National Library of Energy BETA

Sample records for in-patient health care

  1. Health Care Buildings: Subcategories Table

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

    Subcategories Table Selected Data by Type of Health Care Building Number of Buildings (thousand) Percent of Buildings Floorspace (million square feet) Percent of Floorspace Square...

  2. Health Care Buildings: Equipment Table

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

    Equipment Table Buildings, Size and Age Data by Equipment Types for Health Care Buildings Number of Buildings (thousand) Percent of Buildings Floorspace (million square feet)...

  3. Health Care Buildings: Consumption Tables

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

    Consumption Tables Sum of Major Fuel Consumption by Size and Type of Health Care Building Total (trillion Btu) per Building (million Btu) per Square Foot (thousand Btu) Dollars per...

  4. Health Care (Outpatient) | Open Energy Information

    Open Energy Info (EERE)

    Jump to: navigation, search Building Type Health Care (Outpatient) Definition Buildings used as diagnostic and treatment facilities for outpatient care. Medical offices are...

  5. Health Care Buildings : Basic Characteristics Tables

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

    Basic Characteristics Tables Buildings and Size Data by Basic Characteristics for Health Care Buildings Number of Buildings (thousand) Percent of Buildings Floorspace (million...

  6. Health Care (Inpatient) | Open Energy Information

    Open Energy Info (EERE)

    Building Types 1 References EIA CBECS Building Types U.S. Energy Information Administration (Oct 2008) Retrieved from "http:en.openei.orgwindex.php?titleHealthCare(Inp...

  7. Veteran's Affairs Health Care System, West Haven, Connecticut...

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

    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...

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

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

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

  9. 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

  10. A Look at Health Care Buildings - How large are they

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

    Large? Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are they...

  11. A Look at Health Care Buildings - How old are they

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

    Old? Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are they on...

  12. A Look at Health Care Buildings - Where are they located

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

    Location Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are they...

  13. A Look at Health Care Buildings - Index Page

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

    Health Care Home: A Look at CBECS Building Activities How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are...

  14. Developing New Mexico Health Care Policy: An application of the Vital Issues Process

    SciTech Connect (OSTI)

    Engi, D.; Icerman, L.

    1995-06-01

    The Vital Issues Process, developed by the Sandia National Laboratories Strategic Technologies Department, was utilized by the Health Care Task Force Advisory Group to apply structure to their policy deliberations. By convening three expert panels, an overarching goal for the New Mexico health care system, seven desired outcomes, nine policy options, and 17 action items were developed for the New Mexico health care system. Three broadly stated evaluation criteria were articulated and used to produce relative rankings of the desired outcomes and policy options for preventive care and information systems. Reports summarizing the policy deliberations were submitted for consideration by the Health Care Task Force, a Joint Interim Committee of the New Mexico Legislature, charged with facilitating the development and implementation of a comprehensive health care delivery system for New Mexico. The Task Force reported its findings and recommendations to the Second Session of the 41st New Mexico State Legislature in January 1994.

  15. The role of technology in reducing health care costs. Final project report

    SciTech Connect (OSTI)

    Sill, A.E.; Warren, S.; Dillinger, J.D.; Cloer, B.K.

    1997-08-01

    Sandia National Laboratories applied a systems approach to identifying innovative biomedical technologies with the potential to reduce U.S. health care delivery costs while maintaining care quality. This study was conducted by implementing both top-down and bottom-up strategies. The top-down approach used prosperity gaming methodology to identify future health care delivery needs. This effort provided roadmaps for the development and integration of technology to meet perceived care delivery requirements. The bottom-up approach identified and ranked interventional therapies employed in existing care delivery systems for a host of health-related conditions. Economic analysis formed the basis for development of care pathway interaction models for two of the most pervasive, chronic disease/disability conditions: coronary artery disease (CAD) and benign prostatic hypertrophy (BPH). Societal cost-benefit relationships based on these analyses were used to evaluate the effect of emerging technology in these treatment areas. 17 figs., 48 tabs.

  16. A Look at Health Care Buildings - What type of equipment do they...

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

    Equipment Used Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them?...

  17. A Look at Health Care Buildings - How do they use electricity

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

    Electricity Usage Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them?...

  18. A Look at Health Care Buildings - Are many employees are there

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

    Many Employees? Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them?...

  19. A Look at Health Care Buildings - How do they measure up on conservati...

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

    They Measure Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are...

  20. A Look at Health Care Buildings - Are they on multibuilding complexes

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

    Multibuilding Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are...

  1. A Look at Health Care Buildings - How do they use natural gas

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

    Natural Gas Usage Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them?...

  2. A Look at Health Care Buildings - How do they use energy and...

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

    Energy Use and Cost Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies...

  3. A Look at Health Care Buildings - Who owns and occupies them

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

    Who Owns? Return to: A Look at Health Care Buildings How large are they? How many employees are there? Where are they located? How old are they? Who owns and occupies them? Are...

  4. Assessment of medical waste management at a primary health-care center in Sao Paulo, Brazil

    SciTech Connect (OSTI)

    Moreira, A.M.M.; Guenther, W.M.R.

    2013-01-15

    Highlights: Black-Right-Pointing-Pointer Assessment of medical waste management at health-care center before/after intervention. Black-Right-Pointing-Pointer Qualitative and quantitative results of medical waste management plan are presented. Black-Right-Pointing-Pointer Adjustments to comply with regulation were adopted and reduction of waste was observed. Black-Right-Pointing-Pointer The method applied could be useful for similar establishments. - Abstract: According to the Brazilian law, implementation of a Medical Waste Management Plan (MWMP) in health-care units is mandatory, but as far as we know evaluation of such implementation has not taken place yet. The purpose of the present study is to evaluate the improvements deriving from the implementation of a MWMP in a Primary Health-care Center (PHC) located in the city of Sao Paulo, Brazil. The method proposed for evaluation compares the first situation prevailing at this PHC with the situation 1 year after implementation of the MWMP, thus allowing verification of the evolution of the PHC performance. For prior and post-diagnosis, the method was based on: (1) application of a tool (check list) which considered all legal requirements in force; (2) quantification of solid waste subdivided into three categories: infectious waste and sharp devices, recyclable materials and non-recyclable waste; and (3) identification of non-conformity practices. Lack of knowledge on the pertinent legislation by health workers has contributed to non-conformity instances. The legal requirements in force in Brazil today gave origin to a tool (check list) which was utilized in the management of medical waste at the health-care unit studied. This tool resulted into an adequate and simple instrument, required a low investment, allowed collecting data to feed indicators and also conquered the participation of the unit whole staff. Several non-conformities identified in the first diagnosis could be corrected by the instrument utilized

  5. Genetics and Common Disorders: Implications for Primary Care and Public Health Providers

    SciTech Connect (OSTI)

    McInerney, Joseph D.; Greendale, Karen; Peay, Holly L.

    2005-06-01

    We developed this program for primary care providers (PCPs) and public health professionals (PHPs) who are interested in increasing their understanding of the genetics of common chronic diseases and of the implications of genetics and genomics for their fields. The program differs from virtually all previous educational efforts in genetics for health professionals in that it focuses on the genetics of common chronic disease and on the broad principles that emerge when one views disease from the perspectives of variation and individuality, which are at the heart of thinking genetically. The CD-ROM introduces users to content that will improve their understanding of topics such as: • A framework for genetics and common disease; • Basic information on genetics, genomics, genetic medicine, and public health genetics, all in the context of common chronic disease; • The status of research on genetic contributions to specific common diseases, including a review of research methods; • Genetic/environmental interaction as the new “central dogma” of public health genetics; • The importance of taking and analyzing a family history; • The likely impact of potential gene discovery and genetic testing on genetic counseling and risk assessment and on the practices of PCPs and PHPs; • Stratification of populations into low-, moderate-, and high-risk categories; • The potential role of PCPs and PHPs in identifying high-risk individuals and families, in providing limited genetics services, and in referring to clinical genetics specialists; the potential for standard referral algorithms; • Implications of genetic insights for diagnosis and treatment; • Ethical, legal, and social issues that arise from genetic testing for common chronic diseases; and • Specific prevention strategies based on understanding of genetics and genetic/ environmental interactions. The interactive content – developed by experts in genetics, primary care, and public health – is

  6. Activity Diagrams for DEVS Models: A Case Study Modeling Health Care Behavior

    SciTech Connect (OSTI)

    Ozmen, Ozgur; Nutaro, James J

    2015-01-01

    Discrete Event Systems Specification (DEVS) is a widely used formalism for modeling and simulation of discrete and continuous systems. While DEVS provides a sound mathematical representation of discrete systems, its practical use can suffer when models become complex. Five main functions, which construct the core of atomic modules in DEVS, can realize the behaviors that modelers want to represent. The integration of these functions is handled by the simulation routine, however modelers can implement each function in various ways. Therefore, there is a need for graphical representations of complex models to simplify their implementation and facilitate their reproduction. In this work, we illustrate the use of activity diagrams for this purpose in the context of a health care behavior model, which is developed with an agent-based modeling paradigm.

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

    SciTech Connect (OSTI)

    Komilis, Dimitrios; Fouki, Anastassia; Papadopoulos, Dimitrios

    2012-07-15

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

  8. 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.

  9. Kaiser Permanente-Sandia National Health Care Model: Phase 1 prototype final report. Part 2 -- Domain analysis

    SciTech Connect (OSTI)

    Edwards, D.; Yoshimura, A.; Butler, D.; Judson, R.; Mason, W.; Napolitano, L.; Mariano, R.; Eddy, D.; Schlessinger, L.

    1996-11-01

    This report describes the results of a Cooperative Research and Development Agreement between Sandia National Laboratories and Kaiser Permanente Southern California to develop a prototype computer model of Kaiser Permanente`s health care delivery system. As a discrete event simulation, SimHCO models for each of 100,000 patients the progression of disease, individual resource usage, and patient choices in a competitive environment. SimHCO is implemented in the object-oriented programming language C{sup 2}, stressing reusable knowledge and reusable software components. The versioned implementation of SimHCO showed that the object-oriented framework allows the program to grow in complexity in an incremental way. Furthermore, timing calculations showed that SimHCO runs in a reasonable time on typical workstations, and that a second phase model will scale proportionally and run within the system constraints of contemporary computer technology.

  10. Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method

    SciTech Connect (OSTI)

    Liu, Hu-Chen; Wu, Jing; Li, Ping

    2013-12-15

    Highlights: • Propose a VIKOR-based fuzzy MCDM technique for evaluating HCW disposal methods. • Linguistic variables are used to assess the ratings and weights for the criteria. • The OWA operator is utilized to aggregate individual opinions of decision makers. • A case study is given to illustrate the procedure of the proposed framework. - Abstract: Nowadays selection of the appropriate treatment method in health-care waste (HCW) management has become a challenge task for the municipal authorities especially in developing countries. Assessment of HCW disposal alternatives can be regarded as a complicated multi-criteria decision making (MCDM) problem which requires consideration of multiple alternative solutions and conflicting tangible and intangible criteria. The objective of this paper is to present a new MCDM technique based on fuzzy set theory and VIKOR method for evaluating HCW disposal methods. Linguistic variables are used by decision makers to assess the ratings and weights for the established criteria. The ordered weighted averaging (OWA) operator is utilized to aggregate individual opinions of decision makers into a group assessment. The computational procedure of the proposed framework is illustrated through a case study in Shanghai, one of the largest cities of China. The HCW treatment alternatives considered in this study include “incineration”, “steam sterilization”, “microwave” and “landfill”. The results obtained using the proposed approach are analyzed in a comparative way.

  11. Health Care Buildings

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

    also tended to be larger than those not on complexes. The average building on a complex was 79.9 thousand square feet, compared to 11.2 thousand square feet for buildings...

  12. Occupational Health Services - HPMC Occupational Health Services

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

    exercise physiology and work conditioning, monitored care and case management, fitness for duty evaluations, health education and wellness promotion, infection control,...

  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. Abbreviated Pandemic Influenza Planning Template for Primary Care Offices

    SciTech Connect (OSTI)

    HCTT CHE

    2010-01-01

    The Abbreviated Pandemic Influenza Plan Template for Primary Care Provider Offices is intended to assist primary care providers and office managers with preparing their offices for quickly putting a plan in place to handle an increase in patient calls and visits, whether during the 2009-2010 influenza season or future influenza seasons.

  15. ARM - CARES - Tracer Forecast for CARES

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

    CampaignsCarbonaceous Aerosols and Radiative Effects Study (CARES)Tracer Forecast for CARES Related Links CARES Home AAF Home ARM Data Discovery Browse Data Post-Campaign Data Sets Field Updates CARES Wiki Campaign Images Experiment Planning Proposal Abstract and Related Campaigns Science Plan Operations Plan Measurements Forecasts News News & Press Backgrounder (PDF, 1.45MB) G-1 Aircraft Fact Sheet (PDF, 1.3MB) Contacts Rahul Zaveri, Lead Scientist Tracer Forecasts for CARES This webpage

  16. Workplace Charging Challenge Partner: Advocate Health Care |...

    Energy Savers [EERE]

    This is why plug-in electric vehicle (PEV) charging stations have become an important part of Advocate's much larger sustainability goals. Advocate has a total of 11 PEV charging ...

  17. Archived Reference Building Type: Outpatient health care

    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.

  18. Archived Reference Building Type: Outpatient health care

    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.

  19. We are providing this notice to you as required by the Affordable Care Act, to i

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

    are providing this notice to you as required by the Affordable Care Act, to inform you about the new health exchange options available under the law. Please feel free to compare the coverage available at the exchanges with coverage at Los Alamos National Security, LLC. New Health Insurance Marketplace Coverage Options and Your Health Coverage PART A: General Information When key parts of the health care law take effect in 2014, there will be a new way to buy health insurance: the Health

  20. ORISE: NHSPI(tm) Provides a Snapshot of Health Security Preparedness...

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

    expanded data. The 2014 NHSPI(tm) project team focused on enhancing two key areas: health care delivery and environmental and occupational health. "This has been a tremendous...

  1. Health & Safety

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

    Health & Safety Health & Safety1354608000000Health & SafetySome of these resources are LANL-only and will require Remote Access.NoQuestions? 667-5809library@lanl.gov Health &...

  2. Health Physicist

    Broader source: Energy.gov [DOE]

    This position is located in the Office of Environment, Health, Safety and Security (EHSS) which manages the Department of Energy's (DOE) major staff organizations responsible for health, safety,...

  3. Health Videos

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

    Health Videos Health Videos Our videos speak more than a thousand words about our science and technology, community outreach, collaborations, careers, and much more. News Releases...

  4. Yukon-Kuskokwim Health Corporation- 2002 Project

    Broader source: Energy.gov [DOE]

    The Yukon-Kuskokwim Health Corporation (YKHC) will conduct a feasibility study for installation of small-scale wind turbines to serve YKHC facilities. Energy cost savings resulting from this project will allow the YKHC to direct more money toward its core mission of providing quality health care to the Alaska Native communities in the Yukon-Kuskokwim Delta region.

  5. ROC analysis in patient specific quality assurance

    SciTech Connect (OSTI)

    Carlone, Marco; MacPherson, Miller; Cruje, Charmainne; Rangel, Alejandra; McCabe, Ryan; Nielsen, Michelle

    2013-04-15

    Purpose: This work investigates the use of receiver operating characteristic (ROC) methods in patient specific IMRT quality assurance (QA) in order to determine unbiased methods to set threshold criteria for {gamma}-distance to agreement measurements. Methods: A group of 17 prostate plans was delivered as planned while a second group of 17 prostate plans was modified with the introduction of random multileaf collimator (MLC) position errors that are normally distributed with {sigma}{approx}{+-}0.5, {+-}1.0, {+-}2.0, and {+-}3.0 mm (a total of 68 modified plans were created). All plans were evaluated using five different {gamma}-criteria. ROC methodology was applied by quantifying the fraction of modified plans reported as 'fail' and unmodified plans reported as 'pass.'Results: {gamma}-based criteria were able to attain nearly 100% sensitivity/specificity in the detection of large random errors ({sigma} > 3 mm). Sensitivity and specificity decrease rapidly for all {gamma}-criteria as the size of error to be detected decreases below 2 mm. Predictive power is null with all criteria used in the detection of small MLC errors ({sigma} < 0.5 mm). Optimal threshold values were established by determining which criteria maximized sensitivity and specificity. For 3%/3 mm {gamma}-criteria, optimal threshold values range from 92% to 99%, whereas for 2%/2 mm, the range was from 77% to 94%. Conclusions: The optimal threshold values that were determined represent a maximized test sensitivity and specificity and are not subject to any user bias. When applied to the datasets that we studied, our results suggest the use of patient specific QA as a safety tool that can effectively prevent large errors (e.g., {sigma} > 3 mm) as opposed to a tool to improve the quality of IMRT delivery.

  6. Climate Care | Open Energy Information

    Open Energy Info (EERE)

    Climate Care Jump to: navigation, search Name: Climate Care Place: Oxford, England, United Kingdom Zip: OX4 1RQ Sector: Carbon Product: Oxford-based carbon offsetting firm- making...

  7. Long Term Care | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    Care icon Federal employees can elect to participate in the Federal Long Term Care Insurance Program (FLTCIP) which provides long term care insurance to Federal employees,...

  8. JLab Seeking Volunteers for United Way Day of Caring | Jefferson Lab

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

    Seeking Volunteers for United Way Day of Caring JLab Seeking Volunteers for United Way Day of Caring The 2016 United Way Day of Caring for the Peninsula will be on Friday, September 9, from 8 a.m. - 5 p.m. Several health and human services organizations throughout Hampton Roads will benefit from the hard work and generous efforts of volunteers for numerous projects. Typical volunteer positions consist of community enhancement projects that encompass a myriad of activities, such as painting,

  9. Before the House Subcommittee on Energy Policy, Health Care ...

    Energy Savers [EERE]

    Before the Subcommittee on Energy and Power - House Committee on Energy and Commerce Summary of LNG Export Applications of the Lower 48 States Before the Senate Energy and Natural ...

