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  1. Northwoods | Open Energy Information

    Open Energy Info (EERE)

    Northwoods Jump to: navigation, search Logo: Northwoods Name: Northwoods Address: The Old Stables Grey's Yard Place: Morpeth, Northumberland, UK Zip: NE61 1QD Number of Employees:...

  2. Northwood, New Hampshire: Energy Resources | Open Energy Information

    Open Energy Info (EERE)

    Northwood, New Hampshire: Energy Resources Jump to: navigation, search Equivalent URI DBpedia Coordinates 43.194249, -71.1508969 Show Map Loading map... "minzoom":false,"mappi...

  3. Hospital Renovations

    Broader source: Energy.gov [DOE]

    Hospitals have a range of energy needs that vary from a typical building, and a number of renewable energy options may make more sense for a hospital, including process and biomass heating, photovoltaics (PV), and sustainability.

  4. Hospital Analytics | GE Global Research

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Hospital Management Is Evolving to Reduce Wait Times Click to email this to a friend (Opens in new window) Share on Facebook (Opens in new window) Click to share (Opens in new window) Click to share on LinkedIn (Opens in new window) Click to share on Tumblr (Opens in new window) Hospital Management Is Evolving to Reduce Wait Times With hospitals busier than ever and not enough staff to meet the higher demand, going to the hospital can be a series of waiting games for patients. Waiting to be

  5. Good Samaritan Hospital`s energy efficiency improvements

    SciTech Connect (OSTI)

    Sterrett, R.; Dobberpuhl, W.; Gernet, B.; O`Brien, T.

    1995-06-01

    Arizona Public Service (APS) encourages its customers to use energy wisely by providing incentives to install energy efficient systems. APS provided an incentive to the Good Samaritan Hospital, located in Phoenix, Arizona, to install a Waste Heat Recovery Unit and an Economizer Cooling System to improve the performance of the hospital`s central plant. Waste heat recovered from the boilers stacks is used to preheat combustion air and boiler feed water. The Economizer Cooling System uses a plate and frame heat exchanger to cool the hospital with cold water produced by the cooling tower rather than an electrical chiller. To determine the effectiveness of these two systems APS initiated a project to monitor their performance. Alternative Energy Systems Consulting, Inc. (AESC) has installed instrumentation to monitor the performance of the above systems and will document their energy savings and effectiveness at reducing energy costs.

  6. 2007 CBECS Large Hospital Building FAQs

    Annual Energy Outlook [U.S. Energy Information Administration (EIA)]

    See the 2007 CBECS Large Hospital Building Methodology Report for details. Why are you publishing estimates only for large hospitals and not the rest of the commercial building ...

  7. Integrating Federal Resources for High Performance Hospitals

    SciTech Connect (OSTI)

    2008-08-01

    A postcard describing DOE and EPA resources targeted to hospital architects, facility managers, and corporate leadership at each stage of the hospital design and operation process.

  8. Researching Energy Use in Hospitals

    Broader source: Energy.gov [DOE]

    Historically, when hospital facility and energy managers have compared alternative energy efficiency investments for various end-use systems, their benchmarks have been limited to end-use estimates...

  9. Healthcare Energy: Massachusetts General Hospital Gray Building

    Broader source: Energy.gov [DOE]

    The Building Technologies Office conducted a healthcare energy end-use monitoring project in partnership with two hospitals. This page contains highlights from monitoring at the Gray Building at Massachusetts General Hospital.

  10. Fort Boise Veteran's Hospital District Heating Low Temperature...

    Open Energy Info (EERE)

    Fort Boise Veteran's Hospital District Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Fort Boise Veteran's Hospital District Heating Low Temperature...

  11. Energy Department's Hospital Energy Alliance Helps Partner Save...

    Energy Savers [EERE]

    Department's Hospital Energy Alliance Helps Partner Save Energy and Money Energy Department's Hospital Energy Alliance Helps Partner Save Energy and Money September 4, 2012 - ...

  12. Indian Valley Hospital Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Indian Valley Hospital Space Heating Low Temperature Geothermal Facility Facility Indian...

  13. Warm Springs State Hospital Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    State Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Warm Springs State Hospital Space Heating Low Temperature Geothermal Facility...

  14. Surprise Valley Hospital Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    Surprise Valley Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Surprise Valley Hospital Space Heating Low Temperature Geothermal...

  15. St. Mary's Hospital Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name St. Mary's Hospital Space Heating Low Temperature Geothermal Facility Facility St....

  16. Marlin Hospital Space Heating Low Temperature Geothermal Facility...

    Open Energy Info (EERE)

    Marlin Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Marlin Hospital Space Heating Low Temperature Geothermal Facility Facility Marlin...

  17. Modesto Memorial Hospital Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    Memorial Hospital Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Modesto Memorial Hospital Space Heating Low Temperature Geothermal Facility...

  18. Combined Heat and Power (CHP) Resource Guide for Hospital Applications...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Power (CHP) Resource Guide for Hospital Applications, 2007 Combined Heat and Power (CHP) Resource Guide for Hospital Applications, 2007 The objective of this 2007 guidebook is to ...

  19. Jackson Park Hospital Green Building Medical Center

    SciTech Connect (OSTI)

    William Dorsey; Nelson Vasquez

    2010-03-01

    Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago�s recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work.

  20. ORISE Resources: Hospital All-Hazards Self-Assessment

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    partners with CDC to develop Hospital All-Hazards Self-Assessment to identify gaps in planning efforts The Hospital All-Hazards Self-Assessment, or HAH, is designed to help...

  1. Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    (Brochure) (Revised) | Department of Energy it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) (Revised) Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) (Revised) This brochure details the sustainable and green aspects of the LEED Platinum-designed Kiowa County Memorial Hospital in Greensburg, Kansas. 47461.pdf (659.27 KB) More Documents & Publications Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital

  2. Coordinating Pediatric Medical Care during an Influenza Pandemic - Hospital Workbook

    SciTech Connect (OSTI)

    HCTT CHE

    2010-01-01

    This workbook is intended to assist hospitals with coordinating medical care for pediatric influenza-like illness across their community.

  3. Jackson Park Hospital Green Building Medical Center

    SciTech Connect (OSTI)

    William Dorsey; Nelson Vasquez

    2010-03-31

    Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago's recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work. The new green building houses the hospital's Family Medicine Residency Program and Specialty Medical Offices. The residency program has been vital in attracting new, young physicians to this medically underserved area. The new outpatient center will also help to allure needed medical providers to the community. The facility also has areas designated to women's health and community education. The Community Education Conference Room will provide learning opportunities to area residents. Emphasis will be placed on conserving resources and protecting our environment, as well as providing information on healthcare access and preventive medicine. The new Medical Office Building was constructed with numerous energy saving features. The exterior cladding of the building is an innovative, locally-manufactured precast concrete panel system with integral insulation that achieves an R-value in excess of building code requirements. The roof is a 'green roof' covered by native plantings, lessening the impact solar heat gain on the building, and reducing air conditioning requirements. The windows are low-E, tinted, and insulated to reduce cooling requirements in summer and heating requirements in winter. The main entrance has an air lock to prevent unconditioned air from entering the building and impacting interior air temperatures. Since much of the traffic in and out of the office building comes from the adjacent Jackson Park Hospital, a pedestrian bridge connects the two buildings, further

  4. Hilton Worldwide is First Hospitality Company Certified under Superior

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Energy Performance® Designation | Department of Energy Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation January 15, 2016 - 2:25pm Addthis The U.S. Department of Energy (DOE) congratulates Hilton Worldwide for being an energy management pioneer for the hospitality industry-and the commercial sector. In December 2015, three of Hilton

  5. Department of Energy Announces the Launch of the Hospital Energy...

    Office of Environmental Management (EM)

    leaders to promote the integration of advanced energy ... consumption and greenhouse gas emissions. "Hospitals are ... (CBI) aims to achieve market-ready, zero-energy ...

  6. Building Green in Greensburg: Kiowa County Memorial Hospital

    Broader source: Energy.gov [DOE]

    This poster highlights energy efficiency, renewable energy, and sustainable features of the high-performing Kiowa County Memorial Hospital building in Greensburg, Kansas.

  7. Enforcement Letter, Stony Brook University Hospital- April 15, 1999

    Broader source: Energy.gov [DOE]

    Issued to Stony Brook University Hospital related to a Failed Interlock at the Radiation Therapy Facility at the Brookhaven National Laboratory

  8. DOE Launches EnergySmart Hospitals to Promote Improved Energy...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    healthy healing and work environments. Tools and resources will include advanced energy design guides for small and large hospitals, technology assessments, and an...

  9. DOE Launches EnergySmart Hospitals to Promote Improved Energy...

    Office of Environmental Management (EM)

    Unlike many other commercial buildings, hospitals must remain fully operational 24 hours a day, seven days a week and provide services during power outages, natural disasters, and ...

  10. Hospital Triage in First Hours After Nuclear or Radiological...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Hospital Triage in the First 24 Hours after a Nuclear or Radiological Disaster Medical professionals with the Radiation Emergency Assistance CenterTraining Site (REACTS) at the...

  11. Better than CFL? Dimmable LED Downlights in Hospitality Facilities...

    Energy Savers [EERE]

    In hospitality facilities, past efforts to reduce lighting energy use have mainly involved switching to CFLs, which offer reduced energy consumption, higher efficacy, and much ...

  12. Combined Heat and Power (CHP) Resource Guide for Hospital Applications, 2007

    Office of Energy Efficiency and Renewable Energy (EERE)

    Reference document of basic information for hospital managers when considering the application of combined heat and power (CHP) in the healthcare industry, specifically in hospitals

  13. Story County Hospital Wind Farm | Open Energy Information

    Open Energy Info (EERE)

    Story County Hospital Energy Purchaser AlliantIES Utilities Location NV - Story County IA Coordinates 42.016808, -93.453238 Show Map Loading map... "minzoom":false,"mappings...

  14. DOE - Office of Legacy Management -- Billings Hospital - Small...

    Office of Legacy Management (LM)

    of Chicago , Chicago , Illinois IL.01-1 Evaluation Year: 1979 IL.01-1 Site Operations: Nature of operations is not clear. Portions of Billings Hospital were reported to have been...

  15. DOE - Office of Legacy Management -- Billings Hospital - Small Animal

    Office of Legacy Management (LM)

    Facility - University of Chicago - IL 01 Billings Hospital - Small Animal Facility - University of Chicago - IL 01 FUSRAP Considered Sites Site: Billings Hospital, Small Animal Facility, University of Chicago (IL 01) Eliminated from consideration under FUSRAP due to limited scope of activities and 15 day half-life of P-32 Designated Name: Not Designated Alternate Name: Small Animal Facility, U. of Chicago IL.01-1 Location: University of Chicago , Chicago , Illinois IL.01-1 Evaluation Year:

  16. Resource Requirements Planning for Hospitals Treating Serious Infectious Disease Cases.

    SciTech Connect (OSTI)

    Vugrin, Eric D.; Verzi, Stephen Joseph; Finley, Patrick D.; Turnquist, Mark A.; Wyte-Lake, Tamar; Griffin, Ann R.; Ricci, Karen J.; Plotinsky, Rachel

    2015-02-01

    This report presents a mathematical model of the way in which a hospital uses a variety of resources, utilities and consumables to provide care to a set of in-patients, and how that hospital might adapt to provide treatment to a few patients with a serious infectious disease, like the Ebola virus. The intended purpose of the model is to support requirements planning studies, so that hospitals may be better prepared for situations that are likely to strain their available resources. The current model is a prototype designed to present the basic structural elements of a requirements planning analysis. Some simple illustrati ve experiments establish the mo del's general capabilities. With additional inve stment in model enhancement a nd calibration, this prototype could be developed into a useful planning tool for ho spital administrators and health care policy makers.

  17. Evaluation of Miscellaneous and Electronic Device Energy Use in Hospitals

    SciTech Connect (OSTI)

    Black, Douglas R.; Lanzisera, Steven M.; Lai, Judy; Brown, Richard E.; Singer, Brett C.

    2012-09-01

    Miscellaneous and electronic loads (MELs) consume about one-thirdof the primary energy used in US buildings, and their energy use is increasing faster than other end-uses. In healthcare facilities, 30percent of the annual electricity was used by MELs in 2008. This paper presents methods and challenges for estimating medical MELs energy consumption along with estimates of energy use in a hospital by combining device-level metered data with inventories and usage information. An important finding is that common, small devices consume large amounts of energy in aggregate and should not be ignored when trying to address hospital energy use.

  18. Hospital Energy Benchmarking Guidance - Version 1.0

    SciTech Connect (OSTI)

    Singer, Brett C.

    2009-09-08

    This document describes an energy benchmarking framework for hospitals. The document is organized as follows. The introduction provides a brief primer on benchmarking and its application to hospitals. The next two sections discuss special considerations including the identification of normalizing factors. The presentation of metrics is preceded by a description of the overall framework and the rationale for the grouping of metrics. Following the presentation of metrics, a high-level protocol is provided. The next section presents draft benchmarks for some metrics; benchmarks are not available for many metrics owing to a lack of data. This document ends with a list of research needs for further development.

  19. Hospital to save $71,800/year burning trash

    SciTech Connect (OSTI)

    Hume, M.

    1984-01-01

    A waste-to-steam dual-fuel boiler system will save the Geisinger Medical Center in Pennsylvania $71,800 a year in avoided natural gas, trash-hauling, and incinerating costs. In operation less than a year, the system currently generates 6.3% of hospital steam for an anticipated three-year payback. A waste-heat-recovery system, with a net cost of $360,000, will pay for itself in an estimated five years. The case-history report describes how the system fits into hospital operations. (DCK)

  20. Coming to a hospital near you: mass spectrometry imaging

    ScienceCinema (OSTI)

    Bowen, Ben

    2014-06-24

    Berkeley Lab's Ben Bowen discusses "Coming to a hospital near you: mass spectrometry imaging" in this Oct. 28, 2013 talk, which is part of a Science at the Theater event entitled Eight Big Ideas. Go here to watch the entire event with all 8 speakers.

  1. Wood County, Ohio: Energy Resources | Open Energy Information

    Open Energy Info (EERE)

    Ohio Haskins, Ohio Hoytville, Ohio Jerry City, Ohio Luckey, Ohio Millbury, Ohio Milton Center, Ohio North Baltimore, Ohio Northwood, Ohio Pemberville, Ohio Perrysburg, Ohio...

  2. DOE Launches EnergySmart Hospitals to Promote Improved Energy Efficiency in

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Healthcare | Department of Energy EnergySmart Hospitals to Promote Improved Energy Efficiency in Healthcare DOE Launches EnergySmart Hospitals to Promote Improved Energy Efficiency in Healthcare July 23, 2008 - 2:14pm Addthis Initiative Targets Energy and Cost Savings in Hospitals Across the United States WASHINGTON - U.S. Department of Energy (DOE) Associate Under Secretary for Energy Richard F. Moorer today announced the launch of the EnergySmart Hospitals initiative to increase the use of

  3. Large Hospital 50% Energy Savings: Technical Support Document

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    867 September 2010 Large Hospital 50% Energy Savings: Technical Support Document Eric Bonnema, Daniel Studer, Andrew Parker, Shanti Pless, and Paul Torcellini National Renewable Energy Laboratory 1617 Cole Boulevard, Golden, Colorado 80401-3393 303-275-3000 * www.nrel.gov NREL is a national laboratory of the U.S. Department of Energy Office of Energy Efficiency and Renewable Energy Operated by the Alliance for Sustainable Energy, LLC Contract No. DE-AC36-08-GO28308 Technical Report

  4. Oregon Hospital Heats Up with a Biomass Boiler | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Hospital Heats Up with a Biomass Boiler Oregon Hospital Heats Up with a Biomass Boiler December 27, 2012 - 4:30pm Addthis Using money from the Recovery Act, Blue Mountain Hospital replaced one of its 1950s crude oil boilers with a wood-pellet boiler -- saving the hospital about $100,000 a year in heating costs. | Photo courtesy of the Oregon Department of Energy. Using money from the Recovery Act, Blue Mountain Hospital replaced one of its 1950s crude oil boilers with a wood-pellet boiler --

  5. HOSPITAL VENTILATION STANDARDS AND ENERGY CONSERVATION: A REVIEW OF GOVERNMENTAL AND PRIVATE AGENCY ENERGY CONSERVATION INITIATIVES

    SciTech Connect (OSTI)

    Banks, Robert S.; Rainer, David

    1980-03-01

    This report presents the results of a recent research project originally concerned with review of governmental initiatives for changes to hospital design and operation standards at both the federal and state levels. However. it quickly became apparent that concern with energy conservation was not impacting hospital environmental standards, especially at the state level, irrespective of the energy implications. Consequently, the study was redirected to consider all energy conservation initiatives directed toward design and operating practices unique to the hospital environment. The scope was limited to agency programs (i.e., not undertaken at the initiative of individual hospitals), applicable to non-federal public and private hospitals.

  6. Developing a master plan for hospital solid waste management: A case study

    SciTech Connect (OSTI)

    Karamouz, Mohammad Zahraie, Banafsheh Kerachian, Reza Jaafarzadeh, Nemat Mahjouri, Najmeh

    2007-07-01

    Disposal of about 1750 tons of solid wastes per day is the result of a rapid population growth in the province of Khuzestan in the south west of Iran. Most of these wastes, especially hospital solid wastes which have contributed to the pollution of the environment in the study area, are not properly managed considering environmental standards and regulations. In this paper, the framework of a master plan for managing hospital solid wastes is proposed considering different criteria which are usually used for evaluating the pollution of hospital solid waste loads. The effectiveness of the management schemes is also evaluated. In order to rank the hospitals and determine the share of each hospital in the total hospital solid waste pollution load, a multiple criteria decision making technique, namely analytical hierarchy process (AHP), is used. A set of projects are proposed for solid waste pollution control and reduction in the proposed framework. It is partially applied for hospital solid waste management in the province of Khuzestan, Iran. The results have shown that the hospitals located near the capital city of the province, Ahvaz, produce more than 43% of the total hospital solid waste pollution load of the province. The results have also shown the importance of improving management techniques rather than building new facilities. The proposed methodology is used to formulate a master plan for hospital solid waste management.

  7. Large Hospital 50% Energy Savings: Technical Support Document

    SciTech Connect (OSTI)

    Bonnema, E.; Studer, D.; Parker, A.; Pless, S.; Torcellini, P.

    2010-09-01

    This Technical Support Document documents the technical analysis and design guidance for large hospitals to achieve whole-building energy savings of at least 50% over ANSI/ASHRAE/IESNA Standard 90.1-2004 and represents a step toward determining how to provide design guidance for aggressive energy savings targets. This report documents the modeling methods used to demonstrate that the design recommendations meet or exceed the 50% goal. EnergyPlus was used to model the predicted energy performance of the baseline and low-energy buildings to verify that 50% energy savings are achievable. Percent energy savings are based on a nominal minimally code-compliant building and whole-building, net site energy use intensity. The report defines architectural-program characteristics for typical large hospitals, thereby defining a prototype model; creates baseline energy models for each climate zone that are elaborations of the prototype models and are minimally compliant with Standard 90.1-2004; creates a list of energy design measures that can be applied to the prototype model to create low-energy models; uses industry feedback to strengthen inputs for baseline energy models and energy design measures; and simulates low-energy models for each climate zone to show that when the energy design measures are applied to the prototype model, 50% energy savings (or more) are achieved.

  8. NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital |

    National Nuclear Security Administration (NNSA)

    National Nuclear Security Administration | (NNSA) Y-12 & Pantex partner donates $10,000 for children's hospital Friday, February 26, 2016 - 10:00am NNSA Blog Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. NNSA's management and operations partner Consolidated Nuclear Security (CNS) continued its legacy of community giving this month with a $10,000 donation to the

  9. Demonstration of Advanced Technologies for Multi-Load Washers in Hospitality and Healthcare -- Wastewater Recycling Technology

    SciTech Connect (OSTI)

    Boyd, Brian K.; Parker, Graham B.; Petersen, Joseph M.; Sullivan, Greg; Goetzler, W.; Foley, K. J.; Sutherland, T. A.

    2014-08-14

    The objective of this demonstration project was to evaluate market-ready retrofit technologies for reducing the energy and water use of multi-load washers in healthcare and hospitality facilities. Specifically, this project evaluated laundry wastewater recycling technology in the hospitality sector and ozone laundry technology in both the healthcare and hospitality sectors. This report documents the demonstration of a wastewater recycling system installed in the Grand Hyatt Seattle.

  10. Department of Energy Announces the Launch of the Hospital Energy Alliance

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    to Increase Energy Efficiency in the Healthcare Sector | Department of Energy the Launch of the Hospital Energy Alliance to Increase Energy Efficiency in the Healthcare Sector Department of Energy Announces the Launch of the Hospital Energy Alliance to Increase Energy Efficiency in the Healthcare Sector April 29, 2009 - 12:00am Addthis WASHINGTON, DC - The U.S. Department of Energy (DOE) announced today the launch of the Hospital Energy Alliance (HEA), an industry-led partnership between the

  11. Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) (Revised)

    Broader source: Energy.gov [DOE]

    This brochure details the sustainable and green aspects of the LEED Platinum-designed Kiowa County Memorial Hospital in Greensburg, Kansas.

  12. CNS donates $10,000 to East Tennessee Children's Hospital | Y-12 National

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Security Complex donates $10,000 to East ... CNS donates $10,000 to East Tennessee Children's Hospital Posted: February 16, 2016 - 6:50pm Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. Consolidated Nuclear Security recently donated $10,000 to East Tennessee Children's Hospital's capital campaign. The CNS donation will go toward construction of a pre- or post-op room at

  13. Potential for radioactive patient excreta in hospital trash and medical waste

    SciTech Connect (OSTI)

    Evdokimoff, V.; Cash, C.; Buckley, K.

    1994-02-01

    Radioactive excreta from nuclear medicine patients can enter solid waste as common trash and medical biohazardous waste. Many landfills and transfer stations now survey these waste streams with scintillation detectors which may result in rejection of a hospital`s waste. Our survey indicated that on the average either or both of Boston University Medical Center Hospital`s waste streams can contain detectable radioactive excreta on a weekly basis. To avoid potential problems, radiation detectors were installed in areas where housekeepers carting trash and medical waste must pass through to ensure no radioactivity leaves the institution. 3 refs.

  14. Next Generation Luminaire (NGL) Downlight Demonstration Project: St. Anthony's Hospital

    Broader source: Energy.gov [DOE]

    The U.S. DOE conducts demonstration projects documenting the performance of LED luminaires relative to conventional technologies to increase market adoption of energy-efficient LED systems and to stimulate ongoing product development. These demonstration projects evaluate various aspects of lighting design, purchase, installation, and operation, and they assess the impacts LED technology might have on building owners and users.The prior reports featured NGL-recognized LED downlight luminaires in projects that were either new construction (Hilton Columbus Downtown) or a major renovation (Alston & Bird, LLC). But purchasing and installing new luminaires is not always feasible for existing buildings. For this report, the DOE evaluated the use of LED replacement lamps in the existing CFL downlights at St. Anthony Hospital in Gig Harbor, WA.

  15. Technical Support Document: Development of the Advanced Energy Design Guide for Large Hospitals - 50% Energy Savings

    SciTech Connect (OSTI)

    Bonnema, E.; Leach, M.; Pless, S.

    2013-06-01

    This Technical Support Document describes the process and methodology for the development of the Advanced Energy Design Guide for Large Hospitals: Achieving 50% Energy Savings Toward a Net Zero Energy Building (AEDG-LH) ASHRAE et al. (2011b). The AEDG-LH is intended to provide recommendations for achieving 50% whole-building energy savings in large hospitals over levels achieved by following Standard 90.1-2004. The AEDG-LH was created for a 'standard' mid- to large-size hospital, typically at least 100,000 ft2, but the strategies apply to all sizes and classifications of new construction hospital buildings. Its primary focus is new construction, but recommendations may be applicable to facilities undergoing total renovation, and in part to many other hospital renovation, addition, remodeling, and modernization projects (including changes to one or more systems in existing buildings).

  16. Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation

    Broader source: Energy.gov [DOE]

    The U.S. Department of Energy (DOE) congratulates Hilton Worldwide for being an energy management pioneer for the hospitality industry—and the commercial sector. In December 2015, three of Hilton...

  17. ORISE: WeB-MEDIS System Allows Hospitals to Gather and Track...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    WeB-MEDIS ORISE-developed system helps emergency responders and hospitals gather and track ... The Oak Ridge Institute for Science and Education designed, developed and deployed WeB-MED...

  18. 2007 CBECS Large Hospital Building FAQs: 2003-2007 Comparison Graphs

    Gasoline and Diesel Fuel Update (EIA)

    FAQs: 2003-2007 Comparison Graphs Main Report | Methodology | FAQ | List of Tables CBECS 2007 - Release date: August 17, 2012 Jump to: Figure 1 | Figure 2 | Figure 3 | Figure 4 | Figure 5 Figure 1 Number of Large Hospital Buildings and 95% Confidence Intervals by Census Region, 2003 and 2007 Figure 2 Total Floorspace and 95% Confidence Intervals in Large Hospital Buildings by Census Region, 2003 and 2007 Figure 3 Major Fuel Intensity and 95% Confidence Intervals by Census Region, 2003 and 2007

  19. Targeting 100! Advanced Energy Efficient Building Technologies for High Performance Hospitals: Executive Summary.

    SciTech Connect (OSTI)

    Burpee, Heather; Loveland, Joel; Helmers, Aaron

    2015-09-02

    This research, Targeting 100!, provides a conceptual framework and decision-making structure at a schematic design level of precision for hospital owners, architects and engineers to radically reduce energy use in hospitals. Following the goals of Architecture 2030 and The 2030 Challenge, it offers access to design strategies and the cost implications of those strategies for new hospitals to utilize 60% less energy. The name, Targeting 100!, comes from the 2030 Challenge energy reduction goal for hospitals; a 60% energy use reduction from typical acute care hospital targets approximately 100 KBtu/SF Year, thus the name “Targeting 100!”. Targeting 100! was developed through funding partnerships with the US Department of Energy and the Northwest Energy Efficiency’s BetterBricks Initiative. The technical team was led by the University of Washington Integrated Design Lab supported by deep collaboration with Solarc Architecture and Engineering, TBD Cost Consultants, and NBBJ Architecture. Through extensive research and design development, Targeting 100! provides a framework for developing high performance healthcare projects today and into the future. An online tool houses a Targeting 100! knowlegebase and roadmap. It can be accessed at: www.idlseattle.com/t100. The webtool is structured from high-level overview materials to detailed library with modeling inputs and outputs, providing a comprehensive report of the background, data, and outcomes from the project.

  20. Demonstration of Advanced Technologies for Multi-Load Washers in Hospitality and Healthcare -- Ozone Based Laundry Systems

    SciTech Connect (OSTI)

    Boyd, Brian K.; Parker, Graham B.; Petersen, Joseph M.; Sullivan, Greg; Goetzler, W.; Sutherland, T. A.; Foley, K. J.

    2014-08-14

    The objective of this demonstration project was to evaluate market-ready retrofit technologies for reducing the energy and water use of multi-load washers in healthcare and hospitality facilities. Specifically, this project evaluated laundry wastewater recycling technology in the hospitality sector and ozone laundry technology in both the healthcare and hospitality sectors. This report documents the demonstration of ozone laundry system installations at the Charleston Place Hotel in Charleston, South Carolina, and the Rogerson House assisted living facility in Boston, Massachusetts.

  1. Technical Support Document: Development of the Advanced Energy Design Guide for Small Hospitals and Healthcare Facilities--30% Guide

    SciTech Connect (OSTI)

    Bonnema, E.; Doebber, I.; Pless, S.; Torcellini, P.

    2010-03-01

    This Technical Support Document describes the process and methodology for the development of the Advanced Energy Design Guide for Small Hospitals and Healthcare Facilities.

  2. Intermediate photovoltaic system application experiment operational performance report. Volume 3. For G. N. Wilcox Memorial Hospital, Kauai, Hawaii

    SciTech Connect (OSTI)

    Not Available

    1982-09-01

    Presented are the project description, list of participants, and system specifications for the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii.

  3. Y-12 donates DVDs, teddy bears to Children's Hospital | Y-12 National

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Security Complex Y-12 donates DVDs, teddy ... Y-12 donates DVDs, teddy bears to Children's Hospital Posted: January 24, 2014 - 3:33pm Pictured from left to right: Y-12ers Karen Dixon, Linda Cantrell and John Buck decorate the Christmas tree in the lobby of Y-12's Jack Case Center with donated teddy bears. Some 360 bears and other animals were collected for patients at the East Tennessee Children's Hospital. More than 350 DVDs and some 360 teddy bears were collected by Y-12 employees for

  4. Exploratory Use of Microaerosol Decontamination Technology (PAEROSOL) in Enclosed, Unoccupied Hospital Setting

    SciTech Connect (OSTI)

    Rainina, Evguenia I.; McCune, D. E.; Luna, Maria L.; Cook, J. E.; Soltis, Michele A.; Demons, Samandra T.; Godoy-Kain, Patricia; Weston, J. H.

    2012-05-31

    The goal of this study was to validate the previously observed high biological kill performance of PAEROSOL, a semi-dry, micro-aerosol decontamination technology, against common HAI in a non-human subject trial within a hospital setting of Madigan Army Medical Center (MAMC) on Joint Base Lewis-McChord in Tacoma, Washington. In addition to validating the disinfecting efficacy of PAEROSOL, the objectives of the trial included a demonstration of PAEROSOL environmental safety, (i.e., impact to hospital interior materials and electronic equipment exposed during testing) and PAEROSOL parameters optimization for future deployment.

  5. DOE - Office of Legacy Management -- Memorial Hospital - NY 0-16

    Office of Legacy Management (LM)

    Memorial Hospital - NY 0-16 FUSRAP Considered Sites Site: MEMORIAL HOSPITAL (NY.0-16 ) Eliminated from consideration under FUSRAP Designated Name: Not Designated Alternate Name: None Location: New York , New York NY.0-16-1 Evaluation Year: 1987 NY.0-16-1 Site Operations: Conducted studies for MED including a "Physiological Study of Sunbath Treatments." Involvement with radioactive materials unknown. NY.0-16-1 Site Disposition: Eliminated - Potential for contamination remote NY.0-16-1

  6. Y-12 donates DVDs, teddy bears to Children's Hospital | National Nuclear

    National Nuclear Security Administration (NNSA)

    Security Administration | (NNSA) donates DVDs, teddy bears to Children's Hospital Friday, February 7, 2014 - 4:00pm More than 350 DVDs and some 360 teddy bears were collected by Y-12 employees for patients at East Tennessee Children's Hospital in Knoxville. The DVDs were collected as part of the "DVDs for Joy" campaign, which is the brainchild of KelliAnn Corbett, daughter of B&W Y-12's Kevin Corbett. KelliAnn and her sisters collected DVDs at some Oak Ridge schools last year,

  7. Using Failure Mode Effects and Criticality Analysis for High-Risk Processes at Three Community Hospitals

    SciTech Connect (OSTI)

    Coles, Garill A.; Fuller, Becky; Nordquist, Kathleen; Kongslie, Anita

    2005-03-01

    The staff at three Washington State hospitals and Battelle Pacific Northwest Division have been collaborating to apply Failure Mode Effects and Criticality Analysis (FMECA) to assess several hospital processes. The staff from Kadlec Medical Center (KMC), located in Richland, Washington; Kennewick General Hospital (KGH), located in Kennewick, Washington; and Lourdes Medical Center (LMC), located in Pasco, Washington, along with staff from Battelle, which is located in Richland, Washington have been working together successfully for two and a half years. Tri-Cities Shared Services, a local organization which implements shared hospital services, has provided the forum for joint activity. This effort was initiated in response to the new JCAHO patient safety standards implemented in July 2001, and the hospitals’ desire to be more proactive in improving patient safety. As a result of performing FMECAs the weaknesses of six medical processes have been characterized and corresponding system improvements implemented. Based on this collective experience, insights about the benefits of applying FMECAs to healthcare processes have been identified.

  8. Evaluation of AFBC co-firing of coal and hospital wastes

    SciTech Connect (OSTI)

    Not Available

    1991-02-01

    The purpose of this program is to expand the use of coal by utilizing CFB (circulating fluidized bed) technology to provide an environmentally safe method for disposing of waste materials. Hospitals are currently experiencing a waste management crisis. In many instances, they are no longer permitted to burn pathological and infectious wastes in incinerators. Older hospital incinerators are not capable of maintaining the stable temperatures and residence times necessary in order to completely destroy toxic substances before release into the atmosphere. In addition, the number of available landfills which can safely handle these substances is decreasing each year. The purpose of this project is to conduct necessary research investigating whether the combustion of the hospital wastes in a coal-fired circulating fluidized bed boiler will effectively destroy dioxins and other hazardous substances before release into the atmosphere. If this is proven feasible, in light of the quantity of hospital wastes generated each year, it would create a new market for coal -- possibly 50 million tons/year.

  9. Slide 1

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    more bandwidth with less power dissipation NVIDIA Fermi 512 cores 2010 Processor - Memory BW Performance 3 0 100 200 300 400 1 10 100 Celeron Athlon Northwood Athlon64X2...

  10. CX-001928: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Pilkington North America, Inc. (PNA) SolarCX(s) Applied: B5.1Date: 03/03/2010Location(s): Northwood, OhioOffice(s): Energy Efficiency and Renewable Energy, Golden Field Office

  11. Scoping Report: Advanced Technologies for Multi-Load Washers in Hospitality and Healthcare

    SciTech Connect (OSTI)

    Parker, Graham B.; Boyd, Brian K.; Petersen, Joseph M.; Goetzler, W.; Foley, K. J.; Sutherland, T. A.

    2013-03-27

    The purpose of this demonstration project is to quantify the energy savings and water efficiency potential of commercial laundry wastewater recycling systems and low-temperature detergent supply systems to help promote the adoption of these technologies in the commercial sector. This project will create a set of technical specifications for efficient multi-load laundry systems (both new and retrofit) tailored for specific applications and/or sectors (e.g., hospitality, health care). The specifications will be vetted with the appropriate Better Buildings Alliance (BBA) members (e.g., Commercial Real Estate Energy Alliance, Hospital Energy Alliance), finalized, published, and disseminated to enable widespread technology transfer in the industry and specifically among BBA partners.

  12. LED Surgical Task Lighting Scoping Study: A Hospital Energy Alliance Project

    SciTech Connect (OSTI)

    Tuenge, Jason R.

    2011-01-17

    Tungsten-halogen (halogen) lamps have traditionally been used to light surgical tasks in hospitals, even though they are in many respects ill-suited to the application due to the large percentage of radiant energy outside the visible spectrum and issues with color rendering/quality. Light-emitting diode (LED) technology offers potential for adjustable color and improved color rendition/quality, while simultaneously reducing side-effects from non-visible radiant energy. It also has the potential for significant energy savings, although this is a fairly narrow application in the larger commercial building energy use sector. Based on analysis of available products and Hospital Energy Alliance member interest, it is recommended that a product specification and field measurement procedure be developed for implementation in demonstration projects.

  13. B&W Y-12 donates $2,500 to MMC Hospitality House | Y-12 National Security

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Complex MMC Hospitality House Posted: January 27, 2014 - 1:35pm B&W Y-12 donated $2,500 to Oak Ridge Methodist Medical Center's Hospitality House. B&W Y-12 Director of Public Affairs Bill Reis, right, hands a $2,500 donation to Mike Belbeck, Methodist Medical Center's President and Chief Administrative Officer. The funds will go toward MMC's Hospitality Houses, which provide temporary lodging for patients and families who travel to Oak Ridge for extended medical treatment

  14. Incidence and Treatment Patterns in Hospitalizations for Malignant Spinal Cord Compression in the United States, 1998-2006

    SciTech Connect (OSTI)

    Mak, Kimberley S.; Lee, Leslie K.; Mak, Raymond H.; Wang, Shuang; Pile-Spellman, John; Abrahm, Janet L.; Prigerson, Holly G.; Balboni, Tracy A.

    2011-07-01

    Purpose: To characterize patterns in incidence, management, and costs of malignant spinal cord compression (MSCC) hospitalizations in the United States, using population-based data. Methods and Materials: Using the Nationwide Inpatient Sample, an all-payer healthcare database representative of all U.S. hospitalizations, MSCC-related hospitalizations were identified for the period 1998-2006. Cases were combined with age-adjusted Surveillance, Epidemiology and End Results cancer death data to estimate annual incidence. Linear regression characterized trends in patient, treatment, and hospital characteristics, costs, and outcomes. Logistic regression was used to examine inpatient treatment (radiotherapy [RT], surgery, or neither) by hospital characteristics and year, adjusting for confounding. Results: We identified 15,367 MSCC-related cases, representing 75,876 hospitalizations. Lung cancer (24.9%), prostate cancer (16.2%), and multiple myeloma (11.1%) were the most prevalent underlying cancer diagnoses. The annual incidence of MSCC hospitalization among patients dying of cancer was 3.4%; multiple myeloma (15.0%), Hodgkin and non-Hodgkin lymphomas (13.9%), and prostate cancer (5.5%) exhibited the highest cancer-specific incidence. Over the study period, inpatient RT for MSCC decreased (odds ratio [OR] 0.68, 95% confidence interval [CI] 0.61-0.81), whereas surgery increased (OR 1.48, 95% CI 1.17-1.84). Hospitalization costs for MSCC increased (5.3% per year, p < 0.001). Odds of inpatient RT were greater at teaching hospitals (OR 1.41, 95% CI 1.19-1.67), whereas odds of surgery were greater at urban institutions (OR 1.82, 95% CI 1.29-2.58). Conclusions: In the United States, patients dying of cancer have an estimated 3.4% annual incidence of MSCC requiring hospitalization. Inpatient management of MSCC varied over time and by hospital characteristics, with hospitalization costs increasing. Future studies are required to determine the impact of treatment patterns on MSCC

  15. Composition and production rate of pharmaceutical and chemical waste from Xanthi General Hospital in Greece

    SciTech Connect (OSTI)

    Voudrias, Evangelos; Goudakou, Lambrini; Kermenidou, Marianthi; Softa, Aikaterini

    2012-07-15

    Highlights: Black-Right-Pointing-Pointer We studied pharmaceutical and chemical waste production in a Greek hospital. Black-Right-Pointing-Pointer Pharmaceutical waste comprised 3.9% w/w of total hazardous medical waste. Black-Right-Pointing-Pointer Unit production rate for total pharmaceutical waste was 12.4 {+-} 3.90 g/patient/d. Black-Right-Pointing-Pointer Chemical waste comprised 1.8% w/w of total hazardous medical waste. Black-Right-Pointing-Pointer Unit production rate for total chemical waste was 5.8 {+-} 2.2 g/patient/d. - Abstract: The objective of this work was to determine the composition and production rates of pharmaceutical and chemical waste produced by Xanthi General Hospital in Greece (XGH). This information is important to design and cost management systems for pharmaceutical and chemical waste, for safety and health considerations and for assessing environmental impact. A total of 233 kg pharmaceutical and 110 kg chemical waste was collected, manually separated and weighed over a period of five working weeks. The total production of pharmaceutical waste comprised 3.9% w/w of the total hazardous medical waste produced by the hospital. Total pharmaceutical waste was classified in three categories, vial waste comprising 51.1%, syringe waste with 11.4% and intravenous therapy (IV) waste with 37.5% w/w of the total. Vial pharmaceutical waste only was further classified in six major categories: antibiotics, digestive system drugs, analgesics, hormones, circulatory system drugs and 'other'. Production data below are presented as average (standard deviation in parenthesis). The unit production rates for total pharmaceutical waste for the hospital were 12.4 (3.90) g/patient/d and 24.6 (7.48) g/bed/d. The respective unit production rates were: (1) for vial waste 6.4 (1.6) g/patient/d and 13 (2.6) g/bed/d, (2) for syringe waste 1.4 (0.4) g/patient/d and 2.8 (0.8) g/bed/d and (3) for IV waste 4.6 (3.0) g/patient/d and 9.2 (5.9) g/bed/d. Total chemical waste

  16. Intermediate photovoltaic system application experiment operational performance report for G. N. Wilcox Memorial Hospital, Kauai, Hawaii, for November 1982

    SciTech Connect (OSTI)

    Not Available

    1982-01-01

    The data accumulated during November 1982 at the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii, are presented. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  17. Geothermal heating project at St. Mary's Hospital, Pierre, South Dakota. Final report

    SciTech Connect (OSTI)

    Not Available

    1984-12-01

    St. Mary's Hospital, Pierre, South Dakota, with the assistance of the US Department of Energy, drilled a 2176 ft well into the Madison Aquifer ot secure 108/sup 0/F artesian flow water at 385 gpm (475 psig shut-in pressure). The objective was to provide heat for domestic hot water and to space heat 163,768 sq. ft. Cost savings for the first three years were significant and, with the exception of a shutdown to replace some corroded pipe, the system has operated reliably and continuously for the last four years.

  18. Hospital waste shredder test series at the DONLEE Pilot Test Facility. Final report

    SciTech Connect (OSTI)

    Not Available

    1992-09-01

    This report describes the coal firing and coal and noninfectious hospital waste co-firing testing and emissions rates for the tests conducted at the DONLEE pilot plant facility during mid-December 1991 through early March 1992. The emissions obtained during these tests are in turn used to predict the emission rates for the proof-of-concept facility that is to be built at the Lebanon Veterans Affairs Medical Center. In addition, the reliability and performance of the waste shredding/feeding system were evaluated from this testing.

  19. Hospital waste shredder test series at the DONLEE Pilot Test Facility

    SciTech Connect (OSTI)

    Hoffman, Robert; Sak, James

    1992-09-01

    This report describes the coal firing and coal and noninfectious hospital waste co-firing testing and emissions rates for the tests conducted at the DONLEE pilot plant facility during mid-December 1991 through early March 1992. The emissions obtained during these tests are in turn used to predict the emission rates for the proof-of-concept facility that is to be built at the Lebanon Veterans Affairs Medical Center. In addition, the reliability and performance of the waste shredding/feeding system were evaluated from this testing.

  20. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    4 Energy Benchmarks for Newly Constructed Hospitals, by Selected City and End-Use (thousand Btu per square foot) Miami 1A Houston 2A Phoenix 2B Atlanta 3A Los Angeles 3B Las Vegas 3B San Francisco 3C Baltimore 4A Albuquerque 4B Seattle 4C Chicago 5A Boulder 5B Minneapolis 6A Helena 6B Duluth 7 Fairbanks 8 Note(s): Source(s): 89.1 25.2 3.9 13.5 Commercial building energy benchmarks are based off of the current stock of commercial buildings and reflect 2004 ASHRAE 90.1 Climate Zones. They are

  1. AFBC co-firing of coal and hospital waste. Quarterly report, August--October 1995

    SciTech Connect (OSTI)

    Stuart, J.M.

    1996-03-01

    The project objective is to design, construct, install provide operator training and start-up a circulating fluidized bed combustion system at the Lebanon Pennsylvania Veteran`s Affairs Medical Center. This unit will co-fire coal and hospital waste providing lower cost steam for heating and possibly cooling (absorption chiller) and operation of a steam turbine-generator for limited power generation. This would permit full capacity operation of the FBC year round in spite of the VA laundry that was shut down as well as efficient destruction of both general and infectious hospital waste and steam generation. The State permitting process required for construction will be completed in early November to allow installation and construction to be completed. Operating permits will be obtained after construction has been completed. A request for proposal for stack sampling and biospore tests was released to four (4) vendors in mid-October. The proposals shall be reviewed during November and the stack sampler will be selected. Funding was approved as of August 1, 1995. Construction and installation resumed on August 21, 1995 at the LVAMC. Construction and installation continues and will be completed by late December 1995.

  2. Status report on a solar photovoltaic concentrating energy system for a hospital in Hawaii

    SciTech Connect (OSTI)

    Seki, A.; Curtis, G.; Yuen, P.

    1983-06-01

    The largest parabolic concentrating photovoltaic/solar thermal system in the U.S. began producing electricity and hot water for a hospital on the island of Kauai, Hawaii in November 1981. Each of the 80 parabolic collectors is 6 feet by 10 feet and concentrates incident sunlight on photovoltaic cells mounted on two faces of the receiver at the focus. Although the 35 kilowatt system has been designed to produce 22,000 net kilowatt-hours per year of electricity and 620,000 gallons of 180 F water, electrical output (12 to 15 kilowatt-hours per day) is only 20 percent of that expected, primarily because insolation at the site has been only 40 percent of predicted values. A second problem with fungal attack on the receivers has been solved by better sealing. The system has also withstood a hurricane with negligible damage.

  3. Energy Department Announces $9 Million to Improve Energy Efficiency of Hotels, Hospitals, Offices and other Commercial Buildings

    Broader source: Energy.gov [DOE]

    As part of the Obama Administration’s effort to double energy productivity by 2030 and reduce carbon emissions in commercial buildings, the Energy Department today announced $9 million to encourage investments in energy-saving technologies that can be tested and deployed in offices, shops, restaurants, hospitals, hotels and other types of commercial buildings.

  4. Evaluation of AFBC co-firing of coal and hospital wastes. Technical report, January 1989--August 1990

    SciTech Connect (OSTI)

    Not Available

    1991-02-01

    The purpose of this program is to expand the use of coal by utilizing CFB (circulating fluidized bed) technology to provide an environmentally safe method for disposing of waste materials. Hospitals are currently experiencing a waste management crisis. In many instances, they are no longer permitted to burn pathological and infectious wastes in incinerators. Older hospital incinerators are not capable of maintaining the stable temperatures and residence times necessary in order to completely destroy toxic substances before release into the atmosphere. In addition, the number of available landfills which can safely handle these substances is decreasing each year. The purpose of this project is to conduct necessary research investigating whether the combustion of the hospital wastes in a coal-fired circulating fluidized bed boiler will effectively destroy dioxins and other hazardous substances before release into the atmosphere. If this is proven feasible, in light of the quantity of hospital wastes generated each year, it would create a new market for coal -- possibly 50 million tons/year.

  5. Intermediate photovoltaic system application experiment operational performance report, for G. N. Wilcox Memorial Hospital, Kauai, Hawaii. Vol. 9

    SciTech Connect (OSTI)

    Not Available

    1983-06-01

    This report presents the data accumulated during January 1983 at the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  6. Intermediate photovoltaic system application experiment operational performance report. Volume 1. For G. N. Wilcox Memorial Hospital, Kauai, Hawaii

    SciTech Connect (OSTI)

    Not Available

    1982-09-01

    Presented are the data accumulated during January, February, and March 1982 at the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  7. Intermediate photovoltaic system application experiment operational performance report. Volume 2 for G. N. Wilcox Memorial Hospital, Kauai, HI

    SciTech Connect (OSTI)

    Not Available

    1982-10-01

    Presented are the data accumulated during April and May 1982 at this intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  8. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    3 Energy Benchmarks for Existing Hospitals, by Selected City and End-Use (thousand Btu per square foot) IECC Post Pre Post Pre Post Pre Post Pre Miami 1A 34.6 40.7 88.9 85.4 1.8 1.8 20.0 21.0 Houston 2A 42.1 48.0 89.5 86.9 2.2 2.1 19.6 20.8 Phoenix 2B 42.2 48.6 82.1 80.2 2.0 1.9 20.7 21.9 Atlanta 3A 45.8 53.9 83.7 82.1 2.5 2.5 19.0 20.6 Los Angeles 3B 45.4 46.9 75.4 71.0 2.5 2.4 18.5 18.8 Las Vegas 3B 40.9 48.0 69.5 69.0 2.2 2.2 18.5 21.2 San Francisco 3C 49.2 52.8 66.5 64.1 2.8 2.7 17.1 18.0

  9. Basewide energy systems plan for Fort Bragg. Womack Army Community Hospital. Energy audit: Executive summary. Final report

    SciTech Connect (OSTI)

    1984-04-01

    The results of the energy engineering analysis performed at Womack Army Community Hospital, located in Fort Bragg, North Carolina, are summarized herein. That work was performed by JRB Associates (JRB) for the Army Corps of Engineers, Savannah District, under a modification to contract No. DACA21-80-C-0014. The project included a detailed audit of the hospital and energy support facilities, utility meter plan development, and investigation of many energy conservation measures. Emphasis was put on Energy Management and Control Systems (EMCS). Analysis was performed with the assistance of the Building Loads and System Thermodynamics (BLAST) computer program developed by the Army Construction Engineering Research Lab (CERL). Energy Conservation Investment Program (ECIP) documents were developed for recommended measures.

