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Commercial opportunities utilizing the International Space Station
Kearney, Michael E.; Mongan, Phil; Overmyer, Carolyn M.; Jackson, Kenneth
The International Space Station (ISS) has the unique capability of providing a low-g environment for both short- and long-duration experimentation. This environment can provide a unique and competitive research capability to industry; but until recently, utilization of this environment by the private sector has been limited if not totally unavailable. NASA has recently expressed an interest in the commercial development of space and this is now an integral part of the Agency's enabling legislation through the Space Act. NASA's objective is to foster the use of the space environment for the development of commercial products and processes. Through alliances and agreements with several commercial companies and universities, SPACEHAB, Inc., has built a comprehensive package of services designed to provide low-cost reliable access to space for experimenters. These services provide opportunities to support engineering test beds for materials exposure analysis, to mitigate structural failures as observed on the Hubble Space Telescope; materials processing, remote sensing; space environment definition; and electronic experiments. The intent of this paper is to identify commercial opportunities for utilizing the International Space Station and provide examples of several facilities currently being designed and manufactured by commercial companies with the purpose of providing access to the space environment for commercial users.
Health care resource utilization and medical costs of spinal cord injury with neuropathic pain in a commercially insured population in the United States.
Margolis, Jay M; Juneau, Paul; Sadosky, Alesia; Cappelleri, Joseph C; Bryce, Thomas N; Nieshoff, Edward C
To evaluate health care resource use, costs, and cost drivers among patients with neuropathic pain (NeP) after spinal cord injury (SCI) in a commercially insured population. Retrospective longitudinal cohort study comparing SCI patients with and without NeP. Truven Health MarketScan commercial claims database from 2005 through 2012. Commercially insured SCI patients with NeP (n=3524) propensity score matched to SCI patients without NeP (n=3524). Not applicable. Health care resource utilization and expenditures for the 12 months after NeP onset (index event; identified through International Classification of Diseases, 9th Revision, Clinical Modification diagnosis 338.0x or use of NeP-specific antiepileptic drugs or NeP-specific antidepressants) in patients with SCI compared with matched patients without NeP. Utilization over 12 months postindex among patients with SCI-associated NeP was higher than among SCI-only patients for inpatient admissions (27.4% vs 22.1%), emergency department visits (36.7% vs 26.4%), and office visits per patient (mean ± SD: 13.0±9.5 vs 9.5±8.3); all P values were patient with SCI-associated NeP during the 12-month postindex period. Patients with evidence of NeP secondary to SCI have significantly higher health care utilization and total costs compared with SCI patients without evidence of NeP. Factors contributing to NeP in patients with SCI need to be clinically assessed to determine the optimal approach for treating these individuals. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Injectable naltrexone, oral naltrexone, and buprenorphine utilization and discontinuation among individuals treated for opioid use disorder in a United States commercially insured population.
Morgan, Jake R; Schackman, Bruce R; Leff, Jared A; Linas, Benjamin P; Walley, Alexander Y
We investigated prescribing patterns for four opioid use disorder (OUD) medications: 1) injectable naltrexone, 2) oral naltrexone, 3) sublingual or oralmucosal buprenorphine/naloxone, and 4) sublingual buprenorphine as well as transdermal buprenorphine (which is approved for treating pain, but not OUD) in a nationally representative claims-based database (Truven Health MarketScan®) of commercially insured individuals in the United States. We calculated the prevalence of OUD in the database for each year from 2010 to 2014 and the proportion of diagnosed patient months on OUD medication. We compared characteristics of individuals diagnosed with OUD who did and did not receive these medications with bivariate descriptive statistics. Finally, we fit a Cox proportional hazards model of time to discontinuation of therapy as a function of therapy type, controlling for relevant confounders. From 2010 to 2014, the proportion of commercially insured individuals diagnosed with OUD grew by fourfold (0.12% to 0.48%), but the proportion of diagnosed patient-months on medication decreased from 25% in 2010 (0.05% injectable naltrexone, 0.4% oral naltrexone, 23.1% sublingual or oralmucosal buprenorphine/naloxone, 1.5% sublingual buprenorphine, and 0% transdermal buprenorphine) to 16% in 2014 (0.2% injectable naltrexone, 0.4% oral naltrexone, 13.8% sublingual or oralmucosal buprenorphine/naloxone, 1.4% sublingual buprenorphine, and 0.3% transdermal buprenorphine). Individuals who received medication therapy were more likely to be male, younger, and have an additional substance use disorder compared with those diagnosed with OUD who did not receive medication therapy. Those prescribed injectable naltrexone were more often male, younger, and diagnosed with additional substance use disorders compared with those prescribed other medications for opioid use disorder (MOUDs). At 30 days after initiation, 52% for individuals treated with injectable naltrexone, 70% for individuals treated
76 FR 3517 - Standards of Performance for Fossil-Fuel-Fired, Electric Utility, Industrial-Commercial...
... Standards of Performance for Fossil-Fuel-Fired, Electric Utility, Industrial-Commercial-Institutional, and... following: Category NAICS \\1\\ Examples of regulated entities Industry 221112 Fossil fuel-fired electric utility steam generating units. Federal Government 22112 Fossil fuel-fired electric utility steam...
Residential, Commercial, and Utility-Scale Photovoltaic (PV) System Prices in the United States: Current Drivers and Cost-Reduction Opportunities
Energy Technology Data Exchange (ETDEWEB)
Goodrich, A.; James, T.; Woodhouse, M.
The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has dropped precipitously in recent years, led by substantial reductions in global PV module prices. However, system cost reductions are not necessarily realized or realized in a timely manner by many customers. Many reasons exist for the apparent disconnects between installation costs, component prices, and system prices; most notable is the impact of fair market value considerations on system prices. To guide policy and research and development strategy decisions, it is necessary to develop a granular perspective on the factors that underlie PV system prices and to eliminate subjective pricing parameters. This report's analysis of the overnight capital costs (cash purchase) paid for PV systems attempts to establish an objective methodology that most closely approximates the book value of PV system assets.
Utilities Power Change: Engaging Commercial Customers in Workplace Charging
Energy Technology Data Exchange (ETDEWEB)
Lommele, Stephen; Dafoe, Wendy
As stewards of an electric grid that is available almost anywhere people park, utilities that support workplace charging are uniquely positioned to help their commercial customers be a part of the rapidly expanding network of charging infrastructure. Utilities understand the distinctive challenges of their customers, have access to technical information about electrical infrastructure, and have deep experience modeling and managing demand for electricity. This case study highlights the experiences of two utilities with workplace charging programs.
Utilities Power Change: Engaging Commercial Customers in Workplace Charging
Energy Technology Data Exchange (ETDEWEB)
Lommele, S. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Dafoe, W. [National Renewable Energy Lab. (NREL), Golden, CO (United States)
Using electricity to power vehicles can help advance energy security and reduce emissions, and also presents a new market opportunity for utilities looking to diversify and offer an added benefit to commercial customers. By providing plug-in electric vehicle (PEV) charging stations for their employees, commercial customers can help attract and retain a cutting-edge workforce. These employers also signal a commitment to sustainability and demonstrate progressive leadership and a willingness to adopt advanced technology.
Overcoming Barriers to Successfully Commercializing Carbon Dioxide Utilization
Energy Technology Data Exchange (ETDEWEB)
Kant, Marvin, E-mail: email@example.com [Department of Entrepreneurship and Innovation Management, Technische Universität Berlin, Berlin (Germany)
The successful transition to a low-carbon economy hinges on innovative solutions and collaborative action on a global scale. Sustainable entrepreneurship is thereby recognized as a key driver in the creation and transformation of ecologically and socially sustainable economic systems. The purpose of this article is to contribute to this topic by understanding commercialization barriers for strong sustainability-oriented new technology ventures and to derive recommendations to overcome them. A qualitative multilevel approach is applied to identify barriers and drivers within the internal dynamic capabilities of the organization and within the organization's external stakeholders. A model of barriers has been developed based on semi-structured interviews with new carbon dioxide utilization ventures and associated industry players in Canada, the USA, and the European Economic Area. Resulting recommendations to facilitate the (re-)design of a dedicated support system are proposed on four levels: (a) actors, (b) resources, (c) institutional settings, and (d) the coordination of the support system.
Overcoming Barriers to Successfully Commercializing Carbon Dioxide Utilization
International Nuclear Information System (INIS)
Kant, Marvin
The successful transition to a low-carbon economy hinges on innovative solutions and collaborative action on a global scale. Sustainable entrepreneurship is thereby recognized as a key driver in the creation and transformation of ecologically and socially sustainable economic systems. The purpose of this article is to contribute to this topic by understanding commercialization barriers for strong sustainability-oriented new technology ventures and to derive recommendations to overcome them. A qualitative multilevel approach is applied to identify barriers and drivers within the internal dynamic capabilities of the organization and within the organization's external stakeholders. A model of barriers has been developed based on semi-structured interviews with new carbon dioxide utilization ventures and associated industry players in Canada, the USA, and the European Economic Area. Resulting recommendations to facilitate the (re-)design of a dedicated support system are proposed on four levels: (a) actors, (b) resources, (c) institutional settings, and (d) the coordination of the support system.
Overcoming Barriers to Successfully Commercializing Carbon Dioxide Utilization
Directory of Open Access Journals (Sweden)
Marvin Kant
Full Text Available The successful transition to a low-carbon economy hinges on innovative solutions and collaborative action on a global scale. Sustainable entrepreneurship is thereby recognized as a key driver in the creation and transformation of ecologically and socially sustainable economic systems. The purpose of this article is to contribute to this topic by understanding commercialization barriers for strong sustainability-oriented new technology ventures and to derive recommendations to overcome them. A qualitative multilevel approach is applied to identify barriers and drivers within the internal dynamic capabilities of the organization and within the organization's external stakeholders. A model of barriers has been developed based on semi-structured interviews with new carbon dioxide utilization ventures and associated industry players in Canada, the USA, and the European Economic Area. Resulting recommendations to facilitate the (re-design of a dedicated support system are proposed on four levels: (a actors, (b resources, (c institutional settings, and (d the coordination of the support system.
Performance of Canadian commercial nuclear units and heavy water plants
International Nuclear Information System (INIS)
Woodhead, L.W.; Ingolfsrud, L.J.
The operating history of Canadian commercial CANDU type reactors, i.e. Pickering generating station-A, is described. Capacity factors and unit energy costs are analyzed in detail. Equipment performance highlights are given. The performance of the two Canadian heavy water plants is described and five more are under construction or planned. (E.C.B.)
Commercial landscape of noninvasive prenatal testing in the United States.
Agarwal, Ashwin; Sayres, Lauren C; Cho, Mildred K; Cook-Deegan, Robert; Chandrasekharan, Subhashini
Cell-free fetal DNA-based noninvasive prenatal testing (NIPT) could significantly change the paradigm of prenatal testing and screening. Intellectual property (IP) and commercialization promise to be important components of the emerging debate about clinical implementation of these technologies. We have assembled information about types of testing, prices, turnaround times, and reimbursement of recently launched commercial tests in the United States from the trade press, news articles, and scientific, legal, and business publications. We also describe the patenting and licensing landscape of technologies underlying these tests and ongoing patent litigation in the United States. Finally, we discuss how IP issues may affect clinical translation of NIPT and their potential implications for stakeholders. Fetal medicine professionals (clinicians and researchers), genetic counselors, insurers, regulators, test developers, and patients may be able to use this information to make informed decisions about clinical implementation of current and emerging noninvasive prenatal tests. © 2013 John Wiley & Sons, Ltd.
Design fractures and commercial potential of superconducting magnetic energy storage for electric utility application
International Nuclear Information System (INIS)
Lloyd, R.J.; Schoenung, S.
Historically, energy storage in the United States has been provided by a few pumped hydroelectric plants, but siting constraints and high cost severely limit the use of this option. Two other options which will soon be in use are batteries and compressed air energy storage. A fourth option, currently being developed for load leveling is Superconducting Magnetic Energy Storage (SMES). This paper reports the design features and estimated costs of utility scale SMES plants. For moderate discharge duration, SMES is projected to have substantially lower revenue requirements and better availability than other load leveling options. The Electric Power Research Institute has prepared a plan for commercialization which could, if aggressively pursued, lead to a demonstrated SMES technology that is available for utility commitment by the late 1990's
Status of commercial food irradiation in the United States
International Nuclear Information System (INIS)
Welt, M.A.
It may be difficult for some to realize, but the United States is now starting its fourth decade in food irradiation research. This vast storehouse of research data now makes the ultimate task of bringing the technology to the consumer marketplace that much easier. Radiation Technology, Inc. of Rockaway, New Jersey has pioneered the use of radiation processing for the commercial preservation of food and has established the first food irradiation facility in the United States in West Memphis, Arkansas. The facility, designed by Radiation Technology, Inc., provides the necessary versatility to meet the needs of the food industry. (author)
Status of commercial food irradiation in the United States
Welt, Martin A.
It may be difficult for some to realize, but the United States is now starting its fourth decade in food irradiation research. This vast storehouse of research data now makes the ultimate task of bringing the technology to the consumer marketplace that much easier. Radiation Technology, Inc. of Rockaway, New Jersey has pioneered the use of radiation processing for the commercial preservation of food and has established the first food irradiation facility in the United States in West Memphis, Arkansas. The facility, designed by Radiation Technology, Inc., provides the necessary versatility to meet the needs of the food industry.
U.S. Photovoltaic Prices and Cost Breakdowns. Q1 2015 Benchmarks for Residential, Commercial, and Utility-Scale Systems
Energy Technology Data Exchange (ETDEWEB)
Chung, Donald [National Renewable Energy Lab. (NREL), Golden, CO (United States); Davidson, Carolyn [National Renewable Energy Lab. (NREL), Golden, CO (United States); Fu, Ran [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ardani, Kristen [National Renewable Energy Lab. (NREL), Golden, CO (United States); Margolis, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States)
The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has continued to decline across all major market sectors. This report provides a Q1 2015 update regarding the prices of residential, commercial, and utility scale PV systems, based on an objective methodology that closely approximates the book value of a PV system. Several cases are benchmarked to represent common variations in business models, labor rates, and system architecture choice. We estimate a weighted-average cash purchase price of $3.09/W for residential scale rooftop systems, $2.15/W for commercial scale rooftop systems, $1.77/W for utility scale systems with fixed mounting structures, and $1.91/W for utility scale systems using single-axis trackers. All systems are modeled assuming standard-efficiency, polycrystalline-silicon PV modules, and further assume installation within the United States.
Methods utilized in evaluating the profitability of commercial space processing
Bloom, H. L.; Schmitt, P. T.
Profitability analysis is applied to commercial space processing on the basis of business concept definition and assessment and the relationship between ground and space functions. Throughput analysis is demonstrated by analysis of the space manufacturing of surface acoustic wave devices. The paper describes a financial analysis model for space processing and provides key profitability measures for space processed isoenzymes.
Thermal Environment Evaluation in Commercial Kitchens of United States
DEFF Research Database (Denmark)
Simone, Angela; Olesen, Bjarne W.
The indoor climate in commercial kitchens is often unsatisfactory and the working conditions can have a significant effect on employees' comfort and productivity. The differences between type (fast food, dining, etc.) and climatic zone can have an influence on the environment conditions and on th......The indoor climate in commercial kitchens is often unsatisfactory and the working conditions can have a significant effect on employees' comfort and productivity. The differences between type (fast food, dining, etc.) and climatic zone can have an influence on the environment conditions...... of defining the values of thermal comfort parameters in kitchens. It can also help to evaluate if the standardized methods are applicable for such non-uniform environment, like commercial kitchens. By using an established method and procedure for evaluating the indoor thermal comfort in commercial kitchens...... more than 100 kitchens environments in the United States were investigated in summer and winter. Results show the influence due to type of kitchen (fast food, casual, etc.) and climatic region. Physical measurement confirmed that communally the workers are exposed to a warm or hot environment...
Liquid hydrogen production and commercial demand in the United States
Heydorn, Barbara
Kennedy Space Center, the single largest purchaser of liquid hydrogen (LH2) in the United States, evaluated current and anticipated hydrogen production and consumption in the government and commercial sectors. Specific objectives of the study are as follows: (1) identify LH2 producers in the United States and Canada during 1980-1989 period; (2) compile information in expected changes in LH2 production capabilities over the 1990-2000 period; (3) describe how hydrogen is used in each consuming industry and estimate U.S. LH2 consumption for the chemicals, metals, electronics, fats and oil, and glass industries, and report data on a regional basis; (4) estimate historical and future consumption; and (5) assess the influence of international demands on U.S. plants.
Spent fuel transportation in the United States: commercial spent fuel shipments through December 1984
International Nuclear Information System (INIS)
This report has been prepared to provide updated transportation information on light water reactor (LWR) spent fuel in the United States. Historical data are presented on the quantities of spent fuel shipped from individual reactors on an annual basis and their shipping destinations. Specifically, a tabulation is provided for each present-fuel shipment that lists utility and plant of origin, destination and number of spent-fuel assemblies shipped. For all annual shipping campaigns between 1980 and 1984, the actual numbers of spent-fuel shipments are defined. The shipments are tabulated by year, and the mode of shipment and the casks utilized in shipment are included. The data consist of the current spent-fuel inventories at each of the operating reactors as of December 31, 1984. This report presents historical data on all commercial spent-fuel transportation shipments have occurred in the United States through December 31, 1984
Energy and exergy analysis at the utility and commercial sectors of Malaysia
International Nuclear Information System (INIS)
Saidur, R.; Sattar, M.A.; Masjuki, H.H.; Abdessalam, H.; Shahruan, B.S.
In this paper, sectoral energy and exergy analysis model is applied to the utility and commercial sectors of Malaysia by considering the energy and exergy flows from 1990 to 2003. The energy and exergy efficiencies are determined for the sub-sectors and devices used in these two sectors. It has been found the hydroelectric power plant sub-sector is more energy and exergy efficient compared to the thermal power plant sub-sector. The energy and exergy efficiencies of utility and commercial sectors of Malaysia are compared with a few other countries around the world as well. The utility and commercial sectors of Malaysia are found to be more efficient than that of Thailand, Brunei, China, and Vietnam in 1999
78 FR 18561 - Determination Under the Textile and Apparel Commercial Availability Provision of the United...
...: Authority: The US-Colombia TPA; Section 203(o)(4) of the United States-Colombia Trade Promotion Agreement... Commercial Availability Provision of the United States-Colombia Trade Promotion Agreement (``US-Colombia TPA... Under the Commercial Availability Provision of the United States-Colombia Trade Promotion Agreement, 77...
Patterns of research utilization on patient care units
Directory of Open Access Journals (Sweden)
Lander Janice
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
Costs and Trends in Utilization of Low-value Services Among Older Adults With Commercial Insurance or Medicare Advantage.
Carter, Elizabeth A; Morin, Pamela E; Lind, Keith D
Overutilization of low-value services (unnecessary or minimally beneficial tests or procedures) has been cited as a large contributor to the high costs of health care in the United States. To analyze trends in utilization of low-value services from 2009 to 2014 among commercial and Medicare Advantage (MA) enrollees 50 and older. A retrospective analysis of deidentified claims obtained from the OptumLab Data Warehouse. Adults 50 and older enrolled in commercial plans and adults 65 and older enrolled in MA plans between 2009 and 2014. Costs and utilization of 16 low-value services in the following categories: cancer screening, imaging, and invasive procedures. The most commonly performed low-value service was imaging of the head for syncope, at rates of 33%-39% in commercial enrollees and 45% in MA enrollees. The least common service was peripheral artery stenting (value service utilization. Greater consistency would facilitate monitoring use of low-value services and changing clinical practice patterns over time.
Nutritive utilization of protein and digestive utilization of fat in two commercial diets designed for clinical enteral nutrition.
Alférez, M J; Campos, M S; Barrionuevo, M; López-Aliaga, I
The digestive and metabolic utilization of protein (50% lactoalbumin + 50% casein) and fat (43.0% butter, 29.5% olive oil, 14.7% soy oil, 9.8% MCT and 3.0% lecithin) provided by two commercial diets used in clinical enteral nutrition (normoproteic, 16.1% protein and 20.8% fat, and hyperproteic, 23.1% protein and 14.9% fat), was studied in adult rats (mean body weight 180 g). The diet containing the greater amount of protein improved the digestive utilization of nitrogen, and although nitrogen retention was optimal, it failed to rise further when the dietary protein supply was increased. The digestive utilization of fat in both diets was excellent.
Utilization and Costs of Compounded Medications for Commercially Insured Patients, 2012-2013.
McPherson, Timothy; Fontane, Patrick; Iyengar, Reethi; Henderson, Rochelle
Although compounding has a long-standing tradition in clinical practice, insurers and pharmacy benefit managers have instituted policies to decrease claims for compounded medications, citing questions about their safety, efficacy, high costs, and lack of FDA approval. There are no reliable published data on the extent of compounding by community pharmacists nor on the fraction of patients who use compounded medications. Prior research suggests that compounded medications represent a relatively small proportion of prescription medications, but those surveys were limited by small sample sizes, subjective data collection methods, and low response rates. To determine the number of claims for compounded medications on a per user per year (PUPY) basis and the average ingredient cost of these claims among commercially insured patients in the United States for 2012 and 2013. This study used prescription claims data from a nationally representative sample of commercially insured members whose pharmacy benefits were managed by a large pharmacy benefit management company. A retrospective claims analysis was conducted from January 1, 2012, through December 31, 2013. Annualized prevalence, cost, and utilization estimates were drawn from the data. All prescription claims were adjusted to 30-day equivalents. Data-mining techniques (association rule mining) were employed in order to identify the most commonly combined ingredients in compounded medications. The prevalence of compound users was 1.1% (245,285) of eligible members in 2012 and 1.4% (323,501) in 2013, an increase of 27.3%. Approximately 66% of compound users were female, and the average age of a compound user was approximately 42 years throughout the study period. The geographic distribution of compound user prevalence was consistent across the United States. Compound users' prescription claims increased 36.6% from 2012 to 2013, from approximately 7.1 million to approximately 9.7 million prescriptions. The number of
77 FR 58051 - Fisheries of the Northeastern United States; Bluefish Fishery; Commercial Quota Harvested for the...
.... 120201086-2418-02] RIN 0648-XC236 Fisheries of the Northeastern United States; Bluefish Fishery; Commercial...: NMFS announces that the 2012 bluefish commercial quota allocated to the Commonwealth of Massachusetts has been harvested. Vessels issued a commercial Federal fisheries permit for the bluefish fishery may...
United States extension of indemnification to utilities and contractors
International Nuclear Information System (INIS)
Cunningham, G.
This chapter discusses the status of the Price-Anderson Act which provides a means of compensation for members of the public who may be injured as a result of a nuclear incident at a licensed commercial power plant or a facility of the United States Government operated by a contractor. It describes the course of bills to extend the Act in 1987 and analyses some of the major issues of the debate (NEA) [fr
Commercialization of PV-powered pumping systems for use in utility PV service programs. Final report
Energy Technology Data Exchange (ETDEWEB)
The project described in this report was a commercialization effort focused on cost-effective remote water pumping systems for use in utility-based photovoltaic (PV) service programs. The project combined a commercialization strategy tailored specifically for electric utilities with the development of a PV-powered pumping system that operates conventional ac pumps rather than relying on the more expensive and less reliable PV pumps on the market. By combining these two attributes, a project goal was established of creating sustained utility purchases of 250 PV-powered water pumping systems per year. The results of each of these tasks are presented in two parts contained in this Final Summary Report. The first part summarizes the results of the Photovoltaic Services Network (PSN) as a new business venture, while the second part summarizes the results of the Golden Photon system installations. Specifically, results and photographs from each of the system installations are presented in this latter part.
Comparative analysis of large biomass & coal co-utilization units
Liszka, M.; Nowak, G.; Ptasinski, K.J.; Favrat, D.; Marechal, F.
The co-utilization of coal and biomass in large power units is considered in many countries (e.g. Poland) as fast and effective way of increasing renewable energy share in the fuel mix. Such a method of biomass use is especially suitable for power systems where solid fuels (hard coal, lignite) are
Commercial gas utilization in the Netherlands. Six years of the Marketing Plan Public Gas Supply (MOG)
International Nuclear Information System (INIS)
Hoelen, Q.E.J.J.M.; Bartholomeus, P.H.J.; Mallon, W.Ch.
In 1992, Gasunie (Dutch natural gas trading company) started its marketing plan for the public natural gas supply (MOG, abbreviated in Dutch). The aim is to promote the use of natural gas in cooperation with gas utilities. For the commercial sector many different gas appliances are available: high-efficiency deep-frying pans for the catering sector, gas-fired air humidifiers for office and public buildings, gas-fired tumble dryers for small and medium-sized businesses, etc
Estimating the energy and exergy utilization efficiencies for the residential-commercial sector: an application
International Nuclear Information System (INIS)
Utlu, Zafer; Hepbasli, Arif
The main objectives in carrying out the present study are twofold, namely to estimate the energy and exergy utilization efficiencies for the residential-commercial sector and to compare those of various countries with each other. In this regard, Turkey is given as an illustrative example with its latest figures in 2002 since the data related to the following years are still being processed. Total energy and exergy inputs in this year are calculated to be 3257.20 and 3212.42 PJ, respectively. Annual fuel consumptions in space heating, water heating and cooking activities as well as electrical energy uses by appliances are also determined. The energy and exergy utilization efficiency values for the Turkish residential-commercial sector are obtained to be 55.58% and 9.33%, respectively. Besides this, Turkey's overall energy and exergy utilization efficiencies are found to be 46.02% and 24.99%, respectively. The present study clearly indicates the necessity of the planned studies toward increasing exergy utilization efficiencies in the sector studied
Scale-Free Networks and Commercial Air Carrier Transportation in the United States
Conway, Sheila R.
Network science, or the art of describing system structure, may be useful for the analysis and control of large, complex systems. For example, networks exhibiting scale-free structure have been found to be particularly well suited to deal with environmental uncertainty and large demand growth. The National Airspace System may be, at least in part, a scalable network. In fact, the hub-and-spoke structure of the commercial segment of the NAS is an often-cited example of an existing scale-free network After reviewing the nature and attributes of scale-free networks, this assertion is put to the test: is commercial air carrier transportation in the United States well explained by this model? If so, are the positive attributes of these networks, e.g. those of efficiency, flexibility and robustness, fully realized, or could we effect substantial improvement? This paper first outlines attributes of various network types, then looks more closely at the common carrier air transportation network from perspectives of the traveler, the airlines, and Air Traffic Control (ATC). Network models are applied within each paradigm, including discussion of implied strengths and weaknesses of each model. Finally, known limitations of scalable networks are discussed. With an eye towards NAS operations, utilizing the strengths and avoiding the weaknesses of scale-free networks are addressed.
Widespread Rotavirus H in Commercially Raised Pigs, United States
Rossow, Kurt; Culhane, Marie; Goyal, Sagar; Collins, Jim; Matthijnssens, Jelle; Nelson, Martha; Ciarlet, Max
We investigated the presence in US pigs of rotavirus H (RVH), identified in pigs in Japan and Brazil. From 204 samples collected during 2006–2009, we identified RVH in 15% of fecal samples from 10 US states, suggesting that RVH has circulated in the United States since 2002, but probably longer. PMID:24960190
Towards commercial fast breeder reactors the first 1200 MWe unit
International Nuclear Information System (INIS)
Banal, M.; Carle, R.
The public probably thinks of these fast breeder reactors in terms of their rising unit capacity: RAPSODIE 20 MW (thermal), raised to 40 MW, PHENIX 25 MWe, and now 1200 MWe. However, the purposes of the project and the framework of construction have been fundamentally different in each case. Design parameters and the development program of the LMFBR are presented. (auth)
Start-up and commercial operation of the Laguna Verde power plants, unit 1
International Nuclear Information System (INIS)
Torres R, J.F.
The main features of the unit 1 of the Laguna Verde Power Plant is presented as well as the phases of the start-up process. The process includes various steps and tests up to start the commercial operation. (author)
Food irradiation: outlook for commercialization in the United States
International Nuclear Information System (INIS)
Giddings, G.G.
An account is presented of the long-term and near-term outlooks for food irradiation in the United States, with particular reference to US regulatory status and to the problems of securing public acceptance of the process. Actions taken by international organizations to consider and determine whether irradiated food is wholesome are summarized. A table is included showing dose levels for various food applications. Political and sociological aspects are discussed. (U.K.)
The use of a commercial QA device for daily output check of a helical tomotherapy unit
International Nuclear Information System (INIS)
Alaei, Parham; Hui, Susanta K.; Higgins, Patrick D.; Gerbi, Bruce J.
Helical tomotherapy radiation therapy units, due to their particular design and differences from a traditional linear accelerator, require different procedures by which to perform routine quality assurance (QA). One of the principal QA tasks that should be performed daily on any radiation therapy equipment is the output constancy check. The daily output check on a Hi-Art TomoTherapy unit is commonly performed utilizing ionization chambers placed inside a solid water phantom. This provides a good check of output at one point, but does not give any information on either energy or symmetry of the beam, unless more than one point is measured. This also has the added disadvantage that it has to be done by the physics staff. To address these issues, and to simplify the process, such that it can be performed by radiation therapists, we investigated the use of a commercially available daily QA device to perform this task. The use of this device simplifies the task of daily output constancy checks and eliminates the need for continued physics involvement. This device can also be used to monitor the constancy of beam energy and cone profile and can potentially be used to detect gross errors in the couch movement or laser alignment
Commercialization of an electric propulsion unit for ecological ice resurfacers
Energy Technology Data Exchange (ETDEWEB)
Giroux, M. [MG Service, L' Assomption, PQ (Canada); Sylvestre, P. [Environment Canada, Montreal, PQ (Canada)
Community health departments (CHD) and the general public are greatly concerned about the air quality at indoor skating rinks. A solution now exists whereby municipalities can convert their internal combustion resurfacers to electricity, using a system proposed by MG Service. This electric propulsion unit was developed and designed by MG Service, in conjunction with the Centre d'experimentation des vehicules electriques du Quebec (CEVEQ) and TPR Inc., an engineering firm. The main advantage of this technology is the ease of integration into the chassis of conventional resurfacers currently in use throughout the various municipalities. The propulsion unit is battery-powered and designed to replace the internal combustion engine. As a result, it eliminates carbon monoxide and nitrogen dioxide emissions, and more than meets the requirements set by health boards with regard to air quality at indoor skating rinks. Recyclable, maintenance-free and manufactured according to the standards set by the Underwriters Laboratories of Canada (ULC), the gel-sealed batteries display great advantages. The cost effectiveness of the electric propulsion unit is more impressive when considering that electricity is clean and costs five times less than conventional fuels currently in use. Regular verifications and calibrations are not required and the maintenance is minimal. The ventilation requirements are also reduced, leading to savings in energy costs required for the aeration of the indoor skating rink. Finally, the elimination of tank rental and fuel costs represent an added benefit. A detailed description of the components is provided. Following a series of trials, the operators were impressed by the surface gripability, traction and manoeuvrability. The resurfacers also gave an impression of greater raw power and were very quiet and easy to use, resulting in better overall operation when compared to conventional resurfacers. 1 fig.
United States Commercial Shipbuilding Productivity: An International View
produced, U.S. shipbuilders would have ranked 36th. The U.S. output is just above Malaysia (2758 GT), Peru (3136 GT) and Chile (3372 GT), but below...2 6,172 0.05 35 GREECE 4 5,219 0.04 36 UNITED STATES 10 4,078 0.03 37 CHILE 8 3,372 0.03 38 PERU 7 3,136 0.02 39 MALAYSIA 2 2,758 0.02 40 THAILAND 2...Korean shipbuilders' rank second behind Japan in total GT produced. Collectively, the three major yards, Hyundai Heavy Industries (HH I), Samsung , and
Adapting United States training practices to European utilities
International Nuclear Information System (INIS)
Walsh, T.E.
The factors which must be considered in the process of adapting United States nuclear utility training programs to the needs of a European utility are discussed. Following a review of the present situation and drawing up of a new training program, the management commitments in terms of personnel and finance must be considered. Short term, medium and long term programs are outlined. The long term objectives should include the establishment of a total training centre. This facility should be capable of providing all the training necessary to operate a power plant safely. This would include specific simulator training, classroom training for operators, technician training, staff training, management training etc. In addition to a simulator, it should include an emergency response facility to train personnel. (U.K.)
United States extension of indemnification to utilities and contractors
International Nuclear Information System (INIS)
Cunningham, G.H.
The status of legislation in the United States, usually known as the Price-Anderson Act, provides an assured source and means of compensation for members of the public who may be injured as a result of a nuclear accident at a licensed commercial nuclear power plant or at a facility of the United States Government operated by a contractor. First a brief overview of the Act and its history is given, then the course of legislation to extend the Price-Anderson Act through the United States Congress is charted with comments made on the major issues of the debate. The Act requires that a least $560 million in insurance and/or Government indemnity is available to cover public liability claims arising out of an accident at a nuclear power plant. The Act also limits the total liability of all persons for any nuclear incident to a predetermined amount and this is one issue discussed. Final action on the legal situation should be taken in 1988. (U.K.)
The utilization of a commercial gloss spray in stabilization of incinerated dental structures.
Berketa, John; Fauzi, Ahmad; James, Helen; Lake, Anthony; Langlois, Neil
Incinerated human remains may require dental comparison to establish identity. The remains are often fragile and minor forces can damage teeth and facial bones, disrupting anatomical relationships, and impairing the ability to compare with antemortem records. This study evaluated the ability of a commercially available gloss spray to stabilize teeth in incinerated remains. Lower anterior teeth of scavenged sheep mandibles were incinerated in a furnace at a temperature of 500 °C for 35 min. Before a series of vibration tests, the left side of each sample was treated with the spray, with the right side acting as a control. Significant retention of dental data was achieved utilizing the spray in comparison to the non-stabilized sides. This study showed that a commercial clear gloss spray did not affect the ability to document or perform radiographic assessment of restorations, and statistically improved the stability and anatomical relationships of incinerated dental remains in scavenged sheep mandibles. Commercial products, such as the one tested in this study, are readily available and could be deployed at a mass disaster situation. However, the spray should not be used if there is any suspicion that accelerants might be involved at the scene. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Geothermal Energy Utilization in the United States - 2000
Energy Technology Data Exchange (ETDEWEB)
Lund, John W.; Boyd, Tonya L (Geo-Heat Center, Oregon Institute of Technology, Klamath Falls, OR); Sifford, Alex (Sifford Energy Services, Neskowin, OR); Bloomquist, R. Gordon (Washington State University Energy Program, Olympia, WA)
Geothermal energy is used for electric power generation and direct utilization in the United States. The present installed capacity for electric power generation is 3,064 MWe with only 2,212 MWe in operation due to reduction at The Geysers geothermal field in California; producing approximately16,000 GWh per year. Geothermal electric power plants are located in California, Nevada, Utah and Hawaii. The two largest concentrations of plants are at The Geysers in northern California and the Imperial Valley in southern California. The direct utilization of geothermal energy includes the heating of pools and spas, greenhouses and aquaculture facilities, space heating and district heating, snow melting, agricultural drying, industrial applications and ground-source heat pumps. The installed capacity is 4,000 MWt and the annual energy use is 20,600 billion Btu (21,700 TJ - 6040 GWh). The largest applications is groundsource (geothermal) heat pumps (59% of the energy use), and the largest direct-use is in aquaculture. Direct utilization is increasing at about six percent per year; whereas, electric power plant development is almost static. Geothermal energy is a relatively benign energy source, displaying fossil fuels and thus, reducing greenhouse gas emissions. A recent initiative by the U.S. Department of Energy, "Geo-Powering the West," should stimulate future geothermal development. The proposal is especially oriented to small-scale power plants with cascaded uses of the geothermal fluid for direct applications.
Geothermal energy utilization in the United States - 2000
Energy Technology Data Exchange (ETDEWEB)
Lund, John W.; Boyd, Tonya L.; Sifford, Alex; Bloomquist, R. Gordon
Geothermal energy is used for electric power generation and direct utilization in the United States. The present installed capacity for electric power generation is 3,064 MWe with only 2,212 MWe in operation due to reduction at The Geysers geothermal field in California; producing approximately16,000 GWh per year. Geothermal electric power plants are located in California, Nevada, Utah and Hawaii. The two largest concentrations of plants are at The Geysers in northern California and the Imperial Valley in southern California. The direct utilization of geothermal energy includes the heating of pools and spas, greenhouses and aquaculture facilities, space heating and district heating, snow melting, agricultural drying, industrial applications and ground-source heat pumps. The installed capacity is 4,000 MWt and the annual energy use is 20,600 billion Btu (21,700 TJ - 6040 GWh). The largest applications is groundsource (geothermal) heat pumps (59% of the energy use), and the largest direct-use is in aquaculture. Direct utilization is increasing at about six percent per year; whereas, electric power plant development is almost static. Geothermal energy is a relatively benign energy source, displaying fossil fuels and thus, reducing greenhouse gas emissions. A recent initiative by the U.S. Department of Energy, "Geo-Powering the West," should stimulate future geothermal development. The proposal is especially oriented to small-scale power plants with cascaded uses of the geothermal fluid for direct applications.
Utility-Scale Solar 2013: An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States
Bolinger, M; Weaver, S
The utility-scale solar sector has led the overall U.S. solar market in terms of installed capacity since 2012. In 2016, the utility-scale sector installed more than 2.5 times as much new capacity as did the residential and commercial sectors combined, and is expected to maintain its dominant position for at least another five years. This report—the fifth edition in an ongoing annual series—provides data-driven analysis of the utility-scale solar project fleet in the United States. We analyze...
Summary Report of Commercial reactor Criticality Data for Three Mile Island Unit 1
International Nuclear Information System (INIS)
Larry B. Wimmer
The objective of the ''Summary Report of Commercial Reactor Criticality Data for Three Mile Island Unit I'' is to present the CRC data for the TMI-1 reactor. Results from the CRC evaluations will support the development and validation of the neutronics models used for criticality analyses involving commercial spent nuclear fuel. These models and their validation are discussed in the ''Disposal Criticality Analysis Methodology Topical Report'' (YMP 2000)
Process modeling of a reversible solid oxide cell (r-SOC) energy storage system utilizing commercially available SOC reactor
International Nuclear Information System (INIS)
Mottaghizadeh, Pegah; Santhanam, Srikanth; Heddrich, Marc P.; Friedrich, K. Andreas; Rinaldi, Fabio
Highlights: • An electric energy storage system was developed based on a commercially available SOC reactor. • Heat generated in SOFC mode of r-SOC is utilized in SOEC operation of r-SOC using latent heat storage. • A round trip efficiency of 54.3% was reached for the reference system at atmospheric pressure. • An improved process system design achieved a round-trip efficiency of 60.4% at 25 bar. - Abstract: The increase of intermittent renewable energy contribution in power grids has urged us to seek means for temporal decoupling of electricity production and consumption. A reversible solid oxide cell (r-SOC) enables storage of surplus electricity through electrochemical reactions when it is in electrolysis mode. The reserved energy in form of chemical compounds is then converted to electricity when the cell operates as a fuel cell. A process system model was implemented using Aspen Plus® V8.8 based on a commercially available r-SOC reactor experimentally characterized at DLR. In this study a complete self-sustaining system configuration is designed by optimal thermal integration and balance of plant. Under reference conditions a round trip efficiency of 54.3% was achieved. Generated heat in fuel cell mode is exploited by latent heat storage tanks to enable endothermic operation of reactor in its electrolysis mode. In total, out of 100 units of thermal energy stored in heat storage tanks during fuel cell mode, 90% was utilized to offset heat demand of system in its electrolysis mode. Parametric analysis revealed the significance of heat storage tanks in thermal management even when reactor entered its exothermic mode of electrolysis. An improved process system design demonstrates a system round-trip efficiency of 60.4% at 25 bar.
Owners of nuclear power plants: Percentage ownership of commercial nuclear power plants by utility companies
International Nuclear Information System (INIS)
Wood, R.S.
The following list indicates percentage ownership of commercial nuclear power plants by utility companies as of June 1, 1987. The list includes all plants licensed to operate, under construction, docked for NRC safety and environmental reviews, or under NRC antitrust review. It does not include those plants announced but not yet under review or those plants formally canceled. In many cases, ownership may be in the process of changing as a result of altered financial conditions, changed power needs, and other reasons. However, this list reflects only those ownership percentages of which the NRC has been formally notified. Part I lists plants alphabetically with their associated applicants/licensees and percentage ownership. Part II lists applicants/licensees alphabetically with their associated plants and percentage ownership. Part I also indicates which plants have received operating licenses (OL's). Footnotes for both parts appear at the end of this document
Association of obesity with healthcare resource utilization and costs in a commercial population.
Kamble, Pravin S; Hayden, Jennifer; Collins, Jenna; Harvey, Raymond A; Suehs, Brandon; Renda, Andrew; Hammer, Mette; Huang, Joanna; Bouchard, Jonathan
To examine the association of obesity with healthcare resource utilization (HRU) and costs among commercially insured individuals. This retrospective observational cohort study used administrative claims from 1 January 2007 to 1 December 2013. The ICD-9-CM status codes (V85 hierarchy) from 2008 to 2012 classified body mass index (BMI) into the World Health Organizations' BMI categories. The date of first observed BMI code was defined as the index date and continuous eligibility for one year pre- and post- index date was ensured. Post-index claims determined individuals' HRU and costs. Sampling weights developed using the entropy balance method and National Health and Nutrition Examination Survey data ensured representation of the US adult commercially insured population. Baseline characteristics were described across BMI classes and associations between BMI categories, and outcomes were examined using multivariable regression. The cohort included 9651 individuals with BMI V85 codes. After weighting, the BMI distribution was: normal (31.1%), overweight (33.4%), obese class I (22.0%), obese class II (8.1%) and obese class III (5.4%). Increasing BMI was associated with greater prevalence of cardiometabolic conditions, including hypertension, type 2 diabetes and metabolic syndrome. The use of antihypertensives, antihyperlipidemics, antidiabetics, analgesics and antidepressants rose with increasing BMI. Greater BMI level was associated with increased inpatient, emergency department and outpatient utilization, and higher total healthcare, medical and pharmacy costs. Increasing BMI was associated with higher prevalence of cardiometabolic conditions and higher HRU and costs. There is an urgent need to address the epidemic of obesity and its clinical and economic impacts.
Energy consumption behavior in the commercial sector: An ethnographic analysis of utility bill information and customer comprehension in the workplace
Payne, Christopher Todd
The commercial and industrial sectors of the United States compose roughly one-third of total United States energy consumption. Many studies have suggested that significant cost-effective energy savings opportunities exist in this sector, but there is a gap between predictions of potential and actual investment in energy-efficient technologies. Very few studies have been conducted to examine the decision-making environment of the business sector. In particular, there is essentially no information about how small-business decision-makers make choices about energy consumption. My research is intended to begin the process of understanding this important arena of energy consumption behavior. Using semi-structured interview techniques, I interviewed forty-four businesses in ten states. The focus of the interviews was the business decision-maker's handling and use of the utility bill---the main (often sole) piece of information that links energy consumption to cost. Through the interviews, I collected information about how utility bills are understood and misunderstood, what components of the bill are seen as useful or confusing, and how energy consumption was seen in the context of larger business decision-making. In addition, I collected data on two forms of energy consumption feedback: historic consumption feedback, in which informants compared their current energy use to patterns of their own energy consumption over time; and group comparison consumption feedback, in which informants compared their energy consumption to the consumption of a group of similar energy consumers. Finally, I collected data on sources of information to which decision-makers turned when they wanted to seek more information about energy consumption alternatives. Overall, my findings suggest that the current utility bill format is often misunderstood. In many cases, particularly in the small-business and medium-size-business categories, the link between energy consumption and energy cost is
Predictors of Donor Heart Utilization for Transplantation in United States.
Trivedi, Jaimin R; Cheng, Allen; Gallo, Michele; Schumer, Erin M; Massey, H Todd; Slaughter, Mark S
Optimum use of donor organs can increase the reach of the transplantation therapy to more patients on waiting list. The heart transplantation (HTx) has remained stagnant in United States over the past decade at approximately 2,500 HTx annually. With the use of the United Network of Organ Sharing (UNOS) deceased donor database (DCD) we aimed to evaluate donor factors predicting donor heart utilization. UNOS DCD was queried from 2005 to 2014 to identify total number of donors who had at least one of their organs donated. We then generated a multivariate logistic regression model using various demographic and clinical donor factors to predict donor heart use for HTx. Donor hearts not recovered due to consent or family issues or recovered for nontransplantation reasons were excluded from the analysis. During the study period there were 80,782 donors of which 23,606 (29%) were used for HTx, and 38,877 transplants (48%) were not used after obtaining consent because of poor organ function (37%), donor medical history (13%), and organ refused by all programs (5%). Of all, 22,791 donors with complete data were used for logistic regression (13,389 HTx, 9,402 no-HTx) which showed significant predictors of donor heart use for HTx. From this model we assigned probability of donor heart use and identified 3,070 donors with HTx-eligible unused hearts for reasons of poor organ function (28%), organ refused by all programs (15%), and recipient not located (9%). An objective system based on donor factors can predict donor heart use for HTx and may help increase availability of hearts for transplantation from existing donor pool. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Optimal Residential Load Scheduling Under Utility and Rooftop Photovoltaic Units
Directory of Open Access Journals (Sweden)
Ghulam Hafeez
Full Text Available With the rapid advancement in technology, electrical energy consumption is increasing rapidly. Especially, in the residential sector, more than 80% of electrical energy is being consumed because of consumer negligence. This brings the challenging task of maintaining the balance between the demand and supply of electric power. In this paper, we focus on the problem of load balancing via load scheduling under utility and rooftop photovoltaic (PV units to reduce electricity cost and peak to average ratio (PAR in demand-side management. For this purpose, we adopted genetic algorithm (GA, binary particle swarm optimization (BPSO, wind-driven optimization (WDO, and our proposed genetic WDO (GWDO algorithm, which is a hybrid of GA and WDO, to schedule the household load. For energy cost estimation, combined real-time pricing (RTP and inclined block rate (IBR were used. The proposed algorithm shifts load from peak consumption hours to off-peak hours based on combined pricing scheme and generation from rooftop PV units. Simulation results validate our proposed GWDO algorithm in terms of electricity cost and PAR reduction while considering all three scenarios which we have considered in this work: (1 load scheduling without renewable energy sources (RESs and energy storage system (ESS, (2 load scheduling with RESs, and (3 load scheduling with RESs and ESS. Furthermore, our proposed scheme reduced electricity cost and PAR by 22.5% and 29.1% in scenario 1, 47.7% and 30% in scenario 2, and 49.2% and 35.4% in scenario 3, respectively, as compared to unscheduled electricity consumption.
Sodium content of popular commercially processed and restaurant foods in the United States
Nutrient Data Laboratory (NDL) of the U.S. Department of Agriculture (USDA) in close collaboration with U.S. Center for Disease Control and Prevention is monitoring the sodium content of commercially processed and restaurant foods in the United States. The main purpose of this manuscript is to prov...
78 FR 9111 - Commercial and Industrial Solid Waste Incineration Units: Reconsideration and Final Amendments...
... impacts? 2. What are the water and solid waste impacts? 3. What are the energy impacts? 4. What are the.... Pulp and Paper Sludge 4. Rulemaking Petition Process for Other Categorical Non-Waste Determinations (40... and 241 Commercial and Industrial Solid Waste Incineration Units: Reconsideration and Final Amendments...
Modification of polysaccharides: Pharmaceutical and tissue engineering applications with commercial utility (patents)
Energy Technology Data Exchange (ETDEWEB)
Malviya, Rishabha, E-mail: firstname.lastname@example.com [Polymer Science Laboratory, Department of Pharmacy, School of Medical & Allied Sciences, Galgotias University, Greator Noida, UP (India); Department of Pharmacy, Uttarkhand Technical University, Dehradun, Uttarkhand (India); Sharma, Pramod Kumar [Polymer Science Laboratory, Department of Pharmacy, School of Medical & Allied Sciences, Galgotias University, Greator Noida, UP (India); Dubey, Susheel Kumar [Siddarth Institute of Pharmacy, Dehradun, Uttarkhand (India)
Polymer modifications open new era for the development of polymers with requisite properties. Use of modified polymers is practically boundless. Different studies focus on biomedical applications of chemically modified polysaccharides. Development and utilization of modified polysaccharides get attention to be used as carrier for pharmaceutical drug delivery as well as tissue engineering scaffolds. Grafted polymer shows better cellular regeneration, signal transmission, diagnostic and imaging material than putative form. This review article aims to discuss various approaches to modify naturally derived polymer and their applications as pharmaceutical drug carrier and as a material for wound dressing and artificial cartilage due to better biophysical cues. Manuscript included various patents based on the applications of modified polymers and techniques used to modify polymers. - Highlights: • Properties of natural polysaccharides can be modulated by modification in their basic backbone. • Polysaccharides can be easily modified using microwave irradiation as compared to conventional closed vessel modification. • Biodegradable and biocompatible nature of modified polymer promotes their use in targeted cellular delivery of pharmaceuticals. • Studies show strong support that biodegradable polymers have ability to modulate cell signaling, cellular attachment, migration, proliferation and differentiation. • Manuscript reveals the fact that various commercial patents have been granted for the use of modified polymer.
Clinical utility of dabigatran in United Arab Emirates
Shehab, Abdulla; Elnour, Asim A.; Sadik, Adel; Mandil, Mahmoud Abu; AlShamsi, Ali; Suwaidi, Aesha Al; Bhagavathula, AkshayaSrikanth; Erkekoglu, Pinar; Hamad, Farah; Nuaimi, Saif K. Al
Objectives: To provide early data regarding clinical utility of dabigatran in Al-Ain, United Arab Emirates (UAE). Methods: This was an ethics approved retrospective cross sectional study. We retrieved a total of 76 patients who were using dabigatran from September to December 2014 in the Cardiology Clinic at Al-Ain Hospital, Al-Ain, UAE. The primary analysis was designed to test the frequency of bleeding events (rate) with dabigatran 75, 110, and 150 mg. Results: The mean age ± standard deviation of cohort was 67.9 ± 1.5 years (range; 29-98 years), composed of males (52.6%) with mean age of 66.3 ± 1.7 years, and females (47.4%) with mean age of 69.6 ± 1.1 years. The highest age group was those between 61-80 years (60.5%). Most comprised the age strata of ≤75 years (73.7%). The main indication for dabigatran use was atrial fibrillation. The rate of bleeding with dabigatran was 18/76 (23.7%), and melena was the leading cause of bleeding 8/76 (10.7%). The hospitalization rate was 67.1%, dabigatran withdrawal rate was 0.01%, and mortality rate was 6.5%. The cohort had exhibited incidences of minor bleeding with one fatal major bleeding, high co-morbidities, admission, and readmission, which was not directly linked to dabigatran. We did not identify any relation of death due to dabigatran. Conclusion: Dabigatran is a suitable alternative to warfarin obviating the need for repetitive international normalized ratio monitoring, however, it may need plasma drug monitoring. PMID:26593161
Energy Technology Data Exchange (ETDEWEB)
Roy Scandrol
Universal Aggregates, LLC proposes to design, construct and operate a lightweight aggregate manufacturing plant at the Birchwood Power Facility in King George, Virginia. The installation and start-up expenses for the Birchwood Aggregate Facility are $19.5 million. The DOE share is $7.2 million (37%) and the Universal Aggregates share is $12.3 (63%). The project team consists of CONSOL Energy Inc., P.J. Dick, Inc., SynAggs, LLC, and Universal Aggregates, LLC. The Birchwood Facility will transform 115,000 tons per year of spray dryer by-products that are currently being disposed of in an offsite landfill into 167,000 tons of a useful product, lightweight aggregates that can be used to manufacture lightweight aggregates that can be used to manufacture lightweight and medium weight masonry blocks. In addition to the environmental benefits, the Birchwood Facility will create nine (9) manufacturing jobs plus additional employment in the local trucking industry to deliver the aggregate to customers or reagents to the facility. A successful demonstration would lead to additional lightweight aggregate manufacturing facilities in the United States. There are currently twenty-one (21) spray dryer facilities operating in the United States that produce an adequate amount of spray dryer by-product to economically justify the installation of a lightweight aggregate manufacturing facility. Industry sources believe that as additional scrubbing is required, dry FGD technologies will be the technology of choice. Letters from potential lightweight aggregate customers indicate that there is a market for the product once the commercialization barriers are eliminated by this demonstration project.
Energy Technology Data Exchange (ETDEWEB)
Roy Scandrol
Universal Aggregates, LLC proposes to design, construct and operate a lightweight aggregate manufacturing plant at the Birchwood Power Facility in King George, Virginia. The installation and start-up expenses for the Birchwood Aggregate Facility are $19.5 million. The DOE share is $7.2 million (37%) and the Universal Aggregates share is $12.3 (63%). The project team consists of CONSOL Energy Inc., P.J. Dick, Inc., SynAggs, LLC, and Universal Aggregates, LLC. The Birchwood Facility will transform 115,000 tons per year of spray dryer by-products that are currently being disposed of in an offsite landfill into 167,000 tons of a useful product, lightweight aggregates that can be used to manufacture lightweight aggregates that can be used to manufacture lightweight and medium weight masonry blocks. In addition to the environmental benefits, the Birchwood Facility will create eight (8) manufacturing jobs plus additional employment in the local trucking industry to deliver the aggregate to customers or reagents to the facility. A successful demonstration would lead to additional lightweight aggregate manufacturing facilities in the United States. There are currently twenty-one (21) spray dryer facilities operating in the United States that produce an adequate amount of spray dryer by-product to economically justify the installation of a lightweight aggregate manufacturing facility. Industry sources believe that as additional scrubbing is required, dry flue gas desulfurization (FGD) technologies will be the technology of choice. Letters from potential lightweight aggregate customers indicate that there is a market for the product once the commercialization barriers are eliminated by this demonstration project.
Genetic characterization of commercial honey bee (Hymenoptera: Apidae) populations in the United States by using mitochondrial and microsatellite markers
D. A. Delaney; M.D. Meixner; N.M. Schiff; W.S. Sheppard
Genetic diversity levels within and between the two commercial breeding areas in theUnited States were analyzed using the DraI restriction fragment length polymorphism of the COICOII mitochondrial region and 10 polymorphic microsatellite loci. The western commercial breeding population (WCBP) and the southeastern commercial...
Summary data for U.S. commercial nuclear power plants in the United States
International Nuclear Information System (INIS)
Heddleson, F.A.
A compilation of data is presented for all United States commercial nuclear power plants for which a construction permit application was made through the Nuclear Regulatory Commission. The data are compiled in four separate tables with cross-referencing indexes: Table 1--General Data; Table 2--Reactor Data; Table 3--Site Data, and Table 4--Circulating-Water System Data. The power plants are listed in numerical order by docket number in all four tables
Commercial Demonstration of the Manufactured Aggregate Processing Technology Utilizing Spray Dryer Ash
Energy Technology Data Exchange (ETDEWEB)
Milton Wu; Paul Yuran
Universal Aggregates LLC (UA) was awarded a cost sharing Co-operative Agreement from the Department of Energy (DOE) through the Power Plant Improvement Initiative Program (PPII) to design, construct and operate a lightweight aggregate manufacturing plant at the Birchwood Power Facility in King George, Virginia in October 2001. The Agreement was signed in November 2002. The installation and start-up expenses for the Birchwood Aggregate Facility are $19.5 million. The DOE share is $7.2 million (37%) and the UA share is $12.3 million (63%). The original project team consists of UA, SynAggs, LLC, CONSOL Energy Inc. and P. J. Dick, Inc. Using 115,000 ton per year of spray dryer ash (SDA), a dry FGD by-product from the power station, UA will produce 167,000 tons of manufactured lightweight aggregate for use in production of concrete masonry units (CMU). Manufacturing aggregate from FGD by-products can provide an economical high-volume use and substantially expand market for FGD by-products. Most of the FGD by-products are currently disposed of in landfills. Construction of the Birchwood Aggregate Facility was completed in March 2004. Operation startup was begun in April 2004. Plant Integration was initiated in December 2004. Integration includes mixing, extrusion, curing, crushing and screening. Lightweight aggregates with proper size gradation and bulk density were produced from the manufacturing aggregate plant and loaded on a stockpile for shipment. The shipped aggregates were used in a commercial block plant for CMU production. However, most of the production was made at low capacity factors and for a relatively short time in 2005. Several areas were identified as important factors to improve plant capacity and availability. Equipment and process control modifications and curing vessel clean up were made to improve plant operation in the first half of 2006. About 3,000 tons of crushed aggregate was produced in August 2006. UA is continuing to work to improve plant
Commercial spent nuclear fuel shipments in the United States, 1964--1987
International Nuclear Information System (INIS)
This report provides an overview of US commercial light-water reactor spent-fuel shipments that have occurred from January, 1964 through December, 1987. A summary analysis was performed on these historical shipments, showing the amount of fuel that has been shipped to research facilities, reprocessing plants, away-from-reactor (AFR) storage sites, and other reactors. Also presented in this report is a listing of potential spent-fuel shipments to and/or from commercial nuclear plants. Table 1 provides the detailed listing of historical spent-fuel shipments. Table 2 is a summary of these shipments grouped by destination. Section IV discusses utility plans for future spent-fuel shipments. 2 tabs
Start up and commercial operation of Laguna Verde nuclear power plant. Unit 1
International Nuclear Information System (INIS)
Torres Ramirez, J.F.
Prior to start up of Laguna Verde nuclear power plant preoperational tests and start tests were performed and they are described in its more eminent aspects. In relation to commercial operation of nuclear station a series of indicator were set to which allow the measurement of performance in unit 1, in areas of plant efficiency and personal safety. Antecedents. Laguna Verde station is located in Alto Lucero municipality in Veracruz state, 70 kilometers north-northeast from port of Veracruz and a 290 kilometers east-northeast from Mexico city. The station consist of two units manufactured by General Electric, with a nuclear system of vapor supply also called boiling water (BWR/5), and with a system turbine-generator manufactured by Mitsubishi. Each unit has a nominal power of 1931 MWt and a level design power of 675 Mwe and a net power of 654 Electric Megawatts
AP600 level of automation: United States utility perspective
International Nuclear Information System (INIS)
Bekkerman, A.Y.
Design of the AP600 advanced nuclear plant man-machine interface system (M-MIS) is guided by the applicable requirements from the Utility Requirements Document (URD). However, the URD has left certain aspects of the M-MIS to be determined by the designer working together with utilities sponsoring the work. This is particularly true in the case of the level of automation to be designed into the M-MIS. Based on experience from currently operating plants, utilities have specified the identity and roles of personnel in the control room, which has led to establishing a number of level of automation issues for the AP600. The key role of automated computerized procedures in the AP600 automation has been determined and resolved. 5 refs
Cost structure analysis of commercial nuclear power plants in Japan based on corporate financial statements of electric utility companies
International Nuclear Information System (INIS)
Kunitake, Norifumi; Nagano, Koji; Suzuki, Tatsujiro
In this paper, we analyze past and current cost structure of commercial nuclear power plants in Japan based on annual corporate financial statements published by the Japanese electric utility companies, instead of employing the conventional methodology of evaluating the generation cost for a newly constructed model plant. The result of our study on existing commercial nuclear plants reveals the increasing significance of O and M and fuel cycle costs in total generation cost. Thus, it is suggested that electric power companies should take more efforts to reduce these costs in order to maintain the competitiveness of nuclear power in Japan. (author)
Commercial operation and outage experience of ABWR at Kashiwazaki-Kariwa units Nos. 6 and 7
International Nuclear Information System (INIS)
Anahara, N.; Yamada, M.; Kataoka, H.
Kashiwazaki-Kariwa Nuclear Power Station Units Nos. 6 and 7, the world's first ABWRs (Advanced Boiling Water Reactor), started commercial operation on November 7, 1996 and July 2, 1997, respectively, and continued their commercial operation with a high capacity factor, low occupational radiation exposure and radioactive waste. Units 6 and 7 were in their 3rd cycle operation until 25th April 1999 and 1st November 1999, respectively. Thermal efficiency was 35.4-35.8% (design thermal efficiency: 34.5%) during these period, demonstrating better performance than that of BWR-5 (design thermal efficiency: 33.4%). Nos. 6 and 7 have experienced 2 annual outages. The first outage of unit No. 6 started on November 20, 1997 and was completed within 61 days (including 6 New Year holidays), and the second outage started on March 13, 1999 and was completed within 44 days. The first annual outage of unit No. 7 started on May 27, 1998, earlier than it would normally have been, to avoid an annual outage during the summer, and was completed within 55 days, and the second outage started on September 18th, 1999 and was completed within 45 days, All annual outages were carried out within a very short time period without any severe malfunctions, including newly designed ABWR systems and equipment. As the first outage in Japan, 55 days is a very short period, despite the fact that the Nos. 6 and 7 are the first ABWRs in the world and the largest capacity units in Japan. The total occupational radiation exposure of No. 6 was 300 man-mSv (1st outage) and 331 man-mSv (2nd outage). That of Unit 7 was 153 man-mSv (1st outage) Those of unit No. 6 were at the same level as those of unit No. 3, which is the latest design 1100MW(e) BWR-5. That of unit No. 7 was the lowest ever at Kashiwazaki-Kariwa nuclear power station. The drums of radioactive waste discharged during the annual outage numbered 54 (1st outage) for No. 6 and 62 (1st outage) for No. 7, which was less than the design target of 100
Commercial processing and disposal alternatives for very low levels of radioactive waste in the United States
International Nuclear Information System (INIS)
Benda, G.A.
The United States has several options available in the commercial processing and disposal of very low levels of radioactive waste. These range from NRC licensed low level radioactive sites for Class A, B and C waste to conditional disposal or free release of very low concentrations of material. Throughout the development of disposal alternatives, the US promoted a graded disposal approach based on risk of the material hazards. The US still promotes this approach and is renewing the emphasis on risk based disposal for very low levels of radioactive waste. One state in the US, Tennessee, has had a long and successful history of disposal of very low levels of radioactive material. This paper describes that approach and the continuing commercial options for safe, long term processing and disposal. (author)
Summary of inspection findings of licensee inservice testing programs at United States commercial nuclear power plants
Energy Technology Data Exchange (ETDEWEB)
Dunlop, A.; Colaccino, J.
Periodic inspections of pump and valve inservice testing (IST) programs in United States commercial nuclear power plants are performed by Nuclear Regulatory Commission (NRC) Regional Inspectors to verify licensee regulatory compliance and licensee commitments. IST inspections are conducted using NRC Inspection Procedure 73756, {open_quotes}Inservice Testing of Pumps and Valves{close_quotes} (IP 73756), which was updated on July 27, 1995. A large number of IST inspections have also been conducted using Temporary Instruction 2515/114, {open_quotes}Inspection Requirements for Generic Letter 89-04, Acceptable Inservice Testing Programs{close_quotes} (TI-2515/114), which was issued January 15, 1992. A majority of U.S. commercial nuclear power plants have had an IST inspection to either IP 73756 or TI 2515/114. This paper is intended to summarize the significant and recurring findings from a number of these inspections since January of 1990.
Analysis in the Utility of Commercial Wargaming Simulation Software for Army Organizational Leadership Development
National Research Council Canada - National Science Library
Macintyre, Kerry
... analysis, operational test and evaluation, and campaign development. The intent of this monograph was to determine if commercial wargame simulations could be used to develop the organizational leadership abilities of Army officers...
Utility-Scale Solar 2014. An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States
Energy Technology Data Exchange (ETDEWEB)
Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Seel, Joachim [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Other than the nine Solar Energy Generation Systems ("SEGS") parabolic trough projects built in the 1980s, virtually no large-scale or "utility-scale" solar projects – defined here to include any groundmounted photovoltaic ("PV"), concentrating photovoltaic ("CPV"), or concentrating solar thermal power ("CSP") project larger than 5 MWAC – existed in the United States prior to 2007. By 2012 – just five years later – utility-scale had become the largest sector of the overall PV market in the United States, a distinction that was repeated in both 2013 and 2014 and that is expected to continue for at least the next few years. Over this same short period, CSP also experienced a bit of a renaissance in the United States, with a number of large new parabolic trough and power tower systems – some including thermal storage – achieving commercial operation. With this critical mass of new utility-scale projects now online and in some cases having operated for a number of years (generating not only electricity, but also empirical data that can be mined), the rapidly growing utility-scale sector is ripe for analysis. This report, the third edition in an ongoing annual series, meets this need through in-depth, annually updated, data-driven analysis of not just installed project costs or prices – i.e., the traditional realm of solar economics analyses – but also operating costs, capacity factors, and power purchase agreement ("PPA") prices from a large sample of utility-scale solar projects in the United States. Given its current dominance in the market, utility-scale PV also dominates much of this report, though data from CPV and CSP projects are presented where appropriate.
