WorldWideScience

Sample records for unit can-icu study

  1. Characterization of Methicillin-Resistant Staphylococcus aureus, Vancomycin-Resistant Enterococci and Extended-Spectrum Beta-Lactamase-Producing Escherichia coli in Intensive Care Units in Canada: Results of the Canadian National Intensive Care Unit (Can-Icu Study (2005–2006

    Directory of Open Access Journals (Sweden)

    George G Zhanel

    2008-01-01

    Full Text Available BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA, extended-spectrum beta-lactamase (ESBL-producing Escherichia coli and vancomycin-resistant enterococci (VRE are important hospital pathogens in Canada and worldwide.

  2. Edison Home Community Study Unit.

    Science.gov (United States)

    Lee County School District, Ft. Myers, FL. Dept. of Environmental Education and Instructional Development Services.

    History is not merely events that occurred in the past. The past has influenced the present, as the present will influence the future. The purpose of this community study unit is to provide fourth grade students with an opportunity to investigate some of the history of Lee County, Florida. The unit's focus is on Thomas Edison, who built a home in…

  3. Studying in the United Kingdom

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The United Kingdom is among the world leaders in recruiting international students.Joanna Burke,Cultural Counselor in the Cultural and Education Section of the British Embassy in China,recently spoke about international students,especially Chinese students in the United Kingdom,with Beijing Review reporter Wang Hairong.

  4. Studying in the United Kingdom

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Beijing Review:The United Kingdom has many top universities in the world. Could you please tell us how many inter-national students are enrolled in UK institutes of higher learning and how many are from China?

  5. Nuclear Proliferation: A Unit for Study.

    Science.gov (United States)

    Fernekes, William R.

    1990-01-01

    Using Argentina as a sample case study, presents a classroom unit designed to explain the implications for world peace of nuclear weapons development. Employs a policy analysis model to make an indepth examination of the values underlying all government policy decisions. Includes unit topics and procedures for the exercise. (NL)

  6. Social Studies: United States. Grade 5.

    Science.gov (United States)

    Kellogg, E. G.

    This teachers guide attempts to facilitate the study of the United States through a conceptual approach and multimedia instruction in a spiral curriculum. There are five units: 1) Natural Setting --location, climate, terrain, water, soil, and economic and esthetic value, and conservation; 2) Historial Development --North American Indian cultures,…

  7. Organizational evaluation of an interprofessional study unit

    DEFF Research Database (Denmark)

    Jensen, Didde Cramer; Nørgaard, Birgitte; Draborg, Eva;

    2012-01-01

    This article presents results from an organizational evaluation of an interprofessional clinical study unit (ICS) in Denmark. The aim of this study was to test whether the ICS was based on a durable organizational concept and to identify the prerequisites for the unit to be successful....... The evaluation framework was "theory-based evaluation". A program theory was developed based on the concepts and expectations of the steering committee which initiated and designed the ICS. The program theory was tested for conflicts of interest among the stakeholders related to the ICS regarding prerequisites...

  8. Unit 703: The People Who Study Language.

    Science.gov (United States)

    Minnesota Univ., Minneapolis. Center for Curriculum Development in English.

    The major purpose of this seventh-grade teaching unit on language is to expand the students' understanding of language as central to human activity. The purposes, methods, and commonalities of such disciplines as anthropology, psychology, linguistics, and rhetoric are defined within the framework of language study to suggest the scope of…

  9. Choices Between... Community Study Unit, Grade 7.

    Science.gov (United States)

    Lee County School District, Ft. Myers, FL. Dept. of Environmental Education and Instructional Development Services.

    Because of its geographical location, topography, and climate, South Florida has unique water problems. When the rainfall situation is combined with changing land use patterns and increasing population growth rates, the result is often water shortages in some areas and floods in others. This study unit looks at some of the reasons for the present…

  10. Economical analysis and study on a solar desalination unit

    DEFF Research Database (Denmark)

    Based on the calculation of the single-factor impact values of the parameters of a triple tower-type solar desalination unit on the cost of fresh water production by utilizing a single-factor analyzing method, the influences of the cost of solar heating system, the cost of hot water tank, the costs...... of desalination unit and electrical power, the life time of solar desalination unit and the yearly yield of fresh water, on the cost of the fresh water production of the solar desalination unit are studied. It is helpful for the further investigation of solar desalination and for reducing the cost of fresh water...... production for solar desalination units....

  11. Technical feasibility study of Voltage Optimization Unit

    DEFF Research Database (Denmark)

    Hu, Junjie; Marinelli, Mattia; Coppo, Massimiliano

    transformer with OLTC per phase is necessary and valuable. The main conclusion is that power distribution transformer with OLTC control on each phase can significantly improve the PV hosting capacity in the analyzed unbal-anced scenarios. To investigate the verification problem, a simulation study...... is performed using the soft-wares DigSilent PowerFactory and Matlab. In this simulation study, a real low voltage network from Dong Eldistribution is modeled in Powerfactory. The measured data of the real low voltage network is analyzed and the resulting loading profiles including active and reactive power...... are used as load basics for the analysis. In term of PV genera-tion profiles, a realistic PV output power is assumed. Four relevant indicies such as phase neutral voltage, netural potential voltage, unbalanced factor (VUF), and power losses are evaluated in the present study. The simulation tests include...

  12. USAmerican Studies in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Richard Ellis

    2006-01-01

    Full Text Available It is first necessary to lay down some framing parameters to the study of the USA in the UK’s Higher Education (HE institutions—its Universities and Colleges: -A 2004 article in The Guardian by Polly Toynbee, widely read around the world-the introduction of “top-up” fees which UK and EU citizens wishing to enter UK HE-USAmerican Studies’ “critical mass” in any one institution;  -the quinquennial government-imposed “Research Assessment” Exercise—aka the RAE-the British Association of American...

  13. Teacher's Supplement to Unit on U.S.S.R. Grade Eleven. [Unit II.] Project Social Studies.

    Science.gov (United States)

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This is a subunit to one of four resource units for an eleventh grade course on area studies. This subunit is a teacher's supplement to the unit on the U.S.S.R. A pretest on the Soviet Union, supplementary readings on the Soviet economy, foreign policy, constitution, government, Soviet attitudes toward the United States, and comparative statistics…

  14. A Stellar Reference Unit Design Study for SIRTF

    DEFF Research Database (Denmark)

    Jørgensen, John Leif; Liebe, Carl Christian

    1996-01-01

    A design study for a stellar reference unit, or star tracker, for SIRTF was conducted in FY96 in conjunction with the Tracking Sensors Group of the Avionic Equipment Section of JPL. The resulting design was derived from the Oersted, autonomous, Advanced Stellar Compass, star tracker. The projecte...... of star tracker integration with the cryogenic telescope structure....

  15. Teaching Writers through a Unit of Study Approach

    Science.gov (United States)

    Morgan, Denise N.

    2012-01-01

    Writing needs to be taught, not assigned, but teaching writing well within a 43-minute period is a daunting task. This article describes how three 8th-grade teachers implemented a unit of study approach to teaching memoir writing in their language arts classes. Teacher and student decision making are highlighted in this inquiry process. ["Teaching…

  16. Portuguese Study in Higher Education in the United States

    Science.gov (United States)

    Milleret, Margo

    2012-01-01

    This study reports the results of a national survey of Portuguese instructors that investigates enrollment growth in regions and institutions of higher education in the United States. It details the reasons why Portuguese enrollments have grown steadily since 1998, while providing data on the numbers of students enrolled in classes and the number…

  17. A Stellar Reference Unit Design Study for SIRTF

    DEFF Research Database (Denmark)

    Jørgensen, John Leif; Liebe, Carl Christian

    1996-01-01

    A design study for a stellar reference unit, or star tracker, for SIRTF was conducted in FY96 in conjunction with the Tracking Sensors Group of the Avionic Equipment Section of JPL. The resulting design was derived from the Oersted, autonomous, Advanced Stellar Compass, star tracker. The projected...

  18. Tests and studies on improved innovativeness of sand reclamation units

    Directory of Open Access Journals (Sweden)

    F. Pezarski

    2007-04-01

    Full Text Available The aim of the present study was raising the innovativeness of sand reclamation units through application of a new material - austempered ductile iron (ADI - for elements exposed to abrasion wear and impacts. Methods used for casting of ADI blades for disk-type reclamation units were described along with the results of tests and measurements of the obtained hardness, strength and microstructure. The ready ADI castings of blades were next subjected to performance tests to compare them with the conventionally made cast steel blades operating under industrial conditions. The obtained results of the tests confirmed high properties and numerous benefits offered by ADI respetive of cast steel used as a material for elements of sand reclamation units.

  19. Feasibility study report for the 200-BP-1 operable unit

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    This feasibility study examines a range of alternatives and provides recommendations for selecting a preferred alternative for remediating contamination at the 200-BP-1 operable unit. The 200-BP-1 operable unit is located in the center of the Hanford Site along the northern boundary of the 200 East Area. The 241-BY Tank Farm is located immediately to the south of the operable unit. 200-BP-1 is a source operable unit with contaminated soils associated primarily with nine inactive cribs (known as the 216-B cribs). These cribs were used for disposal of low-level radioactive liquid waste from U Plant uranium recovery operations, and waste storage tank condensate from the adjacent 241-BY Tank Farm. The cribs used for disposal of U Plant waste were in operation from 1955--1965, and the cribs used for disposal of tank condensate were in operation from 1965--1975. In addition to the cribs, four unplanned releases of radioactive materials have occurred within the operable unit. Contaminated surface soils associated with the unplanned releases have been consolidated over the cribs and covered with clean soil to reduce contaminant migration and exposure. Discharge of wastes to the cribs has resulted in soil and groundwater contamination. The groundwater is being addressed as part of the 200 East Aggregate Area, groundwater operable unit. Contaminated soils at the site can be categorized by the types of contaminants, their distribution in the soil column, and the risk posed by the various potential exposure pathways. Below the clean soil cover, the near surface soils contain low-levels of contamination with cesium-137, radium-226, strontium-90, thorium-228, and uranium. The lifetime incremental cancer risk associated with these soils if they were exposed at the surface is 9{times}10{sup {minus}5}.

  20. Coal facies studies in the eastern United States

    Energy Technology Data Exchange (ETDEWEB)

    Hower, James C. [Center for Applied Energy Research, University of Kentucky, 2540 Research Park Drive, Lexington, KY 40511-8433 (United States); Eble, Cortland F. [Kentucky Geological Survey, University of Kentucky, Lexington, KY 40506 (United States)

    2004-04-23

    Coals in the eastern United States (east of the Mississippi River) have been the subject of a number of coal facies studies, going back to the 19th century. Such studies would not necessarily fall within a strict modern classification of coal facies studies, but if a study encompassed some aspects of paleobotany, palynology, petrology, geochemistry, or sedimentology, we assumed that some data and interpretations may be of use in evaluations of the facies. References are presented, as a guide for further research, with annotation in the tables.

  1. Rabbit care unit for intravenous feeding and metabolic studies.

    Science.gov (United States)

    Haukipuro, K; Harju, E

    1986-01-01

    A simple rabbit care unit for peripheral intravenous feeding and metabolic studies was developed. The unit consists of six aluminum boxes with a common cover. Inverted T-shaped mobile supports hanging from the upper horizontal part of a frame hold the infusion lines. The side walls of the box prevent the rabbit from turning around, but other movements are possible. After initial training with 21 surgically treated animals, there was only one early anesthetic death among the subsequent 21 rabbits (4.8%). There was one late death (4.8%), and one animal was slightly, and two animals clearly, deteriorated. The ear vein cannula had to be changed in one-third of the animals not more than 3 days from the outset. Problems associated with the infusion systems or urinary bladder catheterization were minor. The results showed that it is practical to infuse rabbits via a peripheral intravenous route in a semi-restraining metabolic unit. The cases of late death and deterioration can be explained in part by the stress of experimental conditions with starvation and surgery, rather than by the effect of the metabolic unit alone. With previous experience in treating rabbits, we find the period required to learn this technique is short.

  2. A sociological study of bed blocking in psychiatric rehabilitation units.

    Science.gov (United States)

    Leighton, Kevin

    2002-08-01

    This study focuses on the reported problem of psychiatric patients who are 'bed-blocking' mental health rehabilitation units. It explores the concept of individualized care within psychiatric nursing and argues that this 'received view' is counterproductive for some client groups. Individualized care assumes a number of mainstream social values and beliefs that may conflict radically with the attitudes to life (ideologies) of some service users. These clients may resist normalisation, independence and individualism, preferring instead a more collective, pastoral and spiritual lifestyle. Clients and nurses may reject culture-biased care policy, using various strategies to neutralize individualized care in practice. In the absence of a coherent alternative, such action may lead to frustration, alienation and bed blocking. The study uses structured and unstructured interviews in two psychiatric units to examine this hypothesis.

  3. A Study of the Life and Culture of Young Korean Students Studying in the United States

    Science.gov (United States)

    Lee, Doo Hyoo

    2010-01-01

    The number of young Korean students studying abroad--many moving to English-speaking countries--has increased. This article describes the lives of young Korean students studying in the United States. For data collection, unstructured interviews were conducted with young Korean students studying in the Northwestern states of the United States.…

  4. A Study of the Life and Culture of Young Korean Students Studying in the United States

    Science.gov (United States)

    Lee, Doo Hyoo

    2010-01-01

    The number of young Korean students studying abroad--many moving to English-speaking countries--has increased. This article describes the lives of young Korean students studying in the United States. For data collection, unstructured interviews were conducted with young Korean students studying in the Northwestern states of the United States.…

  5. Ute Unit: Study Guide and Follow Up Activities.

    Science.gov (United States)

    North Conejos School District, Capulin, CO.

    The study guide and follow-up activities were designed primarily to give students a feeling of Ute life in the San Luis Valley in Colorado. The unit begins with six Southern Ute stories about the wolf and coyote, the race between the skunk and the coyote, the frog and the eagle, why the frog croaks, the bear (Que Ye Qat), and the two Indian…

  6. Study on the Novel Dicyanate Ester Resin Containing Naphthalene Unit

    Institute of Scientific and Technical Information of China (English)

    Hong Qiang YAN; Hong Yun PENG; Li JI; Guo Rong QI

    2004-01-01

    The novel dicyanate ester resin containing naphthalene unit (DNCY) was synthesized, and characterized by FT-IR, 1H-NMR, 13C-NMR and elemental analysis (EA).The thermal properties of DNCY resin was studied by thermal degradation analysis at a heating rate of 10 (C /min-1 in N2 and air. The DNCY resin exhibited better thermal and thermal-oxidative stability than bisphenol A dicyanate (BACY) resin.

  7. Boiler modification studies at Gerald Gentleman Staion Unit 1

    Energy Technology Data Exchange (ETDEWEB)

    Kettenacker, W.C. [Performance Engineering, Inc., Lewisville, TX (United States); Favinger, J.O. [Nebraska Public Power District, Southerland, NE (United States)

    1996-05-01

    For several years, Nebraska Public Power District`s (NPPD) Gerald Gentleman Station Unit 1 (GGS1) has experienced boiler problems. Specifically, Unit 1 has had difficulty achieving design main steam and reheat steam temperatures. In addition, the economizer exit gas temperature has been too high, and the reheat surface has become routinely fouled. To determine the cause of these problems and to find possible solutions, NPPD contracted with a boiler manufacturer to review results of a recent performance test on the boiler and offer possible solutions. Some of the solutions offered by the boiler manufacturer were unrealistic, while others offered some promise. In early 1994, NPPD and Performance Engineering, Inc. (PEI) reviewed the results of the boiler manufacturer using a PEPSE (Performance Evaluation of Power System Efficiencies) model originally developed by NPPD and later modified by PEI. In addition, solutions not offered by the boiler manufacturer were studied. Results of the PEPSE study showed that increases to the reheat and superheat surface areas would increase the steam temperatures to the design levels while decreasing the gas temperature leaving the economizer. However, the studies also showed that keeping the surfaces clean would produce the same effect as adding more area without the capital investment. The results of the PEPSE study on GGS1 are presented and solutions are offered. A discussion of the PEPSE model and modeling techniques used for this study are also presented.

  8. Online marketing strategies of plastic surgeons and clinics: a comparative study of the United Kingdom and the United States.

    Science.gov (United States)

    Nassab, Reza; Navsaria, Harshad; Myers, Simon; Frame, James

    2011-07-01

    The cosmetic surgery market is a rapidly growing sector of healthcare, and the use of marketing strategies is now an integral part of any cosmetic surgery practice. In this study, the authors review 50 Web sites from practitioners in London and New York to quantify the utilization of online marketing, comparing results between the United Kingdom and the United States.

  9. United abominations: Density functional studies of heavy metal chemistry

    Energy Technology Data Exchange (ETDEWEB)

    Schoendorff, George [Iowa State Univ., Ames, IA (United States)

    2012-01-01

    Carbonyl and nitrile addition to uranyl (UO22+) are studied. The competition between nitrile and water ligands in the formation of uranyl complexes is investigated. The possibility of hypercoordinated uranyl with acetone ligands is examined. Uranyl is studied with diactone alcohol ligands as a means to explain the apparent hypercoordinated uranyl. A discussion of the formation of mesityl oxide ligands is also included. A joint theory/experimental study of reactions of zwitterionic boratoiridium(I) complexes with oxazoline-based scorpionate ligands is reported. A computational study was done of the catalytic hydroamination/cyclization of aminoalkenes with zirconium-based catalysts. Techniques are surveyed for programming for graphical processing units (GPUs) using Fortran.

  10. Feasibility Study for Operable Unit 7-13/14

    Energy Technology Data Exchange (ETDEWEB)

    K. Jean Holdren

    2007-05-29

    The Subsurface Disposal Area is a radioactive waste landfill located within the Radioactive Waste Management Complex at the Idaho National Laboratory Site in southeastern Idaho. This Feasibility Study for Operable Unit 7-13/14 analyzes options for mitigating risks to human health and the environment associated with the landfill. Analysis is conducted in accordance with the Comprehensive Environmental Response, Compensation, and Liability Act, using nine evaluation criteria to develop detailed and comparative analysis of five assembled alternatives. Assembled alternatives are composed of discrete modules. Ultimately, decision-makers will select, recombine, and sum various modules into an optimized preferred alternative and final remedial decision.

  11. Feasibility study for the United Heckathorn Superfund Site, Richmond, California

    Energy Technology Data Exchange (ETDEWEB)

    Lincoff, A.H. [US Environmental Protection Agency, San Francisco, CA (United States). Region IX; Costan, G.P.; Montgomery, M.S.; White, P.J. [Pacific Northwest Lab., Richland, WA (United States)

    1994-07-01

    The United Heckathom Superfund Site in Richmond, California, was used to formulate pesticides from approximately 1947 to 1966. Soils at the site and sediments in the harbor were contaminated with various chlorinated pesticides, primarily DDT, as a result of these activities. The US Environmental Protection Agency listed the site on the Superfund National Priorities List in 1990. This document is part of the Remedial Investigation and Feasibility Study phase of the Superfund response, which will provide the basis for selection of a final remedy that will protect human health and the environment and achieve compliance with federal and state envirorunental laws.

  12. Interoperability of Knowledge Units in Plant Protection: Case Studies

    Directory of Open Access Journals (Sweden)

    M. Beránková

    2010-12-01

    Full Text Available In this work, we provide two case studies on interoperability and transfer of knowledge in the environment of acompany dealing with plant protection. We find that the area of plant protection is highly oriented on workingwith knowledge. In this case interoperability of knowledge can play an important role in acquiring knowledgefrom different environments to solve specific problem in companies dealing with plant protection. Nevertheless,the concept of interoperability is well-developed on the level of data and information only.We stem from our previous works, where we defined a logical concept for the interoperability of knowledge onthe level of knowledge units. The objective of this work is to show how to apply our process model ofknowledge interoperability in a particular plant protection company. Two case studies are provided in order todemonstrate distinguishing between simple knowledge transfer and knowledge interoperability.

  13. National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 2001-2012

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a coverage of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit investigations in...

  14. Admitting acute ischemic stroke patients to a stroke care monitoring unit versus a conventional stroke unit : a randomized pilot study

    NARCIS (Netherlands)

    Sulter, Geert; Elting, Jan Willem; Langedijk, Marc; Maurits, Natasha M; De Keyser, Jacques

    2003-01-01

    BACKGROUND AND PURPOSE: Pathophysiological considerations and observational studies indicate that elevated body temperature, hypoxia, hypotension, and cardiac arrhythmias in the acute phase of ischemic stroke may aggravate brain damage and worsen outcome. METHODS: Both units were organized with the

  15. Admitting acute ischemic stroke patients to a stroke care monitoring unit versus a conventional stroke unit : a randomized pilot study

    NARCIS (Netherlands)

    Sulter, Geert; Elting, Jan Willem; Langedijk, Marc; Maurits, Natasha M; De Keyser, Jacques

    2003-01-01

    BACKGROUND AND PURPOSE: Pathophysiological considerations and observational studies indicate that elevated body temperature, hypoxia, hypotension, and cardiac arrhythmias in the acute phase of ischemic stroke may aggravate brain damage and worsen outcome. METHODS: Both units were organized with the

  16. National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 1991-2001

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a coverage of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit investigations in...

  17. UNITS OF MEASUREMENT: ORAL TRADITION, TRANSLATION STUDIES AND CORPUS LINGUISTICS

    Directory of Open Access Journals (Sweden)

    John ZEMKE

    2017-06-01

    Full Text Available The study of the world’s verbal arts offers an opportunity to consider ways that computational analysis and modeling of narratives may lead to new understandings of how they are constructed, their dynamics and relationships. Similarly, as corpus linguistics operations must define metrics, it offers an occasion to review basic interpretive concepts such as “units of analysis, context, and genre." My essay begins with an admittedly cursory overview from a novice perspective of what capabilities corpus linguistics currently possesses for the analysis and modeling of narratives. Consideration is given to the epistemological issue in the social sciences with the positivistic prescription or empiricist description of units of analysis and the potential pitfalls or advantages corpus linguistics encounters in searching for adequate equivalent terms. This review leads naturally to reflection on the crucial determinative action of context on meaning and the extent to which current computational interfaces are able to account for and integrate into global analysis of linguistic and performance dimensions such as performer, intonation, gesture, diction, idioms and figurative language, setting, audience, time, and occasion. As a tentative conclusion from this review, it can be stated that artificial intelligence for modeling narratives or devising narrative algorithms must develop capacities to account for performance dimensions in order to fulfill their analytical potential.

  18. Study of digoxin use in a public health unit

    Directory of Open Access Journals (Sweden)

    Felipe C. Souza

    2015-06-01

    Full Text Available Digoxin is used for heart failure associated to systolic dysfunction and high ventricular rate. It has a narrow therapeutic range and intoxication may occur due to drug interactions or comorbidities. The aim of this work was to study digoxin use in a public health unit delineating the profile of patients susceptible to digitalis intoxication. Medical records belonging to patients admitted to the cardiomyopathy ward of the health unit (2009-2010 and in use of digoxin were analyzed. Among 647 patients admitted, 185 individuals using digoxin and possessed records available. The registration of plasma digoxin concentration was found in 80 records and it was out of the therapeutic range in 42 patients (52.5%. This group of individuals was constituted mainly by males patients (79%, functional class III of heart failure (65%, exhibiting renal failure (33%. The evaluated sample reflects the epidemiology of heart failure in Brazil and, although pharmacotherapy had been according to Brazilian Guidelines, apparently the monitoring was not performed as recommended. This work highlighs the necessity of plasma digoxin constant monitoring during pharmacotherapy and the development of protocols that enable a safer use, especially in male patients, functional class III and with renal dysfunction.

  19. Posttraumatic stress in intensive care unit survivors - a prospective study

    DEFF Research Database (Denmark)

    Ratzer, Mette; Brink, Ole; Knudsen, Linda

    2014-01-01

    Aims: This study aimed to estimate the prevalence of severe Posttraumatic Stress Disorder (PTSD) symptoms and to identify factors associated with PTSD in survivors of intensive care unit (ICU) treatment following traumatic injury. Methods: Fifty-two patients who were admitted to an ICU through...... the emergency ward following traumatic injury were prospectively followed. Information on injury severity and ICU treatment were obtained through medical records. Demographic information and measures of acute stress symptoms, experienced social support, coping style, sense of coherence (SOC) and locus...... of control were assessed within one-month post-accident (T1). At the six months follow-up (T2), PTSD was assessed with the Harvard Trauma Questionnaire (HTQ). Results: In the six months follow-up, 10 respondents (19.2%) had HTQ total scores reaching a level suggestive of PTSD (N = 52), and 11 respondents (21...

  20. Economical analysis and study on a solar desalination unit

    OpenAIRE

    Chen, Ziqian; He, Xiaorong; Wang, Tiezhu; Chen, Zhunling; Zheng, Hongfei

    2010-01-01

    Based on the calculation of the single-factor impact values of the parameters of a triple tower-type solar desalination unit on the cost of fresh water production by utilizing a single-factor analyzing method, the influences of the cost of solar heating system, the cost of hot water tank, the costs of desalination unit and electrical power, the life time of solar desalination unit and the yearly yield of fresh water, on the cost of the fresh water production of the solar desalination unit are...

  1. The epidemiology of pertussis and pertussis immunization in the United Kingdom and the United States: a comparative study.

    Science.gov (United States)

    Cherry, J D

    1984-02-01

    Pertussis is a common serious illness of childhood that can be controlled by immunization. It is a unique disease in that it is clinically manifested more often in females than in males. In the 20th century the mortality from pertussis has decreased steadily in both the United Kingdom and the United States. This decline in death rate was well underway prior to the introduction of pertussis vaccine but was accelerated after vaccine use became widespread. In recent years the case fatality rate in the United States has been considerably greater than that in the United Kingdom. One obvious reason for this difference is the difference in age-specific attack rates in the two nations. Available data also suggest that recent pertussis deaths in infants in England and Wales may frequently be reported as due to respiratory diseases other than pertussis. Although it is frequently suggested by some observers, there is no evidence that the incidence of pertussis was declining prior to the widespread use of vaccine. All available evidence indicates that pertussis vaccine use in both the United Kingdom and the United States was responsible for a drastic reduction in the magnitude of both endemic and epidemic pertussis. Decreased utilization of pertussis vaccine in England and Wales beginning in 1975 resulted in two major epidemics of pertussis in 1977-1979 and 1982-1983. Moderate local and systemic reactions commonly occur following pertussis immunization. These reactions appear to be less common and less severe in the United Kingdom than in the United States, but in contrast to recent studies in the United States, there are no recent quantitative studies in the United Kingdom. There are virtually no data available in the United States on the incidence of serious neurologic disease resulting from pertussis immunization. In contrast, the recently published findings of the NCES, a case-control study of national scope, have allowed attributable risk estimates of serious neurologic

  2. Careers (A Course of Study). Unit IX: Change Making.

    Science.gov (United States)

    Turley, Kay

    Designed to improve the change making skills of the special needs student, this set of activities on coin identification, how to make change, the dollar bill, and figuring change is the final unit of a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the world of…

  3. Careers (A Course of Study). Unit III: Do It Right!

    Science.gov (United States)

    Turley, Kay

    Designed to enable the special needs student to comprehend and complete job application forms, this set of activities on job application vocabulary, neatness, and following directions is the third unit in a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the…

  4. Careers (A Course of Study). Unit I: Self Inventory.

    Science.gov (United States)

    Turley, Kay

    Designed to help special needs students develop an awareness of their own individual characteristics, values, interests, aptitudes, abilities, and personality, this self-inventory is the first unit in a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the world…

  5. A prospective study of fever in the intensive care unit.

    Science.gov (United States)

    Circiumaru, B; Baldock, G; Cohen, J

    1999-07-01

    To determine the epidemiology of fever on the intensive care unit (ICU). Prospective, observational study. Nine-bed general ICU in a 500-bed tertiary care inner city institution. 100 consecutive admissions of 93 patients over a 4-month period between July and October 1996. All patients were seen and examined by one investigator within 24 h of ICU admission. Patients were followed up on a daily basis throughout their ICU stay, and all clinical and laboratory data were recorded during the admission. Fever (core temperature > or = 38.4 degrees C) was present in 70% of admissions, and it was caused by infective and non-infective processes in approximately equal number. Most fevers occurred early in the course of the admission, within the first 1-2 days, and most lasted less than 5 days. The median Acute Physiology and Chronic Health Evaluation (APACHE) II score was 15 (+/- 0.6). The 70 episodes associated with fever at any time were associated with a significantly higher APACHE II score on admission than the afebrile episodes (15.8 +/- 6.1 vs 12.1 +/- 6.7, p = 0.04). The most common cause of non-infective fever was in the group designated post-operative fever (n = 34). All the patients in the post-operative fever group were febrile on day 0 or day 1; their mean admission APACHE score was 12.4 (+/- 4.4) compared to 15.9 (+/- 7.1) for the remaining patients (p = 0.01). Fever alone was not associated with a higher mortality: 26/70 (37%) of febrile patients died, compared to 8/30 (27%) of afebrile patients, (chi 2 = 1.23, p = 0.38). Prolonged fever (> 5 days) occurred in 16 patients. In 13 cases, fever was due to infection, and in the remaining 3 both infective and non-infective processes occurred concurrently. The mortality in the group with prolonged fever was 62.5% (10/16) compared to 29.6% (16/54) in patients with fever of less than 5 days' duration, a highly significant difference (p Fever is a common event on the intensive care unit. It usually occurs early in the

  6. A genetic study of Wilson's disease in the United Kingdom.

    Science.gov (United States)

    Coffey, Alison J; Durkie, Miranda; Hague, Stephen; McLay, Kirsten; Emmerson, Jennifer; Lo, Christine; Klaffke, Stefanie; Joyce, Christopher J; Dhawan, Anil; Hadzic, Nedim; Mieli-Vergani, Giorgina; Kirk, Richard; Elizabeth Allen, K; Nicholl, David; Wong, Siew; Griffiths, William; Smithson, Sarah; Giffin, Nicola; Taha, Ali; Connolly, Sally; Gillett, Godfrey T; Tanner, Stuart; Bonham, Jim; Sharrack, Basil; Palotie, Aarno; Rattray, Magnus; Dalton, Ann; Bandmann, Oliver

    2013-05-01

    Previous studies have failed to identify mutations in the Wilson's disease gene ATP7B in a significant number of clinically diagnosed cases. This has led to concerns about genetic heterogeneity for this condition but also suggested the presence of unusual mutational mechanisms. We now present our findings in 181 patients from the United Kingdom with clinically and biochemically confirmed Wilson's disease. A total of 116 different ATP7B mutations were detected, 32 of which are novel. The overall mutation detection frequency was 98%. The likelihood of mutations in genes other than ATP7B causing a Wilson's disease phenotype is therefore very low. We report the first cases with Wilson's disease due to segmental uniparental isodisomy as well as three patients with three ATP7B mutations and three families with Wilson's disease in two consecutive generations. We determined the genetic prevalence of Wilson's disease in the United Kingdom by sequencing the entire coding region and adjacent splice sites of ATP7B in 1000 control subjects. The frequency of all single nucleotide variants with in silico evidence of pathogenicity (Class 1 variant) was 0.056 or 0.040 if only those single nucleotide variants that had previously been reported as mutations in patients with Wilson's disease were included in the analysis (Class 2 variant). The frequency of heterozygote, putative or definite disease-associated ATP7B mutations was therefore considerably higher than the previously reported occurrence of 1:90 (or 0.011) for heterozygote ATP7B mutation carriers in the general population (P Wilson's disease of 1:30 000 (P = 0.00093). Our study provides strong evidence for monogenic inheritance of Wilson's disease. It also has major implications for ATP7B analysis in clinical practice, namely the need to consider unusual genetic mechanisms such as uniparental disomy or the possible presence of three ATP7B mutations. The marked discrepancy between the genetic prevalence and the number of

  7. Parametric design studies of toroidal magnetic energy storage units

    Science.gov (United States)

    Herring, J. Stephen

    Superconducting magnetic energy storage (SMES) units have a number of advantages as storage devices. Electrical current is the input, output and stored medium, allowing for completely solid-state energy conversion. The magnets themselves have no moving parts. The round trip efficiency is higher than those for batteries, compressed air or pumped hydro. Output power can be very high, allowing complete discharge of the unit within a few seconds. Finally, the unit can be designed for a very large number of cycles, limited basically by fatigue in the structural components. A small systems code was written to produce and evaluate self-consistent designs for toroidal superconducting energy storage units. The units can use either low temperature or high temperature superconductors. The coils have D shape where the conductor and its stabilizer/structure is loaded only in tension and the centering forces are borne by a bucking cylinder. The coils are convectively cooled from a cryogenic reservoir in the bore of the coils. The coils are suspended in a cylindrical metal shell which protects the magnet during rail, automotive or shipboard use. It is important to note that the storage unit does not rely on its surroundings for structural support, other than normal gravity and inertial loads. Designs are presented for toroidal energy storage units produced by the systems code. A wide range of several parameters have been considered, resulting in units storing from 1 MJ to 72 GJ. Maximum fields range from 5 T to 20 T. The masses and volumes of the coils, bucking cylinder, coolant, insulation and outer shell are calculated. For unattended use, the allowable operating time using only the boiloff of the cryogenic fluid for refrigeration is calculated. For larger units, the coils were divided into modules suitable for normal truck or rail transport.

  8. Study on safety operation for large hydroelectric generator unit

    Science.gov (United States)

    Yan, Z. G.; Cui, T.; Zhou, L. J.; Zhi, F. L.; Wang, Z. W.

    2012-11-01

    Hydroelectric generator unit is a complex mechanical system which is composed of hydraulic turbine and electric generator. Rotary system is supported by the bearing bracket and the reinforced concrete structures, and vibration problem can't be avoided in the process of operating. Many large-scale hydroelectric units have been damaged because of the vibration problem in recent years. As the increase of the hydraulic turbine unit capacity and water head, the safe operation of hydraulic turbine has become a focus research in many countries. The operating characteristics of the hydraulic turbine have obvious differences at different working conditions. Based on the combination of field measurement and theoretical calculation, this paper shows a deep research on the safe operation of a large-scale Francis turbine unit. Firstly, the measurements of vibration, swing, pressure fluctuation and noise were carried out at 4 different heads. And also the relationships between vibrations and pressure fluctuations at different heads and working conditions were analysed deeply. Then the scientific prediction of safe operation for the unit at high head were done based on the CFD numerical calculation. Finally, this paper shows the division of the operating zone for the hydroelectric unit. According to the experimental results (vibrations, swings, pressure fluctuations and noise) as well as the theoretical results, the operating zone of the unit has been divided into three sections: prohibited operating zone, transition operating zone and safe operating zone. After this research was applied in the hydropower station, the security and economic efficiency of unit increased greatly, and enormous economic benefits and social benefits have been obtained.

  9. Physical and Visual Accessibilities in Intensive Care Units: A Comparative Study of Open-Plan and Racetrack Units.

    Science.gov (United States)

    Rashid, Mahbub; Khan, Nayma; Jones, Belinda

    2016-01-01

    This study compared physical and visual accessibilities and their associations with staff perception and interaction behaviors in 2 intensive care units (ICUs) with open-plan and racetrack layouts. For the study, physical and visual accessibilities were measured using the spatial analysis techniques of Space Syntax. Data on staff perception were collected from 81 clinicians using a questionnaire survey. The locations of 2233 interactions, and the location and length of another 339 interactions in these units were collected using systematic field observation techniques. According to the study, physical and visual accessibilities were different in the 2 ICUs, and clinicians' primary workspaces were physically and visually more accessible in the open-plan ICU. Physical and visual accessibilities affected how well clinicians' knew their peers and where their peers were located in these units. Physical and visual accessibilities also affected clinicians' perception of interaction and communication and of teamwork and collaboration in these units. Additionally, physical and visual accessibilities showed significant positive associations with interaction behaviors in these units, with the open-plan ICU showing stronger associations. However, physical accessibilities were less important than visual accessibilities in relation to interaction behaviors in these ICUs. The implications of these findings for ICU design are discussed.

  10. Evolving Distributed Generation Support Mechanisms: Case Studies from United States, Germany, United Kingdom, and Australia

    Energy Technology Data Exchange (ETDEWEB)

    Lowder, Travis [National Renewable Energy Lab. (NREL), Golden, CO (United States); Zhou, Ella [National Renewable Energy Lab. (NREL), Golden, CO (United States); Tian, Tian [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-03-14

    This report expands on a previous National Renewable Energy Laboratory (NREL) technical report (Lowder et al. 2015) that focused on the United States' unique approach to distributed generation photovoltaics (DGPV) support policies and business models. While the focus of that report was largely historical (i.e., detailing the policies and market developments that led to the growth of DGPV in the United States), this report looks forward, narrating recent changes to laws and regulations as well as the ongoing dialogues over how to incorporate distributed generation (DG) resources onto the electric grid. This report also broadens the scope of Lowder et al. (2015) to include additional countries and technologies. DGPV and storage are the principal technologies under consideration (owing to market readiness and deployment volumes), but the report also contemplates any generation resource that is (1) on the customer side of the meter, (2) used to, at least partly, offset a host's energy consumption, and/or (3) potentially available to provide grid support (e.g., through peak shaving and load shifting, ancillary services, and other means).

  11. Influencing Tomorrow: A Study of Emerging Influence Techniques and Their Relevance to United States Information Operations

    Science.gov (United States)

    2015-06-12

    groups and governmental institutions; the possibility of economic loss directed at entrepreneurs; or the prospect of United States undue influence or... INFLUENCING TOMORROW: A STUDY OF EMERGING INFLUENCE TECHNIQUES AND THEIR RELEVANCE TO UNITED STATES INFORMATION OPERATIONS A...

  12. The study of landscape units in Pantanal biome

    Directory of Open Access Journals (Sweden)

    Maria Elisa Siqueira Silva

    2012-04-01

    Full Text Available The geoecological landscape observation allows the analysis of geosystems fragmentation in small areas or a diagnosis of a particular environment or biome. This geosystemic approach permits the integration of elements that constitutes the environment, allowing the interaction and interdependence analysis of social and ecological elements. The main goal of this work was to elaborate a map of landscape units and a territorial planning for Pantanal biome, using data generated by the Brazilian Institute of Geography and Statistics (IBGE corresponding to morphometric relief units, geology, soils and agricultural capability; the land cover and land use map developed by the Brazilian Agricultural Research Corporation (EMBRAPA and the maps of flooded areas and spatial variability of the Pantanal biome. From the crosstab between altitude, slope, spatial variability map and geology we identified 16 landscape units. Additionally, the analysis of Pantanal biome environmental vulnerability of the landscape units considering different types of vegetation, topography and soils units showed that Pantanal has an intermediate environmental fragility, located mainly in the alluvial deposition areas of the Taquari river and in flood plains with altitude between 50 and 250 meters.

  13. Human habitation field study of the Habitat Demonstration Unit (HDU)

    Science.gov (United States)

    Litaker, Harry L.; Archer, Ronald D.; Szabo, Richard; Twyford, Evan S.; Conlee, Carl S.; Howard, Robert L.

    2013-10-01

    Landing and supporting a permanent outpost on a planetary surface represents humankind's capability to expand its own horizons and challenge current technology. With this in mind, habitability of these structures becomes more essential given the longer durations of the missions. The purpose of this evaluation was to obtain preliminary human-in-the-loop performance data on the Habitat Demonstration Unit (HDU) in a Pressurized Excursion Module (PEM) configuration during a 14-day simulated lunar exploration field trial and to apply this knowledge to further enhance the habitat's capabilities for forward designs. Human factors engineers at the NASA/Johnson Space Center's Habitability and Human Factors Branch recorded approximately 96 h of crew task performance with four work stations. Human factors measures used during this study included the NASA Task Load Index (TLX) and customized post questionnaires. Overall the volume for the PEM was considered acceptable by the crew; however; the habitat's individual work station volume was constrained when setting up the vehicle for operation, medical operations, and suit maintenance while general maintenance, logistical resupply, and geo science was considered acceptable. Crew workload for each station indicated resupply as being the lowest rated, with medical operations, general maintenance, and geo science tasks as being light, while suit maintenance was considered moderate and general vehicle setup being rated the highest. Stowage was an issue around the habitat with the Space Exploration Vehicle (SEV) resupply stowage located in the center of the habitat as interfering with some work station volumes and activities. Ergonomics of the geo science station was considered a major issue, especially with the overhead touch screens.

  14. Green electricity policies in the United States: case study

    Energy Technology Data Exchange (ETDEWEB)

    Menz, Fredric C. [Faculty of Economics and Finance, School of Business, Clarkson University, Bertrand H. Snell Hall, Potsdam, NY 13699-5767 (United States) and Center for International Climate and Environmental Research - CICERO, Oslo (Norway)] e-mail: menzf@clarkson.edu

    2005-12-01

    While there has been interest in promoting the use of renewable energy in electricity production for a number of years in the United States, the market share of non-hydro renewable energy sources in electricity production has remained at about 2 percent over the past decade. The paper reviews the principal energy resources used for electricity production, considers the changing regulatory environment for the electricity industry, and describes government policies that have been used to promote green electricity in the United States, with an emphasis on measures adopted by state governments. Factors influencing the development of green power markets are also discussed, including underlying economic issues, public policy measures, the regulatory environment, external costs, and subsidies. Without significant increases in fossil fuel prices, much more stringent environmental regulations, or significant changes in electricity customer preferences, green electricity markets are likely to develop slowly in the United States.

  15. Aggression on Haemodialysis units: a mixed methods study

    NARCIS (Netherlands)

    Jones, J.; Nijman, H.L.I.; Ross, J.; Ashman, N.; Callaghan, P.

    2014-01-01

    Background Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session. Objectives

  16. A Unit of Study on the Music of China.

    Science.gov (United States)

    Mueller, Alicia K.

    1999-01-01

    Presents a unit for elementary students that focuses on the music of the ancient culture of China during the Tang dynasty. Provides background information on Chinese society, music in ancient China, the relationship between music and poetry and other related arts. Offers two lesson plans with accompanying music and a list of resources. (CMK)

  17. Challenges Facing Chinese International Students Studying in the United States

    Science.gov (United States)

    Ching, Yuerong; Renes, Susan L.; McMurrow, Samantha; Simpson, Joni; Strange, Anthony T.

    2017-01-01

    Chinese international students often find it challenging to adjust to attending college in the United States (US). There is limited research addressing Chinese international college students' adjustment in the US. Drawing on what literature exists combined with research addressing Chinese immigrants' transition and international students'…

  18. Careers (A Course of Study). Unit V: Forms, Forms, Forms.

    Science.gov (United States)

    Turley, Kay

    Designed to enable special needs students to understand and complete various job-related forms, this set of activities devoted to forms encountered before and after one obtains a job is the fifth in a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the world of…

  19. Ethnic Heritage Studies: Ethnic Heritage Foods. Experimental Unit.

    Science.gov (United States)

    Colbert, Theresia

    Designed to foster communication across intercultural/ethnic lines, this teaching guide focuses on ethnic foods and their influence on and contributions to America's eating habits. It is part of the Louisville Area Ethnic Heritage Project described in ED 150 043. The objective of this unit is to develop a knowledge and an appreciation of the food…

  20. Managing a surgical unit using google drive - a feasibility study

    Directory of Open Access Journals (Sweden)

    Ashley Solomon C.

    2016-10-01

    Conclusions: It is feasible to use google drive as a patient management system by a surgical unit to organise work. This system is efficient, secure and cost effective. [Int J Res Med Sci 2016; 4(10.000: 4365-4369

  1. The Beginnings of Communication Study in the United States.

    Science.gov (United States)

    Schramm, Wilbur

    The history of communication research in the United States is reviewed in this paper through an extensive look at the lives of four men who made significant contributions to the field: Harold Lasswell, Kurt Lewin, Paul Lazarsfeld, and Carl Hovland. The pattern of institute formation in the social sciences is briefly reviewed to explain the…

  2. Study of geothermal prospects in the western United States

    Energy Technology Data Exchange (ETDEWEB)

    1976-08-20

    The commercial development potential of 13 underdeveloped geothermal prospects in the Western United States has been examined and the prospects have been ranked in order of relative potential for development on the basis of investment considerations. The following were considered in the ranking: geotechnical and engineering data, energy market accessibility, administrative constraints, and environmental and socio-economic factors. The primary ranking criterion is the unit cost of energy production expected from each prospect. This criterion is obtained principally from expected reservoir temperatures and depths. Secondary criteria are administrative constraints, environmental factors and the quality of the geotechnical data. The Roosevelt, Utah, prospect ranks first in development potential followed in order by Beowawe, Nevada; Coso Hot Springs, California; Long Valley, California; and Brady's Hot Springs, Nevada.

  3. Study of geothermal prospects in the western United States

    Energy Technology Data Exchange (ETDEWEB)

    1975-01-01

    The commercial development potential of 13 underdeveloped geothermal prospects in the western United States has been examined and the prospects have been ranked in order of relative potential for development on the basis of investment considerations. The following were considered in the ranking: geotechnical and engineering data, energy market accessibility, administrative constraints, and environmental and socio-economic factors. The primary ranking criterion is the unit cost of energy production expected from each prospect. This criterion is obtained principally from expected reservoir temperatures and depths. Secondary criteria are administrative constraints, environmental factors and the quality of the geotechnical data. The Roosevelt, Utah, prospect ranks first in development potential followed in order by Beowawe, Nevada; Coso Hot Springs, California; Long Valley, California; and Brady's Hot Springs, Nevada.

  4. Ethnic Studies in the United States as decolonial studies within the overall university system westernized

    Directory of Open Access Journals (Sweden)

    Ramón Grosfoguel

    2013-01-01

    Full Text Available This article is an analysis of the Westernized university and its Eurocentric fundamentalism in relation to the subaltern struggles of racialized groups in the United States and its impact on the formation of ethnic studies in the university’s epistemic structure. The article goes on to discuss questions of epistemic racism/sexism and the dilemmas that ethnic studies programs confront today in particular forms of disciplinary colonization, liberal multiculturalism and identity politics.

  5. Women’s experience of transfer from midwifery unit to hospital obstetric unit during labour: a qualitative interview study

    Directory of Open Access Journals (Sweden)

    Rowe Rachel E

    2012-11-01

    Full Text Available Abstract Background Midwifery units offer care to women with straightforward pregnancies, but unforeseen complications can arise during labour or soon after birth, necessitating transfer to a hospital obstetric unit. In England, 21% of women planning birth in freestanding midwifery units are transferred; in alongside units, the transfer rate is 26%. There is little high quality contemporary evidence on women’s experience of transfer. Methods We carried out a qualitative interview study, using semi-structured interviews, with women who had been transferred from a midwifery unit (freestanding or alongside in England up to 12 months prior to interview. Maximum variation sampling was used. Interviews with 30 women took place between March 2009 and March 2010. Thematic analysis using constant comparison and exploration of deviant cases was carried out. Results Most women hoped for or expected a natural birth and did not expect to be transferred. Transfer was disappointing for many; sensitive and supportive care and preparation for the need for transfer helped women adjust to their changing circumstances. A small number of women, often in the context of prolonged labour, described transfer as a relief. For women transferred from freestanding units, the ambulance journey was a “limbo” period. Women wondered, worried or were fearful about what was to come and could be passive participants who felt like they were being “transported” rather than cared for. For many this was a direct contrast with the care they experienced in the midwifery unit. After transfer, most women appreciated the opportunity to talk about their experience to make sense of what happened and help them plan for future pregnancies, but did not necessarily seek this out if it was not offered. Conclusions Transfer affects a significant minority of women planning birth in midwifery units and is therefore a concern for women and midwives. Transfer is not expected by women, but

  6. Loess studies in central United States: Evolution of concepts

    Science.gov (United States)

    Follmer, L.R.

    1996-01-01

    Few words in the realm of earth science have caused more debate than "loess". It is a common term that was first used as a name of a silt deposit before it was defined in a scientific sense. Because this "loose" deposit is easily distinguished from other more coherent deposits, it was recognized as a matter of practical concern and later became the object of much scientific scrutiny. Loess was first recognized along the Rhine Valley in Germany in the 1830s and was first noted in the United States in 1846 along the lower Mississippi River where it later became the center of attention. The use of the name eventually spread around the world, but its use has not been consistently applied. Over the years some interpretations and stratigraphic correlations have been validated, but others have been hotly contested on conceptual grounds and semantic issues. The concept of loess evolved into a complex issue as loess and loess-like deposits were discovered in different parts of the US. The evolution of concepts in the central US developed in four indefinite stages: the eras of (1) discovery and development of hypotheses, (2) conditional acceptance of the eolian origin of loess, (3) "bandwagon" popularity of loess research, and (4) analytical inquiry on the nature of loess. Toward the end of the first era around 1900, the popular opinion on the meaning of the term loess shifted from a lithological sense of loose silt to a lithogenetic sense of eolian silt. However, the dual use of the term fostered a lingering skepticism during the second era that ended in 1944 with an explosion of interest that lasted for more than a decade. In 1944, R.J. Russell proposed and H.N. Fisk defended a new non-eolian, property-based, concept of loess. The eolian advocates reacted with surprise and enthusiasm. Each side used constrained arguments to show their view of the problem, but did not examine the fundamental problem, which was not in the proofs of their hypothesis, but in the definition of

  7. Medical researchers unite for study on cancer intervention

    Directory of Open Access Journals (Sweden)

    Editorial Office

    2016-08-01

    the areas of molecular biology, cell biology, and cancer research.Some of the awards received by Dr. Snijders include the prestigious President’s Award for Excellence and the Student Travel Award at the 2014’s XXII International Congress of the International Society for Analytical Cytology in Montpellier, France. He was also the co-recipient of the AACR Team Science Award for the conception, technical implementation, dissemination, and pioneering applications of an array comparative genomic hybridization technique from the American Association of Cancer Research in 2008. Meanwhile, Dr. Mao studied applied mathematics at Southeast University, Nanjing, China, and pursued his masters in biostatistics and cancer epidemiology at Beijing Medical University (now Peking University Health Science Center. In 1988, Dr. Mao received the Outstanding Postgraduate Award from Beijing Medical University and two years later, was awarded an Outstanding Lecturer Award from the same university. He then pursued his PhD in cancer genetics at the Department of Radiation Oncology, University of Glasgow, UK. During this period, Dr. Mao was awarded the Oversea Research Student Awards from the Committee of Vice-Chancellor and Principals of the Universities of the United Kingdom, along with the Glasgow University Travel fellowship.Dr. Snijders and Dr. Mao joined Berkeley Lab in 2008 as resident scientist and genetic staff scientist, respectively, where their work focuses on using the multi-omics approach to identify critical genes as potential therapeutic targets and prognostic biomarkers. “At the same time, we investigate underlying biological mechanisms and functions using different model systems, including genetically engineered mouse models,” they told AMOR.“Mouse models offer many advantages for the study of the genetic basis of complex traits, including radiation-induced cancers, because of our ability to control both the genetic and environmental components of risk. The goal is

  8. Professional Competence of the Head of External Relations Unit and its Development in the Study Process

    OpenAIRE

    Turuševa, Larisa

    2010-01-01

    Dissertation Annotation Larisa Turuševa’s promotion paper „Professional Competence of the Head of External Relations Unit and its Development in the Study Process” is a fulfilled research on the development of Professional competence of the heads of external relations units, conditions for the study programme development. A model of professional competence of the head of external relations unit is worked out, its indicators and levels are described. A study process model for th...

  9. International student mobility and highly skilled migration: a comparative study of Canada, the United States, and the United Kingdom.

    Science.gov (United States)

    She, Qianru; Wotherspoon, Terry

    2013-12-01

    Against the backdrop of demographic change and economic reconfiguration, recruiting international students, especially those at tertiary level, has drawn growing attention from advanced economies as part of a broad strategy to manage highly skilled migration. This comparative study focuses on three English speaking countries receiving international students: Canada, the United States, and the United Kingdom. International student policies, in particular entry and immigration regulations, and the trends in student mobility since the late 1990s are examined drawing on secondary data. By exploring the issue from the political economy perspectives, this study identifies distinct national strategies for managing student mobility, determines key factors shaping the environment of student migration in each nation, and addresses the deficiency of human capital theory in the analysis of global competition for high skills.

  10. A comparison study of two Tricept units for reconfigurable parallel kinematic machines

    Institute of Scientific and Technical Information of China (English)

    Shi Junshan; Tang Xiaoqiang; Lin Chunshen; Wang Liping

    2005-01-01

    This paper presents a comparison study of workspace and dexterity of two Tricept units for Reconfigurable Parallel Kinematic Machines (RPKMs). The modular leg of RPKMs is designed and the RPKMs can be built by changing the setting of modules. A compositive kinematic model is developed accordingly. The inverse kinematics and Jacobian of these two Tricept units are analyzed. Considering workspace volume and dexterity, the effects of geometric size of some modules on the two Tricept units are discussed. In the end, comparison results of these two Tricept units are given. The comparison of two kinds of Parallel Kinematic Machines (PKMs) can be of help in the design and configuration planning of the RPKMs.

  11. Water Quality Monitoring: An Environmental Studies Unit for Biology 20/30. Student Manual.

    Science.gov (United States)

    Alberta Environment, Edmonton. Environmental Education Resources Branch.

    The objective of this environmental studies unit is to establish a water quality monitoring project for high school students in Alberta while simultaneously providing a unit which meets the objectives of the Biology 20 program (and which may also be used in Biology 10 and 30). Through this project, students assist in the collection,…

  12. Changing Patterns of Finance in Higher Education. Country Study: United States of America. OECD Educational Monographs.

    Science.gov (United States)

    Organisation for Economic Cooperation and Development, Paris (France).

    This report on the United States of America is one in a series of country studies prepared in the framework of the Organization for Economic Cooperation and Development (OECD) Education Committee activity on changing patterns of finance in higher education. The United States maintains the largest and most diverse system of higher education in the…

  13. Unit scale abundance and habitat data - Calawah River Riverscape Study

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The objective of this study was to identify the patterns of juvenile salmonid distribution and relative abundance in relation to habitat correlates. It is the first...

  14. A Study of the Efficacy of Unit Contingency Contracting Training

    Science.gov (United States)

    2003-03-01

    Further explorations using the longitudinal method could be used to verify and substantiate the findings of this study in the future. The... longitudinal method could provide a more comprehensive picture of the findings by conducting research over an extended period of time with more than one

  15. Recreation in the United States. National Historic Landmark Theme Study.

    Science.gov (United States)

    Charleton, James H.

    This report examines a number of outstanding and illustrative examples of a broad range of properties representing recreational activities that suggest themselves for possible National Historic Landmark recognition. The properties described in the study have been selected to represent places and activities that have had a major impact on American…

  16. Principles of Economics: Course Administrative Manual [And] Unit Study Guide.

    Science.gov (United States)

    Barbour, G. Jeffrey

    This learning package is a three-semester-hour, independent-study course in principles of economics designed for postsecondary, external degree students. Keyed to the commercially published textbook "Economics Today" (San Francisco, CA: Canfield Press, 1975), the package consists of an administrator manual, a student manual, 14…

  17. A Relational Approach to the Study of Religious Survival Units

    DEFF Research Database (Denmark)

    Reeh, Niels

    2012-01-01

    , a religion can be defined and studied as the result of complex set of dynamic relations, where a central tenet of a religion is that it relates to the significant religious other. As such religion is not a stable phenomenon but embedded in a dynamic historical process, which can explain the difficulties...

  18. Buddhism in the United States: an Ethnographic Study

    Directory of Open Access Journals (Sweden)

    Jaeyeon Choe

    2013-12-01

    Full Text Available This paper focuses on Buddhism in America, an neglected area of inquiry in anthropological study. There is a need for modern ethnographic studies to shed light on historical issues, paradigms for comparative inquiry, and thus, explore the impact of Buddhism on modern American society (Glazier, 1997. The enormous growth of Buddhism in the last quarter century (Smith, 2002 makes this an especially pertinent topic in American anthropology. We utilize Glazier’s model to add Buddhism as a topic in the area of modernity studies. This is a preliminary study of the nature of Buddhism in America. We conducted participant observation with a Buddhist meditation group in a north eastern state in the US for four months in the spring of 2010. Based on our preliminary ethnographic data, we believe that a unique perspectives of Buddhism in America can be identified: non-religious and therapeutic involvement or use of Buddhism. Also, new forms of practice become evident, for example, ‘walking meditation’ and ‘bowing to other Buddhists,’ are identified as characteristics of Buddhism in America. It is interesting to note that at the end of meditation sessions, participants not only bow to the Buddha statue, but also bow to each other. This is a unique ritual dynamic which appears to be consistent with the worldview of American people - being equal and individual. The meditation group also practiced ‘walking meditation’ which is easy to do in everyday life. Additionally, we observed that American meditation rooms provide additional cushions to sit on which are a further element, along with walking meditation, which help American beginners to meditate more easily. These study observations shed light on the current situation by providing new lenses from which to understand and focus on different ritual performances/interpretations of Buddhism, and their meanings and functions in society. The most important reflection is that religious change is not an

  19. Evaluation of heat stress in dry cleaner units:A case study in Qom, Iran

    Directory of Open Access Journals (Sweden)

    Javad Malakouti

    2016-04-01

    Full Text Available Background & Aims of the Study: Nowadays, heat stress is one of the most harmful physical agents in workplaces. According to the consequences of heat stress and have no information about it in Qom dry cleaner units, Iran, this study have been designed to evaluate the heat stress among workers of dry cleaner units in Qom province of Iran, in Jul-Aug 2011. Materials & Methods: This cross-sectional study was conducted in 113 units of active dry cleaner units. WBGT (Wet Bulb Globe Temperature index was selected for heat stress evaluation. In order to measure the requisite parameters, WBGT meter made of Casella Company had been used according to ISO 7243. Data had been analyzed according to Occupational Exposure Limits (OELs with SPSS V.16, using analysis of variance, independent T and LSD tests. Results: The average of WBGT index in Qom dry cleaner units of Iran were 28.98±1.64 °C. The average of WBGT index in 66.4% of units was up to 28°C. The average of relative humidity was 42.86%, the average of wet bulb temperature and globe temperature were 25.56°C and 36.72°C, respectively. The findings showed a significant correlation between the average of WBGT index and the standard recommendation level (p<0.0001. In dry cleaner units with less than 10 m2 area, heat stress was higher than other units  significantly (p<0.05. Conclusions: Heat stress in many dry cleaner units in Qom, Iran, was more than recommended OELs. Because of wet bulb and globe temperature in units were high value, the most important measures to heat controls, are technical engineering controls such as  radiation shield, insulation on boilers and modify the cooling systems.

  20. Study on the efficiency of the different units for removing metallic ...

    African Journals Online (AJOL)

    ... of the different units for removing metallic ions in Isfahan water treatment plant. ... In this study, removal efficiency of heavy metals such as iron, manganese, ... the water treatment plant exceeded the EPA drinking water standard (50 µg l-1).

  1. Perceptions of parents on satisfaction with care in the pediatric intensive care unit: the EMPATHIC study

    NARCIS (Netherlands)

    J.M. Latour (Jos); J.B. van Goudoever (Hans); H.J. Duivenvoorden (Hugo); N.A.M. van Dam (Nicolette); E. Dullaart (Eugenie); M.J.I.J. Albers (Marcel); C.W.M. Verlaat (Carin); E.M. van Vught (Elise); M. van Heerde (Marc); J.A. Hazelzet (Jan)

    2009-01-01

    textabstractAbstract: PURPOSE: To identify parental perceptions on pediatric intensive care-related satisfaction items within the framework of developing a Dutch pediatric intensive care unit (PICU) satisfaction instrument. METHODS: Prospective cohort study in tertiary PICUs at seven university

  2. Comparison of Elementary Social Studies Curricula of Turkey and the United States on Values Education

    Science.gov (United States)

    Merey, Zihni; Kus, Zafer; Karatekin, Kadir

    2012-01-01

    The purpose of this study is to compare the social studies teaching curricula of Turkey and the United States in terms of values education. The study is a model case study that relies upon one of the qualitative research methods. The data come from the elementary social studies curricula of both countries through the documents analysis method. The…

  3. Experimental study on mass transfer of contaminants through an enthalpy recovery unit with polymer membrane foils

    DEFF Research Database (Denmark)

    Nie, Jinzhe; Fang, Lei

    2014-01-01

    recovery unit with polymer membrane foils was used as refeering unit in this study. The experiments were conducted with different outdoor thermal climates e.g. warm-humid and cold-dry climates; isothermal and non isothermal as well as equal humidity and non equal humidity with indoor climate. Three......Laboratory experimental studies were conducted to investigate the mass transfer of contaminants through a total heat recovery unit with polymer membranes foils. The studies were conducted in twin climate chambers which simulated outdoor and indoor thermal climates. One manufacturd total heat...... chemical gases were used to simulate air contaminants. The concentrations of dosed contaminants in the supply and exhaust air upstream and downstream of the total heat recovery unit were measured with Multi-Gas Monitor Innova 1316 in real time. Experiment results showed that 5% to 9% of dosed contaminants...

  4. Dose per unit area - a study of elicitation of nickel allergy

    DEFF Research Database (Denmark)

    Fischer, Louise Arup; Menné, Torkil; Johansen, Jeanne Duus

    2007-01-01

    with a patch test and a repeated open application test (ROAT). Nickel was applied on small and large areas. The varying parameters were area, total dose and dose per unit area. RESULTS: In the patch test, at a low concentration [15 microg nickel (microg Ni)/cm(2)], there were significantly higher scores...... concentrations, even though the same dose per unit area is applied.......BACKGROUND: Experimental sensitization depends upon the amount of allergen per unit skin area and is largely independent of the area size. OBJECTIVES: This study aimed at testing if this also applies for elicitation of nickel allergy. PATIENTS/METHODS: 20 nickel allergic individuals were tested...

  5. An Overview of Research Infrastructure for Medieval Studies in the United States: Associations, Institutes, and Universities

    Directory of Open Access Journals (Sweden)

    Zan Kocher

    2011-11-01

    Full Text Available This overview of research infrastructure in the United States brieflymentions some institutes, universities, associations, conferences,sources of funding, types of courses, research databases, academicjournals and book publishers. It intends to make American medievalistresources better accessible to colleagues from other countries, and toencourage those who wish to study in the United States and those whoare using the Internet to seek printed or digital materials for theirteaching or research.

  6. Building innovation capability in an intergovernmental aid organization: A case study of UNICEF s Innovation Unit

    OpenAIRE

    Dean, Harald

    2015-01-01

    In order to be an efficient and relevant intergovernmental organization, United Nations Children s Fund (UNICEF) has since 2007 made the innovation turn and has become a leader in innovation activity in the UN body. The embracement and assimilation of technology and innovation are a marked shift in the way the organization works, compared to earlier times. The purpose of this study is two-sided: Firstly, to examine what innovation practices UNICEF s HQ Innovation Unit uses in their aid work...

