab-scale investigation.

Science.gov (United States)

Blondeel, E; De Wandel, S; Florin, R; Hugelier, S; Chys, M; Depuydt, V; Folens, K; Du Laing, G; Verliefde, A; Van Hulle, S W H

2017-08-10

Scrap material recovery and recycling companies are producing wastewater in which common pollutants (such as COD, nutrients and suspended solids), toxic metals, polyaromatic hydrocarbons (PAH) and polychlorinated biphenyls (PCB) frequently can exceed the discharge limits. Lab-scale optimisation of different possible physical-chemical treatment techniques was performed on the wastewater originating from three different companies in view of further testing at pilot-scale testing and implementation at full-scale. The lab-scale tests demonstrate that sedimentation or hydrocyclone treatment as stand-alone technique cannot be used for proper treatment of this type of wastewater. Dual bed filtration or coagulation/flocculation proved to be more promising with removal efficiencies of about 71-95% (dual bed filtration) and 61-97% (coagulation/flocculation) for the above-mentioned pollutants (metals, PAH and PCB).

Treatment of radioactive mixed wastes in commercial low-level wastes

International Nuclear Information System (INIS)

Kempf, C.R.; MacKenzie, D.R.

1985-01-01

Management options for three generic categories of radioactive mixed waste in commercial low-level wastes have been identified and evaluated. These wastes were characterized as part of a BNL study in which a large number of generators were surveyed for information on potentially hazardous low-level wastes. The general management targets adopted for mixed wastes are immobilization, destruction, and reclamation. It is possible that these targets may not be practical for some wastes, and for these, goals of stabilization or reduction of hazard are addressed. Solidification, absorption, incineration, acid digestion, segregation, and substitution have been considered for organic liquid wastes. Containment, segregation, and decontamination and re-use have been considered for lead metal wastes which have themselves been contaminated and are not used for purposes of waste disposal shielding, packaging, or containment. For chromium-containing wastes, solidification, incineration, containment, substitution, chemical reduction, and biological removal have been considered. For each of these wastes, the management option evaluation has necessarily included assessment/estimation of the effect of the treatment on both the radiological and potential chemical hazards present. 10 refs

A model-based framework for incremental scale-up of wastewater treatment processes

DEFF Research Database (Denmark)

Mauricio Iglesias, Miguel; Sin, Gürkan

Scale-up is traditionally done following specific ratios or rules of thumb which do not lead to optimal results. We present a generic framework to assist in scale-up of wastewater treatment processes based on multiscale modelling, multiobjective optimisation and a validation of the model at the new...... large scale. The framework is illustrated by the scale-up of a complete autotropic nitrogen removal process. The model based multiobjective scaleup offers a promising improvement compared to the rule of thumbs based emprical scale up rules...

Utility of a Validated Rating Scale for Self-Assessment in Microsurgical Training.

Science.gov (United States)

Grant, Aaron L; Temple-Oberle, Claire

The purpose of this study is to determine the utility of self-assessment in microsurgical training using a previously validated rating scale. A prospective study of surgical residents taking a hands-on 5-day microsurgical training course. Learners completed multiple self-assessments of their technical skills using the University of Western Ontario Microsurgical Acquisition/Assessment instrument. Simultaneously, preceptors assessed the learners using the same scale. Self-assessment and preceptor scores were compared using the Pearson correlation coefficient (PCC). There was a significant agreement noted between the 32 preceptor assessments and 36 self-assessments that were completed. Correlation between scores for the knot-tying (PCC = 0.62) and anastomosis modules (PCC = 0.77) was good and excellent, respectively. Preceptor scores and self-scores improved over the duration of the course: for preceptors, knot-tying scores increased from 58% on day 1 to 78% on day 5 (p = 0.02) and anastomosis scores improved from 56% to 82% (p = 0.004); for self-scores, knot-tying scores increased from 44% to 81% (p = 0.001) and anastomosis scores from 49% to 84% (p = 0.001). Learners with greater experience (higher postgraduate year level) tended to have higher self as well as preceptor ratings, albeit not statistically significant. Self-assessment using the University of Western Ontario Microsurgical Acquisition/Assessment instrument has good to excellent agreement with preceptor-assessment scores suggesting good interrater reliability. Self-assessment using such tools may, therefore, be used along with preceptor supervision and assessment to potentially improve self-directed learning during these courses. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Pilot-scale removal of pharmaceuticals in municipal wastewater: Comparison of granular and powdered activated carbon treatment at three wastewater treatment plants.

Science.gov (United States)

Kårelid, Victor; Larsson, Gen; Björlenius, Berndt

2017-05-15

Adsorption with activated carbon is widely suggested as an option for the removal of organic micropollutants including pharmaceutically active compounds (PhACs) in wastewater. In this study adsorption with granular activated carbon (GAC) and powdered activated carbon (PAC) was analyzed and compared in parallel operation at three Swedish wastewater treatment plants with the goal to achieve a 95% PhAC removal. Initially, mapping of the prevalence of over 100 substances was performed at each plant and due to low concentrations a final 22 were selected for further evaluation. These include carbamazepine, clarithromycin and diclofenac, which currently are discussed for regulation internationally. A number of commercially available activated carbon products were initially screened using effluent wastewater. Of these, a reduced set was selected based on adsorption characteristics and cost. Experiments designed with the selected carbons in pilot-scale showed that most products could indeed remove PhACs to the target level, both on total and individual basis. In a setup using internal recirculation the PAC system achieved a 95% removal applying a fresh dose of 15-20 mg/L, while carbon usage rates for the GAC application were much broader and ranged from carbon product. The performance of the PAC products generally gave better results for individual PhACs in regards to carbon availability. All carbon products showed a specific adsorption for a specific PhAC meaning that knowledge of the target pollutants must be acquired before successful design of a treatment system. In spite of different configurations and operating conditions of the different wastewater treatment plants no considerable differences regarding pharmaceutical removal were observed. Copyright © 2017 Elsevier Ltd. All rights reserved.

The effect on reliability and sensitivity to level of training of combining analytic and holistic rating scales for assessing communication skills in an internal medicine resident OSCE.

Science.gov (United States)

Daniels, Vijay John; Harley, Dwight

2017-07-01

Although previous research has compared checklists to rating scales for assessing communication, the purpose of this study was to compare the effect on reliability and sensitivity to level of training of an analytic, a holistic, and a combined analytic-holistic rating scale in assessing communication skills. The University of Alberta Internal Medicine Residency runs OSCEs for postgraduate year (PGY) 1 and 2 residents and another for PGY-4 residents. Communication stations were scored with an analytic scale (empathy, non-verbal skills, verbal skills, and coherence subscales) and a holistic scale. Authors analyzed reliability of individual and combined scales using generalizability theory and evaluated each scale's sensitivity to level of training. For analytic, holistic, and combined scales, 12, 12, and 11 stations respectively yielded a Phi of 0.8 for the PGY-1,2 cohort, and 16, 16, and 14 stations yielded a Phi of 0.8 for the PGY-4 cohort. PGY-4 residents scored higher on the combined scale, the analytic rating scale, and the non-verbal and coherence subscales. A combined analytic-holistic rating scale increased score reliability and was sensitive to level of training. Given increased validity evidence, OSCE developers should consider combining analytic and holistic scales when assessing communication skills. Copyright © 2017 Elsevier B.V. All rights reserved.

Web Based Client/Server Interface for Part Task Training

National Research Council Canada - National Science Library

Blemel, Peter

2000-01-01

.... The project focused on developing concepts for ways to use the Internet to provide individual and cooperative Distance Part Task Training using virtual or real training equipment. The Phase I goal was to define a commercially viable multi-media virtual training environment for providing realistic training wherever and whenever needed.

Artificial neural network modelling of a large-scale wastewater treatment plant operation.

Science.gov (United States)

Güçlü, Dünyamin; Dursun, Sükrü

2010-11-01

Artificial Neural Networks (ANNs), a method of artificial intelligence method, provide effective predictive models for complex processes. Three independent ANN models trained with back-propagation algorithm were developed to predict effluent chemical oxygen demand (COD), suspended solids (SS) and aeration tank mixed liquor suspended solids (MLSS) concentrations of the Ankara central wastewater treatment plant. The appropriate architecture of ANN models was determined through several steps of training and testing of the models. ANN models yielded satisfactory predictions. Results of the root mean square error, mean absolute error and mean absolute percentage error were 3.23, 2.41 mg/L and 5.03% for COD; 1.59, 1.21 mg/L and 17.10% for SS; 52.51, 44.91 mg/L and 3.77% for MLSS, respectively, indicating that the developed model could be efficiently used. The results overall also confirm that ANN modelling approach may have a great implementation potential for simulation, precise performance prediction and process control of wastewater treatment plants.

[Clinical Trials for Treatment of Stroke Patients with Dysphagia by Vitalstim Electroacupuncture Combined with Swallowing Rehabilitation Training].

Science.gov (United States)

Zhang, Sheng-Yu; Liu, Shao-Bing; Wu, Wei; Chen, Yi-Min; Liao, Kang-Lin; Xiang, Yong; Pan, Dun

2017-04-25

To observe the clinical effect of vitalstim electroacupuncture (EA) combined with swallowing rehabilitation training in the treatment of stroke patients with dysphagia. A total of 80 stroke patients with dysphagia were randomized into treatment and control groups ( n =40 in each group). Patients of the control group were treated by regular medication for anti-platelet aggregation and anti-coagulation, lipid-lowering, neuroprotection, blood glucose control and blood pressure control, etc. and swallowing function rehabilitation training, and those of the treatment group treated by EA stimulation of Fengchi (GB 20), Jinjin (EX-HN 12) and Yuye (EX-HN 13) with a Vitalstim Electrostimulator and manual acupuncture stimulation of Lianquan (CV 23), Tiantu (CV 22) in combination with regular medication plus swallowing function training as those mentioned in the control group. The EA and manual acupuncture stimulation treatment was conducted once daily, 6 times a week and 4 weeks altogether. The therapeutic effect was assessed by using Kubota swallowing ability test (6 levels), dysphagia subscale (0-6 scores) of the neurological deficit degrees, videofluorography (VFG) assessment (markedly effective, effective and invalid, for evaluating the function and symmetry state of the swallowing movements), and the MOS Item Short Form Health Survey (SF-36, 8 minor items of two major aspects in physiological function, mental health, emotional function, social function and overall health) for assessing the patients' daily-life quality. After the treatment, the dysphagia score of the treatment group was signi-ficantly lower than that of the control group ( P dysphagia (showed by dysphagia score and VFG outcomes) and life quality. EA treatment combined with swallowing function rehabilitation training is effective in improving swallowing ability and daily-life quality in stroke patients with dysphagia.

Scaling-up treatment of depression and anxiety: a global return on investment analysis.