  10. Distributed Generation Study/Oakwood Health Care Center | Open...

    Open Energy Info (EERE)

    Combustion Engine Prime Mover Waukesha VGF 18GLD Heat Recovery Systems Built-in Fuel Natural Gas System Installer Gerster Trane System Enclosure Indoor System Application...

  11. Before the Subcommittee on Energy Policy, Health Care, and Entitlement...

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

    Entitlements - House Oversight and Government Reform Committee Testimony of Christopher Smith, Acting Assistant Secretary for Fossil Energy Before the Subcommittee on Energy...

  12. Reference Buildings by Building Type: Outpatient health care

    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.

  13. Project Reports for Yukon-Kuskokwim Health Corporation- 2002 Project

    Office of Energy Efficiency and Renewable Energy (EERE)

    The Yukon-Kuskokwim Health Corporation (YKHC) will conduct a feasibility study for installation of small-scale wind turbines to serve YKHC facilities. Energy cost savings resulting from this project will allow the YKHC to direct more money toward its core mission of providing quality health care to the Alaska Native communities in the Yukon-Kuskokwim Delta region.

  14. Federal Long Tern Care Insurance Program (FLTCIP)

    Broader source: Energy.gov [DOE]

    The Federal Long Term Care Insurance Program (FLTCIP) provides long term care insurance to help pay for costs of care when enrollees need help with activities they perform every day, or you have a...

  15. Structural Health Monitoring

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

    Structural Health Monitoring Engineering Institute Structural Health Monitoring Structural Health Monitoring is the process of implementing a damage detection strategy for...

  16. A new approach to criteria for health risk assessment

    SciTech Connect (OSTI)

    Spickett, Jeffery; Katscherian, Dianne; Goh, Yang Miang

    2012-01-15

    Health Impact Assessment (HIA) is a developing component of the overall impact assessment process and as such needs access to procedures that can enable more consistent approaches to the stepwise process that is now generally accepted in both EIA and HIA. The guidelines developed during this project provide a structured process, based on risk assessment procedures which use consequences and likelihood, as a way of ranking risks to adverse health outcomes from activities subjected to HIA or HIA as part of EIA. The aim is to assess the potential for both acute and chronic health outcomes. The consequences component also identifies a series of consequences for the health care system, depicted as expressions of financial expenditure and the capacity of the health system. These more specific health risk assessment characteristics should provide for a broader consideration of health consequences and a more consistent estimation of the adverse health risks of a proposed development at both the scoping and risk assessment stages of the HIA process. - Highlights: Black-Right-Pointing-Pointer A more objective approach to health risk assessment is provided. Black-Right-Pointing-Pointer An objective set of criteria for the consequences for chronic and acute impacts. Black-Right-Pointing-Pointer An objective set of criteria for the consequences on the health care system. Black-Right-Pointing-Pointer An objective set of criteria for event frequency that could impact on health. Black-Right-Pointing-Pointer The approach presented is currently being trialled in Australia.

  17. Behavioral Health Insurance Plan

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

    Behavioral Health Behavioral Health Preauthorization from BCBSNM is required for all behavioral health services. Contact Behavioral Health Unit Mental health services for retirees BlueCross BlueShield of New Mexico (BCBSNM) helps LANL employees identify and benefit from the mental health and substance abuse services they may need through a network of providers, programs and facilities. Use the BCBSNM Provider Finder to select an independently contracted and licensed behavioral health

  18. 2012 CFCNCA Catalog of Caring

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

    catalog of caring ® 2012 Combined Federal Campaign of the National Capital Area Meet Khedidja, a CFCNCA charity beneficiary, Major Gregory, a CFCNCA donor, and Rob, a CFCNCA charity representative. Read their stories online at www.cfcnca.org. DONATE ONLINE TODAY THROUGH THE CFCNCA AT WWW.CFCNCA.ORG # 1 INTRODUCTION ..............................................2 INTERNATIONAL ORGANIZATIONS Jewish Aid Worldwide ............................................................6 Child Aid International

  19. ORISE: Health Physics Training

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

    Health Physics Training Student performs an analysis during an ORAU health physics training course Training and educating a highly skilled workforce that can meet operational ...

  20. Health.PDF

    Energy Savers [EERE]

    at that time to determine if contractor employee health benefit costs were reasonable. ... its fair share of management and operating contractors' employee health benefit costs. ...

  1. House Care Co Ltd | Open Energy Information

    Open Energy Info (EERE)

    Care Co Ltd Jump to: navigation, search Name: House Care Co Ltd Place: Tokyo, Tokyo, Japan Zip: 163-1431 Sector: Solar Product: Japanese insulation and roofing installer which...

  2. Taking Care of our Trails

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

    Trails Taking Care of our Trails Continued access and use of Los Alamos National Laboratory trails is contingent upon being good stewards of these federal lands. Contact Environmental Communication & Public Involvement P.O. Box 1663 MS M996 Los Alamos, NM 87545 (505) 667-0216 Email View in Google Maps Most Laboratory hiking trails reopened Due to a significant drop in the number of bear sightings and encounters the Laboratory has reopened most trails on its property. Several trails on

  3. ORISE: Worker Health Research

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

    Worker Health Research Worker Health Research The Oak Ridge Institute for Science and Education (ORISE) provides technical assistance to the U.S. Department of Energy (DOE) and other government agencies by performing specialized worker health research to assess the health of workers and other populations. Statistical methods, epidemiologic research and hazard assessments are core ORISE worker health research competencies. Because information technology is an integral part of the epidemiologic

  4. In-patient to isocenter KERMA ratios in CT

    SciTech Connect (OSTI)

    Huda, Walter; Ogden, Kent M.; Lavallee, Robert L.; Roskopf, Marsha L.; Scalzetti, Ernest M.

    2011-10-15

    Purpose: To estimate in-patient KERMA for specific organs in computed tomography (CT) scanning using ratios to isocenter free-in-air KERMA obtained using a Rando phantom.Method: A CT scan of an anthropomorphic phantom results in an air KERMA K at a selected phantom location and air kerma K{sub CT} at the CT scanner isocenter when the scan is repeated in the absence of the phantom. The authors define the KERMA ratio (R{sub K}) as K/ K{sub CT}, which were experimentally determined in a Male Rando Phantom using lithium fluoride chips (TLD-100). R{sub K} values were obtained for a total of 400 individual point locations, as well as for 25 individual organs of interest in CT dosimetry. CT examinations of Rando were performed on a GE LightSpeed Ultra scanner operated at 80 kV, 120 kV, and 140 kV, as well as a Siemens Sensation 16 operated at 120 kV. Results: At 120 kV, median R{sub K} values for the GE and Siemens scanners were 0.60 and 0.64, respectively. The 10th percentile R{sub K} values ranged from 0.34 at 80 kV to 0.54 at 140 kV, and the 90th percentile R{sub K} values ranged from 0.64 at 80 kV to 0.78 at 140 kV. The average R{sub K} for the 25 Rando organs at 120 kV was 0.61 {+-} 0.08. Average R{sub K} values in the head, chest, and abdomen showed little variation. Relative to R{sub K} values in the head, chest, and abdomen obtained at 120 kV, R{sub K} values were about 12% lower in the pelvis and about 58% higher in the cervical spine region. Average R{sub K} values were about 6% higher on the Siemens Sensation 16 scanner than the GE LightSpeed Ultra. Reducing the x-ray tube voltage from 120 kV to 80 kV resulted in an average reduction in R{sub K} value of 34%, whereas increasing the x-ray tube voltage to 140 kV increased the average R{sub K} value by 9%. Conclusions: In-patient to isocenter relative KERMA values in Rando phantom can be used to estimate organ doses in similar sized adults undergoing CT examinations from easily measured air KERMA values at the

  5. ORISE: Health Physics Training

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

    Health Physics Training Student performs an analysis during an ORAU health physics training course Training and educating a highly skilled workforce that can meet operational commitments in the areas of radiation and health physics is an essential part of protecting your workers, the public and the environment. ORAU, the managing contractor of the Oak Ridge Institute for Science and Education, offers hands-on, laboratory-based training courses in a variety of health physics areas. Training

  6. Hawaii Department of Health Indoor and Radiological Health Branch...

    Open Energy Info (EERE)

    Indoor and Radiological Health Branch Jump to: navigation, search Name: Hawaii Department of Health Indoor and Radiological Health Branch From Open Energy Information Address: 591...

  7. An Easy Tool to Predict Survival in Patients Receiving Radiation Therapy for Painful Bone Metastases

    SciTech Connect (OSTI)

    Westhoff, Paulien G.; Graeff, Alexander de; Monninkhof, Evelyn M.; Bollen, Laurens; Dijkstra, Sander P.; Steen-Banasik, Elzbieta M. van der; Vulpen, Marco van; Leer, Jan Willem H.; Marijnen, Corrie A.; Linden, Yvette M. van der

    2014-11-15

    Purpose: Patients with bone metastases have a widely varying survival. A reliable estimation of survival is needed for appropriate treatment strategies. Our goal was to assess the value of simple prognostic factors, namely, patient and tumor characteristics, Karnofsky performance status (KPS), and patient-reported scores of pain and quality of life, to predict survival in patients with painful bone metastases. Methods and Materials: In the Dutch Bone Metastasis Study, 1157 patients were treated with radiation therapy for painful bone metastases. At randomization, physicians determined the KPS; patients rated general health on a visual analogue scale (VAS-gh), valuation of life on a verbal rating scale (VRS-vl) and pain intensity. To assess the predictive value of the variables, we used multivariate Cox proportional hazard analyses and C-statistics for discriminative value. Of the final model, calibration was assessed. External validation was performed on a dataset of 934 patients who were treated with radiation therapy for vertebral metastases. Results: Patients had mainly breast (39%), prostate (23%), or lung cancer (25%). After a maximum of 142 weeks' follow-up, 74% of patients had died. The best predictive model included sex, primary tumor, visceral metastases, KPS, VAS-gh, and VRS-vl (C-statistic = 0.72, 95% CI = 0.70-0.74). A reduced model, with only KPS and primary tumor, showed comparable discriminative capacity (C-statistic = 0.71, 95% CI = 0.69-0.72). External validation showed a C-statistic of 0.72 (95% CI = 0.70-0.73). Calibration of the derivation and the validation dataset showed underestimation of survival. Conclusion: In predicting survival in patients with painful bone metastases, KPS combined with primary tumor was comparable to a more complex model. Considering the amount of variables in complex models and the additional burden on patients, the simple model is preferred for daily use. In addition, a risk table for survival is provided.

  8. Carbon Absorber Retrofit Equipment (CARE)

    SciTech Connect (OSTI)

    Klein, Eric

    2015-12-23

    During Project DE-FE0007528, CARE (Carbon Absorber Retrofit Equipment), Neumann Systems Group (NSG) designed, installed and tested a 0.5MW NeuStream® carbon dioxide (CO2) capture system using the patented NeuStream® absorber equipment and concentrated (6 molal) piperazine (PZ) as the solvent at Colorado Springs Utilities’ (CSU’s) Martin Drake pulverized coal (PC) power plant. The 36 month project included design, build and test phases. The 0.5MW NeuStream® CO2 capture system was successfully tested on flue gas from both coal and natural gas combustion sources and was shown to meet project objectives. Ninety percent CO2 removal was achieved with greater than 95% CO2product purity. The absorbers tested support a 90% reduction in absorber volume compared to packed towers and with an absorber parasitic power of less than 1% when configured for operation with a 550MW coal plant. The preliminary techno-economic analysis (TEA) performed by the Energy and Environmental Research Center (EERC) predicted an over-the-fence cost of $25.73/tonne of CO2 captured from a sub-critical PC plant.

  9. Bioscience: Bioenergy, Biosecurity, and Health

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

    Bioscience: Bioenergy, Biosecurity, and Health science-innovationassetsimagesicon-science.jpg Bioscience: Bioenergy, Biosecurity, and Health Los Alamos scientists are ...

  10. ORISE: Health physics services

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

    Health physics services Nuclear power plant The Oak Ridge Institute for Science and Education (ORISE) offers comprehensive health physics services in a number of technical areas for the U.S. Department of Energy (DOE) and U.S. Nuclear Regulatory Commission (NRC), as well as other federal and state agencies. From radiological facility audits and reviews to dose modeling and technical evaluations, ORISE is nationally-recognized for its health physics support to decontamination and decommissioning

  11. Confidentiality Concerns Raised by DNA-Based Tests in the Market-Driven Managed Care Setting

    SciTech Connect (OSTI)

    Kotval, Jeroo S.

    2006-07-28

    In a policy climate where incentives to cherry pick are minimized, Managed Care Organizations can implement practices that safeguard medical privacy to the extent that data is protected from falling into the hands of third parties who could misuse it to discriminate. To the extent that these practices have been codified into the regulatory Network of the Health Insurance Portability and Accountability Act (HIPAA) Consumers may be able to rest easy about their genetic data being revealed to third parties who may discriminate. However, there are limitations to the use of policy instruments to prevent the discrimination of an entire genre of clients by market driven managed care organizations. Policy measures, to assure that knowledge of genetic conditions and their future costs would not be used by market driven managed care organizations to implement institutional policies and products that would implicitly discriminate against a genre of clients with genetic conditions, present difficulties.

  12. ORISE: Health physics services

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

    Health physics services Nuclear power plant The Oak Ridge Institute for Science and ... Nuclear power plant Dose modeling and sssessments We perform dose modeling and assessment ...

  13. Safety and Health

    Broader source: Energy.gov [DOE]

    PPPO’s Safety and Health (S&H) program integrates safety and health requirements and controls into all work activities and oversees implementation of Integrated Safety Management (ISM) within contractor activities to ensure protection to workers, the public, and the environment.

  14. Estimating Preferences for Treatments in Patients With Localized Prostate Cancer

    SciTech Connect (OSTI)

    Ávila, Mónica; Becerra, Virginia; Guedea, Ferran; Suárez, José Francisco; Fernandez, Pablo; Macías, Víctor; Mariño, Alfonso; and others

    2015-02-01

    . These time trade-off and standard gamble preference assessments as well as the willingness-to-pay estimation could be useful to perform respectively cost-utility or cost-benefit analyses, which can guide health policy decisions.

  15. ORISE: Health Communication and Training

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

    Oak Ridge Institute for Science Education Health Communication, Marketing and Training Health communication, marketing and training services are provided through ORAU, the managing contractor of DOE's Oak Ridge Institute for Science and Education. ORAU blends communication, marketing, and technical training skills with public health, preparedness, epidemiology and environmental health, and cutting edge technology to develop communication programs that inform the public and equip health

  16. HPMC Occupational Health Services

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

    Be Well Health Fair Play Featured Presentation September InsideOut WorkFit Training Flu Season - Save the Date Event Calendar Weight Loss Convoy Class--Third Quarter September 6, 2016 Convoy Alumni Meeting September 7, 2016 Site-Wide Health Fairs: BE WELL September 8, 2016 WorkFit Leader Training September 14, 2016 The BE WELL Challenge October 3, 2016 Weight Loss Convoy Maintenance Meeting October 4, 2016 News and Information August 29, 2016 BE WELL Get Shots to Protect Your Health August 29,

  17. ORISE: Public Health Preparedness

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

    FEMA Work Group Aimed at Helping the U.S. Prepare for a Radiation Emergency Travelers' Health Campaign Takes Critical Messages Worldwide ORISE Responds to H1N1 Outbreak,...

  18. Biosecurity and Health

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

    Biosecurity and Health Biosecurity and Health Los Alamos scientists are developing science and technology designed to battle pathogens responsible for causing disease epidemics, and extreme cases, pandemics. Contact Us Kirsten McCabe Emerging Threats Program Manager Email Andrew Bradbury Bioscience Group Leader Email Nick Hengartner Theoretical Biology and Biophysics Group Leader Email Rebecca McDonald Communication Specialist Email Projects in this subject area are concerned with countering

  19. 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.

  20. Environment/Health/Safety Concerns

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

    EHS Emergencies Report AccidentIncident Stop Work Policy Environment, Health & Safety Concerns hardhat Environment Health Safety Concerns construction workers If you have a...

  1. ORISE: Applied health physics projects

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

    Applied health physics projects The Oak Ridge Institute for Science and Education (ORISE) provides applied health physics services to government agencies needing technical support ...

  2. 2012 CFCNCA Catalog of Caring | Department of Energy

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

    2 CFCNCA Catalog of Caring 2012 CFCNCA Catalog of Caring 2012 CFCNCA Catalog of Caring The CFCNCA Catalog of Caring introduces the CFC, explains how donations work, and includes the names and descriptions of the 4,400 charities that you can donate to. 2012 CFCNCA Catalog of Caring (5.34 MB) More Documents & Publications CFCNCA Sample Pledge Form Sustainability for the Global Biofuels Industry Minimizing Risks and Maximizing Opportunities Community-Based Federal Environmental Justice Resource

  3. Emergency Care Technology | GE Global Research

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

    The Place Where Emergency Care Belongs 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) The Place Where Emergency Care Belongs Jason Castle is a biologist five days out of the week and an EMT for seven. As an EMT, his job is to get to the scene and figure out what the patient needs-fast. As a biologist, Jason is working

  4. Emergency Response Health Physics

    SciTech Connect (OSTI)

    Mena, RaJah; Pemberton, Wendy; Beal, William

    2012-05-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health; however, there are major differences between health physics for research or occupational safety and health physics during a large-scale radiological emergency. The deployment of a U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) monitoring and assessment team to Japan in the wake of the March 2011 accident at Fukushima Daiichi Nuclear Power Plant yielded a wealth of lessons on these difference. Critical teams (CMOC (Consequence Management Outside the Continental U.S.) and CMHT (Consequence Management Home Team) ) worked together to collect, compile, review, and analyze radiological data from Japan to support the response needs of and answer questions from the Government of Japan, the U.S. military in Japan, the U.S. Embassy and U.S. citizens in Japan, and U.S. citizens in America. This paper addresses the unique challenges presented to the health physicist or analyst of radiological data in a large-scale emergency. A key lesson learned was that public perception and the availability of technology with social media requires a diligent effort to keep the public informed of the science behind the decisions in a manner that is meaningful to them.