  7. The Effectiveness of a Unit Study-Technology Approach within the High School Band Rehearsal Setting

    Science.gov (United States)

    Gustafson-Hinds, Melissa A.

    2010-01-01

    The purpose of this research study was to investigate the usefulness of implementing a Comprehensive Musicianship (CMP)--Unit Study within a high school band rehearsal setting, using music technology as a supplementary tool. While previous studies have emphasized the many benefits of Comprehensive Musicianship, it is not clear how such an approach…

  8. Pirates in Historical Fiction and Nonfiction: A Twin-Text Unit of Study

    Science.gov (United States)

    Frye, Elizabeth M.; Trathen, Woodrow; Wilson, Kelley

    2009-01-01

    In this article, the authors outline an interdisciplinary unit of study using quality children's literatures, and they describe several instructional strategies and activities for reading and responding to historical fiction and informational texts. This "piratical study" integrates social studies and the language arts. Several social…

  9. INCIDENCE AND RISK FACTORS CONTRIBUTING TO ROP: STUDY FROM NEONATAL CARE UNIT- SOUTH INDIA

    Directory of Open Access Journals (Sweden)

    Karthiyaeni

    2016-01-01

    Full Text Available The study was conducted to identify the incidence of retinopathy of prematurity among the preterm neonates treated at neonatal unit and to evaluate the associated risk factors for ROP. DESIGN Prospective observational study. SETTING Neonatal Intensive Care Unit (NICU of Department of Paediatrics at Chengalpattu Medical College. During the study period, 159 babies were treated at the NICU and 111 babies were discharged from the unit. Among those babies who were discharged, 14 neonates were lost for followup for ROP screening. This lost to followup was 12.6% of the study population. In this study 97 infants were screened, out of which 18 infants had ROP. The rate of ROP is 18.6% in our institution and 2 out of 18 babies had threshold ROP (11.1%, who were treated with Laser therapy

  10. Observational study of admission and triage decisions for patients referred to a regional intensive care unit.

    Science.gov (United States)

    Howe, D C

    2011-07-01

    The objectives of this study were to identify factors associated with decisions concerning triage and admission to the intensive care unit and to describe the outcome of patients referred to intensive care unit for admission. The study was a single-centre, prospective, observational study. It was performed in the general intensive care unit of a tertiary regional hospital, over the period of February to June 2009. The patients were non-elective, acute medical in-patients. For 100 patients referred, only 36 were admitted to the intensive care unit. The remaining 64 were declined admission: nine were declined admission because they were assessed as too sick to benefit, 41 were declined admission because they were assessed as too well to benefit and 14 were deemed to potentially benefit from intensive care unit admission but were not admitted ('triage'). Patients most likely to receive triage decisions were medical in-patients who had expressed wishes about end-of-life care, who were functionally limited with co-morbid conditions affecting their performance status. Patients referred by Resident Medical Officers were also more likely to receive a triage decision. Age, gender Aboriginal and Torres Strait Islander status, diagnostic category and reason for referral did not impact on admission or triage decisions. Bed status in intensive care unit at the time of referral affected neither admission nor triage decisions. Hospital mortality in patients deemed too well to benefit from intensive care unit was 7.3%, suggesting that all patients referred for consideration of admission to intensive care unit should be classified as 'high risk'.

  11. A time study of physicians' work in a German university eye hospital to estimate unit costs.

    Directory of Open Access Journals (Sweden)

    Jan Wolff

    Full Text Available Technical efficiency of hospital services is debated since performance has been heterogeneous. Staff time represents the main resource in patient care and its inappropriate allocation has been identified as a key factor of inefficiency. The aim of this study was to analyse the utilisation of physicians' work time stratified by staff groups, tasks and places of work. A further aim was to use these data to estimate resource use per unit of output.A self-reporting work-sampling study was carried during 14-days at a University Eye Hospital. Staff costs of physicians per unit of output were calculated at the wards, the operating rooms and the outpatient unit.Forty per cent of total work time was spent in contact with the patient. Thirty per cent was spent with documentation tasks. Time spent with documentation tasks declined monotonically with increasing seniority of staff. Unit costs were 56 € per patient day at the wards, 77 € and 20 € per intervention at the operating rooms for inpatients and outpatients, respectively, and 33 € per contact at the outpatient unit. Substantial differences in resources directly dedicated to the patient were found between these locations.The presented data provide unprecedented units costs in inpatient Ophthalmology. Future research should focus on analysing factors that influence differences in time allocation, such as types of patients, organisation of care processes and composition of staff.

  12. Generalized boundaries of the National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 2001-2012

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a GENERALIZED version of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit...

  13. Generalized boundaries of the National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 1991-2001

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a GENERALIZED version of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit...

  14. The Impact of Distance Education on Higher Education: A Case Study of the United States

    Science.gov (United States)

    Caruth, Gail D.; Caruth, Donald L.

    2013-01-01

    Distance education has been credited for bringing education to students who would not otherwise have educational opportunities. This study used a qualitative case study approach to examine the research to determine the impact of distance education on higher education in the United States. This look into the impact of distance education is…

  15. A Comparative Study of Advertising in Israel and the United States.

    Science.gov (United States)

    Krohn, Franklin B.; Brahms, Robert

    A study compared advertising media usage, advertising reach, and consumers' attitudes toward advertising in Israel and the United States. The study used data gathered from an Israeli survey of 1,600 consumers and an American survey of 1,500 consumers. The findings revealed that the press was the dominant advertising medium in both countries, in…

  16. Teacher Professional Learning in the United States: Case Studies of State Policies and Strategies. Technical Report

    Science.gov (United States)

    Jaquith, Ann; Mindich, Dan; Wei, Ruth Chung; Darling-Hammond, Linda

    2010-01-01

    This report is the third of a three-phase research study of teacher professional learning opportunities in the United States. In this third phase of the research, the authors conducted case studies of four professionally active states to get a deeper look at the policy frameworks that support professional development in those states. These…

  17. Income Inequality and Gambling: A panel study in the United States (1980-1997)

    NARCIS (Netherlands)

    Bol, T.; Lancee, B.; Steijn, S.

    2014-01-01

    While there are many studies that examine the consequences of increasing income inequality, its effects on gambling behavior have not yet been studied. In this article, we argue that income inequality increases the average expenditure on gambling. Using longitudinal state-level data for the United S

  18. Use of the LITEE Lorn Manufacturing Case Study in a Senior Chemical Engineering Unit Operations Laboratory

    Science.gov (United States)

    Abraham, Nithin Susan; Abulencia, James Patrick

    2011-01-01

    This study focuses on the effectiveness of incorporating the Laboratory for Innovative Technology and Engineering Education (LITEE) Lorn Manufacturing case into a senior level chemical engineering unit operations course at Manhattan College. The purpose of using the case study is to demonstrate the relevance of ethics to chemical engineering…

  19. Unveiling Third Space: A Case Study of International Educators in Dubai, United Arab Emirates

    Science.gov (United States)

    Saudelli, Mary Gene

    2012-01-01

    This article highlights one aspect of a case study of international educators at Dubai Women's College (DWC), United Arab Emirates (UAE). It examines perceptions of international educators in third space teaching female Emirati, higher-education students in the UAE. Drawing on third space theory (Bhabha, 1994), this study explored the nature of…

  20. Nosocomial infection in a Danish Neonatal Intensive Care Unit: a prospective study

    DEFF Research Database (Denmark)

    Olsen, Anne L; Reinholdt, Jes; Jensen, Anders Mørup

    2009-01-01

    AIM: The aim of this study was to estimate the incidence and identify independent risk factors for nosocomial infections in a Danish Neonatal Intensive Care Unit and to compare these findings with international results. METHODS: The study was performed prospectively from January 1, 2005 to December...... 31, 2005 in the Neonatal Intensive Care Unit at Rigshospitalet, Copenhagen. Specific criteria for blood stream infection and respiratory tract infection adapted for neonates in our ward were worked out. RESULTS: Six hundred and eighty-three patients were included. The overall incidence of nosocomial...... and respiratory tract infection, and central venous catheter and parenteral nutrition risk factors for first time blood stream infection. CONCLUSION: This first prospective study of nosocomial infection in a Danish Neonatal Intensive Care Unit found an overall incidence of 8.8/1000 hospital days, which is low...

  1. Disinfection of dental unit water line using aloe vera: in vitro study.

    Science.gov (United States)

    Pareek, Sonia; Nagaraj, Anup; Sharma, Prateek; Atri, Mansi; Walia, Satinder; Naidu, Shravani; Yousuf, Asif

    2013-01-01

    Context. Dental unit waterlines may be heavily contaminated with microorganisms and are a potential source of infection for both practicing staff and immunocompromised patients particularly. Contamination of dental unit water lines could be inhibited with the use of disinfectants. The present study investigates the effect of aloe-vera-based disinfectant in reducing the microbial growth in dental unit water lines (DUWLs). Aims. To compare the efficacy of aloe vera, hydrogen peroxide (H2O2), and 5% sodium hypochlorite (NaOCl) in controlling microbial contamination of DUWLs. Materials and Methods. After obtaining baseline water samples, the dental unit waterlines were treated with aloe vera, 10% hydrogen peroxide, and 5% sodium hypochlorite. Each of the three disinfectants was used in increasing concentrations and their inhibiting effect was compared. Water samples were analyzed for microbiological quality by the total viable count (TVC) method. Statistical Analysis Used. SPSS 16. Results. There was significant reduction in mean CFU/ml when treated with disinfectants each for a period of one week. Aloe-vera solution was found to be the most effective in reducing the microbial colonies. Conclusions. Improving the water quality from dental unit water lines is of considerable importance; chemical-based disinfectants can be replaced with herbal disinfectants for treating microbial contamination in dental unit waterlines.

  2. Disinfection of Dental Unit Water Line Using Aloe Vera: In Vitro Study

    Directory of Open Access Journals (Sweden)

    Sonia Pareek

    2013-01-01

    Full Text Available Context. Dental unit waterlines may be heavily contaminated with microorganisms and are a potential source of infection for both practicing staff and immunocompromised patients particularly. Contamination of dental unit water lines could be inhibited with the use of disinfectants. The present study investigates the effect of aloe-vera-based disinfectant in reducing the microbial growth in dental unit water lines (DUWLs. Aims. To compare the efficacy of aloe vera, hydrogen peroxide (H2O2, and 5% sodium hypochlorite (NaOCl in controlling microbial contamination of DUWLs. Materials and Methods. After obtaining baseline water samples, the dental unit waterlines were treated with aloe vera, 10% hydrogen peroxide, and 5% sodium hypochlorite. Each of the three disinfectants was used in increasing concentrations and their inhibiting effect was compared. Water samples were analyzed for microbiological quality by the total viable count (TVC method. Statistical Analysis Used. SPSS 16. Results. There was significant reduction in mean CFU/ml when treated with disinfectants each for a period of one week. Aloe-vera solution was found to be the most effective in reducing the microbial colonies. Conclusions. Improving the water quality from dental unit water lines is of considerable importance; chemical-based disinfectants can be replaced with herbal disinfectants for treating microbial contamination in dental unit waterlines.

  3. The Study of Nosocomial Infections in Neonatal Intensive Care Unit, A prospective study in Northwest Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Bagher Hosseini

    2014-08-01

    Full Text Available Background: Nosocomial infections are an important cause of mortality in neonatal intensive care units (NICUs. Therefore, in this study, the incidence and prevalence of nosocomial infections were determined in NICUs of the three largest neonatal centers in northwest Iran, and the causative bacteria were identified in order to provide potential solutions to control the infections in these hospitals. Materials and Methods: This is a descriptive-prospective study in which the cases of nosocomial infections were examined in the three largest hospitals in Tabriz in northwest Iran during 1 year (from June 2012 until May 2013 based on clinical findings, medical and nursing reports of patients, and laboratory results. Results: Of the 3129 patients hospitalized in NICUs of the three hospitals, 208 patients were diagnosed with nosocomial infections. The incidence rate of nosocomial infections was 11.34%.per 100 patient days with 52.4% bacteremia, 32.69% pneumonia, 5.77% urinary tract infections, 5.29% wound infections, and 3.85% necrotizing enterocolitis. There was a statistically significant relationship between invasive procedures (such as umbilical catheters, central venous catheters, surgery, and TPN and sepsis (P = 0.001. The relationships between urinary tract infection and urinary catheter (P = 0.000, and aggressive procedures (such as suctioning and intubation and pneumonia (P = 0.001 were also statistically significant. Conclusion: Incidence of nosocomial infections in premature and low birth weight newborns is considered as a health threat. The findings of this research reiterate the importance of giving further attention to prevention and control of nosocomial infections in the NICU.

  4. The incidence of awareness during anesthesia: a multicenter United States study.

    Science.gov (United States)

    Sebel, Peter S; Bowdle, T Andrew; Ghoneim, Mohamed M; Rampil, Ira J; Padilla, Roger E; Gan, Tong Joo; Domino, Karen B

    2004-09-01

    Awareness with recall after general anesthesia is an infrequent, but well described, phenomenon that may result in posttraumatic stress disorder. There are no recent data on the incidence of this complication in the United States. We, therefore, undertook a prospective study to determine the incidence of awareness with recall during general anesthesia in the United States. This is a prospective, nonrandomized descriptive cohort study that was conducted at seven academic medical centers in the United States. Patients scheduled for surgery under general anesthesia were interviewed in the postoperative recovery room and at least a week after anesthesia and surgery by using a structured interview. Data from 19,575 patients are presented. A total of 25 awareness cases were identified (0.13% incidence). These occurred at a rate of 1-2 cases per 1000 patients at each site. Awareness was associated with increased ASA physical status (odds ratio, 2.41; 95% confidence interval, 1.04-5.60 for ASA status III-V compared with ASA status I-II). Age and sex did not influence the incidence of awareness. There were 46 additional cases (0.24%) of possible awareness and 1183 cases (6.04%) of possible intraoperative dreaming. The incidence of awareness during general anesthesia with recall in the United States is comparable to that described in other countries. Assuming that approximately 20 million anesthetics are administered in the United States annually, we can expect approximately 26,000 cases to occur each year.

  5. Extracorporeal shock-wave lithotripsy: a comparative study of electrohydraulic and electromagnetic units.

    Science.gov (United States)

    Matin, S F; Yost, A; Streem, S B

    2001-12-01

    We determined the results of shock wave lithotripsy with a newer electromagnetic lithotriptor and compared them with those in a contemporary series of cases managed by an electrohydraulic lithotriptor using identical treatment and followup criteria at a single center. Between 1995 and 1999, 356 patients (375 renal units, 483 upper urinary tract stones) meeting study inclusion criteria were treated with an MFL 5000 electrohydraulic shock wave lithotripsy unit (Dornier Medical Systems, Inc., Marietta, Georgia). From 1999 to 2000, 173 patients (175 renal units; 218 upper urinary tract stones) meeting identical study inclusion criteria were treated using an electromagnetic Modulith SLX shock wave lithotripsy unit (Karl Storz Lithotripsy, Atlanta, Georgia). In each group stone-free results were determined by plain abdominal x-ray and renal ultrasound 1 month after lithotripsy and efficiency quotients were developed. Baseline patient and stone characteristics were compared by the Wilcoxon rank sum and Fisher exact tests. All variables significant at p electromagnetic lithotripsy units (0.45 and 0.42, respectively, p = 0.43). Electrohydraulic lithotripsy resulted in a higher stone-free rate at 1 month, although it was associated with a higher rate of auxiliary measures. Ultimately the efficiency quotients were equivalent, implying that these 2 contemporary energy sources are acceptable. According to single center treatment and followup criteria they are equally efficacious.

  6. Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study

    NARCIS (Netherlands)

    Kett, D.H.; Azoulay, E.; Echeverria, P.M.; Vincent, J.L.; Pickkers, P.

    2011-01-01

    OBJECTIVES: To provide a global, up-to-date picture of the prevalence, treatment, and outcomes of Candida bloodstream infections in intensive care unit patients and compare Candida with bacterial bloodstream infection. DESIGN: A retrospective analysis of the Extended Prevalence of Infection in the I

  7. [Japanese psychiatrists who studied in the United States in pre-war years].

    Science.gov (United States)

    Okada, Y

    1994-12-01

    In pre-war years, the main stream of Japanese psychiatry belonged to the German School, and many eminent psychiatrists studied in Germany. As far as I could confirm, eleven Japanese psychiatrists studied in the United States in pre-war years. The first one was Saburo Matsubara (1877-1936), who studied under Adolf Meyer during the years 1903-1908. Nine psychiatrists studied in the United States during the years of World War I or just after it. Five of them studied under Meyer, and four others at the Wistar Institute of Biology and Anatomy. The last one, Tsuneo Muramatsu (1900-1981), studied at Harvard University during the years 1933-1935. In pre-war years, the seeds sown by them opened into very small flowers. But in post-war years, the seeds bore good fruit in the form of the introduction of dynamic concepts into Japanese psychiatry.

  8. Comparative Study of Effective Factors on Students’ Interests in Fashion at Islamic Azad University Arak Unit and South Tehran Unit Academic Year 2010-2011

    OpenAIRE

    Tahmineh Zareei

    2013-01-01

    This paper intends to provide a comparative study of effective factors on students’ interests in fashion at Faculty of Human Sciences – Islamic Azad University – Arak unit and also Islamic Azad University- South Tehran Unit through academic year 2010- 2011. According to the findings, it is obvious that fashion and any interests in fashion changed into a great social problem among university students. This paper used any thoughts of different specialists including Siemel and Veblen as the high...

  9. Teaching English as an Additional Language In The Global Classroom: A Transnational Study In The United States and United Kingdom

    Directory of Open Access Journals (Sweden)

    Gail McEachron

    2015-04-01

    Full Text Available Abstract Global research has shown the persistence of inequality with regard to accessing curriculum with a view to obtaining suitable work and making useful contributions to society. The intersection of race, gender, language and low socio-economic levels creates situations which often marginalize ethnic minorities in school settings (Freire, 1968; Nieto & Turner, 2012. The graduation rates in the United States for Native American, African American and Hispanic students are lower than the graduation rates of Whites and Asian Americans. In addition, Bangladeshis and African Caribbeans currently living in the UK are under-represented in higher education, particularly young men in those communities. The research questions that guide this inquiry are: (1 According to databases, how does the academic performance of language minority groups compare to the academic performance of non-linguistic minority groups at the elementary and secondary levels of education? (2 According to language support teachers and university students, what are the strengths and weaknesses of the instructional practices for language minorities who are learning English in the United Kingdom (UK (Bristol and the United States (US (Henrico? Participants were: five UK teachers, four UK university students, five US teachers, four US university students. Data collection supervised by lead researchers included interviews, focus groups, classroom observation, and performance documents. Data analysis utilized a mixed-methods approach. Overall, linguistic minority groups performed lower than their English proficient peers. Culturally, UK teachers provided a greater emphasis on religious instruction, whereas US teachers addressed patriotic topics more frequently. Teachers in the United States and the United Kingdom were culturally supportive with slight variation in the encouraged use of the students’ heritage languages.

  10. Single-unit studies of visual motion processing in cat extrastriate areas

    NARCIS (Netherlands)

    Vajda, Ildiko

    2003-01-01

    Motion vision has high survival value and is a fundamental property of all visual systems. The old Greeks already studied motion vision, but the physiological basis of it first came under scrutiny in the late nineteenth century. Later, with the introduction of single-cell (single-unit) recordings ar

  11. A Global Investigation of Child Labor: Case Studies from India, Uganda, and the United States.

    Science.gov (United States)

    Lai, Selena

    This curriculum guide was developed to help students gain a broader perspective about child labor and become more familiar with the issues, controversies, and debates that surround it. Three case studies are highlighted: (1) a street child in India; (2) child soldiers in Uganda; and (3) a migrant farm worker child in the United States. Each case…

  12. Parents' Experiences during Their Infant's Transition from Neonatal Intensive Care Unit to Home: A Qualitative Study

    Science.gov (United States)

    Hutchinson, Sharon W.; Spillet, Marydee A.; Cronin, Mary

    2012-01-01

    Limited literature exists which examines how parents of infants hospitalized in the Neonatal Intensive Care Unit (NICU) transition from their infant's NICU hospital stay to home. This study examines the question, "What are the experiences of parents during their infant's transition from the NICU to home?" Grounded theory methods served as the…

  13. Bleeding risk of terminally ill patients hospitalized in palliative care units: the RHESO study.

    Science.gov (United States)

    Tardy, B; Picard, S; Guirimand, F; Chapelle, C; Danel Delerue, M; Celarier, T; Ciais, J-F; Vassal, P; Salas, S; Filbet, M; Gomas, J-M; Guillot, A; Gaultier, J-B; Merah, A; Richard, A; Laporte, S; Bertoletti, L

    2017-03-01

    Essentials Bleeding incidence as hemorrhagic risk factors are unknown in palliative care inpatients. We conducted a multicenter observational study (22 Palliative Care Units, 1199 patients). At three months, the cumulative incidence of clinically relevant bleeding was 9.8%. Cancer, recent bleeding, thromboprophylaxis and antiplatelet therapy were independent risk factors.

  14. Effect of preadmission sunlight exposure on intensive care unit-acquired delirium: a multicenter study

    NARCIS (Netherlands)

    Simons, K.S.; Workum, J.D.; Slooter, A.J.; Boogaard, M.H.W.A. van den; Hoeven, J.G. van der; Pickkers, P.

    2014-01-01

    PURPOSE: It is assumed that there is a relation between light exposure and delirium incidence. The aim of our study was to determine the effect of prehospital light exposure on the incidence of intensive care unit (ICU)-acquired delirium. MATERIALS AND METHODS: Data from 3 ICUs in the Netherlands we

  15. A Global Investigation of Child Labor: Case Studies from India, Uganda, and the United States.

    Science.gov (United States)

    Lai, Selena

    This curriculum guide was developed to help students gain a broader perspective about child labor and become more familiar with the issues, controversies, and debates that surround it. Three case studies are highlighted: (1) a street child in India; (2) child soldiers in Uganda; and (3) a migrant farm worker child in the United States. Each case…

  16. Perceptions of parents on satisfaction with care in the pediatric intensive care unit : the EMPATHIC study

    NARCIS (Netherlands)

    Latour, Jos M.; van Goudoever, Johannes B.; Duivenvoorden, Hugo J.; van Dam, Nicolette A. M.; Dullaart, Eugenie; Albers, Marcel J. I. J.; Verlaat, Carin W. M.; van Vught, Elise M.; van Heerde, Marc; Hazelzet, Jan A.

    2009-01-01

    To identify parental perceptions on pediatric intensive care-related satisfaction items within the framework of developing a Dutch pediatric intensive care unit (PICU) satisfaction instrument. Prospective cohort study in tertiary PICUs at seven university medical centers in The Netherlands. Parents

  17. Perceptions of parents on satisfaction with care in the pediatric intensive care unit: the EMPATHIC study

    NARCIS (Netherlands)

    J.M. Latour (Jos); J.B. van Goudoever (Hans); H.J. Duivenvoorden (Hugo); N.A.M. van Dam (Nicolette); E. Dullaart (Eugenie); M.J.I.J. Albers (Marcel); C.W.M. Verlaat (Carin); E.M. van Vught (Elise); M. van Heerde (Marc); J.A. Hazelzet (Jan)

    2009-01-01

    textabstractAbstract: PURPOSE: To identify parental perceptions on pediatric intensive care-related satisfaction items within the framework of developing a Dutch pediatric intensive care unit (PICU) satisfaction instrument. METHODS: Prospective cohort study in tertiary PICUs at seven university med

  18. Teachers' Use of YouTube in the United Arab Emirates: An Exploratory Study

    Science.gov (United States)

    Tamim, Rana M.

    2013-01-01

    Teachers around the world are using YouTube movies for different purposes. This mixed-methods study was a preliminary investigation of United Arab Emirates teachers' perceptions about YouTube's advantages in the classroom, current practices, and major challenges faced. Forty-five teachers completed an open-ended questionnaire. Results…

  19. Liquid phase methanol LaPorte process development unit: Modification, operation, and support studies

    Energy Technology Data Exchange (ETDEWEB)

    1991-02-02

    This report consists of Detailed Data Acquisition Sheets for Runs E-6 and E-7 for Task 2.2 of the Modification, Operation, and Support Studies of the Liquid Phase Methanol Laporte Process Development Unit. (Task 2.2: Alternate Catalyst Run E-6 and Catalyst Activity Maintenance Run E-7).

  20. Music Education in Montessori Schools: An Exploratory Study of School Directors' Perceptions in the United States

    Science.gov (United States)

    Rajan, Rekha S.

    2017-01-01

    This exploratory study examined the changing role of music education and the availability of musical experiences for students attending Montessori schools in the Midwestern United States. On a survey instrument designed by the researcher, Montessori school directors (N = 36) from eight states shared descriptions of the current role of music at…

  1. Teachers' Use of YouTube in the United Arab Emirates: An Exploratory Study

    Science.gov (United States)

    Tamim, Rana M.

    2013-01-01

    Teachers around the world are using YouTube movies for different purposes. This mixed-methods study was a preliminary investigation of United Arab Emirates teachers' perceptions about YouTube's advantages in the classroom, current practices, and major challenges faced. Forty-five teachers completed an open-ended questionnaire. Results indicated…

  2. Famous Georgians and Their Homes: A Social Studies Unit for Upper Elementary Students.

    Science.gov (United States)

    Deaver, Susan B.

    This upper-elementary level social studies curriculum guide is designed to: (1) teach students to understand and appreciate the built (man made) environment; (2) instruct students about Georgia's history and heritage; and (3) introduce the basic concepts of historic preservation. The unit highlights 10 architectural styles of the homes of famous…

  3. Influence of Leader Behaviors on Creativity: A Comparative Study between South Korea and the United States

    Science.gov (United States)

    Hwang, Seog Joo

    2013-01-01

    This study investigates what are the relationships between different leader behaviors (i.e. supportive, participative, and controlling leader behaviors) and follower creativity, and whether the relationships differ between South Korea and the United States. Although creativity research suggests that supportive leader behaviors tend to enhance…

  4. How Marketing Practices Affect Education: A Comparative Case Study of Canada, the United States and Australia

    Science.gov (United States)

    Eaton, Sarah Elaine; Goddard, J. Tim

    2007-01-01

    This paper examines the theory and practice of the commercialization of education in Canada, using comparative examples from the United States and Australia. Critical theory provides the framework for the study. From the broad focus of business practice, the examination is narrowed down to marketing, and even further to branding, at all levels,…

  5. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study

    NARCIS (Netherlands)

    Zwart, J.J.; Dupuis, J.R.O.; Richters, A.; Öry, F.; Roosmalen, J. van

    2010-01-01

    Purpose: As part of a larger nationwide enquiry into severe maternal morbidity, our aim was to assess the incidence and possible risk factors of obstetric intensive care unit (ICU) admission in the Netherlands. Methods: In a 2-year nationwide prospective population-based cohort study, all ICU admiss

  6. Ethnic Heritage Studies: Arts and Crafts of East Asia. Experimental Unit.

    Science.gov (United States)

    Yang, Daisy

    This teaching guide focuses on four forms of arts and crafts popular in China, Korea, and Japan, and explores the effects, if any, on American culture. It is part of the Louisville Area Ethnic Heritage Studies Project described in ED 150 043. The objective of this unit is to help students understand and appreciate East Asian calligraphy, haiku,…

  7. German Studies in the United States: Assessment and Outlook. Monatshefte Occasional Volume Number 1.

    Science.gov (United States)

    Lohnes, Walter F. W., Ed.; Nollendorfs, Valters, Ed.

    This volume focuses on two principal aspects of German studies in the United States: (1) an assessment of the German-teaching profession from primary to graduate school, with attention to its "raison d'etre" in the present academic, social, and cultural situation, as well as its structures, aims, and personnel; and (2) strategies for survival and…

  8. The Code of Hammurabi: Law of Mesopotamia. A Unit of Study for Grades 9-12.

    Science.gov (United States)

    Woodard, Jo Ann A.

    This unit is one of a series that represents specific moments in history from which students focus on the meanings of landmark events. By studying a crucial turning point in history, students become aware that choices had to be made by real human beings, that those decisions were the result of specific factors, and that they set in motion a series…

  9. Single-unit studies of visual motion processing in cat extrastriate areas

    NARCIS (Netherlands)

    Vajda, Ildiko

    2003-01-01

    Motion vision has high survival value and is a fundamental property of all visual systems. The old Greeks already studied motion vision, but the physiological basis of it first came under scrutiny in the late nineteenth century. Later, with the introduction of single-cell (single-unit) recordings ar

  10. From Moves to Sequences: Expanding the Unit of Analysis in the Study of Classroom Discourse

    Science.gov (United States)

    Lefstein, Adam; Snell, Julia; Israeli, Mirit

    2015-01-01

    What is the appropriate unit of analysis for the study of classroom discourse? One common analytic strategy employs individual discourse moves, which are coded, counted and used as indicators of the quality of classroom talk. In this article we question this practice, arguing that discourse moves are positioned within sequences that critically…

  11. Skin lesions in children admitted to the paediatric intensive care unit: an observational study

    NARCIS (Netherlands)

    Sillevis Smitt, J.H.; van Woensel, J.B.M.; Bos, A.P.

    2011-01-01

    We analysed, by a prospective observational study over a 3-year period, the frequency and character of dermatological symptoms and diseases in children admitted to a tertiary general paediatric intensive care unit (PICU) of a university hospital. Skin problems were observed in 42 of 1,800 children

  12. University governance and academic research : case studies of research units in Dutch and English universities

    NARCIS (Netherlands)

    Leisyte, Liudvika

    2007-01-01

    The central research question of our study addresses the effects of governing models on the research practices of basic research units in public universities in the fields of medieval history and biotechnology. We have used two organisational theories: resource dependence and neo-institutional

  13. The Code of Hammurabi: Law of Mesopotamia. A Unit of Study for Grades 9-12.

    Science.gov (United States)

    Woodard, Jo Ann A.

    This unit is one of a series that represents specific moments in history from which students focus on the meanings of landmark events. By studying a crucial turning point in history, students become aware that choices had to be made by real human beings, that those decisions were the result of specific factors, and that they set in motion a series…

  14. Economic Literacy in the United States, Germany, and Austria: Results of Cross National Studies.

    Science.gov (United States)

    Krumm, Volker; Beck, Klaus

    Designed to assess the economic literacy of high school students in Austria, Germany, and the United States, this research study involved the administration of an economic literacy test and gathering data on attitudes toward economics, on intelligence, and on moral maturity. The main focus of the research was a comparison between 11th and 12th…

  15. Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study

    DEFF Research Database (Denmark)

    Jørgensen, H S; Kammersgaard, L P; Nakayama, H

    1999-01-01

    We have previously reported a marked reduction in mortality up to 1 year after treatment and rehabilitation on a stroke unit versus on general neurological and medical wards in unselected stroke patients. In the present study we wanted to test the hypothesis that this mortality-reducing effect...

  16. Labour Market Segmentation and Women's Employment: A Case-Study from the United Kingdom.

    Science.gov (United States)

    Craig, Christine; And Others

    1985-01-01

    A summary of evidence from a study of payment structures in six industries in three local labor markets in the United Kingdom is used to show that the conditions under which labor is made available exert an influence on wages that is relatively independent of the skill, experience, and effort of the workers concerned. (Author/CT)

  17. Famous Georgians and Their Homes: A Social Studies Unit for Upper Elementary Students.

    Science.gov (United States)

    Deaver, Susan B.

    This upper-elementary level social studies curriculum guide is designed to: (1) teach students to understand and appreciate the built (man made) environment; (2) instruct students about Georgia's history and heritage; and (3) introduce the basic concepts of historic preservation. The unit highlights 10 architectural styles of the homes of famous…

  18. Rural change and circular migration to the United States. A case of study from Michoacan, Mexico

    Directory of Open Access Journals (Sweden)

    Silvana Levi Levi

    1991-06-01

    Full Text Available The aim of this paper is to examine the impact of circular migration to the United States upon the economic and social changes in the rural areas influenced by it. Factors as innovations in agricultural practices, penetration of capital, increased commercialization, expansion of infrastructure and social modifications within rural areas will be examined. These changes have increased the local importance of temporary migration to the United States. Using case studies in Michoacan, the impact of the flow of remittances associated with this form of movement is explored.

  19. The units of measurement of the ventricular stroke work: a review study.

    Science.gov (United States)

    Schramm, Wolfgang

    2010-06-01

    The ventricular stroke work refers to the work done by the left or right ventricle to eject the volume of blood during one cardiac cycle, called stroke volume. Sarnoff and Berglund were one of the first to calculate the stroke work from the pressure volume diagram in 1954. However, they published a wrong unit of measurement for the stroke work, namely gram meter. The present work reviewed 779 scientific publications between May 1954 and January 2010 which used the left or right ventricular stroke work as a variable. Interestingly, the majority (87.2%) of scientific papers since 1954 have either copied this (or a similar) wrong unit of measurement or have invented another one. Only 12.8% of the publications gave a correct unit. The present search in scientific literature demonstrates that the haemodynamic variable ventricular stroke work, which is used daily by thousands of medical doctors and scientists, was specified in an incorrect manner for 56 years in the majority of scientific papers. A correct unit of measurement, of course, is an imperative condition when comparing scientific papers. The aim of this publication is the elimination of incorrect units of measurement of the ventricular stroke work variable in all future scientific papers. Moreover, the present work facilitates the interpretation of at least some of the studies containing the ventricular stroke work variable published up to now.

  20. Remodeling of motor units after nerve regeneration studied by quantitative electromyography

    DEFF Research Database (Denmark)

    Krarup, Christian; Boeckstyns, Michel; Ibsen, Allan

    2016-01-01

    OBJECTIVE: Peripheral nerve has the capacity to regenerate after nerve lesions; during reinnervation of muscle motor units are gradually reestablished. The aim of this study was to follow the time course of reestablishing and remodeling of motor units in relation to recovery of force after...... different types of nerve repair. METHODS: Reinnervation of muscle was compared clinically and electrophysiologically in complete median or ulnar nerve lesions with short gap lengths in the distal forearm repaired with a collagen nerve conduit (11 nerves) or nerve suture (10 nerves). Reestablishment of motor...... and the number of motor units recovered to approximately 20% of normal. There was weak evidence of CMAP amplitude recovery after suture ahead of conduit repair but without treatment related differences at 2 years. CONCLUSIONS: Surgical repair of nerve lesions with a nerve conduit or suture supported recovery...

  1. Psychiatric Comorbidity in Patients from the Addictive Disorders Assistance Units of Galicia: The COPSIAD Study.

    Directory of Open Access Journals (Sweden)

    César Pereiro

    Full Text Available The objective of this study is to assess the prevalence of psychiatric comorbidity in patients under treatment within the addictive disorders assistance units of Galicia (Spain.A total of 64 healthcare professionals performed clinical diagnosis of mental disorders (on DSM IV-TR criteria in 2300 patients treated throughout March 2010 in 21 addictive disorders assistance units.56.3% of patients with substance abuse/dependency also showed some other mental disorder, 42.2% of patients suffering from at least an Axis I condition and 20.2% from some Axis II condition. Mood and anxiety disorders and borderline and antisocial personality disorders were the most frequent disorders in both axes.A high comorbidity was found between mental and substance use disorders (SUD in patients seen at the addictive disorders assistance units of Galicia.

  2. Performance study of a heat recovery tower with synthetic (polyurethane) flow channels to operate in a solar desalination unit

    OpenAIRE

    Frederico Pinheiro Rodrigues

    2010-01-01

    Because of the lack of drinkable water in various semi-arid regions and the necessary use of renewable energies, the present work presents a performance study of a heat recovery tower to operate in a solar desalination unit for decentralized water production. The solar desalination unit has two parts: a heating unit and a desalination unit.This work presents the field results with a desalination tower with synthetic (polyurethane) flow channels. The tower operation consists of the heating ...

  3. DETECTION AND REMEDIES FOR INDUSTRIAL SICKNESS IN SMALL INDUSTRIAL UNITS OF BANGLADESH: A STUDY ON SICK INDUSTRIAL UNITS OF INDUSTRIAL ESTATES IN SYLHET DIVISION

    Directory of Open Access Journals (Sweden)

    Abdul Latif

    2014-04-01

    Full Text Available Small industrial units are the seedbed on industrial development in underdeveloped economy for its less capital involvement and more employment generation capability. But this sector cannot contribute expectedly for infection to sickness that ultimately prevents the entrepreneurial bases of economy. Sickness can be occurred in the inception period, in operation and /or in macro environment.There are various techniques to prevent sickness and to make the treatment of occurred sickness. In this study, the researchers selected 13 sick units of BSCIC industrial units and collected the information regarding the causes, stages and measures to prevent sickness. It is found that 07 are born to sick due to improper capital budgeting, 06 are made sick for managerial problems and no units are bound to be sick for environmental problems.

  4. Are freestanding midwifery units a safe alternative to obstetric units for low-risk, primiparous childbirth? An analysis of effect differences by parity in a matched cohort study.

    Science.gov (United States)

    Christensen, Louise Fischer; Overgaard, Charlotte

    2017-01-09

    Intrapartum complications and the use of obstetric interventions are more common in primiparous childbirth than in multiparous childbirth, leading to concern about out of hospital birth for primiparous women. The purpose of this study was to determine whether the effect of birthplace on perinatal and maternal morbidity and the use of obstetric interventions differed by parity among low-risk women intending to give birth in a freestanding midwifery unit or in an obstetric unit in the North Denmark Region. The study is a secondary analysis of data from a matched cohort study including 839 low-risk women intending birth in a freestanding midwifery unit (primary participants) and 839 low-risk women intending birth in an obstetric unit (individually matched control group). Analysis was by intention-to-treat. Conditional logistic regression analysis was applied to compute odds ratios and effect ratios with 95% confidence intervals for matched pairs stratified by parity. On no outcome did the effect of birthplace differ significantly between primiparous and multiparous women. Compared with their counterparts intending birth in an obstetric unit, both primiparous and multiparous women intending birth in a freestanding midwifery unit were significantly more likely to have an uncomplicated, spontaneous birth with good outcomes for mother and infant and less likely to require caesarean section, instrumental delivery, augmented labour or epidural analgesia (although for caesarean section this trend did not attain statistical significance for multiparous women). Perinatal outcomes were comparable between the two birth settings irrespective of parity. Compared to multiparas, transfer rates were substantially higher for primiparas, but fell over time while rates for multiparas remained stable. Freestanding midwifery units appear to confer significant advantages over obstetric units to both primiparous and multiparous mothers, while their infants are equally safe in both settings

  5. A Study on Microbial Quality of Water Used in the Dentistry Units

    Directory of Open Access Journals (Sweden)

    z Hoseini mehrian

    2014-11-01

    Full Text Available Introduction & aim: With respect to the outbreak probability of dangerous infections among the patients, the water sources of dentistry units were taken into consideration, in view of microbial contamination. The objective of this study was to assess of pathogenic organisms of the water used in the dentistry units of Yasuj city. Methods: In this research 120 samples of water from poir and turbine of units (before and after flushing and two samples of urban water were collected. Sampling was performed on the first weekday (48 hours after the units were switched off and mid week(16 hours after the units were switched off before starting work. The samples were cultured on EMB Agar and Blood Agar and incubated at 37oC for purification for Gram positive or Gram negative bacteria and it was identifying with biochemical diagnostic test .Also the samples were counted by standard plate count . Results: The average count of bacteria before flushing in Poir on the first weekday was 5360CFU/L and turbine was 2800 CFU/L and count of bacteria after flushing in Poir on the first weekday was 1040 CFU/L and turbine was 1020 CFU/L .While this result for midweek day : The average count of bacteria before flushing in Poir was 3220 CFU/L and turbine was 2720CFU/L and count of bacteria after flushing in Poir was 1772 CFU/L and turbine was 980 CFU/L . Several samples of before and after flushing were contaminated with E.coli, Pseudomonas ,Proteus, Kelebsiella ,gram positive bacilli ,Streptococci, Staphylococci , Diplo cocci and Yeast. Conclusion: According to the result of this study the contamination rate of the unit’s water was high and it’s rate reduced after flushing. The patients saliva causes water unit contamination and it constitutes biofilm in pipe of unit . Existence of E.coli shows the contamination of water to sewage and staphylococcus explains contamination due to return of the patient’s saliva into suctions. dental units waterlines showed bacterial

  6. Feasibility study report for the 200-BP-1 operable unit. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-01

    This feasibility study (FS) examines a range of alternatives and provides recommendations for selecting a preferred altemative for remediating contamination at the 200-BP-1 operable unit. The 200-BP-1 operable unit is located in the center of the Hanford Site along the northern boundary of the 200 East Area. The 241-BY Tank Farm is located immediately to the south of the operable unit. 200-BP-1 is a source operable unit with contaminated soils associated primarily with nine inactive cribs (known as the 216-B cribs). These cribs were used for disposal of low-level radioactive liquid waste from U Plant uranium recovery operations, and waste storage tank condensate from the adjacent 241-BY Tank Farm. The cribs used for disposal of U Plant waste were in operation from 1955--1965, and the cribs used for disposal of tank condensate were in operation from 1965-1975. In addition to the cribs, four unplanned releases of radioactive materials have occurred within the operable unit. Contaminated surface soils associated with the unplanned releases have been consolidated over the cribs and covered with clean soil to reduce contaminant migration and exposure. Discharge of wastes to the cribs has resulted in soil and groundwater contamination. The groundwater is being addressed as part of the 200 East Aggregate Area groundwater operable unit. Contaminated soils at the site can be categorized by the types of contaminants, their distribution in the soil column, and the risk posed by the various potential exposure pathways. Below the clean soil cover, the near surface soils contain low-:levels of contamination with cesium-137, radium-226, strontium-90, thorium-228 and uranium. The lifetime incremental cancer risk associated with these soils if they were exposed at the surface is 9 {times} 10{sup 5}.

  7. A Typology of Interprofessional Teamwork in Acute Geriatric Care: A Study in 55 units in Belgium.

    Science.gov (United States)

    Piers, Ruth D; Versluys, Karen J J; Devoghel, Johan; Lambrecht, Sophie; Vyt, André; Van Den Noortgate, Nele J

    2017-09-01

    To explore the quality of interprofessional teamwork in acute geriatric care and to build a model of team types. Cross-sectional multicenter study. Acute geriatric units in Belgium. Team members of different professional backgrounds. Perceptions of interprofessional teamwork among team members of 55 acute geriatric units in Belgium were measured using a survey covering collaborative practice and experience, managerial coaching and open team culture, shared reflection and decision-making, patient files facilitating teamwork, members' belief in the power of teamwork, and members' comfort in reporting incidents. Cluster analysis was used to determine types of interprofessional teamwork. Professions and clusters were compared using analysis of variance. The overall response rate was 60%. Of the 890 respondents, 71% were nursing professionals, 20% other allied health professionals, 5% physicians, and 4% logistic and administrative staff. More than 70% of respondents scored highly on interprofessional teamwork competencies, consultation, experiences, meetings, management, and results. Fewer than 55% scored highly on items about shared reflection and decision-making, reporting incidents from a colleague, and patient files facilitating interprofessional teamwork. Nurses in this study rated shared reflection and decision-making lower than physicians on the same acute geriatric units (P teamwork in acute geriatric units is satisfactory, but shared reflection and decision-making needs improvement. Four types of interprofessional teamwork are identified and can be used to benchmark the teamwork of individual teams. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  8. Democracy Related Units in Social Studies Curriculums Based on Self-Regulation Strategies: A Comparison of Turkey and Germany

    Science.gov (United States)

    Eker, Cevat; Incirci, Ayhan

    2016-01-01

    This study aimed to compare the units related to democracy concept of Social Studies Curriculums applied in Federal Republic of Germany and Republic of Turkey. The goals of the study indicated in Democracy related unit in Social Studies Curriculum in Turkey is examined comparatively with North Rhine-Westphalia State of Germany based on the…

  9. Ethnomathematics study: uncovering units of length, area, and volume in Kampung Naga Society

    Science.gov (United States)

    Septianawati, T.; Turmudi; Puspita, E.

    2017-02-01

    During this time, mathematics is considered as something neutral and not associated with culture. It can be seen from mathematics learning in the school which adopt many of foreign mathematics learning are considered more advanced (western). In fact, Indonesia is a rich country in cultural diversity. In the cultural activities, there are mathematical ideas that were considered a important thing in the mathematics learning. A study that examines the idea or mathematical practices in a variety of cultural activities are known as ethnomathematics. In Indonesia, there are some ethnic maintain their ancestral traditions, one of them is Kampung Naga. Therefore, this study was conducted in Kampung Naga. This study aims to uncover units of length, area, and volume used by Kampung Naga society. This study used a qualitative approach and ethnography methods. In this research, data collection is done through the principles of ethnography such as observation, interviews, documentation, and field notes. The results of this study are units of length, area, and volume used by Kampung Naga society and its conversion into standard units. This research is expected to give information to the public that mathematics has a relationship with culture and become recommendation to mathematics curriculum in Indonesia.

  10. Evolving Distributed Generation Support Mechanisms: Case Studies from United States, Germany, United Kingdom, and Australia (Chinese translation)

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Shengru [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Lowder, Travis R [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Tian, Tian [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-07

    This is the Chinese translation of NREL/TP-6A20-67613. This report expands on a previous National Renewable Energy Laboratory (NREL) technical report (Lowder et al. 2015) that focused on the United States' unique approach to distributed generation photovoltaics (DGPV) support policies and business models. While the focus of that report was largely historical (i.e., detailing the policies and market developments that led to the growth of DGPV in the United States), this report looks forward, narrating recent changes to laws and regulations as well as the ongoing dialogues over how to incorporate distributed generation (DG) resources onto the electric grid. This report also broadens the scope of Lowder et al. (2015) to include additional countries and technologies. DGPV and storage are the principal technologies under consideration (owing to market readiness and deployment volumes), but the report also contemplates any generation resource that is (1) on the customer side of the meter, (2) used to, at least partly, offset a host's energy consumption, and/or (3) potentially available to provide grid support (e.g., through peak shaving and load shifting, ancillary services, and other means).

  11. Post-destructive eye surgery, associated depression at Sekuru Kaguvi Hospital Eye Unit, Zimbabwe: Pilot Study

    Directory of Open Access Journals (Sweden)

    M. M. Kawome

    2013-12-01

    Full Text Available Destructive eye surgery is associated with more complications than just loss of visual functions of the eye and aesthetics. Currently there is very little published literature on post-destructive eye surgery associated depression. Zimbabwe has been experiencing a surge in the rate of destructive eye surgery done at the National Tertiary Eye Unit. This situation could be churning out lots of unrecognized depressed clients into the community who require assistance in one form or another.Objectives: To determine the prevalence of post-destructive eye surgery associated depression among patients attending Sekuru Kaguvi Hospital Eye Unit and assess if the current management protocol of patients undergoing destructive eye surgery at the Eye Unit addresses the problem adequately.Methods: A cross-sectional study of 28 randomly selected patients who had destructive eye surgeries at Sekuru Kaguvi Hospital was conducted over five months from 1st March 2012 to end of July 2012. A structured questionnaire containing 15 questions on the following items: gender, age, diagnosis, surgical procedure done, expectations before and after surgery, adequacy of counseling given and involvement of family was used to collect data. Nine questions to assess depression were adapted from the Patient Health Questionnaire (PHQ-9.Setting:  The study was conducted at SekuruKaguvi Hospital Eye Unit, Parirenyatwa Group of Hospitals in Harare.Results:  Twenty-eight patients who underwent destructive eye surgery during the study period were selected using systematic random sampling. The gender ratio was 1:1 and the mean age was 38.7 years with a range from 24 to 65 years. Fifty percent of the patients in the study had orbital exenteration while the rest had enucleation (14% and evisceration (36%. Twenty-eight percent of the study population had depression.Conclusion: Destructive eye surgery is frequently associated with depression and our current management protocol of patients

  12. Place of Birth and Concepts of Wellbeing: An Analysis from Two Ethnographic Studies of Midwifery Units in England

    OpenAIRE

    McCourt, C.; Rayment, J.; Sandall, J.; Rance, S.

    2016-01-01

    This article is based on analysis of a series of ethnographic case studies of midwifery units in England. Midwifery units1 are spaces that were developed to provide more home-like and less medically oriented care for birth that would support physiological processes of labour, women’s comfort and a positive experience of birth for women and their families. They are run by midwives, either on a hospital site alongside an obstetric unit (Alongside Midwifery Unit – AMU) or a freestanding unit awa...

  13. Place of Birth and Concepts of Wellbeing: An Analysis from Two Ethnographic Studies of Midwifery Units in England

    OpenAIRE

    McCourt, Christine; Rayment, Juliet; Rance, Susanna; Sandall, Jane

    2016-01-01

    This article is based on analysis of a series of ethnographic case studies of midwifery Units in England. Midwifery units are spaces that were developed to provide more home-like and less medically oriented care for birth that would support physiological processes of labour, women’s comfort and a positive experience of birth for women and their families. They are run by midwives, either on a hospital site alongside an obstetric unit (Alongside Midwifery Unit – AMU) or a freestanding unit away...

  14. Early rehabilitation for severe acquired brain injury in intensive care unit: multicenter observational study.

    Science.gov (United States)

    Bartolo, Michelangelo; Bargellesi, Stefano; Castioni, Carlo A; Bonaiuti, Donatella; Antenucci, Roberto; Benedetti, Angelo; Capuzzo, Valeria; Gamna, Federica; Radeschi, Giulio; Citerio, Giuseppe; Colombo, Carolina; Del Casale, Laura; Recubini, Elena; Toska, Saimir; Zanello, Marco; D'Aurizio, Carlo; Spina, Tullio; Del Gaudio, Alredo; Di Rienzo, Filomena; Intiso, Domenico; Dallocchio, Giulia; Felisatti, Giovanna; Lavezzi, Susanna; Zoppellari, Roberto; Gariboldi, Valentina; Lorini, Luca; Melizza, Giovanni; Molinero, Guido; Mandalà, Giorgio; Pignataro, Amedeo; Montis, Andrea; Napoleone, Alessandro; Pilia, Felicita; Pisu, Marina; Semerjian, Monica; Pagliaro, Giuseppina; Nardin, Lorella; Scarponi, Federico; Zampolini, Mauro; Zava, Raffaele; Massetti, Maria A; Piccolini, Carlo; Aloj, Fulvio; Antonelli, Sergio; Zucchella, Chiara

    2016-02-01

    The increased survival after a severe acquired brain injury (sABI) raise the problem of making most effective the treatments in Intensive Care Unit (ICU)/Neurointensive Care Unit (NICU), also integrating rehabilitation care. Despite previous studies reported that early mobilization in ICU was effective in preventing complications and reducing hospital stay, few studies addressed the rehabilitative management of sABI patients in ICU/NICU. To collect clinical and functional data about the early rehabilitative management of sABI patients during ICU/NICU stay. Prospective, observational, multicenter study. Fourteen facilities supplied by intensive neurorehabilitation units and ICU/NICUs. Consecutive sABI patients admitted to ICU/NICU. Patients were evaluated at admission and then every 3-5 days. Clinical, functional and rehabilitative data, including Glasgow Coma Scale (GCS), Disability Rating Scale (DRS), The Rancho Los Amigos Levels of Cognitive Functioning Scale (LCF), Early Rehabilitation Barthel Index (ERBI), Glasgow Outcome scale (GOS) and Functional Independence Measure (FIM) were collected. One hundred and two patients (F/M 44/58) were enrolled. The mean duration of ICU stay was 24.7±13.9 days and the first rehabilitative evaluation occurred after 8.7±8.8 days. Regular postural changes and multijoint mobilization were prescribed in 63.7% and 64.7% cases, respectively. The mean session duration was 38±11.5 minutes. Swallowing evaluation was performed in 14.7% patients, psychological support was provided to 12.7% of patients' caregivers, while 17.6% received a psycho-educational intervention, and 28.4% were involved in interdisciplinary team meetings. The main discharge destinations were Severe Acquired Brain Injury rehabilitation units for 43.7%, intensive neurorehabilitation units for 20.7%. Data showed that early rehabilitation was not diffusely performed in sABI subjects in ICU/NICU and rehabilitative interventions were variable; one-third of subjects were

  15. Predictors and outcome of obstetric admissions to intensive care unit: A comparative study.

    Science.gov (United States)

    Jain, Shruti; Guleria, Kiran; Vaid, Neelam B; Suneja, Amita; Ahuja, Sharmila

    2016-01-01

    This descriptive observational study was carried out in Guru Teg Bahadur Hospital to identify predictors and outcome of obstetric admission to Intensive Care Unit (ICU). Ninety consecutive pregnant patients or those up to 42 days of termination of pregnancy admitted to ICU from October 2010 to December 2011 were enrolled as study subjects with selection of a suitable comparison group. Qualitative statistics of both groups were compared using Pearson's Chi-square test and Fisher's exact test. Odds ratio was calculated for significant factors. Low socioeconomic status, duration of complaints more than 12 h, delay at intermediary facility, and peripartum hysterectomy increased probability of admission to ICU. High incidence of obstetric admissions to ICU as compared to other countries stresses on need for separate obstetric ICU. Availability of high dependency unit can decrease preload to ICU by 5%. Patients with hemorrhagic disorders and those undergoing peripartum hysterectomy need more intensive care.

  16. Advanced Investigation and Comparative Study of Graphics Processing Unit-queries Countered

    Directory of Open Access Journals (Sweden)

    A. Baskar

    2014-10-01

    Full Text Available GPU, Graphics Processing Unit, is the buzz word ruling the market these days. What is that and how has it gained that much importance is what to be answered in this research work. The study has been constructed with full attention paid towards answering the following question. What is a GPU? How is it different from a CPU? How good/bad it is computationally when comparing to CPU? Can GPU replace CPU, or it is a day dream? How significant is arrival of APU (Accelerated Processing Unit in market? What tools are needed to make GPU work? What are the improvement/focus areas for GPU to stand in the market? All the above questions are discussed and answered well in this study with relevant explanations.

  17. Can Protocolised Weaning Applied in Denmark Transfer to Egyptian Intensive Care Units? A Comparative Study

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Zaiton, Hala; Pedersen, Birthe D.;

    2011-01-01

    The aim of this study was to investigate whether protocol-directed weaning applied by nurses in the Intensive Care Unit at Odense University Hospital in Denmark (ICUD) can be transferred to the Intensive Care Unit at Zagazig University Hospital in Egypt (ICUE), where weaning is physician......-directed. Patients were randomly assigned to receive either protocol-directed or physician-directed weaning from mechan-ical ventilation the results of the study referred that using protocol guidance, weaned patients from mechanical ventilation more safely and more quickly than in the physician-directed weaning...... employed at ICUE. This was due both to initiating the weaning process earlier and shortening its duration. ICU length of stay, risk of VAP and hospital mortality rate were lower in the group receiving protocol-directed weaning....

  18. Groundwater quality in the Upper Santa Ana Watershed study unit, California

    Science.gov (United States)

    Kent, Robert; Belitz, Kenneth

    2012-01-01

    Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. The Upper Santa Ana Watershed is one of the study units being evaluated.

  19. The securitization of sex trafficking: a comparative case study of Sweden and the United States

    OpenAIRE

    Stinson, Ainsley Michelle

    2012-01-01

    Sex trafficking is a form of transnational organized crime, which may pose security threats to nation states. This project examines the roles that Sweden and the United States (US) played as global leaders in securitizing sex trafficking. This comparative case study identifies and analyzes both states' securitization processes according to the Copenhagen School's securitization framework. This project argues that both states securitized sex trafficking in the early 1990s through to 2009 in a ...

  20. Hospital-acquired acute kidney injury in medical, surgical, and intensive care unit: A comparative study

    Directory of Open Access Journals (Sweden)

    T B Singh

    2013-01-01

    Full Text Available Acute kidney injury (AKI is a common complication in hospitalized patients. There are few comparative studies on hospital-acquired AKI (HAAKI in medical, surgical, and ICU patients. This study was conducted to compare the epidemiological characteristics, clinical profiles, and outcomes of HAAKI among these three units. All adult patients (>18 years of either gender who developed AKI based on RIFLE criteria (using serum creatinine, 48 h after hospitalization were included in the study. Patients of acute on chronic renal failure and AKI in pregnancy were excluded. Incidence of HAAKI in medical, surgical, and ICU wards were 0.54%, 0.72%, and 2.2% respectively ( P < 0.0001. There was no difference in age distribution among the groups, but onset of HAAKI was earliest in the medical ward ( P = 0.001. RIFLE-R was the most common AKI in medical (39.2% and ICU (50% wards but in the surgical ward, it was RIFLE-F that was most common (52.6%. Acute tubular necrosis was more common in ICU ( P = 0.043. Most common etiology of HAAKI in medical unit was drug induced (39.2%, whereas in surgical and ICU, it was sepsis (34% and 35.2% respectively. Mortality in ICU, surgical and medical units were 73.5%, 43.42%, and 37.2%, respectively ( P = 0.003. Length of hospital stay in surgical, ICU and medical units were different ( P = 0.007. This study highlights that the characters of HAAKI are different in some aspects among different hospital settings.

  1. A Case Study On Human Capital Mismanagement In The United States Air Force

    Science.gov (United States)

    2016-05-08

    AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY A Case Study on Human Capital Mismanagement in the United States Air Force By John P...Force does not effectively manage its human capital to develop and retain a technically literate acquisitions workforce. A detailed look at the...Several solutions are suggested to improve the human capital management and increase the quality and relevancy of the acquisitions community at

  2. Palliative care in a coronary care unit: a qualitative study of physicians' and nurses' perceptions.

    Science.gov (United States)

    Nordgren, Lena; Olsson, Henny

    2004-02-01

    Earlier research has shown that physicians and nurses are motivated to provide good palliative care, but several factors prevail that prevent the best care for dying patients. To provide good palliative care it is vital that the relationship between nurses and physicians is one based on trust, respect and sound communication. However, in settings such as a coronary care unit, disagreement sometimes occurs between different professional groups regarding care of dying patients. The aim of this study was to describe and understand physicians' and nurses' perceptions on their working relationship with one another and on palliative care in a coronary care unit setting. Using a convenience sample, professional caregivers were interviewed at their work in a coronary care unit in Sweden. Data collection and analysis were done concurrently using a qualitative approach. From the interviews, a specific pattern of concepts was identified. The concepts were associated with a dignified death, prerequisites for providing good palliative care and obstacles that prevented such care. Caregivers who work in a coronary care unit are highly motivated to provide the best possible care and to ensure a dignified death for their patients. Nevertheless, they sometimes fail in their intentions because of several obstacles that prevent good quality care from being fully realized. To improve practice, more attention should be paid to increasing dying patients' well-being and participation in care, improving strategic decision-making processes, offering support to patients and their relatives, and improving communication and interaction among caregivers working in a coronary care unit. Caregivers will be able to support patients and relatives better if there are good working relations in the work team and through better communication among the various professional caregivers.

  3. [Detection of palliative care needs in an acute care hospital unit. Pilot study].

    Science.gov (United States)

    Rodríguez-Calero, Miguel Ángel; Julià-Mora, Joana María; Prieto-Alomar, Araceli

    2016-01-01

    Previous to wider prevalence studies, we designed the present pilot study to assess concordance and time invested in patient evaluations using a palliative care needs assessment tool. We also sought to estimate the prevalence of palliative care needs in an acute care hospital unit. A cross-sectional study was carried out, 4 researchers (2 doctors and 2 nurses) independently assessed all inpatients in an acute care hospital unit in Manacor Hospital, Mallorca (Spain), using the validated tool NECPAL CCOMS-ICO©, measuring time invested in every case. Another researcher revised clinical recordings to analise the sample profile. Every researcher assessed 29 patients, 15 men and 14 women, mean age 74,03 ± 10.25 years. 4-observer concordance was moderate (Kappa 0,5043), tuning out to be higher between nurses. Mean time per patient evaluation was 1.9 to 7.72 minutes, depending on researcher. Prevalence of palliative care needs was 23,28%. Moderate concordance lean us towards multidisciplinary shared assessments as a method for future research. Avarage of time invested in evaluations was less than 8 minutes, no previous publications were identified regarding this variable. More than 20% of inpatients of the acute care unit were in need of palliative care. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  4. A COMPARATIVE STUDY ON THE PRICIPLE OF CELERITY IN ROMANIA AND THE UNITED STATES OF AMERICA

    Directory of Open Access Journals (Sweden)

    Steven BECKER

    2009-12-01

    Full Text Available This study deals with one of the most important fundamental rules of criminal trial, both in the United States of America and in Romania, namely the right of the person accused of committing a crime to have a trial within a reasonable time. As regards the legal system of the United States of America, the author approached the issue from the perspective of the Constitution of the United States of America, respectively reviewing the legislative system of the State of Illinois. The presentation of the case law in this field had an important role in this review. As regards the legal system of Romania, the efforts to amend the legislation in order to ensure a reasonable time for carrying out the criminal proceedings are obvious even if sometimes, in this way, the applicability of other fundamental principles, such as the principle of finding out the truth, is restricted. The differences existing between the two penal legal systems are also obvious, after reading this study.

  5. A study on work life balance amongst managers of garment units in Tamilnadu State, India

    Directory of Open Access Journals (Sweden)

    Kalaiselvi Kandampalayam Thulasimani

    2010-07-01

    Full Text Available Work life balance plays an important role now a day. Employees want it, managers need it, and organization cannot afford to ignore it! Managers need to take work-life balance seriously particularly in garment units. The more overworked and overloaded, the higher the demands or the expectations on the department or the work unit, the more the managers have to rely on their employees to produce at the highest possible level of efficiency, effectiveness, and quality. If managers are out of balance or stressed or sick then they will be less committed to the outcomes, they will be less committed to the organization, they will be less committed to the client, the product or goods or service that they are producing. This research paper examined the work life balance amongst managers of garment units in Tamil nadu state. The methodology adopted for the study was descriptive research design. Data were collected from 480 managers through questionnaire method around Tamilnadu state, India. In the present study, stastical tools such as percentage analysis, mean value, chi-square, ANOVA, and correlation analysis were used for the analysis. The results indicated that the work life balance of managers are not completely successful due to their present working hours, working environment and increase in products prices, work load, responsibilities in work and  decrease of job security due to recession.

  6. Quantum chemical study on the one-carbon unit transfer of imidazolinium

    Institute of Scientific and Technical Information of China (English)

    康从民; 冯大诚; 戚传松; 蔡政亭

    2002-01-01

    One-carbon unit transfer reaction of folate cofactor model compound, 1-acetyl-2-methyl-imidazolinium, with 1,2-diaminobenzene has been studied theoretically with ONIOM method. The result shows that there are two pathways to complete this reaction because the imidazolinium ring has two breaking patterns. Both the two pathways have six steps. They are combination of two reactants, proton migration, break of five-membered ring, formation of benzimidazole derivate, another proton migration, and formation of final products. In each of the above pathways, the two proton migration steps have higher energy, which illuminate that the reaction is catalyzed by general acid-base. This fact agrees with the experimental results of enzymatic one-carbon unit transfer at oxidation level of formate.