  10. Spatial and temporal variations in indoor environmental conditions, human occupancy, and operational characteristics in a new hospital building

    SciTech Connect (OSTI)

    Ramos, Tiffanie; Dedesko, Sandra; Siegel, Jeffrey A.; Gilbert, Jack A.; Stephens, Brent

    2015-03-02

    The dynamics of indoor environmental conditions, human occupancy, and operational characteristics of buildings influence human comfort and indoor environmental quality, including the survival and progression of microbial communities. A suite of continuous, long-term environmental and operational parameters were measured in ten patient rooms and two nurse stations in a new hospital building in Chicago, IL to characterize the indoor environment in which microbial samples were taken for the Hospital Microbiome Project. Measurements included environmental conditions (indoor dry-bulb temperature, relative humidity, humidity ratio, and illuminance) in the patient rooms and nurse stations; differential pressure between the patient rooms and hallways; surrogate measures for human occupancy and activity in the patient rooms using both indoor air CO₂ concentrations and infrared doorway beam-break counters; and outdoor air fractions in the heating, ventilating, and air-conditioning systems serving the sampled spaces. Measurements were made at 5-minute intervals over consecutive days for nearly one year, providing a total of ~8×10⁶ data points. Indoor temperature, illuminance, and human occupancy/activity were all weakly correlated between rooms, while relative humidity, humidity ratio, and outdoor air fractions showed strong temporal (seasonal) patterns and strong spatial correlations between rooms. Differential pressure measurements confirmed that all patient rooms were operated at neutral pressure. The patient rooms averaged about 100 combined entrances and exits per day, which suggests they were relatively lightly occupied compared to higher traffic environments (e.g., retail buildings) and more similar to lower traffic office environments. There were also clear differences in several environmental parameters before and after the hospital was occupied with patients and staff. Characterizing and understanding factors that influence these building dynamics is vital for

  11. Technical Support Document: Development of the Advanced Energy Design Guide for Small Hospitals and Healthcare Facilities--30% Guide

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    6314 March 2010 Technical Support Document: Development of the Advanced Energy Design Guide for Small Hospitals and Healthcare Facilities-30% Guide Eric Bonnema, Ian Doebber, Shanti Pless, and Paul Torcellini National Renewable Energy Laboratory 1617 Cole Boulevard, Golden, Colorado 80401-3393 303-275-3000 * www.nrel.gov NREL is a national laboratory of the U.S. Department of Energy Office of Energy Efficiency and Renewable Energy Operated by the Alliance for Sustainable Energy, LLC Contract No.

  12. Spatial and temporal variations in indoor environmental conditions, human occupancy, and operational characteristics in a new hospital building

    DOE Public Access Gateway for Energy & Science Beta (PAGES Beta)

    Ramos, Tiffanie; Dedesko, Sandra; Siegel, Jeffrey A.; Gilbert, Jack A.; Stephens, Brent

    2015-03-02

    The dynamics of indoor environmental conditions, human occupancy, and operational characteristics of buildings influence human comfort and indoor environmental quality, including the survival and progression of microbial communities. A suite of continuous, long-term environmental and operational parameters were measured in ten patient rooms and two nurse stations in a new hospital building in Chicago, IL to characterize the indoor environment in which microbial samples were taken for the Hospital Microbiome Project. Measurements included environmental conditions (indoor dry-bulb temperature, relative humidity, humidity ratio, and illuminance) in the patient rooms and nurse stations; differential pressure between the patient rooms and hallways; surrogatemore » measures for human occupancy and activity in the patient rooms using both indoor air CO₂ concentrations and infrared doorway beam-break counters; and outdoor air fractions in the heating, ventilating, and air-conditioning systems serving the sampled spaces. Measurements were made at 5-minute intervals over consecutive days for nearly one year, providing a total of ~8×10⁶ data points. Indoor temperature, illuminance, and human occupancy/activity were all weakly correlated between rooms, while relative humidity, humidity ratio, and outdoor air fractions showed strong temporal (seasonal) patterns and strong spatial correlations between rooms. Differential pressure measurements confirmed that all patient rooms were operated at neutral pressure. The patient rooms averaged about 100 combined entrances and exits per day, which suggests they were relatively lightly occupied compared to higher traffic environments (e.g., retail buildings) and more similar to lower traffic office environments. There were also clear differences in several environmental parameters before and after the hospital was occupied with patients and staff. Characterizing and understanding factors that influence these building dynamics is

  13. Intermediate photovoltaic system application experiment operational performance report. Volume 5. For G. N. Wilcox Memorial Hospital, Kauai, Hawaii for September 1982

    SciTech Connect (OSTI)

    Not Available

    1983-01-01

    Presented are the data accumulated during September 1982 at the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  14. Intermediate photovoltaic system application experiment operational performance report for G. N. Wilcox Memorial Hospital, Kauai, Hawaii for October 1982. Volume VI

    SciTech Connect (OSTI)

    Not Available

    1983-01-01

    Presented are the data accumulated during October 1982 at the intermediate project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weather are provided.

  15. Intermediate photovoltaic system application experiment operational performance report. Volume 8. For G. N. Wilcox Memorial Hospital, Kauai, Hawaii for December 1982

    SciTech Connect (OSTI)

    Not Available

    1983-03-01

    Presented are the data accumulated during December 1982 at the intermediate photovoltaic project at G. N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphiclaly. Explanations of irregularities not attributable to weather are provided.

  16. Management of Low-Level Radioactive Waste from Research, Hospitals and Nuclear Medical Centers in Egypt - 13469

    SciTech Connect (OSTI)

    Hasan, M.A.; Selim, Y.T.; Lasheen, Y.F.

    2013-07-01

    The application of radioisotopes and radiation sources in medical diagnosis and therapy is an important issue. Physicians can use radioisotopes to diagnose and treat diseases. Methods of treatment, conditioning and management of low level radioactive wastes from the use of radiation sources and radioisotopes in hospitals and nuclear medicine application, are described. Solid Radioactive waste with low-level activity after accumulation, minimization, segregation and measurement, are burned or compressed in a compactor according to the international standards. Conditioned drums are transported to the interim storage site at the Egyptian Atomic Energy Authority (EAEA) represented in Hot Labs and Waste Management Center (HLWMC) for storage and monitoring. (authors)

  17. AFBC co-firing of coal and hospital waste. Quarterly progress report, February 1, 1995--April 30, 1995

    SciTech Connect (OSTI)

    Stuart, J.M.

    1996-01-01

    The project objective is to design, construct, install, provide operator training and start-up a circulating fluidized bed combustion system at the Lebanon Pennsylvania Veteran`s Affairs Medical Center. This unit will co-fire coal and hospital waste providing inexpensive and efficient destruction of both general and infectious hospital waste and steam generation. The steam generated is as follows: (1) Steam = 20,000 lb/hr, (2) Temperature = 353 F (saturated), (3) Pressure = 125 psig, and (4) Steam quality ={approximately}98.5%. On February 3, 1995 DONLEE notified Lebanon VA and DOE-METC that additional funding would be required to complete the project. This funding, in the amount of $1,140,127, is needed to complete the facility, start-up and shakedown the facility, perform the test program and write the final report. On March 7, 1995 the vendors were notified that the Lebanon VA Steam Plant Project was shut down and that all work outside DONLEE was stopped pending obtaining additional funding.

  18. Intermediate photovoltaic system application experiment operational performance report. Volume 4. For G. N. Wilcox Memorial Hospital, Kauai, Hawaii for June, July, and August 1982

    SciTech Connect (OSTI)

    Not Available

    1982-12-01

    Presented are the data accumulated during June, July, and August 1982 at the intermediate photovoltaic project at G.N. Wilcox Memorial Hospital, Kauai, Hawaii. Generated energy and environmental (weather) data are presented graphically. Explanations of irregularities not attributable to weater are provided.

  19. Radiotherapy and Nuclear Medicine Project for an Integral Oncology Center at the Oaxaca High Specialization Regional Hospital

    SciTech Connect (OSTI)

    De Jesus, M.; Trujillo-Zamudio, F. E.

    2010-12-07

    A building project of Radiotherapy and Nuclear Medicine services (diagnostic and therapy), within an Integral Oncology Center (IOC), requires interdisciplinary participation of architects, biomedical engineers, radiation oncologists and medical physicists. This report focus on the medical physicist role in designing, building and commissioning stages, for the final clinical use of an IOC at the Oaxaca High Specialization Regional Hospital (HRAEO). As a first step, during design stage, the medical physicist participates in discussions about radiation safety and regulatory requirements for the National Regulatory Agency (called CNSNS in Mexico). Medical physicists propose solutions to clinical needs and take decisions about installing medical equipment, in order to fulfill technical and medical requirements. As a second step, during the construction stage, medical physicists keep an eye on building materials and structural specifications. Meanwhile, regulatory documentation must be sent to CNSNS. This documentation compiles information about medical equipment, radioactivity facility, radiation workers and nuclear material data, in order to obtain the license for the linear accelerator, brachytherapy and nuclear medicine facilities. As a final step, after equipment installation, the commissioning stage takes place. As the conclusion, we show that medical physicists are essentials in order to fulfill with Mexican regulatory requirements in medical facilities.

  20. The use of failure mode and effects analysis to construct an effective disposal and prevention mechanism for infectious hospital waste

    SciTech Connect (OSTI)

    Ho, Chao Chung, E-mail: ho919@pchome.com.tw [Department of Industrial Management, National Taiwan University of Science and Technology, Taipei 106, Taiwan (China); Liao, Ching-Jong [Department of Industrial Management, National Taiwan University of Science and Technology, Taipei 106, Taiwan (China)

    2011-12-15

    Highlights: > This study is based on a real case in a regional teaching hospital in Taiwan. > We use Failure mode and effects analysis (FMEA) as the evaluation method. > We successfully identify the risk factors of infectious waste disposal. > We propose plans for the detection of exceptional cases of infectious waste. - Abstract: In recent times, the quality of medical care has been continuously improving in medical institutions wherein patient-centred care has been emphasized. Failure mode and effects analysis (FMEA) has also been promoted as a method of basic risk management and as part of total quality management (TQM) for improving the quality of medical care and preventing mistakes. Therefore, a study was conducted using FMEA to evaluate the potential risk causes in the process of infectious medical waste disposal, devise standard procedures concerning the waste, and propose feasible plans for facilitating the detection of exceptional cases of infectious waste. The analysis revealed the following results regarding medical institutions: (a) FMEA can be used to identify the risk factors of infectious waste disposal. (b) During the infectious waste disposal process, six items were scored over 100 in the assessment of uncontrolled risks: erroneous discarding of infectious waste by patients and their families, erroneous discarding by nursing staff, erroneous discarding by medical staff, cleaning drivers pierced by sharp articles, cleaning staff pierced by sharp articles, and unmarked output units. Therefore, the study concluded that it was necessary to (1) provide education and training about waste classification to the medical staff, patients and their families, nursing staff, and cleaning staff; (2) clarify the signs of caution; and (3) evaluate the failure mode and strengthen the effects.

  1. Analysis of potential self-guarantee tests for demonstrating financial assurance by non-profit colleges, universities, and hospitals and by business firms that do not issue bonds

    SciTech Connect (OSTI)

    Bailey, P.; Dean, C.; Collier, J.; Dasappa, V.; Goldberg, W.

    1997-06-01

    The Nuclear Regulatory Commission (NRC) on December 29, 1993, promulgated self-guarantee requirements that materials licensees may use to demonstrate financial assurance for decommissioning costs. However, nonprofit colleges and universities, nonprofit hospitals, and for-profit firms that do not issue bonds are currently precluded, by their unique accounting and financial reporting systems, or by other features of their business practices, from using the financial tests for self-guarantors adopted by the NRC. This Report evaluates several alternative financial tests that might serve as the basis for self-guarantee by these three categories of licensees.

  2. Radiation dose in coronary angiography and intervention: initial results from the establishment of a multi-centre diagnostic reference level in Queensland public hospitals

    SciTech Connect (OSTI)

    Crowhurst, James A; Whitby, Mark; Thiele, David; Halligan, Toni; Westerink, Adam; Crown, Suzanne; Milne, Jillian

    2014-09-15

    Radiation dose to patients undergoing invasive coronary angiography (ICA) is relatively high. Guidelines suggest that a local benchmark or diagnostic reference level (DRL) be established for these procedures. This study sought to create a DRL for ICA procedures in Queensland public hospitals. Data were collected for all Cardiac Catheter Laboratories in Queensland public hospitals. Data were collected for diagnostic coronary angiography (CA) and single-vessel percutaneous intervention (PCI) procedures. Dose area product (P{sub KA}), skin surface entrance dose (K{sub AR}), fluoroscopy time (FT), and patient height and weight were collected for 3 months. The DRL was set from the 75th percentile of the P{sub KA.} 2590 patients were included in the CA group where the median FT was 3.5 min (inter-quartile range = 2.3–6.1). Median K{sub AR} = 581 mGy (374–876). Median P{sub KA} = 3908 uGym{sup 2} (2489–5865) DRL = 5865 uGym{sup 2}. 947 patients were included in the PCI group where median FT was 11.2 min (7.7–17.4). Median K{sub AR} = 1501 mGy (928–2224). Median P{sub KA} = 8736 uGym{sup 2} (5449–12,900) DRL = 12,900 uGym{sup 2}. This study established a benchmark for radiation dose for diagnostic and interventional coronary angiography in Queensland public facilities.

  3. CLIMATE CHANGE FUEL CELL PROGRAM 200 kW - PC25C FUEL CELL POWER PLANT FOR THE ST.-AGNES-HOSPITAL, BOCHOLT, GERMANY

    SciTech Connect (OSTI)

    Dipl.-Ing. Knut Stahl

    2002-01-31

    Since the beginning of the Year 2001, the Saint-Agnes-Hospital in Bocholt, Germany, operates a phosphoric acid fuel cell (PAFC) to provide the base load of electrical power as well as heat in Winter and air conditioning in Summer. The project was made possible by federal funding from the U.S. Department of Energy as well as by a strategic alliance with the local utility company, the Bocholter Energie- und Wasserversorgung GmbH (BEW), and with the gas supplier of BEW, the Thyssengas GmbH. The fuel cell power plant is combined with an absorption chiller. It is highly efficient and has an excellent power to heat ratio. The operation during the first Year went smoothly and nearly free of trouble.

  4. SU-E-T-317: The Development of a DIBH Technique for Left Sided Breast Patients Undergoing Radiation Therapy Utilizing Varians RPM System in a Community Hospital

    SciTech Connect (OSTI)

    Hasson, B; Young, M; Workie, D; Geraghty, C

    2014-06-01

    Purpose: To develop and implement a Deep Inhalation Breath Hold program (DIBH) for treatment of patients with Left-sided breast cancer in a community hospital. Methods: All patients with left sided breast cancer underwent a screening free breathing CT. Evaluation of the conventional tangent treatment fields and the heart was conducted. If the heart would not be excluded using tangents, the patient then received DIBH breathe coaching. The patients returned for a 4D CT simulation. The patients breathing cycle was monitored using the Varian Real-Time position ManagementTM (RPM) system to assess duration of DIBH, amplitude, phase and recovery time to normal breathing. Then a DIBH CT was obtained at the desired amplitude. Duplicate plans were developed for both free breathing and DIBH on the Eclipse planning system and comparison DVH's were created. The plan that provided the prescribed treatment coverage and the least doses to the OAR (heart, Lt. Lung) was determined. Those patients selected to receive treatment with DIBH were set up for treatment, and breathing was monitored using the RPM system. Practice trials were used to confirm that the amplitude, phase and recovery were consistent with findings from simulation. Results: 10 patients have been treated using the DIBH procedure in our clinic. The DIBH patients had an average increase of 80% lung volume on DIBH, decreased lung volume receiving 50% of the dose, and decreases in the V20 dose. Significant reduction in the maximum and mean dose to the heart, as well as the dose to 1CC of the volume for the DIBH plans. Conclusion: Using the RPM system already available in the clinic, staff training, and patient coaching a simple DIBH program was setup. The use of DIBH has shown promise in reducing doses to the critical organs while maintaining PTV coverage for left sided breast treatments.

  5. Archived Reference Building Type: Hospital

    Broader source: Energy.gov [DOE]

    Here you will find past versions of the commercial reference building models for existing buildings constructed before 1980, organized by building type and location. A summary ofbuilding types and climate zones is available for reference. Current versions are also available.

  6. Archived Reference Building Type: Hospital

    Broader source: Energy.gov [DOE]

    Here you will find past versions of the commercial reference building models for existing buildings constructed in or after 1980, organized by building type and location. A summary of building types and climate zones is available for reference. Current versions are also available.

  7. Reference Buildings by Building Type: Hospital

    Broader source: Energy.gov [DOE]

    In addition to the ZIP file for each building type, you can directly view the "scorecard" spreadsheet that summarizes the inputs and results for each location. This Microsoft Excel spreadsheet is also included in the ZIP file. For version 1.4, only the IDF file is included.

  8. Category:Hospital | Open Energy Information

    Open Energy Info (EERE)

    of Memphis Tennessee (Utility Company).png SVHospital Nashville T... 71 KB SVHospital Salt Lake City UT Moon Lake Electric Assn Inc (Utah).png SVHospital Salt Lake C... 57 KB...

  9. Hospital Sterile Processing | GE Global Research

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    accounting and sterilization of surgical tools and kits. You Might Also Like IMG0475 Innovation 247: We're Always Open MunichinteriorV 10 Years ON: From the Lab to the...

  10. 2007 CBECS Large Hospital Building Methodology Report

    Annual Energy Outlook [U.S. Energy Information Administration (EIA)]

    that were present in the building, the types of energy sources used, and the amount and cost of energy used in the building in the year 2007. If the respondents to the Building ...

  11. Evaluation of Current Consensus Statement Recommendations for Accelerated Partial Breast Irradiation: A Pooled Analysis of William Beaumont Hospital and American Society of Breast Surgeon MammoSite Registry Trial Data

    SciTech Connect (OSTI)

    Wilkinson, J. Ben; Beitsch, Peter D.; Shah, Chirag; Arthur, Doug; Haffty, Bruce G.; Wazer, David E.; Shaitelman, Simona F.; Lyden, Maureen; Chen, Peter Y.; Vicini, Frank A.

    2013-04-01

    Purpose: To determine whether the American Society for Radiation Oncology (ASTRO) Consensus Statement (CS) recommendations for accelerated partial breast irradiation (APBI) are associated with significantly different outcomes in a pooled analysis from William Beaumont Hospital (WBH) and the American Society of Breast Surgeons (ASBrS) MammoSite® Registry Trial. Methods and Materials: APBI was used to treat 2127 cases of early-stage breast cancer (WBH, n=678; ASBrS, n=1449). Three forms of APBI were used at WBH (interstitial, n=221; balloon-based, n=255; or 3-dimensional conformal radiation therapy, n=206), whereas all Registry Trial patients received balloon-based brachytherapy. Patients were divided according to the ASTRO CS into suitable (n=661, 36.5%), cautionary (n=850, 46.9%), and unsuitable (n=302, 16.7%) categories. Tumor characteristics and clinical outcomes were analyzed according to CS group. Results: The median age was 65 years (range, 32-94 years), and the median tumor size was 10.0 mm (range, 0-45 mm). The median follow-up time was 60.6 months. The WBH cohort had more node-positive disease (6.9% vs 2.6%, P<.01) and cautionary patients (49.5% vs 41.8%, P=.06). The 5-year actuarial ipsilateral breast tumor recurrence (IBTR), regional nodal failure (RNF), and distant metastasis (DM) for the whole cohort were 2.8%, 0.6%, 1.6%. The rate of IBTR was not statistically higher between suitable (2.5%), cautionary (3.3%), or unsuitable (4.6%) patients (P=.20). The nonsignificant increase in IBTR for the cautionary and unsuitable categories was due to increased elsewhere failures and new primaries (P=.04), not tumor bed recurrence (P=.93). Conclusions: Excellent outcomes after breast-conserving surgery and APBI were seen in our pooled analysis. The current ASTRO CS guidelines did not adequately differentiate patients at an increased risk of IBTR or tumor bed failure in this large patient cohort.

  12. Hilton Worldwide is First Hospitality Company Certified under...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    based on the International Hilton Image.jpg Standards Organization (ISO) 50001 standard. ... For Hilton Worldwide, SEP certification follows the company's system-wide ISO 50001 Energy ...

  13. 2007 CBECS Large Hospital Building List of Tables

    Gasoline and Diesel Fuel Update (EIA)

    Energy Supply Crude Oil Production (a) (million barrels per day) ......................... 9.48 9.50 9.43 9.32 9.17 8.87 8.45 8.44 8.42 8.36 8.16 8.29 9.43 8.73 8.31 Dry Natural Gas Production (billion cubic feet per day) ..................... 73.41 74.03 74.85 73.96 74.43 73.26 74.06 74.99 75.67 76.09 76.25 76.93 74.06 74.19 76.24 Coal Production (million short tons) ................................ 240 211 237 207 173 154 205 200 192 171 205 196 895 732 764 Energy Consumption Liquid Fuels

  14. PRE-HOSPITAL PRACTICES FOR HANDLING A RADIOLOGICALLY CONTAMINATED...

    Office of Environmental Management (EM)

    ... or ERG, include: Medical problems take priority over ... Universal precautions protective clothing worn by emergency ... Training programs and planning tools are offered through the ...

  15. Pre-Hospital Practices for Handling a Radiologically Contaminated Patient

    Broader source: Energy.gov [DOE]

    The purpose of this User’s Guide is to provide instructors with an overview of the key points covered in the video.  The Student Handout portion of this Guide is designed to assist the instructor...

  16. Energy Characteristics and Energy Consumed in Large Hospital Buildings in

    Gasoline and Diesel Fuel Update (EIA)

    Information Administration Petprod - U.S. Energy Information Administration (EIA) U.S. Energy Information Administration - EIA - Independent Statistics and Analysis Sources & Uses Petroleum & Other Liquids Crude oil, gasoline, heating oil, diesel, propane, and other liquids including biofuels and natural gas liquids. Natural Gas Exploration and reserves, storage, imports and exports, production, prices, sales. Electricity Sales, revenue and prices, power plants, fuel use, stocks,

  17. Distributed Generation Study/Wyoming County Community Hospital...

    Open Energy Info (EERE)

    Combustion Engine Prime Mover Waukesha VGF L36GSID Heat Recovery Systems Built-in Fuel Natural Gas System Installer Gerster Trane System Enclosure Indoor System Application...

  18. NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital...

    National Nuclear Security Administration (NNSA)

    This latest contribution will help expand services for children with chronic conditions such as cystic fibrosis and other special needs. The expansion will include 44 private ...

  19. Energy Department’s Hospital Energy Alliance Helps Partner Save Energy and Money

    Office of Energy Efficiency and Renewable Energy (EERE)

    How energy efficiency is helping one healthcare organization improve facilities and reduce environmental impacts.

  20. Text-Alternative Version: Better than CFL? Dimmable LED Downlights in Hospitality Facilities Webinar

    Broader source: Energy.gov [DOE]

    Linda Sandahl: First, I’m very happy to welcome our speakers: Bob Davis of Pacific Northwest National Laboratory and Ardra Zinkon of Tec Studio.

  1. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    1 Medical Offices, Utilities Cost Per Square Foot ($2010) Expense All HVAC Electricity 2.39 1.81 1.84 Non-HVAC Electricity N/A 1.51 1.53 Natural Gas 0.52 0.41 0.41 Water/Sewer 0.15 0.22 0.21 Overall Utilities (1) 2.53 2.59 2.57 Note(s): Source(s): Downtown Suburban 1) Does not equal sum of the other categories. Can also include purchased steam, purchased chilled water, and fuel oil. BOMA International, The Experience Exchange Report 2010, 2010

  2. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    2 Inpatient Medical Facilities Square Footage, Delivered Energy, Energy Intensity, Selected Years (billion) 1999 1.87 0.43 229.0 2003 1.91 0.48 249.3 2008 2.15 0.45 210.1 2010 2.24 0.48 213.7 2015 2.45 0.51 208.2 2020 2.66 0.54 202.9 2025 2.88 0.56 194.8 2030 3.09 0.59 190.9 2035 3.30 0.61 184.6 Source(s): Total Square Footage Energy Use Energy Intensity (quadrillion Btus) (thousand Btus/SF) EIA, The Commercial Energy Consumption Survey 2003, Table A2, Census Region, Number of Buildings and

  3. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    5 Energy Benchmarks for Existing Outpatient Buildings, by Selected City and End-Use (thousand Btu per square foot) IECC Post Pre Post Pre Post Pre Post Pre Miami 1A 65.4 60.3 69.6 61.9 0.7 0.7 24.6 23.9 Houston 2A 73.2 76.2 54.0 52.9 0.8 0.8 22.1 24.0 Phoenix 2B 79.1 79.8 54.7 52.9 0.7 0.7 23.8 25.3 Atlanta 3A 83.1 91.1 41.8 42.1 0.9 0.9 22.1 24.6 Los Angeles 3B 87.8 86.3 37.4 35.6 0.9 0.9 22.5 23.1 Las Vegas 3B 76.6 80.5 44.1 44.0 0.8 0.8 23.2 25.5 San Francisco 3C 85.0 93.4 25.0 24.7 1.0 1.0

  4. Buildings Energy Data Book: 3.8 Hospitals and Medical Facilities

    Buildings Energy Data Book [EERE]

    6 Energy Benchmarks for Newly Constructed Outpatient Buildings, by Selected City and End-Use (thousand Btu per square foot) Miami 1A Houston 2A Phoenix 2B Atlanta 3A Los Angeles 3B Las Vegas 3B San Francisco 3C Baltimore 4A Albuquerque 4B Seattle 4C Chicago 5A Boulder 5B Minneapolis 6A Helena 6B Duluth 7 Fairbanks 8 Note(s): Source(s): 99.7 8.8 1.4 17.7 Commercial building energy benchmarks are based off of the current stock of commercial buildings and are designed to provide a consistent

  5. Hospital Triage in the First 24 Hours after a Nuclear or Radiological...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    ... take place before laboratory test results are available. ... Diagnosis and Treatment of Radiation Injuries. Safety ... In CRC Handbook of Management of Radiation Protection Programs, ...

  6. Endoluminal Intervention in the Salivary Duct: Clinical Outcomes at a District General Hospital

    SciTech Connect (OSTI)

    Nagra, I.; Jones, C.; Dyer, J.

    2010-04-15

    Our aim was to assess the preliminary clinical outcomes of interventional radiology for salivary duct obstruction in relation to salivary duct strictures or calculi. A retrospective analysis of consecutive patients referred for endoluminal procedures by ENT surgeons during a 4-year period were identified. The procedure was performed by a single interventional radiologist under fluoroscopic guidance using wire baskets and angioplasty balloons. Between June 2004 and October 2008, 50 sialoplasties were performed in 43 patients (30 female and 13 male). Twenty-six patients were prepared for 32 procedures for extraction of calculi (13 submandibular and 13 parotid), and 17 patients had 18 procedures for strictures (16 parotid and 1 submandibular). One patient in the group with calculi was judged unsuitable for intervention because the stone had migrated outside the salivary duct. Information was collected regarding the clinical indication; duration and type of symptoms; technical factors; follow-up; and success or failure of reintervention. Complete stone removal was achieved in 18 of the 26 patients (69%), with success on the first attempt in 14 patients (54%). Redo procedures were required in 4 patients (15%), with subsequent complete clearance of calculi. In this cohort, 20 patients were symptomatically improved (77%). Of the 6 patients (26%) with continuing symptoms, 2 patients had mild symptoms; two had moderate symptoms; and two patients opted to have surgery for unremitting symptoms. In the stricture group, 18 procedures were performed in 17 patients, with a successful outcome in 16 patients after the initial sialoplasty. Only 1 patient required repeat intervention (6%) and later opted to have surgery for continuing symptoms. In this group, 14 patients (82%) were symptomatically improved, and 3 remained symptomatic despite a good immediate result due to restenosis. Two patients experienced early complications: One had a transient facial nerve palsy, and the other had sialadenitis treated with antibiotics. Preliminary results suggest that symptom resolution at first intervention is higher in patients with acalculous strictures. Patients with calculi are more likely to require a repeat procedure for complete clearance.

  7. SU-E-T-68: Clinical Implementation of Total Skin Electron Beam Therapy: A New- York Presbyterian Hospital Experience

    SciTech Connect (OSTI)

    Afghan, M; Shih, R; Chen, H

    2014-06-01

    Purpose: Total skin electron beam therapy (TSET) is used in the treatment of rare skin diseases such as mycosis fungoides, the most common type of cutaneous T-cell lymphoma. We report our experience with clinical implementation of TSET. Methods: A modified six-dual-field irradiation technique was chosen to deliver TSET. A Varian Trilogy linear accelerator with a nominal 6 MeV beam using high dose rate total skin electron mode (HDTSe) was employed. The recommendations of AAPM task group report 23 were followed for the commissioning. An acrylic plate (energy degrader) of 3.2 mm depth was mounted on the HDTSe applicator. The nominal source to skin distance was set at 450 cm. The optimum tilt angle of the gantry was determined using NACP-02 ionization chamber embedded in certified therapy grade solid water. Percent depth dose measurements were performed using ionization chamber and radiochromic films embedded in solid water and anthropomorphic phantom. For absolute dose measurements, TG-51 formalism was employed. The dose distribution on the entire skin was measured by irradiating the anthropomorphic phantom, with TLDs attached, mimicking the real treatment. Results: The 3.2 mm acrylic plate mounted on the HDTSe applicator degraded the energy of the electron beam to 4.1 MeV in the treatment plane, located at an SSD of 450 cm. The optimum tilt angle was found to be ±20°. A single-dual field had a longitudinal uniformity, measured at a depth of dose maximum, of ±7% over a length of about 200 cm. For the entire treatment the multiplication factor was found to be 2.86. On the surface of the phantom, the dose varied from 108% to 93% of the prescription dose. Conclusion: We have successfully commissioned TSET meeting the guidelines of the TG report 23, and treated our first patient on February 25, 2014.

  8. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

    (1) Appelt, Ane Danish Colorectal Cancer Group South, Vejle Hospital, Vejle ...lb.regionsyddanmark.dk Danish Colorectal Cancer Group South, Vejle Hospital, Vejle ...

  9. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

    ... (1) Appelt, Ane Danish Colorectal Cancer Group South, Vejle Hospital, Vejle ...lb.regionsyddanmark.dk Danish Colorectal Cancer Group South, Vejle Hospital, Vejle ...

  10. TRPM7 is required for ovarian cancer cell growth, migration and...

    Office of Scientific and Technical Information (OSTI)

    The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013 (China) Department of Obstetrics and Gynaecology, Xiangya Hospital, Central ...

  11. http://southernhillshospital.com/

    National Nuclear Security Administration (NNSA)

    Hospital * Copyright ehc.com; All rights reserved. Terms of Use * Privacy Notice * Social Media Policy * Newsroom * Site Map * Page 6 of 6 A full service hospital serving...

  12. Next Generation Luminaire (NGL) Downlight Demonstration Project...

    Energy Savers [EERE]

    Luminaire (NGL) Downlight Demonstration Project: St. Anthony's Hospital Next Generation Luminaire (NGL) Downlight Demonstration Project: St. Anthony's Hospital The U.S. DOE ...

  13. Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) (Revised) DOE and NREL Technical Assistance Building Green in Greensburg: Kiowa County Memorial Hospital

  14. Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Memorial Hospital in Greensburg, Kansas. PDF icon 47461.pdf More Documents & Publications Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) ...

  15. ORISE: Exercise Builder software tool helps DOE design and implement...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Administration to develop an exercise tool for hospitals known as Exercise Builder: Hospital. The VA serves nearly eight million veteran enrollees and their families at more than...

  16. Hanford prototype-barrier status report: FY 1997

    SciTech Connect (OSTI)

    Ward, A.L.; Gee, G.W.; Link, S.O.

    1997-12-01

    An above-grade surface barrier consisting of a vegetated soil-cover, surrounded by gravel and rock side slopes, is being tested for the US Department of Energy (DOE). It is part of a treatability study at the 200-BP-1 Operable Unit in the 200 East Area of the Hanford Site, near Richland, Washington. The surface barrier, constructed in 1994, covers 2.5 ha (6.9 acre) of land surface and is situated over an inactive liquid-waste disposal crib. A set of under drains, built into the barrier using curbed asphalt, allows precise measurement of drainage from the soil cover and the side slopes. The treatability test includes measurements of water balance, wind and water erosion, subsidence, plant growth, and plant and animal intrusion. The test compares the performance of the barrier under ambient and simulated climate change (elevated precipitation) conditions. This report documents findings from the third year of testing.

  17. 2007 CNM Users Meeting | Argonne National Laboratory

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    List of Tables Main Report | Methodology | FAQ | List of Tables CBECS 2007 - Release date: August 17, 2012 Table H1: Structural and Geographical Information for Large Hospitals Table H2: Fuels and End Uses in Large Hospitals Table H3: End Use Equipment in Large Hospitals Table H4: Lighting and Window Features in Large Hospitals Table H5: Major Fuels Usage for Large Hospitals Table H6: Electricity Usage for Large Hospitals Table H7: Natural Gas Usage for Large Hospitals Table H8: Water

  18. Cutting Edge Building Technologies – Join the fun!

    Broader source: Energy.gov [DOE]

    Presenters: Andy Mitchell, U.S. Department of Energy; Roberto Nunez, New York Presbyterian Hospital; Udi Meriav, enVerid

  19. Energy Upgrades to Alabama Trauma Center Help Improve Patient Care

    Broader source: Energy.gov [DOE]

    In Alabama, a Recovery Act grant is helping a hospital save energy while providing better care to its patients.

  20. Welcome to

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    * Nuclear Vendors Designing Reactor Systems * Hospitals and Medical Firms * Pharmaceutical Companies * National Defense Organizations * Investment Managers * Research Firms...

  1. Microsoft Word - 2009 EIA-782ab surveys reference guide 1.doc

    U.S. Energy Information Administration (EIA) Indexed Site

    BoatingFishing Defense Energy Support Center (DESC) Fleet Sales Government: FederalStateLocal Hospitals Landscaping Companies Military Nurseries...

  2. Tax Credits, Rebates & Savings | Department of Energy

    Broader source: Energy.gov (indexed) [DOE]

    and business customers including industrial facilities, major remodels, offices, schools, hospitals, retail, non-profits and... Eligibility: Commercial, Construction,...

  3. CNS | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    CNS NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. NNSA's management and operations partner Consolidated Nuclear Security (CNS) continued its legacy of community giving this

  4. Antitrust exemptions for international energy program participants, and schools and hospitals energy-conservation programs. Hearing before the Subcommittee on Energy and Power of the Committee on Interstate and Foreign Commerce, House of Representatives, Ninety-Sixth Congress, First Session on H. R. 4445, July 16, 1979

    SciTech Connect (OSTI)

    Not Available

    1980-01-01

    The text of H.R. 4445, a bill to amend the Energy Policy and Conservation Act (EPCA), is presented. The hearings were conducted to examine the activities of the oil companies that participated in voluntary agreements to carry out the international energy program. The conduct of that program by the governmental agencies and appropriate statutes are investigated. Under the provisions of EPCA, the voluntary agreements must be approved by the Attorney General. The law also requires that meetings of oil companies that participate in these agreements be closely monitored by Federal officials, that transcripts be made of all such meetings, and that all necessary steps are taken to insure that such activities have the minimum possible anticompetitive effects. If all of these procedures are followed, the law provides a limited antitrust immunity for the activities of the oil companies in carrying out these voluntary agreements. In general, the activities of the oil companies have two major roles in carrying out the international energy program: (1) they supply information to the International Energy Agency to aid it in analyzing the world oil supplies; (2) they establish the mechanisms that would be used by the agency if oil-sharing agreements under the program are triggered. Congressman John D. Dingell, presiding chairman at the hearings, expressed concern with the international energyprogram and the participation of the oil companies; the secrecy that surrounds the meetings of the oil companies; and the nature of the participation of the oil companies in the oil-sharing agreements. Witnesses testifying included Harry E. Bergold, DOE; Ky P. Ewing, Department of Justice; Robert Goodwin, DOE; Kamp, Steven, Lobel, Novins, and Lamont; Julius L. Katz, DOS; William J. Lamont, attorney; Willian B. McGurn, III and Charles D. Mahaffie, Cleary, Gottlieb, Steen, and Hamilton; Ronald B. Rowe and Marc G. Schildkraut, Federal Trade Commission.

  5. Vascular flora of the Rocky Flats area, Jefferson County, Colorado, USA

    SciTech Connect (OSTI)

    Nelson, Jody K.

    2010-08-01

    The Rocky Flats Site (Site) is a U.S. Department of Energy (DOE) facility near Golden, Colorado that produced nuclear weapons components during the Cold War. Like many federal properties that have been off-limits to public access for decades, it has become a refugia for biodiversity as surrounding landscapes have been lost to agriculture and urbanization. A floristic study of the area was conducted on approximately 2,505 ha (6,189 ac) and includes the parcels currently managed and operated by DOE and the U.S. Fish and Wildlife Service (Rocky Flats National Wildlife Refuge). A flora of 630 species of vascular plants in 84 families and 340 genera was documented, including 12 species endemic to the southern Rocky Mountains and seven species considered rare or imperiled by the Colorado Natural Heritage Program. The flora of the Site is characterized by a predominantly Western North American floristic element, however, an Adventive floristic element contributes the greatest number of species. The vegetation is dominated by xeric tallgrass prairie and mixed grass prairie, with areas of wetland, shrubland, and riparian woodland.

  6. Vascular flora of the Rocky Flats area, Jefferson County, Colorado, USA

    DOE Public Access Gateway for Energy & Science Beta (PAGES Beta)

    Nelson, Jody K.

    2010-08-01

    The Rocky Flats Site (Site) is a U.S. Department of Energy (DOE) facility near Golden, Colorado that produced nuclear weapons components during the Cold War. Like many federal properties that have been off-limits to public access for decades, it has become a refugia for biodiversity as surrounding landscapes have been lost to agriculture and urbanization. A floristic study of the area was conducted on approximately 2,505 ha (6,189 ac) and includes the parcels currently managed and operated by DOE and the U.S. Fish and Wildlife Service (Rocky Flats National Wildlife Refuge). A flora of 630 species of vascular plants inmore » 84 families and 340 genera was documented, including 12 species endemic to the southern Rocky Mountains and seven species considered rare or imperiled by the Colorado Natural Heritage Program. The flora of the Site is characterized by a predominantly Western North American floristic element, however, an Adventive floristic element contributes the greatest number of species. The vegetation is dominated by xeric tallgrass prairie and mixed grass prairie, with areas of wetland, shrubland, and riparian woodland.« less

  7. How to Join Better Plants | Department of Energy

    Energy Savers [EERE]

    Energy Performance® Designation | Department of Energy Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation January 15, 2016 - 2:25pm Addthis The U.S. Department of Energy (DOE) congratulates Hilton Worldwide for being an energy management pioneer for the hospitality industry-and the commercial sector. In December 2015, three of Hilton

  8. Honoring Our Veterans Through Service | Department of Energy

    Office of Environmental Management (EM)

    Energy Performance® Designation | Department of Energy Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation Hilton Worldwide is First Hospitality Company Certified under Superior Energy Performance® Designation January 15, 2016 - 2:25pm Addthis The U.S. Department of Energy (DOE) congratulates Hilton Worldwide for being an energy management pioneer for the hospitality industry-and the commercial sector. In December 2015, three of Hilton

  9. Regional Information

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Regional Information There is plenty to do and see in the cities of Golden and Denver, Colorado. Here you'll find links to general information about these areas, plus hospitals, local universities and colleges, entertainment, sports, amusement parks, and more. Golden City of Golden Golden's 2-Hour Vacation Denver www.denver.com www.denver.org Denver Public Library Colorado State of Colorado Colorado tourism Transportation (Bus and Light Rail) RTD Hospitals Largest Hospitals in Metro Denver

  10. Curing | GE Global Research

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Curing We're pioneering medical developments, from robotic healthcare assistants to diagnostic tools and specialized, globally deployed gear. Home > Impact > Curing Hospital Management Is Evolving to Reduce Wait Times With hospitals busier than ever and not enough staff to meet the higher demand, going to the hospital can be a series of waiting... Read More » Making High-Value Imaging More Accessible Around the World Advancements in healthcare are creating a paradigm shift in how we

  11. donation | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    donation NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. NNSA's management and operations partner Consolidated Nuclear Security (CNS) continued its legacy of community giving this... Sandia donates 242 computers to northern California schools Sandia National Laboratories electronics technologist Mitch

  12. donations | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    donations NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. NNSA's management and operations partner Consolidated Nuclear Security (CNS) continued its legacy of community giving this... Pantex kicks off United Way campaign Clarence Rashada holds up a sign expressing Pantexans' support during the United

  13. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

    ... E. ; Patel, Shilpen ; Mulligan, Michael S. ; Douglas, James G. ; Department of Pediatrics, Children's Hospital and Regional Medical Center, Seattle, WA ; Department of ...

  14. Tax Credits, Rebates & Savings | Department of Energy

    Broader source: Energy.gov (indexed) [DOE]

    Eligible applicants include: Corporations Public school districts Hospitals (public, private, and non-profit) Institutions of higher learning Sole proprietors and partnerships...

  15. C:\\Forms\\DOE F 3305.11.cdr

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    ... Welfare (02) Personnel Management and Industrial Relations ... and Budget (06) Medical, Hospital, Dental, and Public ... new information suggests a change is needed. 95. Adjust ...

  16. Spatial and temporal variations in indoor environmental conditions...

    Office of Scientific and Technical Information (OSTI)

    conditions, human occupancy, and operational characteristics in a new hospital building Prev Next Title: Spatial and temporal variations in indoor environmental...

  17. AppendixD_SRG_Staff_

    Office of Environmental Management (EM)

    would not be eligible for Section 180(c) funds. ... and elsewhere in the Federal Government includes hospital ... on some tribal lands, the Department will ...

  18. ESPC 2.0: How New Twists on Energy Savings Performance Contracting are Improving Energy Efficiency in U.S. Buildings

    Broader source: Energy.gov [DOE]

    Join Better Buildings Challenge Partners and Allies to learn how Energy Savings Performance Contracting (ESPC) is moving beyond the traditional education and hospital sector markets.

  19. Badging

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    State-issued Birth Certificate (hospital issued is not allowed) U.S. Passport (must be current) Certificate of Naturalization Record of Military Processing...

  20. Q&As with 2015 ATPESC Scholars | Argonne Leadership Computing...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    SchoolMIT department of Health Sciences and Technology. My research is in the neurology department at Massachusetts General Hospital, where we collect 10s of terabytes of...

  1. Commercial Sector Financing Needs and Opportunities | Department...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    buildings such as offices, malls, hotels, and retail stores, along with nonprofit facilities (private nonprofit hospitals, schools, higher education, YMCAs, museums, etc.). ...

  2. Semiannual Report to Congress: October 1, 2002 - March 31, 2003

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    effectively implemented and adequately managed its May 11, 1999, emergency medical response agreement with Stony Brook University Hospital (Stony Brook). The inspection...

  3. Tax Credits, Rebates & Savings | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    upgrades. Eligible applicants include: Corporations Public school districts Hospitals (public, private, and non-profit) Institutions of higher learning Sole proprietors and...

  4. Tax Credits, Rebates & Savings | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Loan Program Lawton Loans can be made to eligible nonprofits, including hospitals and private schools; local governments, including public school systems and community...

  5. BuildSmart NY Innovators Summit Offers Sneak Peek at Better Buildings...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    is approximately 205 million square feet of real estate, including universities, prisons, mental health hospitals, office buildings, and facilities that house its trains, buses,...

  6. Better Buildings Challenge, Atlanta Nears Halfway Mark in Meeting...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    improvements across its building portfolio including offices, hospitals, and sports arenas, it is sharing these achievements more broadly with others and fostering competition...

  7. Beijing PowerU Technology | Open Energy Information

    Open Energy Info (EERE)

    company provide energy savings for large commercial and public buildings such as airport, hospitals and factories. Coordinates: 39.90601, 116.387909 Show Map Loading...

  8. Tax Credits, Rebates & Savings | Department of Energy

    Broader source: Energy.gov (indexed) [DOE]

    prescriptive rebates are available to commercial and industrial customers in a range of industries. Schools, non-profits, hospitals, government buildings and institutional...

  9. DOE-Idaho Operations Summary For July 19 to August 8, 2011

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    The operator was transported to the hospital for evaluation and treatment, all bolt tensioning operations were placed on hold and an investigation into the event was initiated. ...

  10. Sector Collaborative on Energy Efficiency

    SciTech Connect (OSTI)

    none,

    2008-06-01

    Helps stakeholders identify and act on cost-effective opportunities for expanding energy efficiency resources in the hospitality, retail, commercial real estate, grocery, and municipal sectors.

  11. Tacoma Power- Commercial and Industrial Energy Efficiency Rebate Programs

    Broader source: Energy.gov [DOE]

    Tacoma Power’s New Construction Program is designed for commercial and business customers including industrial facilities, major remodels, offices, schools, hospitals, retail, non-profits and...

  12. --No Title--

    U.S. Energy Information Administration (EIA) Indexed Site

    '05''Retail complex' '06''Religious campus or complex' '07''Hospital or other health care complex' '08''Lodging or resort complex' '09''Post office complex' '10''Other...

  13. EERE Success Story-Illinois: EERE-Sponsored Clean Energy Competition...

    Office of Environmental Management (EM)

    Root3 Technologies provides hosted software as a service solution that reduces energy costs 10%-30% in onsite energy plants for universities, hospitals, airports, and military ...

  14. The Business Case for Fuel Cells 2014: Powering the Bottom Line...

    Office of Environmental Management (EM)

    These include wastewater treatment plants, government buildings, universities, military bases, hospitals, and other sites. The Business Case for Fuel Cells 2014: Powering the ...

  15. Tax Credits, Rebates & Savings | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    and heating and cooling system upgrades. Eligible applicants include: Corporations Public school districts Hospitals (public, private, and non-profit) Institutions of higher...

  16. Type B Investigation Board Report on the April 2, 2002, Worker...

    Broader source: Energy.gov (indexed) [DOE]

    sustained head injuries requiring hospitalization that exceeded the threshold for a Type B investigation in accordance with Department of Energy (DOE) Order 225.1A, Accident...

  17. A Case for Commissioning of CHP Systems - Presentation, April...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    hospital in Austin, Texas, was retrofitted with a combustion turbine, heat recovery steam generator, absorption and electric chillers, and thermal storage. ...

  18. Microsoft Word - Zn-DTPA Insert_2 Pages.doc

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    ... gmbh Langes Feld 13, 31789 Hameln, Germany Date of report: Unique patient identifier Patient ID Name: Date of birth: Sex: Male Female Address: Phone: Hospitalization: No Yes Where? ...

