Biophysical impacts of climate-smart agriculture in the Midwest United States.

Science.gov (United States)

Bagley, Justin E; Miller, Jesse; Bernacchi, Carl J

2015-09-01

The potential impacts of climate change in the Midwest United States present unprecedented challenges to regional agriculture. In response to these challenges, a variety of climate-smart agricultural methodologies have been proposed to retain or improve crop yields, reduce agricultural greenhouse gas emissions, retain soil quality and increase climate resilience of agricultural systems. One component that is commonly neglected when assessing the environmental impacts of climate-smart agriculture is the biophysical impacts, where changes in ecosystem fluxes and storage of moisture and energy lead to perturbations in local climate and water availability. Using a combination of observational data and an agroecosystem model, a series of climate-smart agricultural scenarios were assessed to determine the biophysical impacts these techniques have in the Midwest United States. The first scenario extended the growing season for existing crops using future temperature and CO2 concentrations. The second scenario examined the biophysical impacts of no-till agriculture and the impacts of annually retaining crop debris. Finally, the third scenario evaluated the potential impacts that the adoption of perennial cultivars had on biophysical quantities. Each of these scenarios was found to have significant biophysical impacts. However, the timing and magnitude of the biophysical impacts differed between scenarios. © 2014 John Wiley & Sons Ltd.

Multi-unit price promotions and their impact on purchase decisions and sales

NARCIS (Netherlands)

Drechsler, Salome; Leeflang, Peter S. H.; Bijmolt, Tammo H. A.; Natter, Martin

2017-01-01

Purpose - The purpose of this paper is to compare the impact of different multi-unit promotions (MUPs) and a single-unit promotion (SUP) on store-level sales and consumer-level purchase probability and quantity decision. Design/methodology/approach - The paper combines two empirical studies. Study 1

Identifying and assessing strategies for evaluating the impact of mobile eye health units on health outcomes.

Science.gov (United States)

Fu, Shiwan; Turner, Angus; Tan, Irene; Muir, Josephine

2017-12-01

To identify and assess strategies for evaluating the impact of mobile eye health units on health outcomes. Systematic literature review. Worldwide. Peer-reviewed journal articles that included the use of a mobile eye health unit. Journal articles were included if outcome measures reflected an assessment of the impact of a mobile eye health unit on health outcomes. Six studies were identified with mobile services offering diabetic retinopathy screening (three studies), optometric services (two studies) and orthoptic services (one study). This review identified and assessed strategies in existing literature used to evaluate the impact of mobile eye health units on health outcomes. Studies included in this review used patient outcomes (i.e. disease detection, vision impairment, treatment compliance) and/or service delivery outcomes (i.e. cost per attendance, hospital transport use, inappropriate referrals, time from diabetic retinopathy photography to treatment) to evaluate the impact of mobile eye health units. Limitations include difficulty proving causation of specific outcome measures and the overall shortage of impact evaluation studies. Variation in geographical location, service population and nature of eye care providers limits broad application. © 2017 National Rural Health Alliance Inc.

Nonnative forest insects and pathogens in the United States: impacts and policy options

Science.gov (United States)

Gary M. Lovett; Marissa Weiss; Andrew M. Liebhold; Tom Holmes; Brian Leung; Kathy-Fallon Lambert; David A. Orwig; Faith T. Campbell; Jonathan Rosenthal; Deborah G. McCullough; Radka Wildova; Matthew P. Ayres; Charles D. Canham; David R. Foster; Shannon L. LaDeau; Troy Weldy

2016-01-01

We review and synthesize information on invasions of nonnative forest insects and diseases in the United States, including their ecological and economic impacts, pathways of arrival, distribution within the United States, and policy options for reducing future invasions. Nonnative insects have accumulated in United States forests at a rate of ~2.5 per yr over the last...

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

OpenAIRE

Burcharth, H. F.; Liu, Zhou

1994-01-01

The slender, complex types of armour units, such as Tetrapods and Dolosse arewidely 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) of the units and the hydraulic stability (resistance to displacements) of the armour layers. Breakage is caused by stresses from static, pulsating and impact loads. Impact load generated stresses are diff...

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......) of the units and the hydraulic stability (resistance to displacements) of the armour layers. Breakage is caused by stresses from static, pulsating and impact loads. Impact load generated stresses are difficult to investigate due to non-linear scaling laws. The paper describes a method by which impact loads on....... 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...

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

OpenAIRE

Burcharth, H. F.; Liu, Z.

1995-01-01

The slender, complex types of armour units, such as Tetrapods and Dolosse arewidely used for rubble mound breakwaters. Many of the recent failures of suchstructures were caused by unforeseen early breakage of the units, thus revealingan in balance between the strength (structural integrity) of the units and thehydraulic stability (resistance to displacements) of the armour layers. Breakageis caused by stresses from static, pulsating and impact loads. Impact load generated stresses are difficu...

The impact of unit cost reductions on gross profit: Increasing or decreasing returns?

Directory of Open Access Journals (Sweden)

Ely Dahan

2011-09-01

Full Text Available We suggest that marketers actively participate in reducing unit costs during new product development, consistent with the theme of integrated marketing and manufacturing. Most marketing managers misjudge the impact on gross profit of reducing variable unit manufacturing costs, mistakenly believing that such cost reductions yield decreasing or linear returns while they actually generate increasing returns.

Carcinogenic Air Toxics Exposure and Their Cancer-Related Health Impacts in the United States.

Science.gov (United States)

Zhou, Ying; Li, Chaoyang; Huijbregts, Mark A J; Mumtaz, M Moiz

2015-01-01

Public health protection from air pollution can be achieved more effectively by shifting from a single-pollutant approach to a multi-pollutant approach. To develop such multi-pollutant approaches, identifying which air pollutants are present most frequently is essential. This study aims to determine the frequently found carcinogenic air toxics or hazardous air pollutants (HAPs) combinations across the United States as well as to analyze the health impacts of developing cancer due to exposure to these HAPs. To identify the most commonly found carcinogenic air toxics combinations, we first identified HAPs with cancer risk greater than one in a million in more than 5% of the census tracts across the United States, based on the National-Scale Air Toxics Assessment (NATA) by the U.S. EPA for year 2005. We then calculated the frequencies of their two-component (binary), and three-component (ternary) combinations. To quantify the cancer-related health impacts, we focused on the 10 most frequently found HAPs with national average cancer risk greater than one in a million. Their cancer-related health impacts were calculated by converting lifetime cancer risk reported in NATA 2005 to years of healthy life lost or Disability-Adjusted Life Years (DALYs). We found that the most frequently found air toxics with cancer risk greater than one in a million are formaldehyde, carbon tetrachloride, acetaldehyde, and benzene. The most frequently occurring binary pairs and ternary mixtures are the various combinations of these four air toxics. Analysis of urban and rural HAPs did not reveal significant differences in the top combinations of these chemicals. The cumulative annual cancer-related health impacts of inhaling the top 10 carcinogenic air toxics included was about 1,600 DALYs in the United States or 0.6 DALYs per 100,000 people. Formaldehyde and benzene together contribute nearly 60 percent of the total cancer-related health impacts. Our study shows that although there are many

Carcinogenic Air Toxics Exposure and Their Cancer-Related Health Impacts in the United States.

Directory of Open Access Journals (Sweden)

Ying Zhou

Full Text Available Public health protection from air pollution can be achieved more effectively by shifting from a single-pollutant approach to a multi-pollutant approach. To develop such multi-pollutant approaches, identifying which air pollutants are present most frequently is essential. This study aims to determine the frequently found carcinogenic air toxics or hazardous air pollutants (HAPs combinations across the United States as well as to analyze the health impacts of developing cancer due to exposure to these HAPs. To identify the most commonly found carcinogenic air toxics combinations, we first identified HAPs with cancer risk greater than one in a million in more than 5% of the census tracts across the United States, based on the National-Scale Air Toxics Assessment (NATA by the U.S. EPA for year 2005. We then calculated the frequencies of their two-component (binary, and three-component (ternary combinations. To quantify the cancer-related health impacts, we focused on the 10 most frequently found HAPs with national average cancer risk greater than one in a million. Their cancer-related health impacts were calculated by converting lifetime cancer risk reported in NATA 2005 to years of healthy life lost or Disability-Adjusted Life Years (DALYs. We found that the most frequently found air toxics with cancer risk greater than one in a million are formaldehyde, carbon tetrachloride, acetaldehyde, and benzene. The most frequently occurring binary pairs and ternary mixtures are the various combinations of these four air toxics. Analysis of urban and rural HAPs did not reveal significant differences in the top combinations of these chemicals. The cumulative annual cancer-related health impacts of inhaling the top 10 carcinogenic air toxics included was about 1,600 DALYs in the United States or 0.6 DALYs per 100,000 people. Formaldehyde and benzene together contribute nearly 60 percent of the total cancer-related health impacts. Our study shows that although

The potential impacts of climate variability and change on health impacts of extreme weather events in the United States.

Science.gov (United States)

Greenough, G; McGeehin, M; Bernard, S M; Trtanj, J; Riad, J; Engelberg, D

2001-05-01

Extreme weather events such as precipitation extremes and severe storms cause hundreds of deaths and injuries annually in the United States. Climate change may alter the frequency, timing, intensity, and duration of these events. Increases in heavy precipitation have occurred over the past century. Future climate scenarios show likely increases in the frequency of extreme precipitation events, including precipitation during hurricanes, raising the risk of floods. Frequencies of tornadoes and hurricanes cannot reliably be projected. Injury and death are the direct health impacts most often associated with natural disasters. Secondary effects, mediated by changes in ecologic systems and public health infrastructure, also occur. The health impacts of extreme weather events hinge on the vulnerabilities and recovery capacities of the natural environment and the local population. Relevant variables include building codes, warning systems, disaster policies, evacuation plans, and relief efforts. There are many federal, state, and local government agencies and nongovernmental organizations involved in planning for and responding to natural disasters in the United States. Future research on health impacts of extreme weather events should focus on improving climate models to project any trends in regional extreme events and as a result improve public health preparedness and mitigation. Epidemiologic studies of health effects beyond the direct impacts of disaster will provide a more accurate measure of the full health impacts and will assist in planning and resource allocation.

Modelling of an industrial NGL-Recovery unit considering environmental and economic impacts

International Nuclear Information System (INIS)

Sharratt, P. N.; Hernandez-Enriquez, A.; Flores-Tlacuahuac, A.

2009-01-01

In this work, an integrated model is presented that identifies key areas in the operation of a cryogenic NGL-recovery unit. This methodology sets out to provide deep understanding of various interrelationship across multiple plant operating factors including reliability, which could be essential for substantial improvement of process performance. The integrated model has been developed to predict the economic and environmental impacts of a real cryogenic unit (600 MMCUF/D) during normal operation, and has been built in Aspen TM. (Author)

Potential Impacts of Climate Change on Stream Water Temperatures Across the United States

Science.gov (United States)

Ehsani, N.; Knouft, J.; Ficklin, D. L.

2017-12-01

Analyses of long-term observation data have revealed significant changes in several components of climate and the hydrological cycle over the contiguous United States during the twentieth and early twenty-first century. Mean surface air temperatures have significantly increased in most areas of the country. In addition, water temperatures are increasing in many watersheds across the United States. While there are numerous studies assessing the impact of climate change on air temperatures at regional and global scales, fewer studies have investigated the impacts of climate change on stream water temperatures. Projecting increases in water temperature are particularly important to the conservation of freshwater ecosystems. To achieve better insights into attributes regulating population and community dynamics of aquatic biota at large spatial and temporal scales, we need to establish relationships between environmental heterogeneity and critical biological processes of stream ecosystems at these scales. Increases in stream temperatures caused by the doubling of atmospheric carbon dioxide may result in a significant loss of fish habitat in the United States. Utilization of physically based hydrological-water temperature models is computationally demanding and can be onerous to many researchers who specialize in other disciplines. Using statistical techniques to analyze observational data from 1760 USGS stream temperature gages, our goal is to develop a simple yet accurate method to quantify the impacts of climate warming on stream water temperatures in a way that is practical for aquatic biologists, water and environmental management purposes, and conservation practitioners and policy-makers. Using an ensemble of five global climate models (GCMs), we estimate the potential impacts of climate change on stream temperatures within the contiguous United States based on recent trends. Stream temperatures are projected to increase across the US, but the magnitude of the

The impact of financial and nonfinancial incentives on business-unit outcomes over time.

Science.gov (United States)

Peterson, Suzanne J; Luthans, Fred

2006-01-01

Unlike previous behavior management research, this study used a quasi-experimental, control group design to examine the impact of financial and nonfinancial incentives on business-unit (21 stores in a fast-food franchise corporation) outcomes (profit, customer service, and employee turnover) over time. The results showed that both types of incentives had a significant impact on all measured outcomes. The financial incentive initially had a greater effect on all 3 outcomes, but over time, the financial and nonfinancial incentives had an equally significant impact except in terms of employee turnover. (c) 2006 APA, all rights reserved.

75 FR 18572 - Supplemental Environmental Impact Statement for Sequoyah Nuclear Plant Units 1 and 2 License...

Science.gov (United States)

2010-04-12

... TENNESSEE VALLEY AUTHORITY Supplemental Environmental Impact Statement for Sequoyah Nuclear Plant... National Environmental Policy Act. TVA will prepare a supplemental environmental impact statement (SEIS) to update information in the 1974 Final Environmental Statement for Sequoyah Nuclear Plant Units 1 and 2...

Impact of reduced tobacco smoking on lung cancer mortality in the united states during 1975-2000

NARCIS (Netherlands)

S. Moolgavkar (Suresh); N.H. Holford; D.T. Levy (David); C.Y. Kong (Chung Yin); M. Foy (Millennia); L. Clarke (Lauren); J. Jeon (Jihyoun); W. Hazelton (William); R. Meza (Rafael); F.W. Schultz (Frank); W.J. McCarthy (William); R. Boer (Rob); O. Gorlova (Olga); G.S. Gazelle (Scott); M. Kimmel (Marek); P.M. McMahon (Pamela); H.J. de Koning (Harry); E. Feuer (Eric)

2012-01-01

textabstractBackground Considerable effort has been expended on tobacco control strategies in the United States since the mid-1950s. However, we have little quantitative information on how changes in smoking behaviors have impacted lung cancer mortality. We quantified the cumulative impact of

[Evaluating the impact of the United Nations funding act].

Science.gov (United States)

1987-01-01

Representatives of the principal donors supporting population assistance in India are concerned about the impact of the cuts in funds given by the US to the United Nations Fund for Population Activities (UNFPA). The suppression of US aid to the UNFPA will definitely affect the largest programs, including those in South Asia. India is the country receiving the most assistance from the UNFPA. The UNFPA contributed 63 million dollars for the current 5 year plan which began in April 1985. US spokesmen stated that UNFPA funding was cut off because of that organization's support for coercive family planning programs in China.

Economic Impacts of Non-Native Forest Insects in the Continental United States

Science.gov (United States)

Juliann E. Aukema; Brian. Leung; Kent Kovacs; Corey Chivers; Jeffrey Englin; Susan J. Frankel; Robert G. Haight; Thomas P. Holmes; Andrew M. Liebhold; Deborah G. McCullough; Betsy. Von Holle

2011-01-01

Reliable estimates of the impacts and costs of biological invasions are critical to developing credible management, trade and regulatory policies. Worldwide, forests and urban trees provide important ecosystem services as well as economic and social benefits, but are threatened by non-native insects. More than 450 non-native forest insects are established in the United...

Modelling the impact of retention-detention units on sewer surcharge and peak and annual runoff reduction.

Science.gov (United States)

Locatelli, Luca; Gabriel, Søren; Mark, Ole; Mikkelsen, Peter Steen; Arnbjerg-Nielsen, Karsten; Taylor, Heidi; Bockhorn, Britta; Larsen, Hauge; Kjølby, Morten Just; Blicher, Anne Steensen; Binning, Philip John

2015-01-01

Stormwater management using water sensitive urban design is expected to be part of future drainage systems. This paper aims to model the combination of local retention units, such as soakaways, with subsurface detention units. Soakaways are employed to reduce (by storage and infiltration) peak and volume stormwater runoff; however, large retention volumes are required for a significant peak reduction. Peak runoff can therefore be handled by combining detention units with soakaways. This paper models the impact of retrofitting retention-detention units for an existing urbanized catchment in Denmark. The impact of retrofitting a retention-detention unit of 3.3 m³/100 m² (volume/impervious area) was simulated for a small catchment in Copenhagen using MIKE URBAN. The retention-detention unit was shown to prevent flooding from the sewer for a 10-year rainfall event. Statistical analysis of continuous simulations covering 22 years showed that annual stormwater runoff was reduced by 68-87%, and that the retention volume was on average 53% full at the beginning of rain events. The effect of different retention-detention volume combinations was simulated, and results showed that allocating 20-40% of a soakaway volume to detention would significantly increase peak runoff reduction with a small reduction in the annual runoff.

Environmental impact of accident-free transportation of radioactive material in the United States

International Nuclear Information System (INIS)

Taylor, J.M.; Smith, D.R.; Luna, R.E.

1978-01-01

A recent study performed for the Nuclear Regulatory Commission (NRC) by Sandia Laboratories which considered transportation of radioactive materials in the United States suggests that a significant portion of the radiological impact results from accident-free transport. This paper explores the basis for that conclusion

Heavy Drinkers and the Potential Impact of Minimum Unit Pricing-No Single or Simple Effect?

Science.gov (United States)

Gill, J; Black, H; Rush, R; O'May, F; Chick, J

2017-11-01

To explore the potential impact of a minimum unit price (MUP: 50 pence per UK unit) on the alcohol consumption of ill Scottish heavy drinkers. Participants were 639 patients attending alcohol treatment services or admitted to hospital with an alcohol-related condition. From their reported expenditure on alcohol in their index week, and assuming this remained unchanged, we estimated the impact of a MUP (50 ppu) on future consumption. (Around 15% purchased from both the more expensive on-sale outlets (hotels, pubs, bars) and from off-sales (shops and supermarkets). For them we estimated the change in consumption that might follow MUP if (i) they continued this proportion of 'on-sales' purchasing or (ii) their reported expenditure was moved entirely to off-sale purchasing (to maintain consumption levels)). Around 69% of drinkers purchased exclusively off-sale alcohol at sales purchases could support, for some, an increase in consumption. While a proportion of our harmed, heavy drinkers might be able to mitigate the impact of MUP by changing purchasing habits, the majority are predicted to reduce purchasing. This analysis, focusing specifically on harmed drinkers, adds a unique dimension to the evidence base informing current pricing policy. From drink purchasing data of heavy drinkers, we estimated the impact of legislating £0.50 minimum unit price. Over two thirds of drinkers, representing all multiple deprivation quintiles, were predicted to decrease alcohol purchasing; remainder, hypothetically, could maintain consumption. Our data address an important gap within the evidence base informing policy. © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved.

Electric power industry deregulation in the United States: impacts on U.S. and Canadian markets

Energy Technology Data Exchange (ETDEWEB)

Hall, G.R. [Putnam, Hayes and Bartlett, Inc., Cambridge, MA (United States)

1996-10-01

An overview of the restructuring and deregulation of the United States electric power industry and the implications for the North American natural gas industry was presented. Electric power restructuring and its effect on wholesale and retail competition was discussed. It was suggested that although in the short term electric power deregulation impacts negatively on the natural gas industry, the long term impacts are favourable. The short term impact on the natural gas industry will mean increased competition and downward pressure on gas prices. In contrast, the long term impact could mean increased reliance on gas for electric power generation and convergence of the electric power and natural gas industries.

75 FR 65012 - Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar

Science.gov (United States)

2010-10-21

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. AD09-9-000] Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar October 13, 2010. The Federal Energy Regulatory Commission will host a Small/Low- Impact Hydropower Webinar on November 10, 2010, from...

Visitation in the intensive care unit: impact on infection prevention and control.

Science.gov (United States)

Adams, Sheila; Herrera, Amando; Miller, Laura; Soto, Rhonda

2011-01-01

Evidence-based practice has shown that open visitation in the intensive care setting positively impacts patient outcomes. However, many intensive care units continue to strictly limit visitation hours. One concern for nurses is that open visitation will expose their vulnerable patients to an increased risk of infection. This fear is unfounded in professional literature as well as in the experience of a busy intensive care unit in San Antonio, Texas. Keeping our patients safe from hospital-acquired infections requires vigilant attention to infection prevention procedures. Meanwhile, what may actually be bugging our patients is a health care culture that is based on tradition and is blind to the many benefits provided by a more liberal visitation policy rooted in patient-centered care.

The Eugenics Movement and Its Impact on Art Education in the United States

Science.gov (United States)

Hunter-Doniger, Tracey

2017-01-01

This article argues that the eugenics movement has had three major influences on education in the United States, and reveals how these influences have had an impact on visual arts education in particular. The first influence began with a debate between John Dewey and David Snedden that resulted in a two-tiered tracking system that separated…

76 FR 81929 - Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar

Science.gov (United States)

2011-12-29

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. AD09-9-000] Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar The Federal Energy Regulatory Commission will host a Small/Low- Impact Hydropower Webinar on January 25, 2012, from 12:00 noon to 1:30 p.m...

76 FR 30937 - Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar

Science.gov (United States)

2011-05-27

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. AD09-9-000] Small Hydropower Development in the United States; Notice of Small/Low-Impact Hydropower Webinar The Federal Energy Regulatory Commission (FERC) will host a Small/ Low-Impact Hydropower Webinar on June 22, 2011, from 12 noon to 1 p.m...

Offshore Wind Jobs and Economic Development Impacts in the United States: Four Regional Scenarios

Energy Technology Data Exchange (ETDEWEB)

Tegen, S. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Keyser, D. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Flores-Espino, F. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Miles, J. [James Madison Univ., Harrisonburg, VA (United States); Zammit, D. [James Madison Univ., Harrisonburg, VA (United States); Loomis, D. [Great Lakes Wind Network, Cleveland, OH (United States)

2015-02-01

This report uses the offshore wind Jobs and Economic Development Impacts (JEDI) model and provides four case studies of potential offshore deployment scenarios in different regions of the United States: the Southeast, the Great Lakes, the Gulf Coast, and the Mid-Atlantic. Researchers worked with developers and industry representatives in each region to create potential offshore wind deployment and supply chain growth scenarios, specific to their locations. These scenarios were used as inputs into the offshore JEDI model to estimate jobs and other gross economic impacts in each region.

The impact of parameter identification methods on drug therapy control in an intensive care unit

NARCIS (Netherlands)

Hann, C.E.; Chase, J.G.; Ypma, M.F.; Elfring, J.; Nor, N.H.M.; Lawrence, P.; Shaw, G.M.

2008-01-01

This paper investigates the impact of fast parameter identification methods, which do not require any forward simulations, on model-based glucose control, using retrospective data in the Christchurch Hospital Intensive Care Unit. The integral-based identification method has been previously

United States versus Mexican Perceptions of the Impact of the North American Free Trade Agreement.

Science.gov (United States)

Nicholson, Joel D.; And Others

1994-01-01

Surveys U.S. and Mexican managerial attitudes concerning the impact of the North American Free Trade Agreement (NAFTA) process on the United States. Discusses differences in Mexican and U.S. attitudes concerning NAFTA and a number of socioeconomic concerns. (SR)

Evaluation of the impact of banking umbilical cord blood units with high cell dose for ethnically diverse patients.

Science.gov (United States)

Stritesky, Gretta; Wadsworth, Kimberly; Duffy, Merry; Buck, Kelly; Dehn, Jason

2018-02-01

Umbilical cord blood units provide an important stem cell source for transplantation, particularly for patients of ethnic diversity who may not have suitably matched available, adult-unrelated donors. However, with the cost of cord blood unit acquisition from public banks significantly higher than that for adult-unrelated donors, attention is focused on decreasing cost yet still providing cord blood units to patients in need. Historical practices of banking units with low total nucleated cell counts, including units with approximately 90 × 10 7 total nucleated cells, indicates that most banked cord blood units have much lower total nucleated cell counts than are required for transplant. The objective of this study was to determine the impact on the ability to identify suitable cord blood units for transplantation if the minimum total nucleated cell count for banking were increased from 90 × 10 7 to 124 or 149 × 10 7 . We analyzed ethnically diverse patients (median age, 3 years) who underwent transplantation of a single cord blood unit in 2005 to 2016. A cord blood unit search was evaluated to identify units with equal or greater human leukocyte antigen matching and a greater total nucleated cell count than that of the transplanted cord blood unit (the replacement cord blood unit). If the minimum total nucleated cell count for banking increased to 124 or 149 × 10 7 , then from 75 to 80% of patients would still have at least 1 replacement cord blood unit in the current (2016) cord blood unit inventory. The best replacement cord blood units were often found among cords with the same ethnic background as the patient. The current data suggest that, if the minimum total nucleated cell count were increased for banking, then it would likely lead to an inventory of more desirable cord blood units while having minimal impact on the identification of suitable cord blood units for transplantation. © 2017 AABB.

Climate change impacts on extreme temperature mortality in select metropolitan areas of the United States

Science.gov (United States)

Projected mortality from climate change-driven impacts on extremely hot and cold days increases significantly over the 21st century in a large group of United States Metropolitan Statistical Areas. Increases in projected mortality from more hot days are greater than decreases in ...

The impact of hydraulic flow unit & reservoir quality index on pressure profile and productivity index in multi-segments reservoirs

Directory of Open Access Journals (Sweden)

Salam Al-Rbeawi

2017-12-01

Full Text Available The objective of this paper is studying the impact of the hydraulic flow unit and reservoir quality index (RQI on pressure profile and productivity index of horizontal wells acting in finite reservoirs. Several mathematical models have been developed to investigate this impact. These models have been built based on the pressure distribution in porous media, depleted by a horizontal well, consist of multi hydraulic flow units and different reservoir quality index. The porous media are assumed to be finite rectangular reservoirs having different configurations and the wellbores may have different lengths. Several analytical models describing flow regimes have been derived wherein hydraulic flow units and reservoir quality index have been included in addition to rock and fluid properties. The impact of these two parameters on reservoir performance has also been studied using steady state productivity index.It has been found that both pressure responses and flow regimes are highly affected by the existence of multiple hydraulic flow units in the porous media and the change in reservoir quality index for these units. Positive change in the RQI could lead to positive change in both pressure drop required for reservoir fluids to move towards the wellbore and hence the productivity index.

Impacts of multiple stresses on water demand and supply across the southeastern United States

Science.gov (United States)

Ge Sun; Steven G. McNulty; Jennifer A. Moore Myers; Erika C. Cohen

2008-01-01

Assessment of long-term impacts of projected changes in climate, population, and land use and land cover on regional water resource is critical to the sustainable development of the southeastern United States. The objective of this study was to fully budget annual water availability for water supply (precipitation ) evapotranspiration + groundwater supply + return flow...

Environmental impact assessments of a fifth nuclear power plant unit in Finland

International Nuclear Information System (INIS)

Aurela, Jorma; Koivisto, Katarina

2000-01-01

This paper presents the results of president questionnaires and media monitoring of press cuttings concerned with siting of the new fifth in a row Finnish NPP. Two years ago both Fortum Power and Heat Oy and Teollisuuden Voima Oy (TVO) launched their Environmental impact assessment (EIA) procedures of a new nuclear power unit in Finland. The EIA procedures were launched to investigate the environmental impacts of a fifth nuclear power plant which possibly will be built in Loviisa or at Olkiluoto. In Finland there are four operating NPP units, two in Loviisa (Fortum) and two in Eurajoki, Olkiluoto (TVO). In the EIA procedure citizens and various associations and authorities have an opportunity to express their views on the matters related to the project. The Ministry of Trade and Industry (MTI) as the coordination authority arranges the organisation of the EIA hearings and the collection of statements and opinions. The EIA procedure in Finland takes place in two stages. The first stage i.e. the EIA programme describes the project and presents the plan on how the environmental effects are investigated and assessed. In the second stage the actual assessment of the environmental effects of the project will be submitted. Both Fortum and Teollisuuden Voima Oy (TVO) launched in spring 1998 their EIA procedures. The main alternatives are the Loviisa 3 project includes two plant type alternatives. The size of the plant is between 1000 and 1700 MWe, and the extension project of the Olkiluoto NPP to build a NPP unit of about 1000-1500 MWe at Olkiluoto. The EIA reports were submitted to the MTI in August 1999 and after that they were on display for two months for opinions and statements

Socio-economic impacts of nuclear generating stations: Crystal River Unit 3 case study

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Crystal River Unit 3 nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

The assessment of impact on nuclear power plant structures in the United Kingdom

International Nuclear Information System (INIS)

Fullard, K.; Baum, M.R.

1991-01-01

Impact research in the United Kingdom has embraced a wide range of topics during the last fifteen years and advice has been provided in the form of guidelines for use in safety assessments and design studies. It is now the intention to produce a comprehensive Impact Assessment Procedure encompassing the definition of loading, whipping pipe effects and the response of steel and concrete targets. This paper is restricted to introducing the methods used for characterising missiles from pressurised vessels and for determining the impact damage produced in concrete targets. Considerable reliance has been placed on the interpretation of experimental data and guidance is therefore limited by the availability of such data. This paper indicates the extent to which advice can be given and the issues which still need further attention. An example is given of the use of the methods for characterising missiles from a cylindrical pressure vessel. (orig.)

Assessment of hydrologic impact of extending exploratory shafts into the Calico Hills nonwelded tuff unit at Yucca Mountain, Nevada

International Nuclear Information System (INIS)

Nichols, W.E.; Freshley, M.D.; Rockhold, M.L.

1991-03-01

The US Department of Energy (DOE) is performing analyses to address an objection by the US Nuclear Regulatory Commission to plans in the Consultation Draft of the Site Characterization Plan for direct excavation of the Calico Hills nonwelded (CHn) unit within the repository exploration block at Yucca Mountain, Nevada. The excavation was planned as part of site characterization activities for the potential high-level nuclear waste repository at Yucca Mountain. This characterization activities for the potential high-level nuclear waste repository at Yucca Mountain. This characterization activity has been deferred, pending the results of a risk/benefit analysis of alternative methods for obtaining needed characterization data from CHn unit. The benefits from characterizing the CHn unit are generally related to obtaining information leading to improved confidence in predictions of site performance. The risks are generally associated with potential adverse impacts to site performance that result from excavation or other intrusion into the CHn unit. The purpose of the risk/benefit analysis is to produce a recommendation to the Director, Regulatory and Site Evaluation Division. DOE/Yucca Mountain Site Characterization Project Office for a strategy for characterizing the CHn unit. The recommendation will describe characterization activities that are expected to provide the needed information while limiting adverse impacts to site performance to the extent practical. The risk/benefit analysis was supported with scoping calculations to provide a quantitative evaluation of the impacts associated with different strategies. The working group responsible for the risk/benefit analysis requested that these scoping calculations to be supported with more detailed performance assessments for evaluating impacts of different characterization activities. This report summarizes the results of these performance assessment analyses. 9 refs., 30 figs., 1 tab

Impact of trucking network flow on preferred biorefinery locations in the southern United States

Science.gov (United States)

Timothy M. Young; Lee D. Han; James H. Perdue; Stephanie R. Hargrove; Frank M. Guess; Xia Huang; Chung-Hao Chen

2017-01-01

The impact of the trucking transportation network flow was modeled for the southern United States. The study addresses a gap in existing research by applying a Bayesian logistic regression and Geographic Information System (GIS) geospatial analysis to predict biorefinery site locations. A one-way trucking cost assuming a 128.8 km (80-mile) haul distance was estimated...

Climate change risks to United States infrastructure: impacts on coastal development, roads, bridges, and urban drainage

Science.gov (United States)

Changes in temperature, precipitation, sea level, and coastal storms will likely increase the vulnerability of infrastructure across the United States. Using four models of vulnerability, impacts, and adaptation of infrastructure, its deployment, and its role in protecting econom...

Climate change and health in the United States of America: impacts, adaptations, and research

International Nuclear Information System (INIS)

Jouan, R.; Magaud, M.

2009-11-01

After a description of the various impacts of climate change on human health, this report describes and comments the impacts of climate change on health in the USA: impacts of heat waves, of air quality degradation, of extreme climate events, of climate change on infectious diseases and allergies, regional impacts of climate change. In a second part, it describes the strategies of adaptation to the 'climate change and health' issue in the USA: mitigation and adaptation to climate change, adaptation challenges, insufficiently prepared public health system, adaptation to heat waves, adaptation to air quality degradation, adaptation to extreme climate events, adaptation to food- and water-based diseases and to vector-based diseases, examples of proactive adaptation. The last part describes the organisation of research on 'climate change and health' in the USA: nowadays and in the future, role of federal agencies, priority research axes. The 'United States Global Change Research Program' is presented in appendix, as well as the most important research centres (mostly in universities)

International stem cell collaboration: how disparate policies between the United States and the United Kingdom impact research.

Science.gov (United States)

Luo, Jingyuan; Flynn, Jesse M; Solnick, Rachel E; Ecklund, Elaine Howard; Matthews, Kirstin R W

2011-03-08

As the scientific community globalizes, it is increasingly important to understand the effects of international collaboration on the quality and quantity of research produced. While it is generally assumed that international collaboration enhances the quality of research, this phenomenon is not well examined. Stem cell research is unique in that it is both politically charged and a research area that often generates international collaborations, making it an ideal case through which to examine international collaborations. Furthermore, with promising medical applications, the research area is dynamic and responsive to a globalizing science environment. Thus, studying international collaborations in stem cell research elucidates the role of existing international networks in promoting quality research, as well as the effects that disparate national policies might have on research. This study examined the impact of collaboration on publication significance in the United States and the United Kingdom, world leaders in stem cell research with disparate policies. We reviewed publications by US and UK authors from 2008, along with their citation rates and the political factors that may have contributed to the number of international collaborations. The data demonstrated that international collaborations significantly increased an article's impact for UK and US investigators. While this applied to UK authors whether they were corresponding or secondary, this effect was most significant for US authors who were corresponding authors. While the UK exhibited a higher proportion of international publications than the US, this difference was consistent with overall trends in international scientific collaboration. The findings suggested that national stem cell policy differences and regulatory mechanisms driving international stem cell research in the US and UK did not affect the frequency of international collaborations, or even the countries with which the US and UK most

Economic impacts of oil spills: Spill unit costs for tankers, pipelines, refineries, and offshore facilities

International Nuclear Information System (INIS)

1993-01-01

The impacts of oil spills -- ranging from the large, widely publicized Exxon Valdez tanker incident to smaller pipeline and refinery spills -- have been costly to both the oil industry and the public. For example, the estimated costs to Exxon of the Valdez tanker spill are on the order of $4 billion, including $2.8 billion (in 1993 dollars) for direct cleanup costs and $1.125 billion (in 1992 dollars) for settlement of damages claims caused by the spill. Application of contingent valuation costs and civil lawsuits pending in the State of Alaska could raise these costs appreciably. Even the costs of the much smaller 1991 oil spill at Texaco's refinery near Anacortes, Washington led to costs of $8 to 9 million. As a result, inexpensive waming, response and remediation technologies could lower oil spin costs, helping both the oil industry, the associated marine industries, and the environment. One means for reducing the impact and costs of oil spills is to undertake research and development on key aspects of the oil spill prevention, warming, and response and remediation systems. To target these funds to their best use, it is important to have sound data on the nature and size of spills, their likely occurrence and their unit costs. This information could then allow scarce R ampersand D dollars to be spent on areas and activities having the largest impact. This report is intended to provide the ''unit cost'' portion of this crucial information. The report examines the three key components of the US oil supply system, namely, tankers and barges; pipelines and refineries; and offshore production facilities. The specific purpose of the study was to establish the unit costs of oil spills. By manipulating this key information into a larger matrix that includes the size and frequency of occurrence of oil spills, it will be possible' to estimate the likely future impacts, costs, and sources of oil spills

The economics of power generation in Alberta : the pool price impact of Genesee Unit 3

International Nuclear Information System (INIS)

Topping, D.

2003-01-01

Alberta power pool prices for year 2000 were reviewed. The model assumptions were: studies based on PROSYM market simulations; base-load units offered at incremental cost; and, considerations in those cases where system gas units were modeled as coal units. The current situation in Alberta was reviewed. The Genesee 3 coal-fired facility is expected to be completed in the Winter 2004-2005 with an efficiency of 8 to 18 per cent better than other coal units. A graph was shown to examine the expected impact of Genesee 3 on Alberta prices. Electricity prices would increase during the period 2005-2008 without Genesee 3. Alberta prices are affected by factors such as: load-resource balance, fuel prices, cost of new capacity, offer strategy, available transmission, and tie lines. A capacity surplus is expected for the period 2003-2008. In addition, good correlation is expected for pool prices with gas prices. With Genesee 3 in operation, lower pool prices are expected in Alberta. figs

Evaluation of unit risk factors in support of the Hanford Remedial Action Environmental Impact Statement

International Nuclear Information System (INIS)

Strenge, D.L.; Chamberlain, P.J. II.

1994-11-01

This report describes the generation of unit risk factors for use with the Graphical Information System (GIS) being developed by Advanced Sciences, Inc. for the Hanford Remedial Action Environmental Impact Statement. The GIS couples information on source inventory and environmental transport with unit risk factors to estimate the potential risk from contamination at all locations on the Hanford Site. The major components of the effort to generate the unit risk factors were: determination of pollutants to include in the study, definition of media of concern, and definition of exposure assessment scenarios, methods, and parameters. The selection of pollutants was based on inventory lists which indicated the pollutants likely to be encountered at the known waste sites. The final pollutants selected included 47 chemical pollutants and 101 radionuclides. Unit risk factors have been generated for all 148 pollutants per unit initial concentration in five media: soil (per unit mass), soil (per unit area), air, groundwater, and surface water. The exposure scenarios were selected as the basis for the unit risk factor generation. The endpoint in the exposure assessment analysis is expressed as risk of developing cancer for radionuclides and carcinogenic chemicals. For noncarcinogenic chemicals, the risk endpoint is the hazard quotient. The cancer incidence and hazard quotient values are evaluated for all exposure pathways, pollutants, and scenarios. The hazard index values and unit risk values are used by the GIS to produce maps of risk for the Hanford Site

Impacts of Climate Change on Human Health in the United ...

Science.gov (United States)

Climate change threatens human health and well-being in the United States. To address this growing threat, the Interagency Group on Climate Change and Human Health (CCHHG), a working group of the U.S. Global Change Research Program’s (USGCRP), has developed this assessment as part of the ongoing efforts of the USGCRP’s National Climate Assessment (NCA) and as called for under the President’s Climate Action Plan. The authors of this assessment have compiled and assessed current research on human health impacts of climate change and summarized the current “state of the science” for a number of key impact areas. This assessment provides a comprehensive update to the most recent detailed technical assessment for the health impacts of climate change, 2008 Synthesis and Assessment Product 4.6 (SAP 4.6) Analyses of the Effects of Global Change on Human Health and Welfare and Human Systems (CCSP 2008). It also updates and builds upon the health chapter of the third NCA (Melillo et al. 2014). The lead and coordinating Federal agencies for the USGCRP Climate and Health Assessment are the Centers for Disease Control and Prevention (CDC), Environmental Protection Agency (EPA), National Institute of Health (NIH), and National Oceanic and Atmospheric Administration (NOAA). Available at https://health2016.globalchange.gov/ The interagency U.S. Global Change Research Program (USGCRP) has developed this assessment as part of the ongoing efforts of their National C

Climate change impacts on freshwater fish, coral reefs, and related ecosystem services in the United States

Science.gov (United States)

We analyzed the potential physical and economic impacts of climate change on freshwater fisheries and coral reefs in the United States, examining a reference scenario and two policy scenarios that limit global greenhouse gas (GHG) emissions. We modeled shifts in suitable habitat ...

Economic and demographic impacts of passenger rail systems : the impact of intercity passenger rails on population and employment change in the United States, 2000-2010.

Science.gov (United States)

2015-12-01

This research examines the impact of intercity passenger rails on change in population and employment at the county level in the continental United States from 2000 to 2010. This research adopts an integrated spatial regression approach that incorpor...

Impact of female-oriented cigarette packaging in the United States.

Science.gov (United States)

Hammond, David; Doxey, Juliana; Daniel, Samantha; Bansal-Travers, Maansi

2011-07-01

Cigarette packaging is among the most prominent forms of tobacco marketing. This study examined the impact of cigarette pack design among young women in the United States. A national sample of 18- to 19-year-old females in the United States completed an online survey in February 2010. Participants were randomized to view eight cigarette packs designed according to one of four experimental conditions: fully branded female packs, same packs without descriptors (e.g., "slims"), same packs without brand imagery or descriptors ("plain" packs), and branded non-female brands. Participants rated packs on measures of appeal and health risk and completed a behavioral pack selection task. Fully branded female packs were rated significantly more appealing than the same packs without descriptors, "plain" packs, and non-female-branded packs. Female-branded packs were associated with a greater number of positive attributes including glamour, slimness, and attractiveness and were more likely to be perceived as less harmful. Approximately 40% of smokers and nonsmokers requested a pack at the end of the study; female-branded packs were 3 times more likely to be selected than plain packs. Plain packaging and removing descriptors such as "slims" from cigarette packs may reduce smoking susceptibility among young women.

Impact of Female-Oriented Cigarette Packaging in the United States

Science.gov (United States)

Doxey, Juliana; Daniel, Samantha; Bansal-Travers, Maansi

2011-01-01

Introduction: Cigarette packaging is among the most prominent forms of tobacco marketing. This study examined the impact of cigarette pack design among young women in the United States. Method: A national sample of 18- to 19-year-old females in the United States completed an online survey in February 2010. Participants were randomized to view eight cigarette packs designed according to one of four experimental conditions: fully branded female packs, same packs without descriptors (e.g., “slims”), same packs without brand imagery or descriptors (“plain” packs), and branded non-female brands. Participants rated packs on measures of appeal and health risk and completed a behavioral pack selection task. Results: Fully branded female packs were rated significantly more appealing than the same packs without descriptors, “plain” packs, and non–female-branded packs. Female-branded packs were associated with a greater number of positive attributes including glamour, slimness, and attractiveness and were more likely to be perceived as less harmful. Approximately 40% of smokers and nonsmokers requested a pack at the end of the study; female-branded packs were 3 times more likely to be selected than plain packs. Conclusion: Plain packaging and removing descriptors such as “slims” from cigarette packs may reduce smoking susceptibility among young women. PMID:21486994

Air quality impacts of increased use of ethanol under the United States’ Energy Independence and Security Act

Science.gov (United States)

Cook, Rich; Phillips, Sharon; Houyoux, Marc; Dolwick, Pat; Mason, Rich; Yanca, Catherine; Zawacki, Margaret; Davidson, Ken; Michaels, Harvey; Harvey, Craig; Somers, Joseph; Luecken, Deborah

2011-12-01

Increased use of ethanol in the United States fuel supply will impact emissions and ambient concentrations of greenhouse gases, "criteria" pollutants for which the U. S. EPA sets ambient air quality standards, and a variety of air toxic compounds. This paper focuses on impacts of increased ethanol use on ozone and air toxics under a potential implementation scenario resulting from mandates in the U. S. Energy Independence and Security Act (EISA) of 2007. The assessment of impacts was done for calendar year 2022, when 36 billion gallons of renewable fuels must be used. Impacts were assessed relative to a baseline which assumed ethanol volumes mandated by the first renewable fuels standard promulgated by U. S. EPA in early 2007. This assessment addresses both impacts of increased ethanol use on vehicle and other engine emissions, referred to as "downstream" emissions, and "upstream" impacts, i.e., those connected with fuel production and distribution. Air quality modeling was performed for the continental United States using the Community Multi-scale Air Quality Model (CMAQ), version 4.7. Pollutants included in the assessment were ozone, acetaldehyde, ethanol, formaldehyde, acrolein, benzene, and 1,3-butadiene. Results suggest that increased ethanol use due to EISA in 2022 will adversely increase ozone concentrations over much of the U.S., by as much as 1 ppb. However, EISA is projected to improve ozone air quality in a few highly-populated areas that currently have poor air quality. Most of the ozone improvements are due to our assumption of increases in nitrogen oxides (NO x) in volatile organic compound (VOC)-limited areas. While there are some localized impacts, the EISA renewable fuel standards have relatively little impact on national average ambient concentrations of most air toxics, although ethanol concentrations increase substantially. Significant uncertainties are associated with all results, due to limitations in available data. These uncertainties are

Knowledge Gaps Impacting the Development of Bovine Viral Diarrhea Virus Control Programs in the United States

Science.gov (United States)

This paper identifies knowledge gaps that impact on the design of programs to control and or eradicate bovine viral diarrhea viruses (BVDV) in the United States. Currently there are several voluntary regional BVDV control programs in place. These control programs are aimed at the removal of animals ...

The Impact of United States Monetary Policy in the Crude Oil futures market

Science.gov (United States)

Padilla-Padilla, Fernando M.

This research examines the empirical impact the United States monetary policy, through the federal fund interest rate, has on the volatility in the crude oil price in the futures market. Prior research has shown how macroeconomic events and variables have impacted different financial markets within short and long--term movements. After testing and decomposing the variables, the two stationary time series were analyzed using a Vector Autoregressive Model (VAR). The empirical evidence shows, with statistical significance, a direct relationship when explaining crude oil prices as function of fed fund rates (t-1) and an indirect relationship when explained as a function of fed fund rates (t-2). These results partially address the literature review lacunas within the topic of the existing implication monetary policy has within the crude oil futures market.

Draft environmental impact statement. River Bend Nuclear Power Station, Unit 1

International Nuclear Information System (INIS)

Anon.

1980-01-01

Federal financing of an undivided ownership interest of River Bend Nuclear Power Station Unit 1 on a 3293-acre site near St. Francisville, Louisiana is proposed in a supplement to the final environmental impact statement of September 1974. The facility would consist of a boiling-water reactor that would produce a maximum of 2894 megawatts (MW) of electrical power. A design level of 3015 MW of electric power could be realized at some time in the future. Exhaust steam would be cooled by mechanical cooling towers using makeup water obtained from and discharged to the Mississippi River. Power generated by the unit would be transmitted via three lines totaling 140 circuit miles traversing portions of the parishes of West Feliciana, East Feliciana, East Baton Rouge, West Baton Rouge, Pointe Coupee, and Iberville. The unit would help the applicant meet the power needs of rural electric consumers in the region, and the applicant would contribute significanlty to area tax base and employment rolls during the life of the unit. Construction related activities would disturb 700 forested acres on the site and 1156 acres along the transmission routes. Of the 60 cubic feet per second (cfs) taken from the river, 48 cfs would evaporate during the cooling process and 12 cfs would return to the river with dissolved solids concentrations increased by 500%. The terrace aquifer would be dewatered for 16 months in order to lower the water table at the building site, and Grants Bayou would be transformed from a lentic to a lotic habitat during this period. Fogging and icing due to evaporation and drift from the cooling towers would increase slightly. During the construction period, farming, hunting, and fishing on the site would be suspended, and the social infractructure would be stressed due to the influx of a maximum of 2200 workers

Analysis of potential impacts of climate change on forests of the United States Pacific Northwest

Science.gov (United States)

Gregory Latta; Hailemariam Temesgen; Darius Adams; Tara Barrett

2010-01-01

As global climate changes over the next century, forest productivity is expected to change as well. Using PRISM climate and productivity data measured on a grid of 3356 plots, we developed a simultaneous autoregressive model to estimate the impacts of climate change on potential productivity of Pacific Northwest forests of the United States. The model, coupled with...

Study of environmental impact assessment for Mochovce NPP Units 3 and 4. Executive summary. September 2007

International Nuclear Information System (INIS)

Anon

2007-09-01

SE/ENEL, on a voluntary basis, has prepared new EIA Study for the completion of Units 3 and 4 of Mochovce Nuclear Power Plant (MO34 NPP) according to International current practices and European Directives. The results of the analysis, according to SE/ENEL Environment and Corporate Social Responsibility policies, will be provided to local Communities and Public Authorities. The Environmental Impact Assessment is performed: - in compliance with appendix 11 of Slovak Act. No. 24/2006 'On the assessment of the effects on the environment and on the modification and enlargement of some laws'; - meeting the requirements of the Exhibit II 'Illustrative list of potential social and environmental issues to be addressed in the Social and Environmental Assessment documentation' as reported in the document 'Equator Principles' of 2006 July developed by the International Finance Corporation (IFC). The area of Mochovce NPP is situated in Central Europe in the south-western region of the Slovak Republic (SR) at the western border of the Levice district. The area lies in the south-western part of the Kozmalovske hills mainly in the Hron highlands. From the point of view of the terrestrial and administrative organization of the SR, Mochovce NPP is situated in the eastern part of the Nitra region, in the north-western part of the Levice district, close to the border with the Nitra and Zlate Moravce districts. Mochovce NPP is approx. 12 km from the district capital Levice, which is the largest town within a 20 km distance from the power plant. Initial site preparation began in August 1983. In April 1998 the first fuel was loaded into Unit 1 of Mochovce NPP. The operation started in August 1998. Unit 2 started operation in January 2000. The original Construction Permit No. Vyst. 2010/86 for MO 34 was issued by the District National Committee in Levice on the basis of the Land Planning Decisions on 12 November 1986. This Permit has been renewed firstly on 5 May 1997 by letter of the

Life-Cycle Assessment of Prototype Unit of Emergency Housing. The search for the zero impact

Directory of Open Access Journals (Sweden)

J. M. Ros García

2017-09-01

Full Text Available Prototype Unit of Emergency Housing (PUEH is the result of the Applied Research Project VEM (Military Emergency Housing developed in collaboration with Escuela Politécnica Superior (Universidad CEU and the company Air-bus Defense & Space. It is designed as a modular and industrialized unit of basic habitability, with programmed and expandable growth, designed to provide shelter and protection in environments of humanitarian crises or contingencies of social vulnerability in order to ensure sustainable habitat for emergencies.The influence of the construction processes and materials involved in the manufacture of this PUEH have on the environment, analyzed using the methodology of life-cycle assessment (LCA, considered especially critical recycling the mate-rials used. Thus, in order to reduce the environmental impact environmental, each of the component parts of the developed prototype unit are quantified, evaluating the benefits resulting from the methodology DfMA (Design for Manufacturing and Assembly.

Modelling the impact of retention–detention units on sewer surcharge and peak and annual runoff reduction

DEFF Research Database (Denmark)

Locatelli, Luca; Gabriel, S.; Mark, O.

2015-01-01

. The impact of retrofitting a retention-detention unit of 3.3 m(3)/100 m(2) (volume/impervious area) was simulated for a small catchment in Copenhagen using MIKE URBAN. The retention-detention unit was shown to prevent flooding from the sewer for a 10-year rainfall event. Statistical analysis of continuous...... simulations covering 22 years showed that annual stormwater runoff was reduced by 68-87%, and that the retention volume was on average 53% full at the beginning of rain events. The effect of different retention-detention volume combinations was simulated, and results showed that allocating 20...

Register of basic residential units and spatial units in the Slovak Republic

International Nuclear Information System (INIS)

Galdik, S.; Vavrinec, B.

2005-01-01

In this contribution authors deal with the register of basic residential units and spatial units in the Slovak Republic. Classification of statistical territorial units is presented. Map data and statistical data contain information about environmental impact of industrial and energetic mills

Impacts of a United States' biofuel policy on New Zealand's agricultural sector

International Nuclear Information System (INIS)

Saunders, Caroline; Kaye-Blake, William; Marshall, Liz; Greenhalgh, Suzie; De Aragao Pereira, Mariana

2009-01-01

The rise in oil prices has spurred interest in biofuels. Policies in the United States like the renewable fuel standard (RFS) have led to an expansion of ethanol production, while the New Zealand government has mandated a minimum level of biofuel sales. The research used a partial equilibrium model of international trade to quantify the price and farmgate income effects of the US RFS policy. The goal was to examine the competition between food and biofuel production and to quantify the impact of the policy on the agricultural sector in New Zealand. The RFS policy has a significant impact on corn prices, but a small effect on livestock prices and production. There thus appears to be little conflict between food and fuel uses for corn at the level of the RFS mandate. New Zealand's pasture-based livestock sector benefits from the use of corn for ethanol production: it receives better prices for its products, but does not face the same input cost increases as competitors. The results suggest that New Zealand faces an interesting decision: it could support investment in biofuels research, or benefit from the biofuels boom through the indirect impacts on demand and prices for meat and milk. (author)

Impact of the Gulf of California SST on simulating precipitation and crop productivity in the Southwestern United States

Science.gov (United States)

Kim, S.; Kim, J.; Prasad, A. K.; Stack, D. H.; El-Askary, H. M.; Kafatos, M.

2012-12-01

Like other ecosystems, agricultural productivity is substantially affected by climate factors. Therefore, accurate climatic data (i.e. precipitation, temperature, and radiation) is crucial to simulating crop yields. In order to understand and anticipate climate change and its impacts on agricultural productivity in the Southwestern United States, the WRF regional climate model (RCM) and the Agricultural Production Systems sIMulator (APSIM) were employed for simulating crop production. 19 years of WRF RCM output show that there is a strong dry bias during the warm season, especially in Arizona. Consequently, the APSIM crop model indicates very low crop yields in this region. We suspect that the coarse resolution of reanalysis data could not resolve the relatively warm Sea Surface Temperature (SST) in the Gulf of California (GC), causing the SST to be up to 10 degrees lower than the climatology. In the Southwestern United States, a significant amount of precipitation is associated with North American Monsoon (NAM). During the monsoon season, the low-level moisture is advected to the Southwestern United States via the GC, which is known to be the dominant moisture source. Thus, high-resolution SST data in the GC is required for RCM simulations to accurately represent a reasonable amount of precipitation in the region, allowing reliable evaluation of the impacts on regional ecosystems.and evaluate impacts on regional ecosystems. To evaluate the influence of SST on agriculture in the Southwestern U.S., two sets of numerical simulations were constructed: a control, using unresolved SST of GC, and daily updated SST data from the MODIS satellite sensor. The meteorological drivers from each of the 6 year RCM runs were provided as input to the APSIM model to determine the crop yield. Analyses of the simulated crop production, and the interannual variation of the meteorological drivers, demonstrate the influence of SST on crop yields in the Southwestern United States.

[Clinical impact of opening a human milk bank in a neonatal unit].

Science.gov (United States)

Vázquez-Román, S; Bustos-Lozano, G; López-Maestro, M; Rodríguez-López, J; Orbea-Gallardo, C; Samaniego-Fernández, M; Pallás-Alonso, C R

2014-09-01

The benefits of donor human milk compared with artificial formulas have been well demonstrated; nevertheless the impact in the clinical practice of opening a human milk bank within a neonatal unit has not yet been studied. The main aim of this study was to analyze the impact on the clinical practice of opening a human milk bank in a neonatal unit to provide donor human milk for preterm infants ≤ 32 weeks of gestational age. A before and after study was designed, with the intervention being the opening a human milk bank. Preterm infants ≤ 32 weeks of gestational age born in the Hospital 12 Octubre from July to December 2005 and January to June 2008 (firsts 6 months after opening the human milk bank) were included. After opening the human milk bank, enteral feedings were started 31h before (Partificial formula, the exposure to formula in the first 15 days of life was reduced from 50% to 16.6%, and it's consumption during the first 28 days of life was significantly reduced. There was a higher consumption of own mother's milk during the hospital stay, and a higher rate of exclusive breastfeeding at hospital discharge (54% vs 40%). The availability of donor human milk has led to quicker progression with enteral feedings and earlier withdrawal of parenteral nutrition. It has reduced the exposure to artificial formulas, and has also increased the intake of own mother's milk during the hospital stay and the rate of exclusive breastfeeding at hospital discharge. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

The impact of TTIP agreement on the European Union-United States coal trade potential

Directory of Open Access Journals (Sweden)

Olkuski Tadeusz

2016-01-01

Full Text Available The main aim of the paper is to assess the impact of currently negotiated TTIP agreement (Transatlantic Trade and Investment Partnership on the use of hard coal in the EU and the US. Hard coal is the most important fuel in global electricity generation. This also applies to the United States, a leading manufacturer and exporter of this energy source. The US coal is exported to the EU market. The article presents the estimated exports of hard coal from the US to the EU. Due to the fact that price has a major impact on the size of exports, the paper presents the estimated prices, including freight costs, of power coal for the analyzed scenarios. According to one scenario, the US and European prices will be equalized (including freight costs by 2020, while from 2025 on the comparative advantage and competitiveness of the US hard coal will decrease. Taking into account the fact that the export of coal from the United States is free from customs duties, the acceptance of TIPP should not affect the currently existing trade between the two continents and the amount of exported coal. Nevertheless, the question of hard coal economy cannot be separated from other sectors of the energy market, which can be significantly affected by the future agreement.

[Economic impact of an automated dispensing system in an intensive care unit].

Science.gov (United States)

Kheniene, F; Bedouch, P; Durand, M; Marie, F; Brudieu, E; Tourlonnias, M-M; Bongi, P; Allenet, B; Calop, J

2008-03-01

Automated dispensing systems (ADS) allow a reduction of medication errors and an improvement of drug distribution in clinical ward. The objective of this study was to evaluate the economic impact of ADS in an intensive care unit. A cost-benefit model was constructed based on the hospital perspective. The system was evaluated before-after implementation of an ADS in a 12-bed cardiovascular intensive care unit of a French teaching hospital: (a) by a measuring nurse and pharmacy technician working time required for various tasks; (b) by measuring the cost of drug storage and the cost of expired drug; (c) by measuring the nurses' acceptability. After ADS was installed, nursing personnel spent less time on medication-related activities (mean of 1.9 hour/day of nursing time). Pharmacy technicians spent more time on floor-stock activities (mean of 0.7 hour/day of technician time). Implementation reduced the cost of drug storage by 56% (14,742 euros) and cost of expired drug by 9,086 euros per year. Finally, cost-benefit analysis including potential savings in terms of working time showed a net benefit of 71,586 euros (14,317 euros/year). The ADS was given high marks by the nurses; 77% wanted to keep it on their unit. Implementation of ADS is expected to generate direct savings for the hospital and working time reallocation, for nurses to interact with patients and for pharmacy technicians to get involved on the ward.

Impact of role-, job- and organizational characteristics on Nursing Unit Managers' work related stress and well-being.