  7. Men's body depilation: an exploratory study of United States college students' preferences, attitudes, and practices.

    Science.gov (United States)

    Basow, Susan A; O'Neil, Katherine

    2014-09-01

    Young men in Western cultures frequently engage in body depilation practices, but little is known regarding how such bodies are perceived. This exploratory study asked United States college students (N=238) to view six pictures of the same male body with different amounts of visible body hair and to indicate which body was most sexually attractive to themselves, to most men, and to most women. Both men and women chose a relatively hairless male body as the most sexually attractive. Women, however, thought men would choose a hairier body than men actually did. Most of the men reduced or removed body hair, especially from the pubic area. Questionnaire responses indicated that men and women had similar attitudes toward men's body hair, with both hair reduction and hair retention being socially acceptable. Men's body depilation, while still optional, may be becoming normative, at least among United States college students.

  8. Nutritional status among older residents with dementia in open versus special care units in municipal nursing homes: an observational study

    Science.gov (United States)

    2013-01-01

    Background Undernutrition is widespread among institutionalised elderly, and people suffering from dementia are at particularly high risk. Many elderly with dementia live in open units or in special care units in nursing homes. It is not known whether special care units have an effect on the nutritional status of the residents. The aim of this study was therefore to examine the nutritional status of residents with dementia in both open units and in special care units. Methods Among Oslo’s 29 municipal nursing homes, 21 participated with 358 residents with dementia or cognitive impairment, of which 46% lived in special care units. Nutritional status was assessed using the Malnutrition Universal Screening Tool and anthropometry. Results We found no differences (p > 0.05) in risk of undernutrition, body mass index, mid-upper arm muscle circumference or triceps skinfold thickness between residents in open units and those in special care units. Residents in special care units were significantly younger and stronger when measured with a hand-grip test. Conclusions We found no difference in nutritional status between nursing home residents with dementia/cognitive impairment in open units versus in special care units. PMID:23496975

  9. Candida parapsilosis candidaemia in a neonatal unit over 7 years: a case series study

    Science.gov (United States)

    Miranda, Lourdes das Neves; Rodrigues, Eliete C A; Costa, Silvia F; van der Heijden, Inneke Marie; Dantas, Kátia C; Lobo, Renata D; Basso, Mariusa; Varkulja, Gláucia F; Krebs, Vera Lúcia Jornada; Gibelli, Maria Augusta Bento Cicaroni; Criado, Paulo R; Levin, Anna Sara

    2012-01-01

    Objective To evaluate Candida parapsilosis candidaemia in a neonatal unit over 7 years. Design Case series study. Setting A 2000-bed tertiary-care university hospital at São Paulo, Brazil. Participants Neonates hospitalised in a 63-bed neonatal unit. Primary and secondary outcome measures We evaluated the incidence of C parapsilosis fungemia in a neonatal unit from 2002 through 2008 and the main microbiological, clinical and epidemiological aspects of this disease in neonates. During the study period an outbreak occurred, an infection control programme was implemented, and isolates from blood and hand healthcare workers (HCWs) were submitted to molecular typing. Results During 7 years, there were 36 cases of C parapsilosis fungaemia and annual incidence varied from 0 to 19.7 per 1000 admissions. Evaluating 31 neonates with fungemia, the mean age at diagnosis was 19 days. All children except for one were premature; all had received total parenteral nutrition and all but one had used central venous catheter. Three neonates had received antifungal treatment previously to the diagnosis. Thirty-day mortality was 45%. Only lower birthweight was associated with mortality. C parapsilosis species complex was isolated from hand cultures in eight (11%) of the HCWs (one isolate was identified as C orthopsilosis). By molecular typing no HCW isolate was similar to any of the blood isolates. Conclusions The incidence of C parapsilosis fungemia in a neonatal unit varied widely over 7 years. We observed in our series a higher death rate than that reported in European countries and the USA. PMID:22869093

  10. Coping with Catastrophe: The Black Death of the 14th Century. A Unit of Study for Grades 7-12.

    Science.gov (United States)

    Chapman, Anne

    This unit of study explains the causes, course, characteristics, and results of the Black Death during the 14th century. The Black Death, also known as the bubonic plague, left virtually no one untouched in Europe, Asia, and Northern Africa. Europe lost a third or more of its population. In a broader context, study of the unit alerts students to…

  11. Coping with Catastrophe: The Black Death of the 14th Century. A Unit of Study for Grades 7-12.

    Science.gov (United States)

    Chapman, Anne

    This unit of study explains the causes, course, characteristics, and results of the Black Death during the 14th century. The Black Death, also known as the bubonic plague, left virtually no one untouched in Europe, Asia, and Northern Africa. Europe lost a third or more of its population. In a broader context, study of the unit alerts students to…

  12. A parametric study on unbalanced three phase islanded microgrids with inverter interfaced units

    DEFF Research Database (Denmark)

    Sanseverino, Eleonora Riva; Quang, Ninh Nguyen; Zizzo, Gaetano;

    2013-01-01

    In this paper, the solution of the power flow for unbalanced three phase microgrids systems is proposed. The study aims at the integration of inverter interfaced units using the control law used for primary voltage and frequency regulation, so as to take into account possible small variations...... of these parameters to account for sudden load changes. The proposed study deals with unbalanced systems which is the typical case of small distribution systems and shows how the power losses term varies as the regulators parameters vary as well, thus showing that these are sensitive parameters that could have...... an important role in optimal management of such systems....

  13. Meteorology: Observing, Understanding, and Predicting Weather. Self-Directed Study Units for Grades K-8.

    Science.gov (United States)

    Brown, Mary; Dickinson, Rosemary

    This book consists of two complete units on meteorology. The first unit is created for lower elementary students and the second one is for upper elementary grade levels. The units are designed for gifted students and encourage students to be responsible for their own education. Each unit is based on an interdisciplinary approach. Suggestions for…

  14. Learning about the Unit Cell and Crystal Lattice with Computerized Simulations and Games: A Pilot Study

    Science.gov (United States)

    Luealamai, Sutha; Panijpan, Bhinyo

    2012-01-01

    The authors have developed a computer-based learning module on the unit cell of various types of crystal. The module has two components: the virtual unit cell (VUC) part and the subsequent unit cell hunter part. The VUC is a virtual reality simulation for students to actively arrive at the unit cell from exploring, from a broad view, the crystal…

  15. Learning about the Unit Cell and Crystal Lattice with Computerized Simulations and Games: A Pilot Study

    Science.gov (United States)

    Luealamai, Sutha; Panijpan, Bhinyo

    2012-01-01

    The authors have developed a computer-based learning module on the unit cell of various types of crystal. The module has two components: the virtual unit cell (VUC) part and the subsequent unit cell hunter part. The VUC is a virtual reality simulation for students to actively arrive at the unit cell from exploring, from a broad view, the crystal…

  16. Study on New Smart Transformer Terminal Unit Based on ARM and GPRS Network

    Directory of Open Access Journals (Sweden)

    Na Wu

    2013-12-01

    Full Text Available Distribution transformer is one of the most important power equipments in distribution network, whose running state exercises a great influence on the stability of the network. Transformer Terminal Unit (TTU is an effective device to monitor the running state of transformers in the distribution automation system. In this paper, we study a new smart TTU which uses ARM7 series chip as processor, equipped with ATT7022B based electric meter module and GPRS module for remote data transmission control. We focus on the corresponding hardware, software design and the measurement principle of harmonics of TTU. The new TTU can measure the electric parameters of the distribution transformer precisely. Taking advantage of the powerful ARM processor, it can analyze harmonic of the power line effectively. Due to the always-on-line feature of GPRS, TTU can achieve reliable communication with the remote terminal and the master station. Compared with other similar units, the new unit outperforms in terms of real-time, precision and reliability, which can fully meet with the high-speed development of distribution automation system.

  17. Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study

    Directory of Open Access Journals (Sweden)

    Riitta-Liisa Lakanmaa

    2015-01-01

    Full Text Available Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent was employed among Finnish intensive care unit nurses (n=431. Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40. The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (F value 60.85, β 0.11, SE 0.01, and P≤0.0001. Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.

  18. Addressing the key communication barriers between microbiology laboratories and clinical units: a qualitative study.

    Science.gov (United States)

    Skodvin, Brita; Aase, Karina; Brekken, Anita Løvås; Charani, Esmita; Lindemann, Paul Christoffer; Smith, Ingrid

    2017-09-01

    Many countries are on the brink of establishing antibiotic stewardship programmes in hospitals nationwide. In a previous study we found that communication between microbiology laboratories and clinical units is a barrier to implementing efficient antibiotic stewardship programmes in Norway. We have now addressed the key communication barriers between microbiology laboratories and clinical units from a laboratory point of view. Qualitative semi-structured interviews were conducted with 18 employees (managers, doctors and technicians) from six diverse Norwegian microbiological laboratories, representing all four regional health authorities. Interviews were recorded and transcribed verbatim. Thematic analysis was applied, identifying emergent themes, subthemes and corresponding descriptions. The main barrier to communication is disruption involving specimen logistics, information on request forms, verbal reporting of test results and information transfer between poorly integrated IT systems. Furthermore, communication is challenged by lack of insight into each other's area of expertise and limited provision of laboratory services, leading to prolonged turnaround time, limited advisory services and restricted opening hours. Communication between microbiology laboratories and clinical units can be improved by a review of testing processes, educational programmes to increase insights into the other's area of expertise, an evaluation of work tasks and expansion of rapid and point-of-care test services. Antibiotic stewardship programmes may serve as a valuable framework to establish these measures.

  19. [Pilot study on the presence of Legionella spp in 6 Italian cities' dental units].

    Science.gov (United States)

    Montagna, M T; Tatò, D; Napoli, C; Castiglia, P; Guidetti, L; Liguori, G; Petti, S; Tanzi, M L

    2006-01-01

    Among the microorganism involved in environmental contamination, Legionella spp is actually considered an important infectious hazard. The aim of this study is to evaluate the incidence of Legionella spp in water samples collected from 138 dental unit selected from public outpatient clinics of 6 Italian cities. The samples were taken from oral rinsing cup, air-water syringe, ultrasonic scaler and the turbine to investigate Legionella spp, Pseudomonas aeruginosa and the total heterotrophic count at 36 degrees and 22 degrees. Legionella spp was present in 33,3% dental unit water; but a significant difference was shown among the enrolled cities. In 43,5% of water sample Legionella concentration was 1.000-10.000 CFU/L and in 30,4% was >10.000 CFU/L. L. pneumophila 1 was found in 23,9% of water samples. The results demonstrate that the concentration of Legionella spp in dental unit water lines could be high and this suggests that the exposure to these micoorganism during the dental practise could be a potential health risk both for dental personnel and for the patients too, especially when immunocompromised.

  20. Children's mental health and collective violence: a binational study on the United States-Mexico border.

    Science.gov (United States)

    Leiner, Marie; Puertas, Hector; Caratachea, Raúl; Avila, Carmen; Atluru, Aparna; Briones, David; Vargas, Cecilia de

    2012-05-01

    To investigate the risk effects of poverty and exposure to collective violence attributed to organized crime on the mental health of children living on the United States-Mexico border. A repeated, cross-sectional study measured risk effects by comparing scores of psychosocial and behavioral problems among children and adolescents living on the border in the United States or Mexico in 2007 and 2010. Patients living in poverty who responded once to the Pictorial Child Behavior Checklist (P+CBCL) in Spanish were randomly selected from clinics in El Paso, Texas, United States (poverty alone group), and Ciudad Juarez, Chihuahua, Mexico (poverty plus violence group). Only children of Hispanic origin (Mexican-American or Mexican) living below the poverty level and presenting at the clinic for nonemergency visits with no history of diagnosed mental, neurological, or life-threatening disease or disability were included. Exposure to collective violence and poverty seemed to have an additive effect on children's mental health. Children exposed to both poverty and collective violence had higher problem scores, as measured by the P+CBCL, than those exposed to poverty alone. It is important to consider that children and adolescents exposed to collective violence and poverty also have fewer chances to receive treatment. Untreated mental health problems predict violence, antisocial behaviors, and delinquency and affect families, communities, and individuals. It is crucial to address the mental health of children on the border to counteract the devastating effects this setting will have in the short term and the near future.

  1. The Application of Load-cell Technique in the Study of Armour Unit Responses to Impact Loads Tests

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Liu, Z.

    1995-01-01

    The slender, complex types of armour units, such as Tetrapods and Dolosse are widely used for rubble mound breakwaters. Many of the recent failures of such structures were caused by unforeseen early breakage of the units, thus revealing an in balance between the strength (structural integrity....... slender armour units can be studied. by load-cell technique. Moreover, the paper presents DoJos design diagrams for the prediction of both breakage and hydraulic stability...

  2. The Application of Load-cell Technique in the Study of Armour Unit Responses to Impact Loads

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Liu, Zhou

    1994-01-01

    The slender, complex types of armour units, such as Tetrapods and Dolosse are widely used for rubble mound breakwaters. Many of the recent failures of such structures were caused by unforeseen early breakage of the units, thus revealing an inbalance between the strength (structural integrity...... on slender armour units can be studied by load-cell technique. Moreover, the paper presents Dolos design diagrams for the prediction of both breakage and hydraulic stability....

  3. Interprofessional rhetoric and operational realities: an ethnographic study of rounds in four intensive care units.

    Science.gov (United States)

    Paradis, Elise; Leslie, Myles; Gropper, Michael A

    2016-10-01

    Morning interprofessional rounds (MIRs) are used in critical care medicine to improve team-based care and patient outcomes. Given existing evidence of conflict between and dissatisfaction among rounds participants, this study sought to better understand how the operational realities of care delivery in the intensive care unit (ICU) impact the success of MIRs. We conducted a year-long comparative ethnographic study of interprofessional collaboration and patient and family involvement in four ICUs in tertiary academic hospitals in two American cities. The study included 576 h of observation of team interactions, 47 shadowing sessions and 40 clinician interviews. In line with best practices in ethnographic research, data collection and analysis were done iteratively using the constant comparative method. Member check was conducted regularly throughout the project. MIRs were implemented on all units with the explicit goals of improving team-based and patient-centered care. Operational conditions on the units, despite interprofessional commitment and engagement, appeared to thwart ICU teams from achieving these goals. Specifically, time constraints, struggles over space, and conflicts between MIRs' educational and care-plan-development functions all prevented teams from achieving collaboration and patient-involvement. Moreover, physicians' de facto control of rounds often meant that they resembled medical rounds (their historical predecessors), and sidelined other providers' contributions. This study suggests that the MIRs model, as presently practiced, might not be well suited to the provision of team-based, patient-centered care. In the interest of interprofessional collaboration, of the optimization of clinicians' time, of high-quality medical education and of patient-centered care, further research on interprofessional rounds models is needed.

  4. Nursing time study for the administration of a PRN oral analgesic on an orthopedic postoperative unit.

    Science.gov (United States)

    Pizzi, Lois J; Chelly, Jacques E; Marlin, Vanessa

    2014-09-01

    As needed (PRN) oral opioid analgesics are an integral part of many orthopedic postoperative multimodal pain management regimens. However, the unpredictable nature of this dosing method can lead to disruptions in the process of administering the medication, as well as be an interruption to regular nursing activities. This IRB approved quantitative time study tested the hypothesis that a significant amount of nursing time is required in the administration of PRN oral opioid analgesics on a postoperative orthopedic nursing unit. The purpose of this study is to evaluate the time necessary to complete the required steps related to the administration of PRN oral analgesics. Nurses from 28 nursing shifts used a personal digital assistant (PDA) to record the time needed to complete these steps. We determined that 10.9 minutes is the mean time required to administer PRN oral analgesics on this unit. Other time studies have evaluated the medication administration process as a whole. No time studies related to PRN oral analgesic administration have been reported. In phase I of our project, the data were summarized and will be used as a baseline comparison for phase II, in which we will evaluate an oral PCA medication administration system.

  5. Exercise and limitations in physical activity levels among new dialysis patients in the United States: an epidemiologic study.

    LENUS (Irish Health Repository)

    Stack, Austin G

    2008-12-01

    Epidemiologic studies of physical activity among patients with end-stage renal disease (ESRD) are lacking. The aim of this study was to describe the patterns of physical activity among new dialysis patients in the United States.

  6. Environmental design in acute care settings: a case study of a neurological rehabilitation unit.

    Science.gov (United States)

    McCunn, Lindsay J; Gifford, Robert

    2013-01-01

    The purpose of this case study was to examine environmental variables that lead to staff error in acute care settings: noise; lighting; ergonomics, furniture, and equipment; and patient room design and unit layout. Chaudhury, Mahmood, & Valente (2009) reviewed a number of design considerations related to reducing errors by nursing staff in acute care settings. The Neurological Rehabilitation Unit (NRU) at one hospital served to further examine the design recommendations outlined by Chaudhury et al. (2009). Based on photographs, a site tour, interviews with the NRU manager and with the son of a patient of 5 months, comparisons were made between the NRU and the acute care setting design considerations reviewed by Chaudhury et al. (2009). The NRU appeared to comply with many recommendations: enforced noise reduction was facilitated through limiting both the number of patients per room and the number of patients admitted to the unit. Distinct rooms were used for various tasks that helped to contain activity-based noise. A combination of daylighting and artificial lighting was in place, but efforts to control glare and thermal comfort were not integrated into the design. The ergonomic needs of employees were incorporated in the design of the NRU, and the layouts of patient rooms and the layout of the NRU in general also were compatible with the design recommendations reviewed by Chaudhury et al. (2009). Many of the design attributes advocated by Chaudhury et al. (2009) were included in the NRU. Supplemental research should be undertaken, however, to objectively measure nursing error, efficiency, and staff satisfaction with respect to the comparisons and assumptions presented in this study. Case study, design, hospital, satisfaction, staff.

  7. Remedial investigation/feasibility study work plan for the 100-KR-4 operable unit, Hanford Site, Richland, Washington

    Energy Technology Data Exchange (ETDEWEB)

    1992-09-01

    Four areas of the Hanford Site (the 100, 200, 300, and 1100 Areas) have been included on the US Environmental Protection Agency`s (EPA`s) National Priorities List (NPL) under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). This work plan and the attached supporting project plans establish the operable unit setting and the objectives, procedures, tasks, and schedule for conducting the CERCLA remedial investigation/feasibility study (RI/FS) for the 100-KR-4 operable unit. The 100-K Area consists of the 100-KR-4 groundwater operable unit and three source operable units. The 100-KR-4 operable unit includes all contamination found in the aquifer soils and water beneath the 100-K Area. Source operable units include facilities and unplanned release sites that are potential sources of contamination.

  8. United Kingdom Nuclear Science Forum Progress Report. Data Studies during 2008

    Energy Technology Data Exchange (ETDEWEB)

    Hawkes, N.P. (ed.) [National Physical Laboratory, Acoustics and Ionising Radiation Division, Middlesex (United Kingdom)

    2010-02-15

    The United Kingdom Nuclear Science Forum (UKNSF) meets twice a year to discuss issues relating to the measurement and evaluation of nuclear data. Topics cover a wide range of applications in the UK nuclear industry. Links between members are maintained throughout the year, mainly through e-mail and the UKNSF website (www.uknsf.ofg.uk). Work of primary interest includes the measurement and evaluation of decay data (e.g. half-lives and gamma ray emission probabilities), fission yields, and neutron cross sections for fission and fusion. All known studies within the UK are summarised in this report. Specific applications and international links of relevance are also described. (author)

  9. U.S. Navy Regional Climatic Study of the United States Atlantic Coast and Associated Waters

    Science.gov (United States)

    1989-01-01

    239 M. L. DICKENSON NAVAIR 50-1C-555 U.S. NAVY REGIONAL CLIMATIC STUDY OF THE UNITED STATES ATLANTIC COAST AND ASSOCIATED WATERS JANUARY, 1989 NO , s o...of coastal impact, with winds exceeding 98 knots and storm tides greater than . fot. Hurricane Donna in 1960 was the first storm in 75 years to have...and then quickly becoming a hurriaInc within three days as it moved westward. Donna had recorded winds of 129 knots in the rlorida Keys, and 82 knots on

  10. UNIT, TIBET.

    Science.gov (United States)

    Louisiana Arts and Science Center, Baton Rouge.

    THE UNIT OF STUDY DESCRIBED IN THIS BOOKLET DEALS WITH THE GEOGRAPHY AND HISTORY OF TIBET. THE UNIT COVERS SOME OF THE GENERAL FEATURES OF THE COUNTRY AND THEIR EFFECT UPON THE LIVES OF THE TIBETAN PEOPLE. DISCUSSION QUESTIONS ARE INSERTED TO STIMULATE THOUGHT. THE RELIGION OF TIBET IS DISCUSSED IN RELATION TO ITS INFLUENCE ON THE ART AND CULTURE…

  11. Accuracy and repeatability of an inertial measurement unit system for field-based occupational studies.

    Science.gov (United States)

    Schall, Mark C; Fethke, Nathan B; Chen, Howard; Oyama, Sakiko; Douphrate, David I

    2016-04-01

    The accuracy and repeatability of an inertial measurement unit (IMU) system for directly measuring trunk angular displacement and upper arm elevation were evaluated over eight hours (i) in comparison to a gold standard, optical motion capture (OMC) system in a laboratory setting, and (ii) during a field-based assessment of dairy parlour work. Sample-to-sample root mean square differences between the IMU and OMC system ranged from 4.1° to 6.6° for the trunk and 7.2°-12.1° for the upper arm depending on the processing method. Estimates of mean angular displacement and angular displacement variation (difference between the 90th and 10th percentiles of angular displacement) were observed to change IMU system may serve as an acceptable instrument for directly measuring trunk and upper arm postures in field-based occupational exposure assessment studies with long sampling durations. Practitioner Summary: Few studies have evaluated inertial measurement unit (IMU) systems in the field or over long sampling durations. Results of this study indicate that the IMU system evaluated has reasonably good accuracy and repeatability for use in a field setting over a long sampling duration.

  12. Value of postmortem studies in deceased neonatal and pediatric intensive care unit patients.

    Science.gov (United States)

    Widmann, Raphael; Caduff, Rosmarie; Giudici, Luca; Zhong, Qing; Vogetseder, Alexander; Arlettaz, Romaine; Frey, Bernhard; Moch, Holger; Bode, Peter K

    2017-02-01

    Worldwide, various autopsy studies have shown a decrease in the diagnostic error rate over the last years. The cause of this positive development is mainly due to the improvement of modern medicine. However, intensive care unit patients are thought to have a higher risk for diagnostic errors, which is documented in several studies in the adult population. In contrast, there is only limited information about diagnostic errors in pediatrics, particularly in pediatric and neonatal intensive care units. The aims of this study were to analyze the spectrum of childhood death, determine the prevalence and distribution of autopsy-confirmed diagnostic errors, and describe patient characteristics that might have influenced the discordance between antemortem and postmortem findings. We analyzed 143 autopsy reports from 2004 to 2013 and correlated these with clinical reports. The overall autopsy rate during this interval was 20.3%. The leading causes of death were congenital malformations (28%), diseases closely associated with perinatal disorders (25%), disorders of the cardiovascular system (18%), and infections (15%). Additional findings were obtained in 23% of the autopsies. Major diagnostic errors were found in 6%, the lowest reported value in a developed country as yet. Most cases (75%) showed complete concordance between clinical diagnoses and postmortem findings, in line with improvements in diagnostic and therapeutic processes over the last decades. In conclusion, autopsy of neonates, infants, and children represents an important tool for monitoring the quality of pediatric and neonatal medical care.

  13. Colombians in the United States: A Study of Their Well-Being

    Directory of Open Access Journals (Sweden)

    Cándida Madrigal

    2013-09-01

    Full Text Available This study examined the extent to which four factors—acculturation, ethnic identity, self-esteem, and resilience—can explain the well-being of Colombian immigrants in the United States across three waves of immigration (wave 1, from 1945–1964; wave 2, from 1965–1989; and wave 3, from 1990–2008. The results indicate that of the four factors, self-esteem most correlated with and was a predictor of well-being. Participants exhibited high levels of well-being as their level of self-esteem increased. Ethnic identity negatively predicted well-being, especially for men who entered during wave 3; as the extent of their ethnic identity increased, their well-being decreased. Correspondingly, Colombians who entered as political refugees reported a lower level of well-being. This research was groundbreaking in assessing factors contributing to the well-being of Colombian immigrants and assisting in the search for appropriate scales to study this population. Although its results have to be considered with caution, the study opens doors to future research, policies, and programs regarding the mental health assessment and treatment of Colombians in the United States.

  14. Manajemen Unit Produksi Berbasis Inovasi Produk (Studi pada SMK Negeri 7 Purworejo

    Directory of Open Access Journals (Sweden)

    Budi Swityastuti

    2015-07-01

    Full Text Available The purpose of this study was to obtain an overview of: planning, implementation and supervision of the production unit based product innovations developed in SMK Negeri 7Purworedjo. This research was qualitative by ethnography design. The research was was SMK 7 Purworedjo focusing on innovation sanitary napkins that can be washed and reused brand “Siklus”. Data collection was conducted in a natural setting and techniques of data collection were through participant observation, in-depth interviews and documentation. Data analysis techniques were done through four phases namely data collection, data reduction, data display and conclusion. The results of the study are (1 Planning UPJ (Unit Production/Services consider factors: purpose, type of production, targeting, marketing, resources, sharing, managing, availability of raw materials and place of execution, (2 Implementation of UPJ includes : organizing, production, delivery and implementation prakerin students, (3 Supervision UPJ includes: the quality of the product by the management, administration by the principal, and students prakerin by tutors. This study recommends that the product innovations of UPJ SMK 7 Purworedjo are circulated out of the city product innovations of UPJ SMK 7 Purworedjo are circulated out of the city.

  15. Bacteraemia in Intensive Care Unit: Clinical, Bacteriological, and Prognostic Prospective Study

    Directory of Open Access Journals (Sweden)

    Zineb Lachhab

    2017-01-01

    Full Text Available Objectives. We conducted a one-year observational study from December 2012 to November 2013 to describe the epidemiology of bacteraemia in intensive care units (ICU of Mohammed V Military Teaching Hospital of Rabat (Morocco. Methods. The study consisted of monitoring all blood cultures coming from intensive care units and studying the bacteriological profile of positive blood cultures as well as their clinical significance. Results. During this period, a total of 46 episodes of bacteraemia occurred, which corresponds to a rate of 15,4/1000 patients. The rate of nosocomial infections was 97% versus 3% for community infections. The most common source of bacteraemia was the lungs in 33%, but no source was identified in 52% of the episodes. Gram negative organisms were isolated in 83,6% of the cases with Acinetobacter baumannii being the most frequent. Antibiotic resistance was very high with 42,5% of extended-spectrum beta-lactamases (ESBLs in Enterobacteriaceae and 100% of carbapenemase in Acinetobacter baumannii. The antibiotherapy introduced in the first 24 hours was adequate in 72% of the cases. Conclusions. Bloodstream infections in ICU occur most often in patients over 55 years, with hypertension and diabetes. The bacteria involved are mainly Gram negative bacteria multiresistant to antibiotics. Early administration of antibiotics significantly reduces patients mortality.

  16. Social Studies: Economics, International Relations, and Political Science. Latin American Curriculum Units for Junior and Community Colleges.

    Science.gov (United States)

    Glade, William P.; Baldwin, Emily

    These three self-contained units of study will help community college students learn about the economics, international relations, and politics of Latin America. Each unit can be used independently and contains introductory notes for instructors, student materials, and a bibliography. Students are expected to read and discuss the reading…

  17. Multilingual Literacies in Transnational Digitally Mediated Contexts: An Exploratory Study of Immigrant Teens in the United States

    Science.gov (United States)

    Lam, Wan Shun Eva; Rosario-Ramos, Enid

    2009-01-01

    This study explores the literacy practices that are involved in transnational social and information networking among youths of immigrant backgrounds in the United States. In particular, it investigates the ways in which young migrants of diverse national origins in the United States are utilising digital media to organise social relationships…

  18. The Crusades from Medieval European and Muslim Perspectives. A Unit of Study for Grades 7-12.

    Science.gov (United States)

    Aghaie, Kamran Scot

    This unit of study seeks to supplement the information presented in world history textbooks about the Crusades. The Crusades were instigated by the call for "holy war" against Muslims by Pope Urban II in 1095 and spanned several centuries. The unit notes that usually the depth and breadth of coverage varies substantially, and the…

  19. Powerful Social Studies Unit Design: A Companion to Powerful Social Studies Teaching and Learning

    Science.gov (United States)

    Misco, Thomas

    2014-01-01

    Social studies education suffers from a distorted rendering of purpose and mission. Rather than pragmatically employ the social sciences to furnish the material for inquiry into normative and moral issues, social studies classrooms too often focus on declarative, disconnected, atomized, and meaningless content. The National Council for the Social…

  20. Mobile Mindfulness Intervention on an Acute Psychiatric Unit: Feasibility and Acceptability Study.

    Science.gov (United States)

    Mistler, Lisa A; Ben-Zeev, Dror; Carpenter-Song, Elizabeth; Brunette, Mary F; Friedman, Matthew J

    2017-08-21

    Aggression and violence on acute psychiatric inpatient units is extensive and leads to negative sequelae for staff and patients. With increasingly acute inpatient milieus due to shorter lengths of stay, inpatient staff is limited in training and time to be able to provide treatments. Mobile technology provides a new platform for offering treatment on such units, but it has not been tested for feasibility or usability in this particular setting. The aim of this study was to examine the feasibility, usability, and acceptability of a brief mindfulness meditation mobile phone app intended to reduce anger and aggression in acute psychiatric inpatients with schizophrenia, schizoaffective disorder, or bipolar disorder, and a history of violence. Participants were recruited between November 1, 2015 and June 1, 2016. A total of 13 inpatients at an acute care state hospital carried mobile phones for 1 week and were asked to try a commercially available mindfulness app called Headspace. The participants completed a usability questionnaire and engaged in a qualitative interview upon completion of the 7 days. In addition, measures of mindfulness, state and trait anger, and cognitive ability were administered before and after the intervention. Of the 13 enrolled participants, 10 used the app for the 7 days of the study and completed all measures. Two additional participants used the app for fewer than 7 days and completed all measures. All participants found the app to be engaging and easy to use. Most (10/12, 83%) felt comfortable using Headspace and 83% (10/12) would recommend it to others. All participants made some effort to try the app, with 6 participants (6/12, 50%) completing the first 10 10-minute "foundation" guided meditations. This is the first known study of the use of a commercially available app as an intervention on acute psychiatric inpatient units. Acutely ill psychiatric inpatients at a state hospital found the Headspace app easy to use, were able to complete

  1. Phenylalanine hydroxylase gene mutations in the United States: Report from the maternal PKU collaborative study

    Energy Technology Data Exchange (ETDEWEB)

    Guldberg, P.; Henriksen, K.F.; Guettler, F. [John F. Kennedy Inst., Glostrup (Denmark)] [and others

    1996-07-01

    The major cause of hyperphenylalaninemia is mutations in the gene encoding phenylalanine hydroxylase (PAH). The known mutations have been identified primarily in European patients. The purpose of this study was to determine the spectrum of mutations responsible for PAH deficiency in the United States. One hundred forty-nine patients enrolled in the Maternal PKU Collaborative Study were subjects for clinical and molecular investigations. PAH gene mutations associated with phenylketonuria (PKU) or mild hyperphenylalaninemia (MHP) were identified on 279 of 294 independent mutant chromosomes, a diagnostic efficiency of 95%. The spectrum is composed of 71 different mutations, including 47 missense mutations, 11 splice mutations, 5 nonsense mutations, and 8 microdeletions. Sixteen previously unreported mutations were identified. Among the novel mutations, five were found in patients with MHP, and the remainder were found in patients with PKU. The most common mutations were R408W, IVS12nt1g{r_arrow}a, and Y414C, accounting for 18.7%, 7.8% and 5.4% of the mutant chromosomes, respectively. Thirteen mutations had relative frequencies of 1%-5%, and 55 mutations each had frequencies {le}1%. The mutational spectrum corresponded to that observed for the European ancestry of the U.S. population. To evaluate the extent of allelic variation at the PAH locus within the United States in comparison with other populations, we used allele frequencies to calculate the homozygosity for 11 populations where >90% ascertainment has been obtained. The United States was shown to contain one of the most heterogeneous populations, with homozygosity values similar to Sicily and ethnically mixed sample populations in Europe. The extent of allelic heterogeneity must be a major determining factor in the choice of mutation-detection methodology for molecular diagnosis in PAH deficiency. 47 refs., 1 fig., 5 tabs.

  2. Recuiting, Advertising and Marketing Strategies in All-Volunteer Force Nations: Case Studies of Canada, Australia, the United Kingdom, and the United States

    Science.gov (United States)

    2011-12-01

    reduce processing time. IV. DEVELOPMENT OF RECRUITING AND MARKETING STRATEGY This study examines the process of developing recruiting and marketing...generally not all of the components. The CF recruit marketing strategy , “Canadian Forces Recruiting Strategic Level Guidance on Winning the War for...Overarching Personnel Plan RN Recruit Marketing Strategy As prescribed by RN Recruit Marketing Strategy United States CNO Strategic Initiatives

  3. 100-OL-1 Operable Unit Field Portable X-Ray Fluorescence (XRF) Analyzer Pilot Study Plans

    Energy Technology Data Exchange (ETDEWEB)

    Bunn, Amoret L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fritz, Brad G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wellman, Dawn M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-07-01

    A pilot study is being conducted to support the approval of the Remedial Investigation/Feasibility Study (RI/FS) Work Plan to evaluate the 100-OL-1 Operable Unit (OU) pre-Hanford orchard lands. Based on comments received by the U.S. Environmental Protection Agency (EPA) and Washington State Department of Ecology, the pilot study will evaluate the use of field portable X-ray fluorescence (XRF) spectrometry measurements for evaluating lead and arsenic concentrations on the soil surface as an indicator of past use of lead arsenate pesticide residue in the OU. The work will be performed in the field during the summer of 2014, and assist in the planning for the characterization activities in the RI/FS.

  4. Nurse managers' strategies for the integration of newly graduated nurses into clinical units in Japan: a qualitative exploratory study.

    Science.gov (United States)

    Gregg, Misuzu F; Wakisaka, Toyomi; Hayashi, Chifuyu

    2013-01-01

    The purpose of this study was to explore the strategies used by nurse managers in Japan to facilitate the integration of newly graduate nurses (NGNs) into their clinical units. The integration of NGNs into clinical units is an important issue for both NGNs and nurse managers because the first year of practice plays a vital role in a NGN's career. Data were generated through semi-structured interviews with 9 nurse managers in 9 acute care hospitals. Data analysis was conducted using a qualitative content analysis method. Nurse managers used a total of 6 strategies: understanding the circumstances of NGNs, providing opportunities for experience and learning, supporting nurses who teach NGNs, facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. Three of these strategies were particularly important for NGNs' integration into clinical units: facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. These strategies were described in this study. The strategies adopted by nurse managers should be aimed at all nurses, not just NGNs, in order to strengthen the sense of comradeship in clinical units. This approach would create a supportive environment for the integration of NGNs into clinical units. The strategies presented in this study can be utilized not just by nurse managers but all senior nurses in the unit. NGNs can use these strategies to help them understand what they need to do to become a full member of their unit.

  5. Use of Physio-Hydrological Units for SMOS Validation at the Valencia Anchor Station Study Area

    Science.gov (United States)

    Millán-Scheiding, C.; Antolín, C.; Marco, J.; Soriano, M. P.; Torre, E.; Requena, F.; Carbó, E.; Cano, A.; Lopez-Baeza, E.

    2009-04-01

    The SMOS space mission will soil moisture over the continents and ocean surface salinity with the sufficient resolution to be used in global climate change studies. With the aim of validating SMOS land data and products at the Valencia Anchor Station site (VAS) in a Mediterranean Ecosystem area of Spain, we have designed a sample methodology using a subdivision of the landscape in environmental units related to the spatial variability of soil moisture (Millán-Scheiding, 2006; Lopez-Baeza, et al. 2008). These physio-hydrological units are heterogeneously structured entities which present a certain degree of internal uniformity of hydrological parameters. The units are delimited by integrating areas with the same physio-morphology, soil type, vegetation, geology and topography (Flugel, et al 2003; Millán-Scheiding et al, 2007). Each of these units presented over the same pedological characteristics, vegetation cover, and landscape position should have a certain degree of internal uniformity in its hydrological parameters and therefore similar soil moisture (SM). The main assumption for each unit is that the dynamical variation of the hydrological parameters within one unit should be minimum compared to the dynamics of another unit. This methodology will hopefully provide an effective sampling design consisting of a reduced number of measuring points, sparsely distributed over the area, or alternatively, using SM validation networks where each sampling point is located where it is representative of the mean soil moisture of a complete unit area. The Experimental Plan for the SMOS Validation Rehearsal Campaign at the VAS area of April-May 2008 used this environmental subdivision in the selection and sampling of over 21.000 soil moisture points in a control area of 10 x 10 km2. The ground measurements were carried out during 4 nights corresponding to a drying out period of the soil. The sampling consisted of 700 plots with 4 volumetric SM cylinders and 7 Delta-T Theta

  6. Groundwater quality in the Western San Joaquin Valley study unit, 2010: California GAMA Priority Basin Project

    Science.gov (United States)

    Fram, Miranda S.

    2017-06-09

    Water quality in groundwater resources used for public drinking-water supply in the Western San Joaquin Valley (WSJV) was investigated by the USGS in cooperation with the California State Water Resources Control Board (SWRCB) as part of its Groundwater Ambient Monitoring and Assessment (GAMA) Program Priority Basin Project. The WSJV includes two study areas: the Delta–Mendota and Westside subbasins of the San Joaquin Valley groundwater basin. Study objectives for the WSJV study unit included two assessment types: (1) a status assessment yielding quantitative estimates of the current (2010) status of groundwater quality in the groundwater resources used for public drinking water, and (2) an evaluation of natural and anthropogenic factors that could be affecting the groundwater quality. The assessments characterized the quality of untreated groundwater, not the quality of treated drinking water delivered to consumers by water distributors.The status assessment was based on data collected from 43 wells sampled by the U.S. Geological Survey for the GAMA Priority Basin Project (USGS-GAMA) in 2010 and data compiled in the SWRCB Division of Drinking Water (SWRCB-DDW) database for 74 additional public-supply wells sampled for regulatory compliance purposes between 2007 and 2010. To provide context, concentrations of constituents measured in groundwater were compared to U.S. Environmental Protection Agency (EPA) and SWRCB-DDW regulatory and non-regulatory benchmarks for drinking-water quality. The status assessment used a spatially weighted, grid-based method to estimate the proportion of the groundwater resources used for public drinking water that has concentrations for particular constituents or class of constituents approaching or above benchmark concentrations. This method provides statistically unbiased results at the study-area scale within the WSJV study unit, and permits comparison of the two study areas to other areas assessed by the GAMA Priority Basin Project

  7. Design, Synthesis, Activity and Docking Study of Sorafenib Analogs Bearing Sulfonylurea Unit.

    Science.gov (United States)

    Wu, Chunjiang; Wang, Min; Tang, Qidong; Luo, Rong; Chen, Le; Zheng, Pengwu; Zhu, Wufu

    2015-10-23

    Two series of novel sorafenib analogs containing a sulfonylurea unit were synthesized and their chemical structures were confirmed by ¹H-NMR, ¹³C-NMR, MS spectrum and elemental analysis. The synthesized compounds were evaluated for the cytotoxicity against A549, Hela, MCF-7, and PC-3 cancer cell lines. Some of the compounds showed moderate cytotoxic activity, especially compounds 1-(2,4-difluorophenylsulfonyl)-3-(4-(2-(methylcarbamoyl)pyridin-4-yloxy)phenyl)urea (6c) and 1-(4-bromophenylsulfonyl)-3-(4-(2-(methylcarbamoyl)pyridin-4-yloxy)phenyl)urea (6f) with the IC50 values against four cancer cell lines ranging from 16.54±1.22 to 63.92±1.81 μM, respectively. Inhibitory rates against vascular endothelial growth factor receptor-2 (VEGFR2/KDR) kinase at 10 μM of target compounds were further carried out in this paper in order to investigate the target of these compounds. Structure-activity relationships (SARs) and docking studies indicated that the sulfonylurea unit was important to these kinds of compounds. None of the substitutions in the phenoxy group and small halogen atoms such as 2,4-difluoro substitution of the aryl group contributed to the activity. The results suggested that sulfonylurea sorafenib analogs are worthy of further study.

  8. A united event grand canonical Monte Carlo study of partially doped polyaniline

    Energy Technology Data Exchange (ETDEWEB)

    Byshkin, M. S., E-mail: mbyshkin@unisa.it, E-mail: gmilano@unisa.it; Correa, A. [Modeling Lab for Nanostructure and Catalysis, Dipartimento di Chimica e Biologia and NANOMATES, University of Salerno, 84084, via Ponte don Melillo, Fisciano Salerno (Italy); Buonocore, F. [ENEA Casaccia Research Center, Via Anguillarese 301, 00123 Rome (Italy); Di Matteo, A. [STMicroelectronics, Via Remo de Feo, 1 80022 Arzano, Naples (Italy); IMAST Scarl Piazza Bovio 22, 80133 Naples (Italy); Milano, G., E-mail: mbyshkin@unisa.it, E-mail: gmilano@unisa.it [Modeling Lab for Nanostructure and Catalysis, Dipartimento di Chimica e Biologia and NANOMATES, University of Salerno, 84084, via Ponte don Melillo, Fisciano Salerno (Italy); IMAST Scarl Piazza Bovio 22, 80133 Naples (Italy)

    2013-12-28

    A Grand Canonical Monte Carlo scheme, based on united events combining protonation/deprotonation and insertion/deletion of HCl molecules is proposed for the generation of polyaniline structures at intermediate doping levels between 0% (PANI EB) and 100% (PANI ES). A procedure based on this scheme and subsequent structure relaxations using molecular dynamics is described and validated. Using the proposed scheme and the corresponding procedure, atomistic models of amorphous PANI-HCl structures were generated and studied at different doping levels. Density, structure factors, and solubility parameters were calculated. Their values agree well with available experimental data. The interactions of HCl with PANI have been studied and distribution of their energies has been analyzed. The procedure has also been extended to the generation of PANI models including adsorbed water and the effect of inclusion of water molecules on PANI properties has also been modeled and discussed. The protocol described here is general and the proposed United Event Grand Canonical Monte Carlo scheme can be easily extended to similar polymeric materials used in gas sensing and to other systems involving adsorption and chemical reactions steps.

  9. CERCLA interim action at the Par Pond unit: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Hickey, H.M. [Westinghouse Savannah River Co., Aiken, SC (United States); Matthews, S.S.; Neal, L.W. [Rust Environment and Infrastructure, Inc., Greenville, SC (United States); Weiss, W.R. [Rust Environment and Infrastructure, Inc., Aiken, SC (United States)

    1993-11-01

    The Par Pond unit designated under CERCLA consists of sediments within a Savannah River Site (SRS) cooling water reservoir. The sediments are contaminated with radionuclides and nonradioactive constituents from nuclear production reactor operations. The mercury in Par Pond is believed to have originated from the Savannah River. Because of Par Pond Dam safety Issues, the water level of the reservoir was drawn down, exposing more than 1300 acres of contaminated sediments and triggering the need for CERCLA interim remedial action. This paper presents the interim action approach taken with Par Pond as a case study. The approach considered the complexity of the Par Pond ecosystem, the large size of Par Pond, the volume of contaminated sediments, and the institutional controls existing at SRS. The Environmental Protection Agency (EPA) considers units with large volumes of low-concentration wastes, as is the case with Par Pond, to be {open_quotes}special sites.{close_quotes} Accordingly, EPA guidance establishes that the range of alternatives developed focus primarily on containment options and other remedial approaches that mitigate potential risks associated with the {open_quotes}special site.{close_quotes} The remedial alternatives, according to EPA, are not to be prohibitively expensive or difficult to implement. This case study also is representative of the types of issues that will need to be addressed within the Department of Energy (DOE) complex as nuclear facilities are transitioned to inactive status and corrective/remedial actions are warranted.

  10. Drug utilization study in a burn care unit of a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Santoshkumar R Jeevangi

    2011-03-01

    Full Text Available Objective: To evaluate drug utilization and associated costs for the treatment of patients admitted in burn care unit of a tertiary care hospital. Methods: A prospective cross sectional study was conducted for a period of 15 months at Basaweshwara Teaching and General Hospital (BTGH, Gulbarga and the data collected was analyzed for various drug use indicators. Results: A total of 100 prescriptions were collected with 44% belonging to males and 56% to females. The average number of drugs per prescription ranged from 4.5 to 9.5. 9.5% of generics and 92% of essential drugs were prescribed. The opioid analgesics and sedatives were prescribed to all the patients who were admitted in burn care unit. The (Defined daily dose DDD/1 000/day for amikacin (359 was the highest followed by diclofenac sodium (156, pantoprazole (144, diazepam (130, ceftazidime (124, tramadol (115, ceftriaxone (84 and for paracetamol (4 which was the lowest. Conclusions: Significant amount of the money was spent on procurement of drugs. Most of the money was spent on prescribed antibiotics. The prescription of generic drugs should be promoted, for cost effective treatment. Hence the results of the present study indicate that there is a considerable scope for improvement in the prescription pattern.

  11. Systemic approach in rural administration: Study of the family production unit

    Directory of Open Access Journals (Sweden)

    Adilson R. Paz Stamberg

    2015-06-01

    Full Text Available This paper focuses on understanding the rationality of production management and available resources in agricultural production unit (UPA, identifying its main technical and socioeconomic characteristics in order to make a diagnosis to subsidize the rural manager in decision making.This study was part of the extension project approved in the Institutional Incentive Extension Program of the Farroupilha Federal Institute (Brazil, prioritizing as object of study a family UPA in the municipality of Santo Antônio das Missões/RS/Brazil, being conducted between October-November 2014.As methodological procedure a survey was done with qualitative and quantitative data, such as natural resources, utilized agricultural area, herd, plant, machinery and equipment, availability of labor force and yields of the various cultivation subsystems, breeding and processing. This data was organized in a spreadsheet, which identifies the adopted production system and its main technical and socioeconomic characteristics. As proposed, technical and managerial intervention in the production system, proposed strategically to enhance milk production opposed to the soybean production, considering its high contribution in relation to the value added per unit area.Key Words: Rural Administration - Production management - Systemic approach.

  12. The Scope and Impact of Workplace Diversity in the United Arab Emirates – An Initial Study

    Directory of Open Access Journals (Sweden)

    Badreya Al-Jenaibi

    2011-11-01

    Full Text Available Managing workplace diversity has become a priority concern among organizations in the United Arab Emirates (UAE today. The UAE has one of the world's largest net migration rates, and the number of workers from India, the Philippines, Indonesia, Australia, the USA, among other countries, has increased significantly in recent decades. The UAE's cross-border mobility has resulted in the interaction of people with diverse language, customs and ethnic backgrounds. Although diversity has been shown to have a number of benefits, including enhanced employee creativity and competence, this recognition is often found more in theory than actual practice. Diversity can also lead to miscommunication, dysfunctional adaptation behaviors and the creation of barriers that reduce the benefits diversity can bring to the organization. Due to the nature of the UAE workplace, which is dominated by a foreign workforce, this study critically analyzes the benefits and challenges organizations face in the diverse workplaces of the United Arab Emirates. The study used a multi-method approach combining survey data from 450 surveys of foreign workers with qualitative data from interviews with native officials of organizations. It is an attempt to compare the views of UAE workplace experience from two different groups—non-native workers and native officials. The research found a generally favorable view toward workplace diversity from the perspective of surveyed employees. However, when asked more detailed questions about company policy, a significant segment of respondents expressed reservations about their employer’s ability to implement successful intercultural communication and diversity practices.

  13. For what reasons do patients file a complaint? A retrospective study on patient rights units' registries.

    Science.gov (United States)

    Önal, Gülsüm; Civaner, M Murat

    2015-01-01

    In 2004, Patient Rights Units were established in all public hospitals in Turkey to allow patients to voice their complaints about services. To determine what violations are reflected into the complaint mechanism, the pattern over time, and patients' expectations of the services. Descriptive study. A retrospective study performed using the complaint database of the Istanbul Health Directorate, from 2005 to 2011. The results indicate that people who are older than 40 years, women, and those with less than high school education are the most common patients in these units. A total of 218,186 complaints were filed. Each year, the number of complaints increased compared to the previous year, and nearly half of the applications were made in 2010 and 2011 (48.9%). The three most frequent complaints were "not benefiting from services in general" (35.4%), "not being treated in a respectable manner and in comfortable conditions" (17.8%), and "not being properly informed" (13.5%). Two-thirds of the overall applications were found in favour of the patients (63.3%), and but this rate has decreased over the years. Patients would like to be treated in a manner that respects their human dignity. Educating healthcare workers on communication skills might be a useful initiative. More importantly, health policies and the organisation of services should prioritise patient rights. It is only then would be possible to exercise patient rights in reality.

  14. Bariatric surgery outcomes: a single-center study in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Abusnana S

    2015-09-01

    Full Text Available Salah Abusnana,1 Sarah Abdi,1 Brigette Tagure,1 Murtada Elbagir,1 Almantas Maleckas2 1Rashid Center for Diabetes and Research, Ministry of Health, Ajman, United Arab Emirates; 2Kaunas University of Medicine, Kaunas, LithuaniaBackground: Bariatric surgery has become an attractive treatment for severe obesity over the last decade, due to its impacts on weight loss and remission of type 2 diabetes and metabolic syndrome. In the United Arab Emirates, a country where the rate of obesity is dramatically increasing bariatric surgery has gained popularity in recent years; however, published data on its outcomes in the Emirati population are lacking.Methods: We retrospectively reviewed the medical records of 95 patients who underwent bariatric surgery (ie, laparoscopic Roux-en-Y gastric bypass [RYGB] or laparoscopic sleeve gastrectomy at the Rashid Center for Diabetes and Research in Ajman, United Arab Emirates. Weight outcomes and metabolic marker data were abstracted at baseline and at 3, 6, and 12 months postoperatively.Results: Laparoscopic RYGB was the main procedure performed by our bariatric unit. All variables demonstrated postoperative improvement. An average excess weight loss of 68% was observed at 12 months. Fat mass was the body component that decreased the most, with an average reduction of 46%. Additionally, lipid profiles were significantly different (P<0.01 at 12 months, with triglyceride levels improving by 27% and low-density lipoprotein levels improving by 21%. Similarly, glycated hemoglobin (HbA1c levels decreased significantly (P<0.001 in patients with type 2 diabetes, with an average reduction of 73%.Conclusion: Our results show that a substantial short-term reduction in weight and significant improvements in metabolic markers followed bariatric surgery in severely obese Emirati patients. Our results are consistent with the outcomes of other internationally published studies. Additional studies are warranted to determine whether

  15. Studies of the Temperature Characteristics of Solid at the Microlevel by the Method of Structural Units

    Directory of Open Access Journals (Sweden)

    A.A. Mochalov

    2014-11-01

    Full Text Available The mathematical model of the heat transfer process based on the structural unit method is proposed. Calculation results of the model equations of thermodynamic characteristics of structural unit for solids are represented.

  16. 100-OL-1 Operable Unit Pilot Study: XRF Evaluation of Select Pre-Hanford Orchards

    Energy Technology Data Exchange (ETDEWEB)

    Bunn, Amoret L.; Fritz, Brad G.; Pulsipher, Brent A.; Gorton, Alicia M.; Bisping, Lynn E.; Brandenberger, Jill M.; Pino, Christian; Martinez, Dominique M.; Rana, Komal; Wellman, Dawn M.

    2014-11-20

    Prior to the acquisition of land by the U.S. Department of War in February 1943 and the creation of the Hanford Site, the land along the Columbia River was home to over 1000 people. Farming and orchard operations by both homesteaders and commercial organizations were prevalent. Orchard activities and the associated application of lead arsenate pesticide ceased in 1943, when residents were moved from the Hanford Site at the beginning of the Manhattan Project. Today, the residues from historical application of lead arsenate pesticide persist in some locations on the Hanford Site. In 2012, the U.S. Department of Energy, U.S. Environmental Protection Agency, and Washington State Department of Ecology established the 100-OL-1 Operable Unit (OU) through the Hanford Federal Facility Agreement and Consent Order, known as the Tri-Party Agreement. The pre-Hanford orchard lands identified as the 100-OL-1 OU are located south of the Columbia River and east of the present-day Vernita Bridge, and extend southeast to the former Hanford townsite. The discontinuous orchard lands within 100-OL-1 OU are approximately 20 km2 (5000 ac). A pilot study was conducted to support the approval of the remedial investigation/feasibility study work plan to evaluate the 100-OL-1 OU. This pilot study evaluated the use of a field portable X-ray fluorescence (XRF) analyzer for evaluating lead and arsenic concentrations on the soil surface as an indicator of lead arsenate pesticide residues in the OU. The objectives of the pilot study included evaluating a field portable XRF analyzer as the analytical method for decision making, estimating the nature and extent of lead and arsenic in surface soils in four decision units, evaluating the results for the purpose of optimizing the sampling approach implemented in the remedial investigation, and collecting information to improve the cost estimate and planning the cultural resources review for sampling activities in the remedial investigation. Based on

  17. Epidemiologic studies of cancer in minority groups in the western United States.

    Science.gov (United States)

    Thomas, D B

    1979-11-01

    Of 13 cancers that tend to occur at lower rates in aboriginal Americans or in the native lands of Japanese, Chinese, and Spanish-speaking persons than in United States whites, rates for all but one (laryngeal) have increased in migrants to the United States. In addition to leukemia, these 13 cancers include neoplasms that have been related, at least in part, to a diet high in animal fats or proteins (colon and rectum cancer); reproductive and endocrinologic factors and a diet high in animal fats or protein (prostate, ovary, corpus uteri, breast, and testis cancer); chemical carcinogens (lung, larynx, bladder, and pancreas cancer); and a common infectious agent that, like polio viruses, causes clinically overt disease with a frequency directly related to age of patient at initial infection (Hodgkin's disease). Of 9 cancers that occur at higher rates in aboriginal Americans or in one or more of the native lands of migrants than in United States whites, the rates of 5 tend to decrease in migrants. These include cancers that may be related to food preservation (stomach cancer); products of microorganisms that may contaminate foods (esophagus and liver cancer); and infectious agents (nasopharynx, cervix uteri, and liver cancer). In addition, rates of cancer of the thyroid are high in aboriginal Americans; those of the gallbladder are high in individuals of native American ancestry and in Japanese; incidence of salivary gland tumors is high in Alaskan natives and Colombians; and rates of kidney cancer are high in Alaskan natives. Five types of epidemiologic studies are described that should be conducted in the migrants and in their countries of origin and adoption to elucidate further the etiology of various neoplasms.

  18. Acute kidney injury biomarkers for patients in a coronary care unit: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Tien-Hsing Chen

    Full Text Available BACKGROUND: Renal dysfunction is an established predictor of all-cause mortality in intensive care units. This study analyzed the outcomes of coronary care unit (CCU patients and evaluated several biomarkers of acute kidney injury (AKI, including neutrophil gelatinase-associated lipocalin (NGAL, interleukin-18 (IL-18 and cystatin C (CysC on the first day of CCU admission. METHODOLOGY/PRINCIPAL FINDINGS: Serum and urinary samples collected from 150 patients in the coronary care unit of a tertiary care university hospital between September 2009 and August 2010 were tested for NGAL, IL-18 and CysC. Prospective demographic, clinical and laboratory data were evaluated as predictors of survival in this patient group. The most common cause of CCU admission was acute myocardial infarction (80%. According to Acute Kidney Injury Network criteria, 28.7% (43/150 of CCU patients had AKI of varying severity. Cumulative survival rates at 6-month follow-up following hospital discharge differed significantly (p<0.05 between patients with AKI versus those without AKI. For predicting AKI, serum CysC displayed an excellent areas under the receiver operating characteristic curve (AUROC (0.895 ± 0.031, p < 0.001. The overall 180-day survival rate was 88.7% (133/150. Multiple Cox logistic regression hazard analysis revealed that urinary NGAL, serum IL-18, Acute Physiology, Age and Chronic Health Evaluation II (APACHE II and sodium on CCU admission day one were independent risk factors for 6-month mortality. In terms of 6-month mortality, urinary NGAL had the best discriminatory power, the best Youden index, and the highest overall correctness of prediction. CONCLUSIONS: Our data showed that serum CysC has the best discriminative power for predicting AKI in CCU patients. However, urinary NGAL and serum IL-18 are associated with short-term mortality in these critically ill patients.

  19. [Monitoring infection at the intensive care unit--a multicenter pilot study].

    Science.gov (United States)

    Lackner, F; Wewalka, G; Rotter, M; Kilian, J; Hummel, E; Hartenauer, U; Gähler, R; Scherzer, E; Pauser, G

    1989-06-01

    During a period of 3 months an infection survey was carried out in 4 intensive care units (ICUs), 2 in Vienna, Austria, and one each in Ulm and Münster, Federal Republic of Germany, using a common protocol. A total of 329 patients was monitored prospectively. This pilot study was performed to evaluate the usefulness of parameters included in the monitoring form. It was attempted to characterize the patient populations of the four units. Mean duration of stay (1-12 days), mortality (8-26%), leading diagnosis upon admission, intubation rate (41-91%) and use of pulmonary artery catheter (12-35%) were distinctly different. The rate of patients admitted already with an infection was 9-43%, septicemia was diagnosed in up to 27% of the diseased. The rate of infection acquired in the unit was between 12 and 37%, the most frequent types were bronchopneumonia, septicemia and urinary tract infection. When septicemia patients were compared to non-septicemia patients who had been admitted for more than 3 days, it appeared that the latter stayed significantly shorter at the ICU and showed less frequently bronchopneumonia or urinary tract infection at the time of admission. Septicemia patients acquired more frequently additional infections like broncho-pneumonia or urinary tract infection while staying at the ICU. The median day of onset of septicemia was the fifth day and only in a quarter of cases diagnosis could be supported by a positive blood culture. The use of antibiotics in the 4 ICUs is compared and shows marked differences. Based upon experience with this type of infection survey a new modified protocol is introduced, which displays the time course of documented events.

  20. Vibrational spectra study of phosphorus dendrimer containing azobenzene units on the surface

    Science.gov (United States)

    Furer, V. L.; Vandyukov, A. E.; Majoral, J. P.; Caminade, A. M.; Kovalenko, V. I.

    2013-08-01

    The FTIR and FT Raman spectra of the first generation dendrimers, possessing oxybenzaldehyde (G1) or oxyphenylazobenzaldehyde (G2) terminal groups and sodium 4-[4-oxyphenyl)azo]-benzaldehyde (SOAB) were studied. The structural optimization and normal mode analysis were performed for dendrimer G2 on the basis of the density functional theory (DFT). These calculations gave the frequencies of vibrations, infrared intensities and Raman scattering activities for the E- and Z-forms of azobenzene unit. The energy differences between the E- and Z-forms are 12.62 and 25.16 kcal/mol for SOAB and G2. The calculated in gas phase dipole moments for the E- and Z-forms are equal to 20.86, 18.28 D (SOAB) and 7.56, 8.88 D (G2). The calculated geometrical parameters and harmonic vibrational frequencies are predicted in a good agreement with the experimental data. It was found that dendrimer G2 molecule has a concave lens structure with planar sbnd Osbnd C6H4sbnd CHdbnd Nsbnd N(CH3)Pdbnd S and sbnd Osbnd C6H4sbnd Ndbnd Nsbnd C6H4sbnd CHdbnd O fragments and slightly non-planar cyclotriphosphazene core. The experimental IR and Raman spectra of dendrimer G2 were interpreted by means of potential energy distributions. Relying on DFT calculations a complete vibrational assignment is proposed. The strong band 1598 cm-1 in the IR spectra show marked changes of the optical density in dependence of substituents in the aromatic ring. The differences in the IR and Raman spectra of SOAB and G2 for the E- and Z-forms of azobenzene units were cleared up. During structural isomerization of azobenzene units, redistribution of band intensities appears to a much higher extent than frequency shifts.

  1. Careers (A Course of Study). Unit II: How to Start Looking for That Job.

    Science.gov (United States)

    Turley, Kay

    Designed to train special needs students to search for a job in at least five different ways, this set of activities is the second unit in a nine-unit secondary level career course intended to provide handicapped students with the knowledge and skills necessary to succeed in the world of work. The unit begins with a pretest and vocabulary…

  2. [Study on weight units of chinese medicine in Sui and Tang dynasties].

    Science.gov (United States)

    Zhang, Rui-xian; Lu, Qin; Zhang, Wei; Zhang, Mu-qun

    2008-09-01

    Although there were changes in measuring system of Sui dynasty, the measuring units of medicine, astronomy and music still remained unchanged. So there appeared two systems of measuring units. For medicine, the government of Tang dynasty followed the regulations of Sui dynasty in measuring system. Besides this, the measuring units of Qian and Fen also were also related to medicine.

  3. Distributed Leadership in Organizational Change Processes: A Qualitative Study in Public Hospital Units

    DEFF Research Database (Denmark)

    Kjeldsen, Anne Mette; Jonasson, Charlotte; Ovesen, Maria

    2015-01-01

    This paper proposes that the emergence and boundaries of distributed leadership (DL) are developed in a dynamic interplay with planned as well as emergent organizational change. The empirical findings are based on a qualitative, longitudinal case study with interviews conducted at two different...... hospital units in the context of a larger hospital merger within the Danish health care system. The paper adds to prior studies arguing that DL contributes positively to planned organizational change by instead providing examples of how ongoing changes in contextual conditions such as routine....../non-routine, various goals, and organizational planning affect a simultaneous widening or restriction of the local DL. In return, such local DL also leads to ongoing changes in the form of novel work routines for improved collaboration. Moreover, the findings show that restrictions of DL are in some cases considered...

  4. Status of groundwater quality in the Santa Barbara Study Unit, 2011: California GAMA Priority Basin Project

    Science.gov (United States)

    Davis, Tracy A.; Kulongoski, Justin T.