  19. Title 40 CFR 30 Uniform Administrative Requirements for Grants...

    Open Energy Info (EERE)

    Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations Jump to: navigation, search OpenEI...

  20. NREL International Programs

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    ... NREL has assisted in bringing these basic services to clinics in Mexico, Ecuador, and Haiti, among others. For example, one Haitian hospital's surgery, dental clinic, lavatory, and ...

  1. A State-Wide Research Network for Alzheimer's Disease (Technical...

    Office of Scientific and Technical Information (OSTI)

    Contributing Orgs: MUSC & Ralph H. Johnson VAMC, Charleston, SC Senior Primary Care, Columbia, SC Comprehensive Neurological Services, Florence, SC Hospital Medicine Consultants, ...

  2. EAC Recommendations for DOE Action on a Strategic Portable Generation...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    ... repair of the distribution system with all haste, giving priority to critical facilities (hospitals, police, fire, etc.) and to those circuits with the greatest load density. ...

  3. Tax Credits, Rebates & Savings | Department of Energy

    Broader source: Energy.gov (indexed) [DOE]

    Jane E. Lawton Conservation Loan Program Lawton Loans can be made to eligible nonprofits, including hospitals and private schools; local governments, including public school...

  4. Congressional and Intergovernmental Affairs Blog | Department...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    of South Alabama Medical Center. Energy Upgrades to Alabama Trauma Center Help Improve Patient Care In Alabama, a Recovery Act grant is helping a hospital save energy while...

  5. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

    ... classical and quantum mechanics, general physics (1) current density (1) density ... Xijing Hospital, Fourth Military Medical University, Xi'an 710032 (China) (1) ...

  6. EERE PowerPoint 97-2004 Template: Green Version

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    significant? - Coastal areas? - Hospitals? - Refinerieschemical plants? - Power plants? * Tap into an 80 GWe (Green and Nix, 2006) resource * Cost of energy dominated by well ...

  7. Opportunity for cogeneration

    SciTech Connect (OSTI)

    Manning, K.

    1996-10-01

    The Lethbridge Regional Hospital is a 264-bed acute care center that offered an excellent opportunity to use a cogeneration system to provide a substantial portion of the hospital`s electrical and steam requirements. Cogeneration is the cost-effective production of two useful forms of energy using a single energy source. The Lethbridge Regional Hospital cogeneration plant produces electrical energy and heat energy using natural gas as the single energy source. The cogeneration project has helped the facility save money on future utility bills, lowered operating costs and produced a cleaner source of power.

  8. 4 Tesla Magnet Facility | Argonne National Laboratory

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    4 Tesla Magnet Facility 4 Tesla Magnet Facility Argonne researchers recently acquired two decommissioned magnets from magnetic resonance imaging (MRI) scanners from hospitals in ...

  9. Envision Charlotte Project

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Envision Charlotte Project 2016 Building Technologies Office Peer Review Mac McCord ... Real Estate & Hospitality; 2) Higher Education; 3) Healthcare; and 4) Retail Impact ...

  10. Attendee Lists BNL June 4.xlsx

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    National Energy Technology Laboratory (NET Servedio, Charles North Shore LIJ Hospital Silva, Paulo Burns & McDonnell Engineering Stamenkovic, Igor Eaton Stamp, Jason Sandia ...

  11. Jane E. Lawton Conservation Loan Program

    Broader source: Energy.gov [DOE]

    Lawton Loans can be made to eligible nonprofits, including hospitals and private schools; local governments, including public school systems and community colleges; and businesses. (Eligible nonp...

  12. Sold directly to consumers for:

    U.S. Energy Information Administration (EIA) Indexed Site

    Commercial BoatingFishing Defense Energy Support Center (DESC) Fleet Sales Government: FederalStateLocal Hospitals Landscaping Companies Military NurseriesGreenhouses Office ...

  13. Healthcare Energy: Spotlight on Lighting and Other Electric Loads...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    See below for a few highlights from monitoring lighting and other electric loads. Lighting and Other Electric Loads at the Gray Building For the Massachusetts General Hospital Gray ...

  14. Rebuilding It Better: Greensburg, Kansas, High Performance Buildings...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    to Triumph: Rebuilding Greensburg, Kansas To Be a 100% Renewable Energy City: Preprint Rebuilding it Better: Greensburg, Kansas, Kiowa County Memorial Hospital (Brochure) (Revised)

  15. Commercial Absorption Heat Pump Water Heater

    Broader source: Energy.gov (indexed) [DOE]

    Absorption Heat Pump Water Heater 2016 Building Technologies Office Peer Review Patrick ... The target market is the hospital, hotel and full service restaurant gas hot water heating ...

  16. 2001 - 02 | Jefferson Lab

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    2001 Wed, 02212001 - 12:00am Clinical Tests Reveal Potential Breakthrough in Breast Cancer Detection (The George Washington University Hospital) Sun, 02182001 - 12:00am Next...

  17. Tax Credits, Rebates & Savings | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    school districts Hospitals (public, private, and non-profit) Institutions of higher learning Sole proprietors and partnerships National or regional headquarters operations...

  18. MDA- Energy Efficiency Revolving Loan Program | Department of...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    school districts Hospitals (public, private, and non-profit) Institutions of higher learning Sole proprietors and partnerships National or regional headquarters operations...

  19. Tax Credits, Rebates & Savings | Department of Energy

    Broader source: Energy.gov (indexed) [DOE]

    heating and cooling system upgrades. Eligible applicants include: Corporations Public school districts Hospitals (public, private, and non-profit) Institutions of higher learning...

  20. Tax Credits, Rebates & Savings | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    lighting retrofits and heating and cooling system upgrades. Eligible applicants include: Corporations Public school districts Hospitals (public, private, and non-profit)...

  1. SPECIAL TERMS AND CONDITIONS FOR USE IN MOST GRANTS AND COOPERATIVE

    Energy Savers [EERE]

    ... plutonium, uranium enriched in the isotope 233 or 235, and any other material so ... This does not include group life, health, hospitalization or medical reimbursement plans ...

  2. Microsoft Word - GNEP Website Glossary 2006-02-03_no_links.doc

    Office of Environmental Management (EM)

    ... Copyright 2003-2005, International Atomic Energy Agency. Isotope An isotope is an atom ... Industries; hospitals and medical, educational, or research institutions; private or ...

  3. Audit Report: IG-0861 | Department of Energy

    Energy Savers [EERE]

    of wholesale electric power to regional utilities that service homes, hospitals, financial institutions, commercial entities and military installations in the Pacific Northwest. ...

  4. Cost and Reimbursement for Three Fibroid Treatments: Abdominal Hysterectomy, Abdominal Myomectomy, and Uterine Fibroid Embolization

    SciTech Connect (OSTI)

    Goldberg, Jay Bussard, Anne; McNeil, Jean; Diamond, James

    2007-02-15

    Purpose. To compare costs and reimbursements for three different treatments for uterine fibroids. Methods. Costs and reimbursements were collected and analyzed from the Thomas Jefferson University Hospital decision support database from 540 women who underwent abdominal hysterectomy (n 299), abdominal myomectomy (n = 105), or uterine fibroid embolization (UFE) (n = 136) for uterine fibroids during 2000-2002. We used the chi-square test and ANOVA, followed by Fisher's Least Significant Difference test, for statistical analysis. Results. The mean total hospital cost (US$) for UFE was $2,707, which was significantly less than for hysterectomy ($5,707) or myomectomy ($5,676) (p < 0.05). The mean hospital net income (hospital net reimbursement minus total hospital cost) for UFE was $57, which was significantly greater than for hysterectomy (-$572) or myomectomy (-$715) (p < 0.05). The mean professional (physician) reimbursements for UFE, hysterectomy, and myomectomy were $1,306, $979, and $1,078, respectively. Conclusion. UFE has lower hospital costs and greater hospital net income than abdominal hysterectomy or abdominal myomectomy for treating uterine fibroids. UFE may be more financially advantageous than hysterectomy or myomectomy for the insurer, hospital, and health care system. Costs and reimbursements may vary amongst different hospitals and regions.

  5. Category:Utility Rate Impacts on PV Economics By Building Type...

    Open Energy Info (EERE)

    navigation, search Impact of Utility Rates on PV Economics Full Service Restaurant Hospital Large Hotel Large Office Medium Office Midrise Apartment Outpatient Primary School...

  6. A brief overview of some historical details of Oak Ridge, part...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    other major scientific achievements. ORINS, beginning in 1948, served for years as a hospital for terminally ill cancer patients seeking treatment through the use of radioactive...

  7. Midwest Microscopy Meeting on Multiphoton Microscopy and More...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Rochester) Kevin Eliceiri (University of Wisconsin-Madison) Douglas Keene (Shriner's Hospital) John White (UW-Madison) The meeting will be held at the Evanston campus in the...

  8. ExecSummary_SRG _staff_

    Office of Environmental Management (EM)

    method Timing and eligibility Allowable activitiesTraining, including discussion of hospital personnel and equipment Definitions Pass-through requirements Contingency plans...

  9. GATEWAY Univ of Maryland Report | Department of Energy

    Energy Savers [EERE]

    August 2015 POSTINGS Next Generation Luminaire (NGL) Downlight Demonstration Project: St. Anthony's Hospital SSL Adoption by Museums: Survey Results, Analysis, and Recommendations...

  10. Property:Distributed Generation/Site Description | Open Energy...

    Open Energy Info (EERE)

    Store Commercial-Supermarket Commercial-Theater Commercial-Other Institutional-HospitalHealth Care Institutional-Nursing Home Institutional-SchoolUniversity...

  11. Locust Ridge II Wind Farm | Open Energy Information

    Open Energy Info (EERE)

    Scale Wind Facility Status In Service Owner Gamesa Developer Gamesa Energy Purchaser Hospital Customers Location PA Coordinates 40.7067, -76.2238 Show Map Loading map......

  12. New-Hire Packet

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    documents from the List of Acceptable Documents. Expired documents, document copies, hospital birth certificates and laminated documents are NOT acceptable. NOTE: Failure to...

  13. Can Studying Infinite Dimensional Space Help Us Improve Healthcare...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Joint Research Fellow at The MIT Sloan School of Management and Massachusetts General Hospital Massachusetts Institute of Technology Presentation: PDF icon Presentation Abstract:...

  14. Microgrid-Ready Solar PV (Fact Sheet), NREL (National Renewable...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Microgrids allow hospitals, data centers, or other critical facilities to operate even ... The solar energy industry is one of the fastest growing industries in the United States. In ...

  15. Sema4d is required for the development of the hindbrain boundary...

    Office of Scientific and Technical Information (OSTI)

    Cancer Biology Research Centre, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030 (China) Cancer Biology Research Centre, ...

  16. La Fonda on the Plaza, Santa Fe, NM: June 1

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Hospital, Sheffield, UK * Alla Lapidus, Ph.D., Director, Center for Algorithmic Biotechnology SPbSU, Russia * Donna Muzny, M.Sc., Director of Operations, BCM * Shannon ...

  17. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

    First People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai ... submicrostructures was studied in a two-step microfluidic system, which is composed of ...

  18. Browse by Discipline -- E-print Network Subject Pathways: --...

    Office of Scientific and Technical Information (OSTI)

    ... Brigham and Women's Hospital, Harvard University de ... - Department of Biology, San Francisco State University ... de Magalhes, Joo Pedro (Joo Pedro de Magalhes) ...

  19. Browse by Discipline -- E-print Network Subject Pathways: --...

    Office of Scientific and Technical Information (OSTI)

    - Massachusetts General Hospital & Department of Stem Cell ... Mathematics and Statistics, San Diego State University ... do Rio de Janeiro Moreira, Pedro Lopes (Pedro Lopes Moreira) ...

  20. CBECS Archive

    U.S. Energy Information Administration (EIA) Indexed Site

    Archived Publications & Reports (Click on table headings to sort) Title Release Year Cycle Year Format Large Hospital Buildings in the United States in 2007 Release Date: August...

  1. Best Management Practice #12: Laboratory and Medical Equipment...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Best Management Practice 12: Laboratory and Medical Equipment Equipment used in hospitals ... Find more information on the alternative water sources best management practice. Explore ...

  2. 5 Questions for an Expert: Bob Gemmer on Combined Heat and Power...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    to its use makes CHP a reliable source of power for hospitals, schools, office buildings, apartment complexes, and other large buildings that require around-the-clock electricity. ...

  3. Browse by Discipline -- E-print Network Subject Pathways: Geosciences...

    Office of Scientific and Technical Information (OSTI)

    Farrar) - NMR Athinoula A. Martinos Center, Massachusetts General Hospital, Harvard University Farrar, James M. (James M. Farrar) - Department of Chemistry, University of ...

  4. Sandia National Laboratories: News: Publications: Lab News

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    to other bacteria. These opportunistic bacteria can grow on hospital surfaces or in lungs and tissues. The Centers for Disease Control and Prevention says about one in 25...

  5. FY 2012 Volume 2

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    8 Volume 2 f Department of Energy FY 2012 Congressional B d R Budget Request Other Defense Activities Other Defense Activities Departmental Administration Inspector General Advanced Technology Vehicles Manufacturing Loan Program Title 17 Innovative Technology Loan Guarantee Program Better Building Pilot Loan Guarantee Initiative for Universities Schools and Hospitals Universities, Schools, and Hospitals Working Capital Fund Energy Information Administration Safeguards and Security Crosscut

  6. Healthcare Energy Efficiency Research and Development

    SciTech Connect (OSTI)

    Black, Douglas R.; Lai, Judy; Lanzisera, Steven M; Parrish, Kristen D.; Singer, Brett C.

    2011-01-31

    Hospitals are known to be among the most energy intensive commercial buildings in California. Estimates of energy end-uses (e.g. for heating, cooling, lighting, etc.) in hospitals are uncertain for lack of information about hospital-specific mechanical system operations and process loads. Lawrence Berkeley National Laboratory developed and demonstrated a benchmarking system designed specifically for hospitals. Version 1.0 featured metrics to assess energy performance for the broad variety of ventilation and thermal systems that are present in California hospitals. It required moderate to extensive sub-metering or supplemental monitoring. In this new project, we developed a companion handbook with detailed equations that can be used toconvert data from energy and other sensors that may be added to or already part of hospital heating, ventilation and cooling systems into metrics described in the benchmarking document.This report additionally includes a case study and guidance on including metering into designs for new hospitals, renovations and retrofits. Despite widespread concern that this end-use is large and growing, there is limited reliable information about energy use by distributed medical equipment and other miscellaneouselectrical loads in hospitals. This report proposes a framework for quantifying aggregate energy use of medical equipment and miscellaneous loads. Novel approaches are suggested and tried in an attempt to obtain data to support this framework.

  7. Hazardous medical waste generation rates of different categories of health-care facilities

    SciTech Connect (OSTI)

    Komilis, Dimitrios; Fouki, Anastassia; Papadopoulos, Dimitrios

    2012-07-15

    Highlights: Black-Right-Pointing-Pointer We calculated hazardous medical waste generation rates (HMWGR) from 132 hospitals. Black-Right-Pointing-Pointer Based on a 22-month study period, HMWGR were highly skewed to the right. Black-Right-Pointing-Pointer The HMWGR varied from 0.00124 to 0.718 kg bed{sup -1} d{sup -1}. Black-Right-Pointing-Pointer A positive correlation existed between the HMWGR and the number of hospital beds. Black-Right-Pointing-Pointer We used non-parametric statistics to compare rates among hospital categories. - Abstract: Goal of this work was to calculate the hazardous medical waste unit generation rates (HMWUGR), in kg bed{sup -1} d{sup -1}, using data from 132 health-care facilities in Greece. The calculations were based on the weights of the hazardous medical wastes that were regularly transferred to the sole medical waste incinerator in Athens over a 22-month period during years 2009 and 2010. The 132 health-care facilities were grouped into public and private ones, and, also, into seven sub-categories, namely: birth, cancer treatment, general, military, pediatric, psychiatric and university hospitals. Results showed that there is a large variability in the HMWUGR, even among hospitals of the same category. Average total HMWUGR varied from 0.012 kg bed{sup -1} d{sup -1}, for the public psychiatric hospitals, to up to 0.72 kg bed{sup -1} d{sup -1}, for the public university hospitals. Within the private hospitals, average HMWUGR ranged from 0.0012 kg bed{sup -1} d{sup -1}, for the psychiatric clinics, to up to 0.49 kg bed{sup -1} d{sup -1}, for the birth clinics. Based on non-parametric statistics, HMWUGR were statistically similar for the birth and general hospitals, in both the public and private sector. The private birth and general hospitals generated statistically more wastes compared to the corresponding public hospitals. The infectious/toxic and toxic medical wastes appear to be 10% and 50% of the total hazardous medical wastes

  8. Heritage Is a Part of DOE Advisory Board Secretary's Interest...

    Office of Environmental Management (EM)

    One of the hospital trustees was a bank president, and he offered her a job as the bank's marketing director. She later took a job at another bank doing merchant services. But...

  9. Science on the Hill: Portable MRI might make the world a better...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Portable MRI might make the world a better placer Science on the Hill: Portable MRI might ... can be used in battlefield hospitals. Science on the Hill: Portable MRI might make the ...

  10. Energy Department Releases Better Buildings Alliance 2016 Winter...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    In this update, each of the five sector groups-commercial real estate, healthcare, hospitality, higher education, retail, and food service and grocery-identifies two-to-three ...

  11. LOS ALAMOS, N.M., Dec. 14, 2015-Los Alamos National Laboratory...

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Portable MRI, also called Battlefield MRI (bMRI), uses ultra-low-field magnetic resonance imaging to create images of injured soft tissues, such as the brain. "Hospital-based MRI ...

  12. Robotic Intelligent System | GE Global Research

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Intelligent System Could Save Hospitals Millions Click to email this to a friend (Opens in ... accuracy, all of the medical devices doctors need to perform life-saving procedures. ...

  13. Sandia National Laboratories: About Sandia: Diversity

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    careers; and assists Sandia in becoming a model employer with a hospitable working environment for women. News Black Engineer of the Year honoree inspires youth to excel in STEM...

  14. CX-004099: Categorical Exclusion Determination

    Office of Energy Efficiency and Renewable Energy (EERE)

    Advanced Energy Efficient Building Technologies for High Performance HospitalsCX(s) Applied: A9Date: 09/30/2010Location(s): Eugene, OregonOffice(s): Energy Efficiency and Renewable Energy, National Energy Technology Laboratory

  15. Meteorological Data Report for YKHC Bethel, Alaska

    Open Energy Info (EERE)

    of meteo object: YKHC - Bethel Hospital Weibull Data k-parameter correction: 0.0080m Sector A- parameter Mean wind speed k- parameter Frequency Frequency Wind shear ms m...

  16. Healthcare Energy: State University of New York Upstate Medical...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Photo of an aerial view of the SUNY children's hospital City: Syracuse, NY Year Built: 1995 Total Floor Space: 143,000 ft2 The East Wing includes: the emergency medicine ...

  17. Manhattan Project: The Atomic Bombing of Hiroshima, August 6...

    Office of Scientific and Technical Information (OSTI)

    ... of the bombing by the Casualties in a makeshift hospital, Hiroshima United States. ... Soon the death rate actually began to climb again as patients who had appeared to be ...

  18. DNP-NMR | The Ames Laboratory

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    The same technology is used in hospitals throughout the world in MRI imaging. What is DNP-NMR? Because NMR operates at the low-energy end of the electromagnetic spectrum, ...

  19. SREL Reprint #3150

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    William P. McCord1, Mehdi Joseph-Ouni2, Cris Hagen3, and Torsten Blanck4 1East Fishkill Animal Hospital, Hopewell Junction, NY, USA 2EO Wildlife & Wilderness Conservation, Brooklyn ...

  20. Healthcare Energy: Spotlight on Reheat and Heating | Department...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    the Massachusetts General Hospital (MGH) Gray Building and 52.0 kBtuft2-yr at the State ... Estimated Breakdown of Reheat and Heating Energy Use At the MGH Gray Building, from ...

  1. Healthcare Energy: Spotlight on Fans and Pumps | Department of...

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    At the Massachusetts General Hospital (MGH) Gray Building, supply, returnexhaust, and ... Annual site EUIs for pumps were estimated to be 6.7 kBtuft2-yr at the MGH Gray Building ...

  2. FEMP Focus - Jan/Feb 2003 Issue

    SciTech Connect (OSTI)

    2003-02-01

    Features information about utility management, DOD invigorates utilities privatization effort, utilities conservation and appraisal board, Kennedy Space Center gains utility-financed infrastructure, Health Service Hospital earns Energy Star® label, and more for federal agencies.

  3. Best Management Practice #12: Laboratory and Medical Equipment

    Broader source: Energy.gov [DOE]

    Equipment used in hospitals and laboratories can use significant amounts of water, offering the opportunity for substantial water savings by making a few small changes to how and when the water is used by the equipment.

  4. ORISE Resources: Community Assessment Tool for the CDC

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Activity (HPA). The CAT is a tool that communities can use to assess their total health care readiness for a disaster-not just hospitals, but the entire health care system....

  5. ARM - Facility News Article

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    to look at the science programs currently in place in Barrow, and to tour a proposed hospital site and the new Barrow Global Climate Change Research Facility currently under...

  6. CX-002735: Categorical Exclusion Determination | Department of...

    Broader source: Energy.gov (indexed) [DOE]

    New Hampshire Hospital Solar Hot Water Heater CX(s) Applied: A9, B5.1 Date: 06102010 Location(s): Concord, New Hampshire Office(s): Energy Efficiency and Renewable Energy, ...

  7. CX-004117: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Advanced Energy Efficient Building Technologies for High Performance HospitalsCX(s) Applied: A9, A11Date: 09/30/2010Location(s): San Francisco, CaliforniaOffice(s): Energy Efficiency and Renewable Energy, National Energy Technology Laboratory

  8. Disneyland’s Dry Cleaning Gets an Energy Efficient Upgrade

    Broader source: Energy.gov [DOE]

    As the provider of laundry and dry cleaning services for Disneyland Resort’s costumes and hospitality supply items, L&N Costume and Linen Service knows a little something about both quantity and quality.

  9. Where It's Needed, When It's Needed

    Energy Savers [EERE]

    Lighting accounts for more than 31 billion kWh of annual elec- tricity use in U.S. hospitals, ... Add to this the growing classroom trend of increased usage during evening hours, often ...

  10. PSH-15-0097 In the Matter of Personnel Security Hearing | Department of

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Energy 7 In the Matter of Personnel Security Hearing PSH-15-0097 In the Matter of Personnel Security Hearing On March 3, 2016, an OHA Administrative Judge issued a decision in which he concluded that an individual's security clearance should be restored. The individual was hospitalized after becoming ill at work and, while hospitalized, was diagnosed with liver disease as a likely consequence of long-term daily alcohol consumption. The local security office (LSO) was notified by the

  11. Waste Isolation Pilot Plant Activites

    Office of Environmental Management (EM)

    DENVER, CO WASTE ISOLATION PILOT PLANT ACTIVITIES ACTIVITIES O.W. EATON MANAGER, EXTERNAL EMERGENCY MANAGEMENT OPENING OF NEW ROUTES COMPLIANCE WITH PUBLIC LAW 102 579 WIPP LANDWITHDRAWL 102-579 WIPP LANDWITHDRAWL ACT OF 1992 1082 EMERGENCY PERSONNEL TRAINED IN 2010 *MERRTT 1082 EMERGENCY PERSONNEL TRAINED IN 2010 MERRTT *INCIDENT COMMAND SYSTEM *HOSPITAL PREPAREDNESS *HOSPITAL PREPAREDNESS *MEDICAL EXAMINER DISPATCHER (BETA) *DISPATCHER (BETA) RADIOLOGICAL TRAINING RADIOLOGICAL TRAINING FOR FOR

  12. Healthcare Energy: State University of New York Upstate Medical University

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    East Wing | Department of Energy State University of New York Upstate Medical University East Wing Healthcare Energy: State University of New York Upstate Medical University East Wing The Building Technologies Office conducted a healthcare energy end-use monitoring project in partnership with two hospitals. This page contains highlights from monitoring at the East Wing, a hospital building addition at the State University of New York Upstate Medical University. In the figure above, click on

  13. Science on the Hill: Portable MRI might make the world a better place

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Portable MRI might make the world a better placer Portable MRI might make the world a better place Los Alamos' Battlefield MRI uses ultra-low-field magnetic resonance imaging to create images of the brain that can be used in field hospitals or in remote villages. August 9, 2015 portable mri Portable MRI systems created by Lab researchers can be used in battlefield hospitals. Science on the Hill: Portable MRI might make the world a better place Science moves forw--ard in surprising ways.

  14. Researchers Develop Multi-Sensing Probe To Assess Bed Sores | GE Global

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Research Scientists Develop Multi-sensing Handheld Probe to Assess and Prevent Pressure Ulcer Formation During Hospital Stays Click to email this to a friend (Opens in new window) Share on Facebook (Opens in new window) Click to share (Opens in new window) Click to share on LinkedIn (Opens in new window) Click to share on Tumblr (Opens in new window) GE Scientists Develop Multi-sensing Handheld Probe to Assess and Prevent Pressure Ulcer Formation During Hospital Stays Probe assesses ulcer

  15. Medicare Supplemental

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Customer Service 877-878-LANL (5265) NM81157_01/01/16 National Medicare Supplement Medicare (Part A) Hospital Services - Per Benefit Period* SERVICES MEDICARE PAYS THIS PLAN PAYS YOU PAY** Hospitalization* Semiprivate room and board, general nursing, and miscellaneous services and supplies First 60 days All but $1,288 $1,288 (Part A deductible) $0 61st through 90th day All but $322 a day $322 a day $0 91st day and after: * While using 60 lifetime reserve days All but $644 a day $644 a day $0 *

  16. Evaluating parallel relational databases for medical data analysis.

    SciTech Connect (OSTI)

    Rintoul, Mark Daniel; Wilson, Andrew T.

    2012-03-01

    Hospitals have always generated and consumed large amounts of data concerning patients, treatment and outcomes. As computers and networks have permeated the hospital environment it has become feasible to collect and organize all of this data. This raises naturally the question of how to deal with the resulting mountain of information. In this report we detail a proof-of-concept test using two commercially available parallel database systems to analyze a set of real, de-identified medical records. We examine database scalability as data sizes increase as well as responsiveness under load from multiple users.

  17. Providence Newberg Medical Center

    High Performance Buildings Database

    Newberg, Oregon In 2002, Providence Health & Services began planning a new 188,000 square foot medical center in Newberg, Oregon to respond to the growing community's need for accessible health care. Since this was Providence's first new hospital in almost thirty years, its leaders decided to approach the project through innovative planning, design, and construction, including the achievement of lifecycle energy savings and a potential LEED certification. The hospital is comprised of 40 inpatient beds with views out to the surrounding rural landscape or into lushly planted internal courtyards.

  18. Design, construction, and startup of a concentrating photovoltaic solar energy system in Hawaii: Phase II. Final report

    SciTech Connect (OSTI)

    Spencer, R.; Harper, R.; Maberry, G.; Bedard, R.; Rafinejad, D.

    1982-10-01

    Acurex Corporation has designed, constructed, and is now operating a 35-kWp concentrating photovoltaic solar system located at the G.N. Wilcox Memorial Hospital in Lihue, Kauai, Hawaii. The facility consists of 446 m/sup 2/ (4800 ft/sup 2/) of parabolic trough photovoltaic collectors, an electrical power generation system which converts the direct current field output into grid-compatible alternating current power, and a thermal power subsystem for heating the hospital potable water. This report summarizes the design, construction, startup, and performance of this solar facility.

  19. Healthcare Energy: Spotlight on Chiller Plants | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Chiller Plants Healthcare Energy: Spotlight on Chiller Plants The Building Technologies Office conducted a healthcare energy end-use monitoring project in partnership with two hospitals. See below for a few highlights from monitoring chiller plant energy. Image of a chiller plant. Chiller Energy Annual site energy use intensities (EUIs) for chiller energy were estimated to be 27.7 kBtu/ft2-yr for the the Massachusetts General Hospital (MGH) Gray Building and 26.8 kBtu/ft2-yr for the State

  20. Healthcare Energy End-Use Monitoring

    Office of Energy Efficiency and Renewable Energy (EERE)

    This report describes the NREL partnership with two hospitals (MGH and SUNY UMU) to collect data on the energy used for multiple thermal and electrical end-use categories, which can be used to more effectively prioritize and refine the scope of investments in new metering and energy audits.

  1. OCPC | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    OCPC Gamma Shield Thunder Exercise Concludes National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local

  2. Office of Counterterrorism Policy and Cooperation | National Nuclear

    National Nuclear Security Administration (NNSA)

    Security Administration Policy and Cooperation Gamma Shield Thunder Exercise Concludes National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local

  3. NREL Recommends Ways to Cut Building Energy Costs in Half (Fact Sheet)

    SciTech Connect (OSTI)

    Not Available

    2011-07-01

    Building designers and operators could cut energy use by 50% in large office buildings, hospitals, schools, and a variety of stores - including groceries, general merchandise outlets, and retail outlets - by following the recommendations of researchers at the National Renewable Energy Laboratory (NREL).

  4. Salt Lake City | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    Salt Lake City Gamma Shield Thunder Exercise Concludes National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local

  5. Silent Thunder | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    Silent Thunder Gamma Shield Thunder Exercise Concludes National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local

  6. CX-002505: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Energy Efficiency Program for Municipalities, Schools, Hospitals, Public CollegesCX(s) Applied: B1.24, B1.31, B2.2, A9, B5.1Date: 06/02/2010Location(s): Rochester, New YorkOffice(s): Energy Efficiency and Renewable Energy, National Energy Technology Laboratory

  7. NREL Recommends Ways to Cut Building Energy Costs in Half (Fact Sheet)

    SciTech Connect (OSTI)

    Not Available

    2013-08-01

    Building designers and operators could cut energy use by 50% in large office buildings, hospitals, schools, and a variety of stores -- including groceries, general merchandise outlets, and retail outlets -- by following the recommendations of NREL researchers. The innovative energy-saving recommendations are contained in technical support documents and Advanced Energy Design Guides compiled by NREL.

  8. CX-000996: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Divine Providence Hospital-Susquehanna Health Combined Heat and Power ProjectCX(s) Applied: A9, B1.31, B5.1Date: 02/08/2010Location(s): PennsylvaniaOffice(s): Energy Efficiency and Renewable Energy, National Energy Technology Laboratory

  9. CX-007589: Categorical Exclusion Determination

    Office of Energy Efficiency and Renewable Energy (EERE)

    Energy Efficiency Program for Municipalities, Schools, Hospitals, Public Colleges and Universities CX(s) Applied: A1, A9, A11, B1.4, B2.2, B5.1 Date: 12/23/2011 Location(s): New York Offices(s): National Energy Technology Laboratory

  10. CX-003498: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Oklahoma State Energy Program American Recovery and Reinvestment Act - Newman Memorial HospitalCX(s) Applied: B1.4, B2.1, B5.1Date: 08/17/2010Location(s): Shattuck, OklahomaOffice(s): Energy Efficiency and Renewable Energy, Golden Field Office

  11. CX-003166: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Holy Cross Hospital Lighting RetrofitCX(s) Applied: A9, B2.2, B2.5, B5.1, B6.3Date: 07/23/2010Location(s): Chicago, IllinoisOffice(s): Fossil Energy, National Energy Technology Laboratory

  12. Type A Accident Investigation of the June 21, 2001, Drilling Rig Operator Injury at the Fermi National Accelerator Laboratory, August 2001

    Broader source: Energy.gov [DOE]

    On June 21, 2001, at approximately 9:40 A.M., a construction sub-tier contractor employee (the “Operator”) at the Fermi National Accelerator Laboratory (Fermilab) received serious head injuries requiring hospitalization when he was struck by part of the drilling rig (a “tong”) that he was operating.

  13. Type A Investigation of the Electrical Arc Injury at the Stanford Linear Accelerator Complex on October 11, 2004

    Broader source: Energy.gov [DOE]

    On October 11, 2004, at approximately 11:15 am, a subcontractor electrician working at the Stanford Linear Accelerator Center (SLAC) received serious burn injuries requiring hospitalization due to an electrical arc flash that occurred during the installation of a circuit breaker in an energized 480-Volt (V) electrical panel.

  14. CX-000771: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    New York Revised Narrative Information Worksheet for Energy Efficiency Program for Municipalities, Schools, Hospitals, Public CollegesCX(s) Applied: A9, A11, B5.1Date: 02/03/2010Location(s): Albany, New YorkOffice(s): Energy Efficiency and Renewable Energy, National Energy Technology Laboratory

  15. Polyelectrolytes: Wastewater and sewage treatment. (Latest citations from the Selected Water Resources Abstracts database). Published Search

    SciTech Connect (OSTI)

    Not Available

    1993-02-01

    The bibliography contains citations concerning polyelectrolytes in wastewater and water treatment. Topics include flocculation, coagulation, separation techniques, pollutant identification, water pollution sources, and sludge dehydration. Hospital wastewater processing, methods of synthesizing polyelectrolyte complexes, and performance evaluations of polyelectrolytes are also discussed. (Contains 250 citations and includes a subject term index and title list.)

  16. Polyelectrolytes: Wastewater and sewage treatment. (Latest citations from the Selected Water Resources Abstracts database). Published Search

    SciTech Connect (OSTI)

    Not Available

    1994-04-01

    The bibliography contains citations concerning polyelectrolytes in wastewater and water treatment. Topics include flocculation, coagulation, separation techniques, pollutant identification, water pollution sources, and sludge dehydration. Hospital wastewater processing, methods of synthesizing polyelectrolyte complexes, and performance evaluations of polyelectrolytes are also discussed. (Contains 250 citations and includes a subject term index and title list.)

  17. Photovoltaics: solar electric power systems

    SciTech Connect (OSTI)

    1980-02-01

    The operation and uses of solar cells and the National Photovoltaic Program are briefly described. Eleven DOE photovoltaic application projects are described including forest lookout towers; Wilcox Memorial Hospital in Hawaii; WBNO daytime AM radio station; Schuchuli Indian Village; Meade, Nebraska, agricultural experiment; Mt. Laguna Air Force Station; public schools and colleges; residential applications; and Sea World of Florida. (WHK)

  18. CFTB 04/22/2010 Revisions to the 2008 Census of Fatal Occupational...

    National Nuclear Security Administration (NNSA)

    and warehousing 762 796 34 14.2 14.9 0.7 Professional and business services 389 403 14 2.7 2.8 0.1 Leisure and hospitality 233 238 5 2.2 2.2 - Government 7 522 544 22 2.3...

  19. The use of artificial neural networks and multiple linear regression to predict rate of medical waste generation

    SciTech Connect (OSTI)

    Jahandideh, Sepideh Jahandideh, Samad; Asadabadi, Ebrahim Barzegari; Askarian, Mehrdad; Movahedi, Mohammad Mehdi; Hosseini, Somayyeh; Jahandideh, Mina

    2009-11-15

    Prediction of the amount of hospital waste production will be helpful in the storage, transportation and disposal of hospital waste management. Based on this fact, two predictor models including artificial neural networks (ANNs) and multiple linear regression (MLR) were applied to predict the rate of medical waste generation totally and in different types of sharp, infectious and general. In this study, a 5-fold cross-validation procedure on a database containing total of 50 hospitals of Fars province (Iran) were used to verify the performance of the models. Three performance measures including MAR, RMSE and R{sup 2} were used to evaluate performance of models. The MLR as a conventional model obtained poor prediction performance measure values. However, MLR distinguished hospital capacity and bed occupancy as more significant parameters. On the other hand, ANNs as a more powerful model, which has not been introduced in predicting rate of medical waste generation, showed high performance measure values, especially 0.99 value of R{sup 2} confirming the good fit of the data. Such satisfactory results could be attributed to the non-linear nature of ANNs in problem solving which provides the opportunity for relating independent variables to dependent ones non-linearly. In conclusion, the obtained results showed that our ANN-based model approach is very promising and may play a useful role in developing a better cost-effective strategy for waste management in future.

  20. Preventing Absenteeism and Promoting Resilience Among Health Care Workers In Biological Emergencies

    SciTech Connect (OSTI)

    Lesperance, Ann M.; Miller, James S.

    2009-05-08

    The ability to ensure adequate numbers of medical staff represents a crucial part of the medical response to any disaster. However, healthcare worker absenteeism during disasters, especially in the event of an attack of biological terrorism or an epidemic such as pandemic influenza, is a serious concern. Though a significant rate of absenteeism is often included as a baseline assumption in emergency planning, published reports on strategies to minimize absenteeism are comparatively few. This report documents interviews with managers and emergency response planners at hospitals and public health agencies and reviews existing survey data on healthcare worker absenteeism and studies of disasters to glean lessons about the needs of healthcare workers during those disasters. Based on this research, expected rates of absenteeism and individual determinants of absenteeism are presented along with recommendations of steps that hospitals, emergency medical services departments, public health organizations, and government agencies can take to meet the needs of healthcare workers and minimize absenteeism during a biological event.

  1. Salt Repository Research,

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Salt Lake City Gamma Shield Thunder Exercise Concludes National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local

    6 th US/German Workshop on Salt Repository Research, Design, and Operation Hotel Pullmann Dresden Newa Dresden September 7 - 9, 2015 September 7- Monday

  2. Scientists develop affordable way to generate medical isotopes | Argonne

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    National Laboratory develop affordable way to generate medical isotopes By Angela Hardin * October 15, 2012 Tweet EmailPrint Technology within financial reach of small hospitals ARGONNE, Ill. (Oct. 15, 2012) - Scientists at the U.S. Department of Energy's (DOE) Argonne National Laboratory have developed a safe and affordable way to ensure a reliable U.S. supply of certain medical isotopes. Although the invention is at a conceptual stage, it has the potential to provide critical medical

  3. NREL: Hydrogen and Fuel Cells Research - Market Transformation

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Market Transformation NREL's market transformation activities address technical and non-technical barriers to the commercialization of hydrogen and fuel cell technologies to ensure that laboratory advances can be realized in the marketplace. Projects focus on deploying hydrogen and fuel cells in key early markets-specialty vehicles, backup and remote power, portable power, and primary power for critical applications such as hospitals or data centers-and renewable hydrogen production

  4. The Saunders Hotel Group has been at the forefront of environmental

    Alternative Fuels and Advanced Vehicles Data Center [Office of Energy Efficiency and Renewable Energy (EERE)]

    Saunders Hotel Group has been at the forefront of environmental advances in the hospitality industry for over fifteen years. The Boston- based family business, which owns and operates The Lenox and Copley Square Hotels as well as the Comfort Inn & Suites Boston/Airport, has instituted more than 90 innovative, eco-friendly programs company wide. Their pioneering efforts have demonstrated for hotels worldwide how environmental measures can build customer loyalty and employee productivity while

  5. Facilities | Argonne National Laboratory

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Facilities Argonne maintains two state-of-the-art facilities for high-energy physics research. The Argonne Wakefield Accelerator Facility is home to technology that produces high accelerating gradients that could form the basis of the next generation of particle accelerators. Additionally, the 4 Tesla Magnet Facility reuses hospital MRI magnets to provide benchmarking for new muon experiments that will be performed at Fermilab. 4 Tesla Magnet Facility Learn More » Argonne Wakefield Accelerator

  6. Charles Elachi | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Charles Elachi About Us Charles Elachi - Member, Commission to Review the Effectiveness of the National Energy Laboratories Charles Elachi Charles Elachi is the Director of the Jet Propulsion Laboratory and Vice President of California Institute of Technology. He is a Professor of Electrical Engineering and Planetary Science at Caltech. He is a member and past chair of the UCLA Sciences Board of Visitors, a member of the Huntington Hospital Board of Trustees (Pasadena), the chair of the Lebanese

  7. Using Backup Generators | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Generators Using Backup Generators Using Backup Generators Power outages are commonplace during disasters, and they may last for several days. You can reduce losses and speed the recovery process by installing an emergency generator. Portable generators made for household use can provide temporary power to a small number of selected appliances or lights, and commercial generators can help prevent the interruption of operations at businesses and critical infrastructure facilities like hospitals,

  8. Veteran's Affairs Health Care System, West Haven, Connecticut | Department

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    of Energy Veteran's Affairs Health Care System, West Haven, Connecticut Veteran's Affairs Health Care System, West Haven, Connecticut Overview The West Haven (Connecticut) Campus of the Veterans Affairs Connecticut Health Care System was the first Veteran's Hospital to award a shared energy savings (SES) contract (now known as energy savings performance contracts). The project involves replacement of the lighting system, installation of a cooling system, maintenance of the new chiller

  9. Researchers at Oak Ridge, Brookhaven, and Argonne

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Chemical Looping | Department of Energy Researchers Uncover Copper's Potential for Reducing CO2 Emissions in Chemical Looping Researchers Uncover Copper's Potential for Reducing CO2 Emissions in Chemical Looping February 18, 2016 - 11:33am Addthis Researchers Uncover Copper’s Potential for Reducing CO2 Emissions in Chemical Looping Copper. It's been used in wires, pipes, and pennies for decades. Ancient Egyptians used it to sterilize wounds and clean drinking water. Today some hospitals

  10. Audit Report: IG-0842 | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    2 Audit Report: IG-0842 October 7, 2010 Report on Critical Asset Vulnerability and Risk Assessments at the Power Marketing Administrations--Followup Audit The Department of Energy's largest Power Marketing Administrations (PMAs), Bonneville, Western Area, and Southwestern, provide wholesale electric power to utilities for use in homes, hospitals, financial institutions and military installations. Serving the electricity supply needs of millions of citizens in the western part of the United

  11. Healthcare Energy Metering Guidance (Brochure)

    SciTech Connect (OSTI)

    Not Available

    2011-07-01

    This brochure is intended to help facility and energy managers plan and prioritize investments in energy metering. It offers healthcare-specific examples of metering applications, benefits, and steps that other health systems can reproduce. It reflects collaborative input from the U.S. Department of Energy national laboratories and the health system members of the DOE Hospital Energy Alliance's Benchmarking and Measurement Project Team.

  12. International Energy Forum Ministerial | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Energy Forum Ministerial International Energy Forum Ministerial April 24, 2006 - 10:27am Addthis Remarks Prepared for Energy Secretary Bodman Thank you. And let me take this opportunity to thank our hosts for their hospitality, as well as their efforts in arranging this meeting of the International Energy Forum. Let me also thank my fellow panelists and the panel Chair Minister Naimi, who I look forward to seeing again in Washington next week. These are challenging times in the energy

  13. Permanent and Nonpermanent Positions, Appointments, & CHRIS Codes

    Office of Environmental Management (EM)

    Perlick: Agreement (2010-SE-0109) Perlick: Agreement (2010-SE-0109) February 7, 2011 DOE and Perlick Residential & Hospitality Products entered into a Compromise Agreement in which Perlick agreed to pay a $5,000 civil penalty after DOE found that Perlick had manufactured and distributed in commerce in the U.S. model HP72ROO-S, a noncompliant refrigerator. The Compromise Agreement reflected the settlement terms between DOE and Perlick. Perlick: Agreement (2010-SE-0109) (240.67 KB) More

  14. Gandolfi wins Early Career Prize

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Administration | (NNSA) Gamma Shield Thunder Exercise Concludes September 17, 2015 National Nuclear Security Administration (NNSA) and the FBI announced today the completion of the Gamma Shield Thunder counterterrorism table-top exercise at LDS Hospital. The exercise is part of NNSA's Silent Thunder table-top series, which is aimed at giving federal, state and local officials, first responders and law enforcement critical, hands-on experience in responding to a terrorist attack involving

  15. Baltimore Boy's Asthma Improved Through Retrofit | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Baltimore Boy's Asthma Improved Through Retrofit Baltimore Boy's Asthma Improved Through Retrofit October 31, 2009 - 11:32am Addthis Joshua DeLung What does this mean for me? The Baltimore Green and Healthy Homes Initiative program, made possible with Recovery Act dollars, provides comprehensive health, safety, and energy efficiency upgrades to low-income families around the city. Lekquan Young rushed her 8-month-old son to the hospital when she noticed his chest looked sunken as he breathed.