Science.gov (United States)

Chisholm, Dan; Sweeny, Kim; Sheehan, Peter; Rasmussen, Bruce; Smit, Filip; Cuijpers, Pim; Saxena, Shekhar

2016-05-01

Depression and anxiety disorders are highly prevalent and disabling disorders, which result not only in an enormous amount of human misery and lost health, but also lost economic output. Here we propose a global investment case for a scaled-up response to the public health and economic burden of depression and anxiety disorders. In this global return on investment analysis, we used the mental health module of the OneHealth tool to calculate treatment costs and health outcomes in 36 countries between 2016 and 2030. We assumed a linear increase in treatment coverage. We factored in a modest improvement of 5% in both the ability to work and productivity at work as a result of treatment, subsequently mapped to the prevailing rates of labour participation and gross domestic product (GDP) per worker in each country. The net present value of investment needed over the period 2016-30 to substantially scale up effective treatment coverage for depression and anxiety disorders is estimated to be US$147 billion. The expected returns to this investment are also substantial. In terms of health impact, scaled-up treatment leads to 43 million extra years of healthy life over the scale-up period. Placing an economic value on these healthy life-years produces a net present value of $310 billion. As well as these intrinsic benefits associated with improved health, scaled-up treatment of common mental disorders also leads to large economic productivity gains (a net present value of $230 billion for scaled-up depression treatment and $169 billion for anxiety disorders). Across country income groups, resulting benefit to cost ratios amount to 2·3-3·0 to 1 when economic benefits only are considered, and 3·3-5·7 to 1 when the value of health returns is also included. Return on investment analysis of the kind reported here can contribute strongly to a balanced investment case for enhanced action to address the large and growing burden of common mental disorders worldwide. Grand

Study on commercial FBR concepts by combining innovative technologies

International Nuclear Information System (INIS)

Miura, M.; Inagaki, T.; Kuroha, M.; Hida, T.

1992-01-01

A study was conducted on future prospects of FBR commercialization. Targets of further improving safety and economy were set to make commercial power plants that would be superior to future LWRs. Promising innovative technologies studied domestically and overseas were extracted by evaluating prospects for commercialization, effect, and plant applicability. Several commercial plants were conceptualized by introducing such technology to large-scale and oxide-fuel reactors. Estimates of construction cost, etc., proved that the targets could be achieved. A concept of long-term technological development was synthesized. (author)

Operation of Wastewater Treatment Plants. Volume 1. A Field Study Training Program. Third Edition. Revised.

Science.gov (United States)

California State Univ., Sacramento. Dept. of Civil Engineering.

The purpose of this wastewater treatment field study training program is to: (1) develop new qualified wastewater treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program.

Science.gov (United States)

Hartzler, Bryan; Jackson, T Ron; Jones, Brinn E; Beadnell, Blair; Calsyn, Donald A

2014-04-01

Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed. Published by Elsevier Inc.

Effect of biofeedback-assisted autogenic training on headache activity and mood states in Korean female migraine patients.

Science.gov (United States)

Kang, Eun-Ho; Park, Joo-Eon; Chung, Chin-Sang; Yu, Bum-Hee

2009-10-01

Biofeedback with or without combined autogenic training is known to be effective for the treatment of migraine. This study aimed to examine the effect of biofeedback treatment on headache activity, anxiety, and depression in Korean female patients with migraine headache. Patients were randomized into the treatment group (n=17) and monitoring group (n=15). Mood states including anxiety and depression, and psychophysiological variables such as mean skin temperature of the patients were compared with those of the normal controls (n=21). We found greater treatment response rate (defined as > or =50% reduction in headache index) in patients with biofeedback-assisted autogenic training than in monitoring group. The scores on the anxiety and depression scales in the patients receiving biofeedback-assisted autogenic training decreased after the biofeedback treatment. Moreover, the decrease in their anxiety levels was significantly related to the treatment outcome. This result suggests that the biofeedback-assisted autogenic training is effective for the treatment of migraine and its therapeutic effect is closely related to the improvement of the anxiety level.

Assertion Training with Korean College Students: Effects on Self-Expression and Anxiety.

Science.gov (United States)

Hong, Kyung-Ja; Cooker, Philip G.

1984-01-01

Examined the effects of assertiveness training on the self-expression skills of 65 Korean college students. Results showed the treatment group scored significantly higher on the College Self Expression Scale than placebo or control groups, and males scored significantly higher than females. (JAC)

Chronic β2 -adrenoceptor agonist treatment alters muscle proteome and functional adaptations induced by high intensity training in young men.

Science.gov (United States)

Hostrup, Morten; Onslev, Johan; Jacobson, Glenn A; Wilson, Richard; Bangsbo, Jens

2018-01-15

While several studies have investigated the effects of exercise training in human skeletal muscle and the chronic effect of β 2 -agonist treatment in rodent muscle, their effects on muscle proteome signature with related functional measures in humans are still incompletely understood. Herein we show that daily β 2 -agonist treatment attenuates training-induced enhancements in exercise performance and maximal oxygen consumption, and alters muscle proteome signature and phenotype in trained young men. Daily β 2 -agonist treatment abolished several of the training-induced enhancements in muscle oxidative capacity and caused a repression of muscle metabolic pathways; furthermore, β 2 -agonist treatment induced a slow-to-fast twitch muscle phenotype transition. The present study indicates that chronic β 2 -agonist treatment confounds the positive effect of high intensity training on exercise performance and oxidative capacity, which is of interest for the large proportion of persons using inhaled β 2 -agonists on a daily basis, including athletes. Although the effects of training have been studied for decades, data on muscle proteome signature remodelling induced by high intensity training in relation to functional changes in humans remains incomplete. Likewise, β 2 -agonists are frequently used to counteract exercise-induced bronchoconstriction, but the effects β 2 -agonist treatment on muscle remodelling and adaptations to training are unknown. In a placebo-controlled parallel study, we randomly assigned 21 trained men to 4 weeks of high intensity training with (HIT+β 2 A) or without (HIT) daily inhalation of β 2 -agonist (terbutaline, 4 mg dose -1 ). Of 486 proteins identified by mass-spectrometry proteomics of muscle biopsies sampled before and after the intervention, 32 and 85 were changing (false discovery rate (FDR) ≤5%) with the intervention in HIT and HIT+β 2 A, respectively. Proteome signature changes were different in HIT and HIT+β 2 A (P�

University of Utah, Energy Commercialization Center

Energy Technology Data Exchange (ETDEWEB)

Thompson, James [Univ. of Utah, Salt Lake City, UT (United States)

2014-01-17

culture all played a role in inhibiting the development and distribution of a regional ecosystem and commercialization process. Had the University and the ECC been able to develop a software platform, some of these challenges may have been overcome, but without the final development and release of the Western Innovation Network, the ECC realistically could not scale and distribute a commercialization platform. Further, cleantech startups need to engage in a more intensive customer validation process, and establish strong community connections if they are to succeed in commercializing their products. The university system incentivizes research and access to research funding and risk capital is competitive, so by nature collaboration on commercialization was difficult. Each of the local ecosystems within the Rocky Mountain West was unique. Utah did not, and does not, have a system outside of the universities to support entrepreneurs and cleantech commercialization. Through the ECC’s efforts developing a regional ecosystem, it became clear that successful ecosystems had a community and associated mechanisms that supported local entrepreneurs and startups. Most importantly the ECC aided in the creation of Utah’s cleantech ecosystem, one that supports entrepreneurs and startup companies that need help and support in their efforts to commercialize clean technologies. The absence of support for clean tech from state government and local organizations was a significant impediment to cleantech commercialization. To overcome this challenge, the ECC has formed Sustainable Startups. Sustainable Startups is a new non-profit organization designed to build a culture and community in Utah that supports and understands the importance of cleantech and sustainable development. While the ECC generated mixed success in building a regional commercialization ecosystem for cleantech, the organization did provide tremendous benefit to startups and the broader public. Over 60 companies were

Novel polymers as scale inhibitors for squeeze treatments

Energy Technology Data Exchange (ETDEWEB)

Duccini, Y.

1996-12-31

Squeeze treatments are increasingly important to recover oil from offshore platforms. During production deposition occurs and scale inhibitors are widely used. Different chemicals are already used to inhibit several scaling components, including BaSO{sub 4} which appears to be the major problem in wells of the North Sea. Phosphonates, polyacrylates, phosphinocarboxylates and polyvinylsulfonates are the leading products. All of them do not fulfill end users requirements, especially for harsh conditions such as low pHs, high barium and extreme temperatures and pressures. The paper describes new inhibitors both for standard conditions and harsh conditions which are overcoming most of the present drawbacks. In both sets of conditions, the results on performances, stability and absorption-desorption properties are presented. 7 refs., 9 figs., 4 tabs.

Low-level radioactive waste from commercial nuclear reactors. Volume 2. Treatment, storage, disposal, and transportation technologies and constraints

Energy Technology Data Exchange (ETDEWEB)

Jolley, R.L.; Dole, L.R.; Godbee, H.W.; Kibbey, A.H.; Oyen, L.C.; Robinson, S.M.; Rodgers, B.R.; Tucker, R.F. Jr.

1986-05-01

The overall task of this program was to provide an assessment of currently available technology for treating commercial low-level radioactive waste (LLRW), to initiate development of a methodology for choosing one technology for a given application, and to identify research needed to improve current treatment techniques and decision methodology. The resulting report is issued in four volumes. Volume 2 discusses the definition, forms, and sources of LLRW; regulatory constraints affecting treatment, storage, transportation, and disposal; current technologies used for treatment, packaging, storage, transportation, and disposal; and the development of a matrix relating treatment technology to the LLRW stream as an aid for choosing methods for treating the waste. Detailed discussions are presented for most LLRW treatment methods, such as aqueous processes (e.g., filtration, ion exchange); dewatering (e.g., evaporation, centrifugation); sorting/segregation; mechanical treatment (e.g., shredding, baling, compaction); thermal processes (e.g., incineration, vitrification); solidification (e.g., cement, asphalt); and biological treatment.

Low-level radioactive waste from commercial nuclear reactors. Volume 2. Treatment, storage, disposal, and transportation technologies and constraints

International Nuclear Information System (INIS)

Jolley, R.L.; Dole, L.R.; Godbee, H.W.; Kibbey, A.H.; Oyen, L.C.; Robinson, S.M.; Rodgers, B.R.; Tucker, R.F. Jr.

