National Library of Energy BETA

Sample records for hospitals dormitories nursing

  1. Passive solar/earth sheltered office/dormitory cooling season thermal performance

    SciTech Connect (OSTI)

    Christian, J.

    1984-01-01

    Continuous detailed hourly thermal performance measurements have been taken since February 1982 in and around an occupied, underground, 4000 ft/sup 2/ office/dormitory building at the Oak Ridge National Laboratory in Oak Ridge, Tennessee. This building has a number of energy saving features which have been analyzed relative to their performance in a southeastern US climate and with respect to overall commercial building performance. This analysis documents cooling season performance, as well as effects of earth contact, interior thermal mass, an economizer cycle and interface of an efficient building envelope with a central three-ton heat pump. The Joint Institute Dormitory obtains a cooling energy savings of about 30% compared with an energy-efficient, above-grade structure and has the potential to save as much as 50%. The proper installation of the overhand, interior thermal mass, massive supply duct system, and earth contact team up to prevent summertime overheating. From May through September, this building cost a total of $300 (at 5.7 cents/kWh) to cool and ventilate 24 hours per day. Besides thermal performance of the building envelope, extensive comfort data was taken illustrating that at least 90% of the occupants are comfortable all of the time according to the PMV measurements.

  2. Cooling season performance of an earth-sheltered office/dormitory building in Oak Ridge, Tennessee

    SciTech Connect (OSTI)

    Christian, J.E.

    1984-07-01

    Detailed hourly measurements taken in and around an underground office-dormitory building for two summers document energy savings; whole building-component interface problems; and specific cooling contributions from earth contact, interior thermal mass, and an economizer. The Joint Institute Dormitory (JID) saves about 30% compared with well-built above-grade buildings in a climate typical of Oak Ridge, Tennessee, and has the potential to save as much as 50%. The detailed measurements, which include extensive thermal comfort data, indicate that at least 90% of the occupants are comfortable all of the time. The thermal performance measurements and analysis determine that the peak cooling requirement of this building is 50% less than that of well-built above-grade structures, permitting a cost savings on installed cooling capacity. The dominant building components contributing to the good thermal performance are the structural thermal mass, the earth-covered roof, and the earth contact provided by the bermed walls and slab floor. The 372-m/sup 2/ (4000 gross ft/sup 2/) building used about $300 (at 5.7 cents/kWh) to cool and ventilate from May through September. Eliminating a number of building design and construction anomalies could improve the whole-building performance and reduce the seasonal cooling cost another $85. Close examination of the thermal performance of this building revealed that a very efficient heat pump and thermally sound envelope do not necessarily produce otpimum performance without careful attention given to component interface details. 8 references, 24 figures, 12 tables.

  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. Buildings Energy Data Book

    Buildings Energy Data Book [EERE]

    and other residential care buildings. motel or inn hotel dormitory, fraternity, or sorority retirement home nursing home, assisted living, or other residential care convent or ...

  5. Earth integrated design: office dormitory facility

    SciTech Connect (OSTI)

    Shapira, H.B.; Barnes, P.R.

    1980-01-01

    The generation process of the design of the Joint Institute for Heavy Ion Research is described. Architectural and energy considerations are discussed. The facility will contain living quarters for guest scientists who come to Oak Ridge to conduct short experiments and sleeping alcoves for local researchers on long experimental shifts as well as office space. (MHR)

  6. 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

  7. Hillbrook Nursing Home Space Heating Low Temperature Geothermal...

    Open Energy Info (EERE)

    Hillbrook Nursing Home Space Heating Low Temperature Geothermal Facility Jump to: navigation, search Name Hillbrook Nursing Home Space Heating Low Temperature Geothermal Facility...

  8. 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

  9. 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.

  10. 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 ...

  11. 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.

  12. 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...

  13. 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.

  14. 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

  15. 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

  16. 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...

  17. 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 - ...

  18. 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...

  19. 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...

  20. 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...

  1. 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....

  2. 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...

  3. 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...

  4. 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 ...

  5. 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 Chicagoâ??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.

  6. ORISE: Nurse Triage Lines Support | How ORISE is Making a Difference

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

    nurse triage lines as a promising method for reducing disparities in access to quality health care during an influenza pandemic. Nurse triage lines are used daily in the United...

  7. 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...

  8. 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

  9. 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.

  10. 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

  11. 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

  12. 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 ...

  13. 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.

  14. 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

  15. 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...

  16. 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 ...

  17. 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...

  18. 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 ...

  19. 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.

  20. 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

  1. 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...

  2. 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...

  3. 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:

  4. 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.

  5. 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.

  6. 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.

  7. 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)

  8. 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.

  9. 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

  10. 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

  11. 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 --

  12. 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.

  13. 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.

  14. 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.

  15. 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

  16. 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.

  17. 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

  18. 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.

  19. 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

  20. 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.

  1. 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.

  2. Air pollution and morbidity: a further analysis of the Los Angeles student nurses data

    SciTech Connect (OSTI)

    Schwartz, J.; Hasselblad, V.; Pitcher, H.

    1988-02-01

    Hammer et al. analyzed daily diary reports of headache, eye irritation, cough, and chest discomfort in a study of Los Angeles student nurses, and found a statistically significant association between these symptoms and daily maximum one-hour oxidant concentrations at a nearby air quality monitor. Our analysis examines the student nurse data for the possible significance of other pollutants. We used new model specifications designed to account for the probabilistic nature of the outcome variables, and to allow for complications arising from the time series aspects of the data. We replicated the finding of a significant relationship between oxidants and coughing and eye irritation, and also found that; carbon monoxide was significantly related to headache symptoms; nitrogen dioxide was significantly related to eye irritation; and sulfur dioxide was significantly related to chest discomfort.

  3. 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).

  4. 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...

  5. 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...

  6. 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

  7. 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

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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

  15. 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,

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. 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

  2. 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

  3. Passive smoking, air pollution, and acute respiratory symptoms in a diary study of student nurses

    SciTech Connect (OSTI)

    Schwartz, J.; Zeger, S. )

    1990-01-01

    A cohort of approximately 100 student nurses in Los Angeles was recruited for a diary study of the acute effects of air pollution. Smoking histories and presence of asthma and other allergies were determined by questionnaire. Diaries were completed daily and collected weekly for as long as 3 yr. Air pollution was measured at a monitoring location within 2.5 miles of the school. Incidence and duration of a symptom were modeled separately. Pack-years of cigarettes were predictive of the number of episodes of coughing (p less than 0.0001) and of bringing up phlegm (p less than 0.0001). Current smoking, rather than cumulative smoking, was a better predictor of the duration of a phlegm episode (p less than 0.0001). Controlling for personal smoking, a smoking roommate increased the risk of an episode of phlegm (odds ratio (OR) = 1.41, p less than 0.001), but not of cough. Excluding asthmatics (who may be medicated), increased the odds ratio for passive smoking to 1.76 (p less than 0.0001). In logistic regression models controlling for temperature and serial correlation between days, an increase of 1 SD in carbon monoxide exposure (6.5 ppm) was associated with increased risk of headache (OR = 1.09, p less than 0.001), photochemical oxidants (7.4 pphm) were associated with increased risk of chest discomfort (OR = 1.17, p less than 0.001) and eye irritation (OR = 1.20 p less than 0.001), and nitrogen dioxide (9.1 pphm) was associated with increased risk of phlegm (OR = 1.08 p less than 0.01), sore throats (OR = 1.26, p less than 0.001), and eye irritation (OR = 1.16, p less than 0.001).

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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)

  3. 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.

  4. 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...

  5. 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.

  6. 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.

  7. 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.

  8. 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 = 2.36.1). Median K{sub AR} = 581 mGy (374876). Median P{sub KA} = 3908 uGym{sup 2} (24895865) DRL = 5865 uGym{sup 2}. 947 patients were included in the PCI group where median FT was 11.2 min (7.717.4). Median K{sub AR} = 1501 mGy (9282224). Median P{sub KA} = 8736 uGym{sup 2} (544912,900) DRL = 12,900 uGym{sup 2}. This study established a benchmark for radiation dose for diagnostic and interventional coronary angiography in Queensland public facilities.

  9. Education | Open Energy Information

    Open Energy Info (EERE)

    is not classroom are included in the category relating to their use. For example, administration buildings are part of "Office," dormitories are "Lodging," and libraries are...

  10. Microsoft Word - RL14788-Section_J-08 Advance Understanding Rev...

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

    according to local custom. FAR Subpart 31.205-13, Employee morale, health, welfare, food service, and dormitory costs and credits Annual Employee Morale Fund: Costs incurred...

  11. Commercial Buildings Energy Consumption and Expenditures 1992

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

    Assembly) Dormitory (see Lodging) Gymnasium (see Public Assembly) Infirmary (see Health Care) Library (see Public Assembly) Museum (see Public Assembly) School for the...

  12. Commercial Buildings Characteristics 1992

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

    Assembly) Dormitory (see Lodging) Gymnasium (see Public Assembly) Infirmary (see Health Care) Library (see Public Assembly) Museum (see Public Assembly) School for the...