Implementation of the U.S. utility industry's TEAM-UP commercialization initiative
International Nuclear Information System (INIS)
Bergman, M.; Bigger, J.; Hester, S.; Serfass, J.; Hoffner, J.
TEAM-UP is a partnership program of the US electric utility industry and the US Department of Energy to help develop utility PV markets. TEAM-UP is a utility-directed program to significantly increase utility PV experience by promoting installations of utility PV systems. Two primary program areas are proposed for TEAM-UP; (1) Grid-Independent Applications (GIA) -- an initiative to aggregate utility purchases of small-scale, grid-independent applications, and (2) Grid-Connected Applications -- an initiative to identify and competitively award cost-sharing contracts for grid-connected PV systems with high market growth potential, or collective purchase programs involving multiple buyers. This paper describes these programs and outlines the schedule, the procurement status, and the results of surveys, public review workshops, and notices that are part of the TEAM-UP process
Electric utility fuel choice behavior in the United States
Energy Technology Data Exchange (ETDEWEB)
Joskow, P.L.; Mishkin, F.S.
Electric utility fuel choice behavior is analyzed by a conditional logit model to determine the effects of changing oil prices of five plants. Three of the plants faced favorable expected coal prices and, like many areas of the country, were insensitive to changing oil prices. This was not the case at the New England plant, however, where relatively small price increases would decrease the likelihood of choosing oil as an alternative fuel for new plants. The modeling of utility behavior in fuel decisions is felt to be applicable to other industries where a continuum of decision possibilities does not reasonably characterize choice alternatives. New behavior models are urged in order to obtain better predictions of the effects of a changing economic environment. 10 references.
Commercial nuclear power 1988: Prospects for the United States and the world
International Nuclear Information System (INIS)
This report presents historical data on commercial nuclear power in the United States, with projections of domestic nuclear capacity and generation through the year 2020. The report also gives country-specific projections of nuclear capacity and generation through the year 2010 for other countries in the world outside centrally planned economic areas (WOCA). Information is also presented regarding operable reactors and those under construction in countries with centrally planned economies. This report presents three different nuclear supply scenarios. The Optimistic-case scenario, included in previous issues of this report, has been deleted. 7 figs; 36 tabs
Energy and exergy utilization efficiencies in the Japanese residential/commercial sectors
International Nuclear Information System (INIS)
Kondo, Kumiko
Unlike the manufacturing sector, the residential/commercial sectors of Japan struggle to meet their environmental requirements. For instance, their CO 2 emission levels have increased tremendously since 1990. This research estimates energy and 'exergy (available energy)' efficiencies in Japan's residential/commercial sectors during the period 1990-2006. Since an exergy analysis reveals 'available energy losses', it is an effective tool to achieve sustainable societies. The primary objective of this paper is to examine the potential for advancing the 'true' energy efficiency in Japan's residential/commercial sectors-by observing energy and exergy efficiency disparities. The results show large differences between the overall energy and exergy efficiencies in the residential (60.12%, 6.33%)/commercial sectors (51.78%, 5.74%) in 2006. This implies great potential for energy savings in both sectors. Furthermore, this research suggests that the residential sector may face more difficulties than the commercial sector, although the latter appears to be less energy-efficient, according to recent statistics. This is because the disparity between energy and exergy efficiencies has expanded in the residential sector since 2000. This study illustrates the importance of exergy analyses in promoting sustainable energy policies and new adaptation strategies.
A large economic liquid metal reactor for United States utilities
International Nuclear Information System (INIS)
Rodwell, E.
The United States has demonstrated its ability to build and operate small and medium sized liquid metal reactors and continues to operate the Experimental Breeder Reactor II and the Fast Flux Test Facility to demonstrate long life fuel designs. Similar-sized liquid metal reactors in Europe have been followed by a step-up to the 1200 MWe capacity of the Superphenix plant. To permit the United States to make a similar step-up in capacity, a 1320 MWe liquid metal reactor plant has been designed with the main emphasis on minimizing the specific capital cost in order to be competitive with light water reactor plant and fossil plant alternatives. The design is based on a four parallel heat transport loops arrangement and complies with current regulatory requirements. The primary heat transport loops are now being integrated into the reactor vessel to achieve further reduction in the capital cost
Trends in radioisotope development and utilization in the United States
Energy Technology Data Exchange (ETDEWEB)
Mott, W E [Energy Research and Development Administration, Washington, D.C. (USA)
The current trends in radioisotope and radiation technology in the United States are overviewed with emphasis on the developments since the 1973 Conference. The comments focus primarily on the research and development activities receiving the most attention today from the various agencies of the Government. Among the many available radionuclides, technetium-99m has played the single most important role for making possible the developments in the field of nuclear medicine. Many other short lived medium-lived nuclides are applied in the fields of nuclear medicine, cardiac pacemaker, artificial heart, and blood irradiator. Radiation processing is now firmly established in the United States. The trends in sewage treatment, polymer-impregnated materials, bioengineering, and food irradiation are reviewed. The programs for californium-252, strontium-90, cesium-137, plutonium-238, and krypton-85 are also reviewed. The author concludes this paper with the acknowledgement that Japanese researchers have contributed to and have been closely involved in many of the programs discussed. Of particular note is the participation in the clinical phase of the californium-252 radiotherapy program. Several Japanese hospitals have been cooperating with the United States since the very beginning of the californium-252 program in determining the value of the californium-252 neutron therapy. The research being performed is unique, and will contribute greatly to the decisions on the ultimate future of californium-252 for therapeutic purposes.
Commercial and Industrial Solid Waste Incineration Units (CISWI): New Source Performance Standards (NSPS) and Emission Guidelines (EG) for Existing Sources
Learn about the New Source Performance Standards (NSPS) for commercial and industrial solid waste incineration (CISWI) units including emission guidelines and compliance times for the rule. Read the rule history and summary, and find supporting documents
Structural, compositional, and sensorial properties of United States commercial ice cream products.
Warren, Maya M; Hartel, Richard W
Commercial vanilla ice cream products from the United States (full fat, low fat, and nonfat) were analyzed for their structural, behavioral (i.e., melt rate and drip-through), compositional, and sensorial attributes. Mean size distributions of ice crystals and air cells, drip-through rates, percent partially coalesced fat, percent overrun and total fat, and density were determined. A trained panel carried out sensory analyses in order to determine correlations between ice cream microstructure attributes and sensory properties using a Spectrum(TM) descriptive analysis. Analyses included melt rate, breakdown, size of ice particulates (iciness), denseness, greasiness, and overall creaminess. To determine relationships and interactions, principle component analysis and multivariate pairwise correlation were performed within and between the instrumental and sensorial data. Greasiness and creaminess negatively correlated with drip-through rate and creaminess correlated with percent total fat and percent fat destabilization. Percent fat did not determine the melt rate on a sensorial level. However, drip-through rate at ambient temperatures was predicted by total fat content of the samples. Based on sensory analysis, high-fat products were noted to be creamier than low and nonfat products. Iciness did not correlate with mean ice crystal size and drip-through rate did not predict sensory melt rate. Furthermore, on a sensorial level, greasiness positively correlated with total percent fat destabilization and mean air cell size positively correlated with denseness. These results indicate that commercial ice cream products vary widely in composition, structure, behavior, and sensory properties. There is a wide range of commercial ice creams in the United States market, ranging from full fat to nonfat. In this research we showed that these ice creams vary greatly in their microstructures, behaviors (the melt/drip-though, collapse, and/or stand up properties of ice cream
Geriatric drug therapy and healthcare utilization in the United kingdom.
Kennerfalk, Anita; Ruigómez, Ana; Wallander, Mari-Ann; Wilhelmsen, Lars; Johansson, Saga
To describe the use of prescription drug therapy, especially polypharmacy, in an elderly general population; to relate that use to age, gender, and different types of healthcare utilization; and to investigate the influence of selection of different time windows on the result of the quantity as well as the categories of drugs used. Data on a sample of 5000 patients aged 65-90 years in 1996 were derived from the General Practice Research Database (GPRD). The population covered by GPRD is broadly representative of the UK population treated in general practice. Drug use was assessed using 2 time windows - current use of individual drugs on a random day (index date) and 1 month following the index date. Healthcare utilization was analyzed by use of information on visits to general practitioners (GPs), hospitalizations, and referrals to specialists. Women used more drugs than men; however, the prevalence of polypharmacy, defined as concomitant use of > or =5 drugs, was similar in both genders. The most frequently used therapeutic groups were cardiovascular, central nervous, and gastrointestinal system drugs. Almost 80% of both women and men visited a GP at least once a year. Overall, women used more ambulatory care services and men were hospitalized more often. Use of random date compared with 1-month period resulted in a significant underestimation of the amount of drugs used for acute conditions and, consequently, the risk of polypharmacy. The overall results confirm the findings in earlier studies suggesting that the GPRD might be a useful tool in further studies on prescription drug use among elderly persons. More information on the appropriateness of drug use is needed to prevent overuse as well as underuse of medications among the elderly.
Commercial statistical bulletin of the Brazilian electric utility Centrais Eletricas de Santa Catarina S.A
International Nuclear Information System (INIS)
Statistical data concerning the Brazilian Centrais Eletricas de Santa Catarina S.A. utility relative to April 1996 are presented. They include, among other things, electricity consumption, number and class of consumers and electricity rates
The Feasibility of Utilizing Wind Energy in Commercial Buildings With Special Reference to the Kingdom of Bahrain
Abdulrahim Saeed, Saeed
This article shall investigate the feasibility of utilizing wind energy for commercial buildings with special reference to the Kingdom of Bahrain. Bahrain World Trade Center which was built in 2008, is located in the city of Manama. The fifty-story complex contains identical twin towers that rise over 240 meters in height. The towers are connected by three bridges which hold three turbines each 29 meters long. The three turbines were originally design to provide electric energy required for lighting. The Bahrain World Trade Center was selected as a case study to investigate the feasibility of utilizing wind energy technologies in skyscrapers with special reference to the Kingdom of Bahrain. It is hoped that the findings and conclusion of the study shall be of some value for future utilization of wind energy in the GCC countries and the world at large.
Shutdown and low-power operation at commercial nuclear power plants in the United States
International Nuclear Information System (INIS)
The report contains the results of the NRC Staff's evaluation of shutdown and low-power operations at US commercial nuclear power plants. The report describes studies conducted by the staff in the following areas: Operating experience related to shutdown and low-power operations, probabilistic risk assessment of shutdown and low-power conditions and utility programs for planning and conducting activities during periods the plant is shut down. The report also documents evaluations of a number of technical issues regarding shutdown and low-power operations performed by the staff, including the principal findings and conclusions. Potential new regulatory requirements are discussed, as well as potential changes in NRC programs. A draft report was issued for comment in February 1992. This report is the final version and includes the responses to the comments along with the staff regulatory analysis of potential new requirements
Trends in blood utilization in United States cardiac surgical patients.
Robich, Michael P; Koch, Colleen G; Johnston, Douglas R; Schiltz, Nicholas; Chandran Pillai, Aiswarya; Hussain, Syed T; Soltesz, Edward G
We sought to determine whether publication of blood conservation guidelines by the Society of Thoracic Surgeons in 2007 influenced transfusion rates and to understand how patient- and hospital-level factors influenced blood product usage. We identified 4,465,016 patients in the Nationwide Inpatient Sample database who underwent cardiac operations between 1999 and 2010 (3,202,404 before the guidelines and 1,262,612 after). Hierarchical linear modeling was used to account for hospital- and patient-level clustering. Transfusion rates of blood products increased from 13% in 1999 to a peak of 34% in 2010. Use of all blood components increased over the study period. Aortic aneurysm repair had the highest transfusion rate with 54% of patients receiving products in 2010. In coronary artery bypass grafting, the number of patients receiving blood products increased from 12% in 1999 to 32% in 2010. Patients undergoing valvular operations had a transfusion rate of 15% in 1999, increasing to 36% in 2010. Patients undergoing combined operations had an increase from 13% to 40% over 11 years. Risk factors for transfusion were anemia (odds ratio [OR], 2.05; 95% confidence interval [CI], 2.01-2.09), coagulopathy (OR, 1.54; 95% CI, 1.51-1.57), diabetes (OR, 1.32; 95% CI, 1.28-1.36), renal failure (OR, 1.29; 95% CI, 1.26-1.32), and liver disease (OR, 1.23; 95% CI, 1.16-1.31). Compared to the Northeast, the risk for transfusion was significantly lower in the Midwest; higher-volume hospitals used fewer blood products than lower-volume centers. Cell salvage usage remained below 5% across all years. Independent of patient- and hospital-level factors, blood product utilization continues to increase for all cardiac operations despite publication of blood conservation guidelines in 2007. © 2014 AABB.
Detection of atypical porcine pestivirus in semen from commercial boar studs in the United States.
Gatto, I R H; Arruda, P H; Visek, C A; Victoria, J G; Patterson, A R; Krull, A C; Schwartz, K J; de Oliveira, L G; Arruda, B L
Atypical porcine pestivirus (APPV) has recently been identified as a cause of congenital tremor (CT) in pigs and has been detected in semen and preputial swabs from boars that were known to be clinically affected with CT. Accordingly, the objectives of this study were to 1) detect the presence of APPV in semen, preputial fluids and preputial swabs from adult boars by quantitative reverse transcription PCR (qRT-PCR) and 2) genetically characterize a subset of positive samples to better understand the ecology of APPV in commercial boar studs and the potential risk of transmission of APPV via semen. A total of 597 samples of semen, preputial fluid and preputial swabs each representing a different boar were obtained from four commercial boar studs located in three different states in the United States. Viral RNA was detected by qRT-PCR in 90 samples (15.08%; 90/597), with the greatest per cent positive from preputial swabs (23.81%; 5/21) followed by preputial fluid (22.81%; 26/114) and semen (12.91%; 59/457). The mean cycle quantification (Cq) between sample types was similar while eleven semen samples had Cq values lower than 27.0 corresponding to approximately 2 × 10 6 copies/ml. Based on phylogenetic analysis of the Npro gene, different viral strains can be on the same farm at the same and different times. This is the first report of detection of APPV in semen from commercial boar studs. Studies investigating the role of semen in the transmission of APPV and production of CT are needed. © 2017 Blackwell Verlag GmbH.
Can we Plan. The political economy of commercial nuclear energy policy in the United States
International Nuclear Information System (INIS)
Campbell, J.L. Jr.
The dissertation is an analysis of the commercial nuclear energy sector's decline in the United States. The research attempts to reconcile the debate between Weberian-institutional and Marxist political theory about the state's inability to successfully plan industrial development in advanced capitalist countries. Synthesizing these views, the central hypothesis guiding the research is that the greater the state's relative autonomy from political and economic constraints in an institutional sense, i.e., the greater its insulation from the contradictions of capitalism and democracy, the greater its planning capacity and the more successful it will be in directing industrial performance. The research examines one industrial sector, commercial nuclear energy, and draws two major comparison. First, the French and US nuclear industries are compared, since the state's relative autonomy is much greater in the former than in the latter. This comparison is developed to identify policy areas where nuclear planning has succeeded in France but failed in America. Four areas are identified: reactor standardization, waste management, reactor safety, and financing. Second, looking particularly at the US, the policy areas are compared to analyze the development of policy and its effects on the sector's performance and to determine the degree to which planning was undermined by the structural constraints characteristic of a state with low relative autonomy
Utility bill comprehension in the commercial and industrialsector: results of field research
Energy Technology Data Exchange (ETDEWEB)
Payne, Christopher T.
This paper presents the results of interviews conducted with 44 business people in 10 states to examine the use of the utility bill as an information mechanism for providing businesses with the relationship between energy consumption and cost. Our results indicate that there are significant barriers to the use of the utility bill as an information tool for energy consumers. Furthermore, we found significant variations among respondents in the information desired from the bill, and differences in decision-making criteria for investments aimed at reducing energy consumption and for those aimed at other forms of waste minimization. These results call into question the applicability of standard market theories in the purchase of energy by most businesses.
The utilization of endopower β in commercial feed which contains palm kernel cake on performance of broiler chicken
Purba, S. S. A.; Tafsin, M.; Ginting, S. P.; Khairani, Y.
Palm kernel cake is an agricultural waste that can be used as raw material in the preparation of poultry rations. The design used was Completely Randomized Design (CRD) with 5 treatments and 4 replications. Level endopower β used 0 % (R0), 0.02% (R1), 0.04% (R2) and 0.06% (R3). The results showed that R0a and R0b were significantly different from R3 in terms of diet consumption, body weight gain and the conversion ratio The utilization of endopower β in commercial diets containing palm kernel cake in broilers can increase body weight gain, feed consumption, improve feed use efficiency and even energy. It is concluded that utilization endpower β improve performances of broiler chicken fed by diet containing palm kernel cake.
Direct and Indirect Healthcare Resource Utilization and Costs Among Migraine Patients in the United States.
Bonafede, Machaon; Sapra, Sandhya; Shah, Neel; Tepper, Stewart; Cappell, Katherine; Desai, Pooja
The goal of this analysis was to provide a contemporary estimate of the burden of migraine, incorporating both direct and indirect costs, by comparing the costs of migraine patients to a matched group of patients without migraine in a large, nationally representative sample of commercially insured patients in the United States. Previous studies have shown that the economic burden of migraine in the United States is substantial for payers, patients, and employers. Despite the availability of multiple acute and preventive pharmacological treatment options and a relatively stable migraine prevalence in the United States, there has been a documented increase in migraine-related healthcare resource and pharmacy use. Given the frequently disabling nature of migraine and its high prevalence, especially during peak productive years, and the lack of recent estimates of the burden of migraine, there is a need to update the existing literature with more current data. This retrospective, observational cohort study identified migraine patients in the Truven Health Market Scan Research Databases between January 2008 and June 2013. Adult patients had 12 months of continuous enrollment before (baseline period) and after (follow-up period) the day they received migraine diagnoses and/or medications (index) and no diagnosis of HIV or malignancy during the study period. The patients with migraine were matched 1:1 to a group of patients without migraine on demographic variables and index date. Direct healthcare utilization and costs and indirect (absenteeism, short-term disability, and long-term disability) costs were assessed during the 12-month follow-up period and differences between patients with vs without migraine were assessed. Two additional multivariable logistic regression analyses were conducted. First, an analysis was conducted comparing the odds of having a short-term disability claim between patients with and without migraine after controlling for patient demographic and
Advancement in shampoo (a dermal care product): preparation methods, patents and commercial utility.
Deeksha; Malviya, Rishabha; Sharma, Pramod K
Shampoo is a cleaning aid for hair and is the most evolving beauty products in the present scenario. Today's shampoo products are of great importance as they provide cleaning of hair with the benefits of conditioning, smoothing and good health of hair i.e. dandruff, dirt, grease and lice free hair. Various types of shampoos depending upon function, nature of ingredient, and their special effects are elaborated in this study. Generally shampoos are evaluated in terms of physical appearance, detergency, surface tension, foam quality, pH, viscosity, and percent of solid content, flow property, dirt dispersion, cleaning action, stability and wetting time. The attention should be paid at its patent portion which attracts towards itself as it provides wide knowledge related to shampoo. This article reviews the various aspects of shampoo in terms of preparation methods, various patents and commercial value.
United States of America. Status of commercial LILW site closure in the USA
International Nuclear Information System (INIS)
The United States has adopted the requirements of 10 CFR Part 61 for the licensing standards of all new commercial low level radioactive waste disposal facilities. In general, low level waste as addressed in 10 CFR Part 61 is that waste that is not classified as high level waste, transuranic waste, or naturally occurring or accelerator produced radioactive materials. The requirements of this regulation dictate that certain standards be met by any new licensed facility. Obviously, arid locations offer certain advantages over humid locations with regards to controlling moisture infiltration and movement, the primary mechanism for radionuclide transport. Whereas relatively simple thick vegetated caps designed for enhancing evapotranspiration may be suitable for arid locations, more humid facilities may require more elaborate means to provide for the same degree of long term isolation of wastes from the biosphere. In general, the closure systems at low level disposal facilities built in humid areas of the United States tend to have more engineering features than those in more arid locations
The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization
Directory of Open Access Journals (Sweden)
Agnus M. Kim
Full Text Available Objectives: We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts and new areal units organized based on the actual health care use of the population in Korea. Methods: To compare geographic variation in geographic units of analysis, we calculated the age–sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units. Results: Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures. Conclusions: Geographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.
Lessons Learned: A review of utility experience with conservation and load management programs for commercial and industrial customers
Energy Technology Data Exchange (ETDEWEB)
Nadel, S.
This report examines utility experience with conservation and load management (C LM) programs of commercial and industrial (C I) customers in order to summarize the lessons learned from program experiences to date and what these teach us about how to operate successful programs in the future. This analysis was motivated by a desire to learn about programs which achieve high participation rates and high electricity savings while remaining cost effective. Also, we wanted to review the very latest experiences with innovative program approaches -- approaches that might prove useful to utilities as they scale up their C LM activities. Specific objectives of this phase of the study are threefold: (1) To disseminate information on utility C LM experience to a nationwide audience. (2) To review current New York State utility programs and make suggestions on how these programs can be improved. (3) To collect data for the final phase of the American Council for an Energy-Efficient Economy/New York State Energy Research and Development Authority project, which will examine the savings that are achievable if C LM programs are pushed to the limit'' of current knowledge on how to structure and run cost-effective C LM programs. 19 tabs.
The cost and performance of utility commercial lighting programs. A report from the Database on Energy Efficiency Programs (DEEP) project
Energy Technology Data Exchange (ETDEWEB)
Eto, J.; Vine, E.; Shown, L.; Sonnenblick, R.; Payne, C. [Lawrence Berkeley Lab., CA (United States). Energy and Environment Div.
The objective of the Database on Energy Efficiency Programs (DEEP) is to document the measured cost and performance of utility-sponsored, energy-efficiency, demand-side management (DSM) programs. Consistent documentation of DSM programs is a challenging goal because of problems with data consistency, evaluation methodologies, and data reporting formats that continue to limit the usefulness and comparability of individual program results. This first DEEP report investigates the results of 20 recent commercial lighting DSM programs. The report, unlike previous reports of its kind, compares the DSM definitions and methodologies that each utility uses to compute costs and energy savings and then makes adjustments to standardize reported program results. All 20 programs were judged cost-effective when compared to avoided costs in their local areas. At an average cost of 3.9{cents}/kWh, however, utility-sponsored energy efficiency programs are not ``too cheap to meter.`` While it is generally agreed upon that utilities must take active measures to minimize the costs and rate impacts of DSM programs, the authors believe that these activities will be facilitated by industry adoption of standard definitions and reporting formats, so that the best program designs can be readily identified and adopted.
Designating Earth's Moon as a United Nations World Heritage Site - Permanently Protected from Commercial or Military Uses
Steiner, R. G.
This paper proposes that Earth's Moon, in its entirety, be designated a United Nations World Heritage Site (WHS), permanently protected from any and all commercial or military utilization and reserved exclusively for scientific and aesthetic purposes. The paper discusses: 1) the extraordinary importance of the Moon for science, culture, and religion - past, present and future; 2) the history of proposals to exploit the Moon for commercial and military purposes and the shortcomings of this colonial, exploitation paradigm; and 3) the necessity, policy mechanisms, and political dynamics of designating the Moon as a World Heritage Site, permanently protected from commercial and/or military uses. The first part of the paper discusses the extraordinary importance of the Moon as it exists today - as a scientific laboratory, a source of beauty and inspiration throughout human evolution, a source for artistic expression, and as an object that is considered sacred by many cultures. Next, the paper traces the history of specific proposals for the exploitation of the Moon for commercial and/or military purposes - including plans by the U.S. Air Force in 1959 to detonate a nuclear explosion on the Moon, proposals to strip-mine the lunar regolith for helium-3 and rocket-fuel hydrogen; construction of solar power plants to transmit energy to Earth, and proposals to use the lunar surface as a billboard upon which to project commercial advertisements visible from Earth. The profound ethical, legal, and scientific shortcomings of this exploitation paradigm are described as an emerging Extraterrestrial Manifest Destiny that we have a collective obligation to challenge and constrain. The paper proposes that space exploration be infused with an ethical commitment to compassion, reverence, conservation, and non-interference to abiotic and biotic systems alike; as opposed to the expansion and extraterrestrial imposition of the colonization, exploitation, domination, and despoliation
Economic burden of sarcoidosis in a commercially-insured population in the United States.
Rice, J Bradford; White, Alan; Lopez, Andrea; Conway, Alexandra; Wagh, Aneesha; Nelson, Winnie W; Philbin, Michael; Wan, George J
Sarcoidosis is a multi-system inflammatory disorder characterized by the presence of non-caseating granulomas in involved organs. Patients with sarcoidosis have a reduced quality-of-life and are at an increased risk for several comorbidities. Little is known about the direct and indirect cost of sarcoidosis following the initial diagnosis. To provide an estimate of the healthcare resource utilization (HCRU) and costs borne by commercial payers for sarcoidosis patients in the US. Patients with a first diagnosis of sarcoidosis between January 1, 1998 and March 31, 2015 ("index date") were selected from a de-identified privately-insured administrative claims database. Sarcoidosis patients were required to have continuous health plan enrollment 12 months prior to and following their index dates. Propensity-score (1:1) matching of sarcoidosis patients with non-sarcoidosis controls was carried out based on a logistic regression of baseline characteristics. Burden of HCRU and work loss (disability days and medically-related absenteeism) were compared between the matched groups over the 12-month period following the index date ("outcome period"). A total of 7,119 sarcoidosis patients who met the selection criteria were matched with a control. Overall, commercial payers incurred $19,714 in mean total annual healthcare costs per sarcoidosis patient. The principle cost drivers were outpatient visits ($9,050 2015 USD, 46%) and inpatient admissions ($6,398, 32%). Relative to controls, sarcoidosis patients had $5,190 (36%) higher total healthcare costs ($19,714 vs $14,524; p economic burden to payers in the first year following diagnosis.
Glucuronoyl Esterase Screening and Characterization Assays Utilizing Commercially Available Benzyl Glucuronic Acid Ester
Directory of Open Access Journals (Sweden)
Hampus Sunner
Full Text Available Research on glucuronoyl esterases (GEs has been hampered by the lack of enzyme assays based on easily obtainable substrates. While benzyl d-glucuronic acid ester (BnGlcA is a commercially available substrate that can be used for GE assays, several considerations regarding substrate instability, limited solubility and low apparent affinities should be made. In this work we discuss the factors that are important when using BnGlcA for assaying GE activity and show how these can be applied when designing BnGlcA-based GE assays for different applications: a thin-layer chromatography assay for qualitative activity detection, a coupled-enzyme spectrophotometric assay that can be used for high-throughput screening or general activity determinations and a HPLC-based detection method allowing kinetic determinations. The three-level experimental procedure not merely facilitates routine, fast and simple biochemical characterizations but it can also give rise to the discovery of different GEs through an extensive screening of heterologous Genomic and Metagenomic expression libraries.
Modification of polysaccharides: Pharmaceutical and tissue engineering applications with commercial utility (patents).
Malviya, Rishabha; Sharma, Pramod Kumar; Dubey, Susheel Kumar
Polymer modifications open new era for the development of polymers with requisite properties. Use of modified polymers is practically boundless. Different studies focus on biomedical applications of chemically modified polysaccharides. Development and utilization of modified polysaccharides get attention to be used as carrier for pharmaceutical drug delivery as well as tissue engineering scaffolds. Grafted polymer shows better cellular regeneration, signal transmission, diagnostic and imaging material than putative form. This review article aims to discuss various approaches to modify naturally derived polymer and their applications as pharmaceutical drug carrier and as a material for wound dressing and artificial cartilage due to better biophysical cues. Manuscript included various patents based on the applications of modified polymers and techniques used to modify polymers. Copyright © 2016 Elsevier B.V. All rights reserved.
Updated Value of Service Reliability Estimates for Electric Utility Customers in the United States
Energy Technology Data Exchange (ETDEWEB)
Sullivan, Michael [Nexant Inc., Burlington, MA (United States); Schellenberg, Josh [Nexant Inc., Burlington, MA (United States); Blundell, Marshall [Nexant Inc., Burlington, MA (United States)
This report updates the 2009 meta-analysis that provides estimates of the value of service reliability for electricity customers in the United States (U.S.). The meta-dataset now includes 34 different datasets from surveys fielded by 10 different utility companies between 1989 and 2012. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods, it was possible to integrate their results into a single meta-dataset describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the U.S. for industrial, commercial, and residential customers. This report focuses on the backwards stepwise selection process that was used to develop the final revised model for all customer classes. Across customer classes, the revised customer interruption cost model has improved significantly because it incorporates more data and does not include the many extraneous variables that were in the original specification from the 2009 meta-analysis. The backwards stepwise selection process led to a more parsimonious model that only included key variables, while still achieving comparable out-of-sample predictive performance. In turn, users of interruption cost estimation tools such as the Interruption Cost Estimate (ICE) Calculator will have less customer characteristics information to provide and the associated inputs page will be far less cumbersome. The upcoming new version of the ICE Calculator is anticipated to be released in 2015.
Experimental investigations on cylindrical latent heat storage units with sodium acetate trihydrate composites utilizing supercooling
DEFF Research Database (Denmark)
Dannemand, Mark; Johansen, Jakob Berg; Kong, Weiqiang
Latent heat storage units utilizing stable supercooling of sodium acetate trihydrate (SAT) composites were tested in a laboratory. The stainless steel units were 1.5 m high cylinders with internal heat exchangers of tubes with fins. One unit was tested with 116 kg SAT with 6% extra water. Another...... in the thickened phase change material after melting. The heat content in the fully charged state and the heat released after solidification of the supercooled SAT mixtures at ambient temperature was higher for the unit with the thickened SAT mixture. The heat discharged after solidification of the supercooled SAT...
Market driven strategy for acquisition of waste acceptance and transportation services for commercial spent fuel in the united states
International Nuclear Information System (INIS)
Lemeshewsky, W.; Macaluso, C.; Smith, P.; Teer, B.
The Office of Civilian Radioactive Waste Management (OCRWM) in the United States Department of Energy (DOE) has the responsibility under the Nuclear Waste Policy Act of 1982 (the Act) for the shipment of spent nuclear fuel (SNF) from commercial reactors to a Federal facility for storage and/or disposal. The Act requires the use of private industry to the 'fullest extent possible' in the transportation of spent fuels. An OCRWM goal is to develop a safe, efficient and effective transportation system while meeting the mandate of the Act. OCRWM has then develop a strategy for a market driven approach for the acquisition of transportation services and equipment. To implement this strategy, OCRWM is planning to issue a Request for Proposal (RPF) for the provision of the required services and equipment to accept SNF from the utilities and transport the SNF to a Federal facility. Two draft RPFs have been issued with the second draft incorporating comments on the first draft from potential contractors and other interested parties. The overall strategy as outlined in the draft RPF relies on private industry to use the innovative powers of the marketplace to help DOE accomplish its mission objectives. DOE intends to pursue this procurement strategy whether or not the OCRWM program includes interim storage. The concept described in the draft RPF provides for DOE to purchase services and equipment from a contractor-operated waste acceptance and transportation organization. The contractor is expected to provide initial financing for the project including that necessary for initial acquisition of operational equipment, establish the necessary management organization, and mobilize the necessary resources and capabilities to provide the SNF delivery services at a fixed rate. DOE will retain final approval on all routes and maintain primary responsibility to the States, tribes, and local units of government for assuring appropriate interaction and consideration of their input on
Microbiological survey of commercial tattoo and permanent makeup inks available in the United States.
Nho, S W; Kim, S-J; Kweon, O; Howard, P C; Moon, M S; Sadrieh, N K; Cerniglia, C E
Tattooing and use of permanent makeup (PMU) has dramatically increased over the last decade, with a concomitant increase in ink-related infections. The aim of this study was to determine whether micro-organisms are present, and if so, the number and their identification in the commercial tattoo and PMU inks available in the United States. We surveyed 85 unopened tattoo and PMU inks, purchased from 13 companies. We incubated 100 μl of ink samples on trypticase soy agar plates for bacterial growth, 7H10 Middlebrook medium for mycobacterial growth, and Sabouraud dextrose medium for fungal growth. In total, 42 inks were contaminated with micro-organisms (49%). Thirty-three inks were contaminated with bacteria, 2 inks with fungi, and 7 inks had both bacterial and fungal growth. Mycobacteria were not detected in any of the examined tattoo and PMU inks. In 26 inks, microbial concentrations ranged between 10 1 and 10 3 CFU per ml, but higher counts (>10 3 CFU per ml) were recorded in 16 inks. We identified 83 bacteria by their 16S rDNA sequences, including 20 genera and 49 species. Strains of Bacillus spp. (53%) were dominant, followed by Lysinibacillus fusiformis (7%) and Pseudomonas aeruginosa (5%). Thirty-four (41%) possibly clinically relevant strains were identified, including P. aeruginosa, Dermacoccus barathri and Roseomonas mucosa, some of which have been previously reported to be associated with human skin infections. The results indicate that commercial tattoo and PMU inks on the US market surveyed in this study contain a wide range of micro-organisms, including pathogenic bacteria. Microbial contaminants in tattoo and PMU inks are an emerging safety concern for public health. This study provides evidence that microbial contamination of tattoo and PMU inks available in the United States is more common than previously thought and highlights the importance of monitoring these products for potentially pathogenic micro-organisms. Published 2018. This article is a U
Feasibility of utilizing a commercial eye tracker to assess electronic health record use during patient simulation.
Gold, Jeffrey Allen; Stephenson, Laurel E; Gorsuch, Adriel; Parthasarathy, Keshav; Mohan, Vishnu
Numerous reports describe unintended consequences of electronic health record implementation. Having previously described physicians' failures to recognize patient safety issues within our electronic health record simulation environment, we now report on our use of eye and screen-tracking technology to understand factors associated with poor error recognition during an intensive care unit-based electronic health record simulation. We linked performance on the simulation to standard eye and screen-tracking readouts including number of fixations, saccades, mouse clicks and screens visited. In addition, we developed an overall Composite Eye Tracking score which measured when, where and how often each safety item was viewed. For 39 participants, the Composite Eye Tracking score correlated with performance on the simulation (p = 0.004). Overall, the improved performance was associated with a pattern of rapid scanning of data manifested by increased number of screens visited (p = 0.001), mouse clicks (p = 0.03) and saccades (p = 0.004). Eye tracking can be successfully integrated into electronic health record-based simulation and provides a surrogate measure of cognitive decision making and electronic health record usability. © The Author(s) 2015.
Utilizing fungus myceliated grain for molt induction and performance in commercial laying hens.
Willis, W L; Isikhuemhen, O S; Allen, J W; Byers, A; King, K; Thomas, C
Molting in poultry is used to rejuvenate hens for a second or third laying cycle. Feed withdrawal was once the most effective method used for molt induction; however, it has being phased out due to food safety and animal welfare concerns. This study evaluated the utilization of fungus myceliated grain as a safe and effective alternative for inducing molt, enhancing immunity, reducing Salmonella growth, and returning to egg production. Laying hens were subjected to 1 of 5 treatments: 1) nonfed (NF), 2) full-fed (FF), 3) fungus myceliated meal (FM), 4) 90% fungus myceliated meal+10% standard layer ration (FM-90), and 5) 90% alfalfa meal+10% fungus myceliated meal (AF-90). Each treatment condition was replicated 9 times during a 9-d molt period. The results revealed that egg production for treatments 1 and 3 ceased completely by d 5, whereas hens in treatments 4 and 5 ceased egg production by d 6. The percentage of BW loss decreased significantly (P<0.05) in treatments 1 (57%), 2 (8%), 3 (35%), 4 (37%), and 5 (44%). Ovary weights of hens fed all molting diets decreased significantly from the full-fed control but did not differ significantly (P<0.05) from each other. Salmonella population in the crop, ovary, and ceca from hens differed significantly (P<0.05) among treatments. Return to egg production differed between treatments with higher production beginning in treatment 3 and ending in treatment 5. Antibody titers did differ (P<0.05) among treatments. From these results, fungus myceliated meal appears to be a viable alternative to conventional feed withdrawal and other methods for the successful induction of molt and retention of postmolt performance.
Advance reactor and fuel-cycle systems--potentials and limitations for United States utilities
International Nuclear Information System (INIS)
Zebroski, E.L.; Williams, R.F.
This paper reviews the potential benefits and limitations of advance reactor and fuel-cycle systems for United States utilities. The results of the review of advanced technologies show that for the near and midterm, the only advance reactor and fuel-cycle system with significant potential for United States utilities is the current LWR, and evolutionary, not revolutionary, enhancements. For the long term, the liquid-metal breeder reactor continues to be the most promising advance nuclear option. The major factors leading to this conclusion are summarized
Shipping cask demand associated with United States Government storage of commercial spent fuel
International Nuclear Information System (INIS)
Daling, P.M.; Engel, R.L.
There were primarily two objectives of this study. The first was to develop estimates of the shipping cask fleet size that will be needed in the United States in the near future. These estimates were compared with current US spent fuel cask fleet size to determine its adequacy to provide the transportation services. The second objective was to develop estimates of the transportation costs associated with future movements of spent fuel. The results of this study were based on assumptions that were made prior to passage of the Nuclear Waste Policy Act of 1982 which authorizes the Department of Energy (DOE) to provide Federal Interim Storage of spent fuel from commercial reactors. The Act requires that the DOE is responsible for transportation of the fuel, although private industry is to provide these services. This paper examined the impacts of various spent fuel management strategies on spent fuel transportation hardware requirements and transportation costs. Conclusions related to optimization of the spent fuel transportation system can be drawn from the results of this study. The conclusions can be affected by changing the given set of assumptions used in this analysis. 3 tables
SCALE-4 Analysis of LaSalle Unit 1 BWR Commercial Reactor Critical Configurations
International Nuclear Information System (INIS)
Gauld, I.C.
Five commercial reactor criticals (CRCs) for the LaSalle Unit 1 boiling-water reactor have been analyzed using KENO V.a, the Monte Carlo criticality code of the SCALE 4 code system. The irradiated fuel assembly isotopics for the criticality analyses were provided by the Waste Package Design team at the Yucca Mountain Project in the US, who performed the depletion calculations using the SAS2H sequence of SCALE 4. The reactor critical measurements involved two beginning-of-cycle and three middle-of-cycle configurations. The CRCs involved relatively low-cycle burnups, and therefore contained a relatively high gadolinium poison content in the reactor assemblies. This report summarizes the data and methods used in analyzing the critical configurations and assesses the sensitivity of the results to some of the modeling approximations used to represent the gadolinium poison distribution within the assemblies. The KENO V.a calculations, performed using the SCALE 44GROUPNDF5 ENDF/B-V cross-section library, yield predicted k eff values within about 1% Δk/k relative to reactor measurements for the five CRCs using general 8-pin and 9-pin heterogeneous gadolinium poison pin assembly models
An operating nuclear utility's experience with the ALARA design of a new nuclear unit
International Nuclear Information System (INIS)
Rodgers, R.C.
This talk presents a review of how operating experience at Northeast Utilities has been factored into the design of a new nuclear unit and the development and management of the radiation protection program. Their operational experience has indicated that there are two facets to keeping radiation exposures ALARA. The first is the proper ALARA design of the unit. The other facet is the design of a comprehensive radiation protection program. The author discusses these facets in some detail
Summary of the fourth conference on United States utility experience in reactor noise analysis
International Nuclear Information System (INIS)
Fry, D.N.
The fourth informal conference on United States utility experience in reactor noise analysis and loose-part monitoring was held at the Northeast Utilities Service Company offices in Hartford, Connecticut, May 12-14, 1987. Host and general chairman for the meeting was J.V. Persio of Northeast Utilities. This conference provided a forum where utilities could share information on reactor noise analysis on an informal basis. There were about 60 attendees at the meeting representing 10 utilities, 3 reactor vendors, 8 consulting organizations, and 4 universities and research laboratories. Twenty-three papers were presented at the conference, dealing with various aspects of loose-part monitoring, neutron noise analysis, and standards activities
Risk mitigation process for utilization of commercial off-the-shelf (COTS) parts in CCD camera for military applications
Ahmad, Anees; Batcheldor, Scott; Cannon, Steven C.; Roberts, Thomas E.
This paper presents the lessons learned during the design and development of a high performance cooled CCD camera for military applications utilizing common commercial off the shelf (COTS) parts. Our experience showed that concurrent evaluation and testing of high risk COTS must be performed to assess their performance over the required temperature range and other special product requirements such as fuel vapor compatibility, EMI and shock susceptibility, etc. Technical, cost and schedule risks for COTS parts must also be carefully evaluated. The customer must be involved in the selection and evaluation of such parts so that the performance limitations of the selected parts are clearly understood. It is equally important to check with vendors on the availability and obsolescence of the COTS parts being considered since the electronic components are often replaced by newer, better and cheaper models in a couple of years. In summary, this paper addresses the major benefits and risks associated with using commercial and industrial parts in military products, and suggests a risk mitigation approach to ensure a smooth development phase, and predictable performance from the end product.
Low-level radioactive waste disposal in the United States: An overview of current commercial regulations and concepts
International Nuclear Information System (INIS)
Kennedy, W.E. Jr.
Commercial low-level radioactive waste disposal in the United States is regulated by the US Nuclear Regulatory Commission (NRC) under 10 CFR 61 (1991). This regulation was issued in 1981 after a lengthy and thorough development process that considered the radionuclide concentrations and characteristics associated with commercial low-level radioactive waste streams; alternatives for waste classification; alternative technologies for low-level radioactive waste disposal; and data, modeling, and scenario analyses. The development process also included the publication of both draft and final environmental impact statements. The final regulation describes the general provisions; licenses; performance objectives; technical requirements for land disposal; financial assurances; participation by state governments and Indian tribes; and records, reports, tests, and inspections. This paper provides an overview of, and tutorial on, current commercial low-level radioactive waste disposal regulations in the United States
40 CFR 73.18 - Submittal procedures for units commencing commercial operation during the period from January 1...
... commencing commercial operation during the period from January 1, 1993, through December 31, 1995. 73.18 Section 73.18 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) SULFUR DIOXIDE ALLOWANCE SYSTEM Allowance Allocations § 73.18 Submittal procedures for units...
Energy Technology Data Exchange (ETDEWEB)
Vinson, D.
There are currently 104 nuclear reactors in 31 states, operated by 51 different utilities. Operation of these reactors generates used fuel assemblies that require storage prior to final disposition. The regulatory framework within the United States (U.S.) allows for the licensing of used nuclear fuel storage facilities for an initial licensing period of up to 40 years with potential for license extensions in 40 years increments. Extended storage, for periods of up to 300 years, is being considered within the U.S. Therefore, there is an emerging need to develop the technical bases to support the licensing for long-term storage. In support of the Research and Development (R&D) activities required to support the technical bases, a comprehensive assessment of the current inventory of used nuclear fuel based upon publicly available resources has been completed that includes the most current projections of used fuel discharges from operating reactors. Negotiations with the nuclear power industry are ongoing concerning the willingness of individual utilities to provide information and material needed to complete the R&D activities required to develop the technical bases for used fuel storage for up to 300 years. This report includes a status of negotiations between DOE and industry in these regards. These negotiations are expected to result in a framework for cooperation between the Department and industry in which industry will provide and specific information on used fuel inventory and the Department will compensate industry for the material required for Research and Development and Testing and Evaluation Facility activities.
75 FR 60093 - Record of Decision for the United States Marine Corps Basewide Utilities Infrastructure Project...
... Basewide Utilities Infrastructure Project at Marine Corps Base Camp Pendleton, CA AGENCY: Department of the... Environmental Policy Act (NEPA) of 1969, 42 United States Code (U.S.C.) Section 4332(2)(c), the regulations of the Council on Environmental Quality (CEQ) for Implementing the Procedural Provisions of NEPA (40 Code...
Health Utilization and Cost Impact of Childhood Constipation in the United States
Liem, Olivia; Harman, Jeffrey; Benninga, Marc; Kelleher, Kelly; Mousa, Hayat; Di Lorenzo, Carlo
Objective To estimate the total health care utilization and costs for children with constipation in the United States. Study design We analyzed data from 2 consecutive years (2003 and 2004) of the Medical Expenditure Panel Survey (MEPS), a nationally representative household survey. We identified
Restricted Albumin Utilization Is Safe and Cost Effective in a Cardiac Surgery Intensive Care Unit.
Rabin, Joseph; Meyenburg, Timothy; Lowery, Ashleigh V; Rouse, Michael; Gammie, James S; Herr, Daniel
Volume expansion is often necessary after cardiac surgery, and albumin is often administered. Albumin's high cost motivated an attempt to reduce its utilization. This study analyzes the impact limiting albumin infusion in a cardiac surgery intensive care unit. This retrospective study analyzed albumin use between April 2014 and April 2015 in patients admitted to a cardiac surgery intensive care unit. During the first 9 months, there were no restrictions. In January 2015, institutional guidelines limited albumin use to patients requiring more than 3 L crystalloid in the early postoperative period, hypoalbuminemic patients, and to patients considered fluid overloaded. Albumin utilization was obtained from pharmacy records and compared with outcome quality metrics. In all, 1,401 patients were admitted over 13 months. Albumin use, mortality, ventilator days, patients receiving transfusions, and length of stay were compared for 961 patients before and 440 patients after guidelines were initiated. After restrictive guidelines were instituted, albumin utilization was reduced from a mean of 280 monthly doses to a mean of 101 monthly doses (p albumin doses, the cardiac surgery intensive care unit demonstrated more than $45,000 of wholesale savings per month after restrictions were implemented. Albumin restriction in the cardiac surgery intensive care unit was feasible and safe. Significant reductions in utilization and cost with no changes in morbidity or mortality were demonstrated. These findings may provide a strategy for reducing cost while maintaining quality of care. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
The decommissioning of commercial magnox gas cooled reactor power stations in the United Kingdom
International Nuclear Information System (INIS)
Holt, G.
There are nine commercial Magnox gas-cooled reactor power stations in the United Kingdom. Three of these stations have been shutdown and are being decommissioning, and plans have also been prepared for the eventual decommissioning of the remaining operational stations. The preferred strategy for the decommissioning of the Magnox power stations has been identified as 'Safestore' in which the decommissioning activities are carried out in a number of steps separated by quiescent periods of care and maintenance. The final clearance of the site could be deferred for up to 135 years following station shutdown so as to obtain maximum benefit from radioactive decay. The first step in the decommissioning strategy is to defuel the reactors and transport all spent and new fuel off the site. This work has been completed at all three shutdown stations. Decommissioning work is continuing on the three sites and has involved activities such as dismantling, decontamination, recycling and disposal of some plant and structures, and the preparation of others for retention on the site for a period of care and maintenance. Significant experience has been gained in the practical application of decommissioning, with successful technologies and processes being identified for a wide range of activities. For example, large and small metallic and concrete structures, some with complex geometries, have been successfully decontaminated. Also, the reactors have been prepared for a long period of care and maintenance, with instrumentation and sampling systems having been installed to monitor their continuing integrity. All of this work has been done under careful safety, technical, and financial control. (author)
Managing carbon regulatory risk in utility resource planning: Current practices in the Western United States
International Nuclear Information System (INIS)
Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles
Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. As such, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by 15 electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without federal climate regulation in the US, the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of US electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations
FBC utilization prospects in decentralized cogeneration units in Caucasus region countries
Directory of Open Access Journals (Sweden)
Skodras George
Full Text Available Great differences are encountered among Caucasus region countries with respect to energy resources reserves and economic conditions. Thermal power plants consist of obsolete and inefficient units, while the Soviet-type large heating systems in the area collapsed after 1992 and their reconstruction is considered uneconomic. Renovation needs of the power and heat sector, and the potential of Fluidised Bed Combustion implementations in decentralized cogeneration units were investigated, since operating oil and gas power plants exhibit high fuel consumption, low efficiency and poor environmental performance. Results showed significant prospects of Fluidised Bed Combustion utilization in decentralized cogeneration units in the Caucausus region heat and power sector. Their introduction constitutes an economically attractive way to cover power and heat demands and promotes utilization of domestic energy resources in all of three countries, provided that financial difficulties could be confronted.
Market potential for solar thermal energy supply systems in the United States industrial and commercial sectors: 1990--2030
International Nuclear Information System (INIS)
This report revises and extends previous work sponsored by the US DOE on the potential industrial market in the United States for solar thermal energy systems and presents a new analysis of the commercial sector market potential. Current and future industrial process heat demand and commercial water heating, space heating and space cooling end-use demands are estimated. The PC Industrial Model (PCIM) and the commercial modules of the Building Energy End-Use Model (BEEM) used by the DOE's Energy Information Administration (EIA) to support the recent National Energy Strategy (NES) analysis are used to forecast industrial and commercial end-use energy demand respectively. Energy demand is disaggregated by US Census region to account for geographic variation in solar insolation and regional variation in cost of alternative natural gas-fired energy sources. The industrial sector analysis also disaggregates demand by heat medium and temperature range to facilitate process end-use matching with appropriate solar thermal energy supply technologies. The commercial sector analysis disaggregates energy demand by three end uses: water heating, space heating, and space cooling. Generic conceptual designs are created for both industrial and commercial applications. Levelized energy costs (LEC) are calculated for industrial sector applications employing low temperature flat plate collectors for process water preheat; parabolic troughs for intermediate temperature process steam and direct heat industrial application; and parabolic dish technologies for high temperature, direct heat industrial applications. LEC are calculated for commercial sector applications employing parabolic trough technologies for low temperature water and space heating. Cost comparisons are made with natural gas-fired sources for both the industrial market and the commercial market assuming fuel price escalation consistent with NES reference case scenarios for industrial and commercial sector gas markets
Retail Marijuana Purchases in Designer and Commercial Markets in New York City: Sales Units, Weights, and Prices per Gram
Sifaneck, Stephen J.; Ream, Geoffrey L.; Johnson, Bruce D.; Dunlap, Eloise
This paper documents the bifurcation of the market for commercial marijuana from the market for designer marijuana in New York City. Commercial marijuana is usually grown outdoors, imported to NYC, and of average quality. By contrast, several strains of designer marijuana are usually grown indoors from specially-bred strains and carefully handled for maximum quality. The mechanisms for selling include street/park sellers, delivery services, private sales, and storefronts. Retail sales units vary from $5 to $50 and more, but the actual weights and price per gram of retail marijuana purchases lacks scientific precision. Ethnographic staff recruited marijuana purchasers who used digital scales to weigh a purposive sample of 99 marijuana purchases. Results indicate clear differences in price per gram between the purchases of commercial (avg. $8.20/gram) and designer (avg. $18.02/gram) marijuana. Designer purchases are more likely to be made by whites, downtown (Lower East Side/Union Square area), via delivery services, and in units of $10 bags, $50 cubes, and eighth and quarter ounces. Commercial marijuana purchases are more likely to be made by blacks, uptown (Harlem), via street dealers, and in units of $5 and $20 bags. Imported commercial types Arizona and Chocolate were only found uptown, while designer brand names describing actual strains like Sour Diesel and White Widow were only found downtown. Findings indicate clear divisions between commercial and designer marijuana markets in New York City. The extent that these differences may be based upon different THC potencies is a matter for future research. PMID:17055670
Lost opportunities: Modeling commercial building energy code adoption in the United States
International Nuclear Information System (INIS)
Nelson, Hal T.
This paper models the adoption of commercial building energy codes in the US between 1977 and 2006. Energy code adoption typically results in an increase in aggregate social welfare by cost effectively reducing energy expenditures. Using a Cox proportional hazards model, I test if relative state funding, a new, objective, multivariate regression-derived measure of government capacity, as well as a vector of control variables commonly used in comparative state research, predict commercial building energy code adoption. The research shows little political influence over historical commercial building energy code adoption in the sample. Colder climates and higher electricity prices also do not predict more frequent code adoptions. I do find evidence of high government capacity states being 60 percent more likely than low capacity states to adopt commercial building energy codes in the following year. Wealthier states are also more likely to adopt commercial codes. Policy recommendations to increase building code adoption include increasing access to low cost capital for the private sector and providing noncompetitive block grants to the states from the federal government. - Highlights: ► Model the adoption of commercial building energy codes from 1977–2006 in the US. ► Little political influence over historical building energy code adoption. ► High capacity states are over 60 percent more likely than low capacity states to adopt codes. ► Wealthier states are more likely to adopt commercial codes. ► Access to capital and technical assistance is critical to increase code adoption.
Experience with Stabilization of SGHWR Sludge in a Commercial Plant in the United Kingdom
International Nuclear Information System (INIS)
Hagan, M.; Cornell, R.M.; Riley, B.; Ware, B.
buffer store to hold the completed drums. After completion, drums are moved in a shielded overpack to the Treated Radwaste Store located on a different part of the Winfrith site. More than 300 m 3 of active sludge, held in four adjacent concrete tanks, has now been stabilised into 978 drums that have been placed into the dedicated store. The process of recovery and homogenization of the residual sludge in the bottom of each tank to the required specification will be described together with the means of recovery and disposal options for a quantity of unexpected materials found at the bottom of each unit. The means of dealing with the final quantities of sludge and water from the last two concrete tanks by recovering it into a tall steel filtration vessel located within one concrete tank will also be described. The final aspects of the paper will briefly describe the approach to be adopted for the final decontamination and demolition of both the EAST facility and WETP plant. The WETP plant is now in the latter stages of commercial operation leading to a second programme of stabilisation of a quantity of thorium metal for UKAEA ahead of its final decommissioning and demolition. (authors)
Blastocyst utilization rates after continuous culture in two commercial single-step media: a prospective randomized study with sibling oocytes.
Sfontouris, Ioannis A; Kolibianakis, Efstratios M; Lainas, George T; Venetis, Christos A; Petsas, George K; Tarlatzis, Basil C; Lainas, Tryfon G
The aim of this study is to determine whether blastocyst utilization rates are different after continuous culture in two different commercial single-step media. This is a paired randomized controlled trial with sibling oocytes conducted in infertility patients, aged ≤40 years with ≥10 oocytes retrieved assigned to blastocyst culture and transfer. Retrieved oocytes were randomly allocated to continuous culture in either Sage one-step medium (Origio) or Continuous Single Culture (CSC) medium (Irvine Scientific) without medium renewal up to day 5 post oocyte retrieval. Main outcome measure was the proportion of embryos suitable for clinical use (utilization rate). A total of 502 oocytes from 33 women were randomly allocated to continuous culture in either Sage one-step medium (n = 250) or CSC medium (n = 252). Fertilization was performed by either in vitro fertilization or intracytoplasmic sperm injection, and embryo transfers were performed on day 5. Two patients had all blastocysts frozen due to the occurrence of severe ovarian hyperstimulation syndrome. Fertilization and cleavage rates, as well as embryo quality on day 3, were similar in the two media. Blastocyst utilization rates (%, 95% CI) [55.4% (46.4-64.1) vs 54.7% (44.9-64.6), p = 0.717], blastocyst formation rates [53.6% (44.6-62.5) vs 51.9 (42.2-61.6), p = 0.755], and proportion of good quality blastocysts [36.8% (28.1-45.4) vs 36.1% (27.2-45.0), p = 0.850] were similar in Sage one-step and CSC media, respectively. Continuous culture of embryos in Sage one-step and CSC media is associated with similar blastocyst development and utilization rates. Both single-step media appear to provide adequate support during in vitro preimplantation embryo development. Whether these observations are also valid for other continuous single medium protocols remains to be determined. NCT02302638.
Clinical Characteristics, Health Care Utilization and Costs Among Men with Primary or Secondary Hypogonadism in a US Commercially Insured Population.
Grabner, Michael; Bodhani, Amit; Khandelwal, Nikhil; Palli, Swetha; Bonine, Nicole; Khera, Mohit
Hypogonadism is broadly associated with increases in chronic comorbid conditions and health care costs. Little is known about the specific impact of primary and secondary hypogonadism on health care costs. To characterize the health care cost and utilization burden of primary and secondary hypogonadism in a population of US men with commercial insurance. Newly diagnosed patients with International Classification of Diseases, Ninth Revision, Clinical Modification codes associated with specific medical conditions known to have a high prevalence of testosterone deficiency (ie, relating to primary or secondary hypogonadism) or who had fills for testosterone replacement therapy from January 1, 2007 through April 30, 2013 were identified in administrative claims data from the HealthCore Integrated Research Database. A cohort of patients without hypogonadism was matched on demographics and comorbidities. The matched hypogonadism and non-hypogonadism cohorts (n = 5,777 in each cohort) were compared during a 12-month follow-up period. Direct health care expenditures and utilization were assessed for all causes and for hypogonadism-related claims. Costs included out-of-pocket patient expenditures and those paid by the insurer. Hypogonadism and matched non-hypogonadism cohorts were similar in demographics (mean age = 50 years) and diagnosed comorbid conditions in the 12 months preceding the index date. In the year after the index date, mean all-cause expenditures for patients with hypogonadism increased by 62% (from $5,425 to $8,813) compared with 25% for the matched controls (from $4,786 to $5,992; P groups). Approximately 16% of total mean costs ($1,377), primarily outpatient and pharmacy costs, were identifiable as related to hypogonadism. These data from a population of US men with commercial insurance coverage showed a greater resource use burden for patients with primary and secondary hypogonadism compared with similar patients without hypogonadism. Additional
United States Transportation Command Compliance with DoD Policy on the Use of Commercial Sealift
National Research Council Canada - National Science Library
Jolliffe, Richard B; Mehlman, Benjamin A; Lippolis, Susan J; Avers, Marc E; Brake, Chrispian M; Lyons, Amber M; Alvarez Torres, Zorayma; Groubert, Christopher S; Milner, Jillisa H
.... The overall objective of the audit was to determine whether USTRANSCOM was complying with DoD policies in the use of commercial transport during wartime and whether those policies provide optimal...
University commercialization policies and their implementation in the Netherlands and the United States
Leisyte, Liudvika
The article explores how the US and Dutch governments have attempted to bolster research commercialization in their respective research systems and discusses the institutionalization of linkages between universities and industrial firms. First, the article shows how the institutional framework
Utilizing Commercial Hardware and Open Source Computer Vision Software to Perform Motion Capture for Reduced Gravity Flight
Humphreys, Brad; Bellisario, Brian; Gallo, Christopher; Thompson, William K.; Lewandowski, Beth
Long duration space travel to Mars or to an asteroid will expose astronauts to extended periods of reduced gravity. Since gravity is not present to aid loading, astronauts will use resistive and aerobic exercise regimes for the duration of the space flight to minimize the loss of bone density, muscle mass and aerobic capacity that occurs during exposure to a reduced gravity environment. Unlike the International Space Station (ISS), the area available for an exercise device in the next generation of spacecraft is limited. Therefore, compact resistance exercise device prototypes are being developed. The NASA Digital Astronaut Project (DAP) is supporting the Advanced Exercise Concepts (AEC) Project, Exercise Physiology and Countermeasures (ExPC) project and the National Space Biomedical Research Institute (NSBRI) funded researchers by developing computational models of exercising with these new advanced exercise device concepts. To perform validation of these models and to support the Advanced Exercise Concepts Project, several candidate devices have been flown onboard NASAs Reduced Gravity Aircraft. In terrestrial laboratories, researchers typically have available to them motion capture systems for the measurement of subject kinematics. Onboard the parabolic flight aircraft it is not practical to utilize the traditional motion capture systems due to the large working volume they require and their relatively high replacement cost if damaged. To support measuring kinematics on board parabolic aircraft, a motion capture system is being developed utilizing open source computer vision code with commercial off the shelf (COTS) video camera hardware. While the systems accuracy is lower than lab setups, it provides a means to produce quantitative comparison motion capture kinematic data. Additionally, data such as required exercise volume for small spaces such as the Orion capsule can be determined. METHODS: OpenCV is an open source computer vision library that provides the
Design and dosimetry characteristics of a commercial applicator system for intra-operative electron beam therapy utilizing ELEKTA Precise accelerator.
Nevelsky, Alexander; Bernstein, Zvi; Bar-Deroma, Raquel; Kuten, Abraham; Orion, Itzhak
The design concept and dosimetric characteristics of a new applicator system for intraoperative radiation therapy (IORT) are presented in this work. A new hard-docking commercial system includes polymethylmethacrylate (PMMA) applicators with different diameters and applicator end angles and a set of secondary lead collimators. A telescopic device allows changing of source-to-surface distance (SSD). All measurements were performed for 6, 9, 12 and 18 MeV electron energies. Output factors and percentage depth doses (PDD) were measured in a water phantom using a plane-parallel ion chamber. Isodose contours and radiation leakage were measured using a solid water phantom and radiographic films. The dependence of PDD on SSD was checked for the applicators with the smallest and the biggest diameters. SSD dependence of the output factors was measured. Hardcopies of PDD and isodose contours were prepared to help the team during the procedure on deciding applicator size and energy to be chosen. Applicator output factors are a function of energy, applicator size and applicator type. Dependence of SSD correction factors on applicator size and applicator type was found to be weak. The same SSD correction will be applied for all applicators in use for each energy. The radiation leakage through the applicators is clinically acceptable. The applicator system enables effective collimation of electron beams for IORT. The data presented are sufficient for applicator, energy and monitor unit selection for IORT treatment of a patient.
Transitional Home Care program utilizing the Integrated Practice Unit concept (THC-IPU: Effectiveness in improving acute hospital utilization
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Lian Leng Low
Full Text Available Background: Organizing care into integrated practice units (IPUs around conditions and patient segments has been proposed to increase value. We organized transitional care into an IPU (THC-IPU for a patient segment of functionally dependent patients with limited community ambulation. Methods: 1,166 eligible patients were approached for enrolment into THC-IPU. THC-IPU patients received a comprehensive assessment within two weeks of discharge; medication reconciliation; education using standardized action plans and a dedicated nurse case manager for up to 90 days after discharge. Patients who rejected enrolment into THC-IPU received usual post-discharge care planned by their attending hospital physician, and formed the control group. The primary outcome was the proportion of patients with at least one unscheduled readmission within 30 days after discharge. Results: We found a statistically significant reduction in 30-day readmissions and emergency department visits in patients on THC-IPU care compared to usual care, even after adjusting for confounders. Conclusion: Delivering transitional care to patients with functional dependence in the form of home visits and organized into an IPU reduced acute hospital utilization in this patient segment. Extending the program into the pre-hospital discharge phase to include discharge planning can have incremental effectiveness in reducing avoidable hospital readmissions.
Inconsistencies Exist in National Estimates of Eye Care Services Utilization in the United States
Directory of Open Access Journals (Sweden)
Fernando A. Wilson
Full Text Available Background. There are limited research and substantial uncertainty about the level of eye care utilization in the United States. Objectives. Our study estimated eye care utilization using, to our knowledge, every known nationally representative, publicly available database with information on office-based optometry or ophthalmology services. Research Design. We analyzed the following national databases to estimate eye care utilization: the Medical Expenditure Panel Survey (MEPS, National Health Interview Survey (NHIS, Joint Canada/US Survey of Health (JCUSH, Behavioral Risk Factor Surveillance System (BRFSS, and the National Ambulatory Medical Care Survey (NAMCS. Subjects. US adults aged 18 and older. Measures. Self-reported utilization of eye care services. Results. The weighted number of adults seeing or talking with any eye doctor ranges from 87.9 million to 99.5 million, and the number of visits annually ranges from 72.9 million to 142.6 million. There were an estimated 17.2 million optometry visits and 55.8 million ophthalmology visits. Conclusions. The definitions and estimates of eye care services vary widely across national databases, leading to substantial differences in national estimates of eye care utilization.
78 FR 78786 - Fisheries of the Northeastern United States; 2014 Commercial Summer Flounder Quota Adjustments
... 31, 2014. FOR FURTHER INFORMATION CONTACT: Moira Kelly, Fishery Policy Analyst, (978) 281-9218... fisheries. Specifications in these fisheries include the acceptable biological catch (ABC) limit, various... 2014 specifications million lb mt million lb mt ABC 22.24 10,088 21.94 9,950 Commercial ACL 12.05 5,467...