1986-05-01

The overall task of this program was to provide an assessment of currently available technology for treating commercial low-level radioactive waste (LLRW), to initiate development of a methodology for choosing one technology for a given application, and to identify research needed to improve current treatment techniques and decision methodology. The resulting report is issued in four volumes. Volume 2 discusses the definition, forms, and sources of LLRW; regulatory constraints affecting treatment, storage, transportation, and disposal; current technologies used for treatment, packaging, storage, transportation, and disposal; and the development of a matrix relating treatment technology to the LLRW stream as an aid for choosing methods for treating the waste. Detailed discussions are presented for most LLRW treatment methods, such as aqueous processes (e.g., filtration, ion exchange); dewatering (e.g., evaporation, centrifugation); sorting/segregation; mechanical treatment (e.g., shredding, baling, compaction); thermal processes (e.g., incineration, vitrification); solidification (e.g., cement, asphalt); and biological treatment

Informing the scale-up of Kenya’s nursing workforce: a mixed methods study of factors affecting pre-service training capacity and production

Science.gov (United States)

2014-01-01

Background Given the global nursing shortage and investments to scale-up the workforce, this study evaluated trends in annual student nurse enrolment, pre-service attrition between enrolment and registration, and factors that influence nurse production in Kenya. Methods This study used a mixed methods approach with data from the Regulatory Human Resources Information System (tracks initial student enrolment through registration) and the Kenya Health Workforce Information System (tracks deployment and demographic information on licensed nurses) for the quantitative analyses and qualitative data from key informant interviews with nurse training institution educators and/or administrators. Trends in annual student nurse enrolment from 1999 to 2010 were analyzed using regulatory and demographic data. To assess pre-service attrition between training enrolment and registration with the nursing council, data for a cohort that enrolled in training from 1999 to 2004 and completed training by 2010 was analyzed. Multivariate logistic regression was used to test for factors that significantly affected attrition. To assess the capacity of nurse training institutions for scale-up, qualitative data was obtained through key informant interviews. Results From 1999 to 2010, 23,350 students enrolled in nurse training in Kenya. While annual new student enrolment doubled between 1999 (1,493) and 2010 (3,030), training institutions reported challenges in their capacity to accommodate the increased numbers. Key factors identified by the nursing faculty included congestion at clinical placement sites, limited clinical mentorship by qualified nurses, challenges with faculty recruitment and retention, and inadequate student housing, transportation and classroom space. Pre-service attrition among the cohort that enrolled between 1999 and 2004 and completed training by 2010 was found to be low (6%). Conclusion To scale-up the nursing workforce in Kenya, concurrent investments in expanding the

Treatment methods for radioactive mixed wastes in commercial low-level wastes - technical considerations

International Nuclear Information System (INIS)

MacKenzie, D.R.; Kempf, C.R.

1986-01-01

Treatment options for the management of three generic categories of radioactive mixed waste in commercial low-level wastes (LLW) have been identified and evaluated. These wastes were characterized as part of a BNL study in which LLW generators were surveyed for information on potential chemical hazards in their wastes. The general treatment options available for mixed wastes are destruction, immobilization, and reclamation. Solidification, absorption, incineration, acid digestion, wet-air oxidation, distillation, liquid-liquid solvent extraction, and specific chemical destruction techniques have been considered for organic liquid wastes. Containment, segregation, decontamination, and solidification or containment of residues, have been considered for lead metal wastes which have themselves been contaminated and are not used for purposes of waste disposal shielding, packaging, or containment. For chromium-containing wastes, solidification, incineration, wet-air oxidation, acid digestion, and containment have been considered. Fore each of these wastes, the management option evaluation has included an assessment of testing appropriate to determine the effect of the option on both the radiological and potential chemical hazards present

Constraints to commercialization of algal fuels.

Science.gov (United States)

Chisti, Yusuf

2013-09-10

Production of algal crude oil has been achieved in various pilot scale facilities, but whether algal fuels can be produced in sufficient quantity to meaningfully displace petroleum fuels, has been largely overlooked. Limitations to commercialization of algal fuels need to be understood and addressed for any future commercialization. This review identifies the major constraints to commercialization of transport fuels from microalgae. Algae derived fuels are expensive compared to petroleum derived fuels, but this could change. Unfortunately, improved economics of production are not sufficient for an environmentally sustainable production, or its large scale feasibility. A low-cost point supply of concentrated carbon dioxide colocated with the other essential resources is necessary for producing algal fuels. An insufficiency of concentrated carbon dioxide is actually a major impediment to any substantial production of algal fuels. Sustainability of production requires the development of an ability to almost fully recycle the phosphorous and nitrogen nutrients that are necessary for algae culture. Development of a nitrogen biofixation ability to support production of algal fuels ought to be an important long term objective. At sufficiently large scale, a limited supply of freshwater will pose a significant limitation to production even if marine algae are used. Processes for recovering energy from the algal biomass left after the extraction of oil, are required for achieving a net positive energy balance in the algal fuel oil. The near term outlook for widespread use of algal fuels appears bleak, but fuels for niche applications such as in aviation may be likely in the medium term. Genetic and metabolic engineering of microalgae to boost production of fuel oil and ease its recovery, are essential for commercialization of algal fuels. Algae will need to be genetically modified for improved photosynthetic efficiency in the long term. Copyright © 2013 Elsevier B.V. All

Improving the application of a practice guideline for the assessment and treatment of suicidal behavior by training the full staff of psychiatric departments via an e-learning supported Train-the-Trainer program: study protocol for a randomized controlled trial.

Science.gov (United States)

de Beurs, Derek P; de Groot, Marieke H; de Keijser, Jos; Verwey, Bastiaan; Mokkenstorm, Jan; Twisk, Jos W R; van Duijn, Erik; van Hemert, Albert M; Verlinde, Lia; Spijker, Jan; van Luijn, Bert; Vink, Jan; Kerkhof, Ad J F M

2013-01-09

In 2012, in The Netherlands a multidisciplinary practice guideline for the assessment and treatment of suicidal behavior was issued. The release of guidelines often fails to change professional behavior due to multiple barriers. Structured implementation may improve adherence to guidelines. This article describes the design of a study measuring the effect of an e-learning supported Train-the-Trainer program aiming at the training of the full staff of departments in the application of the guideline. We hypothesize that both professionals and departments will benefit from the program. In a multicenter cluster randomized controlled trial, 43 psychiatric departments spread over 10 regional mental health institutions throughout The Netherlands will be clustered in pairs with respect to the most prevalent diagnostic category of patients and average duration of treatment. Pair members are randomly allocated to either the experimental or the control condition. In the experimental condition, the full staff of departments, that is, all registered nurses, psychologists, physicians and psychiatrists (n = 532, 21 departments) will be trained in the application of the guideline, in a one-day small interactive group Train-the-Trainer program. The program is supported by a 60-minute e-learning module with video vignettes of suicidal patients and additional instruction. In the control condition (22 departments, 404 professionals), the guideline shall be disseminated in the traditional way: through manuals, books, conferences, internet, reviews and so on. The effectiveness of the program will be assessed at the level of both health care professionals and departments. We aim to demonstrate the effect of training of the full staff of departments with an e-learning supported Train-the-Trainer program in the application of a new clinical guideline. Strengths of the study are the natural setting, the training of full staff, the random allocation to the conditions, the large scale of the

BA Sales Training.

Science.gov (United States)

Coutts-Clay, Jennifer

1979-01-01

Describes the programs and courses of the sales training department at British Airways from induction to management level. The staff uses one of the largest commercial computer facilities in the world to provide seat reservations, fare quotations and tickets, hotel reservations, and tours. (MF)

Military Training Lands Historic Context: Training Village, Mock Sites, And Large Scale Operations Areas

Science.gov (United States)

2010-03-01

and each unit was given regular training in addition to two months of intense ski training from a group that included many of the famous skiers in... knowledge of first aid and care in extreme conditions that came from mountain training were invaluable to troops in the European theater. The 10th Mountain...of conflict between the civilians who had come into the army with superior skills and knowledge of mountaineering, and the military officials over

Sensitivity of the Positive and Negative Syndrome Scale (PANSS) in Detecting Treatment Effects via Network Analysis.

Science.gov (United States)

Esfahlani, Farnaz Zamani; Sayama, Hiroki; Visser, Katherine Frost; Strauss, Gregory P

2017-12-01

Objective: The Positive and Negative Syndrome Scale is a primary outcome measure in clinical trials examining the efficacy of antipsychotic medications. Although the Positive and Negative Syndrome Scale has demonstrated sensitivity as a measure of treatment change in studies using traditional univariate statistical approaches, its sensitivity to detecting network-level changes in dynamic relationships among symptoms has yet to be demonstrated using more sophisticated multivariate analyses. In the current study, we examined the sensitivity of the Positive and Negative Syndrome Scale to detecting antipsychotic treatment effects as revealed through network analysis. Design: Participants included 1,049 individuals diagnosed with psychotic disorders from the Phase I portion of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study. Of these participants, 733 were clinically determined to be treatment-responsive and 316 were found to be treatment-resistant. Item level data from the Positive and Negative Syndrome Scale were submitted to network analysis, and macroscopic, mesoscopic, and microscopic network properties were evaluated for the treatment-responsive and treatment-resistant groups at baseline and post-phase I antipsychotic treatment. Results: Network analysis indicated that treatment-responsive patients had more densely connected symptom networks after antipsychotic treatment than did treatment-responsive patients at baseline, and that symptom centralities increased following treatment. In contrast, symptom networks of treatment-resistant patients behaved more randomly before and after treatment. Conclusions: These results suggest that the Positive and Negative Syndrome Scale is sensitive to detecting treatment effects as revealed through network analysis. Its findings also provide compelling new evidence that strongly interconnected symptom networks confer an overall greater probability of treatment responsiveness in patients with

Valuing Treatments for Parkinson Disease Incorporating Process Utility: Performance of Best-Worst Scaling, Time Trade-Off, and Visual Analogue Scales

NARCIS (Netherlands)

Weernink, Marieke Geertruida Maria; Groothuis-Oudshoorn, Catharina Gerarda Maria; IJzerman, Maarten Joost; van Til, Janine Astrid

2016-01-01

Objective The objective of this study was to compare treatment profiles including both health outcomes and process characteristics in Parkinson disease using best-worst scaling (BWS), time trade-off (TTO), and visual analogue scales (VAS). Methods From the model comprising of seven attributes with

Role of two insect growth regulators in integrated pest management of citrus scales.

Science.gov (United States)

Grafton-Cardwell, E E; Lee, J E; Stewart, J R; Olsen, K D

2006-06-01

Portions of two commercial citrus orchards were treated for two consecutive years with buprofezin or three consecutive years with pyriproxyfen in a replicated plot design to determine the long-term impact of these insect growth regulators (IGRs) on the San Joaquin Valley California integrated pest management program. Pyriproxyfen reduced the target pest, California red scale, Aonidiella aurantii Maskell, to nondetectable levels on leaf samples approximately 4 mo after treatment. Pyriproxyfen treatments reduced the California red scale parasitoid Aphytis melinus DeBach to a greater extent than the parasitoid Comperiella bifasciata Howard collected on sticky cards. Treatments of lemons Citrus limon (L.) Burm. f. infested with scale parasitized by A. melinus showed only 33% direct mortality of the parasitoid, suggesting the population reduction observed on sticky cards was due to low host density. Three years of pyriproxyfen treatments did not maintain citricola scale, Coccus pseudomagnoliarum (Kuwana), below the treatment threshold and cottony cushion scale, Icerya purchasi Maskell, was slowly but incompletely controlled. Buprofezin reduced California red scale to very low but detectable levels approximately 5 mo after treatment. Buprofezin treatments resulted in similar levels of reduction of the two parasitoids A. melinus and C. bifasciata collected on sticky cards. Treatments of lemons infested with scale parasitized by A. melinus showed only 7% mortality of the parasitoids, suggesting the population reduction observed on sticky cards was due to low host density. Citricola scale was not present in this orchard, and cottony cushion scale was slowly and incompletely controlled by buprofezin. These field plots demonstrated that IGRs can act as organophosphate insecticide replacements for California red scale control; however, their narrower spectrum of activity and disruption of coccinellid beetles can allow other scale species to attain primary pest status.

education reform in Mozambique and Marrere Teachers' Training ...