Science.gov (United States)

Van Bogaert, Peter; Adriaenssens, Jef; Dilles, Tinne; Martens, Daisy; Van Rompaey, Bart; Timmermans, Olaf

2014-11-01

To study the impact of role, job- and organizational characteristics on nurse managers' work related stress and well-being such as feelings of emotional exhaustion, work engagement, job satisfaction and turnover intention. Various studies investigated role-, job- and organizational characteristics influencing nurse-related work environments. Research on nurse managers' related work environments define influencing factors, but, a clear understanding of the impact of nurse-managers' work-environment characteristics on their work related stress and well-being is limited. A cross-sectional design with a survey. A cross-sectional survey (N = 365) was carried out between December 2011-March 2012. The questionnaire was based on various validated measurement instruments identified by expert meetings (e.g. staff nurses, nurse managers and executives and physicians). Hierarchical regression analyses were performed using emotional exhaustion, work engagement, job satisfaction and turnover intentions as outcome variables. Study results showed one out of six nursing unit managers have high to very high feelings of emotional exhaustion and two out of three respondents have high to very high work engagement. Hierarchical regression models showed that role conflict and role meaningfulness were strong predictors of nursing unit managers' work related stress and well-being, alongside with job- and organizational characteristics. Several risk factors and stimulating factors influencing nurse unit managers' work related stress and well-being were identified. Further challenges will be to develop proper interventions and strategies to support nursing unit managers and their team in daily practice to deliver the best and safest patient care. © 2014 John Wiley & Sons Ltd.

Evaluation of the impact of implementation of a Medical Assessment and Planning Unit on length of stay

NARCIS (Netherlands)

Brand, Caroline A.; Kennedy, Marcus P.; King-Kallimanis, Bellinda L.; Williams, Ged; Bain, Christopher A.; Russell, David M.

2010-01-01

Objective: The Medical Assessment and Planning Unit (MAPU) model provides a multidisciplinary and 'front end loading' approach to acute medical care. The objective of this study was to evaluate the impact of a 10-bed MAPU in Royal Melbourne Hospital (RMH) on hospital length of stay. A pre-post study

A framework for assessing impact of units of scholarly communication based on OAI-PMH harvesting of usage information

CERN Multimedia

CERN. Geneva; Van de Sompel, Herbert

2005-01-01

The wide-spread implementation of institutional repositories (IR), digital libraries, preprint services, and open access journals has dramatically changed the communication options that are available to scholars. At the same time, scholarship itself is becoming digital, thereby fundamentally extending the notion of a unit of scholarly communication beyond journal papers to include multimedia files, data sets, simulations, visualizations, etc. Meanwhile, the evaluation of scholarly performance remains bound to the use of citation data derived from a subset of all available communication channels (pre-selected journals), and an ever decreasing subset of all communicated units (journal papers). Clearly, there is a need for frameworks that allow measuring scholarly activity and its impact in the context of this new reality. We discuss the architecture of a system that is being developed at the Los Alamos National Laboratory that aims at determining impact and prestige rankings on the basis of aggregated usage dat...

Impacts of Changing Marijuana Policies on Alcohol Use in the United States

Science.gov (United States)

Guttmannova, Katarina; Lee, Christine M.; Kilmer, Jason R.; Fleming, Charles B.; Rhew, Isaac C.; Kosterman, Rick; Larimer, Mary E.

2015-01-01

Background Marijuana policies are rapidly evolving. In the United States, recreational use of marijuana is now legal in four states and medical marijuana is legal in 23 states. Research evaluating such policies has focused primarily on how policies affect issues of price, access to, use, and consequences of marijuana. Due to potential spillover effects, researchers also need to examine how marijuana policies may impact use and consequences of alcohol. Methods The current paper is a critical review of articles evaluating alcohol outcomes associated with marijuana decriminalization, medical marijuana legalization, and non-medical or recreational marijuana legalization. We identified articles and reports through (1) online searches of EBSCO host database including Academic search premier, Econlit, Legal collection, Medline, Psych articles, and PsycINFO, as well as PubMed and Google Scholar databases; (2) review of additional articles cited in papers identified through electronic searches; and (3) targeted searches of state and local government records regarding marijuana law implementation. We reviewed studies with respect to their data sources and sample characteristics, methodology, and the margin of alcohol and marijuana use, timing of policy change, and the aspects of laws examined. Results The extant literature provides some evidence for both substitution (i.e., more liberal marijuana policies related to less alcohol use as marijuana becomes a substitute) and complementary (i.e., more liberal marijuana policies related to increases in both marijuana and alcohol use) relationships in the context of liberalization of marijuana policies in the United States. Conclusions Impact of more liberal marijuana policies on alcohol use is complex, and likely depends on specific aspects of policy implementation, including how long the policy has been in place. Further, evaluation of marijuana policy effects on alcohol use may be sensitive to the age group studied and the

Impact of a mental health training course for correctional officers on a special housing unit.

Science.gov (United States)

Parker, George F

2009-05-01

This study determined the impact of a ten-hour mental health training program developed by the Indiana chapter of the National Alliance on Mental Illness (NAMI-Indiana) for correctional officers on a prison special housing ("supermax") unit. The training was delivered to all of the correctional officers on the unit in five weekly sessions and was repeated 15 months later for new unit staff. The number of incidents reported by unit staff in standard monthly reports, consisting of use of force by the officers and battery by bodily waste on the officers by the offenders, was compared for the nine months before and after both training sessions. Attendance at the initial training ranged from 48 to 57 officers per session, and on the basis of Likert ratings, training was well received by the officers. The total number of incidents, the use of force by the officers, and battery by bodily waste all declined significantly after the first mental health training, and the total number of incidents and battery by bodily waste declined significantly after the second training. The provision of ten hours of mental health training to correctional officers was associated with a significant decline in use of force and battery by bodily waste.

Optimization of a Distillation Unit In Terms of Potential Environmental Impact and Economics

International Nuclear Information System (INIS)

Alhassan Salami Tijani; Ramzan, N.

2013-01-01

Process energy integration and continuous improvement of process technology are increasing issues to ensure profitability of chemical productions. These objectives are increasingly important due to long-term environmental impact of energy degradation, such as resource depletion, emissions and the release of waste heat. The earlier energy conservation, process economics and environmental aspects are integrated into the process development, the easier and less expensive it is to improve the process design. In this work different distillation process design alternatives have been considered with respect to evaluations of process economics and potential environmental impacts. Optimum design alternatives are analyzed related to these objectives. A multi-criteria decision making technique such as (Analytic Hierarchy Process) AHP is applied for ranking the alternatives. This method reveals that the heat pump distillation unit which has the highest score of 52 % is the best alternative when compare with base case. In terms of the effluent streams the base case has a less potential environmental impact (PEI) compared with heat pump. The lower total PEI/ kg (7.45E-01) of the base case illustrates that the material utilization efficiency of the base case is better than the heat pump whose PEI/ kg is 8.14E-01. (author)

Economic impacts on the United States of siting decisions for the International Thermonuclear Experimental Reactor

International Nuclear Information System (INIS)

Peerenboom, J.P.; Wolsko, T.D.; Hanson, M.E.

1997-01-01

This paper presents the results of a study that examines and compares the probable short-term economic impacts of the International Thermonuclear Experimental Reactor (ITER) on the United States (U.S.) if (1) ITER were to be sited in the U.S., or (2) ITER were to be sited in one of the other countries that along with the U.S., is currently participating in the ITER program. Life-cycle costs associated with ITER construction, operation, and decommissioning are analyzed to assess their economic impact. A number of possible U.S. host and U.S. non-host technology and cost-sharing arrangements with the other ITER Parties are examined, although cost-sharing arrangements and the process by which the Parties will select a host country and an ITER site remain open issues. Both national and local/regional economic impacts, as measured by gross domestic product, regional output, employment, net exports, and income, are considered. These impacts represent a portion of the complex, interrelated set of economic considerations that characterize U.S. host and U.S. non-host participation in ITER. A number of other potentially important economic and noneconomic considerations are discussed qualitatively

Economic impacts on the United States of siting decisions for the international thermonuclear experimental reactor

International Nuclear Information System (INIS)

Peerenboom, J.P.; Hanson, M.E.; Huddleston, J.R.

1996-08-01

This report presents the results of a study that examines and compares the probable short-term economic impacts of the International Thermonuclear Experimental Reactor (ITER) on the United States (U.S.) if (1) ITER were to be sited in the U.S., or (2) ITER were to be sited in one of the other countries that, along with the U.S., is currently participating in the ITER program. Life-cycle costs associated with ITER construction, operation, and decommissioning are analyzed to assess their economic impact. A number of possible U.S. host and U.S. non-host technology and cost-sharing arrangements with the other ITER Parties are examined, although cost-sharing arrangements and the process by which the Parties will select a host country and an ITER site remain open issues. Both national and local/regional economic impacts, as measured by gross domestic product, regional output, employment, net exports, and income, are considered. These impacts represent a portion of the complex, interrelated set of economic considerations that characterize U.S. host and U.S. non-host participation in ITER. A number of other potentially important economic and noneconomic considerations are discussed qualitatively

Economic impacts on the United States of siting decisions for the international thermonuclear experimental reactor

Energy Technology Data Exchange (ETDEWEB)

Peerenboom, J.P.; Hanson, M.E.; Huddleston, J.R. [and others

1996-08-01

This report presents the results of a study that examines and compares the probable short-term economic impacts of the International Thermonuclear Experimental Reactor (ITER) on the United States (U.S.) if (1) ITER were to be sited in the U.S., or (2) ITER were to be sited in one of the other countries that, along with the U.S., is currently participating in the ITER program. Life-cycle costs associated with ITER construction, operation, and decommissioning are analyzed to assess their economic impact. A number of possible U.S. host and U.S. non-host technology and cost-sharing arrangements with the other ITER Parties are examined, although cost-sharing arrangements and the process by which the Parties will select a host country and an ITER site remain open issues. Both national and local/regional economic impacts, as measured by gross domestic product, regional output, employment, net exports, and income, are considered. These impacts represent a portion of the complex, interrelated set of economic considerations that characterize U.S. host and U.S. non-host participation in ITER. A number of other potentially important economic and noneconomic considerations are discussed qualitatively.

Fatigue in Breakwater Concrete Armour Units

OpenAIRE

Burcharth, Hans F.

1984-01-01

The reliability of rubble mound breakwaters depends on the hydraulic stability and the mechanical strength of the armour units. The paper deals with the important aspect of fatigue related to the strength of concrete armour units. Results showing significant fatigue from impact tests with Dolosse made of unreinforced and steel fibre reinforced flyash concrete are presented. Moreover universal graphs for fatigue in armour units made of conventional unreinforced concrete exposed to impact load ...

Climate change and health in the United States of America: impacts, adaptations, and research; Changement climatique et santeaux Etats-Unis: impacts, adaptations et recherche

Energy Technology Data Exchange (ETDEWEB)

Jouan, R.; Magaud, M

2009-11-15

After a description of the various impacts of climate change on human health, this report describes and comments the impacts of climate change on health in the USA: impacts of heat waves, of air quality degradation, of extreme climate events, of climate change on infectious diseases and allergies, regional impacts of climate change. In a second part, it describes the strategies of adaptation to the 'climate change and health' issue in the USA: mitigation and adaptation to climate change, adaptation challenges, insufficiently prepared public health system, adaptation to heat waves, adaptation to air quality degradation, adaptation to extreme climate events, adaptation to food- and water-based diseases and to vector-based diseases, examples of proactive adaptation. The last part describes the organisation of research on 'climate change and health' in the USA: nowadays and in the future, role of federal agencies, priority research axes. The 'United States Global Change Research Program' is presented in appendix, as well as the most important research centres (mostly in universities)

Scale dependence of disease impacts on quaking aspen (Populus tremuloides) mortality in the southwestern United States

Science.gov (United States)

Bell, David M.; Bradford, John B.; Lauenroth, William K.

2015-01-01

Depending on how disease impacts tree exposure to risk, both the prevalence of disease and disease effects on survival may contribute to patterns of mortality risk across a species' range. Disease may accelerate tree species' declines in response to global change factors, such as drought, biotic interactions, such as competition, or functional traits, such as allometry. To assess the role of disease in mediating mortality risk in quaking aspen (Populus tremuloides), we developed hierarchical Bayesian models for both disease prevalence in live aspen stems and the resulting survival rates of healthy and diseased aspen near the species' southern range limit using 5088 individual trees on 281 United States Forest Service Forest Inventory and Analysis plots in the southwestern United States.

Positive predictive value and impact of misdiagnosis of a heart failure diagnosis in administrative registers among patients admitted to a University Hospital cardiac care unit

DEFF Research Database (Denmark)

Mard, Shan; Nielsen, Finn Erland

2010-01-01

To evaluate the positive predictive value (PPV) of a diagnosis of heart failure (HF) in the Danish National Registry of Patients (NRP) among patients admitted to a University Hospital cardiac care unit, and to evaluate the impact of misdiagnosing HF.......To evaluate the positive predictive value (PPV) of a diagnosis of heart failure (HF) in the Danish National Registry of Patients (NRP) among patients admitted to a University Hospital cardiac care unit, and to evaluate the impact of misdiagnosing HF....

Long-term User and Community Impacts of High-speed Rail in the United States’ Midwest Corridor

Directory of Open Access Journals (Sweden)

Jeffrey C. Peters

2014-09-01

Full Text Available This study contributes new insights in the debate over the viability of high-speed rail (HSR in the United States and the value proposition for government investment. The modeling focus of this study is two-fold, and the modeling approach makes a case for a fundamental shift from the current perspective of HSR viability. First, the user and community impact assessment of HSR is conducted in the same manner as traditional transportation system evaluation (i.e., vehicle operating costs (VOC, travel time, safety, emissions, and energy consumption to provide comparable conclusions regarding intercity transportation alternatives. Second, the model presented in this study analyzes both ridership and impacts within the same systematic framework to assess the long-term impacts on the individual transportation modes, total system metrics, and efficacy of alternate policies. Using this model, decision-makers can introduce various externalities to determine both the ideal and problematic conditions for the viability of a new HSR system.

Modeling of yield and environmental impact categories in tea processing units based on artificial neural networks.

Science.gov (United States)

Khanali, Majid; Mobli, Hossein; Hosseinzadeh-Bandbafha, Homa

2017-12-01

In this study, an artificial neural network (ANN) model was developed for predicting the yield and life cycle environmental impacts based on energy inputs required in processing of black tea, green tea, and oolong tea in Guilan province of Iran. A life cycle assessment (LCA) approach was used to investigate the environmental impact categories of processed tea based on the cradle to gate approach, i.e., from production of input materials using raw materials to the gate of tea processing units, i.e., packaged tea. Thus, all the tea processing operations such as withering, rolling, fermentation, drying, and packaging were considered in the analysis. The initial data were obtained from tea processing units while the required data about the background system was extracted from the EcoInvent 2.2 database. LCA results indicated that diesel fuel and corrugated paper box used in drying and packaging operations, respectively, were the main hotspots. Black tea processing unit caused the highest pollution among the three processing units. Three feed-forward back-propagation ANN models based on Levenberg-Marquardt training algorithm with two hidden layers accompanied by sigmoid activation functions and a linear transfer function in output layer, were applied for three types of processed tea. The neural networks were developed based on energy equivalents of eight different input parameters (energy equivalents of fresh tea leaves, human labor, diesel fuel, electricity, adhesive, carton, corrugated paper box, and transportation) and 11 output parameters (yield, global warming, abiotic depletion, acidification, eutrophication, ozone layer depletion, human toxicity, freshwater aquatic ecotoxicity, marine aquatic ecotoxicity, terrestrial ecotoxicity, and photochemical oxidation). The results showed that the developed ANN models with R 2 values in the range of 0.878 to 0.990 had excellent performance in predicting all the output variables based on inputs. Energy consumption for

High Electricity Demand in the Northeast U.S.: PJM Reliability Network and Peaking Unit Impacts on Air Quality.

Science.gov (United States)

Farkas, Caroline M; Moeller, Michael D; Felder, Frank A; Henderson, Barron H; Carlton, Annmarie G

2016-08-02

On high electricity demand days, when air quality is often poor, regional transmission organizations (RTOs), such as PJM Interconnection, ensure reliability of the grid by employing peak-use electric generating units (EGUs). These "peaking units" are exempt from some federal and state air quality rules. We identify RTO assignment and peaking unit classification for EGUs in the Eastern U.S. and estimate air quality for four emission scenarios with the Community Multiscale Air Quality (CMAQ) model during the July 2006 heat wave. Further, we population-weight ambient values as a surrogate for potential population exposure. Emissions from electricity reliability networks negatively impact air quality in their own region and in neighboring geographic areas. Monitored and controlled PJM peaking units are generally located in economically depressed areas and can contribute up to 87% of hourly maximum PM2.5 mass locally. Potential population exposure to peaking unit PM2.5 mass is highest in the model domain's most populated cities. Average daily temperature and national gross domestic product steer peaking unit heat input. Air quality planning that capitalizes on a priori knowledge of local electricity demand and economics may provide a more holistic approach to protect human health within the context of growing energy needs in a changing world.

Economic impacts of the total nuclear waste management program envisioned for the United States

International Nuclear Information System (INIS)

Busch, L.; Zielen, A.J.; Parry, S.J.S.

1978-01-01

This paper presents information on the costs of nuclear waste management and on the impacts of those costs on the price of power and on the capital and labor markets. It is assumed that the LWR would be the sole commercial reactor used through the year 2000. Two fuel cycle options are considered: the throwaway mode (spent fuel is waste), and the full recycle for comparison. Total costs are calculated for all facilities needed to store, package, and reposit all the spent fuel through the lifetime of 380 GW capacity installed by 2000 and operating for 30 y. The economic impact is: the price of power produced by the reactors would be increased by 1.4%; the capital for nuclear plants would apply to waste management; the average annual labor effort needed over the next 50 to 75 years is 3000 to 5000 man years; and the unit cost of spent fuel disposal is $129/kg ($119/kg for full recycle). 7 tables

Economic impacts of non-native forest insects in the continental United States.

Directory of Open Access Journals (Sweden)

Juliann E Aukema

Full Text Available Reliable estimates of the impacts and costs of biological invasions are critical to developing credible management, trade and regulatory policies. Worldwide, forests and urban trees provide important ecosystem services as well as economic and social benefits, but are threatened by non-native insects. More than 450 non-native forest insects are established in the United States but estimates of broad-scale economic impacts associated with these species are largely unavailable. We developed a novel modeling approach that maximizes the use of available data, accounts for multiple sources of uncertainty, and provides cost estimates for three major feeding guilds of non-native forest insects. For each guild, we calculated the economic damages for five cost categories and we estimated the probability of future introductions of damaging pests. We found that costs are largely borne by homeowners and municipal governments. Wood- and phloem-boring insects are anticipated to cause the largest economic impacts by annually inducing nearly $1.7 billion in local government expenditures and approximately $830 million in lost residential property values. Given observations of new species, there is a 32% chance that another highly destructive borer species will invade the U.S. in the next 10 years. Our damage estimates provide a crucial but previously missing component of cost-benefit analyses to evaluate policies and management options intended to reduce species introductions. The modeling approach we developed is highly flexible and could be similarly employed to estimate damages in other countries or natural resource sectors.

The Air Quality and Economic Impact of Atmospheric Lead from General Aviation Aircraft in the United States

Science.gov (United States)

Wolfe, P. J.; Selin, N. E.; Barrett, S. R. H.

2015-12-01

While leaded fuels for automobiles were phased-out of use in the United States by 1996, lead (Pb) continues to be used as an anti-knock additive for piston-driven aircraft. We model the annual concentration of atmospheric lead attributable to piston driven aircraft emissions in the continental United States using the Community Multi-scale Air Quality (CMAQ) model. Using aircraft emissions inventories for 2008, we then calculate annual economic damages from lead as lifetime employment losses for a one-year cohort exposed to elevated atmospheric lead concentrations using a range of concentration response functions from literature. Mean and median estimates of annual damages attributable to lifetime lost earnings are 1.06 and 0.60 billion respectively. Economy-wide impacts of IQ-deficits on productivity and labor increase expected damages by 54%. Damages are sensitive to background lead concentrations; as emissions decrease from other sources, the damages attributable to aviation are expected to increase holding aviation emissions constant. The monetary impact of General Aviation lead emissions on the environment is the same order of magnitude as noise, climate change, and air quality degradation from all commercial operations.

Ambient sound levels at four Department of Interior conservation units in support of Homestead Air Base reuse supplemental environmental impact statement

Science.gov (United States)

1999-06-01

The Federal Aviation Administration (FAA), in cooperation with the United States Air Force (USAF), is developing a Supplemental Environmental Impact Statement (SEIS) in support of the planned commercialization of Homestead Air Base in Southern Florid...

Climate Change Impacts on Rivers and Implications for Electricity Generation in the United States

Science.gov (United States)

Miara, A.; Vorosmarty, C. J.; Macknick, J.; Corsi, F.; Cohen, S. M.; Tidwell, V. C.; Newmark, R. L.; Prousevitch, A.

2015-12-01

The contemporary power sector in the United States is heavily reliant on water resources to provide cooling water for thermoelectric generation. Efficient thermoelectric plant operations require large volumes of water at sufficiently cool temperatures for their cooling process. The total amount of water that is withdrawn or consumed for cooling and any potential declines in efficiencies are determined by the sector's fuel mix and cooling technologies. As such, the impact of climate change, and the extent of impact, on the power sector is shaped by the choice of electricity generation technologies that will be built over the coming decades. In this study, we model potential changes in river discharge and temperature in the contiguous US under a set of climate scenarios to year 2050 using the Water Balance Model-Thermoelectric Power and Thermal Pollution Model (WBM-TP2M). Together, these models quantify, in high-resolution (3-min), river temperatures, discharge and power plant efficiency losses associated with changes in available cooling water that incorporates climate, hydrology, river network dynamics and multi-plant impacts, on both single power plant and regional scales. Results are used to assess the aptness and vulnerability of contemporary and alternative electricity generation pathways to changes in climate and water availability for cooling purposes, and the concomitant impacts on power plant operating efficiencies. We assess the potential impacts by comparing six regions (Northeast, Southeast, Midwest, Great Plains, Southwest, Northwest as in the National Climate Assessment (2014)) across the US. These experiments allow us to assess tradeoffs among electricity-water-climate to provide useful insight for decision-makers managing regional power production and aquatic environments.

Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients

Directory of Open Access Journals (Sweden)

Maria Sheila G. Rocha

2013-10-01

Full Text Available We ascertained whether a public health stroke unit reduces the length of hospitalization, the rate of inpatient fatality, and the mortality rate 30 days after the stroke. Methods We compared a cohort of stroke patients managed on a general neurology/medical ward with a similar cohort of stroke patients managed in a str oke unit. The in-patient fatality rates and 30-day mortality rates were analyzed. Results 729 patients were managed in the general ward and 344 were treated at a comprehensive stroke unit. The in-patient fatality rates were 14.7% for the general ward group and 6.9% for the stroke unit group (p<0.001. The overall mortality rate 30 days after stroke was 20.9% for general ward patients and 14.2% for stroke unit patients (p=0.005. Conclusions We observed reduced in-patient fatalities and 30-day mortality rates in patients managed in the stroke unit. There was no impact on the length of hospitalization.

Economic impacts of oil spills: Spill unit costs for tankers, pipelines, refineries, and offshore facilities. [Task 1, Final report

Energy Technology Data Exchange (ETDEWEB)

1993-10-15

The impacts of oil spills -- ranging from the large, widely publicized Exxon Valdez tanker incident to smaller pipeline and refinery spills -- have been costly to both the oil industry and the public. For example, the estimated costs to Exxon of the Valdez tanker spill are on the order of $4 billion, including $2.8 billion (in 1993 dollars) for direct cleanup costs and $1.125 billion (in 1992 dollars) for settlement of damages claims caused by the spill. Application of contingent valuation costs and civil lawsuits pending in the State of Alaska could raise these costs appreciably. Even the costs of the much smaller 1991 oil spill at Texaco`s refinery near Anacortes, Washington led to costs of $8 to 9 million. As a result, inexpensive waming, response and remediation technologies could lower oil spin costs, helping both the oil industry, the associated marine industries, and the environment. One means for reducing the impact and costs of oil spills is to undertake research and development on key aspects of the oil spill prevention, warming, and response and remediation systems. To target these funds to their best use, it is important to have sound data on the nature and size of spills, their likely occurrence and their unit costs. This information could then allow scarce R&D dollars to be spent on areas and activities having the largest impact. This report is intended to provide the ``unit cost`` portion of this crucial information. The report examines the three key components of the US oil supply system, namely, tankers and barges; pipelines and refineries; and offshore production facilities. The specific purpose of the study was to establish the unit costs of oil spills. By manipulating this key information into a larger matrix that includes the size and frequency of occurrence of oil spills, it will be possible` to estimate the likely future impacts, costs, and sources of oil spills.

Fatigue in Breakwater Concrete Armour Units

DEFF Research Database (Denmark)

Burcharth, Hans F.

1985-01-01

The reliability of rubble mound breakwaters depends on the hydraulic stability and the mechanical strength of the armour units. The paper deals with the important aspect of fatigue related to the strength of concrete armour units. Results showing significant fatigue from impact tests with Dolosse...... made of unreinforced and steel fibre reinforced flyash concrete are presented. Moreover universal graphs for fatigue in armour units made of conventional unreinforced concrete exposed to impact load and pulsating load are presented. The effect of fibre reinforcement and the implementation of fatigue...

Unit environmental transport assessment of contaminants from Hanford's past-practice waste sites. Hanford Remedial Action Environmental Impact Statement

International Nuclear Information System (INIS)

Whelan, G.; Buck, J.W.; Castleton, K.J.

1995-06-01

The US Department of Energy, Richland Operations Office (DOE-RL) contracted Pacific Northwest Laboratory (PNL) to provide support to Advanced Sciences, Incorporated (ASI) in implementing tile regional no-action risk assessment in the Hanford Remedial Action Environmental Impact Statement. Researchers at PNL were charged with developing unit concentrations for soil, groundwater, surface water, and air at multiple locations within an 80-km radius from the center of tile Hanford installation. Using the Multimedia Environmental Pollutant Assessment System (MEPAS), PNL simulated (1) a unit release of one ci for each radionuclide and one kg for each chemical from contaminated soils and ponded sites, (2) transport of the contaminants in and through various environmental media and (3) exposure/risk of four exposure scenarios, outlined by the Hanford Site Baseline Remedial Action Methodology. These four scenarios include residential, recreational, industrial, and agricultural exposures. Spacially and temporally distributed environmental concentrations based on unit releases of radionuclides and chemicals were supported to ASI in support of the HRA-EIS. Risk for the four exposure scenarios, based on unit environment concentrations in air, water, and soil. were also supplied to ASI. This report outlines the procedure that was used to implement the unit transport portion of the HRA-EIS baseline risk assessment. Deliverables include unit groundwater, surface water, air, and soil concentrations at multiple locations within an 80-km radius from the center of the Hanford installation

Outside the Continental United States International Travel and Contagion Impact Quick Look Tool

Energy Technology Data Exchange (ETDEWEB)

Corley, Courtney D.; Lancaster, Mary J.; Brigantic, Robert T.; Kunkel, Brenda M.; Muller, George; McKenzie, Taylor K.

2012-11-09

ABSTRACT This paper describes a tool that will allow public health analysts to estimate infectious disease risk at the country level as a function of different international transportation modes. The prototype focuses on a cholera epidemic originating within Latin America or the Caribbean, but it can be expanded to consider other pathogens as well. This effort leverages previous work in collaboration with the Centers for Disease Control and Prevention to develop the International Travel to Community Impact (IT-CI) model, which analyzes and assesses potential international disease outbreaks then estimates the associated impacts to U.S. communities and the nation as a whole and orient it for use Outside the Continental United States (OCONUS). For brevity, we refer to this refined model as OIT-CI. First, we developed an operationalized meta-population spatial cholera model for Latin America and the Caribbean at the secondary administrative-level boundary. Secondly, we developed a robust function of human airline critical to approximating mixing patterns in the meta- population model. In the prototype version currently presented here, OIT-CI models a cholera epidemic originating in a Latin American or Caribbean country and spreading via airline transportation routes. Disease spread is modeled at the country level using a patch model with a connectivity function based on demographic, geospatial, and human transportation data. We have also identified data to estimate the water and health-related infrastructure capabilities of each country to include this potential impact on disease transmission.

The impact of a lean rounding process in a pediatric intensive care unit.

Science.gov (United States)

Vats, Atul; Goin, Kristin H; Villarreal, Monica C; Yilmaz, Tuba; Fortenberry, James D; Keskinocak, Pinar

2012-02-01

Poor workflow associated with physician rounding can produce inefficiencies that decrease time for essential activities, delay clinical decisions, and reduce staff and patient satisfaction. Workflow and provider resources were not optimized when a pediatric intensive care unit increased by 22,000 square feet (to 33,000) and by nine beds (to 30). Lean methods (focusing on essential processes) and scenario analysis were used to develop and implement a patient-centric standardized rounding process, which we hypothesize would lead to improved rounding efficiency, decrease required physician resources, improve satisfaction, and enhance throughput. Human factors techniques and statistical tools were used to collect and analyze observational data for 11 rounding events before and 12 rounding events after process redesign. Actions included: 1) recording rounding events, times, and patient interactions and classifying them as essential, nonessential, or nonvalue added; 2) comparing rounding duration and time per patient to determine the impact on efficiency; 3) analyzing discharge orders for timeliness; 4) conducting staff surveys to assess improvements in communication and care coordination; and 5) analyzing customer satisfaction data to evaluate impact on patient experience. Thirty-bed pediatric intensive care unit in a children's hospital with academic affiliation. Eight attending pediatric intensivists and their physician rounding teams. Eight attending physician-led teams were observed for 11 rounding events before and 12 rounding events after implementation of a standardized lean rounding process focusing on essential processes. Total rounding time decreased significantly (157 ± 35 mins before vs. 121 ± 20 mins after), through a reduction in time spent on nonessential (53 ± 30 vs. 9 ± 6 mins) activities. The previous process required three attending physicians for an average of 157 mins (7.55 attending physician man-hours), while the new process required two

Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact?

Science.gov (United States)

Anderson, Dane E; Patel, Aniruddh D

2018-03-01

The neonatal intensive care unit (NICU) provides life-saving medical care for an increasing number of newborn infants each year. NICU care, while lifesaving, does have attendant consequences which can include repeated activation of the stress response and reduced maternal interaction, with possible negative long-term impacts on brain development. Here we present a neuroscientific framework for considering the impact of music on neurodevelopment in the NICU of infants born preterm and evaluate current literature on the use of music with this population to determine what is most reliably known of the physiological effects of music interventions. Using online academic databases we collected relevant, experimental studies aimed at determining effects of music listening in infants in the NICU. These articles were evaluated for methodological rigor, ranking the 10 most experimentally stringent as a representative sample. The selected literature seems to indicate that effects are present on the cardio-pulmonary system and behavior of neonates, although the relative effect size remains unclear. These findings indicate a need for more standardized longitudinal studies aimed at determining not only whether NICU music exposure has beneficial effects on the cardio-pulmonary system, but also on the hypothalamic-pituitary-adrenal axis, brain structures, and cognitive behavioral status of these children as well. Provides a neuroscience framework for considering how music might attenuate stress in neonatal intensive care unit (NICU) infants. Considers how repeated stress may cause negative neurodevelopmental impacts in infants born preterm. Posits epigenetics can serve as a mechanistic pathway for music moderating the stress response. © 2018 Mac Keith Press.

The Leapfrog initiative for intensive care unit physician staffing and its impact on intensive care unit performance: a narrative review.

Science.gov (United States)

Gasperino, James

2011-10-01

The field of critical care has changed markedly in recent years to accommodate a growing population of chronically critically ill patients. New administrative structures have evolved to include divisions, departments, and sections devoted exclusively to the practice of critical care medicine. On an individual level, the ability to manage complex multisystem critical illnesses and to introduce invasive monitoring devices defines the intensivist. On a systems level, critical care services managed by an intensivist-led multidisciplinary team are now recognized by their ability to efficiently utilize hospital resources and improve patient outcomes. Due to the numerous cost and quality issues related to the delivery of critical care medicine, intensive care unit physician staffing (IPS) has become a charged subject in recent years. Although the federal government has played a large role in regulating best practices by physicians, other third parties have entered the arena. Perhaps the most influential of these has been The Leapfrog Group, a consortium representing 130 employers and 65 Fortune 500 companies that purchase health care for their employees. This group has proposed specific regulatory guidelines for IPS that are purported to result in substantial cost containment and improved quality of care. This narrative review examines the impact of The Leapfrog Group's recommendations on critical care delivery in the United States. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Impact of a hybrid TGfU-Sport Education unit on student motivation in physical education.

Science.gov (United States)

Gil-Arias, Alexander; Harvey, Stephen; Cárceles, Adrián; Práxedes, Alba; Del Villar, Fernando

2017-01-01

The Teaching Games for Understanding (TGfU) and Sport Education (SE) pedagogical models share several objectives and pedagogical processes. Despite this seemingly uncanny relationship, few studies have examined the efficacy of a hybrid TGfU/SE pedagogical model, particularly how a teacher's utilization of such a model impacts on student motivation. The purpose of the current study was to investigate the effect a hybrid TGfU/SE unit, in comparison to direct instruction, on students' perceptions of various aspects of their motivation to engage in physical education (autonomous motivation, basic psychological needs, enjoyment and intention to be physically active). A crossover design was utilized, using the technique of counterbalancing. One group experienced a hybrid SE/TGfU unit first, followed by a unit of direct instruction. A second group experienced the units in the opposite order. Participants were 55 students. The intervention was conducted over a total of 16 lessons. The hybrid unit was designed according to the characteristics of SE by using seasons, roles, persistent teams, etc. Learning tasks set by the teacher during individual lessons, however, were designed according to the pedagogical principles of TGfU. Student motivation data was generated using validated questionnaires. Results showed that regardless of the order of intervention, the two groups showed significant improvements in autonomy, competence and enjoyment when they were taught using the hybrid model. Instead, in the variables autonomous motivation, relatedness and intention to be physically active there were no significant improvements in one group. These results demonstrate that it is possible to design varied learning situations in which affiliation, leadership and trust are fostered, while tasks are adapted to the characteristics of the students. All this can cause greater autonomous motivation, and consequently, perceived competence in the student, a positive image of the sport to

Impact of a hybrid TGfU-Sport Education unit on student motivation in physical education.

Directory of Open Access Journals (Sweden)

Alexander Gil-Arias

Full Text Available The Teaching Games for Understanding (TGfU and Sport Education (SE pedagogical models share several objectives and pedagogical processes. Despite this seemingly uncanny relationship, few studies have examined the efficacy of a hybrid TGfU/SE pedagogical model, particularly how a teacher's utilization of such a model impacts on student motivation. The purpose of the current study was to investigate the effect a hybrid TGfU/SE unit, in comparison to direct instruction, on students' perceptions of various aspects of their motivation to engage in physical education (autonomous motivation, basic psychological needs, enjoyment and intention to be physically active. A crossover design was utilized, using the technique of counterbalancing. One group experienced a hybrid SE/TGfU unit first, followed by a unit of direct instruction. A second group experienced the units in the opposite order. Participants were 55 students. The intervention was conducted over a total of 16 lessons. The hybrid unit was designed according to the characteristics of SE by using seasons, roles, persistent teams, etc. Learning tasks set by the teacher during individual lessons, however, were designed according to the pedagogical principles of TGfU. Student motivation data was generated using validated questionnaires. Results showed that regardless of the order of intervention, the two groups showed significant improvements in autonomy, competence and enjoyment when they were taught using the hybrid model. Instead, in the variables autonomous motivation, relatedness and intention to be physically active there were no significant improvements in one group. These results demonstrate that it is possible to design varied learning situations in which affiliation, leadership and trust are fostered, while tasks are adapted to the characteristics of the students. All this can cause greater autonomous motivation, and consequently, perceived competence in the student, a positive image of

Impact of a hybrid TGfU-Sport Education unit on student motivation in physical education

Science.gov (United States)

Gil-Arias, Alexander; Harvey, Stephen; Cárceles, Adrián; Práxedes, Alba; Del Villar, Fernando

2017-01-01

The Teaching Games for Understanding (TGfU) and Sport Education (SE) pedagogical models share several objectives and pedagogical processes. Despite this seemingly uncanny relationship, few studies have examined the efficacy of a hybrid TGfU/SE pedagogical model, particularly how a teacher’s utilization of such a model impacts on student motivation. The purpose of the current study was to investigate the effect a hybrid TGfU/SE unit, in comparison to direct instruction, on students’ perceptions of various aspects of their motivation to engage in physical education (autonomous motivation, basic psychological needs, enjoyment and intention to be physically active). A crossover design was utilized, using the technique of counterbalancing. One group experienced a hybrid SE/TGfU unit first, followed by a unit of direct instruction. A second group experienced the units in the opposite order. Participants were 55 students. The intervention was conducted over a total of 16 lessons. The hybrid unit was designed according to the characteristics of SE by using seasons, roles, persistent teams, etc. Learning tasks set by the teacher during individual lessons, however, were designed according to the pedagogical principles of TGfU. Student motivation data was generated using validated questionnaires. Results showed that regardless of the order of intervention, the two groups showed significant improvements in autonomy, competence and enjoyment when they were taught using the hybrid model. Instead, in the variables autonomous motivation, relatedness and intention to be physically active there were no significant improvements in one group. These results demonstrate that it is possible to design varied learning situations in which affiliation, leadership and trust are fostered, while tasks are adapted to the characteristics of the students. All this can cause greater autonomous motivation, and consequently, perceived competence in the student, a positive image of the sport to

Impact of digitalization of mammographic units on average glandular doses in the Flemish Breast Cancer Screening Program

OpenAIRE

De Hauwere, An; Thierens, Hubert

2012-01-01

The impact of digitalization on the average glandular doses in 49 mammographic units participating in the Flemish Breast Cancer Screening Program was studied. Screen-film was changed to direct digital radiography and computed radiography in 25 and 24 departments respectively. Average glandular doses were calculated before and after digitalization for different PMMA-phantom thicknesses and for groups of 50 successive patients. For the transition from screen-film to computed radiography both ph...

Climate change: Potential impacts and interactions in wetlands of the United States

Science.gov (United States)

Burkett, Virginia; Kusler, Jon

2000-01-01

Wetlands exist in a transition zone between aquatic and terrestrial environments which can be altered by subtle changes in hydrology. Twentieth century climate records show that the United States is generally experiencing a trend towards a wetter, warmer climate; some climate models suggest that his trend will continue and possibly intensify over the next 100 years. Wetlands that are most likely to be affected by these and other potential changes (e.g., sea-level rise) associated with atmospheric carbon enrichment include permafrost wetlands, coastal and estuarine wetlands, peatlands, alpine wetlands, and prairie pothote wetlands. Potential impacts range from changes in community structure to changes in ecological function, and from extirpation to enhancement. Wetlands (particularly boreal peatlands) play an important role in the global carbon cycle, generally sequestering carbon in the form of biomass, methane, dissolved organic material and organic sediment. Wetlands that are drained or partially dried can become a net source of methane and carbon dioxide to the atmosphere, serving as a positive biotic feedback to global warming. Policy options for minimizing the adverse impacts of climate change on wetland ecosystems include the reduction of current anthropogenic stresses, allowing for inland migration of coastal wetlands as sea-level rises, active management to preserve wetland hydrology, and a wide range of other management and restoration options.

Quantifying and Valuing Potential Climate Change Impacts on Coral Reefs in the United States

Science.gov (United States)

Wobus, C. W.; Lane, D.; Buddemeier, R. W.; Ready, R. C.; Shouse, K. C.; Martinich, J.

2012-12-01

Global climate change presents a two-pronged threat to coral reef ecosystems: increasing sea surface temperatures will increase the likelihood of episodic bleaching events, while increasing ocean carbon dioxide concentrations will change the carbonate chemistry that drives coral growth. Because coral reefs have important societal as well as ecological benefits, climate change mitigation policies that ameliorate these impacts may create substantial economic value. We present a model that evaluates both the ecological and the economic impacts of climate change on coral reefs in the United States. We use a coral reef mortality and bleaching model to project future coral reef declines under a range of climate change policy scenarios for south Florida, Puerto Rico and Hawaii. Using a benefits transfer approach, the outputs from the physical model are then used to quantify the economic impacts of these coral reef declines for each of these regions. We find that differing climate change trajectories create substantial changes in projected coral cover and value for Hawaii, but that the ecological and economic benefits of more stringent emissions scenarios are less clear for Florida and Puerto Rico. Overall, our results indicate that the effectiveness of climate change mitigation policies may be region-specific, but that these policies could result in a net increase of nearly $10 billion in economic value from coral reef-related recreational activities alone, over the 21st century.

Health and cost impact of air pollution from biomass burning over the United States

Science.gov (United States)

Eslami, E.; Sadeghi, B.; Choi, Y.

2017-12-01

Effective assessment of health and cost effects of air pollution associated with wildfire events is critical for supporting sustainable management and policy analysis to reduce environmental damages. Since biomass burning events result in higher ozone, PM2.5, and NOx concentration values in urban regions due to long-range transport, preliminary results indicated that wildfire events cause a considerable increase in incident estimates and costs. This study aims to evaluate the health and cost impact of biomass burning events over the continental United States using combined air quality and health impact modeling. To meet this goal, a comprehensive air quality modeling scenarios containing biomass burning emissions were conducted using the Community Multiscale Air Quality (CMAQ) modeling system from 2011 to 2014 with a spatial resolution of 12 km. The modeling period includes fire seasons between April and October over the course of four years. By using modeled pollutants concentrations, the USEPA's GIS-based computer program Environmental Benefits Mapping and Analysis Program-Community Edition (BenMAP-CE) provides an inclusive figure of health and cost impact caused by changing gaseous and particulate air pollution due to fire events. The basis of BenMAP-CE is the use of a damage-function approach to estimate the health impact of an applied change in air quality by comparing a biomass burning scenario (the one that includes wildfire events) with a baseline scenario (without biomass emissions). This approach considers several factors containing population, exposure to the pollutants, adverse health effects of a particular pollutant, and economic costs. Hence, this study made it capable of showing how biomass burning across U.S. influences people's health in different months, seasons, and regions. Besides, the cost impact of the wildfire events during study periods has also been estimated at both national and regional levels. The results of this study demonstrate the

Multi-Unit Considerations for Human Reliability Analysis

Energy Technology Data Exchange (ETDEWEB)

St. Germain, S.; Boring, R.; Banaseanu, G.; Akl, Y.; Chatri, H.

2017-03-01

This paper uses the insights from the Standardized Plant Analysis Risk-Human Reliability Analysis (SPAR-H) methodology to help identify human actions currently modeled in the single unit PSA that may need to be modified to account for additional challenges imposed by a multi-unit accident as well as identify possible new human actions that might be modeled to more accurately characterize multi-unit risk. In identifying these potential human action impacts, the use of the SPAR-H strategy to include both errors in diagnosis and errors in action is considered as well as identifying characteristics of a multi-unit accident scenario that may impact the selection of the performance shaping factors (PSFs) used in SPAR-H. The lessons learned from the Fukushima Daiichi reactor accident will be addressed to further help identify areas where improved modeling may be required. While these multi-unit impacts may require modifications to a Level 1 PSA model, it is expected to have much more importance for Level 2 modeling. There is little currently written specifically about multi-unit HRA issues. A review of related published research will be presented. While this paper cannot answer all issues related to multi-unit HRA, it will hopefully serve as a starting point to generate discussion and spark additional ideas towards the proper treatment of HRA in a multi-unit PSA.

Air Quality and Health Impacts of an Aviation Biofuel Supply Chain Using Forest Residue in the Northwestern United States.

Science.gov (United States)

Ravi, Vikram; Gao, Allan H; Martinkus, Natalie B; Wolcott, Michael P; Lamb, Brian K

2018-04-03

Forest residue is a major potential feedstock for second-generation biofuel; however, little knowledge exists about the environmental impacts of the development and production of biofuel from such a feedstock. Using a high-resolution regional air quality model, we estimate the air quality impacts of a forest residue based aviation biofuel supply chain scenario in the Pacific Northwestern United States. Using two potential supply chain regions, we find that biomass and biofuel hauling activities will add simulation. Using BenMAP, a health impact assessment tool, we show that avoiding slash pile burning results in a decrease in premature mortality as well as several other nonfatal and minor health effects. In general, we show that most air quality and health benefits result primarily from avoided slash pile burning emissions.

Use of Internet Search Data to Monitor Rotavirus Vaccine Impact in the United States, United Kingdom, and Mexico.

Science.gov (United States)

Shah, Minesh P; Lopman, Benjamin A; Tate, Jacqueline E; Harris, John; Esparza-Aguilar, Marcelino; Sanchez-Uribe, Edgar; Richardson, Vesta; Steiner, Claudia A; Parashar, Umesh D

2018-02-19

Previous studies have found a strong correlation between internet search and public health surveillance data. Less is known about how search data respond to public health interventions, such as vaccination, and the consistency of responses in different countries. In this study, we aimed to study the correlation between internet searches for "rotavirus" and rotavirus disease activity in the United States, United Kingdom, and Mexico before and after introduction of rotavirus vaccine. We compared time series of internet searches for "rotavirus" from Google Trends with rotavirus laboratory reports from the United States and United Kingdom and with hospitalizations for acute gastroenteritis in the United States and Mexico. Using time and location parameters, Google quantifies an internet query share (IQS) to measure the relative search volume for specific terms. We analyzed the correlation between IQS and laboratory and hospitalization data before and after national vaccine introductions. There was a strong positive correlation between the rotavirus IQS and laboratory reports in the United States (R2 = 0.79) and United Kingdom (R2 = 0.60) and between the rotavirus IQS and acute gastroenteritis hospitalizations in the United States (R2 = 0.87) and Mexico (R2 = 0.69) (P United States and by 70% (95% CI, 55%-86%) in Mexico. In the United Kingdom, there was a loss of seasonal variation after vaccine introduction. Rotavirus internet search data trends mirrored national rotavirus laboratory trends in the United States and United Kingdom and gastroenteritis-hospitalization data in the United States and Mexico; lower correlations were found after rotavirus vaccine introduction. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Impacts of urbanization on carbon balance in terrestrial ecosystems of the Southern United States

International Nuclear Information System (INIS)

Zhang Chi; Tian Hanqin; Chen, Guangsheng; Chappelka, Arthur; Xu Xiaofeng; Ren Wei; Hui Dafeng; Liu Mingliang; Lu Chaoqun; Pan, Shufen; Lockaby, Graeme

2012-01-01

Using a process-based Dynamic Land Ecosystem Model, we assessed carbon dynamics of urbanized/developed lands in the Southern United States during 1945–2007. The results indicated that approximately 1.72 (1.69–1.77) Pg (1P = 10 15 ) carbon was stored in urban/developed lands, comparable to the storage of shrubland or cropland in the region. Urbanization resulted in a release of 0.21 Pg carbon to the atmosphere during 1945–2007. Pre-urbanization vegetation type and time since land conversion were two primary factors determining the extent of urbanization impacts on carbon dynamics. After a rapid decline of carbon storage during land conversion, an urban ecosystem gradually accumulates carbon and may compensate for the initial carbon loss in 70–100 years. The carbon sequestration rate of urban ecosystem diminishes with time, nearly disappearing in two centuries after land conversion. This study implied that it is important to take urbanization effect into account for assessing regional carbon balance. - Highlights: ► A series of spatial and temporal urban/developed land maps were generated. ► Urbanization effects on regional carbon dynamics were studied with a process-based Dynamic Land Ecosystem Model (DLEM). ► Carbon storage of urban/developed land was comparable to that stored in cropland and shrubland in the Southern United States. ► Pre-urbanization vegetation type and time since land conversion were two primary factors determining the extent of urbanization impacts on carbon dynamics. ► Urbanization resulted in carbon emission, but established urban areas may gradually accumulate carbon over time. - Urbanization has resulted in carbon release to the atmosphere, but established urban areas may gradually accumulate carbon over time.

Culture of human cells in experimental units for spaceflight impacts on their behavior.

Science.gov (United States)

Cazzaniga, Alessandra; Moscheni, Claudia; Maier, Jeanette Am; Castiglioni, Sara

2017-05-01

Because space missions produce pathophysiological alterations such as cardiovascular disorders and bone demineralization which are very common on Earth, biomedical research in space is a frontier that holds important promises not only to counterbalance space-associated disorders in astronauts but also to ameliorate the health of Earth-bound population. Experiments in space are complex to design. Cells must be cultured in closed cell culture systems (from now defined experimental units (EUs)), which are biocompatible, functional, safe to minimize any potential hazard to the crew, and with a high degree of automation. Therefore, to perform experiments in orbit, it is relevant to know how closely culture in the EUs reflects cellular behavior under normal growth conditions. We compared the performances in these units of three different human cell types, which were recently space flown, i.e. bone mesenchymal stem cells, micro- and macrovascular endothelial cells. Endothelial cells are only slightly and transiently affected by culture in the EUs, whereas these devices accelerate mesenchymal stem cell reprogramming toward osteogenic differentiation, in part by increasing the amounts of reactive oxygen species. We conclude that cell culture conditions in the EUs do not exactly mimic what happens in a culture dish and that more efforts are necessary to optimize these devices for biomedical experiments in space. Impact statement Cell cultures represent valuable preclinical models to decipher pathogenic circuitries. This is true also for biomedical research in space. A lot has been learnt about cell adaptation and reaction from the experiments performed on many different cell types flown to space. Obviously, cell culture in space has to meet specific requirements for the safety of the crew and to comply with the unique environmental challenges. For these reasons, specific devices for cell culture in space have been developed. It is important to clarify whether these

Impact of hazardous waste handling legislation on nuclear installations and radioactive waste management in the United States

International Nuclear Information System (INIS)

Trosten, L.M.

1988-01-01

The United States has enacted complex legislation to help assure proper handling of hazardous waste and the availability of funds to cover the expenditures. There are a number of uncertainties concerning the impact of this legislation, and regulations promulgated by the Environmental Protection Agency and the states, upon nuclear installations and radioactive waste management. This report provides an overview of the U.S. hazardous waste legislation and examines the outlook for its application to the nuclear industry (NEA) [fr

Cultural impacts on public perceptions of agricultural biotechnology: A comparison of South Korea and the United States

Science.gov (United States)

Nader, Richard Harrison

According to Millar (1996), the gulf between science and society is growing. Technologies are tools cultures develop to solve society's problems. The rapid dispersion of science and technology across cultural borders through trade, technology transfer and exchange, increasingly requires people in different cultures to make choices about accepting or rejecting artifacts of science and technology such as genetically modified (GM) foods, which originate primarily from the United States. These issues challenge policy makers and scientists to account for the affects of different cultural perspectives on controversial scientific issues. Given the controversy across cultures over acceptance or rejection of genetically modified (GM) foods, GM foods are an excellent example with which to begin to reveal how culture impacts public perceptions of the risk and benefits of science and technology in different societies. This research will: (1) Define public awareness and understanding of science, specifically GM foods; (2) Examine culture's impact on knowledge, including different cultural approaches to research; and (3) Compare recent findings of a bi-national public opinion survey on GM comparing in South Korea and the United States. The proposed research outlines two research questions: (1) How and in what ways do South Koreans and Americans differ in their opinions about GMOs? This question is important for gathering current points of contrast about how the two cultures may differ; and (2) What role does culture play on opinion formation about GM foods? Through grounded theory, the researcher will investigate how cultural differences help explain opinion on public perceptions of GM foods. Is it possible to identify common cultural factors that impact public perceptions of GM foods between South Koreans and Americans? The study will utilize both qualitative and quantitative methodologies. Higher education is a major producer of new science and technology. The study is

Estimating the economic impact of climate change on the freshwater sportsfisheries of the Northeastern United States

Energy Technology Data Exchange (ETDEWEB)

Pendleton, L. [Univ. of Southern California, Los Angeles, CA (United States). Dept. of Economics; Mendelsohn, R. [Yale Univ., New Haven, CT (United States). School of Forestry and Environmental Studies

1997-06-06

This study links models of global climate circulation, ecology, and economic valuation (hedonic travel cost and random utility models) to value the impact of global warming on freshwater sportfishing in the Northeast. An origin-specific linear random utility model (RUM) is introduced. The results of the RUM are shown to be comparable to those of a hedonic travel cost model. A doubling of atmospheric carbon dioxide is predicted to generate between a $4.6 million loss and a $20.5 million net benefit for the Northeastern United States, depending on the climate scenario.

Modeled dietary impact of industry-wide food and beverage reformulations in the United States and France.

Science.gov (United States)

Gressier, Mathilde; Privet, Lisa; Mathias, Kevin Clark; Vlassopoulos, Antonis; Vieux, Florent; Masset, Gabriel

2017-07-01

Background: Food reformulation has been identified as a strategy to improve nutritional intakes; however, little is known about the potential impact of industry-wide reformulations. Objective: The aim of the study was to model the dietary impact of food and beverage reformulation following the Nestlé Nutritional Profiling System (NNPS) standards for children, adolescents, and adults in the United States and France. Design: Dietary intakes of individuals aged ≥4 y were retrieved from nationally representative surveys: the US NHANES 2011-2012 ( n = 7456) and the French Individual and National Survey on Food Consumption ( n = 3330). The composition of all foods and beverages consumed were compared with the NNPS standards for energy, total and saturated fats, sodium, added sugars, protein, fiber, and calcium. Two scenarios were modeled. In the first, the nutrient content of foods and beverages was adjusted to the NNPS standards if they were not met. In the second, products not meeting the standards were replaced by the most nutritionally similar alternative meeting the standards from the same category. Dietary intakes were assessed against local nutrient recommendations, and analyses were stratified by body mass index and socioeconomic status. Results: Scenarios 1 and 2 showed reductions in US adults' mean daily energy (-88 and -225 kcal, respectively), saturated fats (-4.2, -6.9 g), sodium (-406, -324 mg), and added sugars (-29.4, -35.8 g). Similar trends were observed for US youth and in France. The effects on fiber and calcium were limited. In the United States, the social gradient of added sugars intake was attenuated in both scenarios compared with the baseline values. Conclusions: Potential industry-wide reformulation of the food supply could lead to higher compliance with recommendations in both the United States and France, and across all socioeconomic groups. NNPS standards seemed to be especially effective for nutrients consumed in excess. © 2017 American

The macroeconomic impact of pandemic influenza: estimates from models of the United Kingdom, France, Belgium and The Netherlands.

Science.gov (United States)

Keogh-Brown, Marcus Richard; Smith, Richard D; Edmunds, John W; Beutels, Philippe

2010-12-01

The 2003 outbreak of severe acute respiratory syndrome (SARS) showed that infectious disease outbreaks can have notable macroeconomic impacts. The current H1N1 and potential H5N1 flu pandemics could have a much greater impact. Using a multi-sector single country computable general equilibrium model of the United Kingdom, France, Belgium and The Netherlands, together with disease scenarios of varying severity, we examine the potential economic cost of a modern pandemic. Policies of school closure, vaccination and antivirals, together with prophylactic absence from work are evaluated and their cost impacts are estimated. Results suggest GDP losses from the disease of approximately 0.5-2% but school closure and prophylactic absenteeism more than triples these effects. Increasing school closures from 4 weeks at the peak to entire pandemic closure almost doubles the economic cost, but antivirals and vaccinations seem worthwhile. Careful planning is therefore important to ensure expensive policies to mitigate the pandemic are effective in minimising illness and deaths.

Solar energy development and aquatic ecosystems in the southwestern United States: potential impacts, mitigation, and research needs.

Science.gov (United States)

Grippo, Mark; Hayse, John W; O'Connor, Ben L

2015-01-01

The cumulative impacts of utility-scale solar energy facilities on aquatic ecosystems in the Southwestern United States are of concern, considering the many existing regional anthropogenic stressors. We review the potential impacts of solar energy development on aquatic habitat and biota. The greatest potential for impacts is related to the loss, fragmentation, or prolonged drying of ephemeral water bodies and drainage networks resulting from the loss of desert washes within the construction footprint of the facility. Groundwater-dependent aquatic habitat may also be affected by operational groundwater withdrawal in the case of water-intensive solar technologies. Solar panels have also been found to attract aquatic insects and waterbirds, potentially resulting in mortality. Avoiding construction activity near perennial and intermittent surface waters is the primary means of reducing impacts on aquatic habitats, followed by measures to minimize erosion, sedimentation, and contaminant inputs into waterways. Currently, significant data gaps make solar facility impact assessment and mitigation more difficult. Examples include the need for more regional and site-specific studies of surface-groundwater connectivity, more detailed maps of regional stream networks and riparian vegetation corridors, as well as surveys of the aquatic communities inhabiting ephemeral streams. In addition, because they often lack regulatory protection, there is also a need to develop valuation criteria for ephemeral waters based on their ecological and hydrologic function within the landscape. By addressing these research needs, we can achieve the goal of greater reliance on solar energy, while at the same time minimizing impacts on desert ecosystems.

The impact of the oil crisis associated with the Persian Gulf conflict on the United States

International Nuclear Information System (INIS)

Gill, G.S.; Boyd, R.

1992-01-01

This paper analyzes the effects of the Persian Gulf conflict on the level of economic activity, employment and inflation in the United States. Impacts on other countries are not examined in this study. Many of the impacts are difficult to quantify objectively. One factor that can be subjected to analysis is the increase in US government expenditures associated with Operations Desert Shield and Desert Storm. The analytical results of the investigation suggest that the method of financing the increase does make a difference in how the US economy is affected. In two of the three cases considered (i.e. deficit financing and 80% financing by coalition partners), output, personal consumption expenditures, and disposable income increase, but these increases are partly associated with higher prices (i.e. inflation). In the third case (i.e. tax-offset scenario), output, personal consumption expenditures, and disposable income decline, but prices actually fall. Moreover, the magnitudes of the changes are directly proportional to the size of the expenditure increase. (author)

Air quality and human health impacts of grasslands and shrublands in the United States

Science.gov (United States)

Gopalakrishnan, Varsha; Hirabayashi, Satoshi; Ziv, Guy; Bakshi, Bhavik R.

2018-06-01

Vegetation including canopy, grasslands, and shrublands can directly sequester pollutants onto the plant surface, resulting in an improvement in air quality. Until now, several studies have estimated the pollution removal capacity of canopy cover at the level of a county, but no such work exists for grasslands and shrublands. This work quantifies the air pollution removal capacity of grasslands and shrublands at the county-level in the United States and estimates the human health benefits associated with pollution removal using the i-Tree Eco model. Sequestration of pollutants is estimated based on the Leaf Area Index (LAI) obtained from the Moderate Resolution Imaging Spectroradiometer (MODIS) derived dataset estimates of LAI and the percentage land cover obtained from the National Land Cover Database (NLCD) for the year 2010. Calculation of pollution removal capacity using local environmental data indicates that grasslands and shrublands remove a total of 6.42 million tonnes of air pollutants in the United States and the associated monetary benefits total 268 million. Human health impacts and associated monetary value due to pollution removal was observed to be significantly high in urban areas indicating that grasslands and shrublands are equally critical as canopy in improving air quality and human health in urban regions.