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. Check Out - Combustion Energy Frontier Research Center

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

    FAQ » Check Out Check Out I am staying at the dormitory on-campus. When and where is standard check out? Standard check out is Friday, June 24th. You may bring your dormitory key to the Friend Center and leave it with a CEFRC representative anytime during the day. I am staying at the dormitory on-campus. Can I bring my car closer to the Butler/Scully area to load my luggage when checking out? Yes, similar to check in, you may bring your car and park it in the temporary parking area outside the

  18. Forest County Potawatomi Community Parking Ramp and Wundar Hall...

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

    ... into Trust in 1990 The Tribe has been leasing to a long-term tenant whose lease will end in July 2010 Wundar Hall Project Wundar Hall is a 34,000 sq ft dormitory building ...

  19. Manhattan Project: The "Big House"

    Office of Scientific and Technical Information (OSTI)

    The "Big House" was the dormitory for the Los Alamos Boys Ranch School. Students slept year-round on its unheated porches. During the Manhattan Project, the Big House contained, ...

  20. Logistics & Fees - Combustion Energy Frontier Research Center

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

    Logistics & Fees Logistics & Fees Location/Accommodations The Summer School will be held on the beautiful campus of Princeton University. On-campus lodging in single-person, air-conditioned dormitory rooms with same-gender shared bath facilities is available to all participants(1). Breakfast, lunch and dinner meal plans are available to all participants. Participants may also choose to make arrangements to stay and dine at area hotels and restaurants. (1) Summer school dormitory

  1. 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.

  2. 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...

  3. 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...

  4. 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 ...

  5. 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.

  6. 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.

  7. Lecture & Dining Halls - Combustion Energy Frontier Research Center

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

    Lecture & Dining Halls Lecture & Dining Halls Lecture Halls: Friend Center SeeSchedule of Events for schedule and location of lectures. How far are the lecture halls from the dormitories? Friend Center is a quick 10 minute walk from the Butler dormitories. See campus map for walking directions. There is also a free campus shuttle that will take you from outside the Icahn Lab on Washington Road to the Friend Center. See http://www.princeton.edu/transportation/ttroutes/ for shuttle times.

  8. 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 ...

  9. 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

  10. 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 ...

  11. 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...

  12. 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,

  13. 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...

  14. 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 *

  15. 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

  16. 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

  17. Buildings and Climate-Environment | Argonne National Laboratory

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

    Building Type Definition Includes These Sub-Categories from 2003 CBECS Questionnaire Education Buildings used for academic or technical classroom instruction, such as elementary, middle, or high schools, and classroom buildings on college or university campuses. Buildings on education campuses for which the main use is not classroom are included in the category relating to their use. For example, administration buildings are part of "Office", dormitories are "Lodging", and

  18. 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

  19. Assessment of Dose to the Nursing Infant from Radionuclides in Breast Milk

    SciTech Connect (OSTI)

    Leggett, Richard Wayne; Eckerman, Keith F

    2010-03-01

    A computer software package was developed to predict tissue doses to an infant due to intake of radionuclides in breast milk based on bioassay measurements and exposure data for the mother. The package is intended mainly to aid in decisions regarding the safety of breast feeding by a mother who has been acutely exposed to a radionuclide during lactation or pregnancy, but it may be applied to previous intakes during the mother s adult life. The package includes biokinetic and dosimetric information needed to address intake of Co-60, Sr-90, Cs-134, Cs-137, Ir-192, Pu-238, Pu-239, Am-241, or Cf-252 by the mother. It has been designed so that the library of biokinetic and dosimetric files can be expanded to address a more comprehensive set of radionuclides without modifying the basic computational module. The methods and models build on the approach used in Publication 95 of the International Commission on Radiological Protection (ICRP 2004), Doses to Infants from Ingestion of Radionuclides in Mothers Milk . The software package allows input of case-specific information or judgments such as chemical form or particle size of an inhaled aerosol. The package is expected to be more suitable than ICRP Publication 95 for dose assessment for real events or realistic planning scenarios in which measurements of the mother s excretion or body burden are available.

  20. 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 ...

  1. 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.

  2. 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.

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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, ...

  8. 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.

  9. manhattan park map walking tour

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

    16 4 1 3 2 5 8 7 6 9 11 12 14 15 Bradbury Science Museum Fuller Lodge Baker House Ashley Pond Ice House Memorial Spruce Cottage Bethe House Oppenheimer House WAC Dormitory 13 Parsons House WWII Cafeteria Stone Power House Oppenheimer & Groves Sculptures Los Alamos Historical Museum Visitor Contact Station 10 Arts & Crafts Building 16 4 1 3 2 5 8 7 6 9 11 12 14 15 Bradbury Science Museum Fuller Lodge Baker House Ashley Pond Ice House Memorial Spruce Cottage Bethe House Oppenheimer House

  10. 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.

  11. Molecular Quantum Mechanics 2010: From Methylene to DNA and Beyond Conference Support

    SciTech Connect (OSTI)

    2013-05-15

    This grant was $12500 for partial support of an international conference, Molecular Quantum Mechanics 2010, which was held on the campus of the University of California, Berkeley, from 24 to 29 May 2010. The conference involved more than 250 participants. The conference schedule ran from as early as 8:00 AM to as late as 10:30 PM at night, in order to accommodate six historical lectures, 16 plenary lectures, 42 invited talks and two very strong poster sessions containing 143 contributed posters. Since 1989, the Molecular Quantum Mechanics (MQM) series of international conferences has show- cased the frontiers of research in quantum chemistry with a strong focus on basic theory and algorithms, as well as highlights of topical applications. Both were strongly in evidence at MQM 2010. At the same time as embracing the future, the MQM conferences also honour the lifetime contributions of some of the most prominent scientists in the field of theoretical and computational quantum chemistry. MQM 2010 recognised the work of Prof. Henry F. ‘Fritz’ Schaefer of the Center for Computational Chemistry at the University of Georgia, who was previously on the faculty at Berkeley The travel of invited speakers was partially covered by sponsorships from Dell Computer, Hewlett-Packard, Journal of Chemical Theory and Computation, Virginia Tech College of Science, Molecular Physics, Q-Chem Inc and the American Institute of Physics. By contrast, the conference grant from the Department of Energy was used to provide fellowships and scholarships to enable graduate students and postdoctoral fellows to attend the meeting, and thereby broaden the participation of young scientists at a meeting where in the past most of the attendees have been more senior faculty researchers. We believe that we were very successful in this regard: 118 students and postdocs attended out of the total of 256 participants. In detail, the DOE sponsorship money was partially used for dormitory scholarships that

  12. Solarnorth '81 by Tymura Solardesigns: diverse residential, commercial and industrial projects at and above the 48th parallel in Ontario, Canada

    SciTech Connect (OSTI)

    Tymura, E.J.

    1981-01-01

    Solar Energy Heating Applications are On the Rise in and above the Northwestern City of Thunder Bay, on the northern shore of Lake Superior. Unique in their diversifications, the architectural commissions range from pure passive residential design thru hybrid systems; residential Greenhouse-Solarium active swimming pool and commercial hotel pool to inexpensive hybrid system for Canada's First Commercial Solar Lumber Drying Kiln; as well as combined earth sheltered with solar system design for a dormitory complex and shopping center. By May 1981, 7 buildings designed by Tymura Solardesigns in the Thunder Bay area will have been subjected to the Extreme Canadian climate (10,500/sup 0/F degree days, yearly temperature maximums from -41/sup 0/F to 90/sup 0/F, and solar fractions vary from 50% to 75%, with economic payback periods ranging between 7 and 10 years.

  13. Passive cooling and heating program at Oak Ridge National Laboratory for FY-1981

    SciTech Connect (OSTI)

    Shapira, H.B.; Kaplan, S.I.; Chester, C.V.

    1981-01-01

    Construction was completed of an earth-sheltered, passively solar heated office-dormitory, the Joint Institute for Heavy Ion Research, designed at ORNL. Instrumentation of the building was designed, procured, and installed. Building performance will be monitored and compared with predictions of the DOE-2 code. A study of the incorporation of vegetation on architecture was conducted by the Harvard School of Design. A final report was issued which is a prototype handbook for the use of vegetation to reduce cooling loads in structures. An experiment to reduce the cooling requirement of mobile homes by shading with fast-growing vines was begun: a maintenance-oriented trellis was constructed and vines were planted. An RFP for the production of a prototype set of reflective insulating blinds was issued.

  14. Sheila Armstrong

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

    may consist of a doctor, nurses, nurses' aides, a social worker, a massage therapist, a music therapist and volunteers like me. - 2 - I provide much-needed respites for family...

  15. Microsoft PowerPoint - Copy of Valdez

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

    ... that are offered are: Biology, Chemistry, Physics, Engineering Technology, Computer Science, Mathematics, Transportation, Industrial Technology, Nursing, Psychology, Marine ...

  16. 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.

  17. 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.