    2016-10-03

    Groundwater quality in the 48-square-mile Santa Barbara study unit was investigated in 2011 as part of the California State Water Resources Control Board’s Groundwater Ambient Monitoring and Assessment (GAMA) Program Priority Basin Project. The study unit is mostly in Santa Barbara County and is in the Transverse and Selected Peninsular Ranges hydrogeologic province. The GAMA Priority Basin Project is carried out by the U.S. Geological Survey in collaboration with the California State Water Resources Control Board and Lawrence Livermore National Laboratory.The GAMA Priority Basin Project was designed to provide a statistically unbiased, spatially distributed assessment of the quality of untreated groundwater in the primary aquifer system of California. The primary aquifer system is defined as that part of the aquifer corresponding to the perforation interval of wells listed in the California Department of Public Health database for the Santa Barbara study unit. This status assessment is intended to characterize the quality of groundwater resources in the primary aquifer system of the Santa Barbara study unit, not the treated drinking water delivered to consumers by water purveyors.The status assessment for the Santa Barbara study unit was based on water-quality and ancillary data collected in 2011 by the U.S. Geological Survey from 23 sites and on water-quality data from the California Department of Public Health database for January 24, 2008–January 23, 2011. The data used for the assessment included volatile organic compounds; pesticides; pharmaceutical compounds; two constituents of special interest, perchlorate and N-nitrosodimethylamine (NDMA); and naturally present inorganic constituents, such as major ions and trace elements. Relative-concentrations (sample concentration divided by the health- or aesthetic-based benchmark concentration) were used to evaluate groundwater quality for those constituents that have federal or California regulatory and non

  5. Amphibian responses to wildfire in the western united states: Emerging patterns from short-term studies

    Science.gov (United States)

    Hossack, B.R.; Pilliod, D.S.

    2011-01-01

    The increased frequency and severity of large wildfires in the western United States is an important ecological and management issue with direct relevance to amphibian conservation. Although the knowledge of fire effects on amphibians in the region is still limited relative to most other vertebrate species, we reviewed the current literature to determine if there are evident patterns that might be informative for conservation or management strategies. Of the seven studies that compared pre- and post-wildfire data on a variety of metrics, ranging from amphibian occupancy to body condition, two reported positive responses and five detected negative responses by at least one species. Another seven studies used a retrospective approach to compare effects of wildfire on populations: two studies reported positive effects, three reported negative effects from wildfire, and two reported no effects. All four studies that included plethodontid salamanders reported negative effects on populations or individuals; these effects were greater in forests where fire had been suppressed and in areas that burned with high severity. Species that breed in streams are also vulnerable to post-wildfire changes in habitat, especially in the Southwest. Wildfire is also important for maintaining suitable habitat for diverse amphibian communities, although those results may not be evident immediately after an area burns. We expect that wildfire will extirpate few healthy amphibian populations, but it is still unclear how populations will respond to wildfire in the context of land management (including pre- and post-fire timber harvest) and fragmentation. Wildfire may also increase the risk of decline or extirpation for small, isolated, or stressed (e.g., from drought or disease) populations. Improved understanding of how these effects vary according to changes in fire frequency and severity are critical to form more effective conservation strategies for amphibians in the western United States.

  6. Competitive Perception of Small Indian Manufacturers: A study of Punjab Units

    Directory of Open Access Journals (Sweden)

    Raj Kumar Gautam

    2011-09-01

    Full Text Available The paper aims at identifying the main competitors and competitive advantages of small scale manufacturers. The manufacturers were selected from four manufacturing industries producing textiles, bicycle and bicycle parts, food products and beverages and leather and leather products in the state of Punjab, India. The data were collected from 200 units out of which 173 units were considered for data analysis purposes. In this study, a number of statements indicating the relevant quality certification, competition and cluster association were developed and the respondents were asked to respond to the statement on a five-point likert scale. The Kruskal-Wallis test was applied to know the significant differences among the respondents with regards to different industries, age, and turnover groups with respect to the impact of cluster association. The test was applied at an assumed p-value =0.05. The statements with less than 0.05 p-value are considered significant and those with p-value more than the assumed p-value are considered to be insignificant. The weighted rankings were also calculated for the purpose of data analysis in respect to competitive advantages by assigning the weights 4, 3, 2 and 1 to ranks 1, 2, 3 and 4 respectively.

  7. Environmental study of a methicillin-resistant Staphylococcus aureus epidemic in a burn unit.

    Science.gov (United States)

    Rutala, W A; Katz, E B; Sherertz, R J; Sarubbi, F A

    1983-01-01

    During an outbreak of infections caused by methicillin-resistant (MR) Staphylococcus aureus in our burn unit, we conducted an extensive 10-week study to define the environmental epidemiology of the organism. The inanimate environment in patient rooms and adjacent areas was examined by using volumetric air samplers and Rodac plates. Airborne and surface level contamination with MR S. aureus was quantitated, and overall, MR S. aureus comprised 16, 31, and 40% of all bacterial growth from air, elevated surfaces, and floor surfaces, respectively. Mean air, elevated surface, and floor surface MR S. aureus contamination in rooms of MR S. aureus-infected burn patients were 1.9 MR S. aureus per ft3 (ca. 0.028 m3), 20 MR S. aureus per Rodac plate and 48 MR S. aureus per Rodac plate, respectively. Peak patient room environmental contamination levels were 6.9 MR S. aureus per ft3 of air, 70 MR S. aureus per Rodac plate per elevated surface and 138 MR S. aureus per Rodac plate per floor surface. Environmental contamination levels in the adjacent work areas were considerably lower than in infected patient rooms. There was ample opportunity for contamination of personnel through the inanimate environment in this unit. PMID:6630447

  8. Study on Expansion of Steam Cracking Unit to 660 kt/a at Yanshan Petrochemical Company

    Institute of Scientific and Technical Information of China (English)

    Cao Xianghong

    2003-01-01

    Yanshan Petrochemical Company after having expanded its 300 kt/a steam cracking unit to 450 kt/a in 1994 is still experiencing such problems as low feedstock flexibility, high energy consumption and smaller scale of ethylene unit. In order to fully improve technical capability of steam crackers, reduce energy consumption, improve feedstock flexibility and increase production capacity, a lot of technical revamp cases on steam cracking were studied and compared. Revamp of relevant facilities has expanded the ethylene capacity to the target of 660 kt/a with the actual capacity reaching 710 kt/a. This revamp project has remarkably reduced the energy consumption, which is capable of using naphtha, light diesel fuel, heavy diesel fuel and the hydrocracked tail oil as the steam cracking feedstock. This project is the first to apply refrigeration by means of a mixed cooling agent and has succeeded in using C3 catalytic rectification/hydrogenation technology, which has given an impetus to the progress of steam cracking industry in the world.

  9. Tracking Dabbing Using Search Query Surveillance: A Case Study in the United States

    Science.gov (United States)

    Zhang, Zhu; Zeng, Daniel Dajun; Leischow, Scott J

    2016-01-01

    Background Dabbing is an emerging method of marijuana ingestion. However, little is known about dabbing owing to limited surveillance data on dabbing. Objective The aim of the study was to analyze Google search data to assess the scope and breadth of information seeking on dabbing. Methods Google Trends data about dabbing and related topics (eg, electronic nicotine delivery system [ENDS], also known as e-cigarettes) in the United States between January 2004 and December 2015 were collected by using relevant search terms such as “dab rig.” The correlation between dabbing (including topics: dab and hash oil) and ENDS (including topics: vaping and e-cigarette) searches, the regional distribution of dabbing searches, and the impact of cannabis legalization policies on geographical location in 2015 were analyzed. Results Searches regarding dabbing increased in the United States over time, with 1,526,280 estimated searches during 2015. Searches for dab and vaping have very similar temporal patterns, where the Pearson correlation coefficient (PCC) is .992 (Poil and e-cigarette, in which the corresponding PCC is .931 (Pcannabis surveillance, and these findings can help enhance the understanding of the popularity of dabbing and provide insights for future research and informed policy making on dabbing. PMID:27637361

  10. A Comparative Study of Three Different Mathematical Methods for Solving the Unit Commitment Problem

    Directory of Open Access Journals (Sweden)

    Mehmet Kurban

    2009-01-01

    Full Text Available The unit commitment (UC problem which is an important subject in power system engineering is solved by using Lagragian relaxation (LR, penalty function (PF, and augmented Lagrangian penalty function (ALPF methods due to their higher solution quality and faster computational time than metaheuristic approaches. This problem is considered to be a nonlinear programming-(NP- hard problem because it is nonlinear, mixed-integer, and nonconvex. These three methods used for solving the problem are based on dual optimization techniques. ALPF method which combines the algorithmic aspects of both LR and PF methods is firstly used for solving the UC problem. These methods are compared to each other based on feasible schedule for each stage, feasible cost, dual cost, duality gap, duration time, and number of iterations. The numerical results show that the ALPF method gives the best duality gap, feasible and dual cost instead of worse duration time and the number of iterations. The four-unit Tuncbilek thermal plant which is located in Kutahya region in Turkey is chosen as a test system in this study. The programs used for all the analyses are coded and implemented using general algebraic modeling system (GAMS.

  11. Phase I and II feasibility study report for the 300-FF-5 operable unit

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-12-31

    The purpose of this Phase I/II feasibility study is to assemble and screen a list of alternatives for remediation of the 300-FF-5 operable site on the Hanford Reservation. This screening is based on information gathered in the Phase I Remedial Investigation (RI) and on currently available information on remediation technologies. The alternatives remaining after screening provide a range of response actions for remediation. In addition, key data needs are identified for collection during a Phase II RI (if necessary). This Phase I/II FS represents a primary document as defined by the Tri-Party Agreement, but will be followed by a Phase III FS that will further develop the alternatives and provide a detailed evaluation of them. The following remedial action objectives were identified for the 300-FF-5 operable unit: Limit current human exposure to contaminated groundwater in the unit; Limit discharge of contaminated groundwater to the Columbia River; Reduce contaminant concentrations in groundwater below acceptable levels by the year 2018.

  12. Experimental Study of Reciprocating Friction between Rape Stalk and Bionic Nonsmooth Surface Units

    Directory of Open Access Journals (Sweden)

    Zheng Ma

    2015-01-01

    Full Text Available Background. China is the largest producer of rape oilseed in the world; however, the mechanization level of rape harvest is relatively low, because rape materials easily adhere to the cleaning screens of combine harvesters, resulting in significant cleaning losses. Previous studies have shown that bionic nonsmooth surface cleaning screens restrain the adhesion of rape materials, but the underlying mechanisms remain unclear. Objective. The reciprocating friction between rape stalk and bionic nonsmooth metal surface was examined. Methods. The short-time Fourier transform method was used to discriminate the stable phase of friction signals and the stick-lag distance was defined to analyze the stable reciprocating friction in a phase diagram. Results. The reciprocating friction between rape stalk and metal surface is a typical stick-slip friction, and the bionic nonsmooth metal surfaces with concave or convex units reduced friction force with increasing reciprocating frequency. The results also showed that the stick-lag distance of convex surface increased with reciprocating frequency, which indicated that convex surface reduces friction force more efficiently. Conclusions. We suggest that bionic nonsmooth surface cleaning screens, especially with convex units, restrain the adhesion of rape materials more efficiently compared to the smooth surface cleaning screens.

  13. Experimental Study of Reciprocating Friction between Rape Stalk and Bionic Nonsmooth Surface Units.

    Science.gov (United States)

    Ma, Zheng; Li, Yaoming; Xu, Lizhang

    2015-01-01

    Background. China is the largest producer of rape oilseed in the world; however, the mechanization level of rape harvest is relatively low, because rape materials easily adhere to the cleaning screens of combine harvesters, resulting in significant cleaning losses. Previous studies have shown that bionic nonsmooth surface cleaning screens restrain the adhesion of rape materials, but the underlying mechanisms remain unclear. Objective. The reciprocating friction between rape stalk and bionic nonsmooth metal surface was examined. Methods. The short-time Fourier transform method was used to discriminate the stable phase of friction signals and the stick-lag distance was defined to analyze the stable reciprocating friction in a phase diagram. Results. The reciprocating friction between rape stalk and metal surface is a typical stick-slip friction, and the bionic nonsmooth metal surfaces with concave or convex units reduced friction force with increasing reciprocating frequency. The results also showed that the stick-lag distance of convex surface increased with reciprocating frequency, which indicated that convex surface reduces friction force more efficiently. Conclusions. We suggest that bionic nonsmooth surface cleaning screens, especially with convex units, restrain the adhesion of rape materials more efficiently compared to the smooth surface cleaning screens.

  14. Annotated Bibliography of Water-Related Information and Studies, Acadian-Pontchartrain Study Unit, Louisiana, 1863-2000

    Science.gov (United States)

    Grimsley, Kevin J.; D'Arconte, Patricia J.

    2003-01-01

    The mission of the National Water-Quality Assessment Program is to describe the status and trends in the quality of a large, representative part of the nation's surface- and ground-water resources and to improve understanding of the primary natural and human factors affecting the quality of these resources. This report is a collection of 1,364 bibliographic references to water-related information and studies that are pertinent to these goals in the Acadian-Ponchartrain Study Unit of the National Water- Quality Assessment Program This study unit includes all or parts of 39 parishes in southern Louisiana and 5 counties in southwestern Mississippi. These references encompass a large range of subjects, including aquatic biology, climate, geology, land use, liminology, salinity, sedimentation, subsidence, surface-and ground-water hydrology, urban runoff, water chemistry, and water use and management. Publication dates for references range from 1863 through 2000. Whenever possible, an abstract is included in addition to the bibliographic information.

  15. Progress Report: Integrated Ecological Studies at Lisbon Bottom Unit, Big Muddy Fish and Wildlife Refuge, Fiscal Year 1999

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The U.S. Geological Survey has been carrying out integrated ecological studies at the Lisbon Bottom Unit of the Big Muddy Fish and Wildlife Refuge since 1996. This...

  16. Acute gastrointestinal injury in the intensive care unit: a retrospective study

    Directory of Open Access Journals (Sweden)

    Chen HS

    2015-10-01

    Full Text Available HuaiSheng Chen,1,* HuaDong Zhang,1,* Wei Li,1 ShengNan Wu,1 Wei Wang2 1Intensive Care Unit, 2Endocrinology Department, Second Affiliated Hospital of Jinan University, Shenzhen People’s Hospital, Shenzhen, People’s Republic of China *These authors contributed equally to this work Background: Acute gastrointestinal injury (AGI is a common problem in the intensive care unit (ICU. This study is a review of the gastrointestinal function of patients in critical care, with the aim to assess the feasibility and effectiveness of grading criteria developed by the European Society of Intensive Care Medicine (ESICM Working Group on Abdominal Problems (WGAP. Methods: Data of patients who were admitted to the ICU of Shenzhen People’s Hospital, Shenzhen, People’s Republic of China, from January 2010 to December 2011 were reviewed. A total of 874 patients were included into the current study. Their sex, age, ICU admissive causes, complication of diabetes, AGI grade, primary or secondary AGI, mechanical ventilation (MV, and length of ICU stay (days were recorded as risk factors of death. These risk factors were studied by unconditioned logistic regression analysis. Results: All the risk factors affected mortality rate. Unconditional logistic regression analysis revealed that the mortality rate of secondary AGI was 71 times higher than primary AGI (odds ratio [OR] 4.335, 95% CI [1.652, 11.375]. When the age increased by one year, the mortality probability would increase fourfold. Mortality in patients with MV was 63-fold higher than for patients with non-MV. Mortality rate increased 0.978 times with each additional day of ICU stay. Conclusion: Secondary AGI caused by severe systemic conditions can result in worsened clinical outcomes. The 2012 ESICM WGAP AGI recommendations were to some extent feasible and effective in guiding clinical practices, but the grading system lacked the support of objective laboratory outcomes. Keywords: critical care, acute

  17. A Survey Study of Institutional Review Board Thought Processes in the United States and South Korea

    Directory of Open Access Journals (Sweden)

    Si-Kyung Jung

    2012-09-01

    Full Text Available Introduction: In the last several decades, South Korea has rapidly adopted Western customs and practices. Yet, cultural differences between South Korea and the United States exist. The purpose ofthis study was to identify and characterize potential cultural differences in the Korean and US institutional review board (IRB approach to certain topics.Methods: A qualitative analysis of a 9-item survey, describing 4 research study case scenarios, sent to IRB members from the United States and South Korea. The case scenarios involved the followingissues: (1 the need for consent for retrospective chart review when research subjects receive their care after the study is conceived; (2 child assent; (3 individual versus population benefit; and (4 exception from informed consent in emergency resuscitation research. The free-text responses were analyzed and abstracted for recurrent themes.Results: Twenty-three of the 45 survey recipients completed the survey, for an overall response rate of 51%. The themes that emerged were as follows: (1 the importance of parental authority among Korean participants versus the importance of child autonomy and child assent among US participants; (2 the recognition of the rights of a proxy or surrogate who can represent an individual’s values by all participants; and (3 the importance of the community, expressed by the Korean respondents, versus individualism, expressed by US respondents.Conclusion: Whereas US participants appear to emphasize the importance of the individual and the autonomy of a child, the Korean respondents stressed the importance of parental authority andbenefiting the community, above and beyond that of the individual person. However, there was substantial overlap in the themes expressed by respondents from both countries.

  18. Strange and scary memories of the intensive care unit: a qualitative, longitudinal study inspired by Ricoeur's interpretation theory

    DEFF Research Database (Denmark)

    Svenningsen, Helle; Egerod, Ingrid; Dreyer, Pia

    2016-01-01

    delusions and delirium after an intensive care unit stay. Relevance to clinical practice: Understanding patients’ memories of delusions is beneficial to nurses caring for patients that are anxious, upset or agitated. It opens a window to the world of the patient who is unable to communicate due...... to intubation and general weakness. We recommend the provision of nurse-led intensive care unit follow-up enabling patients to describe and discuss their intensive care unit experiences.......Aims and objectives: To describe the content of former intensive care unit patients’ memories of delusions. Background: Intensive care unit patients often have strange and frightening experiences during the critical stage of illness. Earlier studies have provided small-sample in-depth descriptions...

  19. International climate change policies. Interests and perceptions. A comparative study on climate change politics in Germany, the United Kingdom and the United States

    Energy Technology Data Exchange (ETDEWEB)

    Van der Wurff, R.J.W.

    1997-06-26

    In Chapter 1 the differences in the climate change policy positions of Germany, the United Kingdom and the United States, are discussed against the background of a brief introduction in the scientific and international political aspects of climate change. Chapter 2 will present the theoretical framework of the study, starting with an overview of basic approaches in International Relations (IR) and their usefulness for the analysis of international environmental politics. Subsequently, some relevant IR and non-IR theories will be discussed in detail, distinguishing into state-oriented approaches (realism, regime analysis); multiple level approaches (two-level games; environmental interest profiles); and transnational approaches (Regulation School, Amsterdam School, Cultural Analysis, and Centre for Contemporary Cultural Studies (CCCS)). It is concluded that an interest-oriented approach (focusing on `objective` interests) and a perception-oriented approach (focusing on environmental views) need to be combined to explain international environmental politics. In chapter 3 this theoretical framework is made operational and a methodology for the research is presented. Chapters 4 and 5 deal with the interest-oriented approach, explaining the climate change policy positions of Germany, the United Kingdom and the United States in terms of `objective` interests. More specifically, in chapter 4 present constellations of climate change interests in these countries will be compared. Next, since climate change is a long term issue, chapter 5 focuses on structural change that will shape future climate change interests. It is expected that present nor future `objective` interests will offer an adequate explanation for the observed differences in climate change policy positions. In the Chapters 6 and 7 the perception-oriented approach is presented, explaining the differences in climate change policy positions of Germany, the United Kingdom and the United States in terms of cross

  20. The "ICE" study: feasibility of inexpensive commercial coolers on mobile EMS units.

    Science.gov (United States)

    Kane, Kathleen E; Tomsho, Robert J; Pheasant, Karen; Stauffer, Thomas; Schoenfeldt, Brent; Hamilton, Scott; Kain, Travis; Kane, Bryan G

    2014-06-01

    Prehospital postresuscitation induced hypothermia (IH) has been shown to reduce neurological complications in comatose cardiac-arrest survivors. Retrofitting ambulances to include equipment appropriate to initiate hypothermia, such as refrigeration units for cooled saline, is expensive. The objective of this nonhuman subject research study was to determine if inexpensive, commercially available coolers could, in conjunction with five reusable ice packs, keep two 1 L bags of precooled 0.9% normal saline solution (NSS) at or below 4°C for an average shift of eight to 12 hours in a real-world environment, on board in-service Emergency Medical Service (EMS) units, over varying weather conditions in all seasons. The coolers were chosen based on availability and affordability from two nationally available brands: The Igloo MaxxCold (Igloo Products Corp., Katy, Texas USA) and Coleman (The Coleman Company, Wichita, Kansas USA). Both are 8.5 liter (nine-quart) coolers that were chosen because they adequately held two 1 L bags of saline solution, along with the reusable ice packs designated in the study design, and were small enough for ease of placement on ambulances. Initial testing of the coolers was conducted in a controlled environment. Thereafter, each EMS unit was responsible to cool the saline to less than 4°C prior to shift. Data were collected by emergency medical technicians, paramedics, and resident physicians working in seven different ambulance squads. Data analysis was performed using repeated measurements recorded over a 12-hour period from 19 individual coolers and were summarized by individual time points using descriptive statistics. Initial testing determined that the coolers maintained temperatures of 4°C for 12 hours in a controlled environment. On the ambulances, results based on the repeated measurements over time revealed that the saline solution samples as defined in the protocol, remained consistently below 4°C for 12 hours. Utilizing the lower

  1. Feasibility study of NaOH regeneration in acid gas removal unit using membrane electrolysis

    Science.gov (United States)

    Taufany, Fadlilatul; Pratama, Alvian; Romzuddin, Muhammad

    2017-05-01

    The world's energy demand is increasing with the development of human civilization. Due to limited energy resource, after 2020 fossil fuels thus is predicted will be replaced by renewable resources. Taking an example, one of the potential renewable energy to be considered is biogas, as its high content of methane, which can be produced via the fermentation process of the organic compounds under controlled anaerobic environment by utilizing the methanogen bacteria. However, prior the further use, this biogas must be purified from its impurities contents, i.e. acid gas of CO2 and H2S, up to 4% and 16 ppmv, respectively, in the acid gas removal unit. This such of purification efforts, will significantly increase the higher heating value of biogas, approximately from 600 to 900 Btu/Scf. During the purification process in this acid gas removal unit, NaOH solution is used as a liquid absorbent to reduce those acid gases content, in which the by-product of alkali salt (brine) was produced as waste. Here we report the feasibility study of the NaOH regeneration process in acid gas removal unit via membrane electrolysis technology, in which both the technical and economic aspects are taken account. To be precise in procedure, the anode semi-cell was filled with the brine solution, while the cathode semi-cell was filled with demineralized water, and those electrodes were separated by the cation exchange membrane. Furthermore, the applied potential was varied ranging from 5, 10, 15 and to 20 V, while the concentration of KCl electrolyte solutions were varied ranging from 0.01, 0.05, 0.1, and to 0.03 M. This study was conducted under controlled temperatures of 30 and 50 °C. Here we found that the % sodium recovery was increased along with the applied potential, temperature, and the decrease in KCl electrolyte concentration. We found that the best results, by means of the highest % sodium recovery, i.e. 97.26 %, was achieved under the experimental condition of temperature at 30

  2. Hand hygiene compliance of nurses: a 5-unit observational study in North-Eastern Anatolia.

    Science.gov (United States)

    Polat, Sevinç; Parlak Gürol, Ayşe; Cevik, Umran

    2011-08-01

    In five neonatal intensive care units (NICUs) in two cities, the hand hygiene applications of 72 nurses included in this observational study have been investigated. The research was conducted between February and June 2007. It was found that before entering the NICUs, majority of nurses have washed their hands but used much less alcohol-based antiseptics; more than half of the nurses did not use gloves, and 50 of them did not wash their hands before care and one-third of the nurses did not wash their hands after care after neonatal treatments. The results obtained from our research showed that most of the nurses paid more attention to hand washing before applying medical treatment.

  3. Reduction of Hospital Physicians' Workflow Interruptions: A Controlled Unit-Based Intervention Study

    Directory of Open Access Journals (Sweden)

    Matthias Weigl

    2012-01-01

    Full Text Available Highly interruptive clinical environments may cause work stress and suboptimal clinical care. This study features an intervention to reduce workflow interruptions by re-designing work and organizational practices in hospital physicians providing ward coverage. A prospective, controlled intervention was conducted in two surgical and two internal wards. The intervention was based on physician quality circles - a participative technique to involve employees in the development of solutions to overcome work-related stressors. Outcome measures were the frequency of observed workflow interruptions. Workflow interruptions by fellow physicians and nursing staff were significantly lower after the intervention. However, a similar decrease was also observed in control units. Additional interviews to explore process-related factors suggested that there might have been spill-over effects in the sense that solutions were not strictly confined to the intervention group. Recommendations for further research on the effectiveness and consequences of such interventions for professional communication and patient safety are discussed.

  4. Studying the incommensurability that unites us: persuasion across discourse communities, persuasion via boundary objects

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, G. D. (Gregory D.)

    2003-01-01

    In the science studies literature the theoretical construct of boundary objects has been developed to explain how diverse communities clustered around a scientific subject area cooperate to advance that area. Boundary objects are 'scientific objects that inhabit several intersecting social worlds . . . and satisfy the informational requirements of each of them' (Star and Griesemer 393). Star and Griesemer's foundational article showed that these objects can be shared by communities ranging from academic researchers to amateur enthiasts, adminsitrators, philanthropists, and technicians. While each community understands the object differently, there is enough commonality in the understanding of the object to unite these distinct social worlds and facilitate cooperation among them.

  5. [Burnout in healthcare professionals: a study carried out in the Nephrology Unit of San Raffaele Hospital].

    Science.gov (United States)

    Ratti, Maria Monica; Delli Zotti, Giulia Bruna; Rossi, Claudia; Sarno, Lucio; Spotti, Donatella

    2015-01-01

    Burnout is a work stress syndrome caused by a prolonged contact with users which present physical and emotional suffering. C. Maslach, one of the main authors, refers that this syndrome is characterized by emotional exhaustion, depersonalization and reduced personal skills. However, the researches done within the Nephrology and Dialysis Departments on this phenomenon are still few in the literature, despite the peculiar characteristics of the care relationship that develops between caregivers and patients on dialysis treatment. The present study aims to highlight the importance of assessing the levels of burnout and strategies of adaptation to stress (coping) in healthcare workers of Nephrology and Dialysis Unit, so that their psychological well-being could be preserved, preventing the possibility of a progressive deterioration of the care relationship with the patient. The implementation of psychological training courses for healthcare workers seems to be a useful tool aimed at the prevention and management of the burnout syndrome.

  6. Utero-fetal unit and pregnant woman modeling using a computer graphics approach for dosimetry studies.

    Science.gov (United States)

    Anquez, Jérémie; Boubekeur, Tamy; Bibin, Lazar; Angelini, Elsa; Bloch, Isabelle

    2009-01-01

    Potential sanitary effects related to electromagnetic fields exposure raise public concerns, especially for fetuses during pregnancy. Human fetus exposure can only be assessed through simulated dosimetry studies, performed on anthropomorphic models of pregnant women. In this paper, we propose a new methodology to generate a set of detailed utero-fetal unit (UFU) 3D models during the first and third trimesters of pregnancy, based on segmented 3D ultrasound and MRI data. UFU models are built using recent geometry processing methods derived from mesh-based computer graphics techniques and embedded in a synthetic woman body. Nine pregnant woman models have been generated using this approach and validated by obstetricians, for anatomical accuracy and representativeness.

  7. Energy Optimization Modeling of Geothermal Power Plant (Case Study: Darajat Geothermal Field Unit III)

    Science.gov (United States)

    Sinaga, R. H. M.; Darmanto, P. S.

    2016-09-01

    Darajat unit III geothermal power plant is developed by PT. Chevron Geothermal Indonesia (CGI). The plant capacity is 121 MW and load 110%. The greatest utilization power is consumed by Hot Well Pump (HWP) and Cooling Tower Fan (CTF). Reducing the utility power can be attempted by utilizing the wet bulb temperature fluctuation. In this study, a modelling process is developed by using Engineering Equation Solver (EES) software version 9.430.The possibility of energy saving is indicated by Specific Steam Consumption (SSC) net in relation to wet bulb temperature fluctuation from 9°C up to 20.5°C. Result shows that the existing daily operation reaches its optimum condition. The installation of Variable Frequency Drive (VFD) could be applied to optimize both utility power of HWP and CTF. The highest gain is obtained by VFD HWP installation as much as 0.80% when wet bulb temperature 18.5 °C.

  8. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for United States Coast Guard Headquarters

    Energy Technology Data Exchange (ETDEWEB)

    Schey, Stephen [Idaho National Lab. (INL), Idaho Falls, ID (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-05-01

    Federal agencies are mandated to purchase alternative fuel vehicles, increase consumption of alternative fuels, and reduce petroleum consumption. Available plug-in electric vehicles (PEVs) provide an attractive option in the selection of alternative fuel vehicles. PEVs, which consist of both battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), have significant advantages over internal combustion engine (ICE) vehicles in terms of energy efficiency, reduced petroleum consumption, and reduced production of greenhouse gas (GHG) emissions, and they provide performance benefits with quieter, smoother operation. This study intended to evaluate the extent to which the United States Coast Guard Headquarters (USCG HQ) could convert part or all of their fleet of vehicles from petroleum-fueled vehicles to PEVs.

  9. Optimal location of centralized biodigesters for small dairy farms: A case study from the United States

    Directory of Open Access Journals (Sweden)

    Deep Mukherjee

    2015-06-01

    Full Text Available Anaerobic digestion technology is available for converting livestock waste to bio-energy, but its potential is far from fully exploited in the United States because the technology has a scale effect. Utilization of the centralized anaerobic digester (CAD concept could make the technology economically feasible for smaller dairy farms. An interdisciplinary methodology to determine the cost minimizing location, size, and number of CAD facilities in a rural dairy region with mostly small farms is described. This study employs land suitability analysis, operations research model and Geographical Information System (GIS tools to evaluate the environmental, social, and economic constraints in selecting appropriate sites for CADs in Windham County, Connecticut. Results indicate that overall costs are lower if the CADs are of larger size and are smaller in number.

  10. An epidemiological study of paediatric motocross injuries in the United Kingdom.

    Science.gov (United States)

    Singh, Rohit; Malhotra, Akshay; Kyle, Nigel; Hay, Stuart

    2015-10-01

    Although off-road motorcycling is one of the most popular sports activities practised by millions of people worldwide, little has been written on motocross injuries and their prevention. In the UK alone, motocross has grown into a phenomenally ambitious and popular franchise. There are >200 motocross clubs across the country holding >900 events annually. The aim of this study is to categorise and quantify the magnitude of motocross paediatric injuries and associated morbidity. Data were collected prospectively over 4 years (2010-2014) at our unit. All injuries caused by motocross biking that were referred to our trauma and orthopaedic department were included in this study, regardless of whether the rider was performing the sport competitively or recreationally. During the study period, 130 patients (aged 4-17 years) were identified with a total of 142 injuries, ranging from one to six injuries per patient. Most of the injuries were sustained within the early spring and summer months, representing the start of the motocross season; 76 patients required hospital admission, with 60 (42 %) requiring surgical intervention. We present the first epidemiological study of motocross paediatric injuries in the UK. The results from this study highlight the frequency and severity of motocross-related injuries in the paediatric population in the UK. This may assist in providing recommendations and guidelines to governing bodies and to parents. The injuries sustained during motocross have significant resource implications, especially for smaller rural hospitals, as shown by the number of injuries doubling over the past 4 years.

  11. The Scope and Impact of Workplace Diversity in the United Arab Emirates – An Initial Study

    Directory of Open Access Journals (Sweden)

    Badreya Al-Jenaibi

    2011-07-01

    Full Text Available Managing workplace diversity has become a priority concern among organizations in the United Arab Emirates (UAE today. The UAE has one of the world's largest net migration rates, and the number of workers from India, the Philippines, Indonesia, Australia, the USA, among other countries, has increased significantly in recent decades (Burns, 2005. The UAE's cross-border mobility has resulted in the interaction of people with diverse language, customs and ethnic backgrounds. Although diversity has been shown to have a number of benefits, including enhanced employee creativity and competence, this recognition is often found more in theory than actual practice. Diversity can also lead to miscommunication, dysfunctional adaptation behaviors and the creation of barriers that reduce the benefits diversity can bring to the organization. Due to the nature of the UAE workplace, which is dominated by a foreign workforce, this study critically analyzes the benefits and challenges organizations face in the diverse workplaces of the United Arab Emirates. The study used a multi-method approach combining survey data from 450 surveys of foreign workers with qualitative data from interviews with native officials of organizations. It is an attempt to compare the views of UAE workplace experience from two different groups—non-native workers and native officials. The research found a generally favorable view toward workplace diversity from the perspective of surveyed employees. However, when asked more detailed questions about company policy, a significant segment of respondents expressed reservations about their employer’s ability to implement successful intercultural communication and diversity practices.

  12. Acceptability of Salt Fluoridation in a Rural Latino Community in the United States: An Ethnographic Study.

    Directory of Open Access Journals (Sweden)

    Judith C Barker

    Full Text Available Compared to other population groups in the United States, caries (tooth decay is a disproportionately prevalent disease among Latino populations, especially among low-income and rural sub-groups and children under five years of age. Fluoride is a primary preventive for caries. While water fluoridation is a major and effective public health means for delivering fluoride on a mass scale, it does not reach many rural areas or population groups such as Latinos who eschew drinking water from municipal sources. This study examines the acceptability to such groups of salt fluoridation, an alternate means of delivering fluoride long used on a global scale. An ethnographic study in California's rural Central Valley was performed. Thirty individual interviews and 5 focus groups (N = 61 were conducted in Spanish to investigate low-income Latino migrant caregivers' experiences, views and understandings of domestic salt, oral health, caries prevention and fluoride. Audio data were transcribed, translated, coded and thematically analyzed. Table salt was readily available and frequently consumed. Both adult and child daily sodium consumption was high. Despite a general feeling that it was good, and present in dentifrices or dietary supplements, most participants had little knowledge about fluoride. Concerns were raised about cardio-vascular and other possibly deleterious effects if an increase in salt consumption occurred because fluoridated salt was viewed as having 'extra' benefits. Once informed about fluoride's safety and role in caries prevention, most participants expressed willingness to use fluoridated salt, especially if it benefitted children. Reassurance about its safety and benefits, and demonstration of its taste, were important aspects of acceptance. Taste was paramount. Participants would not consume more fluoridated salt than their current salt as that would result in unpleasant changes in food flavor and taste. While salt fluoridation is

  13. Acceptability of Salt Fluoridation in a Rural Latino Community in the United States: An Ethnographic Study

    Science.gov (United States)

    Barker, Judith C.; Hoeft, Kristin S.

    2016-01-01

    Compared to other population groups in the United States, caries (tooth decay) is a disproportionately prevalent disease among Latino populations, especially among low-income and rural sub-groups and children under five years of age. Fluoride is a primary preventive for caries. While water fluoridation is a major and effective public health means for delivering fluoride on a mass scale, it does not reach many rural areas or population groups such as Latinos who eschew drinking water from municipal sources. This study examines the acceptability to such groups of salt fluoridation, an alternate means of delivering fluoride long used on a global scale. An ethnographic study in California’s rural Central Valley was performed. Thirty individual interviews and 5 focus groups (N = 61) were conducted in Spanish to investigate low-income Latino migrant caregivers’ experiences, views and understandings of domestic salt, oral health, caries prevention and fluoride. Audio data were transcribed, translated, coded and thematically analyzed. Table salt was readily available and frequently consumed. Both adult and child daily sodium consumption was high. Despite a general feeling that it was good, and present in dentifrices or dietary supplements, most participants had little knowledge about fluoride. Concerns were raised about cardio-vascular and other possibly deleterious effects if an increase in salt consumption occurred because fluoridated salt was viewed as having ‘extra’ benefits. Once informed about fluoride’s safety and role in caries prevention, most participants expressed willingness to use fluoridated salt, especially if it benefitted children. Reassurance about its safety and benefits, and demonstration of its taste, were important aspects of acceptance. Taste was paramount. Participants would not consume more fluoridated salt than their current salt as that would result in unpleasant changes in food flavor and taste. While salt fluoridation is acceptable

  14. Genetic distance as an alternative to physical distance for definition of gene units in association studies.

    Science.gov (United States)

    Rodriguez-Fontenla, Cristina; Calaza, Manuel; Gonzalez, Antonio

    2014-05-28

    Some association studies, as the implemented in VEGAS, ALIGATOR, i-GSEA4GWAS, GSA-SNP and other software tools, use genes as the unit of analysis. These genes include the coding sequence plus flanking sequences. Polymorphisms in the flanking sequences are of interest because they involve cis-regulatory elements or they inform on untyped genetic variants trough linkage disequilibrium. Gene extensions have customarily been defined as ±50 Kb. This approach is not fully satisfactory because genetic relationships between neighbouring sequences are a function of genetic distances, which are only poorly replaced by physical distances. Standardized recombination rates (SRR) from the deCODE recombination map were used as units of genetic distances. We searched for a SRR producing flanking sequences near the ±50 Kb offset that has been common in previous studies. A SRR≥2 was selected because it led to gene extensions with median length=45.3 Kb and the simplicity of an integer value. As expected, boundaries of the genes defined with the ±50 Kb and with the SRR≥2 rules were rarely concordant. The impact of these differences was illustrated with the interpretation of top association signals from two large studies including many hits and their detailed analysis based in different criteria. The definition based in genetic distance was more concordant with the results of these studies than the based in physical distance. In the analysis of 18 top disease associated loci form the first study, the SRR≥2 genes led to a fully concordant interpretation in 17 loci; the ±50 Kb genes only in 6. Interpretation of the 43 putative functional genes of the second study based in the SRR≥2 definition only missed 4 of the genes, whereas the based in the ±50 Kb definition missed 10 genes. A gene definition based on genetic distance led to results more concordant with expert detailed analyses than the commonly used based in physical distance. The genome coordinates for each

  15. Overview of flow studies for recycling metal commodities in the United States

    Science.gov (United States)

    Sibley, Scott F.

    2011-01-01

    Metal supply consists of primary material from a mining operation and secondary material, which is composed of new and old scrap. Recycling, which is the use of secondary material, can contribute significantly to metal production, sometimes accounting for more than 50 percent of raw material supply. From 2001 to 2011, U.S. Geological Survey (USGS) scientists studied 26 metals to ascertain the status and magnitude of their recycling industries. The results were published in chapters A-Z of USGS Circular 1196, entitled, "Flow Studies for Recycling Metal Commodities in the United States." These metals were aluminum (chapter W), antimony (Q), beryllium (P), cadmium (O), chromium (C), cobalt (M), columbium (niobium) (I), copper (X), germanium (V), gold (A), iron and steel (G), lead (F), magnesium (E), manganese (H), mercury (U), molybdenum (L), nickel (Z), platinum (B), selenium (T), silver (N), tantalum (J), tin (K), titanium (Y), tungsten (R), vanadium (S), and zinc (D). Each metal commodity was assigned to a single year: chapters A-M have recycling data for 1998; chapters N-R and U-W have data for 2000, and chapters S, T, and X-Z have data for 2004. This 27th chapter of Circular 1196 is called AA; it includes salient data from each study described in chapters A-Z, along with an analysis of overall trends of metals recycling in the United States during 1998 through 2004 and additional up-to-date reviews of selected metal recycling industries from 1991 through 2008. In the United States for these metals in 1998, 2000, and 2004 (each metal commodity assigned to a single year), 84 million metric tons (Mt) of old scrap was generated. Unrecovered old scrap totaled 43 Mt (about 51 percent of old scrap generated, OSG), old scrap consumed was 38 Mt (about 45 percent of OSG), and net old scrap exports were 3.3 Mt (about 4 percent of OSG). Therefore, there was significant potential for increased recovery from scrap. The total old scrap supply was 88 Mt, and the overall new

  16. The Eldicus prospective, observational study of triage decision making in European intensive care units : Part I-European Intensive Care Admission Triage Scores

    NARCIS (Netherlands)

    Sprung, Charles L.; Baras, Mario; Iapichino, Gaetano; Kesecioglu, Jozef; Lippert, Anne; Hargreaves, Chris; Pezzi, Angelo; Pirracchio, Romain; Edbrooke, David L.; Pesenti, Antonio; Bakker, Jan; Gurman, Gabriel; Cohen, Simon L.; Wiis, Joergen; Payen, Didier; Artigas, Antonio

    2012-01-01

    Objective: Life and death triage decisions are made daily by intensive care unit physicians. Scoring systems have been developed for prognosticating intensive care unit mortality but none for intensive care unit triage. The objective of this study was to develop an intensive care unit triage decisio

  17. From spouse to caregiver and back: a grounded theory study of post-intensive care unit spousal caregiving.

    Science.gov (United States)

    Ågård, Anne Sophie; Egerod, Ingrid; Tønnesen, Else; Lomborg, Kirsten

    2015-08-01

    To explore the challenges and caring activities of spouses of intensive care unit survivors during the first year of patient recovery. Every year, millions of people globally are discharged from an intensive care unit after critical illness to continue treatment, care and rehabilitation in general hospital wards, rehabilitation facilities and at home. Consequently, millions of spouses become informal caregivers. Little is known, however, about the concrete challenges spouses face in post-intensive care unit everyday life. Explorative, qualitative grounded theory study. Participants were spouses of intensive care unit survivors. The study was undertaken in Denmark in 2009-2010. Data consisted of 35 semi-structured dyad interviews at 3 and 12 months post-intensive care unit discharge, two group interviews with patients and two with spouses. 'Shifting their role from spouse to caregiver and back' was identified as the core category of the study. The role shifts progressed in a dynamic process involving four elements: (1) committing to caregiving; (2) acquiring caregiving skills; (3) negotiating level of caregiving and (4) gradually leaving the caregiver role. Post-ICU caregiving comprised five patient dimensions: observing, assisting, coaching, advocating and managing activities. Spouses play a vital and multifaceted role in post-intensive care unit recovery. The findings can inform healthcare professionals in their efforts to prepare intensive care unit patients' families for the time following intensive care unit and hospital discharge. Hospital staff, rehabilitation experts and primary care professionals must acknowledge spouses' important contribution from intensive care unit admission throughout recovery. © 2015 John Wiley & Sons Ltd.

  18. permGPU: Using graphics processing units in RNA microarray association studies

    Directory of Open Access Journals (Sweden)

    George Stephen L

    2010-06-01

    Full Text Available Abstract Background Many analyses of microarray association studies involve permutation, bootstrap resampling and cross-validation, that are ideally formulated as embarrassingly parallel computing problems. Given that these analyses are computationally intensive, scalable approaches that can take advantage of multi-core processor systems need to be developed. Results We have developed a CUDA based implementation, permGPU, that employs graphics processing units in microarray association studies. We illustrate the performance and applicability of permGPU within the context of permutation resampling for a number of test statistics. An extensive simulation study demonstrates a dramatic increase in performance when using permGPU on an NVIDIA GTX 280 card compared to an optimized C/C++ solution running on a conventional Linux server. Conclusions permGPU is available as an open-source stand-alone application and as an extension package for the R statistical environment. It provides a dramatic increase in performance for permutation resampling analysis in the context of microarray association studies. The current version offers six test statistics for carrying out permutation resampling analyses for binary, quantitative and censored time-to-event traits.

  19. Are Oligotypes Meaningful Ecological and Phylogenetic Units? A Case Study of Microcystis in Freshwater Lakes

    Science.gov (United States)

    Berry, Michelle A.; White, Jeffrey D.; Davis, Timothy W.; Jain, Sunit; Johengen, Thomas H.; Dick, Gregory J.; Sarnelle, Orlando; Denef, Vincent J.

    2017-01-01

    Oligotyping is a computational method used to increase the resolution of marker gene microbiome studies. Although oligotyping can distinguish highly similar sequence variants, the resulting units are not necessarily phylogenetically and ecologically informative due to limitations of the selected marker gene. In this perspective, we examine how oligotyping data is interpreted in recent literature, and we illustrate some of the method’s constraints with a case study of the harmful bloom-forming cyanobacterium Microcystis. We identified three Microcystis oligotypes from a western Lake Erie bacterial community 16S rRNA gene (V4 region) survey that had previously clustered into one OTU. We found the same three oligotypes and two additional sequence variants in 46 Microcystis cultures isolated from Michigan inland lakes spanning a trophic gradient. In Lake Erie, shifts in Microcystis oligotypes corresponded to spatial nutrient gradients and temporal transitions in bloom toxicity. In the cultures, Microcystis oligotypes showed preferential distributions for different trophic states, but genomic data revealed that the oligotypes identified in Lake Erie did not correspond to toxin gene presence. Thus, oligotypes could not be used for inferring toxic ecotypes. Most strikingly, Microcystis oligotypes were not monophyletic. Our study supports the utility of oligotyping for distinguishing sequence types along certain ecological features, while it stresses that 16S rRNA gene sequence types may not reflect ecologically or phylogenetically cohesive populations. Therefore, we recommend that studies employing oligotyping or related tools consider these caveats during data interpretation. PMID:28337183

  20. HEAT STORAGE SYSTEM WITH PHASE CHANGE MATERIALS IN COGENERATION UNITS: STUDY OF PRELIMINARY MODEL

    Directory of Open Access Journals (Sweden)

    Claudio Caprara

    2008-12-01

    Full Text Available The continuous increase in the mechanization of farm activities, the rise in fuel prices and the environmental aspects concerning gas emissions are the main driving forces behind efforts toward more effective use of renewable energy sources and cogeneration systems even in agricultural and cattle farms. Nevertheless these systems are still not very suitable for this purpose because of their little flexibility in following the changing energy demand as opposed to the extremely various farm load curves, both in daytime and during the year. In heat recovery systems, the available thermal energy supply is always linked to power production, thus it does not usually coincide in time with the heat demand. Hence some form of thermal energy storage (TES is necessary in order to reach the most effective utilization of the energy source. This study deals with the modelling of a packed bed latent heat TES unit, integrating a cogeneration system made up of a reciprocating engine. The TES unit contains phase change materials (PCMs filled in spherical capsules, which are packed in an insulated cylindrical storage tank. Water is used as heat transfer fluid (HTF to transfer heat from the tank to the final uses, and exhausts from the engine are used as thermal source. PCMs are considered especially for their large heat storage capacity and their isothermal behaviour during the phase change processes. Despite their high energy storage density, most of them have an unacceptably low thermal conductivity, hence PCMs encapsulation technique is adopted in order to improve heat transfer. The special modular configuration of heat exchange tubes and the possibility of changing water flow through them allow to obtain the right amount of thermal energy from the tank, according to the hourly demand of the day. The model permits to choose the electrical load of the engine, the dimensions of the tank and the spheres, thickness and diameter of heat exchanger and the nature of

  1. Study on quantitative relation between characteristics of striature bionic coupling unit and wear resistance of gray cast iron

    Science.gov (United States)

    Pang, Zuobo; Zhou, Hong; Zhang, Peng; Cong, Dalong; Meng, Chao; Wang, Chuanwei; Ren, Luquan

    2015-03-01

    In order to improve the wear resistance of gray cast iron guide rail, striature bionic coupling units of different characteristics were manufactured by laser surface remelting. Wear behavior of gray cast iron with striature bionic coupling units has been studied under dry sliding condition at room temperature using a homemade linear reciprocating wear testing machine. The wear resistance was evaluated by means of weight loss measurement and wear morphology. The results indicated that there is a relationship between weight loss and the area of striature bionic coupling units and α: Δm = Δm0 - 0.0212S × cos α - 0.0241S × sin α.

  2. Maternal-child nutrition practices and pediatric overweight/obesity in the United States and Chile: a comparative study.

    Science.gov (United States)

    Moore, Jean Burley; Gaffney, Kathleen F; Pawloski, Lisa R; Jaimovich, Sonia P; Campos, Maria C

    2012-10-01

    Childhood overweight/obesity is now epidemic in both developed countries and those undergoing economic transition. This study compared maternal and school-age child nutrition practices and body mass index in the United States and in Chile. Children (125 in the United States, 121 in Chile) and their mothers (116 in the United States, 101 in Chile) participated. Findings indicated that child nutrition practices were comparable, but mothers in the U.S. group demonstrated fewer healthy nutrition practices on behalf of their children. Significant associations were found between maternal and child nutrition practices. Substantially more children in the U.S. sample were overweight/obese. Implications for practice are presented.

  3. Attributable cost of a nosocomial infection in the intensive care unit: A prospective cohort study

    Science.gov (United States)

    Chacko, Binila; Thomas, Kurien; David, Thambu; Paul, Hema; Jeyaseelan, Lakshmanan; Peter, John Victor

    2017-01-01

    AIM To study the impact of hospital-acquired infections (HAIs) on cost and outcome from intensive care units (ICU) in India. METHODS Adult patients (> 18 years) admitted over 1-year, to a 24-bed medical critical care unit in India, were enrolled prospectively. Treatment cost and outcome data were collected. This cost data was merged with HAI data collected prospectively by the Hospital Infection Control Committee. Only infections occurring during ICU stay were included. The impact of HAI on treatment cost and mortality was assessed. RESULTS The mean (± SD) age of the cohort (n = 499) was 42.3 ± 16.5 years. Acute physiology and chronic health evaluation-II score was 13.9 (95%CI: 13.3-14.5); 86% were ventilated. ICU and hospital length of stay were 7.8 ± 5.5 and 13.9 ± 10 d respectively. Hospital mortality was 27.9%. During ICU stay, 76 (15.3%) patients developed an infection (ventilator-associated pneumonia 50; bloodstream infection 35; urinary tract infections 3), translating to 19.7 infections/1000 ICU days. When compared with those who did not develop an infection, an infection occurring during ICU stay was associated with significantly higher treatment cost [median (inter-quartile range, IQR) INR 92893 (USD 1523) (IQR 57168-140286) vs INR 180469 (USD 2958) (IQR 140030-237525); P < 0.001 and longer duration of ICU (6.7 ± 4.5 d vs 13.4 ± 7.0 d; P < 0.01) and hospital stay (12.4 ± 8.2 d vs 21.8 ± 13.9 d; P < 0.001)]. However ICU acquired infections did not impact hospital mortality (31.6% vs 27.2%; P = 0.49). CONCLUSION An infection acquired during ICU stay was associated with doubling of treatment cost and prolonged hospitalization but did not significantly increase mortality. PMID:28224111

  4. A Case Study of Personal Experiences of Undocumented Eastern European Immigrants Living in the United States

    Directory of Open Access Journals (Sweden)

    Titanilla KISS

    2015-11-01

    Full Text Available Existing research on undocumented migration has focused predominantly on Latin American and Mexican immigrants and largely overlooked the experiences of immigrants originating from other parts of the world. As such, very few studies have considered how the lack of legal residency status can influence life opportunities of undocumented immigrants from Eastern Europe. The overarching aim of the present study was to explore the personal experiences of unauthorized Eastern European immigrants in the United States in order to: (a augment research on undocumented migration, and (b highlight the experiences of undocumented Eastern Europeans who remain an understudied group of the undocumented immigrants. Comprehensive personal interviews were conducted with a small group of unauthorized immigrants to explore: (1 reasons for immigration and prior expectations, and (2 psychosocial experiences (i.e., status related anxiety, experience with prejudice and discrimination, job satisfaction, sense of belonging, family relations, and future plans. Some of the results are presented in terms of similarity and differences between the current study's sample and the undocumented immigrants from other regions of the world, namely, Mexico and Latin America.

  5. An ethnographic study of the social context of migrant health in the United States.

    Directory of Open Access Journals (Sweden)

    Seth M Holmes

    2006-10-01

    Full Text Available BACKGROUND: Migrant workers in the United States have extremely poor health. This paper aims to identify ways in which the social context of migrant farm workers affects their health and health care. METHODS AND FINDINGS: This qualitative study employs participant observation and interviews on farms and in clinics throughout 15 months of migration with a group of indigenous Triqui Mexicans in the western US and Mexico. Study participants include more than 130 farm workers and 30 clinicians. Data are analyzed utilizing grounded theory, accompanied by theories of structural violence, symbolic violence, and the clinical gaze. The study reveals that farm working and housing conditions are organized according to ethnicity and citizenship. This hierarchy determines health disparities, with undocumented indigenous Mexicans having the worst health. Yet, each group is understood to deserve its place in the hierarchy, migrant farm workers often being blamed for their own sicknesses. CONCLUSIONS: Structural racism and anti-immigrant practices determine the poor working conditions, living conditions, and health of migrant workers. Subtle racism serves to reduce awareness of this social context for all involved, including clinicians. The paper concludes with strategies toward improving migrant health in four areas: health disparities research, clinical interactions with migrant laborers, medical education, and policy making.

  6. ALTERNATIVE REMEDIATION TECHNOLOGY STUDY FOR GROUNDWATER TREATMENT AT 200-PO-1 OPERABLE UNIT AT HANFORD SITE

    Energy Technology Data Exchange (ETDEWEB)

    DADO MA

    2008-07-31

    This study focuses on the remediation methods and technologies applicable for use at 200-PO-I Groundwater Operable Unit (OU) at the Hanford Site. The 200-PO-I Groundwater au requires groundwater remediation because of the existence of contaminants of potential concern (COPC). A screening was conducted on alternative technologies and methods of remediation to determine which show the most potential for remediation of groundwater contaminants. The possible technologies were screened to determine which would be suggested for further study and which were not applicable for groundwater remediation. COPCs determined by the Hanford Site groundwater monitoring were grouped into categories based on properties linking them by remediation methods applicable to each COPC group. The screening considered the following criteria. (1) Determine if the suggested method or technology can be used for the specific contaminants found in groundwater and if the technology can be applied at the 200-PO-I Groundwater au, based on physical characteristics such as geology and depth to groundwater. (2) Evaluate screened technologies based on testing and development stages, effectiveness, implementability, cost, and time. This report documents the results of an intern research project conducted by Mathew Dado for Central Plateau Remediation in the Soil and Groundwater Remediation Project. The study was conducted under the technical supervision of Gloria Cummins and management supervision of Theresa Bergman and Becky Austin.

  7. Characterizing response to elemental unit of acoustic imaging noise: an FMRI study.

    Science.gov (United States)

    Tamer, Gregory G; Luh, Wen-Ming; Talavage, Thomas M

    2009-07-01

    Acoustic imaging noise produced during functional magnetic resonance imaging (fMRI) studies can hinder auditory fMRI research analysis by altering the properties of the acquired time-series data. Acoustic imaging noise can be especially confounding when estimating the time course of the hemodynamic response (HDR) in auditory event-related fMRI (fMRI) experiments. This study is motivated by the desire to establish a baseline function that can serve not only as a comparison to other quantities of acoustic imaging noise for determining how detrimental is one's experimental noise, but also as a foundation for a model that compensates for the response to acoustic imaging noise. Therefore, the amplitude and spatial extent of the HDR to the elemental unit of acoustic imaging noise (i.e., a single ping) associated with echoplanar acquisition were characterized and modeled. Results from this fMRI study at 1.5 T indicate that the group-averaged HDR in left and right auditory cortex to acoustic imaging noise (duration of 46 ms) has an estimated peak magnitude of 0.29% (right) to 0.48% (left) signal change from baseline, peaks between 3 and 5 s after stimulus presentation, and returns to baseline and remains within the noise range approximately 8 s after stimulus presentation.

  8. Resilience skills as emergent phenomena: A study of emergency departments in Brazil and the United States.

    Science.gov (United States)

    Wachs, Priscila; Saurin, Tarcisio Abreu; Righi, Angela Weber; Wears, Robert Lewis

    2016-09-01

    Although the use of resilience skills (RSs) by emergency department (ED) front-line staff is ubiquitous, the nature and origin of these skills tend to be taken for granted. This study investigates the research question "where do RSs come from"? Case studies in two EDs were undertaken in order to answer the research question: one in Brazil and the other in the United States. The case studies adopted the same data collection and analysis procedures, involving interviews, questionnaires, observations, and analysis of documents. A model for describing RSs as emergent phenomena is proposed. The model indicates that RSs arise from interactions between: work constraints, hidden curriculum, gaps in standardized operating procedures, organizational support for resilience, and RSs themselves. An instantiation of the model is illustrated by a critical event identified from the American ED. The model allows the identification of leverage points for influencing the development of RSs, instead of leaving their evolution purely to chance. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Pediatric and youth traffic-collision injuries in Al Ain, United Arab Emirates: a prospective study.

    Directory of Open Access Journals (Sweden)

    Michal Grivna

    Full Text Available AIM: To study the mechanism of road traffic collisions (RTC, use of safety devices, and outcome of hospitalized pediatric and youth RTC injured patients so as to give recommendations regarding prevention of pediatric RTC injuries. METHODS: All RTC injured children and youth (0-19-year-olds who were admitted to Al Ain City's two major trauma centers or who died after arrival to these centers were prospectively studied from April 2006 to October 2007. Demography of patients, road-user and vehicle types, crash mechanism, usage of safety devices, injured body regions, injury severity, Revised Trauma Score, Glasgow Coma Scale, intensive care unit admissions, hospital stay and mortality were analyzed. RESULTS: 245 patients were studied, 69% were vehicle occupants, 15% pedestrians, 9% motorcyclists and 5% bicyclists. 79% were males and 67% UAE citizens. The most common mechanism of RTC was rollover of vehicle (37% followed by front impact collision (32%. 32 (13% of vehicle occupants were ejected from car. 63% of ejected occupants and 70% of motorcyclists sustained head injuries. Only 2% (3/170 vehicle passengers used seatbelts and 13% (3/23 motorcyclists a helmet. CONCLUSIONS: Male drivers and UAE nationals were at high risk of RTC as drivers and as motorcyclists. Ejection rate was high because safety restraint use was extremely low in our community. More education and law enforcement focusing especially on car/booster seat use is needed.

  10. Status of groundwater quality in the Santa Barbara Study Unit, 2011: California GAMA Priority Basin Project

    Science.gov (United States)

    Davis, Tracy A.; Kulongoski, Justin T.

    2016-10-03

    Groundwater quality in the 48-square-mile Santa Barbara study unit was investigated in 2011 as part of the California State Water Resources Control Board’s Groundwater Ambient Monitoring and Assessment (GAMA) Program Priority Basin Project. The study unit is mostly in Santa Barbara County and is in the Transverse and Selected Peninsular Ranges hydrogeologic province. The GAMA Priority Basin Project is carried out by the U.S. Geological Survey in collaboration with the California State Water Resources Control Board and Lawrence Livermore National Laboratory.The GAMA Priority Basin Project was designed to provide a statistically unbiased, spatially distributed assessment of the quality of untreated groundwater in the primary aquifer system of California. The primary aquifer system is defined as that part of the aquifer corresponding to the perforation interval of wells listed in the California Department of Public Health database for the Santa Barbara study unit. This status assessment is intended to characterize the quality of groundwater resources in the primary aquifer system of the Santa Barbara study unit, not the treated drinking water delivered to consumers by water purveyors.The status assessment for the Santa Barbara study unit was based on water-quality and ancillary data collected in 2011 by the U.S. Geological Survey from 23 sites and on water-quality data from the California Department of Public Health database for January 24, 2008–January 23, 2011. The data used for the assessment included volatile organic compounds; pesticides; pharmaceutical compounds; two constituents of special interest, perchlorate and N-nitrosodimethylamine (NDMA); and naturally present inorganic constituents, such as major ions and trace elements. Relative-concentrations (sample concentration divided by the health- or aesthetic-based benchmark concentration) were used to evaluate groundwater quality for those constituents that have federal or California regulatory and non

  11. School Choice in Spain and the United States: A Comparative Study

    Science.gov (United States)

    Umpstead, Regina; Jankens, Benjamin; Ortega Gil, Pablo; Weiss, Linda; Umpstead, Bruce

    2016-01-01

    This article explores issues of school choice in Spain and the United States by examining the roles and functions of "centros concertados," publicly funded private schools in Spain, and public charter schools in the United States, to provide key insights into the similarities and differences between them. After making a national…

  12. Africa South of the Sahara. Grade Twelve. [Resource Unit IV.] Project Social Studies.

    Science.gov (United States)

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This is the fourth of seven resource units for a twelfth grade course on value conflicts and policy decisions. The topic for this unit is Africa south of the Sahara. The objectives are listed as to generalizations, skills, and values. The double-page format relates objectives to pertinent content, teaching procedures, and instructional materials.…

  13. Careers (A Course of Study). Unit VIII: Budgeting--What to Do With Your Paycheck.

    Science.gov (United States)

    Turley, Kay

    Designed to enable special needs students to understand the basics of personal income management, normal living expenses, banking, and comparison shopping, this set of activities on budgeting is the eighth unit in a nine-unit secondary level career course intended to provide handicapped students with the knowledge and tools necessary to succeed in…

  14. Careers (A Course of Study). Unit IV: Applying for the Job.

    Science.gov (United States)

    Turley, Kay

    Designed to enable special needs students to write resumes and complete application forms with employable accuracy, this set of activities on applying for a job is the fourth unit in a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the world of work. Chapter 1…

  15. Careers (A Course of Study). Unit VI: Interviewing for the Job.

    Science.gov (United States)

    Turley, Kay

    Designed to enable special needs students to arrange, complete, and follow up a job interview, this set of activities on job interviews is the sixth unit in a nine-unit secondary level careers course intended to provide handicapped students with the knowledge and tools necessary to succeed in the world of work. The eight activities in the first…

  16. Business unit controller involvement in management : An empirical study in the Netherlands

    NARCIS (Netherlands)

    Rouwelaar, ten J.A. (Hans); Bots, J.M.

    2008-01-01

    In recent years there has been much debate on the new business-oriented role of management accountants, also called controllers. The purpose of this paper is to investigate to what extent the involvement of the business unit (BU) controller in the decision-making process of business units is impacte

  17. Study and Commercial Application of Graded Optimization of Catalysts for Fixed Bed Residue Upgrading Unit

    Institute of Scientific and Technical Information of China (English)

    Han Zhaoming; Jiang Lijing

    2007-01-01

    The SHIFT-G technology of inverse catalyst loading is used to optimize the catalyst grading in the residue hydrotreating unit.The results,taken from pilot tests and commercial units,have showed that the optimized catalyst grading system can reasonably distribute the reaction load,effectively improve the properties of hydrotreated products,prolong the operating cycle and promote economic benefits.

  18. Indiana Studies: Hoosier History, Government, and People. Unit III: From Sectional Division to Political Unity.

    Science.gov (United States)

    Barger, Harry D.; And Others

    Unit 3 of a six-unit series on Indiana state history designed to be taught in Indiana secondary schools tells the story of Indiana from 1829 to 1908. Chapter 1 discusses national issues in an Indiana context. The effects of social movements such as Abolition, the underground railroad, and the Fugitive Slave Law on Indiana politics are examined.…

  19. Hinduism: A Unit for Junior High and Middle School Social Studies Classes.

    Science.gov (United States)

    Galloway, Louis J.