  5. Emergency Response Health Physics

    SciTech Connect (OSTI)

    Mena, R., Pemberton, W., Beal, W.

    2012-05-01

    Health physics is an important discipline with regard to understanding the effects of radiation on human health. Topics of discussion included in this manuscript are related to responding to a radiation emergency, and the necessary balance between desired high accuracy laboratory results and rapid turnaround requirements. Considerations are addressed for methodology with which to provide the most competent solutions despite challenges presented from incomplete datasets and, at times, limited methodology. An emphasis is placed on error and uncertainty of sample analysis results, how error affects products, and what is communicated in the final product.

  6. CARES Helps Explain Secondary Organic Aerosols

    ScienceCinema (OSTI)

    Zaveri, Rahul

    2014-06-02

    What happens when urban man-made pollution mixes with what we think of as pristine forest air? To know more about what this interaction means for the climate, the Carbonaceous Aerosol and Radiative Effects Study, or CARES, field campaign was designed in 2010. The sampling strategy during CARES was coordinated with CalNex 2010, another major field campaign that was planned in California in 2010 by the California Air Resources Board (CARB), the National Oceanic and Atmospheric Administration (NOAA), and the California Energy Commission (CEC). "We found two things. When urban pollution mixes with forest pollutions we get more secondary organic aerosols," said Rahul Zaveri, FCSD scientist and project lead on CARES. "SOAs are thought to be formed primarily from forest emissions but only when they interact with urban emissions. The data is saying that there will be climate cooling over the central California valley because of these interactions." Knowledge gained from detailed analyses of data gathered during the CARES campaign, together with laboratory experiments, is being used to improve existing climate models.

  7. CARES Helps Explain Secondary Organic Aerosols

    SciTech Connect (OSTI)

    Zaveri, Rahul

    2014-03-28

    What happens when urban man-made pollution mixes with what we think of as pristine forest air? To know more about what this interaction means for the climate, the Carbonaceous Aerosol and Radiative Effects Study, or CARES, field campaign was designed in 2010. The sampling strategy during CARES was coordinated with CalNex 2010, another major field campaign that was planned in California in 2010 by the California Air Resources Board (CARB), the National Oceanic and Atmospheric Administration (NOAA), and the California Energy Commission (CEC). "We found two things. When urban pollution mixes with forest pollutions we get more secondary organic aerosols," said Rahul Zaveri, FCSD scientist and project lead on CARES. "SOAs are thought to be formed primarily from forest emissions but only when they interact with urban emissions. The data is saying that there will be climate cooling over the central California valley because of these interactions." Knowledge gained from detailed analyses of data gathered during the CARES campaign, together with laboratory experiments, is being used to improve existing climate models.

  8. Before the House Subcommittee on Energy Policy, Health Care & Entitlements- Committee on Oversight and Government Reform

    Broader source: Energy.gov [DOE]

    Subject: DOE Program Regulating Liquefied Natural Gas Exports By: Christopher Smith, Principal Deputy Assistant Secretary, Office of Fossil Energy

  9. Efficient block processing of long duration biotelemetric brain data for health care monitoring

    SciTech Connect (OSTI)

    Soumya, I.; Zia Ur Rahman, M.; Rama Koti Reddy, D. V.; Lay-Ekuakille, A.

    2015-03-15

    In real time clinical environment, the brain signals which doctor need to analyze are usually very long. Such a scenario can be made simple by partitioning the input signal into several blocks and applying signal conditioning. This paper presents various block based adaptive filter structures for obtaining high resolution electroencephalogram (EEG) signals, which estimate the deterministic components of the EEG signal by removing noise. To process these long duration signals, we propose Time domain Block Least Mean Square (TDBLMS) algorithm for brain signal enhancement. In order to improve filtering capability, we introduce normalization in the weight update recursion of TDBLMS, which results TD-B-normalized-least mean square (LMS). To increase accuracy and resolution in the proposed noise cancelers, we implement the time domain cancelers in frequency domain which results frequency domain TDBLMS and FD-B-Normalized-LMS. Finally, we have applied these algorithms on real EEG signals obtained from human using Emotive Epoc EEG recorder and compared their performance with the conventional LMS algorithm. The results show that the performance of the block based algorithms is superior to the LMS counter-parts in terms of signal to noise ratio, convergence rate, excess mean square error, misadjustment, and coherence.

  10. Isotopes for cancer and cardiac care

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

    Isotopes for cancer Isotopes for cancer and cardiac care Eva Birnbaum is interviewed on KSFR radio on the Lab's Isotope Program February 4, 2016 hot cell facility A worker uses remote manipulator arms to handle a highly radioactive target inside the Lab's radiochemistry hot cell facility. Isotopes from Los Alamos are used for the diagnosis of cardiac disease, for the calibration of PET scanners which in turn diagnose cancer, neurological disease, inflammatory diseases, trauma, and other

  11. 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.

  12. 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.

  13. Rural health clinics infrastructure

    SciTech Connect (OSTI)

    Olson, K.

    1997-12-01

    The author discusses programs which were directed at the installation of photovoltaic power systems in rural health clinics. The objectives included: vaccine refrigeration; ice pack freezing; lighting; communications; medical appliances; sterilization; water purification; and income generation. The paper discusses two case histories, one in the Dominican Republic and one in Colombia. The author summarizes the results of the programs, both successes and failures, and offers an array of conclusions with regard to the implementation of future programs of this general nature.

  14. Health and safety

    SciTech Connect (OSTI)

    Snyder, K. )

    1990-05-01

    This article discusses health and safety in coal mines and the primary issues in this area during 1989. Particular attention is given to the employment figures as well as the fatality statistics. According to this article, employment was up during 1989 to approximately 164,000 workers as compared to 136,000 in 1969. Attention is also given to dealing with coal mining regulations as well as a crackdown on illegal operators in the industry.

  15. Structural Health Monitoring

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

    Structural Health Monitoring - Sandia Energy Energy Search Icon Sandia Home Locations Contact Us Employee Locator Energy & Climate Secure & Sustainable Energy Future Stationary Power Energy Conversion Efficiency Solar Energy Wind Energy Water Power Supercritical CO2 Geothermal Natural Gas Safety, Security & Resilience of the Energy Infrastructure Energy Storage Nuclear Power & Engineering Grid Modernization Battery Testing Nuclear Energy Defense Waste Management Programs Advanced

  16. Operational health physics training

    SciTech Connect (OSTI)

    1992-06-01

    The initial four sections treat basic information concerning atomic structure and other useful physical quantities, natural radioactivity, the properties of {alpha}, {beta}, {gamma}, x rays and neutrons, and the concepts and units of radiation dosimetry (including SI units). Section 5 deals with biological effects and the risks associated with radiation exposure. Background radiation and man-made sources are discussed next. The basic recommendations of the ICRP concerning dose limitations: justification, optimization (ALARA concepts and applications) and dose limits are covered in Section seven. Section eight is an expanded version of shielding, and the internal dosimetry discussion has been extensively revised to reflect the concepts contained in the MIRD methodology and ICRP 30. The remaining sections discuss the operational health physics approach to monitoring radiation. Individual sections include radiation detection principles, instrument operation and counting statistics, health physics instruments and personnel monitoring devices. The last five sections deal with the nature of, operation principles of, health physics aspects of, and monitoring approaches to air sampling, reactors, nuclear safety, gloveboxes and hot cells, accelerators and x ray sources. Decontamination, waste disposal and transportation of radionuclides are added topics. Several appendices containing constants, symbols, selected mathematical topics, and the Chart of the Nuclides, and an index have been included.

  17. "Protecting Public Health through Biosecurity"

    SciTech Connect (OSTI)

    Seiders, Barbara AB; Campbell, James R.

    2006-03-04

    "Protecting Public Health through Biosecurity" is an article writen for the Tri-City Herald newspaper special Progress Edition.

  18. STATEOFNEWMEXICO ENVIRONMENT DEPARTMENT ENVIRONMENTAL HEALTH...

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

    STATEOFNEWMEXICO ENVIRONMENT DEPARTMENT ENVIRONMENTAL HEALTH DIVISION, HAZARDOUS WASTE ... OF NEW MEXICO BEFORE THE SECRETARY OF ENVIRONMENT NEW MEXICO ENVIRONMENT DEPARTMENT, ...

  19. Environment, Health, and Safety | NREL

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

    Environment, Health, Safety & Security Worker Safety and Health Training at the Strategic Petroleum Reserve on September 26-29 Worker Safety and Health Training at the Strategic Petroleum Reserve on September 26-29 The Office of Worker Safety and Health Policy will provide outreach training at the Strategic Petroleum Reserve to enhance understanding of the requirements of OSHA construction safety standards pursuant to DOE adoption of OSHA standards under DOE O 440.1B. Read more Possible Scam

  20. Health Effects | Department of Energy

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

    Health Effects Health Effects The U.S. Department of Energy (DOE) administers research programs and monitoring activities, both domestic and international, that support the protection and promotion of the health of DOE workers, their families, and residents of neighboring communities near DOE sites, affected by exposure to hazardous materials from DOE sites or a result of nuclear weapons testing, use or accident. Domestic health activities include studies of historical workplace exposures,

  1. Facilitating communities in designing and using their own community health impact assessment tool

    SciTech Connect (OSTI)

    Cameron, Colleen; Ghosh, Sebanti; Eaton, Susan L.

    2011-07-15

    Reducing health inequities and improving the health of communities require an informed public that is aware of the social determinants of health and how policies and programs have an impact on the health of their communities. People Assessing Their Health (PATH) is a process that uses community-driven health impact assessment to build the capacity of people to become active participants in the decisions that affect the well-being of their community. The PATH process is both a health promotion and a community development approach that builds people's ability to bring critical analysis to a situation and to engage in effective social action to bring about desired change. Because it increases analytical skills and provides communities with their own unique tool to assess the potential impact of projects, programs or policies on the health and well-being of their community it is an empowering process. PATH was originally used in three communities in northeastern Nova Scotia, Canada in 1996 when the Canadian health care system was being restructured to a more decentralized system. Since then it has been used in other communities in Nova Scotia and India. This paper will describe the PATH process and the use of the community health impact assessment as well as the methodology used in the PATH process. The lessons learned from PATH's experiences of building capacity among the community in Canada and India will be presented.

  2. Health and Safety Training Reciprocity

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2014-04-14

    Establishes a policy for reciprocity of employee health and safety training among DOE entities responsible for employee health and safety at DOE sites and facilities to increase efficiency and effectiveness of Departmental operations while meeting established health and safety requirements. Does not cancel other directives.

  3. Beryllium Health Advocates - Hanford Site

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

    Health Advocates About Us Hanford Cultural Resources Beryllium Program Beryllium Program Points of Contact Beryllium Facilities & Areas Beryllium Program Information Hanford CBDPP Committee Beryllium FAQs Beryllium Related Links Hanford Beryllium Awareness Group (BAG) Program Performance Assessments Beryllium Program Feedback Beryllium Health Advocates Primary Contractors/Employers Medical Testing and Surveillance Facilities General Resources Beryllium Health Advocates Email Email Page |

  4. Health Insurance Marketplace Notice New Health Insurance Marketplace Coverage Options and Your Health Coverage

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

    Health Effects Health Effects The U.S. Department of Energy (DOE) administers research programs and monitoring activities, both domestic and international, that support the protection and promotion of the health of DOE workers, their families, and residents of neighboring communities near DOE sites, affected by exposure to hazardous materials from DOE sites or a result of nuclear weapons testing, use or accident. Domestic health activities include studies of historical workplace exposures,

  5. World Health Organization (WHO) | Open Energy Information

    Open Energy Info (EERE)

    Health Organization (WHO) Jump to: navigation, search Logo: World Health Organization (WHO) Name: World Health Organization (WHO) Address: 20, avenue Appia 1211 Geneva, Switzerland...

  6. Southern Nevada Health District | Open Energy Information

    Open Energy Info (EERE)

    Health District Jump to: navigation, search OpenEI Reference LibraryAdd to library Web Site: Southern Nevada Health District Author Southern Nevada Health District Published...

  7. Health and Safety Laws | Department of Energy

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

    Health and Safety Laws Health and Safety Laws Health and safety laws require working conditions that do not pose a risk of serious harm: Occupational Safety and Health Act of 1970 ...

  8. Health & Safety Exposition - Hanford Site

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

    Events Exhibitor Information What is EXPO Electronic Registration Form Contact Us Health & Safety Exposition Email Email Page | Print Print Page |Text Increase Font Size...

  9. ORISE: Health Promotion and Outreach

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

    and outreach support to government agencies and organizations seeking to provide health information to targeted populations. ORISE develops culturally-sensitive programs and...

  10. Health impact assessment in Korea

    SciTech Connect (OSTI)

    Kang, Eunjeong; Lee, Youngsoo; Harris, Patrick; Koh, Kwangwook; Kim, Keonyeop

    2011-07-15

    Recently, Health Impact Assessment has gained great attention in Korea. First, the Ministry of Environment introduced HIA within existing Environment Impact Assessment. Second, the Korea Institute for Health and Social Affairs began an HIA program in 2008 in alliance with Healthy Cities. In this short report, these two different efforts are introduced and their opportunities and challenges discussed. We believe these two approaches complement each other and both need to be strengthened. We also believe that both can contribute to the development of health in policy and project development and ultimately to improvements in the Korean population's health.

  11. Powering Health | Open Energy Information

    Open Energy Info (EERE)

    Health AgencyCompany Organization: USAID Sector: Energy Focus Area: Renewable Energy Phase: Determine Baseline, Evaluate Options, Develop Goals, Prepare a Plan, Develop...

  12. Holy Cross Energy- WE CARE Renewable Energy Rebate Program

    Broader source: Energy.gov [DOE]

    Holy Cross Energy's WE CARE (With Efficiency, Conservation And Renewable Energy) Program offers an incentive for customers who install renewable energy generation for net metering at their premises...

  13. Electric Power Lines : Questions and Answers on Research into Health Effects.

    SciTech Connect (OSTI)

    United States. Bonneville Power Administration.

    1994-05-01

    Most people know that electric power lines, like the wiring in our homes, can cause serious electric shocks if we`re not careful. Many people also want to know whether the electric and magnetic fields (EMF) produced by power lines and other electrical devices cause health effects. The purpose of this booklet is to answer some common questions that the Bonneville Power Administration (BPA) receives about the possible effects of power lines on health. First, some basic electrical terms are defined, and electric and magnetic fields are debed. Next, answers are given to several questions about recent scientific studies. Some important information about electrical safety follows. We then describe how BPA is addressing public concerns about potential health effects of power lines. The last section tells you how to obtain more detailed information about the health and safety issues summarized in this booklet.

  14. TFC-0004- In the Matter of Tri-Valley CARES

    Broader source: Energy.gov [DOE]

    Tri-Valley CARES filed an Appeal from a determination that the National Nuclear Security Administration (NNSA) issued on June 2, 2010. In that determination, NNSA denied in part a request for information that Tri-Valley CARES had submitted on September 8, 2008, pursuant to the Freedom of Information Act (FOIA), 5 U.S.C. § 552.

  15. Health Benefits of Particle Filtration

    SciTech Connect (OSTI)

    Fisk, William J.

    2013-10-01

    The evidence of health benefits of particle filtration in homes and commercial buildings is reviewed. Prior reviews of papers published before 2000 are summarized. The results of 16 more recent intervention studies are compiled and analyzed. Also, reviewed are four studies that modeled health benefits of using filtration to reduce indoor exposures to particles from outdoors. Prior reviews generally concluded that particle filtration is, at best, a source of small improvements in allergy and asthma health effects; however, many early studies had weak designs. A majority of recent intervention studies employed strong designs and more of these studies report statistically significant improvements in health symptoms or objective health outcomes, particularly for subjects with allergies or asthma. The percent age improvement in health outcomes is typically modest, for example, 7percent to 25percent. Delivery of filtered air to the breathing zone of sleeping allergic or asthmatic persons may be more consistently effective in improving health than room air filtration. Notable are two studies that report statistically significant improvements, with filtration, in markers that predict future adverse coronary events. From modeling, the largest potential benefits of indoor particle filtration may be reductions in morbidity and mortality from reducing indoor exposures to particles from outdoor air.

  16. California Alliance For Radiotracer Education, CARE

    SciTech Connect (OSTI)

    Sutcliffe, Julie

    2015-02-19

    The report contains a summary of the accomplishments made during the CARE proposal. The overall goal of this proposal was to train graduate students and postdoctoral fellows in the field of radiochemistry. The goal was to expose trainees to the fundamentals of radioisotope production, radiochemistry synthesis, synthetic organic chemistry as well as applications and hands on experience in small animal imaging. In summary approximately 30 trainees were involved including trainees both at the graduate and postdoctoral levels. This funding has to date resulted in publications in high impact journals such as Med Chem Comm, Journal of Nuclear Medicine and Molecular Imaging and Biology. Trainees have gone on to further their careers in both academia, industry and the private sector. The funding will result in seven Master’s and six Ph.D dissertations. Without the DOE funding it simply would not have been possible to continue to train the next generation of radiochemists needed to assure a future US-based Nuclear and Radiochemistry Expertise.

  17. Environment/Health/Safety (EHS)

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

    Health Services HS Home Clinical Services Policies and Procedures Presentations Forms Contact Us AED Building 26 (510) 486-6266 Monday - Friday 7:00 am - 4:30 pm In case of...

  18. Industrial Hygienist/Health Physicist

    Broader source: Energy.gov [DOE]

    A successful candidate in this position wil l serve as an Industrial Hygienist/Health Physicist in the Operations and Oversight Division, providing technical oversight of the Oak Ridge National...