Outpatient Mental Health Treatment Utilization and Military Career Impact in the United States Marine Corps.

Science.gov (United States)

Ghahramanlou-Holloway, Marjan; LaCroix, Jessica M; Koss, Kari; Perera, Kanchana U; Rowan, Anderson; VanSickle, Marcus R; Novak, Laura A; Trieu, Theresa H

2018-04-23

Service members (SM) are at increased risk of psychiatric conditions, including suicide, yet research indicates SMs believe seeking mental health treatment may negatively impact their military careers, despite a paucity of research examining actual career impacts. This study examined the link between seeking outpatient mental health (MH) treatment and military career impacts within the United States Marine Corps. In Phase 1, a retrospective medical record review of outpatient MH treatment-seeking Marines ( N = 38) was conducted. In Phase 2, a sample of outpatient MH treatment-seeking Marines ( N = 40) was matched to a non-treatment-seeking sample of Marines ( N = 138) to compare career-progression. In Phase 1, there were no significant links between demographic, military, and clinical characteristics and referral source or receipt of career-affecting treatment recommendations. In Phase 2, MH treatment-seeking Marines in outpatient settings were more likely than matched controls to be separated from the military (95.0% versus 63.0%, p = 0.002), but no more likely to experience involuntary separation. MH treatment-seeking Marines were more likely to have documented legal action (45.0% versus 23.9%, p = 0.008) and had a shorter time of military service following the index MH encounter than matched controls ( p < 0.001). Clinical, anti-stigma, and suicide prevention policy implications are discussed.

Detector Unit

CERN Multimedia

1960-01-01

Original detector unit of the Instituut voor Kernfysisch Onderzoek (IKO) BOL project. This detector unit shows that silicon detectors for nuclear physics particle detection were already developed and in use in the 1960's in Amsterdam. Also the idea of putting 'strips' onto the silicon for high spatial resolution of a particle's impact on the detector were implemented in the BOL project which used 64 of these detector units. The IKO BOL project with its silicon particle detectors was designed, built and operated from 1965 to roughly 1977. Detector Unit of the BOL project: These detectors, notably the ‘checkerboard detector’, were developed during the years 1964-1968 in Amsterdam, The Netherlands, by the Natuurkundig Laboratorium of the N.V. Philips Gloeilampen Fabrieken. This was done in close collaboration with the Instituut voor Kernfysisch Onderzoek (IKO) where the read-out electronics for their use in the BOL Project was developed and produced.

Socioeconomic impacts of nuclear generating stations: Crystal River Unit 3 case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Crystal River Unit 3 nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Assessing the impact of the Australia-United States Free Trade Agreement on Australian and global medicines policy

Directory of Open Access Journals (Sweden)

Searles Andrew

2005-10-01

Full Text Available Abstract On 1 January 2005, a controversial trade agreement entered into force between Australia and the United States. Though heralded by the parties as facilitating the removal of barriers to free trade (in ways not achievable in multilateral fora, it also contained many trade-restricting intellectual property provisions and others uniquely related to altering pharmaceutical regulation and public health policy in Australia. The latter appear to have particularly focused on the world-respected process of federal government reimbursement after expert cost-effectiveness evaluation, popularly known as the Pharmaceutical Benefits Scheme ('PBS'. It remains uncertain what sort of impacts – if any – the Australia-United States Free Trade Agreement ('AUSFTA' will have on PBS processes such as reference pricing and their important role in facilitating equitable and affordable access to essential medicines. This is now the field of inquiry for a major three year Australian Research Council ('ARC'-funded study bringing together a team of senior researchers in regulatory theory from the Australian National University and pharmacoeconomics from the University of Newcastle. The project proposes to monitor, assess and analyse the real and potential impacts of the AUSFTA in this area, providing Australian policy-makers with continuing expertise and options. To the extent that the AUSFTA medicines provisions may represent animportant precedent in a global strategy by industry oncost-effectiveness evaluation of pharmaceuticals, the study will also beof great interest to policy makers in other jurisdictions.

Occupational therapy students' attitudes towards inclusion education in Australia, United Kingdom, United States and Taiwan.

Science.gov (United States)

Mu, Keli; Brown, Ted; Peyton, Claudia G; Rodger, Sylvia; Huang, Yan-Hua; Wu, Chin-Yu; Watson, Callie; Stagnitti, Karen; Hutton, Eve; Casey, Jackie; Hong, Chia Swee

2010-03-01

This international, cross-cultural study investigated the attitudes of occupational therapy students from Australia, United Kingdom, United States and Taiwan towards inclusive education for students with disabilities. The possible impact of professional education on students' attitudes was also explored. A total of 485 students from 11 entry-level occupational therapy education programmes from Australia, the United Kingdom, the United States and Taiwan participated in the study. Among them, 264 were freshmen (first-year students) and 221 were seniors (final-year students). Data collected from a custom-designed questionnaire were analysed both quantitatively and qualitatively. In general, the occupational therapy students reported having positive attitudes towards inclusion. Considerable differences, however, existed among the student groups from the four countries. Professional education appeared to have a significant impact on students' attitudes towards inclusion from first year to senior year. Although students were in favour of inclusion, they also cautioned that their support for inclusive practices depended on various factors such as adequate preparation, support and assistance to students with disabilities. Limitations of the study included the small, convenience sample and different degree structures of the participating programmes. Future research studies need to compare occupational therapy students' attitudes with students from other health care professions. A longitudinal study on the impact of the professional education programme on students' attitudes towards inclusive education is warranted.

A Design Method for Impact-Loaded Slender Armour Units

DEFF Research Database (Denmark)

Burcharth, Hans F.

It is well known that the bigger a structural member like a beam, the relatively weaker it is. In the end it cannot even support its own weight. The same problem holds for slender armour units such as Dolosse.......It is well known that the bigger a structural member like a beam, the relatively weaker it is. In the end it cannot even support its own weight. The same problem holds for slender armour units such as Dolosse....

Climate change impact on operation of dams and hydroelectricity generation in the Northeastern United States

Science.gov (United States)

Ehsani, N.; Vorosmarty, C. J.; Fekete, B. M.

2016-12-01

We are using a large-scale, high-resolution, fully integrated hydrological/reservoir/hydroelectricity model to investigate the impact of climate change on the operation of 11037 dams and generation of electricity from 375 hydroelectric power plants in the Northeastern United States. Moreover, we estimate the hydropower potential of the region by energizing the existing non-powered dams and then studying the impact of climate change on the hydropower potential. We show that climate change increases the impact of dams on the hydrology of the region. Warmer temperatures produce shorter frozen periods, earlier snowmelt and elevated evapotranspiration rates, which when combined with changes in precipitation, are projected to increase water availability in winter but reduce it during summer. As a result, the water that is stored by dams will be more than ever a necessary part of the routine water systems operations to compensate for these seasonal imbalances. The function of dams as emergency water storage for creating drought resiliency will mostly diminish in the future. Building more dams to cope with the local impacts of climate change on water resources and to offset the increased drought vulnerability may thus be inevitable. Annual hydroelectricity generation in the region is 41 Twh. Our estimate of the annual hydropower potential of non-powered dams adds up to 350 Twh. Climate change may reduce hydropower potential from non-powered dams by up to 13% and reduce current hydroelectricity generation by up to 8% annually. Hydroelectricity generation and hydropower potential may increase in winter months and decline in months of summer and fall. These changes call for recalibration of dam operations and may raise conflict of interests in multipurpose dams.

Impact of Noise on Nurses in Pediatric Intensive Care Units.

Science.gov (United States)

Watson, J'ai; Kinstler, Angela; Vidonish, William P; Wagner, Michael; Lin, Li; Davis, Kermit G; Kotowski, Susan E; Daraiseh, Nancy M

2015-09-01

Excessive exposure to noise places nurses at risk for safety events, near-misses, decreased job performance, and fatigue. Noise is particularly a concern in pediatric intensive care units, where highly skilled providers and vulnerable patients require a quiet environment to promote healing. To measure noise levels and noise duration on specialty pediatric intensive care units to explore sources of noise and its effects on the health of registered nurses. In a cross-sectional pilot study, levels and sources of noise in 3 different specialty pediatric intensive care units were assessed. Fifteen nurses were observed for 4-hour sessions during a 24-hour period. Sound pressure levels (noise) and heart rate were measured continuously, and stress ratings were recorded. Descriptive statistics were calculated for noise (level, source, location, and activity), heart rate, and stress. The Pearson correlation coefficient was calculated to analyze the relationship between heart rate and noise. Mean noise level was 71.9 (SD, 9.2) dBA. Mean heart rate was 85.2/min (SD, 15.8/min) and was significantly associated with noise, unit, within-unit location, nurse sources, and noise activities. The most frequent sources of noise were patients' rooms, care activities, and staff communications. Noise levels in pediatric intensive care units exceed recommended thresholds and require immediate attention through effective interventions. Although noise was not associated with stress, a significant correlation with increased heart rate indicates that noise may be associated with adverse health outcomes. ©2015 American Association of Critical-Care Nurses.

Building capacity for Health Impact Assessment: Training outcomes from the United States

Energy Technology Data Exchange (ETDEWEB)

Schuchter, Joseph [Berkeley, CA (United States); Rutt, Candace, E-mail: awr8@cdc.gov [Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity, 4770 Buford Highway MS/F-77, Atlanta, GA 30341 (United States); Satariano, William A. [University of California Berkeley, School of Public Health, Division of Community Health and Human Development, Berkeley, CA (United States); Seto, Edmund [University of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA (United States)

2015-01-15

Background: Despite the continued growth of Health Impact Assessment (HIA) in the US, there is little research on HIA capacity-building. A comprehensive study of longer-term training outcomes may reveal opportunities for improving capacity building activities and HIA practice. Methods: We conducted in-depth interviews with HIA trainees in the United States to assess their outcomes and needs. Using a training evaluation framework, we measured outcomes across a spectrum of reaction, learning, behavior and results. Results: From 2006 to 2012, four organizations trained over 2200 people in at least 75 in-person HIA trainings in 29 states. We interviewed 48 trainees, selected both randomly and purposefully. The mean duration between training and interview was 3.4 years. Trainees reported that their training objectives were met, especially when relevant case-studies were used. They established new collaborations at the trainings and maintained them. Training appeared to catalyze more holistic thinking and practice, including a range of HIA-related activities. Many trainees disseminated what they learned and engaged in components of HIA, even without dedicated funding. Going forward, trainees need assistance with quantitative methods, project management, community engagement, framing recommendations, and evaluation. Conclusions: The research revealed opportunities for a range of HIA stakeholders to refine and coordinate training resources, apply a competency framework and leverage complimentary workforce development efforts, and sensitize and build the capacity of communities. - Highlights: • We interviewed HIA trainees in the United States to assess longer-term outcomes. • Training appeared to catalyze a range of beneficial partnerships and activities. • Trainees reported outstanding needs for specific skills and competencies. • There are various opportunities to improve training and capacity-building.

Building capacity for Health Impact Assessment: Training outcomes from the United States

International Nuclear Information System (INIS)

Schuchter, Joseph; Rutt, Candace; Satariano, William A.; Seto, Edmund

2015-01-01

Background: Despite the continued growth of Health Impact Assessment (HIA) in the US, there is little research on HIA capacity-building. A comprehensive study of longer-term training outcomes may reveal opportunities for improving capacity building activities and HIA practice. Methods: We conducted in-depth interviews with HIA trainees in the United States to assess their outcomes and needs. Using a training evaluation framework, we measured outcomes across a spectrum of reaction, learning, behavior and results. Results: From 2006 to 2012, four organizations trained over 2200 people in at least 75 in-person HIA trainings in 29 states. We interviewed 48 trainees, selected both randomly and purposefully. The mean duration between training and interview was 3.4 years. Trainees reported that their training objectives were met, especially when relevant case-studies were used. They established new collaborations at the trainings and maintained them. Training appeared to catalyze more holistic thinking and practice, including a range of HIA-related activities. Many trainees disseminated what they learned and engaged in components of HIA, even without dedicated funding. Going forward, trainees need assistance with quantitative methods, project management, community engagement, framing recommendations, and evaluation. Conclusions: The research revealed opportunities for a range of HIA stakeholders to refine and coordinate training resources, apply a competency framework and leverage complimentary workforce development efforts, and sensitize and build the capacity of communities. - Highlights: • We interviewed HIA trainees in the United States to assess longer-term outcomes. • Training appeared to catalyze a range of beneficial partnerships and activities. • Trainees reported outstanding needs for specific skills and competencies. • There are various opportunities to improve training and capacity-building

The impact of crude oil price volatility on agricultural employment in the United States

International Nuclear Information System (INIS)

Uri, N.D.

1996-01-01

This study addresses the question of whether fluctuations in the price of crude oil have affected agricultural employment in the United States. After reviewing previous assessments of the issue, the existence of an empirical relationship between agricultural employment and crude oil price volatility is established using cointegration tests. Subsequently, the nature of the relationship is estimated with the results suggesting that at least three full years are required before the measurable impacts of a percentage change in the real price of crude oil on the change in agricultural employment are exhausted. Finally, the structural stability of the functional relationship between the change in agricultural employment and the volatility of the price of crude oil, the percentage changes in expected net farm income, realized technological innovation, and the wage rate is examined. (author)

Injury and side impact air bag deployment in near and far sided motor vehicle crashes, United States, 2000-2005.

Science.gov (United States)

Stadter, Greg; Grabowski, Jurek G; Burke, Christine; Aldaghlas, Tayseer A; Robinson, Linda; Fakhry, Samir M

2008-12-01

Side impact crashes, the most lethal type, account for 26% of all motor vehicle crashes in the United States. The purpose of this study is to delineate side impact airbag (SIAB) deployment rates, injury rates, and analyze crash factors associated with SIAB deployment and occupant injury. All passenger vehicles equipped with SIABs that were involved in a side impact crash were identified from the National Automotive Sampling System database. Crashes with multiple impacts, ejections, unbelted drivers or rollovers were excluded from the study. The outcome variables of interest were SIAB deployment and driver injury. SIAB deployment was compared in similar crashes to analyze the impact on driver's injury severity score. Other crash factors were also examined to analyze what role they play in SIAB deployment rates and injury rates, such as plane of contact, striking object and Delta-V. The data set for this study contained 247 drivers in near and far side crashes in vehicles with installed SIABs. Overall SIAB deployment was 43% in side impact crashes. A significant factor associated with both the SIAB deployment rate and the driver's injury rate was increased Delta-V. SIABs do not deploy consistently in crashes with a high Delta-V or with a lateral primary direction of force and a front plane of contact. In these two scenarios, further research is warranted on SIAB deployments. With SIAB deployment, it appears drivers are able to sustain a higher Delta-V impact without serious injury.

Inching toward incrementalism: federalism, devolution, and health policy in the United States and the United Kingdom.

Science.gov (United States)

Sparer, Michael S; France, George; Clinton, Chelsea

2011-02-01

In the United States, the recently enacted Patient Protection and Affordable Care Act of 2010 envisions a significant increase in federal oversight over the nation's health care system. At the same time, however, the legislation requires the states to play key roles in every aspect of the reform agenda (such as expanding Medicaid programs, creating insurance exchanges, and working with providers on delivery system reforms). The complicated intergovernmental partnerships that govern the nation's fragmented and decentralized system are likely to continue, albeit with greater federal oversight and control. But what about intergovernmental relations in the United Kingdom? What impact did the formal devolution of power in 1999 to Scotland, Wales, and Northern Ireland have on health policy in those nations, and in the United Kingdom more generally? Has devolution begun a political process in which health policy in the United Kingdom will, over time, become increasingly decentralized and fragmented, or will this "state of unions" retain its long-standing reputation as perhaps the most centralized of the European nations? In this article, we explore the federalist and intergovernmental implications of recent reforms in the United States and the United Kingdom, and we put forward the argument that political fragmentation (long-standing in the United States and just emerging in the United Kingdom) produces new intergovernmental partnerships that, in turn, produce incremental growth in overall government involvement in the health care arena. This is the impact of what can be called catalytic federalism.

Impacts of future climate change and effects of biogenic emissions on surface ozone and particulate matter concentrations in the United States

Directory of Open Access Journals (Sweden)

Y. F. Lam

2011-05-01

Full Text Available Simulations of present and future average regional ozone and PM_2.5 concentrations over the United States were performed to investigate the potential impacts of global climate change and emissions on regional air quality using CMAQ. Various emissions and climate conditions with different biogenic emissions and domain resolutions were implemented to study the sensitivity of future air quality trends from the impacts of changing biogenic emissions. A comparison of GEOS-Chem and CMAQ was performed to investigate the effect of downscaling on the prediction of future air quality trends. For ozone, the impacts of global climate change are relatively smaller when compared to the impacts of anticipated future emissions reduction, except for the Northeast area, where increasing biogenic emissions due to climate change have stronger positive effects (increases to the regional ozone air quality. The combination effect from both climate change and emission reductions leads to approximately a 10 % or 5 ppbv decrease of the maximum daily average eight-hour ozone (MDA8 over the Eastern United States. For PM_2.5, the impacts of global climate change have shown insignificant effect, where as the impacts of anticipated future emissions reduction account for the majority of overall PM_2.5 reductions. The annual average 24-h PM_2.5 of the future-year condition was found to be about 40 % lower than the one from the present-year condition, of which 60 % of its overall reductions are contributed to by the decrease of SO₄ and NO₃ particulate matters. Changing the biogenic emissions model increases the MDA8 ozone by about 5–10 % or 3–5 ppbv in the Northeast area. Conversely, it reduces the annual average PM_2.5 by 5 % or 1.0 μg m⁻³ in the Southeast region.

Impact of overactive bladder on work productivity in the United States: results from EpiLUTS.

Science.gov (United States)

Sexton, Chris C; Coyne, Karin S; Vats, Vasudha; Kopp, Zoe S; Irwin, Debra E; Wagner, Todd H

2009-03-01

Little research has focused on the impact of overactive bladder (OAB) on work productivity. Consequently, the impact of OAB and other lower urinary tract symptoms (LUTS) on work productivity was evaluated in employed men and women aged 40 to 65 in the United States. Data from a population-based, cross-sectional Internet survey were used to examine the impact of OAB symptoms on work productivity. US participants aged 40 to 65 working full- or part-time were included in the analysis. Participants were asked about the incidence of OAB and other LUTS and a series of questions about work productivity. Descriptive statistics and linear and logistic regressions were used to evaluate outcome differences for men and women by the OAB groups of no/minimal symptoms, continent OAB, and incontinent OAB. The response rate was 60%, and a total of 2876 men and 2820 women were analyzed. Men and women with incontinent OAB reported the lowest levels of work productivity and highest rates of daily work interference. Storage symptoms associated with OAB were most consistently associated with work productivity outcomes; however, significant associations were also found for other storage, voiding, and postmicturition LUTS. In this large US population-based study, OAB was highly prevalent and was associated with lower levels of work productivity. These findings add to the literature documenting the burden of OAB and other LUTS, underscoring the need for increased screening and treatment.

Case Study of Multi-Unit Risk: Multi-Unit Station Black-Out

Energy Technology Data Exchange (ETDEWEB)

Oh, Kyemin; Jang, Seung-cheol [KAERI, Daejeon (Korea, Republic of); Heo, Gyunyoung [Kyung Hee University, Yongin (Korea, Republic of)

2015-05-15

After Fukushima Daiichi Accident, importance and public concern for Multi-Unit Risk (MUR) or Probabilistic Safety Assessment (PSA) have been increased. Most of nuclear power plant sites in the world have more than two units. These sites have been facing the problems of MUR or accident such as Fukushima. In case of South Korea, there are generally more than four units on the same site and even more than ten units are also expected. In other words, sites in South Korea also have been facing same problems. Considering number of units on the same site, potential of these problems may be larger than other countries. The purpose of this paper is to perform case study based on another paper submitted in the conference. MUR is depended on various site features such as design, shared systems/structures, layout, environmental condition, and so on. Considering various dependencies, we assessed Multi-Unit Station Black-out (MSBO) accident based on Hanul Unit 3 and 4 model. In this paper, case study for multi-unit risk or PSA had been performed. Our result was incomplete to assess total multi-unit risk because of two challenging issues. First, economic impact had not been evaluated to estimate multi-unit risk. Second, large uncertainties were included in our result because of various assumptions. These issues must be resolved in the future.

Case Study of Multi-Unit Risk: Multi-Unit Station Black-Out

International Nuclear Information System (INIS)

Oh, Kyemin; Jang, Seung-cheol; Heo, Gyunyoung

2015-01-01

After Fukushima Daiichi Accident, importance and public concern for Multi-Unit Risk (MUR) or Probabilistic Safety Assessment (PSA) have been increased. Most of nuclear power plant sites in the world have more than two units. These sites have been facing the problems of MUR or accident such as Fukushima. In case of South Korea, there are generally more than four units on the same site and even more than ten units are also expected. In other words, sites in South Korea also have been facing same problems. Considering number of units on the same site, potential of these problems may be larger than other countries. The purpose of this paper is to perform case study based on another paper submitted in the conference. MUR is depended on various site features such as design, shared systems/structures, layout, environmental condition, and so on. Considering various dependencies, we assessed Multi-Unit Station Black-out (MSBO) accident based on Hanul Unit 3 and 4 model. In this paper, case study for multi-unit risk or PSA had been performed. Our result was incomplete to assess total multi-unit risk because of two challenging issues. First, economic impact had not been evaluated to estimate multi-unit risk. Second, large uncertainties were included in our result because of various assumptions. These issues must be resolved in the future

Development and Application of a Low Impact Development (LID-Based District Unit Planning Model

Directory of Open Access Journals (Sweden)

Cheol Hee Son

2017-01-01

Full Text Available The purpose of this study was to develop a low impact development-based district unit planning (LID-DP model and to verify the model by applying it to a test site. To develop the model, we identified various barriers to the urban planning process and examined the advantages of various LID-related techniques to determine where in the urban development process LID would provide the greatest benefit. The resulting model provides (1 a set of district unit planning processes that consider LID standards and (2 a set of evaluation methods that measure the benefits of the LID-DP model over standard urban development practices. The developed LID-DP process is composed of status analysis, comprehensive analysis, basic plan, and sectoral plans. To determine whether the LID-DP model met the proposed LID targets, we applied the model to a test site in Cheongju City, Chungcheongbuk-do Province, Republic of Korea. The test simulation showed that the LID-DP plan reduced nonpoint source pollutants (total nitrogen, 113%; total phosphorous, 193%; and biological oxygen demand, 199%; reduced rainfall runoff (infiltration volume, 102%; surface runoff, 101%; and improved the conservation rate of the natural environment area (132%. The successful application of this model also lent support for the greater importance of non-structural techniques over structural techniques in urban planning when taking ecological factors into account.

77 FR 68776 - Economic Impact Policy

Science.gov (United States)

2012-11-16

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public..., Malaysia, Philippines, Poland, Romania, Slovakia, South Africa, Spain, Sri Lanka, Taiwan, Turkey, and United Kingdom. Interested parties may submit comments on this transaction by email to economic.impact...

Impact of pharmacist’s interventions on cost of drug therapy in intensive care unit. Pharmacy

Directory of Open Access Journals (Sweden)

Saokaew S

2009-06-01

Full Text Available Pharmacist participation in patient care team has been shown to reduce incidence of adverse drug events, and overall drug costs. However, impact of pharmacist participation in the multidisciplinary intensive care team on cost saving and cost avoidance has little been studied in Thailand.Objective: To describe the characteristics of the interventions and to determine pharmacist’s interventions led to change in cost saving and cost avoidance in intensive care unit (ICU. Methods: A Prospective, standard care-controlled study design was used to compare cost saving and cost avoidance of patients receiving care from patient care team (including a clinical pharmacist versus standard care (no pharmacist on team. All patients admitted to the medical intensive care unit 1 and 2 during the same period were included in the study. The outcome measures were overall drug cost and length of ICU stay. Interventions made by the pharmacist in the study group were documented. The analyses of acceptance and cost saving and/or cost avoidance were also performed. Results: A total of 65 patients were admitted to either ICU 1 or 2 during the 5 week- study period. The pharmacist participated in patient care and made total of 127 interventions for the ICU-1 team. Ninety-eight percent of the interventions were accepted and implemented by physicians. The difference of overall drug cost per patient between two groups was 182.01 USD (1,076.37 USD in study group and 1,258.38 USD in control group, p=0.138. The average length of ICU stay for the intervention group and the control group was not significantly different (7.16 days vs. 6.18 days, p=0.995. The 125 accepted interventions were evaluated for cost saving and cost avoidance. Pharmacist’s interventions yielded a total of 1,971.43 USD from drug cost saving and 294.62 USD from adverse drug event cost avoidance. The net cost saved and avoided from pharmacist interventions was 2,266.05 USD. Interventions involving

Internal and External Barriers Impacting Non-Food Cellulosic Biofuel Projects in the United States

Directory of Open Access Journals (Sweden)

Jeremy Withers

2015-05-01

Full Text Available Escalating demand, along with EPAct 2005, has led the United States government to assume a twofold leadership approach of energy security and environmental practices. This has initiated several important issues pertaining to cellulosic biofuel production. However, little is known about what is needed for the U.S. to lead long-term renewable energy security, how the US will develop and implement leading environmental energy practices, what supply capabilities and refining technologies are available to produce renewable fuels, and how funding can be used to adopt available technologies. This article examines geographical aspects, operational status, and barriers tending to prevent the successful commercialization of non-food cellulosic ethanol projects in the U.S. from secondary sources. Outcomes of this research can be used to further understand inhibitors that impact the production and commercialization of ethanol from non-food cellulosic sources.

Design of Dolos Armour Units

DEFF Research Database (Denmark)

Burcharth, H. F.; Liu, Zhou

1993-01-01

The slender, complex types of armour units, such as Tetrapods and Dolosse are widely used. Many of the recent failures are such rubble mound breakwaters revealed that there is an imbalance between strength (structural integrity) of the units and the hydraulic stability (resistance to displacements......) of the armour layers. The paper deals only with dolos armour and presents the first design diagrammes and formulae where stresses from static, quasistatic and impact loads are implemented as well as the hydraulic stability. The dolos is treated as a multi shape unit where the thickness can be adjusted...

Woodrow Wilson's hidden stroke of 1919: the impact of patient-physician confidentiality on United States foreign policy.

Science.gov (United States)

Menger, Richard P; Storey, Christopher M; Guthikonda, Bharat; Missios, Symeon; Nanda, Anil; Cooper, John M

2015-07-01

World War I catapulted the United States from traditional isolationism to international involvement in a major European conflict. Woodrow Wilson envisaged a permanent American imprint on democracy in world affairs through participation in the League of Nations. Amid these defining events, Wilson suffered a major ischemic stroke on October 2, 1919, which left him incapacitated. What was probably his fourth and most devastating stroke was diagnosed and treated by his friend and personal physician, Admiral Cary Grayson. Grayson, who had tremendous personal and professional loyalty to Wilson, kept the severity of the stroke hidden from Congress, the American people, and even the president himself. During a cabinet briefing, Grayson formally refused to sign a document of disability and was reluctant to address the subject of presidential succession. Wilson was essentially incapacitated and hemiplegic, yet he remained an active president and all messages were relayed directly through his wife, Edith. Patient-physician confidentiality superseded national security amid the backdrop of friendship and political power on the eve of a pivotal juncture in the history of American foreign policy. It was in part because of the absence of Woodrow Wilson's vocal and unwavering support that the United States did not join the League of Nations and distanced itself from the international stage. The League of Nations would later prove powerless without American support and was unable to thwart the rise and advance of Adolf Hitler. Only after World War II did the United States assume its global leadership role and realize Wilson's visionary, yet contentious, groundwork for a Pax Americana. The authors describe Woodrow Wilson's stroke, the historical implications of his health decline, and its impact on United States foreign policy.

The impact of an international initiative on exposures to liquid laundry detergent capsules reported to the United Kingdom National Poisons Information Service between 2008 and 2015.

Science.gov (United States)

Day, Rachael; Eddleston, Michael; Thomas, Simon H L; Thompson, John P; Vale, J Allister

2017-03-01

Although the majority of those exposed to liquid laundry detergent capsules remain asymptomatic or suffer only minor clinical features after exposure, a small proportion develop central nervous system depression, stridor, pulmonary aspiration and/or airway burns following ingestion or conjunctivitis and corneal ulceration following eye exposure. As a consequence, the International Association for Soaps, Detergents and Maintenance Products (AISE) established a Product Stewardship Programme in Europe, requiring that safety measures be implemented to reduce the visibility of, and restrict access to, these detergent capsules by small children. Implementation occurred in the United Kingdom over several months during the first half of 2013. This study investigated whether the AISE Programme had an impact on the number and severity of exposures reported to the United Kingdom National Poisons Information Service. Telephone enquiries to the National Poisons Information Service relating to liquid laundry detergent capsules were analysed for the period January 2008 to December 2015. While there was a significant difference (p = 0.0002) between the mean number of annual exposures (469.4) reported between 2008 and 2012 and the mean number reported between 2014 and 2015 (403.5), the number of exposures was decreasing steadily prior to implementation of the Programme in 2013, which did not impact this fall from 2013 onwards. In addition, the number of exposures per million units sold was not impacted by the Programme. There was no significant difference (p = 0.68) between the mean number of exposures (11.8) with PSS ≥2 reported between 2008 and 2012 and the mean number (13.0) reported between 2014 and 2015. Although there was a 28.7% decrease between 2010-2012 and 2014-2015 in the number of exposures with PSS ≥2 per million units sold, this decrease was not statistically significant (p = 0.18). There is no evidence that the Product Stewardship Programme had a

Evaluating the Effectiveness and the Impact of Donated Neurosurgical Equipment on Neurosurgical Units in Low- and Middle-Income Countries: The World Federation of Neurosurgical Societies Experience.

Science.gov (United States)

Venturini, Sara; Park, Kee B

2018-01-01

Surgical practice highly depends on the availability of surgical equipment; this is particularly relevant to low- and middle-income countries (LMICs), where resources are limited. A key part of the efforts to improve surgical provision globally include providing affordable equipment to LMICs; however, the effectiveness and the impact of these initiatives have not yet been assessed. We aimed to evaluate the World Federation of Neurosurgical Societies neurosurgical equipment program in this context. Recipients were identified from the World Federation of Neurosurgical Societies records; contact details were gathered. An online survey was used to collect data on equipment, including its current use, any malfunctioning issues, suitability, reliability, serviceability, and the impact it has had on the unit. Responses were received from 16 units, totaling 28 pieces of equipment. A total of 75% of the equipment is still in use; of this, 57% is fully functioning, and 43% is used despite some malfunction. We found that 25% of the equipment is broken and unusable; high-maintenance items, such as high-speed drills, feature in this category (100% broken, n = 3). Units reported an increase in number of operation performed in 74% cases, improved surgery quality in 78%, and breadth of operations in 44%. Satisfaction, equipment suitability, reliability, and serviceability scored highly, with median values of 9 for all fields on a 10-point scale. Equipment donation positively impacts neurosurgical units in LMICs by allowing expansion of neurosurgical practice, improved safety and quality, and affordability. Adequate follow-up, considerations regarding equipment durability and maintenance needs, and improved support for repairs should be prioritized to ensure maximal benefit. Copyright © 2017 Elsevier Inc. All rights reserved.

The Impact of a Hybrid Sport Education-Invasion Games Competence Model Soccer Unit on Students' Decision Making, Skill Execution and Overall Game Performance

Science.gov (United States)

Mesquita, Isabel; Farias, Claudio; Hastie, Peter

2012-01-01

The purpose of this study was to examine the impact of a hybrid Sport Education-Invasion Games Competence Model (SE-IGCM) unit application on students' improvements in decision making, skill execution and overall game performance, during a soccer season. Twenty-six fifth-grade students from a Portuguese public elementary school participated in a…

76 FR 18783 - United States et al.

Science.gov (United States)

2011-04-05

... customers based on existing supplier-customer relationships. d. Neither Supply Responses Nor Entry Would... Final Judgment, Stipulation and Competitive Impact Statement Notice is hereby given pursuant to the... Competitive Impact Statement have been filed with the United States District Court for the Eastern District of...

The ecological impacts of primary education facilities based on a child-friendly neighborhood unit criteria in Surakarta

Science.gov (United States)

Rini, E. F.; Putri, R. A.; Mulyanto; Handayani, N.

2018-03-01

A city should accommodate the citizen needs, especially for children. The absence of elementary school in a neighborhood unit (NU) will increase the use of transportation by children in the NU, every day at the same time. This activity will produce large quantities of - carbon dioxide (CO2) that can trigger climate change. This article aims at discovering the ecological impacts of CO2 emitted from the transportation used by children when commuting to their school, based on the conformity of each NU to the criteria of the a child-friendly city. Quantitative and spatial analysis techniques were employed in these four stages: (1) dividing the NU; (2) constructing the NU’s typology based on a child-friendly criteria; (3) identifying the characteristic of children movements in each NU when accessing their elementary school; and (4) analyzing the ecological impacts (in CO2 form). The result shows that 88.14% of CO2 emissions in Surakarta can be reduced by interventions through the fulfillment of all NU’s child-friendly criterias.

Climate change is projected to have severe impacts on the frequency and intensity of peak electricity demand across the United States.

Science.gov (United States)

Auffhammer, Maximilian; Baylis, Patrick; Hausman, Catherine H

2017-02-21

It has been suggested that climate change impacts on the electric sector will account for the majority of global economic damages by the end of the current century and beyond [Rose S, et al. (2014) Understanding the Social Cost of Carbon: A Technical Assessment ]. The empirical literature has shown significant increases in climate-driven impacts on overall consumption, yet has not focused on the cost implications of the increased intensity and frequency of extreme events driving peak demand, which is the highest load observed in a period. We use comprehensive, high-frequency data at the level of load balancing authorities to parameterize the relationship between average or peak electricity demand and temperature for a major economy. Using statistical models, we analyze multiyear data from 166 load balancing authorities in the United States. We couple the estimated temperature response functions for total daily consumption and daily peak load with 18 downscaled global climate models (GCMs) to simulate climate change-driven impacts on both outcomes. We show moderate and heterogeneous changes in consumption, with an average increase of 2.8% by end of century. The results of our peak load simulations, however, suggest significant increases in the intensity and frequency of peak events throughout the United States, assuming today's technology and electricity market fundamentals. As the electricity grid is built to endure maximum load, our findings have significant implications for the construction of costly peak generating capacity, suggesting additional peak capacity costs of up to 180 billion dollars by the end of the century under business-as-usual.

The impact of a picture archiving and communication system (PACS) upon an intensive care unit

International Nuclear Information System (INIS)

Watkins, Jessamy; Weatherburn, Gwyn; Bryan, Stirling

2000-01-01

Objective: The aim of the study was to assess the effect of the introduction of PACS (Picture Archiving and Communication System) upon image availability in an Intensive Care Unit (ICU) and the consequent impact upon the behaviour of the ICU physicians, in terms of the initiation of image-based clinical actions. Design: A before and after study was used to compare the speed of image availability prior to, and following, the implementation of a hospital-wide PACS. Setting: The research was part of an economic evaluation of PACS at Hammersmith Hospital, West London. Patients and participants: All ICU patients who were X-rayed during two pre-PACS and one post-PACS data collection periods were included within the study. Measurements: The times of: the X-ray request; acquisition; availability on ICU; and of any image-based clinical action taken by the ICU physician were recorded by radiographers and ICU physicians. Results: PACS significantly reduced the time between request and image availability on ICU for routine X-rays but did not have any measurable impact upon the time clinical actions were initiated by ICU physicians. The data on non-routine images were statistically inconclusive. Conclusions: This study shows that PACS significantly improves the speed of delivery of routine images to the ICU, but it appears that the instigation of image-based clinical actions is determined by other organisational factors in ICU, such as ward rounds, rather than the availability of the image for viewing. Further work is required on non-routine X-rays to clarify the impact of PACS on physician behaviour in clinically urgent situations

Impact of a prevention bundle on Clostridium difficile infection rates in a hospital in the Southeastern United States.

Science.gov (United States)

Davis, Bionca M; Yin, Jingjing; Blomberg, Doug; Fung, Isaac Chun-Hai

2016-12-01

We sought to assess the impact of a multicomponent prevention program on hospital-acquired Clostridium difficile infections in a hospital in the Southeastern United States. We collected retrospective data of 140 patients from years 2009-2014 and applied the Poisson regression model for analysis. We did not find any significant associations of increased risk of Clostridium difficile infections for the preintervention group. Further studies are needed to test multifaceted bundles in hospitals with high infection rates. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Partner support and impact on birth outcomes among teen pregnancies in the United States.

Science.gov (United States)

Shah, Monisha K; Gee, Rebekah E; Theall, Katherine P

2014-02-01

Despite hypothesized relationships between lack of partner support during a woman's pregnancy and adverse birth outcomes, few studies have examined partner support among teens. We examined a potential proxy measure of partner support and its impact on adverse birth outcomes (low birth weight (LBW), preterm birth (PTB) and pregnancy loss) among women who have had a teenage pregnancy in the United States. In a secondary data analysis utilizing cross-sectional data from 5609 women who experienced a teen pregnancy from the 2006-2010 National Survey of Family Growth (NSFG), we examined an alternative measure of partner support and its impact on adverse birth outcomes. Bivariate and multivariable logistic regression were used to assess differences in women who were teens at time of conception who had partner support during their pregnancy and those who did not, and their birth outcomes. Even after controlling for potential confounding factors, women with a supportive partner were 63% less likely to experience LBW [aOR: 0.37, 95% CI: (0.26-0.54)] and nearly 2 times less likely to have pregnancy loss [aOR: 0.48, 95% CI: (0.32-0.72)] compared to those with no partner support. Having partner support or involvement during a teenager's pregnancy may reduce the likelihood of having a poor birth outcome. Copyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

The impact and implications of undocumented immigration on individual and collective health in the United States.

Science.gov (United States)

Hilfinger Messias, DeAnne K; McEwen, Marylyn Morris; Clark, Lauren

2015-01-01

A nation of immigrants, the United States currently has more foreign-born residents than any other country; approximately 28% of these foreign-born residents are undocumented immigrants--individuals who either entered or are currently residing in the country without valid immigration or residency documents. The complex and constantly changing social, political, and economic context of undocumented migration has profound effects on individuals, families, and communities. The lack of demographic and epidemiologic data on undocumented immigrants is a major public health challenge. In this article, we identify multiple dimensions of vulnerability among undocumented persons; examine how undocumentedness impacts health and health care access and utilization; and consider the professional, practice, and policy issues and implications for nurses. Copyright © 2015 Elsevier Inc. All rights reserved.

Impact of the 2008 Global Recession on Air Quality over the United States: Implications for Surface Ozone Levels from Changes in NOx Emissions

Science.gov (United States)

Tong, Daniel; Pan, Li; Chen, Weiwei; Lamsal, Lok; Lee, Pius; Tang, Youhua; Kim, Hyuncheol; Kondragunta, Shobha; Stajner, Ivanka

2016-01-01

Satellite and ground observations detected large variability in nitrogen oxides (NOx) during the 2008 economic recession, but the impact of the recession on air quality has not been quantified. This study combines observed NOx trends and a regional chemical transport model to quantify the impact of the recession on surface ozone (O3) levels over the continental United States. The impact is quantified by simulating O3 concentrations under two emission scenarios: business-as-usual (BAU) and recession. In the BAU case, the emission projection from the Cross-State Air Pollution Rule is used to estimate the would-be NOx emission level in 2011. In the recession case, the actual NO2 trends observed from Air Quality System ground monitors and the Ozone Monitoring Instrument on the Aura satellite are used to obtain realistic changes in NOx emissions. The model prediction with the recession effect agrees better with ground O3 observations over time and space than the prediction with the BAU emission. The results show that the recession caused a 12ppbv decrease in surface O3 concentration over the eastern United States, a slight increase (0.51ppbv) over the Rocky Mountain region, and mixed changes in the Pacific West. The gain in air quality benefits during the recession, however, could be quickly offset by the much slower emission reduction rate during the post-recession period.

The impact of cultural characteristics on colorectal cancer screening adherence among Filipinos in the United States: a pilot study.

Science.gov (United States)

Ferrer, Rizaldy R; Ramirez, Marizen; Beckman, Linda J; Danao, Leda L; Ashing-Giwa, Kimlin T

2011-08-01

Studies on colorectal cancer screening among specific Asian American groups are limited despite the fact that Asians are comprised of culturally distinct subgroups. The purpose of this study was to investigate the impact of cultural characteristics on colorectal cancer screening adherence among Filipinos in the United States. One hundred and seventeen Filipino men and women aged 50 years or older participated in the cross-section research design. Lifetime proportion of immigration, language preference and cultural beliefs of personal control regarding health outcomes measured cultural characteristics. Demographic and healthcare variables were also measured to describe the study sample. Participant recruitment employed culturally responsive sampling methods. There was no significant association between language preference and screening. Likewise, perceived personal internal control of health outcome was not related to screening. However, personal external control revealed a marginally significant association. The percent of lifetime residence in the United States was significantly greater among those who were adherent to screening than those who were not adherent. After adjusting for demographic and healthcare variables, the relationship between length of immigration and screening adherence was no longer significant. Finally, age and doctor's recommendation showed significant impact on colorectal cancer screening adherence. This pilot study adds to the knowledge regarding cultural factors associated with colorectal cancer screening behaviors among Filipino Americans. Future research is needed to confirm findings that will be useful in developing culturally appropriate strategies to increase screening adherence. Copyright © 2010 John Wiley & Sons, Ltd.

78 FR 1246 - Otay River Estuary Restoration Project; South San Diego Bay Unit and Sweetwater Marsh Unit of the...

Science.gov (United States)

2013-01-08

...-FF08RSDC00] Otay River Estuary Restoration Project; South San Diego Bay Unit and Sweetwater Marsh Unit of the... scoping with regard to the environmental impact statement (EIS) for the proposed Otay River Estuary... one of the following methods. Email: [email protected] . Please include ``Otay Estuary NOI'' in the...

Modeling the status, trends, and impacts of wild bee abundance in the United States.

Science.gov (United States)

Koh, Insu; Lonsdorf, Eric V; Williams, Neal M; Brittain, Claire; Isaacs, Rufus; Gibbs, Jason; Ricketts, Taylor H

2016-01-05

Wild bees are highly valuable pollinators. Along with managed honey bees, they provide a critical ecosystem service by ensuring stable pollination to agriculture and wild plant communities. Increasing concern about the welfare of both wild and managed pollinators, however, has prompted recent calls for national evaluation and action. Here, for the first time to our knowledge, we assess the status and trends of wild bees and their potential impacts on pollination services across the coterminous United States. We use a spatial habitat model, national land-cover data, and carefully quantified expert knowledge to estimate wild bee abundance and associated uncertainty. Between 2008 and 2013, modeled bee abundance declined across 23% of US land area. This decline was generally associated with conversion of natural habitats to row crops. We identify 139 counties where low bee abundances correspond to large areas of pollinator-dependent crops. These areas of mismatch between supply (wild bee abundance) and demand (cultivated area) for pollination comprise 39% of the pollinator-dependent crop area in the United States. Further, we find that the crops most highly dependent on pollinators tend to experience more severe mismatches between declining supply and increasing demand. These trends, should they continue, may increase costs for US farmers and may even destabilize crop production over time. National assessments such as this can help focus both scientific and political efforts to understand and sustain wild bees. As new information becomes available, repeated assessments can update findings, revise priorities, and track progress toward sustainable management of our nation's pollinators.

Quantifying "apparent" impact and distinguishing impact from invasiveness in multispecies plant invasions

Science.gov (United States)

Dean E. Pearson; Yvette K. Ortega; Ozkan Eren; Jose L. Hierro

2015-01-01

The quantification of invader impacts remains a major hurdle to understanding and managing invasions. Here, we demonstrate a method for quantifying the community-level impact of multiple plant invaders by applying Parker et al.'s (1999) equation (impact = range x local abundance x per capita effect or per unit effect) using data from 620 survey plots from 31...

Multi-Unit Initiating Event Analysis for a Single-Unit Internal Events Level 1 PSA

Energy Technology Data Exchange (ETDEWEB)

Kim, Dong San; Park, Jin Hee; Lim, Ho Gon [KAERI, Daejeon (Korea, Republic of)

2016-05-15

The Fukushima nuclear accident in 2011 highlighted the importance of considering the risks from multi-unit accidents at a site. The ASME/ANS probabilistic risk assessment (PRA) standard also includes some requirements related to multi-unit aspects, one of which (IE-B5) is as follows: 'For multi-unit sites with shared systems, DO NOT SUBSUME multi-unit initiating events if they impact mitigation capability [1].' However, the existing single-unit PSA models do not explicitly consider multi-unit initiating events and hence systems shared by multiple units (e.g., alternate AC diesel generator) are fully credited for the single unit and ignores the need for the shared systems by other units at the same site [2]. This paper describes the results of the multi-unit initiating event (IE) analysis performed as a part of the at-power internal events Level 1 probabilistic safety assessment (PSA) for an OPR1000 single unit ('reference unit'). In this study, a multi-unit initiating event analysis for a single-unit PSA was performed, and using the results, dual-unit LOOP initiating event was added to the existing PSA model for the reference unit (OPR1000 type). Event trees were developed for dual-unit LOOP and dual-unit SBO which can be transferred from dual- unit LOOP. Moreover, CCF basic events for 5 diesel generators were modelled. In case of simultaneous SBO occurrences in both units, this study compared two different assumptions on the availability of the AAC D/G. As a result, when dual-unit LOOP initiating event was added to the existing single-unit PSA model, the total CDF increased by 1∼ 2% depending on the probability that the AAC D/G is available to a specific unit in case of simultaneous SBO in both units.

Impact of cough and common cold on productivity, absenteeism, and daily life in the United States: ACHOO Survey.

Science.gov (United States)

Dicpinigaitis, Peter V; Eccles, Ron; Blaiss, Michael S; Wingertzahn, Mark A

2015-08-01

Although the common cold is among the most frequent ailments encountered in clinical practice, little is known about its impact on productivity, absenteeism, and daily life. The United States Attitudes of Consumers Toward Health, Cough, and Cold (ACHOO) survey was developed to inform healthcare providers on patients' experience of cough/cold. This analysis focuses on the impact of cough/cold on daily activity, productivity, and absenteeism; other results are reported elsewhere. ACHOO was a 36-question online survey. US adult Internet/mobile device users (N = 3333) were recruited in October 2012. Response quotas modeled on 2010 US Census data ensured a demographically representative sample; 75% of completed surveys were randomized as the primary analysis pool. Demographics and impact of cough/cold were reported using means, frequencies, and percentages. Weighted least squares regression or weighted paired t-test were used to identify factors associated with greater impact. The analysis pool (N = 2505) included 1342 (53.6%) women and 1163 (46.4%) men (mean ages, 46.7 and 45.9 years). A majority (84.7%) had ≥1 cold in the past year. Fifty-two percent said cough/cold impacted daily life a fair amount to a lot. Productivity decreased by a mean 26.4%, and 44.5% of respondents reported work/school absenteeism (usually 1-2 days) during a cold. Overall, 93% of survey participants reported sleep difficulty (slight to extreme) during a cough/cold. Among all respondents, 57% reported cough or nasal congestion as the symptoms making sleep difficult. Higher frequency of colds, more cold symptoms, difficulty sleeping, and worse overall health status correlated with greater impact on productivity, absenteeism, and daily life. Study limitations include the potential for recall bias given the retrospective nature of the self-reports. Furthermore, no attempt was made to distinguish treatment effects, if any, from those of the underlying cough/cold. To our knowledge, this is

Exploring the impact of permitting and local regulatory processes on residential solar prices in the United States

International Nuclear Information System (INIS)

Burkhardt, Jesse; Wiser, Ryan; Darghouth, Naïm; Dong, C.G.; Huneycutt, Joshua

2015-01-01

This article statistically isolates the impacts of city-level permitting and other local regulatory processes on residential PV prices in the United States. We combine data from two “scoring” mechanisms that independently capture local regulatory process efficiency with the largest dataset of installed PV prices in the United States. We find that variations in local permitting procedures can lead to differences in average residential PV prices of approximately $0.18/W between the jurisdictions with the least-favorable and most-favorable permitting procedures. Between jurisdictions with scores across the middle 90% of the range (i.e., 5th percentile to 95th percentile), the difference is $0.14/W, equivalent to a $700 (2.2%) difference in system costs for a typical 5-kW residential PV installation. When considering variations not only in permitting practices, but also in other local regulatory procedures, price differences grow to $0.64–$0.93/W between the least-favorable and most-favorable jurisdictions. Between jurisdictions with scores across the middle 90% of the range, the difference is equivalent to a price impact of at least $2500 (8%) for a typical 5-kW residential PV installation. These results highlight the magnitude of cost reduction that might be expected from streamlining local regulatory regimes. - Highlights: • We show local regulatory processes meaningfully affect U.S. residential PV prices. • We use regression analysis and two mechanisms for “scoring” regulatory efficiency. • Local permitting procedure variations can produce PV price differences of $0.18/W. • Broader regulatory variations can produce PV price differences of $0.64–$0.93/W. • The results suggest the cost-reduction potential of streamlining local regulations

The impact of the struggle for racial equality in the United States on British racialised relations from 1958 to 1968

OpenAIRE

Sanderson, N.

1999-01-01

During the late 1950s and the 1960s America faced a high level of racial tension. At the same time Britain imposed racially discriminatory immigration controls and passed legislation to outlaw racial discrimination. This thesis asks to what extent the events in the United States had an impact on the response of British institutions to the development of a multi-racial society and increased rate of non-white immigration during these crucial years between the 1958 race riots to t...

The impact of the hospitalization process on the caregiver of a chronic critical patient hospitalized in a Semi-Intensive Care Unit

OpenAIRE

Neves, Letícia; Gondim, Andressa Alencar; Soares, Sara Costa Martins Rodrigues; Coelho, Denis Pontes; Pinheiro, Joana Angélica Marques

2018-01-01

Abstract Objective: To understand the impact of the hospitalization process on the family companion of critical patients admitted to a Semi-Intensive Care Unit (SICU). Method: Exploratory research with a qualitative approach, conducted in the months of April to July of 2016 through a semi-structured interview applied to relatives who were accompanying patients hospitalized in an SICU of a high complexity care hospital in Fortaleza. The interviews were submitted to content analysis. Results...

Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey.

Science.gov (United States)

Van Bogaert, Peter; Timmermans, Olaf; Weeks, Susan Mace; van Heusden, Danny; Wouters, Kristien; Franck, Erik

2014-08-01

To investigate the impact of nurse practice environment factors, nurse work characteristics, and burnout on nurse reported job outcomes, quality of care, and patient adverse events variables at the nursing unit level. Nurse practice environment studies show growing insights and knowledge about determining factors for nurse workforce stability, quality of care, and patient safety. Until now, international studies have primarily focused on variability at the hospital level; however, insights at the nursing unit level can reveal key factors in the nurse practice environment. A cross-sectional design with a survey. In a cross-sectional survey, a sample of 1108 nurses assigned to 96 nursing units completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality of care, and patient adverse events. Associations between the variables were examined using multilevel modelling techniques. Various unit-level associations (simple models) were identified between nurse practice environment factors, nurse work characteristics, burnout dimensions, and nurse reported outcome variables. Multiple multilevel models showed various independent variables such as nursing management at the unit level, social capital, emotional exhaustion, and depersonalization as important predictors of nurse reported outcome variables such job satisfaction, turnover intentions, quality of care (at the unit, the last shift, and in the hospital within the last year), patient and family complaints, patient and family verbal abuse, patient falls, nosocomial infections, and medications errors. Results suggested a stable nurse work force, with the capability to achieve superior quality and patient safety outcomes, is associated with unit-level favourable perceptions of nurse work environment factors, workload, decision latitude, and social capital, as well low levels of burnout

Potential impacts of biomass production in the United States on biological diversity

International Nuclear Information System (INIS)

Cook, J.H.; Beyea, J.; Keeler, K.H.

1991-01-01

This paper reports that biomass could be a renewable source of energy and chemicals that would not add CO 2 to the atmosphere. It will become economically competitive as its cost decreases relative to energy costs, and biotechnology is expected to accelerate this trend by increasing biomass productivity. Pressure to slow global warming may also make biomass more attractive. Substantial dependence on biomass would entail massive changes in land use, risking serious reductions in biodiversity through destruction of habitat for native species. Forests could be managed and harvested more intensively, and virtually all arable land unsuitable for high-value agriculture or silviculture might be used to grow energy crops. The authors estimate that it would require an area equal to that farmed in 1988, about 130 million hectares, just to supply the United States with transportation fuel. Planning at micro to macro scales will be crucial to minimize the ecological impacts of producing biomass. Cropping and harvesting systems will need to provide the spatial and temporal diversity characteristics of natural ecosystems and successional sequences. To maximize habitat value for interior-dependent species, it will be essential to maintain the connectivity of the habitat network, both within biomass farms and to surrounding undisturbed areas

Hydropower Impacts on Electrical System Production Costs in the Southwest United States

Directory of Open Access Journals (Sweden)

Dominique M. Bain

2018-02-01

Full Text Available The Colorado River is an important natural resource for the Southwestern United States. Predicted climate change impacts include increased temperature, decreased rainfall and increased probability of drought in this region. Given the large amount of hydropower on the Colorado River and its importance to the bulk electricity system, this purpose of this study was to quantify the value hydropower in operating the electrical system, and examined changes in hydropower value and electricity costs under different possible future drought conditions and regional generation scenarios. The goal was to better understand how these scenarios affect operating costs of the bulk electrical system, as well as the value of the hydropower produced, and proposed a method for doing so. The calculated value of the hydroelectric power was nearly double the mean locational marginal price in the study area, about $73 to $75 for most scenarios, demonstrating a high value of the hydropower. In general, it was found that reduced water availability increased operating costs, and increased the value of the hydropower. A calculated value factor showed that when less hydroelectric power is available, the hydropower is more valuable. Furthermore, the value factor showed that the value of hydro increases with the addition of solar or the retirement of thermal generating resources.

Power Dissipation Challenges in Multicore Floating-Point Units

DEFF Research Database (Denmark)

Liu, Wei; Nannarelli, Alberto

2010-01-01

, we analyze the impact of power dissipation in floating-point (FP) units and we consider different alternatives in the implementation of FP-division that lead to substantial energy savings. We compare the implementation of division in a Fused Multiply-Add (FMA) unit based on the Newton-Raphson...

Unit III: International Conflict.

Science.gov (United States)

Maxey, Phyllis

1983-01-01

This lesson helps students understand the global network involved in international events. Students have an opportunity to examine the impact of international law and the role of international organizations, national governments, and private individuals in the effort to secure the release of United States hostages in Iran. (AM)

Positive predictive value and impact of misdiagnosis of a heart failure diagnosis in administrative registers among patients admitted to a University Hospital cardiac care unit

DEFF Research Database (Denmark)

Mard, Shan; Nielsen, Finn Erland

2010-01-01

OBJECTIVE: To evaluate the positive predictive value (PPV) of a diagnosis of heart failure (HF) in the Danish National Registry of Patients (NRP) among patients admitted to a University Hospital cardiac care unit, and to evaluate the impact of misdiagnosing HF. DESIGN: The NRP was used to identify...

Regional impacts of oil and gas development on ozone formation in the western United States.

Science.gov (United States)

Rodriguez, Marco A; Barna, Michael G; Moore, Tom

2009-09-01

The Intermountain West is currently experiencing increased growth in oil and gas production, which has the potential to affect the visibility and air quality of various Class I areas in the region. The following work presents an analysis of these impacts using the Comprehensive Air Quality Model with extensions (CAMx). CAMx is a state-of-the-science, "one-atmosphere" Eulerian photochemical dispersion model that has been widely used in the assessment of gaseous and particulate air pollution (ozone, fine [PM2.5], and coarse [PM10] particulate matter). Meteorology and emissions inventories developed by the Western Regional Air Partnership Regional Modeling Center for regional haze analysis and planning are used to establish an ozone baseline simulation for the year 2002. The predicted range of values for ozone in the national parks and other Class I areas in the western United States is then evaluated with available observations from the Clean Air Status and Trends Network (CASTNET). This evaluation demonstrates the model's suitability for subsequent planning, sensitivity, and emissions control strategy modeling. Once the ozone baseline simulation has been established, an analysis of the model results is performed to investigate the regional impacts of oil and gas development on the ozone concentrations that affect the air quality of Class I areas. Results indicate that the maximum 8-hr ozone enhancement from oil and gas (9.6 parts per billion [ppb]) could affect southwestern Colorado and northwestern New Mexico. Class I areas in this region that are likely to be impacted by increased ozone include Mesa Verde National Park and Weminuche Wilderness Area in Colorado and San Pedro Parks Wilderness Area, Bandelier Wilderness Area, Pecos Wilderness Area, and Wheeler Peak Wilderness Area in New Mexico.

Economic and Environmental Impact of Rice Blast Pathogen (Magnaporthe oryzae) Alleviation in the United States.

Science.gov (United States)

Nalley, Lawton; Tsiboe, Francis; Durand-Morat, Alvaro; Shew, Aaron; Thoma, Greg

2016-01-01

Rice blast (Magnaporthe oryzae) is a key concern in combating global food insecurity given the disease is responsible for approximately 30% of rice production losses globally-the equivalent of feeding 60 million people. These losses increase the global rice price and reduce consumer welfare and food security. Rice is the staple crop for more than half the world's population so any reduction in rice blast would have substantial beneficial effects on consumer livelihoods. In 2012, researchers in the US began analyzing the feasibility of creating blast-resistant rice through cisgenic breeding. Correspondingly, our study evaluates the changes in producer, consumer, and environmental welfare, if all the rice produced in the Mid-South of the US were blast resistant through a process like cisgenics, using both international trade and environmental assessment modeling. Our results show that US rice producers would gain 69.34 million dollars annually and increase the rice supply to feed an additional one million consumers globally by eliminating blast from production in the Mid-South. These results suggest that blast alleviation could be even more significant in increasing global food security given that the US is a small rice producer by global standards and likely experiences lower losses from blast than other rice-producing countries because of its ongoing investment in production technology and management. Furthermore, results from our detailed life cycle assessment (LCA) show that producing blast-resistant rice has lower environmental (fossil fuel depletion, ecotoxicity, carcinogenics, eutrophication, acidification, global warming potential, and ozone depletion) impacts per unit of rice than non-blast resistant rice production. Our findings suggest that any reduction in blast via breeding will have significantly positive impacts on reducing global food insecurity through increased supply, as well as decreased price and environmental impacts in production.