African Journals Online (AJOL)

Erna Kinsey

the research at Marrere Teachers' Training College because it had experi- .... social issues or “competence in dealing with commercial concerns”; to “work effectively ..... appropriate for a primary school class than for students training to be tea-.

THE TESTING OF COMMERCIALLY AVAILABLE ENGINEERING AND PLANT SCALE ANNULAR CENTRIFUGAL CONTACTORS FOR THE PROCESSING OF SPENT NUCLEAR FUEL

International Nuclear Information System (INIS)

Jack D. Law; David Meikrantz; Troy Garn; Nick Mann; Scott Herbst

2006-01-01

Annular centrifugal contactors are being evaluated for process scale solvent extraction operations in support of United State Advanced Fuel Cycle Initiative goals. These contactors have the potential for high stage efficiency if properly employed and optimized for the application. Commercially available centrifugal contactors are being tested at the Idaho National Laboratory to support this program. Hydraulic performance and mass transfer efficiency have been measured for portions of an advanced nuclear fuel cycle using 5-cm diameter annular centrifugal contactors. Advanced features, including low mix sleeves and clean-in-place rotors, have also been evaluated in 5-cm and 12.5-cm contactors

Commercial farmers’ strategies to control water resources in South Africa

NARCIS (Netherlands)

Méndez-Barrientos, Linda Estelí; Kemerink, Jeltsje Sanne; Wester, Flip; Molle, François

2018-01-01

This article shows how large-scale commercial farmers, individually and collectively, are responding to land and water reform processes in the Thukela River basin, KwaZulu-Natal, South Africa. With a high degree of innovative agency, commercial farmers have effectively executed four strategies,

Commercial low-level radioactive waste management

International Nuclear Information System (INIS)

Coleman, J.A.

1982-01-01

The goals, objectives and activities of the Department of Energy's Low-Level Radioactive Waste Management program are reviewed. The goal of the overall Program is to support development of an acceptable, nationwide, near surface waste disposal system by 1986. The commercial LLW program has two major functions: (1) application of the technology improvements for waste handling, treatment and disposal, and (2) assistance to states as they carry out their responsibilities under the Low-Level Radioactive Waste Policy Act of 1980. The priorities for the commercial side of the Low-Level Waste Management Program have been established to meet one goal: to support development of an effective commercial management system by 1986. The first priority is being given to supporting state efforts in forming the institutional structures needed to manage the system. The second priority is the state and industry role in transferring and demonstrating treatment and disposal technologies

Biolab Crew Training

OpenAIRE

Illmer, Norbert

2005-01-01

In order to return optimum scientific data for the evaluation on ground astronauts have to be efficiently trained on facility operations and the science background of the experiments. The European Astronaut Centre (EAC) provides training to all astronauts assigned to experiments on the BIOLAB research facility of Columbus. This training primarily uses the full scale BIOLAB training model at EAC.

How Close We Are to Achieving Commercially Viable Large-Scale Photobiological Hydrogen Production by Cyanobacteria: A Review of the Biological Aspects

Science.gov (United States)

Sakurai, Hidehiro; Masukawa, Hajime; Kitashima, Masaharu; Inoue, Kazuhito

2015-01-01

Photobiological production of H2 by cyanobacteria is considered to be an ideal source of renewable energy because the inputs, water and sunlight, are abundant. The products of photobiological systems are H2 and O2; the H2 can be used as the energy source of fuel cells, etc., which generate electricity at high efficiencies and minimal pollution, as the waste product is H2O. Overall, production of commercially viable algal fuels in any form, including biomass and biodiesel, is challenging, and the very few systems that are operational have yet to be evaluated. In this paper we will: briefly review some of the necessary conditions for economical production, summarize the reports of photobiological H2 production by cyanobacteria, present our schemes for future production, and discuss the necessity for further progress in the research needed to achieve commercially viable large-scale H2 production. PMID:25793279

Chronic β2 -adrenoceptor agonist treatment alters muscle proteome and functional adaptations induced by high intensity training in young men

DEFF Research Database (Denmark)

Hostrup, Morten; Onslev, Johan; Jacobson, Glenn

2018-01-01

Although the effects of training have been studied for decades, data on muscle proteome signature remodelling induced by high intensity training in relation to functional changes in humans remains incomplete. Likewise, β2 -agonists are frequently used to counteract exercise......-induced bronchoconstriction, but the effects β2 -agonist treatment on muscle remodelling and adaptations to training are unknown. In a placebo-controlled parallel study, we randomized 21 trained men to four weeks of high intensity training with (HIT + β2 A) or without (HIT) daily inhalation of β2 -agonist (terbutaline, 4 mg...... (P ≤ 0.01) and exercise performance (11.6 vs. 6.1%, P ≤ 0.05) in HIT + β2 A compared to HIT. These findings indicate that daily β2 -agonist treatment attenuates the beneficial effects of high intensity training on exercise performance and oxidative capacity, and causes remodelling of muscle proteome...

Understanding barriers to commercial-scale carbon capture and sequestration in the United States: An empirical assessment

International Nuclear Information System (INIS)

Davies, Lincoln L.; Uchitel, Kirsten; Ruple, John

2013-01-01

Although a potentially useful climate change mitigation tool, carbon capture and sequestration (CCS) efforts in the United States remain mired in demonstration and development. Prior studies suggest numerous reasons for this stagnation. This article empirically assesses those claims. Using an anonymous opinion survey completed by 229 CCS experts, we identified four primary barriers to CCS commercialization: (1) cost and cost recovery, (2) lack of a price signal or financial incentive, (3) long-term liability risks, and (4) lack of a comprehensive regulatory regime. These results give empirical weight to previous studies suggesting that CCS cost (and cost recovery) and liability risks are primary barriers to the technology. However, the need for comprehensive rather than piecemeal CCS regulation represents an emerging concern not previously singled out in the literature. Our results clearly show that the CCS community sees fragmented regulation as one of the most significant barriers to CCS deployment. Specifically, industry is united in its preference for a federal regulatory floor that is subject to state-level administration and sensitive to local conditions. Likewise, CCS experts share broad confidence in the technology's readiness, despite continued calls for commercial-scale demonstration projects before CCS is widely deployed. - Highlights: • We developed and distributed a unique CCS opinion survey. • Our analysis confirmed cost and liability as primary barriers to CCS deployment. • We identified regulatory barriers to CCS not previously singled out in the literature. • We address the need for comprehensive rather than piecemeal CCS regulation

Expert systems for plant operations training and assistance

International Nuclear Information System (INIS)

Pack, R.W.; Lazar, P.M.; Schmidt, R.V.; Gaddy, C.D.

1988-01-01

The project described in this paper explored the use of expert systems for plant operations training and assistance. Three computer technologies were reviewed: computer-aided instruction, expert systems, and expert training systems (ETS). The technology of CAI has been developed since the early 1960s, and a wide range of applications are available commercially today. Expert systems have been developed primarily as job performance aids, and the number of commercial applications is increasing. A fully developed ETS has models of the trainer and trainee, in addition to a knowledge base

Objective structured assessment of nontechnical skills: Reliability of a global rating scale for the in-training assessment in the operating room.

Science.gov (United States)

Dedy, Nicolas J; Szasz, Peter; Louridas, Marisa; Bonrath, Esther M; Husslein, Heinrich; Grantcharov, Teodor P

2015-06-01

Nontechnical skills are critical for patient safety in the operating room (OR). As a result, regulatory bodies for accreditation and certification have mandated the integration of these competencies into postgraduate education. A generally accepted approach to the in-training assessment of nontechnical skills, however, is lacking. The goal of the present study was to develop an evidence-based and reliable tool for the in-training assessment of residents' nontechnical performance in the OR. The Objective Structured Assessment of Nontechnical Skills tool was designed as a 5-point global rating scale with descriptive anchors for each item, based on existing evidence-based frameworks of nontechnical skills, as well as resident training requirements. The tool was piloted on scripted videos and refined in an iterative process. The final version was used to rate residents' performance in recorded OR crisis simulations and during live observations in the OR. A total of 37 simulations and 10 live procedures were rated. Interrater agreement was good for total mean scores, both in simulation and in the real OR, with intraclass correlation coefficients >0.90 in all settings for average and single measures. Internal consistency of the scale was high (Cronbach's alpha = 0.80). The Objective Structured Assessment of Nontechnical Skills global rating scale was developed as an evidence-based tool for the in-training assessment of residents' nontechnical performance in the OR. Unique descriptive anchors allow for a criterion-referenced assessment of performance. Good reliability was demonstrated in different settings, supporting applications in research and education. Copyright © 2015 Elsevier Inc. All rights reserved.

Training manual for process operation and management of radioactive waste treatment facility

Energy Technology Data Exchange (ETDEWEB)

Shon, J. S.; Kim, K. J.; Ahn, S. J. [and others

2004-12-01

Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure.

Training manual for process operation and management of radioactive waste treatment facility

International Nuclear Information System (INIS)

Shon, J. S.; Kim, K. J.; Ahn, S. J.

2004-12-01

Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure

A brain-computer interface based attention training program for treating attention deficit hyperactivity disorder.

Directory of Open Access Journals (Sweden)

Choon Guan Lim

Full Text Available Attention deficit hyperactivity disorder (ADHD symptoms can be difficult to treat. We previously reported that a 20-session brain-computer interface (BCI attention training programme improved ADHD symptoms. Here, we investigated a new more intensive BCI-based attention training game system on 20 unmedicated ADHD children (16 males, 4 females with significant inattentive symptoms (combined and inattentive ADHD subtypes. This new system monitored attention through a head band with dry EEG sensors, which was used to drive a feed forward game. The system was calibrated for each user by measuring the EEG parameters during a Stroop task. Treatment consisted of an 8-week training comprising 24 sessions followed by 3 once-monthly booster training sessions. Following intervention, both parent-rated inattentive and hyperactive-impulsive symptoms on the ADHD Rating Scale showed significant improvement. At week 8, the mean improvement was -4.6 (5.9 and -4.7 (5.6 respectively for inattentive symptoms and hyperactive-impulsive symptoms (both p<0.01. Cohen's d effect size for inattentive symptoms was large at 0.78 at week 8 and 0.84 at week 24 (post-boosters. Further analysis showed that the change in the EEG based BCI ADHD severity measure correlated with the change ADHD Rating Scale scores. The BCI-based attention training game system is a potential new treatment for ADHD.ClinicalTrials.gov NCT01344044.