    As an introduction and explanation of the historical development, major concepts, beliefs, practices, and traditions of Hinduism, this teaching unit provides a course outline for class discussion and activities for reading the classic epic, "The Ramayana." The unit requires 10 class sessions and utilizes slides, historical readings,…

  20. Clinical, Epidemiological and Microbiological Study of Patients Admitted to Intensive Care Units with Mechanical Ventilation Related Pneumonia

    Directory of Open Access Journals (Sweden)

    Ledys Pérez Morales

    2012-09-01

    Full Text Available Background: Mechanical ventilation related pneumonia is a very current issue due to its frequency, severity and etiologic and therapeutic implications. Objective: To characterize, from a clinical, epidemiological and microbiological point of view, patients with ventilation related pneumonia who are admitted to intensive care units. Methods: Descriptive case series study, conducted from January 2007 to December 2009, at the Laboratory of Microbiology and intensive care units of the Dr. Gustavo Aldereguía Lima General Hospital in Cienfuegos.  We analyzed the following variables: service that remitted patients, age, sex, cause of admission to intensive care unit, discharge status, microbiological results, isolated microorganisms, antimicrobial disks tested and antimicrobial resistance in vitro. Results: mechanical ventilation related pneumonia in intensive care units was observed mainly in male patients over 65 years old (43.1% with multiple trauma (20.9%; 20.9% were patients with cerebrovascular disease. Acinetobacter baumannii was the most frequently isolated organism in all units (41.4%, except in the Surgical Intensive Care Unit. It also reported a high mortality rate and in vitro resistance to all antimicrobials tested. Conclusions: Acinetobacter baumannii was the most isolated germen in cases of mechanical ventilation related pneumonia in intensive care units` patients. It affected mainly patients with multiple trauma and cerebrovascular disease.

  1. Potential benefits of minimum unit pricing for alcohol versus a ban on below cost selling in England 2014: modelling study.

    Science.gov (United States)

    Brennan, Alan; Meng, Yang; Holmes, John; Hill-McManus, Daniel; Meier, Petra S

    2014-09-30

    To evaluate the potential impact of two alcohol control policies under consideration in England: banning below cost selling of alcohol and minimum unit pricing. Modelling study using the Sheffield Alcohol Policy Model version 2.5. England 2014-15. Adults and young people aged 16 or more, including subgroups of moderate, hazardous, and harmful drinkers. Policy to ban below cost selling, which means that the selling price to consumers could not be lower than tax payable on the product, compared with policies of minimum unit pricing at £0.40 (€0.57; $0.75), 45 p, and 50 p per unit (7.9 g/10 mL) of pure alcohol. Changes in mean consumption in terms of units of alcohol, drinkers' expenditure, and reductions in deaths, illnesses, admissions to hospital, and quality adjusted life years. The proportion of the market affected is a key driver of impact, with just 0.7% of all units estimated to be sold below the duty plus value added tax threshold implied by a ban on below cost selling, compared with 23.2% of units for a 45 p minimum unit price. Below cost selling is estimated to reduce harmful drinkers' mean annual consumption by just 0.08%, around 3 units per year, compared with 3.7% or 137 units per year for a 45 p minimum unit price (an approximately 45 times greater effect). The ban on below cost selling has a small effect on population health-saving an estimated 14 deaths and 500 admissions to hospital per annum. In contrast, a 45 p minimum unit price is estimated to save 624 deaths and 23,700 hospital admissions. Most of the harm reductions (for example, 89% of estimated deaths saved per annum) are estimated to occur in the 5.3% of people who are harmful drinkers. The ban on below cost selling, implemented in the England in May 2014, is estimated to have small effects on consumption and health harm. The previously announced policy of a minimum unit price, if set at expected levels between 40 p and 50 p per unit, is estimated to have an approximately 40-50 times

  2. Motor unit loss estimation by the multipoint incremental MUNE method in children with spinal muscular atrophy--a preliminary study.

    Science.gov (United States)

    Gawel, Malgorzata; Kostera-Pruszczyk, Anna; Lusakowska, Anna; Jedrzejowska, Maria; Ryniewicz, Barbara; Lipowska, Marta; Gawel, Damian; Kaminska, Anna

    2015-03-01

    Quantitative EMG reflects denervation of muscles after lower motor neuron degeneration in spinal muscular atrophy (SMA) but does not reflect actual motor unit loss. The aim of our study was to assess the value of the multipoint incremental motor unit number estimation (MUNE) method in the modification by Shefner in estimating motor unit loss in SMA. The number of motor units, the mean amplitude of an average surface-detected single motor unit potential (SMUP), and the amplitude of compound motor action potentials (CMAP) were estimated in 14 children with SMA in the abductor pollicis brevis (ABP). Significant differences in MUNE values and SMUP and CMAP amplitude were found between the SMA and control groups (P < 0.0001). MUNE values correlated with Hammersmith Functional Motor Scale (HFMS) scores (P < 0.05). Increased SMUP amplitude values correlated with decreased HFMS scores (P < 0.05). The study confirms that MUNE method in the modification by Shefner is a useful tool reflecting motor unit loss in SMA, and it is easy to perform and well tolerated. MUNE and SMUP amplitude seemed to be sensitive parameters reflecting motor dysfunction in SMA but a longitudinal study in a larger number of subjects is needed.

  3. [A study of the pharmacist work changes associated with dispensing unit-of-use packaging in community pharmacies].

    Science.gov (United States)

    Kobayashi, Daisuke; Sakamaki, Hiroyuki; Komatsu, Ryou; Iijima, Tomonori; Iijima, Yasunori; Ootsuga, Hiroyuki; Saito, Katsuya; Seki, Tetsuya; Nakamura, Hidetoshi; Yamaura, Tomoyuki; Yokobayashi, Kuniaki

    2014-01-01

    This study aimed to determine how much time can be saved with the use of unit-of-use packaging for prescription drugs as compared with bulk packaging in community pharmacies as well as to determine the number of errors. In a simulation, mock prescriptions were dispensed either in unit-of-use packages or by transferring medication from a bulk container, and a time study was conducted to measure the time spent on dispensing and prescription auditing by pharmacists. Pharmacists' and patients' degree of satisfaction was also surveyed. The time saved with unit-of-use packaging was 66.25 s per prescription. The sole dispensing error that was found in the study occurred with bulk dispensing. Among both pharmacists and patients, many were of the opinion that dispensing with unit-of-use packaging was preferable to bulk dispensing. Unit-of-use packaging shortens the time that pharmacists spend on dispensing activities and increases the efficiency of their work. Unit-of-use packaging is also thought to reduce the number of counting errors.

  4. Comparability of nurse staffing measures in examining the relationship between RN staffing and unit-acquired pressure ulcers: a unit-level descriptive, correlational study.

    Science.gov (United States)

    Choi, JiSun; Staggs, Vincent S

    2014-10-01

    Various staffing measures have been used in examining the relationship between nurse staffing and patient outcomes. Little research has been conducted to compare these measures based on their explanatory power as predictors of nursing-sensitive outcomes. In this study, both administrative and nurse-reported measures were examined. Administrative measures included registered nurse (RN) skill mix and three versions of nursing hours per patient day (HPPD); nurse-reported measures included RN-reported number of assigned patients and RN-perceived staffing adequacy. To examine correlations among six nurse staffing measures and to compare their explanatory power in relation to unit-acquired pressure ulcers (UAPUs). Descriptive, correlational study. 2397 nursing units in 409 U.S. acute care hospitals. Random-intercept logistic regression analyses were performed using 2011 data from a national database. Relationships between nurse staffing measures and UAPU occurrences were examined in eight models, each with one or more staffing measures as predictors. Characteristics of nursing units (RN workgroup education level and RN workgroup unit tenure) and hospitals (size, teaching status, and Magnet status) were included as control variables. Two versions of HPPD (total nursing HPPD and RN HPPD) and RN skill mix were significantly correlated with RN-reported number of assigned patients (r range=-0.87 to -0.75). These staffing measures had weaker correlations with RN-perceived staffing adequacy (r range=0.16 to 0.23). Of the six staffing variables, only RN-perceived staffing adequacy and RN skill mix were significantly associated with UAPU odds, the former being the better predictor. Although RN-perceived staffing adequacy was not highly correlated with administrative measures of HPPD and RN skill mix, it was the strongest predictor of UAPU occurrences. RN-perceived staffing adequacy can serve as a more appropriate measure of staffing for nursing-sensitive outcomes research than

  5. A Comparative Study of the Distance Education History in China and the United States: A Socio-Historical Perspective

    Science.gov (United States)

    Kang, Haijun

    2009-01-01

    The purpose of this study is to contribute to the understanding of international distance education development through comparison of the distance education historical developments in China and the United States (U.S.). This study, utilizing a document analysis method, studied historical documents, explored the historical development of…

  6. Authentic science in education: Studies in course-based research at the United States Military Academy

    Science.gov (United States)

    Chase, Anthony M.

    This dissertation consists of two studies at the United States Military Academy. Both studies involve the use of Course-based Undergraduate Research Experiences (CUREs). These experiences give students the ability to engage in undergraduate research at an early point in their academic career by replacing traditional laboratory activities with semester-long research projects. Both studies show an implementation of this type of instruction from the Center for Authentic Science Practice in Education (CASPiE). Study 1 shows the specific method of implementation at the military academy and explores learning-based outcomes. Primarily the outcome of critical thinking is demonstrated. Critical thinking is a construct that many curriculum developers and instructors want to foster within their students but often lack clear definitions or evaluation plans. This study gives a definition of critical thinking and an outcome of a critical thinking test. Significant gains in critical thinking are observed by students participating in the CURE as well as significant gains in three affective factors (Interest in Science/Chemistry, Authenticity, Perceived Learning). The gains in critical thinking are then further statistically linked to students’ perceptions of how authentically they saw the research in the course. If they felt that the course was demonstrating more authentic science practices, they gained significantly more in their critical thinking scores. The second study in this dissertation adds an additional transfer focus to the instructional materials that the CURE was meant to support. The treatment group in this study received instruction that was framed expansively. The expansively framed instruction showed students ways that the material was applicable outside of the course. The assessments and instructional materials of this study were transfer assessments with contrasting cases. Instances of negative or “overzealous transfer” were also reported. Findings suggest

  7. FEASIBILITY STUDY REPORT FOR THE 200-ZP-1 GROUNDWATER OPERABLE UNIT

    Energy Technology Data Exchange (ETDEWEB)

    BYRNES ME

    2008-07-18

    The Hanford Site, managed by the U.S. Department of Energy (DOE), encompasses approximately 1,517 km{sup 2} (586 mi{sup 2}) in the Columbia Basin of south-central Washington State. In 1989, the U.S. Environmental Protection Agency (EPA) placed the 100, 200, 300, and 1100 Areas of the Hanford Site on the 40 Code of Federal Regulations (CFR) 300, 'National Oil and Hazardous Substances Pollution Contingency Plan' National Contingency Plan [NCPD], Appendix B, 'National Priorities List' (NPL), pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). The 200 Areas NPL sites consist of the 200 West and 200 East Areas (Figure 1-1). The 200 Areas contain waste management facilities, inactive irradiated fuel reprocessing facilities, and the 200 North Area (formerly used for interim storage and staging of irradiated fuel). Several waste sites in the 600 Area, located near the 200 Areas, also are included in the 200 Areas NPL site. The 200 Areas NPL site is in a region referred to as the 'Central Plateau' and consists of approximately 700 waste sites, excluding sites assigned to the tank farm waste management areas (WMAs). The 200-ZP-1 Groundwater Operable Unit (OU) consists of the groundwater located under the northern portion of the 200 West Area. Waste sources that contributed to the 200-ZP-1 OU included cribs and trenches that received liquid and/or solid waste in the past from the Z Plant and T Plant aggregate areas, WMA-T, WMA-TX/TY, and the State-Approved Land Disposal Site (SALDS). This feasibility study (FS) for the 200-ZP-1 Groundwater OU was prepared in accordance with the requirements of CERCLA decision documents. These decision documents are part of the Administrative Record for the selection of remedial actions for each waste site and present the selected remedial actions that are chosen in accordance with CERCLA, as amended by the Superfund Amendments and Reauthorization Act of 1986

  8. Phase 1 and 2 feasibility study report for the 300-FF-1 Operable Unit

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    The 300-FF-1 Operable Unit (OU) feasibility study (FS) presented in this document completes the FS process only through the first two study phases: Phase I, Remedial Alternatives Development, and Phase II, Remedial Alternatives Screening in accordance with CERCIA guidance for performing Remedial Investigations and Feasibility Studies (RI/FS) (EPA 1988a). This Phase I/II study provides a generalized view of workable remedial technologies as applied to the site contamination problems as a whole. Phase III, Detailed Analysis of Alternatives, will be performed at a later date to further evaluate screened alternatives based on the nine criteria in the CERCLA RI/FS guidance. The purpose of this Phase I/II FS is to develop and screen a range of alternatives for remediation of contamination present in the vadose zone of the 300-FF-1 OU. The scope of work for this Phase I/II FS includes five primary tasks: 1. Review existing documents and their associated data from relevant investigations and studies; 2. Establish remedial action objectives (RAO) and general response actions (GRA); 3. Identify applicable or relevant and appropriate requirements (ARARS) pertinent to all general response actions (including waste disposal); 4. Develop remedial alternatives (Phase I) applicable to the 300-FF-1 OU including identification and screening of technologies and process options, and assembly of remedial alternatives from representative technology types; 5. Screen alternatives (Phase II) developed in Phase I for implementability, effectiveness, and cost to identify those alternatives which warrant advancement to the detailed analysis phase (Phase III) of the FS.

  9. Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study

    Science.gov (United States)

    dos Santos, Rafael Caire de Oliveira; Goulart, Alessandra Carvalho; Kisukuri, Alan Loureiro Xavier; Brandão, Rodrigo Martins; Sitnik, Debora; Staniak, Henrique Lane; Bittencourt, Marcio Sommer; Lotufo, Paulo Andrade; Bensenor, Isabela Martins; Santos, Itamar de Souza

    2016-01-01

    Background To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. Objectives The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Coronary Syndrome (ERICO) study. Methods We analyzed the pharmacological treatment time in 830 ERICO participants - 700 individuals for whom the hospital was the unit of first contact and 130 who initially sought primary care units. We built logistic regression models to study whether the unit of first contact was associated with a treatment time of less than three hours. Results Individuals who went to primary care units received the first aspirin dose in those units in 75.6% of the cases. The remaining 24.4% received aspirin at the hospital. Despite this finding, individuals from primary care still had aspirin administered within three hours more frequently than those who went to the hospital (76.8% vs 52.6%; p<0.001 and 100% vs. 70.7%; p=0.001 for non ST-elevation ACS and ST-elevation myocardial infarction, respectively). In adjusted models, individuals coming from primary care were more likely to receive aspirin more quickly (odds ratio: 3.66; 95% confidence interval: 2.06-6.51). Conclusions In our setting, individuals from primary care were more likely to receive aspirin earlier. Enhancing the ability of primary care units to provide early treatment and safe transportation may be beneficial in similar settings. PMID:27849262

  10. Study of regeneration system of 300 MW power unit based on nondeaerating heat balance diagram at reduced load

    Science.gov (United States)

    Esin, S. B.; Trifonov, N. N.; Sukhorukov, Yu. G.; Yurchenko, A. Yu.; Grigor'eva, E. B.; Snegin, I. P.; Zhivykh, D. A.; Medvedkin, A. V.; Ryabich, V. A.

    2015-09-01

    More than 30 power units of thermal power stations, based on the nondeaerating heat balance diagram, successfully operate in the former Soviet Union. Most of them are power units with a power of 300 MW, equipped with HTGZ and LMZ turbines. They operate according to a variable electric load curve characterized by deep reductions when undergoing night minimums. Additional extension of the range of power unit adjustment makes it possible to maintain the dispatch load curve and obtain profit for the electric power plant. The objective of this research is to carry out estimated and experimental processing of the operating regimes of the regeneration system of steam-turbine plants within the extended adjustment range and under the conditions when the constraints on the regeneration system and its equipment are removed. Constraints concerning the heat balance diagram that reduce the power unit efficiency when extending the adjustment range have been considered. Test results are presented for the nondeaerating heat balance diagram with the HTGZ turbine. Turbine pump and feed electric pump operation was studied at a power unit load of 120-300 MW. The reliability of feed pump operation is confirmed by a stable vibratory condition and the absence of cavitation noise and vibration at a frequency that characterizes the cavitation condition, as well as by oil temperature maintenance after bearings within normal limits. Cavitation performance of pumps in the studied range of their operation has been determined. Technical solutions are proposed on providing a profitable and stable operation of regeneration systems when extending the range of adjustment of power unit load. A nondeaerating diagram of high-pressure preheater (HPP) condensate discharge to the mixer. A regeneration system has been developed and studied on the operating power unit fitted with a deaeratorless thermal circuit of the system for removing the high-pressure preheater heating steam condensate to the mixer

  11. Field Camera Unit for WSO-UV: Phase A Study Report

    CERN Document Server

    Pagano, I; Bedin, L; Bracciaferri, F; Brocato, E; Bulgarelli, A; Buson, L; Cacciari, C; Capetti, A; Cassatella, A; Cavazzuti, E; Claudi, R; De Martino, D; De Paris, G; Ferraro, F; Fiorini, M; Gambicorti, L; Gherardi, A; Gianotti, F; Magrin, D; Marchi, S; Mulas, G; Munari, M; Nonino, M; Pace, E; Pancrazzi, M; Pian, E; Piotto, G; Pompei, C; Pontoni, C; Preti, G; Scuderi, S; Shore, S; Trifoglio, M; Turatto, M; Uslenghi, M

    2007-01-01

    World Space Observatory UltraViolet (WSO-UV) is a multipurpose space observatory, made by a 170 cm aperture telescope, capable of UV high-resolution spectroscopy, long slit low-resolution spectroscopy, and deep UV and optical imaging. With a nominal mission life time of 5 years, and a planned extension to 10 years, from a geosynchronous orbit with an inclination of 51.8 degrees, WSO-UV will provide observations of exceptional importance for the study of many unsolved astrophysical problems. WSO-UV is implemented in the framework of a collaboration between Russia (chair), China, Germany, Italy, Spain, and Ukraine. This book illustrates the results of the feasibility study for the Field Camera Unit (FCU), a multi-spectral radial instrument on the focal plane of WSO-UV. The book provides an overview of the key science topics that are drivers to the participation of the Italian astronomical community in the WSO-UV project. The science drivers here illustrated have been used to define the technical requirements fo...

  12. Reorganizing nursing work on surgical units: a time-and-motion study.

    Science.gov (United States)

    Desjardins, France; Cardinal, Linda; Belzile, Eric; McCusker, Jane

    2008-01-01

    A time-and-motion study was conducted in response to perceptions that the surgical nursing staff at a Montreal hospital was spending an excessive amount of time on non-nursing care. A sample of 30 nurse shifts was observed by trained observers who timed nurses' activities for their entire working shift using a hand-held Personal Digital Assistant. Activities were grouped into four main categories: direct patient care, indirect patient care, non-nursing and personal activities. Break and meal times were excluded from the denominator of total worked hours. A total of 201 working hours were observed, an average of 6 hours, 42 minutes per nurse shift. The mean proportions of each nurse shift spent on the main activity categories were: direct care 32.8%, indirect care 55.7%, non-nursing tasks 9.0% and personal 2.5%. Three activities (communication among health professionals, medication verification/preparation and documentation) comprised 78.9% of indirect care time. Greater time on indirect care was associated with work on night shifts and on the short-stay surgical unit. Subsequent work reorganization focused on reducing time spent on communication and medications. The authors conclude that time-and-motion studies are a useful method of monitoring appropriate use of nursing staff, and may provide results that assist in restructuring nursing tasks.

  13. Epidemiological Study of Hospital-Acquired Bacterial Conjunctivitis in a Level III Neonatal Unit

    Directory of Open Access Journals (Sweden)

    Catarina Dias

    2013-01-01

    Full Text Available Background. Conjunctivitis is one of the most frequently occurring hospital-acquired infections among neonates, although it is less studied than potentially life-threatening infections, such as sepsis and pneumonia. Objectives. The aims of our work were to identify epidemiologic characteristics, pathogens, and susceptibility patterns of bacterial hospital-acquired conjunctivitis (HAC in a level III neonatal unit. Materials and Methods. Data were collected retrospectively from patient charts and laboratory databases. Hospital-acquired conjunctivitis was defined in accordance with the Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN diagnostic criteria. Results. One or more episodes of HAC were diagnosed in 4,0% ( of 1492 neonates admitted during the study period. Most of the episodes involved premature (75,4% and low birth weight (75,4% neonates. Infection rates were higher among patients undergoing noninvasive mechanical ventilation (46,7%, parenteral nutrition (13,6%, and phototherapy (6,8%. Predominant pathogens included Serratia marcescens (27,9%, Escherichia coli (23%, and Pseudomonas aeruginosa (18%. Susceptibility patterns revealed bacterial resistances to several antibiotic classes. Gentamicin remains the adequate choice for empirical treatment of HAC in our NICU. Conclusion. It is important to know the local patterns of the disease in order to adjust prevention strategies. Our work contributes to the epidemiological characterization of a sometimes overlooked disease.

  14. Theory of Infants' Transition Management from the Neonatal Intensive Care Unit to Home: a Qualitative Study

    Directory of Open Access Journals (Sweden)

    Mahboobeh Namnabati

    2017-01-01

    Full Text Available Background: Infant's transition is a challenge for parents and the health system that requires ongoing assessment and management to improve each newborn`s growth and development. The purpose of this study was to explore the management of infant` transition from neonatal intensive care unit (NICU to home.Materials and Methods: We used a grounded theory study to explore and describe the management of infants’ transition from the NICU to the home. Interviews were conducted with 31 professionals and 20 family members, and participant observations were made in hospitals, clinics, and one physician office. MAXQDA was utilized for coding and categorizing data.Results: The theory illustrated six phenomena: An unexpected separation; A crisis situation; Mother-infant rebonding; Protection of the infant’s health; Promotion of growth and development; and Inadequate management causing disability. Together, these formed a three-phase process consisting of: A threat to the infant's life, Efforts to save the infant's life, and Continuation of life. Conclusion: Development of the theory of  infants transition provides a three phases process ( A threat to the infant’s life, Efforts to save the infant’s life, and Continuation of life, that  can yield   guidelines to  manage  the infant` transition in prevent mother–infant separation, support parents in their role as primary caregivers, and follow up with individual home visits by nurses.

  15. A case-control study of bladder cancer in the United States rubber and tyre industry.

    Science.gov (United States)

    Checkoway, H; Smith, A H; McMichael, A J; Jones, F S; Monson, R R; Tyroler, H A

    1981-01-01

    A case-control study of bladder cancer was conducted in five United States rubber and tyre companies to determine if there were high-risk jobs and work areas within the industry. The study included 220 male cases of bladder cancer, of whom 107 were identified from hospital record reviews and 113 from death certificates. Each case was matched individually with two industry controls by sex, race, year of birth, and company. One control was matched additionally by year of hire and duration of employment. Comparisons of cases and controls not matched by year of hire and age of hire showed no differences for those variables, which suggests that age and calendar period of first exposure to the industry were not risk determinants. When the work histories of both cases and controls were contrasted it was found that cases were more likely than controls to have worked in milling (odds ratio (OR) = 1.91) and calender operation (OR = 2.21) jobs. The relative risk estimates for milling and calender operation both exhibited linear trends of increase with duration of exposure. Milling and calender operation jobs entail potential exposures to volatilised reaction products from heated rubber stock. A better understanding of aetiological associations with job type will require more detailed characterisation of the work environment with regard to the sources and levels of aromatic amines and other suspected bladder carcinogens. PMID:7272236

  16. Nonlinear Seismic Analysis of Morrow Point Dam: A Study for the United States Bureau of Reclamation

    Energy Technology Data Exchange (ETDEWEB)

    Noble, C R; Solberg, J

    2004-02-20

    This research and development project was sponsored by the United States Bureau of Reclamation (USBR), who are best known for the dams, power plants, and canals it constructed in the 17 western states. The mission statement of the USBR's Dam Safety Office, located in Denver, Colorado, is ''to ensure Reclamation dams do not present unacceptable risk to people, property, and the environment.'' The Dam Safety Office does this by quickly identifying the dams which pose an increased threat to the public, and quickly completing the related analyses in order to make decisions that will safeguard the public and associated resources. The research study described in this report constitutes one element of USBR's research and development work to advance their computational and analysis capabilities for studying the response of dams to strong earthquake motions. This project focused on the seismic response of Morrow Point Dam, which is located 263 km southwest of Denver, Colorado.

  17. Case-control study of bladder cancer and drinking water arsenic in the western United States.

    Science.gov (United States)

    Steinmaus, Craig; Yuan, Yan; Bates, Michael N; Smith, Allan H

    2003-12-15

    Numerous epidemiologic investigations have identified links between high concentrations of arsenic in drinking water and cancer, although the risks at lower exposures are largely unknown. This paper presents the results of a case-control study of arsenic ingestion and bladder cancer in seven counties in the western United States. These counties contain the largest populations historically exposed to drinking water arsenic at concentrations near 100 microg/liter. All incident cases diagnosed from 1994 to 2000 were recruited. Individual data on water sources, water consumption patterns, smoking, and other factors were collected for 181 cases and 328 controls. Overall, no increased risks were identified for arsenic intakes greater than 80 microg/day (odds ratio=0.94, 95% confidence interval: 0.56, 1.57; linear trend, p=0.48). These risks are below predictions based on high dose studies from Taiwan. When the analysis was focused on exposures 40 or more years ago, an odds ratio of 3.67 (95% confidence interval: 1.43, 9.42; linear trend, p<0.01) was identified for intakes greater than 80 microg/day (median intake, 177 microg/day) in smokers. These data provide some evidence that smokers who ingest arsenic at concentrations near 200 microg/day may be at increased risk of bladder cancer.

  18. Epidemiological Study of Hospital-Acquired Bacterial Conjunctivitis in a Level III Neonatal Unit

    Science.gov (United States)

    Dias, Catarina; Gonçalves, Márcia; João, Anabela

    2013-01-01

    Background. Conjunctivitis is one of the most frequently occurring hospital-acquired infections among neonates, although it is less studied than potentially life-threatening infections, such as sepsis and pneumonia. Objectives. The aims of our work were to identify epidemiologic characteristics, pathogens, and susceptibility patterns of bacterial hospital-acquired conjunctivitis (HAC) in a level III neonatal unit. Materials and Methods. Data were collected retrospectively from patient charts and laboratory databases. Hospital-acquired conjunctivitis was defined in accordance with the Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN) diagnostic criteria. Results. One or more episodes of HAC were diagnosed in 4,0% (n = 60) of 1492 neonates admitted during the study period. Most of the episodes involved premature (75,4%) and low birth weight (75,4%) neonates. Infection rates were higher among patients undergoing noninvasive mechanical ventilation (46,7%), parenteral nutrition (13,6%), and phototherapy (6,8%). Predominant pathogens included Serratia marcescens (27,9%), Escherichia coli (23%), and Pseudomonas aeruginosa (18%). Susceptibility patterns revealed bacterial resistances to several antibiotic classes. Gentamicin remains the adequate choice for empirical treatment of HAC in our NICU. Conclusion. It is important to know the local patterns of the disease in order to adjust prevention strategies. Our work contributes to the epidemiological characterization of a sometimes overlooked disease. PMID:23766676

  19. Prospective study of ultraviolet radiation exposure and mortality risk in the United States.

    Science.gov (United States)

    Lin, Shih-Wen; Wheeler, David C; Park, Yikyung; Spriggs, Michael; Hollenbeck, Albert R; Freedman, D Michal; Abnet, Christian C

    2013-08-15

    Geographic variations in mortality rate in the United States could be due to several hypothesized factors, one of which is exposure to solar ultraviolet radiation (UVR). Limited evidence from previous prospective studies has been inconclusive. The association between ambient residential UVR exposure and total and cause-specific mortality risks in a regionally diverse cohort (346,615 white, non-Hispanic subjects, 50-71 years of age, in the National Institutes of Health (NIH)-AARP Diet and Health Study) was assessed, with accounting for individual-level confounders. UVR exposure (averaged for 1978-1993 and 1996-2005) from NASA's Total Ozone Mapping Spectrometer was linked to the US Census Bureau 2000 census tract of participants' baseline residence. Multivariate-adjusted Cox proportional-hazards models were used to estimate hazard ratios and 95% confidence intervals. Over 12 years, UVR exposure was associated with total deaths (n = 41,425; hazard ratio for highest vs. lowest quartiles (HRQ4 vs. Q1) = 1.06, 95% confidence interval (CI): 1.03, 1.09; Ptrend exposure might not be beneficial for longevity.

  20. Heat Mortality Versus Cold Mortality: A Study of Conflicting Databases in the United States.

    Science.gov (United States)

    Dixon, P. G.; Brommer, D. M.; Hedquist, B. C.; Kalkstein, A. J.; Goodrich, G. B.; Walter, J. C.; Dickerson, C. C., IV; Penny, S. J.; Cerveny, R. S.

    2005-07-01

    Studies, public reports, news reports, and Web sites cite a wide range of values associated with deaths resulting from excessive heat and excessive cold. For example, in the United States, the National Climatic Data Center's Storm Data statistics of temperature- related deaths are skewed heavily toward heat-related deaths, while the National Center for Health Statistics Compressed Mortality Database indicates the reverse—4 times more people die of “excessive cold” conditions in a given year than of “excessive heat.” In this study, we address the fundamental differences in the various temperature-related mortality databases, assess their benefits and limitations, and offer suggestions as to their use. These datasets suffer from potential incompleteness of source information, long compilation times, limited quality control, and the subjective determination of a direct versus indirect cause of death. In general, these separate mortality datasets should not be combined or compared, particularly with regard to policy determination. The use of gross mortality numbers appears to be one of the best means of determining temperature-related mortality, but those data must be detrended into order to remove a persistent winter-dominant death maximum and are difficult to obtain on a regional daily basis.

  1. Does magnesium matter in patients of Medical Intensive Care Unit: A study in rural Central India

    Science.gov (United States)

    Kumar, Sunil; Honmode, Akshay; Jain, Shraddha; Bhagat, Vijay

    2015-01-01

    Introduction: Hypomagnesemia has been common, but mostly underdiagnosed electrolyte abnormality. Studies regarding this is lacking in India especially in rural setting. Here, we have correlated serum magnesium (Mg) level with outcome in patients of medicine Intensive Care Unit (ICU) with respect to length of ICU stay, need for mechanical ventilatory support and its duration and ultimate outcome (discharge/death). Materials and Methods: This is a prospective observational study carried out over a period of 1-year enrolling 601 patients of Medical ICU (MICU). The Chi-square test is applied to correlate hypomagnesemia with the outcome. Result and Observation: About 25% patients had admission hypomagnesemia. When compared with the normal Mg group, there was significant association of hypomagnesemia with outcome in terms of duration of MICU stay 5.46 (5.75) versus 3.93 (3.88), need for mechanical ventilation (56.86% vs. 24.33%), discharge/cured from ICU (61.43% vs. 85.26%), and death (38.56% vs. 14.73%). However, no significant difference was found in the duration of ventilation between the two groups. Conclusion: Hypomagnesemia is associated with a higher mortality rate in critically ill patients. The need for ventilatory support, but not its duration is significantly higher in hypomagnesemic patients. Hypomagnesemia is commonly associated with sepsis and diabetes mellitus. The duration of MICU stay is significantly higher in patients with low serum Mg. PMID:26180429

  2. EVOLUTION OF THE FOREST MANAGEMENT PHILOSOPHY IN TURKEY: A CASE STUDY OF ARTVIN PLANNING UNIT

    Directory of Open Access Journals (Sweden)

    Hacı Ahmet Yolasığmaz

    2006-04-01

    Full Text Available Forest management plans were firstly prepared and implemented in Turkey between 1963 and 1973. All forests in Turkey have been managed with timber oriented forest management philosophy; however, there have been some developments about inventory and silviculture techniques for approximately 40 years. Last decade, Turkey participated in Convention of Biological Diversity in Rio (1992 and included in both Pan – European and Near East Region Conventions. Nowadays, Turkish forest management philosophy has changed from timber management to ecosystem-based multiple-use forest planning with the principles of “sustainable forest management” criteria and indicators drafted in a few national and international agreements. Thus, Turkish forestry is underway in a restructuring process. This paper presents evolution of the traditional forest management philosophy in Turkey since 1963. This study was carried out in Artvin Planning Unit. Past two decade planning periods (managed under timber management approach was compared with current case study data used for forest multiple use management approach based on ecosystem in terms of distribution of age class, site class and change of volume and increment. In conclusion, former applications and techniques for adaptation of improvement must be analyzed and interpreted properly. Monetary resources and experts as well as legal, technique and scientific framework must be provided.

  3. Numerical study of cross flow fan performance in an indoor air conditioning unit

    Science.gov (United States)

    Yet, New Mei; Raghavan, Vijay R.; Chinc, W. M.

    2012-06-01

    The cross flow fan is a unique type of turbo machinery where the air stream flows transversely across the impeller, passing the blades twice. Due to its complex geometry, and highly turbulent and unsteady air-flow, a numerical method is used in this work to conduct the characterization study on the performance of a cross flow fan. A 2D cross-sectional model of a typical indoor air conditioning unit has been chosen for the simulation instead of a three dimensional 3D model due to the highly complex geometry of the fan. The simplified 2D model has been validated with experiments where it is found that the RMS error between the simulation and experimental results is less than 7%. The important parameters that affect the cross flow fan performance, i.e. the internal and external blade angles, the blade thickness, and the casing design, are analyzed in this study. The formation of an eccentric vortex is observed within the impeller.

  4. Risk assessment study of the pressure ulcers in intensive care unit patients.

    Science.gov (United States)

    Terekeci, Hakan; Kucukardali, Yasar; Top, Cihan; Onem, Yalçin; Celik, Serkan; Oktenli, Cağatay

    2009-07-01

    In this research, we studied the incidence of pressure ulcer and risk factors and screening of the patients for pressure ulcers at intensive care unit on the first day of admission in 142 patients. All patients were evaluated according to National Pressure Ulcer Advisory Panel during the ICU period strictly. Pressure ulcer risk evaluation was performed according to Norton Scale. Nutritional state was evaluated according to nutritional risk screening 2002. Age, hospitalization period, mean arterial pressure, pressure ulcer degree, hemoglobin and albumin levels, body mass index, APACHE-II scores and comorbidities were evaluated. In the following parameters, first value represents PU (+) cases, and second value represents PU (-) cases. On the admittance: 14 (9.8%) patients had PU (prevalence). NRS-2002: 5.4+/-1.9 and 4.3+/-2.1 (p0.05). Mean pressure ulcer degree was 2.15. On the discharge: first values represent new developed PU (+) patients and second values represent PU (-) cases. 25 (17.6%) patients had PU. Incidence was 7.8%. NRS-2002: 6.4 and 3.6 (p0.05). Two or more co morbidity, neurophyschiatric disorders, infections and medications were more prevalent in PU (+) group (pmalnutrition and hypoalbuminemia were significant in patients with PU; however, BMI and hemoglobin were not significant. The studies focusing on the relation between the effect of optimization of these parameters from the first day of admittance and pressure ulcer are required.

  5. Children's experiences of acute hospitalisation to a paediatric emergency and assessment unit--a qualitative study.

    Science.gov (United States)

    Jensen, Claus Sixtus; Jackson, Karen; Kolbæk, Raymond; Glasdam, Stinne

    2012-09-01

    Short-stay treatment has become a popular form of care as a strategy to cope with increased demands on health care. There is little research that considers children's experiences of acute hospitalisation to a short-stay care facility such as a Paediatric Emergency and Assessment Unit (PEAU). This study explored the experiences of eight children aged 8-10 years. Semi-structured interviews were carried out to investigate the children's own experiences of being hospitalised in a PEAU. Thematic content analyses were used. Three major themes were identified: the children's understanding of disease, treatment and procedures; the children's experiences of health-care personnel and the PEAU and transformation of everyday life into the settings of the hospital. The children identified the hospital stay as an overall positive experience. The children took part in leisure activities as they would at home and enjoyed time together with their parents while in hospital. In their conversations with staff they adapted to professional terms that they did not necessarily understand. They did not differentiate between professionals. Further work should be considered to clarify the consequences of this. This study has provided some limited insight into the child's experiences of acute hospitalisation, which should inform nursing care.

  6. Remedial investigation/feasibility study work plan for the 100-BC-2 operable unit, Hanford Site, Richland, Washington

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    This work plan and attached supporting project plans establish the operable unit setting and the objectives, procedures, tasks, and schedule for conducting the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) remedial investigation/feasibility study (RI/FS) for the 100-BC-2 operable unit in the 100 Area of the Hanford Site. The 100 Area is one of four areas at the Hanford Site that are on the US Environmental Protection Agency`s (EPA) National Priorities List under CERCLA. The 100-BC-2 operable unit is one of two source operable units in the 100-B/C Area (Figure ES-1). Source operable units are those that contain facilities and unplanned release sites that are potential sources of hazardous substance contamination. The 100-BC-2 source operable unit contains waste sites that were formerly in the 100-BC-2, 100-BC-3, and 100-BC-4 operable units. Because of their size and geographic location, the waste sites from these two operable units were added to 100-BC-2. This allows for a more efficient and effective investigation of the remaining 100-B/C Reactor area waste sites. The investigative approach to waste sites associated with the 100-BC-2 operable unit are listed in Table ES-1. The waste sites fall into three general categories: high priority liquid waste disposal sites, low priority liquid waste disposal sites, and solid waste burial grounds. Several sites have been identified as candidates for conducting an IRM. Two sites have been identified as warranting additional limited field sampling. The two sites are the 116-C-2A pluto crib, and the 116-C-2C sand filter.

  7. FEASIBILITY STUDY REPORT FOR THE 200-ZP-1 GROUNDWATER OPERABLE UNIT

    Energy Technology Data Exchange (ETDEWEB)

    BYRNES ME

    2008-07-18

    The Hanford Site, managed by the U.S. Department of Energy (DOE), encompasses approximately 1,517 km{sup 2} (586 mi{sup 2}) in the Columbia Basin of south-central Washington State. In 1989, the U.S. Environmental Protection Agency (EPA) placed the 100, 200, 300, and 1100 Areas of the Hanford Site on the 40 Code of Federal Regulations (CFR) 300, 'National Oil and Hazardous Substances Pollution Contingency Plan' National Contingency Plan [NCPD], Appendix B, 'National Priorities List' (NPL), pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). The 200 Areas NPL sites consist of the 200 West and 200 East Areas (Figure 1-1). The 200 Areas contain waste management facilities, inactive irradiated fuel reprocessing facilities, and the 200 North Area (formerly used for interim storage and staging of irradiated fuel). Several waste sites in the 600 Area, located near the 200 Areas, also are included in the 200 Areas NPL site. The 200 Areas NPL site is in a region referred to as the 'Central Plateau' and consists of approximately 700 waste sites, excluding sites assigned to the tank farm waste management areas (WMAs). The 200-ZP-1 Groundwater Operable Unit (OU) consists of the groundwater located under the northern portion of the 200 West Area. Waste sources that contributed to the 200-ZP-1 OU included cribs and trenches that received liquid and/or solid waste in the past from the Z Plant and T Plant aggregate areas, WMA-T, WMA-TX/TY, and the State-Approved Land Disposal Site (SALDS). This feasibility study (FS) for the 200-ZP-1 Groundwater OU was prepared in accordance with the requirements of CERCLA decision documents. These decision documents are part of the Administrative Record for the selection of remedial actions for each waste site and present the selected remedial actions that are chosen in accordance with CERCLA, as amended by the Superfund Amendments and Reauthorization Act of 1986

  8. Dynamics of national forests assessed using the Landsat record: Case studies in eastern United States

    Science.gov (United States)

    Huang, C.; Goward, S.N.; Schleeweis, K.; Thomas, N.; Masek, J.G.; Zhu, Z.

    2009-01-01

    The national forests (NFs) in the United States are protected areas managed for multiple purposes, and therefore are subject to both natural and anthropogenic disturbances. Monitoring forest changes arising from such disturbances and the post-disturbance recovery processes is essential for assessing the conditions of the NFs and the effectiveness of management approaches. In this study, we used time series stacks of Landsat images (LTSS) to evaluate the dynamics of seven NFs in eastern United States, including the De Soto NF, the Talladega NF, the Francis Marion NF, and the Uwharrie NF in southeastern U.S., and the Chequamegon NF, the Hiawatha NF, and the Superior NF in northern U.S. Each LTSS consisted of 12-14 Landsat images acquired for the same location, spanning from 1984 to 2006 with a nominal interval of one image every 2??years. Each LTSS was analyzed using a vegetation change tracker (VCT) algorithm to map forest disturbance. Accuracy assessments of the derived disturbance maps revealed that they had overall accuracy values of about 80%, with most of the disturbance classes having user's accuracies ranging from 70% to 95%. The producer's accuracies were generally lower, with the majority being in the range between 50% and 70%. While this may suggest that the disturbance maps could slightly underestimate disturbances, a more detailed assessment of the omission errors revealed that the majority of the disagreements were due to minor disturbances like thinning or storm damages that were identified by the image analysts but were not captured by the VCT algorithm. The derived disturbance year maps revealed that while each of the seven NFs consisted of 90% or more forest land, significant portions of the forests were disturbed since 1984. Mapped disturbances accounted for about 30%-45% of total land area in the four NFs in southeastern U.S. and about 10%-20% in the three NFs in northern U.S. The disturbance rates were generally higher in the buffer zones

  9. Experimental and numerical study on aerodynamic noise of outdoor unit of room air conditioner with different grilles

    Energy Technology Data Exchange (ETDEWEB)

    Tian, Jie; Ouyang, Hua; Wu, Yadong [School of Mechanical Engineering, Shanghai Jiao Tong University, 800 Shanghai Dongchuan Road, Shanghai 200030 (China)

    2009-08-15

    The aerodynamic and aeroacoustic performances of outdoor unit with two different types of grille have been investigated in present study. Experimental results indicate that the grille sharp will affect the flow rate and increase broadband noise level of outdoor unit. Based on noise generation mechanism and CFD simulation, vortex shedding noise model and inlet turbulence noise model are adopted to predict the broadband noise level of outdoor unit. When vortex shedding noise is concerned, the wake parameters should be calculated at 3 mm downstream of grille to achieve good accuracy. Inlet turbulence noise is generated from the interaction between blade wake and the grille, and plays less important role in present outdoor unit configuration. In comparison with experimental results, it is shown that the broadband noise prediction method could provide reasonable accuracy and the error between prediction and experiment is less than 1 dBA. (author)

  10. United States private-sector physicians and pharmaceutical contract research: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Jill A Fisher

    Full Text Available BACKGROUND: There have been dramatic increases over the past 20 years in the number of nonacademic, private-sector physicians who serve as principal investigators on US clinical trials sponsored by the pharmaceutical industry. However, there has been little research on the implications of these investigators' role in clinical investigation. Our objective was to study private-sector clinics involved in US pharmaceutical clinical trials to understand the contract research arrangements supporting drug development, and specifically how private-sector physicians engaged in contract research describe their professional identities. METHODS AND FINDINGS: We conducted a qualitative study in 2003-2004 combining observation at 25 private-sector research organizations in the southwestern United States and 63 semi-structured interviews with physicians, research staff, and research participants at those clinics. We used grounded theory to analyze and interpret our data. The 11 private-sector physicians who participated in our study reported becoming principal investigators on industry clinical trials primarily because contract research provides an additional revenue stream. The physicians reported that they saw themselves as trial practitioners and as businesspeople rather than as scientists or researchers. CONCLUSIONS: Our findings suggest that in addition to having financial motivation to participate in contract research, these US private-sector physicians have a professional identity aligned with an industry-based approach to research ethics. The generalizability of these findings and whether they have changed in the intervening years should be addressed in future studies. Please see later in the article for the Editors' Summary.

  11. Blood pressure control in hypertensive patients within Family Health Program versus at Primary Healthcare Units: analytical cross-sectional study.

    Science.gov (United States)

    Martins, Telma Lima; Atallah, Alvaro Nagib; Silva, Edina Mariko Koga da

    2012-01-01

    Hypertension is a public health problem due to its high prevalence and long-term cardiovascular complications. In Brazil in 2005, cardiovascular diseases were responsible for 28% of all deaths. Efforts are being made within primary care to achieve adequate hypertension control. The Family Health Program (FHP) has the aims of promoting quality of life and intervening in factors that put this at risk. The objective of this study was to evaluate the rate of blood pressure control among patients followed up at FHP units compared with those at primary healthcare units (PHUs). Analytical cross-sectional study in the municipality of Petrópolis, Rio de Janeiro, from January to December 2005. Five hundred patients with a diagnosis of hypertension were included: 250 were being followed up at two FHP units and 250 at two PHUs. The diagnosis of hypertension was based on the Fourth Brazilian Hypertension Consensus, and the patients needed to have been under follow-up at the units for at least 12 months. Patients' blood pressure was considered to be under control if it was less than 140/90 mmHg at the last consultation. Blood pressure was under control in 29.2% (n = 73) at FHP units and 39.23% (n = 98) at PHUs (odds ratio = 0.64; confidence interval = 0.44-0.93; P = 0.024). Blood pressure control was better among patients followed up at PHUs than among those followed up at FHP units.

  12. Status and understanding of groundwater quality in the Northern Coast Ranges study unit, 2009: California GAMA Priority Basin Project

    Science.gov (United States)

    Mathany, Timothy M.; Belitz, Kenneth

    2015-01-01

    Groundwater quality in the 633-square-mile (1,639-square-kilometer) Northern Coast Ranges (NOCO) study unit was investigated as part of the Priority Basin Project (PBP) of the Groundwater Ambient Monitoring and Assessment (GAMA) Program and the U.S. Geological Survey (USGS) National Water-Quality Assessment Program. The study unit is composed of two study areas (Interior Basins and Coastal Basins) and is located in northern California in Napa, Sonoma, Lake, Colusa, Mendocino, Glenn, Humboldt, and Del Norte Counties. The GAMA-PBP is being conducted by the California State Water Resources Control Board in collaboration with the USGS and the Lawrence Livermore National Laboratory.

  13. Cosmetic surgery growth and correlations with financial indices: a comparative study of the United Kingdom and United States from 2002-2011.

    Science.gov (United States)

    Nassab, Reza; Harris, Paul

    2013-05-01

    Over the past 10 years, there has been significant fluctuation in the yearly growth rates for cosmetic surgery procedures in both the United States and the United Kingdom. The authors compare cosmetic surgical procedure rates in the United Kingdom and United States with the macroeconomic climate of each region to determine whether there is a direct relationship between cosmetic surgery rates and economic health. The authors analyzed annual cosmetic surgery statistics from the British Association of Aesthetic Plastic Surgeons and the American Society for Aesthetic Plastic Surgery for 2002-2011 against economic indices from both regions, including the gross domestic product (GDP), consumer prices indices (CPI), and stock market reports. There was a 285.9% increase in the United Kingdom and a 1.1% increase in the United States in the number of procedures performed between 2002 and 2011. There were significant positive correlations between the number of cosmetic procedures performed in the United Kingdom and both the GDP (r = 0.986, P correlation (r = -0.668, P correlation. Data from the United States and United Kingdom suggest 2 very different growth patterns in the number of cosmetic surgeries being performed as compared with the economy in each region. Economic indices are accurate indicators of numbers of procedures being performed in the United Kingdom, whereas rates in the United States seem independent of those factors.

  14. Groundwater Quality Data in the Mojave Study Unit, 2008: Results from the California GAMA Program

    Science.gov (United States)

    Mathany, Timothy M.; Belitz, Kenneth

    2009-01-01

    Groundwater quality in the approximately 1,500 square-mile Mojave (MOJO) study unit was investigated from February to April 2008, as part of the Priority Basin Project of the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The GAMA Priority Basin Project was developed in response to the Groundwater Quality Monitoring Act of 2001 and is being conducted by the U.S. Geological Survey (USGS) in cooperation with the California State Water Resources Control Board (SWRCB). MOJO was the 23rd of 37 study units to be sampled as part of the GAMA Priority Basin Project. The MOJO study was designed to provide a spatially unbiased assessment of the quality of untreated ground water used for public water supplies within MOJO, and to facilitate statistically consistent comparisons of groundwater quality throughout California. Samples were collected from 59 wells in San Bernardino and Los Angeles Counties. Fifty-two of the wells were selected using a spatially distributed, randomized grid-based method to provide statistical representation of the study area (grid wells), and seven were selected to aid in evaluation of specific water-quality issues (understanding wells). The groundwater samples were analyzed for a large number of organic constituents [volatile organic compounds (VOCs), pesticides and pesticide degradates, and pharmaceutical compounds], constituents of special interest (perchlorate and N-nitrosodimethylamine [NDMA]) naturally occurring inorganic constituents (nutrients, dissolved organic carbon [DOC], major and minor ions, silica, total dissolved solids [TDS], and trace elements), and radioactive constituents (gross alpha and gross beta radioactivity, radium isotopes, and radon-222). Naturally occurring isotopes (stable isotopes of hydrogen, oxygen, and carbon, stable isotopes of nitrogen and oxygen in nitrate, and activities of tritium and carbon-14), and dissolved noble gases also were measured to help identify the sources and ages of the sampled

  15. Asthma changes at a Pediatric Intensive Care Unit after 10 years: Observational study

    Directory of Open Access Journals (Sweden)

    Ayman A Al-Eyadhy

    2015-01-01

    Full Text Available Objectives: To describe the change in the management, and outcome of children with acute severe asthma (ASA admitted to Pediatric Intensive Care Unit (PICU at tertiary institute, as compared to previously published report in 2003. Methods : This is a retrospective observational study. All consecutive pediatric ASA patients who were admitted to PICU during the study period were included. The data were extracted from PICU database and medical records. The Cohort in this study (2013 Cohort was compared with the Cohort of ASA, which was published in 2003 from the same institution (2003 Cohort. Results: In comparison to previous 2003 Cohort, current Cohort (2013 revealed higher mean age (5.5 vs. 3.6 years; P ≤ 0.001, higher rate of PICU admission (20.3% vs. 3.6%; P ≤ 0.007, less patients who received maintenance inhaled steroids (43.3% vs. 62.4%; P ≤ 0.03, less patients with pH <7.3 (17.9% vs. 42.9%; P ≤ 0.001. There were more patients in 2013 Cohort who received: Inhaled Ipratropium bromide (97% vs. 68%; P ≤ 0.001, intravenous magnesium sulfate (68.2% vs. none, intravenous salbutamol (13.6% vs. 3.6%; P ≤ 0.015, and noninvasive ventilation (NIV (35.8% vs. none while no patients were treated with theophylline (none vs. 62.5%. The median length of stay (LOS was 2 days while mean LOS was half a day longer in the 2013 Cohort. None of our patients required intubation, and there was no mortality. Conclusion: We observed slight shift toward older age, considerably increased the rate of PICU admission, increased utilization of Ipratropium bromide, magnesium sulfate, and NIV as important modalities of treatment.

  16. Tires as habitats for mosquitoes: a review of studies within the eastern United States.

    Science.gov (United States)

    Yee, Donald A

    2008-07-01

    Discarded vehicle tires are a common habitat for a variety of container mosquito species. I reviewed the literature from the last 50 yr on mosquitoes collected within tires in the eastern United States with four objectives: to examine the historical and contemporary issues of tires as a habitat for mosquitoes, to identify tire-inhabiting species, to summarize findings from studies that focused on biotic and abiotic characteristics of tires, and to offer future directions to aid our understanding of tire-inhabiting mosquitoes. Thirty-two species have been documented, including seven invasives, with the most frequently encountered being Aedes triseriatus, Ae. albopictus, Ae. atropalpus, Culex restuans, Cx. pipiens, Cx. territans, Anopheles punctipennis, and Toxorhynchites rutilus. The proclivity of these species to occupy small containers is one possible explanation for their occurrence in tires. The native species Ae. triseriatus was abundant and the most often collected, particularly in central and northern regions, whereas the invasive Ae. albopictus was most abundant in the south. One half of the studies investigating aspects of the tire environment compared mosquito populations between sunlit and shaded tires, with the general finding that this factor alone led to dramatic differences in larval species composition and abundance patterns. Less frequently investigated factors, e.g., tire orientation, detritus, and proximity to humans, also were found to affect patterns of occupancy by mosquitoes. For the future, I suggest more surveys are needed in understudied areas, as well as quantitative experiments to determine habitat associations and community dynamics in tires, which are especially necessary to assist in understanding invasions. Discarded tires are important for studies of vector dynamics, because of their abundance near human populations and because they expand the habitat range of mosquitoes that vector pathogens.

  17. Aeromycological study at the intensive care unit of the "Dr. Manuel Gea Gonzalez" General Hospital

    Directory of Open Access Journals (Sweden)

    José Manuel Ríos-Yuil

    2012-10-01

    Full Text Available INTRODUCTION: An aeromycological study verifies the presence and quantifies the concentration of fungal propagules in the air. It is very important in the hospital setting because of the increasing numbers of immunosuppressed and severely ill patients. The objective of this study was to determine the concentration of fungi in the air of the intensive care unit (ICU of "Dr. Manuel Gea González" General Hospital. METHODS: This is a descriptive, observational cross-sectional study. Air samples were obtained with a single stage Thermo-Andersen Viable Particle Sampler (Thermo Electron Corporation -Massachusetts, U.S.A. in a Petri dish with potato dextrose agar for 15 minutes at two different times (morning and afternoon and heights (1 and 1.5 meters. The Petri dishes were incubated for five to seven days at 27ºC, the number of colonies was counted, and the total CFU/m³ was determined. The isolated fungal genera were identified by morphological features. Epi Info v. 3.4.3 © was used for statistical analysis. RESULTS: The mean concentration of fungi in the air of the ICU was 85.08 ± 29.19 CFU/m³; while in the outside air it was 84.3 ± 17.23 CFU/m³ (p = 0.96. The fungi isolated were: Cladosporium spp., Penicillium spp., Aspergillus spp. (non-fumigatus, Fusarium spp., Exophiala spp., Syncephalastrum spp., and Acremonium spp. DISCUSSION: Fungal spores were found in the air of the ICU and Cladosporium spp. was the most frequently isolated fungi. There was no difference according to sampling time or height.

  18. Costs borne by families of children hospitalized in a pediatric intensive care unit: a pilot study.

    Science.gov (United States)

    Wasserfallen, Jean-Blaise; Bossuat, Christine; Perrin, Eliane; Cotting, Jacques

    2006-12-23

    Hospitalisation of a child in a paediatric intensive care unit (PICU) involves major stress for parents. They wish to stay at their child's bedside while at the same time giving the usual attention to their other children. The resultant out-of-pocket expenses have rarely been studied. Over a 6-month period all the families of children hospitalised in our PICU for more than 4 days, speaking French and insured by our social security system, were eligible for inclusion. Participation was proposed only after diagnosis, treatment and prognosis had been determined. Costs were retrieved from a diary list of customised items and computed as the amount in excess of usual expenses until the end of the hospital stay. 117 children were hospitalised in our PICU for a total of 131 stays. The families of 16 fulfilled the inclusion criteria. One dropped out after a week at the parents' request. The children's age was 2.9 +/- 3.8 years and 67% were male. The majority had malformations (53%) or infections (33%). The total length of stay was 49 +/- 51 days, of which 24 +/- 41 were spent in the PICU. On average, parents spent CHF 86 +/- 31 every day, mainly on travel and meals. Over the entire hospital stay their expenses amounted to CHF 4,078 +/- 4,552. Direct out-of-pocket expenses for parents of children hospitalised in the PICU are considerable. Improvement in the social security system may be necessary to address this issue.

  19. Effect of preadmission sunlight exposure on intensive care unit-acquired delirium: a multicenter study.

    Science.gov (United States)

    Simons, Koen S; Workum, Jessica D; Slooter, Arjen J C; van den Boogaard, Mark; van der Hoeven, Johannes G; Pickkers, Peter

    2014-04-01

    It is assumed that there is a relation between light exposure and delirium incidence. The aim of our study was to determine the effect of prehospital light exposure on the incidence of intensive care unit (ICU)-acquired delirium. Data from 3 ICUs in the Netherlands were analyzed retrospectively. Delirium was assessed with the Confusion Assessment Method for the ICU. Daily light intensity data were obtained from meteorological stations in the vicinity of the 3 hospitals. The association between light intensity and delirium incidence was analyzed using logistic regression analysis adjusting for known covariates for delirium. Data of 3198 patients, aged (mean ± SD) 61.9 ± 15.3 years with Acute Physiology and Chronic Health Evaluation II score 16.4 ± 6.6 were analyzed. Delirium incidence was 31.2% and did not vary significantly throughout the year. Twenty-eight-day preadmission photoperiod was highest in spring and lowest in winter; however, no association between light exposure and delirium incidence was found (odds ratio, 1.00; 95% confidence interval, 0.99-1.00; P = 0.72). Furthermore, delirium was significantly associated with age, infection, use of sedatives, Acute Physiology and Chronic Health Evaluation II score, and diagnosis of neurological disease or trauma. The incidence of delirium does not differ per season and prior sunlight exposure does not play a role of importance in the development of ICU-acquired delirium. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Balancing intertwined responsibilities: A grounded theory study of teamwork in everyday intensive care unit practice.

    Science.gov (United States)

    Bjurling-Sjöberg, Petronella; Wadensten, Barbro; Pöder, Ulrika; Jansson, Inger; Nordgren, Lena

    2017-03-01

    This study aimed to describe and explain teamwork and factors that influence team processes in everyday practice in an intensive care unit (ICU) from a staff perspective. The setting was a Swedish ICU. Data were collected from 38 ICU staff in focus groups with registered nurses, assistant nurses, and anaesthetists, and in one individual interview with a physiotherapist. Constant comparative analysis according to grounded theory was conducted, and to identify the relations between the emerged categories, the paradigm model was applied. The core category to emerge from the data was "balancing intertwined responsibilities." In addition, eleven categories that related to the core category emerged. These categories described and explained the phenomenon's contextual conditions, causal conditions, and intervening conditions, as well as the staff actions/interactions and the consequences that arose. The findings indicated that the type of teamwork fluctuated due to circumstantial factors. Based on the findings and on current literature, strategies that can optimise interprofessional teamwork are presented. The analysis generated a conceptual model, which aims to contribute to existing frameworks by adding new dimensions about perceptions of team processes within an ICU related to staff actions/interactions. This model may be utilised to enhance the understanding of existing contexts and processes when designing and implementing interventions to facilitate teamwork in the pursuit of improving healthcare quality and patient safety.

  1. Remedial investigation/feasibility study report for Lower Watts Bar Reservoir Operable Unit

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-03-01

    This document is the combined Remedial Investigation and Feasibility Study Report for the lower Watts Bar Reservoir (LWBR) Operable Unit (OU). The LWBR is located in Roane, Rhea, and Meigs counties, Tennessee, and consists of Watts Bar Reservoir downstream of the Clinch river. This area has received hazardous substances released over a period of 50 years from the US Department of Energy`s Oak Ridge Reservation (ORR), a National Priority List site established under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). As required by this law, the ORR and all off-site areas that have received contaminants, including LWBR, must be investigated to determine the risk to human health and the environment resulting from these releases, the need for any remedial action to reduce these risks, and the remedial actions that are most feasible for implementation in this OU. Contaminants from the ORR are primarily transported to the LWBR via the Clinch River. There is little data regarding the quantities of most contaminants potentially released from the ORR to the Clinch River, particularly for the early years of ORR operations. Estimates of the quantities released during this period are available for most radionuclides and some inorganic contaminants, indicating that releases 30 to 50 years ago were much higher than today. Since the early 1970s, the release of potential contaminants has been monitored for compliance with environmental law and reported in the annual environmental monitoring reports for the ORR.

  2. A numerical study on the flow and heat transfer characteristics in a noncontact glass transportation unit

    Energy Technology Data Exchange (ETDEWEB)

    Im, Ik Tae; Park, Chan Woo [Chonbuk National University, Jeonju (Korea, Republic of); Kim, Kwang Sun [Korea University of Technology and Education, Chonan (Korea, Republic of)

    2009-12-15

    Vertical sputtering systems are key equipment in the manufacture of liquid crystal display (LCD) panels. During the sputtering process for LCD panels, a glass plate is transported between chambers for various processes, such as deposition of chemicals on the surface. The minimization of surface scratches and damage to the glass, the rate of consumption of gas, and the stability of the floating glass-plate are key considerations in the design of a gas pad. To develop new, non-contact systems of transportation for large, thin glass plates, various shapes of the nozzle of a gas pad unit were considered in this study. In the proposed nozzle design, negative pressure was used to suppress undesirable fluctuations of the glass plate. After the nozzle's shape was varied through numerical simulations in two dimensions, we determined the optimal shape, after which three-dimensional analyses were carried out to verify the results from the two-dimensional analyses. The rate of heat transfer from the glass plate, as a result of the gas jet, was also investigated. The average Nusselt number at the glass surface varied from 22.7 to 26.6 depending on the turbulence model, while the value from the correlation for the jet array was 23.5. It was found that the well-established correlation equation of the Nusselt number for the circular jet array can be applied to the cooling of the glass plates

  3. Influence of laminar flow on preorientation of coal tar pitch structural units: Raman microspectroscopic study

    Science.gov (United States)

    Urban, O.; Jehlička, J.; Pokorný, J.; Rouzaud, J. N.

    2003-08-01

    In order to estimate the role of laminar flow of viscous, aromatic matter of carbonaceous precursor on microtextural preorientation in pregraphitization stage, we performed experiments with coal tar pitch (CTP). The principal hypothesis of preorientation of basic structural units (BSUs) in the case of laminar flow (pressure impregnation of CTP into porous matrix) and secondary release of volatiles during carbonization were studied. Glass microplates, planar porous medium with average distance between single microplates 5 μm were used as suitable porous matrix. Samples of CTP were carbonized up to 2500 °C. Optical microscopy reveals large flow domains in the sample of cokes carbonized between glass microplates. Raman microspectroscopy and high resolution transmission electron microscopy (HRTEM) show that at nanometric scale, the samples do not support the proposed hypotheses. With increasing temperature of pyrolysis, the graphitization of CTP impregnated into porous matrix proceeds to lower degree of structural ordering in comparison with single pyrolyzed CTP. This is explained by the release of volatile matter during carbonization in geometrically restricted spaces. More evident structural changes were discovered with the sample of single coke, where parts of fine grain mosaics, relicts of 'so called QI parts', reveal higher structural organization, in comparison with large and prolonged flow domains, similar to flow domains of cokes from microplates.

