Resolution-limiting factors in 2-deoxyglucose autoradiography. I. Factors other than diffusion

Energy Technology Data Exchange (ETDEWEB)

Gallistel, C.R.; Nichols, S. (Pennsylvania Univ., Philadelphia, PA (USA). Dept. of Psychology)

1983-05-16

The authors measured the extent to which factors other than the diffusion of the radioactive label during tissue preparation limits the spatial resolving power of 2-deoxyglucose (2-DG) autoradiography. Radioactive swept frequency gratings were created using microcircuit lithography. The gratings consisted of alternating equal width radioactive and non-radioactive bars in groups of narrowing bar width (effective range 500-20 ..mu..m). The vertical thickness of the gratings ranged from 2.25 to 20 ..mu..m. The isotope in the radioactive bars was either /sup 14/C or /sup 3/H. A variety of X-ray films were exposed to these gratings and the resulting images scanned with microdensitometers or video digitizers to determine the fall off in image contrast (dark-bar values minus light-bar values) as a function of the number of dark bars (lines) per millimeter. The power of the isotope was the resolution limiting factor. Grating thickness and type of film made little difference. The limit of resolution with /sup 14/C was 10 lines/mm: with /sup 3/H it was 25 lines/mm. The microdensitometer itself is apt to be a resolution limiting factor; the resolving power of those commonly used in autoradiography is unlikely to exceed 10 lines/mm. From measurements of the steepness of gray-matter to white-matter transitions in the image from a tissue section, they conclude that the resolution in the image was no worse than 1.6-3.2 lines/mm. Either the isotope or diffusion of the 2-DG during tissue preparation must be the factor that limits resolution.

33 CFR 328.5 - Changes in limits of waters of the United States.

Science.gov (United States)

2010-07-01

... OF THE ARMY, DEPARTMENT OF DEFENSE DEFINITION OF WATERS OF THE UNITED STATES § 328.5 Changes in... drainage may remove an area from waters of the United States. Man-made changes may affect the limits of...

40 CFR Table 29 to Subpart Uuu of... - HAP Emission Limits for Sulfur Recovery Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true HAP Emission Limits for Sulfur Recovery Units 29 Table 29 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... to Subpart UUU of Part 63—HAP Emission Limits for Sulfur Recovery Units As stated in § 63.1568(a)(1...

Threshold limit values, permissible exposure limits, and feasibility: The bases for exposure limits in the United States

International Nuclear Information System (INIS)

Rappaport, S.M.

1993-01-01

The development of exposure limits in the United States has always relied heavily upon the threshold limit values (TLVs) developed by the American Conference of Governmental Industrial Hygienists (ACGIH). In fact, the TLVs were adopted as official exposure limits by the Occupational Safety and Health Administration (OSHA) in 1972 and 1989. Given the continuing importance of the ACGIH limits, this paper compares the basis of the TLVs with that employed by OSHA de novo in its 12 new permissible exposure limits (PELs). Using benzene as an example, it is shown that OSHA's new PELs have been established following a rigorous assessment of the inherent risks and the feasibility of instituting the limit. The TLVs, on the other hand, have been developed by ad hoc procedures and appear to have traditionally reflected levels thought to be achievable at the time. However, this might be changing. Analysis of the historical reductions of TLVs, for 27 substances on the 1991-1992 list of intended changes, indicates smaller reductions in the past (median reduction of 2.0-2.5-fold between 1946 and 1988) compared to those currently being observed (median reduction of 7.5-fold between 1989 and 1991). Further analysis suggests a more aggressive policy of the ACGIH regarding TLVs for carcinogens but not for substances that produce effects other than cancer. Regardless of whether the basis of the TLVs has changed recently, it would take a relatively long time for the impact of any change to be felt, since the median age of the 1991-1992 TLVs is 16.5 years, and 75% of these limits are more than 10 years old. The implications of OSHA's continued reliance on the TLVs as a means of updating its PELs are discussed, and four alternatives are presented to the ACGIH regarding the future of its activities related to exposure limits. It is concluded that new mechanisms are needed for OSHA to update its PELs in a timely fashion so that the TLVs will not be adopted by default in the future

Critical Success Factors for Limited Service Hotels in Malaysia

OpenAIRE

Wong, Chee Keng

2015-01-01

Critical success factors were used originally in Information technology areas when it was first introduced but has since been applied generically in other industries. This study explores the critical success factors for limited service hotels in Malaysia from both customer and hotel operator/ business owners’ perspective. The literature presents information from tourism in general and in Malaysia, definition of limited service hotels and its relevance to the hospitality industry in Malaysia, ...

Limiting Factors for External Reactor Vessel Cooling

International Nuclear Information System (INIS)

Cheung, F.B.

2005-01-01

The method of external reactor vessel cooling (ERVC) that involves flooding of the reactor cavity during a severe accident has been considered a viable means for in-vessel retention (IVR). For high-power reactors, however, there are some limiting factors that might adversely affect the feasibility of using ERVC as a means for IVR. In this paper, the key limiting factors for ERVC have been identified and critically discussed. These factors include the choking limit for steam venting (CLSV) through the bottleneck of the vessel/insulation structure, the critical heat flux (CHF) for downward-facing boiling on the vessel outer surface, and the two-phase flow instabilities in the natural circulation loop within the flooded cavity. To enhance ERVC, it is necessary to eliminate or relax these limiting factors. Accordingly, methods to enhance ERVC and thus improve margins for IVR have been proposed and demonstrated, using the APR1400 as an example. The strategy is based on using two distinctly different methods to enhance ERVC. One involves the use of an enhanced vessel/insulation design to facilitate steam venting through the bottleneck of the annular channel. The other involves the use of an appropriate vessel coating to promote downward-facing boiling. It is found that the use of an enhanced vessel/insulation design with bottleneck enlargement could greatly facilitate the process of steam venting through the bottleneck region as well as streamline the resulting two-phase motions in the annular channel. By selecting a suitable enhanced vessel/insulation design, not only the CLSV but also the CHF limits could be significantly increased. In addition, the problem associated with two-phase flow instabilities and flow-induced mechanical vibration could be minimized. It is also found that the use of vessel coatings made of microporous metallic layers could greatly facilitate downward-facing boiling on the vessel outer surface. With vessel coatings, the local CHF limits at

Host Cell Restriction Factors that Limit Influenza A Infection

Directory of Open Access Journals (Sweden)

Fernando Villalón-Letelier

2017-12-01

Full Text Available Viral infection of different cell types induces a unique spectrum of host defence genes, including interferon-stimulated genes (ISGs and genes encoding other proteins with antiviral potential. Although hundreds of ISGs have been described, the vast majority have not been functionally characterised. Cellular proteins with putative antiviral activity (hereafter referred to as “restriction factors” can target various steps in the virus life-cycle. In the context of influenza virus infection, restriction factors have been described that target virus entry, genomic replication, translation and virus release. Genome wide analyses, in combination with ectopic overexpression and/or gene silencing studies, have accelerated the identification of restriction factors that are active against influenza and other viruses, as well as providing important insights regarding mechanisms of antiviral activity. Herein, we review current knowledge regarding restriction factors that mediate anti-influenza virus activity and consider the viral countermeasures that are known to limit their impact. Moreover, we consider the strengths and limitations of experimental approaches to study restriction factors, discrepancies between in vitro and in vivo studies, and the potential to exploit restriction factors to limit disease caused by influenza and other respiratory viruses.

40 CFR Table 22 to Subpart Uuu of... - Inorganic HAP Emission Limits for Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Inorganic HAP Emission Limits for Catalytic Reforming Units 22 Table 22 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL..., Table 22 Table 22 to Subpart UUU of Part 63—Inorganic HAP Emission Limits for Catalytic Reforming Units...

40 CFR Table 8 to Subpart Uuu of... - Organic HAP Emission Limits for Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Organic HAP Emission Limits for Catalytic Cracking Units 8 Table 8 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL..., Table 8 Table 8 to Subpart UUU of Part 63—Organic HAP Emission Limits for Catalytic Cracking Units As...

40 CFR Table 15 to Subpart Uuu of... - Organic HAP Emission Limits for Catalytic Reforming Units

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2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Organic HAP Emission Limits for Catalytic Reforming Units 15 Table 15 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL..., Table 15 Table 15 to Subpart UUU of Part 63—Organic HAP Emission Limits for Catalytic Reforming Units As...

40 CFR Table 1 to Subpart Uuu of... - Metal HAP Emission Limits for Catalytic Cracking Units

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2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Metal HAP Emission Limits for Catalytic Cracking Units 1 Table 1 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION... Table 1 to Subpart UUU of Part 63—Metal HAP Emission Limits for Catalytic Cracking Units As stated in...

40 CFR Table 26 to Subpart Uuu of... - Initial Compliance With Inorganic HAP Emission Limits for Catalytic Reforming Units

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2010-07-01

... Emission Limits for Catalytic Reforming Units 26 Table 26 to Subpart UUU of Part 63 Protection of... Pollutants for Petroleum Refineries: Catalytic Cracking Units, Catalytic Reforming Units, and Sulfur Recovery... HAP Emission Limits for Catalytic Reforming Units As stated in § 63.1567(b)(4), you shall meet each...

40 CFR Table 27 to Subpart Uuu of... - Continuous Compliance With Inorganic HAP Emission Limits for Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... HAP Emission Limits for Catalytic Reforming Units 27 Table 27 to Subpart UUU of Part 63 Protection of... Pollutants for Petroleum Refineries: Catalytic Cracking Units, Catalytic Reforming Units, and Sulfur Recovery... Inorganic HAP Emission Limits for Catalytic Reforming Units As stated in § 63.1567(c)(1), you shall meet...

Arms limitation and disarmament in the United Nations: Perspectives and prospects

International Nuclear Information System (INIS)

Akashi, Yasushi.

1991-01-01

In this paper, the Under-Secretary-General for Disarmament Affairs of the United Nations presented the main activities and achievements of the UN in the field of multilateral disarmament as well as the next steps to be undertaken by UN and Member States for disarmament and arms limitation

Efficiency limits of rehabilitation of the Thermal Power Plant Turceni units

International Nuclear Information System (INIS)

Gheorghiu, D.; Stoenescu, R.; Balcan, I.; Panait, L.; Pressel, S.; Ghioca, L.

1996-01-01

The paper analyses the efficiency limits of the programs A 2 and A 3 of rehabilitation of the TPP Turceni units considering the current economic situation and the power and energy balances in the Romania's National Power System. Starting from the current net income and also, taking into account the performances which can be reached by the units to be rehabilitated, according to the guarantee figures provided by the German Consortium ABB-DBE, one is determined the maximum investment for rehabilitation so that the adjusted net income to be equal to the expenses and adjusted investments (reverse method). (author). 1 fig., 1 tab

Ergonomic practices within patient care units are associated with musculoskeletal pain and limitations

Science.gov (United States)

Dennerlein, Jack T.; Hopcia, Karen; Sembajwe, Grace; Kenwood, Christopher; Stoddard, Anne M.; Tveito, T. Helene; Hashimoto, Dean M.; Sorensen, Glorian

2013-01-01

Background With the high prevalence of musculoskeletal disorders (MSDs) for patient care unit workers, prevention efforts through ergonomic practices within units may be related to symptoms associated with typical work-related MSDs. Methods We completed a cross-sectional survey of patient care workers (n=1572) in two large academic hospitals in order to evaluate relationships between self-reported musculoskeletal pain, work interference due to this pain, and limitations during activities of daily living (functional limitations) and with ergonomic practices and other organizational policy and practices metrics within the unit. Bivariate and multiple logistic regression analyses tested the significance of these associations. Results Prevalence of self-reported musculoskeletal symptoms in the past 3-months was 74% with 53% reporting pain in the low back. 32.8% reported that this pain interfered with their work duties and 17.7% reported functional limitations in the prior week. Decreased ergonomic practices were significantly associated with reporting pain in four body areas (low back, neck/shoulder, arms, and lower extremity) in the previous 3-months, interference with work caused by this pain, symptom severity and limitations in completing activities of daily living in the past week. Except for low back pain and work interference, these associations remained significant when psychosocial covariates such as psychological demands were included in multiple logistic regressions, Conclusions Ergonomic practices appear to be associated with many of the musculoskeletal symptoms denoting their importance for prevention efforts in acute health care settings. PMID:22113975

Psychosocial risk and protective factors for postpartum depression in the United Arab Emirates.

Science.gov (United States)

Hamdan, Aisha; Tamim, Hani

2011-04-01

Limited research has been conducted in the United Arab Emirates in relation to postpartum depression. The purpose of this study was to investigate the risk and protective factors of postpartum depression in women in Sharjah, United Arab Emirates. We carried out a prospective study in which we followed women from the second trimester of pregnancy until 4 months postpartum. Data were collected during the second and third trimesters and then at 2- and 4- months postpartum. The risk/protective factors that were investigated included: depression and anxiety during pregnancy, stressful life events, breastfeeding, employment status following delivery, religiosity, and socio-demographic variables. The Edinburgh Postnatal Depression Scale (screening) and the Mini International Neuropsychiatric Inventory (diagnostic) were used as outcome variables. Using the Mini International Neuropsychiatric Inventory (diagnostic), 10% of the 137 participants in the study were diagnosed with postpartum depression. The following variables were found to be predictive of postpartum depression: depression during pregnancy in both the second and third trimesters: number of children, religion, and use of formula for feeding. Several factors were of borderline significance including educational level of mother, lack of breastfeeding, personal stressful life events, and employment status following delivery. These risk factors are important as they indicate potential areas for early identification. Screening of pregnant women during pregnancy and in the postpartum phase would be important. This study forms the foundation for further research and development related to prevention and intervention for postpartum depression in this Arab context.

Factors associated with persistent airflow limitation in severe asthma

NARCIS (Netherlands)

ten Brinke, A.; Zwinderman, A. H.; Sterk, P. J.; Rabe, K. F.; Bel, E. H.

2001-01-01

Persistent airflow limitation can develop in nonsmoking patients with asthma. However, the prevalence and risk factors for airways obstruction with incomplete reversibility in asthma are unknown. We assessed the prevalence of persistent airflow limitation (defined as postbronchodilator FEV(1) or

Factors limiting device efficiency in organic photovoltaics

NARCIS (Netherlands)

Janssen, R.A.J.; Nelson, J.

2013-01-01

The power conversion efficiency of the most efficient organic photovoltaic (OPV) cells has recently increased to over 10%. To enable further increases, the factors limiting the device efficiency in OPV must be identified. In this review, the operational mechanism of OPV cells is explained and the

Factors that contribute to physician variability in decisions to limit life support in the ICU: a qualitative study.

Science.gov (United States)

Wilson, Michael E; Rhudy, Lori M; Ballinger, Beth A; Tescher, Ann N; Pickering, Brian W; Gajic, Ognjen

2013-06-01

Our aim was to explore reasons for physician variability in decisions to limit life support in the intensive care unit (ICU) utilizing qualitative methodology. Single center study consisting of semi-structured interviews with experienced physicians and nurses. Seventeen intensivists from medical (n = 7), surgical (n = 5), and anesthesia (n = 5) critical care backgrounds, and ten nurses from medical (n = 5) and surgical (n = 5) ICU backgrounds were interviewed. Principles of grounded theory were used to analyze the interview transcripts. Eleven factors within four categories were identified that influenced physician variability in decisions to limit life support: (1) physician work environment-workload and competing priorities, shift changes and handoffs, and incorporation of nursing input; (2) physician experiences-of unexpected patient survival, and of limiting life support in physician's family; (3) physician attitudes-investment in a good surgical outcome, specialty perspective, values and beliefs; and (4) physician relationship with patient and family-hearing the patient's wishes firsthand, engagement in family communication, and family negotiation. We identified several factors which physicians and nurses perceived were important sources of physician variability in decisions to limit life support. Ways to raise awareness and ameliorate the potentially adverse effects of factors such as workload, competing priorities, shift changes, and handoffs should be explored. Exposing intensivists to long term patient outcomes, formalizing nursing input, providing additional training, and emphasizing firsthand knowledge of patient wishes may improve decision making.

Limited field investigation report for the 100-FR-1 Operable Unit

International Nuclear Information System (INIS)

1995-09-01

This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-FR-1 Source Operable Unit LFI and the associated qualitative risk assessment (QRA), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land use scenarios. An LFI is required when existing data are insufficient to formulate a conceptual model and perform a QRA. The purpose of the report is to identify those sites that are recommended to remain as candidates for IRM, provide a preliminary summary of site characterization studies, refine the conceptual model as needed, identify contaminant- and location-specific applicable or relevant and appropriate requirements (ARAR), and provide a qualitative assessment of the risks associated with the sites. This assessment includes consideration of whether contaminant concentrations pose an unacceptable risk that warrants action through IRM. The final decision to conduct an IRM will rely on many factors including risk, ARAR, future land use, point of compliance, time of compliance, a bias-for-action, and the threat to human health and the environment

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.

Analytical solutions for evaluating the thermal performances of wet air cooling coils under both unit and non-unit Lewis Factors

International Nuclear Information System (INIS)

Xia Liang; Chan, M.Y.; Deng, S.M.; Xu, X.G.

2010-01-01

Analytical solutions for evaluating the thermal performances of both chilled water wet cooling coils and direct expansion (DX) wet cooling coils, respectively, under both unit and non-unit Lewis Factors are developed and reported in this paper. The analytical solution was validated by comparing its predictions with those from numerically solving the fundamental governing equations of heat and mass transfer taking place in a wet cooling coil. With the analytical solutions, the distributions of air temperature and humidity ratio along air flow direction in a wet cooling coil can be predicted, and the differences in the thermal performances of the cooling coils under both unit and non-unit Lewis Factors can be identified. The analytical solutions, on one hand, can be a low-cost replacement to numerically solving the fundamental heat and mass transfer governing equations, and on the other hand, is able to deal with evaluating thermal performance for wet air cooling coils operated under both unit and non-unit Lewis Factors.

Conversion factors: SI metric and U.S. customary units

Science.gov (United States)

,

1977-01-01

The policy of the U.S. Geological Survey is to foster use of the International System of Units (SI) which was defined by the 11th General Conference of Weights and Measures in 1960. This modernized metric system constitutes an international "language" by means of which communications throughout the world's scientific and economic communities may be improved. This publication is designed to familiarize the reader with the SI units of measurement that correspond to the common units frequently used in programs of the Geological Survey. In the near future, SI units will be used exclusively in most publications of the Survey; the conversion factors provided herein will help readers to obtain a "feel" for each unit and to "think metric."

Empirical Derivation of Correction Factors for Human Spiral Ganglion Cell Nucleus and Nucleolus Count Units.

Science.gov (United States)

Robert, Mark E; Linthicum, Fred H

2016-01-01

Profile count method for estimating cell number in sectioned tissue applies a correction factor for double count (resulting from transection during sectioning) of count units selected to represent the cell. For human spiral ganglion cell counts, we attempted to address apparent confusion between published correction factors for nucleus and nucleolus count units that are identical despite the role of count unit diameter in a commonly used correction factor formula. We examined a portion of human cochlea to empirically derive correction factors for the 2 count units, using 3-dimensional reconstruction software to identify double counts. The Neurotology and House Histological Temporal Bone Laboratory at University of California at Los Angeles. Using a fully sectioned and stained human temporal bone, we identified and generated digital images of sections of the modiolar region of the lower first turn of cochlea, identified count units with a light microscope, labeled them on corresponding digital sections, and used 3-dimensional reconstruction software to identify double-counted count units. For 25 consecutive sections, we determined that double-count correction factors for nucleus count unit (0.91) and nucleolus count unit (0.92) matched the published factors. We discovered that nuclei and, therefore, spiral ganglion cells were undercounted by 6.3% when using nucleolus count units. We determined that correction factors for count units must include an element for undercounting spiral ganglion cells as well as the double-count element. We recommend a correction factor of 0.91 for the nucleus count unit and 0.98 for the nucleolus count unit when using 20-µm sections. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

46 CFR 401.400 - Calculation of pilotage units and determination of weighting factor.

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2010-10-01

... weighting factor. 401.400 Section 401.400 Shipping COAST GUARD (GREAT LAKES PILOTAGE), DEPARTMENT OF... § 401.400 Calculation of pilotage units and determination of weighting factor. The equivalent pilotage... meters) Pilot Unit=(Length×Breadth×Depth)/10,000 (measured in feet) (b) Weighting factor table: Range of...

Factors limiting heterotrophic bacterial production in the southern Pacific Ocean

Directory of Open Access Journals (Sweden)

F. Van Wambeke

2008-05-01

Full Text Available The role of potential factors limiting bacterial growth was investigated along vertical and longitudinal gradients across the South Eastern Pacific Gyre. The effects of glucose, nitrate, ammonium and phosphate additions on heterotrophic bacterial production (using leucine technique were studied in parallel in unfiltered seawater samples incubated under natural daily irradiance. The enrichments realized on the subsurface showed three types of responses. From 141° W (Marquesas plateau to approx 125° W, bacteria were not bottom-up controlled, as confirmed by the huge potential of growth in non-enriched seawater (median of enhancement factor×39 in 24 h. Within the Gyre (125° W–95° W, nitrogen alone stimulated leucine incorporation rates (median×4.2, but rapidly labile carbon (glucose became a second limiting factor (median×37 when the two elements were added. Finally from the border of the gyre to the Chilean upwelling (95° W–73° W, labile carbon was the only factor stimulating heterotrophic bacterial production. Interaction between phytoplankton and heterotrophic bacterial communities and the direct versus indirect effect of iron and macronutrients on bacterial production were also investigated in four selected sites: two sites on the vicinity of the Marquesas plateau, the centre of the gyre and the Eastern border of the gyre. Both phytoplankton and heterotrophic bacteria were limited by availability of nitrogen within the gyre, but not by iron. Iron limited phytoplankton at Marquesas plateau and at the eastern border of the gyre. However 48 h enrichment experiments were not sufficient to show any clear limitation of heterotrophic bacteria within Marquesas plateau and showed a limitation of these organisms by labile carbon in the eastern border of the Gyre.

40 CFR Table 1 to Subpart Aaaa of... - Emission Limits for New Small Municipal Waste Combustion Units

Science.gov (United States)

2010-07-01

... Waste Combustion Units 1 Table 1 to Subpart AAAA of Part 60 Protection of Environment ENVIRONMENTAL... Standards of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced... Combustion Units For the following pollutants You must meet thefollowing emission limits a Using the...

27 CFR 70.226 - Suspension of running of period of limitation; taxpayer outside of United States.

Science.gov (United States)

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Suspension of running of... Limitations § 70.226 Suspension of running of period of limitation; taxpayer outside of United States. The running of the period of limitations on collection after assessment prescribed in 26 U.S.C. 6502 (relating...

Limited field investigation report for the 100-KR-4 Operable Unit

International Nuclear Information System (INIS)

1994-07-01

This limited field investigation (LFI) was conducted to optimize the use of interim remedial measures (IRM) for expediting clean up while maintaining a technically sound and cost-effective program. The 100-KR-4 Operable Unit is one of four operable units associated with the 100 K Area. Operable units KR-1, KR-2 and KR-3 address contaminant sources while 100-KR-4 addresses contamination present in the underlying groundwater. The IRM decision process for groundwater operable units is based on three aspects: (1) Is the concentration greater than Hanford background? (2) Does the concentration present a medium or high human-health risk? (3) Does the concentration exceed an ecologically based applicable, relevant and appropriate requirements (ARAR) or present an environmental hazard quotient > I? The primary methods of investigation used during this LFI were the installation of monitoring wells and sampling of groundwater. The samples collected from the groundwater and soils were submitted for laboratory analysis. Boreholes were surveyed for radiological contamination using downhole geophysical techniques to further delineate the location and degree of contamination. All soil samples were screened to ascertain the presence of volatile organic compounds and radionuclides. Analytical data were subjected to validation; all first round and a minimum of 10% of subsequent round data were validated

Limited field investigation report for the 100-DR-1 Operable Unit

International Nuclear Information System (INIS)

1994-06-01

This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-DR-1 Source Operable Unite LFI and the associated qualitative risk assessment (QRA), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land use scenarios. The 100-DR-1 Operable Unit is one of four operable units associated with the 100 D/DR Area at the Hanford Site. The 100-DR-1 Operable Unit encompasses approximately 1.5 km 2 (0.59 mi 2 ) and is located immediately adjacent to the Columbia River shoreline. In general, it contains waste facilities associated with the original plant facilities constructed to support D Reactor facilities, as well as cooling water retention basin systems for both D and DR Reactors. The 100-DR-1 LFI began the investigative phase of the remedial investigation for a select number of high-priority sites. The LFI was performed to provide additional data needed to support selection, design and implementation of IRM, if needed. The LFI included data compilation, nonintrusive investigations, intrusive investigations, summarization of 100 Area aggregate studies, and data evaluation

40 CFR Table 5 to Subpart Jjj of... - Carbon Monoxide Emission Limits for Existing Small Municipal Waste Combustion Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 8 2010-07-01 2010-07-01 false Carbon Monoxide Emission Limits for Existing Small Municipal Waste Combustion Units 5 Table 5 to Subpart JJJ of Part 62 Protection of... of Part 62—Carbon Monoxide Emission Limits for Existing Small Municipal Waste Combustion Units...

Risk factors for mobility limitation in community-dwelling older adults: a social ecological perspective.

Science.gov (United States)

Yeom, Hye A; Fleury, Julie; Keller, Colleen

2008-01-01

Although a variety of risk factors for mobility limitation in older adults have been examined, a collective review of relevant literature has not been reported. The purposes of this review are to report the intrapersonal, interpersonal, environmental, and organizational risk factors related to mobility limitation using a social ecological perspective and to discuss the direction of future clinical practice consistent with current literature on mobility limitation of community-dwelling older adults. Intrapersonal risk factors related to mobility limitation include advanced age, female gender, low socioeconomic status, comorbidity, lack of motivation (i.e., dependent personality, decreased self-efficacy), lifestyle factors (i.e., sedentary lifestyle, smoking, obesity), and physiological factors (i.e., vitamin D deficiency, inflammation, poor nutritional status). Interpersonal risk factors related to mobility limitation include weak social networks and limited social activities. Geriatric clients may also experience a decline in mobility when they encounter environmental challenges such as an inconvenient home environment and lack of availability of services in their community, as well as lack of organizational resources stemming from social policy. Potential intervention strategies focused on modifiable risk factors may include lifestyle modifications, social networking programs, and enhancing awareness of environmental and organizational resources in the community for older adults at risk for mobility limitation.

Increased trends in the use of treatment-limiting decisions in a regional neurosurgical unit.

Science.gov (United States)

Wilson, William T; McMillan, Tristan; Young, Adam M H; White, Mark A J

2017-04-01

Treatment-limiting decisions (TLDs) are employed to actively withhold treatment from patients whom clinicians feel would derive no benefit or suffer detrimental effects from further intervention. The use of such decisions has been heavily discussed in the media and clinicians in the past have been reluctant to institute them, even though it is in the best interests of the patients. Their use is influenced by several ethical, religious and social factors all of which have changed significantly over time. This study reports the trends in use of TLDs in a regional neurosurgical unit over 23 years. Patient archives were reviewed to identify the number of admissions and procedures performed at the Institute of Neurological Sciences, Glasgow, in the years 1988, 1997 and 2011. Death certificate records were used to identify mortality in the unit in the year 2011. Patient records were used to obtain details of diagnosis, time from admission to death, and the presence and timing of a TLD. The results show an increase in the use of TLDs, with decisions made for 89% of those who died in 2011, compared to 68% in 1997 and 51% in 1988. The number of admissions has increased substantially since 1988 as has the percentage of patients undergoing surgery (46, 67 and 72% in 1988, 1997 and 2011, respectively). There is a trending increase in the number of patients who have a TLD in our regional neurosurgical unit. This demonstrates an increased willingness of clinicians to recognise poor prognosis and to withdraw or withhold treatment in these cases. Continued appropriate use of the TLD is recommended but it is to only ever reflect the best interests of the patient.

40 CFR Table 19 to Subpart Uuu of... - Initial Compliance With Organic HAP Emission Limits for Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Initial Compliance With Organic HAP Emission Limits for Catalytic Reforming Units 19 Table 19 to Subpart UUU of Part 63 Protection of... HAP Emission Limits for Catalytic Reforming Units As stated in § 63.1566(b)(7), you shall meet each...

40 CFR Table 12 to Subpart Uuu of... - Initial Compliance With Organic HAP Emission Limits for Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Initial Compliance With Organic HAP Emission Limits for Catalytic Cracking Units 12 Table 12 to Subpart UUU of Part 63 Protection of... HAP Emission Limits for Catalytic Cracking Units As stated in § 63.1565(b)(4), you shall meet each...

40 CFR Table 13 to Subpart Uuu of... - Continuous Compliance With Organic HAP Emission Limits for Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Organic HAP Emission Limits for Catalytic Cracking Units 13 Table 13 to Subpart UUU of Part 63 Protection of... HAP Emission Limits for Catalytic Cracking Units As stated in § 63.1565(c)(1), you shall meet each...

40 CFR Table 20 to Subpart Uuu of... - Continuous Compliance With Organic HAP Emission Limits for Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Organic HAP Emission Limits for Catalytic Reforming Units 20 Table 20 to Subpart UUU of Part 63 Protection of... HAP Emission Limits for Catalytic Reforming Units As stated in § 63.1566(c)(1), you shall meet each...

Nucleon form factors. Probing the chiral limit

Energy Technology Data Exchange (ETDEWEB)

Goeckeler, M. [Regensburg Univ. (Germany). Inst. fuer Theoretische Physik; Haegler, P. [Technische Univ. Muenchen, Garching (Germany). Physik-Dept.; Horsley, R. [Edinburgh Univ. (GB). School of Physics] (and others)

2006-10-15

The electromagnetic form factors provide important hints for the internal structure of the nucleon and continue to be of major interest for experimentalists. For an intermediate range of momentum transfers the form factors can be calculated on the lattice. However, reliability of the results is limited by systematic errors due to the required extrapolation to physical quark masses. Chiral effective field theories predict a rather strong quark mass dependence in a range which was yet unaccessible for lattice simulations. We give an update on recent results from the QCDSF collaboration using gauge configurations with Nf=2, non-perturbatively O(a)-improved Wilson fermions at very small quark masses down to 340 MeV pion mass, where we start to probe the relevant quark mass region. (orig.)

Nucleon form factors. Probing the chiral limit

International Nuclear Information System (INIS)

Goeckeler, M.; Haegler, P.; Horsley, R.

2006-10-01

The electromagnetic form factors provide important hints for the internal structure of the nucleon and continue to be of major interest for experimentalists. For an intermediate range of momentum transfers the form factors can be calculated on the lattice. However, reliability of the results is limited by systematic errors due to the required extrapolation to physical quark masses. Chiral effective field theories predict a rather strong quark mass dependence in a range which was yet unaccessible for lattice simulations. We give an update on recent results from the QCDSF collaboration using gauge configurations with Nf=2, non-perturbatively O(a)-improved Wilson fermions at very small quark masses down to 340 MeV pion mass, where we start to probe the relevant quark mass region. (orig.)

Factors Limiting Vocational Agriculture Student Participation in Supervised Occupational Experience Programs in Nebraska.

Science.gov (United States)

Foster, Richard M.

1986-01-01

In this study, economic factors were consistently rated as important considerations in limited student participation in supervised farm practice in Nebraska high schools. It was indicated that administrative support was the least limiting factor for student participation. (CT)

Understanding Suicide Across the Lifespan: A United States Perspective of Suicide Risk Factors, Assessment & Management.

Science.gov (United States)

Steele, Ian H; Thrower, Natasha; Noroian, Paul; Saleh, Fabian M

2018-01-01

Suicide is a troubling, preventable phenomenon. Prior to attempts, individuals often seek help, prompting practitioners to perform risk assessments that ideally use evidence-based risk management strategies. A literature review was performed using Harvard Countway Library of Medicine, Google Scholar, PubMed. Key words used were "Forensic Science," "Suicide Risk Management," "Pediatric Suicide Risk Factors," "Adult Suicide Risk Factors," "Geriatric Suicide Risk Factors," "Suicide Risk Assessment." Parameters limited articles to studies/reviews completed in the past twenty years in the United States. Results indicated predictors of suicide in juveniles were insomnia, burdensomeness, and recent conflicts with family or a romantic partner. Adults had greater risk if male, substance abusing, with marital/job loss. Elderly individuals with multiple medical comorbidities, hopelessness, and isolation were at higher risk. Everyone evaluated should be screened for access to firearms. Management of suicide risk involves providing the least restrictive form of treatment which maintains an individual's safety. © 2017 American Academy of Forensic Sciences.

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

Factors of Renewable Energy Deployment and Empirical Studies of United States Wind Energy

Science.gov (United States)

Can Sener, Serife Elif

increase in economic factors is related to a significant increase in the installed wind energy capacity, whereas, the increase in environmental factors is related to a significant decrease in the installed wind capacity. The final study explores the factors of diffusion of state- and local-level wind energy support policies which are considered fundamental factors of the continuum and development of wind power in the United States. To reveal the internal determinants of state's wind energy policy diffusion, we further narrow the scope and control for the geographical region in the final study. We limit our analysis to seven neighboring Midwestern states, which are located in the center of United States wind energy corridor. Using data from 2008 to 2015, the study investigates the significance of the following internal factors: wind power potential, per capita gross state product, unemployment rate, per capita value of the agriculture sector, number of establishments in agricultural sector, and state government control. Through the addition of interaction terms, the study also considers the behavioral differences in the explanatory variables under Republican and non-Republican state governance. Our findings suggest that the economic development potential and related environmental benefits were the common motivation for state- and local-level policy makers. Lastly, technical terms and agricultural sector presence provides additional motives for the state level diffusion of wind energy policies. The findings of this dissertation are expected to contribute to the understanding of how countries and states might best stimulate and support renewable energy, and in particular wind energy, deployment.

Factors Affecting Productivity in the United States Naval Construction Force

National Research Council Canada - National Science Library

Morton, Darren

1997-01-01

By using a craftsman questionnaire, this thesis identifies and ranks the most important factors impairing Petty Officer productivity and morale in the United States Naval Construction Force (Seabees...

Attempt at a de-confusion. Units, biological effects of radiation limits and their meaning

Energy Technology Data Exchange (ETDEWEB)

Mueck, K

1986-01-01

In the wake of the Chernobyl accident the public was greatly confused by the press because units quite unknown before used and large numbers suggested danger; the meaning of limits for radionuclide concentrations in foods was also misunderstood. The present paper attempts a clarification. (G.Q.).

Limited field investigation report for the 100-HR-3 operable unit

International Nuclear Information System (INIS)

1994-09-01

This limited field investigation (LFI) was conducted to assess the applicability of interim remedial measures (IRM) for reducing human health and environmental risks within the 100-HR-3 Groundwater Operable Unit. The 100-HR-3 Operable Unit is comprised of three subareas; the 100 D Area, the 100 H Area and those portions of the 600 Area between the two reactor areas. The operable unit is one of seven operable units associated with the 100 D and H Areas. Operable units 100-DR-1, 100-DR-2, 100-DR-3, 100-HR-1, 100-HR-2 and 100-IU-4 address contaminant sources while 100-HR-3 addresses contamination present in the underlying groundwater. The primary method of field investigation used during this LFI was the installation and sampling of monitoring wells. Samples were collected from the groundwater and soils, and submitted for laboratory analysis. Boreholes were surveyed for radiological contamination using downhole geophysical techniques to further delineate the locations and levels of contaminants. All samples were screened to ascertain the presence of volatile organic compounds and radionuclides. Analytical data were subjected to validation; all round one, two and three and a minimum of 10% of round four data associated with the LFI were validated. A screening method was used to identify contaminants of potential concern (COPC). This screening method eliminated from further consideration, constituents that were below background. Constituents which are considered non-toxic to humans were eliminated from the human health evaluation. Data consistency and blank contamination were also evaluated in the screening process. These COPC were then evaluated further in the qualitative risk assessment (QRA). A human health QRA was performed using conservative (maximum equilibrated contaminant levels from the LFI) analyses

Risk factors associated with bus accident severity in the United States: A generalized ordered logit model

DEFF Research Database (Denmark)

Kaplan, Sigal; Prato, Carlo Giacomo

2012-01-01

of 2011. Method: The current study investigates the underlying risk factors of bus accident severity in the United States by estimating a generalized ordered logit model. Data for the analysis are retrieved from the General Estimates System (GES) database for the years 2005–2009. Results: Results show...... that accident severity increases: (i) for young bus drivers under the age of 25; (ii) for drivers beyond the age of 55, and most prominently for drivers over 65 years old; (iii) for female drivers; (iv) for very high (over 65 mph) and very low (under 20 mph) speed limits; (v) at intersections; (vi) because......Introduction: Recent years have witnessed a growing interest in improving bus safety operations worldwide. While in the United States buses are considered relatively safe, the number of bus accidents is far from being negligible, triggering the introduction of the Motor-coach Enhanced Safety Act...

Total Factor Productivity Convergence in Africa: Panel Unit Root ...

African Journals Online (AJOL)

The study tested absolute and conditional convergence of Total Factor Productivity in Africa using a sample of 23 countries and TFP data covering the period between 1960 and 2003 while deploying the panel unit root methodology. Countries that have experienced sustained economic growth rate are found to have ...

Placement of effective work-in-progress limits in route-specific unit-based pull systems

NARCIS (Netherlands)

Ziengs, N.; Riezebos, J.; Germs, R.

2012-01-01

Unit-based pull systems control the throughput time of orders in a production system by limiting the number of orders on the shop floor. In production systems where orders can follow different routings on the shop floor, route-specific pull systems that control the progress of orders on the shop

40 CFR Table 14 to Subpart Uuu of... - Continuous Compliance With Operating Limits for Organic HAP Emissions From Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Operating Limits for Organic HAP Emissions From Catalytic Cracking Units 14 Table 14 to Subpart UUU of Part 63... Compliance With Operating Limits for Organic HAP Emissions From Catalytic Cracking Units As stated in § 63...

40 CFR Table 21 to Subpart Uuu of... - Continuous Compliance With Operating Limits for Organic HAP Emissions From Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Operating Limits for Organic HAP Emissions From Catalytic Reforming Units 21 Table 21 to Subpart UUU of Part 63... Compliance With Operating Limits for Organic HAP Emissions From Catalytic Reforming Units As stated in § 63...

40 CFR Table 7 to Subpart Uuu of... - Continuous Compliance With Operating Limits for Metal HAP Emissions From Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Operating Limits for Metal HAP Emissions From Catalytic Cracking Units 7 Table 7 to Subpart UUU of Part 63... With Operating Limits for Metal HAP Emissions From Catalytic Cracking Units As stated in § 63.1564(c)(1...

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

Directory of Open Access Journals (Sweden)

Clairton Marcos Citolino Filho

2015-12-01

Full Text Available Abstract OBJECTIVE To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units. RESULTS The majority of nurses reported that the high number of professionals in the scenario (75.5%, the lack of harmony (77.6% or stress of any member of staff (67.3%, lack of material and/or equipment failure (57.1%, lack of familiarity with the emergency trolleys (98.0% and presence of family members at the beginning of the cardiopulmonary arrest assistance (57.1% are factors that adversely affect the quality of care provided during CPR. Professional experience length of time and the shift of nurses did not influence the perception of these factors. CONCLUSION The identification of factors that affect the quality of CPR in the perception of nurses serves as parameter to implement improvements and training of the staff working in inpatient units.

40 CFR Table 30 to Subpart Uuu of... - Operating Limits for HAP Emissions From Sulfur Recovery Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Operating Limits for HAP Emissions From Sulfur Recovery Units 30 Table 30 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL..., Table 30 Table 30 to Subpart UUU of Part 63—Operating Limits for HAP Emissions From Sulfur Recovery...

Statistical Hot Channel Factors and Safety Limit CHFR/OFIR

Energy Technology Data Exchange (ETDEWEB)

Lee, Byeonghee; Park, Suki [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2016-10-15

The fuel integrity of research reactors are usually judged by comparing the critical heat flux ratio (CHFR) and the maximum fuel temperature (MFT) with the safety limits. Onset of flow instability ratio (OFIR) can also be used for the examination with CHFR. Hot channel factors (HCFs) are incorporated when calculating the CHFR/OFIR and MFT, to consider the uncertainties of fuel properties and thermo-hydraulic variables affecting them. The HCFs and safety limit CHFR is sometimes estimated to include too much conservatism, deteriorating the design flexibilities and operating margins. In this paper, a statistical estimation of HCFs and the safety limit CHFR/OFIR is presented by a random sampling of uncertainty parameters. A 15MW pool type research reactor is selected as the sample reactor for the estimation. The HCFs and the safety limit CHFR/OFIR of a 15MW pool type research reactor are evaluated statistically. The parameters affecting the HCF and the safety limit CHFR/OFIR are listed and their uncertainties are estimated. The relevant parameter uncertainties are sampled randomly and the HCFs and the safety limits are evaluated from them. The HCFs and the safety limit CHFR/OFIR with 95% probability are smaller than those estimated deterministically because the statistical evaluation convolute the correlation uncertainties and the other uncertainties in probabilistic way, whereas the deterministic evaluation simply multiply them.

Housing growth in and near United States protected areas limits their conservation value.

Science.gov (United States)

Radeloff, Volker C; Stewart, Susan I; Hawbaker, Todd J; Gimmi, Urs; Pidgeon, Anna M; Flather, Curtis H; Hammer, Roger B; Helmers, David P

2010-01-12

Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

Factors influencing plasma transfusion practices in paediatric intensive care units around the world

DEFF Research Database (Denmark)

Karam, Oliver; Demaret, Pierre; Duhamel, Alain

2017-01-01

investigators of the 101 participating centres, in February 2016. Four areas were explored: beliefs regarding plasma transfusion, patients' case-mix in each unit, unit's characteristics, and local blood product transfusion policies and processes. RESULTS: The response rate was 82% (83/101). 43...... transfusions (P = 0·02 and P = 0·04, respectively). Case-mix, centre characteristics or local transfusion services were not identified as significant relevant factors. CONCLUSION: Factors influencing plasma transfusion practices reflect beliefs about indications and the efficacy of transfusion...

Calculating the Unit Cost Factors for Decommissioning Cost Estimation of the Nuclear Research Reactor

International Nuclear Information System (INIS)

Jeong, Kwan Seong; Lee, Dong Gyu; Jung, Chong Hun; Lee, Kune Woo

2006-01-01

The estimated decommissioning cost of nuclear research reactor is calculated by applying a unit cost factor-based engineering cost calculation method on which classification of decommissioning works fitted with the features and specifications of decommissioning objects and establishment of composition factors are based. Decommissioning cost of nuclear research reactor is composed of labor cost, equipment and materials cost. Labor cost of decommissioning costs in decommissioning works are calculated on the basis of working time consumed in decommissioning objects. In this paper, the unit cost factors and work difficulty factors which are needed to calculate the labor cost in estimating decommissioning cost of nuclear research reactor are derived and figured out.

[Opinion of professionals in an intensive care unit on the limitations of therapeutic effort].

Science.gov (United States)

González-Castro, A; Azcune, O; Peñasco, Y; Rodríguez, J C; Domínguez, M J; Rojas, R

2016-01-01

To determine the opinion held by professionals in an intensive care unit on the limitation of therapeutic effort process at the end-of-life (LTE). To collect this information, and then use it to improve the basic aspects that the LTE have on the quality of care by intensive care unit staff. A prospective descriptive study was carried out in the Intensive Care Unit of a third level public university hospital. A questionnaire was prepared that included questions on their demographic profile and others to provide an ethical valuation profile, as well as to find out the knowledge and information that the professional had on the LTE. Descriptive study of the sample and comparative statistics were performed using the chi-squared statistical test. A total of 65 valid questionnaires were obtained from a convenience sample of 70 professionals. Almost all of them (98%) were in favour of the limitation of therapeutic effort. The LTE was considered as some kind of euthanasia (active or passive) in up to 28% of the replies, valuations by professional categories is shown in. More than three-quarters (77%) had the belief that not to start treatment was not the same as withdrawing an already established treatment. Just over half (52%) of the respondents believe the value that should have more weight when considering LET would be the prognosis of the current illness of the patient, and 46% the future quality of life of the patient. The economic cost of treatment to be applied was not considered in any case. The LTE is approved by the majority of professionals in our Intensive Care Unit. Although a non-negligible percentage understood it as a form of euthanasia. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

Suppressing epidemics with a limited amount of immunization units.

Science.gov (United States)

Schneider, Christian M; Mihaljev, Tamara; Havlin, Shlomo; Herrmann, Hans J

2011-12-01

The way diseases spread through schools, epidemics through countries, and viruses through the internet is crucial in determining their risk. Although each of these threats has its own characteristics, its underlying network determines the spreading. To restrain the spreading, a widely used approach is the fragmentation of these networks through immunization, so that epidemics cannot spread. Here we develop an immunization approach based on optimizing the susceptible size, which outperforms the best known strategy based on immunizing the highest-betweenness links or nodes. We find that the network's vulnerability can be significantly reduced, demonstrating this on three different real networks: the global flight network, a school friendship network, and the internet. In all cases, we find that not only is the average infection probability significantly suppressed, but also for the most relevant case of a small and limited number of immunization units the infection probability can be reduced by up to 55%.

United Kingdom national report

International Nuclear Information System (INIS)

Tomkins, B.

1998-01-01

Report of the United Kingdom deals with life extension granted to Calder Hall and Chapelcross reactors for further 10 years operation. The two well recognised life-limiting features of Magnox type reactors are graphite core ageing and materials properties of the reactor pressure circuit components. These features have been scrutinised particularly closely and the conclusion has been reached that there are no safety factors which will necessarily limit the plant life to less than 50 years. Two other life-limiting factors are hear exchanger tubes and the heat exchanger tube failures internal to boiler shells and the integrity of the main engineering structures of the plant. It was concluded that appropriate routine ageing monitoring programs are in place in respect to these features to support continuing operation beyond 40 years

Progress in basic principles of limitation in radiation protection

International Nuclear Information System (INIS)

Ramzaev, P.V.; Tarasov, S.I.; Troitskaya, M.N.; Ermolaeva, A.P.

1977-01-01

For purposes of limitation of harmful factors, e.g. radiation, it is proposed to divide all countless numbers of biological effects into three groups: 1) social important effects (ultimate and effects); 2) intermediate effects (different diseases etc.), which are connected with and controlled by the first group; 3) pure biological effects, importance of which is not known. To determine the first group effects there are identified four indices describing all significant sides of human life: time of life, life-time integral of mental and physical capacity for work, aesthetical satisfaction from organism itself, reproduction of descendants. They reflect the main social and individual interests related to functioning of organism. On the base of weighing these indices it is suggested the united general index of health in form of time of a full life. The united index can be used for different principles of limitation (based on threshold, acceptable risk, maximum benefit). To realize the principle of maximum public benefit as ideal principle in the future limitation all benefit and detriment from utilization of harmful sources must be expressed in the united index of health (instead of money), which is the greatest value of individual and society. Authors suggest to standartize ionizing radiation on the general methodological approaches that were acceptable to non-ionizing factors too

Risk factors for persistent airflow limitation: Analysis of 306 patients with asthma

OpenAIRE

Wang, Lingcheng; Gao, Shuncui; Zhu, Wei; Su, Jun

2014-01-01

Objectives : To determine the risk factors associated with persistent airflow limitation in patients with asthma. Method s: This study was designed and carried out in the department of respiratory medicine, fourth People?s Hospital of Jinan City, Shandong province, China between Jan 2012 and Dec 2012. Three hundred and six asthma patients participating in the study were divided into persistent airflow limitation group (PAFL) and no persistent airflow limitation group (NPAFL). The patients par...

Quantifying Environmental Limiting Factors on Tree Cover Using Geospatial Data

NARCIS (Netherlands)

Greenberg, Jonathan; Ferreira Dos Santos, Maria Joao; Dobrowski, Solomon; Vanderbilt, Vern; Ustin, Susan

2015-01-01

Environmental limiting factors (ELFs) are the thresholds that determine the maximum or minimum biological response for a given suite of environmental conditions. We asked the following questions: 1) Can we detect ELFs on percent tree cover across the eastern slopes of the Lake Tahoe Basin, NV? 2)

40 CFR Table 34 to Subpart Uuu of... - Continuous Compliance With HAP Emission Limits for Sulfur Recovery Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With HAP Emission Limits for Sulfur Recovery Units 34 Table 34 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 34 Table 34 to Subpart UUU of Part 63—Continuous Compliance With HAP Emission Limits...

Limited field investigation report for the 100-HR-1 Operable Unit

International Nuclear Information System (INIS)

1994-08-01

This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-HR-1 Source Operable Unit LFI and the associated qualitative risk assessment (QRA) (WHC 1993a), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land use scenarios. A LFI Report is required, in accordance with the HPPS, when waste sites are to be considered for IRMs. The LFI is an integral part of the remedial investigation/feasibility study (RI/FS) or Resource Conservation and Recovery Act (RCRA) facility investigation/corrective measures study (RFI/CMS) and process and functions as a focused RI or RFI for selection of IRMs. The purpose of the report is to identify those sites that are recommended to remain as candidates for IRMs, provide a preliminary summary of site characterization studies, refine the conceptual model as needed, identify contaminant- and location-specific applicable or relevant and appropriate requirements (ARA), and provide a qualitative assessment of the risks associated with the sites. This assessment includes consideration of whether contaminant concentrations pose an unacceptable risk that warrants action through IRMs. The 100-HR-1 unit encompasses approximately 100 acres adjacent to the Columbia River shoreline. It contains waste units associated with the original plant facilities constructed to support the H Reactor. The area also contains evaporation basins which received liquid process wastes and nonroutine deposits of chemical wastes from the 300 Area, where fuel elements for the N Reactor were produced

LIMITING FACTORS FOR THE DEVELOPMENT OF THE SERBIAN HOSPITALITY INDUSTRY

Directory of Open Access Journals (Sweden)

Nikolina Kosar

2016-12-01

Full Text Available Heterogeneity and complexity determine multidisciplinary approach to the hospitality research. Identification and analysis of limited hospitality development factors imply very complex scientific approach. Case study methodology is applied on Republic of Serbia, which is transition country and candidate for EU accession. Research results identified key factors which had impact on lag, stagnation and contemporary level of hospitality development. Firstly, way of executed privatization process of hospitality companies in Serbia i.e. only ownership transformation, as part of business transformation, was done (organizational, management, technological, financial and human resources parts of business transformation didn’t implement. Secondly, non-acceptable terms and conditions of credit lines for financing privatization and future business of privatized hospitality companies. Furthermore, buyers of privatized hospitality companies didn’t prepared adequate projections of cash flow and sources of financing (owned and borrowed. Finally, technological development and human resources were result of the first mentioned limited factor. In order to improve business in hospitality industry in transition economies, all stakeholders should be involved. State should improve business environment. Educational institutions should create applicable programs on market. Investors should be ready to invest in technological and human resource development. Banks should implement the best financing practice from headquarters in EU.

40 CFR Table 33 to Subpart Uuu of... - Initial Compliance With HAP Emission Limits for Sulfur Recovery Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Initial Compliance With HAP Emission Limits for Sulfur Recovery Units 33 Table 33 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 33 Table 33 to Subpart UUU of Part 63—Initial Compliance With HAP Emission Limits for...

40 CFR Table 9 to Subpart Uuu of... - Operating Limits for Organic HAP Emissions From Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Operating Limits for Organic HAP Emissions From Catalytic Cracking Units 9 Table 9 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 9 Table 9 to Subpart UUU of Part 63—Operating Limits for Organic HAP Emissions From...

40 CFR Table 16 to Subpart Uuu of... - Operating Limits for Organic HAP Emissions From Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Operating Limits for Organic HAP Emissions From Catalytic Reforming Units 16 Table 16 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 16 Table 16 to Subpart UUU of Part 63—Operating Limits for Organic HAP Emissions From...

Driving automation forward : human factors for limited-ability autonomous driving systems.

Science.gov (United States)

2010-01-01

Over the past 100 years, there has been a : steady progression of innovations that : enhance the driving experience, in particular : the continuing trend toward automating more : driving tasks. Human Factors for Limited-Ability : Autonomous Drivin...

Limiting factors in the production of deep microstructures

Science.gov (United States)

Tolfree, David W. L.; O'Neill, William; Tunna, Leslie; Sutcliffe, Christopher

1999-10-01

Microsystems increasingly require precision deep microstructures that can be cost-effectively designed and manufactured. New products must be able to meet the demands of the rapidly growing markets for microfluidic, micro- optical and micromechanical devices in industrial sectors which include chemicals, pharmaceuticals, biosciences, medicine and food. The realization of such products, first requires an effective process to design and manufacture prototypes. Two process methods used for the fabrication of high aspect-ratio microstructures are based on X-ray beam lithography with electroforming processes and direct micromachining with a frequency multiplied Nd:YAG laser using nanosecond pulse widths. Factors which limit the efficiency and precision obtainable using such processes are important parameters when deciding on the best fabrication method to use. A basic microstructure with narrow channels suitable for a microfluidic mixer have been fabricated using both these techniques and comparisons made of the limitations and suitability of the processes in respect of fast prototyping and manufacture or working devices.