Association between unemployment rates and prescription drug utilization in the United States, 2007–2010
Background While extensive evidence suggests that the economic recession has had far reaching effects on many economic sectors, little is known regarding its impact on prescription drug utilization. The purpose of this study is to describe the association between state-level unemployment rates and retail sales of seven therapeutic classes (statins, antidepressants, antipsychotics, angiotensin-converting enzyme [ACE] inhibitors, opiates, phosphodiesterase [PDE] inhibitors and oral contraceptives) in the United States. Methods Using a retrospective mixed ecological design, we examined retail prescription sales using IMS Health Xponent™ from September 2007 through July 2010, and we used the Bureau of Labor Statistics to derive population-based rates and mixed-effects modeling with state-level controls to examine the association between unemployment and utilization. Our main outcome measure was state-level utilization per 100,000 people for each class. Results Monthly unemployment levels and rates of use of each class varied substantially across the states. There were no statistically significant associations between use of ACE inhibitors or SSRIs/SNRIs and average unemployment in analyses across states, while for opioids and PDE inhibitors there were small statistically significant direct associations, and for the remaining classes inverse associations. Analyses using each state as its own control collectively exhibited statistically significant positive associations between increases in unemployment and prescription drug utilization for five of seven areas examined. This relationship was greatest for statins (on average, a 4% increase in utilization per 1% increased unemployment) and PDE inhibitors (3% increase in utilization per 1% increased unemployment), and lower for oral contraceptives and atypical antipsychotics. Conclusion We found no evidence of an association between increasing unemployment and decreasing prescription utilization, suggesting that any
A preliminary assessment of the radiological implications of commercial utilization of natural gas from a nuclearly stimulated well
Energy Technology Data Exchange (ETDEWEB)
Jacobs, D G; Struxness, E G [Health Physics Division, Oak Ridge National Laboratory, Oak Ridge, TN (United States); Bowman, C R [El Paso Natural Gas Company, El Paso, TX (United States)
Widespread utilization of nuclear explosives, in conjunction with the natural gas industry, can result in radiation exposure of sizable population groups. It is prudent to make realistic assessments of such potential radiation exposures before they occur and, unless the expected exposures are clearly insignificant, to consider these exposures in evaluating the net benefit of this particular use of nuclear energy. All pertinent facts relating to such assessments should be made public and presented in such a way that those who are to assume the risks, if any, can make a reasonable judgment as to whether the risks are acceptable. Radioactivity in natural gas from the Gasbuggy cavity has been analyzed prior to and during flaring operations. None of this gas has entered the collection and distribution system, but a theoretical analysis has been made of the hypothetical impact on members of the public that would have occurred if the gas had been introduced into the commercial stream. Dose equivalents have been estimated for both workers and consumers. In this analysis, Gasbuggy gas has been traced through a real gas-collection system and processing plant, as represented by the present situation existing in the San Juan Production Division, El Paso Natural Gas Company. In addition, a number of considerations are presented which would apply to radiation exposure in metropolitan areas. Results of this analysis for the Gasbuggy well indicate hypothetical dose equivalents to various population groups to be well within the annual dose limits suggested by the International Commission on Radiological Protection. Projection to a steady-state situation involving extensive natural gas production from many producing wells also resulted in hypothetical dose equivalents within the annual dose limits. Simple extrapolation of the results from this analysis to potential exposures resulting from nuclear stimulation of other gas reservoirs cannot be made on a direct basis, but this method
A preliminary assessment of the radiological implications of commercial utilization of natural gas from a nuclearly stimulated well
International Nuclear Information System (INIS)
Jacobs, D.G.; Struxness, E.G.; Bowman, C.R.
Widespread utilization of nuclear explosives, in conjunction with the natural gas industry, can result in radiation exposure of sizable population groups. It is prudent to make realistic assessments of such potential radiation exposures before they occur and, unless the expected exposures are clearly insignificant, to consider these exposures in evaluating the net benefit of this particular use of nuclear energy. All pertinent facts relating to such assessments should be made public and presented in such a way that those who are to assume the risks, if any, can make a reasonable judgment as to whether the risks are acceptable. Radioactivity in natural gas from the Gasbuggy cavity has been analyzed prior to and during flaring operations. None of this gas has entered the collection and distribution system, but a theoretical analysis has been made of the hypothetical impact on members of the public that would have occurred if the gas had been introduced into the commercial stream. Dose equivalents have been estimated for both workers and consumers. In this analysis, Gasbuggy gas has been traced through a real gas-collection system and processing plant, as represented by the present situation existing in the San Juan Production Division, El Paso Natural Gas Company. In addition, a number of considerations are presented which would apply to radiation exposure in metropolitan areas. Results of this analysis for the Gasbuggy well indicate hypothetical dose equivalents to various population groups to be well within the annual dose limits suggested by the International Commission on Radiological Protection. Projection to a steady-state situation involving extensive natural gas production from many producing wells also resulted in hypothetical dose equivalents within the annual dose limits. Simple extrapolation of the results from this analysis to potential exposures resulting from nuclear stimulation of other gas reservoirs cannot be made on a direct basis, but this method
SU-E-T-492: Implementing a Method for Brain Irradiation in Rats Utilizing a Commercially Available Radiosurgery Irradiator
International Nuclear Information System (INIS)
Cates, J; Drzymala, R
Purpose: The purpose of the study was to implement a method for accurate rat brain irradiation using the Gamma Knife Perfexion unit. The system needed to be repeatable, efficient, and dosimetrically and spatially accurate. Methods: A platform ("rat holder") was made such that it is attachable to the Leskell Gamma Knife G Frame. The rat holder utilizes two ear bars contacting bony anatomy and a front tooth bar to secure the rat. The rat holder fits inside of the Leskell localizer box, which utilizes fiducial markers to register with the GammaPlan planning system. This method allows for accurate, repeatable setup.A cylindrical phantom was made so that film can be placed axially in the phantom. We then acquired CT image sets of the rat holder and localizer box with both a rat and the phantom. Three treatment plans were created: a plan on the rat CT dataset, a phantom plan with the same prescription dose as the rat plan, and a phantom plan with the same delivery time as the rat plan. Results: Film analysis from the phantom showed that our setup is spatially accurate and repeatable. It is also dosimetrically accurate, with an difference between predicted and measured dose of 2.9%. Film analysis with prescription dose equal between rat and phantom plans showed a difference of 3.8%, showing that our phantom is a good representation of the rat for dosimetry purposes, allowing for +/- 3mm diameter variation. Film analysis with treatment time equal showed an error of 2.6%, which means we can deliver a prescription dose within 3% accuracy. Conclusion: Our method for irradiation of rat brain has been shown to be repeatable, efficient, and accurate, both dosimetrically and spatially. We can treat a large number of rats efficiently while delivering prescription doses within 3% at millimeter level accuracy
Trickle bed reactor model to simulate the performance of commercial diesel hydrotreating unit
Energy Technology Data Exchange (ETDEWEB)
C. Murali; R.K. Voolapalli; N. Ravichander; D.T. Gokak; N.V. Choudary [Bharat Petroleum Corporation Ltd., Udyog Kendra (India). Corporate R& amp; D Centre
A two phase mathematical model was developed to simulate the performance of bench scale and commercial hydrotreating reactors. Major hydrotreating reactions, namely, hydrodesulphurization, hydrodearomatization and olefins saturation were modeled. Experiments were carried out in a fixed bed reactor to study the effect of different process variables and these results were used for estimating kinetic parameters. Significant amount of feed vaporization (20-50%) was estimated under normal operating conditions of DHDS suggesting the importance of considering feed vaporization in DHDS modeling. The model was validated with plant operating data, under close to ultra low sulphur levels by correctly accounting for feed vaporization in heat balance relations and appropriate use of hydrodynamic correlations. The model could predict the product quality, reactor bed temperature profiles and chemical hydrogen consumption in commercial plant adequately. 14 refs., 7 figs., 6 tabs.
Market driven strategy for acquisition of waste acceptance and transportation services for commercial spent fuel in the United States
International Nuclear Information System (INIS)
Lemeshewky, W.; Macaluso, C.; Smith, P.; Teer, B.
The Department of Energy has the responsibility for the shipment of spent nuclear fuel (SNF) from commercial reactors to a Federal facility for storage and/or disposal. DOE has developed a strategy for a market driven approach for the acquisition of transportation services and equipment which will maximize the participation of private industry. To implement this strategy, DOE is planning to issue a Request for Proposal (RFP) for the provision of the required services and equipment to accept SNF from the utilities and transport the SNF to a Federal facility. The paper discusses this strategy and describes the RFP
The Price-Anderson Act: A Linchpin in the Development of Commercial Nuclear Power in the United States
International Nuclear Information System (INIS)
Quattrocchi, J. L.
The dawn of the atomic age brought with it both the hope of great benefit and the fear of great disaster. By the mid-1950's, the United States recognized that it was in the national interest to promote commercial development of nuclear energy in medicine and industry, particularly in the generation of electric power. The uncertainties of the technology and the potential for severe accidents were clear obstacles to commercial development. Exposure to potentially serious uninsured liabilities inhibited the private sector. These impediments led Congress to enact the Price-Anderson Act in 1957. Its three-fold purpose was to encourage private development of nuclear power, establish a framework for handling liability claims and provide a ready source of funds to compensate accident victims. The law was originally enacted for ten years but has now been extended four times. The major provisions of the Act and its importance to the public and to insurers are described in this paper.(author)
Thermal Unit Commitment Scheduling Problem in Utility System by Tabu Search Embedded Genetic Algorithm Method
Directory of Open Access Journals (Sweden)
C. Christober Asir Rajan
Full Text Available The objective of this paper is to find the generation scheduling such that the total operating cost can be minimized, when subjected to a variety of constraints. This also means that it is desirable to find the optimal unit commitment in the power system for the next H hours. A 66-bus utility power system in India demonstrates the effectiveness of the proposed approach; extensive studies have also been performed for different IEEE test systems consist of 24, 57 and 175 buses. Numerical results are shown comparing the cost solutions and computation time obtained by different intelligence and conventional methods.
Commercial nuclear power: prospects for the United States and the world
International Nuclear Information System (INIS)
This analysis report presents the current status and outlook for commercial nuclear power reactors for all countries in the world outside centrally planned economic areas (WOCA). Information regarding operable reactors in countries with centrally planned economies is presented in an appendix. The report provides documentation of the US nuclear capacity and generation projections through 1995. Projections for US nuclear capacity and generation through 2020 are presented for various nuclear power supply scenarios. These long-term projections are provided in support of the Department of Energy's activities pertaining to the Nuclear Waste Policy Act of 1982 and are used to produce the projections of fuel cycle requirements and spent fuel discharges
Management of commercial high-level nuclear waste in the United States
International Nuclear Information System (INIS)
Mann, S.A.
The Nuclear Waste Policy Act of 1982 (Act), enacted by the 97th Congress in December and signed into law on Jan 7, 1983, by President Reagan, brings a whole new perspective to the nation's nuclear waste management effort. An elaborate set of near-term requirements and actions have to be accomplished within the first 180 days of this Act. As an initial step, Secretary of Energy Donald P. Hodel has established a Nuclear Waste Policy Act (NWPA) project office. The director of the NWPA project office, Robert L. Morgan, is responsible for the department's initial activities to implement the Act until the Office of Civilian Radioactive Waste Management, established by Section 304 of the Act, is activated. The Act requires major efforts in two primary areas: disposal and storage of spent fuel and high-level waste. Efforts in the former area are to be financed by fees collected from utilities and placed into a Nuclear Waste Fund for disposal services. The Act provides for federal storage of up to 1900 tons of spent fuel for those utilities that the Nuclear Regulatory Commission (NRC) determines cannot reasonably provide sufficient additional on-site storage. This federal storage is to be financed through utility-user fees that are placed into an Interim Storage Fund. The Act also provides for cooperative research, development, and demonstration activities at utility sites and federal sites. These activities are to be jointly funded by the utilities and the federal government. Lastly, there are generic research and development (RandD) activities in the spent fuel area that are funded from general appropriations. Mandated milestones have been established by the Act in the areas of gologic repository, fund management, monitored retrievable storage, and spent fuel storage
Design and operational considerations of United States commercial nea-surface low-level radioactive waste disposal facilities
International Nuclear Information System (INIS)
Birk, Sandra M.
Low-level radioactive waste disposal standards and techniques in the United States have evolved significantly since the early 1960's. Six commercial LLW disposal facilities(Barnwell, Richland, Ward Valley, Sierra Blanca, Wake County and Boyd County) operated and proposed between 1962 and 1997. This report summarizes each site's design and operational considerations for near-surface disposal of low-level radioactive waste. These new standards and mitigating efforts at closed facilities (Sheffield, Maxey Flats, Beatty and West Valley) have helped to ensure that the public has been safely protected from LLW. 15 refs
Performance of Loaded Thermal Storage Unit with a Commercial Phase Change Materials based on Energy and Exergy Analysis
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Abdullah Nasrallh Olimat
Article History: Received July 6th 2017; Received in revised form September 15th 2017; Accepted 25th Sept 2017; Available online How to Cite This Article: Olimat, A.N., Awad, A.S., Al-Gathain, F.M., and Shaban, N.A.. (2017 Performance of Loaded Thermal Storage Unit With A Commercial Phase Change Materials Based on Energy and Exergy Analysis. International Journal of Renewable Energy Develeopment, 6(3,283-290. https://doi.org/10.14710/ijred.6.3.283-290
Estimation of possible radiological hazards from natural radioactivity in commercially-utilized ornamental and countertops granite tiles
International Nuclear Information System (INIS)
Turhan, Şeref
Highlights: ► The study presents the activity concentrations of radionuclides in granite tile samples. ► The activity concentrations of radionuclides are measured by gamma spectrometer.. ► In this study, possible radiological hazards from usage of these materials are estimated. ► The external exposure index and internal index are calculated. ► The indoor absorbed gamma dose rate and the corresponding annual effective dose are evaluated. - Abstract: The aim of this study is to estimate natural radioactivity levels of commercially-utilized ornamental or countertops granite tiles collected from major retailers in Turkey and possible radiological hazards from usage of these materials by calculating external exposure and internal index, indoor absorbed gamma dose rate and the corresponding annual effective dose. The activity concentrations of 226 Ra, 232 Th and 40 K were determined for 42 kinds of different granite tiles using high-resolution gamma-ray spectrometer. The activity concentration of 226 Ra, 232 Th and 40 K varied from 9.2 to 192.5 Bq kg −1 (with a mean of 88.4 ± 6.9 Bq kg −1 ), 7.5 to 344.6 Bq kg −1 (with a mean of 95.3 ± 10.0 Bq kg −1 ) and 92.1 to 4155.9 Bq kg −1 (with a mean of 1055.2 ± 103.0 Bq kg −1 ), respectively. The estimated radiological hazard indices were revised in the light of the relevant national and international legislation and guidance. The values of the radiological hazard indices were found to be within relevant all limit values for superficial materials. The indoor absorbed gamma dose rates estimated from the activity concentrations of 226 Ra, 232 Th and 40 K and the corresponding annual effective doses varied from 4.74 to 85.27 nGy h −1 and 0.02 to 0.42 mSv, respectively.
Commercial waste treatment R and D needs in the United States
International Nuclear Information System (INIS)
Burkholder, H.C.
The mission of the commercial waste treatment program is to establish treatment technology for safe and efficient management of high-level and transuranic wastes from reprocessing and fuel fabrication and special wastes from other fuel cycle activities. The four functional objectives that must be achieved to fulfill the mission are: (1) define waste product and treatment process performance requirements; (2) specify adequately safe waste products and verify their performance; (3) specify adequately efficient treatment processes and equipment and verify their performance; (4) solve existing waste treatment problems using verified products and processes. Although commercial waste treatment technology is in many respects highly advanced, there remains a number of areas where significant research and development is needed. These are: (1) technically-based performance requirements for both waste products and treatment processes; (2) pilot-scale radioactive demonstration of liquid-fed ceramic melting process and equipment for borosilicate glass; (3) non-glass TRU waste product and treatment process development; (4) waste product performance testing and predictive modeling; (5) quality verification for treatment processes
Long-Term Reliability of a Hard-Switched Boost Power Processing Unit Utilizing SiC Power MOSFETs
Ikpe, Stanley A.; Lauenstein, Jean-Marie; Carr, Gregory A.; Hunter, Don; Ludwig, Lawrence L.; Wood, William; Iannello, Christopher J.; Del Castillo, Linda Y.; Fitzpatrick, Fred D.; Mojarradi, Mohammad M.;
Silicon carbide (SiC) power devices have demonstrated many performance advantages over their silicon (Si) counterparts. As the inherent material limitations of Si devices are being swiftly realized, wide-band-gap (WBG) materials such as SiC have become increasingly attractive for high power applications. In particular, SiC power metal oxide semiconductor field effect transistors' (MOSFETs) high breakdown field tolerance, superior thermal conductivity and low-resistivity drift regions make these devices an excellent candidate for power dense, low loss, high frequency switching applications in extreme environment conditions. In this paper, a novel power processing unit (PPU) architecture is proposed utilizing commercially available 4H-SiC power MOSFETs from CREE Inc. A multiphase straight boost converter topology is implemented to supply up to 10 kilowatts full-scale. High Temperature Gate Bias (HTGB) and High Temperature Reverse Bias (HTRB) characterization is performed to evaluate the long-term reliability of both the gate oxide and the body diode of the SiC components. Finally, susceptibility of the CREE SiC MOSFETs to damaging effects from heavy-ion radiation representative of the on-orbit galactic cosmic ray environment are explored. The results provide the baseline performance metrics of operation as well as demonstrate the feasibility of a hard-switched PPU in harsh environments.
Commercial nuclear power: prospects for the United States and the world
International Nuclear Information System (INIS)
Mayes, F.; Gielecki, M.; Diedrich, R.; Hewlett, J.; Murphy, T.
This analysis report presents the current status and outlook for commercial nuclear power reactors for all countries in the world outside centrally planned economic areas (WOCA). Information regarding operable reactors in countries with centrally planned economies is also presented. The report provides documentation of the US middle-case nuclear capacity and generation projections through 1995 that are presented in the Annual Energy Outlook 1984. Additionally, US nuclear capacity and generation projections through 2020 are presented for various nuclear power supply scenarios. These long-term projections are provided in support of the Department of Energy's activities pertaining to the Nuclear Waste Policy Act of 1982. The projections for foreign nuclear capacity through 1990 supplant the preliminary foreign WOCA projections presented in the Annual Energy Outlook 1984 and are supplemented by WOCA country-specific projections through the year 2000
Seismic evaluation of commercial plutonium fabrication plants in the United States
International Nuclear Information System (INIS)
Bernreuter, D.L.; Coats, D.W.; Murray, R.C.; Tokarz, F.J.
This report is an overview of Lawrence Livermore National Laboratory's seismic assessment of six commercial plutonium fabrication plants licensed by the US Nuclear Regulatory Commission (NRC) before September 2, 1971. The seismic assessment generally has three parts: (1) documentation of the structural condition of each facility and its critical equipment; (2) characterization of the seismic hazard (i.e., determination of peak ground acceleration vs return period for each site); and (3) evaluation of seismic capacity to determine ground motion levels at which critical structures and equipment fail. The failure evaluation used structural capacities of median-centered strength characteristics of the as-built configurations from (1) and seismic hazard input from (2). Results of the assessment were partial input for an overall natural risks study by the NRC
Directory of Open Access Journals (Sweden)
Stanisław Ledakowicz
Full Text Available The most wastewater treatment plants in Poland are small and medium plants of flow capacity below 1000 m3/d. These plants are not able to build sludge incineration plants and the transportation costs to the nearest plants increase the total costs of wastewater treatment. Polish company Metal Expert together with the French company ETIA and Lodz University of Technology proposed mobile unit for integrated drying and pyrolysis of sewage sludge in a pilot bench scale with capacity of 100 kg/h of dewatered sludge. The pilot plant was mounted in a typical mobile container which could provide service to small and medium wastewater treatment plants offering thermal processing of sewage sludge. This unit consists of KENKI contact dryer and "Spirajoule"® pyrolyser supplied with electricity utilizing the Joule effect, and a boiler, wherein the pyrolysis gases and volatile products are burned producing steam sent to the contact dryer. The bio-char produced during sludge pyrolysis could be utilized for agriculture purposes. During preliminary experiments and short-term exploitation of the unit at Elbląg Wastewater Treatment Plant the obtained results allowed us to make a mass and energy balance depended on the process conditions in the pyrolysis temperature range of 400÷800 °C. Based on the obtained results a calculator was created in the Excel , which enables assessment of pyrolysis products content and making mass and energy balances depended on process parameters such as initial moisture of sludge, pyrolysis temperature and installation output.
Understanding barriers to commercial-scale carbon capture and sequestration in the United States: An empirical assessment
International Nuclear Information System (INIS)
Davies, Lincoln L.; Uchitel, Kirsten; Ruple, John
Although a potentially useful climate change mitigation tool, carbon capture and sequestration (CCS) efforts in the United States remain mired in demonstration and development. Prior studies suggest numerous reasons for this stagnation. This article empirically assesses those claims. Using an anonymous opinion survey completed by 229 CCS experts, we identified four primary barriers to CCS commercialization: (1) cost and cost recovery, (2) lack of a price signal or financial incentive, (3) long-term liability risks, and (4) lack of a comprehensive regulatory regime. These results give empirical weight to previous studies suggesting that CCS cost (and cost recovery) and liability risks are primary barriers to the technology. However, the need for comprehensive rather than piecemeal CCS regulation represents an emerging concern not previously singled out in the literature. Our results clearly show that the CCS community sees fragmented regulation as one of the most significant barriers to CCS deployment. Specifically, industry is united in its preference for a federal regulatory floor that is subject to state-level administration and sensitive to local conditions. Likewise, CCS experts share broad confidence in the technology's readiness, despite continued calls for commercial-scale demonstration projects before CCS is widely deployed. - Highlights: • We developed and distributed a unique CCS opinion survey. • Our analysis confirmed cost and liability as primary barriers to CCS deployment. • We identified regulatory barriers to CCS not previously singled out in the literature. • We address the need for comprehensive rather than piecemeal CCS regulation
Understanding health-care access and utilization disparities among Latino children in the United States.
Langellier, Brent A; Chen, Jie; Vargas-Bustamante, Arturo; Inkelas, Moira; Ortega, Alexander N
It is important to understand the source of health-care disparities between Latinos and other children in the United States. We examine parent-reported health-care access and utilization among Latino, White, and Black children (≤17 years old) in the United States in the 2006-2011 National Health Interview Survey. Using Blinder-Oaxaca decomposition, we portion health-care disparities into two parts (1) those attributable to differences in the levels of sociodemographic characteristics (e.g., income) and (2) those attributable to differences in group-specific regression coefficients that measure the health-care 'return' Latino, White, and Black children receive on these characteristics. In the United States, Latino children are less likely than Whites to have a usual source of care, receive at least one preventive care visit, and visit a doctor, and are more likely to have delayed care. The return on sociodemographic characteristics explains 20-30% of the disparity between Latino and White children in the usual source of care, delayed care, and doctor visits and 40-50% of the disparity between Latinos and Blacks in emergency department use and preventive care. Much of the health-care disadvantage experienced by Latino children would persist if Latinos had the sociodemographic characteristics as Whites and Blacks. © The Author(s) 2014.
Public health response to commercial airline travel of a person with Ebola virus infection - United States, 2014.
Regan, Joanna J; Jungerman, Robynne; Montiel, Sonia H; Newsome, Kimberly; Objio, Tina; Washburn, Faith; Roland, Efrosini; Petersen, Emily; Twentyman, Evelyn; Olaiya, Oluwatosin; Naughton, Mary; Alvarado-Ramy, Francisco; Lippold, Susan A; Tabony, Laura; McCarty, Carolyn L; Kinsey, Cara Bicking; Barnes, Meghan; Black, Stephanie; Azzam, Ihsan; Stanek, Danielle; Sweitzer, John; Valiani, Anita; Kohl, Katrin S; Brown, Clive; Pesik, Nicki
Before the current Ebola epidemic in West Africa, there were few documented cases of symptomatic Ebola patients traveling by commercial airline, and no evidence of transmission to passengers or crew members during airline travel. In July 2014 two persons with confirmed Ebola virus infection who were infected early in the Nigeria outbreak traveled by commercial airline while symptomatic, involving a total of four flights (two international flights and two Nigeria domestic flights). It is not clear what symptoms either of these two passengers experienced during flight; however, one collapsed in the airport shortly after landing, and the other was documented to have fever, vomiting, and diarrhea on the day the flight arrived. Neither infected passenger transmitted Ebola to other passengers or crew on these flights. In October 2014, another airline passenger, a U.S. health care worker who had traveled domestically on two commercial flights, was confirmed to have Ebola virus infection. Given that the time of onset of symptoms was uncertain, an Ebola airline contact investigation in the United States was conducted. In total, follow-up was conducted for 268 contacts in nine states, including all 247 passengers from both flights, 12 flight crew members, eight cleaning crew members, and one federal airport worker (81 of these contacts were documented in a report published previously). All contacts were accounted for by state and local jurisdictions and followed until completion of their 21-day incubation periods. No secondary cases of Ebola were identified in this investigation, confirming that transmission of Ebola during commercial air travel did not occur.
Stereotactic radiotherapy of the prostate: fractionation and utilization in the United States
International Nuclear Information System (INIS)
Weiner, Josph P.; Schwartz, David; Shao, Meng; Osborn, Virginia; Schreiber, David; Choi, Kwang
To analyze the utilization and fractionation of extreme hypofractionation via stereotactic body radiotherapy (SBRT) in the treatment of prostate cancer. Data was analyzed on men diagnosed with localized prostate cancer between 2004–2012 and treated with definitive-intent radiation therapy, as captured in the National Cancer Database. This database is a hospital-based registry that collects an estimated 70% of all diagnosed malignancies in the United States. There were 299,186 patients identified, of which 4,962 (1.7%) were identified as receiving SBRT as primary treatment. Of those men, 2,082 had low risk disease (42.0%), 2,201 had intermediate risk disease (44.4%), and 679 had high risk disease (13.7%). The relative utilization of SBRT increased from 0.1% in 2004 to 4.0% in 2012. Initially SBRT was more commonly used in academic programs, though as time progressed there was a shift to favor an increased absolute number of men treated in the community setting. Delivery of five separate treatments was the most commonly utilized fractionation pattern, with 4,635 patients (91.3%) receiving this number of treatments. The most common dosing pattern was 725 cGy × 5 fractions (49.6%) followed by 700 cGy × 5 fractions (21.3%). Extreme hypofractionation via SBRT is slowly increasing acceptance. Currently 700-725 cGy × 5 fractions appears to be the most commonly employed scheme. As further long-term data regarding the safety and efficacy emerges, the relative utilization of this modality is expected to continue to increase
Stereotactic radiotherapy of the prostate: fractionation and utilization in the United States
Energy Technology Data Exchange (ETDEWEB)
Weiner, Josph P.; Schwartz, David; Shao, Meng; Osborn, Virginia; Schreiber, David [Dept. of Radiation Oncology, Veterans Affairs New York Harbor Healthcare System, Brooklyn (United States); Choi, Kwang [Dept. of Radiation Oncology, SUNY Downstate Medical Center, Brooklyn (United States)
To analyze the utilization and fractionation of extreme hypofractionation via stereotactic body radiotherapy (SBRT) in the treatment of prostate cancer. Data was analyzed on men diagnosed with localized prostate cancer between 2004–2012 and treated with definitive-intent radiation therapy, as captured in the National Cancer Database. This database is a hospital-based registry that collects an estimated 70% of all diagnosed malignancies in the United States. There were 299,186 patients identified, of which 4,962 (1.7%) were identified as receiving SBRT as primary treatment. Of those men, 2,082 had low risk disease (42.0%), 2,201 had intermediate risk disease (44.4%), and 679 had high risk disease (13.7%). The relative utilization of SBRT increased from 0.1% in 2004 to 4.0% in 2012. Initially SBRT was more commonly used in academic programs, though as time progressed there was a shift to favor an increased absolute number of men treated in the community setting. Delivery of five separate treatments was the most commonly utilized fractionation pattern, with 4,635 patients (91.3%) receiving this number of treatments. The most common dosing pattern was 725 cGy × 5 fractions (49.6%) followed by 700 cGy × 5 fractions (21.3%). Extreme hypofractionation via SBRT is slowly increasing acceptance. Currently 700-725 cGy × 5 fractions appears to be the most commonly employed scheme. As further long-term data regarding the safety and efficacy emerges, the relative utilization of this modality is expected to continue to increase.
Internet-facilitated commercial sexual exploitation of children: findings from a nationally representative sample of law enforcement agencies in the United States.
Mitchell, Kimberly J; Jones, Lisa M; Finkelhor, David; Wolak, Janis
This article explores the variety of ways in which the Internet is used to facilitate the commercial sexual exploitation of children (CSEC) and provides national incidence estimates for the number of arrests involving such technology-facilitated crimes in 2006. The National Juvenile Online Victimization Study is a nationally representative longitudinal study of more than 2,500 local, county, state, and federal law enforcement agencies across the United States. The current article utilizes Wave 2 data, which surveyed arrests in 2006 for Internet-related sex crimes against minors. Detailed data were collected via telephone interviews with investigators about 1,051 individual arrest cases. Findings show that an estimated 569 arrests for Internet-facilitated commercial sexual exploitation of children (IF-CSEC) occurred in the United States in 2006. Offenders in IF-CSEC cases fell into two main categories: (1) those who used the Internet to purchase or sell access to identified children for sexual purposes including child pornography (CP) production (36% of cases), and (2) those who used the Internet to purchase or sell CP images they possessed but did not produce (64% of cases). Offenders attempting to profit from child sexual exploitation were more likely than those who were purchasing to have (a) prior arrests for sexual and nonsexual offenses, (b) a history of violence, (c) produced CP, (d) joined forces with other offenders, and (e) involved female offenders. Although the number of arrests for IF-CSEC crimes is relatively small, the victims of these crimes are a high-risk subgroup of youth, and the offenders who try to profit from these crimes are particularly concerning from a child welfare perspective.
Assessing the role of federal community assistance programs to develop biomass utilization capacity in the Western United States
Dennis R. Becker; Mark Nechodom; Adam Barnett; Tad Mason; Eini C. Lowell; John Shelly; Dean Graham
As forest biomass utilization becomes cost effective to harvest, more areas at risk of catastrophic wildfire can be thinned of dense brush and small-diameter trees. In an effort to increase biomass utilization, the USDA Forest Service granted more than $36 million in National Fire Plan-Economic Action Program funds in the Western United States during fiscal years 2001...
Overview of commercial low-level radioactive waste disposal in the United States
International Nuclear Information System (INIS)
Smith, P.
Disposal of commercial low-level radioactive waste (LLW) is a critical part of the national infrastructure needed to maintain the health of American businesses, universities, and hospitals. Currently only 19 States (located in the Northwest and Southeast) have access to operating disposal facilities; all other States are storing their LLW until they open new disposal facilities on their own or in concert with other States through regional compact agreements. In response to recommendations from the National Governors Association, Congress assigned the burden for LLW disposal to all States, first in 1980 through Public Law 96-573, the open-quotes Low-level Radioactive Waste Policy Actclose quotes, and again in 1986 through Public Law 99-240, the open-quotes Low-Level Radioactive Waste Policy Amendments Act of 1985close quotes. As directed by Congress, the Department of Energy provides technical assistance to States and compact regions with this task. After almost 14 years, nine compact regions have been ratified by Congress; California, Texas, North Carolina, and Nebraska have submitted license applications; California has issued an operating license; and the number of operating disposal facilities has decreased from three to two
The United States program for the safety assessment of geologic disposal of commercial radioactive wastes
International Nuclear Information System (INIS)
Claiborne, H.C.
The safe disposal of commercial radioactive wastes in deep geologic formations is the goal of the National Waste Terminal Storage (NWTS) Program. Safety assessment begins with selection of a disposal site; that is, all geologic and hydrologic factors must indicate long-term stability of the formation and prospective isolation of wastes from circulating ground waters for hundreds of thousands of years. The long-term stability of each site under thermal loading must then be demonstrated by sophisticated rock mechanic analyses. Therefore, it can be expected that the sites that are chosen will effectively isolate the waste for a very long period of time. However, to help provide answers on the mechanisms and consequences of an unlikely breach in the integrity of the repository, a Waste Isolation Safety Assessment Program (WISAP) is studied. The overall objective of this program is an assessment of the safety associated with the long-term disposal of high-level radioactive waste in a geologic formation. This objective will be achieved by developing methods and generating data necessary to characterize the safety of generic geological waste disposal concepts, which are to be applied in the assessment of specific sites. It is expected that no one particular model will suffice. Both deterministic and probabilistic approaches will be used, and the entire spectrum of phenomena that could influence geologic isolation will be considered
United States program for the safety assessment of geologic disposal of commercial radioactive wastes
International Nuclear Information System (INIS)
Claiborne, H.C.
The safe disposal of commercial radioactive wastes in deep geologic formations is the goal of the National Waste Terminal Storage (NWTS) Program. A comprehensive safety assessment program has been established which will proceed on a schedule consistent with the start-up of two waste repositories in late 1985. Safety assessment begins with selection of a disposal site; that is, all geologic and hydrologic factors must indicate long-term stability of the formation and prospective isolation of wastes from circulating around waters for hundreds of thousands of years. The long-term stability of each site must be demonstrated by sophisticated rock mechanics analyses. To help provide answers on the mechanism and consequences of an unlikely breach in the integrity of the repository, a Waste Isolation Safety Assessment Program (WISAP) is being sponsored at the Battelle Pacific Northwest Laboratories. Methods and data necessary to characterize the safety of generic geological waste disposal concepts, which are to be applied in the assessment of specific sties, will be developed. Other long-term safety-related studies that complement WISAP are in progress, for example, borehole plugging, salt dissolutioning, and salt transport in vertical boreholes. Requirements for licensing are in the process of being formulated by the NRC
Trends in the Utilization of Brachytherapy in Cervical Cancer in the United States
Energy Technology Data Exchange (ETDEWEB)
Han, Kathy, E-mail: firstname.lastname@example.com [Radiation Medicine Program, Princess Margaret Hospital, University Health Network, Toronto, Ontario (Canada); Milosevic, Michael; Fyles, Anthony [Radiation Medicine Program, Princess Margaret Hospital, University Health Network, Toronto, Ontario (Canada); Pintilie, Melania [Department of Biostatistics, Princess Margaret Hospital, Toronto, Ontario (Canada); Viswanathan, Akila N. [Department of Radiation Oncology, Dana-Farber Cancer Institute/Brigham and Women' s Hospital, Boston, Massachusetts (United States)
Purpose: To determine the trends in brachytherapy use in cervical cancer in the United States and to identify factors and survival benefits associated with brachytherapy treatment. Methods and Materials: Using the Surveillance, Epidemiology, and End Results (SEER) database, we identified 7359 patients with stages IB2-IVA cervical cancer treated with external beam radiation therapy (EBRT) between 1988 and 2009. Propensity score matching was used to adjust for differences between patients who received brachytherapy and those who did not from 2000 onward (after the National Cancer Institute alert recommending concurrent chemotherapy). Results: Sixty-three percent of the 7359 women received brachytherapy in combination with EBRT, and 37% received EBRT alone. The brachytherapy utilization rate has decreased from 83% in 1988 to 58% in 2009 (P<.001), with a sharp decline of 23% in 2003 to 43%. Factors associated with higher odds of brachytherapy use include younger age, married (vs single) patients, earlier years of diagnosis, earlier stage and certain SEER regions. In the propensity score-matched cohort, brachytherapy treatment was associated with higher 4-year cause-specific survival (CSS; 64.3% vs 51.5%, P<.001) and overall survival (OS; 58.2% vs 46.2%, P<.001). Brachytherapy treatment was independently associated with better CSS (hazard ratio [HR], 0.64; 95% confidence interval [CI], 0.57-0.71), and OS (HR 0.66; 95% CI, 0.60 to 0.74). Conclusions: This population-based analysis reveals a concerning decline in brachytherapy utilization and significant geographic disparities in the delivery of brachytherapy in the United States. Brachytherapy use is independently associated with significantly higher CSS and OS and should be implemented in all feasible cases.
Energy Technology Data Exchange (ETDEWEB)
Davis, S.C.
During the 1990s, sport utility vehicles (SUVs) became the fastest growing segment of the auto industry, especially those in the medium-size category. In 1999, SUV sales reached almost 19% of the total light vehicle market and the mix of SUVs on the road, as measured by registration data, was about 8.7%. This immense popularity has been called by some a passing fad--vehicle purchases based on the SUV ''image''. But the continued yearly increases in SUV sales seem to indicate a more permanent trend. Additional explanations for SUV popularity include the general economic well being in the United States, a perception of safety, and ''utility''. Generally larger and heavier than the typical automobile, SUVs require more fuel per mile to operate and produce greater amounts of pollutants. They are also driven further annually than are automobiles of the same vintage, a fact that exacerbates the fuel-use and emission problems. Although buyers believe that SUVs are safer than automobiles which they are in some cases, SUVs are more prone to roll-overs than are automobiles. In addition, SUVs, with their higher bumpers and greater weight, may be a threat to other vehicles on the highway, especially in side-impact crashes. With sales projected to grow to over 3 million units per year beginning in 2001, SUVs show no sign of decreasing in popularity. These vehicles are used primarily for general mobility, rather than off-road activities. An emphasis on better fuel economy and improved emissions control could address environmental and oil dependency concerns. In fact, recently, two vehicle manufacturers announced intentions of improving the fuel economy of their SUVs in the next few years. Also, tests simulating crashes involving automobiles and SUVs could provide valuable data for identifying potential safety design issues. It is clear that automobiles and SUVs will be sharing the highways for years to come.
Design and operational considerations of United States commercial near-surface low-level radioactive waste disposal facilities
International Nuclear Information System (INIS)
Birk, S.M.
In accordance with the Low-Level Radioactive Waste Policy Amendments Act of 1985, states are responsible for providing for disposal of commercially generated low-level radioactive waste (LLW) within their borders. LLW in the US is defined as all radioactive waste that is not classified as spent nuclear fuel, high-level radioactive waste, transuranic waste, or by-product material resulting from the extraction of uranium from ore. Commercial waste includes LLW generated by hospitals, universities, industry, pharmaceutical companies, and power utilities. LLW generated by the country''s defense operations is the responsibility of the Federal government and its agency, the Department of Energy. The commercial LLRW disposal sites discussed in this report are located near: Sheffield, Illinois (closed); Maxey Flats, Kentucky (closed); Beatty, Nevada (closed); West Valley, New York (closed); Barnwell, South Carolina (operating); Richland, Washington (operating); Ward Valley, California, (proposed); Sierra Blanca, Texas (proposed); Wake County, North Carolina (proposed); and Boyd County, Nebraska (proposed). While some comparisons between the sites described in this report are appropriate, this must be done with caution. In addition to differences in climate and geology between sites, LLW facilities in the past were not designed and operated to today''s standards. This report summarizes each site''s design and operational considerations for near-surface disposal of low-level radioactive waste. The report includes: a description of waste characteristics; design and operational features; post closure measures and plans; cost and duration of site characterization, construction, and operation; recent related R and D activities for LLW treatment and disposal; and the status of the LLW system in the US
The Research of Utilization Hours of Coal-Fired Power Generation Units Based on Electric Energy Balance
Liu, Junhui; Yang, Jianlian; Wang, Jiangbo; Yang, Meng; Tian, Chunzheng; He, Xinhui
With grid-connected scale of clean energy such as wind power and photovoltaic power expanding rapidly and cross-province transmission scale being bigger, utilization hours of coal-fired power generation units become lower and lower in the context of the current slowdown in electricity demand. This paper analyzes the influencing factors from the three aspects of demand, supply and supply and demand balance, and the mathematical model has been constructed based on the electric energy balance. The utilization hours of coal-fired power generation units have been solved considering the relationship among proportion of various types of power installed capacity, the output rate and utilization hours. By carrying out empirical research in Henan Province, the utilization hours of coal-fired units of Henan Province in 2020 has been achieved. The example validates the practicability and the rationality of the model, which can provide a basis for the decision-making for coal-fired power generation enterprises.
Estimated Value of Service Reliability for Electric Utility Customers in the United States
Energy Technology Data Exchange (ETDEWEB)
Sullivan, M.J.; Mercurio, Matthew; Schellenberg, Josh
Information on the value of reliable electricity service can be used to assess the economic efficiency of investments in generation, transmission and distribution systems, to strategically target investments to customer segments that receive the most benefit from system improvements, and to numerically quantify the risk associated with different operating, planning and investment strategies. This paper summarizes research designed to provide estimates of the value of service reliability for electricity customers in the US. These estimates were obtained by analyzing the results from 28 customer value of service reliability studies conducted by 10 major US electric utilities over the 16 year period from 1989 to 2005. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods it was possible to integrate their results into a single meta-database describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the US for industrial, commercial, and residential customers. Estimated interruption costs for different types of customers and of different duration are provided. Finally, additional research and development designed to expand the usefulness of this powerful database and analysis are suggested.
Children's orthodontic utilization in the United States: Socioeconomic and surveillance considerations.
Laniado, Nadia; Oliva, Stephanie; Matthews, Gregory J
There has been no epidemiologic study of malocclusion prevalence and treatment need in the United States since the Third National Health and Nutrition Examination Survey, conducted from 1988 to 1991. In this descriptive study, the authors sought to estimate orthodontic treatment prevalence by examining a nationally representative survey to assess current pediatric dental and orthodontic utilization. The 2009 and 2013 Medical Expenditure Panel Surveys were used to categorize and compare all types of pediatric dental and orthodontic procedures in children and adolescents up to 20 years old. Descriptive variables included dental insurance, poverty level, and racial/ethnic background. Visits for orthodontic procedures constituted the third largest treatment category (14.5%) and were greatest among the uninsured and higher income populations. Children with public insurance had the fewest orthodontic visits (9.4%). Racial/ethnic disparities were most pronounced among orthodontic visits, with black and Hispanic children receiving the fewest orthodontic procedures (8.89% and 10.56%, respectively). Orthodontic treatment prevalence data suggest that significant disparities exist in orthodontic utilization based on race/ethnicity, poverty level, and insurance status. To establish the burden of malocclusion, describe populations in greatest need of interventions, and craft appropriate programs and policies, an active orthodontic surveillance system is essential. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.
Utilization of head CT during injury visits to United States emergency departments: 2012-2015.
Yun, Brian J; Borczuk, Pierre; Zachrison, Kori S; Goldstein, Joshua N; Berlyand, Yosef; Raja, Ali S
Studies have shown increasing utilization of head computed tomography (CT) imaging of emergency department (ED) patients presenting with an injury-related visit. Multiple initiatives, including the Choosing Wisely™ campaign and evidence-based clinical decision support based on validated decision rules, have targeted head CT use in patients with injuries. Therefore, we investigated national trends in the use of head CT during injury-related ED visits from 2012 to 2015. This was a secondary analysis of data from the annual United States (U.S.) National Hospital Ambulatory Medical Care Survey from 2012 to 2015. The study population was defined as injury-related ED visits, and we sought to determine the percentage in which a head CT was ordered and, secondarily, to determine both the diagnostic yield of clinically significant intracranial findings and hospital characteristics associated with increased head CT utilization. Between 2012 and 2015, 12.25% (95% confidence interval [CI] 11.48-13.02%) of injury-related visits received at least one head CT. Overall head CT utilization showed an increased trend during the study period (2012: 11.7%, 2015: 13.23%, p = 0.09), but the results were not statistically significant. The diagnostic yield of head CT for a significant intracranial injury over the period of four years was 7.4% (9.68% in 2012 vs. 7.67% in 2015, p = 0.23). Head CT use along with diagnostic yield has remained stable from 2012 to 2015 among patients presenting to the ED for an injury-related visit. Copyright © 2017 Elsevier Inc. All rights reserved.
Predictors of treatment utilization and barriers to treatment utilization among individuals with lifetime cannabis use disorder in the United States.
Kerridge, Bradley T; Mauro, Pia M; Chou, S Patricia; Saha, Tulshi D; Pickering, Roger P; Fan, Amy Z; Grant, Bridget F; Hasin, Deborah S
To present information on predictors of treatment utilization and barriers to treatment utilization among individuals with lifetime DSM-5 cannabis use disorder (CUD). Face-to-face survey of a representative sample of the adult US general population (n=36,309). Treatment rates for CUD were low in this general population survey (13.7%). Severity of CUD and comorbidity of other lifetime drug use disorders were significant predictors of lifetime treatment utilization for CUD. Preference for self-reliance, minimizing problems, fear of stigma, and financial and structural issues were among the most frequently endorsed reasons for respondents not seeking treatment when they perceived the need for treatment among individuals with lifetime CUD, regardless of whether they eventually utilized treatment at some time in their lives. Given the rising prevalence of CUD in the US over the past decade and currently low treatment rates for CUD, increased provision for services for CUD appears critically needed, especially those that screen for and treat, when present, other drug use disorders. Programs to reduce stigma and financial barriers are needed, as well as programs to increase awareness among the general public, health care professionals about the nature and seriousness of CUD, and the availability and effectiveness of treatment for this disorder. Copyright © 2017. Published by Elsevier B.V.
Drug utilization study in a burn care unit of a tertiary care hospital
Directory of Open Access Journals (Sweden)
Santoshkumar R Jeevangi
Full Text Available Objective: To evaluate drug utilization and associated costs for the treatment of patients admitted in burn care unit of a tertiary care hospital. Methods: A prospective cross sectional study was conducted for a period of 15 months at Basaweshwara Teaching and General Hospital (BTGH, Gulbarga and the data collected was analyzed for various drug use indicators. Results: A total of 100 prescriptions were collected with 44% belonging to males and 56% to females. The average number of drugs per prescription ranged from 4.5 to 9.5. 9.5% of generics and 92% of essential drugs were prescribed. The opioid analgesics and sedatives were prescribed to all the patients who were admitted in burn care unit. The (Defined daily dose DDD/1 000/day for amikacin (359 was the highest followed by diclofenac sodium (156, pantoprazole (144, diazepam (130, ceftazidime (124, tramadol (115, ceftriaxone (84 and for paracetamol (4 which was the lowest. Conclusions: Significant amount of the money was spent on procurement of drugs. Most of the money was spent on prescribed antibiotics. The prescription of generic drugs should be promoted, for cost effective treatment. Hence the results of the present study indicate that there is a considerable scope for improvement in the prescription pattern.
Occurrence of 3-monochloropropanediol esters and glycidyl esters in commercial infant formulas in the United States.
Leigh, Jessica; MacMahon, Shaun
This work presents occurrence data for fatty acid esters of 3-chloro-1,2-propanediol (3-MCPD) and glycidol in 98 infant formula samples purchased in the United States. These contaminants are considered potentially carcinogenic and/or genotoxic, making their presence in refined oils and foods a potential health risk. Recently, attention has focused on methodology to quantify MCPD and glycidyl esters in infant formula for risk-assessment purposes. Occurrence data for 3-MCPD and glycidyl esters were produced using a procedure for extracting fat from infant formula and an LC-MS/MS method for analysing fat extracts for intact esters. Infant formulas were produced by seven manufacturers, five of which use palm oil and/or palm olein in their formulations. In formulas containing palm/palm olein, concentrations for bound 3-MCPD and glycidol ranged from 0.021 to 0.92 mg kg - 1 (ppm) and from 3-MCPD and glycidol concentrations ranged from 0.072 to 0.16 mg kg - 1 (ppm) and from 0.005 to 0.15 mg kg - 1 (ppm), respectively. Although formulas from manufacturers A and G did not contain palm/palm olein, formulas from manufacturer E (containing palm olein) had the lowest concentrations of bound 3-MCPD and glycidol, demonstrating the effectiveness of industrial mitigation strategies.
National estimates of healthcare utilization by individuals with hepatitis C virus infection in the United States.
Galbraith, James W; Donnelly, John P; Franco, Ricardo A; Overton, Edgar T; Rodgers, Joel B; Wang, Henry E
Hepatitis C virus (HCV) infection is a major public health problem in the United States. Although prior studies have evaluated the HCV-related healthcare burden, these studies examined a single treatment setting and did not account for the growing "baby boomer" population (individuals born during 1945-1965). Data from the National Ambulatory Medical Care Survey, the National Hospital Ambulatory Medical Care Survey, and the Nationwide Inpatient Sample were analyzed. We sought to characterize healthcare utilization by individuals infected with HCV in the United States, examining adult (≥18 years) outpatient, emergency department (ED), and inpatient visits among individuals with HCV diagnosis for the period 2001-2010. Key subgroups included persons born before 1945 (older), between 1945 and 1965 (baby boomer), and after 1965 (younger). Individuals with HCV infection were responsible for >2.3 million outpatient, 73 000 ED, and 475 000 inpatient visits annually. Persons in the baby boomer cohort accounted for 72.5%, 67.6%, and 70.7% of care episodes in these settings, respectively. Whereas the number of outpatient visits remained stable during the study period, inpatient admissions among HCV-infected baby boomers increased by >60%. Inpatient stays totaled 2.8 million days and cost >$15 billion annually. Nonwhites, uninsured individuals, and individuals receiving publicly funded health insurance were disproportionately affected in all healthcare settings. Individuals with HCV infection are large users of outpatient, ED, and inpatient health services. Resource use is highest and increasing in the baby boomer generation. These observations illuminate the public health burden of HCV infection in the United States. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: firstname.lastname@example.com.
Analytical optimization of digital subtraction mammography with contrast medium using a commercial unit.
Rosado-Méndez, I; Palma, B A; Brandan, M E
Contrast-medium-enhanced digital mammography (CEDM) is an image subtraction technique which might help unmasking lesions embedded in very dense breasts. Previous works have stated the feasibility of CEDM and the imperative need of radiological optimization. This work presents an extension of a former analytical formalism to predict contrast-to-noise ratio (CNR) in subtracted mammograms. The goal is to optimize radiological parameters available in a clinical mammographic unit (x-ray tube anode/filter combination, voltage, and loading) by maximizing CNR and minimizing total mean glandular dose (D(gT)), simulating the experimental application of an iodine-based contrast medium and the image subtraction under dual-energy nontemporal, and single- or dual-energy temporal modalities. Total breast-entrance air kerma is limited to a fixed 8.76 mGy (1 R, similar to screening studies). Mathematical expressions obtained from the formalism are evaluated using computed mammographic x-ray spectra attenuated by an adipose/glandular breast containing an elongated structure filled with an iodinated solution in various concentrations. A systematic study of contrast, its associated variance, and CNR for different spectral combinations is performed, concluding in the proposal of optimum x-ray spectra. The linearity between contrast in subtracted images and iodine mass thickness is proven, including the determination of iodine visualization limits based on Rose's detection criterion. Finally, total breast-entrance air kerma is distributed between both images in various proportions in order to maximize the figure of merit CNR2/D(gT). Predicted results indicate the advantage of temporal subtraction (either single- or dual-energy modalities) with optimum parameters corresponding to high-voltage, strongly hardened Rh/Rh spectra. For temporal techniques, CNR was found to depend mostly on the energy of the iodinated image, and thus reduction in D(gT) could be achieved if the spectral energy
Commercial Hy-Line W-36 pullet and laying hen venous blood gas and chemistry profiles utilizing the portable i-STAT®1 analyzer.
Schaal, T P; Arango, J; Wolc, A; Brady, J V; Fulton, J E; Rubinoff, I; Ehr, I J; Persia, M E; O'Sullivan, N P
Venous blood gas and chemistry reference ranges were determined for commercial Hy-Line W-36 pullets and laying hens utilizing the portable i-STAT®1 analyzer and CG8+ cartridges. A total of 632 samples were analyzed from birds between 4 and 110 wk of age. Reference ranges were established for pullets (4 to 15 wk), first cycle laying hens (20 to 68 wk), and second cycle (post molt) laying hens (70 to 110 wk) for the following traits: sodium (Na mmol/L), potassium (K mmol/L), ionized calcium (iCa mmol/L), glucose (Glu mg/dl), hematocrit (Hct% Packed Cell Volume [PCV]), pH, partial pressure carbon dioxide (PCO2 mm Hg), partial pressure oxygen (PO2 mm Hg), total concentration carbon dioxide (TCO2 mmol/L), bicarbonate (HCO3 mmol/L), base excess (BE mmol/L), oxygen saturation (sO2%), and hemoglobin (Hb g/dl). Data were analyzed using ANOVA to investigate the effect of production status as categorized by bird age. Trait relationships were evaluated by linear correlation and their spectral decomposition. All traits differed significantly among pullets and mature laying hens in both first and second lay cycles. Levels for K, iCa, Hct, pH, TCO2, HCO3, BE, sO2, and Hb differed significantly between first cycle and second cycle laying hens. Many venous blood gas and chemistry parameters were significantly correlated. The first 3 eigenvalues explained ∼2/3 of total variation. The first 2 principal components (PC) explained 51% of the total variation and indicated acid-balance and relationship between blood O2 and CO2. The third PC explained 16% of variation and seems to be related to blood iCa. Establishing reference ranges for pullet and laying hen blood gas and chemistry with the i-STAT®1 handheld unit provides a mechanism to further investigate pullet and layer physiology, evaluate metabolic disturbances, and may potentially serve as a means to select breeder candidates with optimal blood gas or chemistry levels on-farm. © The Author 2015. Published by Oxford University
Utility-Scale Solar 2016: An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States
Energy Technology Data Exchange (ETDEWEB)
Bolinger, Mark; Seel, Joachim; LaCommare, Kristina Hamachi
The utility-scale solar sector has led the overall U.S. solar market in terms of installed capacity since 2012. In 2016, the utility-scale sector installed more than 2.5 times as much new capacity as did the residential and commercial sectors combined, and is expected to maintain its dominant position for at least another five years. This report—the fifth edition in an ongoing annual series—provides data-driven analysis of the utility-scale solar project fleet in the United States. We analyze not just installed project prices, but also operating costs, capacity factors, and power purchase agreement ("PPA") prices from a large sample of utility-scale PV and CSP projects throughout the United States. Highlights from this year's edition include the following: Installation Trends: The use of solar tracking devices dominated 2016 installations, at nearly 80% of all new capacity. In a reflection of the ongoing geographic expansion of the market beyond California and the Southwest, the median long-term average insolation level at newly built project sites declined again in 2016. While new fixed-tilt projects are now seen predominantly in less-sunny regions, tracking projects are increasingly pushing into these same regions. The median inverter loading ratio has stabilized in 2016 at 1.3 for both tracking and fixed-tilt projects. Installed Prices: Median installed PV project prices within a sizable sample have fallen by two-thirds since the 2007-2009 period, to $2.2/WAC (or $1.7/WDC) for projects completed in 2016. The lowest 20th percentile of projects within our 2016 sample were priced at or below $2.0/WAC, with the lowest-priced projects around $1.5/WAC. Overall price dispersion across the entire sample and across geographic regions decreased significantly in 2016. Operation and Maintenance ("O&M") Costs: What limited empirical O&M cost data are publicly available suggest that PV O&M costs were in the neighborhood of $18/kWAC-year, or $8/MWh, in 2016. These
Processing of commercial peanut cake into food-grade meal and its utilization in preparation of cookies.
Tate, P V; Chavan, J K; Patil, P B; Kadam, S S
The commercial cake produced during expeller pressing of peanuts was extracted with n-hexane, and 80% ethanol followed by sieving through 80 mesh, to remove residual oil, pigments, bitter taste and fibrous material. The processed meal exhibited comparable composition with defatted peanut flour prepared in the laboratory by solvent extraction of full-fat peanut meal. However, the processed cake meal exhibited low methionine content and in vitro protein digestibility as compared with defatted peanut flour. The processed cake meal can be blended with wheat flour to the extent of 10% (w/w) to prepare acceptable cookies with improved protein and mineral contents.
Diabetes mellitus and infection: an evaluation of hospital utilization and management costs in the United States.
Korbel, Lindsey; Spencer, John David
The objective of this study is to evaluate the number of diabetics that seek medical treatment in emergency departments or require hospitalization for infection management in the United States. This study also assesses the socioeconomic impact of inpatient infection management among diabetics. We accessed the Healthcare Cost and Utilization Project's Nationwide Emergency Department Sample database and the Nationwide Inpatient Sample database to perform a retrospective analysis on diabetics presenting to the emergency department or hospitalized for infection management from 2006 to 2011. Emergency Department: Since 2006, nearly 10 million diabetics were annually evaluated in the emergency department. Infection was the primary reason for presentation in 10% of these visits. Among those visits, urinary tract infection was the most common infection, accounting for over 30% of emergency department encounters for infections. Other common infections included sepsis, skin and soft tissue infections, and pneumonia. Diabetics were more than twice as likely to be hospitalized for infection management than patients without diabetes. Hospitalization: Since 2006, nearly 6 million diabetics were annually hospitalized. 8-12% of these patients were hospitalized for infection management. In 2011, the inpatient care provided to patients with DM, and infection was responsible for over $48 billion dollars in aggregate hospital charges. Diabetics commonly present to the emergency department and require hospitalization for infection management. The care provided to diabetics for infection management has a large economic impact on the United States healthcare system. More efforts are needed to develop cost-effective strategies for the prevention of infection in patients with diabetes. Copyright © 2015 Elsevier Inc. All rights reserved.
A supply chain analysis framework for assessing state-level forest biomass utilization policies in the United States
International Nuclear Information System (INIS)
Becker, Dennis R.; Moseley, Cassandra; Lee, Christine
The number of state policies aimed at fostering biomass utilization has proliferated in recent years in the United States. Several states aim to increase the use of forest and agriculture biomass through renewable energy production. Several more indirectly encourage utilization by targeting aspects of the supply chain from trees standing in the forest to goods sold. This research classifies 370 state policies from across the United States that provides incentives for forest biomass utilization. We compare those policies by types of incentives relative to the supply chain and geographic clustering. We then develop a framework for policy evaluation building on the supply chain steps, which can be used to assess intended and unintended consequences of policy interactions. These findings may inform policy development and identify synergies at different steps in the supply chain to enhance forest biomass utilization.
Barriers to the increased utilization of coal combustion/desulfurization by-products by government and commercial sectors - Update 1998
Energy Technology Data Exchange (ETDEWEB)
Pflughoeft-Hassett, D.F.; Sondreal, E.A.; Steadman, E.N.; Eylands, K.E.; Dockter, B.A.
The following conclusions are drawn from the information presented in this report: (1) Joint efforts by industry and government focused on meeting RTC recommendations for reduction/removal of barriers have met with some success. The most notable of these are the changes in regulations related to CCB utilization by individual states. Regionally or nationally consistent state regulation of CCB utilization would further reduce regulatory barriers. (2) Technology changes will continue to be driven by the CAAA, and emission control technologies are expected to continue to impact the type and properties of CCBs generated. As a result, continued RD and D will be needed to learn how to utilize new and changing CCBs in environmentally safe, technically sound, and economically advantageous ways. Clean coal technology CCBs offer a new challenge because of the high volumes expected to be generated and the different characteristics of these CCBs compared to those of conventional CCBs. (3) Industry and government have developed the RD and D infrastructure to address the technical aspects of developing and testing new CCB utilization applications, but this work as well as constant quality control/quality assurance testing needs to be continued to address both industry wide issues and issues related to specific materials, regions, or users. (4) Concerns raised by environmental groups and the public will continue to provide environmental and technical challenges to the CCB industry. It is anticipated that the use of CCBs in mining applications, agriculture, structural fills, and other land applications will continue to be controversial and will require case-by-case technical and environmental information to be developed. The best use of this information will be in the development of generic regulations specifically addressing the use of CCBs in these different types of CCB applications. (5) The development of federal procurement guidelines under Executive Order 12873 titled &apos
Commercial Hy-Line W-36 pullet and laying hen venous blood gas and chemistry profiles utilizing the portable i-STAT?1 analyzer
Schaal, T. P.; Arango, J.; Wolc, A.; Brady, J. V.; Fulton, J. E.; Rubinoff, I.; Ehr, I. J.; Persia, M. E.; O'Sullivan, N. P.
Venous blood gas and chemistry reference ranges were determined for commercial Hy-Line W-36 pullets and laying hens utilizing the portable i-STAT?1 analyzer and CG8+ cartridges. A total of 632 samples were analyzed from birds between 4 and 110 wk of age. Reference ranges were established for pullets (4 to 15 wk), first cycle laying hens (20 to 68 wk), and second cycle (post molt) laying hens (70 to 110 wk) for the following traits: sodium (Na mmol/L), potassium (K mmol/L), ionized calcium (iC...
Spatial resolution recovery utilizing multi-ray tracing and graphic processing unit in PET image reconstruction
International Nuclear Information System (INIS)
Liang, Yicheng; Peng, Hao
Depth-of-interaction (DOI) poses a major challenge for a PET system to achieve uniform spatial resolution across the field-of-view, particularly for small animal and organ-dedicated PET systems. In this work, we implemented an analytical method to model system matrix for resolution recovery, which was then incorporated in PET image reconstruction on a graphical processing unit platform, due to its parallel processing capacity. The method utilizes the concepts of virtual DOI layers and multi-ray tracing to calculate the coincidence detection response function for a given line-of-response. The accuracy of the proposed method was validated for a small-bore PET insert to be used for simultaneous PET/MR breast imaging. In addition, the performance comparisons were studied among the following three cases: 1) no physical DOI and no resolution modeling; 2) two physical DOI layers and no resolution modeling; and 3) no physical DOI design but with a different number of virtual DOI layers. The image quality was quantitatively evaluated in terms of spatial resolution (full-width-half-maximum and position offset), contrast recovery coefficient and noise. The results indicate that the proposed method has the potential to be used as an alternative to other physical DOI designs and achieve comparable imaging performances, while reducing detector/system design cost and complexity. (paper)
Drug utilization review of cephalosporins in a secondary care hospital in United Arab Emirates.
Abou-Shaaban, Mohammad; Ali, Areeg Anwer; Rao, Padma G M; Majid, Asif
Background Cephalosporins are one of the most commonly used antibiotics in United Arab Emirates (UAE). Few studies have been carried out to evaluate the antibiotic utilization pattern in UAE in spite of the obvious increase in cephalosporins resistance during the past decade. Objective To assess the prescriptions pattern of cephalosporins among physicians at a secondary care hospital in Ras Al Khaimah, UAE. Method This observational prospective study was carried out during October 2013 to April 2014. The data of in patients were documented in the predesigned patient profile form and was analyzed for patient's, drug's and drug's therapy related parameters. Results The 3rd generation cephalosporins constituted 83.6 % of the prescriptions, with ceftriaxone being the most commonly used one (81.1 %). They were mainly prescribed for the treatment of the lower respiratory tract infections (60.2 %). Seven (3.5 %) different ADRs linked to cephalosporin use were observed ranging from oral thrush to clostridium difficile infection. A total of 1039 antimicrobial and nonantimicrobial medications were prescribed concomitantly with cephalosporins. Conclusion The 3rd generation cephalosporins were commonly prescribed by parenteral route. Thus, there is a strong need for rationalizing their use to preserve their efficacy and prevent the development of resistance in the region.
An independent monitor unit calculation by commercial software as a part of a radiotherapy treatment planning system quality control
International Nuclear Information System (INIS)
Nechvil, K.; Mynarik, J.
For the independent calculation of the monitored unit (MU) the commercial software RadCalc (Lifeline Software Inc., Tyler TX) was used as the choice of some available similar programs. The program was configured and used to verify the doses calculated by commercially accessible planning system Eclipse version 8.6.17 (Varian Medical System Inc., Palo Alto). This system is being used during the clinical running for the creation of the treatment plans. The results of each plan were compared to the dose phantom measurements by the ionization chamber at the same point in which the calculation were done (Eclipse, RadCalc) - in the izocentre. TPS is configured by the beam data (PDD and OAR). Those beam data were exported and afterwards the same data were imported to the program RadCalc. The consistent and independent data between TPS and RadCalc were gained by this process. The reference conditions were set the identical in RadCalc as in TPS, so the consistency between TPS and RadCalc output factors has been achieved (Collimator Scatter Factor: Sc, Phantom Scatter Factor: Sp). Those output factors were also measured by the ionizing chamber in the water phantom and compared with the TPS. Based on the clinical data of the response to the doses, ICRU recommends ensuring the ability of dosimetric systems to deliver the doses with accuracy of at least 5%. Many factors, such as layout of anatomic structures, positioning of a patient, factors related to an accelerator (a dose calibration and mechanic parameters) cause random and systematic failures in a dose delivery. The source of some problems can be also caused by the system databases and relating information transfer; and the TPS containing besides other things other dose calculation algorithms. (authors)
Innovative clean coal technology (ICCT): demonstration of selective catalytic reduction (SCR) technology for the control of nitrogen oxide (NOx) emission from high-sulfur, coal-fired boilers - economic evaluation of commercial-scale SCR applications for utility boilers
International Nuclear Information System (INIS)
Healy, E.C.; Maxwell, J.D.; Hinton, W.S.
This report presents the results of an economic evaluation produced as part of the Innovative Clean Coal Technology project, which demonstrated selective catalytic reduction (SCR) technology for reduction of NO x emissions from utility boilers burning U.S. high-sulfur coal. The document includes a commercial-scale capital and O ampersand M cost evaluation of SCR technology applied to a new facility, coal-fired boiler utilizing high-sulfur U.S. coal. The base case presented herein determines the total capital requirement, fixed and variable operating costs, and levelized costs for a new 250-MW pulverized coal utility boiler operating with a 60-percent NO x removal. Sensitivity evaluations are included to demonstrate the variation in cost due to changes in process variables and assumptions. This report also presents the results of a study completed by SCS to determine the cost and technical feasibility of retrofitting SCR technology to selected coal-fired generating units within the Southern electric system
Martin, Gary L.