  4. Cyclic voltammetry studies of n-type polymers with non-alternant fluoranthene units

    Energy Technology Data Exchange (ETDEWEB)

    Angulo, Gonzalo [Institute of Physical Chemistry, Polish Academy of Sciences, Kasprzaka 44/52, 01-224 Warsaw (Poland); Kapturkiewicz, Andrzej [Institute of Physical Chemistry, Polish Academy of Sciences, Kasprzaka 44/52, 01-224 Warsaw (Poland)], E-mail: akaptur@ichf.edu.pl; Palmaerts, Arne [Hasselt University, Institute for Materials Research (IMO), Agoralaan, Building D, B-3590 Diepenbeek (Belgium); Lutsen, Laurence [IMEC, Division IMOMEC, Wetenschapspark 1, B-3590 Diepenbeek (Belgium); Cleij, Thomas J. [Hasselt University, Institute for Materials Research (IMO), Agoralaan, Building D, B-3590 Diepenbeek (Belgium); Vanderzande, Dirk [Hasselt University, Institute for Materials Research (IMO), Agoralaan, Building D, B-3590 Diepenbeek (Belgium); IMEC, Division IMOMEC, Wetenschapspark 1, B-3590 Diepenbeek (Belgium)

    2009-02-01

    Poly(p-fluoranthenevinylenes) and their dithiocarbamate precursors have been deposited on indium-tin oxide electrodes and electrochemical properties of the obtained films have been investigated by means of cyclic voltammetry studies in acetonitrile solutions containing 0.1 M (n-C{sub 4}H{sub 9}){sub 4}NBF{sub 4} as supporting electrolyte. It has been found that all investigated polymers display well pronounced n-doping processes. Electrochemical reduction of the dithiocarbamate precursors seems to be associated with C-S bond cleavage with elimination of -SC(S)N(C{sub 2}H{sub 5}){sub 2} group. In view of UV-vis spectroscopic data the obtained products, tentatively identified as polymers containing fluoranthene units connected by -CH{sub 2}-CH{sub 2}- bridges, are somewhat less conjugated than the corresponding poly(p-fluoranthenevinylenes). Reversible electrochemical reduction of poly(p-fluoranthenethanes) occurs at potentials only somewhat (ca. 0.1 V) more negative as found for their poly(p-fluoranthenevinylenes) analogues suggesting relatively weak coupling between fluoranthene kernels in both kinds of investigated polymers.

  5. The perceived quality of interprofessional teamwork in an intensive care unit: A single centre intervention study.

    Science.gov (United States)

    Van den Bulcke, Bo; Vyt, Andre; Vanheule, Stijn; Hoste, Eric; Decruyenaere, Johan; Benoit, Dominique

    2016-05-01

    This article describes a study that evaluated the quality of teamwork in a surgical intensive care unit and assessed whether teamwork could be improved significantly through a tailor-made intervention. The quality of teamwork prior to and after the intervention was assessed using the Interprofessional Practice and Education Quality Scales (IPEQS) using the PROSE online diagnostics and documenting system, which assesses three domains of teamwork: organisational factors, care processes, and team members' attitudes and beliefs. Furthermore, team members evaluated strengths and weaknesses of the teamwork through open-ended questions. Information gathered by means of the open questions was used to design a tailor-made 12-week intervention consisting of (1) optimising the existing weekly interdisciplinary meetings with collaborative decision-making and clear communication of goal-oriented actions, including the psychosocial aspects of care; and (2) organising and supporting the effective exchange of information over time between all professions involved. It was found that the intervention had a significant impact on organisational factors and care processes related to interprofessional teamwork for the total group and within all subgroups, despite baseline differences between the subgroups in interprofessional teamwork. In conclusion, teamwork, and more particularly the organisational aspects of interprofessional collaboration and processes of care, can be improved by a tailor-made intervention that takes into account the professional needs of healthcare workers.

  6. A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit.

    Science.gov (United States)

    Amira, Christiana Oluwatoyin; Bello, Babawale Taslim; Braimoh, Rotimi Williams

    2016-05-01

    Hemodialysis (HD) catheters are commonly used as temporary vascular access in patients with kidney failure who require immediate HD. The use of these catheters is limited by complications such as infections, thrombosis resulting in poor blood flow. We studied the complications and outcomes of nontunneled catheters used for vascular access in our dialysis unit. The records of all patients, with renal failure who were dialyzed over a two-year period and had a double lumen nontunneled catheter inserted, were retrieved. Catheter insertion was carried out under ultrasound guidance using the modified Seldinger technique. The demographic data of patients, etiology of chronic kidney disease, and complications and outcomes of these catheters were noted. Fifty-four patients with mean age 43.7 ± 15.8 years had 69 catheters inserted for a cumulative total of 4047 catheter-days. The mean catheter patency was 36.4 ± 37.2 days (range: 1-173 days). Thrombosis occluding the catheters was the most common complication and occurred in 58% of catheters leading to catheter malfunction, followed by infections in18.8% of catheters. During follow-up, 30 (43.5%) catheters were removed, 14 (20.3%) due to catheter malfunction, eight (11.6%) due to infection, five (7.2%) elective removal, and three (4.3%) due to damage. Thrombotic occlusion of catheters was a major limiting factor to the survival of HD catheters. Improvement in catheter patency can be achieved with more potent lock solutions.

  7. Impact of Hospital Admission Care At a Pediatric Unit: A Qualitative Study.

    Science.gov (United States)

    Macías, Marta; Zornoza, Carmen; Rodriguez, Elena; García, José A; Fernández, José A; Luque, Rafaela; Collado, Rosa

    2015-01-01

    The time of admission to a hospital, especially when unplanned, has been reported as the most stressful moment of hospitalization for both parents and children (Odievre, 2001). This qualitative study explored parents and hospital staff's perceptions and experiences related to the process of admission to a pediatric unit. Focus groups, two with parents (total n = 12) and one with health care professionals (n = 6), were conducted, and content analysis inspired by Graneheim and Lundman (2004) was performed. Parents identified four categories of perceptions: 1) management of an uncertain situation at the time of admission, 2) feelings related to the child's illness, 3) parent perception of professional's performance, and 4) parent experience of their role. Health care professionals identified two categories: 1) hospital admission as a continuous care process, and 2) undertaking improvements in the admission process. A common theme emerged about the importance of parents' trust in professionals in order to build a therapeutic relationship. Findings underscore the need for strategies to improve the hospital pediatric admission process based on a parent-professional relationship of trust and confidence through continuous quality communication and support. These strategies would include providing a nurse in charge of the admission process to assure continuity of care throughout the child's hospitalization.

  8. Electromagnetic radiation from VDT units: study of the effectiveness of an active shielding device.

    Science.gov (United States)

    Sisto, R; Casciardi, S; Giliberti, C; Moleti, A

    1999-01-01

    Measurements of extremely low frequency electromagnetic fields and low frequency magnetic fields emitted by a set of video display terminal (VDT) units are reported. The field values measured at the position normally occupied by the user are below the safety limits. This is because the field amplitudes decrease rapidly (following a 1/R3 law) with the distance from the source, as has been verified in this work. Measurements with a commercial shielding device consisting of small plastic balls filled with a water solution of rare earth elements were also performed. The only physical mechanism that could be hypothesized to produce an active suppression of the VDT field is that rare earth atoms, which probably were chosen due to their large magnetic moment, behave as oscillating magnetic dipoles capable of emitting a secondary magnetic field that, along some particular directions, has a phase that is opposite to that of the exciting field. Unfortunately, if one analyzes this mechanism quantitatively, it is easy to show that the secondary magnetic field is absolutely negligible, as was confirmed by experimental measurements performed in this study.

  9. A descriptive study of Cambodian refugee infant feeding practices in the United States

    Directory of Open Access Journals (Sweden)

    Labbok Miriam

    2008-01-01

    Full Text Available Abstract Background The purpose of this exploratory study was to examine Cambodian refugee mothers' infant feeding beliefs, practices, and decision making regarding infant feeding in the U.S. and to explore if a culturally-specific breastfeeding program is appropriate for this community. Methods A self-administered questionnaire and a 30 minute in-person interview were used to collect information from nine women. The audio-taped interviews were transcribed, answers compiled, and themes from each question identified. Results All participants practiced either traditional Cambodian diet (pregnancy and postpartum diet including, tnam sraa, herbs mixed with either wine or tea, traditional Cambodian rituals (like spung, amodified sauna or both, despite having lived in the U.S. for many years. All nine women initiated breastfeeding, however eight women introduced infant formula while in hospital. Perceived low milk supply and returning to work were the main reasons cited for partial breastfeeding and early cessation of breastfeeding. Conclusion While causes of initiation of other foods are similar to those found in the U.S. as a whole, a culturally-specific Cambodian breastfeeding support program may help overcome some breastfeeding problems reported by Cambodian refugee mothers who have immigrated to the United States.

  10. A study on endocrine changes in patients in intensive care unit.

    Science.gov (United States)

    Sahana, Pranab Kumar; Ghosh, Asutosh; Mukhopadhyay, Pradip; Pandit, Kaushik; Chowdhury, Bibek Roy; Chowdhury, Subhankar

    2008-06-01

    Pattern of endocrine changes in moderate to severely ill patients in a medical intensive care unit, correlation with the severity of illness and whether these changes can predict outcome of the critically ill patients were evaluated and studied in 80 patients admitted with acute physiology and chronic health evaluation (APACHE) II score >10 and without any pre-existing endocrinopathies or on drugs likely to affect the endocrine axis. Adrenal insufficiency was present in 45%, and mortality was higher in those with lower (30 microg/dl) serum cortisol. Sick euthyroid syndrome was detected in 80%, and those with low mean T3 (<0.6 ng/ml), free T4 (<0.89 ng/dl) and total T4 (<4 microg/dl) and had increased mortality. Hypotestosteronaemia was found in 92% of men and was significantly associated with severity of illness in men. Though prolactin is the first hormone to be elevated, there was no correlation between prolactin and severity of illness or mortality.

  11. Host and guest: an applied hermeneutic study of mental health nurses' practices on inpatient units.

    Science.gov (United States)

    McCaffrey, Graham

    2014-09-01

    The metaphor of host and guest has value for exploring the practice and role identity of nurses on inpatient mental health units. Two complementary texts, one from the ancient Zen record of Lin-chi, and the other from the contemporary hermeneutic philosopher Richard Kearney, are used to elaborate meanings of host and guest that can be applied to the situation of mental health nurses. In a doctoral study with a hermeneutic design, I addressed the topic of nurse-patient relationship using an interpretive framework that included sources from Buddhist thought. The positions of host and guest emerged from interviews with nurses as one interpretive theme to open up new understanding of the topic. The two texts, originally distant in era and culture, both employ the host and guest metaphor. They are applied to extracts from interviews to open up discussions of hierarchy, status, patients' perspectives, otherness and resistances as features of nurses' complex experience. These provide insights into understanding practice and suggest implications for how institutional environments shape practice. An intercultural reading of texts can provide a source of new understanding of nurse-patient relationships. © 2014 John Wiley & Sons Ltd.

  12. Studies of two lanthanide coordination polymers built up from dinuclear units

    Institute of Scientific and Technical Information of China (English)

    B.Benmerad; K.Aliouane; N.Rahahlia; A.Guehria-La(i)doudi; S.Dahaoui; C.Lecomtc

    2013-01-01

    The two three-dimensional oxo-bridged lanthanides {[Ln2 (C4H2O4)3 (H2O)4]· 3H2O}3x,with Ln=Ho3+ (1); Gd3-(2),are isomorphous.They have layer-type structures built up from non-centrosymmetric dinuclear unit Ln2O12(H2O)4,beside three lattice H2O molecules stabilizing the 3D open-framework.The building entities are linked through one classical syn-anti μ2-carboxylato-κ1O:κ1O' bridge.Within the bi-polyhedra,two double μ2-O'; K2O,O' bridges and a syn-syn classical one,support the magnetic measurements carried out on holmium compound indicating relatively weak anti-ferromagnetic interactions.The comparison with magnetic studies on the almost similar reported Gd(Ⅲ) compound,suggested that concomitant antiferromagnetic and ferromagnetic properties could not be excluded.The two distinct thermal behaviors evidenced the higher metal-water bond strength with the smaller cation,and revealed the great supramolecular effects generated by hydrogen-bonding patterns.

  13. The Association between Optimism and Serum Antioxidants in the Midlife in the United States Study

    Science.gov (United States)

    Boehm, Julia K.; Williams, David R.; Rimm, Eric B.; Ryff, Carol; Kubzansky, Laura D.

    2012-01-01

    Objective Psychological and physical health are often conceptualized as the absence of disease, but less research addresses positive psychological and physical functioning. For example, optimism has been linked with reduced disease risk and biological dysfunction, but very little research has examined associations with markers of healthy biological functioning. Thus, we investigated the association between two indicators of positive health: optimism and serum antioxidants. Methods The cross-sectional association between optimism and antioxidant concentrations was examined in 982 men and women from the Midlife in the United States study. Primary measures included self-reported optimism (assessed with the revised Life Orientation Test) and serum concentrations of nine different antioxidants (carotenoids and Vitamin E). Regression analyses examined the relationship between optimism and antioxidant concentrations in models adjusted for demographics, health status, and health behaviors. Results For every standard deviation increase in optimism, carotenoid concentrations increased by 3–13% in age-adjusted models. Controlling for demographic characteristics and health status attenuated this association. Fruit and vegetable consumption and smoking status were identified as potential pathways underlying the association between optimism and serum carotenoids. Optimism was not significantly associated with Vitamin E. Conclusions Optimism was associated with greater carotenoid concentrations and this association was partially explained by diet and smoking status. The direction of effects cannot be conclusively determined. Effects may be bidirectional given that optimists are likely to engage in health behaviors associated with more serum antioxidants, and more serum antioxidants are likely associated with better physical health that enhances optimism. PMID:23257932

  14. Misdescription of packaged foods: a case study from the United Arab Emirates.

    Science.gov (United States)

    Premanandh, J; Sabbagh, Aman; Maruthamuthu, M

    2013-01-01

    Food misdescription has become of paramount importance as consumers come into contact daily with a great variety of foods. The controversies surrounding genetically modified organism (GMO) labelling and malpractices in the food chain have forced regulatory authorities to authenticate food from production to consumption. This paper reports the results of a surveillance programme conducted in the United Arab Emirates (UAE) market to assess the status of food misdescription and authenticity. A DNA test was used to screen random samples of processed meat products bought from supermarkets in the UAE. A total of 246 samples were analysed from different geographical locations. The majority of samples showed a high standard of legal compliance, with over 95% confirmed for authenticity. However, 5% of samples were found to contain undeclared species. In conclusion, this study confirms the presence of undeclared food in the UAE market. Regular surveillance and monitoring programmes along with strict implementation of the Food and Adulteration Act may alleviate misdescription issues to a greater extent.

  15. A novel in vitro model to study pericytes in the neurovascular unit of the developing cortex.

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    Christoph M Zehendner

    Full Text Available Cortical function is impaired in various disorders of the central nervous system including Alzheimer's disease, autism and schizophrenia. Some of these disorders are speculated to be associated with insults in early brain development. Pericytes have been shown to regulate neurovascular integrity in development, health and disease. Hence, precisely controlled mechanisms must have evolved in evolution to operate pericyte proliferation, repair and cell fate within the neurovascular unit (NVU. It is well established that pericyte deficiency leads to NVU injury resulting in cognitive decline and neuroinflammation in cortical layers. However, little is known about the role of pericytes in pathophysiological processes of the developing cortex. Here we introduce an in vitro model that enables to precisely study pericytes in the immature cortex and show that moderate inflammation and hypoxia result in caspase-3 mediated pericyte loss. Using heterozygous EYFP-NG2 mouse mutants we performed live imaging of pericytes for several days in vitro. In addition we show that pericytes maintain their capacity to proliferate which may allow cell-based therapies like reprogramming of pericytes into induced neuronal cells in the presented approach.

  16. A novel in vitro model to study pericytes in the neurovascular unit of the developing cortex.

    Science.gov (United States)

    Zehendner, Christoph M; Wedler, Hannah E; Luhmann, Heiko J

    2013-01-01

    Cortical function is impaired in various disorders of the central nervous system including Alzheimer's disease, autism and schizophrenia. Some of these disorders are speculated to be associated with insults in early brain development. Pericytes have been shown to regulate neurovascular integrity in development, health and disease. Hence, precisely controlled mechanisms must have evolved in evolution to operate pericyte proliferation, repair and cell fate within the neurovascular unit (NVU). It is well established that pericyte deficiency leads to NVU injury resulting in cognitive decline and neuroinflammation in cortical layers. However, little is known about the role of pericytes in pathophysiological processes of the developing cortex. Here we introduce an in vitro model that enables to precisely study pericytes in the immature cortex and show that moderate inflammation and hypoxia result in caspase-3 mediated pericyte loss. Using heterozygous EYFP-NG2 mouse mutants we performed live imaging of pericytes for several days in vitro. In addition we show that pericytes maintain their capacity to proliferate which may allow cell-based therapies like reprogramming of pericytes into induced neuronal cells in the presented approach.

  17. Perception of colour in French and Russian linguistic cultures: a study based on phraseological units

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    Жанна Вячеславовна Кургузенкова

    2014-12-01

    Full Text Available This paper analyzes the cultural connotations of different colours in French and Russian linguistic culture. It focuses on phraseological units of the colours “red”, “white”, “black” and “green”.

  18. UV imaging of Multiple Unit Pellet System (MUPS) tablets: A case study of acetylsalicylic acid stability

    DEFF Research Database (Denmark)

    Novikova, Anna; Carstensen, Jens Michael; Rades, Thomas

    2017-01-01

    The applicability of multispectral ultraviolet (UV) imaging in combination with multivariate image analysis was investigated to monitor API degradation within multiple unit pellet system (MUPS) tablets during storage. For this purpose, acetylsalicylic acid (ASA) layered pellets were coated...

  19. Hospital mortality of adults admitted to Intensive Care Units in hospitals with and without Intermediate Care Units: a multicentre European cohort study.

    Science.gov (United States)

    Capuzzo, Maurizia; Volta, Carlo; Tassinati, Tania; Moreno, Rui; Valentin, Andreas; Guidet, Bertrand; Iapichino, Gaetano; Martin, Claude; Perneger, Thomas; Combescure, Christophe; Poncet, Antoine; Rhodes, Andrew

    2014-10-09

    The aim of the study was to assess whether adults admitted to hospitals with both Intensive Care Units (ICU) and Intermediate Care Units (IMCU) have lower in-hospital mortality than those admitted to ICUs without an IMCU. An observational multinational cohort study performed on patients admitted to participating ICUs during a four-week period. IMCU was defined as any physically and administratively independent unit open 24 hours a day, seven days a week providing a level of care lower than an ICU but higher than a ward. Characteristics of hospitals, ICUs and patients admitted to study ICUs were recorded. The main outcome was all-cause in-hospital mortality until hospital discharge (censored at 90 days). One hundred and sixty-seven ICUs from 17 European countries enrolled 5,834 patients. Overall, 1,113 (19.1%) patients died in the ICU and 1,397 died in hospital, with a total of 1,397 (23.9%) deaths. The illness severity was higher for patients in ICUs with an IMCU (median Simplified Acute Physiology Score (SAPS) II: 37) than for patients in ICUs without an IMCU (median SAPS II: 29, P hospital characteristics, the odds ratio of mortality was 0.63 (95% CI 0.45 to 0.88, P = 0.007) in favour of the presence of IMCU. The protective effect of the IMCU was absent in patients who were admitted for basic observation, for example, after surgery (odds ratio 1.15, 95% CI 0.65 to 2.03, P = 0.630) but was strong in patients admitted to an ICU for other reasons (odds ratio 0.54, 95% CI 0.37 to 0.80, P = 0.002). The presence of an IMCU in the hospital is associated with significantly reduced adjusted hospital mortality for adults admitted to the ICU. This effect is relevant for the patients requiring full intensive treatment. Clinicaltrials.gov NCT01422070. Registered 19 August 2011.

  20. A comparative study of clinical supervision in the Republic of Ireland and the United States.

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    Ellis, Michael V; Creaner, Mary; Hutman, Heidi; Timulak, Ladislav

    2015-10-01

    We replicated Son, Ellis, and Yoo (2013) and extended Ellis et al.'s (2014) taxonomy of harmful and inadequate supervision by providing and testing cross-national comparative descriptive data about clinical supervision practices in the Republic of Ireland versus the United States. Participants were 149 Republic of Ireland and 151 U.S. mental health supervisees currently receiving clinical supervision. The results suggested that characteristics of supervision in the Republic of Ireland and United States evidenced both similarities and differences. The dissimilar credentialing systems appeared to account for the observed differences, suggesting that Ellis et al.'s (2014) criteria for inadequate supervision need to be modified to account for country-specific standards for supervision. Unexpectedly, no significant differences were observed between the Republic of Ireland and United States in the high occurrence of inadequate, harmful, or exceptional supervision. The results suggested that 79.2% (Republic of Ireland) and 69.5% (United States) of the supervisees were categorized as currently receiving inadequate supervision, and 40.3% (Republic of Ireland) and 25.2% (United States) of the supervisees as receiving harmful supervision. At some point in their careers, 92.4% (Republic of Ireland) and 86.4% (United States) of the supervisees received inadequate supervision--51.7% (Republic of Ireland) and 39.7% (United States) received harmful supervision. On the positive side, 51.0% (Republic of Ireland) and 55.0% (United States) of the supervisees reported receiving exceptional supervision from their current supervisors. Substantial discrepancies were observed between supervisees' perceptions versus more objective criteria of the inadequate or harmful supervision they received. Implications for cross-national supervision research and training are discussed.

  1. Groundwater-quality data in the northern Coast Ranges study unit, 2009: Results from the California GAMA Program

    Science.gov (United States)

    Mathany, Timothy M.; Dawson, Barbara J.; Shelton, Jennifer L.; Belitz, Kenneth

    2011-01-01

    Groundwater quality in the 633-square-mile Northern Coast Ranges (NOCO) study unit was investigated by the U.S. Geological Survey (USGS) from June to November 2009, as part of the California State Water Resources Control Board (SWRCB) Groundwater Ambient Monitoring and Assessment (GAMA) Program's Priority Basin Project (PBP) and the U.S. Geological Survey National Water-Quality Assessment Program (NAWQA). The GAMA-PBP was developed in response to the California Groundwater Quality Monitoring Act of 2001 and is being conducted in collaboration with the SWRCB and Lawrence Livermore National Laboratory (LLNL). The NOCO study unit was the thirtieth study unit to be sampled as part of the GAMA-PBP.

  2. Work with visual display units and musculoskeletal disorders: A cross-sectional study

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    Matteo Riccò

    2016-12-01

    Full Text Available Background: Epidemiological studies have shown that employees working with visual display units (VDU are more likely to complain about musculoskeletal disorders (MSDs. The aim of this study has been to evaluate associations among MSDs and individuals and work-related factors. Material and Methods: A total of 1032 VDU workers were assessed about their personal (i.e., age, working history, smoking history, physical activity and work-related factors (i.e., predominant job tasks performed, work posture. Work environment was evaluated regarding fulfillment of the standard ISO 9241-5:1998. The investigation required a direct observation of participants (in order to accurately assess the prevalence of MSDs and workstations. Adjusted odds ratios (ORa were calculated by means of the logistic regression model. Results: Prevalence of MSDs was relatively high (53%. In general, MSDs were significantly associated with female sex (OR = 2.832, 95% confidence interval (CI: 2.178–3.683, age ≥ 50 years old (OR = 2.231, 95% CI: 1.236–4.026, longer exposure to VDU, both as working history (10–14 years: OR = 1.934, 95% CI: 1.301–2.875; ≥ 15 years: OR = 2.223, 95% CI: 1.510–3.271 and working time (30–39 h/week: OR = 1.537, 95% CI: 1.087–2.273. Inappropriate workstation design was confirmed by the multivariate analysis as a risk factor for MSDs (ORa = 2.375, 95% CI: 1.124–5.018. Conclusions: Musculoskeletal disorders were significantly associated with individual factors as well as characteristics of work environment. An appropriate design of workstations may significantly reduce their prevalence amongst VDU workers. Med Pr 2016;67(6:707–719

  3. Work with visual display units and musculoskeletal disorders: A cross-sectional study.

    Science.gov (United States)

    Riccò, Matteo; Cattani, Silvia; Gualerzi, Giovanni; Signorelli, Carlo

    2016-12-22

    Epidemiological studies have shown that employees working with visual display units (VDU) are more likely to complain about musculoskeletal disorders (MSDs). The aim of this study has been to evaluate associations among MSDs and individuals and work-related factors. A total of 1032 VDU workers were assessed about their personal (i.e., age, working history, smoking history, physical activity) and work-related factors (i.e., predominant job tasks performed, work posture). Work environment was evaluated regarding fulfillment of the standard ISO 9241-5:1998. The investigation required a direct observation of participants (in order to accurately assess the prevalence of MSDs) and workstations. Adjusted odds ratios (ORa) were calculated by means of the logistic regression model. Prevalence of MSDs was relatively high (53%). In general, MSDs were significantly associated with female sex (OR = 2.832, 95% confidence interval (CI): 2.178-3.683), age ≥ 50 years old (OR = 2.231, 95% CI: 1.236-4.026), longer exposure to VDU, both as working history (10-14 years: OR = 1.934, 95% CI: 1.301-2.875; ≥ 15 years: OR = 2.223, 95% CI: 1.510-3.271) and working time (30-39 h/week: OR = 1.537, 95% CI: 1.087-2.273). Inappropriate workstation design was confirmed by the multivariate analysis as a risk factor for MSDs (ORa = 2.375, 95% CI: 1.124-5.018). Musculoskeletal disorders were significantly associated with individual factors as well as characteristics of work environment. An appropriate design of workstations may significantly reduce their prevalence amongst VDU workers. Med Pr 2016;67(6):707-719.

  4. Reflections of physiotherapy students in the United Arab Emirates during their clinical placements: A qualitative study

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    Al-Shamlan Amal

    2005-01-01

    Full Text Available Abstract Background Although Western models of education are being used to establish health professional programs in non-Western countries, little is known about how students in these countries perceive their learning experiences. The purpose of this qualitative study was to describe the reflections of physiotherapy students from a Middle East culture during their clinical placements and to compare them to reflections of physiotherapy students from a Western culture. Methods Subjects were six senior students (3 females, 3 males, mean age 22.6 years and 15 junior, female students (mean age 20.1 years in the baccalaureate physiotherapy program at a university in the United Arab Emirates (UAE. They wrote weekly entries in a journal while in their clinical placements. They described an event, their reaction to it, and how it might affect their future behavior. Two evaluators independently read and coded the content of all the journals, and then worked together to categorize the data and develop themes. A third evaluator, an UAE national, independently read the journals to validate the content analysis. A feedback session with students was used to further validate the data interpretation. The themes were compared to those derived from a similar study of Canadian physiotherapy students. Results The content of the students' reflections were grouped into 4 themes: professional behavior, awareness of learning, self-development and shift to a patient orientation, and identification and analysis of ethical issues. Although the events were different, students from the UAE considered many of the same issues reflected on by Canadian students. Conclusion Physiotherapy students from a Middle East culture consider many of the same issues as students from a Western culture when asked to reflect on their clinical experience. They reflect on their personal growth, on how they learn in a clinical setting, and on the ethical and professional behaviors of themselves

  5. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses.

    Science.gov (United States)

    Mealer, Meredith; Jones, Jacqueline; Moss, Marc

    2012-09-01

    Intensive care unit (ICU) nurses are at increased risk of developing psychological problems including posttraumatic stress disorder (PTSD). However, there are resilient individuals who thrive and remain employed as ICU nurses for many years. The purpose of this study was to identify mechanisms employed by highly resilient ICU nurses to develop preventative therapies to obviate the development of PTSD in ICU nurses. Qualitative study using semi-structured telephone interviews with randomly selected ICU nurses in the USA. Purposive sampling was used to identify ICU nurses who were highly resilient, based on the Connor-Davidson Resilience Scale and those with a diagnosis of PTSD, based on the posttraumatic diagnostic scale. New interviews were conducted until we reached thematic saturation. Thirteen highly resilient nurses and fourteen nurses with PTSD were interviewed (n = 27). A constructivist epistemological framework was used for data analysis. Differences were identified in four major domains: worldview, social network, cognitive flexibility, and self-care/balance. Highly resilient nurses identified spirituality, a supportive social network, optimism, and having a resilient role model as characteristics used to cope with stress in their work environment. ICU nurses with a diagnosis of PTSD possessed several unhealthy characteristics including a poor social network, lack of identification with a role model, disruptive thoughts, regret, and lost optimism. Highly resilient ICU nurses utilize positive coping skills and psychological characteristics that allow them to continue working in the stressful ICU environment. These characteristics and skills may be used to develop target therapies to prevent PTSD in ICU nurses.

  6. Epidemiology of acute kidney injury in Hungarian intensive care units: a multicenter, prospective, observational study

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    Bencsik Gabor

    2011-09-01

    Full Text Available Abstract Background Despite the substantial progress in the quality of critical care, the incidence and mortality of acute kidney injury (AKI continues to rise during hospital admissions. We conducted a national, multicenter, prospective, epidemiological survey to evaluate the importance of AKI in intensive care units (ICUs in Hungary. The objectives of this study were to determine the incidence of AKI in ICU patients; to characterize the differences in aetiology, illness severity and clinical practice; and to determine the influencing factors of the development of AKI and the patients' outcomes. Methods We analysed the demographic, morbidity, treatment modality and outcome data of patients (n = 459 admitted to ICUs between October 1st, 2009 and November 30th, 2009 using a prospectively filled in electronic survey form in 7 representative ICUs. Results The major reason for ICU admission was surgical in 64.3% of patients and medical in the remaining 35.7%. One-hundred-twelve patients (24.4% had AKI. By AKIN criteria 11.5% had Stage 1, 5.4% had Stage 2 and 7.4% had Stage 3. In 44.0% of patients, AKI was associated with septic shock. Vasopressor treatment, SAPS II score, serum creatinine on ICU admission and sepsis were the independent risk factors for development of any stage of AKI. Among the Stage 3 patients (34 50% received renal replacement therapy. The overall utilization of intermittent renal replacement therapy was high (64.8%. The overall in-hospital mortality rate of AKI was 49% (55/112. The ICU mortality rate was 39.3% (44/112. The independent risk factors for ICU mortality were age, mechanical ventilation, SOFA score and AKI Stage 3. Conclusions For the first time we have established the incidence of AKI using the AKIN criteria in Hungarian ICUs. Results of the present study confirm that AKI has a high incidence and is associated with high ICU and in-hospital mortality.

  7. Air pollution and heat exposure study in the workplace in a glass manufacturing unit in India.

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    Bhanarkar, A D; Srivastava, A; Joseph, A E; Kumar, Rakesh

    2005-10-01

    Air pollution in the workplace environment due to industrial operation have been found to cause serious occupational health hazard. Similarly, heat stress is still most neglected occupational hazard in the tropical and subtropical countries like India. The hot climate augments the heat exposure close to sources like furnaces. In this study an attempt is made to assess air pollution and heat exposure levels to workers in the workplace environment in glass manufacturing unit located in the State of Gujarat, India. Samples for workplace air quality were collected for SPM, SO(2), NO(2) and CO(2) at eight locations. Results of workplace air quality showed 8-hourly average concentrations of SPM: 165-9118 microg/m(3), SO(2): 6-9 microg/m(3) and NO(2): 5-42 microg/m(3), which were below the threshold limit values of workplace environment. The level of CO(2) in workplace air of the plant was found to be in the range 827-2886 microg/m(3), which was below TLV but much higher than the normal concentration for CO(2) in the air (585 mg/m(3)). Indoor heat exposure was studied near the furnace and at various locations in an industrial complex for glass manufacturing. The heat exposure parameters including the air temperature, the wet bulb temperature, and the globe parameters were measured. The Wet Bulb Globe Temperature (WBGT), an indicator of heat, exceeded ACGIH TLVs limits most of the time at all the locations in workplace areas. The recommended duration of work and rest have also been estimated.

  8. Hyperglycemia is a predictor of prognosis in traumatic brain injury: Tertiary intensive care unit study

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    Berna Terzioglu

    2015-01-01

    Full Text Available Background: Hyperglycemia is frequently encountered in critically ill patients and has been shown to contribute to both morbidity and mortality. We aimed to study the predictive role of blood glucose level in clinical outcomes of mechanically ventilated patients with traumatic brain injury during intensive care unit (ICU stay and to explore its relationship with Glasgow coma scale (GCS and acute physiology and chronic health examination (APACHE II scores that are used in the evaluation of ICU patients as predictor. Materials and Methods: A total of 185 patients with craniocerebral trauma who were hospitalized in the ICU were included in the study. Comparisons of mean glucose values (MGVs and APACHE II scores between survivors and nonsurvivors were made with Student′s t-test and chi-square test. Survival analysis was performed with log rank (Mantel-Cox test and Cox regression was used for mortality risk factors analysis. Results: MGVs at the initial, last, and all measurements were significantly higher for nonsurvivors than for survivors. Hazard rate at any given time point for patients with mean glucose value (MGV between 150 and 179 was found to be 3.691 times that of patients with MGV values between 110 and 149. The hazard rate at any given time point for patients with MGV values ≥180 was found to be 6.571 times that of patients with MGV values between 110 and 149. Conclusion: High glucose level is an independent risk factor for mortality in mechanically ventilated ICU patients with traumatic brain injury.

  9. Population structure of Hispanics in the United States: the multi-ethnic study of atherosclerosis.

    Science.gov (United States)

    Manichaikul, Ani; Palmas, Walter; Rodriguez, Carlos J; Peralta, Carmen A; Divers, Jasmin; Guo, Xiuqing; Chen, Wei-Min; Wong, Quenna; Williams, Kayleen; Kerr, Kathleen F; Taylor, Kent D; Tsai, Michael Y; Goodarzi, Mark O; Sale, Michèle M; Diez-Roux, Ana V; Rich, Stephen S; Rotter, Jerome I; Mychaleckyj, Josyf C

    2012-01-01

    Using ~60,000 SNPs selected for minimal linkage disequilibrium, we perform population structure analysis of 1,374 unrelated Hispanic individuals from the Multi-Ethnic Study of Atherosclerosis (MESA), with self-identification corresponding to Central America (n = 93), Cuba (n = 50), the Dominican Republic (n = 203), Mexico (n = 708), Puerto Rico (n = 192), and South America (n = 111). By projection of principal components (PCs) of ancestry to samples from the HapMap phase III and the Human Genome Diversity Panel (HGDP), we show the first two PCs quantify the Caucasian, African, and Native American origins, while the third and fourth PCs bring out an axis that aligns with known South-to-North geographic location of HGDP Native American samples and further separates MESA Mexican versus Central/South American samples along the same axis. Using k-means clustering computed from the first four PCs, we define four subgroups of the MESA Hispanic cohort that show close agreement with self-identification, labeling the clusters as primarily Dominican/Cuban, Mexican, Central/South American, and Puerto Rican. To demonstrate our recommendations for genetic analysis in the MESA Hispanic cohort, we present pooled and stratified association analysis of triglycerides for selected SNPs in the LPL and TRIB1 gene regions, previously reported in GWAS of triglycerides in Caucasians but as yet unconfirmed in Hispanic populations. We report statistically significant evidence for genetic association in both genes, and we further demonstrate the importance of considering population substructure and genetic heterogeneity in genetic association studies performed in the United States Hispanic population.

  10. Population structure of Hispanics in the United States: the multi-ethnic study of atherosclerosis.

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    Ani Manichaikul

    Full Text Available Using ~60,000 SNPs selected for minimal linkage disequilibrium, we perform population structure analysis of 1,374 unrelated Hispanic individuals from the Multi-Ethnic Study of Atherosclerosis (MESA, with self-identification corresponding to Central America (n = 93, Cuba (n = 50, the Dominican Republic (n = 203, Mexico (n = 708, Puerto Rico (n = 192, and South America (n = 111. By projection of principal components (PCs of ancestry to samples from the HapMap phase III and the Human Genome Diversity Panel (HGDP, we show the first two PCs quantify the Caucasian, African, and Native American origins, while the third and fourth PCs bring out an axis that aligns with known South-to-North geographic location of HGDP Native American samples and further separates MESA Mexican versus Central/South American samples along the same axis. Using k-means clustering computed from the first four PCs, we define four subgroups of the MESA Hispanic cohort that show close agreement with self-identification, labeling the clusters as primarily Dominican/Cuban, Mexican, Central/South American, and Puerto Rican. To demonstrate our recommendations for genetic analysis in the MESA Hispanic cohort, we present pooled and stratified association analysis of triglycerides for selected SNPs in the LPL and TRIB1 gene regions, previously reported in GWAS of triglycerides in Caucasians but as yet unconfirmed in Hispanic populations. We report statistically significant evidence for genetic association in both genes, and we further demonstrate the importance of considering population substructure and genetic heterogeneity in genetic association studies performed in the United States Hispanic population.

  11. Law enforcement duties and sudden cardiac death among police officers in United States: case distribution study.

    Science.gov (United States)

    Varvarigou, Vasileia; Farioli, Andrea; Korre, Maria; Sato, Sho; Dahabreh, Issa J; Kales, Stefanos N

    2014-11-18

    To assess the association between risk of sudden cardiac death and stressful law enforcement duties compared with routine/non-emergency duties. Case distribution study (case series with survey information on referent exposures). United States law enforcement. Summaries of deaths of over 4500 US police officers provided by the National Law Enforcement Officers Memorial Fund and the Officer Down Memorial Page from 1984 to 2010. Observed and expected sudden cardiac death counts and relative risks for sudden cardiac death events during specific strenuous duties versus routine/non-emergency activities. Independent estimates of the proportion of time that police officers spend across various law enforcement duties obtained from surveys of police chiefs and front line officers. Impact of varying exposure assessments, covariates, and missing cases in sensitivity and stability analyses. 441 sudden cardiac deaths were observed during the study period. Sudden cardiac death was associated with restraints/altercations (25%, n=108), physical training (20%, n=88), pursuits of suspects (12%, n=53), medical/rescue operations (8%, n=34), routine duties (23%, n=101), and other activities (11%, n=57). Compared with routine/non-emergency activities, the risk of sudden cardiac death was 34-69 times higher during restraints/altercations, 32-51 times higher during pursuits, 20-23 times higher during physical training, and 6-9 times higher during medical/rescue operations. Results were robust to all sensitivity and stability analyses. Stressful law enforcement duties are associated with a risk of sudden cardiac death that is markedly higher than the risk during routine/non-emergency duties. Restraints/altercations and pursuits are associated with the greatest risk. Our findings have public health implications and suggest that primary and secondary cardiovascular prevention efforts are needed among law enforcement officers. © Varvarigou et al 2014.

  12. A modeling study of notch noise responses of type III units in the gerbil dorsal cochlear nucleus.

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    Zheng, Xiaohan; Voigt, Herbert F

    2006-12-01

    A computational model of the neural circuitry of the gerbil dorsal cochlear nucleus (DCN), based on the MacGregor's neuromime model, was used to simulate type III unit (P-cell) responses to notch noise stimuli. The DCN patch model is based on a previous computational model of the cat DCN [Hancock, K. E., and H. F. Voigt. Ann. Biomed. Eng. 27:73-87, 1999]. According to the experimental study of Parsons et al. [Ann. Biomed. Eng. 29:887-896, 2001], the responses of gerbil DCN type III units to notch noise stimuli are similar to those of cat DCN type IV units, which are thought to be spectral notch detectors. This suggests that type III units in the gerbil DCN may serve as spectral notch detectors. In this modeling study, a simplified notch noise response plot--spike discharge rate vs. notch cutoff frequency plot--was used to compare model responses to the experimental results. Parameter estimation and sensitivity analysis of three connection parameters within the DCN patch have been studied and shows the model is robust, providing reasonable fits to the experimental data from 14 of 15 type III units examined.

  13. Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

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    Jitendra Sharma

    2017-01-01

    Full Text Available Background: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. Aims and Objective: To study and determine the prevalence and factors associated with stress hyperglycemia. Materials and Methods: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category was collected. Hematological and other parameters based on profile of study population were also analyzed. Results: Out of 536 patients, 109 (20.33% had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23% patients had glycated hemoglobin (HbA1c <5.7% and 22 (4.10% patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS, 17.24% in chronic kidney disease (CKD, 12.64% in central nervous system (CNS infection, 8.05% in chronic liver disease (CLD, and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036. Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029, CKD patients (P = 0.0036, CLD (P = 0.0099, and MODS patients (P = 0.0328. Conclusions: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion.

  14. Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

    Science.gov (United States)

    Sharma, Jitendra; Chittawar, Sachin; Maniram, Ram Singh; Dubey, T. N.; Singh, Ambrish

    2017-01-01

    Background: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. Aims and Objective: To study and determine the prevalence and factors associated with stress hyperglycemia. Materials and Methods: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU) at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category) was collected. Hematological and other parameters based on profile of study population were also analyzed. Results: Out of 536 patients, 109 (20.33%) had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23%) patients had glycated hemoglobin (HbA1c) <5.7% and 22 (4.10%) patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS), 17.24% in chronic kidney disease (CKD), 12.64% in central nervous system (CNS) infection, 8.05% in chronic liver disease (CLD), and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036). Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029), CKD patients (P = 0.0036), CLD (P = 0.0099), and MODS patients (P = 0.0328). Conclusions: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion. PMID:28217513

  15. STUDY OF VENTILATOR ASSOCIATED PNEUMONIA IN NEONATAL INTESIVE CARE UNIT: CHARACTERISTICS, RISK FACTORS AND OUTCOME

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    Dr. Shalini Tripathi

    2010-01-01

    Full Text Available Ventilator Associated Pneumonia (VAP, the nosocomial pneumonia developing in mechanically ventilated patients after 48 hours of mechanical ventilation, is the second most common nosocomial infection. Therefore, there is a vital need to study the etiology and risk factors associated with VAP in neonates. Neonates admitted to neonatal intensive care unit (NICU, over a period of 1 year and who required mechanical ventilation for more than 48 hours were enrolled consecutively into the study. Diagnosis of VAP was made by the guidelines given by National Nosocomial infection Surveillance System (NNIS, 1996. Semi-quantitative assay of endotracheal aspirate was used for microbiological diagnoses of VAP. 105CFU/ml was taken as the cut off between evidence of pathological infection and colonization. The risk factors such as birth weight, prematurity (gestational age < 37 weeks, duration of mechanical ventilation, number of reintubations, length of hospital stay, primary diagnosis of neonate, postnatal age and small for gestational age (SGA were studied for the development of VAP. Risk factors found significant on bivariate analysis were subjected to multiple regression analysis to determine the most important predictors of VAP. The study group comprised of 98 neonates out of which, 30 neonates developed VAP (30.6%. VAP rates were 37.2 per 1000 days of mechanical ventilation. Most common bacterial isolated from endotracheal aspirate of VAP patients was Klebsiella spp (32.8%, E.coli (23.2% and Acinetobacter (17.8% being the other two common organisms. Very low birth weight (< 1500 grams, prematurity (gestational age < 37 week, duration of mechanical ventilation, number of reintubations and length of NICU stay were significantly associated with VAP in bivariate analysis. Multiple regression analysis revealed that duration of mechanical ventilation (OR 1.10, 95% CI 1.02, 1.21; P = 0.021 and very low birth weight (OR 3.88, 95% CI 1.05, 14.34; P = 0.042 were

  16. Admissions to acute adolescent psychiatric units: a prospective study of clinical severity and outcome

    Directory of Open Access Journals (Sweden)

    Jensen Gunnar

    2011-01-01

    Full Text Available Abstract Background Several countries have established or are planning acute psychiatric in-patient services that accept around-the-clock emergency admission of adolescents. Our aim was to investigate the characteristics and clinical outcomes of a cohort of patients at four Norwegian units. Methods We used a prospective pre-post observational design. Four units implemented a clinician-rated outcome measure, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA, which measures mental health problems and their severity. We collected also data about the diagnoses, suicidal problems, family situations, and the involvement of the Child Protection Service. Predictions of outcome (change in HoNOSCA total score were analysed with a regression model. Results The sample comprised 192 adolescents admitted during one year (response rate 87%. Mean age was 15.7 years (range 10-18 and 70% were girls. Fifty-eight per cent had suicidal problems at intake and the mean intake HoNOSCA total score was 18.5 (SD 6.4. The largest groups of main diagnostic conditions were affective (28% and externalizing (26% disorders. Diagnoses and other patient characteristics at intake did not differ between units. Clinical psychiatric disorders and developmental disorders were associated with severity (on HoNOSCA at intake but not with outcome. Of adolescents ≥ 16 years, 33% were compulsorily admitted. Median length of stay was 8.5 days and 75% of patients stayed less than a month. Compulsory admissions and length of stay varied between units. Mean change (improvement in the HoNOSCA total score was 5.1 (SD 6.2, with considerable variation between units. Mean discharge score was close to the often-reported outpatient level, and self-injury and emotional symptoms were the most reduced symptoms during the stay. In a regression model, unit, high HoNOSCA total score at intake, or involvement of the Child Protection Service predicted improvement during admission

  17. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India.

    Science.gov (United States)

    Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar

    2015-01-01

    Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Fisher's two-tailed t-test. Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  18. Teaching poetry: a descriptive case study of a poetry unit in a classroom of urban deaf adolescents.

    Science.gov (United States)

    Arenson, Rebecca; Kretschmer, Robert E

    2010-01-01

    A qualitative study was conducted that reflected an analysis of a 6-week poetry unit in a language arts classroom of 6th and 8th graders at a school for the deaf in a large city in the northeastern United States. The school served a large population of children of poverty who were of Latino and African American descent. The study was guided by 4 research questions: (a) Would students benefit from having American Sign Language (ASL) poetry as a part of the unit? (b) Would teachers' signing of poems increase students' understanding of the poems? (c) Could students analyze the meaning of poems independently? (d) Would students view writing poetry as a vehicle for expressing their feelings and ideas through themes that were important to them? The evidence provided support for affirmative answers to questions a, b, and d.

  19. Assessment and mapping of slope stability based on slope units: A case study in Yan’an, China

    Indian Academy of Sciences (India)

    Jianqi Zhuang; Jianbing Peng; Yonglong Xu; Qiang Xu; Xinghua Zhu; Wei Li

    2016-10-01

    Precipitation frequently triggers shallow landslides in the Loess Plateau of Shaanxi, China, resulting in loss of life, damage to gas and oil routes, and destruction of transport infrastructure and farmland. To assess the possibility of shallow landslides at different precipitation levels, a method to draw slope units and steepest slope profiles based on ARCtools and a new method for calculating slope stability areproposed. The methods were implemented in a case study conducted in Yan’an, north-west China. High resolution DEM (Digital Elevation Model) images, soil parameters from in-situ laboratory measurements and maximum depths of precipitation infiltration were used as input parameters in the method. Next,DEM and reverse DEM were employed to map 2146 slope units in the study area, based on which the steepest profiles of the slope units were constructed. Combining analysis of the water content of loess, strength of the sliding surface, its response to precipitation and the infinite slope stability equation, a newequation to calculate infinite slope stability is proposed to assess shallow landslide stability. The slope unit stability was calculated using the equation at 10-, 20-, 50- and 100-year return periods of antecedent effective precipitation. The number of slope units experiencing failure increased in response to increasing effective antecedent rainfall. These results were validated based on the occurrence of landslides in recent decades. Finally, the applicability and limitations of the model are discussed.

  20. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan.

    Science.gov (United States)

    Lin, Tzu-Ching; Lin, Huey-Shyan; Cheng, Su-Fen; Wu, Li-Min; Ou-Yang, Mei-Chen

    2016-04-01

    This study aimed to examine the relationship between work stress and depression; and investigate the mediating effect of occupational burnout among nurses in paediatric intensive care units. The relationships among work stress, occupational burnout and depression level have been explored, neither regarding occupational burnout as the mediating role that causes work stress to induce depression nor considering the paediatric intensive care unit context. A cross-sectional correlational design was conducted. One hundred and forty-four female paediatric intensive care unit nurses from seven teaching hospitals in southern Taiwan were recruited as the participants. Data were collected by structured questionnaires including individual demographics, the Nurse Stress Checklist, the Occupational Burnout Inventory and the Taiwan Depression Questionnaire. The results indicated that after controlling for individual demographic variables, the correlations of work stress with occupational burnout, as well as work stress and occupational burnout with depression level were all positive. Furthermore, occupational burnout may exert a partial mediating effect on the relationship between work stress and depression level. This study provides information about work stress, occupational burnout and depression level, and their correlations, as well as the mediating role of occupational burnout among paediatric intensive care unit nurses. It suggests government departments and hospital administrators when formulating interventions to prevent work stress and occupational burnout. These interventions can subsequently prevent episodes of depression in paediatric intensive care unit nurses, thereby providing patients with a safe and high-quality nursing environment. © 2016 John Wiley & Sons Ltd.

  1. Study on Improvement of Accuracy in Inertial Photogrammetry by Combining Images with Inertial Measurement Unit

    Science.gov (United States)

    Kawasaki, Hideaki; Anzai, Shojiro; Koizumi, Toshio

    2016-06-01

    Inertial photogrammetry is defined as photogrammetry that involves using a camera on which an inertial measurement unit (IMU) is mounted. In inertial photogrammetry, the position and inclination of a shooting camera are calculated using the IMU. An IMU is characterized by error growth caused by time accumulation because acceleration is integrated with respect to time. This study examines the procedure to estimate the position of the camera accurately while shooting using the IMU and the structure from motion (SfM) technology, which is applied in many fields, such as computer vision. When neither the coordinates of the position of the camera nor those of feature points are known, SfM provides a similar positional relationship between the position of the camera and feature points. Therefore, the actual length of positional coordinates is not determined. If the actual length of the position of the camera is unknown, the camera acceleration is obtained by calculating the second order differential of the position of the camera, with respect to the shooting time. The authors had determined the actual length by assigning the position of IMU to the SfM-calculated position. Hence, accuracy decreased because of the error growth, which was the characteristic feature of IMU. In order to solve this problem, a new calculation method was proposed. Using this method, the difference between the IMU-calculated acceleration and the camera-calculated acceleration can be obtained using the method of least squares, and the magnification required for calculating the actual dimension from the position of the camera can be obtained. The actual length can be calculated by multiplying all the SfM point groups by the obtained magnification factor. This calculation method suppresses the error growth, which is due to the time accumulation in IMU, and improves the accuracy of inertial photogrammetry.

  2. Determinants of mortality for adults with cystic fibrosis admitted in Intensive Care Unit: a multicenter study

    Directory of Open Access Journals (Sweden)

    Rabbat Antoine

    2006-01-01

    Full Text Available Abstract Background Intensive care unit (ICU admission of adults with cystic fibrosis (CF is controversial because of poor outcome. This appraisal needs re-evaluation following recent changes in both CF management and ICU daily practice. Objectives were to determine long-term outcome of adults with CF admitted in ICU and to identify prognostic factors. Methods Retrospective multicenter study of 60 ICU hospitalizations for 42 adult CF patients admitted between 2000 and 2003. Reason for ICU admission, ventilatory support provided and one-year survival were recorded. Multiple logistic analysis was used to determine predictors of mortality. Results Prior to ICU admission, all patients (mean age 28.1 ± 8 yr had a severe lung disease (mean FEV1 28 ± 12% predicted; mean PaCO2 47 ± 9 mmHg. Main reason for ICU hospitalization was pulmonary infective exacerbation (40/60. At admission, noninvasive ventilation was used in 57% of cases and was successful in 67% of patients. Endotracheal intubation was implemented in 19 episodes. Overall ICU mortality rate was 14%. One year after ICU discharge, 10 of the 28 survivors have been lung transplanted. Among recognized markers of CF disease severity, only the annual FEV1 loss was associated with a poor outcome (HR = 1.47 [1.18–1.85], p = 0.001. SAPSII (HR = 1.08 [1.03–1.12], p Conclusion Despite advanced lung disease, adult patients with CF admitted in ICU have high survival rate. Endotracheal intubation is associated with a poor prognosis and should be used as the last alternative. Although efforts have to be made in selecting patients with CF likely to benefit from ICU resources, ICU admission of these patients should be considered.

  3. Eczema and sensitization to common allergens in the United States: a multiethnic, population-based study.

    Science.gov (United States)

    Fu, Teresa; Keiser, Elizabeth; Linos, Eleni; Rotatori, Robert M; Sainani, Kristin; Lingala, Bharathi; Lane, Alfred T; Schneider, Lynda; Tang, Jean Y

    2014-01-01

    The relationship between food and environmental allergens in contributing to eczema risk is unclear on a multiethnic population level. Our purpose was to determine whether sensitization to specific dietary and environmental allergens as measured according to higher specific immunoglobulin E (IgE) levels is associated with eczema risk in children. National Health and Nutrition Examination Survey participants ages 1 to 17 years were asked whether they had ever received a diagnosis of eczema from a physician (n = 538). Total and specific serum IgE levels for four dietary allergens (egg, cow's milk, peanut, and shrimp) and five environmental allergens (dust mite, cat, dog, Aspergillus, and Alternaria) were measured. Logistic regression was used to examine the association between eczema and IgE levels. In the United States, 10.4 million children (15.6%) have a history of eczema. Eczema was more common in black children (p eczema than in those without (66.4 vs 50.6 kU/L, p = 0.004). In multivariate analysis adjusted for age, race, sex, family income, household education, and physician-diagnosed asthma, eczema was significantly associated with sensitization to cat dander (odds ratio [OR] = 1.2, 95% confidence interval [CI] 1.05, 1.4, p = 0.009) and dog dander (OR = 1.5, 95% CI, 1.2, 1.7, p dog dander remained significant. U.S. children with eczema are most likely to be sensitized to dog dander. Future prospective studies should further explore this relationship.

  4. Acinetobacter baumannii in intensive care unit: A novel system to study clonal relationship among the isolates

    Directory of Open Access Journals (Sweden)

    Leonardis Francesca

    2008-06-01

    Full Text Available Abstract Background The nosocomial infections surveillance system must be strongly effective especially in highly critic areas, such as Intensive Care Units (ICU. These areas are frequently an epidemiological epicentre for transmission of multi-resistant pathogens, like Acinetobacter baumannii. As an epidemic outbreak occurs it is very important to confirm or exclude the genetic relationship among the isolates in a short time. There are several molecular typing systems used with this aim. The Repetitive sequence-based PCR (REP-PCR has been recognized as an effective method and it was recently adapted to an automated format known as the DiversiLab system. Methods In the present study we have evaluated the combination of a newly introduced software package for the control of hospital infection (VIGI@ct with the DiversiLab system. In order to evaluate the reliability of the DiversiLab its results were also compared with those obtained using f-AFLP. Results The combination of VIGI@ct and DiversiLab enabled an earlier identification of an A. baumannii epidemic cluster, through the confirmation of the genetic relationship among the isolates. This cluster regards 56 multi-drug-resistant A. baumannii isolates from several specimens collected from 13 different patients admitted to the ICU in a ten month period. The A. baumannii isolates were clonally related being their similarity included between 97 and 100%. The results of the DiversiLab were confirmed by f-AFLP analysis. Conclusion The early identification of the outbreak has led to the prompt application of operative procedures and precautions to avoid the spread of pathogen. To date, 6 months after the last A. baumannii isolate, no other related case has been identified.

  5. 300-FF-1 Operable Unit physical separation of soils pilot plant study

    Energy Technology Data Exchange (ETDEWEB)

    Freeman-Pollard, J.R.

    1994-01-15

    Alternative Remedial Technologies, Inc. (ART) was selected in a competitive selection process to conduct a pilot study for the physical separation of soils in the North Process Pond of the 300 Area at the Hanford Site. In January 1994, ART mobilized its 15 tons-per-hour pilot plant to the site. The plant was initially staged in a commercial area to allow for pretest inspections and minor modifications. The plant was specifically designed for use as a physical separations unit and consisted of a feed hopper, wet screens, hydrocyclones, as well as settling and dewatering equipment. The plant was supported in the field with prescreening equipment, mobile generators, air compressors, and water storage tanks. The plant was moved into the surface contamination area on March 24, 1994. The testing was conducted during the period March 23, 1994 through April 13, 1994. Two soil types were treated during the testing: a natural soil contaminated with low levels of uranium, cesium, cobalt, and heavy metals, and a natural soil contaminated with a uranium carbonate material that was visually recognizable by the presence of a green sludge material in the soil matrix. The ``green`` material contained significantly higher levels of the same contaminants. Both source materials were treated by the plant in a manner that fed the material, produced clean gravel and sand fractions, and concentrated the contaminants in a sludge cake. Process water was recycled during the operations. The testing was extremely successful in that for both source waste streams, it was demonstrated that volume reductions of greater than 90% could be achieved while also meeting the test performance criteria. The volume reduction for the natural soils averaged a 93.8%, while the ``green`` soils showed a 91.4% volume reduction.

  6. Three-month evaluation of vital tooth bleaching using light units-a randomized clinical study.

    Science.gov (United States)

    Polydorou, O; Wirsching, M; Wokewitz, M; Hahn, P

    2013-01-01

    The aim of this study was to evaluate the color stability of vital bleaching using a halogen unit, laser, or only chemical activation up to three months after treatment. A total of 60 patients were divided into three groups, and their teeth were bleached with 38% hydrogen peroxide using three methods: acceleration of the bleaching process with halogen (eight minutes), laser (30 seconds), or chemical activation only. All teeth were bleached a maximum of four times (4 × 15 minutes) until a change of six shade tabs took place. The color was evaluated both visually and with a spectrophotometer before bleaching, immediately after bleaching, and one and three months after bleaching. Directly after bleaching, the use of halogen showed better results than laser (p≤0.05). One and three months after bleaching, no significant difference was found between the tested methods relative to the shade change, independent of the method of shade evaluation (p>0.05). As far as the color stability is concerned, bleaching with halogen resulted in stable color throughout the three months (p>0.05), whereas the other two methods resulted in whiter teeth after one and three months compared with the color directly after bleaching (p≤0.05). Bleaching with laser needed more time than halogen for the desired shade change (p≤0.05). Although directly after treatment bleaching with halogen resulted in better results, one and three months after bleaching the kind of acceleration used in the bleaching process did not have any effect on the esthetic results.

  7. Regional distribution of fatiguing illnesses in the United States: a pilot study

    Science.gov (United States)

    Bierl, Cynthia; Nisenbaum, Rosane; Hoaglin, David C; Randall, Bonnie; Jones, Ann-Britt; Unger, Elizabeth R; Reeves, William C

    2004-01-01

    Background Chronic fatigue syndrome (CFS) is a debilitating illness with no known cause or effective therapy. Population-based epidemiologic data on CFS prevalence are critical to put CFS in a realistic context for public health officials and others responsible for allocating resources. Methods We conducted a pilot random-digit-dialing survey to estimate the prevalence of fatiguing illnesses in different geographic regions and in urban and rural populations of the United States. This report focuses on 884 of 7,317 respondents 18 to 69 years old. Fatigued (440) and randomly selected non-fatigued (444) respondents completed telephone questionnaires concerning fatigue, other symptoms, and medical history. Results We estimated 12,186 per 100,000 persons 18 to 69 years of age suffered from fatigue lasting for at least 6 months (chronic fatigue), and 1,197 per 100,000 described an illness that, though lacking clinical evaluation, met criteria for CFS (CFS-like). Chronic fatigue and CFS-like illness were more common in rural than in urban populations, although the differences were not significant. The prevalence of these fatiguing illnesses did not differ meaningfully among the four regions surveyed, and no significant geographic trends were observed. Conclusions This investigation estimated that nearly 2.2 million American adults suffer from CFS-like illness. The study also suggested the need to focus future investigations of fatigue on populations with lower incomes and less education. There was no evidence for regional differences in the occurrence of fatiguing illnesses. PMID:14761250

  8. Regional distribution of fatiguing illnesses in the United States: a pilot study

    Directory of Open Access Journals (Sweden)

    Unger Elizabeth R

    2004-02-01

    Full Text Available Abstract Background Chronic fatigue syndrome (CFS is a debilitating illness with no known cause or effective therapy. Population-based epidemiologic data on CFS prevalence are critical to put CFS in a realistic context for public health officials and others responsible for allocating resources. Methods We conducted a pilot random-digit-dialing survey to estimate the prevalence of fatiguing illnesses in different geographic regions and in urban and rural populations of the United States. This report focuses on 884 of 7,317 respondents 18 to 69 years old. Fatigued (440 and randomly selected non-fatigued (444 respondents completed telephone questionnaires concerning fatigue, other symptoms, and medical history. Results We estimated 12,186 per 100,000 persons 18 to 69 years of age suffered from fatigue lasting for at least 6 months (chronic fatigue, and 1,197 per 100,000 described an illness that, though lacking clinical evaluation, met criteria for CFS (CFS-like. Chronic fatigue and CFS-like illness were more common in rural than in urban populations, although the differences were not significant. The prevalence of these fatiguing illnesses did not differ meaningfully among the four regions surveyed, and no significant geographic trends were observed. Conclusions This investigation estimated that nearly 2.2 million American adults suffer from CFS-like illness. The study also suggested the need to focus future investigations of fatigue on populations with lower incomes and less education. There was no evidence for regional differences in the occurrence of fatiguing illnesses.

  9. Validating the Concept of COPD Control: A Real-world Cohort Study from the United Kingdom.

    Science.gov (United States)

    Nibber, Anjan; Chisholm, Alison; Soler-Cataluña, Juan José; Alcazar, Bernardino; Price, David; Miravitlles, Marc

    2017-10-01

    The concept of Chronic Obstructive Pulmonary Disease (COPD) control has been developed to inform therapeutic decision-making. We explored the validity of a definition of COPD control in a representative population of patients with COPD in the United Kingdom. Electronic medical records and linked COPD questionnaire data from the Optimum Patient Care Research Database were used to characterize control status. Patients were aged ≥40 years, with spirometry-confirmed COPD, current or ex-smokers, and continuous records throughout the study period. Control was evaluated based on COPD stability and patients' (i) clinical features or (ii) COPD Assessment Test (CAT) score over a three-month baseline period and linked to time to first exacerbation. Of 2788 eligible patients, 2511 (90%) had mild/moderate COPD and 277 (10%) had severe/very severe COPD based on Body Mass Index, Obstruction, Dyspnoea, Exacerbations (BODEx) cut-off of 4. Within the mild/moderate cohort, 4.5% of patients were controlled at baseline according to clinical features and 21.5% according to CAT threshold of 10. Within the severe/very severe cohort, no patients were controlled at baseline according to the proposed clinical features and 8.3% were controlled according to CAT threshold of 20. Compared with uncontrolled patients, time to first exacerbation was longer for controlled patients with mild/moderate COPD but not for those with severe/very severe COPD. Lowering the BODEx threshold for severity classification to 2 increased the number of patients achieving control. CAT scores were not good predictors of the risk of future exacerbation. With the proposed definition, very few patients were defined as controlled.