Clinical Decision-Making in Community Children's Mental Health: Using Innovative Methods to Compare Clinicians With and Without Training in Evidence-Based Treatment.

Science.gov (United States)

Baker-Ericzén, Mary J; Jenkins, Melissa M; Park, Soojin; Garland, Ann F

2015-02-01

Mental health professionals' decision-making practice is an area of increasing interest and importance, especially in the pediatric research and clinical communities. The present study explored the role of prior training in evidence-based treatments on clinicians' assessment and treatment formulations using case vignettes. Specifically, study aims included using the Naturalistic Decision Making (NDM) cognitive theory to 1) examine potential associations between EBT training and decision-making processes (novice versus expert type), and 2) explore how client and family contextual information affects clinical decision-making. Forty-eight clinicians across two groups (EBT trained=14, Not EBT trained=34) participated. Clinicians were comparable on professional experience, demographics, and discipline. The quasi-experimental design used an analog "think aloud" method where clinicians read case vignettes about a child with disruptive behavior problems and verbalized case conceptualization and treatment planning out-loud. Responses were coded according to NDM theory. MANOVA results were significant for EBT training status such that EBT trained clinicians' displayed cognitive processes more closely aligned with "expert" decision-makers and non-EBT trained clinicians' decision processes were more similar to "novice" decision-makers, following NDM theory. Non-EBT trained clinicians assigned significantly more diagnoses, provided less detailed treatment plans and discussed fewer EBTs. Parent/family contextual information also appeared to influence decision-making. This study offers a preliminary investigation of the possible broader impacts of EBT training and potential associations with development of expert decision-making skills. Targeting clinicians' decision-making may be an important avenue to pursue within dissemination-implementation efforts in mental health practice.

Low-level radioactive waste from commercial nuclear reactors. Volume 4. Proceedings of the workshop on research and development needs for treatment of low-level radioactive waste from commercial nuclear reactors

International Nuclear Information System (INIS)

Godbee, H.W.; Frederick, E.J.; Jolley, R.L.; Kibbey, A.H.; Rodgers, B.R.

1986-05-01

The overall task of this program was to provide an assessment of currently available technology for treating commercial low-level radioactive waste (LLRW), to initiate development of a methodology for choosing one technology for a given application, and to identify research needed to improve current treatment techniques and decision methodology. The resulting report is issued in four volumes. As part of this program, a workshop was conducted for determining research and development needs in LLRW treatment. Volume 4, the proceedings of this workshop, includes the formal presentations and both panel and general discussions dealing with such issues as disposal, compaction, and the ''below regulatory concern'' philosophy. Summaries of individual workshops dealing with specific aspects of LLRW treatment are also presented in this volume

Behavioral Training as New Treatment for Adult Amblyopia: A Meta-Analysis and Systematic Review.

Science.gov (United States)

Tsirlin, Inna; Colpa, Linda; Goltz, Herbert C; Wong, Agnes M F

2015-06-01

New behavioral treatment methods, including dichoptic training, perceptual learning, and video gaming, have been proposed to improve visual function in adult amblyopia. Here, we conducted a meta-analysis of these methods to investigate the factors involved in amblyopia recovery and their clinical significance. Mean and individual participant data meta-analyses were performed on 24 studies using the new behavioral methods in adults. Studies were identified using PubMed, Google Scholar, and published reviews. The new methods yielded a mean improvement in visual acuity of 0.17 logMAR with 32% participants achieving gains ≥ 0.2 logMAR, and a mean improvement in stereo sensitivity of 0.01 arcsec-1 with 42% of participants improving ≥2 octaves. The most significant predictor of treatment outcome was visual acuity at the onset of treatment. Participants with more severe amblyopia improved more on visual acuity and less on stereo sensitivity than those with milder amblyopia. Better initial stereo sensitivity was a predictor of greater gains in stereo sensitivity following treatment. Treatment type, amblyopia type, age, and training duration did not have any significant influence on visual and stereo acuity outcomes. Our analyses showed that some participants may benefit from the new treatments; however, clinical trials are required to confirm these findings. Despite the diverse nature of the new behavioral methods, the lack of significant differences in visual and stereo sensitivity outcomes among them suggests that visual attention-a common element among the varied treatment methods-may play an important role in amblyopia recovery.

Training induced cortical plasticity compared between three tongue training paradigms

DEFF Research Database (Denmark)

Kothari, Mohit; Svensson, Peter; Jensen, Jim

2013-01-01

The primary aim of this study was to investigate the effect of different training types and secondary to test gender differences on the training-related cortical plasticity induced by three different tongue training paradigms: 1. Therapeutic tongue exercises (TTE), 2. Playing computer games......) (control) were established using transcranial magnetic stimulation (TMS) at three time-points: (1) before tongue training, (2) immediately after training, (3) 1 h after training. Subject-based reports of motivation, fun, pain and fatigue were evaluated on 0-10 numerical rating scales (NRS) after training....... The resting motor thresholds of tongue MEPs were lowered by training with TDS and TPT (Ptraining with TDS and TPT (P

Distributed photovoltaic generation in Brazil: An economic viability analysis of small-scale photovoltaic systems in the residential and commercial sectors

International Nuclear Information System (INIS)

Holdermann, Claudius; Kissel, Johannes; Beigel, Jürgen

2014-01-01

This paper examines the economic viability of small-scale, grid-connected photovoltaics in the Brazilian residential and commercial sectors after the introduction of the net metering regulation in April 2012. This study uses the discounted cash flow method to calculate the specific investment costs that are necessary for photovoltaic systems to be economically viable for each of the 63 distribution networks in Brazil. We compare these values to the system costs that are estimated in the comprehensive study on photovoltaics that was developed by the Brazilian Association of Electric and Electronic Industries (ABINEE). In our calculation, we utilize the current electricity tariffs, including fees and taxes, which we obtained through telephone interviews and publicly available information. We obtained a second important parameter by simulating PV-systems with the program PV ⁎ Sol at the distribution company headquarters' locations. In our base case scenario that reflects the current situation, in none of the distribution networks photovoltaics is economically viable in either the commercial or residential sectors. We improved the environment for grid-connected photovoltaics in our scenarios by assuming both lower PV-system costs and a lower discount rate to determine the effect on photovoltaics viability. - Highlights: • We calculate the economic viability of photovoltaics in the residential and commercial sectors in Brazil. • The PV ⁎ Sol simulations are carried out at the headquarter locations for the 63 distribution companies. • Currently in none of the distribution networks, photovoltaics is economically viable in either the commercial or residential sectors. • We analyze how the variation of the specific investment costs and of the discount rate affects the economic viability

Exploring mental health and substance use treatment needs of commercially sexually exploited youth participating in a specialty juvenile court.

Science.gov (United States)

Cook, Mekeila C; Barnert, Elizabeth; Ijadi-Maghsoodi, Roya; Ports, Kayleen; Bath, Eraka

2018-03-20

The study sought to: 1) describe the mental health and substance use profiles among participants of a specialty trafficking court program (the Succeed Though Achievement and Resilience Court); 2) describe youths' mental health and substance use treatment prior to participating in the program; and 3) examine whether abuse influences report of mental health problems and/or substance use. Retrospective case review of court files was performed on commercially sexually exploited youth who volunteered to participate in the court from 2012 to 2014 (N = 184). All participants were female. Mental health problems and report of substance use was high among this population. Substance use differed at statistically significant levels between youth with a documented abuse history compared to those with no abuse history. Substance use also differed by report of mental health problems. Unexpected findings included the high rate of hospitalization for mental health problems and relatively low substance use treatment prior to STAR Court participation. Opportunities for improvement in critical points of contact to identify commercially sexually exploited youth and address their health needs are discussed.

Broad-Spectrum Behavioral Treatment for Chronic Alcoholics: Effects of Training Controlled Drinking Skills.

Science.gov (United States)

Foy, David W.; And Others

1984-01-01

Assessed unique treatment effects of training controlled drinking skills in a chronic alcoholic population of veterans (N=62). Results of a six-month posttreatment follow-up revealed that subjects in the drinking skills condition had significantly fewer abstinent days and more abusive drinking days than subjects in the untrained condition. (LLL)

Effectiveness of Shockwave Treatment Combined With Eccentric Training for Patellar Tendinopathy: A Double-Blinded Randomized Study

OpenAIRE

Thijs, Karin M.; Zwerver, Johannes; Backx, Frank J. G.; Steeneken, Victor; Rayer, Stephan; Groenenboom, Petra; Moen, Maarten H.

2017-01-01

OBJECTIVE: To evaluate the effectiveness of a combined treatment of focused shockwave therapy (ESWT) and eccentric training compared with sham-shockwave therapy (placebo) and eccentric training in participants with patellar tendinopathy (PT) after 24 weeks. DESIGN: Randomized controlled trial. SETTING: Sports medicine departments of a university hospital and a general hospital in the Netherlands. PARTICIPANTS: Fifty-two physically active male and female participants with a clinical diagnosis ...

Can psychological well-being scales and hormone levels be used to predict acute performance of anaerobic training tasks in elite female volleyball players?

Science.gov (United States)

Mielgo-Ayuso, Juan; Zourdos, Michael C; Clemente-Suárez, Vicente J; Calleja-González, Julio; Shipherd, Amber M

2017-10-15

The purpose of this study was to examine relationships between pre-training psychological well-being assessment scales (General Health Questionnaire-28-GHQ-28, Competitive State Anxiety Inventory-2-CSAI-2, Sport Competition Anxiety Test-SCAT, State-Trait Anxiety Inventory-S-STAI-S, Oviedo Sleep Questionnaire-OSQ and Psychological Characteristics Related to Sport Performance-PCSP), and pre-training stress hormone concentrations (cortisol-C, total testosterone-TT, free testosterone-FT, adrenocorticotropic hormone-ACTH and testosterone/cortisol-T/C ratios), on acute neuromuscular performance (ANP) in female volleyballers. Forty elite female volleyballers (27±4yrs.; 178.3±8.5cm; 67.9±7.2kg) participated. Bivariate correlations were performed between psychological assessments and hormone levels with ANP. All psychological scales presented at least one significant (pvolleyballers than pre-training stress hormone concentrations. Copyright © 2017 Elsevier Inc. All rights reserved.

[Systematic review about eccentric training in chronic patella tendinopathy].

Science.gov (United States)

Lorenzen, J; Krämer, R; Vogt, P M; Knobloch, K

2010-12-01

, but our ability to recommend a specific protocol is limited. The studies available indicate that the treatment programme should include a 25° decline board and should be performed with some level of discomfort, and that athletes should be removed from sports activity. However, these aspects need further study. Because of the heterogeneous outcome variables (ordinal scale, VAS, VISA-P) and the methodological limitations of the trials, no definite recommendation can be published concerning dosage and duration of eccentric training in chronic Patellar tendinopathy. © Georg Thieme Verlag KG Stuttgart · New York.