The capital asset pricing model versus the three factor model: A United Kingdom Perspective

Directory of Open Access Journals (Sweden)

Chandra Shekhar Bhatnagar

2013-07-01

Full Text Available The Sharpe (1964, Lintner (1965 and Black (1972 Capital Asset Pricing Model (CAPM postulates that the equilibrium rates of return on all risky assets are a linear function of their covariance with the market portfolio. Recent work by Fama and French (1996, 2006 introduce a Three Factor Model that questions the “real world application” of the CAPM Theorem and its ability to explain stock returns as well as value premium effects in the United States market. This paper provides an out-of-sample perspective to the work of Fama and French (1996, 2006. Multiple regression is used to compare the performance of the CAPM, a split sample CAPM and the Three Factor Model in explaining observed stock returns and value premium effects in the United Kingdom market. The methodology of Fama and French (2006 was used as the framework for this study. The findings show that the Three Factor Model holds for the United Kingdom Market and is superior to the CAPM and the split sample CAPM in explaining both stock returns and value premium effects. The “real world application” of the CAPM is therefore not supported by the United Kingdom data.

Limiting factor analysis of high availability nuclear plants (boiling water reactors). Final report

International Nuclear Information System (INIS)

Frederick, L.G.; Brady, R.M.; Shor, S.W.W.; McCusker, J.T.; Alden, W.M.; Kovacs, S.

1979-08-01

The pertinent results are presented of a 16-month study conducted for Electric Power Research Institute by General Electric Company, Bechtel Power Corporation, and Philadelphia Electric Company. The study centered around the Peach Bottom 2 Atomic Power Station, but also included limited study of operations at 20 additional operating boiling water reactors. The purpose of the study was to identify and evaluate key factors limiting plant availability, and to identify potential improvements for eliminating or alleviating those limitations. The key limiting factors were found to be refueling activities; activities related to the reactor fuel; reactor scrams; activities related to 20 operating systems or major components; delays due to radiation, turbid water during refueling operations, facilities/working conditions, and dirt/foreign material; and general maintenance/repair of valves and piping. Existing programs to reduce the effect on plant unavailability are identified, and suggestions for further action are made

Uranium, a factor limiting nuclear energy?

International Nuclear Information System (INIS)

Ohnemus, J.

2006-01-01

Nuclear power has been back as a topic of public debate since early this year. A special subject under discussion is the extension of nuclear power plant life. Hardly had it been on the agenda, when interested parties announced that this step was impossible because uranium reserves were no longer sufficient. A variety of terms are being used in this discussion without their meaning being taken into account: stocks, resources, and reserves. To clarify the situation, this article outlines important aspects of short and long term uranium supplies, and analyzes their meaning. Here are some of the most important issues under consideration: - For what period of time is there really enough uranium? - Is uranium becoming the limiting factor in the use of nuclear power? - Is uranium really a 'sustainable' energy resource? - Will higher prices extend the range? - What is the influence of the price of uranium on the cost of electricity generation? Among other results, it is found that comprehensive sources of low-price uranium and nuclear fuels are, or can be made, available worldwide. Consequently, the 'range' is beyond the time frames currently mentioned, also as a function of technological factors, i.e. reaching several hundred years. It is also important to note that nuclear power - ensures greater independence of volatile imported sources, - guarantees reliably low electricity prices, - has a huge potential of environmental protection, and - is a clean source of energy. (orig.)

Uranium, a factor limiting nuclear energy?

International Nuclear Information System (INIS)

2006-01-01

Nuclear power has been back as a topic of public debate since early this year. A special subject under discussion is the extension of nuclear power plant life. Hardly had it been on the agenda, when interested parties announced that this step was impossible because uranium reserves were no longer sufficient. A variety of terms are being used in this discussion without their meaning being taken into account: stocks, resources, and reserves. To clarify the situation, this article outlines important aspects of short and long term uranium supplies, and analyzes their meaning. Here are some of the most important issues under consideration: - For what period of time is there really enough uranium? - Is uranium becoming the limiting factor in the use of nuclear power? - Is uranium really a 'sustainable' energy resource? - Will higher prices extend the range? - What is the influence of the price of uranium on the cost of electricity generation? Among other results, it is found that comprehensive sources of low-price uranium and nuclear fuels are, or can be made, available worldwide. Consequently, the 'range' is beyond the time frames currently mentioned, also as a function of technological factors, i.e. reaching several hundred years. It is also important to note that nuclear power - ensures greater independence of volatile imported sources, - guarantees reliably low electricity prices, - has a huge potential of environmental protection, and - is a clean source of energy. (orig./GL)

Uranium - a factor limiting nuclear energy?

International Nuclear Information System (INIS)

Ohnemus, J.

2006-01-01

Nuclear power has been back as a topic of public debate since early this year. A special subject under discussion is the extension of nuclear power plant life. Hardly had it been on the agenda, when interested parties announced that this st ep was impossible because uranium reserves were no longer sufficient. A variety of terms are being used in this discussion without their meaning being taken int o account: stocks, resources, and reserves. To clarify the situation, this artic le outlines important aspects of short and long term uranium supplies, and analy zes their meaning. Here are some of the most important issues under consideration: - For what period of time is there really enough uranium? - Is uranium becoming the limiting factor in the use of nuclear power? - Is uranium really a 'sustainable' energy resource? - Will higher prices extend the range? - What is the in fluence of the price of uranium on the cost of electricity generation? Among oth er results, it is found that comprehensive sources of low-price uranium and nucl ear fuels are, or can be made, available worldwide. Consequently, the 'range' is beyond the time frames currently mentioned, also as a function of technological factors, i.e. reaching several hundred years. It is also important to note that nuclear power - ensures greater independence of volatile imported sources, - guarantees reliably low electricity prices, - has a huge potential of environmental protection, and - is a clean source of energy. (orig.)

[Factors affecting the recovery in the intensive care unit].

Science.gov (United States)

Turkov, P N; Nikitin, V V; Antsupova, M A; Podkopaev, V N; Panfilova, R P; Ivanova, I N; Nesterova, L I

2013-01-01

Urgency of the problem is defined by economical, regulatory and legislative acts, regional social and moral factors. There is critical situation in Russian Pediatric Healthcare system. This situation is due to inadequate funding, high medical technologies inaccessibility for some Russian children, their adverse health state. The article presents a retrospective analysis of intensive therapy and resuscitation outcomes with technical equipment and work environment assessment in the intensive care unit of Tushinskaya city pediatric clinic for the period from 2007 to 2011. Anaesthetic and emergency care quality and safety depend on several factors: permanent equipment improvement, comprehensive analysis of every fatal case and full implementation of "Anti-epidemic (prophylactic) actions plan" and "Program of monitoring compliance with the sanitary norms".

Evaluation of uncertainty and detection limits in radioactivity measurements

Energy Technology Data Exchange (ETDEWEB)

Herranz, M. [Universidad del Pais Vasco/Euskal Herriko Unibertsitatea, Escuela Tecnica Superior de Ingenieria de Bilbao, Alda. Urquijo, s/n, 48013 Bilbao (Spain); Idoeta, R. [Universidad del Pais Vasco/Euskal Herriko Unibertsitatea, Escuela Tecnica Superior de Ingenieria de Bilbao, Alda. Urquijo, s/n, 48013 Bilbao (Spain)], E-mail: raquel.idoeta@ehu.es; Legarda, F. [Universidad del Pais Vasco/Euskal Herriko Unibertsitatea, Escuela Tecnica Superior de Ingenieria de Bilbao, Alda. Urquijo, s/n, 48013 Bilbao (Spain)

2008-10-01

The uncertainty associated with the assessment of the radioactive content of any sample depends on the net counting rate registered during the measuring process and on the different weighting factors needed to transform this counting rate into activity, activity per unit mass or activity concentration. This work analyses the standard uncertainties in these weighting factors as well as their contribution to the uncertainty in the activity reported for three typical determinations for environmental radioactivity measurements in the laboratory. It also studies the corresponding characteristic limits and their dependence on the standard uncertainty related to those weighting factors, offering an analysis of the effectiveness of the simplified characteristic limits as evaluated by various measuring software and laboratories.

Evaluation of uncertainty and detection limits in radioactivity measurements

International Nuclear Information System (INIS)

Herranz, M.; Idoeta, R.; Legarda, F.

2008-01-01

The uncertainty associated with the assessment of the radioactive content of any sample depends on the net counting rate registered during the measuring process and on the different weighting factors needed to transform this counting rate into activity, activity per unit mass or activity concentration. This work analyses the standard uncertainties in these weighting factors as well as their contribution to the uncertainty in the activity reported for three typical determinations for environmental radioactivity measurements in the laboratory. It also studies the corresponding characteristic limits and their dependence on the standard uncertainty related to those weighting factors, offering an analysis of the effectiveness of the simplified characteristic limits as evaluated by various measuring software and laboratories

Establishing a pediatric cardiac intensive care unit - Special considerations in a limited resources environment

Directory of Open Access Journals (Sweden)

Nair Suresh

2010-01-01

Full Text Available Pediatric cardiac intensive care has evolved as a distinct discipline in well-established pediatric cardiac programs in developed nations. With increasing demand for pediatric heart surgery in emerging economies, a number of new programs are being established. The development of robust pediatric cardiac intensive care units (PCICU is critical to the success of these programs. Because of substantial resource limitations existing models of PCICU care cannot be applied in their existing forms and structure. A number of challenges need to be addressed to deliver pediatric cardiac intensive care in the developing world. Limitations in infrastructure, human, and material resources call for a number of innovations and adaptations. Additionally, a variety of strategies are required to minimize costs of care to the individual patient. This review provides a framework for the establishment of a new PCICU program in face of resource limitations typically encountered in the developing world and emerging economies.

The Cognitive Limits to Economic Cluster Formation

Directory of Open Access Journals (Sweden)

Michael C. Carrol

2012-01-01

Full Text Available There has been increasing interest in the social dimensions of economic clusters. The literature now includes select examples of social network analysis plus an extensive discussion of learning regions. Unfortunately, much of this work treats the network as the primary unit of analysis. It may be that network attributes such as density, centrality, and power are primarily dependent on human limitations and not instituted factors. In other words, a human’s limited ability to process information may be a better determinant of cluster success than economic or network theory. The purpose of this paper is to highlight human limits in cluster formation. To do this, we draw on recent developments in the cognitive psychology and communications literatures. We explain that many of the factors that lead to underperforming cluster policies are the result of a human’s inability to develop and sustain a large number of social interactions. Any cluster policy must be cognizant of such limitations and carefully address these limits in the formation of the initial strategy.

Massive three-loop form factor in the planar limit

Energy Technology Data Exchange (ETDEWEB)

Henn, Johannes [PRISMA Cluster of Excellence, Johannes Gutenberg University,Staudingerweg 9, 55099 Mainz (Germany); Smirnov, Alexander V. [Research Computing Center, Moscow State University,119991 Moscow (Russian Federation); Smirnov, Vladimir A. [Skobeltsyn Institute of Nuclear Physics of Moscow State University,119991 Moscow (Russian Federation); Institut für Theoretische Teilchenphysik, Karlsruhe Institute of Technology (KIT),Wolfgang-Gaede Straße 1, 76128 Karlsruhe (Germany); Steinhauser, Matthias [Institut für Theoretische Teilchenphysik, Karlsruhe Institute of Technology (KIT),Wolfgang-Gaede Straße 1, 76128 Karlsruhe (Germany)

2017-01-17

We compute the three-loop QCD corrections to the massive quark-anti-quark-photon form factors F{sub 1} and F{sub 2} in the large-N{sub c} limit. The analytic results are expressed in terms of Goncharov polylogarithms. This allows for a straightforward numerical evaluation. We also derive series expansions, including power suppressed terms, for three kinematic regions corresponding to small and large invariant masses of the photon momentum, and small velocities of the heavy quarks.

Throughput capacity of the Asbestos Conversion Unit

International Nuclear Information System (INIS)

Hyman, M.H.

1996-10-01

An engineering assessment is presented for factors that could significantly limit the throughput capacity of the Asbestos Conversion Unit. The assessment focuses mainly on volumetric throughput capacity (and related mass rate and feed density), and energy input. Important conclusions that were reached during this assessment are that the throughput is limited by feed densification capability and that the design energy input rating appears to be adequate

High quality-factor fano metasurface comprising a single resonator unit cell

Science.gov (United States)

Sinclair, Michael B.; Warne, Larry K.; Basilio, Lorena I.; Langston, William L.; Campione, Salvatore; Brener, Igal; Liu, Sheng

2017-06-20

A new monolithic resonator metasurface design achieves ultra-high Q-factors while using only one resonator per unit cell. The metasurface relies on breaking the symmetry of otherwise highly symmetric resonators to induce intra-resonator mixing of bright and dark modes (rather than inter-resonator couplings), and is scalable from the near-infrared to radio frequencies and can be easily implemented in dielectric materials. The resulting high-quality-factor Fano metasurface can be used in many sensing, spectral filtering, and modulation applications.

40 CFR Table 5 to Subpart Uuu of... - Initial Compliance With Metal HAP Emission Limits for Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Initial Compliance With Metal HAP Emission Limits for Catalytic Cracking Units 5 Table 5 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 5 Table 5 to Subpart UUU of Part 63—Initial Compliance With Metal HAP Emission Limits...

Psychosocial factors at work and the development of mobility limitations among adults in Denmark

DEFF Research Database (Denmark)

Hansen, Åse Marie; Darsø, Lilie; Manty, Minna

2014-01-01

Aim: Psychosocial factors in the working environment have been shown to be associated with mobility limitations, but this has not yet been confirmed in a Danish population. We aimed to examine how psychosocial factors at work are related to developing mobility limitations in Denmark. Methods......: This study is based on data from 2952 middle-aged men and women without mobility limitations in 2000. Results: We found increased risk of incident mobility limitations during 6-year follow up among men who often perceived high work pace (OR 5.45, 95% CI 1.21-24.52) vs. never, who only sometimes or....../never perceived the work to be meaningful (OR 6.54, 95% CI 1.55-27.55) vs. always, and who sometimes perceived high emotional demands at work (OR 7.85, 95% CI 1.78-34.65) vs. never. Among women, lower risk of incident mobility limitations was observed among those who in 2000 perceived high work pace sometimes (OR...

Limited field investigation report for the 100-NR-1 Operable Unit

International Nuclear Information System (INIS)

1995-03-01

This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-NR-1 Source Operable Unit LFI and the associated qualitative risk assessment (QRA), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land-use scenarios. This report is unique in that it is based on Hanford-specific agreements discussed in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1992), the Hanford Site Risk Assessment Methodology (DOE-RL 1994a), the Remedial Investigation Feasibility Study Work Plan for the 100-NR-1 Operable Unit (DOE-RL 1992a), and the Hanford Past-Practice Strategy (HPPS) (DOE-RL 1991), and must be viewed in this context. The HPPS emphasizes initiating and completing waste site cleanup through interim actions. The strategy includes paths for interim decision-making and a final remedy-selection process for the operable unit. A LFI report is required, in accordance with the HPPS, when waste sites are to be considered for IRM and existing data are insufficient to formulate a conceptual model or perform a QRA. The purpose of the report is to identify those sites that are recommended to remain as candidates for IRM, provide a preliminary summary of site characterization studies, refine the conceptual model as needed, identify potential contaminant- and location-specific applicable or relevant and appropriate requirements (ARAR), and provide a qualitative assessment of the risks associated with the sites. This assessment includes consideration of whether contaminant concentrations pose a risk to human health or the environment that warrants action through IRM

JOB BEHAVIORAL FACTORS AND TURNOVER INTENTION: EVIDENCE FROM SIME DARBY PROPERTY LIMITED

OpenAIRE

Amran Awang; Abdul Razak Amir; Wirda Osman

2013-01-01

Some job behavioral factors are utilized to examine their relationship with turnover intention among 201 employees in Sime Darby Property (Malaysia) Limited. Job satisfaction, job stress, organizational commitment, job enrichment and person-organization fit are the job behavioral factors selected for the study. The variables used in the study justify the reliability scores consistent with indicators in previous studies. Research methodology justifies the quantitative requirements ...

Cryptosporidium surveillance and risk factors in the United States.

Science.gov (United States)

Yoder, Jonathan S; Beach, Michael J

2010-01-01

Surveillance for Cryptosporidium in the United States indicates that the reported incidence of infection has increased dramatically since 2004. The reasons for this increase are unclear but might be caused by an actual increase in incidence, improved surveillance, improved awareness about cryptosporidiosis, and/or increases in testing practices resulting from the licensing of the first-ever treatment for cryptosporidiosis. While regional differences remain, the incidence of cryptosporidiosis appears to be increasing across the United States. Onset of illness is most common during the summer, particularly among younger children. Cryptosporidiosis case reporting also influences outbreak detection and reporting; the recent rise in cases coincides with an increase in the number of reported cryptosporidiosis outbreaks, particularly in treated recreational water venues. Risk factors include ingesting contaminated recreational or drinking water, exposure to infected animals, having close contacts with cryptosporidiosis, travel to disease-endemic areas, and ingestion of contaminated food. Advances in molecular characterization of clinical specimens have improved our understanding of the changing epidemiology and risk factors. Prevention and control of cryptosporidiosis requires continued efforts to interrupt the transmission of Cryptosporidium through water, food, and contact with infected persons or animals. Of particular importance is continued improvement and monitoring of drinking water treatment and advances in the design, operation, and management of recreational water venues coupled with behavioral changes among the swimming public. Published by Elsevier Inc.

[Limiting factors in the class III camouflage treatment: a potential protocol].

Science.gov (United States)

Chaques Asensi, José

2016-06-01

The Class III skeletal malocclusion has been traditionally treated with a combined approach of orthodontics and orthognathic surgery or with a strategy of orthodontic camouflage. Some severe cases can be identified as ideal candidates for a surgical treatment whereas some others can be handled with orthodontics alone, with a reasonable expectation of an acceptable result. However, the problem remains for the borderline patient. In fact, limited information is available in the literature regarding the identification of the factors that can help in establishing the limits for one treatment modality or the other. Furthermore, the quantification of some of these factors, for practical purposes, is practically missing or very seldom suggested. Therefore, the decision making process remains a subjective reflection based on the "good clinical sense" of the orthodontist or just reduced to an "educated guess". In order to add some information, hopefully useful in deciding the most suitable treatment option for the individual patient, we propose a clinical protocol based on four different factors. Namely: the skeletal discrepancy, the occlusal discrepancy, the periodontal condition and facial aesthetics. For each one of these factors several parameters will be evaluated and, for some of them, an attempt to provide some reference numerical values will be made. Finally, clinical examples will be presented to illustrate the concepts discussed and the treatment alternatives, final treatment plan and treatment outcome will be analyzed for each one of them. © EDP Sciences, SFODF, 2016.

Thermodynamic limit of particle-hole form factors in the massless XXZ Heisenberg chain

Energy Technology Data Exchange (ETDEWEB)

Kitanine, N. [Univ. de Bourgogne (France). IMB, UMR 5584 du CNRS; Kozlowski, K.K. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Maillet, J.M.; Terras, V. [ENS Lyon (France). UMR 5672 du CNRS, Lab. de Physique; Slavnov, N.A. [Steklov Mathematical Inst., Moscow (Russian Federation)

2011-03-15

We study the thermodynamic limit of the particle-hole form factors of the XXZ Heisenberg chain in the massless regime. We show that, in this limit, such form factors decrease as an explicitly computed power-law in the system size. Moreover, the corresponding amplitudes can be obtained as a product of a ''smooth'' and a ''discrete'' part: the former depends continuously on the rapidities of the particles and holes, whereas the latter has an additional explicit dependence on the set of integer numbers that label each excited state in the associated logarithmic Bethe equations. We also show that special form factors corresponding to zero-energy excitations lying on the Fermi surface decrease as a power-law in the system size with the same critical exponents as in the longdistance asymptotic behavior of the related two-point correlation functions. The methods we develop in this article are rather general and can be applied to other massless integrable models associated to the six-vertex R-matrix and having determinant representations for their form factors. (orig.)

Constipation in intensive care unit: incidence and risk factors.

Science.gov (United States)

Nassar, Antonio Paulo; da Silva, Fernanda Maria Queiroz; de Cleva, Roberto

2009-12-01

Although gastrointestinal motility disorders are common in critically ill patients, constipation and its implications have received very little attention. We aimed to determine the incidence of constipation to find risk factors and its implications in critically ill patients During a 6-month period, we enrolled all patients admitted to an intensive care unit from an universitary hospital who stayed 3 or more days. Patients submitted to bowel surgery were excluded. Constipation occurred in 69.9% of the patients. There was no difference between constipated and not constipated in terms of sex, age, Acute Physiology and Chronic Health Evaluation II, type of admission (surgical, clinical, or trauma), opiate use, antibiotic therapy, and mechanical ventilation. Early (constipation, a finding that persisted at multivariable analysis (P Constipation was not associated with greater intensive care unit or mortality, length of stay, or days free from mechanical ventilation. Constipation is very common among critically ill patients. Early enteral nutrition is associated with earlier return of bowel function.

Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit.

Science.gov (United States)

González-Méndez, María Isabel; Lima-Serrano, Marta; Martín-Castaño, Catalina; Alonso-Araujo, Inmaculada; Lima-Rodríguez, Joaquín Salvador

2018-03-01

To determinate the incidence, incidence rate and risk factors of pressure ulcers in critical care patients. Pressure ulcers represent one of the most frequent health problems in clinical practice. Specifically, critical patients who are hospitalised in intensive care units have a higher risk of developing a pressure ulcer, with an incidence that fluctuates between 3.3-39.3% according to previous studies. Prospective cohort study. Three hundred and thirty-five adult patients (over 18 years old) who were hospitalised in intensive care units for at least 24 hr were monitored for a maximum of 32 days. They were excluded if they had a pressure ulcers at admission. The survival rate for pressure ulcers, from stages I-IV, was calculated using the Kaplan-Meier method. A multivariate Cox regression model was adjusted to identify the main risk factors for pressure ulcers: demographic, clinical, prognostic and therapeutic variables. The incidence of pressure ulcers in critical patients was 8.1%, and the incidence rate was 11.72 pressure ulcers for 1,000 days of intensive care units stay; 40.6% of pressure ulcers were of stage I and 59.4% of stage II, mainly in the sacrum. According to the Cox model, the main risk factors for pressure ulcers were in-hospital complications, prognostic scoring system (SAPS III) and length of immobilisation. The incidence of pressure ulcers is lower than that shown in recent studies. Complications on the unit and the prognosis score were risk factors associated with pressure ulcers but, surprisingly, length of immobilisation was a protective factor. Survival analysis of pressure ulcer allows for identification of risk factors associated with this health problem in the intensive care units. Identifying these factors can help nurses establish interventions to prevent pressure ulcers in this healthcare scenario, given that pressure ulcers prevention is an indicator of nursing quality. © 2017 John Wiley & Sons Ltd.

Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa

Directory of Open Access Journals (Sweden)

Valerie J. Ehlers

2013-02-01

Full Text Available Patients in intensive care units require rest and sleep to recuperate, but might suffer from sleep deprivation due to ongoing unit activities. The study aimed to identify and describe the factors contributing to sleep deprivation in one multi-disciplinary intensive care unit MDICU in a private hospital in South Africa. Quantitative, descriptive research was conducted to identify factors contributing to sleep deprivation in the research setting, and to make recommendations to enhance these patients’ abilities to sleep. Structured interviewswere conducted with 34 adult non-ventilated patients who had spent at least one night in the MDICU and who gave informed consent. Out of the 34 interviewed patients 70.6% n = 24 indicated that they suffered from sleep deprivation in the MDICU. The five major factors contributing to sleep deprivation in a MDICU were, (1 not knowing nurses’ names, noise caused by alarms, (2 stress, (3 inability to understand medical terms, and (3 blood pressure cuffs that restricted patients’ movements and smelled badly. Patients’ abilities to sleep were enhanced by reassuring nurses whose names they knew and with whom they could communicate. By attending to the identified five major factors, patients’ abilities to sleep in a MDICU could be enhanced enabling patients to recuperate faster. The implementation of such measures need not incur financial costs for the MDICU concerned.

Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa

Directory of Open Access Journals (Sweden)

Valerie J. Ehlers

2013-02-01

Full Text Available Patients in intensive care units require rest and sleep to recuperate, but might suffer from sleep deprivation due to ongoing unit activities. The study aimed to identify and describe the factors contributing to sleep deprivation in one multi-disciplinary intensive care unit (MDICU in a private hospital in South Africa. Quantitative, descriptive research was conducted to identify factors contributing to sleep deprivation in the research setting, and to make recommendations to enhance these patients’ abilities to sleep. Structured interviews were conducted with 34 adult non-ventilated patients who had spent at least one night in the MDICU and who gave informed consent. Out of the 34 interviewed patients 70.6% (n = 24 indicated that they suffered from sleep deprivation in the MDICU. The five major factors contributing to sleep deprivation in a MDICU were, (1 not knowing nurses’ names, noise caused by alarms, (2 stress, (3 inability to understand medical terms, and (3 blood pressure cuffs that restricted patients’ movements and smelled badly. Patients’ abilities to sleep were enhanced by reassuring nurses whose names they knew and with whom they could communicate. By attending to the identified five major factors, patients’ abilities to sleep in a MDICU could be enhanced enabling patients to recuperate faster. The implementation of such measures need not incur financial costs for the MDICU concerned.

Factors predicting organochlorine pesticide levels in pregnant Latina women living in a United States agricultural area

Science.gov (United States)

Bradman, Asa; Schwartz, Jackie M.; Fenster, Laura; Barr, Dana B.; Holland, Nina T.; Eskenazi, Brenda

2015-01-01

Organochlorine (OC) pesticide use was restricted starting in the 1970s in developed countries and the 1980s and 1990s in developing countries. Current exposure to OC pesticides – DDT, lindane (99% pure gamma-hexachlorocyclohexane (γ-HCH)), hexachlorobenzene (HCB) – occurs on a limited basis. We measured p,p′-DDE, p,p′-DDT, o,p′-DDT, HCB, beta (β)-HCH (the most persistent isomer of technical-grade HCH) and γ-HCH in serum from 426 low-income pregnant Latina women living in an agricultural community in California. Detection frequencies were 94-100%. Median levels (ng/g-lipid) of p,p′-DDE (1,052), p,p′-DDT (13), β-HCH (37) and HCB (65) were significantly higher than U.S. population levels. Multivariate analyses of p,p′-DDE, p,p′-DDT, o,p′-DDT, β-HCH and HCB indicate that time spent living outside the United States and birthplace in an area of Mexico with recent use of OC pesticides were significant predictors of exposure. Time spent living in the United States was associated with increased serum levels of p,p′-DDE and β-HCH, but the increase for each year lived in the United States was lower than for each year lived outside the United States. There was no difference between the increase of HCB levels over time spent in or outside the United States, suggesting current and thus preventable exposure routes. However, we observed no associations between serum levels of any OC compound and current intake of saturated fat or agricultural take-home exposure risk factors. Lactation history and recent weight gain were negatively associated with serum levels of some, but not all OC compounds studied. Smoking history was borderline associated with elevated HCB levels. We observed no significant associations with body mass index. Although the weight of evidence from this study indicates that most exposure occurred prior to moving to the United States, the results for HCB indicate the possibility of ongoing exposure in this country. PMID:17033681

Reactivity limitations on the performance of hybrid reactors

International Nuclear Information System (INIS)

Piera, M.; Martinez-Val, J.M.

1994-01-01

A neutronic theory for characterizing the hybrid blanket physics is used to show that hybrid performances are limited because of reactivity restrictions. The hybrid must always remain subcritical, even in abnormal conditions. For hybrids devoted to energy production by multiplication of the neutron source power, the restriction is particularly strong, and the electricity recirculation fraction to feed the plant can be too large for its economic feasibility. In hybrids used to breed fissile fuel, the power of LWR maintained by power unit of the hybrid is also limited (to a factor of 10, approx.). (author)

Limitation for performance of jobs in power unit control room of nuclear power plant

International Nuclear Information System (INIS)

Janas, D.

1988-01-01

The procedure is described for an analysis of the somatic and mental health condition of operating personnel in the unit control room of a nuclear power plant. It was divided into three stages, viz.: (1) determination of adverse and favorable effects of work; (2) the recording of social, psychological, physiological and biochemical changes in the personnel; (3) determination of possibilities of controlling the limit for performance of a job. The analysis showed that the problem is complex and should permanently remain in the centre of attention. (J.B.). 3 refs

Report of the Nuclear Energy Agency expert group on gut transfer factors: implications for dose per unit intake

International Nuclear Information System (INIS)

1988-01-01

This note describes the gut transfer factors recommended by an Expert Group of the Nuclear Energy Agency for intakes of certain important elements in food and drinking water. The evidence behind the recommendations is discussed and their implications for dose per unit intake is investigated. It is found that in many cases the dose per unit intake calculated using the gut uptake factor recommended by the Expert Group is similar to that calculated using the recommendations of ICRP Publication 30. However, in some cases there are substantial increases in dose per unit intake. The largest increases are by a factor of fifty for intakes of certain thorium isotopes by infants. (author)

Sensory shelf-life limiting factor of high hydrostatic pressure processed avocado paste.

Science.gov (United States)

Jacobo-Velázquez, D A; Hernández-Brenes, C

2011-08-01

High hydrostatic pressure (HHP) processing pasteurizes avocado paste without a significant impact on flavor. Although HHP-treated avocado paste stored under refrigeration is safe for human consumption for months, sensory changes taking place during storage cause the rejection of the product by consumers within days. Although it is known that the shelf life of the product ends before its microbial counts are high, its sensory shelf life limiting factor remains unknown. The present study focused on the use of a trained panel and a consumer panel to determine the sensory shelf life limiting factor of HHP-treated avocado paste. The trained panel identified sour and rancid flavors as the main sensory descriptors (critical descriptors) that differentiated stored from freshly processed samples. Further data obtained from consumers identified sour flavor as the main cause for a significant decrease in the acceptability (shelf life limiting factor) of refrigerated HHP-treated avocado paste. The study allowed the elucidation of a proposed deterioration mechanism for HHP-treated avocado paste during its refrigerated shelf life. The information through this work enhances scientific knowledge of the product and proposes the sour flavor development during storage as a relevant sensory attribute that needs to be improved in order to enhance the product shelf life. At present, HHP is the most effective commercial nonthermal technology to process avocado paste when compared to thermal and chemical alternatives. HHP-treated avocado paste is a microbiologically stable food for a period of at least 45 d stored under refrigeration. However, previous published work indicated that consumers rejected the product after approximately 19 d of storage due to sensory changes. This manuscript presents a sensory study that permitted the identification of the critical sensory descriptor that is acting as the sensory shelf life limiting factor of the product. The data presented herein along with

Limiting factors in single particle cryo electron tomography

Directory of Open Access Journals (Sweden)

Mikhail Kudryashev

2012-07-01

Full Text Available Modern methods of cryo electron microscopy and tomography allow visualization of protein nanomachines in their native state at the nanometer scale. Image processing methods including sub-volume averaging applied to repeating macromolecular elements within tomograms allow exploring their structures within the native context of the cell, avoiding the need for protein isolation and purification. Today, many different data acquisition protocols and software solutions are available to researchers to determine average structures of macromolecular complexes and potentially to classify structural intermediates. Here, we list the density maps reported in the literature, and analyze each structure for the chosen instrumental settings, sample conditions, main processing steps, and obtained resolution. We present conclusions that identify factors currently limiting the resolution gained by this approach.

75 FR 73972 - Medicaid Program; Cost Limit for Providers Operated by Units of Government and Provisions To...

Science.gov (United States)

2010-11-30

... District Court for the District of Columbia on May 23, 2008 in Alameda County Medical Center, et al. v... limit on reimbursement. On May 23, 2008, the United States District Court for the District of Columbia...), DHHS is removing the word ``nursing facilities'' replacing it with ``NFs.'' In Sec. 447.272(a)(1), DHHS...

SU-F-T-67: Correction Factors for Monitor Unit Verification of Clinical Electron Beams

Energy Technology Data Exchange (ETDEWEB)

Haywood, J [Mercy Health Partners, Muskegon, MI (United States)

2016-06-15

Purpose: Monitor units calculated by electron Monte Carlo treatment planning systems are often higher than TG-71 hand calculations for a majority of patients. Here I’ve calculated tables of geometry and heterogeneity correction factors for correcting electron hand calculations. Method: A flat water phantom with spherical volumes having radii ranging from 3 to 15 cm was created. The spheres were centered with respect to the flat water phantom, and all shapes shared a surface at 100 cm SSD. D{sub max} dose at 100 cm SSD was calculated for each cone and energy on the flat phantom and for the spherical volumes in the absence of the flat phantom. The ratio of dose in the sphere to dose in the flat phantom defined the geometrical correction factor. The heterogeneity factors were then calculated from the unrestricted collisional stopping power for tissues encountered in electron beam treatments. These factors were then used in patient second check calculations. Patient curvature was estimated by the largest sphere that aligns to the patient contour, and appropriate tissue density was read from the physical properties provided by the CT. The resulting MU were compared to those calculated by the treatment planning system and TG-71 hand calculations. Results: The geometry and heterogeneity correction factors range from ∼(0.8–1.0) and ∼(0.9–1.01) respectively for the energies and cones presented. Percent differences for TG-71 hand calculations drop from ∼(3–14)% to ∼(0–2)%. Conclusion: Monitor units calculated with the correction factors typically decrease the percent difference to under actionable levels, < 5%. While these correction factors work for a majority of patients, there are some patient anatomies that do not fit the assumptions made. Using these factors in hand calculations is a first step in bringing the verification monitor units into agreement with the treatment planning system MU.

Exploration of factors limiting biomass estimation by polarimetric radar in tropical forests

NARCIS (Netherlands)

Quiñones Fernández, M.J.; Hoekman, D.H.

2004-01-01

Direct inversion of radar return signals for forest biomass estimation is limited by signal saturation at medium biomass levels (roughly 150 ton/ha for P-band). Disturbing factors such as forest structural differences-and, notably, at low biomass levels, terrain roughness, and soil moisture

23 CFR 636.302 - Are there any limitations on the selection and use of proposal evaluation factors?

Science.gov (United States)

2010-04-01

... Are there any limitations on the selection and use of proposal evaluation factors? (a) The selection... 23 Highways 1 2010-04-01 2010-04-01 false Are there any limitations on the selection and use of proposal evaluation factors? 636.302 Section 636.302 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF...

40 CFR Table 4 to Subpart Bbbb of... - Model Rule-Class II Emission Limits for Existing Small Municipal Waste Combustion Unit a

Science.gov (United States)

2010-07-01

... Existing Small Municipal Waste Combustion Unit a 4 Table 4 to Subpart BBBB of Part 60 Protection of... NEW STATIONARY SOURCES Emission Guidelines and Compliance Times for Small Municipal Waste Combustion... Part 60—Model Rule—Class II Emission Limits for Existing Small Municipal Waste Combustion Unit a For...

Soil types and limiting factors in agricultural production in the San Fernando district, Tamaulipas, Mexico

International Nuclear Information System (INIS)

Espinosa Ramirez, M.; Garza Cedillo, R.; Andrade limas, E.; Belmonte Serrato, F.

2009-01-01

The limiting factors in agricultural production, defined as those properties and characteristics of the geographical environment that influence the development of crops, can be diverse and are grouped with the physical environment of soil. They are the result of soil characteristics and soil degradation processes by anthropogenic influence. Due to the above, the objective of this study was to identify and surveying the limitative factors to agricultural production, as well as to define its ability land use capacity in San Fernando district, Tamaulipas. (Author) 7 refs.

Electrical network limitations on large-scale deployment of offshore wind energy

Energy Technology Data Exchange (ETDEWEB)

Power, P.B.

2001-07-01

In this report we have summarised the electrical network limitations to the connection of offshore wind energy schemes in the United Kingdom. The offshore wind resource in the United Kingdom could enable energy production in excess of 230 TWh to be realised. The wind resource of the UK coast should enable 4 GW of wind generation (13.4 GWh assuming 30% load factor) to be developed, providing appropriate technical and commercial arrangements can be made. (author)

Factors associated with worker slipping in limited-service restaurants.

Science.gov (United States)

Courtney, Theodore K; Verma, Santosh K; Huang, Yueng-Hsiang; Chang, Wen-Ruey; Li, Kai Way; Filiaggi, Alfred J

2010-02-01

Slips, trips and falls (STF) are responsible for a substantial injury burden in the global workplace. Restaurant environments are challenged by STF. This study assessed individual and work environment factors related to slipping in US limited-service restaurant workers. Workers in 10 limited-service restaurants in Massachusetts were recruited to participate. Workers' occupational slip and/or fall history within the past 4 weeks was collected by multilingual written questionnaires. Age, gender, job tenure, work hours per week and work shift were also collected. Shoe type, condition and gross shoe contamination were visually assessed. Floor friction was measured and each restaurant's overall mean coefficient of friction (COF) was calculated. The logistic generalised estimating equations model was used to compute adjusted odds ratios (OR). Of 125 workers, 42 reported one or more slips in the past 4 weeks with two reporting a resultant fall. Results from multivariable regression showed that higher restaurant mean COF was significantly associated with a decreased risk of self-reported slipping (OR 0.59, 95% CI 0.42 to 0.82). From the highest to the lowest COF restaurant, the odds of a positive slip history increased by a factor of more than seven. Younger age, male gender, lower weekly work hours and the presence of gross contamination on worker's shoe sole were also associated with increased odds of slip history. Published findings of an association between friction and slipping and falling in actual work environments are rare. The findings suggest that effective intervention strategies to reduce the risk of slips and falls in restaurant workers could include increasing COF and improving housekeeping practices.

Obesity as a risk factor for developing functional limitation among older adults: A conditional inference tree analysis.

Science.gov (United States)

Cheng, Feon W; Gao, Xiang; Bao, Le; Mitchell, Diane C; Wood, Craig; Sliwinski, Martin J; Smiciklas-Wright, Helen; Still, Christopher D; Rolston, David D K; Jensen, Gordon L

2017-07-01

To examine the risk factors of developing functional decline and make probabilistic predictions by using a tree-based method that allows higher order polynomials and interactions of the risk factors. The conditional inference tree analysis, a data mining approach, was used to construct a risk stratification algorithm for developing functional limitation based on BMI and other potential risk factors for disability in 1,951 older adults without functional limitations at baseline (baseline age 73.1 ± 4.2 y). We also analyzed the data with multivariate stepwise logistic regression and compared the two approaches (e.g., cross-validation). Over a mean of 9.2 ± 1.7 years of follow-up, 221 individuals developed functional limitation. Higher BMI, age, and comorbidity were consistently identified as significant risk factors for functional decline using both methods. Based on these factors, individuals were stratified into four risk groups via the conditional inference tree analysis. Compared to the low-risk group, all other groups had a significantly higher risk of developing functional limitation. The odds ratio comparing two extreme categories was 9.09 (95% confidence interval: 4.68, 17.6). Higher BMI, age, and comorbid disease were consistently identified as significant risk factors for functional decline among older individuals across all approaches and analyses. © 2017 The Obesity Society.

Breastfeeding in the first hour of life and modern technology: prevalence and limiting factors

Directory of Open Access Journals (Sweden)

Maria Cristina Pillegi

2008-12-01

Full Text Available Objective: To identify the prevalence and limiting factors ofbreastfeeding in the first hour of life at the Maternity Center of HospitalIsraelita Albert Einstein, where the predominant model of childbirthcare is largely based on the use of modern technology. Methods: Aretrospective study with quantitative analysis in a middle and upperclass population of different cultural backgrounds. Data were obtainedfrom the delivery record book in a total of 12,350 births from January2004 to December 2007. Results: Of 12,350 births, 3,277 (26.9%were excluded because of contraindications to breastfeeding in thefirst hour of life such as: prematurity, respiratory distress, adverseeffects of anesthesia, obstetric conditions, congenital malformation,and others. Other 180 cases were excluded due to missing data.Of the remaining 8,893 cases, 2,279 (18.7% were not breastfedbecause of limiting factors that require improvement actions: highdelivery turnover, patient refusal, medical refusal, tiredness due toprolonged labor, loss of data recording. Cesarean delivery and the useof anesthesia did neither prevent breastfeeding in the first hour of lifenor skin-to-skin contact. The prevalence was 74.3%. Conclusions:The use of technology and the hospital practices interfere inbreastfeeding, but are not factors that prevent it. The identificationof the prevalence and limiting factors contributes to the evaluationof the care provided and elaboration of nursing interventions forcontinuous improvement of the care practice. Improvement actionsshould include prenatal care and delivery itself.

International Comparisons of Infant Mortality and Related Factors : United States and Europe, 2010

NARCIS (Netherlands)

MacDorman, M.F.; Mathews, T.J.; Mohangoo, A.D.; Zeitlin, J.

2014-01-01

OBJECTIVES: This report investigates the reasons for the United States' high infant mortality rate when compared with European countries. Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific

Multi-area unit commitment with ramp-rate limits

International Nuclear Information System (INIS)

Wang, C.; Shahidehpour, S.M.

1992-01-01

This paper reports that there are two tasks considered in power system generation scheduling. One is the unit commitment which determines the unit start up and shut down schedules in order to minimize the system fuel expenditure. The other is the economic dispatch which assigns the system load demand to the committed generating units for minimizing the power generation cost. The economic operation attracts a great deal of attention as a modest reduction in percentage fuel cost leads to a large saving in the system operation costs. Many studies for power system generation scheduling have successfully applied various mathematical algorithms such as Lagrangian relaxation, dynamic programming, and artificial intelligence techniques e.g., expert systems, artificial neural networks (ANN), etc. The AI techniques have incorporated the system practical operational policies in the mathematical techniques to improve system models considerably. The mechanism of ANN simulates the learning process of the human brain. One class of ANN learns the knowledge through examples, or training facts, composed by various inputs and their corresponding outputs. The extent of the intelligibility of ANN depends upon the diversity of the training facts. For an input which is not in the training facts, the trained ANN can estimate an output based on its previous knowledge about the problem

Methicillin Resistant Staphylococcus aureus Transmission in a Ghanaian Burn Unit: The Importance of Active Surveillance in Resource-Limited Settings

Directory of Open Access Journals (Sweden)

Nana Ama Amissah

2017-10-01

Full Text Available Objectives:Staphylococcus aureus infections in burn patients can lead to serious complications and death. The frequency of S. aureus infection is high in low- and middle-income countries presumably due to limited resources, misuse of antibiotics and poor infection control. The objective of the present study was to apply population genomics to precisely define, for the first time, the transmission of antibiotic resistant S. aureus in a resource-limited setting in sub-Saharan Africa.Methods:Staphylococcus aureus surveillance was performed amongst burn patients and healthcare workers during a 7-months survey within the burn unit of the Korle Bu Teaching Hospital in Ghana.Results: Sixty-six S. aureus isolates (59 colonizing and 7 clinical were obtained from 31 patients and 10 healthcare workers. Twenty-one of these isolates were ST250-IV methicillin-resistant S. aureus (MRSA. Notably, 25 (81% of the 31 patients carried or were infected with S. aureus within 24 h of admission. Genome comparisons revealed six distinct S. aureus clones circulating in the burn unit, and demonstrated multiple transmission events between patients and healthcare workers. Further, the collected S. aureus isolates exhibited a wide range of genotypic resistances to antibiotics, including trimethoprim (21%, aminoglycosides (33%, oxacillin (33%, chloramphenicol (50%, tetracycline (59% and fluoroquinolones (100%.Conclusion: Population genomics uncovered multiple transmission events of S. aureus, especially MRSA, within the investigated burn unit. Our findings highlight lapses in infection control and prevention, and underscore the great importance of active surveillance to protect burn victims against multi-drug resistant pathogens in resource-limited settings.

Methicillin Resistant Staphylococcus aureus Transmission in a Ghanaian Burn Unit: The Importance of Active Surveillance in Resource-Limited Settings.

Science.gov (United States)

Amissah, Nana Ama; Buultjens, Andrew H; Ablordey, Anthony; van Dam, Lieke; Opoku-Ware, Ampomah; Baines, Sarah L; Bulach, Dieter; Tetteh, Caitlin S; Prah, Isaac; van der Werf, Tjip S; Friedrich, Alexander W; Seemann, Torsten; van Dijl, Jan Maarten; Stienstra, Ymkje; Stinear, Timothy P; Rossen, John W

2017-01-01

Objectives: Staphylococcus aureus infections in burn patients can lead to serious complications and death. The frequency of S. aureus infection is high in low- and middle-income countries presumably due to limited resources, misuse of antibiotics and poor infection control. The objective of the present study was to apply population genomics to precisely define, for the first time, the transmission of antibiotic resistant S. aureus in a resource-limited setting in sub-Saharan Africa. Methods: Staphylococcus aureus surveillance was performed amongst burn patients and healthcare workers during a 7-months survey within the burn unit of the Korle Bu Teaching Hospital in Ghana. Results: Sixty-six S. aureus isolates (59 colonizing and 7 clinical) were obtained from 31 patients and 10 healthcare workers. Twenty-one of these isolates were ST250-IV methicillin-resistant S. aureus (MRSA). Notably, 25 (81%) of the 31 patients carried or were infected with S. aureus within 24 h of admission. Genome comparisons revealed six distinct S. aureus clones circulating in the burn unit, and demonstrated multiple transmission events between patients and healthcare workers. Further, the collected S. aureus isolates exhibited a wide range of genotypic resistances to antibiotics, including trimethoprim (21%), aminoglycosides (33%), oxacillin (33%), chloramphenicol (50%), tetracycline (59%) and fluoroquinolones (100%). Conclusion: Population genomics uncovered multiple transmission events of S. aureus , especially MRSA, within the investigated burn unit. Our findings highlight lapses in infection control and prevention, and underscore the great importance of active surveillance to protect burn victims against multi-drug resistant pathogens in resource-limited settings.

The Nutraceutical Bioavailability Classification Scheme: Classifying Nutraceuticals According to Factors Limiting their Oral Bioavailability.

Science.gov (United States)

McClements, David Julian; Li, Fang; Xiao, Hang

2015-01-01

The oral bioavailability of a health-promoting dietary component (nutraceutical) may be limited by various physicochemical and physiological phenomena: liberation from food matrices, solubility in gastrointestinal fluids, interaction with gastrointestinal components, chemical degradation or metabolism, and epithelium cell permeability. Nutraceutical bioavailability can therefore be improved by designing food matrices that control their bioaccessibility (B*), absorption (A*), and transformation (T*) within the gastrointestinal tract (GIT). This article reviews the major factors influencing the gastrointestinal fate of nutraceuticals, and then uses this information to develop a new scheme to classify the major factors limiting nutraceutical bioavailability: the nutraceutical bioavailability classification scheme (NuBACS). This new scheme is analogous to the biopharmaceutical classification scheme (BCS) used by the pharmaceutical industry to classify drug bioavailability, but it contains additional factors important for understanding nutraceutical bioavailability in foods. The article also highlights potential strategies for increasing the oral bioavailability of nutraceuticals based on their NuBACS designation (B*A*T*).

Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities

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Magno Conceição Merces

2013-04-01

Full Text Available Backgound and Objectives: Nursing has an important role in urinary tract infection prevention and control. Urinary catheters insertion represents the local topography with the highest rate of hospital infection. Foley catheter placement is performed solely by the nurse and requires aseptic techniques during its performance, thus preventing risks to the patients. The study aimed to evaluate the training of nurses on Foley catheter insertion and point out limits and possibilities of this practice in patients at the Intensive Care Unit (ICU of Hospital Geral do Interior da Bahia (HGIB. Methods: This was a qualitative, exploratory and descriptive study. Data collection was carried out through semi-structured interviews. After data analysis, two categories were evaluated, namely: the training of nurses on Foley catheter insertion in ICU patients and the limits and possibilities of Foley catheter insertion practice by nurses in ICU patients. Bardin analysis was used for data analysis. Results: The study shows that the nurse’s practice on Foley catheter insertion in ICU patients is based on the use of aseptic techniques for urinary tract infection prevention, theoretical and practical knowledge on Foley catheter insertion in ICU patients, knowledge on urinary tract infections and associations with catheter insertion, whereas the limits and possibilities of Foley catheter insertion practice by nurses are understood through measures to minimize the risk of hospital infection caused by long-term catheter use in the ICU. Nurses point out that the risks of hospital infection are inherent to long-term catheter use. This is an important fact, as the knowledge or its absence may constitute a limit or possibility for Foley catheter insertion practice by the nurse in ICU patients. Conclusion: Nurses must seek the systematization of knowledge, which warrants support for the team, as well as information, safety and prompt care, allowing the reduction of urinary

Radiation pressure acceleration: The factors limiting maximum attainable ion energy

Energy Technology Data Exchange (ETDEWEB)

Bulanov, S. S.; Esarey, E.; Schroeder, C. B. [Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Bulanov, S. V. [KPSI, National Institutes for Quantum and Radiological Science and Technology, Kizugawa, Kyoto 619-0215 (Japan); A. M. Prokhorov Institute of General Physics RAS, Moscow 119991 (Russian Federation); Esirkepov, T. Zh.; Kando, M. [KPSI, National Institutes for Quantum and Radiological Science and Technology, Kizugawa, Kyoto 619-0215 (Japan); Pegoraro, F. [Physics Department, University of Pisa and Istituto Nazionale di Ottica, CNR, Pisa 56127 (Italy); Leemans, W. P. [Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Physics Department, University of California, Berkeley, California 94720 (United States)

2016-05-15

Radiation pressure acceleration (RPA) is a highly efficient mechanism of laser-driven ion acceleration, with near complete transfer of the laser energy to the ions in the relativistic regime. However, there is a fundamental limit on the maximum attainable ion energy, which is determined by the group velocity of the laser. The tightly focused laser pulses have group velocities smaller than the vacuum light speed, and, since they offer the high intensity needed for the RPA regime, it is plausible that group velocity effects would manifest themselves in the experiments involving tightly focused pulses and thin foils. However, in this case, finite spot size effects are important, and another limiting factor, the transverse expansion of the target, may dominate over the group velocity effect. As the laser pulse diffracts after passing the focus, the target expands accordingly due to the transverse intensity profile of the laser. Due to this expansion, the areal density of the target decreases, making it transparent for radiation and effectively terminating the acceleration. The off-normal incidence of the laser on the target, due either to the experimental setup, or to the deformation of the target, will also lead to establishing a limit on maximum ion energy.

Interministerial decree of 10 February 1988 fixing the derived limits of the air concentration and the annual intake limit and the values of the quality factor and the neutron fluence rate

International Nuclear Information System (INIS)

1988-01-01

This decree establishes the derived concentration limits in the air and annual inhalation limits for the radioisotopes and the values of the quality factors and the conversion factors fluence/dose equivalent for neutrons and protons

Factors Limiting Adoption of Technologies by Farmers in Catabola Municipality, Angola

Directory of Open Access Journals (Sweden)

Rušarová K.

2016-06-01

Full Text Available The objective of the paper is to define the factors influencing the adoption of animal traction and/or mechanical-power technology in the conditions of Catabola municipality where hand-tool technology is being used on 99.7% of the area cultivated by small farmers. Primary data collection was conducted in the period July–August 2011; semi-structured questionnaires and focus group discussions were the most frequent methods used. In total, 151 small-scale farmers from 9 villages participated in the survey. Ten factors influencing the dependent variable – level of technology used by farmers in combination with hiring of labour – were defined. The factors were statistically analyzed by ANOVA. The area of cultivated land and the educational level of both parents and children were found to be the factors limiting the process of animal traction or mechanical power adoption by small farmers in the Catabola municipality. In addition, a relatively high rate of child labour was observed. With the exclusion of childless families, 62.7% of small farmer families regularly use children aged 0–14 years for field operations. The results confirm that the factor of hiring extra labour is irrelevant in determining the development in technology use by small farmers in the Catabola municipality.