Economic and Environmental Impact of Rice Blast Pathogen (Magnaporthe oryzae Alleviation in the United States.

Directory of Open Access Journals (Sweden)

Lawton Nalley

Full Text Available Rice blast (Magnaporthe oryzae is a key concern in combating global food insecurity given the disease is responsible for approximately 30% of rice production losses globally-the equivalent of feeding 60 million people. These losses increase the global rice price and reduce consumer welfare and food security. Rice is the staple crop for more than half the world's population so any reduction in rice blast would have substantial beneficial effects on consumer livelihoods. In 2012, researchers in the US began analyzing the feasibility of creating blast-resistant rice through cisgenic breeding. Correspondingly, our study evaluates the changes in producer, consumer, and environmental welfare, if all the rice produced in the Mid-South of the US were blast resistant through a process like cisgenics, using both international trade and environmental assessment modeling. Our results show that US rice producers would gain 69.34 million dollars annually and increase the rice supply to feed an additional one million consumers globally by eliminating blast from production in the Mid-South. These results suggest that blast alleviation could be even more significant in increasing global food security given that the US is a small rice producer by global standards and likely experiences lower losses from blast than other rice-producing countries because of its ongoing investment in production technology and management. Furthermore, results from our detailed life cycle assessment (LCA show that producing blast-resistant rice has lower environmental (fossil fuel depletion, ecotoxicity, carcinogenics, eutrophication, acidification, global warming potential, and ozone depletion impacts per unit of rice than non-blast resistant rice production. Our findings suggest that any reduction in blast via breeding will have significantly positive impacts on reducing global food insecurity through increased supply, as well as decreased price and environmental impacts in

A stepwise approach for introducing numerical modeling in Environmental Engineering MSc unit: The impact of clear assessment criteria and detailed feedback

Science.gov (United States)

Rosolem, R.; Pritchard, J.

2017-12-01

An important aspect for the new generation of hydrologists and water resources managers is the understanding of hydrological processes through the application of numerical environmental models. Despite its importance, teaching numerical modeling subjects to young students in our MSc Water and Environment Management programme has been difficult, for instance, due to the wide range of student background and lack or poor contact with numerical modeling tools in the past. In previous years, this numerical skills concept has been introduced as a project assignment in our Terrestrial Hydrometeorology unit. However, previous efforts have shown non-optimal engagement by students with often signs of lack of interest or anxiety. Given our initial experience with this unit, we decided to make substantial changes to the coursework format with the aim to introduce a more efficient learning environment to the students. The proposed changes include: (1) a clear presentation and discussion of the assessment criteria at the beginning of the unit, (2) a stepwise approach in which students use our learning environment to acquire knowledge for individual components of the model step-by-step, and (3) access to timely and detailed feedback allowing for particular steps to be retraced or retested. In order to understand the overall impact on assessment and feedback, we carried out two surveys at the beginning and end of the module. Our results indicate a positive impact to student learning experience, as the students have clearly benefited from the early discussion on assignment criteria and appeared to have correctly identified the skills and knowledge required to carry out the assignment. In addition, we have observed a substantial increase in the quality of the reports. Our results results support that student engagement has increased since changes to the format of the coursework were introduced. Interestingly, we also observed a positive impact on the assignment to the final exam

The impact of a noise reduction quality improvement project upon sound levels in the open-unit-design neonatal intensive care unit.

Science.gov (United States)

Liu, W F

2010-07-01

To decrease measured sound levels in the neonatal intensive care unit through implementation of human factor and minor design modification strategies. Prospective time series. Two open-unit-design neonatal centers. Implementation of a coordinated program of noise reduction strategies did not result in any measurable improvement in levels of loudness or quiet. Two centers, using primarily human behavior noise reduction strategies, were unable to demonstrate measurable improvements in sound levels within the occupied open-unit-design neonatal intensive care unit.

Impact of distributed generation units with power electronic converters on distribution network protection

NARCIS (Netherlands)

Morren, J.; Haan, de S.W.H.

2008-01-01

An increasing number of distributed generation units (DG units) are connected to the distribution network. These generators affect the operation and coordination of the distribution network protection. The influence from DG units that are coupled to the network with a power electronic converter

Asian Immigration: The View from the United States.

Science.gov (United States)

Gardner, Robert W.

1992-01-01

Examines contemporary Asian immigration to the United States from a U.S. perspective. Analyzes immigration policies and data on recent immigration from Asia. Discusses impacts concerning the United States and the immigrants themselves and speculates on future immigration. The composition of Asian immigration might change, and the number might…

Norovirus in the United States

Centers for Disease Control (CDC) Podcasts

2013-09-09

Dr. Aron Hall, a CDC epidemiologist specializing in norovirus, discusses the impact of norovirus in the United States.  Created: 9/9/2013 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 9/17/2013.

Utilizing Telemedicine in the Trauma Intensive Care Unit: Does It Impact Teamwork?

Science.gov (United States)

Lazzara, Elizabeth H; Benishek, Lauren E; Patzer, Brady; Gregory, Megan E; Hughes, Ashley M; Heyne, Kyle; Salas, Eduardo; Kuchkarian, Fernanda; Marttos, Antonio; Schulman, Carl

2015-08-01

The aim of this study was to examine the impact of a telemedical robot on trauma intensive care unit (TICU) clinician teamwork (i.e., team attitudes, behaviors, and cognitions) during patient rounds. Thirty-two healthcare providers who conduct rounds volunteered to take surveys assessing teamwork attitudes and cognitions at three time periods: (1) the onset of the study, (2) the end of the 30-day control period, and (3) the end of the 30-day experimental period, which immediately followed the control period. Rounds were recorded throughout the 30-day control period and 30-day experimental period to observe provider behaviors. For the initial 30 days, there was no access to telemedicine. For the final 30 days, the rounding healthcare providers had access to the RP-7 robot (Intouch Health Inc., Santa Barbara, CA), a telemedical tool that can facilitate patient rounds conducted away from bedside. Using a one-tailed, one-way repeated-measures analysis of variance (ANOVA) to compare trust at Times 1, 2, and 3, there was no significant effect on trust: F(2, 14)=1.20, p=0.16. When a one-tailed, one-way repeated-measures ANOVA to compare transactive memory systems (TMS) at Times 1, 2, and 3 was conducted, there was no significant effect on TMS: F(2, 15)=1.33, p=0.15. We conducted a one-tailed, one-way repeated-measures ANOVA to compare team psychological safety at Times 1, 2, and 3, and there was no significant effect on team psychological safety: F(2,15)=1.53, p=0.12. There was a significant difference in communication between rounds with and without telemedicine [t(25)=-1.76, p<0.05], such that there was more task-based communication during telerounds. Telemedicine increased task-based communication and did not negatively impact team trust, psychological safety, or TMS during rounds. Telemedicine may offer advantages for some teamwork competencies without sacrificing the efficacy of others and may be adopted by intact rounding teams without hindering teamwork.

Dual impact of organisational change on subsequent exit from work unit and sickness absence: a longitudinal study among public healthcare employees.

Science.gov (United States)

Jensen, Johan Høy; Flachs, Esben Meulengracht; Skakon, Janne; Rod, Naja Hulvej; Bonde, Jens Peter

2018-05-14

We investigated work-unit exit, total and long-term sickness absence following organisational change among public healthcare employees. The study population comprised employees from the Capital Region of Denmark (n=14 388). Data on reorganisation at the work-unit level (merger, demerger, relocation, change of management, employee layoff or budget cut) between July and December 2013 were obtained via surveys distributed to the managers of each work unit. Individual-level data on work-unit exit, total and long-term sickness absence (≥29 days) in 2014 were obtained from company registries. For exposure to any, each type or number of reorganisations (1, 2 or ≥3), the HRs and 95% CIs for subsequent work-unit exit were estimated by Cox regression, and the risk for total and long-term sickness absence were estimated by zero-inflated Poisson regression. Reorganisation was associated with subsequent work-unit exit (HR 1.10, 95% CI 1.01 to 1.19) in the year after reorganisation. This association was specifically important for exposure to ≥3 types of changes (HR 1.52, 95% CI 1.30 to 1.79), merger (HR 1.29, 95% CI 1.12 to 1.49), demerger (HR 1.41, 95% CI 1.16 to 1.71) or change of management (HR 1.24, 95% CI 1.11 to 1.38). Among the employees remaining in the work unit, reorganisation was also associated with more events of long-term sickness absence (OR 1.15, 95% CI 1.00 to 1.33), which was particularly important for merger (OR 1.31, 95% CI 1.00 to 1.72) and employee layoff (OR 1.31, 95% CI 1.08 to 1.59). Specific types of reorganisation seem to have a dual impact on subsequent work-unit exit and sickness absence in the year after change. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Analysis of drought impacts on electricity production in the Western and Texas interconnections of the United States.

Energy Technology Data Exchange (ETDEWEB)

Harto, C. B.; Yan, Y. E.; Demissie, Y. K.; Elcock, D.; Tidwell, V. C.; Hallett, K.; Macknick, J.; Wigmosta, M. S.; Tesfa, T. K. (Environmental Science Division); (Sandia National Laboratory); (National Renewable Energy Laboratory); (Pacific Northwest National Laboratory)

2012-02-09

Electricity generation relies heavily on water resources and their availability. To examine the interdependence of energy and water in the electricity context, the impacts of a severe drought to assess the risk posed by drought to electricity generation within the western and Texas interconnections has been examined. The historical drought patterns in the western United States were analyzed, and the risk posed by drought to electricity generation within the region was evaluated. The results of this effort will be used to develop scenarios for medium- and long-term transmission modeling and planning efforts by the Western Electricity Coordination Council (WECC) and the Electric Reliability Council of Texas (ERCOT). The study was performed in response to a request developed by the Western Governors Association in conjunction with the transmission modeling teams at the participating interconnections. It is part of a U.S. Department of Energy-sponsored, national laboratory-led research effort to develop tools related to the interdependency of energy and water as part of a larger interconnection-wide transmission planning project funded under the American Recovery and Reinvestment Act. This study accomplished three main objectives. It provided a thorough literature review of recent studies of drought and the potential implications for electricity generation. It analyzed historical drought patterns in the western United States and used the results to develop three design drought scenarios. Finally, it quantified the risk to electricity generation for each of eight basins for each of the three drought scenarios and considered the implications for transmission planning. Literature on drought impacts on electricity generation describes a number of examples where hydroelectric generation capacity has been limited because of drought but only a few examples of impact on thermoelectric generation. In all documented cases, shortfalls of generation were met by purchasing power

Impact of Enhanced Health Interventions for United States-Bound Refugees: Evaluating Best Practices in Migration Health.

Science.gov (United States)

Mitchell, Tarissa; Lee, Deborah; Weinberg, Michelle; Phares, Christina; James, Nicola; Amornpaisarnloet, Kittisak; Aumpipat, Lalita; Cooley, Gretchen; Davies, Anita; Tin Shwe, Valerie Daw; Gajdadziev, Vasil; Gorbacheva, Olga; Khwan-Niam, Chutharat; Klosovsky, Alexander; Madilokkowit, Waritorn; Martin, Diana; Htun Myint, Naing Zaw; Yen Nguyen, Thi Ngoc; Nutman, Thomas B; O'Connell, Elise M; Ortega, Luis; Prayadsab, Sugunya; Srimanee, Chetdanai; Supakunatom, Wasant; Vesessmith, Vattanachai; Stauffer, William M

2018-03-01

With an unprecedented number of displaced persons worldwide, strategies for improving the health of migrating populations are critical. United States-bound refugees undergo a required overseas medical examination to identify inadmissible conditions (e.g., tuberculosis) 2-6 months before resettlement, but it is limited in scope and may miss important, preventable infectious, chronic, or nutritional causes of morbidity. We sought to evaluate the feasibility and health impact of diagnosis and management of such conditions before travel. We offered voluntary testing for intestinal parasites, anemia, and hepatitis B virus infection, to U.S.-bound refugees from three Thailand-Burma border camps. Treatment and preventive measures (e.g., anemia and parasite treatment, vaccination) were initiated before resettlement. United States refugee health partners received overseas results and provided post-arrival medical examination findings. During July 9, 2012 to November 29, 2013, 2,004 refugees aged 0.5-89 years enrolled. Among 463 participants screened for seven intestinal parasites overseas and after arrival, helminthic infections decreased from 67% to 12%. Among 118 with positive Strongyloides -specific antibody responses, the median fluorescent intensity decreased by an average of 81% after treatment. The prevalence of moderate-to-severe anemia (hemoglobin migration process to improve the health of refugees before resettlement. With more than 250 million migrants globally, this model may offer insights into healthier migration strategies.

The impact of domestic violence exposure on South Asian children in the United States: Perspectives of domestic violence agency staff.

Science.gov (United States)

Ragavan, Maya I; Fikre, Tsion; Millner, Uma; Bair-Merritt, Megan

2018-02-01

The South Asian community is the fastest growing ethnic group in the United States, and past research suggests that South Asian domestic violence (DV) survivors may require culturally-specific resources. Similarly, South Asian children in the US exposed to DV may have unique responses and needs, but this has not been explored to date. The objective of this study was to examine the specific needs of South Asian children exposed to DV from the vantage point of staff from South Asian DV agencies across the United States. Thirty interviews were conducted, with data coded and consolidated into larger themes using thematic analysis. Participants described several factors important to understanding the impact of DV on South Asian children including the role of the extended family, identifying with two cultures, fear about what the South Asian community will think, gender differences, and the importance of projecting an image of perfection. Participants also discussed development of culturally-tailored resources. This study suggests the importance of framing South Asian children's experiences within the context of interweaving South Asian and American cultural values, with careful attention paid to how potential culture clashes between parents and children may impact the way children process trauma. Further work should triangulate these themes with children, parents, and extended family, as well as collaborate with South Asian DV agencies to design child-focused programs. Copyright © 2017 Elsevier Ltd. All rights reserved.

Impact of outlier status on critical care patient outcomes: Does boarding medical intensive care unit patients make a difference?

Science.gov (United States)

Ahmad, Danish; Moeller, Katherine; Chowdhury, Jared; Patel, Vishal; Yoo, Erika J

2018-04-01

To evaluate the impact of outlier status, or the practice of boarding ICU patients in distant critical care units, on clinical and utilization outcomes. Retrospective observational study of all consecutive admissions to the MICU service between April 1, 2014-January 3, 2016, at an urban university hospital. Of 1931 patients, 117 were outliers (6.1%) for the entire duration of their ICU stay. In adjusted analyses, there was no association between outlier status and hospital (OR 1.21, 95% CI 0.72-2.05, p=0.47) or ICU mortality (OR 1.20, 95% CI 0.64-2.25, p=0.57). Outliers had shorter hospital and ICU lengths of stay (LOS) in addition to fewer ventilator days. Crossover patients who had variable outlier exposure also had no increase in hospital (OR 1.61; 95% CI 0.80-3.23; p=0.18) or ICU mortality (OR 1.05; 95% CI 0.43-2.54; p=0.92) after risk-adjustment. Boarding of MICU patients in distant units during times of bed nonavailability does not negatively influence patient mortality or LOS. Increased hospital and ventilator utilization observed among non-outliers in the home unit may be attributable, at least in part, to differences in patient characteristics. Prospective investigation into the practice of ICU boarding will provide further confirmation of its safety. Copyright © 2017 Elsevier Inc. All rights reserved.

Calculations of the radiological impact of disposal of unit activity of selected radionuclides for use in waste management system studies

International Nuclear Information System (INIS)

Smith, G.M.

1985-03-01

The purpose of the work described is to provide estimates of the radiological impact following disposal of unit activity via each of several options, including shallow burial, engineered trench disposal, disposal in a geologic repository and disposal on the deep ocean bed. Results are presented for a range of important representative radionuclides. No single option is clearly the best from the radiological point of view. However, in conjunction with waste inventory data the results may be used to provide a preliminary view of the relative radiological merits of the various disposal options. (author)

Units Based on Constants: The Redefinition of the International System of Units

Science.gov (United States)

Stenger, J.; Ullrich, J. H.

2016-03-01

Recent decisions of the General Conference on Weights and Measures of the Metre Convention have opened the door to a fundamental change of the International System of Units, the SI, in 2018. The revised SI will be based on fixing the numerical values of seven defining constants corresponding to the seven traditional base units. This will bring about basic modifications in the definition of the kilogram, the ampere, the kelvin, and the mole and will have consequences for units derived from them. In contrast, the second, the meter, and the candela will not be affected. This paper describes the motivation and rationale behind this endeavor, introduces the new definitions, and reviews the requirements for the redefinitions as well as the status of the experiments that are currently being carried out to fulfill them. Benefits and a wide-reaching impact for the realization and dissemination of the units are anticipated because innovative technologies with ever-increasing accuracy will emerge, enabling the direct realization over widespread measurement ranges without the definitions themselves having to be changed.

The post-stroke depression and its impact on functioning in young and adult stroke patients of a rehabilitation unit.

Science.gov (United States)

Amaricai, Elena; Poenaru, Dan V

2016-01-01

Stroke is a leading cause of disability and a major public health problem. To determine frequency and degree of post-stroke depression (PSD) and its impact on functioning in young and adult stroke patients in a rehabilitation unit. The study included 72 stroke patients (aged 29-59 years) who were attending rehabilitation. The patients were assessed for depressive symptoms by Beck Depression Inventory (BDI), and their functioning by using the Stroke Impact Scale (SIS) and the Barthel Index of Activities of Daily Living (ADL). Forty-eight patients had different degrees of depression: borderline clinical depression (13.8%), moderate depression (34.7%), severe depression (15.2%) or extreme depression (2.9%). There were no significant differences of BDI scores in 30-39, 40-49 and 50-59 years groups. Statistically significant correlations were between BDI score and SIS score, between BDI score and ADL index, and between SIS score and ADL index in men, women and total study patients. More than half of the PSD patients had a moderate degree of depression. Significant correlations were noticed between depressive symptoms and functional status evaluated both by an instrument of assessing stroke impact upon general health and an instrument for assessing the everyday activities.

Audits of oncology units – an effective and pragmatic approach ...

African Journals Online (AJOL)

Background. Audits of oncology units are part of all quality-assurance programmes. However, they do not always come across as pragmatic and helpful to staff. Objective. To report on the results of an online survey on the usefulness and impact of an audit process for oncology units. Methods. Staff in oncology units who ...

Low-impact sampling under an active solid low-level radioactive waste disposal unit using horizontal drilling technology

International Nuclear Information System (INIS)

Puglisi, C.V.; Vold, E.L.

1995-01-01

The purpose of this project was to determine the performance of the solid low-level radioactive waste (LLRW) disposal units located on a mesa top at TA-54, Area G, Los Alamos National Laboratory (LANL), Los Alamos, NM, and to provide in-situ (vadose zone) site characterization information to Area G's Performance Assessment. The vadose zone beneath an active disposal unit (DU 37), was accessed by utilizing low-impact, air-rotary horizontal drilling technology. Core samples were pulled, via wire-line core method, in 3 horizontal holes fanning out below DU 37 at approximately 5 foot intervals depending on recovery percentage. Samples were surveyed and prepared in-field following Environmental Restoration (ER) guidelines. Samples were transferred from the field to the CST-9 Radvan for initial radiological screening. Following screening, samples were delivered to CST-3 analytical lab for analyses including moisture content, 23 inorganics, 60 volatile organic compounds (VOC's), 68 semivolatile organic compounds (SVOC's), tritium, lead 210, radium 226 ampersand 228, cesium 137, isotopic plutonium, americium 241, strontium 90, isotopic uranium, and isotopic thorium. Other analyses included matric potential, alpha spectroscopy, gamma spectroscopy, and gross alpha/beta. The overall results of the analysis identified only tritium as having migrated from the DU. Am-241, Eu-152, and Pu-238 were possibly identified above background but the results are not definitive. Of all organics analysed for, only ethyl acetate was tentatively identified slightly above background. All inorganics were found to be well below regulatory limits. Based on the results of the above mentioned analyses, it was determined that Area G's disposal units are performing well and no significant liquid phase migration of contaminants has occurred

Impact of a clinical microbiology-intensive care consulting program in a cardiothoracic intensive care unit.

Science.gov (United States)

Arena, Fabio; Scolletta, Sabino; Marchetti, Luca; Galano, Angelo; Maglioni, Enivarco; Giani, Tommaso; Corsi, Elisabetta; Lombardi, Silvia; Biagioli, Bonizella; Rossolini, Gian Maria

2015-09-01

A preintervention-postintervention study was carried out over a 4-year period to assess the impact of an antimicrobial stewardship intervention, based on clinical microbiologist ward rounds (clinical microbiology-intensive care partnership [CMICP]), at a cardiothoracic intensive care unit. Comparison of clinical data for 37 patients with diagnosis of bacteremia (18 from preintervention period, 19 from postintervention period) revealed that CMICP implementation resulted in (1) significant increase of appropriate empirical treatments (+34%, P = .029), compliance with guidelines (+28%, P = .019), and number of de-escalations (+42%, P = .032); and (2) decrease (average = 2.5 days) in time to optimization of antimicrobial therapy and levofloxacin (Δ 2009-2012 = -74 defined daily dose [DDD]/1,000 bed days) and teicoplanin (Δ 2009-2012 = -28 DDD/1,000 bed days) use. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

The impact of municipal solid waste management on greenhouse gas emissions in the United States.

Science.gov (United States)

Weitz, Keith A; Thorneloe, Susan A; Nishtala, Subba R; Yarkosky, Sherry; Zannes, Maria

2002-09-01

Technological advancements, environmental regulations, and emphasis on resource conservation and recovery have greatly reduced the environmental impacts of municipal solid waste (MSW) management, including emissions of greenhouse gases (GHGs). This study was conducted using a life-cycle methodology to track changes in GHG emissions during the past 25 years from the management of MSW in the United States. For the baseline year of 1974, MSW management consisted of limited recycling, combustion without energy recovery, and landfilling without gas collection or control. This was compared with data for 1980, 1990, and 1997, accounting for changes in MSW quantity, composition, management practices, and technology. Over time, the United States has moved toward increased recycling, composting, combustion (with energy recovery) and landfilling with gas recovery, control, and utilization. These changes were accounted for with historical data on MSW composition, quantities, management practices, and technological changes. Included in the analysis were the benefits of materials recycling and energy recovery to the extent that these displace virgin raw materials and fossil fuel electricity production, respectively. Carbon sinks associated with MSW management also were addressed. The results indicate that the MSW management actions taken by U.S. communities have significantly reduced potential GHG emissions despite an almost 2-fold increase in waste generation. GHG emissions from MSW management were estimated to be 36 million metric tons carbon equivalents (MMTCE) in 1974 and 8 MMTCE in 1997. If MSW were being managed today as it was in 1974, GHG emissions would be approximately 60 MMTCE.

Accidental hazardous material releases with human impacts in the United States: exploration of geographical distribution and temporal trends.

Science.gov (United States)

Sengul, Hatice; Santella, Nicholas; Steinberg, Laura J; Chermak, Christina

2010-09-01

To investigate the circumstances and geographic and temporal distributions of hazardous material releases and resulting human impacts in the United States. Releases with fatalities, injuries, and evacuations were identified from reports to the National Response Center between 1990 and 2008, correcting for data quality issues identified in previous studies. From more than 550,000 reports, 861 deaths, 16,348 injuries and 741,427 evacuations were identified. Injuries from releases of chemicals at fixed facilities and natural gas from pipelines have decreased whereas evacuations from petroleum releases at fixed facilities have increased. Results confirm recent advances in chemical and pipeline safety and suggest directions for further improvement including targeted training and inspections and adoption of inherently safer design principles.

Geomorphic Unit Tool (GUT): Applications of Fluvial Mapping

Science.gov (United States)

Kramer, N.; Bangen, S. G.; Wheaton, J. M.; Bouwes, N.; Wall, E.; Saunders, C.; Bennett, S.; Fortney, S.

2017-12-01

Geomorphic units are the building blocks of rivers and represent distinct habitat patches for many fluvial organisms. We present the Geomorphic Unit Toolkit (GUT), a flexible GIS geomorphic unit mapping tool, to generate maps of fluvial landforms from topography. GUT applies attributes to landforms based on flow stage (Tier 1), topographic signatures (Tier 2), geomorphic characteristics (Tier 3) and patch characteristics (Tier 4) to derive attributed maps at the level of detail required by analysts. We hypothesize that if more rigorous and consistent geomorphic mapping is conducted, better correlations between physical habitat units and ecohydraulic model results will be obtained compared to past work. Using output from GUT for coarse bed tributary streams in the Columbia River Basin, we explore relationships between salmonid habitat and geomorphic spatial metrics. We also highlight case studies of how GUT can be used to showcase geomorphic impact from large wood restoration efforts. Provided high resolution topography exists, this tool can be used to quickly assess changes in fluvial geomorphology in watersheds impacted by human activities.

Climate change impacts on ecosystems and ecosystem services in the United States: Process and prospects for sustained assessment

Science.gov (United States)

Grimm, Nancy B.; Groffman, Peter M; Staudinger, Michelle D.; Tallis, Heather

2016-01-01

The third United States National Climate Assessment emphasized an evaluation of not just the impacts of climate change on species and ecosystems, but also the impacts of climate change on the benefits that people derive from nature, known as ecosystem services. The ecosystems, biodiversity, and ecosystem services component of the assessment largely drew upon the findings of a transdisciplinary workshop aimed at developing technical input for the assessment, involving participants from diverse sectors. A small author team distilled and synthesized this and hundreds of other technical input to develop the key findings of the assessment. The process of developing and ranking key findings hinged on identifying impacts that had particular, demonstrable effects on the U.S. public via changes in national ecosystem services. Findings showed that ecosystem services are threatened by the impacts of climate change on water supplies, species distributions and phenology, as well as multiple assaults on ecosystem integrity that, when compounded by climate change, reduce the capacity of ecosystems to buffer against extreme events. As ecosystems change, such benefits as water sustainability and protection from storms that are afforded by intact ecosystems are projected to decline across the continent due to climate change. An ongoing, sustained assessment that focuses on the co-production of actionable climate science will allow scientists from a range of disciplines to ascertain the capability of their forecasting models to project environmental and ecological change and link it to ecosystem services; additionally, an iterative process of evaluation, development of management strategies, monitoring, and reevaluation will increase the applicability and usability of the science by the U.S. public.

Climate Change Impacts on Stream Temperature in Regulated River Systems: A Case Study in the Southeastern United States

Science.gov (United States)

Cheng, Y.; Niemeyer, R. J.; Zhang, X.; Yearsley, J. R.; Voisin, N.; Nijssen, B.

2017-12-01

Climate change and associated changes in air temperature and precipitation are projected to impact natural water resources quantity, quality and timing. In the past century, over 280 major dams were built in the Southeastern United States (SEUS) (GRanD database). Regulation of the river system greatly alters natural streamflow as well as stream temperature. Understanding the impacts of climate change on regulated systems, particularly within the context of the Clean Water Act, can inform stakeholders how to maintain and adapt water operations (e.g. regulation, withdrawals). In this study, we use a new modeling framework to study climate change impacts on stream temperatures of a regulated river system. We simulate runoff with the Variable Infiltration Capacity (VIC) macroscale hydrological model, regulated streamflow and reservoir operations with a large-scale river routing-reservoir model (MOSART-WM), and stream temperature using the River Basin Model (RBM). We enhanced RBM with a two-layer thermal stratification reservoir module. This modeling framework captures both the impact of reservoir regulation on streamflow and the reservoir stratification effects on downstream temperatures. We evaluate changes in flow and stream temperatures based on climate projections from two representative concentration pathways (RCPs; RCP4.5 and RCP8.5) from the Coupled Model Intercomparison Project Phase 5 (CMIP5). We simulate river temperature with meteorological forcings that have been downscaled with the Multivariate Constructed Analogs (MACA) method. We are specifically interested in analyzing extreme periods during which stream temperature exceeds water quality standards. In this study, we focus on identifying whether these extreme temperature periods coincide with low flows, and whether the frequency and duration of these operationally-relevant periods will increase under future climate change.

A simple nonstationary-volatility robust panel unit root test

NARCIS (Netherlands)

Demetrescu, Matei; Hanck, Christoph

2012-01-01

We propose an IV panel unit root test robust to nonstationary error volatility. Its finite-sample performance is convincing even for many units and strong cross-correlation. An application to GDP prices illustrates the inferential impact of nonstationary volatility. (C) 2012 Elsevier B.V. All rights

Impact of Neonatal Intensive Care Unit Admission on Bacterial Colonization of Donated Human Milk.

Science.gov (United States)

Elmekkawi, Amir; O'Connor, Deborah L; Stone, Debbie; Yoon, Eugene W; Larocque, Michael; McGeer, Allison; Unger, Sharon

2018-05-01

Unpasteurized human donor milk typically contains a variety of bacteria. The impact of neonatal intensive care unit (NICU) admission of the donor's infant and duration of lactation on bacterial contamination of human milk is unknown. Research aim: This study aimed (a) to describe the frequency/concentration of skin commensal bacteria and pathogens in unpasteurized human donor milk and (b) to assess the impact of NICU admission and (c) the duration of milk expression on bacterial colonization of donated milk. The authors conducted a retrospective cohort study of human milk donated to the Rogers Hixon Ontario Human Milk Bank from January 2013 to June 2014. Milk samples from each donor were cultured every 2 weeks. The study included 198 donor mothers, of whom 63 had infants admitted to the NICU. Of 1,289 cultures obtained, 1,031 (80%) had detectable bacterial growth and 363 (28%) yielded bacterial growth in excess of 10 7 cfu/L, a local threshold for allowable bacteria prior to pasteurization. The mean (standard deviation) donation period per donor was 13.0 (7.5) weeks. Milk from mothers with NICU exposure had significantly higher concentrations of commensals, but not pathogens, at every time period compared with other mothers. For every 1-month increase in donation from all donors, the odds ratio of presence of any commensal in milk increased by 1.13 (95% confidence interval [1.03, 1.23]) and any pathogen by 1.31 (95% confidence interval [1.20, 1.43]). Commensal bacteria were more abundant in donor milk expressed from mothers exposed to neonatal intensive care. Bacterial contamination increased over the milk donation period.

Estimating State-Specific Contributions to PM2.5- and O3-Related Health Burden from Residential Combustion and Electricity Generating Unit Emissions in the United States.

Science.gov (United States)

Penn, Stefani L; Arunachalam, Saravanan; Woody, Matthew; Heiger-Bernays, Wendy; Tripodis, Yorghos; Levy, Jonathan I

2017-03-01

Residential combustion (RC) and electricity generating unit (EGU) emissions adversely impact air quality and human health by increasing ambient concentrations of fine particulate matter (PM 2.5 ) and ozone (O 3 ). Studies to date have not isolated contributing emissions by state of origin (source-state), which is necessary for policy makers to determine efficient strategies to decrease health impacts. In this study, we aimed to estimate health impacts (premature mortalities) attributable to PM 2.5 and O 3 from RC and EGU emissions by precursor species, source sector, and source-state in the continental United States for 2005. We used the Community Multiscale Air Quality model employing the decoupled direct method to quantify changes in air quality and epidemiological evidence to determine concentration-response functions to calculate associated health impacts. We estimated 21,000 premature mortalities per year from EGU emissions, driven by sulfur dioxide emissions forming PM 2.5 . More than half of EGU health impacts are attributable to emissions from eight states with significant coal combustion and large downwind populations. We estimate 10,000 premature mortalities per year from RC emissions, driven by primary PM 2.5 emissions. States with large populations and significant residential wood combustion dominate RC health impacts. Annual mortality risk per thousand tons of precursor emissions (health damage functions) varied significantly across source-states for both source sectors and all precursor pollutants. Our findings reinforce the importance of pollutant-specific, location-specific, and source-specific models of health impacts in design of health-risk minimizing emissions control policies. Citation: Penn SL, Arunachalam S, Woody M, Heiger-Bernays W, Tripodis Y, Levy JI. 2017. Estimating state-specific contributions to PM 2.5 - and O 3 -related health burden from residential combustion and electricity generating unit emissions in the United States. Environ

The projected environmental impacts of transportation of radioactive material to the first United States repository site

International Nuclear Information System (INIS)

Cashwell, J.W.; Neuhauser, K.S.; Reardon, P.C.; McNair, G.W.

1987-01-01

The relative national environmental impacts of transporting spent fuel and other nuclear wastes to each of 9 candidate repository sites in the United States were analyzed for the 26-year period of repository operation. Two scenarios were examined for each repository: 1) shipment of 5-year-old spent fuel and Defence High-Level Waste (DHLW) directly from their points of origin to a repository (reference case); and 2) shipment of 5-year-old spent fuel to a Monitored Retrievable Storage (MRS) facility and shipment (by dedicated rail) of 10-year-old consolidated spent fuel from the MRS to a repository. Transport by either all truck or all rail from the points of origin were analyzed as bounding cases. The computational system used to analyze these impacts included the WASTES II logistics code and the RADTRAN III risk analysis code. The radiological risks for the reference case increased as the total shipment miles to a repository increased for truck; the risks also increased with mileage for rail but at a lower rate. For the MRS scenario the differences between repository sites were less pronounced for both modal options, because of the reduction in total shipment miles possible with the large dedicated rail casks. All the risks reported are small in comparison to the radiological risks due to 'natural background'

Impact of selection of cord blood units from the United States and swiss registries on the cost of banking operations.

Science.gov (United States)

Bart, Thomas; Boo, Michael; Balabanova, Snejana; Fischer, Yvonne; Nicoloso, Grazia; Foeken, Lydia; Oudshoorn, Machteld; Passweg, Jakob; Tichelli, Andre; Kindler, Vincent; Kurtzberg, Joanne; Price, Thomas; Regan, Donna; Shpall, Elizabeth J; Schwabe, Rudolf

2013-02-01

Over the last 2 decades, cord blood (CB) has become an important source of blood stem cells. Clinical experience has shown that CB is a viable source for blood stem cells in the field of unrelated hematopoietic blood stem cell transplantation. Studies of CB units (CBUs) stored and ordered from the US (National Marrow Donor Program (NMDP) and Swiss (Swiss Blood Stem Cells (SBSQ)) CB registries were conducted to assess whether these CBUs met the needs of transplantation patients, as evidenced by units being selected for transplantation. These data were compared to international banking and selection data (Bone Marrow Donors Worldwide (BMDW), World Marrow Donor Association (WMDA)). Further analysis was conducted on whether current CB banking practices were economically viable given the units being selected from the registries for transplant. It should be mentioned that our analysis focused on usage, deliberately omitting any information about clinical outcomes of CB transplantation. A disproportionate number of units with high total nucleated cell (TNC) counts are selected, compared to the distribution of units by TNC available. Therefore, the decision to use a low threshold for banking purposes cannot be supported by economic analysis and may limit the economic viability of future public CB banking. We suggest significantly raising the TNC level used to determine a bankable unit. A level of 125 × 10(7) TNCs, maybe even 150 × 10(7) TNCs, might be a viable banking threshold. This would improve the return on inventory investments while meeting transplantation needs based on current selection criteria.

Comparing hiking, mountain biking and horse riding impacts on vegetation and soils in Australia and the United States of America.

Science.gov (United States)

Pickering, Catherine Marina; Hill, Wendy; Newsome, David; Leung, Yu-Fai

2010-01-01

Hiking, horse riding and mountain biking are popular in protected areas in Australia and the United States of America. To help inform the often contentious deliberations about use of protected areas for these three types of activities, we review recreation ecology research in both countries. Many impacts on vegetation, soils and trails are similar for the three activities, although there can be differences in severity. Impacts include damage to existing trails, soil erosion, compaction and nutrification, changes in hydrology, trail widening, exposure of roots, rocks and bedrock. There can be damage to plants including reduction in vegetation height and biomass, changes in species composition, creation of informal trails and the spread of weeds and plant pathogens. Due to differences in evolutionary history, impacts on soil and vegetation can be greater in Australia than in the USA. There are specific social and biophysical impacts of horses such as those associated with manure and urine, grazing and the construction and use of tethering yards and fences. Mountain bike specific impacts include soil and vegetation damage from skidding and the construction of unauthorised trails, jumps, bridges and other trail technical features. There are gaps in the current research that should be filled by additional research: (1) on horse and mountain bike impacts to complement those on hiking. The methods used need to reflect patterns of actual usage and be suitable for robust statistical analysis; (2) that directly compares types and severity of impacts among activities; and (3) on the potential for each activity to contribute to the spread of weeds and plant pathogens. Additional research will assist managers and users of protected areas in understanding the relative impacts of these activities, and better ways to manage them. It may not quell the debates among users, managers and conservationists, but it will help put it on a more scientific footing. 2009 Elsevier Ltd. All

AN ANALYSIS OF THE IMPACT OF SPORTS UTILITY VEHICLES IN THE UNITED STATES

Energy Technology Data Exchange (ETDEWEB)

Davis, S.C.

2000-08-16

During the 1990s, sport utility vehicles (SUVs) became the fastest growing segment of the auto industry, especially those in the medium-size category. In 1999, SUV sales reached almost 19% of the total light vehicle market and the mix of SUVs on the road, as measured by registration data, was about 8.7%. This immense popularity has been called by some a passing fad--vehicle purchases based on the SUV ''image''. But the continued yearly increases in SUV sales seem to indicate a more permanent trend. Additional explanations for SUV popularity include the general economic well being in the United States, a perception of safety, and ''utility''. Generally larger and heavier than the typical automobile, SUVs require more fuel per mile to operate and produce greater amounts of pollutants. They are also driven further annually than are automobiles of the same vintage, a fact that exacerbates the fuel-use and emission problems. Although buyers believe that SUVs are safer than automobiles which they are in some cases, SUVs are more prone to roll-overs than are automobiles. In addition, SUVs, with their higher bumpers and greater weight, may be a threat to other vehicles on the highway, especially in side-impact crashes. With sales projected to grow to over 3 million units per year beginning in 2001, SUVs show no sign of decreasing in popularity. These vehicles are used primarily for general mobility, rather than off-road activities. An emphasis on better fuel economy and improved emissions control could address environmental and oil dependency concerns. In fact, recently, two vehicle manufacturers announced intentions of improving the fuel economy of their SUVs in the next few years. Also, tests simulating crashes involving automobiles and SUVs could provide valuable data for identifying potential safety design issues. It is clear that automobiles and SUVs will be sharing the highways for years to come.

Impact of Qualification Framework in United Arab Emirates: A case ...

African Journals Online (AJOL)

QFE) on the undergraduate Bachelor of Pharmacy (BPharm) curriculum in the United Arab Emirates (UAE) context. Method: Curriculum developers (faculty and other stakeholders) have selected appropriate teaching, learning and assessment ...

Overview of the Special Issue: A Multi-Model Framework to Achieve Consistent Evaluation of Climate Change Impacts in the United States

Energy Technology Data Exchange (ETDEWEB)

Waldhoff, Stephanie T.; Martinich, Jeremy; Sarofim, Marcus; DeAngelo, B. J.; McFarland, Jim; Jantarasami, Lesley; Shouse, Kate C.; Crimmins, Allison; Ohrel, Sara; Li, Jia

2015-07-01

The Climate Change Impacts and Risk Analysis (CIRA) modeling exercise is a unique contribution to the scientific literature on climate change impacts, economic damages, and risk analysis that brings together multiple, national-scale models of impacts and damages in an integrated and consistent fashion to estimate climate change impacts, damages, and the benefits of greenhouse gas (GHG) mitigation actions in the United States. The CIRA project uses three consistent socioeconomic, emissions, and climate scenarios across all models to estimate the benefits of GHG mitigation policies: a Business As Usual (BAU) and two policy scenarios with radiative forcing (RF) stabilization targets of 4.5 W/m2 and 3.7 W/m2 in 2100. CIRA was also designed to specifically examine the sensitivity of results to uncertainties around climate sensitivity and differences in model structure. The goals of CIRA project are to 1) build a multi-model framework to produce estimates of multiple risks and impacts in the U.S., 2) determine to what degree risks and damages across sectors may be lowered from a BAU to policy scenarios, 3) evaluate key sources of uncertainty along the causal chain, and 4) provide information for multiple audiences and clearly communicate the risks and damages of climate change and the potential benefits of mitigation. This paper describes the motivations, goals, and design of the CIRA modeling exercise and introduces the subsequent papers in this special issue.

The impact of thalassemia on Southeast Asian and Asian Indian families in the United States: a qualitative study.

Science.gov (United States)

Liem, Robert I; Gilgour, Brynnan; Pelligra, Stephanie A; Mason, Maryann; Thompson, Alexis A

2011-01-01

To describe the challenges, including sociocultural and socioeconomic barriers, faced by an urban immigrant population in the United States affected by thalassemia major. Ethnographic, semi-structured, 1-on-1 interviews using an interview guide developed for this study. Digital recordings were transcribed and data analyzed using constant comparative method. University-based, Comprehensive Thalassemia Program at Children's Memorial Hospital, Chicago, IL, USA. Fourteen Southeast Asian and Asian Indian parents of children with transfusion dependent thalassemia. Qualitative descriptions of parental experiences, frequency of codes applied to interviews and emergent themes. Thalassemia has its greatest impact on the emotional and social well-being of affected children and their parents. Current and future concerns were related to disease-specific complications and challenges with management such as transfusions and chelation therapy. These perceptions were tied to parental hope for a cure, a frequently coded coping mechanism. Despite their availability, few parents relied on support systems beyond immediate family members due to perceived public knowledge gaps about thalassemia. Culturally based past experiences and barriers did not emerge as dominant themes in our analysis. The impact of thalassemia is tremendous for affected children and their parents and is due more to factors that were either disease-specific or common to other chronic disease models rather than those influenced by culture. The unmet needs of these families require additional investigation to facilitate the development of initiatives aimed at improving quality of life and lessening overall impact of thalassemia

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

Science.gov (United States)

Pastores, Stephen M; O'Connor, Michael F; Kleinpell, Ruth M; Napolitano, Lena; Ward, Nicholas; Bailey, Heatherlee; Mollenkopf, Fred P; Coopersmith, Craig M

2011-11-01

The Accreditation Council for Graduate Medical Education recently released new standards for supervision and duty hours for residency programs. These new standards, which will affect over 100,000 residents, take effect in July 2011. In response to these new guidelines, the Society of Critical Care Medicine convened a task force to develop a white paper on the impact of changes in resident duty hours on the critical care workforce and staffing of intensive care units. A multidisciplinary group of professionals with expertise in critical care education and clinical practice. Relevant medical literature was accessed through a systematic MEDLINE search and by requesting references from all task force members. Material published by the Accreditation Council for Graduate Medical Education and other specialty organizations was also reviewed. Collaboratively and iteratively, the task force corresponded by electronic mail and held several conference calls to finalize this report. The new rules mandate that all first-year residents work no more than 16 hrs continuously, preserving the 80-hr limit on the resident workweek and 10-hr period between duty periods. More senior trainees may work a maximum of 24 hrs continuously, with an additional 4 hrs permitted for handoffs. Strategic napping is strongly suggested for trainees working longer shifts. Compliance with the new Accreditation Council for Graduate Medical Education duty-hour standards will compel workflow restructuring in intensive care units, which depend on residents to provide a substantial portion of care. Potential solutions include expanded utilization of nurse practitioners and physician assistants, telemedicine, offering critical care training positions to emergency medicine residents, and partnerships with hospitalists. Additional research will be necessary to evaluate the impact of the new standards on patient safety, continuity of care, resident learning, and staffing in the intensive care unit.

Solar Renewable Energy. Teaching Unit.

Science.gov (United States)

Buchanan, Marion; And Others

This unit develops the concept of solar energy as a renewable resource. It includes: (1) an introductory section (developing understandings of photosynthesis and impact of solar energy); (2) information on solar energy use (including applications and geographic limitations of solar energy use); and (3) future considerations of solar energy…

Closure Report for Corrective Action Unit 107: Low Impact Soil Sites, Nevada Test Site, Nevada with ROTC-1

International Nuclear Information System (INIS)

Matthews, Patrick

2009-01-01

CAU 107, ''Low Impact Soil Sites'', consists of 15 CASs in Areas 1, 2, 3, 4, 5, 9, 10, and 18 of the NTS. The closure alternatives included No Further Action and Closure in Place with Administrative Controls. This CR provides a summary of completed closure activities. ROTC Justification: The FFACO UR as published in the Closure Report for Corrective Action Unit 107: Low Impact Soil Sites, Nevada Test Site, Nevada (NNSA/NSO, 2009) states that the UR for CAS 18-23-02, U-18d Crater (Sulky), was implemented for assumed radioactive contamination that could cause a dose greater that 25 millirems per year. This document further clarifies that this was based on particulate releases of radionuclides identified in Radiological Effluents Released from U.S. Continental Tests, 1961 through 1992 (DOE/NV, 1996). The radionuclides listed in this document are krypton (Kr)-85, Kr-85m, Kr-87, Kr-88, rubidium (Rb)-87, strontium (Sr)-89, Sr-91, yttrium (Y)-91, iodine (I)-131, I-132, I-133, I-134, I-135, xeon (Xe)-133, Xe-135, Xe-138, cesium (Cs)-135, Cs-138, barium (Ba)-139, and Ba-140.

United States Energy Policy: Security Not Independence

Science.gov (United States)

2013-03-01

on leased land, ensuring fracking is done responsibly, and getting more natural gas and hybrid systems into U.S. mass transit. Internationally, the...fewer environ disturbances -Can store underground -Environ impacts of fracking unknown -uses large amount of water -potential for saline...from shale continues to rise as the United States determines how to drill safely. However, the impact of fracking on the environment is still

Effect on moisture permeability of typewriting on unit dose package surfaces.

Science.gov (United States)

Rackson, J T; Zellhofer, M J; Birmingham, P H

1984-10-01

The effects of typewriting on labels of two unit dose packages with respect to moisture permeability were examined. Using an electric typewriter, a standard label format was imprinted on two different types of class A unit dose packages: (1) a heat-sealed paper-backed foil and cellofilm strip pouch, and (2) a copolyester and polyethylene multiple-cup blister with a heat-sealed paper-backed foil and cellofilm cover. The labels were typed at various typing-element impact settings. The official USP test for water permeation was then performed on typed packages and untyped control packages. The original untyped packages were confirmed to be USP class A quality. The packages for which successively harder impact settings were used showed a corresponding increase in moisture permeability. This resulted in a lowering of USP package ratings from class A to class B and D, some of which would be unsuitable for use in any unit dose system under current FDA repackaging standards. Typing directly onto the label of a unit dose package before it is sealed will most likely damage the package and possibly make it unfit for use. Pharmacists who must type labels for the unit dose packages studied should use the lowest possible typewriter impact setting and test for damage using the USP moisture-permeation test.

Impact of an osteoporosis specialized unit on bone health in breast cancer survivals treated with aromatase inhibitors.

Science.gov (United States)

Martínez, Purificación; Galve, Elena; Arrazubi, Virginia; Sala, M Ángeles; Fernández, Seila; Pérez, Clara E; Arango, Juan F; Torre, Iñaki

2017-10-11

Considering the increased fracture risk in early breast cancer patients treated with aromatase inhibitors (AI), we assessed the impact of a preventive intervention conducted by a specialized osteoporosis unit on bone health at AI treatment start. Retrospective cohort of postmenopausal women who started treatment with AI after breast cancer surgical/chemotherapy treatment and were referred to the osteoporosis unit for a comprehensive assessment of bone health. Bone densitometry and fracture screening by plain X-ray were performed at the baseline visit and once a year for 5 years. The final record included 130 patients. At AI treatment start, 49% had at least one high-risk factor for fractures, 55% had osteopenia, and 39% osteoporosis. Based on the baseline assessment, 79% of patients initiated treatment with bisphosphonates, 88% with calcium, and 79% with vitamin D. After a median of 65 (50-77) months, 4% developed osteopenia or osteoporosis, and 14% improved their densitometric diagnosis. Fifteen fractures were recorded in 11 (8.5%) patients, all of them receiving preventive treatment (10 with bisphosphonates). During the follow-up period, patients with one or more high-risk factors for fracture showed a greater frequency of fractures (15% vs. 3%) and experienced the first fracture earlier than those without high-risk factors (mean of 99 and 102 months, respectively; P=0.023). The preventive intervention of a specialized unit at the start of AI treatment in breast cancer survivors allows the identification of patients with high fracture risk and may contribute to preventing bone events in these patients. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

Impacts of reproductive technologies on beef production in the United States.

Science.gov (United States)

Dahlen, Carl; Larson, Jamie; Lamb, G Cliff

2014-01-01

Estimations of world population growth indicate that by the year 2050 we will reach nine billion habitants on earth. These estimates impose a tremendous challenge in the current agricultural systems as food supply will need to increase by 100 % in the next 40 years (Food and Agriculture Organization of the United Nations 2009). Beef will be a primary protein source that will assist in meeting the requirements for a portion of the protein in diets of this expanding global populace. Beef is a high-quality protein that contains all essential amino acids for the human body and also contains additional essential nutrients such as iron, zinc, B vitamins, riboflavin, selenium, choline, and conjugated linoleic acid (CLA). Adopting reproductive technologies at greater rates than currently used is a viable method to dramatically enhance production efficiency of beef cattle enterprises.Artificial insemination (AI), estrous synchronization and fixed-time AI (TAI), semen and embryo cryopreservation, multiple ovulation and embryo transfer (MOET), in vitro fertilization, sex determination of sperm or embryos, and nuclear transfer are technologies that are used to enhance the production efficiency of beef operations. In many cases, the development of these technologies is responsible for significant changes to traditional livestock production practices. However, adoption of these technologies appears to has not grown at the same rate in the United States as other formidable beef producing nations. For example, sales of beef semen for AI increased from 3.3 to 11.9 million units between 1993 and 2011 in Brazil, whereas that in the United States has increased from 2.9 to 3.8 million units during the same period. The significant increases in adoption of reproductive technologies in developing countries is likely as a result of the development of practical estrous synchronization and TAI systems that have allowed beef producers the opportunity to eliminate detection of estrus in their

Impact of a New Palliative Care Program on Health System Finances: An Analysis of the Palliative Care Program Inpatient Unit and Consultations at Johns Hopkins Medical Institutions.

Science.gov (United States)

Isenberg, Sarina R; Lu, Chunhua; McQuade, John; Chan, Kelvin K W; Gill, Natasha; Cardamone, Michael; Torto, Deirdre; Langbaum, Terry; Razzak, Rab; Smith, Thomas J

2017-05-01

Palliative care inpatient units (PCUs) can improve symptoms, family perception of care, and lower per-diem costs compared with usual care. In March 2013, Johns Hopkins Medical Institutions (JHMI) added a PCU to the palliative care (PC) program. We studied the financial impact of the PC program on JHMI from March 2013 to March 2014. This study considered three components of the PC program: PCU, PC consultations, and professional fees. Using 13 months of admissions data, the team calculated the per-day variable cost pre-PCU (ie, in another hospital unit) and after transfer to the PCU. These fees were multiplied by the number of patients transferred to the PCU and by the average length of stay in the PCU. Consultation savings were estimated using established methods. Professional fees assumed a collection rate of 50%. The total positive financial impact of the PC program was $3,488,863.17. There were 153 transfers to the PCU, 60% with cancer, and an average length of stay of 5.11 days. The daily loss pretransfer to the PCU of $1,797.67 was reduced to $1,345.34 in the PCU (-25%). The PCU saved JHMI $353,645.17 in variable costs, or $452.33 per transfer. Cost savings for PC consultations in the hospital, 60% with cancer, were estimated at $2,765,218. $370,000 was collected in professional fees savings. The PCU and PC program had a favorable impact on JHMI while providing expert patient-centered care. As JHMI moves to an accountable care organization model, value-based patient-centered care and increased intensive care unit availability are desirable.

The impact of kin availability, parental religiosity, and nativity on fertility differentials in the late 19th-century United States.

Science.gov (United States)

Hacker, J David; Roberts, Evan

2017-12-01

Most quantitative research on fertility decline in the United States ignores the potential impact of cultural and familial factors. We rely on new complete-count data from the 1880 U.S. census to construct couple-level measures of nativity/ethnicity, religiosity, and kin availability. We include these measures with a comprehensive set of demographic, economic, and contextual variables in Poisson regression models of net marital fertility to assess their relative importance. We construct models with and without area fixed effects to control for unobserved heterogeneity. All else being equal, we find a strong impact of nativity on recent net marital fertility. Fertility differentials among second generation couples relative to the native-born white population of native parentage were in most cases less than half of the differential observed among first generation immigrants, suggesting greater assimilation to native-born American childbearing norms. Our measures of parental religiosity and familial propinquity indicated a more modest impact on marital fertility. Couples who chose biblical names for their children had approximately 3% more children than couples relying on secular names while the presence of a potential mother-in-law in a nearby households was associated with 2% more children. Overall, our results demonstrate the need for more inclusive models of fertility behavior that include cultural and familial covariates.

American Pro-Biofuel and Climate Policies: Impact on the Energy Choices of Brazil and the United States and the Carbon Footprint

International Nuclear Information System (INIS)

Chakravorty, Ujjayant; Hubert, Marie-Helene; Moreaux, Michel

2010-01-01

In this paper, a partial trade equilibrium model is developed to explore the impacts of US energy policies on the use and trade of first-generation biofuels (ethanol) and second-generation biofuels (ligno-cellulosic ethanol) in the United-States and Brazil. In addition, we investigate their impacts on direct and indirect carbon emissions. The first policy is the biofuels mandatory target. The second defines a cap on carbon emissions. Our study reveals that the biofuels mandatory target encourages ligno-cellulosic ethanol production, reductions in carbon emissions being marginal. The second policy increases energy prices leading to a decrease in energy consumption as well as in direct carbon emissions. However, this policy has a significant impact on deforestation in Brazil resulting in a rise in indirect carbon emissions. The biofuels subsidy needed to reach the mandatory target amounts to US $ 1.1 per gallon. The US carbon tax reaches US $ 120 per ton equivalent carbon. A differential tax is imposed on gasoline, ethanol and ligno-cellulosic ethanol based on the carbon content. It is respectively equal to US $ 0.38, US $ 0.204 and US $ 0.024

Impact of County-Level Socioeconomic Status on Oropharyngeal Cancer Survival in the United States.

Science.gov (United States)

Megwalu, Uchechukwu C

2017-04-01

Objective To evaluate the impact of county-level socioeconomic status on survival in patients with oropharyngeal cancer in the United States. Study Design Retrospective cohort study via a large population-based cancer database. Methods Data were extracted from the SEER 18 database (Surveillance, Epidemiology, and End Results) of the National Cancer Institute. The study cohort included 18,791 patients diagnosed with oropharyngeal squamous cell carcinoma between 2004 and 2012. Results Patients residing in counties with a low socioeconomic status index had worse overall survival (56.5% vs 63.0%, P socioeconomic status index. On multivariable analysis, residing in a county with a low socioeconomic status index was associated with worse overall survival (hazard ratio, 1.21; 95% CI, 1.14-1.29; P status, year of diagnosis, site, American Joint Committee on Cancer stage group, presence of distant metastasis, presence of unresectable tumor, histologic grade, surgical resection of primary site, treatment with neck dissection, and radiation therapy. Conclusion Residing in a county with a low socioeconomic status index is associated with worse survival. Further research is needed to elucidate the mechanism by which socioeconomic status affects survival in oropharyngeal cancer.

THE UNITED STATES AND NIGERIAN RELATIONS:

African Journals Online (AJOL)

Mrs. I.D

2009-12-25

Dec 25, 2009 ... response from the Nigerian government. ... domestic crises that negatively impacts state stability, the US government ... Harrison C. Ajebon, Department of Political Science, University of Calabar, ..... Sweden. United Kingdom. Switzerland. Asia & far East. Japan ..... case Study of Nigeria, in Ikonnechidi and.

Catch per unit efforts and impacts of gears on fish abundance in an oxbow lake ecosystem in Eastern India

Directory of Open Access Journals (Sweden)

Dipankar Ghosh

2017-05-01

Full Text Available Background: Oxbow lakes are abundant in indigenous fishes, but they are subject to unsustainable fishing practices, potential overexploitation, and indiscriminate use of fine-meshed fishing gear. To quantify the catch per unit effort (CPUE and impact of fishing gears on fish abundance, a survey was carried out in an oxbow lake in eastern India. Methods: The gear-wise CPUE for fish caught in per unit hour of operation was calculated by dividing the total sampling gear catch in biomass, which is the observed value of fish caught by a particular gear, by the total sampling effort hours. A value of P 71%. Cone-framed cast net hauled the maximum catch in biomass (31.51%, and gill nets contributed the maximum number of fish (64.92%. The lower CPUE values of line and hook, gill net, cone-framed cast net and long lines identified them as the most harmful among all gears. Conclusion: Indiscriminate use of gear, particularly line and hook, gill nets, cone-framed cast nets, and long lines, demands regulations and preventions concerning such gear to obtain higher fish abundance.

Evaluation of tectonic impact on radon level of lithological units

International Nuclear Information System (INIS)

Wolkowicz, S.; Strzelecki, R.