Education and training support system

International Nuclear Information System (INIS)

Kubota, Rhuji; Iyadomi, Motomi.

1996-01-01

In order to train the specialist such as operator or maintenance stuff of large scale plant such as nuclear power plant or thermal power plant, a high grade teaching and training support system is required as well as in training pilot of aeroplane. The specialist in such large scale plant is also a researcher in the field of machinery, electricity and physics at first, and is grown up a expert operator or maintenance stuff through learning of CAI system or OTJ used training material for teaching tool in addition of training used operating or maintenance training device imitating actual plant after acquiring determined knowledges by receiving fundamental education on nuclear and thermal power plants. In this paper, the teaching and training support systems of the nuclear and thermal power plants for a system supporting such teaching and training, respectively, were introduced. (G.K.)

Resistance exercise training for fibromyalgia.

Science.gov (United States)

Busch, Angela J; Webber, Sandra C; Richards, Rachel S; Bidonde, Julia; Schachter, Candice L; Schafer, Laurel A; Danyliw, Adrienne; Sawant, Anuradha; Dal Bello-Haas, Vanina; Rader, Tamara; Overend, Tom J

2013-12-20

Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function. Exercise training is commonly recommended as a treatment for management of symptoms. We examined the literature on resistance training for individuals with fibromyalgia. Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength, muscle endurance, muscle power, or a combination of these. To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia. We compared resistance training versus control and versus other types of exercise training. We searched nine electronic databases (The Cochrane Library, MEDLINE, EMBASE, CINAHL, PEDro, Dissertation Abstracts, Current Controlled Trials, World Health Organization (WHO) International Clinical Trials Registry Platform, AMED) and other sources for published full-text articles. The date of the last search was 5 March 2013. Two review authors independently screened 1856 citations, 766 abstracts and 156 full-text articles. We included five studies that met our inclusion criteria. Selection criteria included: a) randomized clinical trial, b) diagnosis of fibromyalgia based on published criteria, c) adult sample, d) full-text publication, and e) inclusion of between-group data comparing resistance training versus a control or other physical activity intervention. Pairs of review authors independently assessed risk of bias and extracted intervention and outcome data. We resolved disagreements between the two review authors and questions regarding interpretation of study methods by discussion within the pairs or when necessary the issue was taken to the full team of 11 members. We extracted 21 outcomes of which seven were designated as major outcomes: multidimensional function, self reported physical function, pain, tenderness, muscle strength, attrition rates, and adverse effects. We evaluated benefits and harms of the interventions using

LARGE-SCALE COMMERCIAL INVESTMENTS IN LAND: SEEKING ...

African Journals Online (AJOL)

extent of large-scale investment in land or to assess its impact on the people in recipient countries. .... favorable lease terms, apparently based on a belief that this is necessary to .... Harm to the rights of local occupiers of land can result from a dearth. 24. ..... applies to a self-identified group based on the group's traditions.

State of the art of produced water treatment.

Science.gov (United States)

Jiménez, S; Micó, M M; Arnaldos, M; Medina, F; Contreras, S

2018-02-01

Produced water (PW) is the wastewater generated when water from underground reservoirs is brought to the surface during oil or gas extraction. PW is generated in large amounts and has a complex composition, containing various toxic organic and inorganic compounds. PW is currently treated in conventional trains that include phase separators, decanters, cyclones and coarse filters in order to comply with existing regulation for discharge. These treatment trains do not achieve more restrictive limitations related to the reuse of the effluent (reinjection into extraction wells) or other beneficial uses (e.g., irrigation). Therefore, and to prevent environmental pollution, further polishing processes need to be carried out. Characterization of the PW to determine major constituents is the first step to select the optimum treatment for PW, coupled with environmental factors, economic considerations, and local regulatory framework. This review tries to provide an overview of different treatments that are being applied to polish this type of effluents. These technologies include membranes, physical, biological, thermal or chemical treatments, where special emphasis has been made on advanced oxidation processes due to the advantages offered by these processes. Commercial treatments, based on the combination, modification and improvement of simpler treatments, were also discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Phytosanitary irradiation of fresh tropical commodities in Hawaii: Generic treatments, commercial adoption, and current issues

International Nuclear Information System (INIS)

Follett, Peter A.; Weinert, Eric D.

2012-01-01

Hawaii is a pioneer in the use of phytosanitary irradiation. The commercial X-ray irradiation facility, Hawaii Pride LLC, has been shipping papaya and other tropical fruits and vegetables to the United States mainland using irradiation for 11 years. Irradiation is an approved treatment to control quarantine pests in 17 fruits and 7 vegetables for export from Hawaii to the US mainland. Hawaiian purple sweet potato is the highest volume product with annual exports of more than 12 million lbs (5500 t). The advent of generic radiation treatments for tephritid fruit flies (150 Gy) and other insects (400 Gy) will accelerate commodity export approvals and facilitate worldwide adoption. Lowering doses for specific pests and commodities can lower treatment costs and increase capacity owing to shorter treatment times, and will minimize any quality problems. Current impediments to wider adoption include the 1 kGy limit for fresh horticultural products, the labeling requirement, and non-acceptance of phytosanitary irradiation in Japan, the European Union, and elsewhere. Irradiation has potential as a treatment for unregulated imports to prevent new pest incursions. - Highlights: ► Irradiation is used to control quarantine insects in exported fresh commodities. ► Hawaii exported 5.7 t of tropical produce using irradiation in 2010. ► Generic radiation treatments will accelerate commodity export approvals. ► Lowering the dose for specific commodities will reduce costs/maintain quality. ► Current issues include the 1 kGy dose limit and labeling requirements.

Cost evaluation of a commercial-scale DUPIC fuel fabrication facility (Part I) -Summary

Energy Technology Data Exchange (ETDEWEB)

Ko, Won Il; Choi, Hang Bok; Yang, Myung Seung [Korea Atomic Energy Research Institute, Taejon (Korea)

1999-08-01

A conceptual design of a commercial scale DUPIC fuel fabrication facility was initiated to provide some insights into the costs associated with construction, operation, and decommissioning. The primary conclusion of this report is that it is feasible to design, license, construct, test, and operate a facility that will process 400 MTHE/yr of spent PWR fuel and reconfigure the fuel into CANDU fuel bundles at a reasonable unit cost of the fuel material. Although DUPIC fuel fabrication by vibropacking method is clearly cheaper than that of the pellet method, the feasibility of vibropac technology for DUPIC fuel fabrication and use of vibroac fuel in CANDU reactors may has to be studied in depth in order to use as an alternative to the conventional pellet fuel method. Especially, there are some questions on meeting the CANDU requirements in thermal and mechanical terms as well as density of fuel. Wherever possible, this report used representative costs of currently available technologies as the bases for cost estimation. It should also be noted that the conceptual design and cost information contained in this report was extracted from the public domain and general open literature. Later studies have to focus on other important areas of concern such as safety, security, safeguards, process optimization etc. 7 figs., 6 tabs. (Author)

Characterizing commercial pureed foods: sensory, nutritional, and textural analysis.

Science.gov (United States)

Ettinger, Laurel; Keller, Heather H; Duizer, Lisa M

2014-01-01

Dysphagia (swallowing impairment) is a common consequence of stroke and degenerative diseases such as Parkinson's and Alzheimer's. Limited research is available on pureed foods, specifically the qualities of commercial products. Because research has linked pureed foods, specifically in-house pureed products, to malnutrition due to inferior sensory and nutritional qualities, commercial purees also need to be investigated. Proprietary research on sensory attributes of commercial foods is available; however direct comparisons of commercial pureed foods have never been reported. Descriptive sensory analysis as well as nutritional and texture analysis of commercially pureed prepared products was performed using a trained descriptive analysis panel. The pureed foods tested included four brands of carrots, of turkey, and two of bread. Each commercial puree was analyzed for fat (Soxhlet), protein (Dumas), carbohydrate (proximate analysis), fiber (total fiber), and sodium content (Quantab titrator strips). The purees were also texturally compared with a line spread test and a back extrusion test. Differences were found in the purees for sensory attributes as well as nutritional and textural properties. Findings suggest that implementation of standards is required to reduce variability between products, specifically regarding the textural components of the products. This would ensure all commercial products available in Canada meet standards established as being considered safe for swallowing.

DEWATERING TREATMENT SCALE-UP TESTING RESULTS OF HANFORD TANK WASTES

International Nuclear Information System (INIS)

TEDESCHI AR

2008-01-01

This report documents CH2M HILL Hanford Group Inc. (CH2M HILL) 2007 dryer testing results in Richland, WA at the AMEC Nuclear Ltd., GeoMelt Division (AMEC) Horn Rapids Test Site. It provides a discussion of scope and results to qualify the dryer system as a viable unit-operation in the continuing evaluation of the bulk vitrification process. A 10,000 liter (L) dryer/mixer was tested for supplemental treatment of Hanford tank low-activity wastes, drying and mixing a simulated non-radioactive salt solution with glass forming minerals. Testing validated the full scale equipment for producing dried product similar to smaller scale tests, and qualified the dryer system for a subsequent integrated dryer/vitrification test using the same simulant and glass formers. The dryer system is planned for installation at the Hanford tank farms to dry/mix radioactive waste for final treatment evaluation of the supplemental bulk vitrification process

Full-scale Applications of Membrane Filtration in Municipal Wastewater Treatment Plants

Czech Academy of Sciences Publication Activity Database

Holba, Marek; Plotěný, K.; Dvořák, L.; Gómez, M.; Růžičková, I.

2012-01-01

Roč. 40, č. 5 (2012), s. 479-486 ISSN 1863-0650 Institutional support: RVO:67985939 Keywords : membrane bioreactors * wastewater treatment * full-scale application Subject RIV: EF - Botanics Impact factor: 2.046, year: 2012

How Does Scale of Implementation Impact the Environmental Sustainability of Wastewater Treatment Integrated with Resource Recovery?

Science.gov (United States)

Cornejo, Pablo K; Zhang, Qiong; Mihelcic, James R

2016-07-05

Energy and resource consumptions required to treat and transport wastewater have led to efforts to improve the environmental sustainability of wastewater treatment plants (WWTPs). Resource recovery can reduce the environmental impact of these systems; however, limited research has considered how the scale of implementation impacts the sustainability of WWTPs integrated with resource recovery. Accordingly, this research uses life cycle assessment (LCA) to evaluate how the scale of implementation impacts the environmental sustainability of wastewater treatment integrated with water reuse, energy recovery, and nutrient recycling. Three systems were selected: a septic tank with aerobic treatment at the household scale, an advanced water reclamation facility at the community scale, and an advanced water reclamation facility at the city scale. Three sustainability indicators were considered: embodied energy, carbon footprint, and eutrophication potential. This study determined that as with economies of scale, there are benefits to centralization of WWTPs with resource recovery in terms of embodied energy and carbon footprint; however, the community scale was shown to have the lowest eutrophication potential. Additionally, technology selection, nutrient control practices, system layout, and topographical conditions may have a larger impact on environmental sustainability than the implementation scale in some cases.