A robust and competitive commercial space sector is vital to continued progress in space. The United States is committed to encouraging and facilitating the growth of a U.S. commercial space sector that supports U.S. needs, is globally competitive, and advances U.S. leadership in the generation of new markets and innovation-driven entrepreneurship. Energize competitive domestic industries to participate in global markets and advance the development of: satellite manufacturing; satellite-based services; space launch; terrestrial applications; and increased entrepreneurship. Purchase and use commercial space capabilities and services to the maximum practical extent Actively explore the use of inventive, nontraditional arrangements for acquiring commercial space goods and services to meet United States Government requirements, including measures such as public-private partnerships, . Refrain from conducting United States Government space activities that preclude, discourage, or compete with U.S. commercial space activities. Pursue potential opportunities for transferring routine, operational space functions to the commercial space sector where beneficial and cost-effective.
Short communication: Feed utilization and its associations with fertility and productive life in 11 commercial Pennsylvania tie-stall herds.
Vallimont, J E; Dechow, C D; Daubert, J M; Dekleva, M W; Blum, J W; Liu, W; Varga, G A; Heinrichs, A J; Baumrucker, C R
The objectives of this study were to quantify the relationships of various definitions of feed utilization with both fertility and productive life. Intake and body measurement data were collected monthly on 970 cows in 11 tie-stall herds for 6 consecutive months. Measures of feed utilization for this study were dry matter intake (DMI), dry matter intake efficiency (DME, defined as 305-d fat-corrected milk/305-d DMI), DME with intake adjusted for maintenance requirements (DMEM), crude protein efficiency (defined as 305-d protein yield/305-d crude protein intake), and 2 definitions of residual feed intake (RFI). The first, RFI(reg), was calculated by regressing daily DMI on daily milk, fat, and protein yields, body weight (BW), daily body condition score (BCS) gain or loss, the interaction between BW and BCS gain or loss, and days in milk. The second, RFI(NRC), was estimated by subtracting 305-d DMI predicted according to their fat-corrected milk and BW from actual 305-d DMI. Data were analyzed with 8-trait animal models and included one measure of feed utilization and milk, fat, and protein yields, BW, BCS, days open (DO), and productive life (PL). The genetic correlation between DME and DO was 0.53 (± 0.19) and that between DME and PL was 0.66 (± 0.10). These results show that cows who had higher feed efficiency had greater DO (undesirable) and greater PL (desirable). Results were similar for the genetic correlation between DO and crude protein efficiency (0.42). Productive life had genetic correlations of -0.22 with BW and -0.48 with BCS, suggesting that larger, fatter cows in this study had shorter PL. Correlations between estimated breeding values for feed utilization and official sire genetic evaluations for fertility were in agreement with the results from the multiple-trait models. Selection programs intended to enhance feed efficiency should factor relationships with functional traits to avoid unfavorable effects on cow fertility. Copyright © 2013
The Surface Coating of Commercial LiFePO4 by Utilizing ZIF-8 for High Electrochemical Performance Lithium Ion Battery
Xu, XiaoLong; Qi, CongYu; Hao, ZhenDong; Wang, Hao; Jiu, JinTing; Liu, JingBing; Yan, Hui; Suganuma, Katsuaki
The requirement of energy-storage equipment needs to develop the lithium ion battery (LIB) with high electrochemical performance. The surface modification of commercial LiFePO4 (LFP) by utilizing zeolitic imidazolate frameworks-8 (ZIF-8) offers new possibilities for commercial LFP with high electrochemical performances. In this work, the carbonized ZIF-8 (CZIF-8) was coated on the surface of LFP particles by the in situ growth and carbonization of ZIF-8. Transmission electron microscopy indicates that there is an approximate 10 nm coating layer with metal zinc and graphite-like carbon on the surface of LFP/CZIF-8 sample. The N2 adsorption and desorption isotherm suggests that the coating layer has uniform and simple connecting mesopores. As cathode material, LFP/CZIF-8 cathode-active material delivers a discharge specific capacity of 159.3 mAh g-1 at 0.1C and a discharge specific energy of 141.7 mWh g-1 after 200 cycles at 5.0C (the retention rate is approximate 99%). These results are attributed to the synergy improvement of the conductivity, the lithium ion diffusion coefficient, and the degree of freedom for volume change of LFP/CZIF-8 cathode. This work will contribute to the improvement of the cathode materials of commercial LIB.[Figure not available: see fulltext.
International Space Station (ISS) Plasma Contactor Unit (PCU) Utilization Plan Assessment Update
Hernandez-Pellerano, Amri; Iannello, Christopher J.; Garrett, Henry B.; Ging, Andrew T.; Katz, Ira; Keith, R. Lloyd; Minow, Joseph I.; Willis, Emily M.; Schneider, Todd A.; Whittlesey, Edward J.;
The International Space Station (ISS) vehicle undergoes spacecraft charging as it interacts with Earth's ionosphere and magnetic field. The interaction can result in a large potential difference developing between the ISS metal chassis and the local ionosphere plasma environment. If an astronaut conducting extravehicular activities (EVA) is exposed to the potential difference, then a possible electrical shock hazard arises. The control of this hazard was addressed by a number of documents within the ISS Program (ISSP) including Catastrophic Safety Hazard for Astronauts on EVA (ISS-EVA-312-4A_revE). The safety hazard identified the risk for an astronaut to experience an electrical shock in the event an arc was generated on an extravehicular mobility unit (EMU) surface. A catastrophic safety hazard, by the ISS requirements, necessitates mitigation by a two-fault tolerant system of hazard controls. Traditionally, the plasma contactor units (PCUs) on the ISS have been used to limit the charging and serve as a "ground strap" between the ISS structure and the surrounding ionospheric plasma. In 2009, a previous NASA Engineering and Safety Center (NESC) team evaluated the PCU utilization plan (NESC Request #07-054-E) with the objective to assess whether leaving PCUs off during non-EVA time periods presented risk to the ISS through assembly completion. For this study, in situ measurements of ISS charging, covering the installation of three of the four photovoltaic arrays, and laboratory testing results provided key data to underpin the assessment. The conclusion stated, "there appears to be no significant risk of damage to critical equipment nor excessive ISS thermal coating damage as a result of eliminating PCU operations during non- EVA times." In 2013, the ISSP was presented with recommendations from Boeing Space Environments for the "Conditional" Marginalization of Plasma Hazard. These recommendations include a plan that would keep the PCUs off during EVAs when the
Utilization of Health Care Coalitions and Resiliency Forums in the United States and United Kingdom: Different Approaches to Strengthen Emergency Preparedness.
Walsh, John; Swan, Allan Graeme
The process for developing national emergency management strategies for both the United States and the United Kingdom has led to the formulation of differing approaches to meet similar desired outcomes. Historically, the pathways for each are the result of the enactment of legislation in response to a significant event or a series of events. The resulting laws attempt to revise practices and policies leading to more effective and efficient management in preparing, responding, and mitigating all types of natural, manmade, and technological hazards. Following the turn of the 21st century, each country has experienced significant advancements in emergency management including the formation and utilization of 2 distinct models: health care coalitions in the United States and resiliency forums in the United Kingdom. Both models have evolved from circumstances and governance unique to each country. Further in-depth study of both approaches will identify strengths, weaknesses, and existing gaps to meet continued and future challenges of our respective disaster health care systems.
Utilization Trends in Diagnostic Imaging for a Commercially Insured Population: A Study of Massachusetts Residents 2009 to 2013.
Flaherty, Stephen; Mortele, Koenraad J; Young, Gary J
To report utilization trends in diagnostic imaging among commercially insured Massachusetts residents from 2009 to 2013. Current Procedural Terminology codes were used to identify diagnostic imaging claims in the Massachusetts All-Payer Claims Database for the years 2009 to 2013. We reported utilization and spending annually by imaging modality using total claims, claims per 1,000 individuals, total expenditures, and average per claim payments. The number of diagnostic imaging claims per insured MA resident increased only 0.6% from 2009 to 2013, whereas nonradiology claims increased by 6% annually. Overall diagnostic imaging expenditures, adjusted for inflation, were 27% lower in 2009 than 2013, compared with an 18% increase in nonimaging expenditures. Average payments per claim were lower in 2013 than 2009 for all modalities except nuclear medicine. Imaging procedure claims per 1,000 MA residents increased from 2009 to 2013 by 13% in MRI, from 147 to 166; by 17% in ultrasound, from 453 to 530; and by 12% in radiography (x-ray), from 985 to 1,100. However, CT claims per 1,000 fell by 37%, from 341 to 213, and nuclear medicine declined 57%, from 89 claims per 1,000 to 38. Diagnostic imaging utilization exhibited negligible growth over the study period. Diagnostic imaging expenditures declined, largely the result of falling payments per claim in most imaging modalities, in contrast with increased utilization and spending on nonimaging services. Utilization of MRI, ultrasound, and x-ray increased from 2009 to 2013, whereas CT and nuclear medicine use decreased sharply, although CT was heavily impacted by billing code changes. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.
Experimental investigations on cylindrical latent heat storage units with sodium acetate trihydrate composites utilizing supercooling
DEFF Research Database (Denmark)
Dannemand, Mark; Johansen, Jakob Berg; Kong, Weiqiang
unit was tested with 116.3 kg SAT with 0.5% Xanthan rubber as a thickening agent and 4.4% graphite powder. The heat exchange capacity rate during charge was significantly lower for the unit with SAT and Xanthan rubber compared to the unit with SAT and extra water. This was due to less convection...
Experimental investigations on prototype heat storage units utilizing stable supercooling of sodium acetate trihydrate mixtures
DEFF Research Database (Denmark)
Dannemand, Mark; Dragsted, Janne; Fan, Jianhua
Laboratory tests of two heat storage units based on the principle of stable supercooling of sodium acetate trihydrate (SAT) mixtures were carried out. One unit was filled with 199.5 kg of SAT with 9% extra water to avoid phase separation of the incongruently melting salt hydrate. The other unit...
Impact of the invasive brown marmorated stink bug, Halyomorpha halys (Stal) in Mid-Atlantic tree fruit orchards in the United States: case studies of commercial management
Four commercial orchards in the mid-Atlantic region of the United States were surveyed weekly in 2010 and 2011 for the presence of brown marmorated stink bug and the injury caused to both apple and peaches. Among tested sampling techniques, baited pyramid traps yielded the most brown marmorated sti...
Zika virus RNA polymerase chain reaction on the utility channel of a commercial nucleic acid testing system.
Boujnan, Mohamed; Duits, Ashley J; Koppelman, Marco H G M
Several countries have implemented safety strategies to reduce the risk of Zika virus (ZIKV) transmission through blood transfusion. These strategies have included nucleic acid amplification testing (NAT) of blood donations. In this study, a new real-time polymerase chain reaction (PCR) assay including internal control for the detection of ZIKV on the cobas omni Utility Channel (UC) on the cobas 6800 system is presented. PCR conditions and primer/probe concentrations were optimized on the LightCycler 480 instrument. Optimized conditions were transferred to the cobas omni UC on the cobas 6800 system. Subsequently, the limit of detection (LOD) in plasma and urine, genotype inclusivity, specificity, cross-reactivity, and clinical sensitivity were determined. The 95% LOD of the ZIKV PCR assay on the cobas 6800 system was 23.0 IU/mL (95% confidence interval [CI], 16.5-37.5) in plasma and 24.5 IU/mL (95% CI, 13.4-92.9) in urine. The assay detected African and Asian lineages of ZIKV. The specificity was 100%. The clinical concordance between the newly developed ZIKV PCR assay and the investigational Roche cobas Zika NAT test was 83% (24/29). We developed a sensitive ZIKV PCR assay on the cobas omni UC on the cobas 6800 system. The assay can be used for large-scale screening of blood donations for ZIKV or for testing of blood donors returning from areas with ZIKV to avoid temporal deferral. This study also demonstrates that the cobas omni UC on the cobas 6800 system can be used for in-house-developed PCR assays. © 2018 AABB.
Utilizing Commercial Real Estate Owner and Investor Data to Analyze the Financial Performance of Energy Efficient, High-Performance Office Buildings
Energy Technology Data Exchange (ETDEWEB)
Cloutier, Deborah [JDM Associates, Falls Church, VA (United States); Hosseini, Farshid [JDM Associates, Falls Church, VA (United States); White, Andrew [JDM Associates, Falls Church, VA (United States)
Evidence has shown that owning and operating energy-efficient, high-performance, "green" properties results in multiple benefits including lower utility bills, higher rents, improved occupancy, and greater net operating income. However, it is difficult to isolate and control moderating factors to identify the specific drivers behind improved financial performance and value to investors that results from sustainability in real estate. DOE is interested in facilitating deeper investigation of the correlation between energy efficiency and financial performance, reducing data acquisition and matching challenges, and developing a stronger understanding of how sustainable design and energy efficiency impact value. DOE commissioned this pilot study to test the logistical and empirical procedures required to establish a Commercial Real Estate Data Aggregation & Trends Analysis lab, determine the potential benefits available through the lab, and contribute to the existing body of evidence in this field.
Health care access and utilization among children of single working and nonworking mothers in the United States.
Clarke, Tainya C; Arheart, Kristopher L; Muennig, Peter; Fleming, Lora E; Caban-Martinez, Alberto J; Dietz, Noella; Lee, David J
To examine indicators of health care access and utilization among children of working and nonworking single mothers in the United States, the authors used data on unmarried women participating in the 1997-2008 National Health Interview Survey who financially supported children under 18 years of age (n = 21,842). Stratified by maternal employment, the analyses assessed health care access and utilization for all children. Outcome variables included delayed care, unmet care, lack of prescription medication, no usual place of care, no well-child visit, and no doctor's visit. The analyses reveal that maternal employment status was not associated with health care access and utilization. The strongest predictors of low access/utilization included no health insurance and intermittent health insurance in the previous 12 months, relative to those with continuous private health insurance coverage (odds ratio ranges 3.2-13.5 and 1.3-10.3, respectively). Children with continuous public health insurance compared favorably with those having continuous private health insurance on three of six access/utilization indicators (odds ratio range 0.63-0.85). As these results show, health care access and utilization for the children of single mothers are not optimal. Passage of the U.S. Healthcare Reform Bill (HR 3590) will probably increase the number of children with health insurance and improve these indicators.
An international investigation into O red blood cell unit administration in hospitals: the GRoup O Utilization Patterns (GROUP) study.
Zeller, Michelle P; Barty, Rebecca; Aandahl, Astrid; Apelseth, Torunn O; Callum, Jeannie; Dunbar, Nancy M; Elahie, Allahna; Garritsen, Henk; Hancock, Helen; Kutner, José Mauro; Manukian, Belinda; Mizuta, Shuichi; Okuda, Makoto; Pagano, Monica B; Pogłód, Ryszard; Rushford, Kylie; Selleng, Kathleen; Sørensen, Claess Henning; Sprogøe, Ulrik; Staves, Julie; Weiland, Thorsten; Wendel, Silvano; Wood, Erica M; van de Watering, Leo; van Wordragen-Vlaswinkel, Maria; Ziman, Alyssa; Jan Zwaginga, Jaap; Murphy, Michael F; Heddle, Nancy M; Yazer, Mark H
Transfusion of group O blood to non-O recipients, or transfusion of D- blood to D+ recipients, can result in shortages of group O or D- blood, respectively. This study investigated RBC utilization patterns at hospitals around the world and explored the context and policies that guide ABO blood group and D type selection practices. This was a retrospective study on transfusion data from the 2013 calendar year. This study included a survey component that asked about hospital RBC selection and transfusion practices and a data collection component where participants submitted information on RBC unit disposition including blood group and D type of unit and recipient. Units administered to recipients of unknown ABO or D group were excluded. Thirty-eight hospitals in 11 countries responded to the survey, 30 of which provided specific RBC unit disposition data. Overall, 11.1% (21,235/191,397) of group O units were transfused to non-O recipients; 22.6% (8777/38,911) of group O D- RBC units were transfused to O D+ recipients, and 43.2% (16,800/38,911) of group O D- RBC units were transfused to recipients that were not group O D-. Disposition of units and hospital transfusion policy varied within and across hospitals of different sizes, with transfusion of group O D- units to non-group O D- patients ranging from 0% to 33%. A significant proportion of group O and D- RBC units were transfused to compatible, nonidentical recipients, although the frequency of this practice varied across sites. © 2017 AABB.
Utilization of a novel autologous killed tri-vaccine (serogroups B [Typhimurium], C [Mbandaka] and E [Orion]) for Salmonella control in commercial poultry breeders.
Pavic, Anthony; Groves, Peter J; Cox, Julian M
An autologous killed trivalent vaccine (3x10(8) colony-forming units [CFU]), based on three Salmonella serovars (Typhimurium - serogroup B, Mbandaka - serogroup C, and Orion - serogroup E) prevalent in the flocks of Australian poultry companies, was developed using Salenvac techniques. At 20 weeks, hens vaccinated at 12 and 17 weeks as well as non-vaccinated hens were challenged (250 microl of 10(7) CFU) with autologous and heterologous serovars belonging to serogroup B (Typhimurium and Agona), serogroup C (Mbandaka and Infantis) and serogroup E (Orion and Zanzibar). Overall, vaccination resulted in a significant difference in carriage of Salmonella between non-vaccinated and vaccinated commercial Cobb hens (P 0.05) could be determined for serogroup E. All vaccinated flocks produced a significant antibody response (P<0.001) to the S. Typhimurium vaccine strain, measured using a S. Typhimurium enzyme-linked immunosorbent assay (Guildhay), which peaked at 20 weeks of age, with 39% of the hens positive. Maternal antibodies were detected in 16% of the yolks from eggs produced by these flocks. There was a significant difference after challenge with Salmonella (P <0.05) among 1-day-old chicks from vaccinated versus non-vaccinated parents, when challenged using 10(4) CFU but not when challenged with 10(8) CFU. The success of this trial resulted in the incorporation of this vaccine into a Salmonella control system in commercial broiler breeder production.
SECARB Commercial Scale CO2 Injection and Optimization of Storage Capacity in the Southeastern United States
Energy Technology Data Exchange (ETDEWEB)
Koperna, George J. [Advanced Resources International, Inc., Arlington, VA (United States); Pashin, Jack [Oklahoma State Univ., Stillwater, OK (United States); Walsh, Peter [Univ. of Alabama, Birmingham, AL (United States)
The Commercial Scale Project is a US DOE/NETL funded initiative aimed at enhancing the knowledge-base and industry's ability to geologically store vast quantities of anthropogenic carbon. In support of this goal, a large-scale, stacked reservoir geologic model was developed for Gulf Coast sediments centered on the Citronelle Dome in southwest Alabama, the site of the SECARB Phase III Anthropogenic Test. Characterization of regional geology to construct the model consists of an assessment of the entire stratigraphic continuum at Citronelle Dome, from surface to the depth of the Donovan oil-bearing formation. This project utilizes all available geologic data available, which includes: modern geophysical well logs from three new wells drilled for SECARB's Anthropogenic Test; vintage logs from the Citronelle oilfield wells; porosity and permeability data from whole core and sidewall cores obtained from the injection and observation wells drilled for the Anthropogenic Test; core data obtained from the SECARB Phase II saline aquifer injection test; regional core data for relevant formations from the Geological Survey of Alabama archives. Cross sections, isopach maps, and structure maps were developed to validate the geometry and architecture of the Citronelle Dome for building the model, and assuring that no major structural defects exist in the area. A synthetic neural network approach was used to predict porosity using the available SP and resistivity log data for the storage reservoir formations. These data are validated and applied to extrapolate porosity data over the study area wells, and to interpolate permeability amongst these data points. Geostatistical assessments were conducted over the study area. In addition to geologic characterization of the region, a suite of core analyses was conducted to construct a depositional model and constrain caprock integrity. Petrographic assessment of core was conducted by OSU and analyzed to build a depositional framework
Utility-Scale Solar 2013: An empirical analysis of project cost, performance, and pricing trends in the United States
Energy Technology Data Exchange (ETDEWEB)
Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Weaver, Samantha [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Other than the SEGS I-IX parabolic trough projects built in the 1980s, virtually no large-scale or "utility-scale" solar projects-defined here to include any ground-mounted photovoltaic ("PV"), concentrating photovoltaic ("CPV"), or concentrating solar power ("CSP" or solar thermal) project larger than 5 MWAC-existed in the United States prior to 2007.
Utility-Scale Solar 2015: An Empirical Analysis of Project Cost, Performance, and Pricing Trends in the United States
Energy Technology Data Exchange (ETDEWEB)
Bolinger, Mark [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Seel, Joachim [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division
The utility-scale solar sector—defined here to include any ground-mounted photovoltaic ("PV"), concentrating photovoltaic ("CPV"), or concentrating solar power ("CSP") project that is larger than 5 MWAC in capacity—has led the overall U.S. solar market in terms of installed capacity since 2012. It is expected to maintain its market-leading position for at least another five years, driven in part by December 2015's three-year extension of the 30% federal investment tax credit ("ITC") through 2019 (coupled with a favorable switch to a "start construction" rather than a "placed in service" eligibility requirement, and a gradual phase down of the credit to 10% by 2022). In fact, in 2016 alone, the utility-scale sector is projected to install more than twice as much new capacity as it ever has previously in a single year. This unprecedented boom makes it difficult, yet more important than ever, to stay abreast of the latest utility-scale market developments and trends. This report—the fourth edition in an ongoing annual series—is intended to help meet this need, by providing in-depth, annually updated, data-driven analysis of the utility-scale solar project fleet in the United States. Drawing on empirical project-level data from a wide range of sources, this report analyzes not just installed project costs or prices—i.e., the traditional realm of most solar economic analyses—but also operating costs, capacity factors, and power purchase agreement ("PPA") prices from a large sample of utility-scale solar projects throughout the United States. Given its current dominance in the market, utility-scale PV also dominates much of this report, though data from CPV and CSP projects are also presented where appropriate.
Backstepping-based nonlinear adaptive control for coal-fired utility boiler-turbine units
International Nuclear Information System (INIS)
Fang, Fang; Wei, Le
The control system of boiler-turbine unit plays an important role in improving efficiency and reducing emissions of power generation unit. The nonlinear, coupling and uncertainty of the unit caused by varying working conditions should be fully considered during the control system design. This paper presents an efficient control scheme based on backstepping theory for improving load adaptability of boiler-turbines in wide operation range. The design process of the scheme includes model preprocessing, control Lyapunov functions selection, interlaced computation of adaptive control laws, etc. For simplification and accuracy, differential of steam pipe inlet pressure and integral terms of target errors are adopted. Also, to enhance practicality, implementation steps of the scheme are proposed. A practical nonlinear model of a 500 MW coal-fired boiler-turbine unit is used to test the efficiency of the proposed scheme in different conditions.
Utility of Amyloid and FDG-PET in Clinical Practice: Differences Between Secondary and Tertiary Care Memory Units.
Lage, Carmen; Suarez, Andrea Gonzalez; Pozueta, Ana; Riancho, Javier; Kazimierczak, Martha; Bravo, Maria; Jimenez Bonilla, Julio; de Arcocha Torres, Marıa; Quirce, Remedios; Banzo, Ignacio; Vazquez-Higuera, Jose Luis; Rabinovici, Gil D; Rodriguez-Rodriguez, Eloy; Sánchez-Juan, Pascual
The clinical utility of amyloid positron emission tomography (PET) has not been fully established. Our aim was to evaluate the effect of amyloid imaging on clinical decision making in a secondary care unit and compare our results with a previous study in a tertiary center following the same methods. We reviewed retrospectively 151 cognitively impaired patients who underwent amyloid (Pittsburgh compound B [PiB]) PET and were evaluated clinically before and after the scan in a secondary care unit. One hundred and fifty concurrently underwent fluorodeoxyglucose (FDG)-PET. We assessed changes between the pre- and post-PET clinical diagnosis and Alzheimer's disease treatment plan. The association between PiB/FDG results and changes in management was evaluated using χ2 and multivariate logistic regression. Concordance between classification based on scan readings and baseline diagnosis was 66% for PiB and 47% for FDG. The primary diagnosis changed after PET in 17.2% of cases. When examined independently, discordant PiB and discordant FDG were both associated with diagnostic change (p PET due to a higher likelihood of diagnostic change. We found that changes in diagnosis after PET in our secondary center almost doubled those of our previous analysis of a tertiary unit (9% versus 17.2%). Our results offer some clues about the rational use of amyloid PET in a secondary care memory unit stressing its utility in mild cognitive impairment patients.
SMES: Redefining the path to commercial demonstration
Energy Technology Data Exchange (ETDEWEB)
Bingham, W.G. [Bechtel, San Francisco, CA (United States); Lighthipe, R.W. [San Diego Gas & Electric, San Diego, CA (United States)
SMES (Superconducting Magnetic Energy Storage) is an emerging technology offering tremendous potential benefits to the utility industry. San Diego Gas & Electric (SDG&E) and Bechtel are leading a team of companies and national laboratories working towards design and construction of the world`s first demonstration facility for large, commercial SMES for enhancing transmission stability in the Southwestern United States.
SMES: Redefining the path to commercial demonstration
International Nuclear Information System (INIS)
Bingham, W.G.; Lighthipe, R.W.
SMES (Superconducting Magnetic Energy Storage) is an emerging technology offering tremendous potential benefits to the utility industry. San Diego Gas ampersand Electric (SDG ampersand E) and Bechtel are leading a team of companies and national laboratories working towards design and construction of the world's first demonstration facility for large, commercial SMES for enhancing transmission stability in the Southwestern United States
Study of water quality improvements during riverbank filtration at three midwestern United States drinking water utilities
Weiss, W.; Bouwer, E.; Ball, W.; O'Melia, C.; Lechevallier, M.; Arora, H.; Aboytes, R.; Speth, T.
Riverbank filtration (RBF) is a process during which surface water is subjected to subsurface flow prior to extraction from wells. During infiltration and soil passage, surface water is subjected to a combination of physical, chemical, and biological processes such as filtration, dilution, sorption, and biodegradation that can significantly improve the raw water quality (Tufenkji et al, 2002; Kuehn and Mueller, 2000; Kivimaki et al, 1998; Stuyfzand, 1998). Transport through alluvial aquifers is associated with a number of water quality benefits, including removal of microbes, pesticides, total and dissolved organic carbon (TOC and DOC), nitrate, and other contaminants (Hiscock and Grischek, 2002; Tufenkji et al., 2002; Ray et al, 2002; Kuehn and Mueller, 2000; Doussan et al, 1997; Cosovic et al, 1996; Juttner, 1995; Miettinen et al, 1994). In comparison to most groundwater sources, alluvial aquifers that are hydraulically connected to rivers are typically easier to exploit (shallow) and more highly productive for drinking water supplies (Doussan et al, 1997). Increased applications of RBF are anticipated as drinking water utilities strive to meet increasingly stringent drinking water regulations, especially with regard to the provision of multiple barriers for protection against microbial pathogens, and with regard to tighter regulations for disinfection by-products (DBPs), such as trihalomethanes (THMs) and haloacetic acids (HAAs). In the above context, research was conducted to document the water quality benefits during RBF at three major river sources in the mid-western United States, specifically with regard to DBP precursor organic matter and microbial pathogens. Specific objectives were to: 1. Evaluate the merits of RBF for removing/controlling DBP precursors and certain other drinking water contaminants (e.g. microorganisms). 2. Evaluate whether RBF can improve finished drinking water quality by removing and/or altering natural organic matter (NOM) in a
Trends Analysis of rhBMP2 Utilization in Single-Level Anterior Lumbar Interbody Fusion in the United States.
Lao, Lifeng; Cohen, Jeremiah R; Buser, Zorica; Brodke, Darrel S; Yoon, S Tim; Youssef, Jim A; Park, Jong-Beom; Meisel, Hans-Joerg; Wang, Jeffrey C
Retrospective case study. To evaluate the trends and demographics of recombinant human bone morphogenetic protein 2 (rhBMP2) utilization in single-level anterior lumbar interbody fusion (ALIF) in the United States. Patients who underwent single-level ALIF from 2005 to 2011 were identified by searching ICD-9 diagnosis and procedure codes in the PearlDiver Patient Records Database (PearlDiver Technologies, Fort Wayne, IN), a national database of orthopedic insurance records. The year of procedure, age, gender, and region of the United States were analyzed for each patient. A total of 921 patients were identified who underwent a single-level ALIF in this study. The average rate of single-level ALIF with rhBMP2 utilization increased (35%-48%) from 2005 to 2009, but sharply decreased to 16.7% in 2010 and 15.0% in 2011. The overall incidence of single-level ALIF without rhBMP2 (0.20 cases per 100 000 patients) was more than twice of the incidence of single-level ALIF with rhBMP2 (0.09 cases per 100 000 patients). The average rate of single-level ALIF with rhBMP2 utilization is highest in West (41.4%), followed by Midwest (33.3%), South (26.5%) and Northeast (22.2%). The highest incidence of single-level ALIF with rhBMP2 was observed in the group aged less than 65 years (compared with any other age groups, P level ALIF increased from 2006 to 2009, but decreased in 2010 and 2011. The Northeast region had the lowest incidence of rhBMP2 utilization. The group aged less than 65 years trended to have the higher incidence of single-level ALIF with rhBMP2 utilization.
A review from the regulatory position of the control of occupational exposure associated with the first 20 years of the United Kingdom commercial nuclear power programme
International Nuclear Information System (INIS)
Emmerson, B.W.
The control of occupational exposure received at commercial nuclear generating plants in the United Kingdom has been subject to regulatory requirements embodied in site licence conditions since 1959, and at commercial fuel production and reprocessing plants since 1971. The paper indicates the main radiological control objectives which have applied, reviews the statutory measures introduced for their achievement and indicates some of the administrative arrangements made by site operators in order to comply. The principal sources of occupational exposure associated with each stage of the fuel cycle are identified and exposure data since licensed operations commenced are reviewed. The effectiveness of the United Kingdom site licensing procedure in ensuring adequate radiological control procedures, including the minimisation of occupational exposure, is examined in relation to the relevant ICRP recommendations and against the background of the first 20 years of commercial nuclear power production. The impact on these procedures of more recently introduced legislation relating to health and safety at all places of employment in the United Kingdom is discussed. The paper considers the changes in current regulatory procedures that may result from the introduction of ICRP-26 and the recommendations of ICRP Committee 2, and concludes with a review of the more important problems facing the licensee and the Nuclear Inspectorate with regard to the implementation of future radiological control procedures. (H.K.)
An Analysis of the Impact of Sport Utility Vehicles in the United States
Energy Technology Data Exchange (ETDEWEB)
Davis, S.C.; Truett, L.F.
It may be labeled sport utility vehicle, SUV, sport-ute, suburban assault vehicle, or a friend of OPEC (Organization for Petroleum Exporting Countries). It has been the subject of comics, the object of high-finance marketing ploys, and the theme of Dateline. Whatever the label or the occasion, this vehicle is in great demand. The popularity of sport utility vehicles (SUVs) has increased dramatically since the late 1970s, and SUVs are currently the fastest growing segment of the motor vehicle industry. Hoping to gain market share due to the popularity of the expanding SUV market, more and more manufacturers are adding SUVs to their vehicle lineup. One purpose of this study is to analyze the world of the SUV to determine why this vehicle has seen such a rapid increase in popularity. Another purpose is to examine the impact of SUVs on energy consumption, emissions, and highway safety.
Stanisław Ledakowicz; Paweł Stolarek; A. Malinowski
The most wastewater treatment plants in Poland are small and medium plants of flow capacity below 1000 m3/d. These plants are not able to build sludge incineration plants and the transportation costs to the nearest plants increase the total costs of wastewater treatment. Polish company Metal Expert together with the French company ETIA and Lodz University of Technology proposed mobile unit for integrated drying and pyrolysis of sewage sludge in a pilot bench scale with capacity of 100 kg/h ...
Water-Chemistry and Its Utility Systems in CCP Power Units (Review)
Larin, B. M.
Damageability of heat transfer surfaces of waste heat recovery steam generators (HRSG) of combined- cycle plants (CCP) can be reduced due to an increase in the quality of make-up and feed water, the use of phosphate-alkaline or amino compound water chemistry (WC), and improved chemical quality control of the heat carrier and make-up water preparation techniques. Temporary quality standards for the heat medium developed by the All-Russia Thermal Engineering institute (VTI) for CCP power units are presented in comparison with the IAPWS standards; preferences for the choice of a WC type for some power units commissioned in Russia in the first decade of this century are shown; and operational data on the quality of feed, boiler water, and steam for two large CCP-450 and CCP-425 power units are given. The state and prospects for the development of chemical-technological monitoring systems and CCP water treatment plants are noted. Estimability of some CCP diagnostic parameters by measuring specific electric conductivity and pH is shown. An extensive bibliography on this topic is given.
Problem alcohol use and healthcare utilization among persons with cannabis use disorder in the United States.
John, William S; Wu, Li-Tzy
The emergency department (ED) and hospital settings represent crucial opportunities for engaging treatment for cannabis use disorder (CUD). Thus, there is a need to identify factors associated with healthcare utilization among persons with CUD to improve screening and intervention approaches. Problematic alcohol use may be a salient risk factor. Using data from the 2005-2013 National Surveys on Drug Use and Health, we determined factors, including different patterns of alcohol use, associated with past-year ED admission and inpatient hospitalization among persons aged 12 years or older meeting criteria for CUD in the past year (N=16,757). We also determined the prevalence and correlates of problem alcohol use among persons with CUD to further inform its association with healthcare utilization. Among persons with CUD, 40.15% and 10.04% reported past-year ED admission and inpatient hospitalization, respectively. Severe alcohol use disorder (AUD) (≥6 AUD symptoms), female sex, Black race, low income, major depressive episode (MDE), and other substance use disorders were associated with increased odds of healthcare utilization; current (i.e., last month) alcohol use patterns were not. Persons with CUD that were males, ages 18-25 (vs. ages 12-17), Hispanic (vs. White), and with low income, other drug use disorders, or MDE had increased odds of AUD. Findings suggest that screening and intervention efforts for improving treatment initiation or engagement for CUD may target cannabis-using women, blacks, low-income adults or those with severe AUD in the past year, another substance use disorder, or MDE. Copyright © 2017 Elsevier B.V. All rights reserved.
Commercial Buildings Characteristics, 1992
Energy Technology Data Exchange (ETDEWEB)
Commercial Buildings Characteristics 1992 presents statistics about the number, type, and size of commercial buildings in the United States as well as their energy-related characteristics. These data are collected in the Commercial Buildings Energy Consumption Survey (CBECS), a national survey of buildings in the commercial sector. The 1992 CBECS is the fifth in a series conducted since 1979 by the Energy Information Administration. Approximately 6,600 commercial buildings were surveyed, representing the characteristics and energy consumption of 4.8 million commercial buildings and 67.9 billion square feet of commercial floorspace nationwide. Overall, the amount of commercial floorspace in the United States increased an average of 2.4 percent annually between 1989 and 1992, while the number of commercial buildings increased an average of 2.0 percent annually.
An evaluation of the utility and limitations of counting motor unit action potentials in the surface electromyogram
Zhou, Ping; Zev Rymer, William
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.
Pediatric traumatic amputations and hospital resource utilization in the United States, 2003.
Conner, Kristen A; McKenzie, Lara B; Xiang, Huiyun; Smith, Gary A
Despite the severity of consequences associated with traumatic amputation, little is known about the epidemiology or healthcare resource burden of amputation injuries, and even less is known about these injuries in the pediatric population. An analysis of patients aged lawn mower, motorized vehicle or explosives/fireworks, and children's hospital type were associated with longer LOS. Pediatric traumatic amputations contribute substantially to the health resource burden in the United States, resulting in 21 million dollars in inpatient charges annually. More effective interventions to prevent these costly injuries among children must be implemented.
Twenty-year trends in the utilization of Heller myotomy for achalasia in the United States.
Haisley, Kelly R; Preston, Jennifer F; Dolan, James P; Diggs, Brian S; Hunter, John G
Trends in the utilization of Heller myotomy for achalasia in the U.S. over time have not been previously described. Using the Nationwide Inpatient Sample (NIS) database, we analyzed patients undergoing Heller myotomy for achalasia over a 20-year period (1992-2011) to estimate rates of Heller myotomy, locations where the procedures were performed (rural, urban or teaching) and changes in technique (laparoscopic vs open) as well as outcomes of length of stay and in-hospital mortality. Over the last 20 years, the total number of Heller myotomies performed in the U.S. has increased (1576 cases in 1992 to 5046 cases in 2011, p = 0.001). These procedures are now being performed laparoscopically (0.9%-67.0%, p Heller myotomy at teaching institutions with decreased in-hospital mortality and shorter LOS. Copyright © 2017. Published by Elsevier Inc.
Characterization and constructive utilization of sludge produced in clari-flocculation unit of water treatment plant
Ahmad, Tarique; Ahmad, Kafeel; Alam, Mehtab
All water treatment plants produce waste/residue amid the treatment of raw water. This study selectively investigates the clariflocculator sludge for its physicochemical characteristics and potential reuse options. Sieve analysis, XRF, SEM, XRD, FTIR, and TG-DTA instrumental techniques have been used to characterize the sludge sample. Results show that clariflocculator sludge contains about 78% fine sand having grain size range 150-75 μm. SiO2, Al2O3, Fe2O3 and CaO constitute the maximum percentage of chemical compounds present in the sludge and quartz is the main crystalline phase of the sludge. Recycling and reuse of this sludge, especially, as fine sand in preparing mortar, concrete mix and other civil engineering products would pave the way for constructive utilization with safe and sustainable sludge management strategies.
The application of high voltage digital and analogue unit protections to utility telecommunications systems
Energy Technology Data Exchange (ETDEWEB)
Farthing, H. [SNC Group, Montreal, PQ (Canada); Verzosa, Q.R.; Care, J.M. [SNC Group, Montreal, PQ (Canada)
The use of fibre optic and digital microwave systems, both within and without utility communications networks was discussed. Their availability has led to the development of phase comparison and differential current relaying systems which provide enhanced protective features for transmission circuits. The application of fibre optic cable or microwave radio data links overcomes problems caused by ground potential rise and transferred potential damage in metallic pilot wire schemes. Some problems were encountered when installing digital differential current and analogue phase comparison relaying systems to a 220 kV power transmission system where a mix of analog microwave, digital microwave radio and multiplexed fibre optic channels were available. However, the relays were successfully installed with the application of digital pilot differential relays to the power system which enabled fast fault clearance to be achieved. 7 refs., 1 tab., 1 fig.
Medication prescribing advice and drug utilization: a review from the United Kingdom.
Law, J; Thompson, A
General Medical Practitioners (GPs) in the United Kingdom are usually the first point of contact with the National Health Service (NHS) for patients. They provide the majority of ambulatory care for their practice population and act as 'gatekeepers' for referral onwards to other services. This article investigates the influence of the purchasing authority prescribing advisors (PAs), including pharmacists and GPs on the prescribing habits in Salford, England, an inner city area in the North of England, close to the city of Manchester. The PAs became known as the prescribing CIA, and used the strategy of Control, progressing to Influence and Autonomy, to develop a mature partnership between the GPs, PAs and other health care professionals. Information collated from prescribing (PACT) data, by the Prescription Pricing Authority, was used to make comparisons between different practices within an area. Savings made by making rational changes in prescribing, were used to enhance practice development for the benefit of patient care.
Evaluation of Resource Utilization and Treatment Patterns in Patients with Actinic Keratosis in the United States.
Asche, Carl V; Zografos, Panagiotis; Norlin, Jenny M; Urbanek, Bill; Mamay, Carl; Makin, Charles; Erntoft, Sandra; Chen, Chi-Chang; Hines, Dionne M; Mark Siegel, Daniel
To compare health care resource utilization and treatment patterns between patients with actinic keratosis (AK) treated with ingenol mebutate gel (IngMeb) and those treated with other field-directed AK therapies. A retrospective, propensity-score-matched, cohort study compared refill/repeat and adding-on/switching patterns and outpatient visits and prescriptions (health care resource utilization) over 6 months in patients receiving IngMeb versus those receiving imiquimod, 5-fluorouracil, diclofenac sodium, and methyl aminolevulinate or aminolevulinic acid photodynamic therapy (MAL/ALA-PDT). The final sample analyzed included four matched treatment cohort pairs (IngMeb and comparator; n = 790-971 per treatment arm). Refill rates were similar except for imiquimod (15% vs. 9% for imiquimod and IngMeb, respectively; P < 0.05). MAL/ALA-PDT treatment repetition rates were higher than IngMeb refill rates (20% vs. 10%; P < 0.05). Topical agent add-on/switch rates were comparable. PDT had higher switch rates than did IngMeb (5% vs. 2%; P < 0.05). The IngMeb cohort had a significantly lower proportion of patients with at least one AK-related outpatient visit during the 6-month follow-up than did any other cohort: versus imiquimod (50% vs. 66%; P < 0.0001), versus 5-fluorouracil (50% vs. 69%; P < 0.0001), versus diclofenac sodium (51% vs. 56%; P = 0.034), and versus MAL/ALA-PDT (50% vs. 100%; P < 0.0001). There were significantly fewer AK-related prescriptions among patients receiving IngMeb than among patients in other cohorts. Results based on the first 6 months after treatment initiation suggested that most field-directed AK therapies had clinically comparable treatment patterns except imiquimod, which was associated with higher refill rates, and PDT, which was associated with significantly more frequent treatment sessions and higher switching rates. IngMeb was also associated with significantly fewer outpatient visits than were other field-directed therapies. Copyright �
Water use and supply concerns for utility-scale solar projects in the Southwestern United States.
Energy Technology Data Exchange (ETDEWEB)
Klise, Geoffrey Taylor; Tidwell, Vincent Carroll; Reno, Marissa Devan; Moreland, Barbara Denise.; Zemlick, Katie M.; Macknick, Jordan
As large utility-scale solar photovoltaic (PV) and concentrating solar power (CSP) facilities are currently being built and planned for locations in the U.S. with the greatest solar resource potential, an understanding of water use for construction and operations is needed as siting tends to target locations with low natural rainfall and where most existing freshwater is already appropriated. Using methods outlined by the Bureau of Land Management (BLM) to determine water used in designated solar energy zones (SEZs) for construction and operations & maintenance, an estimate of water used over the lifetime at the solar power plant is determined and applied to each watershed in six Southwestern states. Results indicate that that PV systems overall use little water, though construction usage is high compared to O&M water use over the lifetime of the facility. Also noted is a transition being made from wet cooled to dry cooled CSP facilities that will significantly reduce operational water use at these facilities. Using these water use factors, estimates of future water demand for current and planned solar development was made. In efforts to determine where water could be a limiting factor in solar energy development, water availability, cost, and projected future competing demands were mapped for the six Southwestern states. Ten watersheds, 9 in California, and one in New Mexico were identified as being of particular concern because of limited water availability.
Report of the first United States conference on utility experience with neutron noise analysis
International Nuclear Information System (INIS)
Fry, D.N.; Horne, G.P.; Mayo, C.W.
An informal meeting was held in Washington, D.C. on April 3 and 4, 1984, to discuss the current state of the art and experiences with neutron noise analysis in US pressurized water reactors (PWRs). The meeting was attended by 33 persons representing 11 utilities and 3 PWR reactor vendors as well as consultants, universities, and research laboratories. Presentations at the meeting covered several applications of neutron noise for diagnosing such things as vibrations induced by baffle jetting, detection of mechanical degradation of thermal shield supports, and electrical degradation of nuclear instrumentation channels. Twenty-one responses were obtained from a questionnaire circulated to all participants requesting their viewpoints and experiences regarding neutron noise analysis. The meeting participants concluded that a working group on neutron noise analysis should be formed to (1) establish a baseline library of neutron noise data, (2) provide a forum for communicating experiences with neutron noise surveillance, and (3) develop good practices and quality assurance procedures for neutron noise measurement and interpretation
Comparison of Overridden Medication-related Clinical Decision Support in the Intensive Care Unit between a Commercial System and a Legacy System.
Wong, Adrian; Wright, Adam; Seger, Diane L; Amato, Mary G; Fiskio, Julie M; Bates, David
Electronic health records (EHRs) with clinical decision support (CDS) have shown to be effective at improving patient safety. Despite this, alerts delivered as part of CDS are overridden frequently, which is of concern in the critical care population as this group may have an increased risk of harm. Our organization recently transitioned from an internally-developed EHR to a commercial system. Data comparing various EHR systems, especially after transitions between EHRs, are needed to identify areas for improvement. To compare the two systems and identify areas for potential improvement with the new commercial system at a single institution. Overridden medication-related CDS alerts were included from October to December of the systems' respective years (legacy, 2011; commercial, 2015), restricted to three intensive care units. The two systems were compared with regards to CDS presentation and override rates for four types of CDS: drug-allergy, drug-drug interaction (DDI), geriatric and renal alerts. A post hoc analysis to evaluate for adverse drug events (ADEs) potentially resulting from overridden alerts was performed for 'contraindicated' DDIs via chart review. There was a significant increase in provider exposure to alerts and alert overrides in the commercial system (commercial: n=5,535; legacy: n=1,030). Rates of overrides were higher for the allergy and DDI alerts (pcommercial system. Geriatric and renal alerts were significantly different in incidence and presentation between the two systems. No ADEs were identified in an analysis of 43 overridden contraindicated DDI alerts. The vendor system had much higher rates of both alerts and overrides, although we did not find evidence of harm in a review of DDIs which were overridden. We propose recommendations for improving our current system which may be helpful to other similar institutions; improving both alert presentation and the underlying knowledge base appear important.
Antioxidant activity and polyphenol and procyanidin contents of selected commercially available cocoa-containing and chocolate products in the United States.
Miller, Kenneth B; Stuart, David A; Smith, Nancy L; Lee, Chang Y; McHale, Nancy L; Flanagan, Judith A; Ou, Boxin; Hurst, W Jeffrey
In the United States, commercially available foods, including cocoa and chocolate, are being marketed with statements referring to the level of antioxidant activity and polyphenols. For cocoa-containing foods, there has been no comprehensive survey of the content of these and other chemistries. A survey of cocoa and chocolate-containing products marketed in the United States was conducted to determine antioxidant activity and polyphenol and procyanidin contents. Commercially available samples consisted of the top market share products in each of the following six categories: natural cocoa, unsweetened baking chocolate, dark chocolate, semisweet baking chips, milk chocolate, and chocolate syrup. Composite samples were characterized using four different methods: oxygen radical absorbance capacity (ORAC), vitamin C equivalence antioxidant capacity (VCEAC), total polyphenols, and procyanidins. All composite lots were further characterized for percent nonfat cocoa solids (NFCS) and percent fat. Natural cocoas had the highest levels of antioxidant activities, total polyphenols, and procyanidins followed by baking chocolates, dark chocolates and baking chips, and finally milk chocolate and syrups. The results showed a strong linear correlation between NFCS and ORAC (R (2) = 0.9849), total polyphenols (R (2) = 0.9793), and procyanidins (R (2) = 0.946), respectively. On the basis of principal component analysis, 81.4% of the sample set was associated with NFCS, antioxidant activity, total polyphenols, and procyanidins. The results indicated that, regardless of the product category, NFCS were the primary factor contributing to the level of cocoa antioxidants in the products tested. Results further suggested that differences in cocoa bean blends and processing, with the possible exception of Dutching, are minor factors in determining the level of antioxidants in commercially available cocoa-containing products in the United States.
Outpatient Mental Health Treatment Utilization and Military Career Impact in the United States Marine Corps.
Ghahramanlou-Holloway, Marjan; LaCroix, Jessica M; Koss, Kari; Perera, Kanchana U; Rowan, Anderson; VanSickle, Marcus R; Novak, Laura A; Trieu, Theresa H
Service members (SM) are at increased risk of psychiatric conditions, including suicide, yet research indicates SMs believe seeking mental health treatment may negatively impact their military careers, despite a paucity of research examining actual career impacts. This study examined the link between seeking outpatient mental health (MH) treatment and military career impacts within the United States Marine Corps. In Phase 1, a retrospective medical record review of outpatient MH treatment-seeking Marines ( N = 38) was conducted. In Phase 2, a sample of outpatient MH treatment-seeking Marines ( N = 40) was matched to a non-treatment-seeking sample of Marines ( N = 138) to compare career-progression. In Phase 1, there were no significant links between demographic, military, and clinical characteristics and referral source or receipt of career-affecting treatment recommendations. In Phase 2, MH treatment-seeking Marines in outpatient settings were more likely than matched controls to be separated from the military (95.0% versus 63.0%, p = 0.002), but no more likely to experience involuntary separation. MH treatment-seeking Marines were more likely to have documented legal action (45.0% versus 23.9%, p = 0.008) and had a shorter time of military service following the index MH encounter than matched controls ( p < 0.001). Clinical, anti-stigma, and suicide prevention policy implications are discussed.
Physical and occupational therapy utilization in a pediatric intensive care unit.
Cui, Liang R; LaPorte, Megan; Civitello, Matthew; Stanger, Meg; Orringer, Maxine; Casey, Frank; Kuch, Bradley A; Beers, Sue R; Valenta, Cynthia A; Kochanek, Patrick M; Houtrow, Amy J; Fink, Ericka L
To characterize the use of physical therapy (PT) and occupational therapy (OT) consultation in our pediatric intensive care unit (PICU). We studied children aged 1week-18years admitted to a tertiary care PICU for ≥3days. Patient characteristics, details of PT and OT sessions and adverse events were collected. A multivariable logistic regression was performed to determine factors associated with receipt of PT and OT consultation with propensity analysis followed by a regression for factors associated with outcome. Of 138 children studied, 40 (29%) received PT and OT consultation. Services were initiated 6.9±10.0 (mean±standard deviation) days after PICU admission. Range of motion (83%) was the most common therapy provided and 28% of patients were ambulated. Sixty-four of 297 (21.5%) sessions were deferred and 7 (2.4%) sessions were terminated early due to physiologic instability with no serious adverse events. Children who received PT and OT were older, more likely to require neuromuscular blocking agents, and had lower pre-PICU POPC scores (all ptherapies initiated in the ICU to improve outcome for critically ill children. Copyright © 2017 Elsevier Inc. All rights reserved.
Ambulatory Healthcare Utilization in the United States: A System Dynamics Approach
Diaz, Rafael; Behr, Joshua G.; Tulpule, Mandar
Ambulatory health care needs within the United States are served by a wide range of hospitals, clinics, and private practices. The Emergency Department (ED) functions as an important point of supply for ambulatory healthcare services. Growth in our aging populations as well as changes stemming from broader healthcare reform are expected to continue trend in congestion and increasing demand for ED services. While congestion is, in part, a manifestation of unmatched demand, the state of the alignment between the demand for, and supply of, emergency department services affects quality of care and profitability. The central focus of this research is to provide an explanation of the salient factors at play within the dynamic demand-supply tensions within which ambulatory care is provided within an Emergency Department. A System Dynamics (SO) simulation model is used to capture the complexities among the intricate balance and conditional effects at play within the demand-supply emergency department environment. Conceptual clarification of the forces driving the elements within the system , quantifying these elements, and empirically capturing the interaction among these elements provides actionable knowledge for operational and strategic decision-making.
Commercial photovoltaic units: behavior to different conditions of operation; Modulos fotovoltaicos comerciales: comportamiento a diferentes condiciones de operacion
Energy Technology Data Exchange (ETDEWEB)
Vela, N.; Fabero, F.; Chenlo, F.
Due to the increasing number of photovoltaic (PV) plants in Spain for the last years, PV market offers a wide range of novelty products: large-size cells, modules with a high number of connected cells, new designs, new materials, etc. to perform this work, I-V curve acquisition at different irradiance and temperature conditions have been obtained from a sample of 8 different commercial PV module that accomplish one or more of these novelty characteristics have been characterised. The experimental tests have been performed at Centro Nacional de Energias Renovables (CENER). Results include determination of temperature coefficients and variation with irradiance, linearity and other cell parameters. (Author)
Emergency planning requirements and short-term countermeasures for commercial nuclear power plants in the United States
International Nuclear Information System (INIS)
Kantor, F.; Hogan, R.; Mohseni, A.
Since the accident at the Three Mile Island Unit, the United States Nuclear Regulatory's Commission (NRC's) emergency planning regulations are now considered and an important part of the regulatory framework for protecting the public health and safety. Many aspects of the countermeasures are presented: Emergency Planning Zones (EPZ), off-Site emergency planning and preparedness, responsibilities of nuclear power plants operators and states and local government. Finally, protective action recommendations are given as well as the federal response to an emergency. The authors noted that the use of potassium iodide is not considered as an effective countermeasure for the public protection in the US. (TEC). 1 fig
Increasing Utilization Of Pediatric Epilepsy Surgery In The United States Between 1997 and 2009
Pestana Knight, Elia M.; Schiltz, Nicholas K.; Bakaki, Paul M.; Koroukian, Siran M.; Lhatoo, Samden D.; Kaiboriboon, Kitti
SUMMARY OBJECTIVE To examine national trends of pediatric epilepsy surgery usage in the United States between 1997 and 2009. METHODS We performed a serial cross-sectional study of pediatric epilepsy surgery using triennial data from the Kids' Inpatient Database from 1997 to 2009. The rates of epilepsy surgery for lobectomies, partial lobectomies, and hemispherectomies in each study year were calculated based on the number of prevalent epilepsy cases in the corresponding year. The age-race-sex adjusted rates of surgeries were also estimated. Mann-Kendall trend test was used to test for changes in the rates of surgeries over time. Multivariable regression analysis was also performed to estimate the effect of time, age, race, and sex on the annual incidence of epilepsy surgery. RESULTS The rates of pediatric epilepsy surgery significantly increased from 0.85 epilepsy surgeries per 1,000 children with epilepsy in 1997 to 1.44 epilepsy surgeries per 1,000 children with epilepsy in 2009. An increment in the rates of epilepsy surgeries was noted across all age groups, in boys and girls, all races, and all payer types. The rate of increase was lowest in blacks and in children with public insurance. The overall number of surgical cases for each study year was lower than 35% of children who were expected to have surgery, based on the estimates from the Connecticut Study of Epilepsy. SIGNIFICANCE In contrast to adults, pediatric epilepsy surgery numbers have increased significantly in the past decade. However, epilepsy surgery remains an underutilized treatment for children with epilepsy. In addition, black children and those with public insurance continue to face disparities in the receipt of epilepsy surgery. PMID:25630252
Treatment utilization among persons with opioid use disorder in the United States.
Wu, Li-Tzy; Zhu, He; Swartz, Marvin S
The United States is experiencing an opioid overdose epidemic. Treatment use data from diverse racial/ethnic groups with opioid use disorder (OUD) are needed to inform treatment expansion efforts. We examined demographic characteristics and behavioral health of persons aged ≥12 years that met criteria for past-year OUD (n=6,125) in the 2005-2013 National Surveys on Drug Use and Health (N=503,101). We determined the prevalence and correlates of past-year use of alcohol/drug use treatment and opioid-specific treatment to inform efforts for improving OUD treatment. Among persons with OUD, 81.93% had prescription (Rx) OUD only, 9.75% had heroin use disorder (HUD) only, and 8.32% had Rx OUD+HUD. Persons with Rx OUD+HUD tended to be white, adults aged 18-49, males, or uninsured. The majority (80.09%) of persons with OUD had another substance use disorder (SUD), and major depressive episode (MDE) was common (28.74%). Of persons with OUD, 26.19% used any alcohol or drug use treatment, and 19.44% used opioid-specific treatment. Adolescents, the uninsured, blacks, native-Hawaiians/Pacific-Islanders/Asian-Americans, persons with Rx OUD only, and persons without MDE or SUD particularly underutilized opioid-specific treatment. Among alcohol/drug use treatment users, self-help group and outpatient rehabilitation treatment were commonly used services. Most people with OUD report no use of OUD treatment. Multifaceted interventions, including efforts to access insurance coverage, are required to change attitudes and knowledge towards addiction treatment in order to develop a supportive culture and infrastructure to enable treatment-seeking. Outreach efforts could target adolescents, minority groups, and the uninsured to improve access to treatment. Copyright © 2016 The Author(s). Published by Elsevier Ireland Ltd.. All rights reserved.
An examination of electricity generation by utility organizations in the Southeast United States
International Nuclear Information System (INIS)
Craig, Christopher A.; Feng, Song
This study examined the impact of climatic variability on electricity generation in the Southeast United States. The relationship cooling degree days (CDD) and heating degree days (HDD) shared with electricity generation by fuel source was explored. Using seasonal autoregressive integrated weighted average (ARIMA) and seasonal simple exponentially smoothed models, retrospective time series analysis was run. The hypothesized relationship between climatic variability and total electricity generation was supported, where an ARIMA model including CDDs as a predictor explained 57.6% of the variability. The hypothesis that climatic variability would be more predictive of fossil fuel electricity generation than electricity produced by clean energy sources was partially supported. The ARIMA model for natural gas indicated that CDDS were the only predictor for the fossil fuel source, and that 79.4% of the variability was explained. Climatic variability was not predictive of electricity generation from coal or petroleum, where simple seasonal exponentially smoothed models emerged. However, HDDs were a positive predictor of hydroelectric electricity production, where 48.9% of the variability in the clean energy source was explained by an ARIMA model. Implications related to base load electricity from fossil fuels, and future electricity generation projections relative to extremes and climate change are discussed. - Highlights: • Models run to examine impact of climatic variability on electricity generation. • Cooling degree days explained 57.6% of variability in total electricity generation. • Climatic variability was not predictive of coal or petroleum generation. • Cooling degree days explained 79.4% of natural gas generation. • Heating degree days were predictive of nuclear and hydroelectric generation.
Utilizing General Purpose Graphics Processing Units to Improve Performance of Computer Modelling and Visualization
Monk, J.; Zhu, Y.; Koons, P. O.; Segee, B. E.
With the introduction of the G8X series of cards by nVidia an architecture called CUDA was released, virtually all subsequent video cards have had CUDA support. With this new architecture nVidia provided extensions for C/C++ that create an Application Programming Interface (API) allowing code to be executed on the GPU. Since then the concept of GPGPU (general purpose graphics processing unit) has been growing, this is the concept that the GPU is very good a algebra and running things in parallel so we should take use of that power for other applications. This is highly appealing in the area of geodynamic modeling, as multiple parallel solutions of the same differential equations at different points in space leads to a large speedup in simulation speed. Another benefit of CUDA is a programmatic method of transferring large amounts of data between the computer's main memory and the dedicated GPU memory located on the video card. In addition to being able to compute and render on the video card, the CUDA framework allows for a large speedup in the situation, such as with a tiled display wall, where the rendered pixels are to be displayed in a different location than where they are rendered. A CUDA extension for VirtualGL was developed allowing for faster read back at high resolutions. This paper examines several aspects of rendering OpenGL graphics on large displays using VirtualGL and VNC. It demonstrates how performance can be significantly improved in rendering on a tiled monitor wall. We present a CUDA enhanced version of VirtualGL as well as the advantages to having multiple VNC servers. It will discuss restrictions caused by read back and blitting rates and how they are affected by different sizes of virtual displays being rendered.
Utilizing Multi-Sensor Fire Detections to Map Fires in the United States
Howard, S. M.; Picotte, J. J.; Coan, M. J.
In 2006, the Monitoring Trends in Burn Severity (MTBS) project began a cooperative effort between the US Forest Service (USFS) and the U.S.Geological Survey (USGS) to map and assess burn severity all large fires that have occurred in the United States since 1984. Using Landsat imagery, MTBS is mandated to map wildfire and prescribed fire that meet specific size criteria: greater than 1000 acres in the west and 500 acres in the east, regardless of ownership. Relying mostly on federal and state fire occurrence records, over 15,300 individual fires have been mapped. While mapping recorded fires, an additional 2,700 "unknown" or undocumented fires were discovered and assessed. It has become apparent that there are perhaps thousands of undocumented fires in the US that are yet to be mapped. Fire occurrence records alone are inadequate if MTBS is to provide a comprehensive accounting of fire across the US. Additionally, the sheer number of fires to assess has overwhelmed current manual procedures. To address these problems, the National Aeronautics and Space Administration (NASA) Applied Sciences Program is helping to fund the efforts of the USGS and its MTBS partners (USFS, National Park Service) to develop, and implement a system to automatically identify fires using satellite data. In near real time, USGS will combine active fire satellite detections from MODIS, AVHRR and GOES satellites with Landsat acquisitions. Newly acquired Landsat imagery will be routinely scanned to identify freshly burned area pixels, derive an initial perimeter and tag the burned area with the satellite date and time of detection. Landsat imagery from the early archive will be scanned to identify undocumented fires. Additional automated fire assessment processes will be developed. The USGS will develop these processes using open source software packages in order to provide freely available tools to local land managers providing them with the capability to assess fires at the local level.
Utilizing Telemedicine in the Trauma Intensive Care Unit: Does It Impact Teamwork?
Lazzara, Elizabeth H; Benishek, Lauren E; Patzer, Brady; Gregory, Megan E; Hughes, Ashley M; Heyne, Kyle; Salas, Eduardo; Kuchkarian, Fernanda; Marttos, Antonio; Schulman, Carl
The aim of this study was to examine the impact of a telemedical robot on trauma intensive care unit (TICU) clinician teamwork (i.e., team attitudes, behaviors, and cognitions) during patient rounds. Thirty-two healthcare providers who conduct rounds volunteered to take surveys assessing teamwork attitudes and cognitions at three time periods: (1) the onset of the study, (2) the end of the 30-day control period, and (3) the end of the 30-day experimental period, which immediately followed the control period. Rounds were recorded throughout the 30-day control period and 30-day experimental period to observe provider behaviors. For the initial 30 days, there was no access to telemedicine. For the final 30 days, the rounding healthcare providers had access to the RP-7 robot (Intouch Health Inc., Santa Barbara, CA), a telemedical tool that can facilitate patient rounds conducted away from bedside. Using a one-tailed, one-way repeated-measures analysis of variance (ANOVA) to compare trust at Times 1, 2, and 3, there was no significant effect on trust: F(2, 14)=1.20, p=0.16. When a one-tailed, one-way repeated-measures ANOVA to compare transactive memory systems (TMS) at Times 1, 2, and 3 was conducted, there was no significant effect on TMS: F(2, 15)=1.33, p=0.15. We conducted a one-tailed, one-way repeated-measures ANOVA to compare team psychological safety at Times 1, 2, and 3, and there was no significant effect on team psychological safety: F(2,15)=1.53, p=0.12. There was a significant difference in communication between rounds with and without telemedicine [t(25)=-1.76, p<0.05], such that there was more task-based communication during telerounds. Telemedicine increased task-based communication and did not negatively impact team trust, psychological safety, or TMS during rounds. Telemedicine may offer advantages for some teamwork competencies without sacrificing the efficacy of others and may be adopted by intact rounding teams without hindering teamwork.
Implications of the accident at Chernobyl for safety regulation of commercial nuclear power plants in the United States: Volume 1, Main report: Final report
International Nuclear Information System (INIS)
This report was prepared by the Nuclear Regulatory Commission (NRC) staff to assess the implications of the accident at the Chernobyl nuclear power plant as they relate to reactor safety regulation for commercial nuclear power plants in the United States. The facts used in this assessment have been drawn from the US fact-finding report (NUREG-1250) and its sources. The general conclusions of the document are that there are generic lessons to be learned but that no changes in regulations are needed due to the substantial differences in the design, safety features and operation of US plants as compared to those in the USSR. Given these general conclusions, further consideration of certain specific areas is recommended by the report. These include: administrative controls over reactor regulation, reactivity accidents, accidents at low or zero power, multi-unit protection, fires, containment, emergency planning, severe accident phenomena, and graphite-moderated reactors
United States v. Caronia: The increasing strength of commercial free speech and potential new emphasis on classifying off-label promotion as "false and misleading".
Scheineson, Marc J; Cuevas, Guillermo
The authority of the United States Food and Drug Administration (FDA) to prohibit off-label promotion of drug products suffered another serious setback in United States v. Caronia. Viewing a legal system where physicians can prescribe prescription pharmaceuticals for unapproved uses legally in their practice of medicine, the Federal appeals court affirmed the commercial free speech rights of manufacturers to use truthful, non-misleading speech about lawfully marketed products. As a result of this case, and others upon which the decision is based, FDA is likely to challenge manufacturer promotion more carefully, and only if it can demonstrate that claims are not truthful, but are false or misleading, or otherwise deprive the prescriber of adequate directions for use.