2000-01-01

The radon potential maps of the Sudetes Mountains and Upper Silesian Coal Basin have been prepared on a base of arithmetic mean value of radon concentration in soil air in distinguished lithological/stratigraphic units. Both zones of shallow position of ground table and the fault zones influence value of this parameter: the first one affects in specific conditions lowering of background values, the second ones - origin of values several and teen times higher than rock background values. Estimation of power of tectonic influence on general radon potential of the lithological units has been made on a base of examination of histograms of distribution of radon concentration in soil air. In the Sudetes area, 0 % to about 30 % of the measurements is related to fault zones. Higher tectonic engagement (about 30 %) characterizes the Karkonosze Granites, Izera Gneisses and Strzegom Granites. In the cases of Karkonosze Granites and the Strzegom Granites, rock background values concentrations in soil air are a little than 50 kBq/m 3 , what is the value defined for lower threshold of high radon risk areas. In conclusion, presence of numerous fault zones and fissures increases radon risk category with one class. Background modal values of radon emanations, defined for the studied units, in the 5 cases fulfill criteria for medium radon risk areas, and in other cases do not exceed of the threshold 10 kBq/m 3 . It displays, that in the case of low radon potential rocks only a few-percent rich population of measurements related to tectonic zones, is sufficient to substantially deform of the image of the studied unit radon potential. For instance, medium radon potential characterizes the Klodzko - Zloty Stok Granites (the arithmetic mean value of this class is 36.15 kBq/m 3 , n=104) and small tectonic engagement (about 3.8 %). In the result the modal value belongs to the class 20-30 kBq/m 3 . The Poreba Beds in the Upper Silesian Coal Basin are characterised by almost the same radon

Economic impacts of electricity liberalization on the status of nuclear power generation in the United States

International Nuclear Information System (INIS)

Hattori, Toru

2015-01-01

This paper discusses the economic impact of electricity liberalization on the status of nuclear power generation in the United States. Nuclear power plants have been treated equally with other types of power plants in the liberalized electricity market. The existing nuclear power plants were thought to be competitive in liberalized wholesale electricity market. Competitive pressure from the market also facilitated efficiency improvement among the existing nuclear power plants. Although it was difficult to build new reactor, the U.S. nuclear power generators expanded capacity through up rates. In recent years, however, nuclear power plants suffer from the decline in wholesale power prices and some of them are forced to retire early. Although there are some market design issues that could be improved to maintain the efficient nuclear power plants in competitive environment, it is now argued that some additional arrangements to mitigate the investment risks of the nuclear power plants are necessary. (author)

Study on LOOP and SBO Frequency for Multi-Unit PSA

Energy Technology Data Exchange (ETDEWEB)

Jin, Kyung Ho; Heo, Gyun Young [Kyunghee University, Yongin (Korea, Republic of)

2016-05-15

In conventional single unit PSA, it was assumed that all accidents or events are independent and the risk of only one unit has been evaluated. In other words, the possibility that simultaneous events occur on multiple units was excluded because it was assumed that the probability of concurrent events were extremely low. After Fukushima accidents, however, it was found that external hazards such as tsunami may impact on multiple units; that means, for the sake of proper mitigation the risk of accidents in shared SSCs should be reevaluated. New risk metrics to improve conventional CDF (Core Damage frequency) based on reactor-year is needed to perform MUPSA (Multi-Unit Probabilistic Safety Assessment). IAEA suggested SCDF (Site CDF) as a risk metrics for MUPSA. The frequency based on reactor-year was converted to the frequency based on site-year. In addition, shared SSCs were modeled in single unit PSA as if those units have independent shared SSCs. Therefore, the risk of shared SSCs should be reevaluated. In this paper, the frequency of LOOP (Loss of Offsite Power), which is typically a multi-unit event, was evaluated and the frequency of SBO (Station Blackout) depending on LOOP frequency and emergency power systems such as EDG (Emergency Diesel Generator) and AAC (Alternate AC), that can mitigate SBO events, was modeled. This paper describes how to calculate LOOP and SBO frequency from the simple example for two-unit site with shared AAC. The events impacting on multiple units, which were excluded in conventional PSA, should be considered for MUPSA.

Climate change, humidity, and mortality in the United States

Science.gov (United States)

Barreca, Alan I.

2014-01-01

This paper estimates the effects of humidity and temperature on mortality rates in the United States (c. 1973–2002) in order to provide an insight into the potential health impacts of climate change. I find that humidity, like temperature, is an important determinant of mortality. Coupled with Hadley CM3 climate-change predictions, I project that mortality rates are likely to change little on the aggregate for the United States. However, distributional impacts matter: mortality rates are likely to decline in cold and dry areas, but increase in hot and humid areas. Further, accounting for humidity has important implications for evaluating these distributional effects. PMID:25328254

The Impact of High Versus Low Sedation Dosing Strategy on Cognitive Dysfunction in Survivors of Intensive Care Units: A Systematic Review and Meta-Analysis

Directory of Open Access Journals (Sweden)

Porhomayon Jahan

2015-06-01

Full Text Available Background: The practice of low vs. high sedation dosing strategy may impact the cognitive and mental health function in the intensive care unit (ICU. We aim to demonstrate that high sedation strategy will result in change of mental health function in ICU patients. Methods: We performed a systemic search and meta-analysis of medical databases in MEDLINE(from 1966 to March 2013 and EMBASE (from 1980 to March 2013, as well as the Cochrane Library using the MESH terms "Intensive Care Unit," and "Mental Health, for assessing the impact of sedation on posttraumatic stress disorder (PTSD or anxiety/depression and deliriumin the mix ICU setting including cardiac surgery patients. A total of 1216 patients were includedin the final analysis.Results: We included 11 studies in the final analysis and concluded that high dose sedationstrategy resulted in higher incidence of cognitive dysfunction with P value of 0.009. Theresult for subgroup of delirium showed P = 0.11 and PTSD/depression or anxiety of P = 0.001,Heterogeneity I2 was 64%. Overall analysis was statistically significant with a P value of 0.002.Conclusion: High sedation dosing strategy will negatively affect cognitive function in criticallyill patients. Large randomized trials are needed to address cognitive dysfunction in subgroup of patients with delirium.

The Impact of Climate Change on the United States Economy

Science.gov (United States)

Mendelsohn, Robert; Neumann, James E.

2004-08-01

Understanding the impacts of climate change on economic behaviour is an important aspect of deciding when to take policy actions to prevent or mitigate its consequences. This book applies advanced new economics methodologies to assess impacts on potentially vulnerable aspects of the US economy: agriculture, timber, coastal resources, energy expenditure, fishing, outdoor recreation. It is intended to provide improved understanding of key issues raised in the recent Intergovernmental Panel on Climate Change (IPCC) reports. It concludes that some climate change may produce economic gains in the agriculture and forestry sectors, whereas energy, coastal structures, and water sectors may be harmed. The book will serve as an important reference for the scientific, economic, and policy community, and will also be of interest to natural resource/environmental economists as an example of economic valuation techniques. The volume will clearly be of main importance to researchers and policymakers in the US, but will also be influential as a model for assessment of impacts on economies worldwide.

Is G a conversion factor or a fundamental unit?

OpenAIRE

Fiorentini, G.; Okun, L.; Vysotsky, M.

2001-01-01

By using fundamental units c, h, G as conversion factors one can easily transform the dimensions of all observables. In particular one can make them all ``geometrical'', or dimensionless. However this has no impact on the fact that there are three fundamental units, G being one of them. Only experiment can tell us whether G is basically fundamental.

An evaluation tool kit of air quality micro-sensing units

Czech Academy of Sciences Publication Activity Database

Fishbain, B.; Lerner, U.; Castell-Balaguer, N.; Cole-Hunter, T.; Popoola, O.; Broday, D. M.; Martinez Iniguez, T.; Nieuwenhuijsen, M.; Jovasevic-Stojanovic, M.; Topalovic, D.; Roderic, L.J.; Gaela, K.; Etzion, Y.; Kizel, F.; Golumbic, Y.N.; Baram-Tsabari, A.; Yacobi, T.; Drahler, D.; Robinson, J.A.; Kocman, D.; Horvát, M.; Švecová, Vlasta; Arpaci, A.; Bartoňová, A.

2017-01-01

Roč. 575, jan (2017), s. 639-648 ISSN 0048-9697 Institutional support: RVO:68378041 Keywords : air quality * environmental monitoring * micro sensing units Subject RIV: DN - Health Impact of the Environment Quality OBOR OECD: Public and environmental health Impact factor: 4.900, year: 2016

Essays on empirical analysis of multi-unit auctions: Impacts of financial transmission rights on the restructured electricity industry

Science.gov (United States)

Zang, Hailing

This dissertation uses recently developed empirical methodologies for the study of multi-unit auctions to test the impacts of Financial Transmission Rights (FTRs) on the competitiveness of restructured electricity markets. FTRs are a special type of financial option that hedge against volatility in the cost of transporting electricity over the grid. Policy makers seek to use the prices of FTRs as market signals to incentivize efficient investment and utilization of transmission capacity. However, prices will not send the correct signals if market participants strategically use FTRs. This dissertation uses data from the Texas electricity market to test whether the prices of FTRs are efficient to achieve such goals. The auctions studied are multi-unit, uniform-price, sealed-bid auctions. The first part of the dissertation studies the auctions on the spot market of the wholesale electricity industry. I derive structural empirical models to test theoretical predictions as to whether bidders fully internalize the effect of FTRs on profits into their bidding decisions. I find that bidders are learning as to how to optimally bid above marginal cost for their inframarginal capacities. The bidders also learn to bid to include FTRs into their profit maximization problem during the course of the first year. But starting from the second year, they deviated from optimal bidding that includes FTRs in the profit maximization problems. Counterfactual analysis show that the primary effect of FTRs on market outcomes is changing the level of prices rather than production efficiency. Finally, I find that in most months, the current allocations of FTRs are statistically equivalent to the optimal allocations. The second part of the dissertation studies the bidding behavior in the FTR auctions. I find that FTRs' strategic impact on the FTR purchasing behavior is significant for large bidders---firms exercising market power in the FTR auctions. Second, trader forecasts future FTR credit

Impact of improving vehicle front design on the burden of pedestrian injuries in Germany, the United States, and India.

Science.gov (United States)

Moran, Dane; Bose, Dipan; Bhalla, Kavi

2017-11-17

European car design regulations and New Car Assessment Program (NCAP) ratings have led to reductions in pedestrian injuries. The aim of this study was to evaluate the impact of improving vehicle front design on mortality and morbidity due to pedestrian injuries in a European country (Germany) and 2 countries (the United States and India) that do not have pedestrian-focused NCAP testing or design regulations. We used data from the International Road Traffic and Accident Database and the Global Burden of Disease project to estimate baseline pedestrian deaths and nonfatal injuries in each country in 2013. The effect of improved passenger car star ratings on probability of pedestrian injury was based on recent evaluations of pedestrian crash data from Germany. The effect of improved heavy motor vehicle (HMV) front end design on pedestrian injuries was based on estimates reported by simulation studies. We used burden of disease methods to estimate population health loss by combining the burden of morbidity and mortality in disability-adjusted life years (DALYs) lost. Extrapolating from evaluations in Germany suggests that improving front end design of cars can potentially reduce the burden of pedestrian injuries due to cars by up to 24% in the United States and 41% in India. In Germany, where cars comply with the United Nations regulation on pedestrian safety, additional improvements would have led to a 1% reduction. Similarly, improved HMV design would reduce DALYs lost by pedestrian victims hit by HMVs by 20% in each country. Overall, improved vehicle design would reduce DALYs lost to road traffic injuries (RTIs) by 0.8% in Germany, 4.1% in the United States, and 6.7% in India. Recent evaluations show a strong correlation between Euro NCAP pedestrian scores and real-life pedestrian injuries, suggesting that improved car front end design in Europe has led to substantial reductions in pedestrian injuries. Although the United States has fewer pedestrian crashes, it would

Land Conversion, Social Impacts, and Legal Remedies ...

International Development Research Centre (IDRC) Digital Library (Canada)

Land Conversion, Social Impacts, and Legal Remedies: Understanding the Role of Community Paralegals in Addressing Impacts of Land Use Change in Asia. This project addresses the ... Pays d' institution. United States. Site internet.

78 FR 16705 - Llano Seco Riparian Sanctuary Unit Restoration and Pumping Plant/Fish Screen Facility Protection...

Science.gov (United States)

2013-03-18

...-FF08RSRC00] Llano Seco Riparian Sanctuary Unit Restoration and Pumping Plant/ Fish Screen Facility Protection... removal and management of invasive plant species would occur at the Riparian Sanctuary. No active... impact statement and environmental impact report (EIS/EIR) for the Llano Seco Riparian Sanctuary Unit...

Research of the impact of coupling between unit cells on performance of linear-to-circular polarization conversion metamaterial with half transmission and half reflection

Science.gov (United States)

Guo, Mengchao; Zhou, Kan; Wang, Xiaokun; Zhuang, Haiyan; Tang, Dongming; Zhang, Baoshan; Yang, Yi

2018-04-01

In this paper, the impact of coupling between unit cells on the performance of linear-to-circular polarization conversion metamaterial with half transmission and half reflection is analyzed by changing the distance between the unit cells. An equivalent electrical circuit model is then built to explain it based on the analysis. The simulated results show that, when the distance between the unit cells is 23 mm, this metamaterial converts half of the incident linearly-polarized wave into reflected left-hand circularly-polarized wave and converts the other half of it into transmitted left-hand circularly-polarized wave at 4.4 GHz; when the distance is 28 mm, this metamaterial reflects all of the incident linearly-polarized wave at 4.4 GHz; and when the distance is 32 mm, this metamaterial converts half of the incident linearly-polarized wave into reflected right-hand circularly-polarized wave and converts the other half of it into transmitted right-hand circularly-polarized wave at 4.4 GHz. The tunability is realized successfully. The analysis shows that the changes of coupling between unit cells lead to the changes of performance of this metamaterial. The coupling between the unit cells is then considered when building the equivalent electrical circuit model. The built equivalent electrical circuit model can be used to perfectly explain the simulated results, which confirms the validity of it. It can also give help to the design of tunable polarization conversion metamaterials.

An introduction to the installation of Unit 5 at Revelstoke Generating Station

International Nuclear Information System (INIS)

1994-07-01

The Revelstoke hydroelectric power plant in British Columbia has four generating units with a total capacity of 1843 MW. The plant was designed as a six-unit facility, with space provided in the powerhouse for two additional units in Bays 5 and 6. It is proposed to install a fifth unit at Revelstoke, which will increase capacity by ca 460 MW. No additional land or transmission facilities will be required for this project, whose estimated direct construction cost is $90 million. The new unit is felt to be needed because of anticipated capacity shortfalls that could occur on the British Columbia Hydro system as early as 1996 or as late as 2004. Preliminary engineering and environmental studies are reviewed, and the public consultation program and procurement plan for the project are outlined. Potential impacts on land use and heritage resources appear negligible, and recreation use of Revelstoke Reservoir is not expected to be significantly impacted. Changes in reservoir fluctuations with Unit 5 in place will be minimal. 4 figs

Assessing the Impact of Telemedicine on Nursing Care in Intensive Care Units.

Science.gov (United States)

Kleinpell, Ruth; Barden, Connie; Rincon, Teresa; McCarthy, Mary; Zapatochny Rufo, Rebecca J

2016-01-01

Information on the impact of tele-intensive care on nursing and priority areas of nursing care is limited. To conduct a national benchmarking survey of nurses working in intensive care telemedicine facilities in the United States. In a 2-phased study, an online survey was used to assess nurses' perceptions of intensive care telemedicine, and a modified 2-round Delphi study was used to identify priority areas of nursing. In phase 1, most of the 1213 respondents agreed to strongly agreed that using tele-intensive care enables them to accomplish tasks more quickly (63%), improves collaboration (65.9%), improves job performance (63.6%) and communication (60.4%), is useful in nursing assessments (60%), and improves care by providing more time for patient care (45.6%). Benefits of tele-intensive care included ability to detect trends in vital signs, detect unstable physiological status, provide medical management, and enhance patient safety. Barriers included technical problems (audio and video), interruptions in care, perceptions of telemedicine as an interference, and attitudes of staff. In phase 2, 60 nurses ranked 15 priority areas of care, including critical thinking skills, intensive care experience, skillful communication, mutual respect, and management of emergency patient care. The findings can be used to further inform the development of competencies for tele-intensive care nursing, match the tele-intensive care nursing practice guidelines of the American Association of Critical-Care Nurses, and highlight concepts related to the association's standards for establishing and sustaining healthy work environments. ©2016 American Association of Critical-Care Nurses.

Predicting the environmental impacts of chicken systems in the United Kingdom through a life cycle assessment: egg production systems.

Science.gov (United States)

Leinonen, I; Williams, A G; Wiseman, J; Guy, J; Kyriazakis, I

2012-01-01

The aim of this study was to apply a life cycle assessment (LCA) method, from cradle to gate, to quantify the environmental burdens per 1,000 kg of eggs produced in the 4 major hen-egg production systems in the United Kingdom: 1) cage, 2) barn, 3) free range, and 4) organic. The analysis was based on an approach that applied a structural model for the industry and mechanistic submodels for animal performance, crop production, and nutrient flows. Baseline feeds representative of those used by the UK egg production industry were used. Typical figures from the UK egg production industry, feed intake, mortality of birds, farm energy, and material use in different systems were applied. Monte Carlo simulations were used to quantify the uncertainties in the outputs and allow for comparisons between the systems. The number of birds required to produce 1,000 kg of eggs was highest in the organic and lowest in the cage system; similarly, the amount of feed consumed per bird was highest in the organic and lowest in the cage system. These general differences in productivity largely affected the differences in the environmental impacts between the systems. Feed production, processing, and transport caused greater impacts compared with those from any other component of production; that is, 54 to 75% of the primary energy use and 64 to 72% of the global warming potential of the systems. Electricity (used mainly for ventilation, automatic feeding, and lighting) had the second greatest impact in primary energy use (16-38%). Gas and oil (used mainly for heating in pullet rearing and incineration of dead layer birds) used 7 to 14% of the total primary energy. Manure had the greatest impact on the acidification and eutrophication potentials of the systems because of ammonia emissions that contributed to both of these potentials and nitrate leaching that only affected eutrophication potential. The LCA method allows for comparisons between systems and for the identification of hotspots

Experience and lessons from health impact assessment for human rights impact assessment.

Science.gov (United States)

Salcito, Kendyl; Utzinger, Jürg; Krieger, Gary R; Wielga, Mark; Singer, Burton H; Winkler, Mirko S; Weiss, Mitchell G

2015-09-16

As globalisation has opened remote parts of the world to foreign investment, global leaders at the United Nations and beyond have called on multinational companies to foresee and mitigate negative impacts on the communities surrounding their overseas operations. This movement towards corporate impact assessment began with a push for environmental and social inquiries. It has been followed by demands for more detailed assessments, including health and human rights. In the policy world the two have been joined as a right-to-health impact assessment. In the corporate world, the right-to-health approach fulfils neither managers' need to comprehensively understand impacts of a project, nor rightsholders' need to know that the full suite of their human rights will be safe from violation. Despite the limitations of a right-to-health tool for companies, integration of health into human rights provides numerous potential benefits to companies and the communities they affect. Here, a detailed health analysis through the human rights lens is carried out, drawing on a case study from the United Republic of Tanzania. This paper examines the positive and negative health and human rights impacts of a corporate operation in a low-income setting, as viewed through the human rights lens, considering observations on the added value of the approach. It explores the relationship between health impact assessment (HIA) and human rights impact assessment (HRIA). First, it considers the ways in which HIA, as a study directly concerned with human welfare, is a more appropriate guide than environmental or social impact assessment for evaluating human rights impacts. Second, it considers the contributions HRIA can make to HIA, by viewing determinants of health not as direct versus indirect, but as interrelated.

Streamlined Approach for Environmental Restoration Work Plan for Corrective Action Unit 461: Joint Test Assembly Sites and Corrective Action Unit 495: Unconfirmed Joint Test Assembly Sites Tonopah Test Range, Nevada

Energy Technology Data Exchange (ETDEWEB)

Jeff Smith

1998-08-01

This Streamlined Approach for Environmental Restoration plan addresses the action necessary for the clean closure of Corrective Action Unit 461 (Test Area Joint Test Assembly Sites) and Corrective Action Unit 495 (Unconfirmed Joint Test Assembly Sites). The Corrective Action Units are located at the Tonopah Test Range in south central Nevada. Closure for these sites will be completed by excavating and evaluating the condition of each artillery round (if found); detonating the rounds (if necessary); excavating the impacted soil and debris; collecting verification samples; backfilling the excavations; disposing of the impacted soil and debris at an approved low-level waste repository at the Nevada Test Site

Impact of resident duty hour limits on safety in the intensive care unit: a national survey of pediatric and neonatal intensivists.

Science.gov (United States)

Typpo, Katri V; Tcharmtchi, M Hossein; Thomas, Eric J; Kelly, P Adam; Castillo, Leticia D; Singh, Hardeep

2012-09-01

Resident duty-hour regulations potentially shift the workload from resident to attending physicians. We sought to understand how current or future regulatory changes might impact safety in academic pediatric and neonatal intensive care units. Web-based survey. U.S. academic pediatric and neonatal intensive care units. Attending pediatric and neonatal intensivists. We evaluated perceptions on four intensive care unit safety-related risk measures potentially affected by current duty-hour regulations: 1) attending physician and resident fatigue; 2) attending physician workload; 3) errors (self-reported rates by attending physicians or perceived resident error rates); and 4) safety culture. We also evaluated perceptions of how these risks would change with further duty-hour restrictions. We administered our survey between February and April 2010 to 688 eligible physicians, of whom 360 (52.3%) responded. Most believed that resident error rates were unchanged or worse (91.9%) and safety culture was unchanged or worse (84.4%) with current duty-hour regulations. Of respondents, 61.9% believed their own work-hours providing direct patient care increased and 55.8% believed they were more fatigued while providing direct patient care. Most (85.3%) perceived no increase in their own error rates currently, but in the scenario of further reduction in resident duty-hours, over half (53.3%) believed that safety culture would worsen and a significant proportion (40.3%) believed that their own error rates would increase. Pediatric intensivists do not perceive improved patient safety from current resident duty-hour restrictions. Policies to further restrict resident duty-hours should consider unintended consequences of worsening certain aspects of intensive care unit safety.

Choice in maternity care: associations with unit supply, geographic accessibility and user characteristics

Science.gov (United States)

2012-01-01

Background Despite national policies to promote user choice for health services in many European countries, current trends in maternity unit closures create a context in which user choice may be reduced, not expanded. Little attention has been paid to the potential impact of closures on pregnant women’s choice of maternity unit. We study here how pregnant women’s choices interact with the distance they must travel to give birth, individual socioeconomic characteristics and the supply of maternity units in France in 2003. Results Overall, about one-third of women chose their maternity units based on proximity. This proportion increased steeply as supply was constrained. Greater distances between the first and second closest maternity unit were strongly associated with increasing preferences for proximity; when these distances were ≥ 30 km, over 85% of women selected the closest unit (revealed preference) and over 70% reported that proximity was the reason for their choice (expressed preference). Women living at a short distance to the closest maternity unit appeared to be more sensitive to increases in distance between their first and second closest available maternity units. The preference for proximity, expressed and revealed, was related to demographic and social characteristics: women from households in the manual worker class chose a maternity unit based on its proximity more often and also went to the nearest unit when compared with women from professional and managerial households. These sociodemographic associations held true after adjusting for supply factors, maternal age and socioeconomic status. Conclusions Choice seems to be arbitrated in both absolute and relative terms. Taking changes in supply into consideration and how these affect choice is an important element for assessing the real impact of maternity unit closures on pregnant women’s experiences. An indicator measuring the proportion of women for whom the distance between the first

Provision of bereavement care in neonatal units in the United Kingdom.

Science.gov (United States)

Robertson, Meredith J P; Aldridge, Anne; Curley, Anna E

2011-05-01

To establish what bereavement care services are available in neonatal units in the United Kingdom and to establish the availability to staff (doctors, nurses, and chaplains) of bereavement education, training, communication, and multicultural support. For families who lose a baby in the neonatal period, the support they receive from hospital staff can be pivotal in their ability to cope with their grief. Hospital staff are not always trained to provide this support. Limited evidence is available regarding hospital-based bereavement care in neonatology or its impact on outcome. Questionnaire survey of selected doctors, nurses, and chaplains in 200 neonatal units in the United Kingdom. We had responses from 100% of neonatal units surveyed. Of 600 individuals, 320 responded; 11% of doctors had never received any formal training in bereavement care, compared with 0.8% of nurses and 1.2% and chaplains. In addition, 31% of respondents thought the training they received was inadequate. Knowledge of grief theorists was poor. Up to 99% of units were helping parents create memories through photographs or handprints. Parents were uniformly given the chance to be with their baby at the time of death (99% overall). Siblings were encouraged to be present 71% of the time; 75% of respondents felt that information about the needs of different faith groups was available. Formal psychological support was offered to 45% of families after bereavement. Studies have shown that parents value clear communication, education about grieving, and demonstrated emotional support by staff. Our study has shown that there are deficiencies in staff training and education in this area. Educators must promote the inclusion of content on bereavement/end-of-life care. Additional education on cultural issues would be helpful. Managing the bereavement process well to minimize morbidity for families and healthcare providers is an important challenge for the future.

How does a Next Generation Science Standard Aligned, Inquiry Based, Science Unit Impact Student Achievement of Science Practices and Student Science Efficacy in an Elementary Classroom?

Science.gov (United States)

Whittington, Kayla Lee

This study examined the impact of an inquiry based Next Generation Science Standard aligned science unit on elementary students' understanding and application of the eight Science and Engineering Practices and their relation in building student problem solving skills. The study involved 44 second grade students and three participating classroom teachers. The treatment consisted of a school district developed Second Grade Earth Science unit: What is happening to our playground? that was taught at the beginning of the school year. Quantitative results from a Likert type scale pre and post survey and from student content knowledge assessments showed growth in student belief of their own abilities in the science classroom. Qualitative data gathered from student observations and interviews performed at the conclusion of the Earth Science unit further show gains in student understanding and attitudes. This study adds to the existing literature on the importance of standard aligned, inquiry based science curriculum that provides time for students to engage in science practices.

The Impact of Talent Management System on the Enterprise Performance: a Study on a Sample of Workers in National Company of Juice and Canned-food Unit MANAA (Batna

Directory of Open Access Journals (Sweden)

Zakia Megri

2014-10-01

Full Text Available This research paper aims to see the theoretical and practical views of the impact of management talents on the company performance, and following a descriptive approach that helps to stimulate ideas and attract multidimensional interests. To achieve this goal, we focused on modern literature to address this issue through multiple angles, including: educational psychology, demographic changes, historical development of human resources, the location of TM in light of the knowledge economy, and what said the theorists and practitioners. Through the study on the impact of talent management system on the performance of the national company of juice and canned-food unit MANAA, we approved the hypothesis, which states the existence of a significant impact of the talent management system on company performance.

Expanding the usefulness of unit supply cost

International Nuclear Information System (INIS)

McKenzie, M.B.; Petr, K.

1992-01-01

Unit supply cost is a widely used tool in the energy business for providing a one number-unit cost description. For example, controllable costs such as finding costs, development costs and operating costs have traditionally been described in an average cost per unit of reserves format for the oil and gas industry, however using this approach on more specific applications is not always informative. Projects with widely varying controllable parameters can still yield the same unit cost, making comparisons difficult. The application of unit supply cost can be readily expanded by adding a new unit cost component termed cost of capital. This element introduces the impacts of timing and return on investment into the supply cost determination through discounting annual costs. The cost of capital component adds the ability to represent a project's unique characteristics, particularly reserves' depletion rate and the timing or phasing of development. Introducing the cost of capital element into the supply cost analysis provides additional information and improves the likelihood of drawing correct conclusions when comparing and ranking projects. 4 figs., 6 tabs

Burned forests impact water supplies

Science.gov (United States)

Dennis W. Hallema; Ge Sun; Peter V. Caldwell; Steven P. Norman; Erika C. Cohen; Yongqiang Liu; Kevin D. Bladon; Steven G. McNulty

2018-01-01

Wildland fire impacts on surface freshwater resources have not previously been measured, nor factored into regional water management strategies. But, large wildland fires are increasing and raise concerns about fire impacts on potable water. Here we synthesize longterm records of wildland fire, climate, and river flow for 168 locations across the United States. We show...

Impact of mobile intensive care unit use on total ischemic time and clinical outcomes in ST-elevation myocardial infarction patients - real-world data from the Acute Coronary Syndrome Israeli Survey.

Science.gov (United States)

Koifman, Edward; Beigel, Roy; Iakobishvili, Zaza; Shlomo, Nir; Biton, Yitschak; Sabbag, Avi; Asher, Elad; Atar, Shaul; Gottlieb, Shmuel; Alcalai, Ronny; Zahger, Doron; Segev, Amit; Goldenberg, Ilan; Strugo, Rafael; Matetzky, Shlomi

2017-01-01

Ischemic time has prognostic importance in ST-elevation myocardial infarction patients. Mobile intensive care unit use can reduce components of total ischemic time by appropriate triage of ST-elevation myocardial infarction patients. Data from the Acute Coronary Survey in Israel registry 2000-2010 were analyzed to evaluate factors associated with mobile intensive care unit use and its impact on total ischemic time and patient outcomes. The study comprised 5474 ST-elevation myocardial infarction patients enrolled in the Acute Coronary Survey in Israel registry, of whom 46% ( n=2538) arrived via mobile intensive care units. There was a significant increase in rates of mobile intensive care unit utilization from 36% in 2000 to over 50% in 2010 ( pcare unit use were Killip>1 (odds ratio=1.32, pcare units benefitted from increased rates of primary reperfusion therapy (odds ratio=1.58, pcare unit benefitted from shorter median total ischemic time compared with non-mobile intensive care unit patients (175 (interquartile range 120-262) vs 195 (interquartile range 130-333) min, respectively ( pcare unit use was the most important predictor in achieving door-to-balloon time care unit group (odds ratio=0.79, 95% confidence interval (0.66-0.94), p=0.01). Among patients with ST-elevation myocardial infarction, the utilization of mobile intensive care units is associated with increased rates of primary reperfusion, a reduction in the time interval to reperfusion, and a reduction in one-year adjusted mortality.

78 FR 30920 - Economic Impact Policy

Science.gov (United States)

2013-05-23

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $650 million long... Asian Markets including: China, Japan, Korea, and Taiwan. Interested parties may submit comments on this...

The value of environmental impact assessments

International Nuclear Information System (INIS)

Sohocki, D.D.

1996-01-01

The environment and the economy are inextricably linked. Today the environmental, economic, and social associated with project and program decisions are at times of such a magnitude and duration that they exceed our ability to understand, let alone mitigate them. Energy production, distribution, pricing, policies, end uses, and externalities demonstrate the need for wise planning and informed decision making. International cooperation, based upon mutually shared respect, responsibility, and innovative solutions is an essential component of addressing contemporary issues, impacts, and opportunities. Both egypt and the united states have laws requiring environmental impact assessments. Just as egypt can learn from our successes and failures in the environmental impact assessment field over the past 36 years, the united states and other nations can learn as egypt develops and innovates its own approaches and solutions

The social impact of AIDS in the United States

National Research Council Canada - National Science Library

Jonsen, Albert R; Stryker, Jeff

1993-01-01

... on Monitoring the Social Impact of the AIDS Epidemic Committee on AIDS Research and the Behavioral, Social, and Statistical Sciences Commission on Behavioral and Social Sciences and Education National Research Council NATIONAL ACADEMY PRESS Washington, D.C. 1993 Copyrightthe cannot be not from book, paper however, version for formatting, original author...

75 FR 28021 - Economic Impact Policy

Science.gov (United States)

2010-05-19

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $400 million long.... New Mexican production of ZSM will be sold in the U.S., Canada, Mexico, and Brazil. Interested parties...

76 FR 79679 - Economic Impact Policy

Science.gov (United States)

2011-12-22

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $74 million long..., locomotives and railcars to Canada. The U.S. exports will enable the Canadian mining company to increase...

77 FR 6563 - Economic Impact Policy

Science.gov (United States)

2012-02-08

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $1.74 billion loan... Australia. The U.S. exports will enable the Australian mining company to increase production by about 100...

76 FR 28225 - Economic Impact Policy

Science.gov (United States)

2011-05-16

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $47 million long... services to Australia. The U.S. exports will enable the Australian mining company to produce, on average...

Norms on unitizations of Banach algebras revisited

Czech Academy of Sciences Publication Activity Database

Arhippainen, J.; Müller, Vladimír

2007-01-01

Roč. 114, č. 2 (2007), s. 201-204 ISSN 0236-5294 R&D Projects: GA ČR GA201/03/0041 Institutional research plan: CEZ:AV0Z10190503 Keywords : regular norm * unitization Subject RIV: BA - General Mathematics Impact factor: 0.366, year: 2007

Comparing the Ecological Impacts of Wind and Oil & Gas Development: A Landscape Scale Assessment

Science.gov (United States)

Jones, Nathan F.; Pejchar, Liba

2013-01-01

Energy production in the United States is in transition as the demand for clean and domestic power increases. Wind energy offers the benefit of reduced emissions, yet, like oil and natural gas, it also contributes to energy sprawl. We used a diverse set of indicators to quantify the ecological impacts of oil, natural gas, and wind energy development in Colorado and Wyoming. Aerial imagery was supplemented with empirical data to estimate habitat loss, fragmentation, potential for wildlife mortality, susceptibility to invasion, biomass carbon lost, and water resources. To quantify these impacts we digitized the land-use footprint within 375 plots, stratified by energy type. We quantified the change in impacts per unit area and per unit energy produced, compared wind energy to oil and gas, and compared landscapes with and without energy development. We found substantial differences in impacts between energy types for most indicators, although the magnitude and direction of the differences varied. Oil and gas generally resulted in greater impacts per unit area but fewer impacts per unit energy compared with wind. Biologically important and policy-relevant outcomes of this study include: 1) regardless of energy type, underlying land-use matters and development in already disturbed areas resulted in fewer total impacts; 2) the number and source of potential mortality varied between energy types, however, the lack of robust mortality data limits our ability to use this information to estimate and mitigate impacts; and 3) per unit energy produced, oil and gas extraction was less impactful on an annual basis but is likely to have a much larger cumulative footprint than wind energy over time. This rapid evaluation of landscape-scale energy development impacts could be replicated in other regions, and our specific findings can help meet the challenge of balancing land conservation with society’s demand for energy. PMID:24312296

Comparing the ecological impacts of wind and oil & gas development: a landscape scale assessment.

Directory of Open Access Journals (Sweden)

Nathan F Jones

Full Text Available Energy production in the United States is in transition as the demand for clean and domestic power increases. Wind energy offers the benefit of reduced emissions, yet, like oil and natural gas, it also contributes to energy sprawl. We used a diverse set of indicators to quantify the ecological impacts of oil, natural gas, and wind energy development in Colorado and Wyoming. Aerial imagery was supplemented with empirical data to estimate habitat loss, fragmentation, potential for wildlife mortality, susceptibility to invasion, biomass carbon lost, and water resources. To quantify these impacts we digitized the land-use footprint within 375 plots, stratified by energy type. We quantified the change in impacts per unit area and per unit energy produced, compared wind energy to oil and gas, and compared landscapes with and without energy development. We found substantial differences in impacts between energy types for most indicators, although the magnitude and direction of the differences varied. Oil and gas generally resulted in greater impacts per unit area but fewer impacts per unit energy compared with wind. Biologically important and policy-relevant outcomes of this study include: 1 regardless of energy type, underlying land-use matters and development in already disturbed areas resulted in fewer total impacts; 2 the number and source of potential mortality varied between energy types, however, the lack of robust mortality data limits our ability to use this information to estimate and mitigate impacts; and 3 per unit energy produced, oil and gas extraction was less impactful on an annual basis but is likely to have a much larger cumulative footprint than wind energy over time. This rapid evaluation of landscape-scale energy development impacts could be replicated in other regions, and our specific findings can help meet the challenge of balancing land conservation with society's demand for energy.

Projected impacts of federal tax policy proposals on mortality burden in the United States: A microsimulation analysis.

Science.gov (United States)

Kim, Daniel

2018-06-01

The public health consequences of federal income tax policies that influence income inequality are not well understood. I aimed to project the impacts on mortality of modifying federal income tax structures based on proposals by two recent United States (U.S.) Presidential candidates: Donald Trump and Senator Bernie Sanders. I performed a microsimulation analysis using the latest U.S. Internal Revenue Service public-use tax file with state identifiers (2008 tax year), containing nationally-representative data from 139,651 tax returns. I considered five tax plan scenarios: 1) actual 2008 tax structures; proposals in 2016 by then-candidates 2) Trump and 3) Sanders; 4) a modified Sanders plan with higher top tax rates (75%); and 5) a modified Sanders plan with higher top rates plus revenue redistribution to lower-income households (Trump and Sanders plans, respectively. Under the modified Sanders plan including higher top rates, 68,919 (95% CI: 25,221-113,561) fewer deaths/year are projected. Under the modified Sanders plan with redistribution, 333,504 (95% CI: 192,897-473,787) fewer deaths/year are expected. Policies that both raise federal income tax rates and redistribute tax revenue could confer large reductions in the total number of annual deaths among Americans. In this era of high income inequality and growing public support to address the rich-poor gap, policymakers should consider joint federal tax and redistributive policies as levers to reduce the burden of mortality in the United States. Copyright © 2017 The Author. Published by Elsevier Inc. All rights reserved.

Impact of Medical Tourism on Cosmetic Surgery in the United States

Science.gov (United States)

Franzblau, Lauren E.

2013-01-01

Summary: Developing countries have been attracting more international patients by building state-of-the-art facilities and offering sought-after healthcare services at a fraction of the cost of the US healthcare system. These price differentials matter most for elective procedures, including cosmetic surgeries, which are paid for out of pocket. It is unclear how this rise in medical tourism will affect the practice of plastic surgery, which encompasses a uniquely large number of elective procedures. By examining trends in the globalization of the cosmetic surgery market, we can better understand the current situation and what plastic surgeons in the United States can expect. In this article, we explore both domestic and foreign factors that affect surgical tourism and the current state of this industry. We also discuss how it may affect the practice of cosmetic surgery within the United States. PMID:25289258

Impact of medical tourism on cosmetic surgery in the United States.

Science.gov (United States)

Franzblau, Lauren E; Chung, Kevin C

2013-10-01

Developing countries have been attracting more international patients by building state-of-the-art facilities and offering sought-after healthcare services at a fraction of the cost of the US healthcare system. These price differentials matter most for elective procedures, including cosmetic surgeries, which are paid for out of pocket. It is unclear how this rise in medical tourism will affect the practice of plastic surgery, which encompasses a uniquely large number of elective procedures. By examining trends in the globalization of the cosmetic surgery market, we can better understand the current situation and what plastic surgeons in the United States can expect. In this article, we explore both domestic and foreign factors that affect surgical tourism and the current state of this industry. We also discuss how it may affect the practice of cosmetic surgery within the United States.

Economic Impacts of Potential Foot and Mouth Disease Agro-terrorism in the United States: A Computable General Equilibrium Analysis

Energy Technology Data Exchange (ETDEWEB)

Oladosu, Gbadebo A [ORNL; Rose, Adam [University of Southern California, Los Angeles; Bumsoo, Lee [University of Illinois

2013-01-01

The foot and mouth disease (FMD) virus has high agro-terrorism potential because it is contagious, can be easily transmitted via inanimate objects and can be spread by wind. An outbreak of FMD in developed countries results in massive slaughtering of animals (for disease control) and disruptions in meat supply chains and trade, with potentially large economic losses. Although the United States has been FMD-free since 1929, the potential of FMD as a deliberate terrorist weapon calls for estimates of the physical and economic damage that could result from an outbreak. This paper estimates the economic impacts of three alternative scenarios of potential FMD attacks using a computable general equilibrium (CGE) model of the US economy. The three scenarios range from a small outbreak successfully contained within a state to a large multi-state attack resulting in slaughtering of 30 percent of the national livestock. Overall, the value of total output losses in our simulations range between $37 billion (0.15% of 2006 baseline economic output) and $228 billion (0.92%). Major impacts stem from the supply constraint on livestock due to massive animal slaughtering. As expected, the economic losses are heavily concentrated in agriculture and food manufacturing sectors, with losses ranging from $23 billion to $61 billion in the two industries.

Literature Survey on Technical Issues and Insights of Multi-Unit PSA

International Nuclear Information System (INIS)

Baek, Sejin; Park, Soyoung; Heo, Gyunyoung

2016-01-01

The need consider the risk impact in case of multi-unit in a single site increased after the accident at Fukushima Daiichi in March 2011. This means that we have to consider the single-unit initiators impacting the other units and the simultaneous accidents of the multi-unit on the same site. Particularly, this kind of technical concern is serious in case of the Republic of Korea where multi-units had to be located in high-density population area due to geographical features. The Nuclear Safety and Security Commission (NSSC) in the Republic of Korea has been trying to identify the state of the art of international and domestic regulations and techniques on multi-unit risk assessment and planning the road map for the safety researches. However, we have to say that finding a common accepted methodology along with safety criteria for multi-unit PSA was not an easy task up to now. This paper summarizes and analyzes related international and domestic journals' papers, conferences' papers and reports about the multi-unit PSA classifying categories with themes to understand the technical tendency of multi-unit PSA. In addition, some insights that were obtained from this classification have been arranged too. This paper investigated the technical trend of the multi-unit PSA as collecting of the international and domestic journals' papers, conferences papers and reports, and analyzing them. Upon the literature survey, a few statistics, technical issues, and insights were summarized. Both of the fundamental and practical researches need to find a globally accepted methodology to calculate and determine quantitative objectives for a multi-unit PSA. We want to expect that this paper can be shared to understand the current status of multi-unit PSA

Literature Survey on Technical Issues and Insights of Multi-Unit PSA

Energy Technology Data Exchange (ETDEWEB)

Baek, Sejin; Park, Soyoung; Heo, Gyunyoung [Kyung Hee Univ., Yongin (Korea, Republic of)

2016-10-15

The need consider the risk impact in case of multi-unit in a single site increased after the accident at Fukushima Daiichi in March 2011. This means that we have to consider the single-unit initiators impacting the other units and the simultaneous accidents of the multi-unit on the same site. Particularly, this kind of technical concern is serious in case of the Republic of Korea where multi-units had to be located in high-density population area due to geographical features. The Nuclear Safety and Security Commission (NSSC) in the Republic of Korea has been trying to identify the state of the art of international and domestic regulations and techniques on multi-unit risk assessment and planning the road map for the safety researches. However, we have to say that finding a common accepted methodology along with safety criteria for multi-unit PSA was not an easy task up to now. This paper summarizes and analyzes related international and domestic journals' papers, conferences' papers and reports about the multi-unit PSA classifying categories with themes to understand the technical tendency of multi-unit PSA. In addition, some insights that were obtained from this classification have been arranged too. This paper investigated the technical trend of the multi-unit PSA as collecting of the international and domestic journals' papers, conferences papers and reports, and analyzing them. Upon the literature survey, a few statistics, technical issues, and insights were summarized. Both of the fundamental and practical researches need to find a globally accepted methodology to calculate and determine quantitative objectives for a multi-unit PSA. We want to expect that this paper can be shared to understand the current status of multi-unit PSA.

Acute surgical unit: The consultant experience

Directory of Open Access Journals (Sweden)

Patrick J Stokes

2016-07-01

Full Text Available Background Establishment of the Acute Surgical Unit (ASU has redefined the approach to emergency surgery in Australia with quantitative data showing improvement in patient outcomes. However, as qualitative data regarding the ASU remains scarce, we sought to determine the impact of the ASU on overall surgeon job satisfaction. Aims The aim of this paper was to specifically address the impact of the ASU on consultant surgeons overall job satisfaction. Methods We designed a 34 – item questionnaire with consultant general surgeons addressing important aspects of the ASU. Themes included on – call rostering and workload, academic pursuits, surgical training, work – life balance and overall job satisfaction. Results We received responses from 88 surgeons currently working on ASU units, responding correctly and in full to the survey. Overall, our surveyed cohort reported better on – call rostering, improved surgical training and higher levels of job satisfaction and overall work – life balance with ASU implementation. Conclusion Preliminary qualitative results indicate that the ASU may improve on – call rostering, work – life balance and overall job satisfaction.

How to make an eye unit child friendly

Directory of Open Access Journals (Sweden)

Joan McLeod-Omawale

2010-03-01

Full Text Available Meeting the needs of children and their parents in an eye unit, whether at primary, district, or tertiary level, has a significant impact on the eye team’s ability to provide good quality eye care.

Assessment and economic valuation of air pollution impacts on human health over Europe and the United States as calculated by a multi-model ensemble in the framework of AQMEII3

Science.gov (United States)

The impact of air pollution on human health and the associated external costs in Europe and the United States (US) for the year 2010 are modeled by a multi-model ensemble of regional models in the frame of the third phase of the Air Quality Modelling Evaluation International Init...

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

Science.gov (United States)

Vogus, Timothy J; Sutcliffe, Kathleen M

2011-01-01

Prior research has found that safety organizing behaviors of registered nurses (RNs) positively impact patient safety. However, little research exists on the joint benefits of safety organizing and other contextual factors that help foster safety. Although we know that organizational practices often have more powerful effects when combined with other mutually reinforcing practices, little research exists on the joint benefits of safety organizing and other contextual factors believed to foster safety. Specifically, we examined the benefits of bundling safety organizing with leadership (trust in manager) and design (use of care pathways) factors on reported medication errors. A total of 1033 RNs and 78 nurse managers in 78 emergency, internal medicine, intensive care, and surgery nursing units in 10 acute-care hospitals in Indiana, Iowa, Maryland, Michigan, and Ohio who completed questionnaires between December 2003 and June 2004. Cross-sectional analysis of medication errors reported to the hospital incident reporting system for the 6 months after the administration of the survey linked to survey data on safety organizing, trust in manager, use of care pathways, and RN characteristics and staffing. Multilevel Poisson regression analyses indicated that the benefits of safety organizing on reported medication errors were amplified when paired with high levels of trust in manager or the use of care pathways. Safety organizing plays a key role in improving patient safety on hospital nursing units especially when bundled with other organizational components of a safety supportive system.

Impact of a risk management plan on Legionella contamination of dental unit water.

Science.gov (United States)

Leoni, Erica; Dallolio, Laura; Stagni, Francesca; Sanna, Tiziana; D'Alessandro, Giovanni; Piana, Gabriela

2015-02-23

The study aimed to assess the prevalence of Legionella spp. in dental unit waterlines of a dental clinic and to verify whether the microbiological parameters used as indicators of water quality were correlated with Legionella contamination. A risk management plan was subsequently implemented in the dental health care setting, in order to verify whether the adopted disinfection protocols were effective in preventing Legionella colonization. The water delivered from syringes and turbines of 63 dental units operating in a dental clinic, was monitored for counts of the heterotrophic bacteria P. aeruginosa and Legionella spp. (22 °C and 37 °C). At baseline, output water from dental units continuously treated with disinfection products was more compliant with the recommended standards than untreated and periodically treated water. However, continuous disinfection was still not able to prevent contamination by Legionella and P. aeruginosa. Legionella was isolated from 36.4%, 24.3% and 53.3% of samples from untreated, periodically and continuously treated waterlines, respectively. The standard microbiological parameters used as indicators of water quality proved to be unreliable as predictors of the presence of Legionella, whose source was identified as the tap water used to supply the dental units. The adoption of control measures, including the use of deionized water in supplying the dental unit waterlines and the application of a combined protocol of continuous and periodic disinfection, with different active products for the different devices, resulted in good control of Legionella contamination. The efficacy of the measures adopted was mainly linked to the strict adherence to the planned protocols, which placed particular stress on staff training and ongoing environmental monitoring.

Health impact assessment in the United States: Has practice followed standards?

International Nuclear Information System (INIS)

Schuchter, Joseph; Bhatia, Rajiv; Corburn, Jason; Seto, Edmund

2014-01-01

As an emerging practice, Health Impact Assessment is heterogeneous in purpose, form, and scope and applied in a wide range of decision contexts. This heterogeneity challenges efforts to evaluate the quality and impact of practice. We examined whether information in completed HIA reports reflected objectively-evaluable criteria proposed by the North American HIA Practice Standards Working Group in 2009. From publically-available reports of HIAs conducted in the U.S. and published from 2009 to 2011, we excluded those that were components of, or comment letters on, Environmental Impact Assessments (5) or were demonstration projects or student exercises (8). For the remaining 23 reports, we used practice standards as a template to abstract data on the steps of HIA, including details on the rationale, authorship, funding, decision and decision-makers, participation, pathways and methods, quality of evidence, and recommendations. Most reports described screening, scoping, and assessment processes, but there was substantial variation in the extent of these processes and the degree of stakeholder participation. Community stakeholders participated in screening or scoping in just two-thirds of the HIAs (16). On average, these HIAs analyzed 5.5 determinants related to 10.6 health impacts. Most HIA reports did not include evaluation or monitoring plans. This study identifies issues for field development and improvement. The standards might be adapted to better account for variability in resources, produce fit-for-purpose HIAs, and facilitate innovation guided by the principles. - Highlights: • Our study examined reported HIAs in the U.S. against published practice standards. • Most HIAs used some screening, scoping and assessment elements from the standards. • The extent of these processes and stakeholder participation varied widely. • The average HIA considered multiple health determinants and impacts. • Evaluation or monitoring plans were generally not included in

Health impact assessment in the United States: Has practice followed standards?

Energy Technology Data Exchange (ETDEWEB)

Schuchter, Joseph, E-mail: jws@berkeley.edu [University of California, Berkeley, School of Public Health, Department of Environmental Health Sciences, 50 University Hall, Berkeley, CA 94720-7360 (United States); Bhatia, Rajiv [University of California, Berkeley, Institute of Urban and Regional Development (United States); Corburn, Jason [University of California, Berkeley, College of Environmental Design, Department of City and Regional Planning (United States); Seto, Edmund [University of Washington, School of Public Health, Department of Environmental and Occupational Health (United States)

2014-07-01

As an emerging practice, Health Impact Assessment is heterogeneous in purpose, form, and scope and applied in a wide range of decision contexts. This heterogeneity challenges efforts to evaluate the quality and impact of practice. We examined whether information in completed HIA reports reflected objectively-evaluable criteria proposed by the North American HIA Practice Standards Working Group in 2009. From publically-available reports of HIAs conducted in the U.S. and published from 2009 to 2011, we excluded those that were components of, or comment letters on, Environmental Impact Assessments (5) or were demonstration projects or student exercises (8). For the remaining 23 reports, we used practice standards as a template to abstract data on the steps of HIA, including details on the rationale, authorship, funding, decision and decision-makers, participation, pathways and methods, quality of evidence, and recommendations. Most reports described screening, scoping, and assessment processes, but there was substantial variation in the extent of these processes and the degree of stakeholder participation. Community stakeholders participated in screening or scoping in just two-thirds of the HIAs (16). On average, these HIAs analyzed 5.5 determinants related to 10.6 health impacts. Most HIA reports did not include evaluation or monitoring plans. This study identifies issues for field development and improvement. The standards might be adapted to better account for variability in resources, produce fit-for-purpose HIAs, and facilitate innovation guided by the principles. - Highlights: • Our study examined reported HIAs in the U.S. against published practice standards. • Most HIAs used some screening, scoping and assessment elements from the standards. • The extent of these processes and stakeholder participation varied widely. • The average HIA considered multiple health determinants and impacts. • Evaluation or monitoring plans were generally not included in

The Impact of Sex of Child on Breastfeeding in the United States.

Science.gov (United States)

Shafer, Emily Fitzgibbons; Hawkins, Summer Sherburne

2017-11-01

Background Sex of child has been shown to impact breastfeeding duration in India, Australia, Scandinavia, Latin America, and, within the US, in a sample in Eastern Connecticut and in a separate sample of Indian and Chinese immigrants. Objectives The objective of this study is to examine differences in breastfeeding initiation and duration by sex of child across racial/ethnic groups in the US. Methods We used the Pregnancy Risk Assessment Monitoring System 2009-2010 and logistic regression to examine whether sex of child impacts breastfeeding initiation and duration for at least 8 weeks by women's racial/ethnic group. Results Among the 66,107 women in our sample representing 12 different race/ethnic groups, Hispanic women (n = 9049) had lower odds of breastfeeding initiation (adjusted odds ratio [AOR] = 0.81, 95% CI 0.71-0.93) and breastfeeding duration (AOR = .87, 95% CI 0.80-0.96) if they have sons compared to Hispanic women who have daughters. Sex of child did not impact the odds of breastfeeding initiation or duration among any other race/ethnic group. Conclusion We have shown that, for Hispanics in the US, sex of child may have an impact on breastfeeding, a health behavior that has a variety of positive impacts on infants throughout their lives. Boys, relative to girls, were at a disadvantage in breastfeeding initiation and duration. Future work is necessary to unpack the mechanisms behind these findings. In particular, how sex of child impacts how mothers and fathers view the nutritional needs of their children and breastfeeding more broadly.

Impact of Locality on Location Aware Unit Disk Graphs

Directory of Open Access Journals (Sweden)

Evangelos Kranakis

2008-09-01

Full Text Available Due to their importance for studies oi wireless networks, recent years have seen a surge of activity on the design of local algorithms for the solution of a variety of network tasks. We study the behaviour of algorithms with very low localities. Despite of this restriction we propose local constant ratio approximation algorithms for solving minimum dominating and connected dominating set, maximum independent set and minimum vertex cover in location aware Unit Disk Graphs. We also prove the first ever lower bounds for local algorithms for these problems with a given locality in the location aware setting.

Assessment of the Impact of Radioactive Disposals and Discharges from the United Kingdom Low Level Waste Repository on the Ecosystem

International Nuclear Information System (INIS)

Barber, N.

2009-01-01

This paper describes an assessment of the impacts to ecosystems and wildlife species from radioactive discharges and disposals at the United Kingdom's low level waste disposal facility in West Cumbria. The assessment was undertaken in response to a requirement in the site's current authorisation and comprised a detailed desk based review along with an exercise to screen relevant monitoring data from the site against generic assessment criteria and undertake a numerical risk assessment. Much of the site is vegetated, comprising a variety of habitats including grassland, relict dune heath and surface water bodies. Furthermore, the site is located adjacent to a coastal/estuarine area which is protected as it provides a habitat of high ecological value and species of animals and plants are present that are rare, endangered or vulnerable. However, the current impact of aerial and liquid radioactive discharges from the low level waste repository on ecosystems and wildlife species is considered to be low. Site monitoring data also indicate that there has been a reduction of radionuclide activities in ground and surface water and leachates over time, a result of measures initiated to minimise rainwater infiltration and improve leachate management associated with the disposal area. A quantitative assessment was undertaken to assess future impacts to relevant terrestrial, fresh water and marine ecosystems. This showed that modelled peak radionuclide concentrations in the first 4,000 years after site closure were not sufficiently high to cause potential impact to any of these ecosystems or associated wildlife. This cut-off date was chosen as it is considered probable that, due to the effects of future climate and landscape change and, unless actions are taken to defend the coastline, the site is likely to be disrupted by coastal erosion in the next 4,000 years. (authors)

The Impact of a Potential Shale Gas Development in Germany and the United Kingdom on Pollutant and Greenhouse Gas Emissions

Science.gov (United States)

Weger, L.; Cremonese, L.; Bartels, M. P.; Butler, T. M.

2016-12-01

Several European countries with domestic shale gas reserves are considering extracting this natural gas resource to complement their energy transition agenda. Natural gas, which produces lower CO2 emissions upon combustion compared to coal or oil, has the potential to serve as a bridge in the transition from fossil fuels to renewables. However, the generation of shale gas leads to emissions of CH4 and pollutants such as PM, NOx and VOCs, which in turn impact climate as well as local and regional air quality. In this study, we explore the impact of a potential shale gas development in Europe, specifically in Germany and the United Kingdom, on emissions of greenhouse gases and pollutants. In order to investigate the effect on emissions, we first estimate a range of wells drilled per year and production volume for the two countries under examination based on available geological information and on regional infrastructural and economic limitations. Subsequently we assign activity data and emissions factors to the well development, gas production and processing stages of shale gas generation to enable emissions quantification. We then define emissions scenarios to explore different storylines of potential shale gas development, including low emissions (high level of regulation), high emissions (low level of regulation) and middle emissions scenarios, which influence fleet make-up, emission factor and activity data choices for emissions quantification. The aim of this work is to highlight important variables and their ranges, to promote discussion and communication of potential impacts, and to construct possible visions for a future shale gas development in the two study countries. In a follow-up study, the impact of pollutant emissions from these scenarios on air quality will be explored using the Weather Research and Forecasting model with chemistry (WRF-Chem) model.

Impact of Medical Tourism on Cosmetic Surgery in the United States

Directory of Open Access Journals (Sweden)

Lauren E. Franzblau, BS

2013-10-01

Full Text Available Summary: Developing countries have been attracting more international patients by building state-of-the-art facilities and offering sought-after healthcare services at a fraction of the cost of the US healthcare system. These price differentials matter most for elective procedures, including cosmetic surgeries, which are paid for out of pocket. It is unclear how this rise in medical tourism will affect the practice of plastic surgery, which encompasses a uniquely large number of elective procedures. By examining trends in the globalization of the cosmetic surgery market, we can better understand the current situation and what plastic surgeons in the United States can expect. In this article, we explore both domestic and foreign factors that affect surgical tourism and the current state of this industry. We also discuss how it may affect the practice of cosmetic surgery within the United States.

Air quality impacts of projections of natural gas-fired distributed generation

Science.gov (United States)

Horne, Jeremy R.; Carreras-Sospedra, Marc; Dabdub, Donald; Lemar, Paul; Nopmongcol, Uarporn; Shah, Tejas; Yarwood, Greg; Young, David; Shaw, Stephanie L.; Knipping, Eladio M.

2017-11-01

This study assesses the potential impacts on emissions and air quality from the increased adoption of natural gas-fired distributed generation of electricity (DG), including displacement of power from central power generation, in the contiguous United States. The study includes four major tasks: (1) modeling of distributed generation market penetration; (2) modeling of central power generation systems; (3) modeling of spatially and temporally resolved emissions; and (4) photochemical grid modeling to evaluate the potential air quality impacts of increased DG penetration, which includes both power-only DG and combined heat and power (CHP) units, for 2030. Low and high DG penetration scenarios estimate the largest penetration of future DG units in three regions - New England, New York, and California. Projections of DG penetration in the contiguous United States estimate 6.3 GW and 24 GW of market adoption in 2030 for the low DG penetration and high DG penetration scenarios, respectively. High DG penetration (all of which is natural gas-fired) serves to offset 8 GW of new natural gas combined cycle (NGCC) units, and 19 GW of solar photovoltaic (PV) installations by 2030. In all scenarios, air quality in the central United States and the northwest remains unaffected as there is little to no DG penetration in those states. California and several states in the northeast are the most impacted by emissions from DG units. Peak increases in maximum daily 8-h average ozone concentrations exceed 5 ppb, which may impede attainment of ambient air quality standards. Overall, air quality impacts from DG vary greatly based on meteorological conditions, proximity to emissions sources, the number and type of DG installations, and the emissions factors used for DG units.

[Impact of an emergency department short-stay unit on clinical management and quality of hospital care indicators].

Science.gov (United States)

Richard Espiga, Fernando; Mòdol Deltell, Josep María; Martín-Sánchez, Francisco Javier; Fernández Sierra, Abel; Fernández Pérez, Cristina; Pastor, Antoni Juan

2017-06-01

The primary aim was to study the impact that creating a short-stay unit (SSU) had on clinical management and quality of care indicators of a hospital overall and its conventional wards. The secondary aim was to establish values for those indicators and determine the level of satisfaction of patients admitted to the SSU. Quasi-experimental before-after study of the impact of establishing a SSU in a tertiary care teaching hospital. The first period (without the SSU) was in 2012, the second (with the SSU) was from 2013 through 2015. To meet the first objective we selected cases in 2012 in which patients were hospitalized for problems related to the 5 diagnosis-related groups most often admitted to the SSU in the second period. To meet the second objective, we studied all patients admitted to the SSU in the second period Data related to quality of care and clinical management were analyzed retrospectively. and asked them to complete a questionnaire on patient satisfaction. A total of 76 241 admissions were included: 19 090 in the first period and 57 151 in the second (2705 admissions were to the SSU). The mean hospital stay decreased in the second period (incidence rate ratio [IRR], 0.93; 95% CI, 0.91-0.95); the mean stay also decreased on medical wards (IRR, 0.94; 95% CI, 0.92-0.96) with no impact on adverse outcomes. The mean stay in the SSU was under 3 days in spite of an increase in the weighted mean (IRR,1.08; 95% CI, 1.05-1.11). A total of 320 questionnaires were received (11.8% response rate); all aspects were assessed very highly. Our experience suggests that opening a SSU could improve clinical management and quality of care indicators for a hospital overall and for its conventional wards in the context of the GRDs that most frequently lead to admissions.