Amblyopia treatment of adults with dichoptic training using the virtual reality oculus rift head mounted display: preliminary results.

Science.gov (United States)

Žiak, Peter; Holm, Anders; Halička, Juraj; Mojžiš, Peter; Piñero, David P

2017-06-28

The gold standard treatments in amblyopia are penalizing therapies, such as patching or blurring vision with atropine that are aimed at forcing the use of the amblyopic eye. However, in the last years, new therapies are being developed and validated, such as dichoptic visual training, aimed at stimulating the amblyopic eye and eliminating the interocular supression. To evaluate the effect of dichoptic visual training using a virtual reality head mounted display in a sample of anisometropic amblyopic adults and to evaluate the potential usefulness of this option of treatment. A total of 17 subjects (10 men, 7 women) with a mean age of 31.2 years (range, 17-69 year) and anisometropic amblyopia were enrolled. Best corrected visual acuity (BCVA) and stereoacuity (Stereo Randot graded circle test) changes were evaluated after 8 sessions (40 min per session) of dichoptic training with the computer game Diplopia Game (Vivid Vision) run in the Oculus Rift OC DK2 virtual reality head mounted display (Oculus VR). Mean BCVA in amblyopic eye improved significantly from a logMAR value of 0.58 ± 0.35 before training to a post-training value of 0.43 ± 0.38 (p virtual reality head mounted display seems to be an effective option of treatment in adults with anisometropic amblyopia. Future clinical trials are needed to confirm this preliminary evidence. Trial ID: ISRCTN62086471 . Date registered: 13/06/2017. Retrospectively registered.

Final Technical Report: Commercial Advanced Lighting Control (ALC) Demonstration and Deployment

Energy Technology Data Exchange (ETDEWEB)

Arnold, Gabe [Efficiency Forward, Inc. / DesignLights Consortium

2018-02-05

This three-year demonstration and deployment project sought to address market barriers to accelerating the adoption of Advanced Lighting Controls (ALCs), an underutilized technology with low market penetration. ALCs are defined as networked, addressable lighting control systems that utilize software or intelligent controllers to combine multiple energy-saving lighting control strategies in a single space (e.g., smart-time scheduling, daylight harvesting, task tuning, occupancy control, personal control, variable load-shedding, and plug-load control). The networked intelligent aspect of these systems allows applicable lighting control strategies to be combined in a single space, layered over one another, maximizing overall energy-savings. The project included five real building demonstrations of ALCs across the Northeast US region. The demonstrations provided valuable data and experience to support deployment tasks that are necessary to overcome market barriers. These deployment tasks included development of training resources for building designers, installers, and trades, as well as development of new energy efficiency rebates for the technology from Efficiency Forward’s utility partners. Educating designers, installers, and trades on ALCs is a critical task for reducing the cost of the technology that is currently inflated due to perceived complexity and unfamiliarity with how to design and install the systems. Further, utility and non-utility energy efficiency programs continue to relegate the technology to custom or ill-suited prescriptive program designs that do not effectively deploy the technology at scale. This project developed new, scalable rebate approaches for the technology. Efficiency Forward utilized their DesignLights Consortium® (DLC) brand and network of 81 DLC member utilities to develop and deploy the results of the project. The outputs of the project have included five published case studies, a six-hour ALC technology training curriculum

Inter-rater Reliability of the Dysphagia Outcome and Severity Scale (DOSS): Effects of Clinical Experience, Audio-Recording and Training.

Science.gov (United States)

Zarkada, Angeliki; Regan, Julie

2017-10-19

The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospective research design was used. Seventeen speech and language pathologists (SLPs) were recruited from an acute teaching hospital, Dublin (> 3 years' VFSS experience, n = 10) and from a postgraduate dysphagia programme in a university setting (training session on DOSS rating after which DOSS IRR was re-tested. Cohen's kappa co-efficient was used to establish IRR. IRR of the DOSS presented only fair agreement (κ = 0.36, p training (κ = 0.328) was significantly better comparing to post-training (κ = 0.218) (p < 0.05). Findings raise concerns as the DOSS is frequently used in clinical practice to capture dysphagia severity and to monitor changes.

Developing a plasma focus research training system for the fusion energy age

International Nuclear Information System (INIS)

Lee, S.

2014-01-01

The 3 kJ UNU/ICTP Plasma Focus Facility is the most significant device associated with the AAAPT (Asian African Association for Plasma Training). In original and modified/upgraded form it has trained generations of plasma focus (PF) researchers internationally, producing many PhD theses and peer-reviewed papers. The Lee Model code was developed for the design of this PF. This code has evolved to cover all PF machines for design, interpretation and optimization, for derivation of radiation scaling laws; and to provide insights into yield scaling limitations, radiative collapse, speed-enhanced and current-stepped PF variants. As example of fresh perspectives derivable from this code, this paper presents new results on energy transfers of the axial and radial phases of generalized PF devices. As the world moves inexorably towards the Fusion Energy Age it becomes ever more important to train plasma fusion researchers. A recent workshop in Nepal shows that demand for such training continues. Even commercial project development consultants are showing interest. We propose that the AAAPT-proven research package be upgraded, by modernizing the small PF for extreme modes of operation, switchable from the typical strong-focus mode to a slow-mode which barely pinches, thus producing a larger, more uniform plasma stream with superior deposition properties. Such a small device would be cost-effective and easily duplicated, and have the versatility of a range of experiments from intense multi-radiation generation and target damage studies to superior advanced-materials deposition. The complementary code is used to reference experiments up to the largest existing machine. This is ideal for studying machine limitations and scaling laws and to suggest new experiments. Such a modernized versatile PF machine complemented by the universally versatile code would extend the utility of the PF experience; so that AAAPT continues to provide leadership in pulsed plasma research training in

Expectations of clinical teachers and faculty regarding development of the CanMEDS-Family Medicine competencies: Laval developmental benchmarks scale for family medicine residency training.

Science.gov (United States)

Lacasse, Miriam; Théorêt, Johanne; Tessier, Sylvie; Arsenault, Louise

2014-01-01

The CanMEDS-Family Medicine (CanMEDS-FM) framework defines the expected terminal enabling competencies (EC) for family medicine (FM) residency training in Canada. However, benchmarks throughout the 2-year program are not yet defined. This study aimed to identify expected time frames for achievement of the CanMEDS-FM competencies during FM residency training and create a developmental benchmarks scale for family medicine residency training. This 2011-2012 study followed a Delphi methodology. Selected faculty and clinical teachers identified, via questionnaire, the expected time of EC achievement from beginning of residency to one year in practice (0, 6, 12, […] 36 months). The 15-85th percentile intervals became the expected competency achievement interval. Content validity of the obtained benchmarks was assessed through a second Delphi round. The 1st and 2nd rounds were completed by 33 and 27 respondents, respectively. A developmental benchmarks scale was designed after the 1st round to illustrate expectations regarding achievement of each EC. The 2nd round (content validation) led to minor adjustments (1.9±2.7 months) of intervals for 44 of the 92 competencies, the others remaining unchanged. The Laval Developmental Benchmarks Scale for Family Medicine clarifies expectations regarding achievement of competencies throughout FM training. In a competency-based education system this now allows identification and management of outlying residents, both those excelling and needing remediation. Further research should focus on assessment of the scale reliability after pilot implementation in family medicine clinical teaching units at Laval University, and corroborate the established timeline in other sites.

Collaboration among Grandparents and Professionals with Discrete Trial Training in the Treatment for Traumatic Brain Injury

Science.gov (United States)

Devlin, Sandra D.; Krenzer, Daniels J.; Edwards, Jennifer

2009-01-01

This study evaluated the impact of collaborative efforts of grandparents and school professionals in the treatment of Traumatic Brain Injury in a six-year-old boy. The method of treatment was discrete trial training across settings (e.g., home and school) and the change agents were the child's grandparents, special education teacher, and a teacher…

Job/Task Analysis: Enhancing the Commercial Building Workforce Through the Development of Foundational Materials; Preprint

Energy Technology Data Exchange (ETDEWEB)

Studer, D.; Kemkar, S.

2012-09-01

For many commercial building operation job categories, industry consensus has not been reached on the knowledge, skills, and abilities that practitioners should possess. The goal of this guidance is to help streamline the minimum competencies taught or tested by organizations catering to building operations and maintenance personnel while providing a basis for developing and comparing new and existing training programs in the commercial building sector. The developed JTAs will help individuals identify opportunities to enhance their professional skills, enable industry to identify an appropriately skilled workforce, and allow training providers to ensure that they are providing the highest quality product possible.

PELVIC FLOOR MUSCLE TRAINING IN THE TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY

Directory of Open Access Journals (Sweden)

Yu. L. Demidko

2014-07-01

Full Text Available The incidence of urinary incontinence after radical prostatectomy is 0.8 to 87%. This category of patients has pelvic floor muscle weakness and reduced perineal reflex. The treatment of these patients uses a pelvic floor exercise system that is to enhance muscle tone and to develop strong reflex contraction in response to a sudden rise in intraabdominal pressure. Pelvic floor muscle training belongs to first-line therapy for urinary incontinence occurring within 6 to 12 months after prostatectomy. The ability to control pelvic floor muscle knowingly and to train them allows one not only to increase the closing capability of sphincter mechanisms, but also to suppress involuntary detrusor contractions. We used this method in 9 patients who had undergone radical prostatectomy. The duration of pelvic floor muscle training under control was up to 25 weeks. During this period, the symptoms of incontinence were relieved. No contraindications or adverse reactions have put this method in first-line therapy for post-prostatectomy urinary incontinence.

PELVIC FLOOR MUSCLE TRAINING IN THE TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY

Directory of Open Access Journals (Sweden)

Yu. L. Demidko

2010-01-01

Full Text Available The incidence of urinary incontinence after radical prostatectomy is 0.8 to 87%. This category of patients has pelvic floor muscle weakness and reduced perineal reflex. The treatment of these patients uses a pelvic floor exercise system that is to enhance muscle tone and to develop strong reflex contraction in response to a sudden rise in intraabdominal pressure. Pelvic floor muscle training belongs to first-line therapy for urinary incontinence occurring within 6 to 12 months after prostatectomy. The ability to control pelvic floor muscle knowingly and to train them allows one not only to increase the closing capability of sphincter mechanisms, but also to suppress involuntary detrusor contractions. We used this method in 9 patients who had undergone radical prostatectomy. The duration of pelvic floor muscle training under control was up to 25 weeks. During this period, the symptoms of incontinence were relieved. No contraindications or adverse reactions have put this method in first-line therapy for post-prostatectomy urinary incontinence.