  16. Best Management Practice #12: Laboratory and Medical Equipment | Department

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    of Energy 12: Laboratory and Medical Equipment Best Management Practice #12: Laboratory and Medical Equipment Equipment used in hospitals and laboratories can use significant amounts of water, offering the opportunity for substantial water savings by making a few small changes to how and when the water is used by the equipment. Water-consuming equipment in laboratories and medical facilities include water purification systems, sterilization and disinfection systems photographic and x-ray

  17. Exposure Evaluation Process

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Exposure Evaluation Process for Tank Farm Workers L.B. Sandy Rock, MD, MPH Risk Communication HPMC Occupational Medical Services An increase in the number of tank farm vapor exposures has led to many questions and concerns among workers and management. * During regular clinic hours, HPMC OMS is responsible for the medical evaluation of workers reporting exposure to vapors. * At other times, workers are taken to Kadlec Hospital which has an arrangement with DOE/HPMC OMS to evaluate, treat, refer

  18. PSH-13-0012 - In the Matter of Personnel Security Hearing | Department of

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Energy 12 - In the Matter of Personnel Security Hearing PSH-13-0012 - In the Matter of Personnel Security Hearing On July 17, 2013, an OHA Hearing Officer issued a decision in which he concluded that an individual should be granted authorization access. When the individual was 17 years old (2007), he was diagnosed with sudden onset diabetes (Type 1 - Insulin Dependent). While hospitalized to stabilize his diabetes, he was diagnosed with Adjustment Disorder NOS. Three months later,

  19. Perlick: Agreement (2010-SE-0109) | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Perlick: Agreement (2010-SE-0109) Perlick: Agreement (2010-SE-0109) February 7, 2011 DOE and Perlick Residential & Hospitality Products entered into a Compromise Agreement in which Perlick agreed to pay a $5,000 civil penalty after DOE found that Perlick had manufactured and distributed in commerce in the U.S. model HP72ROO-S, a noncompliant refrigerator. The Compromise Agreement reflected the settlement terms between DOE and Perlick. Perlick: Agreement (2010-SE-0109) (240.67 KB) More

  20. Public Bonding Options | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Bonding Options Public Bonding Options Traditionally, state and local governments (as well as certain other nonprofit organizations such as universities and hospitals) have had the ability to issue debt, in the form of bonds, to finance construction and/or improvements to public infrastructure. Bonds issued by state and local governments-often referred to as municipal or public bonds-can also be used, under certain circumstances for private activities. Public bonds vary by tax liability, as well

  1. Li-ion Batteries and Beyond George Crabtree

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Low-Level Radiation Research Letter on Low-Level Radiation Research The Secretary of Energy Advisory Board (SEAB) transmitted a letter to the Department regarding its perspective on how DOE should pursue research on low-level radiation. SEAB recommends DOE continue to sponsor a small, sustained, high quality research program primarily in DOE laboratories as well as centers of excellence within universities, medical schools, and hospitals. SEAB Letter on Low-Level Radiation Research (73.09 KB)

  2. Bringing MRI where it's needed most

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Can we someday predict earthquakes? Bringing MRI where it's needed most Los Alamos scientists developed a portable MRI, also called Battlefield MRI that uses ultra-low-field magnetic resonance imaging to create images of the brain that can be used in field hospitals for wounded soldiers or in remote villages in developing countries. March 20, 2016 MRI Bringing MRI where it's needed most Bringing MRI where it's needed most At Los Alamos National Laboratory, we've developed a portable MRI, also

  3. Commercial Buildings Energy Consumption Survey (CBECS) - U.S. Energy

    Gasoline and Diesel Fuel Update (EIA)

    Information Administration (EIA) Survey Background and Technical Information Survey Background The commercial sector encompasses a vast range of building types-service businesses, such as retail and wholesale stores, hotels and motels, restaurants, and hospitals, as well as certain buildings that would not be considered "commercial" in a traditional economic sense, such as public and private schools, correctional institutions, and religious and fraternal organizations. Excluded

  4. Buildings Energy Data Book: 5.9 On-Site Power

    Buildings Energy Data Book [EERE]

    2 Average Combined Heat and Power Capacity as of 2011, Selected Building Type and Prime Mover (kW) Combustion Reciprocating Turbine Engine Fuel Cell Microturbine Multifamily Buildings Colleges/Univ Restaurants Hospitals/Healthcare Hotels Justice/Public Order General Merch. Stores Nursing Homes Office General Gov't Schools K-12 Community Services Source(s): Energy and Environmental Analysis Inc, The Combined Heat and Power Database, http://www.eea-inc.com/chpdata/index.html - 124 200 - - - - 322

  5. Buildings Energy Data Book: 5.9 On-Site Power

    Buildings Energy Data Book [EERE]

    3 Installed Combined Heat and Power Capacity as of 2011, Selected Building Type and Prime Mover (MW) Combustion Reciprocating Turbine Engine Fuel Cell Microturbine Multifamily Buildings Colleges/Univ Restaurants Hospitals/Healthcare Hotels Justice/Public Order General Merch. Stores Nursing Homes Office General Gov't Schools K-12 Community Services Total Source(s): 4355 Energy and Environmental Analysis Inc, The Combined Heat and Power Database, http://www.eea-inc.com/chpdata/index.html 1201 649

  6. Buildings Energy Data Book: 9.1 ENERGY STAR

    Buildings Energy Data Book [EERE]

    3 ENERGY STAR Commercial and Institutional Buildings and Industrial Plants (1) Building Type 1999 Office 2000 K-12 School 2001 Retail 2002 Hospital (General and Surgical) 2003 Supermarket/Grocery 2004 Hotel 2005 Bank/Financial Institution 2006 Warehouse (Unrefrigerated) 2007 Courthouse 2008 Medical Office 2009 Residence Hall/Dormitory 2010 Senior Care Facility 2011 Data Center Total (2) Warehouse (Refrigerated) House of Worship Industrial Plants Total Note(s): Source(s): 1) Data as of February

  7. Sandia National Laboratories: 100 Resilient Cities: Sandia Challenge:

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Medical Challenge Medical Advanced modeling Unlocking the mysteries of plagues and other biological threats to humans Model of biological threat Sandia has developed a suite of medical supply chain models that help hospitals more effectively provide medical services when electric power, water, and communications infrastructure are lost. Sandia also has extensive expertise in modeling the spread of contagious diseases in urban populations and estimating their impacts on the local economy and

  8. Scientists ratchet up understanding of cellular protein factory

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Understanding of cellular protein factory Scientists ratchet up understanding of cellular protein factory The research could aid in development of new antibiotics used to fight multidrug resistant superbugs such as MRSA found in many U.S. hospitals. December 2, 2010 Los Alamos National Laboratory sits on top of a once-remote mesa in northern New Mexico with the Jemez mountains as a backdrop to research and innovation covering multi-disciplines from bioscience, sustainable energy sources, to

  9. Type B Investigation Board Report on the April 2, 2002, Worker Fall from Shoring/Scaffolding Structure at the Savannah River Site Tritium Extraction Facility Construction Site

    Office of Energy Efficiency and Renewable Energy (EERE)

    On April 2, 2002, a carpenter helping to erect shoring/scaffolding fell about 52” and struck his head. He sustained head injuries requiring hospitalization that exceeded the threshold for a Type B investigation in accordance with Department of Energy (DOE) Order 225.1A, Accident Investigation. The accident occurred at the DOE’s Savannah River Site (SRS) at the Tritium Extraction Facility (TEF) construction site.

  10. Jimmy O'Dea > Congressional Fellow - MRS/OSA Science & Engineering > Center

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Jim J. Green About Us Jim J. Green - Lead Small Business Specialist Jim J. Green Jim is the Lead Small Business Specialist, at the U.S. Department of Energy, Office of Small and Disadvantaged Business. Jim is a military veteran, and served as an Acquisition Officer. In addition, he was an experienced buyer and small business advocate at a DOE laboratory site. Jim earned his Masters of Science in Business Administration with emphasis in Hospital Administration from the University of Northern

  11. Apr2003z

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    April the Y-12 Care Package Project brought in more than $8,000 that will be used to purchase much-needed items for our troops. The Pentagon has sanctioned some creative ways to support our troops without unnecessarily adding to the mail congestion. Two major efforts that the military has encouraged are Operation Uplink and Operation United Service Organizations Care Package. Operation Uplink is a unique program that keeps military per- sonnel and hospitalized veterans in touch with their

  12. Assessing Pathways in Aruba

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    2: Assessing Opportunity Pathways Assessing Pathways in Aruba In 2010, Prime Minister Eman of Aruba expressed an ambitious goal: to transition Aruba to 100% renew- able energy by 2020. Aruba offers a valuable example of how to approach vision and goal setting for an energy project or initiative. Challenge Strong tourism and growth in the hospitality industry are boosting economic development for the island of Aruba. However, like many islands and remote locations, Aruba must import thousands of

  13. Audit Report: OAS-B-03-01 | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    1 Audit Report: OAS-B-03-01 April 28, 2003 Power Marketing Administration Infrastructure Protection The Department of Energy's Power Marketing Administrations (PMA) provide electric power used in homes, hospitals, financial institutions, and military installations. Customers in 22 Western and Southwestern states depend on the reliable and cost-effective delivery of this power. To provide this service, the PMAs maintain an infrastructure that includes electrical substations, high-voltage

  14. Advanced Energy Design Guides | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Design & Decision Support Guides » Advanced Energy Design Guides Advanced Energy Design Guides Cover of Advanced Energy Design Guide for Small to Medium Office Buildings The 50% AEDGs provide practical approaches to achieve 50% energy savings compared to base code requirements. Download them free from ASHRAE: Small to Medium Office Buildings K-12 School Buildings Medium to Big Box Retail Buildings Large Hospitals Grocery Stores The Advanced Energy Design Guides (AEDGs) accelerate the

  15. 50% Advanced Energy Design Guides: Preprint

    SciTech Connect (OSTI)

    Bonnema, E.; Leach, M.; Pless, S.; Liu, B.; Wang, W.; Thornton, B.; Williams, J.

    2012-07-01

    This paper presents the process, methodology, and assumptions for the development of the 50% Energy Savings Advanced Energy Design Guides (AEDGs), a design guidance document that provides specific recommendations for achieving 50% energy savings above the requirements of ANSI/ASHRAE/IESNA Standard 90.1-2004 in four building types: (1) Small to medium office buildings, (2) K-12 school buildings, (3) Medium to big box retail buildings, (4) Large hospital buildings.

  16. Synthetic Antimicrobial Oligomers Induce Composition-dependent Topological

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Transition in Membranes Synthetic Antimicrobial Oligomers Induce Composition-dependent Topological Transition in Membranes The development of bacterial resistance to conventional antibiotics is a major public health concern. For example, methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE) and Staphylococcus aureus (VRSA) have emerged as common nosocomial (hospital-originating) infections. Circumvention of such resistance may be possi ble by emulating

  17. Type B Investigation Board Report on the June 19, 1997, Occupational

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Illness at the Y-12 Plant, Oak Ridge, Tennessee | Department of Energy Investigation Board Report on the June 19, 1997, Occupational Illness at the Y-12 Plant, Oak Ridge, Tennessee Type B Investigation Board Report on the June 19, 1997, Occupational Illness at the Y-12 Plant, Oak Ridge, Tennessee October 22, 1997 An occupational illness at the Y-12 Site resulting in a five-day hospitalization was investigated. In conducting its investigation, the Type B Investigation Board (Board) held

  18. Portable MRI could aid wounded soldiers and children in the Third World

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Portable MRI could aid wounded soldiers and children in the Third World Alumni Link: Opportunities, News and Resources for Former Employees Latest Issue:September 2015 all issues All Issues » submit Portable MRI could aid wounded soldiers and children in the Third World Scientists are developing an ultra-low-field Magnetic Resonance Imaging system that could be low-power and lightweight enough for forward deployment on the battlefield and to field hospitals in the World's poorest regions July

  19. Energy Department Invests $19 Million to Improve Efficiency of Nation's

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Buildings | Department of Energy $19 Million to Improve Efficiency of Nation's Buildings Energy Department Invests $19 Million to Improve Efficiency of Nation's Buildings July 15, 2016 - 1:06pm Addthis News Media Contact 202-586-4940 DOENews@hq.doe.gov WASHINGTON - The Energy Department announced today it is investing $19 million to improve the efficiency of our nation's homes, offices, schools, hospitals, restaurants and stores. These projects will develop advanced building technologies

  20. US-India Center for Building Energy R&D (CBERD)

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Mathew, pamathew@lbl.gov Lawrence Berkeley National Laboratory US-India Center for Building Energy R&D (CBERD) Monitoring and Benchmarking 2015 Building Technologies Office Peer Review 2 Project Summary Timeline: Start date: Oct 2012; Planned end date: Sep 2017 Key Milestones 1. Technical specifications for cost-effective Energy Information Systems packages for hotels and hospitals. (Sep 2015) 2. New techniques to increase flexibility and applicability of whole-building benchmarking needs.

  1. Veteran's Affairs Health Care System, West Haven, Connecticut | Department

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    of Energy Veteran's Affairs Health Care System, West Haven, Connecticut Veteran's Affairs Health Care System, West Haven, Connecticut Overview The West Haven (Connecticut) Campus of the Veterans Affairs Connecticut Health Care System was the first Veteran's Hospital to award a shared energy savings (SES) contract (now known as energy savings performance contracts). The project involves replacement of the lighting system, installation of a cooling system, maintenance of the new chiller

  2. Investigation of the July 1, 2011, Fall Injury at the Savannah River Site |

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Department of Energy July 1, 2011, Fall Injury at the Savannah River Site Investigation of the July 1, 2011, Fall Injury at the Savannah River Site August 8, 2011 On July 1, 2011, a worker fell from portable scaffolding during facility modifications in the Purification Area Vault (PAV) of Building 105-K at the Savannah River Site (SRS). The worker required hospitalization due to sustained head injury and numerous broken ribs. This accident meets Accident Investigation Criteria 2.a.2 of

  3. Healthcare Energy: Spotlight on Medical Equipment | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Medical Equipment Healthcare Energy: Spotlight on Medical Equipment The Building Technologies Office conducted a healthcare energy end-use monitoring project in partnership with two hospitals. Additional plug load data from medical office buildings were provided by Mazzetti, Inc. See below for a few highlights from monitoring large medical imaging equipment and medical office building plug loads. Graphic showing the average weekday energy use of a CT machine. Graph showing average weekday energy

  4. Business Owners: Prepare for Fuel Shortages | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Fuel Shortages Business Owners: Prepare for Fuel Shortages Business Owners: Prepare for Fuel Shortages You may need fuel for vehicles, generators, and other equipment to continue operating your business during an emergency. During a shortage, local authorities and fuel suppliers will prioritize getting fuel to key assets such as emergency operations centers, hospitals, food supply dealers, water supply plants, and telecommunication networks. Plan ahead to help make sure you have adequate

  5. Combined Heat and Power (CHP) Systems | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Distributed Energy » Combined Heat and Power (CHP) Systems Combined Heat and Power (CHP) Systems The CHP systems program aimed to facilitate acceptance of distributed energy in end-use sectors by forming partnerships with industry consortia in the commercial building, merchant stores, light industrial, supermarkets, restaurants, hospitality, health care and high-tech industries. In high-tech industries such as telecommunications, commercial data processing and internet services, the use of

  6. Regulatory analysis on criteria for the release of patients administered radioactive material

    SciTech Connect (OSTI)

    Schneider, S.; McGuire, S.A.; Behling, U.H.; Behling, K.; Goldin, D.

    1994-05-01

    The Nuclear Regulatory Commission (NRC) has received two petitions to amend its regulations in 10 CFR Parts 20 and 35 as they apply to doses received by members of the public exposed to patients released from a hospital after they have been administered radioactive material. While the two petitions are not identical they both request that the NRC establish a dose limit of 5 millisieverts (0.5 rem) per year for individuals exposed to patients who have been administered radioactive materials. This Regulatory Analysis evaluates three alternatives. Alternative 1 is for the NRC to amend its patient release criteria in 10 CFR 35.75 to use the more stringent dose limit of 1 millisievert per year in 10 CFR 20.1301(a) for its patient release criteria. Alternative 2 is for the NRC to continue using the existing patient release criteria in 10 CFR 35.75 of 1,110 megabecquerels of activity or a dose rate at one meter from the patient of 0.05 millisievert per hour. Alternative 3 is for the NRC to amend the patient release criteria in 10 CFR 35.75 to specify a dose limit of 5 millisieverts for patient release. The evaluation indicates that Alternative 1 would cause a prohibitively large increase in the national health care cost from retaining patients in a hospital longer and would cause significant personal and psychological costs to patients and their families. The choice of Alternatives 2 or 3 would affect only thyroid cancer patients treated with iodine-131. For those patients, Alternative 3 would result in less hospitalization than Alternative 2. Alternative 3 has a potential decrease in national health care cost of $30,000,000 per year but would increase the potential collective dose from released therapy patients by about 2,700 person-rem per year, mainly to family members.

  7. Patient dose estimation from CT scans at the Mexican National Neurology and Neurosurgery Institute

    SciTech Connect (OSTI)

    Alva-Sánchez, Héctor

    2014-11-07

    In the radiology department of the Mexican National Institute of Neurology and Neurosurgery, a dedicated institute in Mexico City, on average 19.3 computed tomography (CT) examinations are performed daily on hospitalized patients for neurological disease diagnosis, control scans and follow-up imaging. The purpose of this work was to estimate the effective dose received by hospitalized patients who underwent a diagnostic CT scan using typical effective dose values for all CT types and to obtain the estimated effective dose distributions received by surgical and non-surgical patients. Effective patient doses were estimated from values per study type reported in the applications guide provided by the scanner manufacturer. This retrospective study included all hospitalized patients who underwent a diagnostic CT scan between 1 January 2011 and 31 December 2012. A total of 8777 CT scans were performed in this two-year period. Simple brain scan was the CT type performed the most (74.3%) followed by contrasted brain scan (6.1%) and head angiotomography (5.7%). The average number of CT scans per patient was 2.83; the average effective dose per patient was 7.9 mSv; the mean estimated radiation dose was significantly higher for surgical (9.1 mSv) than non-surgical patients (6.0 mSv). Three percent of the patients had 10 or more brain CT scans and exceeded the organ radiation dose threshold set by the International Commission on Radiological Protection for deterministic effects of the eye-lens. Although radiation patient doses from CT scans were in general relatively low, 187 patients received a high effective dose (>20 mSv) and 3% might develop cataract from cumulative doses to the eye lens.

  8. A Multi-institutional Study of Factors Influencing the Use of Stereotactic Radiosurgery for Brain Metastases

    SciTech Connect (OSTI)

    Hodgson, David C.; Charpentier, Anne-Marie; Cigsar, Candemir; Atenafu, Eshetu G.; Ng, Angela; Bahl, Guarav; Zadeh, Gelareh; San Miguel, John; Menard, Cynthia; Department of Radiation Oncology, University of Toronto, Toronto, Ontario

    2013-02-01

    Purpose: Stereotactic radiosurgery (SRS) for brain metastases is a relatively well-studied technology with established guidelines regarding patient selection, although its implementation is technically complex. We evaluated the extent to which local availability of SRS affected the treatment of patients with brain metastases. Methods and Materials: We identified 3030 patients who received whole-brain radiation therapy (WBRT) for brain metastases in 1 of 7 cancer centers in Ontario. Clinical data were abstracted for a random sample of 973 patients. Logistic regression analyses were performed to identify factors associated with the use of SRS as a boost within 4 months following WBRT or at any time following WBRT. Results: Of 898 patients eligible for analysis, SRS was provided to 70 (7.8%) patients at some time during the course of their disease and to 34 (3.8%) patients as a boost following WBRT. In multivariable analyses, factors significantly associated with the use of SRS boost following WBRT were fewer brain metastases (odds ratio [OR] = 6.50), controlled extracranial disease (OR = 3.49), age (OR = 0.97 per year of advancing age), and the presence of an on-site SRS program at the hospital where WBRT was given (OR = 12.34; all P values were <.05). Similarly, availability of on-site SRS was the factor most predictive of the use of SRS at any time following WBRT (OR = 5.98). Among patients with 1-3 brain metastases, good/fair performance status, and no evidence of active extracranial disease, SRS was provided to 40.3% of patients who received WBRT in a hospital that had an on-site SRS program vs 3.0% of patients who received WBRT at a hospital without SRS (P<.01). Conclusions: The availability of on-site SRS is the factor most strongly associated with the provision of this treatment to patients with brain metastases and appears to be more influential than accepted clinical eligibility factors.

  9. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    SciTech Connect (OSTI)

    HCTT-CHE

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster—readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that—help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners' (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. While the purpose of the CAT is to further prepare the community for an influenza pandemic, its framework is an extension of the traditional all-hazards approach to planning and preparedness. As such, the information gathered by the tool is useful in preparation for most widespread public health emergencies. This tool is primarily intended for use by those involved in healthcare emergency preparedness (e.g., community planners, community disaster preparedness coordinators, 9-1-1 directors, hospital emergency preparedness coordinators). It is divided into sections based on the core agency partners, which may be involved in the community's influenza pandemic influenza response.

  10. Fuel Cell Power Model Version 2: Startup Guide, System Designs, and Case Studies. Modeling Electricity, Heat, and Hydrogen Generation from Fuel Cell-Based Distributed Energy Systems

    SciTech Connect (OSTI)

    Steward, D.; Penev, M.; Saur, G.; Becker, W.; Zuboy, J.

    2013-06-01

    This guide helps users get started with the U.S. Department of Energy/National Renewable Energy Laboratory Fuel Cell Power (FCPower) Model Version 2, which is a Microsoft Excel workbook that analyzes the technical and economic aspects of high-temperature fuel cell-based distributed energy systems with the aim of providing consistent, transparent, comparable results. This type of energy system would provide onsite-generated heat and electricity to large end users such as hospitals and office complexes. The hydrogen produced could be used for fueling vehicles or stored for later conversion to electricity.

  11. Healthcare Energy End-Use Monitoring

    SciTech Connect (OSTI)

    Sheppy, M.; Pless, S.; Kung, F.

    2014-08-01

    NREL partnered with two hospitals (MGH and SUNY UMU) to collect data on the energy used for multiple thermal and electrical end-use categories, including preheat, heating, and reheat; humidification; service water heating; cooling; fans; pumps; lighting; and select plug and process loads. Additional data from medical office buildings were provided for an analysis focused on plug loads. Facility managers, energy managers, and engineers in the healthcare sector will be able to use these results to more effectively prioritize and refine the scope of investments in new metering and energy audits.

  12. Sampling airborne microorganisms. Summary report, 1 October 1985-30 September 1986

    SciTech Connect (OSTI)

    Chatigny, M.A.

    1986-09-01

    In response to a rapidly increasing awarness of problems in air pollution and air hygiene, considerable emphasis has been placed on sampling of gaseous and particulate contaminants. Although included in the latter category, airborne microbes have not been considered major air pollutants as have chemical aerosols. They have been of some concern in extramural environments (plant diseases) and of considerable interest in intramural (hospital surgical theaters) environments. The intrinsic characteristics of microbes make them difficult to collect and assay quantitatively. The collection instrumentation available tends to be less sophisticated, though no less diverse, than that for other particulates and to require more processing after collection.

  13. Wood pellet production

    SciTech Connect (OSTI)

    Moore, J.W.

    1983-08-01

    Southern Energy Limited's wood pellet refinery, Bristol, Florida, produces wood pellets for fuel from scrap wood from a nearby sawmill and other hog fuel delivered to the plant from nearby forest lands. The refinery will provide 50,000 tons of pellets per year to the Florida State Hospital at Chattahoochee to fire recently converted boilers in the central power plant. The pellets are densified wood, having a moisture content of about 10% and a heating value of 8000 Btu/lb. They are 0.5 inches in diameter and 2 to 3 inches in length.

  14. Woman Credits JLab Technology With Saving Her Life | Jefferson Lab

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Woman Credits JLab Technology With Saving Her Life Woman Credits JLab Technology With Saving Her Life NEWPORT NEWS, Va. Jan. 30, 2008 -- When Sue Parham underwent tests prior to undergoing surgery for breast cancer, she had no idea how much her life was about to change. Parham's surgeon had sent her to the hospital for a new procedure designed to provide better images of a small tumor in her left breast. To get those better images, Parham underwent a BSGI scan, short for Breast-Specific Gamma

  15. National Targets Table

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Nov 2011 For instructions on how to use the table and footnotes, see page 2 Education 144 63% 58 K-12 School College/University (campus level) 244 63% 104 Food Sales 570 86% 193 Grocery Store/Food Market Convenience store (with or without gas station) 657 90% 228 Food Service 575 59% 267 Restaurant/Cafeteria 434 53% 207 Fast Food 1170 64% 418 Inpatient Health Care (Hospital) Lodging 163 61% 72 Dormitory/Fraternity/Sorority Hotel/Motel/Inn Mall (Strip and Enclosed) 247 71% 94 Nursing/Assisted

  16. LOS ALAMOS, N.M., Dec. 14, 2015-Los Alamos National Laboratory's portable

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    named Top 10 Breakthrough of 2015 by Physics World magazine December 20, 2015 LOS ALAMOS, N.M., Dec. 14, 2015-Los Alamos National Laboratory's portable MRI was named one of the Top 10 Breakthroughs of the Year by Physics World, the member magazine of the Institute of Physics. Portable MRI, also called Battlefield MRI (bMRI), uses ultra-low-field magnetic resonance imaging to create images of injured soft tissues, such as the brain. "Hospital-based MRI devices are big and expensive,"

  17. SU-E-P-19: A National Collaborative Academic Medical Physics Network: Structure, Activity and Outcomes

    SciTech Connect (OSTI)

    Thwaites, D

    2015-06-15

    Purpose: A national Australian inter-university medical physics (MP) group was formed in 2011/12, supported by Department of Health Better Access to Radiation Oncology BARO) seed funding. Core membership includes the six universities providing postgraduate MP courses. Objectives include increasing capacity, development and efficiency of national academic MP structures/systems and hence supporting education, clinical training and research, for the MP workforce support. Although the BARO scheme focuses on Radiation Oncology, the group has wider MP interests. Methods: Two further BARO seed grants were achieved: 1) for networked academic activities, including shared-resource teaching, eg using virtual reality systems; MP outreach to schools and undergraduates; developing web-based student and registrar education/resources, etc.; and 2) for conjoint ‘translational research’ posts between universities and partner hospitals, to clinically progress advanced RT technologies and to support students and registrars. Each university received 0.5 FTE post from each grant over 2 years (total: $1.75M) and leveraged local additional partner funds. Results: Total funding: $4–5M. Overall there have been 35 (mainly overseas) postholders bringing specific expertise, beginning in early 2013. Periods in Australia have been from 0.25–2 years (median=1). As well as the education activities, research projects include lung/spine SBRT, 4D RT, FFF beams, technology assessment, complex treatment planning, imaging for radiation oncology, DIR, adaptive breast, datamining, radiomics,etc. Observed positive impacts include: increased interest in MP courses, training support, translational research infrastructure and/or clinical practice in the hospitals involved, plus increased collaboration and effectiveness between the universities. Posts are continuing beyond grant end using leveraged funds, providing the basis for sustainability of some posts. Conclusion: The BARO-funded projects have

  18. Energy use and engineering audits at state-owned facilities in Minnesota

    SciTech Connect (OSTI)

    Hirst, E.

    1980-01-01

    The contents and results of two large computerized data bases maintained by the Minnesota Department of Administration are described and analyzed. One contains information on monthly fuel use from 1972 through 1978 for 42 large state facilities: community colleges, state universities, hospitals, prisons, and office buildings. The second contains the results of detailed engineering audits performed at 41 such institutions. The audits cover 270 buildings and include 2010 individual energy conservation recommendations. Several data base management issues are discussed. These include errors and their identification, development of simple and consistent definitions for key terms, and collection of information on the major determinants of energy use and conservation potentials at these facilities.

  19. Wood energy in Georgia: a five-year progress report

    SciTech Connect (OSTI)

    Not Available

    1982-01-01

    An increasing number of industrial plants and public and residential facilities in Georgia are using wood, Georgia's greatest renewable energy source, to replace gas, oil, coal, and electricity. All wood systems described in this report are or will soon be in operation in schools, prisons, hospitals, and other state facilities, and are producing substantial financial savings. The economic values from increased markets and jobs are important in all areas of the state, with total benefits projected at $2.9 million a year for state taxpayers. 2 figures.

  20. Sodium Tetradecyl Sulphate Direct Intralesional Sclerotherapy of Venous Malformations of the Vulva and Vagina: Report of Five Cases

    SciTech Connect (OSTI)

    Krokidis, Miltiadis; Venetucci, Pietro; Hatzidakis, Adam; Iaccarino, Vittorio

    2011-02-15

    We report five cases of female patients affected by symptomatic focal external genital venous malformations treated with percutaneous direct intralesional injection of sodium tetradecyl sulphate (STS). All patients were referred because of discomfort and pain when sexual intercourse was attempted. Direct sclerotherapy with 3% STS was performed on a day-hospital basis with the patient under local anesthesia. Complete resolution of the symptoms was achieved in all cases. No major adverse effects were reported. Direct intralesional sclerotherapy with STS may be considered a safe and effective method for the treatment of female external genital malformation without the necessity of general anesthesia for pain control.

  1. Two types of metal fume fever: Mild vs. serious

    SciTech Connect (OSTI)

    Blount, B.W. )

    1990-08-01

    Some physicians recognize the mild form of Metal Fume Fever (MFF); few recognize MFF's serious form. Mild MFF is self-limited and is caused by inhaling metal oxide fumes. Serious MFF may be life-threatening and is caused by inhalation of military smoke. Initial manifestations of the two forms are similar but their pathophysiologies and managements are different. Mild MFF patients recover within 48 hours and rarely require hospitalization. Serious MFF symptoms remit but may relapse 24 to 48 hours later with significant morbidity and mortality. Serious MFF patients require admission for observation. Military physicians need to differentiate these forms of MFF.26 references.

  2. 1

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    could aid wounded soldiers and children in the Third World April 22, 2015 LOS ALAMOS, N.M., April 22, 2015-Scientists at Los Alamos National Laboratory are developing an ultra-low-field Magnetic Resonance Imaging (MRI) system that could be low-power and lightweight enough for forward deployment on the battlefield and to field hospitals in the World's poorest regions. "MRI technology is a powerful medical diagnostic tool," said Michelle Espy, the Battlefield MRI (bMRI) project leader,

  3. Buildings Energy Data Book

    Buildings Energy Data Book [EERE]

    3.1 Commercial Sector Energy Consumption 3.2 Commercial Sector Characteristics 3.3 Commercial Sector Expenditures 3.4 Commercial Environmental Emissions 3.5 Commercial Builders and Construction 3.6 Office Building Markets and Companies 3.7 Retail Markets and Companies 3.8 Hospitals and Medical Facilities 3.9 Educational Facilities 3.10 Hotels/Motels 4Federal Sector 5Envelope and Equipment 6Energy Supply 7Laws, Energy Codes, and Standards 8Water 9Market Transformation Glossary Acronyms and

  4. Buildings Energy Data Book: 1.5 Generic Fuel Quad and Comparison

    Buildings Energy Data Book [EERE]

    4 Average Annual Carbon Dioxide Emissions for Various Functions Stock Refrigerator (1) kWh - Electricity Stock Electric Water Heater kWh - Electricity Stock Gas Water Heater million Btu - Natural Gas Stock Oil Water Heater million Btu - Fuel Oil Single-Family Home million Btu Mobile Home million Btu Multi-Family Unit in Large Building million Btu Multi-Family Unit in Small Building million Btu School Building million Btu Office Building million Btu Hospital, In-Patient million Btu Stock Vehicles

  5. Webinar Series on Healthcare Lighting | Department of Energy

    Energy Savers [EERE]

    Webinar Series on Healthcare Lighting Webinar Series on Healthcare Lighting August 26, 2016 - 10:39am Addthis Registration is open for a three-part webinar series on healthcare lighting. All webinars will start at 1:00 p.m. Eastern (10:00 a.m. Pacific) and last one hour. Tuesday, September 13: The Nurses' Perspective on Hospital Patient Room Lighting Presenters: Pat Lydon, Legacy Health, and Robert Davis and Andrea Wilkerson, Pacific Northwest National Laboratory Learn how SSL technology

  6. A Procedure for Using FMECA to Assess High-Risk Healthcare Processes (PSAM-0266)

    SciTech Connect (OSTI)

    Coles, Garill A.

    2006-01-12

    An applied research firm collaborated with staff at three community hospitals to apply Failure Mode Effects and Criticality Analysis (FMECA) to reduce risk from several high-risk healthcare processes. This included medication ordering and delivery, X-Ray labelling, blood transfusion, prevention of wrong site surgery, prevention of patient falls and antibiotic IV administration. The collaborating team developed its own successful FMECA approach and an eight-step procedure to gather data, conduct FMECA sessions, identify medical process weaknesses and risk reduction measures.

  7. Secretary of Energy Advisory Board FracFocus2.0 Task Force Public Meeting

    Broader source: Energy.gov (indexed) [DOE]

    Delivered | Department of Energy Thank you, Tanaka-san. We do indeed have a history together. In fact, his kind introduction was simply a repayment for my kind introduction of him at MIT a few years ago. I also want to thank Chairman Hanyu for his remarks, and for the hospitality of the Sasakawa Peace Foundation for hosting this event. I'll also go back with Mr. Tanaka and just note that it was a pleasure, certainly, working with him at the IEA and of course subsequently, and I just want to

  8. The Hydrogen Laboratory and The Brazilian Reference Center for Hydrogen Energy

    Office of Energy Efficiency and Renewable Energy (EERE) Indexed Site

    Laboratory & The Brazilian Reference Center for Hydrogen Energy December 09 th , 2009 Dr. Newton Pimenta Cristiano Pinto LH2 & CENEH The State University of Campinas UNICAMP Founded in 1966 5 campuses (4 cities) 72 units 24 libraries 4 hospitals 1,750 professors 16,500 undergraduate students 11,450 graduate students (5,250 PhD students) The State University of Campinas UNICAMP UNICAMP is the site for 3 energy centers: The Hydrogen Laboratory (LH2) at the Physics Institute The

  9. Characterization of commercial building appliances. Final report

    SciTech Connect (OSTI)

    Patel, R.F.; Teagan, P.W.; Dieckmann, J.T.

    1993-08-01

    This study focuses on ``other`` end-uses category. The purpose of this study was to determine the relative importance of energy end-use functions other than HVAC and lighting for commercial buildings, and to identify general avenues and approaches for energy use reduction. Specific energy consuming technologies addressed include non-HVAC and lighting technologies in commercial buildings with significant energy use to warrant detailed analyses. The end-uses include office equipment, refrigeration, water heating, cooking, vending machines, water coolers, laundry equipment and electronics other than office equipment. The building types include offices, retail, restaurants, schools, hospitals, hotels/motels, grocery stores, and warehouses.

  10. Chernobyl's lengthening shadow

    SciTech Connect (OSTI)

    Marples, D. )

    1993-09-01

    This article reviews the April 26, 1986 nuclear disaster at Chernobyl. The information presented was gathered through talks between the author and scientists, citizens, and hospital workers in Belarus and Ukraine, as well as from library research. What is currently believed to have occurred at the time of the accident is related. The short and long term health effects of the accident as they are now understood are analyzed. The numbers of people evacuated and the location and severity of land contamination are described. Political and economic consequences of the accident are also explored. 2 refs.

  11. BETTER BUILDINGS ALLIANCE

    Broader source: Energy.gov [DOE]

    Commercial buildings—our offices, schools, hospitals, restaurants, hotels and stores—consume nearly 20% of all energy used in the United States. We spend more than $200 billion each year to power our country's commercial buildings. Unfortunately, much of this energy and money is wasted; a typical commercial building could save 20% on its energy bills simply by commissioning existing systems so they operate as intended. Energy efficiency is a cost-effective way to save money, support job growth, reduce pollution, and improve competitiveness.

  12. Crowne Plaza Renovation Retrofit Case Study

    SciTech Connect (OSTI)

    none,

    2013-03-01

    InterContinental Hotels Group (IHG) and its franchise partner B.F. Saul Company Hospitality Group (B.F. Saul Co.) partnered with the Department of Energy (DOE) to develop and implement solutions to retrofit existing buildings to reduce energy consumption by at least 30% versus requirements set by Standard 90.1-2004 of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE), the American National Standards Institute (ANSI), and the Illuminating Engineering Society of North America (IESNA) as part of DOE’s Commercial Building Partnerships (CBP) Program.

  13. Carbohydrate biofuels II: The need and the potential for rootfuel in the Navajo Nation

    SciTech Connect (OSTI)

    Shultz, E.B.; Jr.; Bragg, W.G.; Whittier, J.

    1995-11-01

    Over 80% of rural Navajos and about two-thirds of all Navajos use scarce woodfuel and low-grade coal for home heating half the year, with coal used mainly as a nighttime adjunct. Serious health problems arise because stoves are old and leak smoke and carbon monoxide. The impacts are gender-biased to women and small children. Respiratory disease is a major cause of Navajo mortality and unusually high admissions to Navajo Indian Health Service hospitals. A 1990 study at a Navajo hospital showed that Navajo children under two years of age from homes with woodstoves are nearly five times more likely to contract acute lower respiratory tract infections than children from homes with no stove. Correctives include improved stoves and fuels. Our previous studies on clean-burning starchy/cellulosic {open_quotes}rootfuels{close_quotes} in Latin America, Africa, and Asia are applicable. We discuss our preliminary work on the Navajo reservation, the current status of household stoves and stovefuels, the health impacts of woodsmoke and coalsmoke from old, faulty stoves, the conditions for growing rootfuel on the reservation, and policy and strategy for coping with the problem.

  14. High Performance Healthcare Buildings: A Roadmap to Improved Energy Efficiency

    SciTech Connect (OSTI)

    Singer, Brett C.; Tschudi, William F.

    2009-09-08

    This document presents a road map for improving the energy efficiency of hospitals and other healthcare facilities. The report compiles input from a broad array of experts in healthcare facility design and operations. The initial section lists challenges and barriers to efficiency improvements in healthcare. Opportunities are organized around the following ten themes: understanding and benchmarking energy use; best practices and training; codes and standards; improved utilization of existing HVAC designs and technology; innovation in HVAC design and technology; electrical system design; lighting; medical equipment and process loads; economic and organizational issues; and the design of next generation sustainable hospitals. Achieving energy efficiency will require a broad set of activities including research, development, deployment, demonstration, training, etc., organized around 48 specific objectives. Specific activities are prioritized in consideration of potential impact, likelihood of near- or mid-term feasibility and anticipated cost-effectiveness. This document is intended to be broad in consideration though not exhaustive. Opportunities and needs are identified and described with the goal of focusing efforts and resources.

  15. ASSESSMENT OF COMBINED HEAT AND POWER SYSTEM"PREMIUM POWER" APPLICATIONS IN CALIFORNIA

    SciTech Connect (OSTI)

    Norwood, Zack; Lipman, Timothy; Stadler, Michael; Marnay, Chris

    2010-06-01

    The effectiveness of combined heat and power (CHP) systems for power interruption intolerant,"premium power," facilities is the focus of this study. Through three real-world case studies and economic cost minimization modeling, the economic and environmental performance of"premium power" CHP is analyzed. The results of the analysis for a brewery, data center, and hospital lead to some interesting conclusions about CHP limited to the specific CHP technologies installed at those sites. Firstly, facilities with high heating loads prove to be the most appropriate for CHP installations from a purely economic standpoint. Secondly, waste heat driven thermal cooling systems are only economically attractive if the technology for these chillers can increase above the current best system efficiency. Thirdly, if the reliability of CHP systems proves to be as high as diesel generators they could replace these generators at little or no additional cost if the thermal to electric (relative) load of those facilities was already high enough to economically justify a CHP system. Lastly, in terms of greenhouse gas emissions, the modeled CHP systems provide some degree of decreased emissions, estimated at approximately 10percent for the hospital, the application with the highest relative thermal load in this case

  16. Assessment of Distributed Generation Potential in JapaneseBuildings

    SciTech Connect (OSTI)

    Zhou, Nan; Marnay, Chris; Firestone, Ryan; Gao, Weijun; Nishida,Masaru

    2005-05-25

    To meet growing energy demands, energy efficiency, renewable energy, and on-site generation coupled with effective utilization of exhaust heat will all be required. Additional benefit can be achieved by integrating these distributed technologies into distributed energy resource (DER) systems (or microgrids). This research investigates a method of choosing economically optimal DER, expanding on prior studies at the Berkeley Lab using the DER design optimization program, the Distributed Energy Resources Customer Adoption Model (DER-CAM). DER-CAM finds the optimal combination of installed equipment from available DER technologies, given prevailing utility tariffs, site electrical and thermal loads, and a menu of available equipment. It provides a global optimization, albeit idealized, that shows how the site energy loads can be served at minimum cost by selection and operation of on-site generation, heat recovery, and cooling. Five prototype Japanese commercial buildings are examined and DER-CAM applied to select the economically optimal DER system for each. The five building types are office, hospital, hotel, retail, and sports facility. Based on the optimization results, energy and emission reductions are evaluated. Furthermore, a Japan-U.S. comparison study of policy, technology, and utility tariffs relevant to DER installation is presented. Significant decreases in fuel consumption, carbon emissions, and energy costs were seen in the DER-CAM results. Savings were most noticeable in the sports facility (a very favourable CHP site), followed by the hospital, hotel, and office building.

  17. Brooklyn Union`s award-winning phosphoric-acid fuel cell installation

    SciTech Connect (OSTI)

    Berry, C.

    1996-03-01

    Brooklyn Union has been involved with the development of commercial fuel cells since the late 1960s. In the early 1990`s, the ONSI Corporation began a limited first-of-its-kind production run of a 200-kW system. ONSI`s Model PC-25 remains the only commercially available on-site fuel cell system. Brooklyn Union is currently operating a PC-25 at St. Vincent`s Medical Center in Staten Island, NY. In December of 1989, Brooklyn Union signed a contract with ONSI for the purchase of one of the first PC-25s. Installation of this unit began in September 1992, and the system went on line in October. The system is operating at an electrical efficiency of 36.8% (based on higher heating value) with a combined thermal/electrical efficiency of nearly 71.5%. The thermal output of the fuel cell is being used for the production of domestic hot water for use in the hospital`s laundry. This paper describes the system and its performances to date.

  18. Learning environment simulator: a tool for local decision makers and first responders

    SciTech Connect (OSTI)

    Leclaire, Rene J; Hirsch, Gary B

    2009-01-01

    The National Infrastructure Simulation and Analysis Center (NISAC) has developed a prototype learning environment simulator (LES) based on the Critical Infrastructure Protection Decision Support System (CIPDSS) infrastructure and scenario models. The LES is designed to engage decision makers at the grass-roots level (local/city/state) to deepen their understanding of an evolving crisis, enhance their intuition and allow them to test their own strategies for events before they occur. An initial version is being developed, centered on a pandemic influenza outbreak and has been successfully tested with a group of hospital administrators and first responders. LES is not a predictive tool but rather a simulated environment allowing the user to experience the complexities of a crisis before it happens. Users can contrast various approaches to the crisis, competing with alternative strategies of their own or other participants. LES is designed to assist decision makers in making informed choices by functionally representing relevant scenarios before they occur, including impacts to critical infrastructures with their interdependencies, and estimating human health & safety and economic impacts. In this paper a brief overview of the underlying models are given followed by a description of the LES, its interface and usage and an overview of the experience testing LES with a group of hospital administrators and first responders. The paper concludes with a brief discussion of the work remaining to make LES operational.

  19. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    SciTech Connect (OSTI)

    ORAU's Oak Ridge Institute for Science Education

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster - readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that - help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. This tool has been reviewed by a variety of key subject matter experts from federal, state, and local agencies and organizations. It also has been piloted with various communities that consist of different population sizes, to include large urban to small rural communities.

  20. Russian low-level waste disposal program

    SciTech Connect (OSTI)

    Lehman, L.

    1993-03-01

    The strategy for disposal of low-level radioactive waste in Russia differs from that employed in the US. In Russia, there are separate authorities and facilities for wastes generated by nuclear power plants, defense wastes, and hospital/small generator/research wastes. The reactor wastes and the defense wastes are generally processed onsite and disposed of either onsite, or nearby. Treating these waste streams utilizes such volume reduction techniques as compaction and incineration. The Russians also employ methods such as bitumenization, cementation, and vitrification for waste treatment before burial. Shallow land trench burial is the most commonly used technique. Hospital and research waste is centrally regulated by the Moscow Council of Deputies. Plans are made in cooperation with the Ministry of Atomic Energy. Currently the former Soviet Union has a network of low-level disposal sites located near large cities. Fifteen disposal sites are located in the Federal Republic of Russia, six are in the Ukraine, and one is located in each of the remaining 13 republics. Like the US, each republic is in charge of management of the facilities within their borders. The sites are all similarly designed, being modeled after the RADON site near Moscow.

  1. Probabilistic consequence model of accidenal or intentional chemical releases.

    SciTech Connect (OSTI)

    Chang, Y.-S.; Samsa, M. E.; Folga, S. M.; Hartmann, H. M.

    2008-06-02

    In this work, general methodologies for evaluating the impacts of large-scale toxic chemical releases are proposed. The potential numbers of injuries and fatalities, the numbers of hospital beds, and the geographical areas rendered unusable during and some time after the occurrence and passage of a toxic plume are estimated on a probabilistic basis. To arrive at these estimates, historical accidental release data, maximum stored volumes, and meteorological data were used as inputs into the SLAB accidental chemical release model. Toxic gas footprints from the model were overlaid onto detailed population and hospital distribution data for a given region to estimate potential impacts. Output results are in the form of a generic statistical distribution of injuries and fatalities associated with specific toxic chemicals and regions of the United States. In addition, indoor hazards were estimated, so the model can provide contingency plans for either shelter-in-place or evacuation when an accident occurs. The stochastic distributions of injuries and fatalities are being used in a U.S. Department of Homeland Security-sponsored decision support system as source terms for a Monte Carlo simulation that evaluates potential measures for mitigating terrorist threats. This information can also be used to support the formulation of evacuation plans and to estimate damage and cleanup costs.

  2. SU-E-P-10: Establishment of Local Diagnostic Reference Levels of Routine Exam in Computed Tomography

    SciTech Connect (OSTI)

    Yeh, M; Wang, Y; Weng, H

    2015-06-15

    Introduction National diagnostic reference levels (NDRLs) can be used as a reference dose of radiological examination can provide radiation dose as the basis of patient dose optimization. Local diagnostic reference levels (LDRLs) by periodically view and check doses, more efficiency to improve the way of examination. Therefore, the important first step is establishing a diagnostic reference level. Computed Tomography in Taiwan had been built up the radiation dose limit value,in addition, many studies report shows that CT scan contributed most of the radiation dose in different medical. Therefore, this study was mainly to let everyone understand DRL’s international status. For computed tomography in our hospital to establish diagnostic reference levels. Methods and Materials: There are two clinical CT scanners (a Toshiba Aquilion and a Siemens Sensation) were performed in this study. For CT examinations the basic recommended dosimetric quantity is the Computed Tomography Dose Index (CTDI). Each exam each different body part, we collect 10 patients at least. Carried out the routine examinations, and all exposure parameters have been collected and the corresponding CTDIv and DLP values have been determined. Results: The majority of patients (75%) were between 60–70 Kg of body weight. There are 25 examinations in this study. Table 1 shows the LDRL of each CT routine examination. Conclusions: Therefore, this study would like to let everyone know DRL’s international status, but also establishment of computed tomography of the local reference levels for our hospital, and providing radiation reference, as a basis for optimizing patient dose.

  3. Evaluation of noise pollution in urban traffic hubs—Noise maps and measurements

    SciTech Connect (OSTI)

    Fiedler, Paulo Eduardo Kirrian; Zannin, Paulo Henrique Trombetta

    2015-02-15

    A study was made of some of the main traffic hubs in a Latin American metropolis, in order to determine the presence or absence of noise by means of noise measurements and acoustic mapping. To characterize noise in the evaluated road stretches, 232 measurements were taken at different points. The Predictor software package was used for the noise mapping calculations. Noise sensitive areas, e.g., hospitals, were identified in the evaluated road stretches. Noise maps were calculated for two hospitals, showing the current levels of noise that reach their facades. Hypothetical scenarios were simulated by making changes in the composition of traffic and total number of vehicles, and an assessment was made of the potential influence of these modifications in reducing the noise levels reaching the facades of the buildings in question. The simulations indicated that a 50% reduction in total traffic flow, or a 50% reduction in heavy vehicle traffic flow, would reduce the noise levels by about 3 dB(A). - Highlights: • Evaluation of noise pollution in urban traffic hubs • Street systems • Environmental noise impacts • Noise mapping.

  4. Optimal evaluation of infectious medical waste disposal companies using the fuzzy analytic hierarchy process

    SciTech Connect (OSTI)

    Ho, Chao Chung

    2011-07-15

    Ever since Taiwan's National Health Insurance implemented the diagnosis-related groups payment system in January 2010, hospital income has declined. Therefore, to meet their medical waste disposal needs, hospitals seek suppliers that provide high-quality services at a low cost. The enactment of the Waste Disposal Act in 1974 had facilitated some improvement in the management of waste disposal. However, since the implementation of the National Health Insurance program, the amount of medical waste from disposable medical products has been increasing. Further, of all the hazardous waste types, the amount of infectious medical waste has increased at the fastest rate. This is because of the increase in the number of items considered as infectious waste by the Environmental Protection Administration. The present study used two important findings from previous studies to determine the critical evaluation criteria for selecting infectious medical waste disposal firms. It employed the fuzzy analytic hierarchy process to set the objective weights of the evaluation criteria and select the optimal infectious medical waste disposal firm through calculation and sorting. The aim was to propose a method of evaluation with which medical and health care institutions could objectively and systematically choose appropriate infectious medical waste disposal firms.

  5. Portable MRI developed at Los Alamos

    SciTech Connect (OSTI)

    Espy, Michelle

    2015-04-22

    Scientists at Los Alamos National Laboratory are developing an ultra-low-field Magnetic Resonance Imaging (MRI) system that could be low-power and lightweight enough for forward deployment on the battlefield and to field hospitals in the World's poorest regions. "MRI technology is a powerful medical diagnostic tool," said Michelle Espy, the Battlefield MRI (bMRI) project leader, "ideally suited for imaging soft-tissue injury, particularly to the brain." But hospital-based MRI devices are big and expensive, and require considerable infrastructure, such as large quantities of cryogens like liquid nitrogen and helium, and they typically use a large amount of energy. "Standard MRI machines just can't go everywhere," said Espy. "Soldiers wounded in battle usually have to be flown to a large hospital and people in emerging nations just don't have access to MRI at all. We've been in contact with doctors who routinely work in the Third World and report that MRI would be extremely valuable in treating pediatric encephalopathy, and other serious diseases in children." So the Los Alamos team started thinking about a way to make an MRI device that could be relatively easy to transport, set up, and use in an unconventional setting. Conventional MRI machines use very large magnetic fields that align the protons in water molecules to then create magnetic resonance signals, which are detected by the machine and turned into images. The large magnetic fields create exceptionally detailed images, but they are difficult and expensive to make. Espy and her team wanted to see if images of sufficient quality could be made with ultra-low-magnetic fields, similar in strength to the Earth's magnetic field. To achieve images at such low fields they use exquisitely sensitive detectors called Superconducting Quantum Interference Devices, or SQUIDs. SQUIDs are among the most sensitive magnetic field detectors available, so interference with the signal is the primary stumbling block. "SQUIDs are

  6. Proceedings of the Oak Ridge Electron Linear Accelerator (ORELA) Workshop

    SciTech Connect (OSTI)

    Dunn, M.E.