Implications of the accident at Chernobyl for safety regulation of commercial nuclear power plants in the United Sates: Volume 2, Appendix - Public comments and their disposition: Final report
International Nuclear Information System (INIS)
This report was prepared by the Nuclear Regulatory Commission (NRC) staff to assess the implications of the accident at the Chernobyl nuclear power plant as they relate to reactor safety regulation for commercial nuclear power plants in the United States. The facts used in this assessment have been drawn from the US fact-finding report(NUREG-1250) and its sources. The general conclusions of the document are that there are generic lessons to be learned but that no changes in regulations are needed due to the substantial differences in the design, safety features and operation of US plants as compared to those in the USSR. Given these general conclusions, further consideration of certain specific areas is recommended by the report. These include: administrative controls over reactor regulation, reactivity accidents, accidents at low or zero power, multi-unit protection, fires, containment, emergency planning, severe accident phenomena, and graphite-moderated reactors
Utility of Ambulance Data for Real-Time Syndromic Surveillance: A Pilot in the West Midlands Region, United Kingdom.
Todkill, Dan; Loveridge, Paul; Elliot, Alex J; Morbey, Roger A; Edeghere, Obaghe; Rayment-Bishop, Tracy; Rayment-Bishop, Chris; Thornes, John E; Smith, Gillian
Introduction The Public Health England (PHE; United Kingdom) Real-Time Syndromic Surveillance Team (ReSST) currently operates four national syndromic surveillance systems, including an emergency department system. A system based on ambulance data might provide an additional measure of the "severe" end of the clinical disease spectrum. This report describes the findings and lessons learned from the development and preliminary assessment of a pilot syndromic surveillance system using ambulance data from the West Midlands (WM) region in England. Hypothesis/Problem Is an Ambulance Data Syndromic Surveillance System (ADSSS) feasible and of utility in enhancing the existing suite of PHE syndromic surveillance systems? An ADSSS was designed, implemented, and a pilot conducted from September 1, 2015 through March 1, 2016. Surveillance cases were defined as calls to the West Midlands Ambulance Service (WMAS) regarding patients who were assigned any of 11 specified chief presenting complaints (CPCs) during the pilot period. The WMAS collected anonymized data on cases and transferred the dataset daily to ReSST, which contained anonymized information on patients' demographics, partial postcode of patients' location, and CPC. The 11 CPCs covered a broad range of syndromes. The dataset was analyzed descriptively each week to determine trends and key epidemiological characteristics of patients, and an automated statistical algorithm was employed daily to detect higher than expected number of calls. A preliminary assessment was undertaken to assess the feasibility, utility (including quality of key indicators), and timeliness of the system for syndromic surveillance purposes. Lessons learned and challenges were identified and recorded during the design and implementation of the system. The pilot ADSSS collected 207,331 records of individual ambulance calls (daily mean=1,133; range=923-1,350). The ADSSS was found to be timely in detecting seasonal changes in patterns of respiratory
Electric utility power plant construction costs, 1st Edition
International Nuclear Information System (INIS)
New UDI report combines historical construction costs for more than 1,000 coal, oil, gas, nuclear and geothermal units that have entered commercial operation since 1966 and projected power plant construction costs for about 400 utility-owned generating units scheduled to enter commercial operation during the next 20 years. Key design characteristics and equipment suppliers, A/E, constructor and original installed cost data. Direct construction costs without AFUDC are provided where known. Historical construction cost data are also provided for about 130 utility-owned hydroelectric, gas turbine, combined-cycle and diesel units (these data are generally for units entering service after 1980)
United States Department of Energy commercial reactor spent fuel programs being conducted at the Idaho National Engineering Laboratory
International Nuclear Information System (INIS)
Piscitella, R.R.; Rasmussen, T.L.; Uhl, D.L.
The Idaho National Engineering Laboratory participation in OCRWM programs includes the Spent Fuel Storage Cask Testing Program, Dry Rod Consolidation Technology Program, Prototypical Consolidation Demonstration Program, the Nuclear Fuel Services Project, and the Cask Systems Acquisition Program. The DOE has entered into a cooperative agreement with Virginia Power and the Electric Power Research Institute to demonstrate storage of commercial spent fuel in steel storage casks. The Program conducted heat transfer and shielding tests with three storage casks with intact spent fuel assemblies and two casks with consolidated spent fuel rods, one of which was previously tested with intact fuel, and provides test information in support of Virginia Power's at-reactor dry storage licensing effort. 3 figs., 1 tab
Favorable bed utilization and readmission rates for emergency department observation unit heart failure patients.
Schrager, Justin; Wheatley, Matthew; Georgiopoulou, Vasiliki; Osborne, Anwar; Kalogeropoulos, Andreas; Hung, Olivia; Butler, Javed; Ross, Michael
The objective was to compare readmission rates and hospital bed-days between acute decompensated heart failure (AHF) patients admitted or discharged following accelerated treatment protocol (ATP)-driven care in an emergency department observation unit (OU). This was a retrospective cohort study conducted at two urban university-affiliated hospitals. A total of 358 selected AHF patients received treatment on an ATP in the OU between October 1, 2007, and June 30, 2011. The comparison of interest was admission or discharge following OU treatment. The outcome of interest was readmission within 30 and 90 days of hospital discharge following care in the OU. We also examined resource use (inpatient, inpatient plus outpatient-days) between the admitted and discharged groups. Time to readmission analysis was performed with Cox proportional hazards regression. Discharged and admitted patients were similar with respect to age, race, sex, ED length of stay (LOS), and OU LOS. Patients admitted from the OU had a higher median B-type natriuretic peptide (BNP; 1,063 pg/mL [interquartile range {IQR} = 552 to 2,067 pg/mL] vs. 708 pg/mL [IQR = 254 to 1,683 pg/mL]; p = 0.002) and blood urea nitrogen (BUN; 19 mg/dL [IQR = 14 to 26 mg/dL] vs. 17 mg/dL [IQR = 13 to 23 mg/dL]) than those discharged (p = 0.04) and a lower median ejection fraction (EF; 22.5% [15% to 43%] vs. 35% [IQR 20% to 55%]; p = 0.002). In models controlling for age, race, sex, clinical site, BNP, BUN, creatinine, and EF, the 30-day readmission rate (13.8% in the study population as a whole) was not significantly different between the patients discharged or admitted following OU care (hazard ratio [HR] = 0.99; 95% confidence interval [CI] = 0.47 to 2.10). The readmission rates were also not significantly different at 90 days (HR = 1.07; 95% CI = 0.65 to 1.77). Within 30 days of discharge from the OU, patients spent a median of 1.7 days (IQR = 0.0 to 5.1 days) as inpatients, compared to 3.5 days (IQR = 2.3 to 5.8 days
The Short-Lived Epidemic of Botulism From Commercially Canned Foods in the United States, 1919 to 1925.
Kazanjian, Powel
In 1919, three deadly outbreaks of botulism caused by consumption of canned olives packed in California captured national headlines. In all of the outbreaks, which occurred in separate locales, unsuspecting people died after consuming tainted food during a banquet or family meal. The press's sensational portrayal of canned food as hazardous aroused alarm among consumers at a time when commercial canning was becoming more common. Intent on restoring the image of their product as safe and wholesome, canning industry leaders funded a "botulism commission" of scientific experts in 1919 to investigate how to systematically eliminate the threat of botulism that had imperiled their business. The commissioners identified the scientific reasons for the outbreaks, and on the basis of their findings, the California Department of Public Health issued explicit recommendations for sterilization procedures intended to ensure safety. However, the department did not mandate inspections for all canneries. When commercially packed fruits and vegetables continued to cause botulism, industry leaders voluntarily backed a cannery inspection act to legally require all California canners to possess appropriate equipment and follow scientifically validated sterilization procedures. After the California legislature approved the act in 1925, canneries were inspected, regulations were enforced, and no further outbreaks occurred. This botulism epidemic is an example of a disease outbreak that was controlled when business interests became aligned with public health goals. The press's portrayal of afflicted persons as innocent victims and worthy citizens galvanized businessmen to implement safeguards to protect consumers from botulism intoxication. To preserve their customer base and salvage their corporations, leaders of the canning industry acknowledged the public health threat of their unregulated procedures and acted on the recommendations of scientists.
Bioprinting of Cartilage and Skin Tissue Analogs Utilizing a Novel Passive Mixing Unit Technique for Bioink Precellularization
Thayer, Patrick Scott; Orrhult, Linnea Stridh; Martínez, Héctor
Bioprinting is a powerful technique for the rapid and reproducible fabrication of constructs for tissue engineering applications. In this study, both cartilage and skin analogs were fabricated after bioink pre-cellularization utilizing a novel passive mixing unit technique. This technique was developed with the aim to simplify the steps involved in the mixing of a cell suspension into a highly viscous bioink. The resolution of filaments deposited through bioprinting necessitates the assurance of uniformity in cell distribution prior to printing to avoid the deposition of regions without cells or retention of large cell clumps that can clog the needle. We demonstrate the ability to rapidly blend a cell suspension with a bioink prior to bioprinting of both cartilage and skin analogs. Both tissue analogs could be cultured for up to 4 weeks. Histological analysis demonstrated both cell viability and deposition of tissue specific extracellular matrix (ECM) markers such as glycosaminoglycans (GAGs) and collagen I respectively. PMID:29364216
The effect of commercial policy on international migration flows: the case of the United States and Mexico.
Hill, J K; Mendez, J A
"Microeconomic simulations are performed to determine the impact of liberalized commodity trade on Mexican immigrant supply to the United States. The results suggest that a removal of trade barriers will reduce migration flows, but that the reduction will be fairly modest. Specifically, if both countries move from the levels of protection characteristic of the mid-1960s to completely free trade, the ratio of real U.S.-Mexican wages falls by roughly 18 percent. Using an upper bound for the range of empirical estimates of the wage elasticity of immigrant supply, this implies a maximum reduction in migration flows of 35 percent. A unilateral elimination of trade barriers by the United States reduces Mexican immigrant supply by a maximum of 14 percent." excerpt
Effect of low-frequency ambient magnetic fields on the control unit and RF head of a commercial SQUID magnetometer
Marcus, C. M.
The control unit and RF head of the SHE model 330XRFSQUID system are shown to be sensitive to ambient ac magnetic fields below 1 HZ, which cause the appearance of false signals corresponding to a magnetometer signal of 0.000001 phi(0) per gauss of field applied. The control unit shows a sensitivity that is linear with frequency, suggesting that the signal is generated by Faraday induction. In contrast, the RF head response is independent of frequency and shows a strong second-harmonic coversion. This response may be due to the magnetic field sensitivity of the ferrite core inductor in the tuned amplifier of the RF head. These signals induced by ambient fields are a potential source of error in Stanford's Relativity Gyroscope experiment, which uses SQUID's on board a rolling satellite as part of the gyroscope readout system. The extent of the magnetic field sensitivity in these components necessitates the use of additional magnetic shielding aboard the satellite.
Assessment of performance and utility of mortality prediction models in a single Indian mixed tertiary intensive care unit.
Sathe, Prachee M; Bapat, Sharda N
To assess the performance and utility of two mortality prediction models viz. Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) in a single Indian mixed tertiary intensive care unit (ICU). Secondary objectives were bench-marking and setting a base line for research. In this observational cohort, data needed for calculation of both scores were prospectively collected for all consecutive admissions to 28-bedded ICU in the year 2011. After excluding readmissions, discharges within 24 h and age <18 years, the records of 1543 patients were analyzed using appropriate statistical methods. Both models overpredicted mortality in this cohort [standardized mortality ratio (SMR) 0.88 ± 0.05 and 0.95 ± 0.06 using APACHE II and SAPS II respectively]. Patterns of predicted mortality had strong association with true mortality (R (2) = 0.98 for APACHE II and R (2) = 0.99 for SAPS II). Both models performed poorly in formal Hosmer-Lemeshow goodness-of-fit testing (Chi-square = 12.8 (P = 0.03) for APACHE II, Chi-square = 26.6 (P = 0.001) for SAPS II) but showed good discrimination (area under receiver operating characteristic curve 0.86 ± 0.013 SE (P < 0.001) and 0.83 ± 0.013 SE (P < 0.001) for APACHE II and SAPS II, respectively). There were wide variations in SMRs calculated for subgroups based on International Classification of Disease, 10(th) edition (standard deviation ± 0.27 for APACHE II and 0.30 for SAPS II). Lack of fit of data to the models and wide variation in SMRs in subgroups put a limitation on utility of these models as tools for assessing quality of care and comparing performances of different units without customization. Considering comparable performance and simplicity of use, efforts should be made to adapt SAPS II.
The effects of light curing units and environmental temperatures on C 000000000000 000000000000 000000000000 111111111111 000000000000 111111111111 000000000000 000000000000 000000000000 C conversion of commercial and experimental bonding agents.
Jafarzadeh-Kashi, Tahereh Sadat; Erfan, Mohmmad; Kalbasi, Salmeh; Ghadiri, Malihe; Rakhshan, Vahid
Polymerization of bonding agents (BA) is a critical factor in determining the success of bonded restorations. We aimed to assess the effects of two light curing units and two temperatures on the extent of polymerization (EP) of a commercial BA and an experimental BA. Forty BA specimens were randomly divided into 8 subgroups of n = 5 to compare the polymerization of two BAs (experimental/Scotchbond) based on the variables: temperature (23/37 °C) and light-curing unit (quartz-tungsten-halogen/light-emitting diode). The EP (%) was measured using differential scanning calorimetry, and analyzed using the t-test, two- and three-way analyses of variance (ANOVA), and the Bonferroni test (α = 0.05). There were significant differences between the EP results between the two BAs (P = 0.012) and due to the different temperatures (P = 0.001), but not between the different light-curing units (P = 0.548). The interaction between BA and temperature was significant (P units had similar effects on the EP. The EP values were better when curing was performed at human body temperature.
Trends Analysis of rhBMP Utilization in Single-Level Posterior Lumbar Interbody Fusion in the United States.
Lao, Lifeng; Cohen, Jeremiah R; Buser, Zorica; Brodke, Darrel S; Youssef, Jim A; Park, Jong-Beom; Yoon, S Tim; Wang, Jeffrey C; Meisel, Hans-Joerg
Retrospective study. Recombinant human bone morphogenetic protein-2 (rhBMP-2) has been widely used in spinal fusion surgery, but there is little information on rhBMP-2 utilization in single-level posterior lumbar interbody fusion (PLIF). The purpose of our study was to evaluate the trends and demographics of rhBMP-2 utilization in single-level PLIF. Patients who underwent single-level PLIF from 2005 to 2011 were identified by searching ICD-9 diagnosis and procedure codes in the PearlDiver Patient Records Database, a national database of orthopedic insurance records. The year of procedure, age, gender, and region of the United States were recorded for each patient. Results were reported for each variable as the incidence of procedures identified per 100 000 patients searched in the database. A total of 2735 patients had single-level PLIF. The average rate of single-level PLIF with rhBMP-2 maintained at a relatively stable level (28% to 31%) from 2005 to 2009, but decreased in 2010 (9.9%) and 2011 (11.8%). The overall incidence of single-level PLIF without rhBMP-2 (0.68 cases per 100 000 patients) was statistically higher ( P level PLIF with rhBMP-2 (0.21 cases per 100 000 patients). The average rate of single-level PLIF with rhBMP-2 utilization was the highest in West (30.1%), followed by Midwest (26.9%), South (20.5%), and Northeast (17.8%). The highest incidence of single-level PLIF with rhBMP-2 was observed in the age group level PLIF. There was a 3-fold increase in the rate of PLIF without rhBMP-2 compared to PLIF with rhBMP-2, with both procedures being mainly done in patients less than 65 years of age.
Physician discretion is safe and may lower stress test utilization in emergency department chest pain unit patients.
Napoli, Anthony M; Arrighi, James A; Siket, Matthew S; Gibbs, Frantz J
Chest pain unit (CPU) observation with defined stress utilization protocols is a common management option for low-risk emergency department patients. We sought to evaluate the safety of a joint emergency medicine and cardiology staffed CPU. Prospective observational trial of consecutive patients admitted to an emergency department CPU was conducted. A standard 6-hour observation protocol was followed by cardiology consultation and stress utilization largely at their discretion. Included patients were at low/intermediate risk by the American Heart Association, had nondiagnostic electrocardiograms, and a normal initial troponin. Excluded patients were those with an acute comorbidity, age >75, and a history of coronary artery disease, or had a coexistent problem restricting 24-hour observation. Primary outcome was 30-day major adverse cardiovascular events-defined as death, nonfatal acute myocardial infarction, revascularization, or out-of-hospital cardiac arrest. A total of 1063 patients were enrolled over 8 months. The mean age of the patients was 52.8 ± 11.8 years, and 51% (95% confidence interval [CI], 48-54) were female. The mean thrombolysis in myocardial infarction and Diamond & Forrester scores were 0.6% (95% CI, 0.51-0.62) and 33% (95% CI, 31-35), respectively. In all, 51% (95% CI, 48-54) received stress testing (52% nuclear stress, 39% stress echocardiogram, 5% exercise, 4% other). In all, 0.9% patients (n = 10, 95% CI, 0.4-1.5) were diagnosed with a non-ST elevation myocardial infarction and 2.2% (n = 23, 95% CI, 1.3-3) with acute coronary syndrome. There was 1 (95% CI, 0%-0.3%) case of a 30-day major adverse cardiovascular events. The 51% stress test utilization rate was less than the range reported in previous CPU studies (P < 0.05). Joint emergency medicine and cardiology management of patients within a CPU protocol is safe, efficacious, and may safely reduce stress testing rates.
Cochlear implantation in the world's largest medical device market: utilization and awareness of cochlear implants in the United States.
Sorkin, Donna L
Provision of cochlear implants (CIs) for those within the criteria for implantation remains lower in the United States than in some other developed nations. When adults and children are grouped together, the rate of utilization/provision remains low at around 6%. For children, the provision rate is about 50% of those who could benefit from an implant, compared with figures of about 90% for the Flanders part of Belgium, the United Kingdom and other European countries. The probable reasons for this underprovision include: low awareness of the benefits of CIs among the population; low awareness among health-care professionals; the lack of specific referral pathways; some political issues relating to the Deaf Community; and financial issues related to health provision. Such financial issues result in situations which either fail to provide for access to implants or provide too low a level of the necessary funding, especially for low-income individuals covered by public health-care programs such as Medicaid. These issues might be mitigated by adoption and publication of standards for best clinical practices for CI provision, availability of current cost-effectiveness data, and the existence of an organization dedicated to cochlear implantation. Such an organization, the American Cochlear Implant Alliance (ACI Alliance), was recently organized and is described in the paper by Niparko et al. in this Supplement.
Characteristics of child commercial sexual exploitation and sex trafficking victims presenting for medical care in the United States.
Varma, Selina; Gillespie, Scott; McCracken, Courtney; Greenbaum, V Jordan
The objective of the study is to describe distinguishing characteristics of commercial sexual exploitation of children/child sex trafficking victims (CSEC) who present for health care in the pediatric setting. This is a retrospective study of patients aged 12-18 years who presented to any of three pediatric emergency departments or one child protection clinic, and who were identified as suspected victims of CSEC. The sample was compared with gender and age-matched patients with allegations of child sexual abuse/sexual assault (CSA) without evidence of CSEC on variables related to demographics, medical and reproductive history, high-risk behavior, injury history and exam findings. There were 84 study participants, 27 in the CSEC group and 57 in the CSA group. Average age was 15.7 years for CSEC patients and 15.2 years for CSA patients; 100% of the CSEC and 94.6% of the CSA patients were female. The two groups significantly differed in 11 evaluated areas with the CSEC patients more likely to have had experiences with violence, substance use, running away from home, and involvement with child protective services and/or law enforcement. CSEC patients also had a longer history of sexual activity. Adolescent CSEC victims differ from sexual abuse victims without evidence of CSEC in their reproductive history, high risk behavior, involvement with authorities, and history of violence. Copyright © 2015 Elsevier Ltd. All rights reserved.
The Future of Utility Customer-Funded Energy Efficiency Programs in the United States: Projected Spending and Savings to 2025
Energy Technology Data Exchange (ETDEWEB)
Barbose, Galen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hoffman, Ian [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Billingsley, Megan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
We develop projections of future spending on, and savings from, energy efficiency programs funded by electric and gas utility customers in the United States, under three scenarios through 2025. Our analysis, which updates a previous LBNL study, relies on detailed bottom-up modeling of current state energy efficiency policies, regulatory decisions, and demand-side management and utility resource plans. The three scenarios are intended to represent a range of potential outcomes under the current policy environment (i.e., without considering possible major new policy developments). By 2025, spending on electric and gas efficiency programs (excluding load management programs) is projected to double from 2010 levels to $9.5 billion in the medium case, compared to $15.6 billion in the high case and $6.5 billion in the low case. Compliance with statewide legislative or regulatory savings or spending targets is the primary driver for the increase in electric program spending through 2025, though a significant share of the increase is also driven by utility DSM planning activity and integrated resource planning. Our analysis suggests that electric efficiency program spending may approach a more even geographic distribution over time in terms of absolute dollars spent, with the Northeastern and Western states declining from over 70% of total U.S. spending in 2010 to slightly more than 50% in 2025, with the South and Midwest splitting the remainder roughly evenly. Under our medium case scenario, annual incremental savings from customer-funded electric energy efficiency programs increase from 18.4 TWh in 2010 in the U.S. (which is about 0.5% of electric utility retail sales) to 28.8 TWh in 2025 (0.8% of retail sales). These savings would offset the majority of load growth in the Energy Information Administration's most recent reference case forecast, given specific assumptions about the extent to which future energy efficiency program savings are captured in that forecast
Treatment Patterns and Antipsychotic Medication Adherence Among Commercially Insured Patients With Schizoaffective Disorder in the United States
Joshi, Kruti; Lin, Jay; Lingohr-Smith, Melissa; Fu, Dong-Jing; Muser, Erik
Abstract This study assessed real-world treatment patterns and antipsychotic (AP) medication adherence among commercially insured US patients with schizoaffective disorder (SCA). Continuously insured adults aged 18 years or older with a diagnosis of SCA from January 1, 2009, to December 31, 2012, were identified from the Clinformatics Data Mart database. Patients were categorized into 2 cohorts: incident or prevalent SCA. Demographics and clinical characteristics were evaluated during the baseline period. Use of psychiatric medications and adherence to AP medications were evaluated during a 12-month follow-up period after index diagnosis of SCA. Of the overall study population (N = 2713; mean age, 40.2 y; 52.7% female), 1961 patients (72.3%) (mean age, 38.7 y; 51.3% female) had incident SCA, and 752 patients (27.7%) (mean age, 43.9 y; 56.5% female) had prevalent SCA. Antipsychotics were used by 74.8% of patients in the overall study population during the follow-up period. The most commonly prescribed oral AP was risperidone (23.9%), followed by quetiapine (21.4%) and aripiprazole (20.4%). Use of any long-acting injectable APs in the overall study population during the follow-up period was less than 3%. A total of 49.0% and 38.0% of the overall study population had medication possession ratios and proportion of days covered for APs of 80% or greater, respectively. Overall use of long-acting injectable APs for the treatment of SCA is low, and adherence to AP medications, measured by both medication possession ratio and proportion of days covered, is suboptimal among patients with SCA in the real-world setting. PMID:27525965
A united refinement technology for commercial pure Al by Al-10Ti and Al-Ti-C master alloys
Energy Technology Data Exchange (ETDEWEB)
Ma Xiaoguang [Key Laboratory of Liquid Structure and Heredity of Materials, Ministry of Education, Shandong University, Jinan 250061 (China); Liu Xiangfa [Key Laboratory of Liquid Structure and Heredity of Materials, Ministry of Education, Shandong University, Jinan 250061 (China)], E-mail: email@example.com; Ding Haimin [Key Laboratory of Liquid Structure and Heredity of Materials, Ministry of Education, Shandong University, Jinan 250061 (China)
Because flake-like TiAl{sub 3} particles in Al-Ti-C master alloys prepared in a melt reaction method dissolve slowly when they are added into Al melt at 720 deg. C, Ti atoms cannot be released rapidly to play the assistant role of grain refinement, leading to a poor refinement efficiency of Al-Ti-C master alloys. A united refinement technology by Al-10Ti and Al-Ti-C master alloys was put forward in this paper. The rational combination of fine blocky TiAl{sub 3} particles in Al-10Ti and TiC particles in Al-Ti-C can improve the nucleation rate of {alpha}-Al. It not only improves the grain refinement efficiency of Al-Ti-C master alloys, but also reduces the consumption.
Miscellaneous and Electronic Loads Energy Efficiency Opportunities for Commercial Buildings: A Collaborative Study by the United States and India
Energy Technology Data Exchange (ETDEWEB)
Ghatikar, Girish [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cheung, Iris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Lanzisera, Steven [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Wardell, Bob [Infosys Technologies Limited; Deshpande, Manoj [Infosys Technologies Limited; Ugarkar, Jayraj [Infosys Technologies Limited
This report documents the technical evaluation of a collaborative research, development, and demonstration (RD&D) project that aims to address energy efficiency of Miscellaneous and Electronic Loads (MELs) (referred to as plug loads interchangeably in this report) using load monitoring and control devices. The goal s of this project are to identify and provide energy efficiency and building technologies to exemplary information technology (IT) office buildings, and to assist in transforming markets via technical assistance and engagement of Indian and U.S. stakeholders. This report describes the results of technology evaluation and United States – India collaboration between the Lawrence Berkeley National Laboratory (LBNL), Infosys Technologies Limited (India), and Smartenit, Inc. (U.S.) to address plug - load efficiency. The conclusions and recommendations focus on the larger benefits of such technologies and their impacts on both U.S. and Indian stakeholders.
Trend and pattern analysis of failures of main feedwater system components in United States commercial nuclear power plants
International Nuclear Information System (INIS)
Gentillon, C.D.; Meachum, T.R.; Brady, B.M.
The goal of the trend and pattern analysis of MFW (main feedwater) component failure data is to identify component attributes that are associated with relatively high incidences of failure. Manufacturer, valve type, and pump rotational speed are examples of component attributes under study; in addition, the pattern of failures among NPP units is studied. A series of statistical methods is applied to identify trends and patterns in failures and trends in occurrences in time with regard to these component attributes or variables. This process is followed by an engineering evaluation of the statistical results. In the remainder of this paper, the characteristics of the NPRDS that facilitate its use in reliability and risk studies are highlighted, the analysis methods are briefly described, and the lessons learned thus far for improving MFW system availability and reliability are summarized (orig./GL)
A united refinement technology for commercial pure Al by Al-10Ti and Al-Ti-C master alloys
International Nuclear Information System (INIS)
Ma Xiaoguang; Liu Xiangfa; Ding Haimin
Because flake-like TiAl 3 particles in Al-Ti-C master alloys prepared in a melt reaction method dissolve slowly when they are added into Al melt at 720 deg. C, Ti atoms cannot be released rapidly to play the assistant role of grain refinement, leading to a poor refinement efficiency of Al-Ti-C master alloys. A united refinement technology by Al-10Ti and Al-Ti-C master alloys was put forward in this paper. The rational combination of fine blocky TiAl 3 particles in Al-10Ti and TiC particles in Al-Ti-C can improve the nucleation rate of α-Al. It not only improves the grain refinement efficiency of Al-Ti-C master alloys, but also reduces the consumption
Asia-Pacific from the perspective of the United States: an agenda where commercial and security priorities coexist
Directory of Open Access Journals (Sweden)
Alfredo Crespo Alcázar
Full Text Available The Barack Obama cabinets (2008-2012; 2012-2016 entailed a significant shift regarding the issues considered as priorities during the former Republican administration (2000-2008. The priority of fighting against jihadist terrorism was coupled with an approach that gave more importance to diplomacy and international institutions. We should not interpret this phenomenon as the United States giving up the development of its role as a global leader. When it comes to the regional level, the main transformation constituted the new geostrategic and geopolitical importance conferred upon the Asia-Pacific region in detriment of the European Union, for instance. This was due to a variety of factors, some of which arise from the recent past (issues related to security and defense or the present (the economic crisis that the EU could not fight effectively. The new US agenda towards the Asia-Pacific generated reactions of different nature, since some international actors reacted cautiously (China, Russia or the European Union, each of them for different motives. Nevertheless, it was positively regarded by the traditional US allies in the region (Australia, Japan and South Korea.
Trends and regional variations in provision of contraception methods in a commercially insured population in the United States based on nationally proposed measures.
Law, A; Yu, J S; Wang, W; Lin, J; Lynen, R
Three measures to assess the provision of effective contraception methods among reproductive-aged women have recently been endorsed for national public reporting. Based on these measures, this study examined real-world trends and regional variations of contraceptive provision in a commercially insured population in the United States. Women 15-44years old with continuous enrollment in each year from 2005 to 2014 were identified from a commercial claims database. In accordance with the proposed measures, percentages of women (a) provided most effective or moderately effective (MEME) methods of contraception and (b) provided a long-acting reversible contraceptive (LARC) method were calculated in two populations: women at risk for unintended pregnancy and women who had a live birth within 3 and 60days of delivery. During the 10-year period, the percentages of women at risk for unintended pregnancy provided MEME contraceptive methods increased among 15-20-year-olds (24.5%-35.9%) and 21-44-year-olds (26.2%-31.5%), and those provided a LARC method also increased among 15-20-year-olds (0.1%-2.4%) and 21-44-year-olds (0.8%-3.9%). Provision of LARC methods increased most in the North Central and West among both age groups of women. Provision of MEME contraceptives and LARC methods to women who had a live birth within 60days postpartum also increased across age groups and regions. This assessment indicates an overall trend of increasing provision of MEME contraceptive methods in the commercial sector, albeit with age group and regional variations. If implemented, these proposed measures may have impacts on health plan contraceptive access policy. Copyright © 2017 Elsevier Inc. All rights reserved.
Feasibility and utility of mapping disease risk at the neighbourhood level within a Canadian public health unit: an ecological study
Directory of Open Access Journals (Sweden)
Wanigaratne Susitha
Full Text Available Abstract Background We conducted spatial analyses to determine the geographic variation of cancer at the neighbourhood level (dissemination areas or DAs within the area of a single Ontario public health unit, Wellington-Dufferin-Guelph, covering a population of 238,326 inhabitants. Cancer incidence data between 1999 and 2003 were obtained from the Ontario Cancer Registry and were geocoded down to the level of DA using the enhanced Postal Code Conversion File. The 2001 Census of Canada provided information on the size and age-sex structure of the population at the DA level, in addition to information about selected census covariates, such as average neighbourhood income. Results Age standardized incidence ratios for cancer and the prevalence of census covariates were calculated for each of 331 dissemination areas in Wellington-Dufferin-Guelph. The standardized incidence ratios (SIR for cancer varied dramatically across the dissemination areas. However, application of the Moran's I statistic, a popular index of spatial autocorrelation, suggested significant spatial patterns for only two cancers, lung and prostate, both in males (p Conclusion This paper demonstrates the feasibility and utility of a systematic approach to identifying neighbourhoods, within the area served by a public health unit, that have significantly higher risks of cancer. This exploratory, ecologic study suggests several hypotheses for these spatial patterns that warrant further investigations. To the best of our knowledge, this is the first Canadian study published in the peer-reviewed literature estimating the risk of relatively rare public health outcomes at a very small areal level, namely dissemination areas.
Health care resource utilization before and after perampanel initiation among patients with epilepsy in the United States.
Faught, Edward; Laliberté, François; Wang, Zhixiao; Barghout, Victoria; Haider, Batool; Lejeune, Dominique; Germain, Guillaume; Choi, Jiyoon; Wagh, Aneesha; Duh, Mei Sheng
The purpose of this study was to evaluate changes in health care resource utilization following the initiation of perampanel for the treatment of epilepsy in the United States. Health care claims from Symphony Health's Integrated Dataverse database between December 2012 and November 2015 were analyzed. Patients newly initiated on perampanel, having ≥1 epilepsy (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] code 345.xx, ICD-10-CM code G40.xxx) or nonfebrile convulsion (ICD-9-CM code 780.39, ICD-10-CM code R56.9) diagnosis, and having ≥6 months of baseline and observation periods were included. Patients <12 years old at perampanel initiation were excluded. Of the 2,508 perampanel patients included in the study, the mean [median] (±standard deviation [SD]) age was 35.8 [34] (±16.0) years and 56.2% were female. The mean [median] (±SD) observation duration was 459.8 [462] (±146.3) days in the postperampanel period. The postperampanel period was associated with significantly lower rates of all health care resource utilization outcomes than the pre-period. For the post- versus pre-period, perampanel users had 42.3 versus 53.8 overall hospitalizations per 100 person-years (rate ratio [RR] = 0.80, p < 0.001) and 1,240.2 versus 1,343.8 outpatient visits per 100 person-years (RR = 0.91, p < 0.001). Epilepsy-related hospitalizations and outpatient visits were 25.2 versus 33.6 per 100 person-years (RR = 0.76, p < 0.001) and 327.0 versus 389.0 per 100 person-years (RR = 0.84, p < 0.001), respectively. Additionally, a significantly lower rate of status epilepticus in the post-period (1.8 events per 100 person-years) was observed compared to the pre-period (4.4 events per 100 person-years; RR = 0.43, p < 0.001). The monthly time trend of hospitalizations showed an increasing trend leading up to the initiation of perampanel, after which the hospitalizations decreased steadily. Use of perampanel for the treatment of epilepsy was
Assistive technology needs, functional difficulties, and services utilization and coordination of children with developmental disabilities in the United States.
Lin, Sue C; Gold, Robert S
Assistive technology (AT) enhances the ability of individuals with disabilities to be fully engaged in activities at home, at school, and within their communities-especially for children with developmental disabilities (DD) with physical, sensory, learning, and/or communication impairments. The prevalence of children with DD in the United States has risen from 12.84% in 1997 to 15.04% in 2008. Thus, it is important to monitor the status of their AT needs, functional difficulties, services utilization, and coordination. Using data from the 2009-2010 National Survey on Children with Special Health Care Needs (NS-CSHCN), we conducted bivariate and multivariate statistical analysis, which found that 90% or more of parents of both children with DD and other CSHCN reported that their child's AT needs were met for vision, hearing, mobility, communication, and durable medical equipment; furthermore, children with DD had lower odds of AT needs met for vision and hearing and increased odds for meeting AT needs in mobility and communication. Our findings outline the current AT needs of children with DD nationally. Fulfilling these needs has the potential to engender positive lifelong effects on the child's disabilities, sense of independence, self-confidence, and productivity.
UNEP (United Nations Environment Program) discussed the environmental impacts of extraction, transportation, and utilization of fossil fuels
Energy Technology Data Exchange (ETDEWEB)
The UNEP (United Nations Environment Program) discussed the environmental impacts of extraction, transportation, and utilization of fossil fuels at a meeting in Warsaw, the first in a series of UNEP undertakings, to be followed by studies on nuclear energy and renewable energy sources. The major issues examined at the meeting were human health effects of atmospheric emissions, especially SO/sub 2/; effects of SO/sub 2/ on vegetation and bodies of fresh water; long-term ecologic effects of oil spills in the sea; and potential effects on climate from atmospheric CO/sub 2/ arising from fossil fuel combustion. A doubling of the atmospheric CO/sub 2/ concentration would cause an estimated 1.5/sup 0/-3.0/sup 0/C increase in the surface air temperature. With an amount of CO/sub 2/ equivalent to 0.5 x 10/sup 10/ tonnes of carbon annually injected into the atmosphere from fossil fuels, of which only 0.27 x 10/sup 10/ tonnes are removed by some exchange processes with ocean or land. A 17% increase in atmospheric CO/sub 2/ over the 1976 concentration of 332 ppm is expected by the year 2000.
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway
Myklebust, Lars Henrik; Sørgaard, Knut; Wynn, Rolf
Objectives In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. Methods Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays. Results The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays. Conclusion Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care. PMID:26604843
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway.
Myklebust, Lars Henrik; Sørgaard, Knut; Wynn, Rolf
In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays. The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays. Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.
Behavior of Mercury Emissions from a Commercial Coal-Fired Utility Boiler: TheRelationship Between Stack Speciation and Near-Field Plume Measurements
The reduction of divalent gaseous mercury (HgII) to elemental gaseous mercury (Hg0) in a commercial coal-fired power plant (CFPP)exhaust plume was investigated by simultaneous measurement in-stack and in-plume as part of a collaborative study among the U.S....
Comparison of ultraviolet A light protection standards in the United States and European Union through in vitro measurements of commercially available sunscreens.
Wang, Steven Q; Xu, Haoming; Stanfield, Joseph W; Osterwalder, Uli; Herzog, Bernd
The importance of adequate ultraviolet A light (UVA) protection has become apparent in recent years. The United States and Europe have different standards for assessing UVA protection in sunscreen products. We sought to measure the in vitro critical wavelength (CW) and UVA protection factor (PF) of commercially available US sunscreen products and see if they meet standards set by the United States and the European Union. Twenty sunscreen products with sun protection factors ranging from 15 to 100+ were analyzed. Two in vitro UVA protection tests were conducted in accordance with the 2011 US Food and Drug Administration final rule and the 2012 International Organization for Standardization method for sunscreen effectiveness testing. The CW of the tested sunscreens ranged from 367 to 382 nm, and the UVA PF of the products ranged from 6.1 to 32. Nineteen of 20 sunscreens (95%) met the US requirement of CW >370 nm. Eleven of 20 sunscreens (55%) met the EU desired ratio of UVA PF/SPF > 1:3. The study only evaluated a small number of sunscreen products. The majority of tested sunscreens offered adequate UVA protection according to US Food and Drug Administration guidelines for broad-spectrum status, but almost half of the sunscreens tested did not pass standards set in the European Union. Copyright © 2017. Published by Elsevier Inc.
Kent A. McDonald; David E. Kretschmann
In a broad sense, commercial lumber is any lumber that is bought or sold in the normal channels of commerce. Commercial lumber may be found in a variety of forms, species, and types, and in various commercial establishments, both wholesale and retail. Most commercial lumber is graded by standardized rules that make purchasing more or less uniform throughout the country...
The System Design of a Global Communications System for Military and Commercial use Utilizing High Altitude Unmanned Aerial Vehicles (UAVs) and Terrestrial Local Multipoint Distribution Service (LMDS) Sites
Banks, Bradley
This thesis proposes the design of the UAV-LMDS communication system for military and commercial use. The UAV-LMDS system is a digital, wireless communication system that provides service using unmanned aerial vehicles (UAVs) flying at 60,000 ft. acting as communication hubs. This thesis provides background information on UAV-LMDS system elements, a financial analysis, theory, link budgets, system component design and implementation issues. To begin the design, we develop link budgets t...
An academic radiology information system (RIS): a review of the commercial RIS systems, and how an individualized academic RIS can be created and utilized.
Tamm, E P; Kawashima, A; Silverman, P
Current commercial radiology information systems (RIS) are designed for scheduling, billing, charge collection, and report dissemination. Academic institutions have additional requirements for their missions for teaching, research and clinical care. The newest versions of commercial RIS offer greater flexibility than prior systems. We sent questionnaires to Cerner Corporation, ADAC Health Care Information Systems, IDX Systems, Per-Se' Technologies, and Siemens Health Services regarding features of their products. All of the products we surveyed offer user customizable fields. However, most products did not allow the user to expand their product's data table. The search capabilities of the products varied. All of the products supported the Health Level 7 (HL-7) interface and the use of structured query language (SQL). All of the products were offered with an SQL editor for creating customized queries and custom reports. All products included capabilities for collecting data for quality assurance and included capabilities for tracking "interesting cases," though they varied in the functionality offered. No product offered dedicated functions for research. Alternatively, radiology departments can create their own client-server Windows-based database systems to supplement the capabilities of commercial systems. Such systems can be developed with "web-enabled" database products like Microsoft Access or Apple Filemaker Pro.
International Nuclear Information System (INIS)
The objective of this paper is to assess the near term (one-to-five-year) needs of domestic and foreign commercial suppliers of radiochemicals and radiopharmaceuticals for electromagnetically separated stable isotopes. Only isotopes purchased to make products for sale and profit are considered in this assessment. Radiopharmaceuticals produced from enriched stable isotopes supplied by the Calutron facility at ORNL are used in about 600,000 medical procedures each year in the United States. A temporary or permanent disruption of the supply of stable isotopes to the domestic radiopharmaceutical industry could curtail, if not eliminate, the use of such diagnostic procedures as the thallium heart scan, the gallium cancer scan, the gallium abscess scan, and the low-radiation-dose thyroid scan. The word could in the preceding sentence is underlined because an alternative source of enriched stable isotopes does exist in the USSR. Alternative starting materials could, in theory, eventually be developed for both the thallium and gallium scans. The development of a new technology for these purposes, however, would take at least five years and would be expensive. Hence, any disruption of the supply of enriched isotopes from ORNL and the resulting unavailability of critical nuclear medicine procedures would have a dramatic negative effect on the level of health care in the United States
The near term (one to five year) needs of domestic and foreign commercial suppliers of radiochemicals and radiopharmaceuticals for electromagnetically separated stable isotopes are assessed. Only isotopes purchased to make products for sale and profit are considered. Radiopharmaceuticals produced from enriched stable isotopes supplied by the Calutron facility at ORNL are used in about 600,000 medical procedures each year in the United States. A temporary or permanent disruption of the supply of stable isotopes to the domestic radiopharmaceutical industry could curtail, if not eliminate, the use of such diagnostic procedures as the thallium heart scan, the gallium cancer scan, the gallium abscess scan, and the low radiation dose thyroid scan. An alternative source of enriched stable isotopes exist in the USSR. Alternative starting materials could, in theory, eventually be developed for both the thallium and gallium scans. The development of a new technology for these purposes, however, would take at least five years and would be expensive. Hence, any disruption of the supply of enriched isotopes from ORNL and the resulting unavailability of critical nuclear medicine procedures would have a dramatic negative effect on the level of health care in the United States.
Self-reported oral health, oral hygiene habits and dental service utilization among pregnant women in United Arab Emirates.
Hashim, R
The aim of this study was to describe self-reported oral health, oral hygiene habits and frequency of visits to a dentist among pregnant women visiting maternity hospitals in the United Arab Emirates. A cross-sectional study was conducted, with anonymous structured questionnaires distributed to 800 pregnant women who were chosen at random from attendants of three maternity and child health centres from various geographical areas of UAE, during January-March 2010. The response rate was 93.7% (n = 750). Less than quarter of the participated pregnant women were in their first trimester. Almost a quarter (23.5%) of the women believed that they had periodontal problem currently, while 46.3% reported having carious teeth. More than 44% reported having dental pain, and about 40% women felt that her oral health was poor. About 60% reported having heard about the possible connection between pregnancy and the oral health. About 94% of the women were brushing their teeth at least once a day. More than half of the women (58.3%) visited the dentist during their most recent pregnancy, mostly for dental pain. A large proportion of the pregnant women in this study had oral health problems; however, more than 40% of those women had not visited a dentist during their pregnancy, and the majority of those utilized dental services when they had dental pain only. To provide better oral health care, more knowledge needs to be made available to the pregnant women and the medical community. © 2011 John Wiley & Sons A/S.
Utilizing Physiological Principles of Motor Unit Recruitment to Reduce Fatigability of Electrically-Evoked Contractions: A Narrative Review.
Barss, Trevor S; Ainsley, Emily N; Claveria-Gonzalez, Francisca C; Luu, M John; Miller, Dylan J; Wiest, Matheus J; Collins, David F
Neuromuscular electrical stimulation (NMES) is used to produce contractions to restore movement and reduce secondary complications for individuals experiencing motor impairment. NMES is conventionally delivered through a single pair of electrodes over a muscle belly or nerve trunk using short pulse durations and frequencies between 20 and 40Hz (conventional NMES). Unfortunately, the benefits and widespread use of conventional NMES are limited by contraction fatigability, which is in large part because of the nonphysiological way that contractions are generated. This review provides a summary of approaches designed to reduce fatigability during NMES, by using physiological principles that help minimize fatigability of voluntary contractions. First, relevant principles of the recruitment and discharge of motor units (MUs) inherent to voluntary contractions and conventional NMES are introduced, and the main mechanisms of fatigability for each contraction type are briefly discussed. A variety of NMES approaches are then described that were designed to reduce fatigability by generating contractions that more closely mimic voluntary contractions. These approaches include altering stimulation parameters, to recruit MUs in their physiological order, and stimulating through multiple electrodes, to reduce MU discharge rates. Although each approach has unique advantages and disadvantages, approaches that minimize MU discharge rates hold the most promise for imminent translation into rehabilitation practice. The way that NMES is currently delivered limits its utility as a rehabilitative tool. Reducing fatigability by delivering NMES in ways that better mimic voluntary contractions holds promise for optimizing the benefits and widespread use of NMES-based programs. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway
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Myklebust LH
Full Text Available Lars Henrik Myklebust,1 Knut Sørgaard,1,2 Rolf Wynn21Psychiatric Research Centre of North Norway, Nordland Hospital Trust, Bodø, 2Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayObjectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care.Methods: Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays.Results: The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized, a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays.Conclusion: Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.Keywords: psychiatry, hospitalization, decentralization, outpatients, continuity of care, health service research, affective
Management of sacroiliac joint disruption and degenerative sacroiliitis with nonoperative care is medical resource-intensive and costly in a United States commercial payer population
Ackerman, Stacey J; Polly, David W; Knight, Tyler; Holt, Tim; Cummings, John
Introduction Low back pain is common and originates in the sacroiliac (SI) joint in 15%–30% of cases. Traditional SI joint disruption/degenerative sacroiliitis treatments include nonoperative care or open SI joint fusion. To evaluate the usefulness of newly developed minimally-invasive technologies, the costs of traditional treatments must be better understood. We assessed the costs of nonoperative care for SI joint disruption to commercial payers in the United States (US). Methods A retrospective study of claim-level medical resource use and associated costs used the MarketScan® Commercial Claims and Encounters as well as Medicare Supplemental Databases of Truven Healthcare. Patients with a primary ICD-9-CM diagnosis code for SI joint disruption (720.2, 724.6, 739.4, 846.9, or 847.3), an initial date of diagnosis from January 1, 2005 to December 31, 2007 (index date), and continuous enrollment for ≥1 year before and 3 years after the index date were included. Claims attributable to SI joint disruption with a primary or secondary ICD-9-CM diagnosis code of 71x.xx, 72x.xx, 73x.xx, or 84x.xx were identified; the 3-year medical resource use-associated reimbursement and outpatient pain medication costs (measured in 2011 US dollars) were tabulated across practice settings. A subgroup analysis was performed among patients with lumbar spinal fusion. Results The mean 3-year direct, attributable medical costs were $16,196 (standard deviation [SD] $28,592) per privately-insured patient (N=78,533). Among patients with lumbar spinal fusion (N=434), attributable 3-year mean costs were $91,720 (SD $75,502) per patient compared to $15,776 (SD $27,542) per patient among patients without lumbar spinal fusion (N=78,099). Overall, inpatient hospitalizations (19.4%), hospital outpatient visits and procedures (14.0%), and outpatient pain medications (9.6%) accounted for the largest proportion of costs. The estimated 3-year insurance payments attributable to SI joint disruption
The Global Online Sexuality Survey (GOSS): the United States of America in 2011 chapter II: phosphodiesterase inhibitors utilization among English speakers.
Shaeer, Osama
Utility of phosphodiesterase inhibitors (PDEi's) for the treatment of erectile dysfunction (ED) has been the focus of experimental and clinical studies. However, public preferences, attitudes, and experiences with PDEi's are rarely addressed from a population/epidemiology viewpoint. The Global Online Sexuality Survey (GOSS) is a worldwide epidemiologic study of sexuality and sexual disorders, first launched in the Middle East in 2010, followed by the United States in 2011. To describe the utilization rates, trends, and attitudes toward PDEi's in the United States in the year 2011. GOSS was randomly deployed to English-speaking male Web surfers in the United States via paid advertising on Facebook®, comprising 146 questions. Utilization rates and preferences for PDEi's by brand. Six hundred three subjects participated; mean age 53.43 years ± 13.9. Twenty-three point seven percent used PDEi's on more consistent basis, 37.5% of those with ED vs. 15.6% of those without ED (recreational users). Unrealistic safety concerns including habituation were pronounced. Seventy-nine point six percent of utilization was on prescription basis. PDEi's were purchased through pharmacies (5.3% without prescription) and in 16.5% over the Internet (68% without prescription). Nine point six percent nonprescription users suffered coronary heart disease. Prescription use was inclined toward sildenafil, generally, and particularly in severe cases, and shifted toward tadalafil in moderate ED and for recreational use, followed by vardenafil. Nonprescription utilization trends were similar, except in recreational use where sildenafil came first. In the United States unrealistic safety concerns over PDEi's utility exist and should be addressed. Preference for particular PDEi's over the others is primarily dictated by health-care providers, despite lack of guidelines that govern physician choice. Online and over-the-counter sales of PDEi's are common, and can expose a subset of users to health
Advanced LWR technology for commercial application
International Nuclear Information System (INIS)
Redding, J.R.
Advanced Light Water Reactors (ALWRs) are now being deployed and commercialized around the world. In Japan, the Tokyo Electric Power Company (TEPCO) is building the world's first ALWRs, two 1300 MWe Advanced BWRs (ABWRs). In the United States, the Department of Energy, utilities and suppliers are undertaking a cooperative program called First of a Kind Engineering (FOAKE). The purpose of FOAKE is to perform the detailed engineering of ALWRs to that they will be commercially available to U.S. utilities in the mid-1990s. The U.S. industry is in the second year of its strategic plan to have an ALWR in commercial operation by the year 2000. Elsewhere, the Taiwan Power Company has issued a Request for Proposal for two ALWRs so be built at its Lungmen site, with commercial operation of the first unit to be in the year 2000. Korea is formulating plans for an ALWR and other countries, such as Indonesia and Mexico, are looking into the feasibility of building ALWRs
Utility of eosin Y as a complexing reagent for the determination of citalopram hydrobromide in commercial dosage forms by fluorescence spectrophotometry.
Azmi, Syed Najmul Hejaz; Al-Fazari, Ahlam; Al-Badaei, Munira; Al-Mahrazi, Ruqiya
An accurate, selective and sensitive spectrofluorimetric method was developed for the determination of citalopram hydrobromide in commercial dosage forms. The method was based on the formation of a fluorescent ion-pair complex between citalopram hydrobromide and eosin Y in the presence of a disodium hydrogen phosphate/citric acid buffer solution of pH 3.4 that was extractable in dichloromethane. The extracted complex showed fluorescence intensity at λem = 554 nm after excitation at 259 nm. The calibration curve was linear over at concentrations of 2.0-26.0 µg/mL. Under optimized experimental conditions, the proposed method was validated as per ICH guidelines. The effect of common excipients used as additives was tested and the tolerance limit calculated. The limit of detection for the proposed method was 0.121 μg/mL. The proposed method was successfully applied to the determination of citalopram hydrobromide in commercial dosage forms. The results were compared with the reference RP-HPLC method. Copyright © 2015 John Wiley & Sons, Ltd.
Perspectives for utilization of the experience from the electrical equipment modernization of Kozloduy NPP units 5 and 6 in case of construction of new NPP
International Nuclear Information System (INIS)
Bogdanov, D.
In 2005 a governmental decision for continue the project for construction of Belene NPP was adopted. In case of start of this significant project in short terms, a good option will be to utilize the already achieved experience by the modernization program of units 5 and 6 of Kozloduy NPP. The process of construction of new NPP is associated with significant amount of engineering, civil construction works, equipment order and delivery, installation works, testing and commissioning activities. It is vital necessity to have optimal technology, strict organization for project implementation and excellent documentation. From technical point of view the experience from the modernization of units 5 and 6 of Kozloduy NPP will be very important in case of utilization of similar types of WWER 1000 units. According to the 'Feasibility study for construction of Belene NPP', the most favorable option is to accomplish the already partially constructed Unit 1 on the basis of upgraded WWER B-320 design - WWER 1000 B-392, in order to fulfill IEC 331-3A, IEC 332-3A, and of US NRC Regulatory Guide 1.70 and to construct the second unit on the basis of ASE WWER/1000 B-466. However, for any type of unit selected, the achieved experience will be an important basis. This article is focused mostly on the modernization aspects of some electrical systems of Kozloduy NPP
Proposal of appication of CRM theory in productive and commercial units of clothing industry sector in the comercial emporium gamarra, in Lima - Peru
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Jorge Luis Escalante Flores
Full Text Available Social transformations, the evolution of science and technology, globalization and modern conceptions of management that are taking place in the twenty-first century require all organizations in the world to innovate according to this new reality. "Plaza Gamarra" cannot be oblivious to these changes and requires confronting this reality, adapting organizational, administrative and functionally to new challenges. The micro and small enterprises, located in "Plaza Gamarra", evidenced by its constant concern through its orientation to the diverse needs of consumers, their creative capacity to respond to the rapidly changing environment and technological innovationcapacity, allowing respond to the demands of the domestic and foreign markets. This research tries to guide the implementation of CRM theory in "Plaza Gamarra", in response to the growing need for production and commercial units strengthen customer relationships, to rethink traditional concepts of marketing and use concepts of relational marketing. This decision was made after analysing several possibilities. Finally, we faced the challenge of developing this paper that we consider of great scope in a dynamic sector of the economy that can be a source of accumulation of wealth, life quality improvement and transcendence as a country.
Coupled simulation of a system for the utilization of exhaust heat and cooling of the interior of commercial vehicles; Gekoppelte Simulation eines Abgaswaermenutzungs- und Fahrzeugkuehlsystems im Nutzfahrzeug
Energy Technology Data Exchange (ETDEWEB)
Ambros, Peter; Fezer, Axel; Kapitel, Julian [TheSys GmbH, Kirchentellinsfurt (Germany)
Based on a simulation software called GT-Suite by Gamma Technology, a one-dimensional model of a waste-heat recovery system with utility vehicle boundary conditions was developed. Using this model, it is possible to simulate stationary operating points of this type WHR. A Clausius-Rankine cycle is used in the power-heat cogeneration. The Clausius-Rankine cycle is linked to the exhaust system by two boilers. The first boiler is installed in the main exhaust steam, the second boiler is implemented in the exhaust gas recirculation. Besides the waste-heat recovery system, the integrated cooling system of the vehicle is also modeled. (orig.)
Utilization of retroperitoneal lymph node dissection for testicular cancer in the United States: Results from the National Cancer Database (1998-2011).
Hugen, Cory M; Hu, Brian; Jeldres, Claudio; Burton, Claire; Nichols, Craig R; Porter, Christopher R; Daneshmand, Siamak
Retroperitoneal lymph node dissection (RPLND) for the treatment of testicular cancer is a relatively rare and complex operation that may contribute to differences in utilization. We sought to characterize the use of RPLND between different categories of cancer center facilities in the United States. The National Cancer Database was queried for patients with germ cell tumors treated at different types of cancer centers between 1998 and 2011. The proportion of patients who underwent RPLND was stratified by stage and histology and then compared between treatment facilities. RPLND utilization was then compared between facility types as a function of time. A total of 59,652 patients met inclusion criteria and 5,475 (9.2%) underwent RPLND. The proportion of patients treated with RPLND for non-seminomatous germ cell tumor (NSGCT) was significantly different between cancer center types for all stages (Pcancer centers. There was no difference in the proportion of RPLND utilization for stage II and III seminoma stratified by treatment facility. There was a significantly decreased trend in the utilization of RPLND for stage I (P = 0.032) NSGCT whereas utilization was increased for stage III NSGCT (P≤0.001) over the study period. The proportion of patients undergoing RPLND for NSGCT varies significantly by the type of cancer center and is used most often in academic cancer centers. Utilization of RPLND decreased for stage I NSGCT and increased for stage III NSGCTs during the study period. Copyright © 2016 Elsevier Inc. All rights reserved.
Management of sacroiliac joint disruption and degenerative sacroiliitis with nonoperative care is medical resource-intensive and costly in a United States commercial payer population
Directory of Open Access Journals (Sweden)
Ackerman SJ
Full Text Available Stacey J Ackerman,1 David W Polly Jr,2 Tyler Knight,3 Tim Holt,4 John Cummings5 1Covance Market Access Services Inc, San Diego, CA, USA; 2University of Minnesota, Orthopaedic Surgery, Minneapolis, MN, USA; 3Covance Market Access Services Inc, Gaithersburg, MD, USA; 4Montgomery Spine Center, Orthopaedic Surgery, Montgomery, AL, USA; 5Community Health Network, Neurosurgery, Indianapolis, IN, USA Introduction: Low back pain is common and originates in the sacroiliac (SI joint in 15%–30% of cases. Traditional SI joint disruption/degenerative sacroiliitis treatments include nonoperative care or open SI joint fusion. To evaluate the usefulness of newly developed minimally-invasive technologies, the costs of traditional treatments must be better understood. We assessed the costs of nonoperative care for SI joint disruption to commercial payers in the United States (US. Methods: A retrospective study of claim-level medical resource use and associated costs used the MarketScan® Commercial Claims and Encounters as well as Medicare Supplemental Databases of Truven Healthcare. Patients with a primary ICD-9-CM diagnosis code for SI joint disruption (720.2, 724.6, 739.4, 846.9, or 847.3, an initial date of diagnosis from January 1, 2005 to December 31, 2007 (index date, and continuous enrollment for ≥1 year before and 3 years after the index date were included. Claims attributable to SI joint disruption with a primary or secondary ICD-9-CM diagnosis code of 71x.xx, 72x.xx, 73x.xx, or 84x.xx were identified; the 3-year medical resource use-associated reimbursement and outpatient pain medication costs (measured in 2011 US dollars were tabulated across practice settings. A subgroup analysis was performed among patients with lumbar spinal fusion. Results: The mean 3-year direct, attributable medical costs were $16,196 (standard deviation [SD] $28,592 per privately-insured patient (N=78,533. Among patients with lumbar spinal fusion (N=434, attributable 3-year
Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States.
Pinkhasov, R M; Wong, J; Kashanian, J; Lee, M; Samadi, D B; Pinkhasov, M M; Shabsigh, R
Significant gender disparities exist in life expectancy and major disease morbidity. There is a need to understand the major issues related to men's health that contributes to these significant disparities. It is hypothesized that, high-risk behaviors and low utilization of all and preventive health services contribute to the higher mortality and the higher and earlier morbidity in men. Data was collected from CDC: Health United States, 2007; Health Behavior of Adults: United States 2002-04; and National Ambulatory Medical Care Survey: 2005 Summary. In United States, men are more likely to be regular and heavy alcohol drinkers, heavier smokers who are less likely to quit, non-medical illicit drug users, and are more overweight compared to women. Men are less likely to utilize health care visits to doctor's offices, emergency departments (ED), and physician home visits than women. They are also less likely to make preventive care, hospice care, dental care visits, and have fewer hospital discharges and shorter hospital stays than women. High-risk behaviors and low utilization of health services may contribute to the lower life expectancy in men. In the context of public health, behavioral and preventive interventions are needed to reduce the gender disparity.
Analysis of the United States Marine Corps' Utilization of Defense Logistics Agency Disposition Services as a Source of Supply
difficult within the DoD because "most incentives and motivations are not apparent for either government or industry " (p. 84). Doane and Spencer (1997...stated that industry incentives and motivation seem to be based on the same profit and loss theories that were present before acquisition reform...purchased items needed for the unit's day-to-day operations, such as digital cameras, commercial tactical clothing and eyewear , plasma televisions, lawn
Utility Values for Advanced Soft Tissue Sarcoma Health States from the General Public in the United Kingdom
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Julian F. Guest
Full Text Available Soft tissue sarcomas are a rare type of cancer generally treated with palliative chemotherapy when in the advanced stage. There is a lack of published health utility data for locally advanced "inoperable"/metastatic disease (ASTS, essential for calculating the cost-effectiveness of current and future treatments. This study estimated time trade-off (TTO and standard gamble (SG preference values associated with four ASTS health states (progressive disease, stable disease, partial response, complete response among members of the general public in the UK (n=207. The four health states were associated with decreases in preference values from full health. Complete response was the most preferred health state (mean utility of 0.60 using TTO. The second most preferred health state was partial response followed by stable disease (mean utilities were 0.51 and 0.43, respectively, using TTO. The least preferred health state was progressive disease (mean utility of 0.30 using TTO. The utility value for each state was significantly different from one another (P<0.001. This study demonstrated and quantified the impact that different treatment responses may have on the health-related quality of life of patients with ASTS.
Utilization of transmission probabilities in the calculation of unit-cell by the interface-current method
International Nuclear Information System (INIS)
Queiroz Bogado Leite, S. de.
A widely used but otherwise physically incorrect assumption in unit-cell calculations by the method of interface currents in cylindrical or spherical geometries, is that of that of isotropic fluxes at the surfaces of the cell annular regions, when computing transmission probabilities. In this work, new interface-current relations are developed without making use of this assumption and the effects on calculated integral parameters are shown for an idealized unit-cell example. (author) [pt
Fewer intensive care unit refusals and a higher capacity utilization by using a cyclic surgical case schedule
van Houdenhoven, Mark; van Oostrum, Jeroen M.; Wullink, Gerhard; Hans, Elias W.; Hurink, Johann L.; Bakker, Jan; Kazemier, Geert
Purpose: Mounting health care costs force hospital managers to maximize utilization of scarce resources and simultaneously improve access to hospital services. This article assesses the benefits of a cyclic case scheduling approach that exploits a master surgical schedule (MSS). An MSS maximizes
An Internet treatment with weekly e-mail contacts used in a tobacco unit: clinical utility and predictors of outcome
Gallego, M.J.; Modesto, M.; Muñoz, M.A.; Almajano, M.J.; Modolell, E.; Peris, C.P.; Emmelkamp, P.M.G.
This work presents preliminary data on the clinical utility and outcome predictors of The San Francisco Stop Smoking Internet Site (SFSSIS) (Lenert et al., 2003) used with weekly e-mail contacts and the usual pharmacological treatment. Fifty smokers participated in the current series of cases, 24
Religiosity and Utilization of Complementary and Alternative Medicine among Foreign-Born Hispanics in the United States
Heathcote, John D.; West, Joshua H.; Hall, P. Cougar; Trinidad, Dennis R.
The purpose of this study was to test the association between religiosity and utilization of complementary and alternative medicine (CAM) in a sample of foreign-born Hispanic adults, even when excluding prayer as a form of CAM. Data were collected using a self-report Spanish-language survey. Study participants consisted of 306 respondents between…
Decadal analysis of deceased organ donation in Spain and the United States linking an increased donation rate and the utilization of older donors.
Halldorson, Jeff; Roberts, John Paul
After the foundation of the National Transplant Organization, Spanish rates of deceased donor donation rapidly outpaced US growth over the decade from 1989 to 1999. An analysis of the following decade, 1999-2009, demonstrated a markedly flattened growth curve for Spanish deceased donor organ procurement, which increased only 2.4% from 33.6 to 34.4 donors per million population (pmp). In comparison, over the same decade in the United States, the rate of deceased donation increased from 20.9 to 26.3 donors pmp (25.8%). An age group comparison demonstrated a much higher donation rate among older donors in Spain. For example, the number of donors older than 70 years increased from 3.8 to 8.8 pmp (a 132% increase), and they now constitute 25.4% of all Spanish organ donors. In contrast, the number of US donors older than 70 years increased from 1.0 to 1.3 pmp, and they constitute only 4.4% of total deceased donors. Over the same decade, the number of younger donors (15-30 years old) decreased from 6.6 to 2.5 pmp (a 62% decrease) in Spain, and this contrasted with a slightly increased US donation rate for the same age subgroup (a 15.5% increase from 5.8 to 6.7 pmp). Although older donors were more rarely used in the United States, growth in donation over the 2 decades (1989-2009) was strongly associated with the utilization of donors aged 65 or older (P < 0.01). United Network for Organ Sharing regions demonstrated significant differences in utilization rates for older donors. In conclusion, strategies aimed toward achieving US donation rates equivalent to the Spanish benchmark should target improved utilization rates for older donors in the United States instead of emulating elements of the Spanish organ procurement system. © 2013 American Association for the Study of Liver Diseases.