  19. Global Warming and Human Health

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

    American Geophysical Union Global Warming and Human Health WHEN: Jul 27, 2015 5:30 PM - ... Event Description The main reason we are concerned about human-induced climate change is ...

  20. Categorical Exclusion Determinations: Health, Safety, and Security |

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

    Department of Energy Health, Safety, and Security Categorical Exclusion Determinations: Health, Safety, and Security Categorical Exclusion Determinations issued by Health, Safety, and Security. DOCUMENTS AVAILABLE FOR DOWNLOAD No downloads found for this office.

  1. Impacts of Climate Change on Tribal Health

    Broader source: Energy.gov [DOE]

    Climate change, together with other natural and human-made health stressors, threatens our health and well-being in many ways. This webinar will provide an overview of climate-related health...

  2. ORISE: Applied health physics projects

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

    Applied health physics projects The Oak Ridge Institute for Science and Education (ORISE) provides applied health physics services to government agencies needing technical support for decommissioning projects. Whether the need is assistance with the development of technical basis documents or advice on how to identify, measure and assess the presence of radiological materials, ORISE can help determine the best course for an environmental cleanup project. Our key areas of expertise include fuel

  3. Group Vision Care Policy Vision Care for Life EVIDENCE OF COVERAGE

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

    Policy Vision Care for Life EVIDENCE OF COVERAGE Provided by: VISION SERVICE PLAN INSURANCE COMPANY 3333 Quality Drive, Rancho Cordova, CA 95670 (916) 851-5000 (800) 877-7195 Group Name: LOS ALAMOS NATIONAL SECURITY, LLC. Group Number: 12284390 Effective Date: JANUARY 1, 2013 EOC NM 03/02 To be filled in by employer in the event this document is used to develop a Summary Plan Description: NAME OF EMPLOYER: LOS ALAMOS NATIONAL SECURITY, LLC. NAME OF PLAN: VISION SERVICE PLAN GROUP #: 12284390

  4. Alternative Fuels Data Center: Pollutants and Health

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

    Fuels & Vehicles Printable Version Share this resource Send a link to Alternative Fuels Data Center: Pollutants and Health to someone by E-mail Share Alternative Fuels Data Center: Pollutants and Health on Facebook Tweet about Alternative Fuels Data Center: Pollutants and Health on Twitter Bookmark Alternative Fuels Data Center: Pollutants and Health on Google Bookmark Alternative Fuels Data Center: Pollutants and Health on Delicious Rank Alternative Fuels Data Center: Pollutants and Health

  5. ORISE Resources: Consumer Health Resource Information Service...

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

    Consumer Health Resource Information Service (CHRIS) guide The Consumer Health Resource Information Service (CHRIS) guide for faith-based organizations and communities was...

  6. ORISE: Resources for Worker Health Studies

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

    Resources Worker health studies reports, articles and books Worker Health Resources Resources produced by the Oak Ridge Institute for Science and Education (ORISE) consist of...

  7. SULI Intern: Plant Health | Argonne National Laboratory

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

    Plant Health Share Listen to Argonne intern Michelle Michaels talk about how she studied trends in plant health to help farmers determine crop yield during the growing season. ...

  8. Safety & Occupational Health Specialist | Department of Energy

    Energy Savers [EERE]

    & Occupational Health Specialist Safety & Occupational Health Specialist Submitted by admin on Sat, 2015-10-17 00:14 Job Summary Organization Name Department Of Energy Agency...

  9. Office of Worker Safety and Health Policy

    Office of Energy Efficiency and Renewable Energy (EERE)

    The Office of Worker Safety and Health Policy establishes Departmental expectations for worker safety and health through the development of rules, directives and guidance.

  10. ORISE Health Communication and Training: Contact Us

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

    Contact Us Marcus Weseman Senior Associate Director; Health, Energy and Environment Work: 865.576.3420 health.communication@orau.org or technical.training@orau.org...

  11. Connecticut's Health Impact Study Rapidly Increasing Weatherization...

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

    Connecticut's Health Impact Study Rapidly Increasing Weatherization Efforts Connecticut's Health Impact Study Rapidly Increasing Weatherization Efforts June 18, 2014 - 10:49am ...

  12. Memorandum, Health and Safety Training Reciprocity Program -...

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

    Health and Safety Training Reciprocity Program - July 12, 2013 Memorandum, Health and Safety Training Reciprocity Program - July 12, 2013 July 12, 2013 The HSS reciprocity program ...

  13. ORISE: REAC/TS redesignated as Pan American Health Organization...

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

    medical personnel, health physicists, first responders, emergency planners, public health professionals and occupational health professionals about radiation emergency medicine. ...

  14. Replanning During Intensity Modulated Radiation Therapy Improved Quality of Life in Patients With Nasopharyngeal Carcinoma

    SciTech Connect (OSTI)

    Yang Haihua; Hu Wei; Wang Wei; Chen Peifang; Ding Weijun; Luo Wei

    2013-01-01

    Purpose: Anatomic and dosimetric changes have been reported during intensity modulated radiation therapy (IMRT) in patients with nasopharyngeal carcinoma (NPC). The purpose of this study was to evaluate the effects of replanning on quality of life (QoL) and clinical outcomes during the course of IMRT for NPC patients. Methods and Materials: Between June 2007 and August 2011, 129 patients with NPC were enrolled. Forty-three patients received IMRT without replanning, while 86 patients received IMRT replanning after computed tomography (CT) images were retaken part way through therapy. Chinese versions of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 and Head and Neck Quality of Life Questionnaire 35 were completed before treatment began and at the end of treatment and at 1, 3, 6, and 12 months after the completion of treatment. Overall survival (OS) data were compared using the Kaplan-Meier method. Results: IMRT replanning had a profound impact on the QoL of NPC patients, as determined by statistically significant changes in global QoL and other QoL scales. Additionally, the clinical outcome comparison indicates that replanning during IMRT for NPC significantly improved 2-year local regional control (97.2% vs 92.4%, respectively, P=.040) but did not improve 2-year OS (89.8% vs 82.2%, respectively, P=.475). Conclusions: IMRT replanning improves QoL as well as local regional control in patients with NPC. Future research is needed to determine the criteria for replanning for NPC patients undergoing IMRT.

  15. Transjugular Endovascular Recanalization of Splenic Vein in Patients with Regional Portal Hypertension Complicated by Gastrointestinal Bleeding

    SciTech Connect (OSTI)

    Luo, Xuefeng; Nie, Ling; Wang, Zhu; Tsauo, Jiaywei; Tang, Chengwei; Li, Xiao

    2013-05-02

    PurposeRegional portal hypertension (RPH) is an uncommon clinical syndrome resulting from splenic vein stenosis/occlusion, which may cause gastrointestinal (GI) bleeding from the esophagogastric varices. The present study evaluated the safety and efficacy of transjugular endovascular recanalization of splenic vein in patients with GI bleeding secondary to RPH.MethodsFrom December 2008 to May 2011, 11 patients who were diagnosed with RPH complicated by GI bleeding and had undergone transjugular endovascular recanalization of splenic vein were reviewed retrospectively. Contrast-enhanced computed tomography revealed splenic vein stenosis in six cases and splenic vein occlusion in five. Etiology of RPH was chronic pancreatitis (n=7), acute pancreatitis with pancreatic pseudocyst (n=2), pancreatic injury (n=1), and isolated pancreatic tuberculosis (n=1).ResultsTechnical success was achieved in 8 of 11 patients via the transjugular approach, including six patients with splenic vein stenosis and two patients with splenic vein occlusion. Two patients underwent splenic vein venoplasty only, whereas four patients underwent bare stents deployment and two covered stents. Splenic vein pressure gradient (SPG) was reduced from 21.57.3 to 2.91.4mmHg after the procedure (P<0.01). For the remaining three patients who had technical failures, splenic artery embolization and subsequent splenectomy was performed. During a median follow-up time of 17.5 (range, 334)months, no recurrence of GI bleeding was observed.ConclusionsTransjugular endovascular recanalization of splenic vein is a safe and effective therapeutic option in patients with RPH complicated by GI bleeding and is not associated with an increased risk of procedure-related complications.

  16. The Place Where Emergency Care Belongs | GE Global Research

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

    Place Where Emergency Care Belongs 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 ...

  17. ARM - Carbonaceous Aerosols and Radiative Effects Study (CARES...

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

    News & Press Backgrounder (PDF, 1.45MB) G-1 Aircraft Fact Sheet (PDF, 1.3MB) Contacts Rahul Zaveri, Lead Scientist Carbonaceous Aerosols and Radiative Effects Study (CARES)...

  18. Energy Systems and Population Health

    SciTech Connect (OSTI)

    Ezzati, Majid; Bailis, Rob; Kammen, Daniel M.; Holloway, Tracey; Price, Lynn; Cifuentes, Luis A.; Barnes, Brendon; Chaurey, Akanksha; Dhanapala, Kiran N.

    2004-04-12

    It is well-documented that energy and energy systems have a central role in social and economic development and human welfare at all scales, from household and community to regional and national (41). Among its various welfare effects, energy is closely linked with people s health. Some of the effects of energy on health and welfare are direct. With abundant energy, more food or more frequent meals can be prepared; food can be refrigerated, increasing the types of food items that are consumed and reducing food contamination; water pumps can provide more water and eliminate the need for water storage leading to contamination or increased exposure to disease vectors such as mosquitoes or snails; water can be disinfected by boiling or using other technologies such as radiation. Other effects of energy on public health are mediated through more proximal determinants of health and disease. Abundant energy can lead to increased irrigation, agricultural productivity, and access to food and nutrition; access to energy can also increase small-scale income generation such as processing of agricultural commodities (e.g., producing refined oil from oil seeds, roasting coffee, drying and preserving fruits and meats) and production of crafts; ability to control lighting and heating allows education or economic activities to be shielded from daily or seasonal environmental constraints such as light, temperature, rainfall, or wind; time and other economic resources spent on collecting and/or transporting fuels can be used for other household needs if access to energy is facilitated; energy availability for transportation increases access to health and education facilities and allow increased economic activity by facilitating the transportation of goods and services to and from markets; energy for telecommunication technology (radio, television, telephone, or internet) provides increased access to information useful for health, education, or economic purposes; provision of energy

  19. Environment, Safety and Health Reporting

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2012-01-01

    To ensure timely collection, reporting, analysis, and dissemination of information on environment, safety, and health issues as required by law or regulations or as needed to ensure that the Department of Energy (DOE) and National Nuclear Security Administration are kept fully informed on a timely basis about events that could adversely affect the health and safety of the public or the workers, the environment, the intended purpose of DOE facilities, or the credibility of the Department. Cancels DOE O 210.1, DOE O 231.1, DOE O 232.1A. Canceled by DOE O 231.1B. DOE O 231.1B cancels all portions pertaining to environment, safety, and health reporting. Occurrence reporting and processing of operations information provisions remain in effect until January 1, 2012.

  20. Electric Power Lines : Questions and Answers on Research into Health Effects.

    SciTech Connect (OSTI)

    United States. Bonneville Power Administration.

    1993-11-01

    Most people know that electric power lines, like the wiring in our homes, can cause serious electric shocks if we`re not careful. Many people also want to know whether the electric and magnetic fields (EMF) produced by power lines and other electrical devices cause health effects. The purpose of this pamphlet is to answer some common questions that the Bonneville Power Administration (BPA) receives about the possible effects of power lines on health. (BPA is the Pacific Northwest`s Federal electric power marketing agency.) First, some basic electrical terms are defined, and electric and magnetic fields are described. Next, answers are given to several questions about recent scientific studies. We then describe how BPA is addressing public concerns raised by these studies. Some important information about electrical safety follows. The last section tells you how to obtain more detailed information about the health and safety issues summarized in this pamphlet.

  1. Track 4: Employee Health and Wellness

    Office of Energy Efficiency and Renewable Energy (EERE)

    ISM Workshop Presentations Knoxville Convention Center, Knoxville, TN August 2009 Track 4: Employee Health and Wellness

  2. Environmental, safety, and health engineering

    SciTech Connect (OSTI)

    Woodside, G.; Kocurek, D.

    1997-12-31

    A complete guide to environmental, safety, and health engineering, including an overview of EPA and OSHA regulations; principles of environmental engineering, including pollution prevention, waste and wastewater treatment and disposal, environmental statistics, air emissions and abatement engineering, and hazardous waste storage and containment; principles of safety engineering, including safety management, equipment safety, fire and life safety, process and system safety, confined space safety, and construction safety; and principles of industrial hygiene/occupational health engineering including chemical hazard assessment, personal protective equipment, industrial ventilation, ionizing and nonionizing radiation, noise, and ergonomics.

  3. Environment, Safety, and Health Reporting

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2003-08-19

    To ensure timely collection, reporting, analysis, and dissemination of information on environment, safety, and health issues as required by law or regulations or as needed to ensure that the Department of Energy (DOE) and National Nuclear Security Administration (NNSA) are kept fully informed on a timely basis about events that could adversely affect the health and safety of the public or the workers, the environment, the intended purpose of DOE facilities, or the credibility of the Department. Cancels DOE O 210.1, DOE O 231.1, and DOE O 232.1A. Canceled by DOE O 232.2.

  4. Worker Safety and Health | Department of Energy

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

    Safety and Health Worker Safety and Health The Departmental expectations for worker safety and health are contained in a set of rules, directives, and technical standards developed by the Office of Worker Safety and Health Policy. These policies were developed to ensure workers are adequately protected from the various radiological and non-radiological hazards associated with DOE sites and operations and reflect national worker safety and health laws, regulations, and standards where applicable.

  5. Environment, Safety and Health Reporting

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2011-06-27

    The order addresses DOE/NNSA receiving timely, accurate information about events that have affected or could adversely affect the health, safety and security of the public or workers, the environment, the operations of DOE facilities, or the credibility of the Department. Admin Chg 1, dated 11-28-12, Supersedes DOE O 231.1B.

  6. Iliac Artery Stent Placement Relieves Claudication in Patients with Iliac and Superficial Femoral Artery Lesions

    SciTech Connect (OSTI)

    Ichihashi, Shigeo Higashiura, Wataru; Itoh, Hirofumi; Sakaguchi, Shoji; Kichikawa, Kimihiko

    2013-06-15

    Purpose. To evaluate the efficacy of iliac artery stent placement for relief of claudication in patients with both iliac and superficial femoral artery (SFA) lesions. Methods. Stent placement for only iliac artery occlusive disease was performed in 94 limbs (74 patients) with both iliac and SFA occlusive disease on the same limb. All procedures were performed because intermittent claudication did not improve after continuation of antiplatelet medication therapy and home-based exercise for 3 months. Rutherford classification was 2 in 20 limbs and 3 in 74 limbs. Patients with critical limb ischemia were excluded. Median duration of follow-up was 40 months. Primary patency rates of the iliac stent, clinical improvement rates, and risk factors for requiring additional SFA procedures were evaluated. Results. Primary patency rates of the iliac stent at 1, 3, 5, and 7 years were 97, 93, 79, and 79 %, respectively. The initial clinical improvement rate was 87 %. Continued clinical improvement rates at 1, 3, 5, and 7 years were 87, 81, 69, and 66 %, respectively. SFA Trans-Atlantic Inter-Society Consensus (TASC) II C/D lesion was a significant risk factor for requiring additional SFA procedures. Conclusion. Intermittent claudication was relieved by iliac stent placement in most patients with both iliac and SFA lesions. Thus, the indications for treatment of the SFA intended for claudicants should be evaluated after treatment of the iliac lesion.

  7. Pinellas Plant: Child Care/Partnership School safety assessment

    SciTech Connect (OSTI)

    1989-11-01

    The Albuquerque Operations Office through the Pinellas Plant Area Office is involved in a joint venture to establish a Partnership School and a Day Care Facility at the Plant. The venture is unique in that it is based on a partnership with the local county school system. The county school system will provide the teachers, supplies and classroom furnishings for the operation of the school for pre-kindergarten, kindergarten, first and second grade during regular school hours. The Government will provide the facility and its normal operating and maintenance costs. A Day Care Facility will also be available for children from infancy through the second grade for outside school hours. The day care will be operated as a non-profit corporation. Fees paid by parents with children in the day care center will cove the cost of staff, food, supplies and liability insurance. Again, the government will provide the facility and its normal operating and maintenance costs. Between 75 and 90 children are expected in the first year of operation. The Partnership School will consist of one class each for pre-kindergarten, kindergarten and first grade. Second grade will be added in 1990. The total estimated number of children for both the Child Care and Partnership School should not exceed 200 children. Expected benefits include reduced absenteeism, tardiness and turnover and thus increased productivity. The program will be an asset in recruiting and retaining the best workforce. Other benefits include improved education for the children.

  8. Health

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

    Energy Headquarters Program & Staff Office Mailing Addresses Headquarters Program & Staff Office Mailing Addresses The following addresses are for delivery of regular mail and small packages: Delivery to the Headquarters buildings in Washington, DC: Name of Individual Title Routing Symbol/Forrestal Building U.S. Department of Energy 1000 Independence Ave., S.W. Washington, DC 20585 Name of Individual Title Routing Symbol/L'Enfant Plaza Building U.S. Department of Energy 1000

  9. Intrahepatic Left to Right Portoportal Venous Collateral Vascular Formation in Patients Undergoing Right Portal Vein Ligation

    SciTech Connect (OSTI)

    Lienden, K. P. van; Hoekstra, L. T.; Bennink, R. J.; Gulik, T. M. van

    2013-12-15

    Purpose: We investigated intrahepatic vascular changes in patients undergoing right portal vein ligation (PVL) or portal vein embolization (PVE) in conjunction with the ensuing hypertrophic response and function of the left liver lobe. Methods: Between December 2008 and October 2011, 7 patients underwent right PVL and 14 patients PVE. Computed tomographic (CT) volumetry to assess future remnant liver (FRL) and functional hepatobiliary scintigraphy were performed in all patients before and 3 weeks after portal vein occlusion. In 18 patients an intraoperative portography was performed to assess perfusion through the occluded portal branches. Results: In all patients after initially successful PVL, reperfused portal veins were observed on CT scan 3 weeks after portal occlusion. This was confirmed in all cases during intraoperative portography. Intrahepatic portoportal collaterals were identified in all patients in the PVL group and in one patient in the PVE group. In all other PVE patients, complete occlusion of the embolized portal branches was observed on CT scan and on intraoperative portography. The median increase of FRL volume after PVE was 41.6 % (range 10-305 %), and after PVL was only 8.1 % (range 0-102 %) (p = 0.179). There were no differences in FRL function between both groups. Conclusion: Preoperative PVE and PVL are both methods to induce hypertrophy of the FRL in anticipation of major liver resection. Compared to PVE, PVL seems less efficient in inducing hypertrophy of the nonoccluded left lobe. This could be caused by the formation of intrahepatic portoportal neocollateral vessels, through which the ligated portal branches are reperfused within 3 weeks.