    2006-02-27

    -specific measurements. As a result, ORELA has not received base funding to support major upgrades and significant maintenance operations that are essential to keep the facility in a state of readiness over the long term. As a result, ORELA has operated on a ''sub-bare-minimum'' budget for the past 10 to 15 years, and the facility has not been maintained at a level for continued reliable operation for the long term. During the Workshop, Jerry McKamy (NNSA/NA-117) used a hospital patient metaphor that accurately depicts the facility status. ORELA is currently in the intensive care unit (ICU) on life support, and refurbishment efforts are needed to get the ''patient'' off life support and out to an ordinary hospital room. McKamy further noted that the DOE NCSP is planning to fund immediate refurbishment tasks ($1.5 M over three years) to help reestablish reliable ORELA operation (i.e., move ORELA from ICU to an ordinary hospital room). Furthermore, the NCSP will work to identify and carry out the actions needed to discharge ORELA from the ''hospital'' over the next five to seven years. In accordance with the Workshop objectives, the technical community publicly endorsed the need for a reliable ORELA facility that can meet current and future nuclear data needs. These Workshop proceedings provide the formal documentation of the technical community endorsement for ORELA. Furthermore, the proceedings highlight the past and current contributions that ORELA has made to the nuclear industry. The Workshop further emphasized the operational and funding problems that currently plague the facility, thereby limiting ORELA's operational reliability. Despite the recent operational problems, ORELA is a uniquely capable measurement facility that must be part of the overall U.S. nuclear data measurement portfolio in order to support current and emerging nuclear applications. The Workshop proceedings further emphasize that ORNL, the technical community, and programmatic sponsors are eager to see ORELA

  7. Basewide energy systems plan for Fort Bragg, North Carolina. Facilities engineer conservation measures. Executive summary. Final report

    SciTech Connect (OSTI)

    1984-10-01

    This report presents the results of Increments A, B, C, D, E, F, and G of the Energy Engineering Analysis Program, as well as the energy audit of Womack Hospital, conducted at Fort Bragg in Fayetteville, North Carolina, by JRB Associates under Contract No. DACA2l-80-C-00l4. This report includes analyses of the energy patterns at the facility, and the identification and evaluation of energy conservation opportunities. The results obtained indicate that energy use at Fort Bragg will remain constant through FY 1985, compared to FY 1975 energy use. This will be achieved even though the total square feet of conditioned space is projected to increase by 14 percent. This report is organized into eight volumes, plus appendices.

  8. A modeling framework for investment planning in interdependent infrastructures in multi-hazard environments.

    SciTech Connect (OSTI)

    Brown, Nathanael J. K.; Gearhart, Jared Lee; Jones, Dean A.; Nozick, Linda Karen; Prince, Michael

    2013-09-01

    Currently, much of protection planning is conducted separately for each infrastructure and hazard. Limited funding requires a balance of expenditures between terrorism and natural hazards based on potential impacts. This report documents the results of a Laboratory Directed Research&Development (LDRD) project that created a modeling framework for investment planning in interdependent infrastructures focused on multiple hazards, including terrorism. To develop this framework, three modeling elements were integrated: natural hazards, terrorism, and interdependent infrastructures. For natural hazards, a methodology was created for specifying events consistent with regional hazards. For terrorism, we modeled the terrorist's actions based on assumptions regarding their knowledge, goals, and target identification strategy. For infrastructures, we focused on predicting post-event performance due to specific terrorist attacks and natural hazard events, tempered by appropriate infrastructure investments. We demonstrate the utility of this framework with various examples, including protection of electric power, roadway, and hospital networks.

  9. Seismic base isolation in practice: The California experience

    SciTech Connect (OSTI)

    Naeim, F.; Lew, M.

    1995-12-01

    Seismic base isolation systems of various forms and features have been implemented in design of many new buildings and in rehabilitation of several existing structures. Currently, at least in California, the seismic isolation option is seriously considered at the onset of design of any hospital or health care facility project. While the design and implementation of seismic isolation systems seem to have been successful, there exist a multitude of problems which need to be addressed during each of the design, manufacturing, and construction processes to ensure a satisfactory end-result. The authors have been involved as structural and geotechnical engineers, as well as peer reviewers and plan checkers for many of the landmark California seismic isolated structures. This paper will provide a summary of state-of-the-practice and its problems for seismic isolated building structures.

  10. Ozone Risk Assessment Utilities

    Energy Science and Technology Software Center (OSTI)

    1999-08-10

    ORAMUS is a user-friendly, menu-driven software system that calculates and displays user-selected risk estimates for health effects attributable to short-term exposure to tropospheric ozone. Inputs to the risk assessment are estimates of exposure to ozone and exposure-response relationships to produce overall risk estimates in the form of probability distributions. Three fundamental models are included: headcount risk, benchmark risk, and hospital admissions. Exposure-response relationships are based on results of controlled human exposure studies. Exposure estimates aremore » based on the EPA''s probabilistic national ambient air quality standards (NAAQS) exposure model, pNEM/Osub3, which simulates air quality associated with attainment of alternative NAAQS. Using ORAMUS, risk results for 27 air quality scenarios, air quality in 9 urban areas, 33 health endpoints, and 4 chronic health endpoints can be calculated.« less

  11. Safety aspects of cryochamber operation

    SciTech Connect (OSTI)

    Chorowski, M.; Piotrowska, A.; Sieron, A.; Stanek, A.

    2014-01-29

    Local and whole body cryotherapy is well recognized, developed and appreciated both from medical and technical point of view. Poland is a country with a highest number of medical cryochambers in operation (above 200) and more than 3 millions of whole body cryotherapeutic sessions have been performed since 1989. Cryogenic temperatures applied for whole-body apart from medical effects have also significant influence on patient's psyche. A number of cryochambers is constantly increasing in hospitals, sport centers and spas. A temperature inside a cryochamber should be below 150 K. To achieve and stabilize such low temperature, either cascade compressor unit or liquid cryogens evaporation (N{sub 2} or synthetic air) are used. This paper presents safety oriented review of cryochamber design and constructions.

  12. Assessment of clinical significance of anti-Ge in an untransfused man

    SciTech Connect (OSTI)

    Pearson, H.A.; Richards, V.L.; Wylie, B.R.; Bruce, D.; Watt, J.M.; Wilkie, D.; Kronenberg, H. )

    1991-03-01

    A 19-year-old, untransfused Melanesian man from Papua New Guinea was admitted to the hospital for repair of an atrial septal defect. His serum contained an alloantibody that reacted strongly on the indirect antiglobulin test and was identified as anti-Ge. Gerbich-negative blood was transfused following urgent surgery. A 51Cr red cell survival study performed 2 weeks after surgery yielded zero survival of Gerbich-positive cells after 24 hours. A monocyte-driven, antibody-dependent, cell-mediated cytotoxicity assay performed on both pretransfusion and posttransfusion serum samples and on concentrated serum showed less than 1 percent specific lysis of Gerbich-positive cells. This did not correlate with the indication of clinical significance predicted by the 51Cr study. Red cell adherence and phagocytosis, not evident in a monocyte monolayer assay using native serum, were demonstrable in 16 percent of monocytes by the use of concentrated serum.

  13. Palms Village Resort B

    Broader source: All U.S. Department of Energy (DOE) Office Webpages (Extended Search)

    Palms Village Resort B a g o t R o a d D i c k W a r d D r i v e T i g e r B r e n n a n D r i v e M c M i l l a n s R o a d Tr o w e r R o a d Leanyer Recreation Lake R a p i d C r e e k Ludmilla Creek Tipperary Waters Marina Bayview Marina S a d g r o v e s C r e e k Vesteys Lake Lake Alexander Royal Darwin & Darwin Private Hospital Darwin Golf Course Garden Park Golf Links RAAF Golf Course Dripstone Park Darwin Water Garden Marrara Sporting Complex RAAF Base Larrakeyah Army Base

  14. EpiPOD : community vaccination and dispensing model user's guide.

    SciTech Connect (OSTI)

    Berry, M.; Samsa, M.; Walsh, D.; Decision and Information Sciences

    2009-01-09

    EpiPOD is a modeling system that enables local, regional, and county health departments to evaluate and refine their plans for mass distribution of antiviral and antibiotic medications and vaccines. An intuitive interface requires users to input as few or as many plan specifics as are available in order to simulate a mass treatment campaign. Behind the input interface, a system dynamics model simulates pharmaceutical supply logistics, hospital and first-responder personnel treatment, population arrival dynamics and treatment, and disease spread. When the simulation is complete, users have estimates of the number of illnesses in the population at large, the number of ill persons seeking treatment, and queuing and delays within the mass treatment system--all metrics by which the plan can be judged.

  15. Report on the solar assessment of non-federal public buildings in the Northeast Region. Final report

    SciTech Connect (OSTI)

    Pansey, A.W.

    1980-02-01

    The activities and results of the Non-Federal Public Buildings Assessment project are summarized. The purpose of the project was to stimulate and assist the states of the Northeast Region in planning for the conversion of non-federal (state, county and municipal) public buildings from conventional energy to solar. These buildings include office buildings, schools, universities, hospitals, courthouses, prisons, police and fire stations, city and town halls, animal pounds, fish hatcheries, game farms and agricultural facilities. All are major users of energy, most of it in the form of distillate or residual oil. The thrust of the project was solely on domestic hot water and space heating applications, with energy provided by active or passive solar thermal, wood, and, possibly, wind.

  16. The Encyclopedia of Systems Biology and OMICS (first presentation) and The ISA Infrastructure for Multi-omics Data (second presentation) (GSC8 Meeting)

    ScienceCinema (OSTI)

    Kolker, Eugene [Seattle Children's Hospital]; Sansone, Susanna [EBI

    2011-04-28

    The Genomic Standards Consortium was formed in September 2005. It is an international, open-membership working body which promotes standardization in the description of genomes and the exchange and integration of genomic data. The 2009 meeting was an activity of a five-year funding "Research Coordination Network" from the National Science Foundation and was organized held at the DOE Joint Genome Institute with organizational support provided by the JGI and by the University of California - San Diego. Eugene Kolker from Seattle Children's Hospital briefly discusses "The Encyclopedia of Systems Biology and OMICS," followed by Susanna Sansone from the EBI on "The ISA Infrastructure for multi-omics data" at the Genomic Standards Consortium's 8th meeting at the DOE JGI in Walnut Creek, Calif. on Sept. 11, 2009.

  17. A survey of films for use as dosimeters in interventional radiology

    SciTech Connect (OSTI)

    Fajardo, L.C.; Geise, R.A.; Ritenour, E.R.

    1995-04-01

    Analysis of radiation doses in interventional radiological procedures that can lead to deterministic radiation effects such as erythema and epilation would assist physicians in planning patient care after exposure and in reducing doses. Photographic films used to measure skin exposure in the past are too sensitive for the high doses involved in interventional procedures. Seventeen different types of films, many of which are generally available in hospitals, were surveyed to see if any would meet the demands of interventional radiology. Sensitometric curves obtained demonstrate that most films are inappropriate for high dose procedures. Using Kodak Fine Grain Positive and Deupont duplicating films and automatic processing, doses as high as 2.8 Gy could be measured with reasonable accuracy. Similar results can be obtained by manually processing Kodak XV-2 verification film at room temperature.

  18. The Encyclopedia of Systems Biology and OMICS (first presentation) and The ISA Infrastructure for Multi-omics Data (second presentation) (GSC8 Meeting)

    SciTech Connect (OSTI)

    Kolker, Eugene; Sansone, Susanna

    2011-09-11

    The Genomic Standards Consortium was formed in September 2005. It is an international, open-membership working body which promotes standardization in the description of genomes and the exchange and integration of genomic data. The 2009 meeting was an activity of a five-year funding "Research Coordination Network" from the National Science Foundation and was organized held at the DOE Joint Genome Institute with organizational support provided by the JGI and by the University of California - San Diego. Eugene Kolker from Seattle Children's Hospital briefly discusses "The Encyclopedia of Systems Biology and OMICS," followed by Susanna Sansone from the EBI on "The ISA Infrastructure for multi-omics data" at the Genomic Standards Consortium's 8th meeting at the DOE JGI in Walnut Creek, Calif. on Sept. 11, 2009.

  19. Portable lamp with dynamically controlled lighting distribution

    DOE Patents [OSTI]

    Siminovitch, Michael J.; Page, Erik R.

    2001-01-01

    A double lamp table or floor lamp lighting system has a pair of compact fluorescent lamps (CFLs) arranged vertically with a reflective septum in between. By selectively turning on one or both of the CFLs, down lighting, up lighting, or both up and down lighting is produced. The control system can also vary the light intensity from each CFL. The reflective septum insures that almost all the light produced by each lamp will be directed into the desired light distribution pattern which is selected and easily changed by the user. Planar compact fluorescent lamps, e.g. circular CFLs, particularly oriented horizontally, are preferable. CFLs provide energy efficiency. The lighting system may be designed for the home, hospitality, office or other environments.

  20. Environmental Assessment Lakeview Geothermal Project

    SciTech Connect (OSTI)

    Treis, Tania

    2012-04-30

    The Town of Lakeview is proposing to construct and operate a geothermal direct use district heating system in Lakeview, Oregon. The proposed project would be in Lake County, Oregon, within the Lakeview Known Geothermal Resources Area (KGRA). The proposed project includes the following elements: Drilling, testing, and completion of a new production well and geothermal water injection well; construction and operation of a geothermal production fluid pipeline from the well pad to various Town buildings (i.e., local schools, hospital, and Lake County Industrial Park) and back to a geothermal water injection well. This EA describes the proposed project, the alternatives considered, and presents the environmental analysis pursuant to the National Environmental Policy Act. The project would not result in adverse effects to the environment with the implementation of environmental protection measures.

  1. Feasibility study Part I - Thermal hydraulic analysis of LEU target for {sup 99}Mo production in Tajoura reactor

    SciTech Connect (OSTI)

    Bsebsu, F.M.; Abotweirat, F. E-mail: abutweirat@yahoo.com; Elwaer, S.

    2008-07-15

    The Renewable Energies and Water Desalination Research Center (REWDRC), Libya, will implement the technology for {sup 99}Mo isotope production using LEU foil target, to obtain new revenue streams for the Tajoura nuclear research reactor and desiring to serve the Libyan hospitals by providing the medical radioisotopes. Design information is presented for LEU target with irradiation device and irradiation Beryllium (Be) unit in the Tajoura reactor core. Calculated results for the reactor core with LEU target at different level of power are presented for steady state and several reactivity induced accident situations. This paper will present the steady state thermal hydraulic design and transient analysis of Tajoura reactor was loaded with LEU foil target for {sup 99}Mo production. The results of these calculations show that the reactor with LEU target during the several cases of transient are in safe and no problems will occur. (author)

  2. Buildings Energy Data Book: 8.3 Commercial Sector Water Consumption

    Buildings Energy Data Book [EERE]

    2 Average Water Use of Commercial and Institutional Establishments (Gallons per Establishment per Day) Average Variation % Total % of CI % Seasonal Daily Use In Use (1) CI Use Customers Use (2) Hotels and Motels 7,113 5.41 5.8% 1.9% 23.1% Laundries/Laundromats 3,290 8.85 4.0% 1.4% 13.4% Car Washes 3,031 3.12 0.8% 0.4% 14.2% Urban Irrigation 2,596 8.73 28.5% 30.2% 86.9% Schools and Colleges 2,117 12.13 8.8% 4.8% 58.0% Hospitals/Medical Offices 1,236 78.5 3.9% 4.2% 23.2% Office Buildings 1,204

  3. Buildings Energy Data Book [EERE]

    3 ENERGY STAR Commercial and Institutional Buildings and Industrial Plants (1) Qualified Floorspace Floorspace Buildings Million SF Building Type Million SF % of Total Buildings 1999 87 33 Office 1,550.2 57.8% 5,981 2000 452 73 K-12 School 531.3 19.8% 5,453 2001 298 73 Retail 179.1 6.7% 2,048 2002 486 127 Hospital (General and Surgical) 100.5 3.4% 144 2003 592 150 Supermarket/Grocery 90.2 3.7% 1,878 2004 892 172 Hotel 71.9 2.7% 448 2005 1,026 216 Bank/Financial Institution 51.9 1.9% 257 2006

  4. Method and apparatus to measure the depth of skin burns

    DOE Patents [OSTI]

    Dickey, Fred M.; Holswade, Scott C.

    2002-01-01

    A new device for measuring the depth of surface tissue burns based on the rate at which the skin temperature responds to a sudden differential temperature stimulus. This technique can be performed without physical contact with the burned tissue. In one implementation, time-dependent surface temperature data is taken from subsequent frames of a video signal from an infrared-sensitive video camera. When a thermal transient is created, e.g., by turning off a heat lamp directed at the skin surface, the following time-dependent surface temperature data can be used to determine the skin burn depth. Imaging and non-imaging versions of this device can be implemented, thereby enabling laboratory-quality skin burn depth imagers for hospitals as well as hand-held skin burn depth sensors the size of a small pocket flashlight for field use and triage.

  5. ENIDINE: Vibration and seismic isolation technologies for power generation station applications

    SciTech Connect (OSTI)

    Zemanek, T.A.

    1994-12-31

    ENIDINE Inc. is a world leader in the design and manufacture of shock and vibration mounts. Founded in 1966, the company has two manufacturing facilities, employs over 300 people and supports a worldwide network of distributors and representatives. ENIDINE Inc. is part of the ENIDINE Corporate Group which owns a number of companies that design and manufacture Hydraulic/Pneumatic cylinders, Electromechanical devices, Hydraulic Control Valves and a number of Industrial Distribution companies throughout Europe. In total, the ENIDINE Corporate Group has over 900 employees with annual sales of over $100 million. ENIDINE shock and vibration mounts are used to isolate the vibration of missiles from their guidance systems, pumps from hospital operating equipment and off shore oil rigs, from the shock energy of waves in the North Sea. ENIDINE products can be found on all Boeing and McDonnell Douglas aircraft, as well as many electronic and weapons systems on board Navy ships.

  6. MIENS Minimum Information about an ENvironmental Sequence and The GSC's Not-for-Profit (GSC8 Meeting)

    ScienceCinema (OSTI)

    Yilmaz, Pelin [Max Planck Institute - Bremen]; Kolker, Eugene [Seattle Childrens Hospital

    2011-04-29

    The Genomic Standards Consortium was formed in September 2005. It is an international, open-membership working body which promotes standardization in the description of genomes and the exchange and integration of genomic data. The 2009 meeting was an activity of a five-year funding Research Coordination Network from the National Science Foundation and was held at the DOE Joint Genome Institute with organizational support provided by the JGI and by the University of California - San Diego. Pelin Yilmaz of the Max Planck Institute-Bremen talks about the MIENS specification and Eugene Kolker of Seattle Children's Hospital discusses the GSC's non-for-profit at the Genomic Standards Consortium's 8th meeting at the DOE JGI in Walnut Creek, Calif. on Sept. 9, 2009

  7. MO-B-16A-02: In Memoriam of Donald D. Tolbert: Surviving the Politics of Radiation Therapy

    SciTech Connect (OSTI)

    Bayouth, J; Limmer, J

    2014-06-15

    Today's healthcare work environment is ever-changing and without a doubt will continue to do so for the foreseeable future. How physicists are employed, evaluated, and valued are important aspects of our careers. With increasing demands and challenges being placed on the medical physics workforce, it is important to have the skills and knowledge to prepare for potential challenges to the status-quo of our employment status. Surviving in a world of change, consolidation, increased workload, and financial constraints is not a given, and preparing for those changes and challenges will benefit individuals as well as the medical physics community at large. Learning Objectives: Understand the challenges of succeeding in different work environments. Learn strategies to help define the role of a medical physicist to various administrators, physicians, and department staff and directors. Learn how to successfully communicate and interact with University, Hospital, and Department administrators.

  8. Computational analysis of kidney scintigrams

    SciTech Connect (OSTI)

    Vrincianu, D.; Puscasu, E.; Creanga, D.; Stefanescu, C.

    2013-11-13

    The scintigraphic investigation of normal and pathological kidneys was carried out using specialized gamma-camera device from nuclear medicine hospital department. Technetium 90m isotope with gamma radiation emission, coupled with vector molecules for kidney tissues was introduced into the subject body, its dynamics being recorded as data source for kidney clearance capacity. Two representative data series were investigated, corresponding to healthy and pathological organs respectively. The semi-quantitative tests applied for the comparison of the two distinct medical situations were: the shape of probability distribution histogram, the power spectrum, the auto-correlation function and the Lyapunov exponent. While power spectrum led to similar results in both cases, significant differences were revealed by means of distribution probability, Lyapunov exponent and correlation time, recommending these numerical tests as possible complementary tools in clinical diagnosis.

  9. Compositions and methods for pathogen transport

    DOE Patents [OSTI]

    El-Etr, Sahar; Farquar, George R.

    2016-01-26

    This disclosure provides a method for transporting a pathogen under ambient conditions, by culturing the pathogen with an amoeba under conditions that favor the incorporation of the pathogen into a trophozoite, starving the amoeba until it encysts, then culturing under conditions that favor conversion of the amoeba back to a trophozoite. In one aspect, the conditions that favor incorporation of the pathogen into the cyst of the amoeba comprises contacting the pathogen with the amoeba in an iron rich environment. Virus and/or bacteria are pathogens that can be transported by the disclosed method. Amoeba that are useful in the disclosed methods include, without limitation Acanthamoeba castellanii, Hartmannella vermiformis and Naegleria gruberi. The disclosed methods have utility in: transporting pathogens from military field hospitals and clinics to the laboratory; transporting pathogens from global satellite laboratories to clinical laboratories; long term storage of pathogens; enriching contaminated patient samples for pathogens of interest; biosurveillance and detection efforts.

  10. Test bench to commission a third ion source beam line and a newly designed extraction system

    SciTech Connect (OSTI)

    Winkelmann, T.; Cee, R.; Haberer, T.; Naas, B.; Peters, A.

    2012-02-15

    The HIT (Heidelberg Ion Beam Therapy Center) is the first hospital-based treatment facility in Europe where patients can be irradiated with protons and carbon ions. Since the commissioning starting in 2006 two 14.5 GHz electron cyclotron resonance ion sources are routinely used to produce a variety of ion beams from protons up to oxygen. In the future a helium beam for regular patient treatment is requested, therefore a third ion source (Supernanogan source from PANTECHNIK S.A.) will be integrated. This third ECR source with a newly designed extraction system and a spectrometer line is installed at a test bench at HIT to commission and validate this section. Measurements with different extraction system setups will be presented to show the improvement of beam quality for helium, proton, and carbon beams. An outlook to the possible integration scheme of the new ion source into the production facility will be discussed.

  11. Neutron fluence and dose from a varian clinic 1800 accelerator. Master's thesis

    SciTech Connect (OSTI)

    Jackson, R.A.

    1992-06-01

    The goals of this study were (1) to verify calibration factors determined by previous experiment for relating counts from activated gold foils to neutron fluences, and (2) to use the method to determine neutron fluences under various operating conditions of the Varian Clinac 1800 (18-MeV) electron accelerator at the WPAFB Medical Center. For comparison similar measurements were made of the CGM Saturne 1 at Kettering Memorial Hospital, Dayton, Ohio. Cadmium-difference pairs in a standard graphite pile were employed to verify the counting efficiency of the Geiger-Mueller beta counting system used to count the foil activity. They were also used to determine the relation between the thickness of the gold foils and the activity induced in the foil self shielding and self absorption.

  12. Energy savings in Polish buildings

    SciTech Connect (OSTI)

    Markel, L.C.; Gula, A.; Reeves, G.

    1995-12-31

    A demonstration of low-cost insulation and weatherization techniques was a part of phase 1 of the Krakow Clean Fossil Fuels and Energy Efficient Project. The objectives were to identify a cost-effective set of measures to reduce energy used for space heating, determine how much energy could be saved, and foster widespread implementation of those measures. The demonstration project focused on 4 11-story buildings in a Krakow housing cooperative. Energy savings of over 20% were obtained. Most important, the procedures and materials implemented in the demonstration project have been adapted to Polish conditions and applied to other housing cooperatives, schools, and hospitals. Additional projects are being planned, in Krakow and other cities, under the direction of FEWE-Krakow, the Polish Energie Cities Network, and Biuro Rozwoju Krakowa.

  13. 2008 Industrial Technologies Market Report, May 2009

    SciTech Connect (OSTI)

    Energetics; DOE

    2009-07-01

    The industrial sector is a critical component of the U.S. economy, providing an array of consumer, transportation, and national defense-related goods we rely on every day. Unlike many other economic sectors, however, the industrial sector must compete globally for raw materials, production, and sales. Though our homes, stores, hospitals, and vehicles are located within our borders, elements of our goods-producing industries could potentially be moved offshore. Keeping U.S. industry competitive is essential to maintaining and growing the U.S. economy. This report begins with an overview of trends in industrial sector energy use. The next section of the report focuses on some of the largest and most energy-intensive industrial subsectors. The report also highlights several emerging technologies that could transform key segments of industry. Finally, the report presents policies, incentives, and drivers that can influence the competitiveness of U.S. industrial firms.

  14. Field application of the Numobag as a portable disposable isolation unit and for treating chemical, radiological or biologically induced wounds.

    SciTech Connect (OSTI)

    Miller, Keith A.; Felton, Robert; Vaughan, Courtenay Thomas

    2005-04-01

    Numotech Inc. has developed the Numobag{trademark}, a disposable, lightweight, wound healing device which produces Topical Hyperbaric Oxygen Therapy (THOT). The Numobag{trademark} is cost effective and has been clinically validated to heal large skin lesions rapidly and has proven to arrest wound advancement from several insidious forms of biological attack including dermal anthrax, small pox, necrotizing fasciitis etc. The Numobag{trademark} can treat mass casualties wounded by chemical/radiological burns or damaging biological exposures. The Numobag{trademark} can be a frontline tool as an isolation unit, reducing cross-contamination and infection of medical personnel. The heightened oxygen content kills organisms on the skin and in the wound, avoids expensive hospital trash disposal procedures, and helps the flesh heal. The Numobag{trademark} requires high purity oxygen. Numotech Inc. is teaming with Sandia National Laboratories and Spektr Conversion in Russia to develop a cost effective, portable, low power oxygen generator.

  15. Report to Congress on abnormal occurrences, October--December 1988

    SciTech Connect (OSTI)

    Not Available

    1989-04-01

    Section 208 of the Energy Reorganization Act of 1974 identifies an abnormal occurrence as an unscheduled incident or event which the Nuclear Regulatory Commission determines to be significant from the standpoint of public health or safety and requires a quarterly report of such events to be made to Congress. This report covers the period from October 1 to December 31, 1988. For this reporting period, there were no abnormal occurrences at nuclear power plants licensed to operate. There was one abnormal occurrence under other NRC-issued licenses involving a medical therapy misadministration. Three other abnormal occurrences were reported by Agreement States. The State of New York reported an event involving multiple medical therapy misadministrations. The State of Maryland reported two events, both occurring at the same hospital. One involved a single medical therapy misadministration and the second involved multiple medical therapy misadministrations. The report also contains information updating some previously reported abnormal occurrences. 3 refs.

  16. Risk assessment based on point source deposition

    SciTech Connect (OSTI)

    Chadwick, G.F.

    1997-12-31

    The International Joint Commission (IJC) in a recently published report states that various clean-up techniques have resulted in significantly cleaner lakes than 20 years ago. Both the US EPA and Environment Canada have passed laws that require emissions controls on significant sources of contaminants. Improved emission controls have played a large part in the reduced pollution levels to the Great Lakes. Improved controls have significantly reduced the pollutants deposited to both land and water. This paper will discuss a Risk Analysis for the emissions from a Hospital in Rochester, New York. Current New York Department of Environmental Conservation (DEC) regulations require emission controls on such incinerators. This hospital has added both a scrubber and a bag house to control emissions. Twenty years ago, such incinerators, like many other emission sources would not have had control devices. New York`s Department of Environmental Conservation requires, as part of the Permitting process, that an Impact Analysis and if required, a multipathway Health Risk Assessment (HRA) be performed for all Medical Waste Incinerators before a Permit can be issued. This insures that the emissions will not create a health hazard to humans. Such an analysis was performed for a new 1,000 lb/hr Medical Waste Incinerator (MWI) installed in the North-East part of Rochester, New York. An Air Quality Impact Assessment (AQIA) based on an actual stack test indicated that this facility`s dioxin emissions would exceed the NY DEC Guideline levels. The Carcinogenic Risk (of death) for our most exposed individual (MEI) was calculated to be 8.75 E{sup {minus}06} (<1:100,000). The Hazard Index calculated for this MEI was 0.43. Hazard Index`s less then 1 are considered a reasonable risk. Health risk assessments are by design, very conservative. EPA sources have concluded that calculated death risks between one (1) and one hundred (100) per million are not excessive.

  17. SU-E-P-01: An Informative Review On the Role of Diagnostic Medical Physicist in the Academic and Private Medical Centers

    SciTech Connect (OSTI)

    Weir, V; Zhang, J

    2014-06-01

    Purpose: The role of physicist in the academic and private hospital environment continues to evolve and expand. This becomes more obvious with the newly revised requirements of the Joint Commission (JC) on imaging modalities and the continued updated requirements of ACR accreditation for medical physics (i.e., starting in June 2014, a physicists test will be needed before US accreditation). We provide an informative review on the role of diagnostic medical physicist and hope that our experience will expedite junior physicists in understanding their role in medical centers, and be ready to more opportunities. Methods: Based on our experience, diagnostic medical physicists in both academic and private medical centers perform several clinical functions. These include providing clinical service and physics support, ensuring that all ionizing radiation devices are tested and operated in compliance with the State and Federal laws, regulations and guidelines. We also discuss the training and education required to ensure that the radiation exposure to patients and staff is as low as reasonably achievable. We review the overlapping roles of medical and health physicist in some institutions. Results: A detailed scheme on the new requirements (effective 7/1/2014) of the JC is provided. In 2015, new standards for fluoroscopy, cone beam CT and the qualifications of staff will be phased in. A summary of new ACR requirements for different modalities is presented. Medical physicist have other duties such as sitting on CT and fluoroscopy committees for protocols design, training of non-radiologists to meet the new fluoroscopy rules, as well as helping with special therapies such as Yittrium 90 cases. Conclusion: Medical physicists in both academic and private hospitals are positioned to be more involved and prominent. Diagnostic physicists need to be more proactive to involve themselves in the day to day activities of the radiology department.

  18. Leisure time activities related to carcinogen exposure and lung cancer risk in never smokers. A case-control study

    SciTech Connect (OSTI)

    Ruano-Ravina, Alberto; García-Lavandeira, José Antonio; Torres-Durán, María; Prini-Guadalupe, Luciana; Parente-Lamelas, Isaura; Leiro-Fernández, Virginia; Montero-Martínez, Carmen; González-Barcala, Francisco Javier; Golpe-Gómez, Antonio; Martínez, Cristina; Castro-Añón, Olalla; Mejuto-Martí, María José; and others

    2014-07-15

    We aim to assess the relationship between leisure time activities related to exposure to carcinogenic substances and lung cancer risk in a hospital-based case-control study performed in never smokers. We included never smoking cases with anatomopathologically confirmed lung cancer and never smoking controls undergoing trivial surgery, at 8 Spanish hospitals. The study was conducted between January 2011 and June 2013. Participants were older than 30 and had no previous neoplasms. All were personally interviewed focusing on lifestyle, environmental tobacco smoke exposure, occupational history and leisure time activities (including duration of such activities). Results were analyzed through logistic regression and adjusted also by residential radon and education level. We included 513 never smokers, 191 cases and 322 controls. The OR for those performing the studied leisure time activities was 1.43 (95%CI 0.78–2.61). When we restricted the analysis to those performing do-it-yourself activities for more than 10 years the OR was 2.21 (95%CI 0.93–5.27). Environmental tobacco smoke exposure did not modify this association. The effect for the different lung cancer histological types was very close to significance for adenocarcinoma but only when these activities were performed for more than 10 years. We encourage health professionals to recommend protective measures for those individuals while performing these hobbies to reduce the risk of lung cancer. - Highlights: • Some leisure time activities are associated with the exposure to carcinogenic substances. • These activities are model-making, painting (artistic or not), furniture refinishing or wood working. • Few studies have assessed lung cancer risk due to these hobbies and none in never-smokers. • Leisure activities related to exposure to carcinogenic substances present higher lung cancer risk. • The risk is higher when these activities are performed for more than 10 years.

  19. Efficacy and Safety of Transarterial Radioembolization Versus Chemoembolization in Patients With Hepatocellular Carcinoma

    SciTech Connect (OSTI)

    Moreno-Luna, Laura E., E-mail: morenoluna.laura@gmail.com; Yang, Ju Dong; Sanchez, William [College of Medicine, Mayo Clinic, Division of Gastroenterology and Hepatology (United States); Paz-Fumagalli, Ricardo [College of Medicine, Mayo Clinic, Department of Radiology (United States); Harnois, Denise M.; Mettler, Teresa A. [College of Medicine, Mayo Clinic, Division of Gastroenterology and Hepatology (United States); Gansen, Denise N. [College of Medicine, Mayo Clinic, Department of Radiology (United States); Groen, Piet C. de; Lazaridis, Konstantinos N.; Narayanan Menon, K. V.; LaRusso, Nicholas F. [College of Medicine, Mayo Clinic, Division of Gastroenterology and Hepatology (United States); Alberts, Steven R. [College of Medicine, Mayo Clinic and Mayo Clinic Cancer Center, Department of Oncology (United States); Gores, Gregory J. [College of Medicine, Mayo Clinic, Division of Gastroenterology and Hepatology (United States); Fleming, Chad J. [College of Medicine, Mayo Clinic, Department of Radiology (United States); Slettedahl, Seth W.; Harmsen, William S.; Therneau, Terry M. [College of Medicine, Mayo Clinic, Department of Health Sciences Research (United States); Wiseman, Gregory A.; Andrews, James C. [College of Medicine, Mayo Clinic, Department of Radiology (United States); Roberts, Lewis R., E-mail: roberts.lewis@mayo.edu [College of Medicine, Mayo Clinic, Division of Gastroenterology and Hepatology (United States)

    2013-06-15

    Purpose. Intermediate-stage hepatocellular carcinoma (HCC) is usually treated with locoregional therapy using transarterial chemoembolization (TACE). Transarterial radioembolization (TARE) using {beta}-emitting yttrium-90 integral to the glass matrix of the microspheres is an alternative to TACE. This retrospective case-control study compared the outcomes and safety of TARE versus TACE in patients with unresectable HCC. Materials and Methods. Patients with unresectable HCC without portal vein thrombosis treated with TARE between 2005 and 2008 (n = 61) were retrospectively frequency-matched by age, sex, and liver dysfunction with TACE-treated patients (n = 55) in the Mayo Clinic Hepatobiliary Neoplasia Registry. Imaging studies were reviewed, and clinical and safety outcomes were abstracted from the medical records. Results. Complete tumor response was more common after TARE (12 %) than after TACE (4 %) (p = 0.17). When complete response was combined with partial response and stable disease, there was no difference between TARE and TACE. Median survival did not differ between the two groups (15.0 months for TARE and 14.4 months for TACE; p = 0.47). Two-year survival rates were 30 % for TARE and 24 % for TACE. TARE patients received fewer treatments (p < 0.001). Fifty-nine (97 %) TARE patients received outpatient treatment. In contrast, 53 (98 %) TACE patients were hospitalized for {>=}1 day (p < 0.001). Compared with TACE, TARE was more likely to induce fatigue (p = 0.003) but less likely to cause fever (p = 0.02). Conclusion. There was no significant difference in efficacy between TARE and TACE. TARE patients reported more fatigue but had less fever than TACE patients. Treatment with TARE required less hospitalization than treatment with TACE. These findings require confirmation in randomized trials.

  20. Mobile Technology and Social Media in the Clinical Practice of Young Radiation Oncologists: Results of a Comprehensive Nationwide Cross-sectional Study

    SciTech Connect (OSTI)

    Bibault, Jean-Emmanuel; Leroy, Thomas; Blanchard, Pierre; Biau, Julian; Cervellera, Mathilde; Diaz, Olivia; Faivre, Jean Christophe; and others

    2014-09-01

    Purpose: Social media and mobile technology are transforming the way in which young physicians are learning and practicing medicine. The true impact of such technologies has yet to be evaluated. Methods and Materials: We performed a nationwide cross-sectional survey to better assess how young radiation oncologists used these technologies. An online survey was sent out between April 24, 2013, and June 1, 2013. All residents attending the 2013 radiation oncology French summer course were invited to complete the survey. Logistic regressions were performed to assess predictors of use of these tools in the hospital on various clinical endpoints. Results: In all, 131 of 140 (93.6%) French young radiation oncologists answered the survey. Of these individuals, 93% owned a smartphone and 32.8% owned a tablet. The majority (78.6%) of the residents owning a smartphone used it to work in their department. A total of 33.5% had more than 5 medical applications installed. Only 60.3% of the residents verified the validity of the apps that they used. In all, 82.9% of the residents had a social network account. Conclusions: Most of the residents in radiation oncology use their smartphone to work in their department for a wide variety of tasks. However, the residents do not consistently check the validity of the apps that they use. Residents also use social networks, with only a limited impact on their relationship with their patients. Overall, this study highlights the irruption and the risks of new technologies in the clinical practice and raises the question of a possible regulation of their use in the hospital.

  1. A self-adaptive case-based reasoning system for dose planning in prostate cancer radiotherapy

    SciTech Connect (OSTI)

    Mishra, Nishikant; Petrovic, Sanja; Sundar, Santhanam

    2011-12-15

    Purpose: Prostate cancer is the most common cancer in the male population. Radiotherapy is often used in the treatment for prostate cancer. In radiotherapy treatment, the oncologist makes a trade-off between the risk and benefit of the radiation, i.e., the task is to deliver a high dose to the prostate cancer cells and minimize side effects of the treatment. The aim of our research is to develop a software system that will assist the oncologist in planning new treatments. Methods: A nonlinear case-based reasoning system is developed to capture the expertise and experience of oncologists in treating previous patients. Importance (weights) of different clinical parameters in the dose planning is determined by the oncologist based on their past experience, and is highly subjective. The weights are usually fixed in the system. In this research, the weights are updated automatically each time after generating a treatment plan for a new patient using a group based simulated annealing approach. Results: The developed approach is analyzed on the real data set collected from the Nottingham University Hospitals NHS Trust, City Hospital Campus, UK. Extensive experiments show that the dose plan suggested by the proposed method is coherent with the dose plan prescribed by an experienced oncologist or even better. Conclusions: The developed case-based reasoning system enables the use of knowledge and experience gained by the oncologist in treating new patients. This system may play a vital role to assist the oncologist in making a better decision in less computational time; it utilizes the success rate of the previously treated patients and it can also be used in teaching and training processes.

  2. SU-E-T-169: Evaluation of Oncentra TPS for Nasopharynx Brachy Using Patient Specific Voxel Phantom and EGSnrc

    SciTech Connect (OSTI)

    Hadad, K; Zoherhvand, M; Faghihi, R [Shiraz University, Shiraz (Iran, Islamic Republic of)

    2014-06-01

    Purpose: Nasopharnx carcinoma (NPC) treatment is being carried out using Ir-192 HDR seeds in Mehdieh Hospital in Hamadan, Iran. The Oncentra™ TPS is based on optimized TG-43 formalism which disregards heterogeneity in the treatment area. Due to abundant heterogeneity in head and neck, comparison of the Oncentra™ TPS dose evaluation and an accurate dose calculation method in NPC brachytherapy is the objective of this study. Methods: CT DICOMs of a patient with NPC obtained from Mehdieh Hospital used to create 3D voxel phantom with CTCREATE utility of EGSnrc code package. The voxel phantom together with Ir-192 HDR brachytherapy source were the input to DOSXYZnrc to calculate the 3D dose distribution. The sources were incorporate with type 6 source in DOSXYZnrc and their dwell times were taken into account in final dose calculations. Results: The direct comparison between isodoses as well as DVHs for the GTV, PTV and CTV obtained by Oncentra™ and EGSnrc Monte Carlo code are made. EGSnrc results are obtained using 5×10{sup 9} histories to reduce the statistical error below 1% in GTV and 5% in 5% dose areas. The standard ICRP700 cross section library is employed in DOSXYZnrc dose calculation. Conclusion: A direct relationship between increased dose differences and increased material density (hence heterogeneity) is observed when isodoses contours of the TPS and DOSXYZnrc are compared. Regarding the point dose calculations, the differences range from 1.2% in PTV to 5.6% for cavity region and 7.8% for bone regions. While Oncentra™ TPS overestimates the dose in cavities, it tends to underestimate dose depositions within bones.

  3. Single line reversing system capsular pneumatic freight pipelines

    SciTech Connect (OSTI)

    Weaver, P.B.

    1999-07-01

    In the 1800's the first Pneumatic Tube Systems sent a carrier vertically from one floor to another in a hospital using a foot-powered bellows. The carrier was returned to the starting point down the same tube using gravity. This was the first Single Line Reversing system. As the stations were moved apart horizontally the foot-powered bellows at both ends became ineffective and were replaced with a single blower or exhauster. The blower/exhauster ran continuously therefore a second line for returning carriers to the starting point, had to be installed - hence Twin Line systems. These systems were used for transporting mail, paperwork, medications, steel mill samples, parts, tools, medical lab samples, etc., in hospitals, stores and other businesses. Twin Line systems were very popular until about 1970 at which time installation labor and material costs became expensive and controls were becoming unnecessarily complicated and expensive. These reasons plus new technology forced the return to Single Line Reversing technology. Back in the 1800's three ``people transporting'' subways were built. A fourth system was built under the Pentagon in the 1950's or 1960's. It is difficult to find information on this one. All are Single Line Reversing systems. The difference between a Single Line Reversing and a Twin Line system is exactly as the names imply. The principle of the operation of these systems is covered herein. The physics for these two kinds of systems is the same. The Single Line Reversing system is technically more complex but capital and operating expense is far less costly. These costs are discussed herein.

  4. SU-E-I-10: Automatic Monitoring of Accumulated Dose Indices From DICOM RDSR to Improve Radiation Safety in X-Ray Angiography

    SciTech Connect (OSTI)

    Omar, A; Bujila, R; Nowik, P; Karambatsakidou, A

    2014-06-01

    Purpose: To investigate the potential benefits of automatic monitoring of accumulated patient and staff dose indicators, i.e., CAK and KAP, from DICOM Radiation Dose Structured Reports (RDSR) in x-ray angiography (XA). Methods: Recently RDSR has enabled the convenient aggregation of dose indices and technique parameters for XA procedures. The information contained in RDSR objects for three XA systems, dedicated to different types of clinical procedures, has been collected and aggregated in a database for over one year using a system developed with open-source software at the Karolinska University Hospital. Patient weight was complemented to the RDSR data via an interface with the Hospital Information System (HIS). Results: The linearly approximated trend in KAP over a time period of a year for cerebrovascular, pelvic/peripheral vascular, and cardiovascular procedures showed a decrease of 12%, 20%, and 14%, respectively. The decrease was mainly due to hardware/software upgrades and new low-dose imaging protocols, and partially due to ongoing systematic radiation safety education of the clinical staff. The CAK was in excess of 3 Gy for 15 procedures, and exceeded 5 Gy for 3 procedures. The dose indices have also shown a significant dependence on patient weight for cardiovascular and pelvic/peripheral vascular procedures; a 10 kg shift in mean patient weight can result in a dose index increase of 25%. Conclusion: Automatic monitoring of accumulated dose indices can be utilized to notify the clinical staff and medical physicists when the dose index has exceeded a predetermined action level. This allows for convenient and systematic follow-up of patients in risk of developing deterministic skin injuries. Furthermore, trend analyses of dose indices over time is a valuable resource for the identification of potential positive or negative effects (dose increase/decrease) from changes in hardware, software, and clinical work habits.

  5. Phase 3 Trial of Domiciliary Humidification to Mitigate Acute Mucosal Toxicity During Radiation Therapy for Head-and-Neck Cancer: First Report of Trans Tasman Radiation Oncology Group (TROG) 07.03 RadioHUM Study

    SciTech Connect (OSTI)

    Macann, Andrew; Fua, Tsien; Milross, Chris G.; Porceddu, Sandro V.; Penniment, Michael; Wratten, Chris; Krawitz, Hedley; Poulsen, Michael; Tang, Colin I.; Morton, Randall P.; Hay, K. David; Thomson, Vicki; Bell, Melanie L.; King, Madeleine T.; Fraser-Browne, Carol L.; Hockey, Hans-Ulrich P.

    2014-03-01

    Purpose: To assess the impact of domicile-based humidification on symptom burden during radiation therapy (RT) for head-and-neck (H and N) cancer. Methods and Materials: From June 2007 through June 2011, 210 patients with H and N cancer receiving RT were randomized to either a control arm or to receive humidification using the Fisher and Paykel Healthcare MR880 humidifier. Humidification commenced on day 1 of RT and continued until Common Terminology Criteria for Adverse Events (CTCAE), version 3.0, clinical mucositis (CMuc) grade ≤1 occurred. Forty-three patients (42%) met a defined benchmark for humidification compliance and contributed to per protocol (PP) analysis. Acute toxicities, hospitalizations, and feeding tube events were recorded prospectively. The McMaster University Head and Neck Radiotherapy Questionnaire (HNRQ) was used for patient-reported outcomes. The primary endpoint was area under the curve (AUC) for CMuc grade ≥2. Results: There were no significant differences in AUC for CMuc ≥2 between the 2 arms. Humidification patients had significantly fewer days in hospital (P=.017). In compliant PP patients, the AUC for CTCAE functional mucositis score (FMuc) ≥2 was significantly reduced (P=.009), and the proportion who never required a feeding tube was significantly greater (P=.04). HNRQ PP analysis estimates also in the direction favoring humidification with less symptom severity, although differences at most time points did not reach significance. Conclusions: TROG 07.03 has provided efficacy signals consistent with a role for humidification in reducing symptom burden from mucositis, but the influence of humidification compliance on the results moderates recommendations regarding its practical utility.