EPRI instruments reach commercial market
International Nuclear Information System (INIS)
The Electric Power Research Institute has developed instruments capable of verifying time responses of power plant pressure sensors and temperature sensors. A patent is pending on the pressure-sensor device, and the temperature-sensor device is already commercially available. The devices, EPRI's first hardware products to be marketed, are the result of research to find technological solutions to the problems of knowing the time period when temperature and pressure changes occur in light water reactors. The hydraulic pressure-sensor device is a portable unit that can conveniently test equipment in place. Utilities can obtain detailed information from EPRI's project report to construct their own. The loop current step response (LCSR), measuring resistance temperature, is also a compact system suitable for in-plant testing
The Airborne Process{sup TM} : advancement in multi-pollutant emissions control technology by product utilization and the commercialization process
Energy Technology Data Exchange (ETDEWEB)
Mortson, M. [Airborne Clean Energy LLC, Terrace Park, OH (United States)
This paper described research and development programs conducted to develop a pollution abatement technology called the Airborne process. The Airborne process is comprised of 3 stages: (1) sodium flue gas purification; (2) sodium bicarbonate regeneration; and (3) a patented granulation process in which ammonia byproducts are transformed into fertilizer. A research program conducted by CANMET developed a new technique to remove heavy metals from sodium sulfate scrubbing solutions, and tested the scrubbing of mixed flue gas in a bench-scale reaction chamber. Pilot tests were conducted to scrub the flue gas in a 0.3 MW coal-fired combustor. The removal of heavy metals and particulates prior to fertilizer production resulted in fertilizer purity that exceeds all global standards. A total of 11 combustion trials were conducted with 11 different types of coal. Results of vertical combustor tests showed that both sulphur oxides (SO{sub x}) and nitrogen oxides (NO{sub x}) decreased rapidly after injection started. The scrubber was effective in removing oxidized states of NO as well as 75 per cent of mercury (Hg) capture. The technology was adopted by the Kentucky Utilities Generating Station 6 MW regeneration plant, which developed an automated operation of a scaled down version of the CANMET system. Sulphur dioxide (SO{sub 2}) and sulfite (SO{sub 3}) reduction at the plant was almost 100 per cent. NO{sub x} reduction to date was approximately 92 per cent, while Hg reduction was 70 per cent. An advanced mercury and NO{sub x} program was developed to examine the chemical effects of oxidants as well as to examine methods of total mercury and NO{sub x} removal. A simplified process schematic of the system was provided. The 3 proven technologies were then integrated to form the Airborne system. It was concluded that full-scale systems are now in operation in power plants across North America. A case study of the Airborne process used at the Mustang generating station in New
The Development of an Individualized Instructional Program in Beginning College Mathematics Utilizing Computer Based Resource Units. Final Report.
Rockhill, Theron D.
Reported is an attempt to develop and evaluate an individualized instructional program in pre-calculus college mathematics. Four computer based resource units were developed in the areas of set theory, relations and function, algebra, trigonometry, and analytic geometry. Objectives were determined by experienced calculus teachers, and…
Impact of Built-up-Litter and Commercial Antimicrobials on Salmonella and Campylobacter Contamination of Broiler Carcasses Processed at a Pilot Mobile Poultry-Processing Unit.
Li, KaWang; Lemonakis, Lacey; Glover, Brian; Moritz, Joseph; Shen, Cangliang
The small-scale mobile poultry-processing unit (MPPU) produced raw poultry products are of particular food safety concern due to exemption of USDA poultry products inspection act. Limited studies reported the microbial quality and safety of MPPU-processed poultry carcasses. This study evaluated the Salmonella and Campylobacter prevalence in broiler ceca and on MPPU-processed carcasses and efficacy of commercial antimicrobials against Campylobacter jejuni on broilers. In study I, straight-run Hubbard × Cobb broilers (147) were reared for 38 days on clean-shavings (CS, 75) or built-up-litter (BUL, 72) and processed at an MPPU. Aerobic plate counts (APCs), coliforms, Escherichia coli , and yeast/molds (Y/M) of carcasses were analyzed on petrifilms. Ceca and carcass samples underwent microbial analyses for Salmonella and Campylobacter spp. using the modified USDA method and confirmed by API-20e test ( Salmonella ), latex agglutination immunoassay ( Campylobacter ), and Gram staining ( Campylobacter ). Quantitative polymerase chain reaction (CadF gene) identified the prevalence of C. jejuni and Campylobacter coli in ceca and on carcasses. In study II, fresh chilled broiler carcasses were spot inoculated with C. jejuni (4.5 log 10 CFU/mL) and then undipped, or dipped into peroxyacetic acid (PAA) (1,000 ppm), lactic acid (5%), lactic and citric acid blend (2.5%), sodium hypochlorite (69 ppm), or a H 2 O 2 -PAA mix (SaniDate ® 5.0, 0.25%) for 30 s. Surviving C. jejuni was recovered onto Brucella agar. APCs, coliforms, and E. coli populations were similar ( P > 0.05) on CS and BUL carcasses. Carcasses of broilers raised on BUL contained a greater ( P 0.05) in CS-treated ceca than BUL samples. Prevalence of Campylobacter spp., C. jejuni , and C. coli was not different ( P > 0.05) on CS- and BUL-treated carcasses. All antimicrobials reduced C. jejuni by 1.2-2.0 log CFU/mL on carcasses compared with controls. Hence, raising broilers on CS
Trends in darunavir resistance-associated mutations and phenotypic resistance in commercially tested United States clinical samples between 2006 and 2012.
Lathouwers, Erkki; Gupta, Soumi; Haddad, Mojgan; Paquet, Agnes; de Meyer, Sandra; Baugh, Bryan
HIV-1 samples submitted by clinicians from the United States for routine drug susceptibility testing (PhenoSense GT) were evaluated for genotypic and phenotypic resistance to darunavir and other protease inhibitors (PIs). Among these samples (Monogram Biosciences database January 2006-June 2012; N=78,843), isolates harboring zero IAS-USA darunavir resistance-associated mutations (RAMs) increased from 77.7% in 2006 to 92.8% through the first half of 2012 (H1 2012; upward trend, p=0.0008); a downward trend seen for samples with three or more darunavir RAMs (7.5% in 2006 and 2.6% in H1 2012; p=0.002). Among samples with any PI resistance (N=15,932), samples harboring zero darunavir RAMs gradually increased (39.9% in 2006 vs. 55.0% in H1 2012; upward trend, p=0.005), but three or more darunavir RAMs did not change over time (21.7% in 2006 and 19.2% in H1 2012; p=0.27). During this period, the frequency of the 11 individual darunavir RAMs (IAS-USA 2011 list) decreased among all samples. The frequency of each darunavir RAM in PI-resistant samples decreased or remained relatively stable. The prevalence of samples with phenotypic resistance to darunavir (partial-to-full) decreased over time in all samples (8.2% in 2006 vs. 2.3% in H1 2012), as did resistance to other PIs (p<0.006 for all PIs). Phenotypic resistance to darunavir and other PIs also decreased in PI-resistant samples (darunavir: 23.9% in 2006 vs. 17.1% in H1 2012; p<0.013 for all PIs). Since approval of darunavir in 2006, there was a significant decrease in prevalence of samples with genotypic and phenotypic resistance to darunavir in commercially tested HIV-1 isolates. Furthermore, the prevalence of phenotypic resistance to darunavir was lower than all other PIs.
Highlights of NASA-sponsored and assisted commercial space activities of 1989 are presented. Industrial R and D in space, centers for the commercial development of space, and new cooperative agreements are addressed in the U.S. private sector in space section. In the building U.S. competitiveness through technology section, the following topics are presented: (1) technology utilization as a national priority; (2) an exploration of benefits; and (3) honoring Apollo-Era spinoffs. International and domestic R and D trends, and the space sector are discussed in the section on selected economic indicators. Other subjects included in this report are: (1) small business innovation; (2) budget highlights and trends; (3) commercial programs management; and (4) the commercial programs advisory committee.
Commercial incineration demonstration
International Nuclear Information System (INIS)
Borduin, L.C.; Neuls, A.S.
Low-level radioactive wastes (LLW) generated by nuclear utilities presently are shipped to commercial burial grounds for disposal. Substantially increasing shipping and disposal charges have sparked renewed industry interest in incineration and other advanced volume reduction techniques as potential cost-saving measures. Repeated inquiries from industry sources regarding LLW applicability of the Los Alamos controlled-air incineration (CAI) design led DOE to initiate this commercial demonstration program in FY-1980. The selected program approach to achieving CAI demonstration at a utility site is a DOE sponsored joint effort involving Los Alamos, a nuclear utility, and a liaison subcontractor. Required development tasks and responsibilities of the particpants are described. Target date for project completion is the end of FY-1985
Utilization of Observation Units for the Care of Poisoned Patients: Trends from the Toxicology Investigators Consortium Case Registry.
Judge, Bryan S; Ouellette, Lindsey M; VandenBerg, Melissa; Riley, Brad D; Wax, Paul M
Many poisoned patients may only require a period of observation after their exposure. There are limited data describing the use of observation units for managing poisoned adult and pediatric patients. We performed a retrospective review of all patients reported to the ToxIC Case Registry between January 1, 2012 and December 31, 2013. Eligible patients included those who received a bedside consultation by a medical toxicologist and whose care was provided in an observation unit, or those who were admitted under the care of a medical toxicologist in an observation unit. A total of 15,562 poisonings were reported to the registry during the study period, of which 340 (2.2 %) involved patients who were cared for in an observation unit. Of these patients, 22.1 % were 18 years of age or younger, and the remaining 77.9 % were greater than 18 years of age. The most common reason for exposure was the intentional ingestion of a pharmaceutical agent in both adult (30.2 %) and pediatric patients (36.0 %). Alcohols (ethanol) (24.9 %), opioids (20.0 %), and sedative-hypnotics (17.7 %) were the most common agent classes involved in adult patient exposures. The most common agent classes involved in pediatric exposures were antidepressants (12.0 %), anticonvulsants (10.7 %), and envenomations (10.7 %). In adult patients, the most common signs and symptoms involved the nervous system (52.0 %), a toxidrome (17.0 %), or a major vital sign abnormality (14.7 %). In pediatric patients, the most common signs and symptoms involved the nervous system (53.3 %), a toxidrome (21.3 %), or a major vital sign abnormality (17.3 %). The results of this study demonstrate that a wide variety of poisoned patients have been cared for in an observation unit in consultation with a board-certified medical toxicologist. Patterns for the reasons for exposure, agents responsible for the exposure, and toxicological treatments will continue to evolve. Further study is needed to identify
Whether you are looking to reduce water use in a new facility or replace old, inefficient toilets in commercial restrooms, a WaterSense labeled flushometer-valve toilet is a high-performance, water-efficient option worth considering.
The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic.
Losina, Elena; Thornhill, Thomas S; Rome, Benjamin N; Wright, John; Katz, Jeffrey N
Total knee replacement utilization in the United States more than doubled from 1999 to 2008. Although the reasons for this increase have not been examined rigorously, some have attributed the increase to population growth and the obesity epidemic. Our goal was to investigate whether the rapid increase in total knee replacement use over the past decade can be sufficiently attributed to changes in these two factors. We used data from the Nationwide Inpatient Sample to estimate changes in total knee replacement utilization rates from 1999 to 2008, stratified by age (eighteen to forty-four years, forty-five to sixty-four years, and sixty-five years or older). We obtained data on obesity prevalence and U.S. population growth from federal sources. We compared the rate of change in total knee replacement utilization with the rates of population growth and change in obesity prevalence from 1999 to 2008. In 2008, 615,050 total knee replacements were performed in the United States adult population, 134% more than in 1999. During the same time period, the overall population size increased by 11%. While the population of forty-five to sixty-four-year-olds grew by 29%, the number of total knee replacements in this age group more than tripled. The number of obese and non-obese individuals in the United States increased by 23% and 4%, respectively. Assuming unchanged indications for total knee replacement among obese and non-obese individuals with knee osteoarthritis over the last decade, these changes fail to account for the 134% growth in total knee replacement use. Population growth and obesity cannot fully explain the rapid expansion of total knee replacements in the last decade, suggesting that other factors must also be involved. The disproportionate increase in total knee replacements among younger patients may be a result of a growing number of knee injuries and expanding indications for the procedure.
Commercial and Industrial Wiring.
Kaltwasser, Stan; Flowers, Gary
This module is the third in a series of three wiring publications, includes additional technical knowledge and applications required for job entry in the commercial and industrial wiring trade. The module contains 15 instructional units that cover the following topics: blueprint reading and load calculations; tools and equipment; service;…
Commercialization of nuclear power plant decommissioning technology
International Nuclear Information System (INIS)
Williams, D.H.
The commercialization of nuclear power plant decommissioning is presented as a step in the commercialization of nuclear energy. Opportunities for technology application advances are identified. Utility planning needs are presented
Lack of utility of a decision support system to mitigate delays in admission from the operating room to the postanesthesia care unit.
Ehrenfeld, Jesse M; Dexter, Franklin; Rothman, Brian S; Minton, Betty Sue; Johnson, Diane; Sandberg, Warren S; Epstein, Richard H
When the phase I postanesthesia care unit (PACU) is at capacity, completed cases need to be held in the operating room (OR), causing a "PACU delay." Statistical methods based on historical data can optimize PACU staffing to achieve the least possible labor cost at a given service level. A decision support process to alert PACU charge nurses that the PACU is at or near maximum census might be effective in lessening the incidence of delays and reducing over-utilized OR time, but only if alerts are timely (i.e., neither too late nor too early to act upon) and the PACU slot can be cleared quickly. We evaluated the maximum potential benefit of such a system, using assumptions deliberately biased toward showing utility. We extracted 3 years of electronic PACU data from a tertiary care medical center. At this hospital, PACU admissions were limited by neither inadequate PACU staffing nor insufficient PACU beds. We developed a model decision support system that simulated alerts to the PACU charge nurse. PACU census levels were reconstructed from the data at a 1-minute level of resolution and used to evaluate if subsequent delays would have been prevented by such alerts. The model assumed there was always a patient ready for discharge and an available hospital bed. The time from each alert until the maximum census was exceeded ("alert lead time") was determined. Alerts were judged to have utility if the alert lead time fell between various intervals from 15 or 30 minutes to 60, 75, or 90 minutes after triggering. In addition, utility for reducing over-utilized OR time was assessed using the model by determining if 2 patients arrived from 5 to 15 minutes of each other when the PACU census was at 1 patient less than the maximum census. At most, 23% of alerts arrived 30 to 60 minutes prior to the admission that resulted in the PACU exceeding the specified maximum capacity. When the notification window was extended to 15 to 90 minutes, the maximum utility was system to mitigate
Decommissioning commercial nuclear facilities: a review and analysis of current regulations
International Nuclear Information System (INIS)
Schilling, A.H.; Lippek, H.E.; Tegeler, P.D.; Easterling, J.D.
This report describes and analyzes the regulatory requirements and guidelines applicable to the decommissioning of commercial light water reactors, other commercial nuclear fuel cycle facilities, and byproduct utilization facilities, as contained principally in the United States Code, the United States Code of Federal Regulations, and the United States Nuclear Regulatory Commission's Regulatory Guides. State requirements are discussed where appropriate. The report provides general background informaion to license applicants and to other interested parties. Included is an outline of procedural steps required of an applicant to comply with decommissioning regulatory requiremets
Commercial incineration demonstration
International Nuclear Information System (INIS)
Vavruska, J.S.; Borduin, L.C.
Low-level radioactive wastes (LLW) generated by nuclear utilities presently are shipped to commercial burial grounds for disposal. Increasing transportation and disposal costs have caused industry to consider incineration as a cost-effective means of volume reduction of combustible LLW. Repeated inquiries from the nuclear industry regarding the applicability of the Los Alamos controlled air incineration (CAI) design led the DOE to initiate a commercial demonstration program in FY-1980. Development studies and results in support of this program involving ion exchange resin incineration and fission/activation product distributions within the Los Alamos CAI are described
Planning and Operation of Commercial Application Center
Energy Technology Data Exchange (ETDEWEB)
Kim, Jun Yeon; Kim, Kye Ryung; Lee, Tae Joon; Lee, Jae Hyeong; Park, Je Won; Lee, Jae Sang
The objectives of this R and D project are as follows : First, transferring developed technologies to outside companies and operating technology market to vitalize technology transactions, Second, developing commercial application projects to transfer technologies for commercial purposes and to solve interface problems in commercial applications, Third, enhancing commercial utilizations of developed accelerator and beam utilization technologies, Finally. preparing infra-structures for the development of over 30 venture- businesses based on achieved technologies through the Proton Engineering Frontier Project.
Planning and Operation of Commercial Application Center
International Nuclear Information System (INIS)
Kim, Jun Yeon; Kim, Kye Ryung; Lee, Tae Joon; Lee, Jae Hyeong; Park, Je Won; Lee, Jae Sang
The objectives of this R and D project are as follows : First, transferring developed technologies to outside companies and operating technology market to vitalize technology transactions, Second, developing commercial application projects to transfer technologies for commercial purposes and to solve interface problems in commercial applications, Third, enhancing commercial utilizations of developed accelerator and beam utilization technologies, Finally. preparing infra-structures for the development of over 30 venture- businesses based on achieved technologies through the Proton Engineering Frontier Project
Utility-Scale Photovoltaic Deployment Scenarios of the Western United States: Implications for Solar Energy Zones in Nevada
Energy Technology Data Exchange (ETDEWEB)
Frew, Bethany [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mai, Trieu [National Renewable Energy Lab. (NREL), Golden, CO (United States); Krishnan, Venkat [National Renewable Energy Lab. (NREL), Golden, CO (United States); Haase, Scott [National Renewable Energy Lab. (NREL), Golden, CO (United States)
In this study, we use the National Renewable Energy Laboratory's (NREL's) Regional Energy Deployment System (ReEDS) capacity expansion model to estimate utility-scale photovoltaic (UPV) deployment trends from present day through 2030. The analysis seeks to inform the U.S. Bureau of Land Management's (BLM's) planning activities related to UPV development on federal lands in Nevada as part of the Resource Management Plan (RMP) revision for the Las Vegas and Pahrump field offices. These planning activities include assessing the demand for new or expanded additional Solar Energy Zones (SEZ), per the process outlined in BLM's Western Solar Plan process.
Impact of Built-up-Litter and Commercial Antimicrobials on Salmonella and Campylobacter Contamination of Broiler Carcasses Processed at a Pilot Mobile Poultry-Processing Unit
Directory of Open Access Journals (Sweden)
KaWang Li
Full Text Available The small-scale mobile poultry-processing unit (MPPU produced raw poultry products are of particular food safety concern due to exemption of USDA poultry products inspection act. Limited studies reported the microbial quality and safety of MPPU-processed poultry carcasses. This study evaluated the Salmonella and Campylobacter prevalence in broiler ceca and on MPPU-processed carcasses and efficacy of commercial antimicrobials against Campylobacter jejuni on broilers. In study I, straight-run Hubbard × Cobb broilers (147 were reared for 38 days on clean-shavings (CS, 75 or built-up-litter (BUL, 72 and processed at an MPPU. Aerobic plate counts (APCs, coliforms, Escherichia coli, and yeast/molds (Y/M of carcasses were analyzed on petrifilms. Ceca and carcass samples underwent microbial analyses for Salmonella and Campylobacter spp. using the modified USDA method and confirmed by API-20e test (Salmonella, latex agglutination immunoassay (Campylobacter, and Gram staining (Campylobacter. Quantitative polymerase chain reaction (CadF gene identified the prevalence of C. jejuni and Campylobacter coli in ceca and on carcasses. In study II, fresh chilled broiler carcasses were spot inoculated with C. jejuni (4.5 log10 CFU/mL and then undipped, or dipped into peroxyacetic acid (PAA (1,000 ppm, lactic acid (5%, lactic and citric acid blend (2.5%, sodium hypochlorite (69 ppm, or a H2O2–PAA mix (SaniDate® 5.0, 0.25% for 30 s. Surviving C. jejuni was recovered onto Brucella agar. APCs, coliforms, and E. coli populations were similar (P > 0.05 on CS and BUL carcasses. Carcasses of broilers raised on BUL contained a greater (P < 0.05 Y/M population (2.2 log10 CFU/mL than those reared on CS (1.8 log10 CFU/mL. Salmonella was not detected in any ceca samples, whereas 2.8% of the carcasses from BUL were present with Salmonella. Prevalence of Campylobacter spp., C. jejuni was lower (P < 0.05, and C. coli was similar (P > 0
Defense Utility of Commercial Vessels and Craft.
interpreted to determine whether the vessel is suitable for the salvage * job required. Sometimes, a photograph or general arrangement plan is most...30. UNDERWAY REPLENISHMENT (yes/no) Yes 31 . OTHER POSSIBLE FEATURES Diesel powered mue pur'ps 2000-4000 HP, Draw works 2000-3000 HTP C. BARGE...of the Army, Marine Crewman's Handbook, Technical Manual TM 55-501 (Washington: Sept. 1972). 23. Department of the Army, Marine Equipment
The Commercial Utilization of Social Networks
Adlaf, Petr
The presented bachelor's thesis deals with advertisement. It answers the question of what advertisement is, why firms use advertisement and what its benefits are. It concentrates especially on Internet advertisement presented through social networks. These social networks have come to occupy a significant position on the Internet during the last five years and offer new possibilities in terms of creating advertising campaigns (Hypertargeting). The thesis presents the division and comparison o...
[Antibiotics utilization in the Intensive Care Unit of the Hospital Dr, Guillermo Rawson-San Juan, Argentina].
Vega, Elena María; Fontana, Daniela; Iturrieta, Martha; Segovia, Liliana; Rodríguez, Gabriela; Agüero, Sandra
To achieve rational use of antibiotics (ATB), is necessary to know its use and prescription patterns over time, Objective: To describe and analyze the characteristics of the use of ATB in the Guillermo Rawson Hospital (GRH) adult intensive care unit (ICU). Observational, descriptive, longitudinal and retrospective study (2008-2011). Pharmacy and Statistics records were consulted, ATC code was used, the group analyzed was J01, Oral or parenteral DDD were assigned, Data was processed with Excel 2007, Unit of measure: DDD/100 bed-days, for each ATB per year and an average of use. Over 4 years, 48 different medicines were dispensed (33 drugs), The average consumption of ATB was 177,07 DDD/100 bed-days and distribution per year was: 183,10, 165,90, 180,94, 178,34, The DDD/100 bed-days average for treatment groups more used were: penicillin (57.10), other β-lactam antibacterials (48.01), other antibacterials (21.07), trimethoprim and sulfonamides (19,54), quinolones (15,64), macrolides/azalides and lincosamides (6,53), aminoglycosides (5,65) and tetracyclines (3,53), There were changes in consumption without clear pattern of increase or decrease. ATB used in the ICU and its variation in use between 2008-2011 were described, The ATB most used were penicillins and other β-lactams and 2008 was the year that more ATB was dispensed. Understanding these patterns of consumption will be useful to develop a founded antibiotic policy reached by consensus and beneficial to the patients.
Rationalization and Internal Control: Improving Marine Corps Unit-Level Internal Management Controls for the Government-Wide Commercial Purchase Card Program
National Research Council Canada - National Science Library
Wood, Lewis
... Commercial Purchase Card (GCPC) Program for the first half of fiscal year (FY) 2003, led the author of this article to review GCPC usage in the Marine Corps as the basis for a Naval Postgraduate School Master of Business Administration thesis...
Commercialization scenarios of polymer electrolyte membrane fuel cell applications for stationary power generation in the United States by the year 2015
Millett, Stephen; Mahadevan, Kathya
Battelle is identifying the most likely markets and economic impacts of stationary polymer electrolyte membrane (PEM) fuel cells in the range of 1-250 kW in the U.S. by the year 2015. For this task, Battelle is using the Interactive Future Simulations (IFS™), an analytical modeling and forecasting tool that uses expert judgment, trend analysis, and cross-impact analysis methods to generate most likely future conditions for PEM fuel cell applications, market acceptance, commercial viability, and economic impacts. The cross-impact model contains 28 descriptors including commercial and technological advances in both polymer electrolyte membrane (PEM) fuel cells and fossil fuel technologies, sources of hydrogen, investments, public policy, environmental regulation, value to consumers, commercialization leadership, modes of generation, and the reliability and prices of grid electricity. One likely scenario to the year 2015 is that the PEM fuel cells will be limited to commercial and industrial customers in the range of 50-200 kW with a market size less than US$ 5 billion a year.
Draft genome sequence of Lactococcus garvieae str. PAQ102015-99, an outbreak strain isolated from a commercial trout farm in the Northwestern United States.
We announce the draft genome assembly of Lactococcus garvieae str. PAQ102015-99, a recently isolated strain from an outbreak of lactococcosis at a commercial trout farm in the Northwestern US. The draft genome comprises 14 contigs totaling 2,068,357 bp with an N50 of 496,618 bp and average G+C conte...
The conceptual design and economic evaluation of utility scale SMES
International Nuclear Information System (INIS)
Masuda, M.
The paper reports the result of current Japanese activities in designing and evaluating the economic feasibility of utility Superconducting Magnetic Energy Storage (SMES). The 5 GWh/1 GW is proposed as a relevant unit of SMES in the year 2000. More than 20 companies, several universities and two national laboratories joined in a task force to study this technology. After three year's assessment, the conclusion on utility scale SMES is that no unresolvable technologies have been found and commercialization potential exists
Outcomes, utilization, and costs among thalassemia and sickle cell disease patients receiving deferoxamine therapy in the United States.
Delea, Thomas E; Hagiwara, May; Thomas, Simu K; Baladi, Jean-Francois; Phatak, Pradyumna D; Coates, Thomas D
Deferoxamine mesylate (DFO) reduces morbidity and mortality associated with transfusional iron overload. Data on the utilization and costs of care among U.S. patients receiving DFO in typical clinical practice are limited however. This was a retrospective study using a large U.S. health insurance claims database spanning 1/97-12/04 and representing 40 million members in >70 health plans. Study subjects (n = 145 total, 106 sickle cell disease [SCD], 39 thalassemia) included members with a diagnosis of thalassemia or SCD, one or more transfusions (whole blood or red blood cells), and one or more claims for DFO. Mean transfusion episodes were 12 per year. Estimated mean DFO use was 307 g/year. Central venous access devices were required by 20% of patients. Cardiac disease was observed in 16% of patients. Mean total medical costs were $59,233 per year including $10,899 for DFO and $8,722 for administration of chelation therapy. In multivariate analyses, potential complications of iron overload were associated with significantly higher medical care costs. In typical clinical practice, use of DFO in patients with thalassemia and SCD receiving transfusions is low. Administration costs represent a large proportion of the cost of chelation therapy. Potential complications of iron overload are associated with increased costs. (c) 2007 Wiley-Liss, Inc.
Attributable Healthcare Resource Utilization and Costs for Patients With Primary and Recurrent Clostridium difficile Infection in the United States.
Zhang, Dongmu; Prabhu, Vimalanand S; Marcella, Stephen W
The economic burden of Clostridium difficile infection (CDI), the leading cause of nosocomial infectious diarrhea, is not well understood. The objective of this study was to estimate the healthcare resource utilization (HCRU) and costs attributable to primary CDI and recurrent CDI (rCDI). This is a database (MarketScan) study. Patients without CDI were matched 1:1 by propensity score to those with primary CDI but no recurrences to obtain HCRU and costs attributable to primary CDI. Patients with primary CDI but no recurrences were matched 1:1 by propensity score to those with primary CDI plus 1 recurrence in order to obtain HCRU and costs attributable to rCDI. Adjusted estimates for incremental cumulative hospitalized days and healthcare costs over a 6-month follow-up period were obtained by generalized linear models with a Poisson or gamma distribution and a log link. Bootstrapping was used to obtain 95% confidence intervals (CIs). A total of 55504 eligible CDI patients were identified. Approximately 25% of these CDI patients had rCDI. The cumulative hospitalized days attributable to primary CDI and rCDI over the 6-month follow-up period were 5.20 days (95% CI, 5.01-5.39) and 1.95 days (95% CI, 1.48-2.43), respectively. The healthcare costs attributable to primary CDI and rCDI over the 6-month follow-up period were $24205 (95% CI, $23436-$25013) and $10580 (95% CI, $8849-$12446), respectively. The HCRU and costs attributable to primary CDI and rCDI are quite substantial. It is necessary to reduce the burden of CDI, especially rCDI.
Demographics, Resource Utilization, and Outcomes of Elderly Patients With Chronic Liver Disease Receiving Hospice Care in the United States.
Fukui, Natsu; Golabi, Pegah; Otgonsuren, Munkhzul; Mishra, Alita; Venkatesan, Chapy; Younossi, Zobair M
Hospice offers non-curative symptomatic management to improve patients' quality of life, satisfaction, and resource utilization. Hospice enrollment among patients with chronic liver disease (CLD) is not well studied. The aim of tis tudy is to examine the characteristics of Medicare enrollees with CLD, who were discharged to hospice. Medicare patients discharged to hospice between 2010 and 2014 were identified in Medicare Inpatient and Hospice Files. CLDs and other co-morbidities were identified by International Classification of Diseases-ninth revision codes. Generalized linear model was used to estimate regression coefficients with P-values. Logistic regression was used to calculate odds ratios and 95% confidence intervals. A total of 2,179 CLD patients and 34,986 controls without CLD met the inclusion criteria. Non-alcoholic fatty liver disease, alcoholic liver disease, and hepatitis C virus (HCV) were the most frequent cause of CLD. CLD patients were younger (70 vs. 83 years), more likely to be male (57.7 vs. 39.3%), had longer hospital stay (length of stay, LOS) (19.4 vs. 13.0 days), higher annual charges ($175,000 vs. $109,000), higher 30-day re-hospitalization rates (51.6 vs. 34.2%), and shorter hospice LOS (13.7 vs. 17.7 days) than controls (all PCLD have longer and costly hospitalizations before hospice enrollment as compared with patients without CLD. It was highly likely that these patients were enrolled relatively late, which could potentially lead to less benefit from hospice.
Industry's Commercial Initiatives on ISS
Shields, C. E.; Kessler, C.; Lavitola, M. S.
For more than ten years, private industry has worked to develop a commercial human space market and to create a sustainable ISS commercial utilization customer base. Before ISS assembly was underway - and long before NASA and the international space agencies began to craft ISS commercial business terms and conditions - industry planted and nurtured the seeds of interest in exploiting human space utilization for commerce. These early initiatives have yielded the impetus and framework for industry approaches to ISS commercial utilization today and for NASA's and the International Partners' planned accommodation of private sector interests and desires on the ISS. This paper chronicles major industry initiatives for commercial ISS utilization, emphasizing successful marketing and business approaches and why these approaches have a higher likelihood of success than others. It provides an overview of individual companies' initiatives, as well as collaborative efforts that cross company lines and country borders; and it assesses the relative success of each. Rather than emphasize negative issues and barriers, this paper characterizes and prioritizes actionable success factors for industry and government to make ISS commercial utilization a sustainable reality.
Vocal pedagogy and contemporary commercial music : reflections on higher education non-classical vocal pedagogy in the United States and Finland
Keskinen, Anu Katri
This study is focused on the discipline of higher education contemporary commercial music (CCM) vocal pedagogy through the experiences of two vocal pedagogy teachers, the other in the USA and the other in Finland. The aim of this study has been to find out how the discipline presently looks from a vocal pedagogy teacher's viewpoint, what has the process of building higher education CCM vocal pedagogy courses been like, and where is the field headed. The discussion on CCM pedagogy, also kn...
Treatment of DOE mixed wastes using commercial facilities
International Nuclear Information System (INIS)
Kramer, J.F.; Ross, M.A.; Dilday, D.R.
In a demonstration program, Department of Energy (DOE) solid mixed wastes generated during uranium processing operations are characterized to define the unit operations required for treatment. The objectives included the implementation of these treatment operations utilizing a commercial Treatment, Storage and Disposal Facility (TSDF). In contracting for commercial hazardous and mixed waste treatment, it is important to characterize the waste beyond the identification of toxicity characteristic (TC) and radiological content. Performing treatability studies and verification of all the unit operations required for treatment is critical. The stream selected for this program was TC hazardous for barium (D005) and contaminated with both depleted and low enriched uranium. The program resulted in the generation of characterization data and treatment strategies. The characterization and treatability studies indicated that although a common unit operation was required to remove the toxic characteristic, multiple pretreatment operations were needed. Many of these operations do not exist at available TSDF's, rendering some portions of the stream untreatable using existing commercial TSDF's. For this project the need for pretreatment operations resulted in only a portion of the waste originally targeted for treatment being accepted for treatment at a commercial TSDF. The majority of the targeted stream could not be successfully treated due to lack of an off-site commercial treatment facility having the available equipment and capacity or with the correct combination of RCRA permits and radioactive material handling licenses. This paper presents a case study documenting the results of the project
Health Care Access and Utilization Among Adults Aged 18-64, by Poverty Level: United States, 2013-2015.
Martinez, Michael E; Ward, Brian W
Data from the National Health Interview Survey, 2013-2015 •From 2013 through 2015, the percentage of adults aged 18-64 who were uninsured at the time of interview decreased for poor (40.0% to 26.2%), near-poor (37.8% to 23.9%), and not-poor (11.7% to 7.7%) adults. •The percentage of adults aged 18-64 who had a usual place to go for medical care increased for poor (66.9% to 73.6%) and near-poor (71.1% to 75.9%) adults. •The percentage of adults aged 18-64 who had seen or talked to a health professional in the past 12 months increased for poor (73.2% to 75.8%) and near-poor (71.9% to 75.9%) adults. •The percentage of adults aged 18-64 who did not obtain needed medical care due to cost at some time during the past 12 months decreased for poor (16.8% to 12.4%), near-poor (14.6% to 11.0%), and not-poor (4.9% to 3.8%) adults. In 2014, U.S. adults could purchase a private health insurance plan through the Health Insurance Marketplace or state-based exchanges established as part of the Affordable Care Act (ACA). Additionally, under ACA some states opted to expand Medicaid coverage to low-income adults. Individuals living in or near poverty may have benefited disproportionately from these changes given their lower rates of health insurance coverage (1). Data from the 2013-2015 National Health Interview Survey (NHIS) are used to describe recent changes in health insurance coverage and selected measures of health care access and utilization for adults aged 18-64 by family poverty level. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
Japanese utilities' plutonium utilization program
International Nuclear Information System (INIS)
Matsuo, Yuichiro.
Japan's 10 utility companies are working and will continue to work towards establishing a fully closed nuclear fuel cycle. The key goals of which are: (1) reprocessing spent fuel; (2) recycling recovered uranium and plutonium; and (3) commercializing fast breeder technology by around the year 2030. This course of action by the Japanese electric power industry is in full accordance with Japan's national policy outlined in the government's report ''The Long-Term Program for Research, Development, and Nuclear Energy,'' which was published in June 1994. The Japanese civilian nuclear program is a long-term program that looks into the 21st century and beyond. It is quite true that sustaining the recycling option for energy security and the global environment demands a large investment. For it to be accepted by the public, safety must be the highest priority and will be pursued at a great cost if necessary. In its history, Japan has learned that as technology advances, costs will come down. The Japanese utility industry will continue investment in technology without compromising safety until the recycling option becomes more competitive with other options. This effort will be equally applied to the development of the commercial FBRs. The Japanese utility industry is confident that Japan's stable policy and strong objective to develop competitive and peaceful technology will contribute to the global economy and the environment without increasing the threat of plutonium proliferation
Commercial and Institutional Waste
DEFF Research Database (Denmark)
Christensen, Thomas Højlund; Fruergaard, Thilde
Commercial and institutional waste is primarily from retail (stores), hotels, restaurants, health care (except health risk waste), banks, insurance companies, education, retirement homes, public services and transport. Within some of these sectors, e.g. retail and restaurants, large variations...... are found in terms of which products and services are offered. Available data on unit generation rates and material composition as well as determining factors are discussed in this chapter. The characterizing of commercial and institutional waste is faced with the problem that often only a part of the waste...... is handled in the municipal waste system, where information is easily accessible. An important part of commercial and institutional waste is packaging waste, and enterprises with large quantities of clean paper, cardboard and plastic waste may have their own facilities for baling and storing their waste...
Directory of Open Access Journals (Sweden)
Abbas Asosheh
Full Text Available Information systems outsourcing issues has been attracted in recent years because many information systems projects in organizations are done in this case. On the other hand, failure rate of this kind of projects is also high. The aim of this article is to find success factors in risk management of information systems outsourcing in commercial banks using these factors leads to increase the success rate of risk management of information systems outsourcing projects. Research methods in the present article based on purpose are applied and descriptive- survey. In addition, research tool is questionnaire which was used among commercial bank experts. For this purpose, First information systems outsourcing risks were identified and then ranked. In the next step, the information systems outsourcing reasons were surveyed and the most important reasons were identified. Then the risks which have not any relationship with the most important reasons were removed and success factors in managing residual risks were extracted.
Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States.
Nuño, Tomas; Gerald, Joe K; Harris, Robin; Martinez, Maria Elena; Estrada, Antonio; García, Francisco
Rural Hispanic and American Indian (AI) women are at risk of non-participation in cancer screening programs. The objective of this study was to compare breast and cervical cancer screening utilization among Hispanic and AI women that reside in rural areas of the Southwestern United States to their urban counterparts and to assess characteristics that influence cancer screening. This study utilizes Behavioral Risk Factor Surveillance System (BRFSS) data from 2006 to 2008 for Arizona and New Mexico. The BRFSS is a federally funded telephone survey to collect data on risk factors contributing to the leading causes of death and chronic diseases. Rural Hispanic and AI populations reported some differences in screening rates compared with their urban counterparts. Among Hispanic women, 58 % of rural residents reported having had a mammogram within the past year, compared with 66 % of urban residents. Among AI women, 81 % of rural residents had ever had a mammogram, compared with 89 % of urban residents. Rural AI women were less likely to have ever had a mammogram (OR = 0.5; 95 % CI = 0.3-0.9) compared with urban AI women. Rural Hispanic women were less likely to have had a mammogram within 1 year (OR = 0.7; 95 % CI = 0.5-0.9) compared with urban Hispanic women. Results suggest that rural Hispanic women were less likely to have had a Pap smear within 3 years (OR = 0.7; 95 % CI = 0.4-1.3) compared with urban Hispanic women. Our results provide some evidence that Hispanic and AI women that reside in rural areas of the Southwestern United States have lower rates of breast and cervical cancer screening use compared with their urban counterparts. Special efforts are needed to identify ways to overcome barriers to breast and cervical cancer screening for rural Hispanic and AI women.
An assessment of the government liquid hydrogen requirements for the 1995-2005 time frame including addendum, liquid hydrogen production and commercial demand in the United States
Bain, Addison
Liquid hydrogen will continue to be an integral element in virtually every major space program, and it has also become a significant merchant product for certain commercial markets. Liquid hydrogen is not a universally available commodity, and the number of supply sources historically have been limited to regions having concentrated consumption patterns. With the increased space program activity it becomes necessary to assess all future programs on a collective and unified basis. An initial attempt to identify projected requirements on a long range basis is presented.
International Nuclear Information System (INIS)
This report presents historical data on commercial nuclear power in the United States, with projections of domestic nuclear capacity and generation through the year 2020. The report also gives country-specific projections of nuclear capacity and generation through the year 2010 for other countries in the world outside centrally planned economic areas (WOCA). Information is also presented regarding operable reactors and those under construction in countries with centrally planned economies. 39 tabs
Utilization and Short-Term Outcomes of Primary Total Hip and Knee Arthroplasty in the United States and Canada: An Analysis of New York and Ontario Administrative Data.
Cram, Peter; Landon, Bruce E; Matelski, John; Ling, Vicki; Stukel, Therese A; Paterson, J Michael; Gandhi, Rajiv; Hawker, Gillian A; Ravi, Bheeshma
Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are common and effective surgical procedures. This study sought to compare utilization and short-term outcomes of primary TKA and THA in adjacent regions of Canada and the United States. The study was designed as a retrospective cohort study of patients who underwent primary TKA or THA, comparing administrative data from New York and Ontario in 2012-2013. Demographic features of the TKA and THA patients, per capita utilization rates, and short-term outcomes were compared between the jurisdictions. A higher percentage of New York hospitals performed TKA compared to Ontario hospitals (75.7% versus 42.1%; P New York hospitals (mean 179 versus 327 in Ontario hospitals; P New York compared to Ontario, both for TKA (16.1 TKAs versus 21.4 TKAs per 10,000 population per year; P New York hospitals; P New York patients were discharged directly home (46.2% versus 90.9% of Ontario patients; P New York compared to Ontario (30-day rates, 4.6% versus 3.9% [P New York but has a smaller percentage of hospitals performing these procedures. Patients are more likely to be discharged home and less likely to be readmitted in Ontario. Our results suggest areas where each jurisdiction could improve. © 2017, American College of Rheumatology.
Alpha-emitting nuclides in commercial fish species caught in the vicinity of Windscale, United Kingdom, and their radiological significance to man
International Nuclear Information System (INIS)
Pentreath, R.J.; Lovett, M.B.; Harvey, B.R.; Ibbett, R.D.
The concentrations of a number of alpha-emitting nuclides have been determined in the tissues of several commercial fish species caught in the vicinity of the fuel reprocessing plant at Windscale. All tissues analysed were found to contain 238 Pu, sup(239+240)Pu and 241 Am, but 242 Cm and 244 Cm could only be reliably detected in the liver samples of some fish. Fish of the same species, but taken from the North Sea, have also been analysed for some naturally occurring alpha-emitting nuclides. Whereas uranium ( 238 U) and thorium ( 232 Th) could be detected in bone samples of fish, neither could be reliably detected in samples of muscle: in contrast, 210 Po was readily detected in samples of liver, muscle and bone. Commercial fish fillets from the Irish Sea, including the Windscale area, are also routinely monitored for alpha-emitting nuclides, and their radiological significance to man is briefly discussed. Comments are also made on the significance of the naturally occurring nuclides. (author)
Maritime security report : cocaine smuggling from South America to Europe and the United States increased in 2000 via commercial maritime and other modes of transport
An increase in the detected and estimated transatlantic flow of cocaine smuggled from South America to the United States and Europe in 2000 has been reported by the U.S. Office of National Drug Control Policy (ONDCP). According to the ONDCP "Annual A...
Expected utility without utility
Castagnoli, E.; Licalzi, M.
This paper advances an interpretation of Von Neumann–Morgenstern's expected utility model for preferences over lotteries which does not require the notion of a cardinal utility over prizes and can be phrased entirely in the language of probability. According to it, the expected utility of a lottery can be read as the probability that this lottery outperforms another given independent lottery. The implications of this interpretation for some topics and models in decision theory are considered....
Comparison between In-house developed and Diamond commercial software for patient specific independent monitor unit calculation and verification with heterogeneity corrections.
Kuppusamy, Vijayalakshmi; Nagarajan, Vivekanandan; Jeevanandam, Prakash; Murugan, Lavanya
The study was aimed to compare two different monitor unit (MU) or dose verification software in volumetric modulated arc therapy (VMAT) using modified Clarkson's integration technique for 6 MV photons beams. In-house Excel Spreadsheet based monitor unit verification calculation (MUVC) program and PTW's DIAMOND secondary check software (SCS), version-6 were used as a secondary check to verify the monitor unit (MU) or dose calculated by treatment planning system (TPS). In this study 180 patients were grouped into 61 head and neck, 39 thorax and 80 pelvic sites. Verification plans are created using PTW OCTAVIUS-4D phantom and also measured using 729 detector chamber and array with isocentre as the suitable point of measurement for each field. In the analysis of 154 clinically approved VMAT plans with isocentre at a region above -350 HU, using heterogeneity corrections, In-house Spreadsheet based MUVC program and Diamond SCS showed good agreement TPS. The overall percentage average deviations for all sites were (-0.93% + 1.59%) and (1.37% + 2.72%) for In-house Excel Spreadsheet based MUVC program and Diamond SCS respectively. For 26 clinically approved VMAT plans with isocentre at a region below -350 HU showed higher variations for both In-house Spreadsheet based MUVC program and Diamond SCS. It can be concluded that for patient specific quality assurance (QA), the In-house Excel Spreadsheet based MUVC program and Diamond SCS can be used as a simple and fast accompanying to measurement based verification for plans with isocentre at a region above -350 HU. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.
40 CFR Appendix A to Part 76 - Phase I Affected Coal-Fired Utility Units With Group 1 or Cell Burner Boilers
... Units With Group 1 or Cell Burner Boilers A Appendix A to Part 76 Protection of Environment... 1 or Cell Burner Boilers Table 1—Phase I Tangentially Fired Units State Plant Unit Operator ALABAMA... Vertically fired boiler. 2 Arch-fired boiler. Table 3—Phase I Cell Burner Technology Units State Plant Unit...
Burden and treatment patterns of advanced basal cell carcinoma among commercially insured patients in a United States database from 2010 to 2014.
Migden, Michael; Xie, Jipan; Wei, Jin; Tang, Wenxi; Herrera, Vivian; Palmer, Jacqueline B
The burden of advanced basal cell carcinoma (aBCC) is not fully understood. To compare BCC disease burden and treatment patterns for aBCC with those for non-aBCC. A retrospective, insurance claims-based study design was used. Adults with ≥2 claims associated with a BCC diagnosis (ICD-9-CM 173.x1) separated by ≥30 days on or after October 1, 2011, were classified as aBCC or non-aBCC by using an algorithm based on metastasis diagnosis, radiation therapy use, and medical oncologist/other specialist use. Non-aBCC and aBCC patients were matched 1:1 on the basis of age, sex, and region, and assigned the same index date (date of first qualifying diagnosis or event). Comparisons were made using Wilcoxon signed-rank (continuous variables) and McNemar's (categorical variables) tests. In total, 847 matched aBCC/non-aBCC patient pairs were selected (mean age 75 years; 57% men; locally advanced BCC, n = 826; metastatic BCC, n = 21). During the 12-month study period following the index date, aBCC patients had a significantly higher mean Charlson Comorbidity Index (P = .0023), significantly higher mean numbers of outpatient/dermatologist/medical oncologist visits (all P < .0001), and significantly higher mean total/medical/inpatient/outpatient/BCC treatment costs (all P < .05). This study only included information from a database on commercial insurance and Medicare claims. The algorithm criteria might have restricted patient numbers; data were not fully reflective of targeted therapy era. aBCC patients had a higher disease burden than non-aBCC patients. Cost differences were largely driven by higher BCC treatment costs, specifically radiation therapy. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
Disparities in eye care utilization among the United States adults with visual impairment: findings from the behavioral risk factor surveillance system 2006-2009.
Chou, Chiu-Fang; Barker, Lawrence E; Crews, John E; Primo, Susan A; Zhang, Xinzhi; Elliott, Amanda F; McKeever Bullard, Kai; Geiss, Linda S; Saaddine, Jinan B
To estimate the prevalence of annual eye care among visually impaired United States residents aged 40 years or older, by state, race/ethnicity, education, and annual income. Cross-sectional study. In analyses of 2006-2009 Behavioral Risk Factor Surveillance System data from 21 states, we used multivariate regression to estimate the state-level prevalence of yearly eye doctor visit in the study population by race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, and other), annual income (≥$35,000 and education ( high school). The age-adjusted state-level prevalence of yearly eye doctor visits ranged from 48% (Missouri) to 69% (Maryland). In Alabama, Colorado, Indiana, Iowa, New Mexico, and North Carolina, the prevalence was significantly higher among respondents with more than a high school education than among those with a high school education or less (P education, and income, we also found significant disparities in the prevalence of yearly eye doctor visits among states. Among visually impaired US residents aged 40 or older, the prevalence of yearly eye examinations varied significantly by race/ethnicity, income, and education, both overall and within states. Continued and possibly enhanced collection of eye care utilization data, such as we analyzed here, may help states address disparities in vision health and identify population groups most in need of intervention programs. Copyright © 2012 Elsevier Inc. All rights reserved.
Family culture in mental health help-seeking and utilization in a nationally representative sample of Latinos in the United States: The NLAAS.
Villatoro, Alice P; Morales, Eduardo S; Mays, Vickie M
Considering the central role of familismo in Latino culture, it is important to assess the extent to which familismo affects mental health help-seeking. This study examined the role of behavioral familismo, the level of perceived family support, in the use of mental health services of Latinos in the United States. Data come from the National Latino and Asian American Study (NLAAS), a representative household survey examining the prevalence of mental disorders and services utilization among Latinos and Asian Americans. Analyses were limited to Latino adults with a clinical need for mental health services, indexed by meeting DSM-IV diagnostic criteria for any mood, anxiety, or substance use disorder during the past 12 months (N = 527). One-third of Latinos with a clinical need used any type of service in the past year, including specialty mental health, general medical, and informal or religious services. High behavioral familismo was significantly associated with increased odds of using informal or religious services, but not specialty or medical services. Self-perceived need and social perceptions of need for care within close networks (i.e., told by family/friends to seek professional help) also were significant predictors of service use. These results carry important implications toward expansions of the mental health workforce in the informal and religious services settings.
Trends in resource utilization and rate of cervical disc arthroplasty and anterior cervical discectomy and fusion throughout the United States from 2006 to 2013.
Saifi, Comron; Fein, Arielle W; Cazzulino, Alejandro; Lehman, Ronald A; Phillips, Frank M; An, Howard S; Riew, K Daniel
The typically accepted surgical procedure for cervical disc pathology has been the anterior cervical discectomy and fusion (ACDF), although recent trials have demonstrated equivalent or improved outcomes with cervical disc arthroplasty (CDA). Trends for these two procedures regarding utilization, revision procedures, and other demographic information have not been sufficiently explored. The present study aims to provide data regarding ACDF and CDA from 2006 to 2013 in the United States. The present study is a retrospective national database analysis. The present study included 20% sample of discharges from US hospitals, which is weighted to provide national estimates. Functional measures such as national incidence, hospital costs, length of stay (LOS), routine discharge, revision burden, and patient characteristics were used in the present study. Patients from the National Inpatient Sample (NIS) database who underwent primary ACDF, revision ACDF, primary CDA, and revision CDA from 2006 to 2013 were included. Demographic and economic data for the procedures' respective International Classification of Diseases, Ninth Revision, Clinical Modification codes were collected. A total of 1,059,403 ACDF and 13,099 CDA surgeries were performed in the United States from 2006 to 2013. The annual number of ACDF increased by 5.7% nonlinearly from 120,617 in 2006 to 127,500 in 2013 (mean per year 132,425; range 120,617-147,966); CDA increased by 190% nonlinearly from 540 in 2006 to 1,565 in 2013 (mean per year 1,637; range 540-2,381). Cervical disc arthroplasty patients were younger and had more private or "other" insurance, including worker's compensation (p<.0001). Mean LOS was longer for ACDF (ACDF 2.3 days vs. CDA 1.5; p<.0001). Routine discharge was higher in the CDA group (CDA 96% vs. ACDF 89%; p-value<.0001). The mean hospital-related cost was more expensive for ACDF (ACDF $16,178 vs. CDA $13,197; p-value=.0007). Cervical disc arthroplasty mean revision burden, defined as
NASA/DOD Aerospace Knowledge Diffusion Research Project. Paper 62: The Influence of Knowledge Diffusion on Aeronautics Innovation: The Research, Development, and Production of Large Commercial Aircraft in France, Germany, and the United Kingdom
Golich, Vicki L.; Pinelli, Thomas E.
This paper focuses on how European public policies-individually and collectively - influence the diffusion of knowledge and technology. It begins with an overview of the roles played historically and currently by European governments in the Research, Development and Production (RD&P) of Large Commercial Aircraft (LCA). The analytical framework brings together literature from global political economy, comparative politics, business management, and science and technology policy studies. It distinguishes between the production of knowledge, on the one hand, and the dissemination of knowledge, on the other. France, Germany, and the United Kingdom serve as the analytical cases. The paper concludes with a call for additional research in this area, some tentative lessons learned, and a discussion of the consequences of national strategies and policies for the diffusion of knowledge and technology in an era of globalizaton.
A Comparison of Concentrations of Sodium and Related Nutrients (Potassium, Total Dietary Fiber, Total and Saturated Fat, and Total Sugar) in Private-Label and National Brands of Popular, Sodium-Contributing, Commercially Packaged Foods in the United States.
Ahuja, Jaspreet K C; Pehrsson, Pamela R; Cogswell, Mary
Private-label brands account for about one in four foods sold in US supermarkets. They provide value to consumers due to their low cost. We know of no US studies comparing the nutrition content of private-label products with corresponding national brand products. The objective was to compare concentrations of sodium and related nutrients (potassium, total dietary fiber, total and saturated fat, and total sugar) in popular sodium-contributing, commercially packaged foods by brand type (national or private-label brand). During 2010 to 2014, the Nutrient Data Laboratory of the US Department of Agriculture obtained 1,706 samples of private-label and national brand products from up to 12 locations nationwide and chemically analyzed 937 composites for sodium and related nutrients. The samples came from 61 sodium-contributing, commercially packaged food products for which both private-label and national brands were among the top 75% to 80% of brands for US unit sales. In this post hoc comparative analysis, the authors assigned a variable brand type (national or private label) to each composite and determined mean nutrient contents by brand type overall and by food product and type. The authors tested for significant differences (Pfoods sampled, differences between brand types were not statistically significant for any of the nutrients studied. However, differences in both directions exist for a few individual food products and food categories. Concentrations of sodium and related nutrients (potassium, total dietary fiber, total and saturated fat, and total sugar) do not differ systematically between private-label and national brands, suggesting that brand type is not a consideration for nutritional quality of foods in the United States. The study data provide public health officials with baseline nutrient content by brand type to help focus US sodium-reduction efforts. Published by Elsevier Inc.
Trends in resource utilization by children with neurological impairment in the United States inpatient health care system: a repeat cross-sectional study.
Directory of Open Access Journals (Sweden)
Jay G Berry
Full Text Available Care advances in the United States (US have led to improved survival of children with neurological impairment (NI. Children with NI may account for an increasing proportion of hospital resources. However, this assumption has not been tested at a national level.We conducted a study of 25,747,016 US hospitalizations of children recorded in the Kids' Inpatient Database (years 1997, 2000, 2003, and 2006. Children with NI were identified with International Classification of Diseases, 9th Revision, Clinical Modification diagnoses resulting in functional and/or intellectual impairment. We assessed trends in inpatient resource utilization for children with NI with a Mantel-Haenszel chi-square test using all 4 y of data combined. Across the 4 y combined, children with NI accounted for 5.2% (1,338,590 of all hospitalizations. Epilepsy (52.2% [n = 538,978] and cerebral palsy (15.9% [n = 164,665] were the most prevalent NI diagnoses. The proportion of hospitalizations attributable to children with NI did not change significantly (p = 0.32 over time. In 2006, children with NI accounted for 5.3% (n = 345,621 of all hospitalizations, 13.9% (n = 3.4 million of bed days, and 21.6% (US$17.7 billion of all hospital charges within all hospitals. Over time, the proportion of hospitalizations attributable to children with NI decreased within non-children's hospitals (3.0% [n = 146,324] in 1997 to 2.5% [n = 113,097] in 2006, p<.001 and increased within children's hospitals (11.7% [n = 179,324] in 1997 to 13.5% [n = 209,708] in 2006, p<0.001. In 2006, children with NI accounted for 24.7% (2.1 million of bed days and 29.0% (US$12.0 billion of hospital charges within children's hospitals.Children with NI account for a substantial proportion of inpatient resources utilized in the US. Their impact is growing within children's hospitals. We must ensure that the current health care system is staffed, educated, and equipped to serve this growing segment of vulnerable children.
Patterns of 6-mercaptopurine and azathioprine maintenance therapy among a cohort of commercially insured individuals diagnosed with Crohn's disease in the United States
Directory of Open Access Journals (Sweden)
Lund JL
/AZA monotherapy did not continue beyond 1 year. In contrast to trial evidence showing 1-year remission rates of 40%–80%, this study observed a lower effectiveness of 6-MP/AZA treatment, possibly due to differences in disease severity, patient demographics, comorbidity, adherence, and health care utilization. Keywords: immunomodulators, outcomes research/measurement, inflammatory bowel disease, patterns of care
NASA's Commercial Communication Technology Program
Bagwell, James W.
Various issues associated with "NASA's Commercial Communication Technology Program" are presented in viewgraph form. Specific topics include: 1) Coordination/Integration of government program; 2) Achievement of seamless interoperable satellite and terrestrial networks; 3) Establishment of program to enhance Satcom professional and technical workforce; 4) Precompetitive technology development; and 5) Effective utilization of spectrum and orbit assets.
United Utilities может продать акции Tallinna Vesi / Лаура Раус
Раус, Лаура
Ettevõte United Utilities omab 35,5% Tallinna Vee aktsiatest. Briti ajalehe andmetel võib ettevõte müüa oma allüksused, mille üle ei teosta järelevalvet Briti veeteenuste turu regulaator Ofwat
A physical function test for use in the intensive care unit: validity, responsiveness, and predictive utility of the physical function ICU test (scored).
Denehy, Linda; de Morton, Natalie A; Skinner, Elizabeth H; Edbrooke, Lara; Haines, Kimberley; Warrillow, Stephen; Berney, Sue
Several tests have recently been developed to measure changes in patient strength and functional outcomes in the intensive care unit (ICU). The original Physical Function ICU Test (PFIT) demonstrates reliability and sensitivity. The aims of this study were to further develop the original PFIT, to derive an interval score (the PFIT-s), and to test the clinimetric properties of the PFIT-s. A nested cohort study was conducted. One hundred forty-four and 116 participants performed the PFIT at ICU admission and discharge, respectively. Original test components were modified using principal component analysis. Rasch analysis examined the unidimensionality of the PFIT, and an interval score was derived. Correlations tested validity, and multiple regression analyses investigated predictive ability. Responsiveness was assessed using the effect size index (ESI), and the minimal clinically important difference (MCID) was calculated. The shoulder lift component was removed. Unidimensionality of combined admission and discharge PFIT-s scores was confirmed. The PFIT-s displayed moderate convergent validity with the Timed "Up & Go" Test (r=-.60), the Six-Minute Walk Test (r=.41), and the Medical Research Council (MRC) sum score (rho=.49). The ESI of the PFIT-s was 0.82, and the MCID was 1.5 points (interval scale range=0-10). A higher admission PFIT-s score was predictive of: an MRC score of ≥48, increased likelihood of discharge home, reduced likelihood of discharge to inpatient rehabilitation, and reduced acute care hospital length of stay. Scoring of sit-to-stand assistance required is subjective, and cadence cutpoints used may not be generalizable. The PFIT-s is a safe and inexpensive test of physical function with high clinical utility. It is valid, responsive to change, and predictive of key outcomes. It is recommended that the PFIT-s be adopted to test physical function in the ICU.
Hispanics have the lowest stem cell transplant utilization rate for autologous hematopoietic cell transplantation for multiple myeloma in the United States: A CIBMTR report.
Schriber, Jeffrey R; Hari, Parameswaran N; Ahn, Kwang Woo; Fei, Mingwei; Costa, Luciano J; Kharfan-Dabaja, Mohamad A; Angel-Diaz, Miguel; Gale, Robert P; Ganguly, Siddharatha; Girnius, Saulius K; Hashmi, Shahrukh; Pawarode, Attaphol; Vesole, David H; Wiernik, Peter H; Wirk, Baldeep M; Marks, David I; Nishihori, Taiga; Olsson, Richard F; Usmani, Saad Z; Mark, Tomer M; Nieto, Yago L; D'Souza, Anita
Race/ethnicity remains an important barrier in clinical care. The authors investigated differences in the receipt of autologous hematopoietic cell transplantation (AHCT) among patients with multiple myeloma (MM) and outcomes based on race/ethnicity in the United States. The Center for International Blood and Marrow Transplant Research database was used to identify 28,450 patients who underwent AHCT for MM from 2008 through 2014. By using data from the National Cancer Institute's Surveillance, Epidemiology, and End Results 18 registries, the incidence of MM was calculated, and a stem cell transplantation utilization rate (STUR) was derived. Post-AHCT outcomes were analyzed among patients ages 18 to 75 years who underwent melphalan-conditioned peripheral cell grafts (N = 24,102). The STUR increased across all groups from 2008 to 2014. The increase was substantially lower among Hispanics (range, 8.6%-16.9%) and non-Hispanic blacks (range, 12.2%-20.5%) compared with non-Hispanic whites (range, 22.6%-37.8%). There were 18,046 non-Hispanic whites, 4123 non-Hispanic blacks, and 1933 Hispanic patients. The Hispanic group was younger (P blacks (42%) compared with non-Hispanic whites (56%). A Karnofsky score 3 were more common in non-Hispanic blacks compared with Hispanic and non-Hispanic whites (P blacks (54%) and non-Hispanic whites (52%; P blacks (45%) and non-Hispanic whites (44%) had a very good partial response or better before transplantation (P = .005). Race/ethnicity did not impact post-AHCT outcomes. Although the STUR increased, it remained low and was significantly lower among Hispanics followed by non-Hispanic blacks compared with non-Hispanic whites. Race/ethnicity did not impact transplantation outcomes. Efforts to increase the rates of transplantation for eligible patients who have MM, with an emphasis on groups that underuse transplantation, are warranted. Cancer 2017;123:3141-9. © 2017 American Cancer Society. © 2017 American Cancer Society.
Advanced fuel cell development in the United States
International Nuclear Information System (INIS)
Ackerman, J.P.
Both molten carbonate and solid oxide fuel cells are being developed in the United States to complement and/or supplant phosphoric acid cells for commercial and utility use. This paper described the two technologies and the programs for their development
Timber resource of Michigan's Southern Lower Peninsula Unit, 1980.
Jerold T. Hahn
The fourth inventory of the timber resource of Michigan's Southern Lower Peninsula Survey Unit shows a 12% decline in commercial forest area and a 26% gain in growing-stock volume between 1966 and 1980. Presented are highlights and statistics on area, volume, growth, mortality, removals, utilization, and biomass.
Timber resource of Wisconsin's Northwest Survey Unit, 1983.
W. Brad Smith
The fourth inventory of the timber resource of the Northwest Wisconsin Survey Unit shows a 1.8% decline in commercial forest area and a 36% gain in growing-stock volume between 1968 and 1983. Presented are highlights and statistics on area, volume, growth, mortality, removals, utilization, and biomass.
Study of the impacts of regulations affecting the acceptance of Integrated Community Energy Systems: public utility, energy facility siting and municipal franchising regulatory programs in the United States. Preliminary background report
Energy Technology Data Exchange (ETDEWEB)
Feurer, D.A.; Weaver, C.L.; Gallagher, K.C.; Hejna, D.; Rielley, K.J.
This report is one of a series of preliminary reports describing the laws and regulatory programs of the United States and each of the 50 states affecting the siting and operation of energy generating facilities likely to be used in Integrated Community Energy Systems (ICES). Public utility regulatory statutes, energy facility siting programs, and municipal franchising authority are examined to identify how they may impact on the ability of an organization, whether or not it be a regulated utility, to construct and operate an ICES. This report describes laws and regulatory programs in the United States. Subsequent reports will (1) describe public utility rate regulatory procedures and practices as they might affect an ICES, (2) analyze each of the aforementioned regulatory programs to identify impediments to the development of ICES, and (3) recommend potential changes in legislation and regulatory practices and procedures to overcome such impediments.
The impact of innovative commercial technologies on students' behaviour of an economic university
Directory of Open Access Journals (Sweden)
Laurentiu-Dan Anghel
Full Text Available In a dynamic business environment, implementing innovative commercial technologies facilitates the winning of new competitive advantages in the retail industry, given the manifested influence on consumer buying behaviour towards commercial units, as well as the significant contribution to the development of modern shops image. This paper presents the attitude of students from the Bucharest University of Economic Studies towards the adoption of innovative retail technologies within hypermarkets in Romania, based on a selective marketing research, conducted on a sample of 359 students from undergraduate and master cycles. The main objectives focused on identifying: the image of certain instruments belonging to the innovative commercial technologies in terms of usefulness in the process of buying; the intention to use innovative commercial technologies; the perception of the main advantages and disadvantages of using innovative commercial technologies in the buying process; the importance of commercial technologies in relation to other attributes underlying the development of a hypermarket image. Research results show a relatively low level of awareness among buyers, due to a reduced exposure to innovative commercial technologies, but a relatively high availability of acceptance in the purchasing process. Thus, there is a favourable assessment of the utility of commercial instruments in the buying process and a relatively high intention of use. The paper also highlights the influence of innovative commercial technologies on store image and loyalty of buyers.
Advanced commercial tokamak study
International Nuclear Information System (INIS)
Thomson, S.L.; Dabiri, A.E.; Keeton, D.C.; Brown, T.G.; Bussell, G.T.
Advanced commercial tokamak studies were performed by the Fusion Engineering Design Center (FEDC) as a participant in the Tokamak Power Systems Studies (TPSS) project coordinated by the Office of Fusion Energy. The FEDC studies addressed the issues of tokamak reactor cost, size, and complexity. A scoping study model was developed to determine the effect of beta on tokamak economics, and it was found that a competitive cost of electricity could be achieved at a beta of 10 to 15%. The implications of operating at a beta of up to 25% were also addressed. It was found that the economics of fusion, like those of fission, improve as unit size increases. However, small units were found to be competitive as elements of a multiplex plant, provided that unit cost and maintenance time reductions are realized for the small units. The modular tokamak configuration combined several new approaches to develop a less complex and lower cost reactor. The modular design combines the toroidal field coil with the reactor structure, locates the primary vacuum boundary at the reactor cell wall, and uses a vertical assembly and maintenance approach. 12 refs., 19 figs
International Nuclear Information System (INIS)
Worthington, B.