Air pollution and early deaths in the United States. Part I: Quantifying the impact of major sectors in 2005

Science.gov (United States)

Caiazzo, Fabio; Ashok, Akshay; Waitz, Ian A.; Yim, Steve H. L.; Barrett, Steven R. H.

2013-11-01

Combustion emissions adversely impact air quality and human health. A multiscale air quality model is applied to assess the health impacts of major emissions sectors in United States. Emissions are classified according to six different sources: electric power generation, industry, commercial and residential sources, road transportation, marine transportation and rail transportation. Epidemiological evidence is used to relate long-term population exposure to sector-induced changes in the concentrations of PM2.5 and ozone to incidences of premature death. Total combustion emissions in the U.S. account for about 200,000 (90% CI: 90,000-362,000) premature deaths per year in the U.S. due to changes in PM2.5 concentrations, and about 10,000 (90% CI: -1000 to 21,000) deaths due to changes in ozone concentrations. The largest contributors for both pollutant-related mortalities are road transportation, causing ∼53,000 (90% CI: 24,000-95,000) PM2.5-related deaths and ∼5000 (90% CI: -900 to 11,000) ozone-related early deaths per year, and power generation, causing ∼52,000 (90% CI: 23,000-94,000) PM2.5-related and ∼2000 (90% CI: -300 to 4000) ozone-related premature mortalities per year. Industrial emissions contribute to ∼41,000 (90% CI: 18,000-74,000) early deaths from PM2.5 and ∼2000 (90% CI: 0-4000) early deaths from ozone. The results are indicative of the extent to which policy measures could be undertaken in order to mitigate the impact of specific emissions from different sectors - in particular black carbon emissions from road transportation and sulfur dioxide emissions from power generation.

The Northeastern United States Energy-Water Nexus: Climate Change Impacts and Alternative Water Management Strategies for the Power Sector

Science.gov (United States)

Miara, A.; Macknick, J.; Vorosmarty, C. J.; Cohen, S. M.; Rosenzweig, B.

2014-12-01

The Northeastern United States (NE) relies heavily on thermoelectric power plants (90% of total capacity) to provide electricity to more than 70 million people. This region's power plants require consistent, large volumes of water at sufficiently cold temperatures to generate electricity efficiently, and withdraw approximately 10.5 trillion gallons of water annually. Previous findings indicate that assessments of future electricity pathways must account for water availability, water temperature and the changing climate, as changes in these conditions may limit operational efficiency in the future. To account for such electric system vulnerabilities, we have created a link between an electricity system capacity expansion model (ReEDS) and a hydrologic model that is coupled to a power plant simulation model (FrAMES-TP2M) that allows for a new approach to analyze electricity system development, performance, and environmental impacts. Together, these coupled tools allow us to estimate electricity development and operations in the context of a changing climate and impacts on the seasonal spatial and temporal variability of water resources, downstream thermal effluents that cause plant-to-plant interferences and harm aquatic habitat, economic costs of water conservation methods and associated carbon emissions. In this study, we test and compare a business-as-usual strategy with three alternative water management scenarios that include changes in cooling technologies and water sources utilized for the years 2014-2050. Results of these experiments can provide useful insight into the feasibility of the electricity expansion scenarios in terms of associated water use and thermal impacts, carbon emissions, the cost of generating electricity, and also highlight the importance of accounting for water resources in future power sector planning and performance assessments.

[Single-family rooms for neonatal intensive care units impacts on preterm newborns, families, and health-care staff. A systematic literature review].

Science.gov (United States)

Servel, A-C; Rideau Batista Novais, A

2016-09-01

The quality of the environment is an essential point in the care of preterm newborns. The design of neonatal intensive care units (NICUs) (open-bay, single-patient room, single-family room) directly affects both the preterm newborns and their caregivers (parents, healthcare staff). The aim of this systematic review was to evaluate the impact of single-family rooms on the preterm newborn, its parents, and the staff. Single-family rooms improve outcome for the preterm newborn, with increasing parental involvement and better control of the environment (fewer inappropriate stimulations such as high levels of noise and illumination). This kind of NICU design also improves parental and staff satisfaction. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Parent Participation in Pediatric Intensive Care Unit Rounds via Telemedicine: Feasibility and Impact.

Science.gov (United States)

Yager, Phoebe H; Clark, Maureen; Cummings, Brian M; Noviski, Natan

2017-06-01

To evaluate feasibility and impact of telemedicine for remote parent participation in pediatric intensive care unit (PICU) rounds when parents are unable to be present at their child's bedside. Parents of patients admitted to a 14-bed PICU were approached, and those unable to attend rounds were eligible subjects. Nurse and physician caregivers were also surveyed. Parents received an iPad (Apple Inc, Cupertino, California) with an application enabling audio-video connectivity with the care team. At a predetermined time for bedside rounds with the PICU team, parents entered a virtual meeting room to participate. Following each telemedicine encounter, participants (parent, physician, nurse) completed a brief survey rating satisfaction (0?=?not satisfied, 10?=?completely satisfied) and disruption (0?=?no disruption at all, 10?=?very disruptive). A total of 153 surveys were completed following 51 telemedicine encounters involving 13 patients. Parents of enrolled patients cited work demands (62%), care for other dependents (46%), and transportation difficulties (31%) as reasons for study participation. The median levels of satisfaction and disruption were 10 (range 5-10) and 0 (range 0-5), respectively. All parents reported that telemedicine encounters had a positive effect on their level of reassurance regarding their child's care and improved communication with the care team. This proof-of-concept study indicates that remote parent participation in PICU rounds is feasible, enhances parent-provider communication, and offers parents reassurance. Providers reported a high level of satisfaction with minimal disruption. Technological advancements to streamline teleconferencing workflow are needed to ensure program sustainability. Copyright © 2017. Published by Elsevier Inc.

Replacement energy costs for nuclear electricity-generating units in the United States: 1997--2001. Volume 4

International Nuclear Information System (INIS)

VanKuiken, J.C.; Guziel, K.A.; Tompkins, M.M.; Buehring, W.A.

1997-09-01

This report updates previous estimates of replacement energy costs for potential short-term shutdowns of 109 US nuclear electricity-generating units. This information was developed to assist the US Nuclear Regulatory Commission (NRC) in its regulatory impact analyses, specifically those that examine the impacts of proposed regulations requiring retrofitting of or safety modifications to nuclear reactors. Such actions might necessitate shutdowns of nuclear power plants while these changes are being implemented. The change in energy cost represents one factor that the NRC must consider when deciding to require a particular modification. Cost estimates were derived from probabilistic production cost simulations of pooled utility system operations. Factors affecting replacement energy costs, such as random unit failures, maintenance and refueling requirements, and load variations, are treated in the analysis. This report describes an abbreviated analytical approach as it was adopted to update the cost estimates published in NUREG/CR-4012, Vol. 3. The updates were made to extend the time frame of cost estimates and to account for recent changes in utility system conditions, such as change in fuel prices, construction and retirement schedules, and system demand projects

Insuring unit failures in electricity markets

International Nuclear Information System (INIS)

Pineda, S.; Conejo, A.J.; Carrion, M.

2010-01-01

An electric energy producer participates in futures markets in the hope of hedging the risk of trading in the pool. However, this producer is required to supply the energy associated with all its signed forward contracts even if some of its units are forced out due to unexpected failures. In this case, the producer must purchase some of the energy needed to meet its futures market commitments in the pool, which may result in high losses if the pool prices happen to be higher than the forward contract prices. To mitigate these losses, the producer can take out insurance against the forced outages of its units. Using a stochastic programming model, this paper analyzes the convenience of signing an insurance against unit failure by an electric energy producer and its impact on forward contracting decisions. Results from a realistic case study are provided and analyzed.

Vibration characteristics of a hydraulic generator unit rotor system with parallel misalignment and rub-impact

Energy Technology Data Exchange (ETDEWEB)

Huang, Zhiwei; Zhou, Jianzhong; Yang, Mengqi; Zhang, Yongchuan [Huazhong University of Science and Technology, College of Hydraulic and Digitalization Engineering, Wuhan, Hubei Province (China)

2011-07-15

The object of this research aims at the hydraulic generator unit rotor system. According to fault problems of the generator rotor local rubbing caused by the parallel misalignment and mass eccentricity, a dynamic model for the rotor system coupled with misalignment and rub-impact is established. The dynamic behaviors of this system are investigated using numerical integral method, as the parallel misalignment, mass eccentricity and bearing stiffness vary. The nonlinear dynamic responses of the generator rotor and turbine rotor with coupling faults are analyzed by means of bifurcation diagrams, Poincare maps, axis orbits, time histories and amplitude spectrum diagrams. Various nonlinear phenomena in the system, such as periodic, three-periodic and quasi-periodic motions, are studied with the change of the parallel misalignment. The results reveal that vibration characteristics of the rotor system with coupling faults are extremely complex and there are some low frequencies with large amplitude in the 0.3-0.4 x components. As the increase in mass eccentricity, the interval of nonperiodic motions will be continuously moved forward. It suggests that the reduction in mass eccentricity or increase in bearing stiffness could preclude nonlinear vibration. These might provide some important theory references for safety operating and exact identification of the faults in rotating machinery. (orig.)

CSIR Technology Impact 2003

CSIR Research Space (South Africa)

CSIR

2003-01-01

Full Text Available This issue of Technology Impact offers a brief snapshot of CSIR activities during the year under review (1 March 2002 - 28 February 2003) by highlighting a number of innovative projects and initiatives in various CSIR business units....

75 FR 36700 - Exelon Generation Company, LLC; Three Mile Island Nuclear Station, Unit 1; Environmental...

Science.gov (United States)

2010-06-28

...; Three Mile Island Nuclear Station, Unit 1; Environmental Assessment and Finding of No Significant Impact... Company, LLC (the licensee), for operation of Three Mile Island Nuclear Station, Unit 1 (TMI-1), located... Three Mile Island Nuclear Station, Units 1 and 2, NUREG-0552, dated December 1972, and Generic...

78 FR 9111 - Commercial and Industrial Solid Waste Incineration Units: Reconsideration and Final Amendments...

Science.gov (United States)

2013-02-07

... impacts? 2. What are the water and solid waste impacts? 3. What are the energy impacts? 4. What are the.... Pulp and Paper Sludge 4. Rulemaking Petition Process for Other Categorical Non-Waste Determinations (40... and 241 Commercial and Industrial Solid Waste Incineration Units: Reconsideration and Final Amendments...

Clinical Impact of a Pharmaceutical Care Programme Developed in a Family Health Unit: Results of a Pharmacist-Physician Collaboration in the Treatment of Hypertensive Patients

Directory of Open Access Journals (Sweden)

Mónica Condinho

2016-07-01

Full Text Available Introduction: The positive impact of pharmacist-physician collaborative care has been reported in the international literature, although examples of this impact are limited in Portugal. We aim to underline the clinical added value for hypertensive patients that results from pharmacist-physician collaborations. Methods: A community trial was conducted at a Portuguese family health unit for 19 months. The intervention group was randomly selected from the global records and members of the group received pharmaceutical care in addition to physician care. The comparison group received only physician care. Both groups were comparable at the beginning of the study. In the intervention group, we analysed the hypertensive patients to evaluate the impact of pharmacist-physician collaboration on the patients’ blood pressure levels. This evaluation was performed by comparing the obtained blood pressure levels with the levels at baseline and between the groups. Results: A total of 17 patients with hypertension were enrolled in the pharmaceutical care programme, 12 of whom were female. The mean age was 68.50±3.26 years and, on average, each patient consumed 6.06±0.93 medicinal products. Thirteen patients were uncontrolled. Compared with the baseline, the intervention group achieved mean reductions of 28.85±5.90 mmHg (p < 0.0005 and 11.23±2.75 mmHg (p < 0.005 in their systolic and diastolic blood pressure, respectively. Considering the comparison group, improvements of 18.63±6.44 mmHg (p = 0.011 in systolic blood pressure and 9.03±2.63 mmHg ( p < 0.005 in diastolic blood pressure were observed. Conclusion: Pharmacist-physician collaborative care adds clinical value to the typical physician care provided to hypertensive patients within the context of a Portuguese family health unit.

Impact of Transpacific Aerosol on Air Quality over the United States: A Perspective from Aerosol-Cloud-Radiation Interactions

Science.gov (United States)

Tao, Zhining; Yu, Hongbin; Chin, Mian

2015-01-01

Observations have well established that aerosols from various sources in Asia, Europe, and Africa can travel across the Pacific and reach the contiguous United States (U.S.) at least on episodic bases throughout a year, with a maximum import in spring. The imported aerosol not only can serve as an additional source to regional air pollution (e.g., direct input), but also can influence regional air quality through the aerosol-cloud-radiation (ACR) interactions that change local and regional meteorology. This study assessed impacts of the transpacific aerosol on air quality, focusing on surface ozone and PM2.5, over the U.S. using the NASA Unified Weather Research Forecast model. Based on the results of 3- month (April to June of 2010) simulations, the impact of direct input (as an additional source) of transpacific aerosol caused an increase of surface PM2.5 concentration by approximately 1.5 micro-g/cu m over the west coast and about 0.5 micro-g/cu m over the east coast of the U.S. By influencing key meteorological processes through the ACR interactions, the transpacific aerosol exerted a significant effect on both surface PM2.5 (+/-6 micro-g/cu m3) and ozone (+/-12 ppbv) over the central and eastern U.S. This suggests that the transpacific transport of aerosol could either improve or deteriorate local air quality and complicate local effort toward the compliance with the U.S. National Ambient Air Quality Standards.

Associations among unit leadership and unit climates for implementation in acute care: a cross-sectional study.

Science.gov (United States)

Shuman, Clayton J; Liu, Xuefeng; Aebersold, Michelle L; Tschannen, Dana; Banaszak-Holl, Jane; Titler, Marita G

2018-04-25

Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units. A multi-site, multi-unit cross-sectional research design was used to recruit the sample of 24 nurse managers and 553 randomly selected staff nurses from 24 adult medical-surgical units from 7 acute care hospitals in the Northeast and Midwestern USA. Staff nurse perceptions of nurse manager EBP leadership behaviors and unit climates for EBP implementation were measured using the Implementation Leadership Scale and Implementation Climate Scale, respectively. EBP competencies of nurse managers were measured using the Nurse Manager EBP Competency Scale. Participants were emailed a link to an electronic questionnaire and asked to respond within 1 month. The contributions of nurse manager EBP leadership behaviors and competencies in explaining unit climates for EBP implementation were estimated using mixed-effects models controlling for nurse education and years of experience on current unit and accounting for the variability across hospitals and units. Significance level was set at α < .05. Two hundred sixty-four staff nurses and 22 nurse managers were included in the final sample, representing 22 units in 7 hospitals. Nurse manager EBP leadership behaviors (p < .001) and EBP competency (p = .008) explained 52.4% of marginal variance in unit climate for EBP implementation. Leadership behaviors uniquely explained 45.2% variance. The variance accounted for by the random intercepts for hospitals and units (p < .001) and years of nursing experience in current unit

Origin of discrepancies between crater size-frequency distributions of coeval lunar geologic units via target property contrasts

Science.gov (United States)

van der Bogert, C. H.; Hiesinger, H.; Dundas, C. M.; Krüger, T.; McEwen, A. S.; Zanetti, M.; Robinson, M. S.

2017-12-01

Recent work on dating Copernican-aged craters, using Lunar Reconnaissance Orbiter (LRO) Camera data, re-encountered a curious discrepancy in crater size-frequency distribution (CSFD) measurements that was observed, but not understood, during the Apollo era. For example, at Tycho, Copernicus, and Aristarchus craters, CSFDs of impact melt deposits give significantly younger relative and absolute model ages (AMAs) than impact ejecta blankets, although these two units formed during one impact event, and would ideally yield coeval ages at the resolution of the CSFD technique. We investigated the effects of contrasting target properties on CSFDs and their resultant relative and absolute model ages for coeval lunar impact melt and ejecta units. We counted craters with diameters through the transition from strength- to gravity-scaling on two large impact melt deposits at Tycho and King craters, and we used pi-group scaling calculations to model the effects of differing target properties on final crater diameters for five different theoretical lunar targets. The new CSFD for the large King Crater melt pond bridges the gap between the discrepant CSFDs within a single geologic unit. Thus, the observed trends in the impact melt CSFDs support the occurrence of target property effects, rather than self-secondary and/or field secondary contamination. The CSFDs generated from the pi-group scaling calculations show that targets with higher density and effective strength yield smaller crater diameters than weaker targets, such that the relative ages of the former are lower relative to the latter. Consequently, coeval impact melt and ejecta units will have discrepant apparent ages. Target property differences also affect the resulting slope of the CSFD, with stronger targets exhibiting shallower slopes, so that the final crater diameters may differ more greatly at smaller diameters. Besides their application to age dating, the CSFDs may provide additional information about the

The nexus between energy systems and public health: an investigation into the co-impacts of energy sector technology transitions on outdoor air pollution and public health in The United Kingdom and Greater London

OpenAIRE

Lott, Melissa Christenberry

2017-01-01

There is significant value to be gained from insights on the trade-offs and synergies between proposed air quality and climate interventions. But, the models used in support of decarbonisation and air quality policies have not holistically considered these co-impacts. This thesis documents the use of an energy systems model to quantify the co-impacts of decarbonisation pathways on air pollution and vice versa in the United Kingdom. This manuscript further documents the soft-linking of this mo...

77 FR 29701 - Impact of Construction (Under a Combined License) of New Nuclear Power Plant Units on Operating...

Science.gov (United States)

2012-05-18

... New Nuclear Power Plant Units on Operating Units at Multi-Unit Sites AGENCY: Nuclear Regulatory... construct and operate new nuclear power plants (NPPs) on multi-unit sites to provide an evaluation of the... License) of New Nuclear Power Plants on Operating Units at Multi-Unit Sites (Package). ML112630039 Federal...

Appendix E: Research papers. Use of remote sensing in landscape stratification for environmental impact assessment

Science.gov (United States)

Stanturf, J. A.; Heimbuch, D. G.

1980-01-01

A refinement to the matrix approach to environmental impact assessment is to use landscape units in place of separate environmental elements in the analysis. Landscape units can be delineated by integrating remotely sensed data and available single-factor data. A remote sensing approach to landscape stratification is described and the conditions under which it is superior to other approaches that require single-factor maps are indicated. Flowcharts show the steps necessary to develop classification criteria, delineate units and a map legend, and use the landscape units in impact assessment. Application of the approach to assessing impacts of a transmission line in Montana is presented to illustrate the method.

The impact of socioeconomic inequalities and lack of health insurance on physical functioning among middle-aged and older adults in the United States.

Science.gov (United States)

Kim, Jinhyun; Richardson, Virginia

2012-01-01

Socioeconomic inequalities and lack of private health insurance have been viewed as significant contributors to health disparities in the United States. However, few studies have examined their impact on physical functioning over time, especially in later life. The current study investigated the impact of socioeconomic inequalities and lack of private health insurance on individuals' growth trajectories in physical functioning, as measured by activities of daily living. Data from the Health and Retirement Study (1994-2006) were used for this study, 6519 black and white adults who provided in-depth information about health, socioeconomic, financial and health insurance information were analysed. Latent growth curve modelling was used to estimate the initial level of physical functioning and its rate of change over time. Results showed that higher level of income and assets and having private health insurance significantly predicted better physical functioning. In particular, decline in physical functioning was slower among those who had private health insurance. Interestingly, changes in economic status, such as decreases in income and assets, had a greater impact on women's physical functioning than on men's. Black adults did not suffer more rapid declines in physical functioning than white adults after controlling for socioeconomic status. The current longitudinal study suggested that anti-poverty and health insurance policies should be enhanced to reduce the negative impact of socioeconomic inequalities on physical functioning throughout an individual's life course. © 2011 Blackwell Publishing Ltd.

Adapting social impact assessment to address a project's human rights impacts and risks

NARCIS (Netherlands)

Esteves, Ana Maria; Factor, Gabriela; Vanclay, Frank; Gotzmann, Nora; Moreira, Sergio

2017-01-01

We address the weaknesses inherent in the social risk assessments undertaken for business, especially hi the extractive industries. In contrast to the conventional approach that considers consequence to the company rather than to impacted communities, conformance with the United Nations Guiding

Petrographic Studies of Rocks from The Chesapeake Bay Impact ...

African Journals Online (AJOL)

Shock petrographic investigations were carried out on samples collected from drill cores from the Chesapeake Bay impact structure (USA). The late Eocene Chesapeake impact structure is, at 85 km diameter, currently the largest impact structure known in the United States, buried at shallow to moderate depths beneath ...

Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment

Science.gov (United States)

Chatziioannidis, Ilias; Bascialla, Francesca Giuseppina; Chatzivalsama, Panagiota; Vouzas, Fotios; Mitsiakos, Georgios

2018-01-01

Objectives The aim of this study is to examine the prevalence, to report barriers and mental health impact of bullying behaviours and to analyse whether psychological support at work could affect victims of bullying in the healthcare workplace. Design Self-administered questionnaire survey. Setting 20 in total neonatal intensive care units in 17 hospitals in Greece. Participants 398 healthcare professionals (doctors, nurses). Main outcome measures The questionnaire included information on demographic data, Negative Act Questionnaire-Revised (NAQ-R) behaviour scale, data on sources of bullying, perpetrators profile, causal factors, actions taken and reasons for not reporting bullying, psychological support and 12-item General Health Questionnaire (GHQ-12) scores to investigate psychological distress. Results Prevalence of bullying measured by the NAQ-R was 53.1% for doctors and 53.6% for nurses. Victims of bullying differed from non-bullied in terms of gender and job experience, among demographic data. Crude NAQ-R score was found higher for female, young and inexperienced employees. Of those respondents who experienced bullying 44.9% self-labelled themselves as victims. Witnessing bullying of others was found 83.2%. Perpetrators were mainly females 45–64 years old, most likely being a supervisor/senior colleague. Common reasons for not reporting bullying was self-dealing and fear of consequences. Bullying was attributed to personality trait and management. Those who were bullied, self-labelled as a victim and witnessed bullying of others had higher GHQ-12 score. Moreover, psychological support at work had a favour effect on victims of bullying. Conclusions Prevalence of bullying and witnessing were found extremely high, while half of victims did not consider themselves as sufferers. The mental health impact on victims and witnesses was severe and support at work was necessary to ensure good mental health status among employees. PMID:29478015

Hands in medicine: understanding the impact of competency-based education on the formation of medical students' identities in the United States.

Science.gov (United States)

Gonsalves, Catherine; Zaidi, Zareen

2016-01-01

There have been critiques that competency training, which defines the roles of a physician by simple, discrete tasks or measurable competencies, can cause students to compartmentalize and focus mainly on being assessed without understanding how the interconnected competencies help shape their role as future physicians. Losing the meaning and interaction of competencies can result in a focus on 'doing the work of a physician' rather than identity formation and 'being a physician.' This study aims to understand how competency-based education impacts the development of a medical student's identity. Three ceramic models representing three core competencies 'medical knowledge,' 'patient care,' and 'professionalism' were used as sensitizing objects, while medical students reflected on the impact of competency-based education on identity formation. Qualitative analysis was used to identify common themes. Students across all four years of medical school related to the 'professionalism' competency domain (50%). They reflected that 'being an empathetic physician' was the most important competency. Overall, students agreed that competency-based education played a significant role in the formation of their identity. Some students reflected on having difficulty in visualizing the interconnectedness between competencies, while others did not. Students reported that the assessment structure deemphasized 'professionalism' as a competency. Students perceive 'professionalism' as a competency that impacts their identity formation in the social role of 'being a doctor,' albeit a competency they are less likely to be assessed on. High-stakes exams, including the United States Medical Licensing Exam clinical skills exam, promote this perception.

Limiting our impact on the environment

CERN Multimedia

2012-01-01

CERN’s fourth safety objective for 2012 concerns the reduction of the environmental impact of noise and energy consumption associated with CERN's activities.   In order to continue to reduce the impact of noise on our neighbours, the HSE Unit is coordinating measures to reduce noise in the environment at all the LHC and SPS points, and on the Meyrin and Prévessin sites. If you are aware of a high-intensity noise that could disturb those living and working close to our sites, you can contact the HSE Unit. And most important of all, please take this potential nuisance into account when you're planning new projects. The HSE Unit is there to help you. The other aspect of our environmental target for the year is to optimise CERN's energy consumption. We can achieve this by limiting the energy consumption of facilities right from the design stage - from small components to large installations - and by using renewable energies even on a sma...

The Caspian energy game: views from the United States and United Kingdom

International Nuclear Information System (INIS)

Bird, H.

2003-01-01

The importance of the Caspian Sea region to energy production is increasing and the forces influencing it are changing. The attention on this region focuses on its oil and natural gas reserves. A series of interviews with Western experts mainly from the United States and United Kingdom, including those in international organizations, academia, policy institutions, and government and industry officials identified key trends and issues that are important to their future policies and the significance of the Caspian oil and gas to the world energy market. The overriding issues are: The influence of Russia on regional security, stability, and the transportation of oil and gas products in the Caspian region. The outcome of the test between the United States and Iraq and the major effects it could have on commercial interests in the region and on who will be the major actors. Tensions caused by Iran refusal to settle the international demarcation of the Caspian Sea. Turkey position as a player, the affect of its new islamic-dominated government and its energy policies. Europe need to import gas and to diversify its supply. The construction of a pipeline to China. The impact of September 11, 2001 and terrorism on the Caspian region issues. The stability of the former Soviet Republics in the region. (author)

The Caspian energy game: views from the United States and United Kingdom

Energy Technology Data Exchange (ETDEWEB)

Bird, H

2003-07-01

The importance of the Caspian Sea region to energy production is increasing and the forces influencing it are changing. The attention on this region focuses on its oil and natural gas reserves. A series of interviews with Western experts mainly from the United States and United Kingdom, including those in international organizations, academia, policy institutions, and government and industry officials identified key trends and issues that are important to their future policies and the significance of the Caspian oil and gas to the world energy market. The overriding issues are: The influence of Russia on regional security, stability, and the transportation of oil and gas products in the Caspian region. The outcome of the test between the United States and Iraq and the major effects it could have on commercial interests in the region and on who will be the major actors. Tensions caused by Iran refusal to settle the international demarcation of the Caspian Sea. Turkey position as a player, the affect of its new islamic-dominated government and its energy policies. Europe need to import gas and to diversify its supply. The construction of a pipeline to China. The impact of September 11, 2001 and terrorism on the Caspian region issues. The stability of the former Soviet Republics in the region. (author)

Characterization of Triaxial Braided Composite Material Properties for Impact Simulation

Science.gov (United States)

Roberts, Gary D.; Goldberg, Robert K.; Biniendak, Wieslaw K.; Arnold, William A.; Littell, Justin D.; Kohlman, Lee W.

2009-01-01

The reliability of impact simulations for aircraft components made with triaxial braided carbon fiber composites is currently limited by inadequate material property data and lack of validated material models for analysis. Improvements to standard quasi-static test methods are needed to account for the large unit cell size and localized damage within the unit cell. The deformation and damage of a triaxial braided composite material was examined using standard quasi-static in-plane tension, compression, and shear tests. Some modifications to standard test specimen geometries are suggested, and methods for measuring the local strain at the onset of failure within the braid unit cell are presented. Deformation and damage at higher strain rates is examined using ballistic impact tests on 61- by 61- by 3.2-mm (24- by 24- by 0.125-in.) composite panels. Digital image correlation techniques were used to examine full-field deformation and damage during both quasi-static and impact tests. An impact analysis method is presented that utilizes both local and global deformation and failure information from the quasi-static tests as input for impact simulations. Improvements that are needed in test and analysis methods for better predictive capability are examined.

The impact of sexual harassment on job satisfaction, turnover intentions, and absenteeism: findings from Pakistan compared to the United States.

Science.gov (United States)

Merkin, Rebecca S; Shah, Muhammad Kamal

2014-01-01

The purpose of this study was to compare and contrast how differences in perceptions of sexual harassment impact productive work environments for employees in Pakistan as compared to the US; in particular, how it affects job satisfaction, turnover, and/or absenteeism. This study analyzed employee responses in Pakistan (n = 146) and the United States (n = 102, 76) using questionnaire data. Significant results indicated that employees who were sexually harassed reported (a) a decrease in job satisfaction (b) greater turnover intentions and (c) a higher rate of absenteeism. Cross-cultural comparisons indicated that (a) Pakistani employees who were sexually harassed had greater job dissatisfaction and higher overall absenteeism than did their US counterparts and (b) Pakistani women were more likely to use indirect strategies to manage sexual harassment than were US targets.

Lessons learnt from the resin release into the primary circuit of the Fessenheim NPP unit 1 in January 2004. Impact on the nuclear safety

International Nuclear Information System (INIS)

Georgescu, M.

2004-01-01

On January the 24 th , at the Fessenheim NPP unit 1, a human error was committed during a boron demineralizer line-up, caused by lack of preparation. Consequently, a quantity of resin estimated at about 300 liters was released from this demineralizer, through its safety valve, into the head-tank of the chemical and volume control (CVC) system and after that, into the primary circuit. The incident had a real impact on the unit: the CVC filters were clogged, the seal injection flow of the primary circuit main pumps was lost, the primary circuit main pump 2 tripped four days after the incident, as the rate of the recirculated seal leak flow (downstream the seal 1) increased up to the automatic trip set point, the shaft of the running primary circuit feed pump was found seized into the rear hydrostatic bearing following the pump stop (after ten days of successful operation), the thimble plugs were jammed into their guide tubes, the small diameter pipes were plugged. The unit shutdown for over five months was necessary to clean the primary circuit components, repair or replace the affected equipment items and carry out inspections and tests. The reinforced unit in-service monitoring program, set up during the unit start-up, confirms that, up to now, the unit operation has not been adversely affected by the residual amounts of resin which subsist in certain areas of the primary circuit. Nevertheless, it remains to verify that, in the long term, these deposits will have no negative chemical effect in the potential confined areas, such as the thermal barriers of the primary circuit main pumps. Finally, the occurrence of this incident underlines, once more, the importance of normal operating activity preparing and checking. It also reveals the implementation of an ''unforgiving'' design change allowing the installation of a boron demineralizer safety valve having its outlet connected to the primary circuit. (orig.)

The impact of deregulation on the US nuclear industry

Energy Technology Data Exchange (ETDEWEB)

Baratta, A.J. [Pennsylvania State Univ., Nuclear Safety Center, University Park, PA (United States)

2001-07-01

In the United States, the electric utility industry is undergoing a dramatic shift away from a tightly regulated monopoly to a free market system. The impact on the nuclear utility industry of deregulation coupled with recent changes in the nuclear regulatory environment has had a dramatic impact on the future of nuclear power in the United States. Utilities have been broken up into separate generation, transmission, and distribution companies and are now allowed to sell electricity outside of their former service areas. As economic deregulation has occurred, the U.S. Nuclear Regulatory Commission has also adopted a new approach to regulation -- risk informed regulation. The implementation of risk-informed regulation has resulted in the adoption of a new regulatory format that attempts to highlight those areas having greatest risk significance. This paper explores these and other changes that have resulted because of the changing economic and regulatory environment for nuclear energy and examines their impact on the future of nuclear energy in the United States. (author)

The impact of deregulation on the US nuclear industry

International Nuclear Information System (INIS)

Baratta, A.J.

2001-01-01

In the United States, the electric utility industry is undergoing a dramatic shift away from a tightly regulated monopoly to a free market system. The impact on the nuclear utility industry of deregulation coupled with recent changes in the nuclear regulatory environment has had a dramatic impact on the future of nuclear power in the United States. Utilities have been broken up into separate generation, transmission, and distribution companies and are now allowed to sell electricity outside of their former service areas. As economic deregulation has occurred, the U.S. Nuclear Regulatory Commission has also adopted a new approach to regulation -- risk informed regulation. The implementation of risk-informed regulation has resulted in the adoption of a new regulatory format that attempts to highlight those areas having greatest risk significance. This paper explores these and other changes that have resulted because of the changing economic and regulatory environment for nuclear energy and examines their impact on the future of nuclear energy in the United States. (author)

Key performance indicators in an acute surgical unit: have we made an impact?

Science.gov (United States)

Hsee, Li; Devaud, Marcelo; Civil, Ian

2012-10-01

Timely access to acute surgery is a worldwide issue and New Zealand is similarly affected. Auckland City Hospital is one of the largest metropolitan public hospitals in New Zealand where more than 60 % of surgical admissions fit into the acute category. In January 2009, an Acute Surgical Unit (ASU) was set up to improve acute surgical flow. Key performance indicators (KPIs) were identified as valuable tools in evaluating ASU service performance. Our goals were to describe the current acute patient pathway, present the early trend of KPIs for the ASU and determine whether an impact has been made on acute surgical patients. A retrospective review of patients admitted with acute general surgical conditions from January 2008 (pre-ASU) to October 2010 was performed. Patient data were identified through hospital electronic records. KPIs assessed included: (1) time to assess referred patients from the emergency department (ED) and from GPs [where patient assessment occurs in the assessment and planning unit (APU)]; (2) preoperative length of stay (LOS[PO]); (3) length of stay of nonadmitted patients (LOS[NA]); (4) case volume "in h" (0730-1730) versus "after h"; and (5) readmission rate. Statistical analysis was performed with one-way ANOVA, regression, and χ(2) tests. Results show a reduction of mean time from referral to assessment from 2.28 to 1.6 h in the ED (p ≤ 0.001). Patients are seen in APU after GP referral sooner as well as the time from referral to assessment reducing from 2 to 1.76 h (p < 0.001). The LOS[PO] has not changed significantly overall (34.58 vs. 34.88 h, p = not significant [NS]). However, there are encouraging signs in high-volume procedures, such as appendicectomy. The mean LOS[PO] for appendicectomy was 7.81 h but is now 6.53 h (p ≤ 0.005). The LOS[NA] has decreased from 15.23 to 9.48 h (p < 0.005). Since the development of the ASU, the number of cases operated on "in hours" is increasing with a corresponding decrease in "after hours

Teachers Environmental Resource Unit: Energy and Power.

Science.gov (United States)

Bemiss, Clair W.

Problems associated with energy production and power are studied in this teacher's guide to better understand the impact of man's energy production on the environment, how he consumes energy, and in what quantities. The resource unit is intended to provide the teacher with basic information that will aid classroom review of these problems. Topics…

Strategies business of the unit providing services of virtual training – unipanamericana compensar.

Directory of Open Access Journals (Sweden)

Jenny Marcela Cardona Bedoya

2015-03-01

Full Text Available This article presents the results of processes thesis of "Master in Management and Marketing Management and Global New Markets" for the University Camilo José Cela. The data collection is done through an exploratory research and the study of business unit Unit Providing Services of Virtual Training Unipanamericana - Compensate. Considering secondary sources we identified: 1 The most important in the world and in Colombia at the level of new technologies, 2 The development trends of the array Mic Mac establishes the relationship between trends and portfolio of the business unit. And 3 Identify the growth of applications and the impact of E-learning. The collection and analysis of information on the qualitative method developed through interviews, aiming to identify trends that impact the marketing plan. In the analysis were found four trends that impact the line of business: The joint educational levels, The new educational experiences, Changes in learning models and Strengthening education systems. These trends were explored in an evaluative context, to identify new technologies that are necessary for professional development.   

Free vibration analysis of linear particle chain impact damper

Science.gov (United States)

Gharib, Mohamed; Ghani, Saud

2013-11-01

Impact dampers have gained much research interest over the past decades that resulted in several analytical and experimental studies being conducted in that area. The main emphasis of such research was on developing and enhancing these popular passive control devices with an objective of decreasing the three parameters of contact forces, accelerations, and noise levels. To that end, the authors of this paper have developed a novel impact damper, called the Linear Particle Chain (LPC) impact damper, which mainly consists of a linear chain of spherical balls of varying sizes. The LPC impact damper was designed utilizing the kinetic energy of the primary system through placing, in the chain arrangement, a small-sized ball between each two large-sized balls. The concept of the LPC impact damper revolves around causing the small-sized ball to collide multiple times with the larger ones upon exciting the primary system. This action is believed to lead to the dissipation of part of the kinetic energy at each collision with the large balls. This paper focuses on the outcome of studying the free vibration of a single degree freedom system that is equipped with the LPC impact damper. The proposed LPC impact damper is validated by means of comparing the responses of a single unit conventional impact damper with those resulting from the LPC impact damper. The results indicated that the latter is considerably more efficient than the former impact damper. In order to further investigate the LPC impact damper effective number of balls and efficient geometry when used in a specific available space in the primary system, a parametric study was conducted and its result is also explained herein. Single unit impact damper [14-16]. Multiunit impact damper [17,18]. Bean bag impact damper [19,20]. Particle/granular impact damper [21,23,22]. Resilient impact damper [24]. Buffered impact damper [25-27]. Multiunit impact damper consists of multiple masses instead of a single mass. This

Impacts of rising air temperatures on electric transmission ampacity and peak electricity load in the United States

Science.gov (United States)

Bartos, Matthew; Chester, Mikhail; Johnson, Nathan; Gorman, Brandon; Eisenberg, Daniel; Linkov, Igor; Bates, Matthew

2016-11-01

Climate change may constrain future electricity supply adequacy by reducing electric transmission capacity and increasing electricity demand. The carrying capacity of electric power cables decreases as ambient air temperatures rise; similarly, during the summer peak period, electricity loads typically increase with hotter air temperatures due to increased air conditioning usage. As atmospheric carbon concentrations increase, higher ambient air temperatures may strain power infrastructure by simultaneously reducing transmission capacity and increasing peak electricity load. We estimate the impacts of rising ambient air temperatures on electric transmission ampacity and peak per-capita electricity load for 121 planning areas in the United States using downscaled global climate model projections. Together, these planning areas account for roughly 80% of current peak summertime load. We estimate climate-attributable capacity reductions to transmission lines by constructing thermal models of representative conductors, then forcing these models with future temperature projections to determine the percent change in rated ampacity. Next, we assess the impact of climate change on electricity load by using historical relationships between ambient temperature and utility-scale summertime peak load to estimate the extent to which climate change will incur additional peak load increases. We find that by mid-century (2040-2060), increases in ambient air temperature may reduce average summertime transmission capacity by 1.9%-5.8% relative to the 1990-2010 reference period. At the same time, peak per-capita summertime loads may rise by 4.2%-15% on average due to increases in ambient air temperature. In the absence of energy efficiency gains, demand-side management programs and transmission infrastructure upgrades, these load increases have the potential to upset current assumptions about future electricity supply adequacy.

Impact of Brexit on the United Kingdom’s Housing Market

OpenAIRE

Syromiatnikova, Sofia

2017-01-01

This thesis aims to analyse the changes in the real estate market in the United Kingdom and trace and identify the factors that would trigger a price change. The dissertation investigates the possible change in the value of housing caused by Brexit, which is a specific group of investment assets and a major component of household wealth for the UK. Understanding the nature and degree of change in housing prices will make market participants aware of the size of their risk exposure and can hel...

Unit testing as a teaching tool in higher education

Directory of Open Access Journals (Sweden)

Peláez Canek

2016-01-01

Full Text Available Unit testing in the programming world has had a profound impact in the way modern complex systems are developed. Many Open Source and Free Software projects encourage (and in some cases, mandate the use of unit tests for new code submissions, and many software companies around the world have incorporated unit testing as part of their standard developing practices. And although not all software engineers use them, very few (if at all object their use. However, there is almost no research available pertaining the use of unit tests as a teaching tool in introductory programming courses. I have been teaching introductory programming courses in the Computer Sciences program at the Sciences Faculty in the National Autonomous University of Mexico for almost ten years, and since 2013 I have been using unit testing as a teaching tool in those courses. The intent of this paper is to discuss the results of this experience.

Closure Report for Corrective Action Unit 107: Low Impact Soil Sites, Nevada Test Site, Nevada

International Nuclear Information System (INIS)

2009-01-01

Corrective Action Unit (CAU) 107 is identified in the Federal Facility Agreement and Consent Order (FFACO) as 'Low Impact Soil Sites' and consists of the following 15 Corrective Action Sites (CASs), located in Areas 1, 2, 3, 4, 5, 9, 10, and 18 of the Nevada Test Site: CAS 01-23-02, Atmospheric Test Site - High Alt; CAS 02-23-02, Contaminated Areas (2); CAS 02-23-03, Contaminated Berm; CAS 02-23-10, Gourd-Amber Contamination Area; CAS 02-23-11, Sappho Contamination Area; CAS 02-23-12, Scuttle Contamination Area; CAS 03-23-24, Seaweed B Contamination Area; CAS 03-23-27, Adze Contamination Area; CAS 03-23-28, Manzanas Contamination Area; CAS 03-23-29, Truchas-Chamisal Contamination Area; CAS 04-23-02, Atmospheric Test Site T4-a; CAS 05-23-06, Atmospheric Test Site; CAS 09-23-06, Mound of Contaminated Soil; CAS 10-23-04, Atmospheric Test Site M-10; and CAS 18-23-02, U-18d Crater (Sulky). Closure activities were conducted from February through April 2009 according to the FFACO (1996; as amended February 2008) and Revision 1 of the Streamlined Approach for Environmental Restoration Plan for CAU 107 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, 2009). The corrective action alternatives included No Further Action and Closure in Place with Administrative Controls. Closure activities are summarized.

Global Strategy Implementation at the Business Unit Level: Operational Capabilities and Administrative Mechanisms

OpenAIRE

Kendall Roth; David M Schweiger; Allen J Morrison

1991-01-01

The study examines the impact of internationally strategy on organizational design and the influence of the organizational design on effectiveness at the business unit level. The empirical findings are based on survey responses from eighty-two business units competing in global industries. The findings are supportive of the contingency notion which suggests that business unit effectiveness is a function of the fit between the international strategy and the organizational design.© 1991 JIBS. J...

Feasibility of coupled empirical and dynamic modeling to assess climate change and air pollution impacts on temperate forest vegetation of the eastern United States.

Science.gov (United States)

McDonnell, T C; Reinds, G J; Sullivan, T J; Clark, C M; Bonten, L T C; Mol-Dijkstra, J P; Wamelink, G W W; Dovciak, M

2018-03-01

Changes in climate and atmospheric nitrogen (N) deposition caused pronounced changes in soil conditions and habitat suitability for many plant species over the latter half of the previous century. Such changes are expected to continue in the future with anticipated further changing air temperature and precipitation that will likely influence the effects of N deposition. To investigate the potential long-term impacts of atmospheric N deposition on hardwood forest ecosystems in the eastern United States in the context of climate change, application of the coupled biogeochemical and vegetation community model VSD+PROPS was explored at three sites in New Hampshire, Virginia, and Tennessee. This represents the first application of VSD+PROPS to forest ecosystems in the United States. Climate change and elevated (above mid-19th century) N deposition were simulated to be important factors for determining habitat suitability. Although simulation results suggested that the suitability of these forests to support the continued presence of their characteristic understory plant species might decline by the year 2100, low data availability for building vegetation response models with PROPS resulted in uncertain results at the extremes of simulated N deposition. Future PROPS model development in the United States should focus on inclusion of additional foundational data or alternate candidate predictor variables to reduce these uncertainties. Copyright © 2017 Elsevier Ltd. All rights reserved.

Postdeployment reintegration experiences of female soldiers from national guard and reserve units in the United States.

Science.gov (United States)

Kelly, Patricia J; Berkel, LaVerne A; Nilsson, Johanna E

2014-01-01

Women are an integral part of Reserve and National Guard units and active duty armed forces of the United States. Deployment to conflict and war zones is a difficult experience for both soldiers and their families. On return from deployment, all soldiers face the challenge of reintegration into family life and society, but those from the National Guard and Reserve units face the additional challenge of reintegration in relative isolation from other soldiers. There is limited research about the reintegration experiences of women and the functioning of the families during reintegration following deployment. The goal was to document postdeployment family reintegration experiences of women in the National Guard. Semistructured interviews were conducted with 42 female members of Midwestern National Guard units. Directed content analysis was used to identify categories of experiences related to women's family reintegration. Five categories of postdeployment experience for female soldiers and their families were identified: Life Is More Complex, Loss of Military Role, Deployment Changes You, Reestablishing Partner Connections, and Being Mom Again. The categories reflected individual and family issues, and both need to be considered when soldiers and their families seek care. Additional research is needed to fully understand the specific impact of gender on women's reintegration.

Short circuit behavior of distribution grids with a large share of distributied generation units

NARCIS (Netherlands)

Coster, E.J.; Karaliolios, P.; Xyngi, I.; Slootweg, J.G.; Popov, M.; Kling, W.L.; Sluis, van der L.

2011-01-01

increasing rapidly. Most of these units are connected to the distribution grid. With the increasing penetration level the impact of these units on for instance power flows, fault levels and protective systems cannot be neglected anymore. To allow an increasing penetration level of DG without causing

Socioeconomic impact on device-associated infections in pediatric intensive care units of 16 limited-resource countries: international Nosocomial Infection Control Consortium findings.

Science.gov (United States)

Rosenthal, Victor D; Jarvis, William R; Jamulitrat, Silom; Silva, Cristiane Pavanello Rodrigues; Ramachandran, Bala; Dueñas, Lourdes; Gurskis, Vaidotas; Ersoz, Gulden; Novales, María Guadalupe Miranda; Khader, Ilham Abu; Ammar, Khaldi; Guzmán, Nayide Barahona; Navoa-Ng, Josephine Anne; Seliem, Zeinab Salah; Espinoza, Teodora Atencio; Meng, Cheong Yuet; Jayatilleke, Kushlani

2012-07-01

We report the results of the International Nosocomial Infection Control Consortium prospective surveillance study from January 2004 to December 2009 in 33 pediatric intensive care units of 16 countries and the impact of being in a private vs. public hospital and the income country level on device-associated health care-associated infection rates. Additionally, we aim to compare these findings with the results of the Centers for Disease Control and Prevention National Healthcare Safety Network annual report to show the differences between developed and developing countries regarding device-associated health care-associated infection rates. A prospective cohort, active device-associated health care-associated infection surveillance study was conducted on 23,700 patients in International Nosocomial Infection Control Consortium pediatric intensive care units. The protocol and methodology implemented were developed by International Nosocomial Infection Control Consortium. Data collection was performed in the participating intensive care units. Data uploading and analyses were conducted at International Nosocomial Infection Control Consortium headquarters on proprietary software. Device-associated health care-associated infection rates were recorded by applying Centers for Disease Control and Prevention National Healthcare Safety Network device-associated infection definitions, and the impact of being in a private vs. public hospital and the income country level on device-associated infection risk was evaluated. None. Central line-associated bloodstream infection rates were similar in private, public, or academic hospitals (7.3 vs. 8.4 central line-associated bloodstream infection per 1,000 catheter-days [p infection rates in lower middle-income countries were higher than low-income countries or upper middle-income countries (12.2 vs. 5.5 central line-associated bloodstream infections per 1,000 catheter-days [p infection rates were similar in academic, public and private

An Introduction to Retail Electricity Choice in the United States

Energy Technology Data Exchange (ETDEWEB)

Zhou, Shengru [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2017-10-04

Retail electricity choice in the United States allows end-use customers (including industrial, commercial, and residential customers) to buy electricity from competitive retail suppliers. This brochure offers an overview of retail electricity choice in the United States, and its impact on prices and renewable energy procurement. It concludes with three lessons learned from the U.S. retail market experience that may serve as a reference for other countries and regions taking steps towards retail electricity market liberalization.

Impact assessment: Eroding benefits through streamlining?

Energy Technology Data Exchange (ETDEWEB)

Bond, Alan, E-mail: alan.bond@uea.ac.uk [School of Environmental Sciences, University of East Anglia (United Kingdom); School of Geo and Spatial Sciences, North-West University (South Africa); Pope, Jenny, E-mail: jenny@integral-sustainability.net [Integral Sustainability (Australia); Curtin University Sustainability Policy Institute (Australia); Morrison-Saunders, Angus, E-mail: A.Morrison-Saunders@murdoch.edu.au [School of Geo and Spatial Sciences, North-West University (South Africa); Environmental Science, Murdoch University (Australia); Retief, Francois, E-mail: francois.retief@nwu.ac.za [School of Geo and Spatial Sciences, North-West University (South Africa); Gunn, Jill A.E., E-mail: jill.gunn@usask.ca [Department of Geography and Planning and School of Environment and Sustainability, University of Saskatchewan (Canada)

2014-02-15

This paper argues that Governments have sought to streamline impact assessment in recent years (defined as the last five years) to counter concerns over the costs and potential for delays to economic development. We hypothesise that this has had some adverse consequences on the benefits that subsequently accrue from the assessments. This hypothesis is tested using a framework developed from arguments for the benefits brought by Environmental Impact Assessment made in 1982 in the face of the UK Government opposition to its implementation in a time of economic recession. The particular benefits investigated are ‘consistency and fairness’, ‘early warning’, ‘environment and development’, and ‘public involvement’. Canada, South Africa, the United Kingdom and Western Australia are the jurisdictions tested using this framework. The conclusions indicate that significant streamlining has been undertaken which has had direct adverse effects on some of the benefits that impact assessment should deliver, particularly in Canada and the UK. The research has not examined whether streamlining has had implications for the effectiveness of impact assessment, but the causal link between streamlining and benefits does sound warning bells that merit further investigation. -- Highlights: • Investigation of the extent to which government has streamlined IA. • Evaluation framework was developed based on benefits of impact assessment. • Canada, South Africa, the United Kingdom, and Western Australia were examined. • Trajectory in last five years is attrition of benefits of impact assessment.

Impact assessment: Eroding benefits through streamlining?

International Nuclear Information System (INIS)

Bond, Alan; Pope, Jenny; Morrison-Saunders, Angus; Retief, Francois; Gunn, Jill A.E.

2014-01-01

This paper argues that Governments have sought to streamline impact assessment in recent years (defined as the last five years) to counter concerns over the costs and potential for delays to economic development. We hypothesise that this has had some adverse consequences on the benefits that subsequently accrue from the assessments. This hypothesis is tested using a framework developed from arguments for the benefits brought by Environmental Impact Assessment made in 1982 in the face of the UK Government opposition to its implementation in a time of economic recession. The particular benefits investigated are ‘consistency and fairness’, ‘early warning’, ‘environment and development’, and ‘public involvement’. Canada, South Africa, the United Kingdom and Western Australia are the jurisdictions tested using this framework. The conclusions indicate that significant streamlining has been undertaken which has had direct adverse effects on some of the benefits that impact assessment should deliver, particularly in Canada and the UK. The research has not examined whether streamlining has had implications for the effectiveness of impact assessment, but the causal link between streamlining and benefits does sound warning bells that merit further investigation. -- Highlights: • Investigation of the extent to which government has streamlined IA. • Evaluation framework was developed based on benefits of impact assessment. • Canada, South Africa, the United Kingdom, and Western Australia were examined. • Trajectory in last five years is attrition of benefits of impact assessment

Reflections on the Value of Mapping the Final Theory Examination in a Molecular Biochemistry Unit †

OpenAIRE

Eri, Rajaraman; Cook, Anthony; Brown, Natalie

2014-01-01

This article assesses the impact of examination mapping as a tool to enhancing assessment and teaching quality in a second-year biochemistry unit for undergraduates. Examination mapping is a process where all questions in a written examination paper are assessed for links to the unit’s intended learning outcomes. We describe how mapping a final written examination helped visualise the impact of the assessment task on intended learning outcomes and skills for that biochemistry unit. The method...

THE UNITED STATES EDUCATIONAL SYSTEM

OpenAIRE

David Suriñach Fernández

2017-01-01

The United States educational system is very complex. Due to the fact a big number of agents take play of its regulation, the differences between the education from one State compared to the education from another, or even between school districts, might be considerable. The last two largest federal education initiatives, No Child Left Behind and Race to the Top, have had a huge impact on the American education system. The escalation of the standardized test throughout the whole country as a ...

The Process and Impact of Stakeholder Engagement in Developing a Pediatric Intensive Care Unit Communication and Decision-Making Intervention.

Science.gov (United States)

Michelson, Kelly N; Frader, Joel; Sorce, Lauren; Clayman, Marla L; Persell, Stephen D; Fragen, Patricia; Ciolino, Jody D; Campbell, Laura C; Arenson, Melanie; Aniciete, Danica Y; Brown, Melanie L; Ali, Farah N; White, Douglas

2016-12-01

Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant intervention. Stakeholders included parents of PICU patients, healthcare team members (HTMs), and research experts. Through a year-long iterative process, we involved 96 stakeholders in 25 meetings and 26 focus groups or interviews. Stakeholders adapted an adult navigator model by identifying core intervention elements and then determining how to operationalize those core elements in pediatrics. The stakeholder input led to PICU-specific refinements, such as supporting transitions after PICU discharge and including ancillary tools. The resultant intervention includes navigator involvement with parents and HTMs and navigator-guided use of ancillary tools. Subsequent research will test the feasibility and efficacy of our intervention.

A Review of Applicability and Effectiveness of Low Impact Development/Green Infrastructure Practices in Arid/Semi-Arid United States

Directory of Open Access Journals (Sweden)

Yan Jiang

2015-06-01

Full Text Available Urbanized areas of the southwestern/western United States are among the fastest growing in the nation and face multiple water resource challenges. Low impact development (LID/green infrastructure (GI practices are increasingly popular technologies for managing stormwater; however, LID is often not as common in the southwest/west due to the lack of regulatory and/or economic drivers. There is also a lack of performance evaluation of these practices, particularly at the field scale. This study focused on investigating the hydrologic and pollutant removal performance of field-scale LID/GI systems in arid/semi-arid climates. Nine typical practices were reviewed: rainwater harvest system, detention pond, retention pond, bioretention, media filter, porous pavement, vegetated swale/buffer/strip, green roof, and infiltration trench, as well as integrated LIDs. We evaluate these practices by a cost-effectiveness analysis and also recommend best practices for the arid/semi-arid area. The analysis provides data support and insights for future implementation of LID/GI in the southwest/west.

The Process and Impact of Stakeholder Engagement in Developing a Pediatric Intensive Care Unit Communication and Decision-Making Intervention

Science.gov (United States)

Frader, Joel; Sorce, Lauren; Clayman, Marla L; Persell, Stephen D; Fragen, Patricia; Ciolino, Jody D; Campbell, Laura C; Arenson, Melanie; Aniciete, Danica Y; Brown, Melanie L; Ali, Farah N; White, Douglas

2016-01-01

Stakeholder-developed interventions are needed to support pediatric intensive care unit (PICU) communication and decision-making. Few publications delineate methods and outcomes of stakeholder engagement in research. We describe the process and impact of stakeholder engagement on developing a PICU communication and decision-making support intervention. We also describe the resultant intervention. Stakeholders included parents of PICU patients, healthcare team members (HTMs), and research experts. Through a year-long iterative process, we involved 96 stakeholders in 25 meetings and 26 focus groups or interviews. Stakeholders adapted an adult navigator model by identifying core intervention elements and then determining how to operationalize those core elements in pediatrics. The stakeholder input led to PICU-specific refinements, such as supporting transitions after PICU discharge and including ancillary tools. The resultant intervention includes navigator involvement with parents and HTMs and navigator-guided use of ancillary tools. Subsequent research will test the feasibility and efficacy of our intervention. PMID:28725847

78 FR 79658 - Environmental Impact Statement; Animal Carcass Management

Science.gov (United States)

2013-12-31

...] Environmental Impact Statement; Animal Carcass Management AGENCY: Animal and Plant Health Inspection Service... prepare an environmental impact statement to examine the potential environmental effects of animal carcass... of animal carcass management options used throughout the United States. The EIS will analyze and...

Spatial information in public consultation within environmental impact assessments

NARCIS (Netherlands)

Mwenda, A.N.

2015-01-01

Thesis Summary

Spatial information in public consultation within Environmental Impact Assessments

Angela N. Mwenda

Established in the United States of America in 1970, Environmental Impact Assessment (EIA) is an interdisciplinary approach that

Revenue and efficiency in multi-unit uniform-price auctions

Czech Academy of Sciences Publication Activity Database

Břeský, Michal

2013-01-01

Roč. 82, November (2013), s. 205-217 ISSN 0899-8256 R&D Projects: GA ČR(CZ) GAP402/11/1531 Institutional support: RVO:67985998 Keywords : multi-unit auction * multiple-object auction * market efficiency Subject RIV: AH - Economics Impact factor: 1.025, year: 2013

Health Utilization and Cost Impact of Childhood Constipation in the United States

NARCIS (Netherlands)

Liem, Olivia; Harman, Jeffrey; Benninga, Marc; Kelleher, Kelly; Mousa, Hayat; Di Lorenzo, Carlo

2009-01-01

Objective To estimate the total health care utilization and costs for children with constipation in the United States. Study design We analyzed data from 2 consecutive years (2003 and 2004) of the Medical Expenditure Panel Survey (MEPS), a nationally representative household survey. We identified

Impact of climate change on mercury concentrations and deposition in the eastern United States.

Science.gov (United States)

Megaritis, Athanasios G; Murphy, Benjamin N; Racherla, Pavan N; Adams, Peter J; Pandis, Spyros N

2014-07-15

The global-regional climate-air pollution modeling system (GRE-CAPS) was applied over the eastern United States to study the impact of climate change on the concentration and deposition of atmospheric mercury. Summer and winter periods (300 days for each) were simulated, and the present-day model predictions (2000s) were compared to the future ones (2050s) assuming constant emissions. Climate change affects Hg(2+) concentrations in both periods. On average, atmospheric Hg(2+) levels are predicted to increase in the future by 3% in summer and 5% in winter respectively due to enhanced oxidation of Hg(0) under higher temperatures. The predicted concentration change of Hg(2+) was found to vary significantly in space due to regional-scale changes in precipitation, ranging from -30% to 30% during summer and -20% to 40% during winter. Particulate mercury, Hg(p) has a similar spatial response to climate change as Hg(2+), while Hg(0) levels are not predicted to change significantly. In both periods, the response of mercury deposition to climate change varies spatially with an average predicted increase of 6% during summer and 4% during winter. During summer, deposition increases are predicted mostly in the western parts of the domain while mercury deposition is predicted to decrease in the Northeast and also in many areas in the Midwest and Southeast. During winter mercury deposition is predicted to change from -30% to 50% mainly due to the changes in rainfall and the corresponding changes in wet deposition. Copyright © 2014 Elsevier B.V. All rights reserved.