  18. Energy Efficiency Improvements to Wundar Hall, a Historic Building on the Concordia Campus, Milwaukee, Wisconsin

    SciTech Connect (OSTI)

    Karman, Nathan

    2012-11-29

    The Forest County Potawatomi Community (??FCPC? or ??Community?) implemented energy efficiency improvements to revitalize Wundar Hall, a 34,000 square foot (??SF?) building that was formerly used as a dormitory and is listed on the National Registry of Historic Places, into an office building. Wundar Hall is the first of many architecturally and historically significant buildings that the Community hopes to renovate at the former Concordia College campus, property on the near west side of Milwaukee that was taken into trust for the Community by the United States on July 10, 1990 (collectively, the ??Concordia Trust Property?). As part of this project, which was conducted with assistance from the Department of Energy??s Tribal Energy Program (??TEP?), the Community updated and/or replaced the building envelope, mechanical systems, the plumbing system, the electrical infrastructure, and building control systems. The project is expected to reduce the building??s natural gas consumption by 58% and the electricity consumption by 55%. In addition, the project was designed to act as a catalyst to further renovation of the Concordia Trust Property and the neighborhood. The City of Milwaukee has identified redevelopment of the Concordia Trust Property as a ??Catalytic Project? for revitalizing the near west side. The Tribe envisions a revitalized, mixed-use campus of community services, education, and economic development??providing services to the Indian community and jobs to the neighborhood.

  19. community.layout2.indd

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

    Chair, Media Arts and Software Systems programs) - Northern New Mexico College (Teaching, Nursing programs, and Chemistry) - Santa Fe Community College (Advanced Technologies...

  20. Radiation Emergency Assistance Center / Training Site | National...

    National Nuclear Security Administration (NNSA)

    ... As well as having a dedicated medical facility within its home offices, REACTS is a training and demonstration facility where domestic and foreign physicians and nursing, ...

  1. Tuskegee University | OSTI, US Dept of Energy, Office of Scientific...

    Office of Scientific and Technical Information (OSTI)

    College of Veterinary Medicine, Nursing & Allied Health DOE Research Reports Resource Links About Campus Tour Academic Colleges Libraries Social Media Facebook YouTube Twitter RSS

  2. Endorsement: Residential Treatment Center Los Alamos National...

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

    centers are medically monitored with 24-hour medical availability and 24-hour on-side nursing service for patients with mental illness andor chemical dependency disorders. ...

  3. Market Potential for Advanced Thermally Activated BCHP in Five...

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

    Potential distributed generation (DG) and combined heat and power (CHP) applications in the United States cover a broad spectrum of market segments, from nursing homes requiring a ...

  4. ORISE: REAC/TS Continuing Medical Education Courses

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

    medicine. Physicians, physicians' assistants, nurses, emergency medical technicians, health physicists and first responders benefit from the lectures, discussions and hands-on...

  5. 1 of 8

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

    Long-Term Care Private Duty Nursing Routine Eye Care (Adult) Routine Foot Care (Unless you are diabetic) Weight Loss Programs Other Covered Services (This...

  6. 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 ...

  7. 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 ...

  8. 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 ...

  9. 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...

  10. 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 ...

  11. 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

  12. 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) ...

  13. 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...

  14. 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

  15. Quality site seasonal report, Tucson Job Corps Center, SFBP (Solar in Federal Buildings Program) 1751, November 1984 through July 1985

    SciTech Connect (OSTI)

    Logee, T.L.

    1987-10-15

    The active solar Domestic Hot Water (DHW) system at the Tucson Job Corps Center was designed and constructed as part of the Solar in Federal Buildings Program (SFBP). This retrofitted system is one of eight of the systems in the SFBP selected for quality monitoring. The purpose of this monitoring effort is to document the performance of quality state-of-the-art solar systems in large Federal buildings. The systems are unique prototypes. Design errors and system faults discovered during the monitoring period could not always be corrected. Therefore, the aggregated overall performance is often considerably below what might be expected had similar systems been constructed consecutively with each repetition incorporating corrections and improvements. The solar collector system is installed on a two story dormitory at the Job Corps Center. The solar system preheats hot water for about two hundred students. The solar system provided about 50% of the energy needed for water heating in the winter and nearly 100% of the water heating needs in the summer. There are about 70,000 gallons of water used per month. There are seventy-nine L.O.F. panels or 1659 square feet of collectors (1764 square feet before freeze damage occurred) mounted in two rows on the south facing roof. Collected solar energy is stored in the 2200-gallon storage tank. The control system is by Johnson Controls. City water is piped directly to the storage tank and is circulated in the collectors. Freeze protection is provided by recirculation of storage water. There is an auxiliary gas fired boiler and 750 gallon DHW storage tank to provide backup for the solar system. Highlights of the performance monitoring from the solar collection system at the Tucson Job Corps Center during the November 1984 through July 1985 monitoring period are presented in this report.

  16. The Ames Laboratory

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

    Occupational Medicine Name Title Office Email Phone Number Margaret Evans Staff Physician G11 TASF mevans@ameslab.gov 515-294-2056 Whitney Groomes Staff Nurse G11 TASF ...

  17. Booklet-1stDRAFT.indd

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

    ... and second fl oors of the Federal Offi ce Building by the Occupational Health Nurse: Band-Aids Cotton balls Medicine cups Swabs Iodine-antibiotic cream or liquid Betadine Swab ...

  18. CX-007566: Categorical Exclusion Determination

    Broader source: Energy.gov [DOE]

    Kent County Nursing Home Wind Project CX(s) Applied: B5.18 Date: 01/09/2012 Location(s): Texas Offices(s): Golden Field Office

  19. Fewer lights, Brighter Shine in New Hampshire County

    Office of Energy Efficiency and Renewable Energy (EERE)

    The parking lot to the county courthouse and nursing home facility in Strafford County, New Hampshire needed new lights. And thanks to an Energy Efficiency and Conservation Block Grant from the Energy Department, Strafford got what it needed and more.

  20. ORISE: Advanced Radiation Medicine | REAC/TS Continuing Medical Education

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

    Course Advanced Radiation Medicine Dates Scheduled Register Online April 24-28, 2017 August 14-18, 2017 Fee: $275 Maximum enrollment: 28 30 hours AMA PRA Category 1 Credits(tm) This 4½-day course includes more advanced information for medical practitioners. This program is academically more rigorous than the REM course and is primarily for Physicians, Physician Assistants, Nurse Practitioners, and Nurses desiring an advanced level of information on the diagnosis and management of ionizing

  1. Microsoft Word - SECTION J - Current to Mod 002 with Track Changes removed.docx

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

    9-1 Section J Attachment J-9 ANNUAL ESSENTIAL STAFFING LEVEL The contractor shall maintain the following essential staffing level physically located at the Hanford site. This does not include additional staff and positions the Contractor may require to complete the statement of work. Position Annual Essential Staffing Level Principal Manager 1 Site Occupational Medical Director (SOMD) 1 Clinic Director 1 Nursing Director 1 Physician 1 Physician Assistant/Nurse Practitioner 5 Psychologist 1

  2. 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

  3. 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.

  4. 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...

  5. 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...

  6. 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,...

  7. 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

  8. 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.

  9. ORISE: Radiation Emergency Medicine | REAC/TS Continuing Medical Education

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

    Course Radiation Emergency Medicine Dates Scheduled Register Online October 11-14, 2016 February 7-10, 2017 February 28 - March 3, 2017 April 18-21, 2017 June 13-16, 2017 August 8-11, 2017 Fee: $200 Maximum enrollment: 22 24.5 hours AMA PRA Category 1 Credits(tm) This 3½-day course is intended for Physicians, Physician Assistants, Nurse Practitioners, Nurses and other healthcare providers. First responders, emergency management, and public health professionals may find the course

  10. NLM Evidence-based Information at Your Fingertips - NBNA

    SciTech Connect (OSTI)

    Womble, R.

    2010-08-06

    The workshop titled, National Library of Medicine: Evidence-based Information At Your Fingertips, is a computer training class designed to meet the needs of nurses who require access to information on specific medical topics and on the adverse health effects of exposure to hazardous substances. The Specialized Information Services Division of the National Library of Medicine (NLM) is sponsoring this workshop for the National Black Nurses Association to increase the awareness of health professionals of the availability and value of the free NLM medical, environmental health, and toxicology databases.

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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 ...

  18. 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...

  19. 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 ...

  20. 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...

  1. 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 ...

  2. 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.

  3. 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...

  4. 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...

  5. 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.). ...

  6. 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...

  7. 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...

  8. 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...

  9. 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,...

  10. 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...

  11. 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...

  12. 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...

  13. 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. ...

  14. 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.

  15. 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...

  16. --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...

  17. 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 ...

  18. 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 ...

  19. 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...

  20. 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...

  1. 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. ...

  2. 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? ...

  3. 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...

  4. 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 ...

  5. 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, ...

  6. 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. ...

  7. 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...

  8. 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...

  9. 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) ...

  10. 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 ...

  11. 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.

  12. 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 ...

  13. 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 ...

  14. 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 ...