  6. Web Operational Status Boards

    SciTech Connect (OSTI)

    2004-04-16

    Web Operational Status Boards (WebOSB)is a web-based application designed to acquire, display, and update highly dynamic status information between multiple users and jurisdictions. WebOSB is able to disseminate real-time status information?support the timely sharing of information?with constant, dynamic updates via personal computers and the Internet between emergency operations centers (EOCs), incident command centers, and to users outside the EOC who need to know the information (hospitals, shelters, schools). The WebOSB application far exceeds outdated information-sharing methods used by emergency workers: whiteboards, Word and Excel documents, or even locality-specific Web sites. WebOSB?s capabilities include the following elements: - Secure access. Multiple users can access information on WebOSB from any personal computer with Internet access and a secure ID. Privileges are use to control access and distribution of status information and to identify users who are authorized to add or edit information. - Simultaneous update. WebOSB provides options for users to add, display, and update dynamic information simultaneously at all locations involved in the emergency management effort, A single status board can be updated from multiple locations enabling shelters and hospitals to post bed availability or list decontamination capability. - On-the-fly modification. Allowing the definition of an existing status board to be modified on-the-fly can be an asset during an emergency, where information requirements can change quickly. The status board designer feature allows an administrator to quickly define, modi,, add to, and implement new status boards in minutes without needing the help of Web designers and computer programmers. - Publisher/subscriber notification. As a subscriber, each user automatically receives notification of any new information relating to specific status boards. The publisher/subscriber feature automatically notified each user of any new

  7. A case report of motor neuron disease in a patient showing significant level of DDTs, HCHs and organophosphate metabolites in hair as well as levels of hexane and toluene in blood

    SciTech Connect (OSTI)

    Kanavouras, Konstantinos; Tzatzarakis, Manolis N.; Mastorodemos, Vasileios; Plaitakis, Andreas; Tsatsakis, Aristidis M.

    2011-11-15

    Motor neuron disease is a devastating neurodegenerative condition, with the majority of sporadic, non-familial cases being of unknown etiology. Several epidemiological studies have suggested that occupational exposure to chemicals may be associated with disease pathogenesis. We report the case of a patient developing progressive motor neuron disease, who was chronically exposed to pesticides and organic solvents. The patient presented with leg spasticity and developed gradually clinical signs suggestive of amyotrophic lateral sclerosis, which was supported by the neurophysiologic and radiological findings. Our report is an evidence based case of combined exposure to organochlorine (DDTs), organophosphate pesticides (OPs) and organic solvents as confirmed by laboratory analysis in samples of blood and hair confirming systematic exposure. The concentration of non-specific dialkylphosphates metabolites (DAPs) of OPs in hair (dimethyphopshate (DMP) 1289.4 pg/mg and diethylphosphate (DEP) 709.4 pg/mg) and of DDTs (opDDE 484.0 pg/mg, ppDDE 526.6 pg/mg, opDDD 448.4 pg/mg, ppDDD + opDDT 259.9 pg/mg and ppDDT 573.7 pg/mg) were considerably significant. Toluene and n-hexane were also detected in blood on admission at hospital and quantified (1.23 and 0.87 {mu}g/l, respectively), while 3 months after hospitalization blood testing was found negative for toluene and n-hexane and hair analysis was provided decrease levels of HCHs, DDTs and DAPs. -- Highlights: Black-Right-Pointing-Pointer Exposure to pesticides and organic solvents might be a risk factor for sporadic MND. Black-Right-Pointing-Pointer We report a patient who developed progressive upper and lower motor neuron disease. Black-Right-Pointing-Pointer The patient had a history of occupational exposure to pesticides and solvents. Black-Right-Pointing-Pointer High DDTs' levels and increased levels of DMP and DEP were measured in his hair. Black-Right-Pointing-Pointer The patients' exposure to chemicals might have played

  8. Similar Survival for Patients Undergoing Reduced-Intensity Total Body Irradiation (TBI) Versus Myeloablative TBI as Conditioning for Allogeneic Transplant in Acute Leukemia

    SciTech Connect (OSTI)

    Mikell, John L.; Waller, Edmund K.; Switchenko, Jeffrey M.; Rangaraju, Sravanti; Ali, Zahir; Graiser, Michael; Hall, William A.; Langston, Amelia A.; Esiashvili, Natia; Khoury, H. Jean; Khan, Mohammad K.

    2014-06-01

    Purpose: Hematopoietic stem cell transplantation (HSCT) is the mainstay of treatment for adults with acute leukemia. Total body irradiation (TBI) remains an important part of the conditioning regimen for HCST. For those patients unable to tolerate myeloablative TBI (mTBI), reduced intensity TBI (riTBI) is commonly used. In this study we compared outcomes of patients undergoing mTBI with those of patients undergoing riTBI in our institution. Methods and Materials: We performed a retrospective review of all patients with acute leukemia who underwent TBI-based conditioning, using a prospectively acquired database of HSCT patients treated at our institution. Patient data including details of the transplantation procedure, disease status, Karnofsky performance status (KPS), response rates, toxicity, survival time, and time to progression were extracted. Patient outcomes for various radiation therapy regimens were examined. Descriptive statistical analysis was performed. Results: Between June 1985 and July 2012, 226 patients with acute leukemia underwent TBI as conditioning for HSCT. Of those patients, 180 had full radiation therapy data available; 83 had acute lymphoblastic leukemia and 94 had acute myelogenous leukemia; 45 patients received riTBI, and 135 received mTBI. Median overall survival (OS) was 13.7 months. Median relapse-free survival (RFS) for all patients was 10.2 months. Controlling for age, sex, KPS, disease status, and diagnosis, there were no significant differences in OS or RFS between patients who underwent riTBI and those who underwent mTBI (P=.402, P=.499, respectively). Median length of hospital stay was shorter for patients who received riTBI than for those who received mTBI (16 days vs 23 days, respectively; P<.001), and intensive care unit admissions were less frequent following riTBI than mTBI (2.22% vs 12.69%, respectively, P=.043). Nonrelapse survival rates were also similar (P=.186). Conclusions: No differences in OS or RFS were seen between

  9. Web Operational Status Boards

    Energy Science and Technology Software Center (OSTI)

    2004-04-16

    Web Operational Status Boards (WebOSB)is a web-based application designed to acquire, display, and update highly dynamic status information between multiple users and jurisdictions. WebOSB is able to disseminate real-time status information—support the timely sharing of information—with constant, dynamic updates via personal computers and the Internet between emergency operations centers (EOCs), incident command centers, and to users outside the EOC who need to know the information (hospitals, shelters, schools). The WebOSB application far exceeds outdated information-sharingmore » methods used by emergency workers: whiteboards, Word and Excel documents, or even locality-specific Web sites. WebOSB’s capabilities include the following elements: - Secure access. Multiple users can access information on WebOSB from any personal computer with Internet access and a secure ID. Privileges are use to control access and distribution of status information and to identify users who are authorized to add or edit information. - Simultaneous update. WebOSB provides options for users to add, display, and update dynamic information simultaneously at all locations involved in the emergency management effort, A single status board can be updated from multiple locations enabling shelters and hospitals to post bed availability or list decontamination capability. - On-the-fly modification. Allowing the definition of an existing status board to be modified on-the-fly can be an asset during an emergency, where information requirements can change quickly. The status board designer feature allows an administrator to quickly define, modi,, add to, and implement new status boards in minutes without needing the help of Web designers and computer programmers. - Publisher/subscriber notification. As a subscriber, each user automatically receives notification of any new information relating to specific status boards. The publisher/subscriber feature automatically notified each user of any

  10. SU-E-P-08: Establishment of Local Diagnostic Reference Levels of Routine Abdomen Exam in Computed Tomography According to Body Weight

    SciTech Connect (OSTI)

    Wang, H; Wang, Y; Weng, H

    2015-06-15

    Purpose: The national diagnostic reference levels (NDRLs) is an efficient, concise and powerful standard for optimizing radiation protection of a patient. However, for each hospital the dose-reducing potential of focusing on establishment of local DRLs (LDRLs). A lot of study reported that Computed tomography exam contributed majority radiation dose in different medical modalities, therefore, routine abdomen CT exam was choose in initial pilot study in our study. Besides the mAs of routine abdomen CT exam was decided automatic exposure control by linear attenuation is relate to body shape of patient. In this study we would like to establish the local diagnostic reference levels of routine abdomen exam in computed tomography according to body weight of patient. Methods and Materials: There are two clinical CT scanners (a Toshiba Aquilion and a Siemens Sensation) were performed in this study. For CT examinations the basic recommended dosimetric quantity is the Computed Tomography Dose Index (CTDI). The patient sample involved 82 adult patients of both sexes and divided into three groups by their body weight (50–60 kg, 60–70 kg, 70–80 kg).Carried out the routine abdomen examinations, and all exposure parameters have been collected and the corresponding CTDIv and DLP values have been determined. The average values were compared with the European DRLs. Results: The majority of patients (75%) were between 50–70 Kg of body weight, the numbers of patient in each group of weight were 40–50:7; 50–60:29; 60–70:33; 70–80:13. The LDRLs in each group were 10.81mGy, 14.46mGy, 20.27mGy and 21.04mGy, respectively. The DLP were 477mGy, 630mGy, 887mGy and 959mGy, respectively. No matter which group the LDRLs were lower than European DRLs. Conclusions: We would like to state that this was a pioneer work in local hospital in Chiayi. We hope that this may lead the way to further developments in Taiwan.

  11. {sup 99m}Tc generators for clinical use based on zirconium molybdate gel and (n, gamma) produced {sup 99}Mo: Indian experience in the development and deployment of indigenous technology and processing facilities

    SciTech Connect (OSTI)

    Saraswathy, P.; Dey, A.C.; Sarkar, S.K.; Kothalkar, C.; Naskar, P.; Arjun, G.; Arora, S.S.; Kohli, A.K.; Meera, V.; Venugopal, V.; Ramamoorthy, N.

    2008-07-15

    The Indian pursuit of gel generator technology for {sup 99m}Tc was driven mainly by three considerations, namely, (i) well-established and ease of reliable production of (n, gamma)-based {sup 99}Mo in several tens of GBq quantities in the research reactors in Trombay/Mumbai, India, (ii) need for relatively low-cost alternate technology to replace the solvent (MEK) extraction generator system in use in India since 1970s and (iii) minimize dependency on weekly import of fission-produced {sup 99}Mo raw material required for alumina column generator. Extensive investigations on process standardisation for zirconium molybdate gel (ZMG) led to a steady progress, achieved both in terms of process technology and final performance of {sup 99m}Tc gel generators. The {sup 99m}Tc final product purity from the Indian gel system was comparable to that obtained from the gold-standard alumina column generators. Based on the feasibility established for reliable small-scale production, as well as satisfactory clinical experience with a number of gel generators used in collaborating hospital radiopharmacies, full-fledged mechanised processing facilities for handling up to 150 g of ZMG were set up. The indigenous design and development included setting up of shielded plant facilities with pneumatic-driven as well as manual controls and special gadgets such as, microwave heating of the zirconium molybdate cake, dispenser for gel granules, loading of gel columns into pre-assembled generator housing etc. Formal review of the safety features was carried out by the regulatory body and stage-wise clearance for processing low and medium level {sup 99}Mo activity was granted. Starting from around 70 GBq {sup 99}Mo handling, the processing facilities have since been successfully operated at a level of 740 GBq {sup 99}Mo, twice a month. In all 18 batches of gel have been processed and 156 generators produced. The individual generator capacity was 15 to 30 GBq with an elution yield of nearly 75

  12. National Human Radiobiological Tissue Repository (NHRTR) at the United States Transuranium and Uranium Registries

    DOE Data Explorer [Office of Scientific and Technical Information (OSTI)]

    The NHRTR, one component of the USTUR, contains frozen tissues, tissue solutions, microscope slides, and paraffin blocks that were collected by the USTUR at the autopsy of workers with documented intakes of plutonium, americium, uranium, and thorium. The samples are available to qualified scientists for further research. Thousands of frozen, ashed, dried, and plastic embedded bone samples from the radium studies carried out by Argonne National Laboratory, Argonne Cancer Research Hospital, the Massachusetts Institute of Technology, and the New Jersey Radium Research Project are available and linked by case number to de-identified, published case data. These data include the person's source of exposure (dial painter, therapeutic injection, etc.), estimated body burden, radiochemical results, and medical history. Other samples, including organs and whole body donations, have come from volunteer donors who were impacted by elements such as plutonium, throium, etc. See the USTUR website for information on how to apply for research samples or how to become a volunteer donor. [Information taken from http://www.ustur.wsu.edu/NHRTR/index.html#

  13. MO-B-16A-01: Memorial to Donald D. Tolbert - Memorial Lecture

    SciTech Connect (OSTI)

    Morin, R

    2014-06-15

    The Medical Physics community lost one of its prominent leaders in April, 2013 with the passing of Donald D. Tolbert, PhD. He received his Doctorate at the University of Kansas followed by post Doctoral training at Florida State University and the University of Wisconsin. He was Chief of Radiation Therapy Medical Physics at the University of Wisconsin Hospital for 7 years before relocating to Honolulu Hawaii, where he founded the consulting group Mid-Pacific Medical Physics. Don was a leader in both the AAPM and the ACR, chairing the Professional Council and the Commission on Medical Physics. He was active on the AAPM Board of Directors and a member of the ACR Board of Chancellors. Dr. Tolbert's approach to the difficult problems of the times was admired and respected by colleagues in Medical Physics, Radiation Oncology, and Diagnostic Radiology. He always rose above the heated political rhetoric and led the discussion to higher ground. His wisdom was continually sought to solve complicated problems. Following retirement, he returned to homes in Kansas and Colorado, devoting his time to writing about coping with diabetes and providing support for Seniors in Beloit Kansas. Don is survived by his wife, Mattie, his 3 children and 5 grandchildren. He will be greatly missed.

  14. Fuel cells provide a revenue-generating solution to power quality problems

    SciTech Connect (OSTI)

    King, J.M. Jr.

    1996-03-01

    Electric power quality and reliability are becoming increasingly important as computers and microprocessors assume a larger role in commercial, health care and industrial buildings and processes. At the same time, constraints on transmission and distribution of power from central stations are making local areas vulnerable to low voltage, load addition limitations, power quality and power reliability problems. Many customers currently utilize some form of premium power in the form of standby generators and/or UPS systems. These include customers where continuous power is required because of health and safety or security reasons (hospitals, nursing homes, places of public assembly, air traffic control, military installations, telecommunications, etc.) These also include customers with industrial or commercial processes which can`t tolerance an interruption of power because of product loss or equipment damage. The paper discusses the use of the PC25 fuel cell power plant for backup and parallel power supplies for critical industrial applications. Several PC25 installations are described: the use of propane in a PC25; the use by rural cooperatives; and a demonstration of PC25 technology using landfill gas.

  15. Establishing remediation levels in response to a radiological dispersal event (or dirty bomb).

    SciTech Connect (OSTI)

    Elcock, D.; Klemic, G. A.; Taboas, A. L.; Environmental Assessment; Environmental Measurements Lab.; DOE-CH

    2004-05-01

    The detonation of a radiological dispersal device (RDD) could produce significant social and economic damage, the extent of which would depend largely on how quickly and effectively cleanup levels were established and on public acceptance of those levels. This paper shows that current radiological cleanup laws and regulations, models for converting dose or risk goals to cleanup concentrations, and existing site-specific criteria were not designed specifically for RDD cleanups but, absent changes, would apply by default. The goals and approaches of these legal and methodological structures often conflict; using them in response to terrorism could undermine public confidence, cause delays, and produce unnecessary costs or unacceptable cleanups. RDD cleanups would involve immediate priorities not envisioned in the existing radiological cleanup framework, such as balancing radiation risks with the health, economic, and other societal impacts associated with access to the infrastructure necessary to sustain society (e.g., hospitals, bridges, utilities). To minimize the achievement of terrorism goals, the elements of an RDD cleanup response -- including updating existing legal/regulatory structures to clarify federal authority, goals, and methods for developing RDD cleanup criteria -- must be in place soon; given the complexity of the issues and the potential societal impact, this effort should be expedited.

  16. Ventilation assessment of an infectious disease ward housing TB patients

    SciTech Connect (OSTI)

    Crandall, M.S.; Hughes, R.T.

    1996-05-01

    The National Institute for Occupational Safety and Health (NIOSH) assisted the National Center for Infectious Diseases and the National Center for Prevention Services, Centers for Disease Control (CDC), in their investigation of nosocomial transmission of tuberculosis (TB) at a Veterans Administration Medical Center. NIOSH was asked to determine whether ventilation requirements expected of TB patient isolation facilities were being met. In the Infectious Disease ward (513), 24 staff were given a tuberculin skin test (TST) in the summer of 1991. Eleven (46%) were positive then, and 13 were negative. Ten of the 13 testing negative in 1991 were retested within a year, and 5 (50%) converted to a positive TST. NIOSH investigators made ventilation measurements on Ward 5B, an infectious diseases ward housing patients with acquired immune deficiency syndrome (AIDS), two of them with infectious TB, to determine the status of the systems serving the area. Airflow measurements showed that in all the single-patient rooms, exhaust airflow was essentially zero. The average supply airflow varied above and below the designed value. These rooms were all positively pressurized, which would be recommended for the isolation of infectious patients. Based on the measurements made during this evaluation, it was recommended that a separate isolation facility be constructed in the hospital to house infectious patients. Interim corrective measures for the systems in place were also recommended.

  17. Sources and management of hazardous waste in Papua New Guinea

    SciTech Connect (OSTI)

    Singh, K.

    1996-12-31

    Papua New Guinea (PNG) has considerable mineral wealth, especially in gold and copper. Large-scale mining takes place, and these activities are the source of most of PNG`s hazardous waste. Most people live in small farming communities throughout the region. Those living adjacent to mining areas have experienced some negative impacts from river ecosystem damage and erosion of their lands. Industry is centered mainly in urban areas and Generates waste composed of various products. Agricultural products, pesticide residues, and chemicals used for preserving timber and other forestry products also produce hazardous waste. Most municipal waste comes from domestic and commercial premises; it consists mainly of combustibles, noncombustibles, and other wastes. Hospitals generate pathogenic organisms, radioactive materials, and chemical and pharmaceutical laboratory waste. Little is known about the actual treatment of waste before disposal in PNG. Traditional low-cost waste disposal methods are usually practiced, such as use of landfills; storage in surface impoundments; and disposal in public sewers, rivers, and the sea. Indiscriminate burning of domestic waste in backyards is also commonly practiced in urban and rural areas. 10 refs., 4 tabs.

  18. Phosphate-Containing Polyethylene Glycol Polymers Prevent Lethal Sepsis by Multidrug-Resistant Pathogens

    SciTech Connect (OSTI)

    Zaborin, Alexander; Defazio, Jennifer; Kade, Matthew; Kaiser, Brooke LD; Belogortseva, Natalia; Camp, David G.; Smith, Richard D.; Adkins, Joshua N.; Kim, Sangman M.; Alverdy, Alexandria; Goldfeld, David; Firestone, Millicent; Collier, Joel; Jabri, Bana; Tirrell, Matthew; Zaborina, Olga; Alverdy, John C.

    2014-02-01

    The gastrointestinal tract is the primary site of colonization for multi-drug resistant healthcare associated pathogens (HAPs) that are the principal source and cause of life-threatening infections in critically ill patients. We previously identified a high molecular weight co-polymer (PEG15-20) with mucoadhesive and cytoprotective actions on the intestinal epithelium. In this report we covalently bonded phosphate (Pi) to PEG15-20 ( termed Pi-PEG15-20) to enhance its cytoprotective activity against microbial virulence activation and invasion based on our previous work showing that Pi is a key environmental cue regulating microbial virulence across pathogens of clinical importance to hospitalized patients. We demonstrated that Pi-PEG15-20 can suppress phosphate-, iron-, and quorum sensing signal- mediated activation of bacterial virulence as well as inhibit intestinal epithelial IL-8 release during lipopolysaccharide (LPS) exposure. Pi-PEG15-20 also prevented mortality in C. elegans and mice exposed to several highly virulent and antibiotic(?)-resistant health care acquired pathogens (HAPs) while preserving the normal microbiota. Intestinal application Pi-PEG 15-20 has the potential to be a useful agent to prevent the pathogenic activation of microbes during critical illness where exposure to HAPs is ubiquitous.

  19. Update of Earthquake Strong-Motion Instrumentation at Lawrence Livermore National Laboratory

    SciTech Connect (OSTI)

    Murray, Robert C.

    2013-09-01

    Following the January 1980 earthquake that was felt at Lawrence Livermore National Laboratory (LLNL), a network of strong-motion accelerographs was installed at LLNL. Prior to the 1980 earthquake, there were no accelerographs installed. The ground motion from the 1980 earthquake was estimated from USGS instruments around the Laboratory to be between 0.2 – 0.3 g horizontal peak ground acceleration. These instruments were located at the Veterans Hospital, 5 miles southwest of LLNL, and in San Ramon, about 12 miles west of LLNL. In 2011, the Department of Energy (DOE) requested to know the status of our seismic instruments. We conducted a survey of our instrumentation systems and responded to DOE in a letter. During this survey, it was found that the recorders in Buildings 111 and 332 were not operational. The instruments on Nova had been removed, and only three of the 10 NIF instruments installed in 2005 were operational (two were damaged and five had been removed from operation at the request of the program). After the survey, it was clear that the site seismic instrumentation had degraded substantially and would benefit from an overhaul and more attention to ongoing maintenance. LLNL management decided to update the LLNL seismic instrumentation system. The updated system is documented in this report.

  20. AFBC - operation of small scale demonstration for greenhouse heating

    SciTech Connect (OSTI)

    Ashworth, R.A.; Plessinger, D.A.; Webner, R.L.; Machamer, T.

    1996-12-31

    A 2.2 million Btu/hr unit prototype AFBC system was installed in 1995 at Cedar Lane Farms, a commercial nursery in Ohio. The AFBC is in operation and is heating hot water for greenhouse temperature control. A team consisting of the Energy and Environmental Research Corporation, the Ohio Agricultural Research and Development Center of Ohio State University and the Will-Burt Company developed this technology with funding support from the Ohio Coal Development Office and the U.S. Department of Energy. The system is fully automated with little operator attention being required. Operating experience at Cedar Lane Farms has shown that only 2 hours per day of operation attention is required for the system. The system includes flyash/sorbent reinjection and underbed coal/limestone feed. These features provide for good limestone utilization; a Ca/S (in coal) ratio of 2.5 will maintain an SO{sub 2} emissions level of 1.2 lb/10{sup 6} Btu when burning high sulfur (3.2%) Ohio coal. A baghouse is used to control particulate emissions. Based on the success of the prototype unit, a design has been recently completed for a commercial size 10 x 10{sup 6} Btu/hr capacity range. Multiple AFBC units can be used to provide larger heat outputs. Potential coal-fired AFBC users include institutions (schools, hospitals, prisons, government), light industry (agricultural, food processing), commercial users (shopping centers), and large residential users (apartment complexes). 6 figs., 1 tab.

  1. Executive summary and guide to final report: Advisory committee on human radiation experiments

    SciTech Connect (OSTI)

    1995-01-01

    On January 15, 1994, President Clinton appointed the Advisory Committee on Human Radiation Experiments to investigate reports of possibly unethical experiments funded by the government decades ago. The Committee was directed to uncover the history of human radiation experiments during the period 1944 through 1974 and to examine cases in which the government had intentionally released radiation into the environment for research purposes. The Committee was further charged with identifying the ethical and scientific standards for evaluating these events, and with making recommendations to ensure that whatever wrongdoing may have ocurred in the past cannot be repeated. The Committee undertook three projects: A review of how each agency of the federal government that currently conducts or funds research involving human subjects regulates this activity or oversees it; An examination of the documents and consent forms of research projects that are today sponsored by the federal government in order to develop insight into the current status of protections for the rights and interests of human subjects; and, Interviews of nearly 1,900 patients receiving out-patient medical care in private hospitals and federal facilities throughout the country. This booklet provides an overview of the Final Report, summarizing each chapter.

  2. Reducing energy costs at state agencies and institutions in Texas through the Governor's energy management center

    SciTech Connect (OSTI)

    White, J.A.

    1989-01-01

    The one year internship required for partial fulfillment of the Doctor of Engineering Degree was completed at the Governor's Energy Management Center in Austin, Texas. The intern worked for the State Agencies Department of the Energy Management Center. The intern was involved in a variety of projects, but the primary projects requiring the greatest time were the involvement with the design reviews for energy efficiency of new prisons being constructed in Texas, conducting energy management audits at 18 major state universities, and the technical and administrative assistance to the State Cogeneration Council. Other project involvement included managing the preliminary engineering design of the cogeneration facility at Austin State Hospital, responsibility for applying for a $1.4 million dollar crude oil refund on the behalf of all state agencies in Texas, and assisting in the planning and coordination of the $48 million Revolving Loan Program for the state of Texas. The internship taught many things about management and communications. The experience also provided a better understanding of how the state and federal government operate. The greatest contribution of the internship experience was the improvement of the intern's written and oral communication skills.

  3. Case report: Profound neurobehavioral deficits in an oil field worker overcome by hydrogen sulfide

    SciTech Connect (OSTI)

    Kilburn, K.H. )

    1993-11-01

    A 24-year-old oil well tester was rendered semiconscious by hydrogen sulfide (H2S). He received oxygen and was hospitalized but released in 30 minutes. The next day, nausea, vomiting, diarrhea, and incontinence of urine and stool led to rehospitalization. These problems and leg shaking, dizziness, sweating, trouble sleeping, and nightmares prevented his return to work. A physical examination, chest x-ray, and pulmonary function tests were normal 39 months after the episode but vibration sense was diminished. Two choice visual reaction times were delayed. Balance was highly abnormal (5 to 6 cm/sec) with eyes closed. Blink reflex latency was slow (R-1 17.5 msec versus normal 14.3 msec). Numbers written on finger tips were not recognized. Verbal and visual recall were impaired but overlearned memory was intact. Cognitive functions measured by Culture Fair, block design, and digit symbol were impaired. Perceptual motor was slow. Scores for confusion, tension-anxiety, depression, and fatigue were elevated and vigor was reduced. Forty-nine months after exposure his reaction time, sway speed, and color vision had not improved. His recall and his cognitive, constructional, and psychomotor speeds had improved but remained abnormal. These deficits are most likely due to H2S. Similar testing of other survivors is recommended.

  4. Sichuan province scores in antipollution efforts

    SciTech Connect (OSTI)

    Not Available

    1983-09-07

    According to State Council regulations, Sichuan Province has begun charging entrepreneurial units fees for discharging waste water, waste gas and waste residue in excess of state standards, and using the money to treat environmental pollution. Results have been notable. Charging fees for discharging wastes is a major economic measure which the state has adopted to promote environmental protection. So far over 120 cities and counties in the province have adopted this measure. From April 1980 to the end of 1982, the province collected a total of 68 million yuan to fund 1,200 waste treatment projects. As a spinoff of the measure, the enterprises began raising funds on their own to treat pollution. Before 1979, the province spent an average of 3 million yuan annually on treatment of pollution. Last year the figure reached 28 million yuan. Since effluent fees came into effect, Leshan City has invested more money on more pollution-treatment projects every year. Chengdu City invested 14 million yuan in 1982 on 514 projects, completing 292 projects the very same year. The completed projects treat 25,000 tons of effluent a day. Waste water containing disease germs discharged from the army-system hospitals in the province is by and large treated. Effluent fees have spurred the enterprises to strengthen management, conserve and comprehensively utilize resources and energy, thus improving the economic results of the enterprises.

  5. Cine EPID evaluation of two non-commercial techniques for DIBH

    SciTech Connect (OSTI)

    Jensen, Christopher; Urribarri, Jaime; Cail, Daniel; Rottmann, Joerg; Mishra, Pankaj; Lingos, Tatiana; Niedermayr, Thomas; Berbeco, Ross, E-mail: rberbeco@lroc.harvard.edu [Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts 02115 (United States)] [Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts 02115 (United States)

    2014-02-15

    Purpose: To evaluate the efficacy of two noncommercial techniques for deep inspiration breathhold (DIBH) treatment of left-sided breast cancer (LSBC) usingcine electronic portal imaging device (EPID) images. Methods: 23?875 EPID images of 65 patients treated for LSBC at two different cancer treatment centers were retrieved. At the Milford Regional Cancer Center, DIBH stability was maintained by visual alignment of inroom lasers and patient skin tattoos (TAT). At the South Shore Hospital, a distance-measuring laser device (RTSSD) was implemented. For both centers,cine EPID images were acquired at least once per week during beam-on. Chest wall position relative to image boundary was measured and tracked over the course of treatment for every patient and treatment fraction for which data were acquired. Results: Median intrabeam chest motion was 0.31 mm for the TAT method and 0.37 mm for the RTSSD method. The maximum excursions exceeded our treatment protocol threshold of 3 mm in 0.3% of cases (TAT) and 1.2% of cases (RTSSD). The authors did not observe a clinically significant difference between the two datasets. Conclusions: Both noncommercial techniques for monitoring the DIBH location provided DIBH stability within the predetermined treatment protocol parameters (<3 mm). The intreatment imaging offered by the EPID operating incine mode facilitates retrospective analysis and validation of both techniques.

  6. Environmental Field Surveys, EMF Rapid Program, Engineering Project No.3

    SciTech Connect (OSTI)

    Enertech Consultants

    1996-04-01

    The EMF Research and Public Information Dissemination Program (RAPID) includes several engineering research in the area of exposure assessment and source characterization. RAPID engineering project No. 3: ''Environmental Field Surveys'' was performed to obtain information on the levels and characteristics of different environments, for which only limited data were available, especially in comparison to magnetic field data for the residential environment and for electric utility facilities, such as power lines and substations. This project was also to provide information on the contribution of various field sources in the surveyed environments. Magnetic field surveys were performed at four sites for each of five environments: schools, hospitals, office buildings, machine shops, and grocery stores. Of the twenty sites surveyed, 11 were located in the San Francisco Bay Area and 9 in Massachusetts. The surveys used a protocol based on magnetic field measurements and observation of activity patterns, designed to provide estimates of magnetic field exposure by type of people and by type of sources. The magnetic field surveys conducted by this project produced a large amount of data which will form a part of the EMF measurement database Field and exposure data were obtained separately for ''area exposure'' and ''at exposure points''. An exposure point is a location where persons engage in fixed, site specific activities near a local source that creates a significant increase in the area field. The area field is produced by ''area sources'', whose location and field distribution is in general not related to the location of the people in the area.

  7. Limitations Influencing Interventional Radiology in Canada: Results of a National Survey by the Canadian Interventional Radiology Association (CIRA)

    SciTech Connect (OSTI)

    O'Brien, Jeremy; Baerlocher, Mark Otto Asch, Murray R.; Hayeems, Eran; Kachura, John R.; Collingwood, Peter

    2007-09-15

    Purpose. To describe the current state and limitations to interventional radiology (IR) in Canada through a large, national survey of Canadian interventional radiologists. Methods. An anonymous online survey was offered to members of the Canadian Interventional Radiology Association (CIRA). Only staff radiologists were invited to participate. Results. Seventy-five (75) responses were received from a total of 247, giving a response rate of 30%. Respondents were split approximately equally between academic centers (47%) and community practice (53%), and the majority of interventional radiologists worked in hospitals with either 200-500 (49%) or 500-1,000 (39%) beds. Procedures listed by respondents as most commonly performed in their practice included PICC line insertion (83%), angiography and stenting (65%), and percutaneous biopsy (37%). Procedures listed as not currently performed but which interventional radiologists believed would benefit their patient population included radiofrequency ablation (36%), carotid stenting (34%), and aortic stenting (21%); the majority of respondents noted that a lack of support from referring services was the main reason for not performing these procedures (56%). Impediments to increasing scope and volume of practice in Canadian IR were most commonly related to room or equipment shortage (35%), radiologist shortage (33%), and a lack of funding or administrative support (28%). Conclusion. Interventional radiology in Canada is limited by a number of factors including funding, manpower, and referral support. A concerted effort should be undertaken by individual interventional radiologists and IR organizations to increase training capacity, funding, remuneration, and public exposure to IR in order to help advance the subspecialty.

  8. Work environments and organizational effectiveness: A call for integration

    SciTech Connect (OSTI)

    Heerwagen, J.H.; Heubach, J.G.; Brown, B.W.; Sanchez, J.A.; Montgomery, J.C.; Weimer, W.C.

    1994-07-01

    In response to a request from the Pacific Northwest Laboratory`s Analytical Chemistry Upgrades Program, a team was formed to (1) review work environment and productivity research, (2) report the research in a manner usable to organizational decision-makers, (3) identify Hanford Site facilities examples of the work environment principles and research, and (4) publish the review results in a referred journal. This report summarizes the work environment-organizational effectiveness research reviewed, provides the foundation for a publishable article, and outlines the integration of work environment research and organizational effectiveness in continuing improvement programs and strategic planning. The research cited in this review shows that the physical work environment offers a valuable tool that, used wisely, can contribute significantly to the performance of an organization, its bottom-line economics, and the well-being of all of its employees. This finding leads to one central recommendation: to derive the maximum benefit to the corporation, managers and designers must integrate organizational goals and programs with work environment design. While much of the research cited focuses on office environments, the results and design principles and practices are relevant to a full range of settings: laboratories, schools, hospitals, and factories. The major findings of the research reviewed are summarized below in four areas: (1) performance, (2) well-being, (3) image, and (4) turnover and recruitment.

  9. Table lamp with dynamically controlled lighting distribution and uniformly illuminated luminous shade

    DOE Patents [OSTI]

    Siminovitch, Michael J.; Page, Erik R.

    2002-01-01

    A double lamp table or floor lamp lighting system has a pair of compact fluorescent lamps (CFLs) or other lamps arranged vertically, i.e. one lamp above the other, with a reflective septum in between. By selectively turning on one or both of the CFLs, down lighting, up lighting, or both up and down lighting is produced. The control system can also vary the light intensity from each CFL. The reflective septum ensures that almost all the light produced by each lamp will be directed into the desired light distribution pattern which is selected and easily changed by the user. In a particular configuration, the reflective septum is bowl shaped, with the upper CFL sitting in the bowl, and a luminous shade hanging down from the bowl. The lower CFL provides both task lighting and uniform shade luminance. Planar compact fluorescent lamps, e.g. circular CFLs, particularly oriented horizontally, are preferable. CFLs provide energy efficiency. However, other types of lamps, including incandescent, halogen, and LEDs can also be used in the fixture. The lighting system may be designed for the home, hospitality, office or other environments.

  10. Effects of air pollution on children's respiratory health in three Chinese cities

    SciTech Connect (OSTI)

    Qian, Z.; Chapman, R.S.; Tian, Q.; Chen, Y.; Lioy, P.J.; Zhang, J.

    2000-04-01

    During the winter of 1988--1989, parents of 2,789 elementary-school students completed standardized questionnaires. The students were 5--14 y of age and were from three urban districts and one suburban district of three large Chinese cities. The 4-y average ambient levels of total suspended particles in the three cities differed greatly during the period 1985--1988: Lanzhou, 1,067 {micro}g/m{sup 3}; urban Wuhan, 406 {micro}g/m{sup 3}; Guangzhou, 296 {micro}g/m{sup 3}; and suburban Wuhan, 191 {micro}g/m{sup 3}. The authors constructed unconditional logistic-regression models to calculate odds ratios and 95% confidence intervals for prevalences of several respiratory symptoms and illnesses, adjusted for district, use of coal in the home, and parental smoking status. There was a positive and significant association between total suspended particle levels and the adjusted odds ratios for couch, phlegm, hospitalization for diseases, and pneumonia. This association was derived from only the 1,784 urban children and, therefore, the authors were unable to extrapolate it to the suburban children. The results also indicated that parental smoking status was associated with cough and phlegm, and use of coal in the home was associated only with cough prevalence.

  11. Cutaneous Bronchobiliary Fistula Treated with Tissucol Sealant

    SciTech Connect (OSTI)

    Prieto-Nieto, M. I. Perez-Robledo, J. P.; Alvarez-Luque, A. Suz, J. I. Acitores Torres, J. Novo

    2011-02-15

    Bronchobiliary fistula is a rare and is an uncommon but severe complication of hydatid disease of the liver. Treatment has traditionally been surgical resection, but embolization and stent placement have been described. The invasive method seems to be a key component of patient treatment. We describe a case of a 58-year-old woman who, 25 years before, had undergone surgery for a hydatid cyst. A total cystectomy without previous puncture or parasite extraction was carried out. The lower aspect of the cyst was found to be completely perforated over the biliary duct. During the postoperative course, the patient had subphrenic right-sided pleural effusion and biliary fistula that subsided with medical treatment. Afterward, the patient came to the outpatient area of our hospital complaining of leakage of purulent exudate through the cutaneous opening, pain located on the right hypochondrium radiating to the right hemithorax, malaise, fever, chronic cough, and occasional vomiting of bile. Fistulography revealed an anfractuous cavity communicating with a residual cystic cavity on the right hepatic lobe. We observed communication with the intrahepatic canaliculi. Computed tomographic scan revealed a fistulous tract on the anterior liver border through the abdominal wall. There were no posttreatment complications. The patient is asymptomatic.

  12. Human factors evaluation of teletherapy: Literature review. Volume 5

    SciTech Connect (OSTI)

    Henriksen, K.; Kaye, R.D.; Jones, R.; Morisseau, D.S.; Serig, D.L.

    1995-07-01

    A series of human factors evaluations were undertaken to better understand the contributing factors to human error in the teletherapy environment. Teletherapy is a multidisciplinary methodology for treating cancerous tissue through selective exposure to an external beam of ionizing radiation. A team of human factors specialists, assisted by a panel of radiation oncologists, medical physicists, and radiation therapists, conducted site visits to radiation oncology departments at community hospitals, university centers, and free-standing clinics. A function and task analysis was performed initially to guide subsequent evaluations in the areas of workplace environment, system-user interfaces, procedures, training, and organizational practices. To further acquire an in-depth and up-to-date understanding of the practice of teletherapy in support of these evaluations, a systematic literature review was conducted. Factors that have a potential impact on the accuracy of treatment delivery were of primary concern. The present volume is the literature review. The volume starts with an overview of the multiphased nature of teletherapy, and then examines the requirement for precision, the increasing role of quality assurance, current conceptualizations of human error, and the role of system factors such as the workplace environment, user-system interfaces, procedures, training, and organizational practices.

  13. Direct utilization of geothermal energy for space and water heating at Marlin, Texas. Final report

    SciTech Connect (OSTI)

    Conover, M.F.; Green, T.F.; Keeney, R.C.; Ellis, P.F. II; Davis, R.J.; Wallace, R.C.; Blood, F.B.

    1983-05-01

    The Torbett-Hutchings-Smith Memorial Hospital geothermal heating project, which is one of nineteen direct-use geothermal projects funded principally by DOE, is documented. The five-year project encompassed a broad range of technical, institutional, and economic activities including: resource and environmental assessments; well drilling and completion; system design, construction, and monitoring; economic analyses; public awareness programs; materials testing; and environmental monitoring. Some of the project conclusions are that: (1) the 155/sup 0/F Central Texas geothermal resource can support additional geothermal development; (2) private-sector economic incentives currently exist, especially for profit-making organizations, to develop and use this geothermal resource; (3) potential uses for this geothermal resource include water and space heating, poultry dressing, natural cheese making, fruit and vegetable dehydrating, soft-drink bottling, synthetic-rubber manufacturing, and furniture manufacturing; (4) high maintenance costs arising from the geofluid's scaling and corrosion tendencies can be avoided through proper analysis and design; (5) a production system which uses a variable-frequency drive system to control production rate is an attractive means of conserving parasitic pumping power, controlling production rate to match heating demand, conserving the geothermal resource, and minimizing environmental impacts.

  14. Public and Institutional Markets for ESCO Services: ComparingPrograms, Practices and Prformance

    SciTech Connect (OSTI)

    Hopper, Nicole; Goldman, Charles; McWilliams, Jennifer; Birr,Dave; Stoughton McMordie, Kate

    2005-03-01

    Throughout the U.S. energy services company (ESCO) industry's history, public and institutional sector customers have provided the greatest opportunities for ESCOs to develop projects. Generally speaking, these facilities are large, possess aging infrastructure, and have limited capital budgets for improvements. The convergence of these factors with strong enabling policy support makes performance contracting an attractive and viable option for these customers. Yet despite these shared characteristics and drivers, there is surprising variety of experience among public/institutional customers and projects. This collaborative study examines the public/institutional markets in detail by comparing the overarching models and project performance in the federal government and the ''MUSH'' markets municipal agencies (state/local government), universities/colleges, K-12 schools,and hospitals that have traditionally played host to much of the ESCO industry's activity. Results are drawn from a database of 1634 completed projects held in partnership by the National Association of Energy Services Companies and Lawrence Berkeley National Laboratory (the NAESCO/LBNL database), including 129 federal Super Energy Savings Performance Contracts (ESPC) provided by the Federal Energy Management Program (FEMP) (Strajnic and Nealon 2003). Project data results are supplemented by interviews with ESCOs.

  15. Klamath Falls geothermal field, Oregon

    SciTech Connect (OSTI)

    Lienau, P.J.; Culver, G.; Lund, J.W.

    1989-09-01

    Klamath Falls, Oregon, is located in a Known Geothermal Resource Area which has been used by residents, principally to obtain geothermal fluids for space heating, at least since the turn of the century. Over 500 shallow-depth wells ranging from 90 to 2,000 ft (27 to 610 m) in depth are used to heat (35 MWt) over 600 structures. This utilization includes the heating of homes, apartments, schools, commercial buildings, hospital, county jail, YMCA, and swimming pools by individual wells and three district heating systems. Geothermal well temperatures range from 100 to 230{degree}F (38 to 110{degree}C) and the most common practice is to use downhole heat exchangers with city water as the circulating fluid. Larger facilities and district heating systems use lineshaft vertical turbine pumps and plate heat exchangers. Well water chemistry indicates approximately 800 ppM dissolved solids, with sodium sulfate having the highest concentration. Some scaling and corrosion does occur on the downhole heat exchangers (black iron pipe) and on heating systems where the geo-fluid is used directly. 73 refs., 49 figs., 6 tabs.

  16. An oil and gas cartel OPEC in evolution

    SciTech Connect (OSTI)

    Not Available

    1992-12-23

    More than ever before, the Organization of Petroleum Exporting countries is faced with a sophisticated and complex market, a highly charged environmental movement, and new calls for energy conservation and alternative fuels. It has lost a member, Ecuador. However OPEC's future evolves, it will be challenged to change. As non-OPEC oil production continues to decline, OPEC's future could brighten considerably. Natural gas presents a great opportunity to OPEC as many industrial and developing countries utilize gas more extensively because of price and environmental advantages. Whether oil or gas, OPEC will require large amounts of capital to satisfy the world's appetite for petroleum. The loss of Ecuador seems a setback to the Organization, but there are burgeoning Soviet Republics with large reserves in need of development assistance to tap into their natural resources more effectively. On the demand side, many companies are seeking hospitable recipients for their exploratory activities and investment capital. OPEC's role might somehow include the embrace of these developments for the betterment of its individual, unique members.

  17. Creating healthier environments: Performance contracting in the Canadian Healthcare Industry

    SciTech Connect (OSTI)

    O`Conner, T.

    1995-06-01

    More efficient use of energy reduces the fossil fuel pollutants entering the air. It takes money out of expenses, now paying for wasted energy, and puts it in the revenue stream. That`s good for an individual business and good for a country. When we practice energy efficiency in healthcare facilities, we get environmental benefits to our health and more resources to devote to health care. Canadians realize this. People throughout the world are increasingly aware of this. But even with all these benefits, organizations -- hospitals, universities, businesses, government -- lack the money to do the job. If only they could get their hands on all the money that goes up the smokestack for wasted energy...money they are now paying the utilities for energy they don`t really need. If only they could think of dollars for energy efficiency as an investment, not an expense. That is exactly what performance contracting involves: a firm that is willing to invest in an organization`s energy efficiency. As with any investment, you look at the cost, the risks and the potential return. In one way or another, that`s what all of us do when we are considering a performance contracting investment.

  18. Ceiling art in a radiation therapy department: its effect on patient treatment experience

    SciTech Connect (OSTI)

    Bonett, Jotham

    2015-09-15

    A new initiative has been implemented at the Sunshine Hospital Radiation Therapy Centre, to provide a calming and comforting environment for patients attending radiation therapy treatment. As part of this initiative, the department's computed tomography (CT) room and radiation therapy bunkers were designed to incorporate ceiling art that replicates a number of different visual scenes. The study was undertaken to determine if ceiling art in the radiation therapy treatment CT and treatment bunkers had an effect on a patient's experience during treatment at the department. Additionally, the study aimed to identify which of the visuals in the ceiling art were most preferred by patients. Patients were requested to complete a 12-question survey. The survey solicited a patient's opinion/perception on the unit's unique ceiling display with emphasis on aesthetic appeal, patient treatment experience and the patient's engagement due to the ceiling display. The responses were dichotomised to ‘positive’ or ‘negative’. Every sixth patient who completed the survey was invited to have a general face-to-face discussion to provide further information about their thoughts on the displays. The results demonstrate that the ceiling artwork solicited a positive reaction in 89.8% of patients surveyed. This score indicates that ceiling artwork contributed positively to patients’ experiences during radiation therapy treatment. The study suggests that ceiling artwork in the department has a positive effect on patient experience during their radiation therapy treatment at the department.

  19. Big questions cloud Iraq's future role in world oil market

    SciTech Connect (OSTI)

    Tippee, B.

    1992-03-09

    This paper reports that Iraq raises questions for the world oil market beyond those frequently asked about when and under what circumstances it will resume exports. Two wars since 1981 have obscured encouraging results from a 20 year exploration program that were only beginning to come to light when Iraq invaded Kuwait in August 1990. Those results indicate the country might someday be able to produce much more than the 3.2 million b/d it was flowing before a United Nations embargo blocked exports. If exploratory potential is anywhere near what officials asserted in the late 1980s, and if Iraq eventually turns hospitable to international capital, the country could become a world class opportunity for oil companies as well as an exporter with productive capacity approaching that of Saudi Arabia. But political conditions can change quickly. Under a new, secular regime, Iraq might welcome non-Iraqi oil companies and capital as essential to economic recovery. It's a prospect that warrants a new industry look at what the country has revealed about its geology and exploration history.

  20. Role of Adjuvant Radiotherapy in Granulosa Cell Tumors of the Ovary

    SciTech Connect (OSTI)

    Hauspy, Jan; Beiner, Mario E.; Harley, Ian; Rosen, Barry; Murphy, Joan; Chapman, William; Le, Lisa W.; Fyles, Anthony; Levin, Wilfred

    2011-03-01

    Purpose: To review the role of adjuvant radiotherapy (RT) in the outcome and recurrence patterns of granulosa cell tumors (GCTs) of the ovary. Methods and Materials: The records of all patients with GCTs referred to the Princess Margaret Hospital University Health Network between 1961 and 2006 were retrospectively reviewed. The patient, tumor, and treatment factors were assessed by univariate and multivariate analyses using disease-free survival (DFS) as the endpoint. Results: A total of 103 patients with histologically confirmed GCTs were included in the present study. The mean duration of follow-up was 100 months (range, 1-399). Of the 103 patients, 31 received adjuvant RT. A total of 39 patients developed tumor recurrence. The tumor size, incidence of intraoperative rupture, and presence of concurrent endometrial cancer were not significant risk factors for DFS. The median DFS was 251 months for patients who underwent adjuvant RT compared with 112 months for patients who did not (p = .02). On multivariate analysis, adjuvant RT remained a significant prognostic factor for DFS (p = .004). Of the 103 patients, 12 had died and 44 were lost to follow-up. Conclusion: Ovarian GCTs can be indolent, with patients achieving long-term survival. In our series, adjuvant RT resulted in a significantly longer DFS. Ideally, randomized trials with long-term follow-up are needed to define the role of adjuvant RT for ovarian GCTs.