Physics of Limiting Phenomena in Superconducting Microwave Resonators: Vortex Dissipation, Ultimate Quench and Quality Factor Degradation Mechanisms

Energy Technology Data Exchange (ETDEWEB)

Checchin, Mattia [Illinois Inst. of Technology, Chicago, IL (United States)

2016-12-01

Superconducting niobium accelerating cavities are devices operating in radio-frequency and able to accelerate charged particles up to energy of tera-electron-volts. Such accelerating structures are though limited in terms of quality factor and accelerating gradient, that translates--in some cases--in higher capital costs of construction and operation of superconducting rf accelerators. Looking forward for a new generation of more affordable accelerators, the physical description of limiting mechanisms in superconducting microwave resonators is discussed. In particular, the physics behind the dissipation introduced by vortices in the superconductor, the ultimate quench limitations and the quality factor degradation mechanism after a quench are described in detail. One of the limiting factor of the quality factor is the dissipation introduced by trapped magnetic flux vortices. The radio-frequency complex response of trapped vortices in superconductors is derived by solving the motion equation for a magnetic flux line, assuming a bi-dimensional and mean free path-dependent Lorentzian-shaped pinning potential. The resulting surface resistance shows the bell-shaped trend as a function of the mean free path, in agreement with the experimental data observed. Such bell-shaped trend of the surface resistance is described in terms of the interplay of the two limiting regimes identified as pinning and flux flow regimes, for low and large mean free path values respectively. The model predicts that the dissipation regime--pinning- or flux-flow-dominated--can be tuned either by acting on the frequency or on the electron mean free path value. The effect of different configurations of pinning sites and strength on the vortex surface resistance are also discussed. Accelerating cavities are also limited by the quench of the superconductive state, which limits the maximum accelerating gradient achievable. The accelerating field limiting factor is usually associate d to the

Physics of limiting phenomena in superconducting microwave resonators: Vortex dissipation, ultimate quench and quality factor degradation mechanisms

Science.gov (United States)

Checchin, Mattia

Superconducting niobium accelerating cavities are devices operating in radiofrequency and able to accelerate charged particles up to energy of tera-electron-volts. Such accelerating structures are though limited in terms of quality factor and accelerating gradient, that translates--in some cases--in higher capital costs of construction and operation of superconducting rf accelerators. Looking forward for a new generation of more affordable accelerators, the physical description of limiting mechanisms in superconducting microwave resonators is discussed. In particular, the physics behind the dissipation introduced by vortices in the superconductor, the ultimate quench limitations and the quality factor degradation mechanism after a quench are described in detail. One of the limiting factor of the quality factor is the dissipation introduced by trapped magnetic flux vortices. The radio-frequency complex response of trapped vortices in superconductors is derived by solving the motion equation for a magnetic flux line, assuming a bi-dimensional and mean free path-dependent Lorentzian-shaped pinning potential. The resulting surface resistance shows the bell-shaped trend as a function of the mean free path, in agreement with the experimental data observed. Such bell-shaped trend of the surface resistance is described in terms of the interplay of the two limiting regimes identified as pinning and flux flow regimes, for low and large mean free path values respectively. The model predicts that the dissipation regime--pinning- or flux-flow-dominated--can be tuned either by acting on the frequency or on the electron mean free path value. The effect of different configurations of pinning sites and strength on the vortex surface resistance are also discussed. Accelerating cavities are also limited by the quench of the superconductive state, which limits the maximum accelerating gradient achievable. The accelerating field limiting factor is usually associated to the superheating

The Bernese Emigration to the United States, 1870–1930: A Quantitative Analysis of Economic Factors

Directory of Open Access Journals (Sweden)

Simon Geissbühler

1999-10-01

Full Text Available The United States was the most important destination for emigrants from the Swiss canton of Bern during the period of mass emigration in the late 19th and the early 20th century. The present article looks at the economic factors leading to this mass emigration. Using bivariate correlations, this study demonstrates that quantitative analysis is a powerful tool in historical emigration research. The data underlines the two following theses. First, the better the economy in Bern, the lower the rate of emigration to the United States. Secondly, the better the economy in the United States, the higher the rate of emigration from Bern. Hence, both pull and push factors played an important role determining emigration from Bern to the United States. The most closely related to the rate of emigration were the independent variables emigration to the USA in year t-1, the investments in structural engineering in Bern, railroad construction in the USA and the number of Bernese on welfare. The results clearly show that Bernese emigration was primarily a socio-economic mass movement.

A Lagrange multiplier-type test for idiosyncratic unit roots in the exact factor model under misspecification

NARCIS (Netherlands)

Zhou, X.; Solberger, M.

2013-01-01

We consider an exact factor model and derive a Lagrange multiplier-type test for unit roots in the idiosyncratic components. The asymptotic distribution of the statistic is derived under the misspecification that the differenced factors are white noise. We prove that the asymptotic distribution is

KINERJA UNIT DALAM MENDUKUNG PENGEMBANGAN FAKULTAS ILMU ADMINISTRASI UNIVERSITAS LANCANG KUNING

Directory of Open Access Journals (Sweden)

Prihati Prihati

2018-02-01

Full Text Available Performance Faculty of Administrative Sciences can be seen from the performance of employees. This study focuses on the performance of existing units in the Faculty of Administration in carrying out its main duties and functions in order to support the strengthening of Faculty's performance. But in reality the performance of existing units in the faculty of administration of the University of Lancang Kuning showed less satisfactory work. Indicators that are visible include unstructured unit work programs, inadequate facilities and infrastructure, limited budget support and weak leadership which are a constraint in motivating employees to do their job well. The objective of the study was to explain the performance of faculty units and their inhibiting factors. The research method uses qualitative with emphasis on the concept of performance measurement. The techniques used in data collection are observation, interview and documentation study. The results showed that the performance of the faculty unit has not run well, this is obtained from the measurement of performance indicators that include job performance, expertise, behavior and leadership. As for the inhibiting factors of faculty unit performance is the limited support of facilities, infrastructure and funding. Besides, the reward and punishment system has not been done to the employee job resulting in the employee's motivation in working to be reduced, besides it is necessary to be given guidance and training for the work unit to understand the duty and function properly.

Lifestyle Factors and Incident Mobility Limitation in Obese and Non-obese Older Adults.

NARCIS (Netherlands)

Koster, A.; Penninx, B.W.J.H.; Newman, A.B.; Visser, M.; van Gool, C.H.; Harris, T.B.; van Eijk, J.T.; Kempen, G.I.; Brach, J.S.; Simonsick, E.M.; Houston, D.K.; Tylavsky, F.A.; Rubin, S.M.; Kritchevsky, S.B.

2007-01-01

Objective: This study examines the association between incident mobility limitation and 4 lifestyle factors: smoking, alcohol intake, physical activity, and diet in well-functioning obese (n = 667) and non-obese (n = 2027) older adults. Research Methods and Procedures: Data were from men and women,

Do limiting factors at Alaskan treelines shift with climatic regimes?

International Nuclear Information System (INIS)

Ohse, B; Jansen, F; Wilmking, M

2012-01-01

Trees at Alaskan treelines are assumed to be limited by temperature and to expand upslope and/or to higher latitudes with global warming. However, recent studies describe negative temperature responses and drought stress of Alaskan treeline trees in recent decades. In this study, we have analyzed the responses of treeline white spruce to temperature and precipitation according to different climatic regimes in Alaska, described as negative (cool) and positive (warm) phases of the Pacific Decadal Oscillation (PDO). We found that in three consecutive phases (positive from 1925–46, negative from 1947–76, and positive again from 1977–98), the growth responses to temperature and precipitation differed markedly. Before 1947, in a phase of warm winters and with summer temperatures being close to the century mean, the trees at most sites responded positively to summer temperature, as one would expect from treeline trees at northern high latitudes. Between 1947 and 1976, a phase of cold winters and average summers, the trees showed similar responses, but a new pattern of negative responses to the summer temperature of the year prior to growth coupled with positive responses to the precipitation in the same year emerged at some sites. As the precipitation was relatively low at those sites, we assume that drought stress might have played a role. However, the climate responses were not uniform but were modified by regional gradients (trees at northern sites responded more often to temperature than trees at southern sites) and local site conditions (forest trees responded more often to precipitation than treeline trees), possibly reflecting differences in energy and water balance across regions and sites, respectively. However, since the shift in the PDO in 1976 from a negative to a positive phase, the trees’ climate–growth responses are much less pronounced and climate seems to have lost its importance as a limiting factor for the growth of treeline white spruce. If

The Factors That Influence Dietary Habits among International Students in the United States

Science.gov (United States)

Alakaam, Amir A.; Castellanos, Diana C.; Bodzio, Jessica; Harrison, Lee

2015-01-01

This study examines the dietary intake changes and factors related to dietary acculturation in international students attending an urban university in the United States. The researchers administered seven focus groups of college-age international students (n = 32) between June and August 2012. The participants were enrolled in Northeastern and…

Factors associated with sources, transport, and fate of volatile organic compounds and their mixtures in aquifers of the United States

Science.gov (United States)

Squillace, P.J.; Moran, M.J.

2007-01-01

Factors associated with sources, transport, and fate of volatile organic compounds (VOCs) in groundwater from aquifers throughout the United States were evaluated using statistical methods. Samples were collected from 1631 wells throughout the conterminous United States between 1996 and 2002 as part of the National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey. Water samples from wells completed in aquifers used to supply drinking water were analyzed for more than 50 VOCs. Wells were primarily rural domestic water supplies (1184), followed by public water supplies (216); the remaining wells (231) supplied a variety of uses. The median well depth was 50 meters. Age-date information shows that about 60% of the samples had a fraction of water recharged after 1953. Chloroform, toluene, 1,2,4-trimethylbenzene, and perchloroethene were some of the frequently detected VOCs. Concentrations generally were less than 1 ??g/L. Source factors include, in order of importance, general land-use activity, septic/sewer density, and sites where large concentrations of VOCs are potentially released, such as leaking underground storage tanks. About 10% of all samples had VOC mixtures that were associated with concentrated sources; 20% were associated with dispersed sources. Important transport factors included well/screen depth, precipitation/groundwater recharge, air temperature, and various soil characteristics. Dissolved oxygen was strongly associated with VOCs and represents the fate of many VOCs in groundwater. Well type (domestic or public water supply) was also an important explanatory factor. Results of multiple analyses show the importance of (1) accounting for both dispersed and concentrated sources of VOCs, (2) measuring dissolved oxygen when sampling wells to help explain the fate of VOCs, and (3) limiting the type of wells sampled in monitoring networks to avoid unnecessary variance in the data, or controlling for this variance during data analysis.

Psychosocial factors and mental work load: a reality perceived by nurses in intensive care units

Directory of Open Access Journals (Sweden)

Paula Ceballos-Vásquez

2015-04-01

Full Text Available OBJECTIVE: To analyse the perception of psychosocial factors and mental workload of nurses who work in intensive care units. It is hypothesised that nurses in these units could perceive psychosocial risks, manifesting in a high mental work load. The psychosocial dimension related to the position's cognitive demands is hypothesised to mostly explain mental work load. METHOD: Quantitative study, with a descriptive, cross-sectional, and comparative design. A total of 91% of the intensive care unit populations of three Chilean hospitals was surveyed, corresponding to 111 nurses. The instruments utilised included (A a biosociodemographic history questionnaire; (b the SUSESO-ISTAS 21 questionnaire; and (c the Mental Work Load Subjective Scale (ESCAM, in Spanish. RESULTS: In total, 64% and 57% of participants perceived high levels of exposure to the psychosocial risks Psychosocial demands and Double shift, respectively. In addition, a medium-high level of overall mental load was observed. Positive and significant correlations between some of the SUSESO-ISTAS 21 and ESCAM dimensions were obtained. Using a regression analysis, it was determined that three dimensions of the psychosocial risk questionnaire helped to explain 38% of the overall mental load. CONCLUSION: Intensive care unit nurses felt that inadequate psychosocial factors and mental work overload existed in several of the tested dimensions.

Software for automated evaluation of technical and economic performance factors of nuclear power plant units

International Nuclear Information System (INIS)

Cvan, M.; Zadrazil, J.; Barnak, M.

1989-01-01

Computer codes TEP V2, TEP EDU and TEP V1 are used especially in real-time evaluation of technical and economic performance factors of the power unit. Their basic functions include filtration of credibility of input data obtained by measurement, simultaneous calculation of flows of various types of energy, calculation of technical and economic factors, listings and filing of the results. Code ZMEK is designed for executing changes in the calculation constants file for codes TEP V2 and TEP EDU. Code TEP DEN is used in processing the complete daily report on the technical and economic performance factors of the unit. Briefly described are the basic algorithms of credibility filtration for the measured quantities, the methodology of fundamental balances and the method of guaranteeing the continuity of measurement. Experiences are given with the use of the codes, and the trends are outlined of their future development. (J.B.). 5 refs

Patterns of research utilization on patient care units

Directory of Open Access Journals (Sweden)

Lander Janice

2008-06-01

Full Text Available Abstract Background Organizational context plays a central role in shaping the use of research by healthcare professionals. The largest group of professionals employed in healthcare organizations is nurses, putting them in a position to influence patient and system outcomes significantly. However, investigators have often limited their study on the determinants of research use to individual factors over organizational or contextual factors. Methods The purpose of this study was to examine the determinants of research use among nurses working in acute care hospitals, with an emphasis on identifying contextual determinants of research use. A comparative ethnographic case study design was used to examine seven patient care units (two adult and five pediatric units in four hospitals in two Canadian provinces (Ontario and Alberta. Data were collected over a six-month period by means of quantitative and qualitative approaches using an array of instruments and extensive fieldwork. The patient care unit was the unit of analysis. Drawing on the quantitative data and using correspondence analysis, relationships between various factors were mapped using the coefficient of variation. Results Units with the highest mean research utilization scores clustered together on factors such as nurse critical thinking dispositions, unit culture (as measured by work creativity, work efficiency, questioning behavior, co-worker support, and the importance nurses place on access to continuing education, environmental complexity (as measured by changing patient acuity and re-sequencing of work, and nurses' attitudes towards research. Units with moderate research utilization clustered on organizational support, belief suspension, and intent to use research. Higher nursing workloads and lack of people support clustered more closely to units with the lowest research utilization scores. Conclusion Modifiable characteristics of organizational context at the patient care unit

[Limiting a Medline/PubMed query to the "best" articles using the JCR relative impact factor].

Science.gov (United States)

Avillach, P; Kerdelhué, G; Devos, P; Maisonneuve, H; Darmoni, S J

2014-12-01

Medline/PubMed is the most frequently used medical bibliographic research database. The aim of this study was to propose a new generic method to limit any Medline/PubMed query based on the relative impact factor and the A & B categories of the SIGAPS score. The entire PubMed corpus was used for the feasibility study, then ten frequent diseases in terms of PubMed indexing and the citations of four Nobel prize winners. The relative impact factor (RIF) was calculated by medical specialty defined in Journal Citation Reports. The two queries, which included all the journals in category A (or A OR B), were added to any Medline/PubMed query as a central point of the feasibility study. Limitation using the SIGAPS category A was larger than the when using the Core Clinical Journals (CCJ): 15.65% of PubMed corpus vs 8.64% for CCJ. The response time of this limit applied to the entire PubMed corpus was less than two seconds. For five diseases out of ten, limiting the citations with the RIF was more effective than with the CCJ. For the four Nobel prize winners, limiting the citations with the RIF was more effective than the CCJ. The feasibility study to apply a new filter based on the relative impact factor on any Medline/PubMed query was positive. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Factors associated with student learning processes in primary health care units: a questionnaire study.

Science.gov (United States)

Bos, Elisabeth; Alinaghizadeh, Hassan; Saarikoski, Mikko; Kaila, Päivi

2015-01-01

Clinical placement plays a key role in education intended to develop nursing and caregiving skills. Studies of nursing students' clinical learning experiences show that these dimensions affect learning processes: (i) supervisory relationship, (ii) pedagogical atmosphere, (iii) management leadership style, (iv) premises of nursing care on the ward, and (v) nursing teachers' roles. Few empirical studies address the probability of an association between these dimensions and factors such as student (a) motivation, (b) satisfaction with clinical placement, and (c) experiences with professional role models. The study aimed to investigate factors associated with the five dimensions in clinical learning environments within primary health care units. The Swedish version of Clinical Learning Environment, Supervision and Teacher, a validated evaluation scale, was administered to 356 graduating nursing students after four or five weeks clinical placement in primary health care units. Response rate was 84%. Multivariate analysis of variance is determined if the five dimensions are associated with factors a, b, and c above. The analysis revealed a statistically significant association with the five dimensions and two factors: students' motivation and experiences with professional role models. The satisfaction factor had a statistically significant association (effect size was high) with all dimensions; this clearly indicates that students experienced satisfaction. These questionnaire results show that a good clinical learning experience constitutes a complex whole (totality) that involves several interacting factors. Supervisory relationship and pedagogical atmosphere particularly influenced students' satisfaction and motivation. These results provide valuable decision-support material for clinical education planning, implementation, and management. Copyright © 2014 Elsevier Ltd. All rights reserved.

Calculation of risk-based detection limits for radionuclides in the liquid effluents from Korean nuclear power plants

International Nuclear Information System (INIS)

Cheong, Jae Hak

2017-01-01

In order to review if present detection limits of radionuclides in liquid effluent from nuclear power plants are effective enough to warrant compliance with regulatory discharge limits, a risk-based approach is developed to derive a new detection limit for each radionuclide based on radiological criteria. Equations and adjustment factors are also proposed to discriminate the validity of the detection limits for multiple radionuclides in the liquid effluent with or without consideration of the nuclide composition. From case studies to three nuclear power plants in Korea with actual operation data from 2006 to 2015, the present detection limits have turned out to be effective for Hanul Unit 1 but may not be sensitive enough for Kori Unit 1 (8 out of 14 radionuclides) and Wolsong Unit 1 (9 out of 42 radionuclides). However, it is shown that the present detection limits for the latter two nuclear power plants can be justified, if credit is given to the radionuclide composition. Otherwise, consideration should be given to adjustment of the present detection limits. The risk-based approach of this study can be used to determine the validity of established detection limits of a specific nuclear power plant. (author)

Comparing the effect of non-medical mechanical restraint preventive factors between psychiatric units in Denmark and Norway

DEFF Research Database (Denmark)

Bak, Jesper; Zoffmann, V.; Sestoft, D.M.

2015-01-01

was not supported by earlier research, the identification of the patient's crisis triggers; therefore, more research on the mechanisms involved is needed. CLINICAL IMPLICATIONS: None of the six MR preventive factors presents any adverse effects; therefore, units in Denmark and Norway may consider investigating......-medical origin may explain the differing number of MR episodes between Denmark and Norway. METHODS: This study is a cross-sectional survey of psychiatric units. Linear regression was used to assess the confounding effects of the MR preventive factors, i.e. whether a difference in the impact of these factors...... the effect of implementing, the identification of the patient's crisis triggers, an increased number of staff per patient, increased staff education, a better work environment and reduced use of substitute staff in practice....

Fatigue limit of monolithic Y-TZP three-unit-fixed dental prostheses: Effect of grinding at the gingival zone of the connector.

Science.gov (United States)

Amaral, Marina; Villefort, Regina F; Melo, Renata Marques; Pereira, Gabriel K R; Zhang, Yu; Valandro, Luiz Felipe; Bottino, Marco Antonio

2017-08-01

To determine the fatigue limits of three-unit monolithic zirconia fixed dental prosthesis (FDPs) before and after grinding of the gingival areas of connectors with diamond burs. FDPs were milled from pre-sintered blocks of zirconia simulating the absence of the first mandibular molar. Half of the specimens were subjected to grinding, simulating clinical adjustment, and all of them were subjected to glazing procedure. Additional specimens were manufactured for roughness analysis. FDPs were adhesively cemented onto glass-fiber reinforced epoxy resin abutments. Fatigue limits and standard deviations were obtained using a staircase fatigue method (n=20, 100,000 loading cycles/5Hz). The initial test load was 70% of the mean load-to-fracture (n=3) and load increments were 5% of the initial test load for both the control and ground specimens. Data were compared by Student's T-test (α≤0.05). Both the control and ground groups exhibited similar values of load-to-fracture and fatigue limits. Neither the surface treatments nor ageing affected the surface roughness of the specimens. The damage induced by grinding with fine-grit diamond bur in the gingival area of the connectors did not decrease the fatigue limit of the three-unit monolithic zirconia FDP. Copyright © 2017 Elsevier Ltd. All rights reserved.

40 CFR Table 6 to Subpart Uuu of... - Continuous Compliance With Metal HAP Emission Limits for Catalytic Cracking Units

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Compliance With Metal HAP Emission Limits for Catalytic Cracking Units 6 Table 6 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 6 Table 6 to Subpart UUU of Part 63—Continuous Compliance With Metal HAP Emission...

Scientific Study of Malnutrition as a Limiting Factor in the Development of Education.

Science.gov (United States)

Picasso de Oyague, Alfredo

This study on malnutrition as a limiting factor in the development of education (and, hence, in socioeconomic development generally) was presented to the UNESCO Seminar on Education, Nutrition, Agriculture and Man. The paper reports on recent research showing that the development of the central nervous system in very young children (including the…

HIV knowledge and associated factors among internet-using men who have sex with men (MSM in South Africa and the United States.

Directory of Open Access Journals (Sweden)

Bradley H Wagenaar

Full Text Available We compared factors associated with low HIV/AIDS knowledge among internet-using MSM in South Africa and the United States.1,154 MSM in the US and 439 MSM in South Africa, recruited through Facebook.com, completed an online survey using a US-validated HIV knowledge scale (HIV-KQ-18. Separate multivariable logistic regression models were built, one for the US and one for South Africa, using a dichotomized variable of scoring less than and equal to 13/18 ("low knowledge" on the HIV-KQ-18 as outcome.Median knowledge scores were 16/18 for both groups of respondents. For South African MSM, factors associated with low knowledge were: a high school education or less (adjusted odds ratio [aOR]: 2.5, 95% confidence interval [CI]: 1.4–4.6, not using condom-compatible lubrication during last anal sex with another man (aOR: 1.9, CI: 1.0–3.5, number of gay or bisexual acquaintances (aOR: 0.89, CI: 0.81–0.99, being unemployed (aOR: 2.2, CI: 1.0–4.6, and testing HIV negative (aOR: 0.30, CI: 0.16–0.59 or testing HIV positive (aOR: 0.15, CI: 0.03–0.74 compared to those never HIV tested. For US MSM, associated factors were: a high school education or less (aOR: 2.7, CI: 1.9–3.8, low pride and acceptance of homosexuality (aOR: 1.3, CI: 1.2–1.5, age 18–24 (aOR: 2.3, CI: 1.3–3.8 or age 50+ (aOR: 3.2, CI: 1.6–6.3 compared to age 25–29, Hispanic ethnicity compared to white non-Hispanic (aOR: 1.9, CI: 1.1–3.2, and testing HIV positive (aOR: 0.34, CI: 0.16–0.69 or testing HIV negative (aOR: 0.59, CI: 0.39–0.89 compared to those never HIV tested [corrected].Those developing programs for MSM in South Africa should weigh these data and other relevant factors, and might consider focusing education services towards MSM with limited education, less integration into gay/bisexual communities, no HIV testing history, limited use of condom-compatible lube, and the unemployed. In the United States, Hispanic MSM, those with limited education, no HIV

Administration of recombinant activated factor VII in the intensive care unit after complex cardiovascular surgery: clinical and economic outcomes.

Science.gov (United States)

Uber, Walter E; Toole, John M; Stroud, Martha R; Haney, Jason S; Lazarchick, John; Crawford, Fred A; Ikonomidis, John S

2011-06-01

Refractory bleeding after complex cardiovascular surgery often leads to increased length of stay, cost, morbidity, and mortality. Recombinant activated factor VII administered in the intensive care unit can reduce bleeding, transfusion, and surgical re-exploration. We retrospectively compared factor VII administration in the intensive care unit with reoperation for refractory bleeding after complex cardiovascular surgery. From 1501 patients who underwent cardiovascular procedures between December 2003 and September 2007, 415 high-risk patients were identified. From this cohort, 24 patients were divided into 2 groups based on whether they either received factor VII in the intensive care unit (n = 12) or underwent reoperation (n = 12) for refractory bleeding. Preoperative and postoperative data were collected to compare efficacy, safety, and economic outcomes. In-hospital survival for both groups was 100%. Factor VII was comparable with reoperation in achieving hemostasis, with both groups demonstrating decreases in chest tube output and need for blood products. Freedom from reoperation was achieved in 75% of patients receiving factor VII, whereas reoperation was effective in achieving hemostasis alone in 83.3% of patients. Prothrombin time, international normalized ratio, and median operating room time were significantly less (P factor VII. Both groups had no statistically significant differences in other efficacy, safety, or economic outcomes. Factor VII administration in the intensive care unit appears comparable with reoperation for refractory bleeding after complex cardiovascular surgical procedures and might represent an alternative to reoperation in selected patients. Future prospective, randomized controlled trials might further define its role. Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Incidence and factors related to delirium in an intensive care unit.

Science.gov (United States)

Mori, Satomi; Takeda, Juliana Rumy Tsuchihashi; Carrara, Fernanda Souza Angotti; Cohrs, Cibelli Rizzo; Zanei, Suely Sueko Viski; Whitaker, Iveth Yamaguchi

2016-01-01

To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. Identificar a incidência de delirium, comparar as características demográficas e clínicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). Coorte prospectiva, cuja amostra foi constituída de pacientes internados em UTI de um hospital universitário. Variáveis demográficas, clínicas e da avaliação com o Confusion Assessment Method for Intensive Care Unit para identificação de delirium foram processadas para análise univariada, e regressão logística para identificar fatores relacionados à ocorrência do delirium. Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internação na UTI, observando-se que a média da idade, o índice de gravidade e o tempo de permanência nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. Os

A novel method of calibrating a MEMS inertial reference unit on a turntable under limited working conditions

Science.gov (United States)

Lu, Jiazhen; Liang, Shufang; Yang, Yanqiang

2017-10-01

Micro-electro-mechanical systems (MEMS) inertial measurement devices tend to be widely used in inertial navigation systems and have quickly emerged on the market due to their characteristics of low cost, high reliability and small size. Calibration is the most effective way to remove the deterministic error of an inertial reference unit (IRU), which in this paper consists of three orthogonally mounted MEMS gyros. However, common testing methods in the lab cannot predict the corresponding errors precisely when the turntable’s working condition is restricted. In this paper, the turntable can only provide a relatively small rotation angle. Moreover, the errors must be compensated exactly because of the great effect caused by the high angular velocity of the craft. To deal with this question, a new method is proposed to evaluate the MEMS IRU’s performance. In the calibration procedure, a one-axis table that can rotate a limited angle in the form of a sine function is utilized to provide the MEMS IRU’s angular velocity. A new algorithm based on Fourier series is designed to calculate the misalignment and scale factor errors. The proposed method is tested in a set of experiments, and the calibration results are compared to a traditional calibration method performed under normal working conditions to verify their correctness. In addition, a verification test in the given rotation speed is implemented for further demonstration.

Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors.

Science.gov (United States)

Andolhe, Rafaela; Barbosa, Ricardo Luis; Oliveira, Elaine Machado de; Costa, Ana Lúcia Siqueira; Padilha, Katia Grillo

2015-02-01

Objective To investigate emotional stress, coping and burnout among nursing staff and their association with biosocial factors and characteristics of work in Intensive Care Units (ICU). Method This was a cross-sectional study, conducted in eight ICUs at a teaching hospital in the city of São Paulo, Brazil, in October 2012. Biosocial data and information about the professionals' work was gathered, and they were given the Scale of Occupational Stress, Scale of Occupational Coping, List of Signs and Symptoms of Stress and the Maslach Burnout Inventory. Results The study sample consisted of 287 subjects, predominately women, with partners and children. Most professionals presented moderate stress levels and control as a coping strategy (74.47% and 79.93%, respectively), and burnout was present among 12.54%. Factors associated with stress were related to working conditions. The most prevalent protective factors were having a partner, working in the clinical ICU and liking work, while adequate amount of sleep was a protective factor for burnout. Conclusion Control of the working environment and adequate sleep are decisive and protective factors in dealing with situations of occupational stress.

Limited test data: The choice between confidence limits and inverse probability

International Nuclear Information System (INIS)

Nichols, P.

1975-01-01

For a unit which has been successfully designed to a high standard of reliability, any test programme of reasonable size will result in only a small number of failures. In these circumstances the failure rate estimated from the tests will depend on the statistical treatment applied. When a large number of units is to be manufactured, an unexpected high failure rate will certainly result in a large number of failures, so it is necessary to guard against optimistic unrepresentative test results by using a confidence limit approach. If only a small number of production units is involved, failures may not occur even with a higher than expected failure rate, and so one may be able to accept a method which allows for the possibility of either optimistic or pessimistic test results, and in this case an inverse probability approach, based on Bayes' theorem, might be used. The paper first draws attention to an apparently significant difference in the numerical results from the two methods, particularly for the overall probability of several units arranged in redundant logic. It then discusses a possible objection to the inverse method, followed by a demonstration that, for a large population and a very reasonable choice of prior probability, the inverse probability and confidence limit methods give the same numerical result. Finally, it is argued that a confidence limit approach is overpessimistic when a small number of production units is involved, and that both methods give the same answer for a large population. (author)

The influence of united psychosomatic factors on clinical features of acne vulgaris

Directory of Open Access Journals (Sweden)

Dejanović Lidija

2014-01-01

Full Text Available Acne is a chronic inflammatory disorder of the pilosebaceal unit. Dermatological disorders are often associated with a variety of psychological problems which the patient have. Psichodermatologic disorders (acne are associated with skin problems that are not directly connected to the mind, but that react to emotional states, such as stress. The aim of this article is to show if there is any psychological characteristic which are common for the whole group of ill-patients from acne, as well as whether there is correlation between any type of acne and psychological parameters. Own exploration consist at thirty patients with three clinical type of acne. Personality test-Kornel index were used for identification and diagnostic psychosomatic disorders. The results are: neurastenic parameters, parameters of conversion and parameters of psychopathy in different percent at both sex, and different clinical features. We show correlation united 2-6 psichosomatic disorders in male sex with softly type of acne. In female sex with any type of acne are responsible 7-12 united findings. The association of several psychosomatic factors could possibly be responsible for the onset of acne at any type.

Factor H autoantibody is associated with atypical hemolytic uremic syndrome in children in the United Kingdom and Ireland.

Science.gov (United States)

Brocklebank, Vicky; Johnson, Sally; Sheerin, Thomas P; Marks, Stephen D; Gilbert, Rodney D; Tyerman, Kay; Kinoshita, Meredith; Awan, Atif; Kaur, Amrit; Webb, Nicholas; Hegde, Shivaram; Finlay, Eric; Fitzpatrick, Maggie; Walsh, Patrick R; Wong, Edwin K S; Booth, Caroline; Kerecuk, Larissa; Salama, Alan D; Almond, Mike; Inward, Carol; Goodship, Timothy H; Sheerin, Neil S; Marchbank, Kevin J; Kavanagh, David

2017-11-01

Factor H autoantibodies can impair complement regulation, resulting in atypical hemolytic uremic syndrome, predominantly in childhood. There are no trials investigating treatment, and clinical practice is only informed by retrospective cohort analysis. Here we examined 175 children presenting with atypical hemolytic uremic syndrome in the United Kingdom and Ireland for factor H autoantibodies that included 17 children with titers above the international standard. Of the 17, seven had a concomitant rare genetic variant in a gene encoding a complement pathway component or regulator. Two children received supportive treatment; both developed established renal failure. Plasma exchange was associated with a poor rate of renal recovery in seven of 11 treated. Six patients treated with eculizumab recovered renal function. Contrary to global practice, immunosuppressive therapy to prevent relapse in plasma exchange-treated patients was not adopted due to concerns over treatment-associated complications. Without immunosuppression, the relapse rate was high (five of seven). However, reintroduction of treatment resulted in recovery of renal function. All patients treated with eculizumab achieved sustained remission. Five patients received renal transplants without specific factor H autoantibody-targeted treatment with recurrence in one who also had a functionally significant CFI mutation. Thus, our current practice is to initiate eculizumab therapy for treatment of factor H autoantibody-mediated atypical hemolytic uremic syndrome rather than plasma exchange with or without immunosuppression. Based on this retrospective analysis we see no suggestion of inferior treatment, albeit the strength of our conclusions is limited by the small sample size. Copyright © 2017 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

Biodiversities and limiting factors of Lashgardar Protected Area (LPA), Hamadan Province, Iran

OpenAIRE

MAHDI REYAHI KHORAM; VAHID NORISHARIKABAD

2010-01-01

Reyahi-Khoram M, Norisharikabad V (2011) Biodiversities and limiting factors of Lashgardar Protected Area (LPA), Hamadan Province, Iran. Biodiversitas 12: 216-221. Lashgardar Protected Area (LPA) located in Hamadan Province in Iran, it is a mountainous and plain area and proximal to Malayer Township. In 1991, the region was known as a protected area for increasing wild animals' population. This research has been conducted during 2001 through 2009. Plant and animal species of the region were i...

Composition of growth factors and cytokines in lysates obtained from fresh versus stored pathogen-inactivated platelet units.

Science.gov (United States)

Sellberg, Felix; Berglund, Erik; Ronaghi, Martin; Strandberg, Gabriel; Löf, Helena; Sommar, Pehr; Lubenow, Norbert; Knutson, Folke; Berglund, David

2016-12-01

Platelet lysate is a readily available source of growth factors, and other mediators, which has been used in a variety of clinical applications. However, the product remains poorly standardized and the present investigation evaluates the composition of platelet lysate obtained from either fresh or stored pathogen-inactivated platelet units. Platelet pooled units (n = 10) were obtained from healthy blood donors and tested according to standard procedures. All units were pathogen inactivated using amotosalen hydrochloride and UVA exposure. Platelet lysate was subsequently produced at two separate time-points, either from fresh platelet units or after 5 days of storage, by repeated freeze-thaw cycles. The following mediators were determined at each time-point: EGF, FGF-2, VEGF, IGF-1, PDGF-AB/BB, BMP-2, PF4, TGF-β isoform 1, IL-1β, IL-2, IL-6, IL-10, IL-12p70, 1L-17A, TNF-α, and IFN-γ. The concentration of growth factors and cytokines was affected by time in storage. Notably, TGF-β, PDGF-AB/BB, and PF4 showed an increase of 27.2% (p product, which potentially may influence the clinical effects. Copyright © 2016. Published by Elsevier Ltd.

Enhanced production of recombinant nattokinase in Bacillus subtilis by the elimination of limiting factors.

Science.gov (United States)

Chen, Po Ting; Chao, Yun-Peng

2006-10-01

By systematic investigation, glutamate and a mixture of metal ions were identified as factors limiting the production of nattokinase in Bacillus subtilis. Consequently, in medium supplemented with these materials, the recombinant strain secreted 4 times more nattokinase (260 mg l(-1)) than when grown in the unsupplemented medium.

The unit cost factors and calculation methods for decommissioning - Cost estimation of nuclear research facilities

International Nuclear Information System (INIS)

Kwan-Seong Jeong; Dong-Gyu Lee; Chong-Hun Jung; Kune-Woo Lee

2007-01-01

Available in abstract form only. Full text of publication follows: The uncertainties of decommissioning costs increase high due to several conditions. Decommissioning cost estimation depends on the complexity of nuclear installations, its site-specific physical and radiological inventories. Therefore, the decommissioning costs of nuclear research facilities must be estimated in accordance with the detailed sub-tasks and resources by the tasks of decommissioning activities. By selecting the classified activities and resources, costs are calculated by the items and then the total costs of all decommissioning activities are reshuffled to match with its usage and objectives. And the decommissioning cost of nuclear research facilities is calculated by applying a unit cost factor method on which classification of decommissioning works fitted with the features and specifications of decommissioning objects and establishment of composition factors are based. Decommissioning costs of nuclear research facilities are composed of labor cost, equipment and materials cost. Of these three categorical costs, the calculation of labor costs are very important because decommissioning activities mainly depend on labor force. Labor costs in decommissioning activities are calculated on the basis of working time consumed in decommissioning objects and works. The working times are figured out of unit cost factors and work difficulty factors. Finally, labor costs are figured out by using these factors as parameters of calculation. The accuracy of decommissioning cost estimation results is much higher compared to the real decommissioning works. (authors)

Limiting factors for vegetation development during the early late glacial in Denmark

DEFF Research Database (Denmark)

Mortensen, Morten Fischer; Odgaard, Bent Vad; Jessen, Cathrine

Slotseng, a small basin in southern Jutland, is the first Danish site with a bio- and chronostratigraphy that unambiguously reflects the environment of the earliest late glacial, the Bølling period. Results of pollen and macrofossil analyses show that the vegetation of the Bølling and Older Dryas...... periods at Slotseng was dominated by Betula nana and Dryas octopetala and associated with many herbs of open habitats. Late-glacial pollen records are frequently interpreted only in the context of climate change. However, the forcing mechanisms of vegetational change may shift over time between e...... to climate change suggests that other factors limited vegetational development. These factors included soil instability, aridity and low soil nitrogen.. This study highlights the multitude of climatic, physical, chemical and biological interactions important for the formation of pollen records of late...

Density as a factor limiting the workability of P/M materials

International Nuclear Information System (INIS)

Libura, W.; Zasadzinski, J.

1993-01-01

In this study a general scheme expressing the factors which affect a workability of powder materials is presented. It was found from laboratory experiments that workability of powder metal materials is limited by their density. Aluminium based materials with additions of Cu, Ni and Sn were used in the experiments. Workability determined in compression tests depends strongly on a sintered density, independently of the chemical composition of material. A linear dependence between workability and sintered density was found. The results are related to relatively high density values, taken from the range of 0.85-0.96 of theoretical density. (orig.)

Electro smog. Health risks, limiting values, consumer protection

International Nuclear Information System (INIS)

Karus, M.; Ebert, L.; Schneider, W.; Koehnecke, W.; Loefflad, H.; Plotzke, O.; Niessen, P.

1994-01-01

At first, the popular book describes physical facts. All terms and units being necessary for the comprehension of electro smog are presented and referred to practice: Which electric and magnetic fields of natural and technical origin appear in everyday life? The main part of the book occupies physical effects. The current scientific state of the research is presented: Are electric and magnetic fields a physical risk factor? In the chapter 'limiting values', the valid limiting values and their conceptional and political basis are discussed. The last part of the book addresses consumer protection: How can the own load be reduced through electric and magnetic fields of electric devices and installations, computers and mobile telephones without renouncing of electric comfort. (VHE) [de

Factors limiting deceased organ donation: focus groups' perspective from culturally diverse community.

Science.gov (United States)

Wong, L P

2010-06-01

In-depth understanding of cultural and religious factors limiting organ donation of three ethnic populations (Malay, Chinese, and Indian) in Southeast Asia is lacking. Identification of factors limiting organ donation among these three ethnic groups will provide insights into culturally appropriate strategies to promote acceptance of organ donation in a multiethnic Asian community. A total of 17 focus group discussions (105 participants) were conducted between September and December 2008. Participants were members of the general public aged 18 to 60 years, recruited through convenient sampling around the Klang Valley area of Malaysia. Although the majority had favorable attitudes toward deceased organ donation and transplantation, a diversity of myths and misinformation were unearthed from the discussions across the ethnic groups. These include perceived religious prohibition, cultural myths and misperceptions, fear of disfigurement, fear of surgery, distrust of the medical system, and family disapproval. Culture and religious beliefs played important prohibitive roles among those opposed to organ donations. There were distinctive ethnic differences in cultural and religious concerns regarding organ donation. Less-educated and rural groups appeared to have more misconceptions than the well-educated and the urban groups. Our findings may assist organ donation and transplantation organizations to reach diverse sociodemographic and ethnic communities with culture-specific information about organ donation. The involvement of community and religious leaders is critical in organ donation requests.

Factors associated with mortality in a neonatal intensive care unit

Directory of Open Access Journals (Sweden)

Flávia Emília Cavalcante Valença Fernandes

2017-05-01

Full Text Available Aims: To describe the factors associated with mortality of newborns hospitalized in a Neonatal Intensive Care Unit in the period from 2012 to 2015. Methods: This was a descriptive, quantitative study of secondary data, correlated with the causes of death and hospitalization according to classification by ICD-10.  The categorical variables were presented in absolute and relative frequencies, with measurements of central tendency and dispersion. Evaluation of the factors associated with neonatal death was made by the logit model of analysis with correction of robust errors by the statistical program Stata 12.0, considering values of p<0.05 and interval of confidence of 95%.  Results: Of the 563 newborns, 58.6% were of the male sex; 89.0% were early newborns, 73.0% were premature. 181 newborns died (32.3%. The main causes of hospitalization were: difficulties during birth, conditions of birth and immaturity (45.0%, pathologies associated with the respiratory system (21.1%, congenital malformations (9.7%. The main causes of death were: septicemia of the NB (40.4%, respiratory discomfort of the NB (22.4%. The significant associations for mortality were the use of ventilatory supports: Mechanical Ventilation (p=0.001, Hallo (p=0.000, CPAP (p=0.000, VNI (p=0.005. Conclusions: The major risk factors for neonatal mortality were associated with septicemia and use of mechanical ventilation.

An evaluation of the utility and limitations of counting motor unit action potentials in the surface electromyogram

Science.gov (United States)

Zhou, Ping; Zev Rymer, William

2004-12-01

The number of motor unit action potentials (MUAPs) appearing in the surface electromyogram (EMG) signal is directly related to motor unit recruitment and firing rates and therefore offers potentially valuable information about the level of activation of the motoneuron pool. In this paper, based on morphological features of the surface MUAPs, we try to estimate the number of MUAPs present in the surface EMG by counting the negative peaks in the signal. Several signal processing procedures are applied to the surface EMG to facilitate this peak counting process. The MUAP number estimation performance by this approach is first illustrated using the surface EMG simulations. Then, by evaluating the peak counting results from the EMG records detected by a very selective surface electrode, at different contraction levels of the first dorsal interosseous (FDI) muscles, the utility and limitations of such direct peak counts for MUAP number estimation in surface EMG are further explored.

Unlocking Ft: Modeling thermodynamic controls and isotope fractionation factors in nutrient limited environments

Science.gov (United States)

Druhan, J. L.; Giannetta, M.; Sanford, R. A.

2017-12-01

In recent years, reactive transport principles have expanded from early applications, largely based in contaminant hydrology, to a wide range of biologically mediated redox environments including marine sedimentary diagenesis, terrestrial metal ore deposits, soils, and critical zone weathering profiles. A common observation across this diversity of systems is that they often function under energetically limited conditions in comparison to those typical of contaminated aquifers subject to engineered remediation techniques. As a result, the kinetic rate expressions traditionally employed within reactive transport frameworks to simulate microbially mediated redox transformations have required modification. This was recognized in a series of seminal papers by Jin and Bethke (2005, 2007) in which the authors expanded upon a Monod rate law to include a thermodynamic potential factor `Ft' which exerts a limitation on the overall rate based on the thermodynamic driving force of the electron transfer reaction. This new rate expression is now commonly implemented within many of the major reactive transport software packages, though appropriate application has yet to be thoroughly demonstrated. Notably, the characteristically large partitioning of stable isotopes during microbially mediated reactions, which is extensively utilized to identify and quantify these redox transformations, has yet to be simulated under conditions in which the Ft term may be expected to exert a significant mass dependent influence. Here, we develop a series of simplified simulations for the microbially mediated reduction of sulfate based on the datasets reported by Jin and Bethke, and apply appropriate mass-bias within the Ft term to consider the extent to which the resulting isotopic fractionation is consistent with that observed in energetically limited systems. We show that the Ft term can exert a significant influence on the observed fractionation factor under common environmental conditions

Factors associated with mortality and length of stay in the Oporto burn unit (2006-2009).

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Bartosch, Isabel; Bartosch, Carla; Egipto, Paula; Silva, Alvaro

2013-05-01

Retrospective studies are essential to evaluate and improve the efficiency of care of burned patients. This study analyses the work done in the burn unit of Hospital de S. João in the north of Portugal. A retrospective review was performed in patients admitted from 2006 to 2009. The study population was characterised regarding patient demographics, admissions profile, burn aetiology, burn site, extension and treatment. Multiple linear and logistic regression models were done in order to elucidate which of these factors influenced the mortality and length of stay. The characteristics before and after the creation of the burn unit, as well as the similarities and differences with the published data of other national and international burn units, are analysed. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

Workplace psychosocial and organizational factors for neck pain in workers in the United States.

Science.gov (United States)

Yang, Haiou; Hitchcock, Edward; Haldeman, Scott; Swanson, Naomi; Lu, Ming-Lun; Choi, BongKyoo; Nakata, Akinori; Baker, Dean

2016-07-01

Neck pain is a prevalent musculoskeletal condition among workers in the United States. This study explores a set of workplace psychosocial and organization-related factors for neck pain. Data used for this study come from the 2010 National Health Interview Survey which provides a representative sample of the US population. To account for the complex sampling design, the Taylor linearized variance estimation method was used. Logistic regression models were constructed to measure the associations. This study demonstrated significant associations between neck pain and a set of workplace risk factors, including work-family imbalance, exposure to a hostile work environment and job insecurity, non-standard work arrangements, multiple jobs, and long work hours. Workers with neck pain may benefit from intervention programs that address issues related to these workplace risk factors. Future studies exploring both psychosocial risk factors and physical risk factors with a longitudinal design will be important. Am. J. Ind. Med. 59:549-560, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Psychiatric disorders in children attending a Nigerian primary care unit: functional impairment and risk factors

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Tunde-Ayinmode Mosunmola

2012-07-01

Full Text Available Abstract Background There is dearth of data on the level of functional impairment and risk factors for psychiatric morbidity in children attending primary care services in developing countries like Nigeria. The risk factors for psychiatric morbidity and functional impairment in children attending the primary care unit of a teaching hospital in Ilorin, Nigeria was therefore investigated to obtain data that could be used in improving service provision by primary care physicians. Methods A cross-sectional two-stage design was employed for the study. The first stage involved administration of the Child Behavior Questionnaire (CBQ to 350 children while the children’s version of the schedule for affective disorders and schizophrenia was used for the second stage involving 157 children, all high scorers on CBQ (score of ≥ 7 and 30% of low scorers (score  In addition, the Children Global Assessment Scale was used to assess the functional status of the children (score of ≤ 70 indicates functional impairment while the mothers’ mental health status was assessed with the 12-item version of the General Health Questionnaire, a score of 3 or more on this instrument indicate presence of mental morbidity. Results It was observed that 11.4% of the children had diagnosable psychiatric disorders and 7.1% were functionally impaired; and those with psychiatric disorders were more functionally impaired than those without. Thus, significant negative correlation was noted between CBQ scores and CGAS (r = 0.53; p  Conclusions Child psychiatric disorders are prevalent in the primary care unit studied. Many of the risk factors identified in the study population are modifiable. Collaborative efforts between psychiatrists and primary care physicians could therefore help to reduce level of risk and functional impairment and psychiatric morbidity among children attending the primary care unit studied. It could also help improve referral rates of

Associations of cardiovascular risk factors in Al Ain- United Arab Emirates

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Nazirudeen Mohammad K

2009-04-01

Full Text Available Abstract Background Over the last 30 years the citizens of the United Arab Emirates have experienced major changes in life-style secondary to increased affluence. Currently, 1 in 5 adults have diabetes mellitus, but the associations (clustering among risk factors, as well as the relevance of the concept of the metabolic syndrome, in this population is unknown. Aim To investigate the prevalence and associations among cardiovascular risk factors in this population, and explore to what extent associations can be explained by the metabolic syndrome according to ATP-III criteria. Method A community based survey, of conventional risk factors for cardiovascular disease was conducted among 817 national residents of Al Ain city, UAE. These factors were fasting blood sugar, blood pressure, lipid profile, BMI, waist circumference, smoking, or CHD family history. Odds ratios between risks factors, both unadjusted and adjusted for age and sex as well as adjusted for age, sex, and metabolic syndrome were calculated. Results Various risk factors were positively associated in this population; associations that are mostly unexplained by confounding by age and sex. For example, hypertension and diabetes were still strongly related (OR 2.5; 95% CI 1.7–3.7 after adjustment. An increased waist circumference showed similar relationship with hypertension (OR 2.3; 95% CI 1.5–3.5. Diabetes was related to an increased BMI (OR 1.5; 96% CI 1.0–2.3. Smoking was also associated with diabetes (OR 1.9, 95% CI 1.0–3.3. Further adjustment for metabolic syndrome reduced some associations but several remained. Conclusion In this population risk-factors cluster, but associations do not appear to be explained by the presence/absence of the ATP-III metabolic syndrome. Associations provide valuable information in planning interventions for screening and management.

Associations of cardiovascular risk factors in Al Ain- United Arab Emirates

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Baynouna, Latifa M; Revel, Anthony D; Nagelkerke, Nico JD; Jaber, Tariq M; Omar, Aziza O; Ahmed, Nader M; Nazirudeen, Mohammad K; Al Sayed, Mamdouh F; Nour, Fuad A; Abdouni, Sameh

2009-01-01

Background Over the last 30 years the citizens of the United Arab Emirates have experienced major changes in life-style secondary to increased affluence. Currently, 1 in 5 adults have diabetes mellitus, but the associations (clustering) among risk factors, as well as the relevance of the concept of the metabolic syndrome, in this population is unknown. Aim To investigate the prevalence and associations among cardiovascular risk factors in this population, and explore to what extent associations can be explained by the metabolic syndrome according to ATP-III criteria. Method A community based survey, of conventional risk factors for cardiovascular disease was conducted among 817 national residents of Al Ain city, UAE. These factors were fasting blood sugar, blood pressure, lipid profile, BMI, waist circumference, smoking, or CHD family history. Odds ratios between risks factors, both unadjusted and adjusted for age and sex as well as adjusted for age, sex, and metabolic syndrome were calculated. Results Various risk factors were positively associated in this population; associations that are mostly unexplained by confounding by age and sex. For example, hypertension and diabetes were still strongly related (OR 2.5; 95% CI 1.7–3.7) after adjustment. An increased waist circumference showed similar relationship with hypertension (OR 2.3; 95% CI 1.5–3.5). Diabetes was related to an increased BMI (OR 1.5; 96% CI 1.0–2.3). Smoking was also associated with diabetes (OR 1.9, 95% CI 1.0–3.3). Further adjustment for metabolic syndrome reduced some associations but several remained. Conclusion In this population risk-factors cluster, but associations do not appear to be explained by the presence/absence of the ATP-III metabolic syndrome. Associations provide valuable information in planning interventions for screening and management. PMID:19371412

Psychosocial factors and prevalence of burnout syndrome among nursing workers in intensive care units.

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da Silva, Jorge Luiz Lima; Soares, Rafael da Silva; Costa, Felipe dos Santos; Ramos, Danusa de Souza; Lima, Fabiano Bittencourt; Teixeira, Liliane Reis

2015-01-01

To evaluate the prevalence of burnout syndrome among nursing workers in intensive care units and establish associations with psychosocial factors. This descriptive study evaluated 130 professionals, including nurses, nursing technicians, and nursing assistants, who performed their activities in intensive care and coronary care units in 2 large hospitals in the city of Rio de Janeiro, Brazil. Data were collected in 2011 using a self-reported questionnaire. The Maslach Burnout Inventory was used to evaluate the burnout syndrome dimensions, and the Self Reporting Questionnaire was used to evaluate common mental disorders. The prevalence of burnout syndrome was 55.3% (n = 72). In the quadrants of the demand-control model, low-strain workers exhibited a prevalence of 64.5% of suspected cases of burnout, whereas high-strain workers exhibited a prevalence of 72.5% of suspected cases (p = 0.006). The prevalence of suspected cases of common mental disorders was 27.7%; of these, 80.6% were associated with burnout syndrome (stress levels - active work (OR = 0.26; 95%CI = 0.09 - 0.69) and passive work (OR = 0.22; 95%CI = 0.07 - 0.63) - were protective factors for burnout syndrome. Psychosocial factors were associated with the development of burnout syndrome in this group. These results underscore the need for the development of further studies aimed at intervention and the prevention of the syndrome.

Tokamak βaB/I limit and its dependence on the safety factor

International Nuclear Information System (INIS)

Ramos, J.J.

1990-01-01

It is shown that, for a given tokamak cross-sectional shape and arbitrary values of the magnetic axis safety factor q 0 , the first stability condition against pressure-driven magnetohydrodynamic modes has the form 40πβaB 0 /I≤C R (q 0 )/q 0 . Moreover, in the limit of large q 0 , C R (q 0 ) becomes independent of q 0 and independent of the toroidal mode number

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

Science.gov (United States)

Stack, Austin G; Murthy, Bhamidipati

2008-12-01

Epidemiologic studies of physical activity among patients with end-stage renal disease (ESRD) are lacking. The aim of this study was to describe the patterns of physical activity among new dialysis patients in the United States. Multivariate logistic regression analyses examined associations of self-reported limitations in physical activity and exercise frequency with sociodemographic and clinical variables in 2,264 patients from Wave 2 of the Dialysis Morbidity and Mortality Study. Overall, 56% of patients exercised less than once a week, 75% reported severe limitations in vigorous activities, whereas 42% had severe limitations in moderate physical activities. Fewer limitations in moderate or vigorous activities correlated positively with male gender (odds-ratio [OR] = 1.61), black race OR =1.49), Hispanic ethnicity (OR = 2.39), serum albumin (OR = 1.69 per 1 g/L higher), positive affect (OR = 2.33), peritoneal dialysis (OR = 1.90), and negatively with age (OR = 0.67), heart failure (OR = 0.75), peripheral vascular disease (OR = 0.69), malnutrition (OR = 0.67), and depression (OR = 0.39). Patients reporting fewer limitations in moderate or vigorous activities (OR = 1.35 and 1.28, respectively), or frequent visits with a dietitian (2 to 3 times per week vs. less) (OR = 1.21) in the pre-ESRD period exercised more frequently. Limitations in physical activity are common among new ESRD patients and these, in part, are related to pre-existing cardiovascular disease, malnutrition, and mental health.

Relationship between the merit factor of thermoelectric materials and the air conditioning unit of urban electric cars

International Nuclear Information System (INIS)

Buffet, J.

1994-01-01

The main benefit of electric cars is to reduce air pollution in cities that is thus desirable to equip them with non polluting air conditioning units and this rules out frigorific compressors operating with CFC. The planned replacement of CFC by HFC is at best an interim solution. The best solution is certainly to use thermoelectric air conditioning units, which are inherently pollution-free. However, these have a fairly low COPF when compared to traditional compressor units. We study the relationship between the cooling of the interior of urban electric cars and the merit factor of the thermoelectric material in their Peltier unit. This should help provide concrete target properties of future T E materials. copyright 1995 American Institute of Physics

What influences parents' decisions to limit or withdraw life support?