  10. Study of active noise control system for a commercial HVAC unit

    Science.gov (United States)

    Devineni, Naga

    Acoustic noise is a common problem in everyday life. If the appliances that are present in the work and living areas generate noise then it's a serious problem. One such appliance is the Heating, Ventilation and Air-conditioning system (HVAC) in which blower fan and compressor units are housed together. Operation of a HVAC system creates two kinds of noise. One is the noise due to the air flow and the other is the result of the compressor. Both of them exhibit different signal properties and need different strategies to control them. There has been previous efforts in designing noise control systems that can control noise from the HVAC system. These include passive methods which use sound absorption materials to attenuate noise and active methods which cancel noise by generating anti-noise. Passive methods are effective in limiting the high frequency noise, but are inefficient in controlling low frequency noise from the compressor. Compressor noise is one of the strong low frequency components that propagate through the walls, therefore there is need for deploying active signal processing methods that consider the signal properties into consideration to cancel the noise acoustically. The quasi periodic nature of the compressor noise is exploited in noise modeling which aids in implementing an adaptive linear prediction filter in estimating the anti noise [12]. In this thesis, a multi channel architecture has been studied for a specific HVAC system in order to improve noise cancellation by creating larger quiet zone. In addition to the multi-channel architecture, a real time narrow band Active Noise Control (ANC) was employed to cancel noise under practical conditions.

  11. Predictors of stress among parents in pediatric intensive care unit: a prospective observational study.

    Science.gov (United States)

    Aamir, Mohd; Mittal, Kundan; Kaushik, Jaya Shankar; Kashyap, Haripal; Kaur, Gurpreet

    2014-11-01

    To determine the sociodemographic and clinical factors leading to stress among parents whose children are admitted in pediatric intensive care unit (PICU). A prospective observational study was conducted in PICU of a tertiary care hospital of north India. Parents of children admitted to PICU for at least 48 h duration were eligible for participation. At the end of 48 h, parental stress was assessed using parental stress scale (PSS:PICU) questionnaire which was administered to the parents. Baseline demographic and clinical parameters of children admitted to PICU were recorded. The parental stress was compared with demographic and clinical characteristics of children using appropriate statistical methods. A total of 49 parents were finally eligible for participation. Mean (SD) parental stress scores was highest in domains of procedures [1.52 (0.66)] and behavior and emotional [1.32 (0.42)] subscales. Mean (SD) total parental stress score among intubated children [1.31 (0.25)] was significantly more than among non intubated children [0.97 (0.26)] (p parental stress score were comparable in terms of gender (p = 0.15) and socioeconomic status (p = 0.32). On subscale analysis, it was found that professional communication is a significant stressor in age groups 0-12 mo [0.61(0.41)] (p = 0.02). It was observed that parents of intubated children were significantly stressed by the physical appearance of their children (p parental role (p = 0.002). Total parental stress score had a positive correlation with PRISM score (r = 0.308). Indian parents are stressed maximally with environment of PICU. Factor leading to parental stress was intubation status of the child and was not affected by gender or socio demographic profile of the parents.

  12. A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit

    Directory of Open Access Journals (Sweden)

    Christiana Oluwatoyin Amira

    2016-01-01

    Full Text Available Hemodialysis (HD catheters are commonly used as temporary vascular access in patients with kidney failure who require immediate HD. The use of these catheters is limited by complications such as infections, thrombosis resulting in poor blood flow. We studied the complications and outcomes of nontunneled catheters used for vascular access in our dialysis unit. The records of all patients, with renal failure who were dialyzed over a two-year period and had a double lumen nontunneled catheter inserted, were retrieved. Catheter insertion was carried out under ultrasound guidance using the modified Seldinger technique. The demographic data of patients, etiology of chronic kidney disease, and complications and outcomes of these catheters were noted. Fifty-four patients with mean age 43.7 ± 15.8 years had 69 catheters inserted for a cumulative total of 4047 catheter-days. The mean catheter patency was 36.4 ± 37.2 days (range: 1-173 days. Thrombosis occluding the catheters was the most common complication and occurred in 58% of catheters leading to catheter malfunction, followed by infections in18.8% of catheters. During follow-up, 30 (43.5% catheters were removed, 14 (20.3% due to catheter malfunction, eight (11.6% due to infection, five (7.2% elective removal, and three (4.3% due to damage. Thrombotic occlusion of catheters was a major limiting factor to the survival of HD catheters. Improvement in catheter patency can be achieved with more potent lock solutions.

  13. Short Stature and Access to Lung Transplantation in the United States. A Cohort Study.

    Science.gov (United States)

    Sell, Jessica L; Bacchetta, Matthew; Goldfarb, Samuel B; Park, Hanyoung; Heffernan, Priscilla V; Robbins, Hilary A; Shah, Lori; Raza, Kashif; D'Ovidio, Frank; Sonett, Joshua R; Arcasoy, Selim M; Lederer, David J

    2016-03-15

    Anecdotally, short lung transplant candidates suffer from long waiting times and higher rates of death on the waiting list compared with taller candidates. To examine the relationship between lung transplant candidate height and waiting list outcomes. We conducted a retrospective cohort study of 13,346 adults placed on the lung transplant waiting list in the United States between 2005 and 2011. Multivariable-adjusted competing risk survival models were used to examine associations between candidate height and outcomes of interest. The primary outcome was the time until lung transplantation censored at 1 year. The unadjusted rate of lung transplantation was 94.5 per 100 person-years among candidates of short stature (<162 cm) and 202.0 per 100 person-years among candidates of average stature (170-176.5 cm). After controlling for potential confounders, short stature was associated with a 34% (95% confidence interval [CI], 29-39%) lower rate of transplantation compared with average stature. Short stature was also associated with a 62% (95% CI, 24-96%) higher rate of death or removal because of clinical deterioration and a 42% (95% CI, 10-85%) higher rate of respiratory failure while awaiting lung transplantation. Short stature is associated with a lower rate of lung transplantation and higher rates of death and respiratory failure while awaiting transplantation. Efforts to ameliorate this disparity could include earlier referral and listing of shorter candidates, surgical downsizing of substantially oversized allografts for shorter candidates, and/or changes to allocation policy that account for candidate height.

  14. Fenoldopam use in a burn intensive care unit: a retrospective study

    Directory of Open Access Journals (Sweden)

    Cotant Casey L

    2010-06-01

    Full Text Available Abstract Background Fenoldopam mesylate is a highly selective dopamine-1 receptor agonist approved for the treatment of hypertensive emergencies that may have a role at low doses in preserving renal function in those at high risk for or with acute kidney injury (AKI. There is no data on low-dose fenoldopam in the burn population. The purpose of our study was to describe our use of low-dose fenoldopam (0.03-0.09 μg/kg/min infusion in critically ill burn patients with AKI. Methods We performed a retrospective analysis of consecutive patients admitted to our burn intensive care unit (BICU with severe burns from November 2005 through September 2008 who received low-dose fenoldopam. Data obtained included systolic blood pressure, serum creatinine, vasoactive medication use, urine output, and intravenous fluid. Patients on concomitant continuous renal replacement therapy were excluded. Modified inotrope score and vasopressor dependency index were calculated. One-way analysis of variance with repeated measures, Wilcoxson signed rank, and chi-square tests were used. Differences were deemed significant at p Results Seventy-seven patients were treated with low-dose fenoldopam out of 758 BICU admissions (10%. Twenty (26% were AKI network (AKIN stage 1, 14 (18% were AKIN stage 2, 42 (55% were AKIN stage 3, and 1 (1% was AKIN stage 0. Serum creatinine improved over the first 24 hours and continued to improve through 48 hours (p p p p = NS. Modified inotrope score and vasopressor dependency index both decreased over 48 hours (p p = 0.0012. Conclusions These findings suggest that renal function was preserved and that urine output improved without a decrease in systolic blood pressure, increase in vasoactive medication use, or an increase in resuscitation requirement in patients treated with low-dose fenoldopam. A randomized controlled trial is required to establish the efficacy of low-dose fenoldopam in critically ill burn patients with AKI.

  15. Scoring Systems for Outcome Prediction in a Cardiac Surgical Intensive Care Unit: A Comparative Study.

    Science.gov (United States)

    Exarchopoulos, Themistocles; Charitidou, Efstratia; Dedeilias, Panagiotis; Charitos, Christos; Routsi, Christina

    2015-07-01

    Most scoring systems used to predict clinical outcome in critical care were not designed for application in cardiac surgery patients. To compare the predictive ability of the most widely used scoring systems (Acute Physiology and Chronic Health Evaluation [APACHE] II, Simplified Acute Physiology Score [SAPS] II, and Sequential Organ Failure Assessment [SOFA]) and of 2 specialized systems (European System for Cardiac Operative Risk Evaluation [EuroSCORE] II and the cardiac surgery score [CASUS]) for clinical outcome in patients after cardiac surgery. Consecutive patients admitted to a cardiac surgical intensive care unit (CSICU) were prospectively studied. Data on the preoperative condition, intraoperative parameters, and postoperative course were collected. EuroSCORE II, CASUS, and scores from 3 general severity-scoring systems (APACHE II, SAPS II, and SOFA) were calculated on the first postoperative day. Clinical outcome was defined as 30-day mortality and in-hospital morbidity. A total of 150 patients were included. Thirty-day mortality was 6%. CASUS was superior in outcome prediction, both in relation to discrimination (area under curve, 0.89) and calibration (Brier score = 0.043, χ(2) = 2.2, P = .89), followed by EuroSCORE II for 30-day mortality (area under curve, 0.87) and SOFA for morbidity (Spearman ρ= 0.37 and 0.35 for the CSICU length of stay and duration of mechanical ventilation, respectively; Wilcoxon W = 367.5, P = .03 for probability of readmission to CSICU). CASUS can be recommended as the most reliable and beneficial option for benchmarking and risk stratification in cardiac surgery patients. ©2015 American Association of Critical-Care Nurses.

  16. A pressure ulcer and fall rate quality composite index for acute care units: A measure development study.

    Science.gov (United States)

    Boyle, Diane K; Jayawardhana, Ananda; Burman, Mary E; Dunton, Nancy E; Staggs, Vincent S; Bergquist-Beringer, Sandra; Gajewski, Byron J

    2016-11-01

    Composite indices are single measures that combine the strengths of two or more individual measures and provide broader, easy-to-use measures for evaluation of provider performance and comparisons across units and hospitals to support quality improvement. The study objective was to develop a unit-level inpatient composite nursing care quality performance index-the Pressure Ulcer and Fall Rate Quality Composite Index. Two-phase measure development study. 5144 patient care units in 857 United States hospitals participating in the National Database of Nursing Quality Indictors(®) during the year 2013. The Pressure Ulcer and Fall Rate Quality Composite Index was developed in two phases. In Phase 1 the formula was generated using a utility function and generalized penalty analysis. Experts with experience in healthcare quality measurement provided the point of indicator equivalence. In Phase 2 initial validity evidence was gathered based on hypothesized relationships between the Pressure Ulcer and Fall Rate Quality Composite Index and other variables using two-level (unit, hospital) hierarchical linear mixed modeling. The Pressure Ulcer and Fall Rate Quality Composite Index=100-PUR-FR, where PUR is pressure ulcer rate and FR is total fall rate. Higher scores indicate better quality. Bland-Altman plots demonstrated agreement between pairs of experts and provided evidence for inter-rater reliability of the formula. The validation process demonstrated that higher registered nurse skill mix, higher percent of registered nurses with a baccalaureate in nursing or higher degree, higher percent of registered nurses with national specialty certification, and lower percent of hours supplied by agency staff were significantly associated with higher Pressure Ulcer and Fall Rate Quality Composite Index scores. Higher percentages of unit patients at risk for a hospital-acquired pressure ulcer and higher unit rates of physical restraint use were not associated with higher Pressure

  17. Variation in strontium isotope ratios of archaeological fauna in the Midwestern United States: a preliminary study

    Science.gov (United States)

    Hedman, Kristin M.; Curry, B. Brandon; Johnson, Thomas M.; Fullagar, Paul D.; Emerson, Thomas E.

    2009-01-01

    Strontium isotope values (87Sr/86Sr) in bone and tooth enamel have been used increasingly to identify non-local individuals within prehistoric human populations worldwide. Archaeological research in the Midwestern United States has increasingly highlighted the role of population movement in affecting interregional cultural change. However, the comparatively low level of geologic variation in the Midwestern United States might suggest a corresponding low level of strontium variation, and calls into question the sensitivity of strontium isotopes to identify non-local individuals in this region. Using strontium isotopes of archaeological fauna, we explore the degree of variability in strontium ratios across this region. Our results demonstrate measurable variation in strontium ratios and indicate the potential of strontium analysis for addressing questions of origin and population movement in the Midwestern United States.

  18. Two-Way Interpretation about Climate Change: Preliminary Results from a Study in Select Units of the United States National Park System

    Science.gov (United States)

    Forist, B. E.; Knapp, D.

    2014-12-01

    Much interpretation in units of the National Park System, conducted by National Park Service (NPS) rangers and partners today is done in a didactic, lecture style. This "one-way" communication runs counter to research suggesting that long-term impacts of park interpretive experiences must be established through direct connections with the visitor. Previous research in interpretation has suggested that interpretive experiences utilizing a "two-way" dialogue approach are more successful at facilitating long-term memories than "one-way" approaches where visitors have few, if any, opportunities to ask questions, offer opinions, or share interests and experiences. Long-term memories are indicators of connections to places and resources. Global anthropogenic change poses critical threats to NPS sites, resources, and visitor experiences. As climate change plays an ever-expanding role in public, political, social, economic, and environmental discourse it stands to reason that park visitors may also be interested in engaging in this discourse. Indeed, NPS Director Jonathan Jarvis stated in the agency's Climate Change Action Plan 2012 - 2014 that, "We now know through social science conducted in parks that our visitors are looking to NPS staff for honest dialogue about this critical issue." Researchers from Indiana University will present preliminary findings from a multiple park study that assessed basic visitor knowledge and the impact of two-way interpretation related to climate change. Observations from park interpretive program addressing climate change will be presented. Basic visitor knowledge of climate change impacts in the select parks as well as immediate and long-term visitor recollections will be presented. Select units of the National Park System in this research included Cape Cod National Seashore, Cape Hatteras National Seashore, North Cascades National Park, Shenandoah National Park, and Zion National Park.

  19. Study on the Effect of the Separating Unit Optimization on the Economy of Stable Isotope Separation

    OpenAIRE

    Yang, Kun; MOU Hong

    2015-01-01

    An economic criterion called as yearly net profit of single separating unit (YNPSSU) was presented to evaluate the influence of structure optimization on the economy. Using YNPSSU as a criterion, economic analysis was carried out for the structure optimization of separating unit in the case of separating SiF4 to obtain the 28Si and 29Si isotope. YNPSSU was calculated and compared with that before optimization. The results showed that YNPSSU was increased by 12.3% by the structure optimization...

  20. Study on the Effect of the Separating Unit Optimization on the Economy of Stable Isotope Separation

    Directory of Open Access Journals (Sweden)

    YANG Kun

    2015-01-01

    Full Text Available An economic criterion called as yearly net profit of single separating unit (YNPSSU was presented to evaluate the influence of structure optimization on the economy. Using YNPSSU as a criterion, economic analysis was carried out for the structure optimization of separating unit in the case of separating SiF4 to obtain the 28Si and 29Si isotope. YNPSSU was calculated and compared with that before optimization. The results showed that YNPSSU was increased by 12.3% by the structure optimization. Therefore, the structure optimization could increase the economy of the stable isotope separation effectively.

  1. Developing an efficient scheduling template of a chemotherapy treatment unit: A case study.

    Science.gov (United States)

    Ahmed, Z; Elmekkawy, Ty; Bates, S

    2011-01-01

    This study was undertaken to improve the performance of a Chemotherapy Treatment Unit by increasing the throughput and reducing the average patient's waiting time. In order to achieve this objective, a scheduling template has been built. The scheduling template is a simple tool that can be used to schedule patients' arrival to the clinic. A simulation model of this system was built and several scenarios, that target match the arrival pattern of the patients and resources availability, were designed and evaluated. After performing detailed analysis, one scenario provide the best system's performance. A scheduling template has been developed based on this scenario. After implementing the new scheduling template, 22.5% more patients can be served. 1. CancerCare Manitoba is a provincially mandated cancer care agency. It is dedicated to provide quality care to those who have been diagnosed and are living with cancer. MacCharles Chemotherapy unit is specially built to provide chemotherapy treatment to the cancer patients of Winnipeg. In order to maintain an excellent service, it tries to ensure that patients get their treatment in a timely manner. It is challenging to maintain that goal because of the lack of a proper roster, the workload distribution and inefficient resource allotment. In order to maintain the satisfaction of the patients and the healthcare providers, by serving the maximum number of patients in a timely manner, it is necessary to develop an efficient scheduling template that matches the required demand with the availability of resources. This goal can be reached using simulation modelling. Simulation has proven to be an excellent modelling tool. It can be defined as building computer models that represent real world or hypothetical systems, and hence experimenting with these models to study system behaviour under different scenarios.1, 2 A study was undertaken at the Children's Hospital of Eastern Ontario to identify the issues behind the long waiting

  2. Aeromagrnetic study of the midcontinent gravity high of central United States

    Science.gov (United States)

    King, Elizabeth R.; Zietz, Isidore

    1971-01-01

    A composite map of detailed aeromagnetic surveys over the midcontinent gravity high provides coverage of the 600-mi-long buried belt of mafic rocks of the Keweenawan Series from their outcrop localities in Minnesota and Wisconsin through Iowa and Nebraska. A map of the subsurface extent of the mafic rocks, based on the intricate magnetic patterns, shows that the rocks form a long, semicontinuous block, averaging 40 mi wide and consisting mainly of a sequence of layered flows. This sequence is probably fault-bounded and has been tilted up along the margins, where the linearity of the anomalies indicates steeper dips. The associated clastic rocks, indicated by a smoother magnetic pattern, occur in basins along both sides of the mafic belt and in grabens and a series of axial basins on the upper surface of the block. The well-defined outliers of flows marginal to the main block and the truncation of some of the outermost flow units along a diagonal boundary striking at an angle to them suggest that the present boundaries of the block are postdepositional structural features. The basins and the edges of the block appear to have controlled later, largely vertical movement in the overlying Paleozoic and younger sedimentary cover. Calculated models based on coincident magnetic and detailed gravity profiles along typical cross sections of the midcontinent gravity high show that the block of mafic rocks is steep-sided and as much as several miles thick. The free-air gravity anomaly, which consists of a large positive maximum flanked by minima, averages very close to zero, indicating that this major crustal feature is regionally compensated, although locally each of its components shows a large departure from equilibrium. Remanent magnetization is a primary factor in the interpretation of the magnetic data. Magnetic property studies of Keweenawan mafic rocks in the Lake Superior region show that remanent magnetization may be five times the magnetization induced by the

  3. Aeromagnetic study of the midcontinent gravity high of central United States

    Science.gov (United States)

    King, Elizabeth R.; Zietz, Isidore

    1971-01-01

    A composite map of detailed aeromagnetic surveys over the midcontinent gravity high provides coverage of the 600-mi-long buried belt of mafic rocks of the Keweenawan Series from their outcrop localities in Minnesota and Wisconsin through Iowa and Nebraska. A map of the subsurface extent of the mafic rocks, based on the intricate magnetic patterns, shows that the rocks form a long, semicontinuous block, averaging 40 mi wide and consisting mainly of a sequence of layered flows. This sequence is probably fault-bounded and has been tilted up along the margins, where the linearity of the anomalies indicates steeper dips. The associated clastic rocks, indicated by a smoother magnetic pattern, occur in basins along both sides of the mafic belt and in grabens and a series of axial basins on the upper surface of the block. The well-defined outliers of flows marginal to the main block and the truncation of some of the outermost flow units along a diagonal boundary striking at an angle to them suggest that the present boundaries of the block are postdepositional structural features. The basins and the edges of the block appear to have controlled later, largely vertical movement in the overlying Paleozoic and younger sedimentary cover. Calculated models based on coincident magnetic and detailed gravity profiles along typical cross sections of the midcontinent gravity high show that the block of mafic rocks is steep-sided and as much as several miles thick. The free-air gravity anomaly, which consists of a large positive maximum flanked by minima, averages very close to zero, indicating that this major crustal feature is regionally compensated, although locally each of its components shows a large departure from equilibrium. Remanent magnetization is a primary factor in the interpretation of the magnetic data. Magnetic property studies of Keweenawan mafic rocks in the Lake Superior region show that remanent magnetization may be five times the magnetization induced by the

  4. Case Studies of Internationalization in Adult and Higher Education: Inside the Processes of Four Universities in the United States and the United Kingdom

    Science.gov (United States)

    Coryell, Joellen Elizabeth; Durodoye, Beth A.; Wright, Robin Redmon; Pate, P. Elizabeth; Nguyen, Shelbee

    2012-01-01

    This report outlines a method for learning about the internationalization processes at institutions of adult and higher education and then provides the analysis of data gathered from the researchers' own institution and from site visits to three additional universities in the United States and the United Kingdom. It was found that campus…

  5. Effect of psoriasis severity on hypertension control: a population-based study in the United Kingdom.

    Science.gov (United States)

    Takeshita, Junko; Wang, Shuwei; Shin, Daniel B; Mehta, Nehal N; Kimmel, Stephen E; Margolis, David J; Troxel, Andrea B; Gelfand, Joel M

    2015-02-01

    Hypertension is prevalent among patients with psoriasis. The effect of psoriasis and its severity on hypertension control is unknown. To determine the association between uncontrolled blood pressure and psoriasis, both overall and according to objectively measured psoriasis severity, among patients with diagnosed hypertension. Population-based cross-sectional study nested in a prospective cohort drawn from The Health Improvement Network (THIN), an electronic medical records database broadly representative of the general population in the United Kingdom. The study population included a random sample of patients with psoriasis (n = 1322) between the ages of 25 and 64 years in THIN who were included in the Incident Health Outcomes and Psoriasis Events prospective cohort and their age- and practice-matched controls without psoriasis (n = 11,977). All included patients had a diagnosis of hypertension; their psoriasis diagnosis was confirmed and disease severity was classified by their general practitioners. Uncontrolled hypertension was defined as a systolic blood pressure of 140 mm Hg or higher or a diastolic blood pressure of 90 mm Hg or higher based on the blood pressure recorded closest in time to the assessment of psoriasis severity. There was a significant positive dose-response relationship between uncontrolled hypertension and psoriasis severity as objectively determined by the affected body surface area in both unadjusted and adjusted analyses that controlled for age, sex, body mass index, smoking and alcohol use status, presence of comorbid conditions, and current use of antihypertensive medications and nonsteroidal anti-inflammatory drugs (adjusted odds ratio [aOR], 0.97; 95% CI, 0.82-1.14 for mild psoriasis; aOR, 1.20; 95% CI, 0.99-1.45 for moderate psoriasis; and aOR, 1.48; 95% CI, 1.08-2.04 for severe psoriasis; P = .01 for trend). The likelihood of uncontrolled hypertension among psoriasis overall was also increased, although not statistically

  6. Perspectives on Safety and Health among Migrant and Seasonal Farmworkers in the United States and Mexico: A Qualitative Field Study

    Science.gov (United States)

    Stallones, Lorann; Acosta, Martha S. Vela; Sample, Pat; Bigelow, Philip; Rosales, Monica

    2009-01-01

    Context: A large number of hired farmworkers in the United States come from Mexico. Understanding safety and health concerns among the workers is essential to improving prevention programs. Purpose: The purpose of this pilot study was to obtain detailed information about safety and health concerns of hired farmworkers in Colorado and in Mexico.…

  7. Gender in STEM Education: An Exploratory Study of Student Perceptions of Math and Science Instructors in the United Arab Emirates

    Science.gov (United States)

    Pasha-Zaidi, Nausheen; Afari, Ernest

    2016-01-01

    The current study addresses student perceptions of math and science professors in the Middle East. Gender disparity in science, technology, engineering, and math (STEM) education continues to exist in higher education, with male professors holding a normative position. This disparity can also be seen in the United Arab Emirates. As female…

  8. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and organizationa

  9. SUNflower : a comparative study of the development of road safety in Sweden, the United Kingdom, and the Netherlands.

    NARCIS (Netherlands)

    Koornstra, M.J. Lynam, D. Nilsson, G. Noordzij, P.C. Petterson, H.-E. Wegman, F.C.M. & Wouters, P.I.J.

    2003-01-01

    The road safety performance of different countries within Europe varies substantially. The three countries with the lowest accident levels are Sweden, United Kingdom, and the Netherlands (described here as the SUN countries). The aim of this study is to determine the underlying elements in the curre

  10. Static and dynamic loads on the bottom row of armour units: A theoretical and physical model study

    NARCIS (Netherlands)

    Van de Koppel, M.A.; Muilwijk, M.; Verhagen, H.J.

    2012-01-01

    A physical model study on the row averaged static and dynamic load on the bottom row of single layer armour units in order to investigate the influence of various parameters such as the number of rows on the slope of a breakwater and the initial relative packing density.

  11. Evolution of Unit Fraction Conceptions in Two Fifth-Graders with a Learning Disability: An Exploratory Study

    Science.gov (United States)

    Hunt, Jessica Heather; Tzur, Ron; Westenskow, Arla

    2016-01-01

    The literature seems limited in what is known about conceptual processes that underlie evolution of students with learning disabilities (SLD) conceptions of fractions. This exploratory study examines how a foundational scheme of unit fractions (1/n) may evolve through the mathematical activity of two fifth grade girls. We analyze data segments…

  12. Los Arboles Hablan: A Spanish Language Curriculum Unit Based on the Study of Latin American Rain Forests.

    Science.gov (United States)

    Zuman, John P.

    "Los Arboles Hablan," a video-based curriculum that promotes the learning of Spanish as a second language through study of the Latin American rain forests is described. The 12-session unit was designed for use at the middle school level and integrates science, social science, and environmental education with content focusing on the…

  13. Operation planning studies for the integration of the 60 Hz Itaipu units in the Brazilian interconnected system

    Energy Technology Data Exchange (ETDEWEB)

    Chipp, H.J.; Oliveira, J.C.C. [ELETROBRAS, Rio de Janeiro, RJ (Brazil); Correa, L.R.A. [FURNAS, Rio de Janeiro, RJ (Brazil); Mendonca, W.C.; Marchi, R.D. [Itaipu Binacional, Foz do Iguacu, PR (Brazil); Botelho, M.J. [ELETROSUL, Curitiba, PR (Brazil)

    1987-12-31

    This paper describes the operation planning studies necessary to interconnect the first two 60 Hz generator units of the Itaipu power plant to the Brazilian interconnected system. The criteria, main problems identified and operative solutions encountered are presented in this paper. 10 refs., 4 figs., 5 tabs.

  14. Static and dynamic loads on the bottom row of armour units: A theoretical and physical model study

    NARCIS (Netherlands)

    Van de Koppel, M.A.; Muilwijk, M.; Verhagen, H.J.

    2012-01-01

    A physical model study on the row averaged static and dynamic load on the bottom row of single layer armour units in order to investigate the influence of various parameters such as the number of rows on the slope of a breakwater and the initial relative packing density.

  15. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and

  16. Joint-Service Integration: An Organizational Culture Study of the United States Department of Defense Voluntary Education System

    Science.gov (United States)

    Benson, Martin K.

    2010-01-01

    The purpose of the descriptive case study with a multiple case framework was to (a) describe the organizational cultures of education programs and leaders in the United States (U.S.) Department of Defense (DoD) voluntary education system on Oahu, Hawaii; (b) determine if an overlapping common organizational culture exists; and (c) assess the…

  17. Student Destination Choices in Higher Education: Exploring Attitudes of Brazilian Students to Study in the United Kingdom

    Science.gov (United States)

    Foster, Monika

    2014-01-01

    Cross-border education provides evidence about international student destination choice including the push and pull model of international student choice. The research upon which this article is based, into Brazilian students' decisions to study at universities in the United Kingdom, reveals some particular barriers such as cost, negative past…

  18. A Comparative Study of Pre-Service Education for Preschool Teachers in China and the United States

    Science.gov (United States)

    Gong, Xin; Wang, Pengcheng

    2017-01-01

    This study provides a comparative analysis of the pre-service education system for preschool educators in China and the United States. Based on collected data and materials (literature, policy documents, and statistical data), we compare two areas of pre-service training: (1) the formal system; (2) the informal system. In the formal system, most…

  19. Mao and Gandhi: Alternative Paths to National Independence and Social Change. A Unit of Study for Grades 9-12.

    Science.gov (United States)

    Johnson, Donald James; Johnson, Jean Elliott

    This unit of study focuses on the historic period from 1920 to 1966 when China's Mao Zedong and India's Mohandas Gandhi constructed and applied their social and moral visions to their respective nationalist movements. These leaders developed contrasting methods to achieve social change and to establish the goals set for achieving the ideal…

  20. The Effects of Single Parenthood on Educational Aspiration: A Comparative Study of Children in the United Kingdom and Hong Kong

    Science.gov (United States)

    Wang, Miao; Ngai, Steven Sek-Yum

    2011-01-01

    Using data collected by the Organization for Economic Co-operation and Development's Program for International Student Assessment in 2003, this study examines the gap in the educational aspirations of children from single-parent families and two-parent families in the United Kingdom (UK) and Hong Kong. Consistent with previous research on the…

  1. How Can Social Enterprise Really Tackle Social Exclusion? A Comparative Study of Children's Welfare in the United Kingdom and Cambodia

    Science.gov (United States)

    Lyne, Isaac

    2008-01-01

    Social enterprise is being increasingly encouraged as a solution to social problems concerning social exclusion, child development and family welfare within both developed and developing countries. This article considers these policy contexts and two case studies of social enterprises that provide children's services in the United Kingdom and…

  2. Teaching a Pedagogy of Peace: A Study of Peace Educators in United States Schools in the Aftermath of September 11

    Science.gov (United States)

    Joseph, Pamela Bolotin; Duss, Leslie Smith

    2009-01-01

    This qualitative study, based on in-depth semi-structured interviews, depicts practices of seven peace educators in public elementary and secondary classrooms in the United States during the time of the terrorist attacks on 11 September 2001 through the US engagement in war in Afghanistan and Iraq. Focusing on individual perceptions of practice…

  3. New Study Shows Flu Vaccine Reduced Children's Risk of Intensive Care Unit Flu Admission by Three-Fourths

    Science.gov (United States)

    ... Health Image Library (PHIL) New Study Shows Flu Vaccine Reduced Children’s Risk of Intensive Care Unit Flu Admission by ... Media Relations (404) 639-3286 Getting a flu vaccine reduces a child's risk of flu-related intensive care hospitalization by ...

  4. When Iron Crumbles: Berlin and the Wall. A Social Studies Unit Recommended for Grades 9-12 and Community College.

    Science.gov (United States)

    Chan, Adrian; And Others

    This unit, designed for use with high school and community college students, uses primary materials, literature, and interactive lesson plans to present the city of Berlin (Germany) as a case study of some of the 20th century's most significant events. In lesson 1, students take a pre-test, view a video about the Berlin Wall, and discuss the kinds…

  5. A Delphi Study Using Value-Focused Thinking for United States Air Force Mission Dependency Index Values

    Science.gov (United States)

    2015-03-26

    Keeney, R. L. (1992). Value-Focused Thinking : A Path to Creative Decisionmaking. Cambridge: Harvard University Press. Keeney, R. L. (1996). Value...the Role of Value-Focused Thinking in Idea Management. Creativity and Innovation Management, 196-206. Shoviak, M. J. (2001). Decision Analysis...A DELPHI STUDY USING VALUE-FOCUSED THINKING FOR UNITED STATES AIR FORCE MISSION DEPENDENCY INDEX

  6. Ideological Management in Textbooks: A Study of the Changing Image of the United States in China's Geography Textbooks.

    Science.gov (United States)

    Shen, Jianping

    1994-01-01

    Asserts that decisions regarding textbook content China are political and determined by the central government. Reports on a study of 15 elementary and secondary geography textbooks published between 1948 and 1991. Finds that the image of the United States portrayed in these books has changed dramatically. (CFR)

  7. Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study

    NARCIS (Netherlands)

    Kooi, A.W. van der; Peelen, L.M.; Raijmakers, R.J.; Vroegop, R.L.; Bakker, D.F.; Tekatli, H.; Boogaard, M.H.W.A. van den; Slooter, A.J.

    2015-01-01

    BACKGROUND: Increasing evidence indicates that harmful effects are associated with the use of physical restraint. OBJECTIVES: To characterize the use of physical restraint in intensive care units. Prevalence, adherence to protocols, and correlates of the use of physical restraint were determined.

  8. Whale Multi-Disciplinary Studies: A Marine Education Infusion Unit. Northern New England Marine Education Project.

    Science.gov (United States)

    Maine Univ., Orono. Coll. of Education.

    This multidisciplinary unit deals with whales, whaling lore and history, and the interaction of the whale with the complex marine ecosystem. It seeks to teach adaptation of marine organisms. It portrays the concept that man is part of the marine ecosystem and man's activities can deplete and degrade marine ecosystems, endangering the survival of…

  9. Crew resource management training in the intensive care unit: a multisite controlled before-after study.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, R.L.; Tangkau, P.; Wagner, C.

    2016-01-01

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non

  10. A Comparative Study of Taoism and American Transcendentalism: A Humanities Teaching Unit.

    Science.gov (United States)

    Womack, Nancy

    This teaching unit, designed for advanced high school students and average junior college students in a humanities oriented literature course, has one primary objective: to correlate similar thinking in two different time periods and locales. The philosophy of Taoism in ancient China and the philosophy of transcendentalism in nineteenth century…

  11. Graduate Study in Chemistry in the United States: A Guide for Non-U.S. Students.

    Science.gov (United States)

    Grace, Judy Diane; Fernando, Quintus

    A guide to help students from other countries pursue graduate education in chemistry in the United States is presented. The process of gaining admission to U.S. universities is emphasized, and the nature of graduate education is briefly explained. It is noted that students majoring in chemistry are expected to have a sound background in…

  12. A Delphi Study of Additive Manufacturing Applicability for United States Air Force Civil Engineer Contingency Operations

    Science.gov (United States)

    2015-03-26

    research examines the possibilities for the integration of additive manufacturing (AM) machines in United States Air Force civil engineer (CE...popularity in many applications. One of these developing applications is the use of additive manufacturing machines for the production of supplies in...capability is the inclusion of additive manufacturing (AM) machines in certain CE UTCs. Additive manufacturing is the process of constructing

  13. The Oral Health Burden in the United States: A Summary of Recent Epidemiological Studies.

    Science.gov (United States)

    Caplan, Daniel J.; Weintraub, Jane A.

    1993-01-01

    This article reviews recent large-scale epidemiological surveys of oral health in the United States, outlines risk factors for oral disease, and makes recommendations for future surveys. Discussion is limited to dental caries, periodontal diseases, tooth loss, edentulism, oral cancer, and orofacial clefts. (Author/MSE)

  14. Characterizing Twitter Communication--A Case Study of International Engineering Academic Units

    Science.gov (United States)

    Palmer, Stuart

    2014-01-01

    Engineering academic units might engage with social media for a range of purposes including for general communication with students, staff, alumni, other important stakeholders and the wider community at large; for student recruitment and for marketing and promotion more generally. This paper presents an investigation into the use of Twitter by…

  15. A Study to Determine the Effects of Sustainment Training and Unit Assignment on Skill Retention

    Science.gov (United States)

    1984-07-01

    units. ARI has been able to develop a mathematical model to Predict Perforinmance, task by task in the Soldier’s Manuals, considering a variety of...personniel in the sustainlent of a readiii-ess posture has lbeen qucstione(l. by the Chief Dietitian, COL 1--r-mcib A. Licojooli, A\\rmy Vedical

  16. Characterizing Twitter Communication--A Case Study of International Engineering Academic Units

    Science.gov (United States)

    Palmer, Stuart

    2014-01-01

    Engineering academic units might engage with social media for a range of purposes including for general communication with students, staff, alumni, other important stakeholders and the wider community at large; for student recruitment and for marketing and promotion more generally. This paper presents an investigation into the use of Twitter by…

  17. The chopstick auction: a study of the exposure problem in multi-unit auctions

    NARCIS (Netherlands)

    Englmaier, F.; Llorente, L.; Onderstal, S.; Sausgruber, R.

    2009-01-01

    Multi-unit auctions are sometimes plagued by the so-called exposure problem. In this paper, we analyze a simple game called the "chopstick auction" in which bidders are confronted with the exposure problem. We do so both in theory and in a laboratory experiment. In theory, the chopstick auction has

  18. Experimental studies on improvement of coefficient of performance of window air conditioning unit

    Directory of Open Access Journals (Sweden)

    Tharves Mohideen Sheik Ismail

    2017-01-01

    Full Text Available This paper presents the performance analysis of a window air conditioner unit incorporated with wick less loop heat pipes (WLHP. The WLHP are located on the evaporator side of the air conditioning unit. The working medium for the WLHP is R134a refrigerant gas, an alternate refrigerant. The supply and return humidity of room air, the heat removal rat, and the coefficient of performance of the unit are analyzed for various ambient and room temperatures before and after incorporation of WLHP. The performance curves are drawn by comparing the power consumption and humidity collection rates for various room and ambient temperatures. The results show that coefficient of performance of the unit is improved by 18% to 20% after incorporation of WLHP due to pre-cooling of return air by WLHP, which reduces the thermal load on compressor. Similarly, the energy consumption is reduced by 20% to 25% due to higher thermostat setting and the humidity collection is improved by 35% due to pre-cooling effect of WLHP. The results are tabulated and conclusion drawn is presented based on the performance.

  19. Connecting Girls and Science: A Feminist Teacher Research Study of a High School Prenatal Testing Unit.

    Science.gov (United States)

    Howes, Elaine Virginia

    1998-01-01

    Explores how a dozen high school girls express their relationship to and understanding of prenatal testing and its possible place in their lives and the lives of others in the context of a short unit on prenatal testing in a semester-long genetics course. Contains 57 references. (DDR)

  20. Grammatical Theory in the United States from Bloomfield to Chomsky. Cambridge Studies in Linguistics: 67.

    Science.gov (United States)

    Matthews, P. H.

    A survey of the history of linguistic theory concerning grammar in the United States traces the development of theory since 1910. It begins with a general historical review of American linguistics. The subsequent three chapters focus on grammar. The first of these deals with morphology, beginning with Leonard Bloomfield's ideas in both his early…

  1. Rural Cooperative Economic Organized United Association: A Case Study of Baoding City of Hebei Province

    Institute of Scientific and Technical Information of China (English)

    ZONG Yi-xiang; ZHANG Hong-jie

    2012-01-01

    Taking its development in Baoding City as an example, we introduced service fields of rural cooperative economic organized united association. It mainly includes setting up service platform and providing scientific and technological services; organizing economic and trade negotiation and exchange, and promoting farmer-supermarket partnership; providing financial services and solving fund-raising problems. In line with these fields, we analyzed existing problems: (i) regional development is unbalanced and organization lacks internal connection; (ii) the development in some counties (cities) is to be improved, and the promotion effect is not significant; (iii) there is shortage of talent and the innovation strength is not enough; and (iv) it lacks system and management lacks restriction mechanism. Finally, we put forward countermeasures and recommendations: strengthen propaganda and cultivate farmers’ cooperative awareness; incorporate rural cooperative economic organized united association into formal system arrangement, and absorb professional talents; innovate upon organization system of rural cooperative economic organized united association and improve service methods; improve internal operating mechanism and innovate upon working contents of rural cooperative economic organized united association at new development background.

  2. Analysis of 36 Y-STR marker units including a concordance study among 2085 Dutch males

    NARCIS (Netherlands)

    A.A. Westen (Antoinette); T. Kraaijenbrink (Thirsa); L. Clarisse (Lindy); L.J.W. Grol (Laurens J.W.); P. Willemse (Patricia); S.B. Zuniga (Sofia); E.A. Robles De Medina (Elizaveta); R. Schouten (Ron); K. van der Gaag (Kristiaan); J.M. Weiler; A.J. Kal (Arnoud J.); M.H. Kayser (Manfred); T. Sijen (Titia); P. de Knijff (Peter)

    2015-01-01

    textabstractThe genotypes of 36 Y-chromosomal short tandem repeat (Y-STR) marker units were analysed in a Dutch population sample of 2085 males. Profiling results were compared for several partially overlapping kits, i.e. PowerPlex Y, Yfiler, PowerPlex Y23, and two in-house designed multiplexes with

  3. Retrospective study of severe cases of leptospirosis admitted in the intensive care unit

    OpenAIRE

    Ittyachen A; Krishnapillai T; Nair M; Rajan A

    2007-01-01

    Objectives: Evaluate patient demographics, risk factors, complications, seropositivity, treatment and outcome among leptospirosis patients. Design: Retrospective analysis of 104 patients admitted in the intensive care unit (ICU) with a clinical suspicion of leptopirosis. Setting: Ten-bedded medical ICU in a medical school situated in a rural area endemic for leptospirosis. Main Outcome Measures: Seropositivity for leptospirosis, patient demographics, risk factors, complications, treatment a...

  4. Grammatical Theory in the United States from Bloomfield to Chomsky. Cambridge Studies in Linguistics: 67.

    Science.gov (United States)

    Matthews, P. H.

    A survey of the history of linguistic theory concerning grammar in the United States traces the development of theory since 1910. It begins with a general historical review of American linguistics. The subsequent three chapters focus on grammar. The first of these deals with morphology, beginning with Leonard Bloomfield's ideas in both his early…

  5. Determinants of procedural pain intensity in the intensive care unit. The Europain® study

    DEFF Research Database (Denmark)

    Puntillo, Kathleen A; Max, Adeline; Timsit, Jean-Francois;

    2014-01-01

    RATIONALE: Intensive care unit (ICU) patients undergo several diagnostic and therapeutic procedures every day. The prevalence, intensity, and risk factors of pain related to these procedures are not well known. OBJECTIVES: To assess self-reported procedural pain intensity versus baseline pain, ex...

  6. Nickel release from earrings purchased in the united states: the San Francisco earring study

    DEFF Research Database (Denmark)

    Maibach, H.I.; Thyssen, Jacob Pontoppidan

    2008-01-01

    Background: Nickel sensitization is frequent among US patients with dermatitis and in the general population. In Europe, decreasing prevalences of nickel sensitization are observed as a result of the European Union Nickel Directive. However, no directive exists in the United States. Objectives: W...

  7. Community-Based Art Studios in Europe and the United States: A Comparative Study

    Science.gov (United States)

    Vick, Randy M.; Sexton-Radek, Kathy

    2008-01-01

    This survey research compares the structure and practices of 7 community studio art programs for artists with disabilities in Europe to 8 studio art therapy programs in the United States. Art therapy and disability arts literature was reviewed to establish a theoretical context for this project. A survey research method was used, with statistical…

  8. Dutch care innovation units in elderly care: A qualitative study into students' perspectives and workplace conditions for learning.

    Science.gov (United States)

    Snoeren, Miranda; Volbeda, Patricia; Niessen, Theo J H; Abma, Tineke A

    2016-03-01

    To promote workplace learning for staff as well as students, a partnership was formed between a residential care organisation for older people and several nursing faculties in the Netherlands. This partnership took the form of two care innovation units; wards where qualified staff, students and nurse teachers collaborate to integrate care, education, innovation and research. In this article, the care innovation units as learning environments are studied from a student perspective to deepen understandings concerning the conditions that facilitate learning. A secondary analysis of focus groups, held with 216 nursing students over a period of five years, revealed that students are satisfied about the units' learning potential, which is formed by various inter-related and self-reinforcing affordances: co-constructive learning and working, challenging situations and activities, being given responsibility and independence, and supportive and recognisable learning structures. Time constraints had a negative impact on the units' learning potential. It is concluded that the learning potential of the care innovation units was enhanced by realising certain conditions, like learning structures and activities. The learning potential was also influenced, however, by the non-controllable and dynamic interaction of various elements within the context. Suggestions for practice and further research are offered.

  9. PENGELOLAAN UNIT PRODUKSI SMK NEGERI RUMPUN BANGUNAN DI DAERAH ISTIMEWA YOGYAKARTA (STUDI KASUS SMKN 2 PENGASIH KULONPROGO

    Directory of Open Access Journals (Sweden)

    Ahmad Gunadi

    2015-06-01

    Full Text Available Penelitian bertujuan untuk mengungkapkan: perencanaan, pengorganisasia, pelaksanaan, dan pengawasan unit produksi Jurusan Teknik Konstruksi Kayu di SMKN 2 Pengasih, Kulonprogo. Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Subjek penelitian ini adalah pengelola unit produksi, yang meliputi: Ketua UPJ, Ketua UPJ sekolah, dan Kepala Bengkel. Teknik pengumpulan data adalah wawancara, observasi dan dokumen. Analisis data melalui pemilahan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian: perencanaan belum dilakukan dengan baik; kendala tidak ada rapat rutin dan lemahnya dokumentasi; tidak semua pengelola terlibat; pengorganisasian belum cukup baik; kendala dalam personalia, sarana dan peralatan yang kurang serta koordinasi; langkah-langkah pelaksanaan lebih menyerupai proses produksi; unit produksi belum berfungsi dengan baik sebagai sarana belajar; pelaksanaan terkendala bengkel yang sekaligus menjadi tempat praktik; langkah dan prinsip pengawasan diterapkan dalam pelaporan keuangan; pihak yang melakukan pengawasan yaitu ketua UPJ Sekolah, ketua UPJ jurusan, dan kepala bengkel; pengawasan terkendala pada tidak adanya SOP.

  10. Acquired hemophilia A in the United Kingdom: a 2-year national surveillance study by the United Kingdom Haemophilia Centre Doctors' Organisation.

    Science.gov (United States)

    Collins, Peter W; Hirsch, Sybil; Baglin, Trevor P; Dolan, Gerard; Hanley, John; Makris, Michael; Keeling, David M; Liesner, Ri; Brown, Simon A; Hay, Charles R M

    2007-03-01

    Acquired hemophilia A is a severe bleeding disorder caused by an autoantibody to factor VIII. Previous reports have focused on referral center patients and it is unclear whether these findings are generally applicable. To improve understanding of the disease, a 2-year observational study was established to identify and characterize the presenting features and outcome of all patients with acquired hemophilia A in the United Kingdom. This allowed a consecutive cohort of patients, unbiased by referral or reporting practice, to be studied. A total of 172 patients with a median age of 78 years were identified, an incidence of 1.48/million/y. The cohort was significantly older than previously reported series, but bleeding manifestations and underlying diseases were similar. Bleeding was the cause of death in 9% of the cohort and remained a risk until the inhibitor had been eradicated. There was no difference in inhibitor eradication or mortality between patients treated with steroids alone and a combination of steroids and cytotoxic agents. Relapse of the inhibitor was observed in 20% of the patients who had attained first complete remission. The data provide the most complete description of acquired hemophilia A available and are applicable to patients presenting to all centers.

  11. Unit Social Cohesion in the Israeli Military as a Case Study of “Don’t Ask, Don’t Tell”

    OpenAIRE

    Kaplan, Danny; Rosenmann, Amir

    2012-01-01

    The presence of openly gay soldiers does not undermine unit cohesion, according to a new statistical analysis of the Israel Defense Force (IDF). The study surveyed 417 male Israeli soldiers from 22 military installations. Statistical analysis of responses to the survey indicated that for both combat and non-combat units, the presence of openly gay troops in a unit had no relationship to the cohesiveness of the unit. Israel has allowed gays and lesbians to serve openly in the military since 1993.

  12. Intensive care unit versus hospital floor: a comparative study of postoperative management of patients with adolescent idiopathic scoliosis.

    Science.gov (United States)

    Shan, Le-Qun; Skaggs, David L; Lee, Christopher; Kissinger, Catherine; Myung, Karen S

    2013-04-03

    Patients undergoing posterior spinal instrumentation and fusion surgery for adolescent idiopathic scoliosis were admitted to the intensive care unit until two years ago, at which time we changed our protocol to admit these patients to the general hospital floor following a brief stay in a postanesthesia care unit. This study compared postoperative management on a hospital floor with that in the intensive care unit for patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion. A retrospective review of 124 consecutive patients with adolescent idiopathic scoliosis treated with spinal fusion from August 2007 to August 2010 was performed. Inclusion criteria were a diagnosis of adolescent idiopathic scoliosis and posterior spinal instrumentation and fusion surgery. Of 124 patients, sixty-six were managed postoperatively in the intensive care unit and fifty-eight, on the hospital floor. The mean age at the time of surgery was fourteen years. A mean of eleven vertebral levels (range, six to fifteen levels) were fused. No significant difference between the groups was found with respect to the mean age at the time of surgery, mean weight, mean preoperative and postoperative Cobb angles, and mean number of levels fused (p ≥ 0.12). However, the use of analgesic and antianxiety medication, number of postoperative blood tests, days of hospital stay, and number of physical therapy sessions were significantly decreased in the floor group compared with the intensive care unit group (p ≤ 0.05). No patient from the floor group had to be admitted to the intensive care unit. The mean charge was $33,121 for the floor group and $39,252 for the intensive care unit group (p floor, rather than in an intensive care unit, was associated with a shorter hospital stay, fewer blood tests, less analgesic and antianxiety medication usage, and fewer physical therapy sessions at this high-volume, academic, tertiary-care children's hospital. In addition to improved patient

  13. Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features.

    Science.gov (United States)

    Stewart, W F; Liberman, J N; Sandler, R S; Woods, M S; Stemhagen, A; Chee, E; Lipton, R B; Farup, C E

    1999-12-01

    Constipation is a common heterogeneous condition, possibly encompassing different clinical subtypes. Little is known about the comparative epidemiology of constipation subtypes. This study was conducted to estimate the prevalence of constipation subtypes and determine whether subtypes differ by sociodemographic factors. Between June and September 1997, a telephone interview was conducted with individuals about their bowel habits in the preceding 3 months. Survey data on 15 constipation-related symptoms were used to identify individuals who met prespecified symptom criteria for the following mutually exclusive subgroups: functional constipation, irritable bowel syndrome (IBS), outlet obstruction or delay (outlet), both IBS and outlet (IBS-outlet), and frequent laxative users (i.e., at least every other day). A total of 10,018 eligible individuals in the United States 18 yr of age or older completed the interview. Test-retest reliability of reporting symptoms was assessed in a separate national survey. The Spearman's correlation coefficient for reporting symptoms ranged from 0.54 to 0.83; all but three symptoms had correlations above 0.68. The overall prevalence of constipation was 14.7%. By subtype, prevalence was 4.6% for functional, 2.1% for IBS, 4.6% for outlet, and 3.4% for IBS-outlet. An additional 1.8% of respondents reported laxative use at least every other day. Outlet was the most common subtype among women, whereas functional constipation was the most common subtype among men. The gender ratio varied by subtype, with elevated ratios for outlet (F/M = 1.65) and IBS-outlet (F/M = 2.27) subtypes. The age pattern differed among each of the four subtypes. Prevalence of functional subtype decreased with increasing age. In contrast, outlet subtype did not seem to vary by age, and IBS (both men and women) and IBS-outlet (women only) subtypes increased to age 35 yr and declined thereafter. Prevalence of functional constipation increased with increasing education

  14. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India

    Directory of Open Access Journals (Sweden)

    Parmeshwar Kumar

    2015-01-01

    Full Text Available Context: Though intensive care units (ICUs only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Fisher′s two-tailed t-test. Results: Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  15. Overcoming the Challenges of Conducting Early Feasibility Studies of Medical Devices in the United States.

    Science.gov (United States)

    Holmes, David R; Califf, Robert; Farb, Andrew; Abel, Dorothy; Mack, Michael; Syrek Jensen, Tamara; Zuckerman, Bram; Leon, Martin; Shuren, Jeff

    2016-10-25

    Initial clinical studies of new medical technologies involve a complex balance of research participant benefits versus risks and costs of uncertainty when novel concepts are tested. The Food and Drug Administration Center for Devices and Radiological Health has recently introduced the Early Feasibility Study (EFS) Program for facilitating the conduct of these studies under the Investigational Device Exemption regulations. However, a systematic approach is needed to successfully implement this program while affording appropriate preservation of the rights and interests of patients. For this to succeed, a holistic reform of the clinical studies ecosystem for performing early-stage clinical research in the United States is necessary. The authors review the current landscape of the U.S. EFS and make recommendations for developing an efficient EFS process to meet the goal of improving access to early-stage, potentially beneficial medical devices in the United States.

  16. Panel Unit Root Tests by Combining Dependent Values: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Xuguang Sheng

    2011-01-01

    Full Text Available We conduct a systematic comparison of the performance of four commonly used value combination methods applied to panel unit root tests: the original Fisher test, the modified inverse normal method, Simes test, and the modified truncated product method (TPM. Our simulation results show that under cross-section dependence the original Fisher test is severely oversized, but the other three tests exhibit good size properties. Simes test is powerful when the total evidence against the joint null hypothesis is concentrated in one or very few of the tests being combined, but the modified inverse normal method and the modified TPM have good performance when evidence against the joint null is spread among more than a small fraction of the panel units. These differences are further illustrated through one empirical example on testing purchasing power parity using a panel of OECD quarterly real exchange rates.

  17. A Mathematical Approach to the Study of the United States Code

    CERN Document Server

    Bommarito, Michael J

    2010-01-01

    The United States Code (Code) is a document containing over 22 million words that represents a large and important source of Federal statutory law. Scholars and policy advocates often discuss the direction and magnitude of changes in various aspects of the Code. However, few have mathematically formalized the notions behind these discussions or directly measured the resulting representations. This paper addresses the current state of the literature in two ways. First, we formalize a representation of the United States Code as the union of a hierarchical network and a citation network over vertices containing the language of the Code. This representation reflects the fact that the Code is a hierarchically organized document containing language and explicit citations between provisions. Second, we use this formalization to measure aspects of the Code as codified in October 2008, November 2009, and March 2010. These measurements allow for a characterization of the actual changes in the Code over time. Our findin...

  18. AUDIT OF MUNICIPALITIES AND LOCAL GOVERNMENT UNITS - THE CASE STUDY OF THE CZECH REPUBLIC

    Directory of Open Access Journals (Sweden)

    Richard POSPISIL

    2017-05-01

    Full Text Available Public economics examines the influence of the state on economic equality and efficiency, and on conduction of business entities in connection with the various tax systems and individual behavior in private consumption. To manage the public economy is thorough knowledge of the real decision-making and allocation mechanisms. From a budgetary perspective, the public economy in the Czech Republic is characterized mainly by the state budget, 6,249 municipal budgets and 14 budgets of local government units. These all units are together subject to annual statutory audit, which mainly represents the analysis of the system of the Audit informative and monitoring indicators (ASIMI. The paper analyzes the outcome of the audit with the use of absolute and relative indicators and suggests possible changes and consolidation of municipal and local government budgets in the Czech Republic.

  19. Globalisation, Language and Education: A Comparative Study of the United States and Tanzania

    Science.gov (United States)

    Roy-Campbell, Zaline M.

    2001-07-01

    Educational language choice has been one of the most provocative issues of the 20th century and continues to be a dominant issue at the turn of the new millennium. Efforts to naturalize English as the only suitable language for post primary school education persist in many African countries, including Tanzania. In the United States the campaign for "English only" in the schools is gaining momentum, despite the increasing multilingual population in the schools. Focusing on Tanzania and the United States, this article examines the fallacy of a monolingual, English only, policy in education. It examines the ethos surrounding the debate about the language of instruction, and considers some of the detrimental effects upon students of attempting to impose a monolingual policy. Finally, the paper suggests possible roles of educators and researchers in fostering international understanding of educational language issues as one aspect of the quest for global peace and social justice in the 21st century.

  20. Comparative study of Chinese and Hindu bioconversion units; Estudo comparativo de biodigestores modelos indiano e chines

    Energy Technology Data Exchange (ETDEWEB)

    Lucas Junior, Jorge de

    1987-12-01

    The kinds of anaerobic bioconversion units that are prevalent in the world are based on the chinese and hindu models. This work perform a comparison between this models, to permit an option for one model to another. The assays were developed with stock through daily and weekly loads, where information was gathered which allowed them to conclude as to the performance of bioconversion units built according to the hindu and chinese models, giving emphasis to those which refer to quantity of the biogas and quality of the effluents produced, as well as the influences of outside temperatures, of the air and the soil, about the temperature of the medium in fermentation. (author). 27 figs., 26 tabs., 66 refs

  1. Study on Unit Cell Models and the Effective Thermal Conductivities of Silica Aerogel.

    Science.gov (United States)

    Liu, He; Li, Zeng-Yao; Zhao, Xin-Peng; Tao, Wen-Quan

    2015-04-01

    In this paper, two modified unit cell models, truncated octahedron and cubic array of intersecting square rods with 45-degree rotation, are developed in consideration of the tortuous path of heat conduction in solid skeleton of silica aerogel. The heat conduction is analyzed for each model and the expressions of effective thermal conductivity of the modified unit cell models are derived. Considering the random microstructure of silica aerogel, the probability model is presented. We also discuss the effect of the thermal conductivity of aerogel backbone. The effective thermal conductivities calculated by the proposed probability model are in good agreement with available experimental data when the density of the aerogel is 110 kg/m3.

  2. Liquid phase methanol LaPorte process development unit: Modification, operation, and support studies

    Energy Technology Data Exchange (ETDEWEB)

    1991-02-02

    The primary focus of this Process Development Unit operating program was to prepare for a confident move to the next scale of operation with a simplified and optimized process. The main purpose of these runs was the evaluation of the alternate commercial catalyst (F21/0E75-43) that had been identified in the laboratory under a different subtask of the program. If the catalyst proved superior to the previous catalyst, then the evaluation run would be continued into a 120-day life run. Also, minor changes were made to the Process Development Unit system to improve operations and reliability. The damaged reactor demister from a previous run was replaced, and a new demister was installed in the intermediate V/L separator. The internal heat exchanger was equipped with an expansion loop to relieve thermal stresses so operation at higher catalyst loadings and gas velocities would be possible. These aggressive conditions are important for improving process economics. (VC)

  3. What Drives Wine Expenditure in the United States? A Four-State Wine Market Segmentation and Consumer Behaviors Study

    OpenAIRE

    Deng, Xueting; Woods, Timothy

    2014-01-01

    This study explores wine expenditure driven factors for consumers in the United States by employing a four-state consumer behaviors study. A market segmentation method is applied to investigate spending patterns of 1,609 wine consumers in Pennsylvania, Ohio, Kentucky, and Tennessee. Determinants including wine consumption frequency, preference of differently priced wines, wine knowledge, past wine experience, and “local” involvement are investigated and compared for their significance in driv...

  4. Bed Utilisation in an Irish Regional Paediatric Unit A Cross-Sectional Study Using the Paediatric Appropriateness Evaluation Protocol (PAEP)

    LENUS (Irish Health Repository)

    Ó hAiseadha, Coilín

    2016-05-01

    Increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. In the first paediatric bed utilisation study at a regional university centre in Ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the Regional Paediatric Unit (RPU) in University Hospital Limerick (UHL), Limerick, Ireland and also examined hospital activity data, to make recommendations for optimal use of inpatient resources.

  5. What Drives Wine Expenditure in the United States? A Four-State Wine Market Segmentation and Consumer Behaviors Study

    OpenAIRE

    Deng, Xueting; Woods, Timothy

    2014-01-01

    This study explores wine expenditure driven factors for consumers in the United States by employing a four-state consumer behaviors study. A market segmentation method is applied to investigate spending patterns of 1,609 wine consumers in Pennsylvania, Ohio, Kentucky, and Tennessee. Determinants including wine consumption frequency, preference of differently priced wines, wine knowledge, past wine experience, and “local” involvement are investigated and compared for their significance in driv...

  6. Nursing Team Leader handover in the intensive care unit contains diverse information and lacks structure: An observational study

    OpenAIRE

    Spooner, A. J.; Aitken, L. M.; Corley, A.; Fraser, J.F.; Chaboyer, W.

    2016-01-01

    Background: Despite a proliferation of evidence and the development of standardised tools to improve communication at handover, evidence to guide the handover of critical patient information between nursing team leaders in the intensive care unit is limited. Objective: The study aim was to determine the content of information handed over during intensive care nursing team leader shift-to-shift handover. Design: A prospective observational study. Setting: A 21-bed medical/s...

  7. Aquatic studies at the 100-HR-3 and 100-NR-1 operable units

    Energy Technology Data Exchange (ETDEWEB)

    Cushing, C.E.

    1993-04-01

    Pacific Northwest Laboratory initiated a program to characterize selected aquatic biological populations to determine (1) existing levels of inorganic chemical and radionuclide contamination, and (2) the populations` suitability as indicators of chemical releases during cleanup activities at the US Department of Energy`s Hanford Site. Following work plans for the ground-water operable units, lower trophic levels in the aquatic habitat (periphyton and caddisfly larvae) were evaluated for contaminants at the 100-HR-3 Operable Unit and 100-NR-1 Operable Unit. The results were evaluated to determine the need for further sampling. If the results showed no significant contamination compared to upriver levels, sampling would be discontinued. The periphyton community appears to be suitable for determining contamination levels. Baseline concentrations for stable chromium were established and will be useful for comparing samples collected when contaminant release is expected. Concentrations of {sup 60}Co, {sup 90}Sr, and {sup 137}Cs in periphyton were essentially below detectable limits, which will also make this community useful in detecting potential releases of radionuclides during cleanup activities. Levels for both stable chromium and radionuclides were essentially below detection limits for caddisfly larvae. Thus, these organisms may be used to monitor suspected contaminant releases from cleanup activities; if concentrations exceed detection limits, they may be related to these activities. Two candidate threatened and endangered species of molluscs occur in the Hanford Reach of the Columbia River. These are the shortface lanx (Fisherola nuttalli), which is a Washington State candidate species, and the Columbia pebblesnail (Fluminicola columbiana), which is both a state and federal candidate species. Specimens of the shortface lanx were observed in the vicinity of N Springs (100-NR-1 Operable Unit); they likely occur throughout this area.

  8. Aquatic studies at the 100-HR-3 and 100-NR-1 operable units

    Energy Technology Data Exchange (ETDEWEB)

    Cushing, C.E.