  15. 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...

  16. 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 ...

  17. 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 ...

  18. 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)

  19. 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 ...

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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)...

  5. 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 ...

  6. 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 ...

  7. 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. ...

  8. 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.

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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......

  15. 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...

  16. 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:...

  17. 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 ...

  18. 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, ...

  19. 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 ...

  20. 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 ...

  1. 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) ...

  2. 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) ...

  3. 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...

  4. 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 ...

  5. 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. ...

  6. 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 ...

  7. 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...

  8. 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

  9. 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.

  10. 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

  11. Electric power plant emissions and public health

    SciTech Connect (OSTI)

    O'Connor, A.B.; Roy, C.

    2008-02-15

    The generation of electric power is one important source of pollutants such as mercury, sulfur dioxide, nitrogen oxides, and fine particulate matter that can affect the respiratory, cardiovascular, and central nervous systems and cause pregnancy complications. But protecting people from environmental health hazards has become increasingly complex. Air pollutants are often invisible and travel many miles virtually undetected. Nurses can play a critical role in preventive strategies, as well as in the national debate on energy production and dependence on fossil fuels.

  12. Market Potential for Advanced Thermally Activated BCHP in Five National

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

    Account Sectors, May 2003 | Department of Energy Market Potential for Advanced Thermally Activated BCHP in Five National Account Sectors, May 2003 Market Potential for Advanced Thermally Activated BCHP in Five National Account Sectors, May 2003 Potential distributed generation (DG) and combined heat and power (CHP) applications in the United States cover a broad spectrum of market segments, from nursing homes requiring a few hundred kilowatts (kW) of power and an economical hot water source

  13. Headquarters Occupational Health Clinics | Department of Energy

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

    Headquarters Occupational Health Clinics Headquarters Occupational Health Clinics The Department of Energy recognizes the importance of maintaining a healthy and fit Federal workforce. To that end, our occupational health care professionals at the Headquarters Occupational Health Clinics in Forrestal and Germantown provide the following services: Walk-in care. Assessment, nursing care and follow-up for minor illnesses and injuries on a walk-in basis. First-response. Emergency treatment to any

  14. HewlettandHollAtomsforPeaceandWarPicturesOnly.pdf

    Energy Savers [EERE]

    Headquarters Occupational Health Clinics Headquarters Occupational Health Clinics The Department of Energy recognizes the importance of maintaining a healthy and fit Federal workforce. To that end, our occupational health care professionals at the Headquarters Occupational Health Clinics in Forrestal and Germantown provide the following services: Walk-in care. Assessment, nursing care and follow-up for minor illnesses and injuries on a walk-in basis. First-response. Emergency treatment to any

  15. Amended Record of Decision for the Management of Certain Plutonium Residues and Scrub Alloy Stored at the Rocky Flats Environmental Technology Site (DOE/EIS-0277) (1/28/01)

    Office of Environmental Management (EM)

    Federal Register / Vol. 66, No. 12 / Thursday, January 18, 2001 / Notices 5. National Association of Nurse Practitioners in Women's Health, Council on Accreditation. 6. Transnational Association of Christian Colleges and Schools, Accreditation Commission. State Agencies Recognized for the Approval of Public Postsecondary Vocational Education Interim Report 1. Kansas Board of Regents. Federal Agency Seeking Degree- Granting Authority In accordance with the Federal policy governing the granting

  16. Lactation Program | Department of Energy

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

    Lactation Program Lactation Program Not long ago breast-feeding was considered a private affair, solely carried out in the home. But today, many mothers are choosing to continue breast-feeding after they return to work. In order for mothers to keep producing ample supplies of milk, so they can avoid using formula supplements, nursing mothers need to pump their milk during the workday. Lactation Program.pdf (37.28 KB) More Documents & Publications Presentation, Zika Virus Disease and

  17. 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...

  18. 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 ...

  19. 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 ...

  20. 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 ...

  1. 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. ...

  2. 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...

  3. 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

  4. 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...

  5. 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 ...

  6. 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 ...

  7. 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, ...

  8. 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 ...

  9. 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 ...

  10. 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 ...

  11. 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.

  12. 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.

  13. 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....

  14. 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...

  15. 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, ...

  16. 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

  17. 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.

  18. 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 ...

  19. 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

  20. 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

  1. 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

  2. Reducing Blood-borne Exposure in Interventional Radiology: What the IR Should Know

    SciTech Connect (OSTI)

    Tso, David K.; Athreya, Sriharsha

    2013-08-01

    Interventional radiologists are at risk of exposure to blood-borne pathogens in their day-to-day practice. Percutaneous exposure from unsafe sharps handling, mucocutaneous exposure from body fluid splashes, and glove perforation from excessive wear can expose the radiologist to potentially infectious material. The increasing prevalence of blood-borne pathogens, including hepatitis B and C, and human immunodeficiency virus, puts nurses, residents, fellows, and interventional radiologists at risk for occupational exposure. This review outlines suggestions to establish a culture of safety in the interventional suite.

  3. front cover

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

    Exclusive Provider Option (EPO) Medical Program For Medicare Retirees and Their Covered Family Members Administered by: N113794 01/15 CUSTOMER ASSISTANCE Customer Service: Medical/Surgical Claims and Prescription Drugs-The 24/7 Nurseline can help when you have a health problem or concern. The 24/7 Nurseline is staffed by registered nurses who are available 24 hours a day, 7 days a week. 24/7 Nurseline toll-free telephone number: 1-800-973-6329 When you have a non- medical benefit question or

  4. front cover

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

    Preferred Provider Option (PPO) Medical Program For Medicare Retirees and Their Covered Family Members Administered by: N113794 01/15 CUSTOMER ASSISTANCE Customer Service: Medical/Surgical Claims and Prescription Drugs-The 24/7 Nurseline can help when you have a health problem or concern. The 24/7 Nurseline is staffed by registered nurses who are available 24 hours a day, 7 days a week. 24/7 Nurseline toll-free telephone number: 1-800-973-6329 When you have a non- medical benefit question or

  5. front cover

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

    Preferred Provider Option (PPO) Medical Program For Active Employees and Their Covered Family Members and Non- Medicare Eligible Retirees and Their Covered Family Members Administered by: N113794 01/15 CUSTOMER ASSISTANCE Customer Service: Medical/Surgical Claims and Prescription Drugs-The 24/7 Nurseline can help when you have a health problem or concern. The 24/7 Nurseline is staffed by registered nurses who are available 24 hours a day, 7 days a week. 24/7 Nurseline toll-free telephone number:

  6. Link Alpha L

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

    l A B C D E F G H I J K L M N O P Q R S T U V W Y Z Filter by alpha... A B C D E F G H I J K L M N O P Q R S T U V W Y Z LabAlert - LabAlert Emergency Alerting Service Laboratory Counsel Laboratory Directed Research & Development Program (LDRD) Laboratory Property Review (LPR) Laboratory Support Services Lactation / Nursing Moms Lactation Accommodation Program Laser Ablation: Advanced Laser Technologies Lab Laser Management System (Laser Inventory) Laser Safety Web Page Lasers, Optical

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

    Buildings Energy Data Book [EERE]

    4 Installed Combined Heat and Power Capacity as of 2011, Selected Building Type and Census Region (MW) South West Total Total Source(s): 1,238 783 1,326 1,008 4,355 Energy and Environmental Analysis Inc, The Combined Heat and Power Database, http://www.eea-inc.com/chpdata/index.html Community Services 1 - - 1 1 Schools K-12 27 0 21 21 70 General Gov't 3 82 36 44 165 Office 82 34 15 39 170 Nursing Homes 17 0 4 2 22 General Merch. Stores 18 - 5 0 23 Justice/Public Order 59 8 9 115 191 Hotels 34 9

  8. The Role of GIS in Decision Support Systems

    Office of Environmental Management (EM)

    The Road to Hiroshima and Beyond The Road to Hiroshima and Beyond October 20, 2009 The RERF program is not a typical research program since it aims at fostering the health and welfare of the atomic-bomb survivors. A unique nurse's perspective on the RERF and the health of the A-bomb survivors is presented by Dr. Amy Knowles. The Road to Hiroshima and Beyond (127.75 KB) More Documents & Publications Report of the Senior Review Panel on the Review of the Radiation Effects Research Foundation

  9. The Road to Hiroshima and Beyond | Department of Energy

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

    The Road to Hiroshima and Beyond The Road to Hiroshima and Beyond October 20, 2009 The RERF program is not a typical research program since it aims at fostering the health and welfare of the atomic-bomb survivors. A unique nurse's perspective on the RERF and the health of the A-bomb survivors is presented by Dr. Amy Knowles. The Road to Hiroshima and Beyond (127.75 KB) More Documents & Publications Report of the Senior Review Panel on the Review of the Radiation Effects Research Foundation

  10. 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.

  11. 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

  12. 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.

  13. 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.

  14. 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.