Science.gov (United States)

Sharman, Mahesh; Meert, Kathleen L; Sarnaik, Ashok P

2005-09-01

Decisions to forgo life support from critically ill children are commonly faced by parents and physicians. Previous research regarding parents' perspectives on the decision-making process has been limited by retrospective methods and the use of closed-ended questionnaires. We prospectively identified and described parents' self-reported influences on decisions to forgo life support from their children. Deeper understanding of parents' views will allow physicians to focus end-of-life discussions on factors important to parents and help resolve conflicts. Prospective, qualitative pilot study. Pediatric intensive care unit of a university-affiliated children's hospital. A total of 14 parents of ten children whose pediatric intensive care unit physician had made a recommendation to limit or withdraw life support. : In-depth, semistructured interviews were conducted with parents during their decision-making process. Factors influencing the parents in this study in their decision to forgo life support included their previous experience with death and end-of-life decision making for others, their personal observations of their child's suffering, their perceptions of their child's will to survive, their need to protect and advocate for their child, and the family's financial resources and concerns regarding life-long care. Parents in this study expressed the desire to do what is best for their child but struggled with feelings of selfishness, guilt, and the need to avoid agony and sorrow. Physician recommendations, review of options, and joint formulation of a plan helped parents gain a sense of control over their situation. Parents of eight children agreed to forgo life support and parents of two did not. Prospective interviews with open-ended questions identified factors influencing parents' decision making not previously described in the critical care literature such as parents' past experiences with end-of-life decisions and their anticipated emotional adjustments and

Emittance measuring unit for 100% duty factor linac injector beams

Energy Technology Data Exchange (ETDEWEB)

Shubaly, M R; Pachner, J Jr; Ormrod, J H; Ungrin, J; Schriber, S O [ed.

1976-11-01

A description is given of a system to measure the emittance of a 750 keV 100 mA dc proton beam suitable for injection into a 100% duty factor linear accelerator. A relatively slowly pulsed 45/sup 0/ magnet switches the beam to a beam dump inside the emittance measuring unit for approx. 10 s. A fast pulsed 5/sup 0/ magnet then deflects the beam to a multiple aperture ''pepper-pot'' plate for 300 ..mu..s. Beamlets passing through the plate travel 520 mm and produce a pattern on a scintillator screen. A photograph of the pattern is analyzed to determine beam emittance. Preliminary results on low current beams show a gross increase in the emittance in the horizontal plane.

What is the most prominent factor limiting photosynthesis in different layers of a greenhouse cucumber canopy?

Science.gov (United States)

Chen, Tsu-Wei; Henke, Michael; de Visser, Pieter H B; Buck-Sorlin, Gerhard; Wiechers, Dirk; Kahlen, Katrin; Stützel, Hartmut

2014-09-01

Maximizing photosynthesis at the canopy level is important for enhancing crop yield, and this requires insights into the limiting factors of photosynthesis. Using greenhouse cucumber (Cucumis sativus) as an example, this study provides a novel approach to quantify different components of photosynthetic limitations at the leaf level and to upscale these limitations to different canopy layers and the whole plant. A static virtual three-dimensional canopy structure was constructed using digitized plant data in GroIMP. Light interception of the leaves was simulated by a ray-tracer and used to compute leaf photosynthesis. Different components of photosynthetic limitations, namely stomatal (S(L)), mesophyll (M(L)), biochemical (B(L)) and light (L(L)) limitations, were calculated by a quantitative limitation analysis of photosynthesis under different light regimes. In the virtual cucumber canopy, B(L) and L(L) were the most prominent factors limiting whole-plant photosynthesis. Diffusional limitations (S(L) + M(L)) contributed Photosynthesis in the lower canopy was more limited by the biochemical capacity, and the upper canopy was more sensitive to light than other canopy parts. Although leaves in the upper canopy received more light, their photosynthesis was more light restricted than in the leaves of the lower canopy, especially when the light condition above the canopy was poor. An increase in whole-plant photosynthesis under diffuse light did not result from an improvement of light use efficiency but from an increase in light interception. Diffuse light increased the photosynthesis of leaves that were directly shaded by other leaves in the canopy by up to 55%. Based on the results, maintaining biochemical capacity of the middle-lower canopy and increasing the leaf area of the upper canopy would be promising strategies to improve canopy photosynthesis in a high-wire cucumber cropping system. Further analyses using the approach described in this study can be expected to

Factors limiting microbial growth and activity at a proposed high-level nuclear repository, Yucca Mountain, Nevada

International Nuclear Information System (INIS)

Kieft, T.L.; Kovacik, W.P. Jr.; Ringelberg, D.B.; White, D.C.; Haldeman, D.L.; Amy, P.S.; Hersman, L.E.

1997-01-01

As part of the characterization of Yucca Mountain, Nev., as a potential repository for high-level nuclear waste, volcanic tuff was analyzed for microbial abundance and activity. Tuff was collected aseptically from nine sites along a tunnel in Yucca Mountain. Microbial abundance was generally low: direct microscopic cell counts were near detection limits at all sites (3.2 X 10(1) to 2.0 X 10(5) cells g-1 [dry weight]); plate counts of aerobic heterotrophs ranged from 1.0 X 10(1) to 3.2 X 10(3) CFU g-1 (dry weight). Phospholipid fatty acid concentrations (0.1 to 3.7 pmol g-1) also indicated low microbial biomasses: diglyceride fatty acid concentrations, indicative of dead cells, were in a similar range (0.2 to 2.3 pmol g-1). Potential microbial activity was quantified as 14CO2 production in microcosms containing radiolabeled substrates (glucose, acetate, and glutamic acid); amendments with water and nutrient solutions (N and P) were used to test factors potentially limiting this activity. Similarly, the potential for microbial growth and the factors limiting growth were determined by performing plate counts before and after incubating volcanic tuff samples for 24 h under various conditions: ambient moisture, water-amended, and amended with various nutrient solutions (N, P, and organic C). A high potential for microbial activity was demonstrated by high rates of substrate mineralization (as much as 70% of added organic C in 3 weeks). Water was the major limiting factor to growth and microbial activity, while amendments with N and P resulted in little further stimulation. Organic C amendments stimulated growth more than water alone

Driver assistance system for passive multi-trailer vehicles with haptic steering limitations on the leading unit.

Science.gov (United States)

Morales, Jesús; Mandow, Anthony; Martínez, Jorge L; Reina, Antonio J; García-Cerezo, Alfonso

2013-04-03

Driving vehicles with one or more passive trailers has difficulties in both forward and backward motion due to inter-unit collisions, jackknife, and lack of visibility. Consequently, advanced driver assistance systems (ADAS) for multi-trailer combinations can be beneficial to accident avoidance as well as to driver comfort. The ADAS proposed in this paper aims to prevent unsafe steering commands by means of a haptic handwheel. Furthermore, when driving in reverse, the steering-wheel and pedals can be used as if the vehicle was driven from the back of the last trailer with visual aid from a rear-view camera. This solution, which can be implemented in drive-by-wire vehicles with hitch angle sensors, profits from two methods previously developed by the authors: safe steering by applying a curvature limitation to the leading unit, and a virtual tractor concept for backward motion that includes the complex case of set-point propagation through on-axle hitches. The paper addresses system requirements and provides implementation details to tele-operate two different off- and on-axle combinations of a tracked mobile robot pulling and pushing two dissimilar trailers.

Driver Assistance System for Passive Multi-Trailer Vehicles with Haptic Steering Limitations on the Leading Unit

Directory of Open Access Journals (Sweden)

Antonio J. Reina

2013-04-01

Full Text Available Driving vehicles with one or more passive trailers has difficulties in both forward and backward motion due to inter-unit collisions, jackknife, and lack of visibility. Consequently, advanced driver assistance systems (ADAS for multi-trailer combinations can be beneficial to accident avoidance as well as to driver comfort. The ADAS proposed in this paper aims to prevent unsafe steering commands by means of a haptic handwheel. Furthermore, when driving in reverse, the steering-wheel and pedals can be used as if the vehicle was driven from the back of the last trailer with visual aid from a rear-view camera. This solution, which can be implemented in drive-by-wire vehicles with hitch angle sensors, profits from two methods previously developed by the authors: safe steering by applying a curvature limitation to the leading unit, and a virtual tractor concept for backward motion that includes the complex case of set-point propagation through on-axle hitches. The paper addresses system requirements and provides implementation details to tele-operate two different off- and on-axle combinations of a tracked mobile robot pulling and pushing two dissimilar trailers.

Understanding human trafficking in the United States.

Science.gov (United States)

Logan, T K; Walker, Robert; Hunt, Gretchen

2009-01-01

The topic of modern-day slavery or human trafficking has received increased media and national attention. However, to date there has been limited research on the nature and scope of human trafficking in the United States. This article describes and synthesizes nine reports that assess the U.S. service organizations' legal representative knowledge of, and experience with, human trafficking cases, as well as information from actual cases and media reports. This article has five main goals: (a) to define what human trafficking is, and is not; (b) to describe factors identified as contributing to vulnerability to being trafficked and keeping a person entrapped in the situation; (c) to examine how the crime of human trafficking differs from other kinds of crimes in the United States; (d) to explore how human trafficking victims are identified; and, (e) to provide recommendations to better address human trafficking in the United States.

Isolated battery charger with unit power factor; Carregador de baterias isolado com fator de potencia unitario

Energy Technology Data Exchange (ETDEWEB)

Co, Marcio Almeida

1993-05-01

This work presents a single phase, isolated AC/DC converter (Battery Charger) with active power factor correction in a single stage of power processing. the topology studied is the fed-current full-bridge, in boost mode operation, at fixed switching frequency. After a complete design of converter and simulations, the results of a 1.500 W e 50 kHz prototype are shown. a Unit Power Factor and Total Harmonic Distortion less than 5% were obtained. (author)

Comparing the demographic factors of patient with limited and diffuse type of alopecia areata

Directory of Open Access Journals (Sweden)

Mina Daliri

2010-09-01

Full Text Available Background: Alopecia areata is a chronic inflammatory disease that involves the hair follicle. Clinically, patients with alopecia areata may have patchy or confluent hair loss on the scalp or body so we conduct a study to compare the demographic aspects of patient with limited and diffuse type of alopecia areata.Materials and Method: We conducted a descriptive-analyzing study in which 306 patient were chosen. The patients were divided into two groups of diffuse and limited Alopecia. Demographic factors including age, gender, disease onset were compared in two groups. Results: Out of 306 patients, 58.8 % were male and 41.2 % were female. 247 patients (80.7% suffered from limited type and 59 patients (19.2% suffered from diffuse type. The mean age of the onset of involvement in limited group was 21.9±12 yr and 15.8±12 yr in diffuse group. The mean duration of involvement in limited group was 18.7 months and 71 months in diffuse group. Conclusion: Diffuse type alopecia areata starts at lower age and has longer duration. Our study results were similar to the others. Like other studies, thyroid disorders and atopic dermatitis are positively correlative to the severity of disease

Intermittent auscultation versus continuous fetal monitoring: exploring factors that influence birthing unit nurses' fetal surveillance practice using theoretical domains framework.

Science.gov (United States)

Patey, Andrea M; Curran, Janet A; Sprague, Ann E; Francis, Jill J; Driedger, S Michelle; Légaré, France; Lemyre, Louise; Pomey, Marie-Pascale A; Grimshaw, Jeremy M

2017-09-25

Intermittent Auscultation (IA) is the recommended method of fetal surveillance for healthy women in labour. However, the majority of women receive continuous electronic monitoring. We used the Theoretical Domains Framework (TDF) to explore the views of Birthing Unit nurses about using IA as their primary method of fetal surveillance for healthy women in labour. Using a semi-structured interview guide, we interviewed a convenience sample of birthing unit nurses throughout Ontario, Canada to elicit their views about fetal surveillance. Interviews were recorded and transcribed verbatim. Transcripts were content analysed using the TDF and themes were framed as belief statements. Domains potentially key to changing fetal surveillance behaviour and informing intervention design were identified by noting the frequencies of beliefs, content, and their reported influence on the use of IA. We interviewed 12 birthing unit nurses. Seven of the 12 TDF domains were perceived to be key to changing birthing unit nurses' behaviour The nurses reported that competing tasks, time constraints and the necessity to multitask often limit their ability to perform IA (domains Beliefs about capabilities; Environmental context and resources). Some nurses noted the decision to use IA was something that they consciously thought about with every patient while others stated it their default decision as long as there were no risk factors (Memory, attention and decision processes, Nature of behaviour). They identified positive consequences (e.g. avoid unnecessary interventions, mother-centered care) and negative consequences of using IA (e.g. legal concerns) and reported that the negative consequences can often outweigh positive consequences (Beliefs about consequences). Some reported that hospital policies and varying support from care teams inhibited their use of IA (Social influences), and that support from the entire team and hospital management would likely increase their use (Social

Unit cell geometry of 3-D braided structures

Science.gov (United States)

Du, Guang-Wu; Ko, Frank K.

1993-01-01

The traditional approach used in modeling of composites reinforced by three-dimensional (3-D) braids is to assume a simple unit cell geometry of a 3-D braided structure with known fiber volume fraction and orientation. In this article, we first examine 3-D braiding methods in the light of braid structures, followed by the development of geometric models for 3-D braids using a unit cell approach. The unit cell geometry of 3-D braids is identified and the relationship of structural parameters such as yarn orientation angle and fiber volume fraction with the key processing parameters established. The limiting geometry has been computed by establishing the point at which yarns jam against each other. Using this factor makes it possible to identify the complete range of allowable geometric arrangements for 3-D braided preforms. This identified unit cell geometry can be translated to mechanical models which relate the geometrical properties of fabric preforms to the mechanical responses of composite systems.

Interleukin-17 limits hypoxia-inducible factor 1α and development of hypoxic granulomas during tuberculosis.

Science.gov (United States)

Domingo-Gonzalez, Racquel; Das, Shibali; Griffiths, Kristin L; Ahmed, Mushtaq; Bambouskova, Monika; Gopal, Radha; Gondi, Suhas; Muñoz-Torrico, Marcela; Salazar-Lezama, Miguel A; Cruz-Lagunas, Alfredo; Jiménez-Álvarez, Luis; Ramirez-Martinez, Gustavo; Espinosa-Soto, Ramón; Sultana, Tamanna; Lyons-Weiler, James; Reinhart, Todd A; Arcos, Jesus; de la Luz Garcia-Hernandez, Maria; Mastrangelo, Michael A; Al-Hammadi, Noor; Townsend, Reid; Balada-Llasat, Joan-Miquel; Torrelles, Jordi B; Kaplan, Gilla; Horne, William; Kolls, Jay K; Artyomov, Maxim N; Rangel-Moreno, Javier; Zúñiga, Joaquín; Khader, Shabaana A

2017-10-05

Mycobacterium tuberculosis (Mtb) is a global health threat, compounded by the emergence of drug-resistant strains. A hallmark of pulmonary tuberculosis (TB) is the formation of hypoxic necrotic granulomas, which upon disintegration, release infectious Mtb. Furthermore, hypoxic necrotic granulomas are associated with increased disease severity and provide a niche for drug-resistant Mtb. However, the host immune responses that promote the development of hypoxic TB granulomas are not well described. Using a necrotic Mtb mouse model, we show that loss of Mtb virulence factors, such as phenolic glycolipids, decreases the production of the proinflammatory cytokine IL-17 (also referred to as IL-17A). IL-17 production negatively regulates the development of hypoxic TB granulomas by limiting the expression of the transcription factor hypoxia-inducible factor 1α (HIF1α). In human TB patients, HIF1α mRNA expression is increased. Through genotyping and association analyses in human samples, we identified a link between the single nucleotide polymorphism rs2275913 in the IL-17 promoter (-197G/G), which is associated with decreased IL-17 production upon stimulation with Mtb cell wall. Together, our data highlight a potentially novel role for IL-17 in limiting the development of hypoxic necrotic granulomas and reducing disease severity in TB.

Limiting values of radionuclide intake and air concentration and dose conversion factors for inhalation, submersion, and ingestion: Federal guidance report No. 11

International Nuclear Information System (INIS)

Eckerman, K.F.; Wolbarst, A.B.; Richardson, A.C.B.

1988-09-01

Radiation protection programs for workers are based, in the United States, on a hierarchy of limitations stemming from Federal guidance approved by the President. This guidance, which consists of principles, policies, and numerical primary guides, is used by Federal agencies as the basis for developing and implementing their own regulatory standards. The primary guides are usually expressed in terms of limiting doses to workers. The protection of workers against taking radioactive materials into the body, however, is accomplished largely through the use of regulations based on derived guides expressed in terms of quantities or concentrations of radionuclides. The values of these derived guides are chosen so as to assure that workers in work environments that conform to them are unlikely to receive radiation doses that exceed the primary guides. The purpose of the present report is to set forth derived guides that are consistent with current Federal radiation protection guidance. They are intended to serve as the basis for regulations setting upper bounds on the inhalation and ingestion of, and submersion in, radioactive materials in the workplace. The report also includes tables of exposure-to-dose conversion factors, for general use in assessing average individual committed doses in any population that is adequately characterized by Reference Man. 38 refs

Limiting values of radionuclide intake and air concentration and dose conversion factors for inhalation, submersion, and ingestion: Federal guidance report No. 11

Energy Technology Data Exchange (ETDEWEB)

Eckerman, K.F.; Wolbarst, A.B.; Richardson, A.C.B.

1988-09-01

Radiation protection programs for workers are based, in the United States, on a hierarchy of limitations stemming from Federal guidance approved by the President. This guidance, which consists of principles, policies, and numerical primary guides, is used by Federal agencies as the basis for developing and implementing their own regulatory standards. The primary guides are usually expressed in terms of limiting doses to workers. The protection of workers against taking radioactive materials into the body, however, is accomplished largely through the use of regulations based on derived guides expressed in terms of quantities or concentrations of radionuclides. The values of these derived guides are chosen so as to assure that workers in work environments that conform to them are unlikely to receive radiation doses that exceed the primary guides. The purpose of the present report is to set forth derived guides that are consistent with current Federal radiation protection guidance. They are intended to serve as the basis for regulations setting upper bounds on the inhalation and ingestion of, and submersion in, radioactive materials in the workplace. The report also includes tables of exposure-to-dose conversion factors, for general use in assessing average individual committed doses in any population that is adequately characterized by Reference Man. 38 refs.

A macroepigenetic approach to identify factors responsible for the autism epidemic in the United States

Directory of Open Access Journals (Sweden)

Dufault Renee

2012-04-01

Full Text Available Abstract The number of children ages 6 to 21 in the United States receiving special education services under the autism disability category increased 91% between 2005 to 2010 while the number of children receiving special education services overall declined by 5%. The demand for special education services continues to rise in disability categories associated with pervasive developmental disorders. Neurodevelopment can be adversely impacted when gene expression is altered by dietary transcription factors, such as zinc insufficiency or deficiency, or by exposure to toxic substances found in our environment, such as mercury or organophosphate pesticides. Gene expression patterns differ geographically between populations and within populations. Gene variants of paraoxonase-1 are associated with autism in North America, but not in Italy, indicating regional specificity in gene-environment interactions. In the current review, we utilize a novel macroepigenetic approach to compare variations in diet and toxic substance exposure between these two geographical populations to determine the likely factors responsible for the autism epidemic in the United States.

Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices?

Science.gov (United States)

Farag, Amany; Tullai-McGuinness, Susan; Anthony, Mary K; Burant, Christopher

2017-01-01

This study aims at: examining if leadership style and unit climate predict safety climate; and testing the direct, indirect, and total effect of leadership style, unit climate, and safety climate on nurses' safe medication practices. The Institute of Medicine and nursing scholars propose that safety climate is a prerequisite to safety practices. However, there is limited empirical evidence about factors contributing to the development of safety climate and about the association with nurses' safe medication practices. This cross-sectional study used survey data from 246 RNs working in a Magnet® hospital. Leadership style and unit climate predicted 20% to 50% of variance on all safety climate dimensions. Model testing revealed the indirect impact of leadership style and unit climate on nurses' safe medication practices. Our hypothesized model explained small amount of the variance on nurses' safe medication practices. This finding suggests that nurses' safe medication practices are influenced by multiple contextual and personal factors that should be further examined.

The Oral Health Burden in the United States: A Summary of Recent Epidemiological Studies.

Science.gov (United States)

Caplan, Daniel J.; Weintraub, Jane A.

1993-01-01

This article reviews recent large-scale epidemiological surveys of oral health in the United States, outlines risk factors for oral disease, and makes recommendations for future surveys. Discussion is limited to dental caries, periodontal diseases, tooth loss, edentulism, oral cancer, and orofacial clefts. (Author/MSE)

Draft audit report, human factors engineering control room design review: Saint Lucie Nuclear Power Plant, Unit No. 2

International Nuclear Information System (INIS)

Peterson, L.R.; Lappa, D.A.; Moore, J.W.

1981-01-01

A human factors engineering preliminary design review of the Saint Lucie Unit 2 control room was performed at the site on August 3 through August 7, 1981. This design review was carried out by a team from the Human Factors Engineering Branch, Division of Human Factors Safety. This report was prepared on the basis of the HFEB's review of the applicant's Preliminary Design Assessment and the human factors engineering design review/audit performed at the site. The review team included human factors consultants from BioTechnology, Inc., Falls Church, Virginia, and from Lawrence Livermore National Laboratory (University of California), Livermore, California

Sociodemographic Factors, Population Density, and Bicycling for Transportation in the United States.

Science.gov (United States)

Nehme, Eileen K; Pérez, Adriana; Ranjit, Nalini; Amick, Benjamin C; Kohl, Harold W

2016-01-01

Transportation bicycling is a behavior with demonstrated health benefits. Population-representative studies of transportation bicycling in United States are lacking. This study examined associations between sociodemographic factors, population density, and transportation bicycling and described transportation bicyclists by trip purposes, using a US-representative sample. This cross-sectional study used 2009 National Household Travel Survey datasets. Associations among study variables were assessed using weighted multivariable logistic regression. On a typical day in 2009, 1% of Americans older than 5 years of age reported a transportation bicycling trip. Transportation cycling was inversely associated with age and directly with being male, with being white, and with population density (≥ 10,000 vs transportation. Twenty-one percent of transportation bicyclists reported trips to work, whereas 67% reported trips to social or other activities. Transportation bicycling in the United States is associated with sociodemographic characteristics and population density. Bicycles are used for a variety of trip purposes, which has implications for transportation bicycling research based on commuter data and for developing interventions to promote this behavior.

Relationship of a lichen species diversity indicator to environmental factors across the coterminous United States

Science.gov (United States)

Susan Will-Wolf; Mark J. Ambrose; Randall S. Morin

2011-01-01

We have investigated relationships between one simple indicator of lichen species diversity and environmental variables in forests across the coterminous United States. We want to know whether this indicator can help quantify the influence that factors such as climate and air quality have on lichen biodiversity at large scales and whether it will be useful in...

Flavin as an Indicator of the Rate-Limiting Factor for Microbial Current Production in Shewanella oneidensis MR-1

International Nuclear Information System (INIS)

Saito, Junki; Hashimoto, Kazuhito; Okamoto, Akihiro

2016-01-01

Microbial electrode catalysis such as microbial fuel cells or electrosynthesis involves electron exchange with the electrodes located at the cell exterior; i.e., extracellular electron transport (EET). Despite the vast amount of research on the kinetics of EET to optimize the catalysis rate, the relevance of other factors, including upstream metabolic reactions, has scarcely been investigated. Herein, we report an in vivo electrochemical assay to confirm whether EET limits anodic current production (j) for the lactate oxidation of Shewanella oneidensis MR-1. Addition of riboflavin, which specifically enhances the EET rate, increased j only in the early phase before j saturation. In contrast, when we removed a trace metal ion necessary for upstream reactions from the electrolyte, a significant decrease in j and the lactate consumption rate was observed only after j saturation. These data suggest that the limiting factor for j shifted from EET to upstream reactions, highlighting the general importance of enhancing, for example, microbial metabolism, especially for long-standing practical applications. Our concept to specifically control the rate of EET could be applicable to other bioelectrode catalysis systems as a strategy to monitor their rate-limiting factors.

Limited field investigation report for the 100-HR-2 Operable Unit

International Nuclear Information System (INIS)

1994-09-01

This report summarizes the data collection and analysis activities conducted during the 100-HR-2 Operable Unit investigative phase and the associated qualitative risk assessment (QRA). The 100-HR-2 Operable Unit contains solid waste burial grounds, an ash pit, bum pits, electrical facilities, septic systems, and support facilities. All known and suspected areas of contamination were classified as solid waste burial grounds or low-priority waste sites based on the collective knowledge of the operable unit managers (representatives from the US Department of Energy [DOE], the US Environmental Protection Agency [EPA], and Washington Department of Ecology [Ecology]) during the preparation of the 100-HR-2 Operable Unit work plan (DOE/RL 1993f). Solid waste burial grounds were judged to pose sufficient risk(s), through one or more pathways, to require evaluation for an interim remedial measure (IRM) as per the Hanford Past-Practice Strategy (HPPS) (DOE/RL 1991) and negotiations with DOE, EPA, and Ecology. An IRM is intended to achieve remedies that are likely to lead to a final record of decision. Low-priority sites are those judged not to pose significant risk to require the streamlined evaluation. There were six low-priority waste sites and seven solid waste burial grounds identified. The investigative phase was conducted in accordance with the RCRA Facility Investigation/Corrective Measures Study Work Plan for the 100-HR-2 Operable Unit (DOE/RL 1993f). The QRA was performed in accordance with the Hanford Site Baseline Risk Assessment Methodology (DOE/RL 1993b) and the recommendations incorporate the strategies of the HPPS. The purpose of this report is to: (1) provide a summary of site investigative activities; (2) refine the conceptual exposure model (as needed); (3) identify chemical- and location-specific corrective action requirements; and (4) provide a human health and ecological QRA associated with solid waste burial grounds

Work Related Psychosocial and Organizational Factors for Neck Pain in Workers in the United States

Science.gov (United States)

Yang, Haiou; Hitchcock, Edward; Haldeman, Scott; Swanson, Naomi; Lu, Ming-Lun; Choi, BongKyoo; Nakata, Akinori; Baker, Dean

2016-01-01

Background Neck pain is a prevalent musculoskeletal condition among workers in the United States. This study explores a set of workplace psychosocial and organization-related factors for neck pain. Methods Data used for this study comes from the 2010 National Health interview Survey which provides a representative sample of the US population. To account for the complex sampling design, the Taylor linearized variance estimation method was used. Logistic regression models were constructed to measure the associations. Results This study demonstrated significant associations between neck pain and a set of workplace risk factors including work-family imbalance, exposure to a hostile work environment and job insecurity, non-standard work arrangements, multiple jobs and long work hours. Conclusion Workers with neck pain may benefit from intervention programs that address issues related to these workplace risk factors. Future studies exploring both psychosocial risk factors and physical risk factors with a longitudinal design will be important. PMID:27184340

An analysis of factors affecting participation behavior of limited resource farmers in agricultural cost-share programs in Alabama

Science.gov (United States)

Okwudili Onianwa; Gerald Wheelock; Buddhi Gyawali; Jianbang Gan; Mark Dubois; John Schelhas

2004-01-01

This study examines factors that affect the participation behavior of limited resource farmers in agricultural cost-share programs in Alabama. The data were generated from a survey administered to a sample of limited resource farm operators. A binary logit model was employed to analyze the data. Results indicate that college education, age, gross sales, ratio of owned...

Limit of detection and threshold for positivity of the Centers for Disease Control and Prevention assay for factor VIII inhibitors.

Science.gov (United States)

Miller, C H; Boylan, B; Shapiro, A D; Lentz, S R; Wicklund, B M

2017-10-01

Essentials Immunologic methods detect factor VIII (FVIII) antibodies in some inhibitor-negative specimens. Specimens were tested by modified Nijmegen-Bethesda assay (NBA) and fluorescence immunoassay. The NBA with preanalytical heat inactivation detects FVIII inhibitors down to 0.2 NBU. IgG 4 frequency validates the established threshold for positivity of ≥ 0.5 NBU for this NBA. Background The Bethesda assay for measurement of factor VIII inhibitors called for quantification of positive inhibitors by using dilutions producing 25-75% residual activity (RA), corresponding to 0.4-2.0 Bethesda units, with the use of 'more sensitive methods' for samples with RA closer to 100% being recommended. The Nijmegen modification (Nijmegen-Bethesda assay [NBA]) changed the reagents used but not these calculations. Some specimens negative by the NBA have been shown to have FVIII antibodies detectable with sensitive immunologic methods. Objective To examine the performance at very low inhibitor titers of the Centers for Disease Control and Prevention (CDC)-modified NBA (CDC-NBA), which includes preanalytic heat inactivation to liberate bound anti-FVIII antibodies. Methods Specimens with known inhibitors were tested with the CDC-NBA. IgG 4 anti-FVIII antibodies were measured by fluorescence immunoassay (FLI). Results Diluted inhibitors showed linearity below 0.4 Nijmegen-Bethesda units (NBU). With four statistical methods, the limit of detection of the CDC-NBA was determined to be 0.2 NBU. IgG 4 anti-FVIII antibodies, which correlate most strongly with functional inhibitors, were present at rates above the background rate of healthy controls in specimens with titers ≥ 0.2 NBU and showed an increase in frequency from 14.3% at 0.4 NBU to 67% at the established threshold for positivity of 0.5 NBU. Conclusions The CDC-NBA can detect inhibitors down to 0.2 NBU. The FLI, which is more sensitive, demonstrates anti-FVIII IgG 4 in some patients with negative (NBA, supporting the need for

Factors associated with closures of emergency departments in the United States.

Science.gov (United States)

Hsia, Renee Y; Kellermann, Arthur L; Shen, Yu-Chu

2011-05-18

Between 1998 and 2008, the number of hospital-based emergency departments (EDs) in the United States declined, while the number of ED visits increased, particularly visits by patients who were publicly insured and uninsured. Little is known about the hospital, community, and market factors associated with ED closures. Federal law requiring EDs to treat all in need regardless of a patient's ability to pay may make EDs more vulnerable to the market forces that govern US health care. To determine hospital, community, and market factors associated with ED closures. Emergency department and hospital organizational information from 1990 through 2009 was acquired from the American Hospital Association (AHA) Annual Surveys (annual response rates ranging from 84%-92%) and merged with hospital financial and payer mix information available through 2007 from Medicare hospital cost reports. We evaluated 3 sets of risk factors: hospital characteristics (safety net [as defined by hospitals caring for more than double their Medicaid share of discharges compared with other hospitals within a 15-mile radius], ownership, teaching status, system membership, ED size, case mix), county population demographics (race, poverty, uninsurance, elderly), and market factors (ownership mix, profit margin, location in a competitive market, presence of other EDs). All general, acute, nonrural, short-stay hospitals in the United States with an operating ED anytime from 1990-2009. Closure of an ED during the study period. From 1990 to 2009, the number of hospitals with EDs in nonrural areas declined from 2446 to 1779, with 1041 EDs closing and 374 hospitals opening EDs. Based on analysis of 2814 urban acute-care hospitals, constituting 36,335 hospital-year observations over an 18-year study interval (1990-2007), for-profit hospitals and those with low profit margins were more likely to close than their counterparts (cumulative hazard rate based on bivariate model, 26% vs 16%; hazard ratio [HR], 1

Material Limitations on the Detection Limit in Refractometry

OpenAIRE

Skafte-Pedersen, Peder; Nunes, Pedro S.; Xiao, Sanshui; Mortensen, Niels Asger

2009-01-01

We discuss the detection limit for refractometric sensors relying on high-Q optical cavities and show that the ultimate classical detection limit is given by min {Δn} ≳ η with n + iη being the complex refractive index of the material under refractometric investigation. Taking finite Q factors and filling fractions into account, the detection limit declines. As an example we discuss the fundamental limits of silicon-based high-Q resonators, such as photonic crystal resonators, for sensing in a...

What is the most prominent factor limiting photosynthesis in different layers of a greenhouse cucumber canopy?

NARCIS (Netherlands)

Chen, T.W.; Henke, M.; Visser, de P.H.B.; Buck-Sorlin, G.H.; Wiechers, D.; Kahlen, K.; Stützel, H.

2014-01-01

Background and Aims Maximizing photosynthesis at the canopy level is important for enhancing crop yield, and this requires insights into the limiting factors of photosynthesis. Using greenhouse cucumber (Cucumis sativus) as an example, this study provides a novel approach to quantify different

A Qualitative Investigation of the Factors Affecting Arab International Students' Persistence in the United States

Science.gov (United States)

Rabia, Hazza Abu

2017-01-01

This qualitative study explored the factors that enhance Arab international students' persistence and facilitate their academic and cultural adjustment at postsecondary institutions in the United States. The sample for this study consisted of Arab international students from Saudi Arabia, Kuwait, Oman, Syria, UAE, Iraq, and Jordan. In-depth…

Age-dependent dose factors and dose limits of annual radioactivity uptake with unsealed radioactive substances by occupationally exposed persons

International Nuclear Information System (INIS)

Kaul, A.; Nosske, D; Elsasser, U; Roedler, H.D.; Henrichs, K.

1986-01-01

The dose factors have been calculated on the basis of the ICRP models for dosimetric and metabolistic assessment, and are laid open in accordance with Annex XI ( to sec. 45 sub-section (2)) of the amended version of the Radiation Protection Ordinance. The contribution in hand explains the scientific fundamentals and results of the calculations of dose factors relating to inhalation and ingestion of unsealed radioactive substances by adult reference man, and age-dependent factors calculated for children and adolescents. Further, annual limits of uptake by occupationally exposed persons, as calculated on the basis of primary dose limits pursunant to the draft amendment presented by the Federal Interior Minister, are compared with relevant data given by the ICRP and EC institutions. (orig./DG) [de

Tenax extraction for exploring rate-limiting factors in methyl-β-cyclodextrin enhanced anaerobic biodegradation of PAHs under denitrifying conditions in a red paddy soil

Energy Technology Data Exchange (ETDEWEB)

Sun, Mingming, E-mail: sunmingming@njau.edu.cn [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Key Laboratory of Soil Environmental and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Ye, Mao [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Hu, Feng, E-mail: fenghu@njau.edu.cn [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Li, Huixin [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Teng, Ying [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Luo, Yongming [Yantai Institute of Costal Zone Research, Chinese Academy of Sciences, Yantai 264003 (China); Jiang, Xin [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Kengara, Fredrick Orori [Department of Chemistry, Maseno University, Private Bag, Maseno 40105 (Kenya)

2014-01-15

Highlights: • Enhanced anaerobic bioremediation of a red paddy soil polluted with PAHs. • 1% (w/w) methyl-β-cyclodextrin (MCD) and 20 mM nitrate addition acted as solubility-enhancing agent and electron acceptor respectively. • Tenax extraction and a first-three-compartment modeling were applicable to explore the rate-limiting factors in the biodegradation. • Lack of PAH-degraders hindered biodegradation in control and MCD addition treatments. • Inadequate bioaccessible PAHs was vital rate-limiting factor in nitrate addition treatments. -- Abstract: The effectiveness of anaerobic bioremediation systems for PAH-contaminated soil may be constrained by low contaminants bioaccessibility due to limited aqueous solubility and lack of suitable electron acceptors. Information on what is the rate-limiting factor in bioremediation process is of vital importance in the decision in what measures can be taken to assist the biodegradation efficacy. In the present study, four different microcosms were set to study the effect of methyl-β-cyclodextrin (MCD) and nitrate addition (N) on PAHs biodegradation under anaerobic conditions in a red paddy soil. Meanwhile, sequential Tenax extraction combined with a first-three-compartment model was employed to evaluate the rate-limiting factors in MCD enhanced anaerobic biodegradation of PAHs. Microcosms with both 1% (w/w) MCD and 20 mM N addition produced maximum biodegradation of total PAHs of up to 61.7%. It appears rate-limiting factors vary with microcosms: low activity of degrading microorganisms is the vital rate-limiting factor for control and MCD addition treatments (CK and M treatments); and lack of bioaccessible PAHs is the main rate-limiting factor for nitrate addition treatments (N and MN treatments). These results have practical implications for site risk assessment and cleanup strategies.

Tenax extraction for exploring rate-limiting factors in methyl-β-cyclodextrin enhanced anaerobic biodegradation of PAHs under denitrifying conditions in a red paddy soil

International Nuclear Information System (INIS)

Sun, Mingming; Ye, Mao; Hu, Feng; Li, Huixin; Teng, Ying; Luo, Yongming; Jiang, Xin; Kengara, Fredrick Orori

2014-01-01

Highlights: • Enhanced anaerobic bioremediation of a red paddy soil polluted with PAHs. • 1% (w/w) methyl-β-cyclodextrin (MCD) and 20 mM nitrate addition acted as solubility-enhancing agent and electron acceptor respectively. • Tenax extraction and a first-three-compartment modeling were applicable to explore the rate-limiting factors in the biodegradation. • Lack of PAH-degraders hindered biodegradation in control and MCD addition treatments. • Inadequate bioaccessible PAHs was vital rate-limiting factor in nitrate addition treatments. -- Abstract: The effectiveness of anaerobic bioremediation systems for PAH-contaminated soil may be constrained by low contaminants bioaccessibility due to limited aqueous solubility and lack of suitable electron acceptors. Information on what is the rate-limiting factor in bioremediation process is of vital importance in the decision in what measures can be taken to assist the biodegradation efficacy. In the present study, four different microcosms were set to study the effect of methyl-β-cyclodextrin (MCD) and nitrate addition (N) on PAHs biodegradation under anaerobic conditions in a red paddy soil. Meanwhile, sequential Tenax extraction combined with a first-three-compartment model was employed to evaluate the rate-limiting factors in MCD enhanced anaerobic biodegradation of PAHs. Microcosms with both 1% (w/w) MCD and 20 mM N addition produced maximum biodegradation of total PAHs of up to 61.7%. It appears rate-limiting factors vary with microcosms: low activity of degrading microorganisms is the vital rate-limiting factor for control and MCD addition treatments (CK and M treatments); and lack of bioaccessible PAHs is the main rate-limiting factor for nitrate addition treatments (N and MN treatments). These results have practical implications for site risk assessment and cleanup strategies

Registration factors that limit international mobility of people holding physiotherapy qualifications: A systematic review.

Science.gov (United States)

Foo, Jonathan S; Storr, Michael; Maloney, Stephen

2016-06-01

There is no enforced international standardisation of the physiotherapy profession. Thus, registration is used in many countries to maintain standards of care and to protect the public. However, registration may also limit international workforce mobility. What is known about the professional registration factors that may limit the international mobility of people holding physiotherapy qualifications? Systematic review using an electronic database search and hand searching of the World Confederation for Physical Therapy and International Network of Physiotherapy Regulatory Authorities websites. Analysis was conducted using thematic analysis. 10 articles and eight websites were included from the search strategy. Data is representative of high-income English speaking countries. Four themes emerged regarding limitations to professional mobility: practice context, qualification recognition, verification of fitness to practice, and incidental limitations arising from the registration process. Professional mobility is limited by differences in physiotherapy education programmes, resulting in varying standards of competency. Thus, it is often necessary to verify clinical competencies through assessments, as well as determining professional attributes and ability to apply competencies in a different practice context, as part of the registration process. There has been little evaluation of registration practices, and at present, there is a need to re-evaluate current registration processes to ensure they are efficient and effective, thereby enhancing workforce mobility. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

IEA EBC Annex 59 - Possibilities, limitations and capacities of indoor terminal units

DEFF Research Database (Denmark)

Kazanci, Ongun Berk; Olesen, Bjarne W.

2015-01-01

Indoor terminal units can be defined as the building elements that use different heat transfer mechanisms and media to emit and remove heat or moisture from indoor spaces (e.g. hydronic radiant heating and cooling systems, fan-coil units, active beams). Indoor temperature and humidity fields depe...

Policies and market factors driving wind power development in the United States

International Nuclear Information System (INIS)

Bird, Lori; Bolinger, Mark; Gagliano, Troy; Wiser, Ryan; Brown, Matthew; Parsons, Brian

2005-01-01

In the United States, there has been substantial recent growth in wind energy generating capacity, with growth averaging 24 percent annually during the past five years. About 1700 MW of wind energy capacity was installed in 2001, while another 410 MW became operational in 2002. During 2003, development activity has remained strong, with an estimated 1600 MW of capacity installed. With this growth, an increasing number of States are experiencing investment in wind energy projects: currently about half of all States host at least one wind power project. This paper explores the key factors at play in the 12 States in which a substantial amount of wind energy capacity has been developed or planned. Some of the factors that are examined include policy drivers, such as Renewable Portfolio Standards (RPS), Federal and State financial incentives; as well as market drivers, such as consumer demand for green power, natural gas price volatility, and wholesale market rules

Impact of selected risk factors on expected lifetime without long-standing, limiting illness in Denmark

DEFF Research Database (Denmark)

Brønnum-Hansen, Henrik; Juel, Knud; Davidsen, Michael

2007-01-01

long-standing, limiting illness was 8-10 years shorter among sedentary than physically active people. Obesity shortened lifetime without illness by 5 years for men and ten years for women. CONCLUSION: The results of this study could be used in health policy-making, as the potential gains in public......OBJECTIVE: To estimate the impacts of tobacco smoking, high alcohol consumption, physical inactivity and overweight on expected lifetime with and without long-standing, limiting illness. METHODS: Life tables for each level of exposure to the risk factors were constructed, mainly on the basis......-olds was 9-10 years shorter for heavy smokers than for those who never smoke, and all the lifetime lost would have been without long-standing, limiting illness. Similarly, all 5 years of expected lifetime lost by men with high alcohol consumption would have been without illness. The expected lifetime without...

Predictive factors for the admission of a newborn in an intensive care unit

Directory of Open Access Journals (Sweden)

Carla Danielle Ribeiro Lages

2014-04-01

Full Text Available Analytical documentary and retrospective study aiming at determining association between predictive factors for admission of a newborn in a public Intensive Care Unit and maternal features. The study sample had 376 neonates admitted in 2009. Results showed: mothers aged between 19 and 25 years (43.4%, primary education (52.4%, living with a partner (66.2%. Prenatal care was done by 84.8% of them, and 62% presented gestational pathologies. Out of all neonates, 55.1% were male, 85.4% preterm, 83% underweight, 57.2% presented respiratory problems. The bivariate analysis showed a significant association between birth weight and growth (p = 0.04 between maternal age and Apgar in the 1st minute (p = 0.04 and maternal age and Apgar score in the 5th minute (p = 0.01. Maternal age and number of prenatal appointments influence on the admission of the neonates to the Intensive Care Unit because they are related to birth weight and Apgar scores.

Limited socioeconomic opportunities and Latina teen childbearing: a qualitative study of family and structural factors affecting future expectations.

Science.gov (United States)

Minnis, Alexandra M; Marchi, Kristen; Ralph, Lauren; Biggs, M Antonia; Combellick, Sarah; Arons, Abigail; Brindis, Claire D; Braveman, Paula

2013-04-01

The decrease in adolescent birth rates in the United States has been slower among Latinas than among other ethnic/racial groups. Limited research has explored how socioeconomic opportunities influence childbearing among Latina adolescents. We conducted in-depth interviews with 65 pregnant foreign- and US-born Latina women (31 adolescents; 34 adults) in two California counties. We assessed perceived socioeconomic opportunities and examined how family, immigration and acculturation affected the relationships between socioeconomic opportunities and adolescent childbearing. Compared with women who delayed childbearing into adulthood, pregnant adolescents described having few resources for educational and career development and experiencing numerous socioeconomic and social barriers to achieving their goals. Socioeconomic instability and policies limiting access to education influenced childbearing for immigrant adolescents. In contrast, family disintegration tied to poverty figured prominently in US-born adolescents' childbearing. Limited socioeconomic opportunities may play a large role in persistently high pregnancy rates among Latina adolescents.

Material limitations on the detection limit in refractometry

DEFF Research Database (Denmark)

Skafte-Pedersen, Peder; Nunes, Pedro; Xiao, Sanshui

2009-01-01

We discuss the detection limit for refractometric sensors relying on high-Q optical cavities and show that the ultimate classical detection limit is given by min {Δn} ≳ η with n + iη being the complex refractive index of the material under refractometric investigation. Taking finite Q factors and...

Geological Factors Affecting Flow Spatial Continuity in Water Injection of Units Operating in the LGITJ–0102 Ore Body

Directory of Open Access Journals (Sweden)

Ilver M. Soto-Loaiza

2016-05-01

Full Text Available The objective of the investigation was to identify the geological factors affecting the spatial continuity of the flow during the process of flank water injection in the units operating in the Lower Lagunilla Hydrocarbon Ore Body. This included the evaluation of the recovery factor, the petro-physic properties such as porosity, permeability, water saturation and rock type and quality in each flow unit. it was observed that the rock type of the geologic structure in the ore body is variable. The lowest values for the petro-physic properties were found in the southern area while a high variability of these parameters was observed in the northern and central areas. It was concluded that the northern area has a great potential for the development of new injection projects for petroleum recovery.

7 CFR 52.3185 - Moisture limits.

Science.gov (United States)

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Moisture limits. 52.3185 Section 52.3185 Agriculture... United States Standards for Grades of Dried Prunes Moisture, Uniformity of Size, Defects § 52.3185 Moisture limits. Dried prunes shall not exceed the moisture limits for the applicable grades and kind and...

Factors which could limit the nuclear fuel cycle development

International Nuclear Information System (INIS)

Pecqueur, M.; Barre, B.

1977-01-01

The nuclear fuel cycle is a most important industry for the energy future of the world. It has also a leading part as regards the physical continuity of energy supply of the countries engaged in the nuclear field. The development of this industry is subject to the economic or political constraints involved by the availability of raw materials, technologies or production means. The various limiting factors which could affect the different stages of the fuel cycle are linked with the technical, economic and financial aspects, with the impact on the environment, nuclear safety, risks of non-pacific uses and proliferation of arms. Interesting to note is also the correlation between the fuel cycle development and the problems of energy independence and security of nuclear programs. As a conclusion, the nuclear fuel cycle industry is confronted to difficulties due to its extremely rapid growth (doubling time 5 years) which only few heavy industries have encountered for long periods. It is more over submitted to the political and safety constraints always linked with nuclear matters. The task is therefore a difficult one. But the objective is worth-while since it is a condition to the development of nuclear industry [fr

Beyond Trauma: Post-resettlement Factors and Mental Health Outcomes Among Latino and Asian Refugees in the United States.

Science.gov (United States)

Kim, Isok

2016-08-01

War-related traumas impact refugees' mental health. Recent literature suggests that structural and sociocultural factors related to the resettlement also become critical in shaping refugees' mental health. So far, there is limited empirical evidence to support this claim among resettled refugees. Resettlement contextual factors that influence mental health outcomes were examined using Latino and Asian refugees (n = 656) from a nationally representative survey. Linear and logistic regressions predicted factors associated with the study's outcomes (self-reported mental health, mood disorders, and anxiety disorders). Post-resettlement traumas were significantly associated with mental health outcomes, but pre-resettlement traumas were not. Unemployment, everyday discrimination, and limited English were significantly associated with mental health outcomes among both Latino and Asian refugees. The outcomes indicate that resettlement contextual factors have a significant association with refugees' mental health. Therefore, future studies with refugees must pay closer attention to structural and sociocultural factors after resettlement.

Breastfeeding in the first hour of life and modern technology: prevalence and limiting factors

OpenAIRE

Maria Cristina Pillegi; Adriana Policastro; Sulim Abramovici; Eduardo Cordioli; Alice D’Agostini Deutsch

2008-01-01

Objective: To identify the prevalence and limiting factors ofbreastfeeding in the first hour of life at the Maternity Center of HospitalIsraelita Albert Einstein, where the predominant model of childbirthcare is largely based on the use of modern technology. Methods: Aretrospective study with quantitative analysis in a middle and upperclass population of different cultural backgrounds. Data were obtainedfrom the delivery record book in a total of 12,350 births from January2004 to December 200...

Limited field investigation report for the 100-HR-2 Operable Unit

International Nuclear Information System (INIS)

1995-07-01

This report summarizes the data collection and analysis activities conducted during the 100-HR-2 Operable Unit investigative phase and the associated qualitative risk assessment. The 100-HR-2 Operable Unit contains solid waste burial grounds, an ash pit, burn pits, electrical facilities, septic systems, and support facilities. All known and suspected areas of contamination were classified as solid waste burial grounds or low-priority waste sites based on the collective knowledge of the operable unit managers (representatives from the US Department of Energy, the US Environmental Protection Agency, and Washington State Department of Ecology during the preparation of the 100-HR-2 Operable Unit Work Plan (DOE-RL 1993f). Solid waste burial grounds were judged to pose sufficient risk(s), through one or more pathways, to require evaluation for an interim remedial measure as per the Hanford Past-Practice Strategy (DOE-RL 1991) and negotiations with the Department of Energy, US Environmental Protection Agency, and Washington State Department of Ecology. An interim remedial measure is intended to achieve remedies that are likely to lead to a final record of decision. Low-priority sites are those judged not to pose significant risk to require the streamlined evaluation. There were six low-priority waste sites and seven solid waste burial grounds identified. The purpose of this report is to: (1) provide a summary of site investigative activities; (2) refine the conceptual exposure model (as needed); (3) identify chemical- and location-specific corrective action requirements; and 4) provide a human health and ecological QRA associated with solid waste burial grounds

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.

Hematopoietic growth factors in neonatal medicine: the use of enterally administered hematopoietic growth factors in the neonatal intensive care unit.

Science.gov (United States)

Calhoun, Darlene A; Christensen, Robert D

2004-03-01

The practice of complete bowel rest in prematurely delivered neonates and those who have undergone surgery for congenital anomalies of the gastrointestinal (GI) tract is common in neonatal intensive care units (NICU). However, increased recognition of the critical role of growth factors in GI development suggests that this practice might be modified to include the administration of synthetic amniotic fluid-like solutions designed to bridge the neonate between their intra-uterine environment and that of the NICU. This article reviews advances in administering synthetic amniotic fluid-like solutions in the NICU.

Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors.

Science.gov (United States)

Kiymaz, Dilek; Koç, Zeliha

2018-03-01

To determine individual and professional factors affecting the tendency of emergency unit nurses to make medical errors and their attitudes towards these errors in Turkey. Compared with other units, the emergency unit is an environment where there is an increased tendency for making medical errors due to its intensive and rapid pace, noise and complex and dynamic structure. A descriptive cross-sectional study. The study was carried out from 25 July 2014-16 September 2015 with the participation of 284 nurses who volunteered to take part in the study. Data were gathered using the data collection survey for nurses, the Medical Error Tendency Scale and the Medical Error Attitude Scale. It was determined that 40.1% of the nurses previously witnessed medical errors, 19.4% made a medical error in the last year, 17.6% of medical errors were caused by medication errors where the wrong medication was administered in the wrong dose, and none of the nurses filled out a case report form about the medical errors they made. Regarding the factors that caused medical errors in the emergency unit, 91.2% of the nurses stated excessive workload as a cause; 85.1% stated an insufficient number of nurses; and 75.4% stated fatigue, exhaustion and burnout. The study showed that nurses who loved their job were satisfied with their unit and who always worked during day shifts had a lower medical error tendency. It is suggested to consider the following actions: increase awareness about medical errors, organise training to reduce errors in medication administration, develop procedures and protocols specific to the emergency unit health care and create an environment which is not punitive wherein nurses can safely report medical errors. © 2017 John Wiley & Sons Ltd.

Attributes for NHDPlus Catchments (Version 1.1) for the Conterminous United States: Mean Annual R-factor, 1971-2000

Science.gov (United States)

Wieczorek, Michael; LaMotte, Andrew E.