Understanding Human Impact: Second Graders Explore Watershed Dynamics

Science.gov (United States)

Magruder, Robin; Rosenauer, Julia

2016-01-01

This article describes a second grade science enrichment unit with a focus on human impact, both positive and negative, on the living and nonliving components of the local watershed. Investigating the local watershed gave the unit a personal and pragmatic connection to students' lives because they depend on the local watershed for what they need…

Cumulative Impact Assessment: Approaching Environmental Capacity in Development Area Using Environmental Impact Assessment Information

Science.gov (United States)

Cho, N.; Lee, M. J.; Maeng, J. H.

2017-12-01

Environmental impact assessment estimates the impact of development as a business unit and establishes mitigation plan. If the development is done, its economic effects can spread to the nearby areas. So that various developments can be distributed at different time intervals. The impact of the new developments can be combined with existing environmental impacts and can have a larger impact. That is, Cumulative impact assessment is needed to consider the environmental capacity of the Nearby area. Cumulative impact assessments require policy tools such as environmental impact assessment information and cumulative impact estimation models. In Korea, environmental information (water quality, air quality, etc.) of the development site is measured for environmental impact assessment and monitored for a certain period (generally 5 years) after the project. In addition, by constructing the environmental information as a spatial database, it is possible to express the environmental impact on a regional basis spatially and to intuitively use it for development site selection. Utilizing a composite model of environmental impact assessment information and Remote Sensing data for cumulative impact estimation, That can be used as a policy decision support tool that provides quantitative information for development area management, such as time series effect and sprawl phenomenon.

UNEP (United Nations Environment Program) discussed the environmental impacts of extraction, transportation, and utilization of fossil fuels

Energy Technology Data Exchange (ETDEWEB)

1978-07-01

The UNEP (United Nations Environment Program) discussed the environmental impacts of extraction, transportation, and utilization of fossil fuels at a meeting in Warsaw, the first in a series of UNEP undertakings, to be followed by studies on nuclear energy and renewable energy sources. The major issues examined at the meeting were human health effects of atmospheric emissions, especially SO/sub 2/; effects of SO/sub 2/ on vegetation and bodies of fresh water; long-term ecologic effects of oil spills in the sea; and potential effects on climate from atmospheric CO/sub 2/ arising from fossil fuel combustion. A doubling of the atmospheric CO/sub 2/ concentration would cause an estimated 1.5/sup 0/-3.0/sup 0/C increase in the surface air temperature. With an amount of CO/sub 2/ equivalent to 0.5 x 10/sup 10/ tonnes of carbon annually injected into the atmosphere from fossil fuels, of which only 0.27 x 10/sup 10/ tonnes are removed by some exchange processes with ocean or land. A 17% increase in atmospheric CO/sub 2/ over the 1976 concentration of 332 ppm is expected by the year 2000.

Advancing the recovery orientation of hospital care through staff engagement with former clients of inpatient units.

Science.gov (United States)

Kidd, Sean A; McKenzie, Kwame; Collins, April; Clark, Carrie; Costa, Lucy; Mihalakakos, George; Paterson, Jane

2014-02-01

This study was undertaken to assess the impact of consumer narratives on the recovery orientation and job satisfaction of service providers on inpatient wards that focus on the treatment of schizophrenia. It was developed to address the paucity of literature and service development tools that address advancing the recovery model of care in inpatient contexts. A mixed-methods design was used. Six inpatient units in a large urban psychiatric facility were paired on the basis of characteristic length of stay, and one unit from each pair was assigned to the intervention. The intervention was a series of talks (N=58) to inpatient staff by 12 former patients; the talks were provided approximately biweekly between May 2011 and May 2012. Self-report measures completed by staff before and after the intervention assessed knowledge and attitudes regarding the recovery model, the delivery of recovery-oriented care at a unit level, and job satisfaction. In addition, focus groups for unit staff and individual interviews with the speakers were conducted after the speaker series had ended. The hypothesis that the speaker series would have an impact on the attitudes and knowledge of staff with respect to the recovery model was supported. This finding was evident from both quantitative and qualitative data. No impact was observed for recovery orientation of care at the unit level or for job satisfaction. Although this engagement strategy demonstrated an impact, more substantial change in inpatient practices likely requires a broader set of strategies that address skill levels and accountability.

United States Biological Survey: A compendium of its history, personalities, impacts, and conflicts

Science.gov (United States)

Schmidly, David J.; Tydeman, W. E.; Gardner, Alfred L.

2016-01-01

In 1885, a small three-person unit was created in the U.S. Department of Agriculture to gather and analyze information on bird migrations. Originally called the Section of Economic Ornithology, over the next 55 years this unit underwent three name changes and accumulated ever-increasing responsibilities for the nation’s faunal resources. Transferred to the Department of the Interior in 1939, this agency was merged with the Bureau of Fisheries in 1940 to create the U.S. Fish and Wildlife Service (FWS). The following account details the chronology, directorship, and growth of the U.S. Bureau of Biological Survey up to its renovation as the FWS. This account also profiles some employees of the Biological Survey.

Bidding behaviour in multi-unit auctions – an experimental investigation

Czech Academy of Sciences Publication Activity Database

Engelmann, Dirk; Grimm, V.

2009-01-01

Roč. 119, č. 537 (2009), s. 855-882 ISSN 0013-0133 Institutional research plan: CEZ:AV0Z70850503 Keywords : multi-unit auctions * bidding behavior * laboratory experiments Subject RIV: AH - Economics Impact factor: 1.902, year: 2009

Forecasting the expansion of zebra mussels in the United States.

Science.gov (United States)

Bossenbroek, Jonathan M; Johnson, Ladd E; Peters, Brett; Lodge, David M

2007-06-01

Because zebra mussels spread rapidly throughout the eastern United States in the late 1980s and early 1990s, their spread to the western United States has been expected. Overland dispersal into inland lakes and reservoirs, however, has occurred at a much slower rate than earlier spread via connected, navigable waterways. We forecasted the potential western spread of zebra mussels by predicting the overland movement of recreational boaters with a production-constrained gravity model. We also predicted the potential abundance of zebra mussels in two western reservoirs by comparing their water chemistry characteristics with those of water bodies with known abundances of zebra mussels. Most boats coming from waters infested with zebra mussels were taken to areas that already had zebra mussels, but a small proportion of such boats did travel west of the 100th meridian. If zebra mussels do establish in western U.S. water bodies, we predict that population densities could achieve similar levels to those in the Midwestern United States, where zebra mussels have caused considerable economic and ecological impacts. Our analyses suggest that the dispersal of zebra mussels to the western United States is an event of low probability but potentially high impact on native biodiversity and human infrastructure. Combining these results with economic analyses could help determine appropriate investment levels in prevention and control strategies.

Tektite-bearing, deep-water clastic unit at the Cretaceous-Tertiary boundary in northeastern Mexico

Science.gov (United States)

Smit, J.; Montanari, A.; Swinburne, N. H.; Alvarez, W.; Hildebrand, A. R.; Margolis, S. V.; Claeys, P.; Lowrie, W.; Asaro, F.

1992-01-01

The hypothesis of Cretaceous-Tertiary (K-T) boundary impact on Yucatan, Mexico, predicts that nearby sites should show evidence of proximal impact ejecta and disturbance by giant waves. An outcrop along the Arroyo el Mimbral in northeastern Mexico contains a layered clastic unit up to 3 m thick that interrupts a biostratigraphically complete pelagic-marl sequence deposited at more than 400 m water depth. The marls were found to be unsuitable for determining magnetostratigraphy, but foraminiferal biostratigraphy places the clastic unit precisely at the K-T boundary. We interpret this clastic unit as the deposit of a megawave or tsunami produced by an extraterrestrial impact. The clastic unit comprises three main subunits. (1) The basal "spherule bed" contains glass in the form of tektites and microtektites, glass spherules replaced by chlorite-smectite and calcite, and quartz grains showing probable shock features. This bed is interpreted as a channelized deposit of proximal ejecta. (2) A set of lenticular, massive, graded "laminated beds" contains intraclasts and abundant plant debris, and may be the result of megawave backwash that carried coarse debris from shallow parts of the continental margin into deeper water. (3) At the top, several thin "ripple beds" composed of fine sand are separated by clay drapes; they are interpreted as deposits of oscillating currents, perhaps a seiche. An iridium anomaly (921 +/- 23 pg/g) is observed at the top of the ripple beds. Our observations at the Mimbral locality support the hypothesis of a K-T impact on nearby Yucatan.

The independent nuclear state. The United States, Britain and the military atom

International Nuclear Information System (INIS)

Simpson, J.

1983-01-01

A chronological account and overview are presented of the 40-year history of British military research, development and production work in atomic energy. The United Kingdom's efforts in this field have always had close links with equivalent activities in the United States, and have often been conducted on a mutually co-operative basis. This book contains descriptions of the technical evolution of British nuclear weapon designs and production models, estimates of annual output figures for fissile material and weapon types, and indications of the nature of the weapon-testing programme. Decision-points are charted. The impact of the agreements with the United States, both upon weapon development and production programmes and upon stockpiling, is analysed, as well as their effects upon the nuclear submarine programme. The impact of later events upon Anglo-American relations is identified, together with the recent British attempts to move to a closer political association with Europe. The study concludes by evaluating the essential nature of four decades of United Kingdom military nuclear development, and identifying the practical limits imposed by past policies upon any attempt by a British government to implement a policy of unilateral nuclear disarmament. (author)

An exploration of the impact of family background factors on the science achievement of Afro-Caribbean and African American students in the United States

Science.gov (United States)

Pinder, Patrice J.

Ogbu and Simons (1998) defined voluntary immigrants as individuals who chose to migrate to the United States (U.S.). Involuntary immigrants are defined as individuals whose ancestors were brought to the U.S. by force (Obgu & Simons, 1998). There have been recent reports indicating that voluntary immigrants are outperforming involuntary immigrants (Fisher, 2005; Williams, Fleming, Jones, & Griffin, 2007). There seems to be a trend in voluntary immigrants exhibiting a higher academic achievement pattern than involuntary immigrants (Fisher, 2005; Rong & Preissle, 1998; Williams et al., 2007). However, the reason for the groups' differences in achievement has not been extensively explored. The primary objective of this research study was to explore the impact of family background on the academic achievement patterns of Afro-Caribbean and African American students in the United States. The study utilized two research designs; a causal-comparative and a correlational design. A questionnaire was distributed to a sample of eighty-seven high school students. Eighteen of the participants were Afro-Caribbean students, and sixty-seven were African American students. Chemistry test scores for the students were also provided. The results of the study indicated that Afro-Caribbean students outperformed African American students on the test of science achievement. The difference was statistically significant (t= 2.43, pstudents' family backgrounds. Moreover, the findings of this study suggest that the positive impact of arrival status on the first-generation of Afro-Caribbean immigrants may be influencing their children's academic success in science. The present study holds a few implications for parents and teachers of immigrant minority students. Additionally, the current researcher has offered several implications for future research on ethnicity, immigration pattern, parenting, and achievement.

Impact of Site Elevation on Mg Smelter Design

Science.gov (United States)

Baker, Phillip W.

Site elevation has many surprising and significant impacts on the engineering design of metallurgical plant of all types. Electrolytic magnesium smelters maybe built at high elevation for a variety of reasons including availability of raw material, energy or electric power. Because of the unit processes they typically involve, Mg smelters can be extensively impacted by site elevation. In this paper, generic examples of the design changes required to adapt a smelter originally designed for sea level to operate at 2700 m are presented. While the examples are drawn from a magnesium plant design case, these changes are generically applicable to all industrial plants utilizing similar unit processes irrespective of product.

Clinical and financial impact of pharmacy services in the intensive care unit: pharmacist and prescriber perceptions.

Science.gov (United States)

MacLaren, Robert; Brett McQueen, R; Campbell, Jon

2013-04-01

To compare pharmacist and prescriber perceptions of the clinical and financial outcomes of pharmacy services in the intensive care unit (ICU). ICU pharmacists were invited to participate in the survey and were asked to invite two ICU prescriber colleagues to complete questionnaires. ICUs with clinical pharmacy services. The questionnaires were designed to solicit frequency, efficiency, and perceptions about the clinical and financial impact (on a 10-point scale) of pharmacy services including patient care (eight functions), education (three functions), administration (three functions), and scholarship (four functions). Basic services were defined as fundamental, and higher-level services were categorized as desirable or optimal. Respondents were asked to suggest possible sources of funding and reimbursement for ICU pharmacy services. Eighty packets containing one 26-item pharmacy questionnaire and two 16-item prescriber questionnaires were distributed to ICU pharmacists. Forty-one pharmacists (51%) and 46 prescribers (29%) returned questionnaires. Pharmacists had worked in the ICU for 8.3 ± 6.4 years and devoted 50.3 ± 18.7% of their efforts to clinical practice. Prescribers generally rated the impact of pharmacy services more favorably than pharmacists. Fundamental services were provided more frequently and were rated more positively than desirable or optimal services across both groups. The percent efficiencies of providing services without the pharmacist ranged between 40% and 65%. Both groups indicated that salary support for the pharmacist should come from hospital departments of pharmacy or critical care or colleges of pharmacy. Prescribers were more likely to consider other sources of funding for pharmacist salaries. Both groups supported reimbursement of clinical pharmacy services. Critical care pharmacy activities were associated with perceptions of beneficial clinical and financial outcomes. Prescribers valued most services more than pharmacists

Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment.

Science.gov (United States)

Chatziioannidis, Ilias; Bascialla, Francesca Giuseppina; Chatzivalsama, Panagiota; Vouzas, Fotios; Mitsiakos, Georgios

2018-02-24

The aim of this study is to examine the prevalence, to report barriers and mental health impact of bullying behaviours and to analyse whether psychological support at work could affect victims of bullying in the healthcare workplace. Self-administered questionnaire survey. 20 in total neonatal intensive care units in 17 hospitals in Greece. 398 healthcare professionals (doctors, nurses). The questionnaire included information on demographic data, Negative Act Questionnaire-Revised (NAQ-R) behaviour scale, data on sources of bullying, perpetrators profile, causal factors, actions taken and reasons for not reporting bullying, psychological support and 12-item General Health Questionnaire (GHQ-12) scores to investigate psychological distress. Prevalence of bullying measured by the NAQ-R was 53.1% for doctors and 53.6% for nurses. Victims of bullying differed from non-bullied in terms of gender and job experience, among demographic data. Crude NAQ-R score was found higher for female, young and inexperienced employees. Of those respondents who experienced bullying 44.9% self-labelled themselves as victims. Witnessing bullying of others was found 83.2%. Perpetrators were mainly females 45-64 years old, most likely being a supervisor/senior colleague. Common reasons for not reporting bullying was self-dealing and fear of consequences. Bullying was attributed to personality trait and management. Those who were bullied, self-labelled as a victim and witnessed bullying of others had higher GHQ-12 score. Moreover, psychological support at work had a favour effect on victims of bullying. Prevalence of bullying and witnessing were found extremely high, while half of victims did not consider themselves as sufferers. The mental health impact on victims and witnesses was severe and support at work was necessary to ensure good mental health status among employees. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights

Diesel fuel in the United States

Energy Technology Data Exchange (ETDEWEB)

Bensaid, B.; Saint-Antonin, V

2003-07-01

In the 1970's, Diesel technology had a poor image in the United States owing to the inadequate performance and reliability observed in certain models. The 1990's brought increased awareness of greenhouse effect issues. Greater Diesel penetration of the American automobile market could represent a short-term solution for reducing CO{sub 2} emissions, along with the use of hybrid vehicles, but the impact on American refining plant would be substantial. (author)

Diesel fuel in the United States

Energy Technology Data Exchange (ETDEWEB)

Bensaid, B; Saint-Antonin, V

2003-07-01

In the 1970's, Diesel technology had a poor image in the United States owing to the inadequate performance and reliability observed in certain models. The 1990's brought increased awareness of greenhouse effect issues. Greater Diesel penetration of the American automobile market could represent a short-term solution for reducing CO{sub 2} emissions, along with the use of hybrid vehicles, but the impact on American refining plant would be substantial. (author)

Diesel fuel in the United States

International Nuclear Information System (INIS)

Bensaid, B.; Saint-Antonin, V.

2003-01-01

In the 1970's, Diesel technology had a poor image in the United States owing to the inadequate performance and reliability observed in certain models. The 1990's brought increased awareness of greenhouse effect issues. Greater Diesel penetration of the American automobile market could represent a short-term solution for reducing CO 2 emissions, along with the use of hybrid vehicles, but the impact on American refining plant would be substantial. (author)

Final programmatic environmental impact statement related to decontamination and disposal of radioactive wastes resulting from March 28, 1979 accident, Three Mile Island Nuclear Station, Unit 2, Docket No. 50-320

International Nuclear Information System (INIS)

1981-03-01

The appendices included in this report include the following: Comments on the Draft Programmatic Environmental Impact Statement (A-1); Commission's Statement of Policy and Notice of Intent to Prepare a Programmatic Environmental Impact Statement (B-1); 'Final Environmental Assessment for Decontamination of the Three Mile Island Unit 2 Reactor Building Atmosphere, Final NRC Staff Report,' US Nuclear Regulatory Commission, NUREG-0662, May 1980 (C-1); 'Environmental Assessment for Use of EPICOR-Il at Three Mile Island Unit 2,' US Nuclear Regulatory Commission, NUREG-0591, October 3, 1979 (D-1); Fish and Fisheries of York Haven Pond and Conowingo Pond of the Susquehanna River and Upper Chesapeake Bay (E1); Reuse of Accident Water (F-1); Engineering Considerations for Treatment of TMI-2 Accident-Generated Liquid Waste G-1); Engineering Considerations Related to Immobilization of Radioactive Wastes (H-1); Justification for Radiation Fields Used in Section 6 I-1); Economic Cost Basis (K-1); Average Individual Quarterly Dose Limits Used in Determinations of Work Force Estimates (L-1); 'Long-Term Environmental Radiation Surveillance Plan for Three Mile Island,' US Environmental Protection Agency, 1981 (M-1); Occupational Radiation Exposure during Onsite Waste Handling (N-1); Decontamination Status of Auxiliary and Fuel Handling Buildings (0-1); Chemical Systems for Decontamination of Primary System Components (P-1); Onsite Storage Facility (Q-1); Proposed Additions to Technical Specifications for TMI-2 Cleanup Program (R-1); Calculations of Discharge of Processed Accident Water to the Atmosphere (S-1); The Behavior of Sorbable Radionuclides in the Susquehanna River and Chesapeake Bay (T-1); Decommissioning of TMI-2 (U-1); Assessment of Groundwater Liquid Pathway from Leakage of Containment Water at Three Mile Island, Unit 2 (V-1); Calculation Models and Parameters Used in Estimating Doses, and Interpretation of Model Results (W-1); Contributors to the PEIS X-1); Scheduled

76 FR 69120 - Regulatory Changes To Implement the United States/Australian Agreement for Peaceful Nuclear...

Science.gov (United States)

2011-11-08

... Government of the United States of America Concerning Peaceful Uses of Nuclear Energy'' (the Agreement). The... applicable requirements. Environmental Assessment: Finding of No Significant Environmental Impact The NRC has... and the Government of the United States of America Concerning Peaceful Uses of Nuclear Energy, dated...

Results of a diesel multiple unit fuel tank blunt impact test

Science.gov (United States)

2017-04-04

The Federal Railroad Administrations Office of Research and Development is conducting research into passenger locomotive fuel tank crashworthiness. A series of impact tests is being conducted to measure fuel tank deformation under two types of dyn...

Lepreau 2 environmental impact statement

International Nuclear Information System (INIS)

1984-05-01

Maritime Nuclear, a joint undertaking of Atomic Energy of Canada Limited and the New Brunswick Electric Power Commission, proposes to construct a second CANDU 600 MW nuclear-powered generating unit at the site of the existing Point Lepreau Generating Station, in New Brunswick. A feasibility study is now underway and guidelines issued by the Lepreau 2 Environmental Assessment Panel identified six priority issues and concerns. These are: impacts on the biological environment, impacts of radiation on humans, impacts on the socio-economic environment, monitoring, emergency planning, and decommissioning. These factors as well as a description of the site and proposed facility are described in this report

The Relationship Between the Occurrence of Conflicts in the Work Unit, the Conflict Management Styles in the Work Unit and Workplace Bullying

Directory of Open Access Journals (Sweden)

Elfi Baillien

2010-12-01

Full Text Available The current study examines the relationship between the occurrence of conflicts in the work unit and conflict management styles in the work unit, and workplace bullying. First, we assume a positive relationship between the occurrence of conflicts and bullying; and that the conflict management styles 'fighting', 'avoiding' and 'yielding' associate positively and 'problem solving' associates negatively with bullying. Second, we expect that the work unit's conflict management styles moderate the relationship between the occurrence of conflicts and bullying. Results ('N' = 942 revealed a positive association between the occurrence of conflicts and bullying, as well as between fighting and bullying. Problem solving related negatively with bullying. Unexpectedly, we found no moderation. Our findings suggest that particularly the occurrence of conflicts relate to bullying, which may be owed to a strong negative connotation associated with (many conflicts at work or to its negative impact on the work unit's social climate. Organisations may also encourage problem solving and discourage fighting to prevent bullying.

Assessing the Impacts of Agricultural Biotechnologies

International Development Research Centre (IDRC) Digital Library (Canada)

The group has completed studies of applications in livestock production and .... into the design and application of impact assessment tools from the outset. ...... Corn producers in the United States, who supply the manufacturers of fructose. 4.

Development of certified environmental management in hospital and outpatient haemodialysis units

Directory of Open Access Journals (Sweden)

Sergio García Vicente

2015-11-01

Discussion: There is no official documentation of the implementation of EMS in dialysis units. Making this list provides an approach to the situation, with special reference to haemodialysis because of its significant environmental impact.

Hands in medicine: understanding the impact of competency-based education on the formation of medical students’ identities in the United States

Directory of Open Access Journals (Sweden)

Catherine Gonsalves

2016-08-01

Full Text Available Purpose There have been critiques that competency training, which defines the roles of a physician by simple, discrete tasks or measurable competencies, can cause students to compartmentalize and focus mainly on being assessed without understanding how the interconnected competencies help shape their role as future physicians. Losing the meaning and interaction of competencies can result in a focus on ‘doing the work of a physician’ rather than identity formation and ‘being a physician.’ This study aims to understand how competency-based education impacts the development of a medical student’s identity. Methods Three ceramic models representing three core competencies ‘medical knowledge,’ ‘patient care,’ and ‘professionalism’ were used as sensitizing objects, while medical students reflected on the impact of competency-based education on identity formation. Qualitative analysis was used to identify common themes. Results Students across all four years of medical school related to the ‘professionalism’ competency domain (50%. They reflected that ‘being an empathetic physician’ was the most important competency. Overall, students agreed that competency-based education played a significant role in the formation of their identity. Some students reflected on having difficulty in visualizing the interconnectedness between competencies, while others did not. Students reported that the assessment structure deemphasized ‘professionalism’ as a competency. Conclusion Students perceive ‘professionalism’ as a competency that impacts their identity formation in the social role of ‘being a doctor,’ albeit a competency they are less likely to be assessed on. High-stakes exams, including the United States Medical Licensing Exam clinical skills exam, promote this perception.

Hands in medicine: understanding the impact of competency-based education on the formation of medical students’ identities in the United States

Science.gov (United States)

2016-01-01

Purpose There have been critiques that competency training, which defines the roles of a physician by simple, discrete tasks or measurable competencies, can cause students to compartmentalize and focus mainly on being assessed without understanding how the interconnected competencies help shape their role as future physicians. Losing the meaning and interaction of competencies can result in a focus on ‘doing the work of a physician’ rather than identity formation and ‘being a physician.’ This study aims to understand how competency-based education impacts the development of a medical student’s identity. Methods Three ceramic models representing three core competencies ‘medical knowledge,’ ‘patient care,’ and ‘professionalism’ were used as sensitizing objects, while medical students reflected on the impact of competency-based education on identity formation. Qualitative analysis was used to identify common themes. Results Students across all four years of medical school related to the ‘professionalism’ competency domain (50%). They reflected that ‘being an empathetic physician’ was the most important competency. Overall, students agreed that competency-based education played a significant role in the formation of their identity. Some students reflected on having difficulty in visualizing the interconnectedness between competencies, while others did not. Students reported that the assessment structure deemphasized ‘professionalism’ as a competency. Conclusion Students perceive ‘professionalism’ as a competency that impacts their identity formation in the social role of ‘being a doctor,’ albeit a competency they are less likely to be assessed on. High-stakes exams, including the United States Medical Licensing Exam clinical skills exam, promote this perception. PMID:27572244

Cost-effectiveness and budget impact of hepatitis C virus treatment with sofosbuvir and ledipasvir in the United States.

Science.gov (United States)

Chhatwal, Jagpreet; Kanwal, Fasiha; Roberts, Mark S; Dunn, Michael A

2015-03-17

Sofosbuvir and ledipasvir, which have recently been approved for treatment of chronic hepatitis C virus (HCV) infection, are more efficacious and safer than the old standard of care (oSOC) but are substantially more expensive. Whether and in which patients their improved efficacy justifies their increased cost is unclear. To evaluate the cost-effectiveness and budget impact of sofosbuvir and ledipasvir. Microsimulation model of the natural history of HCV infection. Published literature. Treatment-naive and treatment-experienced HCV population defined on the basis of HCV genotype, age, and fibrosis distribution in the United States. Lifetime. Third-party payer. Simulation of sofosbuvir-ledipasvir compared with the oSOC (interferon-based therapies). Quality-adjusted life-years (QALYs), incremental cost-effectiveness ratios (ICERs), and 5-year spending on antiviral drugs. Sofosbuvir-based therapies added 0.56 QALY relative to the oSOC at an ICER of $55 400 per additional QALY. The ICERs ranged from $9700 to $284 300 per QALY depending on the patient's status with respect to treatment history, HCV genotype, and presence of cirrhosis. At a willingness-to-pay threshold of $100 000 per QALY, sofosbuvir-based therapies were cost-effective in 83% of treatment-naive and 81% of treatment-experienced patients. Compared with the oSOC, treating eligible HCV-infected persons in the United States with the new drugs would cost an additional $65 billion in the next 5 years, whereas the resulting cost offsets would be $16 billion. Results were sensitive to drug price, drug efficacy, and quality of life after successful treatment. Data on real-world effectiveness of new antivirals are lacking. Treatment of HCV is cost-effective in most patients, but additional resources and value-based patient prioritization are needed to manage patients with HCV. National Institutes of Health.

The Impact of Ethanol Blending on U.S. Gasoline Prices

Energy Technology Data Exchange (ETDEWEB)

none,

2008-11-01

This study assesses the impact of ethanol blending on gasoline prices in the United States today and the potential impact of ethanol on gasoline prices at higher blending concentrations (10%, 15% and 20% of the total U.S. gasoline consumption).

Organizational effects on patient satisfaction in hospital medical-surgical units.

Science.gov (United States)

Bacon, Cynthia Thornton; Mark, Barbara

2009-05-01

The purpose of this study was to examine the relationships between hospital context, nursing unit structure, and patient characteristics and patients' satisfaction with nursing care in hospitals. Although patient satisfaction has been widely researched, our understanding of the relationship between hospital context and nursing unit structure and their impact on patient satisfaction is limited. The data source for this study was the Outcomes Research in Nursing Administration Project, a multisite organizational study conducted to investigate relationships among nurse staffing, organizational context and structure, and patient outcomes. The sample for this study was 2,720 patients and 3,718 RNs in 286 medical-surgical units in 146 hospitals. Greater availability of nursing unit support services and higher levels of work engagement were associated with higher levels of patient satisfaction. Older age, better health status, and better symptom management were also associated with higher levels of patient satisfaction. Organizational factors in hospitals and nursing units, particularly support services on the nursing unit and mechanisms that foster nurses' work engagement and effective symptom management, are important influences on patient satisfaction.

Effects of Patient Care Unit Design and Technology on Nurse and Patient Care Technician Communication.

Science.gov (United States)

Beck, Mary S; Doscher, Mindy

2018-04-01

The current study described RN and patient care technician (PCT) communication in centralized and hybrid decentralized workstation designs using hands-free communication technology and infrared locator badge technology to facilitate communication. New construction of an oncology unit provided the opportunity to compare staff communication in two different workstation designs. Observations and questionnaires compared nurse and PCT communication in the two-unit designs. Descriptive statistics were used to analyze the differences. The hybrid decentralized unit had increased use of hands-free communication technology and hallway communication by nurses and PCTs, and increased patient room communication by nurses. Perceptions of communication between nurses and PCTs and congruency of priorities for care were similar for both units. The locator badge technology had limited adoption. Replacement of nurse workstations with new construction or remodeling impact staff communication patterns, necessitating that nurse leaders understand the impact of design and technology on communication. [Journal of Gerontological Nursing, 44(4), 17-22.]. Copyright 2018, SLACK Incorporated.

Logistical Impact Study of Photovoltaic Power Converter Technology to the United States Army and the United States Marine Corps

National Research Council Canada - National Science Library

Whiteker, James

2004-01-01

The purpose of this MBA Project was to analyze the logistical and fiscal impact of replacing selected disposable batteries with rechargeable batteries and photovoltaic power converter chargers within...

From Pressures to Impacts

DEFF Research Database (Denmark)

Hauschild, Michael Zwicky

2006-01-01

materials over manufacture or construction through use to disposal or decommissioning and recycling. It is a holistic tool in the sense that it models all relevant environmental impacts from the global (like climate change and ozone depletion) to the local (like land use) and also the loss of resources......Life cycle assessment (LCA) has been developed as a tool for assessment of the environmental impacts which are caused by the pressures from products or systems, viewed in a life cycle perspective, i.e. covering all stages of the life cycle of the product or system from the extraction of raw...... is defined, Inventory analysis where data for the physical flows to and from all processes in the life cycle is collected and related to the functional unit, Impact assessment, where the physical flows are translated into impacts on the environment and resource base, and Interpretation where the outcomes...

Site selection and evaluation of nuclear power units in Egypt

International Nuclear Information System (INIS)

Bonnefille, R.

1980-01-01

The selection of sites for nuclear power units in Egypt by SOFRATOME for Nuclear Plants Authority is carried on using a method based on interaction between different criteria. The method and the main results on criterion 'radio-ecological impact' are sketched briefly [fr

Unit root properties of crude oil spot and futures prices

International Nuclear Information System (INIS)

Maslyuk, Svetlana; Smyth, Russell

2008-01-01

In this article, we examine whether WTI and Brent crude oil spot and futures prices (at 1, 3 and 6 months to maturity) contain a unit root with one and two structural breaks, employing weekly data over the period 1991-2004. To realise this objective we employ Lagrange multiplier (LM) unit root tests with one and two endogenous structural breaks proposed by Lee and Strazicich [2003. Minimum Lagrange multiplier unit root test with two structural breaks. Review of Economics and Statistics, 85, 1082-1089; 2004. Minimum LM unit root test with one structural break. Working Paper no. 04-17, Department of Economics, Appalachian State University]. We find that each of the oil price series can be characterised as a random walk process and that the endogenous structural breaks are significant and meaningful in terms of events that have impacted on world oil markets

Environmental geology in the United States: Present practice and future training needs

Science.gov (United States)

Lundgren, Lawrence

Environmental geology as practiced in the United States confronts issues in three large areas: Threats to human society from geologic phenomena (geologic hazards); impacts of human activities on natural systems (environmental impact), and natural-resource management. This paper illustrates present U.S. practice in environmental geology by sampling the work of 7 of the 50 state geological surveys and of the United States Geological Survey as well. Study of the work of these agencies provides a basis for identifying avenues for the training of those who will deal with environmental issues in the future. This training must deal not only with the subdisciplines of geology but with education to cope with the ethical, interdisciplinary, and public-communication aspects of the work of the environmental geologist.

Impact of soil moisture deficit on ecosystem function across the United States

Science.gov (United States)

Susan Moran; Morgan Ross; Mallory Burns

2016-01-01

The cumulative effect of recent prolonged warm drought on regional ecosystem function is still uncertain. Large regions of the United States are experiencing new hydroclimatic conditions with extreme variability in climate drivers such as total precipitation, precipitation patterns (e.g., storm size, intensity and frequency), and seasonal temperatures.

United States experience in environmental cost-benefit analysis for nuclear power plants with implications for developing countries

International Nuclear Information System (INIS)

Spangler, M.B.

1980-08-01

Environmental cost-benefit analysis in the United States involves a comparison of diverse societal impacts of the proposed developments and its alternatives. Regarding nuclear power plant licensing actions, such analyses include the need for base-load electrical generating capacity versus the no-action alternative; alternative sources of energy; alternative sites for the proposed nuclear plants; and alternative technologies for mitigating environmental impacts. Many U.S. experiences and environmental assessment practices and comparative resource requirements presented in this report will not provide a wholly reliable reflection of the precise situation of each country. Nevertheless, the procedural and substantive issues encountered by the United States in nuclear power plant licensing may exhibit a number of important, if rough, parallelisms for other countries. Procedural issues dealt with include: the scoping of alternatives and impact issues; the problem of balancing incommensurable impacts; and treating uncertainty in measuring or forecasting certain kinds of environmental impacts. Although substantive environmental impact issues will vary appreciably among nations, it is to be expected that many of the substantive impact issues such as impacts on biota, community-related effects, and aesthetic impacts will also have some measure of universal interest to other countries

Impact of a standardized nurse observation protocol including MEWS after Intensive Care Unit discharge.

Science.gov (United States)

De Meester, K; Das, T; Hellemans, K; Verbrugghe, W; Jorens, P G; Verpooten, G A; Van Bogaert, P

2013-02-01

Analysis of in-hospital mortality after serious adverse events (SAE's) in our hospital showed the need for more frequent observation in medical and surgical wards. We hypothesized that the incidence of SAE's could be decreased by introducing a standard nurse observation protocol. To investigate the effect of a standard nurse observation protocol implementing the Modified Early Warning Score (MEWS) and a color graphic observation chart. Pre- and post-intervention study by analysis of patients records for a 5-day period after Intensive Care Unit (ICU) discharge to 14 medical and surgical wards before (n=530) and after (n=509) the intervention. For the total study population the mean Patient Observation Frequency Per Nursing Shift (POFPNS) during the 5-day period after ICU discharge increased from .9993 (95% C.I. .9637-1.0350) in the pre-intervention period to 1.0732 (95% C.I. 1.0362-1.1101) (p=.005) in the post-intervention period. There was an increased risk of a SAE in patients with MEWS 4 or higher in the present nursing shift (HR 8.25; 95% C.I. 2.88-23.62) and the previous nursing shift (HR 12.83;95% C.I. 4.45-36.99). There was an absolute risk reduction for SAE's within 120h after ICU discharge of 2.2% (95% C.I. -0.4-4.67%) from 5.7% to 3.5%. The intervention had a positive impact on the observation frequency. MEWS had a predictive value for SAE's in patients after ICU discharge. The drop in SAE's was substantial but did not reach statistical significance. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Evaluating the public health impacts of legalizing recreational cannabis use in the United States.

Science.gov (United States)

Hall, Wayne; Lynskey, Michael

2016-10-01

Since 2012 four US states have legalized the retail sale of cannabis for recreational use by adults, and more are likely to follow. This report aimed to (1) briefly describe the regulatory regimes so far implemented; (2) outline their plausible effects on cannabis use and cannabis-related harm; and (3) suggest what research is needed to evaluate the public health impact of these policy changes. We reviewed the drug policy literature to identify: (1) plausible effects of legalizing adult recreational use on cannabis price and availability; (2) factors that may increase or limit these effects; (3) pointers from studies of the effects of legalizing medical cannabis use; and (4) indicators of cannabis use and cannabis-related harm that can be monitored to assess the effects of these policy changes. Legalization of recreational use will probably increase use in the long term, but the magnitude and timing of any increase is uncertain. It will be critical to monitor: cannabis use in household and high school surveys; cannabis sales; the number of cannabis plants legally produced; and the tetrahydrocannabinol (THC) content of cannabis. Indicators of cannabis-related harms that should be monitored include: car crash fatalities and injuries; emergency department presentations; presentations to addiction treatment services; and the prevalence of regular cannabis use among young people in mental health services and the criminal justice system. Plausible effects of legalizing recreational cannabis use in the United States include substantially reducing the price of cannabis and increasing heavy use and some types of cannabis-related harm among existing users. In the longer term it may also increase the number of new users. © 2016 Society for the Study of Addiction.

Adapting to the impacts of climate change

National Research Council Canada - National Science Library

America's Climate Choices: Panel on Adapting to the Impacts of Climate Change; National Research Council

2010-01-01

"Across the United States, impacts of climate change are already evident. Heat waves have become more frequent and intense, cold extremes have become less frequent, and patterns of rainfall are likely changing...

Where does distance matter? Distance to the closest maternity unit and risk of foetal and neonatal mortality in France.

Science.gov (United States)

Pilkington, Hugo; Blondel, Béatrice; Drewniak, Nicolas; Zeitlin, Jennifer

2014-12-01

The number of maternity units has declined in France, raising concerns about the possible impact of increasing travel distances on perinatal health outcomes. We investigated impact of distance to closest maternity unit on perinatal mortality. Data from the French National Vital Statistics Registry were used to construct foetal and neonatal mortality rates over 2001-08 by distance from mother's municipality of residence and the closest municipality with a maternity unit. Data from French neonatal mortality certificates were used to compute neonatal death rates after out-of-hospital birth. Relative risks by distance were estimated, adjusting for individual and municipal-level characteristics. Seven percent of births occurred to women residing at ≥30 km from a maternity unit and 1% at ≥45 km. Foetal and neonatal mortality rates were highest for women living at maternity unit. For foetal mortality, rates increased at ≥45 km compared with 5-45 km. In adjusted models, long distance to a maternity unit had no impact on overall mortality but women living closer to a maternity unit had a higher risk of neonatal mortality. Neonatal deaths associated with out-of-hospital birth were rare but more frequent at longer distances. At the municipal-level, higher percentages of unemployment and foreign-born residents were associated with increased mortality. Overall mortality was not associated with living far from a maternity unit. Mortality was elevated in municipalities with social risk factors and located closest to a maternity unit, reflecting the location of maternity units in deprived areas with risk factors for poor outcome. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association.

The economic impact of the Australia-United States free trade agreement

OpenAIRE

Shiro Armstrong

2015-01-01

The Australia–United States free trade agreement (AUSFTA) came into effect in 2005. It was the second preferential trade agreement that Australia signed, after its agreement with Singapore, and marked a departure from the primacy of Australia’s previous trade policy of unilateral and multilateral trade liberalisation towards preferential liberalisation. This paper assesses the economic effects of AUSFTA by applying the Productivity Commission’s gravity model of trade from its Bilateral ...

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) of ...

Assessment and economic valuation of air pollution impacts on human health over Europe and the United States as calculated by a multi-model ensemble in the framework of AQMEII3

Science.gov (United States)

Im, Ulas; Brandt, Jørgen; Geels, Camilla; Mantzius Hansen, Kaj; Heile Christensen, Jesper; Skou Andersen, Mikael; Solazzo, Efisio; Kioutsioukis, Ioannis; Alyuz, Ummugulsum; Balzarini, Alessandra; Baro, Rocio; Bellasio, Roberto; Bianconi, Roberto; Bieser, Johannes; Colette, Augustin; Curci, Gabriele; Farrow, Aidan; Flemming, Johannes; Fraser, Andrea; Jimenez-Guerrero, Pedro; Kitwiroon, Nutthida; Liang, Ciao-Kai; Nopmongcol, Uarporn; Pirovano, Guido; Pozzoli, Luca; Prank, Marje; Rose, Rebecca; Sokhi, Ranjeet; Tuccella, Paolo; Unal, Alper; Garcia Vivanco, Marta; West, Jason; Yarwood, Greg; Hogrefe, Christian; Galmarini, Stefano

2018-04-01

The impact of air pollution on human health and the associated external costs in Europe and the United States (US) for the year 2010 are modeled by a multi-model ensemble of regional models in the frame of the third phase of the Air Quality Modelling Evaluation International Initiative (AQMEII3). The modeled surface concentrations of O3, CO, SO2 and PM2.5 are used as input to the Economic Valuation of Air Pollution (EVA) system to calculate the resulting health impacts and the associated external costs from each individual model. Along with a base case simulation, additional runs were performed introducing 20 % anthropogenic emission reductions both globally and regionally in Europe, North America and east Asia, as defined by the second phase of the Task Force on Hemispheric Transport of Air Pollution (TF-HTAP2). Health impacts estimated by using concentration inputs from different chemistry-transport models (CTMs) to the EVA system can vary up to a factor of 3 in Europe (12 models) and the United States (3 models). In Europe, the multi-model mean total number of premature deaths (acute and chronic) is calculated to be 414 000, while in the US, it is estimated to be 160 000, in agreement with previous global and regional studies. The economic valuation of these health impacts is calculated to be EUR 300 billion and 145 billion in Europe and the US, respectively. A subset of models that produce the smallest error compared to the surface observations at each time step against an all-model mean ensemble results in increase of health impacts by up to 30 % in Europe, while in the US, the optimal ensemble mean led to a decrease in the calculated health impacts by ˜ 11 %. A total of 54 000 and 27 500 premature deaths can be avoided by a 20 % reduction of global anthropogenic emissions in Europe and the US, respectively. A 20 % reduction of North American anthropogenic emissions avoids a total of ˜ 1000 premature deaths in Europe and 25 000 total premature deaths in the

United Kingdom electric system privatization

Energy Technology Data Exchange (ETDEWEB)

Lolli, A. (Bologna Univ. (Italy))

1992-03-01

This paper reviews the mechanics and first results of deregulation in the electric power industry of the United Kingdom. Several aspects are dealt with, namely: 1983 Energy Act impacts on ownership and subsequent changes brought about by the 1989 Energy Act; the Act's stipulations with regard to share acquisition and distribution; the division of the patrimony of the Area Boards; natural monopolistic characteristics of power distribution; vertical integration in Scotland, target investment limits in Government and public participation; the 'golden share' concept to guarantee public participation; current 40% share ownership by the Government; 15% private ownership limit for individual investors; external control by Government of licensing and rate structure setting; the impacts of organizational changes on the overall cost benefits of deregulation; modified Governmental regulatory powers; measures to ensure competition and consumer protection; provisions regarding misbehaviour; second tier suppliers and reserve fuel supply obligations; deregulation impacts on nuclear power marketing; power pooling regulations; installation of new transmission lines; provisions encouraging the use of diverse energy sources; franchising; interconnection with national grid; regulation of technical operations; standby as it affects rate structure; and spot market pricing.

On the preparation of environmental impact statements in the United States of America

Science.gov (United States)

Carson, James E.

The National Environmental Policy Act of 1969 (NEPA) requires that an Environmental Impact Statement (FIS) be prepared whenever a federal action is considered that could result in a significant impact on the environment. Such actions include the issuance of construction or operating licenses for nuclear facilities and power plants, hydroelectric dams, or the diversion of water from rivers and lakes. An EIS is usually required if federal funds are involved. The U.S. Environmental Protection Agency and U.S. Council for Environmental Quality have developed guidelines and regulations for the preparation of an EIS. An EIS is not a scientific report. It is a legal document whose primary function is its use by decision-making agencies in approving or not approving the proposed federal action. The EIS is also used to inform the public and other government agencies of the environmental impacts of the proposed facility. The NEPA process allows public input into the decision-making process. An EIS should be short and concise, analytical, conclusory, be written for a non-technical audience, discuss the pros and cons of the proposed facility, and examine the impacts of all alternatives to the proposed action. The EIS should identify all adverse environmental impacts that cannot be avoided. The conclusions reached in the EIS should be clearly stated and supported by discussions and data in the text and by references to show that the agency has made the necessary analyses. The paper discusses the purpose and contents of these documents and the environmental procedures used in the U.S.A., especially as they relate to nuclear power plants.

Impact of an educational intervention on hand hygiene compliance and infection rate in a developing country neonatal intensive care unit.

Science.gov (United States)

Chhapola, Viswas; Brar, Rekha

2015-10-01

Nosocomial infections are a significant problem in neonatal intensive care units (NICUs) and hand hygiene (HH) has been stated as an effective mean to prevent spread of infections. The aim of study was to assess the baseline compliance HH practices and to evaluate the impact of hand washing educational programme on infection rate in a NICU. Continuous surveillance of nosocomial infections was done. A total of 15,797 and 12 ,29 opportunities for HH were observed in pre-intervention and postintervention phases, respectively. Compliance of health-care workers for all HH opportunities combined was 46% before intervention and improved significantly to 69% in postintervention (RR 1.49, CI 1.46-1.52, P Nosocomial sepsis rate showed a significant decline from 96 per 1000 patient-days in pre-intervention to 47 per 1000 patient-days in postintervention phase (RR 0.44, CI 0.33-0.58, P nosocomial infection control approach especially important in developing nations. © 2014 Wiley Publishing Asia Pty Ltd.

A novel approach for evaluating the impact of fixed variables on photovoltaic (PV) solar installations using enhanced meta data analysis among higher education institutions in the United States

Science.gov (United States)

De Hoyos, Diane N.

The global demand for electric energy has continuously increased over the last few decades. Some mature, alternative generation methods are wind, power, photovoltaic panels, biogas and fuel cells. In order to find alternative sources of energy to aid in the reduction of our nation's dependency on non-renewable fuels, energy sources include the use of solar energy panels. The intent of these initiatives is to provide substantial energy savings and reduce dependence on the electrical grid and net metering savings during the peak energy-use hours. The focus of this study explores and provides a clearer picture of the adoption of solar photovoltaic technology in institutions of higher education. It examines the impact of different variables associated with a photovoltaic installation in an institutions of higher education in the United States on the production generations for universities. Secondary data was used with permission from the Advancement of Suitability in Higher Education (AASHE). A multiple regression analysis was performed to determine the impact of different variables on the energy generation production. A Meta Data transformation analysis offered a deeper investigation into the impact of the variables on the photovoltaic installations. Although a review of a significant number of journal articles, dissertations and thesis in the area of photovoltaic solar installations are available, there were limited studies of actual institutions of higher education with the significant volume of institutions. However a study where the database included a significant number of data variables is unique and provides a researcher the opportunity to investigate different facets of a solar installation. The data of the installations ranges from 1993-2015. Included in this observation are the researcher's experience both in the procurement industry and as a team member of a solar institution of higher education in the southern portion of the United States.

Life cycle assessment study on polishing units for use of treated wastewater in agricultural reuse.

Science.gov (United States)

Büyükkamacı, Nurdan; Karaca, Gökçe

2017-12-01

A life cycle assessment (LCA) approach was used in the assessment of environmental impacts of some polishing units for reuse of wastewater treatment plant effluents in agricultural irrigation. These alternative polishing units were assessed: (1) microfiltration and ultraviolet (UV) disinfection, (2) cartridge filter and ultrafiltration (UF), and (3) just UV disinfection. Two different energy sources, electric grid mix and natural gas, were considered to assess the environmental impacts of them. Afterwards, the effluent of each case was evaluated against the criteria required for irrigation of sensitive crops corresponding to Turkey regulations. Evaluation of environmental impacts was carried out with GaBi 6.1 LCA software. The overall conclusion of this study is that higher electricity consumption causes higher environmental effects. The results of the study revealed that cartridge filter and UF in combination with electric grid mix has the largest impact on the environment for almost all impact categories. In general, the most environmentally friendly solution is UV disinfection. The study revealed environmental impacts for three alternatives drawing attention to the importance of the choice of the most appropriate polishing processes and energy sources for reuse applications.

Effects of aging and Parkinson's disease on motor unit remodeling: influence of resistance exercise training.

Science.gov (United States)

Kelly, Neil A; Hammond, Kelley G; Bickel, C Scott; Windham, Samuel T; Tuggle, S Craig; Bamman, Marcas M

2018-04-01

Aging muscle atrophy is in part a neurodegenerative process revealed by denervation/reinnervation events leading to motor unit remodeling (i.e., myofiber type grouping). However, this process and its physiological relevance are poorly understood, as is the wide-ranging heterogeneity among aging humans. Here, we attempted to address 1) the relation between myofiber type grouping and molecular regulators of neuromuscular junction (NMJ) stability; 2) the impact of motor unit remodeling on recruitment during submaximal contractions; 3) the prevalence and impact of motor unit remodeling in Parkinson's disease (PD), an age-related neurodegenerative disease; and 4) the influence of resistance exercise training (RT) on regulators of motor unit remodeling. We compared type I myofiber grouping, molecular regulators of NMJ stability, and the relative motor unit activation (MUA) requirement during a submaximal sit-to-stand task among untrained but otherwise healthy young (YA; 26 yr, n = 27) and older (OA; 66 yr, n = 91) adults and OA with PD (PD; 67 yr, n = 19). We tested the effects of RT on these outcomes in OA and PD. PD displayed more motor unit remodeling, alterations in NMJ stability regulation, and a higher relative MUA requirement than OA, suggesting PD-specific effects. The molecular and physiological outcomes tracked with the severity of type I myofiber grouping. Together these findings suggest that age-related motor unit remodeling, manifested by type I myofiber grouping, 1) reduces MUA efficiency to meet submaximal contraction demand, 2) is associated with disruptions in NMJ stability, 3) is further impacted by PD, and 4) may be improved by RT in severe cases. NEW & NOTEWORTHY Because the physiological consequences of varying amounts of myofiber type grouping are unknown, the current study aims to characterize the molecular and physiological correlates of motor unit remodeling. Furthermore, because exercise training has demonstrated neuromuscular benefits in aged

Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.

Directory of Open Access Journals (Sweden)

Yecai Liu

Full Text Available Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000 immigrants and refugees are required to undergo overseas tuberculosis (TB screening. It is unclear what extent of the unscreened nonimmigrant visitors contributes to the burden of foreign-born TB in the United States.We defined foreign-born persons within 1 year after arrival in the United States as "newly arrived", and utilized data from U.S. Department of Homeland Security, U.S. Centers for Disease Control and Prevention, and World Health Organization to estimate the incidence of TB among newly arrived foreign-born persons in the United States. During 2001 through 2008, 11,500 TB incident cases, including 291 multidrug-resistant TB incident cases, were estimated to occur among 20,989,738 person-years for the 1,479,542,654 newly arrived foreign-born persons in the United States. Of the 11,500 estimated TB incident cases, 41.6% (4,783 occurred among immigrants and refugees, 36.6% (4,211 among students/exchange visitors and temporary workers, 13.8% (1,589 among tourists and business travelers, and 7.3% (834 among Canadian and Mexican nonimmigrant visitors without an I-94 form (e.g., arrival-departure record. The top 3 newly arrived foreign-born populations with the largest estimated TB incident cases per 100,000 admissions were immigrants and refugees from high-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of ≥100 cases/100,000 population/year; 235.8 cases/100,000 admissions, 95% confidence interval [CI], 228.3 to 243.3, students/exchange visitors and temporary workers from high-incidence countries (60.9 cases/100,000 admissions, 95% CI, 58.5 to 63.3, and immigrants and refugees from medium-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of 15-99 cases/100,000 population/year; 55.2 cases/100,000 admissions, 95% CI, 51.6 to 58.8.Newly arrived nonimmigrant visitors contribute substantially to the burden of

Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.

Science.gov (United States)

Liu, Yecai; Painter, John A; Posey, Drew L; Cain, Kevin P; Weinberg, Michelle S; Maloney, Susan A; Ortega, Luis S; Cetron, Martin S

2012-01-01

Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000 immigrants and refugees are required to undergo overseas tuberculosis (TB) screening. It is unclear what extent of the unscreened nonimmigrant visitors contributes to the burden of foreign-born TB in the United States. We defined foreign-born persons within 1 year after arrival in the United States as "newly arrived", and utilized data from U.S. Department of Homeland Security, U.S. Centers for Disease Control and Prevention, and World Health Organization to estimate the incidence of TB among newly arrived foreign-born persons in the United States. During 2001 through 2008, 11,500 TB incident cases, including 291 multidrug-resistant TB incident cases, were estimated to occur among 20,989,738 person-years for the 1,479,542,654 newly arrived foreign-born persons in the United States. Of the 11,500 estimated TB incident cases, 41.6% (4,783) occurred among immigrants and refugees, 36.6% (4,211) among students/exchange visitors and temporary workers, 13.8% (1,589) among tourists and business travelers, and 7.3% (834) among Canadian and Mexican nonimmigrant visitors without an I-94 form (e.g., arrival-departure record). The top 3 newly arrived foreign-born populations with the largest estimated TB incident cases per 100,000 admissions were immigrants and refugees from high-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of ≥100 cases/100,000 population/year; 235.8 cases/100,000 admissions, 95% confidence interval [CI], 228.3 to 243.3), students/exchange visitors and temporary workers from high-incidence countries (60.9 cases/100,000 admissions, 95% CI, 58.5 to 63.3), and immigrants and refugees from medium-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of 15-99 cases/100,000 population/year; 55.2 cases/100,000 admissions, 95% CI, 51.6 to 58.8). Newly arrived nonimmigrant visitors contribute substantially to the burden of foreign

Challenges of restarting Bruce Units 3 and 4 from a chemistry and materials perspective

International Nuclear Information System (INIS)

Roberts, J.G.; Langguth, K.

2005-01-01

In 2001, Bruce Power leased the Bruce Units 1-8 reactors from Ontario Power Generation. Bruce Power decided to restart Bruce Units 3 and 4 following a condition assessment of Bruce A Units 3 and 4. This paper describes the challenges that were encountered and how they were overcome, specifically for heat transport system chemistry in order to adequately protect carbon steel surfaces. The heat transport system, by design, has close inter-relations with other station systems and the related issues of some of these systems are also discussed. Considerations of material impacts have significant influences on the approach to, and control of, chemistry. Specific material impacts led to a novel, and successful, approach. This approach was arrived at following significant efforts by a multi-disciplinary team of operations, maintenance and chemistry staff. The issues, approaches considered and solutions used for a successful outcome will be presented. (author)

Challenges of restarting Bruce Units 3 and 4 from a chemistry and materials perspective

Energy Technology Data Exchange (ETDEWEB)

Roberts, J.G.; Langguth, K. [Bruce Power, Tiverton, Ontario (Canada)

2005-07-01

In 2001, Bruce Power leased the Bruce Units 1-8 reactors from Ontario Power Generation. Bruce Power decided to restart Bruce Units 3 and 4 following a condition assessment of Bruce A Units 3 and 4. This paper describes the challenges that were encountered and how they were overcome, specifically for heat transport system chemistry in order to adequately protect carbon steel surfaces. The heat transport system, by design, has close inter-relations with other station systems and the related issues of some of these systems are also discussed. Considerations of material impacts have significant influences on the approach to, and control of, chemistry. Specific material impacts led to a novel, and successful, approach. This approach was arrived at following significant efforts by a multi-disciplinary team of operations, maintenance and chemistry staff. The issues, approaches considered and solutions used for a successful outcome will be presented. (author)

Benefits of greenhouse gas mitigation on the supply, management, and use of water resources in the United States

OpenAIRE

Strzepek, Kenneth; Neumann, J.; SMith, J.; Martinich, J.; Boehlert, B.; Hejazi, M.; Henderson, J.; Wobus, C.; Jones, R.; Calvin, K.; Johnson, D.; Monier, Erwan; Strzepek, J.; Yoon, J.-H.

2013-01-01

Climate change impacts on water resources in the United States are likely to be far-reaching and substantial because the water is integral to climate, and the water sector spans many parts of the economy. This paper estimates impacts and damages from five water resource-related models addressing runoff, drought risk, economics of water supply/demand, water stress, and flooding damages. The models differ in the water system assessed, spatial scale, and unit of assessment, but together provide ...

[Cost effectiveness and budget impact analysis of inhaled nitric oxide in a neonatal unit from the perspective of the public health system].

Science.gov (United States)

Kilchemmann Fuentes, Carlos; Vallejos Vallejos, Carlos; Román Navarro, Andrés

Inhaled nitric oxide (iNO) is currently the first-line therapy in severe hypoxaemic respiratory failure of the newborn. Most of regional neonatal centres in Chile do not have this therapeutic alternative. To determine the cost effectiveness of inhaled nitric oxide in the treatment of respiratory failure associated with pulmonary hypertension of the newborn compared to the usual care, including the transfer to a more complex unit. A clinical decision tree was designed from the perspective of Chilean Public Health Service. Incremental cost effectiveness rates (ICER) were calculated, deterministic sensitivity analysis was performed, and probabilistic budget impact was estimated using: TreeAge Pro Healthcare 2014 software. The iNO option leads to an increase in mean cost of $ 11.7 million Chilean pesos (€15,000) per patient treated, with an ICER compared with the usual care of $23 million pesos (€30,000) in case of death or ECMO avoided. By sensitising the results by incidence, it was found that from 7 cases and upwards treated annually, inhaled nitric oxide is less costly than the transfer to a more complex unit. From the perspective of a Chilean regional hospital, incorporating inhaled nitric oxide into the management of neonatal respiratory failure is the optimal alternative in most scenarios. Copyright © 2016 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Impact of a National Controlled Donation After Circulatory Death (DCD) Program on Organ Donation in the United Kingdom: A 10-Year Study.