Activities of the United States Energy Association were reviewed, as well as the manner in which its members are benefitting from the Association's programs. The principal cooperative program set up is the Utility Partnership Program, which was described. Through this program the Association is matching US companies, both electric utilities and gas utilities, with counterparts in Eastern Europe or the former Soviet Union. So far, about 25 partnerships were signed, e.g. in the Czech Republic, in Kazakhstan, in Poland, and in Slovakia. It was estimated that the return to the United States from the investments made by the American government in these Utility Partnership Programs has been well over 100-fold
Compressed-air energy storage: Commercialization potential and EPRI roles in the commercialization process
Boyd, D. W.; Buckley, O. E.; Clark, C. E.
This report describes an assessment of potential roles that EPRI might take to facilitate the commercial acceptance of compressed air energy storage (CAES) systems. The assessment is based on (1) detailed analyses of the market potential of utility storage technologies, (2) interviews with representatives of key participants in the CAES market, and (3) a decision analysis synthesizing much of the information about market and technology status. The results indicate a large potential market for CAES systems if the overall business environment for utilities improves. In addition, it appears that EPRI can have a valuable incremental impact in ensuring that utilities realize the potential of CAES by (1) continuing an aggressive information dissemination and technology transfer program, (2) working to ensure the success of the first United States CAES installation at Soyland Power Cooperative, (3) developing planning methods to allow utilities to evaluate CAES and other storage options more effectively and more realistically, and (4) supporting R and D to resolve residual uncertainties in first-generation CAES cost and performance characteristics.
FY 1995 report on the results of the investigational study on the technology development for the commercialization of solar systems for industrial use, etc. - Investigational study on the solar system. Investigational study on a solar heat utilization system; 1995 nendo sangyoyonado solar system jitsuyoka gijutsu kaihatsu seika hokokusho. Solar system no chosa kenkyu (taiyonetsu riyo system ni kansuru chosa kenkyu)
Energy Technology Data Exchange (ETDEWEB)
This survey clarifies the present situation of the solar heat utilization technology mostly for industrial use, makes a concrete concept of solar heat utilization clear, and extracts items of the technology development and evaluates sociality, economical efficiency, etc. It aims at working out a program for the future technology development. The following proposals were made: 1) technology development program; 2) simulation soft development program; 3) experimental field of the solar heat utilization technology. In 1), concepts of technology development are 'medical use boiling pasteurization,' 'temperature increase in the metal surface treatment process,' 'water purification using photo-catalyst,' 'distributed small power system,' and 'waste water treatment using bio-technology.' In 2), cost reduction is needed for commercialization/merchandising of technology, and therefore, the development of simulation software is studied. In 3), as the experimental field from commercial/residential use system to industrial use system, an large-scale and systematical experimental field is proposed where all that can be substituted for by solar energy among the energies required for the urban function are used. By this, the solar heat utilization system gets accustomed to the people, increases the reliability, and clearly leads to the course to the next stage of the R and D. (NEDO)
FY 1995 report on the results of the investigational study on the technology development for the commercialization of solar systems for industrial use, etc. - Investigational study on the solar system. Investigational study on a solar heat utilization system; 1995 nendo sangyoyonado solar system jitsuyoka gijutsu kaihatsu seika hokokusho. Solar system no chosa kenkyu (taiyonetsu riyo system ni kansuru chosa kenkyu)
Energy Technology Data Exchange (ETDEWEB)
This survey clarifies the present situation of the solar heat utilization technology mostly for industrial use, makes a concrete concept of solar heat utilization clear, and extracts items of the technology development and evaluates sociality, economical efficiency, etc. It aims at working out a program for the future technology development. The following proposals were made: 1) technology development program; 2) simulation soft development program; 3) experimental field of the solar heat utilization technology. In 1), concepts of technology development are 'medical use boiling pasteurization,' 'temperature increase in the metal surface treatment process,' 'water purification using photo-catalyst,' 'distributed small power system,' and 'waste water treatment using bio-technology.' In 2), cost reduction is needed for commercialization/merchandising of technology, and therefore, the development of simulation software is studied. In 3), as the experimental field from commercial/residential use system to industrial use system, an large-scale and systematical experimental field is proposed where all that can be substituted for by solar energy among the energies required for the urban function are used. By this, the solar heat utilization system gets accustomed to the people, increases the reliability, and clearly leads to the course to the next stage of the R and D. (NEDO)
The burden of family caregiving in the United States: work productivity, health care resource utilization, and mental health among employed adults
Directory of Open Access Journals (Sweden)
Hopps M
Full Text Available Markay Hopps, Laura Iadeluca, Margaret McDonald, Geoffrey T MakinsonPfizer Inc., New York, NY, USA Background: Family caregiving is an increasingly important component of care for patients and the elderly. Objective: The aim of this study is to characterize the burden of family caregiving among employed adults. Methods: Employed adults (≥18 years from the 2013 US National Health and Wellness Survey (NHWS were classified as family caregivers if they reported currently caring for at least one adult relative. Chi-square tests and one-way analyses of variance assessed whether employed caregivers, weighted to the US population, differed from employed non-caregivers on behavioral characteristics, workplace productivity, and health care resource utilization. Results: Eight million workers were family caregivers in the United States, more often female than male (51% vs. 49%, P < 0.05, and 53% were between 40 and 64 years of age. Eighteen percent of caregivers were Hispanic compared with 15% of non-caregivers (P < 0.05. Similar behavioral characteristics between caregivers and non-caregivers included daily alcohol consumption (6% vs. 5% and lack of vigorous exercise (25% vs. 29%, but caregivers had a higher prevalence of smoking (26% vs. 19%, P < 0.05. Caregivers reported a higher mean percentage of work time missed (8% vs. 4%, P < 0.05 and greater productivity impairment (24% vs. 14%, P < 0.05. Some form of depression was reported by 53% of caregivers compared with 32% of non-caregivers (P < 0.05, and more caregivers had self-reported insomnia than non-caregivers (46% vs. 37%, P < 0.05. The number of self-reported diagnosed comorbidities was higher among caregivers compared with that of non-caregivers (5.0 vs. 3.1, P < 0.05, as was the mean number of outpatient visits in the previous 6 months (4.1 vs. 2.7, P < 0.05. Conclusion: Family caregiving is associated with a multidimensional burden that impacts caregivers and has implications for
Topical medication utilization and health resources consumption in adult patients affected by psoriasis: findings from the analysis of administrative databases of local health units
Directory of Open Access Journals (Sweden)
Perrone V
Full Text Available Valentina Perrone, Diego Sangiorgi, Stefano Buda, Luca Degli Esposti Clicon S.r.l. Health, Economics & Outcomes Research, Ravenna, Italy Aim: The objectives of this study were to: 1 analyze the drug utilization pattern among adult psoriasis patients who were newly prescribed with topical medication; and 2 assess their adherence to topical therapy and the possibility of switching to other strategies in the treatment process. Methods: An observational retrospective analysis was conducted based on administrative databases of two Italian local health units. All adult subjects who were diagnosed with psoriasis or who were newly prescribed for topical medication with at least one prescription between January 1, 2010, and December 31, 2014, were screened. Only patients who were "non-occasional users of topical drugs" (if they had at least two prescriptions of topical drugs in a time space of 2 years were considered for the first and second objectives in the analysis. The date of the first prescription of topical agents was identified as the index date (ID, which was then followed for all time available from ID (follow-up period. The adherence to therapy was assessed on the basis of cycles of treatment covered in the 6 months before the end of the follow-up period. The mean health care costs in patients who switched to disease-modifying antirheumatic drugs (DMARDs or biologics after the ID were evaluated. Results: A total of 17,860 patients with psoriasis who were newly prescribed for topical medication were identified. A total of 2,477 were identified as "non-occasional users of topical drugs", of whom 70.2% had a prescription for a topical fixed combination regimen at ID. Around 19% adhered to their medication, whereas 6% switched to other options of psoriasis treatment. Multivariable logistic regression model shows that patients on fixed combination treatment were less likely to be non-adherent to treatment and less likely to switch to
How much are biosimilars used in southern Italy?: a retrospective analysis of epoetin utilization in the local health unit of Messina in the years 2010-2011.
Loiacono, Chiara; Sgroi, Carmela; Coppolino, Salvatore; Cannata, Angelo; Ferrara, Rosarita; Arcoraci, Vincenzo; Cananzi, Pasquale; Savica, Vincenzo; Schuemie, Martijn; Caputi, Achille P; Trifirò, Gianluca
Epoetins are one of the three biologics for which biosimilars are available in Italy. So far, there is a lack of Italian national/regional longitudinal data about epoetin use. The aim of this study was to evaluate the prescribing pattern of epoetins (reference products and biosimilars) in a Local Health Unit (LHU) of Southern Italy in recent years. A retrospective drug utilization study was conducted during the period 1 January 2010 - 31 May 2011. The data source was the dispensing database of the Messina LHU, which contains anonymized data about dispensed drugs (including epoetins) that are prescribed by specialists to the residents in the catchment area. Indication of use and prescribed dosage of epoetins were derived by the therapeutic plans filled in by specialists and linked to drug dispensing records. Prevalence of epoetin use in the province of Messina (653 810 inhabitants) in 2010 was calculated. Furthermore, frequency analyses by sex, age, indication of use of epoetin users, as well as measurement of volume of use (defined daily dose [DDD]/1000/day) and expenditure of epoetins in 2010 were also performed. Analysis of the switching pattern between different reference products and biosimilar epoetins was performed. Overall, 4288 patients were treated with epoetins during the study period (mean age ± SD: 74.2 ± 13.7; females: 52%). Darbepoetin alpha and reference product epoetin alpha accounted overall for 79.8% of epoetin users, while biosimilars of epoetin alpha accounted for 0.9%. Among 1247 epoetin users for whom the therapeutic plan was revised, 1065 (85.4%) were treated because of anemia due to chronic kidney disease and 158 (12.6%) because of chemotherapy-induced anemia. In 2010, prevalence of epoetin use was 5.5 (95% CI 5.3, 5.7) per 1000 inhabitants in the province of Messina. The volume of use and related expenditure for epoetins was 3.58 DDD/1000 inhabitants/day and Euro 5 572 457 (about Euro 8.50 per capita/day) in 2010. Switching
Conceptual and empirical themes regarding the design of technology transfer programs : a review of wood utilization research in the United States
Paul V. Ellefson; Michael A. Kilgore; Kenneth E. Skog; Christopher D. Risbrudt
Transfer of technologies produced by research is critical to innovation within all organizations. The intent of this paper is to take stock of the conceptual underpinnings of technology transfer processes as they relate to wood utilization research and to identify conditions that promote the successful transfer of research results. Conceptually, research utilization...
Commercial statistical bulletin of the Brazilian electric utility Centrais Eletricas de Santa Catarina S.A; Boletim estatistico comercial da CELESC: Centrais Eletricas de Santa Catarina S.A
Energy Technology Data Exchange (ETDEWEB)
Statistical data concerning the Brazilian Centrais Eletricas de Santa Catarina S.A. utility relative to April 1996 are presented. They include, among other things, electricity consumption, number and class of consumers and electricity rates 6 figs., 50 tabs.
Use of commercial grade item dedication to reduce procurement costs
International Nuclear Information System (INIS)
Rosch, F.
In the mid-1980s, the Nuclear Regulatory Industry (NRC) began inspecting utility practices of procuring and dedicating commercial grade items intended for plant safety-related applications. As a result of the industry efforts to address NRC concerns, nuclear utilities have enhanced existing programs and procedures for dedication of commercial grade items. Though these programs were originally enhanced to meet NRC concerns, utilities have discovered that the dedication of commercial grade items can also reduce overall procurement costs. This paper will discuss the enhancement of utility dedication programs and demonstrates how utilities have utilized them to reduce procurement costs
Commercial Nuclear Reprocessing in the United States
Energy Technology Data Exchange (ETDEWEB)
Sherrill, Charles Leland [Brigham Young Univ., Provo, UT (United States); Balatsky, Galya Ivanovna [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
The short presentation outline: Reprocessing Overview; Events leading up to Carter's Policy; Results of the decision; Policy since Nuclear Nonproliferation Act. Conclusions reached: Reprocessing ban has become an easy and visible fix to the public concern about proliferation, but has not completely stopped proliferation; and, Reprocessing needs to become detached from political considerations, so technical research can continue, regardless of the policy decisions we decide to take.
Economic feasibility prediction of the commercial fuel cells
International Nuclear Information System (INIS)
Ma Yan; Karady, George G.; Winston, Anthony; Gilbert, Palomino; Hess, Robert; Pelley, Don
This paper presents a prediction method and corresponding Visual Basic program to evaluate the economic feasibility of the commercial fuel cells in utility systems. The economic feasibility of a fuel cell is defined as having a net present value (NPV) greater than zero. The basic process of the method is to combine fuel cell specifications and real energy market data to calculate yearly earning and cost for obtaining the NPV of fuel cells. The Fuel Cell Analysis Software was developed using Visual Basic based on the proposed method. The investigation of a 250 kW molten carbonate fuel cell (FuelCell Energy DFC300A) predicted that, for application specifically in Arizona, United States, no profit would result from the installation of this fuel cell. The analysis results indicated that the efficiency, investment cost, and operation cost are three key factors affecting potential feasibility of the commercial fuel cells
Ethics, law, and commercial surrogacy: a call for uniformity.
Drabiak, Katherine; Wegner, Carole; Fredland, Valita; Helft, Paul R
In the United States at this time, no uniform federal law exists regarding commercial surrogacy, and state statutory schemes vary vastly, ranging from criminalization to legal recognition with contract enforcement. The authors examine how commercial surrogacy agencies utilize the Internet as a means for attracting parents and surrogates by employing emotional cultural rhetoric. By inducing both parents and surrogates to their jurisdiction, agencies circumvent vast discrepancies in state statutory regulative schemes and create a distinct interstate business, absent an efficient regulatory framework or legal recourse in some circumstances. The authors propose a uniform federal regulatory scheme premised upon regulating interstate business transactions to create accountability and legal remedies for both the parents and the surrogate.
The commercial implications of the EELV program
Sasso, Steven E.
There have been several studies over the past 15 years intended to define and develop a space launch system that would meet future needs of the United States Government (USG). While these past studies (Advanced Launch System, National Launch System, Spacelifter, etc) yielded valuable data, none were carried to fruition. Overriding issues included high development cost, changing requirements, and uncertainty in the mission model, as well lack of a clear direction for where this nation should be headed. In 1995, the Air Force embarked on the Evolved Expendable Launch Vehicle (EELV) program as a way of defining and developing the next-generation expendable launch system. This time groundrules for this effort were clearly defined-the program relied on the use of evolving a system rather than developing a high-technology solution to reduce development cost, and the commercial market was factored in as a way of reducing cost to the USG. The EELV program is nearing the engineering manufacturing development (EMD) phase by mid-1998 with first flight planned for early 2001. This paper describes the planned Lockheed Martin EELV program and its ability to utilize the commercial market to benefit the USG in its need to develop the next-generation expendable launch vehicle.
International Nuclear Information System (INIS)
Rebigan, F.
The modality of X-ray utilization in different activities and economy is given. One presents firstly quantities and units used in radiation dosimetry and other fields. One gives the generation of X-rays, their properties as well as the elements of radiation protection. The utilization characteristics of these radiations in different fields are finally given. (author)
Ikefuji, M.; Laeven, R.J.A.; Magnus, J.R.; Muris, C.H.M.
In searching for an appropriate utility function in the expected utility framework, we formulate four properties that we want the utility function to satisfy. We conduct a search for such a function, and we identify Pareto utility as a function satisfying all four desired properties. Pareto utility
Mental health service utilization for psychiatric disorders among Latinos living in the United States: the role of ethnic subgroup, ethnic identity, and language/social preferences.
Keyes, K M; Martins, S S; Hatzenbuehler, M L; Blanco, C; Bates, L M; Hasin, Deborah S
To examine aspects of Latino experience in the US as predicting service utilization for mood, anxiety, and substance disorders. Latino participants 18 and older in the NESARC (N = 6,359), a US national face to face survey. Outcomes were lifetime service utilization for DSM-IV lifetime mood/anxiety or substance disorders, diagnosed via structured interview (AUDADIS-IV). Main predictors were ethnic subgroup, ethnic identity, linguistic/social preferences, nativity/years in the US, and age at immigration. Higher levels of Latino ethnic identity and Spanish language/Latino social preferences predicted lower service utilization for mood disorders [ethnic identity OR = 0.52, language/social OR = 0.44] and anxiety disorders [ethnic identity OR = 0.67, language/social OR = 0.47], controlling for ethnic subgroup, disorder severity, time spent in the US, and economic and practical barriers Service utilization for alcohol/drug disorders was low across all Latino subgroups, without variation by examined predictors. Ethnic/cultural factors are strong determinants of service utilization for mood/anxiety, but not substance use disorders among Latinos in the US strategies to increase service utilization among Latinos with psychiatric disorders should be disorder specific, and recognize the role of ethnicity and identity as important components of a help-seeking model.
Commercialism - the growth prospect
International Nuclear Information System (INIS)
Phillips, D.K.R.
In an attempt to ensure good business proposals for the future British Nuclear Fuels Limited (BNFL) is making a number of international initiatives. Likely markets for expansion include the United States, Japan and Western Europe, to whom the company can offer activities such as oxide fuel reprocessing, uranium hexafluoride conversion, fabrication of oxide and mixed oxide fuels, uranium enrichment and the safe transport of nuclear materials. The creation of International Nuclear Fuels Limited will expand overseas business and ensure security of fuel supply for the international nuclear industry. Working jointly with AEA Technology, BNFL will seek to market their combined decommissioning experience on the international market. The author concludes the BNFL is in a strong position to supply an increasing world-wide need for nuclear waste management and increased commercial awareness within the company will ensure a good section of the market is secured. U.K
Methods for developing seismic and extreme wind-hazard models for evaluating critical structures and equipment at US Department of Energy facilities and commercial plutonium facilities in the United States
International Nuclear Information System (INIS)
Coats, D.W.; Murray, R.C.; Bernreuter, D.L.
Lawrence Livermore National Laboratory (LLNL) is developing seismic and wind hazard models for the US Department of Energy (DOE). The work is part of a three-phase effort to establish building design criteria developed with a uniform methodology for seismic and wind hazards at the various DOE sites throughout the United States. In Phase 1, LLNL gathered information on the sites and their critical facilities, including nuclear reactors, fuel-reprocessing plants, high-level waste storage and treatment facilities, and special nuclear material facilities. Phase 2 - development of seismic and wind hazard models - is discussed in this paper, which summarizes the methodologies used by seismic and extreme-wind experts and gives sample hazard curves for the first sites to be modeled. These hazard models express the annual probability that the site will experience an earthquake (or windspeed) greater than some specified magnitude. In the final phase, the DOE will use the hazards models and LLNL-recommended uniform design criteria to evaluate critical facilities. The methodology presented in this paper also was used for a related LLNL study - involving the seismic assessment of six commercial plutonium fabrication plants licensed by the US Nuclear Regulatory Commission (NRC). Details and results of this reassessment are documented in reference
Commercial Biomass Syngas Fermentation
Directory of Open Access Journals (Sweden)
James Daniell
Full Text Available The use of gas fermentation for the production of low carbon biofuels such as ethanol or butanol from lignocellulosic biomass is an area currently undergoing intensive research and development, with the first commercial units expected to commence operation in the near future. In this process, biomass is first converted into carbon monoxide (CO and hydrogen (H2-rich synthesis gas (syngas via gasification, and subsequently fermented to hydrocarbons by acetogenic bacteria. Several studies have been performed over the last few years to optimise both biomass gasification and syngas fermentation with significant progress being reported in both areas. While challenges associated with the scale-up and operation of this novel process remain, this strategy offers numerous advantages compared with established fermentation and purely thermochemical approaches to biofuel production in terms of feedstock flexibility and production cost. In recent times, metabolic engineering and synthetic biology techniques have been applied to gas fermenting organisms, paving the way for gases to be used as the feedstock for the commercial production of increasingly energy dense fuels and more valuable chemicals.
10 CFR 603.1230 - Commercial firm.
... 10 Energy 4 2010-01-01 2010-01-01 false Commercial firm. 603.1230 Section 603.1230 Energy... Used in this Part § 603.1230 Commercial firm. A for-profit firm or segment of a for-profit firm (e.g., a division or other business unit) that does a substantial portion of its business in the commercial...
Commercial implementation of food irradiation
International Nuclear Information System (INIS)
Welt, M.A.
Recent positive developments in regulatory matters involving food irradiation appear to be opening the door to commercial implementation of the technology. Experience gained over five years in operating multi-purpose food irradiation facilities in the United States have demonstrated the technical and economic feasibility of the radiation preservation of food for a wide variety of purposes. Public education regarding food irradiation has been intensified especially with the growing favorable involvement of food trade associations, the USDA, and the American Medical Association. After 41 years of development effort, food irradiation will become a commercial reality in 1985. (author)
Guide to commercially available wind machines
Energy Technology Data Exchange (ETDEWEB)
Wind Energy Conversion Systems (WECS) commercially available in the United States are described. The terms used to describe these wind systems are defined and their significance discussed. Lists of manufacturers and distributors, subsystem components and suppliers, and references are provided.
The impacts of regulation via the allowed rate of return constraint on social welfare, input choices, and level of output in the privately-owned electric utilities in the United States
International Nuclear Information System (INIS)
Phongam, S.
This study analyzes the effect of change in price elasticity of demand for electricity on social welfare, allowed rate of return, and marginal revenue product of each input used to produce electricity. Price elasticities of demand for electricity in residential, commercial, and industrial sectors are compared as well as total demand in 1987. Also compared are these price elasticities between 1982 and 1987. Several conclusions are: (1) There is an overcapitalization in privately-owned electric utilities because at the chosen level of output, marginal revenue product of capital is less than its price. (2) Elastic demand for electricity will improve values of social welfare and marginal revenue product of inputs. (3) Tightening allowed rate of return will increase the amount of capital and labor usages, but decrease fuel, output, and social welfare. (4) Both residential and industrial demand for electricity are elastic, but commercial demand is inelastic. (5) By making comparison of price elasticity of demand between 1982 and 1987, it shows that price elasticity of demand for electricity in residential, industrial, and total demand are increasing. However, for the commercial sector, the price elasticity is decreasing somewhat
The utilization of performance evaluation instruments by technical trainers to evaluate maintenance personnel in the nuclear power industry in the United States
International Nuclear Information System (INIS)
Hornberger, C.K.
The purpose of this study was to document the utilization of performance evaluation instruments by technical trainers in the evaluation of maintenance personnel in US nuclear power plants. Performance evaluation of maintenance personnel has been identified by nuclear utilities and the Nuclear Regulatory Commission as the only acceptable method of determining worker competence. The NRC requires performance evaluation to be conducted to performance standards, but it does not specify the standards or the method to be utilized. Each plant is free to establish its own standards and methods of evaluation. This was a descriptive study utilizing descriptive statistics for the analysis of the data. The subjects included 655 maintenance trainers in 72 US nuclear plants. Conclusions of the study include: (1) Technical trainers are in compliance with NRC regulations. (2) Evaluation materials developed by the Institute of Nuclear Power Operations are used by technical trainers in every one of the 62 plants that responded. (3) In-plant or self-developed Performance Evaluation Instruments are utilized by 419 or 95.2% of the technical trainers. (4) Technical trainers incorporate nine common components into their Performance Evaluation Instruments. (5) Technical trainers evaluate maintenance processes and the product produced by workers when following procedures and specifications are critical and when safety hazards are involved. (6) Technical trainers believe that utilizing Performance Evaluation Instruments makes their job easier by providing documentation about the quality and standards of maintenance skills. (7) Technical trainers believe that maintenance workers benefit when their skills are assessed through the use of Performance Evaluation Instruments
Utilization and success rates of unstimulated in vitro fertilization in the United States: an analysis of the Society for Assisted Reproductive Technology database.
Gordon, John David; DiMattina, Michael; Reh, Andrea; Botes, Awie; Celia, Gerard; Payson, Mark
To examine the utilization and outcomes of natural cycle (unstimulated) IVF as reported to the Society of Assisted Reproductive Technology (SART) in 2006 and 2007. Retrospective analysis. Dataset analysis from the SART Clinical Outcome Reporting System national database. All patients undergoing IVF as reported to SART in 2006 and 2007. None. Utilization of unstimulated IVF; description of patient demographics; and comparison of implantation and pregnancy rates between unstimulated and stimulated IVF cycles. During 2006 and 2007 a total of 795 unstimulated IVF cycles were initiated. Success rates were age dependent, with patients Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Are high penetrations of commercial cogeneration good for society?
Keen, Jeremy F.; Apt, Jay
Low natural gas prices, market reports and evidence from New York State suggest that the number of commercial combined heat and power (CHP) installations in the United States will increase by 2%-9% annually over the next decade. We investigate how increasing commercial CHP penetrations may affect net emissions, the distribution network, and total system energy costs. We constructed an integrated planning and operations model that maximizes owner profit through sizing and operation of CHP on a realistic distribution feeder in New York. We find that a greater penetration of CHP reduces both total system energy costs and network congestion. Commercial buildings often have low and inconsistent heat loads, which can cause low fuel utilization efficiencies, low CHP rates-of-return and diminishing avoided emissions as CHP penetration increases. In the northeast, without policy intervention, a 5% penetration of small commercially owned CHP would increase CO2 emissions by 2% relative to the bulk power grid. Low emission CHP installations can be encouraged with incentives that promote CHP operation only during times of high heat loads. Time-varying rates, such as time-of-day and seasonal rates, are one option and were shown to reduce customer emissions without reducing profits. In contrast, natural gas rate discounts, a common incentive for industrial CHP in some states, can encourage CHP operation during low heat loads and thus increase emissions.
Commercial Crew Development Program Overview
Russell, Richard W.
NASA's Commercial Crew Development Program is designed to stimulate efforts within the private sector that will aid in the development and demonstration of safe, reliable, and cost-effective space transportation capabilities. With the goal of delivery cargo and eventually crew to Low Earth Orbit (LEO) and the International Space Station (ISS) the program is designed to foster the development of new spacecraft and launch vehicles in the commercial sector. Through Space Act Agreements (SAAs) in 2011 NASA provided $50M of funding to four partners; Blue Origin, The Boeing Company, Sierra Nevada Corporation, and SpaceX. Additional, NASA has signed two unfunded SAAs with ATK and United Space Alliance. This paper will give a brief summary of these SAAs. Additionally, a brief overview will be provided of the released version of the Commercial Crew Development Program plans and requirements documents.
Utilization of and Adherence to Oral Contraceptive Pills and Associated Disparities in the United States: A Baseline Assessment for the Impact of the Affordable Care Act of 2010.
Lin, Hsien-Chang; Lee, Hsiao-Yun
This study investigated sociological factors that may influence women's utilization of and adherence to oral contraceptive pills. This was a retrospective cross-sectional study using the 2010-2012 Medical Expenditure Panel Survey. Female adults aged 18-50 years were included. Logistic regression was performed to discern women's decisions to use oral contraceptive pills or not. Ordinary least squares and Poisson regressions were conducted to examine the number of oral contraceptive pills received, refill frequency, and annual out-of-pocket expenditure on oral contraceptive pills. Covariates were based on the Andersen model of health care utilization. Among the study sample (weighted n = 207,007,531), 14.8% were oral contraceptive pill users. Factors positively related to oral contraceptive pill use included non-Hispanic white ethnicity, younger age, not currently married, having private insurance, residing in the Midwest, higher education level, and higher annual family income. Being non-Hispanic white and having a higher education level were positively related to oral contraceptive pill adherence. Our findings therefore demonstrate disparities in oral contraceptive pill utilization and adherence, especially according to women's race/ethnicity and educational level. This study serves as a baseline assessment for the impact of the Affordable Care Act on oral contraceptive pill utilization and adherence for future studies. © The Author(s) 2015.
Joint Research. Report on the results of developing commercialization of a technology of process wastes and re-utilize them by using petroleum substituting energy; Kyodo kenkyu. Sekiyu daitai energy riyo haikibutsu shori saishigenka gijutsu jitsuyoka kaihatsu seika hokokusho
Energy Technology Data Exchange (ETDEWEB)
A study was conducted on a technology to melt shredder dust and non-combustible wastes directly by using coal, reduce their volume and re-utilize them. The elementary study on a high-temperature melting and treating technology set such targets as optimizing the melting and treating technology in correspondence with properties of materials to be treated, by using a small melting test plant, achieving a volume reduction rate of 1/200, and reducing treatment cost. In order to make innoxious the different kinds of environmental loading materials contained in exhaust gas from a high-temperature gasification and direct melting system, discussions were given on an optimum control condition for the exhaust gas system facilities. Furthermore, physical properties of discharges (slags nd metals) were investigated to discuss material re-utilization. In discussing optimal systems, three kinds of systems including two types utilizing fuels were proposed as high-temperature gasification and melting treatment process from a viewpoint of technology and cost. Respective systems were compared with each other on treatment cost, and their priorities were identified. 56 refs., 50 figs., 55 tabs.
Cross-Sectional Study of Unmet Mental Health Need in 5- to 7-Year Old Latino Children in the United States: Do Teachers and Parents Make a Difference in Service Utilization?
Toppelberg, Claudio O; Hollinshead, Marisa O; Collins, Brian A; Nieto-Castañon, Alfonso
The aim of the study is to examine the rates of mental health service utilization in young Latino children of immigrants in relation to maternal and teacher reports of child mental health need. Specific knowledge is lacking about gaps in service utilization among young Latino children, the fastest growing and possibly the most underserved segment of the US child population. The associations of mental health service utilization (Service Assessment for Children and Adolescents) and mental health need (clinical levels of internalizing, externalizing, or total problems reported by mothers [Child Behavior Checklist] and teachers [Teacher's Report Form]) were examined in a community sample of young Latino children of immigrants ( n = 228; mean age = 6) and compared across mothers' and teachers' responses. Mother-teacher agreement was also studied. Sixty-five children (28.5 %) had a mental health need; most (76.9 %) of these received no services. For all types of mental health need, service utilization was more likely when need was reported by mothers rather than teachers ( p = .03). Teachers' reports were not associated with service utilization. Mother-teacher agreement was low for externalizing ( r = .23; p ≤ 0.01) and total problems ( r = .21; p ≤ 0.05), and nonsignificant for internalizing problems. This study is the first in the United States to document, in such a young Latino group, high rates of unmet need comparable to those among older Latino youth; low or no mother-teacher agreement on which children had a mental health need; low utilization of school-based services; and a lack of association between service utilization and teacher-reported mental health need-both for externalizing and internalizing problems. These findings suggest that schools are not effectively leveraging mental health services for young Latino children. Potential factors responsible for the findings are discussed.
HASA/DOD Aerospace Knowledge Diffusion Research Project. Paper 62. The Influence of Knowledge Diffusion on Aeronautics Innovation: The Research, Development, and Production of Large Commercial Aircraft in France, Germany, and the United Kingdom
National Research Council Canada - National Science Library
Golich, Vicki
...) of large commercial aircraft (LCA). The analytical framework brings together literature from global political economy, comparative politics, business management, and science and technology policy studies...
Thermal analysis and modeling of a swimming pool heating system by utilizing waste energy rejected from a chiller unit of an ice rink
Directory of Open Access Journals (Sweden)
Kuyumcu Muhammed Enes
Full Text Available This study deals with the thermal analysis and modeling of a swimming pool heating system in which the waste energy rejected from the chiller unit of an ice rink is used as an energy source. The system consists of a swimming pool and an ice rink coupled by a chiller unit. The swimming pool and the ice rink both indoor types and were constructed in city of Gaziantep, Turkey. The thermal energy requirement for each section is determined by thermal analysis of each component of the system. Effects of different design parameters such as ceiling insulation thickness, ceiling emissivity, Carnot efficiency factor and size of the ice rink on the thermal energy requirements and coefficient of performance of the chiller unit are investigated. As a result of analyses of the system, the minimum ice rink area is determined in order to meet annual total heat energy demand of the olympic-sized swimming pool.
Report of working committee 6 utilization of gases for domestic, commercial and transportation sector; Rapport du groupe de travail 6 utilisation des gaz dans les secteurs domestiques, commerciaux et des transports
Energy Technology Data Exchange (ETDEWEB)
Clark, R.S.
The following report describes the work of Working Committee 6 (WOC 6) of the International Gas Union. The work for the triennium 1997 - 2000 was carried out by four Study Groups. Each of the Study Groups have reported the results of their work and have included these reports in this report to the 21. World Gas Conference. WOC 6 was responsible for organizing Study Groups that carried out work in the following subject areas: Study Group 6.1 - Residential Gas Installations and Services - Development in Safety and Quality. Study Group 6.2 - New Markets for Gas - Technology Evaluation. Study Group 6.3 - Gas for Transportation - Gas Vehicles. Study Group 6.4 - Variable Gas Quality in Domestic and Commercial Uses. (author)
Thermal analysis and modeling of a swimming pool heating system by utilizing waste energy rejected from a chiller unit of an ice rink
Kuyumcu Muhammed Enes; Yumrutaş Recep
This study deals with the thermal analysis and modeling of a swimming pool heating system in which the waste energy rejected from the chiller unit of an ice rink is used as an energy source. The system consists of a swimming pool and an ice rink coupled by a chiller unit. The swimming pool and the ice rink both indoor types and were constructed in city of Gaziantep, Turkey. The thermal energy requirement for each section is determined by thermal analysis of each component of the system. Effec...
Advanced commercial Tokamak optimization studies
International Nuclear Information System (INIS)
Whitley, R.H.; Berwald, D.H.; Gordon, J.D.
Our recent studies have concentrated on developing optimal high beta (bean-shaped plasma) commercial tokamak configurations using TRW's Tokamak Reactor Systems Code (TRSC) with special emphasis on lower net electric power reactors that are more easily deployable. A wide range of issues were investigated in the search for the most economic configuration: fusion power, reactor size, wall load, magnet type, inboard blanket and shield thickness, plasma aspect ratio, and operational β value. The costs and configurations of both steady-state and pulsed reactors were also investigated. Optimal small and large reactor concepts were developed and compared by studying the cost of electricity from single units and from multiplexed units. Multiplexed units appear to have advantages because they share some plant equipment and have lower initial capital investment as compared to larger single units
Utilizing Culture to Improve Communication and School Involvement with Parents from Diverse Backgrounds as a Means to Improve Student Achievement Levels in the United States: A National Focus
Jacobs, Karen Dupre; Kritsonis, William Allan
School leadership in communicating to parents and students from diverse backgrounds is a problem in education that must be addressed. As the population of the United States is becoming more and more diverse, school administrators must develop new ways to reach their stakeholders. All families must be involved in their children's academic progress…
Long-term consequences of selected competitive strategies during deregulation of the United States electric utility industry: System dynamics modeling and simulation
Khalil, Yehia Fahim
Currently, U.S. investor-owned utilities (IOUs) are facing major reforms in their business environment similar to the airlines, telecommunications, banking, and insurance industries. As a result, IOUs are gearing up for fierce price competition in the power generation sector, and are vying for electricity customers outside their franchised service territories. Energy experts predict that some IOUs may suffer fatal financial setbacks (especially those with nuclear plants), while others may thrive under competition. Both federal and state energy regulators anticipate that it may take from five to ten years to complete the transition of America's electric utility industry from a regulated monopoly to a market-driven business. During this transition, utility executives are pursuing aggressive business strategies to confront the upcoming price wars. The most compelling strategies focus on cutting operation and maintenance (O&M) costs of power production, downsizing the work force, and signing bilateral energy agreements with large price-sensitive customers to retain their business. This research assesses the impact of the three pivotal strategies on financial performance of utilities during transition to open market competition. A system-dynamics-based management flight simulator has been developed to predict the dynamic performance of a hypothetical IOU organization preparing for market competition. The simulation results show that while the three business strategies lead to short-lived gains, they also produce unanticipated long-term consequences that adversely impact the organization's operating revenues. Generally, the designed flight simulator serves as a learning laboratory which allows management to test new strategies before implementation.
DSM Pocket Guidebook: Commercial technologies
International Nuclear Information System (INIS)
It has been estimated that if electricity were used more efficiently with commercially available end-use technologies, 24%endash 44% of the nation's current demand for electricity could be eliminated. Almost all major electric utilities in the west are investigating such demand-side management (9DSM) opportunities. In some service territories, for example, improved efficiency could soon produce as much power as that from new coal-fired plants and produce it at a lower cost. Even utilities that currently have excess capacity are finding that DSM offers an opportunity to build efficient end-use stock to help them meet their future load shape objectives. Utility DSM programs typically consist of several measures designed to modify the utility's load shape (for example, innovative rate structures, direct utility control of loads, promotion of energy-efficient technologies, and customer education). The coordinated implementation of such measures requires planning, analysis of options, engineering, marketing, monitoring, and other coordination activities (Figure P1). This guidebook addresses one facet of an overall DSM program: selectrion of end-use technologies within the electrical utilities
NASA's commercial research plans and opportunities
Arnold, Ray J.
One of the primary goals of the National Aeronautics and Space Administration's (NASA) commercial space development plan is to encourage the development of space-based products and markets, along with the infrastructure and transportation that will support those products and markets. A three phased program has been instituted to carry out this program. The first phase utilizes government grants through the Centers for the Commercial Development of Space (CCDS) for space-related, industry driven research; the development of a technology data base; and the development of commercial space transportation and infrastructure. The second phase includes the development of these technologies by industry for new commercial markets, and features unique industry/government collaborations such as Joint Endeavor Agreements. The final phase will feature technical applications actually brought to the marketplace. The government's role will be to support industry required infrastructure to encourage start-up markets and industries through follow-on development agreements such as the Space Systems Development Agreement. The Office of Commercial Programs has an aggressive flight program underway on the Space Shuttle, suborbital rockets, orbital expendable launch vehicles, and the Commercial Middeck Accommodation Module with SPACEHAB Inc. The Office of Commercial Program's has been allocated 35 percent of the U.S. share of the Space Station Freedom resources for 1997 utilization. A utilization plan has been developed with the Centers for the Commercial Development of Space and has identified eleven materials processing and biotechnology payloads occupying 5 double racks in the pressurized module as well as two payloads external to the module in materials exposure and environment monitoring. The Office of Commercial Programs will rely on the Space Station Freedom to provide the long duration laboratory component for space-based commercial research.
78 FR 75910 - Impact of the Implementation of the Chemical Weapons Convention (CWC) on Legitimate Commercial...
... (CWC) on Legitimate Commercial Chemical, Biotechnology, and Pharmaceutical Activities Involving... legitimate commercial activities and interests of chemical, biotechnology, and pharmaceutical firms are being... commercial activities and interests of chemical, biotechnology, and pharmaceutical firms in the United States...
Evaluation of Technical and Utility Programmatic Challenges With Residential Forced-Air Integrated Space/Water Heat Systems
Energy Technology Data Exchange (ETDEWEB)
Kingston, Tim [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Vadnal, Hillary [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Scott, Shawn [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Kalensky, Dave [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States)
This multi-unit field demonstration of combined space and water heating (combi) systems was conducted to help document combi system installation and performance issues that needed to be addressed through research. The objective of the project was to put commercialized forced-air tankless combi units into the field through local contractors that were trained by manufacturers and GTI staff under the auspices of utility-implemented ETPs.
Commercial grade item (CGI) dedication of generators for nuclear safety related applications
International Nuclear Information System (INIS)
Das, R.K.; Hajos, L.G.
The number of nuclear safety related equipment suppliers and the availability of spare and replacement parts designed specifically for nuclear safety related application are shrinking rapidly. These have made it necessary for utilities to apply commercial grade spare and replacement parts in nuclear safety related applications after implementing proper acceptance and dedication process to verify that such items conform with the requirements of their use in nuclear safety related application. The general guidelines for the commercial grade item (CGI) acceptance and dedication are provided in US Nuclear Regulatory Commission (NRC) Generic Letters and Electric Power Research Institute (EPRI) Report NP-5652, Guideline for the Utilization of Commercial Grade Items in Nuclear Safety Related Applications. This paper presents an application of these generic guidelines for procurement, acceptance, and dedication of a commercial grade generator for use as a standby generator at Salem Generating Station Units 1 and 2. The paper identifies the critical characteristics of the generator which once verified, will provide reasonable assurance that the generator will perform its intended safety function. The paper also delineates the method of verification of the critical characteristics through tests and provide acceptance criteria for the test results. The methodology presented in this paper may be used as specific guidelines for reliable and cost effective procurement and dedication of commercial grade generators for use as standby generators at nuclear power plants
Methanol to propylene. From development to commercialization
Energy Technology Data Exchange (ETDEWEB)
Haag, S.; Rothaemel, M. [Air Liquide Forschung und Entwicklung GmbH, Frankfurt am Main (Germany); Pohl, S.; Gorny, M. [Lurgie GmbH, Frankfurt am Main (Germany). Air Liquide Global E and C Solutions
In the late 1990s the development of the so-called MTP {sup registered} (methanol-to-propylene) process, a Lurgi Technology (by Air Liquide Global E and C Solutions) started. This constitutes a novel route to a valuable product that would not rely on crude oil as feedstock (as conventional propylene production does), but instead utilizes coal or natural gas and potentially biomass. These alternative feedstocks are first converted to synthesis gas, cleaned, and then converted to methanol. The development of the methanol-to-propylene conversion was achieved in a close collaboration between R and D and engineering. Two pilot plants at the R and D center in Frankfurt and a demonstration plant in Norway have been used to demonstrate the yields, catalyst lifetime and product quality and to support the engineering team in plant design and scale-up. Especially the last item is important as it was clear from the very beginning that the first commercial MTP {sup registered} plant would already be world-scale, actually one of the largest propylene producing plants in the world. This required a safe and diligent scale-up as the MTP {sup registered} reactors in the commercial plant receive about 7,000 times the feed of the demo unit and as much as 100,000 times the feed of the pilot plant. The catalyst used is a zeolite ZSM-5 that was developed by our long-term cooperation partner Sued-Chemie (now Clariant). At the end of 2010, the first commercial MTP {sup registered} plant in Ningdong in the Chinese province of Ningxia was started up as part of a coal-to-chemicals complex owned by the Shenhua Ningxia Coal Industry Group. In this complex the complete chain starting from coal through to the final polypropylene product is realized. The customer successful started the polymer-grade propylene production in April 2011 and then announced in May 2011 that he sold the first 1000 tons of polypropylene made with propylene coming from the MTP {sup registered} unit. Following this
National Utility Rate Database: Preprint
Energy Technology Data Exchange (ETDEWEB)
Ong, S.; McKeel, R.
When modeling solar energy technologies and other distributed energy systems, using high-quality expansive electricity rates is essential. The National Renewable Energy Laboratory (NREL) developed a utility rate platform for entering, storing, updating, and accessing a large collection of utility rates from around the United States. This utility rate platform lives on the Open Energy Information (OpenEI) website, OpenEI.org, allowing the data to be programmatically accessed from a web browser, using an application programming interface (API). The semantic-based utility rate platform currently has record of 1,885 utility rates and covers over 85% of the electricity consumption in the United States.
Commercial Radio as Communication.
Rothenbuhler, Eric W.
Compares the day-to-day work routines of commercial radio with the principles of a theoretical communication model. Illuminates peculiarities of the conduct of communication by commercial radio. Discusses the application of theoretical models to the evaluation of practicing institutions. Offers assessments of commercial radio deriving from…
Commercial Banking Industry Survey.
Bright Horizons Children's Centers, Cambridge, MA.
Work and family programs are becoming increasingly important in the commercial banking industry. The objective of this survey was to collect information and prepare a commercial banking industry profile on work and family programs. Fifty-nine top American commercial banks from the Fortune 500 list were invited to participate. Twenty-two…
Conceptual and Empirical Themes regarding the Design of Technology Transfer Programs: A Review of Wood Utilization Research in the United States
Directory of Open Access Journals (Sweden)
Paul V. Ellefson
Full Text Available Transfer of technologies produced by research is critical to innovation within all organizations. The intent of this paper is to take stock of the conceptual underpinnings of technology transfer processes as they relate to wood utilization research and to identify conditions that promote the successful transfer of research results. Conceptually, research utilization can be viewed from multiple perspectives, including the haphazard diffusion of knowledge in response to vague and imprecise demands for information, scanning of multiple information sources by individuals and organizations searching for useful scientific knowledge, engagement of third parties to organize research results and communicate them to potential users, and ongoing and active collaboration between researchers and potential users of research. Empirical evidence suggests that various types of programs can promote technology transfer (venture capital, angel investors, business incubators, extension services, tax incentives, and in-house entities, the fundamental effectiveness of which depends on research results that are scientifically valid and consistent with the information needs of potential users. Furthermore, evidence suggests preference toward programs that are appropriately organized and governed, suitably led and creatively administered, and periodically evaluated in accordance with clear standards of success.
Interim report on the fate of wood preservatives in soils adjacent to in-service utility poles in the United States
International Nuclear Information System (INIS)
Taylor, B.B.; Ripp, J.; Sims, R.C.
The Electric Power Research Institute (EPRI) is studying the environmental impact of preservatives associated with in-service utility poles. As part of this endeavor, two EPRI contractors, META Environmental, Inc. (META) and Atlantic Environmental Services, Inc. (Atlantic), have collected soil samples from around wood utility poles nationwide, for various chemical and physical analyses. This report covers the results for 107 pole sites in the US. These pole sites included a range of preservative types, soil types, wood types, pole sizes, and in-service ages. The poles in this study were preserved with one of two types of preservative: pentachlorophenol (PCP) or creosote. Approximately 40 to 50 soil samples were collected from each wood pole site in this study. The soil samples collected from the pole sites were analyzed for chlorinated phenols and total petroleum hydrocarbons (TPH) if the pole was preserved with PCP, or for polycyclic aromatic hydrocarbons (PAHs) if the pole was preserved with creosote. The soil samples were also analyzed for physical/chemical parameters, such as pH, total organic carbon (TOC), and cationic exchange capacity (CEC). Additional samples were used in studies to determine biological degradation rates, and soil-water distribution and retardation coefficients of PCP in site soils. Methods of analysis followed standard EPA and ASTM methods, with some modifications in the chemical analyses to enable the efficient processing of many samples with sufficiently low detection limits for this study. All chemical, physical, and site-specific data were stored in a relational computer database
Transport behaviour of commercially available 100-Omega standard resistors
CSIR Research Space (South Africa)
Schumacher, B
Full Text Available Several types of commercial 100-Omega resistors can be used with the cryogenic current comparator to maintain the resistance unit, derived from the Quantized Hall Effect (QHE), and to disseminate this unit to laboratory resistance standards. Up...
A cross-sectional study of emergency care utilization and associated costs of violent-related (assault) injuries in the United States.
Monuteaux, Michael C; Fleegler, Eric W; Lee, Lois K
Violent-related (assault) injuries are a leading cause of death and disability in the United States. Many violent injury victims seek treatment in the emergency department (ED). Our objectives were to (1) estimate rates of violent-related injuries evaluated in United States EDs, (2) estimate linear trends in ED visits for violent-related injuries from 2000 to 2010, and (3) to determine the associated health care and work-loss costs. We examined adults 18 years and older from a nationally representative survey (the National Hospital Ambulatory Medical Care Survey) of ED visits, from 2000 to 2010. Violent injury was defined using International Classification of Diseases-9th Rev.-Clinical Modification, diagnosis and mechanism of injury codes. We calculated rates of ED visits for violent injuries. Medical and work-loss costs accrued by these injuries were calculated for 2005, inflation-adjusted to 2011 dollars using the WISQARS Cost of Injury Reports. An annual average of 1.4 million adults were treated for violent injuries in EDs from 2000 to 2010, comprising 1.6% (95% confidence interval, 1.5%-1.6%) of all US adult ED visits. Young adults (18-25 years), men, nonwhites, uninsured or publically insured patients, and those residing in high poverty urban areas were at increased risk for ED visits for violent injury. The 1-year, inflation-adjusted medical and work-loss cost of violent-inflicted injuries in adults in the United States was US $49.5 billion. Violent injuries account for over one million ED visits annually among adults, with no change in rates over the past decade. Young black men are at especially increased risk for ED visits for violent injuries. Overall, violent-related injuries resulted in substantial financial and societal costs. Epidemiological study, level III.
In situ nanostructure formation of (micro-hydroxo)bis(micro-carboxylato) diruthenium units in nafion membrane and its utilization for selective reduction of nitrosonium ion in aqueous medium.
Kumar, Annamalai Senthil; Tanase, Tomoaki; Iida, Masayasu
Nanostructured molecular film containing the (micro-hydroxo)bis(micro-carboxylato) diruthenium(III) units, [RuIII2(micro-OH)(micro-CH3COO)2(HBpz3)2]+ ({RuIII2(micro-OH)}), was prepared by an in situ conversion of its micro-oxo precursor, [RuIII2(micro-O)(micro-CH3COO)2(HBpz3)2] ({RuIII2(micro-O)}), in a Nafion membrane matrix, where HBpz3 is hydrotris(1-pyrazolyl)borate. The conversion procedure results in fine nanoparticle aggregates of the {RuIII2(micro-OH)} units in the Nafion membrane (Nf-{RuIII2(micro-OH)}), where an average particle size (4.1 +/- 2.3 nm) is close to the Nafion's cluster dimension of approximately 4 nm. Chemically modified electrodes by using the Nafion molecular membrane films (Nf-{RuIII2(micro-OH)}-MMFEs) were further developed on ITO/glass and glassy carbon electrode (GCE) surfaces, and a selective reduction of nitrosonium ion (NO+), presumably through reaction of a {RuIIRuIII(micro-OH)} mixed-valence state with HNO2, was demonstrated without interference by molecular oxygen in an acidic aqueous solution. The Nf-{RuIII2(micro-OH)}-MMFEs are stable even in a physiological condition (pH 7), where the naked {RuIII2(-OH)} complex is readily transformed into its deprotonated {RuIII2(micro-O)} form, demonstrating an unusual stabilizing effects for the {RuIII2(micro-OH)} unit by the Nafion cluster environment.
Shoreline Units with Results from the 2014 Study Entitled "Characterizing Participation in Non-Commercial Fishing and other Shore-based Recreational Activities on St. Croix, U.S. Virgin Islands"
National Oceanic and Atmospheric Administration, Department of Commerce — The project "Characterizing participation in non-commercial fishing and other shore-based recreational activities on St. Croix, U.S. Virgin Islands" was conducted in...
Utilization of the arbitration in contracts of unitization in a petroleum industry; Utilizacao da arbitragem nos contratos de unitizacao na industria do petroleo
Energy Technology Data Exchange (ETDEWEB)
Franca Junior, Carlos Antonio de [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil)
The present work has like goal to show some controversies generated for the only paragraph of article 27 of the Law of the Oil. The legal device admits when it will not have the celebration of an agreement of unitization between the concessionaires, the use of an arbitral decision as instrument for ANP to solve the conflict. On this term - arbitral decision - we will find a lot of interpretations. To accept a mere literal interpretation is to attack the proper characteristics of the Arbitration - as way of solution of conflicts -, as well as infringing our constitutional and legal text. But, the best exit is not this; therefore using an interpretation in conformity with the constitution we obtain to adapt the norm to our constitutional system, in a rational way. Thus, the object of this work is to search elements to adjust the norm referred to our legal system. For this, we will see a examination concerning the Arbitration, as well as of Contracts of Unitization, for at a second moment discerning on the quarrels between these two subjects, in view of the Law of the Oil and the doctrine of the Oil Law. (author)
Supportive care utilization and treatment toxicity in children with Down syndrome and acute lymphoid leukaemia at free-standing paediatric hospitals in the United States.
Salazar, Elizabeth G; Li, Yimei; Fisher, Brian T; Rheingold, Susan R; Fitzgerald, Julie; Seif, Alix E; Huang, Yuan-Shung; Bagatell, Rochelle; Aplenc, Richard
Although inferior outcomes of children with Down syndrome (DS) and acute lymphoid leukaemia (ALL) are established, national supportive care patterns for these patients are unknown. A validated retrospective cohort of paediatric patients diagnosed with ALL from 1999 to 2011 was assembled from the US Pediatric Health Information System (PHIS) database to examine organ toxicity, sepsis, and resource utilization in children with and without DS. Among 10699 ALL patients, 298 had DS-ALL (2·8%). In a multivariate model, DS was associated with increased risk of cardiovascular (odds ratio [OR] 2·0, 95% confidence interval [CI] 1·6-2·7), respiratory (OR 2·1, 95% CI: 1·6-2·9), neurologic (OR 3·4, 95% CI 1·9-6·2), and hepatic (OR 1·4, 95% CI 1·0-1·9) dysfunction and sepsis (OR 1·8, 95% CI: 1·4-2·4). Children with DS-ALL used significantly more respiratory support, insulin, and anti-infectives, including broad-spectrum Gram-positive agents, quinolones, and azoles. They used significantly fewer analgesics and antiemetics compared to non-DS-ALL children. Ultimately, this study confirms the increased risk of infectious and end-organ toxicity in children with DS-ALL and quantifies important differences in resource utilization between children with DS and non-DS ALL. These findings highlight the importance of investigating the impact of these care variations and developing specific supportive care guidelines for this population. © 2016 John Wiley & Sons Ltd.
Seeing through the Glitz: Commercial Literacy for Students.
Hillyer, Kathryn Oliver
Television advertising aimed at children is explored, including its regulation, techniques, and research on its effects. Particular attention is given to sexual stereotypes in commercials, including an analysis of certain commercials. A commercial literacy unit is presented for use with fourth graders. The history of advertising targeted at…
Commercial applications of inertial confinement fusion
International Nuclear Information System (INIS)
Booth, L.A.; Frank, T.G.
This report describes the fundamentals of inertial-confinement fusion, some laser-fusion reactor (LFR) concepts, and attendant means of utilizing the thermonuclear energy for commercial electric power generation. In addition, other commercial energy-related applications, such as the production of fissionable fuels, of synthetic hydrocarbon-based fuels, and of process heat for a variety of uses, as well as the environmental and safety aspects of fusion energy, are discussed. Finally, the requirements for commercialization of laser fusion technologies are described
Study on increasing commercial benefits of 60Co irradiation facilities
International Nuclear Information System (INIS)
Yang Shuizi; Qi Huanjiang; Xei Tong
Estimating commercial benefits of irradiation facilities adopts commercial benefits coefficient. The effect factors are the utilization rate of irradiation energy (E), the consistency of irradiation facilities (Ci), the utilization rate of time (T), the utilization rate of space, the minimum efficient adsorption dose (Dmin), the irradiation adsorption dose uriformity (U), the sale (S), the running cost (C) et. al, and E, Ci, S, C are main in all factors. (authors)
Large sample NAA of a pottery replica utilizing thermal neutron flux at AHWR critical facility and X-Z rotary scanning unit
International Nuclear Information System (INIS)
Acharya, R.; Dasari, K.B.; Pujari, P.K.; Swain, K.K.; Shinde, A.D.; Reddy, A.V.R.
Large sample neutron activation analysis (LSNAA) of a clay pottery replica from Peru was carried out using low neutron flux graphite reflector position of Advanced Heavy Water Reactor (AHWR) critical facility. This work was taken up as a part of inter-comparison exercise under IAEA CRP on LSNAA of archaeological objects. Irradiated large size sample, placed on an X-Z rotary scanning unit, was assayed using a 40% relative efficiency HPGe detector. The k 0 -based internal monostandard NAA (IM-NAA) in conjunction with insitu relative detection efficiency was used to calculate concentration ratios of 12 elements with respect to Na. Analyses of both small and large size samples were carried out to check homogeneity and to arrive at absolute concentrations. (author)
Evaluation of predicted Medfly (Ceratitis capitata quarantine length in the United States utilizing degree-day and agent-based models [version 1; referees: 2 approved
Directory of Open Access Journals (Sweden)
Travis Collier
Full Text Available Invasions by pest insects pose a significant threat to agriculture worldwide. In the case of Ceratitis capitata incursions on the US mainland, where it is not officially established, repeated detections are followed by quarantines and treatments to eliminate the invading population. However, it is difficult to accurately set quarantine duration because non-detection may not mean the pest is eliminated. Most programs extend quarantine lengths past the last fly detection by calculating the amount of time required for 3 generations to elapse under a thermal unit accumulation development model ("degree day". A newer approach is to use an Agent-Based Simulation (ABS to explicitly simulate population demographics and elimination. Here, predicted quarantine lengths for 11 sites in the continental United States are evaluated using both approaches. Results indicate a strong seasonality in quarantine length, with longer predictions in the second half of the year compared with the first; this pattern is more extreme in degree day predictions compared with ABS. Geographically, quarantine lengths increased with latitude, though this was less pronounced under the ABS. Variation in quarantine lengths for particular times and places was dramatically larger for degree day than ABS, generally spiking in the middle of the year for degree day and peaking in second half of the year for ABS. Analysis of 34 C. capitata quarantines from 1975 to 2017 in California shows that, for all but two, quarantines were started in the second half of the year, when degree day quarantine lengths are longest and have the highest uncertainty. For a set of hypothetical outbreaks based on these historical quarantines, the ABS produced significantly shorter quarantines than degree day calculations. Overall, ABS quarantine lengths were more consistent than degree day predictions, avoided unrealistically long values, and captured effects of rare events such as cold snaps.
Commercial application of laser fusion
International Nuclear Information System (INIS)
Booth, L.A.
The fundamentals of laser-induced fusion, some laser-fusion reactor concepts, and attendant means of utilizing the thermonuclear energy for commercial electric power generation are discussed. Theoretical fusion-pellet microexplosion energy release characteristics are described and the effects of pellet design options on pellet-microexplosion characteristics are discussed. The results of analyses to assess the engineering feasibility of reactor cavities for which protection of cavity components is provided either by suitable ablative materials or by diversion of plasmas by magnetic fields are presented. Two conceptual laser-fusion electric generating stations, based on different laser-fusion reactor concepts, are described
Business Opportunity Prospectus for Utilities in Solar Water Heating
Energy Technology Data Exchange (ETDEWEB)
Energy Alliance Group
Faced with deregulation and increasingly aggressive competition, utilities are looking for new products and services to increase revenues, improve customer loyalty and retention, and establish barriers to market erosion. With open access now a reality, and retail wheeling just around the corner, business expansion via new products and services is now the central goal for most utilities in the United States. It may seem surprising that solar thermal energy as applied to heating domestic hot water - an idea that has been around for a long time - offers what utilities and their residential customers want most in a new product/service. This document not only explains how and why, it shows how to get into the business and succeed on a commercial scale.
Clean Energy Innovation: Sources of Technical and Commercial Breakthroughs
Energy Technology Data Exchange (ETDEWEB)
Perry, T. D., IV; Miller, M.; Fleming, L.; Younge, K.; Newcomb, J.
Low-carbon energy innovation is essential to combat climate change, promote economic competitiveness, and achieve energy security. Using U.S. patent data and additional patent-relevant data collected from the Internet, we map the landscape of low-carbon energy innovation in the United States since 1975. We isolate 10,603 renewable and 10,442 traditional energy patents and develop a database that characterizes proxy measures for technical and commercial impact, as measured by patent citations and Web presence, respectively. Regression models and multivariate simulations are used to compare the social, institutional, and geographic drivers of breakthrough clean energy innovation. Results indicate statistically significant effects of social, institutional, and geographic variables on technical and commercial impacts of patents and unique innovation trends between different energy technologies. We observe important differences between patent citations and Web presence of licensed and unlicensed patents, indicating the potential utility of using screened Web hits as a measure of commercial importance. We offer hypotheses for these revealed differences and suggest a research agenda with which to test these hypotheses. These preliminary findings indicate that leveraging empirical insights to better target research expenditures would augment the speed and scale of innovation and deployment of clean energy technologies.
A Retrofit Tool for Improving Energy Efficiency of Commercial Buildings
Energy Technology Data Exchange (ETDEWEB)
Levine, Mark; Feng, Wei; Ke, Jing; Hong, Tianzhen; Zhou, Nan
Existing buildings will dominate energy use in commercial buildings in the United States for three decades or longer and even in China for the about two decades. Retrofitting these buildings to improve energy efficiency and reduce energy use is thus critical to achieving the target of reducing energy use in the buildings sector. However there are few evaluation tools that can quickly identify and evaluate energy savings and cost effectiveness of energy conservation measures (ECMs) for retrofits, especially for buildings in China. This paper discusses methods used to develop such a tool and demonstrates an application of the tool for a retrofit analysis. The tool builds on a building performance database with pre-calculated energy consumption of ECMs for selected commercial prototype buildings using the EnergyPlus program. The tool allows users to evaluate individual ECMs or a package of ECMs. It covers building envelope, lighting and daylighting, HVAC, plug loads, service hot water, and renewable energy. The prototype building can be customized to represent an actual building with some limitations. Energy consumption from utility bills can be entered into the tool to compare and calibrate the energy use of the prototype building. The tool currently can evaluate energy savings and payback of ECMs for shopping malls in China. We have used the tool to assess energy and cost savings for retrofit of the prototype shopping mall in Shanghai. Future work on the tool will simplify its use and expand it to cover other commercial building types and other countries.
KWU's modular approach to HTR commercialization
International Nuclear Information System (INIS)
Frewer, H.; Weisbrodt, I.
As a way of avoiding the uncertainties, delays and unacceptable commercial risks which have plagued advanced reactor projects in Germany, KWU is advocating a modular approach to commercialization of the high-temperature reactor (HTR), using small size standard reactor units. KWU has received a contract for the study of a co-generation plant based on this modular system. Features of the KWU modular HTR, process heat, gasification, costs and future development are discussed. (UK)
Effect of a commercial housing system on egg quality during extended storage.
Jones, D R; Karcher, D M; Abdo, Z
Egg producers in the United States are utilizing a variety of commercial egg production systems to provide consumer choice and meet legislative requirements. Consumer egg grades in the United States were developed for conventional cage production, and it is unclear what effect alternative production systems might have on egg quality during retail and consumer home storage. The current study was undertaken to determine what changes in egg quality characteristics occur during extended cold storage for commercially produced conventional cage, enriched colony cage, and cage-free aviary eggs. During 12 wk of cold storage, egg weight, albumen height, Haugh unit, static compression shell strength, vitelline membrane strength and deformation, yolk index, shell dynamic stiffness, and whole egg total solids were monitored. Overall, aviary and enriched eggs were significantly (P system effects for yolk measurements, shell dynamic stiffness, or whole egg total solids were observed. Albumen height, Haugh unit, and yolk quality measurements were all greatest at 0 and lowest at 12 wk of storage (P systems for each measured attribute at 4, 6, and 12 wk was determined. Other than differences in the change of egg weight at 4 wk, no significant differences in the rate of quality decline were found among the housing systems. The results of the current study indicate that current US egg quality standards should effectively define quality for commercially produced conventional cage, enriched colony cage, and cage-free aviary eggs.
Analysis of economic break-even point of the biogas utilization for electrical power conversion: case study in a swine terminated unit
International Nuclear Information System (INIS)
Cervi, Ricardo Ghantous; Pinotti, Elvio Brasil; Esperancini, Maura Seiko Tsutsui; Bueno, Osmar de Carvalho
This work aimed to develop a study to estimate the break-even point in financial units of the electrical power generation using biogas from swine wastes. The analyzed biodigester is a continuous tubular model with brick concrete duct and plastic covering with a gasometer, and where the waste of 2,300 fattening pigs are deposited daily. The initial investment estimate for the installation was R$ 51,537.17. The system annual costs were R$ 5,708.20, for maintenance, R$ 4,390.40 for depreciation and R$ 1,366.77 for interests. It was noticed that with an average of consumption of 17.1 kW.hour -1 the system presents an annual loss of R$ 1,592.14 because the consumption of 27.85 kW.hour -1 is the minimum that should be consumed to achieve a corresponded financial break-even point of R$ 15,054.40.year -1 . It was concluded that the correct technical dimensioning greatly influences on the economic results. (author)
International Nuclear Information System (INIS)
Sinner, Joe
Budget Period 2 of the East Binger Unit (''EBU'') DOE Project has been. Recent activities included additional data gathering and project monitoring, plus initiation of work on an SPE paper on the modeling efforts of the project. Early production performance suggests horizontal wells do not provide sufficient additional production over vertical wells to justify their incremental cost. It will take more time to evaluate the impact of the horizontal wells on sweep and ultimate recovery, but it is unlikely that an improvement in recovery will be sufficient to make the overall economic value of horizontal wells greater than the economic value of vertical wells. Monitoring of overall performance of the pilot area continues. Overall response to the various projects continues to be very favorable. Injection into the pilot area has nearly doubled, while gas production and nitrogen content of produced gas have both decreased. Nitrogen recycle within the pilot area has dropped from 60% to 20%. Efforts to further disseminate knowledge gained through this project, by means of technical paper presentations to industry groups, are underway. Project monitoring and technology transfer will be focus areas of Budget Period 3
Single and Cumulative Relations of Social Risk Factors with Children's Dental Health and Care-Utilization Within Regions of the United States.