    1993-04-01

    Pacific Northwest Laboratory initiated a program to characterize selected aquatic biological populations to determine (1) existing levels of inorganic chemical and radionuclide contamination, and (2) the populations' suitability as indicators of chemical releases during cleanup activities at the US Department of Energy's Hanford Site. Following work plans for the ground-water operable units, lower trophic levels in the aquatic habitat (periphyton and caddisfly larvae) were evaluated for contaminants at the 100-HR-3 Operable Unit and 100-NR-1 Operable Unit. The results were evaluated to determine the need for further sampling. If the results showed no significant contamination compared to upriver levels, sampling would be discontinued. The periphyton community appears to be suitable for determining contamination levels. Baseline concentrations for stable chromium were established and will be useful for comparing samples collected when contaminant release is expected. Concentrations of [sup 60]Co, [sup 90]Sr, and [sup 137]Cs in periphyton were essentially below detectable limits, which will also make this community useful in detecting potential releases of radionuclides during cleanup activities. Levels for both stable chromium and radionuclides were essentially below detection limits for caddisfly larvae. Thus, these organisms may be used to monitor suspected contaminant releases from cleanup activities; if concentrations exceed detection limits, they may be related to these activities. Two candidate threatened and endangered species of molluscs occur in the Hanford Reach of the Columbia River. These are the shortface lanx (Fisherola nuttalli), which is a Washington State candidate species, and the Columbia pebblesnail (Fluminicola columbiana), which is both a state and federal candidate species. Specimens of the shortface lanx were observed in the vicinity of N Springs (100-NR-1 Operable Unit); they likely occur throughout this area.

  9. Regional distribution of fatiguing illnesses in the United States: a pilot study

    OpenAIRE

    2004-01-01

    Abstract Background Chronic fatigue syndrome (CFS) is a debilitating illness with no known cause or effective therapy. Population-based epidemiologic data on CFS prevalence are critical to put CFS in a realistic context for public health officials and others responsible for allocating resources. Methods We conducted a pilot random-digit-dialing survey to estimate the prevalence of fatiguing illnesses in different geographic regions and in urban and rural populations of the United States. This...

  10. Family satisfaction with patient care in critical care units in Pakistan: a descriptive cross-sectional study.

    Science.gov (United States)

    Ahtisham, Younas; Subia, Parveen; Gideon, Victor

    2016-11-23

    To assess family satisfaction with care provided to patients in critical care units in Islamabad. A descriptive cross-sectional study was conducted in 11 medical and surgical critical care units at two private hospitals in Islamabad, Pakistan. The purposive sample consisted of 323 immediate family members and other relatives and friends (referred to as family members in this article) of 323 patients admitted to the critical care units for at least 24 hours. The revised Critical Care Family Satisfaction Survey was used for data collection. Descriptive statistics were used for data analysis. A total of 149/323 (46%) family members were 'very satisfied' with the honesty (openness) of staff in explaining the patient's condition, and 137/323 (42%) family members were 'very satisfied' with the nurses' availability to speak to them. A total of 143/323 (44%) family members were 'satisfied' with the honesty (openness) of staff in explaining the patient's condition, and 131/323 (41%) were 'satisfied' with the nurses' availability to speak to them. A few family members (21/323, 6%) were 'very dissatisfied' with the flexibility of the visiting hours and a few (20/323, 6%) were 'very dissatisfied' with the noise level in the critical care units. Some family members (38/323, 12%) were 'not satisfied' with the flexibility of the visiting hours, and some (18/323, 6%) were 'not satisfied' with the noise level in the critical care units. The majority of family members (244/323, 75%) were 'satisfied' or 'very satisfied' that their relatives' needs were being met in the critical care units. However, qualitative data indicate that most family members wanted greater involvement in decision making. These findings should be considered by staff working in critical care settings to ensure high-quality patient care.

  11. The world economic crisis and the children: United States case study.

    Science.gov (United States)

    Miller, C A; Coulter, E J; Schorr, L B; Fine, A; Adams-Taylor, S

    1985-01-01

    This is a review of the United States experience with issues of child health and services as they relate to changes in economic trends. No existing data systems are entirely adequate for reporting on the current health status of children. An important consideration for the monitoring of children's health in the United States is the status of subgroups such as those who are disadvantaged for reasons of poverty, discrimination or geographic isolation. Ample evidence confirms that children living in poverty suffer adverse health consequences and that the proportion of children living in poverty in the United States has increased steadily since 1975 and dramatically since 1981. Most measures of health status and health risks for children show steady improvements throughout the 1970s. The exercise of public responsibility for financing and providing essential services and supports held constant or improved during this period, especially during the recession of 1974-75. The health status and risks for children since 1981 appear to be adversely affected which must be attributed to a combination of circumstances that include serious recession, increased poverty rates for households with children and diminished health benefits and social support services. These findings suggest that when either local or widespread economic reversals are anticipated, health services and social supports for children need to be expanded rather than contracted.

  12. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly

    DEFF Research Database (Denmark)

    Sprung, Charles L; Artigas, Antonio; Kesecioglu, Jozef

    2012-01-01

    RATIONALE:: Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly. OBJECTIVE:: To determine the effect of intensive care unit triage decisions...... for intensive care unit admission. INTERVENTIONS:: Admission or rejection to intensive care unit. MEASUREMENTS AND MAIN RESULTS:: Demographic, clinical, hospital, physiologic variables, and 28-day mortality were obtained on consecutive patients. There were 8,472 triages in 6,796 patients, 5,602 (82%) were...... on mortality and intensive care unit benefit, specifically for elderly patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with an explicit request...

  13. Groundwater Drought and Recovery: a Case Study from the United Kingdom

    Science.gov (United States)

    Peach, D.; McKenzie, A. A.; Bloomfield, J.

    2012-12-01

    An understanding of the processes leading to the onset, duration and end of hydrological droughts is necessary to help improve the management of stressed or scarce water resources during such periods. In particular, the role and use of groundwater during episodes of drought is crucially important, since groundwater can provide relatively resilient water supplies during early stages of drought but maybe highly susceptible to relatively persistent or sustained droughts. Nevertheless, groundwater is seldom considered in drought analyses, and compared with other types of hydrological drought there have been few studies to date. The few previous studies of groundwater droughts at catchment- and regional-scale have shown that catchment and aquifer characteristics exert a strong influence on the spatio-temporal development of groundwater droughts as water deficit propagates through the terrestrial water cycle. In this context, the relationships between hydrogeological heterogeneity, catchment engineering infrastructure (storage), and decisions related to water resource management during drought events all shape the evolution and consequences of groundwater droughts. Here we examine the evolution of a recent regionally significant two-year drought across the United Kingdom (UK) and use it to investigate these relationships. We identify the drivers, characterise the development and spatio-temporal extent of the groundwater drought. In particular, we focus on the unusually rapid end and recovery from drought during what would normally be a period of groundwater recession. The UK, and in particular southern England, relies extensively on groundwater for public water supply, agricultural and industrial use, as well as for sustaining river flows that are essential to ecosystem health. In normal years relatively consistent rainfall patterns prevail, recharging aquifers over winter when evapotranspiration is minimal. However, by March 2012 large parts of the southern UK had

  14. Groundwater-quality data in the Cascade Range and Modoc Plateau study unit, 2010-Results from the California GAMA Program

    Science.gov (United States)

    Shelton, Jennifer L.; Fram, Miranda S.; Belitz, Kenneth

    2013-01-01

    Groundwater quality in the 39,000-square-kilometer Cascade Range and Modoc Plateau (CAMP) study unit was investigated by the U.S. Geological Survey (USGS) from July through October 2010, as part of the California State Water Resources Control Board (SWRCB) Groundwater Ambient Monitoring and Assessment (GAMA) Program’s Priority Basin Project (PBP). The GAMA PBP was developed in response to the California Groundwater Quality Monitoring Act of 2001 and is being conducted in collaboration with the SWRCB and Lawrence Livermore National Laboratory (LLNL). The CAMP study unit is the thirty-second study unit to be sampled as part of the GAMA PBP. The GAMA CAMP study was designed to provide a spatially unbiased assessment of untreated-groundwater quality in the primary aquifer system and to facilitate statistically consistent comparisons of untreated-groundwater quality throughout California. The primary aquifer system is defined as that part of the aquifer corresponding to the open or screened intervals of wells listed in the California Department of Public Health (CDPH) database for the CAMP study unit. The quality of groundwater in shallow or deep water-bearing zones may differ from the quality of groundwater in the primary aquifer system; shallow groundwater may be more vulnerable to surficial contamination. In the CAMP study unit, groundwater samples were collected from 90 wells and springs in 6 study areas (Sacramento Valley Eastside, Honey Lake Valley, Cascade Range and Modoc Plateau Low Use Basins, Shasta Valley and Mount Shasta Volcanic Area, Quaternary Volcanic Areas, and Tertiary Volcanic Areas) in Butte, Lassen, Modoc, Plumas, Shasta, Siskiyou, and Tehama Counties. Wells and springs were selected by using a spatially distributed, randomized grid-based method to provide statistical representation of the study unit (grid wells). Groundwater samples were analyzed for field water-quality indicators, organic constituents, perchlorate, inorganic constituents

  15. Status and understanding of groundwater quality in the Sierra Nevada Regional study unit, 2008: California GAMA Priority Basin Project

    Science.gov (United States)

    Fram, Miranda S.; Belitz, Kenneth

    2014-01-01

    Groundwater quality in the Sierra Nevada Regional (SNR) study unit was investigated as part of the California State Water Resources Control Board’s Groundwater Ambient Monitoring and Assessment Program Priority Basin Project. The study was designed to provide statistically unbiased assessments of the quality of untreated groundwater within the primary aquifer system of the Sierra Nevada. The primary aquifer system for the SNR study unit was delineated by the depth intervals over which wells in the State of California’s database of public drinking-water supply wells are open or screened. Two types of assessments were made: (1) a status assessment that described the current quality of the groundwater resource, and (2) an evaluation of relations between groundwater quality and potential explanatory factors that represent characteristics of the primary aquifer system. The assessments characterize untreated groundwater quality, rather than the quality of treated drinking water delivered to consumers by water distributors.

  16. Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom.

    Science.gov (United States)

    Kemp, H I; Bantel, C; Gordon, F; Brett, S J; Laycock, H C

    2017-06-01

    Pain is a common and distressing symptom experienced by intensive care patients. Assessing pain in this environment is challenging, and published guidelines have been inconsistently implemented. The Pain Assessment in INTensive care (PAINT) study aimed to evaluate the frequency and type of physician pain assessments with respect to published guidelines. This observational service evaluation considered all pain and analgesia-related entries in patients' records over a 24-h period, in 45 adult intensive care units (ICUs) in London and the South-East of England. Data were collected from 750 patients, reflecting the practice of 362 physicians. Nearly two-thirds of patients (n = 475, 64.5%, 95%CI 60.9-67.8%) received no physician-documented pain assessment during the 24-h study period. Just under one-third (n = 215, 28.6%, 95%CI 25.5-32.0%) received no nursing-documented pain assessment, and over one-fifth (n = 159, 21.2%, 95%CI 19.2-23.4)% received neither a doctor nor a nursing pain assessment. Two of the 45 ICUs used validated behavioural pain assessment tools. The likelihood of receiving a physician pain assessment was affected by the following factors: the number of nursing assessments performed; whether the patient was admitted as a surgical patient; the presence of tracheal tube or tracheostomy; and the length of stay in ICU. Physician-documented pain assessments in the majority of participating ICUs were infrequent and did not utilise recommended behavioural pain assessment tools. Further research to identify factors influencing physician pain assessment behaviour in ICU, such as human factors or cultural attitudes, is urgently needed. © 2017 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.

  17. Involvement of consumers in studies run by the Medical Research Council Clinical Trials Unit: Results of a survey

    Directory of Open Access Journals (Sweden)

    Vale Claire L

    2012-01-01

    Full Text Available Abstract Background We aimed to establish levels of consumer involvement in randomised controlled trials (RCTs, meta-analyses and other studies carried out by the UK Medical Research Council (MRC Clinical Trials Unit across the range of research programs, predominantly in cancer and HIV. Methods Staff responsible for studies that were included in a Unit Progress Report (MRC CTU, April 2009 were asked to complete a semi-structured questionnaire survey regarding consumer involvement. This was defined as active involvement of consumers as partners in the research process and not as subjects of that research. The electronic questionnaires combined open and closed questions, intended to capture quantitative and qualitative information on whether studies had involved consumers; types of activities undertaken; recruitment and support; advantages and disadvantages of involvement and its perceived impact on aspects of the research. Results Between October 2009 and April 2010, 138 completed questionnaires (86% were returned. Studies had been conducted over a 20 year period from 1989, and around half were in cancer; 30% in HIV and 20% were in other disease areas including arthritis, tuberculosis and blood transfusion medicine. Forty-three studies (31% had some consumer involvement, most commonly as members of trial management groups (TMG [88%]. A number of positive impacts on both the research and the researcher were identified. Researchers generally felt involvement was worthwhile and some felt that consumer involvement had improved the credibility of the research. Benefits in design and quality, trial recruitment, dissemination and decision making were also perceived. Researchers felt they learned from consumer involvement, albeit that there were some barriers. Conclusions Whilst most researchers identified benefits of involving consumers, most of studies included in the survey had no involvement. Information from this survey will inform the development

  18. Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals.

    Science.gov (United States)

    Trzpuc, Stefnee J; Martin, Caren S

    2010-01-01

    Additional research is needed to explore how the design of urban, medical-surgical nursing units influences communication patterns, perceptions of social support, and overall job satisfaction for nurses. Space syntax theory has typically been used to study communication in office environments; more recently, it has been applied to the study of healthcare environments. The purpose of this study was to explore the applicability of space syntax theory as a theoretical framework for studying nurses' communication in medical-surgical nursing units in urban hospitals. The nursing profession is rapidly changing, and nurses' work is psychologically and physically intense. At the same time, nurses are responsible for patient safety, optimal care delivery, and patient outcomes (Bureau of Labor Statistics, 2009; Clarke, 2007; Clarke & Donaldson, 2008; Institute of Medicine, 2000; Institute of Medicine, 2004). Nurses are central to the delivery of care and act as a conduit for communication among members of the patient care team. Some of the design characteristics that create a more appealing environment for patients, such as views of nature and single-patient rooms, may not be fully understood as they relate to nurses' tasks and responsibilities, and they could be detrimental to nursing communication. This study analyzed three medical-surgical nursing unit floor plans using two constructs of space syntax theory, and it verified analysis through three semi-structured interviews with end users. The use of space syntax theory for analyzing medical-surgical nursing unit floor plans is complex. Findings indicated that nurses' perceptions of two constructs of space syntax theory, visibility and accessibility, did not consistently match the anticipated benefits of the floor plan designs. Understanding how and when nurses communicate with each other could help designers of healthcare spaces create more effective environments that support nurses' work and personal health and welfare

  19. Study of the spatial distribution of the absorbed dose in blood volumes irradiated using a teletherapy unit

    Energy Technology Data Exchange (ETDEWEB)

    Goes, E.G., E-mail: eggoes@terra.com.b [Regional Blood Center of Ribeirao Preto, Ribeirao Preto, SP (Brazil); Nicolucci, P.; Nali, I.C. [Physics and Mathematics Department, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Pela, C.A.; Bruco, J.L. [Physics and Mathematics Department, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Center of Instrumentation, Dosimetry and Radioprotection, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Borges, J.C. [Center of Instrumentation, Dosimetry and Radioprotection, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Covas, D.T. [Regional Blood Center of Ribeirao Preto, Ribeirao Preto, SP (Brazil); Center for Cell-Based Therapy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP (Brazil)

    2010-06-15

    Blood irradiation can be performed using a dedicated blood irradiator or a teletherapy unit. A thermal device providing appropriate storage conditions during blood components irradiation with a teletherapy unit has been recently proposed. However, the most appropriated volume of the thermal device was not indicated. The goal of this study was to indicate the most appropriated blood volume for irradiation using a teletherapy unit in order to minimize both the dose heterogeneity in the volume and the blood irradiation time using these equipments. Theoretical and experimental methods were used to study the dose distribution in the blood volume irradiated using a linear accelerator and a cobalt-60 therapy machine. The calculation of absorbed doses in the middle plane of cylindrical acrylic volumes was accomplished by a treatment planning system. Experimentally, we also used cylindrical acrylic phantoms and thermoluminescent dosimeters to confirm the calculated doses. The data obtained were represented by isodose curves. We observed that an irradiation volume should have a height of 28 cm and a diameter of 28 cm and a height of 35 cm and a diameter of 35 cm, when the irradiation is to be performed by a linear accelerator and a cobalt-60 teletherapy unit, respectively. Calculated values of relative doses varied from 93% to 100% in the smaller volume, and from 66% to 100% in the largest one. A difference of 5.0%, approximately, was observed between calculated and experimental data. The size of these volumes permits the irradiation of blood bags in only one bath without compromising the homogeneity of the absorbed dose over the irradiated volume. Thus, these irradiation volumes can be recommend to minimize the irradiation time when a teletherapy unit is used to irradiate blood.

  20. Study of the spatial distribution of the absorbed dose in blood volumes irradiated using a teletherapy unit

    Science.gov (United States)

    Góes, E. G.; Nicolucci, P.; Nali, I. C.; Pelá, C. A.; Bruço, J. L.; Borges, J. C.; Covas, D. T.

    2010-06-01

    Blood irradiation can be performed using a dedicated blood irradiator or a teletherapy unit. A thermal device providing appropriate storage conditions during blood components irradiation with a teletherapy unit has been recently proposed. However, the most appropriated volume of the thermal device was not indicated. The goal of this study was to indicate the most appropriated blood volume for irradiation using a teletherapy unit in order to minimize both the dose heterogeneity in the volume and the blood irradiation time using these equipments. Theoretical and experimental methods were used to study the dose distribution in the blood volume irradiated using a linear accelerator and a cobalt-60 therapy machine. The calculation of absorbed doses in the middle plane of cylindrical acrylic volumes was accomplished by a treatment planning system. Experimentally, we also used cylindrical acrylic phantoms and thermoluminescent dosimeters to confirm the calculated doses. The data obtained were represented by isodose curves. We observed that an irradiation volume should have a height of 28 cm and a diameter of 28 cm and a height of 35 cm and a diameter of 35 cm, when the irradiation is to be performed by a linear accelerator and a cobalt-60 teletherapy unit, respectively. Calculated values of relative doses varied from 93% to 100% in the smaller volume, and from 66% to 100% in the largest one. A difference of 5.0%, approximately, was observed between calculated and experimental data. The size of these volumes permits the irradiation of blood bags in only one bath without compromising the homogeneity of the absorbed dose over the irradiated volume. Thus, these irradiation volumes can be recommend to minimize the irradiation time when a teletherapy unit is used to irradiate blood.

  1. Determination of the fate of alcohol ethoxylate homologues in a laboratory continuous activated-sludge unit study.

    Science.gov (United States)

    Wind, T; Stephenson, R J; Eadsforth, C V; Sherren, A; Toy, R

    2006-05-01

    Environmental monitoring indicates that the distribution of alcohol ethoxylate (AE) homologues in wastewater treatment plant (WWTP) effluents differs from the distribution in commercial AE products, with a relative higher proportion of fatty alcohol (AOH, which is AE with zero ethoxylation). To determine the contribution of AE-derived AOH to the total concentration of AE and AOH in WWTP effluents, we conducted a laboratory continuous activated-sludge study (CAS). This consisted of a test unit fed with AE-amended synthetic sewage and a control unit fed with only synthetic sewage to avoid AE contamination from the feed. The removal efficiencies of some 114 AE homologues were determined by the application of a specific and sensitive analytical method. The extent of the removal of AE ranged from 99.70% for C18 compounds to > 99.98% for C12-16. Relatively high-AOH concentrations were observed in the effluents from blank and test units. By building the concentration difference from the test minus the control unit, the AE in the CAS effluent originating from AE in the influent was determined. Thus, it could be shown that AOH represented only 19% of the total AE (EO0-18) in the CAS, while monitoring in 29 WWTP effluents (European, Canadian, and US) revealed in total a mean AOH fraction of 55% (5-82%) of the total AE (EO0-18). This shows that only a small fraction of AOH in WWTP effluents originates from AE entering the WWTP.

  2. Family members' lived experience in the intensive care unit: a phemenological study.

    LENUS (Irish Health Repository)

    McKiernan, Margaret

    2012-01-31

    AIM: To describe the lived experience of family members of patients in the intensive care unit. BACKGROUND: Admission of a critically ill relative to an intensive care unit causes anxiety and stress to family members. Nursing care is initially focused on maintaining the physiological stability of the patient and less on the needs and concerns of family members. Understanding how families make sense of this experience may help nurses focus on the delivery of family centred care. METHODOLOGY: A phenomenological method was used to describe the lived experiences of family members of patients in an intensive care unit. In-depth interviews were conducted with six family members and analysed using qualitative thematic analysis. RESULTS: Four main themes emerged from the data: the need to know, making sense of it all, being there with them and caring and support. Family members needed honest information about the patient\\'s progress and outcome to make the situation more bearable for them. Making sense of the situation was a continuous process which involved tracking and evaluating care given. Being with their relative sustained their family bond and was a way to demonstrate love and support. Caring reassurance provided by the nurses enabled a sense of security. Support was needed by family members to assist them in coping. CONCLUSION: The research provided an insight into how family members viewed the impact of the admission and how they subsequently found ways of dealing with the situation. RELEVANCE TO CLINICAL PRACTICE: Using a holistic approach to nursing assessment and care delivery in intensive care necessitates that nurses interact with and care for family members of patients. Development of a philosophy of family centred care is necessary, with formal assessment of families to take place soon after admission and an appropriate plan of care drawn up at this time.

  3. Multimethod and Interpersonal Assessment in Medical Settings: A Case Study from the Dermatology Unit

    Directory of Open Access Journals (Sweden)

    Chiara Vari

    2014-01-01

    Full Text Available Psoriasis is a chronic skin disease with multifactorial aetiology. The psychological impact of skin diseases is increasingly recognised, but only scant attention has been given to the possible role of couple relationships as protective factors for dermatology patients. This article presents a multimethod assessment conducted along with physical examination at a Dermatology Unit. Specifically, the assessment includes measures of emotion regulation and attachment. The first aim of the article is to support an integrated assessment of dermatological and psychological factors together. The second aim is to highlight the possible role of couple relationships in the management of skin diseases.

  4. Racism in the United States:A Case Study of The Help

    Institute of Scientific and Technical Information of China (English)

    余荣芳

    2015-01-01

    Although slavery was abolished in the 1860s, its influence still continued and the blacks were not readily assimilated in-to the large American culture. Most of them remain in the South, where they were legally segregated from whites. This paper takes the Hollywood movie The Help as an example, and describes racism embodied in the movie and analyzes the root of racism. It is hoped that this paper will help readers to have a better understanding of racism in the United States.

  5. Power in the National Health Service: a case study of a unit considering NHS Trust status.

    Science.gov (United States)

    Peck, E

    1991-07-01

    There are a number of theoretical frameworks which aim to provide a language for understanding and discussing the nature of power and influence in organisational decision making. One of the most recent and comprehensive frameworks is that developed by Mintzberg. Following a resumé of the most pertinent sections of Mintzberg's framework, this paper uses it to investigate the power relationships in an NHS Mental Health Unit (MHU) considering NHS Trust status. This investigation reveals some important conclusions about the nature of power in the NHS but also explores some of the limitations of the framework as a descriptive and predictive tool.

  6. Studies on endoparasites of the black bear (Ursus americanus) in the southeastern United States.

    Science.gov (United States)

    Crum, J M; Nettles, V F; Davidson, W R

    1978-04-01

    Examination of 53 black bears (Ursus americanus) from six states in the southeastern United States revealed at least 17 species of endoparasites, including Sarcocystis sp., Spirometra mansonoides (spargana), Macracanthorhynchus ingens, Ancylostoma caninum, Arthrocephalus lotoris, Baylisascaris transfuga, Capillaria aerophila, Capillaria putorii, Crenosoma sp., Cyathospirura sp., Dirofilaria immitis, Gnathostoma sp., Gongylonema pulchrum, microfilariae, Molineus barbatus, Physaloptera sp. and Strongyloides sp. Twelve of these represent new host records for black bear, and two are considered to be new species. Data are presented on prevalence, intensity and geographic distribution of each species. Pathologic effects were associated with infections of spargana of S. mansonoides and adults of C. aerophilia.

  7. Scoping Study on Research and Development Priorities for Distribution-System Phasor Measurement Units

    Energy Technology Data Exchange (ETDEWEB)

    Eto, Joseph H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Stewart, Emma M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Smith, Travis [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Buckner, Mark [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kirkham, Harold [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Tuffner, Francis [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Schoenwald, David A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-04-01

    This report addresses the potential use of phasor measurement units (PMUs) within electricity distribution systems, and was written to assess whether or not PMUs could provide significant benefit, at the national level. We analyze examples of present and emerging distribution-system issues related to reliability, integration of distributed energy resources, and the changing electrical characteristics of load. We find that PMUs offer important and irreplaceable advantages over present approaches. However, we also find that additional research and development for standards, testing and calibration, demonstration projects, and information sharing is needed to help industry capture these benefits.

  8. Microbial Colonization in a New Intensive Care Burn Unit. A Prospective Cohort Study

    Science.gov (United States)

    1985-02-01

    after transfer to the convalescent ward were added to the Total 0 1 ICU patients and presented as a total. Analysis of fre- Enterobacter aerogenes ...ProvIdencia stuartil 0 4 ICU 4 4 Enterobacter agglomerons 3 0 Total 7 9• "•"".’-,••Pseudomonas putida 0 3 t’•••P*ICU indicates Intensive care unit...Staphylococcus aureus Klebsiela pneumonias 1 2 ICU 14 19 Total 18 20 Enterobacter cloacae 0 2 nt.c ussce- Streptococcus pneurnonlae 0 2"".Enterococcus peciesi

  9. Fast food perceptions: a pilot study of college students in Spain and the United States.

    Science.gov (United States)

    Bryant, Rachel; Dundes, Lauren

    2008-09-01

    Comparing survey data of college students from Spain and the United States provides insight into how perceptions about fast food are culture and gender-specific. More American college males (61%) considered value (amount of food for the money) to be a priority than did other respondents (35%) and relatively few American college males (29%) cited nutritional status as important (versus 60% of other college respondents). Convenience of fast food is more important to Americans (69%) than Spaniards (48%) while more Spanish college students (49%) than Americans (18%) objected to the proliferation of fast food establishments in their own countries.

  10. A Study of the Patients Admitted to the Clinical Decision Unit over One Year.

    Science.gov (United States)

    O'Shea, E; Cusack, S; O'Sullivan, I

    2016-06-10

    Clinical decision units (CDUs) are areas within an emergency department (ED) providing care for the patient who may benefit from an extended observation period, usually for a maximum of twenty-four hours. A retrospective patient record audit was performed to determine the characteristics of patients admitted to the Cork University Hospital (CUH) CDU over 12 months. The average length of stay of a patient in the CDU was 29 hours. The most common diagnoses admitted to the CDU were chest pain (9.5%) and headache (7.2%). The research implies that the CDU provided a means for CUH to save approximately €2 million annually.

  11. Groundwater-Quality Data in the South Coast Range-Coastal Study Unit, 2008: Results from the California GAMA Program

    Science.gov (United States)

    Mathany, Timothy M.; Burton, Carmen A.; Land, Michael; Belitz, Kenneth

    2010-01-01

    Groundwater quality in the approximately 766-square-mile South Coast Range-Coastal (SCRC) study unit was investigated from May to December 2008, as part of the Priority Basins Project of the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The GAMA Priority Basins Project was developed in response to legislative mandates (Supplemental Report of the 1999 Budget Act 1999-00 Fiscal Year; and, the Groundwater Quality Monitoring Act of 2001 [Sections 10780-10782.3 of the California Water Code, Assembly Bill 599]) to assess and monitor the quality of groundwater in California, and is being conducted by the U.S. Geological Survey (USGS) in cooperation with the California State Water Resources Control Board (SWRCB). The SCRC study unit was the 25th study unit to be sampled as part of the GAMA Priority Basins Project. The SCRC study unit was designed to provide a spatially unbiased assessment of untreated groundwater quality in the primary aquifer systems and to facilitate statistically consistent comparisons of untreated groundwater quality throughout California. The primary aquifer systems (hereinafter referred to as primary aquifers) were defined as that part of the aquifer corresponding to the perforation interval of wells listed in the California Department of Public Health (CDPH) database for the SCRC study unit. The quality of groundwater in shallow or deep water-bearing zones may differ from the quality of groundwater in the primary aquifers; shallow groundwater may be more vulnerable to surficial contamination. In the SCRC study unit, groundwater samples were collected from 70 wells in two study areas (Basins and Uplands) in Santa Barbara and San Luis Obispo Counties. Fifty-five of the wells were selected using a spatially distributed, randomized grid-based method to provide statistical representation of the study unit (grid wells), and 15 wells were selected to aid in evaluation of specific water-quality issues (understanding wells). In addition to

  12. Analysis of the implementation of uefa financial fair play: a case study on Arsenal and Machester United football club

    Directory of Open Access Journals (Sweden)

    sendy

    2014-07-01

    Full Text Available This study aims to analyze the implementation of UEFA Financial Fair Play (FFP against European football clubs. Research is conducted based on Arsenal and Manchester United football clubs financial statements for 2010-2012. The study uses financial simulation to test whether the two England-based club are able to meet the UEFA FFP rules. Analyses were also conducted on the financial performance ratios of both clubs and their effects on the implementation of the UEFA FFP. The result is the two clubs can meet the standard provisions for the implementation of UEFA FFP. In the assessment of financial performance, Arsenal have a slightly better financial ratios than Manchester United. Performance aspects of profitability and solvency became an issue in the implementation of UEFA's FFP, related with debt holdings and high salaries that owned by both clubs.

  13. Analysis of The Implementation of UEFA Financial Fair Play: A Case Study on Arsenal and Machester United Football Club

    Directory of Open Access Journals (Sweden)

    Sendy Sendy

    2014-05-01

    Full Text Available This study aims to analyze the implementation of UEFA Financial Fair Play (FFP to European football clubs. Research is conducted based on Arsenal and Manchester United football clubs financial statements for 2010-2012. The study uses financial simulation to test whether the two England-based club are able to meet the UEFA FFP rules. Analyses were also conducted on the financial performance ratios of both clubs and their effects on the implementation of the UEFA FFP. The result is the two clubs can meet the standard provisions for the implementation of UEFA FFP. In the assessment of financial performance, Arsenal have a slightly better financial ratios than Manchester United. Performance aspects of profitability and solvency became an issue in the implementation of UEFA's FFP, related with debt holdings and high salaries that owned by both clubs.

  14. A mathematical approach to the study of the United States Code

    Science.gov (United States)

    Bommarito, Michael J.; Katz, Daniel M.

    2010-10-01

    The United States Code (Code) is a document containing over 22 million words that represents a large and important source of Federal statutory law. Scholars and policy advocates often discuss the direction and magnitude of changes in various aspects of the Code. However, few have mathematically formalized the notions behind these discussions or directly measured the resulting representations. This paper addresses the current state of the literature in two ways. First, we formalize a representation of the United States Code as the union of a hierarchical network and a citation network over vertices containing the language of the Code. This representation reflects the fact that the Code is a hierarchically organized document containing language and explicit citations between provisions. Second, we use this formalization to measure aspects of the Code as codified in October 2008, November 2009, and March 2010. These measurements allow for a characterization of the actual changes in the Code over time. Our findings indicate that in the recent past, the Code has grown in its amount of structure, interdependence, and language.

  15. Experimental Study of Air Conditioning Unit of Evaporative Cooling Assisted Mechanical Refrigeration

    Institute of Scientific and Technical Information of China (English)

    HUANG Xiang; XU Fang-cheng; WU Jun-mei

    2009-01-01

    The evaporative cooling,which assists the refrigeration machinery air-conditioning systems test-rig,has been designed.Its structure and working principle were described,and the performance test was con-ducted and analyzed.The test shows that making full use of the evaporative cooling"free cooling" in Spring and Autumn seasons can fully meet the requirements of air-conditioned comfort through the switch of the function in different seasons.Taking into account the evaporative cooling fan and pump energy consumption,compared with the traditional mechanical refrigeration system,more than 80 percent of energy can be saved,and the ener-gY efficiency ratio of the Unit(EER) is as high as 7.63.Using the two stages of indirect evaporative cooling to pre-cool the new wind in summer,under the conditions of the same air supply temperature requirements,0.83 kg/s chilled water saved can be equivalent to the traditional mechanical refrigeration system,and when the newwind ratio up to 50 percent.more than 10 percent load was reduced in mechanical refrigeration system.The overall EER increased about 35 percent.

  16. Surgical Procedures of the Elbow: A Nationwide Cross-Sectional Observational Study in the United States

    Directory of Open Access Journals (Sweden)

    Ahmet Kinaci

    2015-01-01

    Full Text Available Background:  Elbow surgery is shared by several subspecialties. We were curious about the most common elbow surgeries and their corresponding diagnoses in the United States.   Methods:  We used the National Hospital Discharge Survey (NHDS and the National Survey of Ambulatory Surgery (NSAS data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgical care in the US.  Results:  An estimated 150,000 elbow surgeries were performed in the US in 2006, 75% in an outpatient setting. The most frequent diagnosis treated operative was enthesopathy (e.g. lateral epicondylitis and it was treated with several different procedures. More than three quarters of all elbow surgeries treated enthesopathy, cubital tunnel syndrome, or fracture (radial head in particular. Arthroscopy and arthroplasty accounted for less than 10% of all elbow surgeries.  Conclusions:  Elbow surgery in the United States primarily addresses enthesopathies such as tennis elbow, cubital tunnel syndrome, and trauma. It is notable that some of the most common elbow surgeries (those that address enthesopathy and radial head fracture are some of the most variably utilized and debated.

  17. Experimental study on airflow fluctuation characteristic of an underfloor air supply terminal unit

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Jinping [School of Electric Power, South China University of Technology, Guangzhou 510640 (China); State Key Laboratory of Subtropical Building Science, South China University of Technology, Guangzhou 510640 (China); Wu, Yanfang [Design Institute of Guangzhou Metro Corporation, Guangzhou 510010 (China)

    2010-11-15

    In order to investigate dynamic characteristic of underfloor air supply terminal unit, an IFV900A hot-wire anemometer was used to measure the corresponding velocity field. Turbulence intensity and power spectrum density exponent of air velocity signal were analyzed. The result showed that the outlet velocity distribution of underfloor air supply terminal unit was uniform. With increment of height, the velocity distribution trends to be uniform. Two velocity attenuation regions appear during airflow development. Turbulence intensity changes obviously with height. It is lower than that of mechanical wind. Turbulence intensity goes up with the increment of jetting distance. Power spectrum density exponent trends to the value of natural wind with increase of jetting distance and decrease of wind velocity. The exponent value approaches to the value of typical natural wind for the air velocity is 0.5 m/s under high supply air rate. With airflow diffusion, the fluctuation characteristic of airflow varies obviously with the jetting direction. The fluctuation characteristic of airflow changes to that of natural wind with the increase of height which can improve comfort of indoor environment. (author)

  18. Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan.

    Science.gov (United States)

    Kono, Shin; Gotoda, Takuji; Yoshida, Shigeaki; Oda, Ichiro; Kondo, Hitoshi; Gatta, Luigi; Naylor, Greg; Dixon, Michael; Moriyasu, Fuminori; Axon, Anthony

    2015-12-14

    To assess the diagnostic concordance between endoscopic and histological atrophy in the United Kingdom and Japan. Using published data, a total of 252 patients, 126 in the United Kingdom and 126 in Japan, aged 20 to 80 years, were evaluated. The extent of endoscopic atrophy was classified into five subgroups according to a modified Kimura-Takemoto classification system and was compared with histological findings of atrophy at five biopsy sites according to the updated Sydney system. The strength of agreement of the extent of atrophy between histology and visual endoscopic inspection showed good reproducibility, with a weighted kappa value of 0.76 (P atrophy (OR = 0.10, 95%CI: 0.03-0.36). The strength of agreement between endoscopic and histological atrophy, assessed by cancer risk-oriented grading, was reproducible, with a kappa value of 0.81 (95%CI: 0.75-0.87). Only nine patients (3.6%) were endoscopically underdiagnosed with antral predominant rather than extensive atrophy and were considered false negatives. Endoscopic grading can predict histological atrophy with few false negatives, indicating that precancerous conditions can be identified during screening endoscopy, particularly in patients in western countries.

  19. DFT Study on One-carbon Unit Transfer from 1,10-CH+-tetrahydroquinoxaline to Methylamine

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Density Funetional Theory (DFT) method was used in this paper to study one-carbon transfer from 1.10-tetrahydroquinoxalinc, an analoguc of tetrahydrofolic aeid, to methylamine.This reaetion can be completedvia two paths. From the computation result we can conclude thai a general-aeid catalysis exists in this reaction. By computation we find DFT has its limitation in deseribing a newly incorporated structure with a unit charge.

  20. Quantum Chemical Study on a New Mechanism of One-carbon Unit Transfer Reaction:The Water-assisted Mechanism

    Institute of Scientific and Technical Information of China (English)

    QIAO,Qing-An(乔青安); CAI,Zheng-Ting(蔡政亭); FENG,Da-Cheng(冯大诚)

    2004-01-01

    It is a theoretical study on the water-assisted mechanism of one-carbon unit transfer reaction, in which the energy barrier for each transition state lowered by about 80-100 kJ/mol when compared with the one in no-water-involved mechanism. The water-assisted path 4 is the favorite reaction way. Our results well explained the presumption from experiments.

  1. MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE IN MECHANICALLYVENTILATED PATIENTS ON ARRIVAL TO INTENSIVE CARE UNIT - A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Arun Kumar Ajjappa

    2017-04-01

    Full Text Available BACKGROUND The monitoring of Endotracheal Tube (ETT cuff pressure in intubated patients on arrival to intensive care unit is very essential. The cuff pressure must be within an optimal range of 20-30cm H2O ensuring ventilation with no complications related to cuff overinflation and underinflation. This can be measured with a cuff pressure manometer. The aim of the study is to measure the endotracheal tube cuff pressure in patients on arrival to intensive care unit and to identify prevalence of endotracheal cuff underinflation and overinflation. MATERIALS AND METHODS A cross-sectional study was done on mechanically-ventilated patients who were intubated in casualty (emergency department on arrival to intensive care unit in S.S. Institute of Medical Sciences and Research Centre, Davangere. About 50 critically-ill patients intubated with a high volume, low pressure endotracheal tube were included in the study. An analogue manometer was used to measure the endotracheal tube cuff pressure. It was compared with the recommended level. The settings of mechanical ventilation, endotracheal tube size and peak airway pressure were recorded. RESULTS It was found that the mean cuff pressure was 64.10 cm of H2O with a standard deviation of 32.049. Of the measured cuff pressures, only 2% had pressures within an optimal range (20-30cm of H2O. 88% had cuff pressures more than 30cm of H2O. The mean peak airway pressure found to be 20.50cm of H2O with a Standard Deviation (SD of 5.064. CONCLUSION This study is done to emphasise the importance of cuff pressure measurement in all mechanically-ventilated patients as cuff pressure is found to be high in most of the patients admitted to intensive care unit. Complications of overinflation and underinflation can only be prevented if the acceptable cuff pressures are achieved.

  2. A new chemical formulation for control of dental unit water line contamination: An 'in vitro' and clinical 'study'

    Directory of Open Access Journals (Sweden)

    Dolci Giovanni

    2002-02-01

    Full Text Available Abstract Background Water delivered by dental units during routine dental practice is highly contaminated. The aim of this study is to evaluate the efficacy of a new chemical solution flushed through Dental Unit Water Lines (DUWL for the control of contamination inside dental units. Materials and methods Six old dental units equipped with a device designed to automatically flush disinfecting solutions through the water system (Castellini Autosteril were selected. Water samples from DUWL effluents were collected in each dental unit for 10 randomly selected days, before and after a 5 minute DUWL disinfecting cycle with TetraAcetylEthileneDiamine (TAED and persalt (Ster4spray produced by Farmec spa, and distributed by Castellini spa. Water samples were plated in R2A Agar and cultured at room temperature for 7 days, and the total number of heterotrophic microorganisms counted and expressed in Log10 CFU/mL A general linear model was fitted and multiple regression ANOVA for repeated measures was used for the statistical analysis. Results The mean contamination in DUWL effluent at baseline was 5.45 ± 0.35 CFU/mL (range 4.79 to 5.93 CFU/mL. When water samples were tested "in vitro" against the chemical, no growth of heterotrophic bacteria was detected after a 5 minute contact in any of the water samples tested. After undergoing a 5 minute disinfecting cycle with the chemical, DUWL mean contamination in water effluents was 2.01 ± 0.32 CFU/mL (range 1.30 to 2.74 CFU/mL (significant difference with respect to baseline. Conclusions An inbetween patient disinfecting procedure consisting of flushing DUWL with TAED and persalt equivalent to 0.26% peracetic acid could be useful in routine dental practice for cross-contamination control.

  3. The Study of Life Change Unit as Stressor Agents among Tehran University of Medical Sciences Hospitals' Employees

    Directory of Open Access Journals (Sweden)

    Hossein Dargahi

    2010-08-01

    Full Text Available Life crises as stressor agents can disrupt the best stress management regime. Different life crises have different impacts. A standard scale to rate change and its related stress impact has been developed commonly referred to as LCU (Life Change Unit Rating. This allocates a number of Life Crisis Units or Life Change Units (LCUs to different event and then evaluates them and takes action accordingly. This idea behind this approach of is to rundown the LCU table, totaling the LCUs for life crisis that have occurred in the previous one year. A Cross - sectional, descriptive and analytical study was conducted among 900 Tehran University of Medical Sciences (TUMS Employees by a Holms and Rahe LCU questionnaire at 15 hospitals. The respondents were asked to determine their demographic information, list of stress symptoms which suffered from these diseases in the previous one year and finally, responded to 45 Life Change Unit as stressful life events and the value of each in "stress units" which occurred in the previous one year. The results showed that there is significant correlation between the employees LCU rating by sex, educational degree and size of hospital. Also we found that there are significant correlations between the employees stress symptoms with their LCU rating. Totally, 40% of the employees have less than 150 LCU rating (normal range and 60% of them have 150-300 or more than 300 LCU rating (abnormal range. In conclusion most of TUMS hospitals' employees who had stress symptoms have more LCU rating. One third of these employees are not in danger of suffering the illness effect, while two third of them are in danger.

  4. The study of life change unit as stressor agents among Tehran University of Medical Sciences Hospitals' employees.

    Science.gov (United States)

    Dargahi, Hossein; Sharifiy Yazdi, Mohammad Kazem

    2010-01-01

    Life crises as stressor agents can disrupt the best stress management regime. Different life crises have different impacts. A standard scale to rate change and its related stress impact has been developed commonly referred to as LCU (life change unit) rating. This allocates a number of life crisis units or life change units (LCUs) to different event and then evaluates them and takes action accordingly. This idea behind this approach of is to rundown the LCU table, totaling the LCUs for life crisis that have occurred in the previous one year. A cross-sectional, descriptive and analytical study was conducted among 900 Tehran University of Medical Sciences (TUMS) employees by a Holms and Rahe LCU questionnaire at 15 hospitals. The respondents were asked to determine their demographic information, list of stress symptoms which suffered from these diseases in the previous one year and finally, responded to 45 Life Change Unit as stressful life events and the value of each in "stress units" which occurred in the previous one year. The results showed that there is significant correlation between the employees LCU rating by sex, educational degree and size of hospital. Also we found that there are significant correlations between the employees stress symptoms with their LCU rating. Totally, 40% of the employees have less than 150 LCU rating (normal range) and 60% of them have 150-300 or more than 300 LCU rating (abnormal range). In conclusion most of TUMS hospitals' employees who had stress symptoms have more LCU rating. One third of these employees are not in danger of suffering the illness effect, while two third of them are in danger.

  5. The Study of Life Change Unit as Stressor Agents among Tehran University of Medical Sciences Hospitals' Employees

    Directory of Open Access Journals (Sweden)

    Hossein Dargahi

    2010-07-01

    Full Text Available "nLife crises as stressor agents can disrupt the best stress management regime. Different life crises have different impacts. A standard scale to rate change and its related stress impact has been developed commonly referred to as LCU (Life Change Unit Rating. This allocates a number of Life Crisis Units or Life Change Units (LCUs to different event and then evaluates them and takes action accordingly. This idea behind this approach of is to rundown the LCU table, totaling the LCUs for life crisis that have occurred in the previous one year. A Cross - sectional, descriptive and analytical study was conducted among 900 Tehran University of Medical Sciences (TUMS Employees by a Holms and Rahe LCU questionnaire at 15 hospitals. The respondents were asked to determine their demographic information, list of stress symptoms which suffered from these diseases in the previous one year and finally, responded to 45 Life Change Unit as stressful life events and the value of each in "stress units" which occurred in the previous one year. The results showed that there is significant correlation between the employees LCU rating by sex, educational degree and size of hospital. Also we found that there are significant correlations between the employees stress symptoms with their LCU rating. Totally, 40% of the employees have less than 150 LCU rating (normal range and 60% of them have 150-300 or more than 300 LCU rating (abnormal range. In conclusion most of TUMS hospitals' employees who had stress symptoms have more LCU rating. One third of these employees are not in danger of suffering the illness effect, while two third of them are in danger.

  6. Acid sphingomyelinase serum activity predicts mortality in intensive care unit patients after systemic inflammation: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Matthias Kott

    Full Text Available INTRODUCTION: Acid sphingomyelinase is involved in lipid signalling pathways and regulation of apoptosis by the generation of ceramide and plays an important role during the host response to infectious stimuli. It thus has the potential to be used as a novel diagnostic marker in the management of critically ill patients. The objective of our study was to evaluate acid sphingomyelinase serum activity (ASM as a diagnostic and prognostic marker in a mixed intensive care unit population before, during, and after systemic inflammation. METHODS: 40 patients admitted to the intensive care unit at risk for developing systemic inflammation (defined as systemic inflammatory response syndrome plus a significant procalcitonin [PCT] increase were included. ASM was analysed on ICU admission, before (PCT before, during (PCT peak and after (PCT low onset of SIRS. Patients undergoing elective surgery served as control (N = 8. Receiver-operating characteristics curves were computed. RESULTS: ASM significantly increased after surgery in the eight control patients. Patients from the intensive care unit had significantly higher ASM on admission than control patients after surgery. 19 out of 40 patients admitted to the intensive care unit developed systemic inflammation and 21 did not, with no differences in ASM between these two groups on admission. In patients with SIRS and PCT peak, ASM between admission and PCT before was not different, but further increased at PCT peak in non-survivors and was significantly higher at PCT low compared to survivors. Survivors exhibited decreased ASM at PCT peak and PCT low. Receiver operating curve analysis on discrimination of ICU mortality showed an area under the curve of 0.79 for ASM at PCT low. CONCLUSIONS: In summary, ASM was generally higher in patients admitted to the intensive care unit compared to patients undergoing uncomplicated surgery. ASM did not indicate onset of systemic inflammation. In contrast to PCT however

  7. The organizational structure of an intensive care unit influences treatment of hypotension among critically ill patients: A retrospective cohort study.

    Science.gov (United States)

    Boone, M Dustin; Massa, Jennifer; Mueller, Ariel; Jinadasa, Sayuri P; Lee, Joon; Kothari, Rishi; Scott, Daniel J; Callahan, Julie; Celi, Leo Anthony; Hacker, Michele R

    2016-06-01

    Prior studies report that weekend admission to an intensive care unit is associated with increased mortality, potentially attributed to the organizational structure of the unit. This study aims to determine whether treatment of hypotension, a risk factor for mortality, differs according to level of staffing. Using the Multiparameter Intelligent Monitoring in Intensive Care database, we conducted a retrospective study of patients admitted to an intensive care unit at Beth Israel Deaconess Medical Center who experienced one or more episodes of hypotension. Episodes were categorized according to the staffing level, defined as high during weekday daytime (7 am-7 pm) and low during weekends or nighttime (7 pm-7 am). Patients with a hypotensive event on a weekend were less likely to be treated compared with those that occurred during the weekday daytime (P = .02). No association between weekday daytime vs weekday nighttime staffing levels and treatment of hypotension was found (risk ratio, 1.02; 95% confidence interval, 0.98-1.07). Patients with a hypotensive event on a weekend were less likely to be treated than patients with an event during high-staffing periods. No association between weekday nighttime staffing and hypotension treatment was observed. We conclude that treatment of a hypotensive episode relies on more than solely staffing levels. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Does training improve compliance with hand hygiene and decrease infections in the neonatal intensive care unit? A prospective study.

    Science.gov (United States)

    Sadeghi-Moghaddam, P; Arjmandnia, M; Shokrollahi, M; Aghaali, M

    2015-01-01

    The most important tool in any infection control program is good hand hygiene. Despite recognizing that hand hygiene is crucial in reducing infection rates, hand hygiene compliance remains suboptimal. This study was designed to determine hand hygiene compliance, before and after an educational intervention and its impact on hospital infection rates. The study was done in neonatal intensive care unit of an educational hospital. All healthcare providers working in the unit at the time of study were trained on importance of hand hygiene and methods of hand hygiene observation; after that hand washing compliance controlled by a physician during postintervention phase. Hand hygiene compliance, healthcare associated infection and mortality rates compared before and after educational intervention. Compliance of health-care workers for all hand hygiene opportunities combined was 30% before intervention and improved to 70% in postintervention. In postintervention phase, healthcare associated infection rates and mortality rates decreased significantly as the hand hygiene compliance improved. Good control of hand hygiene compliance by physician after an educational program may have good effect in healthcare associated infections control in neonatal intensive care unit.

  9. Groundwater-quality data in the Santa Barbara study unit, 2011: results from the California GAMA Program

    Science.gov (United States)

    Davis, Tracy A.; Kulongoski, Justin T.; Belitz, Kenneth

    2013-01-01

    Groundwater quality in the 48-square-mile Santa Barbara study unit was investigated by the U.S. Geological Survey (USGS) from January to February 2011, as part of the California State Water Resources Control Board (SWRCB) Groundwater Ambient Monitoring and Assessment (GAMA) Program’s Priority Basin Project (PBP). The GAMA-PBP was developed in response to the California Groundwater Quality Monitoring Act of 2001 and is being conducted in collaboration with the SWRCB and Lawrence Livermore National Laboratory (LLNL). The Santa Barbara study unit was the thirty-fourth study unit to be sampled as part of the GAMA-PBP. The GAMA Santa Barbara study was designed to provide a spatially unbiased assessment of untreated-groundwater quality in the primary aquifer system, and to facilitate statistically consistent comparisons of untreated-groundwater quality throughout California. The primary aquifer system is defined as those parts of the aquifers corresponding to the perforation intervals of wells listed in the California Department of Public Health (CDPH) database for the Santa Barbara study unit. Groundwater quality in the primary aquifer system may differ from the quality in the shallower or deeper water-bearing zones; shallow groundwater may be more vulnerable to surficial contamination. In the Santa Barbara study unit located in Santa Barbara and Ventura Counties, groundwater samples were collected from 24 wells. Eighteen of the wells were selected by using a spatially distributed, randomized grid-based method to provide statistical representation of the study unit (grid wells), and six wells were selected to aid in evaluation of water-quality issues (understanding wells). The groundwater samples were analyzed for organic constituents (volatile organic compounds [VOCs], pesticides and pesticide degradates, and pharmaceutical compounds); constituents of special interest (perchlorate and N-nitrosodimethylamine [NDMA]); naturally occurring inorganic constituents (trace

  10. Documentation of best interest by intensivists: a retrospective study in an Ontario critical care unit

    Directory of Open Access Journals (Sweden)

    Scales Damon C

    2010-02-01

    Full Text Available Abstract Background Intensive care physicians often must rely on substitute decision makers to address all dimensions of the construct of "best interest" for incapable, critically ill patients. This task involves identifying prior wishes and to facilitate the substitute decision maker's understanding of the incapable patient's condition and their likely response to treatment. We sought to determine how well such discussions are documented in a typical intensive care unit. Methods Using a quality of communication instrument developed from a literature search and expert opinion, 2 investigators transcribed and analyzed 260 handwritten communications for 105 critically ill patients who died in the intensive care unit between January and June 2006. Cohen's kappa was calculated before analysis and then disagreements were resolved by consensus. We report results on a per-patient basis to represent documented communication as a process leading up to the time of death in the ICU. We report frequencies and percentages for discrete data, median (m and interquartile range (IQR for continuous data. Results Our cohort was elderly (m 72, IQR 58-81 years and had high APACHE II scores predictive of a high probability of death (m 28, IQR 23-36. Length of stay in the intensive care unit prior to death was short (m 2, IQR 1-5 days, and withdrawal of life support preceded death for more than half (n 57, 54%. Brain death criteria were present for 18 patients (17%. Although intensivists' communications were timely (median 17 h from admission to critical care, the person consenting on behalf of the incapable patient was explicitly documented for only 10% of patients. Life support strategies at the time of communication were noted in 45% of charts, and options for their future use were presented in 88%. Considerations relevant to determining the patient's best interest in relation to the treatment plan were not well documented. While explicit survival estimates were

  11. The Amsterdam Studies of Acute Psychiatry –II (ASAP-II): a comparative study of psychiatric intensive care units in the Netherlands.

    NARCIS (Netherlands)

    Koppelmans, V.; Schoevers, R.A.; Wijk, van C.G.; Mulder, W.; Hornbach, A.; Barkhof, E.; Klaasen, A.; Egmond, van M.; Verlooij, van J.; Bijpost, Y.; Nusselder, H.; Herrewaarden, van M.; Maksimovic, I.; Achilles, A.; Dekker, J.J.M.

    2009-01-01

    Background The number of patients in whom mental illness progresses to stages in which acute, and often forced treatment is warranted, is on the increase across Europe. As a consequence, more patients are involuntarily admitted to Psychiatric Intensive Care Units (PICU). From several studies and

  12. The Amsterdam Studies of Acute Psychiatry - II (ASAP-II): a comparative study of psychiatric intensive care units in the Netherlands

    NARCIS (Netherlands)

    Koppelmans, V.; Schoevers, R.; van Wijk, C.G.; Mulder, W.; Hornbach, A.; Barkhof, E.; Klaassen, A.; van Egmond, M.; van Venrooij, J.; Bijpost, Y.; Nusselder, H.; van Herrewaarden, M.; Maksimovic, I.; Achilles, A.; Dekker, J.

    2009-01-01

    Background: The number of patients in whom mental illness progresses to stages in which acute, and often forced treatment is warranted, is on the increase across Europe. As a consequence, more patients are involuntarily admitted to Psychiatric Intensive Care Units (PICU). From several studies and

  13. Options Studied for Managing Space Station Solar Array Electrical Hazards for Sequential Shunt Unit Replacement

    Science.gov (United States)

    Delleur, Ann M.; Kerslake, Thomas W.; Levy, Robert K.

    2004-01-01

    The U.S. solar array strings on the International Space Station are connected to a sequential shunt unit (SSU). The job of the SSU is to shunt, or short, the excess current from the solar array, such that just enough current is provided downstream to maintain the 160-V bus voltage while meeting the power load demand and recharging the batteries. Should an SSU fail on-orbit, it would be removed and replaced with the on-orbit spare during an astronaut space walk or extravehicular activity (EVA) (see the photograph). However, removing an SSU during an orbit Sun period with input solar array power connectors fully energized could result in substantial hardware damage and/or safety risk to the EVA astronaut. The open-circuit voltage of cold solar-array strings can exceed 320 V, and warm solar-array strings could feed a short circuit with a total current level exceeding 240 A.

  14. Technical work plan for Surface Impoundments Operable Unit engineering support studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    This document provides a comprehensive work plan which, when utilized as a data collection guide for field activities, will provide the necessary information required to complete a report on geotechnical properties of the sediments contained in the Surface Impoundments Operable Unit at Oak Ridge National Laboratory in Oak Ridge, Tennessee. Detailed guidance is provided for the following activities: collection of samples from the impoundments; compressive strength testing of the raw sediments; compressive strength testing of the structurally modified (lime and cement additives) sediments; testing for sediment physical properties and settling rates; testing for sediment dewatering characteristics; testing for radiation activity during the field work; testing for polymer additions that may enhance settling. The work plan additionally provides guidance and examples for the preparation of documents necessary to establish readiness for safe and satisfactory performance of the field activities. An outline for the format requested for a report of these data is also provided.

  15. Mothers' Challenges after Infants' Discharge from Neonatal Intensive Care Unit: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Zeinab Hemati

    2017-03-01

    Full Text Available ABSTRACTBackground: Mothers with premature infants face certain challenges such as uncertainty on how to deal with their infant's condition and care for it after discharge from neonatal intensive care unit (NICU.Methods: A qualitative design was used to explain mothers' challenges after their infant's discharge from NICUs in Isfahan, Iran, 2015. Purposive sampling was adopted to interview the mothers who could provide us information about the challenges after their infant's discharge. Data collection was performed by interviewing mothers. Data saturation was reached after conducting 23 in-depth, semi-structured interviews. All the data was analyzed by qualitative content analysis.Results: Four themes and nine categories were identified. The themes were incompetence in breastfeeding, dependence on hospital and nurses, feeding tube as a reason for stress, and constantly worried mothers.Conclusion: Mothers have difficulty in meeting their infants' basic needs after discharge. Supporting these mothers can enable them promote their infant's health.

  16. Study on Commercial Application of FP-DSN Sulfur Transfer Additive in FCC Unit

    Institute of Scientific and Technical Information of China (English)

    Gao Siming; Han Rongxian; Chen Desheng

    2009-01-01

    The FCC unit with addition of various inventories of the FP-DSN type sulfur transfer additive was tested in a commercial scale. The effect of the sulfur transfer additive was analyzed by investigating the indicators related with the regenerator flue gas composition, the dry gas composition before desulfurization, the LPG composition before desulfurization, the acid gas, and the yield of gasoline and diesel. The test results indicated that the sulfur was trans-ferred fi'om the feed stream into the dry gas, LPG and acid gas, and the sulfur transfer effect was obvious only when the inventory of sulfur transfer additive exceeded over 2.0% of total FCC catalyst inventory.

  17. The urban heat island dynamics during heat waves: a study of cities in the United States

    Science.gov (United States)

    Hu, Leiqiu

    2016-04-01

    The urban heat island (UHI) is a common phenomenon describing that metropolitan areas are usually warmer than their rural surroundings. This effect is compounded by extreme heat events, which are a leading cause of weather-related human mortality in many countries worldwide. However, the spatial and diurnal variability of temperature and humidity in urban and adjacent rural areas during extreme heat events is not well measured and therefore not well understood. The recently developed dataset of near-surface air and dew temperature from MODIS atmospheric profiles and the new method for the UHI quantification--urban heat island curve are used to quantify the urban climatic changes during heat waves in cities of the United States. The enhanced and weakened UHIs are observed in various cities. The causes of UHI changes during heat waves are discussed, including climate region, vegetation type and amount, city geolocation, etc.

  18. Occupational structure and socioeconomic inequality: a comparative study between Brazil and the United States

    Directory of Open Access Journals (Sweden)

    Alexandre Gori Maia

    2015-08-01

    Full Text Available ABSTRACTThis paper explores how occupational structure is associated with economic inequality in Brazil in comparison to the United States. Changes in the Brazilian and American occupational structures between 1983 and 2011 are investigated in order to assess how closely they generate high socioeconomic inequalities. The effects of education, age, gender and race on occupational attainment are taken into account. Highlights of the results include: (1 a higher level of socioeconomic development in the American occupational structure, reflecting huge socioeconomic differences between these countries; (2 a tenuous convergence between the Brazilian and American occupational structures; (3 a significant decrease in the net impacts of education, age, gender and race on occupational attainment (i.e., reduced social stratification in both countries. These results suggest the analytical worth of considering occupational structure as a significant intermediate variable affecting the level of socioeconomic inequality within a country over time, as well as between two countries at a given point in time.

  19. Effects of urban development on stream ecosystems in nine metropolitan study areas across the United States

    Science.gov (United States)

    Coles, James F.; McMahon, Gerard; Bell, Amanda H.; Brown, Larry R.; Fitzpatrick, Faith A.; Scudder Eikenberry, Barbara C.; Woodside, Michael D.; Cuffney, Thomas F.; Bryant, Wade L.; Cappiella, Karen; Fraley-McNeal, Lisa; Stack, William P.

    2012-01-01

    Urban development is an important agent of environmental change in the United States. The urban footprint on the American landscape has expanded during a century and a half of almost continuous development. Eighty percent of Americans now live in metropolitan areas, and the advantages and challenges of living in these developed areas—convenience, congestion, employment, pollution—are part of the day-to-day realities of most Americans. Nowhere are the environmental changes associated with urban development more evident than in urban streams. Contaminants, habitat destruction, and increasing streamflow flashiness resulting from urban development have been associated with the disruption of biological communities, particularly the loss of sensitive aquatic species. Every stream is connected downstream to larger water bodies, including rivers, reservoirs, and ultimately coastal waters. Inputs of chemical contaminants or sediments at any point along the stream can cause degradation downstream with adverse effects on biological communities and on economically valuable resources, such as fisheries and tourism.

  20. A descriptive study of women presenting to an obstetric triage unit with no prenatal care.

    Science.gov (United States)

    Knight, Erin; Morris, Margaret; Heaman, Maureen

    2014-03-01

    To describe women presenting to an obstetric triage unit with no prenatal care (PNC), to identify gaps in care, and to compare care provided to World Health Organization (WHO) standards. We reviewed the charts of women who gave birth at Women's Hospital in Winnipeg and were discharged between April 1, 2008, and March 31, 2011, and identified those whose charts were coded with ICD-10 code Z35.3 (inadequate PNC) or who had fewer than 2 PNC visits. Three hundred eighty-two charts were identified, and sociodemographic characteristics, PNC history, investigations, and pregnancy outcomes were recorded. The care provided was compared with WHO guidelines. One hundred nine women presented to the obstetric triage unit with no PNC; 96 (88.1%) were in the third trimester. Only 39 women (35.8%) received subsequent PNC, with care falling short of WHO standards. Gaps in PNC included missing time-sensitive screening tests, mid-stream urine culture, and Chlamydia and gonorrhea testing. The mean maternal age was 26.1 years, and 93 women (85.3%) were multigravidas. More than one half of the women (51.4%) were involved with Child and Family Services, 64.2% smoked, 33.0% drank alcohol, and 32.1% used illicit drugs during pregnancy. Two thirds of the women (66.2%) lived in inner-city Winnipeg. Only 63.0% of neonates showed growth appropriate for gestational age. Two pregnancies ended in stillbirth; there was one neonatal death, and over one third of the births were preterm. Most women who present with no PNC do so late in pregnancy, proceed to deliver with little or no additional PNC, and have high rates of adverse outcomes. Thus, efforts to improve PNC must focus on facilitating earlier entry into care. This would also improve compliance with WHO guidelines for continuing care. Treatment protocols could improve gaps in obtaining urine culture and in Chlamydia and gonorrhea testing.