2010-01-01

This data set represents the average annual R-factor, rainfall-runoff erosivity measure, compiled for every catchment of NHDPlus for the conterminous United States. The source data are from Christopher Daly of the Spatial Climate Analysis Service, Oregon State University, and George Taylor of the Oregon Climate Service, Oregon State University (2002), who developed spatially distributed estimates of R-factor for the period 1971-2000 for the conterminous United States. The NHDPlus Version 1.1 is an integrated suite of application-ready geospatial datasets that incorporates many of the best features of the National Hydrography Dataset (NHD) and the National Elevation Dataset (NED). The NHDPlus includes a stream network (based on the 1:100,00-scale NHD), improved networking, naming, and value-added attributes (VAAs). NHDPlus also includes elevation-derived catchments (drainage areas) produced using a drainage enforcement technique first widely used in New England, and thus referred to as "the New England Method." This technique involves "burning in" the 1:100,000-scale NHD and when available building "walls" using the National Watershed Boundary Dataset (WBD). The resulting modified digital elevation model (HydroDEM) is used to produce hydrologic derivatives that agree with the NHD and WBD. Over the past two years, an interdisciplinary team from the U.S. Geological Survey (USGS), and the U.S. Environmental Protection Agency (USEPA), and contractors, found that this method produces the best quality NHD catchments using an automated process (USEPA, 2007). The NHDPlus dataset is organized by 18 Production Units that cover the conterminous United States. The NHDPlus version 1.1 data are grouped by the U.S. Geologic Survey's Major River Basins (MRBs, Crawford and others, 2006). MRB1, covering the New England and Mid-Atlantic River basins, contains NHDPlus Production Units 1 and 2. MRB2, covering the South Atlantic-Gulf and Tennessee River basins, contains NHDPlus

Differences and similarities of motivating and demotivating factors of emergency nursing care in rural and urban emergency units – A study of selected rural and urban emergency units in the Volta Region of Ghana

Directory of Open Access Journals (Sweden)

Confidence Alorse Atakro

Full Text Available Objective: The objective of this study was to explore differences and similarities of motivating and demotivating factors of emergency nursing care in selected rural and urban emergency units in the Volta Region of Ghana. Materials and methods: This study was conducted at selected rural and urban emergency units in the Volta Region of Ghana. The study utilised qualitative exploratory descriptive design. Purposive sampling technique was employed in selecting emergency units and nurses. Data were collected through semi-structured interviews of 30 nurses. Data saturation was determined after interviewing 30 participants. Data analysis was done through qualitative content analysis. Results: Twenty-six (26 out of a total of thirty (30 participants were between the ages of twenty-five (25 and twenty-nine (29. Nurses working in the emergency units studied general nursing at the Nurses Training Colleges (NTCs. None of the respondents studied emergency nursing as a degree programme. Twenty four (24 out of thirty (30 participants had worked for about two years in emergency units. Four thematic categories that represented differences and similarities of motivating and demotivating factors for nurses in rural and urban emergency units were extracted from data. The thematic categories are: a Support from hospital management for provision of material resources; b Task shifting to nurses; c Stimulant for learning; d Interpersonal relations. Discussions: Evidence available in this study suggests that there are differences as well as similarities of motivating and demotivating factors within emergency units of rural and urban settings in the Volta Region of Ghana. Differences in resource allocation and task shifting was identified. Stimulating environments of emergency unit for learning and excellent interpersonal relations were found to be common motivations for both rural and urban emergency unit nurses. Keywords: Motivating, Demotivating, Emergency

Demarcation of local neighborhoods to study relations between contextual factors and health

OpenAIRE

Chor Dora; Santos Simone M; Werneck Guilherme

2010-01-01

Abstract Background Several studies have highlighted the importance of collective social factors for population health. One of the major challenges is an adequate definition of the spatial units of analysis which present properties potentially related to the target outcomes. Political and administrative divisions of urban areas are the most commonly used definition, although they suffer limitations in their ability to fully express the neighborhoods as social and spatial units. Objective This...

Unit size limitations in smaller power systems

International Nuclear Information System (INIS)

McConnach, J.S.

1975-01-01

The developing nations have generally found it an economic necessity to accept the minimum commercial size limit of 600 MWe. Smaller reactor sizes tendered as 'one off' specials carry high specific cost penalties which considerably weaken the competitiveness of nuclear versus conventional thermal plants. The revised IAEA market survey for nuclear power in developing countries (1974 edition) which takes account of the recent heavy escalation in oil prices, indicates a reasonable market for smaller size reactors in the range 150 MWe to 400 MWe, but until this market is approached seriously by manufacturers, the commercial availability and economic viability of smaller size reactors remains uncertain. (orig.) [de

The beliefs in the inheritance of risk factors for suicide scale (BIRFSS): cross-cultural validation in Estonia, Malaysia, Romania, the United Kingdom, and the United States.

Science.gov (United States)

Voracek, Martin; Loibl, Lisa Mariella; Swami, Viren; Vintilă, Mona; Kõlves, Kairi; Sinniah, Dhachayani; Pillai, Subash Kumar; Ponnusamy, Subramaniam; Sonneck, Gernot; Furnham, Adrian; Lester, David

2008-12-01

The genetics of suicide is increasingly recognized and relevant for mental health literacy, but actual beliefs may lag behind current knowledge. We examined such beliefs in student samples (total N = 686) from Estonia, Malaysia, Romania, the United Kingdom, and the United States with the Beliefs in the Inheritance of Risk Factors for Suicide Scale. Cultural effects were small, those of key demographics nil. Several facets of construct validity were demonstrated. Marked differences in perceived plausibility of evidence about the genetics of suicide according to research design, observed in all samples, may be of general interest for investigating lay theories of abnormal behavior and communicating behavioral and psychiatric genetic research findings.

Material limitations on the detection limit in refractometry.

Science.gov (United States)

Skafte-Pedersen, Peder; Nunes, Pedro S; Xiao, Sanshui; Mortensen, Niels Asger

2009-01-01

We discuss the detection limit for refractometric sensors relying on high-Q optical cavities and show that the ultimate classical detection limit is given by min {Δn} ≳ η, with n + iη being the complex refractive index of the material under refractometric investigation. Taking finite Q factors and filling fractions into account, the detection limit declines. As an example we discuss the fundamental limits of silicon-based high-Q resonators, such as photonic crystal resonators, for sensing in a bio-liquid environment, such as a water buffer. In the transparency window (λ ≳ 1100 nm) of silicon the detection limit becomes almost independent on the filling fraction, while in the visible, the detection limit depends strongly on the filling fraction because the silicon absorbs strongly.

26 CFR 1.904(i)-1 - Limitation on use of deconsolidation to avoid foreign tax credit limitations.

Science.gov (United States)

2010-04-01

... foreign tax credit limitations. 1.904(i)-1 Section 1.904(i)-1 Internal Revenue INTERNAL REVENUE SERVICE... United States § 1.904(i)-1 Limitation on use of deconsolidation to avoid foreign tax credit limitations... applying the foreign tax credit provisions of section 59(a), sections 901 through 908, and section 960, the...

Predisposing risk factors for delirium in living donor liver transplantation patients in intensive care units.

Directory of Open Access Journals (Sweden)

Szu-Han Wang

Full Text Available BACKGROUND: Delirium is one of the main causes of increased length of intensive care unit (ICU stay among patients who have undergone living donor liver transplantation (LDLT. We aimed to evaluate risk factors for delirium after LDLT as well as to investigate whether delirium impacts the length of ICU and hospital stay. METHODS: Seventy-eight patients who underwent LDLT during the period January 2010 to December 2012 at a single medical center were enrolled. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU scale was used to diagnose delirium. Preoperative, postoperative, and hematologic factors were included as potential risk factors for developing delirium. RESULTS: During the study period, delirium was diagnosed in 37 (47.4% patients after LDLT. The mean onset of symptoms occurred 7.0±5.5 days after surgery and the mean duration of symptoms was 5.0±2.6 days. The length of stay in the ICU for patients with delirium (39.8±28.1 days was significantly longer than that for patients without delirium (29.3±19.0 days (p<0.05. Risk factors associated with delirium included history of alcohol abuse [odds ratio (OR = 6.40, 95% confidence interval (CI: 1.85-22.06], preoperative hepatic encephalopathy (OR = 4.45, 95% CI: 1.36-14.51, APACHE II score ≥16 (OR = 1.73, 95% CI: 1.71-2.56, and duration of endotracheal intubation ≥5 days (OR = 1.81, 95% CI: 1.52-2.23. CONCLUSIONS: History of alcohol abuse, preoperative hepatic encephalopathy, APACHE II scores ≥16 and endotracheal intubation ≥5 days were predictive of developing delirium in the ICU following liver transplantation surgery and were associated with increased length of ICU and hospital stay.

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.

Inhalation injury in a burn unit: a retrospective review of prognostic factors.

Science.gov (United States)

Monteiro, D; Silva, I; Egipto, P; Magalhães, A; Filipe, R; Silva, A; Rodrigues, A; Costa, J

2017-06-30

Inhalation injury (InI) is known to seriously affect the prognosis of burn patients, as it is strongly associated with high morbidity and mortality. Despite major advances in the treatment of burn patients in the past years, advances in the treatment of smoke InI have been somewhat limited; mortality reduction mostly results from improvements in critical care. It is difficult to separate the contribution of InI from other mechanisms that also affect respiratory tract and lungs. The aim of this study was to compare patients with and without InI and to identify prognostic factors among patients with smoke InI. Patients with InI displayed higher total body surface area (TBSA) burned, higher incidence of pneumonia and acute respiratory distress syndrome (ARDS), a higher rate of positive blood cultures and a significantly higher death rate. We could conclude that older age, higher TBSA, ARDS and pneumonia were independent predictive factors for mortality in our global study population. Older age and higher TBSA were the only independent factors found to be predictive of mortality in patients with InI.

Recent population size, trends, and limiting factors for the double-crested Cormorant in Western North America

Science.gov (United States)

Adkins, Jessica Y.; Roby, Daniel D.; Lyons, Donald E.; Courtot, Karen N.; Collis, Ken; Carter, Harry R.; Shuford, W. David; Capitolo, Phillip J.

2014-01-01

colonies by bald eagles (Haliaeetus leucocephalus) and humans are likely limiting factors on the growth of the western population at present. Because of differences in biology and management, the western population of double-crested cormorants warrants consideration as a separate management unit from the population east of the Continental Divide.

[Systemic candidiasis in medical intensive care unit: analysis of risk factors and the contribution of colonization index].

Science.gov (United States)

Massou, S; Ahid, S; Azendour, H; Bensghir, M; Mounir, K; Iken, M; Lmimouni, B E; Balkhi, H; Drissi Kamili, N; Haimeur, C

2013-06-01

Description of the epidemiological and clinical characteristics of the patients introducing risk factors of invasive candidiasis. Analysis of risk factors for candidiasis invasive and evaluation of the contribution of colonization index (CI) in the diagnosis of the systematic candidiasis in medical intensive care. Prospective observational study (October 2007 to October 2009). The selected patients present risk factors of system IC candidiasis with an infectious syndrome or clinical signs suggestive of Candida infection and hospitalized more than 48 hours in medical intensive care unit. Pittet's colonization index was calculated at admission and then once a week added to a blood culture. Patients were classified according to level of evidence of Candida infection and the degree of colonization (CIcandidiasis. In multivariate analysis, the corticosteroid therapy was associated with a high colonisation (IC ≥ 0.5) and neutropenia with a high risk of systemic candidiasis. The positive predictive value of CI was 26%. The negative predictive value was 98%, the sensitivity and specificity was 93% and 48% respectively. CI has the advantage to provide a quantified data of the patient's situation in relation to the colonization. But, it isn't helpful with patients having an invasive candidiasis in medical intensive care unit. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units,

OpenAIRE

Meneses, Tatiana Mota Xavier de; Oliveira, Maria Inês Couto de; Boccolini, Cristiano Siqueira

2017-01-01

Abstract Objective: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. Methods: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted preva...

Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units

OpenAIRE

Tatiana Mota Xavier de Meneses; Maria Inês Couto de Oliveira; Cristiano Siqueira Boccolini

2017-01-01

Abstract Objective: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. Methods: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted preva...

Trends in lumber processing in the Western United States. Part II: Overrun and lumber recovery factors.

Science.gov (United States)

Charles E. Keegan; Todd A. Morgan; Keith A. Blatner; Jean M. Daniels

2010-01-01

This article describes trends in three measures of lumber recovery for sawmills in the western United States: lumber overrun (LO), lumber recovery factor (LRF), and cubic lumber recovery (CLR). All states and regions showed increased LO during the last three decades. Oregon and Montana had the highest LO at 107 and 100 percent, respectively. Alaska had the lowest LO at...

Material Limitations on the Detection Limit in Refractometry

Directory of Open Access Journals (Sweden)

Niels Asger Mortensen

2009-10-01

Full Text Available We discuss the detection limit for refractometric sensors relying on high-Q optical cavities and show that the ultimate classical detection limit is given by min {Δn} ≳ η with n + iη being the complex refractive index of the material under refractometric investigation. Taking finite Q factors and filling fractions into account, the detection limit declines. As an example we discuss the fundamental limits of silicon-based high-Q resonators, such as photonic crystal resonators, for sensing in a bio-liquid environment, such as a water buffer. In the transparency window (λ ≳ 1100 nm of silicon the detection limit becomes almost independent on the filling fraction, while in the visible, the detection limit depends strongly on the filling fraction because the silicon absorbs strongly.

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors.

Science.gov (United States)

Al Dhanhani, Ali M; Gignac, Monique A M; Beaton, Dorcas E; Su, Jiandong; Fortin, Paul R

2015-11-01

The aim of this study was to examine the availability of diverse job accommodations (or flexible working arrangements) and to describe their use among people with systemic lupus erythematosus (lupus), as well as to examine factors associated with the use of job accommodations. A mail survey was sent to adult lupus patients receiving care from a lupus clinic based in Toronto, Canada. The survey assessed demographic information, self-reported disease activity, work history, workplace activity limitations, job strain, and the availability and use of job accommodations. Standard multivariable linear regression analysis was used to examine factors associated with the use of job accommodations. We received 362 responses of 604 mailed surveys (60% response rate). Participants who were employed within the last 5 years, but who were not currently working, were less likely than currently employed participants to report having had job accommodations available to them at their last place of employment. The use of job accommodations was reported by 70% of currently employed respondents and by 72% of those not currently employed. The most common job accommodation used was sick leave days. Factors positively associated with the use of job accommodations among those who were employed included higher levels of education, being diagnosed with fibromyalgia, at least 1 episode of short-term work disability, not belonging to a union, greater workplace activity limitations, and greater job strain. The use of job accommodations among people with lupus is common. Work context factors, such as workplace activity limitations and job strain, are the main factors associated with the use of job accommodations. © 2015, American College of Rheumatology.

Maritime Limits and Boundaries of United States of America

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NOAA is responsible for depicting on its nautical charts the limits of the 12 nautical mile Territorial Sea, 24 nautical mile Contiguous Zone, and 200 nautical mile...

An exploration study on factors influencing green marketing

Directory of Open Access Journals (Sweden)

Mojtaba Esmaeeli

2013-05-01

Full Text Available These days, there have been tremendous efforts on offering products, which are environment friendly. Green marketing plays an important role for attracting new customer and customer retention. This paper presents an empirical investigation based on the implementation of factor analysis to locate important factors influencing green marketing planning and strategies. building market oriented business units. The study designs a questionnaire including 23 questions and the questionnaire was distributed among 200 people who were visiting organic product exhibition. Cronbach alpha was calculated as 0.845, which is well above the minimum acceptable limit and validates the results. The results of factor analysis reveal four major factors including green labeling, compatibility, product value and marketing component and size.

Farmer perceptions on factors influencing water scarcity for goats in resource-limited communal farming environments.

Science.gov (United States)

Mdletshe, Zwelethu Mfanafuthi; Ndlela, Sithembile Zenith; Nsahlai, Ignatius Verla; Chimonyo, Michael

2018-05-09

The objective of the study was to compare factors influencing water scarcity for goats in areas where there are seasonal and perennial rivers under resource-limited communal farming environments. Data were collected using a structured questionnaire (n = 285) administered randomly to smallholder goat farmers from areas with seasonal and perennial rivers. Ceremonies was ranked as the major reason for keeping goats. Water scarcity was ranked the major constraint to goat production in areas with seasonal rivers when compared to areas with perennial rivers (P goat drinking in areas with seasonal and perennial river systems during cool dry and rainy seasons. Rivers were ranked as an important water source for goat drinking where there are seasonal and perennial river systems during the cool dry season. Households located close (≤ 3 km) to the nearest water source reported drinking water for goats a scarce resource. These results show that river systems, season and distance to the nearest water source from a household were factors perceived by farmers to influence water scarcity for goats in resource-limited communal farming environments. Farmers should explore water-saving strategies such as recycling wastewater from kitchens and bathrooms as an alternative water source. The government may assist farmers through sinking boreholes to supply water for both humans and livestock.

Association between Lifestyle Factors and Metabolic Syndrome among African Americans in the United States

Directory of Open Access Journals (Sweden)

Chintan J. Bhanushali

2013-01-01

Full Text Available Background. Although there is a reported association between lifestyle factors and metabolic syndrome, very few studies have used national level data restricted to the African Americans (AAs in the United States (US. Methods. A cross-sectional evaluation was conducted using the National Health and Nutrition Examination Survey from 1999 to 2006 including men and nonpregnant women of 20 years or older. Multiple logistic regression models were constructed to evaluate the association between lifestyle factors and metabolic syndrome. Results. AA women had a higher prevalence of metabolic syndrome (39.43% than AA men (26.77%. After adjusting for sociodemographic factors, no significant association was found between metabolic syndrome and lifestyle factors including alcohol drinking, cigarette smoking, and physical activity. Age and marital status were significant predictors for metabolic syndrome. With increase in age, both AA men and AA women were more likely to have metabolic syndrome (AA men: ORadj=1.05, 95% CI 1.04–1.06, AA women: ORadj=1.06, 95% CI 1.04–1.07. Single AA women were less likely to have metabolic syndrome than married women (ORadj=0.66, 95% CI 0.43–0.99. Conclusion. Lifestyle factors had no significant association with metabolic syndrome but age and marital status were strong predictors for metabolic syndrome in AAs in the US.

Risk factors for domestic minor sex trafficking in the United States: a literature review.

Science.gov (United States)

Choi, Kristen R

2015-01-01

Domestic minor sex trafficking (DMST) is an important social and public health problem, but it has received little attention from healthcare professionals in research, practice, and policy. Prevention and early victim identification efforts for this population are severely limited or entirely absent. The aim of this study was to integrate evidence on risk factors for DMST and critically appraise the quality and quantity of nursing literature on DMST. This literature review was reported using PRISMA criteria. Three databases (CINAHL, PsychInfo, and PubMed) were searched using various terms for (a) human trafficking, (b) risk factors, and (c) children. Demographic factors were not important predictors of DMST. Childhood maltreatment trauma and running away from home were the most important risk factors for trafficking victimization. There was little nursing literature on the topic of DMST. Nurses and other healthcare professionals must engage in confronting DMST by improving early identification of victims and conducting high-quality research to inform practice.

14 CFR 183.55 - Limitations.

Science.gov (United States)

2010-01-01

... REGULATIONS REPRESENTATIVES OF THE ADMINISTRATOR Organization Designation Authorization § 183.55 Limitations... structure), no Unit member may perform that function until the Administrator is notified of the change, and...

Relative merits and limiting factors for x-ray and electron microscopy of thick, hydrated organic materials.

Science.gov (United States)

Du, Ming; Jacobsen, Chris

2018-01-01

Electron and x-ray microscopes allow one to image the entire, unlabeled structure of hydrated materials at a resolution well beyond what visible light microscopes can achieve. However, both approaches involve ionizing radiation, so that radiation damage must be considered as one of the limits to imaging. Drawing upon earlier work, we describe here a unified approach to estimating the image contrast (and thus the required exposure and corresponding radiation dose) in both x-ray and electron microscopy. This approach accounts for factors such as plural and inelastic scattering, and (in electron microscopy) the use of energy filters to obtain so-called "zero loss" images. As expected, it shows that electron microscopy offers lower dose for specimens thinner than about 1 µm (such as for studies of macromolecules, viruses, bacteria and archaebacteria, and thin sectioned material), while x-ray microscopy offers superior characteristics for imaging thicker specimen such as whole eukaryotic cells, thick-sectioned tissues, and organs. The required radiation dose scales strongly as a function of the desired spatial resolution, allowing one to understand the limits of live and frozen hydrated specimen imaging. Finally, we consider the factors limiting x-ray microscopy of thicker materials, suggesting that specimens as thick as a whole mouse brain can be imaged with x-ray microscopes without significant image degradation should appropriate image reconstruction methods be identified. Copyright © 2017 Elsevier B.V. All rights reserved.

Award of merit: transportable remediation unit -Jacques Whitford Environment Limited -Toronto

International Nuclear Information System (INIS)

Anon.

1995-01-01

A unique hybrid of remediation technologies was designed to deal with the problem of removing the gasoline and fuel-oil found in soils and groundwater as a result of spills or leakage at petroleum storage and dispensing facilities. Liquid petroleum hydrocarbons were found discharging into a creek in a residential and commercial neighborhood of Metropolitan Toronto. Numerous in-place soil and ground water remediation approaches were evaluated in the course of searching for a solution. A full-scale, transportable, in-situ bioslurping remediation unit was recommended. The unit was connected to 13 specially designed vertical bioslurping wells, and to a buried horizontal header network comprised of four separate zones that could be used to simultaneously extract and/or inject air and water flows. Cycling of various modes of operation was based on detailed monitoring and analysis, which allowed for optimal recovery and biological degradation of contaminants. After only four months of operation, over 4000 kg of petroleum hydrocarbon contaminants had been removed and treated, and all of the mobile liquid hydrocarbons at the water table had been removed. Treatment cost was estimated at $100 to $120 per tonne of contaminated soil, but assuming that the unit could be used at more than one site, the net treatment cost would decrease to $20 to $30 per tonne. 1 ill

Improved simulation design factors for unconventional crude vacuum units : cracked gas make and stripping section performance

Energy Technology Data Exchange (ETDEWEB)

Remesat, D. [Koch-Glitsch Canada LP, Calgary, AB (Canada)

2008-10-15

Operating data for unconventional heavy oil vacuum crude units were reviewed in order to optimize the design of vacuum columns. Operational data from heavy crude vacuum units operating with stripping and velocity were used to investigate the application of a proven vacuum distillation tower simulation topology designed for use with heavy oil and bitumen upgrader feeds. Design factors included a characterization of the crude oils or bitumens processed in the facility; the selection of thermodynamic models; and the non-equilibrium simulation topology. Amounts of generated cracked gas were calculated, and entrainment and stripping section performance was evaluated. Heater designs for ensuring the even distribution of heat flux were discussed. Data sets from vacuum units processing crude oils demonstrated that the amount of offgas flow increased as the transfer line temperature increased. The resulting instability caused increased coke generation and light hydrocarbon formation. Results also indicated that overhead vacuum ejector design and size as well as heat transfer capabilities of quench and pumparound zones must be considered when designing vacuum column units. Steam stripping lowered hydrocarbon partial pressure to allow materials to boil at lower temperatures. It was concluded that setting appropriate entrainment values will ensure the accuracy of sensitivity analyses for transfer line designs, inlet feed devices, and wash bed configurations. 9 refs., figs.

Genetic transformation of barley: limiting factors

Czech Academy of Sciences Publication Activity Database

Vyroubalová, Š.; Šmehilová, M.; Galuszka, P.; Ohnoutková, Ludmila

2011-01-01

Roč. 55, č. 2 (2011), s. 213-224 ISSN 0006-3134 R&D Projects: GA ČR GD522/08/H003; GA MŠk 1M06030 Institutional research plan: CEZ:AV0Z50380511 Keywords : Agrobacterium * albinism * Hordeum Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 1.974, year: 2011

Continuum limit of the leading order HQET form factor in B{sub s}→Klν decays

Energy Technology Data Exchange (ETDEWEB)

Bahr, Felix; Banerjee, Debasish; Koren, Mateusz; Simma, Hubert; Sommer, Rainer [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany). John von Neumann-Inst. fuer Computing NIC; Bernardoni, Fabio [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany). John von Neumann-Inst. fuer Computing NIC; Technische Univ. Dresden (Germany). Medizinische Fakultaet ' ' Carl Gustav Carus' ' ; Joseph, Anosh [Cambridge Univ. (United Kingdom). Dept. of Applied Mathematics and Theoretical Physics (DAMTP); Collaboration: ALPHA Collaboration

2016-01-15

We discuss the computation of form factors for semi-leptonic decays of B-, B{sub s}- mesons in lattice QCD. Considering in particular the example of the static B{sub s} form factors we demonstrate that after non-perturbative renormalization the continuum limit can be taken with confidence. The resulting precision is of interest for extractions of V{sub ub}. The size of the corrections of order 1/m{sub b} is just estimated at present but it is expected that their inclusion does not pose significant difficulties.

32 CFR 536.123 - Limitation of liability for maritime claims.

Science.gov (United States)

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Limitation of liability for maritime claims. 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Maritime Claims § 536.123 Limitation of liability for maritime claims. For admiralty claims arising within the United States under the provisions of the...

32 CFR 536.122 - Limitation of settlement of maritime claims.

Science.gov (United States)

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Limitation of settlement of maritime claims. 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Maritime Claims § 536.122 Limitation of settlement of maritime claims. (a) Within the United States the period of completing an administrative settlement under...

Determination of the Meteor Limiting Magnitude

Science.gov (United States)

Kingery, A.; Blaauw, R.; Cooke, W. J.

2016-01-01

The limiting meteor magnitude of a meteor camera system will depend on the camera hardware and software, sky conditions, and the location of the meteor radiant. Some of these factors are constants for a given meteor camera system, but many change between meteor shower or sporadic source and on both long and short timescales. Since the limiting meteor magnitude ultimately gets used to calculate the limiting meteor mass for a given data set, it is important to have an understanding of these factors and to monitor how they change throughout the night, as a 0.5 magnitude uncertainty in limiting magnitude translates to a uncertainty in limiting mass by a factor of two.

FSF trace heat limit file software. Revision 1

International Nuclear Information System (INIS)

Anglesey, M.O.

1994-01-01

Variable description list containing component identification and other information used by operating software. This file is modified or created by use of FFILER.COM. The variable description list contains: Component Identification: 9 character field; Description: 20 character field: First Drawing: 20 character field; Second Drawing: 20 character field; Terminal Board Number: 1 character field (values of 1 or 2); Terminal Board Slot ampersand Conn number-sign: 7 character field; Cell Number: 3 character field; Hi/Lo Limits: Integer numbers; Rate Limit: Integer numbers; Type of Inst.: J or K TC, coeff inst, off inst.; Offset: Offset for coefficient calculation; COEF: Multiplier to units for coefficient calc; Units: displayed UNITS

Carbapenem-resistant Klebsiella pneumoniae colonization in pediatric and neonatal intensive care units: risk factors for progression to infection.

Science.gov (United States)

Akturk, Hacer; Sutcu, Murat; Somer, Ayper; Aydın, Derya; Cihan, Rukiye; Ozdemir, Aslı; Coban, Asuman; Ince, Zeynep; Citak, Agop; Salman, Nuran

2016-01-01

Little is known about factors associated with carbapenem-resistant Klebsiella pneumoniae infections in pediatric patients, who are initally colonized with carbapenem-resistant Klebsiella pneumoniae. A retrospective case-control study was conducted involving pediatric and neonatal intensive care units throughout a five-year period (January 2010-December 2014). Clinical and microbiological data were extracted from Hospital Infection Control Committee reports and patients' medical records. Risk factors were assessed in carbapenem-resistant Klebsiella pneumoniae colonized patients who developed subsequent systemic infection (cases) and compared to carbapenem-resistant Klebsiella pneumoniae colonized patients who did not develop infection (controls). Throughout the study period, 2.6% of patients admitted to neonatal intensive care units and 3.6% of patients admitted to pediatric intensive care units had become colonized with carbapenem-resistant Klebsiella pneumoniae. After a mean of 10.6±1.9 days (median: 7 days, range: 2-38 days) following detection of colonization, 39.0% of the carbapenem-resistant Klebsiella pneumoniae colonized patients in pediatric intensive care units and 18.1% of carbapenem-resistant Klebsiella pneumoniae colonized patients in neonatal intensive care units developed systemic carbapenem-resistant Klebsiella pneumoniae infection. Types of systemic carbapenem-resistant Klebsiella pneumoniae infections included bacteremia (n=15, 62.5%), ventilator-associated pneumonia (n=4, 16.6%), ventriculitis (n=2, 8.3%), intraabdominal infections (n=2, 8.3%), and urinary tract infection (n=1, 4.1%). A logistic regression model including parameters found significant in univariate analysis of carbapenem resistant Klebsiella pneumoniae colonization and carbapenem resistant Klebsiella pneumoniae infection groups revealed underlying metabolic disease (OR: 10.1; 95% CI: 2.7-37.2), previous carbapenem use (OR: 10.1; 95% CI: 2.2-40.1), neutropenia (OR: 13.8; 95% CI: 3

Universal Beliefs and Specific Practices: Students' Math Self-Efficacy and Related Factors in the United States and China

Science.gov (United States)

Wu, Yin

2016-01-01

This study intends to compare and contrast student and school factors that are associated with students' mathematics self-efficacy in the United States and China. Using hierarchical linear regressions to analyze the Programme for International Student Assessment (PISA) 2012 data, this study compares math self-efficacy, achievement, and variables…

Limited field investigation report for the 100-NR-1 operable unit. Draft A

International Nuclear Information System (INIS)

1994-08-01

This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-NR-1 Source Operable Unit LFI and the associated qualitative risk assessment (QRA), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land-use scenarios. An LFI report is required when waste sites are to be considered for IRM and existing data are insufficient to formulate a conceptual model or perform a QRA. The purpose of the report is to identify those sites that are recommended to remain as candidates for IRM, provide a preliminary summary of site characterization studies, refine the conceptual model as needed, identify potential contaminant and location-specific applicable or relevant and appropriate requirements (ARAR), and provide a qualitative assessment of the risks associated with the sites. This assessment includes consideration of whether contaminant concentrations pose a risk to human health or the environment that warrants action through IRM. Seven sites were intrusively investigated: 1322-N, 116-N-2, 119-N, 120-N-2, 120-N-1, South Settling Pond, and the 166-N Tank Farm (UN-100-N-17) unplanned release at the 166-N Tank Farm. Vadose zone sediments from these sites were sampled and analyzed. Radiological contamination is the primary concern as confirmed through this study

Radiation risk factors and dose limits

International Nuclear Information System (INIS)

Barendsen, G.W.

1979-01-01

The contents of the ICRP publications 9 (1965) and 26 (1977) are outlined and the research conducted during these years considered. Expressions are derived for the frequency for induction of cancer from the most common irradiations - X rays, gamma rays and electrons. The dose limits advised by the ICRP are discussed and the first two fundamental principles are presented - that no one should be subjected to radiation without useful cause and that in those cases where irradiation is thought necessary, the medical, scientific, social and economic advantages need to be carefully considered with respect to the possible disadvantages. (C.F.)

Illness Progression as a Function of Independent and Accumulating Poor Prognosis Factors in Outpatients With Bipolar Disorder in the United States

Science.gov (United States)

Altshuler, Lori L.; Leverich, Gabriele S.; Nolen, Willem A.; Kupka, Ralph; Grunze, Heinz; Frye, Mark A.; Suppes, Trisha; McElroy, Susan L.; Keck, Paul E.; Rowe, Mike

2014-01-01

Objective: Many patients with bipolar disorder in the United States experience a deteriorating course of illness despite naturalistic treatment in the community. We examined a variety of factors associated with this pattern of illness progression. Method: From 1995 to 2002, we studied 634 adult outpatients with bipolar disorder (mean age of 40 years) emanating from 4 sites in the United States. Patients gave informed consent and completed a detailed questionnaire about demographic, vulnerability, and course-of-illness factors and indicated whether their illness had shown a pattern of increasing frequency or severity of manic or depressive episodes. Fifteen factors previously linked in the literature to a poor outcome were examined for their relationship to illness progression using Kruskal-Wallis test, followed by a 2-sample Wilcoxon rank sum (Mann-Whitney) test, χ2, and logistical regression. Results: All of the putative poor prognosis factors occurred with a high incidence, and, with the exception of obesity, were significantly (P bipolar disorder from onset to study entry in adulthood. The identification of these factors provides important targets for earlier and more effective therapeutic intervention in the hope of achieving a more benign course of bipolar disorder. PMID:25834764

Determination of atmospheric dispersion factors in emergency situations in Almirante Alvaro Alberto nuclear power plant - unit 1

International Nuclear Information System (INIS)

Leao, I.L.B.

1987-08-01

The necessity of Knowing the atmospheric dispersion factor, used to obtain the first estimation dose in the public case for accidents with releasing of radioactive material to atmosphere in Almirante Alvaro Alberto nuclear power plant - unit I, lead to the development of a fast and efficient method to determine the dilution factors, in a pre-determined distance from the source, to be used in the dose estimate. The ACID computer program for pocket calculation allow to obtain the meteorological information to evaluate the dose. In this work the mathemathical models used and the program developed are described. (Author) [pt

The NEIL Memory Research Unit: psychosocial, biological, physiological and lifestyle factors associated with healthy ageing: study protocol.

Science.gov (United States)

Hannigan, Caoimhe; Coen, Robert F; Lawlor, Brian A; Robertson, Ian H; Brennan, Sabina

2015-01-01

Population ageing is a global phenomenon that has characterised demographic trends during the 20th and 21st century. The rapid growth in the proportion of older adults in the population, and resultant increase in the incidence of age-related cognitive decline, dementia and Alzheimer's disease, brings significant social, economic and healthcare challenges. Decline in cognitive abilities represents the most profound threat to active and healthy ageing. Current evidence suggests that a significant proportion of cases of age-related cognitive decline and dementia may be preventable through the modification of risk factors including education, depressive symptomology, physical activity, social engagement and participation in cognitively stimulating activities. The NEIL Memory Research Unit cohort study was established to investigate factors related to brain health and the maintenance of cognitive function. A cohort of 1000 normally ageing adults aged 50 years and over are being recruited to participate in comprehensive assessments at baseline, and at follow-up once every 2 years. The assessment protocol comprises a comprehensive neuropsychological battery, some basic physical measures, psychosocial scales, questionnaire measures related to a range of health, lifestyle and behavioural factors, and a measure of resting state activity using electroencephalography (EEG). The NEIL Memory Research Unit cohort study will address key questions about brain health and cognitive ageing in the population aged 50+, with a particular emphasis on the influence of potentially modifiable factors on cognitive outcomes. Analyses will be conducted with a focus on factors involved in the maintenance of cognitive function among older adults, and therefore will have the potential to contribute significant knowledge related to key questions within the field of cognitive ageing, and to inform the development of public health interventions aimed at preventing cognitive decline and promoting

Production of humoral factors that stimulate spleen colony-forming units in mice irradiated with moderate doses of X rays

International Nuclear Information System (INIS)

Grande, T.; Gonzalez, J.; Tejero, C.; Maganto, G.; Bueren, J.A.

1990-01-01

The production of humoral factors that stimulate spleen colony-forming units (CFU-S) has been studied in irradiated mice using an in vivo diffusion chamber assay. The experiments show that a significant release of factors that stimulate CFU-S takes place in the first few days after irradiation with moderate doses of 1.5 or 5 Gy. In contrast, the release of significant amounts of these humoral factors was not seen in animals irradiated with either low (0.75 Gy) or high (10 Gy) doses of X rays. The correlation observed between the production of factors that stimulate the CFU-S and the hemopoietic regeneration kinetics of the irradiated mice suggests that these factors represent part of the physiological regulators controlling the proliferation of CFU-S

Preliminary identification of the bioremediation limiting factors of a clay bearing soil contaminated with crude oil

OpenAIRE

Rizzo, Andréa C. L.; Cunha, Claudia D. da; Santos, Ronaldo L. C.; Santos, Renata M.; Magalhães, Hugo M.; Leite, Selma G. F.; Soriano, Adriana U.

2008-01-01

Bioremediation is an attractive alternative to treat soils contaminated with petroleum hydrocarbons. However, the effectiveness of biodegradation process can be limited by both contaminant characteristics and its bioavailability in soil. This work aims at establishing a preliminary procedure to identify the main factor (hydrocarbon recalcitrance or its bioavailability) that impairs the biodegradation, possibly resulting in low remediation efficiencies. Tests in soil microcosms were carried ou...

Effects of Common Factors on Dynamics of Stocks Traded by Investors with Limited Information Capacity

Directory of Open Access Journals (Sweden)

Songtao Wu

2017-01-01

Full Text Available An artificial stock market with agent-based model is built to investigate effects of different information characteristics of common factors on the dynamics stock returns. Investors with limited information capacity update their beliefs based on the information they have obtained and processed and optimize portfolios based on beliefs. We find that with changing of concerned information characteristics the uncertainty of stock price returns rises and is higher than the uncertainty of intrinsic value returns. However, this increase is constrained by the limited information capacity of investors. At the same time, we also find that dependence between returns of stock prices also increased with the changing information environment. The uncertainty and dependency pertaining to prices show a positive relationship. However, the positive relationship is weakened when taking into account the features of intrinsic values, based on which prices are generated.

Factor structure and sex differences on the Wechsler Preschool and Primary Scale of Intelligence in China, Japan and United States.

Science.gov (United States)

Liu, Jianghong; Lynn, Richard

2011-08-01

This study presents data on the factor structure of the Wechsler Preschool and Primary Scale of Intelligence (WPPSI) and sex and cultural differences in WPPSI test scores among 5- and 6-year-olds from China, Japan, and the United States. Results show the presence of a verbal and nonverbal factor structure across all three countries. Sex differences on the 10 subtests were generally consistent, with a male advantage on a subtest of spatial abilities (Mazes). Males in the Chinese sample obtained significantly higher Full Scale IQ scores than females and had lower variability in their test scores. These observations were not present in the Japan and United States samples. Mean Full Scale IQ score in the Chinese sample was 104.1, representing a 4-point increase from 1988 to 2004.

Plant nuclear factor Y (NF-Y) B subunits confer drought tolerance and lead to improved corn yields on water-limited acres.

Science.gov (United States)

Nelson, Donald E; Repetti, Peter P; Adams, Tom R; Creelman, Robert A; Wu, Jingrui; Warner, David C; Anstrom, Don C; Bensen, Robert J; Castiglioni, Paolo P; Donnarummo, Meghan G; Hinchey, Brendan S; Kumimoto, Roderick W; Maszle, Don R; Canales, Roger D; Krolikowski, Katherine A; Dotson, Stanton B; Gutterson, Neal; Ratcliffe, Oliver J; Heard, Jacqueline E

2007-10-16

Commercially improved crop performance under drought conditions has been challenging because of the complexity of the trait and the multitude of factors that influence yield. Here we report the results of a functional genomics approach that identified a transcription factor from the nuclear factor Y (NF-Y) family, AtNF-YB1, which acts through a previously undescribed mechanism to confer improved performance in Arabidopsis under drought conditions. An orthologous maize transcription factor, ZmNF-YB2, is shown to have an equivalent activity. Under water-limited conditions, transgenic maize plants with increased ZmNF-YB2 expression show tolerance to drought based on the responses of a number of stress-related parameters, including chlorophyll content, stomatal conductance, leaf temperature, reduced wilting, and maintenance of photosynthesis. These stress adaptations contribute to a grain yield advantage to maize under water-limited environments. The application of this technology has the potential to significantly impact maize production systems that experience drought.

Factors associated with admission to the intensive care unit in patients undergoing nephrectomy

Directory of Open Access Journals (Sweden)

L.D. Carrillo-Córdova

2017-10-01

Full Text Available Background: At present, there is no known risk factor analysis in patients undergoing nephrectomy secondary to lithiasis that favor their entry into the intensive care unit. There is no consensus in methods that report post-surgical complications. As a consequence, the reported incidence of complications in renal surgery ranges from 2% to 54%, regardless of the surgical approach. Methodology: A total of 58 patients with diagnosis of renal exclusion confirmed by renal scintigraphy, and lithiasis, were submitted to simple nephrectomy by a group of expert surgeons. A total of 58 patients were evaluated. Descriptive statistics were measured for the demographic variables. Inferential statistics were evaluated in quantitative variables using the Student's T test, with a p < 0.005. Chi square test was used for the qualitative variables. Results: When the multivariate analysis was carried out between the variables: age, weight, height, diabetes mellitus, systemic hypertension, smoking, abscess and transfusion, it was not possible to identify correlation between these and the development of complications or admission to the intensive care unit. However, when assessing by logistic regression the relationship between transfusing a patient and developing complications, a positive relationship was found with a p = 0.003, and an OR 13.45 CI [2.4–72]. Patients who suffered complications required a longer stay in the intensive care unit (p = 0.002. Conclusions: It was observed that patients with comorbidities such as hypertension, diabetes mellitus and anemia are more likely to require handling per unit of intensive care, even greater in those requiring transsurgical transfusion. Because there are not enough studies that relate the different risk factors that require intensive care unit management, a risk classification or transsurgical transfusion indications in these patients cannot yet be mentioned. Resumen: Antecedentes: En la

40 CFR Table 2 to Subpart Jjj of... - Class I Emission Limits for Existing Small Municipal Waste Combustion Limits

Science.gov (United States)

2010-07-01

... Small Municipal Waste Combustion Limits 2 Table 2 to Subpart JJJ of Part 62 Protection of Environment... Combustion Units Constructed on or Before August 30, 1999 Pt. 62, Subpt. JJJ, Table 2 Table 2 to Subpart JJJ of Part 62—Class I Emission Limits for Existing Small Municipal Waste Combustion Limits ER31JA03.006...

Limiting Factors for Agricultural Production and Differentiation of Soil Management in Romania

Science.gov (United States)

Ioana Moraru, Paula; Rusu, Teodor; Bogdan, Ileana; Ioan Pop, Adrian; Pop, Horia

2017-04-01

Romania's land area is 23,839,100 ha; 0.16% of the world's surface. Worldwide, Romania is ranked #83 for areal extent, and it consitutes 4.81% of the Europe's surface (ranked #12). Romania has 14,856,800 ha of agricultural land which represents 62.3% of the total surface; 0.65 ha per capita. At the national level, 72.5% and 27.5% of soils in Romania can be broadly classed as very poor and good/very good, respectively, based on intrinsic soil characteristics, climate, topography, and ground water. Romania has a specific geographical situation, namely: i) Romanian territory is located in the southeast portion of Central Europe at the cross roads of several high and low pressure centers that form regularly at the borders. The influence of these air masses is altered by the presence in the central regions of the Carpathian mountain chain resulting in a diverse climate with average annual rain fall amounts between 350 to 1,400 mm and average annual temperatures between 2 and 11.5°C. ii) At the national level, almost all soils in the international classification system are present in Romania; each soil type having specific properties and characteristics. iii) On approximately 12.5 million ha (7.5 million ha arable), soil fertility is adversely affected by erosion, acidity, low humus content, extreme texture (clay, sand), excessive moisture, chemical pollution etc. These natural and anthropogenic factors dramatically influence agricultural production. Furthermore, soil, climate, topography, etc. vary widely not only across the country, but also on smaller scales, even across fields within the same farm. In Steppe zone limitative climatic factors, which require differentiation towards soil management use, include: long periods of drought, high temperatures, high frequency winds (wind erosion in area of sands), low relative air humidity, and harsh frosts during winter. Negative phenomena most commonly encountered in this area are salinization, excess water, temporary

The lower limit of interval efficiency in Data Envelopment Analysis

Directory of Open Access Journals (Sweden)

Bijan Rahmani Parchikolaei

2015-05-01

Full Text Available In data envelopment analysis technique, the relative efficiency of the homogenous decision making units is calculated. These calculations are done based on the classical model of linear programming such as CCR,BCC,.... Because of maximizing the weighted sum of outputs to that in inputs of one unit under certain conditions, the obtained efficiency in all of these models is the upper limit of exact relative efficiency. In other words, the efficiency is calculatedfrom the optimistic viewpoint. To caculated the lower limit of efficiency, i.e. the efficiency obtained from a pessimistic viewpoint for certain weights, the existing models cannot calculate the exact lower limit and in some cases, there exist some models that show an incorrect lower limit. Through the model introduced in the present study, we can calculate the exact lower limit of the interval efficiency. The designed model can be obtained by minimizing the ratio of weighted sum of outputs to that of inputs for every unit under certion conditions. The exact lower limit can be calculated in all states through our adopted model.

Term limits and the tobacco industry.

Science.gov (United States)

Apollonio, Dorie E; Glantz, Stanton A; Bero, Lisa A

2014-03-01

In the 1990s several American states passed term limits on legislators with the stated intention of reducing the influence of wealthy industries on career legislators. Although term limits in the United States do not have a direct relationship to public health, the tobacco industry anticipated that term limits could have indirect effects by either limiting or expanding industry influence. We detail the strategy of the tobacco industry in the wake of term limits using internal tobacco company documents and a database of campaign contributions made to legislators in term limited states between 1988 and 2002. Despite some expectations that term limits would limit tobacco industry access to state legislators, term limits appear to have had the opposite effect. Copyright © 2013 Elsevier Ltd. All rights reserved.

Major cardiovascular risk factors in Latin America: a comparison with the United States. The Latin American Consortium of Studies in Obesity (LASO.

Directory of Open Access Journals (Sweden)

J Jaime Miranda

Full Text Available Limited knowledge on the prevalence and distribution of risk factors impairs the planning and implementation of cardiovascular prevention programs in the Latin American and Caribbean (LAC region.Prevalence of hypertension, diabetes mellitus, abnormal lipoprotein levels, obesity, and smoking were estimated from individual-level patient data pooled from population-based surveys (1998-2007, n=31,009 from eight LAC countries and from a national survey of the United States (US population (1999-2004 Age and gender specific prevalence were estimated and age-gender adjusted comparisons between both populations were conducted. Prevalence of diabetes mellitus, hypertension, and low high-density lipoprotein (HDL-cholesterol in LAC were 5% (95% confidence interval [95% CI]: 3.4, 7.9, 20.2% (95% CI: 12.5, 31, and 53.3% (95% CI: 47, 63.4, respectively. Compared to LAC region's average, the prevalence of each risk factor tended to be lower in Peru and higher in Chile. LAC women had higher prevalence of obesity and low HDL-cholesterol than men. Obesity, hypercholesterolemia, and hypertriglyceridemia were more prevalent in the US population than in LAC population (31 vs. 16.1%, 16.8 vs. 8.9%, and 36.2 vs. 26.5%, respectively. However, the prevalence of low HDL-cholesterol was higher in LAC than in the US (53.3 vs. 33.7%.Major cardiovascular risk factors are highly prevalent in LAC region, in particular low HDL-cholesterol. In addition, marked differences do exist in this prevalence profile between LAC and the US. The observed patterns of obesity-related risk factors and their current and future impact on the burden of cardiovascular diseases remain to be explained.

Rest life time management of Kozloduy NPPP Unit 3 and 4

International Nuclear Information System (INIS)

Vodenicharov, St.

2002-01-01

The radiation life time of reactor pressure vessel (RPV) is the most important limiting factor for the term of exploitation of the whole power unit. The main degradation mechanism of RPV metal is the neutron induced embrittlement. Processes of radiation ageing running in RPV metal lead to fracture toughness decrease and to increased probability of brittle fracture of the vessel under thermal shocks. This explains the importance of RPV integrity assessment and rest life time management

Multi-scalar influence of weather and climate on very large-fires in the Eastern United States

Science.gov (United States)

John T. Abatzoglou; Renaud Barbero; Crystal A. Kolden; Katherine C. Hegewisch; Narasimhan K. Larkin; Harry Podschwit

2014-01-01

A majority of area burned in the Eastern United States (EUS) results from a limited number of exceptionally large wildfires. Relationships between climatic conditions and the occurrence of very large-fires (VLF) in the EUS were examined using composite and climate-niche analyses that consider atmospheric factors across inter-annual, sub-seasonal and synoptic temporal...

Moisture rivals temperature in limiting photosynthesis by trees establishing beyond their cold-edge range limit under ambient and warmed conditions.

Science.gov (United States)

Moyes, Andrew B; Germino, Matthew J; Kueppers, Lara M

2015-09-01

Climate change is altering plant species distributions globally, and warming is expected to promote uphill shifts in mountain trees. However, at many cold-edge range limits, such as alpine treelines in the western United States, tree establishment may be colimited by low temperature and low moisture, making recruitment patterns with warming difficult to predict. We measured response functions linking carbon (C) assimilation and temperature- and moisture-related microclimatic factors for limber pine (Pinus flexilis) seedlings growing in a heating × watering experiment within and above the alpine treeline. We then extrapolated these response functions using observed microclimate conditions to estimate the net effects of warming and associated soil drying on C assimilation across an entire growing season. Moisture and temperature limitations were each estimated to reduce potential growing season C gain from a theoretical upper limit by 15-30% (c. 50% combined). Warming above current treeline conditions provided relatively little benefit to modeled net assimilation, whereas assimilation was sensitive to either wetter or drier conditions. Summer precipitation may be at least as important as temperature in constraining C gain by establishing subalpine trees at and above current alpine treelines as seasonally dry subalpine and alpine ecosystems continue to warm. © 2015 The Authors. New Phytologist © 2015 New Phytologist Trust.

Is iron a limiting factor of Nodularia spumigena blooms?

Directory of Open Access Journals (Sweden)

Lidia Paczuska

2003-12-01

Full Text Available It is well known that a deficiency of iron, a trace element essential to every living organism, limits the growth of algae and cyanobacteria. Nodularia spumigena Mertens is a blue-green algae species inhabiting the Baltic region that often forms toxic blooms.     The aim of the study was to assess the growth of the toxic cyanobacteria with respect to iron bioavailability. The measured growth parameters were the numbers of cells (optical density, chlorophyll a and pheopigment a concentrations. The iron concentrations used ranged from 10-7 to 10-4 mol dm-3. Under iron stress conditions (<5 × 10-7 mol dm-3, growth inhibition, gradual pigment decay and cell mortality were observed. However, enriching the medium with complexing factors like citric acid and EDTA significantly stimulated the growth rate and chlorophyll a production. The citric acid - EDTA - Fe (5 × 10-7 mol dm-3 complex was demonstrably effective in stimulating the rate of cell division. Starting with 10-6 mol dm-3, the higher the iron(III concentration used in the media, the more intensive the growth of the cyanobacteria populations. This was most rapid in the presence of high iron concentrations (10-4 mol dm-3, regardless of the presence of complexing agents.     It appears that the growth of toxic cyanobacteria N. spumigena, and thus also its ability to form blooms, may well depend on iron availability in the environment.

Prognostic factors for patients with inoperable non-small cell lung cancer, limited disease

International Nuclear Information System (INIS)

Kaasa, S.; Mastekaasa, A.; Lund, E.

1989-01-01

In a prospective controlled clinical trial, 102 patients with inoperable non-small lung cancer (NSCLC), limited disease, stage II and III were treated with combination chemotherapy, cisplatin 70 mg/m 2 i.v. on day one and etoposide 100 mg/m 2 i.v. on day one, and etoposide 200 mg/m 2 orally on days 2 and 3, or radiotherapy given in 15 fractions of 2.8 Gy with two anterior/posterior fields during a period of three weeks. The patients completed a validated self-administered questionnaire before the start of treatment that assessed their psychosocial well-being, disease-related symptoms, personal functioning, and every day activity. These subjective varibles were evaluated together with treatment modality, WHO performance status, weight loss, and stage of disease, with regard to their value in predicting survival. Univariate survival analyses were undertaken for each individual factor, median survival was calculated according to life-table analyses. A step-wise multiple regression analysis was used to measure the prognostic value of the various factors. In the univariate analysis, general symptons (p=0.0006) psychosocial well-being (p=0.0002) and stage of disease (p=0.007) were the best predictive factors. In the multiple regression analyses the subjective variables, general symptons (p<0.01) and psychosocial well-being (p<0.05) were shown to have the best predictive value for the patients' survival. (author). 20 refs.; 4 figs.; 3 tabs

77 FR 69548 - Price for the 2012 Limited Edition Silver Proof SetTM

Science.gov (United States)

2012-11-19

... DEPARTMENT OF THE TREASURY United States Mint Price for the 2012 Limited Edition Silver Proof Set TM AGENCY: United States Mint, Department of the Treasury. ACTION: Notice. SUMMARY: The United States Mint is announcing a price of $149.95 for the 2012 Limited Edition Silver Proof Set TM . FOR FURTHER...

Usage of medium-scale space images and GIS in analyzing the agriculture production limiting factors at the Northwestern coast, Egypt

Science.gov (United States)

Gad, A.

2009-04-01

The northwestern coast of Egypt is characterized by an international interest due to its history and magnificent environment. The area was known as being the bread basket during the Greek and Roman periods. Recently, drastic changes in land use resulting in destructing many of water harvesting tools, thus diminution of the agriculture importance. Restoration of the area and planning self sufficient communities needs to develop a sustainable land resources database for these regions. The medium scale space data provide a spatial resolution of 30 meters, in addition to multi-temporal imaging. Moreover, Geographic Information System (GIS) permits to store, merge, and manipulate the huge amounts of thematic maps and attribute data. A number of 7 Landsat ETM scenes covering the whole northwestern coast of Egypt were acquired and merged. ERDAS-IMAGINE software was used for image processing and analyzing. A number of 53 topographic maps at scale 1:50000 were used to input GIS thematic layers relevant to land resources, using Arc_GIS 9.2 system. Field investigation was carried out to represent different soil units and collect ground control points. Chemical and physical soil properties were determined, upon which soil classification was based. MicroLEIS system was employed to define soil restrictive elements for the local common agricultural practices. (i.e. cultivation of olives, peach, wheat, beans, and sunflower crops). The results showed that the presence of Calcic, Petrogypsic and Salic horizons are responsible for the problems of water logging, hard workability and secondary salinization. The identified great groups include Torripsamments, Torriorthents, Haplosalids, Petrogypsids and Haplocalcids. Soils of the alluvial fans and watershed basins are deep to moderately deep with a texture ranging between fine sand to clay loam. The salinity is relatively low (EC is +/- 2 dS/m) whereas the CaCO3 content is mostly over 8 %. The limiting factors found in the piedmont and

Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units.

Science.gov (United States)

Meneses, Tatiana Mota Xavier de; Oliveira, Maria Inês Couto de; Boccolini, Cristiano Siqueira

To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05). 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09). Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation. Copyright © 2017. Published by Elsevier Editora Ltda.