  10. Self-Reported Cognitive Outcomes in Patients With Brain Metastases Before and After Radiation Therapy

    SciTech Connect (OSTI)

    Cole, Ansa Maer; Scherwath, Angela; Ernst, Gundula; Lanfermann, Heinrich; Bremer, Michael; Steinmann, Diana

    2013-11-15

    Purpose: Patients with brain metastases may experience treatment-related cognitive deficits. In this study, we prospectively assessed the self-reported cognitive abilities of patients with brain metastases from any solid primary cancer before and after irradiation of the brain. Methods and Materials: The treatment group (TG) consisted of adult patients (n=50) with brain metastases who received whole or partial irradiation of the brain without having received prior radiation therapy (RT). The control group (CG) consisted of breast cancer patients (n=27) without cranial involvement who were treated with adjuvant RT. Patients were recruited between May 2008 and December 2010. Self-reported cognitive abilities were acquired before RT and 6 weeks, 3 months, and 6 months after irradiation. The information regarding the neurocognitive status was collected by use of the German questionnaires for self-perceived deficits in attention (FEDA) and subjectively experienced everyday memory performance (FEAG). Results: The baseline data showed a high proportion of self-perceived neurocognitive deficits in both groups. A comparison between the TG and the CG regarding the course of self-reported outcomes after RT showed significant between-group differences for the FEDA scales 2 and 3: fatigue and retardation of daily living activities (P=.002) and decrease in motivation (P=.032) with an increase of attention deficits in the TG, but not in the CG. There was a trend towards significance in FEDA scale 1: distractibility and retardation of mental processes (P=.059) between the TG and the CG. The FEAG assessment presented no significant differences. An additional subgroup analysis within the TG was carried out. FEDA scale 3 showed significant differences in the time-related progress between patients with whole-brain RT and those receiving hypofractionated stereotactic RT (P=.025), with less decrease in motivation in the latter group. Conclusion: Self-reported attention declined in

  11. Erlotinib Versus Radiation Therapy for Brain Metastases in Patients With EGFR-Mutant Lung Adenocarcinoma

    SciTech Connect (OSTI)

    Gerber, Naamit K.; Yamada, Yoshiya; Rimner, Andreas; Shi, Weiji; Riely, Gregory J.; Beal, Kathryn; Yu, Helena A.; Chan, Timothy A.; Zhang, Zhigang; Wu, Abraham J.

    2014-06-01

    Purpose/Objectives: Radiation therapy (RT) is the principal modality in the treatment of patients with brain metastases (BM). However, given the activity of EGFR tyrosine kinase inhibitors in the central nervous system, it is uncertain whether upfront brain RT is necessary for patients with EGFR-mutant lung adenocarcinoma with BM. Methods and Materials: Patients with EGFR-mutant lung adenocarcinoma and newly diagnosed BM were identified. Results: 222 patients were identified. Exclusion criteria included prior erlotinib use, presence of a de novo erlotinib resistance mutation, or incomplete data. Of the remaining 110 patients, 63 were treated with erlotinib, 32 with whole brain RT (WBRT), and 15 with stereotactic radiosurgery (SRS). The median overall survival (OS) for the whole cohort was 33 months. There was no significant difference in OS between the WBRT and erlotinib groups (median, 35 vs 26 months; P=.62), whereas patients treated with SRS had a longer OS than did those in the erlotinib group (median, 64 months; P=.004). The median time to intracranial progression was 17 months. There was a longer time to intracranial progression in patients who received WBRT than in those who received erlotinib upfront (median, 24 vs 16 months, P=.04). Patients in the erlotinib or SRS group were more likely to experience intracranial failure as a component of first failure, whereas WBRT patients were more likely to experience failure outside the brain (P=.004). Conclusions: The survival of patients with EGFR-mutant adenocarcinoma with BM is notably long, whether they receive upfront erlotinib or brain RT. We observed longer intracranial control with WBRT, even though the WBRT patients had a higher burden of intracranial disease. Despite the equivalent survival between the WBRT and erlotinib group, this study underscores the role of WBRT in producing durable intracranial control in comparison with a targeted biologic agent with known central nervous system activity.

  12. 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.

  13. Predicting Outcome in Patients with Rhabdomyosarcoma: Role of [{sup 18}F]Fluorodeoxyglucose Positron Emission Tomography

    SciTech Connect (OSTI)

    Casey, Dana L.; Wexler, Leonard H.; Fox, Josef J.; Dharmarajan, Kavita V.; Schoder, Heiko; Price, Alison N.; Wolden, Suzanne L.

    2014-12-01

    Purpose: To evaluate whether [{sup 18}F]fluorodeoxyglucose positron emission tomography (FDG-PET) response of the primary tumor after induction chemotherapy predicts outcomes in rhabdomyosarcoma (RMS). Methods and Materials: After excluding those with initial tumor resection, 107 patients who underwent FDG-PET after induction chemotherapy at Memorial Sloan Kettering Cancer Center from 2002 to 2013 were reviewed. Local control (LC), progression-free survival (PFS), and overall survival (OS) were calculated according to FDG-PET response and maximum standardized uptake value (SUV) at baseline (PET1/SUV1), after induction chemotherapy (PET2/SUV2), and after local therapy (PET3/SUV3). Receiver operator characteristic curves were used to determine the optimal cutoff for dichotomization of SUV1 and SUV2 values. Results: The SUV1 (<9.5 vs ≥9.5) was predictive of PFS (P=.02) and OS (P=.02), but not LC. After 12 weeks (median) of induction chemotherapy, 45 patients had negative PET2 scans and 62 had positive scans: 3-year PFS was 72% versus 44%, respectively (P=.01). The SUV2 (<1.5 vs ≥1.5) was similarly predictive of PFS (P=.005) and was associated with LC (P=.02) and OS (P=.03). A positive PET3 scan was predictive of worse PFS (P=.0009), LC (P=.05), and OS (P=.03). Conclusions: [{sup 18}F]fluorodeoxyglucose positron emission tomography is an early indicator of outcomes in patients with RMS. Future prospective trials may incorporate FDG-PET response data for risk-adapted therapy and early assessment of new treatment regimens.

  14. Severity of liver disease affects HCV kinetics in patients treated with intravenous silibinin monotherapy

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

    Canini, Laetitia; DebRoy, Swati; Mariño, Zoe; Conway, Jessica M.; Crespo, Gonzalo; Navasa, Miquel; D’Amato, Massimo; Ferenci, Peter; Cotler, Scott J.; Forns, Xavier; et al

    2014-06-10

    HCV kinetic analysis and modeling during antiviral therapy have not been performed in decompensated cirrhotic patients awaiting liver transplantation. Here, viral and host parameters were compared in patients treated with daily intravenous silibinin (SIL) monotherapy for 7 days according to the severity of their liver disease. Data were obtained from 25 patients, 12 non-cirrhotic, 8 with compensated cirrhosis and 5 with decompensated cirrhosis. The standard-biphasic model with time-varying SIL effectiveness (from 0 to εmax) was fit to viral kinetic data. Our results show that baseline viral load and age were significantly associated with the severity of liver disease (p<0.0001). Amore » biphasic viral decline was observed in most patients with a higher first phase decline patients with less severe liver disease. The maximal effectiveness, εmax, was significantly (p≤0.032) associated with increasing severity of liver disease (εmax[s.e.]=0.86[0.05], εmax=0.69[0.06] and εmax=0.59[0.1]). The 2nd phase decline slope was not significantly different among groups (mean 1.88±0.15 log10IU/ml/wk, p=0.75) as was the rate of change of SIL effectiveness (k=2.12/day[standard error, SE=0.18/day]). HCV-infected cell loss rate (δ[SE]=0.62/day[0.05/day]) was high and similar among groups. We conclude that the high loss rate of HCV-infected cells suggests that sufficient dose and duration of SIL might achieve viral suppression in advanced liver disease.« less

  15. Environment, Safety and Health Reporting

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2011-06-27

    The order addresses DOE/NNSA receiving timely, accurate information about events that have affected or could adversely affect the health, safety and security of the public or workers, the environment, the operations of DOE facilities, or the credibility of the Department. Cancels DOE N 234.1. Supersedes DOE O 231.1A Chg 1, DOE M 231.1-1A Chg 2.

  16. Construction Project Safety and Health Plan RM

    Office of Environmental Management (EM)

    ... A Construction Project Safety and Health Plan (CPSHP) must be developed, approved, and implemented. The CPSHP is a requirement of 10 CFR 851, Worker Safety and Health Program and ...

  17. Sixth Annual National Conference on Health Disparities

    Broader source: Energy.gov [DOE]

    The Sixth Annual National Conference on Health Disparities, Reducing Health Disparities through Sustaining and Strengthening Healthy Communities, was held in Little Rock, Arkansas, November 28 through December 1, 2012.

  18. ORISE: Contact Us | Worker Health Studies

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

    Contact Us General Information Work: 865.576.3115 occ.health@orise.orau.gov Dr. Donna Cragle Director; Health, Energy and Environment Work: 865.576.3115 Donna.Cragle@orau.org Dr....

  19. Russian Health Studies Program- Program Overview

    Broader source: Energy.gov [DOE]

    The Department of Energy's (DOE) Russian Health Studies Program assesses worker and public health risks from radiation exposure resulting from nuclear weapons production activities in the former Soviet Union.

  20. Environment, Safety, and Health Reporting Manual

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    1996-11-07

    This Manual provides detailed requirements to supplement DOE O 231.1, ENVIRONMENT, SAFETY AND HEALTH REPORTING, which establishes management objectives and requirements for reporting environment, safety and health information. Chg 1, 11-7-96.

  1. Environment Safety and Health Reporting Manual

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    1995-09-30

    This Manual provides detailed requirements to supplement DOE O 231.1, Environment, Safety and Health Reporting, which establishes management objectives and requirements for reporting environment, safety and health information. Does not cancel other directives.

  2. Russian Health Studies Program | Department of Energy

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

    Russian Health Studies Program Russian Health Studies Program The Department of Energy's (DOE) Russian Health Studies Program assesses worker and public health risks from radiation exposure resulting from nuclear weapons production activities in the former Soviet Union. The program fills data gaps by conducting studies of workers and residents exposed to internal and external ionizing radiation and providing data from these studies to national and international standard-setting organizations

  3. ORISE: Consumer Health Resource Information Service (CHRIS) ...

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

    that disproportionately affect minorities, including: HIVAIDS Cardiovascular disease Diabetes Immunization Cancer Infant mortality ORISE provides health information training for...

  4. Health effects of risk-assessment categories

    SciTech Connect (OSTI)

    Kramer, C.F.; Rybicka, K.; Knutson, A.; Morris, S.C.

    1983-10-01

    Environmental and occupational health effects associated with exposures to various chemicals are a subject of increasing concern. One recently developed methodology for assessing the health impacts of various chemical compounds involves the classification of similar chemicals into risk-assessment categories (RACs). This report reviews documented human health effects for a broad range of pollutants, classified by RACs. It complements other studies that have estimated human health effects by RAC based on analysis and extrapolation of data from animal research.

  5. Health Safety & Environmental Protection Committee

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

    Department of Energy Health Physics Records System (Dosimetry), Carlsbad Field Office Health Physics Records System (Dosimetry), Carlsbad Field Office Health Physics Records System (Dosimetry), Carlsbad Field Office Health Physics Records System (Dosimetry), Carlsbad Field Office (65.3 KB) More Documents & Publications PIA - WEB Unclassified Business Operations General Support System LM Records Handling System (LMRHS01) - Rocky Flats Environmental Records Database, Office of Legacy

  6. Nitrite in feed: From Animal health to human health

    SciTech Connect (OSTI)

    Cockburn, Andrew; Brambilla, Gianfranco; Fernndez, Maria-Luisa; Arcella, Davide; Peteghem, Carlos van; Dorne, Jean-Lou

    2013-08-01

    Nitrite is widely consumed from the diet by animals and humans. However the largest contribution to exposure results from the in vivo conversion of exogenously derived nitrate to nitrite. Because of its potential to cause to methaemoglobin (MetHb) formation at excessive levels of intake, nitrite is regulated in feed and water as an undesirable substance. Forages and contaminated water have been shown to contain high levels of nitrate and represent the largest contributor to nitrite exposure for food-producing animals. Interspecies differences in sensitivity to nitrite intoxication principally result from physiological and anatomical differences in nitrite handling. In the case of livestock both pigs and cattle are relatively susceptible. With pigs this is due to a combination of low levels of bacterial nitrite reductase and hence potential to reduce nitrite to ammonia as well as reduced capacity to detoxify MetHb back to haemoglobin (Hb) due to intrinsically low levels of MetHb reductase. In cattle the sensitivity is due to the potential for high dietary intake and high levels of rumen conversion of nitrate to nitrite, and an adaptable gut flora which at normal loadings shunts nitrite to ammonia for biosynthesis. However when this escape mechanism gets overloaded, nitrite builds up and can enter the blood stream resulting in methemoglobinemia. Looking at livestock case histories reported in the literature no-observed-effect levels of 3.3 mg/kg body weight (b.w.) per day for nitrite in pigs and cattle were estimated and related to the total daily nitrite intake that would result from complete feed at the EU maximum permissible level. This resulted in margins of safety of 9-fold and 5-fold for pigs and cattle, respectively. Recognising that the bulkiness of animal feed limits their consumption, these margins in conjunction with good agricultural practise were considered satisfactory for the protection of livestock health. A human health risk assessment was also

  7. Electric Power Lines : Questions and Answers on Research into Health Effects.

    SciTech Connect (OSTI)

    United States. Bonneville Power Administration.

    1995-06-01

    Most people know that electric power lines, like the wiring in our homes, can cause serious electric shocks if we`re not careful. Many people also want to know whether the EMF (electric and magnetic fields) produced by power lines and other electrical devices affect our health. Although no adverse health effects of electric power EMF have been confirmed, there is continued scientific uncertainty about this issue. Research on EMF is ongoing throughout the world. The purpose of this booklet is to answer some common questions that the BPA (Bonneville Power Administration) receives about the possible effects of power lines on health. First, some basic electrical terms are defined, and electric and magnetic fields are debed. Next, answers are given to several questions about recent scientific studies. Some important information about electrical safety follows. We then describe how BPA is addressing public concerns about potential health effects of power lines. The last section tells you how to obtain more detailed information about the health and safety issues summarized in this booklet.

  8. 2015 National Tribal Public Health Summit

    Broader source: Energy.gov [DOE]

    The National Indian Health Board is hosting the 2015 National Tribal Public Health Summit, which is themed, "Strengthening the Circle: Building the Skills of the Tribal Public Health Workforce." The three-day conference features tribal listening sessions, workshops, and guest speakers.

  9. Malfunctions of Implantable Cardiac Devices in Patients Receiving Proton Beam Therapy: Incidence and Predictors

    SciTech Connect (OSTI)

    Gomez, Daniel R., E-mail: dgomez@mdanderson.org [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Poenisch, Falk [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Pinnix, Chelsea C. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Sheu, Tommy [Department of Experimental Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Chang, Joe Y. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Memon, Nada [Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Mohan, Radhe [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Rozner, Marc A. [Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Dougherty, Anne H. [Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)

    2013-11-01

    Purpose: Photon therapy has been reported to induce resets of implanted cardiac devices, but the clinical sequelae of treating patients with such devices with proton beam therapy (PBT) are not well known. We reviewed the incidence of device malfunctions among patients undergoing PBT. Methods and Materials: From March 2009 through July 2012, 42 patients with implanted cardiac implantable electronic devices (CIED; 28 pacemakers and 14 cardioverter-defibrillators) underwent 42 courses of PBT for thoracic (23, 55%), prostate (15, 36%), liver (3, 7%), or base of skull (1, 2%) tumors at a single institution. The median prescribed dose was 74 Gy (relative biological effectiveness; range 46.8-87.5 Gy), and the median distance from the treatment field to the CIED was 10 cm (range 0.8-40 cm). Maximum proton and neutron doses were estimated for each treatment course. All CIEDs were checked before radiation delivery and monitored throughout treatment. Results: Median estimated peak proton and neutron doses to the CIED in all patients were 0.8 Gy (range 0.13-21 Gy) and 346 Sv (range 11-1100 mSv). Six CIED malfunctions occurred in 5 patients (2 pacemakers and 3 defibrillators). Five of these malfunctions were CIED resets, and 1 patient with a defibrillator (in a patient with a liver tumor) had an elective replacement indicator after therapy that was not influenced by radiation. The mean distance from the proton beam to the CIED among devices that reset was 7.0 cm (range 0.9-8 cm), and the mean maximum neutron dose was 655 mSv (range 330-1100 mSv). All resets occurred in patients receiving thoracic PBT and were corrected without clinical incident. The generator for the defibrillator with the elective replacement indicator message was replaced uneventfully after treatment. Conclusions: The incidence of CIED resets was about 20% among patients receiving PBT to the thorax. We recommend that PBT be avoided in pacing-dependent patients and that patients with any type of CIED receiving

  10. Genomic Prostate Cancer Classifier Predicts Biochemical Failure and Metastases in Patients After Postoperative Radiation Therapy

    SciTech Connect (OSTI)

    Den, Robert B.; Feng, Felix Y.; Showalter, Timothy N.; Mishra, Mark V.; Trabulsi, Edouard J.; Lallas, Costas D.; Gomella, Leonard G.; Kelly, W. Kevin; Birbe, Ruth C.; McCue, Peter A.; Ghadessi, Mercedeh; Yousefi, Kasra; Davicioni, Elai; Knudsen, Karen E.; Dicker, Adam P.