  15. 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

  16. Daily diaries of respiratory symptoms and air pollution: Methodological issues and results

    SciTech Connect (OSTI)

    Schwartz, J. ); Wypij, D.; Dockery D.; Ware, J.; Spengler, J.; Ferris, B. Jr. ); Zeger, S. )

    1991-01-01

    Daily diaries of respiratory symptoms are a powerful technique for detecting acute effects of air pollution exposure. While conceptually simple, these diary studies can be difficult to analyze. The daily symptom rates are highly correlated, even after adjustment for covariates, and this lack of independence must be considered in the analysis. Possible approaches include the use of incidence instead of prevalence rates and autoregressive models. Heterogeneity among subjects also induces dependencies in the data. These can be addressed by stratification and by two-stage models such as those developed by Korn and Whittemore. These approaches have been applied to two data sets: a cohort of school children participating in the Harvard Six Cities Study and a cohort of student nurses in Los Angeles. Both data sets provide evidence of autocorrelation and heterogeneity. Controlling for autocorrelation corrects the precision estimates, and because diary data are usually positively autocorrelated, this leads to larger variance estimates. Controlling for heterogeneity among subjects appears to increase the effect sizes for air pollution exposure. Preliminary results indicate associations between sulfur dioxide and cough incidence in children and between nitrogen dioxide and phlegm incidence in student nurses.

  17. Comparative pharmacokinetic study of the role of gender and developmental differences in occupational and environmental exposure to benzene. Master's thesis

    SciTech Connect (OSTI)

    Brown, E.A.

    1994-09-01

    The purpose of this study is two-fold. First, it shows that physiological differences between men and women result in gender-specific exposures with respect to benzene. Second, it assesses the potential for a lactating woman's occupational and personal benzene exposure to impact a nursing infant's exposure, highlighting the possibility of subjecting an infant to the effects of industrial chemicals via breast feeding. This study employs physiologically based pharmacokinetic (PBPK) modeling to investigate the influence of physiological parameters and to evaluate the ability of inhaled benzene to transfer from mother to infant through breastmilk. The models are run through scenarios that simulate occupational, smoking, and background exposures. The gender comparison is facilitated by a sensitivity analysis. The blood/air partition coefficient and maximum velocity of metabolism were found to substantially impact model output. These values were both higher in women and caused an increase in the percentage of benzene metabolized in all of the exposure scenarios. The study of lactating women and infants is essentially theoretical. There is evidence that over 65% of an infant's benzene exposure can be attributed to contaminated breastmilk. A large portion of the ingested exposure can be eliminated by adjusting the mother's working or nursing schedule. Benzene, Physiologically based pharmacokinetics, PBPK.

  18. 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.

  19. 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

  20. 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

  1. 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).

  2. 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

  3. 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

  4. 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

  5. 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.

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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.

  11. 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.

  12. 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

  13. 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.)

  14. 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.)

  15. 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)

  16. 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...

  17. 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.

  18. Added Value of Reliability to a Microgrid: Simulations of Three California Buildings

    SciTech Connect (OSTI)

    Marnay, Chris; Lai, Judy; Stadler, Michael; Siddiqui, Afzal

    2009-05-07

    The Distributed Energy Resources Customer Adoption Model is used to estimate the value an Oakland nursing home, a Riverside high school, and a Sunnyvale data center would need to put on higher electricity service reliability for them to adopt a Consortium for Electric Reliability Technology Solutions Microgrid (CM) based on economics alone. A fraction of each building's load is deemed critical based on its mission, and the added cost of CM capability to meet it added to on-site generation options. The three sites are analyzed with various resources available as microgrid components. Results show that the value placed on higher reliability often does not have to be significant for CM to appear attractive, about 25 $/kWcdota and up, but the carbon footprint consequences are mixed because storage is often used to shift cheaper off-peak electricity to use during afternoon hours in competition with the solar sources.

  19. Microgrid Selection and Operation for Commercial Buildings in California and New York States

    SciTech Connect (OSTI)

    Environmental Energy Technologies Division; Lacommare, Kristina S H; Marnay, Chris; Stadler, Michael; Aki, Hirohisa; Coffey, Brian; Firestone, Ryan; Lai, Judy; Siddiqui, Afzal

    2008-05-01

    The addition of storage technologies such as lead-acid batteries, flow batteries, or heat storage can potentially improve the economic and environmental attractiveness of on-site generation such as PV, fuel cells, reciprocating engines or microturbines (with or without CHP), and can contribute to enhanced demand response. Preliminary analyses for a Californian nursing home indicate that storage technologies respond effectively to time-varying electricity prices, i.e., by charging batteries during periods of low electricity prices and discharging them during peak hours. While economic results do not make a compelling case for storage, they indicate that storage technologies significantly alter the residual load profile, which may lower carbon emissions as well as energy costs depending on the test site, its load profile, and DER technology adoption.

  20. Report to Congress on abnormal occurrences, October--December 1993. Volume 16, No. 4

    SciTech Connect (OSTI)

    Not Available

    1994-04-01

    Section 208 of the Energy Reorganization Act of 1974 identifies an abnormal occurrence as an unscheduled incident or event that 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 through December 31, 1993. This report discusses six abnormal occurrences at NRC-licensed facilities. Five involved medical brachytherapy misadministrations, and one involved an overexposure to a nursing infant. Seven abnormal occurrences that were reported by the Agreement States are also discussed, based on information provided by the Agreement States as of February 28, 1994. Of these events, three involved brachytherapy misadministrations, one involved a teletherapy misadministration, one involved a theft of radioactive material during transport and improper disposal, and two involved lost sources.

  1. HUD (Housing and Urban Development) Intermediate Minimum Property Standards Supplement 4930. 2 (1989 edition). Solar heating and domestic hot water systems

    SciTech Connect (OSTI)

    Not Available

    1989-12-01

    The Minimum Property Standards for Housing 4910.1 were developed to provide a sound technical basis for housing under numerous programs of the Department of Housing and Urban Development (HUD). These Intermediate Minimum Property Standards for Solar Heating and Domestic Hot Water Systems are intended to provide a companion technical basis for the planning and design of solar heating and domestic hot water systems. These standards have been prepared as a supplement to the Minimum Property Standards (MPS) and deal only with aspects of planning and design that are different from conventional housing by reason of the solar systems under consideration. The document contains requirements and standards applicable to one- and two-family dwellings, multifamily housing, and nursing homes and intermediate care facilities references made in the text to the MPS refer to the same section in the Minimum Property Standards for Housing 4910.1.

  2. PET/CT-guided Interventions: Personnel Radiation Dose

    SciTech Connect (OSTI)

    Ryan, E. Ronan Thornton, Raymond; Sofocleous, Constantinos T.; Erinjeri, Joseph P.; Hsu, Meier; Quinn, Brian; Dauer, Lawrence T.; Solomon, Stephen B.

    2013-08-01

    PurposeTo quantify radiation exposure to the primary operator and staff during PET/CT-guided interventional procedures.MethodsIn this prospective study, 12 patients underwent PET/CT-guided interventions over a 6 month period. Radiation exposure was measured for the primary operator, the radiology technologist, and the nurse anesthetist by means of optically stimulated luminescence dosimeters. Radiation exposure was correlated with the procedure time and the use of in-room image guidance (CT fluoroscopy or ultrasound).ResultsThe median effective dose was 0.02 (range 0-0.13) mSv for the primary operator, 0.01 (range 0-0.05) mSv for the nurse anesthetist, and 0.02 (range 0-0.05) mSv for the radiology technologist. The median extremity dose equivalent for the operator was 0.05 (range 0-0.62) mSv. Radiation exposure correlated with procedure duration and with the use of in-room image guidance. The median operator effective dose for the procedure was 0.015 mSv when conventional biopsy mode CT was used, compared to 0.06 mSv for in-room image guidance, although this did not achieve statistical significance as a result of the small sample size (p = 0.06).ConclusionThe operator dose from PET/CT-guided procedures is not significantly different than typical doses from fluoroscopically guided procedures. The major determinant of radiation exposure to the operator from PET/CT-guided interventional procedures is time spent in close proximity to the patient.

  3. 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.

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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,

  11. 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

  12. 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

  13. 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

  14. 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.

  15. 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

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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

  1. 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,

  2. 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

  3. 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

  4. 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)

  5. 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

  6. 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

  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. Estimated dose rates to members of the public from external exposure to patients with {sup 131}I thyroid treatment

    SciTech Connect (OSTI)

    Dewji, S. Bellamy, M.; Leggett, R.; Eckerman, K.; Hertel, N.; Sherbini, S.; Saba, M.