The evolution of American nuclear doctrine 1945-1980: from massive retaliation to limited nuclear war

International Nuclear Information System (INIS)

Richani, N.

1983-01-01

This thesis attempts to demonstrate the evolutionary character of American nuclear doctrine from the beginning of the nuclear age in 1945 until 1980. It also aims at disclosing some of the most important factors that contributed to the doctrine's evolution, namely, technological progress and developments in weaponry and the shifts that were taking place in the correlation of forces between the two superpowers, the Soviet Union and the United States. The thesis tries to establish the relation, if any, between these two variables (technology and balance of forces) and the evolution of the doctrine from Massive Retaliation to limited nuclear war. There are certainly many other factors which influenced military doctrine, but this thesis focuses on the above mentioned factors. touching on others when it was thought essential.The thesis concludes by trying to answer the question of whether the purpose of the limited nuclear war doctrine is to keep the initiative in US hands, that is putting itself on the side with the positive purpose, or not. Refs

The evolution of American nuclear doctrine 1945-1980: from massive retaliation to limited nuclear war

Energy Technology Data Exchange (ETDEWEB)

Richani, N [Public Administration Dpt. American Univ. of Beirut (Lebanon)

1983-12-31

This thesis attempts to demonstrate the evolutionary character of American nuclear doctrine from the beginning of the nuclear age in 1945 until 1980. It also aims at disclosing some of the most important factors that contributed to the doctrine`s evolution, namely, technological progress and developments in weaponry and the shifts that were taking place in the correlation of forces between the two superpowers, the Soviet Union and the United States. The thesis tries to establish the relation, if any, between these two variables (technology and balance of forces) and the evolution of the doctrine from Massive Retaliation to limited nuclear war. There are certainly many other factors which influenced military doctrine, but this thesis focuses on the above mentioned factors. touching on others when it was thought essential.The thesis concludes by trying to answer the question of whether the purpose of the limited nuclear war doctrine is to keep the initiative in US hands, that is putting itself on the side with the positive purpose, or not. Refs.

Test results of fault current limiter using YBCO tapes with shunt protection

Energy Technology Data Exchange (ETDEWEB)

Baldan, Carlos A; Lamas, Jerika S; Shigue, Carlos Y [Escola de Engenharia de Lorena, EEL USP, Lorena - SP (Brazil); Filho, Ernesto Ruppert, E-mail: cabaldan@gmail.co [Faculdade de Engenharia Eletrica, FEEC Unicamp, Campinas - SP (Brazil)

2010-06-01

A Fault Current Limiter (FCL) based on high temperature superconducting elements with four tapes in parallel were designed and tested in 220 V line for a fault current peak between 1 kA to 4 kA. The elements employed second generation (2G) HTS tapes of YBCO coated conductor with stainless steel reinforcement. The tapes were electrically connected in parallel with effective length of 0.4 m per element (16 elements connected in series) constituting a single-phase unit. The FCL performance was evaluated through over-current tests and its recovery characteristics under load current were analyzed using optimized value of the shunt protection. The projected limiting ratio achieved a factor higher than 4 during fault of 5 cycles without degradation. Construction details and further test results will be shown in the paper.

48 CFR 750.7107 - Limitations upon exercise of authority.

Science.gov (United States)

2010-10-01

... Actions To Protect Foreign Policy Interests of the United States 750.7107 Limitations upon exercise of... action is necessary to protect the foreign policy interests of the United States; (2) Unless other legal...

Clinical Features, Short-Term Mortality, and Prognostic Risk Factors of Septic Patients Admitted to Internal Medicine Units

Science.gov (United States)

Mazzone, Antonino; Dentali, Francesco; La Regina, Micaela; Foglia, Emanuela; Gambacorta, Maurizia; Garagiola, Elisabetta; Bonardi, Giorgio; Clerici, Pierangelo; Concia, Ercole; Colombo, Fabrizio; Campanini, Mauro

2016-01-01

Abstract Only a few studies provided data on the clinical history of sepsis within internal Medicine units. The aim of the study was to assess the short-term mortality and to evaluate the prognostic risk factors in a large cohort of septic patients treated in internal medicine units. Thirty-one internal medicine units participated to the study. Within each participating unit, all admitted patients were screened for the presence of sepsis. A total of 533 patients were included; 78 patients (14.6%, 95%CI 11.9, 18.0%) died during hospitalization; mortality rate was 5.5% (95% CI 3.1, 9.6%) in patients with nonsevere sepsis and 20.1% (95%CI 16.2, 28.8%) in patients with severe sepsis or septic shock. Severe sepsis or septic shock (OR 4.41, 95%CI 1.93, 10.05), immune system weakening (OR 2.10, 95%CI 1.12, 3.94), active solid cancer (OR 2.14, 95% CI 1.16, 3.94), and age (OR 1.03 per year, 95% CI 1.01, 1.06) were significantly associated with an increased mortality risk, whereas blood culture positive for Escherichia coli was significantly associated with a reduced mortality risk (OR 0.46, 95%CI 0.24, 0.88). In-hospital mortality of septic patients treated in internal medicine units appeared similar to the mortality rate obtained in recent studies conducted in the ICU setting. PMID:26825876

Comprehensive transportation risk assessment system based on unit-consequence factors

International Nuclear Information System (INIS)

Biwer, B.M.; Monette, F.A.; LePoire, D.J.; Chen, S.Y.

1994-01-01

The U.S. Department of Energy (DOE) Environmental Restoration and Waste Management Programmatic Environmental Impact Statement requires a comprehensive transportation risk analysis of radioactive waste shipments for large shipping campaigns. Thousands of unique shipments involving truck and rail transport must be analyzed; a comprehensive risk analysis is impossible with currently available methods. Argonne National Laboratory developed a modular transportation model that can handle the demands imposed by such an analysis. The modular design of the model facilitates the simple addition/updating of transportation routes and waste inventories, as required, and reduces the overhead associated with file maintenance and quality assurance. The model incorporates unit-consequences factors generated with the RADTRAN 4 transportation risk analysis code that are combined with an easy-to-use, menu-driven interface on IBM-compatible computers running under DOS. User selection of multiple origin/destination site pairs for the shipment of multiple radioactive waste inventories is permitted from pop-up lists. Over 800 predefined routes are available among more than 30 DOE sites and waste inventories that include high-level waste, spent nuclear fuel, transuranic waste, low-level waste, low-level mixed waste, and greater-than-Class C waste

50 CFR 300.132 - Lobster harvest limitations.

Science.gov (United States)

2010-10-01

... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Lobster harvest limitations. 300.132... FISHERIES REGULATIONS Vessels of the United States Fishing in Colombian Treaty Waters § 300.132 Lobster harvest limitations. (a) Berried lobsters. A berried (egg-bearing) lobster in treaty waters may not be...

Detector limitations, STAR

Energy Technology Data Exchange (ETDEWEB)

Underwood, D. G.

1998-07-13

Every detector has limitations in terms of solid angle, particular technologies chosen, cracks due to mechanical structure, etc. If all of the presently planned parts of STAR [Solenoidal Tracker At RHIC] were in place, these factors would not seriously limit our ability to exploit the spin physics possible in RHIC. What is of greater concern at the moment is the construction schedule for components such as the Electromagnetic Calorimeters, and the limited funding for various levels of triggers.

Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

Directory of Open Access Journals (Sweden)

Karien Jooste

2013-03-01

Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

Directory of Open Access Journals (Sweden)

Karien Jooste

2013-01-01

Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

Fundamental limits on quantum dynamics based on entropy change

Science.gov (United States)

Das, Siddhartha; Khatri, Sumeet; Siopsis, George; Wilde, Mark M.

2018-01-01

It is well known in the realm of quantum mechanics and information theory that the entropy is non-decreasing for the class of unital physical processes. However, in general, the entropy does not exhibit monotonic behavior. This has restricted the use of entropy change in characterizing evolution processes. Recently, a lower bound on the entropy change was provided in the work of Buscemi, Das, and Wilde [Phys. Rev. A 93(6), 062314 (2016)]. We explore the limit that this bound places on the physical evolution of a quantum system and discuss how these limits can be used as witnesses to characterize quantum dynamics. In particular, we derive a lower limit on the rate of entropy change for memoryless quantum dynamics, and we argue that it provides a witness of non-unitality. This limit on the rate of entropy change leads to definitions of several witnesses for testing memory effects in quantum dynamics. Furthermore, from the aforementioned lower bound on entropy change, we obtain a measure of non-unitarity for unital evolutions.

R-Factor for the Coterminous United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The rainfall-runoff erosivity factor (R-Factor) quantifies the effects of raindrop impacts and reflects the amount and rate of runoff associated with the rain. The...

Four-loop photon quark form factor and cusp anomalous dimension in the large-N{sub c} limit of QCD

Energy Technology Data Exchange (ETDEWEB)

Henn, Johannes [PRISMA Cluster of Excellence, Johannes Gutenberg University, 55099 Mainz (Germany); Lee, Roman N. [Budker Institute of Nuclear Physics, 630090 Novosibirsk (Russian Federation); Institut für Theoretische Teilchenphysik, Karlsruhe Institute of Technology (KIT), 76128 Karlsruhe (Germany); Smirnov, Alexander V. [Research Computing Center, Moscow State University, 119991 Moscow (Russian Federation); Smirnov, Vladimir A. [Skobeltsyn Institute of Nuclear Physics of Moscow State University, 119991 Moscow (Russian Federation); Institut für Theoretische Teilchenphysik, Karlsruhe Institute of Technology (KIT), 76128 Karlsruhe (Germany); Steinhauser, Matthias [Institut für Theoretische Teilchenphysik, Karlsruhe Institute of Technology (KIT), 76128 Karlsruhe (Germany)

2017-03-27

We compute the four-loop QCD corrections to the massless quark-anti-quark-photon form factor F{sub q} in the large-N{sub c} limit. From the pole part we extract analytic expressions for the corresponding cusp and collinear anomalous dimensions.

[Limitation of Vital Support in a Chilean Pediatric Intensive Care Unit: 2004-2014].

Science.gov (United States)

von Dessauer, Bettina; Benavente, Carmen; Monje, Emilia; Bongain, Jazmina; Ordenes, Nadia

2017-12-01

Describe the frequency and characteristics of PICU patients who undergo a process of withholding or withdrawing life-sustaining treatment (LTSV), between 2004 y 2014. A retrospective, observational descriptive study, using two documents for quality assessment in the PICU of Hospital Roberto del Río: 1) daily individual patient tracking log and 2) daily record of quality indicators, including LTSV, both updated daily at the morning visit. All PICU patients with an ethical dilemma during their PICU stay in which a LTSV was proposed were included. We men tion patients rejected for admission in the ICU and those who died in basic units of the hospital with LTSV. In 118 patients of 7821 PICU admissions (1,5%) we determined a LTSV: ONR (Non Resuscitation Order) for all of them, ONI (Non Innovation Order) in 78,8%, withdrawal of some therapeutics in 14,4% and withdrawal of active mechanical ventilation in 6,8%. The basic diagnosis was 23,7% for each neurologic and oncologic diseases. The predominant pathophysiologic condition leading to a LTSV was severe chronic neurologic damage (39%). The length of stay was threefold the mean PICU stay, with a large variability due to expectable individual factors when ethic decisions are involved. LTSV is feasible when the team is involved and this perspective is part of daily clinical analysis. The wide individual variability in the LTSV process is expectable in ethical decisions.

Limited resources of genome sequencing in developing countries: Challenges and solutions

Directory of Open Access Journals (Sweden)

Mohamed Helmy

2016-06-01

Full Text Available The differences between countries in national income, growth, human development and many other factors are used to classify countries into developed and developing countries. There are several classification systems that use different sets of measures and criteria. The most common classifications are the United Nations (UN and the World Bank (WB systems. The UN classification system uses the UN Human Development Index (HDI, an indicator that uses statistic of life expectancy, education, and income per capita for countries' classification. While the WB system uses gross national income (GNI per capita that is calculated using the World Bank Atlas method. According to the UN and WB classification systems, there are 151 and 134 developing countries, respectively, with 89% overlap between the two systems. Developing countries have limited human development, and limited expenditure in education and research, among several other limitations. The biggest challenge facing genomic researchers and clinicians is limited resources. As a result, genomic tools, specifically genome sequencing technologies, which are rapidly becoming indispensable, are not widely available. In this report, we explore the current status of sequencing technologies in developing countries, describe the associated challenges and emphasize potential solutions.

Gamma: A C++ Sound Synthesis Library Further Abstracting the Unit Generator

DEFF Research Database (Denmark)

Putnam, Lance Jonathan

2014-01-01

Gamma is a C++ library for sound synthesis that was created to address some of the limitations of existing sound synthesis libraries. The first limitation is that unit generators cannot easily be organized into separate sampling domains. This makes it difficult to use unit generators with different...... sample rates and in other domains, namely the frequency domain. The second limitation is that certain internal unit generator algorithms, such as interpolation, cannot be customized. This tends to lead to closed architectures consisting of multiple unit generators with only slight algorithmic differences...

Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units,

Directory of Open Access Journals (Sweden)

Tatiana Mota Xavier de Meneses

Full Text Available Abstract Objective: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. Methods: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p ≤ 0.05. Results: 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR = 7.06, receiving information on breast milk expression by the primary health care unit (APR = 3.65, and receiving help from the unit professionals to breastfeed (APR = 2.24 were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR = 0.09. Conclusions: Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation.

Accuracy of the Temperature-Vegetation Dryness Index using MODIS under water-limited vs. energy-limited evapotranspiration conditions

DEFF Research Database (Denmark)

Garcia, Monica; Fernández, N.; Villagarcía, L.

2014-01-01

surface fluxes using MODIS data; and (ii) provide insights about the factors most affecting the accuracy of results. Factors considered included the type of climatic control on evapotranspiration, λE, (i.e. water-limited vs. energy-limited), the quality of Tair estimates, the heterogeneity of land cover...

Major Cardiovascular Risk Factors in Latin America: A Comparison with the United States. The Latin American Consortium of Studies in Obesity (LASO)

Science.gov (United States)

Chirinos, Julio A.; Gómez, Luis F.; Perel, Pablo; Pichardo, Rafael; González, Angel; Sánchez, José R.; Ferreccio, Catterina; Aguilera, Ximena; Silva, Eglé; Oróstegui, Myriam; Medina-Lezama, Josefina; Pérez, Cynthia M.; Suárez, Erick; Ortiz, Ana P.; Rosero, Luis; Schapochnik, Noberto; Ortiz, Zulma; Ferrante, Daniel; Casas, Juan P.

2013-01-01

Background Limited knowledge on the prevalence and distribution of risk factors impairs the planning and implementation of cardiovascular prevention programs in the Latin American and Caribbean (LAC) region. Methods and Findings Prevalence of hypertension, diabetes mellitus, abnormal lipoprotein levels, obesity, and smoking were estimated from individual-level patient data pooled from population-based surveys (1998–2007, n = 31,009) from eight LAC countries and from a national survey of the United States (US) population (1999–2004) Age and gender specific prevalence were estimated and age-gender adjusted comparisons between both populations were conducted. Prevalence of diabetes mellitus, hypertension, and low high-density lipoprotein (HDL)-cholesterol in LAC were 5% (95% confidence interval [95% CI]: 3.4, 7.9), 20.2% (95% CI: 12.5, 31), and 53.3% (95% CI: 47, 63.4), respectively. Compared to LAC region’s average, the prevalence of each risk factor tended to be lower in Peru and higher in Chile. LAC women had higher prevalence of obesity and low HDL-cholesterol than men. Obesity, hypercholesterolemia, and hypertriglyceridemia were more prevalent in the US population than in LAC population (31 vs. 16.1%, 16.8 vs. 8.9%, and 36.2 vs. 26.5%, respectively). However, the prevalence of low HDL-cholesterol was higher in LAC than in the US (53.3 vs. 33.7%). Conclusions Major cardiovascular risk factors are highly prevalent in LAC region, in particular low HDL-cholesterol. In addition, marked differences do exist in this prevalence profile between LAC and the US. The observed patterns of obesity-related risk factors and their current and future impact on the burden of cardiovascular diseases remain to be explained. PMID:23349785

Factors affecting stream nutrient loads: A synthesis of regional SPARROW model results for the continental United States

Science.gov (United States)

Preston, Stephen D.; Alexander, Richard B.; Schwarz, Gregory E.; Crawford, Charles G.

2011-01-01

We compared the results of 12 recently calibrated regional SPARROW (SPAtially Referenced Regressions On Watershed attributes) models covering most of the continental United States to evaluate the consistency and regional differences in factors affecting stream nutrient loads. The models - 6 for total nitrogen and 6 for total phosphorus - all provide similar levels of prediction accuracy, but those for major river basins in the eastern half of the country were somewhat more accurate. The models simulate long-term mean annual stream nutrient loads as a function of a wide range of known sources and climatic (precipitation, temperature), landscape (e.g., soils, geology), and aquatic factors affecting nutrient fate and transport. The results confirm the dominant effects of urban and agricultural sources on stream nutrient loads nationally and regionally, but reveal considerable spatial variability in the specific types of sources that control water quality. These include regional differences in the relative importance of different types of urban (municipal and industrial point vs. diffuse urban runoff) and agriculture (crop cultivation vs. animal waste) sources, as well as the effects of atmospheric deposition, mining, and background (e.g., soil phosphorus) sources on stream nutrients. Overall, we found that the SPARROW model results provide a consistent set of information for identifying the major sources and environmental factors affecting nutrient fate and transport in United States watersheds at regional and subregional scales. ?? 2011 American Water Resources Association. This article is a U.S. Government work and is in the public domain in the USA.

Pengalokasian Tenaga Kerja dengan Human Factor Engineering di PT. Pelindo I

Directory of Open Access Journals (Sweden)

Yusnawati Yusnawati

2017-05-01

Full Text Available Indonesia Port Corporation I (PT Pelabuhan Indonesia I (Persero or PT. Pelindo I is one of the Indonesian state-owned enterprises which manages port services in western Indonesia. Shipyard unit (Unit Galangan Kapal (UGK is a branch of PT. Pelindo I. At present, a problem arises if more than 2 ships are being repaired at once in the unit, UGK scheduling overlaps the repairing activities. In order to solve the problem, study of human factor is important. Human factor is the study of the limitations, capabilities, and human behavior, as well as its interaction with the product, environment, equipment and the establishment of tasks and activities. One part of the human factor is the human factor in system design. In order to improve the effectiveness of the system, the human factor must be involved in each phase of the design process in the system design. This includes a number of activities to obtain input specification work, therefore the working methods and the optimal amount of labor can be determined. Human factors engineering is the application of science that utilizes research on the human factor and use the basic knowledge to design, to repair and to install the system. This research method is causal, searching for the causes which led to delays in the completion of ship repairing. Through human factor engineering approach to the allocation of labor increased by 12.23 per cent of the actual conditions, so that the delay of ship repair were not found during normal conditions.

[Pneumocystis jiroveci pneumonia: Clinical characteristics and mortality risk factors in an Intensive Care Unit].

Science.gov (United States)

Solano L, M F; Alvarez Lerma, F; Grau, S; Segura, C; Aguilar, A

2015-01-01

To describe the epidemiological characteristics of the population with Pneumocystis jiroveci (P. jiroveci) pneumonia, analyzing risk factors associated with the disease, predisposing factors for admission to an intensive care unit (ICU), and prognostic factors of mortality. A retrospective observational study was carried out, involving a cohort of patients consecutively admitted to a hospital in Spain from 1 January 2007 to 31 December 2011, with a final diagnosis of P. jiroveci pneumonia. The ICU and hospitalization service of Hospital del Mar, Barcelona (Spain). We included 36 patients with pneumonia due to P. jiroveci. Of these subjects, 16 required ICU admission (44.4%). The average age of the patients was 41.3 ± 12 years, and 23 were men (63.9%). A total of 86.1% had a history of human immunodeficiency virus (HIV) infection, and the remaining 13.9% presented immune-based disease subjected to immunosuppressive therapy. Risk factors associated to hospital mortality were age (51.8 vs. 37.3 years, P=.002), a higher APACHE score upon admission (17 vs. 13 points, P=.009), the need for invasive mechanical ventilation (27.8% vs. 11.1%, P=.000), requirement of vasoactive drugs (25.0% vs. 11.1%, P=.000), fungal coinfection (22.2% vs. 11.1%, P=.001), pneumothorax (16.7% vs. 83.3%, P=.000) and admission to the ICU (27.8% vs. 72.2% P=.000). The high requirement of mechanical ventilation and vasoactive drugs associated with fungal coinfection and pneumothorax in patients admitted to the ICU remain as risk factors associated with mortality in patients with P. jiroveci pneumonia. Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

[Factors related to nurses' patient identification behavior and the moderating effect of person-organization value congruence climate within nursing units].

Science.gov (United States)

Kim, Young Mee; Kang, Seung Wan; Kim, Se Young

2014-04-01

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used. A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed. The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high. This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

Mercury in United Kingdom topsoils; concentrations, pools, and Critical Limit exceedances

Energy Technology Data Exchange (ETDEWEB)

Tipping, E., E-mail: et@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Poskitt, J.M.; Lawlor, A.J.; Wadsworth, R.A. [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Norris, D.A.; Hall, J.R. [Centre for Ecology and Hydrology, Bangor, Gwynedd LL57 2UW (United Kingdom)

2011-12-15

The median total mercury concentration in 898 UK rural topsoils, sampled between 1998 and 2008, was 0.095 {mu}g g{sup -1}. Approximate adjustment for unreactive metal produced an estimate of 0.052 {mu}g g{sup -1} for reactive Hg. The highest concentrations were in the north and west, where organic-rich soils with low bulk densities dominate, but the spatial pattern was quite different if soil Hg pools (mg m{sup -2}) were considered, the highest values being near to the industrial north of England and London. Possible toxic effects of Hg were best evaluated by comparison with soil Critical Limits expressed as ratios of Hg to soil organic matter, or soil solution Hg{sup 2+} concentrations, estimated by chemical speciation modelling. Only a few percent of the rural UK soils showed exceedance, and this also applied to rural soils from the whole of Europe. UK urban and industrial soils had higher Hg concentrations and more cases of exceedance. - Highlights: > Concentrations of Hg in rural soils are highest near to industrial areas and London. > Mercury is strongly associated with soil organic matter. > Only a few percent of UK rural soils have Hg levels higher than Critical Limits. > Critical Limit exceedances are found for 15-30% of urban and industrial soils. - Mercury contents of 898 UK and 868 European rural soils are largely lower than Critical Limit values, but appreciable numbers of soils in UK urban and industrial areas show exceedance.

The British Nuclear Fuels Limited (Payment and Loan Limit) Order 1976 No.1298

International Nuclear Information System (INIS)

1976-01-01

Sections 11(4) and 12(1) of the Atomic Energy Authority Act 1971 authorise the Secretary of State for Energy (with the consent of the Treasury) to subscribe for shares in British Nuclear Fuels Limited and (with the approval of the Treasury) to make loans to the Company. Section 13 of the Act imposes an overall limit on the total amounts which may be paid or lent to that Company by the Secretary of State or by the United Kingdom Atomic Energy Authority, or both collectively, of Pound 50 million, which may be increased to such greater sum not exceeding Pound 75 million as may be specified by the Secretary of State by order. This Order increases the limit to Pound 75 million. (G.B.) [fr

Time Limits : Effects on Recall

OpenAIRE

Hirano, Kinue

2000-01-01

This study investigates the effects of differing time limits and the level of language proficiency on the written recalls of 66 Japanese EFL undergraduates. Results showed that different time limits affected total recall, but not main ideas recalled. Regardless of proficiency level, the 20-minute group (Group 2) recalled a greater number of idea units than the 8-minute group (Group 1). However, no significant difference was found between Groups 1 and 2 regarding the recall of main ideas, alth...

Infection control in the intensive care unit.

Science.gov (United States)

Osman, Mohamed F; Askari, Reza

2014-12-01

It is critical for health care personnel to recognize and appreciate the detrimental impact of intensive care unit (ICU)-acquired infections. The economic, clinical, and social expenses to patients and hospitals are overwhelming. To limit the incidence of ICU-acquired infections, aggressive infection control measures must be implemented and enforced. Researchers and national committees have developed and continue to develop evidence-based guidelines to control ICU infections. A multifaceted approach, including infection prevention committees, antimicrobial stewardship programs, daily reassessments-intervention bundles, identifying and minimizing risk factors, and continuing staff education programs, is essential. Infection control in the ICU is an evolving area of critical care research. Copyright © 2014 Elsevier Inc. All rights reserved.

Limited clinical efficacy of azacitidine in transfusion-dependent, growth factor-resistant, low- and Int-1-risk MDS: Results from the nordic NMDSG08A phase II trial

International Nuclear Information System (INIS)

Tobiasson, M; Dybedahl, I; Holm, M S; Karimi, M; Brandefors, L; Garelius, H; Grövdal, M; Högh-Dufva, I; Grønbæk, K; Jansson, M; Marcher, C; Nilsson, L; Kittang, A O; Porwit, A; Saft, L; Möllgård, L; Hellström-Lindberg, E

2014-01-01

This prospective phase II study evaluated the efficacy of azacitidine (Aza)+erythropoietin (Epo) in transfusion-dependent patients with lower-risk myelodysplastic syndrome (MDS). Patients ineligible for or refractory to full-dose Epo+granulocyte colony stimulation factors for >8 weeks and a transfusion need of ⩾4 units over 8 weeks were included. Aza 75 mg m −2 d −1 , 5/28 days, was given for six cycles; non-responding patients received another three cycles combined with Epo 60 000 units per week. Primary end point was transfusion independence (TI). All patients underwent targeted mutational screen for 42 candidate genes. Thirty enrolled patients received ⩾one cycle of Aza. Ten patients discontinued the study early, 7 due to adverse events including 2 deaths. Thirty-eight serious adverse events were reported, the most common being infection. Five patients achieved TI after six cycles and one after Aza+Epo, giving a total response rate of 20%. Mutational screening revealed a high frequency of recurrent mutations. Although no single mutation predicted for response, SF3A1 (n=3) and DNMT3A (n=4) were only observed in non-responders. We conclude that Aza can induce TI in severely anemic MDS patients, but efficacy is limited, toxicity substantial and most responses of short duration. This treatment cannot be generally recommended in lower-risk MDS. Mutational screening revealed a high frequency of mutations

The influence of the key limiting factors on the limitations of heat transfer in heat pipes with various working fluids

Directory of Open Access Journals (Sweden)

Melnyk R. S.

2017-04-01

Full Text Available Aluminium and copper heat pipes with grooved and metal fibrous capillary structure are high effective heat transfer devices. They are used in different cooling systems of electronic equipment like a LED modules, microprocessors, receive-transmit modules and so on. However thus heat pipes have heat transfer limitations. There are few types of this limitations: hydraulic limitation, boiling limitation, liquid entrainment by vapor flow and sonic limitation. There is necessity to know which one of these limitations is determinant for heat pipe due to design process. At a present article calculations of maximum heat transfer ability represented. All these calculations were made for LED cooling by using heat pipes with grooved and metal fibrous capillary structures. Pentane, acetone, isobutane and water were used as a coolants. It was shown that the main operation limit for axial grooved heat pipe, which determinate maximum heat transfer ability due to inclination angle for location of cooling zone higher than evaporation zone case, is entrainment limit for pentane and acetone coolants. Nevertheless, for isobutane coolant the main limitation is a boiling limit. However, for heat pipes with metal fibrous capillary structure the main limitation is a capillary limit. This limitation was a determinant for all calculated coolants: water, pentane and acetone. For high porosity range of capillary structure, capillary limit transfer to sonic limit for heat pipes with water, that means that the vapor velocity increases to sonic velocity and can't grow any more. Due to this, coolant cant in a needed quantity infill condensation zone and the last one drained. For heat pipes with acetone and pentane, capillary limit transfer to boiling limit. All calculations were made for vapor temperature equal to 50°C, and for porosity range from 30% to 90%.

Limit lines for risk

International Nuclear Information System (INIS)

Cox, D.C.; Baybutt, P.

1982-01-01

Approaches to the regulation of risk from technological systems, such as nuclear power plants or chemical process plants, in which potential accidents may result in a broad range of adverse consequences must take into account several different aspects of risk. These include overall or average risk, accidents posing high relative risks, the rate at which accident probability decreases with increasing accident consequences, and the impact of high frequency, low consequence accidents. A hypothetical complementary cumulative distribution function (CCDF), with appropriately chosen parametric form, meets all these requirements. The Farmer limit line, by contrast, places limits on the risks due to individual accident sequences, and cannot adequately account for overall risk. This reduces its usefulness as a regulatory tool. In practice, the CCDF is used in the Canadian nuclear licensing process, while the Farmer limit line approach, supplemented by separate qualitative limits on overall risk, is employed in the United Kingdom

31 CFR 223.11 - Limitation of risk: Protective methods.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Limitation of risk: Protective methods. 223.11 Section 223.11 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.11 Limitation of risk: Protective methods. The limitation of risk...

Theory of factors limiting high gradient operation of warm accelerating structures

Energy Technology Data Exchange (ETDEWEB)

Nusinovich, Gregory S. [University of Maryland; Antonsen, Thomas M. [University of Maryland; Kishek, Rami [University of Maryland

2014-07-25

This final report summarizes the research performed during the time period from 8/1/2010 to 7/31/2013. It consists of two parts describing our studies in two directions: (a) analysis of factors limiting operation of dielectric-loaded accelerating (DLA) structures where the main problem is the occurrence of multipactor on dielectric surfaces, and (b) studies of effects associated with either RF magnetic or RF electric fields which may cause the RF breakdown in high-gradient metallic accelerating structures. In the studies of DLA structures, at least, two accomplishments should be mentioned: the development of a 3D non-stationary, self-consistent code describing the multipactor phenomena and yielding very good agreement with some experimental data obtained in joint ANL/NRL experiments. In the metallic structures, such phenomena as the heating and melting of micro-particles (metallic dust) by RF electric and magnetic fields in single-shot and rep-rate regimes is analyzed. Also, such processes in micro-protrusions on the structure surfaces as heating and melting due to the field emitted current and the Nottingham effect are thoroughly investigated with the account for space charge of emitted current on the field emission from the tip.

Personal risk factors for carpal tunnel syndrome in female visual display unit workers

Directory of Open Access Journals (Sweden)

Matteo Riccò

2016-12-01

Full Text Available Objectives: Carpal tunnel syndrome (CTS is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU. The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy. Material and Methods: Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38.14±7.81 years, mean working age 12.9±7.24 years. Signs and symptoms were collected during compulsory occupational medical surveillance. The binary logistic regression was used to estimate adjusted odds ratios for the factors of interest. Results: Diagnosis of CTS was reported in 48 cases (7.6%, 11 of them or 1.7% after a surgical correction for the incidence of 5.94/1000 person-years. In general, signs and symptoms of CTS were associated with the following demographic factors: previous trauma of upper limb (adjusted odds ratio (ORa = 8.093, 95% confidence interval (CI: 2.347–27.904, history (> 5 years of oral contraceptives therapy/hormone replacement therapy (ORa = 3.77, 95% CI: 1.701–8.354 and cervical spine signs/symptoms (ORa = 4.565, 95% CI: 2.281–9.136. Conclusions: The prevalence of CTS was similar to the estimates for the general population of Italy. Among personal risk factors, hormone therapy, previous trauma of the upper limb and signs/symptoms of the cervical spine appeared to be associated with a higher risk of CTS syndrome. Eventually, the results reinforce interpretation of CTS in VDU workers as a work-related musculoskeletal disorder rather than a classical occupational disease. Int J Occup Med Environ Health 2016;29(6:927–936

Personal risk factors for carpal tunnel syndrome in female visual display unit workers.

Science.gov (United States)

Riccò, Matteo; Cattani, Silvia; Signorelli, Carlo

2016-11-18

Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU). The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy. Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38.14±7.81 years, mean working age 12.9±7.24 years). Signs and symptoms were collected during compulsory occupational medical surveillance. The binary logistic regression was used to estimate adjusted odds ratios for the factors of interest. Diagnosis of CTS was reported in 48 cases (7.6%, 11 of them or 1.7% after a surgical correction) for the incidence of 5.94/1000 person-years. In general, signs and symptoms of CTS were associated with the following demographic factors: previous trauma of upper limb (adjusted odds ratio (ORa) = 8.093, 95% confidence interval (CI): 2.347-27.904), history (> 5 years) of oral contraceptives therapy/hormone replacement therapy (ORa = 3.77, 95% CI: 1.701-8.354) and cervical spine signs/symptoms (ORa = 4.565, 95% CI: 2.281-9.136). The prevalence of CTS was similar to the estimates for the general population of Italy. Among personal risk factors, hormone therapy, previous trauma of the upper limb and signs/symptoms of the cervical spine appeared to be associated with a higher risk of CTS syndrome. Eventually, the results reinforce interpretation of CTS in VDU workers as a work-related musculoskeletal disorder rather than a classical occupational disease. Int J Occup Med Environ Health 2016;29(6):927-936. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

12 CFR 412.13 - Limitations and penalties.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Limitations and penalties. 412.13 Section 412.13 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.13 Limitations and penalties. (a) This part is in addition to and not in...

Human Factors Evaluation of Procedures for Periodic Safety Review of Yonggwang Unit no. 1, 2

Energy Technology Data Exchange (ETDEWEB)

Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang (and others)

2006-01-15

This report describes the results of human factors assessment on the plant operating procedures as part of Periodic Safety Review(PSR) of Yonggwang Nuclear Power Plant Unit no. 1, 2. The suitability of item and appropriateness of format and structure in the key operating procedures of nuclear power plants were investigated by the review of plant operating experiences and procedure documents, field survey, and experimental assessment on some part of procedures. A checklist was used to perform this assessment and record the review results. The reviewed procedures include EOP(Emergency Operating Procedures), GOP(General Operating Procedures), AOP(Abnormal Operating Procedures), and management procedures of some technical departments. As results of the assessments, any significant problem challenging the safety was not found on the human factors in the operating procedures. However, several small items to be changed and improved were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on the operating procedure.

Factors Associated With Perceived Health Status of Multiracial/Ethnic Midlife Women in the United States.

Science.gov (United States)

Ko, Young; Chee, Wonshik; Im, Eun-Ok

2016-01-01

To identify racial/ethnic differences in perceived health status and differences in the factors associated with perceived health status of midlife women in four broad racial/ethnic groups in the United States. A secondary analysis of Web-based survey data. Internet communities/groups among midlife women and Internet communities/groups of racial/ethnic minorities. Participants included 491 women 40 to 60 years of age who self-identified into four broad racial/ethnic categories (Hispanic, non-Hispanic [N-H] Asian American, N-H African American, or N-H White). Data related to participants' sociodemographic, behavioral, situational, and individual health factors and their coping resources were selected based on the Comprehensive Health Seeking and Coping Paradigm. Multiple logistic regression analyses were used to identify racial/ethnic differences in perceived health status and race/ethnicity-specific factors associated with perceived health status among midlife women. Perceived health status did not differ by race/ethnicity; however, factors that were associated with perceived health status did vary by race/ethnicity. Among N-H White women, educational level, level of family income, obesity, and menopausal symptoms were significantly associated with perceived not healthy status. In Hispanic women, perceived level of physical activity and obesity were significantly associated with not healthy status. Perceived level of physical activity was the only factor significantly associated with not healthy status in N-H Asian American women, and the level of family income was the only factor associated with not healthy status in N-H African American women. In future intervention development, researchers need to consider differences among racial/ethnic groups in the factors associated with women's perceived health status. Copyright © 2016 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Second unit scheduling concerns on a dual-unit nuclear project

International Nuclear Information System (INIS)

Block, H.R.; Mazzini, R.A.

1978-01-01

This paper explores the planning and scheduling problems of Unit 2 of the Susquehanna steam electric station. The causes of these problems and methods to avoid or mitigate their consequences are discussed. The Susquehanna steam electric station has two boiling water reactors rated at 1,100 MW each. Topics considered include cost factors, structures, equipment, engineering and home office, construction services, completion data phasing, work sequencing, structural dependences, and segregation. Substatial cost and schedule benefits can result if two nuclear units are designed and constructed as one integral station, and if maximum sharing of facilities and services between the units occurs. It is concluded that the cost benefits of highly integrated dual unit construction outweigh the schedule and logistical problems caused by that approach

Factors Limiting Complete Tumor Ablation by Radiofrequency Ablation

International Nuclear Information System (INIS)

Paulet, Erwan; Aube, Christophe; Pessaux, Patrick; Lebigot, Jerome; Lhermitte, Emilie; Oberti, Frederic; Ponthieux, Anne; Cales, Paul; Ridereau-Zins, Catherine; Pereira, Philippe L.

2008-01-01

The purpose of this study was to determine radiological or physical factors to predict the risk of residual mass or local recurrence of primary and secondary hepatic tumors treated by radiofrequency ablation (RFA). Eighty-two patients, with 146 lesions (80 hepatocellular carcinomas, 66 metastases), were treated by RFA. Morphological parameters of the lesions included size, location, number, ultrasound echogenicity, computed tomography density, and magnetic resonance signal intensity were obtained before and after treatment. Parameters of the generator were recorded during radiofrequency application. The recurrence-free group was statistically compared to the recurrence and residual mass groups on all these parameters. Twenty residual masses were detected. Twenty-nine lesions recurred after a mean follow-up of 18 months. Size was a predictive parameter. Patients' sex and age and the echogenicity and density of lesions were significantly different for the recurrence and residual mass groups compared to the recurrence-free group (p < 0.05). The presence of an enhanced ring on the magnetic resonance control was more frequent in the recurrence and residual mass groups. In the group of patients with residual lesions, analysis of physical parameters showed a significant increase (p < 0.05) in the time necessary for the temperature to rise. In conclusion, this study confirms risk factors of recurrence such as the size of the tumor and emphasizes other factors such as a posttreatment enhanced ring and an increase in the time necessary for the rise in temperature. These factors should be taken into consideration when performing RFA and during follow-up

Age-related motor unit remodeling in the Tibialis Anterior.

Science.gov (United States)

Siddiqi, Ariba; Kumar, Dinesh; Arjunan, Sridhar

2015-01-01

Limited studies exist on the use of surface electromyogram (EMG) signal features to detect age-related motor unit remodeling in the Tibialis Anterior. Motor unit remodeling leads to declined muscle strength and force steadiness during submaximal contractions which are factors for risk of falls in the elderly. This study investigated the remodeling phenomena in the Tibialis Anterior using sample entropy and higher order statistics. Eighteen young (26.1 ± 2.9 years) and twelve elderly (68.7 ± 9.0 years) participants performed isometric dorsiflexion of the ankle at 20% maximal voluntary contraction (MVC) and their Tibialis Anterior (TA) EMG was recorded. Sample entropy, Gaussianity and Linearity Test statistics were calculated from the recorded EMG for each MVC. Shapiro-Wilk test was used to determine normality, and either a two-tail student t-test or Wilcoxon rank sum test was performed to determine significant difference in the EMG features between the young and old cohorts. Results show age-related motor unit remodeling to be depicted by decreased sample entropy (p <; 0.1), increased non-Gaussianity (p <; 0.05) and lesser degree of linearity in the elderly. This is due to the increased sparsity of the MUAPs as a result of the denervation-reinnervation process, and the decrease in total number of motor units.

Photosynthetic Limitation as a Factor Influencing Yield in Highbush Blueberries (Vaccinium Corymbosum) Grown in a Northern European Environment.

Science.gov (United States)

Petridis, Antonios; van der Kaay, Jeroen; Chrysanthou, Elina; McCallum, Susan; Graham, Julie; Hancock, Robert D

2018-03-24

Published evidence indicates that nearly 60% of blueberry-producing countries experience yield instability. Yield is a complex trait determined by genetic and environmental factors. Here, using physiological and biochemical approaches, we tested the hypothesis that yield instability results from year-to-year environmental variation that limits carbon assimilation, storage and partitioning. Data indicate that fruit development depends primarily on the daily production of non-structural carbohydrates by leaves and there is no accumulation of a starch buffer to allow continuous ripening under conditions limiting for photosynthesis. Photosynthesis was saturated at moderate light irradiance and this was mainly due to stomatal and biochemical limitations. In a dynamic light environment photosynthesis was furher limited by slow stomatal response to increasing light. Finally, labelling with13CO2 at specific stages of fruit development revealed a relatively even distribution of newly assimilated carbon between stems, roots and fruits, suggesting that the fruit is not a strong sink. We conclude that a significant component of yield variability results from limitations in photosynthetic efficiency that is compounded by an inability to accumulate starch reserves in blueberry storage tissues under a typical northern European environment. This work informs techniques for improving agronomic management and indicates key traits required for yield stability in such environments.

Limited clinical efficacy of azacitidine in transfusion-dependent, growth factor-resistant, low- and Int-1-risk MDS

DEFF Research Database (Denmark)

Holm, Mette; Dybedahl, I; Holm, Mette

2014-01-01

This prospective phase II study evaluated the efficacy of azacitidine (Aza)+erythropoietin (Epo) in transfusion-dependent patients with lower-risk myelodysplastic syndrome (MDS). Patients ineligible for or refractory to full-dose Epo+granulocyte colony stimulation factors for >8 weeks and a trans...... patients, but efficacy is limited, toxicity substantial and most responses of short duration. This treatment cannot be generally recommended in lower-risk MDS. Mutational screening revealed a high frequency of mutations....

Nonlinear pre-coding apparatus of multi-antenna system, has pre-coding unit that extents original constellation points of modulated symbols to several constellation points by using limited perturbation vector

DEFF Research Database (Denmark)

2008-01-01

A Coding/Modulating units (200-1-200-N) outputs modulated symbols by modulating coding bit streams based on certain modulation scheme. The limited perturbation vector is calculated by using distribution of perturbation vectors. The original constellation points of modulated symbols are extended t...

Self-imposed length limits in recreational fisheries

Science.gov (United States)

Chizinski, Christopher J.; Martin, Dustin R.; Hurley, Keith L.; Pope, Kevin L.

2014-01-01

A primary motivating factor on the decision to harvest a fish among consumptive-orientated anglers is the size of the fish. There is likely a cost-benefit trade-off for harvest of individual fish that is size and species dependent, which should produce a logistic-type response of fish fate (release or harvest) as a function of fish size and species. We define the self-imposed length limit as the length at which a captured fish had a 50% probability of being harvested, which was selected because it marks the length of the fish where the probability of harvest becomes greater than the probability of release. We assessed the influences of fish size, catch per unit effort, size distribution of caught fish, and creel limit on the self-imposed length limits for bluegill Lepomis macrochirus, channel catfish Ictalurus punctatus, black crappie Pomoxis nigromaculatus and white crappie Pomoxis annularis combined, white bass Morone chrysops, and yellow perch Perca flavescens at six lakes in Nebraska, USA. As we predicted, the probability of harvest increased with increasing size for all species harvested, which supported the concept of a size-dependent trade-off in costs and benefits of harvesting individual fish. It was also clear that probability of harvest was not simply defined by fish length, but rather was likely influenced to various degrees by interactions between species, catch rate, size distribution, creel-limit regulation and fish size. A greater understanding of harvest decisions within the context of perceived likelihood that a creel limit will be realized by a given angler party, which is a function of fish availability, harvest regulation and angler skill and orientation, is needed to predict the influence that anglers have on fish communities and to allow managers to sustainable manage exploited fish populations in recreational fisheries.

Epidemiology of Diabetes Mellitus in the United Arab Emirates.

Science.gov (United States)

Razzak, Hira Abdul; Harbi, Alya; Shelpai, Wael; Qawas, Ahmad

2017-09-20

Background/ Objective: Diabetes mellitus is a non-communicable disease which has become a major global public health issue. This systematic review summarized epidemiological studies related to the prevalence, risk factors, complications, incidence, knowledge, attitude and practices of Diabetes Mellitus (DM) among Arab population in the United Arab Emirates (UAE). PubMed, Scopus databases, Science direct, Wiley online library, and other local journals were searched to identify relevant literature using appropriate keywords to retrieve studies conducted in the UAE. Search limits were restricted to studies in English language, between 2007 and 2016, and on UAE population (both citizens and expatriates). Electronic database search yielded 24 studies about the prevalence, incidence, complications, risk factors, knowledge, attitudes and practices of diabetes, including cross sectional studies (n =18), population-based survey (n = 1), retrospective cohort studies (n = 3), qualitative (n=1), and randomized controlled trial (n = 1). Countrywide prevalence estimates of Diabetes Mellitus were reported to be high. The major determinants of Diabetes Mellitus involved hypertension, physical inactivity, sedentary lifestyle, and unhealthy diet. Even though past evidences have promulgated the role of numerous causative factors, the epidemiological implications of some of the risk factors including family history, educational level, and the use of alcohol remains elusive. This systematic review signifies epidemiology of Diabetes Mellitus in the United Arab Emirates and suggests that extra efforts are needed for preventive and curative strategies in order to decrease the burden of this non-communicable disease. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Age is not a limiting factor for radical radiotherapy in pelvic malignancies

International Nuclear Information System (INIS)

Pignon, T.; Horiot, J.C.; Bolla, M.; Poppel, H. van; Bartelink, H.; Roelofsen, F.; Pene, F.; Gerard, A.; Einhorn, N.; Nguyen, T.D.; Vanglabbeke, M.; Scalliet, P.

1997-01-01

Background and purpose: Pelvic radiotherapy (RT) toxicity in the elderly is poorly documented. We developed a study aiming to evaluate whether or not a limit of age could be identified beyond which toxicities in patients receiving pelvic RT were more frequent or more severe. Material and methods: 1619 patients with pelvic cancers enrolled in nine EORTC trials, RT arms, were retrospectively studied. Patients were split into six age ranges from 50 years to 70 years and over. Survivals and late toxicity occurrence were calculated with the Kaplan-Meier method and comparison between age groups with the logrank test. A trend test was done to examine if chronological age had an impact on acute toxicity occurrence. Results: Survival was comparable in each age group for prostate (P=0.18), uterus (0.41), anal canal cancer (P=0.6) and slightly better for the younger group of rectum cancer (P=0.04). A total of 1722 acute and 514 late grade ≥1 were recorded. Acute nausea/vomiting, skin complications and performance status deterioration were significantly more frequent in younger patients. There was no trend toward more aged patients to experience diarrhea (P=0.149) and after adjustment on RT dose, acute urinary complications were observed equally in each age range (P=0.32). Eighty percent of patients were free of late complication at 5 years in each age range (P=0.79). For the grade >2 late side-effects, a plateau was observed after 1 year at near 9% without any difference (P=0.06) nor trend (P=0.13) between age-groups. Conclusion: Age per se is not a limiting factor for radical radiotherapy in pelvic malignancies

37 CFR 11.9 - Limited recognition in patent matters.

Science.gov (United States)

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Limited recognition in patent matters. 11.9 Section 11.9 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE REPRESENTATION OF OTHERS BEFORE THE UNITED STATES PATENT AND TRADEMARK OFFICE...

Seasonal shift in climatic limiting factors on tree transpiration: evidence from sap flow observations at alpine treelines in southeast Tibet

Directory of Open Access Journals (Sweden)

Liu Xinsheng

2016-07-01

Full Text Available Alpine and northern treelines are primarily controlled by low temperatures. However, little is known about the impact of low soil temperature on tree transpiration at treelines. We aim to test the hypothesis that in cold-limited forests, the main limiting factors for tree transpiration switch from low soil temperature before summer solstice to atmospheric evaporative demand after summer solstice, which generally results in low transpiration in the early growing season. Sap flow, meteorological factors and predawn needle water potential were continuously monitored throughout one growing season across Smith fir (Abies georgei var. smithii and juniper (Juniperus saltuaria treelines in southeast Tibet. Sap flow started in early May and corresponded to a threshold mean air-temperature of 0 oC. Across tree species, transpiration was mainly limited by low soil temperature prior to the summer solstice but by vapor pressure deficit and solar radiation post-summer solstice, which was further confirmed on a daily scale. As a result, tree transpiration for both tree species was significantly reduced in the pre-summer solstice period as compared to post-summer solstice, resulting in a lower predawn needle water potential for Smith fir trees in the early growing season. Our data supported the hypothesis, suggesting that tree transpiration mainly responds to soil temperature variations in the early growing season. The results are important for understanding the hydrological response of cold-limited forest ecosystems to climate change.

Illness Progression as a Function of Independent and Accumulating Poor Prognosis Factors in Outpatients With Bipolar Disorder in the United States

NARCIS (Netherlands)

Post, R.M.; Altshuler, L.L.; Leverich, G.S.; Nolen, W.A.; Kupka, R.W.; Grunze, H.; Frye, M.A.; Suppes, T.; McElroy, S.L.; Keck, P.E.; Rowe, M.

2014-01-01

Objective: Many patients with bipolar disorder in the United States experience a deteriorating course of illness despite naturalistic treatment in the community. We examined a variety of factors associated with this pattern of illness progression. Method: From 1995 to 2002, we studied 634 adult

A cooperative agreement for research on radioactive waste management between the United States Department of Energy and Atomic Energy of Canada Limited

International Nuclear Information System (INIS)

Dormuth, K.W.; Levich, R.A.

1994-01-01

The United States Department of Energy (USDOE) and Atomic Energy of Canada Limited (AECL) have a history of more than ten years of bilateral cooperation in the management of high level radioactive waste. In 1982, the USDOE and AECL executed a five year information-exchange agreement, for open-quotes Cooperation in Radioactive Waste Managementclose quotes. Since that time, this bilateral umbrella agreement has been renewed twice and the third renewal is currently being processed. International cooperation in high level radioactive waste management is highly beneficial to all concerned. Each nation involved in high level waste disposal has a single coordinated program for developing, testing, and evaluating approaches, hardware, and techniques for high level waste disposal. Thus there is limited opportunity for researchers in each country to exchange views regarding disposal technology with experienced researchers external to their own program, and to share research and development activities. The international arena, however, provides a host of organizations who have similar responsibilities and therefore similar interests and needs

Searching out the hydrogen absorption/desorption limiting reaction factors: Strategies allowing to increase kinetics

Energy Technology Data Exchange (ETDEWEB)

Zeaiter, Ali, E-mail: ali.zeaiter@femto-st.fr; Chapelle, David; Nardin, Philippe

2015-10-05

Highlights: • A macro scale thermodynamic model that simulates the response of a FeTi-X hydride tank is performed, and validated experimentally. • A sensibility study to identify the most influent input variables that can changes very largely the reaction rate. - Abstract: Hydrogen gas has become one of the most promising energy carriers. Main breakthrough concerns hydrogen solid storage, specially based on intermetallic material use. Regarding the raw material abundance and cost, the AB type alloy FeTi is an auspicious candidate to store hydrogen. Its absorption/desorption kinetics is a basic hindrance to common use, compared with more usual hydrides. First, discussions based on literature help us identifying the successive steps leading to metal hydriding, and allow to introduce the physical parameters which drive or limit the reaction. This analysis leads us to suggest strategies in order to increase absorption/desorption kinetics. Attention is then paid to a thermofluidodynamic model, allowing to describe a macroscopic solid storage reactor. Thus, we can achieve a simulation which describes the overall reaction inside the hydrogen reactor and, by varying the sub-mentioned parameters (thermal conductivity, the powder granularity, environment heat exchange…), we attempt to hierarchy the reaction limiting factors. These simulations are correlated to absorption/desorption experiments for which pressure, temperature and hydrogen flow are recorded.

Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies.