Yang, Alyssa J; Gromoske, Andrea N; Olson, Melissa A; Chaffin, Jeffrey G
The purpose is to examine the relation of social risk factors, and the cumulative burden of social risk factors, on parent-reported dental health and dental care-seeking behavior. National Survey of Children's Health data (2011-2012) were analyzed for US children by Title V Block Grant regions. Multivariate logistic regressions were estimated for ten social risk factors, as well as a cumulative risk index, to find any associations with poor condition of teeth, presence of dental caries, and no dental care visits. Almost all of the risk factors were significantly associated with poor condition of teeth and presence of dental caries for the US. Models associating no dental care visits suggested that low family income (OR 1.58), poor maternal mental health (OR 1.54), high school education or less (OR 1.34), and multi-racial/other race (OR 1.18) were significant factors for the US. Regional variation existed for those risk factors and their association with the outcomes, but income, education, and poor maternal mental health consistently played a significant role in adverse outcomes. The cumulative risk index was strongly related to poor oral health outcomes, with a weaker relationship to dental care utilization. US children experiencing certain social risk factors, such as low family income, high school education or less, and poor maternal mental health, are likely to be at greater risk for poor dental health and low levels of dental-care seeking behavior. Children experiencing multiple social risks are at greater risk for poor oral outcomes than children who experience fewer social risks. An approach that involves the social determinants of health is needed to address these issues.
Ground-source heat pump case studies and utility programs
Energy Technology Data Exchange (ETDEWEB)
Lienau, P.J.; Boyd, T.L.; Rogers, R.L.
Ground-source heat pump systems are one of the promising new energy technologies that has shown rapid increase in usage over the past ten years in the United States. These systems offer substantial benefits to consumers and utilities in energy (kWh) and demand (kW) savings. The purpose of this study was to determine what existing monitored data was available mainly from electric utilities on heat pump performance, energy savings and demand reduction for residential, school and commercial building applications. In order to verify the performance, information was collected for 253 case studies from mainly utilities throughout the United States. The case studies were compiled into a database. The database was organized into general information, system information, ground system information, system performance, and additional information. Information was developed on the status of demand-side management of ground-source heat pump programs for about 60 electric utility and rural electric cooperatives on marketing, incentive programs, barriers to market penetration, number units installed in service area, and benefits.
Womb Outsourcing: Commercial Surrogacy in India.
Frankford, David M; Bennington, Linda K; Ryan, Jane Greene
Infertility affects more than 7 million American couples. As traditional treatments fail and the costs of hiring a surrogate increase in the United States, transnational commercial surrogacy becomes a feasible alternative for many couples. Infertile couples may opt for this choice after reading enticing Internet advertisements of global medical tourism offering "special deals" on commercial surrogacy. This is particularly true in India where couples from the United States can purchase transnational surrogacy for less than one-half or even one-third of the costs in the United States, including the cost of travel. The majority of surrogate mothers in India come from impoverished, poorly educated rural areas of India. Commercial surrogacy offers the lure of earning the equivalent of 5 years of family income. This multidisciplinary review of the literature suggests that the issue of commercial surrogacy is complex and influenced by a number of factors including expensive infertility costs, ease of global travel, and the financial vulnerability of Indian commercial surrogate mothers and their families. Questions are being raised about decision making by the surrogate mother particularly as influenced by gender inequities, power differentials, and inadequate legal protection for the surrogate mother. More research is needed to understand commercial surrogacy, especially research inclusive of the viewpoints of the Indian mothers and their families involved in these transactions.
Study on commercial HTGR hydrogen production system
International Nuclear Information System (INIS)
Nishihara, Tetsuo
The Japanese energy demand in 2030 will increase up to 117% in comparison with one in 2000. We have to avoid a large consumption of fossil fuel that induces a large CO 2 emission from viewpoint of global warming. Furthermore new energy resources expected to resolve global warming have difficulty to be introduced more because of their low energy density. As a result, nuclear power still has a possibility of large introduction to meet the increasing energy demand. On the other hand, in Japan, 40% of fossil fuels in the primary energy are utilized for power generation, and the remaining are utilized as a heat source. New clean energy is required to reduce the consumption of fossil fuels and hydrogen is expected as a alternative energy resource. Prediction of potential hydrogen demand in Japan is carried out and it is clarified that the demand will potentially increase up to 4% of total primary energy in 2050. In present, steam reforming method is the most economical among hydrogen generation processes and the cost of hydrogen production is about 7 to 8 yen/m 3 in Europe and the United States and about 13 yen/m 3 in Japan. JAERI has proposed for using the HTGR whose maximum core outlet temperature is at 950degC as a heat source in the steam reforming to reduced the consumption of fossil fuels and resulting CO 2 emission. Based on the survey of the production rate and the required thermal energy in conventional industry, it is clarified that a hydrogen production system by the steam reforming is the best process for the commercial HTGR nuclear heat utilization. The HTGR steam reforming system and other candidate nuclear heat utilization systems are considered from viewpoint of system layout and economy. From the results, the hydrogen production cost in the HTGR stream reforming system is expected to be about 13.5 yen/m 3 if the cost of nuclear heat of the HTGR is the same as one of the LWR. (author)
Disparities in Healthcare Access and Utilization among Children with Autism Spectrum Disorder from Immigrant Non-English Primary Language Households in the United States
Directory of Open Access Journals (Sweden)
Sue C. Lin, MS
Full Text Available Background: The prevalence of autism spectrum disorder (ASD in United State (US has surged from 1 in 150 children in 2007 to 1 in 88 children in 2012 with substantial increase in immigrant minority groups including Hispanic and Somali children. Our study objective is to examine the associations between household language among children with ASD and national health quality indicators attainment. Methods: We conducted bivariate and multivariate logistic regression analyses using cross-sectional data from the publicly-available 2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN to investigate the association between household language use and quality indicators of medical home, adequate insurance, and early and continuous screening. Results: Approximately, 28% of parents of children with ASD from non-English primary language (NEPL households reported their child having severe ASD as compared with 13% of parents from English primary language (EPL households. Older children were more likely to have care that met the early and continuous screening quality indicator, while lower income children and uninsured children were less likely to have met this indicator. Conclusions and Global Health Implications: Despite the lack of differences in the attainment of quality indicators by household language, the higher severity found in children in NEPL households suggests that they are exceptionally vulnerable. Enhanced early screening and identification for these children and supporting their parents in navigating the complex US health care delivery system would increase their participation in early intervention services. Immigration of children with special health care needs from around the world to the US has been increasing from countries with diverse healthcare systems. Our findings will help to inform policies and interventions to reduce health disparities for children with ASD from immigrant populations. As the prevalence of
Survey of commercially available chocolate- and cocoa-containing products in the United States. 2. Comparison of flavan-3-ol content with nonfat cocoa solids, total polyphenols, and percent cacao.
Miller, Kenneth B; Hurst, W Jeffrey; Flannigan, Nancy; Ou, Boxin; Lee, C Y; Smith, Nancy; Stuart, David A
A survey of a broad range of chocolate- and cocoa-containing products marketed in the United States was conducted to provide a more detailed analysis of flavan-3-ol monomers, oligomers, and polymers, which can be grouped into a class of compounds called procyanidins. Samples consisted of the three or four top-selling products within the following six categories: natural cocoa powder, unsweetened baking chocolate, dark chocolate, semisweet baking chips, milk chocolate, and chocolate syrup. Composite samples were characterized for percent fat (% fat), percent nonfat cocoa solids (% NFCS), antioxidant level by ORAC, total polyphenols, epicatechin, catechin, total monomers, and flavan-3-ol oligomers and polymers (procyanidins). On a gram weight basis epicatechin and catechin content of the products follow in decreasing order: cocoa powder > baking chocolate > dark chocolate = baking chips > milk chocolate > chocolate syrup. Analysis of the monomer and oligomer profiles within product categories shows there are two types of profiles: (1) products that have high monomers with decreasing levels of oligomers and (2) products in which the level of dimers is equal to or greater than the monomers. Results show a strong correlation (R(2) = 0.834) of epicatechin to the level of % NFCS and also very good correlations for N = 2-5 oligomers to % NFCS. A weaker correlation was observed for catechin to % NFCS (R(2) = 0.680). Other analyses show a similar high degree of correlation with epicatechin and N = 2-5 oligomers to total polyphenols, with catechin being less well correlated to total polyphenols. A lesser but still good correlation exists between the calculated percent cacao (calcd % cacao) content, a proxy for percent cacao, and these same flavanol measures, with catechin again showing a lesser degree of correlation to calcd % cacao. Principal component analysis (PCA) shows that the products group discretely into five classes: (1) cocoa powder, (2) baking chocolate, (3) dark
CASH 2021: Commercial access and space habitation
Aldrin, Andrew; Amara, Adam; Aris, Lodewijk; Baierl, Nida; Beatty, Patrick; Beaulieu, Catherine; Behnke, Torsten; Castegini, Roberta; Chauhan, Amitabh; Cojanis, Philip; Dayawansa, Pelawa; Diop, Marie; Eito, Kinya; Engle, Steve; Ferretti, Stefano; Gassama, Hamet; Genova, Bojana; Goulding, Colin; Janjua, Jameel; Jansaeng, Thidarat; Jousset, Frédéric; Kopik, Anatoly; Laurin, Catherine; Leggatt, Jason; Li, Hengnian; Mezzadri, Monica; Miura, Amane; Nolet, Simon; Ogami, Satoshi; Patry, Johanne; Patten, Laryssa; Payerne, Cyril; Peer, Guy; Prampolini, Marco; Rheaume, Caroline; Saary, Joan; Spehar, Daniela; Sufi, Atiya; Sun, Baosheng; Thompson, J. Barry; Thomson, Ward; Trautner, Roland; Tursunmuratov, Murat; Venet, Vrata; Wilems, Elizabeth; Wilson, Helen; Wittwer, Karl; Wokke, Frank; Wu, Yansheng; Zhou, Shaobin; Zilioli, Ilaria
Issues about commercialization of space have been a growing concern in the past decade for the space community. This paper focuses on the work from a team of 51 students attending the Summer Session Program of the International Space University in Bremen, Germany. CASH 2021 (Commercial Access and Space Habitation) documents a plan that identifies commercial opportunities for space utilization that will extend human presence in space, and will chart the way forward for the next 20 years. The group selected four commercial sectors that show the most promise for the future: tourism, entertainment, space system service, assembly and debris removal, and research and development/production. The content of this document presents the results of their research. Historical activities in each of the commercial sectors are reviewed along with the current market situation. To provide a coherent background for future commercialization possibilities a scenario has been developed. This scenario includes a postulated upon ideal future and includes social, political and economic factors that may affect the space industry over the timeline of the study. The study also presents a roadmap, within the limited optimistic scenario developed, for the successful commercialization of space leading to future human presence in space. A broad range of commercially viable opportunities, not only within the current limits of the International Space Station, but also among the many new developments that are expected by 2021 are discussed.
Land usage attributed to corn ethanol production in the United States: sensitivity to technological advances in corn grain yield, ethanol conversion, and co-product utilization.
Mumm, Rita H; Goldsmith, Peter D; Rausch, Kent D; Stein, Hans H
Although the system for producing yellow corn grain is well established in the US, its role among other biofeedstock alternatives to petroleum-based energy sources has to be balanced with its predominant purpose for food and feed as well as economics, land use, and environmental stewardship. We model land usage attributed to corn ethanol production in the US to evaluate the effects of anticipated technological change in corn grain production, ethanol processing, and livestock feeding through a multi-disciplinary approach. Seven scenarios are evaluated: four considering the impact of technological advances on corn grain production, two focused on improved efficiencies in ethanol processing, and one reflecting greater use of ethanol co-products (that is, distillers dried grains with solubles) in diets for dairy cattle, pigs, and poultry. For each scenario, land area attributed to corn ethanol production is estimated for three time horizons: 2011 (current), the time period at which the 15 billion gallon cap for corn ethanol as per the Renewable Fuel Standard is achieved, and 2026 (15 years out). Although 40.5% of corn grain was channeled to ethanol processing in 2011, only 25% of US corn acreage was attributable to ethanol when accounting for feed co-product utilization. By 2026, land area attributed to corn ethanol production is reduced to 11% to 19% depending on the corn grain yield level associated with the four corn production scenarios, considering oil replacement associated with the soybean meal substituted in livestock diets with distillers dried grains with solubles. Efficiencies in ethanol processing, although producing more ethanol per bushel of processed corn, result in less co-products and therefore less offset of corn acreage. Shifting the use of distillers dried grains with solubles in feed to dairy cattle, pigs, and poultry substantially reduces land area attributed to corn ethanol production. However, because distillers dried grains with solubles
Prospects for commercial fusion power
International Nuclear Information System (INIS)
Dean, S.O.
There are a number of issues associated with whether or not, and when, fusion will become commercial. One of the largest factors is cost of development. Development is being delayed by the need to work with other countries to share these costs. Other aspects have to do with the capital costs of the reactors themselves. The ITER reactor may cost 6-7 billion dollars, which is a sizeable investment for a test reactor. The safety and environmental aspects of fusion are other factors which have delayed commercialization. Public acceptance of this form of nuclear power and the licensing and regulatory procedures must be resolved before electric utilities are willing to invest heavily in fusion. The Department of Energy has developed a plan as part of the Energy Policy Act of 1992, wherein a first demonstration power plant will be operating around the year 2025. Much of the ongoing effort is directed toward reducing the size and cost of Tokamak reactors. While Tokamaks are not the only game in town, it is the primary thrust of the world effort and it is the technology which is expected to lead into the first generation of commercial fusion reactors
Formerly utilized MED/AEC sites remedial action program: radiological survey of the Building Site 421, United States, Watertown Arsenel, Watertown, MA. Final report
Energy Technology Data Exchange (ETDEWEB)
This report contains the results of surveys of the current radiological condition of the Building Site 421, United States Arsenal Watertown, Watertown, Massachusetts. Findings of this survey indicate there are four spots involving an area of less than 6000 cm/sup 2/ of identifiable low-level residual radioactivity on the concrete pad which is all that remains of Building Site 421. The largest spot is approximately 5000 cm/sup 2/. The other three spots are 100 cm/sup 2/ or less. The beta-gamma readings at these spots are 8.4 x 10/sup 2/ dis/min-100 cm/sup 2/, 2.2 x 10/sup 5/ dis/min-100 cm/sup 2/, 2.2 x 10/sup 5/ dis/min-100 cm/sup 2/ and 8.5 x 10/sup 4/ dis/min-100 cm/sup 2/. No alpha contamination was found at these locations. Gamma spectral analysis of a chip of contaminated concrete from one of the spots indicates that the contaminant is natural uranium. This contamination is fixed in the concrete and does not present an internal or external exposure hazard under present conditions. A hypothetical hazard analysis under a conservative set of assumed conditions indicates minimal internal hazard. The highest End Window contact reading was 0.09 mR/h. None of the other three spots indicated an elevated direct reading with the End Window Detector. Radon daughter concentrations were determined at three locations on the Building 421 pad. These were 0.00013 WL, 0.00011 WL and 0.00009 WL. According to the Surgeon General's Guidelines found in 10 CFR 712, radon daughter concentrations below 0.03 WL do not require remedial action in structures other than private dwellings and schools. Soil samples taken about the site indicate no elevated levels above the natural background levels in the soil. A gamma spectral analysis of a water sample obtained from the storm sewer line near the Building 421 pad indicates no elevated radioactivity in the sample. It was therefore felt that no contamination is present in this sewer.
Formerly utilized MED/AEC sites remedial action program: radiological survey of the Building Site 421, United States, Watertown Arsenel, Watertown, MA. Final report
International Nuclear Information System (INIS)
This report contains the results of surveys of the current radiological condition of the Building Site 421, United States Arsenal Watertown, Watertown, Massachusetts. Findings of this survey indicate there are four spots involving an area of less than 6000 cm 2 of identifiable low-level residual radioactivity on the concrete pad which is all that remains of Building Site 421. The largest spot is approximately 5000 cm 2 . The other three spots are 100 cm 2 or less. The beta-gamma readings at these spots are 8.4 x 10 2 dis/min-100 cm 2 , 2.2 x 10 5 dis/min-100 cm 2 , 2.2 x 10 5 dis/min-100 cm 2 and 8.5 x 10 4 dis/min-100 cm 2 . No alpha contamination was found at these locations. Gamma spectral analysis of a chip of contaminated concrete from one of the spots indicates that the contaminant is natural uranium. This contamination is fixed in the concrete and does not present an internal or external exposure hazard under present conditions. A hypothetical hazard analysis under a conservative set of assumed conditions indicates minimal internal hazard. The highest End Window contact reading was 0.09 mR/h. None of the other three spots indicated an elevated direct reading with the End Window Detector. Radon daughter concentrations were determined at three locations on the Building 421 pad. These were 0.00013 WL, 0.00011 WL and 0.00009 WL. According to the Surgeon General's Guidelines found in 10 CFR 712, radon daughter concentrations below 0.03 WL do not require remedial action in structures other than private dwellings and schools. Soil samples taken about the site indicate no elevated levels above the natural background levels in the soil. A gamma spectral analysis of a water sample obtained from the storm sewer line near the Building 421 pad indicates no elevated radioactivity in the sample. It was therefore felt that no contamination is present in this sewer
Commercialism in Intercollegiate Athletics.
Delany, James E.
Outlines the history of intercollegiate athletics and the evolution of commercialization in college sports, particularly through television. Argues that few Division I programs could be self-sufficient; the issue is the degree to which sports are commercialized for revenue, and the challenge to balance schools' needs, private sector interests, and…
Radiation damage in commercial optical fibers
International Nuclear Information System (INIS)
Bertolotti, M.; Franceschini, F.A.; Serra, A.
Experimental results obtained by exposure of commercial optical fibers to 60 Co γ-ray irradiation, are reported. The possibility of utilizing these fibers as far as a total dose of 6000 rad in the light spectrum is shown. It is also shown that it is possible to obtain total recovery of irradiated fibers by annealing at 500 0 C. (author)
Recycling Sounds in Commercials
DEFF Research Database (Denmark)
Larsen, Charlotte Rørdam
Commercials offer the opportunity for intergenerational memory and impinge on cultural memory. TV commercials for foodstuffs often make reference to past times as a way of authenticating products. This is frequently achieved using visual cues, but in this paper I would like to demonstrate how...... such references to the past and 'the good old days' can be achieved through sounds. In particular, I will look at commercials for Danish non-dairy spreads, especially for OMA margarine. These commercials are notable in that they contain a melody and a slogan – 'Say the name: OMA margarine' – that have basically...... remained the same for 70 years. Together these identifiers make OMA an interesting Danish case to study. With reference to Ann Rigney's memorial practices or mechanisms, the study aims to demonstrate how the auditory aspects of Danish margarine commercials for frying tend to be limited in variety...
Policy Considerations for Commercializing Natural Gas and Biomass CCUS
Abrahams, L.; Clavin, C.
Captured CO2 from power generation has been discussed as an opportunity to improve the environmental sustainability of fossil fuel-based electricity generation and likely necessary technological solution necessary for meeting long-term climate change mitigation goals. In our presentation, we review the findings of a study of natural gas CCUS technology research and development and discuss their applications to biomass CCUS technology potential. Based on interviews conducted with key stakeholders in CCUS technology development and operations, this presentation will discuss these technical and economic challenges and potential policy opportunities to support commercial scale CCUS deployment. In current domestic and electricity and oil markets, CCUS faces economic challenges for commercial deployment. In particular, the economic viability of CCUS has been impacted by the sustained low oil prices that have limited the potential for enhanced oil recovery (EOR) to serve as a near-term utilization opportunity for the captured CO2. In addition, large scale commercial adoption of CCUS is constrained by regulatory inconsistencies and uncertainties across the United States, high initial capital costs, achieving familiarity with new technology applications to existing markets, developing a successful performance track record to acquire financing agreements, and competing against well-established incumbent technologies. CCUS also has additional technical hurdles for measurement, verification, and reporting within states that have existing policy and regulatory frameworks for climate change mitigation. In addition to fossil-fuel based CCUS, we will discuss emerging opportunities to utilize CCUS fueled by gasified biomass resulting in carbon negative power generation with expanded economic opportunities associated with the enhanced carbon sequestration. Successful technology development of CCUS technology requires a portfolio of research leading to technical advances, advances in
DEFF Research Database (Denmark)
Arndt, Channing; Simler, Kenneth R.
A fundamental premise of absolute poverty lines is that they represent the same level of utility through time and space. Disturbingly, a series of recent studies in middle- and low-income economies show that even carefully derived poverty lines rarely satisfy this premise. This article proposes a......, with the current approach tending to systematically overestimate (underestimate) poverty in urban (rural) zones.......A fundamental premise of absolute poverty lines is that they represent the same level of utility through time and space. Disturbingly, a series of recent studies in middle- and low-income economies show that even carefully derived poverty lines rarely satisfy this premise. This article proposes...... an information-theoretic approach to estimating cost-of-basic-needs (CBN) poverty lines that are utility consistent. Applications to date illustrate that utility-consistent poverty measurements derived from the proposed approach and those derived from current CBN best practices often differ substantially...
Commercial Building Energy Saver: An energy retrofit analysis toolkit
International Nuclear Information System (INIS)
Hong, Tianzhen; Piette, Mary Ann; Chen, Yixing; Lee, Sang Hoon; Taylor-Lange, Sarah C.; Zhang, Rongpeng; Sun, Kaiyu; Price, Phillip
Highlights: • Commercial Building Energy Saver is a powerful toolkit for energy retrofit analysis. • CBES provides benchmarking, load shape analysis, and model-based retrofit assessment. • CBES covers 7 building types, 6 vintages, 16 climates, and 100 energy measures. • CBES includes a web app, API, and a database of energy efficiency performance. • CBES API can be extended and integrated with third party energy software tools. - Abstract: Small commercial buildings in the United States consume 47% of the total primary energy of the buildings sector. Retrofitting small and medium commercial buildings poses a huge challenge for owners because they usually lack the expertise and resources to identify and evaluate cost-effective energy retrofit strategies. This paper presents the Commercial Building Energy Saver (CBES), an energy retrofit analysis toolkit, which calculates the energy use of a building, identifies and evaluates retrofit measures in terms of energy savings, energy cost savings and payback. The CBES Toolkit includes a web app (APP) for end users and the CBES Application Programming Interface (API) for integrating CBES with other energy software tools. The toolkit provides a rich set of features including: (1) Energy Benchmarking providing an Energy Star score, (2) Load Shape Analysis to identify potential building operation improvements, (3) Preliminary Retrofit Analysis which uses a custom developed pre-simulated database and, (4) Detailed Retrofit Analysis which utilizes real-time EnergyPlus simulations. CBES includes 100 configurable energy conservation measures (ECMs) that encompass IAQ, technical performance and cost data, for assessing 7 different prototype buildings in 16 climate zones in California and 6 vintages. A case study of a small office building demonstrates the use of the toolkit for retrofit analysis. The development of CBES provides a new contribution to the field by providing a straightforward and uncomplicated decision
Direct fuel cell power plants: the final steps to commercialization
Glenn, Donald R.
Since the last paper presented at the Second Grove Fuel Cell Symposium, the Energy Research Corporation (ERC) has established two commercial subsidiaries, become a publically-held firm, expanded its facilities and has moved the direct fuel cell (DFC) technology and systems significantly closer to commercial readiness. The subsidiaries, the Fuel Cell Engineering Corporation (FCE) and Fuel Cell Manufacturing Corporation (FCMC) are perfecting their respective roles in the company's strategy to commercialize its DFC technology. FCE is the prime contractor for the Santa Clara Demonstration and is establishing the needed marketing, sales, engineering, and servicing functions. FCMC in addition to producing the stacks and stack modules for the Santa Clara demonstration plant is now upgrading its production capability and product yields, and retooling for the final stack scale-up for the commercial unit. ERC has built and operated the tallest and largest capacities-to-date carbonate fuel cell stacks as well as numerous short stacks. While most of these units were tested at ERC's Danbury, Connecticut (USA) R&D Center, others have been evaluated at other domestic and overseas facilities using a variety of fuels. ERC has supplied stacks to Elkraft and MTU for tests with natural gas, and RWE in Germany where coal-derived gas were used. Additional stack test activities have been performed by MELCO and Sanyo in Japan. Information from some of these activities is protected by ERC's license arrangements with these firms. However, permission for limited data releases will be requested to provide the Grove Conference with up-to-date results. Arguably the most dramatic demonstration of carbonate fuel cells in the utility-scale, 2 MW power plant demonstration unit, located in the City of Santa Clara, California. Construction of the unit's balance-of-plant (BOP) has been completed and the installed equipment has been operationally checked. Two of the four DFC stack sub-modules, each
The commercial prospects for tidal stream power
Energy Technology Data Exchange (ETDEWEB)
The prospects for obtaining energy from tidal currents were examined in 1993 when it was concluded that, although the UK resource is large, the unit cost of energy would be relatively high. Interest has continued, however, and in December 2000 the Energy Technology Support Unit (ETSU), on behalf of the Department of Trade and Industry (DTI), commissioned Binnie Black and Veatch (BBV) to re-examine these prospects from a commercial point of view. (author)
Commercialization in Innovation Management
DEFF Research Database (Denmark)
Sløk-Madsen, Stefan Kirkegaard; Ritter, Thomas; Sornn-Friese, Henrik
For any firm, the ultimate purpose of new product development is the commercialization of the new offerings. Despite its regular use in the product innovation and general management science literature, commercialization is only loosely defined and applied. This lack of conceptual clarity about...... the processes at the interface between product development and customer application is noteworthy as it hinders the theoretical development of the field. In this paper, we explore how research has advanced our understanding of commercialization in product innovation over a 30 year period by mapping different...
Directory of Open Access Journals (Sweden)
Full Text Available This paper tries to explain how barter, as an economic institution, can help deal with the problem of contract enforcement across national borders in international trade and within borders in transition economies.
Factors affecting the utilization of safety devices by commercial ...
African Journals Online (AJOL)
Background: Motorcycle crashes are common causes of morbidity and mortality for both riders and passengers. To prevent and reduce the severity of injuries sustained through road traffic accidents (RTA) many countries enforce the use of safety devices while riding. Certain factors including non-enforcement of the existing ...
Utilization of a commercially supplied synchrotron radiation source
International Nuclear Information System (INIS)
Craft, B.C.; Saile, V.; Scott, J.D.; Morikawa, E.
Louisiana State University (LSU) is developing the Center for Advanced Microstructures and Devices (CAMD) in Baton Rouge, Louisiana. The centerpiece of CAMD will be a 1.2 GeV electron storage ring purchased from Maxwell Laboratories, Inc. The high-tech building for CAMD has been designed by TECH-IV of Baton Rouge with engineering support from Lester B. Knight and Associates of Chicago. The storage ring has been optimized for X-ray lithography. The procedures developed at CAMD for printing integrated circuits may well be of significant importance to US competitiveness in semiconductor and related industries. However, the spectral range of the ring also supports scientific and engineering activities in several other areas. (orig.)
Marketing demand management in the commercial sector
International Nuclear Information System (INIS)
Fraser, M.E.
Ontario Hydro has a marketing strategy for designing and implementing demand side management (DSM) programs, which marks a turnaround from previous years when marketing efforts were concentrated on selling electricity. Starting in the 1980s, marketing activities consisted, in effect, of coordinating relations between the customer, the market, and the utility. To achieve a better understanding of the needs of customers, the nature of the energy market, and the utilization of energy, the utility conducted research on the decision-making process associated with consumer choices of energy systems. To develop relations with its clientele in the commercial sector, the utility published an information bulletin and prepared an energy guide. Along with this initiative, the number of energy advisers to the commercial sector was increased in Ontario Hydro's regional offices. To improve understanding of each segment of the commercial market, the utility contacted organizations representing each segment as well as broader based organizations with the objective of creating opportunities to address this market, for example at conferences. Because of this philosophy of satisfying and understanding customer needs, Ontario Hydro has been in the process of commercializing demand-side management. Its high-efficiency lighting program is a good example in this regard. From a strategy which focused on a simple reduction in lighting in the 1970s, the utility has turned toward promoting efficient high-quality lighting which better responds to industry needs, to the point where industry itself has begun to promote the program. Such a strategy benefits industry, customers, and Ontario Hydro's demand-side management programs
Awareness and utilization of emergency contraception among ...
African Journals Online (AJOL)
students were aware of emergency contraception, and 211 (71.5%) had utilized them. Among those who had .... Maiduguri has been a centre of learning and commercial activity since the .... magazines, television and movies.[31] In particular ...
Palm, Harry W.; Knaus, Ulrich; Appelbaum, Samuel; Goddek, Simon; Strauch, Sebastian M.; Vermeulen, Tycho; Haїssam Jijakli, M.; Kotzen, Benz
Aquaponics is rapidly developing as the need for sustainable food production increases and freshwater and phosphorous reserves shrink. Starting from small-scale operations, aquaponics is at the brink of commercialization, attracting investment. Arising from integrated freshwater aquaculture, a
National Oceanic and Atmospheric Administration, Department of Commerce — The Fisheries Statistics Division of the NOAA Fisheries has automated data summary programs that anyone can use to rapidly and easily summarize U.S. commercial...
Iowa State University GIS Support and Research Facility — This layer represents the office location for Commercial Manure Services (CMS). They transport, handle, store or apply manure for a fee. The company must be licensed...
Cost-effectiveness, feed utilization and body composition of african ...
African Journals Online (AJOL)
Cost-effectiveness, feed utilization and body composition of african sharptooth catfish ( Clarias gariepinus , Burchell 1822) fingerlings fed locally formulated and commercial pelleted diets in tarpaulin tanks.
Commodification and commercial surrogacy.
Arneson, Richard J
... In this article I shall argue tentatively for the claim that commercial surrogacy should be legally permissible. I am more strongly convinced that a commitment to feminism should not predispose anyone against surrogacy. At least, no arguments offered so far should persuade anyone who is committed to equal rights for women and men and the dismantling of gender-based hierarchies to favor either legal prohibition or moral condemnation of commercial surrogacy.
Technology Commercialization Program 1991
Energy Technology Data Exchange (ETDEWEB)
This reference compilation describes the Technology Commercialization Program of the Department of Energy, Defense Programs. The compilation consists of two sections. Section 1, Plans and Procedures, describes the plans and procedures of the Defense Programs Technology Commercialization Program. The second section, Legislation and Policy, identifies legislation and policy related to the Program. The procedures for implementing statutory and regulatory requirements are evolving with time. This document will be periodically updated to reflect changes and new material.
Understanding properties of commercial OSB products
Siqun Wang; Hongmei Gu; Trairat Neimsuwan
Oriented strandboard (OSB) has gained increased market acceptance as a construction material in almost all geographical areas of Canada and United States. With its growing market, more and more research has been focused on the productâs manufacturing and performance. Commercial OSB products in U.S. and Canada are produced from different manufacturers with different...
Commercial Speech Protection and Alcoholic Beverage Advertising.
Greer, Sue
An examination of the laws governing commercial speech protection and alcoholic beverage advertisements, this document details the legal precedents for and implications of banning such advertising. An introduction looks at the current amount of alcohol consumed in the United States and the recent campaigns to have alcoholic beverage ads banned.…
Residential and Light Commercial HVAC. Teacher Edition.
Stephenson, David; Fulkerson, Dan, Ed.
This curriculum guide contains 18 units of instruction for a competency-based course in residential and light commercial heating, ventilating, and air conditioning (HVAC). Introductory materials include a competency profile and an instructional/task analysis that correlates job training with related information for this course. Each instructional…
International Nuclear Information System (INIS)
Downey, W.H.
Customer issues affected by the restructuring of the $250 billion US electric power industry were discussed. In the past the industry's vertically integrated utilities conducted their business in protected geographic markets. With deregulation and greater competition, that industry structure will change. This presentation highlighted the strategies that Unicom is using to react to the restructuring of the electric power industry. The underlying principle is for the utility to reinvent itself to change its market orientation and focus on customer services, such as reliability, responsiveness, custom tailored solutions, and guaranteed savings over time. Attempting to become total energy providers and delivering integrated solutions to meet the needs of large industrial and commercial consumers, intensive market research, improved service and installation, and sophisticated customer retention initiatives will also have to be high on the agenda
International Nuclear Information System (INIS)
Williams, J.W. Jr.
The Florida Power and Light Company (FP and L) is the fifth largest investor-owned utility in the country. The success of nuclear power generation at the St. Lucie Units 1 and 2 and Turkey Point Units 3 and 4 has resulted from a continuing management commitment to the nuclear program. The management of the power plants rely strongly on teamwork for most large projects and activities whether they entail plant operation, construction, or maintenance. Various examples of how teamwork has been used to realize the successful completion of projects or solutions to problems are given
Multiattribute Utility Theory without Expected Utility Foundations
Stiggelbout, A.M.; Wakker, P.P.
Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.
Multiattribute utility theory without expected utility foundations
Wakker, P.P.; Miyamoto, J.
Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.
California commercial building energy benchmarking
Energy Technology Data Exchange (ETDEWEB)
Kinney, Satkartar; Piette, Mary Ann
Building energy benchmarking is the comparison of whole-building energy use relative to a set of similar buildings. It provides a useful starting point for individual energy audits and for targeting buildings for energy-saving measures in multiple-site audits. Benchmarking is of interest and practical use to a number of groups. Energy service companies and performance contractors communicate energy savings potential with ''typical'' and ''best-practice'' benchmarks while control companies and utilities can provide direct tracking of energy use and combine data from multiple buildings. Benchmarking is also useful in the design stage of a new building or retrofit to determine if a design is relatively efficient. Energy managers and building owners have an ongoing interest in comparing energy performance to others. Large corporations, schools, and government agencies with numerous facilities also use benchmarking methods to compare their buildings to each other. The primary goal of Task 2.1.1 Web-based Benchmarking was the development of a web-based benchmarking tool, dubbed Cal-Arch, for benchmarking energy use in California commercial buildings. While there were several other benchmarking tools available to California consumers prior to the development of Cal-Arch, there were none that were based solely on California data. Most available benchmarking information, including the Energy Star performance rating, were developed using DOE's Commercial Building Energy Consumption Survey (CBECS), which does not provide state-level data. Each database and tool has advantages as well as limitations, such as the number of buildings and the coverage by type, climate regions and end uses. There is considerable commercial interest in benchmarking because it provides an inexpensive method of screening buildings for tune-ups and retrofits. However, private companies who collect and manage consumption data are concerned that the
The Commercial Energy Consumer: About Whom Are We Speaking?
Energy Technology Data Exchange (ETDEWEB)
Payne, Christopher
Who are commercial sector customers, and how do they make decisions about energy consumption and energy efficiency investment? The energy policy field has not done a thorough job of describing energy consumption in the commercial sector. First, the discussion of the commercial sector itself is dominated by discussion of large businesses/buildings. Second, discussion of this portion of the commercial sectors consumption behavior is driven primarily by theory, with very little field data collected on the way commercial sector decision-makers describe their own options, choices, and reasons for taking action. These limitations artificially constrain energy policy options. This paper reviews the extant literature on commercial sector energy consumption behavior and identifies gaps in our knowledge. In particular, it argues that the primary energy policy model of commercial sector energy consumption is a top-down model that uses macro-level investment data to make conclusions about commercial behavior. Missing from the discussion is a model of consumption behavior that builds up to a theoretical framework informed by the micro-level data provided by commercial decision-makers themselves. Such a bottom-up model could enhance the effectiveness of commercial sector energy policy. In particular, translation of some behavioral models from the residential sector to the commercial sector may offer new opportunities for policies to change commercial energy consumption behavior. Utility bill consumption feedback is considered as one example of a policy option that may be applicable to both the residential and small commercial sector.
Comparison of the costs of nonoperative care to minimally invasive surgery for sacroiliac joint disruption and degenerative sacroiliitis in a United States commercial payer population: potential economic implications of a new minimally invasive technology
Ackerman, Stacey J; Polly, David W; Knight, Tyler; Schneider, Karen; Holt, Tim; Cummings, John
Introduction Low back pain is common and treatment costly with substantial lost productivity and lost wages in the working-age population. Chronic low back pain originating in the sacroiliac (SI) joint (15%–30% of cases) is commonly treated with nonoperative care, but new minimally invasive surgery (MIS) options are also effective in treating SI joint disruption. We assessed whether the higher initial MIS SI joint fusion procedure costs were offset by decreased nonoperative care costs from a US commercial payer perspective. Methods An economic model compared the costs of treating SI joint disruption with either MIS SI joint fusion or continued nonoperative care. Nonoperative care costs (diagnostic testing, treatment, follow-up, and retail pharmacy pain medication) were from a retrospective study of Truven Health MarketScan® data. MIS fusion costs were based on the Premier's Perspective™ Comparative Database and professional fees on 2012 Medicare payment for Current Procedural Terminology code 27280. Results The cumulative 3-year (base-case analysis) and 5-year (sensitivity analysis) differentials in commercial insurance payments (cost of nonoperative care minus cost of MIS) were $14,545 and $6,137 per patient, respectively (2012 US dollars). Cost neutrality was achieved at 6 years; MIS costs accrued largely in year 1 whereas nonoperative care costs accrued over time with 92% of up front MIS procedure costs offset by year 5. For patients with lumbar spinal fusion, cost neutrality was achieved in year 1. Conclusion Cost offsets from new interventions for chronic conditions such as MIS SI joint fusion accrue over time. Higher initial procedure costs for MIS were largely offset by decreased nonoperative care costs over a 5-year time horizon. Optimizing effective resource use in both nonoperative and operative patients will facilitate cost-effective health care delivery. The impact of SI joint disruption on direct and indirect costs to commercial insurers, health
Nuclear development in the United States
International Nuclear Information System (INIS)
Brewer, S.
The history of the nuclear development in the United States has been one of international cooperation relations so far. The United States is to offer the technical information on atomic energy utilization to foreign countries in exchange for the guarantee that they never attempt to have or develop nuclear weapons. Actually, the United States has supplied the technologies on nuclear fuel cycle and other related fields to enable other countries to achieve economical and social progress. The Department of Energy clarified the public promise of the United States regarding the idea of international energy community. The ratio of nuclear power generation to total electric power supply in the United States exceeded 12%, and will exceed 20% by 1990. Since 1978, new nuclear power station has not been ordered, and some of the contracted power stations were canceled. The atomic energy industry in the United States prospered at the beginning of 1970s, but lost the spirit now, mainly due to the institutional problems rather than the technical ones. As the policy of the government to eliminate the obstacles, the improvement of the procedure for the permission and approval, the establishment of waste disposal capability, the verification of fast breeder reactor technology and the promotion of commercial fuel reprocessing were proposed. The re-establishment of the United States as the reliable supplier of atomic energy service is the final aim. (Kako, I.)
Issues related to the inter-utility transfer of material
International Nuclear Information System (INIS)
An option that utilities have for obtaining material is to procure the desired item(s) from another utility. There are several reasons utilities choose another utility as the procurement source including item obsolescence, prohibitive cost on the commercial market, and excessive lead time. This document provides information on the technical, quality, and commercial issues which utilities may need to address when selling material to or procuring material from other utilities. This report provides suggested approaches for each of the following technical and quality issues: Design considerations; item acceptability considerations; original supplier considerations; commercial grade item dedication considerations; reportability considerations; packaging, shipping, and storage considerations; documentation considerations; receipt inspection considerations. The information is provided primarily for the inter-utility transfer of safety-related material. Several of the topics, however, may also apply to the transfer of non-safety-related material. The report also provides considerations on commercial issues which may be addressed during the inter-utility transfer of materials
International Nuclear Information System (INIS)
Wood, Elisa
Publicly owned utilities have consistently led the United States in the rate of customer participation in green power programmes. The US has about 2000 community and state-owned utilities, which serve 43 million customers and account for about 16.6% of kilowatt-hour sales to consumers. In all, public power is responsible for about 10% of the nation's installed electric capacity. Investor owned utilities account for 39%, with the remainder of the nation's power mostly from independent power generators. Although IOUs have almost four times as much electric capacity as public power, they edge out public power by only a small margin when it comes to renewable capacity. IOUs are responsible for 24,577.5 MW of renewable capacity, compared to the 21,338 MW installed by public power. The reasons discussed by the author range from small town advantage to clean and cheap power. (Author)
Online evaluation of a commercial video image analysis system (Computer Vision System) to predict beef carcass red meat yield and for augmenting the assignment of USDA yield grades. United States Department of Agriculture.
Cannell, R C; Belk, K E; Tatum, J D; Wise, J W; Chapman, P L; Scanga, J A; Smith, G C
Objective quantification of differences in wholesale cut yields of beef carcasses at plant chain speeds is important for the application of value-based marketing. This study was conducted to evaluate the ability of a commercial video image analysis system, the Computer Vision System (CVS) to 1) predict commercially fabricated beef subprimal yield and 2) augment USDA yield grading, in order to improve accuracy of grade assessment. The CVS was evaluated as a fully installed production system, operating on a full-time basis at chain speeds. Steer and heifer carcasses (n = 296) were evaluated using CVS, as well as by USDA expert and online graders, before the fabrication of carcasses into industry-standard subprimal cuts. Expert yield grade (YG), online YG, CVS estimated carcass yield, and CVS measured ribeye area in conjunction with expert grader estimates of the remaining YG factors (adjusted fat thickness, percentage of kidney-pelvic-heart fat, hot carcass weight) accounted for 67, 39, 64, and 65% of the observed variation in fabricated yields of closely trimmed subprimals. The dual component CVS predicted wholesale cut yields more accurately than current online yield grading, and, in an augmentation system, CVS ribeye measurement replaced estimated ribeye area in determination of USDA yield grade, and the accuracy of cutability prediction was improved, under packing plant conditions and speeds, to a level close to that of expert graders applying grades at a comfortable rate of speed offline.
United States uranium enrichment policies
International Nuclear Information System (INIS)
Roberts, R.W.
ERDA's uranium enrichment program policies governing the manner in which ERDA's enrichment complex is being operated and expanded to meet customer requirements for separative work, research and development activities directed at providing technology alternatives for future enrichment capacity, and establishing the framework for additional domestic uranium enrichment capacity to meet the domestic and foreign nuclear industry's growing demand for enrichment services are considered. The ERDA enrichment complex consists of three gaseous diffusion plants located in Oak Ridge, Tennessee; Paducah, Kentucky; and Portsmouth, Ohio. Today, these plants provide uranium enrichment services for commercial nuclear power generation. These enrichment services are provided under contracts between the Government and the utility customers. ERDA's program involves a major pilot plant cascade, and pursues an advanced isotope separation technique for the late 1980's. That the United States must develop additional domestic uranium enrichment capacity is discussed
Cost analysis of a commercial pyroprocess facility on the basis of a conceptual design in Korea
International Nuclear Information System (INIS)
Kim, S.K.; Ko, W.I.; Youn, S.R.; Gao, Ruxing
Highlights: • Pyroprocess facility's direct cost was calculated based on the conceptual design. • The unit cost of pyroprocess was calculated as $781/kgHM. • The unit cost was increased by 3%, considering labor allocation standards. • The operating and maintenance cost was identified as a main cost driver. - Abstract: This study postulated a commercial pyroprocess facility (KAPF+: Korea Advanced Pyroprocess Facility Plus) with a processing capacity of 400 tons/year as a cost object, and utilized an engineering cost estimation method based on a conceptual design to present the results of the total cost and unit cost estimation. According to the calculation results, the total cost and unit cost were calculated with k$779,386 and $781/kgHM, respectively. Moreover, the key cost driver was manifested as the operating and maintenance costs. In particular, equipment replacement cost was identified as an important cost driver. In addition, for an increasingly accurate cost estimation, the calculation results and allocation method of the indirect cost were reanalyzed. Finally the pyroprocess unit cost increased $5 when calculated the indirect cost using the labor time as the allocation standard. Meanwhile, the pyroprocess unit cost increased $22 as a result of allocating the indirect cost using the uniform labor cost as the cost allocation standard. Accordingly, an indirect cost allocation standard was manifested as the factor that exerts a significant effect on the pyroprocess unit cost
Commercial-grade motors in safety-related applications: Final report
International Nuclear Information System (INIS)
Holzman, P.M.
The objective of this project was to discuss the process necessary to utilize commercial grade equipment in safety related applications and to provide utilities with guidance for accepting commercial grade motors for safety-related applications. The generic commercial-grade concepts presented in this report can be successfully applied to motors. Commercial grade item utilization has the greatest applicability to motors in ''mild'' environments, because these motors are essentially similar to commercial grade motors in materials, construction methods, and capabilities. The acceptance process is less applicable to motors that are subject to ''harsh'' environments during postulated accidents, because of the unique design features and testing required to qualify these motors
Commercialization of NESSUS: Status
Thacker, Ben H.; Millwater, Harry R.
A plan was initiated in 1988 to commercialize the Numerical Evaluation of Stochastic Structures Under Stress (NESSUS) probabilistic structural analysis software. The goal of the on-going commercialization effort is to begin the transfer of Probabilistic Structural Analysis Method (PSAM) developed technology into industry and to develop additional funding resources in the general area of structural reliability. The commercialization effort is summarized. The SwRI NESSUS Software System is a general purpose probabilistic finite element computer program using state of the art methods for predicting stochastic structural response due to random loads, material properties, part geometry, and boundary conditions. NESSUS can be used to assess structural reliability, to compute probability of failure, to rank the input random variables by importance, and to provide a more cost effective design than traditional methods. The goal is to develop a general probabilistic structural analysis methodology to assist in the certification of critical components in the next generation Space Shuttle Main Engine.
Commercial Conspiracy Theories
Directory of Open Access Journals (Sweden)
Adrian eFurnham
Full Text Available There are many ways to categorise conspiracy theories. In the present study, we examined individual and demographic predictors of beliefs in commercial conspiracy theories among a British sample of over 300 women and men. Results showed people were cynical and sceptical with regard to advertising tricks, as well as the tactics of organisations like banks and alcohol, drug and tobacco companies. Beliefs sorted into four identifiable clusters, labelled sneakiness, manipulative, change-the-rules and suppression/prevention. The high alpha for the overall scale suggested general beliefs in commercial conspiracy. Regressions suggested that those people who were less religious, more left-wing, more pessimistic, less (self-defined as wealthy, less Neurotic and less Open-to-Experience believed there was more commercial conspiracy. Overall the individual difference variables explained relatively little of the variance in these beliefs.The implications of these findings for the literature on conspiracy theories are discussed.
Comparison of the costs of nonoperative care to minimally invasive surgery for sacroiliac joint disruption and degenerative sacroiliitis in a United States commercial payer population: potential economic implications of a new minimally invasive technology
Directory of Open Access Journals (Sweden)
Ackerman SJ
Full Text Available Stacey J Ackerman,1 David W Polly Jr,2 Tyler Knight,3 Karen Schneider,4 Tim Holt,5 John Cummings Jr6 1Covance Market Access Services Inc., San Diego, CA, USA; 2University of Minnesota, Orthopaedic Surgery, Minneapolis, MN, USA; 3Covance Market Access Services Inc., Gaithersburg, MD, USA; 4Covance Market Access Services Inc., Sydney, Australia; 5Montgomery Spine Center, Orthopedic Surgery, Montgomery, AL, USA; 6Community Health Network, Neurosurgery, Indianapolis, IN, USA Introduction: Low back pain is common and treatment costly with substantial lost productivity and lost wages in the working-age population. Chronic low back pain originating in the sacroiliac (SI joint (15%–30% of cases is commonly treated with nonoperative care, but new minimally invasive surgery (MIS options are also effective in treating SI joint disruption. We assessed whether the higher initial MIS SI joint fusion procedure costs were offset by decreased nonoperative care costs from a US commercial payer perspective. Methods: An economic model compared the costs of treating SI joint disruption with either MIS SI joint fusion or continued nonoperative care. Nonoperative care costs (diagnostic testing, treatment, follow-up, and retail pharmacy pain medication were from a retrospective study of Truven Health MarketScan® data. MIS fusion costs were based on the Premier's Perspective™ Comparative Database and professional fees on 2012 Medicare payment for Current Procedural Terminology code 27280. Results: The cumulative 3-year (base-case analysis and 5-year (sensitivity analysis differentials in commercial insurance payments (cost of nonoperative care minus cost of MIS were $14,545 and $6,137 per patient, respectively (2012 US dollars. Cost neutrality was achieved at 6 years; MIS costs accrued largely in year 1 whereas nonoperative care costs accrued over time with 92% of up front MIS procedure costs offset by year 5. For patients with lumbar spinal fusion, cost neutrality
Research achievements and commercial interaction
International Nuclear Information System (INIS)
Garnett, H.M.
ANSTO, in partnership with Australian and overseas organisations, continues to make significant contributions to selected fields of research and development. Major revenue for ANSTO is generated through sales of radiopharmaceuticals and radioisotopes for medical, industrial, environmental and research purposes and through neutron irradiation services. Further, ANSTO is actively trying to generate maximum value from its knowledge and know-how through protection and exploitation of its intellectual property. Strategic alliances have been developed to further the commercial utilisation of ANSTO know-how in, for example, delivery systems for tumour treatments, commercial waste remediation and applications of plasma implantation. The 2000-2001 financial year saw the establishment of an ANSTO business unit called Sulfide Solutions targeted at better management of environmental issues arising from mining operations. Overall, ANSTO's capacity to generate value from the application of its knowledge and know-how is being increasingly acknowledged, the organisation attaining credibility as an international leader in the application of nuclear science and technology in targeted areas
Utility requirements for fusion power
International Nuclear Information System (INIS)
DeBellis, R.J.
A four-man month study was undertaken to identify utility requirements of fusion power and define a role for the utilities in the fusion development process during the 1980s. This report, preliminary in nature, serves mainly as a planning document for future requirements analyses. A requirements organization was defined to consist of three major chronological phases: research and development, plant installation, and plant operation. Thirty-seven requirements were identified, covering all categories. In addition, training, environment, safety, licensing, and utility model were identified as five matrix-type requirements. As the requirement definition process continued during the study period, comments received from utility representatives revealed a consistency of key issues in the fusion development process. These issues form the basis for the eventual establishment of definitive roles for the utilities during the 1980s. The issues are not meant to reflect a negative view of fusion, but are items that must be solved before fusion can be introduced commercially as an electrical power source. As a result of this requirements study, preliminary candidate roles for the utilities in the fusion development process during the 1980s were identified as public education, commercialization studies, industry investment analyses, training plan implementation, alternate reactor concept development, ERDA concept design review, and requirements refinement
Utility requirements for fusion power
International Nuclear Information System (INIS)
DeBellis, R.J.
A four-man-month study, jointly funded by EPRI and McDonnell Douglas Astronautics Company-EAST, was undertaken to identify the utility requirements of fusion power and define a role for the utilities in the fusion development process during the 1980's. This report, preliminary in nature, serves mainly as a planning document for future requirements analyses. A requirements organization was defined to consist of three major chronological phases: research and development, plant installation, and plant operation. Thirty-seven requirements were identified, covering all categories. In addition, training, environment, safety, licensing, and utility model were identified as five matrix-type requirements. As the requirement definition process continued during the study period, comments received from utility representatives revealed a consistency of key issues in the fusion development process. These issues form the basis for the eventual establishment of definitive roles for the utilities during the 1980's. The issues are not meant to reflect a negative view of fusion, but are items which must be solved before fusion can be introduced commercially as an electrical power source. As a result of this requirements study, preliminary candidate roles for the utilities in the fusion development process during the 1980's were identified as public education, commercialization studies, industry investment analyses, training plan implementation, alternate reactor concept development, ERDA concept design review, and requirements refinement
SU-E-J-70: Feasibility Study of Dynamic Arc and IMRT Treatment Plans Utilizing Vero Treatment Unit and IPlan Planning Computer for SRS/FSRT Brain Cancer Patients
International Nuclear Information System (INIS)
Huh, S; Lee, S; Dagan, R; Malyapa, R; Mendenhall, N; Mendenhall, W; Ho, M; Hough, D; Yam, M; Li, Z
Purpose: To investigate the feasibility of utilizing Dynamic Arc (DA) and IMRT with 5mm MLC leaf of VERO treatment unit for SRS/FSRT brain cancer patients with non-invasive stereotactic treatments. The DA and IMRT plans using the VERO unit (BrainLab Inc, USA) are compared with cone-based planning and proton plans to evaluate their dosimetric advantages. Methods: The Vero treatment has unique features like no rotational or translational movements of the table during treatments, Dynamic Arc/IMRT, tracking of IR markers, limitation of Ring rotation. Accuracies of the image fusions using CBCT, orthogonal x-rays, and CT are evaluated less than ∼ 0.7mm with a custom-made target phantom with 18 hidden targets. 1mm margin is given to GTV to determine PTV for planning constraints considering all the uncertainties of planning computer and mechanical uncertainties of the treatment unit. Also, double-scattering proton plans with 6F to 9F beams and typical clinical parameters, multiple isocenter plans with 6 to 21 isocenters, and DA/IMRT plans are evaluated to investigate the dosimetric advantages of the DA/IMRT for complex shape of targets. Results: 3 Groups of the patients are divided: (1) Group A (complex target shape), CI's are same for IMRT, and DGI of the proton plan are better by 9.5% than that of the IMRT, (2) Group B, CI of the DA plans (1.91+/−0.4) are better than cone-based plan, while DGI of the DA plan is 4.60+/−1.1 is better than cone-based plan (5.32+/−1.4), (3) Group C (small spherical targets), CI of the DA and cone-based plans are almost the same. Conclusion: For small spherical targets, cone-based plans are superior to other 2 plans: DS proton and DA plans. For complex or irregular plans, dynamic and IMRT plans are comparable to cone-based and proton plans for complex targets
Coke gasification costs, economics, and commercial applications
International Nuclear Information System (INIS)
Jahnke, F.C.; Falsetti, J.S.; Wilson, R.F.
The disposition of petroleum coke remains a problem for modern high conversion refineries. Market uncertainty and the price for coke can prevent the implementation of otherwise attractive projects. The commercially proven Texaco Gasification Process remains an excellent option for clean, cost effective coke disposition as demonstrated by the new coke gasification units coming on-line and under design. Previous papers, have discussed the coke market and general economics of coke gasification. This paper updates the current market situation and economics, and provide more details on cost and performance based on recent studies for commercial plants
Research on Memetic Phenomena in Commercial Advertisements
Institute of Scientific and Technical Information of China (English)
Meme plays an important role in the development of advertisement as a unit of culture.Its replication and transmission provide an effective means for creating advertisements and a new way for us to analyze advertising language.Two ways including memetic genotype and memetic phenotype for memes to be replicated and transmitted in the advertising language are analyzed.Then,how to successfully create commercial advertisements is explored.Finally,it is concluded that the concise,familiar,popular and original memes can contribute to successful commercial advertisements.
Heinbaugh, Randall; Cole, Richard
Provide commercial partners with: center insight into NASA spaceflight medical experience center; information relative to both nominal and emergency care of the astronaut crew at landing site center; a basis for developing and sharing expertise in space medical factors associated with returning crew.
Commercial Baking. Final Report.
Booth, Nancy
A project filmed three commercial baking videotapes for use by secondary and adult students in food service programs. The three topics were basic dinner rolls, bread making, and hard breads and rolls. Quick-rise dough recipes were developed, written down, and explained for use with the videotapes. A pretest, posttest, and student guide were…
Valuing commercial radio licences
Kerste, M.; Poort, J.; van Eijk, N.
Within the EU regulatory framework, licensees for commercial radio broadcasting may be charged a fee to ensure optimal allocation of scarce resources but not to maximize public revenues. While radio licence renewal occurs in many EU countries, an objective, model-based approach for setting licence
Valuing commercial radio licences
Kerste, M.; Poort, J.; van Eijk, N.
Within the EU Regulatory Framework, licensees for commercial radio broadcasting may be charged a fee to ensure optimal allocation of scarce resources but not to maximize public revenues. In this paper, it is described how such a fee can be determined for the purpose of licence renewal or extension.
Automatic Commercial Permit Sets
Energy Technology Data Exchange (ETDEWEB)
Grana, Paul [Folsom Labs, Inc., San Francisco, CA (United States)
Final report for Folsom Labs' Solar Permit Generator project, which has successfully completed, resulting in the development and commercialization of a software toolkit within the cloud-based HelioScope software environment that enables solar engineers to automatically generate and manage draft documents for permit submission.
22 CFR 40.24 - Prostitution and commercialized vice.
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Prostitution and commercialized vice. 40.24... Certain Crimes § 40.24 Prostitution and commercialized vice. (a) Activities within 10 years preceding visa... United States solely, principally, or incidentally to engage in prostitution, or has engaged in...
7 CFR 51.1435 - U.S. Commercial Pieces.
... 7 Agriculture 2 2010-01-01 2010-01-01 false U.S. Commercial Pieces. 51.1435 Section 51.1435 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards... STANDARDS) United States Standards for Grades of Shelled Pecans Grades § 51.1435 U.S. Commercial Pieces. The...
7 CFR 51.1433 - U.S. Commercial Halves.
... 7 Agriculture 2 2010-01-01 2010-01-01 false U.S. Commercial Halves. 51.1433 Section 51.1433 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards... STANDARDS) United States Standards for Grades of Shelled Pecans Grades § 51.1433 U.S. Commercial Halves. The...
Laboratory protocols for testing the efficacy of commercial pit latrine ...
African Journals Online (AJOL)
additive products. Protocols were developed and tested on a range of different commercial products sold for their ability to control the rate of accumulation of pit latrine contents. The effect of commercial additives on mass loss from VIP sludge in. 300 g honey jars was compared to mass loss from similar units subjected to no ...
Electric vehicles: Technology assessment and commercialization
International Nuclear Information System (INIS)
Zabot, S.
This article traces the history of commercialization efforts relative to electric vehicles, assesses the state-of-the-art of electric vehicle technology and identifies the industrial firms that are investing heavily in this field. The main design problems affecting the commercialization of these vehicles (e.g., battery weight, autonomy, operating safety and toxicity) are pointed out. Comparisons of commercialization prospects are made with those for hydrogen fuelled vehicles. With regard to investments in research programs, it is argued that, in addition to car manufacturers and oil companies, the usual active participants in the transport sector, new participants are needed to give added support to the development of electric vehicles, namely, electric utilities and battery manufacturers
International Nuclear Information System (INIS)
Cousin, Y.; Fabian, H.U.
The policy of French and german utilities is to make use of nuclear energy as a long term, competitive and environmentally friendly power supply. The world electricity generation is due to double within the next 30 years. In the next 20 to 30 years the necessity of nuclear energy will be broadly recognized. More than for most industries, to deal properly with nuclear energy requires the combination of a consistent political will, of a proper institutional framework, of strong and legitimate control authorities, of a sophisticated industry and of operators with skilled management and human resources. One of the major risk facing nuclear energy is the loss of competitiveness. This can be achieved only through the combination of an optimized design, a consistent standardization, a proper industrial partnership and a stable long term strategy. Although the existing plants in Western Europe are already very safe, the policy is clearly to enhance the safety of the next generation of nuclear plants which are designing today. The French and German utilities have chosen an evolutionary approach based on experience and proven technologies, with an enhanced defense in depth and an objective of easier operation and maintenance. The cost objective is to maintain and improve what has been achieved in the best existing power plants in both countries. This calls for rational choices and optimized design to meet the safety objectives, a strong standardization policy, short construction times, high availability and enough flexibility to enable optimization of the fuel cycle throughout the lifetime of the plants. The conceptual design phase has proven that the French and German teams from industry and from the utilities are able to pursue both the safety and the cost objectives, basing their decision on a rational approach which could be accepted by the safety authorities. (J.S.)
Energy Technology Data Exchange (ETDEWEB)
Trauger, D B [Oak Ridge National Lab., TN (USA)
Some of the factors that provide incentive for the utilization of thorium in specific reactor types are explored and the constraints that stand in the way are pointed out. The properties of thorium and derived fuels are discussed, and test and reactor operating experience is reviewed. In addition, symbiotic systems of breeder and converter reactor are suggested as being particularly attractive systems for energy production. Throughout the discussion, the High-Temperature Gas-Cooled Reactor and Molten Salt Reactor are treated in some detail because they have been developed primarily for use with thorium fuel cycles.
Commercial Skills Test Information Management System final report and self-sustainability plan : [technology brief].
The Commercial Skills Test Information Management System (CSTIMS) was developed to address the fraudulent issuance of commercial drivers licenses (CDLs) across the United States. CSTIMS was developed as a Web-based, software-as-a-service system to...
10 CFR 431.132 - Definitions concerning automatic commercial ice makers.
... CERTAIN COMMERCIAL AND INDUSTRIAL EQUIPMENT Automatic Commercial Ice Makers § 431.132 Definitions... necessarily shipped in 1 package) that— (1) Consists of a condensing unit and ice-making section operating as...
Multiattribute Utility Theory without Expected Utility Foundations
J. Miyamoto (John); P.P. Wakker (Peter)
textabstractMethods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities and simplifying decompositions of multiattribute
Benchmark Two-Good Utility Functions
de Jaegher, K.
Benchmark two-good utility functions involving a good with zero income elasticity and unit income elasticity are well known. This paper derives utility functions for the additional benchmark cases where one good has zero cross-price elasticity, unit own-price elasticity, and zero own price
National profile on commercially generated low-level radioactive mixed waste
International Nuclear Information System (INIS)
Klein, J.A.; Mrochek, J.E.; Jolley, R.L.; Osborne-Lee, I.W.; Francis, A.A.; Wright, T.
This report details the findings and conclusions drawn from a survey undertaken as part of a joint US Nuclear Regulatory Commission and US Environmental Protection Agency-sponsored project entitled ''National Profile on Commercially Generated Low-Level Radioactive Mixed Waste.'' The overall objective of the work was to compile a national profile on the volumes, characteristics, and treatability of commercially generated low-level mixed waste for 1990 by five major facility categories-academic, industrial, medical, and NRC-/Agreement State-licensed goverment facilities and nuclear utilities. Included in this report are descriptions of the methodology used to collect and collate the data, the procedures used to estimate the mixed waste generation rate for commercial facilities in the United States in 1990, and the identification of available treatment technologies to meet applicable EPA treatment standards (40 CFR Part 268) and, if possible, to render the hazardous component of specific mixed waste streams nonhazardous. The report also contains information on existing and potential commercial waste treatment facilities that may provide treatment for specific waste streams identified in the national survey. The report does not include any aspect of the Department of Energy's (DOES) management of mixed waste and generally does not address wastes from remedial action activities
National profile on commercially generated low-level radioactive mixed waste
Energy Technology Data Exchange (ETDEWEB)
Klein, J.A.; Mrochek, J.E.; Jolley, R.L.; Osborne-Lee, I.W.; Francis, A.A.; Wright, T. [Oak Ridge National Lab., TN (United States)
This report details the findings and conclusions drawn from a survey undertaken as part of a joint US Nuclear Regulatory Commission and US Environmental Protection Agency-sponsored project entitled ``National Profile on Commercially Generated Low-Level Radioactive Mixed Waste.`` The overall objective of the work was to compile a national profile on the volumes, characteristics, and treatability of commercially generated low-level mixed waste for 1990 by five major facility categories-academic, industrial, medical, and NRC-/Agreement State-licensed goverment facilities and nuclear utilities. Included in this report are descriptions of the methodology used to collect and collate the data, the procedures used to estimate the mixed waste generation rate for commercial facilities in the United States in 1990, and the identification of available treatment technologies to meet applicable EPA treatment standards (40 CFR Part 268) and, if possible, to render the hazardous component of specific mixed waste streams nonhazardous. The report also contains information on existing and potential commercial waste treatment facilities that may provide treatment for specific waste streams identified in the national survey. The report does not include any aspect of the Department of Energy`s (DOES) management of mixed waste and generally does not address wastes from remedial action activities.
Design of hydraulic recuperation unit
Directory of Open Access Journals (Sweden)
Jandourek Pavel
Full Text Available This article deals with design and measurement of hydraulic recuperation unit. Recuperation unit consist of radial turbine and axial pump, which are coupled on the same shaft. Speed of shaft with impellers are 6000 1/min. For economic reasons, is design of recuperation unit performed using commercially manufactured propellers.
Methanol commercial aviation fuel
International Nuclear Information System (INIS)
Price, R.O.
Southern California's heavy reliance on petroleum-fueled transportation has resulted in significant air pollution problems within the south Coast Air Basin (Basin) which stem directly from this near total dependence on fossil fuels. To deal with this pressing issue, recently enacted state legislation has proposed mandatory introduction of clean alternative fuels into ground transportation fleets operating within this area. The commercial air transportation sector, however, also exerts a significant impact on regional air quality which may exceed emission gains achieved in the ground transportation sector. This paper addresses the potential, through the implementation of methanol as a commercial aviation fuel, to improve regional air quality within the Basin and the need to flight test and demonstrate methanol as an environmentally preferable fuel in aircraft turbine engines