    2014-08-01

    Purpose: Totest the hypothesis that a genomic classifier (GC) would predict biochemical failure (BF) and distant metastasis (DM) in men receiving radiation therapy (RT) after radical prostatectomy (RP). Methods and Materials: Among patients who underwent post-RP RT, 139 were identified for pT3 or positive margin, who did not receive neoadjuvant hormones and had paraffin-embedded specimens. Ribonucleic acid was extracted from the highest Gleason grade focus and applied to a high-density-oligonucleotide microarray. Receiver operating characteristic, calibration, cumulative incidence, and Cox regression analyses were performed to assess GC performance for predicting BF and DM after post-RP RT in comparison with clinical nomograms. Results: Thearea under the receiver operating characteristic curve of the Stephenson model was 0.70 for both BF and DM, with addition of GC significantly improving area under the receiver operating characteristic curve to 0.78 and 0.80, respectively. Stratified by GC risk groups, 8-year cumulative incidence was 21%, 48%, and 81% for BF (P<.0001) and for DM was 0, 12%, and 17% (P=.032) for low, intermediate, and high GC, respectively. In multivariable analysis, patients with high GC had a hazard ratio of 8.1 and 14.3 for BF and DM. In patients with intermediate or high GC, those irradiated with undetectable prostate-specific antigen (PSA ?0.2ng/mL) had median BF survival of >8years, compared with <4years for patients with detectable PSA (>0.2ng/mL) before initiation of RT. At 8years, the DM cumulative incidence for patients with high GC and RT with undetectable PSA was 3%, compared with 23% with detectable PSA (P=.03). No outcome differences were observed for low GC between the treatment groups. Conclusion: The GC predicted BF and metastasis after post-RP irradiation. Patients withlower GC risk may benefit from delayed RT, as opposed to those with higher GC; however, this needs prospective validation. Genomic-based models may be

  11. Health risks in perspective: Judging health risks of energy technologies

    SciTech Connect (OSTI)

    Rowe, M.D.

    1992-09-18

    Almost daily, Americans receive reports from the mass news media about some new and frightening risk to health and welfare. Most such reports emphasize the newsworthiness of the risks -- the possibility of a crisis, disagreements among experts, how things happened, who is responsible for fixing them, how much will it cost, conflict among parties involved, etc. As a rule, the magnitudes of the risks, or the difficulty of estimating those magnitudes, have limited newsworthiness, and so they are not mentioned. Because of this emphasis in the news media, most people outside the risk assessment community must judge the relative significance of the various risks to which we all are exposed with only that information deemed newsworthy by reporters. This information is biased and shows risks in isolation. There is no basis for understanding and comparing the relative importance of risks among themselves, or for comparing one risk, perhaps a new or newly-discovered one, in the field of all risks. The purpose of this report is to provide perspective on the various risks to which we are routinely exposed. It serves as a basis for understanding the meaning of quantitative risk estimates and for comparing new or newly-discovered risks with other, better-understood risks. Specific emphasis is placed on health risks of energy technologies.

  12. Health Physics Records System (Dosimetry), Carlsbad Field Office...

    Energy Savers [EERE]

    Health Physics Records System (Dosimetry), Carlsbad Field Office Health Physics Records System (Dosimetry), Carlsbad Field Office Health Physics Records System (Dosimetry),...

  13. DOE HQ Occupational Safety and Health Program | Department of...

    Energy Savers [EERE]

    DOE HQ Occupational Safety and Health Program DOE HQ Occupational Safety and Health Program HQ Occupational Safety and Health Program Procedures PDF icon DOE HQ Occupational Safety...

  14. ORISE: Travelers' Health Campaign | How ORISE is Making a Difference

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

    Travelers' Health Campaign Travelers' Health Campaign takes critical messages worldwide Travelers' Health Campaign poster Click image to enlarge Traveling can be a dangerous...

  15. March 7, 2012, USW Health Safety and Environment Conference Presentati...

    Office of Environmental Management (EM)

    DOE Worker Safety and Health Regulatory Enforcement Kevin Dressman Director, Office of Worker Safety and Health Enforcement (HS-41) Office of Health, Safety and Security U.S....

  16. Worker Safety and Health Reporting Criteria | Department of Energy

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

    Worker Safety and Health Reporting Criteria Worker Safety and Health Reporting Criteria January 1, 2012 Worker Safety and Health Noncompliances Associated With Occurrences(DOE ...

  17. Potential Health and Environmental Impact from Emerging Technologies...

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

    Health and Environmental Impact from Emerging Technologies and Fuels: A report from the Health Effects Insitute Potential Health and Environmental Impact from Emerging Technologies ...

  18. Texas Department of State Health Services - WIPP Program | Department...

    Office of Environmental Management (EM)

    Texas Department of State Health Services - WIPP Program Texas Department of State Health Services - WIPP Program PDF icon Texas Department of State Health Services - WIPP Program ...

  19. Federal Employee Health Benefits (FEHB) | Department of Energy

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

    Health Benefits (FEHB) Federal Employee Health Benefits (FEHB) The Federal Employees ... If you are a part-time career employee, the Government contribution toward your health ...

  20. Global health response more accurate with automated influenza...

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

    Global health response more accurate with automated influenza surveillance Global health response more accurate with automated influenza surveillance Public health officials will...

  1. Cerebrospinal fluid flow abnormalities in patients with neoplastic meningitis. An evaluation using /sup 111/In-DTPA ventriculography

    SciTech Connect (OSTI)

    Grossman, S.A.; Trump, D.L.; Chen, D.C.; Thompson, G.; Camargo, E.E.

    1982-11-01

    Cerebrospinal fluid flow dynamics were evaluated by /sup 111/In-diethylenetriamine pentaacetic acid (/sup 111/In-DTPA) ventriculography in 27 patients with neoplastic meningitis. Nineteen patients (70 percent) had evidence of cerebrospinal fluid flow disturbances. These occurred as ventricular outlet obstructions, abnormalities of flow in the spinal canal, or flow distrubances over the cortical convexities. Tumor histology, physical examination, cerebrospinal fluid analysis, myelograms, and computerized axial tomographic scans were not sufficient to predict cerebrospinal fluid flow patterns. These data indicate that cerebrospinal fluid flow abnormalities are common in patients with neoplastic meningitis and that /sup 111/In-DTPA cerebrospinal fluid flow imaging is useful in characterizing these abnormalities. This technique provides insight into the distribution of intraventricularly administered chemotherapy and may provide explanations for treatment failure and drug-induced neurotoxicity in patients with neoplastic meningitis.

  2. Pantex Occupational Health System (OHS), National Nuclear Security...

    Energy Savers [EERE]

    Pantex Occupational Health System (OHS), National Nuclear Security Administration Pantex Site Office Pantex Occupational Health System (OHS), National Nuclear Security...

  3. Roadmap for Integrating Health and Home Performance (201) | Department...

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

    Roadmap for Integrating Health and Home Performance (201) Roadmap for Integrating Health and Home Performance (201) June 1

  4. Pantex Occupational Health System (OHS), National Nuclear Security...

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

    Pantex Occupational Health System (OHS), National Nuclear Security Administration Pantex Site Office Pantex Occupational Health System (OHS), National Nuclear Security ...

  5. ORISE: How to Work With Us | Worker Health Studies

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

    environmental health. Services provided include illness and injury surveillance, worker health research, medical data management, beryllium exposure studies and testing,...

  6. CARES: Carbonaceous Aerosol and Radiative Effects Study Science Plan

    SciTech Connect (OSTI)

    Zaveri, RA; Shaw, WJ; Cziczo, DJ

    2010-05-27

    Carbonaceous aerosol components, which include black carbon (BC), urban primary organic aerosols (POA), biomass burning aerosols, and secondary organic aerosols (SOA) from both urban and biogenic precursors, have been previously shown to play a major role in the direct and indirect radiative forcing of climate. The primary objective of the CARES 2010 intensive field study is to investigate the evolution of carbonaceous aerosols of different types and their effects on optical and cloud formation properties.

  7. Introducing the Concept of the Minimally Important Difference to Determine a Clinically Relevant Change on Patient-Reported Outcome Measures in Patients with Intermittent Claudication

    SciTech Connect (OSTI)

    Conijn, Anne P.; Jonkers, Wilma; Rouwet, Ellen V.; Vahl, Anco C.; Reekers, Jim A.; Koelemay, Mark J. W.

    2015-10-15

    PurposeThe minimally important difference (MID) represents the smallest change in score on patient-reported outcome measures that is relevant to patients. The aim of this study was to introduce the MID for the Vascular Quality of Life Questionnaire (VascuQol) and the walking impairment questionnaire (WIQ) for patients with intermittent claudication (IC).MethodsIn this multicenter study, we recruited 294 patients with IC between July and October 2012. Patients completed the VascuQol, with scores ranging from 1 to 7 (worst to best), and the WIQ, with scores ranging from 0 to 1 (worst to best) at first visit and after 4 months follow-up. In addition, patients answered an anchor-question rating their health status compared to baseline, as being improved, unchanged, or deteriorated. The MID for improvement and deterioration was calculated by an anchor-based approach, and determined with the upper and lower limits of the 95 % confidence interval of the mean change of the group who had not changed according to the anchor-question.ResultsFor the MID analyses of the VascuQol and WIQ, 163 and 134 patients were included, respectively. The MID values for the VascuQol (mean baseline score 4.25) were 0.87 for improvement and 0.23 for deterioration. For the WIQ (mean baseline score 0.39), we found MID values of 0.11 and −0.03 for improvement and deterioration, respectively.ConclusionIn this study, we calculated the MID for the VascuQol and the WIQ. Applying these MID facilitates better interpretation of treatment outcomes and can help to set treatment goals for individual care.

  8. Safety and Health | Department of Energy

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

    Health Safety and Health Office of Industrial Hygiene and Safety Information for Department of Energy Headquarters Personnel Our mission is to promote and coordinate safety and health for DOE Headquarters property (facilities) in addition to oversight of building operations, lease/project/space management, and support services for DOE Headquarters buildings. The Office of Industrial Hygiene and Safety provides information, guidelines, documentation, training, and materials pertaining to many

  9. Page 4, Federal Employees Health Benefits (FEHB)

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

    4 of 11 Previous Page Federal Employees Health Benefits (FEHB) Initial Election Period As a new employee, you have 60 days from your date of appointment to make an election for the health benefits program. Your completed Health Benefits Election Form, SF-2809, must be submitted to your servicing Human Resources Office in a timely manner. If you fail to make an election within the required deadline, you are considered to have declined coverage. You will not have another opportunity to enroll

  10. Worker Health and Safety | Department of Energy

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

    and Safety Worker Health and Safety The U.S. Department of Energy's (DOE) worker health and safety requirements and expectations ensure protection of workers from the hazards associated with Department operations. Worker health and safety policy, program tools and assistance resources available for current and former DOE Federal, contractor, and subcontractor workers who work at Department of Energy facilities. The Department implements medical surveillance and screening programs for current and

  11. Health Physics Enrollments and Degrees, 2011

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

    health physics or in an option program equivalent to a major. Twenty-four academic programs reported having health physics programs during 2011. The data for two health physics options within nuclear engineering programs are also included in the enrollments and degrees that are reported in the nuclear engineering enrollments and degrees data. Degree Trends. Bachelor degrees increased slightly between 2010 and 2011, but were 15% less than during 2005 through 2009 and 30% less than in the

  12. Connecticut's Health Impact Study Rapidly Increasing Weatherization

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

    Efforts | Department of Energy Connecticut's Health Impact Study Rapidly Increasing Weatherization Efforts Connecticut's Health Impact Study Rapidly Increasing Weatherization Efforts June 18, 2014 - 10:49am Addthis Weatherization workers are trained in the house as a system approach. The Energy Department's Weatherization Assistance Program funded technical assistance as part of Connecticut's Health Impact Assessment project. | Photo courtesy of Weatherization Assistance Program Technical

  13. Oregon Public Health Division | Open Energy Information

    Open Energy Info (EERE)

    Division Jump to: navigation, search Name: Oregon Public Health Division Address: 800 NE Oregon Street, Suite 930 Place: Portland, Oregon Zip: 97232 Phone Number: 971-673-1222...

  14. ORISE: Statistical Analyses of Worker Health

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

    appropriate methods of statistical analysis to a variety of problems in occupational health and other areas. Our expertise spans a range of capabilities essential for statistical...

  15. National Institute of Environmental Health Sciences

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

    BPA also follows the latest EMF-related efforts of other groups such as the World Health Organization, the International Commission on Non-Ionizing Radiation Protection, the...

  16. Public Health and Safety | Open Energy Information

    Open Energy Info (EERE)

    Health and Safety Jump to: navigation, search Retrieved from "http:en.openei.orgwindex.php?titlePublicHealthandSafety&oldid687683" Feedback Contact needs updating Image...

  17. NREL: Environment, Health, and Safety - Construction Subcontractors...

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

    performed on NREL-owned property, including South Table Mountain and the National Wind Technology Center. The Construction Environment, Health & Safety Plan (CEHSP). Each...

  18. EPA -- Addressing Children's Health through Reviews Conducted...

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

    EPA -- Addressing Children's Health through Reviews Conducted Pursuant to the National Environmental Policy Act and Section 309 of the Clean Air Act EPA -- Addressing Children's ...

  19. ORISE: Partnership Development in Health Communication

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

    Partnership Development The Oak Ridge Institute for Science and Education (ORISE) helps government agencies tackle public health issues by building solid networks of citizens,...

  20. Tuning the Spectrum for Health and Productivity

    Energy Savers [EERE]

    Berlin Institute of Technology Berlin, Germany November 2015 Moderator, Naomi J Miller, Senior Scientist, PNNL Tuning the Spectrum for Health and Productivity DOE SSL...

  1. ORISE: Worker Health Studies - Medical Data Management

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

    (ORISE) provides the U.S. Department of Energy (DOE) and other government agencies with health and medical data management and related information technology services. Through...

  2. ORISE: Capabilities in Worker Health Studies

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

    analyses, epidemiologic research and hazards assessments to evaluate workforce health. Medical Data Management Medical Data Management ORISE provides DOE and other...

  3. Light at Night and Human Health

    SciTech Connect (OSTI)

    2010-01-01

    Solid-state lighting program technology fact sheet that discusses potential health implications of light at night (LAN) exposure and how it may affect lighting practice and design.

  4. How Has Saving Energy Affected Your Health?

    Broader source: Energy.gov [DOE]

    We don't often speak of it in these terms, but saving energy can sometimes have a positive influence on your health.

  5. Sandia Energy - Structural Health Monitoring and Prognostics...

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

    Health Monitoring and Prognostics Management for Offshore Wind Plants Home Renewable Energy Energy News Wind Energy News & Events Research & Capabilities Modeling Modeling &...

  6. ORISE Health Communication and Training: Capabilities

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

    ... Multimedia Applications Multimedia Applications ORISE helps create interactive, computer-based training programs, from Webcasts to simulations and animations. Health Promotion and ...

  7. Locoregional Recurrence of Breast Cancer in Patients Treated With Breast Conservation Surgery and Radiotherapy Following Neoadjuvant Chemotherapy

    SciTech Connect (OSTI)

    Min, Sun Young; Lee, Seung Ju; Shin, Kyung Hwan; Park, In Hae; Jung, So-Youn; Lee, Keun Seok; Ro, Jungsil; Lee, Seeyoun; Kim, Seok Won; Kim, Tae Hyun; Kang, Han-Sung; Cho, Kwan Ho

    2011-12-01

    Purpose: Breast conservation surgery (BCS) and radiotherapy (RT) following neoadjuvant chemotherapy (NCT) have been linked with high locoregional recurrence (LRR) rates and ipsilateral breast tumor recurrence (IBTR) rates. The purpose of this study was to analyze clinical outcomes in patients who exhibited LRR and IBTR after being treated by BCS and RT following NCT. Methods and Materials: In total, 251 breast cancer patients treated with BCS and RT following NCT between 2001 and 2006 were included. All patients had been shown to be clinically node-positive. Clinical stage at diagnosis (2003 AJCC) was II in 68% of patients and III in 32% of patients. Of those, 50%, 35%, and 15% of patients received anthracycline-based, taxane-based, and combined anthracycline-taxane NCT, respectively. All patients received RT. Results: During follow-up (median, 55 months), 26 (10%) patients had LRR, 19 of these patients had IBTR. Five-year actuarial rates of IBTR-free and LRR-free survival were 91% and 89%, respectively. In multivariate analyses, lack of hormone suppression therapy was found to increase both LRR and IBTR rates. Hazard ratios were 7.99 (p < 0.0001) and 4.22 (p = 0.004), respectively. Additionally, pathology stage N2 to N3 increased LRR rate (hazard ratio, 4.22; p = 0.004), and clinical AJCC stage III IBTR rate (hazard ratio, 9.05; p = 0.034). Achievement of pathological complete response and presence of multifocal tumors did not affect LRR or IBTR. Conclusions: In patients with locally advanced disease, who were clinically node-positive at presentation, BCS after NCT resulted in acceptably low rates of IBTR and LRR. Mastectomy should be considered as an option in patients who present with clinical stage III tumors or who are not treated with adjuvant hormone suppression therapy, because they exhibit high IBTR rates after NCT and BCS.

  8. Establishing partnerships between grassroots communities and environmental health professionals for environmental health research, services, and communications

    SciTech Connect (OSTI)

    VanderMeer, D.C.

    1995-12-01

    This presentation offers recommendations to environmental health professionals who are charged with conducting research, providing environmental public health services or education to poor and traditionally under-represented communities.