Science.gov (United States)

Mji, Gubela; Braathen, Stine H; Vergunst, Richard; Scheffler, Elsje; Kritzinger, Janis; Mannan, Hasheem; Schneider, Marguerite; Swartz, Leslie; Visagie, Surona

2017-02-08

There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user. This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa. We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts. One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point. First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services. The revitalisation of primary health care and the introduction of national health

Cycling of conventional power plants: Technical limits and actual costs

International Nuclear Information System (INIS)

Van den Bergh, Kenneth; Delarue, Erik

2015-01-01

Highlights: • Literature reports a wide range of cycling parameters (technical and cost-related). • The impact of different cycling parameters is assessed. • The German 2013 system is studied as a case study. • Even for stringent parameters, the dynamic limit of the portfolio is not reached. • Cycling costs can be reduced with 40% when taken into account in the scheduling. - Abstract: Cycling of conventional generation units is an important source of operational flexibility in the electricity generation system. Cycling is changing the power output of conventional units by means of ramping and switching (starting up and shutting down). In the literature, a wide range of technical and cost-related cycling parameters can be found. Different studies allocate different cycling parameters to similar generation units. This paper assesses the impact of different cycling parameters allocated to a conventional generation portfolio. Both the technical limitations of power plants and all costs related to cycling are considered. The results presented in this paper follow from a unit commitment model, used for a case study based on the German 2013 system. The conventional generation portfolio has to deliver different residual load time series, corresponding to different levels of renewables penetration. The study shows, under the assumptions made, that although the dynamic limits of some units are reached, the limits of the conventional generation portfolio as a whole are not reached, even if stringent dynamic parameters are assigned to the generation portfolio and a highly variable residual load is imposed to the system. The study shows also the importance of including full cycling costs in the unit commitment scheduling. The cycling cost can be reduced by up to 40% when fully taken into account

Trait Mindfulness as a Limiting Factor for Residual Depressive Symptoms: An Explorative Study Using Quantile Regression

Science.gov (United States)

Radford, Sholto; Eames, Catrin; Brennan, Kate; Lambert, Gwladys; Crane, Catherine; Williams, J. Mark G.; Duggan, Danielle S.; Barnhofer, Thorsten

2014-01-01

Mindfulness has been suggested to be an important protective factor for emotional health. However, this effect might vary with regard to context. This study applied a novel statistical approach, quantile regression, in order to investigate the relation between trait mindfulness and residual depressive symptoms in individuals with a history of recurrent depression, while taking into account symptom severity and number of episodes as contextual factors. Rather than fitting to a single indicator of central tendency, quantile regression allows exploration of relations across the entire range of the response variable. Analysis of self-report data from 274 participants with a history of three or more previous episodes of depression showed that relatively higher levels of mindfulness were associated with relatively lower levels of residual depressive symptoms. This relationship was most pronounced near the upper end of the response distribution and moderated by the number of previous episodes of depression at the higher quantiles. The findings suggest that with lower levels of mindfulness, residual symptoms are less constrained and more likely to be influenced by other factors. Further, the limiting effect of mindfulness on residual symptoms is most salient in those with higher numbers of episodes. PMID:24988072

Factors Affecting the Productivity of Government Workers

Directory of Open Access Journals (Sweden)

Jerry P. Haenisch

2012-01-01

Full Text Available While there have been a variety of studies concerning government worker motivation and productivity, few, if any, studies have focused specifically on state government workers’ perceptions about what factors affect their productivity. With more than 5 million workers employed by state governments in the United States, any improvement in state workplace productivity could have significant financial and service impact for society. In this study, state government workers identified those factors perceived as most affecting their workplace productivity. Data were collected through a survey offered to state government workers in the state of Wyoming. Factor analysis was used to derive key productivity factors from survey responses. The results indicate that state government workers appreciate having freedom and autonomy, like their jobs and the sense of achievement, and welcome teamwork, but feel limited by poor supervision and management, poor communications, and insufficient budgets and staffing. To improve productivity, the workers would eliminate bureaucracy, supervise better, and improve communication.

Dependence of the mean time to failure of a hydraulic balancing machine unit on different factors for sectional pumps of the Alrosa JSC

Science.gov (United States)

Ovchinnikov, N. P.; Portnyagina, V. V.; Sobakina, M. P.

2017-12-01

This paper presents factors that have a greater impact on the mean time to failure of a hydraulic balancing machine unit working in underground kimberlite mines of the Alrosa JSC, the hydraulic balancing machine unit being the least reliable structural elements in terms of error-free operation. In addition, a multifactor linear dependence of mean time to failure of a hydraulic balancing machine unit is shown regarding it being parts of stage sectional pumps in the underground kimberlite mines of the Alrosa JSC. In prospect, this diagram can allow us to predict the durability of the least reliable structural element of a sectional pump.

Slopeland utilizable limitation classification using landslide inventory

Science.gov (United States)

Tsai, Shu Fen; Lin, Chao Yuan

2016-04-01

In 1976, "Slopeland Conservation and Utilization Act" was promulgated as well as the criteria for slopeland utilization limitation classification (SULC) i.e., average slope, effective soil depth, degree of soil erosion, and parent rock became standardized. Due to the development areas on slope land steadily increased and the extreme rainfall events occurred frequently, the areas affected by landslides also increased year by year. According to the act, the land which damaged by disaster must be categorized to the conservation land and required rehabilitation. Nevertheless, the large-scale disaster on slope land and the limitation of SWCB officers are the constraint of field investigation. Therefore, how to establish the ongoing inspective procedure of post-disaster SULC using remote sensing was essential. A-Li-Shan, Ai-Liao, and Tai-Ma-Li Watershed were selected to be case studies in this project. The spatial data from big data i.e., Digital Elevation Model (DEM), soil map, and satellite images integrated with Geographic Information Systems (GIS) were applied to post-disaster SULC. The collapse and deposition area which delineated by vegetation recovery rate was established landslide inventory of cadastral unit combined with watershed unit. The results were verified with field survey and the accuracy was 97%. The landslide inventory could be an effective reference for sediment disaster investigation and a practical evidence for judgement to expropriation. Finally, the results showed that the ongoing inspective procedure of post-disaster SULC was practicable. From the four criteria, the average slope was the major factor. It was found that the non-uniform slopes, especially derived from cadastral units, often produce significant slope difference and lead to errors of average slope evaluation. Therefore, the Grid-based DEM slope derivation has been recommended as the standard method to calculate the average slope. Others criteria were previously required to classify

Plastic Limit Loads for Slanted Circumferential Through-Wall Cracked Pipes Using 3D Finite-Element Limit Analyses

International Nuclear Information System (INIS)

Jang, Hyun Min; Cho, Doo Ho; Kim, Young Jin; Huh, Nam Su; Shim, Do Jun; Choi, Young Hwan; Park, Jung Soon

2011-01-01

On the basis of detailed 3D finite-element (FE) limit analyses, the plastic limit load solutions for pipes with slanted circumferential through-wall cracks (TWCs) subjected to axial tension, global bending, and internal pressure are reported. The FE model and analysis procedure employed in the present numerical study were validated by comparing the present FE results with existing solutions for plastic limit loads of pipes with idealized TWCs. For the quantification of the effect of slanted crack on plastic limit load, slant correction factors for calculating the plastic limit loads of pipes with slanted TWCs from pipes with idealized TWCs are newly proposed from extensive 3D FE calculations. These slant-correction factors are presented in tabulated form for practical ranges of geometry and for each set of loading conditions

Factors influencing elk recruitment across ecotypes in the Western United States

Science.gov (United States)

Lukacs, Paul M.; Mitchell, Michael S.; Hebblewhite, Mark; Johnson, Bruce K.; Johnson, Heather; Kauffman, Matthew J.; Proffitt, Kelly M.; Zager, Peter; Brodie, Jedediah; Hersey, Kent R.; Holland, A. Andrew; Hurley, Mark; McCorquodale, Scott; Middleton, Arthur; Nordhagen, Matthew; Nowak, J. Joshua; Walsh, Daniel P.; White, P.J.

2018-01-01

Ungulates are key components in ecosystems and economically important for sport and subsistence harvest. Yet the relative importance of the effects of weather conditions, forage productivity, and carnivores on ungulates are not well understood. We examined changes in elk (Cervus canadensis) recruitment (indexed as age ratios) across 7 states and 3 ecotypes in the northwestern United States during 1989–2010, while considering the effects of predator richness, forage productivity, and precipitation. We found a broad‐scale, long‐term decrease in elk recruitment of 0.48 juveniles/100 adult females/year. Weather conditions (indexed as summer and winter precipitation) showed small, but measurable, influences on recruitment. Forage productivity on summer and winter ranges (indexed by normalized difference vegetation index [NDVI] metrics) had the strongest effect on elk recruitment relative to other factors. Relationships between forage productivity and recruitment varied seasonally and regionally. The productivity of winter habitat was more important in southern parts of the study area, whereas annual variation in productivity of summer habitat had more influence on recruitment in northern areas. Elk recruitment varied by up to 15 juveniles/100 adult females across the range of variation in forage productivity. Areas with more species of large carnivores had relatively low elk recruitment, presumably because of increased predation. Wolves (Canis lupus) were associated with a decrease of 5 juveniles/100 adult females, whereas grizzly bears (Ursus arctos) were associated with an additional decrease of 7 juveniles/100 adult females. Carnivore species can have a critical influence on ungulate recruitment because their influence rivals large ranges of variation in environmental conditions. A more pressing concern, however, stems from persistent broad‐scale decreases in recruitment across the distribution of elk in the northwestern United States, irrespective of

A systematic review of factors influencing human papillomavirus vaccination among immigrant parents in the United States.

Science.gov (United States)

Kim, Kyounghae; LeClaire, Anna-Rae

2017-11-21

To critically appraise factors influencing human papillomavirus (HPV) vaccination among immigrant parents in the United States, a comprehensive search of electronic databases and reference lists was conducted. The findings from 22 articles were ordered based on a socioecological model. About 30% of children initiated and 14% completed a three-dose series. Correlates of HPV vaccine initiation rates included lack of information, concerns about vaccine safety and promiscuity, providers' recommendations, school mandates, financial issues, immigration laws, and living in disadvantaged neighborhoods. Upstream initiatives embracing cultural descriptors could facilitate HPV vaccination, reducing HPV-related disparities in cancer among immigrants in the US.

The Transcription Factor STAT6 Mediates Direct Repression of Inflammatory Enhancers and Limits Activation of Alternatively Polarized Macrophages

OpenAIRE

Czimmerer, Zsolt; Daniel, Bence; Horvath, Attila; Rückerl, Dominik; Nagy, Gergely; Kiss, Mate; Peloquin, Matthew; Budai, Marietta M.; Cuaranta-Monroy, Ixchelt; Simandi, Zoltan; Steiner, Laszlo; Nagy, Bela; Poliska, Szilard; Banko, Csaba; Bacso, Zsolt

2018-01-01

Summary The molecular basis of signal-dependent transcriptional activation has been extensively studied in macrophage polarization, but our understanding remains limited regarding the molecular determinants of repression. Here we show that IL-4-activated STAT6 transcription factor is required for the direct transcriptional repression of a large number of genes during in vitro and in vivo alternative macrophage polarization. Repression results in decreased lineage-determining transcription fac...

Temporal and spatial variability of frost-free seasons in the Great Lakes region of the United States

Science.gov (United States)

Lejiang Yu; Shiyuan Zhong; Xindi Bian; Warren E. Heilman; Jeffrey A. Andresen

2014-01-01

The frequency and timing of frost events and the length of the growing season are critical limiting factors in many human and natural ecosystems. This study investigates the temporal and spatial variability of the date of last spring frost (LSF), the date of first fall frost (FFF), and the length of the frost-free season (FFS) in the Great Lakes region of the United...

Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit.

Science.gov (United States)

Aydon, Laurene; Hauck, Yvonne; Zimmer, Margo; Murdoch, Jamee

2016-09-01

The aim of this study was to identify factors that influence nurse's decisions to question concerning aspects of medication administration within the context of a neonatal clinical care unit. Medication error in the neonatal setting can be high with this particularly vulnerable population. As the care giver responsible for medication administration, nurses are deemed accountable for most errors. However, they are recognised as the forefront of prevention. Minimal evidence is available around reasoning, decision making and questioning around medication administration. Therefore, this study focuses upon addressing the gap in knowledge around what nurses believe influences their decision to question. A critical incident design was employed where nurses were asked to describe clinical incidents around their decision to question a medication issue. Nurses were recruited from a neonatal clinical care unit and participated in an individual digitally recorded interview. One hundred and three nurses participated between December 2013-August 2014. Use of the constant comparative method revealed commonalities within transcripts. Thirty-six categories were grouped into three major themes: 'Working environment', 'Doing the right thing' and 'Knowledge about medications'. Findings highlight factors that influence nurses' decision to question issues around medication administration. Nurses feel it is their responsibility to do the right thing and speak up for their vulnerable patients to enhance patient safety. Negative dimensions within the themes will inform planning of educational strategies to improve patient safety, whereas positive dimensions must be reinforced within the multidisciplinary team. The working environment must support nurses to question and ultimately provide safe patient care. Clear and up to date policies, formal and informal education, role modelling by senior nurses, effective use of communication skills and a team approach can facilitate nurses to

Effective dose per unit kerma-area product conversion factors in adults undergoing modified barium swallow studies

International Nuclear Information System (INIS)

Shaw Bonilha, Heather; Wilmskoetter, Janina; Tipnis, Sameer V.; Martin-Harris, Bonnie; Huda, Walter

2017-01-01

This study presents an investigation of adult effective dose (E) per unit Kerma-Area Product (KAP) in Modified Barium Swallow Study (MBSS) examinations. PC program for X-ray Monte Carlo (version 2.0.1) was used to calculate patient organ doses during MBSS examinations, which used combined to generate effective dose. Normalized patient doses were obtained by dividing the effective dose (mSv) by the incident KAP (Gy.cm 2 ). Five standard projections were studied and the importance of X-ray beam size and in patient size (body mass index) were investigated. Lateral projections had an average E/ KAP conversion factor of 0.19 ± 0.04 mSv/Gy.cm 2 . The average E/KAP was highest for upper gastrointestinal (GI) anterior- posterior projections (0.27 ± 0.04 mSv/Gy.cm 2 ) and lowest for upper GI posterior-anterior projections (0.09 ± 0.03 mSv/ Gy.cm 2 ). E/KAP always increased with increasing filtration and/or X-ray tube voltage. Reducing the X-ray beam cross-sectional area increased the E/KAP conversion factors. Small patients have the E/KAP conversion factors that are twice those of a standard adult. Conversion factors for effective dose of adult patients undergoing MBSS examinations must account for X-ray beam projection, beam quality (kV and filtration), image size and patient size. (authors)

What characterizes the work culture at a hospital unit that successfully implements change - a correlation study.

Science.gov (United States)

André, Beate; Sjøvold, Endre

2017-07-14

To successfully achieve change in healthcare, a balance between technology and "people ware", the human recourses, is necessary. However, the human aspect of the change implementation process has received less attention than the technological issues. The aim was to explore the factors that characterize the work culture in a hospital unit that successfully implemented change compared with the factors that characterize the work culture of a hospital unit with unsuccessful implementation. The Systematizing Person-Group Relations method was used for gathering and analyzing data to explore what dominate the behavior in a particular work environment identifying challenges, limitations and opportunities. This method applied six different dimensions, each representing different behavior in a work culture: Synergy, Withdrawal, Opposition, Dependence, Control and Nurture. We compared two different units at the same hospital, one that successfully implemented change and one that was unsuccessful. There were significant statistical differences between healthcare personnel working at a unit that successfully implemented change contrasted with the unit with unsuccessful implementation. These significant differences were found in both the synergy and control dimensions, which are important positive qualities in a work culture. The results of this study show that healthcare personnel at a unit with a successful implementation of change have a working environment with many positive qualities. This indicates that a work environment with a high focus on goal achievement and task orientation can handle the challenges of implementing changes.

[Organization of clinical emergency units. Mission and environmental factors determine the organizational concept].

Science.gov (United States)

Genewein, U; Jakob, M; Bingisser, R; Burla, S; Heberer, M

2009-02-01

Mission and organization of emergency units were analysed to understand the underlying principles and concepts. The recent literature (2000-2007) on organizational structures and functional concepts of clinical emergency units was reviewed. An organizational portfolio based on the criteria specialization (presence of medical specialists on the emergency unit) and integration (integration of the emergency unit into the hospital structure) was established. The resulting organizational archetypes were comparatively assessed based on established efficiency criteria (efficiency of resource utilization, process efficiency, market efficiency). Clinical emergency units differ with regard to autonomy (within the hospital structure), range of services and service depth (horizontal and vertical integration). The "specialization"-"integration"-portfolio enabled the definition of typical organizational patterns (so-called archetypes): profit centres primarily driven by economic objectives, service centres operating on the basis of agreements with the hospital board, functional clinical units integrated into medical specialty units (e.g., surgery, gynaecology) and modular organizations characterized by small emergency teams that would call specialists immediately after triage and initial diagnostic. There is no "one fits all" concept for the organization of clinical emergency units. Instead, a number of well characterized organizational concepts are available enabling a rational choice based on a hospital's mission and demand.

An empirical study to determine factors that motivate and limit the implementation of ICT in healthcare environments.

Science.gov (United States)

Gururajan, Raj; Hafeez-Baig, Abdul

2014-12-23

The maturity and usage of wireless technology has influenced health services, and this has raised expectations from users that healthcare services will become more affordable due to technology growth. There is increasing evidence to justify this expectation, as telehealth is becoming more and more prevalent in many countries. Thus, health services are now offered beyond the boundaries of traditional hospitals, giving rise to many external factors dictating their quality. This has led us to investigate the factors that motivate and limit the implementation of ICT applications in the healthcare domain. We used a mixed method approach with the qualitative aspects leading the quantitative aspects. The main reason for this approach was to understand and explore the domain through the qualitative aspects as we could be part of the discussion. Then we conducted a quantitative survey to extract more responses in order to justify the claims explored in the qualitative process. We found that there are a number of internal and external factors influencing ICT adoption in the healthcare environment so that services can be provided via ICT tools. These factors were grouped under factors contributing to improved outcomes, efficiency and the management of technology. We conceptualised that these three groups of factors drive ICT implementation to assure health services. The main lesson learned from this research was that Information Systems discipline needs to urgently consider health informatics as a serious growth area. We also found that as IS researchers, we need to 'mix' with the health environment in order to understand the environment and then develop suitable methods to answer posited research questions.

Nursing unit leaders' influence on the long-term sustainability of evidence-based practice improvements.

Science.gov (United States)

Fleiszer, Andrea R; Semenic, Sonia E; Ritchie, Judith A; Richer, Marie-Claire; Denis, Jean-Louis

2016-04-01

To describe how actions of nursing unit leaders influenced the long-term sustainability of a best practice guidelines (BPG) program on inpatient units. Several factors influence the initial implementation of evidence-based practice improvements in nursing, with leadership recognized as essential. However, there is limited knowledge about enduring change, including how frontline nursing leaders influence the sustainability of practice improvements over the long term. A qualitative descriptive case study included 39 in-depth interviews, observations, and document reviews. Four embedded nursing unit subcases had differing levels of program sustainability at 7 years (average) following implementation. Higher levels of BPG sustainability occurred on units where formal leadership teams used an integrated set of strategies and activities. Two key strategies were maintaining priorities and reinforcing expectations. The coordinated use of six activities (e.g., discussing, evaluating, integrating) promoted the continuation of BPG practices among staff. These leadership processes, fostering exchange and learning, contributed to sustainability-promoting environments characterized by teamwork and accountability. Unit leaders are required to strategically orchestrate several overlapping and synergistic efforts to achieve long-term sustainability of BPG-based practice improvements. As part of managing overall unit performance, unit leaders may influence practice improvement sustainability by aligning vision, strategies, and activities. © 2015 John Wiley & Sons Ltd.

Measurement Invariance of the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) between the United States of America, India and the United Kingdom.

Science.gov (United States)

Pontes, Halley M; Stavropoulos, Vasileios; Griffiths, Mark D

2017-11-01

The Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) has been extensively used worldwide to assess Internet Gaming Disorder (IGD) behaviors. Therefore, investigating cultural limitations and implications in its applicability is necessary. The cross-cultural feasibility of a test can be psychometrically evaluated with measurement invariance analyses. Thus, the present study used Multigroup Confirmatory Factor Analysis (MGCFA) to examine the IGDS9-SF measurement invariance across gamers from the United States of America (USA), India, and the United Kingdom (UK). A total of 1013 gamers from the USA (n = 405), India (n = 336), and the UK (n = 272) were recruited. Although the one-factor structure of the IGD construct was supported, cross-country variations were demonstrated considering the way that this was reflected on items assessing preoccupation/salience, tolerance, deception, gaming escapism/mood modification, as well as daily activities' impairment related to gaming. Furthermore, the same scores on items assessing withdrawal symptoms, tolerance, lack of control over gaming engagement, escapism/mood modification and daily activities impairment associated to gaming, have been found to reflect various levels of IGD severity across the three groups. The implications of these results are further discussed in the context of existing evidence regarding the assessment of IGD. Copyright © 2017 Elsevier B.V. All rights reserved.

Mobility Limitations and Fall-Related Factors Contribute to the Reduced Health-Related Quality of Life in Older Adults With Chronic Musculoskeletal Pain.

Science.gov (United States)

Stubbs, Brendon; Schofield, Pat; Patchay, Sandhi

2016-01-01

To investigate (1) the prevalence of chronic musculoskeletal pain (CMP) among a sample of community-dwelling older adults and (2) health-related quality of life (HRQOL) in people with CMP, particularly the association with mobility limitations and falls-related factors. Overall, 295 (response rate 73.5%) community-dwelling older adults were recruited across 10 sites. CMP was assessed using recognized criteria. In the sample of people with CMP, a hierarchical multiple regression analysis was conducted with HRQOL as the dependent variable and a number of independent variables were then inserted into the model. After controlling for demographic and medical variables, mobility (timed up and go (TUG), walking aid use, sedentary behavior) and fall-related factors (falls history, balance confidence, concerns about consequences of falling) were inserted into the model at the second step and changes in adjusted R(2) noted. Within our sample of older adults, 52% had CMP (154/295). Compared to the group without CMP of similar age (n = 141), those with CMP had reduced HRQOL and profound mobility limitations and more falls risk factors (P falls explanatory variables increased the variance explained within HRQOL from 14% to 36% (adjusted R(2) change 20%) in those with CMP. Sedentary behavior, pain interference, concerns about the consequences of falling, falls history, TUG scores, and balance confidence all remained significant predictors of HRQOL in the fully adjusted model in the CMP sample. Older adults with CMP have pronounced mobility limitations and increased falls risk factors, and these are associated with a marked reduction in HRQOL. Future prospective research is required to build on this cross-sectional study. © 2014 World Institute of Pain.

A Retrospective Analysis on the Occurrence of Arsenic in Ground-Water Resources of the United States and Limitations in Drinking-Water-Supply Characterizations

Science.gov (United States)

Focazio, Michael J.; Welch, Alan H.; Watkins, Sharon A.; Helsel, Dennis R.; Horn, Marilee A.

2000-01-01

,000 and less than 10,000 people) in the United States. The arsenic data were summarized for the selected counties by associating the arsenic concentrations measured in the ground-water resource with the numbers and sizes of public water-supply systems using ground water in those counties. Targeted arsenic concentrations of 1, 2, 5, 10, 20, and 50 ug/L were exceeded in the ground-water resource associated with 36, 25, 14, 8, 3, and 1 percent respectively of all public water-supply systems accounted for in the analysis.Contributions to uncertainty such as changes in sampling methods and changes in laboratory reporting appear to be less important to the national occurrence estimates than other factors such as temporal variability in arsenic concentrations at a given well, the types of wells sampled, and density and types of sampling locations. In addition, no attempt was made to quantify arsenic concentrations in relation to depth within aquifers. With these qualifications, the USGS data represent the ground-water resource in general and are not restricted to wells currently used for public drinking-water sources. In this way, the broad spatial extent, large number of water samples, and low detection limits used for the USGS data provide a unique source of information to determine where targeted concentrations of arsenic are likely to occur in the ground-water resources within much of the United States.These results indicate USGS data can be effectively used to augment national estimates of arsenic occurrence in the nation's ground-water resources if limitations are recognized. Existing estimates of the occurrence of arsenic in ground water that are used as a source of drinking water can be supplemented with the USGS arsenic concentration data when associated with the public water-supply data base. One such supplementary application is the additional insight gained by establishing relations between arsenic concentration data in the ground-water resource and small public wat

Risk factors associated with non-alcoholic fatty liver disease in subjects from primary care units. A case-control study

Directory of Open Access Journals (Sweden)

Bernad Jesús

2008-10-01

Full Text Available Abstract Background Non alcoholic fatty liver disease (NAFL consists in the accumulation of fat vacuoles in the cytoplasm of hepatocytes. Many etiologic factors are associated with NAFL, such as, the metabolic syndrome factors, medications, bariatric surgery, nutritional disorders. However, very little information is available on the clinical relevance of this disorder as a health problem in the general population. Methods and design The aim of the study is establish the risk factors most frequently associated with NAFL in a general adult population assigned to the primary care units and to investigate the relationship between each component of the metabolic syndrome and the risk of having a NAFL. A population based case-control, observational and multicenter study will be carried out in 18 primary care units from the "Area de Gestión del Barcelonés Nord y Maresme" (Barcelona attending a population of 360,000 inhabitants and will include 326 cases and 370 controls. Cases are defined as all subjects fulfilling the inclusion criteria and with evidence of fatty liver in an abdominal ultrasonography performed for any reason. One control will be randomly selected for each case from the population, matched for age, gender and primary care center. Controls with fatty liver or other liver diseases will be excluded. All cases and controls will be asked about previous hepatic diseases, consumption of alcohol, smoking and drugs, and a physical examination, biochemical analyses including liver function tests, the different components of the metabolic syndrome and the HAIR score will also be performed. Paired controls will also undergo an abdominal ultrasonography. Discussion This study will attempt to determine the factors most frequently associated with the presence of NAFL investigate the relationship between the metabolic syndrome and the risk of fatty liver and study the influence of the different primary care professionals in avoiding the evolution

Generating units performances: power system requirements

Energy Technology Data Exchange (ETDEWEB)

Fourment, C; Girard, N; Lefebvre, H

1994-08-01

The part of generating units within the power system is more than providing power and energy. Their performance are not only measured by their energy efficiency and availability. Namely, there is a strong interaction between the generating units and the power system. The units are essential components of the system: for a given load profile the frequency variation follows directly from the behaviour of the units and their ability to adapt their power output. In the same way, the voltage at the units terminals are the key points to which the voltage profile at each node of the network is linked through the active and especially the reactive power flows. Therefore, the customer will experience the frequency and voltage variations induced by the units behaviour. Moreover, in case of adverse conditions, if the units do not operate as well as expected or trip, a portion of the system, may be the whole system, may collapse. The limitation of the performance of a unit has two kinds of consequences. Firstly, it may result in an increased amount of not supplied energy or loss of load probability: for example if the primary reserve is not sufficient, a generator tripping may lead to an abnormal frequency deviation, and load may have to be shed to restore the balance. Secondly, the limitation of a unit performance results in an economic over-cost for the system: for instance, if not enough `cheap` units are able to load-following, other units with higher operating costs have to be started up. We would like to stress the interest for the operators and design teams of the units on the one hand, and the operators and design teams of the system on the other hand, of dialog and information exchange, in operation but also at the conception stage, in order to find a satisfactory compromise between the system requirements and the consequences for the generating units. (authors). 11 refs., 4 figs.

Factor concentrates for the treatment of factor XIII deficiency.

Science.gov (United States)

Gootenberg, J E

1998-11-01

Factor XIII deficiency is a severe autosomal recessive bleeding disorder associated with a characteristic pattern of neonatal hemorrhage and a lifelong bleeding diathesis. Even relatively minor trauma can be followed by prolonged and recurrent bleeding. Intracranial hemorrhage is a frequent complication. With the development of safe and effective factor XIII concentrates, reliable prophylactic treatment is possible. Two plasma-derived, virus-inactivated factor XIII concentrates are currently in production. The first, Fibrogammin P, (Centeon LLC, King of Prussia, PA, USA; and Centeon Pharma GmbH, Marburg, Germany) is marketed in Europe, South America, South Africa, and Japan. It is distributed in the United States under a Food and Drug Administration Investigational New Drug Application. A second factor XIII concentrate (Bio Products Laboratory, Elstree, UK) is available for use only on a "named patient" compassionate basis in the United Kingdom. Patients with factor XIII deficiency who receive appropriately timed periodic infusions of such factor XIII concentrates are able to live normal lives, free from catastrophic bleeding episodes.

Environmental remediation cost in Fukushima area. Trial calculation using the unit cost factor method

International Nuclear Information System (INIS)

Ishikura, Takeshi; Fujita, Reiko

2013-01-01

In order to perform environmental remediation in Fukushima area in a swift and adequate way, it is necessary to obtain perspective of total cost and allocate resources adequately. At present such had not been fixed as what decontamination method should be applied to relevant contaminated places in Fukushima area or what disposition and processing process should be applied to radioactive soils and wastes produced by decontamination, it would be difficult to assess the cost exactly. But it would be better to calculate rough cost on trial and then upgrade the accuracy of the cost gradually based on latest knowledge. Cleanup subcommittee of AESJ utilized published process flow and unit cost and based on original proposed scenario: soils produced by decontamination were classified into intermediate storage facility and controllable processing place based on their contamination concentration and with limited reuse, rough estimated cost was obtained as 6 - 9 trillion yen for basic case. (T. Tanaka)

Ecological Factors in Social Skill Acquisition: High School Students with Emotional and/or Behavioral Disorders in the United States and Norway

Science.gov (United States)

Anderson, Sarah K.

2010-01-01

The purpose of my study was to develop a grounded theory of the underlying social processes and/or other ecological factors that impact the effectiveness of skill acquisition for students with emotional and/or behavioral disorders (EBD) in "sister" cities located in the United States (Site One) and in Norway (Site Two). Theory…

Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units.

Science.gov (United States)

Galletta, Maura; Portoghese, Igor; D'Aloja, Ernesto; Mereu, Alessandra; Contu, Paolo; Coppola, Rosa Cristina; Finco, Gabriele; Campagna, Marcello

2016-06-01

Burnout is a serious problem for critical care unit workers because they are exposed to chronic psychosocial stressors, including high responsibility, advanced technology and high patient acuity. Recent evidence showed that staff burnout was directly associated with hospital infections, thus affecting quality and safety of care provided. The research aim was to investigate how burnout was associated with some psychosocial factors and with health care-associated infections in hospitalised patients. A total of 130 healthcare professionals from critical care units completed a self-reported questionnaire. The infection data were collected prospectively over a six-month period. The results showed that emotional exhaustion was related to cynicism due to high work demands. Cynicism affected team communication, which in turn was positively related to team efficacy, thus acting as a mediator. Finally, team efficacy was negatively related to infections. The study showed that emotional exhaustion and cynicism were related to psychosocial aspects, which in turn had a significant impact on healthcare-associated infections. Our findings suggest how burnout can indirectly affect healthcare-related infections as a result of the quality of teamwork. Thus, reducing burnout can be a good strategy to decrease infections, thus increasing workers' well-being while improving patient care. Copyright © 2015 Elsevier Ltd. All rights reserved.

(Limiting the greenhouse effect)

Energy Technology Data Exchange (ETDEWEB)

Rayner, S.

1991-01-07

Traveler attended the Dahlem Research Conference organized by the Freien Universitat, Berlin. The subject of the conference was Limiting the Greenhouse Effect: Options for Controlling Atmospheric CO{sub 2} Accumulation. Like all Dahlem workshops, this was a meeting of scientific experts, although the disciplines represented were broader than usual, ranging across anthropology, economics, international relations, forestry, engineering, and atmospheric chemistry. Participation by scientists from developing countries was limited. The conference was divided into four multidisciplinary working groups. Traveler acted as moderator for Group 3 which examined the question What knowledge is required to tackle the principal social and institutional barriers to reducing CO{sub 2} emissions'' The working rapporteur was Jesse Ausubel of Rockefeller University. Other working groups examined the economic costs, benefits, and technical feasibility of options to reduce emissions per unit of energy service; the options for reducing energy use per unit of GNP; and the significant of linkage between strategies to reduce CO{sub 2} emissions and other goals. Draft reports of the working groups are appended. Overall, the conference identified a number of important research needs in all four areas. It may prove particularly important in bringing the social and institutional research needs relevant to climate change closer to the forefront of the scientific and policy communities than hitherto.

Energy resolution limitations in a gas scintillation proportional counter

International Nuclear Information System (INIS)

Simons, D.G.; de Korte, P.A.J.; Peacock, A.; Bleeker, J.A.M.

1985-01-01

An investigation is made of the factors limiting the energy resolution of a gas scintillation proportional counter (GSPC). Several of these limitations originate in the drift region of such a counter and data is presented, giving a quantitative description of those effects. Data is also presented of a GSPC without a drift region, that therefore largely circumvents most of those degrading factors. The results obtained so far indicate that in that detector the limitation to the resolution is most probably due to cleanliness of the gas. Further research is underway in order to assess quantitatively the limiting factors in such a driftless GSPC

Emission factors of modern wood-pellet heating units under typical heating conditions - Final report; Emissionsfaktoren moderner Pelletkessel unter typischen Heizbedingungen - Schlussbericht

Energy Technology Data Exchange (ETDEWEB)

Good, J.; Nussbaumer, T.

2009-12-15

This final report for the Swiss Federal Office of Energy (SFOE) reports on the results of measurements made concerning the emission factors of two modern wood-pellet heating units under typical heating conditions. Using simulations, typical operation in single-family homes and apartment blocks were examined. Emissions during the different phases of operation were examined. Systems with and without buffer storage were also examined. The minimum running times to be striven for are quoted which would lead to a reduction of emissions to an acceptable level. The characteristic operating modes for the two heating units and the results obtained for various emissions are presented and discussed.

Pressure support for limiting strain in a superconducting winding

International Nuclear Information System (INIS)

Marston, P.G.; Nolan, J.J.

1978-01-01

A pressure support unit is described for limiting strain in a superconducting winding including a restraining member surrounding the superconducting winding; and a pressure compartment, having at least one segment for receiving pressurized fluid, disposed between the superconducting winding and the restraining member; and a pressure support system comprising a plurality of such pressure support units

Psychogeriatric inpatient unit design: a literature review.

Science.gov (United States)

Dobrohotoff, John T; Llewellyn-Jones, Robert H

2011-03-01

In many parts of the world the provision of psychogeriatric inpatient units (PGUs) remains limited. More units will be required over coming decades given rapid population aging. Medline (1950-2010), psycINFO (1806-2009), EMBASE (1980-2009) and CINAHL (1982-2009) were searched for papers about PGU design. Selected non-peer reviewed literature such as government reports and unpublished academic dissertations were also reviewed. Data were also obtained from the literature related to general adult psychiatry inpatient units where there was limited information from studies of units designed for older people. Over 200 papers were reviewed and 130 were included. There are few good quality studies to guide the design of acute PGUs and much of the existing literature is based on opinion and anecdote or, at best, based on observational studies. Randomized controlled studies comparing different designs and assessing outcomes are virtually non-existent. Several studies have identified violence and trauma resulting from hospitalization as significant problems with current acute PGU care. Despite its limitations the available literature provides useful guidance on how PGU design can optimize patient and staff safety and improve clinical outcomes. There are significant problems with current acute PGUs, and patient mix on existing units is an important issue. Future research should examine patient and staff perceptions of different PGU ward environments, the relationship between ward design and clinical outcomes, the effects of segregating patients with challenging behaviors in dementia and the benefits or otherwise of gender segregation.

Derived limits for surface contamination

CERN Document Server

Wrixon, A D; Linsley, G S; White, D F

1979-01-01

Derived limits (DLs) for surface contamination were first established for use in the nuclear energy industry where a wide variety of radionuclides is encountered. They were later used in factories, hospitals, and universities, where the radionuclides used are normally fewer in number, either known or readily identifiable, and often of low toxicity. In these situations the current limits are frequently over-restrictive. This report describes a reassessment of the values in the light of more recent information on the possible pathways of exposure and the dose equivalent limits given in ICRP Publication 26. The reassessment is prompted also by the introduction of SI units. The results of the reassessment are used to produce a classification of DLs for all radionuclides for active and inactive area surfaces and for skin.

The Issue of Unit Constraints and the Non-Confiscatory Electricity Market

DEFF Research Database (Denmark)

Haji Bashi, Mazaher; Rahmati, Iman; Bak, Claus Leth

2017-01-01

Security constraint unit commitment is devised to drive the generation unit schedule in a deregulated environment. Generation bids, transmission system constraints and generation unit constraints are thoroughly considered in this optimization problem. It is acceptable that the transmission system...... normal condition constraints may affect the economic opportunities of the generation companies in the electricity market. Transmission system limitations are the inherent limits of the market environment but this is not true for the generation unit constraints. It means that the generation unit...... constraint of a certain player should not affect the economic opportunities of the rivals. If this happen, generation units can claim to the electricity market regulatory board. In this paper the effect of generation unit constraint on the market outcome is discussed. A fair mechanism is introduced in which...

Length of Residence in the United States is Associated With a Higher Prevalence of Cardiometabolic Risk Factors in Immigrants: A Contemporary Analysis of the National Health Interview Survey.

Science.gov (United States)

Commodore-Mensah, Yvonne; Ukonu, Nwakaego; Obisesan, Olawunmi; Aboagye, Jonathan Kumi; Agyemang, Charles; Reilly, Carolyn M; Dunbar, Sandra B; Okosun, Ike S

2016-11-04

Cardiometabolic risk (CMR) factors including hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia are high among United States ethnic minorities, and the immigrant population continues to burgeon. Hypothesizing that acculturation (length of residence) would be associated with a higher prevalence of CMR factors, the authors analyzed data on 54, 984 US immigrants in the 2010-2014 National Health Interview Surveys. The main predictor was length of residence. The outcomes were hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia. The authors used multivariable logistic regression to examine the association between length of US residence and these CMR factors.The mean (SE) age of the patients was 43 (0.12) years and half were women. Participants residing in the United States for ≥10 years were more likely to have health insurance than those with income ratio, age, and sex, immigrants residing in the United States for ≥10 years were more likely to be overweight/obese (odds ratio [OR], 1.19; 95% CI, 1.10-1.29), diabetic (OR, 1.43; 95% CI, 1.17-1.73), and hypertensive (OR, 1.18; 95% CI, 1.05-1.32) than those residing in the United States for <10 years. In an ethnically diverse sample of US immigrants, acculturation was associated with CMR factors. Culturally tailored public health strategies should be developed in US immigrant populations to reduce CMR. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Maximum penetration level of distributed generation without violating voltage limits

NARCIS (Netherlands)

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

2009-01-01

Connection of Distributed Generation (DG) units to a distribution network will result in a local voltage increase. As there will be a maximum on the allowable voltage increase, this will limit the maximum allowable penetration level of DG. By reactive power compensation (by the DG unit itself) a

Radiation exchange factors between specular inner surfaces of a rectangular enclosure such as transplant production unit

International Nuclear Information System (INIS)

Abdel-Ghany, Ahmed M.; Kozai, Toyoki

2006-01-01

General mathematical relations are presented for the specular exchange factors, F S , of diffuse radiation exchange between the inner surfaces of a rectangular enclosure. Three of these surfaces are specular reflectors, diffuse emitters and the fourth surface is a diffuse reflector, diffuse emitter. This enclosure can be used as a transplant production unit with artificial lighting for electric energy saving purposes. An image system and the crossed string method are used to derive these relations. The resulting expressions are conceptually simple and similar to the commonly known expressions of the exchange factors between diffuse surfaces, F. The accuracy of the presented F S relations was examined for different numbers of multiple reflections, N, on the specular surfaces and for different aspect ratios (ratio of the width, w to the height, h). The results proved that the relations are accurate and strongly satisfy the well-known relation of the radiation exchange between enclosure surfaces and satisfy the reciprocity relation. For any aspect ratio, considering N of 150 between highly reflective surfaces (ρ = 0.99) is sufficient to estimate the F S factors without any possible error. Using specular reflecting surfaces in such cases significantly reduces the electric energy consumption used for lighting

Indoor inhalation intake fractions of fine particulate matter: Review of influencing factors

DEFF Research Database (Denmark)

Hodas, Natasha; Loh, Miranda; Shin, Hyeong-Moo

2016-01-01

Exposure to fine particulate matter (PM2.5) is a major contributor to the global human disease burden. The indoor environment is of particular importance when considering the health effects associated with PM2.5 exposures because people spend the majority of their time indoors and PM2.5 exposures...... per unit mass emitted indoors are two to three orders of magnitude larger than exposures to outdoor emissions. Variability in indoor PM2.5 intake fraction (iFin,total), which is defined as the integrated cumulative intake of PM2.5 per unit of emission, is driven by a combination of building......-specific, human-specific, and pollutant-specific factors. Due to a limited availability of data characterizing these factors, however, indoor emissions and intake of PM2.5 are not commonly considered when evaluating the environmental performance of product life cycles. With the aim of addressing this barrier...

First Outbreak with MRSA in a Danish Neonatal Intensive Care Unit: Risk Factors and Control Procedures

Science.gov (United States)

Ramsing, Benedicte Grenness Utke; Arpi, Magnus; Andersen, Erik Arthur; Knabe, Niels; Mogensen, Dorthe; Buhl, Dorte; Westh, Henrik; Østergaard, Christian

2013-01-01

Introduction The purpose of the study was to describe demographic and clinical characteristics and outbreak handling of a large methicillin-resistant Staphylococcus aureus (MRSA) outbreak in a neonatal intensive care unit (NICU) in Denmark June 25th–August 8th 2008, and to identify risk factors for MRSA transmission. Methods Data were collected retrospectively from medical records and the Danish Neobase database. All MRSA isolates obtained from neonates, relatives and NICU health care workers (HCW) as well as environmental cultures were typed. Results During the 46 day outbreak period, 102 neonates were admitted to the two neonatal wards. Ninety-nine neonates were subsequently sampled, and 32 neonates (32%) from 25 families were colonized with MRSA (spa-type t127, SCCmec V, PVL negative). Thirteen family members from 11 of those families (44%) and two of 161 HCWs (1%) were colonized with the same MRSA. No one was infected. Five environmental cultures were MRSA positive. In a multiple logistic regression analysis, nasal Continuous Positive Airway Pressure (nCPAP) treatment (p = 0.006) and Caesarean section (p = 0.016) were independent risk factors for MRSA acquisition, whereas days of exposure to MRSA was a risk factors in the unadjusted analysis (p = 0.04). Conclusions MRSA transmission occurs with high frequency in the NICU during hospitalization with unidentified MRSA neonates. Caesarean section and nCPAP treatment were identified as risk factors for MRSA colonization. The MRSA outbreak was controlled through infection control procedures. PMID:23825581

[Risk factors for neonatal pulmonary hemorrhage in the neonatal intensive care unit of a municipal hospital].

Science.gov (United States)

Fan, Jie; Hei, Ming-Yan; Huang, Xi-Lin; Li, Xiao-Ping

2017-03-01

To investigate the risk factors for neonatal pulmonary hemorrhage (NPH) in the neonatal intensive care unit (NICU) of a municipal hospital, and to provide a basis for the early identification and treatment of NPH. A total of 112 neonates who were admitted to the NICU of Shaoyang Central Hospital of Hunan Province and diagnosed with NPH were enrolled as the case group. A nested case-control method was used to select, as a control group (n=224), the neonates who underwent the treatment with an assisted mechanical ventilator and did not experience pulmonary hemorrhage. Univariate analysis and unconditional logistic regression analysis were used to identify the high risk factors for NPH. The univariate analysis showed that compared with the control group, the case group had significantly higher incidence rates of gestational diabetes and cholestasis in mothers, cesarean delivery, gestational age <34 weeks, 5-minute Apgar score ≤5, birth weight <2 500 g, heart failure and disseminated intravascular coagulation (DIC) before the development of NPH, partial pressure of oxygen/fraction of inspired oxygen (oxygenation index, OI) ≤100, and a reduction in mean platelet volume. The multivariate logistic regression analysis showed that DIC, heart failure, and OI ≤100 were independent risk factors for NPH (OR=33.975, 3.975, 1.818 respectively; P<0.05). Heart failure, OI ≤100, and DIC are risk factors for the development of NPH in the NICU of the municipal hospital.

First outbreak with MRSA in a Danish neonatal intensive care unit: risk factors and control procedures.

Directory of Open Access Journals (Sweden)

Benedicte Grenness Utke Ramsing

Full Text Available INTRODUCTION: The purpose of the study was to describe demographic and clinical characteristics and outbreak handling of a large methicillin-resistant Staphylococcus aureus (MRSA outbreak in a neonatal intensive care unit (NICU in Denmark June 25(th-August 8(th 2008, and to identify risk factors for MRSA transmission. METHODS: Data were collected retrospectively from medical records and the Danish Neobase database. All MRSA isolates obtained from neonates, relatives and NICU health care workers (HCW as well as environmental cultures were typed. RESULTS: During the 46 day outbreak period, 102 neonates were admitted to the two neonatal wards. Ninety-nine neonates were subsequently sampled, and 32 neonates (32% from 25 families were colonized with MRSA (spa-type t127, SCCmec V, PVL negative. Thirteen family members from 11 of those families (44% and two of 161 HCWs (1% were colonized with the same MRSA. No one was infected. Five environmental cultures were MRSA positive. In a multiple logistic regression analysis, nasal Continuous Positive Airway Pressure (nCPAP treatment (p = 0.006 and Caesarean section (p = 0.016 were independent risk factors for MRSA acquisition, whereas days of exposure to MRSA was a risk factors in the unadjusted analysis (p = 0.04. CONCLUSIONS: MRSA transmission occurs with high frequency in the NICU during hospitalization with unidentified MRSA neonates. Caesarean section and nCPAP treatment were identified as risk factors for MRSA colonization. The MRSA outbreak was controlled through infection control procedures.

40 CFR 63.6640 - How do I demonstrate continuous compliance with the emission limitations and operating limitations?

Science.gov (United States)

2010-07-01

... 200 hours of operation from engine startup (engine burn-in period) are not violations. Rebuilt... units is limited to 100 hours per year. The owner or operator may petition the Administrator for... require maintenance and testing of emergency RICE beyond 100 hours per year. (4) You may operate your...

Aedes albopictus and Its Environmental Limits in Europe.

Science.gov (United States)

Cunze, Sarah; Kochmann, Judith; Koch, Lisa K; Klimpel, Sven

2016-01-01

The Asian tiger mosquito Aedes albopictus, native to South East Asia, is listed as one of the worst invasive vector species worldwide. In Europe the species is currently restricted to Southern Europe, but due to the ongoing climate change, Ae. albopictus is expected to expand its potential range further northwards. In addition to modelling the habitat suitability for Ae. albopictus under current and future climatic conditions in Europe by means of the maximum entropy approach, we here focused on the drivers of the habitat suitability prediction. We explored the most limiting factors for Aedes albopictus in Europe under current and future climatic conditions, a method which has been neglected in species distribution modelling so far. Ae. albopictus is one of the best-studied mosquito species, which allowed us to evaluate the applied Maxent approach for most limiting factor mapping. We identified three key limiting factors for Ae. albopictus in Europe under current climatic conditions: winter temperature in Eastern Europe, summer temperature in Southern Europe. Model findings were in good accordance with commonly known establishment thresholds in Europe based on climate chamber experiments and derived from the geographical distribution of the species. Under future climatic conditions low winter temperature were modelled to remain the most limiting factor in Eastern Europe, whereas in Central Europe annual mean temperature and summer temperatures were modelled to be replaced by summer precipitation, respectively, as most limiting factors. Changes in the climatic conditions in terms of the identified key limiting factors will be of great relevance regarding the invasive potential of the Ae. albopictus. Thus, our results may help to understand the key drivers of the suggested range expansion under climate change and may help to improve monitoring programmes. The applied approach of investigating limiting factors has proven to yield valuable results and may also provide

Human Factors Evaluation of Man-Machine Interface for Periodic Safety Review of Yonggwang Unit no. 1, 2

International Nuclear Information System (INIS)

Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang

2006-01-01

This report describes the research results of human factors assessment on the MMI(Man Machine Interface) equipment as part of Periodic Safety Review(PSR) of Yonggwang Unit no. 1, 2. As MMI is a key factor among human factors to be reviewed in PSR, we reviewed the MMI components of nuclear power plants in aspect of human factors engineering. The availability, suitability, and effectiveness of the MMI devices were chosen to be reviewed. The MMI devices were investigated through the review of design documents related to the MMI, survey of control panels, evaluation of experts, and experimental assessment. Checklists were used to perform this assessment and record the review results. The items mentioned by the expert comments to review in detail in relation with task procedures were tested by experiments with operators' participation. For some questionable issues arisen during this MMI review, operator workload and possibility of errors in operator actions were analysed. The reviewed MMI devices contain MCR(Main Control Room), SPDS(Safety Parameter Display System), RSP(Remote Shutdown Panel), and the selected LCBs(Local Control Boards) importantly related to safety. As results of the assessments, any significant problem challenging the safety was not found on human factors in the MMI devices. However, several small items to be changed and improved in suitability of MMI devices were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on MMI area

Human Factors Evaluation of Man-Machine Interface for Periodic Safety Review of Yonggwang Unit no. 1, 2

Energy Technology Data Exchange (ETDEWEB)

Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang (and others)

2006-01-15

This report describes the research results of human factors assessment on the MMI(Man Machine Interface) equipment as part of Periodic Safety Review(PSR) of Yonggwang Unit no. 1, 2. As MMI is a key factor among human factors to be reviewed in PSR, we reviewed the MMI components of nuclear power plants in aspect of human factors engineering. The availability, suitability, and effectiveness of the MMI devices were chosen to be reviewed. The MMI devices were investigated through the review of design documents related to the MMI, survey of control panels, evaluation of experts, and experimental assessment. Checklists were used to perform this assessment and record the review results. The items mentioned by the expert comments to review in detail in relation with task procedures were tested by experiments with operators' participation. For some questionable issues arisen during this MMI review, operator workload and possibility of errors in operator actions were analysed. The reviewed MMI devices contain MCR(Main Control Room), SPDS(Safety Parameter Display System), RSP(Remote Shutdown Panel), and the selected LCBs(Local Control Boards) importantly related to safety. As results of the assessments, any significant problem challenging the safety was not found on human factors in the MMI devices. However, several small items to be changed and improved in suitability of MMI devices were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on MMI area.

Comparison of Risk Factors in Necrotizing Enterocolitis among Infants in Neonatal Intensive Care Unit

Directory of Open Access Journals (Sweden)

Ferda Ozlu

2013-08-01

Full Text Available Purpose: Necrotizing enterocolitis is one of the important problems of premature infants. The incidence is about 1-5% in infants followed in neonatal care units and inversely related to gestational age and birth weight. Materials and Methods: In this study, 31 infants with necrotizing enterocolitis and 31 infants with similar gestational age and birth weight as control group hospitalized in Cukurova University Neonatal Care Unit between 1 January 2001-31 January 2004 were evaluated. Results: The incidence of necrotizing enterocolitis in this period was 1.4 (31/2214 admission. Mean gestational age was 30.5  3.2 weeks (25-36, mean birth weight was 1331  384 (730-2150 grams while 71% was younger than 32 gestational weeks and 67.7% was under 1500 grams. The signs of NEC were detected at a mean of 11.2  10. (2-38 days. Twenty-six (83.9% were being fed at the time of the necrotizing enterocolitis signs appeared. According to the Walsh and Kliegman classification, 19 (61.3% infants were in stage 1 (17 were 1a, 2 were 1b; 3 (9.6% infants were in stage 2a, 9 (%29.1 infants were in stage 3 (7 were in 3b. Blood culture was positive in 7 (%22.6 infants with predominance of gram negative microorganisms (5 infants. Eleven (%35.5 infants were exitus, 12 were discharged. Hypoxia, respiratory distress syndrome, intraventricular hemorrhage and umbilical catheterization were significant risk factors in necrotizing enterocolitis . Thrombocytopenia, leucopenia and high C-reactive protein levels were significantly high in necrotizing enterocolitis group. Breast feeding is significantly high in control group. Conclusion: Necrotizing enterocolitis, is a leading cause of morbidity and mortality in neonatal intensive care units. Early breast feeding with small amounts, increasing amount of milk slowly, antenatal steroids, caring hygiene rules can prevent the development of it. [Cukurova Med J 2013; 38(4.000: 642-647

Challenges encountered by critical care unit managers in the large intensive care units.

Science.gov (United States)

Matlakala, Mokgadi C; Bezuidenhout, Martie C; Botha, Annali D H

2014-04-04

Nurses in intensive care units (ICUs) are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.

Challenges encountered by critical care unit managers in the large intensive care units

Directory of Open Access Journals (Sweden)

Mokgadi C. Matlakala

2014-04-01

Full Text Available Background: Nurses in intensive care units (ICUs are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. Objectives: The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. Method: A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Results: Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Conclusion: Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.

Activity limitations and factors influencing functional outcome of ...

African Journals Online (AJOL)

EB

2013-09-03

Sep 3, 2013 ... life and satisfaction with life1,22. A recent study conducted among community dwelling stroke survivors found functional ability and independence to be the strongest predictor of, and were responsible for the greatest variance on participation22. For determining the factors influencing outcome with the use ...

Risk Prediction for Epithelial Ovarian Cancer in 11 United States–Based Case-Control Studies: Incorporation of Epidemiologic Risk Factors and 17 Confirmed Genetic Loci

Science.gov (United States)

Clyde, Merlise A.; Palmieri Weber, Rachel; Iversen, Edwin S.; Poole, Elizabeth M.; Doherty, Jennifer A.; Goodman, Marc T.; Ness, Roberta B.; Risch, Harvey A.; Rossing, Mary Anne; Terry, Kathryn L.; Wentzensen, Nicolas; Whittemore, Alice S.; Anton-Culver, Hoda; Bandera, Elisa V.; Berchuck, Andrew; Carney, Michael E.; Cramer, Daniel W.; Cunningham, Julie M.; Cushing-Haugen, Kara L.; Edwards, Robert P.; Fridley, Brooke L.; Goode, Ellen L.; Lurie, Galina; McGuire, Valerie; Modugno, Francesmary; Moysich, Kirsten B.; Olson, Sara H.; Pearce, Celeste Leigh; Pike, Malcolm C.; Rothstein, Joseph H.; Sellers, Thomas A.; Sieh, Weiva; Stram, Daniel; Thompson, Pamela J.; Vierkant, Robert A.; Wicklund, Kristine G.; Wu, Anna H.; Ziogas, Argyrios; Tworoger, Shelley S.; Schildkraut, Joellen M.