Evaluation and scoring of radiotherapy treatment plans using an artificial neural network

International Nuclear Information System (INIS)

Willoughby, Twyla R.; Starkschall, George; Janjan, Nora A.; Rosen, Isaac I.

1996-01-01

Purpose: The objective of this work was to demonstrate the feasibility of using an artificial neural network to predict the clinical evaluation of radiotherapy treatment plans. Methods and Materials: Approximately 150 treatment plans were developed for 16 patients who received external-beam radiotherapy for soft-tissue sarcomas of the lower extremity. Plans were assigned a figure of merit by a radiation oncologist using a five-point rating scale. Plan scoring was performed by a single physician to ensure consistency in rating. Dose-volume information extracted from a training set of 511 treatment plans on 14 patients was correlated to the physician-generated figure of merit using an artificial neural network. The neural network was tested with a test set of 19 treatment plans on two patients whose plans were not used in the training of the neural net. Results: Physician scoring of treatment plans was consistent to within one point on the rating scale 88% of the time. The neural net reproduced the physician scores in the training set to within one point approximately 90% of the time. It reproduced the physician scores in the test set to within one point approximately 83% of the time. Conclusions: An artificial neural network can be trained to generate a score for a treatment plan that can be correlated to a clinically-based figure of merit. The accuracy of the neural net in scoring plans compares well with the reproducibility of the clinical scoring. The system of radiotherapy treatment plan evaluation using an artificial neural network demonstrates promise as a method for generating a clinically relevant figure of merit

Pilot scale test and commercialization of sago hydrogel for face mask and wound dressing

International Nuclear Information System (INIS)

Khairul Zaman Hj. Mohd Dahlan; Kamaruddin Hashim; Zulkafli Ghazali

2008-01-01

Commercialization of sago hydrogel as facial mask could be considered as one of the successful story of the radiation processing of natural polymer. However, the process of bringing the product from laboratory to market is not an easy task. The commercialization of new product through entrepreneur requires tremendous energy and funding if compare through company that is already in the same business. Hence, it would require an entrepreneur that is resilient, has certain quality such as hard working, flexible, persistence etc. In addition, the continuous support and 'follow through' from laboratory to market, by the inventor and government agency are equally important for the success of the commercialization of the product or technology. (author)

The Development and Full-Scale Experimental Validation of an Optimal Water Treatment Solution in Improving Chiller Performances

Directory of Open Access Journals (Sweden)

Chen-Yu Chiang

2016-06-01

Full Text Available An optimal solution, in combining physical and chemical water treatment methods, has been developed. This method uses a high voltage capacitance based (HVCB electrodes, coupled with biocides to form a sustainable solution in improving chiller plant performances. In this study, the industrial full-scale tests, instead of laboratory tests, have been conducted on chiller plants at the size of 5000 RT to 10,000 RT cooling capacities under commercial operation for more than two years. The experimental results indicated that the condenser approach temperatures can be maintained at below 1 °C for over two years. It has been validated that the coefficient of performance (COP of a chiller can be improved by over 5% by implementing this solution. Every 1 °C reduction in condenser approach temperature can yield approximately 3% increase on chiller COP, which warrants its future application potential in the HVAC industry, where Ta can degrade by 1 °C every three to six months. The solution developed in this study could also reduce chemical dosages and conserve makeup water substantially and is more environment friendly.

Using Multiple Schedules during Functional Communication Training to Promote Rapid Transfer of Treatment Effects

Science.gov (United States)

Fisher, Wayne W.; Greer, Brian D.; Fuhrman, Ashley M.; Querim, Angie C.

2015-01-01

Multiple schedules with signaled periods of reinforcement and extinction have been used to thin reinforcement schedules during functional communication training (FCT) to make the intervention more practical for parents and teachers. We evaluated whether these signals would also facilitate rapid transfer of treatment effects across settings and…

Effects of circular gait training on balance, balance confidence in patients with stroke: a pilot study.

Science.gov (United States)

Park, Shin-Kyu; Kim, Sung-Jin; Yoon, Tak Yong; Lee, Suk-Min

2018-05-01

[Purpose] This study aimed to investigate the effects of circular gait training on balance and balance confidence in patients with stroke. [Subjects and Methods] Fifteen patients with stroke were randomly divided into either the circular gait training (CGT) group (n=8) or the straight gait training (SGT) group (n=7). Both groups had conventional therapy that adhered to the neurodevelopmental treatment (NDT) approach, for 30 min. In addition, the CGT group performed circular gait training, and the SGT group practiced straight gait training for 30 min. Each intervention was applied for 1 h, 5 days a week, for 2 weeks. Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Activities-specific Balance Confidence (ABC) scale were used to test balance and balance confidence. [Results] After the intervention, both groups showed significant increases in balance and balance confidence. Significant improvements in the balance of the CGT group compared with the SGT group were observed at post-assessment. [Conclusion] This study showed that circular gait training significantly improves balance in patients with stroke.

Effect of aquatic dual-task training on balance and gait in stroke patients

OpenAIRE

Kim, Kyoung; Lee, Dong-Kyu; Kim, Eun-Kyung

2016-01-01

[Purpose] The purpose of this study was to determine the effect of aquatic dual-task training on balance and gait in stroke patients. [Subjects and Methods] Twenty stroke patients were divided into the experimental (n=10) and control (n=10) groups. Both groups underwent neurodevelopmental treatment. The experimental group additionally underwent aquatic dual-task training for 30 minutes a day, 5 days a week, for 6 weeks. Balance was measured using the Berg balance scale, Five Times Sit-to Stan...

Full-scale and laboratory-scale anaerobic treatment of citric acid production wastewater.

Science.gov (United States)

Colleran, E; Pender, S; Philpott, U; O'Flaherty, V; Leahy, B

1998-01-01

This paper reviews the operation of a full-scale, fixed-bed digester treating a citric acid production wastewater with a COD:sulphate ratio of 3-4:1. Support matrix pieces were removed from the digester at intervals during the first 5 years of operation in order to quantify the vertical distribution of biomass within the digester. Detailed analysis of the digester biomass after 5 years of operation indicated that H2 and propionate-utilising SRB had outcompeted hydrogenophilic methanogens and propionate syntrophs. Acetoclastic methanogens were shown to play the dominant role in acetate conversion. Butyrate and ethanol-degrading syntrophs also remained active in the digester after 5 years of operation. Laboratory-scale hybrid reactor treatment at 55 degrees C of a diluted molasses influent, with and without sulphate supplementation, showed that the reactors could be operated with high stability at volumetric loading rates of 24 kgCOD.m-3.d-1 (12 h HRT). In the presence of sulphate (2 g/l-1; COD/sulphate ratio of 6:1), acetate conversion was severely inhibited, resulting in effluent acetate concentrations of up to 4000 mg.l-1.

Manufacturing, regulatory and commercial challenges of biopharmaceuticals production: a Finnish perspective.

Science.gov (United States)

Närhi, Marko; Nordström, Katrina

2005-04-01

Biopharmaceuticals product development is a broad and multidisciplinary field. Science and technology are combined with new manufacturing, regulatory and commercial challenges. However, although there is ample literature on the molecular biology and biochemistry of products, the implementation of processes from test tube to commercial scale has not received similar attention. Consequently, the present study aims to highlight, from practical point of view, some of the key issues involved with manufacturing technologies of biopharmaceuticals at a commercial scale. Regulatory requirements and investments are also addressed based on the practical experiences of start-up and small companies. Finland is used as a case-example of such companies as this is a EU-member state with strong technological growth and rapidly increasing number of biotech companies.

Some problems of NPP personnel training

International Nuclear Information System (INIS)

Vajshnis, P.P.; Kumkov, L.P.; Omel'chuk, V.V.

1984-01-01

Shortcomings of NPP personnel training are discussed. Development of full-scale training systems is necessary for qualitative training operative personnel. Primary problems that should be necessarily solved for ensuring effective training NPP personnel are considered

Radiation protection concepts review with an adapted quiz commercial game

International Nuclear Information System (INIS)

Rodrigues Junior, Ary de Araujo

2002-01-01

Before a new employee starts working at EMBRARAD under a large irradiation operator supervision, he has to attend the first radiation protection training. After that all radiation protection subjects are revised every six months. In that half-yearly training the employees are chosen randomly to explain radiation protection subjects to other participants under an instructor supervision. After some years attending the same training, employees do not have motivation to participate in this kind of periodic event due to the same issues covered. Therefore something should be made to revival their interest and motivation to take part in this periodic training. The way chose was adapted a commercial game to revised radiation protection subjects and included it in the periodic training. The game was well accepted by the employees, it caused a competition among them because everybody wanted to win the game and consequently stimulated them to study. (author)

Technoeconomic analysis of biojet fuel production from camelina at commercial scale: Case of Canadian Prairies.

Science.gov (United States)

Li, Xue; Mupondwa, Edmund; Tabil, Lope

2018-02-01

This study undertakes technoeconomic analysis of commercial production of hydro-processed renewable jet (HRJ) fuel from camelina oil in the Canadian Prairies. An engineering economic model designed in SuperPro Designer® investigated capital investment, scale, and profitability of producing HRJ and co-products (biodiesel, naphtha, LPG, and propane) based on biorefinery plant sizes of 112.5-675 million L annum -1 . Under base case scenario, the minimum selling price (MSP) of HRJ was $1.06 L -1 for a biorefinery plant with size of 225 million L. However, it could range from $0.40 to $1.71 L -1 given variations in plant capacity, feedstock cost, and co-product credits. MSP is highly sensitive to camelina feedstock cost and co-product credits, with little sensitivity to capital cost, discount rate, plant capacity, and hydrogen cost. Marginal and average cost curves suggest the region could support an HRJ plant capacity of up to 675 million L annum -1 (capital investment of $167 million). Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Numerical and experimental simulation of accident processes using KMS large-scale test facility under the program of training university students for nuclear power industry

International Nuclear Information System (INIS)

Aniskevich, Yu.N.

2005-01-01

The KMS large-scale test facility is being constructed at NITI site and designed to model accident processes in VVER reactor plants and provide experimental data for safety analysis of both existing and future NPPs. The KMS phase I is at the completion stage. This is a containment model of 2000 m3 volume intended for experimentally simulating heat and mass transfers of steam-gas mixtures and aerosols inside containment. The KMS phase II will incorporate a reactor model (1:27 scale) and be used for analysing a number of events including primary and secondary LOCA. The KMS program for background training of university students in the nuclear field will include preparation and conduction of experiments, analysis of experiment data. The KMS program for background training of university students in nuclear will include: participation in the development and application of experiment procedures, preparation and carrying out experiments; carrying out pretest and post-test calculations with different computer codes; on-the-job training as operators of experiment scenarios; training of specialists in measurement and information acquisition technologies. (author)

Large scale treatment of total petroleum-hydrocarbon contaminated groundwater using bioaugmentation.