  9. Rocky Flats beryllium health surveillance

    SciTech Connect (OSTI)

    Stange, A.W.; Furman, F.J.; Hilmas, D.E.

    1996-10-01

    The Rocky Flats Beryllium Health Surveillance Program (BHSP), initiated in June 1991, was designed to provide medical surveillance for current and former employees exposed to beryllium. The BHSP identifies individuals who have developed beryllium sensitivity using the beryllium lymphocyte proliferation test (BeLPT). A detailed medical evaluation to determine the prevalence of chronic beryllium disease (CBD) is offered to individuals identified as beryllium sensitized or to those who have chest X-ray changes suggestive of CBD. The BHSP has identified 27 cases of CBD and another 74 cases of beryllium sensitization out of 4268 individuals tested. The distribution of BeLPT values for normal, sensitized, and CBD-identified individuals is described. Based on the information collected during the first 3 1/3 years of the BHSP, the BeLPT is the most effective means for the early identification of beryllium-sensitized individuals and to identify individuals who may have CBD. The need for BeLPT retesting is demonstrated through the identification of beryllium sensitization in individuals who previously tested normal. Posterior/anterior chest X-rays were not effective in the identification of CBD. 12 refs., 8 tabs.

  10. Office of Domestic and International Health Studies

    Broader source: Energy.gov [DOE]

    The Office of Domestic and International Health Studies engages in the conduct of international scientific studies that may provide new knowledge and information about the human response to ionizing radiation in the workplace or people exposed in communities as a result of nuclear accidents, including providing health and environmental monitoring services to populations specified by law.

  11. Office Of Worker Safety And Health Assistance

    Office of Energy Efficiency and Renewable Energy (EERE)

    The Office of Worker Safety and Health Assistance supports program and line organizations in the identification and resolution of worker safety and health issues and management concerns utilizing a corporate issues management process for crosscutting issues providing technical support for organizational specific issues and concerns.

  12. Worker Health Summary, 1995-2004

    Broader source: Energy.gov [DOE]

    The Worker Health Summary, 1995-2004 was the first illness and injury surveillance report to include all sites collectively. This report provides an overview of the health of the work force during the period January 1, 1995 through December 31, 2004.

  13. Percutaneous Transsplenic Access to the Portal Vein for Management of Vascular Complication in Patients with Chronic Liver Disease

    SciTech Connect (OSTI)

    Chu, Hee Ho; Kim, Hyo-Cheol Jae, Hwan Jun; Yi, Nam-Joon; Lee, Kwang-Woong; Suh, Kyung-Suk; Chung, Jin Wook; Park, Jae Hyung

    2012-12-15

    Purpose: To evaluate the safety and feasibility of percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver diseases. Methods: Between Sept 2009 and April 2011, percutaneous transsplenic access to the portal vein was attempted in nine patients with chronic liver disease. Splenic vein puncture was performed under ultrasonographic guidance with a Chiba needle, followed by introduction of a 4 to 9F sheath. Four patients with hematemesis or hematochezia underwent variceal embolization. Another two patients underwent portosystemic shunt embolization in order to improve portal venous blood flow. Portal vein recanalization was attempted in three patients with a transplanted liver. The percutaneous transsplenic access site was closed using coils and glue. Results: Percutaneous transsplenic splenic vein catheterization was performed successfully in all patients. Gastric or jejunal varix embolization with glue and lipiodol mixture was performed successfully in four patients. In two patients with a massive portosystemic shunt, embolization of the shunting vessel with a vascular plug, microcoils, glue, and lipiodol mixture was achieved successfully. Portal vein recanalization was attempted in three patients with a transplanted liver; however, only one patient was treated successfully. Complete closure of the percutaneous transsplenic tract was achieved using coils and glue without bleeding complication in all patients. Conclusion: Percutaneous transsplenic access to the portal vein can be an alternative route for portography and further endovascular management in patients for whom conventional approaches are difficult or impossible.

  14. High-Dose-Rate Brachytherapy Alone for Localized Prostate Cancer in Patients at Moderate or High Risk of Biochemical Recurrence

    SciTech Connect (OSTI)

    Hoskin, Peter; Rojas, Ana; Lowe, Gerry; Bryant, Linda; Ostler, Peter; Hughes, Rob; Milner, Jessica; Cladd, Helen

    2012-03-15

    Purpose: To evaluate genitourinary (GU) and gastrointestinal (GI) morbidity and biochemical control of disease in patients with localized prostate adenocarcinoma treated with escalating doses per fraction of high-dose rate brachytherapy alone. Methods and Materials: A total of 197 patients were treated with 34 Gy in four fractions, 36 Gy in four fractions, 31.5 Gy in three fractions, or 26 Gy in two fractions. Median follow-up times were 60, 54, 36, and 6 months, respectively. Results: Incidence of early Grade {>=} 3 GU morbidity was 3% to 7%, and Grade 4 was 0% to 4%. During the first 12 weeks, the highest mean International Prostate Symptom Score (IPSS) value was 14, and between 6 months and 5 years it was 8. Grade 3 or 4 early GI morbidity was not observed. The 3-year actuarial rate of Grade 3 GU was 3% to 16%, and was 3% to 7% for strictures requiring surgery (4-year rate). An incidence of 1% Grade 3 GI events was seen at 3 years. Late Grade 4 GU or GI events were not observed. At 3 years, 99% of patients with intermediate-risk and 91% with high-risk disease were free of biochemical relapse (log-rank p = 0.02). Conclusions: There was no significant difference in urinary and rectal morbidity between schedules. Biochemical control of disease in patients with intermediate and high risk of relapse was good.

  15. Office of Health and Safety | Department of Energy

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

    Health and Safety Office of Health and Safety Mission The Office of Health and Safety establishes worker safety and health requirements and expectations for the Department to ensure protection of workers from the hazards associated with Department operations. The Office conducts health studies to determine worker and public health effects from exposure to hazardous materials associated with Department operations and supports international health studies and programs. It implements medical

  16. Health, Safety, & Quality Assurance | Department of Energy

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

    Health, Safety, & Quality Assurance Health, Safety, & Quality Assurance Nuclear Safety and Worker Safety and Health training Nuclear Safety and Worker Safety and Health training PPPO's Safety and Health, Nuclear Safety, and Quality Assurance programs collectively ensure protection of public and worker health and safety and the environment. This is accomplished by empowering and holding accountable managers, employees and contractors to prioritize health, safety and environmental

  17. Who plans for health improvement? SEA, HIA and the separation of spatial planning and health planning

    SciTech Connect (OSTI)

    Bond, Alan; Cave, Ben; Ballantyne, Rob

    2013-09-15

    This study examines whether there is active planning for health improvement in the English spatial planning system and how this varies across two regions using a combination of telephone surveys and focus group interviews in 2005 and 2010. The spatial planning profession was found to be ill-equipped to consider the health and well-being implications of its actions, whilst health professionals are rarely engaged and have limited understanding and aspirations when it comes to influencing spatial planning. Strategic Environmental Assessment was not considered to be successful in integrating health into spatial plans, given it was the responsibility of planners lacking the capacity to do so. For their part, health professionals have insufficient knowledge and understanding of planning and how to engage with it to be able to plan for health gains rather than simply respond to health impacts. HIA practice is patchy and generally undertaken by health professionals outside the statutory planning framework. Thus, whilst appropriate assessment tools exist, they currently lack a coherent context within which they can function effectively and the implementation of the Kiev protocol requiring the engagement of health professionals in SEA is not to likely improve the consideration of health in planning while there continues to be separation of functions between professions and lack of understanding of the other profession. -- Highlights: ? Health professionals have limited aspirations for health improvement through the planning system. ? Spatial planners are ill-equipped to understand the health and well-being implications of their activities. ? SEA and HIA currently do not embed health consideration in planning decisions. ? The separation of health and planning functions is problematic for the effective conduct of SEA and/or HIA.

  18. MO-E-18C-05: Global Health Catalyst: A Novel Platform for Enhancing Access to Medical Physics Education and Research Excellence (AMPERE)

    SciTech Connect (OSTI)

    Ngwa, W; Moreau, M; Asana, L

    2014-06-15

    Purpose: To develop a platform for catalyzing collaborative global Cancer Care Education and Research (CaRE), with a prime focus on enhancing Access to Medical Physics Education and Research Excellence (AMPERE) Methods: An analysis of over 50 global health collaborations between partners in the U.S. and low and middle income countries (LMIC) in Africa was carried out to assess the models of collaborations in Education and Research and relative success. A survey was carried out with questions including: the nature of the collaboration, how it was initiated, impact of culture and other factors, and recommendations for catalyzing/enhancing such collaborations. An online platform called Global Health Catalyst was developed for enhancing AMPERE. Results: The analysis yielded three main models for global health collaborations with survey providing key recommendations on how to enhance such collaborations. Based on this, the platform was developed, and customized to allow Medical Physicists and other Radiation oncology (RadOnc) professionals interested in participating in Global health to readily do so e.g. teach an online course module, participate in training Medical Physicists or other RadOnc health professionals in LMIC, co-mentor students, residents or postdocs, etc. The growing list of features on the platform also include: a feature to enable people to easily find each other, form teams, operate more effectively as partners from different disciplines, institutions, nations and cultural backgrounds, share tools and technologies, obtain seed funding to develop curricula and/or embark upon new areas of investigation, and participate in humanitarian outreach: remote treatment planning assistance, and participation in virtual Chart Rounds, etc. Conclusion: The developed Global Health Catalyst platform could enable any Medical Physicist or RadoOnc professional interested in global health to readily participate in the Education/training of next generation Rad

  19. CARES: Carbonaceous Aerosol and Radiative Effects Study Operations Plan

    SciTech Connect (OSTI)

    Zaveri, RA; Shaw, WJ; Cziczo, DJ

    2010-07-12

    The CARES field campaign is motivated by the scientific issues described in the CARES Science Plan. The primary objectives of this field campaign are to investigate the evolution and aging of carbonaceous aerosols and their climate-affecting properties in the urban plume of Sacramento, California, a mid-size, mid-latitude city that is located upwind of a biogenic volatile organic compound (VOC) emission region. Our basic observational strategy is to make comprehensive gas, aerosol, and meteorological measurements upwind, within, and downwind of the urban area with the DOE G-1 aircraft and at strategically located ground sites so as to study the evolution of urban aerosols as they age and mix with biogenic SOA precursors. The NASA B-200 aircraft, equipped with the High Spectral Resolution Lidar (HSRL), digital camera, and the Research Scanning Polarimeter (RSP), will be flown in coordination with the G-1 to characterize the vertical and horizontal distribution of aerosols and aerosol optical properties, and to provide the vertical context for the G-1 and ground in situ measurements.

  20. Assessment of health risks of policies

    SciTech Connect (OSTI)

    Ádám, Balázs; Molnár, Ágnes; Ádány, Róza; Bianchi, Fabrizio; Bitenc, Katarina; Chereches, Razvan; Cori, Liliana; Fehr, Rainer; Kobza, Joanna; Kollarova, Jana; and others

    2014-09-15

    The assessment of health risks of policies is an inevitable, although challenging prerequisite for the inclusion of health considerations in political decision making. The aim of our project was to develop a so far missing methodological guide for the assessment of the complex impact structure of policies. The guide was developed in a consensual way based on experiences gathered during the assessment of specific national policies selected by the partners of an EU project. Methodological considerations were discussed and summarized in workshops and pilot tested on the EU Health Strategy for finalization. The combined tool, which includes a textual guidance and a checklist, follows the top-down approach, that is, it guides the analysis of causal chains from the policy through related health determinants and risk factors to health outcomes. The tool discusses the most important practical issues of assessment by impact level. It emphasises the transparent identification and prioritisation of factors, the consideration of the feasibility of exposure and outcome assessment with special focus on quantification. The developed guide provides useful methodological instructions for the comprehensive assessment of health risks of policies that can be effectively used in the health impact assessment of policy proposals. - Highlights: • Methodological guide for the assessment of health risks of policies is introduced. • The tool is developed based on the experiences from several case studies. • The combined tool consists of a textual guidance and a checklist. • The top-down approach is followed through the levels of the full impact chain. • The guide provides assistance for the health impact assessment of policy proposals.

  1. US Department of Energy DOE Nevada Operations Office, Nevada Test Site: Underground safety and health standards

    SciTech Connect (OSTI)

    Not Available

    1993-05-01

    The Nevada Test Site Underground Safety and Health Standards Working Group was formed at the direction of John D. Stewart, Director, Nevada Test Site Office in April, 1990. The objective of the Working Group was to compile a safety and health standard from the California Tunnel Safety Orders and OSHA for the underground operations at the NTS, (excluding Yucca Mountain). These standards are called the NTS U/G Safety and Health Standards. The Working Group submits these standards as a RECOMMENDATION to the Director, NTSO. Although the Working Group considers these standards to be the most integrated and comprehensive standards that could be developed for NTS Underground Operations, the intent is not to supersede or replace any relevant DOE orders. Rather the intent is to collate the multiple safety and health references contained in DOE Order 5480.4 that have applicability to NTS Underground Operations into a single safety and heath standard to be used in the underground operations at the NTS. Each portion of the standard was included only after careful consideration by the Working Group and is judged to be both effective and appropriate. The specific methods and rationale used by the Working Group are outlined as follows: The letter from DOE/HQ, dated September 28, 1990 cited OSHA and the CTSO as the safety and health codes applicable to underground operations at the NTS. These mandated codes were each originally developed to be comprehensive, i.e., all underground operations of a particular type (e.g., tunnels in the case of the CTSO) were intended to be adequately regulated by the appropriate code. However, this is not true; the Working Group found extensive and confusing overlap in the codes in numerous areas. Other subjects and activities were addressed by the various codes in cursory fashion or not at all.

  2. Health and productivity gains from better indoor environments and their implications for the U.S. Department of Energy

    SciTech Connect (OSTI)

    Fisk, William J.

    2000-10-01

    A substantial portion of the US population suffers frequently from communicable respiratory illnesses, allergy and asthma symptoms, and sick building syndrome symptoms. We now have increasingly strong evidence that changes in building design, operation, and maintenance can significantly reduce these illnesses. Decreasing the prevalence or severity of these health effects would lead to lower health care costs, reduced sick leave, and shorter periods of illness-impaired work performance, resulting in annual economic benefits for the US in the tens of billions of dollars. Increasing the awareness of these potential health and economic gains, combined with other factors, could help bring about a shift in the way we design, construct, operate, and occupy buildings. The current goal of providing marginally adequate indoor environments could be replaced by the goal of providing indoor environments that maximize the health, satisfaction, and performance of building occupants. Through research and technology transfer, DOE and its contractors are well positioned to help stimulate this shift in practice and, consequently, improve the health and economic well-being of the US population. Additionally, DOE's energy-efficiency interests would be best served by a program that prepares for the potential shift, specifically by identifying and promoting the most energy-efficient methods of improving the indoor environment. The associated research and technology transfer topics of particular relevance to DOE are identified and discussed.

  3. Nomogram for Predicting the Risk of Locoregional Recurrence in Patients Treated With Accelerated Partial-Breast Irradiation

    SciTech Connect (OSTI)

    Wobb, Jessica L.; Chen, Peter Y.; Shah, Chirag; Moran, Meena S.; Shaitelman, Simona F.; Vicini, Frank A.; Beitsch, Peter

    2015-02-01

    Purpose: To develop a nomogram taking into account clinicopathologic features to predict locoregional recurrence (LRR) in patients treated with accelerated partial-breast irradiation (APBI) for early-stage breast cancer. Methods and Materials: A total of 2000 breasts (1990 women) were treated with APBI at William Beaumont Hospital (n=551) or on the American Society of Breast Surgeons MammoSite Registry Trial (n=1449). Techniques included multiplanar interstitial catheters (n=98), balloon-based brachytherapy (n=1689), and 3-dimensional conformal radiation therapy (n=213). Clinicopathologic variables were gathered prospectively. A nomogram was formulated utilizing the Cox proportional hazards regression model to predict for LRR. This was validated by generating a bias-corrected index and cross-validated with a concordance index. Results: Median follow-up was 5.5 years (range, 0.9-18.3 years). Of the 2000 cases, 435 were excluded because of missing data. Univariate analysis found that age <50 years, pre-/perimenopausal status, close/positive margins, estrogen receptor negativity, and high grade were associated with a higher frequency of LRR. These 5 independent covariates were used to create adjusted estimates, weighting each on a scale of 0-100. The total score is identified on a points scale to obtain the probability of an LRR over the study period. The model demonstrated good concordance for predicting LRR, with a concordance index of 0.641. Conclusions: The formulation of a practical, easy-to-use nomogram for calculating the risk of LRR in patients undergoing APBI will help guide the appropriate selection of patients for off-protocol utilization of APBI.

  4. Risk of Leptomeningeal Disease in Patients Treated With Stereotactic Radiosurgery Targeting the Postoperative Resection Cavity for Brain Metastases

    SciTech Connect (OSTI)

    Atalar, Banu; Modlin, Leslie A.; Choi, Clara Y.H.; Adler, John R.; Gibbs, Iris C.; Chang, Steven D.; Harsh, Griffith R.; Li, Gordon; Nagpal, Seema; Hanlon, Alexandra; Soltys, Scott G.