2016-01-01

Previously developed models for predicting absolute risk of invasive epithelial ovarian cancer have included a limited number of risk factors and have had low discriminatory power (area under the receiver operating characteristic curve (AUC) < 0.60). Because of this, we developed and internally validated a relative risk prediction model that incorporates 17 established epidemiologic risk factors and 17 genome-wide significant single nucleotide polymorphisms (SNPs) using data from 11 case-control studies in the United States (5,793 cases; 9,512 controls) from the Ovarian Cancer Association Consortium (data accrued from 1992 to 2010). We developed a hierarchical logistic regression model for predicting case-control status that included imputation of missing data. We randomly divided the data into an 80% training sample and used the remaining 20% for model evaluation. The AUC for the full model was 0.664. A reduced model without SNPs performed similarly (AUC = 0.649). Both models performed better than a baseline model that included age and study site only (AUC = 0.563). The best predictive power was obtained in the full model among women younger than 50 years of age (AUC = 0.714); however, the addition of SNPs increased the AUC the most for women older than 50 years of age (AUC = 0.638 vs. 0.616). Adapting this improved model to estimate absolute risk and evaluating it in prospective data sets is warranted. PMID:27698005

Care management in nursing within emergency care units

Directory of Open Access Journals (Sweden)

Roberta Juliane Tono de Oliveira

2015-12-01

Full Text Available Objective.Understand the conditions involved in the management of nursing care in emergency care units. Methodology. Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. Results. Hindering factors to care management are: lack of experience and knowledge of professionals in emergency services; inadequate number of professionals; work overload of emergency care units in the urgent care network; difficulty in implementing nursing care systematization, and need for team meetings. Facilitating factors are: teamwork; importance of professionals; and confidence of the nursing technicians in the presence of the nurse. Conclusion. Whereas the hindering factors in care management are related to the organizational aspects of the emergency care units in the urgency care network, the facilitating ones include specific aspects of teamwork.

Care management in nursing within emergency care units.

Science.gov (United States)

Tono de Oliveira, Roberta Juliane; Vieira Hermida, Patrícia Madalena; da Silva Copelli, Fernanda Hannah; Guedes Dos Santos, José Luís; Lorenzini Erdmann, Alacoque; Regina de Andrade, Selma

2015-12-01

Understand the conditions involved in the management of nursing care in emergency care units. Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. Hindering factors to care management are: lack of experience and knowledge of professionals in emergency services; inadequate number of professionals; work overload of emergency care units in the urgent care network; difficulty in implementing nursing care systematization, and need for team meetings. Facilitating factors are: teamwork; importance of professionals; and confidence of the nursing technicians in the presence of the nurse. Whereas the hindering factors in care management are related to the organizational aspects of the emergency care units in the urgency care network, the facilitating ones include specific aspects of teamwork.

ANALISIS TINGKAT KEMATANGAN (MATURITY LEVELS UNIT LAYANAN PENGADAAN KABUPATEN BADUNG

Directory of Open Access Journals (Sweden)

I Gde Uma Darmapramita

2015-07-01

Full Text Available The implementation of government procurement of goods and service is governed by presidential regulation number 70 year of 2012.  According to that, in Badung Regency implemented centralized in Procurement Service Unit of Badung Regency. As the one of Indonesia procurement unit pilot, Procurement Service Unit of Badung Regency has given the opportunity to perform a self assessment of its  maturity levels as government unit. The objective of this research is to find factors that influence Procuremet Service Unit of Badung Regency maturity levels, and also to find out in what level is Procurement Service Unit of Badung Regency stand. Data collection for this research have done by  using questionnaire that involve 50 respondents who understand very well about the duties and function of Procurement Service Unit of Badung Regency to perform a government procurement of good and services. The data analysis have been performed by use of factor analysis and supported by SPSS program. The result shows there are 3 factors that influent the Procurement Service Unit of Badung Regency maturity levels, which are : the synergy and organization culture, resources and risk management and organization’s performance development.  Whereas the maturity levels of Procurement Service Unit of Badung Regency is stand at compliance. Based to the factors that formed, the highly commitment and strong leadership of Badung Regency leader are very decisive to push ahead the enhancement  and  the development of Procurement Service Unit of Badung Regency.  First thing can be done is to establish an independent Procurement Service Unit therewith its Procurement Unit Development road maps that can be tiered and sustainable plan, monitor and evaluate

Limited Blood Transfusions Are Safe in Orthopaedic Trauma Patients.

Science.gov (United States)

Dolenc, Andrea J; Morris, William Z; Como, John J; Wagner, Karl G; Vallier, Heather A

2016-12-01

Controversy exists over association of blood transfusions with complications. The purpose was to assess effects of limited transfusions on complication rates and hospital course. Level 1 trauma center. Three hundred seventy-one consecutive patients with Injury Severity Score ≥16 underwent fixation of fractures of spine (n = 111), pelvis (n = 72), acetabulum (n = 57), and/or femur (n = 179). Those receiving >3 units of packed red blood cell were excluded. Fracture type, associated injuries, treatment details, ventilation time, complications, and hospital stay were prospectively recorded. Ninety-eight patients with 107 fractures received limited transfusion, and 119 patients with 123 fractures were not transfused. The groups did not differ in age, fracture types, time to fixation, or associated injuries. Lowest hematocrit was lower in the transfused group (22.8 vs. 30.0, P < 0.0001). Surgical duration (3:23 vs. 2:28) and estimated blood loss (462 vs. 211 mL) were higher in transfused patients (all P < 0.003). Pulmonary complications occurred in 12% of transfused and 4% of nontransfused, (P = 0.10). Mean days of mechanical ventilation (2.51 vs. 0.45), intensive care unit days (4.5 vs. 1.5) and total hospital stay (8.8 vs. 5.7) were higher in transfused patients (all P ≤ 0.006). After multivariate analysis, limited transfusion was associated with increased hospital and intensive care unit stays and mechanical ventilation time, but not with complications. Patients receiving ≤3 units of packed red blood cell had lower hematocrit and greater surgical burden, but no difference in complications versus the nontransfused group. Limited blood transfusions are likely safe, excepting a possible association with longer mechanical ventilation times and hospital stays. Therapeutic level III. See Instructions for Authors for a complete description of levels of evidence.

Occupational stress and job satisfaction of healthcare staff in rehabilitation units.

Science.gov (United States)

Fiabane, Elena; Giorgi, Ines; Musian, D; Sguazzin, Cinzia; Argentero, P

2012-01-01

Occupational stress and job dissatisfaction are recognized risk factors for healthcare professionals and can lead to a decrease in work performance and in the quality of care offered, and to poorer health of workers. Research in the rehabilitation care setting is very limited and needs to be explored. To investigate occupational stress, job satisfaction and their relationships with organizational factors among healthcare staff in rehabilitation units. A cross-sectional study of healthcare staff working in two rehabilitation units was conducted. They were sent two self-administered questionnaires, the Occupational Stress Indicator (OSI) and the Areas of Work life Scale (AWS), in order to assess occupational stress and job satisfaction. One-way ANOVA was used to explore work stress among two groups of workers, characterized by high and low job satisfaction levels. Stepwise multiple linear regression analysis was conducted to assess the association between job satisfaction and organizational risk factors. A total of 90 questionnaires were returned (response rate 53%). The main sources of stress were unfairness, conflict between personal and organizational values, lack of reward and workload Workers with low job satisfaction significantly scored higher in work-related stress in regard to various aspects of work, and in lower job control. Regression analysis showed that the most important predictors of job satisfaction were fairness and workload. The results of this study showed that job dissatisfaction is strongly associated with work stress and certain organizational risk factors. This study suggests the importance of focusing on the psychosocial factors in the work environment and job satisfaction in order to improve the well-being of rehabilitation healthcare staff.

[Factors limiting distribution of the rare lichen species Lobaria pulmonaria (in forests of the Kologriv Forest Nature Reserve)].

Science.gov (United States)

Ivanova, N V

2015-01-01

The distribution patterns and coenotic confines ofthe epiphytic lichen Lobaria pulmonaria have been studied. The factors limiting the habitat of this rare lichen species in the Kologriv Forest Nature Reserve (southern taiga subzone) have been revealed. It has been shown that L. pulmonaria is attracted to forest areas, which are less affected by humans and characterized by better light conditions than other communities. It has been found that L. pulmonaria is able to colonize trees at various ontogenetic states, beginning from virginal ones.

Research on Dynamic Facility Layout Problem of Manufacturing Unit Considering Human Factors

Directory of Open Access Journals (Sweden)

Jinying Li

2018-01-01

Full Text Available As many said, industry 4.0 is an epoch-making revolution which brought the manufacturing market much faster changes and severer competitions. As an important part of the manufacturing system, facility layout has direct impact on business benefit; at the same time, despite the intelligent factory, intelligent production has its own characteristics. However, there is one point on which industry and academia have basically formed a consensus: it is not true that industry 4.0 does not need human beings; on the contrary, human initiative plays an unabated role in the development of industry 4.0. This paper will focus on the dynamic facility layout of the manufacturing unit. Based on the system above and the traditional optimization model, a mathematic model is built to find the best solution combining safety, sustainability, high efficiency, and low cost. And penalty function with adaptive penalty factor and advanced artificial bee colony algorithm is used to solve the constrained model. In the end, by studying few cases, the model is proved to be effective in both efficiency improvement and the implementation of safe and comfort human-machine interaction.

28 CFR 541.50 - Release from a control unit.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Release from a control unit. 541.50... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Control Unit Programs § 541.50 Release from a control unit. (a) Only the Executive Panel may release an inmate from a control unit. The following factors are...

Effects of demographic factors and information sources on United States consumer perceptions of animal welfare.

Science.gov (United States)

McKendree, M G S; Croney, C C; Widmar, N J O

2014-07-01

As consumers have become more interested in understanding how their food is produced, scrutiny and criticism have increased regarding intensified food animal production methods. Resolution of public concerns about animal agricultural practices depends on understanding the myriad factors that provide the basis for concerns. An online survey of 798 U.S. households was conducted to investigate relationships between household characteristics (demographics, geographic location, and experiences) and level of concern for animal welfare as well as sources used to obtain information on the subject. Because recent media attention has focused on animal care practices used in the U.S. swine industry, respondents were also asked specific questions pertaining to their perceptions of pig management practices and welfare issues and their corresponding pork purchasing behavior. Respondents reporting higher levels of concern about animal welfare were more frequently female, younger, and self-reported members of the Democratic Party. Fourteen percent of respondents reported reduction in pork consumption because of animal welfare concerns with an average reduction of 56%. Over half of the respondents (56%) did not have a primary source for animal welfare information; those who identified a primary information source most commonly used information provided by animal protection organizations, the Humane Society of the United States (HSUS), and People for the Ethical Treatment of Animals (PETA). Midwest participants were significantly, at the 5% significance level, less concerned about domestic livestock animal welfare and more frequently reported not having a source for animal welfare information than those from other regions of the United States. Overall, the U.S. livestock and poultry industries and other organizations affiliated with animal agriculture appear to be less used public sources of information on animal welfare than popular animal protection organizations. Improved

Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya

Directory of Open Access Journals (Sweden)

Yoshito Kawakatsu

2017-02-01

Full Text Available Abstract Background The government of Kenya launched its community health strategy in 2006 to improve certain aspects of its community health program. Under the strategy, community units (CUs were established as level one of the Kenyan health system. A core member at this level is the community health worker (CHW. The objective of this study was to assess the relationship among the performance of the CUs, the prevalence of childhood diarrhea and appropriate treatment for it by controlling individual and community-level factors. Methods The main dataset used in this study was the 2011 Nyanza Province county-based Multiple Indicator Cluster Survey (MICS. In addition, based on the list of community units in Nyanza Province, Kenya, we identified the area’s CUs and their performance. MICS data and data on CUs were merged using sub-location names. There were 17 individual and two community-level independent variables in this study. Bivariate analysis and a multilevel logistic regression were performed. Results Factors significantly associated with a lower prevalence of diarrhea among children under five were the child’s increasing age, middle-aged household heads, children who received more attention, water treatment and rural versus urban area residence, while male children and highly performing CUs were significantly associated with a higher prevalence of diarrhea. In addition, middle wealth index, severity of diarrhea and middle- and high-CU performance were significantly associated with appropriate treatment for childhood diarrhea. Conclusions Although this study found that children living in areas of high CU performance were more likely to have diarrhea, these areas would have been identified as being more at risk for diarrhea prevalence and other health concerns, prioritized for the establishment of a CU and allocated more resources to improve the performance of CUs. A higher CU performance was significantly associated with the appropriate

Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya.

Science.gov (United States)

Kawakatsu, Yoshito; Tanaka, Junichi; Ogawa, Kazuya; Ogendo, Kenneth; Honda, Sumihisa

2017-02-16

The government of Kenya launched its community health strategy in 2006 to improve certain aspects of its community health program. Under the strategy, community units (CUs) were established as level one of the Kenyan health system. A core member at this level is the community health worker (CHW). The objective of this study was to assess the relationship among the performance of the CUs, the prevalence of childhood diarrhea and appropriate treatment for it by controlling individual and community-level factors. The main dataset used in this study was the 2011 Nyanza Province county-based Multiple Indicator Cluster Survey (MICS). In addition, based on the list of community units in Nyanza Province, Kenya, we identified the area's CUs and their performance. MICS data and data on CUs were merged using sub-location names. There were 17 individual and two community-level independent variables in this study. Bivariate analysis and a multilevel logistic regression were performed. Factors significantly associated with a lower prevalence of diarrhea among children under five were the child's increasing age, middle-aged household heads, children who received more attention, water treatment and rural versus urban area residence, while male children and highly performing CUs were significantly associated with a higher prevalence of diarrhea. In addition, middle wealth index, severity of diarrhea and middle- and high-CU performance were significantly associated with appropriate treatment for childhood diarrhea. Although this study found that children living in areas of high CU performance were more likely to have diarrhea, these areas would have been identified as being more at risk for diarrhea prevalence and other health concerns, prioritized for the establishment of a CU and allocated more resources to improve the performance of CUs. A higher CU performance was significantly associated with the appropriate treatment. It was suggested that CHWs could have a positive effect on

Density limit in JT-60

International Nuclear Information System (INIS)

Kamada, Yutaka; Hosogane, Nobuyuki; Hirayama, Toshio; Tsunematsu, Toshihide

1990-05-01

This report studies mainly the density limit for a series of gas- and pellet-fuelled limiter discharges in JT-60. With the pellet injection into high-current/low-q (q(a)=2.3∼2.5) discharges, the Murakami factor reaches up to 10∼13 x 10 19 m -2 T -1 . The values are about factors of 1.5∼2.0 higher than those for usual gas-fuelled discharges. The pellet injected discharges have high central density, whereas the electron density in the outer region (a/2 abs and n e 2 (r=50 cm) x Z eff (r=50 cm). (author)

An evaluation of dose/unit area and time as key factors influencing the elicitation capacity of methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) in MCI/MI-allergic patients

DEFF Research Database (Denmark)

Zachariae, Claus; Lerbaek, Anne; McNamee, Pauline M

2006-01-01

Methylchloroisothiazolinone and methylisothiazolinone (MCI/MI) contact allergy affects 1-3% of patch-tested patients in European centres. The aim of the present study was to evaluate the importance of the factors--time and concentration (dose/per unit area)--in the elicitation capacity by means...... (2 p.p.m.) of MCI/MI/unit area of the skin for 4 weeks. After a wash-out period of at least 4 weeks, the subjects were exposed to 0.094 microg/cm2 (7.5 p.p.m.) of MCI/MI/unit area of the skin for 4 weeks. The study showed the importance of both time and exposure in the elicitation process...

Factors in low-carbon energy transformations: Comparing nuclear and bioenergy in Brazil, Sweden, and the United States

International Nuclear Information System (INIS)

Hultman, Nathan E.; Malone, Elizabeth L.; Runci, Paul; Carlock, Gregory; Anderson, Kate L.

2012-01-01

Policies to address climate change by reducing greenhouse gas emissions might be made more effective if we can better understand the pathways by which transformative technologies become significant components of energy systems. Indeed, the central question of mitigation revolves around the scope of policy to influence or accelerate the diffusion of low-carbon technology. While market forces clearly influence technology deployment, understanding the longer-term and large-scale changes in the energy system requires a broader understanding of the relative influence of institutional, behavioral, and social factors. This paper presents the results of an interview-based, comparative case approach to investigating systematically the relative importance of these non-economic factors influencing technological change across technology and country contexts. We identified two low-carbon energy sectors (bioenergy and nuclear power) that underwent significant changes over the past 50 years in the energy portfolio of three countries: Brazil, Sweden, and the United States. We identified nine categories of factors that might contribute to these large technological transformations, and then evaluated, via interviews with sector participants in each country, which factors were viewed as being determinative or highly influential in the trajectory of that technology in their country context. We also draw out policy implications and directions for future research. - Highlights: ► Study of energy transformations in bioenergy and nuclear energy in Brazil, Sweden, and the US. ► Data include survey and 78 interviews across 3 countries and 2 sectors. ► Across all countries and sectors, domestic policy was seen as the major factor in transitions. ► Other key factors with more variance were technological characteristics and industry structure. ► Study adds empirical detail to understanding of relative weights of factors in energy transitions.

Cancer insurance policies in Japan and the United States.

Science.gov (United States)

Bennett, C L; Weinberg, P D; Lieberman, J J

1998-01-01

Cancer care in the United States often results in financial hardship for patients and their families. Standard health insurance covers most medical costs, but nonmedical costs (such as lost wages, deductibles, copayments, and travel to and from caregivers) are paid out of pocket. Over the course of treatment, these costs can become substantial. Insurance companies have addressed the burden of these out-of-pocket costs by offering supplemental cancer insurance policies that, upon diagnosis of cancer, pay cash benefits for items that usually require out-of-pocket expenditures and are distinct from reimbursements made by traditional health insurance. Limitations associated with managed care have fostered increased consumer awareness and interest in the United States for cancer insurance and its ability to defray treatment expenditures that usually require out-of-pocket payments. Marketing campaigns are becoming more aggressive, and the number of cancer insurance policies sold has been steadily rising. While cancer insurance is only recently gaining popularity in the United States, it has been a successful product in Japan for over twenty years. In Japan, approximately one-quarter of the population own cancer insurance, and ten-year retention rates are estimated at 75%. As a result, individuals are afforded good access to nonmedical cancer services. Understanding the factors that led to the success of cancer insurance in Japan may assist policymakers in evaluating cancer insurance policies as they become more prevalent in the United States.

A historical review of managed honey bee populations in Europe and the United States and the factors that may affect them.

Science.gov (United States)

Vanengelsdorp, Dennis; Meixner, Marina Doris

2010-01-01

Honey bees are a highly valued resource around the world. They are prized for their honey and wax production and depended upon for pollination of many important crops. While globally honey bee populations have been increasing, the rate of increase is not keeping pace with demand. Further, honey bee populations have not been increasing in all parts of the world, and have declined in many nations in Europe and in North America. Managed honey bee populations are influenced by many factors including diseases, parasites, pesticides, the environment, and socio-economic factors. These factors can act alone or in combination with each other. This review highlights the present day value of honey bees, followed by a detailed description of some of the historical and present day factors that influence honey bee populations, with particular emphasis on colony populations in Europe and the United States. Copyright 2009 Elsevier Inc. All rights reserved.

Macrobioerosion in Porites corals in subtropical northern South China Sea: a limiting factor for high-latitude reef framework development

Science.gov (United States)

Chen, Tianran; Li, Shu; Yu, Kefu

2013-03-01

Bioerosion is an important limiting factor in carbonate accretion and reef framework development; however, few studies have quantified the direct impact of macroborers on high-latitude coral communities, which are viewed as potential refuge during a period of global warming. In this study, internal macrobioerosion of Porites corals was examined at Daya Bay, subtropical northern South China Sea. The principal borers were the bivalve Lithophaga spp. and the sponges Cliona spp. and Cliothosa spp. (≥80 %), while sipunculid and polychaete worms and barnacles accounted for small amounts of bioerosion (≤20 %). Porites corals were heavily bioeroded in areas impacted by aquacultural and urban activities (10.34-27.55 %) compared with corals in relatively unpolluted areas (2.18-6.76 %). High levels of bioerosion, especially boring bivalve infestation, significantly weaken the corals and increase their susceptibility to dislodgement and fragmentation in typhoons, limiting accumulation of limestone framework. This study implies that carbonate accretion and reef development for high-latitude coral communities may be limited in future high-CO2 and eutrophication-stressed environments.

Proposal of criteria for evaluation of engineering safety factors of VVER core parameters

International Nuclear Information System (INIS)

Shishkov, L.; Tsyganov, S.; Dementiev, V.

2009-01-01

The paper states that the regulatory documentation, as a rule, do not give explicit recommendations on formation techniques of engineering safety factors for design limited parameters of normal operation (K eng ). The AER countries use different approaches to K eng evaluation (sometimes even one country in relation of various power units). The paper suggests the development of uniform rules to be used in calculation of engineering safety factor for all VVER reactors. The paper presents principal problems that must be solved in the course of the discussion, and in the form of an exercise suggests the way of their solution. (authors)

Proposal of criteria for evaluation of engineering safety factors of WWER core parameters

International Nuclear Information System (INIS)

Shishkov, L.; Tsyganov, S.; Dementiev, V.

2009-01-01

The paper states that the regulatory documentation, as a rule, do not give explicit recommendations on formation techniques of engineering safety factors for design limited parameters of normal operation. The AER countries use different approaches to evaluation (sometimes even one country in relation of various power units). The paper suggests the development of uniform rules to be used in calculation of engineering safety factor for all WWER reactors. The paper presents principal problems that must be solved in the course of the discussion, and in the form of an exercise suggests the way of their solution. (Authors)

40 CFR Table 23 to Subpart Uuu of... - Operating Limits for Inorganic HAP Emission Limitations for Catalytic Reforming Units

Science.gov (United States)

2010-07-01

... alkalinity of the water (or scrubbing liquid) exiting the scrubber must not fall below the limit established... scrubbing system meeting HCl percent reduction standard. The daily average pH or alkalinity of the water (or...

Enhanced Engraftment of a Very Low-Dose Cord Blood Unit in an Adult Haemopoietic Transplant by Addition of Six Mismatched Viable Cord Units

Directory of Open Access Journals (Sweden)

Stephen J. Proctor

2010-01-01

, supported by six mismatched cord blood units (one unit per 10 kg recipient weight. No adverse reaction occurred following the infusion of mismatched units and engraftment of the suboptimal-dose matched unit occurred rapidly, with no molecular evidence of engraftment of mismatched cords. Early molecular remission of ALL was demonstrated using a novel PCR for a mitochondrial DNA mutation in the leukaemic clone. The cell dose of the matched cord was well below that recommended to engraft a 70 kg recipient. We suggest that a factor or factors in the mismatched cords enhanced/supported engraftment of the matched cord.

Active travel to work and cardiovascular risk factors in the United Kingdom.

Science.gov (United States)

Laverty, Anthony A; Mindell, Jennifer S; Webb, Elizabeth A; Millett, Christopher

2013-09-01

Increasing active travel (walking, cycling, public transport) is increasingly seen as integral to strategies to raise physical activity levels. This study examined (1) sociodemographic correlates of active travel to work and (2) associations between active travel and cardiovascular risk factors in the United Kingdom (UK). Data come from Understanding Society, a nationally representative survey of UK residents in 2009/2011, analyzed in 2012. Multinomial logistic regression assessed associations between sociodemographic factors and mode of transport to work. Linear and logistic regression was used to examine associations between mode of travel and overweight/obesity, and having hypertension or diabetes. A total of 69% of participants traveled to work using private transport, with public transport, walking, and cycling used by 16%, 12%, and 3%, respectively. Use of any active travel was more likely in participants living in London. Black participants were more likely to walk (AOR=1.41, 95% CI=1.08, 1.84) or take public transport (AOR=2.34, 95% CI=1.88, 2.90) to work than whites. Using public transport, walking, or cycling to work was associated with a lower likelihood of being overweight (AOR=0.80, 95% CI=0.54, 0.88 for walking). Walking or cycling was associated with a lower likelihood of having diabetes, and walking was associated with a lower likelihood of having hypertension than private transport (AOR=0.83, 95% CI=0.71, 0.97). There are wide variations in the mode of travel to work across regions and sociodemographic groups in the UK. The protective association between active travel and cardiovascular risk demonstrated in this nationally representative study adds to growing evidence that concerted policy focus in this area may benefit population health. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Bus crash severity in the United-States: The role of driver behavior, service type, road factors and environmental conditions

DEFF Research Database (Denmark)

Kaplan, Sigal; Prato, Carlo Giacomo

current study investigates the underlying risk factors of bus accident severity in the United States. A generalized ordered logit model is estimated in order to account for the ordered nature of severity, while allowing the violation of the proportional odds assumption across severity categories. Data...... for the analysis are retrieved from the General Estimates System (GES) database for the years 2005-2009. Results show that accident severity increases: (i) for young bus drivers under the age of 25; (ii) for drivers beyond the age of 55, and most prominently for drivers over 65 years old; (iii) for female drivers......Recent years have witnessed a growing interest in improving bus safety operations worldwide. While in the United States buses are considered relatively safe, the number of bus accidents is far from being negligible, triggering the introduction of the Motor-coach Enhanced Safety Act of 2011.The...

The estimation of derived limits

International Nuclear Information System (INIS)

Harrison, N.T.; Bryant, P.M.; Clarke, R.H.; Morley, F.

1979-08-01

In practical radiation protection, it is often necessary to calculate limits of intake of radionuclides associated with various quantities; such limits are needed, for example, to assess the adequacy of the control of environmental contamination. In publication 26 of the International Commission on Radiological Protection (ICRP), these limits, when related to the basic limits of dose-equivalent by a defined model, are referred to as Derived Limits (DLs). In the present report the principles to be adopted by the Board in calculating DLs to be recommended for general application within the United Kingdom are outlined. DLs will be recommended for a wide range of radionuclides and for circumstances relevant to the workplace, and, more frequently, the general environment. The latter will include DLs in foodstuffs and associated environmental materials, such as soil and grass, and DLs for discharges from stacks. DLs will be related to dose equivalents for workers or members of the public for stochastic or non-stochastic effects as appropriate. Consideration will be given to relevant data on radiosensitivity, metabolism and dosimetry for children and to the physicochemical forms of radionuclides. (author)

Factors limiting the recovery of boreal toads (Bufo b. boreas)

Science.gov (United States)

Carey, C.; Corn, P.S.; Jones, M.S.; Livo, L.J.; Muths, E.; Loeffler, C.W.; Lannoo, M.

2005-01-01

Boreal toads (Bufo b. boreas) are widely distributed over much of the mountainous western United States. Populations in the Southern Rocky Mountains suffered extensive declines in the late 1970s through early 1980s (Carey, 1993). At the time, these mass mortalities were thought to be associated with a bacterial infection (Carey, 1993). Although the few populations that survived the mass die-offs were not systematically monitored until at least 1993, no mass mortalities had been observed until 1996 when die-offs were observed. A mycotic skin infection associated with a chytrid fungus is now causing mortality of toads in at least two of the populations (M.S. Jones and D.E. Green, unpublished data; Muths et al., 2003). Boreal toads are now absent throughout large areas of their former distribution in Colorado and southern Wyoming and may be extinct in New Mexico (Corn et al., 1989; Carey, 1993; Stuart and Painter, 1994). These toads are classified as “endangered” by Colorado and New Mexico and are designated as a protected non-game species in Wyoming. The U.S. Fish and Wildlife Service has categorized the Southern Rocky Mountain populations for federal listing and is currently reviewing their designation as a “warranted but precluded” species for possible listing in the next few years. For the management of boreal toads and their habitats, a Boreal Toad Recovery Team was formed by the Colorado Division of Wildlife in 1995 as part of a collaborative effort with federal agencies within the United States’ departments of the Interior and Agriculture and with agencies in two adjoining states. To date, conservation agreements have been signed by eight state and federal agencies and by the Colorado Natural Heritage Program. Although boreal toads were considered common throughout their range in Colorado, no comprehensive surveys of the numbers and sizes of their populations were conducted prior to mass die-offs in the 1970s. Surveys completed in the late 1980s to

Evaluation of prognostic factors in liver-limited metastatic colorectal cancer: a preplanned analysis of the FIRE-1 trial

Science.gov (United States)

Giessen, C; Fischer von Weikersthal, L; Laubender, R P; Stintzing, S; Modest, D P; Schalhorn, A; Schulz, C; Heinemann, V

2013-01-01

Background: Liver-limited disease (LLD) denotes a specific subgroup of metastatic colorectal cancer (mCRC) patients. Patients and Methods: A total of 479 patients with unresectable mCRC from an irinotecan-based randomised phase III trial were evaluated. Patients with LLD and non-LLD and hepatic resection were differentiated. Based on baseline patient characteristic, prognostic factors for hepatic resection were evaluated. Furthermore, prognostic factors for median overall survival (OS) were estimated via Cox regression in LLD patients. Results: Secondary liver resection was performed in 38 out of 479 patients (resection rate: 7.9%). Prognostic factors for hepatic resection were LLD, lactate dehydrogenase (LDH), node-negative primary, alkaline phosphatase (AP) and Karnofsky performance status (PS). Median OS was significantly increased after hepatic resection (48 months), whereas OS in LLD (17 months) and non-LLD (19 months) was comparable in non-resected patients. With the inapplicability of Koehne's risk classification in LLD patients, a new score based on only the independent prognostic factors LDH and white blood cell (WBC) provided markedly improved information on the outcome. Conclusion: Patients undergoing hepatic resection showed favourable long-term survival, whereas non-resected LLD patients and non-LLD patients did not differ with regard to progression-free survival and OS. The LDH levels and WBC count were confirmed as prognostic factors and provide a useful and simple score for OS-related risk stratification also in LLD. PMID:23963138

Analysis of factors which limited the spatial variation of barley yield on the forest-steppe chernozems of Kursk region

Science.gov (United States)

Belik, Anton; Vasenev, Ivan; Jablonskikh, Lidia; Bozhko, Svetlana

2017-04-01

The crop yield is the most important indicator of the efficiency of agricultural production. It is the function that depends on a large number of groups of independent variables, such as the weather, soil fertility and overall culture agriculture. A huge number of combinations of these factors contribute to the formation of high spatial variety of crop yields within small areas, includes the slope agrolandscapes in Kursk region. Spatial variety of yield leads to a significant reduction in the efficiency of agriculture. In this connection, evaluation and analysis of the factors, which limits the yield of field crops is a very urgent proble in agroecology. The research was conducted in the period of 2003-2004 on a representative field. The typical and leached chernozems with the varying thickness and of erosion degree are dominated in soil cover. At the time of field research studied areas were busy by barley. The reseached soils have an average and increased fertility level. Chernozem typical full-face, and the leached contain an average of 4.5-6% humus, close to neutral pH, favorable values of physico-chemical parameters, medium and high content of nutrients. The eroded chernozems differs agrogenic marked declining in fertility parameters. The diversity of meso- and micro-relief in the fields and soil cover influence to significant spatial variety of fertility. For example the content of nutrients in the soil variation can be up to 5-fold level. High spatial heterogeneity of soils fertility ifluence to barley yield variety. During research on the productivity of the field varied in the range of 20-43 c/ha, and 7-44 c/ha (2004). Analysis of the factors, which limited the yield of barley, showed that the first priorities occupy unregulated characterises: slope angle and the classification of soils (subtype and race of chernozem and the difference in the degree of erosion), which determines the development of erosion processes and redistribution available to plants

Current Understanding of Lifestyle and Environmental Factors and Risk of Non-Hodgkin Lymphoma: An Epidemiological Update

International Nuclear Information System (INIS)

Bassig, B. A.; Zhang, Y.; Zheng, T.; Lan, Q.; Rothman, N.

2012-01-01

The incidence rates of non-Hodgkin lymphoma (NHL) have steadily increased over the last several decades in the United States, and the temporal trends in incidence can only be partially explained by the HIV epidemic. In 1992, an international workshop sponsored by the United States National Cancer Institute concluded that there was an “emerging epidemic” of NHL and emphasized the need to investigate the factors responsible for the increasing incidence of this disease. Over the past two decades, numerous epidemiological studies have examined the risk factors for NHL, particularly for putative environmental and lifestyle risk factors, and international consortia have been established in order to investigate rare exposures and NHL subtype-specific associations. While few consistent risk factors for NHL aside from immunosuppression and certain infectious agents have emerged, suggestive associations with several lifestyle and environmental factors have been reported in epidemiologic studies. Further, increasing evidence has suggested that the effects of these and other exposures may be limited to or stronger for particular NHL subtypes. This paper examines the progress that has been made over the last twenty years in elucidating the etiology of NHL, with a primary emphasis on lifestyle factors and environmental exposures.

Density limit experiments on FTU

International Nuclear Information System (INIS)

Pucella, G.; Tudisco, O.; Apicella, M.L.; Apruzzese, G.; Artaserse, G.; Belli, F.; Boncagni, L.; Botrugno, A.; Buratti, P.; Calabrò, G.; Castaldo, C.; Cianfarani, C.; Cocilovo, V.; Dimatteo, L.; Esposito, B.; Frigione, D.; Gabellieri, L.; Giovannozzi, E.; Bin, W.; Granucci, G.

2013-01-01

One of the main problems in tokamak fusion devices concerns the capability to operate at a high plasma density, which is observed to be limited by the appearance of catastrophic events causing loss of plasma confinement. The commonly used empirical scaling law for the density limit is the Greenwald limit, predicting that the maximum achievable line-averaged density along a central chord depends only on the average plasma current density. However, the Greenwald density limit has been exceeded in tokamak experiments in the case of peaked density profiles, indicating that the edge density is the real parameter responsible for the density limit. Recently, it has been shown on the Frascati Tokamak Upgrade (FTU) that the Greenwald density limit is exceeded in gas-fuelled discharges with a high value of the edge safety factor. In order to understand this behaviour, dedicated density limit experiments were performed on FTU, in which the high density domain was explored in a wide range of values of plasma current (I p = 500–900 kA) and toroidal magnetic field (B T = 4–8 T). These experiments confirm the edge nature of the density limit, as a Greenwald-like scaling holds for the maximum achievable line-averaged density along a peripheral chord passing at r/a ≃ 4/5. On the other hand, the maximum achievable line-averaged density along a central chord does not depend on the average plasma current density and essentially depends on the toroidal magnetic field only. This behaviour is explained in terms of density profile peaking in the high density domain, with a peaking factor at the disruption depending on the edge safety factor. The possibility that the MARFE (multifaced asymmetric radiation from the edge) phenomenon is the cause of the peaking has been considered, with the MARFE believed to form a channel for the penetration of the neutral particles into deeper layers of the plasma. Finally, the magnetohydrodynamic (MHD) analysis has shown that also the central line

Theoretical difference between impact factor and influence factor

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Đilda Pečarić

2010-06-01

Full Text Available Bibliometric constructions of "knowledge maps" and "cognitive structures of science" do not differentiate between impact and influence factors. The difference can be constructedaccording to different meaning and interpretation of the terms reference and citation. Reference is "acknowledgment which one author gives to another", whereas citation is "acknowledgment which one document receives from another". Development of Information Science according to period and subject area is analyzed on the corpus of citation literature retrieved from doctoral dissertations in Information Science from 1978 to 2007 at Croatian universities. The research aim is to indicate the difference between document impact factor and author's influence factor (i.e. reference ability to produce effects on actions, behavior, and opinions of authors of doctoral theses. The influence factor serves to distinguish the key role of cited authors in time and according to the duration of the influence (the average age for cited papers of dominant authors in different periods is between eight and ten years. The difference between linear and interactive communication seems vital for the interpretation of cited half-life, i.e. the attitude of one science community towards used information resources and cognitive heritage. The analyzed corpus of 22,210 citations can be divided into three communication phases according to influence factor criteria: in the phase of dialogue and interactive communication 25% of bibliographic units are cited in the first four years; in the second phase another 25% of units are cited from the fifth to the ninth year; after ten years, in the dominant linear communication phase, approximately 30% of units are cited.

Antibiotic Policies in the Intensive Care Unit

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Nese Saltoglu

2003-08-01

Full Text Available The antimicrobial management of patients in the Intensive Care Units are complex. Antimicrobial resistance is an increasing problem. Effective strategies for the prevention of antimicrobial resistance in ICUs have focused on limiting the unnecessary use of antibiotics and increasing compliance with infection control practices. Antibiotic policies have been implemented to modify antibiotic use, including national or regional formulary manipulations, antibiotic restriction forms, care plans, antibiotic cycling and computer assigned antimicrobial therapy. Moreover, infectious diseases consultation is a simple way to limit antibiotic use in ICU units. To improve rational antimicrobial using a multidisiplinary approach is suggested. [Archives Medical Review Journal 2003; 12(4.000: 299-309

The effect of plasma rich in growth factors combined with follicular unit extraction surgery for the treatment of hair loss: A pilot study.

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Navarro, Roge M; Pino, Ander; Martinez-Andres, Asunción; Molina, Consuelo; Martinez, Ana María; Martinez, Nahikari; Orive, Gorka; Anitua, Eduardo

2017-10-26

Hair transplant surgery using follicular unit extraction technique (FUE) is a common surgical procedure for the treatment of severe hair loss. Blood-derived autologous growth factors have also proved to promote hair regeneration in patients with different types of alopecia. The aim of this study was to evaluate the safety and clinical efficacy of plasma rich in growth factors (PRGF) technology as an adjuvant therapy for FUE surgery in hair loss affected patients. The biologic potential of PRGF was firstly in vitro evaluated over follicular germinal matrix and dermal papilla cells. Afterward, fifteen patients were subjected to routine FUE procedure while 15 patients underwent FUE+PRGF therapy. PRGF group included intradermal injections of growth factors and follicular transfer unit (FTU) preservation in an autologous fibrin clot. Postsurgical patient satisfaction and clinical improvement were evaluated, and PRGF or saline-preserved hair grafts were histomorphometrically analyzed. Follicular cell proliferation and migration was induced after autologous growth factors treatment. PRGF-preserved FTUs presented higher bioactivity signals and improved integrity of perifollicular structures and extracellular matrix proteins such as collagen and elastic fibers. PRGF not only reduced the postsurgical crust healing and hair fixation period, but also decreased the inflammatory pain and itching sensation. This preliminary data demonstrate that PRGF is able to minimize the postsurgical follicle loss and potentiate the performance of grafted hairs. The fibrin clot not only acts as a protective barrier against environmental factors, but also provides a biologically active scaffold that induces resident cell proliferation and maintains an optimal integrity of the grafted hair. © 2017 Wiley Periodicals, Inc.

Play-level distributions of estimates of recovery factors for a miscible carbon dioxide enhanced oil recovery method used in oil reservoirs in the conterminous United States

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Attanasi, E.D.; Freeman, P.A.

2016-03-02

In a U.S. Geological Survey (USGS) study, recovery-factor estimates were calculated by using a publicly available reservoir simulator (CO2 Prophet) to estimate how much oil might be recovered with the application of a miscible carbon dioxide (CO2) enhanced oil recovery (EOR) method to technically screened oil reservoirs located in onshore and State offshore areas in the conterminous United States. A recovery factor represents the percentage of an oil reservoir’s original oil in place estimated to be recoverable by the application of a miscible CO2-EOR method. The USGS estimates were calculated for 2,018 clastic and 1,681 carbonate candidate reservoirs in the “Significant Oil and Gas Fields of the United States Database” prepared by Nehring Associates, Inc. (2012).

Cost and usage patterns of antibiotics in a tertiary care neurosurgical unit

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Manish Singh Sharma

2012-01-01

Full Text Available Objectives: The routine use of prophylactic antibiotics in neurosurgery has been shown to significantly reduce surgical site infection rates. The documentation of non-surgical site, nosocomial infections in neurosurgical patients remains limited, despite this being a stimulus for prolific antibiotic usage. The actual quantum of antibiotic use in neurosurgery and its role in infection control remain both undocumented and controversial. The authors address this issue with a cost-effectiveness study using historical controls. Materials and Methods: Bacteriologically positive body fluid samples were used to quantify infection rates in the year 2006 and compared with those in the year 1997. Itemized drug lists obtained from dedicated neurosurgical intensive care units and wards were used to quantify antibiotic usage and calculate their costs. Results were compared using both historical and internal controls. The monetary conversion factor used was INR 40=US$1. Results: A total of 3114 consecutive elective and emergency neurosurgical procedures were performed during the study period. 329 patients (10.6% were recorded to have bacteriologically positive body fluid samples, and 100,250 units of antibiotics were consumed costing Rs. 14,378,227.5 ($359,455.7. On an average, an operated patient received 32.2 units of antibiotics valued at Rs. 4,617 ($115.4. The crude infection rates were recorded to have reduced significantly in comparison to 1997, but did not differ between mirror intra-departmental units with significantly different antibiotic usage. Conclusions: Antibiotics accounted for 31% of the per capita cost of consumables for performing a craniotomy in the year 2006. This estimate should be factored into projecting future package costs.

Main factors determining the KNP units 5 and 6 safety level according to the PSA level 1 result

International Nuclear Information System (INIS)

Manchev, B.; Marinova, B.; Nenkova, B.

2004-01-01

The Probabilistic Safety Analysis (PSA) is a powerful tool for ascertainment of the safety level reached at nuclear power plants operation. The results of PSA determine very clearly the functions, systems, equipment or operator actions that have to be improved in order to increase the plant safety level as a whole. The present report presents the main results of the last upgraded revision of PSA level 1 of units 5 and 6 of KNPP. The objective of the report is to lay emphasis on the factors determining the result obtained, i.e. to demonstrate the scopes whose improvement leads to an increase of the safety level reached at the units power operation. In the frame of the study presented the following categories of initiating events are included: Internal initiating events; Initiating events result of internal fires; Initiating events result of seismic action; Floods. Only the reactor core is considered as a source of radioactive contamination. Only initiating events related to the reactor work on power are analyzed. Unit 5 of KNPP is accepted as a basic unit for the study. All modifications and design changes implemented up to year 2000 are taken into account. The results of PSA level 1 for units 5 and 6 of KNPP covering the risk of internal initiators are presented. The assessment of the core damage due to internal initiators is based on the analysis of 18 groups of initiating events. 932 consequences and two groups of initial events are identified, leading to core damage. As a result of the quantitative calculation, over 15000 minimal cuts for the core damage are obtained. The first 80 cuts bear over 75% of the frequency obtained, and the first 700 cuts bear over 90%. Distribution of the core damage frequency by different groups of initiators is presented in tables and diagrams. A comparison of the result obtained for the reactor core damage of KNPP units 5 and 6 with assessment obtained for similar power plants is presented. The data for different NPPs are taken

Risk factors for bronchopulmonary dysplasia in five Portuguese neonatal intensive care units Factores de risco de displasia broncopulmonar em cinco unidades portuguesas de cuidados intensivos neonatais

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Hercília Guimarães

2010-06-01

Full Text Available The pathogenesis of bronchopulmonary dysplasia (BPD is clearly multifactorial. Specific pathogenic risk factors are prematurity, respiratory distress, oxygen supplementation, mechanical ventilation (MV, inflammation, patent ductus arteriosus (PDA, etc. Aim: To evaluate BPD prevalence and to identify risk factors for BPD in five Portuguese Neonatal Intensive Care Units in order to develop better practices the management of these newborns. Material and methods: 256 very low birth weight infants with gestational age (GA 0.30 (85 vs 5 days, respectively in BPD and no BPD patients, pA displasia broncopulmonar (DBP é multifactorial. Prematuridade, doença da membrana hialina, oxigénio, ventilação mecânica, inflamação e canal arterial são alguns dos factores na sua patogénese. Objectivo: Avaliar a prevalência da DBP e seus factores de risco em cinco unidades portuguesas, para implementar boas práticas no tratamento deste doentes. Material e métodos: 256 recém-nascidos (RN com idade gestacional (IG 0,30 (85 vs 5 dias, respectivamente nos doentes com e sem DBP, p<0,001. Comentários: Os factores de risco de DBP mais relevantes foram o baixo peso, a doença da membrana hialina grave, a duração da ventilação mecânica e da oxigenoterapia e a sépsis. A implementação das boas práticas para reduzir a lesão pulmonar nos RN deve ser dirigida para melhorar as práticas que reduzem estes factores de risco.

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

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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.

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

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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.

Analysis of performance limitations for superconducting cavities

International Nuclear Information System (INIS)

J. R. Delayen; L. R. Doolittle; C. E. Reece

1998-01-01

The performance of superconducting cavities in accelerators can be limited by several factors, such as: field emission, quenches, arcing, rf power; and the maximum gradient at which a cavity can operate will be determined by the lowest of these limitations for that particular cavity. The CEBAF accelerator operates with over 300 cavities and, for each of them, the authors have determined the maximum operating gradient and its limiting factor. They have developed a model that allows them to determine the distribution of gradients that could be achieved for each of these limitations independently of the others. The result of this analysis can guide an R and D program to achieve the best overall performance improvement. The same model can be used to relate the performance of single-cell and multi-cell cavities

Unconfined Groundwater Quality based on the Settlement Unit in Surakarta City

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Munawar Cholil

2004-01-01

Full Text Available The quality of groundwater of unonfined aquifer with growing population density is endangered by population. This may cause serious problem as greatest portion of the population utility groundwater of unconfined aquifer as their drinking water. This research is aim at studying the difference in quality of groundwater of unonfined aquifer in Surakarta Munipicality by settlement units, and studying the impact settlement factors and groundwater depth on the quality of groundwater of unonfined aquifer. The research was executed by a survey methhod, taking 44 units of groundwater of unonfined aquifer samples at stratified proportional random from 44 villages. The samples were analyzed at the laboratory of Local Drinking Water Company (PDAM of Surakarta. Data were analyzed using by stiff diagram, variance analysis, and multiple regression. The research reveals that there is very little differences in the quality of free groundwater in Surakarta, as it is shown by same chemical properties. Several chemical properties were found very high in concentration, but the rest were simultaniously low. On the basis of minimum quality of drinking water coli content have exeeded the allowed limit for drinking water. Among the settlement units observed, there were no significant differences in the physical, chemical (except pH, bacteriological factors. This means that differences among various depth of water. Electrical onductivity (EC, Na, Mg, H2CO3, H2SO4, and NH3 were found different among various depth of water table. Major chemical conentration were significant with geology formation. Population density, built up areas, size of settlement, building density, and the condition of drainage simultaniously affect the quality of free ground water. No differences among settlement units was observed the most important fators determining the free groundwater quality was population density.

Characteristics and risk factors of rheumatoid arthritis in the United States: an NHANES analysis

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Bei Xu

2017-11-01

Full Text Available Background We examined the United States National Health and Nutrition Examination Survey (NHANES database to determine factors associated with rheumatoid arthritis (RA in adults 20 to 55 years of age. Methods NHANES data collected between 2007 and 2014, excluding the 2011–2012 period, were used. Subjects were divided into those with and without RA. Demographic, clinical, and lifestyle factors were compared between the groups. Results After applying inclusion/exclusion criteria, 8,789 persons were included in the study (8,483 without RA, 306 with RA. Multivariable analysis indicated that advanced age (odds ratio [OR] = 1.09, 95% CI [1.07–1.11], P < 0.001, regular smoking (OR = 2.19, 95% CI [1.49–3.21], P < 0.001, diabetes (OR = 2.00, 95% CI [1.35–2.95], P = 0.001, obesity (reference, normal or underweight; OR = 3.31, 95% CI [2.05–5.36], P < 0.001, and osteoporosis (OR = 3.68, 95% CI [1.64–8.22], P = 0.002 were positively associated with RA. Covered by health insurance (OR = 1.81, 95% CI [1.12–2.93], P = 0.016 and living in poverty (OR = 2.96, 95% CI [1.88–4.65], P < 0.001 were also associated with having RA. Mexican American, Hispanic white or other Hispanic ethnicity (reference, non-Hispanic white; OR = 0.54, 95% CI [0.31–0.96], P = 0.036, appropriate sleep duration (about 6–11 h, OR = 0.46, 95% CI [0.32–0.65], P < 0.001, and insufficient vitamin A intake (reference, recommended; OR = 0.70, 95% CI [0.50–0.98], P = 0.036 were negatively associated with RA. Discussion Some factors associated with RA are potentially modifiable.

Opto-mechanical design of a new cross dispersion unit for the CRIRES+ high resolution spectrograph for the VLT

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Lizon, Jean Louis; Klein, Barbara; Oliva, Ernesto; Löwinger, Tom; Anglada Escude, Guillem; Baade, Dietrich; Bristow, Paul; Dorn, Reinhold J.; Follert, Roman; Grunhut, Jason; Hatzes, Artie; Heiter, Ulrike; Ives, Derek; Jung, Yves; Kerber, Florian; Lockhart, Matt; Marquart, Thomas; Origlia, Livia; Pasquini, Luca; Paufique, Jerome; Piskunov, N.; Pozna, Eszter; Reiners, Ansgar; Smette, Alain; Smoker, Jonathan; Seemann, Ulf; Stempels, Eric; Valenti, Elena

2014-07-01

CRIRES is one of the few IR (0.92-5.2 μm) high-resolution spectrographs in operation at the VLT since 2006. Despite good performance it suffers a limitation that significantly hampers its ability: a small spectral coverage per exposure. The CRIRES upgrade (CRIRES+) proposes to transform CRIRES into a cross-dispersed spectrograph while maintaining the high resolution (100000) and increasing the wavelength coverage by a factor 10 compared to the current capabilities. A major part of the upgrade is the exchange of the actual cryogenic pre-disperser module by a new cross disperser unit. In addition to a completely new optical design, a number of important changes are required on key components and functions like the slit unit and detectors units. We will outline the design of these new units fitting inside a predefined and restricted space. The mechanical design of the new functions including a description and analysis will be presented. Finally we will present the strategy for the implementation of the changes.

7 CFR 1980.311 - Loan limitations and special provisions.

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2010-01-01

... furniture or other personal property except for essential equipment and materials authorized in accordance... limited to 90 percent of the present market value. (c) Subdivisions. Housing units may be financed in...

Low skeletal muscle mass is a predictive factor for chemotherapy dose-limiting toxicity in patients with locally advanced head and neck cancer

NARCIS (Netherlands)

Wendrich, Anne W; Swartz, Justin E; Bril, Sandra I; Wegner, Inge; de Graeff, Alexander; Smid, Ernst J; de Bree, Remco; Pothen, Ajit J

OBJECTIVES: Low skeletal muscle mass (SMM) or sarcopenia is emerging as an adverse prognostic factor for chemotherapy dose-limiting toxicity (CLDT) and survival in cancer patients. Our aim was to determine the impact of low SMM on CDLT in patients with locally advanced head and neck squamous cell

The Origin of the United Nations

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Carlos Yordan

2010-11-01

Full Text Available Este artículo explica los orígenes de sistema global antiterrorista de las Naciones Unidas. Nosotros argüimos que tres factores determinan las características de un sistema descentralizado y de estados centralizados. El primero es la reacción de la ONU contra los ataques terroristas del 11 de septiembre de 2001. El segundo factor es la cada vez mayor relevancia de las redes de gobierno transnacional. La tercera fuerza son los intereses y los asuntos del Consejo de Seguridad permanente, que últimamente determina la arquitectura del sistema.9/11, United Nations, Security Council, transnacional governance networks,counter-terrorism system.___________________________ABSTRACT:This article explains the origins of the United Nations’ global counter-terrorism system. We argue that three factors shaped the system’s decentralized and state-centered characteristics. The first is the UN’s reactions to terrorism prior to the attacks of 11 September 2001. The second factor is the growing relevance of transnational governance networks. The third force is the interests and concerns of the Security Council’s permanent representative interests, which ultimately shaped the system’s architecture.Keywords: 9/11; United Nations; Security Council; transnacional governance networks; counter-terrorism system

Ecological limit functions relating fish community response to hydrologic departures of the ecological flow regime in the Tennessee River basin, United States

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Knight, Rodney R.; Murphy, Jennifer C.; Wolfe, William J.; Saylor, Charles F.; Wales, Amy K.

2014-01-01

Ecological limit functions relating streamflow and aquatic ecosystems remain elusive despite decades of research. We investigated functional relationships between species richness and changes in streamflow characteristics at 662 fish sampling sites in the Tennessee River basin. Our approach included the following: (1) a brief summary of relevant literature on functional relations between fish and streamflow, (2) the development of ecological limit functions that describe the strongest discernible relationships between fish species richness and streamflow characteristics, (3) the evaluation of proposed definitions of hydrologic reference conditions, and (4) an investigation of the internal structures of wedge-shaped distributions underlying ecological limit functions.Twenty-one ecological limit functions were developed across three ecoregions that relate the species richness of 11 fish groups and departures from hydrologic reference conditions using multivariate and quantile regression methods. Each negatively sloped function is described using up to four streamflow characteristics expressed in terms of cumulative departure from hydrologic reference conditions. Negative slopes indicate increased departure results in decreased species richness.Sites with the highest measured fish species richness generally had near-reference hydrologic conditions for a given ecoregion. Hydrology did not generally differ between sites with the highest and lowest fish species richness, indicating that other environmental factors likely limit species richness at sites with reference hydrology.Use of ecological limit functions to make decisions regarding proposed hydrologic regime changes, although commonly presented as a management tool, is not as straightforward or informative as often assumed. We contend that statistical evaluation of the internal wedge structure below limit functions may provide a probabilistic understanding of how aquatic ecology is influenced by altered hydrology