  1. Demonstration of an on-site PAFC cogeneration system with waste heat utilization by a new gas absorption chiller

    SciTech Connect (OSTI)

    Urata, Tatsuo

    1996-12-31

    Analysis and cost reduction of fuel cells is being promoted to achieve commercial on-site phosphoric acid fuel cells (on-site FC). However, for such cells to be effectively utilized, a cogeneration system designed to use the heat generated must be developed at low cost. Room heating and hot-water supply are the most simple and efficient uses of the waste heat of fuel cells. However, due to the short room-heating period of about 4 months in most areas in Japan, the sites having demand for waste heat of fuel cells throughout the year will be limited to hotels and hospitals Tokyo Gas has therefore been developing an on-site FC and the technology to utilize tile waste heat of fuel cells for room cooling by means of an absorption refrigerator. The paper describes the results of fuel cell cogeneration tests conducted on a double effect gas absorption chiller heater with auxiliary waste heat recovery (WGAR) that Tokyo Gas developed in its Energy Technology Research Laboratory.

  2. NRC - regulator of nuclear safety

    SciTech Connect (OSTI)

    1997-05-01

    The U.S. Nuclear Regulatory Commission (NRC) was formed in 1975 to regulate the various commercial and institutional uses of nuclear energy, including nuclear power plants. The agency succeeded the Atomic Energy Commission, which previously had responsibility for both developing and regulating nuclear activities. Federal research and development work for all energy sources, as well as nuclear weapons production, is now conducted by the U.S. Department of Energy. Under its responsibility to protect public health and safety, the NRC has three principal regulatory functions: (1) establish standards and regulations, (2) issue licenses for nuclear facilities and users of nuclear materials, and (3) inspect facilities and users of nuclear materials to ensure compliance with the requirements. These regulatory functions relate to both nuclear power plants and to other uses of nuclear materials - like nuclear medicine programs at hospitals, academic activities at educational institutions, research work, and such industrial applications as gauges and testing equipment. The NRC places a high priority on keeping the public informed of its work. The agency recognizes the interest of citizens in what it does through such activities as maintaining public document rooms across the country and holding public hearings, public meetings in local areas, and discussions with individuals and organizations.

  3. Increased serum cortisol binding in chronic active hepatitis

    SciTech Connect (OSTI)

    Orbach, O.; Schussler, G.C.

    1989-01-01

    A high serum cortisol concentration, apparently due to increased cortisol-binding globulin (CBG), was found in a patient (index case) with chronic active hepatitis (CAH). We therefore performed further studies to determine whether increased cortisol binding is generally associated with CAH. Serum samples were obtained from 15 hospitalized patients with long-term liver function test elevations but no evidence of cirrhosis, 15 normal subjects without a history of hepatitis, four healthy pregnant women, and 10 alcoholic patients with stigmata of cirrhosis. Serum cortisol binding was measured by an adaptation of a previously described charcoal uptake method. Thyroxine-binding globulin (TBG) and sex hormone-binding globulin were determined by radioimmunoassays. Charcoal uptake of 125I cortisol from sera of normal subjects and additional patients with CAH revealed that increased serum cortisol binding by a saturable site, presumably CBG, was associated with CAH. Cortisol binding was significantly correlated with immunoassayable TBG, suggesting that in CAH, similar mechanisms may be responsible for increasing the serum concentrations of CBG and TBG.

  4. Wireless Sensor Networks - Node Localization for Various Industry Problems

    DOE Public Access Gateway for Energy & Science Beta (PAGES Beta)

    Derr, Kurt; Manic, Milos

    2015-06-01

    Fast, effective monitoring following airborne releases of toxic substances is critical to mitigate risks to threatened population areas. Wireless sensor nodes at fixed predetermined locations may monitor such airborne releases and provide early warnings to the public. A challenging algorithmic problem is determining the locations to place these sensor nodes while meeting several criteria: 1) provide complete coverage of the domain, and 2) create a topology with problem dependent node densities, while 3) minimizing the number of sensor nodes. This manuscript presents a novel approach to determining optimal sensor placement, Advancing Front mEsh generation with Constrained dElaunay Triangulation and Smoothingmore » (AFECETS) that addresses these criteria. A unique aspect of AFECETS is the ability to determine wireless sensor node locations for areas of high interest (hospitals, schools, high population density areas) that require higher density of nodes for monitoring environmental conditions, a feature that is difficult to find in other research work. The AFECETS algorithm was tested on several arbitrary shaped domains. AFECETS simulation results show that the algorithm 1) provides significant reduction in the number of nodes, in some cases over 40%, compared to an advancing front mesh generation algorithm, 2) maintains and improves optimal spacing between nodes, and 3) produces simulation run times suitable for real-time applications.« less

  5. Economic impacts of a hypothetical H1N1 pandemic : a cross-sectional analysis.

    SciTech Connect (OSTI)

    Smith, Braeton J.; Shaneyfelt, Calvin R.

    2010-06-01

    A NISAC study on the economic effects of a hypothetical H1N1 pandemic was done in order to assess the differential impacts at the state and industry levels given changes in absenteeism, mortality, and consumer spending rates. Part of the analysis was to determine if there were any direct relationships between pandemic impacts and gross domestic product (GDP) losses. Multiple regression analysis was used because it shows very clearly which predictors are significant in their impact on GDP. GDP impact data taken from the REMI PI+ (Regional Economic Models, Inc., Policy Insight +) model was used to serve as the response variable. NISAC economists selected the average absenteeism rate, mortality rate, and consumer spending categories as the predictor variables. Two outliers were found in the data: Nevada and Washington, DC. The analysis was done twice, with the outliers removed for the second analysis. The second set of regressions yielded a cleaner model, but for the purposes of this study, the analysts deemed it not as useful because particular interest was placed on determining the differential impacts to states. Hospitals and accommodation were found to be the most important predictors of percentage change in GDP among the consumer spending variables.

  6. Influence of Lymphatic Invasion on Locoregional Recurrence Following Mastectomy: Indication for Postmastectomy Radiotherapy for Breast Cancer Patients With One to Three Positive Nodes

    SciTech Connect (OSTI)

    Matsunuma, Ryoichi; Oguchi, Masahiko; Fujikane, Tomoko; Matsuura, Masaaki; Sakai, Takehiko; Kimura, Kiyomi; Morizono, Hidetomo; Iijima, Kotaro; Izumori, Ayumi; Miyagi, Yumi; Nishimura, Seiichiro; Makita, Masujiro; Gomi, Naoya; Horii, Rie; Akiyama, Futoshi; Iwase, Takuji

    2012-07-01

    Purpose: The indication for postmastectomy radiotherapy (PMRT) in breast cancer patients with one to three positive lymph nodes has been in discussion. The purpose of this study was to identify patient groups for whom PMRT may be indicated, focusing on varied locoregional recurrence rates depending on lymphatic invasion (ly) status. Methods and Materials: Retrospective analysis of 1,994 node-positive patients who had undergone mastectomy without postoperative radiotherapy between January 1990 and December 2000 at our hospital was performed. Patient groups for whom PMRT should be indicated were assessed using statistical tests based on the relationship between locoregional recurrence rate and ly status. Results: Multivariate analysis showed that the ly status affected the locoregional recurrence rate to as great a degree as the number of positive lymph nodes (p < 0.001). Especially for patients with one to three positive nodes, extensive ly was a more significant factor than stage T3 in the TNM staging system for locoregional recurrence (p < 0.001 vs. p = 0.295). Conclusion: Among postmastectomy patients with one to three positive lymph nodes, patients with extensive ly seem to require local therapy regimens similar to those used for patients with four or more positive nodes and also seem to require consideration of the use of PMRT.

  7. Impact of Concomitant Chemotherapy on Outcomes of Radiation Therapy for Head-and-Neck Cancer: A Population-Based Study

    SciTech Connect (OSTI)

    Gupta, Shlok; Kong, Weidong; Booth, Christopher M.; Mackillop, William J.

    2014-01-01

    Purpose: Clinical trials have shown that the addition of chemotherapy to radiation therapy (RT) improves survival in advanced head-and-neck cancer. The objective of this study was to describe the effectiveness of concomitant chemoradiation therapy (C-CRT) in routine practice. Methods and Materials: This was a population-based cohort study. Electronic records of treatment from all provincial cancer centers were linked to a population--based cancer registry to describe the adoption of C-CRT for head-and-neck cancer patients in Ontario, Canada. The study population was then divided into pre- and postadoption cohorts, and their outcomes were compared. Results: Between 1992 and 2008, 18,867 patients had diagnoses of head-and-neck cancer in Ontario, of whom 7866 (41.7%) were treated with primary RT. The proportion of primary RT cases that received C-CRT increased from 2.2% in the preadoption cohort (1992-1998) to 39.3% in the postadoption cohort (2003-2008). Five-year survival among all primary RT cases increased from 43.6% in the preadoption cohort to 51.8% in the postadoption cohort (P<.001). Over the same period, treatment-related hospital admissions increased significantly, but there was no significant increase in treatment-related deaths. Conclusions: C-CRT was widely adopted in Ontario after 2003, and its adoption was temporally associated with an improvement in survival.

  8. Advanced slow-magic angle spinning probe for magnetic resonance imaging and spectroscopy

    DOE Patents [OSTI]

    Wind, Robert A.; Hu, Jian Zhi; Minard, Kevin R.; Rommereim, Donald N.

    2006-01-24

    The present invention relates to a probe and processes useful for magnetic resonance imaging and spectroscopy instruments. More particularly, the invention relates to a MR probe and processes for obtaining resolution enhancements of fluid objects, including live specimens, using an ultra-slow (magic angle) spinning (MAS) of the specimen combined with a modified phase-corrected magic angle turning (PHORMAT) pulse sequence. Proton NMR spectra were measured of the torso and the top part of the belly of a female BALBc mouse in a 2T field, while spinning the animal at a speed of 1.5 Hz. Results show that even in this relatively low field with PHORMAT, an isotropic spectrum is obtained with line widths that are a factor 4.6 smaller than those obtained in a stationary mouse. Resolution of 1H NMR metabolite spectra are thus significantly enhanced. Results indicate that PHORMAT has the potential to significantly increase the utility of 1H NMR spectroscopy for in vivo biochemical, biomedical and/or medical applications involving large-sized biological objects such as mice, rats and even humans within a hospital setting. For small-sized objects, including biological objects, such as excised tissues, organs, live bacterial cells, and biofilms, use of PASS at a spinning rate of 30 Hz and above is preferred.

  9. Energy for sustainable development: Key issues and challenges

    SciTech Connect (OSTI)

    Kaygusuz, K.

    2007-07-01

    Energy generation and use are strongly linked to all elements of sustainable development such as economic, social, and environmental. The history of human development rests on the availability and use of energy, the transformation from the early use of fire and animal power that improved lives, to the present world with use of electricity and clean fuels for a multitude of purposes. Energy is the neglected issue of the development debate. The lack of access to reliable and clean energy supplies is a major barrier to improving human well-being around the globe. There are an estimated 1.6 billion people living in the rural areas of developing countries who lack access to electricity, and so dependence on fossil fuels. Combustion of fossil fuels produces large amounts of CO{sub 2}, an important greenhouse gas. In response to increasing concern about the effect of anthropogenic greenhouse gases on global climate, international action has been agreed to reduce these emissions. On the other hand, renewable energy is the great, barely tapped solution to the two great challenges of the coming century such as poverty and global warming. Not only can renewable energy provide a clean, flexible power source for homes, schools and hospitals, at the micro-to-medium scale it has huge potential to create meaningful and useful jobs.

  10. From Tragedy to Triumph: Rebuilding Greensburg, Kansas To Be a 100% Renewable Energy City; Preprint

    SciTech Connect (OSTI)

    Pless, S.; Billman, L.; Wallach, D.

    2010-08-01

    On May 4, 2007, Greensburg, Kansas, was hit by a 1.7-mile wide tornado with 200 mph-plus wind speeds. This tornado destroyed or severely damaged 90% of Greensburg?s structures. We discuss the progress made in rebuilding Greensburg, with a focus on the built environment and on meeting Greensburg?s goal of 100% renewable energy, 100% of the time. We also discuss key disaster recovery efforts that enabled Greensburg to reach this goal. Key strategies included a Sustainable Comprehensive Master Plan, an ordinance resolving that city-owned buildings achieve LEED Platinum and 42% energy savings, a strong focus on rebuilding 'right' with an integrated design process, attracting significant and sustained technical experts and national media attention, and linking renewable and energy efficiency technologies to business development. After three years, more than half the homes that have been rebuilt are rated at an average of 40% energy savings. All significant commercial buildings, including the school, hospital, banks, courthouse, and retail buildings, have been rebuilt to LEED Gold and Platinum standards and exceed 40% savings, with many exceeding 50% savings. Greensburg recently constructed a 12.5-MW community wind farm to provide all the remaining energy needed for its energy-efficient buildings and homes.

  11. Wireless Sensor Networks - Node Localization for Various Industry Problems

    SciTech Connect (OSTI)

    Derr, Kurt; Manic, Milos

    2015-06-01

    Fast, effective monitoring following airborne releases of toxic substances is critical to mitigate risks to threatened population areas. Wireless sensor nodes at fixed predetermined locations may monitor such airborne releases and provide early warnings to the public. A challenging algorithmic problem is determining the locations to place these sensor nodes while meeting several criteria: 1) provide complete coverage of the domain, and 2) create a topology with problem dependent node densities, while 3) minimizing the number of sensor nodes. This manuscript presents a novel approach to determining optimal sensor placement, Advancing Front mEsh generation with Constrained dElaunay Triangulation and Smoothing (AFECETS) that addresses these criteria. A unique aspect of AFECETS is the ability to determine wireless sensor node locations for areas of high interest (hospitals, schools, high population density areas) that require higher density of nodes for monitoring environmental conditions, a feature that is difficult to find in other research work. The AFECETS algorithm was tested on several arbitrary shaped domains. AFECETS simulation results show that the algorithm 1) provides significant reduction in the number of nodes, in some cases over 40%, compared to an advancing front mesh generation algorithm, 2) maintains and improves optimal spacing between nodes, and 3) produces simulation run times suitable for real-time applications.

  12. Advanced Energy Retrofit Guide (AERG): Practical Ways to Improve Energy Performance; Healthcare Facilities (Book)

    SciTech Connect (OSTI)

    Hendron, R.; Leach, M.; Bonnema, E.; Shekhar, D.; Pless, S.

    2013-09-01

    The Advanced Energy Retrofit Guide for Healthcare Facilities is part of a series of retrofit guides commissioned by the U.S. Department of Energy. By presenting general project planning guidance as well as detailed descriptions and financial payback metrics for the most important and relevant energy efficiency measures (EEMs), the guides provide a practical roadmap for effectively planning and implementing performance improvements in existing buildings. The Advanced Energy Retrofit Guides (AERGs) are intended to address key segments of the U.S. commercial building stock: retail stores, office buildings, K-12 schools, grocery stores, and healthcare facilities. The guides' general project planning considerations are applicable nationwide; the energy and cost savings estimates for recommended EEMs were developed based on energy simulations and cost estimates for an example hospital tailored to five distinct climate regions. These results can be extrapolated to other U.S. climate zones. Analysis is presented for individual EEMs, and for packages of recommended EEMs for two project types: existing building commissioning projects that apply low-cost and no-cost measures, and whole-building retrofits involving more capital-intensive measures.

  13. (Biological dosimetry)

    SciTech Connect (OSTI)

    Preston, R.J.

    1990-12-17

    The traveler attended the 1st International Conference on Biological Dosimetry in Madrid, Spain. This conference was organized to provide information to a general audience of biologists, physicists, radiotherapists, industrial hygiene personnel and individuals from related fields on the current ability of cytogenetic analysis to provide estimates of radiation dose in cases of occupational or environmental exposure. There is a growing interest in Spain in biological dosimetry because of the increased use of radiation sources for medical and occupational uses, and with this the anticipated and actual increase in numbers of overexposure. The traveler delivered the introductory lecture on Biological Dosimetry: Mechanistic Concepts'' that was intended to provide a framework by which the more applied lectures could be interpreted in a mechanistic way. A second component of the trip was to provide advice with regard to several recent cases of overexposure that had been or were being assessed by the Radiopathology and Radiotherapy Department of the Hospital General Gregorio Maranon'' in Madrid. The traveler had provided information on several of these, and had analyzed cells from some exposed or purportedly exposed individuals. The members of the biological dosimetry group were referred to individuals at REACTS at Oak Ridge Associated Universities for advice on follow-up treatment.

  14. Management of hazardous medical waste in Croatia

    SciTech Connect (OSTI)

    Marinkovic, Natalija Vitale, Ksenija; Holcer, Natasa Janev; Dzakula, Aleksandar; Pavic, Tomo

    2008-07-01

    This article provides a review of hazardous medical waste production and its management in Croatia. Even though Croatian regulations define all steps in the waste management chain, implementation of those steps is one of the country's greatest issues. Improper practice is evident from the point of waste production to final disposal. The biggest producers of hazardous medical waste are hospitals that do not implement existing legislation, due to the lack of education and funds. Information on quantities, type and flow of medical waste are inadequate, as is sanitary control. We propose an integrated approach to medical waste management based on a hierarchical structure from the point of generation to its disposal. Priority is given to the reduction of the amounts and potential for harm. Where this is not possible, management includes reduction by sorting and separating, pretreatment on site, safe transportation, final treatment and sanitary disposal. Preferred methods should be the least harmful for human health and the environment. Integrated medical waste management could greatly reduce quantities and consequently financial strains. Landfilling is the predominant route of disposal in Croatia, although the authors believe that incineration is the most appropriate method. In a country such as Croatia, a number of small incinerators would be the most economical solution.

  15. High-flux neutron source based on a liquid-lithium target

    SciTech Connect (OSTI)

    Halfon, S.; Feinberg, G.; Paul, M.; Arenshtam, A.; Berkovits, D.; Kijel, D.; Nagler, A.; Eliyahu, I.; Silverman, I.

    2013-04-19

    A prototype compact Liquid Lithium Target (LiLiT), able to constitute an accelerator-based intense neutron source, was built. The neutron source is intended for nuclear astrophysical research, boron neutron capture therapy (BNCT) in hospitals and material studies for fusion reactors. The LiLiT setup is presently being commissioned at Soreq Nuclear research Center (SNRC). The lithium target will produce neutrons through the {sup 7}Li(p,n){sup 7}Be reaction and it will overcome the major problem of removing the thermal power generated by a high-intensity proton beam, necessary for intense neutron flux for the above applications. The liquid-lithium loop of LiLiT is designed to generate a stable lithium jet at high velocity on a concave supporting wall with free surface toward the incident proton beam (up to 10 kW). During off-line tests, liquid lithium was flown through the loop and generated a stable jet at velocity higher than 5 m/s on the concave supporting wall. The target is now under extensive test program using a high-power electron-gun. Up to 2 kW electron beam was applied on the lithium flow at velocity of 4 m/s without any flow instabilities or excessive evaporation. High-intensity proton beam irradiation will take place at SARAF (Soreq Applied Research Accelerator Facility) superconducting linear accelerator currently in commissioning at SNRC.

  16. A look at commercial buildings in 1995: Characteristics, energy consumption, and energy expenditures

    SciTech Connect (OSTI)

    1998-10-01

    The commercial sector consists of business establishments and other organizations that provide services. The sector includes service businesses, such as retail and wholesale stores, hotels and motels, restaurants, and hospitals, as well as a wide range of facilities that would not be considered commercial in a traditional economic sense, such as public schools, correctional institutions, and religious and fraternal organizations. Nearly all energy use in the commercial sector takes place in, or is associated with, the buildings that house these commercial activities. Analysis of the structures, activities, and equipment associated with different types of buildings is the clearest way to evaluate commercial sector energy use. The Commercial Buildings Energy Consumption Survey (CBECS) is a national-level sample survey of commercial buildings and their energy suppliers conducted quadrennially (previously triennially) by the Energy Information Administration (EIA). The target population for the 1995 CBECS consisted of all commercial buildings in the US with more than 1,000 square feet of floorspace. Decision makers, businesses, and other organizations that are concerned with the use of energy--building owners and managers, regulators, legislative bodies and executive agencies at all levels of government, utilities and other energy suppliers--are confronted with a buildings sector that is complex. Data on major characteristics (e.g., type of building, size, year constructed, location) collected from the buildings, along with the amount and types of energy the buildings consume, help answer fundamental questions about the use of energy in commercial buildings.

  17. Importance of patient education on home medical care waste disposal in Japan

    SciTech Connect (OSTI)

    Ikeda, Yukihiro

    2014-07-15

    Highlights: • Attached office nurses more recovered medical waste from patients’ homes. • Most nurses educated their patients on how to store home medical care waste in their homes and on how to separate them. • Around half of nurses educated their patients on where to dispose of their home medical care waste. - Abstract: To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.

  18. Primary Radiation Therapy for Head-and-Neck Cancer in the Setting of Human Immunodeficiency Virus

    SciTech Connect (OSTI)

    Klein, Emily A.; Guiou, Michael; Farwell, D. Gregory; Luu, Quang; Lau, Derick H.; Stuart, Kerri; Vaughan, Andrew; Vijayakumar, Srinivasan; Chen, Allen M.

    2011-01-01

    Purpose: To analyze outcomes after radiation therapy for head-and-neck cancer among a cohort of patients with human immunodeficiency virus (HIV). Methods and Materials: The medical records of 12 patients with serologic evidence of HIV who subsequently underwent radiation therapy to a median dose of 68 Gy (range, 64-72 Gy) for newly diagnosed squamous cell carcinoma of the head and neck were reviewed. Six patients (50%) received concurrent chemotherapy. Intensity-modulated radiotherapy was used in 6 cases (50%). All patients had a Karnofsky performance status of 80 or 90. Nine patients (75%) were receiving antiretroviral therapies at the time of treatment, and the median CD4 count was 460 (range, 266-800). Toxicity was graded according to the Radiation Therapy Oncology Group / European Organization for the Treatment of Cancer toxicity criteria. Results: The 3-year estimates of overall survival and local-regional control were 78% and 92%, respectively. Acute Grade 3+ toxicity occurred in 7 patients (58%), the most common being confluent mucositis (5 patients) and moist skin desquamation (4 patients). Two patients experienced greater than 10% weight loss, and none experienced more than 15% weight loss from baseline. Five patients (42%) experienced treatment breaks in excess of 10 cumulative days, although none required hospitalization. There were no treatment-related fatalities. Conclusions: Radiation therapy for head-and-neck cancer seems to be relatively well tolerated among appropriately selected patients with HIV. The observed rates of toxicity were comparable to historical controls without HIV.

  19. WE-D-BRD-01: Innovation in Radiation Therapy Delivery: Advanced Digital Linac Features

    SciTech Connect (OSTI)

    Xing, L; Wong, J; Li, R

    2014-06-15

    Last few years has witnessed significant advances in linac technology and therapeutic dose delivery method. Digital linacs equipped with high dose rate FFF beams have been clinically implemented in a number of hospitals. Gated VMAT is becoming increasingly popular in treating tumors affected by respiratory motion. This session is devoted to update the audience with these technical advances and to present our experience in clinically implementing the new linacs and dose delivery methods. Topics to be covered include, technical features of new generation of linacs from different vendors, dosimetric characteristics and clinical need for FFF-beam based IMRT and VMAT, respiration-gated VMAT, the concept and implementation of station parameter optimized radiation therapy (SPORT), beam level imaging and onboard image guidance tools. Emphasis will be on providing fundamental understanding of the new treatment delivery and image guidance strategies, control systems, and the associated dosimetric characteristics. Commissioning and acceptance experience on these new treatment delivery technologies will be reported. Clinical experience and challenges encountered during the process of implementation of the new treatment techniques and future applications of the systems will also be highlighted. Learning Objectives: Present background knowledge of emerging digital linacs and summarize their key geometric and dosimetric features. SPORT as an emerging radiation therapy modality specifically designed to take advantage of digital linacs. Discuss issues related to the acceptance and commissioning of the digital linacs and FFF beams. Describe clinical utility of the new generation of digital linacs and their future applications.

  20. Survival analysis of colorectal cancer patients with tumor recurrence using global score test methodology

    SciTech Connect (OSTI)

    Zain, Zakiyah Ahmad, Yuhaniz; Azwan, Zairul E-mail: farhanaraduan@gmail.com Raduan, Farhana E-mail: farhanaraduan@gmail.com Sagap, Ismail E-mail: farhanaraduan@gmail.com; Aziz, Nazrina

    2014-12-04

    Colorectal cancer is the third and the second most common cancer worldwide in men and women respectively, and the second in Malaysia for both genders. Surgery, chemotherapy and radiotherapy are among the options available for treatment of patients with colorectal cancer. In clinical trials, the main purpose is often to compare efficacy between experimental and control treatments. Treatment comparisons often involve several responses or endpoints, and this situation complicates the analysis. In the case of colorectal cancer, sets of responses concerned with survival times include: times from tumor removal until the first, the second and the third tumor recurrences, and time to death. For a patient, the time to recurrence is correlated to the overall survival. In this study, global score test methodology is used in combining the univariate score statistics for comparing treatments with respect to each survival endpoint into a single statistic. The data of tumor recurrence and overall survival of colorectal cancer patients are taken from a Malaysian hospital. The results are found to be similar to those computed using the established Wei, Lin and Weissfeld method. Key factors such as ethnic, gender, age and stage at diagnose are also reported.

  1. Comparison of Clinical Outcomes of Surgery Followed by Local Brain Radiotherapy and Surgery Followed by Whole Brain Radiotherapy in Patients With Single Brain Metastasis: Single-Center Retrospective Analysis

    SciTech Connect (OSTI)

    Hashimoto, Kenji; Narita, Yoshitaka; Miyakita, Yasuji; Ohno, Makoto; Sumi, Minako; Mayahara, Hiroshi; Kayama, Takamasa; Shibui, Soichiro

    2011-11-15

    Purpose: Data comparing the clinical outcomes of local brain radiotherapy (LBRT) and whole brain RT (WBRT) in patients with a single brain metastasis after tumor removal are limited. Patients and Methods: A retrospective analysis was performed to compare the patterns of treatment failure, cause of death, progression-free survival, median survival time, and Karnofsky performance status for long-term survivors among patients who underwent surgery followed by either LBRT or WBRT between 1990 and 2008 at the National Cancer Center Hospital. Results: A total of 130 consecutive patients were identified. The median progression-free survival period among the patients who received postoperative LBRT (n = 64) and WBRT (n = 66) was 9.7 and 11.5 months, respectively (p = .75). The local recurrence rates (LBRT, 9.4% vs. WBRT, 12.1%) and intracranial new metastasis rate (LBRT, 42.2% vs. WBRT, 33.3%) were similar in each arm. The incidence of leptomeningeal metastasis was also equivalent (LBRT, 9.4% vs. WBRT, 10.6%). The median survival time for the LBRT and WBRT patients was 13.9 and 16.7 months, respectively (p = .88). A neurologic cause of death was noted in 35.6% of the patients in the LBRT group and 36.7% of the WBRT group (p = .99). The Karnofsky performance status at 2 years was comparable between the two groups. Conclusions: The clinical outcomes of LBRT and WBRT were similar. A prospective evaluation is warranted.

  2. Emissions of greenhouse gases in the United States, 1985--1990

    SciTech Connect (OSTI)

    Not Available

    1993-11-10

    The Earth`s capacity to support life depends on the moderating influences of gases that envelop the planet and warm its surface and protect it from harmful radiation. These gases are referred to as ``greenhouse gases.`` Their warming capacity, called ``the greenhouse effect,`` is essential to maintaining a climate hospitable to all plant, animal, and human life. In recent years, however, there has been increasing concern that human activity may be affecting the intricate balance between the Earth`s absorption of heat from the sun and its capacity to reradiate excess heat back into space. Emissions of greenhouse gases from human activities may be an important mechanism that affects global climate. Thus, research is intensifying to improve our understanding of the role human activities might play in influencing atmospheric concentrations of greenhouse gases. On the basis of scientific findings of the past few decades, the US Government and the international community at large are now taking steps toward stabilizing greenhouse gas emissions. This report contributes to that process. Mandated by Congress this report provides estimates of US emissions of the principal greenhouse gases--carbon dioxide, methane, nitrous oxide, chlorofluorcarbons, carbon monoxide, nitrogen oxides, and nonmethane volatile organic compounds. Estimates are for the period 1985 to 1990. Preliminary estimates for 1991 have also been included, whenever data were available.

  3. A survey of geothermal process heat applications in Guatemala: An engineering survey

    SciTech Connect (OSTI)

    Altseimer, J.H.; Edeskuty, F.J.

    1988-08-01

    This study investigates how process heat from Guatemala's geothermal energy resources can be developed to reduce Guatemala's costly importation of oil, create new employment by encouraging new industry, and reduce fuel costs for existing industry. This investigation was funded by the US Agency for International Development and carried out jointly by the Guatemalan Government and the Los Alamos National Laboratory. Two sites, Amatitlan and Zunil, are being developed geothermally. Amatitlan is in the better industrial area but Zunil's geothermal development is more advanced. The industry around Zunil is almost exclusively agricultural and the development of an agricultural processing plant (freezing, dehydration, and cold storage) using geothermal heat is recommended. Similar developments throughout the volcanic zones of Guatemala are possible. Later, when the field at Amatitlan has been further developed, an industrial park can be planned. Potential Amatitlan applications are the final stage of salt refining, a thermal power plant, hospital/hotel heating and cooling, steam curing of concrete blocks, production of alcohol from sugar cane, and production of polyethylene from ethanol. Other special developments such as water pumping for the city of Guatemala and the use of moderate-temperature geothermal fluids for localized power production are also possible. 12 refs., 13 figs., 14 tabs.

  4. Final Report: Assessment of Combined Heat and Power Premium Power Applications in California

    SciTech Connect (OSTI)

    Norwood, Zack; Lipman, Tim; Marnay, Chris; Kammen, Dan

    2008-09-30

    This report analyzes the current economic and environmental performance of combined heat and power (CHP) systems in power interruption intolerant commercial facilities. Through a series of three case studies, key trade-offs are analyzed with regard to the provision of black-out ridethrough capability with the CHP systems and the resutling ability to avoid the need for at least some diesel backup generator capacity located at the case study sites. Each of the selected sites currently have a CHP or combined heating, cooling, and power (CCHP) system in addition to diesel backup generators. In all cases the CHP/CCHP system have a small fraction of the electrical capacity of the diesel generators. Although none of the selected sites currently have the ability to run the CHP systems as emergency backup power, all could be retrofitted to provide this blackout ride-through capability, and new CHP systems can be installed with this capability. The following three sites/systems were used for this analysis: (1) Sierra Nevada Brewery - Using 1MW of installed Molten Carbonate Fuel Cells operating on a combination of digestor gas (from the beer brewing process) and natural gas, this facility can produce electricty and heat for the brewery and attached bottling plant. The major thermal load on-site is to keep the brewing tanks at appropriate temperatures. (2) NetApp Data Center - Using 1.125 MW of Hess Microgen natural gas fired reciprocating engine-generators, with exhaust gas and jacket water heat recovery attached to over 300 tons of of adsorption chillers, this combined cooling and power system provides electricity and cooling to a data center with a 1,200 kW peak electrical load. (3) Kaiser Permanente Hayward Hospital - With 180kW of Tecogen natural gas fired reciprocating engine-generators this CHP system generates steam for space heating, and hot water for a city hospital. For all sites, similar assumptions are made about the economic and technological constraints of the

  5. Development of a Smart MicroGrid Testbed

    SciTech Connect (OSTI)

    Lee, Wei-Jen; Wetz, David

    2013-04-25

    Demand for electricity is rapidly increasing thereby applying pressure to expand generation and distribution capacity worldwide. The expansion of traditional services not only imposes burdens on financial resources but also encounters many challenges from community residents who oppose the construction of new power generation plants or transmission facilities in their backyard. From the integrated resource planning point of view, a feasible and economical remedy is, therefore, to utilize existing dispersed generation capacity known as distributed generation (DG) and/or renewable energy resources that may exist in the vicinity of the load centers. The main criteria for selecting the type of fuel source for a DG is its local availability, conversion system technological advancement, impact on the environment, and operating cost. DG’s have existed in the market for many years. Large diesel or gas powered generation sets are used in stand-by mode to power up vital services such as hospitals, financial and commercial compounds, telecommunication centers and industrial premises. Wind turbines, photovoltaic energy sources, and fuel cells are new comers that are now competing in size and efficiency with many standard generating sets. With this in mind, they are being used in many places not only as stand-by units but as the prime source of power particularly when the $/kWhr rate is high[1-5].

  6. Improved Planning Time and Plan Quality Through Multicriteria Optimization for Intensity-Modulated Radiotherapy

    SciTech Connect (OSTI)

    Craft, David L.; Hong, Theodore S.; Shih, Helen A.; Bortfeld, Thomas R.

    2012-01-01

    Purpose: To test whether multicriteria optimization (MCO) can reduce treatment planning time and improve plan quality in intensity-modulated radiotherapy (IMRT). Methods and Materials: Ten IMRT patients (5 with glioblastoma and 5 with locally advanced pancreatic cancers) were logged during the standard treatment planning procedure currently in use at Massachusetts General Hospital (MGH). Planning durations and other relevant planning information were recorded. In parallel, the patients were planned using an MCO planning system, and similar planning time data were collected. The patients were treated with the standard plan, but each MCO plan was also approved by the physicians. Plans were then blindly reviewed 3 weeks after planning by the treating physician. Results: In all cases, the treatment planning time was vastly shorter for the MCO planning (average MCO treatment planning time was 12 min; average standard planning time was 135 min). The physician involvement time in the planning process increased from an average of 4.8 min for the standard process to 8.6 min for the MCO process. In all cases, the MCO plan was blindly identified as the superior plan. Conclusions: This provides the first concrete evidence that MCO-based planning is superior in terms of both planning efficiency and dose distribution quality compared with the current trial and error-based IMRT planning approach.

  7. Development of High Efficiency Carbon Dioxide Commercial Heat Pump Water Heater

    SciTech Connect (OSTI)

    Michael PETERSEN; Chad D. BOWERS; Stefan ELBEL; Pega HRNJAK

    2012-07-01

    Although heat pump water heaters are today widely accepted in both Japan and Europe, where energy costs are high and government incentives for their use exist, acceptance of such products in the US has been limited. While this trend is slowly changing with the introduction of heat pump water heaters into the residential market, but acceptance remains low in the commercial sector. The objective of the presented work is the development of a high efficiency R744 heat pump water heater for commercial applications with effective utilization of the cooling capability for air conditioning and/or refrigeration. The ultimate goal is to achieve total system COP of up to 8. This unit will be targeted at commercial use where some cooling load is typically needed year round, such as restaurants, hotels, nursing homes, and hospitals. This paper presents the performance results from the development of four R744 commercial heat pump water heater packages of approximately 35 kW and comparison to a commercially available baseline R134a unit of the same capacity and footprint. In addition, the influences of an internal heat exchanger and an enhanced evaporator on the system performance are described and recommendations are made for further improvements of the R744 system.

  8. The Airborne Metagenome in an Indoor Urban Environment

    SciTech Connect (OSTI)

    Tringe, Susannah; Zhang, Tao; Liu, Xuguo; Yu, Yiting; Lee, Wah Heng; Yap, Jennifer; Yao, Fei; Suan, Sim Tiow; Ing, Seah Keng; Haynes, Matthew; Rohwer, Forest; Wei, Chia Lin; Tan, Patrick; Bristow, James; Rubin, Edward M.; Ruan, Yijun

    2008-02-12

    The indoor atmosphere is an ecological unit that impacts on public health. To investigate the composition of organisms in this space, we applied culture-independent approaches to microbes harvested from the air of two densely populated urban buildings, from which we analyzed 80 megabases genomic DNA sequence and 6000 16S rDNA clones. The air microbiota is primarily bacteria, including potential opportunistic pathogens commonly isolated from human-inhabited environments such as hospitals, but none of the data contain matches to virulent pathogens or bioterror agents. Comparison of air samples with each other and nearby environments suggested that the indoor air microbes are not random transients from surrounding outdoor environments, but rather originate from indoor niches. Sequence annotation by gene function revealed specific adaptive capabilities enriched in the air environment, including genes potentially involved in resistance to desiccation and oxidative damage. This baseline index of air microbiota will be valuable for improving designs of surveillance for natural or man-made release of virulent pathogens.

  9. Invited Article: In situ comparison of passive radon-thoron discriminative monitors at subsurface workplaces in Hungary

    SciTech Connect (OSTI)

    Kávási, Norbert; Social Organization for Radioecological Cleanliness, Veszprém ; Vigh, Tamás; Manganese Mining Process Ltd., Úrkút ; Németh, Csaba; University of Pannonia, Veszprém ; Ishikawa, Tetsuo; Omori, Yasutaka; Janik, Miroslaw; Yonehara, Hidenori

    2014-02-15

    During a one-year long measurement period, radon and thoron data obtained by two different passive radon-thoron discriminative monitors were compared at subsurface workplaces in Hungary, such as mines (bauxite and manganese ore) and caves (medical and touristic). These workplaces have special environmental conditions, such as, stable and high relative humidity (100%), relatively stable temperature (12°C–21°C), low or high wind speed (max. 2.4 m s{sup ?1}) and low or elevated aerosol concentration (130–60 000 particles m{sup ?3}). The measured radon and thoron concentrations fluctuated in a wide range among the different workplaces. The respective annual average radon concentrations and their standard deviations (in brackets) measured by the passive radon-thoron discriminative monitor with cellulose filter (CF) and the passive radon-thoron discriminative monitor with sponge filter (SF) were: 350(321) Bq m{sup ?3} and 550(497) Bq m{sup ?3} in the bauxite mine; 887(604) Bq m{sup ?3} and 1258(788) Bq m{sup ?3} in the manganese ore mine; 2510(2341) Bq m{sup ?3} and 3403(3075) Bq m{sup ?3} in the medical cave (Hospital Cave of Tapolca); and 6239(2057) Bq m{sup ?3} and 8512(1955) Bq m{sup ?3} in the touristic cave (Lake Cave of Tapolca). The respective average thoron concentrations and their standard deviation (in brackets) measured by CF and SF monitors were: 154(210) Bq m{sup ?3} and 161(148) Bq m{sup ?3} in the bauxite mine; 187(191) Bq m{sup ?3} and 117(147) Bq m{sup ?3} in the manganese-ore mine; 360(524) Bq m{sup ?3} and 371(789) Bq m{sup ?3} in the medical cave (Hospital Cave of Tapolca); and 1420(1184) Bq m{sup ?3} and 1462(3655) Bq m{sup ?3} in the touristic cave (Lake Cave of Tapolca). Under these circumstances, comparison of the radon data for the SF and CF monitors showed the former were consistently 51% higher in the bauxite mine, 38% higher in the manganese ore mine, and 34% higher in the caves. Consequently, correction is required on previously obtained

  10. Monte Carlo study for designing a dedicated “D”-shaped collimator used in the external beam radiotherapy of retinoblastoma patients

    SciTech Connect (OSTI)

    Mayorga, P. A.; Departamento de Física Atómica, Molecular y Nuclear, Universidad de Granada, E-18071 Granada ; Brualla, L.; Sauerwein, W.; Lallena, A. M.

    2014-01-15

    Purpose: Retinoblastoma is the most common intraocular malignancy in the early childhood. Patients treated with external beam radiotherapy respond very well to the treatment. However, owing to the genotype of children suffering hereditary retinoblastoma, the risk of secondary radio-induced malignancies is high. The University Hospital of Essen has successfully treated these patients on a daily basis during nearly 30 years using a dedicated “D”-shaped collimator. The use of this collimator that delivers a highly conformed small radiation field, gives very good results in the control of the primary tumor as well as in preserving visual function, while it avoids the devastating side effects of deformation of midface bones. The purpose of the present paper is to propose a modified version of the “D”-shaped collimator that reduces even further the irradiation field with the scope to reduce as well the risk of radio-induced secondary malignancies. Concurrently, the new dedicated “D”-shaped collimator must be easier to build and at the same time produces dose distributions that only differ on the field size with respect to the dose distributions obtained by the current collimator in use. The scope of the former requirement is to facilitate the employment of the authors' irradiation technique both at the authors' and at other hospitals. The fulfillment of the latter allows the authors to continue using the clinical experience gained in more than 30 years. Methods: The Monte Carlo codePENELOPE was used to study the effect that the different structural elements of the dedicated “D”-shaped collimator have on the absorbed dose distribution. To perform this study, the radiation transport through a Varian Clinac 2100 C/D operating at 6 MV was simulated in order to tally phase-space files which were then used as radiation sources to simulate the considered collimators and the subsequent dose distributions. With the knowledge gained in that study, a new, simpler, “D

  11. Analysis of the Argonne distance tabletop exercise method.

    SciTech Connect (OSTI)

    Tanzman, E. A.; Nieves, L. A.; Decision and Information Sciences

    2008-02-14

    The purpose of this report is to summarize and evaluate the Argonne Distance Tabletop Exercise (DISTEX) method. DISTEX is intended to facilitate multi-organization, multi-objective tabletop emergency response exercises that permit players to participate from their own facility's incident command center. This report is based on experience during its first use during the FluNami 2007 exercise, which took place from September 19-October 17, 2007. FluNami 2007 exercised the response of local public health officials and hospitals to a hypothetical pandemic flu outbreak. The underlying purpose of the DISTEX method is to make tabletop exercising more effective and more convenient for playing organizations. It combines elements of traditional tabletop exercising, such as scenario discussions and scenario injects, with distance learning technologies. This distance-learning approach also allows playing organizations to include a broader range of staff in the exercise. An average of 81.25 persons participated in each weekly webcast session from all playing organizations combined. The DISTEX method required development of several components. The exercise objectives were based on the U.S. Department of Homeland Security's Target Capabilities List. The ten playing organizations included four public health departments and six hospitals in the Chicago area. An extent-of-play agreement identified the objectives applicable to each organization. A scenario was developed to drive the exercise over its five-week life. Weekly problem-solving task sets were designed to address objectives that could not be addressed fully during webcast sessions, as well as to involve additional playing organization staff. Injects were developed to drive play between webcast sessions, and, in some cases, featured mock media stories based in part on player actions as identified from the problem-solving tasks. The weekly 90-minute webcast sessions were discussions among the playing organizations that were

  12. TH-C-18C-01: MRI Safety

    SciTech Connect (OSTI)

    Pooley, R; Bernstein, M; Shu, Y; Gorny, K; Felmlee, J; Panda, A

    2014-06-15

    Clinical diagnostic medical physicists may be responsible for implementing and maintaining a comprehensive MR safety program. Accrediting bodies including the ACR, IAC, Radsite and The Joint Commission each include aspects of MR Safety into their imaging accreditation programs; MIPPA regulations further raise the significance of non-compliance. In addition, The Joint Commission recently announced New and Revised Diagnostic Imaging Standards for accredited health care organizations which include aspects of MR Safety. Hospitals and clinics look to the physicist to understand guidelines, regulations and accreditation requirements related to MR safety. The clinical medical physicist plays a significant role in a clinical practice by understanding the physical basis for the risks and acting as a facilitator to successfully implement a safety program that provides well-planned siting, allows for the safe scanning of certain implanted devices, and helps radiologists manage specific patient exams. The MRI scanning of specific devices will be discussed including cardiac pacemakers and neurostimulators such as deep brain stimulators. Furthermore for sites involved in MR guided interventional procedures, the MR physicist plays an essential role to establish safe practices. Creating a framework for a safe MRI practice includes the review of actual safety incidents or close calls to determine methods for prevention in the future. Learning Objectives: Understand the requirements and recommendations related to MR safety from accrediting bodies and federal regulations. Understand the Medical Physicist's roles to ensure MR Safety. Identify best practices for dealing with implanted devices, including pacemakers and deep brain stimulators. Review aspects of MR safety involved in an MR guided interventional environment. Understand the important MR safety aspects in actual safety incidents or near misses.

  13. Technology data characterizing water heating in commercial buildings: Application to end-use forecasting

    SciTech Connect (OSTI)

    Sezgen, O.; Koomey, J.G.

    1995-12-01

    Commercial-sector conservation analyses have traditionally focused on lighting and space conditioning because of their relatively-large shares of electricity and fuel consumption in commercial buildings. In this report we focus on water heating, which is one of the neglected end uses in the commercial sector. The share of the water-heating end use in commercial-sector electricity consumption is 3%, which corresponds to 0.3 quadrillion Btu (quads) of primary energy consumption. Water heating accounts for 15% of commercial-sector fuel use, which corresponds to 1.6 quads of primary energy consumption. Although smaller in absolute size than the savings associated with lighting and space conditioning, the potential cost-effective energy savings from water heaters are large enough in percentage terms to warrant closer attention. In addition, water heating is much more important in particular building types than in the commercial sector as a whole. Fuel consumption for water heating is highest in lodging establishments, hospitals, and restaurants (0.27, 0.22, and 0.19 quads, respectively); water heating`s share of fuel consumption for these building types is 35%, 18% and 32%, respectively. At the Lawrence Berkeley National Laboratory, we have developed and refined a base-year data set characterizing water heating technologies in commercial buildings as well as a modeling framework. We present the data and modeling framework in this report. The present commercial floorstock is characterized in terms of water heating requirements and technology saturations. Cost-efficiency data for water heating technologies are also developed. These data are intended to support models used for forecasting energy use of water heating in the commercial sector.

  14. Dose-Effect Relationships for Adverse Events After Cranial Radiation Therapy in Long-term Childhood Cancer Survivors

    SciTech Connect (OSTI)

    Dijk, Irma W.E.M. van; Cardous-Ubbink, Mathilde C.; Pal, Helena J.H. van der; Oldenburger, Foppe; Os, Rob M. van; Ronckers, Cécile M.; Schouten–van Meeteren, Antoinette Y.N.; Department of Pediatric Oncology, Emma Children's Hospital Koning, Caro C.E.; Kremer, Leontien C.M.; Department of Pediatric Oncology, Emma Children's Hospital/Academic Medical Center, Amsterdam

    2013-03-01

    Purpose: To evaluate the prevalence and severity of clinical adverse events (AEs) and treatment-related risk factors in childhood cancer survivors treated with cranial radiation therapy (CRT), with the aim of assessing dose-effect relationships. Methods and Materials: The retrospective study cohort consisted of 1362 Dutch childhood cancer survivors, of whom 285 were treated with CRT delivered as brain irradiation (BI), as part of craniospinal irradiation (CSI), and as total body irradiation (TBI). Individual CRT doses were converted into the equivalent dose in 2-Gy fractions (EQD{sub 2}). Survivors had received their diagnoses between 1966 and 1996 and survived at least 5 years after diagnosis. A complete inventory of Common Terminology Criteria for Adverse Events grade 3.0 AEs was available from our hospital-based late-effect follow-up program. We used multivariable logistic and Cox regression analyses to examine the EQD{sub 2} in relation to the prevalence and severity of AEs, correcting for sex, age at diagnosis, follow-up time, and the treatment-related risk factors surgery and chemotherapy. Results: There was a high prevalence of AEs in the CRT group; over 80% of survivors had more than 1 AE, and almost half had at least 5 AEs, both representing significant increases in number of AEs compared with survivors not treated with CRT. Additionally, the proportion of severe, life-threatening, or disabling AEs was significantly higher in the CRT group. The most frequent AEs were alopecia and cognitive, endocrine, metabolic, and neurologic events. Using the EQD{sub 2}, we found significant dose-effect relationships for these and other AEs. Conclusion: Our results confirm that CRT increases the prevalence and severity of AEs in childhood cancer survivors. Furthermore, analyzing dose-effect relationships with the cumulative EQD{sub 2} instead of total physical dose connects the knowledge from radiation therapy and radiobiology with the clinical experience.

  15. Hadron particle theory

    SciTech Connect (OSTI)

    Alonso, J.R.