    2015-04-15

    Purpose: Estimated dose rates that may result from exposure to patients who had been administered iodine-131 ({sup 131}I) as part of medical therapy were calculated. These effective dose rate estimates were compared with simplified assumptions under United States Nuclear Regulatory Commission Regulatory Guide 8.39, which does not consider body tissue attenuation nor time-dependent redistribution and excretion of the administered {sup 131}I. Methods: Dose rates were estimated for members of the public potentially exposed to external irradiation from patients recently treated with {sup 131}I. Tissue attenuation and iodine biokinetics were considered in the patient in a larger comprehensive effort to improve external dose rate estimates. The external dose rate estimates are based on Monte Carlo simulations using the Phantom with Movable Arms and Legs (PIMAL), previously developed by Oak Ridge National Laboratory and the United States Nuclear Regulatory Commission. PIMAL was employed to model the relative positions of the {sup 131}I patient and members of the public in three exposure scenarios: (1) traveling on a bus in a total of six seated or standing permutations, (2) two nursing home cases where a caregiver is seated at 30 cm from the patient’s bedside and a nursing home resident seated 250 cm away from the patient in an adjacent bed, and (3) two hotel cases where the patient and a guest are in adjacent rooms with beds on opposite sides of the common wall, with the patient and guest both in bed and either seated back-to-back or lying head to head. The biokinetic model predictions of the retention and distribution of {sup 131}I in the patient assumed a single voiding of urinary bladder contents that occurred during the trip at 2, 4, or 8 h after {sup 131}I administration for the public transportation cases, continuous first-order voiding for the nursing home cases, and regular periodic voiding at 4, 8, or 12 h after administration for the hotel room cases. Organ

  7. Estimated dose rates to members of the public from external exposure to patients with 131I thyroid treatment

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

    Dewji, S.; Bellamy, M.; Hertel, N.; Leggett, R.; Sherbini, S.; Saba, M.; Eckerman, K.

    2015-03-25

    The purpose of this study is to estimate dose rates that may result from exposure to patients who had been administered iodine-131 (131I) as part of medical therapy were calculated. These effective dose rate estimates were compared with simplified assumptions under United States Nuclear Regulatory Commission Regulatory Guide 8.39, which does not consider body tissue attenuation nor time-dependent redistribution and excretion of the administered 131I. Methods: Dose rates were estimated for members of the public potentially exposed to external irradiation from patients recently treated with 131I. Tissue attenuation and iodine biokinetics were considered in the patient in a larger comprehensivemore » effort to improve external dose rate estimates. The external dose rate estimates are based on Monte Carlo simulations using the Phantom with Movable Arms and Legs (PIMAL), previously developed by Oak Ridge National Laboratory and the United States Nuclear Regulatory Commission. PIMAL was employed to model the relative positions of the 131I patient and members of the public in three exposure scenarios: (1) traveling on a bus in a total of six seated or standing permutations, (2) two nursing home cases where a caregiver is seated at 30 cm from the patient’s bedside and a nursing home resident seated 250 cm away from the patient in an adjacent bed, and (3) two hotel cases where the patient and a guest are in adjacent rooms with beds on opposite sides of the common wall, with the patient and guest both in bed and either seated back-to-back or lying head to head. The biokinetic model predictions of the retention and distribution of 131I in the patient assumed a single voiding of urinary bladder contents that occurred during the trip at 2, 4, or 8 h after 131I administration for the public transportation cases, continuous first-order voiding for the nursing home cases, and regular periodic voiding at 4, 8, or 12 h after administration for the hotel room cases. Organ

  8. Occupational Radiation Exposure During Endovascular Aortic Repair

    SciTech Connect (OSTI)

    Sailer, Anna M.; Schurink, Geert Willem H.; Bol, Martine E. Haan, Michiel W. de Zwam, Willem H. van Wildberger, Joachim E. Jeukens, Cécile R. L. P. N.

    2015-08-15

    PurposeThe aim of the study was to evaluate the radiation exposure to operating room personnel and to assess determinants for high personal doses during endovascular aortic repair.Materials and MethodsOccupational radiation exposure was prospectively evaluated during 22 infra-renal aortic repair procedures (EVAR), 11 thoracic aortic repair procedures (TEVAR), and 11 fenestrated or branched aortic repair procedures (FEVAR). Real-time over-lead dosimeters attached to the left breast pocket measured personal doses for the first operators (FO) and second operators (SO), radiology technicians (RT), scrub nurses (SN), anesthesiologists (AN), and non-sterile nurses (NSN). Besides protective apron and thyroid collar, no additional radiation shielding was used. Procedural dose area product (DAP), iodinated contrast volume, fluoroscopy time, patient’s body weight, and C-arm angulation were documented.ResultsAverage procedural FO dose was significantly higher during FEVAR (0.34 ± 0.28 mSv) compared to EVAR (0.11 ± 0.21 mSv) and TEVAR (0.06 ± 0.05 mSv; p = 0.003). Average personnel doses were 0.17 ± 0.21 mSv (FO), 0.042 ± 0.045 mSv (SO), 0.019 ± 0.042 mSv (RT), 0.017 ± 0.031 mSv (SN), 0.006 ± 0.007 mSv (AN), and 0.004 ± 0.009 mSv (NSN). SO and AN doses were strongly correlated with FO dose (p = 0.003 and p < 0.001). There was a significant correlation between FO dose and procedural DAP (R = 0.69, p < 0.001), iodinated contrast volume (R = 0.67, p < 0.001) and left-anterior C-arm projections >60° (p = 0.02), and a weak correlation with fluoroscopy time (R = 0.40, p = 0.049).ConclusionAverage FO dose was a factor four higher than SO dose. Predictors for high personal doses are procedural DAP, iodinated contrast volume, and left-anterior C-arm projections greater than 60°.

  9. Optimal Technology Investment and Operation in Zero-Net-Energy Buildings with Demand Response

    SciTech Connect (OSTI)

    Stadler , Michael; Siddiqui, Afzal; Marnay, Chris; ,, Hirohisa Aki; Lai, Judy

    2009-05-26

    The US Department of Energy has launched the Zero-Net-Energy (ZNE) Commercial Building Initiative (CBI) in order to develop commercial buildings that produce as much energy as they use. Its objective is to make these buildings marketable by 2025 such that they minimize their energy use through cutting-edge energy-efficient technologies and meet their remaining energy needs through on-site renewable energy generation. We examine how such buildings may be implemented within the context of a cost- or carbon-minimizing microgrid that is able to adopt and operate various technologies, such as photovoltaic (PV) on-site generation, heat exchangers, solar thermal collectors, absorption chillers, and passive / demand-response technologies. We use a mixed-integer linear program (MILP) that has a multi-criteria objective function: the minimization of a weighted average of the building's annual energy costs and carbon / CO2 emissions. The MILP's constraints ensure energy balance and capacity limits. In addition, constraining the building's energy consumed to equal its energy exports enables us to explore how energy sales and demand-response measures may enable compliance with the CBI. Using a nursing home in northern California and New York with existing tariff rates and technology data, we find that a ZNE building requires ample PV capacity installed to ensure electricity sales during the day. This is complemented by investment in energy-efficient combined heat and power equipment, while occasional demand response shaves energy consumption. A large amount of storage is also adopted, which may be impractical. Nevertheless, it shows the nature of the solutions and costs necessary to achieve ZNE. For comparison, we analyze a nursing home facility in New York to examine the effects of a flatter tariff structure and different load profiles. It has trouble reaching ZNE status and its load reductions as well as efficiency measures need to be more effective than those in the CA case

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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

  19. 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,"

  20. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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,

  6. 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

  7. 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

  8. 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.

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. Conceptualisation of the characteristics of advanced practitioners in the medical radiation professions

    SciTech Connect (OSTI)

    Smith, Tony; Harris, Jillian; Woznitza, Nick; Maresse, Sharon; Sale, Charlotte

    2015-09-15

    Professions grapple with defining advanced practice and the characteristics of advanced practitioners. In nursing and allied health, advanced practice has been defined as ‘a state of professional maturity in which the individual demonstrates a level of integrated knowledge, skill and competence that challenges the accepted boundaries of practice and pioneers new developments in health care’. Evolution of advanced practice in Australia has been slower than in the United Kingdom, mainly due to differences in demography, the health system and industrial relations. This article describes a conceptual model of advanced practitioner characteristics in the medical radiation professions, taking into account experiences in other countries and professions. Using the CanMEDS framework, the model includes foundation characteristics of communication, collaboration and professionalism, which are fundamental to advanced clinical practice. Gateway characteristics are: clinical expertise, with high level competency in a particular area of clinical practice; scholarship and teaching, including a masters qualification and knowledge dissemination through educating others; and evidence-based practice, with judgements made on the basis of research findings, including research by the advanced practitioner. The pinnacle of advanced practice is clinical leadership, where the practitioner has a central role in the health care team, with the capacity to influence decision making and advocate for others, including patients. The proposed conceptual model is robust yet adaptable in defining generic characteristics of advanced practitioners, no matter their clinical specialty. The advanced practice roles that evolve to meet future health service demand must focus on the needs of patients, local populations and communities.