Science.gov (United States)

Hodgson, R; Young, A L; Attia, M A; Lodge, J P A

2017-12-01

Organ transplantation is the most successful treatment for some forms of organ failure, yet a lack of organs means many die on the waiting list. In the United Kingdom, the Organ Donation Taskforce was set up to identify barriers to organ donation and in 2008 released its first report (Organ Donation Taskforce Report; ODTR). This study assesses the success since the ODTR and examines the impact of the United Kingdom's controlled donation after circulatory death (DCD) program and the controversies surrounding it. There were 12 864 intended donation after brain death (DBD) or DCD donors from April 2004 to March 2014. When the 5 years preceding the ODTR was compared to the 5 years following, intended DCD donors increased 292% (1187 to 4652), and intended DBD donors increased 11% (3327 to 3698). Organs retrieved per intended DBD donor remained static (3.30 to 3.26), whereas there was a decrease in DCD (1.54 to 0.99) due to a large rise in donors who did not proceed to donation (325 to 2464). The majority of DCD donors who proceeded did so within 30 min from time of withdrawal. Our study suggests further work on converting eligible referrals to organ donation and exploring methods of converting DCD to DBD donors. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

Author Impact Metrics in Communication Sciences and Disorder Research

Science.gov (United States)

Stuart, Andrew; Faucette, Sarah P.; Thomas, William Joseph

2017-01-01

Purpose: The purpose was to examine author-level impact metrics for faculty in the communication sciences and disorder research field across a variety of databases. Method: Author-level impact metrics were collected for faculty from 257 accredited universities in the United States and Canada. Three databases (i.e., Google Scholar, ResearchGate,…

Dresden Nuclear Power Station, Unit No. 1: Primary cooling system chemical decontamination: Draft environmental statement (Docket No. 50-10)

International Nuclear Information System (INIS)

1980-05-01

The staff has considered the environmental impact and economic costs of the proposed primary cooling system chemical decontamination at Dresden Nuclear Power Station, Unit 1. The staff has focused this statement on the occupational radiation exposure associated with the proposed Unit 1 decontamination program, on alternatives to chemical decontamination, and on the environmental impact of the disposal of the solid radioactive waste generated by this decontamination. The staff has concluded that the proposed decontamination will not significantly affect the quality of the human environment. Furthermore, any impacts from the decontamination program are outweighed by its benefits. 2 figs., 7 tabs

Bank Units. Assessment and Development Tendencies

Directory of Open Access Journals (Sweden)

Adam Szafarczyk

2008-01-01

Full Text Available There are new trends in development banking sector especially concerning branches. The e-banking has diminished impact the old fashion branches as main tool finance activity. Now we have units (departments localised at supermarkets and in other strange places. Due to some researches mortgages and insurance polices ought to be sold in traditional branches according to clients preferences. Lafferty Agency researched quality of banking service condition in the UK. Base on this methodology similar case studies were done in Poland.

77 FR 26569 - Llano Seco Riparian Sanctuary Unit Restoration and Pumping Plant/Fish Screen Facility Protection...

Science.gov (United States)

2012-05-04

...-FF08RSRC00] Llano Seco Riparian Sanctuary Unit Restoration and Pumping Plant/ Fish Screen Facility Protection... would occur at the Riparian Sanctuary. No active restoration of native plants would occur. Maintenance... statement and environmental impact report (EIS/EIR) for the Llano Seco Riparian Sanctuary Unit Restoration...

An assessment of the cyber security legislation and its impact on the United States electrical sector

Science.gov (United States)

Born, Joshua

The purpose of this research was to examine the cyber-security posture for the United States' electrical grid, which comprises a major component of critical infrastructure for the country. The United States electrical sector is so vast, that the Department of Homeland Security (DHS) estimates, it contains more than 6,413 power plants (this includes 3,273 traditional electric utilities and 1,738 nonutility power producers) with approximately 1,075 gigawatts of energy produced on a daily basis. A targeted cyber-security attack against the electric grid would likely have catastrophic results and could even serve as a precursor to a physical attack against the United States. A recent report by the consulting firm Black and Veatch found that one of the top five greatest concerns for United States electric utilities is the risk that cybersecurity poses to their industry and yet, only one-third state they are currently prepared to meet the increasingly likely threat. The report goes on to state, "only 32% of electric utilities surveyed had integrated security systems with the proper segmentation, monitoring and redundancies needed for cyber threat protection. Another 48 % said they did not" Recent estimates indicate that a large-scale cyber-attack against this sector could cost the United States economy as much as a trillion dollars within a weeks' time. Legislative efforts in the past have primarily been focused on creating mandates that encourage public and private partnership, which have been not been adopted as quickly as desired. With 85 % of all electric utilities being privately owned, it is key that the public and private sector partner in order to mitigate risks and respond as a cohesive unit in the event of a major attack. Keywords: Cybersecurity, Professor Riddell, cyber security, energy, intelligence, outlook, electrical, compliance, legislation, partnerships, critical infrastructure.

Life-Cycle Inventory of Manufacturing Prefinished Engineered Wood Flooring in the Eastern United States

Science.gov (United States)

Richard D. Bergman; Scott A. Bowe

2010-01-01

Building products have come under increased scrutiny because of environmental impacts from their manufacturing. However, environmental impacts of manufacturing some wood products—such as prefinished engineered wood flooring—have not been determined. This study examined prefinished engineered wood flooring in the eastern United States following the life-cycle inventory...

Impacts of imports, government policy and technology on future natural gas supply

International Nuclear Information System (INIS)

Allison, E.

2009-01-01

This presentation discussed the impacts of imports, government policy and technology on future natural gas supply. Specifically, it discussed projections of natural gas supply and demand; the potential impact of imports on United States natural gas supply; the potential impacts of government policy on natural gas supply and demand; and the impact of technological innovations on natural gas supply such as coalbed methane and methane hydrate. Specific government policies that were examined included the American Recovery and Reinvestment Act of 2009; the American Clean Energy and Security Act of 2009; and the Clean Energy Jobs and American Power Act of 2009. It was concluded that the United States demand for natural gas will expand and that the impact of pending clean energy legislation is unclear. In addition, each potential future resource will face constraints and new resources may come on line in the next 20 years. figs.

Evaluation and characterization of informal caregivers in patients admitted to Intensive Care Units of two Portuguese centers

Directory of Open Access Journals (Sweden)

Carolina Miguel Graça Henriques

2012-07-01

Full Text Available Introduction: The aging of societies is an incontestable fact and Portugal is no exception. Although among the youngest countries of the European Union (in 1996, the aging index was 86 elderly for every 100 young people, while the European Union in the same proportion was 91 to 100, it is estimated that the aging population undergoes a progressive increase. The age structure is growing older, having low levels of fertility and mortality. Methods: This research aims to identify the sociodemographic characteristics of informal caregivers and users admitted to the Continuous Care Units of Entroncamento city, and Ourém city, Portugal; assess the level of dependency of clients admitted and determine the level of subjective burden, caregiver satisfaction and impact of care on informal caregivers of clients admitted to the Continuous Care Units of Entroncamento city, and Ourém city, Portugal. As research questions are: What are the sociodemographic characteristics of informal caregivers and users admitted to the Continuous Care Units of Entroncamento city, and Ourém city, Portugal; What is the level of dependency of clients admitted and What is the level of subjective burden, caregiver satisfaction and impact of care on informal caregivers of clients admitted to the Continuous Care Units of Entroncamento city, and Ourém city, Portugal. We used a descriptive correlational methodology, with a non-probability convenience sample of 32 informal caregivers and respective dependents admitted to the Continuing Care Unit. Demographic data were collected using a questionnaire. It was also applied to the Caregiver Assessment Scale, to measure the levels of subjective burden, caregiver satisfaction and impact of care on informal caregivers, and the Barthel Index to determine the functional dependence of the dependent institutionalized. Complex hypotheses have also been identified, non-directional, namely: Is there a statistically significant correlation

The National Legal Framework of the United States

International Nuclear Information System (INIS)

Crosland, Martha S.

2017-01-01

Ms Crosland presented the United States legal framework regarding public participation. Under the Administrative Procedure Act, the primary way of conducting public participation is through 'notice and comment rulemaking'. A proposed rule is published in the Federal Register and is open to comment by the general public; the final publication of the rule includes the answers to the comments received. The various agencies in the United States make use of several digital tools to expand effective public participation and manage the process. The Atomic Energy Act established an adjudicatory process including 'trial-type' hearings, providing participation opportunities to any individual or group whose interests may be affected by a Nuclear Regulatory Commission licensing action. The National Environmental Policy Act requires several levels of review for all actions with potentially significant environmental impacts. An environmental assessment (EA) is conducted, to determine whether there is no significant impact or if a more detailed environmental impact statement (EIS) is needed. The EA requires notification of the host state and/or tribe, and the agency in charge has discretion as to the level of public involvement. The EIS requires public notification, a period for public comments on the draft EIS, and at least one public hearing. Ms Crosland presented stakeholder involvement initiatives carried out beyond the legal requirements, such as Citizen Advisory Boards at certain Department of Energy nuclear sites or the National Transportation Stakeholders Forum

78 FR 50022 - Environmental Impact Statement; Asian Longhorned Beetle Eradication Program

Science.gov (United States)

2013-08-16

... submit comments regarding the environmental impact statement by either of the following methods: Federal..., Environmental Protection Specialist, Environmental and Risk Analysis Services, PPD, APHIS, 4700 River Road Unit...] Environmental Impact Statement; Asian Longhorned Beetle Eradication Program AGENCY: Animal and Plant Health...

Warwickshire coalfield second monitoring report working paper No. 8. [United Kingdom

Energy Technology Data Exchange (ETDEWEB)

Carter, K.; Roberts, P. (eds.)

1983-01-01

The second in a series of reports providing information relevant to the proposal to deep-mine coal in mid-Warwickshire, United Kingdom. Emphasis is placed upon an updating of energy policy, a progress report on the Belvoir and Selby developments, the impact of coal mining on local income and expenditure, the experience of new mining developments in the West Midlands, the further examination of waste disposal and a detailed look at the economic impacts of coal mining.

Lepreau 2 environmental impact statement. Summary

International Nuclear Information System (INIS)

1984-05-01

Maritime Nuclear, a joint undertaking of Atomic Energy of Canada Limited and the New Brunswick Electric Power Commission, proposes to construct a second CANDU 600 MW nuclear-powered generating unit at the site of the existing Point Lepreau Generating Station, in New Brunswick. A feasibility study is now underway and guidelines issued by the Lepreau 2 Environmental Assessment Panel identified six priority issues and concerns. These are: impacts on the biological environment, impacts of radiation on humans, impacts on the socio-economic environment, monitoring, emergency planning, and decommissioning. These factors as well as a description of the proposed facility are described in this report

Climate Change Impacts on the Built Environment in the United States and Implications for Sustainability

Science.gov (United States)

Quattrochi, Dale A.

2012-01-01

As an integral part of the National Climate Assessment (NCA), technical assessment reports for 13 regions in the U.S. that describe the scientific rationale to support climate change impacts within the purview of these regions, and provide adaptation or mitigation measures in response to these impacts. These technical assessments focus on climate change impacts on sectors that are important environmental, biophysical, and social and economic aspects of sustainability within the U.S.: Climate change science, Ecosystems and biodiversity, Water resources, Human health, Energy supply and use, Water/energy/land use, Transportation, Urban/infrastructure/vulnerability, Agriculture, Impacts of climate change on tribal/indigenous and native lands and resources, Forestry, Land use/land cover change, Rural communities development, and Impacts on biogeochemical cycles, with implications for ecosystems and biodiversity. There is a critical and timely need for the development of mitigation and adaptation strategies in response to climate change by the policy and decision making communities, to insure resiliency and sustainability of the built environment in the future.

The potential impact of increased treatment rates for alcohol dependence in the United Kingdom in 2004.

Science.gov (United States)

Shield, Kevin D; Rehm, Jürgen; Rehm, Maximilien X; Gmel, Gerrit; Drummond, Colin

2014-02-05

Alcohol consumption has been linked to a considerable burden of disease in the United Kingdom (UK), with most of this burden due to heavy drinking and Alcohol Dependence (AD). However, AD is undertreated in the UK, with only 8% of those individuals with AD being treated in England and only 6% of those individuals with AD being treated in Scotland. Thus, the objective of this paper is to quantify the deaths that would have been avoided in the UK in 2004 if the treatment rate for AD had been increased. Data on the prevalence of AD, alcohol consumption, and mortality were obtained from the Adult Psychiatric Morbidity Survey, the Global Information System on Alcohol and Health, and the 2004 Global Burden of Disease study respectively. Data on the effectiveness of pharmacological treatment and Motivational Interviewing/Cognitive Behavioural Therapy were obtained from Cochrane reviews and meta-analyses. Simulations were used to model the number of deaths under different treatment scenarios. Sensitivity analyses were performed to model the effects of Brief Interventions and to examine the effect of using AD prevalence data obtained from the National Institute for Health and Clinical Excellence. In the UK, 320 female and 1,385 male deaths would have been avoided if treatment coverage of pharmacological treatment had been increased to 20%. This decrease in the number of deaths represents 7.9% of all alcohol-attributable deaths (7.0% of all alcohol-attributable deaths for women and 8.1% of all alcohol-attributable deaths for men). If we used lower AD prevalence rates obtained from the National Institute for Health and Clinical Excellence, then treatment coverage of pharmacological treatment in hospitals for 20% of the population with AD would have resulted in the avoidance of 529 deaths in 2004 (99 deaths avoided for women and 430 deaths avoided for men). Increasing AD treatment in the UK would have led to a large number of deaths being avoided in 2004. Increased AD

Designing a nuclear power plant with 1000 MW WWER-type units

Energy Technology Data Exchange (ETDEWEB)

Berkovich, V; Kaloshin, J; Tatarnikov, V; Shenderovich, A

1977-06-01

A brief description is presented of a WWER-1000 nuclear power plant also considering its environmental impact and the problem of core poisoning. The following indicators are graphically shown in relation to the reactor output: turbogenerator unit outputs, efficiency, specific capital costs and own costs of electric power generated by the Voronezh nuclear power plant. Also listed are the specific consumption of metal and concrete, specific equipment weight and the specific volume of the buildings of the main generating unit as well as the cross section thereof.

Integrated risk assessment for multi-unit NPP sites—A comparison

International Nuclear Information System (INIS)

Kumar, C. Senthil; Hassija, Varun; Velusamy, K.; Balasubramaniyan, V.

2015-01-01

Highlights: • Framework for integrated risk assessment for multi-unit NPP sites. • Categorization of external and internal events. • Modelling of key issues: mission time, cliff-edge, common cause failures, etc. • Safety goals for multi-unit NPP sites. • Comparison of site core damage frequency in one, two, three and four unit sites. - Abstract: Most of the nuclear power producing sites in the world houses multiple units. Such sites are faced with hazards generated from external events: earthquake, tsunami, flood, etc. and can threaten the safety of nuclear power plants. Further, risk from a multiple unit site and its impact on the public and environment was evident during the Fukushima nuclear disaster in March 2011. It is therefore important to evolve a methodology to systematically assess the risk from multi-unit site. For a single unit site, probabilistic risk assessment technique identifies the potential accident scenarios, their consequences, and estimates the core damage frequency that arise due to internal and external hazards. This challenging task becomes even more complex for a multiple unit site, especially when the external hazards that has the potential to generate one or more correlated hazards or a combination of non-correlated hazards are to be modelled. This paper presents an approach to evaluate risk for multiple NPP sites and also compare the risk for sites housing single, double and multiple nuclear plants.

Integrated risk assessment for multi-unit NPP sites—A comparison

Energy Technology Data Exchange (ETDEWEB)

Kumar, C. Senthil, E-mail: cskumar@igcar.gov.in [AERB-Safety Research Institute, Kalpakkam (India); Hassija, Varun; Velusamy, K. [Reactor Design Group, Indira Gandhi Centre for Atomic Research, Kalpakkam (India); Balasubramaniyan, V. [AERB-Safety Research Institute, Kalpakkam (India)

2015-11-15

Highlights: • Framework for integrated risk assessment for multi-unit NPP sites. • Categorization of external and internal events. • Modelling of key issues: mission time, cliff-edge, common cause failures, etc. • Safety goals for multi-unit NPP sites. • Comparison of site core damage frequency in one, two, three and four unit sites. - Abstract: Most of the nuclear power producing sites in the world houses multiple units. Such sites are faced with hazards generated from external events: earthquake, tsunami, flood, etc. and can threaten the safety of nuclear power plants. Further, risk from a multiple unit site and its impact on the public and environment was evident during the Fukushima nuclear disaster in March 2011. It is therefore important to evolve a methodology to systematically assess the risk from multi-unit site. For a single unit site, probabilistic risk assessment technique identifies the potential accident scenarios, their consequences, and estimates the core damage frequency that arise due to internal and external hazards. This challenging task becomes even more complex for a multiple unit site, especially when the external hazards that has the potential to generate one or more correlated hazards or a combination of non-correlated hazards are to be modelled. This paper presents an approach to evaluate risk for multiple NPP sites and also compare the risk for sites housing single, double and multiple nuclear plants.

Bruce NGS A Unit 4 preheater divider plate failure

International Nuclear Information System (INIS)

Landridge, M.; McInnes, D.

1995-01-01

On May 19, 1995, without any prior operational indications, Bruce A discovered preheater divider plate damage in Unit 4 that had the potential to have a major impact on the continued safe operation of the station. Further investigations indicated that Unit 4 may have been operating with this damage for as long as ten years. In the two months following the discovery, Bruce A has procured and replaced the 4 divider plates, located most of the missing pieces, retrieved pieces from the PHT system, investigated historical operational information, performed detailed analytical investigations, investigated root cause, performed in-situ and mock-up testing, updated operational procedures and installed DP monitoring equipment

Comparison of production-phase environmental impact metrics derived at the farm- and national-scale for United States agricultural commodities

International Nuclear Information System (INIS)

Costello, Christine; Xue, Xiaobo; Howarth, Robert W

2015-01-01

Agricultural production is critical for human survival and simultaneously contributes to ecosystem degradation. There is a need for transparent, rapid methods for evaluating the environmental impacts of agricultural production at the system-level in order to develop sustainable food supplies. We have developed a method for estimating the greenhouse gas (GHG), land use and reactive nitrogen inputs associated with the agricultural production phase of major crop and livestock commodities produced in the United States (US). Materials flow analysis (MFA) and life cycle assessment (LCA) techniques were applied to national inventory datasets. The net anthropogenic nitrogen inputs (NANI) toolbox served as the primary accounting tool for LCA and MFA. NANI was updated to create links between nitrogen fertilizer and nitrogen fixation associated with feed crops and animal food commodities. Results for the functional units kilogram (kg) of product and kg of protein for 2002 data fall within ranges of published LCA results from farm-scale studies across most metrics. Exceptions include eutrophication potential for milk and GHGs for chicken and eggs, these exceptions arise due to differing methods and boundary assumptions; suggestions for increasing agreement are identified. Land use for livestock commodities are generally higher than reported by other LCA studies due to the inclusion of all land identified as pasture or grazing land in the US in this study and given that most of the estimates from other LCAs were completed in Europe where land is less abundant. The method provides a view of the entire US agricultural system and could be applied to any year using publically available data. Additionally, utilizing a top-down approach reduces data collection and processing time making it possible to develop environmental inventory metrics rapidly for system-level decision-making. (letter)

International Jobs and Economic Development Impacts (I-JEDI) Model

Energy Technology Data Exchange (ETDEWEB)

2016-09-01

International Jobs and Economic Development Impacts (I-JEDI) is a freely available economic model that estimates gross economic impacts from wind, solar, biomass, and geothermal energy projects. Building on a similar model for the United States, I-JEDI was developed by the National Renewable Energy Laboratory under the U.S. government's Enhancing Capacity for Low Emission Development Strategies (EC-LEDS) program to support partner countries in assessing economic impacts of LEDS actions in the energy sector.

Thoughts on History, Tuning and the Scholarship of Teaching and Learning in the United States

Science.gov (United States)

Pace, David

2017-01-01

The Tuning Movement and the scholarship of teaching and learning have each had a significant impact on teaching history in higher education in the United States. But the isolation of these initiatives from each other has lessened their potential impact. Interactions between the two might bring together the intellectual exploration of scholarship…

Integrated approach for characterizing and comparing exposure-based impacts with life cycle impacts

DEFF Research Database (Denmark)

Fantke, Peter; Jolliet, Olivier

2016-01-01

ions that involve burden shifting or that result in only incremental improvement. Focusing in the life cycle impacts on widely accepted and applied impact categories like global warming potential or cumulative energy demand aggregating several impact categories will lead to underestimations of life...... to the environment from product-related processes along the product life cycle. We build on a flexible mass balance-based modeling system yielding cumulative multimedia transfer fractions and exposure pathway-specific Product Intake Fractions defined as chemical mass taken in by humans per unit mass of chemical...... in a product. When combined chemical masses in products and further with toxicity information, this approach is a resourceful way to inform CAA and minimize human exposure to toxic chemicals in consumer products through both product use and environmental emissions. We use an example of chemicals in consumer...

Assessment and economic valuation of air pollution impacts on human health over Europe and the United States as calculated by a multi-model ensemble in the framework of AQMEII3

Directory of Open Access Journals (Sweden)

U. Im

2018-04-01

Full Text Available The impact of air pollution on human health and the associated external costs in Europe and the United States (US for the year 2010 are modeled by a multi-model ensemble of regional models in the frame of the third phase of the Air Quality Modelling Evaluation International Initiative (AQMEII3. The modeled surface concentrations of O3, CO, SO2 and PM2.5 are used as input to the Economic Valuation of Air Pollution (EVA system to calculate the resulting health impacts and the associated external costs from each individual model. Along with a base case simulation, additional runs were performed introducing 20 % anthropogenic emission reductions both globally and regionally in Europe, North America and east Asia, as defined by the second phase of the Task Force on Hemispheric Transport of Air Pollution (TF-HTAP2. Health impacts estimated by using concentration inputs from different chemistry–transport models (CTMs to the EVA system can vary up to a factor of 3 in Europe (12 models and the United States (3 models. In Europe, the multi-model mean total number of premature deaths (acute and chronic is calculated to be 414 000, while in the US, it is estimated to be 160 000, in agreement with previous global and regional studies. The economic valuation of these health impacts is calculated to be EUR 300 billion and 145 billion in Europe and the US, respectively. A subset of models that produce the smallest error compared to the surface observations at each time step against an all-model mean ensemble results in increase of health impacts by up to 30 % in Europe, while in the US, the optimal ensemble mean led to a decrease in the calculated health impacts by  ∼  11 %. A total of 54 000 and 27 500 premature deaths can be avoided by a 20 % reduction of global anthropogenic emissions in Europe and the US, respectively. A 20 % reduction of North American anthropogenic emissions avoids a total of  ∼  1000 premature

Global climate change and introduced species in United States forests

Energy Technology Data Exchange (ETDEWEB)

Simberloff, D. [Department of Ecology and Evolutionary Biology, University of Tennessee, 37996 Knoxville, TN (United States)

2000-11-15

Introduced species already cause billions of dollars of damage annually in United States forests, plus massive ecological damage whose economic value has often not been estimated. The variety of impacts is staggering and includes herbivory, predation, disease, parasitism, competition, habitat destruction, hybridization, and changed disturbance regimes and nutrient cycles. How global climate change will affect these impacts has scarcely been assessed. Range changes of existing introduced species will be prominent, as many species' biogeographic ranges are set primarily by climate. Similarly, some species that might otherwise not have survived will be able to establish populations in a changed climate. It is more difficult to predict what the impacts of the introduced species will be. What is most needed are studies of the combined impacts of changing climate, CO{sub 2}, and nutrients. Certain aspects of the biology of introduced species, such as evolution and autonomous dispersal, greatly complicate the prediction of spread and impact of introduced species.

Evaluation of Climate Change Impact on Drinking Water Treatment Plant Operation

Science.gov (United States)

It is anticipated that global climate change will adversely impact source water quality in many areas of the United States and, therefore, will influence the design and operation of current and future drinking water treatment systems. Some of these impacts may lead to violations ...

Predicting the environmental impacts of chicken systems in the United Kingdom through a life cycle assessment: broiler production systems.

Science.gov (United States)

Leinonen, I; Williams, A G; Wiseman, J; Guy, J; Kyriazakis, I

2012-01-01

The aim of this study was to apply the life cycle assessment (LCA) method, from cradle to gate, to quantify the environmental burdens per 1,000 kg of expected edible carcass weight in the 3 main broiler production systems in the United Kingdom: 1) standard indoor, 2) free range, and 3) organic, and to identify the main components of these burdens. The LCA method evaluates production systems logically to account for all inputs and outputs that cross a specified system boundary, and it relates these to the useful outputs. The analysis was based on an approach that applied a structural model for the UK broiler industry and mechanistic submodels for animal performance, crop production, and major nutrient flows. Simplified baseline feeds representative of those used by the UK broiler industry were used. Typical UK figures for performance and mortality of birds and farm energy and material use were applied. Monte Carlo simulations were used to quantify the uncertainties in the outputs. The length of the production cycle was longer for free-range and organic systems compared with that of the standard indoor system, and as a result, the feed consumption and manure production per bird were higher in the free-range and organic systems. These differences had a major effect on the differences in environmental burdens between the systems. Feed production, processing, and transport resulted in greater overall environmental impacts than any other components of broiler production; for example, 65 to 81% of the primary energy use and 71 to 72% of the global warming potential of the system were due to these burdens. Farm gas and oil use had the second highest impact in primary energy use (12-25%) followed by farm electricity use. The direct use of gas, oil, and electricity were generally lower in free-range and organic systems compared with their use in the standard indoor system. Manure was the main component of acidification potential and also had a relatively high eutrophication

Predicting long-term citation impact of articles in social and personality psychology.

Science.gov (United States)

Haslam, Nick; Koval, Peter

2010-06-01

The citation impact of a comprehensive sample of articles published in social and personality psychology journals in 1998 was evaluated. Potential predictors of the 10-yr. citation impact of 1580 articles from 37 journals were investigated, including number of authors, number of references, journal impact factor, author nationality, and article length, using linear regression. The impact factor of the journal in which articles appeared was the primary predictor of the citations that they accrued, accounting for 30% of the total variance. Articles with greater length, more references, and more authors were cited relatively often, although the citation advantage of longer articles was not proportionate to their length. A citation advantage was also enjoyed by authors from the United States of America, Canada, and the United Kingdom. 37% of the variance in the total number of citations was accounted for by the study variables.

Impact on breast cancer diagnosis in a multidisciplinary unit after the incorporation of mammography digitalization and computer-aided detection systems.

Science.gov (United States)

Romero, Cristina; Varela, Celia; Muñoz, Enriqueta; Almenar, Asunción; Pinto, Jose María; Botella, Miguel

2011-12-01

The purpose of this article is to evaluate the impact on the diagnosis of breast cancer of implementing full-field digital mammography (FFDM) in a multidisciplinary breast pathology unit and, 1 year later, the addition of a computer-aided detection (CAD) system. A total of 13,453 mammograms performed between January and July of the years 2004, 2006, and 2007 were retrospectively reviewed using conventional mammography, digital mammography, and digital mammography plus CAD techniques. Mammograms were classified into two subsets: screening and diagnosis. Variables analyzed included cancer detection rate, rate of in situ carcinoma, tumor size at detection, biopsy rate, and positive predictive value of biopsy. FFDM increased the cancer detection rate, albeit not statistically significantly. The detection rate of in situ carcinoma increased significantly using FFDM plus CAD compared with conventional technique (36.8% vs 6.7%; p = 0.05 without Bonferroni statistical correction) for the screening dataset. Relative to conventional mammography, tumor size at detection decreased with digital mammography (T1, 61.5% vs 88%; p = 0.018) and with digital mammography plus CAD (T1, 79.7%; p = 0.03 without Bonferroni statistical correction). Biopsy rates in the general population increased significantly using CAD (10.6/1000 for conventional mammography, 14.7/1000 for digital mammography, and 17.9/1000 for digital mammography plus CAD; p = 0.02). The positive predictive value of biopsy decreased slightly, but not significantly, for both subsets. The incorporation of new techniques has improved the performance of the breast unit by increasing the overall detection rates and earlier detection (smaller tumors), both leading to an increase in interventionism.

Evaluation of environmental impact predictions

International Nuclear Information System (INIS)

Cunningham, P.A.; Adams, S.M.; Kumar, K.D.

1977-01-01

An analysis and evaluation of the ecological monitoring program at the Surry Nuclear Power Plant showed that predictions of potential environmental impact made in the Final Environmental Statement (FES), which were based on generally accepted ecological principles, were not completely substantiated by environmental monitoring data. The Surry Nuclear Power Plant (Units 1 and 2) was chosen for study because of the facility's relatively continuous operating history and the availability of environmental data adequate for analysis. Preoperational and operational fish monitoring data were used to assess the validity of the FES prediction that fish would congregate in the thermal plume during winter months and would avoid the plume during summer months. Analysis of monitoring data showed that fish catch per unit effort (CPE) was generally high in the thermal plume during winter months; however, the highest fish catches occurred in the plume during the summer. Possible explanations for differences between the FES prediction and results observed in analysis of monitoring data are discussed, and general recommendations are outlined for improving impact assessment predictions

Impact of interactive online units on learning science among students with learning disabilities and English learners

Science.gov (United States)

Terrazas-Arellanes, Fatima E.; Gallard M., Alejandro J.; Strycker, Lisa A.; Walden, Emily D.

2018-03-01

The purpose of this study was to document the design, classroom implementation, and effectiveness of interactive online units to enhance science learning over 3 years among students with learning disabilities, English learners, and general education students. Results of a randomised controlled trial with 2,303 middle school students and 71 teachers across 13 schools in two states indicated that online units effectively deepened science knowledge across all three student groups. Comparing all treatment and control students on pretest-to-posttest improvement on standards-based content-specific assessments, there were statistically significant mean differences (17% improvement treatment vs. 6% control; p English learner status, indicating that these two groups performed similarly to their peers; students with learning disabilities had significantly lower assessment scores overall. Teachers and students were moderately satisfied with the units.

Impact of building technology, state and community programs on United States employment and wage income

International Nuclear Information System (INIS)

Scott, M.J.; Hostick, D.J.; Elliott, D.B.; Schultz, R.W.

1998-04-01

As part of measuring the impact of government programs on improving the energy efficiency of the nation's building stock, the Department of Energy Office of Building Technology, State and Community Programs (BTS) is interested in assessing the economic impacts of its portfolio of programs, specifically the potential impact on national employment and income. This assessment is being done for the first time in FY99 as a supplement to the Government Performance and Results Act (GPRA--formerly, Quality Metrics) estimates of primary energy savings and environmental and direct financial benefits of the BTS programs. The programmatic needs of BTS suggest that a simple, flexible, user-friendly method is needed to derive national employment and income impacts of individual BTS programs. Therefore, BTS funded Pacific Northwest National Laboratory (PNNL) to develop a special-purpose version of the Impact Analysis for Planning (IMPLAN) national input-output model (Minnesota IMPLAN Group, Inc. 1997) specifically to estimate the employment and income effects of building energy technologies. The special-purpose version of the IMPLAN model used in this study is called ImBuild. Extensive documentation and a user's guide are provided in Scott et al. (1998). Compared with simple economic multiplier approaches, such as the published multipliers from the Department of Commerce Regional Input-Output Modeling System (RIMS 2), ImBuild allows for more complete and automated analysis of the economic impacts of energy efficiency investments in buildings. ImBuild is also easier to use than existing macroeconomic simulation models. In this report, the authors use the ImBuild model to calculate the impact of all 32 BTS programs reported in the BTS GPRA Metrics Estimates, FY99 Budget Request, December 19, 1997

Broadening GHG accounting with LCA: application to a waste management business unit.

Science.gov (United States)

Fallaha, Sophie; Martineau, Geneviève; Bécaert, Valérie; Margni, Manuele; Deschênes, Louise; Samson, Réjean; Aoustin, Emmanuelle

2009-11-01

In an effort to obtain the most accurate climate change impact assessment, greenhouse gas (GHG) accounting is evolving to include life-cycle thinking. This study (1) identifies similarities and key differences between GHG accounting and life-cycle assessment (LCA), (2) compares them on a consistent basis through a case study on a waste management business unit. First, GHG accounting is performed. According to the GHG Protocol, annual emissions are categorized into three scopes: direct GHG emissions (scope 1), indirect emissions related to electricity, heat and steam production (scope 2) and other indirect emissions (scope 3). The LCA is then structured into a comparable framework: each LCA process is disaggregated into these three scopes, the annual operating activities are assessed, and the environmental impacts are determined using the IMPACT2002+ method. By comparing these two approaches it is concluded that both LCA and GHG accounting provide similar climate change impact results as the same major GHG contributors are determined for scope 1 emissions. The emissions from scope 2 appear negligible whereas emissions from scope 3 cannot be neglected since they contribute to around 10% of the climate change impact of the waste management business unit. This statement is strengthened by the fact that scope 3 generates 75% of the resource use damage and 30% of the ecosystem quality damage categories. The study also shows that LCA can help in setting up the framework for a annual GHG accounting by determining the major climate change contributors.

Business Impact Analysis Terkait Penanganan dan Pemulihan Terhadap Bencana di PT Bank XYZ

Directory of Open Access Journals (Sweden)

Rubil Rubil

2012-12-01

Full Text Available For each company, disasters may have diverse impacts either financially or non-financially. Therefore, a company requires a business continuity plan. One important factor in developing such plan is Business Impact Analysis (BIA. With BIA, a company can identify and analyze Critical Business Functions (CBFs and potential impacts on the business whether operationally or financially, and further, business recovery priority, strategy and solution can be determined following a disaster.Methodologies used in developing this BIA are quantitativeand qualitative where for aspects related to financials, quantitive method is used. Meanwhile, for those aspects\\ related to non-financial areas, qualitative method is used. The development of this BIA was done through the dissemination of questionnaires to 62 business units in PT Bank XYZ. To draw the BIA, eight parameters were used, where as for the final result, there were three criticality levels found in the business units of PT Bank XYZ, i.e. very critical level - 18 business units (29%, critical level - 23 business units (37% and less critical level – 21 business units (34%. In addition, there were 71 applications used by CBFs. Based on the results of this study, PT Bank XYZ can determine the priority and key strategies for business units that require handling and recovery when a disaster occurs to maintain the bank's business operation's continuity and sustainability.Withthat, the company can minimize the potential loss resulted from a disaster.

Designing a nuclear power plant with 1000 MW WWER-type units

International Nuclear Information System (INIS)

Berkovich, V.; Kaloshin, J.; Tatarnikov, V.; Shenderovich, A.

1977-01-01

A brief description is presented of a WWER-1000 nuclear power plant also considering its environmental impact and the problem of core poisoning. The following indicators are graphically shown in relation to the reactor output: turbogenerator unit outputs, efficiency, specific capital costs and own costs of electric power generated by the Voronezh nuclear power plant. Also listed are the specific consumption of metal and concrete, specific equipment weight and the specific volume of the buildings of the main generating unit as well as the cross section thereof. (J.B.)

Impact of Subspecialty Fellowship Training on Research Productivity Among Academic Plastic Surgery Faculty in the United States.

Science.gov (United States)

Sood, Aditya; Therattil, Paul J; Chung, Stella; Lee, Edward S

2015-01-01

The impact of subspecialty fellowship training on research productivity among academic plastic surgeons is unknown. The authors' aim of this study was to (1) describe the current fellowship representation in academic plastic surgery and (2) evaluate the relationship between h-index and subspecialty fellowship training by experience and type. Academic plastic surgery faculty (N = 590) were identified through an Internet-based search of all ACGME-accredited integrated and combined residency programs. Research output was measured by h-index from the Scopus database as well as a number of peer-reviewed publications. The Kruskal-Wallis test, with a subsequent Mann-Whitney U test, was used for statistical analysis to determine correlations. In the United States, 72% (n = 426) of academic plastic surgeons had trained in 1 or more subspecialty fellowship program. Within this cohort, the largest group had completed multiple fellowships (28%), followed by hand (23%), craniofacial (22%), microsurgery (15%), research (8%), cosmetic (3%), burn (2%), and wound healing (0.5%). Higher h-indices correlated with a research fellowship (12.5; P productivity compared with their colleagues. Craniofacial-trained physicians also demonstrated a higher marker for academic productivity than multiple other specialties. In this study, we show that the type and number of fellowships influence the h-index and further identification of such variables may help improve academic mentorship and productivity within academic plastic surgery.

Strategy for an assessment of cumulative ecological impacts

International Nuclear Information System (INIS)

Boucher, P.; Collins, J.; Nelsen, J.

1995-01-01

The US Department of Energy (DOE) has developed a strategy to conduct an assessment of the cumulative ecological impact of operations at the 300-square-mile Savannah River Site. This facility has over 400 identified waste units and contains several large watersheds. In addition to individual waste units, residual contamination must be evaluated in terms of its contribution to ecological risks at zonal and site-wide levels. DOE must be able to generate sufficient information to facilitate cleanup in the immediate future within the context of a site-wide ecological risk assessment that may not be completed for many years. The strategy superimposes a more global perspective on ecological assessments of individual waste units and provides strategic underpinnings for conducting individual screening-level and baseline risk assessments at the operable unit and zonal or watershed levels. It identifies ecological endpoints and risk assessment tools appropriate for each level of the risk assessment. In addition, it provides a clear mechanism for identifying clean sites through screening-level risk assessments and for elevating sites with residual contamination to the next level of assessment. Whereas screening-level and operable unit-level risk assessments relate directly to cleanup, zonal and site-wide assessments verity or confirm the overall effectiveness of remediation. The latter assessments must show, for example, whether multiple small areas with residual pesticide contamination that have minimal individual impact would pose a cumulative risk from bioaccumulation because they are within the habitat range of an ecological receptor

Impact Aid and the Education of Military Children

National Research Council Canada - National Science Library

Buddin, Richard

2001-01-01

Military children living in the United States generally attend a local public school and have a portion of their education expenses paid by the federal government through the Department of Education's Impact Aid program...

Impact of a VAP bundle in Belgian intensive care units.

Science.gov (United States)

Jadot, Laurent; Huyghens, Luc; De Jaeger, Annick; Bourgeois, Marc; Biarent, Dominique; Higuet, Adeline; de Decker, Koen; Vander Laenen, Margot; Oosterlynck, Baudewijn; Ferdinande, Patrick; Reper, Pascal; Brimioulle, Serge; Van Cromphaut, Sophie; De Clety, Stéphane Clement; Sottiaux, Thierry; Damas, Pierre

2018-05-21

In order to decrease the incidence of ventilator-associated pneumonia (VAP) in Belgium, a national campaign for implementing a VAP bundle involving assessment of sedation, cuff pressure control, oral care with chlorhexidine and semirecumbent position, was launched in 2011-2012. This report will document the impact of this campaign. On 1 day, once a year from 2010 till 2016, except in 2012, Belgian ICUs were questioned about their ventilated patients. For each of these, data about the application of the bundle and the possible treatment for VAP were recorded. Between 36.6 and 54.8% of the 120 Belgian ICUs participated in the successive surveys. While the characteristics of ventilated patients remained similar throughout the years, the percentage of ventilated patients and especially the duration of ventilation significantly decreased before and after the national VAP bundle campaign. Ventilator care also profoundly changed: Controlling cuff pressure, head positioning above 30° were obtained in more than 90% of cases. Oral care was more frequently performed within a day, using more concentrated solutions of chlorhexidine. Subglottic suctioning also was used but in only 24.7% of the cases in the last years. Regarding the prevalence of VAP, it significantly decreased from 28% of ventilated patients in 2010 to 10.1% in 2016 (p ≤ 0.0001). Although a causal relationship cannot be inferred from these data, the successive surveys revealed a potential impact of the VAP bundle campaign on both the respiratory care of ventilated patients and the prevalence of VAP in Belgian ICUs encouraging them to follow the guidelines.

Climate change impacts on thermoelectric-power generation in the United States

Science.gov (United States)

Liu, L.

2015-12-01

Thermoelectric-power generation accounts for more than 70% of the total electricity generation in the United States, which requires large amounts of water for cooling purposes. Water withdrawals for thermoelectric-power generation accounted for 45% of total water use in the United States in 2010. Across the country, water demand from power plants is increasing due to pressures from growing populations and other needs, and is straining existing water resources. Moreover, temperature exceedance in receiving waters has increasingly caused power plants shut downs across parts of the country. Thermoelectric power is vulnerable to climate change owing to the combined effects of lower summer river flows and higher receiving water temperatures. In addition, the efficiency of production is reduced as air temperature rises, which propagates to more unfulfilled power demand during peak seasons. Therefore, a holistic modeling framework of water-energy-climate for the contiguous U.S. is presented here to quantify thermal output from power plants and estimate water use and energy production fluctuations due to ambient climate as well as environmental regulations. The model is calibrated on a plant-by-plant basis for year 2010 and 2011 using the available power plant inventory from the Energy Information Administration (EIA). Simulations were carried out for years 2012 and 2013, and results show moderate improvements in capturing thermal output variabilities after calibration. Future power plant operations under scenarios featuring different climate and regulatory settings were investigated. Results demonstrate the interplay among water, energy and climate, and that future changes in climate and socioeconomics significantly affect power plant operations, which may provide insights to climate change mitigation considerations and energy decisions.

Weather Regime-Dependent Predictability: Sequentially Linked High-Impact Weather Events over the United States during March 2016

Science.gov (United States)

Bosart, L. F.; Winters, A. C.; Keyser, D.

2016-12-01

High-impact weather events (HWEs), defined by episodes of excessive precipitation or periods of well above or well below normal temperatures, can pose important predictability challenges on medium-range (8-16 day) time scales. Furthermore, HWEs can contribute disproportionately to temperature and precipitation anomaly statistics for a particular season. This disproportionate contribution suggests that HWEs need to be considered in describing and understanding the dynamical and thermodynamic processes that operate at the weather-climate intersection. HWEs typically develop in conjunction with highly amplified flow patterns that permit an extensive latitudinal exchange of polar and tropical air masses. Highly amplified flow patterns over North America often occur in response to a reconfiguration of the large-scale upstream flow pattern over the North Pacific Ocean. The large-scale flow pattern over the North Pacific, North America, and western North Atlantic during the latter half of March 2016 was characterized by frequent cyclonic wave breaking (CWB). This large-scale flow pattern enabled three sequentially linked HWEs to develop over the continental United States. The first HWE was a challenging-to-predict cyclogenesis event on 23-24 March in the central Plains that resulted in both a major snowstorm along the Colorado Front Range and a severe weather outbreak over the central and southern Plains. The second HWE was a severe weather outbreak that occurred over the Tennessee and Ohio River Valleys on 27-28 March. The third HWE was the development of well below normal temperatures over the eastern United States that followed the formation of a high-latitude omega block over northwestern North America during 28 March-1 April. This study will examine (1) the role that CWB over the North Pacific and North America played in the evolution of the flow pattern during late-March 2016 and the development of the three HWEs and (2) the skill of GFS operational and ensemble

NPP Cernavoda Unit 2 Financing Completion Works

International Nuclear Information System (INIS)

Chirica, T.; Stefanescu, A.; Constantin, C.; Dobrin, M.

2002-01-01

NPP Cernavoda Unit 2 completion is the highest priority of the Romanian power sector strategy. The nuclear energy represents, through its technological features of adopted solution (a CANDU nuclear power plant) and also through technological and economical performance indicators, the best solution to fulfill the demands concerning the sustainable development and the electricity request. The guidelines of energy strategy regarding the nuclear sector development in Romania are framing in the general policy for energy system development at least costs and they are responding to requests concerning the environment and people protection. The paper presents the financing alternatives for Unit 2 completion works taking into consideration the financing market conditions. The paper presents the impact of the financing conditions on the project efficiency, as well as the facilities offered by the Romanian Government in order to support this project. (author)

Supporting Knowledge Integration in Chemistry with a Visualization-Enhanced Inquiry Unit

Science.gov (United States)

Chiu, Jennifer L.; Linn, Marcia C.

2014-01-01

This paper describes the design and impact of an inquiry-oriented online curriculum that takes advantage of dynamic molecular visualizations to improve students' understanding of chemical reactions. The visualization-enhanced unit uses research-based guidelines following the knowledge integration framework to help students develop coherent…

Is the western United States running out of trees?

Science.gov (United States)

J. Shaw; J. Long

2014-01-01

During the past 2 decades, the forests of the Interior West of the United States have been impacted by drought, insects, disease, and fire. When considered over periods of 5-10 years, many forest types have experienced periods of negative net growth, meaning that mortality exceeded gross growth at the population scale. While many of these changes have been attributed...

Incidence of intravenous drug incompatibilities in intensive care units

Czech Academy of Sciences Publication Activity Database

Machotka, O.; Maňák, J.; Kuběna, Aleš Antonín; Vlček, J.

2015-01-01

Roč. 159, č. 4 (2015), s. 652-656 ISSN 1213-8118 Institutional support: RVO:67985556 Keywords : medical error * graph theory * graph coloring * drug administration * drug incompatibilities * applied combinatorics * decision theory * medical * medication safety * intensive care units Subject RIV: FN - Epidemiology, Contagious Diseases ; Clinical Immunology Impact factor: 0.924, year: 2015 http://library.utia.cas.cz/separaty/2014/E/kubena-0437509.pdf

The impact of a physician-staffed helicopter on outcome in patients admitted to a stroke unit

DEFF Research Database (Denmark)

Funder, Kamilia S; Rasmussen, Lars S.; Lohse, Nicolai

2017-01-01

Background: Transportation by helicopter may reduce time to hospital admission and improve outcome. We aimed to investigate the effect of transport mode on mortality, disability, and labour market affiliation in patients admitted to the stroke unit. Methods: Prospective, observational study with 5...... patients. Primary outcome was long-term mortality after admission to the stroke unit. Results: Of the 1679 patients admitted to the stroke unit, 1068 were eligible for inclusion. Mortality rates were 9.04 per 100 person-years at risk (PYR) in GEMS patients and 9.71 per 100 PYR in HEMS patients (IRR = 1...... for neurological outcome is probably difficult to detect by considering mortality, but for the secondary analyses we had less statistical power as illustrated by the wide confidence intervals. Conclusion: Helicopter transport of stroke patients was not associated with reduced mortality or disability, nor improved...

Aquatic impact

International Nuclear Information System (INIS)

Anon.

1978-01-01

Because of the high reproduction rates of the plankton and good tidal mixing at existing plants, depletion of plankton populations has not occurred. Spawning occurs throughout the Bay for the species of fish present here, so local depletions are insufficient to decrease Bay populations. Impingement totals are small compared to mortality due to other sources. In addition, efforts to reduce these totals are now underway at all three existing plants, Calvert Cliffs, Morgantown, and Chalk Point. Habitat modification effects, usually more subtle in nature, have minor, localized impacts. Coupled together, the power plant monitoring studies show a low cumulative impact on the mesohaline environment. The major area of concern within this region is the impact of cooling water withdrawals upon the nursery and spawning areas of striped bass and other anadromous species. Possum Point and Vienna have the highest potential for impact. New facilities planned for this region (Douglas Point, Summit, and Vienna) would increase withdrawals. The overall impact upon striped bass due to entrainment drops from an estimated 6.6% entrainment (upper bound) of the eggs and larvae spawned in the Maryland portion of the Bay at present to an estimated 3.4% (upper bound) after 1987. The addition of Douglas Point and Summit is more than off-set by the retirements of the once-through cooling units at Vienna. No impingement data are available at any of the present plants; however, degraded water quality at the Baltimore and Washington plants appears to have severely restricted fish populations in these waters. The proposed plants are expected to have no major impacts in the areas of impingement or habitat modification due to the small amount of water withdrawn

Nations United: The United Nations, the United States, and the Global Campaign Against Terrorism. A Curriculum Unit & Video for Secondary Schools.

Science.gov (United States)

Houlihan, Christina; McLeod, Shannon

This curriculum unit and 1-hour videotape are designed to help students understand the purpose and functions of the United Nations (UN) and explore the relationship between the United Nations and the United States. The UN's role in the global counterterrorism campaign serves as a case study for the unit. The students are asked to develop a basic…

31 CFR 515.321 - United States; continental United States.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 515.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof, including the Trust Territory of...

31 CFR 500.321 - United States; continental United States.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 500.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof, including U.S. trust territories...

31 CFR 535.321 - United States; continental United States.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 535.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof including the Trust Territory of...

Modeling the Impacts of Climate Change on Phytogeographical Units. A Case Study of the Moesz Line

OpenAIRE

Bede-Fazekas, Ákos

2013-01-01

Regional climate models (RCMs) provide reliable climatic predictions for the next 90 years with high horizontal and temporal resolution. In the 21st century northward latitudinal and upward altitudinal shift of the distribution of plant species and phytogeographical units is expected. It is discussed how the modeling of phytogeographical unit can be reduced to modeling plant distributions. Predicted shift of the Moesz line is studied as case study (with three different modeling approaches) us...

Environmental Assessment: General Plan-Based Environmental Impact Analysis Process, Laughlin Air Force Base

Science.gov (United States)

2007-05-01

BASED ENVIROMENTAL IMPACT ANALYSIS PROCESS LAUGHLIN AIR FORCE BASE, TEXAS AGENCY: 47th Flying Training Wing (FTW), Laughlin Air Force Base (AFB), Texas...m3 micrograms per cubic meter US United States USACE United States Army Corp of Engineers USC United States Code USCB United States Census Bureau...effects and annoyance in that very few flight operations and ground engine runs occur between 2200 hours and 0700 hours. BMPs include restricting the

Impact of antimicrobial stewardship programme on hospitalized patients at the intensive care unit: a prospective audit and feedback study.

Science.gov (United States)

Khdour, Maher R; Hallak, Hussein O; Aldeyab, Mamoon A; Nasif, Mowaffaq A; Khalili, Aliaa M; Dallashi, Ahamad A; Khofash, Mohammad B; Scott, Michael G

2018-04-01

Inappropriate use of antibiotics is one of the most important factors contributing to the emergence of drug resistant pathogens. The purpose of this study was to measure the clinical impact of antimicrobial stewardship programme (ASP) interventions on hospitalized patients at the Intensive care unit at Palestinian Medical Complex. A prospective audit with intervention and feedback by ASP team within 48-72 h of antibiotic administration began in September 2015. Four months of pre-ASP data were compared with 4 months of post-ASP data. Data collected included clinical and demographic data; use of antimicrobials measured by defined daily doses, duration of therapy, length of stay, readmission and all-cause mortality. Overall, 176 interventions were made the ASP team with an average acceptance rate of 78.4%. The most accepted interventions were dose optimization (87.0%) followed by de-escalation based on culture results with an acceptance rate of 84.4%. ASP interventions significantly reduces antimicrobial use by 24.3% (87.3 defined daily doses/100 beds vs. 66.1 defined daily doses/100 beds P < 0.001). The median (interquartile range) of length of stay was significantly reduced post ASP [11 (3-21) vs. 7 (4-19) days; P < 0.01]. Also, the median (interquartile range) of duration of therapy was significantly reduced post-ASP [8 (5-12) days vs. 5 (3-9); P = 0.01]. There was no significant difference in overall 30-day mortality or readmission between the pre-ASP and post-ASP groups (26.9% vs. 23.9%; P = 0.1) and (26.1% vs. 24.6%; P = 0.54) respectively. Our prospective audit and feedback programme was associated with positive impact on antimicrobial use, duration of therapy and length of stay. © 2017 The British Pharmacological Society.

Impact test for solid waste forms

International Nuclear Information System (INIS)

Wallace, R.M.; Kelley, J.A.

1976-03-01

Samples of concretes and glasses being considered for incorporation of radioactive waste sludge were subjected to impact tests to determine the relationship between the energy of the impact and the resulting increase in surface area of the damaged sample. Test results indicate that the increased surface area per unit of energy input for glass waste forms is less by a factor of about three than that for concretes containing 40 wt percent simulated sludge (average values of 9.6 cm 2 /Joule and 24.7 cm 2 /Joule for glass and concrete, respectively)

Sensing Passive Eye Response to Impact Induced Head Acceleration Using MEMS IMUs.

Science.gov (United States)

Meng, Yuan; Bottenfield, Brent; Bolding, Mark; Liu, Lei; Adams, Mark L

2018-02-01

The eye may act as a surrogate for the brain in response to head acceleration during an impact. Passive eye movements in a dynamic system are sensed by microelectromechanical systems (MEMS) inertial measurement units (IMU) in this paper. The technique is validated using a three-dimensional printed scaled human skull model and on human volunteers by performing drop-and-impact experiments with ribbon-style flexible printed circuit board IMUs inserted in the eyes and reference IMUs on the heads. Data are captured by a microcontroller unit and processed using data fusion. Displacements are thus estimated and match the measured parameters. Relative accelerations and displacements of the eye to the head are computed indicating the influence of the concussion causing impacts.

Gender, race + geography = jeopardy: marginalized women, human rights and HIV in the United States.

Science.gov (United States)

Fried, Susana T; Kelly, Brook

2011-11-01

Across the United States, laws, policies, and practices put women living with HIV in jeopardy. In particular, the dignity, health, and well-being of women living with and at risk for HIV as well as the health and well-being of their families and communities is hampered by punitive laws and policies. Laws and policies that do not meet, or worse, criminalize women's sexual and reproductive rights result in the economic, social and political deprivation of marginalized women and girls-and especially those living with and at risk of HIV. These laws and policies exacerbate an already outsized HIV epidemic in underserved communities, and communities of color in the United States. This article draws from and builds on a human rights workshop that took place as part of the forum "Bringing Gender Home: Implementing Gender Responsive HIV/AIDS Programming for US Women and Girls," sponsored by the Office of Women's Health. It focuses on the damaging impact of laws, policies, and practices that criminalize women's sexuality. These laws significantly impact the well-being of women living with and at risk for HIV, and have an impact on the capacity of poor women of color in the United States to fully exercise their rights. When laws that purport to protect public health have the result of limiting women's reproductive choices, or have a disproportionate impact on marginalized groups such as sex workers, fundamental breaches of women's rights occur. Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Programmatic Environmental Impact Statement related to decontamination and disposal of radioactive wastes resulting from March 28, 1979 accident at Three Mile Island Nuclear Station, Unit 2 (Docket No. 50-320): Final report

International Nuclear Information System (INIS)

1987-06-01

In accordance with the National Environmental Policy Act, the Commission's implementing regulations, and the Commission's April 27, 1981 Statement of Policy, the Programmatic Environmental Impact Statement related to decontamination and disposal of radioactive wastes resulting from March 28, 1979, accident Three Mile Island Nuclear Station, Unit 2 NUREG-0683 (PEIS) is being supplemented. This supplement updates the environmental evaluation of accident-generated water disposal alternatives published in the PEIS, utilizing more complete and current information. Also, the supplement includes a specific environmental evaluation of the licensee's proposal for water disposition. Although no clearly preferable water disposal alternative was identified, the supplement concluded that a number of alternatives could be implemented without significant environmental impact. The NRC staff has concluded that the licensee's proposed disposal of the accident-generated water by evaporation will not significantly affect the quality of the human environment. Further, any impacts from the disposal program are outweighed by its benefits

Final environmental statement related to the operation of Callaway Plant, Unit No. 1 (Docket No. 50-483)

International Nuclear Information System (INIS)

1982-01-01

The final environmental statement contains the second assessment of the environmental impact associated with operation of Callaway Plant Unit 1, pursuant to the National Environmental Policy Act of 1969 (NEPA) and 10 CFR Par 51, as amended, of the NRC's regulations. This statement examines: the purpose and need for the Callaway project, alternatives to the project, the affected environment, environmental consequences and mitigating actions, and environmental and economic benefits and costs. No water-use impacts are expected from cooling-tower markup withdrawn from, or blowdown discharged into, the Missouri River. Land-use and terrestrial- and aquatic-ecological impacts will be small. Air-quality impacts from cooling-tower drift and other emissions and dust will also be small. Impacts to historic and prehistoric sites will be negligible with the development and implementation of the applicant's cultural-resources management plan. No significant impacts are anticipated from normal operational releases of radioactivity. The risk associated with accidental radiation exposure is very low. The net socioeconomic effects of the project will be beneficial. The action called for is the issuance of an operating license for Unit 1 of the Callaway Plant. 18 figs., 16 tabs

Dairy production systems in the United States: Nutrient budgets and environmental impacts

Science.gov (United States)

Across the diversity of US dairy production systems, nutrient management priorities range widely, from feeding regimes to manure handling, storage and application to crop systems. To assess nutrient management and environmental impacts of dairy production systems in the US, we evaluated nutrient bud...

National wildlife refuge management on the United States/Mexico border

Science.gov (United States)

William R. Radke

2013-01-01

Many conservation strategies have been developed by the U.S. Fish and Wildlife Service in cooperation with others to protect habitat and enhance the recovery of fish and wildlife populations in the San Bernardino Valley, which straddles Arizona, United States, and Sonora, Mexico. Habitats along this international border have been impacted by illegal activities,...

United Nations Charter, Chapter VII, Article 43: Now or Never.

Science.gov (United States)

Burkle, Frederick M

2018-04-25

For more than 75 years, the United Nations Charter has functioned without the benefit of Chapter VII, Article 43, which commits all United Nations member states "to make available to the Security Council, on its call, armed forces, assistance, facilities, including rights of passage necessary for the purpose of maintaining international peace and security." The consequences imposed by this 1945 decision have had a dramatic negative impact on the United Nation's functional capacity as a global body for peace and security. This article summarizes the struggle to implement Article 43 over the decades from the onset of the Cold War, through diplomatic attempts during the post-Cold War era, to current and often controversial attempts to provide some semblance of conflict containment through peace enforcement missions. The rapid growth of globalization and the capability of many nations to provide democratic protections to their populations are again threatened by superpower hegemony and the development of novel unconventional global threats. The survival of the United Nations requires many long overdue organizational structure and governance power reforms, including implementation of a robust United Nations Standing Task Force under Article 43. (Disaster Med Public Health Preparedness. 2018;page 1 of 8).

Benefit/cost analysis of plutonium recycle options in the United States

International Nuclear Information System (INIS)

Lowenberg, H.; Burnham, J.B.; Fisher, F.; Ray, W.H.

1977-01-01

Predictable effects of the recycle of plutonium and uranium recovered from spent LWR fuels were assessed in a final environmental statement (GESMO). Five alternative dispositions of LWR-produced plutonium ranging from prompt recycle of recovered plutonium and uranium to no recovery and no recycle are compared. The assessments consider cumulative effects for the period 1975 through 2000, and are centered on a conservative low growth rate resulting in about 500 LWR's in the U.S. in 2000. A more optimistic growth projection resulting in about 800 LWR's in 2000 is also analyzed in order to assess the effects of industry size upon the impacts. Demands for fuel cycle services were calculated with an ERDA program, NUFUEL, which was modified to include penalties for 236 U and 242 Pu. Unit cost data, including a simulation of market place reaction to supply-demand functions for uranium costs, were combined with the NUFUEL demand data in an economics code, NUCOST. Environmental impacts were also based upon NUFUEL demand data and were developed using a model plant industry concept. Using the most likely unit costs with a 10% discount rate, present worth incentives for prompt recycle over no recycle of $3.2 billion for the lower growth and about $6 billion for the higher growth were indicated. Present worth costs of delays in recycle of up to 5 years were less than $1 billion. Sensitivity of the economic assessments to unit cost variations and discount rates were also evaluated. Environmental impacts other than radiological were lowest for prompt Pu recycle and highest for no recycle. Radiological impacts for the total world wide total body exposure from U.S. industry for the 26 year period were estimated to be: - No recycle-8.2 million person-rem; U only recycle-9.5 million person-rem; Pu and U recycle-8.8 million person-rem. Comparison of the decreased radiological impact of the no recycle option with its increased costs relative to prompt plutonium recycle resulted in a