    1995-05-01

    Radiation therapy with ``hadrons`` (protons, neutrons, pions, ions) has accrued a 55-year track record, with by now over 30,000 patients having received treatments with one of these particles. Very good, and in some cases spectacular results are leading to growth in the field in specific well-defined directions. The most noted contributor to success has been the ability to better define and control the radiation field produced with these particles, to increase the dose delivered to the treatment volume while achieving a high degree of sparing of normal tissue. An additional benefit is the highly-ionizing, character of certain beams, leading to creater cell-killing potential for tumor lines that have historically been very resistant to radiation treatments. Until recently these treatments have been delivered in laboratories and research centers whose primary, or original mission was physics research. With maturity in the field has come both the desire to provide beam facilities more accessible to the clinical setting, of a hospital, as well as achieving, highly-efficient, reliable and economical accelerator and beam-delivery systems that can make maximum advantage of the physical characteristics of these particle beams. Considerable work in technology development is now leading, to the implementation of many of these ideas, and a new generation of clinically-oriented facilities is beginning to appear. We will discuss both the physical, clinical and technological considerations that are driving these designs, as well as highlighting, specific examples of new facilities that are either now treating, patients or that will be doing so in the near future.

  16. Nomogram for Predicting the Risk of Locoregional Recurrence in Patients Treated With Accelerated Partial-Breast Irradiation

    SciTech Connect (OSTI)

    Wobb, Jessica L.; Chen, Peter Y.; Shah, Chirag; Moran, Meena S.; Shaitelman, Simona F.; Vicini, Frank A.; Beitsch, Peter

    2015-02-01

    Purpose: To develop a nomogram taking into account clinicopathologic features to predict locoregional recurrence (LRR) in patients treated with accelerated partial-breast irradiation (APBI) for early-stage breast cancer. Methods and Materials: A total of 2000 breasts (1990 women) were treated with APBI at William Beaumont Hospital (n=551) or on the American Society of Breast Surgeons MammoSite Registry Trial (n=1449). Techniques included multiplanar interstitial catheters (n=98), balloon-based brachytherapy (n=1689), and 3-dimensional conformal radiation therapy (n=213). Clinicopathologic variables were gathered prospectively. A nomogram was formulated utilizing the Cox proportional hazards regression model to predict for LRR. This was validated by generating a bias-corrected index and cross-validated with a concordance index. Results: Median follow-up was 5.5 years (range, 0.9-18.3 years). Of the 2000 cases, 435 were excluded because of missing data. Univariate analysis found that age <50 years, pre-/perimenopausal status, close/positive margins, estrogen receptor negativity, and high grade were associated with a higher frequency of LRR. These 5 independent covariates were used to create adjusted estimates, weighting each on a scale of 0-100. The total score is identified on a points scale to obtain the probability of an LRR over the study period. The model demonstrated good concordance for predicting LRR, with a concordance index of 0.641. Conclusions: The formulation of a practical, easy-to-use nomogram for calculating the risk of LRR in patients undergoing APBI will help guide the appropriate selection of patients for off-protocol utilization of APBI.

  17. Management of chemical warfare injuries (on CD-ROM). Data file

    SciTech Connect (OSTI)

    1996-08-01

    The threat of use of chemical warfare agents (agents of `mass destruction`) is no longer confined to the battlefield. Agent releases by terrorists in Japan in 1995 served to awaken the world to the dangers faced by civilian communities far removed from centers of armed conflict. The ability to save lives in the event of a chemical agent release turns on provision of immediate and correct medical care in the field and hospital. Being able to ensure availability of life-saving care depends on reaching both military and civilian medical personnel with information on chemical warfare agents and on keeping their skills and knowledge current. While this is of critical importance both to the Department of Defense and to civilian agencies charged with protecting the public, it also is a daunting and potentially expensive task in view of the numbers and geographic dispersion of persons to be trained. The Department of Defense has addressed and overcome these challenges, to the benefit of the military and civilians, by using computer technology as the vehicle by which cost-effective chemical warfare agent training may be conveniently delivered to all who require it. The multi-media instructional program, Management of Chemical Warfare Injuries, was developed for military use by the Naval Health Sciences Education and Training Command, with the technical assistance of the U.S. Army Medical Command. It was originally designed for delivery via video disc, a format used extensively within the Navy. However, in response to a request from the Federal Emergency Management Agency, the Office of the Secretary of Defense agreed to repackage the materials for delivery on CD-ROM in order to make them accessible to a larger audience. In addition, the Navy agreed to include on the two CD-ROMs which contain the program a ready reference not found on the video disc: the Army`s `Medical Management of Chemical Casualties` handbooks for field and medical personnel.

  18. Factors Associated With the Development of Breast Cancer-Related Lymphedema After Whole-Breast Irradiation

    SciTech Connect (OSTI)

    Shah, Chirag; Wilkinson, John Ben; Baschnagel, Andrew; Ghilezan, Mihai; Riutta, Justin; Dekhne, Nayana; Balaraman, Savitha; Mitchell, Christina; Wallace, Michelle; Vicini, Frank

    2012-07-15

    Purpose: To determine the rates of breast cancer-related lymphedema (BCRL) in patients undergoing whole-breast irradiation as part of breast-conserving therapy (BCT) and to identify clinical, pathologic, and treatment factors associated with its development. Methods and Materials: A total of 1,861 patients with breast cancer were treated at William Beaumont Hospital with whole-breast irradiation as part of their BCT from January 1980 to February 2006, with 1,497 patients available for analysis. Determination of BCRL was based on clinical assessment. Differences in clinical, pathologic, and treatment characteristics between patients with BCRL and those without BCRL were evaluated, and the actuarial rates of BCRL by regional irradiation technique were determined. Results: The actuarial rate of any BCRL was 7.4% for the entire cohort and 9.9%, 14.7%, and 8.3% for patients receiving a supraclavicular field, posterior axillary boost, and internal mammary irradiation, respectively. BCRL was more likely to develop in patients with advanced nodal status (11.4% vs. 6.3%, p = 0.001), those who had a greater number of lymph nodes removed (14 nodes) (9.5% vs. 6.0%, p = 0.01), those who had extracapsular extension (13.4% vs. 6.9%, p = 0.009), those with Grade II/III disease (10.8% vs. 2.9%, p < 0.001), and those who received adjuvant chemotherapy (10.5% vs. 6.7%, p = 0.02). Regional irradiation showed small increases in the rates of BCRL (p = not significant). Conclusions: These results suggest that clinically detectable BCRL will develop after traditional BCT in up to 10% of patients. High-risk subgroups include patients with advanced nodal status, those with more nodes removed, and those who receive chemotherapy, with patients receiving regional irradiation showing a trend toward increased rates.

  19. SU-E-T-632: A Dosimetric Comparison of the 3D-CRT Planning of Chest Wall in Post-Mastectomy Breast Cancer Patients, with and Without Breast Board Setup

    SciTech Connect (OSTI)

    Muzaffar, Ambreen; Masood, Asif; Ullah, Haseeb; Mehmood, Kashif; Qasim, Uzma; Afridi, M. Ali; Khan, Salim; Hameed, Abdul

    2014-06-15

    Purpose: Breast boards are used in breast radiation which increases normal lung and heart doses, when supraclavicular field is included. Therefore, in this study through dose volume histogram (DVHs), lung and heart doses comparison was done between two different setups i.e. with and without breast board, for the treatment of left chest wall and supraclavicular fossa in postmastectomy left breast cancer. Methods: In this study, CT-Simulation scans of ten breast cancer patients were done with and without breast board, at Shifa International Hospitals Islamabad, to investigate the differences between the two different setups of the irradiation of left chest wall in terms of lung and heart doses. For immobilization, support under the neck, shoulders and arms was used. Precise PLAN 2.15 treatment planning system (TPS) was used for 3D-CRT planning. The total prescribed dose for both the plans was 5000 cGy/25 fractions. The chest wall was treated with a pair of tangential photon fields and the upper supraclavicular nodal regions were treated with an anterior photon field. A mono-isocentric technique was used to match the tangential fields with the anterior field at the isocentre. The dose volume histogram was used to compare the doses of heart and ipsilateral lung. Results: Both the plans of each patient were generated and compared. DVH results showed that for the same PTV dose coverage, plans without breast board resulted in a reduction of lung and heart doses compared with the plans with breast board. There was significant reductions in V20, V<25 and mean doses for lung and V<9 and mean doses for heart. Conclusion: In comparison of both the plans, setup without breast board significantly reduced the dose-volume of the ipsilateral lung and heart in left chest wall patients. Waived registration request has been submitted.

  20. Differences in serum concentrations of organochlorine compounds by occupational social class in pancreatic cancer

    SciTech Connect (OSTI)

    Porta, Miquel Bosch de Basea, Magda; Benavides, Fernando G.; Lopez, Tomas; Fernandez, Esteve; Marco, Esther; Alguacil, Juan; Grimalt, Joan O.; Puigdomenech, Elisa

    2008-11-15

    Background: The relationships between social factors and body concentrations of environmental chemical agents are unknown in many human populations. Some chemical compounds may play an etiopathogenic role in pancreatic cancer. Objective: To analyze the relationships between occupational social class and serum concentrations of seven selected organochlorine compounds (OCs) in exocrine pancreatic cancer: dichlorodiphenyltrichloroethane (p,p'-DDT), dichlorodiphenyldichloroethene (p,p'-DDE), 3 polychlorinated biphenyls (PCBs), hexachlorobenzene, and {beta}-hexachlorocyclohexane. Methods: Incident cases of exocrine pancreatic cancer were prospectively identified, and interviewed face-to-face during hospital admission (n=135). Serum concentrations of OCs were analyzed by high-resolution gas chromatography with electron-capture detection. Social class was classified according to occupation. Results: Multivariate-adjusted concentrations of all seven compounds were higher in occupational social classes IV-V (the less affluent) than in classes I-II; they were higher as well in class III than in classes I-II for four compounds. Concentrations of six OCs were higher in manual workers than in non-manual workers (p<0.05 for PCBs). Social class explained statistically between 3.7% and 5.7% of the variability in concentrations of PCBs, and 2% or less variability in the other OCs. Conclusions: Concentrations of most OCs were higher in the less affluent occupational social classes. In pancreatic cancer the putative causal role of these persistent organic pollutants may not be independent of social class. There is a need to integrate evidence on the contribution of different social processes and environmental chemical exposures to the etiology of pancreatic and other cancers.

  1. Association between environmental exposure to pesticides and neurodegenerative diseases

    SciTech Connect (OSTI)

    Parron, Tesifon; Requena, Mar; Hernandez, Antonio F.; Alarcon, Raquel

    2011-11-15

    Preliminary studies have shown associations between chronic pesticide exposure in occupational settings and neurological disorders. However, data on the effects of long-term non-occupational exposures are too sparse to allow any conclusions. This study examines the influence of environmental pesticide exposure on a number of neuropsychiatric conditions and discusses their underlying pathologic mechanisms. An ecological study was conducted using averaged prevalence rates of Alzheimer's disease, Parkinson's disease, multiple sclerosis, cerebral degeneration, polyneuropathies, affective psychosis and suicide attempts in selected Andalusian health districts categorized into areas of high and low environmental pesticide exposure based on the number of hectares devoted to intensive agriculture and pesticide sales per capita. A total of 17,429 cases were collected from computerized hospital records (minimum dataset) between 1998 and 2005. Prevalence rates and the risk of having Alzheimer's disease, Parkinson's disease, multiple sclerosis and suicide were significantly higher in districts with greater pesticide use as compared to those with lower pesticide use. The multivariate analyses showed that the population living in areas with high pesticide use had an increased risk for Alzheimer's disease and suicide attempts and that males living in these areas had increased risks for polyneuropathies, affective disorders and suicide attempts. In conclusion, this study supports and extends previous findings and provides an indication that environmental exposure to pesticides may affect the human health by increasing the incidence of certain neurological disorders at the level of the general population. -- Highlights: Black-Right-Pointing-Pointer Environmental exposure to pesticides and neurodegenerative-psychiatric disorders. Black-Right-Pointing-Pointer Increased risk for Alzheimer's disease and suicide attempts in high exposure areas. Black-Right-Pointing-Pointer Males from

  2. Standardized Method for Quantification of Developing Lymphedema in Patients Treated for Breast Cancer

    SciTech Connect (OSTI)

    Ancukiewicz, Marek; Russell, Tara A.; Otoole, Jean; Specht, Michelle; Singer, Marybeth; Kelada, Alexandra; Murphy, Colleen D.; Pogachar, Jessica; Gioioso, Valeria; Patel, Megha; Skolny, Melissa; Smith, Barbara L.; Taghian, Alphonse G.

    2011-04-01

    Purpose: To develop a simple and practical formula for quantifying breast cancer-related lymphedema, accounting for both the asymmetry of upper extremities' volumes and their temporal changes. Methods and Materials: We analyzed bilateral perometer measurements of the upper extremity in a series of 677 women who prospectively underwent lymphedema screening during treatment for unilateral breast cancer at Massachusetts General Hospital between August 2005 and November 2008. Four sources of variation were analyzed: between repeated measurements on the same arm at the same session; between both arms at baseline (preoperative) visit; in follow-up measurements; and between patients. Effects of hand dominance, time since diagnosis and surgery, age, weight, and body mass index were also analyzed. Results: The statistical distribution of variation of measurements suggests that the ratio of volume ratios is most appropriate for quantification of both asymmetry and temporal changes. Therefore, we present the formula for relative volume change (RVC): RVC = (A{sub 2}U{sub 1})/(U{sub 2}A{sub 1}) - 1, where A{sub 1}, A{sub 2} are arm volumes on the side of the treated breast at two different time points, and U{sub 1}, U{sub 2} are volumes on the contralateral side. Relative volume change is not significantly associated with hand dominance, age, or time since diagnosis. Baseline weight correlates (p = 0.0074) with higher RVC; however, baseline body mass index or weight changes over time do not. Conclusions: We propose the use of the RVC formula to assess the presence and course of breast cancer-related lymphedema in clinical practice and research.

  3. Staff Radiation Doses in a Real-Time Display Inside the Angiography Room

    SciTech Connect (OSTI)

    Sanchez, Roberto Vano, E.; Fernandez, J. M.; Gallego, J. J.

    2010-12-15

    MethodsThe evaluation of a new occupational Dose Aware System (DAS) showing staff radiation doses in real time has been carried out in several angiography rooms in our hospital. The system uses electronic solid-state detectors with high-capacity memory storage. Every second, it archives the dose and dose rate measured and is wirelessly linked to a base-station screen mounted close to the diagnostic monitors. An easy transfer of the values to a data sheet permits further analysis of the scatter dose profile measured during the procedure, compares it with patient doses, and seeks to find the most effective actions to reduce operator exposure to radiation.ResultsThe cumulative occupational doses measured per procedure (shoulder-over lead apron) ranged from 0.6 to 350 {mu}Sv when the ceiling-suspended screen was used, and DSA (Digital Subtraction Acquisition) runs were acquired while the personnel left the angiography room. When the suspended screen was not used and radiologists remained inside the angiography room during DSA acquisitions, the dose rates registered at the operator's position reached up to 1-5 mSv/h during fluoroscopy and 12-235 mSv/h during DSA acquisitions. In such case, the cumulative scatter dose could be more than 3 mSv per procedure.ConclusionReal-time display of doses to staff members warns interventionists whenever the scatter dose rates are too high or the radiation protection tools are not being properly used, providing an opportunity to improve personal protection accordingly.

  4. Characterization of aerosols produced by surgical procedures

    SciTech Connect (OSTI)

    Yeh, H.C.; Muggenburg, B.A.; Lundgren, D.L.; Guilmette, R.A.; Snipes, M.B.; Jones, R.K.; Turner, R.S.

    1994-07-01

    In many surgeries, especially orthopedic procedures, power tools such as saws and drills are used. These tools may produce aerosolized blood and other biological material from bone and soft tissues. Surgical lasers and electrocautery tools can also produce aerosols when tissues are vaporized and condensed. Studies have been reported in the literature concerning production of aerosols during surgery, and some of these aerosols may contain infectious material. Garden et al. (1988) reported the presence of papilloma virus DNA in the fumes produced from laser surgery, but the infectivity of the aerosol was not assessed. Moon and Nininger (1989) measured the size distribution and production rate of emissions from laser surgery and found that particles were generally less than 0.5 {mu}m diameter. More recently there has been concern expressed over the production of aerosolized blood during surgical procedures that require power tools. In an in vitro study, the production of an aerosol containing the human immunodeficiency virus (HIV) was reported when power tools were used to cut tissues with blood infected with HIV. Another study measured the size distribution of blood aerosols produced by surgical power tools and found blood-containing particles in a number of size ranges. Health care workers are anxious and concerned about whether surgically produced aerosols are inspirable and can contain viable pathogens such as HIV. Other pathogens such as hepatitis B virus (HBV) are also of concern. The Occupational Safety and Health funded a project at the National Institute for Inhalation Toxicology Research Institute to assess the extent of aerosolization of blood and other tissues during surgical procedures. This document reports details of the experimental and sampling approach, methods, analyses, and results on potential production of blood-associated aerosols from surgical procedures in the laboratory and in the hospital surgical suite.

  5. A reevaluation of cancer incidence near the Three Mile Island nuclear plant: The collision of evidence and assumptions

    SciTech Connect (OSTI)

    Wing, S.; Richardson, D.; Armstrong, D.; Crawford-Brown, D.

    1997-01-01

    Previous studies concluded that there was no evidence that the 1979 nuclear accident at Three Mile Island (TMI) affected cancer incidence in the surrounding area; however, there were logical and methodological problems in earlier reports that led us to reconsider data previously collected. A 10-mile area around TMI was divided into 69 study tracts, which were assigned radiation dose estimates based on radiation readings and models of atmospheric dispersion. Incident cancers from 1975 to 1985 were ascertained from hospital records and assigned to study tracts. Associations between accident doses and incidence rates of leukemia, lung cancer, and all cancer were assessed using relative dose estimates calculated by the earlier investigators. Adjustments were made for age, sex, socioeconomic characteristics, and preaccident variation in incidence. Considering a 2-year latency, the estimated percent increase per dose unit {plus_minus} standard error was 0.020 {plus_minus} 0.012 for all cancer, 0.082 {plus_minus} 0.032 for lung cancer, and 0.116 {plus_minus} 0.067 for leukemia. Adjustment for socioeconomic variables increased the estimates to 0.034 {plus_minus} 0.013, 0.103 {plus_minus} 0.035, and 0.139 {plus_minus} 0.073 for all cancer, lung cancer, and leukemia, respectively. Associations were generally larger considering a 5-year latency, but were based on smaller numbers of cases. Results support the hypothesis that radiation doses are related to increased cancer incidence around TMI. The analysis avoids medical detection bias, but suffers from inaccurate dose classification; therefore, results may underestimate the magnitude of the association between radiation and cancer incidence. These associations would not be expected, based on previous estimates of near-background levels of radiation exposure following the accident. 35 refs., 3 tabs.

  6. Microwave Ablation of Pulmonary Malignancies Using a Novel High-energy Antenna System

    SciTech Connect (OSTI)

    Little, Mark W.; Chung, Daniel; Boardman, Philip; Gleeson, Fergus V.; Anderson, Ewan M.

    2013-04-15

    To evaluate the technical success, safety, and imaging follow-up of malignant pulmonary nodules treated with a novel high-energy percutaneous microwave ablation (MWA) system. Between July 2010 and September 2011, a total of 23 patients, 12 men, mean age 68 (range 30-87) years with 29 pulmonary malignancies of median diameter 19 (range 8-57) mm, underwent computed tomography (CT)-guided MWA with a 16G microwave needle antenna enabling power up to 180 W. Technical success was defined as needle placement in the intended lesion without death or serious injury. Adequacy of ablation was assessed at 24 h on contrast-enhanced CT. Circumferential solid or ground glass opacification >5 mm was used to define an ideal ablation. Local tumor recurrence was assessed at 1, 3, and 6 months after ablation on contrast-enhanced CT. MWA was technically successful in 93 % (n = 27). Mean ablation duration was 3.6 (range 1-9) min. Ten patients (43 %) developed a pneumothorax as a result of the MWA; only 3 (13 %) required placement of a chest drain. Thirty-day mortality rate was 0 %. The mean hospital stay was 1.5 (range 1-7) days. A total of 22 lesions (75 %) were surrounded by {>=}5 mm ground glass or solid opacification after the procedure. At a median follow-up of 6 months, local recurrence was identified in 3 out of 26 lesions, giving a local control rate of 88 %. MWA using a high-power antenna of pulmonary malignancies is safe, technically achievable, and enables fast ablation times.

  7. Phase I Trial Using Proteasome Inhibitor Bortezomib and Concurrent Temozolomide and Radiotherapy for Central Nervous System Malignancies

    SciTech Connect (OSTI)

    Kubicek, Gregory J.; Werner-Wasik, Maria; Machtay, Mitchell; Mallon, Gayle; Myers, Thomas; Ramirez, Michael; Andrews, David; Curran, Walter J.; Dicker, Adam P.

    2009-06-01

    Purpose: To evaluate the toxicity and response rate of bortezomib with concurrent radiotherapy and temozolomide in the treatment of patients with central nervous system malignancies. Patients and Methods: This open-label, dose-escalation, Phase I clinical study evaluated the safety of three dose levels of intravenously administered bortezomib (0.7, 1.0, and 1.3 mg/m{sup 2}/dose) on Days 1, 4, 8, and 11 of a 21-day cycle, in addition to concurrent radiotherapy and temozolomide at a daily dose of 75 mg/m{sup 2} starting on Day 1. The primary endpoint was dose-limiting toxicity, defined as any Grade 4-5 toxicity or Grade 3 toxicity directly attributable to protocol treatment, requiring hospitalization and/or radiotherapy interruption. The secondary endpoints included feasibility, non-dose-limiting toxicity, and treatment response. Results: A total of 27 patients were enrolled, 23 of whom had high-grade glioma (10 recurrent and 13 newly diagnosed). No dose-limiting toxicities were noted in any dose group, including the highest (1.3 mg/m{sup 2}/dose). The most frequent toxicities were Grade 1 and 2 stomatitis, erythema, and alopecia. All 27 patients were evaluable for response. At a median follow-up of 15.0 months, 9 patients were still alive, with a median survival of 17.4 months for all patients and 15.0 months for patients with high-grade glioma. Conclusion: Bortezomib administered at its typical 'systemic' dose (1.3 mg/m{sup 2}) is well tolerated and safe combined with temozolomide and radiotherapy when used in the treatment of central nervous system malignancies. A Phase II study to characterize efficacy is warranted.

  8. Optimized design for PIGMI

    SciTech Connect (OSTI)

    Hansborough, L.; Hamm, R.; Stovall, J.; Swenson, D.

    1980-01-01

    PIGMI (Pion Generator for Medical Irradiations) is a compact linear proton accelerator design, optimized for pion production and cancer treatment use in a hospital environment. Technology developed during a four-year PIGMI Prototype experimental program allows the design of smaller, less expensive, and more reliable proton linacs. A new type of low-energy accelerating structure, the radio-frequency quadrupole (RFQ) has been tested; it produces an exceptionally good-quality beam and allows the use of a simple 30-kV injector. Average axial electric-field gradients of over 9 MV/m have been demonstrated in a drift-tube linac (DTL) structure. Experimental work is underway to test the disk-and-washer (DAW) structure, another new type of accelerating structure for use in the high-energy coupled-cavity linac (CCL). Sufficient experimental and developmental progress has been made to closely define an actual PIGMI. It will consist of a 30-kV injector, and RFQ linac to a proton energy of 2.5 MeV, a DTL linac to 125 MeV, and a CCL linac to the final energy of 650 MeV. The total length of the accelerator is 133 meters. The RFQ and DTL will be driven by a single 440-MHz klystron; the CCL will be driven by six 1320-MHz klystrons. The peak beam current is 28 mA. The beam pulse length is 60 ..mu..s at a 60-Hz repetition rate, resulting in a 100-..mu..A average beam current. The total cost of the accelerator is estimated to be approx. $10 million.

  9. High-performance laboratories and cleanrooms

    SciTech Connect (OSTI)

    Tschudi, William; Sartor, Dale; Mills, Evan; Xu, Tengfang

    2002-07-01

    The California Energy Commission sponsored this roadmap to guide energy efficiency research and deployment for high performance cleanrooms and laboratories. Industries and institutions utilizing these building types (termed high-tech buildings) have played an important part in the vitality of the California economy. This roadmap's key objective to present a multi-year agenda to prioritize and coordinate research efforts. It also addresses delivery mechanisms to get the research products into the market. Because of the importance to the California economy, it is appropriate and important for California to take the lead in assessing the energy efficiency research needs, opportunities, and priorities for this market. In addition to the importance to California's economy, energy demand for this market segment is large and growing (estimated at 9400 GWH for 1996, Mills et al. 1996). With their 24hr. continuous operation, high tech facilities are a major contributor to the peak electrical demand. Laboratories and cleanrooms constitute the high tech building market, and although each building type has its unique features, they are similar in that they are extremely energy intensive, involve special environmental considerations, have very high ventilation requirements, and are subject to regulations--primarily safety driven--that tend to have adverse energy implications. High-tech buildings have largely been overlooked in past energy efficiency research. Many industries and institutions utilize laboratories and cleanrooms. As illustrated, there are many industries operating cleanrooms in California. These include semiconductor manufacturing, semiconductor suppliers, pharmaceutical, biotechnology, disk drive manufacturing, flat panel displays, automotive, aerospace, food, hospitals, medical devices, universities, and federal research facilities.

  10. Urinary total arsenic and 8-hydroxydeoxyguanosine are associated with renal cell carcinoma in an area without obvious arsenic exposure

    SciTech Connect (OSTI)

    Huang, Chao-Yuan [Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China) [Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Department of Urology, National Taiwan University Hospital, College of Medicine National Taiwan University, Taipei, Taiwan (China); Su, Chien-Tien [Department of Family Medicine, Taipei Medical University Hospital, Taipei, Taiwan (China)] [Department of Family Medicine, Taipei Medical University Hospital, Taipei, Taiwan (China); Chung, Chi-Jung [Department of Health Risk Management, College of Public Health, China Medical University, Taichung, Taiwan (China) [Department of Health Risk Management, College of Public Health, China Medical University, Taichung, Taiwan (China); Department of Medical Research, China Medical University Hospital, Taichung, Taiwan (China); Pu, Yeong-Shiau [Department of Urology, National Taiwan University Hospital, College of Medicine National Taiwan University, Taipei, Taiwan (China)] [Department of Urology, National Taiwan University Hospital, College of Medicine National Taiwan University, Taipei, Taiwan (China); Chu, Jan-Show [Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China) [Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Department of Pathology, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Yang, Hsiu-Yuan [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China)] [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China); Wu, Chia-Chang [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China) [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China); Department of Urology, Taipei Medical Universtiy-Shuang Ho Hospital, Taipei, Taiwan (China); Hsueh, Yu-Mei, E-mail: ymhsueh@tmu.edu.tw [Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China) [Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China)

    2012-08-01

    8-Hydroxydeoxyguanosine (8-OHdG) is one of the most reliable and abundant markers of DNA damage. The study was designed to explore the relationship between urinary 8-OHdG and renal cell carcinoma (RCC) and to investigate whether individuals with a high level of 8-OHdG would have a modified odds ratio (OR) of arsenic-related RCC. This case–control study was conducted with 132 RCC patients and 245 age- and sex-matched controls from a hospital-based pool between November 2006 and May 2009. Pathological verification of RCC was completed by image-guided biopsy or surgical resection of renal tumors. Urinary 8-OHdG levels were determined using liquid chromatography with tandem mass spectrometry (LC–MS/MS). Concentrations of urinary arsenic species, including inorganic arsenic, monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA), were determined by a high performance liquid chromatography-linked hydride generator and atomic absorption spectrometry. Level of urinary 8-OHdG was significantly associated with the OR of RCC in a dose–response relationship after multivariate adjustment. Urinary 8-OHdG was significantly related to urinary total arsenic. The greatest OR (3.50) was seen in the individuals with high urinary 8-OHdG and high urinary total arsenic. A trend test indicated that the OR of RCC was increased with one of these factors and was further increased with both (p = 0.002). In conclusion, higher urinary 8-OHdG was a strong predictor of the RCC. High levels of 8-OHdG combined with urinary total arsenic might be indicative of arsenic-induced RCC. -- Highlights: ? Urinary 8-OHdG was significantly related to urinary total arsenic. ? Higher urinary 8-OHdG was a strong predictor of RCC risk. ? Urinary 8-OHdG may modify arsenic related RCC risk.

  11. The effect of cigarette smoke and arsenic exposure on urothelial carcinoma risk is modified by glutathione S-transferase M1 gene null genotype

    SciTech Connect (OSTI)

    Chung, Chi-Jung [Department of Health Risk Management, College of Public Health, China Medical University, Taichung, Taiwan (China) [Department of Health Risk Management, College of Public Health, China Medical University, Taichung, Taiwan (China); Department of Medical Research, China Medical University Hospital, Taichung, Taiwan (China); Huang, Chao-Yuan; Pu, Yeong-Shiau [Department of Urology, National Taiwan University Hospital, Taipei, Taiwan (China)] [Department of Urology, National Taiwan University Hospital, Taipei, Taiwan (China); Shiue, Horng-Sheng [Department of Chinese Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan (China)] [Department of Chinese Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan (China); Su, Chien-Tien [Department of Family Medicine, Taipei Medical University Hospital, Taipei, Taiwan (China)] [Department of Family Medicine, Taipei Medical University Hospital, Taipei, Taiwan (China); Hsueh, Yu-Mei, E-mail: ymhsueh@tmu.edu.tw [Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China) [Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China)

    2013-01-15

    Inter-individual variation in the metabolism of xenobiotics, caused by factors such as cigarette smoking or inorganic arsenic exposure, is hypothesized to be a susceptibility factor for urothelial carcinoma (UC). Therefore, our study aimed to evaluate the role of gene–environment interaction in the carcinogenesis of UC. A hospital-based case–control study was conducted. Urinary arsenic profiles were measured using high-performance liquid chromatography–hydride generator-atomic absorption spectrometry. Genotyping was performed using a polymerase chain reaction-restriction fragment length polymorphism technique. Information about cigarette smoking exposure was acquired from a lifestyle questionnaire. Multivariate logistic regression was applied to estimate the UC risk associated with certain risk factors. We found that UC patients had higher urinary levels of total arsenic, higher percentages of inorganic arsenic (InAs%) and monomethylarsonic acid (MMA%) and lower percentages of dimethylarsinic acid (DMA%) compared to controls. Subjects carrying the GSTM1 null genotype had significantly increased UC risk. However, no association was observed between gene polymorphisms of CYP1A1, EPHX1, SULT1A1 and GSTT1 and UC risk after adjustment for age and sex. Significant gene–environment interactions among urinary arsenic profile, cigarette smoking, and GSTM1 wild/null polymorphism and UC risk were observed after adjustment for potential risk factors. Overall, gene–environment interactions simultaneously played an important role in UC carcinogenesis. In the future, large-scale studies should be conducted using tag-SNPs of xenobiotic-metabolism-related enzymes for gene determination. -- Highlights: ? Subjects with GSTM1 null genotype had significantly increased UC risk. ? UC patients had poor arsenic metabolic ability compared to controls. ? GSTM1 null genotype may modify arsenic related UC risk.

  12. Radiotherapy for Rectal Cancer Is Associated With Reduced Serum Testosterone and Increased FSH and LH

    SciTech Connect (OSTI)

    Bruheim, Kjersti [Cancer Center, Ullevaal University Hospital, Oslo (Norway)], E-mail: Kjersti.Bruheim@medisin.uio.no; Svartberg, Johan [Institute of Clinical Medicine, University of Tromso, Tromso (Norway); Department of Medicine, University Hospital of North Norway, Tromso (Norway); Carlsen, Erik [Department of Gastrointestinal Surgery, Ullevaal University Hospital, Oslo (Norway); Dueland, Svein [Department of Oncology, Norwegian Radium Hospital, Oslo (Norway); Haug, Egil [Hormone Laboratory, Aker University Hospital, Oslo (Norway); Skovlund, Eva [School of Pharmacy, University of Oslo, Oslo (Norway); Tveit, Kjell Magne; Guren, Marianne G. [Cancer Center, Ullevaal University Hospital, Oslo (Norway)

    2008-03-01

    Purpose: It is known that scattered radiation to the testes during pelvic radiotherapy can affect fertility, but there is little knowledge on its effects on male sex hormones. The aim of this study was to determine whether radiotherapy for rectal cancer affects testosterone production. Methods and Materials: All male patients who had received adjuvant radiotherapy for rectal cancer from 1993 to 2003 were identified from the Norwegian Rectal Cancer Registry. Patients treated with surgery alone were randomly selected from the same registry as control subjects. Serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and sex hormone binding globulin (SHBG) were analyzed, and free testosterone was calculated (N = 290). Information about the radiotherapy treatment was collected from the patient hospital charts. Results: Serum FSH was 3 times higher in the radiotherapy group than in the control group (median, 18.8 vs. 6.3 IU/L, p <0.001), and serum LH was 1.7 times higher (median, 7.5 vs. 4.5 IU/l, p <0.001). In the radiotherapy group, 27% of patients had testosterone levels below the reference range (8-35 nmol/L), compared with 10% of the nonirradiated patients (p <0.001). Irradiated patients had lower serum testosterone (mean, 11.1 vs. 13.4 nmol/L, p <0.001) and lower calculated free testosterone (mean, 214 vs. 235 pmol/L, p <0.05) than control subjects. Total testosterone, calculated free testosterone, and gonadotropins were related to the distance from the bony pelvic structures to the caudal field edge. Conclusions: Increased serum levels of gonadotropins and subnormal serum levels of testosterone indicate that curative radiotherapy for rectal cancer can result in permanent testicular dysfunction.

  13. Phase 1 Study of Dose Escalation in Hypofractionated Proton Beam Therapy for Non-Small Cell Lung Cancer

    SciTech Connect (OSTI)

    Gomez, Daniel R., E-mail: dgomez@mdanderson.org [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Gillin, Michael [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)] [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Liao, Zhongxing [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)] [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Wei, Caimiao [Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)] [Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Lin, Steven H.; Swanick, Cameron; Alvarado, Tina; Komaki, Ritsuko; Cox, James D.; Chang, Joe Y. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)] [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)

    2013-07-15

    Background: Many patients with locally advanced non-small cell lung cancer (NSCLC) cannot undergo concurrent chemotherapy because of comorbidities or poor performance status. Hypofractionated radiation regimens, if tolerable, may provide an option to these patients for effective local control. Methods and Materials: Twenty-five patients were enrolled in a phase 1 dose-escalation trial of proton beam therapy (PBT) from September 2010 through July 2012. Eligible patients had histologically documented lung cancer, thymic tumors, carcinoid tumors, or metastatic thyroid tumors. Concurrent chemotherapy was not allowed, but concurrent treatment with biologic agents was. The dose-escalation schema comprised 15 fractions of 3 Gy(relative biological effectiveness [RBE])/fraction, 3.5 Gy(RBE)/fraction, or 4 Gy(RBE)/fraction. Dose constraints were derived from biologically equivalent doses of standard fractionated treatment. Results: The median follow-up time for patients alive at the time of analysis was 13 months (range, 8-28 months). Fifteen patients received treatment to hilar or mediastinal lymph nodes. Two patients experienced dose-limiting toxicity possibly related to treatment; 1 received 3.5-Gy(RBE) fractions and experienced an in-field tracheoesophageal fistula 9 months after PBT and 1 month after bevacizumab. The other patient received 4-Gy(RBE) fractions and was hospitalized for bacterial pneumonia/radiation pneumonitis 4 months after PBT. Conclusion: Hypofractionated PBT to the thorax delivered over 3 weeks was well tolerated even with significant doses to the lungs and mediastinal structures. Phase 2/3 trials are needed to compare the efficacy of this technique with standard treatment for locally advanced NSCLC.

  14. Federal technology alert. Parabolic-trough solar water heating

    SciTech Connect (OSTI)

    1998-04-01

    Parabolic-trough solar water heating is a well-proven renewable energy technology with considerable potential for application at Federal facilities. For the US, parabolic-trough water-heating systems are most cost effective in the Southwest where direct solar radiation is high. Jails, hospitals, barracks, and other facilities that consistently use large volumes of hot water are particularly good candidates, as are facilities with central plants for district heating. As with any renewable energy or energy efficiency technology requiring significant initial capital investment, the primary condition that will make a parabolic-trough system economically viable is if it is replacing expensive conventional water heating. In combination with absorption cooling systems, parabolic-trough collectors can also be used for air-conditioning. Industrial Solar Technology (IST) of Golden, Colorado, is the sole current manufacturer of parabolic-trough solar water heating systems. IST has an Indefinite Delivery/Indefinite Quantity (IDIQ) contract with the Federal Energy Management Program (FEMP) of the US Department of Energy (DOE) to finance and install parabolic-trough solar water heating on an Energy Savings Performance Contract (ESPC) basis for any Federal facility that requests it and for which it proves viable. For an ESPC project, the facility does not pay for design, capital equipment, or installation. Instead, it pays only for guaranteed energy savings. Preparing and implementing delivery or task orders against the IDIQ is much simpler than the standard procurement process. This Federal Technology Alert (FTA) of the New Technology Demonstration Program is one of a series of guides to renewable energy and new energy-efficient technologies.

  15. Comparison of the Epson Expression 1680 flatbed and the Vidar VXR-16 Dosimetry PRO trade mark sign film scanners for use in IMRT dosimetry using Gafchromic and radiographic film

    SciTech Connect (OSTI)

    Wilcox, Ellen; Daskalov, George; Nedialkova, Lucy

    2007-01-15

    Intensity-modulated radiotherapy (IMRT) treatment plan verification is often done using Kodak EDR2 film and a Vidar Dosimetry PRO trade mark sign film digitizer. However, since many hospitals are moving towards a filmless environment, access to a film processor may not be available. Therefore, we have investigated a newly available Gafchromic[reg] EBT film for IMRT dosimetry. Planar IMRT dose distributions are delivered to both EBT and EDR2 film and scanned with the Vidar VXR-16 as well as an Epson Expression 1680 flatbed scanner. The measured dose distributions are then compared to those calculated with a Pinnacle treatment planning system. The IMRT treatments consisted of 7-9 6 MV beams for treatment of prostate, head and neck, and a few other sites. The films were analyzed using FilmQA trade mark sign (3cognition LLC) software. Comparisons between measured and calculated dose distributions are reported as dose difference (DD) (pixels within {+-}5%), distance to agreement (DTA) (3 mm), as well as gamma values ({gamma}) (dose={+-}3%, dist.=2 mm). Using EDR2 with the Vidar scanner is an established technique and agreement between calculated and measured dose distributions was better than 90% in all indices (DD, DTA, and {gamma}). However, agreement with calculations deteriorated reaching the lower 80% for EBT film scans with the Vidar scanner in logarithmic mode. The EBT Vidar scans obtained in linear mode showed an improved agreement to the upper 80% range, but artifacts were still observed across the scan. These artifacts were very distinct in all EBT scans and can be attributed to the way the film is transported through the scanner. In the Epson scanner both films are rigidly immobilized and the light source scans over the film. It was found that the Epson scanner performed equally well with both types of film giving agreement to better than 90% in all indices.

  16. Crystal Structures of Wild-type and Mutant Methicillin-resistant Staphylococcus aureus Dihydrofolate Reductase Reveal an Alternative Conformation of NADPH that may be Linked to Trimethoprim Resistance

    SciTech Connect (OSTI)

    Frey, K.; Liu, J; Lombardo, M; Bolstad, D; Wright, D; Anderson, A

    2009-01-01

    Both hospital- and community-acquired Staphylococcus aureus infections have become major health concerns in terms of morbidity, suffering and cost. Trimethoprim-sulfamethoxazole (TMP-SMZ) is an alternative treatment for methicillin-resistant S. aureus (MRSA) infections. However, TMP-resistant strains have arisen with point mutations in dihydrofolate reductase (DHFR), the target for TMP. A single point mutation, F98Y, has been shown biochemically to confer the majority of this resistance to TMP. Using a structure-based approach, we have designed a series of novel propargyl-linked DHFR inhibitors that are active against several trimethoprim-resistant enzymes. We screened this series against wild-type and mutant (F98Y) S. aureus DHFR and found that several are active against both enzymes and specifically that the meta-biphenyl class of these inhibitors is the most potent. In order to understand the structural basis of this potency, we determined eight high-resolution crystal structures: four each of the wild-type and mutant DHFR enzymes bound to various propargyl-linked DHFR inhibitors. In addition to explaining the structure-activity relationships, several of the structures reveal a novel conformation for the cofactor, NADPH. In this new conformation that is predominantly associated with the mutant enzyme, the nicotinamide ring is displaced from its conserved location and three water molecules complete a network of hydrogen bonds between the nicotinamide ring and the protein. In this new position, NADPH has reduced interactions with the inhibitor. An equilibrium between the two conformations of NADPH, implied by their occupancies in the eight crystal structures, is influenced both by the ligand and the F98Y mutation. The mutation induced equilibrium between two NADPH-binding conformations may contribute to decrease TMP binding and thus may be responsible for TMP resistance.

  17. A survey of radiographers' confidence and self-perceived accuracy in frontline image interpretation and their continuing educational preferences

    SciTech Connect (OSTI)

    Neep, Michael J; Steffens, Tom; Owen, Rebecca; McPhail, Steven M

    2014-06-15

    The provision of a written comment on traumatic abnormalities of the musculoskeletal system detected by radiographers can assist referrers and may improve patient management, but the practice has not been widely adopted outside the United Kingdom. The purpose of this study was to investigate Australian radiographers' perceptions of their readiness for practice in a radiographer commenting system and their educational preferences in relation to two different delivery formats of image interpretation education, intensive and non-intensive. A cross-sectional web-based questionnaire was implemented between August and September 2012. Participants included radiographers with experience working in emergency settings at four Australian metropolitan hospitals. Conventional descriptive statistics, frequency histograms, and thematic analysis were undertaken. A Wilcoxon signed-rank test examined whether a difference in preference ratings between intensive and non-intensive education delivery was evident. The questionnaire was completed by 73 radiographers (68% response rate). Radiographers reported higher confidence and self-perceived accuracy to detect traumatic abnormalities than to describe traumatic abnormalities of the musculoskeletal system. Radiographers frequently reported high desirability ratings for both the intensive and the non-intensive education delivery, no difference in desirability ratings for these two formats was evident (z = 1.66, P = 0.11). Some Australian radiographers perceive they are not ready to practise in a frontline radiographer commenting system. Overall, radiographers indicated mixed preferences for image interpretation education delivered via intensive and non-intensive formats. Further research, preferably randomised trials, investigating the effectiveness of intensive and non-intensive education formats of image interpretation education for radiographers is warranted.

  18. A Model of U.S. Commercial Distributed Generation Adoption

    SciTech Connect (OSTI)

    LaCommare, Kristina Hamachi; Ryan Firestone; Zhou, Nan; Maribu,Karl; Marnay, Chris

    2006-01-10

    Small-scale (100 kW-5 MW) on-site distributed generation (DG) economically driven by combined heat and power (CHP) applications and, in some cases, reliability concerns will likely emerge as a common feature of commercial building energy systems over the next two decades. Forecasts of DG adoption published by the Energy Information Administration (EIA) in the Annual Energy Outlook (AEO) are made using the National Energy Modeling System (NEMS), which has a forecasting module that predicts the penetration of several possible commercial building DG technologies over the period 2005-2025. NEMS is also used for estimating the future benefits of Department of Energy research and development used in support of budget requests and management decisionmaking. The NEMS approach to modeling DG has some limitations, including constraints on the amount of DG allowed for retrofits to existing buildings and a small number of possible sizes for each DG technology. An alternative approach called Commercial Sector Model (ComSeM) is developed to improve the way in which DG adoption is modeled. The approach incorporates load shapes for specific end uses in specific building types in specific regions, e.g., cooling in hospitals in Atlanta or space heating in Chicago offices. The Distributed Energy Resources Customer Adoption Model (DER-CAM) uses these load profiles together with input cost and performance DG technology assumptions to model the potential DG adoption for four selected cities and two sizes of five building types in selected forecast years to 2022. The Distributed Energy Resources Market Diffusion Model (DER-MaDiM) is then used to then tailor the DER-CAM results to adoption projections for the entire U.S. commercial sector for all forecast years from 2007-2025. This process is conducted such that the structure of results are consistent with the structure of NEMS, and can be re-injected into NEMS that can then be used to integrate adoption results into a full forecast.

  19. Reservoir compartmentalization caused by mass transport deposition Northwest Stevens pool, Elk Hills Naval Petroleum Reserves, California

    SciTech Connect (OSTI)

    Milliken, M.D.; McJannet, G.S.; Shiflett, D.W.; Deutsch, H.A.

    1996-12-31

    The {open_quotes}A{close_quotes} sands of the Northwest Stevens Pool consist of six major subdivisions (A1-A6) and numerous sublayers. These sands are above the {open_quotes}N Point{close_quotes} stratigraphic marker, making them much younger than most other Stevens sands at Elk Hills. Cores show the A1-A3 sands to be possibly mass transport deposition, primarily debris flows, slumps, and sand injection bodies. The A4-A6 sands are characterized by normally graded sheet-like sand bodies Hospital of traditional outer fan turbidite lithofacies. Most current production from the A1-A2 interval comes from well 373A-7R, are completed waterflood wells that came on line in 1992 at 1400 BOPD. Well 373A-7R is an anomaly in the A1-A2 zone, where average production from the other ten wells is 200 BOPD. Other evidence for compartmentalization in the A1-A2 interval includes sporadic oil-water contacts and drawdown pressures, difficult log correlations, and rapid thickness changes. In 1973, well 362-7R penetrated 220 ft of wet Al sand. The well was redrilled updip and successfully completed in the A1, where the oil-water contact is more than 130 ft lower than the original hole and faulting is not apparent. In 1992, horizontal well 323H-7R unexpectedly encountered an entirely wet Al wedge zone. Reevaluation of the A1-A3 and other sands as mass transport origin is important for modeling initialization and production/development strategies.

  20. Reservoir compartmentalization caused by mass transport deposition Northwest Stevens pool, Elk Hills Naval Petroleum Reserves, California

    SciTech Connect (OSTI)

    Milliken, M.D.; McJannet, G.S. ); Shiflett, D.W. ); Deutsch, H.A. )

    1996-01-01

    The [open quotes]A[close quotes] sands of the Northwest Stevens Pool consist of six major subdivisions (A1-A6) and numerous sublayers. These sands are above the [open quotes]N Point[close quotes] stratigraphic marker, making them much younger than most other Stevens sands at Elk Hills. Cores show the A1-A3 sands to be possibly mass transport deposition, primarily debris flows, slumps, and sand injection bodies. The A4-A6 sands are characterized by normally graded sheet-like sand bodies Hospital of traditional outer fan turbidite lithofacies. Most current production from the A1-A2 interval comes from well 373A-7R, are completed waterflood wells that came on line in 1992 at 1400 BOPD. Well 373A-7R is an anomaly in the A1-A2 zone, where average production from the other ten wells is 200 BOPD. Other evidence for compartmentalization in the A1-A2 interval includes sporadic oil-water contacts and drawdown pressures, difficult log correlations, and rapid thickness changes. In 1973, well 362-7R penetrated 220 ft of wet Al sand. The well was redrilled updip and successfully completed in the A1, where the oil-water contact is more than 130 ft lower than the original hole and faulting is not apparent. In 1992, horizontal well 323H-7R unexpectedly encountered an entirely wet Al wedge zone. Reevaluation of the A1-A3 and other sands as mass transport origin is important for modeling initialization and production/development strategies.