  16. QER- Comment of Beth Markens 1

    Broader source: Energy.gov [DOE]

    I'm writing to state that New England does not need to draw energy from "natural" gas out of the Marcellus Shale. This so called "natural" gas is increasingly unconventional gas. It is well known that gas from the Marcellus Shale is exponentially higher in radioactivity. This poses a severe health risk to Massachusetts residents in a number of ways. Pipelines leak. And proposed pipelines will run through all of our aquifers and watersheds. There is a disproportionately high level of environmental damage, ruining of drinking water, difficulties of disposing of ruined drinking water, and an obscenely high emission from both wellheads and pipelines. As a Master's level nursing professional, I feel this is incredibly dangerous and a foolhardy method for a small number of individuals to gain an obscene amount of private wealth while the rest of us face enormous consequences. Massachusetts does not need to become the shipping grid for the Marcellus Shale. And this seems like a ploy by two big investment companies to exploit eminent domain for private profit. I have great concern for the health and well-being of citizens of Massachusetts. It certainly seems like a plan to euthanize citizens. --Beth Ashley Markens, RN

  17. Distributed Energy Resources On-Site Optimization for Commercial Buildings with Electric and Thermal Storage Technologies

    SciTech Connect (OSTI)

    Lacommare, Kristina S H; Stadler, Michael; Aki, Hirohisa; Firestone, Ryan; Lai, Judy; Marnay, Chris; Siddiqui, Afzal

    2008-05-15

    The addition of storage technologies such as flow batteries, conventional batteries, and heat storage can improve the economic as well as environmental attractiveness of on-site generation (e.g., PV, fuel cells, reciprocating engines or microturbines operating with or without CHP) and contribute to enhanced demand response. In order to examine the impact of storage technologies on demand response and carbon emissions, a microgrid's distributed energy resources (DER) adoption problem is formulated as a mixed-integer linear program that has the minimization of annual energy costs as its objective function. By implementing this approach in the General Algebraic Modeling System (GAMS), the problem is solved for a given test year at representative customer sites, such as schools and nursing homes, to obtain not only the level of technology investment, but also the optimal hourly operating schedules. This paper focuses on analysis of storage technologies in DER optimization on a building level, with example applications for commercial buildings. Preliminary analysis indicates that storage technologies respond effectively to time-varying electricity prices, i.e., by charging batteries during periods of low electricity prices and discharging them during peak hours. The results also indicate that storage technologies significantly alter the residual load profile, which can contribute to lower carbon emissions depending on the test site, its load profile, and its adopted DER technologies.

  18. Preserving Nuclear Grade Knowledge

    SciTech Connect (OSTI)

    Lange, Bob

    2008-02-05

    When people think of the government they think of the President, or Congress, or the Internal Revenue Service (IRS), but there are thousands of people in government-related jobs doing things most don’t really notice everyday. You can find them everywhere, from the space science folks at NASA, to the Federal Bureau of Investigations (FBI) watching out for the bad guys. There are Rangers, and Social Workers, Nurses and Agricultural Managers. They are people working to keep the many facets of the USA rolling. One very diverse bunch is The Department of Energy (DOE) , a group who is expanding the ways we make and save energy to power our cars, homes, and businesses. Tucked away under the DOE is the National Nuclear Security Administration, the NNSA is an agency that maintains the safety, security, and reliability of the U.S. nuclear weapons stockpile. It works to reduce global danger from weapons of mass destruction. It provides the U.S. Navy with safe nuclear propulsion, and it responds to nuclear and radiological emergencies in the United States and abroad, and it supports efforts in science and technology*. (* DOE/NNSA/KCP website info)

  19. 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.

  20. 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.

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. SU-E-I-57: Estimating the Occupational Eye Lens Dose in Interventional Radiology Using Active Personal Dosimeters Worn On the Chest

    SciTech Connect (OSTI)

    Omar, A; Marteinsdottir, M; Kadesjo, N; Fransson, A

    2015-06-15

    Purpose: To provide a general formalism for determination of occupational eye lens dose based on the response of an active personal dosimeter (APD) worn at chest level above the radiation protection apron. Methods: The formalism consists of three factors: (1) APD conversion factor converting the reading at chest level (APDchest) to the corresponding personal dose equivalent at eye level, (2) Dose conversion factor transferring the measured dose quantity, Hp(10), into a dose quantity relevant for the eye lens dose, (3) Correction factor accounting for differences in exposure of the eye(s) compared to the exposure at chest level (e.g., due to protective lead glasses).The different factors were investigated and evaluated based on phantom and clinical measurements performed in an x-ray angiography suite for interventional cardiology. Results: The eye lens dose can be conservatively estimated by assigning an appropriate numerical value to each factor entering the formalism that in most circumstances overestimates the dose. Doing so, the eye lens dose to the primary operator and assisting staff was estimated in this work as D-eye,primary = 2.0 APDchest and D-eye,assisting = 1.0 APDchest, respectively.The annual eye lens dose to three nurses and one cardiologist was estimated to be 2, 2, 2, and 13 mSv (Hp(0.07)), respectively, using a TLD dosimeter worn at eye level. In comparison, using the formalism and APDchest measurements, the respective doses were 2, 2, 2, and 16 mSv (Hp(3)). Conclusion: The formalism outlined in this work can be used to estimate the occupational eye lens dose from the response of an APD worn on the chest. The formalism is general and could be applied also to other types of dosimeters. However, the numerical value of the different factors may differ from those obtained with the APD’s used in this work due to differences in dosimeter properties.

  13. Impact of human genome initiative-derived technology on genetic testing, screening and counseling: Cultural, ethical and legal issues

    SciTech Connect (OSTI)

    Trottier, R.W.; Hodgin, F.C.; Imara, M.; Phoenix, D.; Lybrook, S. . School of Medicine); Crandall, L.A.; Moseley, R.E.; Armotrading, D. . Coll. of Medicine)

    1993-01-01

    Genetic medical services provided by the Georgia Division of Public Health in two northern and two central districts are compared to services provided in a district in which a tertiary care facility is located. Genetics outreach public health nurses play key roles in Georgia's system of Children's Health Services Genetics Program, including significant roles as counselors and information sources on special needs social services and support organizations. Unique features of individual health districts, (e.g., the changing face of some rural communities in ethnocultural diversity and socioeconomic character), present new challenges to current and future genetics services delivery. Preparedness as to educational needs of both health professionals and the lay population is of foremost concern in light of the ever expanding knowledge and technology in medical genetics. Perspectives on genetics and an overview of services offered by a local private sector counselor are included for comparison to state supported services. The nature of the interactions which transpire between private and public genetic services resources in Georgia will be described. A special focus of this research includes issues associated with sickle cell disease newborn screening service delivery process in Georgia, with particular attention paid to patient follow-up and transition to primary care. Of particular interest to this focus is the problem of loss to follow-up in the current system. Critical factors in education and counseling of sickle cell patients and the expectations of expanding roles of primary care physicians are discussed. The Florida approach to the delivery of genetic services contrasts to the Georgia model by placing more emphasis on a consultant-specialist team approach.

  14. Impact of human genome initiative-derived technology on genetic testing, screening and counseling: Cultural, ethical and legal issues. Progress report

    SciTech Connect (OSTI)

    Trottier, R.W.; Hodgin, F.C.; Imara, M.; Phoenix, D.; Lybrook, S.; Crandall, L.A.; Moseley, R.E.; Armotrading, D.

    1993-03-01

    Genetic medical services provided by the Georgia Division of Public Health in two northern and two central districts are compared to services provided in a district in which a tertiary care facility is located. Genetics outreach public health nurses play key roles in Georgia`s system of Children`s Health Services Genetics Program, including significant roles as counselors and information sources on special needs social services and support organizations. Unique features of individual health districts, (e.g., the changing face of some rural communities in ethnocultural diversity and socioeconomic character), present new challenges to current and future genetics services delivery. Preparedness as to educational needs of both health professionals and the lay population is of foremost concern in light of the ever expanding knowledge and technology in medical genetics. Perspectives on genetics and an overview of services offered by a local private sector counselor are included for comparison to state supported services. The nature of the interactions which transpire between private and public genetic services resources in Georgia will be described. A special focus of this research includes issues associated with sickle cell disease newborn screening service delivery process in Georgia, with particular attention paid to patient follow-up and transition to primary care. Of particular interest to this focus is the problem of loss to follow-up in the current system. Critical factors in education and counseling of sickle cell patients and the expectations of expanding roles of primary care physicians are discussed. The Florida approach to the delivery of genetic services contrasts to the Georgia model by placing more emphasis on a consultant-specialist team approach.

  15. Integrated Building Energy Systems Design Considering Storage Technologies

    SciTech Connect (OSTI)

    Stadler, Michael; Marnay, Chris; Siddiqui, Afzal; Lai, Judy; Aki, Hirohisa

    2009-04-07

    The addition of storage technologies such as flow batteries, conventional batteries, and heat storage can improve the economic, as well as environmental attraction of micro-generation systems (e.g., PV or fuel cells with or without CHP) and contribute to enhanced demand response. The interactions among PV, solar thermal, and storage systems can be complex, depending on the tariff structure, load profile, etc. In order to examine the impact of storage technologies on demand response and CO2 emissions, a microgrid's distributed energy resources (DER) adoption problem is formulated as a mixed-integer linear program that can pursue two strategies as its objective function. These two strategies are minimization of its annual energy costs or of its CO2 emissions. The problem is solved for a given test year at representative customer sites, e.g., nursing homes, to obtain not only the optimal investment portfolio, but also the optimal hourly operating schedules for the selected technologies. This paper focuses on analysis of storage technologies in micro-generation optimization on a building level, with example applications in New York State and California. It shows results from a two-year research projectperformed for the U.S. Department of Energy and ongoing work. Contrary to established expectations, our results indicate that PV and electric storage adoption compete rather than supplement each other considering the tariff structure and costs of electricity supply. The work shows that high electricity tariffs during on-peak hours are a significant driver for the adoption of electric storage technologies. To satisfy the site's objective of minimizing energy costs, the batteries have to be charged by grid power during off-peak hours instead of PV during on-peak hours. In contrast, we also show a CO2 minimization strategy where the common assumption that batteries can be charged by PV can be fulfilled at extraordinarily high energy costs for the site.