    2013-11-15

    Purpose: We sought to determine the risk of leptomeningeal disease (LMD) in patients treated with stereotactic radiosurgery (SRS) targeting the postsurgical resection cavity of a brain metastasis, deferring whole-brain radiation therapy (WBRT) in all patients. Methods and Materials: We retrospectively reviewed 175 brain metastasis resection cavities in 165 patients treated from 1998 to 2011 with postoperative SRS. The cumulative incidence rates, with death as a competing risk, of LMD, local failure (LF), and distant brain parenchymal failure (DF) were estimated. Variables associated with LMD were evaluated, including LF, DF, posterior fossa location, resection type (en-bloc vs piecemeal or unknown), and histology (lung, colon, breast, melanoma, gynecologic, other). Results: With a median follow-up of 12 months (range, 1-157 months), median overall survival was 17 months. Twenty-one of 165 patients (13%) developed LMD at a median of 5 months (range, 2-33 months) following SRS. The 1-year cumulative incidence rates, with death as a competing risk, were 10% (95% confidence interval [CI], 6%-15%) for developing LF, 54% (95% CI, 46%-61%) for DF, and 11% (95% CI, 7%-17%) for LMD. On univariate analysis, only breast cancer histology (hazard ratio, 2.96) was associated with an increased risk of LMD. The 1-year cumulative incidence of LMD was 24% (95% CI, 9%-41%) for breast cancer compared to 9% (95% CI, 5%-14%) for non-breast histology (P=.004). Conclusions: In patients treated with SRS targeting the postoperative cavity following resection, those with breast cancer histology were at higher risk of LMD. It is unknown whether the inclusion of whole-brain irradiation or novel strategies such as preresection SRS would improve this risk or if the rate of LMD is inherently higher with breast histology.

  5. WE-D-BRE-03: Late Toxicity Following Photon Or Proton Radiotherapy in Patients with Brain Tumors

    SciTech Connect (OSTI)

    Munbodh, R; Ding, X; Yin, L; Anamalayil, S; Dorsey, J; Lustig, R; Alonso-Basanta, M

    2014-06-15

    Purpose: To identify indicators of Late Grade 3 (LG3) toxicity, late vision and hearing changes in patients treated for primary brain tumors with photon (XRT) or proton radiotherapy (PRT). Methods: We retrospectively reviewed 102 patients who received brain XRT or PRT to doses of 54 or 59.6 Gy in daily fractions of 1.8–2 Gy. Of the 80 patients (34 XRT, 39 PRT and 7 both modalities) reviewed for indicators of LG3 toxicity, 25 developed LG3 toxicity 90 to 500 days after radiotherapy completion. 55 patients had less than LG3 toxicity > 500 days after treatment. In that time, late vision and hearing changes were seen in 44 of 75 and 25 of 78 patients, respectively. The correlation between late toxicity and prescription dose, planning target volume (PTV) size, and doses to the brainstem, brain, optic chiasm, optic nerves, eyes and cochlea was evaluated. A two-tailed Fisher's exact test and Wilcoxon rank sum test were used for the statistical analysis for XRT, PRT and all patients combined. Results: Exceeding the 54 Gy-5% dose-volume brainstem constraint, but not the optic structure constraints, was significantly correlated (p < 0.05) with late vision changes in all three groups. Exceeding maximum and mean cochlear doses of 45 and 30 Gy, respectively, was a significant indicator of hearing changes (p < 0.05) in PRT patients and all patients combined. In a sub-group of 52 patients in whom the brain was contoured, the absolute brain volume receiving ≤ 50 Gy and > 60 Gy was significantly larger in patients with LG3 toxicity for all patients combined (p < 0.05). Prescription dose, brainstem dose and PTV volume were not correlated to LG3 toxicity. Conclusion: Our results indicate the importance of minimizing the brain volume irradiated, and brainstem and cochlea doses to reduce the risk of late toxicities following brain radiotherapy.

  6. Pulmonary Artery Invasion, High-Dose Radiation, and Overall Survival in Patients With Non-Small Cell Lung Cancer

    SciTech Connect (OSTI)

    Han, Cheng-Bo; Wang, Wei-Li; Quint, Leslie; Xue, Jian-Xin; Matuszak, Martha; Ten Haken, Randall; Kong, Feng-Ming

    2014-06-01

    Purpose: To investigate whether high-dose radiation to the pulmonary artery (PA) affects overall survival (OS) in patients with non-small cell lung cancer (NSCLC). Methods and Materials: Patients with medically inoperable/unresectable NSCLC treated with definitive radiation therapy in prospective studies were eligible for this study. Pulmonary artery involvement was defined on the basis of pretreatment chest CT and positron emission tomography/CT fusion. Pulmonary artery was contoured according to the Radiation Therapy Oncology Group protocol 1106 atlas, and dose-volume histograms were generated. Results: A total of 100 patients with a minimum follow-up of 1 year for surviving patients were enrolled: 82.0% underwent concurrent chemoradiation therapy. Radiation dose ranged from 60 to 85.5 Gy in 30-37 fractions. Patients with PA invasion of grade ≤2, 3, 4, and 5 had 1-year OS and median survival of 67% and 25.4 months (95% confidence interval [CI] 15.7-35.1), 62% and 22.2 months (95% CI 5.8-38.6), 90% and 35.8 months (95% CI 28.4-43.2), and 50% and 7.0 months, respectively (P=.601). Two of the 4 patients with grade 5 PA invasion died suddenly from massive hemorrhage at 3 and 4.5 months after completion of radiation therapy. Maximum and mean doses to PA were not significantly associated with OS. The V45, V50, V55, and V60 of PA were correlated significantly with a worse OS (P<.05). Patients with V45 >70% or V60 >37% had significantly worse OS (13.3 vs 37.9 months, P<.001, and 13.8 vs 37.9 months, P=.04, respectively). Conclusions: Grade 5 PA invasion and PA volume receiving more than 45-60 Gy may be associated with inferior OS in patients with advanced NSCLC treated with concurrent chemoradiation.

  7. Endovascular Aortic Aneurysm Repair with the Talent Stent-Graft: Outcomes in Patients with Large Iliac Arteries

    SciTech Connect (OSTI)

    England, Andrew; Butterfield, John S.; McCollum, Charles N.; Ashleigh, Raymond J.

    2008-07-15

    The purpose of this study is to report outcomes following endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) in patients with ectatic common iliac arteries (CIAs). Of 117 AAA patients treated by EVAR between 1998 and 2005, 87 (74%) had CIAs diameters <18 mm and 30 (26%) patients had one or more CIA diameters >18 but <25 mm. All patients were treated with Talent stent-grafts, 114 bifurcated and 3 AUI devices. Departmental databases and patient records were reviewed to assess outcomes. Technical success, iliac-related outcome, and iliac-related reintervention (IRSI) were analyzed. Patients with EVAR extending into the external iliac artery were excluded. Median (range) follow-up for the study group was 24 (1-84) months. Initial technical success was 98% for CIAs <18 mm and 100% for CIAs {>=}18 mm (p = 0.551). There were three distal type I endoleaks (two in the ectatic group) and six iliac limb occlusions (one in an ectatic patient); there were no statistically significant differences between groups (p = 0.4). There were nine IRSIs (three stent-graft extensions, six femorofemoral crossover grafts); three of these patients had one or both CIAs {>=}18 mm (p = 0.232). One-year freedom from IRSI was 92% {+-} 3% and 84% {+-} 9% for the <18-mm and {>=}18-mm CIA groups, respectively (p = 0.232). We conclude that the treatment of AAA by EVAR in patients with CIAs 18-24 mm appears to be safe and effective, however, it may be associated with more frequent reinterventions.

  8. Health effects of coal technologies: research needs

    SciTech Connect (OSTI)

    Not Available

    1980-09-01

    In this 1977 Environmental Message, President Carter directed the establishment of a joint program to identify the health and environmental problems associated with advanced energy technologies and to review the adequacy of present research programs. In response to the President's directive, representatives of three agencies formed the Federal Interagency Committee on the Health and Environmental Effects of Energy Technologies. This report was prepared by the Health Effects Working Group on Coal Technologies for the Committee. In this report, the major health-related problems associated with conventional coal mining, storage, transportation, and combustion, and with chemical coal cleaning, in situ gasification, fluidized bed combustion, magnetohydrodynamic combustion, cocombustion of coal-oil mixtures, and cocombustion of coal with municipal solid waste are identified. The report also contains recommended research required to address the identified problems.

  9. Enhancing Human and Planetary Health Through Innovation

    SciTech Connect (OSTI)

    Brown, Ben

    2014-10-17

    Ben Brown mesmerizes the audience on how to enhance human and planetary health through innovation at our '8 Big Ideas' Science at the Theater event on October 8th, 2014, in Oakland, California.

  10. Health Safety and Environmental Protection Page 1

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

    Page 1 Final Meeting Summary March 10, 2011 FINAL MEETING SUMMARY HANFORD ADVISORY BOARD HEALTH, SAFETY AND ENVIRONMENTAL PROTECTION COMMITTEE March 10, 2011 Richland, WA Topics in this Meeting Summary Welcome and Introductions ............................................................................................................ 1 Beryllium ........................................................................................................................................ 1 Chemical

  11. Empowering Minority Communities with Health Information - WSSU

    SciTech Connect (OSTI)

    McMurray, L. and W. Templin-Branner

    2010-11-10

    Environmental health focus with training conducted as part of the United Negro College Fund Special Programs Corporation/National Library of Medicine HBCU ACCESS Project at Winston-Salem State University, NC on November 10, 2010.

  12. Line Environment, Safety and Health Oversight

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    1997-06-26

    Sets forth the Department's expectations line management environment, safety and health (ES&H) oversight and for the use of contractor self-assessment programs as the cornerstone for this oversight. Canceled by DOE O 226.1.

  13. March 7, 2012, USW Health Safety and Environment Conference Presentati...

    Office of Environmental Management (EM)

    Implementation Improvement Efforts Bill McArthur Director, Office of Worker Safety and Health Policy Office of Health, Safety and Security U.S. Department of Energy USW Health,...

  14. Knowledge based ranking algorithm for comparative assessment of post-closure care needs of closed landfills

    SciTech Connect (OSTI)

    Sizirici, Banu; Tansel, Berrin; Kumar, Vivek

    2011-06-15

    Post-closure care (PCC) activities at landfills include cap maintenance; water quality monitoring; maintenance and monitoring of the gas collection/control system, leachate collection system, groundwater monitoring wells, and surface water management system; and general site maintenance. The objective of this study was to develop an integrated data and knowledge based decision making tool for preliminary estimation of PCC needs at closed landfills. To develop the decision making tool, 11 categories of parameters were identified as critical areas which could affect future PCC needs. Each category was further analyzed by detailed questions which could be answered with limited data and knowledge about the site, its history, location, and site specific characteristics. Depending on the existing knowledge base, a score was assigned to each question (on a scale 1-10, as 1 being the best and 10 being the worst). Each category was also assigned a weight based on its relative importance on the site conditions and PCC needs. The overall landfill score was obtained from the total weighted sum attained. Based on the overall score, landfill conditions could be categorized as critical, acceptable, or good. Critical condition indicates that the landfill may be a threat to the human health and the environment and necessary steps should be taken. Acceptable condition indicates that the landfill is currently stable and the monitoring should be continued. Good condition indicates that the landfill is stable and the monitoring activities can be reduced in the future. The knowledge base algorithm was applied to two case study landfills for preliminary assessment of PCC performance.

  15. Sandia National Laboratories' Structural Health Monitoring and

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

    Prognostics Management System Reduces Offshore Wind O&M Costs | Department of Energy Laboratories' Structural Health Monitoring and Prognostics Management System Reduces Offshore Wind O&M Costs Sandia National Laboratories' Structural Health Monitoring and Prognostics Management System Reduces Offshore Wind O&M Costs September 16, 2015 - 11:53am Addthis Offshore wind energy could potentially play a significant role in helping the United States obtain an energy portfolio composed

  16. Health Benefits | National Nuclear Security Administration | (NNSA)

    National Nuclear Security Administration (NNSA)

    Health Benefits The great jobs we have at NNSA also come with comprehensive benefits packages. They are among the best and most comprehensive available and play a vital role in demonstrating the Federal government and NNSA's commitment to its employees. The great jobs we have at NNSA also come with comprehensive benefits packages. They are among the best and most comprehensive available and play a vital role in demonstrating the Federal government and NNSA's commitment to its employees. Health

  17. PNNL: About PNNL: Environment, Health and Safety

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

    Environment, Health and Safety The success of Pacific Northwest National Laboratory (PNNL) is, in part, dependent upon operational excellence. At PNNL, "operational excellence" means harnessing the energy and passion of every staff member to accomplish our mission: delivering outstanding research results in science and technology while cost effectively managing the Laboratory with the highest standards of good citizenship, safety, health, and environmental stewardship. The Environment,

  18. Environment, Safety & Health | Argonne National Laboratory

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

    Environment, Safety & Health The ABC's of HEP Division Safety A. Job and Hazard Questionnaires (JHQ) are generated to identify environment, safety and health training requirements related to an individual's job at Argonne and thus creates an employee training profile. To view your Training Profile, log in through the Training Management System (TMS). Click the "Current JHQ" tab to view your current responses and the buttons on the left menu to switch between JHQ sections. B. The

  19. Societal health and urban sustainability indicators

    SciTech Connect (OSTI)

    Petrich, C.H.; Tonn, B.E.

    1996-08-27

    Without the social will, no city can successfully Undertake the planning and programs necessary for meaningful progress toward sustainability. Social will derives from wellsprings of vital societal health. This paper presents an approach to helping cities in APEC member economies initiate a program for developing indicators of sustainability. Representative indicators of social capital and other aspects of civic engagement, as proxies for societal health, are presented.

  20. Environment, Safety, and Health Reporting Manual

    Broader source: Directives, Delegations, and Requirements [Office of Management (MA)]

    2000-01-28

    This Manual provides detailed requirements to supplement DOE O 231.1, Environment, Safety and Health Reporting, which establishes management objectives and requirements for reporting environment, safety and health information. (Paragraphs 2a, 2a(1), 2a(2), 2b, 2b(1), 2b(2), and 2i(3)(a) through 2i(3)(d) of Chapter II, and Appendix A canceled by DOE N 231.1; Chapter IV canceled by DOE O 470.2A.)

  1. The need for health impact assessment in China: Potential benefits for public health and steps forward

    SciTech Connect (OSTI)

    Wu Liming; Rutherford, Shannon; Chu, Cordia

    2011-07-15

    Health impact assessment (HIA) is a useful tool to predict and estimate the potential health impact associated with programs, projects, and policies by comprehensively identifying relevant health determinants and their consequences. China is undergoing massive and rapid socio-economic changes leading to environment and population health challenges such as a large increase in non-communicable diseases, the emergence and re-emergence of infectious diseases, new health risks associated with environmental pollutants and escalating health inequality. These health issues are affected by multiple determinants which can be influenced by planned policies, programs, and projects. This paper discusses the needs for health impact assessment in China in order to minimize the negative health consequences from projects, programs and policies associated with rapid social and economic development. It first describes the scope of China's current impact assessment system and points out its inadequacy in meeting the requirements of population health protection and promotion. It then analyses the potential use of HIA and why China needs to develop and apply HIA as a tool to identify potential health impacts of proposed programs, projects and policies so as to influence decision-making early in the planning process. Thus, the paper recommends the development of HIA as a useful tool in China to enhance decision-making for the protection and promotion of population health. For this to happen, the paper outlines steps necessary for the establishment and successful implementation of HIA in China: beginning with the establishment of a HIA framework, followed by workforce capacity building, methodology design, and intersectoral collaboration and stakeholder engagement.

  2. Health, Safety & Environment System Description and Worker Safety & Health Program

    National Nuclear Security Administration (NNSA)

    FY2015 HEALTH, SAFETY AND ENVIRONMENT MANAGEMENT SYSTEM DESCRIPTION and WORKER SAFETY & HEALTH PROGRAM Honeywell Federal Manufacturing & Technologies HS&E Management System Description 1 Honeywell Approval: KCFO Approval: Original Signed by Don Fitzpatrick 8/27/14 Original Signed by Sherry Kinsey-Cannon 8/27/14 Donald J. Fitzpatrick, Director Date Sherry Kinsey-Cannon, Date HSE&F Acting Assistant Manager Office of Operations KCFO Worker Safety & Health Program 2 Honeywell

  3. Health Benefits of Particle Filtration (Journal Article) | SciTech...

    Office of Scientific and Technical Information (OSTI)

    Journal Article: Health Benefits of Particle Filtration Citation Details In-Document Search Title: Health ... designs and more of these studies report statistically significant ...

  4. Synthetic fossil fuel technologies: health problems and intersociety...

    Office of Scientific and Technical Information (OSTI)

    Conference: Synthetic fossil fuel technologies: health problems and intersociety cooperation Citation Details In-Document Search Title: Synthetic fossil fuel technologies: health ...

  5. Jacumba Hot Springs Health Spa Pool & Spa Low Temperature Geothermal...

    Open Energy Info (EERE)

    Jacumba Hot Springs Health Spa Pool & Spa Low Temperature Geothermal Facility Jump to: navigation, search Name Jacumba Hot Springs Health Spa Pool & Spa Low Temperature Geothermal...

  6. Steamboat Springs Health and Rec. Pool & Spa Low Temperature...

    Open Energy Info (EERE)

    Springs Health and Rec. Pool & Spa Low Temperature Geothermal Facility Jump to: navigation, search Name Steamboat Springs Health and Rec. Pool & Spa Low Temperature Geothermal...

  7. Health Education Specialist/Project Manager Oak Ridge Institute...

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

    to addressing minority health disparities in your community, please contact: rose marie Womble, mSSW Health Education SpecialistProject Manager Oak Ridge Institute for...

  8. Effect Of Ventilation On Chronic Health Risks In Schools And...

    Office of Scientific and Technical Information (OSTI)

    Technical Report: Effect Of Ventilation On Chronic Health Risks In Schools And Offices Citation Details In-Document Search Title: Effect Of Ventilation On Chronic Health Risks In ...

  9. Laboratory for Energy-Related Health Research, California, Site...

    Office of Legacy Management (LM)

    Fact Sheet Laboratory for Energy-Related Health Research, California, Site This fact sheet provides information about the Laboratory for Energy-Related Health Research, California, ...

  10. ENERGY STAR Webinar: Energy Savings Plus Health: Indoor Air Quality...

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

    Energy Savings Plus Health: Indoor Air Quality Guidelines for School Building Upgrades ENERGY STAR Webinar: Energy Savings Plus Health: Indoor Air Quality Guidelines for School...