  16. Feasibility of Economic Analysis of Radiation Therapy Oncology Group (RTOG) 91-11 Using Medicare Data

    SciTech Connect (OSTI)

    Konski, Andre; Bhargavan, Mythreyi; Owen, Jean; Paulus, Rebecca; Cooper, Jay; Forastiere, Arlene; Ang, K. Kian; Watkins-Bruner, Deborah

    2011-02-01

    Purpose: The specific aim of this analysis was to evaluate the feasibility of performing a cost-effectiveness analysis using Medicare data from patients treated on a randomized Phase III clinical trial. Methods and Materials: Cost data included Medicare Part A and Part B costs from all providers-inpatient, outpatient, skilled nursing facility, home health, hospice, and physicians-and were obtained from the Centers for Medicare and Medicaid Services for patients eligible for Medicare, treated on Radiation Therapy Oncology Group (RTOG) 9111 between 1992 and 1996. The 47-month expected discounted (annual discount rate of 3%) cost for each arm of the trial was calculated in 1996 dollars, with Kaplan-Meier sampling average estimates of survival probabilities for each month and mean monthly costs. Overall and disease-free survival was also discounted 3%/year. The analysis was performed from a payer's perspective. Incremental cost-effectiveness ratios were calculated comparing the chemotherapy arms to the radiation alone arm. Results: Of the 547 patients entered, Medicare cost data and clinical outcomes were available for 66 patients. Reasons for exclusion included no RTOG follow-up, Medicare HMO enrollment, no Medicare claims since trial entry, and trial entry after 1996. Differences existed between groups in tumor characteristics, toxicity, and survival, all which could affect resource utilization. Conclusions: Although we were able to test the methodology of economic analysis alongside a clinical trial using Medicare data, the results may be difficult to translate to the entire trial population because of non-random missing data. Methods to improve Medicare data capture and matching to clinical trial samples are required.

  17. Small boiler uses waste coal

    SciTech Connect (OSTI)

    Virr, M.J.

    2009-07-15

    Burning coal waste in small boilers at low emissions poses considerable problem. While larger boiler suppliers have successfully installed designs in the 40 to 80 MW range for some years, the author has been developing small automated fluid bed boiler plants for 25 years that can be applied in the range of 10,000 to 140,000 lbs/hr of steam. Development has centered on the use of an internally circulating fluid bed (CFB) boiler, which will burn waste fuels of most types. The boiler is based on the traditional D-shaped watertable boiler, with a new type of combustion chamber that enables a three-to-one turndown to be achieved. The boilers have all the advantages of low emissions of the large fluid boilers while offering a much lower height incorporated into the package boiler concept. Recent tests with a waste coal that had a high nitrogen content of 1.45% demonstrated a NOx emission below the federal limit of 0.6 lbs/mm Btu. Thus a NOx reduction on the order of 85% can be demonstrate by combustion modification alone. Further reductions can be made by using a selective non-catalytic reduction (SNCR) system and sulfur absorption of up to 90% retention is possible. The article describes the operation of a 30,000 lbs/hr boiler at the Fayette Thermal LLC plant. Spinheat has installed three ICFB boilers at a nursing home and a prison, which has been tested on poor-grade anthracite and bituminous coal. 2 figs.

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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)

  14. 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

  15. 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

  16. 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.

  17. 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.

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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 510{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.

  15. 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.

  16. 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.

  17. 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.

  18. Awareness and knowledge of methylmercury in fish in the United States

    SciTech Connect (OSTI)

    Lando, Amy M.; Zhang, Yuanting

    2011-04-15

    In the 1970s several states in the Great Lakes region became concerned about mercury contamination in lakes and rivers and were the first to issue local fish consumption advisories. In 2001, the Food and Drug Administration (FDA) advised pregnant women, nursing mothers, young children, and women who may become pregnant not to consume shark, swordfish, king mackerel, and tilefish and recommended that these women not exceed 12 ounces of other fish per week. In 2004, FDA reissued this advice jointly with the U.S. Environmental Protection Agency (EPA) and modified it slightly to provide information about consumption of canned tuna and more details about consumption of recreationally caught fish. Though several studies have examined consumers' awareness of the joint FDA and EPA advisory as well as different state advisories, few used representative data. We examined the changes in awareness and knowledge of mercury as a problem in fish using the pooled nationally representative 2001 and 2006 Food Safety Surveys (FSS) with sample sizes of 4482 in 2001 and 2275 in 2006. Our results indicated an increase in consumers' awareness of mercury as a problem in fish (69% in 2001 to 80% in 2006, p<.001). In our regression models, we found that in both years, parents having children less than 5 years of age were more aware of mercury in fish and knowledgeable about the information contained in the national advisories about mercury in fish (p<.01) than other adults. In both 2001 and 2006, women of childbearing age (aged 18-45) were less aware and knowledgeable about this information than other women. However, women of all age groups had larger gains in awareness and knowledge than their male counterparts during this time. Participants' race, education, income, region, fish preparation experiences, having a foodborne illness in the past year, and risk perceptions about the safety of food were significant predictors of their awareness and knowledge. - Research highlights: {yields} We

  19. Informed Consent for Interventional Radiology Procedures: A Survey Detailing Current European Practice

    SciTech Connect (OSTI)

    O'Dwyer, H.M.; Lyon, S.M.; Fotheringham, T.; Lee, M.J.

    2003-09-15

    majority of respondents were satisfied with their level of explanation regarding indications for treatment (69.3%) and the procedure (78.7%). Fifty-nine percent felt patients understood alternative treatment options. Only 37.8% of radiologists document possible complications in the patient's chart. Comments from respondents indicated that there is insufficient time for radiologists to obtain consent in all patients. Suggestions to improve current local policies included developing the role of radiology nursing staff and the use of radiology outpatient clinics. Conclusions: More than 50% of respondents are unhappy with their policies for obtaining informed consent. Interventional societies have a role to play in advocating formal consent guidelines.

  20. Establishment of warm-season native grasses and forbs on drastically disturbed lands

    SciTech Connect (OSTI)

    Miller, S.

    1998-12-31

    Establishment of warm-season native grasses and forbs (WSNGs) has been viewed by landowners, agronomists, natural resource managers and reclamation specialists as being too expensive and difficult, especially for reclamation, which requires early stand closure and erosion control. Natural resource managers have learned a great deal about establishing WSNGs since the implementation of the 1985 Farm Bill`s Conservation Reserve Program (CRP). Reclamation specialists must begin to use this information to improve reclamation success. Quality control of seed equipment and planting methods has been proven to be the crucial first step in successful establishment. Seedling germination, growth and development of WSNGs are different from that of introduced cool-season grasses and legumes. Specialized seed drills and spring planting periods are essential. Because shoot growth lags far behind root growth the first two seasons, WSNGs often are rejected for reclamation use. Usually, the rejection is based on preconceived notions that bare ground will erode and on reclamation specialists` desire for a closed, uniform, grassy lawn. WSNG`s extensive root systems inhibit rill and gully erosion by the fall of the first season. Planting a weakly competitive, short-lived nurse crop such as perennial ryegrass (Lolium perenne) at low rates with the WSNG mixture can reduce first-season sheet and rill erosion problems and give an appearance of a closed stand. Benefits of WSNGs in soil building and their acid-tolerance make them ideal species for reclamation of drastically disturbed lands. WSNGs and forbs enhance wildlife habitat and promote natural succession and the invasion of the reclamation site by other native species, particularly hardwood trees, increasing diversity and integrating the site into the local ecosystem. This is perhaps their most important attribute. Most alien grasses and legumes inhibit natural succession, slowing the development of a stable mine soil ecosystem. This

  1. Estimation of placental and lactational transfer and tissue distribution of atrazine and its main metabolites in rodent dams, fetuses, and neonates with physiologically based pharmacokinetic modeling

    SciTech Connect (OSTI)

    Lin, Zhoumeng; Fisher, Jeffrey W.; Wang, Ran; Ross, Matthew K.; Filipov, Nikolay M.

    2013-11-15

    fetus is exposed to atrazine/its main metabolite at levels similar to the dam. The nursing neonate is exposed primarily to atrazine's main metabolite DACT.

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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.

  7. {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

  8. 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#

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.